WorldWideScience

Sample records for technology utilization services

  1. 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.

  2. Utility deregulation and AMR technology

    International Nuclear Information System (INIS)

    Moore, G.

    1991-01-01

    This article reviews the effects of deregulation on other utilities and services and examines how the electric utilities can avoid the worst of these effects and capitalize of the best aspects of competition in achieving marketing excellence. The article presents deregulation as a customer service and underscores the need for utilities to learn to compete aggressively and intelligently and provide additional services available through technology such as automated meter reading

  3. Acceptability and perceived utility of drone technology among emergency medical service responders and incident commanders for mass casualty incident management.

    Science.gov (United States)

    Hart, Alexander; Chai, Peter R; Griswold, Matthew K; Lai, Jeffrey T; Boyer, Edward W; Broach, John

    2017-01-01

    This study seeks to understand the acceptability and perceived utility of unmanned aerial vehicle (UAV) technology to Mass Casualty Incidents (MCI) scene management. Qualitative questionnaires regarding the ease of operation, perceived usefulness, and training time to operate UAVs were administered to Emergency Medical Technicians (n = 15). A Single Urban New England Academic Tertiary Care Medical Center. Front-line emergency medical service (EMS) providers and senior EMS personnel in Incident Commander roles. Data from this pilot study indicate that EMS responders are accepting to deploying and operating UAV technology in a disaster scenario. Additionally, they perceived UAV technology as easy to adopt yet impactful in improving MCI scene management.

  4. 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…

  5. NASA's Technology Utilization Program.

    Science.gov (United States)

    Farley, C. F.

    1972-01-01

    NASA's Technology Utilization Program is described, illustrating how it can be useful in achieving improved productivity, providing more jobs, solving public sector challenges, and strengthening the international competitive situation. Underlying the program is the fact that research and development conducted in NASA's aeronautics and space programs have generated much technical information concerning processes, products, or techniques which may be useful to engineers, doctors, or to others. The program is based on acquisition and publication, working with the user, and applications engineering.

  6. Clean energy utilization technology

    International Nuclear Information System (INIS)

    Honma, Takuya

    1992-01-01

    The technical development of clean energy including the utilization of solar energy was begun in 1973 at the time of the oil crisis, and about 20 years elapsed. Also in Japan, the electric power buying system by electric power companies for solar light electric power and wind electric power has been started in 1992, namely their value as a merchandise was recognized. As for these two technologies, the works of making the international standards and JIS were begun. The range of clean energy or natural energy is wide, and its kinds are many. The utilization of solar heat and the electric power generation utilizing waves, tide and geotherm already reached the stage of practical use. Generally in order to practically use new energy, the problem of price must be solved, but the price is largely dependent on the degree of spread. Also the reliability, durability and safety must be ensured, and the easiness of use, effectiveness and trouble-saving maintenance and operation are required. For the purpose, it is important to packaging those skillfully in a system. The cases of intelligent natural energy systems are shown. Solar light and wind electric power generation systems and the technology of transporting clean energy are described. (K.I.)

  7. Gas utilization technologies

    International Nuclear Information System (INIS)

    Biljetina, R.

    1994-01-01

    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 ampersand 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. Utility service entrance in boreholes

    International Nuclear Information System (INIS)

    1987-08-01

    This study evaluates alternatives for utility service entrances to the repository. We determined the requirements for a repository utility supply. These requirements were defined as safety, maintainability, flexibility, reliability, cost efficiency, voltage regulation, and simplicity of operation. The study showed that repository shafts can best satisfy all requirements for location of the utility supply without the use of borehole penetrations into the repository. It is recommended that the shafts be utilized for utility distribution to the repository, and that the current NWTS program position to minimize the number of boreholes penetrating the repository horizon be maintained. 42 refs., 2 figs., 3 tabs

  9. 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....

  10. 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)

  11. Information technology and services.

    OpenAIRE

    Rada JF

    1986-01-01

    Working paper on the impact of information technology on the role of service sectors in trade and commerce. Describes the trend towards the increasingly important economic role of telecommunications in providing services for the domestic market and international market. Explains the comparative advantage of a strong link between the production of goods and services and shows how it disadvantages developing countries.

  12. 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.

  13. Information Technology Service

    International Nuclear Information System (INIS)

    Ageron, M.; Boninchi, V.; Chartoire, M.; Combroux, A.; Giraud, N.; Jacquet, G.; Lagrange, B.; Malleret, S.; Martin, C.; Mas, J.; Morgue, M.; Ollivier, T.

    1998-01-01

    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

  14. 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.

  15. Energy conversion and utilization technologies

    International Nuclear Information System (INIS)

    1988-01-01

    The DOE Energy Conversion and Utilization Technologies (ECUT) Program continues its efforts to expand the generic knowledge base in emerging technological areas that support energy conservation initiatives by both the DOE end-use sector programs and US private industry. ECUT addresses specific problems associated with the efficiency limits and capabilities to use alternative fuels in energy conversion and end-use. Research is aimed at understanding and improving techniques, processes, and materials that push the thermodynamic efficiency of energy conversion and usage beyond the state of the art. Research programs cover the following areas: combustion, thermal sciences, materials, catalysis and biocatalysis, and tribology. Six sections describe the status of direct contact heat exchange; the ECUT biocatalysis project; a computerized tribology information system; ceramic surface modification; simulation of internal combustion engine processes; and materials-by-design. These six sections have been indexed separately for inclusion on the database. (CK)

  16. 76 FR 30904 - Rural Utilities Service Telecommunications Loan and Loan Guarantee Program

    Science.gov (United States)

    2011-05-27

    ... DEPARTMENT OF AGRICULTURE Rural Utilities Service Rural Utilities Service Telecommunications Loan... access to advanced telecommunications systems, equipment and services. The List of Materials historically... taking a fundamentally new approach to advancing state-of-the-art telecommunications technologies...

  17. Health service utilization and reported satisfaction among ...

    African Journals Online (AJOL)

    Background: There is no adequate health service or counseling specifically suitable for adolescents in Ethiopia. Adolescents' satisfaction on the health service provided is important to increase utilization and quality of care. The objective of this study was to assess health service utilization, reported satisfaction and ...

  18. 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.

  19. News technology utilization fossil fuel

    Directory of Open Access Journals (Sweden)

    Blišanová Monika

    2004-09-01

    Full Text Available Fossil fuel – “alternative energy“ is coal, petroleum, natural gas. Petroleum and natural gas are scarce resources, but they are delimited. Reserves petroleum will be depleted after 39 years and reserves natural gas after 60 years.World reserves coal are good for another 240 years. Coal is the most abundant fossil fuel. It is the least expensive energy source for generating electricity. Many environmental problems associated with use of coal:in coal production, mining creates environmental problems.On Slovakia representative coal only important internal fuel – power of source and coal is produced in 5 locality. Nowadays, oneself invest to new technology on utilization coal. Perspective solution onself shows UCG, IGCC.

  20. Utilizing Internet Technologies in Observatory Control Systems

    Science.gov (United States)

    Cording, Dean

    2002-12-01

    The 'Internet boom' of the past few years has spurred the development of a number of technologies to provide services such as secure communications, reliable messaging, information publishing and application distribution for commercial applications. Over the same period, a new generation of computer languages have also developed to provide object oriented design and development, improved reliability, and cross platform compatibility. Whilst the business models of the 'dot.com' era proved to be largely unviable, the technologies that they were based upon have survived and have matured to the point were they can now be utilized to build secure, robust and complete observatory control control systems. This paper will describe how Electro Optic Systems has utilized these technologies in the development of its third generation Robotic Observatory Control System (ROCS). ROCS provides an extremely flexible configuration capability within a control system structure to provide truly autonomous robotic observatory operation including observation scheduling. ROCS was built using Internet technologies such as Java, Java Messaging Service (JMS), Lightweight Directory Access Protocol (LDAP), Secure Sockets Layer (SSL), eXtendible Markup Language (XML), Hypertext Transport Protocol (HTTP) and Java WebStart. ROCS was designed to be capable of controlling all aspects of an observatory and be able to be reconfigured to handle changing equipment configurations or user requirements without the need for an expert computer programmer. ROCS consists of many small components, each designed to perform a specific task, with the configuration of the system specified using a simple meta language. The use of small components facilitates testing and makes it possible to prove that the system is correct.

  1. 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.

  2. Correlates of service utilization among homeless youth

    OpenAIRE

    Tyler, Kimberly A.; Akinyemi, Sarah L.; Kort-Butler, Lisa A.

    2012-01-01

    Though few studies exist on service utilization among homeless youth in the U.S., services are important because without them, many of these young people may resort to delinquent strategies in order to meet their daily survival needs. The current study examines frequency and correlates of service utilization (i.e., shelters, food programs, street outreach, counseling, STI and HIV testing) among a sample of 249 homeless youth ages 14 to 21. Multivariate analysis revealed significant difference...

  3. Spinoff 2002: Fortieth Anniversary Technology Utilization Program

    Science.gov (United States)

    2002-01-01

    Since its inception 40 years ago, NASA's Technology Transfer Program has led the way for our nation to benefit from cutting-edge aerospace technologies. In addition to contributing to U.S. economic growth, these technologies are improving the quality of life on Earth while finding new ways to protect and preserve it. NASA's research and development efforts have advanced areas in medicine, communications, manufacturing, computer technology, and homeland security. These breakthroughs, translated into commercial products, are enhancing the lives of Americans everywhere. When a congressional mandate led NASA to develop the Scientific and Technical Information (STI) Program, the Agency began a wide dissemination of its research and development results. In doing so, NASA recognized that many of its technologies were transferable to industry for the development of commercial products. As a result, the Technology Utilization Program was born in 1962. The successful program went through several changes over the years, as its philosophy, mission, and goals adapted into the Technology Transfer Program we know today. The program strives to make the latest technologies available to industry as soon as they are developed. Each year, NASA's Spinoff publication showcases new products and services resulting from commercial partnerships between NASA and private industry. In the 2002 issue, the NASA field centers reflect upon the growth that has made these innovations available to the public. The Research and Development section examines past achievements, current successes, and future goals for each of the ten NASA centers. The Commercial Benefits section proudly highlights 51 new spinoff products, including a heart pump for patients needing a heart transplant, as well as an air purifier that destroys anthrax spores. The Technology Transfer and Outreach section describes the outreach achievements and educational successes made possible through the NASA Commercial Technology Network

  4. Utilization Asterisk for Service Desk

    Directory of Open Access Journals (Sweden)

    Jiri Vychodil

    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.

  5. 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.

  6. Utilization Management in the Blood Transfusion Service

    Science.gov (United States)

    Peña, Jeremy Ryan Andrew; Dzik, Walter “Sunny”

    2015-01-01

    The scope of activity of the Blood Transfusion Service (BTS) makes it unique among the clinical laboratories. The combination of therapeutic and diagnostic roles necessitates a multi-faceted approach to utilization management in the BTS. We present our experience in utilization management in large academic medical center. PMID:24080431

  7. 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

  8. Correlates of service utilization among homeless youth.

    Science.gov (United States)

    Tyler, Kimberly A; Akinyemi, Sarah L; Kort-Butler, Lisa A

    2012-07-01

    Though few studies exist on service utilization among homeless youth in the U.S., services are important because without them, many of these young people may resort to delinquent strategies in order to meet their daily survival needs. The current study examines frequency and correlates of service utilization (i.e., shelters, food programs, street outreach, counseling, STI and HIV testing) among a sample of 249 homeless youth ages 14 to 21. Multivariate analysis revealed significant differences in service usage by sex, age, and sexual orientation. Experiencing family physical and/or sexual abuse, being kicked out of the family home, spending more nights per week sleeping on the street, and having ever stayed in a group home facility were significant correlates of homeless youths' service usage.

  9. 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.

  10. 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

  11. Utilization of information and communication technologies in ...

    African Journals Online (AJOL)

    Results of the study showed that: (a) most Information and communication technologies were not available meaning that rate of utilization of ICT is low. It was found that ICT posed very serious challenges to Secretarial Studies Teachers in the polytechnics. Given the present low utilization rate of ICT in Polytechnics, the ...

  12. 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...

  13. 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.

  14. 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…

  15. Safe delivery, Service utilization, Metekel Zone

    African Journals Online (AJOL)

    magnitude of safe delivery and influencing factors are not well assessed in Benishangul Gumuz region in general and in Metekel Zone ... Therefore providing information, education and communication on delivery service utilization with special emphasis to Gumuz .... encountered at least one abortion in their life time. One.

  16. 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)

  17. Mobile Technology in Educational Services

    Science.gov (United States)

    Chen, Jueming; Kinshuk

    2005-01-01

    The use of computers and the Internet has successfully enabled educational institutions to provide their students and staff members with various online educational services. With the recent developments in mobile technology, further possibilities are emerging to provide such services through mobile devices such as mobile phones and PDAs. By…

  18. 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

  19. [Health services' utilization patterns in Catalonia, Spain].

    Science.gov (United States)

    Medina, Carmen; Salvador, Xavier; Faixedas, M Teresa; Gallo, Pedro

    2011-12-01

    The purpose of this article is disclose services utilization patterns among the Catalan population with particular emphasis on primary care, specialised care, hospital care and emergency care. A number of logistic regression models were used to explain the utilization of the various types of services. Variables in the analysis included self-perceived need, lifestyles, and sociodemographic variables. Separate analyses were performed for male, female, adults, and children as well as for the general population. Women use all types of services more often than men. Children and people over 64 are more frequent users of primary care. Primary care is also associated to lower socioeconomic conditions. Young adults and the migrant population in general are found to be under users of services, except of emergency care services. The use of specialised care is associated to the better-off, to those with university level education attainment, individual private insurance, and those living in the city of Barcelona. Hospital care is largely associated to need variables. The use of health services is explained by self-perceived need as well as by demographic, socioeconomic and geographical factors. Copyright © 2011 Elsevier España S.L. All rights reserved.

  20. Implementation digital technologies in nuclear utilities

    Energy Technology Data Exchange (ETDEWEB)

    Wiegand, C.; Maselli, A.J., E-mail: Tony.Maselli@Invensys.com [Invensys Operations Management, London (United Kingdom)

    2012-07-01

    The introduction of digital technologies into the nuclear industry has assisted in many ways and made many of the Life Extensions and Uprates a possibility. But with this introduction of digital technologies comes some potentially challenging issues which need to be addressed for ultimate project success. This presentation discusses what a nuclear utility should consider and establish when implementing digital technologies in their plant. Digital technologies have been employed in many safety critical industries such as Aerospace, Pharmaceutical, Oil and Gas, and Chemical. However, nuclear industry implementation of digital technologies has been slow and in many ways tenuous. There are even documented operating experience events in which plant trips/SCRAMs occurred during a digital system implementation. This presentation aims to prevent those issues drawing upon the lessons learned over the past 5 years. Considerations include general challenges to overcome when implementing Digital Technologies, how to justify and execute projects, evaluation of resource knowledge, and the new challenges of Cyber Security. (author)

  1. Implementation digital technologies in nuclear utilities

    International Nuclear Information System (INIS)

    Wiegand, C.; Maselli, A.J.

    2012-01-01

    The introduction of digital technologies into the nuclear industry has assisted in many ways and made many of the Life Extensions and Uprates a possibility. But with this introduction of digital technologies comes some potentially challenging issues which need to be addressed for ultimate project success. This presentation discusses what a nuclear utility should consider and establish when implementing digital technologies in their plant. Digital technologies have been employed in many safety critical industries such as Aerospace, Pharmaceutical, Oil and Gas, and Chemical. However, nuclear industry implementation of digital technologies has been slow and in many ways tenuous. There are even documented operating experience events in which plant trips/SCRAMs occurred during a digital system implementation. This presentation aims to prevent those issues drawing upon the lessons learned over the past 5 years. Considerations include general challenges to overcome when implementing Digital Technologies, how to justify and execute projects, evaluation of resource knowledge, and the new challenges of Cyber Security. (author)

  2. Social Media Utilization for the Service Innovation

    DEFF Research Database (Denmark)

    Sørensen, Lene Tolstrup; Falch, Morten

    2018-01-01

    on service innovation in the ICT service encounter, where the ICT relation is based on social media. Two Danish cases are presented (a bank and a mobile service provider) focusing on their use of Facebook in their ideation and innovation processes. Interviews and monitoring of Facebook activities are used...... for these differences. The paper concludes that service innovation via social media only takes place if there is the right mix of organisational interest and readiness as well as understanding for how the innovation process should be handled.......More and more enterprises are represented on online social networks. A significant number of these enterprises are uncertain to why they are present on the social technologies, while others have a clear strategy. These strategies include getting closer to the customers for new innovation...

  3. 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.

  4. Utilization of cocoyam production technologies among women ...

    African Journals Online (AJOL)

    The study analysed utilization of improved cocoyam production technologies among women in Abia State, Nigeria. A multistage random sampling technique was used to select sixty (60) women. Data for the study were collected using a structured questionnaire and analysed with descriptive statistics and inferential statistics ...

  5. Information Technology literacy and information utilization in ...

    African Journals Online (AJOL)

    Information technology (IT) is widely used in variety of ways to improve the quality of learning in Nigerian universities. One significant area of application of IT is the provision of basic access to and utilization of global electronic information resources. The aim of this study is to investigate the extent of IT literacy among ...

  6. Perspectives and utilization technologies of chicory ( Cichorium ...

    African Journals Online (AJOL)

    Exploring and developing multiple utility technologies of plant resources is an alternative way for improving the efficiency of land used for food and fuel production. Chicory (Cichorium intybus L.) has a nutritional quality comparable to lucerne as it contains similar proportions of protein, lipid, minerals and other nutrients.

  7. utilization of sweetpotato based confection technology

    African Journals Online (AJOL)

    oma

    Keywords: Technology, Sweet potato, utilization, households, southeastern, Nigeria. INTRODUCTION. Sweet potato (lpomoea batatas L) is among the worlds most important, versatile, and under exploited food crops, with more than 133 million tones (FAOSTAT, 1997) in annual production. Sweet potato currently ranks as ...

  8. Awarensss and utilization of information technology among ...

    African Journals Online (AJOL)

    The paper examines the awareness and utilization of Information Technologies among Agricultural scientists in Nigeria. Data were collected from 170 respondents with the aid of structured questionnaire and analysed using frequency, percentage, mean and Ordinary Least Square multiple regression. This study found that ...

  9. Electric vehicle utilization for ancillary grid services

    Science.gov (United States)

    Aziz, Muhammad

    2018-02-01

    Electric vehicle has been developed through several decades as transportation mean, without paying sufficient attention of its utilization for other purposes. Recently, the utilization of electric vehicle to support the grid electricity has been proposed and studied intensively. This utilization covers several possible services including electricity storage, spinning reserve, frequency and voltage regulation, and emergency energy supply. This study focuses on theoretical and experimental analysis of utilization of electric vehicles and their used batteries to support a small-scale energy management system. Charging rate of electric vehicle under different ambient temperature (seasonal condition) is initially analyzed to measure the correlation of charging rate, charging time, and state-of-charge. It is confirmed that charging under warmer condition (such as in summer or warmer region) shows higher charging rate than one in colder condition, therefore, shorter charging time can be achieved. In addition, in the demonstration test, each five electric vehicles and used batteries from the same electric vehicles are employed and controlled to support the electricity of the office building. The performance of the system is evaluated throughout a year to measure the load leveling effect during peak-load time. The results show that the targeted peak-load can be shaved well under certain calculated peak-shaving threshold. The finding confirms that the utilization of electric vehicle for supporting the electricity of grid or certain energy management system is feasible and deployable in the future.

  10. 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.

  11. Utilizing technological innovations to enhance psychotherapy supervision, training, and outcomes.

    Science.gov (United States)

    Barnett, Jeffrey E

    2011-06-01

    Recent technological advances in the use of the Internet and video technologies has greatly impacted the provision of psychotherapy and other clinical services as well as how the training of psychotherapists may be conducted. When utilized appropriately these technologies may provide greater access to needed services to include treatment, consultation, supervision, and training. Specific ethical challenges and pitfalls are discussed and recommendations are made for the ethical use of these technologies. Additionally, innovative practices from the seven articles in the special section that follows are highlighted and reviewed. These articles present a number of innovations that can take psychotherapy training, research, supervision, and treatment forward toward increased effectiveness. Recommendations for integrating these innovations into ongoing practices are provided and for additional research to build on the important work of the authors in this special section are provided.

  12. 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.

  13. Mars in Situ Resource Utilization Technology Evaluation

    Science.gov (United States)

    Muscatello, Anthony C.; Santago-Maldonado, Edgardo

    2012-01-01

    We have examined the technologies required to enable Mars In-Situ Resource Utilization (ISRU) because our understanding of Mars resources has changed significantly in the last five years as a result of recent robotic missions to the red planet. Two major developments, (1) confirmation of the presence of near-surface water in the form of ice in very large amounts at high latitudes by the Phoenix Lander and (2) the likely existence of water at lower latitudes in the form of hydrates or ice in the top one meter of the regolith, have the potential to change ISRU technology selection. A brief technology assessment was performed for the most promising Mars atmospheric gas processing techniques: Reverse Water Gas Shift (RWGS) and Methanation (aka Sabatier), as well as an overview of soil processing technology to extract water from Martian soil.

  14. Health technology assessment of utilization, practice and ethical issues of self-pay services in the German ambulatory health care setting.

    Science.gov (United States)

    Hunger, Theresa; Schnell-Inderst, Petra; Hintringer, Katharina; Schwarzer, Ruth; Seifert-Klauss, Vanadin; Gothe, Holger; Wasem, Jürgen; Siebert, Uwe

    2014-02-01

    The provision of self-pay medical services is common across health care systems, but understudied. According to the German Medical Association, such services should be medically necessary, recommended or at least justifiable, and requested by the patient. We investigated the empirical evidence regarding frequency and practice of self-pay services as well as related ethical, social, and legal issues (ELSI). A systematic literature search in electronic databases and a structured internet search on stakeholder websites with qualitative and quantitative information synthesis. Of 1,345 references, we included 64 articles. Between 19 and 53 % of insured persons received self-pay service offers from their physician; 16-19 % actively requested such services. Intraocular pressure measurement was the most common service, followed by ultrasound investigations. There is a major discussion about ELSI in the context of individual health services. Self-pay services are common medical procedures in Germany. However, the empirical evidence is limited in quality and extent, even for the most frequently provided services. Transparency of their provision should be increased and independent evidence-based patient information should be supplied.

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

    African Journals Online (AJOL)

    admin

    husband's level of educational were found to be ... Conclusion: In order to increase utilization of mother health care services and improve maternal health care utilization services ..... and the corresponding estimates of the 95% confidence intervals.

  16. Development of beam utilization/application technology

    International Nuclear Information System (INIS)

    Choi, B. H.; Kim, Y.K.; Song, T.Y.

    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 for industries, 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

  17. 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.

  18. 7 CFR 2.47 - Administrator, Rural Utilities Service.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Administrator, Rural Utilities Service. 2.47 Section 2... Development § 2.47 Administrator, Rural Utilities Service. (a) Delegations. Pursuant to §§ 2.17 (a)(14) and (a... for Rural Economic and Community Development to the Administrator, Rural Utilities Service: (1...

  19. 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…

  20. 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.

  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. Procedure guide for the implementation of quality management program in products and services link with the utilization of tracers technology (TT) and Nucleonic Control System

    International Nuclear Information System (INIS)

    Resnizky, S.; Banados Perez, H.; Longo, G.; Rodriguez Cardona, R.L.; Sebastian Calvo, C.; Kohnenkamp O, I.; Duran P, O.

    2000-01-01

    This Manual was elaborated in the mark of the project RLA/8/024 ARCAL XLII 'Industrial Applications of the Tracer Technology and Nucleonic Control Systems'. The objective of the present Quality Manual is to spread the Quality Policy and to describe the form of implementing the Quality Management System, according to the requirements of the Standard ISO 9001:2000. It is applied to the design, development, implementation and maintenance of the products of the Organization of Tracers Technology (TT) and Nucleonic Control Systems (SCN). It have 9 Section: I. Introduction, II. Normative references, III. Definitions, IV. Quality Management System; V. Direction Responsibility; VI. Resources Management; VII. Products Accomplishment; VIII. Measurement, Analysis and Improvement and 7 Annex

  3. Technology Solutions for School Food Service.

    Science.gov (United States)

    Begalle, Mary

    2002-01-01

    Considers ways to include schools' food service departments in technology planning. Discusses school food service software applications, considerations and challenges of automating food service operations, and business-to-business Internet solutions. (EV)

  4. Utilizing information technologies for lifelong monitoring in diabetes patients.

    Science.gov (United States)

    Capozzi, Davide; Lanzola, Giordano

    2011-01-01

    Information and communication technologies have long been acknowledged to support information sharing along the whole chain of care, from the clinic to the homes of patients and their relatives. Thus they are increasingly being considered for improving the delivery of health care services also in light of clinical and technological achievements that propose new treatments requiring a tighter interaction among patients and physicians. The multiagent paradigm has been utilized within an architecture for delivering telemedicine services to chronic outpatients at their domiciles and enforcing cooperation among patients, caregivers, and different members of the health care staff. The architecture sees each communication device such as a palmtop, smart phone, or personal digital assistant as a separate agent upon which different services are deployed, including telemetry, reminders, notifications, and alarms. Decoupling services from agents account for a highly configurable environment applicable to almost any context that can be customized as needed. The architecture has been used for designing and implementing a prototypical software infrastructure, called LifePhone, that runs on several communication devices. A basic set of services has been devised with which we were able to configure two different applications that address long-term and short-term monitoring scenarios for diabetes patients. The long-term scenario encompasses telemetry and reminder services for patients undergoing peritoneal dialysis, which is a treatment for chronic renal failure, a diabetes complication. The short-term scenario incorporates telemetry and remote alarms and is applicable for training patients to use an artificial pancreas. Our experiments proved that an infrastructure such as LifePhone can be used successfully for bridging the interaction gap that exists among all the components of a health care delivery process, improving the quality of service and possibly reducing the overall

  5. Procedure guide for the implementation of quality management program in products and services link with the utilization of tracers technology (TT) and Nucleonic Control System

    International Nuclear Information System (INIS)

    Maggio Noldor, E.; Banados Perez, H.; Longo, G.; Kohnenkamp O, I.; Rodriguez Cardona, R.L.; Sebastian Calvo, C.; Vitart, X.

    1999-01-01

    This Guide was elaborated in the mark of the project RLA/8/024 ARCAL XLII 'Industrial Applications of the Tracer Technology and Nucleonic Control Systems'. Its objective is to establish the approaches for the implementation of quality management system in Tracer Techniques and Nucleonic Control System. The industry application of both techniques are increasing every day in Latin America, so it become in a necessity the implementation of quality control. This paper have 7 chapter. I. Introduction, II. General concepts, III. Proposal of the guide, IV. Verification process about the adhesion all the countries to the quality system; V. Requirement of the system; VI. Term and levels of implementation; VII. Glossary

  6. Predictors of Service Utilization among Youth Diagnosed with Mood Disorders

    Science.gov (United States)

    Mendenhall, Amy N.

    2012-01-01

    In this study, I investigated patterns and predictors of service utilization for children with mood disorders. The Behavioral Model for Health Care Utilization was used as an organizing framework for identifying predictors of the number and quality of services utilized. Hierarchical regression was used in secondary data analyses of the…

  7. 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..., or Federal law governing operations of public utility enterprises. Contracts entered into with public...

  8. The transfer of technologies for biomass energy utilization

    International Nuclear Information System (INIS)

    Schneiders, H.H.

    1995-01-01

    The first part of the paper presents the common perception of technology transfer as a trade relationship rather than a systematic approach to establish a complex technological capacity in a given field. It aims to correct this misperception by introducing some other ideas: (a) the need to support the people, adjust the relevant organizations and establish the capacities to provide the products and services; (b) the typical life cycles of technologies from the initial concept to the final stages of transfer and sustainable dissemination; (c) the needs and expectations of the groups targeted by the technologies for biomass energy utilization. The second part of the paper discusses one example of successful technology transfer: the use of large biomass-burning stoves for food preparation in public institutions and private restaurants in East Africa. The third part of the paper highlights two non-technological barriers to the transfer of biomass energy technologies: (a) weak market forces and business interests and a large number of State activities and projects and (b) conflicting interests of end-users, craftsmen, private and public project partners, which can threaten the success of the attempted technology transfer, even after local adaptation. Finally, suggestions are made for overcoming some of these problems. (author)

  9. Perceived cost in the utilization of antenatal care services by ...

    African Journals Online (AJOL)

    Perceived cost in the utilization of antenatal care services by pregnant women in Abeokuta South. ... An adequate reproductive health education campaign is advocated to improve on the utilization of antenatal care services. Training and retraining of antenatal care service provider and legislation to entrench the regular ...

  10. Antenatal Care Services Utilization among Women of Reproductive ...

    African Journals Online (AJOL)

    Satisfaction received from antenatal and delivery services was also higher in the urban settings (p= 0.000). Conclusion: Rural-urban differences exist in the utilization of antenatal care services, with a higher proportion of urban women utilizing these services. Increased health education of women, especially in the rural ...

  11. Health Service Utilization in Amhara Region of Ethiopia | Fantahun ...

    African Journals Online (AJOL)

    Background: Information on health service utilization is crucial for planning, organizing and evaluation of health services. Objective: Assess perceived morbidity and examine the factors associated with utilization of health services by a sample of the population of the Amhara Region. Methods: Questionnaire was ...

  12. Advanced clean coal technology international symposium 2001. Current status of high efficiency coal utilization technology and coal ash utilization

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    Papers are presented under the following session headings: current status of coal utilization technology; movement for environmental control in the USA, EU and Japan; and coal combustion products utilization technologies.

  13. Utility Bill Insert for Wastewater Services

    Science.gov (United States)

    Intended for use by wastewater and water supply utilities, one side of the utility bill insert has information for customers that discharge to sanitary sewer systems; the other side is for customers with septic systems.

  14. Utilization of Teeth Replacement Service Among the Elderly ...

    African Journals Online (AJOL)

    . However, its utilization by the elderly has not been extensively studied. Aim: To determine the utilization of tooth replacement services among the elderly. Materials and Methods: This was a retrospective study of 440 patients aged 60 years ...

  15. 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.

  16. 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

  17. Iowa DOT library services, collection & technology assessment.

    Science.gov (United States)

    2014-07-01

    Assesses the impact of library services on research projects, proposes methods to improve the impact of : library services on research projects, assesses current library technology systems and proposes upgrades, : assesses current library collection ...

  18. Utilization of Maternal Health Services in Urban and Rural ...

    African Journals Online (AJOL)

    Utilization of Maternal Health Services in Urban and Rural Communities of Anambra State, Nigeria. ... CONCLUSION: Measures to improve maternal health service utilization especially in rural areas should not only address the issue of access to care, but also improvement in quality of care and women empowerment.

  19. Mobile phone applications and the utilization of library services in ...

    African Journals Online (AJOL)

    Mobile phone applications and the utilization of library services in the university of Calabar library, Calabar, Nigeria. ... Global Journal of Educational Research ... The findings revealed that there was a significant relationship between Tweeter apps and the utilization of library services, (r=0.57*, P<.05, df=223, rcritical=.

  20. Dental Services and Attitudes towards its regular Utilization ... - Ibadan

    African Journals Online (AJOL)

    Background: Regular utilization of dental services is key to the attainment of optimal oral health state, an integral component of general health and well being needed for effective productivity by working personnel. Objective: This study assessed the rate and pattern of dental service utilization among civil servants and their ...

  1. dental services and attitudes towards its regular utilization among

    African Journals Online (AJOL)

    The importance of oral health in relation to general well being of an individual cannot be over ... Background: Regular utilization of dental services is key to the attainment of optimal oral health state, an integral ... Objective:This study assessed the rate and pattern of dental service utilization among civil servants and their ...

  2. Financial barriers to utilization of screening and treatment services ...

    African Journals Online (AJOL)

    2014-09-17

    Sep 17, 2014 ... Aim: To determine financial barriers that impede the utilization of screening and treatment services for breast cancer ... poor socioeconomic status (SES) groups utilized screening services and treatment more frequently than the very poor .... through possible refusal to continue with the study, incorrect.

  3. Skilled antenatal care service utilization and its association with the ...

    African Journals Online (AJOL)

    Background: In response to high maternal and perinatal morbidities and mortalities in Ethiopia, "Women's Health Development Army" was established to enhance utilization of skilled maternity services including antenatal care (ANC). However, its effect on skilled ANC service utilization is not well measured. Our study was ...

  4. Factors associated with adolescent mental health service need and utilization

    NARCIS (Netherlands)

    Zwaanswijk, Marieke; Ende, J. van der; Verhaak, P.F.M.; Bensing, J.; Verhulst, F.C.

    2003-01-01

    Objective: To determine the association of parent, family, and adolescent variables with adolescent mental health service need and utilization. Method: Correlates of adolescent mental health service utilization, self-perceived need and unmet need were investigated in a general population sample of

  5. Technological developments and approaches to improving service quality.

    Science.gov (United States)

    Blumberg, M R

    1999-01-01

    In summary, major paradigm shifts in the health care industry are altering the way technology is maintained and supported. Service organizations are now responsible for maintaining a broader base of technology within the health care delivery network and must to this on an extremely rapid, efficient, and productive basis. A number of new technologies are coming on-line, which can allow a health care technology service organization to experience significant improvements in profitability, efficiency, and productivity. To realize maximum benefit from these technologies, service organizations may find themselves re-engineering their service processes. The author believes that this is a requirement for many service organizations, regardless of whether new technology is implemented. The traditional approaches to service delivery are ineffective in managing the new structural realities and service requirements of today's health care environment. New strategies and tactics are required for ensuring that these requirements are met. These approaches will no doubt improve the overall quality, productivity, and efficiency of service and are based on best practices utilized by leading OEMs and ISOs in the medical electronics and other high technology service industry such as information technology and telecommunications, where the service organization is responsible for supporting a broad array of the technology over a large geography with a densely populated installed base, not unlike the typical health care delivery service environment. Once operational improvements are made, a service organization can take advantage of the productivity and efficiency gains brought on by new technology. Organizations interested in doing so are urged to thoroughly research the current state-of-the-art and best practices, because there are numerous systems currently available off-the-shelf. The author believes that new technology will be a basic requirement for competing in the health care

  6. University Students` Perception and Utilization of Technology for ...

    African Journals Online (AJOL)

    Technology utilization can be described as the application of information and communication technology to teaching and learning. This paper examines university students` perceptions and utilization of technology for learning at Haramaya University in Ethiopia (as a case). The researcher used survey research design and ...

  7. Quitline – Service Utilization - 2010 To Present

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2010-2017. National Quitline Data Warehouse (NQDW). State Tobacco Activities Tracking and Evaluation (STATE) System. NQDW Data. National Quitline Data Warehouse...

  8. Determinants of conventional health service utilization among ...

    African Journals Online (AJOL)

    Objective: To assess the determinants of conventional health care utilization among pastoralist communities in northeast Ethiopia. Methods: The study employed a cross-sectional household survey conducted using structured questionnaires administered among 276 mobile and 262 settled subjects within the pastoral area.

  9. Utilization of Educational Technology in Japan.

    Science.gov (United States)

    Sakamoto, Takashi

    1980-01-01

    Gives an overview of the development of educational technology in Japan evident in the increase of publications, the diffusion of technological innovations, and the organization of research pertaining to the field. (Author/MER)

  10. Architecture academic by information technologies utilization ...

    African Journals Online (AJOL)

    This research aims at studying teaching modern architecture with information technology approach. Today, information technology is used to transmit knowledge in many universities of the world. Information technology tools are potentially capable of providing engineering students with a broad continuum of curriculum in ...

  11. 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.

  12. Value-Added Electricity Services: New Roles for Utilities and Third-Party Providers

    Energy Technology Data Exchange (ETDEWEB)

    Blansfield, J. [Inst. for Electric Innovations, Washington, DC (United States); Wood, L. [Inst. for Electric Innovations, Washington, DC (United States); Katofsky, R. [Advanced Energy Economy, Washington, DC (United States); Stafford, B. [Advanced Energy Economy, Washington, DC (United States); Waggoner, D. [Advanced Energy Economy, Washington, DC (United States); Schwartz, L. C. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2017-10-30

    New energy generation, storage, delivery, and end-use technologies support a broad range of value-added electricity services for retail electricity customers. Sophisticated energy management services, distributed generation coupled with storage, and electric vehicle charging are just a few examples of emerging offerings. Who should provide value-added servicesutilities or third parties, or both, and under what conditions? What policy and regulatory changes may be needed to promote competition and innovation, to account for utility costs to enable these services, and to protect consumers? The report approaches the issues from three perspectives: utilities, third-party service providers, and consumers: -Jonathan Blansfield and Lisa Wood, Institute for Electric Innovation -Ryan Katofsky, Benjamin Stafford and Danny Waggoner, Advanced Energy Economy -National Association of State Utility Consumer Advocates

  13. Utilization of Cocoyam Production Technologies among Women ...

    African Journals Online (AJOL)

    User

    random sampling technique was used to select sixty (60) .... computed by dividing the total utilization score by the number of respondents ..... Pseudo R2. 0.7076. Log likelihood. -144.9756. P≤ 10, ** P≤ 0.5 and ***P P≤ 0.1. Source: Field survey, 2014. Constraints Militating Against the Utilization of Cocoyam Production.

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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)

  19. Utilization of Information and Communication Technology (ICT ...

    African Journals Online (AJOL)

    Such services include internet, portal, network, printing etc.the research revealed that, 73.49% of the respondents are aware of the services provides by the center. Of the total percentage of the respondents, however, 20.91% use the center occasionally, while 20.47% use the center very often. A workshop and other training ...

  20. Utilization of Microcapsule Technology in Foods.

    Science.gov (United States)

    Zhang, Chuanxiang; Li, Xiaolong; Liu, You-Nian; Zhang, Fengqin

    2015-12-01

    Microencapsulation technology has greatly accelerated the development of food industry and has a bright future for further applications. In this review paper, we introduce the current researches, latest advances and trends of core materials, wall materials, microencapsulation technology, as well as the encapsulation of food additives, bioactive substance, esculent oils, probiotics and other substances, and their application in food industry.

  1. Utilization of health care services by migrants in Europe

    DEFF Research Database (Denmark)

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

    2017-01-01

    , 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......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...... 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...

  2. 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).

  3. 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.

  4. Antenatal care service utilization and associated factors in Metekel ...

    African Journals Online (AJOL)

    socioeconomic and some obstetric factors have been stated by few studies in other areas, the factors associated with low utilization of Antenatal care in Metekel Zone are not well assed before. Therefore, the objective of this study was to assess the status of Antenatal care service utilization and associated factors among ...

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

    African Journals Online (AJOL)

    Only 4.5% women in rural areas received assistance from skilled birth attendants (SBAs) compared to 64.1 % of their urban counter parts. Through Bayesian logistic regression analysis, place of residence, ANC utilization, women's education, age and birth order were identified as key predictors of service utilization.

  6. Financial barriers to utilization of screening and treatment services ...

    African Journals Online (AJOL)

    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 ...

  7. Trends in Medicaid fee-for-service outpatient drug utilization ...

    African Journals Online (AJOL)

    in the total number of prescriptions as also the prices of generic drugs. Thus, higher utilization of generic drugs may offer substantial savings to Medicaid programs at the state level. Keywords: Fee-for-service programs, Medicaid program, Generic drug utilization; Branded drugs,. Patient Protection and Affordable Care Act.

  8. Provision And Utilization Of Information Resources And Services In ...

    African Journals Online (AJOL)

    The paper examines the extent to which information resources a nd services are provided and utilized in the surveyed library. The paper adopted a survey research method and utilized questionnaires, complemented with unstructured interviews and observation to generate data. Data were analyzed using descriptive and ...

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

    African Journals Online (AJOL)

    However, the presence of health facilities alone is not enough to guarantee use as other socioeconomic factors could influence access and utilization. This study assessed the community perceptions and factors affecting the utilization of health services in a rural community in Southern Nigeria. A descriptive cross-sectional ...

  10. Utilization of Health Care Services by Pregnant Mothers during ...

    African Journals Online (AJOL)

    Objective: Poor utilization of health facilities during delivery by pregnant mothers is still a major cause of maternal and childhood morbidity and mortality in Nigeria. The aim of this study was to determine the level of utilization of health care services by pregnant women during delivery in Gokana Local Government Area of ...

  11. 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

  12. 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

  13. Availability and utilization of information communication technology ...

    African Journals Online (AJOL)

    The use of ICT in learning is critical in development of any society. Today's learning has emphasized its importance as basis for 21st century knowledge acquisition. This study investigated the availability and utilization of ICT facilities in Madonna University, Nigeria with particular reference to the Okija campus. It employed ...

  14. Maternal health service utilization in urban slums of selected towns ...

    African Journals Online (AJOL)

    Maternal health service utilization in urban slums of selected towns in Ethiopia: Qualitative study. ... Reasons were found to be attributed to individual characteristics, perceived capacities of health facilities and friendliness of service providers and socio-cultural factors including socially sanctioned expectations at community ...

  15. Utilization of maternal health services in rural primary health centers ...

    African Journals Online (AJOL)

    Utilization of maternal health services in rural primary health centers in Sub- Saharan Africa. ... their pregnancies were normal during antenatal care visits, hostile attitude of health workers, poverty and mode of payment. Majority of the PHCs provided antenatal, normal delivery, and post natal services. Rural mothers lacked ...

  16. Maternal health service utilization in urban slums of selected towns ...

    African Journals Online (AJOL)

    EPHA USER33

    This study aims to identify reasons why urban women fail to use available maternal health services in selected urban ... addresses individual, institutional and socio-cultural factors in tandem to improve maternal health service utilization in urban setting. .... were transcribed to local language and were later translated into ...

  17. Factors Influencing Antenatal Care Service Utilization in Hadiya Zone

    African Journals Online (AJOL)

    Analysis was done using SPSS for windows version 16. RESULT: This study revealed that antenatal care service utilization in the study area was 86.3%. However, from those who attended antenatal care service 406 (68.2%) started antenatal care visit during the second trimester of pregnancy and significant proportion 250 ...

  18. Patterns of maternity care service utilization in Southern Ethiopia ...

    African Journals Online (AJOL)

    Background: Despite the fact that maternal health care utilization is essential for improvement of maternal and child health, little is known about the level and patterns of use of the service in Ethiopia. Objective: This study examined the levels and patterns of maternity care service use in the five densely populated zones of ...

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

    African Journals Online (AJOL)

    Previous utilization of service does not improve timely booking in antenatal care: Cross sectional study on timing of antenatal care booking at public health facilities in ... Methods: A cross sectional study was conducted to collect data from 630 pregnant women who were attending antenatal care service at 10 governmental ...

  20. Gluability of out-of-service utility poles

    Science.gov (United States)

    Han Roliadi; Chung Y. Hse; Elvin T. Choong; Todd F. Shupe

    2000-01-01

    This investigation determined the gluability of weathered, out-of-service southern yellow pine (SYP) (Pinus spp.) utility poles. Three types of adhesives were used: resorcinol-phenol formaldehyde (RPF), polyvinyl acetate (PVA), and casein. The poles consisted of two service duration groups: 5 and 25 years. Longer weathering caused greater reduction in creosote content...

  1. 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.

  2. Utilization Of Information And Communication Technology Facilities ...

    African Journals Online (AJOL)

    The purpose of this study was to investigate the types of ICT facilities used for the provision of library and information services in Nigerian University libraries. It was also set to determine if there is any significant difference between Southern and Northern Nigeria University libraries of the first, second and third generations in ...

  3. 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. ... This study investigated the ICT integration practices in pre-service teacher education in the School of Education at Makerere University (College of Education and ...

  4. Predictors of Healthcare Service Utilization for Mental Health Reasons

    Directory of Open Access Journals (Sweden)

    Marie-Josée Fleury

    2014-10-01

    Full Text Available This study was designed to identify: (1 predictors of 12-month healthcare service utilization for mental health reasons, framed by the Andersen model, among a population cohort in an epidemiological catchment area; and (2 correlates associated with healthcare service utilization for mental health reasons among individuals with and without mental disorders respectively. Analyses comprised univariate, bivariate, and multiple regression analyses. Being male, having poor quality of life, possessing better self-perception of physical health, and suffering from major depressive episodes, panic disorder, social phobia, and emotional problems predicted healthcare service utilization for mental health reasons. Among individuals with mental disorders, needs factors (psychological distress, impulsiveness, emotional problems, victim of violence, and aggressive behavior and visits to healthcare professionals were associated with healthcare service utilization for mental health reasons. Among individuals without mental disorders, healthcare service utilization for mental health reasons is strongly associated with enabling factors such as social support, income, environmental variables, and self-perception of the neighborhood. Interventions facilitating social cohesion and social solidarity in neighborhood settings may reduce the need to seek help among individuals without mental disorders. Furthermore, in their capacity as frontline professionals, general practitioners should be more sensitive in preventing, detecting, and treating mental disorders in routine primary care.

  5. Assessing the readiness of hospice volunteers to utilize technology.

    Science.gov (United States)

    Wittenberg-Lyles, Elaine; Shaunfield, Sara; Oliver, Debra Parker; Demiris, George; Schneider, Greg

    2012-09-01

    Although hospice volunteer programs contribute to patient care, little is known about their utilization and adaptation of technology. A survey was posted to the Hospice Volunteer Association Web site to assess technology use among volunteer coordinators and volunteers. Results revealed that participants have access to computers, Internet, and e-mail at the hospice agency and routinely use cellular phones and e-mail. Despite the use of technology, communication problems with volunteers hindered the coordinator's ability to manage scheduling, training, and volunteer assignments for patient care. Coordinators and volunteers felt comfortable utilizing technology but were less comfortable using technology in the patients' home. Several areas are identified for development and integration of advanced technology in volunteer programs. Future research is needed to ease technology implementation and increase volunteer acceptance.

  6. Plastic solid waste utilization technologies: A Review

    Science.gov (United States)

    Awasthi, Arun Kumar; Shivashankar, Murugesh; Majumder, Suman

    2017-11-01

    Plastics are used in more number of applications in worldwide and it becomes essential part of our daily life. In Indian cities and villages people use the plastics in buying vegetable as a carry bag, drinking water bottle, use of plastic furniture in home, plastics objects uses in kitchen, plastic drums in packing and storage of the different chemicals for industrial use, use plastic utensils in home and many more uses. After usage of plastics it will become part of waste garbage and create pollution due to presence of toxic chemicals and it will be spread diseases and give birth to uncontrolled issues in social society. In current scenario consumption of plastic waste increasing day by day and it is very difficult to manage the plastic waste. There are limited methodologies available for reutilization of plastic waste again. Such examples are recycling, landfill, incineration, gasification and hydrogenation. In this paper we will review the existing methodologies of utilization of plastic waste in current scenario

  7. 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...... a long-term period psychotherapy patients increased their utilization of health care services with a factor 3 compared to a control group....

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

    Science.gov (United States)

    Behr, Joshua G; Diaz, Rafael; Akpinar-Elci, Muge

    2016-06-30

    The management and treatment of adult asthma has been associated with utilization of health services. 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 is derived from a random, stratified sampling of Hampton Roads adults, 18 years and older (n = 1678). 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. 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. 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 patients are increasingly more likely to be characterized as frequent utilizers of

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

    African Journals Online (AJOL)

    Mo

    Constraints to utilization of draft animal power technology at farm level in. Uganda. S.Okurut, W.R.Odogola ., A. Candia . and A.R. Saasa . Agricultural Engineering and Appropriate Technology Research Institute, AEATRI. P. O. Box 7144, Kampala, Uganda. Abstract. Animal traction utilisation in Uganda dates back to 1909 ...

  11. Women's autonomy and maternal healthcare service utilization in Ethiopia.

    Science.gov (United States)

    Tiruneh, Fentanesh Nibret; Chuang, Kun-Yang; Chuang, Ying-Chih

    2017-11-13

    Most previous studies on healthcare service utilization in low-income countries have not used a multilevel study design to address the importance of community-level women's autonomy. We assessed whether women's autonomy, measured at both individual and community levels, is associated with maternal healthcare service utilization in Ethiopia. We analyzed data from the 2005 and 2011 Ethiopia Demographic and Health Surveys (N = 6058 and 7043, respectively) for measuring women's decision-making power and permissive gender norms associated with wife beating. We used Spearman's correlation and the chi-squared test for bivariate analyses and constructed generalized estimating equation logistic regression models to analyze the associations between women's autonomy indicators and maternal healthcare service utilization with control for other socioeconomic characteristics. Our multivariate analysis showed that women living in communities with a higher percentage of opposing attitudes toward wife beating were more likely to use all three types of maternal healthcare services in 2011 (adjusted odds ratios = 1.21, 1.23, and 1.18 for four or more antenatal care visits, health facility delivery, and postnatal care visits, respectively). In 2005, the adjusted odds ratios were 1.16 and 1.17 for four or more antenatal care visits and health facility delivery, respectively. In 2011, the percentage of women in the community with high decision-making power was positively associated with the likelihood of four or more antenatal care visits (adjusted odds ratio = 1.14). The association of individual-level autonomy on maternal healthcare service utilization was less profound after we controlled for other individual-level and community-level characteristics. Our study shows that women's autonomy was positively associated with maternal healthcare service utilization in Ethiopia. We suggest addressing woman empowerment in national policies and programs would be the optimal solution.

  12. 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.

  13. Technological Preferences, Levels of Utilization and Attitude of Students Towards Mobile Learning Technologies in Chartered Universities, Kenya

    Directory of Open Access Journals (Sweden)

    David Gitumu Mugo

    2017-10-01

    Full Text Available The affordances of mobile technologies are being felt in many sectors of world’s economy including university education. By solving the limitations of fixed instructional technologies, mobile technologies have received ready acceptance in the education place. The purpose of the study was to investigate the student technological preferences, their levels of utilization as well as attitudes toward mobile technologies. The target population was 30,752 third year undergraduate students in Kenyan Universities. The participants (n = 375 were selected by systematic random sampling. They provided data using self-fill questionnaires. Results indicated that the smartphone was the most popular mobile device; Tecno was the most preferred handset brand; and Android was the most popular operating system. Safaricom was the dominant service provider amongst the student population. Regarding the levels of utilization of mobile technologies by students, it was concluded that though students use their mobile devices sufficiently, the use of the devices for accessing teaching and learning content was considerably low. On the attitude of students towards mobile technologies, it was observed that a sizeable number of students preferred to use the technologies over other existing instructional technologies. The findings of this study will be useful to instructional technologists, education policy makers, mobile handset manufacturers, mobile service providers and university managers as they partner to roll out digital learning infrastructure for Kenyan tertiary education.

  14. Predictors of maternal health service utilization: a community based ...

    African Journals Online (AJOL)

    Objectives: Provision of skilled health care during pregnancy, childbirth and the early postpartum period is an effective strategy to reduce maternal mortality. This study was done to determine and compare the utilization of antenatal and delivery services in an urban and rural area of Lagos State. Methods: A community ...

  15. utilization of Western and Traditional healthcare services by farm

    African Journals Online (AJOL)

    PLOUGHMAN

    Agriculture is the main trust of National survival, employment and food in development countries like Nigeria. Ben, (2012) posits that ... its potential users. The questions remain, which of the traditional and orthodox Western health care services do farm families consider to be functional? How many farm families are utilizing.

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

    African Journals Online (AJOL)

    Results: Mother's age at birth, mother's educational level, sex of head of household, household wealth status, employment/work status of mothers, region, religion, birth order and partner's/husband's level of educational were found to be predictors of utilization of delivery care and postnatal care services. Religion and sex of ...

  17. Factors Influencing Utilization of Modern Family Planning Services ...

    African Journals Online (AJOL)

    Abstract: This study investigated factors influencing utilization of modern family planning services among women of childbearing age (15-49 years) in the University of Calabar Teaching Hospital, Calabar. Three research questions and three hypotheses were formulated. Descriptive survey design was adopted for it.

  18. Barriers to utilization of cervical cancer screening services among ...

    African Journals Online (AJOL)

    Cervical cancer (CC) is the second most commonly diagnosed cancer among women of reproductive age group; yet screening for early detection of the disease among them is not a common practice in Nigeria. This study therefore, investigated the barriers to utilization of cervical cancer screening service among women of ...

  19. Utilization of maternal health services by rural Hausa women in ...

    African Journals Online (AJOL)

    Background: Expanding coverage, strengthening of, and increasing access and utilization of maternal health services is one of the key components of Nigeria's Primary Health Care (PHC) efforts , which was started in 1986. A descriptive study ... Journal of Community Medicine & Primary Health Care Vol.16(2) 2004: 47-54 ...

  20. Changes in utilization of TB health services in Nepal

    NARCIS (Netherlands)

    Mohan, C. I.; Bishai, D.; Kumar, S.; ten Asbroek, G.; Niessen, L.

    2005-01-01

    Nepal. To assess the impact of community mobilization and health worker training on tuberculosis (TB) health services utilization. Questionnaire. The Japan International Cooperation Agency and the Nepal Ministry of Health launched a set of interventions to increase awareness and availability of

  1. Availability and Utilization of Information Resources and Service by ...

    African Journals Online (AJOL)

    The paper recommends improvement in library budgetary allocation, more community sensitization on library services, urgent completion of the library complex at the main campus and commissioning of the e-library project. Key Words: Availability, utilization, information, resources, sources, academic, staff, university.

  2. Utilization of Teeth Replacement Service Among the Elderly ...

    African Journals Online (AJOL)

    hanumantp

    removable acrylic based dentures, implants and teeth supported (fixed) prosthesis. Fixed prostheses, though excellent options are quite expensive and may not be affordable options for most Nigerians.[12]. In a study done among older adult living in Japan, the percentage of utilization of tooth replacement services was.

  3. Factors affecting utilization of University health services in a tertiary ...

    African Journals Online (AJOL)

    2013-01-16

    Jan 16, 2013 ... Results: High cost of drugs (72.0%), non availability of essential drugs (54.8%), time spent waiting for treatment (67.2%), inadequate referral ... Key words: Health services, health workers, South West Nigeria, tertiary institution, utilization. Date of .... proper attitude by the health workers towards their patients.

  4. Evaluation of access and utilization of EPI services amongst children ...

    African Journals Online (AJOL)

    Introduction: High vaccination coverage is required to successfully control, eliminate and eradicate vaccine preventable diseases (VPDs). In Ghana, access and utilization of vaccination services is generally good with complete vaccination coverage of 77%. However, sustaining high coverages in island communities such ...

  5. Utilization of antenatal care services among teenagers in Ethiopia: A ...

    African Journals Online (AJOL)

    Background: Teenaged women suffer from a disproportionate share of reproductive health problem. The purpose of this study was to estimate the utilization of antenatal care (ANC) services among teenagers (13-19 years) during delivery in Ethiopia. Methodology: Raw data collected from all part of the country on child ...

  6. mobile phone applications and the utilization of library services in ...

    African Journals Online (AJOL)

    Global Journal

    This study examined mobile phone apps and the utilization of library services in university of Calabar library .... Face Book and Skype can be used by Libraries as the interface between the Library and the. Librarys users. Mobile Phone Applications are potential learning ..... In Hong Kong, Chu and Du (2013) investigated.

  7. Availability and utilization of library information services by ...

    African Journals Online (AJOL)

    The study investigated the availability and utilization of library information services by researchers in the social sciences in the federal university libraries in the South-south zone of Nigeria. Three research questions and one hypothesis were formulated to guide the study. The study employed descriptive research design.

  8. The profesionalized patient. Sociocultural determinants of health services utilization.

    NARCIS (Netherlands)

    Albers, Jantina Flora

    1998-01-01

    To form a notion of the relative magnitude of health services utilization in Curaçao, patterns of use were compared with those in the Netherlands. Dutch reference data were chosen because of the strong political and historical ties between Curaçao and the Netherlands. Most care providers in Curaçao

  9. Mothers' health services utilization and health care seeking ...

    African Journals Online (AJOL)

    Background: data from different studies showed health care behaviour and estimated per capita health care expenditure for the general population, but the specific data for infants at different levels of care are lacking. The objectives of this study were to describe mothers' health service utilization during pregnancy and ...

  10. Determinants Of Antenatal Care Services Utilization In Emevor ...

    African Journals Online (AJOL)

    The difference is not significant (P > 0.05). A majority of the women who attained secondary education (69%), post-secondary education (96%), those whose husbands had secondary education (69%), postsecondary education (82%) and those who had income-yielding occupations (72%) utilized ante-natal care services.

  11. Assessment of barriers to reproductive health service utilization ...

    African Journals Online (AJOL)

    Assessment of barriers to reproductive health service utilization among Bench Maji Zone Pastoralist Communities. ... PROMOTING ACCESS TO AFRICAN RESEARCH. AFRICAN JOURNALS ... Background: The reproductive health (RH) needs and challenges in pastoralist area are different from elsewhere. People in this ...

  12. Utilization of In-Patient Physiotherapy Services in a Nigerian ...

    African Journals Online (AJOL)

    The aim of this retrospective study was to examine the trend and pattern of utilization of in-patient physiotherapy services in the management and care of patients by various medical specialties at the University of Benin Teaching Hospital, Benin City, Nigeria within a period of 4 years. Medical records of all patients admitted ...

  13. Utilization of Agro-meteorological Services among Arable Crop ...

    African Journals Online (AJOL)

    The study assessed arable crop farmers' utilization of agro-meteorological services in Oyo State, Nigeria. Multi-stage sampling procedure was employed for this study. Oyo State was stratified into rainforest and savannah. One local government each was randomly selected from each of the vegetation zones, which were ...

  14. 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 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.

  15. [Health services utilization by the immigrant population in Spain].

    Science.gov (United States)

    Regidor, Enrique; Sanz, Belén; Pascual, Cruz; Lostao, Lourdes; Sánchez, Elisabeth; Díaz Olalla, José Manuel

    2009-12-01

    To compare health services utilization between the immigrant and indigenous populations in Spain. We used information provided by the following four health surveys carried out around 2005: Catalonia 2005; city of Madrid 2005, Canary Islands 2004 and the Autonomous Community of Valencia 2005. The health services studied were general practice, specialist services, emergency services, hospitalization, and two preventive services: pap smear test and mammography. In general, most health services were less frequently used by the immigrant population than by the Spanish population. The health services showing the least differences between the two populations were general practice and hospitalization, while the greatest differences were found in the use of specialist and preventive services. The most heterogeneous results were found in general practice and hospitalization, since some immigrant groups showed a relatively high frequency of use in some geographical areas and a relatively low frequency in other areas. The results of the present study reproduce those found in other studies carried out in countries with similar social and economic characteristics to Spain. Like previous results, the present results are difficult to explain. Future research should aim to use other study designs and to test hypotheses not put forward by the scientific community to date.

  16. Health beliefs, attitudes and service utilization among Haitians.

    Science.gov (United States)

    Allen, Jennifer D; Mars, Dana R; Tom, Laura; Apollon, Guy; Hilaire, Dany; Iralien, Gerald; Cloutier, Lindsay B; Sheets, Margaret M; Zamor, Riché

    2013-02-01

    Understanding the factors that influence health beliefs, attitudes, and service use among Haitians in the United States is increasingly important for this growing population. We undertook a qualitative analysis to explore the factors related to cancer screening and utilization of health services among Haitians in Boston. Key informant interviews (n=42) and nine focus groups (n=78) revealed that Haitians experience unique barriers to health services. These include language barriers, unfamiliarity with preventive care, confidentiality concerns, mistrust and stigma concerning Western medicine, and a preference for natural remedies. Results suggest that many Haitians could benefit from health system navigation assistance, and highlight the need for comprehensive, rather than disease-focused programs, to decrease stigma and increase programmatic reach. Faith-based organizations, social service agencies, and Haitian media were identified as promising channels for disseminating health information. Leveraging positive cultural traditions and existing communication networks could increase the impact of Haitian health initiatives.

  17. mobile phone applications and the utilization of library services in ...

    African Journals Online (AJOL)

    Global Journal

    thing of the past. Library services in the contemporary world can be rendered without the user visiting the library physically. This is courtesy of Information and communication. Technology facilities of which the mobile phone is an example. The mobile phone applications have simplified the learning process and learning can.

  18. KNF's fuel service technologies and experiences

    International Nuclear Information System (INIS)

    Shin, Jung Cheol; Kwon, Jung Tack; Kim, Jaeik; Park, Jong Youl; Kim, Yong Chan

    2009-01-01

    In Korea, since 1978, the commercial nuclear power plant was operated. After 10 years, from 1988, the nuclear fuel was produced by KNF (Korea Nuclear Fuel). The Fuel Service Team was established at KNF in 1995. Through the technical self reliance periods in cooperate with advanced foreign companies for 5 years, KNF has started to carry out fuel service activities onsite in domestic nuclear power plants. By ceaseless improving and advancing our own methodologies, after that, KNF is able to provide the most safe and reliable fuel repair services and poolside examinations including the root cause analysis of failed fuels. Recently, KNF developed the fuel cleaning system using ultrasonic technique for crud removal, and the CANDU fuel sipping system to detect a failed fuel bundle in PHWR. In this paper, all of KNF's fuel service technologies are briefly described, and the gained experience in shown

  19. Strategic rigidity and foresight for technology adoption among electric utilities

    International Nuclear Information System (INIS)

    Shah, Arsalan Nisar; Palacios, Miguel; Ruiz, Felipe

    2013-01-01

    The variation in the adoption of a technology as a major source of competitive advantage has been attributed to the wide-ranging strategic foresight and the integrative capability of a firm. These possible areas of competitive advantage can exist in the periphery of the firm's strategic vision and can get easily blurred as a result of rigidness and can permeate in the decision-making process of the firm. This article explores how electric utility firms with a renewable energy portfolio can become strategically rigid in terms of adoption of newer technologies. The reluctance or delay in the adoption of new technology can be characterized as strategic rigidness, brought upon as a result of a firm's core competence or core capability in the other, more conventional technology arrangement. This paper explores the implications of such rigidness on the performance of a firm and consequently on the energy eco-system. The paper substantiates the results by emphasizing the case of Iberdrola S.A., an incumbent firm as a wind energy developer and its adoption decision behavior. We illustrate that the very routines that create competitive advantage for firms in the electric utility industry are vulnerable as they might also develop as sources of competitive disadvantage, when firms confront environmental change and uncertainty. - Highlights: • Present a firm-level perspective on technology adoption behavior among electric utilities. • Firms with mature technology can become rigid towards newer technologies. • Case study analysis of a major electric utility firm. • Implications of ‘technology rigidness’ on the energy eco-system

  20. 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.

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

    NARCIS (Netherlands)

    Wang, Yan; Akkermans, Henk

    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

  2. Utility reconnection services : a new threat to vulnerable consumers?

    International Nuclear Information System (INIS)

    Lott, S.

    2002-10-01

    The current status of deregulation or restructuring of the energy and telecommunications sector in Canada and the United States was examined along with its impact on low-income consumers. In particular, this report examined the electricity, natural gas and telephone utilities and the extent to which reconnection services have emerged in Canada. With deregulation and utility restructuring, investment and pricing decisions are made according to market forces and competition. The core functions of the utility are unbundled into generation, transmission and distribution functions. The main impact on residential consumers is that their source of supply may change. This report also examined the regulatory responses to utility reconnection services and the impact of market segmentation in the energy sector. It focused on Canada's legislative framework that protects vulnerable consumers. It also examined the federal regulatory role in energy and telecommunications, siting Ontario as an example. It was noted that the experience in the United States with market segmentation and its negative impact on vulnerable consumers should provide some warnings for Canada. 75 refs

  3. university students` perception and utilization of technology for ...

    African Journals Online (AJOL)

    2018-02-01

    Feb 1, 2018 ... university students` perceptions and utilization of technology for learning at Haramaya University in. Ethiopia (as a case). The researcher used survey research design and questionnaire (students=298) ... access online learning materials, doing assignments, projects and sharing personal and educational.

  4. Superfund Innovative Technology Evaluation: Demonstration Bulletin: Organic Extraction Utilizing Solvents

    Science.gov (United States)

    This technology utilizes liquified gases as the extracting solvent to remove organics, such as hydrocarbons, oil and grease, from wastewater or contaminated sludges and soils. Carbon dioxide is generally used for aqueous solutions, and propane is used for sediment, sludges and ...

  5. Utilization of sweetpotato based confection technology: A panacea ...

    African Journals Online (AJOL)

    Utilization of sweet potato-based confectionary was used as a step to reducing food crisis among women farmers in Imo state because of the health benefits, environmental friendliness and ability to make a home food secured with little investments. This is because such technology will help serve as an avenue to reduce ...

  6. Utilization Of Yam Minisett Technology Among Farmers In Delta ...

    African Journals Online (AJOL)

    This paper examined the utilization of minisett technology among farmers in Delta North Agricultural Zone of Delta State, Nigeria. Two local government areas were purposively sampled based on their outstanding involvement in yam production. Two communities were also purposively selected from the area from where 50 ...

  7. Biomass torrefaction: A promising pretreatment technology for biomass utilization

    Science.gov (United States)

    Chen, ZhiWen; Wang, Mingfeng; Ren, Yongzhi; Jiang, Enchen; Jiang, Yang; Li, Weizhen

    2018-02-01

    Torrefaction is an emerging technology also called mild pyrolysis, which has been explored for the pretreatment of biomass to make the biomass more favorable for further utilization. Dry torrefaction (DT) is a pretreatment of biomass in the absence of oxygen under atmospheric pressure and in a temperature range of 200-300 degrees C, while wet torrrefaction (WT) is a method in hydrothermal or hot and high pressure water at the tempertures within 180-260 degrees C. Torrrefied biomass is hydrophobic, with lower moisture contents, increased energy density and higher heating value, which are more comparable to the characteristics of coal. With the improvement in the properties, torrefied biomass mainly has three potential applications: combustion or co-firing, pelletization and gasification. Generally, the torrefaction technology can accelerate the development of biomass utilization technology and finally realize the maximum applications of biomass energy.

  8. 76 FR 40712 - Office of Special Education and Rehabilitative Services; Technology and Media Services for...

    Science.gov (United States)

    2011-07-11

    ... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Technology and Media Services for Individuals With Disabilities Program AGENCY: Department of Education. ACTION... FY 2011 under the Technology and Media Services for Individuals with Disabilities Program--Research...

  9. 76 FR 40713 - Office of Special Education and Rehabilitative Services; Technology and Media Services for...

    Science.gov (United States)

    2011-07-11

    ... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Technology and Media Services for Individuals With Disabilities Program AGENCY: Department of Education. ACTION... awards for FY 2011 under the Technology and Media Services for Individuals with Disabilities Program...

  10. 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.

  11. Mars In-Situ Resource Utilization Technology Evaluation

    Science.gov (United States)

    Santiago-Maldonado, Edgardo; Muscatello, Anthony

    2011-01-01

    We have examined the technologies required to enable Mars Tn-Situ Resource Utilization (ISRU) because our understanding of Mars resources has changed significantly in the last five years as a result of recent robotic missions to the red planet [1-4]. Two major developments, (1) confirmation of the presence of near-surface water in the form of ice in very large amounts at high latitudes by the Phoenix Lander and (2) the likely existence of water at lower latitudes in the form of hydrates or ice in the top one meter of the regolith, have the potential to change ISRU technology selection. A brief technology assessment was performed for the most promising Mars atmospheric gas processing techniques: Reverse Water Gas Shift (RWGS) and Methanation (aka Sabatier), as well as an overview of soil.processing technology to extract water from Martian soil.

  12. Factors Relevant to Utility Integration of Intermittent Renewable Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Wan, Y.; Parsons, B.

    1993-08-24

    This study assesses factors that utilities must address when they integrate intermittent renewable technologies into their power-supply systems; it also reviews the literature in this area and has a bibliography containing more than 350 listings. Three topics are covered: (1) interface (hardware and design-related interconnection), (2) operability/stability, and (3) planning. This study finds that several commonly held perceptions regarding integration of intermittent renewable energy technologies are not valid. Among fmdings of the study are the following: (1) hardware and system design advances have eliminated most concerns about interface, (2) cost penalties have not occurred at low to moderate penetration levels (and high levels am feasible); and (3) intermittent renewable energy technologies can have capacity values. Obstacles still interfering with intermittent renewable technologies are also indentified.

  13. Factors relevant to utility integration of intermittent renewable technologies

    Energy Technology Data Exchange (ETDEWEB)

    Wan, Yih-huei; Parsons, B.K.

    1993-08-01

    This study assesses factors that utilities must address when they integrate intermittent renewable technologies into their power-supply systems; it also reviews the literature in this area and has a bibliography containing more than 350 listings. Three topics are covered: (1) interface (hardware and design-related interconnection), (2) operability/stability, and (3) planning. This study finds that several commonly held perceptions regarding integration of intermittent renewable energy technologies are not valid. Among findings of the study are the following: (1) hardware and system design advances have eliminated most concerns about interface; (2) cost penalties have not occurred at low to moderate penetration levels (and high levels are feasible); and (3) intermittent renewable energy technologies can have capacity values. Obstacles still interfering with intermittent renewable technologies are also identified.

  14. Racial/ethnic disparities in the utilization of high-technology hospitals.

    Science.gov (United States)

    Kim, Tae Hyun; Samson, Linda F; Lu, Ning

    2010-09-01

    Hospitals with high-technology services may have better outcomes. However, access to high-technology hospitals might not be uniform across racial/ethnic groups. This study examined if racial/ethnic minorities, compared to whites, are less likely to utilize hospitals that have the availability of technology services and infrastructure items such as computed tomography, positron emission tomography, magnetic resonance imaging, diagnostics radiation facility, and a level 1 trauma unit. Data were obtained from the 2003 Healthcare Cost & Utilization Project's Nationwide Inpatient Sample and the 2003 American Hospital Association's annual survey data. The sample consisted of 3381 324 patients admitted to and discharged from 368 hospitals in 18 states in the United States. Logistic regression results suggest that Hispanic patients are less likely than whites to utilize high-technology hospitals when controlling for other factors (odds ratio[OR], 0.47; 95% confidence interval [CI], 0.28-0.79). Our study adds empirical evidence that significant gaps persist in access to care between minorities and whites. Particularly, access to high-technology hospitals for Hispanics appears to be a major problem.

  15. The profesionalized patient. Sociocultural determinants of health services utilization.

    OpenAIRE

    Albers, Jantina Flora

    1998-01-01

    To form a notion of the relative magnitude of health services utilization in Curaçao, patterns of use were compared with those in the Netherlands. Dutch reference data were chosen because of the strong political and historical ties between Curaçao and the Netherlands. Most care providers in Curaçao have received their vocational training in the Netherlands. Also, in many aspects the health care systems in Curaçao and the Netherlands are comparable. For example, in both systems the GP function...

  16. Source Taxation of Technological Services in Finnish Tax Treaties

    OpenAIRE

    Kiviranta, Tuomas

    2016-01-01

    In this study, I analyze the various means of source taxation of technological and other services permitted by Finnish double taxation conventions and the future of source taxation of technological and other services. I attempt to shed light on the various means of source taxation of technological services permitted by Finnish tax treaties and by tax treaties also more generally. I analyze 1) the taxation of technological services in the source country as the profits of a permanent establishm...

  17. 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.......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...

  18. Development of Beam Utilization Technologies and Support for Users

    International Nuclear Information System (INIS)

    Kim, Kyeryung; Jung, Myunghwan; Noh, Yongoh; Lee, Sooyeon; Kim, Hyukwook; Kil, Jaekeun; Lee, Nayoung; Ra, Sekin; Lee, Miejeen; Kim, Sora

    2013-02-01

    The Final goals are to achieve the 2nd goals of the Proton Engineering Frontier Project, development of proton beam utilization technologies, to incubate the potential users, and to develop fundamental technologies. Based on these achievements, we are going to enhance the accelerator utilization and maximize contribution to the local society after accelerator construction completion. For the these goals, we were operating user program reflecting the results of 3rd step planning. We support 38 small projects during 2 years. As results of activation of beam utilization, we acquired 768 users at the end of 2012. We survey proton beam technology proposals, individuals and institutions participation letter of intent through the research of 'Planning of a support program for both basic research by using accelerator and manpower cultivation'. And inaugurated KOPUA (Korea Proton Accelerator User Association) on March 28, 2012 with 152 members. We secured experimental conditions at TR23 and TR103 and reflected in the target room design and operation scenarios via investigate the requirements. Through these requirements, we make a remote sample transfer system, beam regulating system, hot cell and sample transport container. Moreover, we develop proton beam technologies such as in-vivo proton beam irradiation system, comparison of the biological effects for pulse beam and continuous beam, basic experiments for the metal nanopaticle synthesis, research for radioactivatied samples and devices, conceptual design and calculation for neutron source target and calculation of the isotope production yield. Proton accelerator can be utilized in a variety of field, including NT, BT, IT, ST, ET, Nuclear, medical, and some of the user facilities required were constructed through this project, Experience for the construction and operation of these facilities can be reflected to the construction of the rest 8 target room of proton accelerator center

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. Valuation of Electric Power System Services and Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Kintner-Meyer, Michael C. W. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Homer, Juliet S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Balducci, Patrick J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Weimar, Mark R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    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

  4. 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 any...

  5. Utilization of nuclear technology in medicine: MINT and USM cooperation

    International Nuclear Information System (INIS)

    Ainul Hayati Daud

    1997-01-01

    Cooperation in the medicial application of nuclear technology between MINT and USM was first started in early 1990 under the technical assistance and cooperation program of International Atomic Energy Agency (IAEA). The cooperation was further strengthened through the Bilateral Technical assistance program of Malaysia-Australia. Under the cooperation, projects related to nuclear technology were implemented and assistance received was in the form of expert service, equipment and training. Several pharmaceutical kits were developed and used for the radiotherapy and radiodiagnotic. The cooperation has led to the establishment of nuclear medicine service center at hospital USM and tissue banks, one at Hospital USM and other at MINT. On the 29 April 1997, a MoU was signed between MINT and USM with the objective to widen the scope of the cooperation, to include human resource developement and commercialization of R and D

  6. Oral hygiene practices and dental service utilization among pregnant women.

    Science.gov (United States)

    Boggess, Kim A; Urlaub, Diana M; Massey, Katie E; Moos, Merry-K; Matheson, Matthew B; Lorenz, Carol

    2010-05-01

    Daily oral hygiene and regular dental visits are important components of oral health care. The authors' objective in this study was to examine women's oral hygiene practices and use of dental services during pregnancy. The authors developed a written oral health questionnaire and administered it to 599 pregnant women. They collected demographic information, as well as data on oral hygiene practices and use of dental services during pregnancy. They used chi2 and multivariable logistic regression models to assess associations between oral hygiene practice and dental service use during pregnancy and to identify maternal predictor variables. Of the 599 participants, 83 percent (n=497) reported brushing once or twice per day. Twenty-four percent (n=141) reported flossing at least once daily; Hispanic women were more likely to floss than were white or African American women (28 percent [52 of 183] versus 22 percent [54 of 248] versus 19 percent [23 of 121], respectively, Pdental care during pregnancy. Hispanic women were significantly less likely than were black or white women to receive routine dental care during pregnancy (13 percent versus 21 percent versus 36 percent, respectively, Pflossing infrequently and receiving no dental care when not pregnant were significantly associated with lack of routine dental care during pregnancy (adjusted odds ratios, 95 percent confidence intervals: 2.56 [1.33-4.92]; 2.19 [1.11-4.29]; 2.02 [1.12-3.65]; 1.86 [1.13-3.07]; and 4.35 [2.5-7.69], respectively). A woman's lack of receiving routine dental care when not pregnant was the most significant predictor of lack of receiving dental care during pregnancy. Racial, ethnic and economic disparities related to oral hygiene practices and dental service utilization during pregnancy exist. Medical and dental care providers who treat women of reproductive age and pregnant women need to develop policy strategies to address this population's access barriers to, and use of, dental care services.

  7. 76 FR 62055 - Mississippi Delta Energy Agency, Clarksdale Public Utilities Commission, Public Service...

    Science.gov (United States)

    2011-10-06

    ... Energy Regulatory Commission Mississippi Delta Energy Agency, Clarksdale Public Utilities Commission, Public Service Commission of Yazoo City, Arkansas Electric Cooperative Corporation, South Mississippi... Agency, Clarksdale Public Utilities Commission of the City of Clarksdale, Mississippi, Public Service...

  8. Health service access and utilization among Syrian refugees in Jordan.

    Science.gov (United States)

    Doocy, Shannon; Lyles, Emily; Akhu-Zaheya, Laila; Burton, Ann; Burnham, Gilbert

    2016-07-14

    The influx of Syrian refugees into Jordan presents an immense burden to the Jordanian health system. Changing lifestyles and aging populations are shifting the global disease burden towards increased non-infectious diseases including chronic conditions, co-morbidities, and injuries which are more complicated and costly to manage. The strain placed on health systems threatens the ability to ensure the health needs of both refugees and host country populations are adequately addressed. In light of the increasing challenges facing host governments and humanitarian actors to meet health needs of Syrian refugees and affected host communities, this study was undertaken to assess utilization of health services among Syrian refugees in non-camp settings. A survey of Syrian refugees in Jordan was undertaken in June 2014 to characterize health seeking behaviors and issues related to accessing care. A cluster design with probability proportional to size sampling was used to attain a nationally representative sample of 1550 non-camp Syrian refugee households. Differences in household characteristics by geographic region, facility type, and sector utilized were examined using chi-square and t-test methods. Care-seeking was high with 86.1 % of households reporting an adult sought medical care the last time it was needed. Approximately half (51.5 %) of services were sought from public sector facilities, 38.7 % in private facilities, and 9.8 % in charity/NGO facilities. Among adult care seekers, 87.4 % were prescribed medication during the most recent visit, 89.8 % of which obtained the medication. Overall, 51.8 % of households reported out-of-pocket expenditures for the consultation or medications at the most recent visit (mean US$39.9, median US$4.2). Despite high levels of care-seeking, cost was an important barrier to health service access for Syrian refugees in Jordan. The cessation of free access to health care since the time of the survey is likely to have worsened

  9. An assessment of General Aviation utilization of advanced avionics technology

    Science.gov (United States)

    Quinby, G. F.

    1980-01-01

    Needs of the general aviation industry for services and facilities which might be supplied by NASA were examined. In the data collection phase, twenty-one individuals from nine manufacturing companies in general aviation were interviewed against a carefully prepared meeting format. General aviation avionics manufacturers were credited with a high degree of technology transfer from the forcing industries such as television, automotive, and computers and a demonstrated ability to apply advanced technology such as large scale integration and microprocessors to avionics functions in an innovative and cost effective manner. The industry's traditional resistance to any unnecessary regimentation or standardization was confirmed. Industry's self sufficiency in applying advanced technology to avionics product development was amply demonstrated. NASA research capability could be supportive in areas of basic mechanics of turbulence in weather and alternative means for its sensing.

  10. Technology developments for Japanese BWR MOX fuel utilization

    International Nuclear Information System (INIS)

    Oguma, M.; Mochida, T.; Nomata, T.; Asahi, K.

    1997-01-01

    The Long-Term Program for Research, Development and Utilization of Nuclear Energy established by the Atomic Energy Commission of Japan asserts that Japan will promote systematic utilization of MOX fuel in LWRs. Based on this Japanese nuclear energy policy, we have been pushing development of MOX fuel technology aimed at future full scale utilization of this fuel in BWRs. In this paper, the main R and D topics are described from three subject areas, MOX core and fuel design, MOX fuel irradiation behaviour, and MOX fuel fabrication technology. For the first area, we explain the compatibility of MOX fuel with UO 2 core, the feasibility of the full MOX core, and the adaptability of MOX design methods based on a mock-up criticality experiment. In the second, we outline the Tsuruga MOX irradiation program and the DOMO program, and suggest that MOX fuel behaviour is comparable to ordinary BWR UO 2 fuel behaviour. In the third, we examine the development of a fully automated MOX bundle assembling apparatus and its features. (author). 14 refs, 11 figs, 3 tabs

  11. 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.

  12. 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.

  13. Innovative technology summary report: Light duty utility arm

    International Nuclear Information System (INIS)

    1998-01-01

    The Light-Duty Utility Arm (LDUA) System is a mobile, multi-axis positioning system capable of deploying tools and sensors (end effecters) inside radioactive waste tanks for tank wall inspection, waste characterization, and waste retrieval. The LDUA robotic manipulator enters a tank through existing openings (risers) in the tank dome of the underground tanks. Using various end effecters, the LDUA System is a versatile system for high-level waste tank remediation. The LDUA System provides a means to deploy tools, while increasing the technology resources available to the U.S. Department of Energy (DOE). Ongoing end effecter development will provide additional capabilities to remediate the waste tanks

  14. Strategic Communication and its Utility in Ecosystem Service ...

    Science.gov (United States)

    The field of Strategic Communication involves a focused effort to identify, develop, and present multiple types of communication media on a given subject. A Strategic Communication program recognizes the limitations of the most common communication models (primarily “one size fits all” and “presenting everything and letting the audience decide what is important”) and specifically focuses on building a communication framework that is composed of three interlinked pillars: message – Identifying the right content for a given audience and a vehicle; audience – Identify the right target group for a given message and vehicle; vehicle – Identifying the right types of media for a given message and audience. In addition to serving as an organizational framework, the physical structure of a Strategic Communication plan also can serve as a way to show an audience where they, the message, and vehicle fit into the larger picture (i.e., “you are here”). This presentation will explore the process of designing a Strategic Communication plan and examine some examples of its utility in the field of ecosystem services science. Ideally, a strategic communication matrix can be utilized to identify and access the materials of interest for any given activity (i.e., avoids the need to recreate materials or use the wrong materials for the wrong audience). Challenges in implementation will also be explored. Abstract for ACES conference

  15. Understanding web services: The platform technology for next ...

    African Journals Online (AJOL)

    Understanding web services: The platform technology for next-generation computing systems. ... Web Services is the latest approach to Service Oriented Computing (SOC), an advanced form of Web application development, a sub domain of distributed computing and the technological driver of an emerging discipline ...

  16. Physical therapists familiarity and beliefs about health services utilization and health seeking behaviour.

    Science.gov (United States)

    Clewley, Derek; Rhon, Dan; Flynn, Tim; Koppenhaver, Shane; Cook, Chad

    2018-02-21

    Physical therapists' familiarity, perceptions, and beliefs about health services utilization and health seeking behaviour have not been previously assessed. The purposes of this study were to identify physical therapists' characteristics related to familiarity of health services utilization and health seeking behaviour, and to assess what health seeking behaviour factors providers felt were related to health services utilization. We administered a survey based on the Andersen behavioural model of health services utilization to physical therapists using social media campaigns and email between March and June of 2017. In addition to descriptive statistics, we performed binomial logistic regression analysis. We asked respondents to rate familiarity with health services utilization and health seeking behaviour and collected additional characteristic variables. Physical therapists are more familiar with health services utilization than health seeking behaviour. Those who are familiar with either construct tend to be those who assess for health services utilization, use health services utilization for a prognosis, and believe that health seeking behaviour is measurable. Physical therapists rated need and enabling factors as having more influence on health services utilization than predisposing and health belief factors. Physical therapists are generally familiar with health services utilization and health seeking behaviour; however, there appears to be a disconnect between what is familiar, what is perceived to be important, and what can be assessed for both health services utilization and health seeking behaviour. Copyright © 2018 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. All rights reserved.

  17. Utilization of Educational Innovations and Technology in Research and Extension Functions of State Universities

    Directory of Open Access Journals (Sweden)

    Rosalinda M. Comia

    2017-11-01

    Full Text Available The study focused on the extent of utilization of the educational innovations and technology in research and extension functions of SUs. The descriptive design, triangulation method, and purposive sampling were applied in this study. The findings revealed that majority of the respondents are married adults and master’s degree graduates with education as their area of specialization. They are permanent in status and have considerable years in the University serving as research or extension officer. Research of SUs have common research thrusts in terms of environment and natural resources management but differ in their own respective agenda; similarly the SUs share common extension thrusts and concerns but differ in their programs, activities and projects related to community services. Commonly encountered problems concern inadequate funds and inability to access the available technology. Officers utilized educational innovations on research and extension to a moderate extent but software and hardware were utilized to a great extent; likewise internet-based communication was utilized to a great extent for research but used moderately for extension. This implies that compared to research, most of the extension functions do not require the use of internet-based communication. From the results of the study, it was recommended that review of the existing allocation of funds for technology development may be done to improve the existing hardware, software and communication facilities.

  18. 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

  19. Factors Influencing Utilization of Physiotherapy Service among Children with Cerebral Palsy in Jalandhar District of Punjab

    OpenAIRE

    Sinha, Akhoury Gourang; Sharma, Raju

    2017-01-01

    Background: Physiotherapy plays a central role in the management of children with cerebral palsy (CP); however, literature describing the use of physiotherapy service and the factors affecting utilization of physiotherapy service for this group of children in the Indian context remain unexplored. Aims and Objectives: To describe the utilization of physiotherapy services and explore the factors affecting utilization of physiotherapy services among children with CP of Jalandhar district of Punj...

  20. 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.

  1. [Mental health service utilization among borderline personality disorder patients inpatient].

    Science.gov (United States)

    Cailhol, L; Thalamas, C; Garrido, C; Birmes, P; Lapeyre-Mestre, M

    2015-04-01

    Borderline personality disorder (BPD) is characterized by a pervasive pattern of instability and impulsivity. Several North American prospective studies support the high level of mental health care utilization in this population. There is little data in other systems of health organization, such as France. Furthermore, little is known on the variables associated with the mental health service utilization among BPD patients. The main objective was to compare the utilization of mental health care among BPD patients, to the general population and patients with another personality disorder (PD) and to describe the demographic and clinical factors associated with the group of patients who use the most health care. A multi-center (5 public and private centers), epidemiological study. Data were collected prospectively (database of an insurance fund covering 80% of the population) and viewed, retrospectively. We used the data collected during the five years previously to the inclusion. Inclusion criteria were age (18-60 years) and membership in the health insurance fund targeted. Patients on legal protection, forced hospitalization, with a chronic psychotic disorder, manic, mental retardation, or not reading French were excluded. First, four groups were composed: BPD, other PD, control groups for PD and other PD. The first two groups were recruited from a screening of inpatients including a self-administered questionnaire (Personality Disorder Questionnaire 4+). Assessment by a psychologist including the Structured Interview for DSM-IV Personality Disorders (SIDP-IV) was given straight to those who had a score above 28. This questionnaire allowed us to distinguish one group of subjects with BPD and a group with other PD (without BPD). Clinical evaluation included Axis I (MINI), Axis II (SIDP-IV), psychopathological features (YSQ-I, DSQ-40), demographic variables and therapeutic alliance (Haq-II). Matched controls (age, sex) composed the 3rd and 4th group (BPD control and

  2. Technology and Management in Library and Information Services.

    Science.gov (United States)

    Lancaster, F. W.; Sandore, Beth

    This books deals with the logical intersection of technology and management in the context of libraries and other information centers. It is divided into the following sections: Effects of Technology on the Institution and its Management; Effects of Technology on Services and Users; and Special Issues in the Management of Technology. Chapters are…

  3. 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.

  4. 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

  5. 77 FR 10501 - Northeast Utilities Service Company; Notice of Petition for Declaratory Order

    Science.gov (United States)

    2012-02-22

    ... Energy Regulatory Commission Northeast Utilities Service Company; Notice of Petition for Declaratory Order Take notice that on February 8, 2012, Northeast Utilities Service Company (NUSCO), on behalf of the Connecticut Light and Power Company, Public Service Company of New Hampshire, and Western...

  6. Utilization of post-abortion care services in three regional states of ...

    African Journals Online (AJOL)

    Background: In Ethiopia, utilization of post-abortion care service is minimal and it seems that the expanding services are underutilized. The purpose of this study was to assess factors which influence decisions for utilization of abortion related services at community level. Methodology: The study was carried out in six ...

  7. Health Services Utilization between Older and Younger Homeless Adults.(author Abstract)

    Science.gov (United States)

    Nakonezny, Paul A.; Ojeda, Michael

    2005-01-01

    Purpose: Our purpose in the current study was to examine the relationship between health services utilization delivered by means of the Homeless Outreach Medical Services (HOMES) program and health services utilization delivered by means of the Parkland emergency room and inpatient units among a sample of older and younger homeless adults being…

  8. Improvements in water reactor fuel technology and utilization

    International Nuclear Information System (INIS)

    1987-01-01

    The International Symposium on Improvements in Water Reactor Fuel Technology and Utilization was organized by the International Atomic Energy Agency and held in Stockholm from 15 to 19 September 1986 at the invitation of the Government of Sweden. The aim was to give scientists and engineers working in these fields the opportunity to exchange information on their achievements to date and their future work. It was attended by about 170 participants from 29 Member States and one international organization. A total of 37 papers and 12 posters covering a wide range of topics related to water reactor fuel was presented. The number of participants as well as the large number of fuel vendors from Europe, Japan and the United States of America and some reactor utilities proved that the timing and the topic of the Symposium were well chosen. In general, the Symposium has shown that current water reactor fuels perform reliably and meet current performance requirements. The factors which could limit fuel performance under high burnup conditions and load follow mode of operation were discussed and defined. All 49 presentations were divided into 6 sections: introduction (3 general papers); fuel design and performance (15 papers); fuel materials and behavior (8 papers); structural materials (5 papers); fuel fabrication (6 papers) and poster section (12 papers). A separate abstract was prepared for each of these presentations

  9. 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.

  10. Enabling mobile/wireless broadband technologies and services for the next billion users

    CSIR Research Space (South Africa)

    Mekuria, F

    2011-09-01

    Full Text Available -HSPA technologies, are the most common wireless broadband technology and facilitates a standards-based migration which allows the utilization of legacy infrastructure. 3G-HSPA systems can interoperate and share the core network with the legacy GSM 2G and 2.5G... networks. Also a packet switching core-network can be designed to share and interoperate with WiFi and WiMAX broadband wireless technologies. It is clear that standards-based migration lowers the cost of mobile broadband services. By utilizing...

  11. 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.

  12. 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.

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

    Science.gov (United States)

    Baresi, Larry

    1989-01-01

    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. 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.

  15. Acceptance and Utilization of Technology (UTAUT) as a Method of Technology Acceptance Model of Mitigation Disaster Website

    Science.gov (United States)

    Siswanto, T.; Shofiati, R.; Hartini, H.

    2018-01-01

    www.mitigasi-bencana.com as a knowledge management website created based on survey results in April-July 2014 in East Java and Central Java provinces, indicates a gap between the expectations and reality that exist in the services provided by the regional disaster management agency. Based on condition analysis, the gaps that occur can be reduced if the community has the understanding and knowledge of adequate disaster mitigation. The problem that arises later is whether the chosen technology solution is appropriate and acceptable to the public? The methodology used in this study using the Technology Acceptance Model development is the Unified Theory of Acceptance and Utilization of Technology (UTAUT). Feedback obtained from respondents KarangTaruna youth SelogedongBantul, www.mitigasi-bencana.com can be accepted by the respondents, but from processed data is obtained only UTAUT hypotheses on the relationship dimension eligible for Social Expectancy on the Attitude toward technology, which means the higher the perception of the Social Expectancy, the higher the perception of the Attitude toward technology. Because www.mitigasi-bencana.com is new socialized so that society still need time to explore content information and knowledge contained therein. To be accepted by user, a knowledge management application must prepare various aspects of Performance Expectancy, Effort Expectancy, Social Factors, Facilitating Conditions and Attitude.

  16. 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

  17. Technology Integration Support Levels for In-Service Teachers

    Science.gov (United States)

    Williams, Mable Evans

    2017-01-01

    In-service teachers across the globe are expected to integrate technology in their respective instructional content area. The purpose of this qualitative study was to explore the perceptions of in-service teachers concerning building-level support for technology integration. Participants in the study were asked to participate in semi-structured…

  18. Language and technology literacy barriers to accessing government services

    CSIR Research Space (South Africa)

    Barnard, E

    2003-01-01

    Full Text Available , literacy and level of technology experience. These issues are investigated and solutions researched in a developing world context. The project on which the paper is based aims to develop a service delivery framework and technology where service delivery...

  19. 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.…

  20. 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

  1. 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…

  2. 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.

  3. Utilizing Solar Power Technologies for On-Orbit Propellant Production

    Science.gov (United States)

    Fikes, John C.; Howell, Joe T.; Henley, Mark W.

    2006-01-01

    The cost of access to space beyond low Earth orbit may be reduced if vehicles can refuel in orbit. The cost of access to low Earth orbit may also be reduced by launching oxygen and hydrogen propellants in the form of water. To achieve this reduction in costs of access to low Earth orbit and beyond, a propellant depot is considered that electrolyzes water in orbit, then condenses and stores cryogenic oxygen and hydrogen. Power requirements for such a depot require Solar Power Satellite technologies. A propellant depot utilizing solar power technologies is discussed in this paper. The depot will be deployed in a 400 km circular equatorial orbit. It receives tanks of water launched into a lower orbit from Earth, converts the water to liquid hydrogen and oxygen, and stores up to 500 metric tons of cryogenic propellants. This requires a power system that is comparable to a large Solar Power Satellite capable of several 100 kW of energy. Power is supplied by a pair of solar arrays mounted perpendicular to the orbital plane, which rotates once per orbit to track the Sun. The majority of the power is used to run the electrolysis system. Thermal control is maintained by body-mounted radiators; these also provide some shielding against orbital debris. The propellant stored in the depot can support transportation from low Earth orbit to geostationary Earth orbit, the Moon, LaGrange points, Mars, etc. Emphasis is placed on the Water-Ice to Cryogen propellant production facility. A very high power system is required for cracking (electrolyzing) the water and condensing and refrigerating the resulting oxygen and hydrogen. For a propellant production rate of 500 metric tons (1,100,000 pounds) per year, an average electrical power supply of 100 s of kW is required. To make the most efficient use of space solar power, electrolysis is performed only during the portion of the orbit that the Depot is in sunlight, so roughly twice this power level is needed for operations in sunlight

  4. Integrated centralized utility services to a chemical complex on Jurong Island, Singapore.

    Science.gov (United States)

    Yan, Y G; Wong, P C Y; Tan, C G; Tang, K F

    2003-01-01

    SUT pioneered centralized utility services for the chemical industry on Jurong Island, which are cost-effective due to economies of scale, reliable due to inter-connection of satellite operations, and customer tailored for special requirements. The utility services range from the supply of steam and water, wastewater treatment, incineration, terminalling, service corridor to fire fighting. Among the services, water management achieves the complete cycle from wastewater treatment to effluent recycling.

  5. 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.…

  6. 47 CFR 80.107 - Service of private coast stations and marine-utility stations.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Service of private coast stations and marine...) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Operating Requirements and Procedures Operating Procedures-Land Stations § 80.107 Service of private coast stations and marine-utility stations. A...

  7. Development and Utilization of Technology on Indian Mango Fruit Processing

    Directory of Open Access Journals (Sweden)

    Rosenda A. Bronce

    2015-11-01

    Full Text Available This project aimed to develop and utilize technology on Indian mango fruit processing. Chemical properties of matured unripe and ripe Indian mangoes were determined in terms of total sugar, reducing sugar, starch, titratable acidity and pH. Fermentation parameters investigated in the study were amount of sugar added (20 and 25% fermentation medium, acidity of fermentation medium (addition of 1.33 and 1.66 grams of citric acid for ripe and dilution of water for unripe, degree of ripening of Indian mango fruits (ripe and unripe and ageing period (3 and 4 months. Sixteen treatments were done in triplicates and a composite sample was taken from each treatment for sensory evaluation. Results of the preference test were subjected to statistical analysis. The physicochemical properties of Indian mango wine produced using best fermentation parameters were determined. Appropriate packaging material was selected and packaging design was developed for Indian mango wine. Project cooperators were selected and the technology was transferred through training and production runs. Results of preference test showed that the wine with best sensory properties was prepared using matured unripe Indian mango diluted with water and added with 25% sugar. According to the panel of sensory experts, the taste of Indian mango wine was strong with proper blending of sweetness and sourness, its mouth feel was smooth and good balance, aroma was hot pungent and its color and appearance was clear and light yellow. Its titratable acidity was 0.622%, pH was 5, alcohol content was 11% and brix was 5°.

  8. From telemedicine technology to telemedicine services

    NARCIS (Netherlands)

    Vollenbroek-Hutten, Miriam Marie Rosé; Tabak, Monique; Kosterink, Stephanie; van Weering, Marit

    2015-01-01

    The aim of this study was to design and pilot test ICT-supported rehabilitation services across twelve health care institutions and four different diagnosis groups (i.e. acute hip, arthritis, cancer and chronic obstructive pulmonary disease) starting from a multimodal service platform that offers

  9. Outsourcing information communication technology services in ...

    African Journals Online (AJOL)

    Outsourcing is a management strategy that is gradually proving its worth in library and information science. The purpose of this study was to investigate the outsourcing of ICT services in selected public university libraries in Kenya in order to establish the challenges facing libraries in outsourcing ICT services. The study ...

  10. Trends in Medicaid fee-for-service outpatient drug utilization ...

    African Journals Online (AJOL)

    Results: The results indicate that prescription-drug utilization of Medicaid FFS program decreased by 20 % during the period (2010 – 2012) as also drug expenditure during the same period. Although constituting nearly 70 % and about 75 % of the total drug utilization in 2010 and 2012, respectively, generics represent only ...

  11. 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.

  12. Process technology of luwak coffee through bioreactor utilization

    Science.gov (United States)

    Hadipernata, M.; Nugraha, S.

    2018-01-01

    Indonesia has an advantage in producing exotic coffee that is Luwak coffee. Luwak coffee is produced from the fermentation process in digestion of civet. Luwak coffee production is still limited due to the difficulty level in the use of civet animals as the only medium of Luwak coffee making. The research was conducted by developing technology of luwak coffee production through bioreactor utilization and addition the bacteria isolate from gastric of civet. The process conditions in the bioreactor which include temperature, pH, and bacteria isolate of civet are adjusted to the process that occurs in civet digestion, including peristaltic movement on the stomach and small intestine of the civet will be replaced by the use of propellers that rotate on the bioreactor. The result of research showed that proximat analysis data of artificial/bioreactor luwak coffee did not significant different with original luwak coffee. However, the original luwak coffee has higher content of caffeine compared to bioreactor luwak coffee. Based on the cuping test the bioreactor luwak coffee has a value of 84.375, while the original luwak coffee is 84.875. As the result, bioreactor luwak coffee has excellent taste that similiar with original luwak coffee taste.

  13. After-sales service to manufactured goods on technological basis

    Directory of Open Access Journals (Sweden)

    Miriam Borchardt

    2008-07-01

    Full Text Available This theoretical and exploratory paper aims to build a critical analysis on after-sales services, mainly regarded to manufactured goods on technological basis. The purpose of the research is to achieve some better understanding about the essential elements that are to be taken into account in conceiving such a service, after different approaches. After-sales service is a member of the service package and it can influence customer satisfaction. The studied issues can integrate policies to guiding firms in designing after-sales services. They are: definition of the service itself; strategic issues; the facilities and premises; and the operation management. We aim this theoretical research to be a pre-requisite to launch further empirical researches, mainly in the field of inter-organizational relationships. Key-words: service management; after-sales service; service operations; goods associated to services; inter-organizational relationships.

  14. 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…

  15. Pattern of utilization of ante-natal and delivery services in a semi ...

    African Journals Online (AJOL)

    Data was analysed using Epi-info version 3.5.1 software package. Level of statistical significance was set at p <0.05. Results: There was a high level of utilization of antenatal/delivery services in the community. Barriers to utilization of ANC/ delivery services include lack of money, distance from health facility, long waiting ...

  16. Health Service Utilization among Older Adults in British Columbia: Making Sense of Geography

    Science.gov (United States)

    Allan, Diane; Cloutier-Fisher, Denise

    2006-01-01

    The utilization of health services by older adults has received increased attention over the past decade, but little is known about how service utilization varies between rural and urban areas. In an era of restructuring and downsizing within the Canadian health care system, there are concerns that rural older adults may be increasingly…

  17. Antenatal care services utilization among women of reproductive ...

    African Journals Online (AJOL)

    Methods: A cross-sectional study was carried out between September and October 2013 among 425 women of reproductive age using a multi-stage sampling technique. Results: Almost all the respondents (93.9%) were aware of antenatal care services. A good proportion of the mothers (90.1%) used antenatal services, ...

  18. Utilization of Antenatal care and Delivery services in Sagamu, South ...

    African Journals Online (AJOL)

    %), traditional birth attendants (13.5%) and spiritual healing homes (5.6%). Higher educational status and higher level of income positively affected the pattern of use of these services (p<0.05). Perceived quality of service was the most important ...

  19. Determinants of Utilization of Maternal Health Services Among ...

    African Journals Online (AJOL)

    ... within Lagos metropolis was conducted using a 28-item questionnaire to obtain information about the socio-demographic characteristics, knowledge about the locations of Primary Health Care (PHC) services, type of services received, perceived quality, reasons for choice and sources of alternative maternal health care.

  20. 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

    2016-01-01

    Abstract 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

  1. 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

  2. Agricultural Commodity and Utility Carriers Hours of Service Exemption Analysis.

    Science.gov (United States)

    2010-05-01

    The study was conducted in two phases. Phase 1 compares the safety performance of agricultural and non-agricultural carriers for the period 2005 through 2008, and also examines two additional industries: livestock and utility carriers, whose operatio...

  3. From Natural Monopoly to Public Utility: Technological Determinism and the Political Economy of Infrastructure in Progressive-Era America.

    Science.gov (United States)

    Plaiss, Adam

    In present-day debates regarding telecommunication policy, one frequently hears the terms natural monopoly and public utility. This article investigates the origins of these ideas, finding that Richard T. Ely-a celebrated American economist of the late nineteenth century-embedded in the term "natural monopoly" a narrative of technological determinism. By arguing that certain services had monopolizing tendencies hardwired into them, Ely argued for their regulation. Ely's theory of natural monopoly formed the basis of Wisconsin's 1907 public utilities law, which served as a model for many other states' regulatory policies. The modern notion of public utility thus carries with it the technological determinism of Ely's natural monopoly idea. By tracing the lineage of these two terms, this article recaptures the influence that activists and progressive politicians exercised over the formation of large technological systems during the Second Industrial Revolution.

  4. Redefining Requirements of Ancillary Services for Technology Agnostic Sources

    DEFF Research Database (Denmark)

    Bondy, Daniel Esteban Morales; MacDonald, Jason; Kara, Emre Can

    2018-01-01

    New sources for ancillary services are needed, yet the requirements for service provision in most countries are explicitly formulated for traditional generators. This leads to waste of the potential for new technologies to deliver ancillary services. In order to harness this potential, we propose...... to parameterize the requirements of ancillary services so that reserves can be built by combining the advantageous properties of different technologies. The proposal is exemplified through a laboratory test where it shown that the system needs can be covered through cheaper and smaller reserves....

  5. 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.

  6. Quitline – Service Utilization - 2010 To Present

    Data.gov (United States)

    U.S. Department of Health & Human Services — 2010-2017. National Quitline Data Warehouse (NQDW). State Tobacco Activities Tracking and Evaluation (STATE) System. NQDW Data. National Quitline Data Warehouse...

  7. 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...

  8. Racial Disparities in Health Service Utilization Among Medicare Fee-for-Service Beneficiaries Adjusting for Multiple Chronic Conditions.

    Science.gov (United States)

    Gandhi, Krupa; Lim, Eunjung; Davis, James; Chen, John J

    2017-06-01

    To examine racial disparities in health services utilization in Hawaii among Medicare fee-for-service beneficiaries aged 65 years and above. All-cause utilization of inpatient, outpatient, emergency, home health agency, and skilled nursing facility admissions were investigated using 2012 Medicare data. For each type of service, multivariable logistic regression model was used to investigate racial disparities adjusting for sociodemographic factors and multiple chronic conditions. Of the 84,212 beneficiaries, 27.8% were White, 27.4% were Asian, 27.3% were Pacific Islanders; 70.3% had two or more chronic conditions and 10.5% had six or more. Compared with Whites, all racial groups experienced underutilization across all types of services. As the number of chronic conditions increased, the utilization of inpatient, home health care, and skilled nursing facility dramatically increased. Disparities persist among Asians and Pacific Islanders who encounter the problem of underutilization of various health services compared with Whites.

  9. Leveraging Information Technology. Track IV: Support Services.

    Science.gov (United States)

    CAUSE, Boulder, CO.

    Seven papers from the 1987 CAUSE conference's Track IV, Support Services, are presented. They include: "Application Development Center" (John F. Leydon); "College Information Management System: The Design and Implementation of a Completely Integrated Office Automation and Student Information System" (Karen L. Miselis);…

  10. Manager, Technology Services | IDRC - International Development ...

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

    Represents TS at the Architecture and Integration governance body and establishes and maintains technical standards for IT infrastructure and Service Delivery. • Assesses problems that are elevated to management level to determine alternative mechanisms for resolution in a way that is in the best interest of the Centre ...

  11. Dental workforce availability and dental services utilization in Appalachia: a geospatial analysis.

    Science.gov (United States)

    Feng, Xue; Sambamoorthi, Usha; Wiener, R Constance

    2017-04-01

    There is considerable variation in dental services utilization across Appalachian counties, and a plausible explanation is that individuals in some geographical areas do not utilize dental care due to dental workforce shortage. We conducted an ecological study on dental workforce availability and dental services utilization in Appalachia. We derived county-level (n = 364) data on demographic and socioeconomic characteristics and dental services utilization in Appalachia from the 2010 Behavioral Risk Factor Surveillance System (BRFSS) using person-level data. We obtained county-level dental workforce availability and physician-to-population ratio estimates from Area Health Resources File and linked them to the county-level BRFSS data. The dependent variable was the proportion using dental services within the last year in each county (ranging from 16.6% to 91.0%). We described the association between dental workforce availability and dental services utilization using ordinary least squares regression and spatial regression techniques. Spatial analyses consisted of bivariate local indicators of spatial association (LISA) and geographically weighted regression (GWR). Bivariate LISA showed that counties in the central and southern Appalachian regions had significant (P availability, low percent dental services utilization). GWR revealed considerable local variations in the association between dental utilization and dental workforce availability. In the multivariate GWR models, 8.5% (t-statistics > 1.96) and 13.45% (t-statistics > 1.96) of counties showed positive and statistically significant relationships between the dental services utilization and workforce availability of dentists and dental hygienists, respectively. Dental workforce availability was associated with dental services utilization in the Appalachian region; however, this association was not statistically significant in all counties. The findings suggest that program and policy efforts to improve dental

  12. The Utilization of Education Technology in Higher Education

    Science.gov (United States)

    Brooks, Angela

    2017-01-01

    With the rise of technology, many educational organizations are scrambling to find ways to incorporate technology into effective learning strategies. Although there is a significant need to equip curriculum with active learning technology objectives, the challenges that are sometimes overlooked lies within faculty perceived barriers and how they…

  13. 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)…

  14. Utilization of post-abortion care services in three regional states of ...

    African Journals Online (AJOL)

    Bernt Lindtjorn

    Background: In Ethiopia, utilization of post-abortion care service is minimal and it seems that the expanding services are underutilized. The purpose of this ... planning services and cultural practices such as early marriage and marriage by ..... to be in place to address stigma and build support at family and community level.

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

    African Journals Online (AJOL)

    Mubeen

    Logistic regression analysis was done. P values less than. 0.05 were considered as ... KEY WORDS: Antenatal care, institutional delivery, maternal health care utilization, postnatal care. INTRODUCTION. Giving birth to a baby is one of the ..... Health center too far/no transport. 213. 43.5%. Financial reasons. 157. 32.0%.

  16. Health services utilization and costs of the insured and uninsured ...

    African Journals Online (AJOL)

    2013-07-05

    Jul 5, 2013 ... done between the two groups using non‑parametric test of significance. Comparing the level of utilization pattern of each group, average health care expenditures, total .... These may help in scaling up of the program. References. 1. Gottret P, Schieber G, editors. Health financing revisited. Washington DC:.

  17. Health services utilization and costs of the insured and uninsured ...

    African Journals Online (AJOL)

    Background: Health insurance is a social security system that aims to facilitate fair financing of health costs through pooling and judicious utilization of financial resources, in order to provide financial risk protections and cost burden sharing for people against high cost of healthcare through various prepayment methods ...

  18. Health Services Utilization and Associated Factors in Jimma Zone ...

    African Journals Online (AJOL)

    Bivariate analysis and logistic regression were conducted and a significance level of 5% was considered for interpretation. ... (OR=28.3), perceived transport cost (OR=3.6), perceived treatment cost (OR=0.15) and distance to the nearest health center or hospital (OR=2.9) were found to be predictors of utilization of health

  19. Awareness and utilization of psychological services among athletes ...

    African Journals Online (AJOL)

    ... test confirmed that the participants were not aware and did not utilize these psychological skills. (5.63 p>0.05 df=2; X2 = 4.06, p>0.05 df=2). The implications of these findings were discussed and some recommendations forwarded for implementation. African Journal of Cross-Cultural Psychology and Sport Facilitation Vol.

  20. Utilization of antenatal care services among teenagers in Ethiopia: A ...

    African Journals Online (AJOL)

    Bernt Lindtjorn

    Generally, ANC during pregnancy can provide an entry into the health system, and for teenagers in particular such care may be one of the first comprehensive health assessments deemed necessary (2, 4). Most importantly, utilization of ANC provides the opportunity to teach teenaged women on how to recognize and ...

  1. In-Service Preschool Teachers' Thoughts about Technology and Technology Use in Early Educational Settings

    Science.gov (United States)

    Kara, Nuri; Cagiltay, Kursat

    2017-01-01

    The purpose of this study is to understand in-service preschool teachers' thoughts about technology and technology use in early educational settings. Semi-structured interviews were conducted with 18 in-service preschool teachers. These teachers were selected from public and private preschools. Convenient sampling was applied because teachers who…

  2. Mobile technology for expansion of service range medan public library

    Science.gov (United States)

    Siregar, A. R.; Dewiyana, H.

    2018-03-01

    The information society, especially library users, expects an easier and faster way to get information and share knowledge. The library also implements the best way to provide the best service and the easiest way to disseminate and share information with its users. One technology that allows libraries more closely with their users is mobile technology. This paper aims to determine the basic conditions of mobile technology services and mobile services most needed library users, as well as constraints faced by libraries and users in the application of mobile technology. This paper will help libraries to develop better M-Library services in expanding the reach of library services. Methods of data collection were conducted through surveys through questionnaires, interviews, and direct observation. The results of the use of mobile technology applications in libraries bring great advantages to provide better library services and to improve accessibility of library resources in the easiest way, but due to lack of funds, lack of skills and lack of staff, many libraries are unable to provide this service with very successful.

  3. 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.

  4. System aspects of management technology for scientific and educational services

    Directory of Open Access Journals (Sweden)

    A. A. Zatsarinnyy

    2017-01-01

    Full Text Available Research purpose: to develop the technology of operational-technical management of scientific and educational services. Methods: methods of patent research and analysis of critical technologies of information and control systems; methods of system approach to organize and manage IT services to meet business needs. Topicality. The state policy in the sphere of national security and socio-economic development of the Russian Federation, carried out in the face of new threats requires correcting structural imbalances in the economy. National interests should be implemented by means of strategic priorities in the various sectors of the economy, in the financial sphere - the timely implementation of government programs. In the Message of the President of the Russian Federation Vladimir Putin to the Federal Assembly on December 1, 2016 one of the priorities defined the creation of a national research infrastructure, representing the information and technology platform for the integration of the intellectual resources in the field of science, education and production with the aim of creating the conditions for qualitative changes in the field of science and technology. In this connection, scientific-methodical and systematic technical issues to systematize services of scientific and educational institutions of the country and creation of the united informational and analytical system of the management of such services seem to be topical. Within the framework of the whole complex of problems to design such a system, the development issues of technologies for the effective operational-technical management of scientific and educational services are of great interest. Results. The technology of operational-technical management of scientific and educational services was developed, which is a complex of technical solutions to provide information support for the activities of organizational systems – consumers and suppliers of scientific and educational

  5. 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…

  6. Efficency of mobile authentication service technology on phase 1 ...

    African Journals Online (AJOL)

    Objectives: This study investigated the presence of MAS codes on medicines mandated by NAFDAC to have the code and a preliminary assessment of MAS ... drug market still do not have MAS technology inscribed on them and efficiency of Mobile Authentication Service is directly a function of the competence of the service ...

  7. 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 design...

  8. 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…

  9. 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…

  10. Assistive Technology Service Delivery in Rural School Districts

    Science.gov (United States)

    Ault, Melinda Jones; Bausch, Margaret E.; Mclaren, Elizabeth M.

    2013-01-01

    Little is known about the implementation of assistive technology (AT) services for students in rural areas. This study investigated the AT service delivery in 10 rural districts across six states. The results indicated that students use AT across functional areas, but considerably fewer number of devices than do those not living in rural areas. AT…

  11. Groundwater-risk analysis of New York utilizing GIS technology

    Science.gov (United States)

    Hillenbrand, Charles John, III

    Using Geographic Information System (GIS) technology, data layers can be processed and analyzed to produce a regional groundwater-risk grid of New York State (NYS). GIS can be used to assess the potential to introduce contaminants at the ground surface, and assess the potential for the contaminants to migrate through the vadose zone and be introduced to an aquifer at the water-table. The potential to introduce contaminants to the ground surface was assessed utilizing existing database information in combination with the United States Geological Survey (USGS) Multi-Resolution Land Classification (MRLC) land use grid. The databases allowed an analysis of contaminant association with Standard Industrial Classification (SIC) codes, risk evaluation of the contaminants using groundwater intake values protective of human health, the development of SIC code-risk values, the construction of a SIC code-risked facility point coverage, and the construction of a land use-risk grid; this grid assesses the potential to introduce contaminants to the ground surface. Aquifer susceptibility was determined by analyzing vadose zone residence time assuming saturated conditions. Vadose zone residence time is a measure of the vadose zone's ability to attenuate and retard the migration of contaminants. Existing data layers were processed to produce a depth to water-table (vadose zone thickness) grid. Existing GIS data layers of soil, surficial geology and bedrock geology, along with review of literature and pump/slug test data, enabled the creation of thickness, porosity and vertical hydraulic conductivity grids for the three considered components of the vadose zone. The average linear velocity was then calculated for each vadose zone component by dividing their hydraulic conductivity grid by their respective porosity grid. The thickness grid of each vadose zone component was then divided by their respective average linear velocity grid to produce vadose zone residence time grids. The sum

  12. factors affecting antenatal care service utilization in yem special ...

    African Journals Online (AJOL)

    jhon

    BACKGROUND: worldwide, about half a million women die every year in connection with pregnancy and childbirth, 99% of which occurs in low and middle income countries. Antenatal care provides an opportunity to deliver different services which are important in improving maternal survival. The objective of this study was ...

  13. Determinants of equity in utilization of maternal health services in ...

    African Journals Online (AJOL)

    MESKE

    [households with pregnant mothers who did not received ANC from a health facility] in Butajira Rural Health Program site of Meskan and ... maternal health services, only place of residence (being an urban (X2=9.96, p<0.01)), average annual income level of more than 1000 ... poverty, race, rural residence, urbanization and.

  14. original article health services utilization and associated factors in ...

    African Journals Online (AJOL)

    Abrham

    Bivariate analysis and logistic regression were conducted and a significance level of 5% was considered for interpretation. ... episode (OR=28.3), perceived transport cost (OR=3.6), perceived treatment cost (OR=0.15) and distance to the nearest health center or hospital ... delivery services (10). Lack of money may lead to.

  15. Availability and Utilization of Emergency Obstetric Care Services in ...

    African Journals Online (AJOL)

    Maternal mortality ratios often reflect on the quality and availability of emergency obstetric care (EmOC) services. Ten health facilities in Kaduna State were assessed to determine their capacity to provide EmOC. Each community had the recommended number of both primary and secondary health facilities per population.

  16. Utilization of Family Planning Services among Women of ...

    African Journals Online (AJOL)

    determine the number of children in the family.3. Prevention of fertility could be temporary. (contraception) or permanent (sterilization). However, contraceptive methods are said to be methods that help women avoid unwanted pregnancies. Evaluation of family planning services is usually done for married women or women ...

  17. June, 2015 Utilization of Reference Resources and Services

    African Journals Online (AJOL)

    study also show that the users derive to a moderate extent satisfaction with the services provided to them by the library. Finally from the findings of the study it has been recommended that provision of current information resources and employment of dedicated and experienced reference staff will guarantee user satisfaction ...

  18. 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 determine the pattern of use of maternity services by women in a sub-urban population and assessed some factors that may influence the observed pattern among the women. Methods: A multi-staged sampling technique was used to choose ...

  19. Maternal health service utilization in urban slums of selected towns ...

    African Journals Online (AJOL)

    EPHA USER33

    commercial sex workers, house maids, and migrants were found to be reluctant in using maternal health services such ANC follow-up, ..... problem at all. For me and other women alike running to health facility because you are pregnant is not normal although there is continuous push from UHEPs”. (Housewife, Adama).

  20. Barriers to Utilization of Cataract Surgical Services in Ekiti State ...

    African Journals Online (AJOL)

    2016-11-09

    Nov 9, 2016 ... cataract surgical services was financial constraint as claimed by 65 (49.2%) of them; other reasons include ignorance ... and the new creations are licensed under the identical terms. For reprints contact: reprints@medknow. ... The questionnaire administered includes information on biodata, demographic ...

  1. Status and determinants of health services utilization among elderly migrants in China.

    Science.gov (United States)

    Zhang, Xiaofang; Yu, Bin; He, Tiantian; Wang, Peigang

    2018-01-01

    The household registration system in China places migrants in a vulnerable status regarding access to local public services, including limited access to health services. Most studies on migrants' health services utilization targeted on working-age migrants, and there has been a paucity of studies conducted among elderly migrants. This study aims to investigate the status of health services utilization and its influential factors among elderly migrants. Data (13,043 participants, 52.4% male, mean age 66.22 ± 6.20) were derived from the 2015 Migrant Dynamics Monitoring Survey. The outcome variable in the study was health services utilization, consisting of doctor visits, hospitalization and local inpatient care. The Behavioral Model of Health Service Use was applied to categorize the influential factors into three components, including predisposing, enabling and need factors. Multivariate logistic regression analysis was used to investigate the influential factors of the three components of health services utilization. Of the total sample, 45.5% would visit a doctor when they were ill, 81.8% would prefer to be hospitalized when recommended by doctors, and 71.6% (those who were hospitalized) would choose to receive local inpatient care rather than going back to their hometown. Age, marital status, household income, years of residence, migration range, reasons for migration, size of friend network, health insurance type, local health insurance status and chronic disease status were significantly associated with health services utilization. A low level of local health services utilization was observed among elderly migrants. Enabling factors played important roles in promoting health services utilization among elderly migrants. Policy and decision makers may consider improving the capability for elderly migrants to access health services, such as increasing income and providing local health insurance.

  2. Deregulation strategies for local governments and the role/opportunities for energy efficiency services in the utility industry deregulation

    International Nuclear Information System (INIS)

    Tseng, P.C.

    1998-01-01

    As the future shape of the electric utility industry continues to unfold and as retail competition becomes a reality, local governments are faced with balancing the need for: (1) economic development; (2) and to avoid the potential impact of cost-shifting among residents and businesses, while ensuring reliable and universal energy services. Furthermore, local governments need to find ways to recoup potential loss of franchise and tax revenues, to ensure fair and adequate energy-efficiency programs, and to continue other social programs for low income families. This paper will address two important issues every local government in the US are facing: (1) the development of viable deregulation strategies before, during and after the promulgation of utility deregulation; (2) opportunities for energy efficiency services in the competitive markets to serve local governments, which typically constitutes the largest market segment in utility's service territory. This paper presents issues and challenges common to all local governments. It documents strategies that several local governments are utilizing to embrace the coming electric utility restructuring and competition challenge to the benefits of their respective communities. This paper presents the results on deregulation work by the City of Portland, Oregon, Barnstable County, Massachusetts, and Montgomery County, Maryland. The research by these local governments was sponsored by the Urban Consortium Energy Task Force and Public Technology, Inc

  3. Solar thermal technologies - Potential benefits to U.S. utilities and industry

    Science.gov (United States)

    Terasawa, K. L.; Gates, W. R.

    1983-01-01

    Solar energy systems were investigated which complement nuclear and coal technologies as a means of reducing the U.S. dependence on imported petroleum. Solar Thermal Energy Systems (STES) represents an important category of solar energy technologies. STES can be utilized in a broad range of applications servicing a variety of economic sectors, and they can be deployed in both near-term and long-term markets. The net present value of the energy cost savings attributable to electric utility and IPH applications of STES were estimated for a variety of future energy cost scenarios and levels of R&D success. This analysis indicated that the expected net benefits of developing an STES option are significantly greater than the expected costs of completing the required R&D. In addition, transportable fuels and chemical feedstocks represent a substantial future potential market for STES. Due to the basic nature of this R&D activity, however, it is currently impossible to estimate the value of STES in these markets. Despite this fact, private investment in STES R&D is not anticipated due to the high level of uncertainty characterizing the expected payoffs. Previously announced in STAR as N83-10547

  4. Solar thermal technologies - Potential benefits to U.S. utilities and industry

    Science.gov (United States)

    Terasawa, K. L.; Gates, W. R.

    1983-08-01

    Solar energy systems were investigated which complement nuclear and coal technologies as a means of reducing the U.S. dependence on imported petroleum. Solar Thermal Energy Systems (STES) represents an important category of solar energy technologies. STES can be utilized in a broad range of applications servicing a variety of economic sectors, and they can be deployed in both near-term and long-term markets. The net present value of the energy cost savings attributable to electric utility and IPH applications of STES were estimated for a variety of future energy cost scenarios and levels of R&D success. This analysis indicated that the expected net benefits of developing an STES option are significantly greater than the expected costs of completing the required R&D. In addition, transportable fuels and chemical feedstocks represent a substantial future potential market for STES. Due to the basic nature of this R&D activity, however, it is currently impossible to estimate the value of STES in these markets. Despite this fact, private investment in STES R&D is not anticipated due to the high level of uncertainty characterizing the expected payoffs. Previously announced in STAR as N83-10547

  5. Utilization of Service Design in Tourism : Mobile Ethnographic Research in a Ski Resort

    OpenAIRE

    Leinonen, Mikko

    2012-01-01

    Savonia University of Applied Sciences attended as a partner on an international Service Design in Tourism co-operation pilot project, where the functionality, utilization and efficiency of the service design was simultaneously tested in seven different nations in order to enhance and to develop travel services. MyServiceFellow mobile ethnographic research was conducted between the dates of 27.12.2011 and 11.3.2012 in Tahko tourism resort, located in Central Finland. The central aim of...

  6. Report of the Technology Service - Annex B

    International Nuclear Information System (INIS)

    Martinc, R.; Cupac, S.; Vukadin, Z.; Stosic, T.

    1989-01-01

    This annex covers: description of the organisational structure of the service, safeguard activities, increase of reactor operation capability, dosimetry and radiation protection tasks and an overview of the the activities of this Service. During 1989, there have been 2 routine safeguard IAEA inspections. Each time inspection covered fresh fuel, spent fuel from the storage pool, and the fuel in the reactor core was included. The inspection of fuel sample from the core were used for control of the deposition on the cladding surface, which was found to exist but considered to be insignificant. Due to high quantity of the fresh highly enriched fuel it is expected that the frequency of inspections would be increased or sealing a number of the containers by the IAEA inspectors. This Annex includes the activity concerned with dosimetry and radiation protection, contamination of the working environment, decontamination, occupational exposure, radioactive waste. Three separate parts included in this Annex describe: the proposal of future action plan for reactor restart, safety aspects of Wigner energy accumulation in the graphite side reactor reflector, and reactor core calculation by a two-group neutron diffusion program in r-z geometry [sr

  7. 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

  8. Persistent Super-Utilization of Acute Care Services Among Subgroups of Veterans Experiencing Homelessness.

    Science.gov (United States)

    Szymkowiak, Dorota; Montgomery, Ann Elizabeth; Johnson, Erin E; Manning, Todd; O'Toole, Thomas P

    2017-10-01

    Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. The objective of the study was to identify those more likely to be persistent super-utilizers of acute care services. We conducted a latent class analysis of secondary data from the Veterans Health Administration Corporate Data Warehouse, and Homeless Operations Management and Evaluation System. The study sample included 16,912 veterans who experienced homelessness and met super-utilizer criteria in any quarter between July 1, 2014 and December 31, 2015. The latent class analysis included veterans' diagnoses and acute care utilization. Medical, mental health, and substance use morbidity rates were high. More than half of the sample utilized Veterans Health Administration Homeless Programs concurrently with their super-utilization of acute care. There were 7 subgroups of super-utilizers, which varied considerably on the degree to which their super-utilization persisted over time. Approximately a third of the sample met super-utilizer criteria for ≥3 quarters; this group was older and disproportionately male, non-Hispanic white, and unmarried, with lower rates of post-9/11 service and higher rates of rural residence and service-connected disability. They were much more likely to be currently homeless with more medical, mental health, and substance use morbidity. Only a subset of homeless veterans were persistent super-utilizers, suggesting the need for more targeted interventions.

  9. 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'…

  10. Utilization of dental services in a population of Nigerian University ...

    African Journals Online (AJOL)

    Results: The results revealed only 14.1% of the subjects had utilised dental services in the past one year with a significant higher dental care use by the females than males (p<0.01). The major reasons for visiting dentist in the past 12 months among the subjects were pain from teeth (20.8%) and the need for cleaning of ...

  11. 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.

  12. Mobile communications satellites innovative services, advanced technology, new opportunities

    Science.gov (United States)

    Wiedeman, R. A.; Anglin, R. L.

    A new service is described that will be introduced in the next few years and will provide communications by satellite to mobile users equipped with inexpensive transceivers utilizing omnidirectional or low-gain antennas similar to cellular radio. The system operates in the UHF band and provides demand-access SCPC communications services over a wide area coverage. Examples considered include a bilateral domestic system (United States and Canada) and a multinational regional system (Pacific basin).

  13. Physical accessibility and utilization of health services in Yemen.

    Science.gov (United States)

    Al-Taiar, Abdullah; Clark, Allan; Longenecker, Joseph C; Whitty, Christopher J M

    2010-07-21

    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. 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. There was a strong correlation between straight-line distances, driving distances and driving time (straight line distances vs. driving distance r = 0.92, p time r = 0.75; p time r = 0.83, p 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.

  14. Studying PPTCT services, interventions, coverage and utilization in India

    Directory of Open Access Journals (Sweden)

    Urvish Joshi

    2011-01-01

    Full Text Available Background and Objectives: Risk of vertical transmission (largest source of HIV in children reduces from 33% to 3% with effective PPTCT interventions. NACP III has got an objective of testing all pregnant women for earliest linkage with PMTCT. Study was carried out to find out PPTCT service coverage, drop-outs, interventions efficacy with other determinants. Materials and Methods: At ICTCs, registered ANCs are counseled and tested for HIV. HIV+ve ANCs are linked to services and followed-up for institutional delivery, sdNVP, nutrition and children testing. HIV+ve ANCs since 2004 subsequently delivered till December 2009 and their exposed children in PPTCT-VSGH constituted study cohort. Results: 29281 ANCs registered, 69.7% were counseled pre-test, 100% of them tested, 94.9% were counseled post-test. 60.5% were detected in 3 rd trimester. CD4 testing was carried out in 71.6% HIV+ve ANCs. 81 ANCs were detected HIV+ve inclusive of 11 unregistered cases. 72 pregnancy outcomes reported institutionally, 77.6% were caesarian sections. Out of 59 live births, 56 sdNVP-MB-Pair were given. 88.1% children were traced till 18 months, 76.3% of live births were alive, 40.7% of live births were tested. 1 was found HIV+ve with history of adherence to all prescribed PPTCT guidelines. Conclusions: PMTCT services - counseling and testing should be provided to all ANCs. EDD-based tracking, institutional deliveries, postnatal counseling to be encouraged along with complete MB pair coverage, capacity building of concerned staff regarding delivery of HIV+ve ANCs and exposed children tracking.

  15. 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...

  16. 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

    -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......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...... 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...

  17. Job Characteristics in the United States Air Force and Mental Health Service Utilization

    National Research Council Canada - National Science Library

    Baumgarten, Victor

    2004-01-01

    Data from the 2000 Air Force Community Needs Assessment were used to assess the significance and strength of the effects of job characteristics and social supports on mental health service utilization...

  18. Perceived and normative needs, utilization of oral healthcare services, and barriers to utilization of dental care services at peripheral medical centre: Poonjeri, Mamallapuram, India

    Directory of Open Access Journals (Sweden)

    Prabhu Subramani

    2017-01-01

    Full Text Available Introduction: Dental care utilization is limited, and teeth are often left untreated or extracted in India. Several barriers exist for the utilization of dental services. The present study was undertaken to assess the oral healthcare needs, utilization pattern of oral healthcare services, and barriers to utilization of oral healthcare services among the outpatients of Peripheral Medical Centre, Poonjeri, Mamallapuram, India. Materials and Methods: Simple random sampling was conducted among outpatients and their attenders reporting to the health centre; demographic profile of the patients were recorded followed by interviewer-administered questionnaire for recording the self-perceived dental needs and barriers in utilizing dental care services followed by Type II clinical examination to assess normative dental treatment needs. Results: N =282 study participants participated in the present study; majority of the study participants were from upper lower class and lower middle class. Among the study subjects n = 124 (44% have not accessed any dentist, n = 112 (39.7% had visited dentist for toothache. Common reason cited as Self – perceived barriers for dental care are n = 184 (65.2% – 'Unaware of the dental problems' and n = 118 (41.8% 'Fear of dental treatment'. Logistic regression showed that significant difference was seen in gender, socioeconomic status, and barriers to dental care (P < 0.05 in influencing the utilization pattern of dental care. Conclusion: Perceived and normative dental needs were high among the study population due to problem-oriented care, and it is influenced by various barriers such as unawareness of dental problems, fear, cost, accessibility, and time.

  19. Guide 61: how the EUB responds to utility customer service complaints

    International Nuclear Information System (INIS)

    1999-07-01

    The guide answers common questions about regulated provincial utilities, how to make a formal complaint to the Electric Utilities Board (EUB) of Alberta about utility service, and how the Board handles customer concerns. The role of the EUB in regulating utilities has changed slightly with natural gas deregulation, with most consumers having the option to purchase natural gas from their supplier of choice. As the transition to electric deregulation is occuring, the EUB continues to set customer rates until the transition is complete. When a utility-related-complaint cannot be resolved, the EUB may schedule a hearing to thoroughly review the issue. The hearing and decision aspects are summarized

  20. KSC In-Situ Resource Utilization (ISRU) Technologies

    Data.gov (United States)

    National Aeronautics and Space Administration — (1) Identify and evaluate CO2/CO separation technologies that are compatible with the high operating temperatures (700-850oC) of the Solid Oxide Electrolysis...

  1. Women’s autonomy and maternal healthcare service utilization in Ethiopia

    OpenAIRE

    Fentanesh Nibret Tiruneh; Kun-Yang Chuang; Ying-Chih Chuang

    2017-01-01

    Background Most previous studies on healthcare service utilization in low-income countries have not used a multilevel study design to address the importance of community-level women’s autonomy. We assessed whether women’s autonomy, measured at both individual and community levels, is associated with maternal healthcare service utilization in Ethiopia. Methods We analyzed data from the 2005 and 2011 Ethiopia Demographic and Health Surveys (N = 6058 and 7043, respectively) for measuring women’s...

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

    OpenAIRE

    Kahende, Jennifer; Malarcher, Ann; 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...

  3. Workplace Harassment Patterning, Gender, and Utilization of Professional Services: Findings from a US National Study

    OpenAIRE

    Shannon, Candice A.; Rospenda, Kathleen M.; Richman, Judith A.

    2006-01-01

    This study constitutes the first national longitudinal survey to address the relationship between workplace harassment and service utilization. We examine how patterns of sexual harassment and generalized workplace harassment are linked to utilization of mental health, health, legal, spiritual, and work-related services, and whether and how gender influences these relationships. Data derive from a random digit dial telephone survey with a continental U.S. sample of employed adults. Eligibilit...

  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 Multimedia

    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. Comparison of Rate of Utilization of Medicare Services in Private Versus Academic Cardiology Practice.

    Science.gov (United States)

    Hovanesyan, Arsen; Rubio, Eduardo; Novak, Eric; Budoff, Matthew; Rich, Michael W

    2017-11-15

    Cardiovascular services are the third largest source of Medicare spending. We examined the rate of cardiovascular service utilization in the community of Glendale, CA, compared with the nearest academic medical center, the University of Southern California. Publicly available utilization data released by Medicare for the years 2012 and 2013 were used to identify all inpatient and outpatient cardiology services provided in each practice setting. The analysis included 19 private and 17 academic cardiologists. In unadjusted analysis, academic physicians performed half as many services per Medicare beneficiary per year as those in private practice: 2.3 versus 4.8, p cardiology practice settings in southern California, medical service utilization per Medicare beneficiary was nearly 2-fold higher in private practice than in the academic setting, suggesting that there may be opportunity for substantially reducing costs of cardiology care in the community setting. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. 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

  8. 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.

  9. Utilization Of Information And Communication Technology (ICT) For ...

    African Journals Online (AJOL)

    However, frequent power failure and inability to provide alternative power supply are major constraints to effective utilization of the ICT. The paper recommends, among others, provision of solar energy/power, hand wind computers and adequate funding of the libraries. The Information Technologist Vol. 5 (2) 2008: pp.

  10. Inequality in the Utilization of Maternal Healthcare Services in Odisha, India

    Directory of Open Access Journals (Sweden)

    Ranjan Kumar Prusty

    2015-01-01

    Full Text Available Odisha, one of the socioeconomically disadvantaged states of India, registers high maternal deaths. The state features wide regional and sociodemographic diversity with the Koraput-Balangir-Kalahandi (KBK districts, dominated by disadvantaged tribal population. This study aims to assess the level and pattern of maternal healthcare services utilization among different subgroups of women in Odisha with a special focus on the regional, economic, and educational inequality using the latest District Level Household and Facility Survey (DLHS-III, 2007-08. Descriptive statistics and bivariate and multivariate analysis were used to understand the pattern of utilization of maternal healthcare services among women by different background characteristics. Concentration curve and decomposition analysis were used to understand the inequalities in utilization of maternal healthcare services and contribution of different socioeconomic factors. Results reveal wide regional variation in the utilization of maternal healthcare services. The utilization of maternal healthcare services is more concentrated among affluent households. Economic inequality in safe delivery is high. Decomposition analysis shows education as the leading contributor in explaining maternal healthcare services utilization. Enhancing literacy among women and improving of health infrastructure and its quality in rural and disadvantaged regions may be prioritized to improve the maternal health in Odisha.

  11. 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.

  12. 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.

  13. UTILIZING THE RIGHT MIX OF ENVIRONMENTAL CLEANUP TECHNOLOGIES

    Energy Technology Data Exchange (ETDEWEB)

    Bergren, C; Wade Whitaker, W; Mary Flora, M

    2007-05-25

    The Savannah River Site (SRS) Figure 1 is a 310-square-mile United States Department of Energy nuclear facility located along the Savannah River near Aiken, South Carolina. During operations, which started in 1951, hazardous substances (chemicals and radionuclides) were released to the environment. The releases occurred as a result of inadvertent spills and waste disposal in unlined pits and basins which was common practice before environmental regulations existed. The hazardous substances have migrated to the vadose zone and groundwater in many areas of the SRS, resulting in 515 waste units that are required by environmental regulations, to undergo characterization and, if needed, remediation. In the initial years of the SRS environmental cleanup program (early 1990s), the focus was to use common technologies (such as pump and treat, air stripping, excavation and removal) that actively and tangibly removed contamination. Exclusive use of these technologies required continued and significant funding while often failing to meet acceptable clean-up goals and objectives. Recognizing that a more cost-effective approach was needed, SRS implemented new and complementary remediation methods focused on active and passive technologies targeted to solve specific remediation problems. Today, SRS uses technologies such as chemical/pH-adjusting injection, phytoremediation, underground cutoff walls, dynamic underground stripping, soil fracturing, microbial degradation, baroballs, electrical resistance heating, soil vapor extraction, and microblowers to more effectively treat contamination at lower costs. Additionally, SRS's remediation approach cost effectively maximizes cleanup as SRS works proactively with multiple regulatory agencies. Using GIS, video, animation, and graphics, SRS is able to provide an accurate depiction of the evolution of SRS groundwater and vadose zone cleanup activities to convince stakeholders and regulators of the effectiveness of various cleanup

  14. Perception and Utilization of Primary Health Care Services in a Semi ...

    African Journals Online (AJOL)

    Objective: The health status of most people living in developing countries of the world remains poor. Linked to this are some factors, of which low utilization of PHC facilities remain a major issue. This study therefore aimed to determine the utilization of PHC services in a sub-urban community in a developing country in West ...

  15. 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…

  16. Services utilization among recently homeless veterans: a gender-based comparison.

    Science.gov (United States)

    Montgomery, Ann Elizabeth; Byrne, Thomas H

    2014-03-01

    As women emerge as a significant segment of the Veteran population, there is a need to understand how they enter the homeless system, the impact of homelessness on healthcare, and how this varies by gender. This study provides a gender-based comparison of Veterans' utilization of U.S. Department of Veterans Affairs (VA) health and behavioral health services following the onset of a homeless episode and assesses the relationship between services utilization and Veterans' entry into the homeless system. Male and female veterans were equally as likely to use mainstream and VA homeless services. There were few differences between genders in inpatient services use following a homeless episode. Men used more substance abuse outpatient treatment and emergency services whereas women used outpatient medical treatment. Veterans who sought non-VA homeless services were less likely to use outpatient services but more likely to access emergency services. Veterans experiencing homelessness who do not use VA homeless assistance services are less engaged with preventative VA health and behavioral healthcare. Veterans who are homeless but not identified as such by VA, particularly women, need additional engagement. Ongoing study of gender-based differences in services utilization among homeless and at-risk Veterans is needed. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.

  17. Introducing modern technology to promote transparency in health services.

    Science.gov (United States)

    Islam, Mohammad Shafiqul

    2015-01-01

    Quantitative indicators show that Bangladeshi maternal and child healthcare is progressing satisfactorily. However, healthcare quality is still inadequate. It is hypothesised that modern technology enhances healthcare quality. Therefore, the purpose of this paper is to investigate how modern technology such as electronic record keeping and the internet can contribute to enhancing Bangladeshi healthcare quality. This study also explores how socio-economic and political factors affect the healthcare quality. This paper is based on a qualitative case study involving 68 in-depth interviews with healthcare professionals, elected representatives, local informants and five focus group discussions with healthcare service users to understand technology's effect on health service quality. The study has been conducted in one rural and one urban service organisations to understand how various factors contribute differently to healthcare quality. The findings show that modern technology, such as the internet and electronic devices for record keeping, contribute significantly to enhancing health service transparency, which in turn leads to quality health and family planning services. The findings also show that information and communication technology (ICT) is an effective mechanism for reducing corruption and promoting transparency. However, resource constraints impact adversely on the introduction of technology, which leads to less transparent healthcare. Progress in education and general socio-economic conditions makes it suitable to enhance ICT usage, which could lead to healthcare transparency, but political and bureaucratic factors pose a major challenge to ensure transparency. This paper can be a useful guide for promoting governance and healthcare quality in developing countries including Bangladesh. It analyses the ICT challenges that healthcare staff face when promoting transparent healthcare. This paper provides a deeper understanding of transparency and healthcare

  18. Educational technology infrastructure and services in North American medical schools.

    Science.gov (United States)

    Kamin, Carol; Souza, Kevin H; Heestand, Diane; Moses, Anna; O'Sullivan, Patricia

    2006-07-01

    To describe the current educational technology infrastructure and services provided by North American allopathic medical schools that are members of the Association of American Medical Colleges (AAMC), to present information needed for institutional benchmarking. A Web-based survey instrument was developed and administered in the fall of 2004 by the authors, sent to representatives of 137 medical schools and completed by representatives of 88, a response rate of 64%. Schools were given scores for infrastructure and services provided. Data were analyzed with one-way analyses of variance, chi-square, and correlation coefficients. There was no difference in the number of infrastructure features or services offered based on region of the country, public versus private schools, or size of graduating class. Schools implemented 3.0 (SD = 1.5) of 6 infrastructure items and offered 11.6 (SD = 4.1) of 22 services. Over 90% of schools had wireless access (97%), used online course materials for undergraduate medical education (97%), course management system for graduate medical education (95%) and online teaching evaluations (90%). Use of services differed across the undergraduate, graduate, and continuing medical education continuum. Outside of e-portfolios for undergraduates, the least-offered services were for services to graduate and continuing medical education. The results of this survey provide a benchmark for the level of services and infrastructure currently supporting educational technology by AAMC-member allopathic medical schools.

  19. Diesel Engine Waste Heat Recovery Utilizing Electric Turbocompound Technology

    International Nuclear Information System (INIS)

    Gerke, Frank G.

    2001-01-01

    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

  20. Caregiver Factors Predicting Service Utilization among Youth Participating in a School-Based Mental Health Intervention

    Science.gov (United States)

    Burnett-Zeigler, Inger; Lyons, John S.

    2010-01-01

    Large numbers of children and adolescents experience diagnosable psychiatric disturbances; however, the majority of those with need do not utilize mental health services. Characteristics of caregivers are important predictors of which youth will access and continue to use services over time. In recent years school-based mental health intervention…

  1. Fees and Therapy: Clarification of the Relationship of Payment Source to Service Utilization.

    Science.gov (United States)

    DeMuth, Nancy Marwick; Kamis, Edna

    1980-01-01

    Fee, sociodemographic, and provider characteristics contributed little unique variance to explaining the volume of services used. Clinical considerations were, as predicted, most important in explaining service utilization. Implications for national health insurance are also discussed, since public third-party reimbursement did not lead to…

  2. 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…

  3. 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

  4. IPTV technology for the wireless Internet service provider (WISP

    Directory of Open Access Journals (Sweden)

    Mitchell Vásquez Bermúdez

    2018-02-01

    Full Text Available This article describes the implementation of the IPTV technology through an open source system for the wireless Internet service provider (WISP in the Cerecita site, located in the province of Guayas, Ecuador. The feasibility of implementing the IPTV technology is given through the use of the Emby Server application, in addition to the use of an operating system such as CentOS 7, which are open source and have the necessary requirements for the creation of this service. The analysis of data tra c generated on the WISP network, which will establish the advantages and disadvantages generated by the transmission of this technology, created to VOD multimedia content server that allows the video signal to be sent to users Finally, a feasibility study was carried out to analyze the advantages and disadvantages that exist in the implementation of this IPTV technology.

  5. Use of indigenous technology in processing and utilization of non ...

    African Journals Online (AJOL)

    Information used for this paper came from both primary and secondary sources. Ten (10) respondents were interviewed from each secondary source of information. The use of indigenous technology to process these forest products to forest foods is currently limited by use of crude methods, inability to expand production ...

  6. Designing Technology-Enabled Instruction to Utilize Learning Analytics

    Science.gov (United States)

    Davies, Randall; Nyland, Robert; Bodily, Robert; Chapman, John; Jones, Brian; Young, Jay

    2017-01-01

    A key notion conveyed by those who advocate for the use of data to enhance instruction is an awareness that learning analytics has the potential to improve instruction and learning but is not currently reaching that potential. Gibbons (2014) suggested that a lack of learning facilitated by current technology-enabled instructional systems may be…

  7. Appraisal of the Availability and Utilization of New Technological ...

    African Journals Online (AJOL)

    FIRST LADY

    Items 31 - 36 ... society (Katz, 2001) that is, a society that requires higher levels of skills and qualifications for employment. The old ... learning and the universities are expected to do this using new technologies. To meet the changing ... softwares and CD-ROM (Compact Disk – Read Only Memory). The teaching and learning of ...

  8. university students` perception and utilization of technology for ...

    African Journals Online (AJOL)

    2018-02-01

    Feb 1, 2018 ... Students` perception in relation to gender and their ... data also revealed that students have been using mobile technology, social media and internet to .... February 2018. 21. Sisay Awgichew Wondemtegegn and promote positive interdependence of learning among learners (Cavas, 2009). The impact of.

  9. 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.

  10. Barriers to Successful Information Technology (IT) Utilization by ...

    African Journals Online (AJOL)

    This research evaluated barriers to the use of Information Communication Technology (ICT) among librarians in academic libraries in Ogun State, Nigeria. One hundred and twenty one (121) structured questionnaires were administered in a total sampling technique among librarians in twelve institutions. The questionnaire ...

  11. The Influence of Table Top Technology in Full- service Restaurants

    OpenAIRE

    Susskind, Alex M.; Curry, Benjamin

    2016-01-01

    The use of tabletop technology continues to grow in the restaurant industry, and this study identifies the strengths and weakness of the technology, how it influences customers, and how it can improve the bottom line for managers and business owners. Results from two studies involving a full-service casual dining chain show that dining time was significantly reduced among patrons who used the tabletop hardware to order or pay for their meals, as was the time required for servers t...

  12. Longitudinal Analysis of Changes in Illicit Drug Use and Health Services Utilization

    Science.gov (United States)

    French, Michael T; Fang, Hai; Balsa, Ana I

    2011-01-01

    Objective To analyze the relationships between illicit drug use and three types of health services utilization: emergency room utilization, hospitalization, and medical attention required due to injury(s). Data Waves 1 and 2 (11,253 males and 13,059 females) from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Study Design We derive benchmark estimates by employing standard cross-sectional data models to pooled waves of NESARC data. To control for potential bias due to time-invariant unobserved individual heterogeneity, we reestimate the relationships with fixed-effects models. Principal Findings The cross-sectional data models suggest that illicit drug use is positively and significantly related to health services utilization in almost all specifications. Conversely, the only significant (pdrug use on health services utilization. Moreover, it is important to distinguish between types of drug user (casual versus heavy) and estimate gender-specific models. PMID:21143479

  13. 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.

  14. 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.

  15. 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...

  16. Utilizing Technology in Manual Material Handling and Safe Lifting.

    Science.gov (United States)

    Snyder, Mick

    2016-02-01

    There is great potential to decrease injuries with the use of these new technologies, especially musculoskeletal disorders and repetitive task-related injuries. Initial costs can be considerable for some of these units, but they are much cheaper than a back surgery. As with all technology, the first designs cost a small fortune, but as we are seeing even now, the pricing is decreasing and the quality is increasing for these devices. In 30 years, we might all have flying cars like "Back to the Future II" predicted we would in 2015 or be able to figure out a tricorder like on "Star Trek"! For more information on exoskeletons, exoskeletonreport.com is a great resource.

  17. Utilization of Near Field Communication Technology for Loyalty Management

    Directory of Open Access Journals (Sweden)

    Ferina Ferdianti

    2013-11-01

    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.

  18. Determinants of Maternity Care Services Utilization among Married Adolescents in Rural India

    Science.gov (United States)

    Singh, Prashant Kumar; Rai, Rajesh Kumar; Alagarajan, Manoj; Singh, Lucky

    2012-01-01

    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 targeting household

  19. Service utilization for mental problems in a metropolitan migrant population in china.

    Science.gov (United States)

    Wei, Zhaoguo; Hu, Chiyi; Wei, Xiaolin; Yang, Hong; Shu, Mingyue; Liu, Tiebang

    2013-07-01

    The purpose of this study was to investigate the prevalence and predictors of service utilization for mental health problems of the first-generation migrant population in Shenzhen, China, a city that attracts millions of unskilled rural laborers each year. Using the structured World Mental Health Composite International Diagnostic Interview, the investigators conducted face-to-face surveys between September 1, 2005, and January 30, 2006. A total of 7,134 respondents age 18 years and above finished the surveys. The main outcomes were prevalence of mental disorders according to DSM-IV criteria, as well as prevalence of mental health services used in different sectors. Nine percent of the sample had ever used some type of service for mental health issues, and 6.3% used services outside of the health service sector, such as human services and complementary and alternative medicine. In addition, DSM criteria for a mental disorder over the lifetime were met by 18.1% of respondents; of the respondents with a mental disorder, 18.3% had used mental health services at least once. Migrants who were unmarried, had high family income, were raised in metropolitan areas, had histories of homelessness or attempted suicide, had a psychotic disorder, or had an anxiety disorder were more likely to use services for mental health care. In Shenzhen, few migrants used mental health services and most used complementary and alternative medicine services. Future studies of service utilization patterns in migrant populations should give special attention to personal characteristics, such as family support.

  20. Distribution and utilization of curative primary healthcare services in Lahej, Yemen.

    Science.gov (United States)

    Bawazir, A A; Bin Hawail, T S; Al-Sakkaf, K A Z; Basaleem, H O; Muhraz, A F; Al-Shehri, A M

    2013-09-01

    No evidence-based data exist on the availability, accessibility and utilization of healthcare services in Lahej Governorate, Yemen. The aim of this study was to assess the distribution and utilization of curative services in primary healthcare units and centres in Lahej. Cross-sectional study (clustering sample). This study was conducted in three of the 15 districts in Lahej between December 2009 and August 2010. Household members were interviewed using a questionnaire to determine sociodemographic characteristics and types of healthcare services available in the area. The distribution of health centres, health units and hospitals did not match the size of the populations or areas of the districts included in this study. Geographical accessibility was the main obstacle to utilization. Factors associated with the utilization of curative services were significantly related to the time required to reach the nearest facility, seeking curative services during illness and awareness of the availability of health facilities (P < 0.01). There is an urgent need to look critically and scientifically at the distribution of healthcare services in the region in order to ensure accessibility and quality of services. Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  1. Application of Ethics for Providing Telemedicine Services and Information Technology.

    Science.gov (United States)

    Langarizadeh, Mostafa; Moghbeli, Fatemeh; Aliabadi, Ali

    2017-10-01

    Advanced technology has increased the use of telemedicine and Information Technology (IT) in treating or rehabilitating diseases. An increased use of technology increases the importance of the ethical issues involved. The need for keeping patients' information confidential and secure, controlling a number of therapists' inefficiency as well as raising the quality of healthcare services necessitates adequate heed to ethical issues in telemedicine provision. The goal of this review is gathering all articles that are published through 5 years until now (2012-2017) for detecting ethical issues for providing telemedicine services and Information technology. The reason of this time is improvement of telemedicine and technology through these years. This article is important for clinical practice and also to world, because of knowing ethical issues in telemedicine and technology are always important factors for physician and health providers. the required data in this research were derived from published electronic sources and credible academic articles published in such databases as PubMed, Scopus and Science Direct. The following key words were searched for in separation and combination: tele-health, telemedicine, ethical issues in telemedicine. A total of 503 articles were found. After excluding the duplicates (n= 93), the titles and abstracts of 410 articles were skimmed according to the inclusion criteria. Finally, 64 articles remained. They were reviewed in full text and 36 articles were excluded. At the end, 28 articles were chosen which met our eligibility criteria and were included in this study. Ethics has been of a great significance in IT and telemedicine especially the Internet since there are more chances provided for accessing information. It is, however, accompanied by a threat to patients' personal information. Therefore, suggestions are made to investigate ethics in technology, to offer standards and guidelines to therapists. Due to the advancement in

  2. Performance Analyses in an Assistive Technology Service Delivery Process

    DEFF Research Database (Denmark)

    Petersen, Anne Karin

    Performance Analyses in an Assistive Technology Service Delivery Process.Keywords: process model, occupational performance, assistive technologiesThe Poster is about teaching students, using models and theory in education and practice. It is related to Occupational therapy process and professional...... af top-til-bund, klientcentreret og aktivitetsbaseret interventioner, ERGO/MunksgaardFisher, A. &, Griswold, L. A., 2014. Performance Skills. I: B.Schell red.2014 Occupational Therapy. Willard &Spackman’s occupational therapy. -12th ed., p.249-264Cook A.M., Polgar J.M. (2015) Assistive Technologies...

  3. 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.

  4. Technology usage, quality management system, and service quality in Thailand.

    Science.gov (United States)

    Sivabrovornvatana, Nilubon; Siengthai, Sununta; Krairit, Donyaprueth; Paul, Himangshu

    2005-01-01

    This article aims to explore the relationship between technology and quality management for enhancing Thai hospital service quality. The paper presents the findings of an exploratory study that investigates service quality from the customer and service provider perception. In-depth interviews were conducted with respondents in Thai hospitals. The interviews explored service-related factors that patients and service providers perceive to be important for hospital services. The first interview group consisted of professionals as internal customers in direct contact with external customers, while the second group consisted of external customers of the same hospitals. The study's outcomes clearly suggest factors that make significant contribution to service quality. These factors can be categorized according to five SERVQUAL dimensions (reliability, responsiveness, assurance, empathy, and tangibility), although some factors required slightly different interpretation. The findings suggest that hospitals can develop an appropriate approach to their advantage, which can yield sustainable improvement in service quality as perceived by patients and professionals. Hospitals can make better quality decisions based on structured measurement and knowledge. It is recommended that managers apply this knowledge for successful implementation of activities related to service quality in their organizations.

  5. 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.

  6. The Adoption of Cloud Computing Technology for Library Services ...

    African Journals Online (AJOL)

    The study investigated the rationales for the adoption of cloud computing technology for library services in NOUN Library. Issues related to the existing computer network available in NOUN library such as LAN, WAN, rationales for the adoption of cloud computing in NOUN library such as the need to disclose their collections ...

  7. Civil Service Human Resource Capacity and Information Technology

    African Journals Online (AJOL)

    Tesfaye

    2009-01-01

    Jan 1, 2009 ... resource capacity and the effective utilisation of Information Technology. In order to substantiate this, the paper elicited data from civil service employees in Ethiopia and USA, so that the gap analysis between the two countries can be discerned. In addition to this, the paper analyses the impact of IT on the ...

  8. Adaptive technologies for library and information services for ...

    African Journals Online (AJOL)

    This study is an assessment of the use of adaptive technologies in library and information services for physically challenged in special education schools of Kaduna state. The researcher used survey research design for the study; the population for the study comprises library staff and students (physically challenged) of ...

  9. 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.

  10. Clinical utility of RapidArc™ radiotherapy technology

    International Nuclear Information System (INIS)

    Infusino, Erminia

    2015-01-01

    RapidArc™ 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”

  11. 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.)

  12. Utilizing technology for longitudinal communication with homeless youth.

    Science.gov (United States)

    Bender, Kimberly; Begun, Stephanie; DePrince, Anne; Haffejee, Badiah; Kaufmann, Sarah

    2014-10-01

    The current study investigated forms of technology (phone calls, texts, email and Facebook) for maintaining contact with homeless youth over baseline, 1-week, 6-week, and 3-month follow-up interviews. The study combined quantitative tracking of youths' response patterns and open-ended interviews regarding youths' preferred methods of communication. Results indicate that maintaining communication with homeless youth requires persistence, including frequent contact attempts over several days. Cell phone contacts (calls or texts) were most successful in communicating with youth, with e-mail and Facebook messaging useful when phones were lost or stolen. Youth who maintained contact were strikingly similar to youth who discontinued contact.

  13. Factors affecting the extent of utilization of physiotherapy services by physicians in Saudi Arabia

    Science.gov (United States)

    Alshehri, Mansour Abdullah; Alhasan, Hammad; Alayat, Mohamed; Al-subahi, Moayad; Yaseen, Khalid; Ismail, Ayah; Tobaigy, Abdullah; Almalki, Obaid; Alqahtani, Abdulfattah; Fallata, Basmah

    2018-01-01

    [Purpose] To investigate physicians’ attitudes, opinions and experiences towards physiotherapy services as well as to identify the potential factors that may affect the extent of utilization of physiotherapy services (based on physicians’ beliefs) in Saudi Arabia (SA). [Subjects and Methods] A cross-sectional study was conducted. [Results] A total of 108 respondents met the inclusion criteria. The respondents’ attitude towards physiotherapy was slightly low (53.5%), while their opinions and experiences of physiotherapy indicated some important issues. For example, 50% of them believed that physiotherapists did not create a good awareness about physiotherapy services and 55.5% admitted that they did not have enough information about physiotherapy services. The most potential factor reported by physicians that may affect the extent of utilization of physiotherapy services was the lack of physiotherapist’s skills and knowledge to assess and treat patients (55.3%), followed by the limited knowledge of physicians regarding the types of physiotherapy services (44.5%) and the lack of cooperation between physicians and physiotherapists (40.7%). [Conclusion] There were some factors that limited the extent of utilization of physiotherapy services in SA. Physiotherapy academics and clinicians should attempt to change physicians’ negative attitudes, promoting awareness to provide them with a better understanding of physiotherapy services. PMID:29545681

  14. 75 FR 48957 - Office of Special Education and Rehabilitative Services; Overview Information; Technology and...

    Science.gov (United States)

    2010-08-12

    ... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview Information; Technology and Media Services for Individuals With Disabilities--Video Description Research and... Technology and Media Services for Individuals with Disabilities program are to: (1) Improve results for...

  15. 75 FR 30795 - Office of Special Education and Rehabilitative Services; Overview Information; Technology and...

    Science.gov (United States)

    2010-06-02

    ... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview Information; Technology and Media Services for Individuals With Disabilities--Television Access; Notice.... Funding Opportunity Description Purpose of Program: The purposes of the Technology and Media Services for...

  16. 75 FR 59699 - Office of Special Education and Rehabilitative Services; Overview Information; Technology and...

    Science.gov (United States)

    2010-09-28

    ... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview Information; Technology and Media Services for Individuals With Disabilities--The Accessible Instructional... Program: The purposes of the Technology and Media Services for Individuals with Disabilities program is to...

  17. 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

  18. 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.

  19. A Cross-Sectional Analytic Study of Postpartum Health Care Service Utilization in the Philippines

    Science.gov (United States)

    Yamashita, Tadashi; Suplido, Sherri Ann; Ladines-Llave, Cecilia; Tanaka, Yuko; Senba, Naomi; Matsuo, Hiroya

    2014-01-01

    Background The maternal mortality ratio in the Philippines remains high; thus, it will be difficult to achieve the Millennium Development Goals 5 by 2015. Approximately two-thirds of all maternal deaths occur during the postpartum period. Therefore, we conducted the present study to examine the current state of postpartum health care service utilization in the Philippines, and identify challenges to accessing postpartum care. Methods A questionnaire and knowledge test were distributed to postpartum women in the Philippines. The questionnaire collected demographical characteristics and information about their utilization of health care services during pregnancy and the postpartum period. The knowledge test consisted of 11 questions regarding 6 topics related to possible physical and mental symptoms after delivery. Sixty-four questionnaires and knowledge tests were analyzed. Results The mean time of first postpartum health care visit was 5.1±5.2 days after delivery. Postpartum utilization of health care services was significantly correlated with delivery location (PPhilippines, Barangay health workers may play a role in educating postpartum women regarding health care service utilization to improve their knowledge of possible concerns and their overall utilization of health care services. PMID:24465626

  20. 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.

  1. 76 FR 34886 - General Services Administration Acquisition Regulation; Implementation of Information Technology...

    Science.gov (United States)

    2011-06-15

    ... Acquisition Regulation; Implementation of Information Technology Security Provision AGENCY: Office of... information technology (IT) supplies, services and systems with security requirements. DATES: Effective Date... effective date that include information technology (IT) supplies, services and systems with security...

  2. 77 FR 749 - General Services Administration Acquisition Regulation; Implementation of Information Technology...

    Science.gov (United States)

    2012-01-06

    ... Acquisition Regulation; Implementation of Information Technology Security Provision AGENCY: Office of... orders that include information technology (IT) supplies, services and systems. DATES: Effective Date... 6, 2012 that include information technology (IT) supplies, services and systems with security...

  3. 75 FR 5291 - Office of Special Education and Rehabilitative Services; Overview Information; Technology and...

    Science.gov (United States)

    2010-02-02

    ... DEPARTMENT OF EDUCATION Office of Special Education and Rehabilitative Services; Overview Information; Technology and Media Services for Individuals With Disabilities--Steppingstones of Technology... Announcement I. Funding Opportunity Description Purpose of Program: The purposes of the Technology and Media...

  4. Utilization of professional mental health services according to recognition rate of mental health centers.

    Science.gov (United States)

    Lee, Hyo Jung; Ju, Young Jun; Park, Eun-Cheol

    2017-04-01

    Despite the positive effect of community-based mental health centers, the utilization of professional mental health services appears to be low. Therefore, we analyzed the relationship between regional recognition of mental health centers and utilization of professional mental health services. We used data from the Community Health Survey (2014) and e-provincial indicators. Only those living in Seoul, who responded that they were either feeling a lot of stress or depression, were included in the study. Multiple logistic regression analysis using generalized estimating equations was performed to examine both individual- and regional-level variables associated with utilization of professional mental health services. Among the 7338 participants who reported depression or stress, 646 (8.8%) had consulted a mental health professional for their symptoms. A higher recognition rate of mental health centers was associated with more utilization of professional mental health services (odds ratio [OR]=1.05, 95% confidence interval [CI]=1.03-1.07). Accessibility to professional mental health services could be improved depending on the general population's recognition and attitudes toward mental health centers. Therefore, health policy-makers need to plan appropriate strategies for changing the perception of mental health services and informing the public about both the benefits and functions of mental health centers. Copyright © 2017. Published by Elsevier B.V.

  5. 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.

  6. Energy technologies for distributed utility applications: Cost and performance trends, and implications for photovoltaics

    International Nuclear Information System (INIS)

    Eyer, J.M.

    1994-01-01

    Utilities are evaluating several electric generation and storage (G ampersand S) technologies for distributed utility (DU) applications. Attributes of leading DU technologies and implications for photovoltaics (PV) are described. Included is a survey of present and projected cost and performance for: (1) small, advanced combustion turbines (CTs); (2) advanced, natural gas-fired, diesel engines (diesel engines); and (3) advanced lead-acid battery systems (batteries). Technology drivers and relative qualitative benefits are described. A levelized energy cost-based cost target for PV for DU applications is provided. The analysis addresses only relative cost, for PV and for three selected alternative DU technologies. Comparable size, utility, and benefits are assumed, although relative value is application-specific and often technology- and site-specific

  7. Development of HANARO Activation Analysis System and Utilization Technology

    International Nuclear Information System (INIS)

    Chung, Y. S.; Moon, J. H.; Cho, H. J.

    2007-06-01

    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

  8. Absorption technology for solar and waste heat utilization

    International Nuclear Information System (INIS)

    Grossman, G.

    1993-01-01

    Absorption heat pumps, first developed in the 19th century, have received renewed and growing attention in the past two decades. With the increasing cost of oil and electricity, the particular features of this heat-powered cycle have made it attractive for both residential and industrial applications. Solar-powered air conditioning, gas-fired domestic cooling and waste-heat-powered temperature boosters are some of the applications on which intensive research and development has been conducted. This paper describes the operation of absorption systems and discusses several practical applications. It surveys recent advances in absorption technology, including the selection of working fluids, cycle improvements and multi-staging, and fundamentals of the combined heat and mass transfer in absorption processes. (author)

  9. 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.

  10. Approach to improve construction management utilizing information technology

    International Nuclear Information System (INIS)

    Lee, Woo Bang; Moon, Jin Yeong

    2003-01-01

    Korea Hydro and Nuclear Power (KHNP) has been managed Nuclear Power Plant (NPP) construction projects including basic project planning, design, procurement, construction and start-up for nearly 30 years, and taken the leading role in the self-reliance program for constructing NPP. To maintain its leading position of construction technology and export it to other countries, it is more likely required to build the strong and competitive business management system to improve internal business efficiency and transparency, and also to respond to the change of external business circumstances such as electricity market opening. KHNP is implementing Enterprise Resource Planning (ERP) System as a business innovation tool to improve business efficiency, which changes the way of performing work from organizational system to process-oriented system in order to optimize the company resources to achieve above goals. This change should be made based on the results of performing Business Process Re-engineering (BPR) to maximize overall business efficiency. For the construction project management area, the establishment of Integrated Construction Information Sharing System based on Information Technology (IT) is the most important part. It makes possible to build collaboration system with 'Win-Win strategy' between the project owner and all related entities and to contribute to secure transparency and cut the project cost down. We would like to introduce our NPP Construction Project Management System, Infrastructure for Information System, Information Sharing System among construction related entities and Implementation Practices in this paper and also include the suggestions on our customary practice and subject that should be improved

  11. 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.

  12. Mobile integrated temporary utility system. Innovative technology summary report

    International Nuclear Information System (INIS)

    1998-12-01

    The Mobile Integrated Temporary Utility System (MITUS) integrates portable electrical power along with communications and emergency alarm and lighting capabilities to provide safe, centralized power to work areas that need to be de-energized for decommissioning work. MITUS consists of a portable unit substation; up to twenty portable kiosks that house the power receptacles, communications, and emergency alarm and lighting systems; and a central communications unit. This system makes sequential decommissioning efforts efficient and cost-effective by allowing the integrated system to remain intact while being moved to subsequent work sites. Use of the MITUS also eliminates the need to conduct zero-energy tests and implement associated lock-out/tag-out procedures at partially de-energized facilities. Since the MITUS is a designed system, it can be customized to accommodate unique facility conditions simply by varying kiosks and transformer configurations. The MITUS is an attractive alternate to the use of portable generators with stand-alone communications and emergency system. It is more cost-effective than upgrading or reconfiguring existing power distribution systems

  13. Check valve diagnostics utilizing acoustic and magnetic technologies

    International Nuclear Information System (INIS)

    Agostinelli, A.

    1991-01-01

    The potential hazards associated with check valve failures make it necessary to detect check valve problems before they cause significant damage. In the nuclear industry, check valve failures are known to have resulted in damaging water hammer conditions, overpressurization of low pressure systems, steam binding of auxiliary feedwater pumps, and other serious component damage in power plant environments. Similar problems exist in fossil power and various process industries, but the resources dedicated to valve maintenance issues are greatly reduced. However, the trend toward plant life extension, predictive maintenance, and maximum operating efficiency will raise the general awareness of check valve maintenance in commercial (non-nuclear) applications. Although this paper includes specific references to the nuclear industry, the check valve problem conditions and diagnostic techniques apply across all power and process plant environments. The ability to accurately diagnose check valve conditions using non-intrusive, predictive maintenance testing methods allows for a more cost-efficient, productive maintenance program. One particular diagnostic system, called Quickcheck trademark, assists utilities in addressing these concerns. This article presents actual field test data and analysis that demonstrate the power of check valve diagnostics. Prior to presenting the field data, a brief overview of the system is overviewed

  14. Technology Epiphany and an Integrated Product and Service

    Directory of Open Access Journals (Sweden)

    Satoru Goto

    2017-07-01

    Full Text Available This study aims at exploring how an integrated product and service contributes to achieving Innovation of Meaning (IoM or technology epiphany. Existing IoM studies have focused on intended meaning (as defined in new product development and ignored the received meaning that users reconstruct. The process by which a user assigns meaning to things can not only be static but also dynamic. This study focuses on integrated products and contexts offered by services and analyses the case of Japan’s largest manufacturer of ankle-foot orthoses. The results show that the service guides the users to reconstruct the meaning in dynamic cognitive processes and use the metaphors that contribute to the consistency between products and services.

  15. Transportation vulnerability as a barrier to service utilization for HIV-positive individuals.

    Science.gov (United States)

    Sagrestano, Lynda M; Clay, Joy; Finerman, Ruthbeth; Gooch, Jennifer; Rapino, Melanie

    2014-01-01

    Research suggests that transportation vulnerability can negatively impact adherence to HIV-related medical treatment. Moreover, transportation can be a barrier to accessing ancillary services which can increase positive health outcomes for HIV-positive individuals. This study examines transportation vulnerability and its impact on HIV-related health and ancillary service utilization in the Mid-South Region. Focus groups and interviews were conducted with service providers and HIV-positive individuals, and survey data were collected from HIV-positive individuals (N=309) using the five A's of access to frame transportation vulnerability: availability, accessibility, accommodation, affordability, and acceptability. Study results indicate that transportation vulnerability can present significant barriers to service utilization for HIV-positive individuals, including insufficient transportation infrastructure, incompatible fit between transportation and health systems, and insensitivity to privacy issues. One consequence of transportation vulnerability is reliance upon weaving together multiple modes of transport to access care and ancillary services, creating additional barriers to service utilization and medical adherence. The research team recommends more investment in public transit systems, expanded services, and innovative approaches to solving procedural problems.

  16. An equity analysis of utilization of health services in Afghanistan using a national household survey.

    Science.gov (United States)

    Kim, Christine; Saeed, Khwaja Mir Ahad; Salehi, Ahmad Shah; Zeng, Wu

    2016-12-05

    Afghanistan has made great strides in the coverage of health services across the country but coverage of key indicators remains low nationally and whether the poorest households are accessing these services is not well understood. We analyzed the Afghanistan Mortality Survey 2010 on utilization of inpatient and outpatient care, institutional delivery and antenatal care by wealth quintiles. Concentration indexes (CIs) were generated to measure the inequality of using the four services. Additional analyses were conducted to examine factors that explain the health inequalities (e.g. age, gender, education and residence). Among households reporting utilization of health services, public health facilities were used more often for inpatient care, while they were used less for outpatient care. Overall, the utilization of inpatient and outpatient care, and antenatal care was equally distributed among income groups, with CIs of 0.04, 0.03 and 0.08, respectively. However, the poor used more public facilities while the wealthy used more private facilities. There was a substantial inequality in the use of institutional delivery services, with a CI of 0.31. Poorer women had a lower rate of institutional deliveries overall, in both public and private facilities, compared to the wealthy. Location was an important factor in explaining the inequality in the use of health services. The large gap between the rich and poor in access to and utilization of key maternal services, such as institutional delivery, may be a central factor to the high rates of maternal mortality and morbidity and impedes efforts to make progress toward universal health coverage. While poorer households use public health services more often, the use of public facilities for outpatient visits remains half that of private facilities. Pro-poor targeting as well as a better understanding of the private sector's role in increasing equitable coverage of maternal health services is needed. Equity-oriented approaches

  17. An equity analysis of utilization of health services in Afghanistan using a national household survey

    Directory of Open Access Journals (Sweden)

    Christine Kim

    2016-12-01

    Full Text Available Abstract Background Afghanistan has made great strides in the coverage of health services across the country but coverage of key indicators remains low nationally and whether the poorest households are accessing these services is not well understood. Methods We analyzed the Afghanistan Mortality Survey 2010 on utilization of inpatient and outpatient care, institutional delivery and antenatal care by wealth quintiles. Concentration indexes (CIs were generated to measure the inequality of using the four services. Additional analyses were conducted to examine factors that explain the health inequalities (e.g. age, gender, education and residence. Results Among households reporting utilization of health services, public health facilities were used more often for inpatient care, while they were used less for outpatient care. Overall, the utilization of inpatient and outpatient care, and antenatal care was equally distributed among income groups, with CIs of 0.04, 0.03 and 0.08, respectively. However, the poor used more public facilities while the wealthy used more private facilities. There was a substantial inequality in the use of institutional delivery services, with a CI of 0.31. Poorer women had a lower rate of institutional deliveries overall, in both public and private facilities, compared to the wealthy. Location was an important factor in explaining the inequality in the use of health services. Conclusions The large gap between the rich and poor in access to and utilization of key maternal services, such as institutional delivery, may be a central factor to the high rates of maternal mortality and morbidity and impedes efforts to make progress toward universal health coverage. While poorer households use public health services more often, the use of public facilities for outpatient visits remains half that of private facilities. Pro-poor targeting as well as a better understanding of the private sector’s role in increasing equitable

  18. 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)

  19. Mental Health Service Utilization Among Lesbian, Gay, Bisexual, and Questioning or Queer College Students.

    Science.gov (United States)

    Dunbar, Michael S; Sontag-Padilla, Lisa; Ramchand, Rajeev; Seelam, Rachana; Stein, Bradley D

    2017-09-01

    College students are at high risk for mental health problems, yet many do not receive treatment even when services are available. Treatment needs may be even higher among sexual minority students, but little is known about how these students differ from heterosexual peers in terms of mental health needs and service utilization. A total of 33,220 California college students completed an online survey on mental health needs (e.g., current serious psychological distress and mental health-related academic impairment) and service utilization. Using logistic regressions, we examined differences in student characteristics, mental health service use, and perceived barriers to using on-campus services by sexual minority status. Approximately 7% of students self-identified as sexual minorities. Compared with heterosexual students, sexual minority students endorsed higher rates of psychological distress (18% vs. 26%, p mental health-related academic impairment (11% vs. 17%, p mental health services. Sexual minority students were also more likely to report using off-campus services and to endorse barriers to on-campus service use (e.g., embarrassed to use services and uncertainty over eligibility for services). Sexual minority individuals represent a sizeable minority of college students; these students use mental health services at higher rates than heterosexual peers but have high rates of unmet treatment need. Efforts to address commonly reported barriers to on-campus service use, foster sexual minority-affirmative campus environments, and promote awareness of campus services may help reduce unmet treatment need in this population. Copyright © 2017 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  20. 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

    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...... a long-term period psychotherapy patients increased their utilization of health care services with a factor 3 compared to a control group....

  1. SOCIAL AND SOCIETAL BARRIERS IN UTILIZATION OF MATERNAL HEALTH CARE SERVICES IN RURAL PUNJAB, PAKISTAN.

    Science.gov (United States)

    Sarfraz, Mariyam; Tariq, Saira; Hamid, Saima; Iqbal, Nafeesa

    2015-01-01

    The health status of pregnant women depends largely on the quality of the antenatal and delivery services available to them. Maternal mortality remains a major public health problem with antenatal and delivery care utilization remaining low in Pakistan. This study explores the perspectives of rural community members about the antenatal and delivery care services' utilization by the community. A qualitative study was undertaken in the rural community of District Attock. Focus Group Discussions (FGD) were conducted with husbands, married women of child-bearing age with young children and mothers-in-law. Data was analysed manually using content analysis techniques. Majority of the respondents sought antenatal care (ANC) after 3-4 months. They further reported that home was the preferred place of delivery followed by the local "rural health centre". The preferred attendant for delivery was the local Dai (traditional birth attendant). Major limitations to accessing ANC and delivery services were lack of knowledge about ANC, long distance and high transport costs to health care facilities. People had strong beliefs on faith healers (Pirs) and insufficient knowledge about danger signs. Traditional and customary practice as taweez dhaga, saya, purdah, non-availability of health care providers, and lack of trust on young community midwives led to people favouring the home based package of services provided by traditional birth attendants (Dais). The findings of this study indicate that demand side barriers such as lack of knowledge regarding home based care, social barriers, financial constraint and non-acceptability of community midwives (CMW) because services offered by traditional birth attendants (TBA) were more accessible in terms of distance and cost are a major challenge affecting utilization. Efforts towards ensuring the utilization of ANC and delivery services should be targeted towards rural areas and the importance of skilled care should be emphasized. Women

  2. 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.

  3. 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.

    2015-01-01

    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. PMID:25883136

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

    International Nuclear Information System (INIS)

    Adams, Helen; Neil Adger, W

    2013-01-01

    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

  5. 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

  6. 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.

  7. 18 CFR 367.4584 - Account 458.4, Excess or deficiency on servicing non-associate utility companies.

    Science.gov (United States)

    2010-04-01

    ... or deficiency on servicing non-associate utility companies. 367.4584 Section 367.4584 Conservation of... Account 458.4, Excess or deficiency on servicing non-associate utility companies. This account must... THE PUBLIC UTILITY HOLDING COMPANY ACT OF 2005, FEDERAL POWER ACT AND NATURAL GAS ACT UNIFORM SYSTEM...

  8. The utilization of occupational therapy services for persons with Charcot-Marie-Tooth disease.

    Science.gov (United States)

    Matyjasik-Liggett, Maria; Wittman, Peggy

    2013-07-01

    The purpose of this study was to investigate the utilization of occupational therapy services in persons with Charcot-Marie-Tooth (CMT) disease, to better understand if services are being provided, the types of interventions being provided, and satisfaction of services. Using survey methods, an online questionnaire was made available to persons with CMT listed on association websites worldwide. One hundred and fifteen persons with CMT, residing in all geographical regions within the United States and seven other countries participated in the study. Around half of all participants had received occupational therapy services. Twelve interventions were identified as being provided for persons with CMT. Although the majority of individuals receiving occupational therapy services did not feel like it improved their quality of life, the majority of individuals would recommend occupational therapy services to others and would return to an occupational therapist. Of those participants not receiving occupational therapy, the majority felt they would benefit from occupational therapy services. The results suggest that occupational therapy services are not being well utilized for this population. A low response rate limits generalization, thus further research is necessary.

  9. Utilization of voluntary counseling and testing services in the Eastern Cape, South Africa.

    Science.gov (United States)

    Hutchinson, P L; Mahlalela, X

    2006-07-01

    This analysis uses data from a population-based household survey and a government clinic survey in the Eastern Cape Province of South Africa to examine attitudes towards voluntary counseling and testing (VCT) services, patterns of utilization of VCT services and the relationships between HIV/AIDS-related stigma, VCT service availability and quality and the use of VCT. The household survey data are linked with clinic-level data to assess the impact of expanded VCT services and access to rapid testing on the likelihood of being tested in rural areas and on HIV/AIDS stigma. Our analysis finds that while overall use of VCT services is low, utilization of VCT services is positively associated with age, education, socioeconomic status, proximity to clinics, availability of rapid testing and outreach services and lower levels of HIV/AIDS stigma. Importantly, the effects of stigma appear considerably stronger for females, while men are more heavily influenced by the characteristics of the VCT services themselves.

  10. The effects of decentralizing anti-retroviral services in Nigeria on costs and service utilization: two case studies.

    Science.gov (United States)

    Johns, Benjamin; Baruwa, Elaine

    2016-03-01

    Nigeria launched a 'hub and spoke' decentralization pilot in March 2010 for the provision of anti-retroviral therapy (ART). In this programme, stable ART patients at hospitals (hubs) were referred to primary health care centres (spokes) for the continued provision of ART. The objectives of this study are to compare the cost of ART care provided through the two levels of care. We also assess if decentralization was associated with changes in patients' service utilization. Data were collected from facilities and patient records from Kaduna and Cross Rivers States. Costs were collected from the provider perspective. In Cross River, 398 patients and 528 from Kaduna were included in the retrospective cohort. The analysis utilizes separate fixed effect regressions for each state to assess differences in costs and service utilization among patients that decentralized. Uptake of decentralized services was ∼3% in Cross Rivers and ∼9% in Kaduna among active ART patients in April 2011. Patients electing to decentralize had 40% (95% CI: 13% to 67%) higher costs in Cross Rivers and 29% (-44% to -14%) lower costs in Kaduna as compared with patients that did not decentralize. Lower costs in Kaduna appear to result from shifting care to less expensive cadres of health workers (task shifting) rather than decentralization. Decentralization of health services is a complicated process and broad generalizations across settings and processes, concerning whether or not it reduces unit costs, are likely over-simplifications. Similarly, decentralization of ART services does not automatically increase access to ART care, and may limit access to ART laboratory services. This study is limited by not including costs incurred above the facility level, such as training, or costs borne by patients. © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  11. Demographic and rural-urban variations in dental service utilization in Taiwan.

    Science.gov (United States)

    Wen, Pei-Chun; Lee, Chiachi Bonnie; Chang, Ya-Hui; Ku, Li-Jung Elizabeth; Li, Chung-Yi

    2017-01-01

    This study assesses whether demographic and rural-urban variations in dental care service utilization still exist in Taiwan after 15 years of the implementation of universal health insurance coverage, which largely reduces financial barriers to dental care. The data analysed in this cohort study were based on a random sample of one million beneficiaries retrieved from Taiwan's National Health Insurance Research Database (NHIRD) in 2005. The follow-up was made between 2005 and 2010. Poisson regression models were used to explore the associations of dental service utilization rates with urbanization and demographic characteristics. The highest and lowest rates of preventive dental care were obtained in people aged 55-64 years (579.2/1000 person-years) and care were 1592.0/1000 person-years (urbanized areas, those from the most urbanized areas presented significantly higher rates of preventive and curative dental services; a greater estimated rate ratio was noted for preventive services than for curative services (1.57 vs 1.42). The urban-rural disparity in dental care service utilization still exists after 15 years of the implementation of the national health insurance in Taiwan, suggesting that factors other than affordability may play roles in such disparity.

  12. Factors responsible for under-utilization of postnatal care services in Maiduguri, north-eastern Nigeria

    Directory of Open Access Journals (Sweden)

    Idris Usman Takai

    2015-01-01

    Full Text Available Background: In Maiduguri, the utilization of available postnatal care services is still very low. This may be influenced by demographic, socioeconomic, cultural, and obstetric factors among others. Objective: The aim of this study is to understand the current status of utilization of maternal postnatal health care services and identify factors responsible for under.utilization of available postnatal care services in Maiduguri. Materials and Methods: A. cross.sectional, questionnaire.based study was conducted involving 350 women in their reproductive age group. (15.49. years, who had delivered previously, residing in Maiduguri and who came to access any of the available maternal health care services at the State Specialist Hospital, Maiduguri over a 3.month period. The Chi.squared statistics and multivariate logistic regression analysis were used. Results: Out of the grand total of 350 questionnaires that were distributed during the study period, 18 questionnaires were excluded from analysis due to incomplete responses, 332 with complete responses were therefore analyzed, giving a response rate of 94.9%. The results showed that only 16.9% of the respondents attended postnatal care services within 42. days after delivery. Most of the mothers. (60.9% were not knowledgeable about postnatal care services. A. very high proportion of participants. (69.4% did not attend antenatal clinics, and over. 70% of the study population had delivered at home. The study has identified some factors that have an important influence on utilization of postnatal care services in Maiduguri. These included awareness of postnatal care services. (odds ratio. [OR] 12.04, 95% confidence interval. [CI]: 10.26, P =. 0.000, higher educational status of the woman. (OR 7.15, 95% CI: 5.19, P =0.000, lower parity. (OR 5.22, 95% CI: 3.21, P = 0.001 and marital status. (married woman.OR 3.44, 95% CI: 2.17, P =0.002. Educational attainment of the husband also significantly affected the

  13. Assistive/rehabilitation technology, disability, and service delivery models.

    Science.gov (United States)

    Adya, Meera; Samant, Deepti; Scherer, Marcia J; Killeen, Mary; Morris, Michael W

    2012-08-01

    The United Nation's Millennium Development Goals do not explicitly articulate a focus on disability; similar failures in the past resulted in research, policy, and practice that are not generalizable and did not meet the needs of persons with disabilities since they were developed for an "average" population. Academics and professionals in health and other disciplines should have a knowledge base in evidence-based practices that improve well-being and participation of people with disabilities through effective service delivery of assistive technology. Grounded by a theoretical framework that incorporates a multivariate perspective of disability that is acknowledged in the convention on the rights of persons with disabilities and the World Health Organization's International Classification of Functioning, Disability and Health, we present a review of models of assistive technology service delivery and call for future syntheses of the fragmented evidence base that would permit a comparative effectiveness approach to evaluation.

  14. Do place of residence and ethnicity affect health services utilization? evidence from greece.

    Science.gov (United States)

    Lahana, Eleni; Pappa, Evelina; Niakas, Dimitris

    2011-04-26

    Equal utilization of health services for equal need, is one of the main targets for public health systems. Given the public-private structure of the Greek NHS, the main aim of the study was to investigate the impact of underlying factors, such as health care needs, socio-demographic characteristics and ethnicity, on the utilization of primary and hospital health care in an urban and rural population of the Greek region, Thessaly. A cross-sectional study was carried out in 2006 in Thessaly, a Greek region of Central Greece, in a representative sample of 1372 individuals (18+ years old, response rate 91.4%) via face-to-face interview. Health care needs were determined by self-perceived health status estimated by the SF-36 Health Survey, using the summary scores of physical and mental health. The utilization of primary care was measured by last month visits to 1) primary public services and 2) private practitioners visits and utilization of secondary care was measured by past year visits to 3) public hospital emergency departments and 4) admissions to public hospitals. Multivariable stepwise logistic regression analysis was applied in the whole sample and separately for the urban and rural population, in order to determine the predictors of health services utilization. Statistical significance was determined with a p value services utilization in both the urban and rural areas. Poor physical and mental health was associated with higher likelihood of use. In the urban areas middle-aged, elderly and Greeks were more likely to use primary health services, whereas primary education was associated with more visits to the emergency departments. Wealthier individuals were two times more likely to be admitted to hospitals. Individuals from the rural areas with university education visited more the public primary services, while wealthier individuals visited more the private practitioners. Immigrants had a higher likelihood of visiting emergency departments. Although health

  15. Utilizing TOPSIS intensified with adjustment similarity factor to determine price of technology

    Directory of Open Access Journals (Sweden)

    Seyed Mohammad Seyedhosseini

    2012-08-01

    Full Text Available Technology transfer has been a very frequent activity in the industrial world nowadays. Technology valuation, and in particular technology pricing, has played a considerable role in these transactions, in spite of a huge amount of limitations in the pricing methodologies applied. Making a sound, traceable and reliable means for applying the price evaluation procedure, seems as a technological requirement to be traced for. The objective of delivering this paper is to introduce a new numerical technology pricing method to provide the two transacting parties a unique compromised price. A three-dimensional model for technology pricing is proposed and The TOPSPS algorithm has been utilized to select the most similar technologies to the intended one and the constructed scoring system is applied to calculate the final technology price accordingly.

  16. Determinants of health service utilization among Pakistani immigrants in Maryland, USA.

    Science.gov (United States)

    Khan, Shahzad Ali; Manzoor, Khola

    2014-01-01

    Health of immigrants is challenge for any host country due to multiple reasons. Immigrants of Pakistani origin constitute a significant population in the USA and their population has doubled in last 10 years. This study was conducted to determine factors affecting health service utilization in the state of Maryland, USA. This was a descriptive study, utilizing mixed method research. A sample of 100 respondents from Pakistani immigrants in Maryland was selected through convenience sampling. A structured questionnaire was used for soliciting responses. Three focus group discussions were also conducted for qualitative assessment of health service utilization. Male gender, higher level of education, longer duration of stay, and higher income people had more utilization of health services. Those not having insurance had affordability issues as they had to pay out of pocket for treatment cost. A high proportion of uninsured were resorting to traditional home remedies for treatment. There was a concern on delays in appointment system and long waiting time for elective cases. Most respondents mentioned problem of language while interacting with doctors and need of English speaking family member in medical consultation. Many respondents reported difficulty in availing health services due to job commitments. They had to make arrangements for substitute at their workplaces, which affected their utilization of health services. Low-income immigrants in USA are less likely to have health insurance. Factors affecting service use are out of pocket costs, long waiting time, language problems and immigrants' job commitments. It is recommended to get a clear idea of health systems of USA before moving to US as immigrant.

  17. Women’s autonomy and maternal healthcare service utilization in Ethiopia

    Directory of Open Access Journals (Sweden)

    Fentanesh Nibret Tiruneh

    2017-11-01

    Full Text Available Abstract Background Most previous studies on healthcare service utilization in low-income countries have not used a multilevel study design to address the importance of community-level women’s autonomy. We assessed whether women’s autonomy, measured at both individual and community levels, is associated with maternal healthcare service utilization in Ethiopia. Methods We analyzed data from the 2005 and 2011 Ethiopia Demographic and Health Surveys (N = 6058 and 7043, respectively for measuring women’s decision-making power and permissive gender norms associated with wife beating. We used Spearman’s correlation and the chi-squared test for bivariate analyses and constructed generalized estimating equation logistic regression models to analyze the associations between women’s autonomy indicators and maternal healthcare service utilization with control for other socioeconomic characteristics. Results Our multivariate analysis showed that women living in communities with a higher percentage of opposing attitudes toward wife beating were more likely to use all three types of maternal healthcare services in 2011 (adjusted odds ratios = 1.21, 1.23, and 1.18 for four or more antenatal care visits, health facility delivery, and postnatal care visits, respectively. In 2005, the adjusted odds ratios were 1.16 and 1.17 for four or more antenatal care visits and health facility delivery, respectively. In 2011, the percentage of women in the community with high decision-making power was positively associated with the likelihood of four or more antenatal care visits (adjusted odds ratio = 1.14. The association of individual-level autonomy on maternal healthcare service utilization was less profound after we controlled for other individual-level and community-level characteristics. Conclusions Our study shows that women’s autonomy was positively associated with maternal healthcare service utilization in Ethiopia. We suggest addressing woman

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

    Science.gov (United States)

    Ehteshami, Asghar

    2017-03-01

    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. 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. 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). 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 important in the barcode

  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. English Proficiency, Threshold Language Policy and Mental Health Service Utilization among Asian-American Children.

    Science.gov (United States)

    Aratani, Yumiko; Liu, Cindy H

    2015-10-01

    This paper explores the role of English proficiency, ethnicity, and California's threshold language policy in the rates of discontinuing mental health services among Asian-American children. We used data from the 2001-2006 Client and Services Information (CSI) System, which contains county-level information about service users in public mental health systems. Our data included 59,218 service users under the age of 18. We used logistic regression to determine the likelihood of discontinuing services, while controlling for sociodemographic and clinical characteristics. English-speaking Asians were 11% more likely than English-speaking Whites to discontinue mental health services. Non-English-speaking Asians were 50% significantly more likely to stay in services. The results also revealed some inter-ethnic variations in the discontinuation patterns; however, the patterns of mental health service utilization appear to be driven by the availability of mental health services in Asian-ethnic languages in county of residence. Further research is needed to understand the intake and referral processes that Asian children go through within the mental health service system. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. 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.

  2. Psychiatric services utilization in completed suicides of a youth centres population

    Directory of Open Access Journals (Sweden)

    Turecki Gustavo

    2006-08-01

    Full Text Available Abstract Background From a retrospective study of youth centres (YCs and coroner's files, we investigated youths' history of medical service utilization who died by suicide. This is the second of two papers on YCs population, the first paper having shown that the rate of psychopathology was higher in the YCs population compared to the general adolescent population. Methods From 1995 to 2000, 422 youths, aged 18 years and younger, died as a result of suicide in Quebec. More than one-third received services from YCs at some point. Using the provincial physician payment and hospitalization database, we examined physical and psychiatric service utilization according to time intervals, as well as hospitalization for psychiatric reasons in the individuals' lifetime and in the year preceding suicide. Suicides were matched to living YCs youths for age, sex, and geographic area. YCs controls were then subdivided into two groups based on file information pertaining to the presence or absence of suicidal behavior or ideation. Results Compared to living YCs youths, suicides had a higher rate of psychiatric service utilization in the week, month, 90 days, and year preceding suicide, as well as higher levels of lifetime hospitalization for psychiatric reasons than controls with or without a history of suicidal behavior or ideation. We found that 28.3% YCs suicides made use of psychiatric services in the year preceding suicide. Conclusion The rate of psychiatric service utilization by YCs youth suicides is substantially inferior to the needs of this population. Our study underscores the need for appropriate recognition of psychiatric and suicidal problems among YCs population by social and psycho-educational professionals. At the same time, it highlights the issues of general practitioners' risk identification, psychiatric referral and treatment. Our findings suggest the need for improved organization and coordination of psychiatric services to ameliorate

  3. 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.

  4. patient perceptions of integrated care and their relationship to utilization of emergency, inpatient and outpatient services.

    Science.gov (United States)

    Fryer, Ashley-Kay; Friedberg, Mark W; Thompson, Ryan W; Singer, Sara J

    2017-12-01

    Patients with multiple chronic conditions have garnered particular attention from policymakers and health service researchers because these patients utilize more services and contribute disproportionally to rising health care expenses. The growing prevalence of patients with multiple chronic conditions has increased the importance of achieving better health care integration for this patient population. Patients may be well positioned to assess integration of their care, but the relationship between patients' perceptions of care integration and use of health services has not been studied. We sought to understand how patient-perceived integrated care relates to utilization of health services. We fielded the Patient Perceptions of Integrated Care survey among a random sample of 3000 (information flow to other providers in your doctor's office and responsiveness independent of visits, pinformation flow to your specialist, pinformation flow to the patient, psystem, patient perceptions of integrated care were associated with ED and outpatient utilization but not inpatient utilization. With further development, patient reports of integration could be useful guides to improving health system efficiency. Copyright © 2017. Published by Elsevier Inc.

  5. Comparing post-deployment mental health services utilization in soldiers deployed to Balkan, Iraq and Afghanistan

    DEFF Research Database (Denmark)

    Madsen, T; Sadowa Vedtofte, M; Nordentoft, M

    2017-01-01

    of psychotropics. RESULTS: Utilizing of psychiatric outpatient services and psychotropics was significantly higher in first-time deployed to Iraq and Afghanistan compared with deployed to Balkan. However, the rate of postdeployment admission to psychiatric hospital did not differ between missions. Postdeployment...

  6. Utilization of oral health services by mothers of preschool children in ...

    African Journals Online (AJOL)

    Objective: To determine oral health services utilization by mothers of pre school children in Jos North Local Government Area, Plateau State, Nigeria Design: Cross-sectional study. Setting: Four Primary Health Care (PHC) Clinics in Jos North Local Government Area Participants: 200 mothers of pre school children

  7. 41 CFR 102-82.15 - What utility services must Executive agencies provide?

    Science.gov (United States)

    2010-07-01

    ... Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT REGULATION REAL PROPERTY 82..., provide rate intervention services in proceedings (see §§ 102-72.100 and 102-72.105 of this chapter) before Federal and State utility regulatory bodies. ...

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

    NARCIS (Netherlands)

    van den Berg, D.; van der Heijden, Matthijs C.; Schuur, Peter

    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,

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

    NARCIS (Netherlands)

    van den Berg, D.; van der Heijden, Matthijs C.; Schuur, Peter

    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

  10. 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…

  11. Equilibrium arrival times to queues with general service times and non-linear utility functions

    DEFF Research Database (Denmark)

    Breinbjerg, Jesper

    2017-01-01

    by a general utility function which is decreasing in the waiting time and service completion time of each customer. Applications of such queueing games range from people choosing when to arrive at a grand opening sale to travellers choosing when to line up at the gate when boarding an airplane. We develop...

  12. Black and White Dementia Caregivers: A Comparison of Their Adaptation, Adjustment, and Service Utilization.

    Science.gov (United States)

    Hinrichsen, Gregory A.; Ramirez, Mildred

    1992-01-01

    Compared African-American (n=33) and white (n=119) family caregivers of dementia patients on adaptation, adjustment, and utilization of support services. Found African-American and white caregivers differed most notably on marital and financial/insurance status, but there were few differences in adaptation to dementia responsibilities.…

  13. Early Community-Based Service Utilization and Its Effects on Institutionalization in Dementia Caregiving

    Science.gov (United States)

    Gaugler, Joseph E.; Kane, Robert L.; Kane, Rosalie A.; Newcomer, Robert

    2005-01-01

    Purpose: The present study attempts to determine whether utilizing community-based long-term-care services early in the dementia caregiving career delays time to nursing home placement (adjusting for severity of dementia). Design and Methods: With a reliance on data from 4,761 dementia caregivers recruited from eight catchment areas in the United…

  14. ADHD and Health Services Utilization in the National Health Interview Survey

    Science.gov (United States)

    Cuffe, Steven P.; Moore, Charity G.; McKeown, Robert

    2009-01-01

    Objective: Describe the general health, comorbidities and health service use among U.S. children with ADHD. Method: The 2001 National Health Interview Survey (NHIS) contained the Strengths and Difficulties Questionnaire (SDQ; used to determine probable ADHD), data on medical problems, overall health, and health care utilization. Results: Asthma…

  15. 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...

  16. The Utility of the Metacognitive Awareness Inventory for Teachers among In-Service Teachers

    Science.gov (United States)

    Kallio, Heli; Virta, Kalle; Kallio, Manne; Virta, Arja; Hjardemaal, Finn Rudolf; Sandven, Jostein

    2017-01-01

    The purpose of the present study is to explore the utility of the compressed version of the Metacognitive Awareness Inventory for Teachers (MAIT-18) among in-service teachers. Knowledge of teachers' awareness of metacognition is required to support students' self-regulation, with the aim of establishing modern learning methods and life-long…

  17. Remoteness and maternal and child health service utilization in rural Liberia: A population–based survey

    Directory of Open Access Journals (Sweden)

    Avi Kenny

    2015-12-01

    Full Text Available This study seeks to understand distance from health facilities as a barrier to maternal and child health service uptake within a rural Liberian population. Better understanding the relationship between distance from health facilities and rural health care utilization is important for post–Ebola health systems reconstruction and for general rural health system planning in sub–Saharan Africa.

  18. Pattern of utilization of ante-natal and delivery services in a semi ...

    African Journals Online (AJOL)

    Pattern of utilization of ante-natal and delivery services in a semi-urban community of. North-Central Nigeria. Jimoh Maryam Abimbola1, Akande Tanimola Makanjuola1, Salaudeen Adekunle Ganiyu1,. Uthman Mohammed Mubashir Babatunde1, Durowade Kabir Adekunle2, Aremu Ayodele Olatayo3. 1. Department of ...

  19. THE NECESSITY OF ACCOUNTING INFORMATION IN THE MANAGEMENT OF THE COMMUNITARIAN SERVICES OF PUBLIC UTILITIES

    Directory of Open Access Journals (Sweden)

    DOREL MATEŞ

    2010-01-01

    Full Text Available We presented in this work the way in which the information furnished by the financial-accounting information system is used in the decision making process of the management of the operators of communitarian services from public utilities. Also, the implications of the accounting information in the planning and accomplishing the investments within the infrastructure necessary for the services of public utilities are presented. The financial-accounting information is created with the purpose of answering the requests of the management to fundament the decisions but also to satisfy the information needs of the other external or internal users. Regarding this, the financial-accounting information specific for the operators from the system of communitarian services of public utilities is presented and also the qualitative characteristics and the way the accounting information is gathered in order for it to have real value for planning, control and decision making. Also, are presented the situations with financial and performance indicators that are requested by ANRSC in order for the services of public utilities to be licensed, indicators calculated with the help of the data received from the financial situations.

  20. Colombia - Expanding Services to Low-Income Areas Comparing Private and Public Water Utilities

    OpenAIRE

    Sotomayor, Maria Angelica

    2003-01-01

    Colombia is one of the most active Latin American countries in incorporating private sector participation (PSP) in managing water utilities. One of the community's main concerns is that reforms that treat water and sanitation services as an economic asset rather than as a social good and that allow providers to apply commercial (profit-oriented) criteria, may tend to restrict access to the...

  1. 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.

  2. Inconsistencies Exist in National Estimates of Eye Care Services Utilization in the United States

    Directory of Open Access Journals (Sweden)

    Fernando A. Wilson

    2015-01-01

    Full Text Available Background. There are limited research and substantial uncertainty about the level of eye care utilization in the United States. Objectives. Our study estimated eye care utilization using, to our knowledge, every known nationally representative, publicly available database with information on office-based optometry or ophthalmology services. Research Design. We analyzed the following national databases to estimate eye care utilization: the Medical Expenditure Panel Survey (MEPS, National Health Interview Survey (NHIS, Joint Canada/US Survey of Health (JCUSH, Behavioral Risk Factor Surveillance System (BRFSS, and the National Ambulatory Medical Care Survey (NAMCS. Subjects. US adults aged 18 and older. Measures. Self-reported utilization of eye care services. Results. The weighted number of adults seeing or talking with any eye doctor ranges from 87.9 million to 99.5 million, and the number of visits annually ranges from 72.9 million to 142.6 million. There were an estimated 17.2 million optometry visits and 55.8 million ophthalmology visits. Conclusions. The definitions and estimates of eye care services vary widely across national databases, leading to substantial differences in national estimates of eye care utilization.

  3. Public Private Partnership And Utilization Of Maternal And Child Health Services In District Abbottabad, Pakistan.

    Science.gov (United States)

    Imtiaz, Ayesha; Farooq, Ghulam; Haq, Zia Ul; Ahmed, Ashfaq; Anwar, Saeed

    2017-01-01

    Public Private Partnership has been experimented as an approach in Pakistan in 2005 and in eighteen districts of Khyber Pakhtunkhwa including Abbottabad in 2011, to improve delivery of maternal and child health services. This study was conducted to assess the utilization of maternal and child health services before and after implementation of Public Private Partnership in district Abbottabad. A cross sectional study was conducted in district Abbottabad from July to December 2014. Study included all the 53 basic health units, outsourced to People's Primary Healthcare Initiative in 2011. Data related to selected maternal and child health services indicators (family planning services, antenatal and post-natal care, safe delivery, tetanus toxoid vaccination of pregnant women and child immunization), before and after the introduction of Public Private Partnership, was collected. Significance tests (t-test) was applied and p-value Public Private Partnership had significant effect on postnatal visits (pPublic Private Partnership improved the utilization of maternal and child health services, particularly family planning services and maternal & child immunization. The partnership may be scaled up and extended, for an improved coverage of maternal and child health services.

  4. 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.

  5. 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.

  6. 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.

  7. Emergency department and inpatient health care utilization among patients who require interpreter services.

    Science.gov (United States)

    Njeru, Jane W; St Sauver, Jennifer L; Jacobson, Debra J; Ebbert, Jon O; Takahashi, Paul Y; Fan, Chun; Wieland, Mark L

    2015-05-29

    Limited English proficiency is associated with health disparities and suboptimal health outcomes. Although Limited English proficiency is a barrier to effective health care, its association with inpatient health care utilization is unclear. The aim of this study was to examine the association between patients with limited English proficiency, and emergency department visits and hospital admissions. We compared emergency department visits and hospitalizations in 2012 between patients requiring interpreter services and age-matched English-proficient patients (who did not require interpreters), in a retrospective cohort study of adult patients actively empanelled to a large primary health care network in a medium-sized United States city (n = 3,784). Patients who required interpreter services had significantly more Emergency Department visits (841 vs 620; P ≤ .001) and hospitalizations (408 vs 343; P ≤ .001) than patients who did not require interpreter services. On regression analysis the risk of a first Emergency Department visit was 60% higher for patients requiring interpreter services than those who did not (unadjusted hazard ratio [HR], 1.6; 95% confidence interval (CI), 1.4-1.9; P interpreter services had higher rates of inpatient health care utilization compared with patients who did not require an interpreter. Further research is required to understand factors associated with this utilization and to develop sociolinguistically tailored interventions to facilitate appropriate health care provision for this population.

  8. 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.

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

    Science.gov (United States)

    2008-02-11

    Wegner in the Department of Healthcare Operations for helping me access and understand the data used for this study. I would also like to extend a...social well-being and not merely the absence of disease or infirmity" (1946). WHO further describes health care as all the goods and services designed...outpatient treatment and consultation related to the management of psychological issues associated with medical treatment and disease management, with a

  10. Costs and utilization of public sector family planning services in Pakistan.

    Science.gov (United States)

    Abbas, Khadija; Khan, Adnan Ahmad; Khan, Ayesha

    2013-04-01

    The public sector provides a third of family planning (FP) services in Pakistan. However, these services are viewed as being underutilized and expensive. We explored the utilization patterns and costs of FP services in the public sector. We used overall budgets and time allocation by health and population departments to estimate the total costs of FP by these departments, costs per woman served, and costs per couple-year of protection (CYP). The public sector is the predominant provider of FP to the poorest and is the main provider of female sterilization services. The overall costs of FP in the public sector are USD 55 per woman served, annually (USD 17 per CYP). Within the public sector, the population welfare departments provide services at USD 72 per woman served, annually (USD 17 per CYP) and the health departments at USD 39 per woman per year (USD 29 per CYP). While the public sector has a critical niche in serving the poor and providing female sterilization, its services are considerably more expensive compared to international and even some Pakistani non-government organization (NGO) costs. This reflects inefficiencies in services provided, client mistrust in the quality of services provided, and inadequate referrals, and will require specific actions for improving referrals and the quality of services.

  11. Factors affecting utilization of dental health services and satisfaction among adolescent females in Riyadh City

    Science.gov (United States)

    Al-Hussyeen, Al Johara A.

    2009-01-01

    Objectives This study was conducted to determine factors affecting utilization of dental health services among intermediate female school students in Riyadh. In addition to assessing their satisfaction with the dental care received during the last dental visit. Subjects and methods Self-administered questionnaires were distributed among students attending eight public and four private schools. These schools were selected randomly to represent the four different administrative zones in Riyadh. Results Of 600 questionnaires distributed, 531 were complete and suitable for analysis. Nearly three quarters of the students visited the dentist more than once during the last 2 years. A bout 75% had their treatment in private dental clinics and 63% made their visits for routine treatment. The quality of dental care was found to be the most encouraging factor for utilization of dental services, whereas, far geographic location of the dental clinics was the most discouraging factor. For those who received treatment in the government clinics, the most discouraging factor was post operative complications (P dental care was the most discouraging factor for utilizing the dental services for those who visited private clinics (P dental care was the most encouraging factor (P pain highly considered modern clinics and those recommended by friends as highly encouraging factors (P dental care as discouraging factor for using dental services (P dental care as encouraging for the use of dental clinics (P dental care was found to be significantly associated with high quality of dental care, convenient appointment, friendly staff, modern dental clinics and clinics recommended by friends. Conclusion Quality of dental care, reasonable fees for dental services and close location of dental clinics to students’ homes are encouraging factors for utilization of dental services. PMID:23960475

  12. Factors influencing utilization of physiotherapy service among children with cerebral palsy in Jalandhar District of Punjab

    Directory of Open Access Journals (Sweden)

    Akhoury Gourang Sinha

    2017-01-01

    Full Text Available Background: Physiotherapy plays a central role in the management of children with cerebral palsy (CP; however, literature describing the use of physiotherapy service and the factors affecting utilization of physiotherapy service for this group of children in the Indian context remain unexplored. Aims and Objectives: To describe the utilization of physiotherapy services and explore the factors affecting utilization of physiotherapy services among children with CP of Jalandhar district of Punjab. Methodology: During June 2009 to March 2012 interview of family members of 248 children with CP (male = 159; female = 89 was conducted using a schedule focusing on demography, constraints of resources, expectations, beliefs, awareness, and service utilization. Cross tabulation with Chi-square, univariate, and multivariate logistic regression analysis were the tools of statistical analysis. Results: 44.4% children had not received any physiotherapy in their life time. In univariate analysis exposure to physiotherapy was found significantly associated with age of diagnosis (odds ratio [OR] = 2.47, finance constraint (OR = 2.27, personal constraint (OR = 2.54, transportation constraint (OR = 3.01, lack of advice for rehabilitation (OR = 2.36, ignorance about condition (OR = 11.94, and rehabilitation services (OR = 2.88. Multivariate model (χ2 = 57.16, df = 15, P < 0.001, pseudo R2 Cox and Snell = 0.22, Nagelkerke = 0.27 identified two main predictor variables of nonexposure to physiotherapy-ignorance about condition (OR = 7.3 and expectation of normalcy (OR = 0.43. Conclusion: The main drivers for the use of physiotherapy among children with CP in Jalandhar district of Punjab were awareness about the condition of CP and expectation of normalcy which demonstrated a complex relationship with sociodemographic factors.

  13. Factors Influencing Utilization of Physiotherapy Service among Children with Cerebral Palsy in Jalandhar District of Punjab.

    Science.gov (United States)

    Sinha, Akhoury Gourang; Sharma, Raju

    2017-01-01

    Physiotherapy plays a central role in the management of children with cerebral palsy (CP); however, literature describing the use of physiotherapy service and the factors affecting utilization of physiotherapy service for this group of children in the Indian context remain unexplored. To describe the utilization of physiotherapy services and explore the factors affecting utilization of physiotherapy services among children with CP of Jalandhar district of Punjab. During June 2009 to March 2012 interview of family members of 248 children with CP (male = 159; female = 89) was conducted using a schedule focusing on demography, constraints of resources, expectations, beliefs, awareness, and service utilization. Cross tabulation with Chi-square, univariate, and multivariate logistic regression analysis were the tools of statistical analysis. 44.4% children had not received any physiotherapy in their life time. In univariate analysis exposure to physiotherapy was found significantly associated with age of diagnosis (odds ratio [OR] = 2.47), finance constraint (OR = 2.27), personal constraint (OR = 2.54), transportation constraint (OR = 3.01), lack of advice for rehabilitation (OR = 2.36), ignorance about condition (OR = 11.94), and rehabilitation services (OR = 2.88). Multivariate model (χ 2 = 57.16, df = 15, P physiotherapy-ignorance about condition (OR = 7.3) and expectation of normalcy (OR = 0.43). The main drivers for the use of physiotherapy among children with CP in Jalandhar district of Punjab were awareness about the condition of CP and expectation of normalcy which demonstrated a complex relationship with sociodemographic factors.

  14. 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.

  15. 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.

  16. 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

  17. Effect of Women's autonomy on maternal health service utilization in Nepal: a cross sectional study.

    Science.gov (United States)

    Adhikari, Ramesh

    2016-05-13

    Women's role has been a priority area not only for sustainable development, but also in reproductive health since ICPD 1994. However, very little empirical evidence is available about women's role on maternal health service utilization in Nepal. This paper explores dimensions of women's autonomy and their relationship to utilization of maternal health services. The analysis uses data from the Nepal Demographic and Health Survey, 2011. The analysis is confined to women who had given birth in the 5 years preceding the survey (n = 4,148). Women's autonomy related variables are taken from the standard DHS questionnaire and measured based on decision in household about obtaining health care, large household purchases and visit to family or relative. The net effect of women's autonomy on utilization of maternal health services after controlling for the effect of other predictors has been measured through multivariate logistic regression analysis. The findings indicate only about a half of the women who had given birth in the past 5 years preceding the survey had 4 or more ANC check up for their last birth. Similarly, 40 % of the women had delivered their last child in the health facilities. Furthermore, slightly higher than two-fifth women (43 %) had postnatal check up for their last child. Only slightly higher than a fourth woman (27 %) had utilized all the services (adequate ANC visit, delivered at health institution and post natal check up) for their last child. This study found that many socio-demographic variables such as age of women, number of children born, level of education, ethnicity, place of residence and wealth index are predicators of utilizing the maternal health services of recent child. Notably, higher level autonomy was associated with higher use of maternal health services [adjusted odds ratio (aOR) =1.40; CI 1.18-1.65]. Utilization of maternal health services for the recent child among women is very low. The study results suggest that policy

  18. 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…

  19. Why women do not utilize maternity services in Nepal: a literature review.

    Science.gov (United States)

    Karkee, Rajendra; Lee, Andy H; Binns, Colin W

    2013-01-01

    The structure and provision mechanism of maternity services in Nepal appears to be good, with adequate coverage and availability. Utilization of maternity services has also improved in the past decade. However, this progress may not be adequate to achieve the Millennium Development Goal to improve maternal health (MDG 5) in Nepal. This paper reviews the factors that impede women from utilizing maternity services and those that encourage such use. Twenty-one articles were examined in-depth with results presented under four headings: (i) sociocultural factors; (ii) perceived need/benefit of skilled attendance; (iii) physical accessibility; and (iv) economic accessibility. The majority of the studies on determinants of service use were cross-sectional focusing on sociocultural, economic and physical accessibility factors. In general, the education of couples, their economic status and antenatal check-ups appeared to have positive influences. On the other hand, traditional beliefs and customs, low status of women, long distance to facilities, low level of health awareness and women's occupation tended to impact negatively on service uptake. More analytical studies are needed to assess the effectiveness of the Safer Mother Programme, expansion of rural birth centres and birth-preparedness packages on delivery-service use. Moreover, it is important to investigate women's awareness of the need of facility delivery and their perception of the quality of health facilities in relation to actual usage.

  20. Utilization of Primary Health Care Services in Jaba Local Government Area of Kaduna State Nigeria.

    Science.gov (United States)

    Otovwe, Agofure; Elizabeth, Sarki

    2017-07-01

    Primary health care was designed to provide accessible health care for all. However, most primary health care facilities are in various states of disrepair, catering for less than 20% of potential patients in the population. This study was designed to investigate the utilisation of primary health care services in Jaba Local Government Area of Kaduna State Nigeria. The study employed a cross-sectional study design conducted among 383 respondents utilising simple random sampling techniques. A pretested semi-structured questionnaire was administered to obtain information from respondents, while descriptive statistics was used to analyse the data. The results show that almost all of the respondents, 333(97.90%), were aware of the existence of primary health care services in their community. Furthermore, the majority of the respondents, 304(89.40%), utilized primary health care services while 293(86.20%) and 212(62.40%) were satisfied with the amount of charges for services and the supply of drugs respectively. According to the respondent, weak services in primary health care includes; personal hygiene and nutritional education, management of chronic diseases and cancer screening. Factors that influence the utilization of primary health care services according to the respondents were availability of trained personnel (AOR=1.828 95% CI=0.410-1.672), attitude of staffs (AOR=1.114 95% CI=0.527-2.355), waiting times (AOR=1.110 95% CI=0.584-2.224) and availability of diagnostic services (AOR=0.951 95% CI=0.472-1.918). The study highlighted the weaknesses in some of the services offered at the various primary health centres and the factors which can hinder the residents from patronizing primary health care services.

  1. Differential Service Utilization Associated With Trauma-informed Integrated Treatment for Women With Co-occurring Disorders

    OpenAIRE

    Gilbert, Allison R.; Domino, Marisa E.; Morrissey, Joseph P.; Gaynes, Bradley N.

    2012-01-01

    Women with co-occurring mental health and substance use disorders and trauma histories vary greatly in symptom severity and use of support services. This study estimated differential effects of an integrated treatment intervention (IT) across sub-groups of women in this population on services utilization outcomes. Data from a national study were used to cluster participants by symptoms and service utilization, and then estimate the effect of IT versus usual care on 12-month service utilizatio...

  2. Transition towards Sustainable Solutions: Product, Service, Technology, and Business Model

    Directory of Open Access Journals (Sweden)

    Mina Nasiri

    2018-01-01

    Full Text Available Nowadays, the horse industry can be considered as an important industry in European countries and has a major role in agricultural industry throughout the world. Although today the diversity of the horse-related companies provides new markets and business opportunities, there are also some sustainable issues which needs to be addressed. Therefore, this study contributes to this research gap by reviewing the concept of sustainability and existing approaches to find sustainable solutions for companies. These sustainable approaches can be applied to products, services and technologies as well as business models, such as the product-service-system (PSS, circular economy (CE and industrial symbiosis (IS. Although there seems to be a growing understanding of sustainable approaches and their role in sustainable development, there is a lack of research at the empirical level regarding the types of sustainability approaches (i.e., technologies, services, products and business models that evolve in specific industries. The empirical data in this research have been collected from a cross-section of Finnish horse industry operators to determine how willing companies are to exploit approaches to sustainable solutions, as well as what the existing sustainable solutions are in this industry. The response rate of this study is approximately 24 percent, including 139 received valid responses among the sample of 580 operators.

  3. Elementary Education Pre-Service Teachers' Development of Mathematics Technology Integration Skills in a Technology Integration Course

    Science.gov (United States)

    Polly, Drew

    2015-01-01

    Preparing pre-service teachers to effectively integrate technology in the classroom requires rich experiences that deepen their knowledge of technology, pedagogy, and content and the intersection of these aspects. This study examined elementary education pre-service teachers' development of skills and knowledge in a technology integration course…

  4. 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.

  5. 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

  6. 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.

  7. Association of comorbidities with home care service utilization of patients with heart failure while receiving telehealth.

    Science.gov (United States)

    Radhakrishnan, Kavita; Jacelon, Cynthia S; Bigelow, Carol; Roche, Joan P; Marquard, Jenna L; Bowles, Kathryn H

    2013-01-01

    Comorbidities adversely impact heart failure (HF) outcomes. Telehealth can assist healthcare providers, especially nurses, in guiding their patients to follow the HF regimen. However, factors, including comorbidity patterns, that act in combination with telehealth to reduce home care nursing utilization are still unclear. The purpose of this article was to examine the association of the comorbidity characteristics of HF patients with nursing utilization along with withdrawal from telehealth service during an episode of tele-home care. A descriptive, correlational study design using retrospective chart review was used. The sample comprised Medicare patients admitted to a New England home care agency who had HF as a diagnosis and had used telehealth from 2008 to 2010. The electronic documentation at the home care agency served as the data source, which included Outcome and Assessment Information Set data of patients with HF. Logistic and multiple regression analyses were used to analyze data. The sample consisted of 403 participants, of whom 70% were older than 75 years, 55% were female, and 94% were white. Comorbidities averaged 5.19 (SD, 1.92), ranging from 1 to 11, and nearly 40% of the participants had 5 or more comorbidities. The mean (SD) nursing contacts in the sample was 9.9 (4.7), ranging from 1 to 26, and 52 (12.7%) patients withdrew from telehealth service. For patients with HF on telehealth, comorbidity characteristics of anemia, anxiety, musculoskeletal, and depression were significantly associated with nursing utilization patterns, and renal failure, cancer, and depression comorbidities were significantly associated with withdrawal from telehealth service. Knowledge of the association of comorbidity characteristics with the home care service utilization patterns of patients with HF on telehealth can assist the home health nurse to develop a tailored care plan that attains optimal patient outcomes. Knowledge of such associations would also focus home

  8. [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.

  9. Impact of bandwidth for various services in heterogeneous network and quality of service via communication technologies in Malaysian higher educational

    OpenAIRE

    Mohd Nazri ISMAIL; Abdullah Mohd ZIN

    2007-01-01

    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 ...

  10. Factors associated with utilization of antenatal care services among tribal women: A study of selected States

    Directory of Open Access Journals (Sweden)

    Tulsi Adhikari

    2016-01-01

    Full Text Available Background & objectives: Despite various efforts by the Government of India, utilization of antenatal care (ANC services continues to be low among women from rural areas particularly those belonging to the Scheduled Tribes. The present study was undertaken to examine the factors associated with the utilization of ANC services among women in four States including Rajasthan, Odisha, Chhattisgarh and Madhya Pradesh which constitute a good share of tribal population of the country. Methods: Data from third round of District Level Household and Facility Survey, 2007-08 (DLHS-3 have been used. Bivariate and multivariate analyses (logistic regression model were used to study the association between the utilization of ANC services and the independent variables at individual, household and village levels along with the motivational factors (motivation by health workers and family members. Results: The utilization of ANC services among Scheduled Tribes women varied from about 4 per cent in Madhya Pradesh and Rajasthan to 10-14 per cent in Chhattisgarh and Odisha. Utilization was highest among those women with level of education 9th class and above (15-28% and those women who visited health facility for pregnancy confirmation test (9-27%. Across the States, women who visited health facility for pregnancy testing (adjusted odds ratio, AOR = 1.5-2.5; P<0.001 except in Madhya Pradesh; registration of pregnancy (AOR = 2.1-4.5; P<0.01 and sought treatment of pregnancy related problems (AOR = 1.5-1.8; P<0.06 except in Rajasthan, were more likely to avail complete ANC services than their counterparts. Interpretation & conclusions: The utilization of antenatal care among Scheduled Tribe women across four States was very poor. The reasons behind non-utilisation include both socio-economic and health system factors. For improving ANC utilization among tribes, these factors need to be addressed with special emphasis on woman′s educational attainment of high school

  11. Monitoring technology and firm boundaries: physician-hospital integration and technology utilization.

    Science.gov (United States)

    McCullough, Jeffrey S; Snir, Eli M

    2010-05-01

    We study the relationship between physician-hospital integration and its relation to monitoring IT utilization. We develop a theoretical model in which monitoring IT may complement or substitute for integration and test these relationships using a novel data source. Physician labor market heterogeneity identifies the empirical model. We find that monitoring IT utilization is increasing in integration, implying that expanded firm boundaries complement monitoring IT adoption. We argue that the relationship between monitoring IT and firm boundaries depends upon the contractibility of the monitored information.

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

    Directory of Open Access Journals (Sweden)

    Jennifer Kahende

    Full Text Available 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 (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.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

  13. Interdisciplinary technology assessment of service robots: the psychological/work science perspective.

    Science.gov (United States)

    Fischer, Martin

    2012-12-01

    The article sheds light on psychological and work science aspects of the design and utilization of service robots. An initial presentation of the characteristics of man-robot interaction is followed by a discussion of the principles of the division of functions between human beings and robots in service area work systems. The following aspects are to be considered: (1) the organisation of societal work (such as the different employment and professional profiles of service employees), (2) the work tasks to be performed by humans and robots (such as handling, monitoring or decision-making tasks), (3) the possibilities and the limitations of realizing such tasks by means of information technology (depending, for example, on the motoric capabilities, perception and cognition of the robot). Consideration of these three design perspectives gives rise to criteria of usability. Current debate focuses on the (work science) principles of man-machine communication, though in future these should be supplemented with robot-specific criteria such as "motoric capabilities" or "relationship quality." The article concludes by advocating the convergence and combination of work science criteria with ideas drawn from participative design approaches in the development and utilization of service robots.

  14. Inequality in Utilization of Dental Services: A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Reda, Sophie F; Reda, Seif M; Thomson, W Murray; Schwendicke, Falk

    2018-02-01

    Dental diseases are among the most prevalent conditions worldwide, with universal access to dental care being one key to tackling them. Systematic quantification of inequalities in dental service utilization is needed to identify where these are most pronounced, assess factors underlying the inequalities, and evaluate changes in inequalities with time. To evaluate the presence and extent of inequalities in dental services utilization. We performed a systematic review and meta-analysis by searching 3 electronic databases (MEDLINE, Embase, Cochrane Central Database), covering the period from January 2005 to April 2017. We included observational studies investigating the association between regular dental service utilization and sex, ethnicity, place of living, educational or income or occupational position, or insurance coverage status. Two reviewers undertook independent screening of studies and made decisions by consensus. Our primary outcome was the presence and extent of inequalities in dental service utilization, measured as relative estimates (usually odds ratios [ORs]) comparing different (high and low utilization) groups. We performed random effects meta-analysis and subgroup analyses by region, and we used meta-regression to assess whether and how associations changed with time. A total of 117 studies met the inclusion criteria. On the basis of 7 830 810 participants, dental services utilization was lower in male than female participants (OR = 0.85; 95% confidence interval [CI] = 0.74, 0.95; P < .001); ethnic minorities or immigrants than ethnic majorities or natives (OR = 0.71; 95% CI = 0.59, 0.82; P < .001); those living in rural than those living in urban places (OR = 0.87; 95% CI = 0.76, 0.97; P = .011); those with lower than higher educational position (OR = 0.61; 95% CI = 0.55, 0.68; P < .001) or income (OR = 0.66; 95% CI = 0.54, 0.79; P < .001); and among those without insurance coverage

  15. 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.

  16. Technology roadmap study on carbon capture, utilization and storage in China

    International Nuclear Information System (INIS)

    Zhang, Xian; Fan, Jing-Li; Wei, Yi-Ming

    2013-01-01

    Carbon capture, utilization and storage (CCUS) technology will likely become an important approach to reduce carbon dioxide (CO 2 ) emissions and optimize the structure of energy consumption in China in the future. In order to provide guidance and recommendations for CCUS Research, Development and Demonstration in China, a high level stakeholder workshop was held in Chongqing in June 2011 to develop a technology roadmap for the development of CCUS technology. This roadmap outlines the overall vision to provide technically viable and economically affordable technological options to combat climate change and facilitate socio-economic development in China. Based on this vision, milestone goals from 2010 to 2030 are set out in accordance with the technology development environment and current status in China. This study identifies the critical technologies in capture, transport, utilization and storage of CO 2 and proposes technical priorities in the different stages of each technical aspect by evaluating indices such as the objective contribution rate and technical maturity, and gives recommendations on deployment of full-chain CCUS demonstration projects. Policies which would support CCUS are also suggested in this study. - Highlights: • A technology roadmap for CCUS development in China from 2010 to 2030 is presented. • Sound data and analysis in combination with expert workshops are used. • Critical technologies in CCUS are identified. • Priority actions of all stages are identified and proposed. • Guidance and recommendations for CCUS RD and D are provided

  17. Analysis Approach to Identify Factors Influencing Digital Learning Technology Adoption and Utilization in Developing Countries

    Directory of Open Access Journals (Sweden)

    Abubaker Kashada

    2018-02-01

    Full Text Available The Internet has given learners the ability to learn anytime and anywhere at their own pace facilitated by interactive and adaptive software. Digital learning technology is more than just providing students with a laptop. Digital learning requires a combination of technology, digital content, and instruction. This study aims to identify and observe the impact and mediation of top management support in relation to the successful adoption of digital learning technologies in developing countries. A questionnaire was designed and distributed to rate the successful adoption and utilization of digital learning technologies in developing countries and data was analyzed using structural equation modeling. This study provides empirical evidence and explains many complex factors, such as user awareness, perceived usefulness, perceived ease of use, and information communication technology infrastructure, in the context of top management support to facilitate the effective utilization of a digital learning technology. Mediating the top management support between adoption of a digital learning technology and user awareness, perceived usefulness, and perceived ease of use provides clear and crucial evidence to support the effective adoption of a digital learning technology.

  18. Lifestyle risk factors and utilization of preventive services in disabled elderly adults in the community.

    Science.gov (United States)

    Kim, Dae Hyun; Sagar, Utpal N; Adams, Suzanne; Whellan, David J

    2009-10-01

    Lifestyle risk factor counseling and preventive health services are important to disabled elderly adults to prevent adverse health outcomes. We aimed to examine the prevalence of lifestyle risk factors and utilization of preventive health services in community-dwelling 2,982 adults, aged 60 years or older, with or without disability, in Southeastern Pennsylvania in 2004. The severity of disability was classified as no [independent activities of daily living (ADL) and instrumental activities of daily living (IADL)], some (independent ADL, dependent IADL), and severe limitation (dependent ADL). The prevalence of lifestyle risk factors (cigarette smoking, obesity, binge alcohol use, unhealthy diet, and physical inactivity) and utilization rate of a comprehensive list of preventive health services (risk factor counseling, disease management, vaccination, and cancer screening) were measured, across the disability categories. The prevalence of disability was 14.6% for some limitation and 10.3% for severe limitation. As disability increases, participants with unhealthy diet, physical inactivity, and obesity became more prevalent (8.8, 15.7, and 25.2% for no, some, and severe limitation, respectively) and fewer osteoporosis screenings were performed (51.5, 38.8, and 37.8%). Utilization of other services did not vary significantly across the disability categories, but participants with some or severe limitation were less likely than those without to receive needed health services overall (19.3% or 16.2 vs. 24.2%; P for trend = .047). In conclusion, disabled elderly adults have more undesirable lifestyle risk factors, but are less likely to receive needed health services than nondisabled counterparts. More attention is needed to this vulnerable population.

  19. 76 FR 2144 - Quest Diagnostics, Inc. Information Technology Help Desk Services Including On-Site Leased...

    Science.gov (United States)

    2011-01-12

    ... Employment and Training Administration Quest Diagnostics, Inc. Information Technology Help Desk Services...., Information Technology Help Desk Services, West Norriton, Pennsylvania. The workers are engaged in activities... Technology Help Desk ] Services. The Department has determined that these workers were sufficiently under the...

  20. 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

  1. 76 FR 66327 - Iron Mountain Information Management, Inc., Corporate Service Group, Information Technology (IT...

    Science.gov (United States)

    2011-10-26

    ... Employment and Training Administration Iron Mountain Information Management, Inc., Corporate Service Group..., applicable to workers of Iron Mountain Information Management, Inc., Corporate Service Group, Information... Management, Inc., Corporate Service Group, Information Technology (IT) Division. The Department has...

  2. Barriers to utilization of childbirth services of a rural birthing center in Nepal: A qualitative study.

    Directory of Open Access Journals (Sweden)

    Resham Bahadur Khatri

    Full Text Available Maternal mortality and morbidity are public health problems in Nepal. In rural communities, many women give birth at home without the support of a skilled birth attendant, despite the existence of rural birthing centers. The aim of this study was to explore the barriers and provide pragmatic recommendations for better service delivery and use of rural birthing centers.We conducted 26 in-depth interviews with service users and providers, and three focus group discussions with community key informants in a rural community of Rukum district. We used the Adithya Cattamanchi logic model as a guiding framework for data analysis.Irregular and poor quality services, inadequate human and capital resources, and poor governance were health system challenges which prevented service delivery. Contextual barriers including difficult geography, poor birth preparedness practices, harmful culture practices and traditions and low level of trust were also found to contribute to underutilization of the birthing center.The rural birthing center was not providing quality services when women were in need, which meant women did not use the available services properly because of systematic and contextual barriers. Approaches such as awareness-raising activities, local resource mobilization, ensuring access to skilled providers and equipment and other long-term infrastructure development works could improve the quality and utilization of childbirth services in the rural birthing center. This has resonance for other centers in Nepal and similar countries.

  3. Barriers to utilization of childbirth services of a rural birthing center in Nepal: A qualitative study

    Science.gov (United States)

    Shrestha, Khadka Narayan; Homer, Caroline S. E.

    2017-01-01

    Background Maternal mortality and morbidity are public health problems in Nepal. In rural communities, many women give birth at home without the support of a skilled birth attendant, despite the existence of rural birthing centers. The aim of this study was to explore the barriers and provide pragmatic recommendations for better service delivery and use of rural birthing centers. Methods We conducted 26 in-depth interviews with service users and providers, and three focus group discussions with community key informants in a rural community of Rukum district. We used the Adithya Cattamanchi logic model as a guiding framework for data analysis. Results Irregular and poor quality services, inadequate human and capital resources, and poor governance were health system challenges which prevented service delivery. Contextual barriers including difficult geography, poor birth preparedness practices, harmful culture practices and traditions and low level of trust were also found to contribute to underutilization of the birthing center. Conclusion The rural birthing center was not providing quality services when women were in need, which meant women did not use the available services properly because of systematic and contextual barriers. Approaches such as awareness-raising activities, local resource mobilization, ensuring access to skilled providers and equipment and other long-term infrastructure development works could improve the quality and utilization of childbirth services in the rural birthing center. This has resonance for other centers in Nepal and similar countries. PMID:28493987

  4. 47 CFR 22.409 - Developmental authorization for a new Public Mobile Service or technology.

    Science.gov (United States)

    2010-10-01

    ... Mobile Service or technology. 22.409 Section 22.409 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Developmental Authorizations § 22.409 Developmental authorization for a new Public Mobile Service or technology. The FCC may grant applications for...

  5. Pet ownership among homeless youth: associations with mental health, service utilization and housing status.

    Science.gov (United States)

    Rhoades, Harmony; Winetrobe, Hailey; Rice, Eric

    2015-04-01

    As many as 25 % of homeless persons have pets. To our knowledge, pet ownership has not been studied quantitatively with homeless youth. This study examined pet ownership among 398 homeless youth utilizing two Los Angeles drop-in centers. Twenty-three percent of homeless youth had a pet. The majority of pet owners reported that their pets kept them company and made them feel loved; nearly half reported that their pets made it more difficult to stay in a shelter. Pet owners reported fewer symptoms of depression and loneliness than their non-pet owning peers. Pet ownership was associated with decreased utilization of housing and job-finding services, and decreased likelihood of currently staying in a shelter. These findings elucidate many of the positive benefits of pet ownership for homeless youth, but importantly highlight that pet ownership may negatively impact housing options. Housing and other services must be sensitive to the needs of homeless youth with pets.

  6. The role of utilities in enabling technology innovation: The BC hydro alternative & emerging energy strategy

    Energy Technology Data Exchange (ETDEWEB)

    Tu, Alex; Leclair, Donna; Morrison, Allison

    2010-09-15

    In order for renewable energy to play a dominant role in the global electricity supply mix, emerging renewable energy technologies - such as wave, tidal, enhanced geothermal, and 3rd generation photovoltaic technologies - must prove their technical merits and achieve cost parity with conventional sources of supply. BC Hydro, a government-owned electric utility, launched an Alternative and Emerging Energy Strategy that describes its role as an enabler of technology innovation. This paper describes BC Hydro's goal, objectives and actions to accelerate the commercialization that will yield a diversity of supply options and a growing, local clean-tech cluster.

  7. Review of the Technology-Utilization Level of String Instrument Teachers

    Science.gov (United States)

    Döger, Didem; Kiliç, Ilgim

    2016-01-01

    The purpose of this study is to determine the technology-utilization level of Fine Arts High School string instrument teachers. A pattern based on descriptive method has been used to conduct the researchers. Research data has been collected via literature review and questionnaire developed and prepared by the researcher. SPSS program has been…

  8. TEST DESIGN FOR ENVIRONMENTAL TECHNOLOGY VERIFICATION (ETV) OF ADD-ON NOX CONTROL UTILIZING OZONE INJECTION

    Science.gov (United States)

    The paper discusses the test design for environmental technology verification (ETV) of add-0n nitrogen oxides (NOx) control utilizing ozone injection. (NOTE: ETV is an EPA-established program to enhance domestic and international market acceptance of new or improved commercially...

  9. 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…

  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. The Role of Relevance in Future Teachers' Utility Value and Interest toward Technology

    Science.gov (United States)

    Kale, Ugur; Akcaoglu, Mete

    2018-01-01

    Seeing the relevance of tasks for future use is important for developing value and interest in them. We employed a pre- and post-test quasi-experimental design using a mixed-methods approach to examine if reflecting on the relevance of technology to future teaching practices influences elementary and secondary preservice teachers' utility value…

  12. 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…

  13. A Study of Alternate Approaches to Utilization Review of Laboratory Services within an Army Medical Center

    Science.gov (United States)

    1983-06-06

    11. TITLE (Include Security Clasification ) A STUDY OF ALTERNATE APPROACHES TO UTILIZATION REVIEW OF LABORATORY SERVICES WITHIN AN ARMY MEDICAL...Primidone Quinidine Procainamide + N-acetyl Salicylates Procanamide Theophylline (aminophylline) Propoxyphene Valproic Acid Virology Viral Isolation...Stool Culture, Bacterial Neg 27.8 Pos 35.8 Stool Culture, Viral Neg 472 Pos 505 Blood Culture Neg 17.4 Pos 38.4 CBC w/Differential 7 Stool, Fecal

  14. Utilization of oral health care services among adults attending community outreach programs.

    Science.gov (United States)

    Kadaluru, Umashankar Gangadhariah; Kempraj, Vanishree Mysore; Muddaiah, Pramila

    2012-01-01

    Good oral health is a mirror of overall health and well-being. Oral health is determined by diet, oral hygiene practices, and the pattern of dental visits. Poor oral health has significant social and economic consequences. Outreach programs conducted by dental schools offer an opportunity for early diagnosis and treatment, dental health education, and institution of preventive measures. To assess the utilization of oral healthcare services among adults attending outreach programs. This study included 246 adults aged 18-55 years attending community outreach programs in and around Bangalore. Using a questionnaire we collected data on dental visits, perceived oral health status, reasons for seeking care, and barriers in seeking care. Statistical significance was assessed using the Chi-square test. In this sample, 28% had visited the dentist in the last 12 months. Males visited dentist more frequently than females. The main reason for a dental visit was for tooth extraction (11%), followed by restorative and endodontic treatment 6%. The main barriers to utilization of dental services were high cost (22%), inability to take time off from child care duties (19.5%), and fear of the dentist or dental tools (8.5%). The utilization of dental services in this population was poor. The majority of the dental visits were for treatment of acute symptoms rather than for preventive care. High cost was the main barrier to the utilization of dental services. Policies and programs should focus on these factors to decrease the burden of oral diseases and to improve quality of life among the socioeconomically disadvantaged.

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

    Science.gov (United States)

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

    2017-06-01

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

  16. Technology Integration Coursework and Finding Meaning in Pre-Service Teachers' Reflective Practice

    Science.gov (United States)

    Kimmons, Royce; Miller, Brant G.; Amador, Julie; Desjardins, Christopher David; Hall, Cassidy

    2015-01-01

    This study seeks to inform teacher preparation programs regarding technology integration by understanding (1) relationships between tasks with specific technologies and pre-service teachers' critical thinking about technology integration and (2) relationships between how pre-service teachers are critically thinking about technology integration and…

  17. Adaptive Resource Utilization Prediction System for Infrastructure as a Service Cloud

    Directory of Open Access Journals (Sweden)

    Qazi Zia Ullah

    2017-01-01

    Full Text Available Infrastructure as a Service (IaaS cloud provides resources as a service from a pool of compute, network, and storage resources. Cloud providers can manage their resource usage by knowing future usage demand from the current and past usage patterns of resources. Resource usage prediction is of great importance for dynamic scaling of cloud resources to achieve efficiency in terms of cost and energy consumption while keeping quality of service. The purpose of this paper is to present a real-time resource usage prediction system. The system takes real-time utilization of resources and feeds utilization values into several buffers based on the type of resources and time span size. Buffers are read by R language based statistical system. These buffers’ data are checked to determine whether their data follows Gaussian distribution or not. In case of following Gaussian distribution, Autoregressive Integrated Moving Average (ARIMA is applied; otherwise Autoregressive Neural Network (AR-NN is applied. In ARIMA process, a model is selected based on minimum Akaike Information Criterion (AIC values. Similarly, in AR-NN process, a network with the lowest Network Information Criterion (NIC value is selected. We have evaluated our system with real traces of CPU utilization of an IaaS cloud of one hundred and twenty servers.

  18. 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.

  19. 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 health center should be based on the felt need of the population to increase attendance as well as utilization of dental services, thereby increasing the oral health status of the population.

  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. British Columbia Utilities Commission service plan 2004/2005 - 2006/2007

    International Nuclear Information System (INIS)

    2004-01-01

    The mandate of the British Columbia Utilities Commission (BCUC) is to ensure that customers receive safe, reliable and non-discriminatory energy services at fair rates from the utilities. It must also ensure that the shareholders of the utilities have a reasonable opportunity to earn a fair return on the invested capital. This report describes the following six key areas that underlie the Commission's strategic planning for the next 3 years: (1) regulation of automobile insurance, (2) energy policy implementation, (3) natural gas commodity costs, (4) commercial unbundling and customer choice, (5) energy trade, and (6) benchmarking. The report also describes strategic issues with reference to priorities, shifts and risk management. Alignment with the government's strategic plan was also reviewed. The financial outlook for 2003/04 and 2006/07 shows that the Commission intends to fully recover costs from the utilities it regulates. The budget for 2003/04 has increased somewhat from the forecasted amount for the same period reported in the previous year's service plan. This is due to an expanded mandate. Forecast values for the 2004/05 and 2005/06 planning periods have decreased slightly compared to the previous year's plan. tabs., figs

  2. 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 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.

  3. [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

  4. Application of microgrids in providing ancillary services to the utility grid

    International Nuclear Information System (INIS)

    Majzoobi, Alireza; Khodaei, Amin

    2017-01-01

    A microgrid optimal scheduling model is developed in this paper to demonstrate microgrid's capability in offering ancillary services to the utility grid. The application of localized ancillary services is of significant importance to grid operators as the growing proliferation of distributed renewable energy resources, mainly solar generation, is causing major technical challenges in supply-load balance. The proposed microgrid optimal scheduling model coordinates the microgrid net load with the aggregated consumers/prosumers net load in its connected distribution feeder to capture both inter-hour and intra-hour net load variations. In particular, net load variations for three various time resolutions are considered, including hourly ramping, 10-min based load following, and 1-min based frequency regulation. Numerical simulations on a test distribution feeder with one microgrid and several consumers/prosumers indicate the effectiveness of the proposed model and the viability of the microgrid application in supporting grid operation. - Highlights: • Microgrid optimal scheduling for providing ancillary services to the utility grid. • Local management and mitigation of distribution net load variations. • Offering various support services: ramping, load following, frequency regulation. • Proven effectiveness and accuracy in capturing net load variations.

  5. Workplace harassment patterning, gender, and utilization of professional services: findings from a US national study.

    Science.gov (United States)

    Shannon, Candice A; Rospenda, Kathleen M; Richman, Judith A

    2007-03-01

    This study constitutes the first national longitudinal survey to address the relationship between workplace harassment and service utilization. We examine how patterns of sexual harassment and generalized workplace harassment are linked to utilization of mental health, health, legal, spiritual, and work-related services, and whether and how gender influences these relationships. Data derive from a random digit dial telephone survey with a continental US sample of employed adults. Eligibility criteria were being 18 years of age or over, and being employed at least 20 h per week at some time in the 12 months prior to the wave 1 survey. Out of 4116 households with eligible individuals, 2151 agreed to participate at wave 1. At wave 2, 1418 participated, thus, the overall response rate was 34.5%. We show that the patterning of workplace harassment over two time points (chronic, remission, onset, never harassed) is associated with the use of different types of services. Gender partially moderated the relationship between workplace harassment and services.

  6. 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. © The Author(s) 2015. Published by Oxford University Press on behalf of Nucleic Acids Research.

  7. Barriers to utilization of dental services for children among low-income families in Alberta.

    Science.gov (United States)

    Amin, Maryam S; Perez, Arnaldo; Nyachhyon, Pawan

    2014-01-01

    To explore reasons for underutilization of dental services covered by a governmental funded program in Alberta. A survey questionnaire was sent to 4,000 randomly selected clients of Alberta Health Benefit program. Only respondents with children were included in the analysis. Reasons were explored among those who indicated that their children did not receive any dental services in the year prior to the survey (non-users). Difficulties faced by those who reported receiving at least one dental service (users) were also collected. Among 795 returned surveys, 597 had at least one child. A total of 1,303 children aged 1 to 19 years (mean age = 11.79 years, SD = 4.2) were included in the analysis. Of the 1,303 children, 443 (34%) did not receive any covered dental services (non-users); the most common reason (50.7%) was 'no perceived need' labeled for the replies 'my child was too young or had no dental problems' followed by perceived insufficient coverage (38.6%). The most common challenge reported by the dental care users was also insufficient coverage (44.9%). About 57% of parents were aware of the covered yearly fluoride application; however, only 34.3% of their children received fluoride and 14.2% had sealants. Low-income families underutilized available dental benefits for children. Perceived need seemed to be the primary determinant of utilization. Parental awareness about the coverage did not seem to promote the utilization of preventive measures for young children.

  8. Predictors of safe delivery service utilization in arsi zone, South-East ethiopia.

    Science.gov (United States)

    Abera, Mulumebet; Gebremariam, Abebe; Belachew, Tefera

    2011-08-01

    Evidence show that lack of access to and use of, essential obstetric care services to be a crucial factor that contributes to the high maternal morbidity and mortality. Skilled attendance during labor, delivery and early post-partum period could reduce deaths due to obstructed labor, hemorrhage, sepsis and eclampsia. There is limited information on the mothers' use of skilled delivery services in the study area. This study assessed the predictors of safe delivery service utilization in Arsi Zone, Southeast Ethiopia. A cross- sectional community based study using quantitative and qualitative methods was conducted from February 15(th) to March 15(th) 2006. A total of 1089 women who had at least one birth one year prior to the study were involved in the study from nine rural and four urban kebeles in three Woredas (Districts) selected using a systematic sampling method from all households in the study area. A pre-tested structured interviewer administered questionnaire was used to collect data. Information on the utilization of safe delivery service and socio-demographic, individual and institutional factors and past obstetric history were collected. Focus Group Discussion guide was used for qualitative data collection. The data were edited, cleaned, and entered into a computer and analyzed using SPSS for windows version 12.0. One thousand seventy four women who had at least one birth were interviewed making a response rate 98.6%. Two hundred seventy one (75.0%) of urban and 373(52.0%) rural women received antenatal care from skilled health professional at least once during their last pregnancy. Thirty-one (4.3%) of rural and 145 (40.4%) of urban women delivered in health institution. In multivariate analysis showed that residential area OR= 8.5, 95%CI; (5.1,13.9), parity OR=0.18, 95%CI; (0.08, 0.42), and ANC service use OR= 4.5, 95%CI; (2.2,8.9), and maternal education OR=4.6, 95%CI; (1.7,12.8), were most significant predictors of safe delivery service use by mothers

  9. Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems.

    Science.gov (United States)

    Volkert, Jana; Andreas, Sylke; Härter, Martin; Dehoust, Maria Christina; Sehner, Susanne; Suling, Anna; Ausín, Berta; Canuto, Alessandra; Crawford, Mike J; Da Ronch, Chiara; Grassi, Luigi; Hershkovitz, Yael; Muñoz, Manuel; Quirk, Alan; Rotenstein, Ora; Santos-Olmo, Ana Belén; Shalev, Arieh Y; Strehle, Jens; Weber, Kerstin; Wegscheider, Karl; Wittchen, Hans-Ulrich; Schulz, Holger

    2017-12-04

    Empirical data on the use of services due to mental health problems in older adults in Europe is lacking. The objective of this study is to identify factors associated with service utilization in the elderly. As part of the MentDis_ICF65+ study, N = 3,142 people aged 65-84 living in the community in six European and associated countries were interviewed. Based on Andersen's behavioral model predisposing, enabling, and need factors were analyzed with logistic regression analyses. Overall, 7% of elderly and 11% of those with a mental disorder had used a service due to mental health problems in the last 12 months. Factors significantly associated with underuse were male sex, lower education, living in the London catchment area, higher functional impairment and more comorbid mental disorders. The most frequently reported barrier to service use was personal beliefs, e.g. "I can deal with my problem on my own" (90%). Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.

  10. The Impact of In-Home Services Utilization on the Institutionalization of Older People in Korea.

    Science.gov (United States)

    Choi, Jung-Kyu; Kang, Minjin; Joung, Euasin

    2017-01-01

    As a result of aging populations, institutionalization of older people is creating an increasing financial burden in many countries. The purpose of the present study was to explore the impact of in-home service utilization on institutionalization. The subjects were newly certified as eligible for long-term care insurance between January and February 2009 in Korea. The follow-up period was 40 months, to April 2012. We used logistic regression models to identify factors influencing the transition to institutional service, adjusting for gender, age, living status, income level, activities of daily living, and chronic disease. The institutionalization rate was estimated to be 17.3% over 40 months. The interval from transitional living to institutionalization was 36 ± 8 months. Risk factors of transition to institutional services are being female, having advanced age, living with friends or cousins, getting dementia, and not using in-home services. We determined that institutionalization is mitigated by use of in-home services. Therefore, supplying appropriate in-home services to current nonusers would help to greatly reduce the rate of institutionalization of older people.

  11. Caregivers' perceptions of illness severity and end of life service utilization in advanced heart failure.

    Science.gov (United States)

    Alonso, Windy; Hupcey, Judith E; Kitko, Lisa

    To assess perceptions of illness severity and terminality in caregivers of advanced heart failure (HF) patients and how these perceptions influence utilization of palliative care and end-of life services. HF is a terminal disease; yet patients and caregivers do not understand the severity of HF or acknowledge disease terminality. This study was conducted using a qualitative design with in-depth interviews and content analysis. Most caregivers did not understand the severity of HF (68%) or disease terminality (67%). Patients were more likely to receive services when their caregivers expressed an understanding of illness severity and/or terminality. Inclusion of caregivers in discussions of goals of care, advance care planning, and palliative care and end-of-life services with patients and providers is imperative. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. 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.

  13. A Highly Scalable Data Service (HSDS) using Cloud-based Storage Technologies for Earth Science Data

    Science.gov (United States)

    Michaelis, A.; Readey, J.; Votava, P.; Henderson, J.; Willmore, F.

    2017-12-01

    Cloud based infrastructure may offer several key benefits of scalability, built in redundancy, security mechanisms and reduced total cost of ownership as compared with a traditional data center approach. However, most of the tools and legacy software systems developed for online data repositories within the federal government were not developed with a cloud based infrastructure in mind and do not fully take advantage of commonly available cloud-based technologies. Moreover, services bases on object storage are well established and provided through all the leading cloud service providers (Amazon Web Service, Microsoft Azure, Google Cloud, etc…) of which can often provide unmatched "scale-out" capabilities and data availability to a large and growing consumer base at a price point unachievable from in-house solutions. We describe a system that utilizes object storage rather than traditional file system based storage to vend earth science data. The system described is not only cost effective, but shows a performance advantage for running many different analytics tasks in the cloud. To enable compatibility with existing tools and applications, we outline client libraries that are API compatible with existing libraries for HDF5 and NetCDF4. Performance of the system is demonstrated using clouds services running on Amazon Web Services.

  14. Exploring the Impact of Language Services on Utilization and Clinical Outcomes for Diabetics

    Science.gov (United States)

    Hacker, Karen; Choi, Yoon Susan; Trebino, Lisa; Hicks, LeRoi; Friedman, Elisa; Blanchfield, Bonnie; Gazelle, G. Scott

    2012-01-01

    Background Significant health disparities exist between limited English proficient and English-proficient patients. Little is known about the impact of language services on chronic disease outcomes such as for diabetes. Methods/Principal Findings To determine whether the amount and type of language services received during primary care visits had an impact on diabetes-related outcomes (hospitalization, emergency room utilization, glycemic control) in limited English proficient patients, a retrospective cohort design was utilized. Hospital and medical record data was examined for 1425 limited English proficient patients in the Cambridge Health Alliance diabetes registry. We categorized patients receiving usual care into 7 groups based on the amount and combination of language services (language concordant providers, formal interpretation and nothing) received at primary care visits during a 9 month period. Bivariate analyses and multiple logistic regression were used to determine relationships between language service categories and outcomes in the subsequent 6 months. Thirty-one percent of patients (445) had no documentation of interpreter use or seeing a language concordant provider in any visits. Patients who received 100% of their primary care visits with language concordant providers were least likely to have diabetes-related emergency department visits compared to other groups (pEnglish proficient patients with diabetes. However, given the lack of such providers in sufficient numbers to meet patients' communication needs, strategies are needed to both increase their numbers and ensure that the highest risk patients receive the most appropriate language services. In addition, systems serving diverse populations must clarify why some limited English proficient patients do not receive language services at some or all of their visits and whether this has an impact on quality of care. PMID:22675571

  15. RANCANGAN INFORMATION TECHNOLOGY SERVICE MANAGEMENT MENGGUNAKAN INFORMATION TECHNOLOGY INFRASTRUCTURE LIBRARY (Studi Kasus: STMIK AMIKOM Purwokerto

    Directory of Open Access Journals (Sweden)

    Nurfaizah Nurfaizah

    2015-08-01

    Full Text Available STMIK AMIKOM Purwokerto merupakan salah satu perguruan tinggi swasta yang dalam proses pengelolaan dan  penyampaian informasi telah menerapan teknologi informasi. Proses pelayanan suatu perguruan tinggi dipandang sebagai suatu solusi yang nantinya dapat meningkatkan kemampuan perusahaan di dalam pelayanan. Hal ini menyebabkan pentingnya peningkatan peran teknologi informasi agar selaras dengan  investasi baik hardware dan software yang dikeluarkan, sehingga dibutuhkan perencanaan yang optimal.IT Service Management (ITSM digunakan sebagai upaya untuk meningkatkan efisiensi pelayanan teknologi informasi kepada pengguna yang terdapat dalam framework Information Technology Infrastructure Library.Diharapkan dengan penerapan ITSM pengelolaan layanan TI menjadi lebih baik serta mampu menyelesaikan beberapa permasalahan yang ada pada organisasiyang sedang berjalan dengan menggunakan COBIT 4.1. ITSM menghasilkan perancangan pada masing-masing prosesnya dari 2 domain pembangun ITSM yaitu domain service support dan service delivery. Kata Kunci: ITSM, ITIL V3, COBIT 4.1

  16. An economy-ralated equity analysis of health service utilization by women in economically underdeveloped regions of western China.

    Science.gov (United States)

    Qian, Yuyan; Zhou, Zhongliang; Yan, Ju'e; Gao, Jianmin; Wang, Yuping; Yang, Xiaowei; Xu, Yongjian; Li, Yanli

    2017-10-27

    The Chinese government has long been committed to eliminating the inequality in the utilization of health services; however, it still lacks an analysis or measurement of the economy-related inequality in the utilization of women's health services. The economy-related utilization of health services in women aged 15 years and above was assessed by the horizontal inequity index of a two-week outpatient rate and annual inpatient rate from the 5th National Health Service Survey of Shaanxi Province. The concentration index of each factor was decomposed into the contribution of each factor to the economic-related inequality of health service utilization based on the Probit regression model. The horizontal inequity indexes of the two-week outpatient rate was 0.0493, and the horizontal inequity indexes of the annual impatient rate was 0.0869. The contributions of economic status to the two indexes were 190.71% and 115.80%, respectively. Economic status, age, basic medical insurance, educational status, marital status, urban/rural area, and self-rated health were the main impact factors that affected the inequality in women's health services utilization in Shaanxi. Health service utilization was different between women with different social demographic characteristics, and unequal health service utilization is evident among women in Shaanxi.

  17. ASSESSMENT OF CONTROL TECHNOLOGIES FOR REDUCING EMISSIONS OF SO2 AND NOX FROM EXISTING COAL-FIRED UTILITY BOILERS

    Science.gov (United States)

    The report reviews information and estimated costs on 15 emissioncontrol technology categories applicable to existing coal-fired electric utility boilers. he categories include passive controls such as least emission dispatching, conventional processes, and emerging technologies ...

  18. Definition of technology development missions for early space station satellite servicing, volume 2

    Science.gov (United States)

    1983-01-01

    The results of all aspects of the early space station satellite servicing study tasks are presented. These results include identification of servicing tasks (and locations), identification of servicing mission system and detailed objectives, functional/operational requirements analyses of multiple servicing scenarios, assessment of critical servicing technology capabilities and development of an evolutionary capability plan, design and validation of selected servicing technology development missions (TDMs), identification of space station satellite servicing accommodation needs, and the cost and schedule implications of acquiring both required technology capability development and conducting the selected TDMs.

  19. 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

  20. 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.