WorldWideScience

Sample records for technology utilization services

  1. Utility rates and service policies as potential barriers to the market penetration of decentralized solar technologies

    Energy Technology Data Exchange (ETDEWEB)

    Feuerstein, R. J.

    1979-08-01

    At present, economic and institutional concerns dictate that decentralized solar technologies generally require an auxiliary energy source to assure continuous service through periods of adverse weather. Utility rates and service policies regarding auxiliary energy service have a significant impact upon solar system economics, and thus the commercialization of solar energy. The scope of this paper evaluates three basic issues: (1) whether a utility can refuse to provide auxiliary service to solar users, (2) whether a utility can charge higher or lower than traditional rates for auxiliary service, and (3) whether a utility can refuse to purchase excess power generated by small power producers utilizing electricity-producing solar technologies. It appears that a utility cannot refuse to provide auxiliary service to a solar user unless the company can demonstrate that to provide such service, substantial harm would result to its existing customers. Statutes or case decisions also provide that utilities cannot unreasonably discriminate in rates charged to customers for the same service under like conditions. The ability of a utility to provide solar users lower than traditional rates may depend upon the jurisdiction's view of promotional rates. 681 references.

  2. Management support services to the Office of Utility Technologies. Final technical report

    Energy Technology Data Exchange (ETDEWEB)

    1993-12-16

    The Office of Utility Technologies works cooperatively with industry and the utility sector to realize the market potential for energy efficiency and renewable energy technologies. Under this contract, BNF has provided management support services for OUT R&D activities for the following Program offices: (1) Office of Energy Management; (2) Office of Solar Energy Conversion; (3) Office of Renewable Energy Conversion; and (4) Deputy Assistant Secretary. During the period between 4/17/91 and 9/17/93, BNF furnished the necessary personnel, equipment, materials, facilities and travel required to provide management support services for each of the above Program Offices. From 9/18/93 to 12/17/93, BNF has been involved in closeout activities, including final product deliverables. Research efforts that have been supported in these Program Offices are: (1) for Energy Management -- Advanced Utility Concepts Division; Utility Systems Division; Integrated Planning; (2) for Solar Energy Conversion -- Photovoltaics Division; Solar Thermal and Biomass Power Division; (3) for Renewable Energy Conversion -- Geothermal Division; Wind, Hydroelectric and Ocean Systems Division; (4) for the Deputy Assistant Secretary -- support as required by the Supporting Staff. This final report contains summaries of the work accomplished for each of the Program Offices listed above.

  3. Technology evaluation of control/monitoring systems for MIUS application. [utility services management

    Science.gov (United States)

    Pringle, L. M., Jr.

    1974-01-01

    Potential ways of providing control and monitoring for the Modular Integrated Utility System (MIUS) program are elaborated. Control and monitoring hardware and operational systems are described. The requirements for the MIUS program and the development requirements are discussed.

  4. The Service Utility Model in Service Management

    Institute of Scientific and Technical Information of China (English)

    LI Yan; ZHOU Wen-an; SONG Jun-de

    2005-01-01

    Aiming to provide a measurable service Quality of Service (QoS) evaluating method for service inventory management, this paper proposes a new mobile Service Utility Model (SUM), considers the service and business layer elements into the service utility influence profile, and proposes an self-adaptive service inventory management algorithm as a QoS control scheme based on SUM. It can be concluded from the simulation result that the service inventory utility can be fully reflected by SUM and the whole system efficiency is greatly increased by using SUM as the adaptive rule.

  5. Utilization of Innovations and Techniques of Educational Technology in Delivering of Educational Practicum and Its Impact on Increasing Academic Achievement among Pre-Service Teachers

    Science.gov (United States)

    Ibrahim, Hatim G.

    2017-01-01

    The current study aims to identify the utilization of innovations and techniques of educational technology in teaching of educational practicum and its impact on increasing academic achievement among pre-service teachers. The study sample consisted of (60) pre-service teachers (student teachers) randomly selected from public middle and secondary…

  6. US Forest Service Land Utilization

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting units designated by the Secretary of Agriculture for conservation and utilization under Title III of the Bankhead-Jones Farm...

  7. Gas utilization technologies

    Energy Technology Data Exchange (ETDEWEB)

    Biljetina, R.

    1994-09-01

    One of the constant challenges facing the research community is the identification of technology needs 5 to 15 years from now. A look back into history indicates that the forces driving natural gas research have changed from decade to decade. In the 1970s research was driven by concerns for adequate supply; in the 1980s research was aimed at creating new markets for natural gas. What then are the driving forces for the 1990s? Recent reports from the natural gas industry have helped define a new direction driven primarily by market demand for natural gas. A study prepared by the Interstate Natural Gas Association of America Foundation entitled ``Survey of Natural Research, Development, and Demonstration RD&D Priorities`` indicated that in the 1990s the highest research priority should be for natural gas utilization and that technology development efforts should not only address efficiency and cost, but environmental and regulatory issues as well. This study and others, such as the report by the American Gas Association (A.G.A.) entitled ``Strategic Vision for Natural Gas Through the Year 2000,`` clearly identify the market sectors driving today`s technology development needs. The biggest driver is the power generation market followed by the industrial, transportation, appliance, and gas cooling markets. This is best illustrated by the GRI 1994 Baseline Projection on market growth in various sectors between the year 1992 and 2010. This paper highlights some of the recent technology developments in each one of these sectors.

  8. Assistive Technology Needs, Functional Difficulties, and Services Utilization and Coordination of Children with Developmental Disabilities in the United States.

    Science.gov (United States)

    Lin, Sue C; Gold, Robert S

    2017-01-31

    Assistive technology (AT) enhances the ability of individuals with disabilities to be fully engaged in activities at home, at school, and within their communities-especially for children with developmental disabilities (DD) with physical, sensory, learning, and/or communication impairments. The prevalence of children with DD in the United States has risen from 12.84% in 1997 to 15.04% in 2008. Thus, it is important to monitor the status of their AT needs, functional difficulties, services utilization, and coordination. Using data from the 2009-2010 National Survey on Children with Special Health Care Needs (NS-CSHCN), we conducted bivariate and multivariate statistical analysis, which found that 90% or more of parents of both children with DD and other CSHCN reported that their child's AT needs were met for vision, hearing, mobility, communication, and durable medical equipment; furthermore, children with DD had lower odds of AT needs met for vision and hearing and increased odds for meeting AT needs in mobility and communication. Our findings outline the current AT needs of children with DD nationally. Fulfilling these needs has the potential to engender positive lifelong effects on the child's disabilities, sense of independence, self-confidence, and productivity.

  9. Information Technology Service; Service Informatique

    Energy Technology Data Exchange (ETDEWEB)

    Ageron, M.; Boninchi, V.; Chartoire, M.; Combroux, A.; Giraud, N.; Jacquet, G.; Lagrange, B.; Malleret, S.; Martin, C.; Mas, J.; Morgue, M.; Ollivier, T. [Inst. de Physique Nucleaire, Lyon-1 Univ., 69 - Villeurbanne (France)

    1998-12-31

    The information technology service works out the choices concerning the information technology systems of general use in the laboratory: computers, network, peripherals, workstations, software. It intervenes at the same time in the definition of the procedures and equipment specific to the research groups. The entire data acquisition is centralized by the service. The personnel is sharing the following two large directions of activities: - management of information technology park (setup, configuration and maintenance of the materials and soft ensemble, training and assistance afforded to users); - participation in software projects either in elaboration of applications or in realization and maintenance of specific tools

  10. Industry Service - Technology Centre

    DEFF Research Database (Denmark)

    Hollensen, Svend; Grünbaum, Niels Nolsøe

    2011-01-01

    The chapter describes and explains the development of an Industry Service Technology (IS-T) portal solution at Danfoss for testing of products, including booking system for standardised 'service packages' in order to reduce waiting time.......The chapter describes and explains the development of an Industry Service Technology (IS-T) portal solution at Danfoss for testing of products, including booking system for standardised 'service packages' in order to reduce waiting time....

  11. Utility Energy Services Contracts: Enabling Documents

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-05-01

    Utility Energy Services Contracts: Enabling Documents provides materials that clarify the authority for Federal agencies to enter into utility energy services contracts (UESCs), as well as sample documents and resources to ease utility partnership contracting.

  12. Utility launches computer information service

    Energy Technology Data Exchange (ETDEWEB)

    Beaty, W. [ed.; Ordonez, B.

    1994-12-01

    Three employees at Lee County Electric Cooperative in North Fort Meyers, Fla., have developed InterLine, an on-line computer service designed specifically for the electric utility industry. Since introducing InterLine to the public, the development team has been looking at what areas of information would be most useful to subscribers. In the initial phase, system features include forums on electrical engineering, safety and health and transmission and distribution, a library of files and the Internet gateway. If InterLIne is embraced by the electric utility industry, long range plans are to take it internationls.

  13. Hawaii technology utilization experiment

    Energy Technology Data Exchange (ETDEWEB)

    Dorn, D.W.; Miller, C.F.

    1976-12-08

    A one-year technology-transfer project involving ERDA installations and Hawaii consisted of sending teams from the Lawrence Livermore Laboratory on week-long field trips every two months to test the effectiveness of different methods of transferring technology information from federal sources to civilian clients. The team was questioned primarily on non-energy matters, and the energy questions asked related mostly to individuals or small industries. The team responed to all questions and found that a wide range of knowledge was more effective than having a sequence of experts. Hawaiians considered current major ERDA projects to be irrelevant to their needs. The team was most successful on a one-to-one basis because large groups and state agencies tend to be more policy- than action-oriented. Personal followup was considered essential. The team also learned that their visits generated ten times as many inquiries as were received unsolicited by the laboratory. Most inquiries involved biomass and use of agricultural wastes, solar energy, and transportation. An important contribution of the team's workshops was linking groups to work together on common problems. An appendix lists the subjects of queries and the names and addresses of consortium participants and Hawaiian contacts. (DCK)

  14. Hawaii technology utilization experiment

    Energy Technology Data Exchange (ETDEWEB)

    Dorn, D.W.; Miller, C.F.

    1976-12-08

    A one-year technology-transfer project involving ERDA installations and Hawaii consisted of sending teams from the Lawrence Livermore Laboratory on week-long field trips every two months to test the effectiveness of different methods of transferring technology information from federal sources to civilian clients. The team was questioned primarily on non-energy matters, and the energy questions asked related mostly to individuals or small industries. The team responed to all questions and found that a wide range of knowledge was more effective than having a sequence of experts. Hawaiians considered current major ERDA projects to be irrelevant to their needs. The team was most successful on a one-to-one basis because large groups and state agencies tend to be more policy- than action-oriented. Personal followup was considered essential. The team also learned that their visits generated ten times as many inquiries as were received unsolicited by the laboratory. Most inquiries involved biomass and use of agricultural wastes, solar energy, and transportation. An important contribution of the team's workshops was linking groups to work together on common problems. An appendix lists the subjects of queries and the names and addresses of consortium participants and Hawaiian contacts. (DCK)

  15. Utility Energy Services Contracts: Enabling Documents

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Karen; Vasquez, Deb

    2017-01-01

    The Federal Energy Management Program's 'Utility Energy Service Contracts: Enabling Documents' provide legislative information and materials that clarify the authority for federal agencies to enter into utility energy service contracts, or UESCs.

  16. Advanced clean coal utilization technologies

    Energy Technology Data Exchange (ETDEWEB)

    Moritomi, Hiroshi [National Inst. for Resources and Environment, Tsukuba, Ibaraki (Japan)

    1993-12-31

    The most important greenhouse gas is CO{sub 2} from coal utilization. Ways of mitigating CO{sub 2} emissions include the use of alternative fuels, using renewable resources and increasing the efficiency of power generation and end use. Adding to such greenhouse gas mitigation technologies, post combustion control by removing CO{sub 2} from power station flue gases and then storing or disposing it will be available. Although the post combustion control have to be evaluated in a systematic manner relating them to whether they are presently available technology, to be available in the near future or long term prospects requiring considerable development, it is considered to be a less promising option owing to the high cost and energy penalty. By contrast, abatement technologies aimed at improving conversion efficiency or reducing energy consumption will reduce emissions while having their own commercial justification.

  17. Utility Energy Services Contracts Lessons Learned

    Energy Technology Data Exchange (ETDEWEB)

    None

    2001-08-01

    This document describes best practices in the use of Utility Energy Services Contracts. The recommendations were generated by a group of innovative energy managers in many successful projects. The topics include project financing, competition between utility franchises, and water conservation.

  18. Utility Energy Services Contracts Guide

    Energy Technology Data Exchange (ETDEWEB)

    None

    2013-09-01

    The UESC Guide is a compilation of samples and templates developed as a resource to help contracting officers implement task orders for UESCs under existing U.S. General Services Administration areawide contracts.

  19. Utilization Asterisk for Service Desk

    Directory of Open Access Journals (Sweden)

    Miroslav Voznak

    2010-01-01

    Full Text Available Article discusses our established Service Desk, which was created to help and facilitate the work of a wide sector of users. To reduce costs in small and large institutions rather than traditional PBX solutions, the use Voice over IP (VoIP is offered. Then you can use open source software Asterisk branch. This supports both conventional phones and the phones working with SIP. The advantage of this solution is easy to maintain and modify all of its properties to the customer. These requirements may be very specific and that their implementation requires an effective combination of open-source tools. One of the many frequently used service is an answering machine. Asterisk offers this feature, of course, and we created a tool that offers users the administration machine, plus the possibility of redirecting the phone when the user is not available, that the user does not miss important calls or let the caller record a message on the answering machine.

  20. 48 CFR 970.4102 - Acquiring utility services.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Acquiring utility services... SUPPLEMENTARY REGULATIONS DOE MANAGEMENT AND OPERATING CONTRACTS Acquisition of Utility Services 970.4102 Acquiring utility services....

  1. Technology utilization and American competitiveness

    Science.gov (United States)

    Penaranda, Frank; Arnold, Ray; Fetterolf, Fred

    1992-01-01

    This session of discussions reports on two sides of the technology transfer issue. The speakers are representatives of the aluminum industry (Alcoa Aluminum) and the National Aeronautics and Space Administration, Office of Commercial Programs. They discuss what technology transfer means, what NASA does for industry, and how information is disseminated.

  2. Service Utilization of Veterans Dually Eligible for VA...

    Data.gov (United States)

    U.S. Department of Health & Human ServicesService Utilization of Veterans Dually Eligible for VA and Medicare Fee-For-Service, 1999-2004 According to findings in Service Utilization of Veterans Dually...

  3. Utilizing Information Technology to Facilitate Rapid Acquisition

    Science.gov (United States)

    2006-06-01

    PAGES 109 14. SUBJECT TERMS Rapid Acquisition, eCommerce , eProcurement, Information Technology, Contracting, Global Information Network...Agency. 5 eCommerce and eProcurement, and possess an adequate knowledge of information technology. D. RESEARCH QUESTIONS 1. Primary Research... eCommerce , Information Technology, and eProcurement knowledge, and government and private industry reports utilizing numerous library and Internet

  4. The supply and utilization of dental services

    NARCIS (Netherlands)

    Groenewegen, P.P.; Postma, J.H.M.

    1984-01-01

    In this article the question is addressed whether regional differences in the supply of dental manpower influences the utilization of dental services. The percentage of the population that visits the dentist, is indeed higher in regions with a higher density of dentists. The number of people that vi

  5. International Students' Utilization of Counseling Services

    Science.gov (United States)

    Hwang, Bong Joo; Bennett, Robert; Beauchemin, James

    2014-01-01

    Utilization rates of counseling services by international students continue to be low despite the growing presence of this population in American colleges and universities. There are a number of adjustment factors and stressors that can have a detrimental impact on the mental health and well-being of international students, as well as a variety of…

  6. SAFE DELIVERY SERVICE UTILIZATION IN METEKEL ZONE,

    African Journals Online (AJOL)

    The objective of this study was to assess the status of safe delivery service utilization and ..... headache, 73(7%) severe abdominal pain, 32(3.1%) drowsiness and 28(2.7%) ..... In line with reports from Pakistan (12), mothers' knowledge about ...

  7. Utilizing the NASA Data-enhanced Investigations for Climate Change Education Resource for Elementary Pre-service Teachers in a Technology Integration Education Course.

    Science.gov (United States)

    Howard, E. M.; Moore, T.; Hale, S. R.; Hayden, L. B.; Johnson, D.

    2014-12-01

    The preservice teachers enrolled in the EDUC 203 Introduction to Computer Instructional Technology course, primarily for elementary-level had created climate change educational lessons based upon their use of the NASA Data-enhanced Investigations for Climate Change Education (DICCE). NASA climate education datasets and tools were introduced to faculty of Minority Serving Institutions through a grant from the NASA Innovations in Climate Education program. These lessons were developed to study various ocean processes involving phytoplankton's chlorophyll production over time for specific geographic areas using the Giovanni NASA software tool. The pre-service teachers had designed the climate change content that will assist K-4 learners to identify and predict phytoplankton sources attributed to sea surface temperatures, nutrient levels, sunlight, and atmospheric carbon dioxide associated with annual chlorophyll production. From the EDUC 203 course content, the preservice teachers applied the three phases of the technology integration planning (TIP) model in developing their lessons. The Zunal website (http://www.zunal.com) served as a hypermedia tool for online instructional delivery in presenting the climate change content, the NASA climate datasets, and the visualization tools used for the production of elementary learning units. A rubric was developed to assess students' development of their webquests to meet the overall learning objectives and specific climate education objectives. Accompanying each webquest is a rubric with a defined table of criteria, for a teacher to assess students completing each of the required tasks for each lesson. Two primary challenges of technology integration for elementary pre-service teachers were 1) motivating pre-service teachers to be interested in climate education and 2) aligning elementary learning objectives with the Next Generation science standards of climate education that are non-existent in the Common Core State

  8. Distributed utility technology cost, performance, and environmental characteristics

    Energy Technology Data Exchange (ETDEWEB)

    Wan, Y; Adelman, S

    1995-06-01

    Distributed Utility (DU) is an emerging concept in which modular generation and storage technologies sited near customer loads in distribution systems and specifically targeted demand-side management programs are used to supplement conventional central station generation plants to meet customer energy service needs. Research has shown that implementation of the DU concept could provide substantial benefits to utilities. This report summarizes the cost, performance, and environmental and siting characteristics of existing and emerging modular generation and storage technologies that are applicable under the DU concept. It is intended to be a practical reference guide for utility planners and engineers seeking information on DU technology options. This work was funded by the Office of Utility Technologies of the US Department of Energy.

  9. 48 CFR 41.601 - Utility services forms.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Utility services forms. 41... CATEGORIES OF CONTRACTING ACQUISITION OF UTILITY SERVICES Forms 41.601 Utility services forms. (a) If acquiring utility services under other than an areawide contract, a purchase order, or an...

  10. Development of coal energy utilization technologies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    Coal liquefaction produces new and clean energy by performing hydrogenation, decomposition and liquefaction on coal under high temperatures and pressures. NEDO has been developing bituminous coal liquefaction technologies by using a 150-t/d pilot plant. It has also developed quality improving and utilization technologies for liquefied coal, whose practical use is expected. For developing coal gasification technologies, construction is in progress for a 200-t/d pilot plant for spouted bed gasification power generation. NEDO intends to develop coal gasification composite cycle power generation with high efficiency and of environment harmonious type. This paper summarizes the results obtained during fiscal 1994. It also dwells on technologies to manufacture hydrogen from coal. It further describes development of technologies to manufacture methane and substituting natural gas (SNG) by hydrogenating and gasifying coal. The ARCH process can select three operation modes depending on which of SNG yield, thermal efficiency or BTX yield is targeted. With respect to promotion of coal utilization technologies, description is given on surveys on development of next generation technologies for coal utilization, and clean coal technology promotion projects. International coal utilization and application projects are also described. 9 figs., 3 tabs.

  11. Recent trend in coal utilization technology. Coal utilization workshop

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Chon Ho; Son, Ja Ek; Lee, In Chul; Jin, Kyung Tae; Kim, Seong Soo [Korea Inst. of Energy Research, Taejon (Korea, Republic of)

    1995-12-01

    The 11th Korea-U.S.A. joint workshop on coal utilization technology was held in somerset, Pennsylvania, U.S.A. from october 2 to 3, 1995. In the opening ceremony, Dr.C. Low-el Miller, associate deputy assistant secretary of office of clean coal technology, U.S.DOE, gave congratulatory remarks and Dr. Young Mok Son, president of KIER, made a keynote address. In this workshop, 30 papers were presented in the fields of emission control technology, advanced power generation systems, and advanced coal cleaning and liquid fuels. Especially, from the Korean side, not only KIER but also other private research institutes and major engineering companies including KEPCO, Daewoo Institute of Construction Technology, Jindo Engineering and Construction Co. Daewoo Institute for Advanced Engineering and universities participated in this workshop, reflecting their great interests. Attendants actively discussed about various coal utilization technologies and exchanged scientific and technical information on the state-of-art clean coal technologies under development. (author)

  12. Internet technologies and information services

    CERN Document Server

    Miller, Joseph

    2014-01-01

    Internet Technologies and Information Services: Second Edition is a vital asset to students preparing for careers in library and information science and provides expanded coverage to important new developments while still covering Internet foundations. In addition to networking, the Internet, HTML, web design, web programming, XML, and web searching, this new edition covers additional topics such as cloud computing, content management systems, eBook technologies, mobile technologies and applications, relational database management systems (RDMS), open source software, and virtual priva

  13. Development of technologies for solar energy utilization

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    With relation to the development of photovoltaic power systems for practical use, studies were made on thin-substrate polycrystalline solar cells and thin-film solar cells as manufacturing technology for solar cells for practical use. The technological development for super-high efficiency solar cells was also being advanced. Besides, the research and development have been conducted of evaluation technology for photovoltaic power systems and systems to utilize the photovoltaic power generation and peripheral technologies. The demonstrative research on photovoltaic power systems was continued. The international cooperative research on photovoltaic power systems was also made. The development of a manufacturing system for compound semiconductors for solar cells was carried out. As to the development of solar energy system technologies for industrial use, a study of elemental technologies was first made, and next the development of an advanced heat process type solar energy system was commenced. In addition, the research on passive solar systems was made. An investigational study was carried out of technologies for solar cities and solar energy snow melting systems. As international joint projects, studies were made of solar heat timber/cacao drying plants, etc. The paper also commented on projects for international cooperation for the technological development of solar energy utilization systems. 26 figs., 15 tabs.

  14. The directory of United States coal & technology export resources. Profiles of domestic US corporations, associations and public entities, nationwide, which offer products or services suitable for export, relating to coal and its utilization

    Energy Technology Data Exchange (ETDEWEB)

    1994-01-01

    The purpose of this directory is to provide a listing of available U.S. coal and coal related resources to potential purchasers of those resources abroad. The directory lists business entities within the US which offer coal related resources, products and services for sale on the international market. Each listing is intended to describe the particular business niche or range of product and/or services offered by a particular company. The listing provides addresses, telephones, and telex/fax for key staff in each company committed to the facilitation of international trade. The content of each listing has been formulated especially for this directory and reflects data current as of the date of this edition. The directory listings are divided into four primary classifications: coal resources; technology resources; support services; and financing and resource packaging. The first three of which are subdivided as follows: Coal Resources -- coal derivatives, coal exporters, and coal mining; Technology Resources -- advanced utilization, architects and engineers, boiler equipment, emissions control and waste disposal systems, facility construction, mining equipment, power generation systems, technical publications, and transport equipment; Support Services -- coal transport, facility operations, freight forwarders, sampling services and equipment, and technical consultants. Listings for the directory were solicited on the basis of this industry breakdown. Each of the four sections of this directory begins with a matrix illustrating which companies fall within the particular subclassifications specific to that main classification. A general alphabetical index of companies and an index by product/service classification are provided following the last section of the directory.

  15. Development of technologies for utilizing geothermal energy

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    In verifying the effectiveness of the deep geothermal resource exploration technology, development is being carried out on a fracture-type reservoir exploration method. The seismic exploration method investigates detailed structures of underground fracture systems by using seismic waves generated on the ground surface. Verification experiments for fiscal 1994 were carried out by selecting the Kakkonda area in which small fracture networks form reservoir beds. Geothermal resources in deep sections (deeper than 2000 m with temperatures higher than 350{degree}C) are promising in terms of amount of the resources, but anticipated with difficulty in exploration and impediments in drilling. To avoid these risks, studies are being progressed on the availability of resources in deep sections, their utilization possibility, and technologies of effective exploration and drilling. This paper summarizes the results of deep resource investigations during fiscal 1994. It also describes such technological development as hot water utilizing power generation. Development is performed on a binary cycle power generation plant which pumps and utilizes hot water of 150 to 200{degree}C by using a downhole pump. The paper also reports development on element technologies for hot rock power generation systems. It also dwells on development of safe and effective drilling and production technologies for deep geothermal resources.

  16. Utilization of health care services by depressed patients attending ...

    African Journals Online (AJOL)

    2011-06-15

    Jun 15, 2011 ... that patients with depression are high utilizers of medical services. Objectives: The ... people's health and quality of life. It accounts for more than ..... Charlson ME, et al. Depression and service utilization in elderly primary care.

  17. 29 CFR 4.120 - Contracts for public utility services.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Contracts for public utility services. 4.120 Section 4.120... McNamara-O'Hara Service Contract Act Specific Exclusions § 4.120 Contracts for public utility... utility services, including electric light and power, water, steam, and gas.” This exemption is...

  18. Marital Distress and Mental Health Care Service Utilization

    Science.gov (United States)

    Schonbrun, Yael Chatav; Whisman, Mark A.

    2010-01-01

    Objective: This study was designed to evaluate the association between marital distress and mental health service utilization in a population-based sample of men and women (N = 1,601). Method: The association between marital distress and mental health care service utilization was evaluated for overall mental health service utilization and for…

  19. Impact of information and communications technologies on residental customer energy services

    Energy Technology Data Exchange (ETDEWEB)

    Goldman, C.; Kempton, W.; Eide, A.; Iyer, M. [and others

    1996-10-01

    This study analyzes the potential impact of information and communications technologies on utility delivery of residential customer energy services. Many utilities are conducting trials which test energy-related and non-energy services using advanced communications systems.

  20. The Development of Information Technologies in the Sphere of Housing Service and Utilities as a Factor of National Life Quality Increase

    OpenAIRE

    Kolykhaeva, Yuliya Aleksandrovna

    2015-01-01

    There were considered housing and communal services in the article as it is the most important part of life sustainment infrastructure that defines comfort conditions of human life activities. There was stated Ineffective functioning of housing and communal services, which leads to a decrease in quality of life. There was identified a cause for the current situation which is the ineffectiveness of the management system, including the ineffectiveness of technical policy, the policy of energy c...

  1. Cogeneration feasibility study in the Gulf States Utilities service area

    Energy Technology Data Exchange (ETDEWEB)

    1979-12-01

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

  2. Development of beam utilization/application technology

    Energy Technology Data Exchange (ETDEWEB)

    Choi, B. H.; Kim, Y.K.; Song, T.Y. [and others

    1999-05-01

    High power proton accelerator is considered as one of national fundamental research facilities and a key to advanced nuclear technology development, having been widely used in an un detachable relationship with nuclear research in advanced countries. The high power proton accelerator will be installed in several phases as an up front facility of the nuclear waste transmutation system. It is expected that a common understanding and a general agreement over proper utilization of the accelerator should be deduced and that a user program for beam utilization and application should be firmly established in time for the completion of each phase of the accelerator. This high power proton accelerator will consist of several component accelerators and, from up front, accelerators such as injector, RFQ, CCDTL, etc. will be installed in sequence and deliver respectively at each stage beams of 3MeV, 20MeV, 100Mev, etc. to be variously utilized forindustries, defence industry, medical treatment, environmental protection and basic science research. In order for the accelerator to be fully utilized as a national fundamental research facility beyond nuclear field, it is necessary to formulate a proceeding plan of the user program for the accelerator and to cultivate industrial utilization/application studies of proton beams accelerated by injector or RFQ of the accelerator. (author). 38 refs., 84 tabs., 39 figs.

  3. The use of geospatial web services for exchanging utilities data

    Science.gov (United States)

    Kuczyńska, Joanna

    2013-04-01

    Geographic information technologies and related geo-information systems currently play an important role in the management of public administration in Poland. One of these tasks is to maintain and update Geodetic Evidence of Public Utilities (GESUT), part of the National Geodetic and Cartographic Resource, which contains an important for many institutions information of technical infrastructure. It requires an active exchange of data between the Geodesy and Cartography Documentation Centers and institutions, which administrate transmission lines. The administrator of public utilities, is legally obliged to provide information about utilities to GESUT. The aim of the research work was to develop a universal data exchange methodology, which can be implemented on a variety of hardware and software platforms. This methodology use Unified Modeling Language (UML), eXtensible Markup Language (XML), and Geography Markup Language (GML). The proposed methodology is based on the two different strategies: Model Driven Architecture (MDA) and Service Oriented Architecture (SOA). Used solutions are consistent with the INSPIRE Directive and ISO 19100 series standards for geographic information. On the basis of analysis of the input data structures, conceptual models were built for both databases. Models were written in the universal modeling language: UML. Combined model that defines a common data structure was also built. This model was transformed into developed for the exchange of geographic information GML standard. The structure of the document describing the data that may be exchanged is defined in the .xsd file. Network services were selected and implemented in the system designed for data exchange based on open source tools. Methodology was implemented and tested. Data in the agreed data structure and metadata were set up on the server. Data access was provided by geospatial network services: data searching possibilities by Catalog Service for the Web (CSW), data

  4. 48 CFR 52.241 - Utility Services Provisions and Clauses.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Utility Services Provisions and Clauses. 52.241 Section 52.241 Federal Acquisition Regulations System FEDERAL ACQUISITION... Clauses 52.241 Utility Services Provisions and Clauses....

  5. Service Utilization for Latino Children in Mixed-Status Families

    Science.gov (United States)

    Xu, Qingwen; Brabeck, Kalina

    2012-01-01

    In the aftermath of 1996 welfare and immigration reforms, service utilization is particularly challenging for mixed-status families in which U.S.-born children live with undocumented parents. This study used both qualitative interview data and quantitative survey data to document Latino immigrant parents' service utilization for their U.S.-born…

  6. Utilizing Technology to Encourage Healthy Lifestyles

    Directory of Open Access Journals (Sweden)

    Cynthia Shuster

    2013-06-01

    Full Text Available In our fast paced world, using technology allows us to connect with people and assist them in developing healthier lifestyles within their time limits due to families, work, and other responsibilities. The goal of our project was the development of online, technology-based, nutrition, health, and fitness education challenges using social media as a means of helping consumers develop healthy lifestyle changes. Participants completed preassessments and postassessments to determine overall program impact and to self-report perceptions of knowledge gained and practice/behavior change. Results from the challenges indicated participants gained knowledge on nutrition, health and fitness topics while making strides towards lifestyle changes and adoption of healthy habits. Results revealed healthier eating habits were developed and physical activity was increased with many participants losing weight. Ease of participating was the most reported reason for participating in the challenges. To determine “best practice,” varying lengths of time for the challenges from four, seven, and thirteen weeks allowed the educators to derive implications for future programming, including branding, length of the challenge, frequency, and participant behavior change. To remain relevant and reach a greater diversity of populations, educators need to continue to explore and utilize various social media tools.

  7. The ecology of adolescent substance abuse service utilization.

    Science.gov (United States)

    Jones, Diana L; Heflinger, Craig Anne; Saunders, Robert C

    2007-12-01

    This paper presents an ecological-community model toward the explanation of variation in patterns of substance abuse (SA) service utilization among adolescents who are enrolled in Tennessee's Medicaid program (TennCare). Guided by a theoretical framework that draws from the social ecology work of Bronfenbrenner and health services utilization models promoted by Aday and Andersen, we apply a social indicators approach toward explaining the impact of community ecology on identification of SA and treatment engagement. Both county-level rates and individual-level treatment utilization are examined and hierarchical linear modeling is incorporated to examine the individual-in-community phenomenon. This study is an expansion of previous service utilization research and suggests that explanations of youth's service utilization must necessarily include not only individual, familial, and service system characteristics, but community factors, as well.

  8. Designing Personalization in Technology-Based Services

    Science.gov (United States)

    Lee, Min Kyung

    2013-01-01

    Personalization technology has the potential to optimize service for each person's unique needs and characteristics. One way to optimize service is to allow people to customize the service themselves; another is to proactively tailor services based on information provided by people or inferred from their past behaviors. These approaches function…

  9. Service technologies as factor of service and tourism companies' competitiveness

    OpenAIRE

    Zhanna Gornostaeva; Vladimir Zhidkov

    2014-01-01

    The authors define the role of service technology in shaping the quality of service and tourism companies, the authors' method of measuring the quality of service and tourism businesses and developing a conceptual model of quality of service and the conceptual model of the internal quality of the service, and also carry out testing of the model on the example of the 'Intourist' Hotel in Volgograd, Russia.

  10. Educational Technology Services, Customer Services Team. Final Report.

    Science.gov (United States)

    Gruhn, Bill; Keys, Terry; Bates, Pat; Cheasty, Diane; Christian, Marilyn; Cunningham, Bob; Ferguson, Bianca; Lewis, Millie; Mancuso, Ellen; Ryther, Dick; Weidel, Pam

    The report describes the evaluations of the current practices of Educational Technology Services (ETS) at Monroe Community College (New York) by the Customer Service Team. ETS provides all aspects of technology support to the College. The "customers" of ETS include students, faculty and staff. With the goal of developing a Customer…

  11. Utility communication networks and services specification, deployment and operation

    CERN Document Server

    2017-01-01

    This CIGRE green book begins by addressing the specification and provision of communication services in the context of operational applications for electrical power utilities, before subsequently providing guidelines on the deployment or transformation of networks to deliver these specific communication services. Lastly, it demonstrates how these networks and their services can be monitored, operated, and maintained to ensure that the requisite high level of service quality is consistently achieved.

  12. Analysis of energy and utility service demands

    Energy Technology Data Exchange (ETDEWEB)

    1978-10-01

    The collection, analysis, and review of existing data on a community's service requirements are documented. The research focused on the analysis of energy-using activities including both micro activities such as space heating, cooking, lighting, and transportation; and macro activities such as providing shelter, health care, education, etc. The technical report describes the analytical framework developed for community description; describes an indexing system by which a catalog of services can be accessed; illustrates the application of the data to an existing community; and provides ancillary information on data availability. A catalog of data is presented which includes several sets of indices which facilitate access of data using various keys. Abstracts of 48 data sources are analyzed. Each abstract includes a description and evaluation of the data, a sampling of that data, an assessment as to how that data may be applied to other analyses, and a reference where the user can secure additional data. (MCW)

  13. Managing Database Services: An Approach Based in Information Technology Services Availabilty and Continuity Management

    Directory of Open Access Journals (Sweden)

    Leonardo Bastos Pontes

    2017-01-01

    Full Text Available This paper is held in the information technology services management environment, with a few ideas of information technology governance, and purposes to implement a hybrid model to manage the services of a database, based on the principles of information technology services management in a supplementary health operator. This approach utilizes fundamental nuances of services management guides, such as CMMI for Services, COBIT, ISO 20000, ITIL and MPS.BR for Services; it studies harmonically Availability and Continuity Management, as most part of the guides also do. This work has its importance because it keeps a good flow in the database and improves the agility of the systems in the accredited clinics in the health plan.

  14. Utility Energy Services Contracts: Enabling Documents, May 2009 (Book)

    Energy Technology Data Exchange (ETDEWEB)

    2009-05-01

    Enabling Documents, delivered by the U.S. Department of Energy's Federal Energy Management Program (FEMP) to provide materials that clarify the authority for federal agencies to enter into utility energy services contracts (UESCs).

  15. Utilization of health care services by migrants in Europe

    DEFF Research Database (Denmark)

    Graetz, V.; Rechel, B.; Groot, W.

    2017-01-01

    Introduction: Our study reviewed the empirical evidence on the utilization of health care services by migrants in Europe, and on differences in health service utilization between migrants and non-migrants across European countries. Sources of data: A systematic literature review was performed......, searching the databases Medline, Cinahl and Embase and covering the period from January 2009 to April 2016. The final number of articles included was 39. Areas of agreement: Utilization of accident and emergency services and hospitalizations were higher among migrants compared with non-migrants in most...... countries for which evidence was available. In contrast, screening and outpatient visits for specialized care were generally used less often by migrants. Areas of controversy: Utilization of general practitioner services among migrants compared with non-migrants presents a diverging picture. Growing points...

  16. Previous utilization of service does not improve timely booking in ...

    African Journals Online (AJOL)

    Bernt Lindtjorn

    Multivariate analysis revealed that respondents who received advice on recommended time of booking, ... Utilization of health services is a complex behavioral phenomenon. ..... Chandiok N, Dhillon B.S, Kambo I, et al. Determinanats of ANC ...

  17. Advances in Robotic Servicing Technology Development

    Science.gov (United States)

    Gefke, Gardell G.; Janas, Alex; Pellegrino, Joseph; Sammons, Matthew; Reed, Benjamin

    2015-01-01

    NASA's Satellite Servicing Capabilities Office (SSCO) has matured robotic and automation technologies applicable to in-space robotic servicing and robotic exploration over the last six years. This paper presents the progress of technology development activities at the Goddard Space Flight Center Servicing Technology Center and on the ISS, with an emphasis on those occurring in the past year. Highlighted advancements are design reference mission analysis for servicing in low Earth orbit (LEO) and asteroid redirection; delivery of the engineering development unit of the NASA Servicing Arm; an update on International Space Station Robotic Refueling Mission; and status of a comprehensive ground-based space robot technology demonstration expanding in-space robotic servicing capabilities beginning fall 2015.

  18. Telemedicine in Russia as technology and service

    OpenAIRE

    Natenzon, Michael Ya.; Tarnopolsky, V. I.

    2003-01-01

    Since antiquity, providing medical services has been one of the traditional integral parts of economy. Nevertheless, the market of medical services has been always related to the intellectual sphere and therefore has been always receptive to new technologies. Today the market of medical services demonstrates high-growth potential and typical features of the new economy: sharing and direct use of professionals' knowledge and experience through the use of telecommunications technologies.

  19. Assessment of Technology for Information Services Planning

    Science.gov (United States)

    1979-08-01

    organi- zation, and external services (external timesharing and turnkey computer systems). Areas of impact are specific to the organization. The...timesharing vendors, changing services turnkey systems - potential and problems impacts and trends o distributed data processing technology needed...includes credit cards, automobile loans, personal and real estate loans, and leasing . Service improvements would aim at expediting credit review, payment

  20. Utilization of Information Technology to Assist Translation Teaching

    Institute of Scientific and Technical Information of China (English)

    倪宇红

    2016-01-01

    The advance of information technologies has provided educational reform with favorable material conditions and means of support. This paper is an attempt to explore the ways to utilize information technology to facilitate the development of modern translation teaching.

  1. Cluster approach to the development of housing services and public utilities in the region

    Directory of Open Access Journals (Sweden)

    Sergey Ivanovich Bazhenov

    2012-03-01

    Full Text Available The ongoing crisis in the housing services and public utilities sphere determines the need to accelerate its integration into the market space. The author proposes to apply the cluster initiatives, which, in his opinion, provide the solution of housing services and public utilities problems in terms of their broader vision. This paper attempts to highlight the benefits of the cluster approach to the development of housing services and public utilities, and identifies the main provisions in the process of its implementation. The essence of the concept of «housing services and social cluster of the region» in terms of housing services and public utilities development is revealed, members of cluster unification are designated, its components are identified, the purpose of introducing the cluster model of housing services and public utilities reform management is determined, which essence is to change the mentality of the producers and consumers of housing services and public utilities in the direction of increasing responsibilities and respect for mutual interests in the market of housing services and public utilities. The main provisions and principles of formation of housing services and social cluster of the region are reviewed, as well as the characteristics and trends of its development. An authorial approach to the development of a strategy of forming a housing services and social cluster in the region in accordance with modern trends is presented. The leading role of several factors in establishing the basic prerequisites for sustainable operation of housing services and social cluster of the region is justified. These factors include governmental regulation of pricing and forms of support to small entrepreneurship development, creation of financial security system, development of public-private partnerships and implementation of innovative technologies. The role of non-governmental organizations and public associations in the formation of

  2. Changing ecosystem service values following technological change.

    Science.gov (United States)

    Honey-Rosés, Jordi; Schneider, Daniel W; Brozović, Nicholas

    2014-06-01

    Research on ecosystem services has focused mostly on natural areas or remote places, with less attention given to urban ecosystem services and their relationship with technological change. However, recent work by urban ecologists and urban designers has more closely examined and appreciated the opportunities associated with integrating natural and built infrastructures. Nevertheless, a perception remains in the literature on ecosystem services that technology may easily and irreversibly substitute for services previously obtained from ecosystems, especially when the superiority of the engineered system motivated replacement in the first place. We emphasize that the expected tradeoff between natural and manufactured capital is false. Rather, as argued in other contexts, the adoption of new technologies is complementary to ecosystem management. The complementarity of ecosystem services and technology is illustrated with a case study in Barcelona, Spain where the installation of sophisticated water treatment technology increased the value of the ecosystem services found there. Interestingly, the complementarity between natural and built infrastructures may remain even for the very ecosystems that are affected by the technological change. This finding suggests that we can expect the value of ecosystem services to co-evolve with new technologies. Technological innovation can generate new opportunities to harness value from ecosystems, and the engineered structures found in cities may generate more reliance on ecosystem processes, not less.

  3. Factors affecting maternal health care services utilization in rural ...

    African Journals Online (AJOL)

    admin

    Indonesia, Kenya, Nigeria, Pakistan, Sudan, and the. United Republic of ... these poor health outcomes among women and children was the ... and anemia. The 2007 .... likely to use ANC services compared to women whose ... indicators of utilization of this service. .... prophylaxis, iron and folic acid tablets and helping.

  4. Post-Service Utilization of Air Force-Gained Skills.

    Science.gov (United States)

    Winkler, Anthony J.; Thompson, Paul D.

    More complete information is needed to determine the extent of utilization in the civilian economy of skills developed during military service. Post-service occupation data have been obtained through a questionnaire mailed ten months after separation to each first-term Air Force enlisted man separated between 1 July 1968 and 31 March 1970. As of…

  5. Optimal channel utilization and service protection in cellular communication systems

    DEFF Research Database (Denmark)

    Iversen, Villy Bæk

    1997-01-01

    In mobile communications an efficient utilization of the channels is of great importance.In this paper we consider the basic principles for obtaining the maximum utilization, and we study strategies for obtaining these limits.In general a high degree of sharing is efficient, but requires service...... protection mechanisms for protecting services and subscriber groups.We study cellular systems with overlaid cells, and the effect of overlapping cells, and we show that by dynamic channel allocation we obtain a high utilization.The models are generalizations of the Erlang-B formula, and can be evaluated...

  6. Automation and technologization of the postal services

    Directory of Open Access Journals (Sweden)

    Caius Lăzărescu

    2012-01-01

    Full Text Available The development of the means of communication, the loss of monopoly over the postal services, liberalization of the services, creation of postal markets, appearance of new operators of postal services and implicitly of the competition, as well as the change of the status of the universal service providers in trading companies, impose modern technological equipping that would ensure the provision of postal services at new standards. For a proper technologization a constant study of the market is imposed in order to trace the strong points and an organization of the network that would allow a fluidity of the operations so that all malfunctions are eliminated. If the postal services arose from the need to communicate, their evolution and the current status of trading company confirm the fact that their maintenance and development also meet the economic need. The postal services provider is obliged to uniformly secure the universal service as well as the other services and the duty to perform economic activities in two different social-economic environments, the rural environment and the urban environment. The means of communication, at first, provided a simple communication service; later their evolution had a whole new purpose, i.e. to provide more complex communication services, and currently, in the internet era and modern technology a possibility to provide service packages arises.

  7. Advanced location-based technologies and services

    CERN Document Server

    Karimi, Hassan A

    2013-01-01

    Due to the rapid increase in the number of mobile device users worldwide, location-based services (LBSs) have become pervasive, and the demand for them will continue to grow. Exploring recent changes in the technology and its uses, Advanced Location-Based Technologies and Services takes an in-depth look at new and existing technologies, techniques, applications, and opportunities. Under the editorial guidance of Hassan Karimi, with contributions from experts in the field, the book examines the breadth and depth of advanced LBS technologies and techniques. The book provides up-to-date informati

  8. utilization of sweetpotato based confection technology

    African Journals Online (AJOL)

    oma

    continents of Europe, Australia, New Zealand, and South America. They are ... operations also include such services as banking, insurance, shipping, hotels and so on. ..... Local Government Administration Law (as amended). Yenagoa: ...

  9. Self Service Technologies: A Cause of Unemployment

    Directory of Open Access Journals (Sweden)

    Otekhile Cathy-Austin

    2016-06-01

    Full Text Available The self-service technologies (SSTs are fast changing the conventional way of transacting business by business organisations. The rapid innovation of self-service technologies and its adoption and usages in all facets of human systems is acclaimed to be fast rendering low skilled workers jobless. The major sectors of the economy in advanced economies have reached their peaks and can no longer provide new employment due to an increase in the productivity growth rate as a result of technology advances. These SSTs have in no small measure brought about an increase in productivity growth rate, cost reduction and anincrease in the speed of service delivery to customers. This paper examines if self-service technologies truly are the cause of persistent unemployment through a study of the long term metamorphosis of the major economic sectors in advanced economies. This study revealed that the SSTs presents both risks and opportunities.

  10. Acquiring Evolving Technologies: Web Services Standards

    Science.gov (United States)

    2016-06-30

    2006 Carnegie Mellon University Acquiring Evolving Technologies: Web Services Standards Harry L. Levinson Software Engineering Institute Carnegie...Acquiring Evolving Technologies: Web Services Standards 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT...NUMBER OF PAGES 22 19a. NAME OF RESPONSIBLE PERSON a. REPORT unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified Standard Form

  11. The utilization of information technology in biomedicine

    Science.gov (United States)

    Isaev, E. A.; Tarasov, P. A.

    2017-01-01

    Biomedicine is a branch of medicine that studies the human body, its structure and function in health and disease, pathological condition, methods of diagnosis, treatment and correction [1]. At the moment, to solve their diverse problems associated with the collection, storage, and data analysis, process modeling, biomedicine extensively uses modern technical equipment. The goal of this article - to make a brief analysis of existing technologies (big data, mobile and cloud technologies), in terms of their applicability to the needs of biomedicine.

  12. utilization of sweetpotato based confection technology

    African Journals Online (AJOL)

    oma

    Three (3) states namely; Ebonyi, Enugu and Cross River states were purposively selected so as to cut across the entire agronomic and socio-cultural situations in ..... Agriculture (IITA), Ibadan, Nigeria by (CIP) International sweet potato Centre, Lima, ... Trends in Sweet potato Production Utilization and Marketing among.

  13. Service Level Agreement (SLA) in Utility Computing Systems

    CERN Document Server

    Wu, Linlin

    2010-01-01

    In recent years, extensive research has been conducted in the area of Service Level Agreement (SLA) for utility computing systems. An SLA is a formal contract used to guarantee that consumers' service quality expectation can be achieved. In utility computing systems, the level of customer satisfaction is crucial, making SLAs significantly important in these environments. Fundamental issue is the management of SLAs, including SLA autonomy management or trade off among multiple Quality of Service (QoS) parameters. Many SLA languages and frameworks have been developed as solutions; however, there is no overall classification for these extensive works. Therefore, the aim of this chapter is to present a comprehensive survey of how SLAs are created, managed and used in utility computing environment. We discuss existing use cases from Grid and Cloud computing systems to identify the level of SLA realization in state-of-art systems and emerging challenges for future research.

  14. Emergency Medical Service (EMS): Rotorcraft Technology Workshop

    Science.gov (United States)

    Bauchspies, J. S.; Adams, R. J.

    1981-01-01

    A lead organization on the national level should be designated to establish concepts, locations, and the number of shock trauma air medical services. Medical specialists desire a vehicle which incorporates advances in medical technology trends in health care. Key technology needs for the emergency medical services helicopter of the future include the riding quality of fixed wing aircraft (reduced noise and vibration), no tail rotor, small rotor, small rotor diameter, improved visibility, crashworthy vehicle, IFR capability, more affordability high reliability, fuel efficient, and specialized cabins to hold medical/diagnostic and communications equipment. Approaches to a national emergency medical service are discussed.

  15. Health Service Utilization and Poor Health Reporting in Asthma Patients

    Directory of Open Access Journals (Sweden)

    Joshua G. Behr

    2016-06-01

    Full Text Available The management and treatment of adult asthma has been associated with utilization of health services. Objectives: First, to investigate the likelihood of health service utilization, including primary care, emergency department, and hospital stays, among persons diagnosed with an asthma condition relative to those that do not have an asthma condition. Second, to examine the likelihood of poor physical health among asthma respondents relative to those that do not have an asthma condition. Third, to demonstrate that these relationships vary with frequency of utilization. Fourth, to discuss the magnitude of differences in frequent utilization between asthma and non-asthma respondents. Data Source: Data is derived from a random, stratified sampling of Hampton Roads adults, 18 years and older (n = 1678. Study Design: Study participants are interviewed to identify asthma diagnosis, access to primary care, frequency of emergency department utilization, hospital admissions, and days of poor physical health. Odds-ratios establish relationships with the covariates on the outcome variable. Findings: Those with asthma are found more likely (OR 1.50, 95% CI 1.05–2.15 to report poor physical health relative to non-asthma study participants. Further, asthma respondents are found more likely (OR 4.23, 95% CI 1.56–11.69 to frequently utilize primary care that may be associated with the management of the condition and are also more likely to utilize treatment services, such as the emergency department (OR 1.87, 95% CI 1.32–2.65 and hospitalization (OR 2.21, 95% CI 1.39–3.50, associated with acute and episodic care. Further, it is a novel finding that these likelihoods increase with frequency of utilization for emergency department visits and hospital stays. Conclusion: Continuity in care and better management of the diseases may result in less demand for emergency department services and hospitalization. Health care systems need to recognize that asthma

  16. BMDO Technology and the Electric Utility Industry

    Science.gov (United States)

    2007-11-02

    diameters, both units were continuously wound solenoids using low-temperature niobium- titanium (Nb-Ti) superconducting materials cooled by superfluid...for Electromechanics (page 71) Technology: Air-core compulsator Dr. Theodore Aanstoos (principal investigator) JJ. Pickle Research Campus Mail Code

  17. Using mobile technology to improve healthcare service quality.

    Science.gov (United States)

    Chao, Chia Chen; Jen, Wen Yuan; Li, Yu-Chuan; Chi, Y P; Chen, Chang-I; Feng, Chen Chjeh

    2005-01-01

    Improving healthcare service quality for illness of treatment, illness prevention and patient service is difficult for most hospitals because the hospitals are lack adequate resources and labor. In order to provide better healthcare service quality for patients, mobile technology can be used to manage healthcare in a way that provides the optimal healthcare service for patients. Pursuing utilization of mobile technology for better patient service, Taipei Medical University Municipal W. F. Teaching Hospital has implemented a mobile healthcare service (m-HS) system to increase healthcare service quality. The m-HS system improves the quality of medical care as well as healthcare service. The m-HS is a multi-functional healthcare management agent, meets the mobile tendency of the present society. This study seeks to discuss the m-HS architecture and workflow processes. We believe the m-HS does have the potential to improve healthcare service quality. Finally, the conclusions and suggestions for the m-HS are given.

  18. Phosphoric and electric utility fuel cell technology development

    Science.gov (United States)

    Breault, R. D.; Briggs, T. A.; Congdon, J. V.; Demarche, T. E.; Gelting, R. L.; Goller, G. J.; Luoma, W. I.; McCloskey, M. W.; Mientek, A. P.; Obrien, J. J.

    1984-01-01

    The advancement of electric utility cell stack technology and reduction of cell stack cost was initiated. The cell stack has a nominal 10 ft (2) active area and operates at 120 psia/405(0)F. The program comprises six parallel phases, which culminate in a full height, 10-ft(2) stack verification test: (1) provides the information and services needed to manage the effort, including definition of the prototype commercial power plant; (2) develops the technical base for long term improvements to the cell stack; (3) develops materials and processing techniques for cell stack components incorporating the best available technology; (4) provides the design of hardware and conceptual processing layouts, and updates the power plant definition of Phase 1 to reflect the results of Phases 2 and 3; Phase 5 manufactures the hardware to verify the achievements of Phases 2 and 3, and analyzes the cost of this hardware; and Phase 6 tests the cell stacks assembled from the hardware of Phase 5 to assess the state of development.

  19. Ancillary-service costs for 12 US electric utilities

    Energy Technology Data Exchange (ETDEWEB)

    Kirby, B.; Hirst, E.

    1996-03-01

    Ancillary services are those functions performed by electrical generating, transmission, system-control, and distribution-system equipment and people to support the basic services of generating capacity, energy supply, and power delivery. The Federal Energy Regulatory Commission defined ancillary services as ``those services necessary to support the transmission of electric power from seller to purchaser given the obligations of control areas and transmitting utilities within those control areas to maintain reliable operations of the interconnected transmission system.`` FERC divided these services into three categories: ``actions taken to effect the transaction (such as scheduling and dispatching services) , services that are necessary to maintain the integrity of the transmission system [and] services needed to correct for the effects associated with undertaking a transaction.`` In March 1995, FERC published a proposed rule to ensure open and comparable access to transmission networks throughout the country. The rule defined six ancillary services and developed pro forma tariffs for these services: scheduling and dispatch, load following, system protection, energy imbalance, loss compensation, and reactive power/voltage control.

  20. NASA technology utilization program: The small business market

    Science.gov (United States)

    Vannoy, J. K.; Garcia-Otero, F.; Johnson, F. D.; Staskin, E.

    1980-01-01

    Technology transfer programs were studied to determine how they might be more useful to the small business community. The status, needs, and technology use patterns of small firms are reported. Small business problems and failures are considered. Innovation, capitalization, R and D, and market share problems are discussed. Pocket, captive, and new markets are summarized. Small manufacturers and technology acquisition are discussed, covering external and internal sources, and NASA technology. Small business and the technology utilization program are discussed, covering publications and industrial applications centers. Observations and recommendations include small business market development and contracting, and NASA management technology.

  1. Factors Affecting Medical Services Utilization: A Behavioral Approach.

    Science.gov (United States)

    Kelly, Terence F.; Schieber, George J.

    This study describes behavioral response--both its theoretical specification and its estimation--which relates health service utilization and expenditures to a number of variables: demographic, psychological, economic, medical, and policy-related. By incorporating these behavioral relations into a recently developed microsimulation model, national…

  2. June, 2015 Utilization of Reference Resources and Services by ...

    African Journals Online (AJOL)

    Utilization of Reference Resources and Services by Users of Benue State. Public Library, Makurdi ... reference staff will guarantee user satisfaction and solve information apathy. Keywords: reference .... system of training and evaluation targeted specifically at the ... quality reference collection is hard to come by. The librarian ...

  3. Perceptions and factors affecting utilization of health services in a ...

    African Journals Online (AJOL)

    Perceptions and factors affecting utilization of health services in a rural ... to gender (p=0.889, OR=1.04; 0.55-2.00), educational level (p=0.707, OR=1.16; 0.50-2.79) and ... Identified barriers to access and effective use of qualitative health care ...

  4. Performance evaluation soil samples utilizing encapsulation technology

    Energy Technology Data Exchange (ETDEWEB)

    Dahlgran, James R.

    1997-12-01

    Performance evaluation soil samples and method of their preparation are described using encapsulation technology to encapsulate analytes which are introduced into a soil matrix for analysis and evaluation by analytical laboratories. Target analytes are mixed in an appropriate solvent at predetermined concentrations. The mixture is emulsified in a solution of polymeric film forming material. The emulsified solution is polymerized to form microcapsules. The microcapsules are recovered, quantitated and introduced into a soil matrix in a predetermined ratio to form soil samples with the desired analyte concentration.

  5. Factors associated with institutional delivery service utilization in Ethiopia.

    Science.gov (United States)

    Kebede, Alemi; Hassen, Kalkidan; Nigussie Teklehaymanot, Aderajew

    2016-01-01

    Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government's efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home. The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia. The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel-Haenszel odds ratios (ORs) and their 95% confidence intervals (CIs) were calculated. Heterogeneity of the study was assessed using I (2) test. People living in urban areas (OR =13.16, CI =1.24, 3.68), with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively), who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39), and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57) showed significant association with institutional delivery service utilization. Women's autonomy was not significantly associated with institutional delivery service utilization. Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available communication networks such as health development army and promotion of antenatal care visits and completion of four standard visits by pregnant women were recommended.

  6. USE OF MOBILE TECHNOLOGY IN BANKING SERVICES

    OpenAIRE

    ALIN ISAC

    2013-01-01

    Technology and applications of mobile phones offer many opportunities for businesses, they also presenting a continuous development and new challenges. Although this service is currently viewed with reluctance by customers, banks need to overcome this drawback and understand how this service can be combined with other alternative channels such as social media, to create value for customers. In this paper I presented information about present and perspectives in mobile applications industry, w...

  7. Product with service, technology with business model

    DEFF Research Database (Denmark)

    Sakao, Tomohiko; McAloone, Tim C.

    2011-01-01

    Looking back over the last decade, the importance of an expanded understanding of engineering design has been shared within the engineering design community. Presented concepts and methods to support such expansion include Functional Product Development, Service Engineering, and Product/Service-S...... promising concept beyond PSS design; via an integrated development of technology and business model. This can be of particular interest for further research, especially due to its high freedom for designers....

  8. Servuction, marketing des services et technologies

    OpenAIRE

    Munos, Annie

    2000-01-01

    Working paper serie RMT (WPS 00-04), 25 p.; The aim of this article is to establish the current position concerning the structural, organisational, conceptual and marketing concepts which use technologies in service manufacturing and delivery systems, such as were originally conceived by P. Eiglier and E. Langeard in 1987. The idea of this research is to show that the sudden appearance of so many NTIC in service companies once again questions the existence of a model of unique and universal s...

  9. Bibliography: injection technology applicable to geothermal utilization

    Energy Technology Data Exchange (ETDEWEB)

    Darnell, A.J.; Eichelberger, R.L.

    1982-03-19

    This bibliography cites 500 documents that may be helpful in planning, analysis, research, and development of the various aspects of injection technology in geothermal applications. These documents include results from government research; development, demonstration, and commercialization programs; selected references from the literature; symposia; references from various technical societies and installations; reference books; reviews; and other selected material. The cited references are from (1) subject searching, using indexing, storage, and retrieval information data base of the Department of Energy's Technical Information Center's on-line retrieval system, RECON; (2) searches of references from the RECON data base, of work by authors known to be active in the field of geothermal energy research and development; (3) subject and author searches by the computerized data storage and retrieval system of Chemical Abstracts, American Chemical Society, Washington, DC; and (4) selected references from texts and reviews on this subject. Each citation includes title, author, author affiliation, date of publication, and source. The citations are listed in chronological order (most recent first) in each of the subject categories for which this search was made. The RECON accession number is also given.

  10. Multi-utility services, the key to success; Mit Multi-Utility-Dienstleistungen zum Erfolg

    Energy Technology Data Exchange (ETDEWEB)

    Lowak, M. [MVV Energie AG, Mannheim (Germany). Bereich Energiedienstleistungen

    2002-04-01

    The article summarizes essential aspects of successful management strategies, including cross selling, of the Mannheim-based multi-utility enterprise MVV Energie AG, which developed a successful portfolio of innovative products and services. (orig./CB) [German] Aus ihrem Kerngeschaeft als Verteilerunternehmen hat die MVV Energie AG, Mannheim, ein umfassendes Portfolio innovativer Produkte und Dienstleistungen entwickelt. (orig./CB)

  11. ECONOMIC AND ENERGETICAL ANALYSIS OF IMPROVED WASTE UTILIZATION PLASMA TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Serghei VAMBOL

    2015-07-01

    Full Text Available Purpose. Energy and economic evaluation of the improved plasma waste utilization technological process, as well as an expediency substantiation of the use of improved plasma technology by comparing its energy consumption with other thermal methods of utilization. Methodology. Analysis of existing modern and advanced methods of waste management and its impact on environmental safety. Considering of energy and monetary costs to implement two different waste management technologies. Results. Studies have shown regular gasification ensure greater heating value due to differences, a significant amount of nitrogen than for plasma gasification. From the point of view of minimizing energy and monetary costs and environmental safety more promising is to offer advanced technology for plasma waste. To carry out the energy assessment of the appropriateness of the considered technologies-comparative calculation was carried out at the standard conditions. This is because in the processing of waste produced useful products, such as liquefied methane, synthetic gas (94% methane and a fuel gas for heating, suitable for sale that provides cost-effectiveness of this technology. Originality. Shown and evaluated ecological and economic efficiency of proposed improved plasma waste utilization technology compared with other thermal techniques. Practical value. Considered and grounded of energy and monetary costs to implement two different waste management technologies, namely ordinary gasification and using plasma generators. Proposed plasma waste utilization technology allows to obtain useful products, such as liquefied methane, synthetic gas and a fuel gas for heating, which are suitable for sale. Plant for improved plasma waste utilization technological process allows to compensate the daily and seasonal electricity and heat consumption fluctuations by allowing the storage of obtained fuel products.

  12. A survey of assistive technology service providers in the USA.

    Science.gov (United States)

    Arthanat, Sajay; Elsaesser, Linda-Jeanne; Bauer, Stephen

    2017-01-26

    This study investigates perspectives of assistive technology service (ATS) providers regarding their education and training, interdisciplinary standards of practice, use of a common language framework, funding policies, utilization of evidence and outcomes measurement. A survey underpinned by AT legislations and established guidelines for practice was completed by 318 certified AT providers. More than 30% of the providers reported their education and training as inadequate to fulfil four of the seven primary roles of ATS. Nearly 90% of providers expressed awareness of the International Classification of Functioning, Disability and Health (ICF) domains for interdisciplinary communication. However, only 45% felt that they could effectively utilize the ICF in their documentation. About 75% of the providers acknowledged the lack of a recognized standard for the provision of services. Prevailing inadequacies in funding were negatively impacting the quality of ATS, as expressed by 88% of respondents. Translation of evidence to practice was identified as a major challenge by 41% of service providers. Providers were predominantly documenting outcomes through informal interviews (54%) or non-standard instruments (26%). Findings support the need for strengthening professional curriculum, pre-service and in-service training and an established standard to support effective, interdisciplinary AT services and data collection to support public policy decisions. Implications for Rehabilitation This study validates the need to strengthen education and training of AT service providers by enhancing professional curriculum as well as their engagement in pre-service and in-service training activities. This study draws attention to health care funding policies and practices that critically impact the quality of AT services. This study signifies the need for an established interdisciplinary standard among AT professionals to support effective communication, service coordination and

  13. Developing Pre-service Teachers' Technology Integration ...

    African Journals Online (AJOL)

    Developing Pre-service Teachers' Technology Integration Competencies in Science and Mathematics Teaching: Experiences from Tanzania and Uganda. ... Makerere Journal of Higher Education ... Thus, it emerged that there is a need to explore models situated in a more encompassing theoretical framework like ...

  14. Information Technology Services Support for Emergencies

    Science.gov (United States)

    Spicer, Donald Z.

    2008-01-01

    For at least the last quarter century, enterprises--including higher education institutions--have increasingly relied on Information Technology Services (ITS) for business functions. As a result, IT organizations have had to develop the discipline of production operations as well as recovery procedures to respond when those operations are…

  15. A High Technology Military Postal Service.

    Science.gov (United States)

    Mail to military personnel overseas is delivered essentially in the same way it was during World War I. The use of electronic mail has been growing...in private industry and the United States Postal Service recently began an international application of electronic mail . The new technology offers

  16. New technology in services-Information Technology in Hotel Industry

    Institute of Scientific and Technical Information of China (English)

    曾真

    2015-01-01

    1.Introduction With the increasing demand for intensive information from customers and hotel practitioners,hotels have adopted computerbased Information Technology facilities to improve operational efficiency,reduce costs,and enhance service quality.Therefore,the focus in this paper is investigating the positive factors of

  17. Global Budgets and Technology-Intensive Medical Services

    Science.gov (United States)

    Song, Zirui; Fendrick, A. Mark; Safran, Dana Gelb; Landon, Bruce; Chernew, Michael E.

    2014-01-01

    Background In 2009-2010, Blue Cross Blue Shield of Massachusetts entered into global payment contracts (the Alternative Quality contract, AQC) with 11 provider organizations. We evaluated the impact of the AQC on spending and utilization of several categories of medical technologies, including one considered high value (colonoscopies) and three that include services that may be overused in some situations (cardiovascular, imaging, and orthopedic services). Methods Approximately 420,000 unique enrollees in 2009 and 180,000 in 2010 were linked to primary care physicians whose organizations joined the AQC. Using three years of pre-intervention data and a large control group, we analyzed changes in utilization and spending associated with the AQC with a propensity-weighted difference-in-differences approach adjusting for enrollee demographics, health status, secular trends, and cost-sharing. Results In the 2009 AQC cohort, total volume of colonoscopies increased 5.2 percent (p=0.04) in the first two years of the contract relative to control. The contract was associated with varied changes in volume for cardiovascular and imaging services, but total spending on cardiovascular services in the first two years decreased by 7.4% (p=0.02) while total spending on imaging services decreased by 6.1% (p<0.001) relative to control. In addition to lower utilization of higher-priced services, these decreases were also attributable to shifting care to lower-priced providers. No effect was found in orthopedics. Conclusions As one example of a large-scale global payment initiative, the AQC was associated with higher use of colonoscopies. Among several categories of services whose value may be controversial, the contract generally shifted volume to lower-priced facilities or services. PMID:24772385

  18. NASA technology utilization applications. [transfer of medical sciences

    Science.gov (United States)

    1973-01-01

    The work is reported from September 1972 through August 1973 by the Technology Applications Group of the Science Communication Division (SCD), formerly the Biological Sciences Communication Project (BSCP) in the Department of Medical and Public Affairs of the George Washington University. The work was supportive of many aspects of the NASA Technology Utilization program but in particular those dealing with Biomedical and Technology Application Teams, Applications Engineering projects, new technology reporting and documentation and transfer activities. Of particular interest are detailed reports on the progress of various hardware projects, and suggestions and criteria for the evaluation of candidate hardware projects. Finally some observations about the future expansion of the TU program are offered.

  19. The Post-implementation Assessment of Advanced Technology Utilization

    Directory of Open Access Journals (Sweden)

    Hynek Josef

    2012-09-01

    Full Text Available Efficient utilization of advanced manufacturing technology is usually seen as one of the crucial factors in achieving competitiveness on global markets. On the other hand, there are many problems associated with the advanced technology utilization. These problems could be related to the individual phases of the relevant project life cycle - starting from the early stages of AMT projects preparation and evaluation, through various problems related to the project implementation, its integration within the company environment, up to the issues related to the efficient utilization of the already deployed system. This paper focuses on the final stage of this processwhen the post-implementation assessment should be carried out in order to determine whether all initial expectations and objectives were met and whether all the originally promised benefits were delivered. Typical problems of technology benefits evaluation together with various methods, concepts as well as metrics used in the process of the assessment will be discussed here in particular.

  20. Energy Utilization Technology Curriculum Materials FY 91. Illinois Plan for Industrial Technology Education.

    Science.gov (United States)

    Gallo, Dennis; Welty, Kenneth

    This document contains technology-based learning activities for the Illinois energy utilization technology course at the orientation level (grades 9 and 10). This packet includes a course rationale, course mission statement, course description, course outline, suggested learning objectives for each of the energy utilization areas, and suggested…

  1. Energy Utilization Technology Curriculum Materials FY 91. Illinois Plan for Industrial Technology Education.

    Science.gov (United States)

    Gallo, Dennis; Welty, Kenneth

    This document contains technology-based learning activities for the Illinois energy utilization technology course at the orientation level (grades 9 and 10). This packet includes a course rationale, course mission statement, course description, course outline, suggested learning objectives for each of the energy utilization areas, and suggested…

  2. Factors associated with institutional delivery service utilization in Ethiopia

    Directory of Open Access Journals (Sweden)

    Kebede A

    2016-09-01

    Full Text Available Alemi Kebede,1 Kalkidan Hassen,2 Aderajew Nigussie Teklehaymanot1 1Department of Population and Family Health, 2College of Health Sciences, Jimma University, Ethiopia Background: Most obstetric complications occur unpredictably during the time of delivery, but they can be prevented with proper medical care in the health facilities. Despite the Ethiopian government’s efforts to expand health service facilities and promote health institution-based delivery service in the country, an estimated 85% of births still take place at home.Objective: The review was conducted with the aim of generating the best evidence on the determinants of institutional delivery service utilization in Ethiopia.Methods: The reviewed studies were accessed through electronic web-based search strategy from PubMed, HINARI, Mendeley reference manager, Cochrane Library for Systematic Reviews, and Google Scholar. Review Manager V5.3 software was used for meta-analysis. Mantel–Haenszel odds ratios (ORs and their 95% confidence intervals (CIs were calculated. Heterogeneity of the study was assessed using I2 test.Results: People living in urban areas (OR =13.16, CI =1.24, 3.68, with primary and above educational level of the mother and husband (OR =4.95, CI =2.3, 4. 8, and OR =4.43, CI =1.14, 3.36, respectively, who encountered problems during pregnancy (OR =2.83, CI =4.54, 7.39, and living at a distance <5 km from nearby health facility (OR =2.6, CI =3.33, 6.57 showed significant association with institutional delivery service utilization. Women’s autonomy was not significantly associated with institutional delivery service utilization.Conclusion and recommendation: Distance to health facility and problems during pregnancy were factors positively and significantly associated with institutional delivery service utilization. Promoting couples education beyond primary education regarding the danger signs of pregnancy and benefits of institutional delivery through available

  3. New Technological Waves Promote Innovation and Integration in Service Outsourcing

    Institute of Scientific and Technical Information of China (English)

    Yang Ting

    2011-01-01

    @@ New technologies represented by cloud computing will lead innovations in delivery mode and pricing mode of service outsourcing.Virtual allocation of service resources can help improve service providers' service capacity and profitability.Cloud platform will boost the delivery efficiency and effect of service outsourcing.The establishment of cloud-based service outsourcing trading platform can promote the efficiency of service trade.In the future, cloud technology and cloud platform will become more popular in service outsourcing industry.

  4. Advanced Technologies for Distributed Database Services Hyperinfrastructure

    Science.gov (United States)

    Vaniachine, Alexandre; Malon, David; Vranicar, Matthew

    HEP collaborations are deploying grid technologies to address petabyte-scale data processing challenges. In addition to file-based event data, HEP data processing requires access to terabytes of non-event data (detector conditions, calibrations, etc.) stored in relational databases. Inadequate for non-event data delivery in these amounts, database access control technologies for grid computing are limited to encrypted message transfers. To overcome these database access limitations one must go beyond the existing grid infrastructure. A proposed hyperinfrastructure of distributed database services implements efficient secure data access methods. We introduce several technologies laying a foundation of a new hyperinfrastructure. We present efficient secure data transfer methods and secure grid query engine technologies federating heterogeneous databases. Lessons learned in a production environment of ATLAS Data Challenges are presented.

  5. 34 CFR 300.6 - Assistive technology service.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Assistive technology service. 300.6 Section 300.6... CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.6 Assistive technology service. Assistive technology service means any service that directly assists a child with a disability in...

  6. USE OF MOBILE TECHNOLOGY IN BANKING SERVICES

    Directory of Open Access Journals (Sweden)

    ALIN ISAC

    2013-12-01

    Full Text Available Technology and applications of mobile phones offer many opportunities for businesses, they also presenting a continuous development and new challenges. Although this service is currently viewed with reluctance by customers, banks need to overcome this drawback and understand how this service can be combined with other alternative channels such as social media, to create value for customers. In this paper I presented information about present and perspectives in mobile applications industry, what can a mobile application do in banking, banking mobile applications in Romania, mobile banking applications worldwide.

  7. Impact of a Value-based Formulary on Medication Utilization, Health Services Utilization, and Expenditures.

    Science.gov (United States)

    Yeung, Kai; Basu, Anirban; Hansen, Ryan N; Watkins, John B; Sullivan, Sean D

    2017-02-01

    Value-based benefit design has been suggested as an effective approach to managing the high cost of pharmaceuticals in health insurance markets. Premera Blue Cross, a large regional health plan, implemented a value-based formulary (VBF) for pharmaceuticals in 2010 that explicitly used cost-effectiveness analysis (CEA) to inform medication copayments. The objective of the study was to determine the impact of the VBF. Interrupted time series of employer-sponsored plans from 2006 to 2013. Intervention group: 5235 beneficiaries exposed to the VBF. 11,171 beneficiaries in plans without any changes in pharmacy benefits. The VBF-assigned medications with lower value (estimated by CEA) to higher copayment tiers and assigned medications with higher value to lower copayment tiers. Primary outcome was medication expenditures from member, health plan, and member plus health plan perspectives. Secondary outcomes were medication utilization, emergency department visits, hospitalizations, office visits, and nonmedication expenditures. In the intervention group after VBF implementation, member medication expenditures increased by $2 per member per month (PMPM) [95% confidence interval (CI), $1-$3] or 9%, whereas health plan medication expenditures decreased by $10 PMPM (CI, $18-$2) or 16%, resulting in a net decrease of $8 PMPM (CI, $15-$2) or 10%, which translates to a net savings of $1.1 million. Utilization of medications moved into lower copayment tiers increased by 1.95 days' supply (CI, 1.29-2.62) or 17%. Total medication utilization, health services utilization, and nonmedication expenditures did not change. Cost-sharing informed by CEA reduced overall medication expenditures without negatively impacting medication utilization, health services utilization, or nonmedication expenditures.

  8. Multiple utilization of energy in buildings. Utilization of waste heat at the Blood Transfusion Service; Energie im Gebaeude mehrfach nutzen. Abwaermenutzung beim Blutspendedienst Nord

    Energy Technology Data Exchange (ETDEWEB)

    Gaigalat, Jens

    2012-11-01

    For the Blood Transfusion Service North the German Red Cross (Berlin, Federal Republic of Germany) utilizes the waste heat from production facilities and laboratories for heating offices. By doing this, the VRV technology for the realization of this solution was used.

  9. Interconnected operations services in a vertically integrated utility

    Energy Technology Data Exchange (ETDEWEB)

    Hoffman, S.P. [ComEd, Lombard, IL (United States)

    1999-11-01

    The North American electric industry has historically been composed of regulated Vertically Integrated Utilities (VIU). Vertical integration means that the same company owns generation, transmission, and distribution facilities. Regulated utilities were ensured cost recovery for all justifiable expenses. The entire industry is in the process of deregulation. The industry-wide trend is to competitive generation, while transmission and distribution remain regulated. Many variations, in both timing and structure, exist in states that have enacted deregulation and retail choice legislation. Some have combined retail choice with an ISO and power exchange; others have opted for retail choice without either. In the past, Interconnected Operations Services (IOS) were obtained by informal means within the same company. Generation is now being actively bought and sold as companies align their strategic direction with different sectors of the emerging electric industry. In the future, these IOS will have to be obtained by formal arrangements. The formal arrangements will need to encompass parameters including service definitions, compensation, performance measurement, and performance incentives. These formal arrangements are presently taking different forms in the industry depending on the stage of deregulation in each area, and on the particular agreements made by each Control Area. This paper describes how VIUs obtained and dispatched the IOS needed for reliability, and what challenges will be faced with respect to these services.

  10. Breakthrough service tools enhance technology transfer to service teams and minimize downtime

    Energy Technology Data Exchange (ETDEWEB)

    Weissig, J. [Interface Group (Germany)

    2008-07-01

    The challenges facing the wind power industry resulting from new markets in offshore technology and globalization were described with particular reference to the need for staff qualification, plant service organization, certification of products and high levels of documentation. This paper presented 2 breakthrough service tools used to fulfill the needs of the wind energy market in terms of know-how-transfer and training of service technicians. INTERFACE is an interactive virtual training and instruction tool customized for the needs of the wind power industry. It provides single-source-publishing for all wind plant documents, technical documentation, training and product presentation; printable plant and component documentation; animated utility movies; interactive 3D-scenes; and links with spare part lists. ALBATROS is a tool for service management. It provides management of turbine service processes, technicians and staff qualification; a complete life time history of each plant and component; and identification of components with RFID-technology. These tools enable cross-cultural understanding of the service requirements of wind turbines. Language barriers are eliminated, and gaps in training are overcome, thereby offering a higher quality of service. 3 refs.

  11. Factors Affecting Teachers Utilization of Technology in Malaysian ESL Classrooms

    Science.gov (United States)

    Mahmood, Foziah; Halim, Huzaina Abdul; Rajindra, Sarasvati; Ghani, Munirah Mohd

    2014-01-01

    Previous studies conducted by researchers show that technology utilization in the ESL classroom indeed aids students in the learning process (Snelbecker 1999). Furthermore, it also ensures that students achieve better results in English Language. Thus, this study was conducted as a stepping stone to help teachers perform better in utilizing…

  12. When do Latinos use hospice services? Studying the utilization of hospice services by Hispanics/Latinos.

    Science.gov (United States)

    Carrion, Iraida V

    2010-01-01

    This study focuses on the utilization of hospice services within the Latino community including both hospice and non-hospice users. Data were collected from 20 participants using semi-structured interviews. Verbatim transcripts were examined through a combination of ethnographic, open coding, and thematic categorization of the interviewees' responses. The research uncovers cultural factors that contribute to the underutilization of hospice services by this population. The findings indicate that hospice users learned about their terminal diagnosis during a hospital admission from an attending physician. When hospice services were offered, these individuals accepted the services. Conversely, all of the non-hospice users learned about their terminal diagnosis in a medical office setting from their primary physician. When they were offered hospice services, they refused the services.

  13. Capitation and fee-for-service dental benefit plans: economic incentives, utilization, and service-mix.

    Science.gov (United States)

    Beazoglou, T J; Guay, A H; Heffley, D R

    1988-04-01

    Insurance carriers, corporations, and labor groups are actively developing and marketing dental capitation benefit plans. Incentives to both dentists and patients in these plans differ from those in the traditional fee-for-service system used with conventional benefit plans. This paper describes the likely effects of these incentive differences on utilization and service-mix patterns in both systems. Data for a large (approximately 10,000), homogenous group of subscribers are presented and discussed. Faced with a dual option, at no cost to the employee, 60% of the subscribers chose the fee-for-service plan, and 40% chose the capitation plan. Observed differences in the utilization and mix of services between the two plans cannot be explained solely in terms of dentists' responses. Employee response to altered economic incentives appears to be strong.

  14. Who is utilizing anti-retroviral therapy in Ghana: An analysis of ART service utilization

    Directory of Open Access Journals (Sweden)

    Dako-Gyeke Phyllis

    2012-10-01

    Full Text Available Abstract Introduction The global scale-up of antiretroviral therapy (ART for HIV patients has led to concerns regarding inequities in utilization of ART services in resource-limited contexts. In this paper, we describe regional and sex differentials in the distribution of ART among adult HIV patients in Ghana. We highlight the need for interventions to address the gender-based and geographic inequities related to the utilization of ART services in Ghana. Methods We reviewed National AIDS/STIs Control Program’s ART service provision records from January 2003 through December 2010, extracting data on adults aged 15+ who initiated ART in Ghana over a period of eight years. Data on the number of patients on treatment, year of enrollment, sex, and region were obtained and compared. Results The number of HIV patients receiving ART in Ghana increased more than 200-fold from 197 in 2003, to over 45,000 in 2010. However, for each of six continuous years (2005-2010 males comprised approximately one-third of adults newly enrolled on ART. As ART coverage has expanded in Ghana, the proportion of males receiving ART declined from 41.7% in 2004 to 30.1% in 2008 and to 27.6% in 2010. Also, there is disproportionate regional ART utilization across the country. Some regions report ART enrollment lower than their percent share of number of HIV infected persons in the country. Conclusions Attention to the comparatively fewer males initiating ART, as well as disproportionate regional ART utilization is urgently needed. All forms of gender-based inequities in relation to HIV care must be addressed in order for Ghana to realize successful outcomes at the population level. Policy makers in Ghana and elsewhere need to understand how gender-based health inequities in relation to HIV care affect both men and women and begin to design appropriate interventions.

  15. Marginal ambulatory teaching cost under varying levels of service utilization.

    Science.gov (United States)

    Panton, D M; Mushlin, A I; Gavett, J W

    1980-06-01

    The ambulatory component of residency training jointly produces two products, namely, training and patient services. In costing educational programs of this type, two approaches are frequently taken. The first considers the total costs of the educational program, including training and patient services. These costs are usually constructed from historical accounting records. The second approach attempts to cost the joint products separately, based upon estimates of future changes in program costs, if the product in question is added to or removed from the program. The second approach relates to typical decisions facing the managers of medical centers and practices used for teaching purposes. This article reports such a study of costs in a primary-care residency training program in a hospital outpatient setting. The costs of the product, i.e., on-the-job training, are evaluated using a replacement-cost concept under different levels of patient services. The results show that the cost of the product, training, is small at full clinical utilization and is sensitive to changes in the volume of services provided.

  16. The Impact of Couple Therapy on Service Utilization among Military Veterans: The Moderating Roles of Pretreatment Service Utilization and Premature Termination.

    Science.gov (United States)

    Madsen, Joshua W; Tomfohr-Madsen, Lianne M; Doss, Brian D

    2017-09-01

    Couple therapy reduces relational and individual distress and may affect utilization of other health services, particularly among higher service utilizers. Although average decreases in service utilization are predicted among recipients of couple therapy, low utilizers of services may appropriately increase use. The relationship between couple therapy and service utilization was examined among a sample of 179 U.S. military veterans who received treatment in Veterans Affairs (VA) specialty couple therapy clinics. Consistent with hypotheses, overall mental and physical health visits decreased from the 12 months preceding couple therapy to the 12 months following treatment. Moderator analyses showed that decreases were greatest among individuals who were rated by their therapist as having completed a full course of couple therapy, suggesting that change was attributable to intervention. Pretreatment service utilization also moderated observed change-higher utilizers' use of services decreased substantially, whereas lower utilizers' slightly increased. Cost analyses revealed that the estimated per person mean cost in our sample decreased by $930.33 in the year following compared to the year prior to couple therapy, as per 2008 VA cost data. As service utilization data were only available for one partner and only for 1 year posttherapy, the true magnitude of this effect may be underestimated. Our findings are relevant to policy makers as they demonstrate that couple therapy reduces average service utilization and associated costs and addresses calls for analyses of cost effectiveness of systemic interventions. © 2016 Family Process Institute.

  17. Consulting report on the NASA technology utilization network system

    Science.gov (United States)

    Hlava, Marjorie M. K.

    1992-01-01

    The purposes of this consulting effort are: (1) to evaluate the existing management and production procedures and workflow as they each relate to the successful development, utilization, and implementation of the NASA Technology Utilization Network System (TUNS) database; (2) to identify, as requested by the NASA Project Monitor, the strengths, weaknesses, areas of bottlenecking, and previously unaddressed problem areas affecting TUNS; (3) to recommend changes or modifications of existing procedures as necessary in order to effect corrections for the overall benefit of NASA TUNS database production, implementation, and utilization; and (4) to recommend the addition of alternative procedures, routines, and activities that will consolidate and facilitate the production, implementation, and utilization of the NASA TUNS database.

  18. Using aerial infrared thermography to detect utility theft of service

    Science.gov (United States)

    Stockton, Gregory R.; Lucas, R. Gillem

    2012-06-01

    Natural gas and electric utility companies, public utility commissions, consumer advocacy groups, city governments, state governments and the federal government United States continue to turn a blind eye towards utility energy theft of service which we conservatively estimate is in excess of 10 billion a year. Why? Many in the United States have exhausted their unemployment benefits. The amounts for federal funding for low income heating assistance programs (LIHEAP) funds were cut by nearly 40% for 2012 to 3.02 billion. "At peak funding ($5.1 billion in 2009), the program was national in scale but still only had enough resources to support roughly 1/4 of the eligible households.i" Contributions to charities are down and the number of families below the poverty line who are unable to pay to heat their houses continues to rise. Many of the less fortunate in our society now consider theft and fraud to be an attractive option for their supply of natural gas and/or electricity. A record high mild winter in 2011-2012 coupled with 10-year low natural gas prices temporarily obscured the need for low income heating assistance programs (LIHEAPs) from the news and federal budgets, but cold winters will return. The proliferation of smart meters and automated meter infrastructures across our nation can do little to detect energy theft because the thieves can simply by-pass the meters, jumper around the meters and/or steal meters from abandoned houses and use them. Many utility systems were never set-up to stop these types of theft. Even with low-cost per identified thief method using aerial infrared thermography, utilities continue to ignore theft detection.

  19. Technology utilization in a non-urban region: Further impact and technique of the Technology Use Studies Center, 2

    Science.gov (United States)

    Gold, H. C. (Editor); Moore, A. M.; Dodd, B.; Dittmar, V.

    1971-01-01

    The clientele served by the Technology Use Studies Center (TUSC) is updated. Manufacturing leads the list of client firms. The standard industrial classification (SIC) range of these firms is broad. Substantial numbers of college and university faculties are using TUSC services. Field operations inherent in the functions of dissemination and assistance are reviewed. Increasing emphasis among clientele is on environmental concerns and management. A record is provided of the institutions contacted and the extent of TUSC involvement with them, as well as TUSC's cooperation with agencies and organizations. The impact of TUSC and the NASA-sponsored Technology Utilization Program on other public agencies is discussed.

  20. Determinants of Mental Health Services Utilization Among Deployed Service Members and Their Families

    Science.gov (United States)

    2008-02-11

    patients range from less severe (e.g. bone fractures) to very severe (e.g. amputations and head injuries), but all of them represent a high risk population...symptoms of illness and utilize healthcare services at a higher rate than men (Narrow et al., 2000; Rieker and Bird , 2000; Verbrugge, 1990). Beneficiary

  1. The utility`s role in the future of PC services and the NII. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-01-01

    The paper is a report by C3 Communications (formerly CSW Communications) summarizing the experience and lessons learned during an 18 month Department of Energy Grant to evaluate how electric utilities can further the growth of the NII by developing a hybrid Internet-energy management service. In addition, the project was also expanded to include evaluation of residential gateway issues, in particular the energy management aspects of this developing area. The report is broken up into three sections, the first section focuses on the issues surrounding the start-up of a traditional ISP and provides a road map for utilities interested in this area. The second section provides an overview of the Internet energy management projects which were undertaken and the key lessons learned from each. Lastly, the third section outlines the gateway progress made during the grant and provides some of the recommendations which the work produced.

  2. Utilization of Persuasive Technology in E-Commerce

    OpenAIRE

    Mankila, Pekka

    2012-01-01

    The aim of this Bachelor´s thesis was to examine how persuasive technology is utilized on different e-commerce sites and based on the results to consider how the utilization can be taken even further. Based on those findings and improvement suggestions, a development of more successful e-commerce site is easier. The theory needed in order to complete the qualitative research of this thesis was received from a research of Harri Oinas-Kukkonen and Maija Harjumaa called Persuasive Systems Des...

  3. Electrical hand tools and techniques: A compilation. [utilization of space technology for tools and adapters

    Science.gov (United States)

    1974-01-01

    Space technology utilization for developing tools, adapters, and fixtures and procedures for assembling, installing, and servicing electrical components and equipment are discussed. Some of the items considered are: (1) pivotal screwdriver, (2) termination locator tool for shielded cables, (3) solder application tools, (4) insulation and shield removing tool, and (5) torque wrench adapter for cable connector engaging ring. Diagrams of the various tools and devices are provided.

  4. 48 CFR 36.514 - Availability and use of utility services.

    Science.gov (United States)

    2010-10-01

    ... utility services. 36.514 Section 36.514 Federal Acquisition Regulations System FEDERAL ACQUISITION... 36.514 Availability and use of utility services. The contracting officer shall insert the clause at 52.236-14, Availability and Use of Utility Services, in solicitations and contracts when a...

  5. Improving Assistive Technology Service by Using 3D Printing: Three Case Studies.

    Science.gov (United States)

    Watanabe, Takashi; Hatakeyama, Takuro; Tomiita, Mitsuru

    2015-01-01

    Assistive technology services are essential for adapting assistive devices to the individual needs of users with disabilities. In this study, we attempted to apply three-dimensional (3D) printing technology to three actual cases, and to study its use, effectiveness, and future applications. We assessed the usefulness of 3D printing technology by categorizing its utilization after reviewing the outcomes of these case studies. In future work, we aim to gather additional case studies and derive information on using 3D printing technology that will enable its effective application in the process of assistive technology services.

  6. Dechlorination Technology Manual. Final report. [Utility cooling water discharge systems

    Energy Technology Data Exchange (ETDEWEB)

    Aschoff, A.F.; Chiesa, R.J.; Jacobs, M.H.; Lee, Y.H.; Mehta, S.C.; Meko, A.C.; Musil, R.R.; Sopocy, D.M.; Wilson, J.A.

    1984-11-01

    On November 19, 1982, the United States Environmental Protection Agency (EPA) promulgated regulations severely restricting chlorination practices as they relate to utility cooling water discharge systems. EPRI authorized the preparation of a manual on dechlorination technology to assist utilities in evaluating the various alternatives available to them to meet these new requirements. The Dechlorination Technology Manual emphasizes the engineering aspects involved in the selection and design of dechlorination systems. However, background information is included concerning chemistry, regulatory requirements, environmental considerations and aquatic impacts. There is also a brief discussion of the various alternatives to dechlorination. Case studies are given to acquaint the user with the use of the manual for the design of chlorination facilities given various site-related characteristics, such as salt versus fresh waters. Numerous graphs and tables are presented to facilitate the selection and design process. 207 references, 66 figures, 60 tables.

  7. Valuation of Electric Power System Services and Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Kintner-Meyer, Michael CW; Homer, Juliet S.; Balducci, Patrick J.; Weimar, Mark R.

    2017-08-01

    Accurate valuation of existing and new technologies and grid services has been recognized to be important to stimulate investment in grid modernization. Clear, transparent, and accepted methods for estimating the total value (i.e., total benefits minus cost) of grid technologies and services are necessary for decision makers to make informed decisions. This applies to home owners interested in distributed energy technologies, as well as to service providers offering new demand response services, and utility executives evaluating best investment strategies to meet their service obligation. However, current valuation methods lack consistency, methodological rigor, and often the capabilities to identify and quantify multiple benefits of grid assets or new and innovative services. Distributed grid assets often have multiple benefits that are difficult to quantify because of the locational context in which they operate. The value is temporally, operationally, and spatially specific. It varies widely by distribution systems, transmission network topology, and the composition of the generation mix. The Electric Power Research Institute (EPRI) recently established a benefit-cost framework that proposes a process for estimating multiple benefits of distributed energy resources (DERs) and the associated cost. This document proposes an extension of this endeavor that offers a generalizable framework for valuation that quantifies the broad set of values for a wide range of technologies (including energy efficiency options, distributed resources, transmission, and generation) as well as policy options that affect all aspects of the entire generation and delivery system of the electricity infrastructure. The extension includes a comprehensive valuation framework of monetizable and non-monetizable benefits of new technologies and services beyond the traditional reliability objectives. The benefits are characterized into the following categories: sustainability, affordability, and

  8. 48 CFR 39.104 - Information technology services.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Information technology... SPECIAL CATEGORIES OF CONTRACTING ACQUISITION OF INFORMATION TECHNOLOGY General 39.104 Information technology services. When acquiring information technology services, solicitations must not describe...

  9. UTILIZATION OF INDUCTION HEATING TECHNOLOGY IN GALVANIZING LINES

    OpenAIRE

    2015-01-01

    Continuous Hot-Dip Galvanizing lines are widely used for the production of coated steel sheets. Quality improvement measures are of great importance for this type of line. A significant proportion of production and quality losses when operating these types of lines occurs when production is transitioning from one strip gauge/thermal cycle to another. Utilizing induction heating technology, in combination with a sophisticated control system, can dramically decrease yield losses during transiti...

  10. Green energy : enabling technologies : international trends in utility wireless spectrum

    Energy Technology Data Exchange (ETDEWEB)

    Moroney, W. [Utilities Telecom Council, Washington, DC (United States)

    2009-07-01

    The Utilities Telecom Council (UTC) is an international trade association that represents the interests of electric, gas and water utilities in the area of information and communications technology (ICT). This presentation provided background information on the UTC, with particular reference to its history; reporting relationships of the Board of Directors and the various divisions of the association; and radio spectrum. The UTC has been the leading advocate for critical infrastructure industries access to the spectrum since its creation in 1948. The radio spectrum was outlined in detail, including global efforts; Canadian, American, and European frequency allocations; the need for the spectrum; and the bottom-line. It was concluded that governments around the globe are moving to understand that utilities require access to interference-free radio spectrum if the benefits of intelligence in the grid are to be fully realized in a timely and cost-effective manner. 7 figs.

  11. Sensor Acquisition for Water Utilities: A Survey and Technology List

    Energy Technology Data Exchange (ETDEWEB)

    Alai, M; Glascoe, L; Love, A; Johnson, M; Einfeld, W

    2005-03-07

    The early detection of the deliberate biological and chemical contamination of water distribution systems is a necessary capability for securing the nation's water supply. Current and emerging early-detection technology capabilities and shortcomings need to be identified and assessed to provide government agencies and water utilities with an improved methodology for assessing the value of installing these technologies. The Department of Homeland Security (DHS) has tasked a multi-laboratory team to evaluate current and future needs to protect the nation's water distribution infrastructure by supporting an objective evaluation of current and new technologies. The primary deliverables from this Operational Technology Demonstration (OTD) are the following: (1) establishment of an advisory board for review and approval of testing protocols, technology acquisition processes and recommendations for technology test and evaluation in laboratory and field settings; (2) development of a technology acquisition process; (3) creation of laboratory and field testing and evaluation capability; and (4) testing of candidate technologies for insertion into a water early warning system. The initial phase of this study involves the development of two separate but complementary strategies to be reviewed by the advisory board: (1) a technology acquisition strategy, and (2) a technology evaluation strategy. Lawrence Livermore National Laboratory and Sandia National Laboratories are tasked with the first strategy, while Los Alamos, Pacific Northwest, and Oak Ridge National Laboratories are tasked with the second strategy. The first goal of the acquisition strategy is the development of a technology survey process that includes a review of previous sensor surveys and current test programs and then the development of a method to solicit and select existing and emerging sensor technologies for evaluation and testing. In this paper we discuss a survey of previous efforts by

  12. A systematic review of help-seeking and mental health service utilization among military service members.

    Science.gov (United States)

    Hom, Melanie A; Stanley, Ian H; Schneider, Matthew E; Joiner, Thomas E

    2017-04-01

    Research has demonstrated that military service members are at elevated risk for a range of psychiatric problems, and mental health services use is a conduit to symptom reduction and remission. Nonetheless, there is a notable underutilization of mental health services in this population. This systematic review aimed to identify and critically examine: (1) rates of service use; (2) barriers and facilitators to care; and (3) programs and interventions designed to enhance willingness to seek care and increase help-seeking behaviors among current military personnel (e.g., active duty, National Guard, Reserve). Overall, 111 peer-reviewed articles were identified for inclusion. Across studies, the rate of past-year service use among service members with mental health problems during the same time frame was 29.3% based on weighted averages. Studies identified common barriers to care (e.g., concerns regarding stigma, career impact) and facilitators to care (e.g., positive attitudes toward treatment, family/friend support, military leadership support) among this population. Although programs (e.g., screening, gatekeeper training) have been developed to reduce these barriers, leverage facilitators, and encourage service use, further research is needed to empirically test the effectiveness of these interventions in increasing rates of service utilization. Critical areas for future research on treatment engagement among this high-risk population are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. A Study on Intelligent System Design of U-Business Service by Using Ubiquitous Component Technologies

    Directory of Open Access Journals (Sweden)

    Hangbae Chang

    2012-04-01

    Full Text Available The u‐Business service is prevailed trend due to rapid development of telecommunication technology and the growth of ubiquitous computing environments. However, since the majority of u‐Business service cases such as home network service, location‐based service have not been focused on user requirements, and deduced business services and built systems considering only technical issues, there may be a possibility to be an obstacle for spreading advanced future u‐Business services. Therefore, this study investigated user requirements to model the u‐Bookstore business service as a killer service of u‐Businesses and designed a system for a large bookstore. By exploiting various ways to deduce u‐Serviceʹs requirements needed in the future‐ enabled ubiquitous computing business environments and proposing directions to implement them. This study result is anticipated to suggest validity for developing ubiquitous computing technologies, and it is expected to utilize as fundamental data for spreading u‐Business.

  14. A Utilization Framework of Ubiquitous Resources for Service Robots Using Semantic Matchmaking

    Directory of Open Access Journals (Sweden)

    Kun Qian

    2015-04-01

    Full Text Available The automatic and flexible utilization of ubiquitous service resources is a key prerequisite for autonomous robots in ambient intelligent environments. In this paper, a novel component-based robotic system (CBRS framework is proposed in order to support the utilization of task-oriented service resources. In order to increase the reusability of robot control programs and software libraries, a framework that supports semantic modelling, discovery and dynamic selection of ubiquitous services is proposed, which employs semantic services computing technology to facilitate service representations, invocation and interactions. The system architecture is described with an emphasis on the matchmaking method. A new semantic similarity metric is proposed based on an extended OWL relation definition and a matchmaking algorithm is proposed that is compared to the Requirement and Advertisement in ontology using the conceptual span similarity measure. Hence, more reliable semantic matching is achieved compared with previous methods. By developing a rosbridge-based connection management module in the runtime system, the framework is favourable for developing web browser-enabled applications. Experimental results in home-care robot applications validate the effectiveness of the proposed framework.

  15. Utilization of Routine Primary Care Services Among Dancers.

    Science.gov (United States)

    Alimena, Stephanie; Air, Mary E; Gribbin, Caitlin; Manejias, Elizabeth

    2016-01-01

    This study examines the current utilization of primary and preventive health care services among dancers in order to assess their self-reported primary care needs. Participants were 37 dancers from a variety of dance backgrounds who presented for a free dancer health screening in a large US metropolitan area (30 females, 7 males; mean age: 27.5 ± 7.4 years; age range: 19 to 49 years; mean years of professional dancing: 6.4 ± 5.4 years). Dancers were screened for use of primary care, mental health, and women's health resources using the Health Screen for Professional Dancers developed by the Task Force on Dancer Health. Most dancers had health insurance (62.2%), but within the last 2 years, only approximately half of them (54.1%) reported having a physical examination by a physician. Within the last year, 54.1% of dancers had had a dental check-up, and 56.7% of female dancers received gynecologic care. Thirty percent of female participants indicated irregular menstrual cycles, 16.7% had never been to a gynecologist, and 16.7% were taking birth control. Utilization of calcium and vitamin D supplementation was 27.0% and 29.7%, respectively, and 73.0% were interested in nutritional counseling. A high rate of psychological fatigue and sleep deprivation was found (35.1%), along with a concomitant high rate of self-reported need for mental health counseling (29.7%). Cigarette and recreational drug use was low (5.4% and 5.4%); however, 32.4% engaged in binge drinking within the last year (based on the CDC definition). These findings indicate that dancers infrequently access primary care services, despite high self-reported need for nutritional, mental, and menstrual health counseling and treatment. More studies are warranted to understand dancers' primary health care seeking behavior.

  16. Technology Readiness of Early Career Nurse Trainees: Utilization of the Technology Readiness Index (TRI).

    Science.gov (United States)

    Odlum, Michelle

    2016-01-01

    Health Information Technology (HIT) adoption by clinicians, including nurses, will lead to reduction in healthcare costs and clinical errors and improve health outcomes. Understanding the importance of technology adoption, the current study utilized the Technology Readiness Index to explore technology perceptions of nursing students. Our analysis identifies factors that may influence perceptions of technology, including decreased optimism for students with clinical experience and increased discomfort of US born students. Our study provides insight to inform training programs to further meet the increasing demands of skilled nursing staff.

  17. Utility of a grief services program for medical examiners' offices.

    Science.gov (United States)

    Berry, Ryan S; Aurelius, Michelle B; Barickman, Nancy; Lathrop, Sarah L

    2013-03-01

    Medical examiner/coroner's (ME/C) offices investigate sudden, violent, and unexpected deaths, leaving those close to the deceased suffering traumatic loss with little in terms of support and counseling. We investigated a grief services program (GSP) at the New Mexico Office of the Medical Investigator (OMI) to better understand the needs of bereaved individuals, identify the services provided, and propose our findings as a model for others. A total of 1085 contacts occurred over 1 year, with the majority occurring at OMI (60.5%), followed by telephone (23.1%). Support was primarily provided to those suffering a loss due to homicide (28.8%) and suicide (26.1%). The roles grief counselors play in the setting of a GSP and ME/C office are multiple. Given the frequent utilization of OMI's GSP and diverse reasons for visits, it is apparent there is a need for GSPs at ME/C offices, particularly given the traumatic nature of deaths investigated by ME/Cs. © 2012 American Academy of Forensic Sciences.

  18. Utility advanced turbine systems (ATS) technology readiness testing

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-09-15

    The overall objective of the Advanced Turbine System (ATS) Phase 3 Cooperative Agreement between GE and the US Department of Energy (DOE) is the development of a highly efficient, environmentally superior, and cost-competitive utility ATS for base-load utility-scale power generation, the GE 7H (60 Hz) combined cycle power system, and related 9H (50 Hz) common technology. The major effort will be expended on detail design. Validation of critical components and technologies will be performed, including: hot gas path component testing, sub-scale compressor testing, steam purity test trials, and rotational heat transfer confirmation testing. Processes will be developed to support the manufacture of the first system, which was to have been sited and operated in Phase 4 but will now be sited and operated commercially by GE. This change has resulted from DOE's request to GE for deletion of Phase 4 in favor of a restructured Phase 3 (as Phase 3R) to include full speed, no load (FSNL) testing of the 7H gas turbine. Technology enhancements that are not required for the first machine design but will be critical for future ATS advances in performance, reliability, and costs will be initiated. Long-term tests of materials to confirm design life predictions will continue. A schematic of the GE H machine is shown.

  19. Investigating Soap and Xml Technologies in Web Service

    OpenAIRE

    Mehdi Zekriyapanah Gashti

    2012-01-01

    In this paper, Investigating SOAP and XML technologies in web service is studied. The reason for usingXML technology to transmit data and also the need for application of existing communicative structure inSOAP technology in web pages with WSDL technology are investigated uniquely. And also the need forsearchable address giving for web service which is available in UDDI technology and the advantages ofusing it are explained for programmers.

  20. Current State and Development Strategy of CNPC Engineering Technology Service

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Challenges to CNPC engineering technology service Internal contraction and problems (1) Pricing mechanism for technology service. CNPC engineering technology companies have been under deficit for many years after restructuring, and eight subordinate companies lost 239 million RMB in 2008 and even 770 million RMB in 2009.

  1. THE UTILIZATION TECHNOLOGIES OF METHANE PRODUCED FROM UNDERGRAUND COAL SEAMS

    Directory of Open Access Journals (Sweden)

    Gökhan AYDIN

    2009-01-01

    Full Text Available A few coal mines use coalbed methane recovered from coal seams. As well as being unable to use gas means waste of an economically valuable source, it contributes to global warming. Gases recovered from coal mines can be used for various applications as an alternative source to natural gas or such as generation of power related to methane concentration. In cases the sale and/or use of gas would not be profitable, the best way for decreasing gas emissions is to destroy methane via flaring. In this study, the utilization technologies of methane are defined in detail and the examples being in practice are given.

  2. 48 CFR 52.236-14 - Availability and Use of Utility Services.

    Science.gov (United States)

    2010-10-01

    ... Utility Services. 52.236-14 Section 52.236-14 Federal Acquisition Regulations System FEDERAL ACQUISITION... Clauses 52.236-14 Availability and Use of Utility Services. As prescribed in 36.514, insert the following... on Government sites when the contracting officer decides (a) that the existing utility system...

  3. Healthcare Service Utilization for Practicing Physicians: A Population-Based Study.

    Directory of Open Access Journals (Sweden)

    Yu-Lung Chiu

    Full Text Available Physicians are considered to be the most informed consumers in the use of medical services since they have more information about diseases or medical technology. However, although plenty of researchers have suggested that different medical seeking behavior exists among physicians, very few empirical studies have been conducted to investigate differences in medical utilization between physicians and the general population.We explored differences in the utilization of healthcare services between physicians and the general population using a population-based dataset.A cross-sectional study.Data for this study were sourced from the Taiwan Longitudinal Health Insurance Database 2000. We included 1426 physicians and 1426 sex- and age-matched comparison subjects.We used Wilcoxon-Mann-Whitney tests to explore differences in variables of healthcare resource utilization between physicians and comparison subjects. We further used Kruskal-Wallis tests to examine differences in variables of healthcare resource utilization between physician practice location and comparison subjects.We found that physicians had significantly fewer outpatient visits (13.2 vs. 15.7, p<0.001 and significantly lower outpatient costs (US$477 vs. US$680, p<0.001 than comparison subjects. Furthermore, physicians had lower total health service costs than comparison subjects (US$643 vs. US$1066, p<0.001. This indicates that the mean total health service costs in the year 2010 was 1.66-fold greater for comparison subjects than for physicians. We also found that there were significant differences in the mean number of outpatient services (p<0.001, outpatient costs (p = 0.001, inpatients costs (p = 0.018, and total costs (p = 0.001 among office-based physicians, hospital-based physicians, and comparison subjects. Specifically, Scheffe contrast tests showed that office-based physicians had significantly more outpatient visits (19.3 vs.10.7, p<0.001 and significantly higher outpatient costs

  4. Perception of stroke symptoms and utilization of emergency medical services

    Directory of Open Access Journals (Sweden)

    Maximiliano A. Hawkes

    Full Text Available ABSTRACT Lack of stroke awareness and slow activation of emergency medical services (EMS are frequently reported reasons for delayed arrival to the hospital. We evaluated these variables in our population. Methods Review of hospital records and structured telephone interviews of 100 consecutive stroke patients. Forward stepwise logistic regression was used for the statistical analysis. Results Seventy patients (75% arrived at the hospital 4.5 hours after stroke symptoms onset. The use of EMS did not improve arrival times. Most patients who recognized their symptoms did not use EMS (p < 0.02. Nineteen patients (20% were initially misdiagnosed. Eighteen of them were first assessed by non-neurologist physicians (p < 0.001. Conclusions Our population showed a low level of stroke awareness. The use of EMS did not improve arrival times at the hospital and the non-utilization of the EMS was associated with the recognition of stroke symptoms. There was a concerning rate of misdiagnosis, mostly by non-neurologist medical providers.

  5. Coordination challenges on marrying information technology with service supply chains

    NARCIS (Netherlands)

    Wang, Yan; Akkermans, Henk

    2016-01-01

    Information technology (IT) advancement is boosting service innovations, and transforms service platforms towards highly or completely IT-enabled. The increasing extent of digitalization and the high rate of innovation makes service delivery processes highly automated and service platforms highly in

  6. Intelligent products for enhancing the utilization of tracking technology in transportation

    NARCIS (Netherlands)

    Meyer, Gerben G.; Buijs, Paul; Szirbik, Nick B.; Wortmann, J.C.

    2014-01-01

    Purpose – Many transportation companies struggle to effectively utilize the information provided by tracking technology for performing operational control. The research as presented in this paper aims to identify the problems underlying the inability to utilize tracking technology within this

  7. UTILITY ADVANCED TURBINE SYSTEMS (ATS) TECHNOLOGY READINESS TESTING

    Energy Technology Data Exchange (ETDEWEB)

    Unknown

    1999-10-01

    The overall objective of the Advanced Turbine System (ATS) Phase 3 Cooperative Agreement between GE and the U.S. Department of Energy (DOE) is the development of a highly efficient, environmentally superior, and cost-competitive utility ATS for base-load utility-scale power generation, the GE 7H (60 Hz) combined cycle power system, and related 9H (50 Hz) common technology. The major effort will be expended on detail design. Validation of critical components and technologies will be performed, including: hot gas path component testing, sub-scale compressor testing, steam purity test trials, and rotational heat transfer confirmation testing. Processes will be developed to support the manufacture of the first system, which was to have been sited and operated in Phase 4 but will now be sited and operated commercially by GE. This change has resulted from DOE's request to GE for deletion of Phase 4 in favor of a restructured Phase 3 (as Phase 3R) to include full speed, no load (FSNL) testing of the 7H gas turbine. Technology enhancements that are not required for the first machine design but will be critical for future ATS advances in performance, reliability, and costs will be initiated. Long-term tests of materials to confirm design life predictions will continue. A schematic of the GE H machine is shown in Figure 1-1. Information specifically related to 9H production is presented for continuity in H program reporting, but lies outside the ATS program. This report summarizes work accomplished from 4Q98 through 3Q99. The most significant accomplishments are listed.

  8. Market-Oriented Cloud Computing: Vision, Hype, and Reality for Delivering IT Services as Computing Utilities

    CERN Document Server

    Buyya, Rajkumar; Venugopal, Srikumar

    2008-01-01

    This keynote paper: presents a 21st century vision of computing; identifies various computing paradigms promising to deliver the vision of computing utilities; defines Cloud computing and provides the architecture for creating market-oriented Clouds by leveraging technologies such as VMs; provides thoughts on market-based resource management strategies that encompass both customer-driven service management and computational risk management to sustain SLA-oriented resource allocation; presents some representative Cloud platforms especially those developed in industries along with our current work towards realising market-oriented resource allocation of Clouds by leveraging the 3rd generation Aneka enterprise Grid technology; reveals our early thoughts on interconnecting Clouds for dynamically creating an atmospheric computing environment along with pointers to future community research; and concludes with the need for convergence of competing IT paradigms for delivering our 21st century vision.

  9. Maternal Health Care Services Utilization in Tea Gardens of ...

    African Journals Online (AJOL)

    Mubeen

    Conclusion: The present study revealed low utilization of pregnancy-related health care utilization ... KEY WORDS: Antenatal care, institutional delivery, maternal health care utilization, postnatal care ... care (e.g., clinic availability, distance to facility).[11]. Despite ..... practices and the overall lower level of education among.

  10. DEVELOPMENT OF COAL BED METHANE UTILIZING GIS TECHNOLOGIES

    Energy Technology Data Exchange (ETDEWEB)

    J. Daniel Arthur

    2003-04-01

    During the second half of the 1990's, Coal Bed Methane (CBM) production increased dramatically nationwide to represent a significant new source of income and natural gas for many independent and established producers. Matching these soaring production rates during this period were the advancements in Geographical Information Systems (GIS) technologies generating terra-bytes of new data for the oil and gas industry. Coupled to these accelerating initiatives are many environmental concerns relating to production wastes and water table depletion of fresh water resources. It is these concerns that prompted a vital need within the industry for the development of Best Management Practices (BMPs) and mitigation strategies utilizing GIS technologies for efficient environmental protection in conjunction with effective production of CBM. This was accomplished by developing a framework to take advantage of a combination of investigative field research joined with leading edge GIS technologies for the creation of environmentally characterized regions of study. Once evaluated these regions had BMP's developed to address their unique situations for Coal Bed Methane production and environmental protection. Results of the project will be used to support the MBOGC's Programmatic Environmental Impact Statement as required by the Montana Environmental Policy Act (MEPA) and by the BLM for NEPA related issues for acreage having federally owned minerals.

  11. Possibilities of utilizing 3DP technology for foundry mould making

    Directory of Open Access Journals (Sweden)

    G. Budzik

    2007-04-01

    Full Text Available Possibilities of application of three-dimensional printing (3DP technology for making casting prototypes are discussed. Three-dimensional printing enables making of foundry moulds for elements of complex shapes. The mould presented in the paper was printed with the use of Z510 Spectrum unit in the Car Technology Sp. z o.o. (Ltd. Co. in Kraków. The basic material for printing foundry moulds is the ZCast 501 powder. This powder is a mixture of traditional molding sand, gypsum and supplementary ingredients. The mould is made in ZCast technology, and it enables casting of zinc, magnesium and aluminum alloys at max. pouring temperature of 1100°C. The paper describes research on the possibility to utilize a standard ZP14 powder for building a rotor blade casting moulds. The research has showed that the ZP14 powder may serve for printing foundry moulds, which should then be subjected to thermo-chemical treatment. Application of the basic ZPrint system powder permits a reduction in mould manufacturing costs.

  12. Utilization of maternal health care services in post-conflict Nepal

    Directory of Open Access Journals (Sweden)

    Bhandari TR

    2015-08-01

    Full Text Available Tulsi Ram Bhandari, Prabhakaran Sankara Sarma, Vellappillil Raman Kutty Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India Background: Despite a decade-long armed conflict in Nepal, the country made progress in reducing maternal mortality and is on its way to achieve the Millennium Development Goal Five. This study aimed to assess the degree of the utilization of maternal health care services during and after the armed conflict in Nepal.Methods: This study is based on Nepal Demographic and Health Survey data 2006 and 2011. The units of analysis were women who had given birth to at least one child in the past 5 years preceding the survey. First, we compared the utilization of maternal health care services of 2006 with that of 2011. Second, we merged the two data sets and applied logistic regression to distinguish whether the utilization of maternal health care services had improved after the peace process 2006 was underway.Results: In 2011, 85% of the women sought antenatal care at least once. Skilled health workers for delivery care assisted 36.1% of the women, and 46% of the women attended postnatal care visit at least once. These figures were 70%, 18.7%, and 16%, respectively, in 2006. Similarly, women were more likely to utilize antenatal care at least once (odds ratio [OR] =2.18, confidence interval [CI] =1.95–2.43, skilled care at birth (OR =2.58, CI =2.36–2.81, and postnatal care at least once (OR =4.13, CI =3.75–4.50 in 2011.Conclusion: The utilization of maternal health care services tended to increase continuously during both the armed conflict and the post-conflict period in Nepal. However, the increasing proportion of the utilization was higher after the Comprehensive Peace Process Agreement 2006. Keywords: antenatal care, armed conflict, Nepal, post-conflict, postnatal care, skilled care at birth

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

    African Journals Online (AJOL)

    2014-06-02

    Jun 2, 2014 ... attention is required in improving quality of healthcare services while ... a means of improving utilization through the elimination of financial barriers .... stage, health services factors, defined as issues having to do with actions ...

  14. Advancing Partner Notification Through Electronic Communication Technology: A Review of Acceptability and Utilization Research.

    Science.gov (United States)

    Pellowski, Jennifer; Mathews, Catherine; Kalichman, Moira O; Dewing, Sarah; Lurie, Mark N; Kalichman, Seth C

    2016-06-01

    A cornerstone of sexually transmitted infection (STI) prevention is the identification, tracing, and notification of sex partners of index patients. Although partner notification reduces disease burden and prevents new infections as well as reinfections, studies show that only a limited number of partners are ever notified. Electronic communication technologies, namely, the Internet, text messaging, and phone calls (i.e., e-notification), have the potential to expand partner services. We conducted a systematic review of studies that have investigated the acceptability and utility of e-notification. We identified 23 studies that met the following criteria: (a) 9 studies presented data on the acceptability of technology-based communications for contacting sex partner(s), and (b) 14 studies reported on the utilization of communication technologies for partner notification. Studies found high levels of interest in and acceptability of e-notification; however, there was little evidence for actual use of e-notification. Taken together, results suggest that electronic communications could have their greatest impact in notifying less committed partners who would otherwise be uninformed of their STI exposure. In addition, all studies to date have been conducted in resource-rich countries, although the low cost of e-notification may have its greatest impact in resource-constrained settings. Research is needed to determine the best practices for exploiting the opportunities afforded by electronic communications for expanding STI partner services.

  15. 41 CFR 102-82.25 - What are Executive agencies' responsibilities concerning the procurement of utility services?

    Science.gov (United States)

    2010-07-01

    ... agencies' responsibilities concerning the procurement of utility services? 102-82.25 Section 102-82.25...) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 82-UTILITY SERVICES Utility Services § 102-82.25 What are Executive agencies' responsibilities concerning the procurement of utility services? Executive...

  16. Augmenting Space Technology Program Management with Secure Cloud & Mobile Services

    Science.gov (United States)

    Hodson, Robert F.; Munk, Christopher; Helble, Adelle; Press, Martin T.; George, Cory; Johnson, David

    2017-01-01

    The National Aeronautics and Space Administration (NASA) Game Changing Development (GCD) program manages technology projects across all NASA centers and reports to NASA headquarters regularly on progress. Program stakeholders expect an up-to-date, accurate status and often have questions about the program's portfolio that requires a timely response. Historically, reporting, data collection, and analysis were done with manual processes that were inefficient and prone to error. To address these issues, GCD set out to develop a new business automation solution. In doing this, the program wanted to leverage the latest information technology platforms and decided to utilize traditional systems along with new cloud-based web services and gaming technology for a novel and interactive user environment. The team also set out to develop a mobile solution for anytime information access. This paper discusses a solution to these challenging goals and how the GCD team succeeded in developing and deploying such a system. The architecture and approach taken has proven to be effective and robust and can serve as a model for others looking to develop secure interactive mobile business solutions for government or enterprise business automation.

  17. Cogeneration fueled by solid waste utilizing a new technology

    Energy Technology Data Exchange (ETDEWEB)

    Stanton, M.

    1982-10-01

    Energy recovery from solid waste has been common in Europe for many years. In the last 10 years the number of these facilities built in the United States has been increasing. However most of the solid waste energy recovery facilities have been built in large cities such as Nashville, Tennessee, Saugus, Massachusetts, Akron, Ohio, and Chicago, Illinois, using the well-developed water-wall furnaces similar to those found in large utility plants. The technologies available in sizes applicable to smaller communities have been found wanting in reliability and in the capability for producing high pressure steam to drive turbines. The water-wall rotary combustors being installed in a facility in Sumner County, Tennessee, offer the promise of reliability and capability heretofore not available to smaller communities.

  18. UTILIZATION OF INDUCTION HEATING TECHNOLOGY IN GALVANIZING LINES

    Directory of Open Access Journals (Sweden)

    Victor Demidovich

    2015-09-01

    Full Text Available Continuous Hot-Dip Galvanizing lines are widely used for the production of coated steel sheets. Quality improvement measures are of great importance for this type of line. A significant proportion of production and quality losses when operating these types of lines occurs when production is transitioning from one strip gauge/thermal cycle to another. Utilizing induction heating technology, in combination with a sophisticated control system, can dramically decrease yield losses during transitions. Dynamic Transition and Production Planning Models have recently been developed for the simulation and control of the continuous hot-dip galvanizing line. The results of this work have been implemented in some galvanizing lines with production rate up to 350,000-ton annual capacity.

  19. Low Temperature Heat Source Utilization Current and Advanced Technology

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, James H. Jr.; Dambly, Benjamin W.

    1992-06-01

    Once a geothermal heat source has been identified as having the potential for development, and its thermal, physical, and chemical characteristics have been determined, a method of utilization must be decided upon. This compendium will touch upon some of these concerns, and hopefully will provide the reader with a better understanding of technologies being developed that will be applicable to geothermal development in East Africa, as well as other parts of the world. The appendices contain detailed reports on Down-the-Well Turbo Pump, The Vapor-Turbine Cycle for Geothermal Power Generation, Heat Exchanger Design for Geothermal Power Plants, and a Feasibility Study of Combined Power and Water Desalting Plant Using Hot Geothermal Water. [DJE-2005

  20. Human utilization of triticale: technological and nutritional aspects.

    Science.gov (United States)

    Bona, L; Acs, E; Lantos, Cs; Tomoskozi, S; Lango, B

    2014-01-01

    In spite of the fact that triticale is not subject of the EU intervention, its acreage shows a continuously growing trend. Albeit, both parental species (sp. Triticum, sp. Secale) are used for human food, the utilization of triticale as human food is still uncertain. The main focus of this paper was to study and compare technological and nutritional values of triticale and its parental species. Triticale (cultivars and experimental lines) along with one wheat and one rye varieties were used in the tests. Most of the grain and flour technological properties (Kernel diameter, Test Weight, flour yield, gluten content, Zeleny volume) of the triticale entries positioned in between the parental wheat and rye attributes. However, thousand kernel weight (TKW) of triticale cultivar GK Szemes and grain hardness of cv. GK Idus surpassed all other entries. The study revealed that--having considerable variation--triticale grains are very rich in beneficial elements such us Ca, Mg, P, Cu and Zn. Dietary fiber (DF) content of triticales were between the rye and wheat controls (10-15%). Total arabinoxylan content (TOTAX) of triticales were much closer to rye (6%), and in some genotypes considerably expanded it (6,5-7%). Health conscious consumers trend to use increasingly novel, valuable grain sources and products in their daily based diets. The inappropriate nature of triticale per se flours for baking industry seems to hinder the human utilization. Blends exploiting favorable attributes of triticale may be a suitable way to use this valuable crop in milling products and in larger food industrial scale.

  1. Utilization of information technology in eastern North Carolina physician practices: determining the existence of a digital divide.

    Science.gov (United States)

    Rosenthal, David A; Layman, Elizabeth J

    2008-02-13

    The United States Department of Health and Human Services (DHHS) has emphasized the importance of utilizing health information technologies, thus making the availability of electronic resources critical for physicians across the country. However, few empirical assessments exist regarding the current status of computerization and utilization of electronic resources in physician offices and physicians' perceptions of the advantages and disadvantages of computerization. Through a survey of physicians' utilization and perceptions of health information technology, this study found that a "digital divide" existed for eastern North Carolina physicians in smaller physician practices. The physicians in smaller practices were less likely to utilize or be interested in utilizing electronic health records, word processing applications, and the Internet.

  2. Technology of gas drainage and utilization in Huaibei mining area

    Institute of Scientific and Technical Information of China (English)

    LI Wei; XU Rui

    2009-01-01

    With the characteristics of coal seam geology and gas occurrence, a "ground-underground" integrated gas drainage method was formed, which can relieve gas pressure and increase permeability by mining the protection seams in conditional regions. After coal seam gas drainage, high gas outburst seam was converted to low gas safety seam. In the coal face mining process, safety and high efficient coal mining were realized by the measure of gas-suction over mining. In addition to the drainage gas for civil gas and gas power generation, the Huaibei Mining Group has actively carried out research on the utilization technology of methane drainage by ventilation. On the one hand, it can save precious energy; on the other hand, it can protect the environment for people's survival. In 2007, the amount of coal mine gas drainage was 120 hm3; the rate of coal mine gas drainage was 44%. Compared with the year 2002, the amount of coal mine gas drainage increased by two times. Meanwhile, the utilization rate of gas increased rapidly.

  3. Space Resource Utilization: Technologies and Potential Synergism with Terrestrial Mining

    Science.gov (United States)

    Sanders, Gerald B.

    2015-01-01

    Space Resources and Their Uses: The idea of using resources in space to support human exploration and settlement or for economic development and profit beyond the surface of Earth has been proposed and discussed for decades. Work on developing a method to extract oxygen from lunar regolith started even before humans set foot on the Moon for the first time. The use of space resources, commonly referred to as In Situ Resource Utilization (ISRU), involves the processes and operations to harness and utilize resources in space (both natural and discarded) to create products for subsequent use. Potential space resources include water, solar wind implanted volatiles (hydrogen, helium, carbon, nitrogen, etc.), vast quantities of metals and minerals in extraterrestrial soils, atmospheric constituents, unlimited solar energy, regions of permanent light and darkness, the vacuum and zero-gravity of space itself, trash and waste from human crew activities, and discarded hardware that has completed its primary purpose. ISRU covers a wide variety of concepts, technical disciplines, technologies, and processes. When considering all aspects of ISRU, there are 5 main areas that are relevant to human space exploration and the commercialization of space: 1. Resource Characterization and Mapping, 2. In Situ Consumables Production, 3. Civil Engineering and Construction, 4. In Situ Energy Production and Storage, and 5. In Situ Manufacturing.

  4. DevelOpment Strategy of CNPC Engineering Technology Service

    Institute of Scientific and Technical Information of China (English)

    Yang Qingli; Liu Bingyi; Zheng Yi; Zhu Jingping; Jiang Xinsheng

    2011-01-01

    An overview of CNPC engineering technology service As an important backup and guarantee for CNPC's oil and gas business, engineering technology service companies have focused on the goal of building an integrated international energy company, and launched new round of specialized restructuring and business integration since the end of 2007, in accordance with the principle of intensification, specialization, and integration.

  5. Technology Acceptance among Pre-Service Teachers: Does Gender Matter?

    Science.gov (United States)

    Teo, Timothy; Fan, Xitao; Du, Jianxia

    2015-01-01

    This study examined possible gender differences in pre-service teachers' perceived acceptance of technology in their professional work under the framework of the technology acceptance model (TAM). Based on a sample of pre-service teachers, a series of progressively more stringent measurement invariance tests (configural, metric, and scalar…

  6. [Utilization of dental services for children: a review of the influencing factors and the possible improvements].

    Science.gov (United States)

    Cheng, M L; Si, Y

    2017-05-09

    It has been reported that children's oral health conditions are correlated with their attendance to dental health services. Evaluating the influencing factors of utilization of dental services for children may give ways to improve the services per se, and furtherly the children's oral health. The present review retrieved and summarized domestic and foreign studies on the utilization of oral health services for children based on the Andersen behavior model. It was concluded that the utilization of dental services for children was affected by demographic characteristics, social structure, health belief, family factors, community factors and perceived/evaluated needs. To improve the utilization of dental services for children, effort should be made by means of changing caregivers' health belief, developing oral health insurance system, setting up regular oral health resources and increasing the financial support for oral health services by government.

  7. Determinants of HIV outpatient service utilization according to HIV parameters

    Directory of Open Access Journals (Sweden)

    Paola Di Carlo

    2014-11-01

    Full Text Available Introduction: The increased life expectancy of HIV patients in the era of highly active antiretroviral therapy has had profound consequences for the healthcare systems that provide their care. It is useful to assess whether healthcare resources need to be adapted to the different stages of HIV infection or to patient characteristics [1]. To study how patient features influence utilization of out patient services, we retrospectively analyzed the electronic health record of HIV-positive patients who had followed day-care programs at the AIDS Center of the University of Palermo, Italy. Materials and Methods: 223 HIV-infected subjects were recruited and divided into two groups according to CD4 cell counts (117 with a CD4 count ≤500/mm3 and 106 with CD4 count ≥500/mm3. Data on age, gender, race, lifestyle habits (including educational level, drug abuse history, smoking status, alcohol consumption, sexual behaviour BMI, HIV-RNA, CD4+ T-cell count, antiretroviral therapy (ART, comorbidities such as HCV co-infection, osteoporosis biomarker, dyslipidemia, diabetes, renal function and systolic and diastolic blood pressure were recorded in a purposely designed database and were analyzed in relation to AIN by uni- and multivariable logistic regression. Results: Table 1 shows the characteristics of enrolled patients; the average age of the recruited patients was 45.4±9.5 years. 163 individuals were male (73%, 26 were immigrants (12% and 91 (40% were treatment-naïve. Mean day care access for laboratory tests to evaluate stage of HIV and for treatment monitoring was 6.5 days for CD4 cell count measurements and 9.6 for HIV RNA/drug-resistance testing. When patients were stratified according to CD4 count, mean day care access for laboratory tests to evaluate HIV stage and to monitor treatment was negatively correlated with CD4 cell counts. Table 1 Selected characteristics of 223 HIV-infected patients Variable HIV with a CD4 count ≤500/mm3 n = 117 HIV

  8. The Technological Growth in eHealth Services

    Directory of Open Access Journals (Sweden)

    Shilpa Srivastava

    2015-01-01

    Full Text Available The infusion of information communication technology (ICT into health services is emerging as an active area of research. It has several advantages but perhaps the most important one is providing medical benefits to one and all irrespective of geographic boundaries in a cost effective manner, providing global expertise and holistic services, in a time bound manner. This paper provides a systematic review of technological growth in eHealth services. The present study reviews and analyzes the role of four important technologies, namely, satellite, internet, mobile, and cloud for providing health services.

  9. Disrupting Faculty Service: Using Technology to Increase Academic Service Productivity

    Science.gov (United States)

    Burnett, Perry; Shemroske, Kenneth; Khayum, Mohammed

    2014-01-01

    Scholarly attention regarding faculty involvement has primarily focused on faculty opinions of shared governance and faculty influence on institutional decision-making. There has been limited attention given to academic service productivity and the effectiveness of traditional approaches toward the accomplishment of faculty service requirements.…

  10. Health-service utilization by pregnant women in the greater Mafikeng- Mmabatho district

    Directory of Open Access Journals (Sweden)

    C.F. Pretorius

    2004-09-01

    Full Text Available Since the implementation of free maternity services in South Africa from 1994, more maternity services were provided (SA, 1994: 73. These services are however inaccessible to many pregnant women in the rural areas, leading to sub-optimal antenatal health service utilization. Another problem that emerged, is deterioration in antenatal health service rendering throughout the country, as well as a lack of guidelines for the mobilization of pregnant women in order to promote optimal antenatal health service utilization (ANHSU in the North West Province. The mentioned problems were the reasons for undertaking this research.

  11. 76 FR 40713 - Office of Special Education and Rehabilitative Services; Technology and Media Services for...

    Science.gov (United States)

    2011-07-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Technology and Media Services for Individuals... Department. Dated: July 6, 2011. Alexa Posny, Assistant Secretary for Special Education and Rehabilitative...

  12. The Impact of In-Service Technology Training Programmes on Technology Teachers

    Science.gov (United States)

    Gumbo, Mishack; Makgato, Moses; Muller, Helene

    2012-01-01

    The aim of this paper is to assess the impact the Advanced Certificate in Education (ACE) in-service technology training program has on technology teachers' knowledge and understanding of technology. The training of technology teachers is an initiative toward teachers' professional development within the mathematics, science, and technology sphere…

  13. ECUT (Energy Conversion and Utilization Technologies) program: Biocatalysis project

    Science.gov (United States)

    Baresi, Larry

    1989-03-01

    The Annual Report presents the fiscal year (FY) 1988 research activities and accomplishments, for the Biocatalysis Project of the U.S. Department of Energy, Energy Conversion and Utilization Technologies (ECUT) Division. The ECUT Biocatalysis Project is managed by the Jet Propulsion Laboratory, California Institute of Technology. The Biocatalysis Project is a mission-oriented, applied research and exploratory development activity directed toward resolution of the major generic technical barriers that impede the development of biologically catalyzed commercial chemical production. The approach toward achieving project objectives involves an integrated participation of universities, industrial companies and government research laboratories. The Project's technical activities were organized into three work elements: (1) The Molecular Modeling and Applied Genetics work element includes research on modeling of biological systems, developing rigorous methods for the prediction of three-dimensional (tertiary) protein structure from the amino acid sequence (primary structure) for designing new biocatalysis, defining kinetic models of biocatalyst reactivity, and developing genetically engineered solutions to the generic technical barriers that preclude widespread application of biocatalysis. (2) The Bioprocess Engineering work element supports efforts in novel bioreactor concepts that are likely to lead to substantially higher levels of reactor productivity, product yields and lower separation energetics. Results of work within this work element will be used to establish the technical feasibility of critical bioprocess monitoring and control subsystems. (3) The Bioprocess Design and Assessment work element attempts to develop procedures (via user-friendly computer software) for assessing the energy-economics of biocatalyzed chemical production processes, and initiation of technology transfer for advanced bioprocesses.

  14. Preparing Pre-Service Teachers to Integrate Technology in Education: A Synthesis of Qualitative Evidence

    Science.gov (United States)

    Tondeur, Jo; van Braak, Johan; Sang, Guoyuan; Voogt, Joke; Fisser, Petra; Ottenbreit-Leftwich, Anne

    2012-01-01

    This study reviewed qualitative studies that focused on strategies to prepare pre-service teachers to integrate technology into their lessons. A meta-ethnography approach was utilized to locate, critically appraise, and synthesize the results of these studies. Based on an extensive search in the Web of Science, 19 articles were included in this…

  15. Marketing Social Service Programs Using Political Campaign Technology.

    Science.gov (United States)

    Bynum, Peter

    1991-01-01

    Discusses how human services agencies can use strategies and information technologies similar to those used in political campaigns to identify needs and attitudes for social services campaigns. Marketing for social services programs is described, and the use of computers for a political campaign and for a teenage pregnancy program is compared.…

  16. Pre-Service Science and Mathematics Teachers' Thoughts about Technology

    Science.gov (United States)

    Aran, Özge Can; Derman, Ipek; Yagci, Esed

    2016-01-01

    This study aims to investigate pre-service teachers' opinions about the technology. In this respect, the opinions of pre-service science and mathematics teachers were taken. The study was carried out at a university, located in the capital of Turkey. The data were collected from 20 pre-service teachers in the department of secondary school science…

  17. UTILITY ADVANCED TURBINE SYSTEMS(ATS) TECHNOLOGY READINESS TESTING

    Energy Technology Data Exchange (ETDEWEB)

    Kenneth A. Yackly

    2001-06-01

    The following paper provides an overview of GE's H System{trademark} technology, and specifically, the design, development, and test activities associated with the DOE Advanced Turbine Systems (ATS) program. There was intensive effort expended in bringing this revolutionary advanced technology program to commercial reality. In addition to describing the magnitude of performance improvement possible through use of H System{trademark} technology, this paper discusses the technological milestones during the development of the first 9H (50Hz) and 7H (60 Hz) gas turbines. To illustrate the methodical product development strategy used by GE, this paper discusses several technologies that were essential to the introduction of the H System{trademark}. Also included are analyses of the series of comprehensive tests of materials, components and subsystems that necessarily preceded full scale field testing of the H System{trademark}. This paper validates one of the basic premises with which GE started the H System{trademark} development program: exhaustive and elaborate testing programs minimized risk at every step of this process, and increase the probability of success when the H System{trademark} is introduced into commercial service. In 1995, GE, the world leader in gas turbine technology for over half a century, in conjunction with the DOE National Energy Technology Laboratory's ATS program, introduced its new generation of gas turbines. This H System{trademark} technology is the first gas turbine ever to achieve the milestone of 60% fuel efficiency. Because fuel represents the largest individual expense of running a power plant, an efficiency increase of even a single percentage point can substantially reduce operating costs over the life of a typical gas-fired, combined-cycle plant in the 400 to 500 megawatt range. The H System{trademark} is not simply a state-of-the-art gas turbine. It is an advanced, integrated, combined-cycle system in which every

  18. An Examination of the Utilization of Electronic Government Services by Minority Small Businesses

    Science.gov (United States)

    Ford, Wendy G.

    2010-01-01

    There are a wide variety of e-government information and services that small business owners and managers can utilize. However, in spite of all of the service incentives and initiatives to promote e-government, research studies have shown that this information is not widely accessed. Studies that explore the utilization of e-government information…

  19. Urban-rural disparity in utilization of preventive care services in China.

    Science.gov (United States)

    Liu, Xiang; Li, Ningxiu; Liu, Chaojie; Ren, Xiaohui; Liu, Danping; Gao, Bo; Liu, Yuanyuan

    2016-09-01

    Preventive care service is considered pivotal on the background of demographic ageing and a rise in chronic diseases in China. The disparity in utilization of preventive care services between urban and rural in China is a serious issue. In this paper, we explored factors associated with urban-rural disparity in utilization of preventive care services in China, and determined how much of the urban-rural disparity was attributable to each determinant of utilization in preventive care services. Using representative sample data from China Health and Nutrition Survey in 2011 (N = 12,976), the present study performed multilevel logistic model to examine the factors that affected utilization of preventive care services in last 4 weeks. Blinder-Oaxaca decomposition method was applied to divide the utilization of preventive care disparity between urban and rural residents into a part that can be explained by differences in observed covariates and unobserved part. The percentage of rural residents utilizing preventive care service in last 4 weeks was lower than that of urban residents (5.1% vs 9.3%). Female, the aged, residents with higher education level and household income, residents reporting self-perceived illness in last 4 weeks and physician-diagnosed chronic disease had higher likelihood of utilizing preventive care services. Household income was the most important factor accounting for 26.6% of urban-rural disparities in utilization of preventive care services, followed by education (21.5%), self-perceived illness in last 4 weeks (7.8%), hypertension (4.4%), diabetes (3.3%), other chronic diseases (0.8%), and health insurance (-1.0%). Efforts to reduce financial barriers for low-income individuals who cannot afford preventive services, increasing awareness of the importance of obtaining preventive health services and providing more preventive health services covered by health insurance, may help to reduce the gap of preventive care services utilization between

  20. 76 FR 5834 - International Business Machines Corporation, Global Technology Services Business Unit, Integrated...

    Science.gov (United States)

    2011-02-02

    ... Employment and Training Administration International Business Machines Corporation, Global Technology Services Business Unit, Integrated Technology Services, Cost and Expense Team, Payroll, Travel and Mobility... Business Machines Corporation, Global Technology Services Business Unit, Integrated Technology...

  1. Several Legal Issues Relating to Service Technological Results

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    How "the rights and interests in the intellectual property rights of the scientists and technicians should be protected and the entity achieving the service-related technological results should remunerate, under law, those achieving the service-related technological results and those making outstanding contribution to the transfer of the technological results" are important issues encountered in China in its efforts to improve its innovation capacity and build up a new nation. The current legal system in...

  2. Army Information Technology Enterprise Solutions-2 Services Contract

    Science.gov (United States)

    2007-08-09

    Contracting personnel from the Army and other Federal agencies who are involved in information technology service acquisition decisions should read...IDIQ) contracts. The Inspector General (IG), DoD initiated the audit of the Army Information Technology Enterprise Solutions-2 Services (ITES-2S...contract because of the material impact this contract will have on the acquisition of information technology resources within DoD and the Federal Government

  3. Improving Service Utilization for Parents with Substance Abuse Problems: Experimenting with Recovery Coaches in Child Welfare.

    Science.gov (United States)

    Choi, Sam

    2015-01-01

    Substance abusers often face substantial systematic and personal barriers to receiving required substance abuse treatment services as well as other services; hence, various linkage mechanisms have been proposed for drug abuse treatment programs to overcome such barriers. Although there is a growing interest in the use of case management with a substance abuse background, its effectiveness in child welfare has yet to be explored. In this study the author attempts to investigate the effectiveness of case management in service utilization by systematically evaluating the five-year Alcohol and Other Drug Abuse (AODA) waiver demonstration project with Recovery Coaches in Illinois. A classic experimental design with a control group was used. Random assignment occurs at the agency level. Parents in the experimental group (N = 1562) received recovery coaches in addition to traditional child welfare services while parents in the control group (N = 598) only received traditional child welfare services. Bivariate and multivariate analyses (Ordinary Last Square regressions) were used. Compared to parents in the control group, parents in the experimental group were more likely to utilize substance abuse treatment. The results suggest that gender, education level, employment status, and the number of service needs were significantly associated with service utilization. Controlling other factors, recovery coaches improved overall service utilization. Because the outcome of child welfare often depends on the improvement of risks or resolution, it is important for parents to utilize the needed services. Future studies need to address what aspects of recovery coaches facilitate the services utilization.

  4. Health Care Services in IBD: Factors Associated with Service Utilization and Preferences for Service Options for Routine and Urgent Care.

    Science.gov (United States)

    Bernstein, Matthew T; Walker, John R; Chhibba, Tarun; Ivekovic, Melony; Singh, Harminder; Targownik, Laura E; Bernstein, Charles N

    2017-09-01

    We aimed to explore factors associated with health service utilization and preference for services, including alternatives to attending the emergency department (ED) when experiencing mild to moderate or severe symptoms. A total of 1143 persons (46% response rate) aged 18 to 65 years in the population-based University of Manitoba IBD Research Registry participated in the survey. Although 61% had a gastroenterologist, when experiencing active symptoms, only 29% felt they could call their gastroenterologist for an urgent appointment, and 42% could call their gastroenterologist for telephone advice. Nine percent of the respondents visited the ED in the previous year. If having severe symptoms, 48% said that they would attend the ED. Visits to the ED were related to higher bowel symptom severity and high health anxiety. When experiencing severe symptoms, women, persons with Crohn's disease and those with high health anxiety, indicated that they would be more likely to use the ED. Considering services which could be available in the future respondents indicated that if acutely symptomatic they would be very likely or likely to use the following services: phone contact with inflammatory bowel disease nurse (77%), phone contact with a gastroenterologist (75%), and going to a walk-in gastroenterology clinic (71%). Persons with inflammatory bowel disease are receptive to options other than the ED when experiencing inflammatory bowel disease symptoms; however, attending the ED remains a prominent choice. Improved access to specialized care may improve timeliness of care and reduce ED attendance. Future research should include the impact of health anxiety on health care utilization.

  5. Skilled delivery care service utilization in Ethiopia: analysis of rural ...

    African Journals Online (AJOL)

    Only 10% of women receive assistance from skilled birth attendants either at home or at .... assisted by traditional birth attendants, while 4 % of births were unattended. ..... Dagne E.(2010) Role of socio-demographic factors on utilization of ...

  6. Effective Utilization of Commercial Wireless Networking Technology in Planetary Environments

    Science.gov (United States)

    Caulev, Michael (Technical Monitor); Phillip, DeLeon; Horan, Stephen; Borah, Deva; Lyman, Ray

    2005-01-01

    The purpose of this research is to investigate the use of commercial, off-the-shelf wireless networking technology in planetary exploration applications involving rovers and sensor webs. The three objectives of this research project are to: 1) simulate the radio frequency environment of proposed landing sites on Mars using actual topographic data, 2) analyze the performance of current wireless networking standards in the simulated radio frequency environment, and 3) propose modifications to the standards for more efficient utilization. In this annual report, we present our results for the second year of research. During this year, the effort has focussed on the second objective of analyzing the performance of the IEEE 802.11a and IEEE 802.1lb wireless networking standards in the simulated radio frequency environment of Mars. The approach builds upon our previous results which deterministically modelled the RF environment at selected sites on Mars using high-resolution topographical data. These results provide critical information regarding antenna coverage patterns, maximum link distances, effects of surface clutter, and multipath effects. Using these previous results, the physical layer of these wireless networking standards has now been simulated and analyzed in the Martian environment. We are looking to extending these results to the and medium access layer next. Our results give us critical information regarding the performance (data rates, packet error rates, link distances, etc.) of IEEE 802.1 la/b wireless networks. This information enables a critical examination of how these wireless networks may be utilized in future Mars missions and how they may be possibly modified for more optimal usage.

  7. 47 CFR 80.107 - Service of private coast stations and marine-utility stations.

    Science.gov (United States)

    2010-10-01

    ...-utility stations. 80.107 Section 80.107 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED... Operating Procedures-Land Stations § 80.107 Service of private coast stations and marine-utility stations. A private coast station or a marine-utility station is authorized to transmit messages necessary for...

  8. An Assessment of Recovsat Utilization for Different Service Typologies

    Directory of Open Access Journals (Sweden)

    Ana Cristina Costa

    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. Health Services Utilization Patterns Associated with Emergency Department Closure

    DEFF Research Database (Denmark)

    Hansen, Kristian Schultz; Enemark, Ulrika; Foldspang, Anders

    2011-01-01

    , 1997-2003. Data were extracted from administrative registries including information on individual use of emergency services and other hospital care, contact with GPs and socioeconomic background. Health services' use by the Morsø population was measured before reduction in emergency room opening hours......, during a period of reduced opening hours and after closure, compared with the rest of Viborg County. RESULTS: Emergency service use did not change among Morsø municipality residents compared to other Viborg County residents. Compared to men in other parts of the county, Morsø men did not change their use...

  10. Use of new technology to improve utilization and adherence to immunotherapy.

    Science.gov (United States)

    Joshi, Smita; Dimov, Ves

    2014-01-01

    Technology and social media have dramatically altered the landscape in which we practice medicine. Clinicians have increasingly turned to technology and the internet to enhance patient care. Allergists have used these modalities to improve utilization and adherence to immunotherapy. Electronic medical records (EMRs) are being widely adopted by allergy practices and some offer allergy/immunology specific modules that aid in daily workflow. The development of specialized devices that reduce pain associated with immunotherapy administration may improve compliance with immunotherapy. Social media and other forms of electronic communication such as e-mail, Facebook, Twitter, short message service (SMS), and YouTube give clinicians multiple avenues to disseminate information and reach their patients, possibly improving patient adherence to therapy. Finally, tablet computers, online networks, and electronic surveys provide additional ways to connect patients and physicians.

  11. Quitline – Service Utilization - 2010 To Present

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2010-2016. National Quitline Data Warehouse (NQDW). State Tobacco Activities Tracking and Evaluation (STATE) System. NQDW Data. National Quitline Data Warehouse...

  12. Utilization of Antenatal Care and Delivery Services in Sagamu ...

    African Journals Online (AJOL)

    Objective:We conducted a community based study in South Western Nigeria to ... Higher educational status and higher level of income positively affected the pattern ... institutions will encourage women to use the available maternity services.

  13. Quitline – Service Utilization - 2010 To Present

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2010-2016. National Quitline Data Warehouse (NQDW). State Tobacco Activities Tracking and Evaluation (STATE) System. NQDW Data. National Quitline Data Warehouse...

  14. The Problems of Management and Marketing of High Technology Services

    Directory of Open Access Journals (Sweden)

    Neringa Petrauskaitė

    2011-04-01

    Full Text Available The article emphasizes the importance of high technologies sector development and complexity level it takes to reach it. Based on scientific literature analysis, including high technologies services features that involve short life cycle, inseparability from science and technologies, as well as existing infrastructure, to solve high technologies development issues, marketing and management methods should be applied. The specific features of the product of high technologies is the reason for high technologies services management and marketing problems that include high risk of business, exceptionally heavy investment and complicated launch of the product. Therefore, there is a need for other solutions, such as the ways to stimulate high technologies development and high technologies products intake and application that should be generated using management and marketing methods.Article in Lithuanian

  15. ECUT (Energy Conversion and Utilization Technologies Program). Biocatalysis Project

    Science.gov (United States)

    1986-01-01

    Presented are the FY 1985 accomplishments, activities, and planned research efforts of the Biocatalysis Project of the U.S. Department of Energy, Energy Conversion and Utilization Technologies (ECUT) Program. The Project's technical activities were organized as follows: In the Molecular Modeling and Applied Genetics work element, research focused on (1) modeling and simulation studies to establish the physiological basis of high temperature tolerance in a selected enzyme and the catalytic mechanisms of three species of another enzyme, and (2) determining the degree of plasmid amplification and stability of several DNA bacterial strains. In the Bioprocess Engineering work element, research focused on (1) studies of plasmid propagation and the generation of models, (2) developing methods for preparing immobilized biocatalyst beads, and (3) developing an enzyme encapsulation method. In the Process Design and Analysis work element, research focused on (1) further refinement of a test case simulation of the economics and energy efficiency of alternative biocatalyzed production processes, (2) developing a candidate bioprocess to determine the potential for reduced energy consumption and facility/operating costs, and (3) a techno-economic assessment of potential advancements in microbial ammonia production.

  16. Cognitive Appraisals of Specialty Mental Health Services and Their Relation to Mental Health Service Utilization in the Rural Population

    Science.gov (United States)

    Deen, Tisha L.; Bridges, Ana J.; McGahan, Tara C.; Andrews, Arthur R., III

    2012-01-01

    Purpose: Rural individuals utilize specialty mental health services (eg, psychiatrists, psychologists, counselors, and social workers) at lower rates than their urban counterparts. This study explores whether cognitive appraisals (ie, individual perceptions of need for services, outcome expectancies, and value of a positive therapeutic outcome) of…

  17. Utility of databases and information technology in pediatric neurology.

    Directory of Open Access Journals (Sweden)

    Panigrahi I

    2002-04-01

    Full Text Available Significant number of neurological patients in the pediatric age group have genetic and/or metabolic basis. It is difficult to remember details of each of them as their number is very large and the disorders are encountered infrequently. This impracticality necessitates the use of various websites and data base search. The internet has become a tool by which one can obtain and disseminate information. It has enhanced the medical person′s ability to know at the earliest the developments in different medical specialities. Furthermore, these rare disorders are being recognized on the basis of specialized tests available only at selected centres which deal with few of these disorders. Our objective is to provide pediatric neurologists easy access to the expanding body of medical information and also to make them aware of the advancements in information technology, which is likely to facilitate telemedicine as a future consultancy service. Information about these diseases can also be facilitated by e-consultations.

  18. Outsourcing information communication technology services in ...

    African Journals Online (AJOL)

    Outsourcing is a management strategy that is gradually proving its worth in library ... such as cost cutting, knowledge and skills acquisition and economies of scale. ... such as negotiation of contracts, to gain more from outsourced ICT services.

  19. Understanding Service Utilization Disparities and Depression in Latinos: The Role of Fatalismo.

    Science.gov (United States)

    Anastasia, Elizabeth A; Bridges, Ana J

    2015-12-01

    Research demonstrates a disparity between need and utilization of mental health services for Latinos. Cultural variations in perceptions of mental illness may be partially responsible for this discrepancy. Past research with Latinos has shown links between fatalismo, a cultural value similar to external locus of control, and both depression and lower service utilization in medical care, while links to psychiatric care have not been investigated. The current study therefore aimed to explore the associations between fatalismo, depression, and past year mental health service utilization by Latinos. A community sample of 83 Latino adults were recruited during local cultural events. Participants completed self-report measures of depression, fatalism, and past year service utilization. Analyses using structural equation modeling showed fatalismo was directly negatively related to past year medical service utilization (β = -.35). In contrast, the link between fatalismo and past year mental health service utilization was mediated by self-reported depressive symptoms (indirect β = .19, p depression in Latinos, other barriers likely serve as more salient deterrents of service utilization.

  20. The Sustainable Energy Utility (SEU) Model for Energy Service Delivery

    Science.gov (United States)

    Houck, Jason; Rickerson, Wilson

    2009-01-01

    Climate change, energy price spikes, and concerns about energy security have reignited interest in state and local efforts to promote end-use energy efficiency, customer-sited renewable energy, and energy conservation. Government agencies and utilities have historically designed and administered such demand-side measures, but innovative…

  1. P-1139 - Increased utilization of health care services after psychotherapy

    DEFF Research Database (Denmark)

    Fenger, Morten Munthe; Mortensen, Erik Lykke; Poulsen, Stig Bernt

    2012-01-01

    Background Psychotherapeutic treatment is associated with significant reduction of symptoms in patients, and it is generally assumed that treatment improves health and decreases the need for additional health care. The present study investigates the long-term changes in utilization of health care...

  2. Geographic influences on sexual and reproductive health service utilization in rural Mozambique.

    Science.gov (United States)

    Yao, Jing; Murray, Alan T; Agadjanian, Victor; Hayford, Sarah R

    2012-03-01

    The HIV/AIDS epidemic remains a major public health issue across the globe, and it is of particular concern in sub-Saharan Africa. Utilization of sexual and reproductive health (SRH) services can significantly impact HIV prevention, transmission, and treatment. SRH service utilization may be determined by individual characteristics, such as education and economic status, but also by the location and accessibility of health care facilities. Using population-based survey data, this study applies exploratory spatial analysis techniques to examine spatial patterns of SRH service utilization among rural married women in southern Mozambique. Clustering among those using services is found as are spatial associations, indicating significant spatial variability in the utilization of health services. The findings provide valuable insights for current and future health care program planning and configuration.

  3. Student Experiences Utilizing Disability Support Services in a University Setting

    Science.gov (United States)

    Abreu, Marlene; Hillier, Ashleigh; Frye, Alice; Goldstein, Jody

    2016-01-01

    Students with disabilities are a growing population in post-secondary institutions, yet present poorer academic outcomes compared to students without disabilities. The current study examined university students' own perceptions and experiences with disability support services (SDS) including how helpful they found the accommodations they were…

  4. Factors influencing women's utilization of public health care services ...

    African Journals Online (AJOL)

    Background: Maternal mortality remains a public health challenge claiming ... across many developing countries around the world. .... 19.8. Community Factors place of residence. Rural. 13.0. 14.0. 13.3. Urban .... hood among women who were exposed to either radio or ..... maternal health care services in Southern India.

  5. False mystique of broadband technology: utility entry into cable television

    Energy Technology Data Exchange (ETDEWEB)

    Christensen, G.L.; Levy, S.A.

    1983-06-23

    The authors believe that investments by electric utilities in cable-television ownership are ill-advised. They argue here that it is more appropriate for utilities to contract for cable-television channels or to form joint ventures to obtain essential utility uses. Utility executives should recognize, they say, that the more certain purposes of their companies can be accomplished in much-less-risky ways than ownership and that cable television offers an inappropriate field for profit-making ventures by utility companies. 42 references.

  6. 76 FR 40712 - Office of Special Education and Rehabilitative Services; Technology and Media Services for...

    Science.gov (United States)

    2011-07-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Technology and Media Services for Individuals... Posny, Assistant Secretary for Special Education and Rehabilitative Services. BILLING CODE 4000-01-P ...

  7. The business of palliative medicine - part 5: service utilization in a comprehensive integrated program.

    Science.gov (United States)

    Estfan, Bassam; Davis, Mellar P; Walsh, Declan; Heintz, Jessica; Shaheen, Philip E; Cheema, Bushra; LeGrand, Susan B; Lagman, Ruth L

    2007-01-01

    The aim of palliative medicine is to provide multidisciplinary comprehensive care in advanced illness. Patient and family utilization of various product service lines offered by the Harry R Horvitz Center for Palliative Medicine at the Cleveland Clinic Foundation was studied. Newly referred patients were followed up prospectively until 85% had either died or been lost to follow-up. Demographic, clinical, and referral data were recorded; subsequent product service line utilization was updated daily. The total study period was 171 days, and 238 patients entered. Acute care inpatient unit, outpatient clinic visits, and 24-hour phone contacts were the most frequently used product service lines. Patients had a median of 3 contacts (range, 1 to 27) with individual service lines. Multiple palliative medicine product service lines were utilized often, with repeated use of the individual service lines. A comprehensive integrated palliative medicine program is necessary to fully meet the complex needs of those with advanced disease.

  8. Optimizing User's Utility from Cloud Computing Services in a Networked Environment

    Directory of Open Access Journals (Sweden)

    Eli WEINTRAUB

    2015-10-01

    Full Text Available Cloud Computing customers are looking for the best utility for their money. Research shows that functional aspects are considered more important than service prices in customer buying decisions. Choosing the best service provider might be complicated since each provider may sell three kinds of services organized in three layers: SaaS (Software as a service, PaaS (Platform as a service and IaaS (Infrastructure as a service. This research targets the problem of optimizing consumers' utility, using conjoint analysis methodology. Providers currently offer software services as bundles belonging to the same layer, or to underlying layers. Bundling services prevent customers from splitting their service purchases between a provider of software and a different provider of the underlying layers. This research assumes that in the future will exist a free competitive market, in which consumers will be free to switch their services to different providers, eliminating the negative biases of bundling, during making their buying decisions. This research proposes a mathematical model and three possible strategies for implementation in organizations, and illustrates its advantages compared to existing utility maximization practices. Current conjoint analysis method chooses the best utility in a traditional cloud architecture in which one provider offers a bundle of all three layers. The proposed model assumes a networked cloud architecture in which a customer may choose services from any provider, building for himself the best basket of services maximizing his/her total utility. This research outlines three business models which will assist organizations shift gradually from current CC architecture to the future networked architectures, thus maximizing their utility.

  9. External Service Providers to the National Security Technology Incubator

    Energy Technology Data Exchange (ETDEWEB)

    None

    2008-02-28

    This report documents the identification and assessment of external service providers to the National Security Technology Incubator (NSTI) program for southern New Mexico. The NSTI is being developed as part of the National Security Preparedness Project (NSPP), funded by a Department of Energy (DOE)/National Nuclear Security Administration (NNSA) grant to Arrowhead Center, New Mexico State University. This report contains 1) a summary of the services to be provided by NSTI; 2) organizational descriptions of external service providers; and 3) a comparison of NSTI services and services offered by external providers.

  10. Product with service, technology with business model

    DEFF Research Database (Denmark)

    Sakao, Tomohiko; McAloone, Tim C.

    2011-01-01

    Looking back over the last decade, the importance of an expanded understanding of engineering design has been shared within the engineering design community. Presented concepts and methods to support such expansion include Functional Product Development, Service Engineering, and Product/Service......-Systems (PSS) design. This paper first explains PSS design as a type of an expansion of the engineering design of a physical product. Secondly, it gives a review of PSS research and a projection of future research issues, also ranging out into untraditional fields of research. Finally, it presents a new...

  11. Factors influencing utilization of maternal and child health services among the postnatal mothers in hilly region

    Directory of Open Access Journals (Sweden)

    Priyanka Joshi

    2016-06-01

    Results: The present study revealed that the main reasons given by the individual women for not attending antenatal and postnatal care services that they were apparently healthy in present pregnancy, distance from MCH centers, doctors are not available in MCH centers, better services in home and lack of time due to household work. Conclusions: The findings of this study will help the nurse-midwife who are working in community and hospital setup to understand the factors that hinder women from utilization of MCH services and provides evidence to address women's problem for ensure effective utilization of available MCH services. [Int J Res Med Sci 2016; 4(6.000: 2170-2176

  12. In-Service Science Teachers' Attitude towards Information Communication Technology

    Science.gov (United States)

    Kibirige, I.

    2011-01-01

    The purpose of this study is to determine the attitude of in-service science teachers towards information communication technology (ICT) in education. The study explores the relationship between in-service teachers and four independent variables: their attitudes toward computers; their cultural perception of computers; their perceived computer…

  13. Future Directions for Building Services Technologies in Denmark

    DEFF Research Database (Denmark)

    Marsh, Rob

    2008-01-01

      The hypothesis of this paper is that industrial transformation in the Danish construction sector needs in the future to focus on integrating building services technologies into the buildings. This can be illustrated by analysing historical developments in building services usage, exploring desi...

  14. [Current problems of information technologies application for forces medical service].

    Science.gov (United States)

    Ivanov, V V; Korneenkov, A A; Bogomolov, V D; Borisov, D N; Rezvantsev, M V

    2013-06-01

    The modern information technologies are the key factors for the upgrading of forces medical service. The aim of this article is the analysis of prospective information technologies application for the upgrading of forces medical service. The authors suggested 3 concepts of information support of Russian military health care on the basis of data about information technologies application in the foreign armed forces, analysis of the regulatory background, prospects of military-medical service and gathered experience of specialists. These three concepts are: development of united telecommunication network of the medical service of the Armed Forces of the Russian Federation medical service, working out and implementation of standard medical information systems for medical units and establishments, monitoring the military personnel health state and military medical service resources. It is noted that on the assumption of sufficient centralized financing and industrial implementation of the military medical service prospective information technologies, by the year 2020 the united information space of the military medical service will be created and the target information support effectiveness will be achieved.

  15. Managing Technological Change in Libraries and Information Services.

    Science.gov (United States)

    Klobas, Jane E.

    1990-01-01

    Examines factors to be considered in the management of technological change in libraries and information services. The organizational climate for change is discussed, and factors to consider when developing a strategy for introducing a new product, service, or system are described, including leadership, goals, political processes, marketing, and…

  16. China Petroleum Information Technology Service Center

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ China National Petroleum Corporation (CNPC) is one of the world's leading integrated energy companies. Its business covers a broad spectrum of upstream and downstream activities, oil and gas engineering technical services, and equipment manufacturing and supply.CNPC ranks 9th among the world's top 50 petroleum companies and rates 39th in Global 500.

  17. Outsourcing information communication technology services in ...

    African Journals Online (AJOL)

    ian

    university libraries in Kenya outsource ICT services such as Internet, e-resources and ... study concluded that there was a need for the library management to be ..... open source software, Automation of Libraries and Centre's Documentation .... technical personnel be intimately involved in the development process to allow ...

  18. Exploring the experience of clients with tetraplegia utilizing assistive technology for computer access.

    Science.gov (United States)

    Folan, Alyce; Barclay, Linda; Cooper, Cathy; Robinson, Merren

    2015-01-01

    Assistive technology for computer access can be used to facilitate people with a spinal cord injury to utilize mainstream computer applications, thereby enabling participation in a variety of meaningful occupations. The aim of this study was to gain an understanding of the experiences of clients with tetraplegia trialing assistive technologies for computer access during different stages in a public rehabilitation service. In order to explore the experiences of clients with tetraplegia trialing assistive technologies for computer use, qualitative methodology was selected. Data were collected from seven participants using semi-structured interviews, which were audio-taped, transcribed and analyzed thematically. Three main themes were identified. These were: getting back into life, assisting in adjusting to injury and learning new skills. The findings from this study demonstrated that people with tetraplegia can be assisted to return to previous life roles or engage in new roles, through developing skills in the use of assistive technology for computer access. Being able to use computers for meaningful activities contributed to the participants gaining an enhanced sense of self-efficacy, and thereby quality of life. Implications for Rehabilitation Findings from this pilot study indicate that people with tetraplegia can be assisted to return to previous life roles, and develop new roles that have meaning to them through the use of assistive technologies for computer use. Being able to use the internet to socialize, and complete daily tasks, contributed to the participants gaining a sense of control over their lives. Early introduction to assistive technology is important to ensure sufficient time for newly injured people to feel comfortable enough with the assistive technology to use the computers productively by the time of discharge. Further research into this important and expanding area is indicated.

  19. 75 FR 60141 - International Business Machines (IBM), Global Technology Services Delivery Division, Including On...

    Science.gov (United States)

    2010-09-29

    ... Employment and Training Administration International Business Machines (IBM), Global Technology Services... of International Business Machines (IBM), Global Technology Services Delivery Division, Greenville... International Business Machines (IBM), Global Technology Services Delivery Division, including on-site...

  20. 75 FR 20388 - International Business Machines Corporation, Global Technology Services Business Unit, Integrated...

    Science.gov (United States)

    2010-04-19

    ... Employment and Training Administration International Business Machines Corporation, Global Technology Services Business Unit, Integrated Technology Services, Cost and Expense Team, Working From Various States..., applicable to workers of International Business Machines Corporation, Global Technology Services...

  1. Gendered utilization differences of mental health services in Jordan.

    Science.gov (United States)

    Al-Krenawi, A; Graham, J R; Kandah, J

    2000-10-01

    A revised Hopkins Symptom Checklist (HSCL), translated into Arabic, was distributed to a sample of 87 nonpsychotic mental health out-patients in Zarka, Jordan (male = 61, female = 26). Findings revealed no significant gendered differences, but higher responses among women in all dimensions. Regardless of gender, patients also expected and were satisfied with medicinal treatment; explained etiologies as having supernatural origins; and utilized informal community traditional healing and religious healing systems. The supernatural explanations and community healing systems varied by gender. Findings emphasize future treatment and programme development strategies that take into account the biomedical/traditional interface, culturally appropriate treatment modalities, different gendered patient needs, and the potential stigma of professional treatment.

  2. Migrants' utilization of somatic healthcare services in Europe - a systematic review

    DEFF Research Database (Denmark)

    Nørredam, Marie Louise; Nielsen, Signe Smith; Krasnik, Allan

    2010-01-01

    Background: Utilization of services is an important aspect of migrants' access to healthcare. The aim was to review the European literature on utilization of somatic healthcare services related to screening, general practitioner, specialist, emergency room and hospital by adult first......-generation migrants. Our study question was: ‘Are there differences in migrants' utilization of somatic healthcare services compared to non-migrants?' Methods: Publications were identified by a systematic search of PUBMED and EMBASE. Appropriateness of the studies was judged independently by two researchers based...... on the abstracts. Additional searches were conducted via the references of the selected articles. The final number of studies included was 21. Results: The results suggested a diverging picture regarding utilization of somatic healthcare services by migrants compared to non-migrants in Europe. Overall, migrants...

  3. Efficient Resource Utilization Algorithm (ERUA for Service Request Scheduling in Cloud

    Directory of Open Access Journals (Sweden)

    Ramkumar N

    2013-04-01

    Full Text Available Cloud computing provides us with the massive pool of resources in terms of pay-as-you-use policy. Cloud delivers these resources on demand through the use of network resources under different load conditions. As the users will be charged based on their usage the effective utilization of resources poses a major challenge. To accomplish this, a service request scheduling algorithm which reduces the waiting time of the task in the scheduler and maximizes the Quality of Service (QoS is needed. Our proposed algorithm named Effective Resource Utilization Algorithm (ERUA is based on 3-tier cloud architecture (Consumer, Service Provider and the Resource Provider which benefits both the user (QoS and the service provider (Cost through effective schedule reallocation based on utilization ratio leading to better resource utilization. Performance analysis made with the existing scheduling techniques shows that our algorithm gives out a more optimized schedule and enhances the efficiency rate.

  4. Utilization of Information and Communication Technologies in Mathematics Learning

    Science.gov (United States)

    Saadati, Farzaneh; Tarmizi, Rohani Ahmad; Ayub, Ahmad Fauzi Mohd

    2014-01-01

    Attention to integrate technology in teaching and learning has provided a major transformation in the landscape of education. Therefore, many innovations in teaching and learning have been technology-driven. The study attempted to examine what is engineering students' perception regarding the use of Information and Communication Technologies (ICT)…

  5. Energy storage technology - Environmental implications of large scale utilization

    Science.gov (United States)

    Krupka, M. C.; Moore, J. E.; Keller, W. E.; Baca, G. A.; Brasier, R. I.; Bennett, W. S.

    Environmental effects are identified for several energy storage technologies including advanced lead-acid battery, compressed air, underground pumped hydroelectric, flywheel, superconducting magnet, and various thermal systems. A preliminary study on fuel cell technology is also reported. New applications for energy storage technologies and the additional costs of controls to be used for mitigation of specific impacts are briefly discussed.

  6. Health care utilization patterns in developing countries: role of the technology environment in "deriving" the demand for health care.

    Science.gov (United States)

    Wouters, A V

    1992-01-01

    Health care services, in combination with several intermediate (proximate) determinants of health such as environmental sanitation and nutrition, directly influence health status. In the economics literature, this is referred to as the health production technology. Although many studies recognize that demand for health care depends on the health production technology, otherwise known as a "derived" demand, this review indicates that few of them have so far been able to fully incorporate this technology in estimating significant determinants of health care use. Understanding the technology environment could help explain why substantial portions of the population do not gain access to care even when financial factors do not appear to be a barrier. Also, low utilization of health services may simply reflect the low productivity of these services when other complementary factors such as nutrition or clean water and sanitation are lacking. Finally, since health-producing technology is often a multistep (multivisit) process, health care demand studies generally offer an incomplete picture of health care utilization patterns because they focus on a single event such as the first visit of an illness episode. Researchers should obtain more complete information on the interaction between all health production inputs, their availability and access to them. Multidisciplinary methodologies are likely to be useful.

  7. Physical accessibility and utilization of health services in Yemen

    Directory of Open Access Journals (Sweden)

    Clark Allan

    2010-07-01

    Full Text Available Abstract Background Assessment of physical access to health services is extremely important for planning. Complex methods that incorporate data inputs from road networks and transport systems are used to assess physical access to healthcare in industrialised countries. However, such data inputs hardly exist in many developing countries. Straight-line distances between the service provider and resident population are easily obtained but their relationship with driving distance and travel time is unclear. This study aimed to investigate the relationship between different measures of physical access, including straight-line distances, road distances and travel time and the impact of these measures on the vaccination of children in Yemen. Methods Coordinates of houses and health facilities were determined by GPS machine in Urban and rural areas in Taiz province, Yemen. Road distances were measured by an odometer of a vehicle driven from participants' houses to the nearest health centre. Driving time was measured using a stop-watch. Data on children's vaccination were collected by personal interview and verified by inspecting vaccination cards. Results There was a strong correlation between straight-line distances, driving distances and driving time (straight line distances vs. driving distance r = 0.92, p Conclusion Straight-line distances, driving distances and driving time are strongly linked and associated with vaccination uptake. Straight-line distances can be used to assess physical access to health services where data inputs on road networks and transport are lacking. Impact of physical access is clear in Yemen, highlighting the need for efforts to target vaccination and other preventive healthcare measures to children who live away from health facilities.

  8. A Framework for Examining the Utility of Technology-Enhanced Items

    Science.gov (United States)

    Russell, Michael

    2016-01-01

    Interest in and use of technology-enhanced items has increased over the past decade. Given the additional time required to administer many technology-enhanced items and the increased expense required to develop them, it is important for testing programs to consider the utility of technology-enhanced items. The Technology-Enhanced Item Utility…

  9. Security Service Technology for Mobile Networks

    Institute of Scientific and Technical Information of China (English)

    Aiqun Hu; Tao Li; Mingfu Xue

    2011-01-01

    As mobile networks become high speed and attain an all-IP structure, more services are possible. This brings about many new security requirements that traditional security programs cannot handle. This paper analyzes security threats and the needs of 3G/4G mobile networks, and then proposes a novel protection scheme for them based on their whole structure. In this scheme, a trusted computing environment is constructed on the mobile terminal side by combining software validity verification with access control. At the security management center, security services such as validity verification and integrity check are provided to mobile terminals. In this way, terminals and the network as a whole are secured to a much greater extent. This paper also highlights problems to be addressed in future research and development.

  10. Factors associated with the utilization and costs of health and social services in frail elderly patients

    Directory of Open Access Journals (Sweden)

    Kehusmaa Sari

    2012-07-01

    Full Text Available Abstract Background Universal access is one of the major aims in public health and social care. Services should be provided on the basis of individual needs. However, municipal autonomy and the fragmentation of services may jeopardize universal access and lead to variation between municipalities in the delivery of services. This paper aims to identify patient-level characteristics and municipality-level service patterns that may have an influence on the use and costs of health and social services of frail elderly patients. Methods Hierarchical analysis was applied to estimate the effects of patient and municipality-level variables on services utilization. Results The variation in the use of health care services was entirely due to patient-related variables, whereas in the social services, 9% of the variation was explained by the municipality-level and 91% by the patient-level characteristics. Health-related quality of life explained a major part of variation in the costs of health care services. Those who had reported improvement in their health status during the preceding year were more frequent users of social care services. Low informal support, poor functional status and poor instrumental activities of daily living, living at a residential home, and living alone were associated with higher social services expenditure. Conclusions The results of this study showed municipality-level variation in the utilization of social services, whereas health care services provided for frail elderly people seem to be highly equitable across municipalities. Another important finding was that the utilization of social and health services were connected. Those who reported improvement in their health status during the preceding year were more frequently also using social services. This result suggests that if municipalities continue to limit the provision of support services only for those who are in the highest need, this saving in the social sector may, in

  11. QUESEM: Towards building a Meta Search Service utilizing Query Semantics

    Directory of Open Access Journals (Sweden)

    Neelam Duhan

    2011-01-01

    Full Text Available Current Web Search Engines are built to serve needs of all users, independent of the special needs of any individual. The documents are returned by matching their queries with available documents, with no emphasis on the semantics of query. As a result, the generated information is often very large and inaccurate that results in increased user perceived latency. In this paper, a Semantic Search Service is being developed to help users gather relevant documents more efficiently unlike traditional Web search engines. The approach relies on the online web resource such as dictionary based sites to retrieve possible semantics of the query keywords, which are stored in a definition repository. The service works as a meta-layer above the keyword-based search engine to generate sub-queries based on different meanings of user query, which in turn are sent to the keyword-based search engine to perform Web search. This approach relieves the user in finding the desired information content and improves the search quality for certain types of complex queries. Experiments depict its efficiency as it results in reduced search space.

  12. On-call service of neurosurgeons in Germany: organization, use of communication services, and personal acceptance of modern technologies.

    Science.gov (United States)

    Brenke, Christopher; Lassel, Elke A; Terris, Darcey; Kurt, Aysel; Schmieder, Kirsten; Schoenberg, Stefan O; Weisser, Gerald

    2014-05-01

    A significant proportion of acute care neurosurgical patients present to hospital outside regular working hours. The objective of our study was to evaluate the structure of neurosurgical on-call services in Germany, the use of modern communication devices and teleradiology services, and the personal acceptance of modern technologies by neurosurgeons. A nationwide survey of all 141 neurosurgical departments in Germany was performed. The questionnaire consisted of two parts: one for neurosurgical departments and one for individual neurosurgeons. The questionnaire, available online and mailed in paper form, included 21 questions about on-call service structure; the availability and use of communication devices, teleradiology services, and other information services; and neurosurgeons' personal acceptance of modern technologies. The questionnaire return rate from departments was 63.1% (89/141), whereas 187 individual neurosurgeons responded. For 57.3% of departments, teleradiology services were available and were frequently used by 62.2% of neurosurgeons. A further 23.6% of departments described using smartphone screenshots of computed tomography (CT) images transmitted by multimedia messaging service (MMS), and 8.6% of images were described as sent by unencrypted email. Although 47.0% of neurosurgeons reported owning a smartphone, only 1.1% used their phone for on-call image communication. Teleradiology services were observed to be widely used by on-call neurosurgeons in Germany. Nevertheless, a significant number of departments appear to use outdated techniques or techniques that leave patient data unprotected. On-call neurosurgeons in Germany report a willingness to adopt more modern approaches, utilizing readily available smartphones or tablet technology. Georg Thieme Verlag KG Stuttgart · New York.

  13. Determinants of psychology service utilization in a palliative care outpatient population.

    Science.gov (United States)

    Azuero, Casey; Allen, Rebecca Sue; Kvale, Elizabeth; Azuero, Andres; Parmelee, Patricia

    2014-06-01

    Research has demonstrated that treating cancer patients' psychological and physical health leads to improved overall health. This may be especially true for palliative care patients facing serious illness. This study examines the proportion and determinants of psychology service utilization in an outpatient palliative care population. Data from an existing clinical database in an outpatient palliative clinic utilizing a collaborative care model to deliver psychology services were explored. This study was framed by Andersen's Behavioral Model of Health Service Use, which incorporates three main components: predisposing, enabling, and need factors to model health service utilization. The sample (N = 149) was majority middle aged, female, and White with a primary diagnosis of cancer. Cross-tabulations were conducted to determine how many patients who met screening criteria for depression or anxiety sought psychology services. Logistic regression analyses were conducted to assess for predisposing, enabling, and need factor determinants of psychology service utilization. Among patients who met criteria for moderate depression or anxiety, 50% did not access readily available psychology services. Enabling factors were the strongest determinant of psychology utilization. Factors associated with need for psychology services (i.e., emotional distress and psychological symptom burden) did not reach significance in determining psychology service use. This study extends current knowledge about psychology utilization to palliative care outpatients receiving care within a collaborative care model. Directions for future research include further investigation of care models that optimize enabling strategies to enhance access to these services, and examination of patient-reported barriers to receiving this care. Copyright © 2013 John Wiley & Sons, Ltd.

  14. The promise and the reality: a mental health workforce perspective on technology-enhanced youth mental health service delivery

    OpenAIRE

    Orlowski, Simone; Lawn, Sharon; Matthews, Ben; Venning, Anthony; Wyld, Kaisha; Jones, Gabrielle; Winsall, Megan; Antezana, Gaston; Schrader, Geoffrey; Bidargaddi, Niranjan

    2016-01-01

    Background Digital technologies show promise for reversing poor engagement of youth (16–24 years) with mental health services. In particular, mobile and internet based applications with communication capabilities can augment face-to-face mental health service provision. The literature in this field, however, fails to adequately capture the perspectives of the youth mental health workforce regarding utility and acceptability of technology for this purpose. Methods This paper describes results ...

  15. The legitimacy of increasing marginal utility in social services: The case of university examinations

    Directory of Open Access Journals (Sweden)

    Filipić Petar

    2010-01-01

    Full Text Available The concept of utility became rightfully recognized in economic theory with the introduction of decreasing marginal utility. However a question that arises is: does an increasing consumption of goods always and without exception lead to diminishing marginal utility? It is quite possible that in some cases marginal utility of goods and services actually increases. If this fact is true, it might additionally strengthen the utility theory and make it applicable in numerous cases of economic and social reality. This paper uses the example of the utility of studying at university (i.e. the utility of university examinations, and tries to add a few arguments in favour of the statement that the law of increasing utility exists.

  16. Using Forecasting to Predict Long-Term Resource Utilization for Web Services

    Science.gov (United States)

    Yoas, Daniel W.

    2013-01-01

    Researchers have spent years understanding resource utilization to improve scheduling, load balancing, and system management through short-term prediction of resource utilization. Early research focused primarily on single operating systems; later, interest shifted to distributed systems and, finally, into web services. In each case researchers…

  17. Utilization of obstetric services in Ghana between 1999 and 2003.

    Science.gov (United States)

    Adanu, Richard M K

    2010-09-01

    Analysis of the 2003 Ghana Demographic and Health Survey shows that even though over 90% of pregnant women attend antenatal care in health institutions, only 43% deliver in the health institutions. The quality of antenatal care received is also lower than is expected for standard obstetric care. The national caesarean section rate of 3.7% reflects inadequate obstetric coverage. There is a need for continued education of health workers to improve the quality of antenatal care. The Ghanaian health system needs to consider how to improve obstetric coverage by skilled attendants and to study the reasons for inadequate use of delivery services in order to be able to achieve the target for maternal health set in the Millennium Development Goals.

  18. A customer satisfaction model for a utility service industry

    Science.gov (United States)

    Jamil, Jastini Mohd; Nawawi, Mohd Kamal Mohd; Ramli, Razamin

    2016-08-01

    This paper explores the effect of Image, Customer Expectation, Perceived Quality and Perceived Value on Customer Satisfaction, and to investigate the effect of Image and Customer Satisfaction on Customer Loyalty of mobile phone provider in Malaysia. The result of this research is based on data gathered online from international students in one of the public university in Malaysia. Partial Least Squares Structural Equation Modeling (PLS-SEM) has been used to analyze the data that have been collected from the international students' perceptions. The results found that Image and Perceived Quality have significant impact on Customer Satisfaction. Image and Customer Satisfaction ware also found to have significantly related to Customer Loyalty. However, no significant impact has been found between Customer Expectation with Customer Satisfaction, Perceived Value with Customer Satisfaction, and Customer Expectation with Perceived Value. We hope that the findings may assist the mobile phone provider in production and promotion of their services.

  19. Technology Licensing Strategy for Network Product in a Service Industry

    Directory of Open Access Journals (Sweden)

    Xianpei Hong

    2015-01-01

    Full Text Available Technology licensing has gained significant attention in literature and practice as a rapid and effective way to improve firm’s capability of technology innovation. In this paper, we investigate a duopolistic service provider competition market, where service providers develop and sell a kind of network product. In this setting, we analyze the innovating service provider’s four licensing strategies: no licensing, fixed fee licensing, royalty licensing, and two-part tariff licensing. The literature suggests that when the network products can be completely substituted, two-part tariff licensing is the optimal strategy of the innovating service provider. We find that when the network products cannot be completely substituted, two-part tariff licensing is not always optimal. The degree of the product differentiation, the intensity of the network effects, and the R&D cost of the potential licensee play a key role in determining the innovating service provider’s optimal licensing strategies.

  20. Intelligent products for enhancing the utilization of tracking technology in transportation

    NARCIS (Netherlands)

    Meyer, Gerben G.; Buijs, Paul; Szirbik, Nick B.; Wortmann, J.C.

    2014-01-01

    Purpose – Many transportation companies struggle to effectively utilize the information provided by tracking technology for performing operational control. The research as presented in this paper aims to identify the problems underlying the inability to utilize tracking technology within this contex

  1. Utilization of Information and Communication Technologies as a Predictor of Educational Stress on Secondary School Students

    Science.gov (United States)

    Eskicumali, Ahmet; Arslan, Serhat; Demirtas, Zeynep

    2015-01-01

    The purpose of this study is to examine the relationship between utilization of information and communication technologies and educational stress. Participants were 411 secondary school students. Educational Stress Scale and Utilization of Information and Communication Technologies Scale were used as measures. The relationships between students'…

  2. Utilization of KSC Present Broadband Communications Data System for Digital Video Services

    Science.gov (United States)

    Andrawis, Alfred S.

    2002-01-01

    This report covers a visibility study of utilizing present KSC broadband communications data system (BCDS) for digital video services. Digital video services include compressed digital TV delivery and video-on-demand. Furthermore, the study examines the possibility of providing interactive video on demand to desktop personal computers via KSC computer network.

  3. Intergenerational Factors in the Utilization of Social Services by Black and White Elderly: A Causal Analysis.

    Science.gov (United States)

    Mindel, Charles H.; Wright, Roosevelt, Jr.

    Little is known about the roles of the family, kin and non-kin support networks in determining the use of social services by the elderly. An examination of the role of the formal and informal support systems to explain social service utilization by black and white older adults used path analytic procedures to test an explanatory model of…

  4. Factors Influencing Service-Learning Utilization in Social Work: Results from an Online Survey of Faculty

    Science.gov (United States)

    Cronley, Courtney; Madden, Elissa; Davis, Jaya; Preble, Kathleen

    2014-01-01

    The current study (N = 209) explored service-learning utilization in social work education by examining the influence of personal and institutional characteristics, perceived barriers, and beliefs about service-learning outcomes. Results of an online survey of social work educators showed that neither personal nor institutional characteristics…

  5. The Rural-Urban Divide: Health Services Utilization among Older Mexicans in Mexico

    Science.gov (United States)

    Salinas, Jennifer J.; Al Snih, Soham; Markides, Kyriakos; Ray, Laura A.; Angel, Ronald J.

    2010-01-01

    Context: Mexico. Purpose: Using the health care service utilization model as a framework, this paper will analyze the differences in health care service use among older Mexicans living in urban and rural areas in Mexico. Methods: The Mexican Health and Aging Survey (MHAS) data were used to test the applicability of Andersen's "model of health…

  6. Behavioral Health Services Utilization among Older Adults Identified within a State Abuse Hotline Database

    Science.gov (United States)

    Schonfeld, Lawrence; Larsen, Rebecca G.; Stiles, Paul G.

    2006-01-01

    Purpose: This study examined the extent to which older adults identified in a statewide abuse hotline registry utilized behavioral health services. This is important as mental health issues have been identified as a high priority for filling gaps in services for victims of mistreatment. Design and Methods: We compared Medicaid and Medicare claims…

  7. Utilization of KSC Present Broadband Communications Data System for Digital Video Services

    Science.gov (United States)

    Andrawis, Alfred S.

    2002-01-01

    This report covers a visibility study of utilizing present KSC broadband communications data system (BCDS) for digital video services. Digital video services include compressed digital TV delivery and video-on-demand. Furthermore, the study examines the possibility of providing interactive video on demand to desktop personal computers via KSC computer network.

  8. Factors Influencing Service-Learning Utilization in Social Work: Results from an Online Survey of Faculty

    Science.gov (United States)

    Cronley, Courtney; Madden, Elissa; Davis, Jaya; Preble, Kathleen

    2014-01-01

    The current study (N = 209) explored service-learning utilization in social work education by examining the influence of personal and institutional characteristics, perceived barriers, and beliefs about service-learning outcomes. Results of an online survey of social work educators showed that neither personal nor institutional characteristics…

  9. Outpatient Mental Health and the Dual-Diagnosis Patient: Utilization of Services and Community Adjustment.

    Science.gov (United States)

    Ford, Lucy; And Others

    1991-01-01

    Differences in service utilization and community adjustment between community mental health clients with and without substance abuse disorders were studied for 144 outpatients, 37 percent of whom had dual diagnoses (substance abuse and another disorder). The association of dual diagnosis with poor service use and adjustment is discussed. (SLD)

  10. Reactor technology assessment and selection utilizing systems engineering approach

    Science.gov (United States)

    Zolkaffly, Muhammed Zulfakar; Han, Ki-In

    2014-02-01

    The first Nuclear power plant (NPP) deployment in a country is a complex process that needs to consider technical, economic and financial aspects along with other aspects like public acceptance. Increased interest in the deployment of new NPPs, both among newcomer countries and those with expanding programs, necessitates the selection of reactor technology among commercially available technologies. This paper reviews the Systems Decision Process (SDP) of Systems Engineering and applies it in selecting the most appropriate reactor technology for the deployment in Malaysia. The integrated qualitative and quantitative analyses employed in the SDP are explored to perform reactor technology assessment and to select the most feasible technology whose design has also to comply with the IAEA standard requirements and other relevant requirements that have been established in this study. A quick Malaysian case study result suggests that the country reside with PWR (pressurized water reactor) technologies with more detailed study to be performed in the future for the selection of the most appropriate reactor technology for Malaysia. The demonstrated technology assessment also proposes an alternative method to systematically and quantitatively select the most appropriate reactor technology.

  11. Archival Services and Technologies for Scientific Data

    Science.gov (United States)

    Meyer, Jörg; Hardt, Marcus; Streit, Achim; van Wezel, Jos

    2014-06-01

    After analysis and publication, there is no need to keep experimental data online on spinning disks. For reliability and costs inactive data is moved to tape and put into a data archive. The data archive must provide reliable access for at least ten years following a recommendation of the German Science Foundation (DFG), but many scientific communities wish to keep data available much longer. Data archival is on the one hand purely a bit preservation activity in order to ensure the bits read are the same as those written years before. On the other hand enough information must be archived to be able to use and interpret the content of the data. The latter is depending on many also community specific factors and remains an areas of much debate among archival specialists. The paper describes the current practice of archival and bit preservation in use for different science communities at KIT for which a combination of organizational services and technical tools are required. The special monitoring to detect tape related errors, the software infrastructure in use as well as the service certification are discussed. Plans and developments at KIT also in the context of the Large Scale Data Management and Analysis (LSDMA) project are presented. The technical advantages of the T10 SCSI Stream Commands (SSC-4) and the Linear Tape File System (LTFS) will have a profound impact on future long term archival of large data sets.

  12. Bridging the Technology Readiness "Valley of Death" Utilizing Nanosats

    Science.gov (United States)

    Bauer, Robert A.; Millar, Pamela S.; Norton, Charles D.

    2015-01-01

    Incorporating new technology is a hallmark of space missions. Missions demand ever-improving tools and techniques to allow them to meet the mission science requirements. In Earth Science, these technologies are normally expressed in new instrument capabilities that can enable new measurement concepts, extended capabilities of existing measurement techniques, or totally new detection capabilities, and also, information systems technologies that can enhance data analysis or enable new data analyses to advance modeling and prediction capabilities. Incorporating new technologies has never been easy. There is a large development step beyond demonstration in a laboratory or on an airborne platform to the eventual space environment that is sometimes referred to as the "technology valley of death." Studies have shown that non-validated technology is a primary cause of NASA and DoD mission delays and cost overruns. With the demise of the New Millennium Program within NASA, opportunities for demonstrating technologies in space have been rare. Many technologies are suitable for a flight project after only ground testing. However, some require validation in a relevant or a space flight environment, which cannot be fully tested on the ground or in airborne systems. NASA's Earth Science Technology Program has initiated a nimble program to provide a fairly rapid turn-around of space validated technologies, and thereby reducing future mission risk in incorporating new technologies. The program, called In-Space Validation of Earth Science Technology (InVEST), now has five tasks in development. Each are 3U CubeSats and they are targeted for launch opportunities in the 2016 time period. Prior to formalizing an InVEST program, the technology program office was asked to demonstrate how the program would work and what sort of technologies could benefit from space validation. Three projects were developed and launched, and have demonstrated the technologies that they set out to validate

  13. Utilizing a Simulation within an Online School Technology Leadership Course

    Science.gov (United States)

    Strycker, Jesse

    2016-01-01

    Online courses and programs have grown to become and continue to be a popular option for students. As part of an online Master's of Education in Instructional Technology program, students must complete a school technology leadership course. Leadership decision making, policy making, and how to have innovations take hold in a school settings are…

  14. Space Situational Awareness Data Processing Scalability Utilizing Google Cloud Services

    Science.gov (United States)

    Greenly, D.; Duncan, M.; Wysack, J.; Flores, F.

    Space Situational Awareness (SSA) is a fundamental and critical component of current space operations. The term SSA encompasses the awareness, understanding and predictability of all objects in space. As the population of orbital space objects and debris increases, the number of collision avoidance maneuvers grows and prompts the need for accurate and timely process measures. The SSA mission continually evolves to near real-time assessment and analysis demanding the need for higher processing capabilities. By conventional methods, meeting these demands requires the integration of new hardware to keep pace with the growing complexity of maneuver planning algorithms. SpaceNav has implemented a highly scalable architecture that will track satellites and debris by utilizing powerful virtual machines on the Google Cloud Platform. SpaceNav algorithms for processing CDMs outpace conventional means. A robust processing environment for tracking data, collision avoidance maneuvers and various other aspects of SSA can be created and deleted on demand. Migrating SpaceNav tools and algorithms into the Google Cloud Platform will be discussed and the trials and tribulations involved. Information will be shared on how and why certain cloud products were used as well as integration techniques that were implemented. Key items to be presented are: 1.Scientific algorithms and SpaceNav tools integrated into a scalable architecture a) Maneuver Planning b) Parallel Processing c) Monte Carlo Simulations d) Optimization Algorithms e) SW Application Development/Integration into the Google Cloud Platform 2. Compute Engine Processing a) Application Engine Automated Processing b) Performance testing and Performance Scalability c) Cloud MySQL databases and Database Scalability d) Cloud Data Storage e) Redundancy and Availability

  15. Utilization of Information and Communication Technologies in Mathematics Learning

    Directory of Open Access Journals (Sweden)

    Farzaneh Saadati

    2014-07-01

    Full Text Available Attention to integrate technology in teaching and learning has provided a major transformation in the landscape of education. Therefore, many innovations in teaching and learning have been technology-driven. The study attempted to examine what is engineering students’ perception regarding the use of Information and Communication Technologies (ICT in mathematics learning as well as investigate their opinion about how ICT can be integrated to improve teaching and learning processes. The subjects were Iranian engineering students from two universities. The finding showed they are fully aware of importance of ICT in teaching and learning mathematics. Whilst, they were feeling comfortable and confident with technology, they do not have more experience of using technology in mathematics classes before. The findings supported the other studies, which indicated the potentials of ICT to facilitate students’ learning, improve teaching, and enhance institutional administration as established in the literature.

  16. IMPROVING LOGISTICS SERVICES THROUGH THE TECHNOLOGY USED IN FLEET MANAGEMENT

    Directory of Open Access Journals (Sweden)

    Mauro Vivaldini

    2012-12-01

    Full Text Available Outsourcing logistics has established itself in the area of the LSP (Logistics Service Provider, which offers a range of services to its customers. In this line, transportation is characterized as one of the most important services, and therefore efficient fleet management is essential for establishing a high level of customer service. With advances in technology and vehicle tracking systems, this approach of management has gained new possibilities for the improvement of logistics services. By studying the specific case of an LSP, this paper investigates the use of these technologies in the management of their business and services. The results indicate that the LSP seeks to increase its services and to streamline information in order to respond to customer needs in real time. It is also evident in this case under study that the combination of the technology available together with the fleet management system has become a distinguishing feature for this LSP, one which increases their skills and important information for both customers and business.

  17. Intimate partner violence in older women in Spain: prevalence, health consequences, and service utilization.

    Science.gov (United States)

    Montero, Isabel; Martín-Baena, David; Escribà-Agüir, Vicenta; Ruiz-Pérez, Isabel; Vives-Cases, Carmen; Talavera, Marta

    2013-01-01

    The purpose of this study is to estimate the prevalence of lifetime intimate partner violence (IPV) in older women and to analyze its effect on women's health and Healthcare Services utilization. Women aged 55 years and over (1,676) randomly sampled from Primary Healthcare Services around Spain were included. Lifetime IPV prevalence, types, and duration were calculated. Descriptive and multivariate procedures using logistic and multiple lineal regression models were used. Of the women studied, 29.4% experienced IPV with an average duration of 21 years. Regardless of the type of IPV experienced, abused women showed significantly poorer health and higher healthcare services utilization compared to women who had never been abused. The high prevalence detected long standing duration, negative health impact, and high healthcare services utilization, calling attention to a need for increased efforts aimed at addressing IPV in older women.

  18. Health Care Service Utilization of Dementia Patients before and after Institutionalization: A Claims Data Analysis

    Science.gov (United States)

    Schwarzkopf, Larissa; Hao, Yi; Holle, Rolf; Graessel, Elmar

    2014-01-01

    Background Community-based and institutional dementia care has been compared in cross-sectional studies, but longitudinal information on the effect of institutionalization on health care service utilization is sparse. Methods We analyzed claims data from 651 dementia patients via Generalized Estimation Equations to assess health care service utilization profiles and corresponding expenditures from four quarters before to four quarters after institutionalization. Results In all domains, utilization increased in the quarter of institutionalization. Afterwards, the use of drugs, medical aids, and non-physician services (e.g., occupational therapy and physiotherapy) remained elevated, but use of in- and outpatient treatment decreased. Cost of care showed corresponding profiles. Conclusion Institutional dementia care seems to be associated with an increased demand for supportive services but not necessarily for specialized medical care. PMID:25337076

  19. Health Care Service Utilization of Dementia Patients before and after Institutionalization: A Claims Data Analysis

    Directory of Open Access Journals (Sweden)

    Larissa Schwarzkopf

    2014-06-01

    Full Text Available Background: Community-based and institutional dementia care has been compared in cross-sectional studies, but longitudinal information on the effect of institutionalization on health care service utilization is sparse. Methods: We analyzed claims data from 651 dementia patients via Generalized Estimation Equations to assess health care service utilization profiles and corresponding expenditures from four quarters before to four quarters after institutionalization. Results: In all domains, utilization increased in the quarter of institutionalization. Afterwards, the use of drugs, medical aids, and non-physician services (e.g., occupational therapy and physiotherapy remained elevated, but use of in- and outpatient treatment decreased. Cost of care showed corresponding profiles. Conclusion: Institutional dementia care seems to be associated with an increased demand for supportive services but not necessarily for specialized medical care.

  20. Determinants of maternity care services utilization among married adolescents in rural India.

    Directory of Open Access Journals (Sweden)

    Prashant Kumar Singh

    Full Text Available BACKGROUND: Coupled with the largest number of maternal deaths, adolescent pregnancy in India has received paramount importance due to early age at marriage and low contraceptive use. The factors associated with the utilization of maternal healthcare services among married adolescents in rural India are poorly discussed. METHODOLOGY/PRINCIPAL FINDINGS: Using the data from third wave of National Family Health Survey (2005-06, available in public domain for the use by researchers, this paper examines the factors associated with the utilization of maternal healthcare services among married adolescent women (aged 15-19 years in rural India. Three components of maternal healthcare service utilization were measured: full antenatal care, safe delivery, and postnatal care within 42 days of delivery for the women who gave births in the last five years preceding the survey. Considering the framework on causes of maternal mortality proposed by Thaddeus and Maine (1994, selected socioeconomic, demographic, and cultural factors influencing outcome events were included as the predictor variables. Bi-variate analyses including chi-square test to determine the difference in proportion, and logistic regression to understand the net effect of predictor variables on selected outcomes were applied. Findings indicate the significant differences in the use of selected maternal healthcare utilization by educational attainment, economic status and region of residence. Muslim women, and women belonged to Scheduled Castes, Scheduled Tribes, and Other Backward Classes are less likely to avail safe delivery services. Additionally, adolescent women from the southern region utilizing the highest maternal healthcare services than the other regions. CONCLUSIONS: The present study documents several socioeconomic and cultural factors affecting the utilization of maternal healthcare services among rural adolescent women in India. The ongoing healthcare programs should start

  1. Integrating child health services into malaria control services of village malaria workers in remote Cambodia: service utilization and knowledge of malaria management of caregivers.

    Science.gov (United States)

    Hasegawa, Aya; Yasuoka, Junko; Ly, Po; Nguon, Chea; Jimba, Masamine

    2013-08-23

    Malaria and other communicable diseases remain major threats in developing countries. In Cambodia, village malaria workers (VMWs) have been providing malaria control services in remote villages to cope with the disease threats. In 2009, the VMW project integrated child health services into the original malaria control services. However, little has been studied about the utilization of VMWs' child health services. This study aimed to identify determinants of caregivers' VMW service utilization for childhood illness and caregivers' knowledge of malaria management. A cross-sectional study was conducted in 36 VMW villages of Kampot and Kampong Thom provinces in July-September 2012. An equal number of VMW villages with malaria control services only (M) and those with malaria control plus child health services (M+C) were selected from each province. Using structured questionnaires, 800 caregivers of children under five and 36 VMWs, one of the two VMWs who was providing VMW services in each study village were interviewed. Among the caregivers, 23% in M villages and 52% in M+C villages utilized VMW services for childhood illnesses. Determinants of caregivers' utilization of VMWs in M villages included their VMWs' length of experience (AOR = 11.80, 95% confidence interval [CI] = 4.46-31.19) and VMWs' service quality (AOR = 2.04, CI = 1.01-4.11). In M+C villages, VMWs' length of experience (AOR = 2.44, CI = 1.52-3.94) and caregivers' wealth index (AOR = 0.35, CI = 0.18-0.68) were associated with VMW service utilization. Meanwhile, better service quality of VMWs (AOR = 3.21, CI = 1.34-7.66) and caregivers' literacy (AOR = 9.91, CI = 4.66-21.05) were positively associated with caregivers' knowledge of malaria management. VMWs' service quality and length of experience are important determinants of caregivers' utilization of VMWs' child health services and their knowledge of malaria management. Caregivers are seeking VMWs' support for childhood illnesses even if they are

  2. Constraints to utilization of draft animal power technology at farm ...

    African Journals Online (AJOL)

    Mo

    Agricultural Engineering and Appropriate Technology Research Institute, AEATRI ... were: inadequate knowledge and skills on the use and management of DAP implements and work animals, lack of ... included participatory methods through working groups, .... Organizations (CBOs), manufactures (formal and informal),.

  3. Horizontal inequity in public health care service utilization for non-communicable diseases in urban Vietnam

    Directory of Open Access Journals (Sweden)

    Vu Duy Kien

    2014-08-01

    Full Text Available Background: A health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs. Design: A cross-sectional survey of 1,211 randomly selected households in slum and non-slum areas was carried out in four urban districts of Hanoi city in 2013. This study utilized data from 3,736 individuals aged 15 years and older. Respondents were asked about health care use during the previous 12 months; information included sex, age, and self-reported NCDs. We assessed the extent of inequity in utilization of public health care services. Concentration indexes for health care utilization and health care needs were constructed via probit regression of individual utilization of public health care services, controlling for age, sex, and NCDs. In addition, concentration indexes were decomposed to identify factors contributing to inequalities in health care utilization. Results: The proportion of healthcare utilization in the slum and non-slum areas was 21.4 and 26.9%, respectively. HI in health care utilization in favor of the rich was observed in the slum areas, whereas horizontal equity was achieved among the non-slum areas. In the slum areas, we identified some key factors that affect the utilization of public health care services. Conclusion: Our results suggest that to achieve horizontal equity in utilization of public health care services, policy should target preventive interventions for NCDs, focusing more on the poor in slum areas.

  4. UTILIZATION OF INFORMATION AND COMMUNICATION TECHNOLOGIES IN MATHEMATICS LEARNING

    Directory of Open Access Journals (Sweden)

    Farzaneh Saadati

    2014-07-01

    Full Text Available Attention to integrate technology in teaching and learning has provided a major transformation in the landscape of education. Therefore, many innovations in teaching and learning have been technology-driven. The study attempted to examine what is engineering students’ perception regarding the use of Information and Communication Technologies (ICT in mathematics learning as well as investigate their opinion about how ICT can be integrated to improve teaching and learning processes. The subjects were Iranian engineering students from two universities. The finding showed they are fully aware of importance of ICT in teaching and learning mathematics. Whilst, they were feeling comfortable and confident with technology, they do not have more experience of using technology in mathematics classes before. The findings supported the other studies, which indicated the potentials of ICT to facilitate students’ learning, improve teaching, and enhance institutional administration as established in the literature.Keywords: Technology, Mathematics Learning, Facebook, Attitude Toward ICT DOI: http://dx.doi.org/10.22342/jme.5.2.1498.138-147

  5. CERN technology in the service of medicine

    CERN Document Server

    2001-01-01

    The prototype of the first module of the LInac BOster (LIBO) has been constructed and tested at CERN. This new medical accelerator offers new perspectives in deep-seated tumour treatment.   Accelerator technology developed at CERN is set to bring about important advances in cancer therapy. The linac booster - LIBO - project aims to build a 3GHz proton linear accelerator to boost to 200 MeV the energy of the beam from 50-70 MeV cyclotrons, existing in several hospitals and laboratories. This will allow deep-seated tumours to be treated (see box). The prototype of the first LIBO module has just passed high power RF tests at CERN. Two members of the LIBO collaboration, Riccardo Zennaro and Paolo Berra, with the first LIBO module installed in the LIL tunnel. The LIBO idea goes back to 1993 when it was conceived by CERN's Ugo Amaldi, founder of Italy's TERA foundation. From the beginning, Mario Weiss, a former CERN staff member has led the project. A decisive step was taken in 1998 when a collaboration...

  6. A Review of Robotics Technologies for On-Orbit Services

    Science.gov (United States)

    2013-01-01

    34Autonomous Robotic Capture of a Satellite Using Constrained Predictive Control," IEEE/ASME Transactions on Mechatronics . Vol. 11, No. 6, 2006, pp. 699...K., "Impedance Control of Free-flying Space Robot for Orbital Servicing," Journal of Robotics and Mechatronics , Vol. 18, No. , 2006, pp. 608-617...1 A Review of Robotics Technologies for On-Orbit Services Angel Flores-Abad and Ou Ma Department of Mechanical and Aerospace Engineering New

  7. Connected Services A Guide to the Internet Technologies Shaping the Future of Mobile Services and Operators

    CERN Document Server

    Golding, Paul

    2011-01-01

    "Connected Services is a must-read for telco strategists who need to get up to speed on how the world of software and the web 2. 0 works."  Andreas Constantinou, Research Director, VisionMobile "This book is a must read for those charged with leading innovation in a world of connected services where telco and Internet collide." - Jason Goecke, VP of Innovation, Voxeo Labs This book explains the common underlying technological themes that underpin the new era of connected services in a post Web 2.0 epoch In this book, the author explores the underlying technological themes that underpin the new

  8. Children with paralytic poliomyelitis: utilization of physiotherapy services in Zamfara State, Nigeria.

    Science.gov (United States)

    Ogwumike, Omoyemi O; Kaka, Bashir; Adeniyi, Ade F

    2013-02-01

    Physiotherapy is usually indicated for health promotion and the rehabilitation of individuals with paralytic poliomyelitis. The endemic nature of this condition in children in Zamfara State, Nigeria necessitated investigation into the utilization of physiotherapy services by parents or primary caregivers of children affected with polio in this sub-region. Parents and primary caregivers of children with paralytic poliomyelitis were recruited using a purposive multi-stage sampling procedure in a cross-sectional survey. Factors associated with the utilization of physiotherapy services were assessed based on questions extracted from a 4-part, 52-item structured questionnaire originally designed for a study which investigated knowledge, attitude, and beliefs of parents of children with paralytic poliomyelitis. A total of 217 participants were included in this study. The mean age was 32.29 ± 9.89 years and the mean knowledge of polio score was 62.0 ± 17.3%. The mean age of the children with paralytic poliomyelitis was 6.41 ± 2.50 years. Only 27.2% of the parents or primary caregivers had utilized physiotherapy service for their children at some point. No association existed between utilization of physiotherapy service and 'knowledge of paralytic poliomyelitis', 'employment status', and 'family income' of respondents. Explanations for low utilization of physiotherapy services for children with paralytic poliomyelitis by parents or primary caregivers are discussed.

  9. Trends in mental health services utilization and stigma in US soldiers from 2002 to 2011.

    Science.gov (United States)

    Quartana, Phillip J; Wilk, Joshua E; Thomas, Jeffrey L; Bray, Robert M; Rae Olmsted, Kristine L; Brown, Janice M; Williams, Jason; Kim, Paul Y; Clarke-Walper, Kristina; Hoge, Charles W

    2014-09-01

    We characterized trends in mental health services utilization and stigma over the course of the Afghanistan and Iraq wars among active-component US soldiers. We evaluated trends in mental health services utilization and stigma using US Army data from the Health-Related Behavior (HRB) surveys from 2002, 2005, and 2008 (n = 12,835) and the Land Combat Study (LCS) surveys administered to soldiers annually from 2003 to 2009 and again in 2011 (n = 22,627). HRB and LCS data suggested increased mental health services utilization and decreased stigma in US soldiers between 2002 and 2011. These trends were evident in soldiers with and without posttraumatic stress disorder (PTSD), major depressive disorder (MDD), or PTSD and MDD. Despite the improving trends, more than half of soldiers with mental health problems did not report seeking care. Mental health services utilization increased and stigma decreased over the course of the wars in Iraq and Afghanistan. Although promising, these findings indicate that a significant proportion of US soldiers meeting criteria for PTSD or MDD do not utilize mental health services, and stigma remains a pervasive problem requiring further attention.

  10. Community perceptions and factors influencing utilization of health services in Uganda

    Directory of Open Access Journals (Sweden)

    Galea Sandro

    2009-07-01

    Full Text Available Abstract Background Healthcare utilization has particular relevance as a public health and development issue. Unlike material and human capital, there is little empirical evidence on the utility of social resources in overcoming barriers to healthcare utilization in a developing country context. We sought to assess the relevance of social resources in overcoming barriers to healthcare utilization. Study Objective To explore community perceptions among three different wealth categories on factors influencing healthcare utilization in Eastern Uganda. Methods We used a qualitative study design using Focus Group Discussions (FGD to conduct the study. Community meetings were initially held to identify FGD participants in the different wealth categories, ('least poor', 'medium' and 'poorest' using poverty ranking based on ownership of assets and income sources. Nine FGDs from three homogenous wealth categories were conducted. Data from the FGDs was analyzed using content analysis revealing common barriers as well as facilitating factors for healthcare service utilization by wealth categories. The Health Access Livelihood Framework was used to examine and interpret the findings. Results Barriers to healthcare utilization exist for all the wealth categories along three different axes including: the health seeking process; health services delivery; and the ownership of livelihood assets. Income source, transport ownership, and health literacy were reported as centrally useful in overcoming some barriers to healthcare utilization for the 'least poor' and 'poor' wealth categories. The 'poorest' wealth category was keen to utilize free public health services. Conversely, there are perceptions that public health facilities were perceived to offer low quality care with chronic gaps such as shortages of essential supplies. In addition to individual material resources and the availability of free public healthcare services, social resources are perceived as

  11. A review of factors influencing the utilization of eye care services

    Directory of Open Access Journals (Sweden)

    M. D. Ntsoane

    2010-12-01

    Full Text Available Visual impairment (low vision and blindness is a major health concern all over the world. Three main reasons for the high prevalence of visual impairment are non-availability, non-accessibility andnon-affordability of eye care services. However, there are several factors that may act as barriers to the use of available, accessible and affordable eye care services. These include the lack of knowledge of the services, lack of knowledge of the possible impact of an eye disease and lack of knowledge of who to consult for management of eye diseases. Also, demographic, personal, social and cultural factors may influence or act as barriers to eye care utilization. These various factors are reviewed in this article. Where there is poor utilization of available services, educational campaigns would lead to better understanding and promote greater utilization of eye care services. Early detection and management of eye diseases would reduce the burden of visual impairment and disability. Therefore, eye care providers and health care managers must have good knowledge of the various factors that would negatively influence utilization of eye care services and be responsive to them. (S Afr Optom 2010 69(4 182-193

  12. Extension Online: Utilizing Technology to Enhance Educational Outreach

    Science.gov (United States)

    Green, Stephen

    2012-01-01

    Extension Online is an Internet-based online course platform that enables the Texas AgriLife Extension Service's Family Development and Resource Management (FDRM) unit to reach tens of thousands of users across the U.S. annually with research-based information. This article introduces readers to Extension Online by describing the history of its…

  13. Disparities in mobile phone access and maternal health service utilization in Nigeria: a population-based survey.

    Science.gov (United States)

    Jennings, Larissa; Omoni, Adetayo; Akerele, Akunle; Ibrahim, Yisa; Ekanem, Ekpenyong

    2015-05-01

    Mobile communication technologies may reduce maternal health disparities related to cost, distance, and infrastructure. However, the ability of mHealth initiatives to accelerate maternal health goals requires in part that women with the greatest health needs have access to mobile phones. This study examined if women with limited mobile phone access have differential odds of maternal knowledge and health service utilization as compared to female mobile phone users who are currently eligible to participate in maternal mHealth programs. Using household survey data from Nigeria, multivariable logistic regressions were used to examine the odds of maternal knowledge and service utilization by mobile phone strata. Findings showed that in settings with unequal access to mobile phones, mHealth interventions may not reach women who have the poorest maternal knowledge and care-seeking as these women often lacked mobile connectivity. As compared to mobile users, women without mobile phone access had significantly lower odds of antenatal care utilization (OR=0.48, 95%CI: 0.36-0.64), skilled delivery (OR=0.56, 95%CI: 0.45-0.70), and modern contraceptive use (OR=0.50, 95%CI: 0.33-0.76) after adjusting for demographic characteristics. They also had significantly lower knowledge of maternal danger signs (OR=0.69, 95%CI: 0.53-0.90) and knowledge of antenatal (OR=0.46, 95%CI: 0.36-0.59) and skilled delivery care benefits (OR=0.62, 95%CI: 0.47-0.82). No differences were observed by mobile phone strata in uptake of emergency obstetric care, postnatal services, or breastfeeding. As maternal mHealth strategies are increasingly utilized, more efforts are needed to improve women's access to mobile phones and minimize potential health inequities brought on by health systems and technological barriers in access to care. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  14. Profiling microbial lignocellulose degradation and utilization by emergent omics technologies

    Energy Technology Data Exchange (ETDEWEB)

    Rosnow, Joshua J. [Biological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA; Anderson, Lindsey N. [Biological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA; Nair, Reji N. [Biological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA; Baker, Erin S. [Biological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA; Wright, Aaron T. [Biological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, USA

    2016-07-20

    The use of plant materials to generate renewable biofuels and other high-value chemicals is the sustainable and preferable option, but will require considerable improvements to increase the rate and efficiency of lignocellulose depolymerization. This review highlights novel and emergent technologies that are being developed and deployed to characterize the process of lignocellulose degradation. The review will also illustrate how microbial communities deconstruct and metabolize lignocellulose by identifying the necessary genes and enzyme activities along with the reaction products. These technologies include multi-omic measurements, cell sorting and isolation, nuclear magnetic resonance spectroscopy (NMR), activity-based protein profiling, and direct measurement of enzyme activity. The recalcitrant nature of lignocellulose necessitates the need to characterize the methods microbes employ to deconstruct lignocellulose to inform new strategies on how to greatly improve biofuel conversion processes. New technologies are yielding important insights into microbial functions and strategies employed to degrade lignocellulose, providing a mechanistic blueprint to advance biofuel production.

  15. Diesel Engine Waste Heat Recovery Utilizing Electric Turbocompound Technology

    Energy Technology Data Exchange (ETDEWEB)

    Gerke, Frank G.

    2001-08-05

    This cooperative program between the DOE Office of Heavy Vehicle Technology and Caterpillar, Inc. is aimed at demonstrating electric turbocompound technology on a Class 8 truck engine. This is a lab demonstration program, with no provision for on-truck testing of the system. The goal is to demonstrate the level of fuel efficiency improvement attainable with the electric turbocompound system. Also, electric turbocompounding adds an additional level of control to the air supply which could be a component in an emissions control strategy.

  16. Utilizing Web 2.0 to Provide an International Experience for Pre-Service Elementary Education Teachers--The IPC Project

    Science.gov (United States)

    Ausband, Leigh T.; Schultheis, Klaudia

    2010-01-01

    This paper describes an international project completed by groups of pre-service elementary education students in four countries. Students utilized Web 2.0 technologies to design and conduct a study on a topic of their choosing related to curriculum and instruction, in elementary schools. This paper also presents results of a survey given to two…

  17. Equity of health service utilization of urban residents: data from a western Chinese city

    Institute of Scientific and Technical Information of China (English)

    MAO Ying; XU Fei; ZHANG Ming-jun; LIU Jin-lin; YANG Jie; WANG Mei-juan; ZHANG Si-feng

    2013-01-01

    Background Getting medical treatment is still difficult and expensive in western China.Improving the equity of basic health services is one of the tasks of the new healthcare reform in China.This study aimed to analyze the parallel and vertical equity of health service utilization of urban residents and then find its influencing factors.Methods In August 2011,a household survey was conducted at 18 communities of Baoji City by multi-stage stratified random sampling.Based on the survey data,we calculated a concentration index of health service utilization for different income residents and a difference index of different ages.We then investigated the influencing factors of health service utilization by employing the Logistic regression model and log-linear regression model.Results The two-week morbidity rate of sampled residents was 19.43%,the morbidity rate of chronic diseases was 21.68%,and the required hospitalization rate after medical diagnosis was 11.36%.Among out-patient service utilization,the two-week out-patient rate,number of two-week out-patients,and out-patient expense had good parallel and vertical equity,while out-patient compensation expense had poor parallel and vertical equity.The inpatient service utilization,hospitalization rate,number of inpatients,days stayed in the hospital,and inpatient expense had good parallel equity,while inpatient compensation expense had poor parallel equity.While the hospitalization rate and number of inpatients had vertical equity,the days stayed in hospital,inpatient expense,and inpatient compensation expense had vertical inequity.Conclusions Urban residents' health was at a low level and there was not good health service utilization.There existed rather poor equity of out-patient compensation expense.The equity of inpatient service utilization was quite poor.Income difference and the type of medical insurance had great effects on the equity of health service utilization.

  18. Strategic planning in electric utilities: Using wind technologies as risk management tools

    Energy Technology Data Exchange (ETDEWEB)

    Hoff, T E [Pacific Energy Group, Stanford, CA (United States); Parsons, B [National Renewable Energy Lab., Golden, CO (United States)

    1996-06-01

    This paper highlights research investigating the ownership of renewable energy technologies to mitigate risks faced by the electric utility industry. Renewable energy technology attributes of fuel costs, environmental costs, lead time, modularity, and investment reversibility are discussed. Incorporating some of these attributes into an economic evaluation is illustrated using a municipal utility`s decision to invest in either wind generation or natural gas based generation. The research concludes that wind and other modular renewable energy technologies, such as photovoltaics, have the potential to provide decision makers with physical risk-management investments.

  19. Max-utility subcarrier allocation for heterogeneous services in wireless OFDM system

    Institute of Scientific and Technical Information of China (English)

    CHEN Zi-xiong; SUN Kai; YUAN Jun; WANG Ying

    2009-01-01

    In future wireless network, one user will require multiple homogeneous or heterogeneous services simultaneously. Then, the scheduling algorithm is not only responsible for assigning a resource block to different users but also sharing the assigned resource block among multiple services for one user. Most of the traditional scheduling algorithms are designed to serve one service per user, and cannot be applied directly to this scenario because of the fairness criterion. This article focuses on adaptive resource allocation for multiple services per user at the downlink of orthogonal frequency division multiplexing (OFDM) based system. This article addresses this integrative resource scheduling problem based on utility function. First, the optimal algorithm for dynamic subcarrier allocation and share is deduced for homogeneous best-effort service system. Then the algorithm is extended to heterogeneous services system by classifying the delay sensitive service according to the head-of-line packet delay. The design goal is to maximize aggregate utility function to exploit multiuser diversity gain to the greatest extent even as guaranteeing quality of service (QoS) for delay sensitive service.

  20. DIGITAL ERA: UTILIZE OF CLOUD COMPUTING TECHNOLOGY IN DIGITAL LIBRARY

    OpenAIRE

    T. RAGHUNADHA REDDY

    2012-01-01

    With the purpose of applying cloud computing to digital library, the paper initially describes cloud computing and analyzes current status of cloud computing in digital library. Then it proposes the architecture of cloud computing in digital library and summarises the application of cloud computing in digital library. Finally the author brings out the future improvement in digital library using cloud computing technology.

  1. Modern technologies of waste utilization from industrial tire production

    Science.gov (United States)

    Azimov, Yusuf; Gilmanshin, Iskander; Gilmanshina, Suriya

    2016-06-01

    The innovative technology of waste tire production recovery from JSC "Nizhnekamskshina", which determines the possibility of obtaining a new type of composite material in the form fiber filled rubber compound (FFRC) as the raw material, production of rubber products with high technical and operational characteristics.

  2. Determinants of Choice of Healthcare Services Utilization: Empirical Evidence from India

    Directory of Open Access Journals (Sweden)

    Dipanjan Kumar Dey

    2014-12-01

    Full Text Available Background: In order to improve the condition of the health care services in India, public healthcare services can play a very important role. However, the domination of private health care services and low utilization of public healthcare services in India is a matter of concern for the policy makers. Objective: The objective of the present study is to examine the determinants that lead an individual to choose between public and private healthcare service providers in India. Methods: For this purpose, a national level health survey data National Family Health Survey – 3 (NFHS – 3 is used. The determinants considered are age, gender, education, income, access, caste, marital status and exposure to mass media. Logistic regression analyses are carried out. Total, urban and rural samples are studied separately. Results: Findings reveal that people with increasing age, females, lower income group people, uneducated, weaker sections of society and those having access to primary public health care are more likely to utilize public healthcare services as compared to private ones in India. Conclusion: The government and policy makers should keep these findings in perspective to improve utilization of public healthcare services.

  3. Determinants of Health Care Services Utilization among First Generation Afghan Migrants in Istanbul

    Science.gov (United States)

    Alemi, Qais; Stempel, Carl; Koga, Patrick Marius; Smith, Valerie; Danis, Didem; Baek, Kelly; Montgomery, Susanne

    2017-01-01

    There is insufficient empirical evidence on the correlates of health care utilization of irregular migrants currently living in Turkey. The aim of this study was to identify individual level determinants associated with health service and medication use. One hundred and fifty-five Afghans completed surveys assessing service utilization including encounters with primary care physicians and outpatient specialists in addition to the use of prescription and nonprescription medicines. Multivariate logistic regression analyses were employed to examine associations between service use and a range of predisposing, enabling, and perceived need factors. Health services utilization was lowest for outpatient specialists (20%) and highest for nonprescription medications (37%). Female gender and higher income predicted encounters with primary care physicians. Income, and other enabling factors such as family presence in Turkey predicted encounters with outpatient specialists. Perceived illness-related need factors had little to no influence on use of services; however, asylum difficulties increased the likelihood for encounters with primary care physicians, outpatient services, and the use of prescription medications. This study suggests that health services use among Afghan migrants in Turkey is low considering the extent of their perceived illness-related needs, which may be further exacerbated by the precarious conditions in which they live. PMID:28218688

  4. United States geothermal technology: Equipment and services for worldwide applications

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-05-01

    This document has two intended audiences. The first part, ``Geothermal Energy at a Glance,`` is intended for energy system decision makers and others who are interested in wide ranging aspects of geothermal energy resources and technology. The second part, ``Technology Specifics,`` is intended for engineers and scientists who work with such technology in more detailed ways. The glossary at the end of the document defines many of the specialized terms. A directory of US geothermal industry firms who provide goods and services for clients around the world is available on request.

  5. Service-provider and utility task-leadership integration. Paper D

    Energy Technology Data Exchange (ETDEWEB)

    Bagshaw, S.; Van Tassell, D. [AP Services, Inc., Freeport, PA (United States)

    2011-07-01

    As nuclear power utilities strive to stream-line their organizations, while improving outage and refurbishment project performance, the necessity for effective relationships and interaction between utility and service-providers becomes paramount. Successful integration of Service-Provider into the Utility's environment is achievable and has been demonstrated. Early and extensive engagement in front-end planning, single-point-of-continuity, and the use of integrated execution teams, are some of the critical elements for ensuring success. The paper discusses Task-Leadership Integration at the three levels of; utility executive level 'need-statement'; a 'why is this important' discussion; and as a 'thoughtful tutorial' on its features and practice. (author)

  6. Defining core issues in utilizing information technology to improve access: evaluation and research agenda.

    Science.gov (United States)

    Jackson, George L; Krein, Sarah L; Alverson, Dale C; Darkins, Adam W; Gunnar, William; Harada, Nancy D; Helfrich, Christian D; Houston, Thomas K; Klobucar, Thomas F; Nazi, Kim M; Poropatich, Ronald K; Ralston, James D; Bosworth, Hayden B

    2011-11-01

    The Department of Veterans Affairs (VA) has been at the vanguard of information technology (IT) and use of comprehensive electronic health records. Despite the widespread use of health IT in the VA, there are still a variety of key questions that need to be answered in order to maximize the utility of IT to improve patient access to quality services. This paper summarizes the potential of IT to enhance healthcare access, key gaps in current evidence linking IT and access, and methodologic challenges for related research. We also highlight four key issues to be addressed when implementing and evaluating the impact of IT interventions on improving access to quality care: 1) Understanding broader needs/perceptions of the Veteran population and their caregivers regarding use of IT to access healthcare services and related information. 2) Understanding individual provider/clinician needs/perceptions regarding use of IT for patient access to healthcare. 3) System/Organizational issues within the VA and other organizations related to the use of IT to improve access. 4) IT integration and information flow with non-VA entities. While the VA is used as an example, the issues are salient for healthcare systems that are beginning to take advantage of IT solutions.

  7. 76 FR 34886 - General Services Administration Acquisition Regulation; Implementation of Information Technology...

    Science.gov (United States)

    2011-06-15

    ... of Information Technology Security Provision AGENCY: Office of Acquisition Policy, General Services... to implement policy and guidelines for contracts and orders that include information technology (IT... information technology (IT) supplies, services and systems with security requirements. Comment...

  8. Case Study – Idling Reduction Technologies for Emergency Service Vehicles

    Energy Technology Data Exchange (ETDEWEB)

    Laughlin, Michael [Argonne National Lab. (ANL), Argonne, IL (United States); Owens, Russell J. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-01-01

    This case study explores the use of idle reduction technologies (IRTs) on emergency service vehicles in police, fire, and ambulance applications. Various commercially available IRT systems and approaches can decrease, or ultimately eliminate, engine idling. Fleets will thus save money on fuel, and will also decrease their criteria pollutant emissions, greenhouse gas emissions, and noise.

  9. Clearinghouses and informaion resources offering utility-related products and services

    Energy Technology Data Exchange (ETDEWEB)

    1979-12-10

    This report, designed for use within the utility community, offers informative descriptions of some of the more relevant organizations engaged in providing information concerned with utility rate regulation. Eighteen information profiles are structured to include the name, address, and telephone number of each of the organizations, and where appropriate, personnel who should be contacted for assistance. A brief synopsis of relevant data indicates type of information and services available to users.

  10. Utilization of Near Field Communication Technology for Loyalty Management

    Directory of Open Access Journals (Sweden)

    Ferina Ferdianti

    2013-09-01

    Full Text Available Near Field Communication (NFC is one of wireless technology developed at this time. We can use a mobile phone to do many transactions with NFC. Mobile developments have created to provide convenience for users in all aspects. However, at this time the function of NFC just limited for payment and micropayment. Beside it, there are assets that support to increase sales with attention of loyality management system. In this system, discounts or prizes are given based on data mining for every transaction costumers. Loyalty management has three concept, those are Frequency, Recency and Quantity. The goals are minimizing the cost, making purchase process faster, and managing data obtained through the NFC technology more simple. The result of this paper is the procedure to use data mining of NFC for loyalty management and system design using Unified Modeling Language approach.

  11. Utilizing HPC Network Technologies in High Energy Physics Experiments

    CERN Document Server

    AUTHOR|(CDS)2088631; The ATLAS collaboration

    2017-01-01

    Because of their performance characteristics high-performance fabrics like Infiniband or OmniPath are interesting technologies for many local area network applications, including data acquisition systems for high-energy physics experiments like the ATLAS experiment at CERN. This paper analyzes existing APIs for high-performance fabrics and evaluates their suitability for data acquisition systems in terms of performance and domain applicability. The study finds that existing software APIs for high-performance interconnects are focused on applications in high-performance computing with specific workloads and are not compatible with the requirements of data acquisition systems. To evaluate the use of high-performance interconnects in data acquisition systems a custom library, NetIO, is presented and compared against existing technologies. NetIO has a message queue-like interface which matches the ATLAS use case better than traditional HPC APIs like MPI. The architecture of NetIO is based on a interchangeable bac...

  12. Dental services utilization by women of childbearing age by socioeconomic status.

    Science.gov (United States)

    Kaylor, Mary B; Polivka, Barbara J; Chaudry, Rosemary; Salsberry, Pamela; Wee, Alvin G

    2010-04-01

    For women of childbearing age, oral health not only affects their physical and psychological well-being but also that of their children. This study used the 2003-2004 Ohio Family Health Survey (N = 9,819) to examine dental need and utilization by women in Ohio. Predisposing, enabling, and need variables were examined as they effect dental health service utilization by women of childbearing age at different socioeconomic status (SES) levels. The proportion of women in the low SES group self reporting a dental need (18%) was 3 times that of the proportion of women in the higher SES group with a self reported need (6%). Results of bivariate analysis showed that having a dental visit in the past year varied significantly by SES, race, insurance status, provider density, and need. A racial disparity in dental service utilization was noted in the bivariate analysis of the middle SES group. While dental need and type of dental coverage varied by SES, both were significantly associated with utilization of dental services within all 3 SES categories in the logistic regressions. These results suggest that measures need to be implemented to meet the goal of increasing access and utilization of dental health services by low-income populations.

  13. ChEMBL web services: streamlining access to drug discovery data and utilities.

    Science.gov (United States)

    Davies, Mark; Nowotka, Michał; Papadatos, George; Dedman, Nathan; Gaulton, Anna; Atkinson, Francis; Bellis, Louisa; Overington, John P

    2015-07-01

    ChEMBL is now a well-established resource in the fields of drug discovery and medicinal chemistry research. The ChEMBL database curates and stores standardized bioactivity, molecule, target and drug data extracted from multiple sources, including the primary medicinal chemistry literature. Programmatic access to ChEMBL data has been improved by a recent update to the ChEMBL web services (version 2.0.x, https://www.ebi.ac.uk/chembl/api/data/docs), which exposes significantly more data from the underlying database and introduces new functionality. To complement the data-focused services, a utility service (version 1.0.x, https://www.ebi.ac.uk/chembl/api/utils/docs), which provides RESTful access to commonly used cheminformatics methods, has also been concurrently developed. The ChEMBL web services can be used together or independently to build applications and data processing workflows relevant to drug discovery and chemical biology.

  14. DIGITAL ERA: UTILIZE OF CLOUD COMPUTING TECHNOLOGY IN DIGITAL LIBRARY

    Directory of Open Access Journals (Sweden)

    T. RAGHUNADHA REDDY

    2012-09-01

    Full Text Available With the purpose of applying cloud computing to digital library, the paper initially describes cloud computing and analyzes current status of cloud computing in digital library. Then it proposes the architecture of cloud computing in digital library and summarises the application of cloud computing in digital library. Finally the author brings out the future improvement in digital library using cloud computing technology.

  15. Preliminary technology utilization assessment of the robotic fruit harvester

    Science.gov (United States)

    Wilhelm, J.

    1982-01-01

    The results of an analysis whose purpose was to examine the history and progress of mechanical fruit harvesting, to determine the significance of a robotic fruit tree harvester and to assess the available market for such a product are summarized. Background information that can be used in determining the benefit of a proof of principle demonstration is provided. Such a demonstration could be a major step toward the transfer of this NASA technology.

  16. Factors Influencing Mothers’ Utilization of Maternal and Child Care (MCC Services

    Directory of Open Access Journals (Sweden)

    Raquel C. Pambid

    2015-05-01

    Full Text Available The Rapid Reduction of Maternal and Neonatal Mortality is a health system responsive to the needs of all mothers and children. While various efforts are being undertaken to improve the implementation of maternal health program among pregnant women and immunization for children, there is a slow take up of these services. Factors influencing the slow demand for MCC services among mothers and children are not fully known. Factors hindering the delivery of these services need to be probed. This study used the descriptive method of research to describe the responses of mothers about the factors influencing slow availment of Maternal and Child Care Services. There were 396 mothers in Region 1 who willingly participated during focused group discussion. The highly availed services by mothers were: 1. pre-natal service, 2. Immunization, and 3. Family planning. Health services availed by the respondents’ children were: 1. Management of childhood illness, 2. Immunization, and 3. Infant and young feeding. The mothers’ deep concern for her baby’s safety and health; free but limited medical services from competent health workers; inadequate supplies and equipment; distance to the nearest health facility, family income, mothers’ education and dialect for communication influenced delivery of the program. To increase the utilization of MCC services, government hospitals should give free complete MCC services to the poor, the mothers should be informed about the benefits of complete maternal services for her baby and herself, enhance dissemination campaign through leaflets, flyers, pamphlets, and seminars.

  17. NCloud - Experimenting with Architecting and Facilitating Utility Services for establishing Educational Cloud

    Directory of Open Access Journals (Sweden)

    Madhuri Bhavsar

    2013-06-01

    Full Text Available Academic Institutions as well as Enterprises all over the globe have become heavily dependent on high performance computing systems for their day to day activities and hence it continues to seek opportunities to rationalize and optimize the utilization of resources. Continuous upgradation  of software and hardware have become important items of those organizations meetings creating budget pressure. In such scenario, Cloud computing services could provide many of those organizations to enhance the productivity keeping the budget expenditure low.The paper discusses the experiments carried out on our educational campus for architecting the cloud – hereafter referred as NCloud (Cloud built on Nirma Campus, configured using open source tools, furnishes the utility services which is leading towards an establishment of  a stepping stone for formation of knowledge cloud. Testbed formed for data center consists of 1 front-end and 16 worker node.  By using NCloud, user will be able to fulfill the demand  of infrastructure as a service in which user is provided an operating system with specific RAM and CPU cores. Utility oriented services in NCloud aims to charge user for what they use. For implementing utility oriented services, analysis of various major cloud providers is done including pricing models. Performance measures on heterogeneous platforms and the results obtained are included in the paper.

  18. Increased utilization of health care services after psychotherapy: a register based study

    DEFF Research Database (Denmark)

    Fenger, Morten Munthe; Poulsen, Stig Bernt; Mortensen, Erik Lykke;

    2012-01-01

    545 patients completed treatment; 228 responded and 201 did not respond to treatment. Data on treatment response was missing for the remaining 116 patients. Completer patients increased their use of all health care services with 296% (ES=0.58) in the four year pre-post comparison, while the control...... a long-term period psychotherapy patients increased their utilization of health care services with a factor 3 compared to a control group....

  19. The contribution of ecosystem services to place utility as a determinant of migration decision-making

    Science.gov (United States)

    Adams, Helen; Adger, W. Neil

    2013-03-01

    Environment migration research has sought to provide an account of how environmental risks and resources affect migration and mobility. Part of that effort has focused on the role of the environment in providing secure livelihoods through provisioning ecosystem services. However, many of the models of environment migration linkages fail to acknowledge the importance of social and psychological factors in the decision to migrate. Here, we seek to provide a more comprehensive model of migration decision-making under environmental change by investigating the attachment people form to place, and the role of the environment in creating that attachment. We hypothesize that environmental factors enter the migration decision-making process through their contribution to place utility, defined as a function of both affective and instrumental bonds to location, and that ecosystem services, the aspects of ecosystems that create wellbeing, contribute to both components of place utility. We test these ideas in four rural highland settlements in Peru sampled along an altitudinal gradient. We find that non-economic ecosystem services are important in creating place attachment and that ecological place attachment exists independently of use of provisioning ecosystem services. Individuals’ attitudes to ecosystem services vary with the type of ecosystem services available at a location and the degree of rurality. While social and economic factors are the dominant drivers of migration in these locations, a loss of non-provisioning ecosystem services leads to a decrease in place utility and commitment to place, determining factors in the decision to migrate. The findings suggest that policy interventions encouraging migration as an adaptation to environmental change will have limited success if they only focus on provisioning services. A much wider set of individuals will experience a decrease in place utility, and migration will be unable to alleviate that decrease since the factors

  20. Technology for the Utilization of Deep Geothermal Reservoirs in Germany

    Directory of Open Access Journals (Sweden)

    David Bruhn

    2007-01-01

    Full Text Available The Geothermal Technology Program at GFZ identify suitable geological structures and horizons for extracting energy and develop new methods to increase the productivity of deep geothermal reservoirs. In this context, the former gas exploration well Groß Schönebeck EGrSk3/90 (50 km northeast of Berlin was reopened and deepened to the 4309 m depth to serve as a geothermal in situ laboratory for testing stimulation concepts. The objective of these stimulation operations was to create secondary flow paths and to improve the inflow performance of the well.In addition, Groß Schönebeck is the only test site of the EU-project I-GET (Integrated Geophysical Exploration Technologies for deep fractured geothermal systems, where new, cost-effective and reliable geothermal exploration techniques are developed to increase the success rate of drilling.Based on the data of deep neighbouring wells and the industry seismic measurements, a model was generated to visualise the geological setting and to plan the course of the second well. The well encounters a typical sequence of various geological formations, known in the North German Basin. A series of 2370 m of Quaternary to Triassic sediments is underlain by 1492 m of Zechstein salts, and the following section of this well, which was foreseen for testing, comprises 400 m of Rotliegend formation (siltstones, sandstones, conglomerates and 60 m of underlying volcanic rocks down to the final depth of 4309 m.The well Groß Schönebeck makes the deep sedimentary Rotliegend reservoir accessible, which is characterized by water bearing porous and fractured rocks. The Rotliegend reservoir consists of a sequence of sandstones, conglomerates, and volcanic rocks with formation fluids of 150 °C at porosities of up to 10 %. Experiments in this in-situ geothermal laboratory should lead to a reliable technology for a sufficient production of deep fluids in such reservoirs.

  1. Clinical utility of RapidArcTM radiotherapy technology

    Directory of Open Access Journals (Sweden)

    Infusino E

    2015-11-01

    Full Text Available Erminia Infusino Department of Radiotherapy, Campus Bio-Medico University Hospital, Rome, Italy Abstract: RapidArcTM is a radiation technique that delivers highly conformal dose distributions through the complete rotation (360° and speed variation of the linear accelerator gantry. This technique, called volumetric modulated arc therapy (VMAT, compared with conventional radiotherapy techniques, can achieve high-target volume coverage and sparing damage to normal tissues. RapidArc delivers precise dose distribution and conformity similar to or greater than intensity-modulated radiation therapy in a short time, generally a few minutes, to which image-guided radiation therapy is added. RapidArc has become a currently used technology in many centers, which use RapidArc technology to treat a large number of patients. Large and small hospitals use it to treat the most challenging cases, but more and more frequently for the most common cancers. The clinical use of RapidArc and VMAT technology is constantly growing. At present, a limited number of clinical data are published, mostly concerning planning and feasibility studies. Clinical outcome data are increasing for a few tumor sites, even if only a little. The purpose of this work is to discuss the current status of VMAT techniques in clinical use through a review of the published data of planning systems and clinical outcomes in several tumor sites. The study consisted of a systematic review based on analysis of manuscripts retrieved from the PubMed, BioMed Central, and Scopus databases by searching for the keywords "RapidArc", "Volumetric modulated arc radiotherapy", and "Intensity-modulated radiotherapy". Keywords: IMRT, VMAT, SBRT, SRS, treatment planning software 

  2. Radiation utilization in technology; Strahlungsanwendung in der Technik

    Energy Technology Data Exchange (ETDEWEB)

    Spiess, Lothar [Technische Univ. Ilmenau (Germany). Inst. fuer Werkstofftechnik

    2013-04-01

    In the course of the harmonization of the European legislation for the radiation protection the German radiation protection law must be adapted. RoeV and StrlSchV must be summarized to only one law. The education in the technical instruction can play here a pioneering role. In the course of this absolutely necessary new adjustment the law and directives texts must follow the technical progress and the developing state of the technology more unambiguously. Currently too many technical instruction groups are established in the radiation protection and partly wrong technical definitions are used. This leads partly to incorrect approval conditions using technical radiation sources. (orig.)

  3. Utilization of dental services among secondary school students in Port Harcourt, Nigeria

    Directory of Open Access Journals (Sweden)

    Joycelyn Odegua Eigbobo

    2016-01-01

    Full Text Available Background: Regular use of dental services has been associated with optimal oral health. Reports in some parts of Nigeria have shown the poor utilization of dental services, but there is a paucity of information relating to oral health care seeking behavior in the South-South region of Nigeria. Aim: To determine the pattern of utilization and identify barriers to utilization of dental services among children. Materials and Methods: This was a cross-sectional study done among children aged 12-15 years in secondary schools in Port Harcourt, Nigeria. Information was elicited by means of a self-administered structured questionnaire. These included sociodemographic characteristics, views on dental visits, reported visits during the previous year, pattern of dental visits, and the barriers to utilization. Demographic variables and associations were tested using Chi-squared tests with the level of statistical significance set at P < 0.05 at 95% confidence interval. Results: There were 200 school children; 98 (49% males and 102 (51% females with a mean age of 13.3 (΁1.1 years. Dental visits were deemed important by 187 (93.5% children, and 32.0% respondents suggested that visits should be when there are symptoms. Only 42 (21% pupils had been to the dentist in the last 12 months. The barriers to utilization of dental services majorly included no perceived needs (64.3%. Demographic variables had no significant association with reported visits and pattern of visits. Conclusion: Utilization of dental services among these school children was low and the major barrier was no perceived need. Oral health awareness needs to be improved on the importance of a regular checkup.

  4. Factors associated with the utilization of institutional delivery services in Bangladesh.

    Science.gov (United States)

    Yaya, Sanni; Bishwajit, Ghose; Ekholuenetale, Michael

    2017-01-01

    Bangladesh has made remarkable progress towards reducing its maternal mortality rate (MMR) over the last two decades and is one of the few countries on track to achieving the MMR-related Millennium Development Goals (MDG-5A). However, the provision of universal access to reproductive healthcare (MDG-5B) and the utilization of maternal healthcare services (MHS) such as institutional delivery, which are crucial to the reduction of maternal mortality, are far behind the internationally agreed-upon target. Effective policymaking to promote the utilization of MHS can be greatly facilitated by the identification of the factors that hinder service uptake. In this study, we therefore aim to measure the prevalence of institutional delivery services and explore the factors associated with their utilization in Bangladesh. Data for this study were extracted from the 2011 Bangladesh Demographic and Health Survey (BDHS, 2011); participants were 7,313 women between the ages of 15 and 49 years, selected from both urban and rural households. Data were analyzed using Chi-square analysis, and conditional logistic regression. According to the findings, fewer than one in three women reported delivering at a health facility. The multivariable regression analysis showed that participants from rural areas were 46.9% less likely to have institutional deliveries compared to urban dwellers (OR = 0.531; pservice utilization compared to those aged 15 to 29 years (OR = 1.236; p = 0.006; 95%CI: 1.062-1.437). Moreover, participants with higher educational attainment were about twice as likely to deliver at a standard health facility when compared to those without formal education (OR = 2.081; pservice utilization of institutional delivery facilities compared to those without formal education (OR = 1.709; pservice use, with participants belonging to the highest economic stratum being more likely to receive skilled care compared to the lowest economic stratum (OR = 2.507; pservice utilization

  5. Residual Barriers for Utilization of Maternal and Child Health Services: Community Perceptions From Rural Pakistan.

    Science.gov (United States)

    Memon, Zahid; Zaidi, Shehla; Riaz, Atif

    2015-11-03

    Low utilization of maternal and child care services in rural areas has constrained Pakistan from meeting targets of Millennium Development Goals (MDGs) 4 and 5. This study explores community barriers in accessing Maternal and Child Health (MCH) services in ten remote rural districts of Pakistan. It further presents how the barriers differ across a range of MCH services, and also whether the presence of Community Health Workers (CHWs) reduces client barriers. Qualitative methods were used involving altogether sixty focus group discussions with mothers, their spouses and community health workers. Low awareness, formidable distances, expense, and poorly functional services were the main barriers reported, while cultural and religious restrictions were lesser reported. For preventive services including antenatal care (ANC), facility deliveries, postnatal care (PNC), childhood immunization and family planning, the main barrier was low awareness. Conversely, formidable distances and poorly functional services were the main reported constraints in the event of maternal complications and acute child illnesses. The study also found that clients residing in areas served by CHWs had better awareness only of ANC and family planning, while other MCH services were overlooked by the health worker program. The paper highlights that traditional policy emphasis on health facility infrastructure expansion is not likely to address poor utilization rates in remote rural areas. Preventive MCH services require concerted attention to building community awareness, task shifting from facility to community for services provision, and re-energization of CHW program. For maternal and child emergencies there is strong community demand to utilize health facilities, but this will require catalytic support for transport networks and functional health care centers.

  6. UTILITY ADVANCED TURBINE SYSTEMS (ATS) TECHNOLOGY READINESS TESTING

    Energy Technology Data Exchange (ETDEWEB)

    Unknown

    1998-10-01

    The overall objective of the Advanced Turbine System (ATS) Phase 3 Cooperative Agreement between Ge and the US Department of Energy (DOE) is the development of the GE 7H and 9H combined cycle power systems. The major effort will be expended on detail design. Validation of critical components and technologies will be performed, including: hot gas path component testing, sub-scale compressor testing, steam purity test trials, and rotational heat transfer confirmation testing. Processes will be developed to support the manufacture of the first system, which was to have been sited and operated in Phase 4 but will now be sited and operated commercially be GE. This change has resulted from DOE's request to GE for deletion of Phase 4 in favor of a restructured Phase 3 (as Phase 3R) to include full speed, no load (FSNL) testing of the 7H gas turbine. Technology enhancements that are not required for the first machine design but will be critical for future ATS advances in performance, reliability, and costs will be initiated. Long-term tests of materials to confirm design life predictions will continue. A schematic of the GE H machine is shown. This report summarizes work accomplished from 4Q97 through 3Q98.

  7. Utility Advanced Turbine Systems (ATS) Technology Readiness Testing

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-10-29

    The overall objective of the Advanced Turbine System (ATS) Phase 3 Cooperative Agreement between GE and the U.S. Department of Energy (DOE) is the development of the GE 7H and 9H combined cycle power systems. The major effort will be expended on detail design. Validation of critical components and technologies will be performed, including: hot gas path component testing, sub-scale compressor testing, steam purity test trials, and rotational heat transfer confirmation testing. Processes will be developed to support the manufacture of the first system, which was to have been sited and operated in Phase 4 but will now be sited and operated commercially by GE. This change has resulted from DOE's request to GE for deletion of Phase 4 in favor of a restructured Phase 3 (as Phase 3R) to include full speed, no load (FSNL) testing of the 7H gas turbine. Technology enhancements that are not required for the first machine design but will be critical for future ATS advances in performance, reliability, and costs will be initiated. Long-term tests of materials to confirm design life predictions will continue. A schematic of the GE H machine is shown in Figure 1-1. This report summarizes work accomplished in 2Q98. The most significant accomplishments are listed in the report.

  8. Utility Advanced Turbine Systems (ATS) technology readiness testing

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-05-01

    The overall objective of the Advanced Turbine System (ATS) Phase 3 Cooperative Agreement between GE and the US Department of Energy (DOE) is the development of the GE 7H and 9H combined cycle power systems. The major effort will be expended on detail design. Validation of critical components and technologies will be performed, including: hot gas path component testing, sub-scale compressor testing, steam purity test trials, and rotational heat transfer confirmation testing. Processes will be developed to support the manufacture of the first system, which was to have been sited and operated in Phase 4 but will now be sited and operated commercially by GE. This change has resulted horn DOE's request to GE for deletion of Phase 4 in favor of a restructured Phase 3 (as Phase 3R) to include fill speed, no load (FSNL) testing of the 7H gas turbine. Technology enhancements that are not required for the first machine design but will be critical for future ATS advances in performance, reliability, and costs will be initiated. Long-term tests of materials to confirm design life predictions will continue. A schematic of the GE H machine is shown.

  9. Improving technological pedagogical content knowledge development among pre-service science teachers

    Science.gov (United States)

    Habowski, Thomas A.

    Many teacher education programs provide pre-service teachers with a limited field experience during the professional block semester prior to student teaching. These programs require few hours in the classroom, mainly composed of observations. Many teacher education programs contain a technology-integration methods course that is not subject-specific and mainly focuses on the use of various technologies, in the absence of content and pedagogy. The purpose of this EPP was to examine a Professional Development School (PDS) Program with respect to technology integration among pre-service science teachers. This examination set out to measure differences in pre-service teachers' Technological Pedagogical Content Knowledge (TPACK) before and after the first-semester internship in the program, and utilized various data collection instruments in the process. The primary instrument used was a survey which provided quantitative data for measuring changes in TPACK among the interns throughout the first-semester internship. A set of open-ended questions on the survey provided descriptive details concerning models of TPACK observed and co-taught by the interns. Additionally, a focus group and a PDS conference provided descriptive data concerning observed models of technology, the impact of a subject-specific technology integration course, comparisons between the PDS and traditional teacher education programs, and insight into the comfort and success levels with using technology in the science classroom. The survey responses, the focus group responses, and the PDS conference data all suggested that the increased time requirement, in conjunction with the required technology integration course, and the mentorship provided by a co-teaching model led to exposure to valuable models of technology, an increase in self-assessed TPACK, and a feeling of increased confidence as reported by the interns during the first-semester internship of the PDS Program.

  10. Pragmatics Driven Land Cover Service Composition Utilizing Behavior-Intention Model

    Science.gov (United States)

    Wu, Hao; Chen, Jun; Xing, Huaqiao; Li, Songnian; Hu, Juju

    2016-06-01

    Web service composition is one of the key issues to develop a global land cover (GLC) information service portal. Aiming at the defect that traditional syntax and semantic service compositionare difficult to take pragmatic information into account, the paper firstly analyses three tiers of web service language and their succession relations, discusses the conceptual model of pragmatic web service, and proposes the idea of pragmatics-oriented adaptive composition method based on the analysis of some examples. On this basis it puts forward the pragmatic web service model based on Behavior-Intention through presetting and expression of service usability, users' intention, and other pragmatic information, develops the on-demand assembly method based on the agent theory and matching and reconstruction method on heterogeneous message, solves the key technological issue of algorithm applicability and heterogeneous message transformation in the process of covering web service composition on the ground, applies these methods into service combination, puts forward the pragmatic driven service composition method based on behavior-intention model, and effectively settles the issue of coordination and interaction of composite service invocation.

  11. PRAGMATICS DRIVEN LAND COVER SERVICE COMPOSITION UTILIZING BEHAVIOR-INTENTION MODEL

    Directory of Open Access Journals (Sweden)

    H. Wu

    2016-06-01

    Full Text Available Web service composition is one of the key issues to develop a global land cover (GLC information service portal. Aiming at the defect that traditional syntax and semantic service compositionare difficult to take pragmatic information into account, the paper firstly analyses three tiers of web service language and their succession relations, discusses the conceptual model of pragmatic web service, and proposes the idea of pragmatics-oriented adaptive composition method based on the analysis of some examples. On this basis it puts forward the pragmatic web service model based on Behavior-Intention through presetting and expression of service usability, users' intention, and other pragmatic information, develops the on-demand assembly method based on the agent theory and matching and reconstruction method on heterogeneous message, solves the key technological issue of algorithm applicability and heterogeneous message transformation in the process of covering web service composition on the ground, applies these methods into service combination, puts forward the pragmatic driven service composition method based on behavior-intention model, and effectively settles the issue of coordination and interaction of composite service invocation.

  12. Service robotics: an emergent technology field at the interface between industry and services.

    Science.gov (United States)

    Ott, Ingrid

    2012-12-01

    The paper at hand analyzes the economic implications of service robots as expected important future technology. The considerations are embedded into global trends, focusing on the interdependencies between services and industry not only in the context of the provision of services but already starting at the level of the innovation process. It is argued that due to the various interdependencies combined with heterogenous application fields, the resulting implications need to be contextualized. Concerning the net labor market effects, it is reasonable to assume that the field of service robotics will generate overall job creation that goes along with increasing skill requirements demanded from involved employees. It is analyzed which challenges arise in evaluating and further developing the new technology field and some policy recommendations are given.

  13. Diesel Engine Waste Heat Recovery Utilizing Electric Turbocompound Technology

    Energy Technology Data Exchange (ETDEWEB)

    Hopman, Ulrich,; Kruiswyk, Richard W.

    2005-07-05

    Caterpillar's Technology & Solutions Division conceived, designed, built and tested an electric turbocompound system for an on-highway heavy-duty truck engine. The heart of the system is a unique turbochargerr with an electric motor/generator mounted on the shaft between turbine and compressor wheels. When the power produced by the turbocharger turbine exceeds the power of the compressor, the excess power is converted to electrical power by the generator on the turbo shaft; that power is then used to help turn the crankshaft via an electric motor mounted in the engine flywheel housing. The net result is an improvement in engine fuel economy. The electric turbocompound system provides added control flexibility because it is capable of varying the amount of power extracted from the exhaust gases, thus allowing for control of engine boost. The system configuration and design, turbocharger features, control system development, and test results are presented.

  14. Development of HANARO Activation Analysis System and Utilization Technology

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Y. S.; Moon, J. H.; Cho, H. J. (and others)

    2007-06-15

    1. Establishment of evaluation system using a data for a neutron activation analysis : Improvement of NAA measurement system and its identification, Development of combined data evaluation code of NAA/PGAA, International technical cooperation project 2. Development of technique for a industrial application of high precision gamma nuclide spectroscopic analysis : Analytical quality control, Development of industrial application techniques and its identification 3. Industrial application research for a prompt gamma-ray activation analysis : Improvement of Compton suppression counting system (PGAA), Development of applied technology using a PGAA system 4. Establishment of NAA user supporting system and KOLAS management : Development and validation of KOLAS/ISO accreditation testing and identification method, Cooperation researches for a industrial application, Establishment of integrated user analytical supporting system, Accomplishment of sample irradiation facility.

  15. UTILITY ADVANCED TURBINE SYSTEMS (ATS) TECHNOLOGY READINESS TESTING

    Energy Technology Data Exchange (ETDEWEB)

    Unknown

    1999-04-01

    The overall objective of the Advanced Turbine System (ATS) Phase 3 Cooperative Agreement between GE and the U.S. Department of Energy (DOE) is the development of the GE 7H and 9H combined cycle power systems. The major effort will be expended on detail design. Validation of critical components and technologies will be performed, including: hot gas path component testing, sub-scale compressor testing, steam purity test trials, and rotational heat transfer conflation testing. Processes will be developed to support the manufacture of the first system, which was to have been sited and operated in Phase 4 but will now be sited and operated commercially by GE. This change has resulted from DOE's request to GE for deletion of Phase 4 in favor of a restructured Phase 3 (as Phase 3R) to include full speed, no load (FSNL) testing of the 7H gas turbine. Technology enhancements that are not required for the first machine design but will be critical for future ATS advances in performance, reliability, and costs will be initiated. Long-term tests of materials to confirm design life predictions will continue. The objective of this task is to design 7H and 9H compressor rotor and stator structures with the goal of achieving high efficiency at lower cost and greater durability by applying proven GE Power Systems (GEPS) heavy-duty use design practices. The designs will be based on the GE Aircraft Engines (GEAE) CF6-80C2 compressor. Transient and steady-state thermo-mechanical stress analyses will be run to ensure compliance with GEPS life standards. Drawings will be prepared for forgings, castings, machining, and instrumentation for full speed, no load (FSNL) tests of the first unit on both 9H and 7H applications.

  16. Epidemiology of Emergency Medical Services (EMS) Utilization in Four Indian Emergency Departments.

    Science.gov (United States)

    Wijesekera, Olindi; Reed, Amanda; Chastain, Parker S; Biggs, Shauna; Clark, Elizabeth G; Kole, Tamorish; Chakrapani, Anoop T; Ashish, Nandy; Rajhans, Prasad; Breaud, Alan H; Jacquet, Gabrielle A

    2016-12-01

    Introduction Without a universal Emergency Medical Services (EMS) system in India, data on the epidemiology of patients who utilize EMS are limited. This retrospective chart review aimed to quantify and describe the burden of disease and patient demographics of patients who arrived by EMS to four Indian emergency departments (EDs) in order to inform a national EMS curriculum.

  17. 77 FR 29537 - Standards and Specifications for Timber Products Acceptable for Use by Rural Utilities Service...

    Science.gov (United States)

    2012-05-18

    ... Materials, Equipment and Construction, by codifying specifications for wood poles, stubs and anchor logs, wood crossarms (solid and laminated), transmission timbers and pole keys, and for quality control and... Standards and Specifications for Timber Products Acceptable for Use by Rural Utilities Service Electric...

  18. Alcohol Services for Mexican Americans: A Review of Utilization Patterns, Treatment Considerations and Prevention Activities.

    Science.gov (United States)

    Gilbert, M. Jean; Cervantes, Richard C.

    1986-01-01

    Synthesizes available literature that addresses: (1) utilization patterns of alcohol-related services by Mexican Americans; (2) existing therapeutic approaches which take into account cultural factors; and (3) existing approaches to alcohol abuse education and prevention for this population. Discusses research needs and the need for…

  19. Utilization of Mammography Services among Elderly Rural and Urban African American Women

    Science.gov (United States)

    Agho, Augustine O; Mosley, Barbara W; Rivers, Patrick A; Parker, Shandowyn

    2007-01-01

    Purpose: This study was a two-year educational intervention and research project aimed at increasing the awareness of breast cancer and the utilization of Clinical Breast Examination (CBE) services and Self-Breast Examination (SBE) among elderly rural and urban African American women who are Medicare beneficiaries. Design: The study was…

  20. Degradation and damages from utilizing ecosystem services in a river basin

    Science.gov (United States)

    Travis W. Warziniack

    2012-01-01

    We examine the tradeoffs between utilizing multiple ecosystem services in an economic model of the Lower Mississippi-Atchafalaya River Basin. We show how economic development in the basin degraded the ecosystem, but diversified the economy. A degraded ecosystem and more employment opportunities elsewhere reduced the region's reliance on agriculture and other...

  1. Allocating service parts in two-echelon networks at a utility company

    NARCIS (Netherlands)

    Berg, van den D.; Heijden, van der M.C.; Schuur, P.C.

    2014-01-01

    We study a multi-item, two-echelon, continuous-review inventory problem at a Dutch utility company, Liander. We develop a model that optimizes the quantities of service parts and their allocation in the two-echelon network under an aggregate waiting time restriction. Specific aspects that we address

  2. Allocating service parts in two-echelon networks at a utility company

    NARCIS (Netherlands)

    Berg, van D.; Heijden, van der M.C.; Schuur, P.C.

    2016-01-01

    We study a multi-item, two-echelon, continuous-review inventory problem at a Dutch utility company. We develop a model for the optimal allocation of service parts in a two-echelon network under an aggregate waiting time constraint. Specific model aspects are emergency shipments in case of stockout,

  3. College Students with Disabilities' Motivation to Utilize Disability Support Services: A Qualitative Investigation

    Science.gov (United States)

    Meyer, Rachel Heather

    2012-01-01

    The current study investigated the motivation of college students with disabilities to disclose their disability(s) to the university and to utilize disability support services. Eleven college students with a diversity of invisible disabilities from a large university were interviewed using a narrative approach. Analysis involved a combination of…

  4. Medical Service Utilization among Youth with School-Identified Disabilities in Residential Care

    Science.gov (United States)

    Lambert, Matthew C.; Trout, Alexandra L.; Nelson, Timothy D.; Epstein, Michael H.; W. Thompson, Ronald

    2016-01-01

    Background: Behavioral, social, emotional, and educational risks among children and youth with school identified disabilities served in residential care have been well documented. However, the health care needs and medical service utilization of this high-risk population are less well known. Given the risks associated with children with…

  5. [Transnational health service utilization by Mexican immigrants in the United States].

    Science.gov (United States)

    González-Vázquez, Tonatiuh Tomás; Torres-Robles, Cristian Armando; Pelcastre-Villafuerte, Blanca Estela

    2013-01-01

    Document the transnational utilization of health resources and services by Mexican immigrants in the United States. Between December 2009-February 2011, Interviews and focus groups were conducted in California and four states of México. Data were collected from 135 individuals, including return migrants, allopathic physicians and traditional healers. Faced with obstacles to accessing US health care and some health services within the Mexican system, many immigrants within the US make use of Mexican health resources and services, either from a distance or during visits to Mexico. These resources and services include allopathic medicine, traditional medicine, and home remedies and medicines. The legal status of immigrants and their access to health insurance in the US are related to whether their transnational use of Mexican health resources and services is formal or informal; immigrants who are undocumented and without health insurance are the most vulnerable.

  6. Utilization of orthopaedic services for hand and wrist conditions in a capitated population.

    Science.gov (United States)

    Crouch, C Craig; O'Connor, Daniel P; Pierce, Peggy; Brinker, Mark R

    2004-01-01

    The utilization of orthopaedic services (office visits and surgery) to treat hand and wrist conditions is not well known. In this study, we report the utilization rates for patients referred for orthopaedic treatment of hand and wrist conditions in a large population of individuals enrolled in a capitated insurance plan. The study population consisted of individuals enrolled, between January 1998 and December 2001, in a capitated insurance plan that had an annual average membership of 135,188 during that period. This plan was serviced by an independent physician association of sixty-two orthopaedic surgeons who were responsible for all orthopaedic care. Data were collected prospectively in a centralized database as patients with various hand or wrist conditions were referred for orthopaedic services. Odds ratios were used to compare gender-specific and age-specific utilization rates. Overall utilization rates were 18.06 office visits and 6.47 surgical procedures per 1000 members per year. The most frequent hand or wrist conditions were fractures, carpal tunnel syndrome, tendinitis or tenosynovitis, and ganglion or synovial cysts. These four diagnoses accounted for 70% of all office visits and 71% of all surgical cases. Across all age groups, males had a significantly higher rate of utilization of office visits (p hand or wrist condition, and nearly half will require surgery.

  7. Obesity risk class and asthma outpatient service utilization by the middle aged and elderly in Taiwan.

    Science.gov (United States)

    Tian, Wei-Hua; Liu, Li-Fan; Wang, Jiu-Yao

    2016-05-01

    According to the estimates of the World Health Organization (WHO), there were about 300 million people in the world suffering from asthma in 2005. Among the risk factors of asthma is obesity, which was found to be significantly associated with asthma in recent decades. In this study, we analyze the relationship between obesity risk class and asthma outpatient service utilization by the middle-aged and elderly in Taiwan. Adopting data from the 2005 Nation Health Interview Survey (NHIS) and National Health Insurance Research Database (NHIRD), we first utilize latent class analysis (LCA) to identify obesity risk classes. Next, we utilize a logit and a negative binominal model to analyze the relationship between each obesity risk class and asthma outpatient service utilization. Results indicate that compared with the "overweight/obese with low consumption of vegetable/fruit and little exercise" class, the classes "normal-weight with high consumption of vegetable/fruit and moderate exercise" and "overweight/obese with high consumption of vegetable/fruit and moderate exercise" tend to have low probabilities and less number of visits of utilizing asthma outpatient services. Our results may constitute useful references for clinicians and government policy makers formulating strategies for asthma management and prevention. Better informed strategies for asthma management could, in turn, increase the efficiency of asthmatic patients' care, which could provide efficient assistance to the target group based on the obesity risk classes. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  8. An Information Technology Framework for Strengthening Telehealthcare Service Delivery

    Science.gov (United States)

    Chen, Chi-Wen; Weng, Yung-Ching; Shang, Rung-Ji; Yu, Hui-Chu; Chung, Yufang; Lai, Feipei

    2012-01-01

    Abstract Objective: Telehealthcare has been used to provide healthcare service, and information technology infrastructure appears to be essential while providing telehealthcare service. Insufficiencies have been identified, such as lack of integration, need of accommodation of diverse biometric sensors, and accessing diverse networks as different houses have varying facilities, which challenge the promotion of telehealthcare. This study designs an information technology framework to strengthen telehealthcare delivery. Materials and Methods: The proposed framework consists of a system architecture design and a network transmission design. The aim of the framework is to integrate data from existing information systems, to adopt medical informatics standards, to integrate diverse biometric sensors, and to provide different data transmission networks to support a patient's house network despite the facilities. The proposed framework has been evaluated with a case study of two telehealthcare programs, with and without the adoption of the framework. Results: The proposed framework facilitates the functionality of the program and enables steady patient enrollments. The overall patient participations are increased, and the patient outcomes appear positive. The attitudes toward the service and self-improvement also are positive. Conclusions: The findings of this study add up to the construction of a telehealthcare system. Implementing the proposed framework further assists the functionality of the service and enhances the availability of the service and patient acceptances. PMID:23061641

  9. THE ROLE OF TECHNICAL CONSUMPTION CALCULATION MODELS ON ACCOUNTING INFORMATION SYSTEMS OF PUBLIC UTILITIES SERVICES OPERATORS

    Directory of Open Access Journals (Sweden)

    GHEORGHE CLAUDIU FEIES

    2012-05-01

    Full Text Available After studying how the operators’ management works, an influence of the specific activities of public utilities on their financial accounting system can be noticed. The asymmetry of these systems is also present, resulting from organization and specific services, which implies a close link between the financial accounting system and the specialized technical department. The research methodology consists in observing specific activities of public utility operators and their influence on information system and analysis views presented in the context of published work in some journals. It analyses the impact of technical computing models used by public utility community services on the financial statements and therefore the information provided by accounting information system stakeholders.

  10. Commercialization of PV-powered pumping systems for use in utility PV service programs. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    The project described in this report was a commercialization effort focused on cost-effective remote water pumping systems for use in utility-based photovoltaic (PV) service programs. The project combined a commercialization strategy tailored specifically for electric utilities with the development of a PV-powered pumping system that operates conventional ac pumps rather than relying on the more expensive and less reliable PV pumps on the market. By combining these two attributes, a project goal was established of creating sustained utility purchases of 250 PV-powered water pumping systems per year. The results of each of these tasks are presented in two parts contained in this Final Summary Report. The first part summarizes the results of the Photovoltaic Services Network (PSN) as a new business venture, while the second part summarizes the results of the Golden Photon system installations. Specifically, results and photographs from each of the system installations are presented in this latter part.

  11. Towards Self-Service Governance by Means of Information Technology

    CERN Document Server

    Paulin, Alois

    2012-01-01

    In this paper we present a novel model for governing societies based on modern information technology, which neither relies on manual bureaucratic labor, nor depends on process-based e-government services for governance. We expose the flaws of the later and argue that it is not feasible for sustainable governance due to permanently changing laws and instead propose a model in which people can govern themselves in a self-service manner by relying on constellations of data stored in a network of governmental databases to which citizen and officials have read- and write access under rules defined by temporary valid law.

  12. Drug use and service utilization among Hispanics in the United States.

    Science.gov (United States)

    Mancini, Michael A; Salas-Wright, Christopher P; Vaughn, Michael G

    2015-11-01

    To examine illicit drug use and service utilization patterns of US-born and foreign-born Hispanics in the United States. Hispanic respondents 18 years and older in the NESARC were categorized as being of Mexican (n = 3,556), Puerto Rican (n = 785), Cuban (n = 346), Central American (n = 513), or South American (n = 381) origin. We examined lifetime prevalence of drug use and substance abuse treatment utilization patterns for US-born and Hispanic immigrants across subgroups. Lifetime prevalence of drug use was greater among US-born Hispanics than Hispanic immigrants after controlling for age, gender, income, education, urbanicity, parental history of drug use problems and lifetime DSM-IV mood/anxiety disorders. Both US-born and immigrant Hispanic drug users were less likely than non-Hispanic white drug users to have utilized any form of substance abuse treatment (US-born AOR = 0.89, immigrant AOR = 0.64) and more likely to have utilized family or social services (US-born AOR = 1.17, immigrant AOR = 1.19). Compared to US-born Hispanic drug users, Hispanic immigrant drug users were less likely to have used any form of substance abuse treatment (AOR = 0.81) and were more likely to have utilized family or social services (AOR = 1.22). Strategies to increase engagement and retention of Hispanic drug users in substance abuse treatment include increasing access to linguistically and culturally competent programs that address unmet family and social needs. Further studies examining differences in drug use and service utilization patterns within Hispanic subgroups are needed.

  13. Physical therapy services utilization and length of stay for obese patients following traumatic leg fracture.

    Science.gov (United States)

    Slayton, Stephanie; Williams, D S Blaise; Newman, Glen

    2012-01-01

    Obesity is an increasing epidemic that can complicate the treatment of simple injuries and can increase health care costs. The purpose of the present study was to determine whether obesity is a factor in the utilization of inpatient physical therapy services and length of stay following a traumatic lower leg fracture. A retrospective study of patients admitted to the hospital in 2005 and 2006 with a primary discharge diagnosis of lower leg or ankle fracture was conducted. Inclusion criteria were age > or = 18 years, only 1 involved lower extremity, and nonweight-bearing on the affected extremity per physician orders. Patients were excluded from the study if they had a fibular fracture only, pathological fractures, multiple trauma, severe cardiac or vascular comorbidities, or cognitive impairments. Data were compiled into 3 categories on the basis of body mass index (BMI): 35. Physical therapy services were measured in 15-minute units of time. These data were analyzed by within-group and between-group comparisons and with regression analysis. A total of 181 patients with a primary discharge diagnosis of distal lower extremity or ankle fracture were included in the study. Patients with a BMI >35 used more physical therapy services (mean services, 9.8 units) than did patients with a BMI of 30-35 (mean services, 6.2 units) or a BMI 35. Factors other than BMI may be associated with length of stay and physical therapy use and may confound the association. Previous studies have shown that there is an increase in health care utilization among the bariatric population. The present study demonstrates similar findings for physical therapy services. Increased length of stay and physical therapy utilization among the bariatric population also result in increased staff utilization and equipment costs.

  14. Ambulatory health services utilization in patients with dementia - Is there an urban-rural difference?

    Directory of Open Access Journals (Sweden)

    Glaeske Gerd

    2010-11-01

    Full Text Available Abstract Background Due to demographic changes and an un-equal distribution of physicians, regional analyses of service utilization of elderly patients are crucial, especially for diseases with an impact like dementia. This paper focuses on dementia patients. The aim of the study is to identify differences in service utilization of incident dementia patients in urban and rural areas. Methods Basis for the analysis were all insured persons of a German Health Insurance fund (the GEK aged 65 years and older living in rural and urban areas. We focussed on physician contacts in the outpatient sector during the first year after an incidence diagnosis of dementia. Special attention was given to contacts with primary care physicians and neurologists/psychiatrists. The dementia cohort was analyzed together with a non-dementia control group drawn according to age, gender and amount of physician contacts. Uni- and bivariate as well as multivariate analysis were performed to estimate the influences on service utilization. Results Results show that the provision of primary care seems to be equally given in urban and rural areas. For specialists contacts however, rural patients are less likely to consult neurologists or psychiatrists. This trend can already be seen before the incident diagnosis of dementia. All consultations rise in the quarter of the incident dementia diagnosis compared to the control group. The results were also tested in a linear and a logistic regression, showing a higher chance for persons living in urban areas to visit a specialist and an overall higher rate in service utilization for dementia patients. Conclusions Because of a probable increase in the number of dementia patients, service provision has to be accessible even in rural areas. Due to this and the fact that demographic change is happening at different paces in different regions, regional variations have to be considered to ensure the future service provision.

  15. Cost-utility of a visiting service for older widowed individuals: Randomised trial

    Directory of Open Access Journals (Sweden)

    Willemse Godelief

    2008-06-01

    Full Text Available Abstract Background Despite a growing understanding of the effectiveness of bereavement interventions and the groups that benefit most from them, we know little about the cost-effectiveness of bereavement interventions. Methods We conducted a cost-utility analysis alongside a randomized clinical trial on a visiting service for older widowed individuals (n = 110 versus care as usual (CAU; n = 106. The visiting service is a selective bereavement intervention that offers social support to lonely widows and widowers by a trained volunteer. Participants were contacted 6–9 months post-loss. Eleven percent of all contacted persons responded and eight percent participated in the trial. The primary outcome measure was quality adjusted life years (QALYs gained (assessed with the EQ-5D, which is a generic measure of health status. Costs were calculated from a societal perspective excluding costs arising from productivity losses. Using the bootstrap method, we obtained the incremental cost utility ratio (ICUR, projected these on a cost-utility plane and presented as an acceptability curve. Results Overall, the experimental group demonstrated slightly better results against slightly higher costs. Whether the visiting service is acceptable depends on the willingness to pay: at a willingness to pay equal to zero per QALY gained, the visiting service has a probability of 31% of being acceptable; beyond €20,000, the visiting service has a probability of 70% of being more acceptable than CAU. Conclusion Selective bereavement interventions like the visiting service will not produce large benefits from the health economic point of view, when targeted towards the entire population of all widowed individuals. We recommend that in depth analyses are conducted to identify who benefits most from this kind of interventions, and in what subgroups the incremental cost-utility is best. In the future bereavement interventions are then best directed to these groups. Trial

  16. Factors shaping effective utilization of health information technology in urban safety-net clinics.

    Science.gov (United States)

    George, Sheba; Garth, Belinda; Fish, Allison; Baker, Richard

    2013-09-01

    Urban safety-net clinics are considered prime targets for the adoption of health information technology innovations; however, little is known about their utilization in such safety-net settings. Current scholarship provides limited guidance on the implementation of health information technology into safety-net settings as it typically assumes that adopting institutions have sufficient basic resources. This study addresses this gap by exploring the unique challenges urban resource-poor safety-net clinics must consider when adopting and utilizing health information technology. In-depth interviews (N = 15) were used with key stakeholders (clinic chief executive officers, medical directors, nursing directors, chief financial officers, and information technology directors) from staff at four clinics to explore (a) nonhealth information technology-related clinic needs, (b) how health information technology may provide solutions, and (c) perceptions of and experiences with health information technology. Participants identified several challenges, some of which appear amenable to health information technology solutions. Also identified were requirements for effective utilization of health information technology including physical infrastructural improvements, funding for equipment/training, creation of user groups to share health information technology knowledge/experiences, and specially tailored electronic billing guidelines. We found that despite the potential benefit that can be derived from health information technologies, the unplanned and uninformed introduction of these tools into these settings might actually create more problems than are solved. From these data, we were able to identify a set of factors that should be considered when integrating health information technology into the existing workflows of low-resourced urban safety-net clinics in order to maximize their utilization and enhance the quality of health care in such settings.

  17. Radiofrequency exposure from wireless LANs utilizing Wi-Fi technology.

    Science.gov (United States)

    Foster, Kenneth R

    2007-03-01

    This survey measured radiofrequency (RF) fields from wireless local area networks (WLANs) using Wi-Fi technology against a background of RF fields in the environment over the frequency range 75 MHz-3 GHz. A total of 356 measurements were conducted at 55 sites (including private residences, commercial spaces, health care and educational institutions, and other public spaces) in four countries (U.S., France, Germany, Sweden). Measurements were conducted under conditions that would result in the higher end of exposures from such systems. Where possible, measurements were conducted in public spaces as close as practical to the Wi-Fi access points. Additional measurements were conducted at a distance of approximately 1 m from a laptop while it was uploading and downloading large files to the WLAN. This distance was chosen to allow a useful comparison of fields in the far-field of the antenna in the laptop, and give a representative measure of the exposure that a bystander might receive from the laptop. The exposure to the user, particularly if the antenna of the client card were placed against his or her body, would require different measurement techniques beyond the scope of this study. In all cases, the measured Wi-Fi signal levels were very far below international exposure limits (IEEE C95.1-2005 and ICNIRP) and in nearly all cases far below other RF signals in the same environments. An discusses technical aspects of the IEEE 802.11 standard on which WLANs operate that are relevant to determining the levels of RF energy exposure from WLANs. Important limiting factors are the low operating power of client cards and access points, and the low duty cycle of transmission that normally characterizes their operation.

  18. Increased healthcare service utilizations for patients with dementia: a population-based study.

    Directory of Open Access Journals (Sweden)

    Shiu-Dong Chung

    Full Text Available BACKGROUND: The majority of previous studies investigating the health care utilization of people with dementia were conducted in Western societies. There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database. METHODS: This study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services. RESULTS: As for utilization of psychiatric services, subjects with a dementia diagnosis had significantly more outpatient visits (2.2 vs. 0.3, p<0.001 and significantly higher outpatient costs (US$124 vs. US$16, p<0.001 than comparison subjects. For non-psychiatric services, subjects with a dementia diagnosis also had significantly more outpatient visits (34.4 vs. 31.6, p<0.001 and significantly higher outpatient costs (US$1754 vs. US$1322, p<0.001 than comparison subjects. For all healthcare services, subjects with a dementia diagnosis had significantly more outpatient visits (36.7 vs. 32.0, p<0.001 and significantly higher outpatient costs (US$1878 vs. US$1338, p<0.001 than comparison subjects. Furthermore, the total cost was about 2-fold greater for subjects with a dementia diagnosis than for comparison subjects (US$3997 vs. US$2409, p<0.001. CONCLUSIONS: We concluded that subjects who had received a clinical dementia diagnosis had

  19. Information Technology Service Management with Cloud Computing Approach to Improve Administration System and Online Learning Performance

    Directory of Open Access Journals (Sweden)

    Wilianto Wilianto

    2015-10-01

    Full Text Available This work discusses the development of information technology service management using cloud computing approach to improve the performance of administration system and online learning at STMIK IBBI Medan, Indonesia. The network topology is modeled and simulated for system administration and online learning. The same network topology is developed in cloud computing using Amazon AWS architecture. The model is designed and modeled using Riverbed Academic Edition Modeler to obtain values of the parameters: delay, load, CPU utilization, and throughput. The simu- lation results are the following. For network topology 1, without cloud computing, the average delay is 54  ms, load 110 000 bits/s, CPU utilization 1.1%, and throughput 440  bits/s.  With  cloud  computing,  the  average  delay  is 45 ms,  load  2 800  bits/s,  CPU  utilization  0.03%,  and throughput 540 bits/s. For network topology 2, without cloud computing, the average delay is 39  ms, load 3 500 bits/s, CPU utilization 0.02%, and throughput database server 1 400 bits/s. With cloud computing, the average delay is 26 ms, load 5 400 bits/s, CPU utilization email server 0.0001%, FTP server 0.001%, HTTP server 0.0002%, throughput email server 85 bits/s, FTP    server 100 bits/sec, and HTTP server 95  bits/s.  Thus,  the  delay, the load, and the CPU utilization decrease; but,  the throughput increases. Information technology service management with cloud computing approach has better performance.

  20. Exploration of health status, healthcare utilization, and health service expectations among Taiwanese adolescents.

    Science.gov (United States)

    Tsai, Meng-Che; Lin, Sheng-Hsiang; Chou, Yen-Yin; Lin, Shio-Jean

    2014-02-01

    There have been few reports about adolescent experiences with and expectations of health service utilization in an Asian societal setting. The aim of this study is to analyze the use of healthcare services in relation to health status and explore adolescents' preferences for youth-friendly service among Taiwanese high school students. A cross-sectional questionnaire-based survey was conducted on Taiwanese adolescents aged 12–18 years in 2010.We invited participants to rate their health status, report their previous healthcare service use, and rank their health service preferences.We used logistic regression analysis to investigate the association between self-rated health status and healthcare utilization and used nonparametric analysis to compare health service preferences among sociodemographic subgroups. A total of 4,907 students (97.2 % response rate) returned valid questionnaires for analysis. Poor health status and chronic illness were most salient factors independently associated with frequent healthcare service use. Only 40 % of respondents reported having a regular doctor, and pediatrics (57.7 %) was the most commonly identified professional source of medical care. A great majority (86.2 %) of respondents made clinical visits with parents. For characteristics of youth-friendly clinician, the top-ranked items included competency and patience, while having helpful and friendly personnel was highlighted for clinical setting. Family participation is critical in healthcare for adolescents in Asian cultures. Health service use is significantly influenced by health status and chronic illness in the general health insurance system. Understanding these background influences on expectations for healthcare may help to create youth-friendly health services that are more culturally appropriate.

  1. Developing an active emergency medical service system based on WiMAX technology.

    Science.gov (United States)

    Li, Shing-Han; Cheng, Kai-An; Lu, Wen-Hui; Lin, Te-Chang

    2012-10-01

    The population structure has changed with the aging of population. In the present, elders account for 10.63% of the domestic population and the percentage is still gradually climbing. In other words, the demand for emergency services among elders in home environment is expected to grow in the future. In order to improve the efficiency and quality of emergency care, information technology should be effectively utilized to integrate medical systems and facilities, strengthen human-centered operation designs, and maximize the overall performance. The improvement in the quality and survival rate of emergency care is an important basis for better life and health of all people. Through integrated application of medical information systems and information communication technology, this study proposes a WiMAX-based emergency care system addressing the public demands for convenience, speed, safety, and human-centered operation of emergency care. This system consists of a healthcare service center, emergency medical service hospitals, and emergency ambulances. Using the wireless transmission capability of WiMAX, patients' physiological data can be transmitted from medical measurement facilities to the emergency room and emergency room doctors can provide immediate online instructions on emergency treatment via video and audio transmission. WiMAX technology enables the establishment of active emergency medical services.

  2. Cost effectiveness and efficiency in assistive technology service delivery.

    Science.gov (United States)

    Warren, C G

    1993-01-01

    In order to develop and maintain a viable service delivery program, the realities of cost effectiveness and cost efficiency in providing assistive technology must be addressed. Cost effectiveness relates to value of the outcome compared to the expenditures. Cost efficiency analyzes how a provider uses available resources to supply goods and services. This paper describes how basic business principles of benefit/cost analysis can be used to determine cost effectiveness. In addition, basic accounting principles are used to illustrate methods of evaluating a program's cost efficiency. Service providers are encouraged to measure their own program's effectiveness and efficiency (and potential viability) in light of current trends. This paper is meant to serve as a catalyst for continued dialogue on this topic.

  3. PNAUM: integrated approach to Pharmaceutical Services, Science, Technology and Innovation

    Science.gov (United States)

    Gadelha, Carlos Augusto Grabois; Costa, Karen Sarmento; do Nascimento, José Miguel; Soeiro, Orlando Mário; Mengue, Sotero Serrate; da Motta, Márcia Luz; de Carvalho, Antônio Carlos Campos

    2016-01-01

    ABSTRACT This paper describes the development process of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines) based on an integrated approach to pharmaceutical services, science, technology and innovation. It starts by contextualizing health and development in Brazil and features elements of the National Policy for Science, Technology and Innovation in Health in Brazil and the National Policy for Pharmaceutical Services. On presenting pharmaceutical policy guidelines, it stresses the lack of nationwide data. This survey, commissioned by the Brazilian Ministry of Health, has two components: household survey and evaluation of pharmaceutical services in primary care. The findings point to perspectives that represent, besides the enhancement of public policy for pharmaceutical services and public health, results of government action aimed at developing the economic and industrial health care complex to improve the health conditions of the Brazilian population. PMID:27982379

  4. Assessing the Determinants of Cloud Computing Services for Utilizing Health Information Systems: A Case Study

    Directory of Open Access Journals (Sweden)

    Ahmed Meri Kadhum

    2017-04-01

    Full Text Available Health information systems refer to the utilization of IT-related systems to capture, store, manage, or transmit information related to the health of individuals or the activities within the health sector. Utilizing cloud services in the healthcare sector is a flexible solution to improve the performance of an organization as it can provide numerous features such as self-service, ubiquitous network access, resource pooling, rapid elasticity, and pay-per-use pattern. A preliminary study was conducted in the Iraqi public healthcare sector to obtain preliminary data acquisition about the current situation of IT and to determine the key factors associated with the utilization of cloud computing to foster current health information systems. During the study, a total of 30 technicians and physicians from four hospitals in Iraq were invited for interview in which the researcher directed questions in a semi-structured form. The findings of the investigation concluded the key determinant factors; these include factors related to the environmental structure such as software, hardware, cost, network, and training. Other factors that were found related to the system such as compatibility, complexity, data security and privacy. These two aspects were found to influence personal factors related to the behavioural control and confirmation to utilize cloud computing services in this sector.

  5. Barcode Technology Acceptance and Utilization in Health Information Management Department at Academic Hospitals According to Technology Acceptance Model

    Science.gov (United States)

    Ehteshami, Asghar

    2017-01-01

    Nowdays, due to the increasing importance of quality care, organizations focuse on the improving provision, management and distribution of health. On one hand, incremental costs of the new technologies and on the other hand, increased knowledge of health care recipients and their expectations for high quality services have doubled the need to make changes in order to respond to resource constraints (financial, human, material). For this purpose, several technologies, such as barcode, have been used in hospitals to improve services and staff productivity; but various factors effect on the adoption of new technologies and despite good implementation of a technology and its benefits, sometimes personnel don’t accept and don’t use it. Methods: This is an applied descriptive cross-sectional study in which all the barcode users in health information management department of the three academic hospitals (Feiz, Al-Zahra, Ayatollah Kashani) affiliated to Isfahan University of Medical Sciences were surveyed by the barcode technology acceptance questionnaire, in six areas as following: barcode ease of learning, capabilities, perception of its usefulness and its ease of use, users attitudes towards its using, and users intention. Results: The finding showed that barcode technology total acceptance was relatively desirable (%76.9); the most compliance with TAM model was related to the user perceptions about the ease of use of barcode technology and the least compliance was related to the ease of learning barcode technology (respectively %83.7 and %71.5). Conclusion: Ease of learning and barcode capability effect of usefulness and perceived ease of barcode technology. Users perceptions effect their attitudes toward greater use of technology and their attitudes have an effect on their intention to use the technology and finally, their intention makes actual use of the technology (acceptance). Therefore, considering the six elements related to technology implementation can be

  6. Health services utilization by school going Omani adolescents and youths with DSM IV mental disorders and barriers to service use

    Directory of Open Access Journals (Sweden)

    Morsi Magdi M

    2009-09-01

    Full Text Available Abstract Background Recent corpus of research suggests that psychiatric disorders amongst adolescents and youths are an emerging global challenge, but there is paucity of studies exploring health services utilization by this age group in Arab region. Aim This study focus on the health services utilization and the barriers among school going adolescents and youths with DSM IV disorders in the country Oman, whose population is predominantly youthful. Methods Representative sample of secondary school Omani adolescents and youths were concurrently interviewed for the (i presence of DSM IV mental disorders using the face-to-face interview, World Mental Health-Composite International Diagnostic Interview (WMH-CIDI, (ii tendency for health care utilization and (iii predictors of utilization with clinical and demographic background. Results The proportions of lifetime cases having ever made treatment contact are low, being 5.2% for any anxiety disorder and 13.2% for any mood disorder category. None of these anxiety cases made treatment contact in the year of onset of the disorder, and the median delay when they eventually made treatment contact is about 14 years. In any mood disorders category only 3.6% made contact within the 1st year of onset with the median delay in initial treatment contact is two years for the Bipolar disorder (broad, four years for Any Mood disorder and nine years for the Major Depressive Disorder group. Male gender is significantly associated with less likelihood of making treatment contact when suffering from Social phobia (p = 0.000, Major Depressive Disorder (p = 0.000 and Bipolar Disorder (p = 0.000. The younger cohorts of 14-16 years and 17-18 years of Social phobic made significantly less lifetime any treatment contact (p = 0.000. The 14-16 year olds were significantly less likely to make lifetime any treatment contact for Bipolar Mood disorder (p = 0.000, while the 17-18 group were 1.5 times more likely to do so. Over past

  7. Examination of incentive mechanisms for innovative technologies applicable to utility and nonutility power generators

    Energy Technology Data Exchange (ETDEWEB)

    McDermott, K.A. [Illinois Commerce Commission, Springfield, IL (United States); Bailey, K.A.; South, D.W. [Argonne National Lab., IL (United States). Environmental Assessment and Information Sciences Div.

    1993-08-01

    Innovative technologies, built by either utility or nonutility power generators, have the potential to lower costs with less environmental emissions than conventional technologies. However, the public-good nature of information, along with uncertain costs, performance, and reliability, discourages rapid adoption of these technologies. The effect of regulation of electricity production may also have an adverse impact on motivation to innovate. Slower penetration of cleaner, more efficient technologies could result in greater levels of pollution, higher electricity prices, and a reduction in international competitiveness. Regulatory incentives could encourage adoption and deployment of innovative technologies of all kinds, inducting clean coal technologies. Such incentives must be designed to offset risks inherent in innovative technology and encourage cost-effective behavior. To evaluate innovative and conventional technologies equally, the incremental cost of risk (ICR) of adopting the innovative technology must be determined. Through the ICR, the magnitude of incentive required to make a utility (or nonutility) power generator equally motivated to use either conventional or innovative technologies can be derived. Two technology risks are examined: A construction risk, represented by a 15% cost overrun, and an operating risk, represented by a increased forced outage rate (decreased capacity factor). Different incentive mechanisms and measurement criteria are used to assess the effects of these risks on ratepayers and shareholders. In most cases, a regulatory incentive could offset the perceived risks while encouraging cost-effective behavior by both utility and nonutility power generators. Not only would the required incentive be recouped, but the revenue requirements would be less for the innovative technology; also, less environmental pollution would be generated. In the long term, ratepayers and society would benefit from innovative technologies.

  8. Determinants of Utilization of Eye Care Services in a Rural Adult Population of a Developing Country.

    Science.gov (United States)

    Olusanya, Bolutife A; Ashaye, Adeyinka O; Owoaje, Eme T; Baiyeroju, Aderonke M; Ajayi, Benedictus G

    2016-01-01

    To describe the factors that determine the utilization of eye care services in a rural community in South-Western Nigeria. A descriptive cross-sectional survey using a multistage sampling technique was conducted. The main outcome measure was self-reported previous consultation of an orthodox medical facility for eye care. The study sample included 643 participants. Only 122 (19%) respondents had previously visited orthodox facilities in search of eye care and 24% of those with presenting visual acuity literacy (OR = 1.7, P = 0.007); and residing close to an eye care facility (OR = 2.8, P literacy; residence close to an eye facility; being diabetic or hypertensive; history of ocular symptoms, and blindness. These findings suggest that a significant proportion (75%) of adults in the study area are not utilizing eye care services and that blindness is an important determinant of utilization of eye care services. Health education and awareness campaigns about the importance and benefits of seeking eye care early, and the provision of community-based eye care programs are essential to boost the uptake of eye care services in this community as well as other rural areas of West Africa.

  9. Factors associated with the utilization of institutional delivery services in Bangladesh

    Science.gov (United States)

    Bishwajit, Ghose; Ekholuenetale, Michael

    2017-01-01

    Introduction Bangladesh has made remarkable progress towards reducing its maternal mortality rate (MMR) over the last two decades and is one of the few countries on track to achieving the MMR-related Millennium Development Goals (MDG-5A). However, the provision of universal access to reproductive healthcare (MDG-5B) and the utilization of maternal healthcare services (MHS) such as institutional delivery, which are crucial to the reduction of maternal mortality, are far behind the internationally agreed-upon target. Effective policymaking to promote the utilization of MHS can be greatly facilitated by the identification of the factors that hinder service uptake. In this study, we therefore aim to measure the prevalence of institutional delivery services and explore the factors associated with their utilization in Bangladesh. Methods Data for this study were extracted from the 2011 Bangladesh Demographic and Health Survey (BDHS, 2011); participants were 7,313 women between the ages of 15 and 49 years, selected from both urban and rural households. Data were analyzed using Chi-square analysis, and conditional logistic regression. Results According to the findings, fewer than one in three women reported delivering at a health facility. The multivariable regression analysis showed that participants from rural areas were 46.9% less likely to have institutional deliveries compared to urban dwellers (OR = 0.531; pBangladesh could be aided by investments into education, poverty reduction and the strengthening of reproductive healthcare services through community clinics, with particular focus on rural areas. PMID:28192478

  10. Utilization and Cost of Health Services in Individuals With Traumatic Brain Injury

    Science.gov (United States)

    Dismuke, Clara E.; Walker, Rebekah J.; Egede, Leonard E.

    2015-01-01

    Traumatic Brain Injury (TBI) has gained attention in the past decade as a “signature injury” in the conflicts in Iraq and Afghanistan. TBI is a major burden for both the military and civilian population in the US and worldwide. It is a leading cause of death and disability in the US and a major health services resource burden. We seek to answer two questions. What is the evidence regarding the association of TBI with health services utilization and costs in the US and worldwide? What is the evidence regarding racial/ethnic, gender, geographic, socio-economic and other disparities in health services utilization and cost in the US and worldwide? To attain this goal we searched several databases using key words to perform a systematic review of the literature since 2000. We found 36 articles to be eligible for inclusion in the review. The evidence demonstrates a wide variation in health services utilization and costs depending on population of study and severity of TBI. The evidence also supports the existence of racial/ethnic, gender, insurance, geographic disparities in the US as well as other unique disparities worldwide. PMID:26153156

  11. Utility and Weight of Factors of Bus Transit’ s Service Quality Analysis in Nanjing

    Institute of Scientific and Technical Information of China (English)

    Jianrong Liu; Tangyi Guo

    2015-01-01

    Service quality is a major factor that affects how public transport users evaluate bus service. In order to evaluate how bus users make trade⁃offs across travel cost, time, reliability, etc., and to investigate the extent to which the components of service quality vary according to relevant trip characteristics, this paper analyzes service quality of bus transit with the conjoint analysis. Through data analysis, the levels ’ utility values of reliability, waiting time, walking time, etc.,on the commuter trip and the non⁃commuter trip are gotten, so it is the utility function of the transit system. Then the factors’ weights are obtained through the utility values. The results show that on the commuter trip, passengers value reliability the most, which is followed by waiting time and walking time, while in⁃bus environment, price and station environment’ s weights are small. While on the non⁃commuter trip, the weights in a higher order to lower order are the first for reliability, the second for in⁃bus environment, the third for walking time, the fourth for station environment and the last for ticket price.

  12. Utilization of dental health services by Danish adolescents attending private or public dental health care systems

    DEFF Research Database (Denmark)

    Christensen, Lisa Bøge; Petersen, Poul Erik; Bastholm, Annelise

    2002-01-01

    The objectives of the study were: 1) to describe the choice of dental care system among 16-year-olds, 2) to describe the utilization of dental services among 16-17-year-olds enrolled in either public or private dental care systems, and to compare the dental services provided by the alternative...... systems. The study comprised 1,245 adolescents from 3 municipalities; the historical cohort study design was applied; and data were collected from dental records (public dental service) and dental claims (private practice). At age 16, 12% preferred being enrolled in the private practice system, while 88......% remained in the public dental care system. During the 2-year study period the attendance rate was 99% for the public system, while 90% attended the private practice system (Pdental services were provided more frequently by the public than the private system (P

  13. Dental health services utilization and associated factors in children 6 to 12 years old in a low-income country.

    Science.gov (United States)

    Medina-Solis, Carlo Eduardo; Maupomé, Gerardo; del Socorro, Herrera Miriam; Pérez-Núñez, Ricardo; Avila-Burgos, Leticia; Lamadrid-Figueroa, Hector

    2008-01-01

    To determine the factors associated with the dental health services utilization among children ages 6 to 12 in León, Nicaragua. A cross-sectional study was carried out in 1,400 schoolchildren. Using a questionnaire, we determined information related to utilization and independent variables in the previous year. Oral health needs were established by means of a dental examination. To identify the independent variables associated with dental health services utilization, two types of multivariate regression models were used, according to the measurement scale of the outcome variable: a) frequency of utilization as (0) none, (1) one, and (2) two or more, analyzed with the ordered logistic regression and b) the type of service utilized as (0) none, (1) preventive services, (2) curative services, and (3) both services, analyzed with the multinomial logistic regression. The proportion of children who received at least one dental service in the 12 months prior to the study was 27.7 percent. The variables associated with utilization in the two models were older age, female sex, more frequent toothbrushing, positive attitude of the mother toward the child's oral health, higher socioeconomic level, and higher oral health needs. Various predisposing, enabling, and oral health needs variables were associated with higher dental health services utilization. As in prior reports elsewhere, these results from Nicaragua confirmed that utilization inequalities exist between socioeconomic groups. The multinomial logistic regression model evidenced the association of different variables depending on the type of service used.

  14. Utilizing Radiofrequency Identification Technology to Improve Safety and Management of Blood Bank Supply Chains.

    Science.gov (United States)

    Coustasse, Alberto; Meadows, Pamela; Hall, Robert S; Hibner, Travis; Deslich, Stacie

    2015-11-01

    The importance of efficiency in the supply chain of perishable products, such as the blood products used in transfusion services, cannot be overstated. Many problems can occur, such as the outdating of products, inventory management issues, patient misidentification, and mistransfusion. The purpose of this article was to identify the benefits and barriers associated with radiofrequency identification (RFID) usage in improving the blood bank supply chain. The methodology for this study was a qualitative literature review following a systematic approach. The review was limited to sources published from 2000 to 2014 in the English language. Sixty-five sources were found, and 56 were used in this research study. According to the finding of the present study, there are numerous benefits and barriers to RFID utilization in blood bank supply chains. RFID technology offers several benefits with regard to blood bank product management, including decreased transfusion errors, reduction of product loss, and more efficient inventory management. Barriers to RFID implementation include the cost associated with system implementation and patient privacy issues. Implementation of an RFID system can be a significant investment. However, when observing the positive impact that such systems may have on transfusion safety and inventory management, the cost associated with RFID systems can easily be justified. RFID in blood bank inventory management is vital to ensuring efficient product inventory management and positive patient outcomes.

  15. Space assets, technology and services in support of energy policy

    Science.gov (United States)

    Vasko, C. A.; Adriaensen, M.; Bretel, A.; Duvaux-Bechon, I.; Giannopapa, C. G.

    2017-09-01

    Space can be used as a tool by decision and policy makers in developing, implementing and monitoring various policy areas including resource management, environment, transport, security and energy. This paper focuses on the role of space for the energy policy. Firstly, the paper summarizes the European Union's (EU) main objectives in energy policy enclosed in the Energy Strategy 2020-2030-2050 and demonstrates how space assets can contribute to achieving those objectives. Secondly, the paper addresses how the European Space Agency (ESA) has established multiple initiatives and programs that directly finance the development of space assets, technology and applications that deliver services in support of the EU energy policy and sector. These efforts should be continued and strengthened in order to overcome identified technological challenges. The use of space assets, technology and applications, can help achieve the energy policy objectives for the next decades.

  16. 76 FR 18476 - Improving Communications Services for Native Nations by Promoting Greater Utilization of Spectrum...

    Science.gov (United States)

    2011-04-04

    ... forms of information technology. In addition, pursuant to the Small Business Paperwork Relief Act of... Commission might further reduce the information collection burden for small business concerns with fewer than... that would be applicable to licenses for fixed and mobile wireless services and available to...

  17. Utilization of smoking cessation medication benefits among medicaid fee-for-service enrollees 1999–2008

    Science.gov (United States)

    Kahende, Jennifer; England, Lucinda; Zhang, Lei; Mowery, Paul; Xu, Xin; Sevilimedu, Varadan; Rolle, Italia

    2017-01-01

    Objective To assess state coverage and utilization of Medicaid smoking cessation medication benefits among fee-for-service enrollees who smoked cigarettes. Methods We used the linked National Health Interview Survey (survey years 1995, 1997–2005) and the Medicaid Analytic eXtract files (1999–2008) to assess utilization of smoking cessation medication benefits among 5,982 cigarette smokers aged 18–64 years enrolled in Medicaid fee-for-service whose state Medicaid insurance covered at least one cessation medication. We excluded visits during pregnancy, and those covered by managed care or under dual enrollment (Medicaid and Medicare). Multivariate logistic regression was used to determine correlates of cessation medication benefit utilization among Medicaid fee-for-service enrollees, including measures of drug coverage (comprehensive cessation medication coverage, number of medications in state benefit, varenicline coverage), individual-level demographics at NHIS interview, age at Medicaid enrollment, and state-level cigarette excise taxes, statewide smoke-free laws, and per-capita tobacco control funding. Results In 1999, the percent of smokers with ≥1 medication claims was 5.7% in the 30 states that covered at least one Food and Drug Administration (FDA)-approved cessation medication; this increased to 9.9% in 2008 in the 44 states that covered at least one FDA-approved medication (p<0.01). Cessation medication utilization was greater among older individuals (≥ 25 years), females, non-Hispanic whites, and those with higher educational attainment. Comprehensive coverage, the number of smoking cessation medications covered and varenicline coverage were all positively associated with utilization; cigarette excise tax and per-capita tobacco control funding were also positively associated with utilization. Conclusions Utilization of medication benefits among fee-for-service Medicaid enrollees increased from 1999–2008 and varied by individual and state

  18. Gender differences in combat medic mental health services utilization, barriers, and stigma.

    Science.gov (United States)

    Elnitsky, Christine A; Chapman, Paula L; Thurman, Ryan M; Pitts, Barbara L; Figley, Charles; Unwin, Brian

    2013-07-01

    Military health care providers experience considerable stressors related to their exposure to death and traumatic injuries in others. This study used survey data from 799 active duty U.S. Army Combat Medics deployed to Operation Iraqi Freedom/Operation Enduring Freedom. Military experiences, combat exposures, and mental health care seeking of active duty Combat Medics were explored and compared across both genders. Barriers to care were also assessed. Male and female Combat Medics reported surprisingly similar experiences, exposures, and health issues. Overall, results indicate no striking differences in barriers for females compared to their male counterparts, suggesting the barriers to utilization of mental health services may be consistent across gender. Although medics endorsed barriers and stigma related to mental health counseling services, they still sought these health services. Female and male medics who endorsed barriers were more likely to report seeking services than those who did not endorse barriers. This study provides an initial description of utilization of mental health counseling services for U.S. Army Combat Medics, the majority of whom were involved in combat operations in Afghanistan or Iraq. Our findings indicate that comprehensive assessment of the military experiences and combat exposures is needed to appreciate their potential influence on military health care providers. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.

  19. Assessment of Utilization of Internet Facilities Among Pre-Service Teachers in University of Ilorin, Nigeria

    Directory of Open Access Journals (Sweden)

    Oyeronke Olufunmilola OGUNLADE

    2015-07-01

    Full Text Available The use of the Internet can further equip teachers by providing them with the latest information on their discipline. The purpose of technology in teacher training is to provide pre-service teachers with the capability of integrating computer technologies into curriculum and instructional activities.This study therefore assessed the internet facilities among pre-service teachers in the University of Ilorin in Nigeria. The use of internet facilities based on gender was also examined. The instrument used was a questionnaire. All pre-service teachers in the Faculty of Education, University of Ilorin were the population for the study. Some 150 students in 400 level were randomly sampled (89 males, 61 females. Frequency counts and percentage were used to answer three research questions while the independent t-test statistic was used to test the hypothesis. The results show that: 80% of the respondents had a positive attitude toward the use of internet facilities, 62% agreed that males were more internet literate; and there was no significant difference between male and female in the use of internet facilities. Based on the findings, it was recommended that training should be emphasized for pre-service teachers, female pre-service teachers should be encouraged to be part of change and pre-service teachers should learn to balance their time.

  20. Technologies for HIV prevention and care: challenges for health services

    Directory of Open Access Journals (Sweden)

    Ivia Maksud

    2015-09-01

    Full Text Available ABSTRACTThis article aims to consider some relevant challenges to the provision of "new prevention technologies" in health services in a scenario where the "advances" in the global response to AIDS control are visible. We take as material for analysis the information currently available on the HIV post-exposure prophylaxis (PEP and pre-exposure prophylaxis (PrEP, treatment as prevention (TASP and over the counter. The methodology consisted of the survey and analysis of the Biblioteca Virtual em Saúde (BVS: MEDLINE, LILACS, WHOLIS, PAHO, SciELO articles that addressed the issue of HIV prevention and care in the context of so-called new prevention technologies. The results of the studies show that there is assistance on the ground of clinics for the treatment of disease responses, but there are several challenges related to the sphere of prevention. The articles list some challenges regarding to management, organization of services and the attention given by health professionals to users. The current context shows evidence of the effectiveness of antiretroviral therapy in reducing the risk of HIV transmission, but the challenges for the provision of preventive technologies in health services permeate health professionals and users in their individual dimensions and health services in organizational and structural dimension. Interventions should be made available in a context of community mobilization; there should be no pressure on people to make HIV testing, antiretroviral treatment or for prevention. In the management is responsible for the training of health professionals to inform, clarify and make available to users, partners and family information about the new antiretroviral use strategies.

  1. Technologies for HIV prevention and care: challenges for health services.

    Science.gov (United States)

    Maksud, Ivia; Fernandes, Nilo Martinez; Filgueiras, Sandra Lucia

    2015-09-01

    This article aims to consider some relevant challenges to the provision of "new prevention technologies" in health services in a scenario where the "advances" in the global response to AIDS control are visible. We take as material for analysis the information currently available on the HIV post-exposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP), treatment as prevention (TASP) and over the counter. The methodology consisted of the survey and analysis of the Biblioteca Virtual em Saúde (BVS: MEDLINE, LILACS, WHOLIS, PAHO, SciELO) articles that addressed the issue of HIV prevention and care in the context of so-called new prevention technologies. The results of the studies show that there is assistance on the ground of clinics for the treatment of disease responses, but there are several challenges related to the sphere of prevention. The articles list some challenges regarding to management, organization of services and the attention given by health professionals to users. The current context shows evidence of the effectiveness of antiretroviral therapy in reducing the risk of HIV transmission, but the challenges for the provision of preventive technologies in health services permeate health professionals and users in their individual dimensions and health services in organizational and structural dimension. Interventions should be made available in a context of community mobilization; there should be no pressure on people to make HIV testing, antiretroviral treatment or for prevention. In the management is responsible for the training of health professionals to inform, clarify and make available to users, partners and family information about the new antiretroviral use strategies.

  2. Technology review of commercial food service equipment - final report

    Energy Technology Data Exchange (ETDEWEB)

    Rahbar, S.; Krsikapa, S. [Canadian Gas Research Inst., Don Mills, ON (Canada); Fisher, D.; Nickel, J.; Ardley, S.; Zabrowski, D. [Fisher Consultants (Canada); Barker, R.F. [ed.

    1996-05-15

    Technical information on commercial gas cooking appliances was presented. This second volume provided an appliance-by-appliance comprehensive assessment of the energy performance of commercial food service equipment. Energy assessments were made for the following categories of cooking equipment: fryers, griddles, broilers, ranges, Chinese ranges, ovens, steamers, steam kettles, and braising pans. Recommendations were made for improving the energy efficiency and overall performance of gas appliances to support of the Canadian gas utilities marketing and energy conservation initiatives. 71 refs., 37 tabs., 58 figs.

  3. Final Technical Report Laramie County Community College: Utility-Scale Wind Energy Technology

    Energy Technology Data Exchange (ETDEWEB)

    Douglas P. Cook

    2012-05-22

    The Utility-Scale Wind Energy Technology U.S. Department of Energy (DOE) grant EE0000538, provided a way ahead for Laramie County Community College (LCCC) to increase educational and training opportunities for students seeking an Associate of Applied Science (AAS) or Associate of Science (AS) degree in Wind Energy Technology. The DOE grant enabled LCCC to program, schedule, and successfully operate multiple wind energy technology cohorts of up to 20-14 students per cohort simultaneously. As of this report, LCCC currently runs four cohorts. In addition, the DOE grant allowed LCCC to procure specialized LABVOLT electronic equipment that directly supports is wind energy technology curriculum.

  4. More service of public utilities. Mobile data communication to improve maintenance services; Meer service. Mobiele datacommunicatie verbetert inzet onderhoudsdienst

    Energy Technology Data Exchange (ETDEWEB)

    Koenis, F.T.C. [KEMA Connect, Arnhem (Netherlands)

    2000-03-01

    Efficient data exchange between the energy company and its maintenance crew is important to be able to rapidly repair urgent failures. Wireless data communication can lead to cost reduction for the company, while at the same time the service to customers improves. 2 refs.

  5. Factors Impacting Student Service Utilization at Ontario Colleges: Key Performance Indicators as a Measure of Success: A Niagara College View

    Science.gov (United States)

    Veres, David

    2015-01-01

    Student success in Ontario College is significantly influenced by the utilization of student services. At Niagara College there has been a significant investment in student services as a strategy to support student success. Utilizing existing KPI data, this quantitative research project is aimed at measuring factors that influence both the use of…

  6. Analysis of utilization technologies for Eichhornia crassipes biomass harvested after restoration of wastewater.

    Science.gov (United States)

    Feng, Wei; Xiao, Kai; Zhou, Wenbing; Zhu, Duanwei; Zhou, Yiyong; Yuan, Yu; Xiao, Naidong; Wan, Xiaoqiong; Hua, Yumei; Zhao, Jianwei

    2017-01-01

    Eichhornia crassipes (EC, water hyacinth) has gained attention due to its alarming reproductive capacity, which subsequently leads to serious ecological damage of water in many eutrophic lakes in the world. The traditional mechanical removal methods have disadvantages. They squander this valuable lignocellulosic resource. Meanwhile, there is a bottleneck for the subsequently reasonable and efficient utilization of EC biomass on a large scale after phytoremediation of polluted water using EC. As a result, the exploration of effective EC utilization technologies has become a popular research field. After years of exploration and amelioration, there have been significant breakthroughs in this research area, including the synthesis of excellent EC cellulose-derived materials, innovative bioenergy production, etc. This review organizes the research of the utilization of the EC biomass among several important fields and then analyses the advantages and disadvantages for each pathway. Finally, comprehensive EC utilization technologies are proposed as a reference. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Health Seeking Behavior and Utilization of Health Care Services in Eastern Hilly Region of Nepal

    Directory of Open Access Journals (Sweden)

    Sailesh Bhattarai

    2015-11-01

    Full Text Available noBackground & Objectives: Preventive, promotive, curative, and rehabilitative health care services depend not only in availability & accessibility of it but also on awareness and attitude of the people and various inter-woven social structure that determines in making choice. The objective of this study was to explore health seeking behavior and utilization of health care services in the rural places in VDCs of Ilam district of Eastern Nepal.Materials & Methods: A cross sectional study was conducted in between period of March 25th 2013 to April 10th 2013 Fikkal and Pashupatinagar VDCs in Ilam district with sample of 300 people. Data was collected using a semi-structured questionnaire.Results: One fifth of the populations were found to be seeking traditional healers’ service and 80 percent among modern treatment system were relying on private treatment facility for treating sickness. People who had lived more than 20 years in that place and who felt modern health services were costly were likely to use service of traditional healers. Similarly people suffering from chronic illness, having health facility more than 30 minutes and using stretcher or walking as means of transportation were using government health centers more compared to private services.Conclusion: Significant people still use traditional healers’ service and the government health facility utilization was low as compared to private. The people living for longer period in that place and having the concept that modern health centers are costly were primary user of traditional healing system. Health facility nearby or people who could afford for automobile travel facilities were using costly private health centers.JCMS Nepal. 2015; 11(2:8-16

  8. Utilization of smoking cessation medication benefits among medicaid fee-for-service enrollees 1999-2008.

    Science.gov (United States)

    Kahende, Jennifer; Malarcher, Ann; England, Lucinda; Zhang, Lei; Mowery, Paul; Xu, Xin; Sevilimedu, Varadan; Rolle, Italia

    2017-01-01

    To assess state coverage and utilization of Medicaid smoking cessation medication benefits among fee-for-service enrollees who smoked cigarettes. We used the linked National Health Interview Survey (survey years 1995, 1997-2005) and the Medicaid Analytic eXtract files (1999-2008) to assess utilization of smoking cessation medication benefits among 5,982 cigarette smokers aged 18-64 years enrolled in Medicaid fee-for-service whose state Medicaid insurance covered at least one cessation medication. We excluded visits during pregnancy, and those covered by managed care or under dual enrollment (Medicaid and Medicare). Multivariate logistic regression was used to determine correlates of cessation medication benefit utilization among Medicaid fee-for-service enrollees, including measures of drug coverage (comprehensive cessation medication coverage, number of medications in state benefit, varenicline coverage), individual-level demographics at NHIS interview, age at Medicaid enrollment, and state-level cigarette excise taxes, statewide smoke-free laws, and per-capita tobacco control funding. In 1999, the percent of smokers with ≥1 medication claims was 5.7% in the 30 states that covered at least one Food and Drug Administration (FDA)-approved cessation medication; this increased to 9.9% in 2008 in the 44 states that covered at least one FDA-approved medication (putilization was greater among older individuals (≥ 25 years), females, non-Hispanic whites, and those with higher educational attainment. Comprehensive coverage, the number of smoking cessation medications covered and varenicline coverage were all positively associated with utilization; cigarette excise tax and per-capita tobacco control funding were also positively associated with utilization. Utilization of medication benefits among fee-for-service Medicaid enrollees increased from 1999-2008 and varied by individual and state-level characteristics. Given that the Affordable Care Act bars state Medicaid

  9. PTSD Trajectory, Co-morbidity, and Utilization of Mental Health Services among National Guard Soldiers

    Science.gov (United States)

    2014-09-01

    focus not only on documenting the prevalence and correlates of PTSD and other mental illness and health service utilization among these forces, but...experiences as determinants of mental health in this group. We focus not only on documenting the prevalence and correlates of PTSD and other mental illness ...prevalence of sexual violence and mental health symptoms among National Guard and Reserve soldiers, this research found that lifetime sexual violence

  10. Antenatal Care Services Utilization in Yobe State, Nigeria: Examining Predictors and Barriers

    OpenAIRE

    2015-01-01

    Objective: In Nigeria, wide disparities exist between the different parts of the country, with the states in the North East zone having poor health resources. The objective of this study is to assess whether women’s biological, sociocultural, and economic characteristics are associated with utilization of ante natal care services as measured by number of antenatal care (ANC) visits in Yobe State. Methods: This is a secondary data analysis of the 2008 Nigeria Demographic and Health Survey ...

  11. Utilization of Oral Health Care Services by University Undergraduates in Lagos, Nigeria.

    Science.gov (United States)

    Makanjuola, J O; Uti, O G; Sofola, O O

    2015-01-01

    Data on the utilization of the available oral health facilities by university undergraduates is scarce in Nigeria. To determine the level of utilization of oral health care services and to identify the barriers to seeking treatment among University of Lagos students. A cross-sectional survey was carried out among University of Lagos undergraduates. Systematic sampling was used to select participants after randomly selecting a male and female hostel. Self-administered questionnaires were distributed to participants and collected immediately. The data was analyzed using Epi info version 6.04 software. Statistical significance was evaluated with chi square test and p-value <0.05 was regarded as significant. About half (50.9%) of the respondents had visited the dentist previously while only 42.7% respondents had utilized dental services in the past 12 months. There was no significant association between the age, gender, year of undergraduate education, and the faculty of these students and their level of utilization of oral health care services. A high proportion of respondents that had attended the dental clinic went for dental checkup (33.6%) and extractions (30.9%).The major barriers to receiving dental treatment was a lack of perceived need for dental treatment (53.1%) followed by lack of time (27.1%), fear/anxiety (18.2%) and cost of treatment (18.2%). The low level of utilization among the undergraduates in Lagos, Nigeria shows that there is need for greater oral health awareness among the students, thereby increasing the use of oral health care facilities.

  12. The effect of increasing the coinsurance rate on outpatient utilization of healthcare services in South Korea.

    Science.gov (United States)

    Lee, Hyo Jung; Jang, Sung-In; Park, Eun-Cheol

    2017-02-20

    The Korean healthcare system is composed of costly and inefficient structures that fail to adequately divide the functions and roles of medical care organizations. To resolve this matter, the government reformed the cost-sharing policy in November of 2011 for the management of outpatients visiting general or tertiary hospitals with comparatively mild diseases. The purpose of the present study was to examine the impact of increasing the coinsurance rate of prescription drug costs for 52 mild diseases at general or tertiary hospitals on outpatient healthcare service utilization. The present study used health insurance claim data collected from 2010 to 2013. The study population consisted of 505,691 outpatients and was defined as those aged 20-64 years who had visited medical care organizations for the treatment of 52 diseases both before and after the program began. To examine the effect of the cost-sharing policy on outpatient healthcare service utilization (percentage of general or tertiary hospital utilization, number of outpatient visits, and outpatient medical costs), a segmented regression analysis was performed. After the policy to increase the coinsurance rate on prescription drug costs was implemented, the number of outpatient visits at general or tertiary hospitals decreased (β = -0.0114, p utilization of general or tertiary hospitals has transferred to that of clinics or hospitals due to the increased cost-sharing policy of prescription drug costs. This result indicates the cost-sharing policy, intended to change patient behaviors for healthcare service utilization, has had limited effects on rebuilding the healthcare system and the function of medical care organizations.

  13. Sensor Acquisition for Water Utilities: Survey, Down Selection Process, and Technology List

    Energy Technology Data Exchange (ETDEWEB)

    Alai, M; Glascoe, L; Love, A; Johnson, M; Einfeld, W

    2005-06-29

    The early detection of the biological and chemical contamination of water distribution systems is a necessary capability for securing the nation's water supply. Current and emerging early-detection technology capabilities and shortcomings need to be identified and assessed to provide government agencies and water utilities with an improved methodology for assessing the value of installing these technologies. The Department of Homeland Security (DHS) has tasked a multi-laboratory team to evaluate current and future needs to protect the nation's water distribution infrastructure by supporting an objective evaluation of current and new technologies. The LLNL deliverable from this Operational Technology Demonstration (OTD) was to assist the development of a technology acquisition process for a water distribution early warning system. The technology survey includes a review of previous sensor surveys and current test programs and a compiled database of relevant technologies. In the survey paper we discuss previous efforts by governmental agencies, research organizations, and private companies. We provide a survey of previous sensor studies with regard to the use of Early Warning Systems (EWS) that includes earlier surveys, testing programs, and response studies. The list of sensor technologies was ultimately developed to assist in the recommendation of candidate technologies for laboratory and field testing. A set of recommendations for future sensor selection efforts has been appended to this document, as has a down selection example for a hypothetical water utility.

  14. The disappearing utility workforce : are aging personnel a human resources problem or a technology opportunity?

    Energy Technology Data Exchange (ETDEWEB)

    Kitterman, B.; Dugan, J. [LogicaCMG, Houston, TX (United States)

    2006-03-15

    The retirement of a large cohort of skilled workers in the electricity industry may provide an opportunity for utilities to improve their financial performance. Personnel related expenses have continued to squeeze profit margins at many utilities. In order to achieve annual earnings improvement targets of 10-15 per cent, many utilities have had no alternative but to reduce ongoing operational expenses. However, with nearly a third of the industry eligible to retire within the next 5 years, personnel cuts are no longer warranted. This article examined ways in which innovative technology can drive improvements in utilities to reduce future costs, make better use of reduced staffs and capture the knowledge base of skilled workers before their departure. The high performance utility of the future must commit to a program of continuous process improvement. The use of design templates for light or medium construction activities can accommodate as much as 80 per cent of the design engineering workload and reduce the number of engineers required. A single dispatching technology was recommended to reduce redundant job roles and incorporate the scheduling of field personnel. A plug and play wireless communications architecture was recommended to manage the flow of data between the office and the field, as well as to maximize the throughput of utility radio wire line and wireless networks, and to assign priorities to time sensitive data. It was suggested that a wireless enterprise strategy should accommodate the management of multiple field devices as well as supporting server and communications hardware. It was concluded that strategic technologies will help utilities to institutionalize the knowledge of seasoned employees and help to develop a set of sustainable best practices. In addition, a new technology platform will unite all segments of utility operations within a single set of business goals. 2 figs.

  15. ENTERPRISE SERVICES ARCHITECTURE IN THE WORLD OF INFORMATION TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Stefan IOVAN

    2012-05-01

    Full Text Available Enterprise Services Architecture (ESA is blueprint for now enterprise software should be constructed to provide maximum business value. The challenge facing most companies is not whether to adopt Service-Oriented Architecture (SOA, but when and how to do so. There is always a lag between technological vision and business feasibility. It also takes time to fully realize the potential of existing technologies, a process that does not stop the moment the new thing arrives. But when the value of a new approach such as ESA starts to make a difference and produces a competitive advantage, the motivation to change skyrockets. The time to change becomes now and the hunger for learning grows. The goal of this paper is to satisfy the hunger for information for those who suspect that ESA may be a gateway to transforming Information Technology (IT into a strategic weapon. This paper will explain – in more detail that ever before – what ESA is bringing the concept to life in all of its products as a platform supported by an ecosystem.

  16. Urban poverty and utilization of maternal and child health care services in India.

    Science.gov (United States)

    Prakash, Ravi; Kumar, Abhishek

    2013-07-01

    Drawing upon data from the third round of the National Family Health Survey (NFHS-3) conducted in India during 2005-06, this study compares the utilization of selected maternal and child health care services between the urban poor and non-poor in India and across selected Indian states. A wealth index was created, separately for urban areas, using Principal Component Analysis to identify the urban poor. The findings suggest that the indicators of maternal and child health care are worse among the urban poor than in their non-poor counterparts. For instance, the levels of antenatal care, safe delivery and childhood vaccinations are much lower among the urban poor than non-poor, especially in socioeconomically disadvantageous states. Among all the maternal and child health care indicators, the non-poor/poor difference is most pronounced for delivery care in the country and across the states. Other than poverty status, utilization of antenatal services by mothers increases the chances of safe delivery and child immunization at both national and sub-national levels. The poverty status of the household emerged as a significant barrier to utilization of health care services in urban India.

  17. Socioeconomic status and utilization of amblyopia services at a tertiary pediatric hospital in Canada.

    Science.gov (United States)

    Sharma, Abhishek; Wong, Agnes M F; Colpa, Linda; Chow, Amy H Y; Jin, Ya-Ping

    2016-12-01

    To evaluate whether socioeconomic status is associated with equal utilization of amblyopia services at The Hospital for Sick Children (SickKids), a pediatric tertiary hospital in Canada. This is a retrospective, cross-sectional study. The medical records of children aged under 7 years diagnosed with amblyopia at SickKids from 2007 to 2009 were reviewed. Socioeconomic status was derived from patients' residential postal codes through linking with income data in the 2006 Canadian census report. Patients were divided into 5 income quintiles to compare with amblyopia service utilization. The main outcome measure was the observed distribution of amblyopia patients by socioeconomic status versus the expected distribution of 20% for each quintile. The analyses included 336 patients. Children with amblyopia at SickKids were more likely to come from the richest neighbourhood (32.5%), whereas children from each of the 3 lowest quintiles (14.6%-15.5%) were less likely to present at SickKids. These results differed significantly from the expected 20% for each quintile (p hospital, a significant inequality between the lower and higher income quintiles remained for nonmetropolitan Toronto patients, but not for metropolitan Toronto patients. Despite a publicly funded health-care system in Canada, children from lower socioeconomic neighbourhoods in distant areas utilize the amblyopia services in a tertiary pediatric centre less often than those from higher socioeconomic status. Copyright © 2016 Canadian Ophthalmological Society. All rights reserved.

  18. Veterans' Service Utilization Patterns After Alcohol and Opioid Detoxification in VHA Care.

    Science.gov (United States)

    Timko, Christine; Gupta, Shalini; Schultz, Nicole; Harris, Alex H S

    2016-04-01

    This study aimed to examine detoxification-related service utilization in the Veterans Health Administration (VHA). VHA data for 266,908 patients were used to examine rates and predictors of receiving detoxification, attending post-detoxification appointments, and entering specialty treatment. Multilevel, mixed-effects logistic regressions were used to examine associations between patient and facility characteristics and service utilization. Nationally, 8.0% of VHA patients with alcohol or opiate dependence received detoxification in fiscal year 2013 (facility range=.1%-20.4%); 43.1% of detoxified patients received follow-up (11.1%-76.4%), and 49.9% entered specialty treatment (13.0%-77.2%). In adjusted analyses, detoxification was more likely among male, younger, white, and homeless patients with documented alcohol or opiate disorders and comorbid general medical conditions but without previous addiction treatment. Detoxification was also more likely in facilities with fewer vacant addiction therapist positions. Follow-up and specialty treatments were more likely among younger, healthier homeless patients with previous addiction treatment and a documented alcohol use disorder. Detoxification-related service utilization was highly variable across the VHA. Interventions are needed to optimize use.

  19. Impact of the health services utilization and improvement model (HUIM) on self efficacy and satisfaction among a head start population.

    Science.gov (United States)

    Tataw, David B; Bazargan-Hejazi, Shahrzad

    2010-01-01

    The aim of this paper is to evaluate and report the impact of the Health Services Utilization Improvement Model (HUIM) on utilization and satisfaction with care, as well as knowledge regarding prevention, detection, and treatment of asthma, diabetes, tuberculosis, and child injury among low income health services consumers. HUIM outcomes data shows that the coupling of parental education and ecological factors (service linkage and provider orientation) impacts the health services utilization experience of low income consumers evidenced by improved self-efficacy (knowledge and voice), and satisfaction with care from a child's regular provider. Participation in HUIM activities also improved the low income consumer's knowledge of disease identification, self-care and prevention.

  20. Factors associated with safe delivery service utilization among women in Sheka zone, southwest Ethiopia.

    Science.gov (United States)

    Asres, Abyot; Davey, Gail

    2015-04-01

    Attempts to predict pregnancy and childbirth complications before they occur have not been successful. Provision of safe delivery service for all births is considered to be a critical intervention for ensuring safe motherhood. Hence the aim of the study was to assess factors associated with safe delivery service utilization among women in Sheka Zone South West Ethiopia. A community based comparative cross sectional survey was conducted among 554 women in Sheka Zone from February to March 2008. Data were collected through structured pre-tested questionnaire and entered into Epinfo version 3.3. Analyses were done with SPSS version 13 computer software with which bivariate and multiple logistic regressions were carried out. Mothers who completed at least secondary school were more likely to give birth at health facility than those uneducated (AOR = 3.26, 95 % CI 1.51-7.06). Women with birth order above four were less likely to give birth in a health facility than those with first order births (AOR = 0.21, 95 %CI 0.10-0.43). Women who had encountered problems in their immediate birth and received prenatal care were more likely to give birth at health facilities AOR = 33.78 95 % CI 16.44-69.39) and (AOR = 2.55, 95 % CI 1.05-6.21) respectively. Factors associated with safe delivery service utilization are related to the women's socioeconomic status and obstetric experiences. Consequently promotion of maternal education, prenatal care utilization, information education and communication on obstetric risks and general health service expansion are needed to ensure safe delivery service.

  1. 75 FR 5291 - Office of Special Education and Rehabilitative Services; Overview Information; Technology and...

    Science.gov (United States)

    2010-02-02

    ... Office of Special Education and Rehabilitative Services; Overview Information; Technology and Media... budget period of 12 months. The Assistant Secretary for Special Education and Rehabilitative Services may... Special Education and Rehabilitative Services. BILLING CODE 4000-01-P ...

  2. Utilization of preventive care services and their effect on cardiovascular outcomes in the United States

    Directory of Open Access Journals (Sweden)

    Varun Vaidya

    2011-01-01

    Full Text Available Varun Vaidya, Gautam Partha, Jennifer HowePharmacy Health Care Administration, Department of Pharmacy Practice, University of Toledo College of Pharmacy, Toledo, OH, USAObjective: To describe and analyze utilization of preventive care services and their effect on cardiovascular outcomes in the United States.Methods: Data from the 2007 Medical Expenditure Panel Survey (MEPS were used to analyze utilization of preventive care services and their effect on cardiovascular outcomes. Recommendations by the Seventh Report of the Joint Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and the National Cholesterol Education Program were used to determine appropriate levels of preventive care utilization. Utilization of blood pressure screening and cholesterol checkup services were used as the dependent variable, while age, gender, race, ethnicity, insurance status, and perceived health status were used as independent variables. Since guidelines differ for people with elevated blood pressure, respondents with elevated blood pressure were identified in the MEPS database by self-reported diagnosis. Descriptive statistics were used to describe the population, while a multivariate logistic regression model was built to predict odds of utilizing appropriate levels of preventive services.Results: Total number of adult respondents for which data were available for blood pressure checkup and cholesterol checkup was 20,523 and 15,784, respectively. Overall, MEPS respondents were found to adhere to guideline recommendations for preventive care utilization. Multivariate logistic regression showed that odds of utilization of preventive care services were higher for elderly patients (age >65 years for blood pressure (odds ratio [OR] = 2.39, 95% confidence interval [CI]: 1.92–2.97 and cholesterol (OR = 3.05, 95% CI: 2.18–4.27 preventive services compared with younger population (age 18–54 years. Males had much lower odds of

  3. Factors associated with utilization of dental services in a long-term care facility: a descriptive cross-sectional study.

    Science.gov (United States)

    Scannapieco, Frank A; Amin, Summar; Salme, Marc; Tezal, Mine

    2017-03-01

    To describe factors associated with the utilization of dental services in a long-term care facility (LTCF) in Western New York. A descriptive cross-sectional study reviewed the dental and medical records of residents of an LTCF discharged between January 1, 2008 and December 30, 2012. Information on demographic and health variables at admission was extracted from electronic health records. Information on oral health variables was extracted from patient charts. A total of 2,516 residents were discharged between 2008 and 2012. From those, 259 (10.3%) utilized dental services at least once during their stay. Those who utilized dental services were significantly older at admission (78.5 vs. 82.0 years, p dental services. Dental services appear to be underutilized by residents of LTCF. Significant differences exist in demographic and health variables between residents who utilize these services compared to those who do not. © 2016 Special Care Dentistry Association and Wiley Periodicals, Inc.

  4. Analysis of the national scientific production on the utilization of digital technologies for nurses’ education

    Directory of Open Access Journals (Sweden)

    Viviane Rolim de Holanda

    2013-12-01

    Full Text Available The objective of this study was to seek evidence available in the national scientific literature regarding the utilization of digital teaching technologies in nurses’ education. The adopted research method was integrative literature review. The articles were selected on PubMed, LILACS, Medline, IBECS, and SciELO databases guided by the following question: what digital teaching technologies are used in nursing courses in Brazil? Eleven articles were selected. Results showed that the following were utilized: virtual learning environments, education software, interactive multimedia (CD-ROM, virtual simulations, hypertexts, digital games, websites, and virtual discussion groups (e-group/listservers. The evidence, in this study, shows that digital technologies are materials capable of optimizing knowledge acquisition complementary to traditional education, encouraging students to learning to learn. Descriptors: Education, Nursing; Teaching; Educational Technology; Nursing.

  5. Factors Influencing Adoption of Information Technology Infrastructure Library: Utilizing the Technology Acceptance Model (TAM)

    Science.gov (United States)

    Cox, Din S. Z.

    2013-01-01

    There is a shortage of evidence based research that provides organizations with the necessary information in support of their technology adoption decisions in relation to ITSM technologies. As such, this research study attempted to bridge the gap by offering insight on possible factors that could influence such decisions. An examination of…

  6. Factors Influencing Adoption of Information Technology Infrastructure Library: Utilizing the Technology Acceptance Model (TAM)

    Science.gov (United States)

    Cox, Din S. Z.

    2013-01-01

    There is a shortage of evidence based research that provides organizations with the necessary information in support of their technology adoption decisions in relation to ITSM technologies. As such, this research study attempted to bridge the gap by offering insight on possible factors that could influence such decisions. An examination of…

  7. The impact of health insurance on health services utilization and health outcomes in Vietnam.

    Science.gov (United States)

    Guindon, G Emmanuel

    2014-10-01

    In recent years, a number of low- and middle-income country governments have introduced health insurance schemes. Yet not a great deal is known about the impact of such policy shifts. Vietnam's recent health insurance experience including a health insurance scheme for the poor in 2003 and a compulsory scheme that provides health insurance to all children under six years of age combined with Vietnam's commitment to universal coverage calls for research that examines the impact of health insurance. Taking advantage of Vietnam's unique policy environment, data from the 2002, 2004 and 2006 waves of the Vietnam Household Living Standard Survey and single-difference and difference-in-differences approaches are used to assess whether access to health insurance--for the poor, for children and for students--impacts on health services utilization and health outcomes in Vietnam. For the poor and for students, results suggest health insurance increased the use of inpatient services but not of outpatient services or health outcomes. For young children, results suggest health insurance increased the use of outpatient services (including the use of preventive health services such as vaccination and check-up) but not of inpatient services.

  8. A new mechanism for energy conservation technology services

    Energy Technology Data Exchange (ETDEWEB)

    Yan, Feng

    1996-12-31

    In the ninth-five year plan of China, the socialist market economy model will be developed. In the stage of transferring from planning economy to market economy, the energy conservation technology services industry in China has met new challenges. Over the past ten to fifteen years, there has developed a new mechanism for financing energy efficiency investments in market economies. The process is simple. After inspecting an enterprise or an entity for energy saving opportunities, an Energy Service Company (ESCO) which business aimed at making money will review the recommended energy conservation opportunities with the enterprise or the entity (user) and implement those measures acceptable to the user at no front end cost to the user. The ESCO then guarantees that the energy savings will cover the cost of the capital renovations using the Performance Contracting.

  9. Security Risks of Cloud Computing and Its Emergence as 5th Utility Service

    Science.gov (United States)

    Ahmad, Mushtaq

    Cloud Computing is being projected by the major cloud services provider IT companies such as IBM, Google, Yahoo, Amazon and others as fifth utility where clients will have access for processing those applications and or software projects which need very high processing speed for compute intensive and huge data capacity for scientific, engineering research problems and also e- business and data content network applications. These services for different types of clients are provided under DASM-Direct Access Service Management based on virtualization of hardware, software and very high bandwidth Internet (Web 2.0) communication. The paper reviews these developments for Cloud Computing and Hardware/Software configuration of the cloud paradigm. The paper also examines the vital aspects of security risks projected by IT Industry experts, cloud clients. The paper also highlights the cloud provider's response to cloud security risks.

  10. The Open Cloud Testbed: A Wide Area Testbed for Cloud Computing Utilizing High Performance Network Services

    CERN Document Server

    Grossman, Robert; Sabala, Michal; Bennet, Collin; Seidman, Jonathan; Mambratti, Joe

    2009-01-01

    Recently, a number of cloud platforms and services have been developed for data intensive computing, including Hadoop, Sector, CloudStore (formerly KFS), HBase, and Thrift. In order to benchmark the performance of these systems, to investigate their interoperability, and to experiment with new services based on flexible compute node and network provisioning capabilities, we have designed and implemented a large scale testbed called the Open Cloud Testbed (OCT). Currently the OCT has 120 nodes in four data centers: Baltimore, Chicago (two locations), and San Diego. In contrast to other cloud testbeds, which are in small geographic areas and which are based on commodity Internet services, the OCT is a wide area testbed and the four data centers are connected with a high performance 10Gb/s network, based on a foundation of dedicated lightpaths. This testbed can address the requirements of extremely large data streams that challenge other types of distributed infrastructure. We have also developed several utiliti...

  11. [Advanced information technologies for financial services industry]. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-01-01

    The project scope is to develop an advanced user interface utilizing speech and/or handwriting recognition technology that will improve the accuracy and speed of recording transactions in the dynamic environment of a foreign exchange (FX) trading floor. The project`s desired result is to improve the base technology for trader`s workstations on FX trading floors. Improved workstation effectiveness will allow vast amounts of complex information and events to be presented and analyzed, thus increasing the volume of money and other assets to be exchanged at an accelerated rate. The project scope is to develop and demonstrate technologies that advance interbank check imaging and paper check truncation. The following describes the tasks to be completed: (1) Identify the economics value case, the legal and regulatory issues, the business practices that are affected, and the effects upon settlement. (2) Familiarization with existing imaging technology. Develop requirements for image quality, security, and interoperability. Adapt existing technologies to meet requirements. (3) Define requirements for the imaging laboratory and design its architecture. Integrate and test technology from task 2 with equipment in the laboratory. (4) Develop and/or integrate and test remaining components; includes security, storage, and communications. (5) Build a prototype system and test in a laboratory. Install and run in two or more banks. Develop documentation. Conduct training. The project`s desired result is to enable a proof-of-concept trial in which multiple banks will exchange check images, exhibiting operating conditions which a check experiences as it travels through the payments/clearing system. The trial should demonstrate the adequacy of digital check images instead of paper checks.

  12. The provision of assistive technology products and services for people with dementia in the United Kingdom.

    Science.gov (United States)

    Gibson, Grant; Newton, Lisa; Pritchard, Gary; Finch, Tracy; Brittain, Katie; Robinson, Louise

    2016-07-01

    In this review we explore the provision of assistive technology products and services currently available for people with dementia within the United Kingdom. A scoping review of assistive technology products and services currently available highlighted 171 products or product types and 331 services. In addition, we assimilated data on the amount and quality of information provided by assistive technology services alongside assistive technology costs. We identify a range of products available across three areas: assistive technology used 'by', 'with' and 'on' people with dementia. Assistive technology provision is dominated by 'telecare' provided by local authorities, with services being subject to major variations in pricing and information provision; few currently used available resources for assistive technology in dementia. We argue that greater attention should be paid to information provision about assistive technology services across an increasingly mixed economy of dementia care providers, including primary care, local authorities, private companies and local/national assistive technology resources.

  13. Heat Pump Water Heater Technology: Experiences of Residential Consumers and Utilities

    Energy Technology Data Exchange (ETDEWEB)

    Ashdown, BG

    2004-08-04

    benefits. Because it produces hot water by extracting heat from the air it tends to dehumidify and cool the room in which it is placed. Moreover, it tends to spread the water heating load across utility non-peak periods. Thus, electric utilities with peak load issues could justify internal programs to promote this technology to residential and commercial customers. For practical purposes, consumers are indifferent to the manner in which water is heated but are very interested in product attributes such as initial first cost, operating cost, performance, serviceability, product size, and installation costs. Thus, the principal drivers for penetrating markets are demonstrating reliability, leveraging the dehumidification attributes of the HPWH, and creating programs that embrace life-cycle cost principles. To supplement this, a product warranty with scrupulous quality control should be implemented; first-price reduction through engineering, perhaps by reducing level of energy efficiency, should be pursued; and niche markets should be courted. The first step toward market penetration is to address the HPWH's performance reliability. Next, the manufacturers could engage select utilities to aggressively market the HPWH. A good approach would be to target distinct segments of the market with the potential for the highest benefits from the technology. Communications media that address performance issues should be developed. When marketing to new home builders, the HPWH could be introduced as part of an energy-efficient package offered as a standard feature by builders of new homes within a community. Conducting focus groups across the United States to gather input on HPWH consumer values will feed useful data back to the manufacturers. ''Renaming'' and ''repackaging'' the HPWH to improve consumer perception, appliance aesthetics, and name recognition should be considered. Once an increased sales volume is achieved, the manufacturers

  14. An Investigation of the Technological Pedagogical Content Knowledge of Pre-Service Teachers

    Science.gov (United States)

    Horzum, Mehmet Baris

    2013-01-01

    This study investigates whether pre-service teachers' learning approach and gender are related to their technological knowledge, their technological content knowledge, their technological pedagogical knowledge and their technological pedagogical content knowledge. The sample of the study consisted of 239 pre-service teachers. It was found that an…

  15. 75 FR 47631 - Swets Information Services, Operations Department, Information Technology Group, Marketing Group...

    Science.gov (United States)

    2010-08-06

    ... Technology Group, Marketing Group, Finance Group, Runnemede, NJ; Amended Certification Regarding Eligibility... investigation combined the Operations Department, Information Technology (IT) Group, Marketing Group and the... Information Services, Operations Department, Information Technology Group, Marketing Group, and......

  16. 76 FR 66327 - Iron Mountain Information Management, Inc., Corporate Service Group, Information Technology (IT...

    Science.gov (United States)

    2011-10-26

    ..., Information Technology (IT) Division, Including On-Site Leased Workers From TEK Systems, Professional... Technology (IT) Division, including on-site leased workers from TEK Systems, Professional Alternative... Management, Inc., Corporate Service Group, Information Technology (IT) Division. The Department...

  17. Utilization of Emergency Department Services by the Bedouin Population in Southern Israel

    Directory of Open Access Journals (Sweden)

    Arnon Dov Cohen

    2007-01-01

    Full Text Available Excessive use of the emergency department (ED is associated with increased costs and workload in the ED, patients' inconvenience and disruption of the continuity of care. The study's goal was to describe trends in ED utilization among Bedouins living in southern Israel. A retrospective cross-sectional study was conducted in primary care clinics in southern Israel. Patients included Bedouin and Jewish patients insured by Clalit Health Services. Data was retrieved from a central database. The number of visits to the ED and age-adjusted rates of ED visits during 2000-2003 were determined in the Bedouin vs. Jewish population. All visits that ended in hospitalization were excluded. Data was stratified according to patients' residence (semi-nomadic vs. urban Bedouins and referral origin. Age-adjusted rates of ED visits decreased from 42.9/1000 patients/month in 2000 to 38.3/1000 patients/month in 2003. There were more ED visits in the Bedouin as compared to Jewish population (38.3/1000 vs. 21.8/1000 patients/month. The decrease in ED utilization was more prominent among adult semi-nomadic Bedouins (from 60.8/1000 to 40.3/1000 patients/month. The proportion of referrals by the family physician to ED significantly decreased (among urban Bedouins: from 54.3% to 43.2%, p<0.001; among semi-nomadic Bedouins: from 53.9% to 39.9%, p<0.001, while the proportion of selfreferrals and referrals from physicians other than the family physician increased. A decrease in ED utilization by the Bedouin population during the last years was demonstrated. Utilization of ED services is still increased as compared to the non-Bedouin population. Interventions to control excessive use of ED services in the Bedouin population are currently underway.

  18. Improvement of coverage and utilization of EmOC services in southwestern Bangladesh.

    Science.gov (United States)

    Islam, M T; Hossain, M M; Islam, M A; Haque, Y A

    2005-12-01

    The Government of Bangladesh has implemented safe motherhood programs throughout the country supported by the United Nations Children's Fund (UNICEF) and United Nations Population Fund (UNFPA) aimed at reducing maternal morbidity and mortality. The objective of this study is to assess the effect of the interventions on the UN emergency obstetric care (EmOC) process indicators in Khulna division, Bangladesh. Of the 71 government health facilities in Khulna division, 32 were providing comprehensive and 20 were providing basic EmOC services. Another 4 facilities were providing comprehensive or basic EmOC services during the first three-quarters but became non-functional during the last quarter. EmOC data, from January to December 2002, were collected from all these 56 facilities to determine the levels of EmOC process indicators relative to the UN guidelines and compared with baseline data from 1998 to 1999. There were 1.04 and 0.64 comprehensive and basic EmOC facilities respectively per 500,000 population. When compared with the baseline data, the coverage of comprehensive EmOC services was substantially increased from 0.23 to 1.04 per 500,000 population, which achieves the minimum UN standards but the coverage of basic EmOC services remained the same. The data also showed that, compared with the baseline survey, the proportion of births at the EmOC facilities increased 119% from 5.3% to 11.7% (pEmOC after the interventions, there was significant improvement in all the EmOC process indicators in Khulna division. However, most of the process indicators are still far from the minimum recommended UN standards. Efforts should continue to keep the EmOC facilities functional 24/7 while increasing the number of basic EmOC facilities, and improving utilization of services to reach the minimum UN standards. Community mobilization should be directed to understand the danger signs and utilization of services at functional facilities when necessary. Further research to identify

  19. Economic status, education and empowerment: implications for maternal health service utilization in developing countries.

    Directory of Open Access Journals (Sweden)

    Saifuddin Ahmed

    Full Text Available BACKGROUND: Relative to the attention given to improving the quality of and access to maternal health services, the influence of women's socio-economic situation on maternal health care use has received scant attention. The objective of this paper is to examine the relationship between women's economic, educational and empowerment status, introduced as the 3Es, and maternal health service utilization in developing countries. METHODS/PRINCIPAL FINDINGS: The analysis uses data from the most recent Demographic and Health Surveys conducted in 31 countries for which data on all the 3Es are available. Separate logistic regression models are fitted for modern contraceptive use, antenatal care and skilled birth attendance in relation to the three covariates of interest: economic, education and empowerment status, additionally controlling for women's age and residence. We use meta-analysis techniques to combine and summarize results from multiple countries. The 3Es are significantly associated with utilization of maternal health services. The odds of having a skilled attendant at delivery for women in the poorest wealth quintile are 94% lower than that for women in the highest wealth quintile and almost 5 times higher for women with complete primary education relative to those less educated. The likelihood of using modern contraception and attending four or more antenatal care visits are 2.01 and 2.89 times, respectively, higher for women with complete primary education than for those less educated. Women with the highest empowerment score are between 1.31 and 1.82 times more likely than those with a null empowerment score to use modern contraception, attend four or more antenatal care visits and have a skilled attendant at birth. CONCLUSIONS/SIGNIFICANCE: Efforts to expand maternal health service utilization can be accelerated by parallel investments in programs aimed at poverty eradication (MDG 1, universal primary education (MDG 2, and women

  20. Economic status, education and empowerment: implications for maternal health service utilization in developing countries.

    Science.gov (United States)

    Ahmed, Saifuddin; Creanga, Andreea A; Gillespie, Duff G; Tsui, Amy O

    2010-06-23

    Relative to the attention given to improving the quality of and access to maternal health services, the influence of women's socio-economic situation on maternal health care use has received scant attention. The objective of this paper is to examine the relationship between women's economic, educational and empowerment status, introduced as the 3Es, and maternal health service utilization in developing countries. The analysis uses data from the most recent Demographic and Health Surveys conducted in 31 countries for which data on all the 3Es are available. Separate logistic regression models are fitted for modern contraceptive use, antenatal care and skilled birth attendance in relation to the three covariates of interest: economic, education and empowerment status, additionally controlling for women's age and residence. We use meta-analysis techniques to combine and summarize results from multiple countries. The 3Es are significantly associated with utilization of maternal health services. The odds of having a skilled attendant at delivery for women in the poorest wealth quintile are 94% lower than that for women in the highest wealth quintile and almost 5 times higher for women with complete primary education relative to those less educated. The likelihood of using modern contraception and attending four or more antenatal care visits are 2.01 and 2.89 times, respectively, higher for women with complete primary education than for those less educated. Women with the highest empowerment score are between 1.31 and 1.82 times more likely than those with a null empowerment score to use modern contraception, attend four or more antenatal care visits and have a skilled attendant at birth. Efforts to expand maternal health service utilization can be accelerated by parallel investments in programs aimed at poverty eradication (MDG 1), universal primary education (MDG 2), and women's empowerment (MDG 3).

  1. Hospice Enrollment in Patients With Advanced Heart Failure Decreases Acute Medical Service Utilization.

    Science.gov (United States)

    Yim, Cindi K; Barrón, Yolanda; Moore, Stanley; Murtaugh, Chris; Lala, Anuradha; Aldridge, Melissa; Goldstein, Nathan; Gelfman, Laura P

    2017-03-01

    Patients with advanced heart failure (HF) enroll in hospice at low rates, and data on their acute medical service utilization after hospice enrollment is limited. We performed a descriptive analysis of Medicare fee-for-service beneficiaries, with at least one home health claim between July 1, 2009, and June 30, 2010, and at least 2 HF hospitalizations between July 1, 2009, and December 31, 2009, who subsequently enrolled in hospice between July 1, 2009, and December 31, 2009. We estimated panel-negative binomial models on a subset of beneficiaries to compare their acute medical service utilization before and after enrollment. Our sample size included 5073 beneficiaries: 55% were female, 45% were ≥85 years of age, 13% were non-white, and the mean comorbidity count was 2.38 (standard deviation 1.22). The median number of days between the second HF hospital discharge and hospice enrollment was 45. The median number of days enrolled in hospice was 15, and 39% of the beneficiaries died within 7 days of enrollment. During the study period, 11% of the beneficiaries disenrolled from hospice at least once. The adjusted mean number of hospital, intensive care unit, and emergency room admissions decreased from 2.56, 0.87, and 1.17 before hospice enrollment to 0.53, 0.19, and 0.76 after hospice enrollment. Home health care Medicare beneficiaries with advanced HF who enrolled in hospice had lower acute medical service utilization after their enrollment. Their pattern of hospice use suggests that earlier referral and improved retention may benefit this population. Further research is necessary to understand hospice referral and palliative care needs of advanced HF patients. © 2017 American Heart Association, Inc.

  2. Urban Health Extension Services Utilization in Bishoftu Town, Oromia Regional State, Central Ethiopia.

    Science.gov (United States)

    Gebreegziabher, Ewunetu Aberra; Astawesegn, Feleke Hailemichael; Anjulo, Antehun Alemayehu; Kerie, Mirkuzie Woldie

    2017-03-14

    Ethiopia has been deploying specially trained new cadres of community based health workers in urban areas of the country known as urban health extension professionals since 2009. At present, relatively little work has focused on understanding to what extent this new program is accepted and used by the community. Both qualitative and quantitative surveys were performed from March 10, 2012 to March 25, 2012 to explore the utilization of urban health extension services in Bishoftu Town, Oromia regional state, Central Ethiopia using a cross sectional study design. Qualitative data were collected using a total of 4 focus group discussions and 26 in-depth interviews. Quantitative data were collected from 418 randomly selected households using pre-tested, structured, interviewer-administered questionnaires. Data entry and analysis were done using SPSS version 16.0. Qualitative data were analyzed thematically. Of the 418 interviewed households, 72.8% of them had at least one service related contact with urban health extension professionals in the previous 6 month. The mean frequency of service related contact with Urban Health Extension Professionals was found to be 2.24 (±1) contacts per 6 months. The total number of households graduated as a model family in the study area was 3974 (14.3%). Though participants felt that urban health extension professionals faced community resistance at program implementation, its acceptability greatly improved in this study. Despite this, individual competencies of urban health extension professionals, availability of supply and logistic system, and the level of support from kebele officials were reported to influence the program acceptability and utilization. The introduction of urban health extension professionals positively changed the attitude of the majority of the households involved and improved the acceptability of the program. All stake holders, governmental and nongovernmental organizations, should have supportive systems to

  3. Health services utilization among South African women living with HIV and reporting sexual and substance-use risk behaviors.

    Science.gov (United States)

    Luseno, Winnie K; Wechsberg, Wendee M; Kline, Tracy L; Ellerson, Rachel Middlesteadt

    2010-04-01

    HIV health services are critical in sub-Saharan African where the burden of the HIV pandemic is devastating. Existing studies suggest that HIV-infected individuals from marginalized populations who know their status do not seek health services because they are unaware of available treatment and care options, may not understand how to access services, or have poor access to and utilization of health care services. This study examined factors associated with health service utilization in a sample of poor, underserved recently diagnosed HIV-positive South African women with sexual and substance use risk behaviors. The data were collected between June 2004 and May 2008. Primary outcomes included consultation with a medical professional and utilization of any health services since learning of HIV status at 3- and 6-month follow-up assessments. The study findings suggest that denial of HIV status may be a barrier to care, leading study participants to avoid utilizing health services specific to their disease and to prefer more general medical care services. In multivariate analyses, prior use of health services, financially supporting others, and sex trading were strongly associated with health service use at follow-up assessments. The study findings suggest a reduced likelihood of health services utilization among participants who met DSM-IV criteria for drug abuse as well as participants with greater numbers of poor physical health symptoms. As an important preliminary step in examining the issue of health services utilization in sub-Saharan Africa, the findings suggest an urgent need to promote HIV prevention and early testing, to strengthen long-term HIV care services, and to increase access to services.

  4. Evaluation of technology modifications required to apply clean coal technologies in Russian utilities. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-01

    The report describes the following: overview of the Russian power industry; electric power equipment of Russia; power industry development forecast for Russia; clean coal technology demonstration program of the US Department of Energy; reduction of coal TPS (thermal power station) environmental impacts in Russia; and base options of advanced coal thermal power plants. Terms of the application of clean coal technology at Russian TPS are discussed in the Conclusions.

  5. 76 FR 32227 - DST Systems, Inc., Including On-Site Leased Workers From Comsys Information Technology Services...

    Science.gov (United States)

    2011-06-03

    ... information processing, computer software services, and business solutions, to the financial services... Employment and Training Administration DST Systems, Inc., Including On-Site Leased Workers From Comsys Information Technology Services, Megaforce, and Kelly Services Kansas City, MO; DST Technologies, a...

  6. Restructuring in U.S. utility industry and effects on energy efficiency R and D and related services

    Energy Technology Data Exchange (ETDEWEB)

    Werksma, H.J.; Jeffress, R.

    1999-07-01

    Traditional utilities are reorganizing into Gencos, Discos and energy service providers. New players include ESCOs, independent power producers, aggregators, and bulk power marketers. Deregulation is the concern of energy efficiency programs, R and D financing, stranded assets, reliability degradation, environmental stewardship, low income, and non-profitable clients. The new regulation objectives include system benefit changes, portfolio standards, performance based rates, public good programs, environmental protection, provider of last resort, and low income clients. State energy efficiency programs are affected to such an extent by the restructuring of electric and gas industries to consider making special provision for the financial support of efficiency and renewables through system benefit changes and portfolio standards. The primary energy policy aim that policy makers have discovered connected to consideration of programs to support renewable resources is environmental protection. System benefit charges to support renewable energy include a specified charge for each KWh sold, a specified dollar amount to be collected through a charge per kWh sold, a process for determining the money to be collected through a charge per kWh sold, and a per client charge. EPRI science and technology development is collaborative, leveraged, and proprietary, has expert staff, technology access and market research, as well as expert systems and application services. EPRI's industrial program is greatly unbundled, traditional utility funding is decreasing, and it has an expanding client base. The industrial program focus is on material production and fabrication, health care, water/waste water, chemicals and petroleum, food processing, pulp, paper and forest products, agriculture, fiber, apparel, carpet and textiles, and the electronics industry. The elements of the EPRI's industerial strategy are listed, and recent industrial and agricultural highlights are summarized.

  7. Financial Incentives, Workplace Wellness Program Participation, and Utilization of Health Care Services and Spending.

    Science.gov (United States)

    Fronstin, Paul; Roebuck, M Christopher

    2015-08-01

    This paper analyzes data from a large employer that enhanced financial incentives to encourage participation in its workplace wellness programs. It examines, first, the effect of financial incentives on wellness program participation, and second, it estimates the impact of wellness program participation on utilization of health care services and spending. The Patient Protection and Affordable Care Act of 2010 (PPACA) allows employers to provide financial incentives of as much as 30 percent of the total cost of coverage when tied to participation in a wellness program. Participation in health risk assessments (HRAs) increased by 50 percentage points among members of unions that bargained in the incentive, and increased 22 percentage points among non-union employees. Participation in the biometric screening program increased 55 percentage points when financial incentives were provided. Biometric screenings led to an average increase of 0.31 annual prescription drug fills, with related spending higher by $56 per member per year. Otherwise, no significant effects of participation in HRAs or biometric screenings on utilization of health care services and spending were found. The largest increase in medication utilization as a result of biometric screening was for statins, which are widely used to treat high cholesterol. This therapeutic class accounted for one-sixth of the overall increase in prescription drug utilization. Second were antidepressants, followed by ACE inhibitors (for hypertension), and thyroid hormones (for hypothyroidism). Biometric screening also led to significantly higher utilization of biologic response modifiers and immunosuppressants. These specialty medications are used to treat autoimmune diseases, such as rheumatoid arthritis and multiple sclerosis, and are relatively expensive compared with non-specialty medications. The added spending associated with the combined increase in fills of 0.02 was $27 per member per year--about one-half of the

  8. Academic Staff Utilization of Information and Communication Technology and Knowledge Creation in Cross River State Universities

    Science.gov (United States)

    Ekpoh, Uduak Imo; Etor, Comfort Robert

    2012-01-01

    This study examined academic staff utilization of Information and Communication Technology (ICT) in knowledge creation in universities in Cross River State. The study was guided by two research questions and one hypothesis. A questionnaire was developed, validated and used for data collection from a sample of 300 academic staff. Descriptive…

  9. Utilizing Technology Effectively to Improve Millennials' Educational Performance: An Exploratory Look at Business Students' Perceptions

    Science.gov (United States)

    Aviles, Maria; Eastman, Jacqueline K.

    2012-01-01

    Purpose: The purpose of this paper is to discuss how technological tools, such as Web 2.0 and online learning management systems, can be utilized to improve Millennials' educational performance. Design/methodology/approach: An exploratory survey of Millennial business students was conducted to measure their self-reported use and perceived…

  10. Utilizing Technology Effectively to Improve Millennials' Educational Performance: An Exploratory Look at Business Students' Perceptions

    Science.gov (United States)

    Aviles, Maria; Eastman, Jacqueline K.

    2012-01-01

    Purpose: The purpose of this paper is to discuss how technological tools, such as Web 2.0 and online learning management systems, can be utilized to improve Millennials' educational performance. Design/methodology/approach: An exploratory survey of Millennial business students was conducted to measure their self-reported use and perceived…

  11. Enhancing the Utilization of Information Communication Technology (ICT) among Home Economics Lecturers in South Eastern Nigeria

    Science.gov (United States)

    Ejinkeonye, Uju Bridget; Usoroh, Comfort I.

    2016-01-01

    The study was on enhancing the utilization of information communication Technology (ICT) among Home Economics lecturers in south Eastern Nigeria. The study adopted a survey method. The area of the study is south eastern Nigeria. Three research questions guided the study. The population was made up of 63 Home Economics lecturers from the six…

  12. Preparing Pre-Service Teachers to Integrate Technology into K-12 Instruction: Evaluation of a Technology-Infused Approach

    Science.gov (United States)

    Admiraal, Wilfried; van Vugt, Felix; Kranenburg, Frans; Koster, Bob; Smit, Ben; Weijers, Sanne; Lockhorst, Ditte

    2017-01-01

    The quality of how technology is addressed in teacher education programmes is conditional for how student teachers apply technology in secondary schools after their graduation. Two technology-infused courses of one teacher education programme were evaluated. In line with studies on the development of pre-service teachers' technological,…

  13. Understanding Service Utilization in Cases of Elder Abuse to Inform Best Practices.

    Science.gov (United States)

    Burnes, David; Rizzo, Victoria M; Gorroochurn, Prakash; Pollack, Martha H; Lachs, Mark S

    2016-10-01

    Elder abuse (EA) case resolution is contingent upon victims accepting and pursuing protective service interventions. Refusal/underutilization of services is a major problem. This study explored factors associated with extent of EA victim service utilization (SU). Data were collected from a random sample of EA cases (n = 250) at a protective service program in New York City. In cases involving financial abuse, higher SU was associated with females, poor health, perceived danger, previous help-seeking, and self or family referral. In physical abuse cases, higher SU was associated with family referral and previous help-seeking; lower SU was related to Hispanic race/ethnicity, being married, and child/grandchild perpetrator. In emotional abuse cases, higher SU was associated with self or family referral, victim-perpetrator gender differential, perceived danger, and previous help-seeking; lower SU was related to child/grandchild perpetrator. Findings carry implications for best practices to retain and promote service use among elder victims of abuse.

  14. Sleep quality and health service utilization in Chinese general population: a cross-sectional study in Dongguan, China.

    Science.gov (United States)

    Zhang, Hui-Shan; Mai, Yan-Bing; Li, Wei-Da; Xi, Wen-Tao; Wang, Jin-Ming; Lei, Yi-Xiong; Wang, Pei-Xi

    The aims of this study were to explore the Pittsburgh Sleep Quality Index (PSQI) and health service utilization in Chinese general population, to investigate the association between PSQI and health service utilization and to identify the independent contributions of social demographic variables, health related factors and PSQI to health service utilization. In a cross-sectional community-based health survey using a multi-instrument questionnaire, 4067 subjects (≥15 years old) were studied. The Chinese version of the PSQI was used to assess sleep quality. Health service utilization was measured by recent two-week physician visit and annual hospitalization rates. Higher PSQI scores were associated with more frequent health service utilization. Higher scores in subjective sleep quality were associated with higher rate of recent two-week physician visit (adjusted OR = 1.24 per SD increase, P = 0.015). Higher scores in habitual sleep efficiency (adjusted OR = 1.24 per SD increase, P = 0.038) and sleep disturbances (adjusted OR = 2.09 per SD increase, P quality predicted more frequent health service utilization. The independent contribution of PSQI on health service utilization was smaller than social demographic variables. Copyright © 2016. Published by Elsevier B.V.

  15. Utilization of Integrated Child Development Services (ICDS Scheme by child beneficiaries in Coastal Karnataka, India

    Directory of Open Access Journals (Sweden)

    Saranya Sivanesan

    2016-06-01

    Full Text Available Background: India’s main early childhood development intervention the ICDS Scheme has been sustained for 40 years and has been successful in some ways. However, nearly half of the children under six years are still under nourished. The program in reducing the proportion of undernourished children over the past decade has been modest and slower in India than what has been achieved in other countries with comparable socio-economic indicators. Aims & Objectives: 1. To study the utilization of services offered to children under ICDS, 2. To assess the perception about the services. Materials & Methods: A community based cross sectional study was done among mothers of 271 children in the age group three to six years registered in anganwadis. Results: Median duration of absenteeism to anganwadi was five months during the last six months enquired. About 95.9% of registered child beneficiaries utilized supplementary nutrition services and only 48.7% mothers of child beneficiaries were attending nutrition and health education sessions. Among mothers who were aware of growth monitoring, only 73.6% of their children’s weight was checked regularly.  About 60% of mothers were not happy with the quality of food served to their children in the anganwadi. Among children adherent to anganwadi, 72.5% children’s weight remained normal. Conclusion: Only 75% children were regularly attending. Median duration of adherence to anganwadi services was only 12 months and the most common reason for not adhering to the services is due to their simultaneous enrollment in other private nursery school.

  16. Carbon dioxide utilization: Bridging the GHG mitigation with environmentally friendly technologies

    Energy Technology Data Exchange (ETDEWEB)

    Aresta, M. [Univ. of Bari (Italy)

    1997-12-31

    The recovery of carbon dioxide from power plants, flue gases, or industrial processes has been proposed as a technology for its mitigation. The end fate of recovered CO{sub 2} is either disposal in natural fields or gainful utilization (biological, technological, or chemical). The latter option deserves careful consideration as it would be doubly beneficial, helping to control the carbon dioxide emission and to save natural resources through the recycling of carbon. The economical aspects of the utilization option need thorough analysis to determine its feasibility. Another major point to consider is the amount of avoided carbon dioxide. This will define the extent of mitigation possible via the utilization option. To assess the potential of carbon dioxide utilization in the short-, medium-, and long-term is an exercise of great value from both the environmental and economical points of view. In this paper, criteria for the assessment be discussed as well as the current status of industrial carbon dioxide utilization. Furthermore, the perspectives for carbon dioxide utilization will be framed within the research needed for its implementation.

  17. [Utilization of technological resources within the framework of operation of a Mobile Mental Health Unit].

    Science.gov (United States)

    Garoni, D; Sarantidis, D; Katsadoros, K

    2016-01-01

    Telepsychiatry was introduced in the early 1950's for the provision of mental health services from a distance. In 1990 the progress made in telecommunications technologies caused a significant expansion in telepsychiatry services. It can refer to store and forward technologies, interactive technologies, remote monitoring technologies and it is applied to contribute to the lift of restrictions placed on providing mental health services. Restrictions may exist due to geographic isolation, lack of specialized services, high cost of moving patients etc. The positive cost-benefit analysis and the reliability of diagnosis and efficacy of interventions through telepsychiatry have been documented in various research papers referring to a wide range of contexts such as prisons, remote areas, general and psychiatric hospitals. Since 2003 the Mobile Mental Health Unit of South- Eastern (SE) Cyclades has been using videoconferencing in order to provide mental health services in thirteen islands. This area shares many of the characteristics of remote areas such as residential dispersion, lack of mental health services and frequent lack of access to services in urban centers. Telepsychiatry in conjunction with physical presence of professionals was launched by the Mobile Mental Health Unit in order to provide assistance to the evaluation of patients, to therapeutic interventions, to medicine prescription, to crisis intervention, to psychoeducation of patients and their families and to the implementation of educational and administrative activities . The use of existing technology in combination with the development of human resources has enabled continuity of care, crisis intervention and avoidance of involuntary hospitalization for a significant number of persons. Moreover, it has improved cooperation and coordination between the interdisciplinary team and local authorities and agencies. When professionals located in different parts are collaborating via telepsychiatry it is

  18. Health Service Utilization of Children in Delaware Foster Care, 2013-2014.

    Science.gov (United States)

    Knight, Erin K; McDuffie, May Joan; Gifford, Katie; Zorc, Catherine

    2016-02-01

    Children in foster care represent some of the most vulnerable children in the U.S. Their higher prevalence of a range of physical and behavioral health problems can lead to greater health care utilization and higher costs. However, many children in foster care have undiagnosed conditions and unmet needs. The purpose of this study was to provide a description of health services accessed by children in foster care in Delaware. The data serves as a baseline and informs current efforts to improve the health care of children in foster care. We analyzed rates of emergency room visits, behavioral health visits, hospitalizations, and costs of care for children in foster care and made comparisons with other children participating in Medicaid. We also looked at utilization before and after entry into care and assessed rates of appropriate medical screening for children on entering foster care. This study was conducted as part of a larger analysis guided by the Delaware Task Force on the Health of Children in Foster Care with funding appropriated by the Delaware General Assembly. Using a unique identification number, we linked Medicaid claims data with demographic information and characteristics associated with foster care from the Delaware Department of Services for Children, Youth and Their Families. We examined diagnoses, patterns of utilization, and costs for children in foster care (n = 1,458) and a comparable cohort of other children in Medicaid (n = 124,667) during fiscal years 2013 and 2014. Compared with other children in Medicaid, children in foster care had similar rates of emergency department utilization, but relatively high rates of outpatient behavioral health visits. Similarly, compared with other children in Medicaid, those in foster care had particularly high rates of psychotropic drug utilization. Entry into foster care was associated with increased utilization of overall health care services, including receipt of well-child care. However, just 31 percent

  19. Service quality and perceived value of technology-based service encounters: evaluation of clinical staff satisfaction in Taiwan.

    Science.gov (United States)

    Hung, Chung-Jye; Chang, Hsin Hsin; Eng, Cheng Joo; Wong, Kit Hong

    2013-01-01

    Previous research has evaluated technology-based service encounters (TBSEs) in the delivery of health care by assessing patient satisfaction. This study examined service quality and perceived value of TBSEs used in health organisations from the perspective of clinical staff, with staff technology readiness as a moderator. A quantitative survey was conducted in Taiwan, across private and public healthcare organisations. Results showed that TBSEs had a direct effect on service quality and perceived value, which in turn had a direct effect on staff satisfaction in using TBSEs. However, service quality had no effect on perceived value when moderated by technology readiness. Theoretical and managerial implications of these findings are discussed.

  20. Service utilization by children with conduct disorders: findings from the 2004 Great Britain child mental health survey.

    Science.gov (United States)

    Shivram, Raghuram; Bankart, John; Meltzer, Howard; Ford, Tamsin; Vostanis, Panos; Goodman, Robert

    2009-09-01

    Children with conduct disorders (CD) and their families are in contact with multiple agencies, but there is limited evidence on their patterns of service utilization. The aim of this study was to establish the patterns, barriers and correlates of service use by analysing the cohort of the 2004 Great Britain child mental health survey (N = 7,977). Use of social services was significantly higher by children with CD than emotional disorders (ED) in the absence of co-morbidity, while use of specialist child mental health and paediatric was significantly higher by children with hyperkinetic disorders (HD) than CD. Children who had comorbid physical disorders used more primary healthcare services compared to those without physical disorders. Utilization of specialist child mental heath and social services was significantly higher among children with unsocialized CD than socialized CD and oppositional defiant disorders. Services utilization and its correlates varied with the type of service. Overall, specialist services use was associated with co-morbidity with learning disabilities, physical and psychiatric disorders. Several correlates of services use in CD appeared non-specific, i.e. associated with use of different services indicating the possibility of indiscriminate use of different types of services. The findings led to the conclusion that there is the need for effective organization and co-ordination of services, and clear care pathways. Involvement of specialist child mental health services should be requested in the presence of mental health co-morbidity.

  1. Reduction in STEMI transfer times utilizing a municipal "911" ambulance service.

    Science.gov (United States)

    Tennyson, Joseph C; Quale, Mark R

    2014-02-01

    The time interval from diagnosis to reperfusion therapy for patients experiencing ST-segment elevation myocardial infarction (STEMI) has a significant impact on morbidity and mortality. It is hypothesized that the time required for interfacility patient transfers from a community hospital to a regional percutaneous coronary intervention (PCI) center using an Advanced Life Support (ALS) transfer ambulance service is no different than utilizing the "911" ALS ambulance. Quality assurance data collected by a tertiary care center cardiac catheterization program were reviewed retrospectively. Data were collected on all patients with STEMI requiring interfacility transfer from a local community hospital to the tertiary care center's PCI suite, approximately 16 miles away by ground, 12 miles by air. In 2009, transfers of patients with STEMI were redirected to the municipal ALS ambulance service, instead of the hospital's contracted ALS transfer service. Data were collected from January 2007 through May 2013. Temporal data were compared between transports initiated through the contracted ALS ambulance service and the municipal ALS service. Data points included time of initial transport request and time of ambulance arrival to the sending facility and the receiving PCI suite. During the 4-year study period, 63 patients diagnosed with STEMI and transferred to the receiving hospital's PCI suite were included in this study. Mean times from the transport request to arrival of the ambulance at the sending hospital's emergency department were six minutes (95% CI, 4-7 minutes) via municipal ALS and 13 minutes (95% CI, 9-16 minutes) for the ALS transfer service. The mean times from the ground transport request to arrival at the receiving hospital's PCI suite when utilizing the municipal ALS ambulance and hospital contracted ALS ambulance services were 48 minutes (95% CI, 33-64 minutes) and 56 minutes (95% CI 52-59 minutes), respectively. This eight-minute period represented a 14% (P

  2. Utilization of Dental Services in Public Health Center: Dental Attendance, Awareness and Felt Needs.

    Science.gov (United States)

    Pewa, Preksha; Garla, Bharath K; Dagli, Rushabh; Bhateja, Geetika Arora; Solanki, Jitendra

    2015-10-01

    In rural India, dental diseases occur due to many factors, which includes inadequate or improper use of fluoride and a lack of knowledge regarding oral health and oral hygiene, which prevent proper screening and dental care of oral diseases. The objective of the study was to evaluate the dental attendance, awareness and utilization of dental services in public health center. A cross-sectional study was conducted among 251 study subjects who were visiting dental outpatient department (OPD) of public health centre (PHC), Guda Bishnoi, and Jodhpur using a pretested proforma from month of July 2014 to October 2014. A pretested questionnaire was used to collect the data regarding socioeconomic status and demographic factors affecting the utilization of dental services. Pearson's Chi-square test and step-wise logistic regression were applied for the analysis. Statistically significant results were found in relation to age, educational status, socioeconomic status and gender with dental attendance, dental awareness and felt needs. p-value dental services, thereby increasing the oral health status of the population.

  3. Seasonal agricultural youth workers' concerns on development - growth in adolescence period and utilization of health services

    Directory of Open Access Journals (Sweden)

    Zeynep simsek

    2015-06-01

    Full Text Available Aim: Physical, psychological and social changes occurring in adolescence period may be cause for concern. In this study, it was aimed to determine concerns on growth and development in adolescence period, related factors and utilization of health services. Methods: In this study, data related youths' concerns, utilization of health services and socio-demographic variables obtained from multi-purpose cross-sectional survey named Needs Assesment of Seasonal Agricultural Worker Families Survey-2011 were used. Survey framework was consisted of aged 15-24 young people of families who worked as a seasonal agricultural farmworker in the year of research conducted. Survey was completed in 1021 households total 915 youths selected by probability cluster sampling method of 1200 households by Turkish Statistical Institution (Response rates were 90,7% in women, and 77,2% in men. and lsquo;Woman and Men Questionnaires' were applied by face to face interview. University Research Ethics Committee approval was obtained. Data entry and analysis performed using SPSS 11.5 software, descriptive statistics, t-test, chi-square test and logistic regression analysis were conducted. Results: Of participants 63,6% of female and 46,6% of male adolescents reported at least one concern related to growth and development inadolescent period. While having any concern prevalence in women were changed working time in the fields and health perception, marital status and education level with adolescent's concerns were related in men significantly (P <0,05. 13,8% of females and 10,9% of males utilized the health services because of concerns. Conclusion: By Family Health Centers at this risky young group during their period of residence in their address, adolescent follow-up should be done, should be asked concerns and given early diagnosis and treatment. On the other hand, health education programs on adolescence period by Community Health Centers will be useful. [TAF Prev Med Bull

  4. Combining communication technology utilization and organizational innovation: evidence from Canadian healthcare decision makers.

    Science.gov (United States)

    Jbilou, Jalila; Landry, Réjean; Amara, Nabil; El Adlouni, Salaheddine

    2009-08-01

    Information and Communication Technology (ICT) and Organizational Innovation (OI) are seen as the miracle of post-modernity in organizations. In this way, they are supposed to resolve most organizational problems, efficiently and rapidly. OI is highly dependent on the capacity and the investment in knowledge management (internal and external) to support decision making process and to implement significant changes. We know what explains ICT utilization (ICTU) and what determines OI development (OID) in healthcare services. Moreover, the literature tends to link ICTU to OID and vice versa. However, this dependency has never been explored empirically through the lens of roles combination. To identify the existing combined roles profiles of ICTU and OID among healthcare decision makers and determine factors of the shift from a profile to another. We did the following: (1) a structured review of the literature on healthcare management by focusing on ICTU and OID which allowed us to build two indexes and a comprehensive framework; (2) a copula methodology to identify with high precision the thresholds for ICTU and OID; and (3) a cross-sectional study based on a survey done with a sample of 942 decision makers from Canadian healthcare organizations through a multinomial logit model to identify determinants of the shift. ICTU and OID are correlated at 22% (Kendal's Tau). The joint distribution (combination) of ICTU and OID shows that four major profiles exist among decision makers in Canadian healthcare organizations: the traditional decision maker, the innovative decision maker, the technologic decision maker and the contemporary decision maker. We found out that classic factors act as barriers to the shift from one profile to the desired profile (from 1 to 4, from 2 to 4 and from 3 to 4). We have identified that the attitude toward research and relational capital are transversal barriers of shift. We have also found that some factors have a specific impact such as

  5. Design For Utility, Sustainability And Societal Virtues: Developing Product Service Systems

    DEFF Research Database (Denmark)

    McAloone, Timothy Charles; Andreasen, Mogens Myrup

    2004-01-01

    and adds a responsibility and influence upon everything that the product gives rise to in its life; its usability, environmental and social virtues. This enables a series of potential improvements to the product¿s performance throughout its lifecycle. The ideal of product service system (PSS) development...... of upfront strategy and ambitious goals. In our paper we attempt to identify the nature of such a multiple definition of PSS, the link to proper understanding of value and utility and innovative approaches for PSS-oriented product development. This paper will expand on the phenomenon of PSS in the belief...

  6. Design For Utility, Sustainability And Societal Virtues: Developing Product Service Systems

    DEFF Research Database (Denmark)

    McAloone, Timothy Charles; Andreasen, Mogens Myrup

    2004-01-01

    and adds a responsibility and influence upon everything that the product gives rise to in its life; its usability, environmental and social virtues. This enables a series of potential improvements to the product¿s performance throughout its lifecycle. The ideal of product service system (PSS) development...... of upfront strategy and ambitious goals. In our paper we attempt to identify the nature of such a multiple definition of PSS, the link to proper understanding of value and utility and innovative approaches for PSS-oriented product development. This paper will expand on the phenomenon of PSS in the belief...

  7. Utilization of Preventive Dental Services Before and After Health Insurance Covered Dental Scaling in Korea.

    Science.gov (United States)

    Jang, Young-Eun; Kim, Chun-Bae; Kim, Nam-Hee

    2017-01-01

    Health insurance reduces the economic burden of diseases and enhances access to medical services. This study compared, among social classes, the utilization of preventive dental service before and after health insurance covered dental scaling. We analyzed time-series secondary data for 3  175  584 participants from 253 survey areas nationwide in the Community Health Survey (2009-2014) in Korea. The weighted proportion of participants who underwent dental scaling was defined as the scaling rate. Data regarding demographic and socioeconomic characteristics were collected. Scaling rates continuously increased over the 6-year period, particularly in 2014. College graduates had significantly higher scaling rates. Monthly income and scaling rate were positively related. Differences by education decreased over time. Differences by income were particularly high between 2012 and 2014. For women, the temporal rate was 2 times higher for professionals than for the unemployed. Despite increased dental scaling rates since the health coverage change in 2013, socioeconomic differences persist.

  8. A study on coverage utilization and quality of maternal care services

    Directory of Open Access Journals (Sweden)

    Neeraj Agarwal, Abhiruchi Galhotra, H M Swami

    2011-01-01

    Full Text Available The objectives of the study were yo assess the utilization of various maternal services and to compare the quality of services provided by doctors and health workers in terms of components and advice received by pregnant women during antenatal period. It was a Cross-sectional Study conducted in a village on the border of Chandigarh (U.T. and Mohali (Punjab. All the women who had delivered in the past three years in the village Palsora were included in the study. 92.4% of the pregnancies were registered, 53.2% of which received antenatal care by a Doctor and 46.8% by a health worker. The measuring of blood pressure was significantly higher by the doctor than the health workers who recorded weight more significantly. The advice provided by doctors was significantly higher than health workers regarding diet, danger signs, newborn care, family planning and natal care.

  9. Utility-Scale Concentrating Solar Power and Photovoltaic Projects: A Technology and Market Overview

    Energy Technology Data Exchange (ETDEWEB)

    Mendelsohn, M.; Lowder, T.; Canavan, B.

    2012-04-01

    Over the last several years, solar energy technologies have been, or are in the process of being, deployed at unprecedented levels. A critical recent development, resulting from the massive scale of projects in progress or recently completed, is having the power sold directly to electric utilities. Such 'utility-scale' systems offer the opportunity to deploy solar technologies far faster than the traditional 'behind-the-meter' projects designed to offset retail load. Moreover, these systems have employed significant economies of scale during construction and operation, attracting financial capital, which in turn can reduce the delivered cost of power. This report is a summary of the current U.S. utility-scale solar state-of-the-market and development pipeline. Utility-scale solar energy systems are generally categorized as one of two basic designs: concentrating solar power (CSP) and photovoltaic (PV). CSP systems can be further delineated into four commercially available technologies: parabolic trough, central receiver (CR), parabolic dish, and linear Fresnel reflector. CSP systems can also be categorized as hybrid, which combine a solar-based system (generally parabolic trough, CR, or linear Fresnel) and a fossil fuel energy system to produce electric power or steam.

  10. Developing Technologies for Space Resource Utilization: Concept for a Planetary Engineering Research Institute

    Science.gov (United States)

    Blacic, J. D.; Dreesen, D.; Mockler, T.

    2000-01-01

    There are two principal factors that control the economics and ultimate utilization of space resources: 1) space transportation, and 2) space resource utilization technologies. Development of space transportation technology is driven by major government (military and civilian) programs and, to a lesser degree, private industry-funded research. Communication within the propulsion and spacecraft engineering community is aided by an effective independent professional organization, the American Institute of Aeronautics and Astronautics (AIAA). The many aerospace engineering programs in major university engineering schools sustain professional-level education in these fields. NASA does an excellent job of public education in space science and engineering at all levels. Planetary science, a precursor and supporting discipline for space resource utilization, has benefited from the establishment of the Lunar and Planetary Institute (LPI) which has served, since the early post-Apollo days, as a focus for both professional and educational development in the geosciences of the Moon and other planets. The closest thing the nonaerospace engineering disciplines have had to this kind of professional nexus is the sponsorship by the American Society of Civil Engineers of a series of space engineering conferences that have had a predominantly space resource orientation. However, many of us with long-standing interests in space resource development have felt that an LPI-like, independent institute was needed to focus and facilitate both research and education on the specific engineering disciplines needed to develop space resource utilization technologies on an on-going basis.

  11. Morbidity, utilization of curative care and service entry point preferences in metropolitan Centro Habana, Cuba

    Directory of Open Access Journals (Sweden)

    Armando Rodríguez

    Full Text Available Abstract: First-line health services with a primary health care approach are a strong trigger for adequate health-care-seeking behavior. Research on the association between prevalence of chronic diseases and acute illnesses and use of health services emphasizes the importance of socioeconomic determinants in such patterns of utilization. In a cross-sectional study of 408 families in Centro Habana, Cuba, home interviews were conducted between April and June 2010 to analyze socio-demographic determinants of acute and chronic health problems and use of formal health services. Bivariate and logistic regression models were used. 529 persons reported a chronic disease. During the previous month, 155 of the latter reported an exacerbation and 50 experienced an unrelated acute health problem. 107 persons without chronic diseases reported acute health problems. Age was the strongest determinant of chronic disease prevalence. Adult women and the elderly were more likely to report acute problems. Acute patients with underlying chronic disease used formal services more often. No socio-demographic variable was associated with services use or consultation with the family physician. While the family physician is defined as the system's entry-point, this was the case for only 54% of patients that had used formal services, thus compromising the physician's role in counseling patients and summarizing their health issues. The importance of chronic diseases highlights the need to strengthen the family physician's pivotal role. New economic policies in Cuba, stimulating self-employment and private initiative, may increase the strain on the exclusively public health care system. Still, the Cuban health system has demonstrated its ability to adapt to new challenges, and the basic premises of Cuba's health policy are expected to be preserved.

  12. Morbidity, utilization of curative care and service entry point preferences in metropolitan Centro Habana, Cuba.

    Science.gov (United States)

    Rodríguez, Armando; Díaz, Addys; Balcindes, Susana; García, René; Vos, Pol De; Stuyft, Patrick Van der

    2016-11-03

    First-line health services with a primary health care approach are a strong trigger for adequate health-care-seeking behavior. Research on the association between prevalence of chronic diseases and acute illnesses and use of health services emphasizes the importance of socioeconomic determinants in such patterns of utilization. In a cross-sectional study of 408 families in Centro Habana, Cuba, home interviews were conducted between April and June 2010 to analyze socio-demographic determinants of acute and chronic health problems and use of formal health services. Bivariate and logistic regression models were used. 529 persons reported a chronic disease. During the previous month, 155 of the latter reported an exacerbation and 50 experienced an unrelated acute health problem. 107 persons without chronic diseases reported acute health problems. Age was the strongest determinant of chronic disease prevalence. Adult women and the elderly were more likely to report acute problems. Acute patients with underlying chronic disease used formal services more often. No socio-demographic variable was associated with services use or consultation with the family physician. While the family physician is defined as the system's entry-point, this was the case for only 54% of patients that had used formal services, thus compromising the physician's role in counseling patients and summarizing their health issues. The importance of chronic diseases highlights the need to strengthen the family physician's pivotal role. New economic policies in Cuba, stimulating self-employment and private initiative, may increase the strain on the exclusively public health care system. Still, the Cuban health system has demonstrated its ability to adapt to new challenges, and the basic premises of Cuba's health policy are expected to be preserved.

  13. Accessibility and Utilization of Internet Service by Graduate Students in University of Lagos, Nigeria

    Directory of Open Access Journals (Sweden)

    Oyeronke Olufunmilola Ogunlade

    2012-07-01

    Full Text Available The major objective of the study was to examine the accessibility and utilization of Internet service by graduate students in university of Lagos, Nigeria. Specifically, the study made effort to determine the extent to which Internet service was accessible to staff and students of the university, how point of Internet access influenced its usage, factors motivating the use of Internet and what Internet was used for by graduate students in University of Lagos. The study adopted a descriptive survey design and data were collected by administering questionnaires to two hundred respondents randomly selected from faculty of Education in the University. Results of the findings revealed that students didn’t have as much access to Internet service as the staff (27.7 % and 62.4 % respectively. 47.9 % of respondents strongly agreed to visiting the cybercafé to access Internet. 53.1 % and 50.2 % of the respondents strongly agreed that proximity to cybercafé and valid information contained from the Internet were their major motivating factors for surfing the Internet. It also found that the respondents strongly agreed that the purposes for their surfing the Internet were to register courses, enroll for exams, gather information for literature review, send and receive mails, amongst others. Based on the findings, it is therefore recommended that since the Internet is being utilized in every sector such as Education, Banking, Medicine and others, the University should make Internet service assessible for students’ use. This study can further be conducted in other institutions in Nigeria.

  14. Availability, utilization, and quality of emergency obstetric care services in Bauchi State, Nigeria.

    Science.gov (United States)

    Abegunde, Dele; Kabo, Ibrahim A; Sambisa, William; Akomolafe, Toyin; Orobaton, Nosa; Abdulkarim, Masduk; Sadauki, Habib

    2015-03-01

    To report the availability, utilization, and quality of emergency obstetric care (EmOC) services in Bauchi State, Nigeria. Between June and July 2012, a cross-sectional survey of health facilities was conducted. Data on the performance of EmOC services between June 2011 and May 2012 were obtained from records of 20 general hospitals and 39 primary healthcare centers providing delivery services. Additionally, structured interviews with facility managers were conducted. Only 6 (10.2%) of the 59 facilities met the UN requirements for EmOC centers. None of the three senatorial zones in Bauchi State had the minimum acceptable number of five EmOC facilities per 500 000 population. Overall, 10 517 (4.4%) of the estimated 239 930 annual births took place in EmOC facilities. Cesarean delivery accounted for 3.6% (n=380) of the 10 517 births occurring in EmOC facilities and 0.2% of the 239 930 expected live births. Only 1416 (3.9%) of the expected 35 990 obstetric complications were managed in EmOC facilities. Overall, 45 (3.2%) of 1416 women with major direct obstetric complications treated at EmOC facilities died. Among 379 maternal deaths, 317 (83.6%) were attributable to major direct obstetric complications. Availability, utilization, and quality of EmOC services in Bauchi State, Nigeria, are suboptimal. The health system's capacity to manage emergency obstetric complications needs to be strengthened. Copyright © 2014 International Federation of Gynecology and Obstetrics. All rights reserved.

  15. Utilization of a consultation liaison psychiatry service in a general hospital.

    Science.gov (United States)

    Gobar, A H; Collins, J L; Mathura, C B

    1987-05-01

    This retrospective study was conducted in response to a need to evaluate the overall utilization rates of the psychiatric consultation liaison service by nonpsychiatric units within Howard University Hospital, which deals almost exclusively with a black, inner-city population. The study covers a three-year period (July 1982 to July 1985). During this time only 815 patients (2 percent) were referred for psychiatric evaluation out of the total number of hospital admissions (40,000 patients).Patient characteristics and general attitudes appear to have had a major role in this low ratio of referrals, particularly a lack of awareness and bias against psychiatry. This latter finding is in disparity with other published reports. Diagnostically, depression, organic mental disorders (acute), and substance abuse (mainly PCP) constituted the greater bulk of the patients seen by the consultation liaison psychiatry service. The review of a random sample of psychiatric inpatients (n = 100) revealed that in 50 percent of the cases there was a coexisting physical illness or abnormality.The role of mental health education and the liaison function needs to be emphasized. It is suggested that efforts should be directed toward a wider acceptance and utilization of consultation liaison psychiatry by primary care physicians in general hospitals. The factors listed by physicians and patients that may account for the observed underutilization of consultation liaison services are discussed. The results of 20 interviews and the reasons given by referring physicians as to whether or not they will seek consultation from the consultation liaison services are also reviewed.

  16. Estimated Value of Service Reliability for Electric Utility Customers in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, M.J.; Mercurio, Matthew; Schellenberg, Josh

    2009-06-01

    Information on the value of reliable electricity service can be used to assess the economic efficiency of investments in generation, transmission and distribution systems, to strategically target investments to customer segments that receive the most benefit from system improvements, and to numerically quantify the risk associated with different operating, planning and investment strategies. This paper summarizes research designed to provide estimates of the value of service reliability for electricity customers in the US. These estimates were obtained by analyzing the results from 28 customer value of service reliability studies conducted by 10 major US electric utilities over the 16 year period from 1989 to 2005. Because these studies used nearly identical interruption cost estimation or willingness-to-pay/accept methods it was possible to integrate their results into a single meta-database describing the value of electric service reliability observed in all of them. Once the datasets from the various studies were combined, a two-part regression model was used to estimate customer damage functions that can be generally applied to calculate customer interruption costs per event by season, time of day, day of week, and geographical regions within the US for industrial, commercial, and residential customers. Estimated interruption costs for different types of customers and of different duration are provided. Finally, additional research and development designed to expand the usefulness of this powerful database and analysis are suggested.

  17. Perceived barriers and facilitators of mental health service utilization in adult trauma survivors: A systematic review.

    Science.gov (United States)

    Kantor, Viktoria; Knefel, Matthias; Lueger-Schuster, Brigitte

    2017-03-01

    Many trauma survivors seem to be reluctant to seek professional help. The aim of the current review was to synthesize relevant literature, and to systematically classify trauma survivors' perceived barriers and facilitators regarding mental health service utilization. The systematic search identified 19 studies addressing military personnel and 17 studies with trauma survivors of the general population. The data analysis revealed that the most prominent barriers included concerns related to stigma, shame and rejection, low mental health literacy, lack of knowledge and treatment-related doubts, fear of negative social consequences, limited resources, time, and expenses. Perceived facilitators lack attention in research, but can be influential in understanding mental health service use. Another prominent finding was that trauma survivors face specific trauma-related barriers to mental health service use, especially concerns about re-experiencing the traumatic events. Many trauma survivors avoid traumatic reminders and are therefore concerned about dealing with certain memories in treatment. These perceived barriers and facilitators were discussed regarding future research and practical implications in order to facilitate mental health service use among trauma survivors. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. Determinants of institutional delivery service utilization among pastorals of Liben Zone, Somali Regional State, Ethiopia, 2015

    Directory of Open Access Journals (Sweden)

    Zepro NB

    2016-12-01

    Full Text Available Nejimu Biza Zepro,1 Ahmed Tahir Ahmed2 1College of Health Sciences, Samara University, Samara, Afar, Ethiopia; 2College of Health Science, Jigjiga University, Jigjiga, Somali, Ethiopia Abstract: Maternal health service utilizations are poorly equipped, inaccessible, negligible, and not well documented in the pastoral society. This research describes a quantitative and qualitative study on the determinants of institutional delivery among pastoralists of Liben Zone with special emphasis on Filtu and Deka Suftu woredas of Somali Region, Ethiopia. The study was funded by the project “Fostering health care for refugees and pastoral communities in Somali Region, Ethiopia”. This community-based cross-sectional study was conducted during November 2015. Interviews through a questionnaire and focus group discussions were used to collect the data. Proportional to size allocation followed by systematic sampling technique was used to identify the study units. The major determinants of institutional delivery in the study area were as follows: being apparently healthy, lack of knowledge, long waiting time, poor quality services, cultural beliefs, religious misconception, partner decision, and long travel. Around one-third (133, 34.5% of the women had visited at least once for their pregnancy. More than half (78, 58.6% of the women had visited health facilities due to health problems and only 27 (19.9% women had attended the recommended four antenatal care visits. Majority (268, 69.6% of the pregnant women preferred to give birth at home. Women who attended antenatal care were two times more likely to deliver at health facilities (AOR, 95% confidence interval [CI] =2.38, 1.065–4.96. Women whose family members preferred health facilities had 14 times more probability to give birth in health institutions (AOR, 95% CI =13.79, 5.28–35.8. Women living in proximity to a health facility were 13 times more likely to give birth at health facilities than women

  19. An assessment of technology-based service encounters & network security on the e-health care systems of medical centers in Taiwan

    OpenAIRE

    Chang Ching; Chang Hsin

    2008-01-01

    Abstract Background Enhancing service efficiency and quality has always been one of the most important factors to heighten competitiveness in the health care service industry. Thus, how to utilize information technology to reduce work load for staff and expeditiously improve work efficiency and healthcare service quality is presently the top priority for every healthcare institution. In this fast changing modern society, e-health care systems are currently the best possible way to achieve enh...

  20. PNAUM: integrated approach to Pharmaceutical Services, Science, Technology and Innovation.

    Science.gov (United States)

    Gadelha, Carlos Augusto Grabois; Costa, Karen Sarmento; Nascimento, José Miguel do; Soeiro, Orlando Mário; Mengue, Sotero Serrate; Motta, Márcia Luz da; Carvalho, Antônio Carlos Campos de

    2016-12-01

    This paper describes the development process of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines) based on an integrated approach to pharmaceutical services, science, technology and innovation. It starts by contextualizing health and development in Brazil and features elements of the National Policy for Science, Technology and Innovation in Health in Brazil and the National Policy for Pharmaceutical Services. On presenting pharmaceutical policy guidelines, it stresses the lack of nationwide data. This survey, commissioned by the Brazilian Ministry of Health, has two components: household survey and evaluation of pharmaceutical services in primary care. The findings point to perspectives that represent, besides the enhancement of public policy for pharmaceutical services and public health, results of government action aimed at developing the economic and industrial health care complex to improve the health conditions of the Brazilian population. RESUMO O artigo apresenta o processo de construção da Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamento a partir de uma concepção integradora da Assistência Farmacêutica, Ciência, Tecnologia e Inovação. Inicia-se contextualizando a saúde e o desenvolvimento no País e apresenta elementos da Política Nacional de Ciência Tecnologia e Inovação em Saúde no Brasil e da Política Nacional de Assistência Farmacêutica. Ao apresentar as diretrizes das Políticas Farmacêuticas, destaca-se a carência de dados de abrangência nacional. A presente pesquisa, encomendada pelo Ministério da Saúde, foi estruturada em dois componentes: inquérito domiciliar e avaliação dos serviços de assistência farmacêutica na atenção básica. As perspectivas dos resultados representam, além do incremento das políticas públicas farmacêuticas e de saúde p

  1. Pre-service teachers' competencies for technology integration: Insights from a mathematics-specific instructional technology course

    NARCIS (Netherlands)

    Agyei, D.; Voogt, Joke; Resta, P.

    2012-01-01

    A combination of various measures (self-report, learning outcomes and written reports) was employed to investigate 104 pre-service teachers’ competencies in spreadsheet integration after enrolling in an Instructional Technology course. The pre-service teachers engaged in a “learning technology by de

  2. Examining the Impact of Educational Technology Courses on Pre-Service Teachers' Development of Technological Pedagogical Content Knowledge

    Science.gov (United States)

    Hsu, Pi-Sui

    2012-01-01

    The purpose of this qualitative study was to examine the impact of educational technology courses on pre-service teachers' development of knowledge of technology integration in a teacher preparation program in the USA. The present study was conducted with eight pre-service teachers enrolled in the elementary teacher education program at a large…

  3. Efficiency of the Technology Acceptance Model to Explain Pre-Service Teachers' Intention to Use Technology: A Turkish Study

    Science.gov (United States)

    Teo, Timothy; Ursavas, Omer Faruk; Bahcekapili, Ekrem

    2011-01-01

    Purpose: The purpose of this study is to assess the efficiency of the technology acceptance model (TAM) to explain pre-service teachers' intention to use technology in Turkey. Design/methodology/approach: A total of 197 pre-service teachers from a Turkish university completed a survey questionnaire measuring their responses to four constructs…

  4. The rise and fall of self-service in Amsterdam trams: User technology relations in a case of service innovation

    NARCIS (Netherlands)

    Nahuis, Roel

    2009-01-01

    The stabilisation of innovative technology depends on reconciling technological opportunities and user behaviour. This can be achieved by adjusting the technology to the users, by configuring the user, or by a combination thereof. This paper evaluates different strategies in a case of service innova

  5. Methodology for Web Services Adoption Based on Technology Adoption Theory and Business Process Analyses

    Institute of Scientific and Technical Information of China (English)

    AN Liping; YAN Jianyuan; TONG Lingyun

    2008-01-01

    Web services use an emerging service-oriented architecture for distributed computing. Many organizations are either in the process of adopting web services technology or evaluating this option for incorporation into their enterprise information architectures. Implementation of this new technology requires careful assessment of the needs and capabilities of an organization to formulate adoption strategies. This paper presents a methodology for web services adoption based on technology adoption theory and business process analyses. The methodology suggests that strategies, business areas, and functions within an organization should be considered based on the existing organizational information technology status during the process of adopting web services to support the business needs and requirements.

  6. Swiss and Turkish Pre-Service Science Teachers' Anxiety Levels for Educational Technology

    Science.gov (United States)

    Efe, Hulya Aslan; Efe, Rifat

    2016-01-01

    This study aims to culturally explain pre-service science teachers' instructional technology-related anxiety levels by analyzing the variables of their instructional technology using experiences, frequency of using instructional technologies, access to instructional technologies, instructional technology-related attitude and their instructional…

  7. 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.

  8. 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.

  9. Mandatory use of technology-based self-service: does expertise help or hurt?

    NARCIS (Netherlands)

    Reinders, Machiel J.; Frambach, Ruud; Kleijnen, Mirella

    2015-01-01

    Purpose – This study aims to investigate the effects of two types of expertise (self-service technology and service type) on the disconfirmation of customers’ expectations and the use-related outcomes of technology-based self-service (TBSS).
    Design/methodology/approach – This empirical study pe

  10. Information and Communication Technology (ICT in the Service of Multiculturalism

    Directory of Open Access Journals (Sweden)

    Elaine Hoter, Miri Shonfeld, Asmaa Ganayim

    2009-04-01

    Full Text Available This paper presents an online inter-group contact hypothesis (OICH model, developed within the Israel education system, whereby online and distance learning (ODL is used in the service of multiculturalism. The goal is to build bridges among secular and religious Arabs and Jews in Israel based on small multicultural groups and collaborative learning through effective use of the Internet and other cutting-edge information technologies. The model expands the contact hypothesis (which holds that under the right conditions contact could reduce bias between groups to a model for online collaboration. It adds the gradual development of contact between the groups by progressing from individual asynchronous textual communication to individual synchronous audio communication combined with collaborative asynchronous communication to collaborative synchronous communication and finally to face-to-face communication.

  11. Businesses Integration with Workflow and Web Service Technologies

    Directory of Open Access Journals (Sweden)

    Gianina RIZESCU

    2008-01-01

    Full Text Available If businesses want to benefit from the power of the Internet, web siteshave to evolve. It is often no longer beneficial for them to only provide staticinformation. It is necessary for these web sites to find ways that allow them tointeract with other websites, operating systems, and applications. With Webservices it is finally possible to create functions that can easily be accessed over theInternet by both internal and external parties. In other words, with Web services it ispossible to integrate different value chains from different organizations with ease.On the other hand, workflows provide tools and mechanisms for managing theinteraction between people, systems, applications and business functions. Thecombination of these two technologies offers a very powerful solution forbusinesses integration.

  12. Min-max optimization and the radial approach to the public service system design with generalized utility

    Directory of Open Access Journals (Sweden)

    Jaroslav Janáček

    2016-04-01

    Full Text Available The paper deals with the min-max public service system design, where the generalized utility is considered. In contrast to the formulations presented in the literature, the generalized utility defined for a public service system assumes that the user’s utility comes generally from more than one located service center and the individual contributions from relevant centers are weighted by reduction coefficients depending on a center order. Given that commercial IP-solvers often fail due to enormous computational times or extreme memory demands when resolving this issue, we suggested and compared several approaches based on a bisection process with the purpose of developing an effective max-min approach to the public service system design with a generalized utility.

  13. Health service utilization in IBD: comparison of self-report and administrative data

    Science.gov (United States)

    2011-01-01

    Background The reliability of self-report regarding health care utilization in inflammatory bowel disease (IBD) is unknown. If proven reliable, it could help justify self-report as a means of determining health care utilization and associated costs. Methods The Manitoba IBD Cohort Study is a population-based longitudinal study of participants diagnosed within 7 years of enrollment. Health care utilization was assessed through standardized interview. Participants (n = 352) reported the total number of nights hospitalized, frequency of physician contacts in the prior 12 months and whether the medical contacts were for IBD-related reasons or not. Reports of recent antibiotic use were also recorded. Actual utilization was drawn from the administrative database of Manitoba Health, the single comprehensive provincial health insurer. Results According to the administrative data, 15% of respondents had an overnight hospitalization, while 10% had an IBD-related hospitalization. Self-report concordance was highly sensitive (92%; 82%) and specific (96%; 97%, respectively). 97% of participants had contact with a physician in the previous year, and 69% had IBD-related visits. Physician visits were significantly under-reported and there was a trend to over-report the number of nights in hospital. Conclusions Self-report data can be helpful in evaluating health service utilization, provided that the researcher is aware of the systematic sources of bias. Outpatient visits are well identified by self-report. The discordance for the type of outpatient visit may be either a weakness of self-report or a flaw in diagnosis coding of the administrative data. If administrative data are not available, self-report information may be a cost-effective alternative, particularly for hospitalizations. PMID:21627808

  14. Health service utilization in IBD: comparison of self-report and administrative data

    Directory of Open Access Journals (Sweden)

    Walker John R

    2011-05-01

    Full Text Available Abstract Background The reliability of self-report regarding health care utilization in inflammatory bowel disease (IBD is unknown. If proven reliable, it could help justify self-report as a means of determining health care utilization and associated costs. Methods The Manitoba IBD Cohort Study is a population-based longitudinal study of participants diagnosed within 7 years of enrollment. Health care utilization was assessed through standardized interview. Participants (n = 352 reported the total number of nights hospitalized, frequency of physician contacts in the prior 12 months and whether the medical contacts were for IBD-related reasons or not. Reports of recent antibiotic use were also recorded. Actual utilization was drawn from the administrative database of Manitoba Health, the single comprehensive provincial health insurer. Results According to the administrative data, 15% of respondents had an overnight hospitalization, while 10% had an IBD-related hospitalization. Self-report concordance was highly sensitive (92%; 82% and specific (96%; 97%, respectively. 97% of participants had contact with a physician in the previous year, and 69% had IBD-related visits. Physician visits were significantly under-reported and there was a trend to over-report the number of nights in hospital. Conclusions Self-report data can be helpful in evaluating health service utilization, provided that the researcher is aware of the systematic sources of bias. Outpatient visits are well identified by self-report. The discordance for the type of outpatient visit may be either a weakness of self-report or a flaw in diagnosis coding of the administrative data. If administrative data are not available, self-report information may be a cost-effective alternative, particularly for hospitalizations.

  15. A case study review of technical and technology issues for transition of a utility load management program to provide system reliability resources in restructured electricity markets

    Energy Technology Data Exchange (ETDEWEB)

    Weller, G.H.

    2001-07-15

    Utility load management programs--including direct load control and interruptible load programs--were employed by utilities in the past as system reliability resources. With electricity industry restructuring, the context for these programs has changed; the market that was once controlled by vertically integrated utilities has become competitive, raising the question: can existing load management programs be modified so that they can effectively participate in competitive energy markets? In the short run, modified and/or improved operation of load management programs may be the most effective form of demand-side response available to the electricity system today. However, in light of recent technological advances in metering, communication, and load control, utility load management programs must be carefully reviewed in order to determine appropriate investments to support this transition. This report investigates the feasibility of and options for modifying an existing utility load management system so that it might provide reliability services (i.e. ancillary services) in the competitive markets that have resulted from electricity industry restructuring. The report is a case study of Southern California Edison's (SCE) load management programs. SCE was chosen because it operates one of the largest load management programs in the country and it operates them within a competitive wholesale electricity market. The report describes a wide range of existing and soon-to-be-available communication, control, and metering technologies that could be used to facilitate the evolution of SCE's load management programs and systems to provision of reliability services. The fundamental finding of this report is that, with modifications, SCE's load management infrastructure could be transitioned to provide critical ancillary services in competitive electricity markets, employing currently or soon-to-be available load control technologies.

  16. Pre-Service Mathematics Teachers' Use of Multiple Representations in Technology-Rich Environments

    Science.gov (United States)

    Ozmantar, Mehmet Faith; Akkoc, Hatice; Bingolbali, Erhan; Demir, Servet; Ergene, Berna

    2010-01-01

    In this paper, we examine the development of pre-service mathematics teachers' use of multiple representations during teaching in technology-rich environments. The pre-service teachers took part in a preparation program aimed at integration of technology into teaching mathematics. The program was designed on the basis of Technological Pedagogical…

  17. Identifying Ghanaian Pre-Service Teachers' Readiness for Computer Use: A Technology Acceptance Model Approach

    Science.gov (United States)

    Gyamfi, Stephen Adu

    2016-01-01

    This study extends the technology acceptance model to identify factors that influence technology acceptance among pre-service teachers in Ghana. Data from 380 usable questionnaires were tested against the research model. Utilising the extended technology acceptance model (TAM) as a research framework, the study found that: pre-service teachers'…

  18. "Remnants of feudalism"? Women's health and their utilization of health services in rural China.

    Science.gov (United States)

    Anson, O; Haanappel, F W

    1999-01-01

    Almost five decades ago, the Chinese Communist Party wished to abolish all "remnants of feudalism," including the patriarchal social order. Just one year after the revolution, the Marriage Law endorsed women's rights within the family, but no operative measures were taken to enforce it. Some of the economic reforms since independence even strengthened patrilocality and, possibly, patriarchal values. The purpose of this study was to explore the degree to which patrilocality served to maintain the traditional patriarchal stratification among women in the household by exploring women's health patterns and utilization of health services. Data were collected from 3859 women residing in rural Hebei, and variation in health and help seeking of six categories of relation to household head--mothers, wives, daughters, daughters-in-law, family heads, and other relatives--were explored. Utilization of health services is not dependent on women's position in the household, but primarily on per-capita income. Health patterns seem to indicate that mothers of the head of the household still have a considerable power to define their roles and share of household work. Women head of family, most of whom are married, appear to be under strain, which could be a result of their culturally "deviant" position. We conclude that old patriarchal values are intertwined with values of equality in current rural China.

  19. Coupling renewables via hydrogen into utilities: Temporal and spatial issues, and technology opportunities

    Energy Technology Data Exchange (ETDEWEB)

    Iannucci, J.J.; Horgan, S.A.; Eyer, J.M. [Distributed Utility Associates, San Ramon, CA (United States)] [and others

    1996-10-01

    This paper discusses the technical potential for hydrogen used as an energy storage medium to couple time-dependent renewable energy into time-dependent electric utility loads. This analysis will provide estimates of regional and national opportunities for hydrogen production, storage and conversion, based on current and near-term leading renewable energy and hydrogen production and storage technologies. Appropriate renewable technologies, wind, photovoltaics and solar thermal, are matched to their most viable regional resources. The renewables are assumed to produce electricity which will be instantaneously used by the local utility to meet its loads; any excess electricity will be used to produce hydrogen electrolytically and stored for later use. Results are derived based on a range of assumptions of renewable power plant capacity and fraction of regional electric load to be met (e.g., the amount of hydrogen storage required to meet the Northwest region`s top 10% of electric load). For each renewable technology national and regional totals will be developed for maximum hydrogen production per year and ranges of hydrogen storage capacity needed in each year (hydroelectric case excluded). The sensitivity of the answers to the fraction of peak load to be served and the land area dedicated for renewable resources are investigated. These analyses can serve as a starting point for projecting the market opportunity for hydrogen storage and distribution technologies. Sensitivities will be performed for hydrogen production, conversion. and storage efficiencies representing current and near-term hydrogen technologies.

  20. Technological progress on detoxification and comprehensive utilization of chromium-containing slag

    Institute of Scientific and Technical Information of China (English)

    柴立元; 何德文; 于霞; 刘恢; 闵小波; 陈为亮

    2002-01-01

    Chromium salt is an important industrial material, but vast waste slag containing chrome(Ⅵ) is brought out in the process of its production. The slag is seriously harmful to environments and human health. The technologies on detoxification and comprehensive utilization of chromium-containing slag were summarized abroad and at home. And various methods were also described for the detoxification mechanism, technology process, and practical application effects in detail. A new concept for detoxification of chromium-containing slag, furthermore, was put forward by using microorganism.

  1. Technical Challenges and Lessons from the Migration of the GLOBE Data and Information System to Utilize Cloud Computing Service

    Science.gov (United States)

    Moses, John F.; Memarsadeghi, Nargess; Overoye, David; Littlefield, Brain

    2017-01-01

    The Global Learning and Observation to Benefit the Environment (GLOBE) Data and Information System supports an international science and education program with capabilities to accept local environment observations, archive, display and visualize them along with global satellite observations. Since its inception twenty years ago, the Web and database system has been upgraded periodically to accommodate the changes in technology and the steady growth of GLOBEs education community and collection of observations. Recently, near the end-of-life of the system hardware, new commercial computer platform options were explored and a decision made to utilize Cloud services. Now the GLOBE DIS has been fully deployed and maintained using Amazon Cloud services for over two years now. This paper reviews the early risks, actual challenges, and some unexpected findings as a result of the GLOBE DIS migration. We describe the plans, cost drivers and estimates, highlight adjustments that were made and suggest improvements. We present the trade studies for provisioning, for load balancing, networks, processing, storage, as well as production, staging and backup systems. We outline the migration teams skills and required level of effort for transition, and resulting changes in the overall maintenance and operations activities. Examples include incremental adjustments to processing capacity and frequency of backups, and efforts previously expended on hardware maintenance that were refocused onto application-specific enhancements.

  2. Technical Challenges and Lessons from the Migration of the GLOBE Data and Information System to Utilize Cloud Computing Service

    Science.gov (United States)

    Moses, J. F.; Memarsadeghi, N.; Overoye, D.; Littlefield, B.

    2016-12-01

    The Global Learning and Observation to Benefit the Environment (GLOBE) Data and Information System supports an international science and education program with capabilities to accept local environment observations, archive, display and visualize them along with global satellite observations. Since its inception twenty years ago, the Web and database system has been upgraded periodically to accommodate the changes in technology and the steady growth of GLOBE's education community and collection of observations. Recently, near the end-of-life of the system hardware, new commercial computer platform options were explored and a decision made to utilize Cloud services. Now the GLOBE DIS has been fully deployed and maintained using Amazon Cloud services for over two years now. This paper reviews the early risks, actual challenges, and some unexpected findings as a result of the GLOBE DIS migration. We describe the plans, cost drivers and estimates, highlight adjustments that were made and suggest improvements. We present the trade studies for provisioning, for load balancing, networks, processing , storage, as well as production, staging and backup systems. We outline the migration team's skills and required level of effort for transition, and resulting changes in the overall maintenance and operations activities. Examples include incremental adjustments to processing capacity and frequency of backups, and efforts previously expended on hardware maintenance that were refocused onto application-specific enhancements.

  3. BARRIERS TO THE UTILIZATION OF PRIMARY CARE SERVICES FOR MENTAL HEALTH PROLEMS

    Directory of Open Access Journals (Sweden)

    KHAIRANI O

    2010-01-01

    Full Text Available Objective: To study the barriers toward the utilization of primary care services for mental health problems among adolescents in a secondary school in Hulu Langat, Selangor, Malaysia. Methods: This was a cross-sectional study conducted in July 2008 at a secondary school in Hulu Langat, Selangor. The respondents were selected using randomised cluster sampling among Form Four and Form Five students. Students were given self-administered questionnaire, consisting socio-demographic data and questions on their help-seeking barrier and behaviour. Help-seeking behaviour questions assess the use of medical facility and help-seeking sources. The formal help seeking sources include from teachers, counsellors and doctors. The informal help-seeking sources include from friends,parents and siblings. Results: A total of 175 students were included in the study. None of the students admitted of using the primary health care services for their mental health problems. Majority of the students were not aware of the services availability in the primary health care (97.1%. More than half of them thought the problems were due to their own mistakes (55.4% and the problems were not that serious (49.1%. With regard to perception of the primary health care services, (43.2% of the students were worried about confidentiality, half of them were concerned about other people’s perception especially from their family members(44.6% and friends (48.6%. Minority of them (10.8% thought that nobody can help them. Few of them thought smoking(3.4%, alcohol (3.4% and recreational drugs (1.1% can solve their emotional problems. Conclusion: One of the major barriers identified in the students’ failure to use the health care facilities was their unawarenessof the availability of the service for them in the community. Thus there is a need to promote and increase their awareness onthis issue.

  4. Effects of a recovery management intervention on Chinese heroin users' community recovery through the mediation effect of enhanced service utilization.

    Science.gov (United States)

    Wu, F; Fu, L M; Hser, Y H

    2015-09-01

    This study investigates whether a recovery management intervention (RMI) can improve the utilization of community drug treatment and wraparound services among heroin users in China and subsequently lead to positive recovery outcomes. Secondary analysis was conducted drawing data from a randomized controlled trial; 100 heroin users with no severe mental health problems were recruited in two Shanghai districts (Hongkou and Yangpu) upon their release from compulsory rehabilitation facilities. A latent variable modeling approach was utilized to test whether the RMI influences heroin users' perceived motivation and readiness for treatment, enhances treatment and wraparound service participation, and, in turn, predicts better recovery outcomes. Enrollment in drug treatment and other social service utilization increased significantly as a result of RMI rather than an individual drug user's motivation and readiness for treatment. Increased service utilization thus led to more positive individual recovery outcomes. In addition to this mediation effect through service utilization, the RMI also improved participants' community recovery directly. Findings suggest that better drug treatment enrollment, community service utilization and recovery outcomes can be potentially achieved among heroin users in China with carefully designed case management interventions. © The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  5. Financial barriers to utilization of screening and treatment services for breast cancer: an equity analysis in Nigeria.

    Science.gov (United States)

    Okoronkwo, I L; Ejike-Okoye, P; Chinweuba, A U; Nwaneri, A C

    2015-01-01

    To determine financial barriers that impede the utilization of screening and treatment services for breast cancer among Nigerian women from different socioeconomic groups. A descriptive study was carried out in 2013 among women attending the oncology clinic of a tertiary institution in Enugu, Southeast Nigeria. Data were collected from 270 women using an interviewer-administered questionnaire. The links between the influence of socioeconomic factors on barriers to the utilization of breast cancer screening and treatment services were examined. A total of 270 women were studied. The mean age was 34.69 (Standard deviation = 5.07) years. Half of the study participants were single 141 (51.3%), while 105 (38.2%) were married. Cost of medical treatment and not having insurance coverage was major financial barriers to utilization of screening and treatment services. The least poor and poor socioeconomic status (SES) groups utilized screening services and treatment more frequently than the very poor and poorest SES groups ( P = 0.034). There was no significant difference in the utilization of the different treatment options among the different socioeconomic groups with the exception of surgery (χ² = 11.397; P = 0.000). Financial barriers limit the ability of women, especially the poorest SES group, to utilize screening and treatment services for early diagnosis and treatment of breast cancer. Interventions that will improve financial risk protection for women with breast cancer or at risk of breast cancer are needed to ensure equitable access to screening and treatment services.

  6. Antipsychotic adherence, switching, and health care service utilization among Medicaid recipients with schizophrenia

    Directory of Open Access Journals (Sweden)

    Douglas L Noordsy

    2010-07-01

    Full Text Available Douglas L Noordsy1, Glenn A Phillips2, Daniel E Ball2, Walter T Linde-Zwirble31Department of Psychiatry, Dartmouth Medical School, Lebanon, NH, USA; 2Global Health Outcomes, Eli Lilly and Company, Indianapolis, IN, USA; 3ZD Associates, Perkasie, PA, USAObjective: To evaluate health care resource utilization in patients with schizophrenia who continued newly prescribed antipsychotic medications, compared with those switching to ­different treatments.Methods: Adults with schizophrenia in the California Medicaid (MediCal database who ­initiated treatment with index medications in 1998–2001, were classified as having: 1 ­abandoned antipsychotic medications; 2 switched to another medication; or 3 continued with the index antipsychotic, for up to 6 months after the index date.Results: Of 2300 patients meeting eligibility criteria, 1382 (60.1% continued index medications, 480 (20.9% switched, and 438 (19.0% abandoned antipsychotic treatment. Utilization in several resource categories occurred significantly more frequently among patients whose regimens were switched (vs those continuing index medications. These included using psychiatric (24.2% vs 14.5%; P < 0.001 or nonpsychiatric (31.5% vs 24.3%; P < 0.05 emergency services; being admitted to a hospital (10.6% vs 7.4%; P < 0.05; making nonpsychiatric outpatient hospital visits (43.3% vs 36.4%; P < 0.05 or nonpsychiatric physician visits (62.7% vs 56.4%; P < 0.05; and using other outpatient psychiatric (53.3% vs 40.7%; P < 0.001 or nonpsychiatric (82.7% vs 74.6%; P < 0.001 services.Conclusions: Switching antipsychotic medications is associated with significantly increased health care resource utilization (vs continuing treatment.Keywords: antipsychotics, drug therapy, resource use, treatment adherence

  7. Building Thermal Envelope Systems and Materials (BTESM) and research utilization/technology transfer

    Energy Technology Data Exchange (ETDEWEB)

    Burn, G. (comp.)

    1990-07-01

    The Monthly Report of the Building Thermal Envelope Systems and Materials (BTESM) Programs is a monthly update of both in-house ORNL projects and subcontract activities in the research areas of building materials, wall systems, foundations, roofs, building diagnostics, and research utilization and technology transfer. Presentations are not stand-alone paragraphs every month. Their principal values are the short-time lapse between accomplishment and reporting and their evolution over a period of several months..

  8. The Ef fects of Technology Usabilitiy and Individual Technology Readiness on Utilization of Electronic Document Management System (EDMS: A Research on Employee of University Hospital

    Directory of Open Access Journals (Sweden)

    Asuman Atilla

    2015-06-01

    Full Text Available Electronic Document Management System (EDMS is software which is utilized for writing, sending and storing, briefly managing the processes and operations of the corporations and institutions. In this empirical research, the statistical differences are investigated between users’ concerns about usability of mentioned technology, users’ technological readiness levels and users’ utilization status of EDMS sample is formed by 189 administrative staff of a university hospital in Ankara. According to findings, significant statistical differences are found between some dimensions of technology usability (usability effectiveness, learnability,helpfulness satisfaction, some dimensions of technology readiness (discomfort and insecurity and the utilization status (user, nonuser of EDMS.

  9. Multidisciplinary Service Utilization Pattern by Advanced Head and Neck Cancer Patients: A Single Institution Study

    Science.gov (United States)

    Junn, Jacqueline C.; Kim, Irene A.; Zahurak, Marianna L.; Tan, Marietta; Fan, Katherine Y.; Lake, Spencer T.; Zaboli, David; Messing, Barbara P.; Ulmer, Karen; Harrer, Karen B.; Gold, Dorothy; Ryniak, Keri L.; Zinreich, Eva S.; Tang, Mei; Levine, Marshall A.; Blanco, Ray G.; Saunders, John R.; Califano, Joseph A.; Ha, Patrick K.

    2012-01-01

    Purpose. To analyze the patterns and associations of adjunctive service visits by head and neck cancer patients receiving primary, concurrent chemoradiation therapy. Methods. Retrospective chart review of patients receiving adjunctive support during a uniform chemoradiation regimen for stages III-IV head and neck squamous cell carcinoma. Univariate and multivariate models for each outcome were obtained from simple and multivariate linear regression analyses. Results. Fifty-two consecutive patients were assessed. Female gender, single marital status, and nonprivate insurance were factors associated with an increased number of social work visits. In a multivariate analysis, female gender and marital status were related to increased social work services. Female gender and stage IV disease were significant for increased nursing visits. In a multivariate analysis for nursing visits, living greater than 20 miles between home and hospital was a negative predictive factor. Conclusion. Treatment of advanced stage head and neck cancer with concurrent chemoradiation warrants a multidisciplinary approach. Female gender, single marital status, and stage IV disease were correlated with increased utilization of social work and nursing services. Distance over 20 miles from the center was a negative factor. This information may help guide the treatment team to allocate resources for the comprehensive care of patients. PMID:23118755

  10. Utilization of dental health services among middle-aged people in Sweden and Denmark.

    Science.gov (United States)

    Kronström, Mats; Palmqvist, Sigvard; Söderfeldt, Björn; Vigild, Merete

    2002-10-01

    In 1999, questionnaires were sent to random samples of 1001 Swedish citizens aged 55-79 years and 1175 Danish citizens aged 45-69 years. Various questions were asked concerning dental conditions, dental visit frequency per year, and money spent annually on dental care, etc. The objectives were to assess differences in the utilization of dental services and to compare out-of-pocket costs for dental care in Sweden and Denmark with control for age, gender, dental conditions and income. More than 80% of the subjects reported that a dentist had examined them less than 1 year previously. However, 77% of the Danes reported dental visits twice a year or more compared to 28% of the Swedes. Although the Danes reported a more frequent use of dental services, they had poorer dental conditions compared to the Swedes. Even though the Swedes used dental services less often than the Danes did, more subjects reported high 12-month out-of-pocket costs. In the present study, separate models were constructed for the two countries because there could be different mechanisms at play, as indicated by the results. The different insurance systems along with different degrees of commercialization in the two countries might be the most decisive factors in this context.

  11. Multidisciplinary Service Utilization Pattern by Advanced Head and Neck Cancer Patients: A Single Institution Study

    Directory of Open Access Journals (Sweden)

    Jacqueline C. Junn

    2012-01-01

    Full Text Available Purpose. To analyze the patterns and associations of adjunctive service visits by head and neck cancer patients receiving primary, concurrent chemoradiation therapy. Methods. Retrospective chart review of patients receiving adjunctive support during a uniform chemoradiation regimen for stages III-IV head and neck squamous cell carcinoma. Univariate and multivariate models for each outcome were obtained from simple and multivariate linear regression analyses. Results. Fifty-two consecutive patients were assessed. Female gender, single marital status, and nonprivate insurance were factors associated with an increased number of social work visits. In a multivariate analysis, female gender and marital status were related to increased social work services. Female gender and stage IV disease were significant for increased nursing visits. In a multivariate analysis for nursing visits, living greater than 20 miles between home and hospital was a negative predictive factor. Conclusion. Treatment of advanced stage head and neck cancer with concurrent chemoradiation warrants a multidisciplinary approach. Female gender, single marital status, and stage IV disease were correlated with increased utilization of social work and nursing services. Distance over 20 miles from the center was a negative factor. This information may help guide the treatment team to allocate resources for the comprehensive care of patients.

  12. Primary language spoken at home and children's dental service utilization in the United States.

    Science.gov (United States)

    Noyce, Matthew; Szabo, Aniko; Pajewski, Nicholas M; Jackson, Scott; Bradley, T Gerard; Okunseri, Christopher

    2009-01-01

    Language barriers have been well documented as a contributing factor to disparities in the receipt of medical services, especially for Hispanic children. However, there is a paucity of information on the effect of language barriers on children's dental service utilization. We examined the association of primary language spoken at home with the receipt of preventive and routine dental care for children in the United States. We analyzed data from the Medical Expenditure Panel Survey (2002-2004), which contains data on 21,049 children weighted to represent 75.8 million children nationally. Among children aged 1-18 years, 13 percent spoke a language other than English at home. Whites, females, children between the ages of 7 and 12 years, and those whose parents spoke English at home had the highest marginal rates of preventive and routine dental visits. However, the large marginal effect of language, even among Hispanics, was not significant after adjusting for other covariates. Parental education and having a primary provider were the strongest predictors of preventive and routine dental visits. Children that did not speak English at home were less likely to receive preventive or routine dental care. However, after adjusting for other socio-economic factors, our study suggests that language barriers may not play as pronounced a role in the receipt of dental care as that documented for medical services.

  13. Self-Service Charge Systems: Current Technological Applications and Their Implications for the Future Library.

    Science.gov (United States)

    Mardikian, Jackie

    1995-01-01

    Discusses a possible shift to self-service check-out systems for academic library patrons. Provides an annotated bibliography of 51 items that discuss the impact of self-service technology on the quality of service and customer satisfaction in libraries, service sectors, banking, and the vending industry. (LRW)

  14. Impact of bandwidth for various services in heterogeneous network and quality of service via communication technologies in Malaysian higher educational

    Directory of Open Access Journals (Sweden)

    Mohd Nazri ISMAIL

    2007-12-01

    Full Text Available This study focuses on heterogeneous services and communication technologies for retrieving and sending information between students and lecturers in Malaysian higher educational institutes. It intends to investigate pattern and significant level of various services implementation, convergence of communication technologies and bandwidth capacity for last mile users (students and lecturers. It is designed to determine which communication technologies, services, bandwidth capacity and QoS will achieve the highest level acceptance in Malaysian higher educational institutes. Heterogeneous environment can also generate mobility approaches. A survey method is used to collect data from respondents (System Network Administrator in Malaysian higher educational institutes. Statistical Analysis using t-test shows that implementation of high speed bandwidth for Internet (WAN achieved significant level. Frequency test are used to analyze the various services implementation via convergence of communication technologies in heterogeneous environment for retrieving information. The most apparent finding of this study is that various services implementation in higher educational institutes can affect convergence of communication technologies usage in accessing information over heterogeneous network environment between students and lecturers. The study or analysis confirms that Malaysia higher educational institutes have not achieved a maximum level of various services implementation via convergence of communication technologies between students and lecturers in heterogeneous network environment. Therefore, low convergence of communication technologies can produce a low mobility and ubiquitous interaction between students and lectures in Malaysian higher educational institutes.

  15. Do self-service technologies affect interfirm relationships? A B2B perspective

    OpenAIRE

    Raechel Johns

    2014-01-01

    While considerable literature examines business-to business (B2B) relationships, the impact of technology on these relationships has lacked attention. IT has impacted the way businesses operate in a B2B context as well as influencing services by altering the way services are delivered. To understand the way in which Internet technology has impacted these B2B services, it is essential to examine its impact not only on business processes but on business relationships too. One technology, enable...

  16. Analysis of Inpatient Bed Allocation Equity and Utilization in the City Community Health Service Center of China

    Institute of Scientific and Technical Information of China (English)

    许静; 吴妮娜; 金生国; 王芳; 王云霞; 刘利群; 卢祖洵

    2010-01-01

    The objective of this study was to examine the inpatient bed(IB) allocation equity and utilization in Chinese city community health service centers(CHSCs).The data were derived from the Baseline Survey of National City Community Health Service System Building Project,which was conducted in 1917 CHSCs in 28 cities in 2007.The IB allocation was analyzed in terms of IB allocation quantity and distribution equity,and the IB utilization was analyzed by the IB utilization rate and average length of stay of the CH...

  17. Standard Lunar Regolith Simulants for Space Resource Utilization Technologies Development: Effects of Materials Choices

    Science.gov (United States)

    Sibille, Laurent; Carpenter, Paul K.

    2006-01-01

    As NASA turns its exploration ambitions towards the Moon once again, the research and development of new technologies for lunar operations face the challenge of meeting the milestones of a fastpace schedule, reminiscent of the 1960's Apollo program. While the lunar samples returned by the Apollo and Luna missions have revealed much about the Moon, these priceless materials exist in too scarce quantities to be used for technology development and testing. The need for mineral materials chosen to simulate the characteristics of lunar regoliths is a pressing issue that is being addressed today through the collaboration of scientists, engineers and NASA program managers. The issue of reproducing the properties of lunar regolith for research and technology development purposes was addressed by the recently held 2005 Workshop on Lunar Regolith Simulant Materials at Marshall Space Flight Center. The recommendation of the workshop of establishing standard simulant materials to be used in lunar technology development and testing will be discussed here with an emphasis on space resource utilization. The variety of techniques and the complexity of functional interfaces make these simulant choices critical in space resource utilization.

  18. Advanced Acid Gas Separation Technology for the Utilization of Low Rank Coals

    Energy Technology Data Exchange (ETDEWEB)

    Kloosterman, Jeff

    2012-12-31

    Air Products has developed a potentially ground-breaking technology – Sour Pressure Swing Adsorption (PSA) – to replace the solvent-based acid gas removal (AGR) systems currently employed to separate sulfur containing species, along with CO{sub 2} and other impurities, from gasifier syngas streams. The Sour PSA technology is based on adsorption processes that utilize pressure swing or temperature swing regeneration methods. Sour PSA technology has already been shown with higher rank coals to provide a significant reduction in the cost of CO{sub 2} capture for power generation, which should translate to a reduction in cost of electricity (COE), compared to baseline CO{sub 2} capture plant design. The objective of this project is to test the performance and capability of the adsorbents in handling tar and other impurities using a gaseous mixture generated from the gasification of lower rank, lignite coal. The results of this testing are used to generate a high-level pilot process design, and to prepare a techno-economic assessment evaluating the applicability of the technology to plants utilizing these coals.

  19. Measuring patrons' technology habits: an evidence-based approach to tailoring library services.

    Science.gov (United States)

    Wu, Jin; Chatfield, Amy J; Hughes, Annie M; Kysh, Lynn; Rosenbloom, Megan Curran

    2014-04-01

    Librarians continually integrate new technologies into library services for health sciences students. Recently published data are lacking about student ownership of technological devices, awareness of new technologies, and interest in using devices and technologies to interact with the library. A survey was implemented at seven health sciences libraries to help answer these questions. Results show that librarian assumptions about awareness of technologies are not supported, and student interest in using new technologies to interact with the library varies widely. Collecting this evidence provides useful information for successfully integrating technologies into library services.

  20. The Utilization of Urine Processing for the Advancement of Life Support Technologies

    Science.gov (United States)

    Grossi-Soyster, Elysse; Hogan, John; Flynn, Michael

    2014-01-01

    The success of long-duration missions will depend on resource recovery and the self-sustainability of life support technologies. Current technologies used on the International Space Station (ISS) utilize chemical and mechanical processes, such as filtration, to recover potable water from urine produced by crewmembers. Such technologies have significantly reduced the need for water resupply through closed-loop resource recovery and recycling. Harvesting the important components of urine requires selectivity, whether through the use of membranes or other physical barriers, or by chemical or biological processes. Given the chemical composition of urine, the downstream benefits of urine processing for resource recovery will be critical for many aspects of life support, such as food production and the synthesis of biofuels. This paper discusses the beneficial components of urine and their potential applications, and the challenges associated with using urine for nutrient recycling for space application.

  1. Systems analysis research for energy conversion and utilization technologies (ECUT). FY 1985 annual report

    Energy Technology Data Exchange (ETDEWEB)

    Eberhardt, J.J.; Gunn, M.E.; Levinson, T.M.

    1985-11-01

    This Annual Report highlights ECUT accomplishments in the Systems Analysis Project for FY 1985. The Systems Analysis Project was established in 1980 along with the ECUT Division. The Systems Analysis mission is to identify, analyze, and assess R and D needs and research program strategies for advanced conservation technologies. The PNL Systems Analysis staff conducts topical research, provides technical studies, and plans program activities in three areas related to energy conversion and utilization technologies: (1) technology assessment, (2) engineering analysis, and (3) project evaluation and review. This report summarizes the technical results and accomplishments of the FY 1985 projects. They relate mostly to tribology, improved ctalysts, regenerative heat exchangers, robotics and electronics industries, and bioprocessing.

  2. An Investigation of Factors Affecting Utilization of Information Technology (IT by Agricultural Students

    Directory of Open Access Journals (Sweden)

    Masoud Rezaei

    2012-03-01

    Full Text Available The present study was carried out with the aim of investigating factors affecting utilization of information technology by students of agriculture. A survey approach was used in this study and a questionnaire was developed to gather the data. The study population was postgraduate students (MS and PhD of economic and agricultural development faculty in Tehran University who were selected by applying random sampling technique. Sample size for students was 61 persons. Data was analyzed by using SPSS/WIN software. The results of the research indicated that there was a positive significant relationship between using of information technology by students and their age, average, prior experience, information technology skills, innovativeness, perceived ease of use, attitude and self-efficacy. The relationship between computer anxiety and using of IT was negative. Stepwise Regression Analysis showed that innovativeness and attitude predict 53.2 percent of variations of IT use by students.

  3. The development of uranium foil farication technology utilizing twin roll method for Mo-99 irradiation target

    CERN Document Server

    Kim, C K; Park, H D

    2002-01-01

    MDS Nordion in Canada, occupying about 75% of global supply of Mo-99 isotope, has provided the irradiation target of Mo-99 using the rod-type UAl sub x alloys with HEU(High Enrichment Uranium). ANL (Argonne National Laboratory) through co-operation with BATAN in Indonesia, leading RERTR (Reduced Enrichment for Research and Test Reactors) program substantially for nuclear non-proliferation, has designed and fabricated the annular cylinder of uranium targets, and successfully performed irradiation test, in order to develop the fabrication technology of fission Mo-99 using LEU(Low Enrichment Uranium). As the uranium foils could be fabricated in laboratory scale, not in commercialized scale by hot rolling method due to significant problems in foil quality, productivity and economic efficiency, attention has shifted to the development of new technology. Under these circumstances, the invention of uranium foil fabrication technology utilizing twin-roll casting method in KAERI is found to be able to fabricate LEU or...

  4. 6th Conference on Coal Utilization Technology; Dai 6 kai sekitan riyo gijutsu kaigi koenshu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-09-01

    The paper compiled the papers presented in the 6th Conference on Coal Utilization Technology held in September 1996. With relation to the fluidized bed boiler, reported were Field operation test of Wakamatsu PFBC combined cycle power plant and Development of pressurized internally circulating fluidized bed combustion technology. Regarding the coal reformation, Development of advanced coal cleaning process, Coal preparation and coal cleaning in the dry process, etc. Concerning the combustion technology, Study of the O2/CO2 combustion technology, Development of pressurized coal partial combustor, etc. About the CWM, Development of low rank coals upgrading and their CWM producing technology, Technique of CWM distribution system, etc. Relating to the coal ash, Engineering characteristics of the improved soil by deep mixing method using coal ash, Employment of fluidized bed ash as a basecourse material, On-site verification trials using fly ash for reclamation behind bulkheads, Water permeabilities of pulverized fuel ash, Separation of unburned carbon from coal fly ash through froth flotation, Practical use technology of coal ash (POZ-O-TEC), etc

  5. Supply- and Demand-Side Factors Influencing Utilization of Infant and Young Child Feeding Counselling Services in Viet Nam.

    Science.gov (United States)

    Nguyen, Phuong H; Kim, Sunny S; Nguyen, Tuan T; Tran, Lan M; Hajeebhoy, Nemat; Frongillo, Edward A; Ruel, Marie T; Rawat, Rahul; Menon, Purnima

    2016-01-01

    Adequate utilization of services is critical to maximize the impact of counselling on infant and young child feeding (IYCF), but little is known about factors affecting utilization. Our study examined supply- and demand-side factors associated with the utilization of IYCF counselling services in Viet Nam. We used survey data from mothers with children Higher maternal education was associated with higher utilization both for one-time and repeated use. Being a farmer, belonging to an ethnic minority, and having a wasted child were associated with greater likelihood of achieving the minimum recommended number of visits, whereas child stunting or illness were not. Distance to health center was a barrier to repeated visits. Among supply-side factors, good counselling skills (PR: 1.3-1.8) was the most important factor associated with any service use, whereas longer employment duration and greater work pressure of health center staff were associated with lower utilization. Population attributable risk estimations showed that an additional 25% of the population would have achieved the minimum number of visits if exposed to three demand-generation strategies, and further increased to 49% if the health staff had good counseling skills and low work pressure. Our study provides evidence that demand-generation strategies are essential to increase utilization of facility-based IYCF counselling services in Viet Nam, and may be relevant for increasing and sustaining use of nutrition services in similar contexts.

  6. An Examination of Safety Management Systems and Aviation Technologies in the Helicopter Emergency Medical Services Industry

    Science.gov (United States)

    Buckner, Steven A.

    The Helicopter Emergency Medical Service (HEMS) industry has a significant role in the transportation of injured patients, but has experienced more accidents than all other segments of the aviation industry combined. With the objective of addressing this discrepancy, this study assesses the effect of safety management systems implementation and aviation technologies utilization on the reduction of HEMS accident rates. Participating were 147 pilots from Federal Aviation Regulations Part 135 HEMS operators, who completed a survey questionnaire based on the Safety Culture and Safety Management System Survey (SCSMSS). The study assessed the predictor value of SMS implementation and aviation technologies to the frequency of HEMS accident rates with correlation and multiple linear regression. The correlation analysis identified three significant positive relationships. HEMS years of experience had a high significant positive relationship with accident rate (r=.90; pNVG) (r=.38; pNVG, TAWS, and SMS, HEMS years of experience explained 81.4% of the variance in accident rate scores (p<.05), and HEMS years of experience was found to be a significant predictor of accident rates (p<.05). Additional quantitative regression analysis was recommended to replicate the results of this study and to consider the influence of these variables for continued reduction of HEMS accidents, and to induce execution of SMS and aviation technologies from a systems engineering application. Recommendations for practice included the adoption of existing regulatory guidance for a SMS program. A qualitative analysis was also recommended for future study SMS implementation and HEMS accident rate from the pilot's perspective. A quantitative longitudinal study would further explore inferential relationships between the study variables. Current strategies should include the increased utilization of available aviation technology resources as this proactive stance may be beneficial for the establishment of

  7. Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Message waiting indication supplementary service

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Message waiting indication supplementary service

  8. Information technology - Telecommunications and information exchange between systems - Private integrated services network - Specification, functional model and information flows - Call priority interruption and call priority interruption protection supplementary services

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    Information technology - Telecommunications and information exchange between systems - Private integrated services network - Specification, functional model and information flows - Call priority interruption and call priority interruption protection supplementary services

  9. Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Call priority interruption and call priority interruption protection supplementary services

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Call priority interruption and call priority interruption protection supplementary services

  10. Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Wireless terminal authentication supplementary services

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Wireless terminal authentication supplementary services

  11. Information technology - Telecommunications and information exchange between systems - Private Integrated Services Network - Specification, functional model and information flows - Call transfer supplementary service

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    Information technology - Telecommunications and information exchange between systems - Private Integrated Services Network - Specification, functional model and information flows - Call transfer supplementary service

  12. Information technology - Telecommunications and information exchange between systems - Private integrated services network - Specification, functional model and information flows - Recall supplementary service

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    Information technology - Telecommunications and information exchange between systems - Private integrated services network - Specification, functional model and information flows - Recall supplementary service

  13. Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Name identification supplementary services

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Name identification supplementary services

  14. Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Single step call transfer supplementary service

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    Information technology - Telecommunications and information exchange between systems - Private integrated services network - Inter-exchange signalling protocol - Single step call transfer supplementary service

  15. Determinants of institutional delivery service utilization among pastorals of Liben Zone, Somali Regional State, Ethiopia, 2015

    Science.gov (United States)

    Zepro, Nejimu Biza; Ahmed, Ahmed Tahir

    2016-01-01

    Maternal health service utilizations are poorly equipped, inaccessible, negligible, and not well documented in the pastoral society. This research describes a quantitative and qualitative study on the determinants of institutional delivery among pastoralists of Liben Zone with special emphasis on Filtu and Deka Suftu woredas of Somali Region, Ethiopia. The study was funded by the project “Fostering health care for refugees and pastoral communities in Somali Region, Ethiopia”. This community-based cross-sectional study was conducted during November 2015. Interviews through a questionnaire and focus group discussions were used to collect the data. Proportional to size allocation followed by systematic sampling technique was used to identify the study units. The major determinants of institutional delivery in the study area were as follows: being apparently healthy, lack of knowledge, long waiting time, poor quality services, cultural beliefs, religious misconception, partner decision, and long travel. Around one-third (133, 34.5%) of the women had visited at least once for their pregnancy. More than half (78, 58.6%) of the women had visited health facilities due to health problems and only 27 (19.9%) women had attended the recommended four antenatal care visits. Majority (268, 69.6%) of the pregnant women preferred to give birth at home. Women who attended antenatal care were two times more likely to deliver at health facilities (AOR, 95% confidence interval [CI] =2.38, 1.065–4.96). Women whose family members preferred health facilities had 14 times more probability to give birth in health institutions (AOR, 95% CI =13.79, 5.28–35.8). Women living in proximity to a health facility were 13 times more likely to give birth at health facilities than women living far away (AOR, 95% CI =13.37, 5.9–29.85). Nomadic way of life, service inaccessibility, and sociodemographic and cultural obstacles have an effect on the utilization of delivery services. Increasing

  16. Photovoltaic technology for sustainability: An investigation of the distributed utility concept as a policy framework

    Science.gov (United States)

    Letendre, Steven Emery

    The U.S. electric utility sector in its current configuration is unsustainable. The majority of electricity in the United States is produced using finite fossil fuels. In addition, significant potential exists to improve the nation's efficient use of energy. A sustainable electric utility sector will be characterized by increased use of renewable energy sources and high levels of end-use efficiency. This dissertation analyzes two alternative policy approaches designed to move the U.S. electric utility sector toward sustainability. One approach is labeled incremental which involves maintaining the centralized structure of the electric utility sector but facilitating the introduction of renewable energy and efficiency into the electrical system through the pricing mechanism. A second policy approach was described in which structural changes are encouraged based on the emerging distributed utility (DU) concept. A structural policy orientation attempts to capture the unique localized benefits that distributed renewable resources and energy efficiency offer to electric utility companies and their customers. A market penetration analysis of PV in centralized energy supply and distributed peak-shaving applications is conducted for a case-study electric utility company. Sensitivity analysis was performed based on incremental and structural policy orientations. The analysis provides compelling evidence which suggests that policies designed to bring about structural change in the electric utility sector are needed to move the industry toward sustainability. Specifically, the analysis demonstrates that PV technology, a key renewable energy option likely to play an important role in a renewable energy future, will begin to penetrate the electrical system in distributed peak-shaving applications long before the technology is introduced as a centralized energy supply option. Most policies to date, which I term incremental, attempt to encourage energy efficiency and renewables

  17. How physicians perceive and utilize information from a teratogen information service: The Motherisk Program

    Directory of Open Access Journals (Sweden)

    Park Andrew

    2004-04-01

    Full Text Available Abstract Background Teratogen information services have been developed around the world to disseminate information regarding the safety of maternal exposures during pregnancy. The Motherisk Program in Toronto, Canada, fields thousands of these inquiries per year. Our primary objective was to evaluate the perception and utilization of information received from us by physicians. Our secondary objective was to examine their information seeking behavior, in particular regarding teratogen information. Methods A one page survey was sent to physicians who had called Motherisk for information concerning pregnancy exposures in the previous 30 days for three months. Among the questions that were asked were demographics, which included gender, years in practice, specialty, information resources, and how they utilized the information received from Motherisk. Results We received 118/200 completed questionnaires (59% response rate. The mean age of the respondents was: 42 ± 9 years, mean years of practice was: 14 ± 8 years, males: 46(38% and females 72(62% and 95(80% were family physicians. 56(48% researched their question prior to calling Motherisk, 106(91% and passed on the information received to their patient verbatim. The top four resources for information were: 1 The CPS (PDR, 2 textbooks, 3 journals and 4 colleagues. Only 8% used the Medline for gathering information. Conclusions Physicians feel that a teratogen information service is an important component in the management of women exposed to drugs, chemicals, radiation and infections diseases etc. during pregnancy. Despite the advent of the electronic age, a minority of the physicians in our survey elected to use electronic means to seek information.

  18. A demanding web-based PACS supported by web services technology

    Science.gov (United States)

    Costa, Carlos M. A.; Silva, Augusto; Oliveira, José L.; Ribeiro, Vasco G.; Ribeiro, José

    2006-03-01

    During the last years, the ubiquity of web interfaces have pushed practically all PACS suppliers to develop client applications in which clinical practitioners can receive and analyze medical images, using conventional personal computers and Web browsers. However, due to security and performance issues, the utilization of these software packages has been restricted to Intranets. Paradigmatically, one of the most important advantages of digital image systems is to simplify the widespread sharing and remote access of medical data between healthcare institutions. This paper analyses the traditional PACS drawbacks that contribute to their reduced usage in the Internet and describes a PACS based on Web Services technology that supports a customized DICOM encoding syntax and a specific compression scheme providing all historical patient data in a unique Web interface.

  19. In Situ Resource Utilization Technology Research and Facilities Supporting the NASA's Human Systems Research and Technology Life Support Program

    Science.gov (United States)

    Schlagheck, Ronald A.; Sibille, Laurent; Sacksteder, Kurt; Owens, Chuck

    2005-01-01

    The NASA Microgravity Science program has transitioned research required in support of NASA s Vision for Space Exploration. Research disciplines including the Materials Science, Fluid Physics and Combustion Science are now being applied toward projects with application in the planetary utilization and transformation of space resources. The scientific and engineering competencies and infrastructure in these traditional fields developed at multiple NASA Centers and by external research partners provide essential capabilities to support the agency s new exploration thrusts including In-Situ Resource Utilization (ISRU). Among the technologies essential to human space exploration, the production of life support consumables, especially oxygen and; radiation shielding; and the harvesting of potentially available water are realistically achieved for long-duration crewed missions only through the use of ISRU. Ongoing research in the physical sciences have produced a body of knowledge relevant to the extraction of oxygen from lunar and planetary regolith and associated reduction of metals and silicon for use meeting manufacturing and repair requirements. Activities being conducted and facilities used in support of various ISRU projects at the Glenn Research Center and Marshall Space Flight Center will be described. The presentation will inform the community of these new research capabilities, opportunities, and challenges to utilize their materials, fluids and combustion science expertise and capabilities to support the vision for space exploration.

  20. In Situ Resource Utilization Technology Research and Facilities Supporting the NASA's Human Systems Research and Technology Life Support Program

    Science.gov (United States)

    Schlagheck, Ronald A.; Sibille, Laurent; Sacksteder, Kurt; Owens, Chuck

    2005-01-01

    The NASA Microgravity Science program has transitioned research required in support of NASA s Vision for Space Exploration. Research disciplines including the Materials Science, Fluid Physics and Combustion Science are now being applied toward projects with application in the planetary utilization and transformation of space resources. The scientific and engineering competencies and infrastructure in these traditional fields developed at multiple NASA Centers and by external research partners provide essential capabilities to support the agency s new exploration thrusts including In-Situ Resource Utilization (ISRU). Among the technologies essential to human space exploration, the production of life support consumables, especially oxygen and; radiation shielding; and the harvesting of potentially available water are realistically achieved for long-duration crewed missions only through the use of ISRU. Ongoing research in the physical sciences have produced a body of knowledge relevant to the extraction of oxygen from lunar and planetary regolith and associated reduction of metals and silicon for use meeting manufacturing and repair requirements. Activities being conducted and facilities used in support of various ISRU projects at the Glenn Research Center and Marshall Space Flight Center will be described. The presentation will inform the community of these new research capabilities, opportunities, and challenges to utilize their materials, fluids and combustion science expertise and capabilities to support the vision for space exploration.