WorldWideScience

Sample records for service assessment southeastern

  1. Dilemmas Faced Establishing Portfolio Assessment of Pre-Service Teachers in the Southeastern United States

    Science.gov (United States)

    Van Sickle, Meta; Bogan, Margaret B.; Kamen, Michael; Baird, William; Butcher, Carolyn

    2005-01-01

    There is increasing pressure to evaluate and document the capabilities of students exiting teacher education programs. A professional portfolio can serve as an effective tool for documenting this process. Faculty wishing to institute portfolios in pre-service teacher assessment should be aware of the difficulties that arise during discourse and…

  2. 76 FR 7119 - Grapes Grown in Designated Area of Southeastern California; Increased Assessment Rate

    Science.gov (United States)

    2011-02-09

    ... Southeastern California; Increased Assessment Rate AGENCY: Agricultural Marketing Service, USDA. ACTION... Regulatory Flexibility Act (RFA) (5 U.S.C. 601-612), the Agricultural Marketing Service (AMS) has considered... Marketing Service. [FR Doc. 2011-2875 Filed 2-8-11; 8:45 am] BILLING CODE 3410-02-P ...

  3. The Assessment Of Small Games On Fadama Land In Southeastern ...

    African Journals Online (AJOL)

    The Assessment Of Small Games On Fadama Land In Southeastern Nigeria And The Potential For Development. ... country can offer feasible operational strategy for sustainable wildlife species development. ... AJOL African Journals Online.

  4. 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.

  5. Evolution in the Southeastern USA: Factors Influencing Acceptance and Rejection in Pre-Service Science Teachers

    Science.gov (United States)

    Glaze, Amanda L.; Goldston, M. Jenice; Dantzler, John

    2015-01-01

    Evolution continues to be a controversial topic around the world but nowhere is this more apparent locally than in the Southeastern region of the USA. In this study, we explored acceptance and rejection of evolution among pre-service science teachers in a teaching college in the rural Southeast and sought to determine (1) what relationships exist…

  6. Acceptability of general practice services for Afghan refugees in south-eastern Melbourne.

    Science.gov (United States)

    Manchikanti, Prashanti; Cheng, I-Hao; Advocat, Jenny; Russell, Grant

    2017-04-01

    Over 750000 refugees have resettled in Australia since 1945. Despite complex health needs related to prior traumatic experiences and the challenges of resettlement in a foreign country, refugees experience poor access to primary care. Health and settlement service providers describe numerous cultural, communication, financial and health literacy barriers. This study aimed to investigate the acceptability of general practitioner (GP) services and understand what aspects of acceptability are relevant for Afghan refugees in south-eastern Melbourne. Semi-structured interviews were conducted with two Afghan community leaders and 16 Dari- or English-speaking Afghan refugees who accessed GP services. Two distinct narratives emerged - those of recently arrived refugees and established refugees (living in Australia for 3 years or longer). Transecting these narratives, participants indicated the importance of: (1) a preference for detailed clinical assessments, diagnostic investigations and the provision of prescriptions at the first consultation; (2) 'refugee-friendly' staff; and (3) integrated, 'one-stop-shop' GP clinic features. The value of acceptable personal characteristics evolved over time - GP acceptability was less a consideration for recently arrived, compared with more, established refugees. The findings reinforce the importance of tailoring healthcare delivery to the evolving needs and healthcare expectations of newly arrived and established refugees respectively.

  7. Flammability of litter from southeastern trees: a preliminary assessment

    Science.gov (United States)

    J. Morgan Varner; Jeffrey M. Kane; Erin M. Banwell; Jesse K. Kreye

    2015-01-01

    The southeastern United States possesses a great diversity of woody species and an equally impressive history of wildland fires. Species are known to vary in their flammability, but little is known about southeastern species. We used published data and our own collections to perform standard litter flammability tests on a diverse suite of 25 native overstory trees from...

  8. Uranium assessment for the Precambrian pebble conglomerates in southeastern Wyoming

    International Nuclear Information System (INIS)

    Borgman, L.E.; Sever, C.; Quimby, W.F.; Andrew, M.E.; Karlstrom, K.E.; Houston, R.S.

    1981-03-01

    This volume is a geostatistical resource estimate of uranium and thorium in quartz-pebble conglomerates, and is a companion to Volume 1: The Geology and Uranium Potential to Precambrian Conglomerates in the Medicine Bow Mountains and Sierra Madre of Southeastern Wyoming; and to Volume 2: Drill-Hole Data, Drill-Site Geology, and Geochemical Data from the Study of Precambrian Uraniferous Conglomerates of the Medicine Bow Mountains and the Sierra Madre of Southeastern Wyoming

  9. Assessment of environmental radioactivity for Sanliurfa region of southeastern Turkey

    International Nuclear Information System (INIS)

    Bozkurt, Ahmet; Yorulmaz, Nuri; Kam, Erol; Karahan, Gursel; Osmanlioglu, Ahmet Erdal

    2007-01-01

    This study assesses the level of background radiation for Sanliurfa province of southeastern Turkey. Measurements of outdoor gamma radiation (of terrestrial and cosmic origin) in air were performed at 112 locations using a plastic scintillator and the average absorbed dose was found as 60.9 nGy/h (corresponding to an effective dose of 74.7μSv/y). The radionuclide activity concentrations in 45 soil samples collected from the study area were measured through gamma-ray spectrometry and the average activities were determined as 20.8, 24.95 and 298.6 for the natural radionuclides 238 U, 232 Th and 40 K, respectively, and 9.08 Bq/kg for the fission product 137 Cs. The natural radioactivity sources resulted in an effective dose of 46.9μSv/y. The radioactivity levels of 53 drinking water samples were measured as 0.038 Bq/l for gross-alpha activity and 0.1324 Bq/l for gross-beta activity using gross-alpha and gross-beta counting methods (equivalent to an effective dose of 7.76μSv/y). When compared with the data available for other Turkish cities, the outdoor gamma doses and soil radioactivity concentrations obtained in this study indicate a background radiation level that falls within natural limits. On the other hand, the measured gross-alpha and -beta activities in drinking water are relatively higher

  10. Machine Learning to Assess Grassland Productivity in Southeastern Arizona

    Science.gov (United States)

    Ponce-Campos, G. E.; Heilman, P.; Armendariz, G.; Moser, E.; Archer, V.; Vaughan, R.

    2015-12-01

    We present preliminary results of machine learning (ML) techniques modeling the combined effects of climate, management, and inherent potential on productivity of grazed semi-arid grasslands in southeastern Arizona. Our goal is to support public land managers determine if agency management policies are meeting objectives and where to focus attention. Monitoring in the field is becoming more and more limited in space and time. Remotely sensed data cover the entire allotments and go back in time, but do not consider the key issue of species composition. By estimating expected vegetative production as a function of site potential and climatic inputs, management skill can be assessed through time, across individual allotments, and between allotments. Here we present the use of Random Forest (RF) as the main ML technique, in this case for the purpose of regression. Our response variable is the maximum annual NDVI, a surrogate for grassland productivity, as generated by the Google Earth Engine cloud computing platform based on Landsat 5, 7, and 8 datasets. PRISM 33-year normal precipitation (1980-2013) was resampled to the Landsat scale. In addition, the GRIDMET climate dataset was the source for the calculation of the annual SPEI (Standardized Precipitation Evapotranspiration Index), a drought index. We also included information about landscape position, aspect, streams, ponds, roads and fire disturbances as part of the modeling process. Our results show that in terms of variable importance, the 33-year normal precipitation, along with SPEI, are the most important features affecting grasslands productivity within the study area. The RF approach was compared to a linear regression model with the same variables. The linear model resulted in an r2 = 0.41, whereas RF showed a significant improvement with an r2 = 0.79. We continue refining the model by comparison with aerial photography and to include grazing intensity and infrastructure from units/allotments to assess the

  11. Assessing climate-sensitive ecosystems in the southeastern United States

    Science.gov (United States)

    Costanza, Jennifer; Beck, Scott; Pyne, Milo; Terando, Adam; Rubino, Matthew J.; White, Rickie; Collazo, Jaime

    2016-08-11

    Climate change impacts ecosystems in many ways, from effects on species to phenology to wildfire dynamics. Assessing the potential vulnerability of ecosystems to future changes in climate is an important first step in prioritizing and planning for conservation. Although assessments of climate change vulnerability commonly are done for species, fewer have been done for ecosystems. To aid regional conservation planning efforts, we assessed climate change vulnerability for ecosystems in the Southeastern United States and Caribbean.First, we solicited input from experts to create a list of candidate ecosystems for assessment. From that list, 12 ecosystems were selected for a vulnerability assessment that was based on a synthesis of available geographic information system (GIS) data and literature related to 3 components of vulnerability—sensitivity, exposure, and adaptive capacity. This literature and data synthesis comprised “Phase I” of the assessment. Sensitivity is the degree to which the species or processes in the ecosystem are affected by climate. Exposure is the likely future change in important climate and sea level variables. Adaptive capacity is the degree to which ecosystems can adjust to changing conditions. Where available, GIS data relevant to each of these components were used. For example, we summarized observed and projected climate, protected areas existing in 2011, projected sea-level rise, and projected urbanization across each ecosystem’s distribution. These summaries were supplemented with information in the literature, and a short narrative assessment was compiled for each ecosystem. We also summarized all information into a qualitative vulnerability rating for each ecosystem.Next, for 2 of the 12 ecosystems (East Gulf Coastal Plain Near-Coast Pine Flatwoods and Nashville Basin Limestone Glade and Woodland), the NatureServe Habitat Climate Change Vulnerability Index (HCCVI) framework was used as an alternative approach for assessing

  12. Conceptual framework for improved wind-related forest threat assessment in the Southeastern United States

    Science.gov (United States)

    Scott L. Goodrick; John A. Stanturf

    2010-01-01

    In the Southeastern United States, forests are subject to a variety of damage-causing wind phenomena that range in scale from very localized (downbursts and tornadoes) to broad spatial scales (hurricanes). Incorporating the threat of wind damage into forest management plans requires tools capable of assessing risk across this range of scales. Our conceptual approach...

  13. Comparing bioenergy production sites in the Southeastern US regarding ecosystem service supply and demand.

    Directory of Open Access Journals (Sweden)

    Markus A Meyer

    Full Text Available Biomass for bioenergy is debated for its potential synergies or tradeoffs with other provisioning and regulating ecosystem services (ESS. This biomass may originate from different production systems and may be purposefully grown or obtained from residues. Increased concerns globally about the sustainable production of biomass for bioenergy has resulted in numerous certification schemes focusing on best management practices, mostly operating at the plot/field scale. In this study, we compare the ESS of two watersheds in the southeastern US. We show the ESS tradeoffs and synergies of plantation forestry, i.e., pine poles, and agricultural production, i.e., wheat straw and corn stover, with the counterfactual natural or semi-natural forest in both watersheds. The plantation forestry showed less distinct tradeoffs than did corn and wheat production, i.e., for carbon storage, P and sediment retention, groundwater recharge, and biodiversity. Using indicators of landscape composition and configuration, we showed that landscape planning can affect the overall ESS supply and can partly determine if locally set environmental thresholds are being met. Indicators on landscape composition, configuration and naturalness explained more than 30% of the variation in ESS supply. Landscape elements such as largely connected forest patches or more complex agricultural patches, e.g., mosaics with shrub and grassland patches, may enhance ESS supply in both of the bioenergy production systems. If tradeoffs between biomass production and other ESS are not addressed by landscape planning, it may be reasonable to include rules in certification schemes that require, e.g., the connectivity of natural or semi-natural forest patches in plantation forestry or semi-natural landscape elements in agricultural production systems. Integrating indicators on landscape configuration and composition into certification schemes is particularly relevant considering that certification

  14. Comparing Bioenergy Production Sites in the Southeastern US Regarding Ecosystem Service Supply and Demand

    Science.gov (United States)

    Meyer, Markus A.; Chand, Tanzila; Priess, Joerg A.

    2015-01-01

    Biomass for bioenergy is debated for its potential synergies or tradeoffs with other provisioning and regulating ecosystem services (ESS). This biomass may originate from different production systems and may be purposefully grown or obtained from residues. Increased concerns globally about the sustainable production of biomass for bioenergy has resulted in numerous certification schemes focusing on best management practices, mostly operating at the plot/field scale. In this study, we compare the ESS of two watersheds in the southeastern US. We show the ESS tradeoffs and synergies of plantation forestry, i.e., pine poles, and agricultural production, i.e., wheat straw and corn stover, with the counterfactual natural or semi-natural forest in both watersheds. The plantation forestry showed less distinct tradeoffs than did corn and wheat production, i.e., for carbon storage, P and sediment retention, groundwater recharge, and biodiversity. Using indicators of landscape composition and configuration, we showed that landscape planning can affect the overall ESS supply and can partly determine if locally set environmental thresholds are being met. Indicators on landscape composition, configuration and naturalness explained more than 30% of the variation in ESS supply. Landscape elements such as largely connected forest patches or more complex agricultural patches, e.g., mosaics with shrub and grassland patches, may enhance ESS supply in both of the bioenergy production systems. If tradeoffs between biomass production and other ESS are not addressed by landscape planning, it may be reasonable to include rules in certification schemes that require, e.g., the connectivity of natural or semi-natural forest patches in plantation forestry or semi-natural landscape elements in agricultural production systems. Integrating indicators on landscape configuration and composition into certification schemes is particularly relevant considering that certification schemes are governance

  15. Comparing bioenergy production sites in the Southeastern US regarding ecosystem service supply and demand.

    Science.gov (United States)

    Meyer, Markus A; Chand, Tanzila; Priess, Joerg A

    2015-01-01

    Biomass for bioenergy is debated for its potential synergies or tradeoffs with other provisioning and regulating ecosystem services (ESS). This biomass may originate from different production systems and may be purposefully grown or obtained from residues. Increased concerns globally about the sustainable production of biomass for bioenergy has resulted in numerous certification schemes focusing on best management practices, mostly operating at the plot/field scale. In this study, we compare the ESS of two watersheds in the southeastern US. We show the ESS tradeoffs and synergies of plantation forestry, i.e., pine poles, and agricultural production, i.e., wheat straw and corn stover, with the counterfactual natural or semi-natural forest in both watersheds. The plantation forestry showed less distinct tradeoffs than did corn and wheat production, i.e., for carbon storage, P and sediment retention, groundwater recharge, and biodiversity. Using indicators of landscape composition and configuration, we showed that landscape planning can affect the overall ESS supply and can partly determine if locally set environmental thresholds are being met. Indicators on landscape composition, configuration and naturalness explained more than 30% of the variation in ESS supply. Landscape elements such as largely connected forest patches or more complex agricultural patches, e.g., mosaics with shrub and grassland patches, may enhance ESS supply in both of the bioenergy production systems. If tradeoffs between biomass production and other ESS are not addressed by landscape planning, it may be reasonable to include rules in certification schemes that require, e.g., the connectivity of natural or semi-natural forest patches in plantation forestry or semi-natural landscape elements in agricultural production systems. Integrating indicators on landscape configuration and composition into certification schemes is particularly relevant considering that certification schemes are governance

  16. Library Services Funding Assessment

    Science.gov (United States)

    Lorig, Jonathan A.

    2004-01-01

    The Glenn Technical Library is a science and engineering library that primarily supports research activities at the Glenn Research Center, and provides selected services to researchers at all of the NASA research centers. Resources available in the library include books, journals, CD-ROMs, and access to various online sources, as well as live reference and inter-library loan services. The collection contains over 77,000 books, 800,000 research reports, and print or online access to over 1,400 journals. Currently the library operates within the Logistics and Technical Information Division, and is funded as an open-access resource within the GRC. Some of the research units at the GRC have recently requested that the library convert to a "pay-for-services" model, in which individual research units could fund only those journal subscriptions for which they have a specific need. Under this model, the library would always maintain a certain minimum level of pooled-expense services, including the ready reference and book collections, and inter-library loan services. Theoretically the "pay-for-services" model would encourage efficient financial allocation, and minimize the extent to which paid journal subscriptions go unused. However, this model also could potentially negate the benefits of group purchases for journal subscriptions and access. All of the major journal publishers offer package subscriptions that compare favorably in cost with the sum of individual subscription costs for a similar selection of titles. Furthermore, some of these subscription packages are "consortium" purchases that are funded collectively by the libraries at multiple NASA research centers; such consortia1 memberships would be difficult for the library to pay, if enough GRC research units were to withdraw their pooled contributions. cost of collectively-funded journal access with the cost of individual subscriptions. My primary task this summer is to create the cost dataset framework, and

  17. Signal-transfer Modeling for Regional Assessment of Forest Responses to Environmental Changes in the Southeastern United States

    Science.gov (United States)

    Robert J. Luxmoore; William W. Hargrove; M. Lynn Tharp; Wilfred M. Post; Michael W. Berry; Karen S. Minser; Wendell P. Cropper; Dale W. Johnson; Boris Zeide; Ralph L. Amateis; Harold E. Burkhart; V. Clark Baldwin; Kelly D. Peterson

    2000-01-01

    Stochastic transfer of information in a hierarchy of simulators is offered as a conceptual approach for assessing forest responses to changing climate and air quality across 13 southeastern states of the USA. This assessment approach combines geographic information system and Monte Carlo capabilities with several scales of computer modeling for southern pine species...

  18. The 2014 assessment of stream quality in the Piedmont and southern Appalachian Mountain region of southeastern United States

    Science.gov (United States)

    Celeste Journey; Paul M. Bradley; Peter Van Metre

    2016-01-01

    During the spring and summer of 2014, the U.S. Geological Survey (USGS) National Water- Quality Assessment Program (NAWQA) assessed stream quality across the Piedmont and southern Appalachian Mountain region in the southeastern United States.

  19. Assessing Changes in Precipitation and Impacts on Groundwater in Southeastern Brazil using Regional Hydroclimate Reconstruction

    Science.gov (United States)

    Nunes, A.; Fernandes, M.; Silva, G. C., Jr.

    2017-12-01

    Aquifers can be key players in regional water resources. Precipitation infiltration is the most relevant process in recharging the aquifers. In that regard, understanding precipitation changes and impacts on the hydrological cycle helps in the assessment of groundwater availability from the aquifers. Regional modeling systems can provide precipitation, near-surface air temperature, together with soil moisture at different ground levels from coupled land-surface schemes. More accurate those variables are better the evaluation of the precipitation impact on the groundwater. Downscaling of global reanalysis very often employs regional modeling systems, in order to give more detailed information for impact assessment studies at regional scales. In particular, the regional modeling system, Satellite-enhanced Regional Downscaling for Applied Studies (SRDAS), might improve the accuracy of hydrometeorological variables in regions with spatial and temporal scarcity of in-situ observations. SRDAS combines assimilation of precipitation estimates from gauge-corrected satellite-based products with spectral nudging technique. The SRDAS hourly outputs provide monthly means of atmospheric and land-surface variables, including precipitation, used in the calculations of the hydrological budget terms. Results show the impact of changes in precipitation on groundwater in the aquifer located near the southeastern coastline of Brazil, through the assessment of the water-cycle terms, using a hydrological model during dry and rainy periods found in the 15-year numerical integration of SRDAS.

  20. Identifying ecosystem service hotspots for targeting land degradation neutrality investments in south-eastern Africa

    NARCIS (Netherlands)

    Willemen, Louise; Crossman, Neville D.; Quatrini, Simone; Egoh, Benis; Kalaba, Felix K.; Mbilinyi, Boniface; Groot, de Dolf

    2017-01-01

    Land degradation response actions need motivated stakeholders and investments to improve land management. In this study we present methods to prioritise locations for degradation mitigation investments based on stakeholder preferences for ecosystem services. We combine participatory and spatial

  1. Identifying ecosystem service hotspots for targeting land degradation neutrality investments in south-eastern Africa

    NARCIS (Netherlands)

    Willemen, Louise; Crossman, Neville D.; Quatrini, Simone; Egoh, Benis; Kalaba, Felix K.; Mbilinyi, Boniface; de Groot, Rudolf

    2017-01-01

    Land degradation response actions need motivated stakeholders and investments to improve land management. In this study we present methods to prioritise locations for degradation mitigation investments based on stakeholder preferences for ecosystem services. We combine participatory and spatial

  2. Assessment of customer satisfaction in transportation service ...

    African Journals Online (AJOL)

    Assessment of customer satisfaction in transportation service delivery: The case of three terminals of Anbassa City Bus service enterprise. ... Fullscreen Fullscreen Off. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for ...

  3. Environmental health assessment of primary schools in southeastern Nigeria: implication for a healthy school environment in developing countries.

    Science.gov (United States)

    Ezeonu, C T; Anyansi, M N

    2010-01-01

    In this cross-sectional descriptive study, we used a validated school health program evaluation scale (SHPE) to assess the environmental health status of primary schools in Ebonyi State, southeastern Nigeria. Parameters assessed included water supply, sewage and refuse disposal, school building ventilation, lighting and seating, as well as the availability of toilet tissue, basins for washing hands, regular cleaning of toilets, and so forth. Of all the schools assessed, only two schools, both private, attained the minimum acceptable SHPE score of 57. The mean SHPE score of the private schools (50.40) was significantly higher than that of the public schools (28.69) (t-test, p=.00). Policy reforms are needed that would ensure a healthy primary school environment in Nigeria and in other developing countries with similar settings.

  4. Service Availability and Readiness Assessment of Maternal ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    Keywords: Madagascar, Maternal and Child health services, Service availability and readiness assessment, Public health facilities. Résumé ..... Table 2: Percentage of Health Facilities Equipped with Tracer Items for Antenatal Care Services Among Facilities. Providing this ... 32 CSBs, due to its location in a tourist area.

  5. Stream water quality in the context of payments for environmental services in Southeastern Brazil

    Science.gov (United States)

    Piccolo, M. C.; Reis, L. D. C.; Figueiredo, R. D. O.; Camargo, P. B. D.; Costa, C. F. G. D.; Zuccari, M. L.; Green, T. R.

    2015-12-01

    Public policy of payment for environmental services (PES) was established in 2007 to face the challenge of recuperatingwater resources at one of the headwater areas of the Jaguari River Basin, which supplies an important reservoir for the metropolitan region of São Paulo, Brazil. Such effort consists of reforestation of riparian zones and spring lands at the hills of selected catchments, including the Ribeirão das Posses (RP) catchment. Since 2012 the University of São Paulo has developed research at RP to monitor the benefits of these practices on stream water quality, and identified a few parameters as good indicators to follow up the results of this PES program. The present study has the objective to show results of the monthly monitoring in2015,including 13 sampling stations at RP catchment distributed as follows: one in a spring forested area, three in spring areas of different ages of reforestation (3, 5 and 8 years), and nine at reaches of RP streamlocated in a way to contemplate the effects of the first order streams that comes from the studied spring areas entering RP. We established two additional stations at the Jaguari River, upstream and downstream of RP outlet. In situ measurements include temperature, pH, electric conductivity (EC) and dissolved oxygen (DO), and collect water samples to bring to the laboratory for analyses of dissolved organic and inorganic carbon (DOC and DIC), total nitrogen (TN) and alkalinity. Also, sediments (fine fraction: >0.45 μm; and coarse fraction: >63 μm) are collected for isotopic carbon analyses. Preliminary results show pH values ranging from 5.5 to 7.8, while DO ranges from 5.8 to 8.9 mg L-1. As for EC, the mean at the spring forested station was 34.6 μS cm-1, while at spring areas of 3, 6 and 8 years of reforestation they were 53.3, 73.8 and 34.8 μS cm-1, respectively. We expected that by the end of this annual monitoring the benefits of reforestation will be affirmed.

  6. Longitudinal anthropometric assessment of infants born to HIV-1-infected mothers, Belo Horizonte, Southeastern Brazil

    OpenAIRE

    Fausto, Maria Arlene; Carneiro, Mariângela; Antunes, Carlos Maurício F; Colosimo, Enrico Antonio; Pinto, Jorge Andrade

    2011-01-01

    OBJECTIVE: To evaluate the growth parameters in infants who were born to HIV-1-infected mothers. METHODS: The study was a longitudinal evaluation of the z-scores for the weight-for-age (WAZ), weight-for-length (WLZ) and length-for-age (LAZ) data collected from a cohort. A total of 97 non-infected and 33 HIV-infected infants born to HIV-1-infected mothers in Belo Horizonte, Southeastern Brazil, between 1995 and 2003 was studied. The average follow-up period for the infected and non-infected ch...

  7. Assessment of ebola virus disease, health care infrastructure, and preparedness - four counties,Southeastern Liberia, august 2014.

    Science.gov (United States)

    Forrester, Joseph D; Pillai, Satish K; Beer, Karlyn D; Neatherlin, John; Massaquoi, Moses; Nyenswah, Tolbert G; Montgomery, Joel M; De Cock, Kevin

    2014-10-10

    Ebola virus disease (Ebola) is a multisystem disease caused by a virus of the genus Ebolavirus. In late March 2014, Ebola cases were described in Liberia, with epicenters in Lofa County and later in Montserrado County. While information about case burden and health care infrastructure was available for the two epicenters, little information was available about remote counties in southeastern Liberia. Over 9 days, August 6-14, 2014, Ebola case burden, health care infrastructure, and emergency preparedness were assessed in collaboration with the Liberian Ministry of Health and Social Welfare in four counties in southeastern Liberia: Grand Gedeh, Grand Kru, River Gee, and Maryland. Data were collected by health care facility visits to three of the four county referral hospitals and by unstructured interviews with county and district health officials, hospital administrators, physicians, nurses, physician assistants, and health educators in all four counties. Local burial practices were discussed with county officials, but no direct observation of burial practices was conducted. Basic information about Ebola surveillance and epidemiology, case investigation, contact tracing, case management, and infection control was provided to local officials.

  8. Assessing product service systems (PSS)

    DEFF Research Database (Denmark)

    Hsuan, Juliana; McAloone, Tim C.; Neugebauer, Line

    We apply a management tool to classify different integrated PSS within the context of Danish maritime industry. We investigate how a firm should organize its operations to manage the transition from being a manufacturing to a servitizing company, and to provide a guideline for strategic positioni...... and planning of the balance between product sales and service activities....

  9. Service Quality and Process Maturity Assessment

    Directory of Open Access Journals (Sweden)

    Serek Radomir

    2013-12-01

    Full Text Available This article deals with service quality and the methods for its measurement and improvements to reach the so called service excellence. Besides older methods such as SERVQUAL and SERPERF, there are also shortly described capability maturity models based on which the own methodology is developed and used for process maturity assessment in organizations providing technical services. This method is equally described and accompanied by examples on pictures. The verification of method functionality is explored on finding a correlation between service employee satisfaction and average process maturity in a service organization. The results seem to be quite promising and open an arena for further studies.

  10. Assessing man-induced environmental changes in the Sepetiba Bay (Southeastern Brazil) with geochemical and satellite data

    Science.gov (United States)

    Araújo, Daniel Ferreira; Peres, Lucas G. M.; Yepez, Santiago; Mulholland, Daniel S.; Machado, Wilson; Tonhá, Myller; Garnier, Jérémie

    2017-10-01

    The Sepetiba Bay, Southeastern Brazil, has undergone intense environmental changes due to anthropogenic influence. This work aims to: (i) evaluate the changes in the drainage landscape use over the last decades, (ii) identify new and past punctual and diffuse anthropogenic sources and assess risks of man-induced disturbances of the coastal zones of Sepetiba. A multivariate statistics approach on the sediment's elemental geochemical dataset discriminated three groups: the electroplating waste-affected elements (As, Cd, Pb, Cu and Zn), terrigenous elements (Si, K, Ti, Al and Fe), and biogenic and carbonate-derived elements (Ca, Mg, Mn, P, Ni, and Cr). Sediment core profiles of trace elements evidence records of former environmental impacts from old metallurgical wastes. Analysis of two Landsat images from 30 years ago and 2015 reveals a decrease in the mangrove area of nearly 26%. The ongoing suppression of mangroves could enhance the release of trace elements into the Sepetiba Bay, increasing the risks to human and biota health.

  11. Assessment of patient's satisfaction with healthcare services ...

    African Journals Online (AJOL)

    Assessment of patient's satisfaction with healthcare services obtained from a ... to identify deficiencies and improve on the quality of health services rendered. ... by the doctor or nurse (r = 0.315, p<0.001) and a significant negative correlation ...

  12. STATISTICS IN SERVICE QUALITY ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Dragana Gardašević

    2012-09-01

    Full Text Available For any quality evaluation in sports, science, education, and so, it is useful to collect data to construct a strategy to improve the quality of services offered to the user. For this purpose, we use statistical software packages for data processing data collected in order to increase customer satisfaction. The principle is demonstrated by the example of the level of student satisfaction ratings Belgrade Polytechnic (as users the quality of institutions (Belgrade Polytechnic. Here, the emphasis on statistical analysis as a tool for quality control in order to improve the same, and not the interpretation of results. Therefore, the above can be used as a model in sport to improve the overall results.

  13. Improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics in south-western and south-eastern Nigeria - A service development report.

    Science.gov (United States)

    Bakare, Muideen O; Bello-Mojeed, Mashudat A; Munir, Kerim M; Duduyemi, Olaniyi O; Orovwigho, Andrew O; Odetunde, Odutola I; Taiwo, Olufemi G; Olofinlade, Jushua A; Omotoso, Olakunle N; Famurewa, Olayinka H; Omolabi, Oladipupo O; Jejeloye, Adebayo O

    2017-01-01

    We investigate the possibility of improving access to interventions among mothers screened positive for post-partum depression (PPD) at National Programme on Immunization (NPI) clinics randomly selected from Lagos and Enugu States in south-western and south-eastern Nigeria respectively. The principle of human centred design was employed by engaging the mothers screened positive for PPD to be part of the decision making regarding their further assessment and intervention services. The study brought intervention services to primary healthcare centre at the NPI clinics. Improvement in willingness to seek interventions was observed among the mothers screened positive for PPD in this study when compared to our observation in a previous report, where mothers diagnosed with PPD were referred and requested to visit a mental health facility closer to their NPI clinics for further assessment and interventions (95.2% versus 33.7%). Interventional services for the mothers diagnosed with PPD also impact positively on the growth parameters of their infants on follow-up. Principle of human centred design improved access to intervention services among the mothers and infants studied. NPI clinics at primary healthcare level would provide appropriate forum for early screening of mothers for PPD and interventions in low-resource setting like Nigeria. There would be improvement in maternal and child health coverage if the Nigerian Government can adapt human centred design principles employed in this study nationwide.

  14. 78 FR 1715 - Grapes Grown in Designated Area of Southeastern California; Increased Assessment Rate

    Science.gov (United States)

    2013-01-09

    ... Executive Order 12988, Civil Justice Reform. Under the marketing order now in effect, grape handlers in a... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 925 [Doc. No. AMS-FV-11-0090... AGENCY: Agricultural Marketing Service, USDA. ACTION: Final rule. SUMMARY: This rule increases the...

  15. 76 FR 21620 - Grapes Grown in Designated Area of Southeastern California; Increased Assessment Rate

    Science.gov (United States)

    2011-04-18

    ... Executive Order 12988, Civil Justice Reform. Under the marketing order now in effect, grape handlers in a... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 925 [Doc. No. AMS-FV-10-0104... AGENCY: Agricultural Marketing Service, USDA. ACTION: Final rule. SUMMARY: This rule increases the...

  16. 78 FR 39548 - Grapes Grown in Designated Area of Southeastern California; Increased Assessment Rate

    Science.gov (United States)

    2013-07-02

    ... Executive Order 12988, Civil Justice Reform. Under the marketing order now in effect, grape handlers in a... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 925 [Doc. No. AMS-FV-13-0005... AGENCY: Agricultural Marketing Service, USDA. ACTION: Final rule. SUMMARY: This rule increases the...

  17. Assessing the Thermal Environmental Impacts of an Groundwater Heat Pump in Southeastern Washington State

    Energy Technology Data Exchange (ETDEWEB)

    Freedman, Vicky L.; Waichler, Scott R.; Mackley, Rob D.; Horner, Jacob A.

    2012-04-01

    A thermal analysis of a large-scale (e.g., 1900 gpm), open-loop ground source heat pump (GSHP) installed on the Pacific Northwest National Laboratory (PNNL) campus in southeastern Washington State has been performed using a numerical modeling approach. Water temperature increases at the upgradient extraction wells in the system and at the downgradient Columbia River are potential concerns, especially since heat rejection to the subsurface will occur year-round. Hence, thermal impacts of the open-loop GSHP were investigated to identify operational scenarios that minimized downgradient environmental impacts at the river, and upgradient temperature drift at the production wells. Simulations examined the sensitivity of the system to variations in pumping rates and injected water temperatures, as well as to hydraulic conductivity estimates of the aquifer. Results demonstrated that both downgradient and upgradient thermal impacts were more sensitive to injection flow rates than estimates of hydraulic conductivity. Higher injection rates at lower temperatures resulted in higher temperature increases at the extraction wells but lower increases at the river. Conversely, lower pumping rates and higher injected water temperatures resulted in a smaller temperature increase at the extraction wells, but higher increases at the river. The scenario with lower pumping rates is operationally more efficient, but does increase the likelihood of a thermal plume discharging into the Columbia River. However, this impact would be mitigated by mixing within the hyporheic zone and the Columbia River. The impact under current operational conditions is negligible, but future increases in heat rejection could require a compromise between maximizing operational efficiency and minimizing temperature increases at the shoreline.

  18. GIS-based pollution hazard mapping and assessment framework of shallow lakes: southeastern Pampean lakes (Argentina) as a case study.

    Science.gov (United States)

    Romanelli, A; Esquius, K S; Massone, H E; Escalante, A H

    2013-08-01

    The assessment of water vulnerability and pollution hazard traditionally places particular emphasis on the study on groundwaters more than on surface waters. Consequently, a GIS-based Lake Pollution Hazard Index (LPHI) was proposed for assessing and mapping the potential pollution hazard for shallow lakes due to the interaction between the Potential Pollutant Load and the Lake Vulnerability. It includes easily measurable and commonly used parameters: land cover, terrain slope and direction, and soil media. Three shallow lake ecosystems of the southeastern Pampa Plain (Argentina) were chosen to test the usefulness and applicability of this suggested index. Moreover, anthropogenic and natural medium influence on biophysical parameters in these three ecosystems was examined. The evaluation of the LPHI map shows for La Brava and Los Padres lakes the highest pollution hazard (≈30 % with high to very high category) while Nahuel Rucá Lake seems to be the less hazardous water body (just 9.33 % with high LPHI). The increase in LPHI value is attributed to a different loading of pollutants governed by land cover category and/or the exposure to high slopes and influence of slope direction. Dissolved oxygen and biochemical oxygen demand values indicate a moderately polluted and eutrophized condition of shallow lake waters, mainly related to moderate agricultural activities and/or cattle production. Obtained information by means of LPHI calculation result useful to perform a local diagnosis of the potential pollution hazard to a freshwater ecosystem in order to implement basic guidelines to improve lake sustainability.

  19. Assessment of streambed sediment contamination by heavy metals: The case of the Gabes Catchment, South-eastern Tunisia

    Science.gov (United States)

    Dahri, Noura; Atoui, Abdelfattah; Ellouze, Manel; Abida, Habib

    2018-04-01

    This study deals with the assessment of the behaviour of seven heavy metals (Cd, Zn, Cu, Pb, Ni, Cr and As) in streambed sediments within the Gabes Catchment, located in South-eastern Tunisia. To understand the effect of intense human activities in the Gabes Basin on the quality of the environment, 22 sediment samples, spread all over the study basin, were taken and analyzed for heavy metals. Heavy metal concentrations were shown to vary in the following order: Zn > Pb > Cu > Cr > Ni > Cd > As. Sediment quality was assessed based on the evaluation of various indices. A total of 27% of the sampling stations are characterised by sediment Enrichment Factors (EF) exceeding 40, reflecting extremely severe pollution. This result was also confirmed by different indices, including Sediment Pollution Index (SPI), Pollution Load Index (PLI) and Geo-accumulation index. The calculation of Mean Effect Range-Median Quotient (M-ERM-Q) indicated that in stream discharge, all metals have a probability of 21% to be toxic. The ecological toxicity risk of heavy metals increases close to urban (traffic activity) and industrial activities (industrial complex of Gabes). Close to Gabes City, the situation and the degree of contamination that may be transferred into marine ecosystems is worrisome and requires immediate intervention.

  20. Ecosystem services as assessment endpoints for ecological risk assessment.

    Science.gov (United States)

    Munns, Wayne R; Rea, Anne W; Suter, Glenn W; Martin, Lawrence; Blake-Hedges, Lynne; Crk, Tanja; Davis, Christine; Ferreira, Gina; Jordan, Steve; Mahoney, Michele; Barron, Mace G

    2016-07-01

    Ecosystem services are defined as the outputs of ecological processes that contribute to human welfare or have the potential to do so in the future. Those outputs include food and drinking water, clean air and water, and pollinated crops. The need to protect the services provided by natural systems has been recognized previously, but ecosystem services have not been formally incorporated into ecological risk assessment practice in a general way in the United States. Endpoints used conventionally in ecological risk assessment, derived directly from the state of the ecosystem (e.g., biophysical structure and processes), and endpoints based on ecosystem services serve different purposes. Conventional endpoints are ecologically important and susceptible entities and attributes that are protected under US laws and regulations. Ecosystem service endpoints are a conceptual and analytical step beyond conventional endpoints and are intended to complement conventional endpoints by linking and extending endpoints to goods and services with more obvious benefit to humans. Conventional endpoints can be related to ecosystem services even when the latter are not considered explicitly during problem formulation. To advance the use of ecosystem service endpoints in ecological risk assessment, the US Environmental Protection Agency's Risk Assessment Forum has added generic endpoints based on ecosystem services (ES-GEAE) to the original 2003 set of generic ecological assessment endpoints (GEAEs). Like conventional GEAEs, ES-GEAEs are defined by an entity and an attribute. Also like conventional GEAEs, ES-GEAEs are broadly described and will need to be made specific when applied to individual assessments. Adoption of ecosystem services as a type of assessment endpoint is intended to improve the value of risk assessment to environmental decision making, linking ecological risk to human well-being, and providing an improved means of communicating those risks. Integr Environ Assess Manag

  1. Government services: sector skills assessment 2012

    OpenAIRE

    Parry, Jon; Ojo, Adegbola

    2012-01-01

    The aim of this report is to provide authoritative labour market intelligence (LMI) for the Government Services sector to inform the strategic decision making of national governments in the development of employment and skills policy. It is one of 15 UK Sector Skills Assessment (SSA) reports produced by Sector Skills Councils and the UK Commission for Employment and Skills.

  2. An assessment of the occupational and environmental health needs in seven Southeastern European and West-Central Asian countries.

    Science.gov (United States)

    Coman, Alexandru; Cherecheş, Răzvan M; Ungureanu, Marius I; Marton-Vasarhelyi, Emanuela O; Valentine, Marissa A; Sabo-Attwood, Tara; Gray, Gregory C

    2015-12-01

    Eastern European and Central Asian countries are undergoing rapid socioeconomic and political reforms. Many old industrial facilities are either abandoned, or use outdated technologies that severely impact the environment. Emerging industries have less regulation than in developed countries and environmental and occupational problems seem to be increasing. Under a US National Institutes of Health pilot grant, we developed an interdisciplinary One Health research network in Southeastern Europe and West-Central Asia to identify environmental and occupational problems. From 2012 to 2014, this GeoHealth Hub engaged 11 academic centers and 16 public health institutions in eight different countries: Albania, Armenia, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Romania, and the United States with a goal of strengthening environmental and occupational research and training capacities. Employing face-to-face interviews and large group meetings, we conducted an evidenced-based needs and opportunities assessment focused on aquatic health, food safety, and zoonotic diseases. Comprehensive reviews of the published literature yielded priority research areas for each of the seven GeoHealth Hub countries including heavy metal and pesticide contamination, tick-borne diseases, rabies, brucellosis, and inadequate public health surveillance. Copyright © 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

  3. An assessment of the occupational and environmental health needs in seven Southeastern European and West-Central Asian countries

    Directory of Open Access Journals (Sweden)

    Alexandru Coman

    2015-12-01

    Full Text Available Eastern European and Central Asian countries are undergoing rapid socioeconomic and political reforms. Many old industrial facilities are either abandoned, or use outdated technologies that severely impact the environment. Emerging industries have less regulation than in developed countries and environmental and occupational problems seem to be increasing. Under a US National Institutes of Health pilot grant, we developed an interdisciplinary One Health research network in Southeastern Europe and West-Central Asia to identify environmental and occupational problems. From 2012 to 2014, this GeoHealth Hub engaged 11 academic centers and 16 public health institutions in eight different countries: Albania, Armenia, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Romania, and the United States with a goal of strengthening environmental and occupational research and training capacities. Employing face-to-face interviews and large group meetings, we conducted an evidenced-based needs and opportunities assessment focused on aquatic health, food safety, and zoonotic diseases. Comprehensive reviews of the published literature yielded priority research areas for each of the seven GeoHealth Hub countries including heavy metal and pesticide contamination, tick-borne diseases, rabies, brucellosis, and inadequate public health surveillance.

  4. 75 FR 17900 - Fisheries of the South Atlantic, Gulf of Mexico, and Caribbean; Southeastern Data, Assessment...

    Science.gov (United States)

    2010-04-08

    .... ADDRESSES: The meeting will be held at the Hotel Captain Cook, 939 West 5th Avenue, Anchorage, AK 99501... assessment scheduling for 2010-2015, and discuss the SEDAR budget, conflict of interest policies, and...

  5. Global approach of mean service satisfaction assessment

    Directory of Open Access Journals (Sweden)

    Ahmed Dooguy Kora

    2014-01-01

    Full Text Available A theoretical expression for mobile service satisfaction assessment has been proposed. Mobile networks users’ satisfaction is a major concern for the operators and regulators. Therefore a certain level of network qualification is required to be offered to consumers by operators thanks to the decisions initiated by the regulation authority. For the assessment of the level of satisfaction, several methodologies and tools (measuring and monitoring have emerged. Ranking in two broad categories, namely the objective and subjective methods, both have advantages as well as disadvantages. This Letter has proposed a unified approach to evaluate more objectively users’ level of satisfaction of a service based on the most common network key performance indicators (KPIs rate following the different methods. This approach's main advantage is that it has taken advantages of the different positive aspects of the existing methods and outperformed their limitations thanks to the introduced concept of global KPI. In addition, the size of samples according to each method has been considered. A mean service satisfaction theoretical expression has been proposed to regulation authority, consumers association and operators as common base of service satisfaction assessment.

  6. DEEPENING SERVICES MARKET INTEGRATION - A CRITICAL ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Jacques Pelkmans

    2007-12-01

    Full Text Available The greatest asset of the European Union is undoubtedly its internal market. However, the internal market is not completed: it suffers from a giant hole with respect to many services. The present contribution addresses the status of services in the internal market and, in particular, the horizontal liberalisation (or, the lack of it of services outside the two large sectors which greatly deepened market integration (6 modes of transport and 3 financial services markets. Because a horizontal perspective on services in the EU is still little understood, it is briefly summarized what services really are and how their regulatory logic in the internal market can help to classify them. The (strong economic case for deepening services market integration is built on recent empirical economic analysis as well as simulation. This is followed by a discussion, with flowchart, of the Bolkestein draft directive, against the backdrop of the frustrating lack of, or at best, selective progress on services for decades. A survey of economic impact studies of the draft directive is provided, too, underpinning its importance even when the infamous origin principle is taken out. Some light is subsequently shed on the tumultuous politicisation of the services debate. Emphasis is laid on the socio-economic context (which, it is submitted, sharpened the discussion at times into polarisation and a series of other factors such as the diversity of the national regulatory frameworks of services and the labour employed, the complexity of the draft directive, the potentially radical nature of the origin principle (especially for those not aware of the case law of the ECJ, the dominant role of the EP and the opportunism of leading national politicians. Finally, directive 2006/123 –meanwhile in force – is explained and briefly assessed. Apart from the conspicuous manifestation of 'Angst' in drafting the directive, the (de merits are set out. The conclusion is that a badly

  7. Using fine-scale fuel measurements to assess wildland fuels, potential fire behavior and hazard mitigation treatments in the southeastern USA

    International Nuclear Information System (INIS)

    Ottmar, Roger D.; Blake, John I.; Crolly, William T.

    2012-01-01

    The inherent spatial and temporal heterogeneity of fuelbeds in forests of the southeastern United States may require fine scale fuel measurements for providing reliable fire hazard and fuel treatment effectiveness estimates. In a series of five papers, an intensive, fine scale fuel inventory from the Savanna River Site in the southeastern United States is used for building fuelbeds and mapping fire behavior potential, evaluating fuel treatment options for effectiveness, and providing a comparative analysis of landscape modeled fire behavior using three different data sources including the Fuel Characteristic Classification System, LANDFIRE, and the Southern Wildfire Risk Assessment. The research demonstrates that fine scale fuel measurements associated with fuel inventories repeated over time can be used to assess broad scale wildland fire potential and hazard mitigation treatment effectiveness in the southeastern USA and similar fire prone regions. Additional investigations will be needed to modify and improve these processes and capture the true potential of these fine scale data sets for fire and fuel management planning.

  8. Pollution characteristics and environmental risk assessment of typical veterinary antibiotics in livestock farms in Southeastern China.

    Science.gov (United States)

    Wang, Na; Guo, Xinyan; Xu, Jing; Kong, Xiangji; Gao, Shixiang; Shan, Zhengjun

    2014-01-01

    Scientific interest in pollution from antibiotics in animal husbandry has increased during recent years. However, there have been few studies on the vertical exposure characteristics of typical veterinary antibiotics in different exposure matrices from different livestock farms. This study explores the distribution and migration of antibiotics from feed to manure, from manure to soil, and from soil to vegetables, by investigating the exposure level of typical antibiotics in feed, manure, soil, vegetables, water, fish, and pork in livestock farms. A screening environmental risk assessment was conducted to identify the hazardous potential of veterinary antibiotics from livestock farms in southeast China. The results show that adding antibiotics to drinking water as well as the excessive use of antibiotic feed additives may become the major source of antibiotics pollution in livestock farms. Physical and chemical properties significantly affect the distribution and migration of various antibiotics from manure to soil and from soil to plant. Simple migration models can predict the accumulation of antibiotics in soil and plants. The environmental risk assessment results show that more attention should be paid to the terrestrial eco-risk of sulfadiazine, sulfamethazine, sulfamethoxazole, tetracycline, oxytetracycline, chlorotetracycline, ciprofloxacin, and enrofloxacin, and to the aquatic eco-risk of chlorotetracycline, ciprofloxacin, and enrofloxacin. This is the first systematic analysis of the vertical pollution characteristics of typical veterinary antibiotics in livestock farms in southeast China. It also identifies the ecological and human health risk of veterinary antibiotics.

  9. Assessing the Impact of Fires on Air Quality in the Southeastern U.S. with a Unified Prescribed Burning Database

    Science.gov (United States)

    Garcia Menendez, F.; Afrin, S.

    2017-12-01

    Prescribed fires are used extensively across the Southeastern United States and are a major source of air pollutant emissions in the region. These land management projects can adversely impact local and regional air quality. However, the emissions and air pollution impacts of prescribed fires remain largely uncertain. Satellite data, commonly used to estimate fire emissions, is often unable to detect the low-intensity, short-lived prescribed fires characteristic of the region. Additionally, existing ground-based prescribed burn records are incomplete, inconsistent and scattered. Here we present a new unified database of prescribed fire occurrence and characteristics developed from systemized digital burn permit records collected from public and private land management organizations in the Southeast. This bottom-up fire database is used to analyze the correlation between high PM2.5 concentrations measured by monitoring networks in southern states and prescribed fire occurrence at varying spatial and temporal scales. We show significant associations between ground-based records of prescribed fire activity and the observational air quality record at numerous sites by applying regression analysis and controlling confounding effects of meteorology. Furthermore, we demonstrate that the response of measured PM2.5 concentrations to prescribed fire estimates based on burning permits is significantly stronger than their response to satellite fire observations from MODIS (moderate-resolution imaging spectroradiometer) and geostationary satellites or prescribed fire emissions data in the National Emissions Inventory. These results show the importance of bottom-up smoke emissions estimates and reflect the need for improved ground-based fire data to advance air quality impacts assessments focused on prescribed burning.

  10. Assessment of consumer exposure related to improper use of pesticides in the region of southeastern Poland.

    Science.gov (United States)

    Szpyrka, Ewa

    2015-01-01

    Plant protection products are widely used throughout the world in order to prevent a reduction in yield. Although the protection of plants brings many benefits, pesticides are toxic to the environment and to humans. To protect human health, pesticide residue risk assessment should be carried out. The aim of the study was to assess acute risk related to the improper use of pesticides. In 2010-2013, 878 crop samples: 382 fruits, 399 vegetables, 82 cereals and their products, 11 herbs and 4 seeds were tested. Pesticide residues were found in 240 samples (27.3%). Pesticide residues were found most frequently in: fruits (41.6% fruit samples), seed (25.0%), vegetables (19.3%) and herbs (9.1%), and least frequently in cereals and their products (2.4%). Improper pesticide use was determined for 49 samples, mainly for vegetables (24 samples) and fruits (22). Most irregularities associated with the use of plant protection products involved application of a substance not recommended for a given crop (36 samples). In nine samples, applications of plant protection products that were withdrawn from the market were found, and in seven samples, violations of maximum residue levels were determined. Despite there being cases of improper use of plant protection products, no hazard to consumer health was determined. The highest values of short-term exposure were obtained in the case of consumption of blackcurrants with iprodione-a substance not recommended in Poland for protection of blackcurrants (4.3% acceptable daily intake (ADI), adults; 6.8% ADI, children). Since potential consumer risk caused by pesticide residues could not be ruled out, inspections should be carried out continuously.

  11. Service water system aging assessment - Phase I

    International Nuclear Information System (INIS)

    Jarrell, D.B.; Zimmerman, P.W.; Gore, M.L.

    1988-01-01

    The Service Water System (SWS) represents the final heat transfer loop between decay heat generated in the nuclear core and the safe dispersal of that heat energy in the environment. It is the objective of this investigation to demonstrate that aging phenomena can be identified and quantified such that aging degradation of system components can be detected and mitigated prior to the reduction of system availability to below an acceptable threshold. The approach used during the Phase I task was to (1) perform a literature search of government and private sector reports which relate to service water, aging related degradation, and potential methodologies for analysis; (2) assemble a data base which contains all the commercial power plants in the US, their Service Water System configuration, characteristics, and water source; (3) obtain and examine the available service water data from large generic data bases, i.e. NPRDS, LER, NPE, inspection reports, and other relevant plant reference data; (4) perform a fault tree analysis of a typical plant service water systems to examine failure propagation and understand specific input requirements of probabilistic risk analyses; (5) develop an in-depth questionnaire protocol for examining the information resource at a power plant which is not available through data base query and visit a central station power plant and solicit the required information; (6) analyze the information obtained from the in-depth plant interrogation and draw contrasts and conclusions with the data base information; (7) utilize the plant information to perform an interim assessment of service water system degradation mechanisms and focus future investigations. This paper addresses the elements of this task plan numbered 1, 3, 6, and 7. The remaining items are detailed in the phase-I report

  12. Seismic ground motion and hazard assessment of the Greater Accra Metropolitan Area, southeastern Ghana

    International Nuclear Information System (INIS)

    Amponsah, P.E.; Banoeng-Yakubo, B.K.; Asiedu, D.; Vaccari, F.; Panza, G.F.

    2008-08-01

    The seismic ground motion of the Greater Accra Metropolitan area has been computed and the hazard zones assessed using a deterministic hybrid approach based on the modal summation and finite difference methods. The seismic ground motion along four profiles located in the Greater Accra Metropolitan Area has been modelled using the 1939 earthquake of magnitude 6.5(M L ) as the scenario earthquake. Synthetic seismic waveforms from which parameters for engineering design such as peak ground acceleration, velocity and spectral amplifications have been produced along the geological cross sections. From the seismograms computed, the seismic hazard of the metropolis, expressed in terms of peak ground acceleration and peak ground velocity have been estimated. The peak ground acceleration estimated in the study ranges from 0.14 - 0.57 g and the peak ground velocity from 9.2 - 37.1cms -1 . The presence of low velocity sediments gave rise to high peak values and amplifications. The maximum peak ground accelerations estimated are located in areas with low velocity formations such as colluvium, continental and marine deposits. Areas in the metropolis underlain by unconsolidated sediments have been classified as the maximum damage potential zone and those underlain by highly consolidated geological materials are classified as low damage potential zone. The results of the numerical simulation have been extended to all areas in the metropolis with similar geological formation. (author)

  13. Geologic aspects of seismic hazards assessment at the Idaho National Engineering Laboratory, southeastern Idaho

    International Nuclear Information System (INIS)

    Smith, R.P.; Hackett, W.R.; Rodgers, D.W.

    1989-01-01

    The Idaho National Engineering Laboratory (INEL), located on the northwestern side of the Eastern Snake River Plain (ESRP), lies in an area influenced by two distinct geologic provinces. The ESRP province is a northeast-trending zone of late Tertiary and Quaternary volcanism which transects the northwest-trending, block-fault mountain ranges of the Basin and Range province. An understanding of the interaction of these two provinces is important for realistic geologic hazards assessment. Of particular importance for seismic hazards analysis is the relationship of volcanic rift zones on the ESRP to basin-and-range faults north of the plain. The Arco Rift Zone, a 20-km-long belt of deformation and volcanism on the plain just west of the INEL, is colinear with the basin-and-range Lost River fault. Recent field studies have demonstrated that Arco Rift Zone deformation is typical of that induced by dike injection in other volcanic rift zones. The deformation is characterized by a predominance of dilational fissuring with less extensive development of faults and grabens. Cumulative vertical displacements over the past 0.6 Ma are an order of magnitude lower than those associated with the Arco Segment of the Lost River fault to the northwest. The evidence suggests that the northeast-directed extension that produces the block fault mountains of the Basin and Range is expressed by dike injection and volcanic rift zone development in the ESRP. Seismicity associated with dike injection during rift zone development is typically of low magnitude and would represent only minor hazard compared to that associated with the block faulting. Since the ESRP responds to extension in a manner distinct from basin-and-range faulting, it is not appropriate to consider the volcanic rift zones as extensions of basin-and-range faults for seismic hazard analysis

  14. Lifetime assessment of service-exposed components

    International Nuclear Information System (INIS)

    Kalwa, G.; Weber, H.

    1988-01-01

    A longtime prognosis on the operation of creep-exposed components requires a lifetime analysis. The basis for such an analysis can be improved by an analysis of microstructure and material properties. Actually the grade of material exhaustion has to be regarded as proper assessment quantity. However, stress and time safety also are valuable assessment quantities which should be taken into consideration, especially when the grade of exhaustion is uncertain because of inaccurate input parameters. A correct assessment of the damage state cannot be made without taking into consideration the failure mechanism which has to be assumed for a specific component. With respect to creep the most critical component of a steamline system is the pipe bend because of the risk of large damage events. For this case component metallography by replicas is suggested as preventive test method. The continuation of service of a creep damage pipe bend cannot be recommended. (orig./MM) [de

  15. Onshore/ Offshore Geologic Assessment for Carbon Storage in the Southeastern United States

    Science.gov (United States)

    Knapp, C. C.; Knapp, J. H.; Brantley, D.; Lakshmi, V.; Almutairi, K.; Almayahi, D.; Akintunde, O. M.; Ollmann, J.

    2017-12-01

    Eighty percent of the world's energy relies on fossil fuels and under increasingly stricter national and international regulations on greenhouse gas emissions storage of CO2 in geologic repositories seems to be not only a feasible, but also and vital solution for near/ mid-term reduction of carbon emissions. We have evaluated the feasibility of CO2 storage in saline formations of the Eastern North American Margin (ENAM) including (1) the Jurassic/Triassic (J/TR) sandstones of the buried South Georgia Rift (SGR) basin, and (2) the Mesozoic and Cenozoic geologic formations along the Mid- and South Atlantic seaboard. These analyses have included integration of subsurface geophysical data (2- and 3-D seismic surveys) with core samples, well logs as well as uses of geological databases and geospatial analysis leading to CO2 injection simulation models. ENAM is a complex and regionally extensive mature Mesozoic passive margin rift system encompassing: (1) a large volume and regional extent of related magmatism known as the Central Atlantic Magmatic Province (CAMP), (2) a complete stratigraphic column that records the post-rift evolution in several basins, (3) preserved lithospheric-scale pre-rift structures including Paleozoic sutures, and (4) a wide range of geological, geochemical, and geophysical studies both onshore and offshore. While the target reservoirs onshore show heterogeneity and a highly complex geologic evolution they also show promising conditions for significant safe CO2 storage away from the underground acquifers. Our offshore study (the Southeast Offshore Storage Resource Assessment - SOSRA) is focused on the outer continental shelf from North Carolina to the southern tip of Florida. Three old exploration wells are available to provide additional constraints on the seismic reflection profiles. Two of these wells (TRANSCO 1005-1 and COST GE-1) penetrate the pre-rift Paleozoic sedimentary formations while the EXXON 564-1 well penetrates the post

  16. Organohalogen exposure in a Eurasian owl (Bubo bubo) population from Southeastern Spain: Temporal-spatial trends and risk assessment

    NARCIS (Netherlands)

    Gomez-Ramirez, P.; Martinez-Lopez, E.; Garcia-Fernandez, A.; Zweers, A.J.; Brink, van den N.W.

    2012-01-01

    Polybrominated diphenyl ethers (PBDEs), polychlorinated biphenyls (PCBs) and organochlorine insecticides (OCs) were analysed in 58 Eurasian Eagle owl (Bubo bubo) unhatched eggs collected between 2004 and 2009 in Southeastern Spain. Levels of p,p'-DDE were found to be higher than in eggs laid by

  17. A software tool for ecosystem services assessments

    Science.gov (United States)

    Riegels, Niels; Klinting, Anders; Butts, Michael; Middelboe, Anne Lise; Mark, Ole

    2017-04-01

    The EU FP7 DESSIN project is developing methods and tools for assessment of ecosystem services (ESS) and associated economic values, with a focus on freshwater ESS in urban settings. Although the ESS approach has gained considerable visibility over the past ten years, operationalizing the approach remains a challenge. Therefore, DESSSIN is also supporting development of a free software tool to support users implementing the DESSIN ESS evaluation framework. The DESSIN ESS evaluation framework is a structured approach to measuring changes in ecosystem services. The main purpose of the framework is to facilitate the application of the ESS approach in the appraisal of projects that have impacts on freshwater ecosystems and their services. The DESSIN framework helps users evaluate changes in ESS by linking biophysical, economic, and sustainability assessments sequentially. It was developed using the Common International Classification of Ecosystem Services (CICES) and the DPSIR (Drivers, Pressures, States, Impacts, Responses) adaptive management cycle. The former is a standardized system for the classification of ESS developed by the European Union to enhance the consistency and comparability of ESS assessments. The latter is a well-known concept to disentangle the biophysical and social aspects of a system under study. As part of its analytical component, the DESSIN framework also integrates elements of the Final Ecosystem Goods and Services-Classification System (FEGS-CS) of the US Environmental Protection Agency (USEPA). As implemented in the software tool, the DESSIN framework consists of five parts: • In part I of the evaluation, the ecosystem is defined and described and the local stakeholders are identified. In addition, administrative details and objectives of the assessment are defined. • In part II, drivers and pressures are identified. Once these first two elements of the DPSIR scheme have been characterized, the claimed/expected capabilities of a

  18. Rethinking Student Services: Assessing and Improving Service Quality.

    Science.gov (United States)

    Zammuto, Raymond F.; And Others

    1996-01-01

    A study investigated the quality of services in four student enrollment services administrative sub-units (recruiting, admissions, records and registration, financial aid) at a public comprehensive university, using student and staff evaluations and program evaluations. Specific changes needed to improve service delivery are identified and…

  19. Postwildfire debris flows hazard assessment for the area burned by the 2011 Track Fire, northeastern New Mexico and southeastern Colorado

    Science.gov (United States)

    Tillery, Anne C.; Darr, Michael J.; Cannon, Susan H.; Michael, John A.

    2011-01-01

    In June 2011, the Track Fire burned 113 square kilometers in Colfax County, northeastern New Mexico, and Las Animas County, southeastern Colorado, including the upper watersheds of Chicorica and Raton Creeks. The burned landscape is now at risk of damage from postwildfire erosion, such as that caused by debris flows and flash floods. This report presents a preliminary hazard assessment of the debris-flow potential from basins burned by the Track Fire. A pair of empirical hazard-assessment models developed using data from recently burned basins throughout the intermountain western United States were used to estimate the probability of debris-flow occurrence and volume of debris flows at the outlets of selected drainage basins within the burned area. The models incorporate measures of burn severity, topography, soils, and storm rainfall to estimate the probability and volume of post-fire debris flows following the fire. In response to a design storm of 38 millimeters of rain in 30 minutes (10-year recurrence-interval), the probability of debris flow estimated for basins burned by the Track fire ranged between 2 and 97 percent, with probabilities greater than 80 percent identified for the majority of the tributary basins to Raton Creek in Railroad Canyon; six basins that flow into Lake Maloya, including the Segerstrom Creek and Swachheim Creek basins; two tributary basins to Sugarite Canyon, and an unnamed basin on the eastern flank of the burned area. Estimated debris-flow volumes ranged from 30 cubic meters to greater than 100,000 cubic meters. The largest volumes (greater than 100,000 cubic meters) were estimated for Segerstrom Creek and Swachheim Creek basins, which drain into Lake Maloya. The Combined Relative Debris-Flow Hazard Ranking identifies the Segerstrom Creek and Swachheim Creek basins as having the highest probability of producing the largest debris flows. This finding indicates the greatest post-fire debris-flow impacts may be expected to Lake Maloya

  20. "Check This out": Assessing Customer Service at the Circulation Desk

    Science.gov (United States)

    Long, Dallas

    2012-01-01

    The access services staff at Milner Library, Illinois State University, designed a customer service assessment to evaluate how effectively the department was carrying out its mission statement. Areas of assessment included the department's waiting times, helpfulness, and courtesy. The assessment activity focused on circulation services, which is…

  1. Long-term changes in fusiform rust incidence in the southeastern United States

    Science.gov (United States)

    KaDonna C. Randolph; Ellis B. Cowling; Dale A. Starkey

    2015-01-01

    Fusiform rust is the most devastating disease of slash pine (Pinus elliottii) and loblolly pine (Pinus taeda) in the southeastern United States. Since the 1970s, the USDA Forest Service Forest Inventory and Analysis (FIA) Program has assessed fusiform rust incidence on its network of ground plots in 13 states across the...

  2. Southeast Regional Assessment Study: an assessment of the opportunities of solar electric power generation in the Southeastern United States

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-07-01

    The objective of this study was to identify and assess opportunities for demonstration and large scale deployment of solar electric facilities in the southeast region and to define the technical, economic, and institutional factors that can contribute to an accelerated use of solar energy for electric power generation. Graphs and tables are presented indicating the solar resource potential, siting opportunities, energy generation and use, and socioeconomic factors of the region by state. Solar electric technologies considered include both central station and dispersed solar electric generating facilities. Central stations studied include solar thermal electric, wind, photovoltaic, ocean thermal gradient, and biomass; dispersed facilities include solar thermal total energy systems, wind, and photovoltaic. The value of solar electric facilities is determined in terms of the value of conventional facilities and the use of conventional fuels which the solar facilities can replace. Suitable cost and risk sharing mechanisms to accelerate the commercialization of solar electric technologies in the Southeast are identified. The major regulatory and legal factors which could impact on the commercialization of solar facilities are reviewed. The most important factors which affect market penetration are reviewed, ways to accelerate the implementation of these technologies are identified, and market entry paths are identified. Conclusions and recommendations are presented. (WHK)

  3. Assessment of the effectiveness of guidance services in senior ...

    African Journals Online (AJOL)

    Guidance Service Assessment Questionnaire for Teacher/Students (GSAQTS) was used to measure the extent of guidance services and their perception of it. ... to counsellor, and a misconception of the counsellors role has made guidance ...

  4. IMPLEMENTING A VALUE ASSESSMENT TOOL FOR SERVICE INNOVATION IDEAS

    OpenAIRE

    TOR HELGE AAS

    2010-01-01

    There has not been much discussion of how firms may assess the value of service innovation projects ex-ante in the extant research literature. This paper theoretically derives a value assessment tool for service innovation ideas called QSI (tool for pre-Qualification of Service Innovation projects). Thereafter QSI is implemented in three firms and it is explored to what degree the implementation improved managerial decision making on service innovation projects and investments. The findings i...

  5. Assessment of Customer Satisfaction in Transportation Service ...

    African Journals Online (AJOL)

    Administrator

    Definition of Service. As quoted by Palmer and Cole (1995: 38), Kotler and. Armstrong define services as “Any activity or benefit that one party can offer to another that is essentially intangible ... Kotler (1999: 55) define quality as “The totality of features and ... of satisfying that expectation and getting competitive advantage.

  6. Service Quality and Customer Satisfaction: An Assessment and Future Directions.

    Science.gov (United States)

    Hernon, Peter; Nitecki, Danuta A.; Altman, Ellen

    1999-01-01

    Reviews the literature of library and information science to examine issues related to service quality and customer satisfaction in academic libraries. Discusses assessment, the application of a business model to higher education, a multiple constituency approach, decision areas regarding service quality, resistance to service quality, and future…

  7. Assessment of Customer Satisfaction in Transportation Service ...

    African Journals Online (AJOL)

    Administrator

    adequate capacity that can meet and satisfy their requirements and reached at .... Tengstron (2005), bus services are flexible, cost effective and equitable mode of ...... attention, it could not be continued and currently there is no adequate ...

  8. Assessing international trade in healthcare services

    OpenAIRE

    Herman, Lior

    2009-01-01

    Growing evidence indicates that international trade in healthcare services is growing. Nevertheless, a major literature gap exists with regard to the nature of international healthcare trade and its extent. Taking a comprehensive approach, this research examines the magnitude, directions, patterns of specialisation, growth and other aspects related to international trade in healthcare services. Within this framework, trade is analysed with regard to cross border trade, consumption of healthca...

  9. Experimental assessment of ecosystem services in agriculture

    DEFF Research Database (Denmark)

    Sandhu, Harpinder; Porter, John Roy; Wratten, Steve

    2013-01-01

    Ecosystem services are the resources and processes supplied by natural ecosystems which benefit humankind (for example, pollination of crops by insects, or water filtration by wetlands). They underpin life on earth, provide major inputs to many economic sectors and support our lifestyles. Agricul......Ecosystem services are the resources and processes supplied by natural ecosystems which benefit humankind (for example, pollination of crops by insects, or water filtration by wetlands). They underpin life on earth, provide major inputs to many economic sectors and support our lifestyles....... Agricultural and urban areas are by far the largest users of ecosystems and their services and (for the first time) this book explores the role that ecosystem services play in these managed environments. The book also explores methods of evaluating ecosystem services, and discusses how these services can...... be maintained and enhanced in our farmlands and cities. This book will be useful to students and researchers from a variety of fields, including applied ecology, environmental economics, agriculture and forestry, and also to local and regional planners and policy makers....

  10. Alaska Open-File Report 127 Assessment of Thermal Springs Sites in Southern Southeastern Alaska - Preliminary Results and Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Motyka, Roman J.; Moorman, Mary A.; Reeder, John W.

    1980-06-01

    Information has been gathered on 13 reported thermal-spring sites, 12 in southern Southeastern Alaska and one in western British Columbia. Five of the reported sites could not be substantiated by DGGS. The eight known thermal spring sites are associated with grainitic terrain and, except for Baker Island Hot Springs, occur within or near intensively fractured Cretaceous-age pluons of the Coast Range Batholith. Thermal-spring surface temperatures range from 21 C (Twin Lakes) to 91.5 C (Bailey Bay). The greatest discharge occurs at Chief Shakes hot springs (450 1pm). Bell Island Hot Springs, which has about a 100-1 pm discharge and a 70 C temperature, has had the most development. Two previously unreported thermal-spring sites, Barnes Lake warm springs and Bradfield hot springs, have a low rate of discharge and respective surface temperatures of about 25 and 54 C. The known thermal springs probably originate from circulation of meteoric waters through deep-seated fracture and fault systems. The chemical constituents of the alkali-sulfate to alkali-chloride thermal waters are probably derived from interaction of the deeply circulating meteoric waters with the granitic wall rocks. Chemical geothermometry suggests subsurface temperatures of 55 to 151 C. If waters are being heated solely by conduction from wall rocks, circulation depths must be about 1.5 to 5 km, assuming geothermal gradients of 30 to 50 C/km. Variations in temperature, discharge, and chemistry were noted at several thermal springs for which previous records are available. A major decrease in silica and potassium concentrations at Chief Shakes hot springs is suggested by comparing recent analyses of water chemistry to Waring's (1917) original analysis. The rate of discharge at Bell Island Hot Springs may have increased by a factor of two since Waring's visit to the springs. Subsurface reservoirs associated with thermal springs in southern Southeastern Alaska are of low temperature and are

  11. Posters as assessment strategies: focusing on service users.

    Science.gov (United States)

    Crawley, Loretta; Frazer, Kate

    This article debates whether posters as an assessment strategy in health professionals' education programmes can benefit learners, academics, and service users. Evidence suggests that service-user involvement benefits learning by developing students' communication, partnership and advocacy skills. The authors debate the value of posters as an assessment strategy in postgraduate diploma nursing programmes delivered in an Irish School of Nursing, Midwifery and Health Systems. It is argued that assessment strategies should not only examine programme theory and practice but should also benefit the people that will be using the service. Although the assessment strategy used in these programmes aimed to benefit service users, additional work is required for assessment to be truly inclusive of service users.

  12. E-Services quality assessment framework for collaborative networks

    Science.gov (United States)

    Stegaru, Georgiana; Danila, Cristian; Sacala, Ioan Stefan; Moisescu, Mihnea; Mihai Stanescu, Aurelian

    2015-08-01

    In a globalised networked economy, collaborative networks (CNs) are formed to take advantage of new business opportunities. Collaboration involves shared resources and capabilities, such as e-Services that can be dynamically composed to automate CN participants' business processes. Quality is essential for the success of business process automation. Current approaches mostly focus on quality of service (QoS)-based service selection and ranking algorithms, overlooking the process of service composition which requires interoperable, adaptable and secure e-Services to ensure seamless collaboration, data confidentiality and integrity. Lack of assessment of these quality attributes can result in e-Service composition failure. The quality of e-Service composition relies on the quality of each e-Service and on the quality of the composition process. Therefore, there is the need for a framework that addresses quality from both views: product and process. We propose a quality of e-Service composition (QoESC) framework for quality assessment of e-Service composition for CNs which comprises of a quality model for e-Service evaluation and guidelines for quality of e-Service composition process. We implemented a prototype considering a simplified telemedicine use case which involves a CN in e-Healthcare domain. To validate the proposed quality-driven framework, we analysed service composition reliability with and without using the proposed framework.

  13. Health and Environmental Risk Assessment Project for bottlenose dolphins Tursiops truncatus from the southeastern USA. I. Infectious diseases.

    Science.gov (United States)

    Bossart, Gregory D; Fair, Patricia; Schaefer, Adam M; Reif, John S

    2017-07-24

    From 2003 to 2015, 360 free-ranging Atlantic bottlenose dolphins Tursiops truncatus inhabiting the Indian River Lagoon (IRL, n = 246), Florida, and coastal waters of Charleston (CHS, n = 114), South Carolina, USA, were captured, given comprehensive health examinations, and released as part of a multidisciplinary and multi-institutional study of individual and population health. The aim of this review is to summarize the substantial health data generated by this study and to examine morbidity between capture sites and over time. The IRL and CHS dolphin populations are affected by complex infectious and neoplastic diseases often associated with immunologic disturbances. We found evidence of infection with cetacean morbillivirus, dolphin papilloma and herpes viruses, Chlamydiaceae, a novel uncultivated strain of Paracoccidioides brasiliensis (recently identified as the causal agent of dolphin lobomycosis/lacaziasis), and other pathogens. This is the first long-term study documenting the various types, progression, seroprevalence, and pathologic interrelationships of infectious diseases in dolphins from the southeastern USA. Additionally, the study has demonstrated that the bottlenose dolphin is a valuable sentinel animal that may reflect environmental health concerns and parallel emerging public health issues.

  14. Health and Environmental Risk Assessment Project for bottlenose dolphins Tursiops truncatus from the southeastern USA. II. Environmental aspects.

    Science.gov (United States)

    Reif, John S; Schaefer, Adam M; Bossart, Gregory D; Fair, Patricia A

    2017-07-24

    Bottlenose dolphins Tursiops truncatus are the most common apex predators found in coastal and estuarine ecosystems along the southeastern coast of the USA, where these animals are exposed to multiple chemical pollutants and microbial agents. In this review, we summarize the results of investigations of environmental exposures evaluated in 360 free-ranging dolphins between 2003 and 2015. Bottlenose dolphins inhabiting the Indian River Lagoon, Florida (IRL, n = 246), and coastal waters of Charleston, South Carolina (CHS, n = 114), were captured, given comprehensive health examinations, and released as part of a multidisciplinary and multi-institutional study of individual and population health. High concentrations of persistent organic pollutants including legacy contaminants (DDT and other pesticides, polychlorinated biphenyl compounds) as well as 'emerging' contaminants (polybrominated diphenyl ethers, perfluorinated compounds) were detected in dolphins from CHS, with lower concentrations in the IRL. Conversely, the concentrations of mercury in the blood and skin of IRL dolphins were among the highest reported worldwide and approximately 5 times as high as those found in CHS dolphins. A high prevalence of resistance to antibiotics commonly used in humans and animals was detected in bacteria isolated from fecal, blowhole, and/or gastric samples at both sites, including methicillin-resistant Staphylococcus aureus (MRSA) at CHS. Collectively, these studies illustrate the importance of long-term surveillance of estuarine populations of bottlenose dolphins and reaffirm their important role as sentinels for marine ecosystems and public health.

  15. Using fine-scale fuel measurements to assess wildland fuels, potential fire behavior and hazard mitigation treatments in the southeastern USA

    Science.gov (United States)

    Roger D. Ottmar; John I. Blake; William T. Crolly

    2012-01-01

    The inherent spatial and temporal heterogeneity of fuel beds in forests of the southeastern United States may require fine scale fuel measurements for providing reliable fire hazard and fuel treatment effectiveness estimates. In a series of five papers, an intensive, fine scale fuel inventory from the Savanna River Site in the southeastern United States is used for...

  16. A retrospective quality assessment of pre-hospital emergency medical documentation in motor vehicle accidents in south-eastern Norway

    Directory of Open Access Journals (Sweden)

    Staff Trine

    2011-03-01

    Full Text Available Abstract Background Few studies have evaluated pre-hospital documentation quality. We retrospectively assessed emergency medical service (EMS documentation of key logistic, physiologic, and mechanistic variables in motor vehicle accidents (MVAs. Methods Records from police, Emergency Medical Communication Centers (EMCC, ground and air ambulances were retrospectively collected for 189 MVAs involving 392 patients. Documentation of Glasgow Coma Scale (GCS, respiratory rate (RR, and systolic blood pressure (SBP was classified as exact values, RTS categories, clinical descriptions enabling post-hoc inference of RTS categories, or missing. The distribution of values of exact versus inferred RTS categories were compared (Chi-square test for trend. Results 25% of ground and 11% of air ambulance records were unretrieveable. Patient name, birth date, and transport destination was documented in >96% of ambulance records and 81% of EMCC reports. Only 54% of patient encounter times were transmitted to the EMCC, but 77% were documented in ground and 96% in air ambulance records. Ground ambulance records documented exact values of GCS in 48% and SBP in 53% of cases, exact RR in 10%, and RR RTS categories in 54%. Clinical descriptions made post-hoc inference of RTS categories possible in another 49% of cases for GCS, 26% for RR, and 20% for SBP. Air ambulance records documented exact values of GCS in 89% and SBP in 84% of cases, exact RR in 7% and RR RTS categories in 80%. Overall, for lower RTS categories of GCS, RR and SBP the proportion of actual documented values to inferred values increased (All: p Conclusion EMS documentation of logistic and mechanistic variables was adequate. Patient physiology was frequently documented only as descriptive text. Our finding indicates a need for improved procedures, training, and tools for EMS documentation. Documentation is in itself a quality criterion for appropriate care and is crucial to trauma research.

  17. Strategies for service-learning assessment in dental hygiene education.

    Science.gov (United States)

    Burch, Sharlee

    2013-10-01

    A large body of literature exists on the instructional pedagogy known as service-learning. Service-learning is a teaching and learning approach characterized by the dental hygiene student's practical application of academic studies and occurs within a community setting, to the benefit of both the student and community. Dental hygiene educators use service-learning to enhance student knowledge and application of oral health curriculum. This manuscript reports on the importance of service-learning assessment to the National Dental Hygiene Research Agenda as well as the future of the profession of dental hygiene and the successful strategies in service-learning evaluation available for utilization by dental hygiene educators.

  18. Integrating Ecosystem Services Into Health Impact Assessment

    Science.gov (United States)

    Health Impact Assessment (HIA) provides a methodology for incorporating considerations of public health into planning and decision-making processes. HIA promotes interdisciplinary action, stakeholder participation, and timeliness and takes into account equity, sustainability, and...

  19. Assessment report for Hanford analytical services quality assurance plan

    International Nuclear Information System (INIS)

    Taylor, L.H.

    1994-11-01

    This report documents the assessment results of DOE/RL-94-55, Hanford Analytical Services Quality Assurance Plan. The assessment was conducted using the Requirement and Self-Assessment Database (RSAD), which contains mandatory and nonmandatory DOE Order statements for the relevant DOE orders

  20. Assessing the physical service setting: a look at emergency departments.

    Science.gov (United States)

    Steinke, Claudia

    2015-01-01

    To determine the attributes of the physical setting that are important for developing a positive service climate within emergency departments and to validate a measure for assessing physical service design. The design of the physical setting is an important and contributing factor for creating a service climate in organizations. Service climate is defined as employee perceptions of the practices, procedures, and behaviors that get rewarded, supported, and expected with regard to customer service and customer service quality. There has been research conducted which identifies antecedents within organization that promotes a positive service climate which in turn creates service-oriented behaviors by employees toward clients. The antecedent of the physical setting and its impact on perceptions of service climate has been less commonly explored. Using the concept of the physical service setting (which may be defined as aspects of the physical, built environment that facilitate the delivery of quality service), attributes of the physical setting and their relationship with service climate were explored by means of a quantitative paper survey distributed to emergency nurses (n = 180) throughout a province in Canada. The results highlight the validity and reliability of six scales measuring the physical setting and its relation to service. Respondents gave low ratings to the physical setting of their departments, in addition to low ratings of service climate. Respondents feel that the design of the physical setting in the emergency departments where they work is not conducive to providing quality service to clients. Certain attributes of the physical setting were found to be significant in influencing perceptions of service climate, hence service quality, within the emergency department setting. © The Author(s) 2015.

  1. Evaluating intersectoral collaboration: a model for assessment by service users

    Directory of Open Access Journals (Sweden)

    Bengt Ahgren

    2009-02-01

    Full Text Available Introduction: DELTA was launched as a project in 1997 to improve intersectoral collaboration in the rehabilitation field. In 2005 DELTA was transformed into a local association for financial co-ordination between the institutions involved. Based on a study of the DELTA service users, the purpose of this article is to develop and to validate a model that can be used to assess the integration of welfare services from the perspective of the service users. Theory: The foundation of integration is a well functioning structure of integration. Without such structural conditions, it is difficult to develop a process of integration that combines the resources and competences of the collaborating organisations to create services advantageous for the service users. In this way, both the structure and the process will contribute to the outcome of integration. Method: The study was carried out as a retrospective cross-sectional survey during two weeks, including all the current service users of DELTA. The questionnaire contained 32 questions, which were derived from the theoretical framework and research on service users, capturing perceptions of integration structure, process and outcome. Ordinal scales and open questions where used for the assessment. Results: The survey had a response rate of 82% and no serious biases of the results were detected. The study shows that the users of the rehabilitation services perceived the services as well integrated, relevant and adapted to their needs. The assessment model was tested for reliability and validity and a few modifications were suggested. Some key measurement themes were derived from the study. Conclusion: The model developed in this study is an important step towards an assessment of service integration from the perspective of the service users. It needs to be further refined, however, before it can be used in other evaluations of collaboration in the provision of integrated welfare services.

  2. Adequacy assessment of mathematical models in the dynamics of litter decomposition in a tropical forest Mosaic Atlantic, in southeastern Brazil

    Directory of Open Access Journals (Sweden)

    FP. Nunes

    Full Text Available The study of litter decomposition and nutrient cycling is essential to know native forests structure and functioning. Mathematical models can help to understand the local and temporal litter fall variations and their environmental variables relationships. The objective of this study was test the adequacy of mathematical models for leaf litter decomposition in the Atlantic Forest in southeastern Brazil. We study four native forest sites in Parque Estadual do Rio Doce, a Biosphere Reserve of the Atlantic, which were installed 200 bags of litter decomposing with 20×20 cm nylon screen of 2 mm, with 10 grams of litter. Monthly from 09/2007 to 04/2009, 10 litterbags were removed for determination of the mass loss. We compared 3 nonlinear models: 1 – Olson Exponential Model (1963, which considers the constant K, 2 – Model proposed by Fountain and Schowalter (2004, 3 – Model proposed by Coelho and Borges (2005, which considers the variable K through QMR, SQR, SQTC, DMA and Test F. The Fountain and Schowalter (2004 model was inappropriate for this study by overestimating decomposition rate. The decay curve analysis showed that the model with the variable K was more appropriate, although the values of QMR and DMA revealed no significant difference (p> 0.05 between the models. The analysis showed a better adjustment of DMA using K variable, reinforced by the values of the adjustment coefficient (R2. However, convergence problems were observed in this model for estimate study areas outliers, which did not occur with K constant model. This problem can be related to the non-linear fit of mass/time values to K variable generated. The model with K constant shown to be adequate to describe curve decomposition for separately areas and best adjustability without convergence problems. The results demonstrated the adequacy of Olson model to estimate tropical forest litter decomposition. Although use of reduced number of parameters equaling the steps of the

  3. Adequacy assessment of mathematical models in the dynamics of litter decomposition in a tropical forest Mosaic Atlantic, in southeastern Brazil.

    Science.gov (United States)

    Nunes, F P; Garcia, Q S

    2015-05-01

    The study of litter decomposition and nutrient cycling is essential to know native forests structure and functioning. Mathematical models can help to understand the local and temporal litter fall variations and their environmental variables relationships. The objective of this study was test the adequacy of mathematical models for leaf litter decomposition in the Atlantic Forest in southeastern Brazil. We study four native forest sites in Parque Estadual do Rio Doce, a Biosphere Reserve of the Atlantic, which were installed 200 bags of litter decomposing with 20 × 20 cm nylon screen of 2 mm, with 10 grams of litter. Monthly from 09/2007 to 04/2009, 10 litterbags were removed for determination of the mass loss. We compared 3 nonlinear models: 1 - Olson Exponential Model (1963), which considers the constant K, 2 - Model proposed by Fountain and Schowalter (2004), 3 - Model proposed by Coelho and Borges (2005), which considers the variable K through QMR, SQR, SQTC, DMA and Test F. The Fountain and Schowalter (2004) model was inappropriate for this study by overestimating decomposition rate. The decay curve analysis showed that the model with the variable K was more appropriate, although the values of QMR and DMA revealed no significant difference (p > 0.05) between the models. The analysis showed a better adjustment of DMA using K variable, reinforced by the values of the adjustment coefficient (R2). However, convergence problems were observed in this model for estimate study areas outliers, which did not occur with K constant model. This problem can be related to the non-linear fit of mass/time values to K variable generated. The model with K constant shown to be adequate to describe curve decomposition for separately areas and best adjustability without convergence problems. The results demonstrated the adequacy of Olson model to estimate tropical forest litter decomposition. Although use of reduced number of parameters equaling the steps of the decomposition

  4. Assessment of Extension Service Delivery on Improved Cassava ...

    African Journals Online (AJOL)

    Extension service delivery is too often merely seen as a vehicle for spreading scientific and technical progress and technology transfer. In the real sense, however, dissemination of knowledge is not a one way affair from scientists to producers. The study was conducted to assess extension service delivery on improved ...

  5. Social Filters in Assessing Higher Education Services Market

    Science.gov (United States)

    Shkurkin, Anatoly; Lutsenko, Ekaterina; Bazhenova, Natalia; Bazhenov, Ruslan; Bogachenko, Natalia

    2016-01-01

    The main goal of this work is to reveal social filters in the system of assessing the higher education services market. On the basis of the institutional interpretation of market relations, mechanisms and features of asymmetries formation in the educational services market are investigated. The role of the institutional environment ensuring…

  6. Assessing STD Partner Services in State and Local Health Departments.

    Science.gov (United States)

    Cuffe, Kendra M; Leichliter, Jami S; Gift, Thomas L

    2018-02-07

    State and local health department STD programs provide several partner services to reduce disease transmission. Budget cuts and temporary staff reassignments for public health emergencies may affect the provision of partner services. Determining the impact of staffing reductions on STD rates and public health response should be further assessed.

  7. Assessing Transition Service for Handicapped Youth: A Cooperative Interagency Approach.

    Science.gov (United States)

    Stodden, Robert A.; Boone, Rosalie

    1987-01-01

    The article presents a cooperative interagency approach for assessing effectiveness of programs and services to facilitate the transition of handicapped students from school to adult community living. Features of the model include cooperative planning at the policy level, implementation level, and direct service level; and collaboration by state…

  8. Quality Assessment of Family Planning Services in Ife/Ijesa ...

    African Journals Online (AJOL)

    Context: Medical audit in healthcare has a goal to monitor and upgrade the standard of health care in a setting. Whether a client will accept, use effectively and continue to practice contraception depends on the quality of services rendered. Objective: To assess the quality of our family planning services as perceived by our ...

  9. Income Tax Preparation Assistance Service Learning Program: A Multidimensional Assessment

    Science.gov (United States)

    Aldridge, Richard; Callahan, Richard A.; Chen, Yining; Wade, Stacy R.

    2015-01-01

    The authors present a multidimensional assessment of the outcomes and benefits of an income tax preparation assistance (ITPA) service learning program. They measure the perceived proximate benefits at the delivery of the service program, the actual learning outcome benefits prior to graduation, and the perceived long-term benefits from a…

  10. assessment of emergency medical services in the ashanti region

    African Journals Online (AJOL)

    2015-09-01

    Sep 1, 2015 ... Background: We aimed to assess the structure, func- tion and performance of ... operated Facility-Based Ambulance Service (FBAS).4 ... National Disaster Management Organisation (Kumasi, .... Equipment and Medication. ✓.

  11. Assessment of women savings and credit cooperative services in ...

    African Journals Online (AJOL)

    Assessment of women savings and credit cooperative services in Zuway Dugda District, south east Ethiopia. ... Journal of Business and Administrative Studies ... and to the improvement of decision making power of members at family level.

  12. Ecosystem services as assessment endpoints for ecological risk assessment

    Science.gov (United States)

    Ecosystem services (ES) are defined as the outputs of ecological processes that contribute to human welfare or have the potential to do so in the future, and include the production of food and drinking water, purification of air and water, pollination, and nutrient cycling. The n...

  13. Assessing service quality satisfying the expectations of library customers

    CERN Document Server

    Hernon, Peter; Dugan, Robert

    2015-01-01

    Academic and public libraries are continuing to transform as the information landscape changes, expanding their missions into new service roles that call for improved organizational performance and accountability. Since Assessing Service Quality premiered in 1998, receiving the prestigious Highsmith Library Literature Award, scores of library managers and administrators have trusted its guidance for applying a customer-centered approach to service quality and performance evaluation. This extensively revised and updated edition explores even further the ways technology influences both the experiences of library customers and the ways libraries themselves can assess those experiences.

  14. Customer assessment of long-term care pharmacy provider services.

    Science.gov (United States)

    Clark, Thomas R

    2008-09-01

    Assess performance of long-term care pharmacy providers on key services offered to nursing facilities. Cross-sectional; nursing facility team. Random phone survey of nursing facility team members. 485 nursing facility team members (practicing in nursing facilities, interacting with > or = 1 consultant pharmacist); 46 members excluded, unable to identify facility's pharmacy provider. Directors of nursing, medical directors, and administrators were asked to rate long-term care pharmacy provider performance of eight commonly offered pharmacy services. All groups evaluated pharmacy provider performance of these services using a five-point scale. Results are broken down by employer type. Average rating for eight pharmacy services was 3.64. Top two services: "Labeling medications accurately" ranked in top 1-2 services for all groups (combined rating of 3.97) and "Provides medication administration system" ranked in top 1-3 services for all groups (combined rating of 3.95). One service, "Provides educational inservices," ranked lowest for all groups (combined rating of 3.54). In general, when looking at the eight services in combination for all providers, all services were ranked between Good and Very Good (average score of 3.64). Therefore, while the pharmacy provider is performing above average for these services, there is room for improvement in all of these services. These results can be used as a benchmark. Detailed data results and sample surveys are available online at www.ascp.com/supplements. These surveys can be used by the pharmacy provider to solicit assessments from their own facilities on these services.

  15. Assessing the performance of mental health service facilities for meeting patient priorities and health service responsiveness.

    Science.gov (United States)

    Bramesfeld, A; Stegbauer, C

    2016-10-01

    The World Health Organisation has defined health service responsiveness as one of the key-objectives of health systems. Health service responsiveness relates to the ability to respond to service users' legitimate expectations on non-medical issues when coming into contact with the services of a healthcare system. It is defined by the areas showing respect for persons and patient orientation. Health service responsiveness is particularly relevant to mental health services, due to the specific vulnerability of mental health patients but also because it matches what mental health patients consider as good quality of care as well as their priorities when seeking healthcare. As (mental) health service responsiveness applies equally to all concerned services it would be suitable as a universal indicator for the quality of services' performance. However, performance monitoring programs in mental healthcare rarely assess health service performance with respect to meeting patient priorities. This is in part due of patient priorities as an outcome being underrepresented in studies that evaluate service provision. The lack of studies using patient priorities as outcomes transmits into evidence based guidelines and subsequently, into underrepresentation of patient priorities in performance monitoring. Possible ways out of this situation include more intervention studies using patient priorities as outcome, considering evidence from qualitative studies in guideline development and developing performance monitoring programs along the patient pathway and on key-points of relevance for service quality from a patient perspective.

  16. Complaints and compliments assessment in developing service delivery measurement

    Directory of Open Access Journals (Sweden)

    Norshahrizan Nordin

    2018-05-01

    Full Text Available Excellent healthcare services delivered to patients would not necessarily entail an excellent patient service fulfillment, fulfill patient expectations, and attain high satisfaction levels. Hence, patient satisfaction is multifactorial and difficult to measure. Appliance of satisfaction model, service dissatisfaction and satisfaction feedback are able to translate the nonlinear attributes for a more accurate service dissatisfaction and satisfaction feedback assessment. Service recipients of experienced Inpatient and Outpatient (IOPs can be translated into levels of compliments and complaints to describe degrees of patient satisfaction and dissatisfaction, respectively. Compliments and complaints voiced by patients should be taken seriously. As a result, the translation of service satisfaction and service dissatisfaction based on compliments and complaints from patients in the form of satisfaction index SCi and dissatisfaction index SCa introduced a new theoretical concept of concurrent and balance measurement in evaluating customer (VOC or VOPs feedback. In normal practice, the service improvement is usually based on complaints or dissatisfaction aspect, but the compliments or satisfaction aspect on the same service delivery was always neglected. In this study, the formulation which was based on a non-linear assessment, not only amplified the effectiveness in communicating patients’ compliments and complaints in a more receptive manner but also corresponded with Kano model.

  17. Assessment of ground water vulnerability and its application to the development of protection strategy for the water supply aquifer in Owerri, Southeastern Nigeria.

    Science.gov (United States)

    Ibe, K M; Nwankwor, G I; Onyekuru, S O

    2001-03-01

    Pollution vulnerability of the Owerri regional water supply aquifer was evaluated as a basis for developing appropriate protection strategy for the groundwater resource. The assessment was accomplished using Legrand, GOD, Siga and DRASTIC models. Techniques of the models generally involved parameters rating and point count systems, which are based on the evaluation of various parameter in relation to their capacity for enhancing or attenuating contaminants in the groundwater system. Field and laboratory evaluations of the parameters indicate that the Owerri area generally occupies a nearly, flat topography with a relatively high groundwater recharge. The area is underlain by predominantly sandy facies in the Northern area which grades into gravelly sequences towards the southwest. The Southeastern area is distinguished by thick clayey facies that thin westwards towards the Owerri metropolis. Effective hydraulic conductivity (Kz) in the downward direction ranges from 1.44 x 10(-3) to 5.6 x 10(-9) m s(-1); with the upper limits reflecting coarse sands and gravelly units. The amount of clay and clay-size particles in the sandy and gravelly units is negligible, suggesting that the sorptive capacity of the units is low. Depth to water table decreases southwards while hydraulic head gradients vary between 0.09 and 0.22. Groundwater occurs in unconfined conditions in most places except in the southeastern zone where it is semi-confined due to the presence of a clayey unit. The groundwater vulnerability map developed on the basis of the models and several other thematic maps shows that the Owerri metropolis and the southwest area of Owerri have high vulnerability, indicating groundwater pollution. The existing waste disposal sites in these sub-areas should be abandoned and rehabilitated to forstall further pollution of the groundwater system. Areas to the North and Southeast of Owerri have moderate and low vulnerabilities, respectively, indicating the relatively lower

  18. 75 FR 9397 - Fisheries of the South Atlantic and the Gulf of Mexico; Southeastern Data, Assessment, and Review...

    Science.gov (United States)

    2010-03-02

    ... for determining the status of fish stocks in the Southeast Region. A full benchmark assessment..., evaluates the status of the stock, estimates biological benchmarks, projects future population conditions... assessment models used in SEDAR 8 to evaluate stock status, estimate population benchmarks and management...

  19. Assessment of sediment quality in the Mediterranean Sea-Boughrara lagoon exchange areas (southeastern Tunisia): GIS approach-based chemometric methods.

    Science.gov (United States)

    Kharroubi, Adel; Gargouri, Dorra; Baati, Houda; Azri, Chafai

    2012-06-01

    Concentrations of selected heavy metals (Cd, Pb, Zn, Cu, Mn, and Fe) in surface sediments from 66 sites in both northern and eastern Mediterranean Sea-Boughrara lagoon exchange areas (southeastern Tunisia) were studied in order to understand current metal contamination due to the urbanization and economic development of nearby several coastal regions of the Gulf of Gabès. Multiple approaches were applied for the sediment quality assessment. These approaches were based on GIS coupled with chemometric methods (enrichment factors, geoaccumulation index, principal component analysis, and cluster analysis). Enrichment factors and principal component analysis revealed two distinct groups of metals. The first group corresponded to Fe and Mn derived from natural sources, and the second group contained Cd, Pb, Zn, and Cu originated from man-made sources. For these latter metals, cluster analysis showed two distinct distributions in the selected areas. They were attributed to temporal and spatial variations of contaminant sources input. The geoaccumulation index (I (geo)) values explained that only Cd, Pb, and Cu can be considered as moderate to extreme pollutants in the studied sediments.

  20. An assessment of anthropogenic and climatic stressors on estuaries using a spatio-temporal GIS-modelling approach for sustainability: Towamba estuary, southeastern Australia.

    Science.gov (United States)

    Al-Nasrawi, Ali K M; Hamylton, Sarah M; Jones, Brian G

    2018-06-03

    Monitoring estuarine ecological-geomorphological dynamics has become a crucial aspect of studying the impacts of climate change and worldwide infrastructure development in coastal zones. Together, these factors have changed the natural eco-geomorphic processes that affect estuarine regimes and comprehensive modelling of coastal resources can assist managers to make appropriate decisions about their sustainable use. This study has utilised Towamba estuary (southeastern NSW, Australia), to demonstrate the value and priority of modelling estuarine dynamism as a measure of the rates and consequences of eco-geomorphic changes. This research employs several geoinformatic modelling approaches over time to investigate and assess how climate change and human activities have altered this estuarine eco-geomorphic setting. Multitemporal trend/change analysis of sediment delivery, shoreline positions and land cover, determined from fieldwork and GIS analysis of remote sensing datasets, shows significant spatio-temporal changes to the elevation and areal extent of sedimentary facies in the Towamba estuary over the past 65 years. Geomorphic growth (~ 2600 m 2 annually) has stabilised the estuarine habitats, particularly within native vegetation, salt marsh and mangrove areas. Geomorphic changes have occurred because of a combination of sediment runoff from the mostly unmodified terrestrial catchment, nearshore processes (ocean dynamics) and human activities. The construction of GIS models, verified with water and sediment samples, can characterise physical processes and quantify changes within the estuarine ecosystem. Such robust models will allow resource managers to evaluate the potential effects of changes to the current coastal ecosystems.

  1. Gas Migration Project: Risk Assessment Tool and Computational Analyses to Investigate Wellbore/Mine Interactions, Secretary's Potash Area, Southeastern New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Sobolik, Steven R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Geomechanics Dept.; Hadgu, Teklu [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Nuclear Waste Disposal Research and Analysis Dept.; Rechard, Robert P. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Nuclear Waste Disposal Research and Analysis Dept.

    2016-05-01

    The Bureau of Land Management (BLM), US Department of the Interior has asked Sandia National Laboratories (SNL) to perform scientific studies relevant to technical issues that arise in the development of co-located resources of potash and petroleum in southeastern New Mexico in the Secretary’s Potash Area. The BLM manages resource development, issues permits and interacts with the State of New Mexico in the process of developing regulations, in an environment where many issues are disputed by industry stakeholders. The present report is a deliverable of the study of the potential for gas migration from a wellbore to a mine opening in the event of wellbore leakage, a risk scenario about which there is disagreement among stakeholders and little previous site specific analysis. One goal of this study was to develop a framework that required collaboratively developed inputs and analytical approaches in order to encourage stakeholder participation and to employ ranges of data values and scenarios. SNL presents here a description of a basic risk assessment (RA) framework that will fulfill the initial steps of meeting that goal. SNL used the gas migration problem to set up example conceptual models, parameter sets and computer models and as a foundation for future development of RA to support BLM resource development.

  2. Assessment of the administration of healthcare service delivery in ...

    African Journals Online (AJOL)

    The study examined the structure and mode of administration in Obafemi Awolowo University Teaching Hospitals Complex Ile-Ife Nigeria; and also assessed the impact of the structure and mode of administration on the service delivery in the hospital. These were with a view to assessing the administration of healthcare ...

  3. Assessing customer satisfaction for improving NOAA's climate products and services

    Science.gov (United States)

    Meyers, J. C.; Hawkins, M. D.; Timofeyeva, M. M.

    2009-12-01

    NOAA's National Weather Service (NWS) Climate Services Division (CSD) is developing a comprehensive climate user requirements process with the ultimate goal of producing climate services that meet the needs of NWS climate information users. An important part of this effort includes engaging users through periodical surveys conducted by the Claes Fornell International (CFI) Group using the American Customer Satisfaction Index (ACSI). The CFI Group conducted a Climate Services Satisfaction (CSS) Survey in May of 2009 to measure customer satisfaction with current products and services and to gain insight on areas for improvement. The CSS Survey rates customer satisfaction on a range of NWS climate services data and products, including Climate Prediction Center (CPC) outlooks, drought monitoring, and ENSO monitoring and forecasts, as well as NWS local climate data services. In addition, the survey assesses the users of the products to give the NWS insight into its climate customer base. The survey also addresses specific topics such as NWS forecast category names, probabilistic nature of climate products, and interpretation issues. The survey results identify user requirements for improving existing NWS climate services and introducing new ones. CSD will merge the survey recommendations with available scientific methodologies and operational capabilities to develop requirements for improved climate products and services. An overview of the 2009 survey results will be presented, such as users' satisfaction with the accuracy, reliability, display and functionality of products and services.

  4. Assessing human health risk in the USDA forest service

    Energy Technology Data Exchange (ETDEWEB)

    Hamel, D.R. [Department of Agriculture-Forest Service, Washington, DC (United States)

    1990-12-31

    This paper identifies the kinds of risk assessments being done by or for the US Department of Agriculture (USDA) Forest Service. Summaries of data sources currently in use and the pesticide risk assessments completed by the agency or its contractors are discussed. An overview is provided of the agency`s standard operating procedures for the conduct of toxicological, ecological, environmental fate, and human health risk assessments.

  5. Quality assessment of clinical education services in teaching hospitals located in Kerman, Iran.

    Science.gov (United States)

    Yazdi-Feyzabadi, Vahid; Gozashti, Mohammad Hossein; Komsari, Samane; Mohammadtaghizadeh, Sedigheh; Amiresmaili, Mohammadreza

    2015-11-01

    Clinical education is one of the most important components of the resource generation function of health systems, and it has a very important role in graduates' competency with respect to effective, practical education. This study aimed to assess the quality of clinical services in Kerman's teaching hospitals located in southeastern Iran. This cross-sectional study was conducted in 2011 on 303 medical students at different levels of medical education at Kerman's teaching hospitals. A modified SERVQUAL instrument was used to collect the data after its validity and reliability were checked. The data were analyzed by SPSS 18.0 using the paired t-test, Kruskal-Wallis, and post hoc tests, when appropriate. In all five dimensions of quality, gaps were observed between students' perceptions and expectations as follows: Assurance (mean = -1.18), Responsiveness (-1.56), Empathy (-1.4), Reliability (-1.27), and Tangibles (-1.21). There was a significant difference between the quality perceptions and expectations of the medical students (p < 0.001). A significant difference was observed between three educational levels, including externships, internships, and assistantships regarding the dimensions of the quality gaps (p < 0.001). The clinical services provided by teaching hospitals in the study did not meet the students' expectations at any of the three educational levels. As we precisely assessed the dimensions and items that had the higher quality gaps, it was apparent that, for most part, clinical education officials could improve the quality by designing interventions, which would not be very difficult to do.

  6. Species Profile: Flatwoods Salamander (Ambystoma cingulatum) on Military Installations in the Southeastern United States

    National Research Council Canada - National Science Library

    Palis, John

    1997-01-01

    .... Fish and Wildlife Service. The species inhabits the lower Southeastern Coastal Plain from southern South Carolina to northern Florida, and westward through Georgia to extreme southwestern Alabama...

  7. A systematic map of ecosystem services assessments around European agroforestry

    DEFF Research Database (Denmark)

    Fagerholm, Nora; Torralba Viorreta, Mario; Burgess, Paul J.

    2016-01-01

    the knowledge field and provide the first systematic synthesis of ecosystem services research in relation to European agroforestry. We reviewed 71 scientific publications from studies conducted in farmland and forest ecosystems with various types of agroforestry management. Each publication was systematically......, typical clusters of similar research approaches were identified. The results show that ecosystem service assessment of European agroforestry is currently focused on the spatially extensive wood pastures in the Mediterranean, Atlantic, and Continental agricultural mosaic landscapes. A specific emphasis has...

  8. An Assessment of Recovsat Utilization for Different Service Typologies

    Directory of Open Access Journals (Sweden)

    Zulema Lopes Pereira

    2012-12-01

    Full Text Available This piece of research is focused on service recovery and uses the RECOVSAT instrument to obtain data from a sample of complaining customers. The study comprises three main stages. The first stage includes a descriptive analysis of the incidence and consequences of complaints in several categories of services. A Factor Analysis is performed in the second stage to compare the factor structure that emerged from the obtained data with that proposed by RECOVSAT. Finally, several regression models are used in the last stage to assess the influence of service recovery dimensions on the overall satisfaction, intention to repurchase and recommendation.

  9. Assessing Interprofessional Education Collaborative Competencies in Service-Learning Course.

    Science.gov (United States)

    Sevin, Alexa M; Hale, Kenneth M; Brown, Nicole V; McAuley, James W

    2016-03-25

    Objective. To investigate the effect of an interprofessional service-learning course on health professions students' self-assessment of Interprofessional Education Collaborative (IPEC) competencies. Design. The semester-long elective course consisted of two components: a service component where students provided patient care in an interprofessional student-run free clinic and bi-weekly workshops in which students reflected on their experiences and discussed roles, team dynamics, communication skills, and challenges with underserved patient populations. Assessment. All fifteen students enrolled in the course completed a validated 42-question survey in a retrospective post-then-pre design. The survey instrument assessed IPEC competencies in four domains: Values and Ethics, Roles and Responsibilities, Interprofessional Communication, and Teams and Teamwork. Students' self-assessment of IPEC competencies significantly improved in all four domains after completion of the course. Conclusion. Completing an interprofessional service-learning course had a positive effect on students' self-assessment of interprofessional competencies, suggesting service-learning is an effective pedagogical platform for interprofessional education.

  10. Assessing the demographic and public service impacts of repository siting

    International Nuclear Information System (INIS)

    Murdock, S.H.; Hamm, R.R.

    1983-01-01

    Demographic and public service impacts are likely to be among the most evident of those changes resulting from nuclear waste repository development. Knowledge of the characteristics of such impacts and of the means to assess them is critical. The first section of this chapter examines those likely to be unique to repositories. The second section describes the alternatives for assessing such impacts and the particular difficulties likely to affect the assessments. Given the state of development of techniques for assessing impacts and the range of factors that must be considered, perhaps their best use is as a means of sensitizing decision makers to the potential implications of their decisions. 2 tables

  11. Efficiency Assessment of Inbound Tourist Service Using Data Envelopment Analysis

    Directory of Open Access Journals (Sweden)

    Han-Shen Chen

    2018-06-01

    Full Text Available The successful and sustainable development of inbound tourism necessitates a long-term commitment, balancing between tourism supply and tourist demands. This study manipulated a performance appraisal of tourism service quality in Taiwan with Data Envelopment Analysis (DEA by employing input and output constructs to assess service quality efficiency. The empirical results of the estimation of technical efficiency (TE revealed that (1 the domestic tourism market is competitive, but still needs enhancements for tourism service; (2 Mainland Chinese tourists had the highest score among all foreign tourists, followed by Hong Kong and Macau tourists, tourists from other countries, Japanese tourists, and South Korean tourists; and (3 South Korean tourists had higher travel expenditure than others, but felt less satisfaction with travel services, which can be regarded as inefficient. Tourists from other countries had lower travel expenditure, but had higher satisfaction levels, which was considered efficient based on input and output index. The findings could contribute to bridging the gap between research and practice in assessing the efficiency of inbound tourist service. Tourism practitioners should be aware of tourists’ needs and interests, as these could be key fundamentals for improving tourists’ satisfaction with Taiwan’s service offerings.

  12. Structural condition assessment of in-service wood

    Science.gov (United States)

    Robert J. Ross; Brian K. Brashaw; Xiping Wang

    2006-01-01

    Wood is used extensively for both interior and exterior applications in the construction of a variety of structures (residential, agricultural, commercial, government, religious). The deterioration of an in-service wood member may result from a variety of causes during the life of a structure. It is important, therefore, to periodically assess the condition of wood...

  13. Assessment of resources and services of the Nigerian Arabic ...

    African Journals Online (AJOL)

    The study assessed resources and services of the Nigeria Arabic Language Village (NALV) Library, Ngala. Four objectives and four research questions guided the study. Survey research design was adopted. The target population of the study was 1,030, out of which, 206 was drawn as the sample for the study. The data ...

  14. Integrated assessment of ecosystem services in the Czech Republic

    Czech Academy of Sciences Publication Activity Database

    Frélichová, Jana; Vačkář, David; Pártl, Adam; Loučková, Blanka; Lorencová, Eliška

    2014-01-01

    Roč. 8, jun (2014), s. 110-117 ISSN 2212-0416 R&D Projects: GA MŠk(CZ) ED1.1.00/02.0073; GA TA ČR TD010066 Institutional support: RVO:67179843 Keywords : ecosystems * ecosystem services * integrated assessment * database * valuation * Czech Republic Subject RIV: EH - Ecology, Behaviour

  15. The individualised needs for service assessment (INSA) for children ...

    African Journals Online (AJOL)

    Drawing on a similar logic structure to that characterising the Needs for Care Assessment of the British Medical Research Council, these data are linked to produce a need status, for example unmet need, no need and met need. The INSA may be suitable for use by service providers, planners, policy makers, researchers, ...

  16. Assessing users satisfaction with service quality in Slovenian public library

    Directory of Open Access Journals (Sweden)

    Igor Podbrežnik

    2016-07-01

    Full Text Available Purpose: A research was made into user satisfaction with regard to the quality of library services in one of the Slovenian public libraries. The aim was to establish the type of service quality level actually expected by the users, and to determine their satisfaction with the current quality level of available library services.Methodology: The research was performed by means of the SERVQUAL measuring tool which was used to determine the size and direction of the gap between the detected and the expected quality of library services among public library users.Results: Different groups of users provide different assessments of specific quality factors, and a library cannot satisfy the expectations of each and every user if most quality factors display discrepancies between the estimated perception and expectations. The users expect more reliable services and more qualified library staff members who would understand and allocate time for each user’s individual needs. The largest discrepancies from the expectations are detected among users in the under-35 age group and among the more experienced and skilled library users. The results of factor analysis confirm the fact that a higher number of quality factors can be explained by three common factors affecting the satisfaction of library users. A strong connection between user satisfaction and their assessment of the integral quality of services and loyalty has been established.Research restrictions: The research results should not be generalised and applied to all Slovenian public libraries since they differ in many important aspects. In addition, a non-random sampling method was used.Research originality/Applicability: The conducted research illustrates the use of a measuring tool that was developed with the aim of determining the satisfaction of users with the quality of library services in Slovenian public libraries. Keywords: public library, user satisfaction, quality of library services, user

  17. Preliminary assessment of late quaternary vegetation and climate of southeastern Utah based on analyses of packrat middens

    International Nuclear Information System (INIS)

    Betancourt, J.L.; Biggar, N.

    1985-06-01

    Packrat midden sequences from two caves (elevations 1585 and 2195 m; 5200 and 7200 ft) southwest of the Abajo Mountains in southeast Utah record vegetation changes that are attributed to climatic changes occurring during the last 13,000 years. These data are useful in assessing potential future climates at proposed nuclear waste sites in the area. Paleoclimates are reconstructed by defining modern elevational analogs for the vegetation assemblages identified in the middens. Based on the midden record, a climate most extreme from the present occurred prior to approximately 10,000 years before present (BP), when mean annual temperature was probably 3 to 4C (5.5 to 7F) cooler than present. However, cooling could not have exceeded 5C (9F) at 1585 m (5200 ft). Accompanying mean annual precipitation is estimated to have been from 35 to 140% greater than at present, with rainfall concentrated in the winter months. Vegetational changes beginning approximately 10,000 years BP are attributed to increased summer and mean annual temperatures, a decreasing frequency of spring freezes, and a shift from winter- to summer-dominant rainfall. Greater effective moisture than present is inferred at both cave sites from approximately 8000 to 4000 years BP. Modern flora was present at both sites by about 2000 years BP

  18. The use of biomarkers for assessing effects of pollutant stress on fish species from a tropical river in Southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Claudio Nona Morado

    2017-11-01

    Full Text Available Biomarkers are measurements within an organism that respond to environmental effects and are used as tools in bioassessment programs since they reflect physiological changes induced by exposure to pollutants. The hepatosomatic index (HSI and the condition factor (CF in three fish species Geophagus brasiliensis, Hypostomus affinis and Hypostomus auroguttatus were used to assess effects of pollutant stress in a tropical river during two seasons (dry and wet. Fish from the least disturbed sites had the lowest condition factor (CF and the lowest HSI, whereas those from sites near pollutant discharges had the highest CF and HSI. Higher HSI and lower CF occurred during the dry season. It is suggested that species adapted to stressful conditions take advantage on food availability from organic loads or unoccupied niches by lesser tolerant species, increasing CF. We concluded that higher HSI values were directly associated with environmental stress whereas the higher CF values are related to availability of food resources derived from organic loads or other sources. CF and HSI are simple and cost-effective, thus suitable as routine screening tools in pollution monitoring, but caution should be taken in relating changes in physiological measurements and any specific pollutant to prevent misinterpretation.

  19. Preliminary assessment of the zooplankton community composition in a region under the influence of a uranium mine (Caldas, Southeastern Brazil)

    International Nuclear Information System (INIS)

    Ferrari, Carla Rolim; Roque, Claudio Vitor; Ronqui, Leilane B.; Campos, Michelle B.; Rodgher, Suzelei; Nascimento, Marcos Roberto Lopes; Azevedo, Heliana de; Wisniewski, Maria Jose dos Santos

    2009-01-01

    The Ore Treatment Unit consists of an open cast mine (CM), its mining waste areas, facilities for the physical treatment of the ore, and a chemical treatment plant for uranium extraction. At CM, the processes of acid drainage create effluents, which are treated by chemical processes and, thereafter, disposed of in Antas dam. The objective of the present study was to make an inventory of zooplanktonic and describe the physicochemical characteristics of site CM and at the site of treated effluents disposal (site 41), located at Antas dam. Water samples were collected in October/08 and January/09, in order to describe the abiotic variables and the zooplankton community. The average values of conductivity at sites CM and 41 were 2415 and 422 μ/cm 2 , respectively. Values of pH at site CM remained acid, whereas, at site 41 we recorded values near neutrality. The concentrations of total nutrients at both sampling sites were higher in the rainy season. Zooplankton species richness present at site CM was lower than at site 41, and there were only two identified species Bosmina sp and Keratella americana. At site 41 we recorded more species, mainly of the Rotifera. Among Cladocera, we identified two species, regarding Copepoda, the orders Cyclopoida and Calanoida were present. At site CM the density values were lower compared to site 41. The preliminary assessment of the zooplankton community showed lower values of species richness and density at site CM, what may be probably explained by the adverse environmental conditions for zooplankton community. (author)

  20. Assessing the market for long-term care services.

    Science.gov (United States)

    Rice, J A; Taylor, S

    1984-02-01

    Traditionally, long-term care services have been used by a diverse marketplace. The chronically ill, developmentally disabled, mentally ill and aging population has looked to long-term care support services as a means of physical and emotional support. Much of the time these services were housed together for the sake of efficiency. The enormous burden these services are creating on the economy, and the growing aging population, have forced the recognition that long-term care service delivery systems must change. Alternate programming for long-term care services that reach out into the community and into individual homes is becoming an attractive approach to meeting the growing demands of the marketplace. Home health, specialized housing and creative funding mechanisms such as HMOs, are examples of initiatives undertaken by healthcare organizations that view diversification as a vehicle for survival. Market research techniques that have been used in other industries are being adapted to the healthcare industry to ensure the proper mix of services that are demanded by older, more knowledgeable consumers. The programs of the future will be market driven, with the ability of the individual to pay for such services playing a significant role. The healthcare provider of today is in a position to serve the community in new ways. By becoming an integral link in the long-term care system and by developing new programs, the organization can serve as a catalyst for change. It is up to the governing bodies and managers of these facilities to become visionaries and to accept responsibility for assessing the market for long-term care services and to guide their organization into the future.

  1. Assessment of the 1998–2001 drought impact on forest health in southeastern forests: an analysis of drought severity using FHM data

    Science.gov (United States)

    R. J. Klos; G. G. Wang; W. L. Bauerle

    2010-01-01

    Analyses of forest health indicators monitored through the Forest Health and Monitoring (FHM) program suggested that weather was the most important cause of tree mortality. Drought is of particular importance among weather variables because several global climate change scenarios predicted more frequent and/or intense drought in the Southeastern United States. During...

  2. Patient-perceived hospital service quality: an empirical assessment.

    Science.gov (United States)

    Pai, Yogesh P; Chary, Satyanarayana T; Pai, Rashmi Yogesh

    2018-02-12

    Purpose The purpose of this paper is to appraise Pai and Chary's (2016) conceptual framework for measuring patient-perceived hospital service quality (HSQ). Design/methodology/approach A structured questionnaire was used to obtain data from teaching, public and corporate hospital patients. Several tests were conducted to assess the instrument's reliability and validity. Pai and Chary's (2016) nine dimensions for measuring HSQ were examined in this paper. Findings The tests confirm that Pai and Chary's (2016) conceptual framework is reliable and valid. The study also establishes that the nine dimensions measure HSQ. Practical implications The framework empowers managers to assess service quality in any hospital settings, corporate, public and teaching, using an approach that is superior to the existing HSQ scales. Originality/value This paper helps researchers and practitioners to assess HSQ from patient perspectives in any hospital setting.

  3. The Westgate Service and Related Referral, Assessment, and Treatment Processes.

    Science.gov (United States)

    Bennett, Alice L

    2015-12-01

    The formerly named "Dangerous and Severe Personality Disorder" (DSPD) units are no longer standalone services within the criminal justice system in England and Wales. These sites now provide personality disorder treatment services in the high-security prison estate as part of the new national Offender Personality Disorder (OPD) Pathway Strategy. The OPD Pathway intends to take responsibility for the assessment, treatment, and management of offenders who are likely to have a personality disorder and who present a high risk of re-offending (men and women) and serious harm to others (men). Further PD treatment and progression services are being commissioned in lower security prisons and in the community as part of the new PD Strategy. While the suitability criteria for the two male high-security PD treatment sites are the same, the individual units have their own assessment and treatment methods. This article aims to communicate the referral, assessment, and treatment methods employed within the prison-based Westgate Personality Disorder Treatment Service, HMP Frankland. © The Author(s) 2014.

  4. ASSESSMENT OF LOGISTICS MANAGEMENT IN GHANA HEALTH SERVICE

    Directory of Open Access Journals (Sweden)

    john frimpong manso

    2013-08-01

    Full Text Available Ghana Public Health Sector runs a three-tier system of managing health commodities. Suppliers, the Central Medical Store, The Regional Medical Store, Service Delivery Points and the transportation system form the supply chain.  Ghana Health Service logistics system is centralized and the health care delivery system is decentralized. Logistics management in the health system is crucial. This is because there are instances where medicines and health commodities are not available at the Central Medical Stores and the Regional Medical Stores. Consequently, there is no commodity security at the service delivery points. Upon this backdrop the study seeks to assess the logistics management system in order to bring efficiency in the system. The study adopts a multi-case study approach to assess the practices of logistics management, the causes of inadequacy of logistics and the strengths and weaknesses in Ghana Health Service logistics system.  Two categories of participants that is, the key players of health logistics management and end-users were involved in the study.  Four variables; finance for procurement of health commodities, evenly distribution of health commodities, effective supervision and constant monitoring and evaluation were found crucial in effective and efficient logistics management. Moreover, it was found that poor procurement planning and budgeting, lack of financial resources for procurement, poor quantification and forecasting, delay in procurement process and order processing, and delay in receiving insurance claims are some of the causes of inadequacy of logistics in the health systems. It is recommended that Ghana Health Service logistics or supply system must receive constant monitoring and evaluation. Further, Ghana Health Service must ensure that there is effective top-down supervision in the system to bring up efficiency. Again, Ghana Health Service and Ministry of Health must ensure enough funds are secured from the

  5. Assessing Satisfaction with Selected Student Services Using SERVQUAL, a Market-Driven Model of Service Quality.

    Science.gov (United States)

    Ruby, Carl A.

    1998-01-01

    Demonstrates how the use of SERVQUAL, a market-driven assessment model adapted from business, can be used to study student satisfaction with four areas of support services hypothetically related to enrollment management. The sample included 748 students enrolled in general education courses at ten different private institutions. (Contains 27…

  6. Assessing family planning service-delivery skills in Kenya.

    Science.gov (United States)

    Valadez, J J; Transgrud, R; Mbugua, M; Smith, T

    1997-06-01

    This report demonstrates the use of Lot Quality Assurance Sampling (LQAS) to evaluate the technical competence of two cohorts of family planning service providers in Kenya trained with a new curriculum. One cohort had just finished training within two months of the study. The other cohort was the first group trained with the new curriculum about one year before the study. LQAS was adapted from industrial and other public health applications to assess both the individual competence of 30 service providers and the competence of each cohort. Results show that Cohorts One and Two did not differ markedly in the number of tasks needing improvement. However, both cohorts exhibited more tasks needing improvement in counseling skills as compared with physical examination skills or with all other skills. Care-givers who were not currently providing services accounted for most service-delivery problems. This result suggests that providers' use of their skills explains their ability to retain service-delivery skills learned in training to a greater degree than does the amount of time elapsed since they were trained. LQAS proved to be a rapid, easy-to-use empirical method for management decisionmaking for improvement of a family planning training curriculum and services.

  7. Assessing the implementation of a bedside service handoff on an academic hospitalist service.

    Science.gov (United States)

    Wray, Charlie M; Arora, Vineet M; Hedeker, Donald; Meltzer, David O

    2018-06-01

    Inpatient service handoffs are a vulnerable transition during a patients' hospitalization. We hypothesized that performing the service handoff at the patients' bedside may be one mechanism to more efficiently transfer patient information between physicians, while further integrating the patient into their hospital care. We performed a 6-month prospective study of performing a bedside handoff (BHO) at the service transition on a non-teaching hospitalist service. On a weekly basis, transitioning hospitalists co-rounded at patient's bedsides. Post-handoff surveys assessed for completeness of handoff, communication, missed information, and adverse events. A control group who performed the handoff via email, phone or face-to-face was also surveyed. Chi-square and item-response theory (IRT) analysis assessed for differences between BHO and control groups. Narrative responses were elicited to qualitatively describe the BHO. In total, 21/31 (67%) scheduled BHOs were performed. On average, 4 out of 6 eligible patients experienced a BHO, with a total of 90 patients experiencing a BHO. Of those asked to perform the BHO, 52% stated the service transition took 31-60 min compared to 24% in the control group. Controlling for the nesting of observations within physicians, IRT analysis found that BHO respondents had statistically significant greater odds of: reporting increased patient awareness of the service handoff, more certainty in the plan for each patient, less discovery of missed information, and less time needed to learn about the patient on the first day compared to control methods. Narrative responses described a more patient-centered handoff with improved communication that was time-consuming and often logistically difficult to implement. Despite its time-intensive nature, performing the service handoff at the patient's bedside may lead to a more complete and efficient service transition. Published by Elsevier Inc.

  8. Assessing Dryland Ecosystem Services in Xinjiang, Northwest China

    Science.gov (United States)

    Siew, T. F.; Brauman, K. A.; Zuo, L.; Doll, P. M.

    2014-12-01

    Dryland ecosystems, including grassland, forest, and irrigated cropland, cover about 41% of earth's land area and are inhabited by over two billion people. In drylands, particularly arid and semiarid areas, the production of ecosystem services is primarily constrained by freshwater availability. Often, water allocated to production by one ecosystem or of one ecosystem service negatively impacts other ecosystems or ecosystem services (ESS). The challenge is to determine how much water should be allocated to which ecosystems (natural and manmade) such that multiple ESS are maximized, thus improving overall well-being. This strategic management decision must be supported by knowledge about spatial and temporal availability of water and its relationship to production (location and scale) of ESS that people receive. We assess the spatial and temporal relationships between water availability and ESS production in Xinjiang, Northwest China. We address four questions: (1) What services are produced by which ecosystems with water available? (2) Where are these services produced? (3) Who uses the services produced? (4) How the production of services changes with variability of water available? Using existing global, national, and regional spatial and statistical data, we assess food, fiber, livestock, and wood production as well as unique forest landscapes (as a proxy for aesthetic appreciation and habitats for unique animals and plants) and protection from dust storms. Irrigation is necessary for crop production in Xinjiang. The production of about 4.2 million tons of wheat and 500,000 tons of cotton requires more than 2 km3 of water each year. This is an important source of food and income for local residents, but the diverted water has negative and potentially costly impacts on downstream forests that potentially provide aesthetic services and protection from dust. Our analyses also show that cropland had increased by about 1.6 million ha from 1987 to 2010, while

  9. An integrated healthcare service for asylum seekers and refugees in the South-Eastern Region of Melbourne: Monash Health Refugee Health and Wellbeing.

    Science.gov (United States)

    McBride, Jacquie; Block, Andrew; Russo, Alana

    2017-09-01

    Asylum seekers and refugees generally have poorer health than the broader Australian population. However, these groups experience a range of barriers to accessing universal health services. Generalist and specialist refugee health services have been established in Australia to improve the health of humanitarian migrant groups. This article describes a refugee health service established in a high-settlement region of Melbourne, Australia, and explores clients' experiences with the service. Client feedback was captured through interviews (n=18) and surveys (n=159). Participants reported high levels of satisfaction with the service, and highlighted the value in having trusting relationships with staff, access to bicultural workers, onsite interpreting services and integrated care. The findings indicate that it is possible to engage asylum seekers and refugees through healthcare delivery that is responsive to the unique needs of this priority population.

  10. Southeastern Science Policy Colloquium

    Energy Technology Data Exchange (ETDEWEB)

    Humphries, F.

    1995-06-22

    This conference covers four main topics: (1) Southeastern Labor Market and its Impact on Corporate/Industry Development; (2) New Issues for Science and Technology in the Year 2000 and Beyond; (3) The Role of Academia in Developing the Labor Force of the Southeast; and (4) K-12 Education: Challenges for the 21st Century.

  11. Patients' quality assessment of ambulatory obstetric and gynaecological services.

    Science.gov (United States)

    Bojar, I; Wdowiak, L; Ostrowski, T

    2005-01-01

    The quality could be assessed from two perspectives: internal and external. From the internal perspective the quality means being consistent with particular conditions and standards. The external perspective is based on relative assessment of the product made by a client who is also aware of other competitors' offer. Despite the professional assessment which is focused on providing health services according to medical and managerial correctness, patient's assessment is also relevant. Measuring patient's satisfaction is additional method of health services quality assessment. The aim of the study was to estimate patients' opinion on quality of ambulatory obstetric and gynaecological services. The study was conducted in 11 obstetric and gynaecological out-patient clinics of Lublin in September and October 2003. The study tool was an author's questionnaire. Patients were asked to assess such areas as registration before visit, their relationship with nurses and gynaecologists and other aspects of services provision like intimacy assurance and respecting Patient's Rights. The collected data was statistically analysed. 635 patients took part in the study. The biggest groups in the studied population were women at the age of 20-30 years, married, living in cities and secondary educated. It was found that around half of the population is satisfied and 2.2% of them are unsatisfied with the fact that they have chosen particular out-patient clinic. More than 70% of women had positive opinion of following aspects influencing general opinion about service quality: politness of reception desk staff, opening hours, the length of time before a patient is seen by the specialist, intimacy assurance and respect for Patient's Rights in the practice. 80% of patients were satisfied with the relationship with nurses and 3.3% were unsatisfied with it. Eight patients out of ten were satisfied with gynaecological care, less than 2% were unsatisfied. The studied women had also high opinion

  12. Climate Services for Development Planning and Implementation: A Framework for Assessing and Valuing Climate Services

    Science.gov (United States)

    Anderson, G.

    2012-04-01

    Climate Services for Development Planning and Implementation: A Framework for Assessing and Valuing Climate Services Anderson, Glen D. While weather forecasting products have been available globally for decades, the full suite of climate services - including historical and real time observational meteorological data, daily, weekly, and seasonal forecasts, and longer-term climate projections - has only been under development in the last 15 to 20 years. Climate services have been developed and implemented quite quickly in developed countries for public and private sector users. However, diffusion of these tools in developing countries has been slower for several reasons related to 1) lack of awareness of the opportunities and benefits of climate services; 2) spotty record of managing local weather and climate data; and 3) limited resources to build and sustain capacity in providing climate services. The Climate Services Partnership (CSP) was formed during the International Conference on Climate Services (ICCS) in October 2011. The CSP seeks to improve the provision and development of climate services worldwide. During the ICCS, three working groups were formed to carry out the work program of the CSP leading up to the second ICCS in Berlin in September 2012. The Economic Valuation of Climate Services Working Group, chaired by John Zillman and myself, is collaborating on several activities to demonstrate the benefits of climate services and help providers prioritize opportunities for expanding the use of climate services. The proposed paper will provide an overview of the Working Group's activities leading up to the next ICCS and describe specific work that is underway and expected to be completed prior to the EGU meetings. The focal point of the Working Group's activities is the development of matrix to help identify and value the best opportunities for using climate services. Different categories of climate services will be listed in rows and potential users of

  13. A Method for Assessing Quality of Service in Broadband Networks

    DEFF Research Database (Denmark)

    Bujlow, Tomasz; Riaz, M. Tahir; Pedersen, Jens Myrup

    2012-01-01

    Monitoring of Quality of Service (QoS) in high-speed Internet infrastructure is a challenging task. However, precise assessments must take into account the fact that the requirements for the given quality level are service-dependent. Backbone QoS monitoring and analysis requires processing of large...... taken from the description of system sockets. This paper proposes a new method for measuring the Quality of Service (QoS) level in broadband networks, based on our Volunteer-Based System for collecting the training data, Machine Learning Algorithms for generating the classification rules and application...... and provide C5.0 high-quality training data, divided into groups corresponding to different types of applications. It was found that currently existing means of collecting data (classification by ports, Deep Packet Inspection, statistical classification, public data sources) are not sufficient and they do...

  14. Assessment of Patients’ Perception of Telemedicine Services Using the Service User Technology Acceptability Questionnaire

    Directory of Open Access Journals (Sweden)

    Claudio Dario

    2016-06-01

    Full Text Available Introduction: The purpose of this paper is to assess if similar telemedicine services integrated in the management of different chronic diseases are acceptable and well perceived by patients or if there are any negative perceptions. Theory and methods: Participants suffering from different chronic diseases were enrolled in Veneto Region and gathered into clusters. Each cluster received a similar telemedicine service equipped with different disease-specific measuring devices. Participants were patients with diabetes (n = 163, chronic obstructive pulmonary disease (n = 180, congestive heart failure (n = 140 and Cardiac Implantable Electronic Devices (n = 1635. The Service User Technology Acceptability Questionnaire (SUTAQ was initially translated, culturally adapted and pretested and subsequently used to assess patients’ perception of telemedicine. Data were collected after 3 months and after 12 months from the beginning of the intervention. Data for patients with implantable devices was collected only at 12 months. Results: Results at 12 months for all clusters are similar and assessed a positive perception of telemedicine. The SUTAQ results for clusters 2 (diabetes, 5 (COPD and 7 (CHF after 3 months of intervention were confirmed after 12 months. Conclusions: Telemedicine was perceived as a viable addition to usual care. A positive perception for telemedicine services isn’t a transitory effect, but extends over the course of time.

  15. Assessment of Patients' Perception of Telemedicine Services Using the Service User Technology Acceptability Questionnaire.

    Science.gov (United States)

    Dario, Claudio; Luisotto, Elena; Dal Pozzo, Enrico; Mancin, Silvia; Aletras, Vassilis; Newman, Stanton; Gubian, Lorenzo; Saccavini, Claudio

    2016-06-01

    The purpose of this paper is to assess if similar telemedicine services integrated in the management of different chronic diseases are acceptable and well perceived by patients or if there are any negative perceptions. Participants suffering from different chronic diseases were enrolled in Veneto Region and gathered into clusters. Each cluster received a similar telemedicine service equipped with different disease-specific measuring devices. Participants were patients with diabetes (n = 163), chronic obstructive pulmonary disease (n = 180), congestive heart failure (n = 140) and Cardiac Implantable Electronic Devices (n = 1635). The Service User Technology Acceptability Questionnaire (SUTAQ) was initially translated, culturally adapted and pretested and subsequently used to assess patients' perception of telemedicine. Data were collected after 3 months and after 12 months from the beginning of the intervention. Data for patients with implantable devices was collected only at 12 months. Results at 12 months for all clusters are similar and assessed a positive perception of telemedicine. The SUTAQ results for clusters 2 (diabetes), 5 (COPD) and 7 (CHF) after 3 months of intervention were confirmed after 12 months. Telemedicine was perceived as a viable addition to usual care. A positive perception for telemedicine services isn't a transitory effect, but extends over the course of time.

  16. Assessment of health, functioning and disability of a population aged 60–70 in south-eastern Poland using the WHO Disability Assessment Schedule (WHODAS 2.0

    Directory of Open Access Journals (Sweden)

    Agnieszka Ćwirlej-Sozańska

    2018-03-01

    Regarding the studied population, it was found that many health problems become worse over the years. The state of health that deteriorates with age causes limitations in daily functioning, which lead to disability, activity limitations and participation in everyday life. The progressive ageing of the Polish population will cause an increasing demand for medical care and on the social services.

  17. Coffee Beverage Quality Assessment Based on ETA/CPTEC-HadCM3 Model (A1B-IPCC/SRES Scenario), Southeastern Brazil

    Science.gov (United States)

    Giarolla, A.; Resende, N.; Chou, S. C.; Tavares, P. S.; Rodrigues, D. C.

    2012-04-01

    Environmental factors influence the coffee beverage quality and air temperature has a significant importance in this process. The grain maturation occurs very quickly in regions that present high temperatures and sometimes there is not enough time to complete all this phase adequately. In the other hand, with mild temperatures, the grain maturation occurs more slowly and it promotes a better quality beverage. The aim of this study was to assess the coffee beverage quality in the southeastern Brazil, based on climate projections using the Eta-CPTEC regional model driven by four members of an ensemble of the Met Office Hadley Centre Global Coupled climate model (HadCM3). The global model ensemble was run over the 21st century according to IPCC SRES, A1B emissions scenario. Each ensemble member presented different climate sensitivity in the analysis. The Eta-CPTEC-HadCM3 model was configured with a 40-km grid size and was run over the period of 1961-90 to represent a baseline climate, and over the period of 2011-2100 to simulate possible future changes and the effects on the coffee beverage quality. A coffee beverage quality classification, which depends on the annual air temperature proposed by Bressani (2007) and also, a quality coffee beverage sensory classification, based on Camargo and Cortez (1998) were considered in this study. An evaluation of the systematic errors (BIAS) for each member for the period from 1961 to 1990 was made. The results presented by Eta/CPTEC-HadCM3 model indicated that in the case of an occurrence of A1B emission scenario, the coffee beverage quality could be affected in this region due to the fact that the flavor may become stronger and unpleasant caused by rising air temperatures. The BIAS evaluation and subsequent errors removal demonstrated improvement in the scenarios simulations. A short review concerning agronomic techniques to mitigate extreme meteorological events or global warming on coffee crop based on Camargo (2010) also is

  18. A transaction assessment method for allocation of transmission services

    Science.gov (United States)

    Banunarayanan, Venkatasubramaniam

    The purpose of this research is to develop transaction assessment methods for allocating transmission services that are provided by an area/utility to power transactions. Transmission services are the services needed to deliver, or provide the capacity to deliver, real and reactive power from one or more supply points to one or more delivery points. As the number of transactions increase rapidly in the emerging deregulated environment, accurate quantification of the transmission services an area/utility provides to accommodate a transaction is becoming important, because then appropriate pricing schemes can be developed to compensate for the parties that provide these services. The Allocation methods developed are based on the "Fair Resource Allocation Principle" and they determine for each transaction the following: the flowpath of the transaction (both real and reactive power components), generator reactive power support from each area/utility, real power loss support from each area/utility. Further, allocation methods for distributing the cost of relieving congestion on transmission lines caused by transactions are also developed. The main feature of the proposed methods is representation of actual usage of the transmission services by the transactions. The proposed method is tested extensively on a variety of systems. The allocation methods developed in this thesis for allocation of transmission services to transactions is not only useful in studying the impact of transactions on a transmission system in a multi-transaction case, but they are indeed necessary to meet the criteria set forth by FERC with regard to pricing based on actual usage. The "consistency" of the proposed allocation methods has also been investigated and tested.

  19. Assessing the Impact of Imperfect Diagnosis on Service Reliability

    DEFF Research Database (Denmark)

    Grønbæk, Lars Jesper; Schwefel, Hans-Peter; Kjærgaard, Jens Kristian

    2010-01-01

    , representative diagnosis performance metrics have been defined and their closed-form solutions obtained for the Markov model. These equations enable model parameterization from traces of implemented diagnosis components. The diagnosis model has been integrated in a reliability model assessing the impact...... of the diagnosis functions for the studied reliability problem. In a simulation study we finally analyze trade-off properties of diagnosis heuristics from literature, map them to the analytic Markov model, and investigate its suitability for service reliability optimization....

  20. Nuclear plant service water system aging degradation assessment: Phase 1

    International Nuclear Information System (INIS)

    Jarrell, D.B.; Johnson, A.B. Jr.; Zimmerman, P.W.; Gore, M.L.

    1989-06-01

    The initial phase of an aging assessment of nuclear power plant service water systems (SWSs) was performed by the Pacific Northwest Laboratory to support the Nuclear Regulatory Commission Nuclear Plant Aging Research (NPAR) program. The SWS was selected for study because of its essential role in the mitigation of and recovery from accident scenarios involving the potential for core-melt. The objectives of the SWS task under the NPAR program are to identify and characterize the principal aging degradation mechanisms relevant to this system and assess their impact on operational readiness, and to provide a methodology for the mitigation of aging on the service water aspect of nuclear plant safety. The first two of these objectives have been met and are covered in this Phase 1 report. A review of available literature and data-base information indicated that motor operated valve torque switches (an electro-mechanical device) were the prime suspect in component service water systems failures. More extensive and detailed data obtained from cooperating utility maintenance records and personnel accounts contradicted this conclusion indicating that biologic and inorganic accumulation and corrosive attack of service water on component surfaces were, in fact, the primary degradation mechanisms. A review of the development of time dependent risk assessment (aging) models shows that, as yet, this methodology has not been developed to a degree where implementation is reliable. Improvements in the accuracy of failure data documentation and time dependent risk analysis methodology should yield significant gains in relating aging phenomena to probabilistic risk assessment. 23 refs., 8 figs., 10 tabs

  1. 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.

  2. Performance Assessment for e-Government Services: An Experience Report

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Yan; Zhu, Liming; Gorton, Ian

    2007-08-14

    The transformation and integration of government services, enabled by the use of new technologies such as application servers and Web services, is fundamental to reduce the cost of government and improving service outcomes to citizens. Many core Government information systems comprise applications running on legacy mainframes, databases and transaction processing monitors. As Governments worldwide provide direct access over the Internet to these legacy applications from the general public, they may be exposed to workloads well above the origin design parameters of these back-end systems. This creates a significant risk of high profile failures for Government agencies whose newly integrated systems become overloaded. In this paper we describe how we conducted a performance assessment of a business-critical, Internet-facing Web services that integrated new and legacy systems from two Australian Government agencies. We leveraged prototype tools from our own research along with known techniques in performance modeling. We were able to clearly demonstrate that the existing hardware and software would be adequate to handle the predicted workload for the next financial year. We were also able to do ‘what-if’ analysis and predict how the system can perform with alternative strategies to scale the system. We conclude by summarizing the lessons learnt, including the importance of architecture visibility, benchmarking data quality, and measurement feasibility due to issues of outsourcing, privacy legislation and cross-agency involvement.

  3. An Assessment of Customer Behaviours Regarding the Romanian Postal Services

    Directory of Open Access Journals (Sweden)

    Cristinel Constantin

    2015-09-01

    Full Text Available During the time the long distance communication has been one of the most important needs of the humanity. In the absence of telecommunication the postal services have been the main way of sending messages between people and other entities. Taking into account the importance of this market we assessed the nowadays coordinates of the Romanian postal market by conducting a research meant to identify the trends of postal services, the stage of competition and the customers’ behaviours regarding these services. The results show that the market is in developing process, with an increasing number of competitors but with a low number of significant competitors able to provide services on a large scale. In this context, the National Company Posta Romana remains the main market player but its positions are strongly threatened by private competitors especially on those market segments with high profitability. In order to defend its positions the national company has to put in practice proper marketing strategies focused mainly on the development of partnerships both with the senders and recipients of different postal deliveries, especially those ones with a higher attractiveness for the competitors.

  4. ARAC: a computer-based emergency dose-assessment service

    International Nuclear Information System (INIS)

    Sullivan, T.J.

    1990-01-01

    Over the past 15 years, the Lawrence Livermore National Laboratory's Atmospheric Release Advisory Capability (ARAC) has developed and evolved a computer-based, real-time, radiological-dose-assessment service for the United States Departments of Energy and Defense. This service is built on the integrated components of real-time computer-acquired meteorological data, extensive computer databases, numerical atmospheric-dispersion models, graphical displays, and operational-assessment-staff expertise. The focus of ARAC is the off-site problem where regional meteorology and topography are dominant influences on transport and dispersion. Through application to numerous radiological accidents/releases on scales from small accidental ventings to the Chernobyl reactor disaster, ARAC has developed methods to provide emergency dose assessments from the local to the hemispheric scale. As the power of computers has evolved inversely with respect to cost and size, ARAC has expanded its service and reduced the response time from hours to minutes for an accident within the United States. Concurrently the quality of the assessments has improved as more advanced models have been developed and incorporated into the ARAC system. Over the past six years, the number of directly connected facilities has increased from 6 to 73. All major U.S. Federal agencies now have access to ARAC via the Department of Energy. This assures a level of consistency as well as experience. ARAC maintains its real-time skills by participation in approximately 150 exercises per year; ARAC also continuously validates its modeling systems by application to all available tracer experiments and data sets

  5. ASSESSMENT OF THE INFLUENCE OF MODERN CRUSTAL MOVEMENTS AND THE RECENTLY ACTIVATED PRECAMBRIAN STRUCTURAL PLAN ON THE RELIEF OF THE LAKE LADOGA REGION (THE SOUTHEASTERN BALTIC SHIELD

    Directory of Open Access Journals (Sweden)

    A. O. Agibalov

    2017-01-01

    Full Text Available This paper describes the influence of modern crustal movements and the recently activated Precambrian structural plan on the relief of theLakeLadogaregion. It presents the results of comprehensive studies, including processing of the regional geological and geomorphological data by the modern methods, as the major novelty of our work. The solutions of earthquake focal mechanisms suggest the current subhorizontal NW compression in the study area. Based on the computer simulation by the Roxar software, we have identified areas wherein new fractures are most likely to occur, determined the dominant directions of such fractures, and revealed the areas of intense vertical movements in the given stress state. The input database included a digital model of the relief and the spatial patterns of ancient faults represented by large-size inhomogeneities influencing the stress field. Strain values were estimated from the horizontal displacements recorded by the International GPS Service for Geodynamics (IGS and the GPS networks in theRepublicofKareliaand the southeastern regions ofFinland. Using the LESSA software, we have estima­ted the relief orientation characteristics: the density of lineaments, and elongation lines, which are indicative of the changes in the dominant directions of the strike of the lineaments (‘hatches’ in the study area. By interpreting the satellite images and the topographic maps (scale 1:20000, we reveal a number of geological structures, such as gra­nite-gneiss domes and large-size faults, which are directly reflected in the relief. The study results give grounds to establish an indirect relationship between the relief and the modern field of deformation: the areas with high strain values correspond to the areas with steep slopes. The computer simulation data show a NE-trending linear zone with the increased amplitudes of vertical movements. This zone occupies the region along the NW shoreLakeLadoga. In the block

  6. Life assessment of gas turbine blades after long term service

    Energy Technology Data Exchange (ETDEWEB)

    Auerkari, Pertti; Salonen, Jorma [VTT, Espoo (Finland); Maekinen, Sari [Helsingin Energia, Helsinki (Finland); Karvonen, Ikka; Tanttari, Heikki [Lappeenrannan Laempoevoima, Lappeenranta (Finland); Kangas, Pekka [Neste Oil, Kilpilahti (Finland); Scholz, Alfred [Technische Univ. Darmstadt (Germany); Vacchieri, Erica [Ansaldo Richerche, Genoa (Italy)

    2010-07-01

    Turbine blade samples from three land based gas turbines have been subjected to systematic condition and life assessment after long term service (88000 - 109000 equivalent operating hours, eoh), when approaching the nominal or suggested life limits. The blades represent different machine types, materials and design generations, and uncooled blading outside the hottest front end of the turbine, i.e. blades with relatively large size and considerable expected life. For a reasonable assessment, a range of damage mechanisms need to be addressed and evaluated for the impact in the residual life. The results suggested significant additional safe life for all three blade sets. In some cases this could warrant yet another life cycle comparable to that of new blades, even after approaching the nominal end of life in terms of recommended equivalent operating hours. This is thought to be partly because of base load combined cycle operation and natural gas fuel, or modest operational loading if the design also accounted for more intensive cycling operation and more corrosive oil firing. In any case, long term life extension is only appropriate if not intervened by events of overloading, overheating or other sudden events such as foreign object damage (FOD), and if supported by the regular inspection and maintenance program to control in-service damage. Condition based assessment therefore remains an important part of the blade life management after the decision of accepted life extension. (orig.)

  7. Fitness-for-service and defect tolerance assessment - solutions for cracked components to remain in service

    International Nuclear Information System (INIS)

    Nguyen, Ninh; De Beer, Eric

    2013-01-01

    This paper describes the application of the FFS/DTA methodology to assist plant asset managers in dealing with cracks that have been detected in in-service components, particularly those in the power, petrochemical, mining and transport industries. Several state-of-the-art structural integrity assessment proce-dures such as AS/NZS 3788, BS7910, R5-R6 and API-579-1/ ASME FFS-1 are described and discussed; and their application to practical situations using the principles of FFS/DTA is illustrated through a series of selected case studies. The usefulness, effectiveness and versatility of this fracture-mechanics based methodology for examination of in-service cracked components is amply demonstrated.

  8. Nuclear plant service water system aging degradation assessment

    International Nuclear Information System (INIS)

    Jarrell, D.B.; Larson, L.L.; Stratton, R.C.; Bohn, S.J.; Gore, M.L.

    1992-10-01

    This report discusses the second phase of the aging assessment of nuclear plant service water systems (SWSs) which was performed by the Pacific Northwest Laboratory (PNL) to support the US Nuclear Regulatory Commission's (NRC's) Nuclear Plant Aging Research (NPAR) program. The SWS was selected for study because of its essential role in the mitigation of and recovery from accident scenarios involving the potential for core-melt, and because it is subject to a variety of aging mechanisms. The objectives of the SWS task under the NPAR program are to identify and characterize the principal age-related degradation mechanisms relevant to this system, to assess the impact of aging degradation on operational readiness, and to provide a methodology for the management of aging on the service water aspect of nuclear plant safety. The primary degradation mechanism in the SWSs as stated in the Phase I assessment and confirmed by the analysis in Phase II, is corrosion compounded by biologic and inorganic accumulation. It then follows that the most effective means for mitigating degradation in these systems is to pursue appropriate programs to effectively control the water chemistry properties when possible and to use biocidal agents where necessary. A methodology for producing a complete root-cause analysis was developed as a result of needs identified in the Phase I assessment for a more formal procedure that would lend itself to a generic, standardized approach. It is recommended that this, or a similar methodology, be required as a part of the documentation for corrective maintenance performed on the safety-related portions of SWSs to provide an accurate focus for effective management of aging

  9. Abundance of host fish and frequency of glochidial parasitism in fish assessed in field and laboratory settings and frequency of juvenile mussels or glochidia recovered from hatchery-held fish, central and southeastern Texas, 2012-13

    Science.gov (United States)

    Braun, Christopher L.; Stevens, Charrish L.; Echo-Hawk, Patricia D.; Johnson, Nathan A.; Moring, James B.

    2014-01-01

    In 2012–13, the U.S. Geological Survey (USGS), in cooperation with the U.S. Fish and Wildlife Service (USFWS), completed the first phase of a two-phase study of mussel host-fish relations for five endemic mussel species in central and southeastern Texas that were State-listed as threatened on January 17, 2010: (1) Texas fatmucket (Lampsilis bracteata), (2) golden orb (Quadrula aurea), (3) smooth pimpleback (Quadrula houstonensis), (4) Texas pimpleback (Quadrula petrina), and (5) Texas fawnsfoot (Truncilla macrodon). On October 6, 2011, the USFWS announced the completion of a status review and determined that the five mussel species warranted listing under the Endangered Species Act; however, listing of these species at that time was precluded by higher priority listing actions, and currently (December 2014), they remained unlisted.

  10. METAL STRUCTURES SURVIVABILITY ASSESSMENT WHEN SIMULATING SERVICE CONDITIONS

    Directory of Open Access Journals (Sweden)

    O. M. Gibalenko

    2016-04-01

    Full Text Available Purpose. The research is aimed at improving the quality and reliability of measures of primary and secondary protection of metal structures at manufacturing companies, to prolong the service life of cyclically loaded structures of production facilities taking into account the corrosion level of danger. Methodology. Authors proposed to use the principles of process approach for statement and realization of management problems of operational service life in corrosion environments. The principles of ensuring reliability on the level of corrosion danger include justification of stages sequence for survivability assessment of a structural metalwork based on the strategy of DMAIC (define, measure, analyze, improve, control: definitions, measurements, analysis, improvement and monitoring of measures of primary and secondary corrosion protection. Findings. Providing control measures from corrosion according to the criterion of corrosion danger allows providing requirements of reliability of structural metalwork based on calculated provisions of the limiting conditions method and solving the problems of management in technological safety during the expected service life of structural objects. Originality. The developed strategy of maintenance of the industrial facilities on an actual state includes the process approach to resource management by creation of system for the account and the functional controlling, risk analysis and regulation of technological safety in production facilities of the enterprises. Realization of the principles of process approach to management of technological safety at the object level is directed to perfecting of tools and methods of anticorrosive protection, extension of a resource taking into account indexes of survivability (, and justification of program measures to ensure the reliability of enterprises(PER. Practical value. On the basis of process approach to quality and reliability management, generalizations of the

  11. A methodology for adaptable and robust ecosystem services assessment

    Science.gov (United States)

    Villa, Ferdinando; Bagstad, Kenneth J.; Voigt, Brian; Johnson, Gary W.; Portela, Rosimeiry; Honzák, Miroslav; Batker, David

    2014-01-01

    Ecosystem Services (ES) are an established conceptual framework for attributing value to the benefits that nature provides to humans. As the promise of robust ES-driven management is put to the test, shortcomings in our ability to accurately measure, map, and value ES have surfaced. On the research side, mainstream methods for ES assessment still fall short of addressing the complex, multi-scale biophysical and socioeconomic dynamics inherent in ES provision, flow, and use. On the practitioner side, application of methods remains onerous due to data and model parameterization requirements. Further, it is increasingly clear that the dominant “one model fits all” paradigm is often ill-suited to address the diversity of real-world management situations that exist across the broad spectrum of coupled human-natural systems. This article introduces an integrated ES modeling methodology, named ARIES (ARtificial Intelligence for Ecosystem Services), which aims to introduce improvements on these fronts. To improve conceptual detail and representation of ES dynamics, it adopts a uniform conceptualization of ES that gives equal emphasis to their production, flow and use by society, while keeping model complexity low enough to enable rapid and inexpensive assessment in many contexts and for multiple services. To improve fit to diverse application contexts, the methodology is assisted by model integration technologies that allow assembly of customized models from a growing model base. By using computer learning and reasoning, model structure may be specialized for each application context without requiring costly expertise. In this article we discuss the founding principles of ARIES - both its innovative aspects for ES science and as an example of a new strategy to support more accurate decision making in diverse application contexts.

  12. A methodology for adaptable and robust ecosystem services assessment.

    Directory of Open Access Journals (Sweden)

    Ferdinando Villa

    Full Text Available Ecosystem Services (ES are an established conceptual framework for attributing value to the benefits that nature provides to humans. As the promise of robust ES-driven management is put to the test, shortcomings in our ability to accurately measure, map, and value ES have surfaced. On the research side, mainstream methods for ES assessment still fall short of addressing the complex, multi-scale biophysical and socioeconomic dynamics inherent in ES provision, flow, and use. On the practitioner side, application of methods remains onerous due to data and model parameterization requirements. Further, it is increasingly clear that the dominant "one model fits all" paradigm is often ill-suited to address the diversity of real-world management situations that exist across the broad spectrum of coupled human-natural systems. This article introduces an integrated ES modeling methodology, named ARIES (ARtificial Intelligence for Ecosystem Services, which aims to introduce improvements on these fronts. To improve conceptual detail and representation of ES dynamics, it adopts a uniform conceptualization of ES that gives equal emphasis to their production, flow and use by society, while keeping model complexity low enough to enable rapid and inexpensive assessment in many contexts and for multiple services. To improve fit to diverse application contexts, the methodology is assisted by model integration technologies that allow assembly of customized models from a growing model base. By using computer learning and reasoning, model structure may be specialized for each application context without requiring costly expertise. In this article we discuss the founding principles of ARIES--both its innovative aspects for ES science and as an example of a new strategy to support more accurate decision making in diverse application contexts.

  13. A methodology for adaptable and robust ecosystem services assessment.

    Science.gov (United States)

    Villa, Ferdinando; Bagstad, Kenneth J; Voigt, Brian; Johnson, Gary W; Portela, Rosimeiry; Honzák, Miroslav; Batker, David

    2014-01-01

    Ecosystem Services (ES) are an established conceptual framework for attributing value to the benefits that nature provides to humans. As the promise of robust ES-driven management is put to the test, shortcomings in our ability to accurately measure, map, and value ES have surfaced. On the research side, mainstream methods for ES assessment still fall short of addressing the complex, multi-scale biophysical and socioeconomic dynamics inherent in ES provision, flow, and use. On the practitioner side, application of methods remains onerous due to data and model parameterization requirements. Further, it is increasingly clear that the dominant "one model fits all" paradigm is often ill-suited to address the diversity of real-world management situations that exist across the broad spectrum of coupled human-natural systems. This article introduces an integrated ES modeling methodology, named ARIES (ARtificial Intelligence for Ecosystem Services), which aims to introduce improvements on these fronts. To improve conceptual detail and representation of ES dynamics, it adopts a uniform conceptualization of ES that gives equal emphasis to their production, flow and use by society, while keeping model complexity low enough to enable rapid and inexpensive assessment in many contexts and for multiple services. To improve fit to diverse application contexts, the methodology is assisted by model integration technologies that allow assembly of customized models from a growing model base. By using computer learning and reasoning, model structure may be specialized for each application context without requiring costly expertise. In this article we discuss the founding principles of ARIES--both its innovative aspects for ES science and as an example of a new strategy to support more accurate decision making in diverse application contexts.

  14. Web Service for Positional Quality Assessment: the Wps Tier

    Science.gov (United States)

    Xavier, E. M. A.; Ariza-López, F. J.; Ureña-Cámara, M. A.

    2015-08-01

    In the field of spatial data every day we have more and more information available, but we still have little or very little information about the quality of spatial data. We consider that the automation of the spatial data quality assessment is a true need for the geomatic sector, and that automation is possible by means of web processing services (WPS), and the application of specific assessment procedures. In this paper we propose and develop a WPS tier centered on the automation of the positional quality assessment. An experiment using the NSSDA positional accuracy method is presented. The experiment involves the uploading by the client of two datasets (reference and evaluation data). The processing is to determine homologous pairs of points (by distance) and calculate the value of positional accuracy under the NSSDA standard. The process generates a small report that is sent to the client. From our experiment, we reached some conclusions on the advantages and disadvantages of WPSs when applied to the automation of spatial data accuracy assessments.

  15. Health Libraries and Information Services in Tanzania: A Strategic Assessment.

    Science.gov (United States)

    Haruna, Hussein; Mtoroki, Majaliwa; Gerendasy, Dan D; Detlefsen, Ellen G

    The intention of the Government of Tanzania is to establish more health information resource canters in all health facilities. With this regard, health information science personnel are needed to provide adequate and accurate health information services. However, availability of these personnel remains to be a challenge because of their non-existence. To identify the current status and local impact of health sciences libraries and user perception of these libraries, as a prerequisite to the development of a competence-based curriculum for health information science training in Tanzania. A needs assessment was carried out using a convenience sample of local respondents, including librarians, trainers, academicians, students, health care providers, and patients and families, drawn from national, referral, regional, district hospitals, health training institutions, and universities from both government and nongovernment entities in Tanzania. A focus group approach was used to gather data from respondents. Results from this assessment revealed that health science libraries in Tanzania are faced with the challenges of insufficient infrastructure, old technology, limited facilities and furniture, inadequate and incompetent library staff, lack of health sciences librarians, outdated and insufficient resources, and low knowledge and use of information technologies by library clients. Most respondents would prefer to have both physical and electronic libraries, as well as librarians with specialized health information science skills, to cope with changing nature of the medical field. The findings obtained from this assessment are strong enough to guide the development of a curriculum and training strategy and an operational plan and training packages for health information professionals. The development of a training curriculum for health information science professionals will mean better health information service delivery for Tanzania. Copyright © 2016 Icahn School of

  16. Assessment of veterinary services in central Ethiopia: A case study ...

    African Journals Online (AJOL)

    services, and black-market drug dealers were found to be challengers associated .... veterinary service, private veterinarians, traditional healers and NGOs mainly ... timeliness, effectiveness and affordability of the veterinary service providers.

  17. Preliminary assessment of chloride concentrations, loads, and yields in selected watersheds along the Interstate 95 corridor, southeastern Connecticut, 2008-09

    Science.gov (United States)

    Brown, Craig J.; Mullaney, John R.; Morrison, Jonathan; Mondazzi, Remo

    2011-01-01

    Water-quality conditions were assessed to evaluate potential effects of road-deicer applications on stream-water quality in four watersheds along Interstate 95 (I-95) in southeastern Connecticut from November 1, 2008, through September 30, 2009. This preliminary study is part of a four-year cooperative study by the U.S. Geological Survey (USGS), the Federal Highway Administration (FHWA), and the Connecticut Department of Transportation (ConnDOT). Streamflow and water quality were studied at four watersheds?Four Mile River, Oil Mill Brook, Stony Brook, and Jordan Brook. Water-quality samples were collected and specific conductance was measured continuously at paired water-quality monitoring sites upstream and downstream from I-95. Specific conductance values were related to chloride (Cl) concentrations to assist in determining the effects of road-deicing operations on the levels of Cl in the streams. Streamflow and water-quality data were compared with weather data and with the timing, amount, and composition of deicers applied to state highways. Grab samples were collected during winter stormwater-runoff events, such as winter storms or periods of rain or warm temperatures in which melting takes place, and periodically during the spring and summer. Cl concentrations at the eight water-quality monitoring sites were well below the U.S. Environmental Protection Agency (USEPA) recommended chronic and acute Cl toxicity criteria of 230 and 860 milligrams per liter (mg/L), respectively. Specific conductance and estimated Cl concentrations in streams, particularly at sites downstream from I-95, peaked during discharge events in the winter and early spring as a result of deicers applied to roads and washed off by stormwater or meltwater. During winter storms, deicing activities, or subsequent periods of melting, specific conductance and estimated Cl concentrations peaked as high as 703 microsiemens per centimeter (?S/cm) and 160 mg/L at the downstream sites. During most of

  18. Performance Assessment of Aggregation Control Services for Demand Response

    DEFF Research Database (Denmark)

    Bondy, Daniel Esteban Morales; Costanzo, Giuseppe Tommaso; Heussen, Kai

    2014-01-01

    Aggregation algorithms that provide services to the grid via demand side management are moving from research ideas to the market. With the diversity of the technology delivering such services, it becomes essential to establish transparent performance standards from a service delivery perspective...... of the quality of service provided by an aggregation control algorithm. By a detailed case study we present and an application of the index, comparing the performance of two different control architectures for demand side management delivering a distribution grid service....

  19. Assessment of quality of care in family planning services in Jimma ...

    African Journals Online (AJOL)

    Background: Providing quality of care in family planning services is an important task for care providers so as to increase service utilization and coverage; however, little is known about the existing quality of care in such services. Objective: To assess quality of care in family planning services in Jimma Zone, southwest ...

  20. 25 CFR 20.404 - What information is contained in a social services assessment?

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What information is contained in a social services assessment? 20.404 Section 20.404 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Services to Children, Elderly, and Families § 20.404 What...

  1. From theoretical to actual ecosystem services: mapping beneficiaries and spatial flows in ecosystem service assessments

    Directory of Open Access Journals (Sweden)

    Kenneth J. Bagstad

    2014-06-01

    Full Text Available Ecosystem services mapping and modeling has focused more on supply than demand, until recently. Whereas the potential provision of economic benefits from ecosystems to people is often quantified through ecological production functions, the use of and demand for ecosystem services has received less attention, as have the spatial flows of services from ecosystems to people. However, new modeling approaches that map and quantify service-specific sources (ecosystem capacity to provide a service, sinks (biophysical or anthropogenic features that deplete or alter service flows, users (user locations and level of demand, and spatial flows can provide a more complete understanding of ecosystem services. Through a case study in Puget Sound, Washington State, USA, we quantify and differentiate between the theoretical or in situ provision of services, i.e., ecosystems' capacity to supply services, and their actual provision when accounting for the location of beneficiaries and the spatial connections that mediate service flows between people and ecosystems. Our analysis includes five ecosystem services: carbon sequestration and storage, riverine flood regulation, sediment regulation for reservoirs, open space proximity, and scenic viewsheds. Each ecosystem service is characterized by different beneficiary groups and means of service flow. Using the ARtificial Intelligence for Ecosystem Services (ARIES methodology we map service supply, demand, and flow, extending on simpler approaches used by past studies to map service provision and use. With the exception of the carbon sequestration service, regions that actually provided services to people, i.e., connected to beneficiaries via flow paths, amounted to 16-66% of those theoretically capable of supplying services, i.e., all ecosystems across the landscape. These results offer a more complete understanding of the spatial dynamics of ecosystem services and their effects, and may provide a sounder basis for

  2. From theoretical to actual ecosystem services: mapping beneficiaries and spatial flows in ecosystem service assessments

    Science.gov (United States)

    Bagstad, Kenneth J.; Villa, Ferdinando; Batker, David; Harrison-Cox, Jennifer; Voigt, Brian; Johnson, Gary W.

    2014-01-01

    Ecosystem services mapping and modeling has focused more on supply than demand, until recently. Whereas the potential provision of economic benefits from ecosystems to people is often quantified through ecological production functions, the use of and demand for ecosystem services has received less attention, as have the spatial flows of services from ecosystems to people. However, new modeling approaches that map and quantify service-specific sources (ecosystem capacity to provide a service), sinks (biophysical or anthropogenic features that deplete or alter service flows), users (user locations and level of demand), and spatial flows can provide a more complete understanding of ecosystem services. Through a case study in Puget Sound, Washington State, USA, we quantify and differentiate between the theoretical or in situ provision of services, i.e., ecosystems’ capacity to supply services, and their actual provision when accounting for the location of beneficiaries and the spatial connections that mediate service flows between people and ecosystems. Our analysis includes five ecosystem services: carbon sequestration and storage, riverine flood regulation, sediment regulation for reservoirs, open space proximity, and scenic viewsheds. Each ecosystem service is characterized by different beneficiary groups and means of service flow. Using the ARtificial Intelligence for Ecosystem Services (ARIES) methodology we map service supply, demand, and flow, extending on simpler approaches used by past studies to map service provision and use. With the exception of the carbon sequestration service, regions that actually provided services to people, i.e., connected to beneficiaries via flow paths, amounted to 16-66% of those theoretically capable of supplying services, i.e., all ecosystems across the landscape. These results offer a more complete understanding of the spatial dynamics of ecosystem services and their effects, and may provide a sounder basis for economic

  3. Elastodynamic spot testing - assessing serviceability of aging elastomer parts

    International Nuclear Information System (INIS)

    Gracie, B.; Metcalfe, R.; Wensel, R.

    1995-01-01

    The properties of all polymers change with time as a function of their environment. Traditional practice has been to replace these parts according to generic time limits based on estimates of worst case material properties and conditions. This is overly-conservative in many cases, and creates unnecessary maintenance work and costs for replacement and disposal. Much of this could be avoided if the serviceability of elastomeric parts such as seals, diaphragms, gaskets, cable insulation and hoses could be reassessed on a routine basis. Elastodynamic spot testing offers a way to do this. Parts can be sampled while in service or storage to compare their as-new and used (or aged) elastodynamic properties. This data can usually be correlated with the results of functional tests to prove that material properties have not degraded to the point where the part could fail. This spot testing is similar to a micro-hardness test, but includes stress-relaxation and subsequent recovery. It provides a nondestructive means to assess the effective age of the material at a point, or several points, on a part. Sampling of hardness alone is rarely sufficient to know whether a part is still functional because this overlooks the material's viscoelastic and strength properties. An elastodynamic spot tester has been used to test different sizes, shapes and hardnesses of elastomeric parts at different levels of strain, i.e., indentation depths. An initial test program has given informative relaxation and recovery data, showing repeatability and comparing well with finite element analysis of the indentation process. Tests of aged 0-rings and diaphragms have revealed different elastodynamic properties, depending on the elastomer compound and aging conditions. (author)

  4. Forest Service programs, authorities, and relationships: A technical document supporting the 2000 USDA Forest Service RPA Assessment

    Science.gov (United States)

    Ervin G. Schuster; Michael A. Krebs

    2003-01-01

    The Forest and Rangeland Renewable Resources Planning Act (RPA) of 1974, as amended, directs the Forest Service to prepare and update a renewable resources assessment that would include "a description of Forest Service programs and responsibilities , their interrelationships, and the relationship of these programs and responsibilities to public and private...

  5. NOAA's Web Service for the New York Offshore Biogeographic Assessment

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This web service provides key ecological data layers in the New York Bight via the Internet and which can be loaded into client side GIS software. The web service...

  6. Customer premises services market demand assessment 1980 - 2000: Volume 2

    Science.gov (United States)

    Gamble, R. B.; Saporta, L.; Heidenrich, G. A.

    1983-01-01

    Potential customer premises service (CPS), telecommunication services, potential CPS user classes, a primary research survey, comparative economics, market demand forcasts, distance distribution of traffic, segmentation of market demand, and a nationwide traffic distribution model are discussed.

  7. assessment of clients' satisfaction with health service deliveries

    African Journals Online (AJOL)

    Abrham

    showed that the overall client satisfaction level with the health services rendered at ... Therefore, the Hospital management should understand these weak service areas and plan for a better .... for use”, which means the consumer's perception.

  8. Geospatial Services in Special Libraries: A Needs Assessment Perspective

    Science.gov (United States)

    Barnes, Ilana

    2013-01-01

    Once limited to geographers and mapmakers, Geographic Information Systems (GIS) has taken a growing central role in information management and visualization. Geospatial services run a gamut of different products and services from Google maps to ArcGIS servers to Mobile development. Geospatial services are not new. Libraries have been writing about…

  9. Development and Assessment of Service Learning Projects in General Biology

    Science.gov (United States)

    Felzien, Lisa; Salem, Laura

    2008-01-01

    Service learning involves providing service to the community while requiring students to meet learning goals in a specific course. A service learning project was implemented in a general biology course at Rockhurst University to involve students in promoting scientific education in conjunction with community partner educators. Students were…

  10. Assessing Ecosystem Services and Multifunctionality for Vineyard Systems

    Directory of Open Access Journals (Sweden)

    Klara J. Winkler

    2017-04-01

    Full Text Available Vineyards shape important economic, cultural, and ecological systems in many temperate biomes. Like other agricultural systems, they can be multifunctional landscapes that not only produce grapes, but also for example serve as wildlife habitat, sequester carbon, and are places of rich traditions. However, research and management practices often focus mostly on individual, specific ecosystem services, without considering multifunctionality. Therefore, we set out to meet four research objectives: (1 evaluate how frequently the ecosystem services approach has been applied in vineyard systems; (2 identify which individual ecosystem services have been most frequently studied in vineyard systems, (3 summarize knowledge on the key ecosystem services identified in (2, and (4 illustrate approaches to multifunctionality in vineyards to inform more holistic land management. For research objective (1, we identified 45 publications that used the term “ecosystem services” in relation to vineyards, but found that only seven fully apply the ecosystem service concept to their research. For research objective (2, we operationalized the Common International Classification of Ecosystem Services (CICES for 27 ecosystem services in vineyards, in order to consider provisioning, regulating, and cultural services through an analysis of more than 4,000 scientific papers that mentioned individual services. We found the six most frequently studied ecosystem services included (1 cultivated crops, (2 filtration, sequestration, storage and accumulation by the vineyards, (3 pest control and (4 disease control, (5 heritage, cultural and (6 scientific services. For research objective (3, we found that research on these six single ecosystem services is highly developed, but relationships between single ecosystem services are less studied. Therefore, we suggest that greater adoption of the ecosystem services approach could help scientists and practitioners to acknowledge the

  11. 7 CFR 800.71 - Fees assessed by the Service.

    Science.gov (United States)

    2010-01-01

    ... representative plus an administrative fee per hundredweight) (CWT) 0.04 (iii) Lots sampled online during loading... service representative) 510.00 (5) Online customized data EGIS service: (i) One data file per week for 1...), 79a(1)), as amended by Pub. L. 97-35, 95 Stat. 371, 372) [45 FR 15810, Mar. 11, 1980; 45 FR 55119, Aug...

  12. A Model Assessing Relevant Factors in Building Minority Library Service.

    Science.gov (United States)

    Bonin, Kenneth Roy

    1983-01-01

    Presents research design applicable to definition of minority library service needs for any minority language group in Canada, focusing on French-speaking population outside Quebec. Profiles of the target group's population, culture, needs, and library services are highlighted. Five sources are given. (EJS)

  13. An Assessment of Customer Service in the Nigeria ...

    African Journals Online (AJOL)

    This study examined customer services in the Nigeria telecommunication industry by comparing Zain and MTN companies. Primary data were collected from a total of 60 respondents. Data collected were on consumer service elements such as: reliability, delivery frequency, delivery accuracy, quality of salespeople, ...

  14. 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....

  15. An exploration of service user involvement in the assessment of students

    International Nuclear Information System (INIS)

    Naylor, S.; Harcus, J.; Elkington, M.

    2015-01-01

    Introduction: This paper is an exploration of service user involvement in assessing first year diagnostic radiography students' ability to practise and interact with the public safely prior to attending placement. Service users took the role of patients during a simulation exercise undertaken in a general X-ray room. In recent years the importance of involving service users in all aspects of healthcare has been promoted; this includes being involved in the education of healthcare workers. The evaluation of service user involvement in the education of healthcare workers is limited, as is any literature about service user involvement outside nursing, mental health, and social work. Method: Feedback was obtained via email and face to face via a focus group from academic staff, service users and students using open questions. Results: The benefits of service user involvement were that it made the exercise more relevant and meaningful. It was perceived as a valuable exercise for the students to interact with service users in terms of developing, and for assessing, patient care, communication and positioning skills. The service users valued the experience. Issues highlighted include travel to the venue and the physical demands on the service user. Concerns highlighted by previous authors of preparation of the service users for their role, and remuneration had been addressed prior to the exercise. Conclusion: There is increasing diversity in the ways in which service users are involved in education. Service user involvement as patients in a simulation exercise for student assessment was deemed successful in this setting. - Highlights: • There is limited literature about service user involvement outside nursing, mental health and social work. • There are benefits to involving service users in the assessment of student diagnostic radiographers. • There are challenges to involving service users in the assessment of student diagnostic radiographers

  16. Use of SERVQUAL to assess clinicians' satisfaction with the blood transfusion service.

    Science.gov (United States)

    Raspollini, E; Pappalettera, M; Riccardi, D; Parravicini, A; Sestili, S; Rebulla, P; Sirchia, G

    1997-01-01

    Limited information is available on the level of satisfaction of clinicians with services delivered by blood banks. The purpose of this study was to evaluate the satisfaction of clinicians with our blood transfusion service. We prepared a questionnaire based on SERVQUAL, a method used to measure customers' appreciation of quality of service, by assessing the gap between perceived and expected quality. The questionnaire consisted of 14 items grouped according to five dimensions of quality of service: assurance, empathy, responsiveness, reliability, tangibles. Clinicians were asked to give two scores on a scale from 1 to 7 for each item, score (e) representing what they expected from an 'excellent' service, score (r) how they graded the service received. We considered wide differences in scores of service expectation and receipt for a question to be indicative of either service above expected levels (r > e) or service below expectation (r SERVQUAL was useful to gather information on the level of clinicians' satisfaction with our transfusion service.

  17. Assessing the In-Service Needs of Basic School Natural Science ...

    African Journals Online (AJOL)

    ... that no significant associations existed. It was recommended among other things that in-service training courses be used as platforms in upgrading the teachers' knowledge and skills. Additionally, in-service course organizers should first assess the in-service needs of participants before providing the appropriate support ...

  18. Assessing the Value Dimensions of Outsourced Maintenance Services

    DEFF Research Database (Denmark)

    Toossi, Amir; Lockett, Helen Louise; Raja, Jawwad

    2013-01-01

    Purpose – The purpose of this paper is to investigate the diverse nature of tangible and intangible value dimensions that contribute to customers’ perception of value from outsourced maintenance services. Design/methodology/approach – A multiple case study approach has been adopted. Repertory grid......, an in-depth structured interviewing technique, has been used in order to draw out the respondents’ hidden constructs in evaluating outsourced maintenance services. Data have been collected from four customer organizations of outsourced maintenance services, and a total of 33 interviews have been...... undertaken. Findings – The paper has identified a range of tangible and intangible value dimensions that are of importance in maintenance outsourcing decision making. The most important value dimensions for maintenance outsourcing were found to be specialist knowledge, accessibility (of the service provider...

  19. REST Service - Resource Assessment Investigation of the Mariana Archipelago (RAIOMA)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data service represents a subset of fisheries research carried out by the Pacific Island Fisheries Science Center (PIFSC) in the Mariana Archipelago. Specific...

  20. Assessment of Extension Service Delivery on Improved Cassava ...

    African Journals Online (AJOL)

    SH

    1Department of Agricultural Extension and Rural Development, Landmark University, Omu –Aran, Kwara. State. 2Department ... production technologies among cassava farmers in Osun State, Nigeria. Multistage ... included fertilizer procurement, agrochemicals, cooperative facilities, social networks, tractor hiring services,.

  1. Assessment of Patient Satisfaction with Pharmaceutical Services in ...

    African Journals Online (AJOL)

    Prof. Kongola

    Key words: Pharmaceutical services, patient satisfaction, Dar es Salaam. INTRODUCTION ... business venture and therefore customer ... Factors that influenced patients to go to particular pharmacies. .... identified as affecting the utilization of.

  2. Assessment of Emergency Obstetric Care Services in Ibadan ...

    African Journals Online (AJOL)

    AJRH Managing Editor

    ORIGINAL RESEARCH ARTICLE ... Nigeria's high maternal mortality has been attributed to poor utilization of obstetric care services to handle ... Poor obstetric outcome in middle and low-income ... Evidence also showed that access to.

  3. Service reliability assessment using failure mode and effect analysis ...

    African Journals Online (AJOL)

    user

    Statistical Process Control Teng and Ho (1996) .... are still remaining left on modelling the interaction between impact of internal service failure and ..... Design error proofing: development of automated error-proofing information systems, Proceedings of.

  4. Assessing, mapping and quantifying cultural ecosystem services at community level

    NARCIS (Netherlands)

    Plieninger, T.; Dijks, S.; Oteros Rozas, E.; Bieling, C.

    2013-01-01

    Numerous studies underline the importance of immaterial benefits provided by ecosystems and especially by cultural landscapes, which are shaped by intimate human–nature interactions. However, due to methodological challenges, cultural ecosystem services are rarely fully considered in ecosystem

  5. Predicting Pre-Service Teachers' Intention of Implementing Peer Assessment for Low-Achieving Students

    Science.gov (United States)

    Yim, Su Yon; Cho, Young Hoan

    2016-01-01

    Despite the benefits of peer assessment, many teachers are not willing to implement it, particularly for low-achieving students. This study used the theory of planned behaviour to predict pre-service teachers' intention to use peer assessment for low-achieving students. A total of 229 pre-service teachers in Singapore participated in the survey…

  6. Beyond Assessment: Conducting Theoretically Grounded Research on Service-Learning in Gerontology Courses.

    Science.gov (United States)

    Kruger, Tina M; Pearl, Andrew J

    2016-01-01

    Service-learning is a useful pedagogical tool and high-impact practice, providing multiple benefits. Gerontology (and other) courses frequently include service-learning activities but lack theory-based, intentional research on outcomes. Here, the authors define service-learning and contextualize it in higher education, provide an overview of research and assessment in service-learning and gerontology courses, demonstrate the shortcomings of program evaluations, and offer suggestions for future research to advance and generate theory.

  7. Assessing service quality in business-to-business relationships within the international telecommunications carrier market.

    OpenAIRE

    2012-01-01

    M.Comm. The objectives of this study are : To determine customers' perception of service quality of international telecommunications carrier services delivered by Telkom in the business-tobusiness relationships with carriers in Europe; To establish whether differences in service quality exist among the selected business customers; To identify and examine customers' needs and expectations regarding the service delivery by Telkom; To assess how well Telkom is currently performing relative to...

  8. Does human resource management improve family planning service quality? Analysis from the Kenya Service Provision Assessment 2010.

    Science.gov (United States)

    Thatte, Nandita; Choi, Yoonjoung

    2015-04-01

    Human resource (HR) management is a priority for health systems strengthening in developing countries, yet few studies have empirically examined associations with service quality. The purpose of this study was to assess the relationship between HR management and family planning (FP) service quality. Data came from the 2010 Kenya Service Provision Assessment, a nationally representative health facility assessment. In total, 912 FP consultations from 301 facilities were analysed. Four indices were created to measure quality on reproductive history taking, physical examination, sexually transmitted infections prevention and pill/injectable specific counselling. HR management variables included training in the past year, any and supportive (i.e. with feedback, technical updates and discussion) in-person supervision in the past 6 months and having a written job description. Multivariate linear regression analyses were conducted to estimate coefficients of HR management variables on each of the four quality indices, adjusting for background characteristics of clients, provider and facilities. The level of service quality ranged from 16 to 53 out of a maximum score of 100 across the indices. Fifty-two per cent of consultations were done by providers who received supportive in-person supervision in the previous 6 months. In 23% and 38% of consultations, the provider was trained in the past year and had a written job description, respectively. Multivariate analyses indicated that having a written job description was associated with higher service quality in history taking, physical examination and the pill/injectable specific counselling. Other HR management variables were not significantly associated with service quality. Having a written job description was significantly associated with higher service quality and may be a useful tool for strengthening management practices. The details of such job descriptions and the quality of other management indicators should be

  9. Influence of service life on Life Cycle Assessments

    NARCIS (Netherlands)

    van Nunen, H.; Hendriks, N.A.; Erkelens, P.A.

    2003-01-01

    Environmental assessment is part of present decision making. But, because of difficulties the assessments are not as profound as could be. Life Cycle Assessment (LCA) is a cradle-to-grave approach and consequently a time factor is embedded. Until now this time factor is fixed and calculations are

  10. Assessment of a pioneer metabolic information service in Brazil.

    Science.gov (United States)

    Brustolin, Silvia; Souza, Carolina; Puga, Ana Cristina; Refosco, Lilia; Pires, Ricardo; Peres, Rossana; Giugliani, Roberto

    2006-01-01

    The Information Service on Inborn Errors of Metabolism (SIEM), a pioneer toll-free service in both Brazil and South America, is based in Porto Alegre, Southern Brazil. SIEM has been operating since October 2001 providing support to health care professionals involved in the diagnosis and management of suspected metabolic diseases. We analyzed the demographic and clinical characteristics of the 376 consults received and followed in the first two and half years of SIEM. Our results show that the suspicion of a metabolic disease was most often associated with neurological symptoms. Among the consults, 24.4% were eventually confirmed as inborn errors of metabolism (IEM), with organic acidurias and amino acid disorders being the two most frequent diagnostic groups. Our conclusion shows this kind of service to provide helpful support to the diagnosis and acute management of IEM, especially to health professionals working in developing countries who are often far from reference centers.

  11. Chapter 1: Assessing pollinator habitat services to optimize conservation programs

    Science.gov (United States)

    Iovanna, Richard; Ando , Amy W.; Swinton, Scott; Hellerstein, Daniel; Kagan, Jimmy; Mushet, David M.; Otto, Clint R.; Rewa, Charles A.

    2017-01-01

    Pollination services have received increased attention over the past several years, and protecting foraging area is beginning to be reflected in conservation policy. This case study considers the prospects for doing so in a more analytically rigorous manner, by quantifying the pollination services for sites being considered for ecological restoration. The specific policy context is the Conservation Reserve Program (CRP), which offers financial and technical assistance to landowners seeking to convert sensitive cropland back to some semblance of the prairie (or, to a lesser extent, forest or wetland) ecosystem that preceded it. Depending on the mix of grasses and wildflowers that are established, CRP enrollments can provide pollinator habitat. Further, depending on their location, they will generate related services, such as biological control of crop pests, recreation, and aesthetics. While offers to enroll in CRP compete based on cost and some anticipated benefits, the eligibility and ranking criteria do not reflect these services to a meaningful degree. Therefore, we develop a conceptual value diagram to identify the sequence of steps and associated models and data necessary to quantify the full range of services, and find that critical data gaps, some of which are artifacts of policy, preclude the application of benefit-relevant indicators (BRIs) or monetization. However, we also find that there is considerable research activity underway to fill these gaps. In addition, a modeling framework has been developed that can estimate field-level effects on services as a function of landscape context. The approach is inherently scalable and not limited in geographic scope, which is essential for a program with a national footprint. The parameters in this framework are sufficiently straightforward that expert judgment could be applied as a stopgap approach until empirically derived estimates are available. While monetization of benefit-relevant indicators of yield

  12. How to assess quality in your sexual health service.

    Science.gov (United States)

    Hathorn, Emma; Land, Lucy; Ross, Jonathan D C

    2011-10-01

    Previous improvements in NHS have largely focused on increasing service capacity to ensure the provision of universal, comprehensive healthcare at the point of need in the UK. However, public expectations of the NHS are changing, triggered by increased access to information and media coverage of a series of lapses in quality and geographical inequity of care. The NHS also faces the challenges posed by a changing family structure, an ageing population, advancing technology and economic uncertainty. To meet these challenges, improvements in quality rather than just quantity have become a focus of the new NHS. This article provides an overview of quality and how to measure it in sexual health services.

  13. The Assessment of Hotel Services in Poiana Brasov Resort

    Directory of Open Access Journals (Sweden)

    Baltescu C.A.

    2014-12-01

    Full Text Available The choice of a holiday destination is determined by the features of the existing accommodation offer. The quality of hotel services provided influence the attracted customer segment, the satisfaction degree of consumption, the loyalty degree for the accommodation unit and destination, and also the economic-financial performance of the company. This article analyzes the opinions of tourists staying in Poiana Braşov resort regarding their consumption experience in one of the most representative hotels of the resort. The results obtained show customers’ expectations, satisfaction degree after consumption and future ways for adapting and improving hotel services.

  14. Southeastern Community College Annual Progress Report, December 1995.

    Science.gov (United States)

    Gardner, R. Gene

    Presenting information on the status of Southeastern Community College (SCC), in Iowa, this annual progress report highlights basic institutional data, financial information, and improvements and planned changes of the college as of 1995. Part 1 presents basic data on SCC, including facility locations, assessed property valuation, district…

  15. Faculty and Student Assessment of the Citadel Library User Services.

    Science.gov (United States)

    Maynard, J. Edmund

    The focus of this study was a survey of faculty and student use/needs of library services and user education at Daniel Library, the Citadel, the Military College of South Carolina. More specifically, the study sought to determine user information needs and how the library staff should adapt for meeting the educational and research needs of its…

  16. Assessment of emergency medical services in the Ashanti region of ...

    African Journals Online (AJOL)

    Deficient areas in need of development are governance, reliable revenue, public access, community integration, clinical care guidelines, research and quality assurance processes. Conclusions: The Ashanti Region has a growing and thriving emergency medical services system. Although many essential areas for ...

  17. An Assessment of School Library Resources and Services in ...

    African Journals Online (AJOL)

    The paper evaluates the availability of library resources and services in selected secondary schools. Data were collected from 300 respondents who participated in this study through completion of questionnaire and participation in interview sessions. The findings of this study show that available library resources and ...

  18. Using the critical incident survey to assess hospital service quality.

    Science.gov (United States)

    Longo, B; Connor, G; Barnhart, T

    1993-01-01

    This survey was designed to determine "standards of excellence" in hospital services as defined by (a) former patients, (b) physicians, (c) hospital employees, and (d) corporate insurance subscribers. One hundred forty-seven (147) patients, 188 employees, and 20 corporate subscribers were interviewed by telephone, and 52 physicians were interviewed in their offices. The interview consisted of a single question: "Can you think of a time when, as a patient/employee/employer/physician, you had a particularly satisfying or dissatisfying experience with a local hospital?" Reported incidents were reviewed, and 239 "critical incidents" were identified. These incidents were classified into 12 descriptive categories relating to the underlying factors in the incident reports. Six focus groups were later held with participants segregated by the population pool they represented. These groups were asked to develop definitions of "excellence" in hospital service quality and standards for service which would "exceed expectations." The focus groups created 122 standards of excellence, which were classified into 43 categories. Overall, the largest percentages of corporate, physician, and employee critical incidents were classified as "Administrative Policy" issues. Patients most often reported "Nurturing" incidents as critical to their perceptions of hospital service quality.

  19. Assessment of veterinary extension services to livestock farmers in ...

    African Journals Online (AJOL)

    The study examined operational modes of providing veterinary extension services to livestock farmers in Egba-Division, Ogun-State Nigeria. Information was obtained from 120 livestock farmers and 8 extension agents selected through multi-stage random sampling technique with the use of both structured questionnaire ...

  20. An assessment of policies and services provision to the physically ...

    African Journals Online (AJOL)

    The researcher recommended among others that Academic library policy must be redesigned to include disability resources and services in conformity with ALA standard and Library management should create a disability liaison office on the ground floor of their multiple storey buildings and affiliate such offices with any ...

  1. Assessment of Parents' Satisfaction with Paediatric Surgery Services ...

    African Journals Online (AJOL)

    Ademuyıwa O Adesoji

    Items 1 - 14 ... Services at a Tertiary Hospital in South West Nigeria: A Quality Control ... literate parents of paediatric post-op patients were serially recruited from the pediatric .... such as poor electricity and water supply in a survey of dental.

  2. Perforated peptic ulcer in southeastern Taiwan.

    Science.gov (United States)

    Li, Chin-Hsien; Chang, Wen-Hsiung; Shih, Shou-Chuan; Lin, Shee-Chan; Bair, Ming-Jong

    2010-09-01

    No studies focus on the population with perforated peptic ulcer in southeastern Taiwan. The present study aimed to assess the differences between the different races and the risk factors related to mortality and morbidity in postoperative patients in southeastern Taiwan. The medical records of 237 patients were reviewed retrospectively. The following factors were analyzed: patient profiles, coexisting illnesses, diagnostic method, fever, preoperative shock, clinical data at emergency room, delay operation, site of perforation, operative method, positive ascites culture, species of microbes in ascites culture, postoperative complications, death and the length of hospital stay. Aborigines were significantly different from non-aborigines in the ratio of female cases and in the habits of alcohol drinking and betel nut chewing. There were also four significantly different variables between them: fever, hemoglobin value, site of perforation and operative method. Total postoperative complication rate was 41.3% and 39 patients (16.6%) died. In multivariate analysis, age > or = 65 years, lipase > upper normal limit and preoperative shock were independent predictors of mortality. Significant risk factors associated with morbidity were NSAIDs use, creatinine > 1.5 mg/dL and preoperative shock. Aborigines were different from non-aborigines in several categories. In southeastern Taiwan, NSAIDs use, creatinine > 1.5 mg/dL and preoperative shock were independent risk factors of morbidity, and age > or = 65 years, lipase > upper normal limit and preoperative shock were independent risk factors of mortality in postoperative perforated peptic ulcer. Lipase > upper normal limit is needed for further research on the influence on mortality.

  3. Nova Southeastern University Calendars

    Science.gov (United States)

    College of Psychology Dr. Kiran C. Patel College of Allopathic Medicine Dr. Kiran C. Patel College of , dentistry, law, and psychology. Certificate Receive a graduate level certificate to enhance your skills Institute Core Services & Equipment HPD Research Undergraduate Research Community Community Outreach

  4. Suicide in Batman, Southeastern Turkey

    Science.gov (United States)

    Altindag, Abdurrahman; Ozkan, Mustafa; Oto, Remzi

    2005-01-01

    The southeastern part of Turkey has comparatively high female suicide rates. We aimed to research social, economic, cultural, and psychiatric reasons of suicides in Batman in a case-controlled psychological autopsy study comparing suicides with matched community controls. The female suicide rate was 9.3 per 100.000 and the female/male ratio was…

  5. "An Assessment of Ecosystem Services of the Everest Region, Nepal"

    OpenAIRE

    Tamang, Bikram

    2011-01-01

    Land use and land cover changes in the region were analyzed on the basis of information extracted from satellite image data. Based on this information, it is clearly noticed that the different land use classes have changed their forms and degrees in different time periods due to the driving forces such as national park activities, influx of Tibetan refugees, climate change and growth of tourism. Furthermore, the landscapes dynamics and their relation to the provisioning of ecosystem services ...

  6. Shuttle bus services quality assessment Tangerang Selatan toward smart city

    Science.gov (United States)

    Fassa, Ferdinand; Sitorus, Fredy Jhon Philip; Adikesuma, Tri Nugraha

    2017-11-01

    Around the world, shuttle bus operation played the significant role to accommodate transportation for commuting bus passengers. Shuttle Bus services in cities are provided by various bus agencies with kinds of own specific purposes. For instance, at Tangerang Selatan, Indonesia, it was said that shuttle bus In Trans Bintaro is run and operated by private bus companies hire by Bintaro developer. The aim of this research is to identify factors of satisfaction of shuttle bus service in Kota Tangerang Selatan, Indonesia. Several factors are used to analyze sums of 20 parameters performance indicators of Shuttle Bus. A face to face interview using a questionnaire (N=200) was used to collect data on October and March 2017. Likert and diagram Cartesian were used to model the all the parameters. This research succeeded in finding some categories of Shuttle bus service attributes such as accessibility, comfort, and safety. Users agreed that eight indicators in shuttle bus have the excellent achievement, while three indicators on performance remain low and should receive more attention especially punctuality of the bus.

  7. Assessing the ecosystem service potential of Tucson AZ's urban forest

    Science.gov (United States)

    Pavao-Zuckerman, M.

    2011-12-01

    Urbanization is arguably one of the most dramatic forms of landscape change, and an important anthropogenic influence on the structure and function of ecosystems. Cities have obvious impacts on local ecologies and environments, such as shifts in species diversity and alteration of local microclimates. While scientists are now familiar with many of these localized impacts of urbanization, cities and suburban areas contribute to 10-15 % of surface land cover in the conterminous U.S., pointing to the potential, yet poorly understood, contribution of cities to regional, national, and global carbon (C) and energy budgets. As cities continue to expand urban ecologists place more emphasis on understanding the functions of urban ecosystems and the ecosystem services (e.g. habitat, air, and water quality) that cities provide. While studies demonstrate that the urban environment alters the structure and function of remnant patches of native ecosystems relative to their non-urban counterparts, the ability of restoration, planning, and design to improve the provision of ecosystem services is a new approach within ecology. One strategy involves green urban design, or using ecological principles for planning or reinvigorating certain ecological processes, in cities. Increasing the amount of vegetative cover can reduce this effect by reinforcing ecosystem services in cities, including shading of surfaces, promotion of cooling through evapotranspiration, and the sequestration of atmospheric CO2 in plant tissues and soils. However, the on-the-ground reality of such strategies is relatively unknown. A pilot study is being conducted in Tucson, AZ to investigate the impact of increasing the cover of trees in the urban landscape on local microclimates and the urban heat island. Trees (Velvet Mesquite, Chilean Mesquite, and Desert Willow) were planted in two neighborhoods in Tucson in 1990. We are collecting data during the summer 2011 monsoon (DBH, crown volume, and hemispherical

  8. Assessing the Idaho Transportation Department's customer service performance.

    Science.gov (United States)

    2011-10-23

    This report assesses customer satisfaction with the Idaho Transportation Department. It also compares and contrasts the results of customer satisfaction surveys conducted for the Idaho Transportation Department with the results from other state trans...

  9. Needs Assessment of Guidance Services in Schools as A Method

    African Journals Online (AJOL)

    Emeka Egbochuku

    Key Words: Academic programme evaluation; counselling; educational standards ... good success in a needs assessment study of any educational programme. ..... technology colleges in Ontario: Jones and Geis, 1995; and for physical.

  10. assessment of clients' satisfaction with health service deliveries at ...

    African Journals Online (AJOL)

    Abrham

    Hence, the objective of this study was to assess the perceived levels of clients' ... doctor. Furthermore, satisfaction with the health care was found to have a significant association with the age ... those client values and expectations, which are.

  11. Berlengas Biosphere Reserve - Plan for the assessment of ecosystem services and functions

    Directory of Open Access Journals (Sweden)

    Sergio Miguel Leandro

    2014-05-01

    Full Text Available The project Berlengas Biosphere Reserve - Plan for the Assessment of Ecosystem Services and Functions arises from the need to identify and assess ecosystem services, promoting sustainable uses of the services in the Reserve. The high degradation rate currently observed in the natural systems, thus reducing the level and quality of ecosystem services, is reflected in a negative effect on environmental quality, human well-being and in some economic activities. Thus, it becomes inevitable to promote the need to convey the importance of these services to society. It is also essential to contribute to the development of innovative and environmentally sustainable practices which will maintain the functioning of the local ecosystem and the sustainability of the services. Thus, the main goals of this project are i to identify and analyse the impacts and dependencies on ecosystem services in the Reserve; ii to analyse the trends of the priority services, iii to identify the risks and opportunities associated with these services; iv to evaluate their value and ultimately iv to disseminate the results improving conservation and management. Based on the results to be obtained through the evaluation and maintenance of these services it is expected an improvement on the environment in the region and the development of efficient mechanisms for the management of resources. Started in February 2014, over the past 3 months much research has already been conducted, with emphasis for the identification of services and opportunities in the Reserve. Ecosystem services in Berlengas can range from simply providing essential goods or support (e.g. fish to cultural services (e.g. field trips, diving. Work is also being done to develop, define and optimize the methods to assess ecosystems services trends and values.

  12. Assessing ELT Pre-Service Teachers via Web 2.0 Tools: Perceptions toward Traditional, Online and Alternative Assessment

    Science.gov (United States)

    Cirit, Nazli Ceren

    2015-01-01

    The purpose of this study is to investigate the perceptions of the ELT pre-service teachers toward the traditional, alternative, and online assessment methods and examine whether the participants' attitudes change toward the types of assessment after the tasks via Web 2.0 tools are implemented. In the light of these aims, the study was conducted…

  13. Assessing Learner Satisfaction by Simultaneously Measuring Learner Attitude, Motivation, Loyalty and Service Quality in English Academies

    Science.gov (United States)

    Huong, Vu Thi; Casadesus, Marti; Marimon, Frederic

    2017-01-01

    The aims of this study are threefold in their approach to English academy teaching: (i) to assess learner satisfaction, (ii) to assess the impact of satisfaction on loyalty and (iii) to assess the three constructs that we considered to be the antecedents of learner satisfaction: learner motivation, learner attitude and service quality. To collect…

  14. North Carolina Family Assessment Scale: Measurement Properties for Youth Mental Health Services

    Science.gov (United States)

    Lee, Bethany R.; Lindsey, Michael A.

    2010-01-01

    Objective: The purpose of this study is to assess the reliability and validity of the North Carolina Family Assessment Scale (NCFAS) among families involved with youth mental health services. Methods: Using NCFAS data collected by child mental health intake workers with 158 families, factor analysis was conducted to assess factor structure, and…

  15. Assessing Land Use Change and Its Impact on Ecosystem Services in Northern Thailand

    Directory of Open Access Journals (Sweden)

    Sunsanee Arunyawat

    2016-08-01

    Full Text Available Ecosystem services are highly vulnerable to a number of impacts due to the complex effects of human use of natural resources and subsequent land use change. Assessment of the impact of change in land use with respect to ecosystem services is necessary in order to implement appropriate land uses that enhance ecosystem services. This study analysed the impact of change in land use on ecosystem services using the Integrated Valuation of Ecosystem Services and Trade-offs (InVEST model to map and quantify a set of ecosystem services, namely sediment retention, water yield, carbon stock, and habitat quality, in northern Thailand, which has experienced substantial policy induced land use change. The study also assessed the changes in land use from 1989 to 2013 and their impact on overall ecosystem services using GIS. Increased rubber plantation cultivation and built-up areas resulting in reduced forest cover were the major changes found in land use in the area. The results of the study show a general decrease in ecosystem services for the study period in the watershed, in particular, a negative impact on ecosystem services was observed in agricultural areas. The study findings on spatial and temporal distribution of ecosystem services can help guide the development of appropriate land use options to enhance ecosystem services.

  16. Social Values for Ecosystem Services (SolVES): using GIS to include social values information in ecosystem services assessments

    Science.gov (United States)

    Sherrouse, B.C.; Semmens, D.J.

    2010-01-01

    Ecosystem services can be defined in various ways; simply put, they are the benefits provided by nature, which contribute to human well-being. These benefits can range from tangible products such as food and fresh water to cultural services such as recreation and esthetics. As the use of these benefits continues to increase, additional pressures are placed on the natural ecosystems providing them. This makes it all the more important when assessing possible tradeoffs among ecosystem services to consider the human attitudes and preferences that express underlying social values associated with their benefits. While some of these values can be accounted for through economic markets, other values can be more difficult to quantify, and attaching dollar amounts to them may not be very useful in all cases. Regardless of the processes or units used for quantifying such values, the ability to map them across the landscape and relate them to the ecosystem services to which they are attributed is necessary for effective assessments. To address some of the needs associated with quantifying and mapping social values for inclusion in ecosystem services assessments, scientists at the Rocky Mountain Geographic Science Center (RMGSC), in collaboration with Colorado State University, have developed a public domain tool, Social Values for Ecosystem Services (SolVES). SolVES is a geographic information system (GIS) application designed to use data from public attitude and preference surveys to assess, map, and quantify social values for ecosystem services. SolVES calculates and maps a 10-point Value Index representing the relative perceived social values of ecosystem services such as recreation and biodiversity for various groups of ecosystem stakeholders. SolVES output can also be used to identify and model relationships between social values and physical characteristics of the underlying landscape. These relationships can then be used to generate predicted Value Index maps for areas

  17. DEVELOPMENT OF REMOTE TOOLS TO ASSESS THE EFFECTIVENESS AND QUALITY OF CAR SERVICE ENTERPRISES WORK

    Directory of Open Access Journals (Sweden)

    Vladimir Kozlovskiy

    2017-09-01

    Full Text Available The paper is updated development problem of remote tools to assess the effectiveness and work quality of the corporate car service enterprises. This paper presents the author’s methodology of activity estimation car service enterprises based on corporate information reflecting the report on the production activities of the service company. Specialized information system has been developed and implemented based on the proposed methodology. Specialized information system is the analytical tool for assessing the activities of enterprises the brand network of car service, for one of the largest national carmakers. The aim of research is development and realization of a monitoring system for certain areas of the car service work that significantly affect the quality process of the maintenance service. In addition, the paper is devoted to solving urgent issues of collection and processing of real data on warranty defects of cars.

  18. Service oriented architecture assessment based on software components

    Directory of Open Access Journals (Sweden)

    Mahnaz Amirpour

    2016-01-01

    Full Text Available Enterprise architecture, with detailed descriptions of the functions of information technology in the organization, tries to reduce the complexity of technology applications resulting in tools with greater efficiency in achieving the objectives of the organization. Enterprise architecture consists of a set of models describing this technology in different components performance as well as various aspects of the applications in any organization. Therefore, information technology development and maintenance management can perform well within organizations. This study aims to suggest a method to identify different types of services in service-oriented architecture analysis step that applies some previous approaches in an integrated form and, based on the principles of software engineering, to provide a simpler and more transparent approach through the expression of analysis details. Advantages and disadvantages of proposals should be evaluated before the implementation and costs allocation. Evaluation methods can better identify strengths and weaknesses of the current situation apart from selecting appropriate model out of several suggestions, and clarify this technology development solution for organizations in the future. We will be able to simulate data and processes flow within the organization by converting the output of the model to colored Petri nets and evaluate and test it by examining various inputs to enterprise architecture before implemented in terms of reliability and response time. A model of application has been studied for the proposed model and the results can describe and design architecture for data.

  19. Late-Quaternary variation in C3 and C4 grass abundance in southeastern Australia as inferred from δ13C analysis: Assessing the roles of climate, pCO2, and fire

    Science.gov (United States)

    Nelson, David M.; Urban, Michael A.; Kershaw, A. Peter; Hu, Feng Sheng

    2016-05-01

    Climate, atmospheric pCO2, and fire all may exert major influences on the relative abundance of C3 and C4 grasses in the present-day vegetation. However, the relative role of these factors in driving variation in C3 and C4 grass abundances in the paleorecord is uncertain, and C4 abundance is often interpreted narrowly as a proxy indicator of aridity or pCO2. We measured δ13C values of individual grains of grass (Poaceae) pollen in the sediments of two sites in southeastern Australia to assess changes in the proportions of C3 and C4 grasses during the past 25,000 years. These data were compared with shifts in pCO2, temperature, moisture balance, and fire to assess how these factors were related to long-term variation of C4 grass abundance during the late Quaternary. At Caledonia Fen, a high-elevation site in the Snowy Mountains, C4 grass abundance decreased from an average of 66% during the glacial period to 11% during the Holocene, primarily in response to increased pCO2 and temperature. In contrast, this pattern did not exist in low-elevation savannah woodlands around Tower Hill Northwest Crater, where C4 grass abundance instead varied in response to shifts in regional aridity. Fire did not appear to have strongly influenced the proportions of C3 and C4 grasses on the landscape at millennial timescales at either site. These patterns are similar to those of a recent study in East Africa, suggesting that elevation-related climatic differences influence how the abundance of C3 and C4 grasses responds to shifts in climate and pCO2. These results caution against using C4 plant abundance as a proxy indicator of either climate or pCO2 without an adequate understanding of key controlling factors.

  20. e-GovQual: A Multiple-Item Scale for Assessing e-Government Service Quality

    Science.gov (United States)

    Papadomichelaki, Xenia; Mentzas, Gregoris

    2012-01-01

    A critical element in the evolution of governmental services through the internet is the development of sites that better serve the citizens' needs. To deliver superior service quality, we must first understand how citizens perceive and evaluate online. Citizen assessment is built on defining quality, identifying underlying dimensions, and…

  1. Design and initial validation of the Raster method for telecom service availability risk assessment

    NARCIS (Netherlands)

    Vriezekolk, E.; Wieringa, R.J.; Etalle, S.; Rothkrantz, L.; Ristvej, J.; Franco, Z.

    2012-01-01

    Crisis organisations depend on telecommunication services; unavailability of these services reduces the effectiveness of crisis response. Crisis organisations should therefore be aware of availability risks, and need a suitable risk assessment method. Such a method needs to be aware of the

  2. Truancy Assessment and Service Centers (TASC): Engaging Elementary School Children and Their Families

    Science.gov (United States)

    Rhodes, Judith L. F.; Thomas, Johanna M.; Lemieux, Catherine M.; Cain, Daphne S.; Guin, Cecile C.

    2010-01-01

    This article reviews literature describing truancy and its correlates, and it analyzes the current research on truancy prevention programs. Few truancy prevention programs exist in elementary school settings. This article describes Truancy Assessment and Service Centers, a theory-driven program providing case management services to children in 85…

  3. Form follows function? Proposing a blueprint for ecosystem service assessments based on reviews and case studies

    NARCIS (Netherlands)

    Seppelt, R.; Fath, B.; Burkhard, B.; Fisher, J.L.; Grêt-Regamey, A.; Lautenbach, S.; Pert, P.; Hotes, S.; Spangenberg, J.; Verburg, P.H.; Oudenhoven, van A.P.E.

    2012-01-01

    Ecosystem service assessments (ESA) hold the promise of supporting the quantification and valuation of human appropriation of nature and its goods and services. The concept has taken flight with the number of studies published on the topic increasing rapidly. This development, and the variation of

  4. An Assessment of Experiential Learning of Global Poverty Issues through International Service Projects

    Science.gov (United States)

    Le, Quan V.; Raven, Peter V.

    2015-01-01

    Service learning has been used to supplement a standard business curriculum, but not typically in an international business context. We report the results of two short-term study abroad programs in which we incorporated service learning projects, one in Cambodia and the other in Vietnam. Our objective is to assess how we organized and delivered…

  5. Children with Epilepsy in School: Special Service Usage and Assessment Practices

    Science.gov (United States)

    Wodrich, David L.; Kaplan, Allen M.; Deering, William M.

    2006-01-01

    Special services usage and related assessment procedures were investigated for 50 students with epilepsy. Fifty-six percent of students with epilepsy received special education services, with mental retardation designation and self-contained placement common, especially among individuals with epilepsy plus a coexisting neurological diagnosis.…

  6. Assessment of health care services on crop farmers' activities in Oke ...

    African Journals Online (AJOL)

    Assessment of health care services on crop farmers' activities in Oke-Ero Local Government Area of Kwara State, Nigeria. ... It is concluded that, malaria was the most common sickness experienced by the farmers and they usually received healthcare services mainly on malaria and child delivery. It is therefore ...

  7. Design and initial validation of the Raster method for telecom service availability risk assessment

    NARCIS (Netherlands)

    Vriezekolk, E.; Wieringa, Roelf J.; Etalle, Sandro; Rothkrantz, L.J.M.; Ristvej, J.; Franco, Z.

    Crisis organisations depend on telecommunication services; unavailability of these services reduces the effectiveness of crisis response. Crisis organisations should therefore be aware of availability risks, and need a suitable risk assessment method. Such a method needs to be aware of the

  8. Assessing the impact of student counselling service centres at ...

    African Journals Online (AJOL)

    strategic purpose and in satisfying key strategic stakeholders. What is needed is a forward-looking role definition linked to a set of strategic impact and performance indicators as a basis for assessment. Such an approach opens up a way to view benefits not only in traditional accounting terms such as cost savings, but also ...

  9. Clean Energy and Water : an Assessment of Services for Adaptation ...

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

    This project aims to assess the potential of - and barriers to - the use of decentralized renewable energy technologies, as opposed to fossil-fuel based large-scale-systems. Independent researchers will prepare 12 case studies that will provide the basis for four reports to be presented and discussed in an expert meeting ...

  10. Economic assessment of the general thoracic surgery outpatient service.

    Science.gov (United States)

    Jones, David R; Vaughters, Ann B R; Smith, Philip W; Daniel, Thomas M; Shen, K Robert; Heinzmann, Janet L

    2006-09-01

    One aspect of the definition of institutional value for any program is based on the return on investment (ROI) for that program. Program requests for future resource allocations depend, in part, on that information. The purpose of this project was to determine the ROI for initial outpatient visits only for our General Thoracic Surgery (GTS) program. The number of GTS outpatient visits, studies, and requested consultations ordered by GTS surgeons only was determined after review of the hospital database and office records for the calendar year 2003. Only charges associated with the initial outpatient visits (no inpatient or physician charges) were included. Charges were based on hospital finance department data. The ROI for GTS outpatient services was calculated using total hospital costs and hospital collections. There were 689 initial outpatient GTS visits. The majority were for lung cancer (48%), benign lung diseases (21%), and esophageal diseases (14%). Total outpatient charges were 1.25M dollars and by disease process were lung cancer (644,000 dollars), benign lung disease (90,000 dollars), esophageal disease (159,000 dollars), and other (357,000 dollars). The most significant hospital charges were the following: radiology (850,000 dollars), laboratory studies (82,000 dollars), gastrointestinal medicine studies (59,000 dollars), and cardiology (42,000 dollars). Total operational costs for the GTS clinic were 415,000 dollars and hospital collections were 513,000 dollars, yielding an ROI of 98,000 dollars or an operating margin of 19%. An operating margin of 19% for GTS outpatient services is better than most Fortune 500 companies. Acquisition of this type of information by GTS surgeons may be helpful for future program development and institutional resource allocation.

  11. Geographical Clusters and Predictors of Rabies in Three Southeastern States.

    Science.gov (United States)

    Reilly, Sara; Sanderson, Wayne T; Christian, W Jay; Browning, Steven R

    2017-06-01

    The rabies virus causes progressive encephalomyelitis that is fatal in nearly 100% of untreated cases. In the United States, wildlife act as the primary reservoir for rabies; prevention, surveillance, and control costs remain high. The purpose of this study is to understand the current distribution of wildlife rabies in three southeastern states, with particular focus on raccoons as the primary eastern reservoir, as well as identify demographic and geographic factors which may affect the risk of human exposure. This ecologic study obtained county-level rabies surveillance data from state health departments and the United States Department of Agriculture Wildlife services for North Carolina, Virginia, and West Virginia from 2010 to 2013. A spatial statistical analysis was performed to identify county clusters with high or low rates of raccoon rabies in the three states. Potential demographic and geographic factors associated with these varying rates of rabies were assessed using a multivariable negative binomial regression model. In North Carolina, raccoons constituted 50% of positive tests, in Virginia, 49%, and in West Virginia, 50%. Compared to persons residing in West Virginia counties, persons in North Carolina counties had 1.67 times the risk of exposure (p rabies exposure. Further research is needed to better understand the effect of the oral rabies vaccine program in controlling the risk of human exposure to raccoon rabies.

  12. The need for the implementation of an Ecosystem Services assessment in Greece: drafting the national agenda

    OpenAIRE

    Dimopoulos,Panayotis; Drakou,Evangelia; Kokkoris,Ioannis; Katsanevakis,Stelios; Kallimanis,Athanasios; Tsiafouli,Maria; Bormpoudakis,Dimitrios; Kormas,Konstantinos; Arends,Jeroen

    2017-01-01

    This paper presents the establishment and the first outcomes of the Hellenic Ecosystem Services Partnership (HESP), a scientific-technical committee aiming at the guidance and coordination of the Ecosystem Services (ES) assessment in Greece. HESP consists of experts from different disciplines (ecology, marine biology, socio-ecological system science) and aims to: i) coordinate ES assessment efforts under a shared framework; ii) promote the ES approach in Greece; iii) support the European impl...

  13. Linking Land Cover Data and Crop Yields for Mapping and Assessment of Pollination Services in Europe

    OpenAIRE

    Grazia Zulian; Joachim Maes; Maria Luisa Paracchini

    2013-01-01

    Pollination is a key ecosystem service as many crops but in particular, fruits and vegetables are partially dependent on pollinating insects to produce food for human consumption. Here we assessed how pollination services are delivered at the European scale. We used this assessment to estimate the relative contribution of wild pollinators to crop production. We developed an index of relative pollination potential, which is defined as the relative potential or relative capacity of ecosystems t...

  14. Assessment of Service Desk Quality at an Academic Health Sciences Library.

    Science.gov (United States)

    Blevins, Amy E; DeBerg, Jennifer; Kiscaden, Elizabeth

    2016-01-01

    Due to an identified need for formal assessment, a small team of librarians designed and administered a survey to gauge the quality of customer service at their academic health sciences library. Though results did not drive major changes to services, several important improvements were implemented and a process was established to serve as a foundation for future use. This article details the assessment process used and lessons learned during the project.

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

    Science.gov (United States)

    Crossno, Jon E.; Berkins, Brenda; Gotcher, Nancy; Hill, Judith L.; McConoughey, Michelle; Walters, Mitchel

    2001-01-01

    Objectives: 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. Methods: 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: 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. Conclusions: 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. PMID:11337948

  16. Spatial Assessment of Forest Ecosystem Functions and Services using Human Relating Factors for SDG

    Science.gov (United States)

    Song, C.; Lee, W. K.; Jeon, S. W.; Kim, T.; Lim, C. H.

    2015-12-01

    Application of ecosystem service concept in environmental related decision making could be numerical and objective standard for policy maker between preserving and developing perspective of environment. However, pursuing maximum benefit from natural capital through ecosystem services caused failure by losing ecosystem functions through its trade-offs. Therefore, difference between ecosystem functions and services were demonstrated and would apply human relating perspectives. Assessment results of ecosystem functions and services can be divided 3 parts. Tree growth per year set as the ecosystem function factor and indicated through so called pure function map. After that, relating functions can be driven such as water conservation, air pollutant purification, climate change regulation, and timber production. Overall process and amount are numerically quantified. These functional results can be transferred to ecosystem services by multiplying economic unit value, so function reflecting service maps can be generated. On the other hand, above services, to implement more reliable human demand, human reflecting service maps are also be developed. As the validation, quantified ecosystem functions are compared with former results through pixel based analysis. Three maps are compared, and through comparing difference between ecosystem function and services and inversed trends in function based and human based service are analysed. In this study, we could find differences in PF, FRS, and HRS in relation to based ecosystem conditions. This study suggests that the differences in PF, FRS, and HRS should be understood in the decision making process for sustainable management of ecosystem services. Although the analysis is based on in sort existing process separation, it is important to consider the possibility of different usage of ecosystem function assessment results and ecosystem service assessment results in SDG policy making. Furthermore, process based functional approach

  17. Quality assessment of child care services in primary health care settings of Central Karnataka (Davangere District

    Directory of Open Access Journals (Sweden)

    Rashmi

    2010-01-01

    Full Text Available Background: Infectious disease and malnutrition are common in children. Primary health care came into being to decrease the morbidity. Quality assessment is neither clinical research nor technology assessment. It is primarily an administrative device used to monitor performance to determine whether it continues to remain within acceptable bounds. Aims and Objectives: To assess the quality of service in the delivery of child health care in a primary health care setting. To evaluate client satisfaction. To assess utilization of facilities by the community. Materials and Methods: Study Type: Cross-sectional community-based study. Quality assessment was done by taking 30-50%, of the service provider. Client satisfaction was determined with 1 Immunization and child examination-90 clients each. Utilization of services was assessed among 478 households. Statistical Analysis: Proportions, Likert′s scale to grade the services and Chi-square. Results: Immunization service: Identification of needed vaccine, preparation and care was average. Vaccination technique, documentation, EPI education, maintenance of cold chain and supplies were excellent. Client satisfaction was good. Growth monitoring: It was excellent except for mother′s education andoutreach educational session . Acute respiratory tract infection care: History, physical examination, ARI education were poor. Classification, treatment and referral were excellent. Client satisfaction was good. Diarrheal disease care: History taking was excellent. But examination, classification, treatment, ORT education were poor. Conclusion: Mothers education was not stressed by service providers. Service providers′ knowledge do not go with the quality of service rendered. Physical examination of the child was not good. Except for immunization other services were average.

  18. Assessing Pre-Service Physics Teachers’ Energy Literacy: An Application of Rasch measurement

    Science.gov (United States)

    Yusup, M.; Setiawan, A.; Rustaman, N. Y.; Kaniawati, I.

    2017-09-01

    This paper aims to present a summary of pre-service physics teachers’ responses on energy literacy assessment. A total of 123 pre-service physics teacher in first through third year of education participated. Data were analyzed using Rasch modeling. Research findings indicate that pre-service physics teachers show their low self-system toward energy conservation. They were also still lack of metacognitive and cognitive competencies. These finding provide information for the future development of curriculum, teaching and learning that can improve pre-service physics teachers’ energy literacy.

  19. An Investigation of the Development of Pre-Service Teacher Assessment Literacy through Individualized Tutoring and Peer Debriefing

    Science.gov (United States)

    Odo, Dennis Murphy

    2016-01-01

    Many pre-service teachers lack deep understanding of assessment concepts and have low selfefficacy for using assessments but pre-service on-campus programs have been shown to support their assessment literacy development. Likewise, individualized tutoring has helped pre-service candidates improve instructional practice and peer debriefing has been…

  20. Development and Evaluation of a Novel Survey Tool Assessing Inpatient Consult Service Performance.

    Science.gov (United States)

    Miloslavsky, Eli M; Chang, Yuchiao

    2017-12-01

    Subspecialty consultation in inpatient medicine is increasing, and enhancing performance of consultation services may have a broad-reaching impact. Multisource feedback is an important tool in assessing competence and improving performance. A mechanism for primary team resident feedback on performance of consult services has not been described. We developed and evaluated an instrument designed to assess internal medicine (IM) subspecialty inpatient consult service performance. We hypothesized that the instrument would be feasible to administer and provide important information to fellowship directors. The instrument was administered in 2015 and 2016 at a single academic center. All IM residents were invited to evaluate 10 IM subspecialty consult services on 4 items and an overall satisfaction rating. The instrument allowed for free-text feedback to fellows. Program directors completed another survey assessing the impact of the consult service evaluation. A total of 113 residents responded (47 in 2015 and 66 in 2016, for a combined response rate of 35%). Each of the 4 items measured (communication, professionalism, teaching, and pushback) correlated significantly with the overall satisfaction rating in univariate and multivariate analyses. There were no differences in ratings across postgraduate year or year of administration. There was considerable variation in ratings among the services evaluated. The 7 program directors who provided feedback found the survey useful and made programmatic changes following evaluation implementation. A primary team resident evaluation of inpatient medicine subspecialty consult services is feasible, provides valuable information, and is associated with changes in consult service structure and curricula.

  1. A Fish-Based Index of Biotic Integrity for the Assessment of Streams Located in a Sugarcane-Dominated Landscape in Southeastern Brazil

    Science.gov (United States)

    dos Santos, Fernanda Bastos; Esteves, Katharina Eichbaum

    2015-08-01

    A multimetric, fish-based Index of Biotic Integrity (IBI) was developed and tested to assess the ecological status of streams with different riparian conditions in the Piracicaba River Basin. Nine streams with three categories of riparian zone preservation were selected: native forest (NF) with preserved forest, secondary forest (SF) with forest in an advanced state of regeneration and surrounded by sugarcane plantations, and sugarcane (SC) without riparian vegetation and surrounded by SC crops. A continuous scoring system was employed, and candidate metrics were tested for range, responsiveness, and redundancy, resulting in the selection of eight metrics to compose the index. The final IBI score was positively correlated with an Environmental Index both in the dry (Spearman's rho = 0.76; P = 0.01) and rainy seasons (Spearman's rho = 0.66; P = 0.04), suggesting that this IBI is a suitable tool for the assessment of the biological conditions of these streams. The highest IBI values were observed in the rainy season at the NF and SF sites, with significant differences between the NF and SC sites (Kruskal-Wallis test: P = 0.03). The results indicated some variability in the biological integrity at SF and SC sites, suggesting a relationship with the intensity of the management of this crop. Patterns were consistent with other studies that have shown the effects of agriculture on the environmental quality of streams, which indicate the importance of the riparian zone to the maintenance of ecosystem integrity and supports the use of the IBI for biological monitoring in similar regions.

  2. A Fish-Based Index of Biotic Integrity for the Assessment of Streams Located in a Sugarcane-Dominated Landscape in Southeastern Brazil.

    Science.gov (United States)

    dos Santos, Fernanda Bastos; Esteves, Katharina Eichbaum

    2015-08-01

    A multimetric, fish-based Index of Biotic Integrity (IBI) was developed and tested to assess the ecological status of streams with different riparian conditions in the Piracicaba River Basin. Nine streams with three categories of riparian zone preservation were selected: native forest (NF) with preserved forest, secondary forest (SF) with forest in an advanced state of regeneration and surrounded by sugarcane plantations, and sugarcane (SC) without riparian vegetation and surrounded by SC crops. A continuous scoring system was employed, and candidate metrics were tested for range, responsiveness, and redundancy, resulting in the selection of eight metrics to compose the index. The final IBI score was positively correlated with an Environmental Index both in the dry (Spearman's rho = 0.76; P = 0.01) and rainy seasons (Spearman's rho = 0.66; P = 0.04), suggesting that this IBI is a suitable tool for the assessment of the biological conditions of these streams. The highest IBI values were observed in the rainy season at the NF and SF sites, with significant differences between the NF and SC sites (Kruskal-Wallis test: P = 0.03). The results indicated some variability in the biological integrity at SF and SC sites, suggesting a relationship with the intensity of the management of this crop. Patterns were consistent with other studies that have shown the effects of agriculture on the environmental quality of streams, which indicate the importance of the riparian zone to the maintenance of ecosystem integrity and supports the use of the IBI for biological monitoring in similar regions.

  3. Students’ Perceptions about Role of Faculty and Administrative Staff in Business Education Service Quality Assessment

    Directory of Open Access Journals (Sweden)

    Maja Arslanagić-Kalajdžić

    2014-06-01

    Full Text Available This paper focuses on dimensions of the perceived service quality measurement for business schools. We propose an adapted SERVQUAL measure of expected and perceived quality, where employees at business schools are split into two groups: faculty and administrative staff, and assessed separately. This measure represents a tool for comparable service quality assessment at business schools. Empirical data were collected among undergraduate students in a developing economy. A total of 282 respondents were used to assess the overall fit of the proposed model and to test the differences between the expectations and the perceptions of service quality in a business school. The results support usability of the proposed adapted SERVQUAL measure. Therefore, the study contributes to the existing literature reporting the findings on service quality in an educational context.

  4. Evaluation of a Clinical Service Model for Dysphagia Assessment via Telerehabilitation

    Directory of Open Access Journals (Sweden)

    Elizabeth C. Ward

    2013-01-01

    employed to examine the outcomes of a weekly dysphagia assessment clinic conducted via telerehabilitation and examine issues relating to service delivery and user perceptions. Data was collected across a total of 100 patient assessments. Information relating to primary patient outcomes, session statistics, patient perceptions, and clinician perceptions was examined. Results revealed that session durations averaged 45 minutes, there was minimal technical difficulty experienced, and clinical decisions made regarding primary patient outcomes were comparable between the online and face to face clinicians. Patient satisfaction was high and clinicians felt that they developed good rapport, found the system easy to use, and were satisfied with the service in over 90% of the assessments conducted. Key factors relating to screening patient suitability, having good general organization, and skilled staff were identified as facilitators for the service. This trial has highlighted important issues for consideration when planning or implementing a telerehabilitation service for dysphagia management.

  5. Service quality assessment of workers compensation health care delivery programs in New York using SERVQUAL.

    Science.gov (United States)

    Arunasalam, Mark; Paulson, Albert; Wallace, William

    2003-01-01

    Preferred provider organizations (PPOs) provide healthcare services to an expanding proportion of the U.S. population. This paper presents a programmatic assessment of service quality in the workers' compensation environment using two different models: the PPO program model and the fee-for-service (FFS) payor model. The methodology used here will augment currently available research in workers' compensation, which has been lacking in measuring service quality determinants and assessing programmatic success/failure of managed care type programs. Results indicated that the SERVQUAL tool provided a reliable and valid clinical quality assessment tool that ascertained that PPO marketers should focus on promoting physician outreach (to show empathy) and accessibility (to show reliability) for injured workers.

  6. [Risk assessment for food preparation, cooking and service].

    Science.gov (United States)

    Cottica, Danilo; Grignani, Elena

    2014-01-01

    The restaurant and food preparation, cooking and distribution sector includes hotels, restaurants, catering, fast food, ecc. The restaurant and food preparation, cooking and distribution sector form a significant part of the Italian economy; they provide employment for a large number of people, both direct employees as well as part-time and contract staff. In this sector there are many hazards that can lead to a broad range of injuries and/or diseases to the workers. For the safety these hazards principally are slick floors, open flames, high temperature cooking surfaces, steam, knives and other cutting instruments and machineries. For the health: cleaning and disinfecting chemicals substances, cooking fumes and vapors, biological agents, heavy loads handling, thermal comfort, ecc. The paper presents an overview of the hazards in the sector and then make a focus on chemical risks identification and assessment to evaluate the workers' exposure (by skin adsorption and inhalation).

  7. From Assessment to Implementation: Using Qualitative Interviews to Inform Distance Learning Library Services

    Science.gov (United States)

    Wharton, Lindsey N.

    2017-01-01

    While broad assessment projects are often used to steer library strategic planning initiatives, this article will present the benefits of qualitative interviews with distance learning constituents as a framework for developing a focused vision and targeted services. This article will describe the planning and execution of an assessment project…

  8. How Is My Child Doing?: Preparing Pre-Service Teachers to Engage Parents through Assessment

    Science.gov (United States)

    Mehlig, Lisa M.; Shumow, Lee

    2013-01-01

    The aim of this study was to help pre-service teachers develop basic knowledge and skill for partnering with families on assessment-related issues. An assessment class for teacher educators (experimental group) participated in role-playing activities designed to expand their understanding and skill in a way that would help them learn how to…

  9. Unsupervised deep learning for real-time assessment of video streaming services

    NARCIS (Netherlands)

    Torres Vega, M.; Mocanu, D.C.; Liotta, A.

    2017-01-01

    Evaluating quality of experience in video streaming services requires a quality metric that works in real time and for a broad range of video types and network conditions. This means that, subjective video quality assessment studies, or complex objective video quality assessment metrics, which would

  10. Evaluation Services from Needs Assessment to Follow-up: A Case Study.

    Science.gov (United States)

    Broadbooks, Wendy J.

    This paper describes the nature and scope of evaluation services provided within the training division of Arthur Andersen & Company, and highlights some of the evaluation results. The cycle of assessment began with a needs assessment study at the curriculum level. Curriculum planning was undertaken for first-year trainees in the Tax Division.…

  11. Assessment of nonpoint source chemical loading potential to watersheds containing uranium waste dumps and human health hazards associated with uranium exploration and mining, Red, White, and Fry Canyons, southeastern Utah, 2007

    Science.gov (United States)

    Beisner, Kimberly R.; Marston, Thomas M.; Naftz, David L.; Snyder, Terry; Freeman, Michael L.

    2010-01-01

    During May, June, and July 2007, 58 solid-phase samples were collected from abandoned uranium mine waste dumps, background sites, and adjacent streambeds in Red, White, and Fry Canyons in southeastern Utah. The objectives of this sampling program were to (1) assess the nonpoint-source chemical loading potential to ephemeral and perennial drainage basins from uranium waste dumps and (2) assess potential effects on human health due to recreational activities on and around uranium waste dumps on Bureau of Land Management property. Uranium waste-dump samples were collected using solid-phase sampling protocols. After collection, solid-phase samples were homogenized and extracted in the laboratory using a leaching procedure. Filtered (0.45 micron) water samples were obtained from the field leaching procedure and were analyzed for major and trace elements at the Inductively Coupled Plasma-Mass Spectrometry Metals Analysis Laboratory at the University of Utah. A subset of the solid-phase samples also were digested with strong acids and analyzed for major ions and trace elements at the U.S. Geological Survey Geologic Division Laboratory in Denver, Colorado. For the initial ranking of chemical loading potential for uranium waste dumps, results of leachate analyses were compared with existing aquatic-life and drinking-water-quality standards. To assess potential effects on human health, solid-phase digestion values for uranium were compared to soil screening levels (SSL) computed using the computer model RESRAD 6.5 for a probable concentration of radium. One or more chemical constituents exceeded aquatic life and drinking-water-quality standards in approximately 64 percent (29/45) of the leachate samples extracted from uranium waste dumps. Most of the uranium waste dump sites with elevated trace-element concentrations in leachates were located in Red Canyon. Approximately 69 percent (31/45) of the strong acid digestible soil concentration values were greater than a calculated

  12. Ground-Dwelling Arthropod Communities of a Sky Island Mountain Range in Southeastern Arizona, USA: Obtaining a Baseline for Assessing the Effects of Climate Change.

    Directory of Open Access Journals (Sweden)

    Wallace M Meyer

    Full Text Available The few studies that have addressed past effects of climate change on species distributions have mostly focused on plants due to the rarity of historical faunal baselines. However, hyperdiverse groups like Arthropoda are vital to monitor in order to understand climate change impacts on biodiversity. This is the first investigation of ground-dwelling arthropod (GDA assemblages along the full elevation gradient of a mountain range in the Madrean Sky Island Region, establishing a baseline for monitoring future changes in GDA biodiversity. To determine how GDA assemblages relate to elevation, season, abiotic variables, and corresponding biomes, GDA were collected for two weeks in both spring (May and summer (September 2011 in the Santa Catalina Mountains, Arizona, using pitfall traps at 66 sites in six distinct upland (non-riparian/non-wet canyon biomes. Four arthropod taxa: (1 beetles (Coleoptera, (2 spiders (Araneae, (3 grasshoppers and crickets (Orthoptera, and (4 millipedes and centipedes (Myriapoda were assessed together and separately to determine if there are similar patterns across taxonomic groups. We collected 335 species of GDA: 192/3793 (species/specimens Coleoptera, 102/1329 Araneae, 25/523 Orthoptera, and 16/697 Myriapoda. GDA assemblages differed among all biomes and between seasons. Fifty-three percent (178 species and 76% (254 species of all GDA species were found in only one biome and during only one season, respectively. While composition of arthropod assemblages is tied to biome and season, individual groups do not show fully concordant patterns. Seventeen percent of the GDA species occurred only in the two highest-elevation biomes (Pine and Mixed Conifer Forests. Because these high elevation biomes are most threatened by climate change and they harbor a large percentage of unique arthropod species (11-25% depending on taxon, significant loss in arthropod diversity is likely in the Santa Catalina Mountains and other isolated

  13. Heavy metals and health risk assessment of arable soils and food crops around Pb-Zn mining localities in Enyigba, southeastern Nigeria

    Science.gov (United States)

    Obiora, Smart C.; Chukwu, Anthony; Davies, Theophilus C.

    2016-04-01

    This study determined the heavy metals concentration in arable soils and associated food crops around the Pb-Zn mines in Enyigba, Nigeria, and metal transfer factors were calculated. Air-dried samples of the soils and food crops were analyzed for 8 known nutritional and toxic heavy metals by Inductively Coupled Plasma - Mass Spectrometer (ICP-MS) method. Eighty seven percent of all the 20 sampled soils contain Pb in excess of the maximum allowable concentration (MAC) set by Canadian Environmental Quality Guideline (CCME) and European Union (EU) Standard, while Zn in thirty-one percent of the samples exceeded the CCME for MAC of 200 mg/kg. All the food crops, with the exception of yam tuber, contain Pb which exceeded the 0.43 mg/kg and 0.3 mg/kg MAC standards of EU and WHO/FAO respectively, with the leafy vegetables accumulating more Pb than the tubers. The metal transfer factors in the tubers and the leafy vegetables were in the order: Mo > Cu > Zn > Mn > As > Cd > Cr > Ni > Pb and Cd > Cu > Zn > Mn > Mo > As > Ni > Pb > Cr, respectively. Risk assessment studies revealed no health risk in surrounding populations for most of the heavy metals. However, Pb had a high health risk index (HRI) of 1.1 and 1.3, in adults and children, respectively for cassava tuber; Pb had HRI > 1 in lemon grass while Mn also had HRI > 1 in all the leafy vegetables for both adult and children. This high level of HRI for Pb and Mn is an indication that consumers of the food crops contaminated by these metals are at risk of health problems such as Alzheimers' disease and Manganism, associated with excessive intake of these metals. Further systematic monitoring of heavy metal fluxes in cultivable soils around the area of these mines is recommended.

  14. [Performance assessment of health services in Catalonia (Spain): evaluation of initial results of the Catalan healthcare service project].

    Science.gov (United States)

    García-Altés, Anna; Dalmau-Bueno, Albert; Colls, Cristina; Mendivil, Joan; Benet, Josep; Mompart, Anna; Torné, Elvira; Zara, Corinne; Borrell, Carme; Brugulat, Pilar; Guarga, Alex

    2009-01-01

    Performance assessment of healthcare services is receiving greater attention due to increasing health care expenditures, greater expectations among the population, and the need to obtain results from the invested resources. Taking advantage of the existing experience of the Agència de Salut Pública de Barcelona and the Consorci Sanitari de Barcelona, which compared the healthcare services of Barcelona and Montreal, a grant from the Agència d'Avaluació de Tecnologia i Recerca Mèdiques, and the health planning interest of the Departament de Salut, the performance assessment of the Catalan healthcare service project was started in Catalonia in 2005. This article aims to present the development of the project, to provide some examples that illustrate the kind of numerical and graphical information that could be obtained and the kind of analysis that could be performed, to provide possible explanations for the results shown, and to discuss some limitations and implications. Currently, the added value of this project is that it identifies the extent to which the healthcare system is achieving its objectives, establishes a set of homogeneous indicators that could be used in the future, and is a key tool in the development of the Central de Resultats del Departament de Salut de la Generalitat de Catalunya.

  15. Quality Assessment of Family Planning Sterilization Services at Health Care Facilities: Case Record Audit.

    Science.gov (United States)

    Mathur, Medha; Goyal, Ram Chandra; Mathur, Navgeet

    2017-05-01

    Quality of sterilization services is a matter of concern in India because population control is a necessity. Family Planning Sterilization (FPS) services provided at public health care facilities need to be as per Standard Operating Procedures. To assess the quality of FPS services by audit of case records at selected health care facilities. This cross-sectional study was conducted for two and a half year duration at selected public health care facilities of central India by simple random sampling where FPS services were provided. As per the standards of Government of India, case records were audited and compliance was calculated to assess the quality of services. Results of record audit were satisfactory but important criteria like previous contraceptive history and postoperative counselling were found to be deviated from standards. At Primary Health Centres (PHCs) only 89.5% and at Community Health Centres (CHCs) 58.7% of records were having details of previous contraceptive history. Other criteria like mental illness (only 70% at CHCs) assessment were also inadequate. Although informed consent was found to be having 100% compliance in all records. Quality of care in FPS services is the matter of concern in present scenario for better quality of services. This study may enlighten the policy makers regarding improvements needed for providing quality care.

  16. Ecosytem Services: A Rapid Assessment Method Tested at 35 Sites of the LTER-Europe Network

    Directory of Open Access Journals (Sweden)

    Dick Jan

    2014-08-01

    Full Text Available The identification of parameters to monitor the ecosystem services delivered at a site is fundamental to the concept’s adoption as a useful policy instrument at local, national and international scales. In this paper we (i describe the process of developing a rapid comprehensive ecosystem service assessment methodology and (ii test the applicability of the protocol at 35 long-term research (LTER sites across 14 countries in the LTER-Europe network (www.lter-europe.net including marine, urban, agricultural, forest, desert and conservation sites. An assessment of probability of occurrence with estimated confidence score using 83 ecosystem service parameters was tested. The parameters were either specific services like food production or proxies such as human activities which were considered surrogates for cultural diversity and economic activity. This initial test of the ecosystem service parameter list revealed that the parameters tested were relatively easy to score by site managers with a high level of certainty (92% scored as either occurring or not occurring at the site with certainty of over 90%. Based on this assessment, we concluded that (i this approach to operationalise the concept of ecosystem services is practical and applicable by many sectors of civil society as a first screen of the ecosystem services present at a site, (ii this study has direct relevance to land management and policy decision makers as a transparent vehicle to focus testing scenarios and target data gathering, but (iii further work beyond the scale investigated here is required to ensure global applicability.

  17. A comparative assessment of tools for ecosystem services quantification and valuation

    Science.gov (United States)

    Bagstad, Kenneth J.; Semmens, Darius; Waage, Sissel; Winthrop, Robert

    2013-01-01

    To enter widespread use, ecosystem service assessments need to be quantifiable, replicable, credible, flexible, and affordable. With recent growth in the field of ecosystem services, a variety of decision-support tools has emerged to support more systematic ecosystem services assessment. Despite the growing complexity of the tool landscape, thorough reviews of tools for identifying, assessing, modeling and in some cases monetarily valuing ecosystem services have generally been lacking. In this study, we describe 17 ecosystem services tools and rate their performance against eight evaluative criteria that gauge their readiness for widespread application in public- and private-sector decision making. We describe each of the tools′ intended uses, services modeled, analytical approaches, data requirements, and outputs, as well time requirements to run seven tools in a first comparative concurrent application of multiple tools to a common location – the San Pedro River watershed in southeast Arizona, USA, and northern Sonora, Mexico. Based on this work, we offer conclusions about these tools′ current ‘readiness’ for widespread application within both public- and private-sector decision making processes. Finally, we describe potential pathways forward to reduce the resource requirements for running ecosystem services models, which are essential to facilitate their more widespread use in environmental decision making.

  18. Assessing rural small community water supply in Limpopo, South Africa: water service benchmarks and reliability.

    Science.gov (United States)

    Majuru, Batsirai; Jagals, Paul; Hunter, Paul R

    2012-10-01

    Although a number of studies have reported on water supply improvements, few have simultaneously taken into account the reliability of the water services. The study aimed to assess whether upgrading water supply systems in small rural communities improved access, availability and potability of water by assessing the water services against selected benchmarks from the World Health Organisation and South African Department of Water Affairs, and to determine the impact of unreliability on the services. These benchmarks were applied in three rural communities in Limpopo, South Africa where rudimentary water supply services were being upgraded to basic services. Data were collected through structured interviews, observations and measurement, and multi-level linear regression models were used to assess the impact of water service upgrades on key outcome measures of distance to source, daily per capita water quantity and Escherichia coli count. When the basic system was operational, 72% of households met the minimum benchmarks for distance and water quantity, but only 8% met both enhanced benchmarks. During non-operational periods of the basic service, daily per capita water consumption decreased by 5.19l (pwater sources were 639 m further (p ≤ 0.001, 95% CI 560-718). Although both rudimentary and basic systems delivered water that met potability criteria at the sources, the quality of stored water sampled in the home was still unacceptable throughout the various service levels. These results show that basic water services can make substantial improvements to water access, availability, potability, but only if such services are reliable. Copyright © 2012 Elsevier B.V. All rights reserved.

  19. A proposed model for assessing service quality in small machining and industrial maintenance companies

    Directory of Open Access Journals (Sweden)

    Morvam dos Santos Netto

    2014-11-01

    Full Text Available Machining and industrial maintenance services include repair (corrective maintenance of equipments, activities involving the assembly-disassembly of equipments, fault diagnosis, machining operations, forming operations, welding processes, assembly and test of equipments. This article proposes a model for assessing the quality of services provided by small machining and industrial maintenance companies, since there is a gap in the literature regarding this issue and because the importance of small service companies in socio-economic development of the country. The model is an adaptation of the SERVQUAL instrument and the criteria determining the quality of services are designed according to the service cycle of a typical small machining and industrial maintenance company. In this sense, the Moments of Truth have been considered in the preparation of two separate questionnaires. The first questionnaire contains 24 statements that reflect the expectations of customers, and the second one contains 24 statements that measure perceptions of service performance. An additional item was included in each questionnaire to assess, respectively, the overall expectation about the services and the overall company performance. Therefore, it is a model that considers the interfaces of the client/supplier relationship, the peculiarities of the machining and industrial maintenance service sector and the company size.

  20. Assessing Medical Tourism Services Quality Using SERVQUAL Model: A Patient’s Perspective

    Science.gov (United States)

    QOLIPOUR, Mohammad; TORABIPOUR, Amin; FARAJI KHIAVI, Farzad; SAKI MALEHI, Amal

    2018-01-01

    Background: Continuous quality improvement of the hospital services is a basic requirement of medical tourism industry. The different dimensions of hospital services quality are assessed constantly to improve the service of medical tourism. The aim of this study was to determine the services quality of medical tourism in private and public hospitals. Methods: In this cross-sectional study, the quality of hospital services were assessed in view of 250 Iraqi tourists referred to Ahvaz private and public hospitals in 2015. Data were collected using a valid medical tourism SERVQUAL questionnaire (MTSQ). This questionnaire includes 8 main dimensions with 31 items. Finally, Mann-Whitney, Kruskal-Wallis and Wilcoxon tests were used to analyze the data. Results: The mean of age of patients was 39±2.2 yr. The mean of hospital length of stay was 3.87±1.36 days. The most patients were admitted to Orthopedics, Otorhinolaryngology, Obstetrics, and Gynecology departments, respectively. There was a negative gap in all of the dimensions of service quality in the studied hospitals (P>0.001). The highest and lowest quality gap was seen in the “exchange and travel facilities” (−2.63) and the “tangibles” (−0.68) dimension, respectively. Conclusion: There was a negative gap in all of the dimensions of service quality in the studied hospitals. Therefore, the hospital services quality is improved to attract the foreign patients. PMID:29318124

  1. Assessing Medical Tourism Services Quality Using SERVQUAL Model: A Patient's Perspective.

    Science.gov (United States)

    Qolipour, Mohammad; Torabipour, Amin; Faraji Khiavi, Farzad; Saki Malehi, Amal

    2018-01-01

    Continuous quality improvement of the hospital services is a basic requirement of medical tourism industry. The different dimensions of hospital services quality are assessed constantly to improve the service of medical tourism. The aim of this study was to determine the services quality of medical tourism in private and public hospitals. In this cross-sectional study, the quality of hospital services were assessed in view of 250 Iraqi tourists referred to Ahvaz private and public hospitals in 2015. Data were collected using a valid medical tourism SERVQUAL questionnaire (MTSQ). This questionnaire includes 8 main dimensions with 31 items. Finally, Mann-Whitney, Kruskal-Wallis and Wilcoxon tests were used to analyze the data. The mean of age of patients was 39±2.2 yr. The mean of hospital length of stay was 3.87±1.36 days. The most patients were admitted to Orthopedics, Otorhinolaryngology, Obstetrics, and Gynecology departments, respectively. There was a negative gap in all of the dimensions of service quality in the studied hospitals ( P >0.001). The highest and lowest quality gap was seen in the "exchange and travel facilities" (-2.63) and the "tangibles" (-0.68) dimension, respectively. There was a negative gap in all of the dimensions of service quality in the studied hospitals. Therefore, the hospital services quality is improved to attract the foreign patients.

  2. Patient satisfaction with a chronic kidney disease risk assessment service in community pharmacies.

    Science.gov (United States)

    Gheewala, Pankti A; Peterson, Gregory M; Zaidi, Syed Tabish R; Jose, Matthew D; Castelino, Ronald L

    2018-04-01

    Patient satisfaction is an important determinant of the feasibility and sustainability of community pharmacy screening services. However, few studies have evaluated this, with no such study performed for a chronic kidney disease risk assessment service. The aim was to determine patient satisfaction with a chronic kidney disease risk assessment service performed in community pharmacies. Community pharmacies in the state of Tasmania, Australia. An anonymous nine-item satisfaction survey, with Likert-type scales, was developed following a literature review of existing surveys. Reliability of the nine-item scale was determined using Cronbach's alpha. Patients were asked an additional question on willingness to pay, with choices of amount from $5 to $25. The satisfaction survey was mailed to 389 patients who participated in the chronic kidney disease risk assessment study. Patient level of satisfaction with and willingness to pay for the chronic kidney disease service. Responses from 143 participants were included in the final analysis. Cronbach's alpha for the nine-item satisfaction scale was 0.87. The majority of participants agreed that the time required to undergo the risk assessment process was justified (90.2%); overall, they were satisfied with the chronic kidney disease risk assessment service (90.0%) and they felt comfortable with the pharmacist referring their results to their doctor (88.9%). Of 136 participants who answered the question on willingness to pay, 62.9% indicated that they would pay for the chronic kidney disease service. Of these, 29.2, 25.8 and 19.1% were willing to pay $20, $10 and $5, respectively. Patient satisfaction with the community pharmacy-based chronic kidney disease risk assessment was high. These findings provide support for the implementation of the service within community pharmacy practice.

  3. Hydrogeological investigation for assessment of the sustainability of low-arsenic aquifers as a safe drinking water source in regions with high-arsenic groundwater in Matlab, southeastern Bangladesh

    Science.gov (United States)

    von Brömssen, Mattias; Markussen, Lars; Bhattacharya, Prosun; Ahmed, Kazi Matin; Hossain, Mohammed; Jacks, Gunnar; Sracek, Ondra; Thunvik, Roger; Hasan, M. Aziz; Islam, M. Mainul; Rahman, M. Mokhlesur

    2014-10-01

    Exploitation of groundwater from shallow, high prolific Holocene sedimentary aquifers has been a main element for achieving safe drinking water and food security in Bangladesh. However, the presence of elevated levels of geogenic arsenic (As) in these aquifers has undermined this success. Except for targeting safe aquifers through installations of tubewells to greater depth, no mitigation option has been successfully implemented on a larger scale. The objective of this study has been to characterise the hydrostratigraphy, groundwater flow patterns, the hydraulic properties to assess the vulnerability of low-arsenic aquifers at Matlab, in south-eastern Bangladesh, one of the worst arsenic-affected areas of the country. Groundwater modelling, conventional pumping test using multilevel piezometers, hydraulic head monitoring in piezometer nests, 14C dating of groundwater and assessment of groundwater abstraction were used. A model comprising of three aquifers covering the top 250 m of the model domain showed the best fit for the calibration evaluation criteria. Irrigation wells in the Matlab area are mostly installed in clusters and account for most of the groundwater abstraction. Even though the hydraulic heads are affected locally by seasonal pumping, the aquifer system is fully recharged from the monsoonal replenishment. Groundwater simulations demonstrated the presence of deep regional flow systems with recharge areas in the eastern, hilly part of Bangladesh and shallow small local flow systems driven by local topography. Based on modelling results and 14C groundwater data, it can be concluded that the natural local flow systems reach a depth of 30 m b.g.l. in the study area. A downward vertical gradient of roughly 0.01 down to 200 m b.g.l. was observed and reproduced by calibrated models. The vertical gradient is mainly the result of the aquifer system and properties rather than abstraction rate, which is too limited at depth to make an imprint. Although

  4. 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.

  5. 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

  6. Quality and the academic library reviewing, assessing and enhancing service provision

    CERN Document Server

    2016-01-01

    Quality and the Academic Library: Reviewing, Assessing and Enhancing Service Provision provides an in-depth review and analysis of quality management and service quality in academic libraries. All aspects of quality are considered in the book, including quality assessment, quality review, and quality enhancement. An overview of quality management and service quality concepts, principles, and methods leads to a detailed consideration of how they have been applied in universities and their libraries. A case study approach is used with different perspectives provided from the different stakeholders involved in the quality processes. All contributors adopt a critical reflection approach, reflecting on the implications, impact, and significance of the activities undertaken and the conclusions that can be drawn for future developments. The book concludes with an overall reflection on quality management and service quality in academic libraries with a final analysis of priorities for the future.

  7. The role of damage analysis in the assessment of service-exposed components

    International Nuclear Information System (INIS)

    Bendick, W.; Muesch, H.; Weber, H.

    1987-01-01

    Components in power stations are subjected to service conditions under which creep processes take place limiting the component's lifetime by material exhaustion. To ensure a safe and economic plant operation it is necessary to get information about the exhaustion grade of single components as well as of the whole plant. A comprehensive lifetime assessment requests the complete knowledge of the service parameters, the component's deformtion behavior, and the change in material properties caused by longtime exposure to high service temperatures. A basis of evaluation is given by: 1) determination of material exhaustion by calculation, 2) investigation of the material properties, and 3) damage analysis. The purpose of this report is to show the role which damage analysis can play in the assessment of service-exposed components. As an example the test results of a damaged pipe bend will be discussed. (orig./MM)

  8. A TOOL FOR EMOTIONAL USER EXPERIENCE ASSESSMENT OF WEB-BASED MEDICAL SERVICES

    OpenAIRE

    Alexander Nikov; Tramaine Alaina Gumaia

    2016-01-01

    Emotional User Experience Design (eUXD) has become increasingly important for web-based services. The primary objective of this study is to enable users to use websites that are easy to understand and operate and pleasing to use. A checklist tool for an emotional user experience (eUX) assessment that supports web-based medical services is proposed. This tool measures user moods while using medical services’ websites. The tool allocates emotive design-oriented problems and thus defines relevan...

  9. Defense Logistics Agency Disposition Services Needs to Improve Demilitarization Program Self-Assessment Evaluations - Redacted

    Science.gov (United States)

    2016-12-20

    from mandatory disclosure under the Freedom of Information Act. Defense Logistics Agency Disposition Services Needs to Improve Demilitarization...Project No. D2016-D000RD-0057.000) │ i Results in Brief Defense Logistics Agency Disposition Services Needs to Improve Demilitarization Program Self...Assessment Evaluations Visit us at www.dodig.mil December 20, 2016 Objective Our audit objective was to determine whether the Defense Logistics Agency

  10. Comparing instrumental and deliberative paradigms underpinning the assessment of social values for cultural ecosystem services

    DEFF Research Database (Denmark)

    Raymond, Christopher M.; Kenter, Jasper O.; Plieninger, Tobias

    2014-01-01

    Despite rapid advancements in the development of non-monetary techniques for the assessment of social values for ecosystem services, little research attention has been devoted to the evaluation of their underpinning paradigms. This study evaluates two contrasting paradigms for the assessment...... of social values in non-monetary terms: an instrumental paradigm involving an objective assessment of the distribution, type and/or intensity of values that individuals assign to the current state of ecosystems and a deliberative paradigm involving the exploration of desired end states through group...... discussion. We present and then justify through case examples two approaches for assessing social values for ecosystem services using the instrumental paradigm and two approaches using the deliberative paradigm. Each approach makes different assumptions about: the underlying rationale for values assessment...

  11. MAPPING AND ASSESSING MULTIPLE ECOSYSTEM SERVICES IN AN ALPINE REGION: A STUDY IN TRENTINO, ITALY

    Directory of Open Access Journals (Sweden)

    M. Ferrari

    2014-04-01

    Full Text Available This research aims to identify ecosystem services relevant for Trentino (a region in the Italian Alps, and to assess them through spatial indicators. 51 experts were involved in the identification of relevant ecosystem services and appropriate indicators to represent them. Indicators were computed using the database available at administrative level. Indicators represent the actual or the potential supply of ecosystem services, expressed in terms of either stock or flow. Moreover, indicators may refer to biophysical, economic or socio-cultural values. In total, the experts selected 25 ecosystem services and 57 assessment indicators. Accordingly, the selected indicators were mapped over different spatial units of ecosystem services representation, including land use and forest types. This research was the first attempt to assess a multiple set of ecosystem services for Trentino. The results provide new information that can be used to achieve the objectives of the EU Biodiversity Strategy by 2014. The proposed approach can be reasonably extended to other Alpine areas with similar morphology, land cover and land use.

  12. Combining ecosystem services assessment with structured decision making to support ecological restoration planning.

    Science.gov (United States)

    Martin, David M; Mazzotta, Marisa; Bousquin, Justin

    2018-04-10

    Accounting for ecosystem services in environmental decision making is an emerging research topic. Modern frameworks for ecosystem services assessment emphasize evaluating the social benefits of ecosystems, in terms of who benefits and by how much, to aid in comparing multiple courses of action. Structured methods that use decision analytic-approaches are emerging for the practice of ecological restoration. In this article, we combine ecosystem services assessment with structured decision making to estimate and evaluate measures of the potential benefits of ecological restoration with a case study in the Woonasquatucket River watershed, Rhode Island, USA. We partnered with a local watershed management organization to analyze dozens of candidate wetland restoration sites for their abilities to supply five ecosystem services-flood water retention, scenic landscapes, learning opportunities, recreational opportunities, and birds. We developed 22 benefit indicators related to the ecosystem services as well as indicators for social equity and reliability that benefits will sustain in the future. We applied conceptual modeling and spatial analysis to estimate indicator values for each candidate restoration site. Lastly, we developed a decision support tool to score and aggregate the values for the organization to screen the restoration sites. Results show that restoration sites in urban areas can provide greater social benefits than sites in less urban areas. Our research approach is general and can be used to investigate other restoration planning studies that perform ecosystem services assessment and fit into a decision-making process.

  13. Assessing Capacity for Providing Culturally Competent Services to LGBT Older Adults

    Science.gov (United States)

    Portz, Jennifer Dickman; Retrum, Jessica H.; Wright, Leslie A.; Boggs, Jennifer M.; Wilkins, Shari; Grimm, Cathy; Gilchrist, Kay; Gozansky, Wendolyn S.

    2014-01-01

    This qualitative, interview-based study assessed the cultural competence of health and social service providers to meet the needs of LGBT older adults in an urban neighborhood in Denver, Colorado, known to have a large LGBT community. Only 4 of the agencies were categorized as “high competency” while 12 were felt to be “seeking improvement” and 8 were considered “not aware.” These results indicate significant gaps in cultural competency for the majority of service providers. Social workers are well-suited to lead efforts directed at improving service provision and care competencies for the older LGBT community. PMID:24798180

  14. Assessing the efficiency of hospital pharmacy services in Thai public district hospitals.

    Science.gov (United States)

    Rattanachotphanit, Thananan; Limwattananon, Chulaporn; Limwattananon, Supon; Johns, Jeff R; Schommer, Jon C; Brown, Lawrence M

    2008-07-01

    The purpose of this study was to assess the efficiency of hospital pharmacy services and to determine the environmental factors affecting pharmacy service efficiency. The technical efficiency of a hospital pharmacy was assessed to evaluate the hospital's ability to use pharmacy manpower in order to produce the maximum output of the pharmacy service. Data Envelopment Analysis (DEA) was used as an efficiency measurement. The two labor inputs were pharmacists and support personnel and the ten outputs were from four pharmacy activities: drug dispensing, drug purchasing and inventory control, patient-oriented activities, and health consumer protection services. This was used to estimate technical efficiency. A Tobit regression model was used to determine the effect of the hospital size, location, input mix of pharmacy staff, working experience of pharmacists at the study hospitals, and use of technology on the pharmacy service efficiency. Data for pharmacy service input and output quantities were obtained from 155 respondents. Nineteen percent were found to have full efficiency with a technical efficiency score of 1.00. Thirty-six percent had a technical efficiency score of 0.80 or above and 27% had a low technical efficiency score (location were significantly associated with pharmacy service efficiency.

  15. Emergency residential care settings: A model for service assessment and design.

    Science.gov (United States)

    Graça, João; Calheiros, Maria Manuela; Patrício, Joana Nunes; Magalhães, Eunice Vieira

    2018-02-01

    There have been calls for uncovering the "black box" of residential care services, with a particular need for research focusing on emergency care settings for children and youth in danger. In fact, the strikingly scant empirical attention that these settings have received so far contrasts with the role that they often play as gateway into the child welfare system. To answer these calls, this work presents and tests a framework for assessing a service model in residential emergency care. It comprises seven studies which address a set of different focal areas (e.g., service logic model; care experiences), informants (e.g., case records; staff; children/youth), and service components (e.g., case assessment/evaluation; intervention; placement/referral). Drawing on this process-consultation approach, the work proposes a set of key challenges for emergency residential care in terms of service improvement and development, and calls for further research targeting more care units and different types of residential care services. These findings offer a contribution to inform evidence-based practice and policy in service models of residential care. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Military Emergency Medical Service System Assessment: Application of the National Park Service Needs Assessment and Program Audit to Objectively Evaluate the Military EMS System of Okinawa, Japan.

    Science.gov (United States)

    Ross, Elliot M; Harper, Stephen A; Cunningham, Cord; Walrath, Benjamin D; DeMers, Gerard; Kharod, Chetan U

    2017-03-01

    As part of a Military Emergency Medical Services (EMS) system process improvement initiative, the authors sought to objectively evaluate the U.S. military EMS system for the island of Okinawa. They applied a program evaluation tool currently utilized by the U.S. National Park Service (NPS). A comprehensive needs assessment was conducted to evaluate the current Military EMS system in Okinawa, Japan. The NPS EMS Program Audit Worksheet was used to get an overall "score" of our assessment. After all the data had been collected, a joint committee of Military EMS physicians reviewed the findings and made formal recommendations. From 2011 to 2014, U.S. military EMS on Okinawa averaged 1,345 ± 137 patient transports annually. An advanced life support (ALS) provider would have been dispatched on 558 EMS runs (38%) based on chief complaint in 2014 had they been available. Over 36,000 man-hours were expended during this period to provide National Registry Emergency Medical Technician (EMT)-accredited instruction to certify 141 Navy Corpsman as EMT Basics. The NPS EMS Program Audit Worksheet was used and the program scored a total of 31, suggesting the program is well planned and operating within standards. This evaluation of the Military EMS system on Okinawa using the NPS program assessment and audit worksheet demonstrates the NPS evaluation instruments may offer a useful assessment tool for the evaluation of Military EMS systems. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

  17. Family Health Strategy: assessment and reasons for searching of health service by users

    Directory of Open Access Journals (Sweden)

    Loeste de Arruda-Barbosa

    2011-12-01

    Full Text Available Objective: To assess the evaluation of the users regarding the family health services and identify the main reasons that led them to seek such services. Methods: A descriptive study with qualitative approach, carried out in 5 Family Health Units with 25 users of theFamily Health Strategy (FHS of the city of Crato-CE, Brazil. The study took place from March to April 2009. Semi-structured interview was applied and recorded. We used thetechnique of thematic content analysis. Results: We found that the users of the FHS have great dissatisfaction, especially on the organization and access to health services, evaluating the family health as inefficient, although bringing care closer to the population, primarily through home visits. It was clear also that there is a search to the service mainly supported by curative vision and the acquisition of medicines. Conclusions: The subjects evaluate the organization and access to healthcare services as unsatisfactory, but value the actions, when there is a bond with the health team. However, there is still demand for health services, based on the search for medicines and medical consultation. Thus, it is necessary to improve services of the Family Health Strategy in Crato, with a view to ensure quality, accessibilityand greater resolution of health services.

  18. Assessing care-givers' satisfaction with child immunisation services in Zambia: Evidence from a national survey.

    Science.gov (United States)

    Chama-Chiliba, Chitalu Miriam; Masiye, Felix; Mphuka, Chrispin

    2017-10-09

    The main aim of this study was to assess care-giver satisfaction with vaccination services in public health facilities in Zambia, and examine its determinants. This study used data from a recent population-based household survey, conducted from May to August 2015. Respondent satisfaction with vaccination services received during the last visit was measured on a five point Likert scale ranging from 1 to 5. We used an ordered logistic regression model to analyse the significance of perceived quality of vaccination services, immunisation delivery mode and a range of individual characteristics in predicting care-giver satisfaction. Findings show that one in five care givers were unsatisfied with the vaccination services that they had received, with rural populations showing a significantly higher level of satisfaction. Poor quality of care, defined by long waiting times, poor quality of communication between health staff and care givers, long distance to vaccination sites, mode of delivery, and personal characteristics were among major factors driving care-giver satisfaction ratings. We also find that receiving a vaccination at outreach mode of delivery was associated with higher odds of greater satisfaction compared to on-facility vaccination services. The odds of satisfaction were lower for respondents living further away from a health facility, which emphasizes the importance of access in seeking vaccination services. These findings suggest that major improvements in quality of vaccination and service organisation will be needed to increase client satisfaction and service utilisation. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Going beyond the Millennium Ecosystem Assessment: an index system of human dependence on ecosystem services.

    Science.gov (United States)

    Yang, Wu; Dietz, Thomas; Liu, Wei; Luo, Junyan; Liu, Jianguo

    2013-01-01

    The Millennium Ecosystem Assessment (MA) estimated that two thirds of ecosystem services on the earth have degraded or are in decline due to the unprecedented scale of human activities during recent decades. These changes will have tremendous consequences for human well-being, and offer both risks and opportunities for a wide range of stakeholders. Yet these risks and opportunities have not been well managed due in part to the lack of quantitative understanding of human dependence on ecosystem services. Here, we propose an index of dependence on ecosystem services (IDES) system to quantify human dependence on ecosystem services. We demonstrate the construction of the IDES system using household survey data. We show that the overall index and sub-indices can reflect the general pattern of households' dependences on ecosystem services, and their variations across time, space, and different forms of capital (i.e., natural, human, financial, manufactured, and social capitals). We support the proposition that the poor are more dependent on ecosystem services and further generalize this proposition by arguing that those disadvantaged groups who possess low levels of any form of capital except for natural capital are more dependent on ecosystem services than those with greater control of capital. The higher value of the overall IDES or sub-index represents the higher dependence on the corresponding ecosystem services, and thus the higher vulnerability to the degradation or decline of corresponding ecosystem services. The IDES system improves our understanding of human dependence on ecosystem services. It also provides insights into strategies for alleviating poverty, for targeting priority groups of conservation programs, and for managing risks and opportunities due to changes of ecosystem services at multiple scales.

  20. KEY FUNDAMENTAL ASPECTS FOR MAPPING AND ASSESSING ECOSYSTEM SERVICES: PREDICTABILITY OF ECOSYSTEM SERVICE PROVIDERS AT SCALES FROM LOCAL TO GLOBAL.

    Directory of Open Access Journals (Sweden)

    G. Zurlini

    2014-04-01

    Full Text Available How an apparent static and ordered landscape condition in social ecological landscapes (SELs, can be made sustainable in terms of maintenance and improvement of the provision of ecosystem services (ESs in face of unpredictable disturbance and change? Our contribution to the Mapping and Assessment of Ecosystem Services (MAES working group is to advance some recommendations on how to approach the dynamic analysis of complex adaptive systems to improve ecosystem resilience, habitat connectivity and the delivery of ESs. We show exemplary cases where we utilize the NDVI provided by remote sensing to evaluate land cover transformations and processes and ES provisioning. We focus on NDVI because it allows the supply of information on net primary production, i.e., the energetic foundation of nearly all ecosystems and that provides the basis of most of ESs. The use of spectral entropy, and nonlinear analysis of spatial temporal dynamics to investigate trajectory predictability of SELs provide very useful insight into the dynamics of SELs and can assist in the characterization of the links between land cover patterns with ecological processes to support more reliable assessments and accountings of ESs.

  1. Measuring the food service environment: development and implementation of assessment tools.

    Science.gov (United States)

    Minaker, Leia M; Raine, Kim D; Cash, Sean B

    2009-01-01

    The food environment is increasingly being implicated in the obesity epidemic, though few reported measures of it exist. In order to assess the impact of the food environment on food intake, valid measures must be developed and tested. The current study describes the development of a food service environment assessment tool and its implementation in a community setting. A descriptive study with mixed qualitative and quantitative methods at a large, North American university campus was undertaken. Measures were developed on the basis of a conceptual model of nutrition environments. Measures of community nutrition environment were the number, type and hours of operation of each food service outlet on campus. Measures of consumer nutrition environment were food availability, food affordability, food promotion and nutrition information availability. Seventy-five food service outlets within the geographic boundaries were assessed. Assessment tools could be implemented in a reasonable amount of time and showed good face and content validity. The food environments were described and measures were grouped so that food service outlet types could be compared in terms of purchasing convenience, cost/value, healthy food promotion and health. Food service outlet types that scored higher in purchasing convenience and cost/value tended to score lower in healthy food promotion and health. This study adds evidence that food service outlet types that are convenient to consumers and supply high value (in terms of calories per dollar) tend to be less health-promoting. Results from this study also suggest the possibility of characterizing the food environment according to the type of food service outlet observed.

  2. Geographic information systems (GIS): an emerging method to assess demand and provision for rehabilitation services.

    Science.gov (United States)

    Passalent, Laura; Borsy, Emily; Landry, Michel D; Cott, Cheryl

    2013-09-01

    To illustrate the application of geographic information systems (GIS) as a tool to assess rehabilitation service delivery by presenting results from research recently conducted to assess demand and provision for community rehabilitation service delivery in Ontario, Canada. Secondary analysis of data obtained from existing sources was used to establish demand and provision profiles for community rehabilitation services. These data were integrated using GIS software. A number of descriptive maps were produced that show the geographical distribution of service provision variables (location of individual rehabilitation health care providers and location of private and publicly funded community rehabilitation clinics) in relation to the distribution of demand variables (location of the general population; location of specific populations (i.e., residents age 65 and older) and distribution of household income). GIS provides a set of tools for describing and understanding the spatial organization of the health of populations and the distribution of health services that can aid the development of health policy and answer key research questions with respect to rehabilitation health services delivery. Implications for Rehabilitation It is important to seek out alternative and innovative methods to examine rehabilitation service delivery. GIS is a computer-based program that takes any data linked to a geographically referenced location and processes it through a software system that manages, analyses and displays the data in the form of a map, allowing for an alternative level of analysis. GIS provides a set of tools for describing and understanding the spatial organization of population health and health services that can aid the development of health policy and answer key research questions with respect to rehabilitation health services delivery.

  3. Do efforts to standardize, assess and improve the quality of health service provision to adolescents by government-run health services in low and middle income countries, lead to improvements in service-quality and service-utilization by adolescents?

    Science.gov (United States)

    Chandra-Mouli, Venkatraman; Chatterjee, Subidita; Bose, Krishna

    2016-02-06

    Researchers and implementers working in adolescent health, and adolescents themselves question whether government-run health services in conservative and resource-constrained settings can be made adolescent friendly. This paper aims to find out what selected low and middle income country (LMIC) governments have set out to do to improve the quality of health service provision to adolescents; whether their efforts led to measurable improvements in quality and to increased health service-utilization by adolescents. We gathered normative guidance and reports from eight LMICs in Asia, Africa, Central and Eastern Europe and the Western Pacific. We analysed national quality standards for adolescent friendly health services, findings from the assessments of the quality of health service provision, and findings on the utilization of health services. Governments of LMICs have set out to improve the accessibility, acceptability, equity, appropriateness and effectiveness of health service provision to adolescents by defining standards and actions to achieve them. Their actions have led to measurable improvements in quality and to increases in health service utilisation by adolescents. With support, government-run health facilities in LMICs can improve the quality of health services and their utilization by adolescents.

  4. Preparing radiology staff to meet service goals: a training model.

    Science.gov (United States)

    Ricciardone, E B; Stepanovich, P H; West, V T

    1994-01-01

    This article describes a model used to train radiology staff in customer service relations at a large southeastern medical center. Information about the needs of the radiology department and staff was acquired through quantitative and qualitative assessments. The primary goal of the training was twofold: 1) to develop employee awareness of customer expectations and 2) to develop problem-solving skills to respond to customer service related issues. Instructional methods compatible with adult learning were used and training results were assessed. Positive changes in employee attitudes and behaviors are described and recommendations for training development and implementation are discussed.

  5. Accounting for ecosystem services in life cycle assessment, Part I: a critical review.

    Science.gov (United States)

    Zhang, Yi; Singh, Shweta; Bakshi, Bhavik R

    2010-04-01

    If life cycle oriented methods are to encourage sustainable development, they must account for the role of ecosystem goods and services, since these form the basis of planetary activities and human well-being. This article reviews methods that are relevant to accounting for the role of nature and that could be integrated into life cycle oriented approaches. These include methods developed by ecologists for quantifying ecosystem services, by ecological economists for monetary valuation, and life cycle methods such as conventional life cycle assessment, thermodynamic methods for resource accounting such as exergy and emergy analysis, variations of the ecological footprint approach, and human appropriation of net primary productivity. Each approach has its strengths: economic methods are able to quantify the value of cultural services; LCA considers emissions and assesses their impact; emergy accounts for supporting services in terms of cumulative exergy; and ecological footprint is intuitively appealing and considers biocapacity. However, no method is able to consider all the ecosystem services, often due to the desire to aggregate all resources in terms of a single unit. This review shows that comprehensive accounting for ecosystem services in LCA requires greater integration among existing methods, hierarchical schemes for interpreting results via multiple levels of aggregation, and greater understanding of the role of ecosystems in supporting human activities. These present many research opportunities that must be addressed to meet the challenges of sustainability.

  6. Biodiversity, ecosystem functions and services in environmental risk assessment: introduction to the special issue.

    Science.gov (United States)

    Schäfer, Ralf B

    2012-01-15

    This Special Issue focuses on the questions if and how biodiversity, ecosystem functions and resulting services could be incorporated into the Ecological Risk Assessment (ERA). Therefore, three articles provide a framework for the integration of ecosystem services into ERA of soils, sediments and pesticides. Further articles demonstrate ways how stakeholders can be integrated into an ecosystem service-based ERA for soils and describe how the current monitoring could be adapted to new assessment endpoints that are directly linked to ecosystem services. Case studies show that the current ERA may not be protective for biodiversity, ecosystem functions and resulting services and that both pesticides and salinity currently adversely affect ecosystem functions in the field. Moreover, ecological models can be used for prediction of new protection goals and could finally support their implementation into the ERA. Overall, the Special Issue stresses the urgent need to enhance current procedures of ERA if biodiversity, ecosystem functions and resulting services are to be protected. Copyright © 2011 Elsevier B.V. All rights reserved.

  7. Assessment of Passenger Satisfaction with Public Bus Transport Services: A Case Study of Lucknow City (India

    Directory of Open Access Journals (Sweden)

    Singh Sanjay

    2016-12-01

    Full Text Available The main aim of this study is threefold. First, it tries to assess the passenger satisfaction with public bus transport services in the city of Lucknow in India. Second, it tries to examine the service quality attributes that influence the passenger satisfaction. Third, it tries to evaluate the relative importance of service quality attributes to find out the priority for service quality improvements to enhance passenger satisfaction. The study is based on a survey of objective as well as subjective questions conducted between May and July 2014. Five major bus stops of Lucknow were selected for the survey. Total 148 respondents were randomly selected to elicit their overall satisfaction and factors that influence their satisfaction in the use of public bus transport services in Lucknow using a self-rated questionnaire. The collected sample of responses is subjected to principal component analysis, a statistical technique for dimensionality reduction of the dataset, and descriptive analysis. The result of theses analyses shows that passengers are mostly dissatisfied with public bus transport services in Lucknow. Using principal component analysis, five underlying factors were extracted that influenced passenger satisfaction with public bus transport services in the city. Out of these five factors, comfort and safety has the greatest impact on overall satisfaction, followed by the adequacy of capacity of public bus transport services, orderly and clean environment inside buses, elegant design of buses and bus stops, and accessibility to public bus transport services in the city. The study thus provides a direction for public bus transport administration in the city to understand the gaps that exist and try to fill them to improve its services so that passenger satisfaction can be enhanced and consequently more people can be attracted towards public bus transport.

  8. Assessing Urban Forest Structure, Ecosystem Services, and Economic Benefits on Vacant Land

    Directory of Open Access Journals (Sweden)

    Gunwoo Kim

    2016-07-01

    Full Text Available An urban forest assessment is essential for developing a baseline from which to measure changes and trends. The most precise way to assess urban forests is to measure and record every tree on a site, but although this may work well for relatively small populations (e.g., street trees, small parks, it is prohibitively expensive for large tree populations. Thus, random sampling offers a cost-effective way to assess urban forest structure and the associated ecosystem services for large-scale assessments. The methodology applied to assess ecosystem services in this study can also be used to assess the ecosystem services provided by vacant land in other urban contexts and improve urban forest policies, planning, and the management of vacant land. The study’s findings support the inclusion of trees on vacant land and contribute to a new vision of vacant land as a valuable ecological resource by demonstrating how green infrastructure can be used to enhance ecosystem health and promote a better quality of life for city residents.

  9. Mapping regional livelihood benefits from local ecosystem services assessments in rural Sahel.

    Directory of Open Access Journals (Sweden)

    Katja Malmborg

    Full Text Available Most current approaches to landscape scale ecosystem service assessments rely on detailed secondary data. This type of data is seldom available in regions with high levels of poverty and strong local dependence on provisioning ecosystem services for livelihoods. We develop a method to extrapolate results from a previously published village scale ecosystem services assessment to a higher administrative level, relevant for land use decision making. The method combines remote sensing (using a hybrid classification method and interviews with community members. The resulting landscape scale maps show the spatial distribution of five different livelihood benefits (nutritional diversity, income, insurance/saving, material assets and energy, and crops for consumption that illustrate the strong multifunctionality of the Sahelian landscapes. The maps highlight the importance of a diverse set of sub-units of the landscape in supporting Sahelian livelihoods. We see a large potential in using the resulting type of livelihood benefit maps for guiding future land use decisions in the Sahel.

  10. Mapping regional livelihood benefits from local ecosystem services assessments in rural Sahel.

    Science.gov (United States)

    Malmborg, Katja; Sinare, Hanna; Enfors Kautsky, Elin; Ouedraogo, Issa; Gordon, Line J

    2018-01-01

    Most current approaches to landscape scale ecosystem service assessments rely on detailed secondary data. This type of data is seldom available in regions with high levels of poverty and strong local dependence on provisioning ecosystem services for livelihoods. We develop a method to extrapolate results from a previously published village scale ecosystem services assessment to a higher administrative level, relevant for land use decision making. The method combines remote sensing (using a hybrid classification method) and interviews with community members. The resulting landscape scale maps show the spatial distribution of five different livelihood benefits (nutritional diversity, income, insurance/saving, material assets and energy, and crops for consumption) that illustrate the strong multifunctionality of the Sahelian landscapes. The maps highlight the importance of a diverse set of sub-units of the landscape in supporting Sahelian livelihoods. We see a large potential in using the resulting type of livelihood benefit maps for guiding future land use decisions in the Sahel.

  11. Mapping regional livelihood benefits from local ecosystem services assessments in rural Sahel

    Science.gov (United States)

    Sinare, Hanna; Enfors Kautsky, Elin; Ouedraogo, Issa; Gordon, Line J.

    2018-01-01

    Most current approaches to landscape scale ecosystem service assessments rely on detailed secondary data. This type of data is seldom available in regions with high levels of poverty and strong local dependence on provisioning ecosystem services for livelihoods. We develop a method to extrapolate results from a previously published village scale ecosystem services assessment to a higher administrative level, relevant for land use decision making. The method combines remote sensing (using a hybrid classification method) and interviews with community members. The resulting landscape scale maps show the spatial distribution of five different livelihood benefits (nutritional diversity, income, insurance/saving, material assets and energy, and crops for consumption) that illustrate the strong multifunctionality of the Sahelian landscapes. The maps highlight the importance of a diverse set of sub-units of the landscape in supporting Sahelian livelihoods. We see a large potential in using the resulting type of livelihood benefit maps for guiding future land use decisions in the Sahel. PMID:29389965

  12. Landscapes‘ Capacities to Provide Ecosystem Services – a Concept for Land-Cover Based Assessments

    Directory of Open Access Journals (Sweden)

    Benjamin Burkhard

    2009-12-01

    Full Text Available Landscapes differ in their capacities to provide ecosystem goods and services, which are the benefits humans obtain from nature. Structures and functions of ecosystems needed to sustain the provision of ecosystem services are altered by various human activities. In this paper, a concept for the assessment of multiple ecosystem services is proposed as a basis for discussion and further development of a respective evaluation instrument. Using quantitative and qualitative assessment data in combination with land cover and land use information originated from remote sensing and GIS, impacts of human activities can be evaluated. The results reveal typical patterns of different ecosystems‘ capacities to provide ecosystem services. The proposed approach thus delivers useful integrative information for environmental management and landscape planning, aiming at a sustainable use of services provided by nature. The research concept and methodological framework presented here for discussion have initially been applied in different case studies and shall be developed further to provide a useful tool for the quantification and spatial modelling of multiple ecosystem services in different landscapes. An exemplary application of the approach dealing with food provision in the Halle-Leipzig region in Germany is presented. It shows typical patterns of ecosystem service distribution around urban areas. As the approach is new and still rather general, there is great potential for improvement, especially with regard to a data-based quantification of the numerous hypotheses, which were formulated as base for the assessment. Moreover, the integration of more detailed landscape information on different scales will be needed in future in order to take the heterogeneous distribution of landscape properties and values into account. Therefore, the purpose of this paper is to foster critical discussions on the methodological development presented here.

  13. A GIS application for assessing, mapping, and quantifying the social values of ecosystem services

    Science.gov (United States)

    Sherrouse, Benson C.; Clement, Jessica M.; Semmens, Darius J.

    2011-01-01

    As human pressures on ecosystems continue to increase, research involving the effective incorporation of social values information into the context of comprehensive ecosystem services assessments is becoming more important. Including quantified, spatially explicit social value metrics in such assessments will improve the analysis of relative tradeoffs among ecosystem services. This paper describes a GIS application, Social Values for Ecosystem Services (SolVES), developed to assess, map, and quantify the perceived social values of ecosystem services by deriving a non-monetary Value Index from responses to a public attitude and preference survey. SolVES calculates and maps the Value Index for social values held by various survey subgroups, as distinguished by their attitudes regarding ecosystem use. Index values can be compared within and among survey subgroups to explore the effect of social contexts on the valuation of ecosystem services. Index values can also be correlated and regressed against landscape metrics SolVES calculates from various environmental data layers. Coefficients derived through these analyses were applied to their corresponding data layers to generate a predicted social value map. This map compared favorably with other SolVES output and led to the addition of a predictive mapping function to SolVES for value transfer to areas where survey data are unavailable. A more robust application is being developed as a public domain tool for decision makers and researchers to map social values of ecosystem services and to facilitate discussions among diverse stakeholders involving relative tradeoffs among different ecosystem services in a variety of physical and social contexts.

  14. User Satisfaction Assessment To Edu-Eco Tourism Services Of Cibodas Botanical Garden

    Science.gov (United States)

    Hidayat, I. W.; Winarni

    2017-10-01

    Cibodas Botanical Garden (CBG) is a government institution which has principal duties and functions as area of conservation ex situ of wet highland plants, research, education and tourism, it very closely related to aspect of the services to user. Good services will support the sustainability and existence of CBG as a world class edu-eco tourism destination. The purpose of this study was to measure the quality of services which delivered and improvement which necessary at the future. Assessments were made based on 14 criteria of services aspect for user which need research-education services and regular tourism services activities. The study was conducted by distributing questionnaires to users of these services. Questionnaires distribution was conducted in early August 2015 and August 2016, the respondents were 124 and 207. The results were showed the user satisfaction at good level, there were 77.685 in 2015 and 72.08 in 2016. Although still at a good level, there were a decline in satisfaction levels based on the value. In the future, the managerial needs to continuously to improve it, in order to get a good or very good valuation.

  15. Families at risk of poor parenting: a model for service delivery, assessment, and intervention.

    Science.gov (United States)

    Ayoub, C; Jacewitz, M M

    1982-01-01

    The At Risk Parent Child Program is a multidisciplinary network agency designed for the secondary prevention of poor parenting and the extremes of child abuse and neglect. This model system of service delivery emphasizes (1) the coordination of existing community resources to access a target population of families at risk of parenting problems, (2) the provision of multiple special services in a neutral location (ambulatory pediatric clinic), and (3) the importance of intensive individual contact with a clinical professional who serves as primary therapist, social advocate and service coordinator for client families. Identification and assessment of families is best done during prenatal and perinatal periods. Both formal and informal procedures for screening for risk factors are described, and a simple set of at risk criteria for use by hospital nursing staff is provided. Preventive intervention strategies include special medical, psychological, social and developmental services, offered in an inpatient; outpatient, or in-home setting. Matching family needs to modality and setting of treatment is a major program concern. All direct services to at risk families are supplied by professionals employed within existing local agencies (hospital, public health department, state guidance center, and medical school pediatric clinic). Multiple agency involvement allows a broad-based screening capacity which allows thousands of families routine access to program services. The administrative center of the network stands as an independent, community-funded core which coordinates and monitors direct clinical services, and provides local political advocacy for families at risk of parenting problems.

  16. Outdoor recreation trends and futures: a technical document supporting the Forest Service 2010 RPA Assessment

    Science.gov (United States)

    H. Ken Cordell

    2012-01-01

    This publication presents a national study of outdoor recreation trends as part of the Renewable Resources Planning Act Assessment by the Forest Service, U.S. Department of Agriculture. The objectives are to review past trends in outdoor recreation participation by Americans, to describe in detail current outdoor recreation participation patterns, and to compare...

  17. Assessing impacts of intensified biomass production and biodiversity protection on ecosystem services provided by European forests

    NARCIS (Netherlands)

    Verkerk, P.J.; Mavsar, R.; Giergiczny, M.; Lindner, M.; Edwards, D.; Schelhaas, M.J.

    2014-01-01

    To develop viable strategies for intensifying the use of forest biomass and for increasing forest protection, impacts on ecosystem services need to be assessed. We investigated the biophysical and economic impacts of increased forest biomass production and biodiversity protection on forest ecosystem

  18. Comparative Assessment of Goods and Services Provided by Grazing Regulation and Reforestation in Degraded Mediterranean Rangelands

    NARCIS (Netherlands)

    Papanastasis, Vasilios P.; Bautista, Susana; Chouvardas, Dimitrios; Mantzanas, Konstantinos; Papadimitriou, Maria; Garcia Mayor, Angeles; Koukioumi, Polina; Papaioannou, Athanasios; Vallejo, Ramon V.

    2017-01-01

    Several management actions are applied to restore ecosystem services in degraded Mediterranean rangelands, which range from adjusting the grazing pressure to the removal of grazers and pine plantations. Four such actions were assessed in Quercus coccifera L. shrublands in northern Greece: (i)

  19. Employee Health Service for Teaching and Nonteaching Staff: A Needs Assessment.

    Science.gov (United States)

    Long, Bonita C.; And Others

    1986-01-01

    A needs assessment was conducted to identify the health needs of school district employees in planning a comprehensive employee health service. Survey questionnaires were analyzed to determine characteristics of those individuals who may be at greatest health risk. Results indicate that degree of stress can differentiate health risk predictors.…

  20. Service life assessment of timber highway bridges in USA climate zones

    Science.gov (United States)

    James P. Wacker; Brian K. Brashaw; Thomas G. Williamson; P. David Jones; Matthew S. Smith; Travis K. Hosteng; David L. Strahl; Lola E. Coombe; V.J. Gopu

    2014-01-01

    As engineers begin to estimate life-cycle costs and sustainable design approaches for timber bridges, there is a need for more reliable data about their durability and expected service life. This paper summarizes a comprehensive effort to assess the current condition of more than one hundred timber highway bridge superstructures throughout the United States. This...

  1. A spatially explicit and quantitative vulnerability assessment of ecosystem service change in Europe

    NARCIS (Netherlands)

    Metzger, M.J.; Schröter, D.; Leemans, R.; Cramer, W.

    2008-01-01

    Environmental change alters ecosystem functioning and may put the provision of services to human at risk. This paper presents a spatially explicit and quantitative assessment of the corresponding vulnerability for Europe, using a new framework designed to answer multidisciplinary policy relevant

  2. Assessing the Merits of International Service-Learning in Developing Professionalism in Mass Communication

    Science.gov (United States)

    Motley, Phillip; Sturgill, Amanda

    2013-01-01

    This project assessed how an international service-learning course affected mass communication students' knowledge of professionalism. Using written reflections and focus group transcripts from four courses that took place in Central America, we observed that placing students in immersive environments, where they are able to work on authentic…

  3. Elder Abuse and Neglect: Assessment Tools, Interventions, and Recommendations for Effective Service Provision

    Science.gov (United States)

    Imbody, Bethany; Vandsburger, Etty

    2011-01-01

    With our communities rapidly aging, there is always a clear need for greater knowledge on how to serve elders. Professionals must be able to recognize cases of abuse and neglect and provide appropriate follow up services. Through reviewing recent literature, this paper surveys existing assessment tools and interventions, describes characteristics…

  4. Psychometric properties of the consumer quality index to assess shelter and community care services

    NARCIS (Netherlands)

    Beijersbergen, M.D.; Asmoredjo, J.K.; Christians, M.G.M.; Wolf, J.R.L.M.

    2015-01-01

    BACKGROUND: Our aim was to design a valid and reliable consumer quality index (CQI) specifically suited to assess the experiences that homeless people, homeless youth, and abused women have with shelter and community care services. METHODS: A pilot CQI questionnaire was constructed on the basis of

  5. Distance Education Programs in Texas Community & Technical Colleges: Assessing Student Support Services in a Virtual Environment.

    Science.gov (United States)

    Luedtke, Cherry Beth

    This project evaluates the status of distance learning at 54 public, two-year community, and technical colleges in Texas. Data was collected from the Web sites of each of the institutions. The Web site data indicted that 44 of the colleges refer specifically to distance education courses offered. To assess what student support services are…

  6. Improving the Leadership Skills of Pre-Service School Librarians through Leadership Pre-Assessment

    Science.gov (United States)

    Smith, Daniella

    2014-01-01

    School librarian guidelines encourage active leadership in schools. Two ways school librarian educators can encourage school librarians to be leaders are to embed the standards into the certification curriculum and to assess the leadership potential of pre-service school librarians in order to adapt the curriculum to their needs. This mixed-method…

  7. How Do Colleges and Universities Assess the Education and Training of Military Service Personnel?

    Science.gov (United States)

    Palmer, James C.; Ludwig, Meredith J.

    1991-01-01

    In a study of the ways colleges and universities regard prior learning of military service members who apply for admission to undergraduate degree programs, 66 colleges evaluated prototype transcripts and assessed problems in awarding degree credit. A number of problems are seen as needing to be addressed by both schools and the military.…

  8. Evaluating the outcomes of a podiatry-led assessment service in a public hospital orthopaedic unit.

    Science.gov (United States)

    Bonanno, Daniel R; Medica, Virginia G; Tan, Daphne S; Spring, Anita A; Bird, Adam R; Gazarek, Jana

    2014-01-01

    In Australia, the demand for foot and ankle orthopaedic services in public health settings currently outweighs capacity. Introducing experienced allied health professionals into orthopaedic units to initiate the triage, assessment and management of patients has been proposed to help meet demand. The aim of this study was to evaluate the effect of introducing a podiatry-led assessment service in a public hospital orthopaedic unit. The outcomes of interest were determining: the proportion of patients discharged without requiring an orthopaedic appointment, agreement in diagnosis between the patient referral and the assessing podiatrist, the proportion of foot and ankle conditions presenting to the service, and the proportion of each condition to require an orthopaedic appointment. This study audited the first 100 patients to receive an appointment at a new podiatry-led assessment service. The podiatrist triaged 'Category 3' referrals consisting of musculoskeletal foot and ankle conditions and appointments were provided for those considered likely to benefit from non-surgical management. Following assessment, patients were referred to an appropriate healthcare professional or were discharged. At the initial appointment or following a period of care, patients were discharged if non-surgical management was successful, surgery was not indicated, patients did not want surgery, and if patient's failed to attend their appointments. All other patients were referred for an orthopaedic consultation as indicated. Ninety-five of the 100 patients (69 females and 31 males; mean age 51.9, SD 16.4 years) attended their appointment at the podiatry-led assessment service. The 95 referrals contained a total of 107 diagnoses, of which the podiatrist agreed with the diagnosis stated on the referral in 56 cases (Kappa =0.49, SE = 0.05). Overall, 34 of the 100 patients were referred to an orthopaedic surgeon and the remaining 66 patients were discharged from the orthopaedic waiting

  9. Ecosystem vulnerability to climate change in the southeastern United States

    Science.gov (United States)

    Cartwright, Jennifer M.; Costanza, Jennifer

    2016-08-11

    Two recent investigations of climate-change vulnerability for 19 terrestrial, aquatic, riparian, and coastal ecosystems of the southeastern United States have identified a number of important considerations, including potential for changes in hydrology, disturbance regimes, and interspecies interactions. Complementary approaches using geospatial analysis and literature synthesis integrated information on ecosystem biogeography and biodiversity, climate projections, vegetation dynamics, soil and water characteristics, anthropogenic threats, conservation status, sea-level rise, and coastal flooding impacts. Across a diverse set of ecosystems—ranging in size from dozens of square meters to thousands of square kilometers—quantitative and qualitative assessments identified types of climate-change exposure, evaluated sensitivity, and explored potential adaptive capacity. These analyses highlighted key gaps in scientific understanding and suggested priorities for future research. Together, these studies help create a foundation for ecosystem-level analysis of climate-change vulnerability to support effective biodiversity conservation in the southeastern United States.

  10. Services

    International Nuclear Information System (INIS)

    Hardeman, F.

    1998-01-01

    The objectives of the services section is (1) to offer complete services in health-physics measurements according to international quality standards, (2) to improve continuously these measurement techniques and to follow up international recommendations and legislation concerning the surveillance of workers, (3) to support and advise nuclear and non-nuclear industry on problems of radioactive contamination. Achievements related to gamma spectrometry, whole-body counting, beta and alpha spectrometry, dosimetry, radon measurements, calibration, instrumentation, and neutron activation analysis are described

  11. Assessment of satisfaction with pharmaceutical services in patients receiving antiretroviral therapy in outpatient HIV treatment setting.

    Science.gov (United States)

    Agu, Kenneth Anene; Oqua, Dorothy; Agada, Peter; Ohiaeri, Samuel I; Adesina, Afusat; Abdulkareem, Mohammed Habeeb; King, Rosalyn C; Wutoh, Anthony K

    2014-06-01

    The patient's perception and satisfaction are increasingly considered as a useful factor in the assessment of competency of health care providers and quality of care. However, these patient focused assessments are largely ignored when assessing health care outcomes. The study assessed the perception and satisfaction of patients receiving antiretroviral therapy (ART) with pharmaceutical services received in outpatient HIV treatment settings. Seventeen HIV treatment centres in Nigeria. This cross-sectional survey included 2,700 patients randomly selected from 26,319 HIV patients on ART, who received pharmaceutical services in the study setting. A study-specific Likert-type instrument was administered to the participants at point of exit from the pharmacy. Midpoint of the 5-point scale was computed and scores above it were regarded as positive while below as negative. Chi-square was used for inferential statistics. All reported p values were 2-sided at 95 % confidence interval (CI). Patient satisfaction with pharmaceutical services. Of 2,700 patients sampled, data from 1,617 (59.9 %) were valid for analysis; 62.3 % were aged 26-40 years and 65.4 % were females. The participants had received pharmaceutical services for a mean duration of 25.2 (95 % CI 24.3-26.1) months. Perception of participants regarding the appearance of pharmacy was positive while that regarding the pharmacists' efforts to solve patients' medication related problems was negative. The participants' rating of satisfaction with the waiting time to access pharmaceutical services was negative; the satisfaction decreases with increasing waiting time. However, the satisfaction with the overall quality of pharmaceutical services received was rated as positive; 90.0 % reported that they got the kind of pharmaceutical services they wanted; 98.2 % would come back to the pharmacy if they were to seek help again and would recommend services to others. The level of satisfaction was found to be associated with

  12. ANALYSING PERFORMANCE ASSESSMENT IN PUBLIC SERVICES: HOW USEFUL IS THE CONCEPT OF A PERFORMANCE REGIME?

    Science.gov (United States)

    Martin, Steve; Nutley, Sandra; Downe, James; Grace, Clive

    2016-03-01

    Approaches to performance assessment have been described as 'performance regimes', but there has been little analysis of what is meant by this concept and whether it has any real value. We draw on four perspectives on regimes - 'institutions and instruments', 'risk regulation regimes', 'internal logics and effects' and 'analytics of government' - to explore how the concept of a multi-dimensional regime can be applied to performance assessment in public services. We conclude that the concept is valuable. It helps to frame comparative and longitudinal analyses of approaches to performance assessment and draws attention to the ways in which public service performance regimes operate at different levels, how they change over time and what drives their development. Areas for future research include analysis of the impacts of performance regimes and interactions between their visible features (such as inspections, performance indicators and star ratings) and the veiled rationalities which underpin them.

  13. Needs assessment under the Maternal and Child Health Services Block Grant: Massachusetts.

    Science.gov (United States)

    Guyer, B; Schor, L; Messenger, K P; Prenney, B; Evans, F

    1984-09-01

    The Massachusetts maternal and child health (MCH) agency has developed a needs assessment process which includes four components: a statistical measure of need based on indirect, proxy health and social indicators; clinical standards for services to be provided; an advisory process which guides decision making and involves constituency groups; and a management system for implementing funds distribution, namely open competitive bidding in response to a Request for Proposals. In Fiscal Years 1982 and 1983, the process was applied statewide in the distribution of primary prenatal (MIC) and pediatric (C&Y) care services and lead poisoning prevention projects. Both processes resulted in clearer definitions of services to be provided under contract to the state as well as redistribution of funds to serve localities that had previously received no resources. Although the needs assessment process does not provide a direct measure of unmet need in a complex system of private and public services, it can be used to advocate for increased MCH funding and guide the distribution of new MCH service dollars.

  14. Consumer-Based Brand Equity of Products and Services: Assessing a Measurement Model with Competing Brands

    Directory of Open Access Journals (Sweden)

    Rafael Barreiros Porto

    2018-04-01

    Full Text Available  Objective: Identifying which brand in a category conveys more or less value to the consumer raises questions about the composition of brand equity measures and the brands that make up the category. Measures to identify Consumer-Based Brand Equity (CBBE may include functional assessments of consumer’s brand choice and firms’ brand performance, as long as they embrace competing brands. In view of this, this study comes up with a validation of a measurement model of Consumer-Based Brand Equity for competing brands of products and services, testing for possible moderation (product / service and experienced / non-experienced consumers. Method: Appraising 39 brands, the model was composed of 6 metrics: awareness, perceived quality, loyalty, association, exclusiveness and willingness to pay a price premium. Confirmatory factorial analysis revealed the CBBE structure and multigroup moderation tests showed the comparisons between products and services and between experienced and non-experienced consumers. Main Result: The metrics have convergent validity with very good model fit. The metrics are similar for products / services, but different for consumers with / without experience (evidence of moderation. Contributions: Based on this measure, researchers and marketers can identify whether their brand's performance has been perceived better or worse than that of their competitors. Relevance/Originality: This article is the first to offer a more complete scale to assess the consumer-based brand equity of products and services, allowing the researcher to compare the competitiveness between brands. 

  15. [Suicidal behaviour and attempted suicide occurring during assessment by the outreach psychiatric emergency service].

    Science.gov (United States)

    de Winter, R F P; de Groot, M H; van Dassen, M; Deen, M L; de Beurs, D P

    The outreach emergency psychiatric service plays an important role in recognising, arranging interventions and preventing suicide and suicidal behaviour. However, little is known about the assessments that members of the emergency team make when faced with patients showing suicidal behaviour. AIM: To describe the relationships that are revealed between patient characteristics, suicidal thoughts and attempted suicide during assessments made by the emergency psychiatric service in The Hague. METHOD: The emergency service kept a detailed record of 14,705 consultations. We compared the characteristics of patients who had suicidal thoughts with those of patients who had no such thoughts and we also compared the characteristics of patients who had attempted to commit suicide with those of patients who had not. We drew these comparisons by using logistic regression models, adjusting for clustering. RESULTS: 32.2% of the patients showed signs of suicidal behaviour and 9.2 % appeared likely to attempt suicide. Suicidal behaviour occurred most often in patients with depression. Suicidal patients were more often admitted to hospital than were non-suicidal patients and they were more likely to have been referred by a general practitioner or a general hospital. Medication was the most frequent means employed in attempts to commit suicide. CONCLUSION: In about one third of the consultations of the outreach emergency psychiatric service, the patient showed suicidal behaviour. The actions and the policy of the emergency psychiatric service with regard to suicidal behaviour were diverse and dependent on factors that could change over the course of time.

  16. Assessing biodiversity on the farm scale as basis for ecosystem service payments.

    Science.gov (United States)

    von Haaren, Christina; Kempa, Daniela; Vogel, Katrin; Rüter, Stefan

    2012-12-30

    Ecosystem services payments must be based on a standardised transparent assessment of the goods and services provided. This is especially relevant in the context of EU agri-environmental programs, but also for organic-food companies that foster environmental services on their contractor farms. Addressing the farm scale is important because land users/owners are major recipients of payments and they could be more involved in data generation and conservation management. A standardised system for measuring on-farm biodiversity does not yet exist that concentrates on performance indicators and includes farmers in generating information. A method is required that produces ordinal or metric scaled assessment results as well as management measures. Another requirement is the ease of application, which includes the ease of gathering input data and understandability. In order to respond to this need, we developed a method which is designed for automated application in an open source farm assessment system named MANUELA. The method produces an ordinal scale assessment of biodiversity that includes biotopes, species, biotope connectivity and the influence of land use. In addition, specific measures for biotope types are proposed. The open source geographical information system OpenJump is used for the implementation of MANUELA. The results of the trial applications and robustness tests show that the assessment can be implemented, for the most part, using existing information as well as data available from farmers or advisors. The results are more sensitive for showing on-farm achievements and changes than existing biotope-type classifications. Such a differentiated classification is needed as a basis for ecosystem service payments and for designing effective measures. The robustness of the results with respect to biotope connectivity is comparable to that of complex models, but it should be further improved. Interviews with the test farmers substantiate that the assessment

  17. Patient and referring health care provider satisfaction with a physiotherapy spinal triage assessment service.

    Science.gov (United States)

    Bath, Brenna; Janzen, Bonnie

    2012-01-01

    To evaluate participant and referring care provider satisfaction associated with a spinal triage assessment service delivered by physiotherapists in collaboration with orthopedic surgeons. People with low back-related complaints were recruited from those referred to a spinal triage assessment program delivered by physiotherapists. Measures of patient and provider satisfaction were completed at approximately 4 weeks after the assessment. The satisfaction surveys were analyzed quantitatively with descriptive statistics and qualitatively with an inductive thematic approach of open and axial coding. A total of 108/115 participants completed the posttest satisfaction survey. Sixty-six percent of participants were "very satisfied" with the service and 55% were "very satisfied" with the recommendations that were made. Only 18% of referring care providers completed the satisfaction survey and 90.5% of those were "very satisfied" with the recommendations. Sixty-one participants and 14 care providers provided comments which revealed a diverse range of themes which were coded into positive (ie, understanding the problem, communication, customer service, efficiency, and management direction), negative (ie, lack of detail, time to follow-up, cost) and neutral related to the triage service, and an "other" category unrelated to the service (ie, chronic symptoms, comorbidities, and limited access to health care.) The quantitative results of the participant survey demonstrated very high levels of satisfaction with the service and slightly less satisfaction with the recommendations that were made. Satisfaction of referring care providers with the recommendations and report was also high, but given the low response rate, these results should be interpreted with caution. Qualitative analysis of participant and provider comments revealed a diverse range of themes. These other issues may be important contextual factors that have the potential to impact patient relevant outcomes.

  18. Ecosystem Services Mapping Uncertainty Assessment: A Case Study in the Fitzroy Basin Mining Region

    Directory of Open Access Journals (Sweden)

    Zhenyu Wang

    2018-01-01

    Full Text Available Ecosystem services mapping is becoming increasingly popular through the use of various readily available mapping tools, however, uncertainties in assessment outputs are commonly ignored. Uncertainties from different sources have the potential to lower the accuracy of mapping outputs and reduce their reliability for decision-making. Using a case study in an Australian mining region, this paper assessed the impact of uncertainties on the modelling of the hydrological ecosystem service, water provision. Three types of uncertainty were modelled using multiple uncertainty scenarios: (1 spatial data sources; (2 modelling scales (temporal and spatial and (3 parameterization and model selection. We found that the mapping scales can induce significant changes to the spatial pattern of outputs and annual totals of water provision. In addition, differences in parameterization using differing sources from the literature also led to obvious differences in base flow. However, the impact of each uncertainty associated with differences in spatial data sources were not so great. The results of this study demonstrate the importance of uncertainty assessment and highlight that any conclusions drawn from ecosystem services mapping, such as the impacts of mining, are likely to also be a property of the uncertainty in ecosystem services mapping methods.

  19. Linking employee perceptions of collective efficacy in self-managing service teams with customer-perceived service quality : a psychometric assessment

    NARCIS (Netherlands)

    Jong, de A.; Wetzels, M.G.M.; Ruyter, de J.C.

    2008-01-01

    Purpose – The purpose of this paper is to investigate the linkage between self-managing team (SMT) member perceptions of collective efficacy and customer-perceived service quality, and the most cost-efficient way to reliably assess collective efficacy and customer-perceived service quality, using

  20. Observations On Some Upper Amazonian Wetlands of Southeastern Peru

    Science.gov (United States)

    Householder, J. E.; Muttiah, R.; Khanal, S.

    2007-05-01

    Upper Amazonian wetlands represent little studied, poorly understood, and grossly under protected systems. Scientific investigation of Amazonian wetlands is in its infancy; nor is there much known about their ecological services. Regionally, wetlands form a ubiquitous and significant component of floodplain habitat fed by perennial springs as well as overland runoff. Locally, wetland vegetation forms bewilderingly complex vegetation mosaics that seem to be governed by local topography and hydrology. Drawing upon intensive field campaigns and remotely sensed imagery, we summarize the results and experiences gathered in wetlands of southeastern Peru.

  1. Initial development of the recovery-oriented services assessment: A collaboration with peer-provider consultants.

    Science.gov (United States)

    Lodge, Amy C; Kuhn, Wendy; Earley, Juli; Stevens Manser, Stacey

    2018-06-01

    The Recovery Self-Assessment (RSA) is a reliable and valid tool used to measure recovery-oriented services. Recent studies, however, suggest that the length and reading level of the RSA makes its routine use in service settings difficult. Recognizing the importance of including people with lived experience of a mental health challenge in research processes and the need to enhance the utility of tools that measure recovery-oriented services, this paper describes an innovative researcher-peer provider consultant multistep process used to revise the provider version of the RSA to create a new instrument-the Recovery-Oriented Services Assessment (ROSA). The authors conducted an exploratory factor analysis (EFA) with principal axis factoring extraction and direct oblimin rotation to evaluate the underlying structure of the provider RSA using data from mental health employees (n = 323). To triangulate the findings of the EFA, quantitative and qualitative data were collected from peer provider consultants (n = 9) on the importance of and language of RSA items. EFA results indicated that a 1-factor solution provided the best fit and explained 48% of the total variance. Consultants triangulated EFA results and recommended the addition of 2 items and language revisions. These results were used to develop the ROSA-a 15-item instrument measuring recovery-oriented services with accessible language. Two versions of the ROSA were developed: a staff version and a people-in-services version. The ROSA may provide organizations with a more accessible way to measure the extent to which their services are recovery oriented. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  2. Assessment of Data Management Services at New England Region Resource Libraries

    Directory of Open Access Journals (Sweden)

    Julie Goldman

    2015-07-01

    Full Text Available Objective: To understand how New England medical libraries are addressing scientific research data management and providing services to their communities. Setting: The National Network of Libraries of Medicine, New England Region (NN/LM NER contains 17 Resource Libraries. The University of Massachusetts Medical School serves as the New England Regional Medical Library (RML. Sixteen of the NER Resource Libraries completed this survey. Methods: A 40-question online survey assessed libraries’ services and programs for providing research data management education and support. Libraries shared their current plans and institutional challenges associated with developing data services. Results: This study shows few NER Resource Libraries currently integrate scientific research data management into their services and programs, and highlights the region’s use of resources provided by the NN/LM NER RML at the University of Massachusetts Medical School. Conclusions: Understanding the types of data services being delivered at NER libraries helps to inform the NN/LM NER about the eScience learning needs of New England medical librarians and helps in the planning of professional development programs that foster effective biomedical research data services.

  3. A New Collaborative Methodology for Assessment and Management of Ecosystem Services

    Directory of Open Access Journals (Sweden)

    Marina Segura

    2015-05-01

    Full Text Available Collaborative management is a new framework to help implement programmes in protected areas. Within this context, the aim of this work is twofold. First, to propose a robust methodology to implement collaborative management focused on ecosystem services. Second, to develop indicators for the main functions of ecosystem services. Decision makers, technical staff and other stakeholders are included in the process from the beginning, by identifying ecosystem services and eliciting preferences using the AHP method. Qualitative and quantitative data are then integrated into a PROMETHEE based method in order to obtain indicators for provisioning, maintenance and direct to citizens services. This methodology, which has been applied in a forest area, provides a tool for exploiting available technical and social data in a continuous process, as well as providing easy to understand graphical results. This approach also overcomes the difficulties found in prioritizing management objectives in a multiple criteria context with limited resources and facilitates consensus between all of the people involved. The new indicators define an innovative approach to assessing the ecosystem services from the supply perspective and provide basic information to help establish payment systems for environmental services and compensation for natural disasters.

  4. Ecosystem services sustainability in the Mediterranean Sea: assessment of status and trends using multiple modelling approaches

    Science.gov (United States)

    Liquete, Camino; Piroddi, Chiara; Macías, Diego; Druon, Jean-Noël; Zulian, Grazia

    2016-09-01

    Mediterranean ecosystems support important processes and functions that bring direct benefits to human society. Yet, marine ecosystem services are usually overlooked due to the challenges in identifying and quantifying them. This paper proposes the application of several biophysical and ecosystem modelling approaches to assess spatially and temporally the sustainable use and supply of selected marine ecosystem services. Such services include food provision, water purification, coastal protection, lifecycle maintenance and recreation, focusing on the Mediterranean region. Overall, our study found a higher number of decreasing than increasing trends in the natural capacity of the ecosystems to provide marine and coastal services, while in contrast the opposite was observed to be true for the realised flow of services to humans. Such a study paves the way towards an effective support for Blue Growth and the European maritime policies, although little attention is paid to the quantification of marine ecosystem services in this context. We identify a key challenge of integrating biophysical and socio-economic models as a necessary step to further this research.

  5. Design and impact assessment of watershed investments: An approach based on ecosystem services and boundary work

    International Nuclear Information System (INIS)

    Adem Esmail, Blal; Geneletti, Davide

    2017-01-01

    Watershed investments, whose main aim is to secure water for cities, represent a promising opportunity for large-scale sustainability transitions in the near future. If properly designed, they promote activities in the watershed that enhance ecosystem services while protecting nature and biodiversity, as well as achieving other societal goals. In this paper, we build on the concepts of ecosystem services and boundary work, to develop and test an operative approach for designing and assessing the impact of watershed investments. The approach is structured to facilitate negotiations among stakeholders. Its strategic component includes setting the agenda; defining investment scenarios; and assessing the performance of watershed investments as well as planning for a follow-up. Its technical component concerns data processing; tailoring spatially explicit ecosystem service models; hence their application to design a set of “investment portfolios”, generate future land use scenarios, and model impacts on selected ecosystem services. A case study illustrates how the technical component can be developed in a data scarce context in sub-Saharan Africa in a way that is functional to support the steps of the strategic component. The case study addresses soil erosion and water scarcity-related challenges affecting Asmara, a medium-sized city in Eritrea, and considers urban water security and rural poverty alleviation as two illustrative objectives, within a ten-year planning horizon. The case study results consist in spatially explicit data (investment portfolio, land use scenario, impact on ecosystem services), which were aggregated to quantitatively assess the performance of different watershed investments scenarios, in terms of changes in soil erosion control. By addressing stakeholders' concerns of credibility, saliency, and legitimacy, the approach is expected to facilitate negotiation of objectives, definition of scenarios, and assessment of alternative watershed

  6. Design and impact assessment of watershed investments: An approach based on ecosystem services and boundary work

    Energy Technology Data Exchange (ETDEWEB)

    Adem Esmail, Blal, E-mail: blal.ademesmail@unitn.it; Geneletti, Davide

    2017-01-15

    Watershed investments, whose main aim is to secure water for cities, represent a promising opportunity for large-scale sustainability transitions in the near future. If properly designed, they promote activities in the watershed that enhance ecosystem services while protecting nature and biodiversity, as well as achieving other societal goals. In this paper, we build on the concepts of ecosystem services and boundary work, to develop and test an operative approach for designing and assessing the impact of watershed investments. The approach is structured to facilitate negotiations among stakeholders. Its strategic component includes setting the agenda; defining investment scenarios; and assessing the performance of watershed investments as well as planning for a follow-up. Its technical component concerns data processing; tailoring spatially explicit ecosystem service models; hence their application to design a set of “investment portfolios”, generate future land use scenarios, and model impacts on selected ecosystem services. A case study illustrates how the technical component can be developed in a data scarce context in sub-Saharan Africa in a way that is functional to support the steps of the strategic component. The case study addresses soil erosion and water scarcity-related challenges affecting Asmara, a medium-sized city in Eritrea, and considers urban water security and rural poverty alleviation as two illustrative objectives, within a ten-year planning horizon. The case study results consist in spatially explicit data (investment portfolio, land use scenario, impact on ecosystem services), which were aggregated to quantitatively assess the performance of different watershed investments scenarios, in terms of changes in soil erosion control. By addressing stakeholders' concerns of credibility, saliency, and legitimacy, the approach is expected to facilitate negotiation of objectives, definition of scenarios, and assessment of alternative watershed

  7. 76 FR 65360 - Irish Potatoes Grown in Southeastern States; Suspension of Marketing Order Provisions

    Science.gov (United States)

    2011-10-21

    ... operate without marketing order requirements in order to review the effectiveness of the order. During the... DEPARTMENT OF AGRICULTURE Agricultural Marketing Service 7 CFR Part 953 [Doc. No. AMS-FV-11-0027; FV11-953-1 FR] Irish Potatoes Grown in Southeastern States; Suspension of Marketing Order Provisions...

  8. Linking Land Cover Data and Crop Yields for Mapping and Assessment of Pollination Services in Europe

    Directory of Open Access Journals (Sweden)

    Maria Luisa Paracchini

    2013-09-01

    Full Text Available Pollination is a key ecosystem service as many crops but in particular, fruits and vegetables are partially dependent on pollinating insects to produce food for human consumption. Here we assessed how pollination services are delivered at the European scale. We used this assessment to estimate the relative contribution of wild pollinators to crop production. We developed an index of relative pollination potential, which is defined as the relative potential or relative capacity of ecosystems to support crop pollination. The model for relative pollination potential is based on the assumption that different habitats, but in particular forest edges, grasslands rich in flowers and riparian areas, offer suitable sites for wild pollinator insects. Using data of the foraging range of wild bees with short flight distances, we linked relative pollination potential to regional statistics of crop production. At aggregated EU level, the absence of insect pollination would result in a reduction of between 25% and 32% of the total production of crops which are partially dependent on insect pollination, depending on the data source used for the assessment. This production deficit decreases to 2.5% if only the relative pollination potential of a single guild of pollinators is considered. A strength of our approach is the spatially-explicit link between land cover based relative pollination potential and crop yield which enables a general assessment of the benefits that are derived from pollination services in Europe while providing insight where pollination gaps in the landscape occur.

  9. Assessment of service delays and impact on bed utilisation in a major teaching hospital.

    LENUS (Irish Health Repository)

    Conway, R

    2010-12-14

    BACKGROUND: Increasing economic pressures coupled with an expanding and ageing population and a hostile economic climate have led to growing interest in the optimisation of bed usage within hospitals. There are many causes for delay in a patient\\'s discharge. METHODS: This prospective observational study assessed consecutive patients admitted and discharged from hospital within a 52-day period for waiting times in the provision of requested diagnostic tests and services. RESULTS: Seventy patients were included in the study. There were median delays of 2 and 3 days for an MRI and colonoscopy, a delay of 3 days for a Holter monitor report, and 9 days for an occupational therapy referral. The median wait for consults was 1 day across all three services. CONCLUSIONS: Significant remediable delays exist during the course of many acute medical admissions. Addressing these factors will enable the provision of a faster and more cost-efficient service.

  10. The Nuclear Regulator's Role in Assessing Licensee. Oversight of Vendor and Other Contracted Services

    International Nuclear Information System (INIS)

    2011-01-01

    Contracted services are an integral part of the design, construction and operation of a nuclear facility. Changes in the nuclear industry sector, including varied availability of nuclear expertise, the expansion of the international supply market and the introduction of new technologies, have tended to increase licensees' use of contracted services. These changes have created challenges for licensees and regulators related to the retention of nuclear expertise, the effective management of the interfaces between the licensees and contractors, and the oversight of contractor manufacturing quality in the context of greater multinational diversity. The regulatory body must address these challenges to provide assurance that the licensees maintain their responsibility for the safety of the facilities, regardless of who provides goods and services or where the activities involved in the supply chain take place. This report is intended to assist regulatory bodies in assessing their current practices for the regulatory oversight of licensees' use of contractors, and adapting them where necessary to meet the evolving situation

  11. The influences of patient's satisfaction with medical service delivery, assessment of medical service, and trust in health delivery system on patient's life satisfaction in China.

    Science.gov (United States)

    Tang, Liyang

    2012-09-14

    Patient's satisfaction with medical service delivery/assessment of medical service/trust in health delivery system may have significant influence on patient's life satisfaction in China's health delivery system/in various kinds of hospitals.The aim of this study was to test whether and to what extent patient's satisfaction with medical service delivery/patient's assessments of various major aspects of medical service/various major aspects of patient's trust in health delivery system influenced patient's life satisfaction in China's health delivery system/in various kinds of hospitals. This study collaborated with National Bureau of Statistics of China to carry out a 2008 national urban resident household survey in 17 provinces, autonomous regions, and municipalities directly under the central government (N = 3,386), and specified ordered probit models were established to analyze dataset from this household survey. The key considerations in generating patient's life satisfaction involved patient's overall satisfaction with medical service delivery, assessment of doctor-patient communication, assessment of medical cost, assessment of medical treatment process, assessment of medical facility and hospital environment, assessment of waiting time for medical service, trust in prescription, trust in doctor, and trust in recommended medical examination. But the major considerations in generating patient's life satisfaction were different among low level public hospital, high level public hospital, and private hospital. The promotion of patient's overall satisfaction with medical service delivery, the improvement of doctor-patient communication, the reduction of medical cost, the improvement of medical treatment process, the promotion of medical facility and hospital environment, the reduction of waiting time for medical service, the promotion of patient's trust in prescription, the promotion of patient's trust in doctor, and the promotion of patient's trust in

  12. Exploring pre-service science teachers' pedagogical capacity for formative assessment through analyses of student answers

    Science.gov (United States)

    Aydeniz, Mehmet; Dogan, Alev

    2016-05-01

    Background: There has been an increasing emphasis on empowering pre-service and in-service science teachers to attend student reasoning and use formative assessments to guide student learning in recent years. Purpose: The purpose of this study was to explore pre-service science teachers' pedagogical capacity for formative assessment. Sample: This study took place in Turkey. The participants include 53 pre-service science teachers in their final year of schooling. All but two of the participants are female. Design and methods: We used a mixed-methods methodology in pursing this inquiry. Participants analyzed 28 responses to seven two-tiered questions given by four students of different ability levels. We explored their ability to identify the strengths and weaknesses in students' answers. We paid particular attention to the things that the pre-service science teachers noticed in students' explanations, the types of inferences they made about students' conceptual understanding, and the affordances of pedagogical decisions they made. Results: The results show that the majority of participants made an evaluative judgment (i.e. the answer is correct or incorrect) in their analyses of students' answers. Similarly, the majority of the participants recognized the type of mistake that the students made. However, they failed to successfully elaborate on fallacies, limitations, or strengths in student reasoning. We also asked the participants to make pedagogical decisions related to what needs to be done next in order to help the students to achieve academic objectives. Results show that 8% of the recommended instructional strategies were of no affordance, 64% of low-affordance, and 28% were of high affordance in terms of helping students achieve the academic objectives. Conclusion: If our goal is to improve pre-service science teachers' noticing skills, and the affordance of feedback that they provide, engaging them in activities that asks them to attend to students' ideas

  13. State Public Health Enabling Authorities: Results of a Fundamental Activities Assessment Examining Core and Essential Services

    Science.gov (United States)

    Hoss, Aila; Menon, Akshara; Corso, Liza

    2016-01-01

    Context Public health enabling authorities establish the legal foundation for financing, organizing, and delivering public health services. State laws vary in terms of the content, depth, and breadth of these fundamental public health activities. Given this variance, the Institute of Medicine has identified state public health laws as an area that requires further examination. To respond to this call for further examination, the Centers for Disease Control and Prevention’s Public Health Law Program conducted a fundamental activities legal assessment on state public health laws. Objective The goal of the legal assessment was to examine state laws referencing frameworks representing public health department fundamental activities (ie, core and essential services) in an effort to identify, catalog, and describe enabling authorities of state governmental public health systems. Design In 2013, Public Health Law Program staff compiled a list of state statutes and regulations referencing different commonly-recognized public health frameworks of fundamental activities. The legal assessment included state fundamental activities laws available on WestlawNext as of July 2013. The results related to the 10 essential public health services and the 3 core public health functions were confirmed and updated in June 2016. Results Eighteen states reference commonly-recognized frameworks of fundamental activities in their laws. Thirteen states have listed the 10 essential public health services in their laws. Eight of these states have also referenced the 3 core public health functions in their laws. Five states reference only the core public health functions. Conclusions Several states reference fundamental activities in their state laws, particularly through use of the essential services framework. Further work is needed to capture the public health laws and practices of states that may be performing fundamental activities but without reference to a common framework. PMID

  14. An assessment of the impact of climate adaptation measures to reduce flood risk on ecosystem services.

    Science.gov (United States)

    Verburg, Peter H; Koomen, Eric; Hilferink, Maarten; Pérez-Soba, Marta; Lesschen, Jan Peter

    Measures of climate change adaptation often involve modification of land use and land use planning practices. Such changes in land use affect the provision of various ecosystem goods and services. Therefore, it is likely that adaptation measures may result in synergies and trade-offs between a range of ecosystems goods and services. An integrative land use modelling approach is presented to assess such impacts for the European Union. A reference scenario accounts for current trends in global drivers and includes a number of important policy developments that correspond to on-going changes in European policies. The reference scenario is compared to a policy scenario in which a range of measures is implemented to regulate flood risk and protect soils under conditions of climate change. The impacts of the simulated land use dynamics are assessed for four key indicators of ecosystem service provision: flood risk, carbon sequestration, habitat connectivity and biodiversity. The results indicate a large spatial variation in the consequences of the adaptation measures on the provisioning of ecosystem services. Synergies are frequently observed at the location of the measures itself, whereas trade-offs are found at other locations. Reducing land use intensity in specific parts of the catchment may lead to increased pressure in other regions, resulting in trade-offs. Consequently, when aggregating the results to larger spatial scales the positive and negative impacts may be off-set, indicating the need for detailed spatial assessments. The modelled results indicate that for a careful planning and evaluation of adaptation measures it is needed to consider the trade-offs accounting for the negative effects of a measure at locations distant from the actual measure. Integrated land use modelling can help land use planning in such complex trade-off evaluation by providing evidence on synergies and trade-offs between ecosystem services, different policy fields and societal

  15. State Public Health Enabling Authorities: Results of a Fundamental Activities Assessment Examining Core and Essential Services.

    Science.gov (United States)

    Hoss, Aila; Menon, Akshara; Corso, Liza

    2016-01-01

    Public health enabling authorities establish the legal foundation for financing, organizing, and delivering public health services. State laws vary in terms of the content, depth, and breadth of these fundamental public health activities. Given this variance, the Institute of Medicine has identified state public health laws as an area that requires further examination. To respond to this call for further examination, the Centers for Disease Control and Prevention's Public Health Law Program conducted a fundamental activities legal assessment on state public health laws. The goal of the legal assessment was to examine state laws referencing frameworks representing public health department fundamental activities (ie, core and essential services) in an effort to identify, catalog, and describe enabling authorities of state governmental public health systems. In 2013, Public Health Law Program staff compiled a list of state statutes and regulations referencing different commonly-recognized public health frameworks of fundamental activities. The legal assessment included state fundamental activities laws available on WestlawNext as of July 2013. The results related to the 10 essential public health services and the 3 core public health functions were confirmed and updated in June 2016. Eighteen states reference commonly-recognized frameworks of fundamental activities in their laws. Thirteen states have listed the 10 essential public health services in their laws. Eight of these states have also referenced the 3 core public health functions in their laws. Five states reference only the core public health functions. Several states reference fundamental activities in their state laws, particularly through use of the essential services framework. Further work is needed to capture the public health laws and practices of states that may be performing fundamental activities but without reference to a common framework.

  16. Insights and Opportunities Offered by a Rapid Ecosystem Service Assessment in Promoting a Conservation Agenda in an Urban Biodiversity Hotspot

    Directory of Open Access Journals (Sweden)

    Patrick J. O'Farrell

    2012-09-01

    Full Text Available Regional and global scale ecosystem service assessments have demonstrated the socioeconomic value of protecting biodiversity and have been integrated into associated policy. Local government decision makers are still unsure of the applicability, return on investment, and usefulness of these assessments in aiding their decision making. Cape Town, a developing city in a globally recognized biodiversity hotspot, has numerous competing land uses. City managers, with a tightly constrained budget, requested an exploratory study on the links between ecosystem services and biodiversity conservation within this municipal area. We set out to develop and test a simple and rapid ecosystem service assessment method aimed at determining the contribution natural vegetation remnants make to ecosystem service provision. We took selected services, identified in conjunction with city managers, and assessed these in two ways. First we used an area weighted approach to attribute services to vegetation types and assessed how these had changed through time and into the future given development needs. Second, we did a regulatory and cultural service remnant distance analysis to better understand proximity effects and linkages. Provisioning services were found to have been most severely affected through vegetation transformation. Regulatory services have been similarly affected, and these losses are more significant because regulatory services can only function in situ and cannot be outsourced in the way provisioning services can. The most significant losses were in coastal zone protection and flood mitigation services, both of which will be placed under even greater pressure given the predicted changes in climatic regimes. The role of remnant vegetation in regulating and cultural services was shown to be a significant additional consideration in making the case for conservation in the city. Our rapid assessment approach does not allow for nuanced and individual

  17. Reliability assessment of serviceability performance of braced retaining walls using a neural network approach

    Science.gov (United States)

    Goh, A. T. C.; Kulhawy, F. H.

    2005-05-01

    In urban environments, one major concern with deep excavations in soft clay is the potentially large ground deformations in and around the excavation. Excessive movements can damage adjacent buildings and utilities. There are many uncertainties associated with the calculation of the ultimate or serviceability performance of a braced excavation system. These include the variabilities of the loadings, geotechnical soil properties, and engineering and geometrical properties of the wall. A risk-based approach to serviceability performance failure is necessary to incorporate systematically the uncertainties associated with the various design parameters. This paper demonstrates the use of an integrated neural network-reliability method to assess the risk of serviceability failure through the calculation of the reliability index. By first performing a series of parametric studies using the finite element method and then approximating the non-linear limit state surface (the boundary separating the safe and failure domains) through a neural network model, the reliability index can be determined with the aid of a spreadsheet. Two illustrative examples are presented to show how the serviceability performance for braced excavation problems can be assessed using the reliability index.

  18. Assessing the quality of reproductive health services in Egypt via exit interviews.

    Science.gov (United States)

    Zaky, Hassan H M; Khattab, Hind A S; Galal, Dina

    2007-05-01

    This study assesses the quality of reproductive health services using client satisfaction exit interviews among three groups of primary health care units run by the Ministry of Health and Population of Egypt. Each group applied a different model of intervention. The Ministry will use the results in assessing its reproductive health component in the health sector reform program, and benefits from the strengths of other models of intervention. The sample was selected in two stages. First, a stratified random sampling procedure was used to select the health units. Then the sample of female clients in each health unit was selected using the systematic random approach, whereby one in every two women visiting the unit was approached. All women in the sample coming for reproductive health services were included in the analysis. The results showed that reproductive health beneficiaries at the units implementing the new health sector reform program were more satisfied with the quality of services. Still there were various areas where clients showed significant dissatisfaction, such as waiting time, interior furnishings, cleanliness of the units and consultation time. The study showed that the staff of these units did not provide a conductive social environment as other interventions did. A significant proportion of women expressed their intention to go to private physicians owing to their flexible working hours and variety specializations. Beneficiaries were generally more satisfied with the quality of health services after attending the reformed units than the other types of units, but the generalization did not fully apply. Areas of weakness are identified.

  19. Personality assessment of homeless adults as a tool for service planning.

    Science.gov (United States)

    Tolomiczenko, G S; Sota, T; Goering, P N

    2000-01-01

    The psychiatric status of homeless adults has been described primarily in terms of Axis I disorders. By adding a subset of the Personality Assessment Inventory, this study tests the feasibility and usefulness of a brief, self-administered questionnaire to obtain scores on several dimensions of personality. Cluster analysis sorted 112 tested subjects into four groups characterized by distinct profiles. Two of these were characterized by extreme scores on pathological dimensions of personality (borderline features, antisocial traits, and aggressivity) and differed primarily on the dimension of suicidality. The third reflected moderate levels of personality dysfunction and the fourth did not deviate from adult nonclinical norms. The validity of the clusters was supported by demographic, background, and diagnostic subgroup differences. Brief personality assessment can be a cost-effective approach to matching services with clinical needs of homeless adults by attending to interpersonal dimensions that will likely affect service provision.

  20. Investigating the role of Fuzzy as confirmatory tool for service quality assessment (Case study: Comparison of Fuzzy SERVQUAL and SERVQUAL in hotel service evaluation)

    Science.gov (United States)

    Wahyudi, R. D.

    2017-11-01

    The problem was because of some indicators qualitatively assessed had been discussed in engineering field. Whereas, qualitative assessment was presently used in certain occasion including in engineering field, for instance, the assessment of service satisfaction. Probably, understanding of satisfaction definition caused bias if customers had their own definition of satisfactory level of service. Therefore, the use of fuzzy logic in SERVQUAL as service satisfaction measurement tool would probably be useful. This paper aimed to investigate the role of fuzzy in SERVQUAL by comparing result measurement of SERVQUAL and fuzzy SERVQUAL for study case of hotel service evaluation. Based on data processing, initial result showed that there was no significant different between them. Thus, either implementation of fuzzy SERVQUAL in different case or study about the role of fuzzy logic in SERVQUAL would be interesting further discussed topic.

  1. ICT services for active ageing and independent living: identification and assessment.

    Science.gov (United States)

    Christophorou, Christophoros; Kleanthous, Styliani; Georgiadis, Dimosthenis; Cereghetti, Donato M; Andreou, Panayiotis; Wings, Cindy; Christodoulou, Eleni; Samaras, George

    2016-09-01

    Based on the demographic changes and the rapid increase of older population in Europe, major challenges are expected to rise, both in the economy as well as the society, whether the dominant care model for supporting elderly in living independently at home continues to rely on informal and formal caregivers' assistance. To respond to the above challenges, assistive technologies are called to develop Information and Communication Technology (ICT) services for supporting seniors to remain active and independent, for as long as possible, in their chosen home environment. The work described in this Letter is based on the Miraculous-Life project and it emphasises the identification and assessment of a set of services that an ICT system for Ageing Well should support, in an actual end-users setting. The outcome of this work may inform fellow researchers and other projects in the area of Ageing Well in: (i) understanding which ICT services can be the most valuable for end-users' Quality of Life, (ii) prioritising the development of related ICT services and (iii) facilitating better recourse allocation in order to reduce any risks associated to implementation failures of these services within their respective projects. A final trial phase is planned, aiming to validate the Miraculous Life prototype longitudinally in a naturalistic environment with a larger sample size. During this trial, it will be investigated if perceived usefulness, satisfaction and motivation could be predicted by sociodemographic variables and personality.

  2. Critical Zone services as environmental assessment criteria in intensively managed landscapes

    Science.gov (United States)

    Richardson, Meredith; Kumar, Praveen

    2017-06-01

    The Critical Zone (CZ) includes the biophysical processes occurring from the top of the vegetation canopy to the weathering zone below the groundwater table. CZ services provide a measure for the goods and benefits derived from CZ processes. In intensively managed landscapes, cropland is altered through anthropogenic energy inputs to derive more productivity, as agricultural products, than would be possible under natural conditions. However, the actual costs of alterations to CZ functions within landscape profiles are unknown. Through comparisons of corn feed and corn-based ethanol, we show that valuation of these CZ services in monetary terms provides a more concrete tool for characterizing seemingly abstract environmental damages from agricultural production systems. Multiple models are combined to simulate the movement of nutrients throughout the soil system, enabling the measurement of agricultural anthropogenic impacts to the CZ's regulating services. Results indicate water quality and atmospheric stabilizing services, measured by soil carbon storage, carbon respiration, and nitrate leaching, among others, can cost more than double that of emissions estimated in previous studies. Energy efficiency in addition to environmental impact is assessed to demonstrate how the inclusion of CZ services is necessary in accounting for the entire life cycle of agricultural production systems. These results conclude that feed production systems are more energy efficient and less environmentally costly than corn-based ethanol.

  3. Principles of Assessment of Rehabilitation Services in Health Systems: Learning from experiences.

    Science.gov (United States)

    Gutenbrunner, Christoph; Nugraha, Boya

    2018-04-18

    Strengthening of health-related rehabilitation services must start from the needs of persons with health conditions experiencing disability and should be implemented within health systems. The implementation of rehabilitation services in health systems should be planned and realized according to the World Health Organization's 6 constituents of health systems (i.e. health service delivery; health workforce; health information systems; essential medicines; financing; and leadership and governance). The development of recommendations based on situation analysis and best-available data is crucial. In order to facilitate such data collection at a national level, a checklist and a related questionnaire (Rehabilitation Service Assessment Tool (RSAT)) were developed and implemented. The following steps were followed to develop a checklist for implementation of rehabilitation services: a literature search, drafting, checking and testing the list, and development of the RSAT. The RSAT comprises 8 sections derived from 5 main domains of the most important areas of information (i.e. country profile; health system; disability and rehabilitation; national policies, laws, and responsibilities; and relevant non-governmental stakeholders). The implementation of RSAT in different missions has shown that the principles are working well and that RSAT is feasible and helpful. Further field testing is important and the development of an internationally agreed tool should be promoted.

  4. Principles of Assessment of Rehabilitation Services in Health Systems: Learning from experiences

    Directory of Open Access Journals (Sweden)

    Christoph Gutenbrunner

    2017-06-01

    Full Text Available Objective: Strengthening of health-related rehabilitation services must start from the needs of persons with health conditions experiencing disability and should be implemented within health systems. The implementation of rehabilitation services in health systems should be planned and realized according to the World Health Organization’s 6 constituents of health systems (i.e. health service delivery; health workforce; health information systems; essential medicines; financing; and leadership and governance. The development of recommendations based on situation analysis and best-available data is crucial. Methods: In order to facilitate such data collection at a national level, a checklist and a related questionnaire (Rehabilitation Service Assessment Tool (RSAT were developed and implemented. The following steps were followed to develop a checklist for implementation of rehabilitation services: a literature search, drafting, checking and testing the list, and development of the RSAT. Results: The RSAT comprises 8 sections derived from 5 main domains of the most important areas of information (i.e. country profile; health system; disability and rehabilitation; national policies, laws, and responsibilities; and relevant non-governmental stakeholders. Conclusion: The implementation of RSAT in different missions has shown that the principles are working well and that RSAT is feasible and helpful. Further field testing is important and the development of an internationally agreed tool should be promoted.

  5. Risk assessment for implementing e-services in some ministries in the State of Kuwait

    International Nuclear Information System (INIS)

    Zaied, A.N.H.; Al-Khairalla, F.

    2007-01-01

    The movement to e-government is basically about changing the way people and business interact with government. Kuwait, like any developing country, is currently launching major e-service projects aiming at improving government processes, connect government to citizens, and build interaction within the civil society. The e-services category of e-government applications enables interactions and relationships between the government and citizens, through which the latter gain access to a range of public services. However, the implementation process of e-services involves many factors of risk that could threaten the success of process. Therefore, an effective risk management process is an important component of a successful information security program. This paper investigates and discusses the possibilities of e-services risk areas and assesses the security and privacy protection issues in some ministries in Kuwait. The results show that the total average percentage of applying security and privacy issues in the studied ministries is moderate. The Ministry of Communication (MoC) has the highest percentage of applications, whereas the Ministry of Trading and Industry (MoTI) has the lowest. Physical security is the highest applied variable, while prevention of unauthorized access is the lowest one. (author)

  6. Assessment of Family Planning Services at Community Pharmacies in San Diego, California

    Directory of Open Access Journals (Sweden)

    Sally Rafie

    2013-10-01

    Full Text Available Levonorgestrel emergency contraception and other contraceptive methods are available over-the-counter (OTC; however youth continue to face a number of barriers in accessing healthcare services, including lack of knowledge of the method, fear of loss of privacy, difficulties in finding a provider, and cost. A descriptive, nonexperimental, cross-sectional study of a sample of 112 community pharmacies in San Diego, California was conducted between December 2009 and January 2010 to assess community pharmacy practices related to the availability and accessibility of family planning health pharmacy services and products, particularly to youth. A majority (n = 79/112, 70.5% of the pharmacies carried a wide selection of male condoms; however, the other OTC nonhormonal contraceptive products were either not available or available with limited selection. A majority of the pharmacies sold emergency contraception (n = 88/111, 78.6%. Most patient counseling areas consisted of either a public or a semi-private area. A majority of the pharmacy sites did not provide materials or services targeting youth. Significant gaps exist in providing family planning products and services in the majority of community pharmacies in San Diego, California. Education and outreach efforts are needed to promote provision of products and services, particularly to the adolescent population.

  7. Assessing the Sustainability Performance of Urban Plans based on Ecosystem Services

    Science.gov (United States)

    Menteşe, E. Y.; Tezer, A.

    2017-12-01

    Aiming at efficient and mindful use of natural resources while enabling social cohesion and economic development; sustainable development is one of the most emerging phenomenon in last decade. In this regard, role of urban development is critical by means of achieving sustainability since more than half of the world's population lives in cities. However, there is no solid and widely accepted approach for sustainability assessment in land use planning because there is not enough evidence on the relation between land use plans and environmental sustainability. With the basic aim of setting up relation between environmental sustainability and urban plans, this study utilizes ecosystem services phenomenon to define sustainability performance of a land use plan. Since ecosystem services can easily be related with land cover and land use they can be used as an efficient tool to act as indicators of sustainability. Meanwhile, while urban plans can provide ecosystem services and their level of service provision can be quantified, this is not solely enough for understanding its sustainability. Because it is also known that a land use plan mostly has negative impact on sustainability. Hence, this study embraces land use plans as a source of ecosystem services and environmental impacts. The difference between these entities are assumed to be the sustainability performance of a plan. The analysis relies on four parameters: ecosystem service capacity (environmental impact capacity), areal quantity of a land cover / use function, fragmantation level of the land use / cover and weight of ecosystem services / environmental impacts. Lastly, this approach is adopted for Istanbul's environmental master plan of 2009 and actual land cover of the same period. By calculating both data's environmental performance, the change of sustainability level sourced from environmental plan is analyzed.

  8. Assessing support for supervised injection services among community stakeholders in London, Canada.

    Science.gov (United States)

    Bardwell, Geoff; Scheim, Ayden; Mitra, Sanjana; Kerr, Thomas

    2017-10-01

    Few qualitative studies have examined support for supervised injection services (SIS), and these have been restricted to large cities. This study aimed to assess support for SIS among a diverse representation of community stakeholders in London, a mid-sized city in southwestern Ontario, Canada. This qualitative study was undertaken as part of the Ontario Integrated Supervised Injection Services Feasibility Study. We used purposive sampling methods to recruit a diversity of key informants (n=20) from five sectors: healthcare; social services; government and municipal services; police and emergency services; and the business and community sector. Interview data, collected via one-to-one semi structured interviews, were coded and analyzed using thematic analyses through NVivo 10 software. Interview participants unanimously supported the implementation of SIS in London. However, participant support for SIS was met with some implementation-related preferences and/or conditions. These included centralization or decentralization of SIS; accessibility of SIS for people who inject drugs; proximity of SIS to interview participants; and other services and strategies offered alongside SIS. The results of this study challenge the assumptions that smaller cities like London may be unlikely to support SIS. Community stakeholders were supportive of the implementation of SIS with some preferences or conditions. Interview participants had differing perspectives, but ultimately supported similar end goals of accessibility and reducing community harms associated with injection drug use. Future research and SIS programming should consider these factors when determining optimal service delivery in ways that increase support from a diversity of community stakeholders. Copyright © 2017 Elsevier B.V. All rights reserved.

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

    OpenAIRE

    Soneye Gbolade Michael

    2017-01-01

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

  10. Franchising of Melbourne’s rail services: assessment after six years

    OpenAIRE

    Stanley, John

    2006-01-01

    This article reviews the recent experience of franchising metropolitan public transport services in Melbourne, Australia, to assess the extent to which the declared objectives of the franchising have been achieved. The failure of the initial franchise process is argued to be attributable, in significant part, to shortcomings in the Government’s understanding of what was achievable from a public-private initiative of this nature, given the Melbourne context. Developments associated with the re...

  11. Training needs assessment of service providers: targeted intervention for HIV/AIDS in Jharkhand, India.

    Science.gov (United States)

    Kumar, Anant; Kumar, Prakash

    2013-01-01

    Training needs assessments are pivotal for any capacity building program. Building capacity of service providers and staff involved in HIV/AIDS intervention programs is crucial because of the distinct nature of such programs. It requires specific knowledge, skills, and attitudes that are of utmost importance, influencing the reach of the program and its impact in halting and reversing the epidemic. This study was conducted to identify the training needs assessment of personnel involved in targeted intervention for high risk populations vulnerable to HIV infection in Jharkhand, India. Through the study the authors critically examine the existing training needs and gaps and suggest strategies to address them.

  12. A Methodological Approach for Assessing Amplified Reflection Distributed Denial of Service on the Internet of Things.

    Science.gov (United States)

    Costa Gondim, João José; de Oliveira Albuquerque, Robson; Clayton Alves Nascimento, Anderson; García Villalba, Luis Javier; Kim, Tai-Hoon

    2016-11-04

    Concerns about security on Internet of Things (IoT) cover data privacy and integrity, access control, and availability. IoT abuse in distributed denial of service attacks is a major issue, as typical IoT devices' limited computing, communications, and power resources are prioritized in implementing functionality rather than security features. Incidents involving attacks have been reported, but without clear characterization and evaluation of threats and impacts. The main purpose of this work is to methodically assess the possible impacts of a specific class-amplified reflection distributed denial of service attacks (AR-DDoS)-against IoT. The novel approach used to empirically examine the threat represented by running the attack over a controlled environment, with IoT devices, considered the perspective of an attacker. The methodology used in tests includes that perspective, and actively prospects vulnerabilities in computer systems. This methodology defines standardized procedures for tool-independent vulnerability assessment based on strategy, and the decision flows during execution of penetration tests (pentests). After validation in different scenarios, the methodology was applied in amplified reflection distributed denial of service (AR-DDoS) attack threat assessment. Results show that, according to attack intensity, AR-DDoS saturates reflector infrastructure. Therefore, concerns about AR-DDoS are founded, but expected impact on abused IoT infrastructure and devices will be possibly as hard as on final victims.

  13. A Methodological Approach for Assessing Amplified Reflection Distributed Denial of Service on the Internet of Things

    Directory of Open Access Journals (Sweden)

    João José Costa Gondim

    2016-11-01

    Full Text Available Concerns about security on Internet of Things (IoT cover data privacy and integrity, access control, and availability. IoT abuse in distributed denial of service attacks is a major issue, as typical IoT devices’ limited computing, communications, and power resources are prioritized in implementing functionality rather than security features. Incidents involving attacks have been reported, but without clear characterization and evaluation of threats and impacts. The main purpose of this work is to methodically assess the possible impacts of a specific class–amplified reflection distributed denial of service attacks (AR-DDoS–against IoT. The novel approach used to empirically examine the threat represented by running the attack over a controlled environment, with IoT devices, considered the perspective of an attacker. The methodology used in tests includes that perspective, and actively prospects vulnerabilities in computer systems. This methodology defines standardized procedures for tool-independent vulnerability assessment based on strategy, and the decision flows during execution of penetration tests (pentests. After validation in different scenarios, the methodology was applied in amplified reflection distributed denial of service (AR-DDoS attack threat assessment. Results show that, according to attack intensity, AR-DDoS saturates reflector infrastructure. Therefore, concerns about AR-DDoS are founded, but expected impact on abused IoT infrastructure and devices will be possibly as hard as on final victims.

  14. A Methodological Approach for Assessing Amplified Reflection Distributed Denial of Service on the Internet of Things

    Science.gov (United States)

    Costa Gondim, João José; de Oliveira Albuquerque, Robson; Clayton Alves Nascimento, Anderson; García Villalba, Luis Javier; Kim, Tai-Hoon

    2016-01-01

    Concerns about security on Internet of Things (IoT) cover data privacy and integrity, access control, and availability. IoT abuse in distributed denial of service attacks is a major issue, as typical IoT devices’ limited computing, communications, and power resources are prioritized in implementing functionality rather than security features. Incidents involving attacks have been reported, but without clear characterization and evaluation of threats and impacts. The main purpose of this work is to methodically assess the possible impacts of a specific class–amplified reflection distributed denial of service attacks (AR-DDoS)–against IoT. The novel approach used to empirically examine the threat represented by running the attack over a controlled environment, with IoT devices, considered the perspective of an attacker. The methodology used in tests includes that perspective, and actively prospects vulnerabilities in computer systems. This methodology defines standardized procedures for tool-independent vulnerability assessment based on strategy, and the decision flows during execution of penetration tests (pentests). After validation in different scenarios, the methodology was applied in amplified reflection distributed denial of service (AR-DDoS) attack threat assessment. Results show that, according to attack intensity, AR-DDoS saturates reflector infrastructure. Therefore, concerns about AR-DDoS are founded, but expected impact on abused IoT infrastructure and devices will be possibly as hard as on final victims. PMID:27827931

  15. Developing a robust methodology for assessing the value of weather/climate services

    Science.gov (United States)

    Krijnen, Justin; Golding, Nicola; Buontempo, Carlo

    2016-04-01

    Increasingly, scientists involved in providing weather and climate services are expected to demonstrate the value of their work for end users in order to justify the costs of developing and delivering these services. This talk will outline different approaches that can be used to assess the socio-economic benefits of weather and climate services, including, among others, willingness to pay and avoided costs. The advantages and limitations of these methods will be discussed and relevant case-studies will be used to illustrate each approach. The choice of valuation method may be influenced by different factors, such as resource and time constraints and the end purposes of the study. In addition, there are important methodological differences which will affect the value assessed. For instance the ultimate value of a weather/climate forecast to a decision-maker will not only depend on forecast accuracy but also on other factors, such as how the forecast is communicated to and consequently interpreted by the end-user. Thus, excluding these additional factors may result in inaccurate socio-economic value estimates. In order to reduce the inaccuracies in this valuation process we propose an approach that assesses how the initial weather/climate forecast information can be incorporated within the value chain of a given sector, taking into account value gains and losses at each stage of the delivery process. By this we aim to more accurately depict the socio-economic benefits of a weather/climate forecast to decision-makers.

  16. Role stress in after-sales service management: a longitudinal assessment of its antecedents and consequences

    NARCIS (Netherlands)

    Wetzels, M.G.M.; Ruyter, de J.C.; Lemmink, J.G.A.M.

    1999-01-01

    The implementation of a superior service strategy strongly depends on the attitude and behavior of customer contact personnel in service organizations. However, conflicting demands of organizational constraints, service managers, service teams, and customers frequently lead to role stress of service

  17. Assessing the impact of heart failure specialist services on patient populations

    Directory of Open Access Journals (Sweden)

    Lyratzopoulos Georgios

    2004-05-01

    Full Text Available Abstract Background The assessment of the impact of healthcare interventions may help commissioners of healthcare services to make optimal decisions. This can be particularly the case if the impact assessment relates to specific patient populations and uses timely local data. We examined the potential impact on readmissions and mortality of specialist heart failure services capable of delivering treatments such as b-blockers and Nurse-Led Educational Intervention (N-LEI. Methods Statistical modelling of prevented or postponed events among previously hospitalised patients, using estimates of: treatment uptake and contraindications (based on local audit data; treatment effectiveness and intolerance (based on literature; and annual number of hospitalization per patient and annual risk of death (based on routine data. Results Optimal treatment uptake among eligible but untreated patients would over one year prevent or postpone 11% of all expected readmissions and 18% of all expected deaths for spironolactone, 13% of all expected readmisisons and 22% of all expected deaths for b-blockers (carvedilol and 20% of all expected readmissions and an uncertain number of deaths for N-LEI. Optimal combined treatment uptake for all three interventions during one year among all eligible but untreated patients would prevent or postpone 37% of all expected readmissions and a minimum of 36% of all expected deaths. Conclusion In a population of previously hospitalised patients with low previous uptake of b-blockers and no uptake of N-LEI, optimal combined uptake of interventions through specialist heart failure services can potentially help prevent or postpone approximately four times as many readmissions and a minimum of twice as many deaths compared with simply optimising uptake of spironolactone (not necessarily requiring specialist services. Examination of the impact of different heart failure interventions can inform rational planning of relevant healthcare

  18. Assessing the impact of heart failure specialist services on patient populations.

    Science.gov (United States)

    Lyratzopoulos, Georgios; Cook, Gary A; McElduff, Patrick; Havely, Daniel; Edwards, Richard; Heller, Richard F

    2004-05-24

    The assessment of the impact of healthcare interventions may help commissioners of healthcare services to make optimal decisions. This can be particularly the case if the impact assessment relates to specific patient populations and uses timely local data. We examined the potential impact on readmissions and mortality of specialist heart failure services capable of delivering treatments such as b-blockers and Nurse-Led Educational Intervention (N-LEI). Statistical modelling of prevented or postponed events among previously hospitalised patients, using estimates of: treatment uptake and contraindications (based on local audit data); treatment effectiveness and intolerance (based on literature); and annual number of hospitalization per patient and annual risk of death (based on routine data). Optimal treatment uptake among eligible but untreated patients would over one year prevent or postpone 11% of all expected readmissions and 18% of all expected deaths for spironolactone, 13% of all expected readmisisons and 22% of all expected deaths for b-blockers (carvedilol) and 20% of all expected readmissions and an uncertain number of deaths for N-LEI. Optimal combined treatment uptake for all three interventions during one year among all eligible but untreated patients would prevent or postpone 37% of all expected readmissions and a minimum of 36% of all expected deaths. In a population of previously hospitalised patients with low previous uptake of b-blockers and no uptake of N-LEI, optimal combined uptake of interventions through specialist heart failure services can potentially help prevent or postpone approximately four times as many readmissions and a minimum of twice as many deaths compared with simply optimising uptake of spironolactone (not necessarily requiring specialist services). Examination of the impact of different heart failure interventions can inform rational planning of relevant healthcare services.

  19. Assessing the antecedents of customer loyalty on healthcare insurance products: Service quality; perceived value embedded model

    Directory of Open Access Journals (Sweden)

    Fadi Abdelmuniem Abdelfattah

    2015-11-01

    Full Text Available Purpose: This research aim to investigate the influence of service quality attributes towards customers’ loyalty on health insurance products. In addition, this research also tested the mediation role of perceived value in between service quality and customers’ loyalty on health insurance products. Design/methodology/approach: Based on the literature review, this research developed a conceptual model of customers loyalty embedded with service quality and perceived value. The study surveyed 342 healthcare insurance customers. Apart from assessing the reliability and validity of the constructs through confirmatory factor analysis, this research also used structural equation modelling (SEM approach to test the proposed hypothesis. Findings: The results from the inferential statistics revealed that the healthcare insurance customers are highly influenced by service quality followed by the perceived value in reaching their loyalty towards a particular health insurance service provider. Research limitations/implications: The sample for this study is based on health insurance customers only and it is suggested that future studies enlarge the scope to include others type of customers of different insurance products. Practical implications: In order to encourage the customers to more loyal towards their service providers, this research will add value for the mangers to understand the items of service quality and considering the perceived value of the target customers in order to optimize their loyalty. As whole, the outcome of this research will assist managers for better understanding of the customers’ loyalty antecedents under the perspective of healthcare insurance products. Originality/value: This paper has tried to provide a comprehensive understanding about customers’ loyalty under the perspective of service quality and perceived values context in the Malaysian health care insurance industry. Since there was a lack of such research in

  20. A framework to assess landscape structural capacity to provide regulating ecosystem services in West Africa.

    Science.gov (United States)

    Inkoom, Justice Nana; Frank, Susanne; Greve, Klaus; Fürst, Christine

    2018-03-01

    The Sudanian savanna landscapes of West Africa are amongst the world's most vulnerable areas to climate change impacts. Inappropriate land use and agriculture management practices continuously impede the capacity of agricultural landscapes to provide ecosystem services (ES). Given the absence of practical assessment techniques to evaluate the landscape's capacity to provide regulating ES in this region, the goal of this paper is to propose an integrative assessment framework which combines remote sensing, geographic information systems, expert weighting and landscape metrics-based assessment. We utilized Analytical Hierarchical Process and Likert scale for the expert weighting of landscape capacity. In total, 56 experts from several land use and landscape management related departments participated in the assessment. Further, we adapted the hemeroby concept to define areas of naturalness while landscape metrics including Patch Density, Shannon's Diversity, and Shape Index were utilized for structural assessment. Lastly, we tested the reliability of expert weighting using certainty measurement rated by experts themselves. Our study focused on four regulating ES including flood control, pest and disease control, climate control, and wind erosion control. Our assessment framework was tested on four selected sites in the Vea catchment area of Ghana. The outcome of our study revealed that highly heterogeneous landscapes have a higher capacity to provide pest and disease control, while less heterogeneous landscapes have a higher potential to provide climate control. Further, we could show that the potential capacities to provide ecosystem services are underestimated by 15% if landscape structural aspects assessed through landscape metrics are not considered. We conclude that the combination of adapted land use and an optimized land use pattern could contribute considerably to lower climate change impacts in West African agricultural landscapes. Copyright © 2017 Elsevier

  1. Development of a concept for non-monetary assessment of urban ecosystem services at the site level.

    Science.gov (United States)

    Wurster, Daniel; Artmann, Martina

    2014-05-01

    Determining the performance of ecosystem services at the city or regional level cannot accurately take into account the fine differences between green or gray structures. The supply of regulating ecosystem services in, for instance, parks can differ as parks vary in their land cover composition. A comprehensive ecosystem service assessment approach also needs to reflect land use to consider the demands placed on ecosystem services, which are mostly neglected by current research yet important for urban planning. For instance, if a sealed surface is no longer used, it could be unsealed to improve ecosystem service supply. Because of these scientific shortcomings, this article argues for a conceptual framework for the non-monetary assessment of urban ecosystem services at the site scale. This paper introduces a standardized method for selecting representative sites and evaluating their supply of and demand on ecosystem services. The conceptual design is supplemented by examples of Salzburg, Austria.

  2. [Service value assessment of orchard ecosystem: a case of Putian City of Fujian].

    Science.gov (United States)

    Chen, Jing; Wu, Duan-wang

    2011-09-01

    Based on the equivalent weight factor of China terrestrial ecosystem service value, and by using ecosystem service value assessment model, this paper evaluated the orchard ecosystem service value in Putian City. In 2002-2008, the orchard ecosystem service value in the City had an overall increasing trend, among which, the service value of gas regulation and water resource conservation had a fluctuation trend of decreased after an initial increase, and that of other functions increased rapidly in 2002-2006 and then developed mildly. The service value of regulation function was higher than that of direct use function, showing that only on the basis of preserving well the functions of ecosystem, could the orchard ecosystem be claimed and used. As most of the orchards in the City are on hills or mountains, the construction and ecological protection of the orchards are obviously disjointed, making the orchards become bare land or other land-use types, resulting in serious soil erosion and degradation, which not only destroyed the orchard ecology, but also gave negative effects on the production efficiency of agriculture. In the future construction of Putian orchards, it should implement comprehensive planning and management of mountain areas, water regions, farm lands, forest lands, and paths, reduce the orchard construction costs by taking advantage of high and new technologies in light of the local conditions and the demands of domestic and foreign markets, and promote the virtuous circle of ecosystem by comprehensive utilization of resources and regulation of biological interaction to make the structure of the orchard ecosystem approached to scientific and rational.

  3. Characterization and Health Risk Assessment of Volatile Organic Compounds in Gas Service Station Workers

    Directory of Open Access Journals (Sweden)

    Duangduan Yimrungruang

    2008-07-01

    Full Text Available Gas service station workers who work near volatile organic compounds (VOCs sources, such as gasoline vapor emissions, and motor vehicle exhausts, may be exposed to highly elevated VOCs levels. This study investigates air samples from gas service stations in Thailand to evaluate the health risks following inhalation exposure. Personal air samplings were obtained at nine gas service stations in Chonburi, Thailand from October to December 2007. The concentrations of benzene, toluene, ethylbenzene, xylenes, and hexane in the air from the workplaces were significantly higher than in a control group of office workers (p<0.05. However, all VOCs in these air samples were lower than TWA limit of Thailand and the OSHA standard. Samples of urine, collected after 8-h work periods which were analyzed for VOCs metabolites, including t,t muconic acid, hippuric acid, mandelic acid and m-hippuric acid, demonstrate that the average levels of metabolites in gas service station workers and in controls were close, except for t,t muconic acid of gas service station workers which displayed higher levels than the in the controls. The lifetime cancer and noncancer risks for the workers exposed to VOCs were also assessed. Results show that all nine gas service stations in this study had a elevated lifetime cancer risk ranging from 53 to 630 per million, thus exceeding the normal risk of 1 per million. For noncancer risks, the levels in all gas stations ranged between 0.03 and 0.4, which is well below the reference hazard level of 1.0. Benzene may the most important cause of both cancer and noncancer risk followed by 1,3 butadiene.

  4. Quality of service provision assessment in the healthcare information and telecommunications infrastructures.

    Science.gov (United States)

    Babulak, Eduard

    2006-01-01

    The continuous increase in the complexity and the heterogeneity of corporate and healthcare telecommunications infrastructures will require new assessment methods of quality of service (QoS) provision that are capable of addressing all engineering and social issues with much faster speeds. Speed and accessibility to any information at any time from anywhere will create global communications infrastructures with great performance bottlenecks that may put in danger human lives, power supplies, national economy and security. Regardless of the technology supporting the information flows, the final verdict on the QoS is made by the end user. The users' perception of telecommunications' network infrastructure QoS provision is critical to the successful business management operation of any organization. As a result, it is essential to assess the QoS Provision in the light of user's perception. This article presents a cost effective methodology to assess the user's perception of quality of service provision utilizing the existing Staffordshire University Network (SUN) by adding a component of measurement to the existing model presented by Walker. This paper presents the real examples of CISCO Networking Solutions for Health Care givers and offers a cost effective approach to assess the QoS provision within the campus network, which could be easily adapted to any health care organization or campus network in the world.

  5. Environmental risk assessment for plant pests: a procedure to evaluate their impacts on ecosystem services.

    Science.gov (United States)

    Gilioli, G; Schrader, G; Baker, R H A; Ceglarska, E; Kertész, V K; Lövei, G; Navajas, M; Rossi, V; Tramontini, S; van Lenteren, J C

    2014-01-15

    The current methods to assess the environmental impacts of plant pests differ in their approaches and there is a lack of the standardized procedures necessary to provide accurate and consistent results, demonstrating the complexity of developing a commonly accepted scheme for this purpose. By including both the structural and functional components of the environment threatened by invasive alien species (IAS), in particular plant pests, we propose an environmental risk assessment scheme that addresses this complexity. Structural components are investigated by evaluating the impacts of the plant pest on genetic, species and landscape diversity. Functional components are evaluated by estimating how plant pests modify ecosystem services in order to determine the extent to which an IAS changes the functional traits that influence ecosystem services. A scenario study at a defined spatial and temporal resolution is then used to explore how an IAS, as an exogenous driving force, may trigger modifications in the target environment. The method presented here provides a standardized approach to generate comparable and reproducible results for environmental risk assessment as a component of Pest Risk Analysis. The method enables the assessment of overall environmental risk which integrates the impacts on different components of the environment and their probabilities of occurrence. The application of the proposed scheme is illustrated by evaluating the environmental impacts of the invasive citrus long-horn beetle, Anoplophora chinensis. © 2013.

  6. Saline water in southeastern New Mexico

    Science.gov (United States)

    Hiss, W.L.; Peterson, J.B.; Ramsey, T.R.

    1969-01-01

    Saline waters from formations of several geologic ages are being studied in a seven-county area in southeastern New Mexico and western Texas, where more than 30,000 oil and gas tests have been drilled in the past 40 years. This area of 7,500 sq. miles, which is stratigraphically complex, includes the northern and eastern margins of the Delaware Basin between the Guadalupe and Glass Mountains. Chloride-ion concentrations in water produced from rocks of various ages and depths have been mapped in Lea County, New Mexico, using machine map-plotting techniques and trend analyses. Anomalously low chloride concentrations (1,000-3,000 mg/l) were found along the western margin of the Central Basin platform in the San Andres and Capitan Limestone Formations of Permian age. These low chloride-ion concentrations may be due to preferential circulation of ground water through the more porous and permeable rocks. Data being used in the study were obtained principally from oil companies and from related service companies. The P.B.W.D.S. (Permian Basin Well Data System) scout-record magnetic-tape file was used as a framework in all computer operations. Shallow or non-oil-field water analyses acquired from state, municipal, or federal agencies were added to these data utilizing P.B.W.D.S.-compatible reference numbers and decimal latitude-longitude coordinates. Approximately 20,000 water analyses collected from over 65 sources were coded, recorded on punch cards and stored on magnetic tape for computer operations. Extensive manual and computer error checks for duplication and accuracy were made to eliminate data errors resulting from poorly located or identified samples; non-representative or contaminated samples; mistakes in coding, reproducing or key-punching; laboratory errors; and inconsistent reporting. The original 20,000 analyses considered were reduced to 6,000 representative analyses which are being used in the saline water studies. ?? 1969.

  7. Development of Measures to Assess Personal Recovery in Young People Treated in Specialist Mental Health Services.

    Science.gov (United States)

    John, Mary; Jeffries, Fiona W; Acuna-Rivera, Marcela; Warren, Fiona; Simonds, Laura M

    2015-01-01

    Recovery has become a central concept in mental health service delivery, and several recovery-focused measures exist for adults. The concept's applicability to young people's mental health experience has been neglected, and no measures yet exist. Aim The aim of this work is to develop measures of recovery for use in specialist child and adolescent mental health services. On the basis of 21 semi-structured interviews, three recovery measures were devised, one for completion by the young person and two for completion by the parent/carer. Two parent/carer measures were devised in order to assess both their perspective on their child's recovery and their own recovery process. The questionnaires were administered to a UK sample of 47 young people (10-18 years old) with anxiety and depression and their parents, along with a measure used to routinely assess treatment progress and outcome and a measure of self-esteem. All three measures had high internal consistency (alpha ≥ 0.89). Young people's recovery scores were correlated negatively with scores on a measure used to routinely assess treatment progress and outcome (r = -0.75) and positively with self-esteem (r = 0.84). Parent and young persons' reports of the young person's recovery were positively correlated (r = 0.61). Parent report of the young person's recovery and of their own recovery process were positively correlated (r = 0.75). The three measures have the potential to be used in mental health services to assess recovery processes in young people with mental health difficulties and correspondence with symptomatic improvement. The measures provide a novel way of capturing the parental/caregiver perspective on recovery and caregivers' own wellbeing. No tools exist to evaluate recovery-relevant processes in young people treated in specialist mental health services. This study reports on the development and psychometric evaluation of three self-report recovery-relevant assessments for young

  8. Patient and referring health care provider satisfaction with a physiotherapy spinal triage assessment service

    Directory of Open Access Journals (Sweden)

    Bath B

    2011-12-01

    Full Text Available Brenna Bath1, Bonnie Janzen21School of Physical Therapy, College of Medicine, University of Saskatchewan, 2Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaPurpose: To evaluate participant and referring care provider satisfaction associated with a spinal triage assessment service delivered by physiotherapists in collaboration with orthopedic surgeons.Methods: People with low back-related complaints were recruited from those referred to a spinal triage assessment program delivered by physiotherapists. Measures of patient and provider satisfaction were completed at approximately 4 weeks after the assessment. The satisfaction surveys were analyzed quantitatively with descriptive statistics and qualitatively with an inductive thematic approach of open and axial coding.Results: A total of 108/115 participants completed the posttest satisfaction survey. Sixty-six percent of participants were “very satisfied” with the service and 55% were “very satisfied” with the recommendations that were made. Only 18% of referring care providers completed the satisfaction survey and 90.5% of those were “very satisfied” with the recommendations. Sixty-one participants and 14 care providers provided comments which revealed a diverse range of themes which were coded into positive (ie, understanding the problem, communication, customer service, efficiency, and management direction, negative (ie, lack of detail, time to follow-up, cost and neutral related to the triage service, and an “other” category unrelated to the service (ie, chronic symptoms, comorbidities, and limited access to health care.Conclusion: The quantitative results of the participant survey demonstrated very high levels of satisfaction with the service and slightly less satisfaction with the recommendations that were made. Satisfaction of referring care providers with the recommendations and report was also high, but given

  9. A collaborative approach to improve the assessment of physical health in adult consumers with schizophrenia in Queensland mental health services.

    Science.gov (United States)

    Plever, Sally; McCarthy, Irene; Anzolin, Melissa; Emmerson, Brett; Khatun, Mohsina

    2016-02-01

    The objective of this study was to apply a quality improvement collaborative to increase the number of physical health assessments conducted with consumers diagnosed with schizophrenia in adult community mental health services across Queensland. Sixteen adult mental health service organisations voluntarily took part in the statewide collaborative initiative to increase the number of physical health assessments completed on persons with a diagnosis of schizophrenia spectrum disorders managed through the community mental health service. Improvement in the physical health assessment clinical indicator was demonstrated across the state over a 3-year period with an increase in the number of physical health assessments recorded from 12% to 58%. Significant improvements were made over a 3-year period by all mental health services involved in the collaborative, supporting the application of a quality improvement methodology to drive change across mental health services. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  10. Assessment of the quality of service provided by a national regulatory institution

    Directory of Open Access Journals (Sweden)

    Adetunji, O.

    2013-05-01

    Full Text Available Government institutions need to assess how well they meet the needs of their customers, and what their customers think about the quality of the services they provide. This is aligned with the Batho Pele principle of the South African government. The SERVQUAL scale, augmented with a qualitative survey, was used to determine how the National Home Builders Registration Council (NHBRC is perceived by its clients, which key factors drive such perceptions, and whether the perceptions are consistent across the different client groups of this regulatory institution. The complementary role of qualitative data in illuminating issues driving quantitative results is highlighted. Service quality scores are computed for the NHBRC. The convergence of opinions of different customer groups was studied using correlation analysis. The significance of service quality perception gaps was tested using the multivariate analysis of variance, and the reliability of the SERVQUAL scale was examined using exploratory factor analysis. It was observed that by improving the feedback mechanism of the NHBRC, their clients customer service quality perceptions could be enhanced.

  11. ASSESSMENT OF GOOD PRACTICES IN HOSPITAL FOOD SERVICE BY COMPARING EVALUATION TOOLS.

    Science.gov (United States)

    Macedo Gonçalves, Juliana; Lameiro Rodrigues, Kelly; Santiago Almeida, Ângela Teresinha; Pereira, Giselda Maria; Duarte Buchweitz, Márcia Rúbia

    2015-10-01

    since food service in hospitals complements medical treatment, it should be produced in proper hygienic and sanitary conditions. It is a well-known fact that food-transmitted illnesses affect with greater severity hospitalized and immunosuppressed patients. good practices in hospital food service are evaluated by comparing assessment instruments. good practices were evaluated by a verification list following Resolution of Collegiate Directory n. 216 of the Brazilian Agency for Sanitary Vigilance. Interpretation of listed items followed parameters of RCD 216 and the Brazilian Association of Collective Meals Enterprises (BACME). Fisher's exact test was applied to detect whether there were statistically significant differences. Analysis of data grouping was undertaken with Unweighted Pair-group using Arithmetic Averages, coupled to a correlation study between dissimilarity matrixes to verify disagreement between the two methods. Good Practice was classified with mean total rates above 75% by the two methods. There were statistically significant differences between services and food evaluated by BACME instrument. Hospital Food Services have proved to show conditions of acceptable good practices. the comparison of interpretation tools based on RCD n. 216 and BACME provided similar results for the two classifications. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  12. Assessing Medicare beneficiaries' willingness-to-pay for medication therapy management services.

    Science.gov (United States)

    Woelfel, Joseph A; Carr-Lopez, Sian M; Delos Santos, Melanie; Bui, Ann; Patel, Rajul A; Walberg, Mark P; Galal, Suzanne M

    2014-02-01

    To assess Medicare beneficiaries' willingness-to-pay (WTP) for medication therapy management (MTM) services and determine sociodemographic and clinical characteristics influencing this payment amount. A cross-sectional, descriptive study design was adopted to elicit Medicare beneficiaries' WTP for MTM. Nine outreach events in cities across Central/Northern California during Medicare's 2011 open-enrollment period. A total of 277 Medicare beneficiaries participated in the study. Comprehensive MTM was offered to each beneficiary. Pharmacy students conducted the MTM session under the supervision of licensed pharmacists. At the end of each MTM session, beneficiaries were asked to indicate their WTP for the service. Medication, self-reported chronic conditions, and beneficiary demographic data were collected and recorded via a survey during the session. The mean WTP for MTM was $33.15 for the 277 beneficiaries receiving the service and answering the WTP question. WTP by low-income subsidy recipients (mean ± standard deviation; $12.80 ± $24.10) was significantly lower than for nonsubsidy recipients ($41.13 ± $88.79). WTP was significantly (positively) correlated with number of medications regularly taken and annual out-of-pocket drug costs. The mean WTP for MTM was $33.15. WTP for MTM significantly varied by race, subsidy status, and number of prescription medications taken. WTP was significantly higher for nonsubsidy recipients than subsidy recipients, and significantly positively correlated with the number of medications regularly taken and the beneficiary rating of the delivered services.

  13. The factors to assess the quality of management of housing and communal services

    Directory of Open Access Journals (Sweden)

    Agapitova Elena

    2017-01-01

    Full Text Available The article reveals the author’s ideas for improving the quality of management of housing and communal services of a large city. The authors address the issue of expediting the provision of services. The article defined the most important rules and consistency of decision-making by managers, providing services to residents of apartment buildings. One of the major challenges is to meet all the needs of residents. The solution to this problem breaks down into two components: the first is the definition itself needs, the second is the determination of ways to meet them. Management involves the implementation of a system of interconnected plans aimed at achieving a common goal. In the market environment of the Russian Federation on management processes overlap with requirements of government regulation, a complex representation which is not available in open sources. A lot of internal regulations contradict each other. Thus, actualizarea scientific problem of allocating the factors of assessing the quality of management of enterprises of housing and communal services that should be considered when developing a unified concept of public administration.

  14. [Assessment of quality indicators in pediatric poisoning in an emergency service].

    Science.gov (United States)

    Giménez Roca, C; Martínez Sánchez, L; Calzada Baños, Y; Trenchs Sainz de la Maza, V; Quintilla Martínez, J M; Luaces Cubells, C

    2014-01-01

    Assessment of quality indicators allows clinicians to evaluate clinical assistance with a standard, to detect deficiencies and to improve medical assistance. Patients who came to emergency services of a tertiary level hospital for suspicion of poisoning from January 2011 to June 2012 were assessed using 20 quality indicators of pediatric poisoning. Data collection was performed by retrospective review of clinical reports. A total of 393 patients were admitted for suspicion of poisoning (0.3% of all admissions).The standard was reached in 11 indicators and not reached in 6: administration of activated charcoal within 2hours of poison ingestion (standard=90%, result=83.5%); attention within the first 15minutes of arriving in the emergency service (standard=90%, result=60.4%); start of gastrointestinal decontamination within 20minutes of arrival in emergency services (standard=90%, result=29.7%); performing of electrocardiogram on the patients poisoned with cardiotoxic substances (standard=95%, result=87%); judicial communication of cases of poisoning that could conceal a crime (standard=95%, result=31.3%), and collection of the minimal set of information of poisoned patients (standard=90%, result=1.9%). Three indicators could not be evaluated as a consequence of the limited number of cases where they could be applied (de Pediatría. Published by Elsevier Espana. All rights reserved.

  15. Using CBPR to Assess Client Needs at a Social Service Agency.

    Science.gov (United States)

    Amendola, Mary Grace; Nazario, Noelia; Sanchez, Veronica

    2016-01-01

    Community-based participatory research (CBPR) has become an important research approach for universities to partner with social service agencies by uniting them in project design, planning, implementation, and evaluation. This study involved FOCUS, an urban social service agency, and Rutgers College of Nursing (RUCON) collaboratively conducting a needs assessment to compare the health needs of its clients and their employees' perception of their clients health needs, utilizing CBPR. Qualitative data was collected using the focus group method, field notes, photographs, and observation. The employees of FOCUS facilitated focus groups, participant recruitment, and transcribed and translated data. Three themes emerged: Health Education, Cost of Health Care, and Barriers to Health Care. This study contributes to the growing body of knowledge of integrating the CBPR approach when conducting a community needs assessment with a social service agency. The CBPR approach closely reflects the identified health needs of its clients resulting in interventions that will meet their specific health needs. © 2015 Wiley Periodicals, Inc.

  16. The diversity of the ecosystem services concept and its implications for their assessment and management.

    Science.gov (United States)

    Lamarque, Pénélope; Quétier, Fabien; Lavorel, Sandra

    2011-05-01

    The ecosystem services concept is used in different scientific disciplines and is spreading into policy and business circles to draw attention to the benefits that people receive from biodiversity and ecosystems. However, the concept remains multiform and is used interchangeably with a range of other terms such as ecological, landscape or environmental services. We argue that lexical differences, in fact, result from different understandings of the concept, which could slow its use in nature conservation or sustainable resource use. An application to semi-natural grasslands shows that such differences could lead to very different assessments, of quality, quantity and location of ecosystem services. We argue that a compromise must be found between a broad and simple definition, which is useful for communicating the concept and large-scale policies, and a more refined definition for research and implementation goals such as environmental management and national and international assessments and accounting. Copyright © 2010 Académie des sciences. Published by Elsevier SAS. All rights reserved.

  17. Assessing trade in health services in countries of the Eastern Mediterranean from a public health perspective.

    Science.gov (United States)

    Siddiqi, Sameen; Shennawy, Azza; Mirza, Zafer; Drager, Nick; Sabri, Belgacem

    2010-01-01

    Assessing trade in health services (TiHS) in developing countries is challenging since the sources of information are diverse, information is not accessible and professionals lack grasp of issues. A multi-country study was conducted in the Eastern Mediterranean Region (EMR)--Egypt, Jordan, Lebanon, Morocco, Oman, Pakistan, Sudan, Syrian Arab Republic, Tunisia, and Yemen. The objective was to estimate the direction, volume, and value of TiHS; analyze country commitments; and assess the challenges and opportunities for health services.Trade liberalization favored an open trade regime and encouraged foreign direct investment. Consumption abroad and movement of natural persons were the two prevalent modes. Yemen and Sudan are net importers, while Jordan promotes health tourism. In 2002, Yemenis spent US$ 80 million out of pocket for treatment abroad, while Jordan generated US$ 620 million. Egypt, Pakistan, Sudan and Tunisia export health workers, while Oman relies on import and 40% of its workforce is non-Omani. There is a general lack of coherence between Ministries of Trade and Health in formulating policies on TiHS.This is the first organized attempt to look at TiHS in the EMR. The systematic approach has helped create greater awareness, and a move towards better policy coherence in the area of trade in health services. Copyright (c) 2009 John Wiley & Sons, Ltd.

  18. Analysis of psychological factors for quality assessment of interactive multimodal service

    Science.gov (United States)

    Yamagishi, Kazuhisa; Hayashi, Takanori

    2005-03-01

    We proposed a subjective quality assessment model for interactive multimodal services. First, psychological factors of an audiovisual communication service were extracted by using the semantic differential (SD) technique and factor analysis. Forty subjects participated in subjective tests and performed point-to-point conversational tasks on a PC-based TV phone that exhibits various network qualities. The subjects assessed those qualities on the basis of 25 pairs of adjectives. Two psychological factors, i.e., an aesthetic feeling and a feeling of activity, were extracted from the results. Then, quality impairment factors affecting these two psychological factors were analyzed. We found that the aesthetic feeling is mainly affected by IP packet loss and video coding bit rate, and the feeling of activity depends on delay time and video frame rate. We then proposed an opinion model derived from the relationships among quality impairment factors, psychological factors, and overall quality. The results indicated that the estimation error of the proposed model is almost equivalent to the statistical reliability of the subjective score. Finally, using the proposed model, we discuss guidelines for quality design of interactive audiovisual communication services.

  19. Spatial assessment of land degradation through key ecosystem services: The role of globally available data.

    Science.gov (United States)

    Cerretelli, Stefania; Poggio, Laura; Gimona, Alessandro; Yakob, Getahun; Boke, Shiferaw; Habte, Mulugeta; Coull, Malcolm; Peressotti, Alessandro; Black, Helaina

    2018-07-01

    Land degradation is a serious issue especially in dry and developing countries leading to ecosystem services (ESS) degradation due to soil functions' depletion. Reliably mapping land degradation spatial distribution is therefore important for policy decisions. The main objectives of this paper were to infer land degradation through ESS assessment and compare the modelling results obtained using different sets of data. We modelled important physical processes (sediment erosion and nutrient export) and the equivalent ecosystem services (sediment and nutrient retention) to infer land degradation in an area in the Ethiopian Great Rift Valley. To model soil erosion/retention capability, and nitrogen export/retention capability, two datasets were used: a 'global' dataset derived from existing global-coverage data and a hybrid dataset where global data were integrated with data from local surveys. The results showed that ESS assessments can be used to infer land degradation and identify priority areas for interventions. The comparison between the modelling results of the two different input datasets showed that caution is necessary if only global-coverage data are used at a local scale. In remote and data-poor areas, an approach that integrates global data with targeted local sampling campaigns might be a good compromise to use ecosystem services in decision-making. Copyright © 2018. Published by Elsevier B.V.

  20. Using the FORE-SCE model to project land-cover change in the southeastern United States

    Science.gov (United States)

    Sohl, Terry; Sayler, Kristi L.

    2008-01-01

    A wide variety of ecological applications require spatially explicit current and projected land-use and land-cover data. The southeastern United States has experienced massive land-use change since European settlement and continues to experience extremely high rates of forest cutting, significant urban development, and changes in agricultural land use. Forest-cover patterns and structure are projected to change dramatically in the southeastern United States in the next 50 years due to population growth and demand for wood products [Wear, D.N., Greis, J.G. (Eds.), 2002. Southern Forest Resource Assessment. General Technical Report SRS-53. U.S. Department of Agriculture, Forest Service, Southern Research Station, Asheville, NC, 635 pp]. Along with our climate partners, we are examining the potential effects of southeastern U.S. land-cover change on regional climate. The U.S. Geological Survey (USGS) Land Cover Trends project is analyzing contemporary (1973-2000) land-cover change in the conterminous United States, providing ecoregion-by-ecoregion estimates of the rates of change, descriptive transition matrices, and changes in landscape metrics. The FORecasting SCEnarios of future land-cover (FORE-SCE) model used Land Cover Trends data and theoretical, statistical, and deterministic modeling techniques to project future land-cover change through 2050 for the southeastern United States. Prescriptions for future proportions of land cover for this application were provided by ecoregion-based extrapolations of historical change. Logistic regression was used to develop relationships between suspected drivers of land-cover change and land cover, resulting in the development of probability-of-occurrence surfaces for each unique land-cover type. Forest stand age was initially established with Forest Inventory and Analysis (FIA) data and tracked through model iterations. The spatial allocation procedure placed patches of new land cover on the landscape until the scenario

  1. Characterization of Nighttime Light Variability Over the Southeastern United States

    Science.gov (United States)

    Cole, Tony A.; Molthan, Andrew L.; Schultz, Lori A.

    2016-01-01

    City lights provide indications of human activity at night. Nighttime satellite imagery offers daily snapshots of this activity. With calibrated, science-quality imagery, long-term monitoring can also be achieved. The degree to which city lights fluctuate, however, is not well known. For the application of detecting power outages, this degree of variability is crucial for assessing reductions to city lights based on historical trends. Eight southeastern U.S. cities are analyzed to understand the relationship between emission variability and several population centers. A preliminary, example case power outage study is also discussed as a transition into future work.

  2. Understanding the assistance dynamic of the psychiatric emergency service using the fourth generation assessment

    Directory of Open Access Journals (Sweden)

    Aline Aparecida Buriola

    2017-12-01

    Full Text Available A study to comprehend the requests, concerns, and questions of professionals about the assistance dynamic of a psychiatric emergency service. We conducted a case study, using the Fourth Generation assessment method, with 15 participants. We collected data using documental analysis, semi-structured interview and observation and, we used the constant comparative method for analysis. Therefore, two thematic axes arose: a Comprehending the assistance dynamic of the Psychiatric emergency service and, b The disarticulation of the psychosocial attention network as a barrier to satisfaction with the assistance in the psychiatric emergency. We considered that the assistance dynamic in the Psychiatric Emergency extrapolated the simple, unique character of stabilizing patients with acute mental disorders, once it directs the user’s flow to the adequate treatment in the psychosocial attention network.

  3. Guidelines for evaluating the environmental performance of Product/Service-Systems through life cycle assessment

    DEFF Research Database (Denmark)

    Kjær, Louise Laumann; Pigosso, Daniela C. A.; McAloone, Tim C.

    2018-01-01

    Product/Service-Systems (PSS) such as integrated solutions, performance-based contracts or sharing systems are often proposed as means to enable improved environmental sustainability. However, PSS are not necessarily environmentally benign compared to conventional systems. Quantitative environmen......Product/Service-Systems (PSS) such as integrated solutions, performance-based contracts or sharing systems are often proposed as means to enable improved environmental sustainability. However, PSS are not necessarily environmentally benign compared to conventional systems. Quantitative....... In this article, we propose a set of guidelines consisting of six steps, which elaborates the LCA process with respect to the specific consideration for PSS assessment. The guidelines were developed based on identified challenges for the application of LCA on PSS, a review of existing LCAs on PSS case studies...

  4. Assessing Health Outcomes After Environmental Exposures Associated With Open Pit Burning in Deployed US Service Members.

    Science.gov (United States)

    Rohrbeck, Patricia; Hu, Zheng; Mallon, Col Timothy M

    2016-08-01

    This study assessed the long-term health impact of environmental exposures associated with open pit burning in deployed US service members. Two hundred individuals deployed to Balad, Iraq, and Bagram, Afghanistan, with known exposure to open pits, were matched to 200 non-deployed service members. Both cohorts were observed for adverse health outcomes after returning from deployment. Slight increased risks were observed for respiratory diseases in the Bagram cohort (adj RR: 1.259), and for cardiovascular disease in the Balad cohort (adj RR: 1.072), but the findings were not significant. The combined deployed cohort showed lower risks for adverse health outcomes, suggesting a healthy deployer effect. In conclusion, this study did not find significantly increased risks for selected health outcomes after burn pit exposure during deployment among two deployed cohorts compared with a non-deployed cohort.

  5. Assessing parent education programs for families involved with child welfare services: evidence and implications.

    Science.gov (United States)

    Johnson, Michelle; Stone, Susan; Lou, Christine; Ling, Jennifer; Claassen, Jennette; Austin, Michael J

    2008-01-01

    Parent education programs may be offered or mandated at various stages of the child welfare services continuum. However, little is known regarding their efficacy in addressing the parenting problems that bring families to the attention of child welfare services. This article synthesizes outcome data generated from 58 parenting programs with families determined to be at-risk of child maltreatment and/or abusive or neglectful. It places parent education programs within the broader context of research on effective parenting as well as the leading etiological models of child maltreatment to assess the evaluations of these programs with regard to methodological rigor as well as theoretical salience. Practical and theoretical implications are presented along with recommendations for future research.

  6. Regional drug user services in times of scarce financial resources: using a rapid assessment response approach to evaluate, plan, and prioritize essential services.

    Science.gov (United States)

    Comiskey, Catherine Maria; O'Sullivan, Karin; Milnes, Jennie

    2012-02-01

    The objective was to assess need, evaluate projects, and devise a roadmap for future provision given budget cuts. The analysis of 30 substance misuse services in towns and rural areas of Ireland was conducted in 2010. Analysis revealed that 24,315 (95% CI 12,928-40,629) individuals were using illegal drugs in 2006, 893 individuals were using opiates, opiate and cocaine use was increasing as was drug use amongst females. Evaluations demonstrated that not all services were meeting emerging needs, services lacked administrative support, and funding needed to be redirected. The RAR approach was useful for policy decisions and budget cuts in times of economic restraint.

  7. The EnerGEO Platform of Integrated Assessment (PIA). Environmental assessment of scenarios as a web service

    International Nuclear Information System (INIS)

    Blanc, Isabelle; Gschwind, Benoit; Lefevre, Mireille

    2013-01-01

    With the International Energy Agency estimating that global energy demand will increase between 40 and 50 percent by 2030 (compared to 2003), scientists and policymakers are concerned about the sustainability of the current energy system and what environmental pressures might result from the development of future energy systems. EnerGEO is an ongoing FP7 Project (2009-2013) which assesses the current and future impact of energy use on the environment by linking environmental observation systems with the processes involved in exploiting energy resources. The idea of this European project is to determine how low carbon scenarios, and in particular scenarios with a high share of renewable electricity, affect emissions of air pollutants and greenhouse gases (GHG) and contribute to mitigation of negative energy system impacts on human health and ecosystems. A Platform of Integrated Assessment (PIA) has been elaborated to provide impact results for a selection of scenarios via a set of models (large-scale energy models, Life Cycle Assessment models,..). This PIA is currently available through a web service. The concept of the PIA is detailed and to illustrate its interest, a set of results is given with the use of the simulation mode of the European version of GAINS for a selection of scenarios. (orig.)

  8. Assessing Future Ecosystem Services: a Case Study of the Northern Highlands Lake District, Wisconsin

    Directory of Open Access Journals (Sweden)

    Garry D. Peterson

    2003-12-01

    Full Text Available The Northern Highlands Lake District of Wisconsin is in transition from a sparsely settled region to a more densely populated one. Expected changes offer benefits to northern Wisconsin residents but also threaten to degrade the ecological services they rely on. Because the future of this region is uncertain, it is difficult to make decisions that will avoid potential risks and take advantage of potential opportunities. We adopt a scenario planning approach to cope with this problem of prediction. We use an ecological assessment framework developed by the Millennium Ecosystem Assessment to determine key social and ecological driving forces in the Northern Highlands Lake District. From these, we describe three alternative scenarios to the year 2025 in which the projected use of ecological services is substantially different. The work reported in this paper demonstrates how scenarios can be developed for a region and provides a starting point for a participatory discussion of alternative futures for northern Wisconsin. Although the future is unknowable, we hope that the assessment process begun in this paper will help the people of the Northern Highlands Lake District choose the future path of their region.

  9. Deterministic and Probabilistic Serviceability Assessment of Footbridge Vibrations due to a Single Walker Crossing

    Directory of Open Access Journals (Sweden)

    Cristoforo Demartino

    2018-01-01

    Full Text Available This paper presents a numerical study on the deterministic and probabilistic serviceability assessment of footbridge vibrations due to a single walker crossing. The dynamic response of the footbridge is analyzed by means of modal analysis, considering only the first lateral and vertical modes. Single span footbridges with uniform mass distribution are considered, with different values of the span length, natural frequencies, mass, and structural damping and with different support conditions. The load induced by a single walker crossing the footbridge is modeled as a moving sinusoidal force either in the lateral or in the vertical direction. The variability of the characteristics of the load induced by walkers is modeled using probability distributions taken from the literature defining a Standard Population of walkers. Deterministic and probabilistic approaches were adopted to assess the peak response. Based on the results of the simulations, deterministic and probabilistic vibration serviceability assessment methods are proposed, not requiring numerical analyses. Finally, an example of the application of the proposed method to a truss steel footbridge is presented. The results highlight the advantages of the probabilistic procedure in terms of reliability quantification.

  10. [Assessment of the Polish occupational medicine service (oms) system made by OMS nurses].

    Science.gov (United States)

    Sakowski, Piotr

    2012-01-01

    This paper presents the results of an assessment of the Polish occupational medicine service (OMS) system made by OMS nurses. The survey was carried out on a random group of OMS nurses. OMS nurses form a professional group comprised of rather experienced personnel. In the opinion of almost 70% of respondents the system guarantees good occupational heath care, whereas 20% took the opposite view. The great majority of respondents think that all employees have to undergo mandatory prophylactic examinations. The nurses have rather critical opinion about the legal regulations pertaining to occupational health care--their number and complexity, and also express negative opinion about the quality of cooperation with employers (who are contractors for OMS units). OMS nurses believe that prophylactic examinations are the strongest point of the system. They are often the only opportunity for establishing contact between an employee and a physician and learning about diseases he or she was previously unaware of. Although the general assessment of the OMS system is rather positive, it is not free of shortcomings. Improvements in such fields as legislation, financing of service, professional attitude towards responsibilities of the OMS staff, cooperation with employers (contractors) and primary health care units would undoubtedly result in even better assessment, and what is more important in better functioning of the Polish OMS system.

  11. Assessing Patients' Preference for Integrating Herbal Medicine Within Primary Care Services in Saudi Arabia.

    Science.gov (United States)

    Allam, Safaa; Moharam, Maha; Alarfaj, Gada

    2014-07-01

    Family physician advice and follow-up may be important to reduce the negative aspects of locally marketed herbal remedies and improve the patient outcome. There is a lack of studies assessing the preference of Saudi patients for the integration of herbal medicine into primary care services. To examine the knowledge, attitudes, and practice of Saudi patients toward herbal medicine and its integration into primary care services. A cross-sectional study was conducted between February and March 2013 among adult patients attending the family medicine clinics at a primary care center in Riyadh, Saudi Arabia. A self-administered questionnaire (27 items) was developed and administered to all patients. A total of 240 patients were included in the current analysis. The average age was 33.5 ± 9.9 years, and 61% of the patients were women. Approximately 60% of the patients were aware of herbal medicine use and its possible side effects. More than 85% of the patients believed that herbal containers should be labeled with safety information. Approximately 71% of the patients had a favorable attitude toward integrated services. Approximately 65% of the patients used herbal remedies for themselves, and 42% used them for their children. Preference for integrated services was significantly associated with female sex, better knowledge, positive attitudes toward safety and regulations, and higher level of practice. A good knowledge and a very favorable attitude toward integrating herbal medicine into primary care services were found among a group of patients attending a primary care center in Saudi Arabia. © The Author(s) 2014.

  12. Analysis of Student Service-Learning Reflections for the Assessment of Transferable-Skills Development

    Science.gov (United States)

    Rizzo, D. M.; Dewoolkar, M.; Hayden, N.; Oka, L.; Pearce, A. R.

    2010-12-01

    The civil and environmental engineering (CEE) programs at the University of Vermont (UVM) incorporate systems thinking and a systems approach to sustainable engineering problem solving. A systems approach considers long-term social, environmental and economic factors within the context of the engineering problem solution and encompasses sustainable engineering solutions. Our goal is to prepare students to become leaders in their chosen field who can anticipate co-products associated with forecasted solutions. As a way of practicing the systems approach, we include service-learning projects in many of our undergraduate engineering courses, culminating with the senior capstone design course. We use a variety of formative and summative assessment methods to gage student understanding and attitudes including student surveys, focus groups, assessment of student projects, and student reflections. Student reflections from two courses -Modeling Environmental and Transportation Systems (31 juniors) and Senior Design Project (30 seniors) are compared. Of these, 25 students were common to both courses. The focus of the systems modeling service-learning project involved mentoring home-schooled children (11-14 yrs old) to solve problems of mobility, using the fun and inspiration of biomimicry. Students were required to invent innovative methods to move people or goods that improve associated constraints (i.e., minimize congestion, reduce pollution, increase safety), or reduce the need for transportation altogether. The capstone design project required a comprehensive engineering design involving two or more CEE sub-disciplines. Both service-learning projects were intended to enhance students’ academic learning experience, attain civic engagement and reinforce transferable skills (written and oral communication, teamwork, leadership and mentoring skills). The student course reflections were not guided; yet they provided valuable data to assess commonalities and differences in

  13. Integrating Palliative Care Services in Ambulatory Oncology: An Application of the Edmonton Symptom Assessment System.

    Science.gov (United States)

    Rauenzahn, Sherri L; Schmidt, Susanne; Aduba, Ifeoma O; Jones, Jessica T; Ali, Nazneen; Tenner, Laura L

    2017-04-01

    Research in palliative care demonstrates improvements in overall survival, quality of life, symptom management, and reductions in the cost of care. Despite the American Society of Clinical Oncology recommendation for early concurrent palliative care in patients with advanced cancer and high symptom burden, integrating palliative services is challenging. Our aims were to quantitatively describe the palliative referral rates and symptom burden in a South Texas cancer center and establish a palliative referral system by implementing the Edmonton Symptom Assessment Scale (ESAS). As part of our Plan-Do-Study-Act process, all staff received an educational overview of the ESAS tool and consultation ordering process. The ESAS form was then implemented across five ambulatory oncology clinics to assess symptom burden and changes therein longitudinally. Referral rates and symptom assessment scores were tracked as metrics for quality improvement. On average, one patient per month was referred before implementation of the intervention compared with 10 patients per month after implementation across all clinics. In five sample clinics, 607 patients completed the initial assessment, and 430 follow-up forms were collected over 5 months, resulting in a total of 1,037 scores collected in REDCap. The mean ESAS score for initial patient visits was 20.0 (standard deviation, 18.1), and referred patients had an initial mean score of 39.0 (standard deviation, 19.0). This project highlights the low palliative care consultation rate, high symptom burden of oncology patients, and underuse of services by oncologists despite improvements with the introduction of a symptom assessment form and referral system.

  14. Assessing responsiveness of health care services within a health insurance scheme in Nigeria: users' perspectives.

    Science.gov (United States)

    Mohammed, Shafiu; Bermejo, Justo Lorenzo; Souares, Aurélia; Sauerborn, Rainer; Dong, Hengjin

    2013-12-01

    Responsiveness of health care services in low and middle income countries has been given little attention. Despite being introduced over a decade ago in many developing countries, national health insurance schemes have yet to be evaluated in terms of responsiveness of health care services. Although this responsiveness has been evaluated in many developed countries, it has rarely been done in developing countries. The concept of responsiveness is multi-dimensional and can be measured across various domains including prompt attention, dignity, communication, autonomy, choice of provider, quality of facilities, confidentiality and access to family support. This study examines the insured users' perspectives of their health care services' responsiveness. This retrospective, cross-sectional survey took place between October 2010 and March 2011. The study used a modified out-patient questionnaire from a responsiveness survey designed by the World Health Organization (WHO). Seven hundred and ninety six (796) enrolees, insured for more than one year in Kaduna State-Nigeria, were interviewed. Generalized ordered logistic regression was used to identify factors that influenced the users' perspectives on responsiveness to health services and quantify their effects. Communication (55.4%), dignity (54.1%), and quality of facilities (52.0%) were rated as "extremely important" responsiveness domains. Users were particularly contented with quality of facilities (42.8%), dignity (42.3%), and choice of provider (40.7%). Enrolees indicated lower contentment on all other domains. Type of facility, gender, referral, duration of enrolment, educational status, income level, and type of marital status were most related with responsiveness domains. Assessing the responsiveness of health care services within the NHIS is valuable in investigating the scheme's implementation. The domains of autonomy, communication and prompt attention were identified as priority areas for action to improve

  15. Structural diversity: a multi-dimensional approach to assess recreational services in urban parks.

    Science.gov (United States)

    Voigt, Annette; Kabisch, Nadja; Wurster, Daniel; Haase, Dagmar; Breuste, Jürgen

    2014-05-01

    Urban green spaces provide important recreational services for urban residents. In general, when park visitors enjoy "the green," they are in actuality appreciating a mix of biotic, abiotic, and man-made park infrastructure elements and qualities. We argue that these three dimensions of structural diversity have an influence on how people use and value urban parks. We present a straightforward approach for assessing urban parks that combines multi-dimensional landscape mapping and questionnaire surveys. We discuss the method as well the results from its application to differently sized parks in Berlin and Salzburg.

  16. Need assessment of staffs' welfare services at tehran university of medical sciences: a cross-sectional study.

    Science.gov (United States)

    Dehghan, Reza; Mafimoradi, Shiva; Hadi, Mohammad

    2015-01-01

    Reviewing the human resources management literature shows an absence of attention given to the employee's benefits. Taking a look at functions of the Tehran University of Medical Sciences' wellbeing services system, it uncovers a gap between employees' real needs and what is delivered to meet their needs. So it requires an improved comprehensive system for delivering wellbeing services (financial, insurance, health care services, educational and training services, etc). Wellbeing need assessment can helps planners to identify vital needs of employee and response to them effectively. Moreover it can be used to evaluate the effectiveness of the current services which are delivered. Thus, the aim of this study is to assess wellbeing services of staffs working in TUMS to (1) evaluate the satisfactory rate of services which are delivered, and (2) exploring those wellbeing needs which were not fulfilled by the organization. Being a cross-sectional and analytic-descriptive survey including 98 responding participants, it is conducted by a questionnaire collecting employees' demographic information, their satisfactory rate of the implemented services, and determines unfulfilled wellbeing needs which were not already covered. Results indicated that services related to financial, educational, non-financial, insurance, occupational health and tourism/recreational services were the most satisfactory services successively. 'Staff's unwillingness to receive services' and 'poor announcement' (unawareness on the wellbeing services),' were found to be the most frequent reasons for not receiving the existing wellbeing services. To increase the satisfaction rate and responsiveness to the real needs of the staff, the current delivery system of wellbeing services in the TUMS should be redesigned by defining new wellbeing packages.

  17. QUALITY OF HEALTH TECHNOLOGY ASSESSMENT REPORTS PREPARED FOR THE MEDICAL SERVICES ADVISORY COMMITTEE.

    Science.gov (United States)

    Hua, Martin; Boonstra, Tristan; Kelly, Patrick J; Wilson, Andrew; Craig, Jonathan C; Webster, Angela C

    2016-01-01

    The Medical Services Advisory Committee (MSAC) makes recommendations to the Australian Government for funding health technologies under the Medicare Benefits Schedule (MBS). Differences in public, clinical, commercial, and political opinions on health expenditure emphasize the importance of defensible funding decisions. We aimed to evaluate the quality of health technology assessment (HTA) reports over time and among health technologies assessed for MSAC. A cohort study was performed of HTA reports prepared for MSAC between 1998 and 2013. We measured the quality of HTA reports using reporting guidelines proposed by the European Collaboration for Assessment of Health Interventions. Individual component scores across eleven domains were calculated, and summed for an overall aggregate score. We used linear regression to investigate any change in quality over time and among the types of technologies assessed. We included 110 HTA reports. The safety (80 percent), effectiveness (84 percent), economic (74 percent), and organizational (99 percent) domains were better reported than the psychological, social, and ethical considerations (34 percent). The basic (75 percent), methodological (62 percent), background (82 percent), contextual (46 percent), status quo (54 percent), and technical information (66 percent) that framed each assessment were inconsistently reported. On average, overall quality scores increased by 2 percent (p technologies (p = 0.22). HTA reports prepared for MSAC are a key tool in allocating scarce health resources. The overall quality of these reports has improved, but the reporting of specific domains and subthemes therein could be better addressed.

  18. Reliability-based service life assessment of concrete structures in nuclear power plants: optimum inspection and repair

    International Nuclear Information System (INIS)

    Ellingwood, B.R.; Mori, Y.

    1995-01-01

    Research is being conducted to address aging management of safety-related reinforced concrete structures in nuclear power plants (NPPs). Documentation is being prepared to identify potential structural safety issues and to recommend criteria for use in evaluating reinforced concrete structures for continued service. Time-dependent reliability analysis provides the framework and quantitative tools for the condition assessment. The role of in-service inspection and repair in ensuring continued reliability in-service is examined. (author). 19 refs., 4 figs

  19. Quality assessment of Isfahan Medical Faculty web site electronic services and prioritizing solutions using analytic hierarchy process approach

    OpenAIRE

    Hajrahimi, Nafiseh; Dehaghani, Sayed Mehdi Hejazi; Hajrahimi, Nargess; Sarmadi, Sima

    2014-01-01

    Context: Implementing information technology in the best possible way can bring many advantages such as applying electronic services and facilitating tasks. Therefore, assessment of service providing systems is a way to improve the quality and elevate these systems including e-commerce, e-government, e-banking, and e-learning. Aims: This study was aimed to evaluate the electronic services in the website of Isfahan University of Medical Sciences in order to propose solutions to improve them. F...

  20. Southeastern Power Administration 2011 Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    None

    2011-12-31

    Dear Secretary Chu: I am pleased to submit Southeastern Power Administration’s (Southeastern) fiscal year (FY) 2011 Annual Report for your review. This report reflects our agency’s programs, accomplishments, operational, and financial activities for the 12-month period beginning October 1, 2010, and ending September 31, 2011. This past year, Southeastern marketed approximately 6.2 billion kilowatt-hours of energy to 489 wholesale customers in 10 southeastern states. Revenues from the sale of this power totaled more than $264 million. With the financial assistance and support of Southeastern’s customers, funding for capitalized equipment purchases and replacements at hydroelectric facilities operated by the U.S. Army Corps of Engineers (Corps) continued in FY 2011. This funding, which totaled more than $45 million, provided much needed repairs and maintenance for aging projects in Southeastern’s marketing area. Currently, there are more than 214 customers participating in the funding efforts in the Georgia-Alabama-South Carolina, Kerr-Philpott, and Cumberland Systems of projects. Drought conditions continued in the southeastern region of the United States this past year, particularly in the Savannah River Basin. Lack of rain placed strains on our natural and financial resources. Power purchases for FY 2011 totaled approximately $38 million. About $9 million of this amount was for replacement power, which is purchased only during adverse water conditions in order to meet Southeastern’s customer contract requirements. Southeastern’s goal is to maximize the benefits of our region’s water resources. Competing uses of these resources will present another challenging year for Southeastern’s employees. With the cooperation and communication among the Department of Energy (DOE), preference customers, and Corps, I am certain Southeastern is positioned to meet these challenges in the future. We are committed to providing reliable hydroelectric power to

  1. Southeastern Power Administration 2012 Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    None

    2012-01-01

    Dear Secretary Moniz: I am pleased to submit Southeastern Power Administration’s (Southeastern) fiscal year (FY) 2012 Annual Report for your review. This report reflects our agency’s programs, accomplishments, operational, and financial activities for the 12-month period beginning October 1, 2011, and ending September 30, 2012. This past year, Southeastern marketed approximately 5.4 billion kilowatt-hours of energy to 487 wholesale customers in 10 southeastern states. Revenues from the sale of this power totaled about $263 million. With the financial assistance and support of Southeastern’s customers, funding for capitalized equipment purchases and replacements at hydroelectric facilities operated by the U.S. Army Corps of Engineers (Corps) continued in FY 2012. Currently, there are more than 214 customers participating in funding infrastructure renewal efforts of powerplants feeding the Georgia-Alabama-South Carolina, Kerr-Philpott, and Cumberland Systems. This funding, which totaled more than $71 million, provided much needed repairs and maintenance for aging projects in Southeastern’s marketing area. Drought conditions continued in the southeastern region of the United States this past year, particularly in the Savannah River Basin. Lack of rainfall strained our natural and financial resources. Power purchases for FY 2012 in the Georgia-Alabama-South Carolina System totaled approximately $29 million. About $8 million of this amount was for replacement power, which is purchased only during adverse water conditions in order to meet Southeastern’s customer contract requirements. Southeastern’s goal is to maximize the benefits of our region’s water resources. Competing uses of these resources will present another challenging year for Southeastern’s employees. With the cooperation and communication among the Department of Energy (DOE), preference customers, and Corps, I am certain Southeastern is positioned to meet these challenges in the future. We

  2. POLLUTION PREVENTION OPPORTUNITY ASSESSMENT - U.S. POSTAL INSPECTION SERVICE FORENSIC & TECHNICAL SERVICES DIVISION - NATIONAL FORENSIC LABORATORY, DULLES, VIRGINIA

    Science.gov (United States)

    The United States Postal Service (USPS) in cooperation with EPA's National Risk Management Research Laboratory (NRMRL) is engaged in an effort to integrate waste prevention and recycling activities into the waste management programs at Postal facilities. This report describes the...

  3. Wheelchair Seating Assessment and Intervention: A Comparison Between Telerehabilitation and Face-to-Face Service

    Science.gov (United States)

    Barlow, Ingrid G; Liu, Lili; Sekulic, Angela

    2009-01-01

    This study compared outcomes of wheelchair seating and positioning interventions provided by telerehabilitation (n=10) and face-to-face (n=20; 10 in each of two comparison groups, one urban and one rural). Comparison clients were matched to the telerehabilitation clients in age, diagnosis, and type of seating components received. Clients and referring therapists rated their satisfaction and identified if seating intervention goals were met. Clients recorded travel expenses incurred or saved, and all therapists recorded time spent providing service. Wait times and completion times were tracked. Clients seen by telerehabilitation had similar satisfaction ratings and were as likely to have their goals met as clients seen face-to-face; telerehabilitation clients saved travel costs. Rural referring therapists who used telerehabilitation spent more time in preparation and follow-up than the other groups. Clients assessed by telerehabilitation had shorter wait times for assessment than rural face-to-face clients, but their interventions took as long to complete. PMID:25945159

  4. No More "Magic Aprons": Longitudinal Assessment and Continuous Improvement of Customer Service at the University of North Dakota Libraries

    Science.gov (United States)

    Clark, Karlene T.; Walker, Stephanie R.

    2017-01-01

    The University of North Dakota (UND) Libraries have developed a multi-award winning Customer Service Program (CSP) involving longitudinal assessment and continuous improvement. The CSP consists of iterative training modules; constant reinforcement of Customer Service Principles with multiple communication strategies and tools, and incentives that…

  5. Form follows function? Proposing a blueprint for ecosystem service assessment studies based on reviews and case studies

    NARCIS (Netherlands)

    Seppelt, R.; Fath, B.; Burkhard, B.; Fisher, J.L.; Gret-Regamay, A.; Lautenbach, S.; Pert, P.; Hotes, S.; Spangenberg, J.; Verburg, P.H.; van Oudenhoven, A.P.E.

    2012-01-01

    Ecosystem service assessments (ESA) hold the promise of supporting the quantification and valuation of human appropriation of nature and its goods and services. The concept has taken flight with the number of studies published on the topic increasing rapidly. This development, and the variation of

  6. The Assessment and Mentoring Program (AMP): Final Year Pre-Service Physical Education Peer Mentors' Perceptions of Effective Mentoring

    Science.gov (United States)

    Jenkinson, Kate A.; Benson, Amanda C.

    2017-01-01

    In the teacher education context, most peer mentoring programs have focused on pre-service teachers and a qualified teacher mentor within schools (Hobson, et.al., 2009; Ambrosetti, Knight & Dekkers, 2014). Few studies have focused on mentoring between pre-service physical education teachers. Therefore, we describe the Assessment and Mentoring…

  7. A multi-criteria, ecosystem-service value method used to assess catchment suitability for potential wetland reconstruction in Denmark

    DEFF Research Database (Denmark)

    Odgaard, Mette Vestergaard; Turner, Katrine Grace; Bøcher, Peder Klith

    2017-01-01

    Wetlands provide a range of ecosystem services such as drought resistance, flood resistance, nutrient deposition, biodiversity, etc. This study presents a new multi-criteria, ecosystems service value-driven method to drive the optimal placement of restored wetlands in terms of maximizing selected...... for potential wetland reconstruction (i.e. restoration)? Five key ecosystem services indicators produced or affected by wetlands in Denmark were mapped (recreational potential, biodiversity, nitrogen mitigation potential, inverse land rent, and flash-flood risk). These services were compared to current...... ecosystem services which a wetland can provide or affect. We aim to answer two questions: 1) which of the ecosystem services indicators defines the placement of wetlands today? 2) Based on the ecosystem services indicator assessment, what are the recommendations for future selection of catchments...

  8. An integrated ecological modeling system for assessing impacts of multiple stressors on stream and riverine ecosystem services within river basins

    Data.gov (United States)

    U.S. Environmental Protection Agency — We demonstrate a novel, spatially explicit assessment of the current condition of aquatic ecosystem services, with limited sensitivity analysis for the atmospheric...

  9. An assessment of consumers’ subconscious responses to frontline employees’ attractiveness in a service failure and recovery situation

    Directory of Open Access Journals (Sweden)

    Christo Boshoff

    2017-06-01

    Full Text Available Background: Initial analyses of the impact of physical attractiveness in a business context have supported the ‘what is beautiful is good’ contention. However, in circumstances characterised by negative emotions, duress and stress, very little is known about how human beings respond at the subconscious level to the attractiveness of frontline service providers. Aim: The purpose of this study was to assess whether consumers who complain to a frontline service provider about a service failure respond differently at the subconscious level when the service provider involved in the service encounter is attractive compared with one who is less attractive. Method: Forty respondents were exposed to a video clip of a service failure and service recovery situation. While viewing the hypothetical scenario, two neuro-physiological measurements were used to collect data at the subconscious level, namely galvanic skin response (GSR and electroencephalography (EEG. Results: The results suggest that, at the subconscious level, customers respond differently to the service recovery efforts depending on the attractiveness of the frontline service provider who attempts to rectify the service failure. Conclusion: The results seem to suggest that the physical attractiveness of a frontline service provider moderates (or softens the negative emotions that a complaining customer might experience during a service failure and complaint situation – consistent with the ‘what is beautiful is good’ contention.

  10. Ground and Helicopter Emergency Medical Services Time Tradeoffs Assessed with Geographic Information.

    Science.gov (United States)

    Widener, Michael J; Ginsberg, Zac; Schleith, Daniel; Floccare, Douglas J; Hirshon, Jon Mark; Galvagno, Samuel

    2015-07-01

    We describe how geographic information systems (GIS) can be used to assess and compare estimated transport time for helicopter and ground emergency medical services. Recent research shows that while the odds of a trauma patient's survival increase with helicopter emergency medical services (HEMS), they may not increase to the extent necessary to make HEMS cost effective. This study offers an analytic tool to objectively quantify the patient travel time advantage that HEMS offers compared to ground emergency medical services (GEMS). Using helicopter dispatch data from the Maryland State Police from 2000-2011, we computed transport time estimates for HEMS and GEMS, compare these results to a reference transport time of 60 min, and use geospatial interpolation to extrapolate the total response times for each mode across the study region. Mapping the region's trauma incidents and modeling response times, our findings indicate the GIS framework for calculating transportation time tradeoffs is useful in identifying which areas can be better served by HEMS or GEMS. The use of GIS and the analytical methodology described in this study present a method to compare transportation by air and ground in the prehospital setting that accounts for how mode, distance, and road infrastructure impact total transport time. Whether used to generate regional maps in advance or applied real-time, the presented framework provides a tool to identify earlier incident locations that favor HEMS over GEMS transport modes.

  11. An Assessment of Future Demands for and Benefits of Public Transit Services in Tennessee

    Energy Technology Data Exchange (ETDEWEB)

    Southworth, F.

    2003-06-10

    This report documents results from a study carried out by Oak Ridge National Laboratory and the University of Tennessee at Knoxville for the Office of Public Transportation, Tennessee Department of Transportation. The study team was tasked with developing a process and a supporting methodology for estimating the benefits accruing to the State from the operation of state supported public transit services. The team was also tasked with developing forecasts of the future demands for these State supported transit services at five year intervals through the year 2020, broken down where possible to the local transit system level. Separate ridership benefits and forecasts were also requested for the State's urban and rural transit operations. Tennessee's public transit systems are subsidized to a degree by taxpayers. It is therefore in the public interest that assessments of the benefits of such systems be carried out at intervals, to determine how they are contributing to the well-being of the state's population. For some population groups within the State of Tennessee these transit services have become essential as a means of gaining access to workplaces and job training centers, to educational and health care facilities, as well as to shops, social functions and recreational sites.

  12. Applying analytic hierarchy process to assess healthcare-oriented cloud computing service systems.

    Science.gov (United States)

    Liao, Wen-Hwa; Qiu, Wan-Li

    2016-01-01

    Numerous differences exist between the healthcare industry and other industries. Difficulties in the business operation of the healthcare industry have continually increased because of the volatility and importance of health care, changes to and requirements of health insurance policies, and the statuses of healthcare providers, which are typically considered not-for-profit organizations. Moreover, because of the financial risks associated with constant changes in healthcare payment methods and constantly evolving information technology, healthcare organizations must continually adjust their business operation objectives; therefore, cloud computing presents both a challenge and an opportunity. As a response to aging populations and the prevalence of the Internet in fast-paced contemporary societies, cloud computing can be used to facilitate the task of balancing the quality and costs of health care. To evaluate cloud computing service systems for use in health care, providing decision makers with a comprehensive assessment method for prioritizing decision-making factors is highly beneficial. Hence, this study applied the analytic hierarchy process, compared items related to cloud computing and health care, executed a questionnaire survey, and then classified the critical factors influencing healthcare cloud computing service systems on the basis of statistical analyses of the questionnaire results. The results indicate that the primary factor affecting the design or implementation of optimal cloud computing healthcare service systems is cost effectiveness, with the secondary factors being practical considerations such as software design and system architecture.

  13. Policies and means to assess and improve service quality in electricity supply systems

    International Nuclear Information System (INIS)

    Lagostena, L.; Mirra, C.; Noferi, P.L.; Sani, G.

    1992-03-01

    Quality of electricity supply to users consists of a series of characteristics of the voltage at the points of delivery. This report shows how service quality, in the past basically related to the tolerance of voltage and frequency with respect to the nominal value, as well as, to the continuity of supply, is nowadays assessed also in relation to other aspects, generally referred to as disturbances. Short interruptions, voltage dips, transient overvoltages, harmonics and flicker are mainly taken into consideration. A description is given of the approach adopted by ENEL (the Italian Electricity Board) in order to evaluate and, if required, improve the quality of service, based upon the acquisition of data related to faults, interruptions and disturbances. These data are processed in order to obtain significant indices on the state of the network and on the effectiveness of the actions which can be implemented. Finally, the measures which may lead to an improvement in the quality of service are identified, and potential advantages, in terms of the reduction of non-supplied energy and number of faults, of adopting appropriate automatic devices and optimizing maintenance work on some distribution networks are illustrated

  14. EMPLOYING DECENTRING TO ASSESS QUALITY OF SERVICES AND ITS CONTRIBUTION TOWARDS SATISFACTION

    Directory of Open Access Journals (Sweden)

    Usman YOUSAF

    2012-01-01

    Full Text Available The higher education scenario in Pakistan has gone through tremendous changes and improvements in the last decade. Competition resulting from a sudden surge in the number of higher education imparting institutions and the active role of Higher Education Commission has increased the pressure on the universities to continuously enhance the quality of educational services being provided by them. The aim of the researchers in this endeavor is to employ decentering in order to assess the quality of services being provided by the universities. The study has used the SERVQUAL tool by Parasuraman, Zeithmal and Berry (1991 on a five point Liker scale in order to gauge the responses of the students. Analysis was conducted on a total of 156 valid questionnaires. The sample included the students of the top five HEC (Higher Education Commission recognized universities in the twin cities of Islamabad and Rawalpindi. Data was analyzed using Pearson correlation and regression. Factor analysis was also carried out so as to classify the most important dimensions for the students with respect to higher education in Pakistan. Statistical analysis disclosed a positive and significant association between service quality and customer satisfaction. The factor analysis revealed that the most significant dimension with respect to the Pakistan’s higher education sector are the level of management support, responsiveness of the service providers and the adequacy of physical facilities. The study highlights the importance of treating students as valued customers as the competition in the industry along with the regulatory requirements of HEC as well. The service providers need to be provided adequate support and backing of the top management. The physical facilities and the infrastructure must also be adequate enough to meet the growing and ever changing demands of the industry. The current study is the first of its kind that covers the higher education imparting

  15. Assessment of attitude toward community service among dental students of Tertiary Care Teaching Hospital in South India

    Directory of Open Access Journals (Sweden)

    B Sujith Anand

    2017-01-01

    Full Text Available Introduction: The dental health care providers and their community service in any nation play a pivotal role in bridging the gap between the oral health care and social service system. Understanding that there is a shortage and disparity in the oral health services provided, a greater emphasis on its awareness and education is the present need; thus, the aim of the study is to assess the attitude toward community service among dental students. Methodology: A cross-sectional questionnaire-based study was conducted among undergraduate dental students who were present on the day of study, and their attitude toward community service was assessed using a standardized Community Service Attitude Scale which consists of eight domains. Data were analyzed using descriptive statistics, Chi-square test, and ANOVA. The level of significance was set at P < 0.05. Results: The total participants included were 171. The levels of attitude toward community service among the study participants based on year (P = 0.0492, gender (P = 0.00482, and voluntary activity (P = 0.042 were found to be statistically significant. Conclusion: The attitude toward community service is influenced by gender and year of study. Hence, any practical training program with regard to service learning in their undergraduate curriculum would highly contribute to influence their attitude toward community service.

  16. Need Assessment of Staffs’ Welfare Services at Tehran University of Medical Sciences: A Cross-Sectional Study

    Science.gov (United States)

    Dehghan, Reza; Mafimoradi, Shiva; Hadi, Mohammad

    2015-01-01

    Background: Reviewing the human resources management literature shows an absence of attention given to the employee's benefits. Taking a look at functions of the Tehran University of Medical Sciences’ wellbeing services system, it uncovers a gap between employees’ real needs and what is delivered to meet their needs. So it requires an improved comprehensive system for delivering wellbeing services (financial, insurance, health care services, educational and training services, etc). Wellbeing need assessment can helps planners to identify vital needs of employee and response to them effectively. Moreover it can be used to evaluate the effectiveness of the current services which are delivered. Thus, the aim of this study is to assess wellbeing services of staffs working in TUMS to (1) evaluate the satisfactory rate of services which are delivered, and (2) exploring those wellbeing needs which were not fulfilled by the organization. Material and Methods: Being a cross-sectional and analytic-descriptive survey including 98 responding participants, it is conducted by a questionnaire collecting employees’ demographic information, their satisfactory rate of the implemented services, and determines unfulfilled wellbeing needs which were not already covered. Result: Results indicated that services related to financial, educational, non-financial, insurance, occupational health and tourism/recreational services were the most satisfactory services successively. ‘Staff's unwillingness to receive services’ and ‘poor announcement’ (unawareness on the wellbeing services),’ were found to be the most frequent reasons for not receiving the existing wellbeing services. Conclusion: To increase the satisfaction rate and responsiveness to the real needs of the staff, the current delivery system of wellbeing services in the TUMS should be redesigned by defining new wellbeing packages. PMID:25767818

  17. A Study on Assessment Method of Traffic Load Effect of Bridge in Service

    Science.gov (United States)

    Ling, Pan; Dajian, Han

    2010-05-01

    Because of overloading usually occur in highway in China today, it is found that the traffic load and the load effects given by Specification for Inspection and Evaluation of Load-bearing Capacity of Highway Bridge[1] cannot be adequately estimated. Especially, the extreme values in a service period can not be predicted. In this paper, a model is first developed for a better estimation of the actual traffic flow, as well as the service load effect level of a bridge. Based on a five-day collection data of the vehicle samples passing through the exit of Guangyuan to Shahe of the North-Ring Highway in Guangzhou, The Qiaole Bridge of the highway is taken as an example to illustrate the assessment model. Then, a threshold model is applied to estimate the tail distribution of the maximum load effect of a fleet. And threshold point process is used to infer the maximum value distribution for prediction of the load effect level of the bridge in a future time period. Finally, a 0.95 quantile is obtained to compare with the result given by specification[1]. The results show that the assessment method proposed in this paper is valid and feasible.

  18. Accounting for ecosystem services in Life Cycle Assessment, Part II: toward an ecologically based LCA.

    Science.gov (United States)

    Zhang, Yi; Baral, Anil; Bakshi, Bhavik R

    2010-04-01

    Despite the essential role of ecosystem goods and services in sustaining all human activities, they are often ignored in engineering decision making, even in methods that are meant to encourage sustainability. For example, conventional Life Cycle Assessment focuses on the impact of emissions and consumption of some resources. While aggregation and interpretation methods are quite advanced for emissions, similar methods for resources have been lagging, and most ignore the role of nature. Such oversight may even result in perverse decisions that encourage reliance on deteriorating ecosystem services. This article presents a step toward including the direct and indirect role of ecosystems in LCA, and a hierarchical scheme to interpret their contribution. The resulting Ecologically Based LCA (Eco-LCA) includes a large number of provisioning, regulating, and supporting ecosystem services as inputs to a life cycle model at the process or economy scale. These resources are represented in diverse physical units and may be compared via their mass, fuel value, industrial cumulative exergy consumption, or ecological cumulative exergy consumption or by normalization with total consumption of each resource or their availability. Such results at a fine scale provide insight about relative resource use and the risk and vulnerability to the loss of specific resources. Aggregate indicators are also defined to obtain indices such as renewability, efficiency, and return on investment. An Eco-LCA model of the 1997 economy is developed and made available via the web (www.resilience.osu.edu/ecolca). An illustrative example comparing paper and plastic cups provides insight into the features of the proposed approach. The need for further work in bridging the gap between knowledge about ecosystem services and their direct and indirect role in supporting human activities is discussed as an important area for future work.

  19. Multi-actor involvement for integrating ecosystem services in strategic environmental assessment of spatial plans

    Energy Technology Data Exchange (ETDEWEB)

    Rozas-Vásquez, Daniel, E-mail: danielrozas@gmail.com [Center for Development Research, Dept. Ecology and Natural Resources Management, University of Bonn, Walter Flex Str. 3, 53113 Bonn (Germany); Laboratorio de Planificación Territorial, Universidad Católica de Temuco, Rudecindo ortega, 02950 Temuco (Chile); Fürst, Christine [Martin Luther University Halle-Wittenberg, Dept. Natural Sciences III, Institute for Geosciences and Geography, Von Seckendorff-Platz 4, 06120 Halle-Saale (Germany); Geneletti, Davide [University of Trento, Department of Civil, Environmental and Mechanical Engineering, via Mesiano, 77, Trento 38123 (Italy); Muñoz, Francisco [Laboratorio de Planificación Territorial, Universidad Católica de Temuco, Rudecindo ortega, 02950 Temuco (Chile)

    2017-01-15

    Integrating an ecosystem services (ES) approach into Strategic Environmental Assessment (SEA) of spatial plans potentially enhances the consideration of the value of nature in decision making and policy processes. However, there is increasing concern about the institutional context and a lack of a common understanding of SEA and ecosystem services for adopting them as an integrated framework. This paper addresses this concern by analysing the current understanding and network relations in a multi-actor arrangement as a first step towards a successful integration of ES in SEA and spatial planning. Our analysis focuses on a case study in Chile, where we administered a questionnaire survey to some of the main actors involved in the spatial planning process. The questionnaire focused on issues such as network relations among actors and on conceptual understanding, perceptions and challenges for integrating ES in SEA and spatial planning, knowledge on methodological approaches, and the connections and gaps in the science-policy interface. Our findings suggest that a common understanding of SEA and especially of ES in a context of multiple actors is still at an initial stage in Chile. Additionally, the lack of institutional guidelines and methodological support is considered the main challenge for integration. We conclude that preconditions exist in Chile for integrating ES in SEA for spatial planning, but they strongly depend on appropriate governance schemes that promote a close science-policy interaction, as well as collaborative work and learning. - Highlights: • Linking ecosystem services in SEA is an effective framework for sustainability. • Multi-actor understanding and networks in ecosystem services and SEA were analyzed. • Understanding of SEA and especially of ES is still in an initial stage in Chile. • A lack of institutional guidelines is one of the key challenges for this link.

  20. Multi-actor involvement for integrating ecosystem services in strategic environmental assessment of spatial plans

    International Nuclear Information System (INIS)

    Rozas-Vásquez, Daniel; Fürst, Christine; Geneletti, Davide; Muñoz, Francisco

    2017-01-01

    Integrating an ecosystem services (ES) approach into Strategic Environmental Assessment (SEA) of spatial plans potentially enhances the consideration of the value of nature in decision making and policy processes. However, there is increasing concern about the institutional context and a lack of a common understanding of SEA and ecosystem services for adopting them as an integrated framework. This paper addresses this concern by analysing the current understanding and network relations in a multi-actor arrangement as a first step towards a successful integration of ES in SEA and spatial planning. Our analysis focuses on a case study in Chile, where we administered a questionnaire survey to some of the main actors involved in the spatial planning process. The questionnaire focused on issues such as network relations among actors and on conceptual understanding, perceptions and challenges for integrating ES in SEA and spatial planning, knowledge on methodological approaches, and the connections and gaps in the science-policy interface. Our findings suggest that a common understanding of SEA and especially of ES in a context of multiple actors is still at an initial stage in Chile. Additionally, the lack of institutional guidelines and methodological support is considered the main challenge for integration. We conclude that preconditions exist in Chile for integrating ES in SEA for spatial planning, but they strongly depend on appropriate governance schemes that promote a close science-policy interaction, as well as collaborative work and learning. - Highlights: • Linking ecosystem services in SEA is an effective framework for sustainability. • Multi-actor understanding and networks in ecosystem services and SEA were analyzed. • Understanding of SEA and especially of ES is still in an initial stage in Chile. • A lack of institutional guidelines is one of the key challenges for this link.

  1. A rapid assessment of service deliveries at Anganwadi Centres in Ranchi district of Jharkhand

    Directory of Open Access Journals (Sweden)

    Shamim Haider

    2014-03-01

    Full Text Available Introduction: Proper functioning of Anganwadi Centres (AWCs are important for better service delivery which will lead to healthy mother and child , and ultimately better development of human resources in order to build a healthy and productive nation. Objectives: To assess the functioning of AWCs. 2 To measure the quantitative gap in coverage of beneficiaries. 3 To find out bottlenecks in proper service delivery of AWCs. Methods: Randomly selected 50 AWCs in Ranchi district were surveyed during July 2012 to September 2012. Semi-structured questionnaire was used to collect information from Anganwadi workers (AWWs. Existing records at AWCs were also accessed to collect data.  Statistical analysis: Frequency distribution and chi - square test were done. Results: 3941(>73% out of 5387 eligible children aged 6-71 months were enrolled at AWCs and 3870(97.45% enrolled children were availing food under Supplementary Nutrition Programme (SNP. Growth charts were available and properly maintained at all AWCs however; regular health check-up of all children was done in only 5(10% AWCs. Pre-School Education (PSE materials, mainly in form of charts and posters were available at 47(94% AWCs. More than 90% pregnant & lactating women were enrolled at AWCs and almost all centres were providing maternal health services like Ante natal care (ANC and Tetanus Toxoid (TT to them. Only 955 (33% out of 2859 eligible adolescent girls were enrolled in AWCs. Iron-Folic Acid (IFA supplementations to pregnant women were available at 25 (50% AWCs. Conclusions:  Though coverage and supplementary nutrition of children is good; poor coverage, lack of health education and supplementary nutrition of adolescent girls is a matter of concern. Low honorarium, excess workload and poor infrastructure of AWCs are main impediment in proper service delivery.

  2. A rapid assessment of service deliveries at Anganwadi Centres in Ranchi district of Jharkhand

    Directory of Open Access Journals (Sweden)

    Shamim Haider

    2014-03-01

    Full Text Available Introduction: Proper functioning of Anganwadi Centres (AWCs are important for better service delivery which will lead to healthy mother and child , and ultimately better development of human resources in order to build a healthy and productive nation. Objectives: To assess the functioning of AWCs. 2 To measure the quantitative gap in coverage of beneficiaries. 3 To find out bottlenecks in proper service delivery of AWCs. Methods: Randomly selected 50 AWCs in Ranchi district were surveyed during July 2012 to September 2012. Semi-structured questionnaire was used to collect information from Anganwadi workers (AWWs. Existing records at AWCs were also accessed to collect data.  Statistical analysis: Frequency distribution and chi - square test were done. Results: 3941(>73% out of 5387 eligible children aged 6-71 months were enrolled at AWCs and 3870(97.45% enrolled children were availing food under Supplementary Nutrition Programme (SNP. Growth charts were available and properly maintained at all AWCs however; regular health check-up of all children was done in only 5(10% AWCs. Pre-School Education (PSE materials, mainly in form of charts and posters were available at 47(94% AWCs. More than 90% pregnant & lactating women were enrolled at AWCs and almost all centres were providing maternal health services like Ante natal care (ANC and Tetanus Toxoid (TT to them. Only 955 (33% out of 2859 eligible adolescent girls were enrolled in AWCs. Iron-Folic Acid (IFA supplementations to pregnant women were available at 25 (50% AWCs. Conclusions:  Though coverage and supplementary nutrition of children is good; poor coverage, lack of health education and supplementary nutrition of adolescent girls is a matter of concern. Low honorarium, excess workload and poor infrastructure of AWCs are main impediment in proper service delivery.

  3. Diverse characteristics of wetlands restored under the Wetlands Reserve Program in the Southeastern United States

    Science.gov (United States)

    Diane De Steven; Joel M. Gramling

    2012-01-01

    The Wetlands Reserve Program (WRP) restores converted or degraded wetlands on private working lands; however, the nature and outcomes of such efforts are undocumented in the Southeastern U.S. Identification of wetland types is needed to assess the program's conservation benefits, because ecological functions differ with hydrogeomorphic (HGM) type. We reviewed...

  4. The Household Costs of Visceral Leishmaniasis Care in South-eastern Nepal

    NARCIS (Netherlands)

    Uranw, S.; Meheus, F.; Baltussen, R.M.; Rijal, S.; Boelaert, M.

    2013-01-01

    BACKGROUND AND OBJECTIVES: Visceral leishmaniasis (VL) is an important public health problem in south-eastern Nepal affecting very poor rural communities. Since 2005, Nepal is involved in a regional initiative to eliminate VL. This study assessed the economic impact of VL on households and examined

  5. Impacts of multiple stresses on water demand and supply across the southeastern United States

    Science.gov (United States)

    Ge Sun; Steven G. McNulty; Jennifer A. Moore Myers; Erika C. Cohen

    2008-01-01

    Assessment of long-term impacts of projected changes in climate, population, and land use and land cover on regional water resource is critical to the sustainable development of the southeastern United States. The objective of this study was to fully budget annual water availability for water supply (precipitation ) evapotranspiration + groundwater supply + return flow...

  6. Survey to evaluate escape of Eucalyptus spp. seedlings from plantations in southeastern USA

    Science.gov (United States)

    Mac A. Callaham; John A. Stanturf; William J. Hammond; Donald L. Rockwood; Evelyn S. Wenk; Joseph J. O’Brien

    2013-01-01

    Interest in biomass-based energy in the southeastern Unites States has led to increased need for fast-growing tree species. Several Eucalyptus species exhibit characteristics that make them attractive in the bioenergy context. However, some of these also possess traits that suggest they could become invasive. To make a preliminary assessment of the...

  7. Annosus Root Disease Hazard Rating, Detection, and Management Strategies in the Southeastern United States

    Science.gov (United States)

    S. A. Alexander

    1989-01-01

    Annosus root disease (ARD), is the major root disease of pines in the southeastern United States where severely affected trees exhibit growth loss. Assessing the potential damage of ARD is essential for making effective disease control and management decisions. A soil hazard rating system developed to identify potential for tree mortality is described. The Annosus...

  8. Modeling the impacts of wood pellet demand on forest dynamics in southeastern United States

    NARCIS (Netherlands)

    Duden, Anna S.; Verweij, Pita A.; Junginger, H. Martin; Abt, Robert C.; Henderson, Jesse D.; Dale, Virginia H.; Kline, Keith L.; Karssenberg, Derek; Verstegen, Judith A.; Faaij, André P.C.; van der Hilst, Floor

    2017-01-01

    The export of wood pellets from the southeastern United States (USA) has grown significantly in recent years, following rising demand from Europe. Increased wood pellet demand could lead to spatially variable changes in timberland management and area in the USA. This study presents an assessment of

  9. Relationship between crown dieback and drought in the southeastern United States

    Science.gov (United States)

    Michael K. Crosby; Zhaofei Fan; Martin A. Spetich; Theodor D. Leininger; Xingang. Fan

    2012-01-01

    Forest Health and Monitoring (FHM) and Palmer's Drought Severity Index (PDSI) data were obtained for 11 states in the southeastern United States to assess the relationship between drought and crown dieback. Correlation analyses were performed at the species group and ecoregion levels within the study area. The results indicate a negative correlation between...

  10. A State-by-State Assessment of Food Service Regulations for Prevention of Norovirus Outbreaks.

    Science.gov (United States)

    Kambhampati, Anita; Shioda, Kayoko; Gould, L Hannah; Sharp, Donald; Brown, Laura G; Parashar, Umesh D; Hall, Aron J

    2016-09-01

    Noroviruses are the leading cause of foodborne disease in the United States. Foodborne transmission of norovirus is often associated with contamination of food during preparation by an infected food worker. The U.S. Food and Drug Administration's Food Code provides model food safety regulations for preventing transmission of foodborne disease in restaurants; however, adoption of specific provisions is at the discretion of state and local governments. We analyzed the food service regulations of all 50 states and the District of Columbia (i.e., 51 states) to describe differences in adoption of norovirus-related Food Code provisions into state food service regulations. We then assessed potential correlations between adoption of these regulations and characteristics of foodborne norovirus outbreaks reported to the National Outbreak Reporting System from 2009 through 2014. Of the 51 states assessed, all (100%) required food workers to wash their hands, and 39 (76%) prohibited bare-hand contact with ready-to-eat food. Thirty states (59%) required exclusion of staff with vomiting and diarrhea until 24 h after cessation of symptoms. Provisions requiring a certified food protection manager (CFPM) and a response plan for contamination events (i.e., vomiting) were least commonly adopted; 26 states (51%) required a CFPM, and 8 (16%) required a response plan. Although not statistically significant, states that adopted the provisions prohibiting bare-hand contact (0.45 versus 0.74, P =0.07), requiring a CFPM (0.38 versus 0.75, P =0.09), and excluding ill staff for ≥24 h after symptom resolution (0.44 versus 0.73, P =0.24) each reported fewer foodborne norovirus outbreaks per million person-years than did those states without these provisions. Adoption and compliance with federal recommended food service regulations may decrease the incidence of foodborne norovirus outbreaks.

  11. Assessing Freshwater Ecosystem Service Risk over Ecological, Socioeconomic, and Cultural Gradients: Problem Space Characterization and Methodology

    Science.gov (United States)

    Harmon, T. C.; Villamizar, S. R.; Conde, D.; Rusak, J.; Reid, B.; Astorga, A.; Perillo, G. M.; Piccolo, M. C.; Zilio, M.; London, S.; Velez, M.; Hoyos, N.; Escobar, J.

    2014-12-01

    Freshwater ecosystems and the services they provide are under increasing anthropogenic pressure at local (e.g., irrigation diversions, wastewater discharge) and global scales (e.g., climate change, global trading). The impact depends on an ecosystem's sensitivity, which is determined by its geophysical and ecological settings, and the population and activities in its surrounding watershed. Given the importance of ecosystem services, it is critical that we improve our ability to identify and understand changes in aquatic ecosystems, and translate them to risk of service loss. Furthermore, to inspire changes in human behavior, it is equally critical that we learn to communicate risk, and pose risk mitigation strategies, in a manner acceptable to a broad spectrum of stakeholders. Quantifying the nature and timing of the risk is difficult because (1) we often fail to understand the connection between anthropogenic pressures and the timing and extent of ecosystem changes; and (2) the concept of risk is inherently coupled to human perception, which generally differs with cultural and socio-economic conditions. In this study, we endeavor to assess aquatic ecosystem risks across an international array of six study sites. The challenge is to construct a methodology capable of capturing the marked biogeographical, socioeconomic, and cultural differences among the sites, which include: (1) Muskoka River watershed in humid continental Ontario, Canada; (2) Lower San Joaquin River, an impounded snow-fed river in semi-arid Central California; (3) Ciénaga Grande de Santa Marta, a tropical coastal lagoon in Colombia; (4) Senguer River basin in the semi-arid part of Argentina; (5) Laguna de Rocha watershed in humid subtropical Uruguay; and (6) Palomas Lake complex in oceanic Chilean Patagonia. Results will include a characterization of the experimental gradient over the six sites, an overview of the risk assessment methodology, and preliminary findings for several of the sites.

  12. An assessment of adherence to basic ecological principles by payments for ecosystem service projects.

    Science.gov (United States)

    Prager, C M; Varga, A; Olmsted, P; Ingram, J C; Cattau, M; Freund, C; Wynn-Grant, R; Naeem, S

    2016-08-01

    Programs and projects employing payments for ecosystem service (PES) interventions achieve their objectives by linking buyers and sellers of ecosystem services. Although PES projects are popular conservation and development interventions, little is known about their adherence to basic ecological principles. We conducted a quantitative assessment of the degree to which a global set of PES projects adhered to four ecological principles that are basic scientific considerations for any project focused on ecosystem management: collection of baseline data, identification of threats to an ecosystem service, monitoring, and attention to ecosystem dynamics or the formation of an adaptive management plan. We evaluated 118 PES projects in three markets-biodiversity, carbon, and water-compiled using websites of major conservation organizations; ecology, economic, and climate-change databases; and three scholarly databases (ISI Web of Knowledge, Web of Science, and Google Scholar). To assess adherence to ecological principles, we constructed two scientific indices (one additive [ASI] and one multiplicative [MSI]) based on our four ecological criteria and analyzed index scores by relevant project characteristics (e.g., sector, buyer, seller). Carbon-sector projects had higher ASI values (P < 0.05) than water-sector projects and marginally higher ASI scores (P < 0.1) than biodiversity-sector projects, demonstrating their greater adherence to ecological principles. Projects financed by public-private partnerships had significantly higher ASI values than projects financed by governments (P < 0.05) and marginally higher ASI values than those funded by private entities (P < 0.1). We did not detect differences in adherence to ecological principles based on the inclusion of cobenefits, the spatial extent of a project, or the size of a project's budget. These findings suggest, at this critical phase in the rapid growth of PES projects, that fundamental ecological principles should be

  13. A new framework for assessing river ecosystem health with consideration of human service demand.

    Science.gov (United States)

    Luo, Zengliang; Zuo, Qiting; Shao, Quanxi

    2018-06-01

    In order to study river health status from harmonic relationship between human and natural environment, a river health evaluation method was proposed from the aspects of ecosystem integrity and human service demand, and the understanding of river health connotation. The proposed method is based on the harmony theory and two types of river health assessment methods (the forecasting model and index evaluation). A new framework for assessing river water health was then formed from the perspective of harmony and dynamic evolution between human service demand and river ecosystem integrity. As a case study, the method and framework were applied to the Shaying River Basin, a tributary of the most polluted Huaihe River Basin in China. The health status of the river's ecosystem and its effect on the mainstream of Huaihe River were evaluated based on water ecological experiment. The results indicated that: (1) the water ecological environment in Shaying River was generally poor and showed a gradual changing pattern along the river. The river health levels were generally "medium" in the upstream but mostly "sub-disease" in the midstream and downstream, indicating that the water pollution in Shaying River were mainly concentrated in the midstream and downstream; (2) the water pollution of Shaying River had great influence on the ecosystem of Huaihe River, and the main influencing factors were TN, followed by TP and COD Mn ; (3) the natural attribute of river was transferring toward to the direction of socialization due to the increasing human activities. The stronger the human activity intervention is, the faster the transfer will be and the more river's attributes will match with human service demand. The proposed framework contributes to the research in water ecology and environment management, and the research results can serve as an important reference for basin management in Shaying River and Huaihe River. Copyright © 2018. Published by Elsevier B.V.

  14. Malaria in the state of Rio de Janeiro, Brazil, an Atlantic Forest area: an assessment using the health surveillance service

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    Renata Bortolasse Miguel

    2014-08-01

    Full Text Available The lethality of malaria in the extra-Amazonian region is more than 70 times higher than in Amazonia itself. Recently, several studies have shown that autochthonous malaria is not a rare event in the Brazilian southeastern states in the Atlantic Forest biome. Information about autochthonous malaria in the state of Rio de Janeiro (RJ is scarce. This study aims to assess malaria cases reported to the Health Surveillance System of the State of Rio de Janeiro between 2000-2010. An average of 90 cases per year had parasitological malaria confirmation by thick smear. The number of malaria notifications due to Plasmodium falciparum increased over time. Imported cases reported during the period studied were spread among 51% of the municipalities (counties of the state. Only 35 cases (4.3% were autochthonous, which represents an average of 3.8 new cases per year. Eleven municipalities reported autochthonous cases; within these, six could be characterised as areas of residual or new foci of malaria from the Atlantic Forest system. The other 28 municipalities could become receptive for transmission reintroduction. Cases occurred during all periods of the year, but 62.9% of cases were in the first semester of each year. Assessing vulnerability and receptivity conditions and vector ecology is imperative to establish the real risk of malaria reintroduction in RJ.

  15. PhysioDirect: Supporting physiotherapists to deliver telephone assessment and advice services within the context of a randomised trial

    Science.gov (United States)

    Bishop, Annette; Gamlin, Jill; Hall, Jeanette; Hopper, Cherida; Foster, Nadine E.

    2013-01-01

    Physiotherapy-led telephone assessment and advice services for patients with musculoskeletal problems have been developed in many services in the UK, but high quality trial data on clinical and cost effectiveness has been lacking. In order to address this ‘The PhysioDirect trial’ (ISRCTN55666618), was a pragmatic randomised trial of a PhysioDirect telephone assessment and advice service. This paper describes the PhysioDirect system used in the trial and how physiotherapists were trained and supported to use the system and deliver the PhysioDirect service. The PhysioDirect system used in the trial was developed in Huntingdon and now serves a population of 350,000 people. When initiating or providing physiotherapy-led telephone assessment and advice services training and support for physiotherapists delivering care in this way is essential. An enhanced skill set is required for telephone assessment and advice particularly in listening and communication skills. In addition to an initial training programme, even experienced physiotherapists benefit from a period of skill consolidation to become proficient and confident in assessing patients and delivering care using the telephone. A computer-based system assists the delivery of a physiotherapy-led musculoskeletal assessment and advice service. Clinical Trials Registration Number (ISRCTN55666618). PMID:23219629

  16. A user credit assessment model based on clustering ensemble for broadband network new media service supervision

    Science.gov (United States)

    Liu, Fang; Cao, San-xing; Lu, Rui

    2012-04-01

    This paper proposes a user credit assessment model based on clustering ensemble aiming to solve the problem that users illegally spread pirated and pornographic media contents within the user self-service oriented broadband network new media platforms. Its idea is to do the new media user credit assessment by establishing indices system based on user credit behaviors, and the illegal users could be found according to the credit assessment results, thus to curb the bad videos and audios transmitted on the network. The user credit assessment model based on clustering ensemble proposed by this paper which integrates the advantages that swarm intelligence clustering is suitable for user credit behavior analysis and K-means clustering could eliminate the scattered users existed in the result of swarm intelligence clustering, thus to realize all the users' credit classification automatically. The model's effective verification experiments are accomplished which are based on standard credit application dataset in UCI machine learning repository, and the statistical results of a comparative experiment with a single model of swarm intelligence clustering indicates this clustering ensemble model has a stronger creditworthiness distinguishing ability, especially in the aspect of predicting to find user clusters with the best credit and worst credit, which will facilitate the operators to take incentive measures or punitive measures accurately. Besides, compared with the experimental results of Logistic regression based model under the same conditions, this clustering ensemble model is robustness and has better prediction accuracy.

  17. NICE recommendations for the assessment of stable chest pain: assessing the early economic and service impact in the rapid-access chest pain service.

    Science.gov (United States)

    Ashrafi, Reza; Raga, Santosh; Abdool, Ali; Disney, Andrew; Wong, Peter; Davis, Gershan K

    2013-05-01

    In 2010, guidelines published by the National Institute for Clinical Excellence (NICE) suggested a change in the way patients with stable chest pain of suspected cardiac origin were investigated. These guidelines removed exercise treadmill testing from routine use and introduced cardiac CT to regular use. To investigate whether these guidelines had improved our service provision by reducing the number of further investigations required to make a diagnosis, and to see if our costs had increased now that the less expensive exercise treadmill tests were not recommended. Clinic letters were used to assess patients pretest likelihood of coronary artery disease for two six-month cohorts of consecutive patients seen in the rapid access chest pain clinic (January-June 2010 and July-December 2011) using NICE published methodology, and to ascertain which investigations patients had. Using NICE modelled costs, we generated comparative hypothetical costs for each cohort and an average cost per patient. In the January-June 2010 cohort, 435 patients with chest pain were seen, and in July-December 2011, 334 patients were seen. In the pre-NICE guidelines cohort, 23% of patients required two investigations as compared with 11.4% in the post-NICE guidelines cohort, with no patient requiring three investigations as compared with 3% in the original cohort. There was no significant increase in costs per patient in the post-NICE guidance group. Implementing NICE guidance reduced the number of investigations needed per patient, and did not prove more expensive for our department in the short term.

  18. Current status and future prospects for the assessment of marine and coastal ecosystem services: a systematic review.

    Science.gov (United States)

    Liquete, Camino; Piroddi, Chiara; Drakou, Evangelia G; Gurney, Leigh; Katsanevakis, Stelios; Charef, Aymen; Egoh, Benis

    2013-01-01

    Research on ecosystem services has grown exponentially during the last decade. Most of the studies have focused on assessing and mapping terrestrial ecosystem services highlighting a knowledge gap on marine and coastal ecosystem services (MCES) and an urgent need to assess them. We reviewed and summarized existing scientific literature related to MCES with the aim of extracting and classifying indicators used to assess and map them. We found 145 papers that specifically assessed marine and coastal ecosystem services from which we extracted 476 indicators. Food provision, in particular fisheries, was the most extensively analyzed MCES while water purification and coastal protection were the most frequently studied regulating and maintenance services. Also recreation and tourism under the cultural services was relatively well assessed. We highlight knowledge gaps regarding the availability of indicators that measure the capacity, flow or benefit derived from each ecosystem service. The majority of the case studies was found in mangroves and coastal wetlands and was mainly concentrated in Europe and North America. Our systematic review highlighted the need of an improved ecosystem service classification for marine and coastal systems, which is herein proposed with definitions and links to previous classifications. This review summarizes the state of available information related to ecosystem services associated with marine and coastal ecosystems. The cataloging of MCES indicators and the integrated classification of MCES provided in this paper establish a background that can facilitate the planning and integration of future assessments. The final goal is to establish a consistent structure and populate it with information able to support the implementation of biodiversity conservation policies.

  19. Current Status and Future Prospects for the Assessment of Marine and Coastal Ecosystem Services: A Systematic Review

    Science.gov (United States)

    Liquete, Camino; Piroddi, Chiara; Drakou, Evangelia G.; Gurney, Leigh; Katsanevakis, Stelios; Charef, Aymen; Egoh, Benis

    2013-01-01

    Background Research on ecosystem services has grown exponentially during the last decade. Most of the studies have focused on assessing and mapping terrestrial ecosystem services highlighting a knowledge gap on marine and coastal ecosystem services (MCES) and an urgent need to assess them. Methodology/Principal Findings We reviewed and summarized existing scientific literature related to MCES with the aim of extracting and classifying indicators used to assess and map them. We found 145 papers that specifically assessed marine and coastal ecosystem services from which we extracted 476 indicators. Food provision, in particular fisheries, was the most extensively analyzed MCES while water purification and coastal protection were the most frequently studied regulating and maintenance services. Also recreation and tourism under the cultural services was relatively well assessed. We highlight knowledge gaps regarding the availability of indicators that measure the capacity, flow or benefit derived from each ecosystem service. The majority of the case studies was found in mangroves and coastal wetlands and was mainly concentrated in Europe and North America. Our systematic review highlighted the need of an improved ecosystem service classification for marine and coastal systems, which is herein proposed with definitions and links to previous classifications. Conclusions/Significance This review summarizes the state of available information related to ecosystem services associated with marine and coastal ecosystems. The cataloging of MCES indicators and the integrated classification of MCES provided in this paper establish a background that can facilitate the planning and integration of future assessments. The final goal is to establish a consistent structure and populate it with information able to support the implementation of biodiversity conservation policies. PMID:23844080

  20. Assessment of service quality of public antiretroviral treatment (ART clinics in South Africa: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Kinkel Hans F

    2012-07-01

    Full Text Available Abstract Background In South Africa the ever increasing demand for antiretroviral treatment (ART runs the risk of leading to sub-optimal care in public sector ART clinics that are overburdened and under resourced. This study assessed the quality of ART services to identify service areas that require improvement. Methods A cross-sectional study was carried out at 16 of 17 public ART clinics in the target area in greater Pretoria, South Africa. Trained participant observers presented as ART qualifying HIV positive patients that required a visit to assess treatment readiness. They evaluated each facility on five different occasions between June and November 2009, assessing the time it took to get an appointment, the services available and accessed, service quality and the duration of the visit. Services (reception area, clinician’s consultation, HIV counselling, pharmacy, nutrition counselling and social worker’s assessment were assessed against performance standards that apply to all clinics. Service quality was expressed as scores for clinic performance (CPS and service performance (SPS, defined as the percentage of performance standards met per clinic and service area. Results In most of the clinics (62.5% participant observers were able to obtain an appointment within one week, although on the day of their visit essential services could not always be accessed. The median CPS of the assessed facilities was 68.5 with four clinics not meeting minimum standards (CPS > 60. The service areas that performed least well were the clinician’s consultation (SPS 67.3 and HIV counselling (SPS 70.7. Most notably, clinicians performed a physical examination in only 41.1% of the visits and rarely did a complete TB symptom screening. Counsellors frequently failed to address prevention of HIV transmission. Conclusions Overall public sector ART clinics in greater Pretoria were easily accessible and their services were of an acceptable quality. However

  1. EXPLORATORY STUDY REGARDING THE QUALITY ASSESSEMENT OF SERVICES OFFERED BY AN AUTO REPAIR SHOP IN CLUJ-NAPOCA

    Directory of Open Access Journals (Sweden)

    - -

    2012-07-01

    Full Text Available The quality of services should be treated as a resultant derived from the satisfaction of the costumers participating in the service consumption, which requires prior knowledge on the predictable behaviour and reactions of the clients to the offered services. In its turn, the service monitoring system’s design must be shaped according to these behaviours: service delivery, service delivery management and service quality control are therefore inherently subject to a double purpose: obtaining consumer satisfaction and stimulating them to seek, in the future the services of the same tender. It is obvious that, in the case services, their intangible character makes quality aspects to be rarely identified in physical or quantifiable indicators, which means that service quality measurements remains largely subjective or up to the client. As a result, each manager must choose some criteria for establishing the principles used in quality assessment and, ultimately, the practice under market competition conditions, is the one that will approve or not, on the long run those criteria, therefore the service’s quality and its adequacy for a particular customer segment.

  2. Undergraduate Events | Nova Southeastern University

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    College of Psychology Dr. Kiran C. Patel College of Allopathic Medicine Dr. Kiran C. Patel College of , dentistry, law, and psychology. Certificate Receive a graduate level certificate to enhance your skills Institute Core Services & Equipment HPD Research Undergraduate Research Community Community Outreach

  3. Alumni Association | Nova Southeastern University

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    College of Psychology Dr. Kiran C. Patel College of Allopathic Medicine Dr. Kiran C. Patel College of , dentistry, law, and psychology. Certificate Receive a graduate level certificate to enhance your skills Institute Core Services & Equipment HPD Research Undergraduate Research Community Community Outreach

  4. Employment & Careers | Nova Southeastern Universtiy

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    College of Psychology Dr. Kiran C. Patel College of Allopathic Medicine Dr. Kiran C. Patel College of , dentistry, law, and psychology. Certificate Receive a graduate level certificate to enhance your skills Institute Core Services & Equipment HPD Research Undergraduate Research Community Community Outreach

  5. Is the ecosystem service concept improving impact assessment? Evidence from recent international practice

    Energy Technology Data Exchange (ETDEWEB)

    Rosa, Josianne Claudia Sales, E-mail: jcsrosa@usp.br; Sánchez, Luis E., E-mail: lsanchez@usp.br

    2015-01-15

    Considering ecosystem services (ES) could foster innovation and improve environmental and social impact assessment (ESIA) practice, but is the potential being fulfilled? In order to investigate how ES have been treated in recent international practice, three questions are asked: (i) were the tasks of an ES analysis carried out? (ii) how is such analysis integrated with other analysis presented in the ESIA? (iii) does ES analysis result in additional or improved mitigation or enhancement measures? These research questions were unfolded into 15 auxiliary questions for reviewing five ESIA reports prepared for mining, hydroelectric and transportation infrastructure projects in Africa, Asia and South America. All cases incorporated ES into ESIA to meet a requirement of the International Finance Corporation's Performance Standards on Environmental and Social Sustainability. It was found that: (i) in only three cases most tasks recommended by current guidance were adopted (ii) all reports feature a dedicated ES chapter or section, but in three of them no evidence was found that the ES analysis was integrated within impact assessment (iii) in the two ESIAs that followed guidance, ES analysis resulted in specific mitigation measures. Few evidence was found that the ES concept is improving current ESIA practice. Key challenges are: (i) integrating ES analysis in such a way that it does not duplicate other analysis; (ii) adequately characterizing the beneficiaries of ES; and (iii) quantifying ES supply for impact prediction. - Highlights: • Incorporating ecosystem services analysis in impact assessment can improve results. • Additional impacts and mitigation were identified. • Challenges include developing appropriate indicators for impact prediction. • A key challenge is integrating the concept in such a way that it does not duplicate other analysis.

  6. Is the ecosystem service concept improving impact assessment? Evidence from recent international practice

    International Nuclear Information System (INIS)

    Rosa, Josianne Claudia Sales; Sánchez, Luis E.

    2015-01-01

    Considering ecosystem services (ES) could foster innovation and improve environmental and social impact assessment (ESIA) practice, but is the potential being fulfilled? In order to investigate how ES have been treated in recent international practice, three questions are asked: (i) were the tasks of an ES analysis carried out? (ii) how is such analysis integrated with other analysis presented in the ESIA? (iii) does ES analysis result in additional or improved mitigation or enhancement measures? These research questions were unfolded into 15 auxiliary questions for reviewing five ESIA reports prepared for mining, hydroelectric and transportation infrastructure projects in Africa, Asia and South America. All cases incorporated ES into ESIA to meet a requirement of the International Finance Corporation's Performance Standards on Environmental and Social Sustainability. It was found that: (i) in only three cases most tasks recommended by current guidance were adopted (ii) all reports feature a dedicated ES chapter or section, but in three of them no evidence was found that the ES analysis was integrated within impact assessment (iii) in the two ESIAs that followed guidance, ES analysis resulted in specific mitigation measures. Few evidence was found that the ES concept is improving current ESIA practice. Key challenges are: (i) integrating ES analysis in such a way that it does not duplicate other analysis; (ii) adequately characterizing the beneficiaries of ES; and (iii) quantifying ES supply for impact prediction. - Highlights: • Incorporating ecosystem services analysis in impact assessment can improve results. • Additional impacts and mitigation were identified. • Challenges include developing appropriate indicators for impact prediction. • A key challenge is integrating the concept in such a way that it does not duplicate other analysis

  7. Emerging Energy Alternatives for the Southeastern States

    Science.gov (United States)

    Stefanakos, E. K. (Editor)

    1978-01-01

    The proceedings of the first symposium on emerging energy alternatives for the Southeastern States are presented. Some topics discussed are: (1) solar energy, (2) wood energy, (3) novel energy sources, (4) agricultural and industrial process heat, (5) waste utilization, (6) energy conservation and (7) ocean thermal energy conversion.

  8. Summary of southeastern group breakout sessions

    Science.gov (United States)

    Bob Ford; Charles P. Nicholson

    1993-01-01

    The breakout sessions held by the southeastern representatives at the Partners In Flight meeting in Colorado were extremely well attended Most states were represented, as well as several federal agencies (including USFS, USFWS, TVA, EPA), and non-government organizations. Two sessions were held, one to discuss a strategy of management by...

  9. 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

  10. Mapping cultural ecosystem services: A framework to assess the potential for outdoor recreation across the EU

    NARCIS (Netherlands)

    Paracchini, M.L.; Zulian, G.; Kopperoinen, L.; Maes, J.; Schagner, J.P.; Termansen, M.; Zandersen, M.; Perez-Soba, M.; Scholefield, P.A.; Bidoglio, G.

    2014-01-01

    Research on ecosystem services mapping and valuing has increased significantly in recent years. However, compared to provisioning and regulating services, cultural ecosystem services have not yet been fully integrated into operational frameworks. One reason for this is that transdisciplinarity is

  11. API REST Web service and backend system Of Lecturer’s Assessment Information System on Politeknik Negeri Bali

    Science.gov (United States)

    Manuaba, I. B. P.; Rudiastini, E.

    2018-01-01

    Assessment of lecturers is a tool used to measure lecturer performance. Lecturer’s assessment variable can be measured from three aspects : teaching activities, research and community service. Broad aspect to measure the performance of lecturers requires a special framework, so that the system can be developed in a sustainable manner. Issues of this research is to create a API web service data tool, so the lecturer assessment system can be developed in various frameworks. The research was developed with web service and php programming language with the output of json extension data. The conclusion of this research is API web service data application can be developed using several platforms such as web, mobile application

  12. Assessment of availability, accessibility, and affordability of magnetic resonance imaging services in Ghana

    International Nuclear Information System (INIS)

    Piersson, A.D.; Gorleku, P.N.

    2017-01-01

    Introduction: The aim of this study was to assess the availability, accessibility, and affordability of MRI services to patients in Ghana. Methods: A descriptive quantitative research method which involve the use of a structured email 3-page survey questionnaire was employed, and addressed to the MRI radiographer-in-charge for completion. Results: A response rate of 92% was achieved. Sixty-seven percent (8) of the facilities were located in the Greater Accra region of Ghana with most (6[75%]) being private health facilities. The Western, Eastern, Brong Ahafo, Upper East, and Upper West lacked MRI scanners. MRI scanners per million population was 0.5. The mean cost per MRI examination, was lower in the public (i.e. GHȻ 563–GHȻ 686, p < 0.05 for non-contrast MRI examinations) compared to the private (i.e. GHȻ 618–GHȻ 775, p < 0.05 also for non-contrast MRI examinations). Most facilities (9[75%]) accept card bearers of some private health insurance to access MRI services, but none accepts that of the public-funded health insurance. Conclusion: There is wide disparity in the distribution of MRI scanners nationwide, with most of them located in the Greater Accra region. With only 5 regions having MRI scanners, it does imply that close to 40% of the general population do not readily have access to MRI services. Government can achieve an increase in availability, accessibility, and affordability of MRI by providing more public health facilities with MRI scanners and reimbursing MRI services via the NHIS (National Health Insurance Scheme). - Highlights: • In Ghana, 67% of MRI centres were located in the Greater Accra region. • MRI scanners per million population was 0.5. • About 40% of the population do not readily have access to MRI. • Mean cost per MRI examination was lower in the public compared to private centres. • Payment for MRI services was either by cash or some private health insurance.

  13. Assessment of the responsiveness of a public health service from the perspective of older adults.

    Science.gov (United States)

    Melo, Denise da Silva; Martins, René Duarte; Jesus, Renata Patrícia Freitas Soares de; Samico, Isabella Chagas; Santo, Antônio Carlos Gomes do Espírito

    2017-06-26

    To assess the quality of health care of older adults using as a parameter the assessment of the responsiveness of the service. This is a descriptive cross-sectional study conducted in a reference unit of the Brazilian Unified Health System at the outpatient level. The sample was probabilistic and had 385 older adults; data collection occurred in 2014. The domains assessed were: choice, autonomy, confidentiality, dignity, communication, physical facilities, and fast service. To this end, we used Pearson correlation test and Fisher's exact test. The domains of dignity, confidentiality, and communication reached the highest level of adequate responsiveness. On the other hand, freedom of choice and fast service received the worst assessments. Participation in decision-making regarding treatment was significantly lower among the older adults who had no education. In addition, the older adults that self-reported as black receive a lower quality of care regarding clear explanation and respected privacy in the appointment, when compared to users of any other race. Although most domains studied have receive a positive assessment, we have found a need for an equal care by the health professionals, regardless of race, education level, or any other adjective characteristic of older adults, users of public health services. Avaliar a qualidade da atenção à saúde da população idosa usando como parâmetro a avaliação da responsividade do serviço. Trata-se de um estudo descritivo, de corte transversal, realizado em uma unidade de referência do Sistema Único de Saúde em nível ambulatorial. A amostra foi probabilística composta por 385 idosos e a coleta de dados ocorreu em 2014. Foram avaliados os domínios: escolha, autonomia, confidencialidade, dignidade, comunicação, instalações físicas e atendimento rápido. Para tanto, foram utilizados o teste de correlação de Pearson e o teste de Fisher. Os domínios dignidade, confidencialidade e comunicação atingiram o

  14. The acceptability to patients of PhysioDirect telephone assessment and advice services; a qualitative interview study.

    Science.gov (United States)

    Pearson, Jennifer; Richardson, Jane; Calnan, Michael; Salisbury, Chris; Foster, Nadine E

    2016-03-28

    In response to long waiting lists and problems with access to primary care physiotherapy, several Primary Care Trusts (PCTs) (now Clinical Commissioning Groups CCGs) developed physiotherapy-led telephone assessment and treatment services. The Medical Research Council (MRC) funded PhysioDirect trial was a randomised control trial (RCT) in four PCTs, with a total of 2252 patients that compared this approach with usual physiotherapy care. This nested qualitative study aimed to explore the acceptability of the PhysioDirect telephone assessment and advice service to patients with musculoskeletal conditions. We conducted 57 semi-structured interviews with adults from 4 PCTs who were referred from general practice to physiotherapy with musculoskeletal conditions and were participating in the PhysioDirect trial. The Framework method was used to analyse the qualitative data. The PhysioDirect service was largely viewed as acceptable although some saw it as a first step to subsequent face-to-face physiotherapy. Most participants found accessing the PhysioDirect service straightforward and smooth, and they valued the faster access to physiotherapy advice offered by the telephone service. Participants generally viewed both the PhysioDirect service and the physiotherapists providing the service as helpful. Participants' preferences and priorities for treatment defined the acceptable features of PhysioDirect but the acceptable features were traded off against less acceptable features. Some participants felt that the PhysioDirect service was impersonal and impaired the development of a good relationship with their physiotherapist, which made the service feel remote and less valuable. The PhysioDirect service was broadly acceptable to participants since it provided faster access to physiotherapy advice for their musculoskeletal conditions. Participants felt that it is best placed as one method of accessing physiotherapy services, in addition to, rather than as a replacement for

  15. Southeastern Power Administration 2008 Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    None

    2008-12-29

    Dear Secretary Chu: I am pleased to submit Southeastern Power Administration’s (Southeastern’s) fiscal year (FY) 2008 Annual Report for your review. The information included in this document reflects our agency’s programs, accomplishments, operational and financial activities for the 12-month period beginning October 1, 2007 and ending September 30, 2008. Southeastern marketed more than 4.5 billion kilowatt-hours of energy to 491 wholesale customers in ten southeastern states this past year. Revenues from the sale of this power totaled approximately $263 million. Drought conditions persisted in the southeastern region of the United States during FY 2008 placing strains on our natural and financial resources. Power purchases for FY 2008 totaled $91 million. Approximately $44 million of this amount was for replacement power which is paid only during adverse water conditions in order to meet our customers’ contract requirements. With the continued financial assistance and support of our Federal power customers, funding for capitalized equipment purchases and replacements at U.S. Army Corps of Engineers’ (Corps) hydroelectric projects provided much needed repairs and maintenance for these aging facilities. Southeastern’s cyber and physical security programs continued to be reviewed and updated to meet Department of Energy (DOE), Homeland Security, and North American Electric Reliability Corporation (NERC) standards and requirements. In the coming year, Southeastern will continue open communication and cooperation with DOE, the Federal power customers, and the Corps to maximize the benefits of our region’s water resources. Although competing uses of water and the prolonged drought conditions will present another challenging year for our agency, Southeastern’s employees will meet these challenges and continue to provide reliable hydroelectric power to the people in the southeast. Sincerely, Kenneth E.Legg Administrator

  16. On residual stress prescriptions for fitness for service assessment of pipe girth welds

    International Nuclear Information System (INIS)

    Dong, Pingsha; Song, Shaopin; Zhang, Jinmiao; Kim, Myung H.

    2014-01-01

    This paper aims to provide a detailed assessment of some of the existing residual stress profiles stipulated in widely used fitness-for-service assessment codes and standards, such as BS 7910 Appendix Q and API 579 RP Annex E, by taking advantage of some comprehensive residual stress studies that have recently become available. After presenting a case study on which residual stress measurements are available for validating finite element based residual stress analysis procedure, residual stress profiles stipulated in BS 7910 for pipe girth welds are selected for detailed evaluation by comparing residual stress distribution characteristics shown in parametric finite element results. A shell theory based full-field residual stress profile estimation scheme is then presented to illustrate how an improved estimation of residual stress profiles can be achieved in light of some of the deficiencies in BS 7910 and API 579 identified in this study. - Highlights: • Critically assessed girth weld residual stress profiles in major FFS Codes and Standards. • Identified deficiencies in relating to pipe geometry, heat input, and axial distance from weld. • Presented a shell theory based scheme for prescribing full-field residual stress profiles

  17. An intelligent service-based layered architecture for e learning and assessment

    International Nuclear Information System (INIS)

    Javaid, Q.; Arif, F.

    2017-01-01

    The rapid advancement in ICT (Information and Communication Technology) is causing a paradigm shift in eLearning domain. Traditional eLearning systems suffer from certain shortcomings like tight coupling of system components, lack of personalization, flexibility, and scalability and performance issues. This study aims at addressing these challenges through an MAS (Multi Agent System) based multi-layer architecture supported by web services. The foremost objective of this study is to enhance learning process efficiency by provision of flexibility features for learning and assessment processes. Proposed architecture consists of two sub-system namely eLearning and eAssesssment. This architecture comprises of five distinct layers for each sub-system, with active agents responsible for miscellaneous tasks including content handling, updating, resource optimization, load handling and provision of customized environments for learners and instructors. Our proposed architecture aims at establishment of a facilitation level to learners as well as instructors for convenient acquisition and dissemination of knowledge. Personalization features like customized environments, personalized content retrieval and recommendations, adaptive assessment and reduced response time, are believed to significantly enhance learning and tutoring experience. In essence characteristics like intelligence, personalization, interactivity, usability, laidback accessibility and security, signify aptness of proposed architecture for improving conventional learning and assessment processes. Finally we have evaluated our proposed architecture by means of analytical comparison and survey considering certain quality attributes. (author)

  18. Integrated earth system dynamic modeling for life cycle impact assessment of ecosystem services.

    Science.gov (United States)

    Arbault, Damien; Rivière, Mylène; Rugani, Benedetto; Benetto, Enrico; Tiruta-Barna, Ligia

    2014-02-15

    Despite the increasing awareness of our dependence on Ecosystem Services (ES), Life Cycle Impact Assessment (LCIA) does not explicitly and fully assess the damages caused by human activities on ES generation. Recent improvements in LCIA focus on specific cause-effect chains, mainly related to land use changes, leading to Characterization Factors (CFs) at the midpoint assessment level. However, despite the complexity and temporal dynamics of ES, current LCIA approaches consider the environmental mechanisms underneath ES to be independent from each other and devoid of dynamic character, leading to constant CFs whose representativeness is debatable. This paper takes a step forward and is aimed at demonstrating the feasibility of using an integrated earth system dynamic modeling perspective to retrieve time- and scenario-dependent CFs that consider the complex interlinkages between natural processes delivering ES. The GUMBO (Global Unified Metamodel of the Biosphere) model is used to quantify changes in ES production in physical terms - leading to midpoint CFs - and changes in human welfare indicators, which are considered here as endpoint CFs. The interpretation of the obtained results highlights the key methodological challenges to be solved to consider this approach as a robust alternative to the mainstream rationale currently adopted in LCIA. Further research should focus on increasing the granularity of environmental interventions in the modeling tools to match current standards in LCA and on adapting the conceptual approach to a spatially-explicit integrated model. Copyright © 2013 Elsevier B.V. All rights reserved.

  19. Projecting climate change in the United States: A technical document supporting the Forest Service RPA 2010 Assessment

    Science.gov (United States)

    Linda A. Joyce; David T. Price; David P. Coulson; Daniel W. McKenney; R. Martin Siltanen; Pia Papadopol; Kevin. Lawrence

    2014-01-01

    A set of climate change projections for the United States was developed for use in the 2010 USDA Forest Service RPA Assessment. These climate projections, along with projections for population dynamics, economic growth, and land use change in the United States, comprise the RPA scenarios and are used in the RPA Assessment to project future renewable resource conditions...

  20. Environmental risk assessment for invasive alien species : A case study of apple snails affecting ecosystem services in Europe

    NARCIS (Netherlands)

    Gilioli, Gianni; Schrader, Gritta; Carlsson, Nils; van Donk, Ellen; van Leeuwen, Casper H.A.; Martín, Pablo R.; Pasquali, Sara; Vilà, Montserrat; Vos, Sybren

    2017-01-01

    The assessment of the risk posed by invasive alien species (IAS) to the environment is a component of increasing importance for Pest Risk Analysis. Standardized and comprehensive procedures to assess their impacts on ecosystem services have been developed only recently. The invasive apple snails

  1. Environmental risk assessment for invasive alien species: A case study of apple snails affecting ecosystem services in Europe

    NARCIS (Netherlands)

    Gilioli, Gianni; Schrader, Gritta; Carlsson, Nils; van Donk, Ellen; van Leeuwen, Casper H.A.; Martín, Pablo R.; Pasquali, Sara; Vilà, Montserrat; Vos, Sybren

    Abstract The assessment of the risk posed by invasive alien species (IAS) to the environment is a component of increasing importance for Pest Risk Analysis. Standardized and comprehensive procedures to assess their impacts on ecosystem services have been developed only recently. The invasive apple

  2. Causal attribution of mental illness in South-Eastern Nigeria.

    Science.gov (United States)

    Ikwuka, Ugo; Galbraith, Niall; Nyatanga, Lovemore

    2014-05-01

    Understanding of mental illness in sub-Saharan Africa has remained under-researched in spite of the high and increasing neuropsychiatric burden of disease in the region. This study investigated the causal beliefs that the Igbo people of south-eastern Nigeria hold about schizophrenia, with a view to establishing the extent to which the population makes psychosocial, biological and supernatural attributions. Multi-stage sampling was used to select participants (N = 200) to which questionnaires were administered. Mean comparison of the three causal models revealed a significant endorsement of supernatural causation. Logistic regressions revealed significant contributions of old age and female gender to supernatural attribution; old age, high education and Catholic religious denomination to psychosocial attributions; and high education to biological attributions. It is hoped that the findings would enlighten, augment literature and enhance mental health care service delivery.

  3. Assessment Study of Using Online (CSRS) GPS-PPP Service for Mapping Applications in Egypt

    Science.gov (United States)

    Abd-Elazeem, Mohamed; Farah, Ashraf; Farrag, Farrag

    2011-09-01

    Many applications in navigation, land surveying, land title definitions and mapping have been made simpler and more precise due to accessibility of Global Positioning System (GPS) data, and thus the demand for using advanced GPS techniques in surveying applications has become essential. The differential technique was the only source of accurate positioning for many years, and remained in use despite of its cost. The precise point positioning (PPP) technique is a viable alternative to the differential positioning method in which a user with a single receiver can attain positioning accuracy at the centimeter or decimeter scale. In recent years, many organizations introduced online (GPS-PPP) processing services capable of determining accurate geocentric positions using GPS observations. These services provide the user with receiver coordinates in free and unlimited access formats via the internet. This paper investigates the accuracy of the Canadian Spatial Reference System (CSRS) Precise Point Positioning (PPP) (CSRS-PPP) service supervised by the Geodetic Survey Division (GSD), Canada. Single frequency static GPS observations have been collected at three points covering time spans of 60, 90 and 120 minutes. These three observed sites form baselines of 1.6, 7, and 10 km, respectively. In order to assess the CSRS-PPP accuracy, the discrepancies between the CSRS-PPP estimates and the regular differential GPS solutions were computed. The obtained results illustrate that the PPP produces a horizontal error at the scale of a few decimeters; this is accurate enough to serve many mapping applications in developing countries with a savings in both cost and experienced labor.

  4. Developing a service-learning module for oral health: A needs assessment

    Directory of Open Access Journals (Sweden)

    R Ebrahim

    2017-03-01

    Full Text Available Background. Service learning (SL as a pedagogy in higher education must be differentiated from other services with a primarily philanthropic intent. Dental therapy and oral hygiene students at Sefako Makgatho Health Sciences University, School of Oral Health Sciences, Pretoria, South Africa visit community sites during their 2nd year of study. However, the current curricula would need restructuring for alignment with the espoused pedagogy and standards of SL. Such an SL curriculum design would thus allow for the provision of meaningful services to communities as an integral component of these programmes. Objective. To explore (i perceptions of 2nd-year oral health students; and (ii opinions of academics with regard to the need for an SL module. Methods. Purposive sampling was used to conduct two focus group discussions with academics involved in curriculum development (n=11 and students who had previous exposure to communities (n=10. A survey containing open-ended questions was completed by 9 academics, who would implement the proposed SL module. Frequencies were calculated and data from the open questions were analysed for emergent themes. Results. Most academics (89%, n=8 indicated that working effectively with others as members of a team and developing cultural sensitivity were achievable from an SL module. Two themes emerged from the focus groups, i.e. (i enhanced teaching and learning – students could apply theoretical and clinical training in an authentic setting; and (ii standardisation of training – an SL module would ensure consistency when engaging with communities. Conclusion. The needs assessment was valuable to inform the development and implementation of the SL module.

  5. Health assessment of self-employed in the food service industry.

    Science.gov (United States)

    Grégoris, Marina; Deschamps, Frédéric; Salles, Julie; Sanchez, Stéphane

    2017-07-01

    Objectives This study's objective was to assess the morbidity of self-employed workers in the food service industry, an industry with a large amount of occupational health risks. Methods A cross-sectional study, consisting of 437 participants, was conducted between 2011 and 2013 in Champagne-Ardenne, France. The health questionnaire included an interview, a clinical examination, and medical investigations. Results The study population consisted of 146 self-employed workers (not working for an employer) and 291 employees (working with employment contracts for an employer). Logistic regression analysis revealed that self-employed workers had a higher morbidity than employees, after adjusting for age (OR: 3.45; 95% CI: 1.28 to 9.25). Main adverse health conditions were joint pain (71.2% self-employed vs. 38.1% employees, p < 0.001), ear disorders (54.1% self-employed vs. 33.7%, employees, p < 0.001), and cardiovascular diseases (47.3% self-employed vs. 21% employees, p < 0.001). Conclusions The study highlights the need for occupational health services for self-employed workers in France so that they may benefit from prevention of occupational risks and health surveillance. Results were presented to the self-employed healthcare insurance fund in order to establish an occupational health risks prevention system.

  6. Conceptual design and assessment of in-service inspection and maintenance of KALIMER

    Energy Technology Data Exchange (ETDEWEB)

    Joo, Young Sang; Kim, Seok Hun; Kim, Jong Bum; Lee, Jae Han [Korea Atomic Energy Research Institute, Taejeon (Korea)

    2002-05-01

    In the conceptual design stage of KALIMER, the philosophy and methodology of in-service inspection (ISI) and maintenance for the reactor system and components are proposed and described. The ISI and maintenance should be carried out throughout plant life to ensure the structural integrity and safety of KALIMER. The conceptual design of ISI and maintenance are performed for considering the design characteristics of KALIMER and the intents of the ASME XI Division 3. This report describes and summarizes the requirements and available methods of ISI and maintenance. The visual inspection and continuous monitoring play a great role in the in-service inspection of KALIMER. The major structures of KALIMER reactor system are designed for maintenance free operation for the plant life time and the maintenance philosophy is to replace major components rather than repair them. The assessment of the ISI accessibility and maintainability is performed and reviewed each major component. The postulated failure defects for each component are estimated and evaluated for KALIMER safety and reliability. 8 refs., 16 figs., 13 tabs. (Author)

  7. Appraising Pre-service EFL Teachers' Assessment in Language Testing Course Using Revised Bloom's Taxonomy

    Directory of Open Access Journals (Sweden)

    Elham Mohammadi

    2015-07-01

    Full Text Available The teachers need to be conceived as a “change agent” and not as a mere transmitter of knowledge and culture. In developing countries like Iran, one of the most significant concerns in the field of teachers’ education is efficiency of pre-service programs. To this aim, the current descriptive-evaluative study intended to describe the state of pre-service teachers' assessment in the field of language testing by (a examining the exam questions to find out whether they are aligned with curriculum objectives and syllabus (content validity, (b exploring whether they take care of higher order cognitive processes and (c finding what combinations of cognitive process levels and knowledge types in Revised Bloom's Taxonomy are prevalent in the questions. The results exhibited an unbalanced coverage of content in exams. Also the questions were found to be inadequate in terms of measuring complex cognitive skills (Analyze and Evaluate; Remember and Understand domains take up 91.6 % of all questions and no item was found for Create. Three combinations of cognitive process level and knowledge type was dominant in the data set: (1 Remember Factual Knowledge, (2 Understand Conceptual Knowledge, and (3 Apply Procedural Knowledge. These associations confirm the Anderson and Krathwohl's (2001 proposition.

  8. No Reference Video-Quality-Assessment Model for Monitoring Video Quality of IPTV Services

    Science.gov (United States)

    Yamagishi, Kazuhisa; Okamoto, Jun; Hayashi, Takanori; Takahashi, Akira

    Service providers should monitor the quality of experience of a communication service in real time to confirm its status. To do this, we previously proposed a packet-layer model that can be used for monitoring the average video quality of typical Internet protocol television content using parameters derived from transmitted packet headers. However, it is difficult to monitor the video quality per user using the average video quality because video quality depends on the video content. To accurately monitor the video quality per user, a model that can be used for estimating the video quality per video content rather than the average video quality should be developed. Therefore, to take into account the impact of video content on video quality, we propose a model that calculates the difference in video quality between the video quality of the estimation-target video and the average video quality estimated using a packet-layer model. We first conducted extensive subjective quality assessments for different codecs and video sequences. We then model their characteristics based on parameters related to compression and packet loss. Finally, we verify the performance of the proposed model by applying it to unknown data sets different from the training data sets used for developing the model.

  9. Assessing Ecosystem Service Provision Under Climate Change to Support Conservation and Development Planning in Myanmar

    Science.gov (United States)

    Mandle, Lisa; Wolny, Stacie; Bhagabati, Nirmal; Helsingen, Hanna; Hamel, Perrine; Bartlett, Ryan; Dixon, Adam; Horton, Radley M.; Lesk, Corey; Manley, Danielle; hide

    2017-01-01

    Inclusion of ecosystem services (ES) information into national-scale development and climate adaptation planning has yet to become common practice, despite demand from decision makers. Identifying where ES originate and to whom the benefits flowunder current and future climate conditionsis especially critical in rapidly developing countries, where the risk of ES loss is high. Here, using Myanmar as a case study, we assess where and how ecosystems provide key benefits to the countrys people and infrastructure. We model the supply of and demand for sediment retention, dry-season baseflows, flood risk reduction and coastal storm protection from multiple beneficiaries. We find that locations currently providing the greatest amount of services are likely to remain important under the range of climate conditions considered, demonstrating their importance in planning for climate resilience. Overlap between priority areas for ES provision and biodiversity conservation is higher than expected by chance overall, but the areas important for multiple ES are underrepresented in currently designated protected areas and Key Biodiversity Areas. Our results are contributing to development planning in Myanmar, and our approach could be extended to other contexts where there is demand for national-scale natural capital information to shape development plans and policies

  10. Communication Services and Supports for Individuals with Severe Disabilities: Guidance for Assessment and Intervention

    Science.gov (United States)

    Brady, Nancy C.; Bruce, Susan; Goldman, Amy; Erickson, Karen; Mineo, Beth; Ogletree, Bill T.; Paul, Diane; Romski, Mary Ann; Sevcik, Rose; Siegel, Ellin; Schoonover, Judith; Snell, Marti; Sylvester, Lorraine; Wilkinson, Krista

    2015-01-01

    The National Joint Committee for the Communication Needs of People with Severe Disabilities (NJC) reviewed literature regarding practices for people with severe disabilities in order to update guidance provided in documents originally published in 1992. Changes in laws, definitions, and policies that affect communication attainments by persons with severe disabilities are presented, along with guidance regarding assessment and intervention practices. A revised version of the Communication Bill of Rights, a powerful document that describes the communication rights of all individuals, including those with severe disabilities is included in this article. The information contained within this article is intended to be used by professionals, family members, and individuals with severe disabilities to inform and advocate for effective communication services and opportunities. PMID:26914467

  11. Fatigue and Serviceability Limit State Model Basis for Assessment of Offshore Wind Energy Converters

    DEFF Research Database (Denmark)

    Thöns, Sebastian; Faber, M. H.; Rücker, W.

    2012-01-01

    , a probabilistic model is derived on the basis of literature review and measurement data from a prototype Multibrid M5000 support structure. The sensitivity study is based on the calculation of a nonlinear coefficient of correlation in conjunction with predetermined designs of experiments. This is conducted......This paper develops the models for the structural performance of the loading and probabilistic characterization for the fatigue and the serviceability limit states for the support structure of offshore wind energy converters. These models and a sensitivity study are part of a risk based assessment...... as the starting point for the development of the structural performance and loading models. With these models introduced in detail, several modeling aspects for both limit states are analyzed. This includes analyses of the influence on the hot spot stresses by applying a contact formulation for the pile guide...

  12. Life cycle assessment needs predictive spatial modelling for biodiversity and ecosystem services.

    Science.gov (United States)

    Chaplin-Kramer, Rebecca; Sim, Sarah; Hamel, Perrine; Bryant, Benjamin; Noe, Ryan; Mueller, Carina; Rigarlsford, Giles; Kulak, Michal; Kowal, Virginia; Sharp, Richard; Clavreul, Julie; Price, Edward; Polasky, Stephen; Ruckelshaus, Mary; Daily, Gretchen

    2017-04-21

    International corporations in an increasingly globalized economy exert a major influence on the planet's land use and resources through their product design and material sourcing decisions. Many companies use life cycle assessment (LCA) to evaluate their sustainability, yet commonly-used LCA methodologies lack the spatial resolution and predictive ecological information to reveal key impacts on climate, water and biodiversity. We present advances for LCA that integrate spatially explicit modelling of land change and ecosystem services in a Land-Use Change Improved (LUCI)-LCA. Comparing increased demand for bioplastics derived from two alternative feedstock-location scenarios for maize and sugarcane, we find that the LUCI-LCA approach yields results opposite to those of standard LCA for greenhouse gas emissions and water consumption, and of different magnitudes for soil erosion and biodiversity. This approach highlights the importance of including information about where and how land-use change and related impacts will occur in supply chain and innovation decisions.

  13. Polycyclic aromatic hydrocarbon levels and risk assessment for food from service facilities in Korea.

    Science.gov (United States)

    Park, Shin-Woong; Jeong, Jun-Hyun; Her, Jae-Young; Kim, Mina K; Lee, Kwang-Geun

    2017-06-01

    In this study, levels of benzo[a]anthracene, chrysene, benzo[b]fluoranthene, benzo[k]fluoranthene, benzo[a]pyrene (BaP), dibenzo[a,h]anthracene, benzo[g,h,i]perylene and indeno[1,2,3-c,d]pyrene in 412 food items collected from food service facilities in Korea were analysed. The concentrations of the eight polycyclic aromatic hydrocarbons (PAHs) ranged 0.13-0.48 μg/kg. The concentrations of benzo[a]pyrene in all food samples were foods regulated by European Union legislation. PAH contents were employed to conduct exposure and risk assessment. The chronic daily intake of PAHs from 412 food samples was 5.48 × 10 -6 -4.70 ×x 10 -4  µg-TEQ BaP /kg/day with margins of exposure of 1.04 × 10 9 -1.16 × 10 11 .

  14. Life cycle assessment needs predictive spatial modelling for biodiversity and ecosystem services

    Science.gov (United States)

    Chaplin-Kramer, Rebecca; Sim, Sarah; Hamel, Perrine; Bryant, Benjamin; Noe, Ryan; Mueller, Carina; Rigarlsford, Giles; Kulak, Michal; Kowal, Virginia; Sharp, Richard; Clavreul, Julie; Price, Edward; Polasky, Stephen; Ruckelshaus, Mary; Daily, Gretchen

    2017-04-01

    International corporations in an increasingly globalized economy exert a major influence on the planet's land use and resources through their product design and material sourcing decisions. Many companies use life cycle assessment (LCA) to evaluate their sustainability, yet commonly-used LCA methodologies lack the spatial resolution and predictive ecological information to reveal key impacts on climate, water and biodiversity. We present advances for LCA that integrate spatially explicit modelling of land change and ecosystem services in a Land-Use Change Improved (LUCI)-LCA. Comparing increased demand for bioplastics derived from two alternative feedstock-location scenarios for maize and sugarcane, we find that the LUCI-LCA approach yields results opposite to those of standard LCA for greenhouse gas emissions and water consumption, and of different magnitudes for soil erosion and biodiversity. This approach highlights the importance of including information about where and how land-use change and related impacts will occur in supply chain and innovation decisions.

  15. Assessment of aluminum structural materials for service within the ANS reflector vessel

    International Nuclear Information System (INIS)

    Farrell, K.

    1995-08-01

    Most of the components in the Advanced Neutron Source (ANS) reactor, including the reflector vessel, will be built from the aluminum alloy 6061 (lMg,0.6Si) in its precipitation-hardened T6 and T651 conditions. The microstructural and mechanical characteristics of the alloy are described, and its operating boundaries of stress, temperature, and time in its unirradiated state are defined. The material's responses to neutron radiation exposure in aqueous environments are reviewed in detail. The particular service conditions of stress, temperature, and radiation exposure expected for individual components in the ANS are listed, and the suitability of each component to meet the demands is assessed. Areas of uncertainties are outlined, and various suggestions and recommendations are made to give improved confidence in the predictions

  16. Measuring conditions and trends in ecosystem services at multiple scales: the Southern African Millennium Ecosystem Assessment (SAfMA) experience.

    Science.gov (United States)

    van Jaarsveld, A S; Biggs, R; Scholes, R J; Bohensky, E; Reyers, B; Lynam, T; Musvoto, C; Fabricius, C

    2005-02-28

    The Southern African Millennium Ecosystem Assessment (SAfMA) evaluated the relationships between ecosystem services and human well-being at multiple scales, ranging from local through to sub-continental. Trends in ecosystem services (fresh water, food, fuel-wood, cultural and biodiversity) over the period 1990-2000 were mixed across scales. Freshwater resources appear strained across the continent with large numbers of people not securing adequate supplies, especially of good quality water. This translates to high infant mortality patterns across the region. In some areas, the use of water resources for irrigated agriculture and urban-industrial expansion is taking place at considerable cost to the quality and quantity of freshwater available to ecosystems and for domestic use. Staple cereal production across the region has increased but was outstripped by population growth while protein malnutrition is on the rise. The much-anticipated wood-fuel crisis on the subcontinent has not materialized but some areas are experiencing shortages while numerous others remain vulnerable. Cultural benefits of biodiversity are considerable, though hard to quantify or track over time. Biodiversity resources remain at reasonable levels, but are declining faster than reflected in species extinction rates and appear highly sensitive to land-use decisions. The SAfMA sub-global assessment provided an opportunity to experiment with innovative ways to assess ecosystem services including the use of supply-demand surfaces, service sources and sink areas, priority areas for service provision, service 'hotspots' and trade-off assessments.

  17. An Indicator Approach to Assessing Benefits of Carbon Sequestration and Other Ecosystem Services

    Science.gov (United States)

    Dale, V. H.; Kline, K. L.; Parish, E. S.

    2017-12-01

    While geoengineering offers one approach to carbon management, another tactic is providing land owners and managers with incentives to more efficiently and consistently increase carbon stocks and storage in soils and above ground. Growing bioenergy crops entails such an option. Landscape design can help identify where different strategies best fit into the larger framework of resource management to achieve desired stakeholder objectives. Our research goal is to develop means to assess management options and identify those that offer the highest degree of sustainability as measured by the provision to society of specific economic, environmental and social services with the least costs. Oak Ridge National Laboratory (ORNL) has worked with the US Department of Energy to develop an approach for assessing progress toward better management to improve sustainability. This approach involves six steps with decisions made at each step. First the scope of the assessment is established based on the particular context and options. Next indicators that pertain to the objective are selected and prioritized. Then, baselines and targets are determined for each indicator. Fourth, indicator values are measured, collected, and evaluated. Once the values are in hand, trends and tradeoffs in the indicator set are analyzed. The final step seeks to define and deploy good practices for the activity. ORNL's proposed checklist of environmental and socioeconomic indicators includes greenhouse gases and soil quality (including carbon) and emphasizes that changes in carbon stocks must be viewed in terms of their effects on other indicators, such as those for water quality and quantity, biodiversity, air quality, and productivity as well as on socioeconomic costs and benefits. The framework developed to select and evaluate indicators and assess progress toward sustainability goals is being encapsulated into a visualization tool. Visualization will inform stakeholders about potential effects of

  18. A Multiple-Item Scale for Assessing E-Government Service Quality

    Science.gov (United States)

    Papadomichelaki, Xenia; Mentzas, Gregoris

    A critical element in the evolution of e-governmental services is the development of sites that better serve the citizens’ needs. To deliver superior service quality, we must first understand how citizens perceive and evaluate online citizen service. This involves defining what e-government service quality is, identifying its underlying dimensions, and determining how it can be conceptualized and measured. In this article we conceptualise an e-government service quality model (e-GovQual) and then we develop, refine, validate, confirm and test a multiple-item scale for measuring e-government service quality for public administration sites where citizens seek either information or services.

  19. Comparative Cost Study by Southeastern Regional Association of Physical Plant Administrators of Universities and Colleges Standards Committee.

    Science.gov (United States)

    Duke Univ., Durham, NC.

    Presented in this document are data pertaining to maintenance and operations costs at colleges and universities in the southeastern region of the U.S. The major accounts included in the cost analysis are: (1) physical plant administration, (2) building maintenance, (3) custodial services, (4) utilities, (5) landscape and grounds maintenance, and…

  20. [Analgesic quality in a postoperative pain service: continuous assessment with the cumulative sum (cusum) method].

    Science.gov (United States)

    Baptista Macaroff, W M; Castroman Espasandín, P

    2007-01-01

    The aim of this study was to assess the cumulative sum (cusum) method for evaluating the performance of our hospital's acute postoperative pain service. The period of analysis was 7 months. Analgesic failure was defined as a score of 3 points or more on a simple numerical scale. Acceptable failure (p0) was set at 20% of patients upon admission to the postanesthetic recovery unit and at 7% 24 hours after surgery. Unacceptable failure was set at double the p0 rate at each time (40% and 14%, respectively). The unit's patient records were used to generate a cusum graph for each evaluation. Nine hundred four records were included. The rate of failure was 31.6% upon admission to the unit and 12.1% at the 24-hour postoperative assessment. The curve rose rapidly to the value set for p0 at both evaluation times (n = 14 and n = 17, respectively), later leveled off, and began to fall after 721 and 521 cases, respectively. Our study shows the efficacy of the cusum method for monitoring a proposed quality standard. The graph also showed periods of suboptimal performance that would not have been evident from analyzing the data en block. Thus the cusum method would facilitate rapid detection of periods in which quality declines.

  1. Assessing the impacts of water abstractions on river ecosystem services: an eco-hydraulic modelling approach

    Energy Technology Data Exchange (ETDEWEB)

    Carolli, Mauro, E-mail: mauro.carolli@unitn.it; Geneletti, Davide, E-mail: davide.geneletti@unitn.it; Zolezzi, Guido, E-mail: guido.zolezzi@unitn.it

    2017-03-15

    The provision of important river ecosystem services (ES) is dependent on the flow regime. This requires methods to assess the impacts on ES caused by interventions on rivers that affect flow regime, such as water abstractions. This study proposes a method to i) quantify the provision of a set of river ES, ii) simulate the effects of water abstraction alternatives that differ in location and abstracted flow, and iii) assess the impact of water abstraction alternatives on the selected ES. The method is based on river modelling science, and integrates spatially distributed hydrological, hydraulic and habitat models at different spatial and temporal scales. The method is applied to the hydropeaked upper Noce River (Northern Italy), which is regulated by hydropower operations. We selected locally relevant river ES: habitat suitability for the adult marble trout, white-water rafting suitability, hydroelectricity production from run-of-river (RoR) plants. Our results quantify the seasonality of river ES response variables and their intrinsic non-linearity, which explains why the same abstracted flow can produce different effects on trout habitat and rafting suitability depending on the morphology of the abstracted reach. An economic valuation of the examined river ES suggests that incomes from RoR hydropower plants are of comparable magnitude to touristic revenue losses related to the decrease in rafting suitability.

  2. Wheelchair Seating Assessment and Intervention: A Comparison between Telerehabilitation and Face-to-Face Service

    Directory of Open Access Journals (Sweden)

    Ingrid G Barlow

    2009-09-01

    Full Text Available This study compared outcomes of wheelchair seating and positioning interventions provided by telerehabilitation (n=10 and face-to-face (n=20; 10 in each of two comparison groups, one urban and one rural. Comparison clients were matched to the telerehabilitation clients in age, diagnosis, and type of seating components received. Clients and referring therapists rated their satisfaction and identified if seating intervention goals were met. Clients recorded travel expenses incurred or saved, and all therapists recorded time spent providing service. Wait times and completion times were tracked. Clients seen by telerehabilitation had similar satisfaction ratings and were as likely to have their goals met as clients seen face-to-face; telerehabilitation clients saved travel costs. Rural referring therapists who used telerehabilitation spent more time in preparation and follow-up than the other groups. Clients assessed by telerehabilitation had shorter wait times for assessment than rural face-to-face clients, but their interventions took as long to complete. Keywords: Telerehabilitation, Telehealth, Videoconferencing, Wheelchair Seating, Outcomes, Rehabilitation

  3. A predictive approach to fitness-for-service assessment of pitting corrosion

    International Nuclear Information System (INIS)

    Shekari, Elahe; Khan, Faisal; Ahmed, Salim

    2016-01-01

    Pitting corrosion is a localized corrosion that often causes leak and failure of process components. The aim of this work is to present a new fitness-for-service (FFS) assessment methodology for process equipment to track and predict pitting corrosion. In this methodology, pit density is modeled using a non-homogenous Poisson process and induction time for pit initiation is simulated as the realization of a Weibull process. The non-homogenous Markov process is used to estimate maximum pit depth, considering that only the current state of the damage influences its future development. Subsequently, the distributions of the operating pressure and the estimated burst pressure of the defected component are integrated with Monte Carlo simulations and First Order Second Moment (FOSM) method to calculate the reliability index and probability of failure. This methodology provides a more realistic failure assessment and enables consideration of uncertainty associated with estimating pit characteristics. The practical application of the proposed model is demonstrated using a piping case study. - Highlights: • A new model to estimate maximum pit depth and pit density as two main pit characteristics. • Integrating maximum pit depth with failure analysis considering allowable pressure of defected component. • Time dependent failure analysis to determine the remaining life.

  4. Development of residual stress analysis procedure for fitness-for-service assessment of welded structure

    International Nuclear Information System (INIS)

    Kim, Jong Sung; Jin, Tae Eun; Dong, P.; Prager, M.

    2003-01-01

    In this study, a state of art review of existing residual stress analysis techniques and representative solutions is presented in order to develop the residual stress analysis procedure for Fitness-For-Service(FFS) assessment of welded structure. Critical issues associated with existing residual stress solutions and their treatments in performing FFS are discussed. It should be recognized that detailed residual stress evolution is an extremely complicated phenomenon that typically involves material-specific thermomechanical/metallurgical response, welding process physics, and structural interactions within a component being welded. As a result, computational procedures can vary significantly from highly complicated numerical techniques intended only to elucidate a small part of the process physics to cost-effective procedures that are deemed adequate for capturing some of the important features in a final residual stress distribution. Residual stress analysis procedure for FFS purposes belongs to the latter category. With this in mind, both residual stress analysis techniques and their adequacy for FFS are assessed based on both literature data and analyses performed in this investigation

  5. Usage of Geoprocessing Services in Precision Forestry for Wood Volume Calculation and Wind Risk Assessment

    Directory of Open Access Journals (Sweden)

    Tomáš Mikita

    2015-01-01

    Full Text Available This paper outlines the idea of a precision forestry tool for optimizing clearcut size and shape within the process of forest recovery and its publishing in the form of a web processing service for forest owners on the Internet. The designed tool titled COWRAS (Clearcut Optimization and Wind Risk Assessment is developed for optimization of clearcuts (their location, shape, size, and orientation with subsequent wind risk assessment. The tool primarily works with airborne LiDAR data previously processed to the form of a digital surface model (DSM and a digital elevation model (DEM. In the first step, the growing stock on the planned clearcut determined by its location and area in feature class is calculated (by the method of individual tree detection. Subsequently tree heights from canopy height model (CHM are extracted and then diameters at breast height (DBH and wood volume using the regressions are calculated. Information about wood volume of each tree in the clearcut is exported and summarized in a table. In the next step, all trees in the clearcut are removed and a new DSM without trees in the clearcut is generated. This canopy model subsequently serves as an input for evaluation of wind risk damage by the MAXTOPEX tool (Mikita et al., 2012. In the final raster, predisposition of uncovered forest stand edges (around the clearcut to wind risk is calculated based on this analysis. The entire tool works in the background of ArcGIS server as a spatial decision support system for foresters.

  6. Serviceability design load factors and reliability assessments for reinforced concrete containment structures

    International Nuclear Information System (INIS)

    Han Bong Koo

    1998-01-01

    A reinforced concrete nuclear power plant containment structure is subjected to various random static and stochastic loads during its lifetime. Since these loads involve inherent randomness and other uncertainties, an appropriate probabilistic model for each load must be established in order to perform reliability analysis. The current ASME code for reinforced concrete containment structures are not based on probability concepts. The stochastic nature of natural hazard or accidental loads and the variations of material properties require a probabilistic approach for a rational assessment of structural safety and performance. The paper develops probability-based load factors for the limit state design of reinforced concrete containment structures. The purpose of constructing reinforced concrete containment structure is to protect against radioactive release, and so the use of a serviceability limit state against crack failure that can cause the emission of radioactive materials is suggested as a critical limit state for reinforced concrete containment structures. Load factors for the design of reinforced concrete containment structures are proposed and carried out the reliability assessments. (orig.)

  7. Assessing the impacts of water abstractions on river ecosystem services: an eco-hydraulic modelling approach

    International Nuclear Information System (INIS)

    Carolli, Mauro; Geneletti, Davide; Zolezzi, Guido

    2017-01-01

    The provision of important river ecosystem services (ES) is dependent on the flow regime. This requires methods to assess the impacts on ES caused by interventions on rivers that affect flow regime, such as water abstractions. This study proposes a method to i) quantify the provision of a set of river ES, ii) simulate the effects of water abstraction alternatives that differ in location and abstracted flow, and iii) assess the impact of water abstraction alternatives on the selected ES. The method is based on river modelling science, and integrates spatially distributed hydrological, hydraulic and habitat models at different spatial and temporal scales. The method is applied to the hydropeaked upper Noce River (Northern Italy), which is regulated by hydropower operations. We selected locally relevant river ES: habitat suitability for the adult marble trout, white-water rafting suitability, hydroelectricity production from run-of-river (RoR) plants. Our results quantify the seasonality of river ES response variables and their intrinsic non-linearity, which explains why the same abstracted flow can produce different effects on trout habitat and rafting suitability depending on the morphology of the abstracted reach. An economic valuation of the examined river ES suggests that incomes from RoR hydropower plants are of comparable magnitude to touristic revenue losses related to the decrease in rafting suitability.

  8. Assessment of energy supply and continuity of service in distribution network with renewable distributed generation

    International Nuclear Information System (INIS)

    Abdullah, M.A.; Agalgaonkar, A.P.; Muttaqi, K.M.

    2014-01-01

    Highlights: • Difficulties in assessing distribution network adequacy with DG are addressed. • Indices are proposed to assess adequacy of energy supply and service continuity. • Analytical methodology is developed to assess the proposed indices. • Concept of joint probability distribution of demand and generation is applied. - Abstract: Continuity of electricity supply with renewable distributed generation (DG) is a topical issue for distribution system planning and operation, especially due to the stochastic nature of power generation and time varying load demand. The conventional adequacy and reliability analysis methods related to bulk generation systems cannot be applied directly for the evaluation of adequacy criteria such as ‘energy supply’ and ‘continuity of service’ for distribution networks embedded with renewable DG. In this paper, new indices highlighting ‘available supply capacity’ and ‘continuity of service’ are proposed for ‘energy supply’ and ‘continuation of service’ evaluation of generation-rich distribution networks, and analytical techniques are developed for their quantification. A probability based analytical method has been developed using the joint probability of the demand and generation, and probability distributions of the proposed indices have been used to evaluate the network adequacy in energy supply and service continuation. A data clustering technique has been used to evaluate the joint probability between coincidental demand and renewable generation. Time sequential Monte Carlo simulation has been used to compare the results obtained using the proposed analytical method. A standard distribution network derived from Roy Billinton test system and a practical radial distribution network have been used to test the proposed method and demonstrate the estimation of the well-being of a system for hosting renewable DG units. It is found that renewable DG systems improve the ‘energy supply’ and

  9. Measuring conditions and trends in ecosystem services at multiple scales: the Southern African Millennium Ecosystem Assessment (SAfMA) experience

    OpenAIRE

    van Jaarsveld, A.S; Biggs, R; Scholes, R.J; Bohensky, E; Reyers, B; Lynam, T; Musvoto, C; Fabricius, C

    2005-01-01

    The Southern African Millennium Ecosystem Assessment (SAfMA) evaluated the relationships between ecosystem services and human well-being at multiple scales, ranging from local through to sub-continental. Trends in ecosystem services (fresh water, food, fuel-wood, cultural and biodiversity) over the period 1990-2000 were mixed across scales. Freshwater resources appear strained across the continent with large numbers of people not securing adequate supplies, especially of good quality water. T...

  10. Waste management assessment and technical review programme. WATRP. An international peer review service for radioactive waste management activities

    International Nuclear Information System (INIS)

    1994-09-01

    International Atomic Energy Agency provides international peer review services in radioactive waste management to those Member States that have established radioactive waste management programmes. Such services are provided within Waste Management Assessment and Technical Review Programme (WATRP). The main objective of WATRP is to provide international expertise and information on a requested subject in the field of radioactive waste management and to validate that programmes and activities are sound and performing well. Refs, figs and tabs

  11. Does restaurant performance meet customers' expectations? An assessment of restaurant service quality using a modified DINESERV approach

    OpenAIRE

    Marković, Suzana; Raspor, Sanja; Šegarić, Klaudio

    2010-01-01

    The purpose of this study is to determine restaurant service quality. The aims are to: (a) assess customers’ expectations and perceptions, (b) establish the significance of difference between perceived and expected service quality, (c) identify the number of dimensions for expectations and perceptions scales of modified DINESERV model, (d) test the reliability of the applied DINESERV model. The empirical research was conducted using primary data. The questionnaire is based on Stevens et al. (...

  12. An assessment of service quality among internal customers : the case of the Botswana Mascom wireless company / Julia Mpopi Mogotsi

    OpenAIRE

    Mogotsi, Julia Mpopi

    2012-01-01

    The general objective of this study is to assess the internal service quality at Mascom Wireless. Both qualitative and quantitative research methods were used to establish the number of employees who are not happy with their internal service quality and to find out what they suggest could be done to solve the problems that exist. A total of 110 employees out of 280 were given the questionnaire and only 64 of the sampled people responded . A random sampling technique was used to...

  13. Determinants of facility readiness for integration of family planning with HIV testing and counseling services: evidence from the Tanzania service provision assessment survey, 2014-2015.

    Science.gov (United States)

    Bintabara, Deogratius; Nakamura, Keiko; Seino, Kaoruko

    2017-12-22

    Global policy reports, national frameworks, and programmatic tools and guidance emphasize the integration of family planning and HIV testing and counseling services to ensure universal access to reproductive health care and HIV prevention. However, the status of integration between these two services in Tanzanian health facilities is unclear. This study examined determinants of facility readiness for integration of family planning with HIV testing and counseling services in Tanzania. Data from the 2014-2015 Tanzania Service Provision Assessment Survey were analyzed. Facilities were considered ready for integration of family planning with HIV testing and counseling services if they scored ≥ 50% on both family planning and HIV testing and counseling service readiness indices as identified by the World Health Organization. All analyses were adjusted for clustering effects, and estimates were weighted to correct for non-responses and disproportionate sampling. Descriptive, bivariate, and multivariate logistic regression analyses were performed. A total of 1188 health facilities were included in the study. Of all of the health facilities, 915 (77%) reported offering both family planning and HIV testing and counseling services, while only 536 (45%) were considered ready to integrate these two services. Significant determinants of facility readiness for integrating these two services were being government owned [AOR = 3.2; 95%CI, 1.9-5.6], having routine management meetings [AOR = 1.9; 95%CI, 1.1-3.3], availability of guidelines [AOR = 3.8; 95%CI, 2.4-5.8], in-service training of staff [AOR = 2.6; 95%CI, 1.3-5.2], and availability of laboratories for HIV testing [AOR = 17.1; 95%CI, 8.2-35.6]. The proportion of facility readiness for the integration of family planning with HIV testing and counseling in Tanzania is unsatisfactory. The Ministry of Health should distribute and ensure constant availability of guidelines, availability of rapid diagnostic

  14. Rapid Assessment of Ecosystem Service Co-Benefits of Biodiversity Priority Areas in Madagascar.

    Directory of Open Access Journals (Sweden)

    Rachel A Neugarten

    Full Text Available The importance of ecosystems for supporting human well-being is increasingly recognized by both the conservation and development sectors. Our ability to conserve ecosystems that people rely on is often limited by a lack of spatially explicit data on the location and distribution of ecosystem services (ES, the benefits provided by nature to people. Thus there is a need to map ES to guide conservation investments, to ensure these co-benefits are maintained. To target conservation investments most effectively, ES assessments must be rigorous enough to support conservation planning, rapid enough to respond to decision-making timelines, and often must rely on existing data. We developed a framework for rapid spatial assessment of ES that relies on expert and stakeholder consultation, available data, and spatial analyses in order to rapidly identify sites providing multiple benefits. We applied the framework in Madagascar, a country with globally significant biodiversity and a high level of human dependence on ecosystems. Our objective was to identify the ES co-benefits of biodiversity priority areas in order to guide the investment strategy of a global conservation fund. We assessed key provisioning (fisheries, hunting and non-timber forest products, and water for domestic use, agriculture, and hydropower, regulating (climate mitigation, flood risk reduction and coastal protection, and cultural (nature tourism ES. We also conducted multi-criteria analyses to identify sites providing multiple benefits. While our approach has limitations, including the reliance on proximity-based indicators for several ES, the results were useful for targeting conservation investments by the Critical Ecosystem Partnership Fund (CEPF. Because our approach relies on available data, standardized methods for linking ES provision to ES use, and expert validation, it has the potential to quickly guide conservation planning and investment decisions in other data-poor regions.

  15. Rapid Assessment of Ecosystem Service Co-Benefits of Biodiversity Priority Areas in Madagascar

    Science.gov (United States)

    Andriamaro, Luciano; Cano, Carlos Andres; Grantham, Hedley S.; Hole, David; Juhn, Daniel; McKinnon, Madeleine; Rasolohery, Andriambolantsoa; Steininger, Marc; Wright, Timothy Max

    2016-01-01

    The importance of ecosystems for supporting human well-being is increasingly recognized by both the conservation and development sectors. Our ability to conserve ecosystems that people rely on is often limited by a lack of spatially explicit data on the location and distribution of ecosystem services (ES), the benefits provided by nature to people. Thus there is a need to map ES to guide conservation investments, to ensure these co-benefits are maintained. To target conservation investments most effectively, ES assessments must be rigorous enough to support conservation planning, rapid enough to respond to decision-making timelines, and often must rely on existing data. We developed a framework for rapid spatial assessment of ES that relies on expert and stakeholder consultation, available data, and spatial analyses in order to rapidly identify sites providing multiple benefits. We applied the framework in Madagascar, a country with globally significant biodiversity and a high level of human dependence on ecosystems. Our objective was to identify the ES co-benefits of biodiversity priority areas in order to guide the investment strategy of a global conservation fund. We assessed key provisioning (fisheries, hunting and non-timber forest products, and water for domestic use, agriculture, and hydropower), regulating (climate mitigation, flood risk reduction and coastal protection), and cultural (nature tourism) ES. We also conducted multi-criteria analyses to identify sites providing multiple benefits. While our approach has limitations, including the reliance on proximity-based indicators for several ES, the results were useful for targeting conservation investments by the Critical Ecosystem Partnership Fund (CEPF). Because our approach relies on available data, standardized methods for linking ES provision to ES use, and expert validation, it has the potential to quickly guide conservation planning and investment decisions in other data-poor regions. PMID:28006005

  16. Customer premises services market demand assessment 1980 - 2000. Volume 1: Executive summary

    Science.gov (United States)

    Gamble, R. B.; Saporta, L.; Heidenrich, G. A.

    1983-01-01

    Estimates of market demand for domestic civilian telecommunications services for the years 1980 to 2000 are provided. Overall demand, demand or satellite services, demand for satellite delivered Customer Premises Service (CPS), and demand for 30/20 GHz Customer Premises Services are covered. Emphasis is placed on the CPS market and demand is segmented by market, by service, by user class and by geographic region. Prices for competing services are discussed and the distribution of traffic with respect to distance is estimated. A nationwide traffic distribution model for CPS in terms of demand for CPS traffic and earth stations for each of the major SMSAs in the United States are provided.

  17. General service and child immunization-specific readiness assessment of healthcare facilities in two selected divisions in Bangladesh.

    Science.gov (United States)

    Shawon, Md Shajedur Rahman; Adhikary, Gourab; Ali, Md Wazed; Shamsuzzaman, Md; Ahmed, Shahabuddin; Alam, Nurul; Shackelford, Katya A; Woldeab, Alexander; Lim, Stephen S; Levine, Aubrey; Gakidou, Emmanuela; Uddin, Md Jasim

    2018-01-25

    Service readiness of health facilities is an integral part of providing comprehensive quality healthcare to the community. Comprehensive assessment of general and service-specific (i.e. child immunization) readiness will help to identify the bottlenecks in healthcare service delivery and gaps in equitable service provision. Assessing healthcare facilities readiness also helps in optimal policymaking and resource allocation. A health facility survey was conducted between March 2015 and December 2015 in two purposively selected divisions in Bangladesh; i.e. Rajshahi division (high performing) and Sylhet division (low performing). A total of 123 health facilities were randomly selected from different levels of service, both public and private, with variation in sizes and patient loads from the list of facilities. Data on various aspects of healthcare facility were collected by interviewing key personnel. General service and child immunization specific service readiness were assessed using the Service Availability and Readiness Assessment (SARA) manual developed by World Health Organization (WHO). The analyses were stratified by division and level of healthcare facilities. The general service readiness index for pharmacies, community clinics, primary care facilities and higher care facilities were 40.6%, 60.5%, 59.8% and 69.5%, respectively in Rajshahi division and 44.3%, 57.8%, 57.5% and 73.4%, respectively in Sylhet division. Facilities at all levels had the highest scores for basic equipment (ranged between 51.7% and 93.7%) and the lowest scores for diagnostic capacity (ranged between 0.0% and 53.7%). Though facilities with vaccine storage capacity had very high levels of service readiness for child immunization, facilities without vaccine storage capacity lacked availability of many tracer items. Regarding readiness for newly introduced pneumococcal conjugate vaccine (PCV) and inactivated polio vaccine (IPV), most of the surveyed facilities reported lack of

  18. Applicability of PSA Issues for Risk Assessment during Optimisation of In-Service Inspection

    International Nuclear Information System (INIS)

    Kolykhanov, V.; Skalozubov, V.; Kovrigkin, Y.

    2006-01-01

    The current codes determining periodicity of in-service inspection of the NPP equipment have been formed using deterministic approaches and have an unnecessary degree of conservatism. A perspective direction of perfection of normative base is decision making on a basis of risk-informed methodologies. It allows to increase safety of NPP equipment's operation and to optimise programs on inspection of the equipment subject to limited resources by focusing efforts on the most safety significant elements of the equipment. It is internationally accepted that methodology of the probabilistic safety analysis (PSA) is the most universal and comprehensive tool focused on the general assessment of safety of NPP as a whole. By now, PSA Level 1 is fulfilled for all pilot units of the Ukrainian NPPs that is a valuable result, which should be taken into account at an assessment of reliability of the equipment. However, specificity of PSA methodology should be taken into account at the decision of the particular tasks aimed at optimisation of maintenance of the equipment within individual systems. The estimation of the contribution to core damage frequency (CDF) is a PSA issue usually used to assess the significance of consequences of failure of a system/equipment during risk-informed decision-making. This work shows that above factor is only a part of assessment of the significance of consequences as core damage can be expressed in different amount of the damaged fuel elements and, hence, severity of consequences. Besides CDF is directly affected only by active elements which failure can be an initiating event. PSA methodology uses averaged reliability factors of the equipment for all possible operating modes occurring at transitive accident process. Here, there are limited opportunities to account impact of periodicity of maintenance of the equipment on reliability and to predict impact of change of the inspection program. PSA methodology does not allow taking into account

  19. Stats Don't Tell the Whole Story: Using Qualitative Data Analysis of Chat Reference Transcripts to Assess and Improve Services

    Science.gov (United States)

    Mungin, Michael

    2017-01-01

    In the five years following implementation of a chat reference service at James Madison University (JMU), the service proved very popular but was not closely assessed for quality of service. Using grounded theory and qualitative data analysis techniques, a comprehensive assessment effort was begun in earnest and is in progress. Preliminary results…

  20. User satisfaction is influenced by the interval between a health care service and the assessment of the service

    DEFF Research Database (Denmark)

    Jensen, Hanne Irene; Ammentorp, Jette; Kofoed, Poul-Erik

    2010-01-01

    In order to improve the quality of patient care, questionnaires are often used to identify user's experiences and evaluations, but only a few studies have examined whether measuring user satisfaction at different time points influences the assessment of health care. Several studies have shown...... that the comparison of results collected by the two different methods are not biased, the aim of this study was to determine if the interval between an outpatient visit and the assessment of the quality of care influences user satisfaction and to compare response rates between questionnaires completed at different...