WorldWideScience

Sample records for time service policy

  1. A bulk queueing system under N-policy with bilevel service delay discipline and start-up time

    Directory of Open Access Journals (Sweden)

    David C. R. Muh

    1993-01-01

    Full Text Available The author studies the queueing process in a single-server, bulk arrival and batch service queueing system with a compound Poisson input, bilevel service delay discipline, start-up time, and a fixed accumulation level with control operating policy. It is assumed that when the queue length falls below a predefined level r(≥1, the system, with server capacity R, immediately stops service until the queue length reaches or exceeds the second predefined accumulation level N(≥r. Two cases, with N≤R and N≥R, are studied.

  2. General bulk service queueing system with N-policy, multiplevacations, setup time and server breakdown without interruption

    Science.gov (United States)

    Sasikala, S.; Indhira, K.; Chandrasekaran, V. M.

    2017-11-01

    In this paper, we have considered an MX / (a,b) / 1 queueing system with server breakdown without interruption, multiple vacations, setup times and N-policy. After a batch of service, if the size of the queue is ξ (customers in the queue. After a vacation, if the server finds at least N customers waiting for service, then the server needs a setup time to start the service. After a batch of service, if the amount of waiting customers in the queue is ξ (≥ a) then the server serves a batch of min(ξ,b) customers, where b ≥ a. We derived the probability generating function of queue length at arbitrary time epoch. Further, we obtained some important performance measures.

  3. Universal service policy in Vietnam

    DEFF Research Database (Denmark)

    Do Manh, Thai; Falch, Morten; Von Salakpi, Simeon

    2016-01-01

    Universal service provision is a key to bridge the digital divide. This paper provides an empirical examination of the Vietnamese universal policy introduced in 2015 for implementation up to 2020. Using the framework of King et al. (1994) the paper analyses the universal services policy in Vietna...

  4. Manual on service business for policy research

    International Nuclear Information System (INIS)

    1999-01-01

    The contents of this book are summary of service business for policy research : conception classification and ways of service business for policy research, propel procedure of service business for policy research on system of committee, management, choice, contract, evaluation and post management, related regulation on service business for policy research : management regulation on service business for policy research, guide of evaluation for service business for policy research, estimation standard of policy research cost, law arrangement of national contract, required document on service business for policy research, and application manual for PRISM.

  5. Efficient Web Services Policy Combination

    Science.gov (United States)

    Vatan, Farrokh; Harman, Joseph G.

    2010-01-01

    Large-scale Web security systems usually involve cooperation between domains with non-identical policies. The network management and Web communication software used by the different organizations presents a stumbling block. Many of the tools used by the various divisions do not have the ability to communicate network management data with each other. At best, this means that manual human intervention into the communication protocols used at various network routers and endpoints is required. Developing practical, sound, and automated ways to compose policies to bridge these differences is a long-standing problem. One of the key subtleties is the need to deal with inconsistencies and defaults where one organization proposes a rule on a particular feature, and another has a different rule or expresses no rule. A general approach is to assign priorities to rules and observe the rules with the highest priorities when there are conflicts. The present methods have inherent inefficiency, which heavily restrict their practical applications. A new, efficient algorithm combines policies utilized for Web services. The method is based on an algorithm that allows an automatic and scalable composition of security policies between multiple organizations. It is based on defeasible policy composition, a promising approach for finding conflicts and resolving priorities between rules. In the general case, policy negotiation is an intractable problem. A promising method, suggested in the literature, is when policies are represented in defeasible logic, and composition is based on rules for non-monotonic inference. In this system, policy writers construct metapolicies describing both the policy that they wish to enforce and annotations describing their composition preferences. These annotations can indicate whether certain policy assertions are required by the policy writer or, if not, under what circumstances the policy writer is willing to compromise and allow other assertions to take

  6. Optimal (R, Q) policy and pricing for two-echelon supply chain with lead time and retailer's service-level incomplete information

    Science.gov (United States)

    Esmaeili, M.; Naghavi, M. S.; Ghahghaei, A.

    2018-03-01

    Many studies focus on inventory systems to analyze different real-world situations. This paper considers a two-echelon supply chain that includes one warehouse and one retailer with stochastic demand and an up-to-level policy. The retailer's lead time includes the transportation time from the warehouse to the retailer that is unknown to the retailer. On the other hand, the warehouse is unaware of retailer's service level. The relationship between the retailer and the warehouse is modeled based on the Stackelberg game with incomplete information. Moreover, their relationship is presented when the warehouse and the retailer reveal their private information using the incentive strategies. The optimal inventory and pricing policies are obtained using an algorithm based on bi-level programming. Numerical examples, including sensitivity analysis of some key parameters, will compare the results between the Stackelberg models. The results show that information sharing is more beneficial to the warehouse rather than the retailer.

  7. Quality policy at nuclear medicine services

    International Nuclear Information System (INIS)

    Gil Martinez, Eduardo Manuel; Jimenez, Tomas

    2007-01-01

    In the present text we comment about a Quality Policy model to establish in a Nuclear Medicine Service. The need for a strict control in every process that take place in a Nuclear Medicine Service, requires of an exact planification in terms of Quality Policy, specific to the real needs of every Service. Quality Policy must be a live Policy, with capability of changes and must be known for every workers in a Nuclear Medicine Service. Although the 'model' showed in this text is concret for a specific Service type, it must be extrapolated to any Nuclear Medicine Service with the necessary changes (au)

  8. NASA policy on pricing shuttle launch services

    Science.gov (United States)

    Smith, J. M.

    1977-01-01

    The paper explains the rationale behind key elements of the pricing policy for STS, the major features of the non-government user policy, and some of the stimulating features of the policy which will open space to a wide range of new users. Attention is given to such major policy features as payment schedule, cost and standard services, the two phase pricing structure, optional services, shared flights, cancellation and postponement, and earnest money.

  9. servicom policy intervention: improving service quality in nigerian ...

    African Journals Online (AJOL)

    Admin

    customer orientation in the Nigerian public sector. The policy goes by ..... Graham Effect' (Arnold, Cooper and Robertson,. 1995). .... system and budgeting time and money to pursue services ... customer relationships, and facilitating a safe and.

  10. Service Coordination Policies and Models: National Status.

    Science.gov (United States)

    Harbin, Gloria L.; Bruder, M.; Mazzarella, C.; Gabbard, G.; Reynolds, C.

    This report discusses the findings of a study that investigated state coordination of early intervention services for infants, toddlers, and young children with disabilities. State Part C coordinators participated in a survey that sought their perceptions of values under girding service coordination, approach to service coordination, policies,…

  11. Policy-Making in Unemployment Services:

    DEFF Research Database (Denmark)

    Caswell, Dorte; Høybye-Mortensen, Matilde

    The development of paternalist policies, such as the increase of punitive methods in welfare services, has been identified and analysed internationally (Mead, 1998; Soss et al., 2011a). The combination of these with an emphasis on instruments such as competition and performance measurement has be...... are categorised as having problems besides unemployment (Caswell et al., 2011)....

  12. The Effects of Medicaid Policy Changes on Adults Service...

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Effects of Medicaid Policy Changes on Adults Service Use Patterns in Kentucky and Idaho According to findings reported in The Effects of Medicaid Policy Changes...

  13. Service Choreography, SBVR, and Time

    Directory of Open Access Journals (Sweden)

    Nurulhuda A. Manaf

    2015-12-01

    Full Text Available We propose the use of structured natural language (English in specifying service choreographies, focusing on the what rather than the how of the required coordination of participant services in realising a business application scenario. The declarative approach we propose uses the OMG standard Semantics of Business Vocabulary and Rules (SBVR as a modelling language. The service choreography approach has been proposed for describing the global orderings of the invocations on interfaces of participant services. We therefore extend SBVR with a notion of time which can capture the coordination of the participant services, in terms of the observable message exchanges between them. The extension is done using existing modelling constructs in SBVR, and hence respects the standard specification. The idea is that users - domain specialists rather than implementation specialists - can verify the requested service composition by directly reading the structured English used by SBVR. At the same time, the SBVR model can be represented in formal logic so it can be parsed and executed by a machine.

  14. Time dependent policy-based access control

    DEFF Research Database (Denmark)

    Vasilikos, Panagiotis; Nielson, Flemming; Nielson, Hanne Riis

    2017-01-01

    also on other attributes of the environment such as the time. In this paper, we use systems of Timed Automata to model distributed systems and we present a logic in which one can express time-dependent policies for access control. We show how a fragment of our logic can be reduced to a logic......Access control policies are essential to determine who is allowed to access data in a system without compromising the data's security. However, applications inside a distributed environment may require those policies to be dependent on the actual content of the data, the flow of information, while...... that current model checkers for Timed Automata such as UPPAAL can handle and we present a translator that performs this reduction. We then use our translator and UPPAAL to enforce time-dependent policy-based access control on an example application from the aerospace industry....

  15. No Time to Think: Policy, Pedagogy and Professional Learning

    Science.gov (United States)

    Leonard, Simon N.; Roberts, Philip

    2016-01-01

    In this study, we seek to illuminate the effects of the global policy convergence in education through a close study of its enactment within an Australian Teacher Education course. Building on an examination of the changing priorities of a cohort of pre-service teachers over a short space of time, we argue that the enactment of New Public…

  16. Policy Implications of Research on School Time.

    Science.gov (United States)

    Anderson, Lorin

    1983-01-01

    The allocation and use of time are considered important in the context of learning because time can be manipulated, measured, and applied to the design of instructional programs. After a clarification of terminology, an overview of current research on time is offered and policy recommendations discussed. (MJL)

  17. Impact of new healthcare legislation and price policy on healthcare services provider at the time of financial crisis. A 10 years study

    Directory of Open Access Journals (Sweden)

    Ivona Malovecka

    2015-03-01

    Full Text Available Monitoring, calculation and assessment of healthcare services prosperity in the community pharmacy with the help of financial analysis indicators for the years 2003-2012, using financial statements was conducted, with respect to profitability, debt, liquidity, working capital, and efficiency parameters. These ratios reflect various changes that hold between years 2003 and 2012. Under the time of financial crisis, recession and serious socio-economic changes the profitability parameter Gross Profit ranged from 2003-2011 = 16.12-22.79% (average = 19.20%; mean = 19.78%; σ = 2.41, but in 2012 decreased on 14.35%. Net Profit ranged 2003-2011 = 10.96-18.3% (average = 14.62%; mean = 16.62%; σ = 4.92, while in 2012 reached only 2.29%. Debt ratio ranged from 2003-2012= 2.33-4.81 (average = 3.44; mean = 3.07; σ = 0.82. Liquidity parameters Current Ratio spread between 2003-2012 = 1.13-1.71 (average = 1.43; mean = 1.46; σ = 0.15 and Quick Ratio spread between 2003-2012 = 0.72-1.27 (average = 1.07; mean = 1.09; σ = 0.15. Working Capital Ratio ranged from 2003-2012 = 2.66-12.94 (average = 9.58; mean = 10.06; σ = 3.1 and efficiency ratios were measured either. All changes that have taken place in the society had an impact on community pharmacy finance by worsening its profitability, liquidity, working capital and some of efficiency parameters. Therefore the stability of community pharmacy may be threatened and may affect its future performance.http://dx.doi.org/10.7175/fe.v16i1.1040

  18. Optimal Guaranteed Service Time and Service Level Decision with Time and Service Level Sensitive Demand

    Directory of Open Access Journals (Sweden)

    Sangjun Park

    2014-01-01

    Full Text Available We consider a two-stage supply chain with one supplier and one retailer. The retailer sells a product to customer and the supplier provides a product in a make-to-order mode. In this case, the supplier’s decisions on service time and service level and the retailer’s decision on retail price have effects on customer demand. We develop optimization models to determine the optimal retail price, the optimal guaranteed service time, the optimal service level, and the optimal capacity to maximize the expected profit of the whole supply chain. The results of numerical experiments show that it is more profitable to determine the optimal price, the optimal guaranteed service time, and the optimal service level simultaneously and the proposed model is more profitable in service level sensitive market.

  19. Optimal pricing policies for services with consideration of facility maintenance costs

    Science.gov (United States)

    Yeh, Ruey Huei; Lin, Yi-Fang

    2012-06-01

    For survival and success, pricing is an essential issue for service firms. This article deals with the pricing strategies for services with substantial facility maintenance costs. For this purpose, a mathematical framework that incorporates service demand and facility deterioration is proposed to address the problem. The facility and customers constitute a service system driven by Poisson arrivals and exponential service times. A service demand with increasing price elasticity and a facility lifetime with strictly increasing failure rate are also adopted in modelling. By examining the bidirectional relationship between customer demand and facility deterioration in the profit model, the pricing policies of the service are investigated. Then analytical conditions of customer demand and facility lifetime are derived to achieve a unique optimal pricing policy. The comparative statics properties of the optimal policy are also explored. Finally, numerical examples are presented to illustrate the effects of parameter variations on the optimal pricing policy.

  20. An Agent-Based Model for Analyzing Control Policies and the Dynamic Service-Time Performance of a Capacity-Constrained Air Traffic Management Facility

    Science.gov (United States)

    Conway, Sheila R.

    2006-01-01

    Simple agent-based models may be useful for investigating air traffic control strategies as a precursory screening for more costly, higher fidelity simulation. Of concern is the ability of the models to capture the essence of the system and provide insight into system behavior in a timely manner and without breaking the bank. The method is put to the test with the development of a model to address situations where capacity is overburdened and potential for propagation of the resultant delay though later flights is possible via flight dependencies. The resultant model includes primitive representations of principal air traffic system attributes, namely system capacity, demand, airline schedules and strategy, and aircraft capability. It affords a venue to explore their interdependence in a time-dependent, dynamic system simulation. The scope of the research question and the carefully-chosen modeling fidelity did allow for the development of an agent-based model in short order. The model predicted non-linear behavior given certain initial conditions and system control strategies. Additionally, a combination of the model and dimensionless techniques borrowed from fluid systems was demonstrated that can predict the system s dynamic behavior across a wide range of parametric settings.

  1. Food Service Guideline Policies on State Government-Controlled Properties.

    Science.gov (United States)

    Zaganjor, Hatidza; Bishop Kendrick, Katherine; Warnock, Amy Lowry; Onufrak, Stephen; Whitsel, Laurie P; Ralston Aoki, Julie; Kimmons, Joel

    2016-09-13

    Food service guideline (FSG) policies can impact millions of daily meals sold or provided to government employees, patrons, and institutionalized persons. This study describes a classification tool to assess FSG policy attributes and uses it to rate FSG policies. Quantitative content analysis. State government facilities in the United States. Participants were from 50 states and District of Columbia in the United States. Frequency of FSG policies and percentage alignment to tool. State-level policies were identified using legal research databases to assess bills, statutes, regulations, and executive orders proposed or adopted by December 31, 2014. Full-text reviews were conducted to determine inclusion. Included policies were analyzed to assess attributes related to nutrition, behavioral supports, and implementation guidance. A total of 31 policies met the inclusion criteria; 15 were adopted. Overall alignment ranged from 0% to 86%, and only 10 policies aligned with a majority of the FSG policy attributes. Western states had the most FSG policies proposed or adopted (11 policies). The greatest number of FSG policies were proposed or adopted (8 policies) in 2011, followed by the years 2013 and 2014. The FSG policies proposed or adopted through 2014 that intended to improve the food and beverage environment on state government property vary considerably in their content. This analysis offers baseline data on the FSG landscape and information for future FSG policy assessments. © The Author(s) 2016.

  2. Food Service Guideline Policies on State Government Controlled Properties

    Science.gov (United States)

    Zaganjor, Hatidza; Bishop Kendrick, Katherine; Warnock, Amy Lowry; Onufrak, Stephen; Whitsel, Laurie P.; Ralston Aoki, Julie; Kimmons, Joel

    2017-01-01

    Purpose Food service guidelines (FSG) policies can impact millions of daily meals sold or provided to government employees, patrons, and institutionalized persons. This study describes a classification tool to assess FSG policy attributes and uses it to rate FSG policies. Design Quantitative content analysis. Setting State government facilities in the U.S. Subjects 50 states and District of Columbia. Measures Frequency of FSG policies and percent alignment to tool. Analysis State-level policies were identified using legal research databases to assess bills, statutes, regulations, and executive orders proposed or adopted by December 31, 2014. Full-text reviews were conducted to determine inclusion. Included policies were analyzed to assess attributes related to nutrition, behavioral supports, and implementation guidance. Results A total of 31 policies met inclusion criteria; 15 were adopted. Overall alignment ranged from 0% to 86%, and only 10 policies aligned with a majority of FSG policy attributes. Western States had the most FSG policy proposed or adopted (11 policies). The greatest number of FSG policies were proposed or adopted (8 policies) in 2011, followed by the years 2013 and 2014. Conclusion FSG policies proposed or adopted through 2014 that intended to improve the food and beverage environment on state government property vary considerably in their content. This analysis offers baseline data on the FSG landscape and information for future FSG policy assessments. PMID:27630113

  3. Policy Framework for the Next Generation Platform as a Service

    DEFF Research Database (Denmark)

    Kentis, Angelos Mimidis; Ollora Zaballa, Eder; Soler, José

    2018-01-01

    The Platform-as-a-Service (PaaS) model, allows service providers to build and deploy their services following streamlined work-flows. However, platforms deployed through the PaaS model can be very diverse in terms of technologies and involved subsystems (e.g. infrastructure, orchestration). Thus,......-wide and technology-agnostic policies to NGPaaS, by means of abstraction of the underlying platforms and the use of generic interfaces. The paper also presents a specific use case for the proposed framework, which targets network-oriented policies......., the means for deploying and managing a service can significantly vary depending on the deployed platform. To address this issue, this paper proposes a policy-based framework designed for the Next Generation Platform-as-a-Service (NGPaaS). This framework allows service providers to define platform...

  4. Inclusive Service Delivery : Yemen Policy Note 4

    OpenAIRE

    World Bank Group

    2017-01-01

    The ongoing conflict in Yemen has led to substantial destruction of physical infrastructure and significant disruptions in public services, livelihoods, income and well-being of individuals and households throughout the country. With little signs of the conflict abating,innovative options are now being explored to rehabilitate infrastructure and restore services during and immediately afte...

  5. Negotiated complexity in ecostystem services science and policy making

    OpenAIRE

    Keune, Hans; Dendoncker, Nicolas

    2014-01-01

    Abstract: Its a long way from scientific knowledge to concrete policy action. Along the way many decisions have to be made. A lot of these decisions relate to setting priorities. With regard to policy uptake of scientific knowledge on ecosystem services, the need for an integrated decision-making framework is crucial. Framing complexity is a crucial aspect of any ecosystem services approach: How do we deal with ecological and social complexity? The complexity to be taken into account and the ...

  6. Servicom policy intervention: Improving service quality in Nigerian ...

    African Journals Online (AJOL)

    In this case study we examine the raison d'être and implementation of a policy intervention, which was promulgated in 2005 for the purpose of eradicating inefficiency and corruption, and inculcating customer orientation in the Nigerian public sector. The policy goes by the acronym 'SERVICOM' -'service compact with all ...

  7. Realizing IoT service's policy privacy over publish/subscribe-based middleware.

    Science.gov (United States)

    Duan, Li; Zhang, Yang; Chen, Shiping; Wang, Shiyao; Cheng, Bo; Chen, Junliang

    2016-01-01

    The publish/subscribe paradigm makes IoT service collaborations more scalable and flexible, due to the space, time and control decoupling of event producers and consumers. Thus, the paradigm can be used to establish large-scale IoT service communication infrastructures such as Supervisory Control and Data Acquisition systems. However, preserving IoT service's policy privacy is difficult in this paradigm, because a classical publisher has little control of its own event after being published; and a subscriber has to accept all the events from the subscribed event type with no choice. Few existing publish/subscribe middleware have built-in mechanisms to address the above issues. In this paper, we present a novel access control framework, which is capable of preserving IoT service's policy privacy. In particular, we adopt the publish/subscribe paradigm as the IoT service communication infrastructure to facilitate the protection of IoT services policy privacy. The key idea in our policy-privacy solution is using a two-layer cooperating method to match bi-directional privacy control requirements: (a) data layer for protecting IoT events; and (b) application layer for preserving the privacy of service policy. Furthermore, the anonymous-set-based principle is adopted to realize the functionalities of the framework, including policy embedding and policy encoding as well as policy matching. Our security analysis shows that the policy privacy framework is Chosen-Plaintext Attack secure. We extend the open source Apache ActiveMQ broker by building into a policy-based authorization mechanism to enforce the privacy policy. The performance evaluation results indicate that our approach is scalable with reasonable overheads.

  8. Computation of a near-optimal service policy for a single-server queue with homogeneous jobs

    DEFF Research Database (Denmark)

    Johansen, Søren Glud; Larsen, Christian

    2001-01-01

    We present an algorithm for computing a near-optimal service policy for a single-server queueing system when the service cost is a convex function of the service time. The policy has state-dependent service times, and it includes the options to remove jobs from the system and to let the server...... be off. The systems' semi-Markov decision model has infinite action sets for the positive states. We design a new tailor-made policy-iteration algorithm for computing a policy for which the long-run average cost is at most a positive tolerance above the minimum average cost. For any positive tolerance...

  9. Computation of a near-optimal service policy for a single-server queue with homogeneous jobs

    DEFF Research Database (Denmark)

    Johansen, Søren Glud; Larsen, Christian

    2000-01-01

    We present an algorithm for computing a near optimal service policy for a single-server queueing system when the service cost is a convex function of the service time. The policy has state-dependent service times, and it includes the options to remove jobs from the system and to let the server...... be off. The system's semi-Markov decision model has infinite action sets for the positive states. We design a new tailor-made policy iteration algorithm for computing a policy for which the long-run average cost is at most a positive tolerance above the minimum average cost. For any positive tolerance...

  10. 3PAC: Enforcing Access Policies for Web Services

    NARCIS (Netherlands)

    van Bemmel, J.; Wegdam, M.; Lagerberg, K.

    Web Services fail to deliver on the promise of ubiquitous deployment and seamless interoperability due to the lack of a uniform, standards-based approach to all aspects of security. In particular, the enforcement of access policies in a Service Oriented Architecture is not addressed adequately. We

  11. Mapping and modelling ecosystem services for science, policy and practice

    NARCIS (Netherlands)

    Burkhard, B.; Crossman, N.; Nedkov, S.; Petz, K.; Alkemade, R.

    2013-01-01

    Ecosystem services are a significant research and policy topic and there are many modelling and mapping approaches aimed at understanding the stocks, demands and flows of ecosystem services on different spatial and temporal scales. The integration of geo-biophysical processes and structure

  12. Advancing LGBT Elder Policy and Support Services: The Massachusetts Model.

    Science.gov (United States)

    Krinsky, Lisa; Cahill, Sean R

    2017-12-01

    The Massachusetts-based LGBT Aging Project has trained elder service providers in affirming and culturally competent care for LGBT older adults, supported development of LGBT-friendly meal programs, and advanced LGBT equality under aging policy. Working across sectors, this innovative model launched the country's first statewide Legislative Commission on Lesbian, Gay, Bisexual, and Transgender Aging. Advocates are working with policymakers to implement key recommendations, including cultural competency training and data collection in statewide networks of elder services. The LGBT Aging Project's success provides a template for improving services and policy for LGBT older adults throughout the country.

  13. Integrating ecosystem services into national Forest Service policy and operations

    Science.gov (United States)

    Robert Deal; Lisa Fong; Erin Phelps; Emily Weidner; Jonas Epstein; Tommie Herbert; Mary Snieckus; Nikola Smith; Tania Ellersick; Greg Arthaud

    2017-01-01

    The ecosystem services concept describes the many benefits people receive from nature. It highlights the importance of managing public and private lands sustainably to ensure these benefits continue into the future, and it closely aligns with the U.S. Forest Service (USFS) mission to “sustain the health, diversity, and productivity of the Nation’s forests and...

  14. [Provide comprehensive service for state policy].

    Science.gov (United States)

    Wu, X

    1991-04-01

    In recent years, Chinese insurance companies introduced family planning (FP) insurance series. These schemes originated from the "one child" and life insurance and accident insurance of the early 1980s, which were established in response to the need that came with the "one child" policy. In order to help relieve the difficulties of rural FP work, the People's Insurance Corporation extended these programs to a series of schemes. These schemes included e.g., and old age security program for the families with 1 daughter only, old age security for families with an only child, and the program for FP workers' personal safety. The purpose of these schemes was to guarantee security in old age for families with few children, to ensure compensation if accident occurs during delivery or as a result of birth control operations; and compensation for FP workers for physical assaults they encountered. As FP organizations have been directly involved in advertising the insurance programs, there has been support from local governments with human and financial resources, and these insurance programs have been expanding every year. The payment of the policy has been either entirely or partially borne by the employers of the insured. In the process of the development of the insurance program, some problems have occurred. 1st, competition between FP organizations and insurance companies have evolved in sponsoring the program for its profit. 2nd, some media reports have confused the payment of premiums with the compulsory levy of undue fees, which in a way, hindered the expansion of program enrollment. 3rd, some local administrations are short of funds to pay for the insurance premiums. 4th, the accrued income from the premiums is lower than the expected sum of the principle and interest if the same funds were deposited in a bank at current interest rate. Therefore, some schemes lack appeal. FP series insurance is a longer term program which will have an important impact on the

  15. Underwater Time Service and Synchronization Based on Time Reversal Technique

    Science.gov (United States)

    Lu, Hao; Wang, Hai-bin; Aissa-El-Bey, Abdeldjalil; Pyndiah, Ramesh

    2010-09-01

    Real time service and synchronization are very important to many underwater systems. But the time service and synchronization in existence cannot work well due to the multi-path propagation and random phase fluctuation of signals in the ocean channel. The time reversal mirror technique can realize energy concentration through self-matching of the ocean channel and has very good spatial and temporal focusing properties. Based on the TRM technique, we present the Time Reversal Mirror Real Time service and synchronization (TRMRT) method which can bypass the processing of multi-path on the server side and reduce multi-path contamination on the client side. So TRMRT can improve the accuracy of time service. Furthermore, as an efficient and precise method of time service, TRMRT could be widely used in underwater exploration activities and underwater navigation and positioning systems.

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

    Science.gov (United States)

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

    2017-09-01

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

  17. Financial incentives and psychiatric services in Australia: an empirical analysis of three policy changes.

    Science.gov (United States)

    Doessel, D P; Scheurer, Roman W; Chant, David C; Whiteford, Harvey

    2007-01-01

    Australia has a national, compulsory and universal health insurance scheme, called Medicare. In 1996 the Government changed the Medicare Benefit Schedule Book in such a way as to create different financial incentives for consumers or producers of out-of-hospital private psychiatric services, once an individual consumer had received 50 such services in a 12-month period. The Australian Government introduced a new Item (319) to cover some special cases that were affected by the policy change. At the same time, the Commonwealth introduced a 'fee-freeze' for all medical services. The purpose of this study is two-fold. First, it is necessary to describe the three policy interventions (the constraints on utilization, the operation of the new Item and the general 'fee-freeze'.) The new Item policy was essentially a mechanism to 'dampen' the effect of the 'constraint' policy, and these two policy changes will be consequently analysed as a single intervention. The second objective is to evaluate the policy intervention in terms of the (stated) Australian purpose of reducing utilization of psychiatric services, and thus reducing financial outlays. Thus, it is important to separate out the different effects of the three policies that were introduced at much the same time in November 1996 and January 1997. The econometric results indicate that the composite policy change (constraining services and the new 319 Item) had a statistically significant effect. The analysis of the Medicare Benefit (in constant prices) indicates that the 'fee-freeze' policy also had a statistically significant effect. This enables separate determination of the several policy changes. In fact, the empirical results indicate that the Commonwealth Government underestimated the 'savings' that would arise from the 'constraint' policy.

  18. Current state of seagrass ecosystem services: Research and policy integration

    KAUST Repository

    Ruiz-Frau, A.

    2017-10-12

    Seagrasses contribute to the maintenance of human wellbeing. However certain aspects of their role as ecosystem service (ES) providers remain understudied. Here, we synthesise the state of seagrass ES (SGES) research and policy implications. Additionally, we recommend ways in which SGES research can be integrated in to policy design, by drawing lessons from the case of Blue Carbon (BC). SGES research suffers from three main biases: a geographical bias, SGES has been restricted to chartered seagrass areas; a type of service research bias, provisioning and regulating services have received extensive attention while cultural services remain understudied; a type of discipline bias, the ecological aspects of SGES have been well documented while economic and social aspects remain in comparison understudied. These are particularly important, as an understanding of the social and economic considerations of the provision of ES is fundamental to facilitate its integration into policy frameworks. Lessons drawn from the operationalization process of BC show the reoccurrence of certain aspects that have enabled the integration of BC into policy. These aspects are grouped under 4 different categories. From the analysis of these elements we draw lessons that could facilitate the operationalization of other ecosystem services and their incorporation into management policy frameworks.

  19. Do Workplace Flexibility Policies Influence Time Spent in Domestic Labor?

    Science.gov (United States)

    Noonan, Mary C.; Estes, Sarah Beth; Glass, Jennifer L.

    2007-01-01

    Using data from a U.S. midwestern sample of mothers and fathers, the authors examine whether using workplace flexibility policies alters time spent in housework and child care. They hypothesize that an individual's policy use will lead to more time in domestic labor and that his or her spouse's policy use will lead to less time in domestic labor.…

  20. Prospects for Mainstreaming Ecosystem Goods and Services in International Policies

    International Nuclear Information System (INIS)

    Kok, M.T.J.; Prins, A.G.; Tyler, S.R.; Pinter, L.; Baumuller, H.; Bernstein, J.; Tsioumani, E.; Venema, H.D.; Grosshans, R.

    2010-08-01

    Degradation of ecosystems worldwide threatens local and regional supplies of food, forest products and fresh water, and also biodiversity. Although most decisions that directly affect ecosystem management are made locally, these decisions are influenced by national and international policies. This study shows how local delivery of ecosystem goods and services (EGS) is closely linked to international policies on development cooperation, trade, climate change and reform of international financial institutions. Integrating or mainstreaming EGS considerations into these policies provides significant opportunities for reducing poverty, while simultaneously improving the quality of local EGS. Furthermore, mainstreaming EGS in international policies can contribute significantly to achieving policy objectives on biodiversity and sustainable management of natural resources. However, mainstreaming EGS requires careful consideration because many of the opportunities identified as reducing poverty, may have the opposite effect if poorly managed or implemented. A major challenge is, therefore, to ensure consistent policies across scales and policy domains based on analysis of the local situation. In order to support poverty reduction it matters how the mainstreaming is done and who benefits locally. Tools to mainstream EGS into non-environmental policy domains are available, but there are few examples of their systematic application. Examples of tools that could play a constructive role in this process are the monitoring and reporting mechanisms developed by the Convention on Biological Diversity (CBD)

  1. Point of Care Testing Services Delivery: Policy Analysis using a ...

    African Journals Online (AJOL)

    Annals of Biomedical Sciences ... The service providers (hospital management) and the testing personnel are faced with the task of trying to explain these problems. Objective of the study: To critically do a policy analysis of the problems of point of care testing with the aim of identifying the causes of these problems and ...

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

    African Journals Online (AJOL)

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

  3. A Variable Service Broker Routing Policy for data center selection in cloud analyst

    Directory of Open Access Journals (Sweden)

    Ahmad M. Manasrah

    2017-07-01

    Full Text Available Cloud computing depends on sharing distributed computing resources to handle different services such as servers, storage and applications. The applications and infrastructures are provided as pay per use services through data center to the end user. The data centers are located at different geographic locations. However, these data centers can get overloaded with the increase number of client applications being serviced at the same time and location; this will degrade the overall QoS of the distributed services. Since different user applications may require different configuration and requirements, measuring the user applications performance of various resources is challenging. The service provider cannot make decisions for the right level of resources. Therefore, we propose a Variable Service Broker Routing Policy – VSBRP, which is a heuristic-based technique that aims to achieve minimum response time through considering the communication channel bandwidth, latency and the size of the job. The proposed service broker policy will also reduce the overloading of the data centers by redirecting the user requests to the next data center that yields better response and processing time. The simulation shows promising results in terms of response and processing time compared to other known broker policies from the literature.

  4. Queues with waiting time dependent service

    DEFF Research Database (Denmark)

    Bekker, R.; Koole, G. M.; Nielsen, Bo Friis

    2011-01-01

    Motivated by service levels in terms of the waiting-time distribution seen, for instance, in call centers, we consider two models for systems with a service discipline that depends on the waiting time. The first model deals with a single server that continuously adapts its service rate based...... derive steady-state waiting-time distributions for both models. The results are illustrated with numerical examples....... on the waiting time of the first customer in line. In the second model, one queue is served by a primary server which is supplemented by a secondary server when the waiting of the first customer in line exceeds a threshold. Using level crossings for the waiting-time process of the first customer in line, we...

  5. Energy, emissions and emergency medical services: Policy matters

    International Nuclear Information System (INIS)

    Brown, Lawrence H.; Blanchard, Ian E.

    2012-01-01

    Understanding the energy consumption and emissions associated with health services is important for minimizing their environmental impact and guiding their adaptation to a low-carbon economy. In this post-hoc analysis, we characterize the energy burden of North American emergency medical services (EMS) agencies and estimate the potential marginal damage costs arising from their emissions as an example of how and why health services matter in environmental and energy policy, and how and why environmental and energy policy matter to health services. We demonstrate EMS systems are energy intensive, and that vehicle fuels represent 80% of their energy burden while electricity and natural gas represent 20%. We also demonstrate that emissions from EMS operations represent only a small fraction of estimated health sector emissions, but for EMS systems in the United States the associated marginal damage costs are likely between $2.7 million and $9.7 million annually. Significant changes in the supply or price of energy, including changes that arise from environmental and energy policy initiatives designed to constrain fossil fuel consumption, could potentially affect EMS agencies and other health services. We encourage cross disciplinary research to proactively facilitate the health system's adaptation to a low-carbon economy. - Highlights: ► Estimated EMS-related emissions less than 1% of health sector emissions. ► Damage costs of U.S. EMS-related emissions estimated at $2.7 to $9.7 million. ► EMS energy burden is approximately 442 MJ per ambulance response. ► Approximately 80% of EMS energy burden is vehicle fuels. ► Energy supply, price and policy could impact EMS (and other health) services. ► Research needed to facilitate health services’ adaptation to a low carbon economy.

  6. Farmers’ Awareness of Ecosystem Services and the Associated Policy Implications

    Directory of Open Access Journals (Sweden)

    Fangfang Xun

    2017-09-01

    Full Text Available This study analyzes the primary factors influencing farmers’ awareness of ecosystem services. This study, through questionnaires, conducts research on farmers’ awareness of and demand for ecosystem service functions. The research encapsulates 156 households from 21 groups of villagers in the Guangxi Karst Ecological Immigration District in China. The results of the factors influencing farmers’ awareness of ecosystem services, analyzed using a regression model, show that: (1 Farmers are concerned with ecosystem service functions that directly benefit them; however, they do not sufficiently understand the ecosystem’s ecological security maintenance or cultural landscape functions; (2 Farmers’ awareness of ecosystem service functions is not consistent with their corresponding demand, including the ecosystem’s leisure and entertainment, social security, disaster prevention and water purification services; (3 Education level, land area cultivated by the household, proportion of the household’s income from agriculture and immigration status directly affect farmers’ awareness of ecosystem services; (4 Farmers’ personal characteristics, family characteristics and subjective attitudes have different effects on the level of ecological service cognition. Understanding farmers’ awareness of ecosystem services, and the influencing factors can help policymakers and development managers plan local development and policies, and enable harmonious development of the human-earth system in immigration regions of China.

  7. Base stock policies with degraded service to larger orders

    DEFF Research Database (Denmark)

    Du, Bisheng; Larsen, Christian

    We study an inventory system controlled by a base stock policy assuming a compound renewal demand process. We extend the base stock policy by incorporating rules for degrading the service of larger orders. Two specific rules are considered, denoted Postpone(q,t) and Split(q), respectively. The aim...... of using these rules is to achieve a given order fill rate of the regular orders (those of size less than or equal to the parameter q) having less inventory. We develop mathematical expressions for the performance measures order fill rate (of the regular orders) and average on-hand inventory level. Based...

  8. Abortion law, policy and services in India: a critical review.

    Science.gov (United States)

    Hirve, Siddhivinayak S

    2004-11-01

    Despite 30 years of liberal legislation, the majority of women in India still lack access to safe abortion care. This paper critically reviews the history of abortion law and policy in India since the 1960s and research on abortion service delivery. Amendments in 2002 and 2003 to the 1971 Medical Termination of Pregnancy Act, including devolution of regulation of abortion services to the district level, punitive measures to deter provision of unsafe abortions, rationalisation of physical requirements for facilities to provide early abortion, and approval of medical abortion, have all aimed to expand safe services. Proposed amendments to the MTP Act to prevent sex-selective abortions would have been unethical and violated confidentiality, and were not taken forward. Continuing problems include poor regulation of both public and private sector services, a physician-only policy that excludes mid-level providers and low registration of rural compared to urban clinics; all restrict access. Poor awareness of the law, unnecessary spousal consent requirements, contraceptive targets linked to abortion, and informal and high fees also serve as barriers. Training more providers, simplifying registration procedures, de-linking clinic and provider approval, and linking policy with up-to-date technology, research and good clinical practice are some immediate measures needed to improve women's access to safe abortion care.

  9. Time to refine key climate policy models

    Science.gov (United States)

    Barron, Alexander R.

    2018-05-01

    Ambition regarding climate change at the national level is critical but is often calibrated with the projected costs — as estimated by a small suite of energy-economic models. Weaknesses in several key areas in these models will continue to distort policy design unless collectively addressed by a diversity of researchers.

  10. Linking ecosystem characteristics to final ecosystem services for public policy

    Science.gov (United States)

    Wong, Christina P; Jiang, Bo; Kinzig, Ann P; Lee, Kai N; Ouyang, Zhiyun

    2015-01-01

    Governments worldwide are recognising ecosystem services as an approach to address sustainability challenges. Decision-makers need credible and legitimate measurements of ecosystem services to evaluate decisions for trade-offs to make wise choices. Managers lack these measurements because of a data gap linking ecosystem characteristics to final ecosystem services. The dominant method to address the data gap is benefit transfer using ecological data from one location to estimate ecosystem services at other locations with similar land cover. However, benefit transfer is only valid once the data gap is adequately resolved. Disciplinary frames separating ecology from economics and policy have resulted in confusion on concepts and methods preventing progress on the data gap. In this study, we present a 10-step approach to unify concepts, methods and data from the disparate disciplines to offer guidance on overcoming the data gap. We suggest: (1) estimate ecosystem characteristics using biophysical models, (2) identify final ecosystem services using endpoints and (3) connect them using ecological production functions to quantify biophysical trade-offs. The guidance is strategic for public policy because analysts need to be: (1) realistic when setting priorities, (2) attentive to timelines to acquire relevant data, given resources and (3) responsive to the needs of decision-makers. PMID:25394857

  11. Linking ecosystem characteristics to final ecosystem services for public policy.

    Science.gov (United States)

    Wong, Christina P; Jiang, Bo; Kinzig, Ann P; Lee, Kai N; Ouyang, Zhiyun

    2015-01-01

    Governments worldwide are recognising ecosystem services as an approach to address sustainability challenges. Decision-makers need credible and legitimate measurements of ecosystem services to evaluate decisions for trade-offs to make wise choices. Managers lack these measurements because of a data gap linking ecosystem characteristics to final ecosystem services. The dominant method to address the data gap is benefit transfer using ecological data from one location to estimate ecosystem services at other locations with similar land cover. However, benefit transfer is only valid once the data gap is adequately resolved. Disciplinary frames separating ecology from economics and policy have resulted in confusion on concepts and methods preventing progress on the data gap. In this study, we present a 10-step approach to unify concepts, methods and data from the disparate disciplines to offer guidance on overcoming the data gap. We suggest: (1) estimate ecosystem characteristics using biophysical models, (2) identify final ecosystem services using endpoints and (3) connect them using ecological production functions to quantify biophysical trade-offs. The guidance is strategic for public policy because analysts need to be: (1) realistic when setting priorities, (2) attentive to timelines to acquire relevant data, given resources and (3) responsive to the needs of decision-makers. © 2014 The Authors. Ecology Letters published by John Wiley & Sons Ltd and CNRS.

  12. Quality & timely delivery of products and services

    Energy Technology Data Exchange (ETDEWEB)

    Scott, K.; Shabbir, K. [WorleyParsons, Toronto, ON (Canada)

    2015-07-01

    This paper discusses quality and timely delivery of services. The approach is to support our customers, to ensure quality, schedule and cost predictability with no compromise to safety, to avoid optimistic project schedules and conservative cost estimates. It is important to maintain a strategic focus in helping to improve the customer's assets and improve the methodology to improve assets.

  13. Quality & timely delivery of products and services

    International Nuclear Information System (INIS)

    Scott, K.; Shabbir, K.

    2015-01-01

    This paper discusses quality and timely delivery of services. The approach is to support our customers, to ensure quality, schedule and cost predictability with no compromise to safety, to avoid optimistic project schedules and conservative cost estimates. It is important to maintain a strategic focus in helping to improve the customer's assets and improve the methodology to improve assets.

  14. Privacy, Time Consistent Optimal Labour Income Taxation and Education Policy

    OpenAIRE

    Konrad, Kai A.

    1999-01-01

    Incomplete information is a commitment device for time consistency problems. In the context of time consistent labour income taxation privacy reduces welfare losses and increases the effectiveness of public education as a second best policy.

  15. Worldwide policies on epilepsy and blood donation: a survey among blood services.

    Science.gov (United States)

    Kellens, A; De Buck, E; Emonds, M-P; Vandekerckhove, P; Lagae, L

    2018-02-01

    Epilepsy is a common neurological disorder characterized by the appearance of seizures. Often, epilepsy patients are temporarily or permanently excluded from blood donation. To gain a better understanding of the policies that are currently applied, we performed a survey among blood services. A cross-sectional, Web-based questionnaire using the online Questback tool was developed and distributed to 46 representatives of blood services worldwide. The questionnaire was composed of nine questions. A total of 27 respondents, representing blood services in 26 countries on five continents, participated in the survey. Current policies range from permanent acceptance over temporary exclusion to permanent exclusion. Rationales for these different policies are diverse. The majority of blood services (59·3%) apply temporary exclusion as their policy, though no consensus exists on the length of time that epilepsy patients have to be medication-free or seizure-free. None of the respondents could provide data about adverse events in epilepsy patients during the blood donation process. The results of this survey indicate a large discrepancy in policies applied worldwide. A lack of scientific evidence could be one of the underlying reasons. Therefore, it is of paramount importance to further research the potential risks for donors and recipients regarding blood donation by people with epilepsy. This can then serve as a base for evidence-based policymaking and lead to safer and more effective blood transfusion programmes. © 2018 International Society of Blood Transfusion.

  16. 18 CFR 2.22 - Pricing policy for transmission services provided under the Federal Power Act.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Pricing policy for... INTERPRETATIONS Statements of General Policy and Interpretations Under the Federal Power Act § 2.22 Pricing policy... Policy Statement on its pricing policy for transmission services provided under the Federal Power Act...

  17. The role of government policy in service development in a New Zealand statutory mental health service: implications for policy planning and development.

    Science.gov (United States)

    Stanley-Clarke, Nicky; Sanders, Jackie; Munford, Robyn

    2014-12-01

    To explore the relationship between government policy and service development in a New Zealand statutory mental health provider, Living Well. An organisational case study utilising multiple research techniques including qualitative interviews, analysis of business and strategic documents and observation of meetings. Staff understood and acknowledged the importance of government policy, but there were challenges in its implementation. Within New Zealand's statutory mental health services staff struggled to know how to implement government policy as part of service development; rather, operational concerns, patient need, local context and service demands drove the service development process. © The Royal Australian and New Zealand College of Psychiatrists 2014.

  18. New phone-in time service

    Science.gov (United States)

    If you want to know the precise time—in fact, the most precise time available—call 1-900-410-TIME. This will connect you with the U.S. Naval Observatory's Master Clock in Washington, D.C., keeper of the national time standard, where a voice announcement will give you the time accurate to within one billionth of a second per day.The new service, useful for the synchronization of clocks and communication satellites as well as other applications, is being made available to the military and scientific communities and to the general public. A constant ticking in the background of the recorded phone announcement allows scientific users to synchronize their equipment.

  19. Government policy and access to natural gas service in Canada

    International Nuclear Information System (INIS)

    Plourde, A.; Ryan, D.L.

    1995-01-01

    As part of the Canadian energy policy between the mid-1970's to the mid-1980's, consumers were encouraged to use fuels alternative to oil. The first set of policy issues involved measures to provide consumers with incentives to switch to non-oil-burning equipment, whereas the second set of. policy papers emphasized the expansion of the natural gas distribution system. More than $1 billion have been spent on the gas pipeline expansion project. Consequences of program expenditures in each province were examined. With the exception of Manitoba, it was found that annual net pipeline additions were higher during the program period, indicating that the program policies induced these activities to occur sooner than if the policies were not in place. Kilometres of gas pipeline per individual constructed was highest in Quebec, where construction proceeded mainly between the more densely populated centres. In contrast, in Saskatchewan and Alberta, the program encouraged natural gas pipeline construction in rural areas with lower populations. Without the program, these areas may not have had access to natural gas for a very long time. It was concluded that, in this, and some other instances, public investment had the effect of accelerating developments, or encouraging the completion of projects that otherwise would not have been undertaken. It was suggested that in the future decision-makers consider the costs of changes in activity patterns prior to designing such programs. 2 figs., 1 table

  20. Ecosystem services science, practice, and policy: Perspectives from ACES, A Community on Ecosystem Services

    Science.gov (United States)

    Shapiro, Carl D.; Arthaud, Greg; Casey, Frank; Hogan, Dianna M.

    2015-01-01

    Ecosystem services are at a crossroad. The natural capital needed to produce them is diminishing (Millennium Ecosystem Assessment, 2005). At the same time, the science relating to their identification, production, and valuation is advancing. Examples of ecosystem services applications are abundant in the literature. In addition, the concept of ecosystem services and its applications are attracting attention and are becoming more visible. The concept of ecosystem services, however, is still not routinely applied to many natural resource management decisions.

  1. Ecosystem services from a degraded peatland of Central Kalimantan: implications for policy, planning, and management.

    Science.gov (United States)

    Law, Elizabeth A; Bryan, Bretr A; Meijaard, Erik; Mallawaarachchi, Thilak; Struebig, Matthew; Wilson, Kerrie A

    2015-01-01

    Increasingly, landscapes are managed for multiple objectives to balance social, economic, and environmental goals. The Ex-Mega Rice Project (EMRP) peatland in Central Kalimantan, Indonesia provides a timely example with globally significant development, carbon, and biodiversity concerns. To inform future policy, planning, and management in the EMRP, we quantified and mapped ecosystem service values, assessed their spatial interactions, and evaluated the potential provision of ecosystem services under future land-use scenarios. We focus on key policy-relevant regulating (carbon stocks and the potential for emissions reduction), provisioning (timber, crops from smallholder agriculture, palm oil), and supporting (biodiversity) services. We found that implementation of existing land-use plans has the potential to improve total ecosystem service provision. We identify a number of significant inefficiencies, trade-offs, and unintended outcomes that may arise. For example, the potential development of existing palm oil concessions over one-third of the region may shift smallholder agriculture into low-productivity regions and substantially impact carbon and biodiversity outcomes. While improved management of conservation zones may enhance the protection of carbon stocks, not all biodiversity features will be represented, and there will be a reduction in timber harvesting and agricultural production. This study highlights how ecosystem service analyses can be structured to better inform policy, planning, and management in globally significant but data-poor regions.

  2. Service contract of Renault Kerax 440 truck with deductible and policy limit coverage modification

    Science.gov (United States)

    Bustami, Pasaribu, Udjianna. S.; Husniah, Hennie

    2016-02-01

    In this paper we discuss a service contracts with coverage modification that only offer preventive maintenance and corrective maintenance for Renault Kerax 440 Truck by service contract provider. Corrective maintenance costs is modified with deductible and policy limit during the period of the service contract. Demand for a service contract is only influenced by the price of the service contract, deductible, and policy limit offered by producer to consumer. The main problem in this thesis is determining the price of a service contract, deductible, and policy limit to get maximum profit for producer for each of service contract.

  3. Data Resources for Conducting Health Services and Policy Research.

    Science.gov (United States)

    Blewett, Lynn A; Call, Kathleen Thiede; Turner, Joanna; Hest, Robert

    2018-04-01

    Rich federal data resources provide essential data inputs for monitoring the health and health care of the US population and are essential for conducting health services policy research. The six household surveys we document in this article cover a broad array of health topics, including health insurance coverage (American Community Survey, Current Population Survey), health conditions and behaviors (National Health Interview Survey, Behavioral Risk Factor Surveillance System), health care utilization and spending (Medical Expenditure Panel Survey), and longitudinal data on public program participation (SIPP). New federal activities are linking federal surveys with administrative data to reduce duplication and response burden. In the private sector, vendors are aggregating data from medical records and claims to enhance our understanding of treatment, quality, and outcomes of medical care. Federal agencies must continue to innovate to meet the continuous challenges of scarce resources, pressures for more granular data, and new multimode data collection methodologies.

  4. Challenges in implementing individual placement and support in the Australian mental health service and policy context.

    Science.gov (United States)

    Stirling, Yolande; Higgins, Kate; Petrakis, Melissa

    2018-02-01

    Objective Although Australia's service and policy context differs from that of the US, studies have highlighted potential for individual placement and support (IPS) to support competitive employment outcomes for people with severe and persistent mental illness. The aim of the present study was to explore why the model is not yet widely available. Methods A document analysis was conducted to discern reasons for challenges in implementation of IPS practice principles within the Australian service context. Results The document analysis illustrated that although policy acknowledges the importance of increasing employment rates for people with severe and persistent mental illness, consistent measures, change indicators, direction and time frames are lacking in policy and strategy documentation. Further, IPS principles are not consistently evident in guiding operational documentation that government-funded Disability Employment Services (DES) programs are mandated to adhere to. Conclusions For IPS to be readily implemented, it is necessary for government to offer support to agencies to partner and formal endorsement of the model as a preferred approach in tendering processes. Obligations and processes must be reviewed to ensure that model fidelity is achievable within the Australian Commonwealth policy and service context for programs to achieve competitive employment rates comparable to the most successful international programs. What is known about the topic? The IPS model has been established as the most efficacious approach to support people with severe and persistent mental ill health to gain and sustain employment internationally, yet little is known as to why this model has had very limited uptake in the Australian adult mental health service and policy context. What does this paper add? This paper provides an investigation into the achievability of IPS within DES philosophical and contractual arrangements. What are the implications for practitioners? Mental

  5. Developing European Library Services in Changing Times

    Directory of Open Access Journals (Sweden)

    Paul Ayris

    2012-01-01

    Full Text Available The purpose of this article is to explain what academic and national libraries can do to continue to offer services and facilities at a time of economic difficulties. It identifies a number of methodologies and opportunities that are open to libraries and takes the view that it is never wise to waste a good crisis, because all threats are really opportunities in disguise. The article looks at the initial economic context for European research libraries and then examines ways in which libraries can tackle the threats which the current financial crisis poses. Joint procurement is one way in which libraries can achieve value for money, and the paper examines the role of JIS C Collections in the UK. Innovation through collaboration and shared services are also ways in which libraries can innovate/make savings in a cost-effective way by sharing the burden of costs around the partnership. The paper gives two examples: one which is now well established, the DART-Europe portal for Open Access e-theses; and one which is in the early stages of being discussed — a cloud-based solution for true collaborative cataloguing amongst the UK’s research and national libraries. The European Research Area (ERA and the contributions that libraries can make to this infrastructure through innovative EU project funding are analysed in some detail by looking at LI BER’s EU project portfolio. Finally, change and growth can come through changes to legal frameworks, and the paper looks at the Hargreaves review of copyright frameworks in the UK and the launch of the new library-based EU lobbying group for copyright reform, Information Sans Frontières (IS F.

  6. Interim policy on establishment and operation of internet open, anonymous information servers and services

    OpenAIRE

    Acting Dean of Computer and Information Services

    1995-01-01

    Purpose. To establish interim NPS general policy regarding establishment and operation of Open, Anonymous Information Servers and Services, such as World Wide Web (http), Gopher, Anonymous FTP, etc...

  7. Analysis of an M[X]/(G1,G2/1 retrial queueing system with balking, optional re-service under modified vacation policy and service interruption

    Directory of Open Access Journals (Sweden)

    P. Rajadurai

    2014-09-01

    Full Text Available This paper deals with the steady state analysis of batch arrival retrial queueing system with two types of service under modified vacation policy, where each type consists of an optional re-service. An arriving batch may balk the system at some particular times. After the completion of each types of service the customers may re-service of the same type without joining the orbit or may leave the system. If the orbit is empty at the service completion of each types of service, the server takes at most J vacations until at least one customer is received in the orbit when the server returns from a vacation. Busy server may breakdown at any instance and the service channel will fail for a short interval of time. The steady state probability generating function for system/orbit size is obtained by using the supplementary variable method. Some system performance measures and numerical illustrations are discussed.

  8. Personal carbon trading: A policy ahead of its time?

    International Nuclear Information System (INIS)

    Fawcett, Tina

    2010-01-01

    In 2008, the UK government undertook a review of personal carbon trading (PCT) and declared that it was 'an idea currently ahead of its time'. PCT is a radical policy proposal which would entail all adults receiving an equal, tradable carbon allowance to cover emissions from household energy and/or personal travel. The allowance would reduce over time, in line with national emissions reduction goals. The government's key concerns about PCT were its social unacceptability and high cost. This paper reviews the literature and identifies knowledge gaps, and then discusses whether these concerns are justified. Contrary to the government's conclusions, most research shows PCT to be at least as socially acceptable as an alternative taxation policy. People think it could be both fair and effective. Set-up and running costs for PCT will undoubtedly be higher than for alternative taxation policies. However, PCT could deliver benefits from individual and social change motivated by non-economic aspects of the policy. These potential benefits are outlined here. The conclusion is that PCT is a promising and timely policy idea.

  9. Output gap uncertainty and real-time monetary policy

    Directory of Open Access Journals (Sweden)

    Francesco Grigoli

    2015-12-01

    Full Text Available Output gap estimates are subject to a wide range of uncertainty owing principally to the difficulty in distinguishing between cycle and trend in real time. We show that country desks tend to overestimate economic slack, especially during recessions, and that uncertainty in initial output gap estimates persists several years. Only a small share of output gap revisions is predictable based on output dynamics, data quality, and policy frameworks. We also show that for a group of Latin American inflation targeters the prescriptions from monetary policy rules are subject to large changes due to revised output gap estimates. These explain a sizable proportion of the deviation of inflation from target, suggesting this information is not accounted for in real-time policy decisions.

  10. Tax administration as health policy: hospitals, the Internal Revenue Service, and the courts.

    Science.gov (United States)

    Fox, D M; Schaffer, D C

    1991-01-01

    Since 1969 federal tax policy has permitted nonprofit hospitals to turn away indigent patients or to transfer them to public hospitals. The Internal Revenue Service made health policy, but its officials remain convinced that they were not making policy at all. Convinced that it was reasoning from legal principles, the Revenue Service accepted the hospital industry's view of the history and purpose of hospitals. The federal courts further obscured the problem. Moreover, the Revenue Service took no interest in the effects of its ruling on the services provided by tax-exempt hospitals until 1989. We describe these events and seek to explain them by linking the recent history of health policy to the assumptions that govern the making of tax policy. We conclude that the making of health policy by tax officials who are not accountable for it and who believe that they are not making policy at all is not in the public interest.

  11. 78 FR 49445 - Wildlife Services Policy on Wildlife Damage Management in Urban Areas

    Science.gov (United States)

    2013-08-14

    ... Health Inspection Service's Wildlife Services (APHIS-WS) program is making a policy decision on how to... this definition. Otherwise, APHIS will refer all requests for operational assistance with urban rodent...

  12. An African account of ecosystem service provision: Use, threats and policy options for sustainable livelihoods

    CSIR Research Space (South Africa)

    Egoh, Benis N

    2012-12-01

    Full Text Available -1 Ecosystem Services December 2012/ Vol. 2 An African account of ecosystem service provision: Use, threats and policy options for sustainable livelihoods Benis N. Egoh a, , , , Patrick J. O'Farrellb, Aymen Charefa, Leigh Josephine Gurney a...

  13. Exploring changes in middle-school student lunch consumption after local school food service policy modifications.

    Science.gov (United States)

    Cullen, Karen Weber; Watson, Kathy; Zakeri, Issa; Ralston, Katherine

    2006-09-01

    This study assessed the impact of changes in school food policy on student lunch consumption in middle schools. Two years of lunch food records were collected from students at three middle schools in the Houston, Texas area. During the first year, no changes occurred in the school food environment. After that school year was completed, chips and dessert foods were removed from the snack bars of all schools by the Food Service Director. Students recorded the amount and source of food and beverage items consumed. Point-of-service purchase machines provided a day-by-day electronic data file with food and beverage purchases from the snack bars during the 2-year period. Independent t-tests and time series analyses were used to document the impact of the policy change on consumption and sales data between the two years. In general, student consumption of sweetened beverages declined and milk, calcium, vitamin A, saturated fat and sodium increased after the policy change. Snack chips consumption from the snack bar declined in year 2; however, consumption of snack chips and candy from vending increased and the number of vending machines in study schools doubled during the study period. Ice cream sales increased significantly in year 2. Policy changes on foods sold in schools can result in changes in student consumption from the targeted environments. However, if all environments do not make similar changes, compensation may occur.

  14. Change Best: Task 2.3. Analysis of policy mix and development of Energy Efficiency Services

    International Nuclear Information System (INIS)

    Boonekamp, P.; Vethman, P.

    2010-04-01

    The aim of the Change Best project is to promote the development of an energy efficiency service (EES) market and to give good practice examples of changes in energy service business, strategies, and supportive policies and measures in the course of the implementation of Directive 2006/32/EC on Energy End-Use Efficiency and Energy Services. This report addresses task 2.3: Analysis of policy mix and development of Energy Efficiency Services.

  15. Developing European Library Services in Changing Times

    Directory of Open Access Journals (Sweden)

    Paul Ayris

    2012-04-01

    Full Text Available The purpose of this article is to explain what academic and national libraries can do to continue to offer services and facilities at a time of economic difficulties. It identifies a number of methodologies and opportunities that are open to libraries and takes the view that it is never wise to waste a good crisis, because all threats are really opportunities in disguise. The kernel of this paper was delivered at the 10th Anniversary special EISZ Consortium Members’ Meeting on 2 December 2011, in Budapest, Hungary. It builds on an earlier talk delivered in Thessaloniki, Greece, on 14–15 November 2011 at the 20th Pan-Hellenic Academic Libraries Conference, entitled ‘Academic Libraries and Financial Crisis: Strategies for Survival’. Both these presentations are available in UCL Discovery. This article draws on themes used in both presentations, and introduces a new one on the topic of copyright reform. The article looks at the initial economic context for European research libraries and then examines ways in which libraries can tackle the threats which the current financial crisis poses. Joint procurement is one way in which libraries can achieve value for money, and the paper examines the role of JISC Collections in the UK. Innovation through collaboration and shared services are also ways in which libraries can innovate/make savings in a cost-effective way by sharing the burden of costs around the partnership. The paper gives two examples: one which is now well established, the DART-Europe portal for Open Access e-theses; and one which is in the early stages of being discussed — a cloud-based solution for true collaborative cataloguing amongst the UK’s research and national libraries. The European Research Area (ERA and the contributions that libraries can make to this infrastructure through innovative EU project funding are analysed in some detail by looking at LIBER’s EU project portfolio. Finally, change and growth can come

  16. Perception, acquisition and use of ecosystem services: human behavior, and ecosystem management and policy implications

    Science.gov (United States)

    Stanley T. Asah; Anne D. Guerry; Dale J. Blahna; Joshua J. Lawler

    2014-01-01

    Ecosystem services, fundamental to livelihoods and well-being, are reshaping environmental management and policy. However, the behavioral dimensions of ecosystem services and the responses of ordinary people to the management of those services, is less well understood. The ecosystem services framework lends itself to understanding the relationship between ecosystems...

  17. Public policy alienation of public service workers : A conceptual framework

    NARCIS (Netherlands)

    L.G. Tummers (Lars); V.J.J.M. Bekkers (Victor); A.J. Steijn (Bram)

    2007-01-01

    textabstractNowadays, many public professionals face identification problems towards public policies they have to implement; that is, they experience policy alienation. This is troublesome, as for a proper implementation a minimal level of identification with the public policy is required. We use

  18. Telemedicine services in the Republic of Ireland: an evolving policy context.

    Science.gov (United States)

    MacFarlane, Anne; Murphy, Andrew William; Clerkin, Pauline

    2006-05-01

    The Republic of Ireland is characterised by few urban conurbations and a high rural population, including significant numbers of island dwellers. Information communication technologies (ICT), including telemedicine, present opportunities to address rural health-service delivery issues. As in other countries, the recent National Health Information Strategy is regarded as pivotal to the modernisation of the Irish health care system. There is, however, a dearth of research about telemedicine in Ireland. This paper reports, to the best of our knowledge, the first systematic review of telemedicine in the two regional health boards in the Republic of Ireland. Details of 11 telemedicine services, all initiated by local policy, will be presented. Results of an interview study with service providers about their experiences of the practices and processes involved in telemedicine service delivery are also provided. The focus of our analysis is two-fold. We assess the resonance of these Irish data with the international literature with particular reference to a recently developed model for the normalisation of telemedicine. For the first time, this model which was developed in the United Kingdom is applied to a fresh set of empirical data in a different health care context. We then discuss a number of health information policy issues for Ireland and elsewhere arising from our analysis.

  19. Current state of seagrass ecosystem services: Research and policy integration

    KAUST Repository

    Ruiz-Frau, A.; Gelcich, S.; Hendriks, I.E.; Duarte, Carlos M.; Marbà , N.

    2017-01-01

    areas; a type of service research bias, provisioning and regulating services have received extensive attention while cultural services remain understudied; a type of discipline bias, the ecological aspects of SGES have been well documented while economic

  20. Granting authority to a new policy. A community benefit services policy becomes part of the general business strategy.

    Science.gov (United States)

    Karibo, J

    1994-05-01

    Bon Secours Health System's new strategic plan and community benefit services policy integrates the planning, budgeting, evaluating, and reporting of community benefit services into management processes at the same level of authority as other operational activities. The strategic plan of Bon Secours Health System, headquartered in Marriottsville, MD, documents the system's mission, operating principles, vision, and five goals, one of which is to improve the communities' health status. The community benefit services operating policy requires that the Bon Secours Health System chief executive officer (CEO) and each local system CEO and nursing home administrator form a multidisciplinary local work group to be responsible for community benefit services. Each local work group assesses the needs of its community within the framework of the annual planning process. Determining what services are needed and how to deliver them is relatively easy. The difficult task is determining which of the many needs to address. What a community lacks may be the result of poor or inadequate public policy. For example, its priority may not be healthcare. In these situations healthcare providers may be best able to serve the community by providing indirect support to social service providers or by advocating for change. The community benefit services operating policy provides a standard approach to match the community's priority needs with the institution's resources and produce a measurable improvement in health status.

  1. 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 ... Journal Home > Vol 24, No 3 (2010) > ... Results: Past experience on antenatal care service utilization did not come out as a predictor for ...

  2. 76 FR 41032 - Medicaid Program; Face-to-Face Requirements for Home Health Services; Policy Changes and...

    Science.gov (United States)

    2011-07-12

    ... documentation must also describe how the health status of the recipient at the time of the face-to-face... [CMS 2348-P] RIN 0938-AQ36 Medicaid Program; Face-to-Face Requirements for Home Health Services; Policy... document the existence of a face-to-face encounter (including through the use of telehealth) with the...

  3. Professional Aspirations among Pre-Service Teachers: Personal Responsibility, Time Perspectives, and Career Choice Satisfaction

    Science.gov (United States)

    Eren, Altay

    2017-01-01

    Exploring the direct and indirect effects of pre-service teachers' sense of personal responsibility on their professional aspirations through affective (i.e., career choice satisfaction) and cognitive (i.e., time perspectives) variables may enable teacher educators and policy makers to better describe the factors influencing teacher development in…

  4. Mapping ecosystem services for policy support and decision making in the European Union

    NARCIS (Netherlands)

    Maes, J.; Egoh, B.; Willemen, L.; Liquete, C.; Vihervaara, P.; Schägner, J.P.; Grizzetti, B.; Drakou, E.G.; Notte, La A.; Zulian, G.; Bouraoui, F.; Parcchini, M.L.; Braat, L.C.

    2012-01-01

    Mainstreaming ecosystem services into policy and decision making is dependent on the availability of spatially explicit information on the state and trends of ecosystems and their services. In particular, the EU Biodiversity Strategy to 2020 addresses the need to account for ecosystem services

  5. Estimated time spent on preventive services by primary care physicians

    Directory of Open Access Journals (Sweden)

    Gradison Margaret

    2008-12-01

    Full Text Available Abstract Background Delivery of preventive health services in primary care is lacking. One of the main barriers is lack of time. We estimated the amount of time primary care physicians spend on important preventive health services. Methods We analyzed a large dataset of primary care (family and internal medicine visits using the National Ambulatory Medical Care Survey (2001–4; analyses were conducted 2007–8. Multiple linear regression was used to estimate the amount of time spent delivering each preventive service, controlling for demographic covariates. Results Preventive visits were longer than chronic care visits (M = 22.4, SD = 11.8, M = 18.9, SD = 9.2, respectively. New patients required more time from physicians. Services on which physicians spent relatively more time were prostate specific antigen (PSA, cholesterol, Papanicolaou (Pap smear, mammography, exercise counseling, and blood pressure. Physicians spent less time than recommended on two "A" rated ("good evidence" services, tobacco cessation and Pap smear (in preventive visits, and one "B" rated ("at least fair evidence" service, nutrition counseling. Physicians spent substantial time on two services that have an "I" rating ("inconclusive evidence of effectiveness", PSA and exercise counseling. Conclusion Even with limited time, physicians address many of the "A" rated services adequately. However, they may be spending less time than recommended for important services, especially smoking cessation, Pap smear, and nutrition counseling. Future research is needed to understand how physicians decide how to allocate their time to address preventive health.

  6. Public policy and regulatory implications for the implementation of Opportunistic Cloud Computing Services for Enterprises

    DEFF Research Database (Denmark)

    Kuada, Eric; Olesen, Henning; Henten, Anders

    2012-01-01

    Opportunistic Cloud Computing Services (OCCS) is a social network approach to the provisioning and management of cloud computing services for enterprises. This paper discusses how public policy and regulations will impact on OCCS implementation. We rely on documented publicly available government...... and corporate policies on the adoption of cloud computing services and deduce the impact of these policies on their adoption of opportunistic cloud computing services. We conclude that there are regulatory challenges on data protection that raises issues for cloud computing adoption in general; and the lack...... of a single globally accepted data protection standard poses some challenges for very successful implementation of OCCS for companies. However, the direction of current public and corporate policies on cloud computing make a good case for them to try out opportunistic cloud computing services....

  7. Congestion Service Facilities Location Problem with Promise of Response Time

    Directory of Open Access Journals (Sweden)

    Dandan Hu

    2013-01-01

    Full Text Available In many services, promise of specific response time is advertised as a commitment by the service providers for the customer satisfaction. Congestion on service facilities could delay the delivery of the services and hurts the overall satisfaction. In this paper, congestion service facilities location problem with promise of response time is studied, and a mixed integer nonlinear programming model is presented with budget constrained. The facilities are modeled as M/M/c queues. The decision variables of the model are the locations of the service facilities and the number of servers at each facility. The objective function is to maximize the demands served within specific response time promised by the service provider. To solve this problem, we propose an algorithm that combines greedy and genetic algorithms. In order to verify the proposed algorithm, a lot of computational experiments are tested. And the results demonstrate that response time has a significant impact on location decision.

  8. A Simple Model of Service Trade with Time Zone Differences

    OpenAIRE

    Kikuchi, Toru; Iwasa, Kazumichi

    2008-01-01

    This note proposes a two-country monopolistic competition model of service trade that captures the role of time zone differences as a determinant of trade patterns. It is shown that the utilization of time zone differences induces drastic change in trade patterns: Due to taking advantage of time zone differences, service firms learve larger countries for smaller countries.

  9. An Item Bank to Measure Systems, Services, and Policies: Environmental Factors Affecting People With Disabilities.

    Science.gov (United States)

    Lai, Jin-Shei; Hammel, Joy; Jerousek, Sara; Goldsmith, Arielle; Miskovic, Ana; Baum, Carolyn; Wong, Alex W; Dashner, Jessica; Heinemann, Allen W

    2016-12-01

    To develop a measure of perceived systems, services, and policies facilitators (see Chapter 5 of the International Classification of Functioning, Disability and Health) for people with neurologic disabilities and to evaluate the effect of perceived systems, services, and policies facilitators on health-related quality of life. Qualitative approaches to develop and refine items. Confirmatory factor analysis including 1-factor confirmatory factor analysis and bifactor analysis to evaluate unidimensionality of items. Rasch analysis to identify misfitting items. Correlational and analysis of variance methods to evaluate construct validity. Community-dwelling individuals participated in telephone interviews or traveled to the academic medical centers where this research took place. Participants (N=571) had a diagnosis of spinal cord injury, stroke, or traumatic brain injury. They were 18 years or older and English speaking. Not applicable. An item bank to evaluate environmental access and support levels of services, systems, and policies for people with disabilities. We identified a general factor defined as "access and support levels of the services, systems, and policies at the level of community living" and 3 local factors defined as "health services," "community living," and "community resources." The systems, services, and policies measure correlated moderately with participation measures: Community Participation Indicators (CPI) - Involvement, CPI - Control over Participation, Quality of Life in Neurological Disorders - Ability to Participate, Quality of Life in Neurological Disorders - Satisfaction with Role Participation, Patient-Reported Outcomes Measurement Information System (PROMIS) Ability to Participate, PROMIS Satisfaction with Role Participation, and PROMIS Isolation. The measure of systems, services, and policies facilitators contains items pertaining to health services, community living, and community resources. Investigators and clinicians can measure

  10. OPTIMAL GUARANTEED SERVICES TIMED TOKEN (OGSTT ...

    African Journals Online (AJOL)

    eobe

    transmission time, as required by the hard real-time tasks, but also high ... The network and message models are presented in ... node has a unique number in the range 0, 1, 2…N-1. For each .... To overcome this, an integer U is added to the ...

  11. Ecosystem services and economic theory: integration for policy-relevant research.

    Science.gov (United States)

    Fisher, Brendan; Turner, Kerry; Zylstra, Matthew; Brouwer, Roy; de Groot, Rudolf; Farber, Stephen; Ferraro, Paul; Green, Rhys; Hadley, David; Harlow, Julian; Jefferiss, Paul; Kirkby, Chris; Morling, Paul; Mowatt, Shaun; Naidoo, Robin; Paavola, Jouni; Strassburg, Bernardo; Yu, Doug; Balmford, Andrew

    2008-12-01

    It has become essential in policy and decision-making circles to think about the economic benefits (in addition to moral and scientific motivations) humans derive from well-functioning ecosystems. The concept of ecosystem services has been developed to address this link between ecosystems and human welfare. Since policy decisions are often evaluated through cost-benefit assessments, an economic analysis can help make ecosystem service research operational. In this paper we provide some simple economic analyses to discuss key concepts involved in formalizing ecosystem service research. These include the distinction between services and benefits, understanding the importance of marginal ecosystem changes, formalizing the idea of a safe minimum standard for ecosystem service provision, and discussing how to capture the public benefits of ecosystem services. We discuss how the integration of economic concepts and ecosystem services can provide policy and decision makers with a fuller spectrum of information for making conservation-conversion trade-offs. We include the results from a survey of the literature and a questionnaire of researchers regarding how ecosystem service research can be integrated into the policy process. We feel this discussion of economic concepts will be a practical aid for ecosystem service research to become more immediately policy relevant.

  12. The pricing of capital services over time

    International Nuclear Information System (INIS)

    Valle, A.P.D.; Watkins, G.C.

    1990-01-01

    In 1982, the Canadian National Energy Board and McGill University sponsored a conference on pipeline regulation in an inflationary era, focussing especially on the possible introduction of some form of tariff levelling. Ironically, shortly after the conference proceedings were published the very concerns addressed receded: inflation declined markedly and emerging weaknesses in oil and gas prices saw the demise or deferral of big projects with large up-front investments, the very projects which had excited interest in developing new regulatory techniques. This paper is organized in three main sections. Section I outlines the problems raised by traditional tariff regulation. Section II develops and discusses theoretical aspects of alternative rate structures. Section II focuses on practical problems of implementing rate structures that, on the face of it, have a better economic rationale than cost-of-service style pricing. Concluding remarks are made in Section IV

  13. THE IMPLICATION OF PRE-SERVICE TEACHERS BELIEF ABOUT GRAMMAR TEACHING AND LEARNING FOR ENGLISH LANGUAGE POLICY IN INDONESIA

    Directory of Open Access Journals (Sweden)

    Cecilia Titiek Murniati

    2016-07-01

    Full Text Available Recent studies have suggested that teachers beliefs have a significant influence on actual classroom practice and, consequently, on students achievements. However, little research has been done to investigate the influence of Indonesian language policy and teachers beliefs. The study reported seeks to examine the influence of English language policy on pre-service teacher's beliefs about the teaching of English language grammar in Indonesian schools. The research participants were pre-service teachers who have taken the subjects of Structure, Teaching Methods, and Micro-teaching in three public and private universities in Central Java and Yogyakarta Special District. Due to time and scheduling limitations, the sampling method used in this study was convenient sampling. Documentation, survey schedules, interviews, focus group discussions were used to gather the data. The findings revealed that although the language policy in Indonesia has put English language teaching and learning within the framework of communicative competence since the enactment of the 2006 School-based Curriculum, the pre-service teachers still believed that traditional method of teaching grammar (explicit grammar instruction was imperative to use. The pre-service teachers tended to exclude English language policy enacted by Indonesian government in their discussion about teachers beliefs. Instead, the pre-service teachers constructed their beliefs about English language grammar teaching and learning process on their prior experiences in learning and teaching grammar.

  14. Policy-Aware Sender Anonymity in Location-Based Services

    Science.gov (United States)

    Vyas, Avinash

    2011-01-01

    Sender anonymity in Location-based services (LBS) refers to hiding the identity of a mobile device user who sends requests to the LBS provider for services in her proximity (e.g. "find the nearest gas station etc."). The goal is to keep the requester's interest private even from attackers who (via hacking or subpoenas) gain access to the LBS…

  15. Part C Service Coordination: State Policies and Models. Synthesis Brief.

    Science.gov (United States)

    Markowitz, Joy

    This brief paper summarizes data from a survey of state coordinators of Part C of the Individuals with Disabilities Education Act concerning service coordination to infants and toddlers with disabilities. The survey examined variations in service coordination at the state level including roles of parents, values of key stakeholders, sources of…

  16. Sojourn times in the M/G/1 FB queue with light-tailed service times.

    NARCIS (Netherlands)

    Mandjes, M.R.H.; Nuijens, M.F.M.

    2005-01-01

    ABSTRACT The asymptotic decay rate of the sojourn time of a customer in the stationary M/G/1 queue under the Foreground-Background (FB) service discipline is studied. The FB discipline gives service to those customers that have received the least service so far. We prove that for lighttailed service

  17. Positioning navigation and timing service applications in cyber physical systems

    Science.gov (United States)

    Qu, Yi; Wu, Xiaojing; Zeng, Lingchuan

    2017-10-01

    The positioning navigation and timing (PNT) architecture was discussed in detail, whose history, evolvement, current status and future plan were presented, main technologies were listed, advantages and limitations of most technologies were compared, novel approaches were introduced, and future capacities were sketched. The concept of cyber-physical system (CPS) was described and their primary features were interpreted. Then the three-layer architecture of CPS was illustrated. Next CPS requirements on PNT services were analyzed, including requirements on position reference and time reference, requirements on temporal-spatial error monitor, requirements on dynamic services, real-time services, autonomous services, security services and standard services. Finally challenges faced by PNT applications in CPS were concluded. The conclusion was expected to facilitate PNT applications in CPS, and furthermore to provide references to the design and implementation of both architectures.

  18. Information for mental health systems: an instrument for policy-making and system service quality.

    Science.gov (United States)

    Lora, A; Lesage, A; Pathare, S; Levav, I

    2017-08-01

    Information is crucial in mental healthcare, yet it remains undervalued by stakeholders. Its absence undermines rationality in planning, makes it difficult to monitor service quality improvement, impedes accountability and human rights monitoring. For international organizations (e.g., WHO, OECD), information is indispensable for achieving better outcomes in mental health policies, services and programs. This article reviews the importance of developing system level information with reference to inputs, processes and outputs, analyzes available tools for collecting and summarizing information, highlights the various goals of information gathering, discusses implementation issues and charts the way forward. Relevant publications and research were consulted, including WHO studies that purport to promote the use of information systems to upgrade mental health care in high- and low-middle income countries. Studies have shown that once information has been collected by relevant systems and analyzed through indicator schemes, it can be put to many uses. Monitoring mental health services, represents a first step in using information. In addition, studies have noted that information is a prime resource in many other areas such as evaluation of quality of care against evidence based standards of care. Services data may support health services research where it is possible to link mental health data with other health and non-health databases. Information systems are required to carefully monitor involuntary admissions, restrain and seclusion, to reduce human rights violations in care facilities. Information has been also found useful for policy makers, to monitor the implementation of policies, to evaluate their impact, to rationally allocate funding and to create new financing models. Despite its manifold applications, Information systems currently face many problems such as incomplete recording, poor data quality, lack of timely reporting and feedback, and limited

  19. Upgradation and modernization of eye banking services: Integrating tradition with innovative policies and current best practices.

    Science.gov (United States)

    Tandon, Radhika; Singh, Archita; Gupta, Noopur; Vanathi, M; Gupta, Vivek

    2017-02-01

    The purpose of this study is to review the history and evolution of the National Eye Bank (NEB) and analyze the impact over the years and report the outcome of the invested resources. Review of archival material, records, project reports, policy and procedures' manuals, and publications was done. Descriptive and analytical processing of data obtained was undertaken. Parameters evaluated included total collection, transplantation, utilization rates of donor cornea, changing trends over time in terms of numbers and duration of recipients waiting, impactful research translated into changes in standard operating protocols, new facilities, and subsequent effects on numbers or quality assurance measures and overview of major achievements. Periodic situational analysis with contextual relevance and interpretation of outcomes was done pertaining to national goals and international standards. The NEB and cornea services have played a key leadership role in furthering the development of eye banking and corneal transplantation services. The contribution extends beyond routine patient care to education, training, generation of resources, advocacy, and policymaking. In quantifiable terms, the overall performance has steadily increased over the years. Major contributions include training of doctors, eye bank staff and corneal surgeons, introduction of innovative techniques for corneal transplantation, setting of national standards for eye banking and provision of preservation media, customized corneal, and ocular surface cell replacement therapy in collaboration with other departments and institutes. The eye banking and corneal transplantation facilities have evolved with time providing quality services, modernized as appropriate with updated knowledge and incorporating technological advances supported by the systematic evidence-based approach.

  20. Wheeling and transmission system service policy in North America

    International Nuclear Information System (INIS)

    Casazza, J.A.; Schultz, A.J.; Limmer, H.D.

    1991-01-01

    This paper provides a review and discussion of the status of wheeling in the USA and Canada; the pros and cons of the new policies that are evolving and under consideration for wheeling and transmission access; specific case examples of some of the difficulties that have arisen; and the potential for new transmission technology. (author)

  1. Analyzing the effect of gain time on soft task scheduling policies in real-time systems

    OpenAIRE

    Búrdalo Rapa, Luis Antonio; Terrasa Barrena, Andrés Martín; Espinosa Minguet, Agustín Rafael; García Fornes, Ana María

    2012-01-01

    In hard real-time systems, gain time is defined as the difference between the Worst Case Execution Time (WCET) of a hard task and its actual processor consumption at runtime. This paper presents the results of an empirical study about how the presence of a significant amount of gain time in a hard real-time system questions the advantages of using the most representative scheduling algorithms or policies for aperiodic or soft tasks in fixed-priority preemptive systems. The work presented here...

  2. Nature as capital: Advancing and incorporating ecosystem services in United States federal policies and programs.

    Science.gov (United States)

    Schaefer, Mark; Goldman, Erica; Bartuska, Ann M; Sutton-Grier, Ariana; Lubchenco, Jane

    2015-06-16

    The concept of nature as capital is gaining visibility in policies and practices in both the public and private sectors. This change is due to an improved ability to assess and value ecosystem services, as well as to a growing recognition of the potential of an ecosystem services approach to make tradeoffs in decision making more transparent, inform efficient use of resources, enhance resilience and sustainability, and avoid unintended negative consequences of policy actions. Globally, governments, financial institutions, and corporations have begun to incorporate natural capital accounting in their policies and practices. In the United States, universities, nongovernmental organizations, and federal agencies are actively collaborating to develop and apply ecosystem services concepts to further national environmental and economic objectives. Numerous federal agencies have begun incorporating these concepts into land use planning, water resources management, and preparations for, and responses to, climate change. Going forward, well-defined policy direction will be necessary to institutionalize ecosystem services approaches in federal agencies, as well as to guide intersector and interdisciplinary collaborative research and development efforts. In addition, a new generation of decision support tools are needed to further the practical application of ecosystem services principles in policymaking and commercial activities. Improved performance metrics are needed, as are mechanisms to monitor the status of ecosystem services and assess the environmental and economic impacts of policies and programs. A greater national and international financial commitment to advancing ecosystem services and natural capital accounting would likely have broad, long-term economic and environmental benefits.

  3. Using secondary analysis of qualitative data of patient experiences of health care to inform health services research and policy.

    Science.gov (United States)

    Ziebland, Sue; Hunt, Kate

    2014-07-01

    Qualitative research is recognized as an important method for including patients' voices and experiences in health services research and policy-making, yet the considerable potential to analyse existing qualitative data to inform health policy and practice has been little realized. This failure may partly be explained by: a lack of awareness amongst health policy makers of the increasing wealth of qualitative data available; and around 15 years of internal debates among qualitative researchers on the strengths, limitations and validity of re-use of qualitative data. Whilst acknowledging the challenges of qualitative secondary data analysis, we argue that there is a growing imperative to be pragmatic and to undertake analysis of existing qualitative data collections where they have the potential to contribute to health policy formulation. Time pressures are inherent in the policy-making process and in many circumstances it is not possible to seek funding, conduct and analyse new qualitative studies of patients' experiences in time to inform a specific policy. The danger then is that the patient voice, and the experiences of relatives and carers, is either excluded or included in a way that is easily dismissed as 'unrepresentative'. We argue that secondary analysis of qualitative data collections may sometimes be an effective means to enable patient experiences to inform policy decision-making. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  4. Inside and Outside the Policy Consensus: Science in a Time of Policy Upheaval in Congress

    Science.gov (United States)

    McCurdy, K. M.

    2011-12-01

    crossfire as coalitions attempted to forge a consensus to create their vision of a prosperous future. Small government actually means that R&D is not a proper function of government, so scientists must be on the program chopping block, and discrediting your opponents is a time honored means of eliminating political competition. The policy phase boundary is marked by deviations from Congress handing routine matters over to the low-conflict, low-public-attention bureaucratic decision-making arena. The recent severe budget cuts to the USGS and NSF research funding were high-conflict events held in the glare of TV camera lights and marked by charges that scientists are perpetrating a hoax or lying. Climate science suddenly was thrown into electoral politics instead of the routine give and take of bureaucratic decision-making. Knowing the terrain in Congress will help scientists know when a policy phase transition is occurring. This will allow scientists to better plan presentations. Style will be different if a presentation is made to collaborators rather than those who may use what is said to harm rather than help bring federal resources to a project.

  5. 'Demand pull' government policies to support Product-Service System activity: The case of Energy Service Companies in the UK

    OpenAIRE

    Hannon, MJ; Foxon, TJ; Gale, WF

    2015-01-01

    Product-Service Systems (PSSs) constitute a family of service-based business models designed to satisfy our societal needs in an economically and environmentally sustainable manner. To date however PSS application has remained niche due to a variety of critical barriers. This paper explores how ‘demand pull’ national government policies could support PSS activity by addressing these barriers and cultivating market demand. Lessons are drawn from a case study of how regulatory, economic incenti...

  6. Globalisation, rural restructuring and health service delivery in Australia: policy failure and the role of social work?

    Science.gov (United States)

    Alston, Margaret

    2007-05-01

    The impacts of globalisation and rural restructuring on health service delivery in rural Australia have been significant. In the present paper, it is argued that declining health service access represents a failure of policy. Rural communities across the world are in a state of flux, and Australia is no different: rural communities are ageing at faster rates than urban communities and young people are out-migrating in large numbers. During the past 5 years, rural Australia has also experienced a severe and widespread drought that has exacerbated rural poverty, and impacted on the health and well-being of rural Australians. Australian governments have responded to globalising forces by introducing neoliberal policy initiatives favouring market solutions and championing the need for self-reliance among citizens. The result for rural Australia has been a withdrawal of services at a time of increased need. This paper addresses the social work response to these changes.

  7. Trade-offs across space, time, and ecosystem services

    Science.gov (United States)

    Rodriguez, J.P.; Beard, T.D.; Bennett, E.M.; Cumming, Graeme S.; Cork, S.J.; Agard, J.; Dobson, A.P.; Peterson, G.D.

    2006-01-01

    Ecosystem service (ES) trade-offs arise from management choices made by humans, which can change the type, magnitude, and relative mix of services provided by ecosystems. Trade-offs occur when the provision of one ES is reduced as a consequence of increased use of another ES. In some cases, a trade-off may be an explicit choice; but in others, trade-offs arise without premeditation or even awareness that they are taking place. Trade-offs in ES can be classified along three axes: spatial scale, temporal scale, and reversibility. Spatial scale refers to whether the effects of the trade-off are felt locally or at a distant location. Temporal scale refers to whether the effects take place relatively rapidly or slowly. Reversibility expresses the likelihood that the perturbed ES may return to its original state if the perturbation ceases. Across all four Millennium Ecosystem Assessment scenarios and selected case study examples, trade-off decisions show a preference for provisioning, regulating, or cultural services (in that order). Supporting services are more likely to be "taken for granted." Cultural ES are almost entirely unquantified in scenario modeling; therefore, the calculated model results do not fully capture losses of these services that occur in the scenarios. The quantitative scenario models primarily capture the services that are perceived by society as more important - provisioning and regulating ecosystem services - and thus do not fully capture trade-offs of cultural and supporting services. Successful management policies will be those that incorporate lessons learned from prior decisions into future management actions. Managers should complement their actions with monitoring programs that, in addition to monitoring the short-term provisions of services, also monitor the long-term evolution of slowly changing variables. Policies can then be developed to take into account ES trade-offs at multiple spatial and temporal scales. Successful strategies will

  8. Trade-offs across Space, Time, and Ecosystem Services

    Directory of Open Access Journals (Sweden)

    Jon Paul. Rodríguez

    2006-06-01

    Full Text Available Ecosystem service (ES trade-offs arise from management choices made by humans, which can change the type, magnitude, and relative mix of services provided by ecosystems. Trade-offs occur when the provision of one ES is reduced as a consequence of increased use of another ES. In some cases, a trade-off may be an explicit choice; but in others, trade-offs arise without premeditation or even awareness that they are taking place. Trade-offs in ES can be classified along three axes: spatial scale, temporal scale, and reversibility. Spatial scale refers to whether the effects of the trade-off are felt locally or at a distant location. Temporal scale refers to whether the effects take place relatively rapidly or slowly. Reversibility expresses the likelihood that the perturbed ES may return to its original state if the perturbation ceases. Across all four Millennium Ecosystem Assessment scenarios and selected case study examples, trade-off decisions show a preference for provisioning, regulating, or cultural services (in that order. Supporting services are more likely to be "taken for granted." Cultural ES are almost entirely unquantified in scenario modeling; therefore, the calculated model results do not fully capture losses of these services that occur in the scenarios. The quantitative scenario models primarily capture the services that are perceived by society as more important - provisioning and regulating ecosystem services - and thus do not fully capture trade-offs of cultural and supporting services. Successful management policies will be those that incorporate lessons learned from prior decisions into future management actions. Managers should complement their actions with monitoring programs that, in addition to monitoring the short-term provisions of services, also monitor the long-term evolution of slowly changing variables. Policies can then be developed to take into account ES trade-offs at multiple spatial and temporal scales

  9. 47 CFR 64.401 - Policies and procedures for provisioning and restoring certain telecommunications services in...

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Policies and procedures for provisioning and restoring certain telecommunications services in emergencies. 64.401 Section 64.401 Telecommunication... procedures for provisioning and restoring certain telecommunications services in emergencies. The...

  10. State Policies on Service Dogs for Military Veterans.

    Science.gov (United States)

    Reed, James B

    2015-12-01

    U.S. service members returning home from combat often face physical, mental and emotional challenges. Providing service dogs to these veterans is one method being used successfully to help address the difficulties they face. Under the federal Americans with Disabilities Act (ADA), a service animal is defined as "any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual or other mental disability." The work the dog undertakes must be directly related to the person's disability. Examples include guiding people who are blind, pulling a wheelchair, alerting a person with hearing loss, protecting a person having a seizure, and calming someone with post-traumatic stress disorder (PTSD) during an anxiety attack or psychiatric episode.

  11. Long term warranty and after sales service concept, policies and cost models

    CERN Document Server

    Rahman, Anisur

    2015-01-01

    This volume presents concepts, policies and cost models for various long-term warranty and maintenance contracts. It offers several numerical examples for estimating costs to both the manufacturer and consumer. Long-term warranties and maintenance contracts are becoming increasingly popular, as these types of aftersales services provide assurance to consumers that they can enjoy long, reliable service, and protect them from defects and the potentially high costs of repairs. Studying long-term warranty and service contracts is important to manufacturers and consumers alike, as offering long-term warranty and maintenance contracts produce additional costs for manufacturers / service providers over the product’s service life. These costs must be factored into the price, or the manufacturer / dealer will incur losses instead of making a profit. On the other hand, the buyer / consumer needs to weigh the cost of maintaining it over its service life and to decide whether or not these policies are worth purchasing....

  12. Protection policy for users of financial services. Conceptual basis

    Directory of Open Access Journals (Sweden)

    Adrián Zelaia Ulibarri

    2011-12-01

    Full Text Available The financial crisis has highlighted critical gaps in the protection of financial services users, both as depositors/investors as well as lenders. While the need to protect financial services users has become vital as a result of the financial crisis, lack of political action during the first three years of the crisis has caused certain scepticism. In-depth reflection is urgently needed on how to proceed with the over financing accumulated by families and firms to ensure a progressive reduction of the «systemic» risk in the least drastic manner possible.Received: 28.02.11Accepted: 29.03.11

  13. Phase Two European Energy Policy Project. European energy and climate policy - Time for something new

    International Nuclear Information System (INIS)

    Helm, Dieter

    2014-01-01

    During 2014, European energy and climate change policy has moved centre stage. The annexation of Crimea and the destabilization of Eastern Ukraine have raised tensions with Russia to levels not seen since the Cold War. The EU has responded with an energy security plan, and sanctions. Developments elsewhere have further complicated matters. In the Middle East, the rapid advances of ISIS (now called the Islamic State), the internal conflicts in Libya, the war in Gaza, and the continuing negotiations with Iran on nuclear matters suggest that early optimism about the 'Arab Spring' was at best misplaced, and chronic instability has returned. In the US, the energy revolution continues to change the geopolitics of oil and gas, with the early skepticism about the scale of the changes and the shift towards North American energy independence giving way to recognition that the changes are permanent and profound - for both global energy markets and Europe. The full implications of the end of the commodity super-cycle are both profound for European energy policy and very poorly understood. Commodity prices have tumbled, with oil prices falling below $80 a barrel. On climate change, there is almost certainly not going to be a continuation of the Kyoto style international framework after the Paris conference in December 2015. Chinese emissions per head have now exceeded those of the Europeans, and it is at last being recognized that the climate change problem is one in which China, not the EU, is centre stage. China has announced that it does not intend to cap its carbon emissions until after 2030, by which time they may peak anyway - from a very much higher base after another decade and a half of increases. The Paris conference will see a series of 'pledges' and 'commitments' very much on the pattern of the Copenhagen Accord, not the credible, enforceable legally binding measures that had been proposed at the Durban Conference of the Parties in 2011

  14. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates

    Science.gov (United States)

    Hamidi, Samer

    2015-01-01

    Introduction A national health account (NHA) provides a systematic approach to mapping the flow of health sector funds within a specified health system over a defined time period. This article attempts to present a profile of health system financing in Dubai, United Arab Emirates using data from NHAs, and to compare the functional structures of financing schemes in Dubai with schemes in Qatar and selected member countries of the Organization for Economic Cooperation and Development (OECD). Methods The author analyzed secondary data published in NHAs of Dubai and Qatar and data collected by the OECD countries and publicly available from Eurostat (Statistical Office of the European Union) of 25 OECD countries for comparative analysis. All health financing indicators used were as defined in the international System of Health Accounts (SHA). Results In Dubai, spending on inpatient care was the highest-costing component, with 30% of current health expenditures (CHE). Spending on outpatient care was the second highest-costing component and accounted for about 23% of the CHE. Household spending accounted for about 22% of CHE (equivalent to US$187 per capita), compared to an average of 20% of CHE of OECD countries. Dubai spent 0.02% of CHE on long-term care, compared to an average of 11% of CHE of OECD countries. Dubai spent about 6% of CHE on prevention and public health services, compared to an average of 3.2% of CHE of OECD countries. Conclusion The findings point to potential opportunities for growth and improvement in several health policy issues in Dubai, including increasing focus and funding of preventive services; shifting from inpatient care to day surgery, outpatient, and home-based services and strengthening long-term care; and introducing cost-containment measures for pharmaceuticals. More investment in the translation of NHA data into policy is suggested for future researchers. PMID:25750545

  15. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates.

    Science.gov (United States)

    Hamidi, Samer

    2015-01-01

    A national health account (NHA) provides a systematic approach to mapping the flow of health sector funds within a specified health system over a defined time period. This article attempts to present a profile of health system financing in Dubai, United Arab Emirates using data from NHAs, and to compare the functional structures of financing schemes in Dubai with schemes in Qatar and selected member countries of the Organization for Economic Cooperation and Development (OECD). The author analyzed secondary data published in NHAs of Dubai and Qatar and data collected by the OECD countries and publicly available from Eurostat (Statistical Office of the European Union) of 25 OECD countries for comparative analysis. All health financing indicators used were as defined in the international System of Health Accounts (SHA). In Dubai, spending on inpatient care was the highest-costing component, with 30% of current health expenditures (CHE). Spending on outpatient care was the second highest-costing component and accounted for about 23% of the CHE. Household spending accounted for about 22% of CHE (equivalent to US$187 per capita), compared to an average of 20% of CHE of OECD countries. Dubai spent 0.02% of CHE on long-term care, compared to an average of 11% of CHE of OECD countries. Dubai spent about 6% of CHE on prevention and public health services, compared to an average of 3.2% of CHE of OECD countries. The findings point to potential opportunities for growth and improvement in several health policy issues in Dubai, including increasing focus and funding of preventive services; shifting from inpatient care to day surgery, outpatient, and home-based services and strengthening long-term care; and introducing cost-containment measures for pharmaceuticals. More investment in the translation of NHA data into policy is suggested for future researchers.

  16. Market Regulators of Service Spheres Innovative Development as a Tool of Regional Socio-Economic Policy

    OpenAIRE

    Pugacheva, Anna S.; Filippova, Viktoriya P.; Kon, Andrei Y.; Dorzhieva, Lyudmila B.; Silchenok, Igor S.; Pugacheva, Natalya B.; Lunev, Alexander N.; Mustafina, Alfiya A.

    2016-01-01

    The relevance of the study is conditioned by the innovative development of service spheres as the reduction of territorial social and economic differentiation to the level, due to objective differences of the regions and to balance of their revenue base and expenditure commitments. The service sector is one of the most dynamic and growing segments of regional markets and one of the characteristics of effective socio-economic policy in the region. Innovative development of service spheres as a...

  17. A case study of the counterpart technical support policy to improve rural health services in Beijing

    Science.gov (United States)

    2012-01-01

    Background There is, globally, an often observed inequality in the health services available in urban and rural areas. One strategy to overcome the inequality is to require urban doctors to spend time in rural hospitals. This approach was adopted by the Beijing Municipality (population of 20.19 million) to improve rural health services, but the approach has never been systematically evaluated. Methods Drawing upon 1.6 million cases from 24 participating hospitals in Beijing (13 urban and 11 rural hospitals) from before and after the implementation of the policy, changes in the rural–urban hospital performance gap were examined. Hospital performance was assessed using changes in six indices over-time: Diagnosis Related Groups quantity, case-mix index (CMI), cost expenditure index (CEI), time expenditure index (TEI), and mortality rates of low- and high-risk diseases. Results Significant reductions in rural–urban gaps were observed in DRGs quantity and mortality rates for both high- and low-risk diseases. These results signify improvements of rural hospitals in terms of medical safety, and capacity to treat emergency cases and more diverse illnesses. No changes in the rural–urban gap in CMI were observed. Post-implementation, cost and time efficiencies worsened for the rural hospitals but improved for urban hospitals, leading to a widening rural–urban gap in hospital efficiency. Conclusions The strategy for reducing urban–rural gaps in health services adopted, by the Beijing Municipality shows some promise. Gains were not consistent, however, across all performance indicators, and further improvements will need to be tried and evaluated. PMID:23272703

  18. Renewable Energy Policies in a Time of Transition

    International Nuclear Information System (INIS)

    Murdock, Hannah E.; Adib, Rana; Lins, Christine; Guerra, Flavia; Misra, Archita; Murdock, Hannah E.; Vickery, Louise; Collier, Ute; Le Feuvre, Pharoah; Bianco, Emanuele; Mueller, Simon; Philibert, Cedric; Schmidt, Oliver; Kvarnstroem, Oskar; Collier, Ute; Hungerford, Zoe; Frankl, Paolo; Bianco, Emanuele; Hawila, Diala; Ferroukhi, Rabia; Hawila, Diala; Renner, Michael; Nagpal, Divyam; Cox, Sadie; Esterly, Sean; Priesmann, Caspar; Taylor, Hadley; Breitschopf, Barbara; Van Rooijen, Sascha

    2018-01-01

    Spurred by innovation, increased competition, and policy support in a growing number of countries, renewable energy technologies have achieved massive technological advances and sharp cost reductions. Renewables have come to the forefront of the global energy transition, with nearly every country adopting a renewable energy target. Yet progress has been uneven in different countries and sectors. Technology and financial risks still hamper the expansion of renewables into new markets. As the power sector develops further, the increased adoption of variable renewables like solar and wind requires more flexible systems. Compared to power generation, the regulatory framework for end-use sectors lags behind. This report, prepared jointly by the International Renewable Energy Agency (IRENA), the International Energy Agency (IEA) and the Renewable Energy Policy Network for the 21. Century (REN21), identifies key barriers and highlights policy options to boost renewable energy deployment. After reviewing current policies and targets worldwide, it examines sector-specific policies for heating and cooling, transport and power, as well as measures for integrating variable renewables. An updated policy classification and terminology list can serve as a global reference for renewable energy policy instruments. Among the key findings: Renewable energy policies must focus on end-use sectors, not just power generation; The use of renewables for heating and cooling requires greater policy attention, including dedicated targets, technology mandates, financial incentives, generation-based incentives, and carbon or energy taxes; Policies in the transport sector require further development, including integrated policies to de-carbonise energy carriers and fuels, vehicles and infrastructure; Policies in the power sector must also evolve further to address new challenges. Measures are needed to support the integration of variable renewable energy, taking into account the specific

  19. Sojourn times in the M/G/1 FB queue with light-tailed service times

    NARCIS (Netherlands)

    M.R.H. Mandjes (Michel); M. Nuyens

    2004-01-01

    textabstractThe asymptotic decay rate of the sojourn time of a customer in the stationary M/G/1 queue under the Foreground-Background (FB) service discipline is studied. The FB discipline gives service to those customers that have received the least service so far. We prove that for light-tailed

  20. Model projections and policy reviews for energy saving in China's service sector

    International Nuclear Information System (INIS)

    Zhang, Lin

    2013-01-01

    Energy efficiency of buildings in the service sector is becoming increasingly important in China due to the structural shift of the economy from industry to services. This paper employs a bottom-up cohort model to simulate current energy saving policies and to make projections for future energy use and CO 2 emissions for the period 2000–2030 in the Chinese service sector. The analysis shows that energy demand in the service sector will approximately triple in 2030, far beyond the target of quadrupling GDP while only doubling energy use. However, it is feasible to achieve the target of emission reduction by 40% in 2020 even under the poor state of compliance rate of building standard. This paper also highlights four crucial aspects of designing optimal energy saving policies for China's service sector based on the model results. - Highlights: • Government energy saving target cannot realize with current policies in services. • Energy savings policies for new buildings are crucial than building retrofitting. • Cooling energy use increases significantly to reach equal weight as heating. • CO 2 tax can contribute to change in fuel mix, and thus emission reductions. • Low compliance rate limits further energy saving, hence green fund is required

  1. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Hamidi S

    2015-02-01

    Full Text Available Samer Hamidi School of Health and Environmental Studies, Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates Introduction: A national health account (NHA provides a systematic approach to mapping the flow of health sector funds within a specified health system over a defined time period. This article attempts to present a profile of health system financing in Dubai, United Arab Emirates using data from NHAs, and to compare the functional structures of financing schemes in Dubai with schemes in Qatar and selected member countries of the Organization for Economic Cooperation and Development (OECD. Methods: The author analyzed secondary data published in NHAs of Dubai and Qatar and data collected by the OECD countries and publicly available from Eurostat (Statistical Office of the European Union of 25 OECD countries for comparative analysis. All health financing indicators used were as defined in the international System of Health Accounts (SHA. Results: In Dubai, spending on inpatient care was the highest-costing component, with 30% of current health expenditures (CHE. Spending on outpatient care was the second highest-costing component and accounted for about 23% of the CHE. Household spending accounted for about 22% of CHE (equivalent to US$187 per capita, compared to an average of 20% of CHE of OECD countries. Dubai spent 0.02% of CHE on long-term care, compared to an average of 11% of CHE of OECD countries. Dubai spent about 6% of CHE on prevention and public health services, compared to an average of 3.2% of CHE of OECD countries. Conclusion: The findings point to potential opportunities for growth and improvement in several health policy issues in Dubai, including increasing focus and funding of preventive services; shifting from inpatient care to day surgery, outpatient, and home-based services and strengthening long-term care; and introducing cost-containment measures for pharmaceuticals. More investment in the translation of

  2. KNOWLEDGE ASSETS IN SERVICES ACROSS INDUSTRIES AND ACROSS TIME

    Directory of Open Access Journals (Sweden)

    Erickson, G. Scott

    2015-05-01

    Full Text Available This paper explores the question of whether knowledge assets are more developed in services industries than in non-services. The concept of the “knowledge economy” has always gone hand-in-hand with growth in the percentage of the economy represented by services. Two multi-year, multi-industry datasets are used to directly compare the knowledge asset levels in service industry firms against those in non-service industry firms. Service industries do, indeed, reflect higher levels of intellectual capital in recent years, but did not do so a decade ago. Further, there is considerable evidence of changes in specific service and non-service industries over the time period, adding details to the finding that knowledge development is not static but does vary over time and circumstance. These results open up a number of promising research directions that could lead to a better understanding of the nature of these differing circumstances and how better strategic choices might be made regarding investments in knowledge management.

  3. Solving a Location, Allocation, and Capacity Planning Problem with Dynamic Demand and Response Time Service Level

    Directory of Open Access Journals (Sweden)

    Carrie Ka Yuk Lin

    2014-01-01

    Full Text Available Logistic systems with uncertain demand, travel time, and on-site processing time are studied here where sequential trip travel is allowed. The relationship between three levels of decisions: facility location, demand allocation, and resource capacity (number of service units, satisfying the response time requirement, is analysed. The problem is formulated as a stochastic mixed integer program. A simulation-based hybrid heuristic is developed to solve the dynamic problem under different response time service level. An initial solution is obtained from solving static location-allocation models, followed by iterative improvement of the three levels of decisions by ejection, reinsertion procedure with memory of feasible and infeasible service regions. Results indicate that a higher response time service level could be achieved by allocating a given resource under an appropriate decentralized policy. Given a response time requirement, the general trend is that the minimum total capacity initially decreases with more facilities. During this stage, variability in travel time has more impact on capacity than variability in demand arrivals. Thereafter, the total capacity remains stable and then gradually increases. When service level requirement is high, the dynamic dispatch based on first-come-first-serve rule requires smaller capacity than the one by nearest-neighbour rule.

  4. Counseling, Psychological, and Social Services Staffing: Policies in U.S. School Districts.

    Science.gov (United States)

    Brener, Nancy; Demissie, Zewditu

    2018-06-01

    Schools are in a unique position to meet the mental and behavioral health needs of children and adolescents because approximately 95% of young people aged 7-17 years attend school. Little is known, however, about policies related to counseling, psychological, and social services staffing in school districts. This study analyzed the prevalence of such policies in public school districts in the U.S. Data from four cycles (2000, 2006, 2012, and 2016) of the School Health Policies and Practices Study, a national survey periodically conducted to assess policies and practices for ten components of school health, were analyzed in 2017. The survey collected data related to counseling, psychological, and social services among nationally representative samples of school districts using online or mailed questionnaires. Sampled districts identified respondents responsible for or most knowledgeable about the content of each questionnaire. The percentage of districts with a district-level counseling, psychological, and social services coordinator increased significantly from 62.6% in 2000 to 79.5% in 2016. In 2016, 56.3% of districts required each school to have someone to coordinate counseling, psychological, and social services at the school. Fewer districts required schools at each level to have a specified ratio of counselors to students (16.2% for elementary schools, 16.8% for middle schools, and 19.8% for high schools), and the percentage of districts with these requirements has decreased significantly since 2012. Increases in the prevalence of district-level staffing policies could help increase the quantity and quality of counseling, psychological, and social services staff in schools nationwide, which in turn could improve mental and behavioral health outcomes for students. This article is part of a supplement entitled The Behavioral Health Workforce: Planning, Practice, and Preparation, which is sponsored by the Substance Abuse and Mental Health Services Administration

  5. Contribution of ecosystem services to air quality and climate change mitigation policies: The case of urban forests in Barcelona, Spain

    Science.gov (United States)

    Francesc Baró; Lydia Chaparro; Erik Gómez-Baggethun; Johannes Langemeyer; David J. Nowak; Jaume. Terradas

    2014-01-01

    Mounting research highlights the contribution of ecosystem services provided by urban forests to quality of life in cities, yet these services are rarely explicitly considered in environmental policy targets. We quantify regulating services provided by urban forests and evaluate their contribution to comply with policy targets of air quality and climate change...

  6. A comparative analysis of early child health and development services and outcomes in countries with different redistributive policies.

    Science.gov (United States)

    van den Heuvel, Meta; Hopkins, Jessica; Biscaro, Anne; Srikanthan, Cinntha; Feller, Andrea; Bremberg, Sven; Verkuijl, Nienke; Flapper, Boudien; Ford-Jones, Elizabeth Lee; Williams, Robin

    2013-11-06

    The social environment is a fundamental determinant of early child development and, in turn, early child development is a determinant of health, well-being, and learning skills across the life course. Redistributive policies aimed at reducing social inequalities, such as a welfare state and labour market policies, have shown a positive association with selected health indicators. In this study, we investigated the influence of redistributive policies specifically on the social environment of early child development in five countries with different political traditions. The objective of this analysis was to highlight similarities and differences in social and health services between the countries and their associations with other health outcomes that can inform better global early child development policies and improve early child health and development. Four social determinants of early child development were selected to provide a cross-section of key time periods in a child's life from prenatal to kindergarten. They included: 1) prenatal care, 2) maternal leave, 3) child health care, and 4) child care and early childhood education. We searched international databases and reports (e.g. Organization for Economic Cooperation and Development, World Bank, and UNICEF) to obtain information about early child development policies, services and outcomes. Although a comparative analysis cannot claim causation, our analysis suggests that redistributive policies aimed at reducing social inequalities are associated with a positive influence on the social determinants of early child development. Generous redistributive policies are associated with a higher maternal leave allowance and pay and more preventive child healthcare visits. A decreasing trend in infant mortality, low birth weight rate, and under five mortality rate were observed with an increase in redistributive policies. No clear influence of redistributive policies was observed on breastfeeding and immunization

  7. Space, place and (waiting) time: reflections on health policy and politics.

    Science.gov (United States)

    Sheard, Sally

    2018-02-19

    Health systems have repeatedly addressed concerns about efficiency and equity by employing trans-national comparisons to draw out the strengths and weaknesses of specific policy initiatives. This paper demonstrates the potential for explicit historical analysis of waiting times for hospital treatment to add value to spatial comparative methodologies. Waiting times and the size of the lists of waiting patients have become key operational indicators. In the United Kingdom, as National Health Service (NHS) financial pressures intensified from the 1970s, waiting times have become a topic for regular public and political debate. Various explanations for waiting times include the following: hospital consultants manipulate NHS waiting lists to maintain their private practice; there is under-investment in the NHS; and available (and adequate) resources are being used inefficiently. Other countries have also experienced ongoing tensions between the public and private delivery of universal health care in which national and trans-national comparisons of waiting times have been regularly used. The paper discusses the development of key UK policies, and provides a limited Canadian comparative perspective, to explore wider issues, including whether 'waiting crises' were consciously used by policymakers, especially those brought into government to implement new economic and managerial strategies, to diminish the autonomy and authority of the medical professional in the hospital environment.

  8. Water and sanitation policies in Argentina: the challenge of universalizing services

    Directory of Open Access Journals (Sweden)

    Verónica L. Cáceres

    2014-08-01

    Full Text Available This article is aimed at contributing to the reflection and debate on the water and sanitation policies in Argentina. For this purpose, regulatory and institutional aspects are discussed regarding services management in the country. The paper also includes a characterization of the five stages of such policies that have marked the progress of the sector. Finally, the main challenges faced by the sector are mentioned as a conclusion.

  9. Time to Shift from Macro- to Micro-Policies

    Science.gov (United States)

    Cho, Dongchul; Shin, Sukha

    2012-01-01

    All of the authors seem to share the perception that one can no longer expect much from macroeconomic policies. The authors of this paper share this opinion, but this should not be interpreted as the skeptical view that macroeconomic policies are ineffective on employment. They saw from the Korea's two crises how contrasting outcomes could result…

  10. Education Policy Mobility: Reimagining Sustainability in Neoliberal Times

    Science.gov (United States)

    McKenzie, Marcia; Bieler, Andrew; McNeil, Rebecca

    2015-01-01

    This paper is concerned with the twinning of sustainability with priorities of economic neoliberalization in education, and in particular via the mobility or diffusion of education policy. We discuss the literature on policy mobility as well as overview concerns regarding neoliberalism and education. The paper brings these analyses to bear in…

  11. Government food service policies and guidelines do not create healthy school canteens.

    Science.gov (United States)

    de Silva-Sanigorski, Andrea; Breheny, Tara; Jones, Laura; Lacy, Kathleen; Kremer, Peter; Carpenter, Lauren; Bolton, Kristy; Prosser, Lauren; Gibbs, Lisa; Waters, Elizabeth; Swinburn, Boyd

    2011-04-01

    In 2006, the Victorian Government adopted the School Canteens and other school Food Services (SCFS) Policy that bans the sale of sweet drinks and confectionary and recommends the proportions of menu items based on a traffic light system of food classification. This study aims to determine whether compliance with the policy improves the nutritional profile of the menus. Items from food service menus were assessed for compliance with the SCFS policy and categorised as 'everyday' ('green'), 'select carefully' ('amber') or 'occasionally' ('red') (n=106). Profile analysis assessed differences in the nutritional profile of the menus between sub-groups. Overall, 37% of menus contained items banned under the policy. The largest proportion of items on the assessed menus were from the 'amber' category (mean: 51.0%), followed by 'red' (29.3%) and 'green' (20.3%). No menus met the traffic light-based recommendations and there was no relationship between policy compliance and the proportion of items in each of the three categories. To increase the healthiness of the school food service we recommend a greater investment in resources and infrastructure to implement existing policies, and establishing stronger monitoring and support systems. © 2011 The Authors. ANZJPH © 2011 Public Health Association of Australia.

  12. Design of price incentives for adjunct policy goals in formula funding for hospitals and health services

    Directory of Open Access Journals (Sweden)

    Duckett Stephen J

    2008-04-01

    Full Text Available Abstract Background Hospital policy involves multiple objectives: efficiency of service delivery, pursuit of high quality care, promoting access. Funding policy based on hospital casemix has traditionally been considered to be only about promoting efficiency. Discussion Formula-based funding policy can be (and has been used to pursue a range of policy objectives, not only efficiency. These are termed 'adjunct' goals. Strategies to incorporate adjunct goals into funding design must, implicitly or explicitly, address key decision choices outlined in this paper. Summary Policy must be clear and explicit about the behaviour to be rewarded; incentives must be designed so that all facilities with an opportunity to improve have an opportunity to benefit; the reward structure is stable and meaningful; and the funder monitors performance and gaming.

  13. Internationalisation of information services for publishers' open access policies: the DINI multilingual integration layer

    Science.gov (United States)

    Scholze, Frank

    2008-01-01

    It is essential for the strategy of open access self-archiving that scientific authors are given comprehensive information on publisher copyright policies. DINI, the German Initiative for Networked Information, has developed a German (and potentially multilingual) interface to the English SHERPA/RoMEO service to provide additional information on German publishers' open access policies. As a next step, this interface was enhanced to an integration layer combining different sources on publisher copyright policies. This integration layer can be used in many different contexts. Together with the SHERPA/RoMEO team, DINI aims to build an international support structure for open access information. PMID:18662383

  14. A generalized Web Service response time metric to support collaborative and corroborative Web Service monitoring

    CSIR Research Space (South Africa)

    Makitla, I

    2015-12-01

    Full Text Available In this paper, we describe the development of a generalized metric for computing response time of a web service. Such a generalized metric would help to develop consensus with regards to the meanings of contracted Quality of Service (QoS) parameters...

  15. Time-critical multirate scheduling using contemporary real-time operating system services

    Science.gov (United States)

    Eckhardt, D. E., Jr.

    1983-01-01

    Although real-time operating systems provide many of the task control services necessary to process time-critical applications (i.e., applications with fixed, invariant deadlines), it may still be necessary to provide a scheduling algorithm at a level above the operating system in order to coordinate a set of synchronized, time-critical tasks executing at different cyclic rates. The scheduling requirements for such applications and develops scheduling algorithms using services provided by contemporary real-time operating systems.

  16. Policy talk: incentives for rural service among nurses in Ghana.

    Science.gov (United States)

    Kwansah, Janet; Dzodzomenyo, Mawuli; Mutumba, Massy; Asabir, Kwesi; Koomson, Elizabeth; Gyakobo, Mawuli; Agyei-Baffour, Peter; Kruk, Margaret E; Snow, Rachel C

    2012-12-01

    Like many countries in sub-Saharan Africa, Ghana is faced with the simultaneous challenges of increasing its health workforce, retaining them in country and promoting a rational distribution of staff in remote or deprived areas of the country. Recent increases in both public-sector doctor and nurse salaries have contributed to a decline in international out-migration, but problems of geographic mal-distribution remain. As part of a research project on human resources in the Ghanaian health sector, this study was conducted to elicit in-depth views from nursing leaders and practicing nurses in rural and urban Ghana on motivations for urban vs rural practice, job satisfaction and potential rural incentives. In-depth interviews were conducted with 115 nurses selected using a stratified sample of public, private and Christian Health Association of Ghana (CHAG) facilities in three regions of the country (Greater Accra, Brong Ahafo and Upper West), and among 13 nurse managers from across Ghana. Many respondents reported low satisfaction with rural practice. This was influenced by the high workload and difficult working conditions, perception of being 'forgotten' in rural areas by the Ministry of Health (MOH), lack of professional advancement and the lack of formal learning or structured mentoring. Older nurses without academic degrees who were posted to remote areas were especially frustrated, citing a lack of opportunities to upgrade their skills. Nursing leaders echoed these themes, emphasizing the need to bring learning and communication technologies to rural areas. Proposed solutions included clearer terms of contract detailing length of stay at a post, and transparent procedures for transfer and promotion; career opportunities for all cadres of nursing; and benefits such as better on-the-job housing, better mentoring and more recognition from leaders. An integrated set of recruitment and retention policies focusing on career development may improve job satisfaction

  17. A Critical Discourse Analysis of Provincial Policies Impacting Shelter Service Delivery to Women Exposed to Violence.

    Science.gov (United States)

    Burnett, Camille; Ford-Gilboe, Marilyn; Berman, Helene; Ward-Griffin, Cathy; Wathen, Nadine

    2015-01-01

    Shelters for abused women function within a broad context that includes intersecting social structures, policies, and resources, which may constrain and limit the options available to abused women and tacitly reinforce the cycle of abuse. This feminist, qualitative study combined in-depth interviews and focus groups conducted with 37 staff and four executive directors from four shelters in Ontario, Canada, along with a critical discourse analysis of salient policy texts. Together, the interviews and critical discourse analysis formed an integrated analysis of the dialectic between policy as written and enacted. The study findings illuminate the complexity of the system and its impact on women, shelters, and the community and highlight how specific types of social policies and various social system subsystems and structures, and system configuration, shape the day to day reality of shelter service delivery and impact outcomes for abused women and their children. Collectively, these findings offer direction regarding where these policies could be improved and provide a basis for shelters, policy makers, advocates, and the community to strengthen current services and policies, potentially enhancing outcomes for women. © The Author(s) 2015.

  18. The nursing profession in Sri Lanka: time for policy changes.

    Science.gov (United States)

    Aluwihare-Samaranayake, D; Ogilvie, L; Cummings, G G; Gellatly, Ian R

    2017-09-01

    We address issues and challenges in nursing in Sri Lanka with the aim of identifying where and how policy changes need to be made. Increased global interconnectivity calls for professional leadership, research, education, and policy reform in nursing as these are identified as enhancing health workforce performance and professionalization, thereby improving health systems. We draw on first-hand knowledge of health care and nursing in Sri Lanka and a recent survey of nurses at a large urban government hospital in Sri Lanka, followed by discussion and proposed action on themes identified through analysis of published and unpublished literature about the nursing profession. Policy and action are needed to: (a) establish mandatory nurse licensure in the public and private healthcare sectors; (b) implement realistic policies to further develop nursing education; (c) develop a professionalization process to support nursing autonomy and voice; and (d) promote systematic processes for educational accreditation, curriculum revision, continuing professional development, evidence-based practice, research, leadership, and information systems. There is a policy vacuum that requires careful analysis and strategic planning by formal nurse leaders. Implementing change will require political and professional power and strategic, innovative, and evolutionary policy initiatives as well as organizational infrastructure modifications best achieved through committed multidisciplinary collaboration, augmented research capacity, bolstered nursing leadership, and promotion of partnerships with policy makers. © 2017 International Council of Nurses.

  19. Understanding and benchmarking health service achievement of policy goals for chronic disease

    Science.gov (United States)

    2012-01-01

    Background Key challenges in benchmarking health service achievement of policy goals in areas such as chronic disease are: 1) developing indicators and understanding how policy goals might work as indicators of service performance; 2) developing methods for economically collecting and reporting stakeholder perceptions; 3) combining and sharing data about the performance of organizations; 4) interpreting outcome measures; 5) obtaining actionable benchmarking information. This study aimed to explore how a new Boolean-based small-N method from the social sciences—Qualitative Comparative Analysis or QCA—could contribute to meeting these internationally shared challenges. Methods A ‘multi-value QCA’ (MVQCA) analysis was conducted of data from 24 senior staff at 17 randomly selected services for chronic disease, who provided perceptions of 1) whether government health services were improving their achievement of a set of statewide policy goals for chronic disease and 2) the efficacy of state health office actions in influencing this improvement. The analysis produced summaries of configurations of perceived service improvements. Results Most respondents observed improvements in most areas but uniformly good improvements across services were not perceived as happening (regardless of whether respondents identified a state health office contribution to that improvement). The sentinel policy goal of using evidence to develop service practice was not achieved at all in four services and appears to be reliant on other kinds of service improvements happening. Conclusions The QCA method suggested theoretically plausible findings and an approach that with further development could help meet the five benchmarking challenges. In particular, it suggests that achievement of one policy goal may be reliant on achievement of another goal in complex ways that the literature has not yet fully accommodated but which could help prioritize policy goals. The weaknesses of QCA can be

  20. Optimizing capital and time expenditures for drilling service operations

    Energy Technology Data Exchange (ETDEWEB)

    Zazovskiy, F Ya; Soltysyak, T I

    1980-01-01

    The operational efficiency of drilling services operations management are examined. The structure of time expenditure is analyzed for repair operations according to equipment type employed by the Ivano-Frankovsk Drilling Management under the Ukrneft' enterprise during 1977. The results of this analysis are weighed against a series of service operations carried out at industrial enterprises and connected with technical disruptions. Some of the cases examined include service competion operations outside of the industrial units when technical processes are disrupted only for the change of equipment which has outlived its usefulness and is no longer in series production. First of all, time expended for repair work can be reduced to zero during the drilling of shallow wells which do not require extensive drilling time. The actual savings, both in time and money, as far as repair work is concerned, hinges on the actual time factor for total oil depetion. An equation is provided for optimal time expenditure necessary for repair work and equipment replacement. An actual example is given from the Dolinsk UBR (Drillin Management) under the Ukrneft' enterprise where time spent on actual service operations has appeared to be less than the optimal figure cited in the above material. This is possible because of increased capital expenditures.

  1. Train Dwell Time Models for Rail Passenger Service

    Directory of Open Access Journals (Sweden)

    San Hor Peay

    2016-01-01

    Full Text Available In recent years, more studies had been conducted about train dwell time as it is a key parameter of rail system performance and reliability. This paper draws an overview of train dwell time models for rail passenger service from various continents, namely Asia, North America, Europe and Australia. The factors affecting train dwell time are identified and analysed across some rail network operators. The dwell time models developed by various researches are also discussed and reviewed. Finally, the contributions from the outcomes of these models are briefly addressed. In conclusion, this paper suggests that there is a need to further study the factors with strong influence upon dwell time to improve the quality of the train services.

  2. Changes in alcohol policies and practices in bars and restaurants after completion of manager-focused responsible service training.

    Science.gov (United States)

    Lenk, Kathleen M; Erickson, Darin J; Nelson, Toben F; Horvath, Keith J; Nederhoff, Dawn M; Hunt, Shanda L; Ecklund, Alexandra M; Toomey, Traci L

    2018-03-01

    Irresponsible and illegal serving practices at bars and restaurants, such as sales to obviously intoxicated patrons, can lead to various public health harms. Training managers of bars and restaurants in the development and promotion of responsible alcohol policies may help prevent risky and illegal alcohol serving practices. We implemented a training program for managers of bars/restaurants designed to establish and promote responsible beverage service policies/practices. The program included online and in-person components. Bars/restaurants were randomised to intervention (n = 171) and control (n = 163) groups. To assess changes in policies/practices, we surveyed managers prior to and at 1 and 6 months post-training. Logistic regression models assessed changes in policies/practices across time points. The proportion in the intervention group that had written alcohol policies increased from 62% to 95% by 6 months post-training while the control group increased from 65% to 79% (P managers in the intervention group reported they had communicated to their staff how to cut off intoxicated patrons, a significant increase from baseline (37%) and from the change observed in the control group (43%-56%). Prevalence of other policies/practices also increased post-training but differences between intervention and control groups were not statistically significant. Our training program appears to have led to implementation of some policies/practices. Additional studies are needed to determine how training can be combined with other strategies to further improve establishment policies and ultimately reduce alcohol-related harms. © 2017 Australasian Professional Society on Alcohol and other Drugs.

  3. Local Social Services in Nordic countries in Times of Disaster

    DEFF Research Database (Denmark)

    Eydal, Guðný Björk; Ómarsdóttir, Ingibjörg Lilja; Dahlberg, Rasmus

    of such disasters is on the rise according to forecasts. In order to enhance resilience and preparedness of those most vulnerable in disasters, the involvement of local social services in the emergency management system is of vital importance. The literature shows how social services can enhance social and human......The project focused on the emergency management systems in the five Nordic countries. It investigated whether local social services have a formal role in the contingency planning of the systems. The project was part of The Nordic Welfare Watch research project during the Icelandic Presidency...... Program in the Nordic Council of Ministers 2014-2016. The council financed the project. The main findings show that Finland, Norway and Sweden specifically address the role of social services in times of disaster in their legal frameworks on emergency management. Finland and Norway also address the role...

  4. Framing in policy processes: a case study from hospital planning in the National Health Service in England.

    Science.gov (United States)

    Jones, Lorelei; Exworthy, Mark

    2015-01-01

    This paper reports from an ethnographic study of hospital planning in England undertaken between 2006 and 2009. We explored how a policy to centralise hospital services was espoused in national policy documents, how this shifted over time and how it was translated in practice. We found that policy texts defined hospital planning as a clinical issue and framed decisions to close hospitals or hospital departments as based on the evidence and necessary to ensure safety. We interpreted this framing as a rhetorical strategy for implementing organisational change in the context of community resistance to service closure and a concomitant policy emphasising the importance of public and patient involvement in planning. Although the persuasive power of the framing was limited, a more insidious form of power was identified in the way the framing disguised the political nature of the issue by defining it as a clinical problem. We conclude by discussing how the clinical rationale constrains public participation in decisions about the delivery and organisation of healthcare and restricts the extent to which alternative courses of action can be considered. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Diversifying Fiscal Support by Pricing Public Library Services: A Policy Impact Analysis.

    Science.gov (United States)

    Hicks, Donald A.

    1980-01-01

    Addresses the possibility of diversifying the resource base of public libraries dependent on property taxes for funding through the setting of fees for library services, and reports on a pricing policy adopted by the Dallas Public Library System. Twenty-seven references are cited. (FM)

  6. Pricing for Efficiency, Equity, and Simplicity: A Model Policy for an Interlibrary Courier Service.

    Science.gov (United States)

    Gassler, Robert Scott

    1985-01-01

    Presents an example of a pricing policy for any interlibrary courier service which (1) calculates fixed, travelling, and stopping costs; (2) charges by how often the courier stops at each participating library; and (3) uses any subsidies for costs libraries cannot control. (CDD)

  7. Payment for Environmental Services: mobilising an epistemic community to construct dominant policy

    NARCIS (Netherlands)

    Rodriguez de Francisco, J.C.; Boelens, R.A.

    2015-01-01

    The alleged capacity of Payment for Environmental Services (PES) to reach conservation policy goals, while reducing poverty in a cost-effective manner, makes it an extremely attractive development instrument for policymakers and international funding agencies. This article reconstructs the process

  8. Can European sustainability and innovation policies accelerate the uptake of product-service systems?

    NARCIS (Netherlands)

    Tan, A.R.; Diaz Lopez, F.J.; Mudgal, S.; Tukker, A.

    2013-01-01

    This review paper presents preliminary results from on-going research on PSS policies in Europe. Despite the apparent potential of product-service systems (PSS) as more profitable, resource efficient and socially responsible, there has seemingly been limited uptake of this type of business model. A

  9. Gender, the Labour Market, the Workplace and Policy in Children's Services: Parent, Staff and Student Attitudes

    Science.gov (United States)

    Lyons, Michael; Quinn, Andrea; Sumsion, Jennifer

    2005-01-01

    This paper reports the attitudes of parents, staff and teacher education students towards the employment of men in the children's services "industry". The attitudinal survey questions were grouped around four distinct issues: gender roles, labour market behaviour, workplace behaviour and policy. Surprisingly, all three stakeholder groups…

  10. Forest biodiversity and the delivery of ecosystem goods and services: translating science into policy

    Science.gov (United States)

    Ian Thompson; Kimiko Okabe; Jason Tylianakis; Pushpam Kumar; Eckehard G. Brockerhoff; Nancy Schellhorn; John A. Parrotta; Robert Nasi

    2011-01-01

    Biodiversity is integral to almost all ecosystem processes, with some species playing key functional roles that are essential for maintaining the value of ecosystems to humans. However, many ecosystem services remain nonvalued, and decisionmakers rarely consider biodiversity in policy development, in part because the relationships between biodiversity and the provision...

  11. 28 CFR 20.35 - Criminal Justice Information Services Advisory Policy Board.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Criminal Justice Information Services Advisory Policy Board. 20.35 Section 20.35 Judicial Administration DEPARTMENT OF JUSTICE CRIMINAL JUSTICE..., concept, and operational principles of various criminal justice information systems managed by the FBI's...

  12. Agricultural policies exacerbate honeybee pollination service supply-demand mismatches across Europe

    NARCIS (Netherlands)

    Breeze, T.; Vaissiere, B.E.; Bommarco, R.; Petanidou, T.; Seraphides, N.; Kozak, L.; Scheper, J.A.; Biesmeijer, J.C.; Kleijn, D.; Gyldenkaerne, S.

    2014-01-01

    Declines in insect pollinators across Europe have raised concerns about the supply of pollination services to agriculture. Simultaneously, EU agricultural and biofuel policies have encouraged substantial growth in the cultivated area of insect pollinated crops across the continent. Using data from

  13. Evaluating the impact of regional development policies on future landscape services

    NARCIS (Netherlands)

    Willemen, L.; Hein, L.; Verburg, P.H.

    2010-01-01

    In this paper we analyse the potential impact of an integrated policy package for the Gelderse Vallei region in the Netherlands on seven landscape services (residential use, intensive livestock husbandry, drinking water supply, attractiveness for overnight tourism, habitat provision for rare,

  14. Implications of State Policy Changes on Mental Health Service Models for Students with Disabilities

    Science.gov (United States)

    Lawson, Janelle E.; Cmar, Jennifer L.

    2016-01-01

    For over 25 years, students with disabilities in California received educationally related mental health services through interagency collaboration between school districts and county mental health agencies. After a major change in state policy that eliminated state-mandated interagency collaboration, school districts in California are now solely…

  15. The Value of Qualitative Description in Health Services and Policy Research

    Science.gov (United States)

    2017-01-01

    Health services and policy (HSP) researchers have long used qualitative research methodologies to explore health system issues. However, the appropriateness of one approach, qualitative description, for HSP research is still often overlooked. In this article, I discuss the role that qualitative description can play in HSP research, and argue for its greater acceptance as a valid form of academic scholarship. PMID:28277201

  16. FEATURES OF MARKETING POLICY OF THE COMPANIES IN THE MARKET OF CONSULTING SERVICES

    Directory of Open Access Journals (Sweden)

    Timur A. Tultaev

    2013-01-01

    Full Text Available Dynamic development of the market of consulting services against progressing competitive fight promoted strengthening of a role of marketing in the activity of the consultant companies. The given article is devoted to the analysis of marketing policy and features of its application in consulting business.

  17. Forming Social Partnership Policy in Vocational Training of Service Sector Specialists in Germany and Austria

    Science.gov (United States)

    Kredenets, Nadiya

    2016-01-01

    The article deals with the problem of forming social partnership policy in vocational training of service sector specialists in Germany and Austria. The foreign and domestic pedagogical experience in establishing an effective system of social partnership in vocational education has been analyzed. The author has considered main factors of social…

  18. Combining Ecosystem Service and Critical Load Concepts for Resource Management and Public Policy

    Directory of Open Access Journals (Sweden)

    Timothy J. Sullivan

    2012-11-01

    Full Text Available Land management and natural resource public policy decision-making in the United States can benefit from two resource damage/recovery concepts: ecosystem service (ES and critical load (CL. The purpose of this paper is to suggest an integrated approach to the application of ES and CL principles for public land management and natural resource policy decision-making. One well known example that is appropriate for ES and CL evaluation is examined here: the acidification of soil and drainage water by atmospheric deposition of acidifying sulfur and nitrogen compounds. A conceptual framework illustrates how the ES and CL approaches can be combined in a way that enhances the strengths of each. This framework will aid in the process of translating ES and CL principles into land management and natural resource policy decision-making by documenting the impacts of pollution on environmental goods and services that benefit humans.

  19. TimeSet: A computer program that accesses five atomic time services on two continents

    Science.gov (United States)

    Petrakis, P. L.

    1993-01-01

    TimeSet is a shareware program for accessing digital time services by telephone. At its initial release, it was capable of capturing time signals only from the U.S. Naval Observatory to set a computer's clock. Later the ability to synchronize with the National Institute of Standards and Technology was added. Now, in Version 7.10, TimeSet is able to access three additional telephone time services in Europe - in Sweden, Austria, and Italy - making a total of five official services addressable by the program. A companion program, TimeGen, allows yet another source of telephone time data strings for callers equipped with TimeSet version 7.10. TimeGen synthesizes UTC time data strings in the Naval Observatory's format from an accurately set and maintained DOS computer clock, and transmits them to callers. This allows an unlimited number of 'freelance' time generating stations to be created. Timesetting from TimeGen is made feasible by the advent of Becker's RighTime, a shareware program that learns the drift characteristics of a computer's clock and continuously applies a correction to keep it accurate, and also brings .01 second resolution to the DOS clock. With clock regulation by RighTime and periodic update calls by the TimeGen station to an official time source via TimeSet, TimeGen offers the same degree of accuracy within the resolution of the computer clock as any official atomic time source.

  20. The optimal time path of clean energy R&D policy when patents have finite lifetime

    NARCIS (Netherlands)

    Gerlagh, R.; Kverndokk, S.; Rosendahl, K.E.

    We study the optimal time path for clean energy innovation policy. In a model with emission reduction through clean energy deployment, and with R&D increasing the overall productivity of clean energy, we describe optimal R&D policies jointly with emission pricing policies. We find that while

  1. A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland

    Directory of Open Access Journals (Sweden)

    Kenicer David

    2012-09-01

    Full Text Available Abstract Background NICE recommends computerised cognitive behavioural therapy (cCBT for the treatment of several mental health problems such as anxiety and depression. cCBT may be one way that services can reduce waiting lists and improve capacity and efficiency. However, there is some doubt about the extent to which the National Health Service (NHS in the UK is embracing this new health technology in practice. This study aimed to investigate Scottish health service infrastructure and policies that promote or impede the implementation of cCBT in the NHS. Methods A telephone survey of lead IT staff at all health board areas across Scotland to systematically enquire about the ability of local IT infrastructure and IT policies to support delivery of cCBT. Results Overall, most of the health boards possess the required software to use cCBT programmes. However, the majority of NHS health boards reported that they lack dedicated computers for patient use, hence access to cCBT at NHS sites is limited. Additionally, local policy in the majority of boards prevent staff from routinely contacting patients via email, skype or instant messenger, making the delivery of short, efficient support sessions difficult. Conclusions Conclusions: Overall most of the infrastructure is in place but is not utilised in ways that allow effective delivery. For cCBT to be successfully delivered within a guided support model, as recommended by national guidelines, dedicated patient computers should be provided to allow access to online interventions. Additionally, policy should allow staff to support patients in convenient ways such as via email or live chat. These measures would increase the likelihood of achieving Scottish health service targets to reduce waiting time for psychological therapies to 18 weeks.

  2. The use of a policy dialogue to facilitate evidence-informed policy development for improved access to care: the case of the Winnipeg Central Intake Service (WCIS).

    Science.gov (United States)

    Damani, Zaheed; MacKean, Gail; Bohm, Eric; DeMone, Brie; Wright, Brock; Noseworthy, Tom; Holroyd-Leduc, Jayna; Marshall, Deborah A

    2016-10-18

    Policy dialogues are critical for developing responsive, effective, sustainable, evidence-informed policy. Our multidisciplinary team, including researchers, physicians and senior decision-makers, comprehensively evaluated The Winnipeg Central Intake Service, a single-entry model in Winnipeg, Manitoba, to improve patient access to hip/knee replacement surgery. We used the evaluation findings to develop five evidence-informed policy directions to help improve access to scheduled clinical services across Manitoba. Using guiding principles of public participation processes, we hosted a policy roundtable meeting to engage stakeholders and use their input to refine the policy directions. Here, we report on the use and input of a policy roundtable meeting and its role in contributing to the development of evidence-informed policy. Our evidence-informed policy directions focused on formal measurement/monitoring of quality, central intake as a preferred model for service delivery, provincial scope, transparent processes/performance indicators, and patient choice of provider. We held a policy roundtable meeting and used outcomes of facilitated discussions to refine these directions. Individuals from our team and six stakeholder groups across Manitoba participated (n = 44), including patients, family physicians, orthopaedic surgeons, surgical office assistants, Winnipeg Central Intake team, and administrators/managers. We developed evaluation forms to assess the meeting process, and collected decision-maker partners' perspectives on the value of the policy roundtable meeting and use of policy directions to improve access to scheduled clinical services after the meeting, and again 15 months later. We analyzed roundtable and evaluation data using thematic analysis to identify key themes. Four key findings emerged. First, participants supported all policy directions, with revisions and key implementation considerations identified. Second, participants felt the policy roundtable

  3. The teaching of Education Policy and Administration in pre-service teacher education courses

    Directory of Open Access Journals (Sweden)

    Ranilce Guimarães-Iosif

    2018-01-01

    Full Text Available This article discusses the teaching of education policy and administration in pre-service teacher education courses from a theoretical-critical and non-linear perspective of education policy study. The data was collected during a semester in two mixed classes totaling 65 students from the Physical Education, Literature, Biology, Chemistry, Mathematics and Physics undergraduate courses. As part of the integration project of the graduate program in education with the undergraduate program, the professor of the policy line of the program in education began using methodologies focused on research activities in their undergraduate classes, aiming to broaden learning and to familiarize students with themes related to education policies. The research results indicate that the learning process in the area goes from the initial rejection to the construction of a critical position on political and governance issues surrounding Brazilian education.

  4. Blended call center with idling times during the call service

    NARCIS (Netherlands)

    Legros, Benjamin; Jouini, Oualid; Koole, Ger

    We consider a blended call center with calls arriving over time and an infinitely backlogged amount of outbound jobs. Inbound calls have a non-preemptive priority over outbound jobs. The inbound call service is characterized by three successive stages where the second one is a break; i.e., there is

  5. Pharmaceutical services cost analysis using time-driven activity-based costing: A contribution to improve community pharmacies' management.

    Science.gov (United States)

    Gregório, João; Russo, Giuliano; Lapão, Luís Velez

    2016-01-01

    The current financial crisis is pressing health systems to reduce costs while looking to improve service standards. In this context, the necessity to optimize health care systems management has become an imperative. However, little research has been conducted on health care and pharmaceutical services cost management. Pharmaceutical services optimization requires a comprehensive understanding of resources usage and its costs. This study explores the development of a time-driven activity-based costing (TDABC) model, with the objective of calculating the cost of pharmaceutical services to help inform policy-making. Pharmaceutical services supply patterns were studied in three pharmacies during a weekday through an observational study. Details of each activity's execution were recorded, including time spent per activity performed by pharmacists. Data on pharmacy costs was obtained through pharmacies' accounting records. The calculated cost of a dispensing service in these pharmacies ranged from €3.16 to €4.29. The cost of a counseling service when no medicine was supplied ranged from €1.24 to €1.46. The cost of health screening services ranged from €2.86 to €4.55. The presented TDABC model gives us new insights on management and costs of community pharmacies. This study shows the importance of cost analysis for health care services, specifically on pharmaceutical services, in order to better inform pharmacies' management and the elaboration of pharmaceutical policies. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Regional drug user services in times of scarce financial resources: using a rapid assessment response approach to evaluate, plan, and prioritize essential services.

    Science.gov (United States)

    Comiskey, Catherine Maria; O'Sullivan, Karin; Milnes, Jennie

    2012-02-01

    The objective was to assess need, evaluate projects, and devise a roadmap for future provision given budget cuts. The analysis of 30 substance misuse services in towns and rural areas of Ireland was conducted in 2010. Analysis revealed that 24,315 (95% CI 12,928-40,629) individuals were using illegal drugs in 2006, 893 individuals were using opiates, opiate and cocaine use was increasing as was drug use amongst females. Evaluations demonstrated that not all services were meeting emerging needs, services lacked administrative support, and funding needed to be redirected. The RAR approach was useful for policy decisions and budget cuts in times of economic restraint.

  7. Time Trends and Policy Gaps: The Case of Alcohol Misuse Among Adolescents in Lebanon.

    Science.gov (United States)

    Ghandour, Lilian; Afifi, Rima; Fares, Sonia; El Salibi, Noura; Rady, Alissar

    2015-01-01

    Monitoring studies are crucial for informing and reforming local policies. Using the Lebanon 2005 and 2011 Global School-based Student Health Surveys (GSHS), alcohol time trends were described, policy gaps were identified, and harm reduction policy recommendations were made. In 2005 and 2011, 100 (n = 5109 students) and 44 (n = 2784 students) middle schools were surveyed, respectively. Self-reported cross-sectional data on alcohol use among 7-9th graders in private and public schools was collected including 30-day prevalence, lifetime drunkenness, alcohol-related problems, and sources of alcohol. In 2011, the majority (87%) had alcohol before turning 14. Between 2005 and 2011, past 30-day alcohol use had increased by 40% and lifetime drunkenness by 50% in the total sample (122% among females with a narrowing in the gender gap). Drinking was regular for more than a third of the past 30-day drinkers (drank two or more drinks on the days they drank). Male adolescents were more likely to obtain alcohol from "stores" or "through their friends" whereas females' main source was their "family." One in twenty reported experiencing alcohol-related problems (e.g., getting into fights with family/friends and skipping school). Conclusion/Importance: Evidence-informed policy implications include enforcing a minimum legal drinking age, regulating alcohol advertising, and marketing particularly those targeting youth and women, and ensuring the availability of youth-friendly services. Public messages to increase awareness among all stakeholders including youth, their parents, and larger community are also needed.

  8. Policy Framework for Covering Preventive Services Without Cost Sharing: Saving Lives and Saving Money?

    Science.gov (United States)

    Chen, Stephanie C; Pearson, Steven D

    2016-08-01

    The US Affordable Care Act mandates that private insurers cover a list of preventive services without cost sharing. The list is determined by 4 expert committees that evaluate the overall health effect of preventive services. We analyzed the process by which the expert committees develop their recommendations. Each committee uses different criteria to evaluate preventive services and none of the committees consider cost systematically. We propose that the existing committees adopt consistent evidence review methodologies and expand the scope of preventive services reviewed and that a separate advisory committee be established to integrate economic considerations into the final selection of free preventive services. The comprehensive framework and associated criteria are intended to help policy makers in the future develop a more evidence-based, consistent, and ethically sound approach.

  9. Child and Family Policies in a Time of Economic Crisis

    Science.gov (United States)

    Richardson, Dominic

    2010-01-01

    At the beginning of 2008, a number of the world's major economies began to experience the effects of the biggest economic financial crisis in history. By the end of that year, the financial crisis was a global recession, and governments responded with changes to a suite of social and economic policies. Two broad stages of government response are…

  10. Food Service and Foods and Beverages Available at School: Results from the School Health Policies and Programs Study 2000.

    Science.gov (United States)

    Wechsler, Howell; Brener, Nancy D.; Kuester, Sarah; Miller, Clare

    2001-01-01

    Presents School Health Policies and Programs Study 2000 findings about state- and district-level policies and practices regarding various school food service issues, e.g., organization and staffing, food service and child nutrition requirements and recommendations, menu planning and food preparation, and collaboration. Also addressed are food…

  11. Human Trafficking in Ethiopia: A Scoping Review to Identify Gaps in Service Delivery, Research, and Policy.

    Science.gov (United States)

    Beck, Dana C; Choi, Kristen R; Munro-Kramer, Michelle L; Lori, Jody R

    2017-12-01

    The purpose of this review is to integrate evidence on human trafficking in Ethiopia and identify gaps and recommendations for service delivery, research and training, and policy. A scoping literature review approach was used to systematically search nursing, medical, psychological, law, and international databases and synthesize information on a complex, understudied topic. The search yielded 826 articles, and 39 met the predetermined criteria for inclusion in the review. Trafficking in Ethiopia has occurred internally and externally in the form of adult and child labor and sex trafficking. There were also some reports of organ trafficking and other closely related human rights violations, such as child marriage, child soldiering, and exploitative intercountry adoption. Risk factors for trafficking included push factors (poverty, political instability, economic problems, and gender discrimination) and pull factors (demand for cheap labor). Trafficking was associated with poor health and economic outcomes for victims. Key recommendations for service delivery, research and training, and policy are identified, including establishing comprehensive services for survivor rehabilitation and reintegration, conducting quantitative health outcomes research, and reforming policy around migration and trafficking. Implementing the recommendations identified by this review will allow policy makers, researchers, and practitioners to take meaningful steps toward confronting human trafficking in Ethiopia.

  12. Policies of access to healthcare services for accompanied asylum-seeking children in the Nordic countries.

    Science.gov (United States)

    Sandahl, Hinuga; Norredam, Marie; Hjern, Anders; Asher, Henry; Nielsen, Signe Smith

    2013-08-01

    Asylum-seeking children constitute a vulnerable group with high prevalence and risk for mental health problems. The aim of this study was to compare policies of access to healthcare services, including physical examination and screening for mental health problems on arrival, for accompanied asylum-seeking children in the Nordic countries. This study was based on the national reports "Reception of refugee children in the Nordic countries" written by independent national experts for the Nordic Network for Research on Refugee Children, supplemented by information from relevant authorities. In Sweden, Norway and Iceland, asylum-seeking children had access to healthcare services equal to children in the general population. On a policy level, Denmark imposed restrictions on non-acute hospitalisations and prolonged specialist treatments. Regarding health examinations, Sweden deviated from the Nordic pattern by not performing these systematically. In Denmark, Iceland, and some counties in Sweden, but not in Norway, screening for mental health problems was offered to asylum-seeking children. Access to healthcare services for asylum-seeking children differs in the Nordic countries; the consequences of these systematic differences for the individual asylum-seeking child are unknown. For asylum-seeking children, access to healthcare has to be considered in a wider context that includes the core conditions of being an asylum-seeker. A comparative study at policy level needs to be supplemented with empirical follow-up studies of the well-being of the study population to document potential consequences of policies in practice.

  13. 76 FR 50425 - Service Rules and Policies for the Broadcasting Satellite Service (BSS)

    Science.gov (United States)

    2011-08-15

    ... video-on-demand, to consumers in the United States and promote increased competition among satellite and... innovative services, including video, audio, data, and video-on-demand, to consumers in the United States and... variation is 26.3 km. Thus, the measurement range of 30[deg] from the X axis in the X-Z plane proposed by...

  14. Information Literacy Policy Development in Canada: Is It Time?

    Directory of Open Access Journals (Sweden)

    Cara Bradley

    2013-10-01

    Full Text Available This article examines policy issues related to information literacy in Canada. It provides some background on the information literacy concept, reflecting on popular definitions offered by American, British, and Australian library associations, before advocating for a broader definition that views information literacy as a human right. Information literacy is also considered in relationship to the proliferation of other “literacies,” such as digital, web, media, and information technology, that are the subject of increased advocacy and attention from interest groups and educators. The ongoing need for improved information literacy levels is analyzed not only in the context of inputs (the increasing complexity of the information environment but also in terms of potential personal, social, and economic outcomes that can be realized through widespread information literacy education efforts. The paper argues that information literacy must become a priority not only among academic librarians but also school, public, and special librarians, as well as others outside of the library sector, if significant improvements in information literacy levels are to be realized. Such a coordinated approach can only be achieved in the context of policies that require, and adequately support, widespread efforts at improving information literacy levels. After a review of the ad-hoc state of information literacy education in Canada today, this paper analyzes information literacy-related policy development efforts in Canada to date in the four arenas where one would expect to see such activity: the Government of Canada, provincial governments, library associations, and other stakeholder groups. This article aims to start a wide-reaching discussion about information literacy and associated policy issues in Canada.

  15. Schizophrenia—Time to Commit to Policy Change

    Science.gov (United States)

    Fleischhacker, W. Wolfgang

    2014-01-01

    Care and outcomes for people with schizophrenia have improved in recent years, but further progress is needed to help more individuals achieve an independent and fulfilled life. This report sets out the current need, informs policy makers and all relevant stakeholders who influence care quality, and supports their commitment to creating a better future. The authors recommend the following policy actions, based on research evidence, stakeholder consultation, and examples of best practice worldwide. (1) Provide an evidence-based, integrated care package for people with schizophrenia that addresses their mental and physical health needs. (2) Provide support for people with schizophrenia to enter and to remain in their community, and develop mechanisms to help guide them through the complex benefit and employment systems. (3) Provide concrete support, information, and educational programs to families and carers on how to enhance care for an individual living with schizophrenia in a manner that entails minimal disruption to their lives. (4) All stakeholders, including organizations that support people living with schizophrenia, should be consulted to regularly revise, update, and improve policy on the management of schizophrenia. (5) Provide support, which is proportionate to the impact of the disease, for research and development of new treatments. (6) Establish adequately funded, ongoing, and regular awareness-raising campaigns that form an integral part of routine plans of action. Implementation of the above recommendations will require engagement by every stakeholder, but with commitment from all, change can be achieved. PMID:24778411

  16. FIRST TIME ONLINE LEARNERS’ PERCEPTIONS OF SUPPORT SERVICES PROVIDED

    Directory of Open Access Journals (Sweden)

    Stephanie HUNTE

    2012-04-01

    Full Text Available The number of online continuous education and training initiatives continues to increase in Caribbean Small Island Developing States (SIDS and by extension, the number of adult learners who are unfamiliar with the peculiarities of the online teaching and learning environment. The extent to which these learners can derive maximum benefit from these initiatives depends on the rate at which they can adapt to the new circumstances and, as a result, function effectively in this type of teaching and learning environment. To this end, while supporting learners is recognized as a critical success factor little has been explored or documented specific to the Caribbean-SIDS context. The purpose of this study therefore was to describe the support services provided first time online learners in the context of Caribbean-SIDS and examine what if any benefit learners derived from them through their perceptions of these services. The findings reveal that participants’ overall perception of the support services was high. They also reveal that although participants’ awareness of ongoing support services was variable, their rating of the need for and importance of this type of support was also high. The findings suggest that providing support for first time online learners in the context of Caribbean SIDS positively impacts their performance in the online teaching and learning environment.

  17. The effect of centralization of health care services on travel time and its equality.

    Science.gov (United States)

    Kobayashi, Daisuke; Otsubo, Tetsuya; Imanaka, Yuichi

    2015-03-01

    To analyze the regional variations in travel time between patient residences and medical facilities for the treatment of ischemic heart disease and breast cancer, and to simulate the effects of health care services centralization on travel time and equality of access. We used medical insurance claims data for inpatients and outpatients for the two target diseases that had been filed between September 2008 and May 2009 in Kyoto Prefecture, Japan. Using a geographical information system, patient travel times were calculated based on the driving distance between patient residences and hospitals via highways and toll roads. Locations of residences and hospital locations were identified using postal codes. We then conducted a simulation analysis of centralization of health care services to designated regional core hospitals. The simulated changes in potential spatial access to care were examined. Inequalities in access to care were examined using Gini coefficients, which ranged from 0.4109 to 0.4574. Simulations of health care services centralization showed reduced travel time for most patients and overall improvements in equality of access, except in breast cancer outpatients. Our findings may contribute to the decision-making process in policies aimed at improving the potential spatial access to health care services. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  18. Deliverable 1.2: Report on ENP Policy Concerning its Objectives and Policy Measures over Time

    NARCIS (Netherlands)

    Borell, M.; Boschma, R.A.; Monastiriotis, V.; Wesselink, E.

    2012-01-01

    This report consists of two working papers, which subsequently offer an overview of the history, structure and institutional instruments of the ENP and the policies that have been implemented due to the ENP, and a review of the political and political economy literature on the ENP. Together these

  19. Time On Station Requirements: Costs, Policy Change, and Perceptions

    Science.gov (United States)

    2016-12-01

    also reviews existing programs used to increase TOS (i.e. Assignment Incentive Pay [AIP] that is governed for all services by DOD Financial Management ... Management and Budget, Paperwork Reduction Project (0704-0188) Washington, DC 20503. 1. AGENCY USE ONLY (Leave blank) 2. REPORT DATE December 2016...LEFT BLANK vii TABLE OF CONTENTS I.  INTRODUCTION

  20. Performances and recent evolutions of EMSC Real Time Information services

    Science.gov (United States)

    Mazet-Roux, G.; Godey, S.; Bossu, R.

    2009-04-01

    The EMSC (http://www.emsc-csem.org) operates Real Time Earthquake Information services for the public and the scientific community which aim at providing rapid and reliable information on the seismic-ity of the Euro-Mediterranean region and on significant earthquakes worldwide. These services are based on parametric data rapidly provided by 66 seismological networks which are automatically merged and processed at EMSC. A web page which is updated every minute displays a list and a map of the latest earthquakes as well as additional information like location maps, moment tensors solutions or past regional seismicity. Since 2004, the performances and the popularity of these services have dramatically increased. The number of messages received from the contributors and the number of published events have been multiplied by 2 since 2004 and by 1.6 since 2005 respectively. The web traffic and the numbers of users of the Earthquake Notification Service (ENS) have been multiplied by 15 and 7 respectively. In terms of performances of the ENS, the median dissemination time for Euro-Med events is minutes in 2008. In order to further improve its performances and especially the speed and robustness of the reception of real time data, EMSC has recently implemented a software named QWIDS (Quake Watch Information Distribution System) which provides a quick and robust data exchange system through permanent TCP connections. At the difference with emails that can sometimes be delayed or lost, QWIDS is an actual real time communication system that ensures the data delivery. In terms of hardware, EMSC imple-mented a high availability, dynamic load balancing, redundant and scalable web servers infrastructure, composed of two SUN T2000 and one F5 BIG-IP switch. This will allow coping with constantly increas-ing web traffic and the occurrence of huge peaks of traffic after widely felt earthquakes.

  1. An Evaluation of the Cybersecurity Policies for the United States Health & Human Services Department: Criteria, Regulations, and Improvements

    OpenAIRE

    Derek Mohammed; Ronda Mariani

    2014-01-01

    This paper examines the criteria necessary for the evaluation of the cybersecurity policies for the United States Health and Human Services Department of the Federal Government. The overall purpose of cybersecurity policies and procedures is supported through compliance with Federal mandated regulation and standards, which serve to protect the organizational services and goals of the United States Health and Human Services Department, and to promote the best possible security practices in the...

  2. Universalization of access to modern energy services in Indian households. Economic and policy analysis

    International Nuclear Information System (INIS)

    Reddy, B. Sudhakara; Nathan, Hippu Salk Kristle; Balachandra, P.

    2009-01-01

    Provision of modern energy services for cooking (with gaseous fuels) and lighting (with electricity) is an essential component of any policy aiming to address health, education or welfare issues; yet it gets little attention from policy-makers. Secure, adequate, low-cost energy of quality and convenience is core to the delivery of these services. The present study analyses the energy consumption pattern of Indian domestic sector and examines the urban-rural divide and income energy linkage. A comprehensive analysis is done to estimate the cost for providing modern energy services to everyone by 2030. A public-private partnership-driven business model, with entrepreneurship at the core, is developed with institutional, financing and pricing mechanisms for diffusion of energy services. This approach, termed as EMPOWERS (entrepreneurship model for provision of wholesome energy-related basic services), if adopted, can facilitate large-scale dissemination of energy-efficient and renewable technologies like small-scale biogas/biofuel plants, and distributed power generation technologies to provide clean, safe, reliable and sustainable energy to rural households and urban poor. It is expected to integrate the processes of market transformation and entrepreneurship development involving government, NGOs, financial institutions and community groups as stakeholders. (author)

  3. Local variability in long-term care services: local autonomy, exogenous influences and policy spillovers.

    Science.gov (United States)

    Fernandez, José-Luis; Forder, Julien

    2015-03-01

    In many countries, public responsibility over the funding and provision of long-term care services is held at the local level. In such systems, long-term care provision is often characterised by significant local variability. Using a panel dataset of local authorities over the period 2002-2012, the paper investigates the underlying causes of variation in gross social care expenditure for older people in England. The analysis distinguishes between factors outside the direct control of policy makers, local preferences and local policy spillovers. The results indicate that local demand and supply factors, and to a much lesser extent local political preferences and spatial policy spillovers, explain a large majority of the observed variation in expenditure. Copyright © 2015 John Wiley & Sons, Ltd.

  4. Sojourn time tails in the single server queue with heavy-tailed service times

    NARCIS (Netherlands)

    Boxma, O.J.; Denisov, D.E.

    2009-01-01

    We consider the GI/GI/1 queue with regularly varying service requirement distribution of index -a. It is well known that, in the M/G/1 FCFS queue, the sojourn time distribution is also regularly varying, of index 1 - a, whereas in the case of LCFS or Processor Sharing, the sojourn time distribution

  5. Sojourn time tails in the single server queue with heavy-tailed service times

    NARCIS (Netherlands)

    Boxma, O.J.; Denisov, D.E.

    2011-01-01

    We consider the GI/GI/1 queue with regularly varying service requirement distribution of index -a. It is well known that, in the M/G/1 FCFS queue, the sojourn time distribution is also regularly varying, of index 1-a, whereas in the case of LCFS or Processor Sharing, the sojourn time distribution is

  6. 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...

  7. Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services.

    Science.gov (United States)

    Wolfenden, Luke; Jones, Jannah; Williams, Christopher M; Finch, Meghan; Wyse, Rebecca J; Kingsland, Melanie; Tzelepis, Flora; Wiggers, John; Williams, Amanda J; Seward, Kirsty; Small, Tameka; Welch, Vivian; Booth, Debbie; Yoong, Sze Lin

    2016-10-04

    9.5%; and in three trials reporting the time (per day or week) staff or services spent implementing a policy or practice this ranged from 4.3 minutes to 7.7 minutes. The review findings also indicate that is it uncertain whether such interventions improve childcare service staff knowledge or attitudes (two trials), child physical activity (two trials), child weight status (two trials) or child diet (one trial). None of the included trials reported on the cost or cost-effectiveness of the intervention. One trial assessed the adverse effects of a physical activity intervention and found no difference in rates of child injury between groups. For all review outcomes, we rated the quality of the evidence as very low. The primary limitation of the review was the lack of conventional terminology in implementation science, which may have resulted in potentially relevant studies failing to be identified based on the search terms used in this review. Current research provides weak and inconsistent evidence of the effectiveness of such strategies in improving the implementation of policies and practices, childcare service staff knowledge or attitudes, or child diet, physical activity or weight status. Further research in the field is required.

  8. Colombian ancillary services and international connections: Current weaknesses and policy challenges

    International Nuclear Information System (INIS)

    Carvajal, S.X.; Serrano, J.; Arango, S.

    2013-01-01

    Ancillary services are required to maintain the unity, stability, and quality of power systems. In Colombia these services are required to operate the national power system and the international connections with the neighboring countries. The system is influenced by factors ranging from system's topology to social and political aspects, such as the large number of terrorist attacks. In light of these particularities, we consider Colombia as a learning lab for ancillary services in the region. Colombia's power system relies on three ancillary services for its operation, namely frequency regulation, voltage control, and blackstart service. From 2010 Special Protection Systems were also added. In this paper we first analyze the technical aspects, operational restrictions, financial management, and the most relevant regulatory conditions of these ancillary services of the SIN. We also take into consideration the main regulatory characteristics and statistical data related to energy exchanges that have taken place between Colombia and Venezuela and Ecuador. Thereafter, we depict the main weaknesses and policy challenges that Colombia must address in order to increase the effectiveness and coverage of ancillary services in both the SIN and in the international interconnections. Finally, we propose new market oriented regulations to encourage investments and new tools for international connections. - Highlights: ► Blackout of 2007 forces Colombian regulator to improve security of power system. ► Four ancillary services are currently used for secure operation of Colombian system. ► Special Protection Systems service added in 2010. ► Frequency control is the only remunerated service in Colombia. ► Legislation should exist for remuneration of voltage control and black start services.

  9. Associations Between Waiting Times, Service Times, and Patient Satisfaction in an Endocrinology Outpatient Department: A Time Study and Questionnaire Survey.

    Science.gov (United States)

    Xie, Zhenzhen; Or, Calvin

    2017-01-01

    The issue of long patient waits has attracted increasing public attention due to the negative effects of waiting on patients' satisfaction with health care. The present study examined the associations between actual waiting time, perceived acceptability of waiting time, actual service time, perceived acceptability of service time, actual visit duration, and the level of patient satisfaction with care. We conducted a cross-sectional time study and questionnaire survey of endocrinology outpatients visiting a major teaching hospital in China. Our results show that actual waiting time was negatively associated with patient satisfaction regarding several aspects of the care they received. Also, patients who were less satisfied with the sociocultural atmosphere and the identity-oriented approach to their care tended to perceive the amounts of time they spent waiting and receiving care as less acceptable. It is not always possible to prevent dissatisfaction with waiting, or to actually reduce waiting times by increasing resources such as increased staffing. However, several improvements in care services can be considered. Our suggestions include providing clearer, more transparent information to keep patients informed about the health care services that they may receive, and the health care professionals who are responsible for those services. We also suggest that care providers are encouraged to continue to show empathy and respect for patients, that patients are provided with private areas where they can talk with health professionals and no one can overhear, and that hospital staff treat the family members or friends who accompany patients in a courteous and friendly way.

  10. Approaches to Risk and Consumer Policy in Financial Service Regulation in the UK

    Directory of Open Access Journals (Sweden)

    Peter Lunt

    2006-01-01

    Full Text Available The financial service and communication sectors in the UK have been subject to radical re-organisation, involving the formation of sector-wide regulatory bodies (FSA and Ofcom with wide-ranging powers and statutory obligations. Although both have responsibilities for assessment and management of risk, their remits go beyond traditional approaches to regulation. Hence, although primarily oriented to economic policy, both regulators address questions of corporate responsibility, balance of stakeholder interests, the public good, consumer representation and public participation. Accordingly, they are undertaking a range of activities, including consumer education and research, public consultation and the involvement of stakeholders in policy review. Focusing on the case of financial services, this paper presents an analysis of two early speeches by FSA directors, one focused on the approach to risk adopted by the regulator and the other on consumer policy. The second part of the paper considers the conceptual issues regarding different modes of risk management in the new regulators, requiring an account of the various levels and forms of involvement by stakeholders and publics in the identification and management of risk. It follows on from the analysis of the speeches to examine the relationship between risk and consumer policy in the practices of the FSA. URN: urn:nbn:de:0114-fqs0601323

  11. [European integration and health policies: repercussions of the internal European Market on access to health services].

    Science.gov (United States)

    Guimarães, Luisa; Giovanella, Lígia

    2006-09-01

    This article explores the health policy repercussions of countries' regional integration into the European Union. The aim is to review the regulation of access in other countries, with the conclusion of the single European market and the free circulation of persons, services, goods, and capital. The article begins by reviewing the various forms of integration and describes the expansion and institutionalization of Community agencies. The repercussions of European integration on health policies and regulation of access are analyzed. Market impacts on health result from Treaty directives and internal policy adjustments to free circulation. Health services access is gradually regulated and granted by rulings. Projects along borders illustrate the dynamics where differences are used to achieve comprehensive care. In the oldest integration experience, the market regulation has generated intentional and non-intentional impacts on the health policies of member states, regardless of the organizational model. Knowledge and analysis of this experience signals challenges for the Southern Cone Common Market (Mercosur) and adds to future debates and decisions.

  12. Enabling Real-time Water Decision Support Services Using Model as a Service

    Science.gov (United States)

    Zhao, T.; Minsker, B. S.; Lee, J. S.; Salas, F. R.; Maidment, D. R.; David, C. H.

    2014-12-01

    Through application of computational methods and an integrated information system, data and river modeling services can help researchers and decision makers more rapidly understand river conditions under alternative scenarios. To enable this capability, workflows (i.e., analysis and model steps) are created and published as Web services delivered through an internet browser, including model inputs, a published workflow service, and visualized outputs. The RAPID model, which is a river routing model developed at University of Texas Austin for parallel computation of river discharge, has been implemented as a workflow and published as a Web application. This allows non-technical users to remotely execute the model and visualize results as a service through a simple Web interface. The model service and Web application has been prototyped in the San Antonio and Guadalupe River Basin in Texas, with input from university and agency partners. In the future, optimization model workflows will be developed to link with the RAPID model workflow to provide real-time water allocation decision support services.

  13. A Simple Approach for Monitoring Business Service Time Variation

    Directory of Open Access Journals (Sweden)

    Su-Fen Yang

    2014-01-01

    Full Text Available Control charts are effective tools for signal detection in both manufacturing processes and service processes. Much of the data in service industries comes from processes having nonnormal or unknown distributions. The commonly used Shewhart variable control charts, which depend heavily on the normality assumption, are not appropriately used here. In this paper, we propose a new asymmetric EWMA variance chart (EWMA-AV chart and an asymmetric EWMA mean chart (EWMA-AM chart based on two simple statistics to monitor process variance and mean shifts simultaneously. Further, we explore the sampling properties of the new monitoring statistics and calculate the average run lengths when using both the EWMA-AV chart and the EWMA-AM chart. The performance of the EWMA-AV and EWMA-AM charts and that of some existing variance and mean charts are compared. A numerical example involving nonnormal service times from the service system of a bank branch in Taiwan is used to illustrate the applications of the EWMA-AV and EWMA-AM charts and to compare them with the existing variance (or standard deviation and mean charts. The proposed EWMA-AV chart and EWMA-AM charts show superior detection performance compared to the existing variance and mean charts. The EWMA-AV chart and EWMA-AM chart are thus recommended.

  14. A simple approach for monitoring business service time variation.

    Science.gov (United States)

    Yang, Su-Fen; Arnold, Barry C

    2014-01-01

    Control charts are effective tools for signal detection in both manufacturing processes and service processes. Much of the data in service industries comes from processes having nonnormal or unknown distributions. The commonly used Shewhart variable control charts, which depend heavily on the normality assumption, are not appropriately used here. In this paper, we propose a new asymmetric EWMA variance chart (EWMA-AV chart) and an asymmetric EWMA mean chart (EWMA-AM chart) based on two simple statistics to monitor process variance and mean shifts simultaneously. Further, we explore the sampling properties of the new monitoring statistics and calculate the average run lengths when using both the EWMA-AV chart and the EWMA-AM chart. The performance of the EWMA-AV and EWMA-AM charts and that of some existing variance and mean charts are compared. A numerical example involving nonnormal service times from the service system of a bank branch in Taiwan is used to illustrate the applications of the EWMA-AV and EWMA-AM charts and to compare them with the existing variance (or standard deviation) and mean charts. The proposed EWMA-AV chart and EWMA-AM charts show superior detection performance compared to the existing variance and mean charts. The EWMA-AV chart and EWMA-AM chart are thus recommended.

  15. State-age-dependent maintenance policies for deteriorating systems with Erlang sojourn time distributions

    International Nuclear Information System (INIS)

    Yeh, R.H.

    1997-01-01

    This paper investigates state-age-dependent maintenance policies for multistate deteriorating systems with Erlang sojourn time distributions. Since Erlang distributions are serial combinations of exponential phases, the deteriorating process can be modeled by a multi-phase Markovian model and hence easily analyzed. Based on the Markovian model, the optimal phase-dependent inspection and replacement policy can be obtained by using a policy improvement algorithm. However, since phases are fictitious and can not be identified by inspections, two procedures are developed to construct state-age-dependent policies based on the optimal phase-dependent policy. The properties of the constructed state-age-dependent policies are further investigated and the performance of the policy is evaluated through a numerical example

  16. Product policy - the main component of the marketing mix in the Romanian health services.

    Science.gov (United States)

    Coculescu, B I; Purcarea, V L; Coculescu, E C

    2016-01-01

    The objectives of the reforms in the EU healthcare systems are based on the implementation of the marketing concept in the health systems, which are, among other things: • efficient management of the financial resources and control costs of the rendered health services; • increased satisfaction of the clients of health care services; • broad accessibility to health services; • effective implementation of modern technologies; • rational stimulation of medical services consumption; • achievement of a fair and neutral competition between the public/ private providers and health insurance companies; • introduction of performance criteria in order to increase the incomes of the medical staff and hierarchy in hospitals; • implementation of modern management methods in health services management; • decentralization of the public healthcare system. Product policy in the medical system of healthcare - the most important component of the marketing mix - is the attitude that addresses a medical organization to the volume, structure, and diversity of services subject to their own activities in relation to the requirements of the services market and the competitive actions of other medical institutions.

  17. 25 CFR 20.102 - What is the Bureau's policy in providing financial assistance and social services under this part?

    Science.gov (United States)

    2010-04-01

    ..., DEPARTMENT OF THE INTERIOR HUMAN SERVICES FINANCIAL ASSISTANCE AND SOCIAL SERVICES PROGRAMS Definitions... this part to eligible Indians when comparable financial assistance or social services are either not... 25 Indians 1 2010-04-01 2010-04-01 false What is the Bureau's policy in providing financial...

  18. Freshwater Ecosystem Services in Mining Regions: Modelling Options for Policy Development Support

    Directory of Open Access Journals (Sweden)

    Daniel Mercado-Garcia

    2018-04-01

    Full Text Available The ecosystem services (ES approach offers an integrated perspective of social-ecological systems, suitable for holistic assessments of mining impacts. Yet for ES models to be policy-relevant, methodological consensus in mining contexts is needed. We review articles assessing ES in mining areas focusing on freshwater components and policy support potential. Twenty-six articles were analysed concerning (i methodological complexity (data types, number of parameters, processes and ecosystem–human integration level and (ii potential applicability for policy development (communication of uncertainties, scenario simulation, stakeholder participation and management recommendations. Articles illustrate mining impacts on ES through valuation exercises mostly. However, the lack of ground- and surface-water measurements, as well as insufficient representation of the connectivity among soil, water and humans, leave room for improvements. Inclusion of mining-specific environmental stressors models, increasing resolution of topographies, determination of baseline ES patterns and inclusion of multi-stakeholder perspectives are advantageous for policy support. We argue that achieving more holistic assessments exhorts practitioners to aim for high social-ecological connectivity using mechanistic models where possible and using inductive methods only where necessary. Due to data constraints, cause–effect networks might be the most feasible and best solution. Thus, a policy-oriented framework is proposed, in which data science is directed to environmental modelling for analysis of mining impacts on water ES.

  19. Leadership development in the English National Health Service: A counter narrative to inform policy.

    Science.gov (United States)

    Hewison, Alistair; Morrell, Kevin

    2014-04-01

    To examine the current approach to leadership development in the English National Health Service (NHS) and consider its implications for nursing. To stimulate debate about the nature of leadership development in a range of health care settings. Good leadership is central to the provision of high quality nursing care. This has focussed attention on the leadership development of nurses and other health care staff. It has been a key policy concern in the English NHS of late and fostered the growth of leadership development programmes founded on competency based approaches. This is a policy review informed by the concept of episteme. Relevant policy documents and related literature. Using Foucault's concept of episteme, leadership development policy is examined in context and a 'counter narrative' developed to demonstrate that current approaches are rooted in competency based accounts which constitute a limited, yet dominant narrative. Leadership takes many forms and varies hugely according to task and context. Acknowledging this in the form of a counter narrative offers a contribution to more constructive policy development in the English NHS and more widely. A more nuanced debate about leadership development and greater diversity in the provision of development programmes and activities is required. Leadership development has been advocated as being crucial to the advancement of nursing. Detailed analysis of its nature and function is essential if it is to meet the needs of nurse leaders. Copyright © 2013 Elsevier Ltd. All rights reserved.

  20. Budget, fiscal and monetary policy in Poland and demand for transport – forwarding – logistics industry services

    Directory of Open Access Journals (Sweden)

    Ryszard Rolbiecki

    2013-06-01

    Full Text Available Macroeconomic policy of a country does not always have an effect on the demand for transport. The lack of a clear relation between the nature of macroeconomic policy and changes in demand for transport services is a consequence of the overall complexity of the economic system. It can also be a result of the lack of consistency between budget and monetary policy. Macroeconomic policy as a tool to control global demand only indirectly affects the changes in demand for transport. Transport activity is in fact determined by changes in the real economy, which directly influence the increase or decrease in demand for transport services.

  1. Waiting Time Policies in the Health Care Sector. What Works?

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Bech, Mickael

    2013-01-01

    times. In addition, a range of other measures may indirectly have affected waiting times, such as a general increase in spending on health care, the general practitioners’ role as gate-keepers, increased use of activity-based hospital reimbursement, increasing use of private heath insurance and private...

  2. Dynamic call center routing policies using call waiting and agent idle times

    NARCIS (Netherlands)

    Chan, W.; Koole, G.M.; L'Ecuyer, P.

    2014-01-01

    We study call routing policies for call centers with multiple call types and multiple agent groups. We introduce new weight-based routing policies where each pair (call type, agent group) is given a matching priority defined as an affine combination of the longest waiting time for that call type and

  3. Vector Autoregressions with Parsimoniously Time Varying Parameters and an Application to Monetary Policy

    DEFF Research Database (Denmark)

    Callot, Laurent; Kristensen, Johannes Tang

    the monetary policy response to inflation and business cycle fluctuations in the US by estimating a parsimoniously time varying parameter Taylor rule.We document substantial changes in the policy response of the Fed in the 1970s and 1980s, and since 2007, but also document the stability of this response...

  4. The construction of legitimacy in European nature policy: expertise and participation in the service of cost-effectiveness

    NARCIS (Netherlands)

    Turnhout, E.; Behagel, J.H.; Ferranti, F.; Beunen, R.

    2015-01-01

    In environmental governance, the European Union draws on norms of effectiveness, decentralisation, and participation to ensure that its policies and regulations are considered legitimate. This article analyses how the construction of legitimacy in European nature policy has changed over time.

  5. Evaluating the impact of a novel restricted reimbursement policy for quinolone antibiotics: A time series analysis

    Directory of Open Access Journals (Sweden)

    Manns Braden

    2012-08-01

    Full Text Available Abstract Background Publicly-funded drug plans often use prior authorization policies to limit drug prescribing. To guide physician prescribing of a class of antibiotics with broad antimicrobial activity (quinolone antibiotics in accordance with new prescribing guidelines, Alberta’s provincial health ministry implemented a new mechanism for formulary restriction entitled the optional special authorization (OSA program. We conducted an observational study to determine the impact of this new formulary restriction policy on antimicrobial prescription rates as well as any clinical consequences. Methods Quinolone antibiotic use, and adherence with quinolone prescribing guidelines, was assessed before and after implementation of the OSA program in patients with common outpatient infections using an administrative data cohort and a chart review cohort, respectively. At the same time this policy was implemented to limit quinolone prescribing, two new quinolone antibiotics were added to the formulary. Using administrative data, we analysed a total of 397,534 unique index visits with regard to overall antibiotic utilization, and through chart review, we analysed 1681 charts of patients with infections of interest to determine the indications for quinolone usage. Results Using segmented regression models adjusting for age, sex and physician enrollment in the OSA program, there was no statistically significant change in the monthly rate of all quinolone use (−3.5 (95% CI −5.5, 1.4 prescriptions per 1000 index visits following implementation of the OSA program (p = 0.74. There was a significant level change in the rate of quinolone antibiotic use for urinary tract infection (−33.6 (95% CI: -23.8, -43.4 prescriptions and upper respiratory tract infection (−16.1 (95%CI: -11.6, -20.6 prescriptions per 1000 index visits. Among quinolone prescriptions identified on chart review, 42.5% and 58.5% were consistent with formulary guidelines before and

  6. Availability of tobacco cessation services in substance use disorder treatment programs: Impact of state tobacco control policy.

    Science.gov (United States)

    Abraham, Amanda J; Bagwell-Adams, Grace; Jayawardhana, Jayani

    2017-08-01

    Given the high prevalence of smoking among substance use disorder (SUD) patients, the specialty SUD treatment system is an important target for adoption and implementation of tobacco cessation (TC) services. While research has addressed the impact of tobacco control on individual tobacco consumption, largely overlooked in the literature is the potential impact of state tobacco control policies on availability of services for tobacco cessation. This paper examines the association between state tobacco control policy and availability of TC services in SUD treatment programs in the United States. State tobacco control and state demographic data (n=51) were merged with treatment program data from the 2012 National Survey of Substance Abuse Treatment Services (n=10.413) to examine availability of TC screening, counseling and pharmacotherapy services in SUD treatment programs using multivariate logistic regression models clustered at the state-level. Approximately 60% of SUD treatment programs offered TC screening services, 41% offered TC counseling services and 26% offered TC pharmacotherapy services. Results of multivariate logistic regression showed the odds of offering TC services were greater for SUD treatment programs located in states with higher cigarette excise taxes and greater spending on tobacco prevention and control. Findings indicate cigarette excise taxes and recommended funding levels may be effective policy tools for increasing access to TC services in SUD treatment programs. Coupled with changes to insurance coverage for TC under the Affordable Care Act, state tobacco control policy tools may further reduce tobacco use in the United States. Published by Elsevier Ltd.

  7. Planning to cheat: EU fiscal policy in real time

    NARCIS (Netherlands)

    Beetsma, R.; Giuliodori, M.; Wierts, P.

    2009-01-01

    Using real-time data from Europe's Stability and Convergence Programs, we explore how fiscal plans and their implementation in the EU are determined. We find that (1) implemented budgetary adjustment falls systematically short of planned adjustment and this shortfall increases with the projection

  8. The Time-Inconsistency of Alternative Energy Policy

    OpenAIRE

    D'ARTIGUES, Agnès; PERCEBOIS, Jacques; VIGNOLO, Thierry

    2007-01-01

    Time-inconsistency can arise when a government attempts to convince private sector to use a particular alternative energy (gas, green electricity...) rather than petroleum products. By introducing taxes and feed-in prices, a government would encourage firms and households to switch to an alternative energy rather than use petroleum products. However, even if a government is in favor of increasing alternative energy consumption, it can benefit from considerable financial resources resulting fr...

  9. Health service planning contributes to policy dialogue around strengthening district health systems: an example from DR Congo 2008-2013.

    Science.gov (United States)

    Rajan, Dheepa; Kalambay, Hyppolite; Mossoko, Mathias; Kwete, Dieudonné; Bulakali, Joseph; Lokonga, Jean-Pierre; Porignon, Denis; Schmets, Gerard

    2014-10-31

    This case study from DR Congo demonstrates how rational operational planning based on a health systems strengthening strategy (HSSS) can contribute to policy dialogue over several years. It explores the operationalization of a national strategy at district level by elucidating a normative model district resource plan which details the resources and costs of providing an essential health services package at district level. This paper then points to concrete examples of how the results of this exercise were used for Ministry of Health (MoH) decision-making over a time period of 5 years. DR Congo's HSSS and its accompanying essential health services package were taken as a base to construct a normative model health district comprising of 10 Health Centres (HC) and 1 District Hospital (DH). The normative model health district represents a standard set by the Ministry of Health for providing essential primary health care services. The minimum operating budget necessary to run a normative model health district is $17.91 per inhabitant per year, of which $11.86 is for the district hospital and $6.05 for the health centre. The Ministry of Health has employed the results of this exercise in 4 principal ways: 1.Advocacy and negotiation instrument; 2. Instrument to align donors; 3. Field planning; 4. Costing database to extract data from when necessary. The above results have been key in the policy dialogue on affordability of the essential health services package in DR Congo. It has allowed the MoH to provide transparent information on financing needs around the HSSS; it continues to help the MoH negotiate with the Ministry of Finance and bring partner support behind the HSSS.

  10. Domestic water service delivery indicators and frameworks for monitoring, evaluation, policy and planning: a review.

    Science.gov (United States)

    Kayser, Georgia L; Moriarty, Patrick; Fonseca, Catarina; Bartram, Jamie

    2013-10-11

    Monitoring of water services informs policy and planning for national governments and the international community. Currently, the international monitoring system measures the type of drinking water source that households use. There have been calls for improved monitoring systems over several decades, some advocating use of multiple indicators. We review the literature on water service indicators and frameworks with a view to informing debate on their relevance to national and international monitoring. We describe the evidence concerning the relevance of each identified indicator to public health, economic development and human rights. We analyze the benefits and challenges of using these indicators separately and combined in an index as tools for planning, monitoring, and evaluating water services. We find substantial evidence on the importance of each commonly recommended indicator--service type, safety, quantity, accessibility, reliability or continuity of service, equity, and affordability. Several frameworks have been proposed that give structure to the relationships among individual indicators and some combine multiple indicator scores into a single index but few have been rigorously tested. More research is needed to understand if employing a composite metric of indicators is advantageous and how each indicator might be scored and scaled.

  11. Domestic Water Service Delivery Indicators and Frameworks for Monitoring, Evaluation, Policy and Planning: A Review

    Directory of Open Access Journals (Sweden)

    Jamie Bartram

    2013-10-01

    Full Text Available Monitoring of water services informs policy and planning for national governments and the international community. Currently, the international monitoring system measures the type of drinking water source that households use. There have been calls for improved monitoring systems over several decades, some advocating use of multiple indicators. We review the literature on water service indicators and frameworks with a view to informing debate on their relevance to national and international monitoring. We describe the evidence concerning the relevance of each identified indicator to public health, economic development and human rights. We analyze the benefits and challenges of using these indicators separately and combined in an index as tools for planning, monitoring, and evaluating water services. We find substantial evidence on the importance of each commonly recommended indicator—service type, safety, quantity, accessibility, reliability or continuity of service, equity, and affordability. Several frameworks have been proposed that give structure to the relationships among individual indicators and some combine multiple indicator scores into a single index but few have been rigorously tested. More research is needed to understand if employing a composite metric of indicators is advantageous and how each indicator might be scored and scaled.

  12. Emergence of a rehabilitation medicine model for low vision service delivery, policy, and funding.

    Science.gov (United States)

    Stelmack, Joan

    2005-05-01

    A rehabilitation medicine model for low vision rehabilitation is emerging. There have been many challenges to reaching consensus on the roles of each discipline (optometry, ophthalmology, occupational therapy, and vision rehabilitation professionals) in the service delivery model and finding a place in the reimbursement system for all the providers. The history of low vision, legislation associated with Centers for Medicare and Medicaid Services coverage for vision rehabilitation, and research on the effectiveness of low vision service delivery are reviewed. Vision rehabilitation is now covered by Medicare under Physical Medicine and Rehabilitation codes by some Medicare carriers, yet reimbursement is not available for low vision devices or refraction. Also, the role of vision rehabilitation professionals (rehabilitation teachers, orientation and mobility specialists, and low vision therapists) in the model needs to be determined. In a recent systematic review of the scientific literature on the effectiveness of low vision services contracted by the Agency for Health Care Quality Research, no clinical trials were found. The literature consists primarily of longitudinal case studies, which provide weak support for third-party funding for vision rehabilitative services. Providers need to reach consensus on medical necessity, treatment plans, and protocols. Research on low vision outcomes is needed to develop an evidence base to guide clinical practice, policy, and funding decisions.

  13. Contribution of ecosystem services to air quality and climate change mitigation policies: the case of urban forests in Barcelona, Spain.

    Science.gov (United States)

    Baró, Francesc; Chaparro, Lydia; Gómez-Baggethun, Erik; Langemeyer, Johannes; Nowak, David J; Terradas, Jaume

    2014-05-01

    Mounting research highlights the contribution of ecosystem services provided by urban forests to quality of life in cities, yet these services are rarely explicitly considered in environmental policy targets. We quantify regulating services provided by urban forests and evaluate their contribution to comply with policy targets of air quality and climate change mitigation in the municipality of Barcelona, Spain. We apply the i-Tree Eco model to quantify in biophysical and monetary terms the ecosystem services "air purification," "global climate regulation," and the ecosystem disservice "air pollution" associated with biogenic emissions. Our results show that the contribution of urban forests regulating services to abate pollution is substantial in absolute terms, yet modest when compared to overall city levels of air pollution and GHG emissions. We conclude that in order to be effective, green infrastructure-based efforts to offset urban pollution at the municipal level have to be coordinated with territorial policies at broader spatial scales.

  14. An Evaluation of the Cybersecurity Policies for the United States Health & Human Services Department: Criteria, Regulations, and Improvements

    Directory of Open Access Journals (Sweden)

    Derek Mohammed

    2014-04-01

    Full Text Available This paper examines the criteria necessary for the evaluation of the cybersecurity policies for the United States Health and Human Services Department of the Federal Government. The overall purpose of cybersecurity policies and procedures is supported through compliance with Federal mandated regulation and standards, which serve to protect the organizational services and goals of the United States Health and Human Services Department, and to promote the best possible security practices in the protection of information systems from unauthorized actors and cyber-threats. The criteria of the cybersecurity evaluation is identified and analyzed for quality, strengths, weaknesses, and future applicability. Topics within the criteria include organizational operation, regulations and industrial standards compliance, service delivery to national customers, and the prevention and mitigation of IT system and security failure. This analysis determines the strengths and weaknesses, and makes recommendations for revising the cybersecurity policies within the United States Health and Human Services Department.

  15. Monetary-Fiscal-Trade Policy and Economic Growth in Pakistan: Time Series Empirical Investigation

    Directory of Open Access Journals (Sweden)

    Syed Tehseen Jawaid

    2011-01-01

    Full Text Available This study empirically examines the effect of monetary, fiscal and trade policy on economic growth in Pakistan using annual time series data from 1981 to 2009. Money supply, government expenditure and trade openness are used as proxies of monetary, fiscal and trade policy respectively. Cointegration and error correction model indicate the existence of positive significant long run and short run relationship of monetary and fiscal policy with economic growth. Result also indicates that monetary policy is more effective than fiscal policy in Pakistan. In contrast, trade policy has insignificant effect on economic growth both in the short run and in the long run. In light of the findings, it is suggested that the policy makers should focus more on monetary policy in order to ensure economic growth in the country. It is also recommended that further research should be conducted to find out such components of exports and imports which lead to the ineffectiveness of trade policy to enhance economic growth in Pakistan.

  16. Market and policy barriers for demand response providing ancillary services in U.S. markets

    Energy Technology Data Exchange (ETDEWEB)

    Cappers, Peter [Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States); MacDonald, Jason [Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States); Goldman, Charles [Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)

    2013-03-01

    This study provides an examination of various market and policy barriers to demand response providing ancillary services in both ISO/RTO and non-ISO/RTO regions, especially at the program provider level. It is useful to classify barriers in order to create a holistic understanding and identify parties that could be responsible for their removal. This study develops a typology of barriers focusing on smaller customers that must rely on a program provider (i.e., electric investor owned utility or IOU, ARC) to create an aggregated DR resource in order to bring ancillary services to the balancing authority. The barriers were identified through examinations of regulatory structures, market environments, and product offerings; and discussions with industry stakeholders and regulators. In order to help illustrate the differences in barriers among various wholesale market designs and their constituent retail environments, four regions were chosen to use as case studies: Colorado, Texas, Wisconsin, and New Jersey.

  17. Legislative and policy frameworks for basic services: A South African comparative study

    Directory of Open Access Journals (Sweden)

    Hlako Choma

    2015-12-01

    Full Text Available It is common course that equitable access to water and sanitation must be accordingly and primarily regarded as criteria for the realization of other several human rights, such as the right to life, dignity, health, food, adequate standard of living and education. Access to safe drinking water and sanitation is essential to the enjoyment of safety and environment that is not hazardous to human health. The lack of water and sanitation does not only hinder access to other available rights, but also magnifies the vulnerability of women, girls and people with disabilities. Water and sanitation services are of outmost important to the health and wellbeing of all people. South Africa is operating under one of the most outstanding legislative and policy frameworks for basic services in the world, including the Constitutional right of access to sufficient water and right to basic sanitation.

  18. Restructuring health services in Canada: challenges for policy makers, planners and managers in the eighties.

    Science.gov (United States)

    Crichton, A

    1985-11-01

    Is downsizing the latest jargon word applied to rationalization, a new concept or a different manifestation of a long term trend in health services management? At present, Canada is struggling to implement feasible reductions of expansionary pressures in the health care system. While provincial governments tend to see the issue as one of controlling chronic excess demand, federal government is still concerned to ensure free access to care on an equitable basis. Thus the problems of downsizing can be expressed by the provinces in terms of an ideological struggle with an unfeeling central government which does not understand their problems; although all know they are really about the feasibility of continuing to provide a service to meet demand. The present economic recession enables provincial governments to appeal to their voters for supporting a new way. Earlier, the appeal was to consumers to become involved in health service organization management and this policy succeeded, to a degree, where there were fluorishing grass roots communities; albeit that the service continued to be driven by professionals. Now the appeal is to taxpayers for their strong support in cost cutting. This has been more successful. Provincial governments are now permitted to 'touch the untouchables', that is to downsize the medical profession and previously sacrosanct health care institutions. They also are exploring the feasibility of introducing a two-tier system which would provide basic care for everyone and extra care for those able to pay, thus side-stepping federal conditions. By reorganizing support in this way, provincial governments have extended the range of policy choices, and two types of planning, the rational and the political, have now become combined into strategic management activity.

  19. Interactive, open source, travel time scenario modelling: tools to facilitate participation in health service access analysis.

    Science.gov (United States)

    Fisher, Rohan; Lassa, Jonatan

    2017-04-18

    Modelling travel time to services has become a common public health tool for planning service provision but the usefulness of these analyses is constrained by the availability of accurate input data and limitations inherent in the assumptions and parameterisation. This is particularly an issue in the developing world where access to basic data is limited and travel is often complex and multi-modal. Improving the accuracy and relevance in this context requires greater accessibility to, and flexibility in, travel time modelling tools to facilitate the incorporation of local knowledge and the rapid exploration of multiple travel scenarios. The aim of this work was to develop simple open source, adaptable, interactive travel time modelling tools to allow greater access to and participation in service access analysis. Described are three interconnected applications designed to reduce some of the barriers to the more wide-spread use of GIS analysis of service access and allow for complex spatial and temporal variations in service availability. These applications are an open source GIS tool-kit and two geo-simulation models. The development of these tools was guided by health service issues from a developing world context but they present a general approach to enabling greater access to and flexibility in health access modelling. The tools demonstrate a method that substantially simplifies the process for conducting travel time assessments and demonstrate a dynamic, interactive approach in an open source GIS format. In addition this paper provides examples from empirical experience where these tools have informed better policy and planning. Travel and health service access is complex and cannot be reduced to a few static modeled outputs. The approaches described in this paper use a unique set of tools to explore this complexity, promote discussion and build understanding with the goal of producing better planning outcomes. The accessible, flexible, interactive and

  20. Service quality in healthcare institutions: establishing the gaps for policy action.

    Science.gov (United States)

    Abuosi, Aaron A; Atinga, Roger A

    2013-01-01

    The authors seek to examine two key issues: to assess patients' hospital service quality perceptions and expectation using SERVQUAL; and to outline the distinct concepts used to assess patient perceptions. Questionnaires were administered to 250 patients on admission and follow-up visits. The 22 paired SERVQUAL expectation and perception items were adopted. Repeated t-measures and factor analysis with Varimax rotation were used to analyse data. Results showed that patient expectations were not being met during medical treatment. Perceived service quality was rated lower than expectations for all variables. The mean difference between perceptions and expectations was statistically significant. Contrary to the SERVQUAL five-factor model, four service-quality factors were identified in the study. Findings have practical implications for hospital managers who should consider stepping up staffing levels backed by client-centred training programmes to help clinicians deliver care to patients' expectations. Limited studies are tailored towards patients' service-quality perception and expectation in Ghanaian hospitals. The findings therefore provide valuable information for policy and practice.

  1. 41 CFR 302-15.70 - What governing policies must we establish for the allowance for property management services?

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false What governing policies must we establish for the allowance for property management services? 302-15.70 Section 302-15.70... TRANSACTION ALLOWANCES 15-ALLOWANCE FOR PROPERTY MANAGEMENT SERVICES Agency Responsibilities § 302-15.70 What...

  2. THE ANALYSIS OF THE CURRENT STATE OF HOUSING AND COMMUNAL SERVICES AND TARIFF POLICY IN THE REPUBLIC OF DAGHESTAN

    Directory of Open Access Journals (Sweden)

    M. M. Shabanova

    2014-01-01

    Full Text Available In article the condition of housing and communal services in the Republic of Daghestan is considered, the main problems, characteristic for the present stage of development of this sphere are revealed, the priority directions of improvement of tariff policy and management of development of housing and communal services are defined. 

  3. The Relationship between Sun Protection Policy and Associated Practices in a National Sample of Early Childhood Services in Australia

    Science.gov (United States)

    Ettridge, Kerry A.; Bowden, Jacqueline A.; Rayner, Joanne M.; Wilson, Carlene J.

    2011-01-01

    Limiting exposure to sunlight during childhood can significantly reduce the risk of skin cancer. This was the first national study to assess the sun protection policies and practices of early childhood services across Australia. It also examined the key predictors of services' sun protection practices. In 2007, 1017 respondents completed a…

  4. 20 CFR 655.430 - Service and computation of time.

    Science.gov (United States)

    2010-04-01

    ... EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Enforcement of H-1A Attestations § 655.430 Service and... authorized where service is by mail. In the interest of expeditious proceedings, the administrative law judge...

  5. A review of the present state and future policy alternatives for home visit nursing services in Korea.

    Science.gov (United States)

    Lim, Ji Young; Noh, Wonjung; Kim, Eunjoo; Choi, Kyung Won

    2014-01-01

    The aim of this study was to describe the current state of home visit nursing services in the Korean context and to suggest future policy directions. First, the three home visit nursing services that have developed in Korea are compared using the analytic framework provided by Gilbert and Terrell in 2012. The framework is based on four dimensions of social welfare: users, services, source of funds, and service delivery process. Second, we perform a strength, weakness, opportunity, and threat analysis to suggest comprehensive and constructive home visit nursing service policies for the future. Specifically, we advocate the creation of an organization that steers the central government to operate an integrated management organization to distribute services and reduce redundancy for preventing the waste of both medical and state financial resources. This study also recommends the development of educational programs to improve the quality of services and service evaluation criteria for the objective assessment of those services. These policy guidelines may prove useful both for Korea and for other countries that intend to prepare or revise their home visit nursing service systems. © 2014 Wiley Periodicals, Inc.

  6. Analysis of an M/G/1 Queue with Multiple Vacations, N-policy, Unreliable Service Station and Repair Facility Failures

    Directory of Open Access Journals (Sweden)

    Wenqing Wu

    2014-05-01

    Full Text Available This paper studies an M/G/1 repairable queueing system with multiple vacations and N-policy, in which the service station is subject to occasional random breakdowns. When the service station breaks down, it is repaired by a repair facility. Moreover, the repair facility may fail during the repair period of the service station. The failed repair facility resumes repair after completion of its replacement. Under these assumptions, applying a simple method, the probability that the service station is broken, the rate of occurrence of breakdowns of the service station, the probability that the repair facility is being replaced and the rate of occurrence of failures of the repair facility along with other performance measures are obtained. Following the construction of the long-run expected cost function per unit time, the direct search method is implemented for determining the optimum threshold N* that minimises the cost function.

  7. Transformative Empowerment in the Lagos State Civil Service: A Gender Policy Discourse

    Directory of Open Access Journals (Sweden)

    Felicia A.D. Oyekanmi

    2016-06-01

    Full Text Available Transformation means positive change to new values and direction. This research is concerned with the relationship between empowerment processes that are transformatory and gender equality in the workplace. Its scope includes integrating a transformatory view into women’s and men’s consciousness and autonomy over their career, education and health. This research adopted a case-study approach by using the Ministries of Education, Health, Establishment, Training and Pensions and the Civil Service Commission in Lagos State, employing a combination of qualitative and quantitative research methods as its empirical research methodology. The field work was carried out in Lagos State in the months of June and July, 2014 while the interview was in July and August, 2014. This study demonstrated that gender-blind policies disempower women and perpetuate gender inequalities in the Lagos State Civil Service. Further, it shows that the manifestation of transformatory empowerment is jeopardised by women and men's compliance with the existing expectations and inaction to bring about changes in policies and practices that are detrimental to the attainment of gender equality in the work place.

  8. Can trained lay providers perform HIV testing services? A review of national HIV testing policies.

    Science.gov (United States)

    Flynn, David E; Johnson, Cheryl; Sands, Anita; Wong, Vincent; Figueroa, Carmen; Baggaley, Rachel

    2017-01-04

    Only an estimated 54% of people living with HIV are aware of their status. Despite progress scaling up HIV testing services (HTS), a testing gap remains. Delivery of HTS by lay providers may help close this testing gap, while also increasing uptake and acceptability of HIV testing among key populations and other priority groups. 50 National HIV testing policies were collated from WHO country intelligence databases, contacts and testing program websites. Data regarding lay provider use for HTS was extracted and collated. Our search had no geographical or language restrictions. This data was then compared with reported data from the Global AIDS Response Progress Reporting (GARPR) from July 2015. Forty-two percent of countries permit lay providers to perform HIV testing and 56% permit lay providers to administer pre-and post-test counseling. Comparative analysis with GARPR found that less than half (46%) of reported data from countries were consistent with their corresponding national HIV testing policy. Given the low uptake of lay provider use globally and their proven use in increasing HIV testing, countries should consider revising policies to support lay provider testing using rapid diagnostic tests.

  9. 5 CFR 842.407 - Proration of annuity for part-time service.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Proration of annuity for part-time... Proration of annuity for part-time service. The annuity of an employee whose service includes part-time... pay for full-time service. This amount is then multiplied by the proration factor. The result is the...

  10. Balancing Exploration, Uncertainty Representation and Computational Time in Many-Objective Reservoir Policy Optimization

    Science.gov (United States)

    Zatarain-Salazar, J.; Reed, P. M.; Quinn, J.; Giuliani, M.; Castelletti, A.

    2016-12-01

    As we confront the challenges of managing river basin systems with a large number of reservoirs and increasingly uncertain tradeoffs impacting their operations (due to, e.g. climate change, changing energy markets, population pressures, ecosystem services, etc.), evolutionary many-objective direct policy search (EMODPS) solution strategies will need to address the computational demands associated with simulating more uncertainties and therefore optimizing over increasingly noisy objective evaluations. Diagnostic assessments of state-of-the-art many-objective evolutionary algorithms (MOEAs) to support EMODPS have highlighted that search time (or number of function evaluations) and auto-adaptive search are key features for successful optimization. Furthermore, auto-adaptive MOEA search operators are themselves sensitive to having a sufficient number of function evaluations to learn successful strategies for exploring complex spaces and for escaping from local optima when stagnation is detected. Fortunately, recent parallel developments allow coordinated runs that enhance auto-adaptive algorithmic learning and can handle scalable and reliable search with limited wall-clock time, but at the expense of the total number of function evaluations. In this study, we analyze this tradeoff between parallel coordination and depth of search using different parallelization schemes of the Multi-Master Borg on a many-objective stochastic control problem. We also consider the tradeoff between better representing uncertainty in the stochastic optimization, and simplifying this representation to shorten the function evaluation time and allow for greater search. Our analysis focuses on the Lower Susquehanna River Basin (LSRB) system where multiple competing objectives for hydropower production, urban water supply, recreation and environmental flows need to be balanced. Our results provide guidance for balancing exploration, uncertainty, and computational demands when using the EMODPS

  11. The impact of health system governance and policy processes on health services in Iraqi Kurdistan.

    Science.gov (United States)

    Tawfik-Shukor, Ali; Khoshnaw, Hiro

    2010-06-08

    Relative to the amount of global attention and media coverage since the first and second Gulf Wars, very little has been published in the health services research literature regarding the state of health services in Iraq, and particularly on the semi-autonomous region of Kurdistan. Building on findings from a field visit, this paper describes the state of health services in Kurdistan, analyzes their underlying governance structures and policy processes, and their overall impact on the quality, accessibility and cost of the health system, while stressing the importance of reinvesting in public health and community-based primary care. Very little validated, research-based data exists relating to the state of population health and health services in Kurdistan. What little evidence exists, points to a region experiencing an epidemiological polarization, with different segments of the population experiencing rapidly-diverging rates of morbidity and mortality related to different etiological patterns of communicable, non-communicable, acute and chronic illness and disease. Simply put, the rural poor suffer from malnutrition and cholera, while the urban middle and upper classes deal with issues of obesity and Type 2 diabetes. The inequity is exacerbated by a poorly governed, fragmented, unregulated, specialized and heavily privatized system, that not only leads to poor quality of care and catastrophic health expenditures, but also threatens the economic and political stability of the region. There is an urgent need to revisit and clearly define the core values and goals of a future health system, and to develop an inclusive governance and policy framework for change, towards a more equitable and effective primary care-based health system, with attention to broader social determinants of health and salutogenesis. This paper not only frames the situation in Kurdistan in terms of a human rights or special political issue of a minority population, but provides important

  12. The impact of health system governance and policy processes on health services in Iraqi Kurdistan

    Directory of Open Access Journals (Sweden)

    Khoshnaw Hiro

    2010-06-01

    Full Text Available Abstract Background Relative to the amount of global attention and media coverage since the first and second Gulf Wars, very little has been published in the health services research literature regarding the state of health services in Iraq, and particularly on the semi-autonomous region of Kurdistan. Building on findings from a field visit, this paper describes the state of health services in Kurdistan, analyzes their underlying governance structures and policy processes, and their overall impact on the quality, accessibility and cost of the health system, while stressing the importance of reinvesting in public health and community-based primary care. Discussion Very little validated, research-based data exists relating to the state of population health and health services in Kurdistan. What little evidence exists, points to a region experiencing an epidemiological polarization, with different segments of the population experiencing rapidly-diverging rates of morbidity and mortality related to different etiological patterns of communicable, non-communicable, acute and chronic illness and disease. Simply put, the rural poor suffer from malnutrition and cholera, while the urban middle and upper classes deal with issues of obesity and Type 2 diabetes. The inequity is exacerbated by a poorly governed, fragmented, unregulated, specialized and heavily privatized system, that not only leads to poor quality of care and catastrophic health expenditures, but also threatens the economic and political stability of the region. There is an urgent need to revisit and clearly define the core values and goals of a future health system, and to develop an inclusive governance and policy framework for change, towards a more equitable and effective primary care-based health system, with attention to broader social determinants of health and salutogenesis. Summary This paper not only frames the situation in Kurdistan in terms of a human rights or special political

  13. Run-time verification of behavioural conformance for conversational web services

    OpenAIRE

    Dranidis, Dimitris; Ramollari, Ervin; Kourtesis, Dimitrios

    2009-01-01

    Web services exposing run-time behaviour that deviates from their behavioural specifications represent a major threat to the sustainability of a service-oriented ecosystem. It is therefore critical to verify the behavioural conformance of services during run-time. This paper discusses a novel approach for run-time verification of Web services. It proposes the utilisation of Stream X-machines for constructing formal behavioural specifications of Web services which can be exploited for verifyin...

  14. Mental health services for black and minority ethnic elders in the United Kingdom: a systematic review of innovative practice with service provision and policy implications.

    Science.gov (United States)

    Bhattacharyya, Sarmishtha; Benbow, Susan Mary

    2013-03-01

    The proportion of older people from black and minority ethnic (BME) groups in the United Kingdom (UK) is increasing steadily as the population ages. The numbers with dementia, depression, and other mental health problems are predicted to increase. Government policy documents have highlighted gaps in services for BME elders and/or the need to develop culturally appropriate services, in order to prevent people from BME communities from becoming socially excluded and finding services hard to access. This paper reviews published examples of innovative services and key learning points from them. A search was carried out on Pubmed, Medline, and Google Scholar for service developments aimed at BME elders in the UK. Sixteen relevant papers and reports were identified and were analysed to identify learning points and implications for clinical practice and policy. Commissioning issues included were forward planning for continuing funding and mainstreaming versus specialist services. Provider management issues included were employing staff from the communities of interest, partnership, and removing language barriers. Provider service issues included were education for service provider staff on the needs of BME elders, making available information in relevant languages, building on carers' and users' experiences, and addressing the needs of both groups. A model for structuring understanding of the underutilisation of services by BME elders is suggested. The main emphasis in future should be to ensure that learning is shared, disseminated, and applied to the benefit of all communities across the whole of the UK and elsewhere. Person-centred care is beneficial to all service users.

  15. Real-time services in IP network architectures

    Science.gov (United States)

    Gilardi, Antonella

    1996-12-01

    The worldwide internet system seems to be the success key for the provision of real time multimedia services to both residential and business users and someone says that in such a way broadband networks will have a reason to exist. This new class of applications that use multiple media (voice, video and data) impose constraints to the global network nowadays consisting of subnets with various data links. The attention will be focused on the interconnection of IP non ATM and ATM networks. IETF and ATM forum are currently involved in the developing specifications suited to adapt the connectionless IP protocol to the connection oriented ATM protocol. First of all the link between the ATM and the IP service model has to be set in order to match the QoS and traffic requirements defined in the relative environment. A further significant topic is represented by the mapping of IP resource reservation model onto the ATM signalling and in the end it is necessary to define how the routing works when there are QoS parameters associated. This paper, considering only unicast applications, will examine the above issues taking as a starting point the situation where an host launches as call set up request with the relevant QoS and traffic descriptor and at some point a router at the edge of the ATM network has to decide how forwarding and request in order to establish an end to end link with the right capabilities. The aim is to compare the proposals emerging from different standard bodies to point out convergency or incompatibility.

  16. Waiting-time approximations in multi-queue systems with cyclic service

    NARCIS (Netherlands)

    Boxma, O.J.; Meister, B.W.

    1987-01-01

    This study is devoted to mean waiting-time approximations in a single-server multi-queue model with cyclic service and zero switching times of the server between consecutive queues. Two different service disciplines are considered: exhaustive service and (ordinary cyclic) nonexhaustive service. For

  17. An unreliable group arrival queue with k stages of service, retrial under variant vacation policy

    Science.gov (United States)

    Radha, J.; Indhira, K.; Chandrasekaran, V. M.

    2017-11-01

    In this research work we considered repairable retrial queue with group arrival and the server utilize the variant vacations. A server gives service in k stages. Any arriving group of units finds the server free, one from the group entering the first stage of service and the rest are joining into the orbit. After completion of the i th stage of service, the customer may have the option to choose (i+1)th stage of service with probability θi , with probability pi may join into orbit as feedback customer or may leave the system with probability {q}i=≤ft\\{\\begin{array}{l}1-{p}i-{θ }i,i=1,2,\\cdots k-1\\ 1-{p}i,i=k\\end{array}\\right\\}. If the orbit is empty at the service completion of each stage service, the server takes modified vacation until at least one customer appears in the orbit on the server returns from a vacation. Busy server may get to breakdown and the service channel will fail for a short interval of time. By using the supplementary variable method, steady state probability generating function for system size, some system performance measures are discussed.

  18. An accurate approximate solution of optimal sequential age replacement policy for a finite-time horizon

    International Nuclear Information System (INIS)

    Jiang, R.

    2009-01-01

    It is difficult to find the optimal solution of the sequential age replacement policy for a finite-time horizon. This paper presents an accurate approximation to find an approximate optimal solution of the sequential replacement policy. The proposed approximation is computationally simple and suitable for any failure distribution. Their accuracy is illustrated by two examples. Based on the approximate solution, an approximate estimate for the total cost is derived.

  19. A Load Time Policy Checker for Open Multi-Application Smart Cards

    DEFF Research Database (Denmark)

    Dragoni, Nicola; Lostal, Eduardo; Gadyatskaya, Olga

    2011-01-01

    , traditional approaches for information flow analysis are not suitable. We suggest the Security-by-Contract approach for loading time application certification on the card, that will enable the stakeholders with the means to ensure the compliance of every update of the card with their security policy. We...... describe an extension of the card security architecture to deal with verification for different types of updates and present a Java Card prototype implementation of the Policy Checker with performance measurements....

  20. The take-up importance of ICT enabled services in crisis time, an evaluation of e-banking, internet conferencing and e-public services

    Directory of Open Access Journals (Sweden)

    Patriche, D.

    2010-12-01

    Full Text Available The world is facing a global financial and economic crisis, the deepest and the widest spread since the Great Depression of 1930. Individuals, companies and governments alike are forced to take active measures to counteract the severe consequences of the crisis, if they want to emerge stronger from this difficult period. There are strong beliefs among policy makers around the world, European Union included, that the Information and Communication Technologies are a very important pillar in the recovery from the crisis. This paper aims at evaluating the e-banking services, internet enabled conferencing solutions and electronic public services as categories of ICT enabled services that represent powerful and practical solutions, especially in time of crisis, with significant advantages at individual, company and government level.

  1. Supporting the Academic Majority: Policies and Practices Related to Part-Time Faculty's Job Satisfaction

    Science.gov (United States)

    Eagan, M. Kevin, Jr.; Jaeger, Audrey J.; Grantham, Ashley

    2015-01-01

    The academic workforce in higher education has shifted in the last several decades from consisting of mostly full-time, tenure-track faculty to one comprised predominantly of contingent, non-tenure-track faculty. This substantial shift toward part-time academic labor has not corresponded with institutions implementing more supportive policies and…

  2. The GMOS cyber(e)-infrastructure: advanced services for supporting science and policy.

    Science.gov (United States)

    Cinnirella, S; D'Amore, F; Bencardino, M; Sprovieri, F; Pirrone, N

    2014-03-01

    The need for coordinated, systematized and catalogued databases on mercury in the environment is of paramount importance as improved information can help the assessment of the effectiveness of measures established to phase out and ban mercury. Long-term monitoring sites have been established in a number of regions and countries for the measurement of mercury in ambient air and wet deposition. Long term measurements of mercury concentration in biota also produced a huge amount of information, but such initiatives are far from being within a global, systematic and interoperable approach. To address these weaknesses the on-going Global Mercury Observation System (GMOS) project ( www.gmos.eu ) established a coordinated global observation system for mercury as well it retrieved historical data ( www.gmos.eu/sdi ). To manage such large amount of information a technological infrastructure was planned. This high-performance back-end resource associated with sophisticated client applications enables data storage, computing services, telecommunications networks and all services necessary to support the activity. This paper reports the architecture definition of the GMOS Cyber(e)-Infrastructure and the services developed to support science and policy, including the United Nation Environmental Program. It finally describes new possibilities in data analysis and data management through client applications.

  3. Patron Time-Use May Be an Effective Metric for Presenting Library Value to Policy Makers

    Directory of Open Access Journals (Sweden)

    Ann Glusker

    2016-04-01

    audio materials was quite wide, and for all item types, a few heavy users skewed the averages. Hours of secondary use (when people other than the original borrower read, listened to, or watched, the materials were calculated, and represented 13% of the total hours. The average amount of time spent per visit was 42 minutes. Applying these averages to one month of circulation figures and gate counts, respectively, the result was that patrons spent 182,000 hours using library services in one month. Applying dollar amounts of benefit per hours spent, based on the Missoula study, the result was that patrons had received $842,000 of benefit from their use of the library in that month. Conclusions – This study confirmed that the prototype performance measure of hours of patron use, and refinements in obtaining it, was a useful tool with which to present the case for the value of libraries to policy makers. The study estimates that 90% of library use occurs off-site, and that a surprising proportion of that use is by secondary users. Future studies could refine the collection methodologies even more by collecting demographic information, by mapping user activities during branch visits, and by obtaining better information about secondary users of materials. Future research should also take into account: seasonal effects on borrowing, reading level of borrowers, and possibilities for collecting information in online formats. With these developments, it might be possible to assign “enjoyment levels” to items in library catalogs.

  4. Timing and utilization of antenatal care services in Liberia: Understanding the pre-Ebola epidemic context.

    Science.gov (United States)

    Luginaah, Isaac N; Kangmennaang, Joseph; Fallah, Mosoka; Dahn, Bernice; Kateh, Francis; Nyenswah, Tolbert

    2016-07-01

    In Liberia, 75% of those who died from 2014 Ebola epidemic were women and the effects of this gruelling epidemic were more severely felt by pregnant women. This immediately raised fears about the long-term impacts of the epidemic on maternal and child health. As part of a larger study, this paper uses Andersen's behavioural model of health care utilization and Goffman's stigma theory to explain the timing and utilization of maternal health services before the outbreak of the Ebola epidemic as a background to the potential long-term effects on maternal health. We conducted survival and multiple regression analysis using the 2007 (N = 3524) and 2013 (N = 5127) Liberia's Demographic and Health Survey (LDHS) data. Our sample consisted of women of reproductive age (15-49 years) that had given birth in the last five years preceding the survey year. The findings show that from 2007 to 2013, there was an overall improvement in the timing of first antenatal care (ANC) visits (TR = 0.92, p delivery with skilled birth attendants. The results also show county and regional disparities in the utilization of ANC services with South Eastern A region emerging as a relatively vulnerable place. Also, access to ANC services defined by distance to a health facility strongly predicted utilization. We argue that the Ebola epidemic likely eroded many of the previous gains in maternal health care, and may have left a lingering negative effect on the access and utilization of maternal health services in the long-term. The study makes relevant policy recommendations. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. A survey of georgia adult protective service staff: implications for older adult injury prevention and policy.

    Science.gov (United States)

    Strasser, Sheryl M; Kerr, Judith; King, Patricia S; Payne, Brian; Beddington, Sarah; Pendrick, Danielle; Leyda, Elizabeth; McCarty, Frances

    2011-07-01

    The aging population is a rapidly growing demographic. Isolation and limited autonomy render many of the elderly vulnerable to abuse, neglect and exploitation. As the population grows, so does the need for Adult Protective Services (APS). This study was conducted to examine current knowledge of older adult protection laws in Georgia among APS staff and to identify training opportunities to better prepare the APS workforce in case detection and intervention. The Georgia State University Institute of Public Health faculty developed a primary survey in partnership with the Georgia Division of Aging Services' leadership to identify key training priority issues for APS caseworkers and investigators. A 47-item electronic questionnaire was delivered to all APS employees via work-issued email accounts. We conducted descriptive analyses, t-tests and chi-square analyses to determine APS employees' baseline knowledge of Georgia's elder abuse policies, laws and practices, as well as examine associations of age, ethnicity, and educational attainment with knowledge. We used a p-value of 0.05 and 95% confidence intervals to determine statistical significance of analyses performed. Ninety-two out of 175 APS staff responded to the survey (53% response rate). The majority of respondents were Caucasian (56%) women (92%). For over half the survey items, paired sample t-tests revealed significant differences between what APS staff reported as known and what APS staff members indicated they needed to know more about in terms of elder abuse and current policies. Chi-square tests revealed that non-Caucasians significantly preferred video conferencing as a training format (44% compared to 18%), [χ(2)(1) = 7.102, p < .008], whereas Caucasians preferred asynchronous online learning formats (55% compared to 28%) [χ(2)(1) =5.951, p < .015]. Results from this study provide the Georgia Division of Aging with insight into specific policy areas that are not well understood by APS staff

  6. The impact of scheduling on service reliability : Trip-time determination and holding points in long-headway services

    NARCIS (Netherlands)

    Van Oort, N.; Boterman, J.W.; Van Nes, R.

    2012-01-01

    This paper presents research on optimizing service reliability of longheadway services in urban public transport. Setting the driving time, and thus the departure time at stops, is an important decision when optimizing reliability in urban public transport. The choice of the percentile out of

  7. An Adaptive Time-Spread Multiple-Access Policy for Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Konstantinos Oikonomou

    2007-05-01

    Full Text Available Sensor networks require a simple and efficient medium access control policy achieving high system throughput with no or limited control overhead in order to increase the network lifetime by minimizing the energy consumed during transmission attempts. Time-spread multiple-access (TSMA policies that have been proposed for ad hoc network environments, can also be employed in sensor networks, since no control overhead is introduced. However, they do not take advantage of any cross-layer information in order to exploit the idiosyncrasies of the particular sensor network environment such as the presence of typically static nodes and a common destination for the forwarded data. An adaptive probabilistic TSMA-based policy, that is proposed and analyzed in this paper, exploits these idiosyncrasies and achieves higher system throughput than the existing TSMA-based policies without any need for extra control overhead. As it is analytically shown in this paper, the proposed policy always outperforms the existing TSMA-based policies, if certain parameter values are properly set; the analysis also provides for these proper values. It is also shown that the proposed policy is characterized by a certain convergence period and that high system throughput is achieved for long convergence periods. The claims and expectations of the provided analysis are supported by simulation results presented in this paper.

  8. A qualitative study of junior high school principals' and school food service directors' experiences with the Texas school nutrition policy.

    Science.gov (United States)

    Roberts, Stephen M; Pobocik, Rebecca S; Deek, Rima; Besgrove, Ashley; Prostine, Becky A

    2009-01-01

    The objective of this study was to learn about the experiences of principals and school food service directors with the Texas Public School Nutrition Policy. Semistructured qualitative interviews were conducted to gain first hand reactions to the new nutrition policy. Data were gathered from Texas middle schools. Principals and food service directors from 24 schools randomly selected from 10 Texas Education regions were interviewed. Participants were interviewed about their reactions to the implementation of the Texas School Nutrition Policy. Two researchers, using thematic analysis, independently analyzed each interview. Differences in coding were reconciled and themes were generated. The themes that surfaced included resistance to the policy, policy development process, communication, government role, parental role, food rewards, fund raising, and leadership. Resistance to the policy was not extreme. In the future a wider array of school personnel who are affected by school food regulations should be included in the development of new policies. It is critical to communicate with all concerned parties about the policy.

  9. Timing and Commitment of Environmental Policy, Adoption of New Technology, and Repercussions on R and D

    International Nuclear Information System (INIS)

    Requate, T.

    2005-01-01

    We investigate the interplay between environmental policy, incentives to adopt new technology, and repercussions on R and D. We study a model where a monopolistic upstream firm engages in R and D and sells advanced abatement technology to polluting downstream firms. We consider four different timing and commitment regimes of environmental tax and permit policies: ex post taxation (or issuing permits), interim commitment to a tax rate (a quota of permits) after observing R and D success but before adoption, and finally two types of ex antecommitment before R and D activity, one with a unique tax rate (quota of permits), the other one with a menu of tax rates (permit quotas). We study the second best tax and permit policies and rank these with respect to welfare. In particular, we find that commitment to a menu of tax rate dominates all other policy regimes

  10. Airline Service Quality Performance 234 (On-Time performance data).

    Science.gov (United States)

    2011-04-01

    This CD presents data reported by U.S. certificated air carriers so that information on the air carriers' quality of service can be made available to consumers of air transportation. Carriers within 1% or more of the total domestic scheduled service ...

  11. Airline Service Quality Performance 234 (On-Time performance data).

    Science.gov (United States)

    2011-07-01

    This CD presents data reported by U.S. certificated air carriers so that information on the air carriers' quality of service can be made available to consumers of air transportation. Carriers within 1% or more of the total domestic scheduled service ...

  12. Removing financial barriers to access reproductive, maternal and newborn health services: the challenges and policy implications for human resources for health.

    Science.gov (United States)

    McPake, Barbara; Witter, Sophie; Ensor, Tim; Fustukian, Suzanne; Newlands, David; Martineau, Tim; Chirwa, Yotamu

    2013-09-22

    The last decade has seen widespread retreat from user fees with the intention to reduce financial constraints to users in accessing health care and in particular improving access to reproductive, maternal and newborn health services. This has had important benefits in reducing financial barriers to access in a number of settings. If the policies work as intended, service utilization rates increase. However this increases workloads for health staff and at the same time, the loss of user fee revenues can imply that health workers lose bonuses or allowances, or that it becomes more difficult to ensure uninterrupted supplies of health care inputs.This research aimed to assess how policies reducing demand-side barriers to access to health care have affected service delivery with a particular focus on human resources for health. We undertook case studies in five countries (Ghana, Nepal, Sierra Leone, Zambia and Zimbabwe). In each we reviewed financing and HRH policies, considered the impact financing policy change had made on health service utilization rates, analysed the distribution of health staff and their actual and potential workloads, and compared remuneration terms in the public sectors. We question a number of common assumptions about the financing and human resource inter-relationships. The impact of fee removal on utilization levels is mostly not sustained or supported by all the evidence. Shortages of human resources for health at the national level are not universal; maldistribution within countries is the greater problem. Low salaries are not universal; most of the countries pay health workers well by national benchmarks. The interconnectedness between user fee policy and HRH situations proves difficult to assess. Many policies have been changing over the relevant period, some clearly and others possibly in response to problems identified associated with financing policy change. Other relevant variables have also changed.However, as is now well

  13. Evidence for Policy Making: Health Services Access and Regional Disparities in Kerman

    Directory of Open Access Journals (Sweden)

    Mina Anjomshoa

    2013-12-01

    Full Text Available Background and purpose: Health indices, regarding to their role in the development of society, are one of the most important indices at national level. Success of national development programs is largely dependent on the establishment of appropriate goals at the health sector, among which access to healthcare facilities is an essential requirement. The aim of this study was to examine the disparities in health services access across the Kerman province. Materials and Methods: This was a cross-sectional study. Study sample included the cities of Kerman province, ranked based on 15 health indices. Data was collected from statistical yearbook. The indices were weighted using Shannon entropy, then using the TOPSIS technique and the result were classified into three categories in terms of the level of development across towns. Results: The findings showed distinct regional disparities in health services across Kerman province and the significant difference was observed between the cities in terms of development. Shannon entropy introduced the number of pharmacologist per 10 thousand people as the most important indicator and the number of rural active health center per 1000 people as the less important indicator. According to TOPSIS, Kerman town (0.719 and Fahraj (0.1151 ranked the first and last in terms of access to health services respectively. Conclusion: There are significant differences between cities of Kerman province in terms of access to health care facilities and services. Therefore, it is recommended that officials and policy-makers determine resource allocation priorities according to the degree of development for a balanced and equitable distribution of health care facilities.

  14. The Service-Time Restricted Capacitated Arc Routing Problem

    DEFF Research Database (Denmark)

    Lystlund, Lise; Wøhlk, Sanne

    We consider an inventory system, operated by a base stock policy and serving two customer classes. One customer class, Class 1, does not provide any advance demand information at all, while the other, Class 2, does. In order to reward a customer of Class 2 for providing advance order information......, it may be sensible to make reservations for the order in the inventory system, thereby preventing later arriving orders from getting access to the inventory before this particular order. We propose various reservation policies and study their impact on the performance of the inventory system....

  15. Association between time of pay-for-performance for patients and community health services use by chronic patients.

    Directory of Open Access Journals (Sweden)

    Xi Sun

    Full Text Available BACKGROUND: Pay-for-performance for patients is a cost-effective means of improving health behaviours. This study examined the association between the pay time for performance for patients and CHS use by chronic patients. METHODS: A cross-sectional study was undertaken to estimate distribution characteristics of CHS use in 2011 and collect data of socio-demographic characteristics (sex, age, education level, occupation, disposable personal income in 2011, distance between home and community health agency, chronic disease number, and time of pay-for-performance for patients. Participants were 889 rural adults with hypertension or type II diabetes aged 35 and above. Standardized CHS use means chronic patients use CHS at least once per quarter. RESULTS: Patients who received incentives prior to services had 2.724 times greater odds of using standardized CHS than those who received incentives after services (95%CI, 1.986-3.736, P<0.001. For all subgroups (socio-demographic characteristics and chronic disease number, patients who received incentives prior to services were more likely to use standardized CHS than those receiving incentives after services. CONCLUSIONS: Pay time for performance for patients was associated with CHS use by chronic patients. Patients receiving incentive prior to services were more likely to use standardized CHS. And pay time should not be ignored when the policy on pay-for-performance for patients is designed.

  16. How the Timing of Climate Change Policy Affects Infrastructure Turnover in the Electricity Sector: Engineering, Economic and Policy Considerations

    Science.gov (United States)

    Izard, Catherine Finlay

    The electricity sector is responsible for producing 35% of US greenhouse gas (GHG) emissions. Estimates suggest that ideally, the electricity sector would be responsible for approximately 85% of emissions abatement associated with climate polices such as America's Clean Energy and Security Act (ACES). This is equivalent to ˜50% cumulative emissions reductions below projected cumulative business-as-usual (BAU) emissions. Achieving these levels of emissions reductions will require dramatic changes in the US electricity generating infrastructure: almost all of the fossil-generation fleet will need to be replaced with low-carbon sources and society is likely to have to maintain a high build rate of new capacity for decades. Unfortunately, the inertia in the electricity sector means that there may be physical constraints to the rate at which new electricity generating capacity can be built. Because the build rate of new electricity generating capacity may be limited, the timing of regulation is critical---the longer the U.S. waits to start reducing GHG emissions, the faster the turnover in the electricity sector must occur in order to meet the same target. There is a real, and thus far unexplored, possibility that the U.S. could delay climate change policy implementation for long enough that it becomes infeasible to attain the necessary rate of turnover in the electricity sector. This dissertation investigates the relationship between climate policy timing and infrastructure turnover in the electricity sector. The goal of the dissertation is to answer the question: How long can we wait before constraints on infrastructure turnover in the electricity sector make achieving our climate goals impossible? Using the Infrastructure Flow Assessment Model, which was developed in this work, this dissertation shows that delaying climate change policy increases average retirements rates by 200-400%, increases average construction rates by 25-85% and increases maximum construction

  17. Spreading the rooftop revolution: What policies enable solar-as-a-service?

    International Nuclear Information System (INIS)

    Overholm, Harald

    2015-01-01

    Firms using third-party-ownership (TPO) business models transform solar rooftop installations into a simple service. TPO firms sign long-term agreements with building owners or users to install, finance and manage locally sited solar panels. Customers simply buy solar electricity. The business model can increase total PV market demand by removing central barriers to PV adoption including technology risk, financing needs, and learning costs. TPO is now the dominant US model for residential solar and attempts to use the business model are underway in Europe and Asia. This study discusses how policy makers can enable emergence of solar TPO business models in new markets, a theme novel to extant literature. The paper is based on a comprehensive study of the US solar TPO ecosystem including 50 interviews with key market actors. A downside to the TPO model is potential lock-out of innovative solar technology. Crucial policy actions to enable TPO emergence in new markets are to ensure the legality of the TPO model and to facilitate solar self-consumption (the ability of customers to offset grid electricity costs by using locally generated solar electricity). -- Highlights: •Solar third-party ownership (TPO) firms can boost solar rooftop growth. •5 in-depth cases of US TPO firms and their ecosystem of partners are analyzed. •Policy options to enable solar TPO emergence in new markets are suggested. •Avoiding prohibitive rules and facilitating solar self-consumption are key measures. •Lock-out of new and innovative solar technology is a downside to the TPO model

  18. Relationship between tobacco control policies and the delivery of smoking cessation services in nonprofit HMOs.

    Science.gov (United States)

    Stevens, Victor J; Solberg, Leif I; Quinn, Virginia P; Rigotti, Nancy A; Hollis, Jack A; Smith, K Sabina; Zapka, Jane G; France, Eric; Vogt, Thomas; Gordon, Nancy; Fishman, Paul; Boyle, Raymond G

    2005-01-01

    This project examined tobacco policies and delivery of cessation services in nonprofit HMOs that collectively provide comprehensive medical care to more than 8 million members. Three annual surveys with health plan managers showed that all of these health plans had written tobacco control guidelines that became more comprehensive over the span of this study. We also surveyed a random sample of 4207 current smokers who had attended a primary care visit in the past year (399-528 at each of nine health plans). Of these smokers, 71% reported advice to quit, 56% were asked about their willingness to quit, 49% were provided some assistance in quitting (mostly self-help material or information about classes or counseling), and 9% were offered some kind of follow-up. Smokers receiving assistance in quitting reported higher satisfaction with their care. In general, health plans with the most comprehensive policies also showed higher rates of implementing tobacco treatment programs in primary care. Compared with tobacco control efforts of a decade or more ago, considerable progress has been made. However, there is still room for improvement in the proportion of smokers who receive the most effective forms of assistance in quitting.

  19. Researchers must be aware of their roles at the interface of ecosystem services science and policy.

    Science.gov (United States)

    Crouzat, Emilie; Arpin, Isabelle; Brunet, Lucas; Colloff, Matthew J; Turkelboom, Francis; Lavorel, Sandra

    2018-02-01

    Scientists working on ecosystem service (ES) science are engaged in a mission-driven discipline. They can contribute to science-policy interfaces where knowledge is co-produced and used. How scientists engage with the governance arena to mobilise their knowledge remains a matter of personal choice, influenced by individual values. ES science cannot be considered neutral and a discussion of the values that shape it forms an important part of the sustainability dialogue. We propose a simple decision tree to help ES scientists identify their role and the purpose of the knowledge they produce. We characterise six idealised scientific postures spanning possible roles at the science-policy interface (pure scientist, science arbiter-guarantor, issue advocate-guardian, officer, honest broker and stealth issue advocate) and illustrate them with feedbacks from interviews. We encourage ES scientists to conduct a reflexive exploration of their attitudes regarding knowledge production and use, with the intention of progressing toward a higher recognition of the political and ethical importance of ES assessments.

  20. Continuous Health Education policy in Brazil: the contribution of the Teaching-Service Integration Standing Committees.

    Science.gov (United States)

    França, Tânia; Medeiros, Katia Rejane de; Belisario, Soraia Almeida; Garcia, Ana Cláudia; Pinto, Isabela Cardoso de Matos; Castro, Janete Lima de; Pierantoni, Célia Regina

    2017-06-01

    The article analyzes the role of Permanent Committees of Teaching-Service Integration (CIES) in the implementation of Permanent Education in Health Policy (EPS). It is a multicenter study with a qualitative-quantitative approach which used a self-applied online questionnaire and a semi-structured interview for data collection. The key respondants were the responsible for EPS Policy of the 27 State Health Secretariats (SES) and 7 coordinators of CIESs of the five regions of Brazil. The findings showed the existence of a specific EPS sector in most SES; high level of schooling, experience and stable employment status of the managers. Regarding CIESs, it was verified: existence in most of the states; creative process diversity; plural composition; regularity of meetings; good relationship with training institutions; difficulties in the use and management of resources destined for EPS. The study indicated progress, showing the importance of these instances as spaces of negotiation, agreement and development of EPS. However, challenges still need to be overcome in order to consolidate projects in the SES, strengthening the PNEPS.

  1. Single Mothers' Experiences with Pregnancy and Child Rearing in Korea: Discrepancy between Social Services/Policies and Single Mothers' Needs.

    Science.gov (United States)

    Kim, Jung-Eun; Lee, Jin Yong; Lee, Sang Hyung

    2018-05-10

    This study aims to explore single mothers’ experiences with social services/policies for their independent living and to identify gaps between these experiences and the needs of single mothers. A focus group discussion was performed to collect data. Seven single mothers discussed their experiences in significant periods of their lives: pregnancy, childbirth, and parenting. Findings from the qualitative thematic analysis show discrepancies between the direction of social services/policies and single mothers’ needs, in terms of difficulties in healthcare, childcare, housing, employment, and income security. To the single mothers in this study, the social safety net is not inclusive, compared to that which is available to two-parent families or adoptive families. It is necessary to intervene in current blind spots of services/policies for single mothers, and to provide a social safety net to strengthen single mothers’ self-reliance and their children’s social security in the long term.

  2. Service level status-a new real-time status display for IT services

    Energy Technology Data Exchange (ETDEWEB)

    Lopienski, S [IT Department, FIO group CERN, European Organization for Nuclear Research, 1211 Geneve 23 (Switzerland)], E-mail: Sebastian.Lopienski@cern.ch

    2008-07-15

    Nowadays, IT departments provide, and people use, computing services of an increasingly heterogeneous nature. There is thus a growing need for a status display that groups these different services and reports their status and availability in a uniform way. The Service Level Status (SLS) system addresses these needs by providing a web-based display that dynamically shows availability, basic information and statistics about various IT services, as well as the dependencies between them. This paper first introduces the requirements SLS had to meet, and the main concepts behind it, like service availability and status, Key Performance Indicators (KPIs), sub/meta-services, and service dependencies. It then describes the SLS system architecture, and some interesting implementation details, such as the usage of XML Schemas. Since clear visualization of service availability and status is one of the main goals of SLS, emphasis is put on describing the intuitive web-based user interface.

  3. Service level status-a new real-time status display for IT services

    International Nuclear Information System (INIS)

    Lopienski, S

    2008-01-01

    Nowadays, IT departments provide, and people use, computing services of an increasingly heterogeneous nature. There is thus a growing need for a status display that groups these different services and reports their status and availability in a uniform way. The Service Level Status (SLS) system addresses these needs by providing a web-based display that dynamically shows availability, basic information and statistics about various IT services, as well as the dependencies between them. This paper first introduces the requirements SLS had to meet, and the main concepts behind it, like service availability and status, Key Performance Indicators (KPIs), sub/meta-services, and service dependencies. It then describes the SLS system architecture, and some interesting implementation details, such as the usage of XML Schemas. Since clear visualization of service availability and status is one of the main goals of SLS, emphasis is put on describing the intuitive web-based user interface

  4. Evaluating environmental policy integration and policy coherence across service sectors: The case of South Africa’s inland water biodiversity

    CSIR Research Space (South Africa)

    Funke, Nicola S

    2009-01-01

    Full Text Available the inclusion of the systematic conservation of inland water ecosystems in the strategic planning processes of several sectors impacting on South Africa’s inland water biodiversity. The authors use environmental policy integration (EPI) research approach...

  5. Market policy as an innovative element of marketing in the Romanian healthcare services – an approach focused on the patient

    Science.gov (United States)

    Coculescu, BI; Coculescu, EC; Radu, A; Petrescu, L; Purcărea, VL

    2015-01-01

    The orientation towards one of the marketing policies with a major impact in organizations providing healthcare services, requires a careful analysis of the needs and aspirations of customers, targeting those patients whose needs the service organization can achieve through the existing resources at the respective health facility, finding the most effective way of achieving benefits associated with reduced costs to maximizing profits, placing the offers for medical services required by the patients on the market, as well as promptly reacting and acting to the changes of health services market which is constantly evolving through a flexible organizing and functioning structure, connected to the financial needs of the patients. PMID:26664466

  6. Market policy as an innovative element of marketing in the Romanian healthcare services - an approach focused on the patient.

    Science.gov (United States)

    Coculescu, B I; Coculescu, E C; Radu, A; Petrescu, L; Purcărea, V L

    2015-01-01

    The orientation towards one of the marketing policies with a major impact in organizations providing healthcare services, requires a careful analysis of the needs and aspirations of customers, targeting those patients whose needs the service organization can achieve through the existing resources at the respective health facility, finding the most effective way of achieving benefits associated with reduced costs to maximizing profits, placing the offers for medical services required by the patients on the market, as well as promptly reacting and acting to the changes of health services market which is constantly evolving through a flexible organizing and functioning structure, connected to the financial needs of the patients.

  7. Solar-based rural electrification policy design: The Renewable Energy Service Company (RESCO) model in Fiji

    Energy Technology Data Exchange (ETDEWEB)

    Dornan, M. [Resource Management in Asia-Pacific Program, The Crawford School of Economics and Government, The Australian National University, Acton ACT 2601 (Australia)

    2011-02-15

    Solar photovoltaic technologies have for some time been promoted as a cost effective means of rural electrification in developing countries. However, institutional structures resulting in poor maintenance have adversely affected the sustainability of past solar projects. In Fiji, the Renewable Energy Service Company (RESCO) program is the latest attempt to promote solar-based rural electrification in a fee-for-service model, aiming to remove the high upfront capital costs associated with solar technologies and using a public-private sector partnership for maintenance. This paper assesses the program using survey and interview data. Major flaws are identified, relating to incorrect treatment of principal-agent problems, information asymmetries, motivational problems, and resourcing of government agencies. General lessons for fee-for-service solar home system models emerge, including that incentives for stakeholders must take centre stage in designing and administering such programs, and that active government support and ownership are required to make programs sustainable. (author)

  8. Timely Health Service Utilization of Older Foster Youth by Insurance Type.

    Science.gov (United States)

    Day, Angelique; Curtis, Amy; Paul, Rajib; Allotey, Prince Addo; Crosby, Shantel

    2016-01-01

    To evaluate the impact of a policy change for older foster care youth from a fee-for-service (FFS) Medicaid program to health maintenance organization (HMO) providers on the timeliness of first well-child visits (health care physicals). A three-year retrospective study using linked administrative data collected by the Michigan Departments of Human Services and Community Health of 1,657 youth, ages 10-20 years, who were in foster care during the 2009-2012 study period was used to examine the odds of receiving a timely well-child visit within the recommended 30-day time frame controlling for race, age, days from foster care entry to Medicaid enrollment, and number of foster care placements. Youth entering foster care during the HMO period were more likely to receive a timely well-child visit than those in the FFS period (odds ratio, 2.46; 95% confidence interval, 1.84-3.29; p foster care during the FFS period to 29 days for the HMO period. Among the other factors examined, more than 14 days to Medicaid enrollment, being non-Hispanic black and having five or more placements were negatively associated with receipt of a timely first well-child visit. Those youth who entered foster care during the HMO period had significantly greater odds of receiving a timely first well-child visit; however, disparities in access to preventive health care remain a concern for minority foster care youth, those who experience delayed Medicaid enrollment and those who experienced multiple placements. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  9. A policy-driven large scale ecological restoration: quantifying ecosystem services changes in the Loess Plateau of China.

    Science.gov (United States)

    Lü, Yihe; Fu, Bojie; Feng, Xiaoming; Zeng, Yuan; Liu, Yu; Chang, Ruiying; Sun, Ge; Wu, Bingfang

    2012-01-01

    As one of the key tools for regulating human-ecosystem relations, environmental conservation policies can promote ecological rehabilitation across a variety of spatiotemporal scales. However, quantifying the ecological effects of such policies at the regional level is difficult. A case study was conducted at the regional level in the ecologically vulnerable region of the Loess Plateau, China, through the use of several methods including the Universal Soil Loss Equation (USLE), hydrological modeling and multivariate analysis. An assessment of the changes over the period of 2000-2008 in four key ecosystem services was undertaken to determine the effects of the Chinese government's ecological rehabilitation initiatives implemented in 1999. These ecosystem services included water regulation, soil conservation, carbon sequestration and grain production. Significant conversions of farmland to woodland and grassland were found to have resulted in enhanced soil conservation and carbon sequestration, but decreased regional water yield under a warming and drying climate trend. The total grain production increased in spite of a significant decline in farmland acreage. These trends have been attributed to the strong socioeconomic incentives embedded in the ecological rehabilitation policy. Although some positive policy results have been achieved over the last decade, large uncertainty remains regarding long-term policy effects on the sustainability of ecological rehabilitation performance and ecosystem service enhancement. To reduce such uncertainty, this study calls for an adaptive management approach to regional ecological rehabilitation policy to be adopted, with a focus on the dynamic interactions between people and their environments in a changing world.

  10. Healthcare service providers' and facility administrators' perspectives of the free maternal healthcare services policy in Malindi District, Kenya: a qualitative study.

    Science.gov (United States)

    Lang'at, Evaline; Mwanri, Lillian

    2015-06-27

    Globally, there are increasing efforts to improve maternal health outcomes including the reduction in maternal mortality rates. Improved access to skilled care utilisation during pregnancy and delivery has been one of the strategies employed to improve maternal health outcomes. In Kenya, more than half of the women deliver without the assistance of a skilled attendant and this has contributed to high maternal mortality rates. The free maternal healthcare services policy in all public facilities was initiated as a strategy to improve access to skilled care and reduce poor maternal health outcomes. This study aimed to explore the perspectives of the service providers and facility administrators of the free maternal health care service policy that was introduced in Kenya in 2013. A qualitative inquiry using semi-structured one-on-one interviews was conducted in Malindi District, Kenya. The participants included maternal health service providers and facility administrators recruited from five different healthcare facilities. Data were analysed using a thematic framework analysis. Free maternal healthcare service provision was perceived to boost skilled care utilisation during pregnancy and delivery. However, challenges including; delays in the reimbursement of funds by the government to the facilities, stock outs of essential commodities in the facilities to facilitate service provision, increased workload amidst staff shortage and lack of consultation and sensitisation of key stakeholders were perceived as barriers to effective implementation of this policy. Free maternal healthcare services can be one of the strategies to improve a range of maternal health outcomes. However, the implementation of this policy would be more effective if; the healthcare facilities were upgraded, equipped with adequate supplies, funds and staff; the community are continually sensitized on the importance of seeking skilled care during pregnancy and delivery; and inclusivity and

  11. Evaluating indirect and direct effects of eco-restoration policy on soil conservation service in Yangtze River Basin.

    Science.gov (United States)

    Kong, Lingqiao; Zheng, Hua; Rao, Enming; Xiao, Yi; Ouyang, Zhiyun; Li, Cong

    2018-08-01

    The conservation impacts of policies that promote large-scale ecological restoration of ecosystem services and socio-economic development are well documented around the world. However, the effect of socio-economic development resulting from such policies on ecosystem services is rarely analysed, although it is important to do so if these policies are to be sustainable. We analysed the socio-economic impacts of soil conservation services from 2000 to 2015 in the Yangtze River Basin under the Grain to Green Programme (GTGP). Also we assessed the driving forces behind the programme: conservation policies, urbanization, agricultural development, and population growth. Our results show that during 2000-2015, cultivated area decreased by 7.5%, urban area increased by 67.5%, forest area increased by 2.1%, and soil erosion was reduced by 19.5%. The programme not only contributed significantly to an improvement in soil conservation services but also enhanced them significantly through faster urbanization. Furthermore, vegetation cover and crop yields increased synergistically, mainly due to high-efficiency agriculture that reduced the negative effect of the GTGP on agricultural production. Overall determining the indirect and direct effects of the GTGP on soil conservation and agricultural production are important for furthering our understanding of the long-term effects of ecological restoration policies, and the present study offers practical insights for ecological restoration of other watersheds. Copyright © 2018 Elsevier B.V. All rights reserved.

  12. 20 CFR 655.640 - Service and computation of time.

    Science.gov (United States)

    2010-04-01

    ... EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Enforcement of the Limitations Imposed on Employers Using... where service is by mail. In the interest of expeditious proceedings, the administrative law judge may...

  13. 20 CFR 655.1030 - Service and computation of time.

    Science.gov (United States)

    2010-04-01

    ... EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Enforcement of the Attestation Process for Attestations... authorized where service is by mail. In the interest of expeditious proceedings, the administrative law judge...

  14. Policy Gradient SMDP for Resource Allocation and Routing in Integrated Services Networks

    Science.gov (United States)

    Vien, Ngo Anh; Viet, Nguyen Hoang; Lee, Seunggwan; Chung, Taechoong

    In this paper, we solve the call admission control (CAC) and routing problem in an integrated network that handles several classes of calls of different values and with different resource requirements. The problem of maximizing the average reward (or cost) of admitted calls per unit time is naturally formulated as a semi-Markov Decision Process (SMDP) problem, but is too complex to allow for an exact solution. Thus in this paper, a policy gradient algorithm, together with a decomposition approach, is proposed to find the dynamic (state-dependent) optimal CAC and routing policy among a parameterized policy space. To implement that gradient algorithm, we approximate the gradient of the average reward. Then, we present a simulation-based algorithm to estimate the approximate gradient of the average reward (called GSMDP algorithm), using only a single sample path of the underlying Markov chain for the SMDP of CAC and routing problem. The algorithm enhances performance in terms of convergence speed, rejection probability, robustness to the changing arrival statistics and an overall received average revenue. The experimental simulations will compare our method's performance with other existing methods and show the robustness of our method.

  15. The Public Health Service guidelines. Governing research involving human subjects: An analysis of the policy-making process

    Science.gov (United States)

    Frankel, M. S.

    1972-01-01

    The policy making process which led to development of the Public Health Service Guidelines governing research involving human subjects is outlined. Part 1 examines the evolution of PHS Guidelines, tracing (1) evolution of thought and legal interpretation regarding research using human subjects; (2) initial involvement of the Federal government; (3) development of the government's research program; (4) the social-political environment in which formal government policy was developed; and (5) various policy statements issued by the government. Part 2 analyzes the process by which PHS Guidelines were developed and examines the values and other underlying factors which contributed to their development. It was concluded that the evolution of the Guidelines is best understood within the context of a mixed-scanning strategy. In such a strategy, policy makers make fundamental decisions regarding the basic direction of policy and subsequent decisions are made incrementally and within the contexts set by the original fundamental decisions.

  16. Off-Policy Reinforcement Learning: Optimal Operational Control for Two-Time-Scale Industrial Processes.

    Science.gov (United States)

    Li, Jinna; Kiumarsi, Bahare; Chai, Tianyou; Lewis, Frank L; Fan, Jialu

    2017-12-01

    Industrial flow lines are composed of unit processes operating on a fast time scale and performance measurements known as operational indices measured at a slower time scale. This paper presents a model-free optimal solution to a class of two time-scale industrial processes using off-policy reinforcement learning (RL). First, the lower-layer unit process control loop with a fast sampling period and the upper-layer operational index dynamics at a slow time scale are modeled. Second, a general optimal operational control problem is formulated to optimally prescribe the set-points for the unit industrial process. Then, a zero-sum game off-policy RL algorithm is developed to find the optimal set-points by using data measured in real-time. Finally, a simulation experiment is employed for an industrial flotation process to show the effectiveness of the proposed method.

  17. Market and Policy Barriers for Demand Response Providing Ancillary Services in U.S. Markets

    Energy Technology Data Exchange (ETDEWEB)

    Cappers, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); MacDonald, Jason [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Goldman, Charles [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2013-03-01

    In this study, we attempt to provide a comprehensive examination of various market and policy barriers to demand response providing ancillary services in both ISO/RTO and non-ISO/RTO regions, especially at the program provider level. It is useful to classify barriers in order to create a holistic understanding and identify parties that could be responsible for their removal. This study develops a typology of barriers focusing on smaller customers that must rely on a program provider (i.e., electric investor owned utility or IOU, ARC) to create an aggregated DR resource in order to bring ancillary services to the balancing authority.ii The barriers were identified through examinations of regulatory structures, market environments, and product offerings; and discussions with industry stakeholders and regulators. In order to help illustrate the differences in barriers among various wholesale market designs and their constituent retail environments, four regions were chosen to use as case studies: Colorado, Texas, Wisconsin, and New Jersey. We highlight the experience in each area as it relates to the identified barriers.

  18. Health seeking behaviour and health service utilization in Pakistan: challenging the policy makers.

    Science.gov (United States)

    Shaikh, Babar T; Hatcher, Juanita

    2005-03-01

    There is a growing literature on health seeking behaviours and the determinants of health services utilization especially in the context of developing countries. However, very few focused studies have been seen in Pakistan in this regard. This paper presents an extensive literature review of the situation in developing countries and relates the similar factors responsible for shaping up of a health seeking behaviour and health service utilization in Pakistan. The factors determining the health behaviours may be seen in various contexts: physical, socio-economic, cultural and political. Therefore, the utilization of a health care system, public or private, formal or non-formal, may depend on socio-demographic factors, social structures, level of education, cultural beliefs and practices, gender discrimination, status of women, economic and political systems environmental conditions, and the disease pattern and health care system itself. Policy makers need to understand the drivers of health seeking behaviour of the population in an increasingly pluralistic health care system. Also a more concerted effort is required for designing behavioural health promotion campaigns through inter-sectoral collaboration focusing more on disadvantaged segments of the population.

  19. Victims’ insecurity and criminal policy: The role of victim’s support services

    Directory of Open Access Journals (Sweden)

    Zarafonitou Christina

    2014-06-01

    Full Text Available Cet article met au point la nécessité de l’établissement des procédures, des services et des institutions d’aide aux victimes de crimes. L’accent est donné à l’importance des facteurs préventifs de criminalité et de protection des victimes pour l’application d’une politique criminelle rationnelle. La dernière ne peut pas être matérialisée si des attitudes punitives et vindicatives prévalaient. Le rôle régulateur de l’État se rend aussi compte ainsi que le rôle du partenariat entre le gouvernement central et les institutions décentralisées des communautés locales. This paper focuses on the necessity for establishing procedures, services and institutions for the support of crime victims, emphasising the importance of such factors for prevention and victim protection, as well as for the planning and implementation of a rational criminal policy. The latter cannot be practically realised if exaggerated attitudes of punitiveness and vengefulness prevail. The regulating role of the state is taken into consideration, as well as the importance of the partnership between central government and decentralised institutions of local communities.

  20. Time inconsistency and reputation in monetary policy: a strategic model in continuous time

    OpenAIRE

    Li, Jingyuan; Tian, Guoqiang

    2005-01-01

    This article develops a model to examine the equilibrium behavior of the time inconsistency problem in a continuous time economy with stochastic and endogenized dis- tortion. First, the authors introduce the notion of sequentially rational equilibrium, and show that the time inconsistency problem may be solved with trigger reputation strategies for stochastic setting. The conditions for the existence of sequentially rational equilibrium are provided. Then, the concept of sequen...

  1. A Survey of Georgia Adult Protective Service Staff: Implications for Older Adult Injury Prevention and Policy

    Directory of Open Access Journals (Sweden)

    Strasser, Sheryl

    2011-07-01

    Full Text Available Background: The aging population is a rapidly growing demographic. Isolation and limited autonomy render many of the elderly vulnerable to abuse, neglect and exploitation. As the population grows, so does the need for Adult Protective Services (APS. This study was conducted to examine current knowledge of older adult protection laws in Georgia among APS staff and to identify training opportunities to better prepare the APS workforce in case detection and intervention.Methods: The Georgia State University Institute of Public Health faculty developed a primary survey in partnership with the Georgia Division of Aging Services’ leadership to identify key training priority issues for APS caseworkers and investigators. A 47-item electronic questionnaire was delivered to all APS employees via work-issued email accounts. We conducted descriptive analyses, t-tests and chi-square analyses to determine APS employees’ baseline knowledge of Georgia’s elder abuse policies, laws and practices, as well as examine associations of age, ethnicity, and educational attainment with knowledge. We used a p-value of 0.05 and 95% confidence intervals to determine statistical significance of analyses performed.Result: Ninety-two out of 175 APS staff responded to the survey (53% response rate. The majority of respondents were Caucasian (56% women (92%. For over half the survey items, paired sample t-tests revealed significant differences between what APS staff reported as known and what APS staff members indicated they needed to know more about in terms of elder abuse and current policies. Chi-square tests revealed that non-Caucasians significantly preferred video conferencing as a training format (44% compared to 18%, [χ2(1 = 7.102, p < .008], whereas Caucasians preferred asynchronous online learning formats (55% compared to 28% [χ2(1 =5.951, p < .015].Conclusion: Results from this study provide the Georgia Division of Aging with insight into specific policy areas

  2. Have Postwar Fiscal Stimulus Policies Met the “Timely, Targeted, and Temporary” Principle?

    Directory of Open Access Journals (Sweden)

    Jason E. Taylor

    2017-06-01

    Full Text Available President Barack Obama noted that fiscal stimulus polices should follow three T’s—timely, targeted, and temporary. This paper examines the government’s fiscal response to eleven postwar recessions in light of the three T’s. We find that the record is mixed at best. On average it took 10.9 months before a recession’s start and the first major countercyclical fiscal policy action. Additionally, in half of the eight recessions in which fiscal policy was attempted, the level of real per capita government spending was nearly three times its trend level four years after the recession was over—i.e. the stimulus was not temporary. Finally, with respect to targeted, while some countercyclical policies have been designed to help sectors that were particularly harmed during a recession, we find many cases whereby recessions provided politicians an avenue in which to implement policies that were part of their long-run reform agenda rather than being carefully targeted countercyclical fiscal policy.

  3. The Impact of quantum technologies on the EU's future policies: Part 1 Quantum Time

    OpenAIRE

    LEWIS ADAM

    2017-01-01

    Atomic clocks are a quantum technology, used in national metrology laboratories to define UTC and in various networked infrastructure. Developments in the clocks themselves, and in the distribution of precise time, can be expected to affect several application areas of importance to European policy.

  4. Optimal post-warranty maintenance policy with repair time threshold for minimal repair

    International Nuclear Information System (INIS)

    Park, Minjae; Mun Jung, Ki; Park, Dong Ho

    2013-01-01

    In this paper, we consider a renewable minimal repair–replacement warranty policy and propose an optimal maintenance model after the warranty is expired. Such model adopts the repair time threshold during the warranty period and follows with a certain type of system maintenance policy during the post-warranty period. As for the criteria for optimality, we utilize the expected cost rate per unit time during the life cycle of the system, which has been frequently used in many existing maintenance models. Based on the cost structure defined for each failure of the system, we formulate the expected cost rate during the life cycle of the system, assuming that a renewable minimal repair–replacement warranty policy with the repair time threshold is provided to the user during the warranty period. Once the warranty is expired, the maintenance of the system is the user's sole responsibility. The life cycle of the system is defined on the perspective of the user and the expected cost rate per unit time is derived in this context. We obtain the optimal maintenance policy during the maintenance period following the expiration of the warranty period by minimizing such a cost rate. Numerical examples using actual failure data are presented to exemplify the applicability of the methodologies proposed in this paper.

  5. Do smoke-free environment policies reduce smoking on hospital grounds? Evaluation of a smoke-free health service policy at two Sydney hospitals.

    Science.gov (United States)

    Poder, Natasha; Carroll, Therese; Wallace, Cate; Hua, Myna

    2012-05-01

    To evaluate the compliance of hospital staff, inpatients and visitors with Sydney South West Area Health Service's Smoke-free Environment Policy. Six sites were observed at two Sydney hospitals 2 weeks before implementation of the policy and at 2 weeks, 6 months, 12 months, 18 months and 2 years after implementation. There was an overall significant 36% (P≤0.05) reduction in observed smoking incidents on hospital grounds 2 years after implementation. Two years after implementation, observed smoking incidents reduced by 44% (P≤0.05) in staff, 37% (P≤0.05) in visitors and remained unchanged among inpatients. The Smoke-free Environment Policy was effective in reducing visitors and staff observed smoking on hospital grounds, but had little effect on inpatients' smoking. Identifying strategies to effectively manage nicotine addiction and promote cessation amongst hospital inpatients remains a key priority.

  6. The Influence of Low-Barrier and Voluntary Service Policies on Survivor Empowerment in a Domestic Violence Housing Organization.

    Science.gov (United States)

    Nnawulezi, Nkiru; Godsay, Surbhi; Sullivan, Cris M; Marcus, Suzanne; Hacskaylo, Margaret

    2018-01-18

    The purpose of community-based domestic violence crisis housing programs (e.g., shelters) is to provide a safe setting that promotes empowerment for survivors of intimate partner violence. For staff to reach this aim, the program must have formal structures and processes in place to support such efforts. This study explored how low-barrier and voluntary service policies influenced staff practices and survivor empowerment. Low-barrier policies require that programs remove barriers that prevent survivors, particularly those who have mental health concerns and/or addictions, from being able to access services. A voluntary service policy states that survivors have the right to choose which services, if any, they would like to engage in during their stay at the program. Survivors' ability to stay at the housing program is not contingent on their participation in program services. This exploratory-sequential (QUAL→ quan) mixed-method study examined how low-barrier and voluntary service policies influenced staff behavior and how these behaviors then related to survivor empowerment. Qualitative results revealed that low-barrier and voluntary service were guided by cultural values of justice and access, encouraged survivor-centered practices among staff, and were believed to promote survivor autonomy. Quantitative results suggested that when survivors perceived they had a choice to engage in program services or meet with an advocate, their empowerment increased. This study has implications for domestic violence organizational practice and provides evidence about the contextual factors that support individual empowerment. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  7. Migrants' access to healthcare services within the European Union: a content analysis of policy documents in Ireland, Portugal and Spain.

    Science.gov (United States)

    Ledoux, Céline; Pilot, Eva; Diaz, Esperanza; Krafft, Thomas

    2018-06-15

    The current migration flow into Europe is leading to a growing ethnically diverse population in many European countries. Now more than ever, those populations have different healthcare needs, languages, traditions, and previous level of care. This higher level of diversity is likely to increase health inequalities that might challenge healthcare systems if not addressed. In this context, this study aims at reviewing the policy framework for migrants' access to healthcare in Spain, Portugal and Ireland, countries with a long history of immigration, to identify lessons to be learned for policies on migrants' health. A content analysis of official policy documents was undertaken and the conceptual framework developed by Mladowsky was adapted to classify the actions indicated in the policies. The content analysis revealed that the policy aim for all three analysed countries is the improvement of the health status of the immigrant population based on equity and equality principles. The main strategies are the adaptation of services through actions targeting patients and providers, such as the implementation of cultural mediators and trainings for health professionals. The three countries propose a great range of policies aiming at improving access to healthcare services for immigrants that can inspire other European countries currently welcoming refugees. Developing inclusive policies, however does not necessarily mean they will be implemented or felt on the ground. Inclusive policies are indeed under threat due to the economic and social crises and due to the respective nationalistic attitudes towards integration. The European Union is challenged to take a more proactive leadership and ensure that countries effectively implement inclusive actions to improve migrant's access to health services.

  8. A geometric process model for M/PH(M/PH)/1/K queue with new service machine procurement lead time

    Science.gov (United States)

    Yu, Miaomiao; Tang, Yinghui; Fu, Yonghong

    2013-06-01

    In this article, we consider a geometric process model for M/PH(M/PH)/1/K queue with new service machine procurement lead time. A maintenance policy (N - 1, N) based on the number of failures of the service machine is introduced into the system. Assuming that a failed service machine after repair will not be 'as good as new', and the spare service machine for replacement is only available by an order. More specifically, we suppose that the procurement lead time for delivering the spare service machine follows a phase-type (PH) distribution. Under such assumptions, we apply the matrix-analytic method to develop the steady state probabilities of the system, and then we obtain some system performance measures. Finally, employing an important Lemma, the explicit expression of the long-run average cost rate for the service machine is derived, and the direct search method is also implemented to determine the optimal value of N for minimising the average cost rate.

  9. A two-station queue with dependent preparation and service times

    NARCIS (Netherlands)

    Vlasiou, M.; Adan, I.J.B.F.; Boxma, O.J.

    2009-01-01

    We discuss a single-server multi-station alternating queue where the preparation times and the service times are auto- and cross-correlated. We examine two cases. In the first case, preparation and service times depend on a common discrete time Markov chain. In the second case, we assume that the

  10. Periodization of the european union’s immigration policy: from the beginning to modern times

    Directory of Open Access Journals (Sweden)

    K. Y. Fogel

    2017-04-01

    The main conclusion of the article is that, on the one hand, immigration has become a relevant issue in all the EU countries. On the other hand, as a consequence of different timing of immigration, different socio-economic contexts and varying governmental migration and integration policies, different forms of migration, with different governmental policies of migration and integration, and with different types of migrants have evolved. Such different starting positions should be taken into account when studying the consequences of the immigration and the presence of migrants in society.

  11. Time, costs and farmers’ perceptions: The case of livestock service delivery in tamilnadu

    Directory of Open Access Journals (Sweden)

    G kathiravan

    2011-10-01

    Full Text Available A study was undertaken in southern peninsular State of India, the Tamil Nadu State, (i to ascertain the time costs of animal health care and bovine breeding services, and (ii to comprehend the perceptions of farmers on the livestock services rendered by different service providers. The districts of the state were categorized as 'Livestock Developed' (LD and 'Livestock Under Developed' (LUD based on initial base line developed. Travel, waiting and service time were among the primary non-price factors that affected service quality. Average travel time was highest for visiting the public veterinary centre in both LUD (23.05 min. and LD (21.32 min. districts. Waiting time with regard to veterinarians providing home services in LUD districts was highest (23.01 min., followed by public veterinary centre services at LUD districts (22.35 min., home services by para-veterinarians (22.01 min. and public veterinary centre services at LD districts (20.10 min.. Both travel and waiting time were much higher in case of breeding services compared to curative services, which could be due to the fact that the farmers preferred Artificial Insemination (AI over its close substitute, the natural service. However, the service time was relatively less in case of insemination services vis-à-vis curative services both in LUD and LD districts. The quality perceptions of farmers on livestock services revealed that the home services rendered by veterinarians as the best one (0.83, followed by private veterinary clinics (0.75, home services by para-veterinarians (0.74, public veterinary centres (0.64 and co-operative veterinary centres (0.48. [Vet. World 2011; 4(5.000: 209-212

  12. Determination of service standard time for liquid waste parameter in certification institution

    Science.gov (United States)

    Sembiring, M. T.; Kusumawaty, D.

    2018-02-01

    Baristand Industry Medan is a technical implementation unit under the Industrial and Research and Development Agency, the Ministry of Industry. One of the services often used in Baristand Industry Medan is liquid waste testing service. The company set the standard of service 9 working days for testing services. At 2015, 89.66% on testing services liquid waste does not meet the specified standard of services company. The purpose of this research is to specify the standard time of each parameter in testing services liquid waste. The method used is the stopwatch time study. There are 45 test parameters in liquid waste laboratory. The measurement of the time done 4 samples per test parameters using the stopwatch. From the measurement results obtained standard time that the standard Minimum Service test of liquid waste is 13 working days if there is testing E. coli.

  13. Publicly announced access recommendations and consumers’ service time choices with uncertain congestion

    NARCIS (Netherlands)

    Han, Q.; Benedict, G.C.; Dellaert, W.; van Raaij, W.F.; Timmermans, H.J.P.

    2014-01-01

    This article investigates consumers' anticipation of other consumers' service time choices in capacity-constrained services and how this is affected by publicly announced access recommendations. Empirical results from an experiment with simulated congestion experiences show that the impact of

  14. Publicly announced access recommendations and consumers' service time choices with uncertain congestion

    NARCIS (Netherlands)

    Han, Q.; Dellaert, B.G.C.; Raaij, W.F.V.; Timmermans, H.J.P.

    2014-01-01

    This article investigates consumers' anticipation of other consumers' service time choices in capacity-constrained services and how this is affected by publicly announced access recommendations. Empirical results from an experiment with simulated congestion experiences show that the impact of

  15. The public service-motivated volunteer devoting time or effort

    DEFF Research Database (Denmark)

    Costello, Joyce; Homberg, Fabian; Secchi, Davide

    2017-01-01

    and thus may inform subsequent empirical work. First, we address academic debates concerning the measurement of volunteer effort. Second, we propose using public service motivation (PSM) theory as a means to understand the motivation of volunteers across sectors. We suggest that different PSM dimensions...

  16. Project Management in Real Time: A Service-Learning Project

    Science.gov (United States)

    Larson, Erik; Drexler, John A., Jr.

    2010-01-01

    This article describes a service-learning assignment for a project management course. It is designed to facilitate hands-on student learning of both the technical and the interpersonal aspects of project management, and it involves student engagement with real customers and real stakeholders in the creation of real events with real outcomes. As…

  17. Continuity and change in local immigrant policies in times of austerity.

    Science.gov (United States)

    Schiller, Maria; Hackett, Sarah

    2018-01-01

    European cities are increasingly being recognised for the role they play in devising and implementing their own migration, integration and diversity policies. Yet very little is known about the local dimension of immigrant policymaking in crisis contexts. This introductory piece offers a rationale for analysing city-level immigrant policies in times of crisis and the salience of using crisis as a metaphor for the state of things, and outlines key scholarly works, debates, concepts and theories. It provides a range of historical and contemporary examples and considerations, and introduces an empirical city case study that is published as part of this mini-symposium. It argues that a crisis lens leads to a systematic understanding of local-level immigrant policymaking in recent and contemporary Western Europe. The mini-symposium's focus and findings should be relevant to both on-going academic and policy debates.

  18. Time management: an imperative factor to effective service delivery ...

    African Journals Online (AJOL)

    In Nigeria, the need for time management in organizations especially the public ... of time management that can lead to employee effectiveness and efficiency in the ... time audit in their work place, be prepared to adjust to the best use of time.

  19. The Centers for Medicare and Medicaid Services (CMS) two midnight rule: policy at odds with reality.

    Science.gov (United States)

    Huntington, Ciara R; Blair, Laurel J; Cox, Tiffany C; Prasad, Tanushree; Kercher, Kent W; Augenstein, Vedra A; Heniford, B Todd

    2016-02-01

    To reduce costs, the Centers for Medicare and Medicaid Services (CMS) implemented new policies governing which patients are automatically admitted as inpatients (staying greater than "two midnights") and which require additional justification with physician documentation to be admitted. This study examines procedures missing from the Medicare Inpatient Only (MIO) list and uses national data to evaluate its appropriateness. Non-MIO procedures were identified from the current MIO list. Utilizing relevant billing codes, procedures were queried in the National Surgery Quality Improvement Program database for length of stay (LOS), percentage requiring >2 day stay, and inpatient status from 2005 to 2012. In addition, a separate analysis was performed for patients 65 years old or older who would qualify for Medicare. A majority of patients stayed more than 2 days for several procedures not included on the MIO list (% staying >2 days, mean LOS), including component separation (79.1%, 5.9 ± 12.3 days), diagnostic laparoscopy (64.2%, 5.5 ± 11.9 days), laparoscopic splenectomy (60.0%, 9.0 ± 13.6 days), open recurrent ventral hernia repair (58.2%, 6.3 ± 9.0 days), laparoscopic esophageal surgery (46.4%, 5.3 ± 13.3 days), and laparoscopic ventral hernia repair (24.7%, 2.5 ± 8.8 days). In patients ≥65 years, the average LOS was longer than the general population; for example, 40.2% of laparoscopic appendectomies and 38.7% of laparoscopic cholecystectomies in this older group required more than two nights in the hospital. In 92.3% of procedures examined, patients ≥65 years required greater than two nights in the hospital with an average LOS of 2.5-10.7 days. Commonly encountered non-MIO surgical procedures have national precedents for inpatient status. Before enacting policy, CMS and other regulatory bodies should consider current data to ensure rules are evidence-based and applicable.

  20. Convergence of service, policy, and science toward consumer-driven mental health care.

    Science.gov (United States)

    Carroll, Christopher D; Manderscheid, Ronald W; Daniels, Allen S; Compagni, Amelia

    2006-12-01

    A common theme is emerging in sentinel reports on the United States health care system. Consumer relevance and demands on service systems and practices are influencing how mental health care is delivered and how systems will be shaped in the future. The present report seeks to assemble a confluence of consumer-driven themes from noteworthy reports on the state of the mental health system in the U.S. It also explores innovative efforts, promising practices, collaborative efforts, as well as identification of barriers to consumer-directed care, with possible solutions. The report reviews the relevant public mental health policy and data used in published work. The findings indicate an increasing public and private interest in promoting consumer-driven care, even though historical systems of care predominate, and often create, barriers to wide-spread redesign of a consumer-centered mental health care system. Innovative consumer-driven practices are increasing as quality, choice, and self-determination become integral parts of a redesigned U.S. mental health care system. The use of consumer-driven approaches in mental health is limited at best. These programs challenge industry norms and traditional practices. Limitations include the need for additional and thorough evaluations of effectiveness (cost and clinical) and replicability of consumer-directed programs. Consumer-driven services indicate that mental health consumers are expecting to be more participative in their mental health care. This expectation will influence how traditional mental health services and providers become more consumer-centric and meet the demand. Public and private interest in consumer-driven health care range from creating cost-conscious consumers to individualized control of recovery. The health care sector should seek to invest more resources in the provision of consumer-driven health care programs. The results of this study have implications and are informative for other countries where

  1. Transitions between child and adult mental health services: service design, philosophy and meaning at uncertain times.

    Science.gov (United States)

    Murcott, W J

    2014-09-01

    A young person's transition of care from child and adolescent mental health services to adult mental health services can be an uncertain and distressing event that can have serious ramifications for their recovery. Recognition of this across many countries and recent UK media interest in the dangers of mental health services failing young people has led practitioners to question the existing processes. This paper reviews the current theories and research into potential failings of services and encourages exploration for a deeper understanding of when and how care should be managed in the transition process for young people. Mental health nurses can play a vital role in this process and, by adopting the assumptions of this paradigm, look at transition from this unique perspective. By reviewing the current ideas related to age boundaries, service thresholds, service philosophy and service design, it is argued that the importance of the therapeutic relationship, the understanding of the cultural context of the young person and the placing of the young person in a position of autonomy and control should be central to any decision and process of transfer between two mental health services. © 2014 John Wiley & Sons Ltd.

  2. Adaptive dynamic programming for discrete-time linear quadratic regulation based on multirate generalised policy iteration

    Science.gov (United States)

    Chun, Tae Yoon; Lee, Jae Young; Park, Jin Bae; Choi, Yoon Ho

    2018-06-01

    In this paper, we propose two multirate generalised policy iteration (GPI) algorithms applied to discrete-time linear quadratic regulation problems. The proposed algorithms are extensions of the existing GPI algorithm that consists of the approximate policy evaluation and policy improvement steps. The two proposed schemes, named heuristic dynamic programming (HDP) and dual HDP (DHP), based on multirate GPI, use multi-step estimation (M-step Bellman equation) at the approximate policy evaluation step for estimating the value function and its gradient called costate, respectively. Then, we show that these two methods with the same update horizon can be considered equivalent in the iteration domain. Furthermore, monotonically increasing and decreasing convergences, so called value iteration (VI)-mode and policy iteration (PI)-mode convergences, are proved to hold for the proposed multirate GPIs. Further, general convergence properties in terms of eigenvalues are also studied. The data-driven online implementation methods for the proposed HDP and DHP are demonstrated and finally, we present the results of numerical simulations performed to verify the effectiveness of the proposed methods.

  3. The Scope of the Common Commercial Policy after Lisbon: The Daiichi Sankyo and Conditional Access Services Grand Chamber Judgments

    NARCIS (Netherlands)

    Ankersmit, L.J.

    2014-01-01

    This case note discusses two important recent judgments rendered by the ECJ on the scope of the Common Commercial Policy. In Daiichi Sankyo (Case C-414/11), the Court overturned its previous case law on TRIPs in light of the entry into force of the Lisbon Treaty. In Conditional Access Services (Case

  4. Support given to lecturers when providing mobile centric services in teaching and learning: a policy analysis perspective

    CSIR Research Space (South Africa)

    Chipangura, B

    2015-05-01

    Full Text Available The objective of this study is to examine the status of Higher Education Institutions (HEIs) policies in supporting lecturers when providing mobile centric services to students. The research was undertaken as a single case study within the Open...

  5. Nutrition Services and Foods and Beverages Available at School: Results from the School Health Policies and Programs Study 2006

    Science.gov (United States)

    O'Toole, Terrence P.; Anderson, Susan; Miller, Clare; Guthrie, Joanne

    2007-01-01

    Background: Schools are in a unique position to promote healthy dietary behaviors and help ensure appropriate nutrient intake. This article describes the characteristics of both school nutrition services and the foods and beverages sold outside of the school meals program in the United States, including state- and district-level policies and…

  6. Demographic Differences in District-Level Policies Related to School Mental Health and Social Services--United States, 2012

    Science.gov (United States)

    Demissie, Zewditu; Brener, Nancy

    2017-01-01

    Background: Mental health conditions among youth are a major concern. Schools can play an important role in supporting students affected by these conditions. This study examined district-level school health policies related to mental health and social services to determine if they varied by district demographic characteristics. Methods: The School…

  7. Children's Participation in Decision-Making in the Philippines: Understanding the Attitudes of Policy-Makers and Service Providers

    Science.gov (United States)

    Bessell, Sharon

    2009-01-01

    This article explores the ideas about children's participation in decision-making held by government officials and non-government representatives engaged in promoting children's participation in the Philippines. It suggests that the ideas that policy-makers and service deliverers hold about children's participation are heterogeneous, diverse and…

  8. The U.S. Forest Service and its responsibilities under the national environmental policy act: a work design problem

    Science.gov (United States)

    Matthew Auer; Kenneth Richards; David N. Seesholtz; Burnell Fischer; Christian Freitag; Joshua. Grice

    2011-01-01

    The U.S. Forest Service’s responsibilities under the National Environmental Policy Act entail a wide range of activities including scoping, scientific analysis, social and economic analysis, managing public input and involvement, media relations, regulatory analysis, and litigation. These myriad duties raise several important organizational and management questions....

  9. The ecosystem services agenda: bridging the worlds of natural science and economics, conservation and development, and public and private policy

    NARCIS (Netherlands)

    Braat, L.C.; Groot, de R.S.

    2012-01-01

    The Ecosystem Services Journal starts in 2012 with a formidable basis in the reports and books from the Millennium Ecosystem Assessment and TEEB projects. Following a half-century history of growing awareness and associated scientific based policy development a bridging concept with natural and

  10. Policy, Practice, and Research Agenda for Emergency Medical Services Oversight: A Systematic Review and Environmental Scan.

    Science.gov (United States)

    Taymour, Rekar K; Abir, Mahshid; Chamberlin, Margaret; Dunne, Robert B; Lowell, Mark; Wahl, Kathy; Scott, Jacqueline

    2018-02-01

    criteria; 46 included process, 36 outcomes, and 18 structural measures. Most studies applied quality measures at the personnel level (40), followed by the agency (28) and system of care (28), and few at the oversight level (5). Numerous grey literature articles provided principles for high-quality EMS oversight. Limited quality measurement at the oversight level is an important gap in the peer-reviewed literature. The grey literature is ahead in this realm and can guide the policy and research agenda for EMS oversight quality measurement. Taymour RK , Abir M , Chamberlin M , Dunne RB , Lowell M , Wahl K , Scott J . Policy, practice, and research agenda for Emergency Medical Services oversight: a systematic review and environmental scan. Prehosp Disaster Med. 2018;33(1):89-97.

  11. Modeling and Simulation of Bus Dispatching Policy for Timed Transfers on Signalized Networks

    Science.gov (United States)

    Cho, Hsun-Jung; Lin, Guey-Shii

    2007-12-01

    The major work of this study is to formulate the system cost functions and to integrate the bus dispatching policy with signal control. The integrated model mainly includes the flow dispersion model for links, signal control model for nodes, and dispatching control model for transfer terminals. All such models are inter-related for transfer operations in one-center transit network. The integrated model that combines dispatching policies with flexible signal control modes can be applied to assess the effectiveness of transfer operations. It is found that, if bus arrival information is reliable, an early dispatching decision made at the mean bus arrival times is preferable. The costs for coordinated operations with slack times are relatively low at the optimal common headway when applying adaptive route control. Based on such findings, a threshold function of bus headway for justifying an adaptive signal route control under various time values of auto drivers is developed.

  12. Task shifting of HIV/AIDS case management to Community Health Service Centers in urban China: a qualitative policy analysis.

    Science.gov (United States)

    Ma, Fuchang; Lv, Fan; Xu, Peng; Zhang, Dapeng; Meng, Sining; Ju, Lahong; Jiang, Huihui; Ma, Liping; Sun, Jiangping; Wu, Zunyou

    2015-07-02

    The growing number of people living with HIV/AIDS (PLWHA) in China points to an increased need for case management services of HIV/AIDS. This study sought to explore the challenges and enablers in shifting the HIV/AIDS case management services from Centers for Disease Control and Prevention (CDCs) to Community Health Service Centers (CHSCs) in urban China. A qualitative method based on the Health Policy Triangle (HPT) framework was employed to gain in-depth insights into four elements of the task shifting strategy. This included a review on published literature and health policy documents, 15 focus group discussions (FGDs) and 30 in-depth interviews (IDIs) with four types of key actors from three cities in China. A total of 78 studies and 17 policy files at the national, municipal and local levels were obtained and reviewed comprehensively. Three semi-structured interview guides were used to explore key actors' views on shifting the HIV/AIDS case management services to CHSCs. It is necessary and feasible for CHSCs to engage in case management services for PLWHA in local communities. The increasing number of PLWHA and shortage of qualified health professionals in CDCs made shifting case management services downwards to CHSCs an urgent agenda. CHSCs' wide distribution, technical capacity, accessibility and current practice enabled them to carry out case management services for PLWHA. However our findings indicated several challenges in this task shifting process. Those challenges included lack of specific policy and stable financial support for CHSCs, inadequate manpower, relatively low capacity for health service delivery, lack of coordination among sectors, PLWHA's fear for discrimination and privacy disclosure in local communities, which may compromise the effectiveness and sustainability of those services. Shifting the HIV/AIDS case management services from CDCs to CHSCs is a new approach to cope with the rising number of PLWHA in China, but it should be

  13. The Influence Of Policy Implementation From The Change Of Institutional Status Toward Quality Of Patient Service In Hospital

    Directory of Open Access Journals (Sweden)

    Dadang Kusnadi

    2015-08-01

    Full Text Available Abstract Fenomenon and comunity problem in goverment hospital management not aware to wont and need public. Silent safety and consumen satisfaction is fenomenon lack quallity care. Goal this research goal for analysis about influence of policy implementation of hospital change institution status to the quality of patien service in Hospital. Kind of reserch is the quantity desain on approach the eksplanatory survey research analysis regresi linier multipel with analysis method validitas product moment pearson exam and reliability exam is alpha cronbach technique to hypotesis exam is path analysis and statistic exam t. Datum transformation is Skala Likert with measurement the method succesive interval. The population one thausand seventh two person with sample technique stratified random sampling the instrument research is quesioner and interview patien on caunter imforman. The result of assuming research that it is anticipated that implementation of change policy of institution status of hospital X there is significant influence to quality of service of patient Y is 66.31 and the other factor e is 33.69. In the implementation factor is significant to positif influence to quality service is communication X1 is 049 human resources X2 is 025 disposition X3 is 032 and structure birocratic X4 is 033. The conculsion from four factor independen variable X is the implementation of policy to quality service patient Y to influence and can receive in knowledge. To concept the development in implementation of policy need culture job factor because every product policy to contac direct with the community as to basic public policy.

  14. Personal Services Contracts. Is It Time to Lift the Ban

    Science.gov (United States)

    2016-03-01

    example, if you bought a ticket to see Elvis Presley in Las Vegas in 1971, it would have been unac- ceptable for the venue to replace him with an...impersonator and expect you to be satisfied. Elvis provided a type of personal service that would have been problematic, essentially impos- sible, to...Constitution trumps the ob- ligations of the contractual parties. In the Elvis example, if the substitute’s performances did not fulfill the patrons’ expecta

  15. Policy incentives for switchgrass production using valuation of non-market ecosystem services

    International Nuclear Information System (INIS)

    Chamberlain, Jim F.; Miller, Shelie A.

    2012-01-01

    This study presents a linear profit model with combined economic and environmental factors for a switchgrass-for-biofuels agricultural system in the southeastern U.S. The objectives are to establish conversion-to-switchgrass thresholds for various market prices and identify policy incentives that would ensure economic profit while also maximizing environmental benefits (carbon sequestration, displacement of fossil fuels) and minimizing negative impacts (global warming potential, nitrate loss). Weighting factors are chosen to represent incentives and penalties by assigning value to the impacts. With no other incentives, switchgrass market prices of at least $51 and $58/dton would be needed in order to make a profitable switch from corn/Conservation Reserve Program (CRP) lands and cotton, respectively. At a mid-range offering of $50/dton, feasible carbon credit prices of $3/ $8/ $23 per metric tonne CO 2 e would incentivize conversion from corn, CRP, or cotton, respectively. Similarly, a water quality penalty of $0.20/ $3/ $2 per kilogram NO 3 –N leached would incentivize the same conversions with resultant watershed improvement. At a lower price of $30/dton switchgrass, incentives based on valuation of ecosystem services begin to exceed feasible ranges of these valuations. - Highlights: ► A linear effective profit model predicts conversion thresholds to switchgrass. ► Carbon and nitrogen fluxes can be valued and incorporated into producer choices. ► Farmgate prices alone of $51 and $58/dton switchgrass will entice conversion. ► Reasonable ecosystem service valuations will encourage adoption of switchgrass.

  16. Application of six sigma DMAIC methodology to reduce service resolution time in a service organization

    Directory of Open Access Journals (Sweden)

    Virender Narula

    2017-11-01

    Full Text Available The popularity of Six Sigma, as a means for improving quality, has grown exponentially in recent years. It is a proven methodology to achieve breakthrough improvement in process performance that generates significant savings to bottom line of an organization. This paper illustrates how Six Sigma methodology may be used to improve service processes. The purpose of this paper is to develop Six Sigma DMAIC methodologies that would help service organizations look into their processes. In addition, it demonstrates the vital linkages between process improvement and process variation. The study identifies critical process parameters and suggests a team structure for Six Sigma project in service operations.

  17. A Time Scheduling Model of Logistics Service Supply Chain Based on the Customer Order Decoupling Point: A Perspective from the Constant Service Operation Time

    Science.gov (United States)

    Yang, Yi; Xu, Haitao; Liu, Xiaoyan; Wang, Yijia; Liang, Zhicheng

    2014-01-01

    In mass customization logistics service, reasonable scheduling of the logistics service supply chain (LSSC), especially time scheduling, is benefit to increase its competitiveness. Therefore, the effect of a customer order decoupling point (CODP) on the time scheduling performance should be considered. To minimize the total order operation cost of the LSSC, minimize the difference between the expected and actual time of completing the service orders, and maximize the satisfaction of functional logistics service providers, this study establishes an LSSC time scheduling model based on the CODP. Matlab 7.8 software is used in the numerical analysis for a specific example. Results show that the order completion time of the LSSC can be delayed or be ahead of schedule but cannot be infinitely advanced or infinitely delayed. Obtaining the optimal comprehensive performance can be effective if the expected order completion time is appropriately delayed. The increase in supply chain comprehensive performance caused by the increase in the relationship coefficient of logistics service integrator (LSI) is limited. The relative concern degree of LSI on cost and service delivery punctuality leads to not only changes in CODP but also to those in the scheduling performance of the LSSC. PMID:24715818

  18. A time scheduling model of logistics service supply chain based on the customer order decoupling point: a perspective from the constant service operation time.

    Science.gov (United States)

    Liu, Weihua; Yang, Yi; Xu, Haitao; Liu, Xiaoyan; Wang, Yijia; Liang, Zhicheng

    2014-01-01

    In mass customization logistics service, reasonable scheduling of the logistics service supply chain (LSSC), especially time scheduling, is benefit to increase its competitiveness. Therefore, the effect of a customer order decoupling point (CODP) on the time scheduling performance should be considered. To minimize the total order operation cost of the LSSC, minimize the difference between the expected and actual time of completing the service orders, and maximize the satisfaction of functional logistics service providers, this study establishes an LSSC time scheduling model based on the CODP. Matlab 7.8 software is used in the numerical analysis for a specific example. Results show that the order completion time of the LSSC can be delayed or be ahead of schedule but cannot be infinitely advanced or infinitely delayed. Obtaining the optimal comprehensive performance can be effective if the expected order completion time is appropriately delayed. The increase in supply chain comprehensive performance caused by the increase in the relationship coefficient of logistics service integrator (LSI) is limited. The relative concern degree of LSI on cost and service delivery punctuality leads to not only changes in CODP but also to those in the scheduling performance of the LSSC.

  19. Conflicts of Interest in Clinical Guidelines: Update of U.S. Preventive Services Task Force Policies and Procedures.

    Science.gov (United States)

    Ngo-Metzger, Quyen; Moyer, Virginia; Grossman, David; Ebell, Mark; Woo, Meghan; Miller, Therese; Brummer, Tana; Chowdhury, Joya; Kato, Elisabeth; Siu, Albert; Phillips, William; Davidson, Karina; Phipps, Maureen; Bibbins-Domingo, Kirsten

    2018-01-01

    The U.S. Preventive Services Task Force (USPSTF) provides independent, objective, and scientifically rigorous recommendations for clinical preventive services. A primary concern is to avoid even the appearance of members having special interests that might influence their ability to judge evidence and formulate unbiased recommendations. The conflicts of interest policy for the USPSTF is described, as is the formal process by which best practices were incorporated to update the policy. The USPSTF performed a literature review, conducted key informant interviews, and reviewed conflicts of interest policies of ten similar organizations. Important findings included transparency and public accessibility; full disclosure of financial relationships; disclosure of non-financial relationships (that create the potential for bias and compromise a member's objective judgment); disclosure of family members' conflicts of interests; and establishment of appropriate reporting periods. Controversies in best practices include the threshold of financial disclosures, ease of access to conflicts of interest policies and declarations, vague definition of non-financial biases, and request for family members' conflicts of interests (particularly those that are non-financial in nature). The USPSTF conflicts of interest policy includes disclosures for immediate family members, a clear non-financial conflicts of interest definition, long look-back period and application of the policy to prospective members. Conflicts of interest is solicited from all members every 4 months, formally reviewed, adjudicated, and made publicly available. The USPSTF conflicts of interest policy is publicly available as part of the USPSTF Procedure Manual. A continuous improvement process can be applied to conflicts of interest policies to enhance public trust in members of panels, such as the USPSTF, that produce clinical guidelines and recommendations. Copyright © 2018 American Journal of Preventive Medicine

  20. 5 CFR 831.703 - Computation of annuities for part-time service.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Computation of annuities for part-time... part-time service. (a) Purpose. The computational method in this section shall be used to determine the annuity for an employee who has part-time service on or after April 7, 1986. (b) Definitions. In this...

  1. The M/G/1 queue with heavy-tailed service time distribution

    NARCIS (Netherlands)

    Boxma, O.J.; Cohen, J.W.

    1998-01-01

    In modern teletraffic applications of queueing theory, service time distributions B(t) with a heavy tail occur, i.e., 1-B(t)~Ct-v for t¿8 with v>1. For such service time distributions, not much explicit information is available concerning the tail probabilities of the corresponding waiting time

  2. The National Time and Frequency Service of the Russian Federation

    Science.gov (United States)

    2004-09-01

    Krutikov Gosstandard of Russia, Moscow 119991, Russia V. Kostromin and N. Koshelyaevsky Institute of Metrology for Time and Space FGUP “ VNIIFTRI ...Metrology for Time and Space FGUP VNIIFTRI Mendeleevo 141570, Russia 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND...is supplied from reserved sources located in premises outside the main territory of VNIIFTRI . According to the State Traceability Chart for Time

  3. Optimal maintenance policy for a system subject to damage in a discrete time process

    International Nuclear Information System (INIS)

    Chien, Yu-Hung; Sheu, Shey-Huei; Zhang, Zhe George

    2012-01-01

    Consider a system operating over n discrete time periods (n=1, 2, …). Each operation period causes a random amount of damage to the system which accumulates over time periods. The system fails when the cumulative damage exceeds a failure level ζ and a corrective maintenance (CM) action is immediately taken. To prevent such a failure, a preventive maintenance (PM) may be performed. In an operation period without a CM or PM, a regular maintenance (RM) is conducted at the end of that period to maintain the operation of the system. We propose a maintenance policy which prescribes a PM when the accumulated damage exceeds a pre-specified level δ ( ⁎ and N ⁎ and discuss some useful properties about them. It has been shown that a δ-based PM outperforms a N-based PM in terms of cost minimization. Numerical examples are presented to demonstrate the optimization of this class of maintenance policies.

  4. Reducing Attendance Time in LR-EPONs With Differentiated Services

    KAUST Repository

    Elrasad, Amr

    2015-04-09

    This work presents a novel on-the-fly void filling scheme for Long-Reach EPON called Size Controlled Batch Void Filling (SCBVF). SCBVF aims at reducing the time between consecutive bandwidth grants (attendance time) and hence reducing the average delay for delay-sensitive traffic.

  5. Using wavelets to decompose the time frequency effects of monetary policy

    Science.gov (United States)

    Aguiar-Conraria, Luís; Azevedo, Nuno; Soares, Maria Joana

    2008-05-01

    Central banks have different objectives in the short and long run. Governments operate simultaneously at different timescales. Many economic processes are the result of the actions of several agents, who have different term objectives. Therefore, a macroeconomic time series is a combination of components operating on different frequencies. Several questions about economic time series are connected to the understanding of the behavior of key variables at different frequencies over time, but this type of information is difficult to uncover using pure time-domain or pure frequency-domain methods. To our knowledge, for the first time in an economic setup, we use cross-wavelet tools to show that the relation between monetary policy variables and macroeconomic variables has changed and evolved with time. These changes are not homogeneous across the different frequencies.

  6. Flow time analysis of load management late arrival discrete time queueing system with dual service rate using hypo geometrical distribution

    International Nuclear Information System (INIS)

    Shah, S.A.; Shah, W.; Shaikh, F.K.

    2012-01-01

    Flow time analysis is a powerful concept to analyze the flow time of any arriving customer in any system at any instant. A load management mechanism can be employed very effectively in any queueing system by utilizing a system which provides probability of dual service rate. In this paper, we develop and demonstrate the flow and service processes transition diagram to determine the flow time of a customer in a load management late arrival state dependent finite discrete time queueing system with dual service rate where customers are hypo geometrically distributed. We compute the probability mass function of each starting state and total probability mass function. The obtained analytical results are validated with simulation results for varying values of arrival and service probabilities. (author)

  7. A RWMAC commentary on the Science Policy Research Unit Report: UK Nuclear Decommissioning Policy: time for decision

    International Nuclear Information System (INIS)

    Anon.

    1994-04-01

    The Radioactive Waste Management Advisory Committee (RWMAC) is an independent body which advises the Secretaries of State for the Environment, Scotland and Wales, on civil radioactive waste management issues. Chapter 4 of the RWMAC's Twelfth Annual Report discussed nuclear power plant decommissioning strategy. One of the RWMAC's conclusions was that the concept of financial provisioning for power station decommissioning liabilities, which might be passed on to society several generations into the future, deserved further study. A specification for such a study was duly written (Annex 2) and, following consideration of tendered responses, the Science Policy Research Unit (SPRU) at Sussex University, was contracted to carry out the work. The SPRU report stands as a SPRU analysis of the subject. This separate short RWMAC report, which is being released at the same time as the SPRU report, presents the RWMAC's own commentary on the SPRU study. The RWMAC has identified five main issues which should be addressed when deciding on a nuclear plant decommissioning strategy. These are: the technical approach to decommissioning, the basis of financial provisions, treatment of risk, segregation of management of funds, and the need for a wider environmental view. (author)

  8. A RWMAC commentary on the Science Policy Research Unit report: UK nuclear decommissioning policy: time for decision

    International Nuclear Information System (INIS)

    1994-04-01

    Chapter 4 of the RWMAC's Twelfth Annual Report discussed nuclear power plant decommissioning strategy. One of the RWMAC's conclusions was that the concept of financial provisioning for power station decommissioning liabilities, which might be passed on to society several generations into the future, deserved further study. A specification for such a study was duly written (Annex 2) and, following consideration of tendered responses, the Science Policy Research Unit (SPRU) at Sussex University, was contracted to carry out the work. The SPRU report stands as a SPRU analysis of the subject. This separate short RWMAC report, which is being released at the same time as the SPRU report, presents the RWMAC's own commentary on the SPRU study. The RWMAC has identified five main issues which should be addressed when deciding on a nuclear plant decommissioning strategy. These are: the technical approach to decommissioning, the basis of financial provisions, treatment of risk, segregation of management of funds, and the need for a wider environmental view. These issues are addressed in this RWMAC report. (author)

  9. A policy iteration approach to online optimal control of continuous-time constrained-input systems.

    Science.gov (United States)

    Modares, Hamidreza; Naghibi Sistani, Mohammad-Bagher; Lewis, Frank L

    2013-09-01

    This paper is an effort towards developing an online learning algorithm to find the optimal control solution for continuous-time (CT) systems subject to input constraints. The proposed method is based on the policy iteration (PI) technique which has recently evolved as a major technique for solving optimal control problems. Although a number of online PI algorithms have been developed for CT systems, none of them take into account the input constraints caused by actuator saturation. In practice, however, ignoring these constraints leads to performance degradation or even system instability. In this paper, to deal with the input constraints, a suitable nonquadratic functional is employed to encode the constraints into the optimization formulation. Then, the proposed PI algorithm is implemented on an actor-critic structure to solve the Hamilton-Jacobi-Bellman (HJB) equation associated with this nonquadratic cost functional in an online fashion. That is, two coupled neural network (NN) approximators, namely an actor and a critic are tuned online and simultaneously for approximating the associated HJB solution and computing the optimal control policy. The critic is used to evaluate the cost associated with the current policy, while the actor is used to find an improved policy based on information provided by the critic. Convergence to a close approximation of the HJB solution as well as stability of the proposed feedback control law are shown. Simulation results of the proposed method on a nonlinear CT system illustrate the effectiveness of the proposed approach. Copyright © 2013 ISA. All rights reserved.

  10. Unofficial policy: access to housing, housing information and social services among homeless drug users in Hartford, Connecticut

    Directory of Open Access Journals (Sweden)

    Corbett A Michelle

    2007-03-01

    Full Text Available Abstract Background Much research has shown that the homeless have higher rates of substance abuse problems than housed populations and that substance abuse increases individuals' vulnerability to homelessness. However, the effects of housing policies on drug users' access to housing have been understudied to date. This paper will look at the "unofficial" housing policies that affect drug users' access to housing. Methods Qualitative interviews were conducted with 65 active users of heroin and cocaine at baseline, 3 and 6 months. Participants were purposively sampled to reflect a variety of housing statuses including homeless on the streets, in shelters, "doubled-up" with family or friends, or permanently housed in subsidized, unsubsidized or supportive housing. Key informant interviews and two focus group interviews were conducted with 15 housing caseworkers. Data were analyzed to explore the processes by which drug users receive information about different housing subsidies and welfare benefits, and their experiences in applying for these. Results A number of unofficial policy mechanisms limit drug users' access to housing, information and services, including limited outreach to non-shelter using homeless regarding housing programs, service provider priorities, and service provider discretion in processing applications and providing services. Conclusion Unofficial policy, i.e. the mechanisms used by caseworkers to ration scarce housing resources, is as important as official housing policies in limiting drug users' access to housing. Drug users' descriptions of their experiences working with caseworkers to obtain permanent, affordable housing, provide insights as to how access to supportive and subsidized housing can be improved for this population.

  11. Effective time management: surgery, research, service, travel, fitness, and family.

    Science.gov (United States)

    Porta, C Rees; Anderson, Michael R; Steele, Scott R

    2013-12-01

    Over 1,500 years ago, the St. Benedictine Monks used planning and strict schedules to increase their productivity. Since then, surgeons have developed several different strategies to manage our time effectively. Finding a balance among career, family, and hobbies is essential for maintaining satisfaction and optimizing productivity. Several recurring themes throughout the medical literature offer potential solutions to help maximize the little time surgeons possess. In this article, we will explore some of the methods and strategies available to help surgeons minimize waste and make the most of the most precious commodity we have-our time.

  12. Professional Veterinary Programs' Perceptions and Experiences Pertaining to Emotional Support Animals and Service Animals, and Recommendations for Policy Development.

    Science.gov (United States)

    Schoenfeld-Tacher, Regina M; Kogan, Lori R

    Given the unique nature of programs in professional veterinary medicine (PVM), the increasing numbers of students requesting accommodations for emotional support animals (ESAs) in higher education settings is of growing interest to student affairs and administrative staff in PVM settings. Since the legislation pertaining to this type of support animal differs from the laws governing disability service animals, colleges and universities now need to develop new policies and guidelines. Representatives from a sample of 28 PVM programs completed a survey about the prevalence of student requests for ESAs and service animals. PVM associate deans for academic affairs also reported their perceptions of this issue and the challenges these requests might pose within veterinary teaching laboratories and patient treatment areas. Responses indicated that approximately one third of PVM programs have received requests for ESAs (32.1%) in the last 2 years, 17.9% have had requests for psychiatric service animals, and 17.9% for other types of service animals. Despite this, most associate deans reported not having or not being aware of university or college policies pertaining to these issues. Most associate deans are interested in learning more about this topic. This paper provides general recommendations for establishing university or PVM program policies.

  13. The experiences of survivors and trauma counselling service providers in northern Uganda: Implications for mental health policy and legislation.

    Science.gov (United States)

    Liebling, H; Davidson, L; Akello, G F; Ochola, G

    Previous research in northern Uganda found high levels of trauma-related difficulties amongst the conflict-affected population. There is international evidence that psychological therapy can reduce depression, as one of the psychological effects of trauma, but very limited literature regarding the experiences of trauma counselling in Sub-Saharan Africa. The current British Academy and Leverhulme-funded research investigated the experiences of service users and providers of trauma services in Kitgum and Gulu, northern Uganda. It also examined their implications for mental health policy and legislation. A decision was made to utilise qualitative methodology to highlight the in-depth experiences of participants. The researcher's carried out interviews with 10 women and 10 men survivors attending trauma services in Kitgum and Gulu. The researchers also interviewed 15 key informants in Kitgum, Gulu and Kampala including trauma counselling service providers, ministers, cultural leaders and mental health professionals. The authors report the findings of the research based on thematic analysis of the interviews. Themes included the experiences of survivors, bearing witness and instilling hope, constraints to service provision, stigma and abuse, holistic approach, service providers doing their best, specialist populations, limited understanding, training and skills development, gaps in service provision and mental health policy and legislation. The interviews resulted in a clear indication that counselling and medication was valued by service users, and that service providers felt the treatments that were provided improved depression, and increased empowerment and engagement in social activities. However, the authors argue that there was a limit to the benefits that could be achieved without using the holistic approach that the survivors requested. Thus, in cases of trauma arising from conflict, there is a clear need for the state to ensure reparation and/or justice for the

  14. Substitution of Formal and Informal Home Care Service Use and Nursing Home Service Use: Health Outcomes, Decision-Making Preferences, and Implications for a Public Health Policy.

    Science.gov (United States)

    Chen, Chia-Ching; Yamada, Tetsuji; Nakashima, Taeko; Chiu, I-Ming

    2017-01-01

    The purposes of this study are: (1) to empirically identify decision-making preferences of long-term health-care use, especially informal and formal home care (FHC) service use; (2) to evaluate outcomes vs. costs based on substitutability of informal and FHC service use; and (3) to investigate health outcome disparity based on substitutability. The methods of ordinary least squares, a logit model, and a bivariate probit model are used by controlling for socioeconomic, demographic, and physical/mental health factors to investigate outcomes and costs based substitutability of informal and formal health-care use. The data come from the 2013 Japanese Study of Aging and Retirement (JSTAR), which is designed by Keizai-Sangyo Kenkyu-jo, Hitotsubashi University, and the University of Tokyo. The JSTAR is a globally comparable data survey of the elderly. There exists a complement relationship between the informal home care (IHC) and community-based FHC services, and the elasticity's ranges from 0.18 to 0.22. These are reasonable results, which show that unobservable factors are positively related to IHC and community-based FHC, but negatively related to nursing home (NH) services based on our bivariate probit model. Regarding health-care outcome efficiency issue, the IHC is the best one among three types of elderly care: IHC, community-based FHC, and NH services. Health improvement/outcome of elderly with the IHC is heavier concentrated on IHC services than the elderly care services by community-based FHC and NH care services. Policy makers need to address a diversity of health outcomes and efficiency of services based on providing services to elderly through resource allocation to the different types of long-term care. A provision of partial or full compensation for elderly care at home is recommendable and a viable option to improve their quality of lives.

  15. Substitution of Formal and Informal Home Care Service Use and Nursing Home Service Use: Health Outcomes, Decision-Making Preferences, and Implications for a Public Health Policy

    Directory of Open Access Journals (Sweden)

    Chia-Ching Chen

    2017-11-01

    Full Text Available ObjectivesThe purposes of this study are: (1 to empirically identify decision-making preferences of long-term health-care use, especially informal and formal home care (FHC service use; (2 to evaluate outcomes vs. costs based on substitutability of informal and FHC service use; and (3 to investigate health outcome disparity based on substitutability.Methodology and dataThe methods of ordinary least squares, a logit model, and a bivariate probit model are used by controlling for socioeconomic, demographic, and physical/mental health factors to investigate outcomes and costs based substitutability of informal and formal health-care use. The data come from the 2013 Japanese Study of Aging and Retirement (JSTAR, which is designed by Keizai-Sangyo Kenkyu-jo, Hitotsubashi University, and the University of Tokyo. The JSTAR is a globally comparable data survey of the elderly.ResultsThere exists a complement relationship between the informal home care (IHC and community-based FHC services, and the elasticity’s ranges from 0.18 to 0.22. These are reasonable results, which show that unobservable factors are positively related to IHC and community-based FHC, but negatively related to nursing home (NH services based on our bivariate probit model. Regarding health-care outcome efficiency issue, the IHC is the best one among three types of elderly care: IHC, community-based FHC, and NH services. Health improvement/outcome of elderly with the IHC is heavier concentrated on IHC services than the elderly care services by community-based FHC and NH care services.ConclusionPolicy makers need to address a diversity of health outcomes and efficiency of services based on providing services to elderly through resource allocation to the different types of long-term care. A provision of partial or full compensation for elderly care at home is recommendable and a viable option to improve their quality of lives.

  16. Optimal contant time injection policy for enhanced oil recovery and characterization of optimal viscous profiles

    Science.gov (United States)

    Daripa, Prabir

    2011-11-01

    We numerically investigate the optimal viscous profile in constant time injection policy of enhanced oil recovery. In particular, we investigate the effect of a combination of interfacial and layer instabilities in three-layer porous media flow on the overall growth of instabilities and thereby characterize the optimal viscous profile. Results based on monotonic and non-monotonic viscous profiles will be presented. Time permitting. we will also present results on multi-layer porous media flows for Newtonian and non-Newtonian fluids and compare the results. The support of Qatar National Fund under a QNRF Grant is acknowledged.

  17. The impact of the financial crisis and austerity policies on the service quality of public hospitals in Greece.

    Science.gov (United States)

    Keramidou, Ioanna; Triantafyllopoulos, Loukas

    2018-04-01

    The influence of the financial crisis on the efficiency of Greek public hospitals has been widely debated. Despite this increasing interest in such research, the question of to what extent the recent reforms in the Greek National health care system were effective in establishing a health care structure and process that provide better results for patients has yet to be fully investigated. As a step in this direction, the paper focuses on patient's experience with public hospital care quality before and during the economic crisis. A questionnaire survey was carried out among 1872 patients discharged from 110 out of the total of 124 Greek public hospitals. Patients' perceptions were analysed using a structural equation modelling approach. The findings reveal that public hospital service quality is at a medium level (66.2 on a scale from 1 to 100) over 2007-2014, presenting a decreasing trend during the recession. Policies to address the crisis may have contributed to a reduction in hospital expenditures, but at the same time patients were increasingly dissatisfied with the technical care. Consequently, there is a need for reforms aimed at the achievement of productivity gains, responsibility, and transparency in the management of productive resources, by enabling health organisations to reduce their costs without a deterioration in the quality of care. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Service Time Analysis for Secondary Packet Transmission with Adaptive Modulation

    KAUST Repository

    Wang, Wen-Jing; Usman, Muneer; Yang, Hong-Chuan; Alouini, Mohamed-Slim

    2017-01-01

    Cognitive radio communications can opportunistically access underutilized spectrum for emerging wireless applications. With interweave cognitive implementation, secondary user transmits only if primary user does not occupy the channel and waits for transmission otherwise. Therefore, secondary packet transmission involves both transmission time and waiting time. The resulting extended delivery time (EDT) is critical to the throughput analysis of secondary system. In this paper, we study the EDT of secondary packet transmission with adaptive modulation under interweave implementation to facilitate the delay and throughput analysis of such cognitive radio system. In particular, we propose an analytical framework to derive the probability density functions of EDT considering random-length transmission and waiting slots. We also present selected numerical results to illustrate the mathematical formulations and to verify our analytical approach.

  19. Service Time Analysis for Secondary Packet Transmission with Adaptive Modulation

    KAUST Repository

    Wang, Wen-Jing

    2017-05-12

    Cognitive radio communications can opportunistically access underutilized spectrum for emerging wireless applications. With interweave cognitive implementation, secondary user transmits only if primary user does not occupy the channel and waits for transmission otherwise. Therefore, secondary packet transmission involves both transmission time and waiting time. The resulting extended delivery time (EDT) is critical to the throughput analysis of secondary system. In this paper, we study the EDT of secondary packet transmission with adaptive modulation under interweave implementation to facilitate the delay and throughput analysis of such cognitive radio system. In particular, we propose an analytical framework to derive the probability density functions of EDT considering random-length transmission and waiting slots. We also present selected numerical results to illustrate the mathematical formulations and to verify our analytical approach.

  20. Real-time GIS data model and sensor web service platform for environmental data management.

    Science.gov (United States)

    Gong, Jianya; Geng, Jing; Chen, Zeqiang

    2015-01-09

    Effective environmental data management is meaningful for human health. In the past, environmental data management involved developing a specific environmental data management system, but this method often lacks real-time data retrieving and sharing/interoperating capability. With the development of information technology, a Geospatial Service Web method is proposed that can be employed for environmental data management. The purpose of this study is to determine a method to realize environmental data management under the Geospatial Service Web framework. A real-time GIS (Geographic Information System) data model and a Sensor Web service platform to realize environmental data management under the Geospatial Service Web framework are proposed in this study. The real-time GIS data model manages real-time data. The Sensor Web service platform is applied to support the realization of the real-time GIS data model based on the Sensor Web technologies. To support the realization of the proposed real-time GIS data model, a Sensor Web service platform is implemented. Real-time environmental data, such as meteorological data, air quality data, soil moisture data, soil temperature data, and landslide data, are managed in the Sensor Web service platform. In addition, two use cases of real-time air quality monitoring and real-time soil moisture monitoring based on the real-time GIS data model in the Sensor Web service platform are realized and demonstrated. The total time efficiency of the two experiments is 3.7 s and 9.2 s. The experimental results show that the method integrating real-time GIS data model and Sensor Web Service Platform is an effective way to manage environmental data under the Geospatial Service Web framework.

  1. Effect of UK policy on medical migration: a time series analysis of physician registration data.

    Science.gov (United States)

    Blacklock, Claire; Heneghan, Carl; Mant, David; Ward, Alison M

    2012-09-25

    Economically developed countries have recruited large numbers of overseas health workers to fill domestic shortages. Recognition of the negative impact this can have on health care in developing countries led the United Kingdom Department of Health to issue a Code of Practice for National Health Service (NHS) employers in 1999 providing ethical guidance on international recruitment. Case reports suggest this guidance had limited influence in the context of other NHS policy priorities. The temporal association between trends in new professional registrations from doctors qualifying overseas and relevant United Kingdom government policy is reported. Government policy documents were identified by a literature review; further information was obtained, when appropriate, through requests made under the Freedom of Information Act. Data on new professional registration of doctors were obtained from the General Medical Council (GMC). New United Kingdom professional registrations by doctors trained in Africa and south Asia more than doubled from 3105 in 2001 to 7343 in 2003, as NHS Trusts sought to achieve recruitment targets specified in the 2000 NHS Plan; this occurred despite ethical guidance to avoid active recruitment of doctors from resource-poor countries. Registration of such doctors declined subsequently, but in response to other government policy initiatives. A fall in registration of South African-trained doctors from 3206 in 2003 to 4 in 2004 followed a Memorandum of Understanding with South Africa signed in 2003. Registrations from India and Pakistan fell from a peak of 4626 in 2004 to 1169 in 2007 following changes in United Kingdom immigration law in 2005 and 2006. Since 2007, registration of new doctors trained outside the European Economic Area has remained relatively stable, but in 2010 the United Kingdom still registered 722 new doctors trained in Africa and 1207 trained in India and Pakistan. Ethical guidance was ineffective in preventing mass

  2. Queueing systems with constant service time and evaluation of M/D/1,k

    DEFF Research Database (Denmark)

    Iversen, Villy Bæk

    1997-01-01

    Systems with constant service times have the particular property that the customers leave the servers in the same order in which they areaccepted for service. Probabilitites of integral waiting times can be expressed by the state probabilities, and non-integral waiting timescan be expressed...

  3. Polling Systems with Two-Phase Gated Service: Heavy Traffic Results for the Waiting Time Distribution

    NARCIS (Netherlands)

    R.D. van der Mei (Rob); J.A.C. Resing

    2008-01-01

    htmlabstractWe study an asymmetric cyclic polling system with Poisson arrivals, general service-time and switch-over time distributions, and with so-called two-phase gated service at each queue, an interleaving scheme that aims to enforce some level of "fairness" among the different customer

  4. Part-time employment in Jordan as a nursing policy solution.

    Science.gov (United States)

    Al-Motlaq, M; Azar, N; Squires, A

    2017-03-01

    Explore the potential of a part-time work option for nurses as a strategy for managing domestic markets in Jordan by examining perceptions of working nurses and nursing students in the context of current social and cultural variables. Unemployment among Jordanian nurses has become a reality in recent years. However, labor markets literature in nursing rarely studies what kind of policy responses should occur during a surplus of nurses. A cross-sectional design structured the study. The perceptions of nurses and students were measured through a questionnaire developed specifically for the purpose of this exploratory study. Both nurses (n = 51) and students (n = 56) supported the introduction of the new suggested part-time option. However, students were more willing to start working or transfer into part-time work, take payment on hourly basis, and support colleagues to transfer into part-time work. Different solutions were also suggested by participants. The results were useful for providing the foundational data to further study the viability of a part-time work option for Jordanian nurses. The results show how optimistic current and future Jordanian nurses are regarding this employment option. For countries that may need to diversify their employment models due to excess supply of nurses and to address gender imbalances, this work may help inform policy development. Both employed and unemployed nurses will benefit if health care managers consider its application. The flexibility of this option may help improve the quality of life of many nurses. The results of this study provide nursing leaders and managers with foundational evidence that may be applicable in the Jordanian health sector. Although further studies are recommended, nursing leaders and policy makers should consider such a solution. © 2016 International Council of Nurses.

  5. Integrating the sequence dependent setup time open shop problem and preventive maintenance policies

    Directory of Open Access Journals (Sweden)

    K. Naboureh

    2016-09-01

    Full Text Available In most industrial environments, it is usually considered that machines are accessible throughout the planning horizon, but in real situation, machines may be unavailable due to a scheduled preventive maintenance where the periods of unavailability are known in advance. The main idea of this paper is to consider different preventive maintenance policies on machines regarding open shop scheduling problem (OSSP with sequence dependent setup times (SDST using immune algorithm. The preventive maintenance (PM policies are planned for maximizing availability of machines or keeping minimum level of reliability through the production horizon. The objective function of the paper is to minimize makespan. In total, the proposed algorithm extensively is compared with six adaptations of existing heuristic and meta-heuristic methods for the problem through data sets from benchmarks based on Taillard’s instances with some adjustments. The results show that the proposed algorithm outperforms other algorithms for this problem.

  6. The co-movement of monetary policy and its time-varying nature: A DCCA approach

    Science.gov (United States)

    Rohit, Abhishek; Mitra, Subrata Kumar

    2018-02-01

    Employing a novel methodology of DCCA cross-correlation coefficient (ρDCCA), this study attempts to provide fresh evidences for the co-movement of monetary policies of the advanced (AEs) as well as the emerging economies (EMEs) vis-à-vis the United States. A higher degree of monetary co-movement as measured by ρDCCA values, is identified for the AEs as compared to the EMEs. Lower co-movement of monetary policy is especially noticeable in the short run for EMEs. We further investigate the time-varying nature of such co-movements for the AEs by splitting the period (1980-2014) into four sub periods and also by performing a rolling window estimation for the entire period to reveal smoother dynamics. Significant evidence of higher monetary coordination is revealed for sub-periods with stronger trade and financial linkages.

  7. The time-varying correlation between policy uncertainty and stock returns: Evidence from China

    Science.gov (United States)

    Xiong, Xiong; Bian, Yuxiang; Shen, Dehua

    2018-06-01

    In this paper, we use a new policy uncertainty index to investigate the time-varying correlation between economic policy uncertainty (EPU) and Chinese stock market returns. The correlation is examined in the period from January 1995 to December 2016. We show that absolute changes in EPU have a significant impact on stock market returns. Specifically, empirical results based on the DCC-GARCH model reveal that the correlation between EPU and stock returns has large fluctuations, especially during a financial crisis; in addition, the impact of EPU on the Shanghai stock market is greater than on the Shenzhen stock market. Robustness results reveal that the impact of EPU on state-owned enterprises is larger than on non-state enterprises. All of these results highlight the important role of EPU in the Chinese stock market, and shed light on such issues for future research.

  8. Public Spending on Health Service and Policy Research in Canada, the United Kingdom, and the United States: A Modest Proposal

    Directory of Open Access Journals (Sweden)

    Vidhi Thakkar

    2017-11-01

    Full Text Available Health services and policy research (HSPR represent a multidisciplinary field which integrates knowledge from health economics, health policy, health technology assessment, epidemiology, political science among other fields, to evaluate decisions in health service delivery. Health service decisions are informed by evidence at the clinical, organizational, and policy level, levels with distinct, managerial drivers. HSPR has an evolving discourse spanning knowledge translation, linkage and exchange between research and decision-maker partners and more recently, implementation science and learning health systems. Local context is important for HSPR and is important in advancing health reform practice. The amounts and configuration of national investment in this field remain important considerations which reflect priority investment areas. The priorities set within this field or research may have greater or lesser effects and promise with respect to modernizing health services in pursuit of better value and better population outcomes. Within Canada an asset map for HSPR was published by the national HSPR research institute. Having estimated publiclyfunded research spending in Canada, we sought identify best available comparable estimates from the United States and the United Kingdom. Investments from industry and charitable organizations were not included in these numbers. This commentary explores spending by the United States, Canada, and the United Kingdom on HSPR as a fraction of total public spending on health and the importance of these respective investments in advancing health service performance. Proposals are offered on the merits of common nomenclature and accounting for areas of investigation in pursuit of some comparable way of assessing priority HSPR investments and suggestions for earmarking such investments to total investment in health services spending.

  9. A descriptive retrospective study of time consumption in home care services: how do employees use their working time?

    Science.gov (United States)

    Holm, Solrun G; Angelsen, Ragnhild O

    2014-09-26

    Home care services in Norway are provided for free, and municipalities are responsible for their provision to all those in need of them, in accordance with the Act on Municipal Health and Care Services. The costs of home care services are increasing. Many municipalities are now working to find the best cost-effective solutions to ensure that home care services are of sufficient quality but still affordable. This paper describes how nurses and health workers spend their working time, with a hypothesis that driving time and time required to document details of the care given are underestimated in weekly planning schedules. This article sets out a descriptive retrospective study of day-schedules and driving routes for staff working in home care services. Data were analyzed using GIS. The driving time was between 18% and 26% of working time in municipality A, and between 21% and 23% in municipality B. Visiting time varied between 44% and 62% in municipality A, and 40% and 56% in municipality B. Other tasks, including the legally-required documentation of the care given, varied between 19% and 32% in municipality A and 21% and 38% in municipality B. Overall, 22% of the driving routes in municipality A, and 14% in municipality B, took more time than expected. In municipality A, 22% of the day-schedules underestimated overtime; this figure was 14% in municipality B. In home care services, time taken for driving and to write statutory documentation seems to have been underestimated. Better planning and organization of driving routes would reduce driving time and allow more time for other necessary work.

  10. A multimodal logistics service network design with time windows and environmental concerns.

    Science.gov (United States)

    Zhang, Dezhi; He, Runzhong; Li, Shuangyan; Wang, Zhongwei

    2017-01-01

    The design of a multimodal logistics service network with customer service time windows and environmental costs is an important and challenging issue. Accordingly, this work established a model to minimize the total cost of multimodal logistics service network design with time windows and environmental concerns. The proposed model incorporates CO2 emission costs to determine the optimal transportation mode combinations and investment selections for transfer nodes, which consider transport cost, transport time, carbon emission, and logistics service time window constraints. Furthermore, genetic and heuristic algorithms are proposed to set up the abovementioned optimal model. A numerical example is provided to validate the model and the abovementioned two algorithms. Then, comparisons of the performance of the two algorithms are provided. Finally, this work investigates the effects of the logistics service time windows and CO2 emission taxes on the optimal solution. Several important management insights are obtained.

  11. An assessment of market and policy barriers for demand response providing ancillary services in U.S. electricity markets

    International Nuclear Information System (INIS)

    Cappers, Peter; MacDonald, Jason; Goldman, Charles; Ma, Ookie

    2013-01-01

    An impact of increased variable renewable generation is the need for balancing authorities to procure more ancillary services. While demand response resources are technically capable of providing these services, current experience across the U.S. illustrates they are relatively minor players in most regions. Accessing demand response resources for ancillary services may require a number of changes to policies and common practices at multiple levels. Regional reliability councils must first define ancillary services such that demand response resources may provide them. Once the opportunity exists, balancing authorities define and promulgate rules that set the infrastructure investments and performance attributes of a resource wishing to provide such services. These rules also dictate expected revenue streams which reveal the cost effectiveness of these resources. The regulatory compact between utility and state regulators, along with other statutes and decisions by state policymakers, may impact the interest of demand response program providers to pursue these resources as ancillary service providers. This paper identifies within these broad categories specific market and policy barriers to demand response providing ancillary services in different wholesale and retail environments, with emphasis on smaller customers who must be aggregated through a program provider to meet minimum size requirements for wholesale transactions. - Highlights: • We identify barriers keeping demand response from providing ancillary services. • Institutional, financial and program provider business model barriers exist. • Product definitions and rules do not always accommodate demand response well. • Expected revenues are uncertain and may not exceed required investments costs. • Regulatory compact and state statutes limit opportunities for program providers

  12. Paucity of qualitative research in general medical and health services and policy research journals: analysis of publication rates

    Science.gov (United States)

    2011-01-01

    Background Qualitative research has the potential to inform and improve health care decisions but a study based on one year of publications suggests that it is not published in prominent health care journals. A more detailed, longitudinal analysis of its availability is needed. The purpose of this study was to identify, count and compare the number of qualitative and non-qualitative research studies published in high impact health care journals, and explore trends in these data over the last decade. Methods A bibliometric approach was used to identify and quantify qualitative articles published in 20 top general medical and health services and policy research journals from 1999 to 2008. Eligible journals were selected based on performance in four different ranking systems reported in the 2008 ISI Journal Citation Reports. Qualitative and non-qualitative research published in these journals were identified by searching MEDLINE, and validated by hand-searching tables of contents for four journals. Results The total number of qualitative research articles published during 1999 to 2008 in ten general medical journals ranged from 0 to 41, and in ten health services and policy research journals from 0 to 39. Over this period the percentage of empirical research articles that were qualitative ranged from 0% to 0.6% for the general medical journals, and 0% to 6.4% for the health services and policy research journals. Conclusions This analysis suggests that qualitative research it is rarely published in high impact general medical and health services and policy research journals. The factors that contribute to this persistent marginalization need to be better understood. PMID:21992238

  13. Paucity of qualitative research in general medical and health services and policy research journals: analysis of publication rates.

    Science.gov (United States)

    Gagliardi, Anna R; Dobrow, Mark J

    2011-10-12

    Qualitative research has the potential to inform and improve health care decisions but a study based on one year of publications suggests that it is not published in prominent health care journals. A more detailed, longitudinal analysis of its availability is needed. The purpose of this study was to identify, count and compare the number of qualitative and non-qualitative research studies published in high impact health care journals, and explore trends in these data over the last decade. A bibliometric approach was used to identify and quantify qualitative articles published in 20 top general medical and health services and policy research journals from 1999 to 2008. Eligible journals were selected based on performance in four different ranking systems reported in the 2008 ISI Journal Citation Reports. Qualitative and non-qualitative research published in these journals were identified by searching MEDLINE, and validated by hand-searching tables of contents for four journals. The total number of qualitative research articles published during 1999 to 2008 in ten general medical journals ranged from 0 to 41, and in ten health services and policy research journals from 0 to 39. Over this period the percentage of empirical research articles that were qualitative ranged from 0% to 0.6% for the general medical journals, and 0% to 6.4% for the health services and policy research journals. This analysis suggests that qualitative research it is rarely published in high impact general medical and health services and policy research journals. The factors that contribute to this persistent marginalization need to be better understood.

  14. On the best learning algorithm for web services response time prediction

    DEFF Research Database (Denmark)

    Madsen, Henrik; Albu, Razvan-Daniel; Popentiu-Vladicescu, Florin

    2013-01-01

    In this article we will examine the effect of different learning algorithms, while training the MLP (Multilayer Perceptron) with the intention of predicting web services response time. Web services do not necessitate a user interface. This may seem contradictory to most people's concept of what...... an application is. A Web service is better imagined as an application "segment," or better as a program enabler. Performance is an important quality aspect of Web services because of their distributed nature. Predicting the response of web services during their operation is very important....

  15. Role of Department of Defense Policies in Identifying Traumatic Brain Injuries Among Deployed US Service Members, 2001-2016.

    Science.gov (United States)

    Agimi, Yll; Regasa, Lemma Ebssa; Ivins, Brian; Malik, Saafan; Helmick, Katherine; Marion, Donald

    2018-05-01

    To examine the role of Department of Defense policies in identifying theater-sustained traumatic brain injuries (TBIs). We conducted a retrospective study of 48 172 US military service members who sustained their first lifetime TBIs between 2001 and 2016 while deployed to Afghanistan or Iraq. We used multivariable negative binomial models to examine the changes in TBI incidence rates following the introduction of Department of Defense policies. Two Army policies encouraging TBI reporting were associated with an increase of 251% and 97% in TBIs identified following their implementation, respectively. Among airmen, the introduction of TBI-specific screening questions to the Post-Deployment Health Assessment was associated with a 78% increase in reported TBIs. The 2010 Department of Defense Directive Type Memorandum 09-033 was associated with another increase of 80% in the likelihood of being identified with a TBI among soldiers, a 51% increase among sailors, and a 124% increase among Marines. Department of Defense and service-specific policies introduced between 2006 and 2013 significantly increased the number of battlefield TBIs identified, successfully improving the longstanding problem of underreporting of TBIs.

  16. Public Policy Instruments and Their Impact: From Analogue to Electronic Government in the Bus Services of São Paulo

    Directory of Open Access Journals (Sweden)

    Marcos Lopes Campos

    2018-04-01

    Full Text Available This article deals with the relations between public policy instruments and production practices of objects related to government action. It demonstrates that the materiality of the instruments built to make a public policy object legible to its operators has independent effects on the relations among private operators, bureaucrats, and the public sector. Based on the bus service provision policies in the city of São Paulo between the 1980s and the 2000s, it shows that transportation policies are structured around the dilemmas and conflicts associated with the production of reports and databases. This article suggests that everyday practices and instruments, especially those associated with the documentation of operational performance, are key dimensions to understand the limits and potential of both state capacities and the regulation of companies’ profits. Because of its materiality, documentation practices and document pathways, operate as devices and artifacts which structure opacities, asymmetries of information, and power struggles between the state bureaucrats and private companies in the construction of service legibility. This article concludes that the transition from the governance through analogue instruments to the governance through electronic instruments is characterized by more transparency and greater regulatory potential over the private sector.

  17. The Impact of Monetisation Policy on Public Service: A Case Study ...

    African Journals Online (AJOL)

    DrNneka

    An International Multi-disciplinary Journal, Ethiopia ... address the governance problems it was formulated to address. .... To make possible suggestions on how the Monetisation Policy could be ... as an invaluable tool for policy makers, students, public administrators and ..... Introduction to administrative reforms in Asia.

  18. A Freight Transport Model for Integrated Network, Service, and Policy Design

    NARCIS (Netherlands)

    Zhang, M.

    2013-01-01

    “The goal of the European Transport Policy is to establish a sustainable transport system that meets society’s economic, social and environmental needs…” (ECE, 2009). This statement indicates the challenges that the European transport policy makers are faced with when facilitating an increasing

  19. Short and long run macroeconomic effects of trade policy in the presence of debt servicing

    NARCIS (Netherlands)

    S.M. Murshed (Syed)

    2010-01-01

    textabstractThe purpose of this paper is to analyze the macroeconomic effects of trade policy, when the instrument is a voluntary export restraint (VER), on both the home (imposing) country and the foreign (targeted) country. The innovation in the paper is the analysis of trade policy when debt

  20. Short and long run macroeconomic effects of trade policy in the presence of debt servicing

    NARCIS (Netherlands)

    S.M. Murshed (Syed)

    2010-01-01

    textabstractABSTRACT: The purpose of this paper is to analyze the macroeconomic effects of trade policy, when the instrument is a voluntary export restraint (VER), on both the home (imposing) country and the foreign (targeted) country. The innovation in the paper is the analysis of trade policy when

  1. A Novel Analytic Technique for the Service Station Reliability in a Discrete-Time Repairable Queue

    Directory of Open Access Journals (Sweden)

    Renbin Liu

    2013-01-01

    Full Text Available This paper presents a decomposition technique for the service station reliability in a discrete-time repairable GeomX/G/1 queueing system, in which the server takes exhaustive service and multiple adaptive delayed vacation discipline. Using such a novel analytic technique, some important reliability indices and reliability relation equations of the service station are derived. Furthermore, the structures of the service station indices are also found. Finally, special cases and numerical examples validate the derived results and show that our analytic technique is applicable to reliability analysis of some complex discrete-time repairable bulk arrival queueing systems.

  2. Toward a New Era of Policy: Health Care Service Delivery to First Nations

    Directory of Open Access Journals (Sweden)

    Miranda D. Kelly

    2011-05-01

    Full Text Available The disproportionate burdens of ill health experienced by First Nations have been attributed to an uncoordinated, fragmented health care system. This system is rooted in public policies that have created jurisdictional gaps and a long-standing debate between federal, provincial and First Nations governments as to who is responsible for First Nations health care. This article examines: (1 the policies that shape First Nations health care in Canada and in the province of British Columbia (BC specifically; (2 the interests of the actors involved in First Nations health policy; and (3 recent developments in BC that present an opportunity for change to First Nations health policy development and have broader implications for Indigenous health policy across Canada and worldwide.

  3. Rethinking policy perspectives on childhood stunting: time to formulate a structural and multifactorial strategy.

    Science.gov (United States)

    Subramanian, S V; Mejía-Guevara, Iván; Krishna, Aditi

    2016-05-01

    Stunting and chronic undernutrition among children in South Asia remain a major unresolved global health issue. There are compelling intrinsic and moral reasons to ensure that children attain their optimal growth potential facilitated via promotion of healthy living conditions. Investments in efforts to ensure that children's growth is not faltered also have substantial instrumental benefits in terms of cognitive and economic development. Using the case of India, we critique three prevailing approaches to reducing undernutrition among children: an over-reliance on macroeconomic growth as a potent policy instrument, a disproportionate focus on interpreting undernutrition as a demand-side problem and an over-reliance on unintegrated single-factorial (one at a time) approaches to policy and research. Using existing evidence, we develop a case for support-led policy approach with a focus on integrated and structural factors to addressing the problem of undernutrition among children in India. Key messages Eliminating child undernutrition is important from an intrinsic perspective and offers considerable instrumental benefits to individual and society. Evidence suggests that an exclusive reliance on a growth-mediated strategy to eliminate stunting needs to be reconsidered, suggesting the need for a substantial support-led strategy. Interpreting and addressing undernutrition as a demand-side problem with proximal single-factorial interventions is futile. There is an urgent need to develop interventions that address the broader structural and upstream causes of child undernutrition. © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

  4. The Specific Features of the Contemporary Russian Foreign Energy Policy Shift in Modern Times

    Directory of Open Access Journals (Sweden)

    Egor S. Leonov

    2015-01-01

    Full Text Available In recent years there has been brewing up a necessity in Russia to change direction of its external energy policy radically as a result of unconstructive and hugely politically charged approach of the EU - main and traditional partner of Russia - to settlement of fundamental issues in bilateral cooperation. First of all this refers to failed efforts to create regional energy security system, based on respective institutions and legal framework, by reason of unwillingness of the EU to respect the Russian standpoint as an exporter of energy resources. As a result, there is a legal vacuum today in energy cooperation between Russia and the EU, which they failed to fill. The current political crisis in Europe, which is caused by accession of the Republic of Crimea to the Russian Federation and events in Ukraine, has aggravated long-standing problems of energy partnership EU-Russia. At the same time active EU policy on diversification of energy sources and supply routes discredits peculiar role of Russia as EU key energy supplier. These factors have triggered a significant revision of Russian interests in favor of eastern direction. A new promising contract with China on 21 May 2014 and memorandum with Turkey on 1 December 2014 are the milestones of the present Russian eastern policy. Both contracts can disrupt power balance on the global energy market. The article deals with background and causes for the present Russian eastern activity.

  5. Solution scanning as a key policy tool: identifying management interventions to help maintain and enhance regulating ecosystem services

    Directory of Open Access Journals (Sweden)

    William J. Sutherland

    2014-06-01

    Full Text Available The major task of policy makers and practitioners when confronted with a resource management problem is to decide on the potential solution(s to adopt from a range of available options. However, this process is unlikely to be successful and cost effective without access to an independently verified and comprehensive available list of options. There is currently burgeoning interest in ecosystem services and quantitative assessments of their importance and value. Recognition of the value of ecosystem services to human well-being represents an increasingly important argument for protecting and restoring the natural environment, alongside the moral and ethical justifications for conservation. As well as understanding the benefits of ecosystem services, it is also important to synthesize the practical interventions that are capable of maintaining and/or enhancing these services. Apart from pest regulation, pollination, and global climate regulation, this type of exercise has attracted relatively little attention. Through a systematic consultation exercise, we identify a candidate list of 296 possible interventions across the main regulating services of air quality regulation, climate regulation, water flow regulation, erosion regulation, water purification and waste treatment, disease regulation, pest regulation, pollination and natural hazard regulation. The range of interventions differs greatly between habitats and services depending upon the ease of manipulation and the level of research intensity. Some interventions have the potential to deliver benefits across a range of regulating services, especially those that reduce soil loss and maintain forest cover. Synthesis and applications: Solution scanning is important for questioning existing knowledge and identifying the range of options available to researchers and practitioners, as well as serving as the necessary basis for assessing cost effectiveness and guiding implementation strategies. We

  6. Ecosystem service value assessment in temporal and spatial scales in Dalian, China: implications for urban development policy

    Science.gov (United States)

    Xin, Z.; Chen, X.; Fu, G.; Li, C.

    2017-12-01

    Landscapes differ in their capacities to provide ecosystem good and services, which are the benefits humans obtain from nature. Valuation of ecosystem services is recognized as one effective way for improving the recognition and implementation for disposition of land resource and ecosystem protection. In this content, this study aims to reveal the changes in provision of ecosystem services induced by land use changes in both temporal and spatial scales in Dalian, China. Land use changes were firstly characterized based on Landsat TM images from 1984 to 2013. Results showed a severe increase in urban area, with an average increasing rate of 39.5%. Dry land occupied the largest portion of the total area which is mainly developed on the expenses of forest loss; meanwhile, policies of water-saving irrigation has promoted a conversion of paddy fields to dry land. Other categories including water, wetland, brush grass and salting were found to have relative small contrition to the total area. Assigning ecosystem service value (ESV) coefficient to each land use category, changes in ESV of the study area were assessed. Results indicated that the total ESV decreased by 21 billion from 1984 to 2013. Forest, dry land and water are the primary contributors. As for ecosystem functions, the regulation service is the most prominent which contributed to 60% of the total ESV, followed by support, supply and culture services. In addition, ESV changes were found to have a spatial variability, which shows a maximum decreasing rate in the central city, and a highest net value in the surrounding islands. The changes and distributions in land use pattern and ESV were further linked with the local city landscape planning, which has provided implications on city landscape policy making for sustaining the provision of ecosystem services and achieving sustainable development goals.

  7. Exploring interactions between payment for hydrologic service policies, landowner decisions, and ecohydrology in a Mexican cloud forest watershed: Is there a disconnect between the policy and the resource?

    Science.gov (United States)

    Asbjornsen, H.; Geissert, D.; Gomez-Tagle, A.; Holwerda, F.; Manson, R.; Perez-Maqueo, O.; Munoz-Villers, L.; Scullion, J.

    2013-05-01

    Payment for hydrologic service (PHS) programs are increasingly being used as a means to incentivize watershed protection by compensating upstream 'water producers' with payments made by downstream 'water consumers'. However, the effectiveness of PHS programs in achieving their target goals is often poorly understood. Here, we draw from insights obtained from socioeconomic and ecohydrological research in Veracruz, Mexico to explore interactions between PHS policies, landowner decisions, and hydrologic services. GIS analysis of land-cover changes during 2003-2009 combined with interviews of PHS participants indicated that despite lower deforestation rates on properties receiving PES payments, other factors were likely to have a greater influence on land use decisions than PHS payments per se, including opportunity costs and personal conservation ethic. The interviews also highlighted a general lack of trust and cooperation between the citizen participants and government administrators, which was reflected in the relatively low level of knowledge of the PHS programs' regulations and goals, the role of forests in protecting water resources, and a low level of co-financing by the private sector. An important premise of PHS programs is that protecting existing forest cover (and planting trees) will enhance water supply, especially in upland cloud forests that are due to their perceived role as water producers. Measurements of climate, steamflow, canopy fog interception, plant transpiration, soil water dynamics, and hydrologic flow paths were collected over a 3-year period to assess stand water balance and streamflow response under four different land covers: mature cloud forest, pasture, regenerating cloud forest, pine reforestation. Results suggested relatively minor additional inputs of fog to increasing streamflow in cloud forest watersheds, while conversion of forest to pasture did not markedly decrease dry season flows, but did increase annual flows due to lower

  8. Brazilian Foreign Policy in Changing Times: the quest for autonomy form Sarney to Lula

    Directory of Open Access Journals (Sweden)

    Danielly Silva Ramos Becard

    2010-12-01

    Full Text Available Resenha do Livro "Brazilian Foreign Policy in Changing Times: the quest for autonomy", de autoria de Tullo Vigevani e Gabriel Cepaluni. O tema central do livro é a busca brasileira por autonomia, desde a segunda metade dos anos 1980 até 2009. São apresentadas as grandes linhas da política externa brasileira dos pontos de vista teórico e empírico, a partir do estudo de literatura latino-americana sobre o tema.

  9. The MX/G/1 queue with queue length dependent service times

    Directory of Open Access Journals (Sweden)

    Bong Dae Choi

    2001-01-01

    Full Text Available We deal with the MX/G/1 queue where service times depend on the queue length at the service initiation. By using Markov renewal theory, we derive the queue length distribution at departure epochs. We also obtain the transient queue length distribution at time t and its limiting distribution and the virtual waiting time distribution. The numerical results for transient mean queue length and queue length distributions are given.

  10. Performance deterioration modeling and optimal preventive maintenance strategy under scheduled servicing subject to mission time

    Directory of Open Access Journals (Sweden)

    Li Dawei

    2014-08-01

    Full Text Available Servicing is applied periodically in practice with the aim of restoring the system state and prolonging the lifetime. It is generally seen as an imperfect maintenance action which has a chief influence on the maintenance strategy. In order to model the maintenance effect of servicing, this study analyzes the deterioration characteristics of system under scheduled servicing. And then the deterioration model is established from the failure mechanism by compound Poisson process. On the basis of the system damage value and failure mechanism, the failure rate refresh factor is proposed to describe the maintenance effect of servicing. A maintenance strategy is developed which combines the benefits of scheduled servicing and preventive maintenance. Then the optimization model is given to determine the optimal servicing period and preventive maintenance time, with an objective to minimize the system expected life-cycle cost per unit time and a constraint on system survival probability for the duration of mission time. Subject to mission time, it can control the ability of accomplishing the mission at any time so as to ensure the high dependability. An example of water pump rotor relating to scheduled servicing is introduced to illustrate the failure rate refresh factor and the proposed maintenance strategy. Compared with traditional methods, the numerical results show that the failure rate refresh factor can describe the maintenance effect of servicing more intuitively and objectively. It also demonstrates that this maintenance strategy can prolong the lifetime, reduce the total lifetime maintenance cost and guarantee the dependability of system.

  11. Preconception care policy, guidelines, recommendations and services across six European countries

    DEFF Research Database (Denmark)

    Shawe, Jill; Delbaere, Ilse; Ekstrand, Maria

    2015-01-01

    : Governmental policy and legislation; Professional bodies and organisations; Healthcare providers; Charitable organisations; Web-based public information and internet sites. Results All countries had preconception recommendations for women with chronic diseases, such as diabetes and epilepsy. Recommendations...

  12. Marine Corps Joint Officer Management Policy and O-7 Joint Service Officer Requirements

    National Research Council Canada - National Science Library

    Eck, Larry R

    2007-01-01

    .... The research was conducted at the request of Manpower and Reserve Affairs, Headquarters, U.S. Marine Corps to review current policies and their effectiveness in supporting the requirements in the FY 2005 National Defense Authorization Act...

  13. TIME Impact - a new user-friendly tuberculosis (TB) model to inform TB policy decisions.

    Science.gov (United States)

    Houben, R M G J; Lalli, M; Sumner, T; Hamilton, M; Pedrazzoli, D; Bonsu, F; Hippner, P; Pillay, Y; Kimerling, M; Ahmedov, S; Pretorius, C; White, R G

    2016-03-24

    Tuberculosis (TB) is the leading cause of death from infectious disease worldwide, predominantly affecting low- and middle-income countries (LMICs), where resources are limited. As such, countries need to be able to choose the most efficient interventions for their respective setting. Mathematical models can be valuable tools to inform rational policy decisions and improve resource allocation, but are often unavailable or inaccessible for LMICs, particularly in TB. We developed TIME Impact, a user-friendly TB model that enables local capacity building and strengthens country-specific policy discussions to inform support funding applications at the (sub-)national level (e.g. Ministry of Finance) or to international donors (e.g. the Global Fund to Fight AIDS, Tuberculosis and Malaria).TIME Impact is an epidemiological transmission model nested in TIME, a set of TB modelling tools available for free download within the widely-used Spectrum software. The TIME Impact model reflects key aspects of the natural history of TB, with additional structure for HIV/ART, drug resistance, treatment history and age. TIME Impact enables national TB programmes (NTPs) and other TB policymakers to better understand their own TB epidemic, plan their response, apply for funding and evaluate the implementation of the response.The explicit aim of TIME Impact's user-friendly interface is to enable training of local and international TB experts towards independent use. During application of TIME Impact, close involvement of the NTPs and other local partners also builds critical understanding of the modelling methods, assumptions and limitations inherent to modelling. This is essential to generate broad country-level ownership of the modelling data inputs and results. In turn, it stimulates discussions and a review of the current evidence and assumptions, strengthening the decision-making process in general.TIME Impact has been effectively applied in a variety of settings. In South Africa, it

  14. A k-out-of-n reliability system with an unreliable server and phase type repairs and services: the (N,T policy

    Directory of Open Access Journals (Sweden)

    Srinivas R. Chakravarthy

    2001-01-01

    Full Text Available In this paper we study a k-out-of-n reliability system in which a single unreliable server maintains n identical components. The reliability system is studied under the (N,T policy. An idle server takes a vacation for a random amount of time T and then attends to any failed component waiting in line upon completion of the vacation. The vacationing server is recalled instantaneously upon the failure of the Nth component. The failure times of the components are assumed to follow an exponential distribution. The server is subject to failure with failure times exponentially distributed. Repair times of the component, fixing times of the server, and vacationing times of the server are assumed to be of phase type. Using matrix-analytic methods we perform steady state analysis of this model. Time spent by a failed component in service, total time in the repair facility, vacation time of the server, non-vacation time of the server, and time until failure of the system are all shown to be of phase type. Several performance measures are evaluated. Illustrative numerical examples are presented.

  15. Economic and Time-Sensitive Issues Surrounding CCS: A Policy Analysis.

    Science.gov (United States)

    Maddali, Vijay; Tularam, Gurudeo Anand; Glynn, Patrick

    2015-08-04

    Are the existing global policies on combating global warming via the carbon capture and storage (CCS) method significant enough to curtail the temperature rise on time? We argue that it is already too late to have any reliance on CCS. The current status of CCS is that it is plagued by technical uncertainties, infrastructure, financial, and regulatory issues. The technology is far from maturity and, hence, commercialization. Simulations conducted in this work suggest that the relevance of CCS is completely defied if the annual emission growth rate is in excess of 2% between the years of 2015 and 2040. At such a growth rate, the annual emissions reduction between 2040 and 2100 will need to be in the vicinity of 5.5% by the year 2100. Considering an average annual emissions growth rate of 2.5% over the past decade, it seems unlikely that the emissions could be contained to a 2% growth level. CCS in its current shape and form is at odds with the economics of its implementation and the time in hand with which to play a significant role in a carbon mitigation strategy. There is an urgent need to rethink policies and strategies to combat global warming to at least some degree.

  16. On the non-optimality of the FB discipline within the service time distribution class IMRL

    NARCIS (Netherlands)

    S. Aalto; U. Ayesta (Urtzi)

    2005-01-01

    textabstractIt is known that, within the service time distribution class DHR, the FB discipline minimizes the mean delay in the M/G/1 queue among all work-conserving and non-anticipating service disciplines. It is also believed that a similar result is valid within a more general distribution class

  17. Marketing communication drivers of adoption timing of a new E-service among existing customers

    NARCIS (Netherlands)

    Prins, Remo; Verhoef, Peter C.

    This study investigates the effects of direct marketing communications and mass marketing communications on the adoption timing of a new e-service among existing customers. The mass marketing communications pertain to both specific new service advertising and brand advertising from both the focal

  18. An order insertion scheduling model of logistics service supply chain considering capacity and time factors.

    Science.gov (United States)

    Liu, Weihua; Yang, Yi; Wang, Shuqing; Liu, Yang

    2014-01-01

    Order insertion often occurs in the scheduling process of logistics service supply chain (LSSC), which disturbs normal time scheduling especially in the environment of mass customization logistics service. This study analyses order similarity coefficient and order insertion operation process and then establishes an order insertion scheduling model of LSSC with service capacity and time factors considered. This model aims to minimize the average unit volume operation cost of logistics service integrator and maximize the average satisfaction degree of functional logistics service providers. In order to verify the viability and effectiveness of our model, a specific example is numerically analyzed. Some interesting conclusions are obtained. First, along with the increase of completion time delay coefficient permitted by customers, the possible inserting order volume first increases and then trends to be stable. Second, supply chain performance reaches the best when the volume of inserting order is equal to the surplus volume of the normal operation capacity in mass service process. Third, the larger the normal operation capacity in mass service process is, the bigger the possible inserting order's volume will be. Moreover, compared to increasing the completion time delay coefficient, improving the normal operation capacity of mass service process is more useful.

  19. Requirements of health policy and services journals for authors to disclose financial and non-financial conflicts of interest: a cross-sectional study.

    Science.gov (United States)

    Khamis, Assem M; Hakoum, Maram B; Bou-Karroum, Lama; Habib, Joseph R; Ali, Ahmed; Guyatt, Gordon; El-Jardali, Fadi; Akl, Elie A

    2017-09-19

    The requirements of the health policy and services journals for authors to report their financial and non-financial conflicts of interest (COI) are unclear. The present article aims to assess the requirements of health policy and services journals for authors to disclose their financial and non-financial COIs. This is a cross-sectional study of journals listed by the Web of Science under the category of 'Health Policy and Services'. We reviewed the 'Instructions for Authors' on the journals' websites and then simulated the submission of a manuscript to obtain any additional relevant information made available during that step. We abstracted data in duplicate and independently using a standardised form. Out of 72 eligible journals, 67 (93%) had a COI policy. A minority of policies described how the disclosed COIs of authors would impact the editorial process (34%). None of the policies had clear-cut criteria for rejection based on the content of the disclosure. Approximately a fifth of policies (21%) explicitly stated that inaccurate or incomplete disclosures might lead to manuscript rejection or retraction. No policy described whether the journal would verify the accuracy or completeness of authors' disclosed COIs. Most journals' policies (93%) required the disclosure of at least one form of financial COI. While the majority asked for specification of source of payment (71%), a minority asked for the amount (18%). Overall, 81% of policies explicitly required disclosure of non-financial COIs. A majority of health policy and services journal policies required the disclosure of authors' financial and non-financial COIs, but few required details on disclosed COIs. Health policy journals should provide specific definitions and instructions for disclosing non-financial COIs. A framework providing clear typology and operational definitions of the different types of COIs will facilitate both their disclosure by authors and reviewers and their assessment and management by

  20. Impact of pharmaceutical policy interventions on utilization of antipsychotic medicines in Finland and Portugal in times of economic recession: interrupted time series analyses.

    Science.gov (United States)

    Leopold, Christine; Zhang, Fang; Mantel-Teeuwisse, Aukje K; Vogler, Sabine; Valkova, Silvia; Ross-Degnan, Dennis; Wagner, Anita K

    2014-07-25

    To analyze the impacts of pharmaceutical sector policies implemented to contain country spending during the economic recession--a reference price system in Finland and a mix of policies including changes in reimbursement rates, a generic promotion campaign and discounts granted to the public payer in Portugal - on utilization of, as a proxy for access to, antipsychotic medicines. We obtained monthly IMS Health sales data in standard units of antipsychotic medicines in Portugal and Finland for the period January 2007 to December 2011. We used an interrupted time series design to estimate changes in overall use and generic market shares by comparing pre-policy and post-policy levels and trends. Both countries' policy approaches were associated with slight, likely unintended, decreases in overall use of antipsychotic medicines and with increases in generic market shares of major antipsychotic products. In Finland, quetiapine and risperidone generic market shares increased substantially (estimates one year post-policy compared to before, quetiapine: 6.80% [3.92%, 9.68%]; risperidone: 11.13% [6.79%, 15.48%]. The policy interventions in Portugal resulted in a substantially increased generic market share for amisulpride (estimate one year post-policy compared to before: 22.95% [21.01%, 24.90%]; generic risperidone already dominated the market prior to the policy interventions. Different policy approaches to contain pharmaceutical expenditures in times of the economic recession in Finland and Portugal had intended--increased use of generics--and likely unintended--slightly decreased overall sales, possibly consistent with decreased access to needed medicines--impacts. These findings highlight the importance of monitoring and evaluating the effects of pharmaceutical policy interventions on use of medicines and health outcomes.

  1. Readying Health Services for Climate Change: A Policy Framework for Regional Development

    Science.gov (United States)

    2011-01-01

    Climate change presents the biggest threat to human health in the 21st century. However, many public health leaders feel ill equipped to face the challenges of climate change and have been unable to make climate change a priority in service development. I explore how to achieve a regionally responsive whole-of-systems approach to climate change in the key operational areas of a health service: service governance and culture, service delivery, workforce development, asset management, and financing. The relative neglect of implementation science means that policymakers need to be proactive about sourcing and developing models and processes to make health services ready for climate change. Health research funding agencies should urgently prioritize applied, regionally responsive health services research for a future of climate change. PMID:21421953

  2. Readying health services for climate change: a policy framework for regional development.

    Science.gov (United States)

    Bell, Erica

    2011-05-01

    Climate change presents the biggest threat to human health in the 21st century. However, many public health leaders feel ill equipped to face the challenges of climate change and have been unable to make climate change a priority in service development. I explore how to achieve a regionally responsive whole-of-systems approach to climate change in the key operational areas of a health service: service governance and culture, service delivery, workforce development, asset management, and financing. The relative neglect of implementation science means that policymakers need to be proactive about sourcing and developing models and processes to make health services ready for climate change. Health research funding agencies should urgently prioritize applied, regionally responsive health services research for a future of climate change.

  3. Exclusionary policies in urban development: Under-servicing migrant households in Brazilian cities.

    Science.gov (United States)

    Feler, Leo; Henderson, J Vernon

    2011-05-01

    Localities in developed countries often enact regulations to deter low-income households from moving in. In developing countries, such restrictions lead to the emergence of informal housing sectors. To deter low-income migrants, localities in developing countries withhold public services to the informal housing sector. Using a large sample of Brazilian localities, we examine migration and exclusion, focusing on the public provision of water to small houses where low-income migrants are likely to live. Withholding water connections reduces the locality growth rate, particularly of low-education households. In terms of service provision, during dictatorship in Brazil, we find evidence of strategic exclusion, where localities appear to withhold services to deter in-migration. We also find evidence of strategic interactions among localities within metro areas in their setting of service levels: if one locality provides more services to migrant households, other localities respond by withholding service.

  4. Exclusionary policies in urban development: Under-servicing migrant households in Brazilian cities

    Science.gov (United States)

    Feler, Leo; Henderson, J. Vernon

    2012-01-01

    Localities in developed countries often enact regulations to deter low-income households from moving in. In developing countries, such restrictions lead to the emergence of informal housing sectors. To deter low-income migrants, localities in developing countries withhold public services to the informal housing sector. Using a large sample of Brazilian localities, we examine migration and exclusion, focusing on the public provision of water to small houses where low-income migrants are likely to live. Withholding water connections reduces the locality growth rate, particularly of low-education households. In terms of service provision, during dictatorship in Brazil, we find evidence of strategic exclusion, where localities appear to withhold services to deter in-migration. We also find evidence of strategic interactions among localities within metro areas in their setting of service levels: if one locality provides more services to migrant households, other localities respond by withholding service. PMID:22707807

  5. Changes in ecosystem service values in Zhoushan Island using remote sensing time series data

    Science.gov (United States)

    Zhang, Xiaoping; Qin, Yanpei; Lv, Ying; Zhen, Guangwei; Gong, Fang; Li, Chaokui

    2017-10-01

    The largest inhabited island, Zhoushan Island, is the center of economy, culture, shipping, and fishing in the Zhoushan Archipelago New Area. Its coastal wetland and tidal flats offer significant ecological services including floodwater storage, wildlife habitat, and buffers against tidal surges. Yet, large-scale land reclamation and new land development may dramatically change ecosystem services. In this research, we assess changes in ecosystem service values in Zhoushan Island during 1990-2000-2011. Three LANDSAT TM and/or ETM data sets were used to determine the spatial pattern of land use, and previously published value coefficients were used to calculate the ecosystem service values delivered by each land category. The results show that total value of ecosystem services in Zhoushan Island declined by 11% from 2920.07 billion Yuan to 2609.77 billion Yuan per year between 1990 and 2011. This decrease is largely attributable to the 51% loss of tidal flats. The combined ecosystem service values of woodland, paddy land and tidal flats were over 90% of the total values. The result indicates that future land-use policy should pay attention to the conservation of these ecosystems over uncontrolled reclamation and coastal industrial development, and that further coastal reclamation should be on rigorous environmental impact analyses.

  6. Policy on Hazard Analysis and Critical Control Point (HACCP) and adherence to food preparation guidelines: a cross sectional survey of stakeholders in food service in Kumasi, Ghana.

    Science.gov (United States)

    Agyei-Baffour, Peter; Sekyere, Kofi Boateng; Addy, Ernestine Akosua

    2013-11-04

    Food borne diseases claim more lives and are growing public health concerns. Simple preventive techniques such as adoption and adherence to hazard analysis and critical control point (HACCP) policy can significantly reduce this disease burden. Though food screening and inspection are done, the ultimate regulation, Hazard Analysis and Critical Control Point, which is known and accepted worldwide, appears not to be popular among food operators in Ghana. This paper examines the level of awareness of the existence of policy on hazard analysis and critical control point (HACCP) and its adherence to food preparation guidelines among food service providers in Ghana. The results revealed the mean age of food providers as 33.1 years with a standard deviation of 7.5, range of 18-55 years, more females, in full time employment and with basic education. Of the fifty institutional managers, 42 (84%) were senior officers and had worked for more than five years. Education and type of food operator had strong statistically significant relationship with the implementation of HCCP policy and adherence with food preparation guidelines. The enforcement of HACCP policy and adherence with food safety guidelines was led by the Ghana Tourist Board, Public Health officers, and KMA, respectively. While a majority of food operators 373/450 (83.3%) did not know HACCP policy is part of food safety guidelines, staff of food safety law enforcement 44/50 (88%) confirmed knowing that food operators were not aware of the HACCP policy. The study documents evidence on the practice of food safety principles or HACCP policy or adherence to food preparation guidelines. Existing food safety guidelines incorporate varying principles of HACCP, however, awareness is low among food operators. The implication is that food production is likely to fall short of acceptable standards and not be wholesome putting consumers at health risk. Repeating this study in rural and urban areas in Ghana is necessary to

  7. Incoherent policies on universal coverage of health insurance and promotion of international trade in health services in Thailand.

    Science.gov (United States)

    Pachanee, Cha-aim; Wibulpolprasert, Suwit

    2006-07-01

    The Thai government has implemented universal coverage of health insurance since October 2001. Universal access to antiretroviral (ARV) drugs has also been included since October 2003. These two policies have greatly increased the demand for health services and human resources for health, particularly among public health care providers. After the 1997 economic crisis, private health care providers, with the support of the government, embarked on new marketing strategies targeted at attracting foreign patients. Consequently, increasing numbers of foreign patients are visiting Thailand to seek medical care. In addition, the economic recovery since 2001 has greatly increased the demand for private health services among the Thai population. The increasing demand and much higher financial incentives from urban private providers have attracted health personnel, particularly medical doctors, from rural public health care facilities. Responding to this increasing demand and internal brain drain, in mid-2004 the Thai government approved the increased production of medical doctors by 10,678 in the following 15 years. Many additional financial incentives have also been applied. However, the immediate shortage of human resources needs to be addressed competently and urgently. Equity in health care access under this situation of competing demands from dual track policies is a challenge to policy makers and analysts. This paper summarizes the situation and trends as well as the responses by the Thai government. Both supply and demand side responses are described, and some solutions to restore equity in health care access are proposed.

  8. Optimal Return Service Charging Policy for a Fashion Mass Customization Program

    OpenAIRE

    Tsan-Ming Choi

    2013-01-01

    Mass customization (MC) service is a pertinent industrial practice in the fashion industry. To foster trust and enhance demand, some brands now allow dissatisfied customers to return the MC fashion product for a full refund minus a service charge. The service charge is a measure to avoid the abuse of the return right and to subsidize the operations cost (e.g., shipping) and loss from the return. Motivated by this observed industrial practice, this paper analytically examines the optimal retur...

  9. Multidisciplinarity, interdisciplinarity, and transdisciplinarity in health research, services, education and policy: 2. Promotors, barriers, and strategies of enhancement.

    Science.gov (United States)

    Choi, Bernard C K; Pak, Anita W P

    2007-01-01

    Multidisciplinary, interdisciplinary and transdisciplinary teams are increasingly encouraged in health research, services, education and policy. This paper is the second in a series. The first discussed the definitions, objectives, and evidence of effectiveness of multiple disciplinary teamwork. This paper continues to examine the promotors, barriers, and ways to enhance such teamwork. The paper is a literature review based on Google and MEDLINE (1982-2007) searches. "Multidisciplinarity", "interdisciplinarity", "transdisciplinarity" and "definition" were used as keywords to identify the pertinent literature. The promotors of teamwork success include: good selection of team members, good team leaders, maturity and flexibility of team members, personal commitment, physical proximity of team members, the Internet and email as a supporting platform, incentives, institutional support and changes in the workplace, a common goal and shared vision, clarity and rotation of roles, communication, and constructive comments among team members. The barriers, in general, reflect the situation in which the promotors are lacking. They include: poor selection of the disciplines and team members, poor process of team functioning, lack of proper measures to evaluate success of interdisciplinary work, lack of guidelines for multiple authorship in research publications, language problems, insufficient time or funding for the project, institutional constraints, discipline conflicts, team conflicts, lack of communication between disciplines, and unequal power among disciplines. Not every health project needs to involve multiple disciplines. Several questions can help in deciding whether a multiple disciplinary approach is required. If multiple disciplinarity is called for, eight strategies to enhance multiple disciplinary teamwork are proposed. They can be summarised in the acronym TEAMWORK - Team, Enthusiasm, Accessibility, Motivation, Workplace, Objectives, Role, Kinship.

  10. Providing Survivable Real-Time Communication Service for Distributed Mission Critical Systems

    National Research Council Canada - National Science Library

    Zhao, Wei; Bettati, Riccardo; Vaidya, Nitin

    2005-01-01

    This document is the final report for Providing Survivable Real-Time Communication Service for Distributed Mission Critical Systems, a Texas A AND M project funded through the DARPA Fault Tolerant Networks Program...

  11. 49 CFR 398.6 - Hours of service of drivers; maximum driving time.

    Science.gov (United States)

    2010-10-01

    ... REGULATIONS TRANSPORTATION OF MIGRANT WORKERS § 398.6 Hours of service of drivers; maximum driving time. No person shall drive nor shall any motor carrier permit or require a driver employed or used by it to drive...

  12. Policy implementation in practice: the case of national service frameworks in general practice.

    Science.gov (United States)

    Checkland, Kath; Harrison, Stephen

    2004-10-01

    National Service Frameworks are an integral part of the government's drive to 'modernise' the NHS, intended to standardise both clinical care and the design of the services used to deliver that clinical care. This article uses evidence from qualitative case studies in three general practices to illustrate the difficulties associated with the implementation of such top-down guidelines and models of service. In these studies it was found that, while there had been little explicit activity directed at implementation overall, the National Service Framework for coronary heart disease had in general fared better than that for older people. Gunn's notion of 'perfect implementation' is used to make sense of the findings.

  13. Recent changes in Medicaid policy and their possible effects on mental health services.

    Science.gov (United States)

    Buck, Jeffrey A

    2009-11-01

    As Medicaid has emerged as the primary funder of public mental health services, its character has affected the organization and delivery of such services. Recent changes to the program, however, promise to further affect the direction of changes in states' mental health service systems. One group of changes will further limit the flexibility of Medicaid mental health funding, while increasing provider accountability and the authority of state Medicaid agencies. Others will increase incentives for deinstitutionalization and community-based care and promote person-centered treatment principles. These changes will likely affect state mental health systems, mental health providers, and the nature of service delivery.

  14. Assessment of policy and access to HIV prevention, care, and treatment services for men who have sex with men and for sex workers in Burkina Faso and Togo.

    Science.gov (United States)

    Duvall, Sandra; Irani, Laili; Compaoré, Cyrille; Sanon, Patrice; Bassonon, Dieudonne; Anato, Simplice; Agounke, Jeannine; Hodo, Ama; Kugbe, Yves; Chaold, Gertrude; Nigobora, Berry; MacInnis, Ron

    2015-03-01

    In Burkina Faso and Togo, key populations of men who have sex with men (MSM) and sex workers (SW) have a disproportionately higher HIV prevalence. This study analyzed the 2 countries' policies impacting MSM and SW; to what extent the policies and programs have been implemented; and the role of the enabling environment, country leadership, and donor support. The Health Policy Project's Policy Assessment and Advocacy Decision Model methodology was used to analyze policy and program documents related to key populations, conduct key informant interviews, and hold stakeholder meetings to validate the findings. Several policy barriers restrict MSM/SW from accessing services. Laws criminalizing MSM/SW, particularly anti-solicitation laws, result in harassment and arrests of even nonsoliciting MSM/SW. Policy gaps exist, including few MSM/SW-supportive policies and HIV prevention measures, e.g., lubricant not included in the essential medicines list. The needs of key populations are generally not met due to policy gaps around MSM/SW participation in decision-making and funding allocation for MSM/SW-specific programming. Misaligned policies, eg, contradictory informed consent laws and protocols, and uneven policy implementation, such as stockouts of sexually transmitted infection kits, HIV testing materials, and antiretrovirals, undermine evidence-based policies. Even in the presence of a supportive donor and political community, public stigma and discrimination (S&D) create a hostile enabling environment. Policies are needed to address S&D, particularly health care provider and law enforcement training, and to authorize, fund, guide, and monitor services for key populations. MSM/SW participation and development of operational guidelines can improve policy implementation and service uptake.

  15. Protocol: a realist review of user fee exemption policies for health services in Africa.

    Science.gov (United States)

    Robert, Emilie; Ridde, Valéry; Marchal, Bruno; Fournier, Pierre

    2012-01-01

    Background Four years prior to the Millenium Development Goals (MDGs) deadline, low- and middle-income countries and international stakeholders are looking for evidence-based policies to improve access to healthcare for the most vulnerable populations. User fee exemption policies are one of the potential solutions. However, the evidence is disparate, and systematic reviews have failed to provide valuable lessons. The authors propose to produce an innovative synthesis of the available evidence on user fee exemption policies in Africa to feed the policy-making process. Methods The authors will carry out a realist review to answer the following research question: what are the outcomes of user fee exemption policies implemented in Africa? why do they produce such outcomes? and what contextual elements come into play? This type of review aims to understand how contextual elements influence the production of outcomes through the activation of specific mechanisms, in the form of context-mechanism-outcome configurations. The review will be conducted in five steps: (1) identifying with key stakeholders the mechanisms underlying user fee exemption policies to develop the analytical framework, (2) searching for and selecting primary data, (3) assessing the quality of evidence using the Mixed-Method Appraisal Tool, (4) extracting the data using the analytical framework and (5) synthesising the data in the form of context-mechanism-outcomes configurations. The output will be a middle-range theory specifying how user fee exemption policies work, for what populations and under what circumstances. Ethics and dissemination The two main target audiences are researchers who are looking for examples to implement a realist review, and policy-makers and international stakeholders looking for lessons learnt on user fee exemption. For the latter, a knowledge-sharing strategy involving local scientific and policy networks will be implemented. The study has been approved by the ethics

  16. TIME-BASED COMPETITION IN THE SUPPLY-CHAIN: THE ROLE OF THE LOGISTICS SERVICE PROVIDERS

    Directory of Open Access Journals (Sweden)

    Judit OLÁH

    2018-05-01

    Full Text Available Among the service industries, the analysis logistics as an academic field which has a great influence on firms’ creation of value and competitiveness, and within this the analysis of firms providing logistics services (3PLP, has become more relevant than in previous years. Among the expectations of logistics service providers, and among the sources of competitive advantage, are timeliness and flexibility, which can only be handled and measured together, because of the integration of services. At the same time, when supply chains (not corporations compete with each other, we must create the opportunity to manage chains beyond company boundaries. Our aim is to investigate the time-related problems of supply chains (and sections and logistics service providers, and their consequences and solutions. We have found that the development of time factors which appear and can be measured in the realization of logistics services contributes to the competitiveness of a logistics service company. The performance provided by companies that are integrated into the supply chain’s member companies and operate as flexible logistics service providers can have a significant impact on the (full operation and efficiency of the supply chain.

  17. Dynamic virtual machine allocation policy in cloud computing complying with service level agreement using CloudSim

    Science.gov (United States)

    Aneri, Parikh; Sumathy, S.

    2017-11-01

    Cloud computing provides services over the internet and provides application resources and data to the users based on their demand. Base of the Cloud Computing is consumer provider model. Cloud provider provides resources which consumer can access using cloud computing model in order to build their application based on their demand. Cloud data center is a bulk of resources on shared pool architecture for cloud user to access. Virtualization is the heart of the Cloud computing model, it provides virtual machine as per application specific configuration and those applications are free to choose their own configuration. On one hand, there is huge number of resources and on other hand it has to serve huge number of requests effectively. Therefore, resource allocation policy and scheduling policy play very important role in allocation and managing resources in this cloud computing model. This paper proposes the load balancing policy using Hungarian algorithm. Hungarian Algorithm provides dynamic load balancing policy with a monitor component. Monitor component helps to increase cloud resource utilization by managing the Hungarian algorithm by monitoring its state and altering its state based on artificial intelligent. CloudSim used in this proposal is an extensible toolkit and it simulates cloud computing environment.

  18. Use of queue modelling in the analysis of elective patient treatment governed by a maximum waiting time policy

    DEFF Research Database (Denmark)

    Kozlowski, Dawid; Worthington, Dave

    2015-01-01

    chain and discrete event simulation models, to provide an insightful analysis of the public hospital performance under the policy rules. The aim of this paper is to support the enhancement of the quality of elective patient care, to be brought about by better understanding of the policy implications...... on the utilization of public hospital resources. This paper illustrates the use of a queue modelling approach in the analysis of elective patient treatment governed by the maximum waiting time policy. Drawing upon the combined strengths of analytic and simulation approaches we develop both continuous-time Markov...

  19. Policies and Practices of Family Friendliness. Time and Employment Relations in Knowledge Work

    Directory of Open Access Journals (Sweden)

    Tove Håpnes

    2011-11-01

    Full Text Available In Norway an ideology of gender equality and the universal welfare state has created generous leave arrangements for parents, both mothers and fathers, to make the combination of work and family possible.To recruit competent women and men, knowledge work organisations have to accommodate to working hours that are compatible with the responsibility for a family. In the knowledge economy in Norway we therefore find women and men with higher education trying to act out the ideals of gen- der equality at work and at home. In this paper we explore how family-friendly policies in knowledge work organisations result in family-friendly practices.We do this by analysing two R&D departments belonging to large Norwegian companies in the international market. Both had policies of gender equality and family friendly working time arrangements and career opportunities for women with reduced hours.We show how different employment relations and forms of organisation influenced the work and time practices of the research scientists. Using the concept of social contracts in em- ployment and a relational concept of time, we found that it was more difficult to realise the reduced hours in the organisation that took responsibility for the career and welfare of their employees in a long-term perspective because of the mutual trust and obligations in this relationship.The women in the organisation with more transactional relations where their employment was dependent upon the market and their short-term economic performance, were able to use their accounting system to reduce their hours.The young fathers in the same organisation who were not yet established as experts, could not use the accounting system to limit their hours like the senior women.They needed to work long hours on scientific publications to qualify as researchers to secure their employment. In Norway an ideology of gender equality and the universal welfare state has created generous leave arrangements

  20. Framing scenarios of binational water policy with a tool to visualize, quantify and valuate changes in ecosystem services

    Science.gov (United States)

    Norman, Laura M.; Villarreal, Miguel L.; Niraula, Rewati; Meixner, Thomas; Frisvold, George; Labiosa, William

    2013-01-01

    In the Santa Cruz Watershed, located on the Arizona-Sonora portion of the U.S.-Mexico border, an international wastewater treatment plant treats wastewater from cities on both sides of the border, before discharging it into the river in Arizona. These artificial flows often subsidize important perennial surface water ecosystems in the region. An explicit understanding of the benefits of maintaining instream flow for present and future generations requires the ability to assess and understand the important trade-offs implicit in water-resource management decisions. In this paper, we outline an approach for modeling and visualizing impacts of management decisions in terms of rare terrestrial and aquatic wildlife, vegetation, surface water, groundwater recharge, real-estate values and socio-environmental vulnerable communities. We identify and quantify ecosystem services and model the potential reduction in effluent discharge to the U.S. that is under scrutiny by binational water policy makers and of concern to stakeholders. Results of service provisioning are presented, and implications for policy makers and resource managers are discussed. This paper presents a robust ecosystem services assessment of multiple scenarios of watershed management as a means to discern eco-hydrological responses and consider their potential values for future generations living in the borderlands.

  1. The Organisation of Local Mental Health Services in Norway: Evidence, Uncertainty and Policy

    Science.gov (United States)

    Ramsdal, Helge; Hansen, Gunnar Vold

    2017-01-01

    This article addresses questions about health authorities' recommendations on the local organisation of services for people with mental health disorders in Norway. Analysis is made of the dynamic relationship between different evaluations, national guidelines and other knowledge that influence the organisation of services. The analysis is based…

  2. Policy and context management in dynamically provisioned access control service for virtualized Cloud infrastructures

    NARCIS (Netherlands)

    Ngo, C.; Membrey, P.; Demchenko, Y.; de Laat, C.

    2012-01-01

    Cloud computing is developing as a new wave of ICT technologies, offering a common approach to on-demand provisioning of computation, storage and network resources which are generally referred to as infrastructure services. Most of currently available commercial Cloud services are built and

  3. Marine and coastal ecosystem services on the science-policy-practice nexus

    NARCIS (Netherlands)

    Drakou, Evangelia G.; Kermagoret, Charlène; Liquete, Camino; Ruiz-Frau, Ana; Burkhard, Kremena; Lillebø, Ana I.; Oudenhoven, van Alexander P.E.; Ballé-Béganton, Johanna; Rodrigues, João Garcia; Nieminen, Emmi; Oinonen, Soile; Ziemba, Alex; Gissi, Elena; Depellegrin, Daniel; Veidemane, Kristina; Ruskule, Anda; Delangue, Justine; Böhnke-Henrichs, Anne; Boon, Arjen; Wenning, Richard; Martino, Simone; Hasler, Berit; Termansen, Mette; Rockel, Mark; Hummel, Herman; Serafy, El Ghada; Peev, Plamen

    2017-01-01

    We compared and contrasted 11 European case studies to identify challenges and opportunities toward the operationalization of marine and coastal ecosystem service (MCES) assessments in Europe. This work is the output of a panel convened by the Marine Working Group of the Ecosystem Services

  4. Forest-land conversion, ecosystem services, and economic issues for policy: a review

    Science.gov (United States)

    Robert A. Smail; David J. Lewis

    2009-01-01

    The continued conversion and development of forest land pose a serious threat to the ecosystem services derived from forested landscapes. We argue that developing an understanding of the full range of consequences from forest conversion requires understanding the effects of such conversion on both components of ecosystem services: products and processes....

  5. Cogema and the environment. Environmental policy. The Cogema group in the environment service

    International Nuclear Information System (INIS)

    1997-01-01

    This document presents the organization of the environmental policy at Cogema facilities. The first part presents the environmental policy of the group: integration of environment management at all levels, reduction of effluents and control of their environmental impact, integrating environment protection at the design stage of facilities, quality and improvement policy, expenses devoted to environment protection (investments, R and D, funds), public information. The second part concerns the transfer of Cogema's know-how in environmental engineering towards other industrial sectors: radioactivity measurements, mine and quarry sites rehabilitation, industrial wastes and effluents processing, decontamination and rehabilitation of ancient polluted industrial sites, foreign activities (rehabilitation of US-DOE military sites, aid to Eastern countries. (J.S.)

  6. Inequality in the use of maternal and child health services in the Philippines: do pro-poor health policies result in more equitable use of services?

    Science.gov (United States)

    Paredes, Karlo Paolo P

    2016-11-10

    The Philippines failed to achieve its Millennium Development Goal (MDG) commitment to reduce maternal deaths by three quarters. This, together with the recently launched Sustainable Development Goals (SDGs), reinforces the need for the country to keep up in improving reach of maternal and child health (MCH) services. Inequitable use of health services is a risk factor for the differences in health outcomes across socio-economic groups. This study aims to explore the extent of inequities in the use of MCH services in the Philippines after pro-poor national health policy reforms. This paper uses data from the 2008 and 2013 Demographic and Health Survey (DHS) in the Philippines. Socio-economic inequality in MCH services use was measured using the concentration index. The concentration index was also decomposed in order to examine the contribution of different factors to the inequalities in the use of MCH services. In absolute figures, women who delivered in facilities increased from 2008 to 2013. Little change was noted for women who received complete antenatal care and caesarean births. Facility deliveries remain pro-rich although a pro-poor shift was noted. Women who received complete antenatal care services also remain concentrated to the rich. Further, there is a highly pro-rich inequality in caesarean deliveries which did not change much from 2008 to 2013. Household income remains as the most important contributor to the resulting inequalities in health services use, followed by maternal education. For complete antenatal care use and deliveries in government facilities, regional differences also showed to have important contribution. The findings suggest inequality in the use of MCH services had limited pro-poor improvements. Household income remains to be the major driver of inequities in MCH services use in the Philippines. This is despite the recent national government-led subsidy for the health insurance of the poor. The highly pro-rich caesarean deliveries

  7. Forecasting Economic, Social and Environmental Growth in the Sanitary and Service Sector Based on Thailand's Sustainable Development Policy

    Directory of Open Access Journals (Sweden)

    Pruethsan Sutthichaimethee

    2018-01-01

    Full Text Available The purpose of this study is to forecast the long run implementation of Thailand’s sustainable development policy in three main aspects, including economic, social and environmental aspect for the the sanitary and service sectors from 2016 until 2045. According to the national data for the years 2000–2015, based on the ARIMAX model, it has been found that Thai economy system is potentially changed and growing rapidly by 25.76%, the population has grown by 7.15%, and the Greenhouse gas emissions will gradually increase by 49.65%, in the year 2045. However, based on the analysis above, if Thailand fails to run the afore-mentioned policy properly, it will be difficulto successfully implement sustainable development, because the increased emission is moving in the same direction with economy and social aspect of Thailand.

  8. Implementation of a guideline for local health policy making by regional health services : Exploring determinants of use by a web survey

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Jacobs, M.A.M.; Paulussen, T.G.W.M.; van de Goor, L.A.M.; van Bon, M.J.H.; van Oers, J.A.M.

    Background Previous evaluation showed insufficient use of a national guideline for integrated local health policy by Regional Health Services (RHS) in the Netherlands. The guideline focuses on five health topics and includes five checklists to support integrated municipal health policies. This study

  9. Implementation of a guideline for local health policy making by regional health services: exploring determinants of use by a web survey

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Jacobs, M.A.M.; Goor, I.A.M. van de; Bon-Martens, M.J.H. van; Oers, H.A.M. van; Paulussen, T.G.W.M.

    2017-01-01

    Background. Previous evaluation showed insufficient use of a national guideline for integrated local health policy by Regional Health Services (RHS) in the Netherlands. The guideline focuses on five health topics and includes five checklists to support integrated municipal health policies. This

  10. Time-stamp correction of magnetic observatory data acquired during unavailability of time-synchronization services

    Science.gov (United States)

    Coïsson, Pierdavide; Telali, Kader; Heumez, Benoit; Lesur, Vincent; Lalanne, Xavier; Jiang Xin, Chang

    2017-09-01

    During magnetic observatory data acquisition, the data time stamp is kept synchronized with a precise source of time. This is usually done using a GPS-controlled pulse per second (PPS) signal. For some observatories located in remote areas or where internet restrictions are enforced, only the magnetometer data are transmitted, limiting the capabilities of monitoring the acquisition operations. The magnetic observatory in Lanzhou (LZH), China, experienced an unnoticed interruption of the GPS PPS starting 7 March 2013. The data logger clock drifted slowly in time: in 6 months a lag of 27 s was accumulated. After a reboot on 2 April 2014 the drift became faster, -2 s per day, before the GPS PPS could be restored on 8 July 2014. To estimate the time lags that LZH time series had accumulated, we compared it with data from other observatories located in East Asia. A synchronization algorithm was developed. Natural sources providing synchronous events could be used as markers to obtain the time lag between the observatories. The analysis of slices of 1 h of 1 s data at arbitrary UTC allowed estimating time lags with an uncertainty of ˜ 11 s, revealing the correct trends of LZH time drift. A precise estimation of the time lag was obtained by comparing data from co-located instruments controlled by an independent PPS. In this case, it was possible to take advantage of spikes and local noise that constituted precise time markers. It was therefore possible to determine a correction to apply to LZH time stamps to correct the data files and produce reliable 1 min averaged definitive magnetic data.

  11. A Logic for Reasoning About Time-Dependent Access Control Policies

    National Research Council Canada - National Science Library

    DeYoung, Henry

    2008-01-01

    .... Because of the number and complexity of authorization policies in access control systems, it is clear that ad hoc methods for specifying and enforcing policies cannot inspire a high degree of trust...

  12. Integrating evidence into policy and sustainable disability services delivery in western New South Wales, Australia: the 'wobbly hub and double spokes' project.

    Science.gov (United States)

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

    2012-03-21

    Policy that supports rural allied health service delivery is important given the shortage of services outside of Australian metropolitan centres. The shortage of allied health professionals means that rural clinicians work long hours and have little peer or service support. Service delivery to rural and remote communities is further complicated because relatively small numbers of clients are dispersed over large geographic areas. The aim of this five-year multi-stage project is to generate evidence to confirm and develop evidence-based policies and to evaluate their implementation in procedures that allow a regional allied health workforce to more expeditiously respond to disability service need in regional New South Wales, Australia. The project consists of four inter-related stages that together constitute a full policy cycle. It uses mixed quantitative and qualitative methods, guided by key policy concerns such as: access, complexity, cost, distribution of benefits, timeliness, effectiveness, equity, policy consistency, and community and political acceptability. Stage 1 adopts a policy analysis approach in which existing relevant policies and related documentation will be collected and reviewed. Policy-makers and senior managers within the region and in central offices will be interviewed about issues that influence policy development and implementation. Stage 2 uses a mixed methods approach to collecting information from allied health professionals, clients, and carers. Focus groups and interviews will explore issues related to providing and receiving allied health services. Discrete Choice Experiments will elicit staff and client/carer preferences. Stage 3 synthesises Stage 1 and 2 findings with reference to the key policy issues to develop and implement policies and procedures to establish several innovative regional workforce and service provision projects. Stage 4 uses mixed methods to monitor and evaluate the implementation and impact of new or adapted

  13. Evaluation of caregiver-friendly workplace policy (CFWPs interventions on the health of full-time caregiver employees (CEs: implementation and cost-benefit analysis

    Directory of Open Access Journals (Sweden)

    Allison M. Williams

    2017-09-01

    Full Text Available Abstract Background Current Canadian evidence illustrating the health benefits and cost-effectiveness of caregiver-friendly workplace policies is needed if Canadian employers are to adopt and integrate caregiver-friendly workplace policies into their employment practices. The goal of this three-year, three study research project is to provide such evidence for the auto manufacturing and educational services sectors. The research questions being addressed are: What are the impacts for employers (economic and workers (health of caregiver-friendly workplace policy intervention(s for full-time caregiver-employees? What are the impacts for employers, workers and society of the caregiver-friendly workplace policy intervention(s in each participating workplace? What contextual factors impact the successful implementation of caregiver-friendly workplace policy intervention(s? Methods Using a pre-post-test comparative case study design, Study A will determine the effectiveness of newly implemented caregiver-friendly workplace policy intervention(s across two workplaces to determine impacts on caregiver-employee health. A quasi-experimental pre-post design will allow the caregiver-friendly workplace policy intervention(s to be tested with respect to potential impacts on health, and specifically on caregiver employee mental, psychosocial, and physical health. Framed within a comparative case study design, Study B will utilize cost-benefit and cost-effectiveness analysis approaches to evaluate the economic impacts of the caregiver-friendly workplace policy intervention(s for each of the two participating workplaces. Framed within a comparative case study design, Study C will undertake an implementation analysis of the caregiver-friendly workplace policy intervention(s in each participating workplace in order to determine: the degree of support for the intervention(s (reflected in the workplace culture; how sex and gender are implicated; co

  14. Evaluation of caregiver-friendly workplace policy (CFWPs) interventions on the health of full-time caregiver employees (CEs): implementation and cost-benefit analysis.

    Science.gov (United States)

    Williams, Allison M; Tompa, Emile; Lero, Donna S; Fast, Janet; Yazdani, Amin; Zeytinoglu, Isik U

    2017-09-20

    Current Canadian evidence illustrating the health benefits and cost-effectiveness of caregiver-friendly workplace policies is needed if Canadian employers are to adopt and integrate caregiver-friendly workplace policies into their employment practices. The goal of this three-year, three study research project is to provide such evidence for the auto manufacturing and educational services sectors. The research questions being addressed are: What are the impacts for employers (economic) and workers (health) of caregiver-friendly workplace policy intervention(s) for full-time caregiver-employees? What are the impacts for employers, workers and society of the caregiver-friendly workplace policy intervention(s) in each participating workplace? What contextual factors impact the successful implementation of caregiver-friendly workplace policy intervention(s)? Using a pre-post-test comparative case study design, Study A will determine the effectiveness of newly implemented caregiver-friendly workplace policy intervention(s) across two workplaces to determine impacts on caregiver-employee health. A quasi-experimental pre-post design will allow the caregiver-friendly workplace policy intervention(s) to be tested with respect to potential impacts on health, and specifically on caregiver employee mental, psychosocial, and physical health. Framed within a comparative case study design, Study B will utilize cost-benefit and cost-effectiveness analysis approaches to evaluate the economic impacts of the caregiver-friendly workplace policy intervention(s) for each of the two participating workplaces. Framed within a comparative case study design, Study C will undertake an implementation analysis of the caregiver-friendly workplace policy intervention(s) in each participating workplace in order to determine: the degree of support for the intervention(s) (reflected in the workplace culture); how sex and gender are implicated; co-workers' responses to the chosen intervention(s), and

  15. The optimal replenishment policy for time-varying stochastic demand under vendor managed inventory

    DEFF Research Database (Denmark)

    Govindan, Kannan

    2015-01-01

    A Vendor Managed Inventory (VMI) partnership places the responsibility on the vendor (rather than on buyers) to schedule purchase orders for inventory replenishment in the supply chain system. In this research, the supply chain network considers the Silver-Meal heuristic with an augmentation...... quantity replenishment policy between both traditional and VMI systems. We consider time-varying stochastic demand in two-echelon (one vendor, multiple retailers) supply chains. This paper seeks to find the supply chain that minimizes system cost through comparing performance between traditional and VMI...... systems. A mathematical model is developed, and total supply chain cost is used as the measure of comparison. The models are applied in both traditional and VMI supply chains based on pharmaceutical industry data, and we focus on total cost difference compared through the use of Adjusted Silver-Meal (ASM...

  16. Negotiating services liberalization within TTIP : The EU external trade policy at crossroads

    NARCIS (Netherlands)

    Delimatsis, Panagiotis

    2016-01-01

    The conclusion of the Transatlantic Trade and Investment Partnership (TTIP) constitutes a priority and key component of the new external trade policy of the European Union (EU) and an immediate follow-up to several years of regulatory cooperation between the two global trade powers. In an era of

  17. Compensating for livestock killed by lions: payment for environmental services as a policy arrangement

    NARCIS (Netherlands)

    Anyango, M.N.; Duim, van der V.R.; Visseren-Hamakers, I.J.

    2015-01-01

    To address human–wildlife conflicts and the related threat of extinction of the African lion, in 2003, the Maasailand Preservation Trust established a fund at the Mbirikani Group Ranch in southern Kenya to provide monetary compensation for livestock killed by wildlife. In this paper, the policy

  18. Diversity policy in employment and service provision: case study: Copenhagen, Denmark

    NARCIS (Netherlands)

    Penninx, R.

    2009-01-01

    Denmark is a welfare state in a rather pronounced form. It has inclusive policies, not only for its citizens but also for all legal residents. Equality and equal treatment are keywords in the political discourse. The city of Copenhagen follows the national model to a great extent, but also deviates

  19. Environmental and social risks: defensive National Environmental Policy Act in the US Forest Service

    Science.gov (United States)

    Michael J. Mortimer; Marc J. Stern; Robert W. Malmsheimer; Dale J. Blahna; Lee K. Cerveny; David N. Seesholtz

    2011-01-01

    The National Environmental Policy Act (NEPA) and its accompanying regulations provide a spectrum of alternative analytical pathways for federal agencies proposing major actions that might significantly impact the human environment. Although guidance from the President's council on Environmental Quality suggests the decision to develop an environmental impact...

  20. 76 FR 18942 - Policies To Promote Rural Radio Service and To Streamline Allotment and Assignment Procedures

    Science.gov (United States)

    2011-04-06

    ... absence of other Tribal-owned or Tribal-oriented media of mass communications in the area, or a showing... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Parts 73 and 74 [MB Docket No. 09-52; FCC 11-28] Policies... Communications Commission. ACTION: Final rule. SUMMARY: In this document, the Commission adopted a number of...

  1. 77 FR 2916 - Policies To Promote Rural Radio Service and To Streamline Allotment and Assignment Procedures

    Science.gov (United States)

    2012-01-20

    ... bidding credit to Tribes with no interests in media of mass communications, for a total maximum bidding.... ADDRESSES: Peter Doyle or Thomas Nessinger, Federal Communications Commission, Media Bureau, Audio Division... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 73 [MB Docket No. 09-52; FCC 11-190] Policies To...

  2. Seasonality of service provision in hip and knee surgery: a possible contributor to waiting times? A time series analysis.

    Science.gov (United States)

    Upshur, Ross E G; Moineddin, Rahim; Crighton, Eric J; Mamdani, Muhammad

    2006-03-01

    The question of how best to reduce waiting times for health care, particularly surgical procedures such as hip and knee replacements is among the most pressing concern of the Canadian health care system. The objective of this study was to test the hypothesis that significant seasonal variation exists in the performance of hip and knee replacement surgery in the province of Ontario. We performed a retrospective, cross-sectional time series analysis examining all hip and knee replacement surgeries in people over the age of 65 in the province of Ontario, Canada between 1992 and 2002. The main outcome measure was monthly hospitalization rates per 100,000 population for all hip and knee replacements. There was a marked increase in the rate of hip and knee replacement surgery over the 10-year period as well as an increasing seasonal variation in surgeries. Highly significant (Fisher Kappa = 16.05, p Holidays and utilization caps appear to exert a significant influence on the rate of service provision. It is expected that waiting times for hip and knee replacement could be reduced by reducing seasonal fluctuations in service provision and benchmarking services to peak delivery. The results highlight the importance of system behaviour in seasonal fluctuation of service delivery.

  3. Seasonality of service provision in hip and knee surgery: A possible contributor to waiting times? A time series analysis

    Directory of Open Access Journals (Sweden)

    Upshur Ross EG

    2006-03-01

    Full Text Available Abstract Background The question of how best to reduce waiting times for health care, particularly surgical procedures such as hip and knee replacements is among the most pressing concern of the Canadian health care system. The objective of this study was to test the hypothesis that significant seasonal variation exists in the performance of hip and knee replacement surgery in the province of Ontario. Methods We performed a retrospective, cross-sectional time series analysis examining all hip and knee replacement surgeries in people over the age of 65 in the province of Ontario, Canada between 1992 and 2002. The main outcome measure was monthly hospitalization rates per 100 000 population for all hip and knee replacements. Results There was a marked increase in the rate of hip and knee replacement surgery over the 10-year period as well as an increasing seasonal variation in surgeries. Highly significant (Fisher Kappa = 16.05, p 2Autoreg = 0.85 seasonality was identified in the data. Conclusion Holidays and utilization caps appear to exert a significant influence on the rate of service provision. It is expected that waiting times for hip and knee replacement could be reduced by reducing seasonal fluctuations in service provision and benchmarking services to peak delivery. The results highlight the importance of system behaviour in seasonal fluctuation of service delivery.

  4. Long-Term Impacts of China’s New Commercial Harvest Exclusion Policy on Ecosystem Services and Biodiversity in the Temperate Forests of Northeast China

    Directory of Open Access Journals (Sweden)

    Kai Liu

    2018-04-01

    Full Text Available Temperate forests in Northeast China have been severely exploited by timber harvesting in the last century. To reverse this trend, China implemented the Classified Forest Management policy in the Natural Forest Conservation Program in 1998 to protect forests from excessive harvesting. However, the policy was unable to meet the 2020 commitment of increasing growing stock (set in the Kyoto Protocol because of high-intensity harvesting. Accordingly, China banned all commercial harvesting in Northeast China in 2014. In this study, we investigated the long-term impacts of the no commercial harvest (NCH policy on ecosystem services and biodiversity using a forest landscape model, LANDIS PRO 7.0, in the temperate forests of the Small Khingan Mountains, Northeast China. We designed three management scenarios: The H scenario (the Classified Forest Management policy used in the past, the NCH scenario (the current Commercial Harvest Exclusion policy, and the LT scenario (mitigation management, i.e., light thinning. We compared total aboveground forest biomass, biomass by tree species, abundance of old-growth forests, and diversity of tree species and age class in three scenarios from 2010 to 2100. We found that compared with the H scenario, the NCH scenario increased aboveground forest biomass, abundance of old-growth forests, and biomass of most timber species over time; however, it decreased the biomass of rare and protected tree species and biodiversity. We found that the LT scenario increased the biomass of rare and protected tree species and biodiversity in comparison with the NCH scenario, while it maintained aboveground forest biomass and abundance of old-growth forests at a high level (slightly less than the NCH scenario. We concluded there was trade-off between carbon storage and biodiversity. We also concluded that light thinning treatment was able to regulate the trade-off and alleviate the negative effects associated with the NCH policy. Our

  5. Big Data in Action for Government : Big Data Innovation in Public Services, Policy, and Engagement

    OpenAIRE

    World Bank

    2017-01-01

    Governments have an opportunity to harness big data solutions to improve productivity, performance and innovation in service delivery and policymaking processes. In developing countries, governments have an opportunity to adopt big data solutions and leapfrog traditional administrative approaches

  6. IMPACT OF CORPORATE GOVERNANCE AND FIRM-LEVEL CONTROL VARIABLES ON DIVIDEND POLICY OF SERVICE TRADE SECTOR OF MALAYSIA

    Directory of Open Access Journals (Sweden)

    Agha Jahanzeb

    2016-09-01

    Full Text Available This paper empirically investigates the impact of corporate governance factors (i.e. board size, board independence and CEO ownership and firm-level control variables (i.e. firm size, firm growth and firm profitability on the dividend payout policy among the service sector companies of Malaysia that are listed on Bursa Malaysia. Ordinary least square model was used to estimate the results. Sample consisted of 113 service sector firms from the period of 2009 to 2013. The results show that the profitable companies with large boards and less growth tend to pay higher dividends. Findings can be interpreted as that the profitable companies are sharing their profits with their shareholders in terms of dividends to give positive message to the market.

  7. The International Time Service of the National Geographic Institute (IGNA Laboratory) Argentina

    Science.gov (United States)

    Gómez, D.; Cimbaro, S.

    2014-06-01

    The "International Time Service" (Servicio Internacional de la Hora, SIH) at the Instituto Geográfico National Argentino (IGNA, formerly Instituto Geográfico Militar Argentino, IGMA), has contributed to the maintenance of the international time scale since its creation in 1931. In 2010 the IGNA started a process of upgrading its time laboratory with the objective of improving its contribution to the computation of the international reference time scales at the International Bureau of Weights and Measures (BIPM).

  8. Design and evaluation of overloaded service systems with skill based routing, under FCFS policies

    NARCIS (Netherlands)

    Adan, I.J.B.F.; Boon, M.A.A.; Weiss, G.

    2013-01-01

    We study an overloaded service system with servers of types S={s1,…,sJ}, serving customers of types C={c1,…,cI} under FCFS. Customers arrive in Poisson streams, join the queue and then abandon or get served. Service is skill based, which is described by a compatibility graph G, where (i,j)¿G if

  9. Evaluation of Electric Vehicle Charging Controllability for Provision of Time Critical Grid Services

    DEFF Research Database (Denmark)

    Martinenas, Sergejus; Marinelli, Mattia; Andersen, Peter Bach

    2016-01-01

    Replacement of conventional generation by more stochastic renewable generation sources leads to reduction of inertia and controllability in the power system. This introduces the need for more dynamic regulation services. These faster services could potentially be provided by the growing number...... of electric vehicles. EVs are a fast responding energy resource with high availability. This work evaluates and experimentally shows the limits of EV charging controllability with the focus on its suitability for providing ancillary grid services. Three different series produced EVs are tested....... The experimental testing is done by using charging current controllability of built-in AC charger to provide a primary frequency regulation service with very dynamic input frequency. The results show that most the controllability of most EVs is more than suitable for providing time critical grid services...

  10. Technical analysis, contestation and politics in policy agenda setting and implementation : the rise and fall of primary care maternal services from Ghana’s capitation policy

    NARCIS (Netherlands)

    Koduah, A.; Dijk, van J.W.M.; Agyepong, I.A.

    2016-01-01

    Background: Why issues get on the policy agenda, move into policy formulation and implementation while others drop off in the process is an important field of enquiry to inform public social policy development and implementation. This paper seeks to advance our understanding of health policy agenda

  11. Sojourn time asymptotics in Processor Sharing queues with varying service rate

    NARCIS (Netherlands)

    Egorova, R.; Mandjes, M.R.H.; Zwart, B.

    2007-01-01

    Abstract This paper addresses the sojourn time asymptotics for a GI/GI/⋅ queue operating under the Processor Sharing (PS) discipline with stochastically varying service rate. Our focus is on the logarithmic estimates of the tail of sojourn-time distribution, under the assumption that the job-size

  12. Effects of Real-Time Visual Feedback on Pre-Service Teachers' Singing

    Science.gov (United States)

    Leong, S.; Cheng, L.

    2014-01-01

    This pilot study focuses on the use real-time visual feedback technology (VFT) in vocal training. The empirical research has two aims: to ascertain the effectiveness of the real-time visual feedback software "Sing & See" in the vocal training of pre-service music teachers and the teachers' perspective on their experience with…

  13. Service-Oriented Architecture (SOA) Instantiation within a Hard Real-Time, Deterministic Combat System Environment

    Science.gov (United States)

    Moreland, James D., Jr

    2013-01-01

    This research investigates the instantiation of a Service-Oriented Architecture (SOA) within a hard real-time (stringent time constraints), deterministic (maximum predictability) combat system (CS) environment. There are numerous stakeholders across the U.S. Department of the Navy who are affected by this development, and therefore the system…

  14. Training Multidisciplinary Scholars in Science Policy for Careers in Academia, Private Sector, and Public Service

    Science.gov (United States)

    Kenney, M. A.

    2015-12-01

    Regardless of a graduate student's ultimate career ambitions, it is becoming increasingly important to either develop skills to successfully transition into non-academic careers or to be able to understand the societal benefits of basic and applied research programs. In this talk I will provide my prospective -- from working in academia, the Federal government, and as an independent consultant -- about the training that we need for graduate students to navigate the jungle gym of career opportunities available (or not available) after they graduate. In particular, I will speak to the need for science policy training, in which scientific and coordination skills are put to use to help support societal decisions. I will assert that, to effectively train graduate students, it is necessary to provide experiences in multidisciplinary, policy-relevant scholarship to build marketable skills critical for a student's professional development.

  15. The influence of waiting time satisfaction on customer loyalty towards multi-stage services in a full-service restaurant: evidence from India

    OpenAIRE

    MITTAL A.

    2016-01-01

    Research shows waiting time in services is an important source of service evaluation by the customer. In fact, time is one component of the total 'cost' that the customer bears and cost is a core component of the perceived cost-benefit equation that the customer uses to evaluate her or his sustained patronage of a particular service. In most services, customers consider waiting as a waste of time. However, from the customer perspective, in the case of a full-service restaurant, waiting is exp...

  16. [PUBLIC ADMINISTRATION OF PERSONNEL POLICY IN REFORMING OF UKRAINIAN HEALTH CARE SYSTEM USING THE EXAMPLE OF DERMATOVENEREOLOGICAL SERVICE].

    Science.gov (United States)

    Korolenko, V V; Dykun, O P; Isayenko, R M; Remennyk, O I; Avramenko, T P; Stepanenko, V I; Petrova, K I; Volosovets, O P; Lazoryshynets, V V

    2014-01-01

    The health care system, its modernization and optimization are among the most important functions of the modern Ukrainian state. The main goal of the reforms in the field of healthcare is to improve the health of the population, equal and fair access for all to health services of adequate quality. Important place in the health sector reform belongs to optimizing the structure and function of dermatovenereological service. The aim of this work is to address the issue of human resources management of dermatovenereological services during health sector reform in Ukraine, taking into account the real possibility of disengagement dermatovenereological providing care between providers of primary medical care level (general practitioners) and providers of secondary (specialized) and tertiary (high-specialized) medical care (dermatovenerologists and pediatrician dermatovenerologists), and coordinating interaction between these levels. During research has been found, that the major problems of human resources of dermatovenereological service are insufficient staffing and provision of health-care providers;,growth in the number of health workers of retirement age; sectoral and regional disparity of staffing; the problem of improving the skills of medical personnel; regulatory support personnel policy areas and create incentives for staff motivation; problems of rational use of human resources for health care; problems of personnel training for dermatovenereological service. Currently reforming health sector should primarily serve the needs of the population in a fairly effective medical care at all levels, to ensure that there must be sufficient qualitatively trained and motivated health workers. To achieve this goal directed overall work of the Ministry of Health of Uktaine, the National Academy of Medical Sciences of Ukraine, medical universities, regional health authorities, professional medical associations. Therefore Ukrainian dermatovenereological care, in particular

  17. Factors that explain how policy makers distribute resources to mental health services.

    Science.gov (United States)

    Corrigan, Patrick W; Watson, Amy C

    2003-04-01

    Advocates hope to influence the resource allocation decisions of legislators and other policy makers to capture more resources for mental health programs. Findings from social psychological research suggest factors that, if pursued, may improve advocacy efforts. In particular, allocation decisions are affected by policy makers' perceptions of the scarcity of resources, effectiveness of specific programs, needs of people who have problems that are served by these programs, and extent of personal responsibility for these problems. These perceptions are further influenced by political ideology. Conservatives are motivated by a tendency to punish persons who are perceived as having personal responsibility for their problems by withholding resources, whereas liberals are likely to avoid tough allocation decisions. Moreover, these perceptions are affected by political accountability, that is, whether politicians perceive that their constituents will closely monitor their decisions. Just as the quality of clinical interventions improves when informed by basic research on human behavior, the efforts of mental health advocates will be advanced when they understand the psychological forces that affect policy makers' decisions about resources.

  18. Analysis and Policy Implications of the Liberalization in the Energy Service Industry

    Energy Technology Data Exchange (ETDEWEB)

    Jo, S.H. [Korea Energy Economics Institute, Euiwang (Korea)

    2001-11-01

    As GATT system, created with a goal towards free trade after World War II, has reached to the point of termination, the multinational negotiations on trade in services have been formulated, based on GATS(General Agreement on Trade in Services) regulations with the birth of WTO as a momentum. In May, 2000, E.C. and U.S. have proposed to add energy services as a separate category. Thus, an agenda that adds energy services as a separate category, is in the middle of WTO negotiations. Having the goal of energy negotiations is for fostering market approach, and expanding deregulation, These countries stress the points that obtaining transparency on regulations, restricting monopoly, and abolishing regulations on foreign investment, should be implemented. We analyzed how these changes can affect the Korean real GDP, export import, and industry, using the global CGE model GTEM-KOR which was developed by KEEI. The analysis suggests that the more we adapt open economy, the higher increasing rate we get on real GDP, export and import. Supply of crude oil, gas, and oil and coal product will increase, while coal and electricity decrease according to the analysis on energy part. Steel, other manufacturing industry, commerce, transportation and food production is expected to increase, but nonferrous metal, metallic mineral, agricultural, dairy, forest, and fishery production will decrease, also service industry will be slightly weakened. (author). 34 refs., 7 figs., 26 tabs.

  19. Time-Aware Service Ranking Prediction in the Internet of Things Environment.

    Science.gov (United States)

    Huang, Yuze; Huang, Jiwei; Cheng, Bo; He, Shuqing; Chen, Junliang

    2017-04-27

    With the rapid development of the Internet of things (IoT), building IoT systems with high quality of service (QoS) has become an urgent requirement in both academia and industry. During the procedures of building IoT systems, QoS-aware service selection is an important concern, which requires the ranking of a set of functionally similar services according to their QoS values. In reality, however, it is quite expensive and even impractical to evaluate all geographically-dispersed IoT services at a single client to obtain such a ranking. Nevertheless, distributed measurement and ranking aggregation have to deal with the high dynamics of QoS values and the inconsistency of partial rankings. To address these challenges, we propose a time-aware service ranking prediction approach named TSRPred for obtaining the global ranking from the collection of partial rankings. Specifically, a pairwise comparison model is constructed to describe the relationships between different services, where the partial rankings are obtained by time series forecasting on QoS values. The comparisons of IoT services are formulated by random walks, and thus, the global ranking can be obtained by sorting the steady-state probabilities of the underlying Markov chain. Finally, the efficacy of TSRPred is validated by simulation experiments based on large-scale real-world datasets.

  20. Time-Aware Service Ranking Prediction in the Internet of Things Environment

    Directory of Open Access Journals (Sweden)

    Yuze Huang

    2017-04-01

    Full Text Available With the rapid development of the Internet of things (IoT, building IoT systems with high quality of service (QoS has become an urgent requirement in both academia and industry. During the procedures of building IoT systems, QoS-aware service selection is an important concern, which requires the ranking of a set of functionally similar services according to their QoS values. In reality, however, it is quite expensive and even impractical to evaluate all geographically-dispersed IoT services at a single client to obtain such a ranking. Nevertheless, distributed measurement and ranking aggregation have to deal with the high dynamics of QoS values and the inconsistency of partial rankings. To address these challenges, we propose a time-aware service ranking prediction approach named TSRPred for obtaining the global ranking from the collection of partial rankings. Specifically, a pairwise comparison model is constructed to describe the relationships between different services, where the partial rankings are obtained by time series forecasting on QoS values. The comparisons of IoT services are formulated by random walks, and thus, the global ranking can be obtained by sorting the steady-state probabilities of the underlying Markov chain. Finally, the efficacy of TSRPred is validated by simulation experiments based on large-scale real-world datasets.

  1. PEMODELAN INTEGRASI NEARLY REAL TIME DATA WAREHOUSE DENGAN SERVICE ORIENTED ARCHITECTURE UNTUK MENUNJANG SISTEM INFORMASI RETAIL

    Directory of Open Access Journals (Sweden)

    I Made Dwi Jendra Sulastra

    2015-12-01

    Full Text Available Updates the data in the data warehouse is not traditionally done every transaction. Retail information systems require the latest data and can be accessed from anywhere for business analysis needs. Therefore, in this study will be made data warehouse model that is able to produce the information near real time, and can be accessed from anywhere by end users application. Modeling design integration of nearly real time data warehouse (NRTDWH with a service oriented architecture (SOA to support the retail information system is done in two stages. In the first stage will be designed modeling NRTDWH using Change Data Capture (CDC based Transaction Log. In the second stage will be designed modeling NRTDWH integration with SOA-based web service. Tests conducted by a simulation test applications. Test applications used retail information systems, web-based web service client, desktop, and mobile. Results of this study were (1 ETL-based CDC captures changes to the source table and then store it in the database NRTDWH with the help of a scheduler; (2 Middleware web service makes 6 service based on data contained in the database NRTDWH, and each of these services accessible and implemented by the web service client.

  2. The role of network bridging organisations in compensation payments for agri-environmental services under the EU Common Agricultural Policy.

    Science.gov (United States)

    Dedeurwaerdere, Tom; Polard, Audrey; Melindi-Ghidi, Paolo

    2015-11-01

    Compensation payments to farmers for the provision of agri-environmental services are a well-established policy scheme under the EU Common Agricultural Policy. However, in spite of the success in most EU countries in the uptake of the programme by farmers, the impact of the scheme on the long term commitment of farmers to change their practices remains poorly documented. To explore this issue, this paper presents the results of structured field interviews and a quantitative survey in the Walloon Region of Belgium. The main finding of this study is that farmers who have periodic contacts with network bridging organisations that foster cooperation and social learning in the agri-environmental landscapes show a higher commitment to change. This effect is observed both for farmers with high and low concern for biodiversity depletion. Support for network bridging organisations is foreseen under the EU Leader programme and the EU regulation 1306/2013, which could open-up interesting opportunities for enhancing the effectiveness of the current payment scheme for agri-environmental services.

  3. Innovation in Health Policy Education: Project-Based Service Learning at a Distance for Graduate Midwifery Students.

    Science.gov (United States)

    Van Hoover, Cheri

    2015-01-01

    Core competencies for midwifery practice include an understanding of systems of health care delivery and advocacy for legislation and policy initiatives that promote quality in health care. Today's rapidly changing health care environment, due in part to the implementation of the Patient Protection and Affordable Care Act, mandates that midwives possess greater literacy in health policy and comfort with political action than ever before. Frequently disinterested in politics and intimidated by the policymaking process, student midwives lack the foundational knowledge and practical skills needed to meet this professional obligation. The Midwifery Institute of Philadelphia University graduate program educates both student nurse-midwives and student midwives in health policy using an innovative, project-based service-learning approach featuring real-world collaborative experiences. This novel teaching style is ideally suited for instruction at a distance because of the diversity of experience brought to the virtual classroom by students in widely disparate geopolitical locations. As students accomplish measurable objectives within their individually developed projects and reflect with classmates about their experiences, they feel empowered to effect change and report lower perceived barriers to future political engagement. © 2015 by the American College of Nurse-Midwives.

  4. Impact of free delivery policy on utilization of maternal health services in county referral hospitals in Kenya.

    Science.gov (United States)

    Njuguna, John; Kamau, Njoroge; Muruka, Charles

    2017-06-21

    Kenya has a high maternal mortality rate. Provision of skilled delivery plays a major role in reducing maternal mortality. Cost is a hindrance to the utilization of skilled delivery. The Government of Kenya introduced a policy of free delivery services in government facilities beginning June 2013. We sought to determine the impact of this intervention on facility based deliveries in Kenya. We compared deliveries and antenatal attendance in 47 county referral hospitals and 30 low cost private hospitals not participating in the free delivery policy for 2013 and 2014 respectively. The data was extracted from the Kenya Health Information System. Multiple regression was done to assess factors influencing increase in number of deliveries among the county referral hospitals. The number of deliveries and antenatal attendance increased by 26.8% and 16.2% in county referral hospitals and decreased by 11.9% and 5.4% respectively in low cost private hospitals. Increase in deliveries among county referral hospitals was influenced by population size of county and type of county referral hospital. Counties with level 5 hospitals recorded more deliveries compared to those with level 4 hospitals. This intervention increased the number of facility based deliveries. Policy makers may consider incorporating low cost private hospitals so as to increase the coverage of this intervention.

  5. Comparing the outcomes of two strategies for colorectal tumor detection: policy-promoted screening program versus health promotion service.

    Science.gov (United States)

    Wu, Ping-Hsiu; Lin, Yu-Min; Liao, Chao-Sheng; Chang, Hung-Chuen; Chen, Yu-Hung; Yang, Kuo-Ching; Shih, Chia-Hui

    2013-06-01

    The Taiwanese government has proposed a population-based colorectal tumor detection program for the average-risk population. This study's objectives were to understand the outcomes of these screening policies and to evaluate the effectiveness of the program. We compared two databases compiled in one medical center. The "policy-promoted cancer screening" (PPS) database was built on the basis of the policy of the Taiwan Bureau of National Health Insurance for cancer screening. The "health promotion service" (HPS) database was built to provide health check-ups for self-paid volunteers. Both the PPS and HPS databases employ the immunochemical fecal occult blood test (iFOBT) and colonoscopy for colorectal tumor screening using different strategies. A comparison of outcomes between the PPS and HPS included: (1) quality indicators-compliance rate, cecum reaching rate, and tumor detection rate; and (2) validity indicators-sensitivity, specificity, positive, and negative predictive values for detecting colorectal neoplasms. A total of 10,563 and 1481 individuals were enrolled in PPS and HPS, respectively. Among quality indicators, there was no statistically significant difference in the cecum reaching rate between PPS and HPS. The compliance rates were 56.1% for PPS and 91.8% for HPS (p performance. Copyright © 2013. Published by Elsevier B.V.

  6. Does providing more services increase the primary hospitals' revenue? An assessment of national essential medicine policy based on 2,675 counties in China.

    Directory of Open Access Journals (Sweden)

    Fei Chen

    Full Text Available To understand whether the increased outpatient service provision (OSP brings in enough additional income (excluding income from essential medicine for primary hospitals (INCOME to compensate for reduced costs of medicine.The two outcomes, annual OSP and INCOME for the period of 2008-2012, were collected from 34,506 primary hospitals in 2,675 counties in 31 provinces in China by the national surveillance system. The data had a four-level hierarchical structure; time points were nested within primary hospital, hospitals within county, and counties within province. We fitted bivariate five-level random effects regression models to examine correlations between OSP and INCOME in terms of their mean values and dose-response effects of the essential medicine policy (EMP. We adjusted for the effects of time period and selected hospital resources.The estimated correlation coefficients between the two outcomes' mean values were strongly positive among provinces (r = 0.910, moderately positive among counties (r = 0.380, and none among hospitals (r = 0.002 and time (r = 0.007. The correlation between their policy effects was weakly positive among provinces (r = 0.234, but none at the county and hospital levels. However, there were markedly negative correlation coefficients between the mean and policy effects at -0.328 for OSP and -0.541 for INCOME at the hospital level.There was no evidence to suggest an association between the two outcomes in terms of their mean values and dose-response effects of EMP at the hospital level. This indicated that increased OSP did not bring enough additional INCOME. Sustainable mechanisms to compensate primary hospitals are needed.

  7. Human factors that derail extension services delivery in developing countries: implications for policy

    Directory of Open Access Journals (Sweden)

    E.N. Ajani

    2012-12-01

    Full Text Available The paper examines human factors derailing extension services delivery in developing countries. Poor management of rewards and incentives; quality of work life; poor assessment system; limited quality of human resource; inadequate extension support training materials; inconsistencies of government programmes; inadequate staff training and poor extension programme evaluation were viewed as major constraints. Considering the role of extension to agricultural development, the paper recommends that efforts should be made by the various stakeholders in agricultural extension services to improve the capability of human resources involved in extension services and highlights the need for government agricultural programmes to be consistent to enable the beneficiaries of such programmes derive the benefits that will boost productivity in agriculture.

  8. Health policies and federative gaps in Brazil: an analysis of regional capacity of services delivery.

    Science.gov (United States)

    Ribeiro, José Mendes; Moreira, Marcelo Rasga; Ouverney, Assis Mafort; Silva, Cosme Marcelo Furtado Passos da

    2017-04-01

    This paper analyzes Brazilian health regions according to their service delivery capacity from the debate on the crisis of cooperative federalism in the SUS that resulted from decentralizing process established in the 1988 Constitution. Service delivery capacity tracer indicators were selected by regions and statistical analyses evidenced greater regional capacity in hospital care and large asymmetries with regard to the availability of physicians, high complexity equipment and private insurance coverage. In conclusion,we argue that further solutions are required to strengthen governmental capacity to reduce regional inequalities throughincreased central coordination.

  9. A rapid detection method for policy-sensitive amines real-time supervision.

    Science.gov (United States)

    Zhang, Haixu; Shu, Jinian; Yang, Bo; Zhang, Peng; Ma, Pengkun

    2018-02-01

    Many organic amines that comprise a benzene ring are policy-sensitive because of their toxicity and links to social harm. However, to date, detection of such compounds mainly relies on offline methods. This study proposes an online pptv (parts per trillion by volume) level of detection method for amines, using the recently-built vacuum ultraviolet photoionization mass spectrometer (VUV-PIMS) combined with a new doping technique. Thus, the dichloromethane doping-assisted photoionization mass spectra of aniline, benzylamine, phenethylamine, amphetamine, and their structural isomers were recorded. The dominant characteristic mass peaks for all amines are those afforded by protonated amines and the amino radical-loss. The signal intensities of the amines were enhanced by 60-130 times compared to those recorded without doping assistance. Under 10s detection time, the sensitivities of aniline and benzylamine in the gas phase were determined as 4.0 and 2.7 countspptv -1 , with limits of detection (LODs) of 36 and 22 pptv, respectively. Notably, the detection efficiency of this method can be tenfold better in future applications since the ion transmission efficiency of the mass spectrometer was intentionally reduced to ~ 10% in this study. Therefore, dichloromethane doping-assisted photoionization mass spectrometry has proven to be a highly promising on-line approach to amine detection in environmental and judicial supervision and shows great potential for application in the biological field. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. Improving linear accelerator service response with a real- time electronic event reporting system.

    Science.gov (United States)

    Hoisak, Jeremy D P; Pawlicki, Todd; Kim, Gwe-Ya; Fletcher, Richard; Moore, Kevin L

    2014-09-08

    To track linear accelerator performance issues, an online event recording system was developed in-house for use by therapists and physicists to log the details of technical problems arising on our institution's four linear accelerators. In use since October 2010, the system was designed so that all clinical physicists would receive email notification when an event was logged. Starting in October 2012, we initiated a pilot project in collaboration with our linear accelerator vendor to explore a new model of service and support, in which event notifications were also sent electronically directly to dedicated engineers at the vendor's technical help desk, who then initiated a response to technical issues. Previously, technical issues were reported by telephone to the vendor's call center, which then disseminated information and coordinated a response with the Technical Support help desk and local service engineers. The purpose of this work was to investigate the improvements to clinical operations resulting from this new service model. The new and old service models were quantitatively compared by reviewing event logs and the oncology information system database in the nine months prior to and after initiation of the project. Here, we focus on events that resulted in an inoperative linear accelerator ("down" machine). Machine downtime, vendor response time, treatment cancellations, and event resolution were evaluated and compared over two equivalent time periods. In 389 clinical days, there were 119 machine-down events: 59 events before and 60 after introduction of the new model. In the new model, median time to service response decreased from 45 to 8 min, service engineer dispatch time decreased 44%, downtime per event decreased from 45 to 20 min, and treatment cancellations decreased 68%. The decreased vendor response time and reduced number of on-site visits by a service engineer resulted in decreased downtime and decreased patient treatment cancellations.

  11. An Investigation into Customer Service Policies and Practices within the Scottish College Library Sector: A Comparison between the Customer Service Exemplars from the Retail Sector with Current Scottish College Library Practice

    Science.gov (United States)

    Paterson, Neil

    2011-01-01

    The aim of this research project was to investigate the customer care methods within the Scottish college library sector. The researcher sought to compare examples of the customer care and service policies and practices from the sector with exemplars of good customer service from the retail sector. A qualitative, grounded theory approach was…

  12. Beware of Data Gaps in Home Care Research: The Streetlight Effect and Its Implications for Policy Making on Long-Term Services and Supports

    Science.gov (United States)

    Newquist, Deborah D.; DeLiema, Marguerite; Wilber, Kathleen H.

    2016-01-01

    Policy initiatives increasingly seek greater use of home- and community-based services for older persons and those with chronic care needs, yet large gaps persist in our knowledge of home care, an indispensable component of long-term services and supports. Unrecognized data gaps, including the scope of home care provided by private hire and nonmedical providers, can distort knowledge and poorly inform long-term services and supports policy. The purpose of this article is to examine these gaps by describing the universe of formal home care services and provider types in relationship to major national sources. Findings reveal four distinct home care sectors and that the majority of formal home care is provided in the sectors that are understudied. We discuss the policy implications of data gaps and conclude with recommendations on where to expand and refine home care research. PMID:26062611

  13. Beware of Data Gaps in Home Care Research: The Streetlight Effect and Its Implications for Policy Making on Long-Term Services and Supports.

    Science.gov (United States)

    Newquist, Deborah D; DeLiema, Marguerite; Wilber, Kathleen H

    2015-10-01

    Policy initiatives increasingly seek greater use of home- and community-based services for older persons and those with chronic care needs, yet large gaps persist in our knowledge of home care, an indispensable component of long-term services and supports. Unrecognized data gaps, including the scope of home care provided by private hire and nonmedical providers, can distort knowledge and poorly inform long-term services and supports policy. The purpose of this article is to examine these gaps by describing the universe of formal home care services and provider types in relationship to major national sources. Findings reveal four distinct home care sectors and that the majority of formal home care is provided in the sectors that are understudied. We discuss the policy implications of data gaps and conclude with recommendations on where to expand and refine home care research. © The Author(s) 2015.

  14. Losses Loom Longer Than Gains : Modeling the Impact of Service Crises on Perceived Service Quality over Time

    NARCIS (Netherlands)

    Gijsenberg, Maarten J.; van Heerde, Harald J.; Verhoef, Peter C.

    2015-01-01

    Service providers sometimes face mass service failures. These problems occur across service industries, ranging from severe Internet outages to severe delays for airlines or trains. A key question that has not been addressed in the literature is: how do service crises impact perceived service

  15. Statistical distribution of time to crack initiation and initial crack size using service data

    Science.gov (United States)

    Heller, R. A.; Yang, J. N.

    1977-01-01

    Crack growth inspection data gathered during the service life of the C-130 Hercules airplane were used in conjunction with a crack propagation rule to estimate the distribution of crack initiation times and of initial crack sizes. A Bayesian statistical approach was used to calculate the fraction of undetected initiation times as a function of the inspection time and the reliability of the inspection procedure used.

  16. Cloud-Hosted Real-time Data Services for the Geosciences (CHORDS)

    Science.gov (United States)

    Daniels, M. D.; Graves, S. J.; Vernon, F.; Kerkez, B.; Chandra, C. V.; Keiser, K.; Martin, C.

    2014-12-01

    Cloud-Hosted Real-time Data Services for the Geosciences (CHORDS) Access, utilization and management of real-time data continue to be challenging for decision makers, as well as researchers in several scientific fields. This presentation will highlight infrastructure aimed at addressing some of the gaps in handling real-time data, particularly in increasing accessibility of these data to the scientific community through cloud services. The Cloud-Hosted Real-time Data Services for the Geosciences (CHORDS) system addresses the ever-increasing importance of real-time scientific data, particularly in mission critical scenarios, where informed decisions must be made rapidly. Advances in the distribution of real-time data are leading many new transient phenomena in space-time to be observed, however real-time decision-making is infeasible in many cases that require streaming scientific data as these data are locked down and sent only to proprietary in-house tools or displays. This lack of accessibility to the broader scientific community prohibits algorithm development and workflows initiated by these data streams. As part of NSF's EarthCube initiative, CHORDS proposes to make real-time data available to the academic community via cloud services. The CHORDS infrastructure will enhance the role of real-time data within the geosciences, specifically expanding the potential of streaming data sources in enabling adaptive experimentation and real-time hypothesis testing. Adherence to community data and metadata standards will promote the integration of CHORDS real-time data with existing standards-compliant analysis, visualization and modeling tools.

  17. United States Policy and The Islamic Republic of Iran: A Time For Change

    National Research Council Canada - National Science Library

    Constantine, B

    2000-01-01

    .... This paper provides current information on Iran's government, economy, military, culture, religion, political process, and presents arguments for a change in current United States Policy concerning...

  18. Investing in acute health services: is it time to change the paradigm?

    Science.gov (United States)

    Kerr, Rhonda; Hendrie, Delia V; Moorin, Rachael

    2014-11-01

    Capital is an essential enabler of contemporary public hospital services funding hospital buildings, medical equipment, information technology and communications. Capital investment is best understood within the context of the services it is designed and funded to facilitate. The aim of the present study was to explore the information on capital investment in Australian public hospitals and the relationship between investment and acute care service delivery in the context of efficient pricing for hospital services. This paper examines the investment in Australian public hospitals relative to the growth in recurrent hospital costs since 2000-01 drawing from the available data, the grey literature and the reports of six major reviews of hospital services in Australia since 2004. Although the average annual capital investment over the decade from 2000-01 represents 7.1% of recurrent expenditure on hospitals, the most recent estimate of the cost of capital consumed delivering services is 9% per annum. Five of six major inquiries into health care delivery required increased capital funding to bring clinical service delivery to an acceptable standard. The sixth inquiry lamented the quality of information on capital for public hospitals. In 2012-13, capital investment was equivalent to 6.2% of recurrent expenditure, 31% lower than the cost of capital consumed in that year. Capital is a vital enabler of hospital service delivery and innovation, but there is a poor alignment between the available information on the capital investment in public hospitals and contemporary clinical requirements. The policy to have capital included in activity-based payments for hospital services necessitates an accurate value for capital at the diagnosis-related group (DRG) level relevant to contemporary clinical care, rather than the replacement value of the asset stock. WHAT IS KNOWN ABOUT THE TOPIC?: Deeble's comprehensive hospital-based review of capital investment and costs, published in

  19. Time Shared Optical Network (TSON): a novel metro architecture for flexible multi-granular services.

    Science.gov (United States)

    Zervas, Georgios S; Triay, Joan; Amaya, Norberto; Qin, Yixuan; Cervelló-Pastor, Cristina; Simeonidou, Dimitra

    2011-12-12

    This paper presents the Time Shared Optical Network (TSON) as metro mesh network architecture for guaranteed, statistically-multiplexed services. TSON proposes a flexible and tunable time-wavelength assignment along with one-way tree-based reservation and node architecture. It delivers guaranteed sub-wavelength and multi-granular network services without wavelength conversion, time-slice interchange and optical buffering. Simulation results demonstrate high network utilization, fast service delivery, and low end-to-end delay on a contention-free sub-wavelength optical transport network. In addition, implementation complexity in terms of Layer 2 aggregation, grooming and optical switching has been evaluated. © 2011 Optical Society of America

  20. Interprofessional education in maternity services: Is there evidence to support policy?

    Science.gov (United States)

    Davies, Nigel; Fletcher, Simon; Reeves, Scott

    2016-11-01

    Against a backdrop of poor maternity and obstetric care, identified in the Morecambe Bay Inquiry, the UK government has recently called for improvements and heralded investment in training. Given the complex mix of professionals working closely together in maternity services addressing the lack of joined up continuing professional development (CPD) is necessary. This led us to ask whether there is evidence of IPE in maternity services. As part of a wider systematic review of IPE, we searched for studies related to CPD in maternity services between May 2005 and June 2014. A total of 206 articles were identified with 24 articles included after initial screening. Further review revealed only eight articles related to maternity care, none of which met the inclusion criteria for the main systematic review. The main reasons for non-inclusion included weak evaluation, a focus on undergraduate IPE, and articles referring to paediatric/neonatal care only. Fewer articles were found than anticipated given the number of different professions working together in maternity services. This gap suggests further investigation is warranted.

  1. 78 FR 36725 - Numbering Policies for Modern Communications; IP-Enabled Services; Telephone Number Requirements...

    Science.gov (United States)

    2013-06-19

    ... help speed the delivery of innovative services to consumers and businesses, while preserving the... available for public inspection during regular business hours in the FCC Reference Information Center... already broken the historical tie between a number and a specific device. For example, Skype permits users...

  2. Equality and diversity in jobs and services: City policies for migrants in Europe

    NARCIS (Netherlands)

    Spencer, S.; Martiniello, M.; Gsir, S.; Perrin, N.; Cangiano, A.; Shutes, I.; Torre, A.; Wirth Forsberg, K.; Heckmann, F.; Bosswick, W.; Lüken-Klaßen, D.; Penninx, R.; van Heelsum, A.; Fassmann, H.; Görgl, P.; Kohlbacher, J.

    2008-01-01

    European cities are faced with the ongoing challenge of integrating people from very different backgrounds. Access to jobs is recognised as a key dimension of this process, as is the provision of services that migrants can access fully and effectively, without discrimination. This report, published

  3. Can European eco-innovation policies accelerate the uptake of product-service systems?

    NARCIS (Netherlands)

    Tan, A.R.; Diaz Lopez, F.J.; Mudgal, S.; Tukker, A.

    2013-01-01

    Despite the apparent potential of product-service systems (PSS) as a more profitable, resource efficient and socially responsible form of eco-innovation, there has seemingly been limited uptake of this type of business model. A current gap in the literature is that most of the available academic

  4. Health Reform for Communities: Financing Substance Abuse Services. Recommendations from a Join Together Policy Panel.

    Science.gov (United States)

    Join Together, Boston, MA.

    Substance abuse treatment has been demonstrated to be effective in reducing not only substance use, but also the economic, health, and social costs associated with substance abuse. This document examines how health care reform can preserve and enhance community substance abuse services. The cost effectiveness of funding substance abuse prevention…

  5. Policy Debate Pedagogy: A Complementary Strategy for Civic and Political Engagement through Service-Learning

    Science.gov (United States)

    Leek, Danielle R.

    2016-01-01

    National offices and organizations, such as the U.S. Department of Education and the Association of American Colleges & Universities, have called for higher education curriculum that better prepares students for lifelong civic engagement. Many institutions respond to this appeal by creating more service-learning opportunities for students.…

  6. From crisis to development: the policy and practice of agricultural service provision in northern Uganda

    NARCIS (Netherlands)

    Wairimu, Winnie Wangari; Christoplos, Ian; Hilhorst, D.J.M.

    2016-01-01

    This paper critically evaluates the transition from crisis to development in northern Uganda from the perspective of agricultural service provision. It contributes to debates on how efforts to link relief to rehabilitation and development may bypass the underlying challenges in linking humanitarian

  7. 77 FR 72237 - Policies To Promote Rural Radio Service and To Streamline Allotment and Assignment Procedures

    Science.gov (United States)

    2012-12-05

    ...) (section 307(b)) for new AM construction permits, as well as new FM allotments, in already well- served... petitioners argued that the new procedures ``ignore current marketplace realities,'' causing radio stations to..., whether ``potential services,'' such as vacant FM allotments or granted but unbuilt construction permits...

  8. National Ecosystem Services Classification System (NESCS): Framework Design and Policy Application

    Science.gov (United States)

    Understanding the ways in which ecosystems provide flows of “services” to humans is critical for decision making in many contexts; however, relationships between natural and human systems are complex. A well-defined framework for classifying ecosystem services is essential for sy...

  9. Uncertainty analysis of accident notification time and emergency medical service response time in work zone traffic accidents.

    Science.gov (United States)

    Meng, Qiang; Weng, Jinxian

    2013-01-01

    Taking into account the uncertainty caused by exogenous factors, the accident notification time (ANT) and emergency medical service (EMS) response time were modeled as 2 random variables following the lognormal distribution. Their mean values and standard deviations were respectively formulated as the functions of environmental variables including crash time, road type, weekend, holiday, light condition, weather, and work zone type. Work zone traffic accident data from the Fatality Analysis Report System between 2002 and 2009 were utilized to determine the distributions of the ANT and the EMS arrival time in the United States. A mixed logistic regression model, taking into account the uncertainty associated with the ANT and the EMS response time, was developed to estimate the risk of death. The results showed that the uncertainty of the ANT was primarily influenced by crash time and road type, whereas the uncertainty of EMS response time is greatly affected by road type, weather, and light conditions. In addition, work zone accidents occurring during a holiday and in poor light conditions were found to be statistically associated with a longer mean ANT and longer EMS response time. The results also show that shortening the ANT was a more effective approach in reducing the risk of death than the EMS response time in work zones. To shorten the ANT and the EMS response time, work zone activities are suggested to be undertaken during non-holidays, during the daytime, and in good weather and light conditions.

  10. Analysis of distributed-generation photovoltaic deployment, installation time and cost, market barriers, and policies in China

    International Nuclear Information System (INIS)

    Zhang, Fang; Deng, Hao; Margolis, Robert; Su, Jun

    2015-01-01

    Beginning in 2013, China's photovoltaic (PV) market-development strategy witnessed a series of policy changes aimed at making distributed-generation PV (DG PV) development an equal priority with large-scale PV development. This article reviews the DG PV policy changes since 2013 and examines their effect on China's domestic DG PV market. Based on a 2014 survey of DG PV market and policy participants, we present cost and time breakdowns for installing DG PV projects in China, and we identify the main barriers to DG PV installation. We also use a cash flow model to determine the relative economic attractiveness of DG PV in several eastern provinces in China. The main factors constraining DG PV deployment in China include financial barriers resulting from the structure of the self-consumption feed-in tariff (FIT), ambivalence about DG PV within grid companies, complicated ownership structures for buildings/rooftops/businesses, and the inherent time lag in policy implementation from the central government to provincial and local governments. We conclude with policy implications and suggestions in the context of DG PV policy changes the Chinese government implemented in September 2014. -- Highlights: •We review China's distributed PV market development and policy changes since 2013. •We present cost and time requirements for installing distributed PV in China. •We conduct IRR analysis of distributed PV under different policy frameworks. •We identify barriers to China's distributed PV, especially feed-in tariff barriers

  11. Integration for coexistence? Implementation of intercultural health care policy in Ghana from the perspective of service users and providers.

    Science.gov (United States)

    Gyasi, Razak Mohammed; Poku, Adjoa Afriyie; Boateng, Simon; Amoah, Padmore Adusei; Mumin, Alhassan Abdul; Obodai, Jacob; Agyemang-Duah, Williams

    2017-01-01

    In spite of the World Health Organization's recommendations over the past decades, Ghana features pluralistic rather than truly integrated medical system. Policies about the integration of complementary medicine into the national health care delivery system need to account for individual-level involvement and cultural acceptability of care rendered by health care providers. Studies in Ghana, however, have glossed over the standpoint of the persons of the illness episode about the intercultural health care policy framework. This paper explores the health care users, and providers' experiences and attitudes towards the implementation of intercultural health care policy in Ghana. In-depth interviews, augmented with informal conversations, were conducted with 16 health service users, 7 traditional healers and 6 health professionals in the Sekyere South District and Kumasi Metropolis in the Ashanti Region of Ghana. Data were thematically analysed and presented based on the a posteriori inductive reduction approach. Findings reveal a widespread positive attitude to, and support for integrative medical care in Ghana. However, inter-provider communication in a form of cross-referrals and collaborative mechanisms between healers and health professionals seldom occurs and remains unofficially sanctioned. Traditional healers and health care professionals are skeptical about intercultural health care policy mainly due to inadequate political commitment for provider education. The medical practitioners have limited opportunity to undergo training for integrative medical practice. We also find a serious mistrust between the practitioners due to the "diversity of healing approaches and techniques." Weak institutional support, lack of training to meet standards of practice, poor registration and regulatory measures as well as negative perception of the integrative medical policy inhibit its implementation in Ghana. In order to advance any useful intercultural health care policy in

  12. Ground and Helicopter Emergency Medical Services Time Tradeoffs Assessed with Geographic Information.

    Science.gov (United States)

    Widener, Michael J; Ginsberg, Zac; Schleith, Daniel; Floccare, Douglas J; Hirshon, Jon Mark; Galvagno, Samuel

    2015-07-01

    We describe how geographic information systems (GIS) can be used to assess and compare estimated transport time for helicopter and ground emergency medical services. Recent research shows that while the odds of a trauma patient's survival increase with helicopter emergency medical services (HEMS), they may not increase to the extent necessary to make HEMS cost effective. This study offers an analytic tool to objectively quantify the patient travel time advantage that HEMS offers compared to ground emergency medical services (GEMS). Using helicopter dispatch data from the Maryland State Police from 2000-2011, we computed transport time estimates for HEMS and GEMS, compare these results to a reference transport time of 60 min, and use geospatial interpolation to extrapolate the total response times for each mode across the study region. Mapping the region's trauma incidents and modeling response times, our findings indicate the GIS framework for calculating transportation time tradeoffs is useful in identifying which areas can be better served by HEMS or GEMS. The use of GIS and the analytical methodology described in this study present a method to compare transportation by air and ground in the prehospital setting that accounts for how mode, distance, and road infrastructure impact total transport time. Whether used to generate regional maps in advance or applied real-time, the presented framework provides a tool to identify earlier incident locations that favor HEMS over GEMS transport modes.

  13. The impact of nurse practitioner services on cost, quality of care, satisfaction and waiting times in the emergency department: a systematic review.

    Science.gov (United States)

    Jennings, Natasha; Clifford, Stuart; Fox, Amanda R; O'Connell, Jane; Gardner, Glenn

    2015-01-01

    evidence base for emergency nurse practitioner service to guide healthcare leaders, policy makers and clinicians in reform of emergency service provision. The findings suggest that further high quality research is required for comparative measures of clinical and service effectiveness of emergency nurse practitioner service. In the context of increased health service demand and the need to provide timely and effective care to patients, such measures will assist in evidence based health service planning. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Advice on cultural policy matters: changing times for the Council for Culture

    NARCIS (Netherlands)

    Lelieveldt, Philomeen; Minnaert, Toine

    The central question is the changing role of advisory councils in Dutch cultural policy and the subsequent change in discourse on culture and the arts within cultural policy. Our working hypothesis is that the role of the Council for Culture (Raad voor Cultuur), the formal advisory council, is

  15. Digital Education Governance: Data Visualization, Predictive Analytics, and "Real-Time" Policy Instruments

    Science.gov (United States)

    Williamson, Ben

    2016-01-01

    Educational institutions and governing practices are increasingly augmented with digital database technologies that function as new kinds of policy instruments. This article surveys and maps the landscape of digital policy instrumentation in education and provides two detailed case studies of new digital data systems. The Learning Curve is a…

  16. Pharmaceutical policy analysis – A European perspective on pricing and reimbursement in challenging times

    NARCIS (Netherlands)

    Leopold, C.

    2014-01-01

    The pharmaceutical policy environment is dynamic as new medicines are being developed and different medical needs arise, while diverse interests by stakeholders influence policy making. Tensions are especially noticeable with respect to pricing and reimbursement of medicines; what health care plans

  17. Evaluating pharmaceutical policies using cross-national comparisons and time series analysis

    NARCIS (Netherlands)

    Santa Ana Tellez, Y.

    2016-01-01

    The aim of this thesis was to evaluate the effects of different pharmaceutical policies on the use of medicines (e.g. antibiotics). These policies were evaluated using diverse data sources from the public and private sector in countries in Africa, Latin America, and Western Europe. In addition, the

  18. Credit Hours with No Set Time: A Study of Credit Policies in Asynchronous Online Education

    Science.gov (United States)

    Prasuhn, Frederick Carl

    2014-01-01

    U.S. public university system policies were examined to learn how credit hours were determined for asynchronous online education. Findings indicated that (a) credit hour meaning and use are not consistent, (b) primary responsibility for credit hour decisions was at the local level, and (c) no policies exist to guide credit hour application for…

  19. e-Calibrations: using the Internet to deliver calibration services in real time at lower cost

    International Nuclear Information System (INIS)

    Desrosiers, Marc; Nagy, Vitaly; Puhl, James; Glenn, Robert; Densock, Robert; Stieren, David; Lang, Brian; Kamlowski, Andreas; Maier, Diether; Heiss, Arthur

    2002-01-01

    The National Institute of Standards and Technology (NIST) is expanding into a new frontier in the delivery of measurement services. The Internet will be employed to provide industry with electronic traceability to national standards. This is a radical departure from the traditional modes of traceability and presents many new challenges. The traditional mail-based calibration service relies on sending artifacts to the user, who then mails them back to NIST for evaluation. The new service will deliver calibration results to the industry customer on-demand, in real-time, at a lower cost. The calibration results can be incorporated rapidly into the production process to ensure the highest quality manufacturing. The service would provide the US radiation processing industry with a direct link to the NIST calibration facilities and its expertise, and provide an interactive feedback process between industrial processing and the national measurement standard. Moreover, an Internet calibration system should contribute to the removal of measurement-related trade barriers

  20. The GFZ real-time GNSS precise positioning service system and its adaption for COMPASS

    Science.gov (United States)

    Li, Xingxing; Ge, Maorong; Zhang, Hongping; Nischan, Thomas; Wickert, Jens

    2013-03-01

    Motivated by the IGS real-time Pilot Project, GFZ has been developing its own real-time precise positioning service for various applications. An operational system at GFZ is now broadcasting real-time orbits, clocks, global ionospheric model, uncalibrated phase delays and regional atmospheric corrections for standard PPP, PPP with ambiguity fixing, single-frequency PPP and regional augmented PPP. To avoid developing various algorithms for different applications, we proposed a uniform algorithm and implemented it into our real-time software. In the new processing scheme, we employed un-differenced raw observations with atmospheric delays as parameters, which are properly constrained by real-time derived global ionospheric model or regional atmospheric corrections and by the empirical characteristics of the atmospheric delay variation in time and space. The positioning performance in terms of convergence time and ambiguity fixing depends mainly on the quality of the received atmospheric information and the spatial and temporal constraints. The un-differenced raw observation model can not only integrate PPP and NRTK into a seamless positioning service, but also syncretize these two techniques into a unique model and algorithm. Furthermore, it is suitable for both dual-frequency and sing-frequency receivers. Based on the real-time data streams from IGS, EUREF and SAPOS reference networks, we can provide services of global precise point positioning (PPP) with 5-10 cm accuracy, PPP with ambiguity-fixing of 2-5 cm accuracy, PPP using single-frequency receiver with accuracy of better than 50 cm and PPP with regional augmentation for instantaneous ambiguity resolution of 1-3 cm accuracy. We adapted the system for current COMPASS to provide PPP service. COMPASS observations from a regional network of nine stations are used for precise orbit determination and clock estimation in simulated real-time mode, the orbit and clock products are applied for real-time precise point

  1. The Development of Statewide Policies and Procedures to Implement Telehealth for Part C Service Delivery

    Directory of Open Access Journals (Sweden)

    Beth Cole

    2016-12-01

    Full Text Available The use of telehealth has been discussed nationally as an option to address provider shortages for children, birth through two, enrolled in Part C of the Individuals with Disabilities Education Act (IDEA Early Intervention (EI programs. Telehealth is an evidence-based service delivery model which can be used to remove barriers in providing EI services to children and their families. In 2016, Colorado’s Part C Early Intervention (EI program began allowing the use of telehealth as an option for providers to conduct sessions with children and their caregivers. This article outlines the process taken to develop the necessary requirements and supports for telehealth to be incorporated into EI current practice.

  2. Educational clusters as a tool ofpublic policy on the market of educational services

    Directory of Open Access Journals (Sweden)

    M. I. Vorona

    2016-08-01

    Due to this, the innovative educational cluster has been determined as a voluntary association of geographically close interacting entities, educational institutions, government, banking and private sector, innovative enterprises/organizations infrastructure. Such interaction is characterized by the production of competitive educational, cultural, social services, the availability of the agreed development strategy aimed at the interests of each participant and the region being a territory of cluster’s localization.

  3. Time-varying monetary-policy rules and financial stress: Does financial instability matter for monetary policy?

    Czech Academy of Sciences Publication Activity Database

    Baxa, Jaromír; Horváth, R.; Vašíček, B.

    2013-01-01

    Roč. 9, č. 1 (2013), s. 117-138 ISSN 1572-3089 Institutional support: RVO:67985556 Keywords : Financial stress * Time-varying parameter model * Endogenous regressors Subject RIV: AH - Economics Impact factor: 2.932, year: 2013 http://library.utia.cas.cz/separaty/2013/E/baxa-0395375.pdf

  4. Policies and means to assess and improve service quality in electricity supply systems

    International Nuclear Information System (INIS)

    Lagostena, L.; Mirra, C.; Noferi, P.L.; Sani, G.

    1992-03-01

    Quality of electricity supply to users consists of a series of characteristics of the voltage at the points of delivery. This report shows how service quality, in the past basically related to the tolerance of voltage and frequency with respect to the nominal value, as well as, to the continuity of supply, is nowadays assessed also in relation to other aspects, generally referred to as disturbances. Short interruptions, voltage dips, transient overvoltages, harmonics and flicker are mainly taken into consideration. A description is given of the approach adopted by ENEL (the Italian Electricity Board) in order to evaluate and, if required, improve the quality of service, based upon the acquisition of data related to faults, interruptions and disturbances. These data are processed in order to obtain significant indices on the state of the network and on the effectiveness of the actions which can be implemented. Finally, the measures which may lead to an improvement in the quality of service are identified, and potential advantages, in terms of the reduction of non-supplied energy and number of faults, of adopting appropriate automatic devices and optimizing maintenance work on some distribution networks are illustrated

  5. Perspectives of intellectual disability in Mexico: epidemiology, policy, and services for children and adults.

    Science.gov (United States)

    Katz, Gregorio; Márquez-Caraveo, Maria E; Lazcano-Ponce, Eduardo

    2010-09-01

    Intellectual disability is a public health issue, which has largely been overlooked in Mexico. The magnitude of this problem is unknown; few programs exist for adults and mental health professionals focus mainly on identifying treatable comorbidities. In Mexico, there is an example of a best practice in social integration. This program has benefited hundreds of adults with intellectual disability by teaching four basic abilities: practical academic skills; vocational skills; independent living skills; and skills for community integration. In a sociocultural and economic context such as Mexico's, social integration programs are feasible and necessary in order to provide an organized social response to the health, social, and vocational needs of people with intellectual disability and should become part of public policy.

  6. Timely injection of knowledge when interacting with stakeholders and policy makers.

    Science.gov (United States)

    Bouma, Johan

    2015-04-01

    Timely injection of knowledge when interacting with stakeholders and policy makers. J.Bouma Em. Prof. Soil Science, Wageningen University, the Netherlands During the last decade, the spectacular development of Information and Communication Technology (ICT) has strongly increased the accessible amount of data and information for stakeholders and policy makers and the science community is struggling to adjust to these developments. In the Netherlands not only industry has now a major impact on the research agenda but this is now to be extended to citizens at large. Rather than complain about an apparent "gap" between science and society and wrestle with the challenge to bridge it in a rather reactive manner, the science community would be well advised to initiate a proactive approach, showing that knowledge implies a deep understanding of issues and processes that does not necessarily follow from having data and information. The "gap" certainly applies to soil research in the context of sustainable development where many often well informed stakeholders are involved with widely different opinions, norms and values. Changes are suggested in the manner in which we frame our work: (i) longer involvement with projects from initiation to implementation in practice; (ii) active role of "knowledge brokers" who inject the right type of knowledge during the entire project run in a joint-learning mode, and (iii) not proposing new research from a science perspective but demonstrating a clear need because existing knowledge is inadequate. Yet more conceptual discussions about e.g. inter- and transdisciplinarity, worrysome soil degradation and lack of professional recognition are less meaningful than specific case studies demonstrating the crucial role of soil science when analysing land-based environmental problems. New narratives are needed instead of statistics, openness to learn from best practices and pilot projects as a necessary next step beyond awareness raising. Soil

  7. Modularity, Lead time and Return Policy for Supply Chain in Mass Customization System

    Directory of Open Access Journals (Sweden)

    Jizi Li

    2016-12-01

    Full Text Available Mass Customization (MC is a flexible manufacturing system with features of Mass Production (MP and Customization Production (CP. However, there is few researches about competition aamp; cooperation between the upstream MP firm (module manufacturer and downstream CP firm (assembler under MC supply chain scenario. From supply chain perspective, this paper first develops the base models considering the influences of return policy, modularity level, production lead time and pricing factors. Furthermore, according to the different decision-making situations, three kinds of MC supply chain models in competitive or cooperative environment (i.e. simultaneous-move game, sequential-move game and the cooperative game have been built, then, the optimal solution of each model have been analyzed and compared, and coordination mechanism is design to cooperate in MC supply chain via profit-sharing with Nash bargaining power. Finally, through the numerical analysis, we find the highest profit is from the cooperative setting, then followed by in simultaneous-move and sequential-move one, the reason is that the lowest product price and the largest market demand easily occurs in the cooperative game compared with the others, the upstream module manufacturer takes advantage of MP to increase the modularity level and decrease manufacturing cost for the whole supply chain, the downstream assembler task is to shorten the lead time according to customerarsquo;s needs, while the wholesale price in cooperative game higher than simultaneous-move game and sequential-move game can ensure each firmarsquo;s benefits, effectively prevent from the effect of double marginalization and obtain Pareto optimality.

  8. Investment timing under uncertain renewable energy policy: An empirical study of small hydropower projects

    International Nuclear Information System (INIS)

    Linnerud, Kristin; Andersson, Ane Marte; Fleten, Stein-Erik

    2014-01-01

    Policy uncertainty can be a powerful deterrent to immediate investments. Based on panel data of 214 licenses to construct small run-of-the-river hydropower plants, we examine whether the prospect of a common Swedish–Norwegian market for green certificates (i.e., a renewable portfolio standard scheme) affected the timing of investments. Our results show that traditional utilities and other professional investors in the energy market acted in accordance with a real options investment rule, and the prospect of possible future subsidies delayed their investment decision. On the other hand, our results do not show that farmers and other non-professional investors incorporated timing considerations in their investment decisions. Rather, our results indicate that these investors behaved as if their investment opportunity is now-or-never, investing if the project is profitable according to a net present value investment rule, ignoring the opportunity to create additional value by waiting. The observed difference in behavior between professional and non-professional investors is interesting given the distributed nature of many renewable energy technologies, and can help planners and policymakers better understand the forces shaping the future market for electricity. - Highlights: • We examine whether the prospect of introducing subsidies delayed investments in hydropower. • We find that professional and non-professional investors behaved differently. • Professional investors explored the opportunity to create additional value by waiting. • Farmers behaved as if their investment opportunity was now-or-never. • These observations are interesting given the distributed nature of renewable energy technologies

  9. The Remaining Service Time Upon Reaching a High Level in M/G/1 Queues

    NARCIS (Netherlands)

    de Boer, Pieter-Tjerk; Nicola, V.F.; van Ommeren, Jan C.W.

    The distribution of the remaining service time upon reaching some target level in an M/G/1 queue is of theoretical as well as practical interest. In general, this distribution depends on the initial level as well as on the target level, say, B. Two initial levels are of particular interest, namely,

  10. Intervention of the army health service in the case of radiological accident in peace time

    International Nuclear Information System (INIS)

    Curet, P.M.; Croq, M.

    2001-01-01

    The Army Health Service has conceived an organisation and has at its disposal the means necessary to answer the consequences of an accident having a radiological type in peace time in the military field. Its intervention area can be extended to the civil medium at the public authorities demand to give assistance. (N.C.)

  11. Pre-Service Teachers' Goals and Future-Time Extension, Concerns, and Well-Being

    Science.gov (United States)

    Hagger, Hazel; Malmberg, Lars-Erik

    2011-01-01

    Human goal-processes are conceptualised in an action-theoretic model of motivation, in line with discourse on self-directed teachers. Eighty-eight pre-service teachers reported ideographic professionally-related goals "and" concerns, future-time extension of the goals, and well-being (self-esteem and depression). Thirteen goal and fifteen concern…

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

    NARCIS (Netherlands)

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

    2017-01-01

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

  13. Pre-Service Post Graduate Teachers' First Time Experience with Constructivist Learning Environment (CLE) Using MOODLE

    Science.gov (United States)

    Boopathiraj, C.; Chellamani, K.

    2015-01-01

    The aim of this study is to enlighten and discuss Post Graduate student teachers' first time experiences and their level of satisfaction with the use of Moodle Learning Management System (LMS) during their "Research Methods in Education" course offered online. This study investigated 30 pre-service Post Graduate student teachers' to…

  14. Policies Towards Suburban Rail Services in Britain and West\\ud Germany – A Comparison.

    OpenAIRE

    Nash, C.A.

    1984-01-01

    In 1981, the eight S-Bahn systems of the Federal Republic of Germany carried around 7,000m passenger kilometres of traffic. By contrast, the local rail services operated by British Rail on behalf of the British Passenger Transport Executives were expected to carry around 2,000m passenger kilometres. (Table 1). The aim of this paper is to explore some of the reasons for this enormous difference is the role played by suburban rail systems between the two countries. As illustration, the particul...

  15. Service time analysis of secondary packet transmission with opportunistic channel access

    KAUST Repository

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

    2014-01-01

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

  16. Service time analysis of secondary packet transmission with opportunistic channel access

    KAUST Repository

    Usman, Muneer

    2014-09-01

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

  17. Is There Time Enough? Temporal Resources and Service Performance in the Danish Home Care Sector

    Directory of Open Access Journals (Sweden)

    Pernille Tufte

    2013-05-01

    Full Text Available Reflecting on the temporal conditions of home care work, care workers are fairly critical, stressing that time frames are inflexible and time is limited and occasionally insufficient, altogether constituting a time pressure in work performance. Besides from the immediate consequences of time scarcity in the daily work performance, care workers relate the issue of time to a more fundamental discussion of what the performance of care does and should entail. The purpose of the article is to examine care workers’ perceptions of the temporal conditions of care work, investigating how time pressure constitutes a challenge to care workers’ own sense and valuation of their work. The article is informed by two theoretical perspectives: standardization of care services and performance of care work in private homes. Empirically, the article examines how care workers perceive the relations between the temporal framing and the possibilities to perform care work. Methodologically, the article is based on qualitative data, collected through focus group interviews and participant observation, and analyzed within the perspective of reflexive interpretation, using grounded theory method and hermeneutic approaches of analysis. A central focus of analysis is the concept of “additional care services.” The use of the concept reflects different understandings of care. Relying on the logic of standardization, managers articulate additional services as definite items, which could (and should be left out of the performance of care work. Care workers do, however, not accept this notion. Relying on their experience of work, they perceive additional services as an ambiguous concept, which recognizes the multiple character of care work. Conclusions are that time scarcity constitutes a pressure on work performance as a whole, reducing care workers’ flexibility, challenging their authority, but still keeping them in a position of responsibility. Ultimately, the

  18. Providing written language services in the schools: the time is now.

    Science.gov (United States)

    Fallon, Karen A; Katz, Lauren A

    2011-01-01

    The current study was conducted to investigate the provision of written language services by school-based speech-language pathologists (SLPs). Specifically, the study examined SLPs' knowledge, attitudes, and collaborative practices in the area of written language services as well as the variables that impact provision of these services. Public school-based SLPs from across the country were solicited for participation in an online, Web-based survey. Data from 645 full-time SLPs from 49 states were evaluated using descriptive statistics and logistic regression. Many school-based SLPs reported not providing any services in the area of written language to students with written language weaknesses. Knowledge, attitudes, and collaborative practices were mixed. A logistic regression revealed three variables likely to predict high levels of service provision in the area of written language. Data from the current study revealed that many struggling readers and writers on school-based SLPs' caseloads are not receiving services from their SLPs. Implications for SLPs' preservice preparation, continuing education, and doctoral preparation are discussed.

  19. A Test Run of the EGSIEM Near Real-Time Service Based on GRACE Mission Data

    Science.gov (United States)

    Kvas, A.; Gruber, C.; Gouweleeuw, B.; Guntner, A.; Mayer-Gürr, T.; Flechtner, F. M.

    2017-12-01

    To enable the use of GRACE and GRACE-FO data for rapid monitoring applications, the EGSIEM (European Gravity Service for Improved Emergency Management) project, funded by the Horizon 2020 Framework Program for Research and Innovation of the European Union, has implemented a demonstrator for a near real-time (NRT) gravity field service. The goal of this service is to provide daily gravity field solutions with a maximum latency of five days. For this purpose, two independent approaches were developed at the German Research Centre for Geosciences (GFZ) and Graz University of Technology (TUG). Based on these daily gravity field solutions, statistical flood and drought indicators are derived by the EGSIEM Hydrological Service, developed at GFZ. The NRT products are subsequently provided to the Center for Satellite based Crisis Information (ZKI) at the German Aerospace Center as well as the Global Flood Awareness System (GloFAS) at the Joint Research Center of the European Commission. In the first part of this contribution, the performance of the service based on a statistical analysis of historical flood events during the GRACE period is evaluated. Then, results from the six month long operational test run of the service which started on April 1st 2017 are presented and a comparison between historical and operational gravity products and flood indicators is made.

  20. Contextualising renal patient routines: Everyday space-time contexts, health service access, and wellbeing.

    Science.gov (United States)

    McQuoid, Julia; Jowsey, Tanisha; Talaulikar, Girish

    2017-06-01

    Stable routines are key to successful illness self-management for the growing number of people living with chronic illness around the world. Yet, the influence of chronically ill individuals' everyday contexts in supporting routines is poorly understood. This paper takes a space-time geographical approach to explore the everyday space-time contexts and routines of individuals with chronic kidney disease (CKD). We ask: what is the relationship between renal patients' space-time contexts and their ability to establish and maintain stable routines, and, what role does health service access play in this regard? We draw from a qualitative case study of 26 individuals with CKD in Australia. Data comprised self-reported two day participant diaries and semi-structured interviews. Thematic analysis of interview transcripts was guided by an inductive-deductive approach. We examined the embeddedness of routines within the space-time contexts of participants' everyday lives. We found that participants' everyday space-time contexts were highly complex, especially for those receiving dialysis and/or employed, making routines difficult to establish and vulnerable to disruption. Health service access helped shape participants' everyday space-time contexts, meaning that incidences of unpredictability in accessing health services set-off 'ripple effects' within participants' space-time contexts, disrupting routines and making everyday life negotiation more difficult. The ability to absorb ripple effects from unpredictable health services without disrupting routines varied by space-time context. Implications of these findings for the deployment of the concept of routine in health research, the framing of patient success in self-managing illness, and health services design are discussed. In conclusion, efforts to understand and support individuals in establishing and maintaining routines that support health and wellbeing can benefit from approaches that contextualise and de