Science.gov

Sample records for country study evaluation

  1. Subjective evaluation of running footwear depends on country and assessment method: a bi-national study.

    PubMed

    Kong, Pui W; Lim, Chen Y; Ding, Rui; Sterzing, Thorsten

    2015-01-01

    This study examined (1) the perception of running shoes between China (Beijing) and Singapore and (2) whether running shoe preference depended on assessment methods. One hundred (n = 50 each country) Chinese males subjectively evaluated four shoe models during running by using two assessment procedures. Procedure 1 used a visual analogue scale (VAS) to assess five perception variables. Procedure 2 was a 'head-to-head' comparison of two shoes simultaneously (e.g. left foot: A and right foot: B) to decide which model was preferred. VAS scores were consistently higher in Beijing participants (p < .001), indicating a higher degree of liking. Singapore participants used the lower end but a wider range of the 15 cm scale for shoe discrimination. Moderate agreement was seen between the VAS and 'head-to-head' procedures, with only 14 out of 100 participants matched all 6 pairwise comparisons (median = 4 matches). Footwear companies and researchers should be aware that subjective shoe preference may vary with assessment methods. Practitioner Summary: Footwear preference depends on country and assessment methods. Running shoe perception differed between Beijing and Singapore Chinese, suggesting that footwear recommendation should be country-specific. Individuals' shoe preference measured by visual analogue scale when wearing complete pairs may not reflect that when directly comparing different models in left and right feet. PMID:25746342

  2. The Mobile Field Study Unit in South-West Queensland. Priority Country Area Program Evaluation Series: Report No. 9.

    ERIC Educational Resources Information Center

    Fowler, Clifford F.

    Effectiveness of the Mobile Field Study Unit's work in environmental education in south-west Queensland during 1979-1980 was evaluated through records kept by the Unit and the Priority Country Area Program (PCAP) office, evaluations by teachers, interviews with teachers and educational administrators, and participant observation of the Unit. The…

  3. Validation of an approximate REML algorithm for parameter estimation in a multitrait, multiple across-country evaluation model: a simulation study.

    PubMed

    Tarrés, J; Liu, Z; Ducrocq, V; Reinhardt, F; Reents, R

    2007-10-01

    A multitrait, multiple across-country evaluation (MT-MACE) model permitting a variable number of correlated traits per country allows international genetic evaluation models to more closely match national models. Before the MT-MACE evaluation can be applied, genetic (co)variance components within and across country must be estimated. An approximate REML algorithm for parameter estimation was developed and was validated via simulation. This method is based on the expectation maximization REML (EM-REML) algorithm. Because obtaining the inverse of co-efficient matrix is not usually feasible for large amounts of data, an algorithm using the multiple-trait effective daughter contribution (EDC) is proposed to provide approximate diagonal elements of the inverse matrix. The accuracy of the approximate EM-REML was tested with simulated data and compared with an average information REML (AI-REML) from available software. Two simulation studies were performed. First, data of 2 countries were simulated using a single-trait model. Estimates of across-country genetic correlations with the developed algorithm were unbiased and very precise. The precision, however, depended on the percentage of bulls with data in both countries. The results obtained with the approximate EM-REML software were very close to those obtained with the AI-REML software regarding estimated genetic correlations and bulls' estimated breeding values. The second simulation assumed a multiple trait model and the same number of traits, pedigree structure, EDC, and pattern of missing records as for actual observations for milk yield obtained from French and German national Holstein evaluations. As with the single-trait scenarios, the approximate EM-REML gave nearly unbiased and very precise estimates of within- and across-country genetic correlations. The results obtained in both simulation studies confirmed the suitability of the MT-MACE model and approximate EM-REML software in a wide range of situations. Even when the genetic trend was incorrectly estimated by the national evaluations, a joint analysis including a time effect in the MT-MACE model adequately corrected for this bias. PMID:17881708

  4. Renewable energy and its potential for carbon emissions reductions in developing countries: Methodology for technology evaluation. Case study application to Mexico

    SciTech Connect

    Corbus, D.; Martinez, M.; Rodriguez, L.; Mark, J.

    1994-08-01

    Many projects have been proposed to promote and demonstrate renewable energy technologies (RETs) in developing countries on the basis of their potential to reduce carbon emissions. However, no uniform methodology has been developed for evaluating RETs in terms of their future carbon emissions reduction potential. This study outlines a methodology for identifying RETs that have the potential for achieving large carbon emissions reductions in the future, while also meeting key criteria for commercialization and acceptability in developing countries. In addition, this study evaluates the connection between technology identification and the selection of projects that are designed to demonstrate technologies with a propensity for carbon emission reductions (e.g., Global Environmental Facility projects). Although this report applies the methodology to Mexico in a case study format, the methodology is broad based and could be applied to any developing country, as well as to other technologies. The methodology used in this report is composed of four steps: technology screening, technology identification, technology deployment scenarios, and estimates of carbon emissions reductions. The four technologies with the highest ranking in the technology identification process for the on-grid category were geothermal, biomass cogeneration, wind, and micro-/mini-hydro. Compressed natural gas (CNG) was the alternative that received the highest ranking for the transportation category.

  5. School Feeding Programs in Developing Countries: An Analysis of Actual and Potential Impact. AID Evaluation Special Study No. 30.

    ERIC Educational Resources Information Center

    Levinger, Beryl

    Reviewed are empirical studies of relationships among school feeding programs (SFPs), school attendance, enrollment, cognitive development, and academic performance. Recommendations for SFP design are specified. An agenda for a systematic operations research project on the influence of SFPs on these variables and on nutritional status is…

  6. A Study to Evaluate the Language Development of Post-Institutionalised Children Adopted from Eastern European Countries

    ERIC Educational Resources Information Center

    Schoenbrodt, Lisa A.; Carran, Deborah T.; Preis, Janet

    2007-01-01

    This study examined data collected over a period of three years from 48 children adopted from Eastern European orphanages. English language acquisition and present levels of performance were measured by the standardised language assessment, the Comprehensive Assessment of Spoken Language (CASL). The participants ranged from 3 to 16 years of age,…

  7. Measuring turbidity, and indicator to evaluate drinkability of waters in Southern countries? Approaches from Burkina Faso, Sudan and Argentina case studies

    NASA Astrophysics Data System (ADS)

    Lavie, Emilie; Robert, Elodie

    2013-04-01

    The relationship between proportion of suspended solids, dissolved oxygen and bacteriology has long been proven (Brock, 1966; Lechevallier et al., 1985; Bustina and Levallois, 2003; Chang and Liao, 2012), bacteria need coarse elements to hang on and develop. However, water bacteriology analyses are difficult to implement in southern countries. They are expensive and require sterile equipment, transport in cold conditions and a nearby laboratory, which remains difficult in remote areas under these hot latitudes. Yet, simple measurement devices allow to know in a few minutes the water turbidity. Is turbidity an efficient tool to evaluate the drinkability of water when no bacteriological analyses are possible? The results proposed here are taken from three different studies whose purposes were to measure different physical, chemical and bacteriological parameters of water used for human and/or animal consumption. One of the finalities was to propose a method, at lower cost, to evaluate the drinkability of water for consumption. Four case studies were chosen: the basin of the Doubegue River in Burkina Faso is a rural area of a developing country, where drinking water is taken from the alluvial aquifer close to the surface. Furthermore, the laundry is washed and the children play in running streams. Major expansion of the cultivated lands since 1980s has brought important soils losses, thus a chronicle contamination of surface water with suspended solids (Robert, 2012). The Mendoza and Tunuyán Rivers Basins in Argentina, an emerging country, have snow-glaciar regimes with naturally turbid waters. They supply drinking water to two towns, Mendoza and Tunuyán cities, respectively 1 million and 40,000 inhabitants. However, these two streams -whose watersheds are common- do not present the same managements: the Mendoza River has been equipped with large hydraulic infrastructures, moving the turbid waters into clear and erosive ones (Lavie, 2009), while the Tunuyán River and its tributaries were not transformed upstream our sample points (Lavie et al., 2013, under press). Finally, we studied an urban drinking waters network, in Khartoum, the capital of Sudan, one of the least developed countries, with chronic political crises. The nearly 6 million inhabitants of this settlement suffer many cuts and bad pressure at tap. Furthermore, Nile's waters that feed the network are summarily treated and then quite turbid, especially in summer during Nile's floods. This situation obliges the population to store and to decant water, transforming it into clear ones (Lavie and Hamza, 2013, under press). The results of our studies demonstrate that, generally, we can observe a correlation between increasing turbidity and bacteriology, and decreasing oximetry. This assumption is disproven in many cases: (1) the stagnant waters of Khartoum and (2) the clarified Mendoza River waters. Finally, (3) the seasonal anthropogenic uses of soil and waters in the Doubegue and Tunuyán Rivers have more impact on the bacteriological quality than the natural seasonality of the suspended solids because soil erosion has increased.

  8. Evaluating the relative environmental impact of countries.

    PubMed

    Bradshaw, Corey J A; Giam, Xingli; Sodhi, Navjot S

    2010-01-01

    Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy 'models' can be identified. We provide novel metrics of country-specific environmental impact ranks - one proportional to total resource availability per country and an absolute (total) measure of impact - that explicitly avoid incorporating confounding human health or economic indicators. Our rankings are based on natural forest loss, habitat conversion, marine captures, fertilizer use, water pollution, carbon emissions and species threat, although many other variables were excluded due to a lack of country-specific data. Of 228 countries considered, 179 (proportional) and 171 (absolute) had sufficient data for correlations. The proportional index ranked Singapore, Korea, Qatar, Kuwait, Japan, Thailand, Bahrain, Malaysia, Philippines and Netherlands as having the highest proportional environmental impact, whereas Brazil, USA, China, Indonesia, Japan, Mexico, India, Russia, Australia and Peru had the highest absolute impact (i.e., total resource use, emissions and species threatened). Proportional and absolute environmental impact ranks were correlated, with mainly Asian countries having both high proportional and absolute impact. Despite weak concordance among the drivers of environmental impact, countries often perform poorly for different reasons. We found no evidence to support the environmental Kuznets curve hypothesis of a non-linear relationship between impact and per capita wealth, although there was a weak reduction in environmental impact as per capita wealth increases. Using structural equation models to account for cross-correlation, we found that increasing wealth was the most important driver of environmental impact. Our results show that the global community not only has to encourage better environmental performance in less-developed countries, especially those in Asia, there is also a requirement to focus on the development of environmentally friendly practices in wealthier countries. PMID:20454670

  9. Evaluating the Relative Environmental Impact of Countries

    PubMed Central

    Bradshaw, Corey J. A.; Giam, Xingli; Sodhi, Navjot S.

    2010-01-01

    Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy ‘models’ can be identified. We provide novel metrics of country-specific environmental impact ranks – one proportional to total resource availability per country and an absolute (total) measure of impact – that explicitly avoid incorporating confounding human health or economic indicators. Our rankings are based on natural forest loss, habitat conversion, marine captures, fertilizer use, water pollution, carbon emissions and species threat, although many other variables were excluded due to a lack of country-specific data. Of 228 countries considered, 179 (proportional) and 171 (absolute) had sufficient data for correlations. The proportional index ranked Singapore, Korea, Qatar, Kuwait, Japan, Thailand, Bahrain, Malaysia, Philippines and Netherlands as having the highest proportional environmental impact, whereas Brazil, USA, China, Indonesia, Japan, Mexico, India, Russia, Australia and Peru had the highest absolute impact (i.e., total resource use, emissions and species threatened). Proportional and absolute environmental impact ranks were correlated, with mainly Asian countries having both high proportional and absolute impact. Despite weak concordance among the drivers of environmental impact, countries often perform poorly for different reasons. We found no evidence to support the environmental Kuznets curve hypothesis of a non-linear relationship between impact and per capita wealth, although there was a weak reduction in environmental impact as per capita wealth increases. Using structural equation models to account for cross-correlation, we found that increasing wealth was the most important driver of environmental impact. Our results show that the global community not only has to encourage better environmental performance in less-developed countries, especially those in Asia, there is also a requirement to focus on the development of environmentally friendly practices in wealthier countries. PMID:20454670

  10. Evaluating "Cat Country": The Humor within Satire

    ERIC Educational Resources Information Center

    Chang, Chung-chien Karen

    2010-01-01

    Satire, as a mode, is not frequently employed in Chinese narratives. "Cat Country," or "Mao Cheng Ji," written by Lao She (pen name of Shu Qing Chun, 1898--1966) has come under much attack of its literary values. Whereas most critics have no doubt that this work sets out to satirize China through the portrayal of a society of cats on Mars, the…

  11. Culturally Competent Evaluation in Indian Country

    ERIC Educational Resources Information Center

    LaFrance, Joan

    2004-01-01

    Given the rich tapestry of tribal cultures in the United States, it is presumptuous to assume that any evaluator, whether an Alaskan Native or a member of an American Indian tribe (or a non-Indian), can understand the culture of every group. Rather than trying to master multiple cultural specificities, the goal of a competent evaluator, especially…

  12. How Do Other Countries Evaluate Teachers?

    ERIC Educational Resources Information Center

    Williams, James H.; Engel, Laura C.

    2012-01-01

    Given the primary role of teachers in affecting student achievement, U.S. policy makers and reformers have increasingly focused on monitoring and evaluating teacher effectiveness by emphasizing the links to student learning outcomes. Large-scale international assessments are frequently used as base examples to justify reform. But, relatively…

  13. Assessment and Evaluation of National Human Resource Development System Competitiveness in Emerging Countries

    ERIC Educational Resources Information Center

    Oh, HunSeok; Seo, DongIn; Kim, JuSeuk; Yoo, SangOk; Seong, HeeChang

    2015-01-01

    This study assessed and evaluated the competitiveness of national human resource development (NHRD) systems in emerging countries with potential for growth. The literature on emerging countries and NHRD systems was reviewed. The study developed a model mechanism with forty-one indices and nine sub-components for the NHRD system assessment in…

  14. Acid deposition study in the Asian countries

    SciTech Connect

    Soon, Ting-Kueh; Lau, Wai-Yoo

    1996-12-31

    The Association of South East Asian Nations or ASEAN is a regional association of seven countries, namely Indonesia, Malaysia, Philippines, Singapore, Thailand, Brunei and Vietnam, located at the south eastern part of the Asian continent. Together with the East Asian States of Japan, China, Korea and Taiwan, this part of the world is experiencing rapid economic growth, especially in the last decade. Rapid industrialization has resulted in an increased demand for energy in the manufacturing and transport sectors, and also for infrastructure development. This has led to a significant increase in gaseous emissions and a corresponding increase in atmospheric acidity. Acid deposition study in the ASEAN countries began in the mid-70s when Malaysia first started her acid rain monitoring network in 1976. This was followed closely by Singapore and the other ASEAN countries in the 80s. By now all ASEAN countries have their own acid rain monitoring networks with a number of these countries extending the monitoring to dry deposition as well.

  15. Cooperation in nuclear data evaluation among the OECD countries

    SciTech Connect

    Dunford, C.L. ); Kikuchi, Y. ); Salvatores, M. )

    1991-01-01

    In the fall of 1988, agreement was reached on a collaborative effort between the four nuclear data evaluation projects which exist within the OECD countries. Those projects participating in this effort are the ENDF/B project in the United States, the JENDL project in Japan and the JEF and EFF projects in Western Europe. The cooperation among these projects has been proceeding under the sponsorship of the NEA Committee on Reactor Physics and the NEA Nuclear Data Committee since 1989. The goals and accomplishments of the Working Group on Evaluation Cooperation and the work of its seven ongoing projects are briefly described. 6 refs.

  16. Healthy city projects in developing countries: the first evaluation.

    PubMed

    Harpham, T; Burton, S; Blue, I

    2001-06-01

    The 'healthy city' concept has only recently been adopted in developing countries. From 1995 to 1999, the World Health Organization (WHO), Geneva, supported healthy city projects (HCPs) in Cox's Bazar (Bangladesh), Dar es Salaam (Tanzania), Fayoum (Egypt), Managua (Nicaragua) and Quetta (Pakistan). The authors evaluated four of these projects, representing the first major evaluation of HCPs in developing countries. Methods used were stakeholder analysis, workshops, document analysis and interviews with 102 managers/implementers and 103 intended beneficiaries. Municipal health plan development (one of the main components of the healthy city strategy) in these cities was limited, which is a similar finding to evaluations of HCPs in Europe. The main activities selected by the projects were awareness raising and environmental improvements, particularly solid waste disposal. Two of the cities effectively used the 'settings' approach of the healthy city concept, whereby places such as markets and schools are targeted. The evaluation found that stakeholder involvement varied in relation to: (i) the level of knowledge of the project; (ii) the project office location; (iii) the project management structure; and (iv) type of activities (ranging from low stakeholder involvement in capital-intensive infrastructure projects, to high in some settings-type activities). There was evidence to suggest that understanding of environment-health links was increased across stakeholders. There was limited political commitment to the healthy city projects, perhaps due to the fact that most of the municipalities had not requested the projects. Consequently, the projects had little influence on written/expressed municipal policies. Some of the projects mobilized considerable resources, and most projects achieved effective intersectoral collaboration. WHO support enabled the project coordinators to network at national and international levels, and the capacity of these individuals (although not necessarily their institutions) was increased by the project. The average annual running cost of the projects was approximately 132,000 US dollars per city, which is close to the costs of the only other HCP for which a cost analysis has been undertaken, Bangkok (115,000 US dollars per year) Recommendations for these and other HCPs are provided. PMID:11356750

  17. Africa OR / TA Project II supporting studies in several countries.

    PubMed

    1994-12-01

    During the first 6 months, the Africa OR/TA (Operations Research and Technical Assistance) Project II has helped in generating OR country strategic workplans in various sub-Saharan African countries. Project staff has spent much time collaborating with the Navrongo Health Research Centre (NHRC) in the rural Kassena Nankana district in Ghana in designing the Navrongo Community Health and Family Planning (FP) Project. This area has high fertility and mortality rates. The people hold strong pronatal beliefs. Contraceptive use is low among the mostly unschooled women. If this FP/community health project can effectively deliver FP here, it can be successful elsewhere in Africa. Africa OR/TA Project staff are helping design a FP OR experimental field station. They aim to help the Government of Kenya and USAID Nairobi to lower national fertility levels and the incidence of sexually transmitted HIV in some target groups. The Family Planning Association of Kenya will collaborate with the Project on OR/TA activities which include a national situation analysis study, a study examining the impact of quality of services, and community based distribution (CBD) studies. Project staff would like to see integration of sexually transmitted diseases (STDs) and FP services. OR activities strengthen the clinic- and community-based portions of the FP program in Tanzania. Staff will help with the evaluation of the effectiveness of the CBD models. The FP program aims to meet the reproductive health needs of men and young adults and to integrate STD/AIDS and FP. Project staff will also help the Botswana Population Assistance Project document and monitor the integration of FP, STD management, and AIDS prevention procedures. PMID:12319038

  18. Cannabis Supply and Demand Reduction: Evidence from the ESPAD Study of Adolescents in 31 European Countries

    ERIC Educational Resources Information Center

    Bjarnason, Thoroddur; Steriu, Andreea; Kokkevi, Anna

    2010-01-01

    Aims: Most national drug policies target both the supply side and the demand side of illicit drug use. Although such policies are intended to affect individual choices, they by definition operate on a national level and cannot be evaluated solely on the basis of individual-level differences. This study aims to evaluate the impact of country-level…

  19. The Process of Choosing a Management Career: Evaluation of Gender and Contextual Dynamics in a Comparative Study of Six Countries--Hungary, Israel, North Cyprus, Turkey, UK and the USA

    ERIC Educational Resources Information Center

    Tanova, Cem; Karatas-Ozkan, Mine; Inal, Gozde

    2008-01-01

    Purpose: The aim of this article is to identify the reasons MBA students have for their career choices, and to explore the contextual and gender-related aspects of career choice and development, based on a comparative study carried out with participants in six countries, i.e. Hungary, Israel, North Cyprus, Turkey, the UK and the USA. The paper…

  20. Application of a multiple-trait, multiple-country genetic evaluation model for female fertility traits.

    PubMed

    Nilforooshan, M A; Jakobsen, J H; Fikse, W F; Berglund, B; Jorjani, H

    2010-12-01

    The need to implement a method that can handle multiple traits per country in international genetic evaluations is evident. Today, many countries have implemented multiple-trait national genetic evaluations and they may expect to have their traits simultaneously analyzed in international genetic evaluations. Traits from the same country are residually correlated and the method currently in use, single-trait multiple across-country evaluation (ST-MACE), cannot handle nonzero residual correlations. Therefore, multiple-trait, multiple across-country evaluation (MT-MACE) was proposed to handle several traits from the same country simultaneously. To test the robustness of MT-MACE on real data, female fertility was chosen as a complex trait with low heritability. Data from 7 Holstein populations, 3 with 2 traits and 4 with 1 trait, were used. The differences in the estimated genetic correlations by MT-MACE and the single ST-MACE analysis (average absolute deviation of 0.064) were due to the bias of considering several traits from the same country in the ST-MACE analysis. However, the differences between the estimated genetic correlations by MT-MACE and multiple ST-MACE analyses avoiding more than one trait per country in each analysis (average absolute deviation of 0.066) were due to the lack of analysis of the correlated traits from the same country together and using the reported within-country genetic correlations. Applying MT-MACE resulted in reliability gain in international genetic evaluations, which was different from trait to trait and from bull to bull. The average reliability gain by MT-MACE over ST-MACE was 3.0 points for domestic bulls and 6.3 points for foreign bulls. Even countries with 1 trait benefited from the joint analysis of traits from the 2-trait countries. Another superiority of MT-MACE over ST-MACE is that the bulls that do not have national genetic evaluation for some traits from multiple trait countries will receive international genetic evaluations for those traits. Rank correlations were high between ST-MACE and MT-MACE when considering all bulls. However, the situation was different for the top 100 bulls. Simultaneous analysis of traits from the same country affected bull ranks, especially for top 100 bulls. Multi-trait MACE is a recommendable and robust method for international genetic evaluations and is appropriate for handling multiple traits per country, which can increase the reliability of international genetic evaluations. PMID:21094772

  1. Entrepreneurial Training: A Comparative Study across Fifteen European Countries

    ERIC Educational Resources Information Center

    Matricano, Diego

    2014-01-01

    This paper arises from the contents of the Lisbon Strategy, a set of cooperation policies stressing the role of education and training. The findings from a comparative study of the influence that entrepreneurial training--classified as formal or informal--can have on start-up expectations are analysed. The study covers fifteen European countries

  2. Software Development Offshoring Competitiveness: A Case Study of ASEAN Countries

    ERIC Educational Resources Information Center

    Bui, Minh Q.

    2011-01-01

    With the success of offshoring within the American software industry, corporate executives are moving their software developments overseas. The member countries of the Association of Southeast Asian Nations (ASEAN) have become a preferred destination. However, there is a lack of published studies on the region's software competitiveness in…

  3. Preliminary lithostratigraphic correlation study in OAPEC member countries

    SciTech Connect

    Lababidi, M.M.; Hamdan, A.N.

    1985-01-01

    This book examines a study correlating rock units in the Middle Eastern and North African member countries, based on direct information from the members. It comprises Paleozoic, Mesozoic, and Cenozoic correlation charts for each region and a lexicon giving the definition, age, lithology, and equivalents of each formation.

  4. Inbreeding Depression and IQ in a Study of 72 Countries

    ERIC Educational Resources Information Center

    Woodley, Michael A.

    2009-01-01

    In this ecological study, a robust negative correlation of r = - 0.62 (P less than 0.01) is reported between national IQs and consanguinity as measured by the log10 transformed percentage of consanguineous marriages for 72 countries. This correlation is reduced in magnitude, when IQ is controlled for GDP per capita (r = - 0.41, P less than 0.01);…

  5. Civic Education across Countries: Twenty-four National Case Studies from the IEA Civic Education Project.

    ERIC Educational Resources Information Center

    Torney-Purta, Judith; Schwille, John; Amadeo, Jo-Ann

    This volume reports the results of the first phase of the Civic Education Study conducted by International Association for the Evaluation of Educational Achievement (IEA). During 1996 and 1997, researchers in 24 countries collected documentary evidence on the circumstances, contents, and processes of civic education in response to a common set of…

  6. Developing a framework for evaluation of renewable energy in developing countries 

    E-print Network

    Kiarsi, Sepideh

    2011-11-24

    Abstract In this dissertation, I develop a framework for evaluation of renewable energy projects in developing countries. There is a global common sense that addressing the increasing energy demands of both developed ...

  7. How Can We Assess and Evaluate the Competitive Advantage of a Country's Human Resource Development System?

    ERIC Educational Resources Information Center

    Oh, Hunseok; Ryu, Hyue-Hyun; Choi, Myungweon

    2013-01-01

    The purpose of this study was to develop an index to assess and evaluate the competitive advantage of a country's human resource development system. Based on an extensive literature review, a theoretical model of a human resource development system at the national level (named National Human Resource Development: NHRD) was constructed. The…

  8. Evaluation of collared peccary translocations in the Texas Hill Country 

    E-print Network

    Porter, Brad Alan

    2007-09-17

    (Tayassu tajacu) are small, pig-like mammals native to arid regions of the southwestern United States (Hellgren and Lochmiller 2000). Previous population studies of collared peccaries have used radio transmitters attached via surgical implants (Ilse...) and the increased risk of neck collars becoming entangled in dense brush thickets typically used by collared peccaries. Surgical implants of intraperitoneal radio transmitters overcome many of these limitations and are a feasible alternative in telemetry studies...

  9. Good Jobs, Bad Jobs: Workers' Evaluations in Five Countries.

    ERIC Educational Resources Information Center

    Ritter, Joseph A.; Anker, Richard

    2002-01-01

    A study of workers from Argentina (n=2,920), Brazil (n=4,000), Chile (n=1,188), Hungary (1,000), and the Ukraine (n=8,099) examined relationships between job satisfaction and employee and employer characteristics. Satisfaction was related to job security, perceptions of workplace safety, higher education, and employer attitudes. (Contains 17…

  10. Cost of dengue outbreaks: literature review and country case studies

    PubMed Central

    2013-01-01

    Background Dengue disease surveillance and vector surveillance are presumed to detect dengue outbreaks at an early stage and to save – through early response activities – resources, and reduce the social and economic impact of outbreaks on individuals, health systems and economies. The aim of this study is to unveil evidence on the cost of dengue outbreaks. Methods Economic evidence on dengue outbreaks was gathered by conducting a literature review and collecting information on the costs of recent dengue outbreaks in 4 countries: Peru, Dominican Republic, Vietnam, and Indonesia. The literature review distinguished between costs of dengue illness including cost of dengue outbreaks, cost of interventions and cost-effectiveness of interventions. Results Seventeen publications on cost of dengue showed a large range of costs from 0.2 Million US$ in Venezuela to 135.2 Million US$ in Brazil. However, these figures were not standardized to make them comparable. Furthermore, dengue outbreak costs are calculated differently across the publications, and cost of dengue illness is used interchangeably with cost of dengue outbreaks. Only one paper from Australia analysed the resources saved through active dengue surveillance. Costs of vector control interventions have been reported in 4 studies, indicating that the costs of such interventions are lower than those of actual outbreaks. Nine papers focussed on the cost-effectiveness of dengue vaccines or dengue vector control; they do not provide any direct information on cost of dengue outbreaks, but their modelling methodologies could guide future research on cost-effectiveness of national surveillance systems. The country case studies – conducted in very different geographic and health system settings - unveiled rough estimates for 2011 outbreak costs of: 12 million US$ in Vietnam, 6.75 million US$ in Indonesia, 4.5 million US$ in Peru and 2.8 million US$ in Dominican Republic (all in 2012 US$). The proportions of the different cost components (vector control; surveillance; information, education and communication; direct medical and indirect costs), as percentage of total costs, differed across the respective countries. Resources used for dengue disease control and treatment were country specific. Conclusions The evidence so far collected further confirms the methodological challenges in this field: 1) to define technically dengue outbreaks (what do we measure?) and 2) to measure accurately the costs in prospective field studies (how do we measure?). Currently, consensus on the technical definition of an outbreak is sought through the International Research Consortium on Dengue Risk Assessment, Management and Surveillance (IDAMS). Best practice guidelines should be further developed, also to improve the quality and comparability of cost study findings. Modelling the costs of dengue outbreaks and validating these models through field studies should guide further research. PMID:24195519

  11. Evaluating socio-economic state of a country analyzing airtime credit and mobile phone datasets

    E-print Network

    Gutierrez, Thoralf; Blondel, Vincent D

    2013-01-01

    Reliable statistical information is important to make political decisions on a sound basis and to help measure the impact of policies. Unfortunately, statistics offices in developing countries have scarce resources and statistical censuses are therefore conducted sporadically. Based on mobile phone communications and history of airtime credit purchases, we estimate the relative income of individuals, the diversity and inequality of income, and an indicator for socioeconomic segregation for fine-grained regions of an African country. Our study shows how to use mobile phone datasets as a starting point to understand the socio-economic state of a country, which can be especially useful in countries with few resources to conduct large surveys.

  12. Demand generation activities and modern contraceptive use in urban areas of four countries: a longitudinal evaluation.

    PubMed

    Speizer, Ilene S; Corroon, Meghan; Calhoun, Lisa; Lance, Peter; Montana, Livia; Nanda, Priya; Guilkey, David

    2014-12-01

    Family planning is crucial for preventing unintended pregnancies and for improving maternal and child health and well-being. In urban areas where there are large inequities in family planning use, particularly among the urban poor, programs are needed to increase access to and use of contraception among those most in need. This paper presents the midterm evaluation findings of the Urban Reproductive Health Initiative (Urban RH Initiative) programs, funded by the Bill & Melinda Gates Foundation, that are being implemented in 4 countries: India (Uttar Pradesh), Kenya, Nigeria, and Senegal. Between 2010 and 2013, the Measurement, Learning & Evaluation (MLE) project collected baseline and 2-year longitudinal follow-up data from women in target study cities to examine the role of demand generation activities undertaken as part of the Urban RH Initiative programs. Evaluation results demonstrate that, in each country where it was measured, outreach by community health or family planning workers as well as local radio programs were significantly associated with increased use of modern contraceptive methods. In addition, in India and Nigeria, television programs had a significant effect on modern contraceptive use, and in Kenya and Nigeria, the program slogans and materials that were blanketed across the cities (eg, leaflets/brochures distributed at health clinics and the program logo placed on all forms of materials, from market umbrellas to health facility signs and television programs) were also significantly associated with modern method use. Our results show that targeted, multilevel demand generation activities can make an important contribution to increasing modern contraceptive use in urban areas and could impact Millennium Development Goals for improved maternal and child health and access to reproductive health for all. PMID:25611476

  13. Demand generation activities and modern contraceptive use in urban areas of four countries: a longitudinal evaluation

    PubMed Central

    Speizer, Ilene S; Corroon, Meghan; Calhoun, Lisa; Lance, Peter; Montana, Livia; Nanda, Priya; Guilkey, David

    2014-01-01

    ABSTRACT Family planning is crucial for preventing unintended pregnancies and for improving maternal and child health and well-being. In urban areas where there are large inequities in family planning use, particularly among the urban poor, programs are needed to increase access to and use of contraception among those most in need. This paper presents the midterm evaluation findings of the Urban Reproductive Health Initiative (Urban RH Initiative) programs, funded by the Bill & Melinda Gates Foundation, that are being implemented in 4 countries: India (Uttar Pradesh), Kenya, Nigeria, and Senegal. Between 2010 and 2013, the Measurement, Learning & Evaluation (MLE) project collected baseline and 2-year longitudinal follow-up data from women in target study cities to examine the role of demand generation activities undertaken as part of the Urban RH Initiative programs. Evaluation results demonstrate that, in each country where it was measured, outreach by community health or family planning workers as well as local radio programs were significantly associated with increased use of modern contraceptive methods. In addition, in India and Nigeria, television programs had a significant effect on modern contraceptive use, and in Kenya and Nigeria, the program slogans and materials that were blanketed across the cities (eg, leaflets/brochures distributed at health clinics and the program logo placed on all forms of materials, from market umbrellas to health facility signs and television programs) were also significantly associated with modern method use. Our results show that targeted, multilevel demand generation activities can make an important contribution to increasing modern contraceptive use in urban areas and could impact Millennium Development Goals for improved maternal and child health and access to reproductive health for all. PMID:25611476

  14. A systematic review of economic evaluations of interventions to tackle cardiovascular disease in low- and middle-income countries

    PubMed Central

    2012-01-01

    Background Low-and middle-income countries are facing both a mounting burden of cardiovascular disease (CVD) as well as severe resource constraints that keep them from emulating some of the extensive strategies pursued in high-income countries. There is thus an urgency to identify and implement those interventions that help reap the biggest reductions of the CVD burden, given low resource levels. What are the interventions to combat CVDs that represent good "value for money" in low-and middle-income countries? This study reviews the evidence-base on economic evaluations of interventions located in those countries. Methods We conducted a systematic literature review of journal articles published until 2009, based on a comprehensive key-word based search in generic and specialized electronic databases, accompanied by manual searches of expert databases. The search strategy consisted of freetext and MeSH terms related to economic evaluation and cardiovascular disease. Two independent reviewers verified fulfillment of inclusion criteria and extracted study characteristics. Results Thirty-three studies met the selection criteria. We find a growing research interest, in particular in most recent years, if from a very low baseline. Most interventions fall under the category primary prevention, as opposed to case management or secondary prevention. Across the spectrum of interventions, pharmaceutical strategies have been the predominant focus, and, taken at face value, these show significant positive economic evidence, specifically when compared to the counterfactual of no interventions. Only a few studies consider non-clinical interventions, at population level. Almost half of the studies have modelled the intervention effectiveness based on existing risk-factor information and effectiveness evidence from high-income countries. Conclusion The cost-effectiveness evidence on CVD interventions in developing countries is growing, but remains scarce, and is biased towards pharmaceutical interventions. While the burden of cardiovascular disease is growing in these countries, future research should put greater emphasis on non-clinical interventions than has hitherto been the case. Significant differences in outcome measures and methodologies prohibit a direct ranking of the interventions by their degree of cost-effectiveness. Considerable caution should be exercised when transferring effectiveness estimates from developed countries for the purpose of modelling cost-effectiveness in developing countries. New local CVD risk factor and intervention follow-up studies are needed. Some pharmaceutical strategies appear cost-effective while clarifications are needed on the diagnostic approach in single high-risk factor vs. absolute risk targeting, the role of patient compliance, and the potential public health consequences of large-scale medicalization. PMID:22214510

  15. Project analysis procedures for an OPEC country: case study of Qatar's Northwest Dome Gas Project

    SciTech Connect

    Ali, A.B.; Khalifah, H.

    1986-01-01

    The discovery of oil in most OPEC countries in the 1940s changed the economies of these countries from a state of capital shortage and stagnation to a state of capital surplus and economic growth. This growth, however, is lopsided. Oil production and export dominate the gross domestic products (GDPs) of those economies. Concern arising during the 1970s about overdependence on crude oil export as the main source of national income has resulted in the initiation of various industrial development programs in OPEC states aiming to diversify their economies. This study was conducted with two primary objectives: (1) to identify and understand the features of selected OPEC countries' development problems, strategies and plans, focusing on the role of oil and gas resources and opportunities for diversification, and (2) to suggest an appropriate development strategy, with project evaluation implications, for capital-abundant, labor-scarce OPEC countries in the Gulf region such as Qatar. This proposed approach is designed to evaluate the project from its contribution to the national income, people's welfare, the expansion of the economy's absorptive capacity, and relief of the economy's dependence on nonrenewable resources. The Northwest Dome Gas Project in Qatar was selected as an illustrative case study for this approach.

  16. The Challenges of Small-Scale Evaluation in a Foreign Country: Reflections on Practice

    ERIC Educational Resources Information Center

    Saunders, Lesley

    2010-01-01

    This paper is a reflection on practice. It begins by briefly describing an evaluation of an externally-funded education programme in Kosovo (a new country in south-east Europe). The programme was managed by Save the Children in Kosovo and aimed to develop and promote models of inclusive education through three strands of activity. The first of…

  17. Evaluation of the applicability of SWAT in the Nile Basin countries: a review

    NASA Astrophysics Data System (ADS)

    van Griensven, A.; Ndomba, P. M.; Kilonzo, F.

    2012-04-01

    A plethora of hydrological modeling codes are nowadays available and many applications of these tools have been reported in peer reviewed journal papers. The hypothesis that the model is appropriate for the case study and the purpose of the study is however very often not questioned. We aim here at critically reviewing the use of a widely used hydrological simulation tool, the Soil and Water Assessment Tool (SWAT) in the context of the modeling purpose and problem descriptions in the tropical highlands of the Nile Basin countries. Up to date, more than 20 peer reviewed papers describe the use of SWAT in this region for a variety of problems, such as erosion modeling, land use modeling, climate change impact modeling and water resources management. The majority of the studies are clustered in the tropical highlands in Ethiopia and around Lake Victoria. A number of criteria are used to evaluate the model set-up, the performance, the physical representation of the model parameters, and the representativeness of the hydrological model balance. Here we evaluate the applications of within the Nile basin. On the basis of performance indicators, the majority of the SWAT models were classified as giving satisfactory to very good results. Nevertheless, the hydrological mass balances as reported in several papers contained several losses that might not be justified. More worrying is that many papers lack this information. For that reason, it is difficult to give an overall positive evaluation to most of the reported SWAT models. An important gap is the lack of attention that is given to the vegetation and crop processes. None of the papers reported any adaptation to the crop parameters, or any crop related output such as leaf area index, biomass or crop yields. A proper simulation of the land cover is important for obtaining correct evapotranspiration and erosion computations. It is also found that a comparison of SWAT applications on the same or similar case study but by different research teams and/or model versions resulted in very different results. It is therefore recommended to try to find better methods to evaluate the representativeness of the distributed processes and parameters, especially when land use studies are envisaged. The main recommendation is that more details on the model set-up, the parameters and outputs should be provided in the journal papers in order to allow for a more stringent evaluation of these models.

  18. Nurse Migration from a Source Country Perspective: Philippine Country Case Study

    PubMed Central

    Lorenzo, Fely Marilyn E; Galvez-Tan, Jaime; Icamina, Kriselle; Javier, Lara

    2007-01-01

    Objectives To describe nurse migration patterns in the Philippines and their benefits and costs. Principal Findings The Philippines is a job-scarce environment and, even for those with jobs in the health care sector, poor working conditions often motivate nurses to seek employment overseas. The country has also become dependent on labor migration to ease the tight domestic labor market. National opinion has generally focused on the improved quality of life for individual migrants and their families, and on the benefits of remittances to the nation. However, a shortage of highly skilled nurses and the massive retraining of physicians to become nurses elsewhere has created severe problems for the Filipino health system, including the closure of many hospitals. As a result, policy makers are debating the need for new policies to manage migration such that benefits are also returned to the educational institutions and hospitals that are producing the emigrant nurses. Conclusions and Recommendations There is new interest in the Philippines in identifying ways to mitigate the costs to the health system of nurse emigration. Many of the policy options being debated involve collaboration with those countries recruiting Filipino nurses. Bilateral agreements are essential for managing migration in such a way that both sending and receiving countries derive benefit from the exchange. PMID:17489922

  19. Health workforce development: a needs assessment study in French speaking African countries.

    PubMed

    Chastonay, Philippe; Moretti, Roberto; Zesiger, Véronique; Cremaschini, Marco; Bailey, Rebecca; Pariyo, George; Kabengele, Emmanuel Mpinga

    2013-05-01

    In 2006, WHO alerted the world to a global health workforce crisis, demonstrated through critical shortages of health workers, primarily in Sub-Saharan Africa (WHO in World Health Report, 2006). The objective of our study was to assess, in a participative way, the educational needs for public health and health workforce development among potential trainees and training institutions in nine French-speaking African countries. A needs assessment was conducted in the target countries according to four approaches: (1) Review at national level of health challenges. (2) Semi-directed interviews with heads of relevant training institutions. (3) Focus group discussions with key-informants. (4) A questionnaire-based study targeting health professionals identified as potential trainees. A needs assessment showed important public health challenges in the field of health workforce development among the target countries (e.g. unequal HRH distribution in the country, ageing of HRH, lack of adequate training). It also showed a demand for education and training institutions that are able to offer a training programme in health workforce development, and identified training objectives and core competencies useful to potential employers and future trainees (e.g. leadership, planning/evaluation, management, research skill). In combining various approaches our study was able to show a general demand for health managers who are able to plan, develop and manage a nation's health workforce. It also identified specific competencies that should be developed through an education and training program in public health with a focus on health workforce development. PMID:22453358

  20. Therapeutic research in low-income countries: studying trial communities.

    PubMed

    Whyte, Susan Reynolds

    2014-11-01

    Social scientists undertaking studies of transnational medical research in developing countries focus on 'trial communities': networks of funders, institutions, researchers, clinical staff, fieldworkers and study participants. They relate these to the political economy that brings powerful research resources to poor settings. Whereas bioethicists tend to consider universal ethical requirements, social scientists examine how ethics are practiced in given situations in the light of the concerns and interests held by different parties involved in medical research. In conditions of poverty, high morbidity and weak public health services, research subjects are heavily induced by the prospect of high quality medical care and other benefits that researchers seem to offer. Studies of medical research undertaken by well-established internationally funded institutions in Africa show that parents are keen to have their children 'join' projects at these organisations. They assess benefits and risks less in terms of specific research projects and more in terms of their overall trust in the care these institutions are known to have provided previously for others in the community. Bioethics should widen its scope beyond concern with protecting individual subjects from the risks of specific research projects. It should recognise that clinical and research functions are indistinguishable for many participants, who want information on results of clinical investigations and sustained support for improving the health of their children. PMID:24748638

  1. A Framework for the Monitoring and Evaluation of International Surgical Initiatives in Low- and Middle-Income Countries

    PubMed Central

    Ibrahim, George M.; Cadotte, David W.; Bernstein, Mark

    2015-01-01

    Background An estimated two billion people worldwide lack adequate access to surgical care. To address this humanitarian emergency, an increasing number of international surgical partnerships are emerging between developed and low- and middle-income countries (LMICs). At present, there are no clear indicators that may be used to assess the effectiveness of such initiatives. Study Design We conducted an international qualitative study of 31 surgeons from developed and LMICs involved in international partnerships across a variety of subspecialties. Thematic analysis and grounded theory were applied in order to develop a practical framework that may be applied to monitor and evaluate global surgical initiatives. Results Several themes emerged from the study: (i) there is a large unmet need to establish and maintain prospective databases in LMICs to inform the monitoring and evaluation of international surgical partnerships; (ii) assessment of initiatives must occur longitudinally over the span of several years; (ii) the domains of assessment are contextual and encompass cultural, institutional and regional factors; and (iv) evaluation strategies should explore broader impact within the community and country. Based on thematic analysis within the domains of inputs, outputs and outcomes, a framework for the monitoring and evaluation of international surgical initiatives, the Framework for the Assessment of InteRNational Surgical Success (FAIRNeSS) is proposed. Conclusions In response to the increasing number of surgical partnerships between developed and LMICs, we propose a framework to monitor and evaluate international surgical initiatives. PMID:25821970

  2. Pyrolysis system evaluation study

    NASA Technical Reports Server (NTRS)

    1974-01-01

    An evaluation of two different pyrolysis concepts which recover energy from solid waste was conducted in order to determine the merits of each concept for integration into a Integrated Utility System (IUS). The two concepts evaluated were a Lead Bath Furnace Pyrolysis System and a Slagging Vertical Shaft, Partial Air Oxidation Pyrolysis System. Both concepts will produce a fuel gas from the IUS waste and sewage sludge which can be used to offset primary fuel consumption in addition to the sanitary disposal of the waste. The study evaluated the thermal integration of each concept as well as the economic impact on the IUS resulting from integrating each pyrolysis concepts. For reference, the pyrolysis concepts were also compared to incineration which was considered the baseline IUS solid waste disposal system.

  3. Carbon emissions and sequestration in forests: Case studies from seven developing countries

    SciTech Connect

    Makundi, W.; Sathaye, J.; Cerutti, O.M.

    1992-08-01

    Forests are a major source of carbon dioxide emissions in developing countries, in most cases far exceeding the emissions from the energy sector. To date, however, efforts at quantifying forestry emissions have produced a wide range of results. In order to assist policymakers in developing measures to reduce emissions' levels and to increase carbon sequestration, the Tropical Forest Research Network (F-7) has undertaken this effort to improve the precision of emissions estimates and to identify possible response options in the forestry sector. This paper summarizes the results of one component of this work. The Tropical Forest Research Network (F-7) was established in 1990 as part of the Intergovernmental Panel on Climate Change's (IPCC) activities in examining growing emissions of greenhouse gases and their potential impact on the global climate. Unlike past methods, this study relied on a network of participants from developing countries to prepare estimates of carbon emissions. The participating countries -- Brazil, China, India, Indonesia, Malaysia, Mexico and Thailand -- currently represent an estimated two-thirds of the annual deforestation of closed moist forests. This study gives an estimate of 837 million tonnes of carbon emissions from deforestation and logging in the F-7 countries in 1990. A proportional projection of these estimates to the tropical biome shows that the total carbon emissions are between 1.1 and 1.7 billion tonnes of carbon, with a working average of 1.4 billion tonnes per year. This work also provides estimates of emissions and uptake from China, which past studies rarely have included. This summary will be followed by individual reports by each of the participating countries, which will include detailed evaluations of possible response options. Estimates for Nigeria are also under preparation.

  4. Carbon emissions and sequestration in forests: Case studies from seven developing countries. Volume 1, Summary: Draft

    SciTech Connect

    Makundi, W.; Sathaye, J.; Cerutti, O.M.

    1992-08-01

    Forests are a major source of carbon dioxide emissions in developing countries, in most cases far exceeding the emissions from the energy sector. To date, however, efforts at quantifying forestry emissions have produced a wide range of results. In order to assist policymakers in developing measures to reduce emissions` levels and to increase carbon sequestration, the Tropical Forest Research Network (F-7) has undertaken this effort to improve the precision of emissions estimates and to identify possible response options in the forestry sector. This paper summarizes the results of one component of this work. The Tropical Forest Research Network (F-7) was established in 1990 as part of the Intergovernmental Panel on Climate Change`s (IPCC) activities in examining growing emissions of greenhouse gases and their potential impact on the global climate. Unlike past methods, this study relied on a network of participants from developing countries to prepare estimates of carbon emissions. The participating countries -- Brazil, China, India, Indonesia, Malaysia, Mexico and Thailand -- currently represent an estimated two-thirds of the annual deforestation of closed moist forests. This study gives an estimate of 837 million tonnes of carbon emissions from deforestation and logging in the F-7 countries in 1990. A proportional projection of these estimates to the tropical biome shows that the total carbon emissions are between 1.1 and 1.7 billion tonnes of carbon, with a working average of 1.4 billion tonnes per year. This work also provides estimates of emissions and uptake from China, which past studies rarely have included. This summary will be followed by individual reports by each of the participating countries, which will include detailed evaluations of possible response options. Estimates for Nigeria are also under preparation.

  5. Physical self-concept of adolescents in Western Balkan countries: a pilot study.

    PubMed

    Jani?, Snežana Radisavljevi?; Jurak, Gregor; Milanovi?, Ivana; Lazarevi?, Dušanka; Kova?, Marjeta; Novak, Dario

    2014-10-01

    The aim of this study was to explore physical self-concept of adolescents of the Western Balkans (Serbia, Slovenia, Croatia, and Bosnia and Herzegovina) according to sex and country. The participants were 2,606 students, ages 13 and 14 years (M = 13.5, SD = 0.9). The Physical Self-Description Questionnaire (PSDQ) was used to assess multidimensional physical self-concept. The results show the interaction of sex and country for three dimensions of physical self-concept (Appearance, Global Physical Self-Concept, and Self-Esteem). It was shown that female and male adolescents' perception of physical appearance, self-esteem, and global physical self-concept is more susceptible to influences of socio-cultural factors in the monitored countries. In all other dimensions of Physical self-concept, sex differences were consistently manifested in favour of male adolescents, except in Flexibility. Regardless of adolescents' sex, under the increasing influence of Western culture in the Western Balkan countries, adolescents more critically evaluate their body and motor abilities. PMID:25310227

  6. Neurophysiological evidence for the country-of-origin effect: an event-related potential study

    PubMed Central

    Cho, Kwangsu; Sung, Jungyeon; Cho, Erin

    2014-01-01

    Consumers often rely on observable cues that hint at the hidden quality of a product. The aim of this study was to investigate brain activities associated with the country-of-origin (COO) effect and consumer evaluation of a product design. Electroencephalogram recordings were used to observe event-related brain potentials associated with the COO effect and design evaluation. We found that the frontocentral N90 and parieto-occipital P220 amplitudes are involved in forming preference to design, whereas the COO effect is processed in the centroparietal P500 amplitude. We also found a significant interaction effect between COO and design preference with regard to reaction times. Specifically, participants tended to spend more time making a preference decision when they did not like the product design made in a country with a favorable COO. These results imply that the two cognitive processes, evaluation of COO and formation of design preference, are activated independently at an early stage. It also suggests that these two processes interact with each other toward the end of the decision phase. Together, the results of this study provide neuropsychological evidence supporting a significant role of COO in the formation of design preference. Future studies are required to further delve into other neurophysiological activities associated with the COO effect. PMID:24518230

  7. Peaceful Uses Bona Fides: Criteria for Evaluation and Case Studies

    SciTech Connect

    Ajemian, Chris K.; Hazel, Mike; Kessler, Carol E.; Mathews, Carrie E.; Morris, Fred A.; Seward, Amy M.; Peterson, Danielle J.; Smith, Brian W.

    2007-06-06

    This study applies a set of indicators to assess the peaceful nature of a state’s nuclear program. Evaluation of a country’s nuclear program relative to these indicators can help the international community to take appropriate actions to ensure that the growth of the global nuclear energy industry proceeds peacefully and to minimize nuclear proliferation risks.

  8. Quality Assurance and Evaluation (QAE) in Scotland: Promoting Self-Evaluation within and beyond the Country

    ERIC Educational Resources Information Center

    Croxford, Linda; Grek, Sotiria; Shaik, Farah Jeelani

    2009-01-01

    This article looks at policy for quality assurance and evaluation in Scotland, its history and more recent developments, and in particular, at the emphasis on school self-evaluation. It examines the history of the concept, its constituent elements and the role of the Inspectorate in establishing it. Further, the article discusses the Scottish…

  9. Optimal radiotherapy utilisation rate in developing countries: An IAEA study.

    PubMed

    Rosenblatt, Eduardo; Barton, Michael; Mackillop, William; Fidarova, Elena; Cordero, Lisbeth; Yarney, Joel; Lim, Gerard; Abad, Anthony; Cernea, Valentin; Stojanovic-Rundic, Suzana; Strojan, Primoz; Kobachi, Lotfi; Quarneti, Aldo

    2015-07-01

    Optimal radiotherapy utilisation rate (RTU) is the proportion of all cancer cases that should receive radiotherapy. Optimal RTU was estimated for 9 Middle Income Countries as part of a larger IAEA project to better understand RTU and stage distribution. PMID:26164776

  10. Cry the Beloved Country. A Sound Filmstrip Program. Study Guide.

    ERIC Educational Resources Information Center

    Peters, John; Peters, Frances

    Based on the novel and motion picture "Cry, the Beloved Country," this filmstrip program is a re-creation of the story of a black minister and a white farmer in South Africa whose lives are bound together in mutual tragedy. The three filmstrips examine the people, problems, laws, and institutions of South Africa and expose the evils of its…

  11. TECHNICAL REPORTS The study area (Alegria watershed, Basque Country, Northern

    E-print Network

    countries with intensive agricultural production (Rode et al., 2008; Volk et al., 2009). Hence, regulations from agricultural land use and management practices. Nitrates are transported primarily from the soil to the river through the alluvial aquifer. The agricultural activity covers 75% of the watershed and is located

  12. Usefulness of routine preoperative testing in a developing country: a prospective study

    PubMed Central

    Bordes, Julien; Cungi, Pierre-Julien; Savoie, Pierre-Henry; Bonnet, Stéphane; Kaiser, Eric

    2015-01-01

    Introduction The assessment of anesthetic risks is an essential component of preoperative evaluation. In developing world, preanesthesia evaluation may be challenging because patient's medical history and records are scare, and language barrier limits physical examination. Our objective was to evaluate the impact of routine preoperative testing in a low-resources setting. Methods Prospective observational study performed in a French forward surgical unit in Abidjan, Ivory Coast. 201 patients who were scheduled for non urgent surgery were screened with routine laboratory exams during preoperative evaluation. Changes in surgery were assessed (delayed or scheduled). Results Abnormal hemoglobin findings were reported in 35% of patients, abnormal WBC count in 11,1% of patients, abnormal platelets in 15,3% of patients. Positive HIV results were found in 8,3% of cases. Routine tests represented 43,6% of changes causes. Conclusion Our study showed that in a developing country, routine preoperative tests showed abnormal results up to 35% of cases, and represented 43,5% of delayed surgery causes. The rate of tests leading to management changes varied widely, from 0% to 8,3%. These results suggested that selected tests would be useful to diagnose diseases that required treatment before non urgent surgery. However, larger studies are needeed to evaluate the cost/benefit ratio and the clinical impact of such a strategy. PMID:26516395

  13. Across-country test-day model evaluations for Holstein, Nordic Red Cattle, and Jersey.

    PubMed

    Lidauer, Martin H; Pösö, Jukka; Pedersen, Jørn; Lassen, Jan; Madsen, Per; Mäntysaari, Esa A; Nielsen, Ulrik S; Eriksson, Jan-Åke; Johansson, Kjell; Pitkänen, Timo; Strandén, Ismo; Aamand, Gert P

    2015-02-01

    Three random regression models were developed for routine genetic evaluation of Danish, Finnish, and Swedish dairy cattle. Data included over 169 million test-day records with milk, protein, and fat yield observations from over 8.7 million dairy cows of all breeds. Variance component analyses showed significant differences in estimates between Holstein, Nordic Red Cattle, and Jersey, but only small to moderate differences within a breed across countries. The obtained variance component estimates were used to build, for each breed, their own set of covariance functions. The covariance functions describe the animal effects on milk, protein, and fat yields of the first 3 lactations as 9 different traits, assuming the same heritabilities and a genetic correlation of unity across countries. Only 15, 27, and 7 eigenfunctions with the largest eigenvalues were used to describe additive genetic animal effects and nonhereditary animal effects across lactations and within later lactations, respectively. These reduced-rank covariance functions explained 99.0 to 99.9% of the original variances but reduced the number of animal equations to be solved by 44%. Moderate rank reduction for nonhereditary animal effects and use of one-third-smaller measurement error correlations than obtained from variance component estimation made the models more robust against extreme observations. Estimation of the genetic levels of the countries' subpopulations within a breed was found sensitive to the way the breed effects were modeled, especially for the genetically heterogeneous Nordic Red Cattle. Means to ensure that only additive genetic effects entered the estimated breeding values were to describe the crossbreeding effects by fixed and random cofactors and the calving age effect by an age × breed proportion interaction, and to model phantom parent groups as random effects. To ensure that genetic variances were the same across the 3 countries in breeding value estimation, as suggested by the variance component estimates, the applied multiplicative heterogeneous variance adjustment method had to be tailored using country-specific reference measurement error variances. Results showed the feasibility of across-country genetic evaluation of cows and sires based on original test-day phenotypes. Nevertheless, applying a thorough model validation procedure is essential throughout the model building process to obtain reliable breeding values. PMID:25434332

  14. The Study on Complex Project Management in Developing Countries

    NASA Astrophysics Data System (ADS)

    Yanwen, Wang

    Different factors that can influence project performance have been identified, classified based on their nature, and discussed. Due to the inherent complexity and various problems encountered in implementing infrastructure project in developing countries, the project manager must appreciate the project environment, maintain flexibility, and be competent to analyze the nature of associated problems and their adverse effects on the success of the project, and address these promptly.

  15. A critical evaluation of arguments opposing male circumcision for HIV prevention in developed countries

    PubMed Central

    Morris, Brian J.; Bailey, Robert C.; Klausner, Jeffrey D.; Leibowitz, Arleen; Wamai, Richard G.; Waskett, Jake H.; Banerjee, Joya; Halperin, Daniel T.; Zoloth, Laurie; Weiss, Helen A.; Hankins, Catherine A.

    2013-01-01

    A potential impediment to evidence-based policy development on medical male circumcision (MC) for HIV prevention in all countries worldwide is the uncritical acceptance by some of arguments used by opponents of this procedure. Here we evaluate recent opinion-pieces of 13 individuals opposed to MC. We find that these statements misrepresent good studies, selectively cite references, some containing fallacious information, and draw erroneous conclusions. In marked contrast, the scientific evidence shows MC to be a simple, low-risk procedure with very little or no adverse long-term effect on sexual function, sensitivity, sensation during arousal or overall satisfaction. Unscientific arguments have been recently used to drive ballot measures aimed at banning MC of minors in the USA, eliminate insurance coverage for medical MC for low-income families, and threaten large fines and incarceration for health care providers. Medical MC is a preventative health measure akin to immunisation, given its protective effect against HIV infection, genital cancers and various other conditions. Protection afforded by neonatal MC against a diversity of common medical conditions starts in infancy with urinary tract infections and extends throughout life. Besides protection in adulthood against acquiring HIV, MC also reduces morbidity and mortality from multiple other sexually transmitted infections (STIs) and genital cancers in men and their female sexual partners. It is estimated that over their lifetime one-third of uncircumcised males will suffer at least one foreskin-related medical condition. The scientific evidence indicates that medical MC is safe and effective. Its favourable risk/benefit ratio and cost/benefit support the advantages of medical MC. PMID:22452415

  16. Test Selection, Adaptation, and Evaluation: A Systematic Approach to Assess Nutritional Influences on Child Development in Developing Countries

    ERIC Educational Resources Information Center

    Prado, Elizabeth L.; Hartini, Sri; Rahmawati, Atik; Ismayani, Elfa; Hidayati, Astri; Hikmah, Nurul; Muadz, Husni; Apriatni, Mandri S.; Ullman, Michael T.; Shankar, Anuraj H.; Alcock, Katherine J.

    2010-01-01

    Background: Evaluating the impact of nutrition interventions on developmental outcomes in developing countries can be challenging since most assessment tests have been produced in and for developed country settings. Such tests may not be valid measures of children's abilities when used in a new context. Aims: We present several principles for the…

  17. Evaluation of the impact of Brazil's sustainability on the behavioral intentions of stakeholders toward the country.

    PubMed

    Giraldi, Janaina de Moura Engracia

    2016-02-01

    This paper examines the influence of sustainability as a dimension of country image on behavioral intentions (so-called conations) of stakeholders toward Brazil. In addition, sustainable consumption, a moderating variable of the country-of-origin effect (not been identified in other studies), and consumers' gender and familiarity with the country are investigated as moderating variables. The empirical research is of a descriptive nature, and in terms of data collection, a survey method has been used on a sample of undergraduate students from foreign institutions. In total, 427 questionnaires have been considered in the analysis. The results of a multiple regression analyses show that the dimensions of country image (affective, political, technical and sustainability) are reliable factors that have a positive influence on conations toward Brazil, with the affective dimension exerting the strongest influence. Further comparisons show that the sustainability dimension is more important in shaping the conations of female respondents and those with low familiarity with Brazil, whereas the political dimension is more relevant in shaping the conations of male respondents and those with high familiarity with Brazil. Finally, the sustainability dimension has a minor influence on individuals with higher levels of sustainable consumption. PMID:26195177

  18. Perceived neighbourhood environmental attributes associated with adults’ recreational walking: IPEN Adult study in 12 countries

    PubMed Central

    Sugiyama, Takemi; Cerin, Ester; Owen, Neville; Oyeyemi, Adewale L; Conway, Terry L; Van Dyck, Delfien; Schipperijn, Jasper; Macfarlane, Duncan J; Salvo, Deborah; Reis, Rodrigo S; Mitáš, Josef; Sarmiento, Olga L; Davey, Rachel; Schofield, Grant; Orzanco-Garralda, Rosario; Sallis, James F

    2014-01-01

    This study examined the strength and shape of associations between perceived environmental attributes and adults’ recreational walking, using data collected from 13,745 adult participants in 12 countries. Perceived residential density, land use mix, street connectivity, aesthetics, safety from crime, and proximity to parks were linearly associated with recreational walking, while curvilinear associations were found for residential density, land use mix, and aesthetics. The observed associations were consistent across countries, except for aesthetics. Using data collected from environmentally diverse countries, this study confirmed findings from prior single-country studies. Present findings suggest that similar environmental attributes are associated with recreational walking internationally. PMID:24721737

  19. Chronic Conditions and Sleep Problems among Adults Aged 50 years or over in Nine Countries: A Multi-Country Study

    PubMed Central

    Koyanagi, Ai; Garin, Noe; Olaya, Beatriz; Ayuso-Mateos, Jose Luis; Chatterji, Somnath; Leonardi, Matilde; Koskinen, Seppo; Tobiasz-Adamczyk, Beata; Haro, Josep Maria

    2014-01-01

    Background Data on the association between chronic conditions or the number of chronic conditions and sleep problems in low- or middle-income countries is scarce, and global comparisons of these associations with high-income countries have not been conducted. Methods Data on 42116 individuals 50 years and older from nationally-representative samples of the Collaborative Research on Ageing in Europe (Finland, Poland, Spain) and the World Health Organization's Study on Global Ageing and Adult Health (China, Ghana, India, Mexico, Russia, South Africa) conducted between 2011–2012 and 2007–2010 respectively were analyzed. Results The association between nine chronic conditions (angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, obesity, and stroke) and self-reported severe/extreme sleep problems in the past 30 days was estimated by logistic regression with multiple variables. The age-adjusted prevalence of sleep problems ranged from 2.8% (China) to 17.0% (Poland). After adjustment for confounders, angina (OR 1.75–2.78), arthritis (OR 1.39–2.46), and depression (OR 1.75–5.12) were significantly associated with sleep problems in the majority or all of the countries. Sleep problems were also significantly associated with: asthma in Finland, Spain, and India; chronic lung disease in Poland, Spain, Ghana, and South Africa; diabetes in India; and stroke in China, Ghana, and India. A linear dose-dependent relationship between the number of chronic conditions and sleep problems was observed in all countries. Compared to no chronic conditions, the OR (95%CI) for 1,2,3, and?4 chronic conditions was 1.41 (1.09–1.82), 2.55 (1.99–3.27), 3.22 (2.52–4.11), and 7.62 (5.88–9.87) respectively in the overall sample. Conclusions Identifying co-existing sleep problems among patients with chronic conditions and treating them simultaneously may lead to better treatment outcome. Clinicians should be aware of the high risk for sleep problems among patients with multimorbidity. Future studies are needed to elucidate the best treatment options for comorbid sleep problems especially in developing country settings. PMID:25478876

  20. Review of the current use and evaluation of cell substrates for producing biologicals in selected countries.

    PubMed

    Kang, Hye-Na; Xu, Miao; Rodríguez, Violeta Pérez; Mefed, Kirill; Hanada, Kentaro; Ahn, Kwang-Soo; Gangakhedkar, Shri Jayant; Pakzad, Saeed Reza; Prawahju, Elizabeth Ika; Lee, Naery; Phumiamorn, Supaporn; Nemec, Martin; Meng, Shufang; Knezevic, Ivana

    2015-05-01

    In 2010, the WHO guidance document for the evaluation of cell substrates for producing biologicals was replaced with updated recommendations and in May 2013 an implementation workshop on the new recommendations was held in Beijing, China. As part of this workshop, a survey of the use and evaluation of cell substrates for producing biologicals was undertaken and the information obtained was updated in June 2014. The purpose of survey was to capture the status of national requirements related to cell substrates in various countries with particular emphasis on whether or not the updated WHO recommendations had been, or were to be, incorporated into national requirements. This paper reports the outcome of the survey and is based on information provided by regulators in eleven countries. Since the publication of the updated WHO recommendations, several activities such as the implementation workshop and publications have been undertaken by the WHO. The aim of these activities, including the publication of this article, is to contribute to the implementation of WHO recommendations so as to reduce regulatory gaps between national requirements and globally agreed expectations. PMID:25707711

  1. Genderedness of bar drinking culture and alcohol-related harms: A multi-country study

    PubMed Central

    Roberts, Sarah C. M.; Bond, Jason; Korcha, Rachael; Greenfield, Thomas K.

    2012-01-01

    This study explores whether associations between consuming alcohol in bars and alcohol-related harms are consistent across countries and whether country-level characteristics modify associations. We hypothesized that genderedness of bar drinking modifies associations, such that odds of harms associated with bar drinking increase more rapidly in predominantly male bar-drinking countries. Multilevel analysis was used to analyze survey data from 21 countries representing five continents from Gender, Alcohol, and Culture: An International Study (GENACIS). Bar frequency was positively associated with harms overall. Relationships between bar frequency and harms varied across country. Genderedness modified associations between bar frequency and odds of fights, marriage/relationship harms, and work harms. Findings were significant only for men. Contrary to our hypothesis, odds of harms associated with bar drinking increased less rapidly in countries where bar drinking is predominantly male. This suggests predominantly male bar drinking cultures may be protective for males who more frequently drink in bars. PMID:23710158

  2. Tackling the tensions in evaluating capacity strengthening for health research in low- and middle-income countries

    PubMed Central

    Bates, Imelda; Boyd, Alan; Aslanyan, Garry; Cole, Donald C

    2015-01-01

    Strengthening research capacity in low- and middle-income countries is one of the most effective ways of advancing their health and development but the complexity and heterogeneity of health research capacity strengthening (RCS) initiatives means it is difficult to evaluate their effectiveness. Our study aimed to enhance understanding about these difficulties and to make recommendations about how to make health RCS evaluations more effective. Through discussions and surveys of health RCS funders, including the ESSENCE on Health Research initiative, we identified themes that were important to health RCS funders and used these to guide a systematic analysis of their evaluation reports. Eighteen reports, produced between 2000 and 2013, representing 12 evaluations, were purposefully selected from 54 reports provided by the funders to provide maximum variety. Text from the reports was extracted independently by two authors against a pre-designed framework. Information about the health RCS approaches, tensions and suggested solutions was re-constructed into a narrative. Throughout the process contacts in the health RCS funder agencies were involved in helping us to validate and interpret our results. The focus of the health RCS evaluations ranged from individuals and institutions to national, regional and global levels. Our analysis identified tensions around how much stakeholders should participate in an evaluation, the appropriate balance between measuring and learning and between a focus on short-term processes vs longer-term impact and sustainability. Suggested solutions to these tensions included early and ongoing stakeholder engagement in planning and evaluating health RCS, modelling of impact pathways and rapid assimilation of lessons learned for continuous improvement of decision making and programming. The use of developmental approaches could improve health RCS evaluations by addressing common tensions and promoting sustainability. Sharing learning about how to do robust and useful health RCS evaluations should happen alongside, not after, health RCS efforts. PMID:24717984

  3. Theory-Driven Process Evaluation of a Complementary Feeding Trial in Four Countries

    ERIC Educational Resources Information Center

    Newman, Jamie E.; Garces, Ana; Mazariegos, Manolo; Hambidge, K. Michael; Manasyan, Albert; Tshefu, Antoinette; Lokangaka, Adrien; Sami, Neelofar; Carlo, Waldemar A.; Bose, Carl L.; Pasha, Omrana; Goco, Norman; Chomba, Elwyn; Goldenberg, Robert L.; Wright, Linda L.; Koso-Thomas, Marion; Krebs, Nancy F.

    2014-01-01

    We conducted a theory-driven process evaluation of a cluster randomized controlled trial comparing two types of complementary feeding (meat versus fortified cereal) on infant growth in Guatemala, Pakistan, Zambia and the Democratic Republic of Congo. We examined process evaluation indicators for the entire study cohort (N = 1236) using chi-square…

  4. Mexican Network for the evaluation of Solar Resources in the country

    NASA Astrophysics Data System (ADS)

    Valdes, M.; Bonifaz, R.; Estevez, H.

    2014-12-01

    Information on Global Solar Radiation provides only the first approximation for the evaluation of solar energy that is necessary for locating potential exploitation sites. Depending on what technology is used, more specific components of the solar radiation (Direct. Diffuse, Global, inclined planes), as well as, certain physical characteristics of the atmosphere (atmospheric aerosol) are required for evaluating solar resources. In order to measure these radiation components in a large country such as Mexico, where there are many abrupt changes in topography and differences in climatic conditions even over small distances, it would be necessary to have a network with several hundred stations. In this situation, the use of models is a more viable solution that has been proven with a high degree of certainty, considering it is based on reliable control points for the adjustment. Here we present the network that was developed on a regional classification based on climatic elements, geology, land use, vegetation and albedo. Solar stations from different universities and research institutes in Mexico also form part of this network for the evaluation of the solar resources in Mexico and its components.

  5. The Global Education Industry: Lessons from Private Education in Developing Countries. IEA Studies in Education.

    ERIC Educational Resources Information Center

    Tooley, James

    This book focuses on the impact of private education in developing countries, such as Argentina, Brazil, Colombia, India, Indonesia, Peru, Romania, Russia, South Africa, and Zimbabwe. The private education sector is large and innovative in the countries studied and not the domain of the wealthy. Contrary to popular opinion, private education in…

  6. Genderedness of Bar Drinking Culture and Alcohol-Related Harms: A Multi-Country Study

    ERIC Educational Resources Information Center

    Roberts, Sarah C. M.; Bond, Jason; Korcha, Rachael; Greenfield, Thomas K.

    2013-01-01

    This study explores whether associations between consuming alcohol in bars and alcohol-related harms are consistent across countries and whether country-level characteristics modify associations. We hypothesized that genderedness of bar drinking modifies associations, such that odds of harms associated with bar drinking increase more rapidly in…

  7. Food Security Implication Of Climate Change In Developing Countries: Findings From A Case Study In Mali

    E-print Network

    McCarl, Bruce A.

    1 Food Security Implication Of Climate Change In Developing Countries: Findings From A Case Study.S.A. Seniority of authorship is shared by Butt and McCarl. #12;2 FOOD SECURITY IMPLICATION OF CLIMATE CHANGE change on food security in developing countries and various adaptations that can be pursued by presenting

  8. The Audio-Visual Services in Fifteen African Countries. Comparative Study on the Administration of Audio-Visual Services in Advanced and Developing Countries. Part Four. First Edition.

    ERIC Educational Resources Information Center

    Jongbloed, Harry J. L.

    As the fourth part of a comparative study on the administration of audiovisual services in advanced and developing countries, this UNESCO-funded study reports on the African countries of Cameroun, Republic of Central Africa, Dahomey, Gabon, Ghana, Kenya, Libya, Mali, Nigeria, Rwanda, Senegal, Swaziland, Tunisia, Upper Volta and Zambia. Information…

  9. Obesity Researches Over the Past 24 years: A Scientometrics Study in Middle East Countries

    PubMed Central

    Djalalinia, Shirin; Peykari, Niloofar; Qorbani, Mostafa; Moghaddam, Sahar Saeedi; Larijani, Bagher; Farzadfar, Farshad

    2015-01-01

    Background: Researchers, practitioners, and policy-makers call for updated valid evidences to monitor, prevent, and control of alarming trends of obesity. We quantify the trends of obesity/overweight researches outputs of Middle East countries. Methods: We systematically searched Scopus database as the only sources for multidisciplinary citation reports, with the most coverage in health and biomedicine disciplines for all related obesity/overweight publications, from 1990 to 2013. These scientometrics analysis assessed the trends of scientific products, citations, and collaborative papers in Middle East countries. We also provided Information on top institutions, journals, and collaborative research centers in the field of obesity/overweight. Results: Over 24-year period, the number of obesity/overweight publications and related citations in Middle East countries had increasing trend. Globally, during 1990–2013, 415,126 papers have been published, from them, 3.56% were affiliated to Middle East countries. Iran with 26.27%, compare with other countries in the regions, after Turkey (47.94%) and Israel (35.25%), had the third position. Israel, Turkey, and Iran were leading countries in citation analysis. The most collaborative country with Middle East countries was USA and within the region, the most collaborative country was Saudi Arabia. Conclusions: Despite the ascending trends in research outputs, more efforts required for promotion of collaborative partnerships. Results could be useful for better health policy and more planned studies in this field. These findings also could be used for future complementary analysis. PMID:26015861

  10. Methodological Variation in Economic Evaluations Conducted in Low- and Middle-Income Countries: Information for Reference Case Development

    PubMed Central

    2015-01-01

    Information generated from economic evaluation is increasingly being used to inform health resource allocation decisions globally, including in low- and middle- income countries. However, a crucial consideration for users of the information at a policy level, e.g. funding agencies, is whether the studies are comparable, provide sufficient detail to inform policy decision making, and incorporate inputs from data sources that are reliable and relevant to the context. This review was conducted to inform a methodological standardisation workstream at the Bill and Melinda Gates Foundation (BMGF) and assesses BMGF-funded cost-per-DALY economic evaluations in four programme areas (malaria, tuberculosis, HIV/AIDS and vaccines) in terms of variation in methodology, use of evidence, and quality of reporting. The findings suggest that there is room for improvement in the three areas of assessment, and support the case for the introduction of a standardised methodology or reference case by the BMGF. The findings are also instructive for all institutions that fund economic evaluations in LMICs and who have a desire to improve the ability of economic evaluations to inform resource allocation decisions. PMID:25950443

  11. Study in the Netherlands: Small Countries Have To Be Smarter.

    ERIC Educational Resources Information Center

    Netherlands Organisation for International Cooperation in Higher Education, The Hague.

    This booklet describes opportunities for higher education study in the Netherlands along with information, addresses, and practical tips for foreign students who are considering taking a course or earning a degree at a Dutch institution of higher education. Six sections cover: (1) the investment of study abroad, (2) background on contemporary…

  12. Implementing Japanese Lesson Study in Foreign Countries: Misconceptions Revealed

    ERIC Educational Resources Information Center

    Fujii, Toshiakira

    2014-01-01

    This paper is based on data gathered during visits to Uganda and Malawi, conducted by the International Math-teacher Professionalization Using Lesson Study (IMPULS) project and the Japanese International Cooperation Agency (JICA). The author's observations and experiences highlighted misconceptions about lesson study. The paper concludes that…

  13. Case Study of a Course for Developing Countries.

    ERIC Educational Resources Information Center

    Morice, Peter B.

    1985-01-01

    Describes a course designed to provide the necessary academic study prior to students engaging in the practice of irrigation engineering. Rationale for the course, course structure, and special features of the course are included. (JN)

  14. Violence as a public health problem: an ecological study of 169 countries.

    PubMed

    Wolf, Achim; Gray, Ron; Fazel, Seena

    2014-03-01

    Individual level risk factors for violence have been widely studied, but little is known about country-level determinants, particularly in low and middle-income countries. We hypothesized that income inequality, through its detrimental effects on social cohesion, would be related to an increase in violence worldwide, and in low and middle-income countries in particular. We examined country-level associations of violence with socio-economic and health-related factors, using crime statistics from the United Nations Office on Drugs and Crime, and indicators from the Human Development Report published by the United Nations Development Programme. Using regression models, we measured relationships between country-level factors (age, education, measures of income, health expenditure, and alcohol consumption) and four violent outcomes (including measures of violence-related mortality and morbidity) in up to 169 countries. We stratified our analyses comparing high with low and middle-income countries, and analysed longitudinal data on homicide and income inequality in high-income countries. In low and middle-income countries, income inequality was related to homicide, robbery, and self-reported assault (all p's < 0.05). In high-income countries, urbanicity was significantly associated with official assault (p = 0.002, ? = 0.716) and robbery (p = 0.011, ? = 0.587) rates; income inequality was related to homicide (p = 0.006, ? = 0.670) and self-reported assault (p = 0.020, ? = 0.563), and longitudinally with homicide (p = 0.021). Worldwide, alcohol consumption was associated with self-reported assault rates (p < 0.001, ? = 0.369) suggesting public policy interventions reducing alcohol consumption may contribute to reducing violence rates. Our main finding was that income inequality was related to violence in low and middle-income countries. Public health should advocate for global action to moderate income inequality to reduce the global health burden of violence. PMID:24581081

  15. Violence as a public health problem: An ecological study of 169 countries?

    PubMed Central

    Wolf, Achim; Gray, Ron; Fazel, Seena

    2014-01-01

    Individual level risk factors for violence have been widely studied, but little is known about country-level determinants, particularly in low and middle-income countries. We hypothesized that income inequality, through its detrimental effects on social cohesion, would be related to an increase in violence worldwide, and in low and middle-income countries in particular. We examined country-level associations of violence with socio-economic and health-related factors, using crime statistics from the United Nations Office on Drugs and Crime, and indicators from the Human Development Report published by the United Nations Development Programme. Using regression models, we measured relationships between country-level factors (age, education, measures of income, health expenditure, and alcohol consumption) and four violent outcomes (including measures of violence-related mortality and morbidity) in up to 169 countries. We stratified our analyses comparing high with low and middle-income countries, and analysed longitudinal data on homicide and income inequality in high-income countries. In low and middle-income countries, income inequality was related to homicide, robbery, and self-reported assault (all p's < 0.05). In high-income countries, urbanicity was significantly associated with official assault (p = 0.002, ? = 0.716) and robbery (p = 0.011, ? = 0.587) rates; income inequality was related to homicide (p = 0.006, ? = 0.670) and self-reported assault (p = 0.020, ? = 0.563), and longitudinally with homicide (p = 0.021). Worldwide, alcohol consumption was associated with self-reported assault rates (p < 0.001, ? = 0.369) suggesting public policy interventions reducing alcohol consumption may contribute to reducing violence rates. Our main finding was that income inequality was related to violence in low and middle-income countries. Public health should advocate for global action to moderate income inequality to reduce the global health burden of violence. PMID:24581081

  16. Understanding Quality Assurance: A Cross Country Case Study

    ERIC Educational Resources Information Center

    Choon Boey Lim, Fion

    2008-01-01

    Purpose: The purpose of this paper is to examine the level of understanding between an Australian university and its offshore partner institution, on quality assurance. It attempts to highlight the dynamics of quality assurance policy implementation within and across institutions for an offshore degree. Design/methodology/approach: The study used…

  17. Vietnam: Education Financing. A World Bank Country Study.

    ERIC Educational Resources Information Center

    World Bank, Washington, DC.

    This study examines the system of education and training in Vietnam and poses the question: what changes in educational policies will ensure that students who pass through the system today will acquire the knowledge, skills, and attitudes needed for Vietnam to successfully complete the transition from a planned to a market economy? The report…

  18. Causality between financial development and economic growth: a case study on selected middle eastern countries 

    E-print Network

    Alrayes, Massa Waddah

    2005-08-29

    This study empirically investigates the hypothesis of causality between financial development and economic growth in seven Middle East and North African countries from a time series perspective. I use ordinary least squares and vector auto...

  19. Tuberculosis care: an evaluability study

    PubMed Central

    Coelho, Ardigleusa Alves; Martiniano, Cláudia Santos; Brito, Ewerton Willian Gomes; Negrão, Oswaldo Gomes Corrêa; Arcêncio, Ricardo Alexandre; Uchôa, Severina Alice da Costa

    2014-01-01

    OBJECTIVE: to verify whether the tuberculosis control program (TCP) is evaluable and to examine the feasibility of building an evaluation model in apriority municipality for the control of tuberculosis. METHOD: this evaluability study was conducted in a municipality in northeastern Brazil. For data collection, documental analysis and interviews with key informants were performed. For indicator validation, the nominal group technique was adopted. RESULTS: the details of TCP were described, and both the logical model and the classification framework for indicators were developed and agreed up on, with the goal of characterizing the structural elements of the program, defining the structure and process indicators, and formulating the evaluation questions. CONCLUSION: TCP is evaluable. Based on logical operational analysis, it was possible to evaluate the adequacy of the program goals for the control of tuberculosis. Therefore, the performance of a summative evaluation is recommended, with a focus on the analysis of the effects of tuberculosis control interventions on decreasing morbidity and mortality. PMID:25493675

  20. Evaluation of pharmacotherapy of obstructive airway diseases in the Montenegrin outpatient care: comparison with two Scandinavian countries

    PubMed Central

    2012-01-01

    Background This study is aimed at evaluating the pharmacotherapy of obstructive airway diseases (OAD) in the Montenegrin outpatient care (MOC) in 2010. Methods Data on the reimbursed drugs which were prescribed during the reference period were obtained from the National Database that was established within the Health Insurance Fund of Montenegro in 2004. We have applied the standard pharmacoepidemiologic methodology with the defined daily dose (DDD) along with the Anatomical Therapeutic Chemical (ATC) classification of drugs. Clinical entities of OAD were classified according to the International Classification of Diseases (ICD-Revision X). Results Prescribing and the subsequent use of drugs for OAD (ATC code R03) in 2010 was 18.18 DDD/1000inhabitants/day, much lower than in some developed countries. Fenoterol/ipratropium and salmeterol/fluticasone fixed combinations had the highest utilisation level, accounting for more than 50% of all OAD drugs. About 90% of OAD drugs were prescribed for COPD and asthma. Conclusions Obtained results indicate that there are still large differences in OAD drug utilisation in MOC when compared with developed countries, but also some improvement in pharmacological approach to the pharmacotherapy of OAD in comparison to the earlier period. PMID:22958392

  1. Barriers to Functional and Qualitative Technology Education In Developing Countries: Nigeria as a Case Study.

    ERIC Educational Resources Information Center

    Ojo, David A.

    Science and Technology have been widely recognized as the most important potent tools for socio-economic development. This paper begins with a brief critical and evaluative review of the status of science and technology education in developing countries in Africa. The conceptual framework and the major features of a functional and qualitative…

  2. Success Factors for e-Learning in a Developing Country: A Case Study of Serbia

    ERIC Educational Resources Information Center

    Raspopovic, Miroslava; Jankulovic, Aleksandar; Runic, Jovana; Lucic, Vanja

    2014-01-01

    In this paper, DeLone and McLean's updated information system model was used to evaluate the success of an e-Learning system and its courses in a transitional country like Serbia. In order to adapt this model to an e-Learning system, suitable success metrics were chosen for each of the evaluation stages. Furthermore, the success metrics for…

  3. Evaluation of exposure to organophosphate, carbamate, phenoxy acid, and chlorophenol pesticides in pregnant women from 10 Caribbean countries.

    PubMed

    Forde, Martin S; Robertson, Lyndon; Laouan Sidi, Elhadji A; Côté, Suzanne; Gaudreau, Eric; Drescher, Olivia; Ayotte, Pierre

    2015-09-01

    Pesticides are commonly used in tropical regions such as the Caribbean for both household and agricultural purposes. Of particular concern is exposure during pregnancy, as these compounds can cross the placental barrier and interfere with fetal development. The objective of this study was to evaluate exposure of pregnant women residing in 10 Caribbean countries to the following commonly used classes of pesticides in the Caribbean: organophosphates (OPs), carbamates, phenoxy acids, and chlorophenols. Out of 438 urine samples collected, 15 samples were randomly selected from each Caribbean country giving a total of 150 samples. Samples were analyzed for the following metabolites: six OP dialkylphosphate metabolites [dimethylphosphate (DMP), dimethylthiophosphate (DMTP), dimethyldithiophosphate (DMDTP), diethylphosphate (DEP), diethylthiophosphate (DETP) and diethyldithiophosphate (DEDTP)]; two carbamate metabolites [2-isopropoxyphenol (2-IPP) and carbofuranphenol]; one phenoxy acid 2,4-dichlorophenoxyacetic acid (2,4-D); and five chlorophenols [2,4-dichlorophenol (DCP), 2,5-dichlorophenol (2,5-DCP), 2,4,5-trichlorophenol (TCP), 2,4,6-trichlorophenol (2,4,6-TCP), and pentachlorophenol (PCP)]. OP metabolites were consistently detected in ?60% of the samples from Antigua and Barbuda, Bermuda, and Jamaica. Of the carbamate metabolites, 2-IPP was detected in seven of the 10 Caribbean countries with a detection frequency around 30%, whereas carbofuranphenol was detected in only one sample. The detection frequency for the phenoxy acid 2,4-D ranged from 20% in Grenada to a maximum of 67% in Belize. Evidence of exposure to chlorophenol pesticides was also established with 2,4-DCP by geometric means ranging from 0.52 ?g L(-1) in St Lucia to a maximum of 1.68 ?g L(-1) in Bermuda. Several extreme concentrations of 2,5-DCP were detected in four Caribbean countries-Belize (1100 ?g L(-1)), Bermuda (870 ?g L(-1)), Jamaica (1300 ?g L(-1)), and St Kitts and Nevis (1400 ?g L(-1)). 2,4,5-TCP, 2,4,6-TCP, and pentachlorophenol were rarely detected. This biomonitoring study underscores the need for Caribbean public health authorities to encourage their populations, and in particular pregnant women, to become more aware of the potential routes of exposure to pesticides and to utilize these chemicals more cautiously given the possible adverse effects such exposures can have on their unborn children and infants. PMID:26238297

  4. The e-health implementation toolkit: qualitative evaluation across four European countries

    PubMed Central

    2011-01-01

    Background Implementation researchers have attempted to overcome the research-practice gap in e-health by developing tools that summarize and synthesize research evidence of factors that impede or facilitate implementation of innovation in healthcare settings. The e-Health Implementation Toolkit (e-HIT) is an example of such a tool that was designed within the context of the United Kingdom National Health Service to promote implementation of e-health services. Its utility in international settings is unknown. Methods We conducted a qualitative evaluation of the e-HIT in use across four countries--Finland, Norway, Scotland, and Sweden. Data were generated using a combination of interview approaches (n = 22) to document e-HIT users' experiences of the tool to guide decision making about the selection of e-health pilot services and to monitor their progress over time. Results e-HIT users evaluated the tool positively in terms of its scope to organize and enhance their critical thinking about their implementation work and, importantly, to facilitate discussion between those involved in that work. It was easy to use in either its paper- or web-based format, and its visual elements were positively received. There were some minor criticisms of the e-HIT with some suggestions for content changes and comments about its design as a generic tool (rather than specific to sites and e-health services). However, overall, e-HIT users considered it to be a highly workable tool that they found useful, which they would use again, and which they would recommend to other e-health implementers. Conclusion The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of professionals for a range of different e-health systems. PMID:22098945

  5. Criticism of drinking as informal social control: a study in 18 countries

    PubMed Central

    Joosten, Jan; Knibbe, Ronald A.; Derickx, Mieke; Selin, Klara Hradilova; Holmila, Marja

    2009-01-01

    The focus of this paper is on informal control of drinking, indicated by criticism of people in the social network on someone's alcohol consumption. It studies country and gender differences in the extent drinkers suffering from typical symptoms of heavy or prolonged alcohol use report informal control from others (reactive informal control), and country and gender differences in the extent comments on someone's drinking are (also) directed at those who do not suffer from these symptoms (pro-active informal control). The data come from eighteen general population surveys, selected from an integrated dataset on drinking and drinking-related factors including more than 35 countries. The criteria for inclusion were that data for both men and women were available and that at least 3 items about symptoms of severe physiological consequences and about criticism of drinking had valid responses. The results show that men suffering from typical symptoms of heavy or prolonged alcohol use are more likely to be criticized than equivalent women (reactive control). Irrespective of gender, reactive informal control is more prevalent in poorer countries and in countries with a high proportion of abstainers. Concerning pro-active control, among women a larger part of criticism appeared to be directed at those who (as yet) do not suffer from symptoms typical for heavy or prolonged alcohol use. There is a lot of variation between countries in pro-active informal control. This variation is only weakly related to prosperity of a country but not to its proportion of abstainers. PMID:21691455

  6. Comparison of the burden of illness for adults with ADHD across seven countries: a qualitative study

    PubMed Central

    2012-01-01

    Background The purpose of this study was to expand the understanding of the burden of illness experienced by adults with Attention Deficit-Hyperactivity Disorder (ADHD) living in different countries and treated through different health care systems. Methods Fourteen focus groups and five telephone interviews were conducted in seven countries in North America and Europe, comprised of adults who had received a diagnosis of ADHD. The countries included Canada, France, Germany, Italy, The Netherlands, United Kingdom, and United States (two focus groups in each country). There were 108 participants. The focus groups were designed to elicit narratives of the experience of ADHD in key domains of symptoms, daily life, and social relationships. Consonant with grounded theory, the transcripts were analyzed using descriptive coding and then themed into larger domains. Results Participants’ statements regarding the presentation of symptoms, childhood experience, impact of ADHD across the life course, addictive and risk-taking behavior, work and productivity, finances, relationships and psychological health impacts were similarly themed across all seven countries. These similarities were expressed through the domains of symptom presentation, childhood experience, medication treatment issues, impacts in adult life and across the life cycle, addictive and risk-taking behavior, work and productivity, finances, psychological and social impacts. Conclusions These data suggest that symptoms associated with adult ADHD affect individuals similarly in different countries and that the relevance of the diagnostic category for adults is not necessarily limited to certain countries and sociocultural milieus. PMID:22583562

  7. Concern about family members' drinking and cultural consistency: A Multi-Country GENACIS Study

    PubMed Central

    Ólafsdóttir, Hildigunnur; Raitasalo, Kirsimarja; Greenfield, Tom K.; Allamani, Allaman

    2009-01-01

    The data analysed come from the GENACIS project (Gender, Alcohol and Culture: an International Study) and involve population surveys for 18 countries (total N = 34,916) from five WHO Regions: African (Nigeria and Uganda); Americas (Argentina, Costa Rica, Uruguay and United States); European (Czech Republic, Denmark, Finland, Germany, Hungary, Iceland, Spain, Sweden, and UK); South-East Asian (India, Sri Lanka); and Western Pacific (Japan). The paper studies gender and country differences in the relationship between social pressure to drink less experienced by individuals, considering seeking help for alcohol problems, and alcohol consumption and problem levels (AUDIT). In most countries for both men and women, informal control was applied most often by the spouse or partner, while reporting such controls from any source seemed more common in low- and middle-income countries. In all countries studied, men reported substantially more social control efforts than women. The hypothesis was not maintained that drinking control and help seeking was more common for heavier drinkers and those with more drinking-related harms. However, there appeared to be a relationship between a country's aggregate level of drinking and the extent to which social control efforts were reported. Higher correlations between drinking and problem levels on the one hand, and spouses' and other family members' concerns on the other, may be suggestive of a cultural consistency in societal responses to drinking and alcohol-related problems. PMID:20072722

  8. Gathering Time-Series Data for Evaluating Behavior-Change Campaigns in Developing Countries: Reactivity of Diaries and Interviews

    ERIC Educational Resources Information Center

    Tobias, Robert; Inauen, Jennifer

    2010-01-01

    Gathering time-series data of behaviors and psychological variables is important to understand, guide, and evaluate behavior-change campaigns and other change processes. However, repeated measurement can affect the phenomena investigated, particularly frequent face-to-face interviews, which are often the only option in developing countries. This…

  9. Problems of Organising and Reporting Internal and External Evaluation in Developing Countries: The Case of Iran

    ERIC Educational Resources Information Center

    Bazargan, Abbas

    2007-01-01

    In order to develop capacity to link knowledge to economic growth in developing countries, there is an urgent need to make quality the major element of higher education systems. In Iran, a developing country, such a need was felt a decade ago in the academic community. Based on research projects conducted, a model that combines collegial…

  10. Evaluation of the Seismic Hazard in Venezuela with a revised seismic catalog that seeks for harmonization along the country borders

    NASA Astrophysics Data System (ADS)

    Rendon, H.; Alvarado, L.; Paolini, M.; Olbrich, F.; González, J.; Ascanio, W.

    2013-05-01

    Probabilistic Seismic Hazard Assessment is a complex endeavor that relies on the quality of the information that comes from different sources: the seismic catalog, active faults parameters, strain rates, etc. Having this in mind, during the last several months, the FUNVISIS seismic hazard group has been working on a review and update of the local data base that form the basis for a reliable PSHA calculation. In particular, the seismic catalog, which provides the necessary information that allows the evaluation of the critical b-value, which controls how seismic occurrence distributes with magnitude, has received particular attention. The seismic catalog is the result of the effort of several generations of researchers along the years; therefore, the catalog necessarily suffers from the lack of consistency, homogeneity and completeness for all ranges of magnitude over any seismic study area. Merging the FUNVISIS instrumental catalog with the ones obtained from international agencies, we present the work that we have been doing to produce a consistent seismic catalog that covers Venezuela entirely, with seismic events starting from 1910 until 2012, and report the magnitude of completeness for the different periods. Also, we present preliminary results on the Seismic Hazard evaluation that takes into account such instrumental catalog, the historical catalog, updated known fault geometries and its correspondent parameters, and the new seismic sources that have been defined accordingly. Within the spirit of the Global Earthquake Model (GEM), all these efforts look for possible bridges with neighboring countries to establish consistent hazard maps across the borders.

  11. Management Education Program Evaluation: An Empirical Study in Mainland China

    ERIC Educational Resources Information Center

    Sou, Gryphon; Zhou, Pinqiu

    2007-01-01

    Background: With the accession of the PRC to the WTO, Chinese education market is open to the educational service providers of the foreign countries. They are keen to offer MBA Degree programs to the Career Managers in the Mainland. Aims: This research studies program evaluation and so forth the quality assessment of a MBA degree program in the…

  12. Health-related quality of life in asthma studies. Can we combine data from different countries?

    PubMed

    Ståhl, E; Postma, D S; Juniper, E F; Svensson, K; Mear, I; Löfdahl, C-G

    2003-01-01

    The aim was to compare health-related quality of life (HRQL) in patients with asthma from 4 countries, and to investigate the correlations between HRQL and clinical indices.341 patients; 140 (Sweden), 54 (Norway), 65 (the Netherlands) and 82 (Greece) were treated with formoterol fumarate 4.5 microg or with terbutaline sulphate 0.5mg for 12 weeks inhaled 'on demand' via Turbuhaler. The Asthma Quality of Life Questionnaire (AQLQ) and clinical indices were assessed. The mean baseline AQLQ overall scores in Sweden (4.97), in the Netherlands (5.04), in Norway (4.68) and in Greece (4.68) were in the same range, however, with a significant difference between the four countries (p=0.038). When comparing AQLQ, activity limitation and symptoms domains, the differences between the countries were not statistically significant. The cross-sectional correlations between AQLQ overall score and the clinical indices were similar in all four countries. The magnitude of change in AQLQ was consistent with the other clinical variables. The correlations between change in AQLQ overall score and change in clinical indices were low to medium in all countries. In conclusion, the consistency of cross-sectional correlations between the AQLQ overall and clinical indices across countries supports the validity of translations of the AQLQ used in this study. There were differences in baseline values between the countries. The treatment response in AQLQ differed to the same extent as other clinical indices. When combining HRQL data from different countries, there might be cultural, gender and socio-economic differences, explaining different responses to treatment. PMID:12657500

  13. Impact of 2008 global economic crisis on suicide: time trend study in 54 countries

    PubMed Central

    2013-01-01

    Objective To investigate the impact of the 2008 global economic crisis on international trends in suicide and to identify sex/age groups and countries most affected. Design Time trend analysis comparing the actual number of suicides in 2009 with the number that would be expected based on trends before the crisis (2000-07). Setting Suicide data from 54 countries; for 53 data were available in the World Health Organization mortality database and for one (the United States) data came the CDC online database. Population People aged 15 or above. Main outcome measures Suicide rate and number of excess suicides in 2009. Results There were an estimated 4884 (95% confidence interval 3907 to 5860) excess suicides in 2009 compared with the number expected based on previous trends (2000-07). The increases in suicide mainly occurred in men in the 27 European and 18 American countries; the suicide rates were 4.2% (3.4% to 5.1%) and 6.4% (5.4% to 7.5%) higher, respectively, in 2009 than expected if earlier trends had continued. For women, there was no change in European countries and the increase in the Americas was smaller than in men (2.3%). Rises in European men were highest in those aged 15-24 (11.7%), while in American countries men aged 45-64 showed the largest increase (5.2%). Rises in national suicide rates in men seemed to be associated with the magnitude of increases in unemployment, particularly in countries with low levels of unemployment before the crisis (Spearman’s rs=0.48). Conclusions After the 2008 economic crisis, rates of suicide increased in the European and American countries studied, particularly in men and in countries with higher levels of job loss. PMID:24046155

  14. Case studies on the use of biotechnologies and on biosafety provisions in four African countries.

    PubMed

    Black, Robert; Fava, Fabio; Mattei, Niccolo; Robert, Vincent; Seal, Susan; Verdier, Valerie

    2010-12-20

    This review is based on a study commissioned by the European Commission on the evaluation of scientific, technical and institutional challenges, priorities and bottlenecks for biotechnologies and regional harmonisation of biosafety in Africa. Biotechnology was considered within four domains: agricultural biotechnologies ('Green'), industrial biotechnologies and biotechnologies for environmental remediation ('White'), biotechnologies in aquaculture ('Blue') and biotechnologies for healthcare ('Red'). An important consideration was the decline in partnerships between the EU and developing countries because of the original public antipathy to some green biotechnologies, particularly genetically modified organisms (GMOs) and food from GM crops in Europe. The study focus reported here was West Africa (Ghana, Senegal, Mali and Burkina Faso). The overall conclusion was that whereas high-quality research was proceeding in the countries visited, funding is not sustained and there is little evidence of practical application of biotechnology and benefit to farmers and the wider community. Research and development that was being carried out on genetically modified crop varieties was concentrating on improving food security and therefore unlikely to have significant impact on EU markets and consumers. However, there is much non-controversial green biotechnology such as molecular diagnostics for plant and animal disease and marker-assisted selection for breeding that has great potential application. Regarding white biotechnology, it is currently occupying only a very small industrial niche in West Africa, basically in the sole sector of the production of liquid biofuels (i.e., bio-ethanol) from indigenous and locally planted biomass (very often non-food crops). The presence of diffused small-scale fish production is the basis to develop and apply new (Blue) aquaculture technologies and, where the research conditions and the production sector can permit, to increase this type of production and the economy of this depressed areas. However, the problems bound to environmental protection must not be forgotten; priority should be given to monitor the risks of introduction of foreign species. Red biotechnologies potentially bring a vast domain of powerful tools and processes to achieve better human health, most notably improved diagnostics by molecular techniques, better targeting of pathogens and a better knowledge of their sensitivities to drugs to permit better treatment. Biosafety regulatory frameworks had been initiated in several countries, starting with primary biosafety law. However, disparate attitudes to the purpose of biosafety regulation (e.g., fostering informed decision-making versus 'giving the green-light for a flood of GMOs') currently prevent a needed consensus for sub-regional harmonisation. To date, most R&D funding has come from North America with some commercial interests from Asia, but African biotechnology workers expressed strong desire for (re-)engagement with interested parties from the European Union. Although in some of the visited countries there are very well qualified personnel in molecular biology and biosafety/regulation, the main message received is that human resources and capacity building in-house are still needed. This could be achieved through home-based courses and capacity-building including funds for post-degree research to motivate and retain trained staff. PMID:21763362

  15. The Transport Requirements of P.C.A.P. Field Staff in the South-West and Central Priority Country Areas. Priority Country Area Program Evaluation Series: Report No. 7.

    ERIC Educational Resources Information Center

    Fowler, Clifford F.

    General transport requirements of the Priority Country Area Program (PCAP) field staff in the South-West and Central Priority Country Areas in Queensland, Australia, (exceeding 320,000 and 150,000 square kilometers respectively) for 1978-79 were evaluated, with emphasis on: duties of PCAP staff and their consequent transport needs; existing…

  16. Industrial laser welding evaluation study

    NASA Technical Reports Server (NTRS)

    Hella, R.; Locke, E.; Ream, S.

    1974-01-01

    High power laser welding was evaluated for fabricating space vehicle boosters. This evaluation was made for 1/4 in. and 1/2 in. aluminum (2219) and 1/4 in. and 1/2 in. D6AC steel. The Avco HPL 10 kW industrial laser was used to perform the evaluation. The objective has been achieved through the completion of the following technical tasks: (1) parameter study to optimize welding and material parameters; (2) preparation of welded panels for MSFC evaluation; and (3) demonstration of the repeatability of laser welding equipment. In addition, the design concept for a laser welding system capable of welding large space vehicle boosters has been developed.

  17. Economic evaluation of options for measles vaccination strategy in a hypothetical Western European country.

    PubMed Central

    Beutels, Ph; Gay, N. J.

    2003-01-01

    In this study an analysis was made of economic costs and medical effects (by cost-effectiveness and cost-benefit analysis) associated with measles vaccination in a hypothetical Western European country. We analysed ten vaccination options in terms of past and future vaccination coverage. We show that several of the proposed strategies for improving measles vaccination coverage are preferable to maintaining the existing policies, regardless of past coverage and the viewpoint of the analysis. For society, very high coverage (95%) two-dose vaccination is most optimal, irrespective of past vaccination coverage. The addition of a one-time campaign (to reduce susceptibility in (pre-)adolescent age groups) to such a high coverage two-dose vaccination programme is cost-saving to the health-care payer and to society when coverage in the past was low (< or = 70%). Even when coverage in the past was high (90%) for more than a decade, this 'maximum strategy' could be implemented at an acceptable cost to the health-care payer (incremental direct costs per discounted life-year gained < 30,000 Euros), and at net savings to society. PMID:12729196

  18. Evaluation of vaccines against enteric infections: a clinical and public health research agenda for developing countries

    PubMed Central

    Clemens, John

    2011-01-01

    Enteric infections are a major cause of morbidity and mortality in developing countries. To date, vaccines have played a limited role in public health efforts to control enteric infections. Licensed vaccines exist for cholera and typhoid, but these vaccines are used primarily for travellers; and there are two internationally licensed vaccines for rotavirus, but they are mainly used in affluent countries. The reasons that enteric vaccines are little used in developing countries are multiple, and certainly include financial and political constraints. Also important is the need for more cogent evidence on the performance of enteric vaccines in developing country populations. A partial inventory of research questions would include: (i) does the vaccine perform well in the most relevant settings? (ii) does the vaccine perform well in all epidemiologically relevant age groups? (iii) is there adequate evidence of vaccine safety once the vaccines have been deployed in developing countries? (iv) how effective is the vaccine when given in conjunction with non-vaccine cointerventions? (v) what is the level of vaccine protection against all relevant outcomes? and (vi) what is the expected population level of vaccine protection, including both direct and herd vaccine protective effects? Provision of evidence addressing these questions will help expand the use of enteric vaccines in developing countries. PMID:21893543

  19. Improve the prevention of sudden cardiac arrest in emerging countries: the Improve SCA clinical study design

    PubMed Central

    Zhang, Shu; Singh, Balbir; Rodriguez, Diego A.; Chasnoits, Alexandr Robertovich; Hussin, Azlan; Ching, Chi-Keong; Huang, Dejia; Liu, Yen-Bin; Cerkvenik, Jeffrey; Willey, Sarah; Kim, Young-Hoon

    2015-01-01

    Aims This study aims to demonstrate that primary prevention (PP) patients with one or more additional risk factors are at a similar risk of life-threatening ventricular arrhythmias when compared with secondary prevention (SP) patients, and would receive similar benefit from an implantable cardioverter defibrillator (ICD), or cardiac resynchronization therapy-defibrillator (CRT-D) implant. The study evaluates the benefits of therapy for high-risk patients in countries where defibrillation therapy for PP of SCA is underutilized. Methods Enrolment will consist of 4800 ICD-eligible patients from Asia, Latin America, Eastern Europe, the Middle East, and Africa. Upon enrolment, patients will be categorized as SP or PP. Primary prevention patients will be assessed for additional risk factors: syncope/pre-syncope, non-sustained ventricular tachycardia, frequent premature ventricular contractions, and low left ventricular ejection fraction. Those PP patients with one or more risk factors will be categorized as ‘1.5’ patients. Implant of an ICD/CRT-D will be left to the patient and/or physician's discretion. The primary endpoint will compare the appropriate ICD therapy rate between SP and 1.5 patients. The secondary endpoint compares mortality between 1.5 implanted and non-implanted patients. Conclusion The Improve SCA study will investigate a subset of PP patients, believed to be at similar risk of life-threatening ventricular arrhythmias as SP patients. Results may help clinicians identify and refer the highest risk PP patients for ICDs, help local societies expand guidelines to include PP of SCA utilizing ICDs, and provide additional geographical-relevant evidence to allow patients to make an informed decision whether to receive an ICD. Trial registration NCT02099721. PMID:26037794

  20. Planning and evaluating mental health services in low- and middle-income countries using theory of change.

    PubMed

    Breuer, Erica; De Silva, Mary J; Shidaye, Rahul; Petersen, Inge; Nakku, Juliet; Jordans, Mark J D; Fekadu, Abebaw; Lund, Crick

    2016-01-01

    BackgroundThere is little practical guidance on how contextually relevant mental healthcare plans (MHCPs) can be developed in low-resource settings.AimsTo describe how theory of change (ToC) was used to plan the development and evaluation of MHCPs as part of the PRogramme for Improving Mental health carE (PRIME).MethodToC development occurred in three stages: (a) development of a cross-country ToC by 15 PRIME consortium members; (b) development of country-specific ToCs in 13 workshops with a median of 15 (interquartile range 13-22) stakeholders per workshop; and (c) review and refinement of the cross-country ToC by 18 PRIME consortium members.ResultsOne cross-country and five district ToCs were developed that outlined the steps required to improve outcomes for people with mental disorders in PRIME districts.ConclusionsToC is a valuable participatory method that can be used to develop MHCPs and plan their evaluation. PMID:26447178

  1. Stillbirth rates in low-middle income countries 2010 - 2013: a population-based, multi-country study from the Global Network

    PubMed Central

    2015-01-01

    Background Stillbirth rates remain nearly ten times higher in low-middle income countries (LMIC) than high income countries. In LMIC, where nearly 98% of stillbirths worldwide occur, few population-based studies have documented characteristics or care for mothers with stillbirths. Non-macerated stillbirths, those occurring around delivery, are generally considered preventable with appropriate obstetric care. Methods We undertook a prospective, population-based observational study of all pregnant women in defined geographic areas across 7 sites in low-resource settings (Kenya, Zambia, India, Pakistan, Guatemala and Argentina). Staff collected demographic and health care characteristics with outcomes obtained at delivery. Results From 2010 through 2013, 269,614 enrolled women had 272,089 births, including 7,865 stillbirths. The overall stillbirth rate was 28.9/1000 births, ranging from 13.6/1000 births in Argentina to 56.5/1000 births in Pakistan. Stillbirth rates were stable or declined in 6 of the 7 sites from 2010-2013, only increasing in Pakistan. Less educated, older and women with less access to antenatal care were at increased risk of stillbirth. Furthermore, women not delivered by a skilled attendant were more likely to have a stillbirth (RR 2.8, 95% CI 2.2, 3.5). Compared to live births, stillbirths were more likely to be preterm (RR 12.4, 95% CI 11.2, 13.6). Infants with major congenital anomalies were at increased risk of stillbirth (RR 9.1, 95% CI 7.3, 11.4), as were multiple gestations (RR 2.8, 95% CI 2.4, 3.2) and breech (RR 3.0, 95% CI 2.6, 3.5). Altogether, 67.4% of the stillbirths were non-macerated. 7.6% of women with stillbirths had cesarean sections, with obstructed labor the primary indication (36.9%). Conclusions Stillbirth rates were high, but with reductions in most sites during the study period. Disadvantaged women, those with less antenatal care and those delivered without a skilled birth attendant were at increased risk of delivering a stillbirth. More than two-thirds of all stillbirths were non-macerated, suggesting potentially preventable stillbirth. Additionally, 8% of women with stillbirths were delivered by cesarean section. The relatively high rate of cesarean section among those with stillbirths suggested that this care was too late or not of quality to prevent the stillbirth; however, further research is needed to evaluate the quality of obstetric care, including cesarean section, on stillbirth in these low resource settings. Study registration Clinicaltrials.gov (ID# NCT01073475) PMID:26063292

  2. Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa

    PubMed Central

    2014-01-01

    Background Some countries have undertaken programs that included scaling up kangaroo mother care. The aim of this study was to systematically evaluate the implementation status of facility-based kangaroo mother care services in four African countries: Malawi, Mali, Rwanda and Uganda. Methods A cross-sectional, mixed-method research design was used. Stakeholders provided background information at national meetings and in individual interviews. Facilities were assessed by means of a standardized tool previously applied in other settings, employing semi-structured key-informant interviews and observations in 39 health care facilities in the four countries. Each facility received a score out of a total of 30 according to six stages of implementation progress. Results Across the four countries 95 per cent of health facilities assessed demonstrated some evidence of kangaroo mother care practice. Institutions that fared better had a longer history of kangaroo mother care implementation or had been developed as centres of excellence or had strong leaders championing the implementation process. Variation existed in the quality of implementation between facilities and across countries. Important factors identified in implementation are: training and orientation; supportive supervision; integrating kangaroo mother care into quality improvement; continuity of care; high-level buy in and support for kangaroo mother care implementation; and client-oriented care. Conclusion The integration of kangaroo mother care into routine newborn care services should be part of all maternal and newborn care initiatives and packages. Engaging ministries of health and other implementing partners from the outset may promote buy in and assist with the mobilization of resources for scaling up kangaroo mother care services. Mechanisms for monitoring these services should be integrated into existing health management information systems. PMID:25001366

  3. Measuring socioeconomic status in multicountry studies: results from the eight-country MAL-ED study

    PubMed Central

    2014-01-01

    Background There is no standardized approach to comparing socioeconomic status (SES) across multiple sites in epidemiological studies. This is particularly problematic when cross-country comparisons are of interest. We sought to develop a simple measure of SES that would perform well across diverse, resource-limited settings. Methods A cross-sectional study was conducted with 800 children aged 24 to 60 months across eight resource-limited settings. Parents were asked to respond to a household SES questionnaire, and the height of each child was measured. A statistical analysis was done in two phases. First, the best approach for selecting and weighting household assets as a proxy for wealth was identified. We compared four approaches to measuring wealth: maternal education, principal components analysis, Multidimensional Poverty Index, and a novel variable selection approach based on the use of random forests. Second, the selected wealth measure was combined with other relevant variables to form a more complete measure of household SES. We used child height-for-age Z-score (HAZ) as the outcome of interest. Results Mean age of study children was 41 months, 52% were boys, and 42% were stunted. Using cross-validation, we found that random forests yielded the lowest prediction error when selecting assets as a measure of household wealth. The final SES index included access to improved water and sanitation, eight selected assets, maternal education, and household income (the WAMI index). A 25% difference in the WAMI index was positively associated with a difference of 0.38 standard deviations in HAZ (95% CI 0.22 to 0.55). Conclusions Statistical learning methods such as random forests provide an alternative to principal components analysis in the development of SES scores. Results from this multicountry study demonstrate the validity of a simplified SES index. With further validation, this simplified index may provide a standard approach for SES adjustment across resource-limited settings. PMID:24656134

  4. Effects of Female Education on Economic Growth: A Cross Country Empirical Study

    ERIC Educational Resources Information Center

    Oztunc, Hakan; Oo, Zar Chi; Serin, Zehra Vildan

    2015-01-01

    This study examines the extent to which women's education affects long-term economic growth in the Asia Pacific region. It focuses on the time period between 1990 and 2010, using data collected in randomly selected Asia Pacific countries: Bangladesh, Cambodia, China, India, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Thailand, and Vietnam.…

  5. Understanding and Measuring Student Engagement in School: The Results of an International Study from 12 Countries

    ERIC Educational Resources Information Center

    Lam, Shui-fong; Jimerson, Shane; Wong, Bernard P. H.; Kikas, Eve; Shin, Hyeonsook; Veiga, Feliciano H.; Hatzichristou, Chryse; Polychroni, Fotini; Cefai, Carmel; Negovan, Valeria; Stanculescu, Elena; Yang, Hongfei; Liu, Yi; Basnett, Julie; Duck, Robert; Farrell, Peter; Nelson, Brett; Zollneritsch, Josef

    2014-01-01

    The objective of the present study was to develop a scale that is appropriate for use internationally to measure affective, behavioral, and cognitive dimensions of student engagement. Psychometric properties of this scale were examined with data of 3,420 students (7th, 8th, and 9th grade) from 12 countries (Austria, Canada, China, Cyprus, Estonia,…

  6. The Experiences of Host Country Nationals in International Schools: A Case-Study from Malaysia

    ERIC Educational Resources Information Center

    Bailey, Lucy

    2015-01-01

    Although there has been considerable research into expatriate children attending international schools, there has been little investigation into children who attend international schools within their own nation. Seeking to redress this imbalance, this article analyses interview data from a small-scale study of host country nationals attending an…

  7. The Somalia Country Case Study. Mid-Decade Review of Progress towards Education for All.

    ERIC Educational Resources Information Center

    Bennaars, Gerard A.; Seif, Huda A.; Mwangi, Doris

    In 1995, the International Consultative Forum on Education for All commissioned case studies in developing countries as part of a mid-decade review of progress in expanding access to basic education. This paper examines the situation in Somalia, where civil war has completely destroyed the infrastructure of education. Part 1 summarizes Somalia's…

  8. Attitudes toward Wife Beating: A Cross-Country Study in Asia

    ERIC Educational Resources Information Center

    Rani, Manju; Bonu, Sekhar

    2009-01-01

    Using demographic and health surveys conducted between 1998 and 2001 from seven countries (Armenia, Bangladesh, Cambodia, India, Kazakhstan, Nepal, and Turkey), the study found that acceptance of wife beating ranged from 29% in Nepal, to 57% in India (women only), and from 26% in Kazakhstan, to 56% in Turkey (men only). Increasing wealth predicted…

  9. Study Programmes for Engineers from Developing Countries at the Norwegian Institute of Technology.

    ERIC Educational Resources Information Center

    Lasson, Axel; Hermansen, John

    1989-01-01

    Describes the background of the study and fellowship programs for graduates from the developing countries at the Norwegian Institute of Technology. Discusses some experiences with the programs. Includes a brief description of five courses: (1) "Pulp and Paper Technology"; (2) "Marine Civil Engineering"; (3) "Hydropower Development"; (4) "Electric…

  10. Training, Recruitment and Utilization of Teachers in Primary and Secondary Education. Country Case Studies: Netherlands, Portugal.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France). Directorate for Scientific Affairs.

    This is one of a series of studies on the training, recruitment, and utilization of teachers in member countries of the Organization for Economic Cooperation and Development. This volume deals with the Netherlands and Portugal. The section on the Netherlands (173 pages) has chapters on the demand and supply of teachers, allocations of highly…

  11. Higher Education and Employment: The Changing Relationship. Recent Developments in Continuing Professional Education. Country Study: Italy.

    ERIC Educational Resources Information Center

    Avveduto, Sveva; Moscati, Roberto

    This report, one of a series of country studies on higher education and employment particularly in continuing professional education, looks at recent developments in Italy. Following an introduction which offers basic data on higher education in Italy, Chapter I reviews the current challenges and demands facing the Italian system, in particular in…

  12. North Country Successes: Case Studies of Successful Entrepreneurs in the ANCA Region.

    ERIC Educational Resources Information Center

    Chugh, Ram L.; Gandhi, Prem P.

    This study identifies the characteristics of both successful small businesses and their entrepreneurial owners in a 14-county area of the Adirondack North Country Association (ANCA). Of the 100 survey respondents representing successful small businesses, 50% had been in business for less than 14 years; 38% were in manufacturing; 48% employed more…

  13. Seasonal Variation of Overall and Cardiovascular Mortality: A Study in 19 Countries from Different Geographic Locations

    PubMed Central

    Gubelmann, Cédric; Stringhini, Silvia; Bovet, Pascal; Chen, Pau-Chung; Wojtyniak, Bogdan; Paccaud, Fred; Tsai, Dai-Hua; Zdrojewski, Tomasz; Marques-Vidal, Pedro

    2014-01-01

    Background Cardiovascular diseases (CVD) mortality has been shown to follow a seasonal pattern. Several studies suggested several possible determinants of this pattern, including misclassification of causes of deaths. We aimed at assessing seasonality in overall, CVD, cancer and non-CVD/non-cancer mortality using data from 19 countries from different latitudes. Methods and Findings Monthly mortality data were compiled from 19 countries, amounting to over 54 million deaths. We calculated ratios of the observed to the expected numbers of deaths in the absence of a seasonal pattern. Seasonal variation (peak to nadir difference) for overall and cause-specific (CVD, cancer or non-CVD/non-cancer) mortality was analyzed using the cosinor function model. Mortality from overall, CVD and non-CVD/non-cancer showed a consistent seasonal pattern. In both hemispheres, the number of deaths was higher than expected in winter. In countries close to the Equator the seasonal pattern was considerably lower for mortality from any cause. For CVD mortality, the peak to nadir differences ranged from 0.185 to 0.466 in the Northern Hemisphere, from 0.087 to 0.108 near the Equator, and from 0.219 to 0.409 in the Southern Hemisphere. For cancer mortality, the seasonal variation was nonexistent in most countries. Conclusions In countries with seasonal variation, mortality from overall, CVD and non-CVD/non-cancer show a seasonal pattern with mortality being higher in winter than in summer. Conversely, cancer mortality shows no substantial seasonality. PMID:25419711

  14. Corporal Punishment, Maternal Warmth, and Child Adjustment: A Longitudinal Study in Eight Countries

    PubMed Central

    Lansford, Jennifer E.; Sharma, Chinmayi; Malone, Patrick S.; Woodlief, Darren; Dodge, Kenneth A.; Oburu, Paul; Pastorelli, Concetta; Skinner, Ann T.; Sorbring, Emma; Tapanya, Sombat; Tirado, Liliana Maria Uribe; Zelli, Arnaldo; Al-Hassan, Suha M.; Alampay, Liane Peña; Bacchini, Dario; Bombi, Anna Silvia; Bornstein, Marc H.; Chang, Lei; Deater-Deckard, Kirby; Di Giunta, Laura

    2014-01-01

    Objective Two key tasks facing parents across cultures are managing children’s behaviors (and misbehaviors) and conveying love and affection. Previous research has found that corporal punishment generally is related to worse child adjustment, whereas parental warmth is related to better child adjustment. This study examined whether the association between corporal punishment and child adjustment problems (anxiety and aggression) is moderated by maternal warmth in a diverse set of countries that vary in a number of sociodemographic and psychological ways. Method Interviews were conducted with 7- to 10-year-old children (N = 1,196; 51% girls) and their mothers in eight countries: China, Colombia, Italy, Jordan, Kenya, the Philippines, Thailand, and the United States. Follow-up interviews were conducted one and two years later. Results Corporal punishment was related to increases, and maternal warmth was related to decreases, in children’s anxiety and aggression over time; however, these associations varied somewhat across groups. Maternal warmth moderated the effect of corporal punishment in some countries, with increases in anxiety over time for children whose mothers were high in both warmth and corporal punishment. Conclusions The findings illustrate the overall association between corporal punishment and child anxiety and aggression as well as patterns specific to particular countries. Results suggest that clinicians across countries should advise parents against using corporal punishment, even in the context of parent-child relationships that are otherwise warm, and should assist parents in finding other ways to manage children’s behaviors. PMID:24885184

  15. Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries.

    PubMed

    de Andrade, Luiz Odorico Monteiro; Pellegrini Filho, Alberto; Solar, Orielle; Rígoli, Félix; de Salazar, Lígia Malagon; Serrate, Pastor Castell-Florit; Ribeiro, Kelen Gomes; Koller, Theadora Swift; Cruz, Fernanda Natasha Bravo; Atun, Rifat

    2015-04-01

    Many intrinsically related determinants of health and disease exist, including social and economic status, education, employment, housing, and physical and environmental exposures. These factors interact to cumulatively affect health and disease burden of individuals and populations, and to establish health inequities and disparities across and within countries. Biomedical models of health care decrease adverse consequences of disease, but are not enough to effectively improve individual and population health and advance health equity. Social determinants of health are especially important in Latin American countries, which are characterised by adverse colonial legacies, tremendous social injustice, huge socioeconomic disparities, and wide health inequities. Poverty and inequality worsened substantially in the 1980s, 1990s, and early 2000s in these countries. Many Latin American countries have introduced public policies that integrate health, social, and economic actions, and have sought to develop health systems that incorporate multisectoral interventions when introducing universal health coverage to improve health and its upstream determinants. We present case studies from four Latin American countries to show the design and implementation of health programmes underpinned by intersectoral action and social participation that have reached national scale to effectively address social determinants of health, improve health outcomes, and reduce health inequities. Investment in managerial and political capacity, strong political and managerial commitment, and state programmes, not just time-limited government actions, have been crucial in underpinning the success of these policies. PMID:25458716

  16. The Association between Peace and Life Expectancy: An Empirical Study of the World Countries

    PubMed Central

    YAZDI FEYZABADI, Vahid; HAGHDOOST, Aliakbar; MEHROLHASSANI, Mohammad Hossein; AMINIAN, Zahra

    2015-01-01

    Background: Although theoretically peace affects health, few published evidence for such an association was empirically available. This study aimed to explore the association between peace and life expectancy (LE) among the world countries. Methods: In an ecological study and using random effects regression model, we examined the association between peace and LE among world countries between 2007 and 2012. The LE at birth and global peace index (GPI: a score between 1 and 5, higher score means lower peace) were selected as outcome and main predictor variables, respectively. We adjusted their association for the gross national income (GNI) per capita and education index (EI). Data were obtained from the Institute for Economics and Peace (IEP) and UNDP (United Nations Development Programme (UNDP). Numbers of included countries were 158 based on the available data. Results: GPI had a negative, considerable, and statistically significant effect on LE (standardized coefficient ?0.039; 95% CI: ?0.058, ?0.019). This association was also significant even after the adjustment for EI (?0.019; 95% CI: ?0.035, ?0.003), GNI (?0.035; 95% CI: ?0.055, ?0.015), and both EI and GNI (?0.017; 95% CI: ?0.033, ?0.001). The full model showed that around 0.61 of the variation of LE among countries may be explained by the GPI, EI and GNI per capita. Conclusion: The contribution of peace as a global determinant of LE was empirically considerable even after the adjustment for the economic and education levels of countries. This implies that governments should make efforts to settle peace through implementing good governance based on interactions with both public and other countries. PMID:25905077

  17. Place of death of older persons with dementia. A study in five European countries.

    PubMed

    Houttekier, Dirk; Cohen, Joachim; Bilsen, Johan; Addington-Hall, Julia; Onwuteaka-Philipsen, Bregje D; Deliens, Luc

    2010-04-01

    The aging of the European population will lead to a rapid increase in dementia cases in the coming decades, posing challenges for the organization and provision of end-of-life care. Studying the place of death of patients with dementia, and what determines it, is relevant in this context. Using death certificates, the deaths of people aged 65 and older whose underlying cause of death was a dementia-related disease was studied in Belgium, the Netherlands, England, Scotland, and Wales. Between 50% (Wales) and 92% (Netherlands) of patients with dementia died in a nursing home and between 3% (Netherlands) and 46% (Wales) in hospital. Home death was rare (3-5%) except in Belgium (11%). Multivariate analysis showed that place of death was related to age, sex, available hospital and nursing home beds, and country of residence. Although availability of hospital and nursing home beds partially explained the variation between countries, considerable variation remained even after controlling for that, plus age, sex, and social support. Place of death from dementia differed significantly between the countries studied. In all countries, a majority of patients with dementia died in a long-term care facility. The provision of appropriate long-term care facilities with appropriate staffing could be the primary policy instrument that could help patients with dementia avoid dying in the hospital and ensure quality of end-of-life care in Europe. PMID:20398157

  18. P.C.A.P. Project Profiles. Queensland Priority Country Area Program--Evaluation Series.

    ERIC Educational Resources Information Center

    Fowler, C. F.; Peters, J. E.

    Thirty-two projects designed to improve educational opportunities of rural Queensland children were funded as part of the Disadvantaged Schools Program in 1979 and 1980. This program resulted from a 1977-79 Schools Commission report which suggested that students in country areas may be disadvantaged compared to urban dwellers, with respect to…

  19. AGROCHEMICAL HAZARDS IN AQUATIC SYSTEMS AND EVALUATION OF SUCH HAZARDS WITH EMPHASIS ON DEVELOPING COUNTRIES

    EPA Science Inventory

    Many developing countries are lacking protein in the diets of their population. Aquatic systems are good sources of protein in many areas with fish and shellfish as the main sources. The misuse of agrochemicals can directly or indirectly affect the use and suitability of these pr...

  20. A population based study of Helicobacter pylori infection in a European country: the San Marino Study. Relations with gastrointestinal diseases.

    PubMed Central

    Gasbarrini, G; Pretolani, S; Bonvicini, F; Gatto, M R; Tonelli, E; Mégraud, F; Mayo, K; Ghironzi, G; Giulianelli, G; Grassi, M

    1995-01-01

    Helicobacter pylori is present worldwide but few large population studies exist on the epidemiology of the infection. A random cross sectional study was performed of H pylori infection in the adult population of San Marino, a European country with high gastric cancer rate, to assess its prevalence and to evaluate its relations with gastrointestinal disease. In 2237 subjects (77% of the initial sample) H pylori IgG antibodies were detected with enzyme linked immunosorbent assay (ELISA) and immunoblotting. A questionnaire including questions about occupation, place of birth, and smoking was given to all subjects. Dyspepsia, peptic ulcer, and gastric cancer in the subjects, relatives, and partners as well as use of drug, dental treatment/prostheses, and gastrointestinal endoscopies, were evaluated by multivariate analysis. H pylori prevalence was of 51%, increased with age from 23% (20-29 years) to 68% (> or = 70 years), and was higher among manual workers. H pylori was independently associated with ulcer (OR = 1.63, 95% confidence intervals (CI) = 1.16 to 2.27), H2 antagonists (OR = 1.94, 95% CI = 1.21 to 3.10), and benzodiazepines (OR = 1.57, 95% CI = 1.02 to 2.42), dental prostheses (OR = 1.25, 95% CI = 1.05 to 1.49), gastroscopy in the past five years (OR = 1.50, 95% CI = 1.05 to 2.14), peptic ulcer in siblings (OR = 1.52, 95% CI = 1.09 to 2.12), gastric cancer in father (OR = 1.61, 95% CI = 1.02 to 2.52). The association of seropositivity with history of ulcer, gastric cancer in family, gastroscopy, and H2 antagonists suggests that H pylori is an epidemiological key factor in the pathogenesis of gastroduodenal diseases in this area. PMID:7615270

  1. Economic evaluation of interventions to reduce road traffic injuries--a review of the literature with applications to low and middle-income countries.

    PubMed

    Waters, H R; Hyder, A A; Phillips, T L

    2004-01-01

    Road Traffic Injuries (RTIs) kill over one million people worldwide annually. This article takes the perspective of economic costs and benefits to review the impact of available road safety interventions in industrialized countries--and the potential effect of these interventions in low and middle-income countries, where RTIs pose an increasingly large public health problem. A comprehensive review of the literature on cost-benefits and cost-effectiveness studies related to road traffic injuries internationally, with comparisons of costs adjusted for inflation and exchange differentials was conducted. In the United States (U.S.), motor vehicle inspection laws resulted in annual savings of US $1.7 to $2.3 billion. The installation of seatbelts results in net savings of $162 per vehicle; with benefits outweighing costs by a factor ranging from 240 to 1727. Other cost effective interventions include mandatory seatbelt use, lowering speed limits, motorcycle helmet laws, and traffic calming devices such as speed bumps and road deviations. The dearth of similar economic evaluations of interventions for road traffic injuries in low and middle-income countries represents a serious research gap and hinders the implementation of effective strategies in those countries. PMID:18839864

  2. Does financial development reduce environmental degradation? Evidence from a panel study of 129 countries.

    PubMed

    Al-Mulali, Usama; Tang, Chor Foon; Ozturk, Ilhan

    2015-10-01

    The purpose of this study is to explore the effect of financial development on CO2 emission in 129 countries classified by the income level. A panel CO2 emission model using urbanisation, GDP growth, trade openness, petroleum consumption and financial development variables that are major determinants of CO2 emission was constructed for the 1980-2011 period. The results revealed that the variables are cointegrated based on the Pedroni cointegration test. The dynamic ordinary least squares (OLS) and the Granger causality test results also show that financial development can improve environmental quality in the short run and long run due to its negative effect on CO2 emission. The rest of the determinants, especially petroleum consumption, are determined to be the major source of environmental damage in most of the income group countries. Based on the results obtained, the investigated countries should provide banking loans to projects and investments that can promote energy savings, energy efficiency and renewable energy to help these countries reduce environmental damage in both the short and long run. PMID:25994273

  3. Association between Integration Policies and Immigrants’ Mortality: An Explorative Study across Three European Countries

    PubMed Central

    Ikram, Umar Z.; Malmusi, Davide; Juel, Knud; Rey, Grégoire; Kunst, Anton E.

    2015-01-01

    Background To integrate immigrants into their societies, European countries have adopted different types of policies, which may influence health through both material and psychosocial determinants. Recent studies have suggested poorer health outcomes for immigrants living in countries with poorly rated integration policies. Objective To analyse mortality differences of immigrants from the same country of origin living in countries with distinct integration policy contexts. Methods From the mortality dataset collected in the Migrant Ethnic Health Observatory (MEHO) project, we chose the Netherlands (linked data from 1996-2006), France (unlinked; 2005-2007) and Denmark (linked; 1992-2001) as representatives of the inclusive, assimilationist and exclusionist policy models, respectively, based on the Migrant Integration Policy Index. We calculated for each country sex- and age-standardized mortality rates for Turkish-, Moroccan- and local-born populations aged 20-69 years. Poisson regression was used to estimate the mortality rate ratios (MRRs) for cross-country and within-country comparisons. The analyses were further stratified by age group and cause of death. Results Compared with their peers in the Netherlands, Turkish-born immigrants had higher all-cause mortality in Denmark (MRR men 1.92; 95% CI 1.74-2.13 and women 2.11; 1.80-2.47) but lower in France (men 0.64; 0.59-0.69 and women 0.58; 0.51-0.67). A similar pattern emerged for Moroccan-born immigrants. The relative differences between immigrants and the local-born population were also largest in Denmark and lowest in France (e.g., Turkish-born men MRR 1.52; 95% CI 1.38-1.67 and 0.62; 0.58-0.66, respectively). These patterns were consistent across all age groups, and more marked for cardiovascular diseases. Conclusions Although confounders and data comparability issues (e.g., French cross-sectional data) may affect the findings, this study suggests that different macro-level policy contexts may influence immigrants’ mortality. Comparable mortality registration systems across Europe along with detailed socio-demographic information on immigrants may help to better assess this association. PMID:26067249

  4. The Missing Link: Deficits of Country-Level Studies. A Review of 22 Articles Explaining Life Satisfaction

    ERIC Educational Resources Information Center

    Nonnenmacher, Alexandra; Friedrichs, Jurgen

    2013-01-01

    To explain country differences in an analytical or structural dependent variable, the application of a macro-micro-model containing contextual hypotheses is necessary. Our methodological study examines whether empirical studies apply such a model. We propose that a theoretical base for country differences is well described in multilevel studies,…

  5. Prevalence of asthma symptoms in schoolchildren, and climate in west European countries: an ecologic study

    NASA Astrophysics Data System (ADS)

    Arnedo-Pena, Alberto; García-Marcos, Luis; Bercedo-Sanz, Alberto; Aguinaga-Ontoso, Inés; González-Díaz, Carlos; García-Merino, Águeda; Busquets-Monge, Rosa; Suárez-Varela, Maria Morales; Batlles-Garrido, Juan; Blanco-Quirós, Alfredo A.; López-Silvarrey, Angel; García-Hernández, Gloria; Fuertes, Jorge

    2013-09-01

    The aim of the present study was to estimate the associations between the prevalence of asthma symptoms in schoolchildren and meteorological variables in west European countries that participated in the International Study of Asthma and Allergies in Children (ISAAC), Phase III 1997-2003. An ecologic study was carried out. The prevalence of asthma was obtained from this study from 48 centers in 14 countries, and meteorological variables from those stations closest to ISAAC centers, together with other socioeconomic and health care variables. Multilevel mixed-effects linear regression models were used. For schoolchildren aged 6-7 years, the prevalence rate of asthma decreased with an increase in mean annual sunshine hours, showed a positive association with rainy weather, and warm temperature, and a negative one with relative humidity and physician density (PD). Current wheeze prevalence was stronger in autumn/winter seasons and decreased with increasing PD. Severe current wheeze decreased with PD. For schoolchildren aged 13-14 years, the prevalence rates of asthma and current wheeze increased with rainy weather, and these rates decreased with increased PD. Current wheeze, as measured by a video questionnaire, was inversely associated with sunny weather, and nurse density. Severe current wheeze prevalence was stronger during autumn/winter seasons, decreased with PD, and indoor chlorinated public swimming pool density, and increased with rainy weather. Meteorological factors, including sunny and rainy weather, and PD may have some effect on the prevalence rates of asthma symptoms in children from west European countries.

  6. Upper stage technology evaluation studies

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Studies to evaluate advanced technology relative to chemical upper stages and orbit-to-orbit stages are reported. The work described includes: development of LH2/LOX stage data, development of data to indicate stage sensitivity to engine tolerance, modified thermal routines to accommodate storable propellants, added stage geometries to computer program for monopropellant configurations, determination of the relative gain obtainable through improvement of stage mass fraction, future propulsion concepts, effect of ultrahigh chamber-pressure increases, and relative gains obtainable through improved mass fraction.

  7. Communication in a Human biomonitoring study: Focus group work, public engagement and lessons learnt in 17 European countries.

    PubMed

    Exley, Karen; Cano, Noemi; Aerts, Dominique; Biot, Pierre; Casteleyn, Ludwine; Kolossa-Gehring, Marike; Schwedler, Gerda; Castaño, Argelia; Angerer, Jürgen; Koch, Holger M; Esteban, Marta; Schoeters, Greet; Den Hond, Elly; Horvat, Milena; Bloemen, Louis; Knudsen, Lisbeth E; Joas, Reinhard; Joas, Anke; Dewolf, Marie-Christine; Van de Mieroop, Els; Katsonouri, Andromachi; Hadjipanayis, Adamos; Cerna, Milena; Krskova, Andrea; Becker, Kerstin; Fiddicke, Ulrike; Seiwert, Margarete; Mørck, Thit A; Rudnai, Peter; Kozepesy, Szilvia; Cullen, Elizabeth; Kellegher, Anne; Gutleb, Arno C; Fischer, Marc E; Ligocka, Danuta; Kami?ska, Joanna; Namorado, Sónia; Reis, M Fátima; Lupsa, Ioana-Rodica; Gurzau, Anca E; Halzlova, Katarina; Jajcaj, Michal; Mazej, Darja; Tratnik, Janja Snoj; Huetos, Olga; López, Ana; Berglund, Marika; Larsson, Kristin; Sepai, Ovnair

    2015-08-01

    A communication strategy was developed by The Consortium to Perform Human Biomonitoring on a European Scale (COPHES), as part of its objectives to develop a framework and protocols to enable the collection of comparable human biomonitoring data throughout Europe. The framework and protocols were tested in the pilot study DEMOCOPHES (Demonstration of a study to Coordinate and Perform Human biomonitoring on a European Scale). The aims of the communication strategy were to raise awareness of human biomonitoring, encourage participation in the study and to communicate the study results and their public health significance. It identified the audiences and key messages, documented the procedure for dissemination of results and was updated as the project progressed. A communication plan listed the tools and materials such as press releases, flyers, recruitment letters and information leaflets required for each audience with a time frame for releasing them. Public insight research was used to evaluate the recruitment material, and the feedback was used to improve the documents. Dissemination of results was coordinated in a step by step approach by the participating countries within DEMOCOPHES, taking into account specific national messages according to the needs of each country. Participants received individual results, unless they refused to be informed, along with guidance on what the results meant. The aggregate results and policy recommendations were then communicated to the general public and stakeholders, followed by dissemination at European level. Several lessons were learnt that may assist other future human biomonitoring studies. Recruitment took longer than anticipated and so social scientists, to help with community engagement, should be part of the research team from the start. As a European study, involving multiple countries, additional considerations were needed for the numerous organisations, different languages, cultures, policies and priorities. Therefore, communication documents should be seen as templates with essential information clearly indicated and the option for each country to tailor the material to reflect these differences. Future studies should consider setting up multidisciplinary networks of medical professionals and communication experts, and holding training workshops to discuss the interpretation of results and risk communication. Publicity and wide dissemination of the results helped to raise awareness of human biomonitoring to the general public, policy makers and other key stakeholders. Effective and timely communication, at all stages of a study, is essential if the potential of human biomonitoring research to improve public health is to be realised. PMID:25499539

  8. The Relative Impacts of Disease on Health Status and Capability Wellbeing: A Multi-Country Study

    PubMed Central

    Mitchell, Paul Mark; Al-Janabi, Hareth; Richardson, Jeff; Iezzi, Angelo; Coast, Joanna

    2015-01-01

    Background Evaluations of the impact of interventions for resource allocation purposes commonly focus on health status. There is, however, also concern about broader impacts on wellbeing and, increasingly, on a person's capability. This study aims to compare the impact on health status and capability of seven major health conditions, and highlight differences in treatment priorities when outcomes are measured by capability as opposed to health status. Methods The study was a cross-sectional four country survey (n = 6650) of eight population groups: seven disease groups with: arthritis, asthma, cancer, depression, diabetes, hearing loss, and heart disease and one health population ‘comparator’ group. Two simple self-complete questionnaires were used to measure health status (EQ-5D-5L) and capability (ICECAP-A). Individuals were classified by illness severity using condition-specific questionnaires. Effect sizes were used to estimate: (i) the difference in health status and capability for those with conditions, relative to a healthy population; and (ii) the impact of the severity of the condition on health status and capability within each disease group. Findings 5248 individuals were included in the analysis. Individuals with depression have the greatest mean reduction in both health (effect size, 1.26) and capability (1.22) compared to the healthy population. The effect sizes for capability for depression are much greater than for all other conditions, which is not the case for health. For example, the arthritis group effect size for health (1.24) is also high and similar to that of depression, whereas for the same arthritis group, the effect size for capability is much lower than that for depression (0.55). In terms of severity within disease groups, individuals categorised as 'mild' have similar capability levels to the healthy population (effect sizes <0.2, excluding depression) but lower health status than the healthy population (?0.4). Conclusion Significant differences exist in the relative effect sizes across diseases when measured by health status and capability. In terms of treating morbidity, a shift in focus from health gain to capability gain would increase funding priorities for patients with depression specifically and severe illnesses more generally. PMID:26630131

  9. Evaluation of an Android-based mHealth system for population surveillance in developing countries

    PubMed Central

    Mbugua, Samuel; Amadi, David; Chepn?eno, Viola; Saleem, Jason J; Anokwa, Yaw; Hartung, Carl; Borriello, Gaetano; Mamlin, Burke W; Ndege, Samson K; Were, Martin C

    2012-01-01

    Objective In parts of the developing world traditionally modeled healthcare systems do not adequately meet the needs of the populace. This can be due to imbalances in both supply and demand—there may be a lack of sufficient healthcare and the population most at need may be unable or unwilling to take advantage of it. Home-based care has emerged as a possible mechanism to bring healthcare to the populace in a cost-effective, useful manner. This study describes the development, implementation, and evaluation of a mobile device-based system to support such services. Materials and Methods Mobile phones were utilized and a structured survey was implemented to be administered by community health workers using Open Data Kit. This system was used to support screening efforts for a population of two million persons in western Kenya. Results Users of the system felt it was easy to use and facilitated their work. The system was also more cost effective than pen and paper alternatives. Discussion This implementation is one of the largest applications of a system utilizing handheld devices for performing clinical care during home visits in a resource-constrained environment. Because the data were immediately available electronically, initial reports could be performed and important trends in data could thus be detected. This allowed adjustments to the programme to be made sooner than might have otherwise been possible. Conclusion A viable, cost-effective solution at scale has been developed and implemented for collecting electronic data during household visits in a resource-constrained setting. PMID:22366295

  10. Prevalence of Overweight and Obesity among Adolescents in Seven Arab Countries: A Cross-Cultural Study

    PubMed Central

    Musaiger, Abdulrahman O.; Al-Mannai, Mariam; Tayyem, Reema; Al-Lalla, Osama; Ali, Essa Y. H.; Kalam, Faiza; Benhamed, Mofida M.; Saghir, Sabri; Halahleh, Ismail; Djoudi, Zahra; Chirane, Manel

    2012-01-01

    Objective. The aim of this study was to find out the prevalence of overweight and obesity among adolescents in seven Arab countries using similar reference standard. Methods. A school-based cross-sectional study was carried out in seven cities in Arab countries, namely, Algeria, Jordan, Kuwait, Libya, Palestine, Syria, and United Arab Emirates. A multistage stratified random sampling technique was used. The total sample included was 4698 adolescents aged from 15 to 18 years (2240 males, 2458 females). The International Obesity Task Force (IOTF) reference standard was used to classify the adolescents as nonobese, overweight, and obese. Results. Among males, overweight was highest among Kuwaiti adolescents (25.6%), followed by Jordanian (21.6%), and Syrian (19.7%) adolescents. Among females, the highest prevalence of overweight was reported in Libyan adolescents (26.6%), followed by Kuwaiti (20.8%), and Syrian (19.7%) adolescents. As for obesity, Kuwaiti adolescents showed the highest prevalence of obesity for both males (34.8%) and females (20.6%). Conclusion. There is an urgent need to establish a plan of action to combat obesity in schoolchildren in these countries. PMID:23029605

  11. Prevalence of Overweight and Obesity among Adolescents in Seven Arab Countries: A Cross-Cultural Study.

    PubMed

    Musaiger, Abdulrahman O; Al-Mannai, Mariam; Tayyem, Reema; Al-Lalla, Osama; Ali, Essa Y H; Kalam, Faiza; Benhamed, Mofida M; Saghir, Sabri; Halahleh, Ismail; Djoudi, Zahra; Chirane, Manel

    2012-01-01

    Objective. The aim of this study was to find out the prevalence of overweight and obesity among adolescents in seven Arab countries using similar reference standard. Methods. A school-based cross-sectional study was carried out in seven cities in Arab countries, namely, Algeria, Jordan, Kuwait, Libya, Palestine, Syria, and United Arab Emirates. A multistage stratified random sampling technique was used. The total sample included was 4698 adolescents aged from 15 to 18 years (2240 males, 2458 females). The International Obesity Task Force (IOTF) reference standard was used to classify the adolescents as nonobese, overweight, and obese. Results. Among males, overweight was highest among Kuwaiti adolescents (25.6%), followed by Jordanian (21.6%), and Syrian (19.7%) adolescents. Among females, the highest prevalence of overweight was reported in Libyan adolescents (26.6%), followed by Kuwaiti (20.8%), and Syrian (19.7%) adolescents. As for obesity, Kuwaiti adolescents showed the highest prevalence of obesity for both males (34.8%) and females (20.6%). Conclusion. There is an urgent need to establish a plan of action to combat obesity in schoolchildren in these countries. PMID:23029605

  12. Using information technology for an improved pharmaceutical care delivery in developing countries. Study case: Benin.

    PubMed

    Edoh, Thierry Oscar; Teege, Gunnar

    2011-10-01

    One of the problems in health care in developing countries is the bad accessibility of medicine in pharmacies for patients. Since this is mainly due to a lack of organization and information, it should be possible to improve the situation by introducing information and communication technology. However, for several reasons, standard solutions are not applicable here. In this paper, we describe a case study in Benin, a West African developing country. We identify the problem and the existing obstacles for applying standard ECommerce solutions. We develop an adapted system approach and describe a practical test which has shown that the approach has the potential of actually improving the pharmaceutical care delivery. Finally, we consider the security aspects of the system and propose an organizational solution for some specific security problems. PMID:21519942

  13. Household food access and child malnutrition: results from the eight-country MAL-ED study

    PubMed Central

    2012-01-01

    Background Stunting results from decreased food intake, poor diet quality, and a high burden of early childhood infections, and contributes to significant morbidity and mortality worldwide. Although food insecurity is an important determinant of child nutrition, including stunting, development of universal measures has been challenging due to cumbersome nutritional questionnaires and concerns about lack of comparability across populations. We investigate the relationship between household food access, one component of food security, and indicators of nutritional status in early childhood across eight country sites. Methods We administered a socioeconomic survey to 800 households in research sites in eight countries, including a recently validated nine-item food access insecurity questionnaire, and obtained anthropometric measurements from children aged 24 to 60 months. We used multivariable regression models to assess the relationship between household food access insecurity and anthropometry in children, and we assessed the invariance of that relationship across country sites. Results Average age of study children was 41 months. Mean food access insecurity score (range: 0–27) was 5.8, and varied from 2.4 in Nepal to 8.3 in Pakistan. Across sites, the prevalence of stunting (42%) was much higher than the prevalence of wasting (6%). In pooled regression analyses, a 10-point increase in food access insecurity score was associated with a 0.20 SD decrease in height-for-age Z score (95% CI 0.05 to 0.34 SD; p?=?0.008). A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p?=?0.17). Conclusions Our study provides evidence of the validity of using a simple household food access insecurity score to investigate the etiology of childhood growth faltering across diverse geographic settings. Such a measure could be used to direct interventions by identifying children at risk of illness and death related to malnutrition. PMID:23237098

  14. Health Checkup and Telemedical Intervention Program for Preventive Medicine in Developing Countries: Verification Study

    PubMed Central

    Kai, Eiko; Ghosh, Partha Pratim; Islam, Rafiqul; Ahmed, Ashir; Kuroda, Masahiro; Inoue, Sozo; Hiramatsu, Tatsuo; Kimura, Michio; Shimizu, Shuji; Kobayashi, Kunihisa; Baba, Yukino; Kashima, Hisashi; Tsuda, Koji; Sugiyama, Masashi; Blondel, Mathieu; Ueda, Naonori; Kitsuregawa, Masaru; Nakashima, Naoki

    2015-01-01

    Background The prevalence of non-communicable diseases is increasing throughout the world, including developing countries. Objective The intent was to conduct a study of a preventive medical service in a developing country, combining eHealth checkups and teleconsultation as well as assess stratification rules and the short-term effects of intervention. Methods We developed an eHealth system that comprises a set of sensor devices in an attaché case, a data transmission system linked to a mobile network, and a data management application. We provided eHealth checkups for the populations of five villages and the employees of five factories/offices in Bangladesh. Individual health condition was automatically categorized into four grades based on international diagnostic standards: green (healthy), yellow (caution), orange (affected), and red (emergent). We provided teleconsultation for orange- and red-grade subjects and we provided teleprescription for these subjects as required. Results The first checkup was provided to 16,741 subjects. After one year, 2361 subjects participated in the second checkup and the systolic blood pressure of these subjects was significantly decreased from an average of 121 mmHg to an average of 116 mmHg (P<.001). Based on these results, we propose a cost-effective method using a machine learning technique (random forest method) using the medical interview, subject profiles, and checkup results as predictor to avoid costly measurements of blood sugar, to ensure sustainability of the program in developing countries. Conclusions The results of this study demonstrate the benefits of an eHealth checkup and teleconsultation program as an effective health care system in developing countries. PMID:25630348

  15. The Global Trachoma Mapping Project: Methodology of a 34-Country Population-Based Study

    PubMed Central

    Solomon, Anthony W.; Pavluck, Alexandre L.; Courtright, Paul; Aboe, Agatha; Adamu, Liknaw; Alemayehu, Wondu; Alemu, Menbere; Alexander, Neal D. E.; Kello, Amir Bedri; Bero, Berhanu; Brooker, Simon J.; Chu, Brian K.; Dejene, Michael; Emerson, Paul M.; Flueckiger, Rebecca M.; Gadisa, Solomon; Gass, Katherine; Gebre, Teshome; Habtamu, Zelalem; Harvey, Erik; Haslam, Dominic; King, Jonathan D.; Mesurier, Richard Le; Lewallen, Susan; Lietman, Thomas M.; MacArthur, Chad; Mariotti, Silvio P.; Massey, Anna; Mathieu, Els; Mekasha, Addis; Millar, Tom; Mpyet, Caleb; Muñoz, Beatriz E.; Ngondi, Jeremiah; Ogden, Stephanie; Pearce, Joseph; Sarah, Virginia; Sisay, Alemayehu; Smith, Jennifer L.; Taylor, Hugh R.; Thomson, Jo; West, Sheila K.; Willis, Rebecca; Bush, Simon; Haddad, Danny; Foster, Allen

    2015-01-01

    ABSTRACT Purpose: To complete the baseline trachoma map worldwide by conducting population-based surveys in an estimated 1238 suspected endemic districts of 34 countries. Methods: A series of national and sub-national projects owned, managed and staffed by ministries of health, conduct house-to-house cluster random sample surveys in evaluation units, which generally correspond to “health district” size: populations of 100,000–250,000 people. In each evaluation unit, we invite all residents aged 1 year and older from h households in each of c clusters to be examined for clinical signs of trachoma, where h is the number of households that can be seen by 1 team in 1 day, and the product h?×?c is calculated to facilitate recruitment of 1019 children aged 1–9 years. In addition to individual-level demographic and clinical data, household-level water, sanitation and hygiene data are entered into the purpose-built LINKS application on Android smartphones, transmitted to the Cloud, and cleaned, analyzed and ministry-of-health-approved via a secure web-based portal. The main outcome measures are the evaluation unit-level prevalence of follicular trachoma in children aged 1–9 years, prevalence of trachomatous trichiasis in adults aged 15?+?years, percentage of households using safe methods for disposal of human feces, and percentage of households with proximate access to water for personal hygiene purposes. Results: In the first year of fieldwork, 347 field teams commenced work in 21 projects in 7 countries. Conclusion: With an approach that is innovative in design and scale, we aim to complete baseline mapping of trachoma throughout the world in 2015. PMID:26158580

  16. 2014 BIQSFP-BiomarkerStudyEvaluationTemplate

    Cancer.gov

    BIQSFP ’1 4 (Biomarker, Imaging, and Quality of Life Studies Funding Program) BIOMARKER STUDY Evaluation Template BIQSFP ’1 4 BIOMARKER STUDY Evaluation Template 6/08,2/09,3/09,5/09,3/10,3/11,3/12 ,4/13, 11/13 STUDY EVALUATION TEMPLATE

  17. Budget transparency on maternal health spending: a case study in five Latin American countries.

    PubMed

    Malajovich, Laura; Alcalde, Maria Antonieta; Castagnaro, Kelly; Barroso, Carmen

    2012-06-01

    Progress in reducing maternal mortality has been slow and uneven, including in Latin America, where 23,000 women die each year from preventable causes. This article is about the challenges civil society organizations in Latin America faced in assessing budget transparency on government spending on specific aspects of maternity care, in order to hold them accountable for reducing maternal deaths. The study was carried out by the International Planned Parenthood, Western Hemisphere Region and the International Budget Partnership in five Latin American countries--Costa Rica, El Salvador, Guatemala, Panama and Peru. It found that only in Peru was most of the information they sought available publicly (from a government website). In the other four countries, none of the information was available publicly, and although it was possible to obtain at least some data from ministry and health system sources, the search process often took a complex course. The data collected in each country were very different, depending not only on the level of budget transparency, but also on the existence and form of government data collection systems. The obstacles that these civil society organizations faced in monitoring national and local budget allocations for maternal health must be addressed through better budgeting modalities on the part of governments. Concrete guidelines are also needed for how governments can better capture data and track local and national progress. PMID:22789097

  18. International technology transfer: study of selected problems encountered by multinational businesses in lesser-developed countries

    SciTech Connect

    Maddalena, J.B.

    1987-01-01

    This project describes some of the problems encountered in the transfer of technology to Lesser Developed Countries (LDC) by Multinational Corporations. (MNC) In this study, the concept of technology is expanded to include industrial processes as well as the marketing of the goods containing the technical knowledge. The development and use of this technology is created under the values and standards existing in the MNC's country. However, when it is transferred to Third World Nations, the corporation frequently encounters cultural situations that are contrary to its domestic situation. In the Nestle case, baby formula was marketed in the Third World under assumptions that were valid in the Western World but which had tragic consequencesin the LDCs. The assumption of a clean water supply was taken for granted in the advanced nations. In the LDCs, however, impure water supplies were a fact of life. This and other circumstances led to misuse of the formula. The Union Carbide case involved the transfer of an industrial process for the manufacture of pesticides. These products were prohibited in the MNC's country but the lax regulations in India permitted the corporation to produce the toxic materials using less-stringent control. Many thousands of Indians were killed and injured when a deadly gas escaped from the plant. In both situations, the MNC failed to consider the local cultural conditions in its strategic planning.

  19. Evaluating large-scale health programmes at a district level in resource-limited countries.

    PubMed

    Svoronos, Theodore; Mate, Kedar S

    2011-11-01

    Recent experience in evaluating large-scale global health programmes has highlighted the need to consider contextual differences between sites implementing the same intervention. Traditional randomized controlled trials are ill-suited for this purpose, as they are designed to identify whether an intervention works, not how, when and why it works. In this paper we review several evaluation designs that attempt to account for contextual factors that contribute to intervention effectiveness. Using these designs as a base, we propose a set of principles that may help to capture information on context. Finally, we propose a tool, called a driver diagram, traditionally used in implementation that would allow evaluators to systematically monitor changing dynamics in project implementation and identify contextual variation across sites. We describe an implementation-related example from South Africa to underline the strengths of the tool. If used across multiple sites and multiple projects, the resulting driver diagrams could be pooled together to form a generalized theory for how, when and why a widely-used intervention works. Mechanisms similar to the driver diagram are urgently needed to complement existing evaluations of large-scale implementation efforts. PMID:22084529

  20. Selecting a Learning Management System (LMS) in Developing Countries: Instructors' Evaluation

    ERIC Educational Resources Information Center

    Cavus, Nadire

    2013-01-01

    Learning management systems (LMSs) contain hidden costs, unclear user environments, bulky developer and administration manuals, and limitations with regard to interoperability, integration, localization, and bandwidth requirements. Careful evaluation is required in selecting the most appropriate LMS for use, and this is a general problem in…

  1. Quality of cause-of-death reporting using ICD-10 drowning codes: a descriptive study of 69 countries

    PubMed Central

    2010-01-01

    Background The systematic collection of high-quality mortality data is a prerequisite in designing relevant drowning prevention programmes. This descriptive study aimed to assess the quality (i.e., level of specificity) of cause-of-death reporting using ICD-10 drowning codes across 69 countries. Methods World Health Organization (WHO) mortality data were extracted for analysis. The proportion of unintentional drowning deaths coded as unspecified at the 3-character level (ICD-10 code W74) and for which the place of occurrence was unspecified at the 4th character (.9) were calculated for each country as indicators of the quality of cause-of-death reporting. Results In 32 of the 69 countries studied, the percentage of cases of unintentional drowning coded as unspecified at the 3-character level exceeded 50%, and in 19 countries, this percentage exceeded 80%; in contrast, the percentage was lower than 10% in only 10 countries. In 21 of the 56 countries that report 4-character codes, the percentage of unintentional drowning deaths for which the place of occurrence was unspecified at the 4th character exceeded 50%, and in 15 countries, exceeded 90%; in only 14 countries was this percentage lower than 10%. Conclusion Despite the introduction of more specific subcategories for drowning in the ICD-10, many countries were found to be failing to report sufficiently specific codes in drowning mortality data submitted to the WHO. PMID:20374660

  2. Safe-sex belief and sexual risk behaviours among adolescents from three developing countries: a cross-sectional study

    PubMed Central

    Osorio, Alfonso; Lopez-del Burgo, Cristina; Ruiz-Canela, Miguel; Carlos, Silvia; de Irala, Jokin

    2015-01-01

    Objectives This study intends to evaluate whether the belief that condoms are 100% effective in protecting against HIV infection is associated with sexual risk behaviours among youth. Methods A cross-sectional study was performed in representative samples of high-school students in the Philippines, El Salvador and Peru. Participants completed a self-administered questionnaire. Students were asked about the risk of HIV transmission if one has sex using condoms. They were also asked to indicate whether they had ever had sexual relations and whether they used a condom in their first sexual relation. The sample was composed of 8994 students, aged 13–18. Results One out of seven adolescents believed condoms are 100% effective (safe-sex believers). Those adolescents were 82% more likely to have had sex than those without such belief, after adjusting for confounders (OR=1.82; 95% CI 1.51 to 2.21). On the contrary, no association was found between risk perception and condom use. Subgroup and sensitivity analyses produced similar results. Conclusions This is, to the best of our knowledge, the first study conducted specifically to evaluate this phenomenon and that has used the same questionnaire and the same data collection protocol in three different developing countries from Asia, Central and South America. These results reasonably suggest that there could be an association between safe sex beliefs and sexual initiation. Longitudinal studies are needed to better understand this possible association as it could influence how to better promote sexual health. PMID:25916489

  3. Internet addictive behavior in adolescence: a cross-sectional study in seven European countries.

    PubMed

    Tsitsika, Artemis; Janikian, Mari; Schoenmakers, Tim M; Tzavela, Eleni C; Olafsson, Kjartan; Wójcik, Szymon; Macarie, George Florian; Tzavara, Chara; Richardson, Clive

    2014-08-01

    A cross-sectional school-based survey study (N=13,284; 53% females; mean age 15.8±0.7) of 14-17-year-old adolescents was conducted in seven European countries (Greece, Spain, Poland, Germany, Romania, the Netherlands, and Iceland). The aim of the study was to investigate the prevalence of Internet addictive behavior (IAB) and related psychosocial characteristics among adolescents in the participating countries. In the study, we distinguish two problematic groups: adolescents with IAB, characterized by a loss of control over their Internet use, and adolescents "at risk for IAB," showing fewer or weaker symptoms of IAB. The two groups combined form a group of adolescents with dysfunctional Internet behavior (DIB). About 1% of adolescents exhibited IAB and an additional 12.7% were at risk for IAB; thus, in total, 13.9% displayed DIB. The prevalence of DIB was significantly higher among boys than among girls (15.2% vs. 12.7%, p<0.001) and varied widely between countries, from 7.9% in Iceland to 22.8% in Spain. Frequent use of specific online activities (e.g., gambling, social networking, gaming) at least 6 days/week was associated with greater probability of displaying DIB. Multiple logistic regression analysis indicated that DIB was more frequent among adolescents with a lower educational level of the parents, earlier age at first use of the Internet, and greater use of social networking sites and gaming sites. Multiple linear regression analysis showed that externalizing (i.e., behavioral) and internalizing (i.e., emotional) problems were associated with the presence of DIB. PMID:24853789

  4. Human Resource Management in Public Higher Education in the Tempus Partner Countries. A Tempus Study. Issue 10

    ERIC Educational Resources Information Center

    Dubosc, Flora; Kelo, Maria

    2011-01-01

    The aim of this study is to give an overview of the ways in which human resources are managed in public higher education institutions in the Tempus Partner Countries. It is based on a survey addressed to individuals involved in Tempus projects and on information gathered at the level of the national authorities. In all the countries covered by the…

  5. Sustainable Agricultural and Watershed Management in Developing Countries - An India Case Study

    NASA Astrophysics Data System (ADS)

    Kiliszek, A.; Vaicunas, R.; Zook, K.; Popkin, J.; Inamdar, S. P.; Duke, J.; Awokuse, T.; Sims, T.; Hansen, D.; Wani, S. P.

    2011-12-01

    The goal of sustainable agricultural and watershed management is to enhance agricultural productivity while protecting and preserving our environment and natural resources. The vast majority of information on sustainable watershed management practices is primarily derived from studies in developed nations with very few inputs from developing nations. Through a USDA-funded project, the University of Delaware (UD) initiated a collaboration with the International Crop Research Institute for the Semi-Arid Tropics (ICRISAT) located in Hyderabad, India to study sustainable agricultural management practices in developing countries and their impacts on the environment, crop productivity, and socioeconomic conditions of the watershed community. As a part of this project, ICRISAT provided us with a vast amount of data on sustainable agricultural practices and their impacts on runoff, soil and water quality, crop yields, nutrient management and socioeconomic conditions. Conservation practices that were implemented included check dams, groundwater recharge wells, intercropping, nutrient management, integrated pest management and a suite of other practices. Using this information, students and faculty at UD developed teaching modules that were used for education and enrichment of existing UD courses and are also being used for the development of a stand-alone online course. The students and faculty visited India in July 2010 to get a first-hand experience of the conditions in the agricultural watersheds and the impacts of sustainable management practices. The project was a tremendous learning experience for US students and faculty and highlighted the challenges people face in developing countries and how that affects every aspect of their lives. Such challenges include environmental, agricultural, technological, economic, and transportation. Although we experience many of the same challenges, developing countries do not have the technology or economic infrastructure in place to effectively manage these challenges. This presentation highlights: (a) the agricultural and environmental challenges facing developing countries like India; (b) the types of best management practices (BMPs) employed; (c) the impacts of the BMPs in the study watersheds; (d) the development of the online course and (e) the lessons and experiences of the students and faculty from their study visit to India.

  6. Issues of Sustainable Redevelopment of City Core: A Study of Developed and Developing Countries

    NASA Astrophysics Data System (ADS)

    Munoth, N.; Jain, R. K.; Raheja, G.; Brar, T. S.

    2013-05-01

    The inner city core has undergone maximum misuse and transformation in the absence of building bye laws and regulation, resulting in decay and dilapidated buildings. These city core areas have been places of life, vitality, wealth, power, enlightenment and culture. However these inner city areas have become marginalized in the process of urban growth and has problems related to decay, dwindling economic conditions and dilapidation leading to migration of the population to better and modern areas. This study intends to investigate the impacts of redevelopment within the core area of developed and developing countries, involving environmental, technical, socioeconomic and legal issues that may influence the attainment of sustainable targets for city core redevelopment.

  7. Improving integration for integrated coastal zone management: an eight country study.

    PubMed

    Portman, M E; Esteves, L S; Le, X Q; Khan, A Z

    2012-11-15

    Integrated coastal zone management (ICZM) is a widely accepted approach for sustainable management of the coastal environment. ICZM emphasizes integration across sectors, levels of government, uses, stakeholders, and spatial and temporal scales. While improving integration is central to progress in ICZM, the role of and the achievement of integration remain understudied. To further study these two points, our research analyzes the performance of specific mechanisms used to support ICZM in eight countries (Belgium, India, Israel, Italy, Portugal, Sweden, UK, and Vietnam). The assessment is based on a qualitative comparative analysis conducted through the use of two surveys. It focuses on five ICZM mechanisms (environmental impact assessment; planning hierarchy; setback lines; marine spatial planning, and regulatory commission) and their role in improving integration. Our findings indicate that certain mechanisms enhance specific types of integration more effectively than others. Environmental impact assessment enhances science-policy integration and can be useful to integrate knowledge across sectors. Planning hierarchy and regulatory commissions are effective mechanisms to integrate policies across government levels, with the latter also promoting public-government integration. Setback lines can be applied to enhance integration across landscape units. Marine spatial planning is a multi-faceted mechanism with the potential to promote all types of integration. Policy-makers should adopt the mechanisms that are suited to the type of integration needed. Results of this study also contribute to evidence-based coastal management by identifying the most common impediments related to the mechanisms of integration in the eight studied countries. PMID:23063925

  8. Total hydrocarbon analyzer evaluation study

    SciTech Connect

    Shamat, N. ); Crumpler, E. ); Roddan, A. )

    1991-10-01

    Measuring and controlling organic emissions from incineration processes has become a major environmental concern in recent years. The US Environmental Protection Agency (EPA) recently proposed a regulation for sewage sludge incinerators under section 405(d) of the Clean Water Act that will require all sludge incinerators to monitor total hydrocarbon emissions (THCs) on a continuous basis. Such a requirement would be part of National Pollutant Discharge Elimination (NPDES) permits and site-specific THC limits would be established for facilities based on a risk assessment of organic emissions. Before EPA can finalize the proposed requirement, THC monitoring must be successfully conducted in a plant environment and the system required by any final regulation must be kept in operation so that facilities can comply with their permits. The Metropolitan Waste Control Commission (MWCC) in St. Paul, Minn., and Rosemount Analytical Division in La Habre, Calif., entered into a joint agreement with EPA to demonstrate a hot' THC monitoring system to detect THCs in stack gases. The objectives of the study are to determine the feasibility of THC monitoring of sludge incinerator emissions; evaluate the long term reliability, cost of operation, and consistency of a continuous THC monitoring system in an incinerator environment; and determine the correlation of THC stack concentration to incinerator and scrubber operating conditions, carbon monoxide concentration, and specific VOC emissions.

  9. Students' perceptions and doubts about menstruation in developing countries: a case study from India.

    PubMed

    Chothe, Vikas; Khubchandani, Jagdish; Seabert, Denise; Asalkar, Mahesh; Rakshe, Sarika; Firke, Arti; Midha, Inuka; Simmons, Robert

    2014-05-01

    Menstrual education is a vital aspect of adolescent health education. Culture, awareness, and socioeconomic status often exert profound influence on menstrual practices. However, health education programs for young women in developing countries do not often address menstrual hygiene, practices, and disorders. Developing culturally sensitive menstrual health education and hygiene programs for adolescent females has been recommended by professional health organizations like the World Health Organization and UNICEF. These programs cannot be developed without understanding existing myths and perceptions about menstruation in adolescent females of developing countries. Thus, the purpose of this qualitative study from India was to document existing misconceptions regarding menstruation and perceptions about menarche and various menstrual restrictions that have been understudied. Out of the 612 students invited to participate by asking questions, 381 girls participated by asking specific questions about menstruation (response rate = 62%). The respondents consisted of 84 girls from sixth grade, 117 from seventh grade, and 180 from eighth grade. The questions asked were arranged into the following subthemes: anatomy and physiology, menstrual symptoms, menstrual myths and taboos, health and beauty, menstrual abnormalities, seeking medical advice and home remedies; sanitary pads usage and disposal; diet and lifestyle; and sex education. Results of our study indicate that students had substantial doubts about menstruation and were influenced by societal myths and taboos in relation to menstrual practices. Parents, adolescent care providers, and policy makers in developing countries should advocate for comprehensive sexuality education and resources (e.g., low-cost sanitary pads and school facilities) to promote menstrual health and hygiene promotion. PMID:24618653

  10. An international labour migration to developing countries in Asia: a case study of Korea.

    PubMed

    Kim, J K

    1996-12-01

    This study is based on a random sample of 431 temporary migrant workers from developing countries in Korea. Interviews were conducted from mid-October 1995 to mid-March 1996 with 105 Pakistanis, 77 Filipinos, 71 Sri Lankans, 67 Bangladeshi, 40 Indonesians, 26 individuals from Myanmar, 22 Chinese, 16 Nepalese, 2 Iranians, 2 Kazakstanians, 1 Malaysian, 1 Vietnamese, and 1 Ghanaian. Migration follows legal and illegal patterns. Legal trainee migrants leave before their contract time due to low pay, inadequate living conditions, forced overtime work, and lack of freedom. Trainees tend to be ethnic Koreans born in China and Chinese nationals. The number of illegal migrants is increasing. Foreign workers gain entry illegally through smuggling networks and legally through industrial work or tourist visas. Sample data reveal that the average age ranged from 26 to 32 years. Almost 70% were unmarried, and most were males. Filipinos tended to be older and show gender and marital balance. Age, marital status, religion, and education varied widely by ethnic group. Indonesians and Sri Lankans had lower household income than Pakistanis and Filipinos. Pakistanis tended to come from larger families. Total travel costs ranged from $3000 to $5000. Korea is one of four rapidly developing countries that shifted from being a major exporter of labor to a major importer of workers. Shortages of workers accompanied the shift. This case study illustrates that the traditional structural paradigm does not explain some unique features of international labor migration (ILM) in Asia, including the encouragement of illegal migration. The clandestine networks are different from those in developed countries. State policies mediate the flow of ILM. PMID:12320871

  11. Alcohol consumption and social inequality at the individual and country levels—results from an international study

    PubMed Central

    Kuntsche, Sandra; Gmel, Gerhard; Bloomfield, Kim

    2013-01-01

    Background: International comparisons of social inequalities in alcohol use have not been extensively investigated. The purpose of this study was to examine the relationship of country-level characteristics and individual socio-economic status (SES) on individual alcohol consumption in 33 countries. Methods: Data on 101?525 men and women collected by cross-sectional surveys in 33 countries of the GENACIS study were used. Individual SES was measured by highest attained educational level. Alcohol use measures included drinking status and monthly risky single occasion drinking (RSOD). The relationship between individuals’ education and drinking indicators was examined by meta-analysis. In a second step the individual level data and country data were combined and tested in multilevel models. As country level indicators we used the Purchasing Power Parity of the gross national income, the Gini coefficient and the Gender Gap Index. Results: For both genders and all countries higher individual SES was positively associated with drinking status. Also higher country level SES was associated with higher proportions of drinkers. Lower SES was associated with RSOD among men. Women of higher SES in low income countries were more often RSO drinkers than women of lower SES. The opposite was true in higher income countries. Conclusion: For the most part, findings regarding SES and drinking in higher income countries were as expected. However, women of higher SES in low and middle income countries appear at higher risk of engaging in RSOD. This finding should be kept in mind when developing new policy and prevention initiatives. PMID:22562712

  12. Towards Age-Friendly Hospitals in Developing Countries: A Case Study in Iran

    PubMed Central

    Ahmadi, Ahmad; Seyedin, Hesam; Fadaye-Vatan, Reza

    2015-01-01

    Background: Developing countries such as Iran are experiencing a growth in the elderly population. This is a challenge for healthcare providers and their families. This study investigated the extent in which hospitals at Tehran meet the criteria of age-friendly hospitals. Methods: In this descriptive study, using convenience sampling, 26 hospitals were selected in Tehran, the capital city of Iran. The instrument was a checklist included 50 items in the three dimensions of information and training of service providers, management systems in health care centers, physical environment and accessibility of hospitals. Results: Most hospitals were in a good condition regarding physical environment and access to public transportation, but in a poor condition for special healthcare programs for the elderly, teaching principles of geriatrics and gerontology, interaction of medical staff, physicians and nurses with senior patients and systems of priority for them. Conclusion: Due to the growing elderly population, it is necessary for health policymakers, especially in developing countries, to consider seriously the issue of elderly healthcare and their need for special outpatient and inpatient services. PMID:26000245

  13. Integrated risk index for seafood contaminants (IRISC): Pilot study in five European countries.

    PubMed

    Cano-Sancho, German; Sioen, Isabelle; Vandermeersch, Griet; Jacobs, Silke; Robbens, Johan; Nadal, Martí; Domingo, José L

    2015-11-01

    Consumption of seafood is one of the most relevant pathways of exposure to environmental pollutants present in food. The list of toxic compounds in seafood is very extensive, including heavy metals, polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), polychlorinated biphenyls (PCBs) and polycyclic aromatic hydrocarbons (PAHs). In order to quantify the importance of the problem, tools to combine and simplify large data collections are mandatory for risk managers and decision-makers. In this study, the development of a prioritization setting focusing on chemical hazards taken up through seafood was aimed. For this purpose, the toxicity data of several chemicals was integrated with concentration and seafood consumption data, building an integrated risk index for seafood contaminants (IRISC) able to draw a map of risk for each chemical and family of chemicals. A pilot trial was performed on a sample of 74 pollutants, four seafood species and five European countries (Belgium, Ireland, Italy, Portugal and Spain). The preliminary results revealed that Portugal and Spain presented the highest IRISC, while Belgium was the region with the lowest IRISC. The contribution of each group of contaminants to the IRISC was very similar among countries, with heavy metals being the major contributor, followed by PCBs, PCDD/Fs and endocrine disrupting compounds. When the contribution of different seafood species to the Risk Indexes (RIs) was compared, the results elucidated the high input from sardines, showing the highest rates (54.9-76.1) in the five countries. The IRISC provides a friendly approach to the chemical risk scene in Europe, establishing normalized prioritization criteria considering toxicity and consumption as well as concentration of each chemical. PMID:25795543

  14. The IEA Six Subject Survey: An Empirical Study of Education in Twenty-One Countries.

    ERIC Educational Resources Information Center

    Walker, David A.

    The purpose of this book is to describe in nontechnical language the objectives, methods and findings of the six subject study conducted by the International Association for the Evaluation of Educational Achievement during the years 1966-1973. The six subjects covered in the study were Science, Reading Comprehension, Literature, English as a…

  15. NORTHERN OHIO AEROSOL STUDY: STAPHYLOCOCCUS AUREUS EVALUATION

    EPA Science Inventory

    A consortium of Universities, located in northwest Ohio have received funds to conduct a comprehensive evaluation of land applied biosolids in that state. This USDA funded study includes observing land application practices and evaluating biosolids, soils, runoff water and bioaer...

  16. Use of nutritional biomarkers in program evaluation in the context of developing countries.

    PubMed

    Wasantwisut, Emorn; Neufeld, Lynnette

    2012-01-01

    The Lancet series on maternal and child undernutrition emphasized the need for accurate and reliable biomarkers that reflect nutrient status and measure the impact of interventions. An initiative called Biomarkers of Nutrition for Development (BOND) by the Eunice Kennedy Shriver National Institute of Child Health and Human Development aims to provide guidance for the selection and interpretation of biomarkers that meet a range of interests, including research, clinical policy, and program development. This article summarizes the activities of the program working group of the BOND initiative. The working group specified biomarkers according to program objectives such as assessing the nutritional situation or status of target populations/areas; monitoring progress of intervention; and evaluating program impact. In addition, the biomarkers developed were required to be feasible in the field settings. Based on these considerations, population-based biomarkers for programs are proposed for case examples of vitamin A, folate, vitamin B-12, iron, and zinc. Biomarkers of underlying infection/inflammation, anthropometric measures of growth, and dietary intake are recommended to be included. A program manager guide and future research to develop biomarkers for program context are recommended. PMID:22131552

  17. Who Uses Smoking Cessation Apps? A Feasibility Study Across Three Countries via Smartphones

    PubMed Central

    McGeechan, Kevin; Trevena, Lyndal

    2014-01-01

    Background Smartphone use is growing worldwide. While hundreds of smoking cessation apps are currently available in the app stores, there is no information about who uses them. Smartphones also offer potential as a research tool, but this has not previously been explored. Objective This study aims to measure and compare the uptake of a smoking cessation app over one year in Australia, the United Kingdom, and the United States. It also assesses the feasibility of conducting research via an app, describing respondents’ characteristics (demographics, smoking status, and other health related app use), and examining differences across countries. Methods This is a cross-sectional exploratory study of adults 18 years and older, passively recruited over one year in 2012, who downloaded this study app (Quit Advisor) via the two largest app stores (Apple and Android). Results The total number of app downloads after one year was 1751, 72.98% (1278/1751) of them were Apple operation system users. Of these 1751 participants, 47.68% (835/1751) were from the United States, 29.18% (511/1751) were from the United Kingdom, and 16.68% (292/1751) were from Australia. There were 602 participants, 36.75% (602/1638) that completed a questionnaire within the app. Of these 602 participants, 58.8% (354/602) were female and the mean age was 32 years. There were no significant differences between countries in terms of age, operation system used, number of quitting attempts, and language spoken at home. However, there were significant differences between countries in terms of gender and stage of change. There were 77.2% (465/602) of the respondents that were ready to quit in the next 30 days and the majority of these had never sought professional help (eg, “Quitline”). More than half had downloaded smoking cessation apps in the past and of these, three-quarters had made quitting attempts (lasted at least 24 hours) using an app before. Respondents who had attempted to quit three times or more in the previous year were more likely to have tried smoking cessation apps (OR 3.3, 95% CI 2.1-5.2). There were 50.2% (302/602) of the respondents that had used other health related apps before. Of these, 89.4% (270/302) were using health related apps at least once a week, but 77.5% (234/302) never checked the credibility of the health app publishers before downloading. Conclusions A smartphone app was able to reach smokers across three countries that were not seeking professional help, but were ready to quit within the next 30 days. Respondents were relatively young and almost demographically similar across all three countries. They also frequently used other health related apps, mostly without checking the credibility of their publishers. PMID:25098439

  18. Food composition database harmonization for between-country comparisons of nutrient data in the TEDDY Study

    PubMed Central

    Uusitalo, Ulla; Kronberg-Kippila, Carina; Aronsson, Carin Andren; Schakel, Sally; Schoen, Stefanie; Mattisson, Irene; Reinivuo, Heli; Silvis, Katherine; Sichert-Hellert, Wolfgang; Stevens, Mary; Norris, Jill M; Virtanen, Suvi M

    2011-01-01

    The Environmental Determinants of Diabetes in the Young Study (TEDDY) aims at examining the associations between islet autoimmunity and various environmental exposures, (e.g. diet) in Finland, Germany, Sweden and the United States (US). In order to produce comparable results from dietary assessments, the national food composition databases (FCDB) must contain mutually comparable food composition data. Systematic comparison (definition, unit of measurement, and method of analysis) of energy, protein, fats, carbohydrates, cholesterol, fiber, 13 vitamins, and 8 minerals was carried out among the FCDB of the four countries. Total fat, cholesterol, vitamin A: retinol equivalents and beta-carotene, thiamin, riboflavin, pyridoxine, vitamin B12, calcium, phosphorus, potassium, magnesium, iron, and zinc are comparable across all four databases. Carbohydrates, fiber, sugars, fatty acids, vitamin D, vitamin E: alpha-tocopherol, vitamin K, vitamin C, pantothenic acid, niacin, manganese, and copper are comparable or can be converted comparable at least across three of the databases. Vitamin E: alpha-tocopherol equivalents, will be comparable across all databases after Finland and Germany subtract tocotrienols from their values. Nitrogen values were added to the Swedish and US databases. After recalculation of protein from nitrogen (Sweden and US), and subtraction of fiber from the total carbohydrate (Finland) followed by recalculations of energy, these values will be comparable across the countries. Starch and folate are not comparable. PMID:22058606

  19. Social Studies Project Evaluation: Case Study and Recommendations.

    ERIC Educational Resources Information Center

    Napier, John

    1982-01-01

    Describes the development and application of a model for social studies program evaluations. A case study showing how the model's three-step process was used to evaluate the Improving Citizenship Education Project in Fulton County, Georgia is included. (AM)

  20. Vocational Education in Developing Countries. A Review of Studies and Project Experience. Education Division Documents No. 34.

    ERIC Educational Resources Information Center

    Hultin, Mats

    This paper looks at the position taken in available literature and evaluation reports of multinational and bilateral agencies in regard to vocational education in developing countries. Section 1 provides background on such topics as links between education and development, support of vocational education, diversified secondary education, foreign…

  1. Bias in Terms of Culture and a Method for Reducing It: An Eight-Country "Explanations of Unemployment Scale" Study

    ERIC Educational Resources Information Center

    Mylonas, Kostas; Furnham, Adrian; Divale, William; Leblebici, Cigdem; Gondim, Sonia; Moniz, Angela; Grad, Hector; Alvaro, Jose Luis; Cretu, Romeo Zeno; Filus, Ania; Boski, Pawel

    2014-01-01

    Several sources of bias can plague research data and individual assessment. When cultural groups are considered, across or even within countries, it is essential that the constructs assessed and evaluated are as free as possible from any source of bias and specifically from bias caused due to culturally specific characteristics. Employing the…

  2. Multi sensor satellite data interpretation techniques for littoral water quality evaluation: a developing countries experiance

    NASA Astrophysics Data System (ADS)

    Perni, Venkateswarlu

    Water quality of coastal wetlands has remained critical to those engaged in critical habitat management due to the dynamics of natural processes and the economy that involves dependent surrounding population. In this regard, the Chilika Lake, one of the largest wetland in southeast Asia located on the coast of Bay of Bengal has drawn attention of the scientists as well as environmentalist over the years. A good amount of field data on water quality is being collected to suggest measures to be taken to improve the state of Lake Environment and conserve the natural resources besides catering to the ever increasing demands of the local dependents. However the extent of coverage and manpower involvement prompted authorities to utilize satellite remote sensing data from a wide variety of sensors in high spatial resolution like, IRS LISS and PAN, Terra ASTER data and IKONOS, Quickbird. Multi-sensor multi-date data need normalization before creating geophysical databases on critical water quality parameters. This lead to examine field observation along with some of high resolution satellite data sets to evolve methods for creating a database on water quality for better management and analysis of Lake environment. Some of the field data sets acquired during 2001 and 2003 at selected stations were analyzed indicating changes in water quality through primary productivity varying from 0.004 to 1.01 mgC/l/hr with an average value of 0.08 mgC/l/hr. High values are observed in December months with high transparency and low turbidity values. Satellite data examined with IRS data also indicated similar results with high turbidity observed in north eastern region exposed to tributaries of river Mahanadi. The water in the southern region with less turbidity in satellite data was relatively high saline with field observation. The water quality estimated with IRS data sets are further evaluated with high resolution satellites like, IKONOS and Quickbird data and multi-spectral sensors like, terra ASTER. Such high resolution of water quality products provides better management of water quality in the Lake environment.

  3. Barriers to medication counselling for people with mental health disorders: a six country study

    PubMed Central

    Aaltonen, S. Elina; Laine, Niina P.; Volmer, Daisy; Gharat, Manjiri S.; Muceniece, Ruta; Vitola, Anna; Foulon, Veerle; Desplenter, Franciska A.; Airaksinen, Marja S.; Chen, Timothy F.; Bell, J. Simon

    2009-01-01

    Provision of medication information may improve adherence and prevent medication related problems. People with mental health disorders commonly receive less medication counselling from pharmacists than people with other common long term and persistent disorders. Objective The objective of this study was to compare and contrast barriers pharmacy students perceive toward providing medication counselling for people with mental health disorders in Australia, Belgium, Estonia, Finland, India and Latvia. Methods Barriers identified by third-year pharmacy students as part of the International Pharmacy Students’ Health Survey were content analysed using a directed approach. Students’ responses were categorised as pharmacist related, patient related, health-system related, or social or cultural related. Quantitative data were analysed using SPSS version 14.0. Results Survey instruments were returned by 649 students. Of the respondents, 480 identified one or more barriers to medication counselling for people with mental health disorders. Patient related factors accounted for between 25.3% and 36.2% of barriers identified by the pharmacy students. Pharmacist related factors accounted for between 17.6% and 45.1% of the barriers identified by the pharmacy students. Students in India were more likely to attribute barriers to pharmacist and social and cultural related factors, and less likely to health-system related factors, than students studying in other countries. Conclusion The nature of barriers identified by pharmacy students differed according to the country in which they studied. Undergraduate and postgraduate pharmacy education programs may need to be amended to address common misconceptions among pharmacy students. PMID:25132880

  4. Developing social capital in implementing a complex intervention: a process evaluation of the early implementation of a suicide prevention intervention in four European countries

    PubMed Central

    2013-01-01

    Background Variation in the implementation of complex multilevel interventions can impact on their delivery and outcomes. Few suicide prevention interventions, especially multilevel interventions, have included evaluation of both the process of implementation as well as outcomes. Such evaluation is essential for the replication of interventions, for interpreting and understanding outcomes, and for improving implementation science. This paper reports on a process evaluation of the early implementation stage of an optimised suicide prevention programme (OSPI-Europe) implemented in four European countries. Methods The process analysis was conducted within the framework of a realist evaluation methodology, and involved case studies of the process of implementation in four European countries. Datasets include: repeated questionnaires to track progress of implementation including delivery of individual activities and their intensity; serial interviews and focus groups with stakeholder groups; and detailed observations at OSPI implementation team meetings. Results Analysis of local contexts in each of the four countries revealed that the advisory group was a key mechanism that had a substantial impact on the ease of implementation of OSPI interventions, particularly on their ability to recruit to training interventions. However, simply recruiting representatives of key organisations into an advisory group is not sufficient to achieve impact on the delivery of interventions. In order to maximise the potential of high level ‘gatekeepers’, it is necessary to first transform them into OSPI stakeholders. Motivations for OSPI participation as a stakeholder included: personal affinity with the shared goals and target groups within OSPI; the complementary and participatory nature of OSPI that adds value to pre-existing suicide prevention initiatives; and reciprocal reward for participants through access to the extended network capacity that organisations could accrue for themselves and their organisations from participation in OSPI. Conclusions Exploring the role of advisory groups and the meaning of participation for these participants revealed some key areas for best practice in implementation: careful planning of the composition of the advisory group to access target groups; the importance of establishing common goals; the importance of acknowledging and complementing existing experience and activity; and facilitating an equivalence of benefit from network participation. PMID:23425005

  5. A Cross-Cultural Study on Behaviors When Death Is Approaching in East Asian Countries

    PubMed Central

    Cheng, Shao-Yi; Suh, Sang-Yeon; Morita, Tatsuya; Oyama, Yasuhiro; Chiu, Tai-Yuan; Koh, Su Jin; Kim, Hyun Sook; Hwang, Shinn-Jang; Yoshie, Taeko; Tsuneto, Satoru

    2015-01-01

    Abstract The primary aim of this study was to explore common beliefs and practices when death is approaching in East-Asian countries. A cross-sectional survey was performed involving palliative care physicians in Japan, Korea, and Taiwan. Measurement outcomes were physician-perceived frequencies of the following when patient death was approaching: (1) reluctance to take part in end-of-life discussions, (2) role of family members, (3) home death, and (4) circumstances surrounding death. A total of 505, 211, and 207 responses were obtained from Japanese, Korea, and Taiwan physicians, respectively. While 50% of the Japanese physicians reported that they often or very often experienced families as being reluctant to discuss end-of-life issues, the corresponding figures were 59% in Korea and 70% in Taiwan. Two specific reasons to avoid end-of-life discussion, “bad things happen after you say them out loud” and “a bad life is better than a good death” were significantly more frequently observed in Taiwan. Prioritizing the oldest of the family in breaking bad news and having all family members present at the time of death were significantly more frequently observed in Korea and Taiwan. Half of Taiwanese physicians reported they often or very often experienced the patients/family wanted to go back home to die because the soul would not be able to return from the hospital. In all countries, more than 70% of the physicians reported certain family members were expected to care for the patient at home. At the time of death, while no Japanese physicians stated that they often experienced patients wanted a religious person to visit, the corresponding figure in Korean and Taiwan was about 40%. Uncovered expression of emotion was significantly frequently observed in Korean and Taiwan, and 42% of the Japanese physicians reported family members cleaned the dead body of the patient themselves. There seem to be significant intercountry differences in beliefs and practices when death is approaching in East Asian countries. Future studies on direct observations of patients and families are needed. PMID:26426631

  6. Risk stratification for venous thromboembolism in hospitalized patients in a developing country: a prospective study.

    PubMed

    Awidi, Abdallah; Obeidat, Nathir; Magablah, Ahmad; Bsoul, Nazzal

    2009-10-01

    Venous Thrombo-Embolism (VTE) is a serious complication in hospitalized patients but can be preventable. This prospective study addresses risk factors assessment and the use of heparin in this population. About 2,496 non pediatric patients were admitted to Jordan University Hospital between June 12, 2007 and July 19, 2007. A random sample of 624 patients consisting of every fourth admission was chosen. The stratification of risk factors was assessed using Caprini model and the ACCP score. The mean age of the patients (229 males and 395 females) was 45.34 +/- 18.3 years. More than 80% of the admitted patients were considered at high risk for VTE but heparin was used in only 26% of the patients. The majority of our patients constitute a high-risk population. Implementation of strategies including educational sessions and risk stratification guidelines can reduce the incidence, morbidity, and mortality of VTE especially in developing countries. PMID:19023522

  7. National cultures, performance appraisal practices, and organizational absenteeism and turnover: a study across 21 countries.

    PubMed

    Peretz, Hilla; Fried, Yitzhak

    2012-03-01

    Performance appraisal (PA) is a key human resource activity in organizations. However, in this global economy, we know little about how societal cultures affect PA practices. In this study, we address this gap by focusing on 2 complementary issues: (a) the influence of societal (national) cultural practices on PA practices adopted by organizations and (b) the contribution of the level of congruence between societal cultural practices and the characteristics of organizational PA practices to absenteeism and turnover. The results, based on a large data set across multiple countries and over 2 time periods, support the hypothesized effects of societal (national) cultural practices on particular PA practices and the interactive effects of societal cultural practices and PA practices on absenteeism and turnover. We discuss theoretical and practical implications of our findings. PMID:22040261

  8. Value Orientations and Studying in School-Leisure Conflict: A Study with Samples from Five Countries

    ERIC Educational Resources Information Center

    Hofer, Manfred; Schmid, Sebastian; Fries, Stefan; Zivkovic, Ilija; Dietz, Franziska

    2009-01-01

    The relations between students' value orientations and experiences of motivational interference during studying following conflicts between learning and leisure activities were investigated in a self-report study. Overall, 1075 adolescents, mostly from Catholic schools, in Bosnia-Herzegovina (n = 203), India (n = 200), Paraguay (n = 96), Spain (n…

  9. Survey of Yogurt Powder Storage in Ambient Export Countries A Safety Evaluation Standard Compliance and Comparative Analysis

    PubMed Central

    Kim, Na-Kyeong; Park, Jung-Min; Lee, Jung-Hoon; Kim, Ha-Jung; Oh, Sejong; Imm, Jee-Young; Lim, Kwang-Sei; Kim, Jin-Man

    2015-01-01

    Yogurt powder is fermented milk processed in the form of dry yogurt, and has advantages such as stability, storability, convenience, and portability. China and Vietnam are important export target countries because of the increased demand for dairy products. Therefore, we surveyed dairy product standardization in order to establish an export strategy. Lactic acid bacteria counts are unregulated in Korea and Vietnam. In China, lactic acid bacteria counts are regulated at 1×106 colony-forming units (CFU)/mL and detected at 6.24±0.33 Log CFU/mL. All three countries have regulated standards for total bacterial counts. In China, total bacterial counts of milk powder are regulated to n=5, c=2, m=50,000, M=200,000 and detected at 6.02±0.12 Log CFU/mL, exceeding the acceptable level. Lactic acid bacterial counts appeared to exceed total bacterial counts. Coliform group counts, Staphylococcus aureus, Listeria monocytogenes, and Salmonella species were not detected. Acidity is not regulated in Korea and Vietnam. In China, acidity was regulated to over 70°T and detected 352.38±10.24°T. pH is unregulated in all three countries. pH was compared to that of general fermented milk, which is 4.2, and that of the sample was 4.28±0.01. Aflatoxin levels are not regulated in Korea and China. In Vietnam, aflatoxin level is regulated at 0.05 ppb. Therefore, all ingredients of the yogurt powder met the safety standards. This data obtained in this study can be used as the basic data in assessing the export quality of yogurt powder.

  10. Market definition study of photovoltaic power for remote villages in developing countries

    NASA Technical Reports Server (NTRS)

    Ragsdale, C.; Quashie, P.

    1980-01-01

    The potential market of photovoltaic systems in remote village applications in developing countries is assessed. It is indicated that photovoltaic technology is cost-competitive with diesel generators in many remote village applications. The major barriers to development of this market are the limited financial resources on the part of developing countries, and lack of awareness of photovoltaics as a viable option in rural electrification. A comprehensive information, education and demonstration program should be established as soon as possible to convince the potential customer countries and the various financial institutions of the viability of photovoltaics as an electricity option for developing countries.

  11. Local and Regional Committees of the Priority County Area Program Prior to 1980. Priority Country Area Program Evaluation Series: Occasional Paper.

    ERIC Educational Resources Information Center

    Fowler, Clifford F.

    The report examines and documents the part played by certain local and regional committees in the operation of the Priority Country Area Program (PCAP) in South-West and Central Queensland prior to 1980. Two original studies are described: one concerned with the Local Advisory Committees (LACs) in South-West Priority Country Area and the other…

  12. Perspectives, perceptions and experiences in postoperative pain management in developing countries: A focus group study conducted in Rwanda

    PubMed Central

    Johnson, Ana P; Mahaffey, Ryan; Egan, Rylan; Twagirumugabe, Theogene; Parlow, Joel L

    2015-01-01

    BACKGROUND: Access to postoperative acute pain treatment is an important component of perioperative care and is frequently managed by a multidisciplinary team of anesthesiologists, surgeons, pharmacists, technicians and nurses. In some developing countries, treatment modalities are often not performed due to scarce health care resources, knowledge deficiencies and cultural attitudes. OBJECTIVES: In advance of a comprehensive knowledge translation initiative, the present study aimed to determine the perspectives, perceptions and experiences of anesthesia residents regarding postoperative pain management strategies. METHODS: The present study was conducted using a qualitative assessment strategy in a large teaching hospital in Rwanda. During two sessions separated by seven days, a 10-participant semistructured focus group needs analysis was conducted with anesthesia residents at the Centre Hospitalier Universitaire de Kigali (Kigali, Rwanda). Field notes were analyzed using interpretative and descriptive phenomenological approaches. Participants were questioned regarding their perspectives, perceptions and experiences in pain management. RESULTS: The responses from the focus groups were related to five general areas: general patient and medical practice management; knowledge base regarding postoperative pain management; pain evaluation; institutional/system issues related to protocol implementation; and perceptions about resource allocation. Within these areas, challenges (eg, communication among stakeholders and with patients) and opportunities (eg, on-the-job training, use of protocols, routine pain assessment, participation in resource allocation decisions) were identified. CONCLUSIONS: The present study revealed the prevalent challenges residents perceive in implementing postoperative pain management strategies, and offers practical suggestions to overcoming them, primarily through training and the implementation of practice recommendations. PMID:26448971

  13. Higher Education R&D and Productivity Growth: An Empirical Study on High-Income OECD Countries

    ERIC Educational Resources Information Center

    Eid, Ashraf

    2012-01-01

    This paper is a macro study on higher education R&D and its impact on productivity growth. I measure the social rate of return on higher education R&D in 17 high-income OECD countries using country level data on the percentage of gross expenditure on R&D performed by higher education, business, and government sectors over the period 1981-2006.…

  14. Evaluating Evaluation Systems: Policy Levers and Strategies for Studying Implementation of Educator Evaluation. Policy Snapshot

    ERIC Educational Resources Information Center

    Matlach, Lauren

    2015-01-01

    Evaluation studies can provide feedback on implementation, support continuous improvement, and increase understanding of evaluation systems' impact on teaching and learning. Despite the importance of educator evaluation studies, states often need support to prioritize and fund them. Successful studies require expertise, time, and a shared…

  15. Economic Evaluation alongside Multinational Studies: A Systematic Review of Empirical Studies

    PubMed Central

    Oppong, Raymond; Jowett, Sue; Roberts, Tracy E.

    2015-01-01

    Purpose of the study This study seeks to explore methods for conducting economic evaluations alongside multinational trials by conducting a systematic review of the methods used in practice and the challenges that are typically faced by the researchers who conducted the economic evaluations. Methods A review was conducted for the period 2002 to 2012, with potentially relevant articles identified by searching the Medline, Embase and NHS EED databases. Studies were included if they were full economic evaluations conducted alongside a multinational trial. Results A total of 44 studies out of a possible 2667 met the inclusion criteria. Methods used for the analyses varied between studies, indicating a lack of consensus on how economic evaluation alongside multinational studies should be carried out. The most common challenge appeared to be related to addressing differences between countries, which potentially hinders the generalisability and transferability of results. Other challenges reported included inadequate sample sizes and choosing cost-effectiveness thresholds. Conclusions It is recommended that additional guidelines be developed to aid researchers in this area and that these be based on an understanding of the challenges associated with multinational trials and the strengths and limitations of alternative approaches. Guidelines should focus on ensuring that results will aid decision makers in their individual countries. PMID:26121465

  16. Redefining Entrepreneurial Learning Paradigms in Developing Countries: A Case Study of Ghana

    ERIC Educational Resources Information Center

    Owusu-Manu, D.; Afrane, S. K.; Badu, E.; Edwards, D. J.; Brown, M.

    2013-01-01

    In a rapidly changing world of knowledge exchange, innovation and technological advancements, entrepreneurship continues to fuel economic growth in both developed and developing countries. In the developed world, an increased influx of graduate entrepreneurs sustains economic growth whilst, in contrast, developing countries continue to suffer from…

  17. An overview of impact of subsurface drainage project studies on salinity management in developing countries

    NASA Astrophysics Data System (ADS)

    Tiwari, Priyanka; Goel, Arun

    2015-09-01

    Subsurface drainage has been used for more than a century to keep water table at a desired level of salinity and waterlogging control. This paper has been focused on the impact assessment of pilot studies in India and some other countries from 1969 to 2014 . This review article may prove quite useful in deciding the installation of subsurface drainage project depending on main design parameters, such as drain depth and drain spacing, installation area and type of used outlet. A number of pilot studies have been taken up in past to solve the problems of soil salinity and waterlogging in India. The general guidelines that arise on the behalf of this review paper are to adapt drain depth >1.2 m and spacing depending on soil texture classification, i.e., 100-150 m for light-textured soils, 50-100 m for medium-textured soils and 30-50 m heavy-textured soils, for better result obtained from the problem areas in Indian soil and climatic conditions. An attempt has been made in the manner of literature survey to highlight the salient features of these studies, and it is hopeful to go a long way in selecting design parameters for subsurface drainage problems in the future with similar soil, water table and climatic conditions.

  18. Hospital managers' need for information in decision-making - An interview study in nine European countries.

    PubMed

    Kidholm, Kristian; Ølholm, Anne Mette; Birk-Olsen, Mette; Cicchetti, Americo; Fure, Brynjar; Halmesmäki, Esa; Kahveci, Rabia; Kiivet, Raul-Allan; Wasserfallen, Jean-Blaise; Wild, Claudia; Sampietro-Colom, Laura

    2015-11-01

    Assessments of new health technologies in Europe are often made at the hospital level. However, the guidelines for health technology assessment (HTA), e.g. the EUnetHTA Core Model, are produced by national HTA organizations and focus on decision-making at the national level. This paper describes the results of an interview study with European hospital managers about their need for information when deciding about investments in new treatments. The study is part of the AdHopHTA project. Face-to-face, structured interviews were conducted with 53 hospital managers from nine European countries. The hospital managers identified the clinical, economic, safety and organizational aspects of new treatments as being the most relevant for decision-making. With regard to economic aspects, the hospital managers typically had a narrower focus on budget impact and reimbursement. In addition to the information included in traditional HTAs, hospital managers sometimes needed information on the political and strategic aspects of new treatments, in particular the relationship between the treatment and the strategic goals of the hospital. If further studies are able to verify our results, guidelines for hospital-based HTA should be altered to reflect the information needs of hospital managers when deciding about investments in new treatments. PMID:26362086

  19. Experimental study and evaluation of radioprotective drugs

    NASA Technical Reports Server (NTRS)

    Smith, D. E.; Thomson, J. F.

    1968-01-01

    Experimental study evaluates radioprotective drugs administered before exposure either orally or intravenously. Specifically studied are the sources of radiation, choice of radiation dose, choice of animals, administration of drugs, the toxicity of protective agents and types of protective drug.

  20. Teachers' Implicit Theories of Learning to Read: A Cross-Cultural Study in Ibero-American Countries

    ERIC Educational Resources Information Center

    Jiménez, Juan E.; Rodríguez, Cristina; Suárez, Natalia; O'Shanahan, Isabel; Villadiego, Yalov; Uribe, Claudia; Villalobos, Jose Angel; Rodas, Patricia

    2015-01-01

    The main goal of this study was to explore the nature and structure of implicit theories of Spanish-speaking in-service teachers on learning to read. The study sample consisted of 591 in-service teachers from various Ibero-American countries (Spain, Mexico, Guatemala, Colombia, and Ecuador). The study analyzed attributional structure or teacher…

  1. Decisions concerning potentially life-sustaining treatments in paediatric nephrology: a multicentre study in French-speaking countries

    PubMed Central

    Fauriel, Isabelle; Moutel, Grégoire; Moutard, Marie-Laure; Montuclard, Luc; Duchange, Nathalie; Callies, Ingrid; François, Irène; Cochat, Pierre; Hervé, Christian

    2004-01-01

    Background Few studies have looked at the way in which decisions to withhold or to withdraw potential life-sustaining treatments (LST) are taken in paediatric nephrology. The aim of this work was to evaluate such practices in all nephrology centres in French-speaking European countries, so that guidelines could be drawn up and discussed by professionals. Methods Semi-directed interviews were used to question health-care professionals prospectively. We also retrospectively analysed the medical files of all children (n= 50) for whom a decision to withhold or to withdraw LST had been taken in the last five years. The doctors (n=31) who had been involved in the decision-making process were interviewed. Results All 31 of the French-speaking paediatric nephrology centres in Europe were included in this study. Eighteen of these centres had made decisions about whether to withhold or to withdraw LST in the previous five years. Subsequent quality of life, based on long-term living conditions, was the principal criterion used to make decisions. Criteria affecting relational aspects of life and the child’s prognosis were also considered. The decision-making processes (DMP) were not always collective even though interactions between doctors and the rest of the medical team seemed to be a key element. The parents’ involvement in the DMP differed between centres. Conclusions The criteria used to decide whether to withhold or to withdraw LST are not standardised and no specific guidelines have been established. PMID:14993486

  2. Philippines: Environment and natural resource management study. World Bank country study

    SciTech Connect

    Not Available

    1989-01-01

    This study addresses the most significant issues of natural-resource management in the Philippines. These include the disappearence or degradation of forests; erosion and changes in hydrological regimes; the conversion of mangrove swamps to fishponds; degradation of coral reefs; and depletion of nearshore fisheries through overfishing and destructive techniques. The issues addressed concern the extent and rate of degradation of these resource stocks, the impact thereof on the national economy, and the scope for ameliorative measures through policy responses, management changes, and investments. The Government is responsible for management of public resources, which include over half of the land area of the Philippines as well as the coastal waters. Historically, public management has been less than optimal, as evidenced by an unsustainable rate of deforestation and the recent stagnation or decline in extractive fisheries.

  3. Solid waste characterization, quantification and management practices in developing countries. a case study: Nablus district - Palestine.

    PubMed

    Al-Khatib, Issam A; Monou, Maria; Abu Zahra, Abdul Salam F; Shaheen, Hafez Q; Kassinos, Despo

    2010-05-01

    Solid waste management (SWM) is one of the most challenging issues faced by developing countries that suffer from serious pollution problems caused by the generation of large waste quantities. This paper presents the case study of SWM in the Nablus district - Palestine. Surveys for household residents' and SWM program operators, field investigations, on-site waste measurements and characterizations were conducted. Per capita waste generation rates varied between different localities although trends were similar. Overall, the majority of waste was organic (65.1% by weight), suggesting a strong resource recovery potential in terms of animal feed or compost. Recyclable waste (plastic, paper and card) made up 16.7% by weight the waste composition suggesting an incentive to introduce source separation. Household attitudes complemented the waste characterization study, revealing the main problems faced. SWM operators quoted on the current status, highlighting problems with disposing in unsanitary landfills, ineffective solid waste fees system, increasing solid waste quantities and lacking equipment and experienced personnel. To enhance sustainable SWM, public awareness, funding, expertise, equipment and facilities and other provisions currently lacking or inappropriate must be provided. PMID:20116162

  4. Patient organisations and the reimbursement process for medicines: an exploratory study in eight European countries

    PubMed Central

    2010-01-01

    Background Little is known about the role European patient organisations play in the process of deciding on reimbursement for medicines. Therefore we explore the current role of patient organisations in the process of reimbursement for medicines in Western Europe. We focus in particular on collaboration between patient organisations and the pharmaceutical industry in this respect. Methods Sixty-eight patient organisations representing seven medical conditions, from ten Western European countries, were asked to participate in the study. The participating organisations reported their experiences in a web-based questionnaire. Results Twenty-one patient organisations completed the questionnaire (response rate: 31%), of which ten (47.6%) demanded reimbursement for medicines. Organisations demanding reimbursement were larger than those not demanding reimbursement. The main aim of these organisations was to create better accessibility of medicines for patients. Most organisations limited themselves to single actions. Only two engaged in multiple actions. Almost all organisations had general policies on cooperation with the pharmaceutical industry, with autonomy as the key feature. The patient organisations said they were reasonably successful and almost always satisfied with their own role in the reimbursement process. Conclusion Our study has found that the role of European patient organisations in the reimbursement process still seems limited, especially for small patient organisations. PMID:20170557

  5. Applying the food technology neophobia scale in a developing country context. A case-study on processed matooke (cooking banana) flour in Central Uganda.

    PubMed

    De Steur, Hans; Odongo, Walter; Gellynck, Xavier

    2016-01-01

    The success of new food technologies largely depends on consumers' behavioral responses to the innovation. In Eastern Africa, and Uganda in particular, a technology to process matooke into flour has been introduced with limited success. We measure and apply the Food technology Neophobia Scale (FTNS) to this specific case. This technique has been increasingly used in consumer research to determine consumers' fear for foods produced by novel technologies. Although it has been successful in developed countries, the low number and limited scope of past studies underlines the need for testing its applicability in a developing country context. Data was collected from 209 matooke consumers from Central Uganda. In general, respondents are relatively neophobic towards the new technology, with an average FTNS score of 58.7%, which hampers the success of processed matooke flour. Besides socio-demographic indicators, 'risk perception', 'healthiness' and the 'necessity of technologies' were key factors that influenced consumer's preference of processed matooke flour. Benchmarking the findings against previous FTNS surveys allows to evaluate factor solutions, compare standardized FTNS scores and further lends support for the multidimensionality of the FTNS. Being the first application in a developing country context, this study provides a case for examining food technology neophobia for processed staple crops in various regions and cultures. Nevertheless, research is needed to replicate this method and evaluate the external validity of our findings. PMID:26463016

  6. Child Deaths Due to Injury in the Four UK Countries: A Time Trends Study from 1980 to 2010

    PubMed Central

    Hardelid, Pia; Davey, Jonathan; Dattani, Nirupa; Gilbert, Ruth

    2013-01-01

    Background Injuries are an increasingly important cause of death in children worldwide, yet injury mortality is highly preventable. Determining patterns and trends in child injury mortality can identify groups at particularly high risk. We compare trends in child deaths due to injury in four UK countries, between 1980 and 2010. Methods We obtained information from death certificates on all deaths occurring between 1980 and 2010 in children aged 28 days to 18 years and resident in England, Scotland, Wales or Northern Ireland. Injury deaths were defined by an external cause code recorded as the underlying cause of death. Injury mortality rates were analysed by type of injury, country of residence, age group, sex and time period. Results Child mortality due to injury has declined in all countries of the UK. England consistently experienced the lowest mortality rate throughout the study period. For children aged 10 to 18 years, differences between countries in mortality rates increased during the study period. Inter-country differences were largest for boys aged 10 to 18 years with mortality rate ratios of 1.38 (95% confidence interval 1.16, 1.64) for Wales, 1.68 (1.48, 1.91) for Scotland and 1.81 (1.50, 2.18) for Northern Ireland compared with England (the baseline) in 2006–10. The decline in mortality due to injury was accounted for by a decline in unintentional injuries. For older children, no declines were observed for deaths caused by self-harm, by assault or from undetermined intent in any UK country. Conclusion Whilst child deaths from injury have declined in all four UK countries, substantial differences in mortality rates remain between countries, particularly for older boys. This group stands to gain most from policy interventions to reduce deaths from injury in children. PMID:23874585

  7. Feasibility of a large cohort study in sub-Saharan Africa assessed through a four-country study

    PubMed Central

    Dalal, Shona; Holmes, Michelle D.; Laurence, Carien; Bajunirwe, Francis; Guwatudde, David; Njelekela, Marina; Adebamowo, Clement; Nankya-Mutyoba, Joan; Chiwanga, Faraja S.; Volmink, Jimmy; Ajayi, Ikeoluwapo; Kalyesubula, Robert; Reid, Todd G.; Dockery, Douglas; Hemenway, David; Adami, Hans-Olov

    2015-01-01

    Background Large prospective epidemiologic studies are vital in determining disease etiology and forming national health policy. Yet, such studies do not exist in sub-Saharan Africa (SSA) notwithstanding the growing burden of chronic diseases. Objective We explored the feasibility of establishing a large-scale multicountry prospective study at five sites in four sub-Saharan countries. Design Based on country-specific considerations of feasibility, Nigeria enrolled health care professionals, South Africa and Tanzania enrolled teachers, and Uganda enrolled village residents at one rural and one periurban site each. All sites used a 6-month follow-up period but different approaches for data collection, namely standardized questionnaires filled out by participants or face-to-face interviews. Results We enrolled 1415 participants from five sites (range 200–489) with a median age of 41 years. Approximately half had access to clean-burning cooking fuel and 70% to piped drinking water, yet 92% had access to a mobile phone. The prevalence of chronic diseases was 49% among 45- to 54-year-olds and was dominated by hypertension (21.7% overall) – ranging from 4.5 to 31.2% across sites – and a serious injury in the past 12 months (12.4% overall). About 80% of participants indicated willingness to provide blood samples. At 6-month follow-up, 68% completed a questionnaire (45 to 96% across sites) with evidence that mobile phones were particularly useful. Conclusions Our pilot study indicates that a large-scale prospective study in SSA is feasible, and the burden of chronic disease in SSA may already be substantial necessitating urgent etiologic research and primary prevention. PMID:26015082

  8. Clinical Applications of Evaluation Studies.

    ERIC Educational Resources Information Center

    Brown, Barry S.

    A series of followup investigations exploring the impact of methadone maintenance treatment, methadone detoxification treatment, therapeutic communities, and outpatient drug-free treatment for the drug abuser was conducted. Limitations of these modalities were revealed in the followup studies. Implications for treatment and policy include: (1)…

  9. Contradictions and conflict: A meta-ethnographic study of migrant women’s experiences of breastfeeding in a new country

    PubMed Central

    2012-01-01

    Background Studies report mixed findings about rates of both exclusive and partial breastfeeding amongst women who are migrants or refugees in high income countries. It is important to understand the beliefs and experiences that impact on migrant and refugee women’s infant feeding decisions in order to appropriately support women to breastfeed in a new country. The aim of this paper is to report the findings of a meta-ethnographic study that explored migrant and refugee women’s experiences and practices related to breastfeeding in a new country. Methods CINAHL, MEDLINE, PubMed, SCOPUS and the Cochrane Library with Full Text databases were searched for the period January 2000 to May 2012. Out of 2355 papers retrieved 11 met the inclusion criteria. A meta-ethnographic synthesis was undertaken using the analytic strategies and theme synthesis techniques of reciprocal translation and refutational investigation. Quality appraisal was undertaken using the Critical Appraisal Skills Programme (CASP) tool. Results Eight qualitative studies and three studies reporting both qualitative and quantitative data were included and one overarching theme emerged: ‘Breastfeeding in a new country: facing contradictions and conflict’. This theme comprised four sub-themes ‘Mother’s milk is best’; ‘Contradictions and conflict in breastfeeding practices’; ‘Producing breast milk requires energy and good health’; and ‘The dominant role of female relatives’. Migrant women who valued, but did not have access to, traditional postpartum practices, were more likely to cease breastfeeding. Women reported a clash between their individual beliefs and practices and the dominant practices in the new country, and also a tension with family members either in the country of origin or in the new country. Conclusion Migrant women experience tensions in their breastfeeding experience and require support from professionals who can sensitively address their individual needs. Strategies to engage grandmothers in educational opportunities may offer a novel approach to breastfeeding support. PMID:23270315

  10. Tenements : dwellings for the urban poor. Comparative study illustrating 28 cases in developing countries

    E-print Network

    Aliman, Isam Mohammad

    1981-01-01

    Tenements are significant systems that provide habitation to the poor in most of the urban areas of the developing countries. Yet, tenements are practically ignored if not prohibited by the public sector and consequently ...

  11. Iron-Fortified Drinking Water Studies for the Prevention of Children's Anemia in Developing Countries.

    PubMed

    Dutra-de-Oliveira, Jose E; Marchini, J Sergio; Lamounier, Joel; Almeida, Carlos A N

    2011-01-01

    Anemia and iron deficiency should receive special attention considering their high prevalence and serious consequences. For prevention, globally it is recommended to increase dietary iron intake, iron fortification of industrialized foods, and medical iron supplementation. Food fortification for the prevention of iron deficiency in developing countries should consider carriers locally available and consumed daily, requiring limited infrastructure and technology. Drinking water is the iron carrier we have been working for years for the prevention of iron deficiency and anemia in small children in Brazil. It was shown that studies with iron-fortified drinking water were proved to be effective on children's anemia prevention. Water is found everywhere, consumed daily by everyone may be easily fortified with simple technology, is low priced and was effective on the prevention of children's anemia. Fortification of drinking water with iron was locally implemented with the direct participation of the government and community. Government authorities, health personnel and population were part of the project and responsible for its community implementation. The mayor/municipality permitted and supported the proposal to supply it to children at their day-care centers. To keep the children drinking water iron fortified supply an officially authorized legislation was also approved. PMID:21826263

  12. Cognitive Test Performance in Relation to Health and Function in 12 European Countries: The SHARE Study

    PubMed Central

    Sterniczuk, Roxanne; Theou, Olga; Rusak, Benjamin; Rockwood, Kenneth

    2015-01-01

    Background Even subtle impairments on cognitive test scores can be associated with future cognitive decline and dementia. We assayed the relationships between test score impairment and adverse outcomes. Methods Secondary analyses were performed on data from non-institutionalized participants, 50+ years of age (N = 30,038), from 12 countries taking part in the Survey of Health, Ageing and Retirement in Europe (SHARE) longitudinal study on aging. At baseline, participants’ cognition was tested using verbal fluency, immediate recall, and delayed recall tasks. Results Greater levels of cognitive impairment at baseline were strongly associated with future poor health outcomes and functional impairment. Controlling for age, sex and education, those with 1 (OR = 1.58, 95% CI = 1.34–1.87) or ? 2 (OR = 2.59, 95% CI = 2.17–3.09) impaired tests at baseline were more likely to die after an average of 40 months compared to individuals with no impairments. After selecting for participants who reported the absence of dementia initially, those with ? 2 cognitive impairments at baseline (OR = 3.34, 95% CI = 2.27–4.92) were more likely to report dementia at follow-up compared to those with no impairment. Conclusions People with impaired cognitive test scores at baseline are at greater risk to die or develop dementia within four years than their less impaired or unimpaired counterparts. PMID:26495048

  13. General Practitioners Recognizing Alcohol Dependence: A Large Cross-Sectional Study in 6 European Countries

    PubMed Central

    Rehm, Jürgen; Allamani, Allaman; Vedova, Roberto Della; Elekes, Zsuzsanna; Jakubczyk, Andrzej; Landsmane, Inga; Manthey, Jakob; Moreno-España, José; Pieper, Lars; Probst, Charlotte; Snikere, Sigita; Struzzo, Pierluigi; Voller, Fabio; Wittchen, Hans-Ulrich; Gual, Antoni; Wojnar, Marcin

    2015-01-01

    PURPOSE Although alcohol dependence causes marked mortality and disease burden in Europe, the treatment rate is low. Primary care could play a key role in reducing alcohol-attributable harm by screening, brief interventions, and initiating or referral to treatment. This study investigates identification of alcohol dependence in European primary care settings. METHODS Assessments from 13,003 general practitioners, and 9,098 interviews (8,476 joint number of interviewed patients with a physician’s assessment) were collected in 6 European countries. Alcohol dependence, comorbidities, and health service utilization were assessed by the general practitioner and independently using the Composite International Diagnostic Interview (CIDI) and other structured interviews. Weighted regression analyses were used to compare the impact of influencing variables on both types of diagnoses. RESULTS The rate of patients being identified as alcohol dependent by the CIDI or a general practitioner was about equally high, but there was not a lot of overlap between cases identified. Alcohol-dependent patients identified by a physician were older, had higher rates of physicial comorbidity (liver disease, hypertension), and were socially more marginalized, whereas average consumption of alcohol and mental comorbidity were equally high in both groups. CONCLUSION General practitioners were able to identify alcohol dependence, but the cases they identified differed from cases identified using the CIDI. The role of the CIDI as the reference standard should be reexamined, as older alcohol-dependent patients with severe comorbidities seemed to be missed in this assessment. PMID:25583889

  14. Municipal solid waste management challenges in developing countries - Kenyan case study

    SciTech Connect

    Henry, Rotich K.; Zhao Yongsheng . E-mail: zhaoyongsheng@jlu.edu.cn; Dong Jun

    2006-07-01

    This paper provides an overview of the state of municipal solid waste management (MSWM) by local authorities in Kenya as a case study of a low-income developing country. Approaches of possible solutions that can be undertaken to improve municipal solid waste (MSW) services are discussed. Poor economic growth (1.1% in 1993) has resulted in an increase in the poverty level which presently stands at 56%. Migration from the rural areas to the urban areas has resulted in unplanned settlements in suburban areas accommodating about 60% of the urban population on only 5% urban land area. Political interference also hampers smooth running of local authorities. Vulnerability of pollution of surface and groundwater is high because local authorities rarely considered environmental impact in siting MSW disposal sites. Illegal dumping of MSW on the river banks or on the roadside poses environmental and economic threats on nearby properties. Poor servicing of MSW collection vehicles, poor state of infrastructure and the lack of adequate funding militate against optimization of MSW disposal service. The rural economy needs to be improved if rural-urban migration is to be managed. Involvement of stakeholders is important to achieve any meaningful and sustainable MSWM. The role of the informal sector through community-based organizations (CBOs), Non-Governmental Organizations (NGOs) and the private sector in offering solutions towards improvement of MSWM also is explored.

  15. Enacted Sexual Stigma, Stigma Consciousness, and Subjective Happiness Scale Adaptation: A Two-Country Study.

    PubMed

    Strizzi, Jenna; Fernández-Agis, Inmaculada; Parrón-Carreño, Tesifon; Alarcón-Rodríguez, Raquel

    2016-01-01

    Violence against people due to their sexual orientation is a phenomenon that exists within a framework of sexual stigma and sexual prejudice that can result in enacted stigma. The present study primarily aimed to validate the Stigma Consciousness Questionnaire (SCQ) and the Subjective Happiness Scale (SHS; for lesbian, gay, and bisexual [LGB] populations) in the Spanish context by using samples from two countries (Spain [N = 157] and the United States [N = 83]). Also, to examine how the construct of stigma consciousness correlates with anti-LGBQ (anti-lesbian, gay, bisexual, and queer) hate crime victimization and violent incidents, as well as examine whether the former influences subjective happiness. The population from the United States reported higher stigma consciousness and received more anti-LGBQ threats and insults. Hate crime victimization was the same across the two samples and positively correlated with violent incidents in both samples. Subjective happiness was negatively correlated with SCQ, although its subscales it did not correlate with enacted stigma measures. PMID:25381273

  16. Iron-Fortified Drinking Water Studies for the Prevention of Children's Anemia in Developing Countries

    PubMed Central

    Dutra-de-Oliveira, Jose E.; Marchini, J. Sergio; Lamounier, Joel; Almeida, Carlos A. N.

    2011-01-01

    Anemia and iron deficiency should receive special attention considering their high prevalence and serious consequences. For prevention, globally it is recommended to increase dietary iron intake, iron fortification of industrialized foods, and medical iron supplementation. Food fortification for the prevention of iron deficiency in developing countries should consider carriers locally available and consumed daily, requiring limited infrastructure and technology. Drinking water is the iron carrier we have been working for years for the prevention of iron deficiency and anemia in small children in Brazil. It was shown that studies with iron-fortified drinking water were proved to be effective on children's anemia prevention. Water is found everywhere, consumed daily by everyone may be easily fortified with simple technology, is low priced and was effective on the prevention of children's anemia. Fortification of drinking water with iron was locally implemented with the direct participation of the government and community. Government authorities, health personnel and population were part of the project and responsible for its community implementation. The mayor/municipality permitted and supported the proposal to supply it to children at their day-care centers. To keep the children drinking water iron fortified supply an officially authorized legislation was also approved. PMID:21826263

  17. Frequency of infectious diseases in immigrants in a Western European country: a population-based study.

    PubMed

    Limina, Rosa Maria; Baitelli, Guglielmino; Marcantoni, Claudio; Covolo, Loredana; Festa, Andrea; Speziani, Fabrizio; Vassallo, Francesco; Scarcella, Carmelo; Donato, Francesco

    2015-02-01

    The aim of this population-based study was to assess the incidence rates of infectious diseases in native- (Italian) and foreign-born (immigrants) populations in a North Italy area, in 2006-2010. Crude, age-specific incidence rates (IRs) and age-standardised rate ratios (SRRs) between foreign- and native-born subjects and their 95% confidence intervals (95% CI) were estimated. A total of 32,554 cases of infectious diseases were found (9.9% in foreign-born subjects). The highest SRRs between foreign- and nativeborn subjects were found for tuberculosis (SRR = 27.1; 95% CI 21.3-34.3), malaria (SRR = 21.1; 14.6-30.4), scabies (SRR = 8.5; 7.6-9.4), AIDS (SRR = 2.5; 1.8-3.4) and viral hepatitis B (SRR = 3.3; 2.1-5.2). The highest IR was found for AIDS in people from the Americas (IR = 4.57; 95% CI 2.2-8.4), for malaria and tuberculosis in people from Africa (IR = 13.89; 11.6-16.5 and IR = 11.87; 9.8-14.3 respectively). Therefore immigrants are at a higher risk of acquiring some common infectious diseases compared to the native population in Western European countries. PMID:23979713

  18. Understanding the Relationships among PISA Scores, Economic Growth and Employment in Different Sectors: A Cross-Country Study

    ERIC Educational Resources Information Center

    Cheung, Hoi Yan; Chan, Alex W. H.

    2008-01-01

    This study investigates the relationship between Program for International Student Assessment (PISA) scores in mathematics, science and reading and the employment rates in the following four economic activities: research and development, agriculture, industry, and service industries. Thirty-three countries were included in the study, and most…

  19. Arterial stiffness and influences of the metabolic syndrome: a cross-countries study.

    PubMed

    Scuteri, Angelo; Cunha, Pedro G; Rosei, E Agabiti; Badariere, Jolita; Bekaert, Sofie; Cockcroft, John R; Cotter, Jorge; Cucca, Francesco; De Buyzere, Marc L; De Meyer, Tim; Ferrucci, Luigi; Franco, Osca; Gale, Nichols; Gillebert, Thierry C; Hofman, A; Langlois, Michel; Laucevicius, Aleksandras; Laurent, Stephane; Mattace Raso, Francesco U S; Morrell, Cristopher H; Muiesan, Maria Lorenza; Munnery, Margaret M; Navickas, Rokas; Oliveira, Pedro; Orru', Marco; Pilia, Maria Grazia; Rietzschel, Ernst R; Ryliskyte, Ligita; Salvetti, Massimo; Schlessinger, David; Sousa, Nuno; Stefanadis, Christodoulos; Strait, James; Van daele, Caroline; Villa, Isabel; Vlachopoulos, Charalambos; Witteman, Jacqueline; Xaplanteris, Panagiotis; Nilsson, Peter; Lakatta, Edward G

    2014-04-01

    Specific clusters of metabolic syndrome (MetS) components impact differentially on arterial stiffness, indexed as pulse wave velocity (PWV). Of note, in several population-based studies participating in the MARE (Metabolic syndrome and Arteries REsearch) Consortium the occurrence of specific clusters of MetS differed markedly across Europe and the US. The aim of the present study was to investigate whether specific clusters of MetS are consistently associated with stiffer arteries in different populations. We studied 20,570 subjects from 9 cohorts representing 8 different European countries and the US participating in the MARE Consortium. MetS was defined in accordance with NCEP ATPIII criteria as the simultaneous alteration in ?3 of the 5 components: abdominal obesity (W), high triglycerides (T), low HDL cholesterol (H), elevated blood pressure (B), and elevated fasting glucose (G). PWV measured in each cohort was "normalized" to account for different acquisition methods. MetS had an overall prevalence of 24.2% (4985 subjects). MetS accelerated the age-associated increase in PWV levels at any age, and similarly in men and women. MetS clusters TBW, GBW, and GTBW are consistently associated with significantly stiffer arteries to an extent similar or greater than observed in subjects with alteration in all the five MetS components--even after controlling for age, sex, smoking, cholesterol levels, and diabetes mellitus--in all the MARE cohorts. In conclusion, different component clusters of MetS showed varying associations with arterial stiffness (PWV). PMID:24561493

  20. Matching Up to the Information Society: An Evaluation of the EU, the EU Accession Countries, Switzerland and the United States

    ERIC Educational Resources Information Center

    Graafland-Essers, Irma; Cremonini, Leon; Ettedgui, Emile; Botterman, Maarten

    2003-01-01

    This report presents the current understanding of the advancement of the Information Society within the European Union and countries that are up for accession in 2004, and is based on the SIBIS (Statistical Indicators Benchmarking the Information Society) surveys and analyses per SIBIS theme and country. The report is unique in its coherent and…

  1. Towards Effective International Work-Integrated Learning Practica in Development Studies: Reflections on the Australian Consortium for "In-Country" Indonesian Studies' Development Studies Professional Practicum

    ERIC Educational Resources Information Center

    Rosser, Andrew

    2012-01-01

    In recent years, overseas work-integrated learning practica have become an increasingly important part of development studies curricula in "Northern" universities. This paper examines the factors that shape pedagogical effectiveness in the provision of such programmes, focusing on the case of the Australian Consortium for "In-Country" Indonesian…

  2. Climate variability as a threat for countries progressing towards malaria elimination: The case study of Peru

    NASA Astrophysics Data System (ADS)

    Mousam, Aneela; Maggioni, Viviana; Quispe, Antonio; Aquila, Valentina

    2015-04-01

    Malaria cases reported by the Peruvian Ministry of Health demonstrate a 61% reduction of malaria in the last decade (2001- 2010). However, during the years 2011-14 malaria increased by ~2.7 folds in Peru and ~5 folds in Loreto, an Amazonian department that continues contributing over 90% of the malaria cases in Peru. Past studies have indicated that there is a strong association between climate variability and malaria rates. The purpose of this study is to test the hypothesis that climate variables have played a key role in the recent increase of malaria cases in Peru. Climate data, such as precipitation, temperature, humidity and surface pressure simulated by the NASA MERRA model during a 10-year ling time series (2004-2013) are used to verify this hypothesis. Preliminary data analyses show large deviations from the 10-year mean (i.e., climatological anomalies) in humidity, surface pressure, and temperature during 2010 up to four times larger than previous and subsequent years. An increase of 8% in precipitation yearly averages is observed in 2010, which also corresponds with the following reverse of the downward trend of malaria incidence, particularly in Loreto. The sudden amplification of climatological anomalies in 2010 could have set the environmental conditions that caused the re-emergence of malaria in 2011. Investigation is underway to link weekly malaria data from different districts in Peru to the climate conditions at those locations during the past ten years. This will be crucial in understanding why some countries, despite all necessary efforts, are unable to completely eliminate malaria.

  3. Long-Term Impact of War on Healthcare Costs: An Eight-Country Study

    PubMed Central

    Sabes-Figuera, Ramon; McCrone, Paul; Bogic, Marija; Ajdukovic, Dean; Franciskovic, Tanja; Colombini, Niccolò; Kucukalic, Abdulah; Lecic-Tosevski, Dusica; Morina, Nexhmedin; Popovski, Mihajlo; Schützwohl, Matthias; Priebe, Stefan

    2012-01-01

    Objective Exposure to war can negatively affect health and may impact on healthcare costs. Estimating these costs and identifying their predictors is important for appropriate service planning. We aimed to measure use of health services in an adult population who had experienced war in the former-Yugoslavia on average 8 years previously, and to identify characteristics associated with the use and costs of healthcare. Method War-affected community samples in Bosnia-Herzegovina, Croatia, Kosovo, FYR Macedonia, and Serbia were recruited through a random walk technique. Refugees in Germany, Italy and the UK were contacted through registers, organisations and networking. Current service use was measured for the previous three months and combined with unit costs for each country for the year 2006/7. A two-part approach was used, to identify predictors of service use with a multiple logistic regression model and predictors of cost with a generalised linear regression model. Results 3,313 participants were interviewed in Balkan countries and 854 refugees in Western European countries. In the Balkan countries, traumatic events and mental health status were related to greater service use while in Western countries these associations were not found. Participants in Balkan countries with post traumatic stress disorder (PTSD) had costs that were 63% higher (p?=?0.005) than those without PTSD. Distress experienced during the most traumatic war event was associated with higher costs (p?=?0.013). In Western European countries costs were 76% higher if non-PTSD anxiety disorders were present (0.027) and 63% higher for mood disorders (p?=?0.006). Conclusions War experiences and their effects on mental health are associated with increased health care costs even many years later, especially for those who stayed in the area of conflict. Focussing on the mental health impact of war is important for many reasons including those of an economic nature. PMID:22238627

  4. Directory of country environmental studies, 1993. An annotated bibliography of environmental and natural resource profiles and assessments

    SciTech Connect

    Tunstall, D.B.; van der Wansem, M.

    1992-11-01

    The 1993 edition of the Directory provides detailed citations and abstracts for 357 major natural resource and environmental studies (257 of which were added since the 1990 edition) covering 129 developing countries and 12 regional groupings. Most of the studies (93%) were prepared between 1987 and 1992. Included are 66 national reports prepared for the U.N. Conference on Environment and Development, held in Rio de Janeiro in June 1992. Thirty-three countries, including Algeria, Bhutan, Cuba, Republic of Korea, Laos, Namibia, South Africa, Suriname, Taiwan, and Venezuela, are new to this edition of the directory, which focuses on reports that link quantitative assessment of a country's natural resources to economic development and the maintenance of ecosystems, with particular emphasis on natural resource management strategies and action plans.

  5. Excess mortality in women of reproductive age from low-income countries: a Swedish national register study

    PubMed Central

    Haglund, Bengt; Högberg, Ulf; Essén, Birgitta

    2013-01-01

    Background: Cause-of-death statistics is widely used to monitor the health of a population. African immigrants have, in several European studies, shown to be at an increased risk of maternal death, but few studies have investigated cause-specific mortality rates in female immigrants. Methods: In this national study, based on the Swedish Cause of Death Register, we studied 27?957 women of reproductive age (aged 15–49 years) who died between 1988 and 2007. Age-standardized mortality rates per 100?000 person years and relative risks for death and underlying causes of death, grouped according to the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, were calculated and compared between women born in Sweden and in low-, middle- and high-income countries. Results: The total age-standardized mortality rate per 100?000 person years was significantly higher for women born in low-income (84.4) and high-income countries (83.7), but lower for women born in middle-income countries (57.5), as compared with Swedish-born women (68.1). The relative risk of dying from infectious disease was 15.0 (95% confidence interval 10.8–20.7) and diseases related to pregnancy was 6.6 (95% confidence interval 2.6–16.5) for women born in low-income countries, as compared to Swedish-born women. Conclusions: Women born in low-income countries are at the highest risk of dying during reproductive age in Sweden, with the largest discrepancy in mortality rates seen for infectious diseases and diseases related to pregnancy, a cause of death pattern similar to the one in their countries of birth. The World Bank classification of economies may be a useful tool in migration research. PMID:22850186

  6. Feasibility studies of a power interconnection system for Central American countries: SIEPAC project

    SciTech Connect

    Gomez, T.; Enamorado, J.C. . Inst. de Investigacion Tecnologica); Vela, A. )

    1994-06-01

    The electrical systems of the Central American countries are linked by 230 kV ac weak border interconnections forming two separated subsystems. The first one includes Guatemala and El Salvador, and the other one comprises the systems of Honduras, Nicaragua, Costa Rica, and Panama. As a consequence, unrestricted energy exchanges among all countries are not possible. This article describes the SIEPAC project which consists of a 1,678 km long 500 kV ac power transmission line that would link the six electrical systems of the region through seven power substations (one for each country and two in Panama), installed close to the highest demand national centers and six control centers of energy (one for each country) to allow coordinated operation of the interconnection.This project also considers a set of complementary assets (230 ac power transmission lines into some countries and the border transmission line between El Salvador and Honduras, and various other equipment). The power transmission line will greatly reinforce the actual border interconnections, which have a reduced capacity of exchange and technical problems associated with the stability of a weak longitudinal system. On the other hand, economic savings for the region would be achieved, coming from a higher coordination level in the operation and planning of their systems.

  7. Knowledge translation: a case study on pneumonia research and clinical guidelines in a low- income country

    PubMed Central

    2014-01-01

    Background The process and effectiveness of knowledge translation (KT) interventions targeting policymakers are rarely reported. In Cambodia, a low-income country (LIC), an intervention aiming to provide evidence-based knowledge on pneumonia to health authorities was developed to help update pediatric and adult national clinical guidelines. Through a case study, we assessed the effectiveness of this KT intervention, with the goal of identifying the barriers to KT and suggest strategies to facilitate KT in similar settings. Methods An extensive search for all relevant sources of data documenting the processes of updating adult and pediatric pneumonia guidelines was done. Documents included among others, reports, meeting minutes, and email correspondences. The study was conducted in successive phases: an appraisal of the content of both adult and pediatric pneumonia guidelines; an appraisal of the quality of guidelines by independent experts, using the AGREE-II instrument; a description and modeling of the KT process within the guidelines updating system, using the Unified Modeling Language (UML) tools 2.2; and the listing of the barriers and facilitators to KT we identified during the study. Results The first appraisal showed that the integration of the KT key messages in pediatric and adult guidelines varied with a better efficiency in the pediatric guidelines. The overall AGREE-II quality assessments scored 37% and 44% for adult and pediatric guidelines, respectively. Scores were lowest for the domains of ‘rigor of development’ and ‘editorial independence.’ The UML analysis highlighted that time frames and constraints of the involved stakeholders greatly differed and that there were several missed opportunities to translate on evidence into the adult pneumonia guideline. Seventeen facilitating factors and 18 potential barriers to KT were identified. Main barriers were related to the absence of a clear mandate from the Ministry of Health for the researchers and to a lack of synchronization between knowledge production and policy-making. Conclusions Study findings suggest that stakeholders, both researchers and policy makers planning to update clinical guidelines in LIC may need methodological support to overcome the expected barriers. PMID:24969242

  8. Evaluating the Evaluator: A Case Study Illustrating Three Critical Mistakes No Evaluator Should Make

    ERIC Educational Resources Information Center

    Lanigan, Mary L.

    2010-01-01

    Most employees do not like to be evaluated because they fear the process and people involved. Although optimal performance evaluators can minimize people's anxieties about being assessed, actual performance evaluators can perpetuate employees' fears and, worse, lower their job performances and morale. A case study illustrates the actions of an…

  9. Income inequality, life expectancy and cause-specific mortality in 43 European countries, 1987-2008: a fixed effects study.

    PubMed

    Hu, Yannan; van Lenthe, Frank J; Mackenbach, Johan P

    2015-08-01

    Whether income inequality is related to population health is still open to debate. We aimed to critically assess the relationship between income inequality and mortality in 43 European countries using comparable data between 1987 and 2008, controlling for time-invariant and time-variant country-level confounding factors. Annual data on income inequality, expressed as Gini index based on net household income, were extracted from the Standardizing the World Income Inequality Database. Data on life expectancy at birth and age-standardized mortality by cause of death were obtained from the Human Lifetable Database and the World Health Organization European Health for All Database. Data on infant mortality were obtained from the United Nations World Population Prospects Database. The relationships between income inequality and mortality indicators were studied using country fixed effects models, adjusted for time trends and country characteristics. Significant associations between income inequality and many mortality indicators were found in pooled cross-sectional regressions, indicating higher mortality in countries with larger income inequalities. Once the country fixed effects were added, all associations between income inequality and mortality indicators became insignificant, except for mortality from external causes and homicide among men, and cancers among women. The significant results for homicide and cancers disappeared after further adjustment for indicators of democracy, education, transition to national independence, armed conflicts, and economic freedom. Cross-sectional associations between income inequality and mortality seem to reflect the confounding effects of other country characteristics. In a European context, national levels of income inequality do not have an independent effect on mortality. PMID:26177800

  10. Socioeconomic determinants of HIV testing and counselling: A comparative study in four African countries

    PubMed Central

    Obermeyer, Carla Makhlouf; Neuman, Melissa; Hardon, Anita; Desclaux, Alice; Wanyenze, Rhoda; Kyzerbo, Odette; Cherutich, Peter; Namakhoma, Ireen

    2013-01-01

    Objectives Research indicates that individuals tested for HIV have higher socioeconomic status than those not tested, but less is known about how socioeconomic status is associated with modes of testing. We compared individuals tested through provider-initiated testing and counselling (PITC), those tested through voluntary counselling and testing (VCT), and those never tested. Methods Cross-sectional surveys were conducted at health facilities in Burkina Faso, Kenya, Malawi, and Uganda, as part of the MATCH (Multi-country African Testing and Counselling for HIV) study. 3,659 clients were asked about testing status, type of facility of most recent test, and socioeconomic status. Two outcome measures were analyzed: ever tested for HIV, and mode of testing. We compared VCT at standalone facilities and PITC, which includes Integrated facilities where testing is provided with medical care, and PMTCT (prevention of mother-to-child transmission) facilities. The determinants of ever testing and of using a particular mode of testing were analysed using modified Poisson regression and multinomial logistic analyses. Results Higher socioeconomic status was associated with the likelihood of testing at VCT rather than other facilities or not testing. There were no significant differences in socioeconomic characteristics between those tested through PITC (integrated and PMTCT facilities) and those not tested. Conclusions Provider-initiated modes of testing make testing accessible to individuals from lower socioeconomic groups to a greater extent than traditional VCT. Expanding testing through PMTCT reduces socioeconomic obstacles, especially for women. Continued efforts are needed to encourage testing and counselling among men and the less affluent. PMID:23937702

  11. Increasing the Number of Women Teachers in Rural Schools: A Synthesis of Country Case Studies, South Asia.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    This report synthesizes case studies of women teachers in rural areas of Bangladesh, India, Nepal, and Pakistan. In each country, interviews and focus groups were conducted in selected states and districts with administrators and women teachers in rural elementary schools, as well as policymakers and community members. Following an introduction to…

  12. Public and Private Secondary Education in Developing Countries: A Comparative Study. World Bank Discussion Papers No. 309.

    ERIC Educational Resources Information Center

    Jimenez, Emmanuel; Lockheed, Marlaine E.

    This monograph summarizes the results of a World Bank research project that compared private and public secondary school costs and achievement in five developing countries--Columbia, the Dominican Republic, the Philippines, Tanzania, and Thailand. All the case studies address the question: Would a high school student, selected at random from the…

  13. The Influence of Classroom Disciplinary Climate of Schools on Reading Achievement: A Cross-Country Comparative Study

    ERIC Educational Resources Information Center

    Ning, Bo; Van Damme, Jan; Van Den Noortgate, Wim; Yang, Xiangdong; Gielen, Sarah

    2015-01-01

    Despite considerable interest in research and practice in the effect of classroom disciplinary climate of schools on academic achievement, little is known about the generalizability of this effect over countries. Using hierarchical linear analyses, the present study reveals that a better classroom disciplinary climate in a school is significantly…

  14. Internationalisation in Online Distance Learning Postgraduate Education: A Case Study on Student Views on Learning Alongside Students from Other Countries

    ERIC Educational Resources Information Center

    Gemmell, Isla; Harrison, Roger; Clegg, Judith; Reed, Katie

    2015-01-01

    Internationalisation in higher education has been shown to provide both intellectual and cultural benefits to students which can help in their future employment. This case study describes student views on learning alongside students from different countries in an online distance learning environment. Seventy-three students undertaking the online…

  15. Concepts of functioning and health important to people with systemic sclerosis: a qualitative study in four European countries

    PubMed Central

    Stamm, Tanja A; Mattsson, Malin; Mihai, Carina; Stöcker, Juliane; Binder, Alexa; Bauernfeind, Bettina; Stummvoll, Georg; Gard, Gunvor; Hesselstrand, Roger; Sandqvist, Gunnel; Draghicescu, Oana; Gherghe, Ana Maria; Voicu, Malina; Machold, Klaus P; Distler, Oliver; Smolen, Josef S; Boström, Carina

    2011-01-01

    Objective To describe the experiences of people with systemic sclerosis (SSc) in different European countries of functioning and health and to link these experiences to the WHO International Classification of Functioning, Disability and Health (ICF) to develop a common understanding from a bio-psycho-social perspective. Method A qualitative multicentre study with focus-group interviews was performed in four European countries: Austria, Romania, Sweden and Switzerland. The qualitative data analysis followed a modified form of ‘meaning condensation’ and the concepts that emerged in the analysis were linked to the ICF. Results 63 people with SSc participated in 13 focus groups. In total, 86 concepts were identified. 32 (37%) of these were linked to the ICF component body functions and structures, 21 (24%) to activities and participation, 26 (30%) to environmental factors, 6 (7%) to personal factors and 1 (1%) to the health condition itself. 19 concepts (22%) were identified in all four countries and included impaired hand function, household activities, paid work, drugs, climate and coldness, support from others and experiences with healthcare institutions, non-pharmacological treatment, social security and benefits. Conclusion Concepts identified in all four countries could be used for guiding clinical assessment, as well as interdisciplinary team care and rheumatological rehabilitation for patients with SSc. For a full understanding of the aspects of the disease that were most relevant to people with SSc, people with SSc from multiple countries needed to be involved. PMID:21540204

  16. Improving antimicrobial use among health workers in first-level facilities: results from the multi-country evaluation of the Integrated Management of Childhood Illness strategy.

    PubMed Central

    Gouws, Eleanor; Bryce, Jennifer; Habicht, Jean-Pierre; Amaral, João; Pariyo, George; Schellenberg, Joanna Armstrong; Fontaine, Olivier

    2004-01-01

    OBJECTIVE: The objective of this study was to assess the effect of Integrated Management of Childhood Illness (IMCI) case management training on the use of antimicrobial drugs among health-care workers treating young children at first-level facilities. Antimicrobial drugs are an essential child-survival intervention. Ensuring that children younger than five who need these drugs receive them promptly and correctly can save their lives. Prescribing these drugs only when necessary and ensuring that those who receive them complete the full course can slow the development of antimicrobial resistance. METHODS: Data collected through observation-based surveys in randomly selected first-level health facilities in Brazil, Uganda and the United Republic of Tanzania were statistically analysed. The surveys were carried out as part of the multi-country evaluation of IMCI effectiveness, cost and impact (MCE). FINDINGS: Results from three MCE sites show that children receiving care from health workers trained in IMCI are significantly more likely to receive correct prescriptions for antimicrobial drugs than those receiving care from workers not trained in IMCI.They are also more likely to receive the first dose of the drug before leaving the health facility, to have their caregiver advised how to administer the drug, and to have caregivers who are able to describe correctly how to give the drug at home as they leave the health facility. CONCLUSIONS: IMCI case management training is an effective intervention to improve the rational use of antimicrobial drugs for sick children visiting first-level health facilities in low-income and middle-income countries. PMID:15508195

  17. A preliminary study of a cloud-computing model for chronic illness self-care support in an underdeveloped country

    PubMed Central

    Piette, John D.; Mendoza-Avelares, Milton O.; Ganser, Martha; Mohamed, Muhima; Marinec, Nicolle; Krishnan, Sheila

    2013-01-01

    Background Although interactive voice response (IVR) calls can be an effective tool for chronic disease management, many regions of the world lack the infrastructure to provide these services. Objective This study evaluated the feasibility and potential impact of an IVR program using a cloud-computing model to improve diabetes management in Honduras. Methods A single group, pre-post study was conducted between June and August 2010. The telecommunications infrastructure was maintained on a U.S. server, and calls were directed to patients’ cell phones using VoIP. Eighty-five diabetes patients in Honduras received weekly IVR disease management calls for six weeks, with automated follow-up emails to clinicians, and voicemail reports to family caregivers. Patients completed interviews at enrollment and a six week follow-up. Other measures included patients’ glycemic control (A1c) and data from the IVR calling system. Results 55% of participants completed the majority of their IVR calls and 33% completed 80% or more. Higher baseline blood pressures, greater diabetes burden, greater distance from the clinic, and better adherence were related to higher call completion rates. Nearly all participants (98%) reported that because of the program, they improved in aspects of diabetes management such as glycemic control (56%) or foot care (89%). Mean A1c’s decreased from 10.0% at baseline to 8.9% at follow-up (p<.01). Most participants (92%) said that if the service were available in their clinic they would use it again. Conclusions Cloud computing is a feasible strategy for providing IVR services globally. IVR self-care support may improve self-care and glycemic control for patients in under-developed countries. PMID:21565655

  18. Uganda: The Challenge of Growth and Poverty Reduction. A World Bank Country Study.

    ERIC Educational Resources Information Center

    World Bank, Washington, DC.

    This report examines the outcomes of economic reform in Uganda and defines issues that Uganda must address in medium- and long-term strategies for poverty reduction. With a per capita income of approximately $220, Uganda is one of the poorest countries in the world. Its economy and social indicators bear the marks of nearly 15 years of political…

  19. The Digital Balance between Industrialised and Developing Countries: Futures Studies for Development

    ERIC Educational Resources Information Center

    Hietanen, Olli

    2006-01-01

    The purpose of researching the digital balance between industrialised and developing countries was to discover how information and communication technology (ICT), content and e-services developed in Finland will work on the African continent, and vice versa. Globalisation and the associated new international division of labour and well-being…

  20. The Role of Individualism/Collectivism in Critical Classroom Encounters: A Four Country Study

    ERIC Educational Resources Information Center

    Frankel, Robert; Swanson, Scott R.; Sagan, Mariusz

    2005-01-01

    Internationalization raises the issue of whether, and to what extent, the inherent culture of a country may have particular influence on the nature of service interactions, and on education (i.e., student-professor interactions) specifically. Thus the service encounter in the classroom becomes a subject of increasing importance and interest with…

  1. Teaching Recent History in Countries that Have Experienced Human Rights Violations: Case Studies from Chile

    ERIC Educational Resources Information Center

    Toledo, Maria Isabel; Magendzo, Abraham; Gazmuri, Renato

    2011-01-01

    Incorporating recent history into the educational curricula of countries that have experienced human rights violations combines the complexities of teaching history, teaching recent history, and human rights education. Recent history makes a historical analysis of social reality and a historiographical analysis of the immediate. It is located…

  2. Planning Education Reforms in Developing Countries: The Contingency Approach. Duke Press Policy Studies Series.

    ERIC Educational Resources Information Center

    Rondinelli, Dennis A.; And Others

    Focusing on education improvement programs in developing countries, this book offers a set of guidelines for applying contingency theory in planning such projects and for selecting appropriate management strategies to implement them. The success of people-centered development programs depends on planners' ability to tailor services to different…

  3. Exploring evidence-policy linkages in health research plans: A case study from six countries

    PubMed Central

    Syed, Shamsuzzoha B; Hyder, Adnan A; Bloom, Gerald; Sundaram, Sandhya; Bhuiya, Abbas; Zhenzhong, Zhang; Kanjilal, Barun; Oladepo, Oladimeji; Pariyo, George; Peters, David H

    2008-01-01

    The complex evidence-policy interface in low and middle income country settings is receiving increasing attention. Future Health Systems (FHS): Innovations for Equity, is a research consortium conducting health systems explorations in six Asian and African countries: Bangladesh, India, China, Afghanistan, Uganda, and Nigeria. The cross-country research consortium provides a unique opportunity to explore the research-policy interface. Three key activities were undertaken during the initial phase of this five-year project. First, key considerations in strengthening evidence-policy linkages in health system research were developed by FHS researchers through workshops and electronic communications. Four key considerations in strengthening evidence-policy linkages are postulated: development context; research characteristics; decision-making processes; and stakeholder engagement. Second, these four considerations were applied to research proposals in each of the six countries to highlight features in the research plans that potentially strengthen the research-policy interface and opportunities for improvement. Finally, the utility of the approach for setting research priorities in health policy and systems research was reflected upon. These three activities yielded interesting findings. First, developmental consideration with four dimensions – poverty, vulnerabilities, capabilities, and health shocks – provides an entry point in examining research-policy interfaces in the six settings. Second, research plans focused upon on the ground realities in specific countries strengthens the interface. Third, focusing on research prioritized by decision-makers, within a politicized health arena, enhances chances of research influencing action. Lastly, early and continued engagement of multiple stakeholders, from local to national levels, is conducive to enhanced communication at the interface. The approach described has four main utilities: first, systematic analyses of research proposals using key considerations ensure such issues are incorporated into research proposals; second, the exact meaning, significance, and inter-relatedness of these considerations can be explored within the research itself; third, cross-country learning can be enhanced; and finally, translation of evidence into action may be facilitated. Health systems research proposals in low and middle income countries should include reflection on transferring research findings into policy. Such deliberations may be informed by employing the four key considerations suggested in this paper in analyzing research proposals. PMID:18331651

  4. Oasis Connections: Results from an Evaluation Study

    ERIC Educational Resources Information Center

    Czaja, Sara J.; Lee, Chin Chin; Branham, Janice; Remis, Peggy

    2012-01-01

    Purpose of the Study: The objectives of this study were to evaluate a community-based basic computer and Internet training program designed for older adults, provide recommendations for program refinement, and gather preliminary information on program sustainability. Design and Methods: The program was developed by the OASIS Institute, a nonprofit…

  5. Cannabis Liberalization and Adolescent Cannabis Use: A Cross-National Study in 38 Countries

    PubMed Central

    Shi, Yuyan; Lenzi, Michela; An, Ruopeng

    2015-01-01

    Aims To assess the associations between types of cannabis control policies at country level and prevalence of adolescent cannabis use. Setting, Participants and Design Multilevel logistic regressions were performed on 172,894 adolescents 15 year of age who participated in the 2001/2002, 2005/2006, or 2009/2010 cross-sectional Health Behaviour in School-Aged Children (HBSC) survey in 38 European and North American countries. Measures Self-reported cannabis use status was classified into ever use in life time, use in past year, and regular use. Country-level cannabis control policies were categorized into a dichotomous measure (whether or not liberalized) as well as 4 detailed types (full prohibition, depenalization, decriminalization, and partial prohibition). Control variables included individual-level sociodemographic characteristics and country-level economic characteristics. Findings Considerable intra-class correlations (.15-.19) were found at country level. With respect to the dichotomized cannabis control policy, adolescents were more likely to ever use cannabis (odds ratio (OR) = 1.10, p = .001), use in past year (OR = 1.09, p = .007), and use regularly (OR = 1.26, p = .004). Although boys were substantially more likely to use cannabis, the correlation between cannabis liberalization and cannabis use was smaller in boys than in girls. With respect to detailed types of policies, depenalization was associated with higher odds of past-year use (OR = 1.14, p = .013) and regular use (OR = 1.23, p = .038), and partial prohibition was associated with higher odds of regular use (OR = 2.39, p = .016). The correlation between cannabis liberalization and regular use was only significant after the policy had been introduced for more than 5 years. Conclusions Cannabis liberalization with depenalization and partial prohibition policies was associated with higher levels of regular cannabis use among adolescents. The correlations were heterogeneous between genders and between short- and long-terms. PMID:26605550

  6. Human health risk assessment due to global warming--a case study of the Gulf countries.

    PubMed

    Husain, Tahir; Chaudhary, Junaid Rafi

    2008-12-01

    Accelerated global warming is predicted by the Intergovernmental Panel on Climatic Change (IPCC) due to increasing anthropogenic greenhouse gas emissions. The climate changes are anticipated to have a long-term impact on human health, marine and terrestrial ecosystems, water resources and vegetation. Due to rising sea levels, low lying coastal regions will be flooded, farmlands will be threatened and scarcity of fresh water resources will be aggravated. This will in turn cause increased human suffering in different parts of the world. Spread of disease vectors will contribute towards high mortality, along with the heat related deaths. Arid and hot climatic regions will face devastating effects risking survival of the fragile plant species, wild animals, and other desert ecosystems. The paper presents future changes in temperature, precipitation and humidity and their direct and indirect potential impacts on human health in the coastal regions of the Gulf countries including Yemen, Oman, United Arab Emirates, Qatar, and Bahrain. The analysis is based on the long-term changes in the values of temperature, precipitation and humidity as predicted by the global climatic simulation models under different scenarios of GHG emission levels. Monthly data on temperature, precipitation, and humidity were retrieved from IPCC databases for longitude 41.25 degrees E to 61.875 degrees E and latitude 9.278 degrees N to 27.833 degrees N. Using an average of 1970 to 2000 values as baseline, the changes in the humidity, temperature and precipitation were predicted for the period 2020 to 2050 and 2070 to 2099. Based on epidemiological studies on various diseases associated with the change in temperature, humidity and precipitation in arid and hot regions, empirical models were developed to assess human health risk in the Gulf region to predict elevated levels of diseases and mortality rates under different emission scenarios as developed by the IPCC.The preliminary assessment indicates increased mortality rates due to cardiovascular and respiratory illnesses, thermal stress, and increased frequency of infectious vector borne diseases in the region between 2070 and 2099. PMID:19190352

  7. The "Performance of Rotavirus and Oral Polio Vaccines in Developing Countries" (PROVIDE) study: description of methods of an interventional study designed to explore complex biologic problems.

    PubMed

    Kirkpatrick, Beth D; Colgate, E Ross; Mychaleckyj, Josyf C; Haque, Rashidul; Dickson, Dorothy M; Carmolli, Marya P; Nayak, Uma; Taniuchi, Mami; Naylor, Caitlin; Qadri, Firdausi; Ma, Jennie Z; Alam, Masud; Walsh, Mary Claire; Diehl, Sean A; Petri, William A

    2015-04-01

    Oral vaccines appear less effective in children in the developing world. Proposed biologic reasons include concurrent enteric infections, malnutrition, breast milk interference, and environmental enteropathy (EE). Rigorous study design and careful data management are essential to begin to understand this complex problem while assuring research subject safety. Herein, we describe the methodology and lessons learned in the PROVIDE study (Dhaka, Bangladesh). A randomized clinical trial platform evaluated the efficacy of delayed-dose oral rotavirus vaccine as well as the benefit of an injectable polio vaccine replacing one dose of oral polio vaccine. This rigorous infrastructure supported the additional examination of hypotheses of vaccine underperformance. Primary and secondary efficacy and immunogenicity measures for rotavirus and polio vaccines were measured, as well as the impact of EE and additional exploratory variables. Methods for the enrollment and 2-year follow-up of a 700 child birth cohort are described, including core laboratory, safety, regulatory, and data management practices. Intense efforts to standardize clinical, laboratory, and data management procedures in a developing world setting provide clinical trials rigor to all outcomes. Although this study infrastructure requires extensive time and effort, it allows optimized safety and confidence in the validity of data gathered in complex, developing country settings. PMID:25711607

  8. BIQSFP-12-Biomarker-Imaging-Study-Evaluation-Template

    Cancer.gov

    BIQSFP ’12 (Biomarker, Imaging, and Quality of Life Studies Funding Program) BIOMARKER & IMAGING Study Evaluation Template BIQSFP ’12 Biomarker -Imaging Study Evaluation Template 6/08,2/09,3/09,5/09,3/10,3/11,3/12 STUDY EVALUATION

  9. Self-stigma, perceived discrimination and empowerment among people with a mental illness in six countries: Pan European stigma study.

    PubMed

    Krajewski, Christin; Burazeri, Genc; Brand, Helmut

    2013-12-30

    A cross-sectional study including 796 individuals with a psychiatric disorder was conducted in Croatia, Israel, Lithuania, Malta, Romania and Sweden in 2010 aiming to assess correlates of self-stigma. The Internalized Stigma of Mental Illness (ISMI) was used to measure self-stigma, whereas the Boston University Empowerment Scale was used to measure the self-efficacy/self-esteem (SESE) and sense of power/powerlessness (PP). Perceived discrimination and devaluation was measured with the Perceived Devaluation and Discrimination (PDD) Scale. Thirty three percent of participants had moderate-to-high ISMI scores. In multivariable-adjusted analysis, significant 'predictors' of high ISMI scores were: age-group of 50-59 years, current employment, lower social contacts, and minimal-to-low SESE and PP scores. Remarkably, no significant association between ISMI and PDD was evident. Furthermore, there was evidence of a significant interaction between SESE and country. Study participants might not be representative to all individuals with mental disorders in countries included in this survey. Our findings indicate that people with psychiatric diseases suffer both self-stigma and perceived discrimination and devaluation. This is one of the very few reports highlighting country differences and diagnosis disparities of self-stigma among individuals with mental illnesses. Between-country differences should be considered and carefully addressed in the process of policy formulation and interventional programs against stigma. PMID:23998361

  10. Carbon emissions and sequestration in forests: Case studies from seven developing countries

    SciTech Connect

    Makundi, W.; Sathaye, J. ); Ravindranath, N.H.; Somashekhar, B.S.; Gadgil, M. . Center for Ecological Sciences and ASTRA); Deying, Xu . Research Inst. of Forestry)

    1992-08-01

    As part of the effort to understand the sources of carbon dioxide and other major greenhouse gases, the Tropical Forestry and Global Climate Change Research Network (F-7) was established. The countries taking part in the F-7 Network -- Brazil, China, India, Indonesia, Malaysia, Mexico, Nigeria and Thailand -- possess large tracts of tropical forests and together experience the bulk of large scale tropical deforestation. Integreation of work of indigenous researchers and institutions from the participating countries should allow for the gathering of on-site information into the more general and universally available base of knowledge. The information contained in this report represents the results of the first phase of the F-7 project, which had the explicit aim of providing quantitative data on forestry-related carbon emissions from India and China.

  11. Renewable-energy-resource model to satisfy basic needs in Third World countries - a case study of El Salvador

    SciTech Connect

    Navarro, R.A.

    1983-01-01

    A computerized energy model was designed to estimate the energy resources required by a country of the Third World to satisfy the food and housing needs of the population as well as to maintain a certain degree of transportation and industry. The model was designed to analyze the energy situation of El Salvador; however, minor modifications in the model structure could make the model suitable to be used for other countries of the Third World. Housing needs are estimated from present deficits and future population growth. Food needs are evaluated from biological considerations. Energy resources to build the houses and cultivate the food are calculated by assuming different housing-construction techniques and cultivation practices. Energy resources required to maintain adequate levels of tranportaton and industry are evaluated. This is done by extrapolating past consumption patterns, with the feature that future fuel-consumption estimations assume a gradual incorporation of the lower economic groups in addition to the current consumption levels attributed to the upper social groups. Technological requirements to meet the energy demand with renewable energy resources are evaluated by assuming an energy policy heavily oriented to utilize solar radiation and other renewable resources. Ten small-scale decentralized and two large-scale centralized technologies are considered in the satisfaction of energy needs in El Salvador.

  12. Carbon emissions and sequestration in forests: Case studies from seven developing countries. Volume 4: Mexico: Draft

    SciTech Connect

    Makundi, W.; Sathaye, J.; Cerutti, O.M.; Ordonez, M.J.; Minjarez, R.D.

    1992-08-01

    Estimates of carbon emissions from deforestation in Mexico are derived for the year 1985 and for two contrasting scenarios in 2025. Carbon emissions are calculated through an in-depth review of the existing information on forest cover deforestation mtes and area affected by forest fires as well as on forests` carbon-related biological characteristics. The analysis covers both tropical -- evergreen and deciduous -- and temperate -- coniferous and broadleaf -- closed forests. Emissions from the forest sector are also compared to those from energy and industry. Different policy options for promoting the sustainable management of forest resources in the country are discussed. The analysis indicates that approximately 804,000 hectares per year of closed forests suffered from major perturbations in the mid 1980`s in Mexico, leading to an annual deforestation mte of 668,000 hectares. Seventy five percent of total deforestation is concentrated in tropical forests. The resulting annual carbon balance is estimated in 53.4 million tons per year, and the net committed emissions in 45.5 million tons or 41% and 38%, respectively, of the country`s total for 1985--87. The annual carbon balance from the forest sector in 2025 is expected to decline to 16.5 million tons in the low emissions scenario and to 22.9 million tons in the high emissions scenario. Because of the large uncertainties in some of the primary sources of information, the stated figures should be taken as preliminary estimates.

  13. No association between gender inequality and peak HIV prevalence in developing countries - an ecological study.

    PubMed

    Kenyon, Chris R; Buyze, Jozefien

    2015-01-01

    The prevalence of both gender inequality and HIV prevalence vary considerably both within all developing countries and within those in sub-Saharan Africa. We test the hypothesis that the extent of gender inequality is associated with national peak HIV prevalence. Linear regression was used to test the association between national peak HIV prevalence and three markers of gender equality - the gender-related development index (GDI), the gender empowerment measure (GEM), and the gender inequality index (GII). No evidence was found of a positive relationship between gender inequality and HIV prevalence, either in the analyses of all developing countries or those limited to Africa. In the bivariate analyses limited to Africa, there was a positive association between the two measures of gender "equality" and peak HIV prevalence (GDI: coefficient 28, 95% confidence interval (CI) 9.1-46.8; GEM: coefficient 54.8, 95% CI 20.5-89.1). There was also a negative association between the marker of gender "inequality" and peak HIV prevalence (GII: coefficient -66.9, 95% CI -112.8 to -21.0). These associations all disappeared on multivariate analyses. We could not find any evidence to support the hypothesis that variations in the extent of gender inequality explain variations in HIV prevalence in developing countries. PMID:25279690

  14. Economic impact of dementia in developing countries: an evaluation of Alzheimer-type dementia in Shanghai, China.

    PubMed

    Wang, Gang; Cheng, Qi; Zhang, Shi; Bai, Li; Zeng, Jie; Cui, Pei-Jing; Zhang, Ting; Sun, Zhi-Kun; Ren, Ru-Jing; Deng, Yu-Lei; Xu, Wei; Wang, Ying; Chen, Sheng-Di

    2008-09-01

    The main objective of this study was to assess the economic cost of Alzheimer's disease (AD) in Shanghai, China, as a pilot study for future evaluations. Sixty-seven patients with AD were interviewed, and the information of the AD-related cost and resources used was collected from October 2005 to September 2006. By retrospective analysis, annual costs were calculated and expressed in Chinese renminbi (RMB). Direct cost per patient per year averaged approximately 8,432 RMB (1,058 USD), indirect cost per patient per year was 10,568 RMB (1,326 USD), and annual costs were 19,001 RMB (2,384 USD) per patient per year in this investigation. Total cost was significantly associated with the degree of severity including cognitive function (MMSE) and activity of daily living (ADL). With the increase in the number of persons at risk for developing AD, the economic burden of AD patients in China is significantly heavy. PMID:18780971

  15. Inter-disciplinary study on open source software development in developing countries: a case study of Chinese Linux 

    E-print Network

    Zhou, Yinhua

    2012-06-26

    This research provides a detailed account of Open Source Software (OSS) development in the context of developing countries (DCs) by exploring the specific case of Chinese indigenous Linux design and development. It builds ...

  16. An exploration of parents' perceptions and beliefs about changes following participation in a family skill training program: a qualitative study in a developing country.

    PubMed

    Mejia, Anilena; Ulph, Fiona; Calam, Rachel

    2015-07-01

    Family skill training programs have been recognized as effective strategies for preventing substance use. However, they have been evaluated mainly in high-income countries. Families in developing countries also face difficulties; therefore, it is important to explore the fit of existing programs in this context. The present study explores parents' perceptions and beliefs about changes following participation in the Strengthening Families Program 10-14, which was implemented in Panama by the United Nations Office on Drugs and Crime. Thirty parents who had taken part in the program between 2010 and 2011 were interviewed. Thematic analysis was conducted taking a participant-driven inductive stand. An exploration of parents' narratives suggested that, after the program, they observed changes in themselves as parents, in their children, in the interaction between the two of them, and in their functioning as a couple. Perceived changes centered on communication, limits, obedience, relationship roles, emotional regulation, and social development. For example, parents reported being able to control their emotions in a healthier manner, reducing the use of shouting and setting limits in a more effective way. All these factors have been recognized in previous research as strategies for preventing substance use. It is important to assess participants' perceptions of programs brought from elsewhere before dissemination efforts can take place. Parents interviewed for this study appeared to hold positive views about this program. This methodology is discussed as a means of evaluating evidence-based interventions in different cultural settings. PMID:25387790

  17. Towards a Science of Community Stakeholder Engagement in Biomedical HIV Prevention Trials: An Embedded Four-Country Case Study

    PubMed Central

    Newman, Peter A.; Rubincam, Clara; Slack, Catherine; Essack, Zaynab; Chakrapani, Venkatesan; Chuang, Deng-Min; Tepjan, Suchon; Shunmugam, Murali; Roungprakhon, Surachet; Logie, Carmen; Koen, Jennifer; Lindegger, Graham

    2015-01-01

    Objectives Broad international guidelines and studies in the context of individual clinical trials highlight the centrality of community stakeholder engagement in conducting ethically rigorous HIV prevention trials. We explored and identified challenges and facilitators for community stakeholder engagement in biomedical HIV prevention trials in diverse global settings. Our aim was to assess and deepen the empirical foundation for priorities included in the GPP guidelines and to highlight challenges in implementation that may merit further attention in subsequent GPP iterations. Methods From 2008–2012 we conducted an embedded, multiple case study centered in Thailand, India, South Africa and Canada. We conducted in-depth interviews and focus groups with respondents from different trial-related subsystems: civil society organization representatives, community advocates, service providers, clinical trialists/researchers, former trial participants, and key HIV risk populations. Interviews/focus groups were recorded, and coded using thematic content analysis. After intra-case analyses, we conducted cross-case analysis to contrast and synthesize themes and sub-themes across cases. Lastly, we applied the case study findings to explore and assess UNAIDS/AVAC GPP guidelines and the GPP Blueprint for Stakeholder Engagement. Results Across settings, we identified three cross-cutting themes as essential to community stakeholder engagement: trial literacy, including lexicon challenges and misconceptions that imperil sound communication; mistrust due to historical exploitation; and participatory processes: engaging early; considering the breadth of “community”; and, developing appropriate stakeholder roles. Site-specific challenges arose in resource-limited settings and settings where trials were halted. Conclusions This multiple case study revealed common themes underlying community stakeholder engagement across four country settings that largely mirror GPP goals and the GPP Blueprint, as well as highlighting challenges in the implementation of important guidelines. GPP guidance documents could be strengthened through greater focus on: identifying and addressing the community-specific roots of mistrust and its impact on trial literacy activities; achieving and evaluating representativeness in community stakeholder groups; and addressing the impact of power and funding streams on meaningful engagement and independent decision-making. PMID:26295159

  18. The Mobile Manual Arts Unit in South-West Queensland. Priority Country Area Program Evaluation Series: Report No. 11.

    ERIC Educational Resources Information Center

    Fowler, Clifford F.; Peters, Joanne

    Begun in 1978 to bring manual arts experience to children in Queensland's "disadvantaged country areas," the Mobile Manual Arts Unit by the end of the 1980 school year had visited 16 separate locations, involving 25 different schools. A total of 727 students had participated (out of a target population of 992 pupils) and a total of 259 contact…

  19. P.C.A.P. Project Profiles and General Profilles. Queensland Priority Country Area Program-Evaluation Series.

    ERIC Educational Resources Information Center

    Saide, Tom, Ed.

    Thirty-eight projects designed to improve educational opportunities of rural Queensland children were initiated in 1977 and funded through the Disadvantaged Schools Program; the program was renamed the Country Area Program and made a permanent School Commission program in 1982. The program resulted from a 1977-79 Schools Commission report…

  20. Teaching Texas Tots Consortium Evaluation Study.

    ERIC Educational Resources Information Center

    Macy Research Associates, Dallas, TX.

    The report evaluates the impact and effectiveness of the Triple "T" Consortium (Teaching Texas Tots) using data gathered from nine of the 14 projects, pre-post test scores of a sample of 126 handicapped children (under 2 years) from the project, case studies reports from selected families, reports of sample children, and a parent reaction…

  1. Superintendent Evaluation: What AASA's Study Discovered

    ERIC Educational Resources Information Center

    Glass, Thomas E.

    2007-01-01

    This article reports the findings of a snapshot study of the superintendency conducted by the American Association of School Administrators (AASA). The findings revealed that superintendents were evaluated highly by their boards, but the number of leaders who received the highest ratings have declined during the past six years. The report, which…

  2. Study Abroad in a Developing and a Developed Country: A Comparison of American Undergraduate Students' Experiences in Ghana and England

    ERIC Educational Resources Information Center

    Costa, Maria

    2012-01-01

    This qualitative study examined the differences among the experiences of 7 American undergraduate students; 4 who studied for a semester in Ghana, a developing country, and 3 who studied for a semester in England, a developed country. Using phenomenology as its guiding framework, transcribed interviews were analyzed and the focal phenomenon of the…

  3. Effects of country size and language similarity on international attitudes: a six-nation study.

    PubMed

    van Oudenhoven, Jan Pieter; Selenko, Eva; Otten, Sabine

    2010-02-01

    Linguistically similar neighbouring nations that differ in size are often asymmetrical in their attitudinal relations towards each other: Citizens of smaller nations tend to see larger nations as less likeable and less similar than vice versa. We hypothesized that the smaller nations' reaction is the consequence of a threatened identity due to its relative size combined with too much similarity on a vital part of its identity, namely language. To test this hypothesis, 832 high-school students from six different ethnic/national entities (France, Germany, Austria, the French- and German-speaking parts of Switzerland, the French- and Dutch-speaking parts of Belgium, and The Netherlands) completed a questionnaire on liking and similarity ratings. The results-to a large extent-showed that differences in size, in combination with linguistic similarity with another nation, pose a threat to the identity of the smaller nation or ethnic group. Differences in size, in combination with linguistic similarity, were associated with asymmetries in mutual liking on one hand and asymmetrical perceptions of similarity to the other country on the other hand. The conclusions of this study are consistent with findings of earlier research and stress the importance of language for a nation's identity. Moreover, the findings support social identity theory as a useful theory for understanding intergroup and international relations. Les nations voisines linguistiquement similaires qui diffèrent en taille sont souvent asymétriques dans leurs relations attitudinales l'une envers l'autre: les citoyens des nations plus petites tendent à voir les nations plus grandes comme moins sympathiques et moins semblables et vice-versa. Notre hypothèse était que la réaction des nations plus petites est la conséquence d'un sentiment de menace à l'identité dû à leur taille réduite combinée avec trop de similitudes concernant une partie vitale de leur identité: c'est-à-dire le langage. Pour tester cette hypothèse, 832 étudiants collégiaux issus de six ethnies/nationalités différentes (la France, l'Allemagne, l'Autriche, la Suisse romande et allemande, la Belgique française et néerlandaise, les Pays-Bas) ont complété un questionnaire sur les taux de sympathie et de similitude. Les résultats ont indiqué que les différences en taille en combinaison avec la similitude linguistique avec une autre nation représentent une menace pour l'identité de la nation ou du groupe ethnique plus petit. Les différences en taille en combinaison avec la similitude linguistique étaient associées, d'une part, avec des asymétries dans la sympathie mutuelle et, d'autre part, avec des perceptions asymétriques de similitude avec l'autre nation. Les conclusions de cette étude sont en accord avec les résultats des études antérieures et soutiennent l'importance du langage pour l'identité d'une nation. De plus, les résultats appuient l'utilité de la théorie de l'identité sociale pour comprendre les relations intergroupes et internationales. Naciones vecinas con similitudes lingüísticas pero que difieren en tamaño son frecuentemente asimétricas respecto de sus relaciones actitudinales una respecto de la otra. Los cuidadanos de naciones pequeñas tienden a ver a naciones más grandes como menos simpáticas y parecidas que viceversa. Nosotros hipotetizamos que la reacción de las naciones más pequeñas es la consequencia de una identidad amenazada debido a su menor tamaño combinada con una similitud muy grande relacionada con una parte vital de su identidad: es decir el lenguaje. Para probar esta hipótesis 832 alumnos de la escuela secundaria de seis diferentes grupos étnicos/nacionales (Francia, Alemania, Austria, regiones en Suiza en las que se habla francés y alemán, regiones en Bélgica en las que se habla francés y holandés así como los Países Bajos) completaron un cuestionario sobre gustos y similitudes. Los resultados mostraron - en alto grado - que las diferencias en el tamaño en combinación con las similitudes lingüísticas con otra

  4. Nurse educators’ perceptions of critical thinking in developing countries: Ghana as a case study

    PubMed Central

    Boso, Christian Makafui; Gross, Janet J

    2015-01-01

    The ability to critically evaluate information for the purpose of rendering health care is a prerequisite for modern nurses in a complex and ever-changing health care environment. The nurse educators’ perceptions influence the utilization of critical thinking strategies in the classroom. The purpose of this study was to assess nursing faculty’s perceptions of critical thinking. Using a questionnaire 106 nurse educators from two types of nursing educational program self-reported their perceptions. Data were collected from November 2013 to March 2014. Results were presented using frequencies, percentages, and t-test. The findings revealed that majority (95.3%) of nurse educators could not provide definitions that captured both affective and cognitive aspects of critical thinking. However, the majority of nurse educators had positive perceptions of critical thinking. Nurse educators in universities had more positive perceptions of critical thinking than those in the nurses’ training colleges (P=0.007). The results suggested that the current nursing programs are not preparing nurses with the necessary critical thinking skills for the complex health care environment. Professional development programs in critical thinking should be instituted for nurse educators to assist them in developing appropriate teaching strategies to foster students’ acquisition of critical thinking skills. PMID:26379453

  5. Molecular snapshot of Mycobacterium tuberculosis population in Kazakhstan: a country-wide study.

    PubMed

    Skiba, Yuriy; Mokrousov, Igor; Ismagulova, Gulnara; Maltseva, Elina; Yurkevich, Nadezhda; Bismilda, Venera; Chingissova, Lyailya; Abildaev, Tleuhan; Aitkhozhina, Nagima

    2015-09-01

    Republic of Kazakhstan is among the 27 high multidrug-resistant tuberculosis (MDR-TB) burden countries in the world. Here, we analyzed the population structure and phylogeography of Mycobacterium tuberculosis in Kazakhstan and impact of the identified genotypes on spread of drug resistant strains. A total of 159 M. tuberculosis isolates from different regions of Kazakhstan were typed using 24-MIRU-VNTR and spoligotyping, and the profiles were compared to the MIRU-VNTRplus and SITVIT_WEB databases. Eight isolates with double VNTR alleles were excluded from further analysis that was performed on 151 isolates. They were assigned to 10 families, Beijing (n = 109) being the largest and dominated by a single clonal cluster 94-32 and derived profiles (n = 101). The other families were represented mainly by LAM (n = 17), Ural (n = 8), NEW-1 (n = 3) and a new cluster named KAZ-1 (n = 8). Beijing, LAM and Ural isolates were detected in all parts of the country while Iran-specific family NEW-1 was found only in southern Kazakhstan (P = 0.001). A reduced scheme of 10 most polymorphic VNTR loci provided a discrimination similar to that achieved by 15-MIRU scheme and may be recommended for rapid preliminary screening of the clinical isolates in Kazakhstan. Multi-drug resistance was significantly more prevalent among Beijing (64/109) and LAM (7/17) strains compared to strains of other families (1/25; P = 0.0006 and 0.01, respectively). High prevalence of the genetically closely related MDR strains of the Beijing genotype found in different regions of Kazakhstan highlights their crucial impact on the current TB epidemic in this country. PMID:26076582

  6. Adolescent prediabetes in a high-risk Middle East country: a cross-sectional study

    PubMed Central

    Mamtani, Ravinder; Sheikh, Javaid; Cheema, Sohaila; Al-Hamaq, Abdulla; Matthis, Sharoud A; El-Nahas, Katie G; Maisonneuve, Patrick

    2014-01-01

    Objective To estimate the prevalence of prediabetes in adolescents living in a high-risk country and to detect risk factors associated with this disorder. Design Survey questionnaire combined with physical measurements and blood sugar determination. Setting Doha, capital city of Qatar. Participants A total of 1694 male and female students aged 11–18 years without previously diagnosed diabetes enrolled in four schools. Main outcome measure Blood sugar measurements. Other measured variables included gender, height, weight, abdominal circumference, country of origin, family history of diabetes and frequency of exercise. Results Using a random blood sugar ?7.8?mmol/L or a fasting blood sugar ?5.5?mmol/L as cutpoints, we identified 4.2% of students (56 boys, 15 girls) as probable prediabetics. In a multivariate model, being boys (OR 3.2, 95% CI 1.7–6.2), having a diabetic parent (OR 1.9, 95% CI 1.1–3.2) or having a waist-to-height ratio >0.5 (OR 1.8, 95% CI 1.1–3.0) were significantly associated with being a prediabetic. The parental origin of diabetes had a differential effect upon blood sugar. The mean random blood sugar in students with a maternal inheritance pattern of diabetes was 5.61?mmol/L?±?1.0, compared to 5.39?mmol/L?±?0.89 in students with a paternal inheritance pattern (p?=?0.02). Conclusions In a country with a high risk of adult diabetes, we identified 4.2% of students aged 11–18 as being prediabetic. Risk factors associated with prediabetes included male gender, family history of diabetes and waist-to-height ratio >0.5. PMID:25289147

  7. Smartphone Use for Cervical Cancer Screening in Low-Resource Countries: A Pilot Study Conducted in Madagascar

    PubMed Central

    Catarino, Rosa; Vassilakos, Pierre; Scaringella, Stefano; Undurraga-Malinverno, Manuela; Meyer-Hamme, Ulrike; Ricard-Gauthier, Dominique; Matute, Juan Carlos; Petignat, Patrick

    2015-01-01

    Background Visual inspection of the cervix after application of 5% acetic acid (VIA) is a screening technique for cervical cancer used widely in low and middle-income countries (LMIC). To improve VIA screening performance, digital images after acid acetic application (D-VIA) are taken. The aim of this study was to evaluate the use of a smartphone for on- and off-site D-VIA diagnosis. Materials and Methods Women aged 30–65 years, living in the city of Ambanja, Madagascar, were recruited through a cervical cancer screening campaign. Each performed a human papillomavirus (HPV) self-sample as a primary screen. Women testing positive for HPV were referred for VIA followed by D-VIA, cervical biopsy and endocervical curettage according to routine protocol. In addition, the same day, the D-VIA was emailed to a tertiary care center for immediate assessment. Results were scored as either D-VIA normal or D-VIA abnormal, requiring immediate therapy or referral to a tertiary center. Each of the three off-site physicians were blinded to the result reported by the one on-site physician and each gave their individual assessment followed by a consensus diagnosis. Statistical analyses were conducted using STATA software. Results Of the 332 women recruited, 137 (41.2%) were HPV-positive and recalled for VIA triage; compliance with this invitation was 69.3% (n = 95). Cervical intraepithelial neoplasia was detected in 17.7% and 21.7% of digital images by on-site and off-site physicians, respectively. The on-site physician had a sensitivity of 66.7% (95%CI: 30.0–90.3) and a specificity of 85.7% (95%CI: 76.7–91.6); the off-site physician consensus sensitivity was 66.7% (95%CI: 30.0–90.3) with a specificity of 82.3% (95%CI: 72.4–89.1). Conclusion This pilot study supports the use of telemedicine for off-site diagnosis of cervical intraepithelial neoplasia, with diagnostic performance similar to those achieved on-site. Further studies need to determine if smartphones can improve cervical cancer screening efficiency in LMIC. PMID:26222772

  8. Carbon emissions and sequestration in forests: Case studies from seven developing countries

    SciTech Connect

    Makundi, W.; Sathaye, J. ); Cerutti, O.M.; Ordonez, M.J.; Minjarez, R.D. Centro de Ecologia)

    1992-08-01

    Estimates of carbon emissions from deforestation in Mexico are derived for the year 1985 and for two contrasting scenarios in 2025. Carbon emissions are calculated through an in-depth review of the existing information on forest cover deforestation mtes and area affected by forest fires as well as on forests' carbon-related biological characteristics. The analysis covers both tropical -- evergreen and deciduous -- and temperate -- coniferous and broadleaf -- closed forests. Emissions from the forest sector are also compared to those from energy and industry. Different policy options for promoting the sustainable management of forest resources in the country are discussed. The analysis indicates that approximately 804,000 hectares per year of closed forests suffered from major perturbations in the mid 1980's in Mexico, leading to an annual deforestation mte of 668,000 hectares. Seventy five percent of total deforestation is concentrated in tropical forests. The resulting annual carbon balance is estimated in 53.4 million tons per year, and the net committed emissions in 45.5 million tons or 41% and 38%, respectively, of the country's total for 1985--87. The annual carbon balance from the forest sector in 2025 is expected to decline to 16.5 million tons in the low emissions scenario and to 22.9 million tons in the high emissions scenario. Because of the large uncertainties in some of the primary sources of information, the stated figures should be taken as preliminary estimates.

  9. Indoor particulate matter in developing countries: a case study in Pakistan and potential intervention strategies

    NASA Astrophysics Data System (ADS)

    Nasir, Zaheer Ahmad; Colbeck, Ian; Ali, Zulfiqar; Ahmad, Shakil

    2013-06-01

    Around three billion people, largely in low and middle income countries, rely on biomass fuels for their household energy needs. The combustion of these fuels generates a range of hazardous indoor air pollutants and is an important cause of morbidity and mortality in developing countries. Worldwide, it is responsible for four million deaths. A reduction in indoor smoke can have a significant impact on lives and can help achieve many of the Millennium Developments Goals. This letter presents details of a seasonal variation in particulate matter (PM) concentrations in kitchens using biomass fuels as a result of relocating the cooking space. During the summer, kitchens were moved outdoors and as a result the 24 h average PM10, PM2.5 and PM1 fell by 35%, 22% and 24% respectively. However, background concentrations of PM10 within the village increased by 62%. In locations where natural gas was the dominant fuel, the PM concentrations within the kitchen as well as outdoors were considerably lower than those in locations using biomass. These results highlights the importance of ventilation and fuel type for PM levels and suggest that an improved design of cooking spaces would result in enhanced indoor air quality.

  10. Exploring the relationship between cyberbullying and unnatural child death: an ecological study of twenty-four European countries

    PubMed Central

    2014-01-01

    Background Internet risk has been recognised as a child safety problem, but evidence is insufficient to conclude that a child’s online risk exposure can lead to physical harm. This study aims to explore the ecological relationship between Internet risk exposure and unnatural child death. Methods Multiple secondary data sources were used: online exposure to content about self-harm, cyberbullying, and Internet addiction data (EU Kids Online survey, 2010); and mortality data (European Detailed Mortality Database, 2010 or the latest year if not available) of 24 European countries. Correlations were found using quasi-Poisson regression. Countries’ prevalence rates of psychiatric problems (European Social Survey Round 3 and 6, 2006 and 2012) were used to test for possible spuriousness. Results This study finds that countries with higher rates of cyberbullying were more likely to have a higher incidence of unnatural child death. A 1 percent rise in the prevalence of cyberbullying translated into a 28% increase in risk of unnatural child death (95% CI: 2%-57%). No evidence was found to substantiate confounding effect of the national prevalence of depressive symptoms or traditional bullying. Conclusions Explanations are given for the findings. We conclude that intervention programs designed to serve as precautionary measures for risk minimisation should be considered. PMID:25079144

  11. Harmonising Evidence-based medicine teaching: a study of the outcomes of e-learning in five European countries

    PubMed Central

    Kulier, Regina; Hadley, Julie; Weinbrenner, Susanne; Meyerrose, Berrit; Decsi, Tamas; Horvath, Andrea R; Nagy, Eva; Emparanza, Jose I; Coppus, Sjors FPJ; Arvanitis, Theodoros N; Burls, Amanda; Cabello, Juan B; Kaczor, Marcin; Zanrei, Gianni; Pierer, Karen; Stawiarz, Katarzyna; Kunz, Regina; Mol, Ben WJ; Khan, Khalid S

    2008-01-01

    Background We developed and evaluated the outcomes of an e-learning course for evidence based medicine (EBM) training in postgraduate medical education in different languages and settings across five European countries. Methods We measured changes in knowledge and attitudes with well-developed assessment tools before and after administration of the course. The course consisted of five e-learning modules covering acquisition (formulating a question and search of the literature), appraisal, application and implementation of findings from systematic reviews of therapeutic interventions, each with interactive audio-visual learning materials of 15 to 20 minutes duration. The modules were prepared in English, Spanish, German and Hungarian. The course was delivered to 101 students from different specialties in Germany (psychiatrists), Hungary (mixture of specialties), Spain (general medical practitioners), Switzerland (obstetricians-gynaecologists) and the UK (obstetricians-gynaecologists). We analysed changes in scores across modules and countries. Results On average across all countries, knowledge scores significantly improved from pre- to post-course for all five modules (p < 0.001). The improvements in scores were on average 1.87 points (14% of total score) for module 1, 1.81 points (26% of total score) for module 2, 1.9 points (11% of total score) for module 3, 1.9 points (12% of total score) for module 4 and 1.14 points (14% of total score) for module 5. In the country specific analysis, knowledge gain was not significant for module 4 in Spain, Switzerland and the UK, for module 3 in Spain and Switzerland and for module 2 in Spain. Compared to pre-course assessment, after completing the course participants felt more confident that they can assess research evidence and that the healthcare system in their country should have its own programme of research about clinical effectiveness. Conclusion E-learning in EBM can be harmonised for effective teaching and learning in different languages, educational settings and clinical specialties, paving the way for development of an international e-EBM course. PMID:18442424

  12. Tropical forests: a call for action. Part 1: the plan. Part 2: case studies. Part 3: country investment profiles

    SciTech Connect

    Not Available

    1985-10-01

    The World Resources Institute (WRI), in cooperation with multi- and bi-lateral organizations, has launched a major initiative to conserve forests in the humid and semiarid/arid areas of developing countries. The 3-part WRI report is a call to political action on this subject. Part 1 describes the high costs exacted by deforestation, but asserts that the process can be arrested and reversed by a partnership of governments, local participants, and development-assistance agencies. Proposals are presented for a 5-year action plan in farm, community, and arid-zone forestry. Parts 2 and 3 include case studies of the successful projects listed in Part 1 and 5-year investment profiles of 56 developing countries affected by deforestation.

  13. Developing an appropriate digital hearing aid for low-resource countries: a case study.

    PubMed

    Israsena, P; Isaradisaikul, S; Noymai, A; Boonyanukul, S; Hemakom, A; Chinnarat, C; Navacharoen, N; Lekagul, S

    2013-01-01

    This paper reviews the development process and discusses the key findings which resulted from our multidisciplinary research team's effort to develop an alternative digital hearing suitable for low-resource countries such as Thailand. A cost-effective, fully programmable digital hearing aid, with its specifications benchmarking against WHO's recommendations, was systematically designed, engineered, and tested. Clinically it had undergone a full clinical trial that employed the outcome measurement protocol adopted from the APHAB, the first time implemented in Thai language. Results indicated that using the hearing aid improves user's satisfaction in terms of ease of communication, background noises, and reverberation, with clear benefit after 3 and 6 months, confirming its efficacy. In terms of engineering, the hearing aid also proved to be robust, passing all the designated tests. As the technology has successfully been transferred to a local company for the production phase, we also discuss other challenges that may arise before the device can be introduced into the market. PMID:23818826

  14. Developing an Appropriate Digital Hearing Aid for Low-Resource Countries: A Case Study

    PubMed Central

    Israsena, P.; Isaradisaikul, S.; Noymai, A.; Boonyanukul, S.; Hemakom, A.; Chinnarat, C.; Navacharoen, N.; Lekagul, S.

    2013-01-01

    This paper reviews the development process and discusses the key findings which resulted from our multidisciplinary research team's effort to develop an alternative digital hearing suitable for low-resource countries such as Thailand. A cost-effective, fully programmable digital hearing aid, with its specifications benchmarking against WHO's recommendations, was systematically designed, engineered, and tested. Clinically it had undergone a full clinical trial that employed the outcome measurement protocol adopted from the APHAB, the first time implemented in Thai language. Results indicated that using the hearing aid improves user's satisfaction in terms of ease of communication, background noises, and reverberation, with clear benefit after 3 and 6?months, confirming its efficacy. In terms of engineering, the hearing aid also proved to be robust, passing all the designated tests. As the technology has successfully been transferred to a local company for the production phase, we also discuss other challenges that may arise before the device can be introduced into the market. PMID:23818826

  15. The critical role of supervision in retaining staff in obstetric services: a three country study.

    PubMed

    McAuliffe, Eilish; Daly, Michael; Kamwendo, Francis; Masanja, Honorati; Sidat, Mohsin; de Pinho, Helen

    2013-01-01

    Millennium Development Goal (MDG) 5 commits us to reducing maternal mortality rates by three quarters and MDG 4 commits us to reducing child mortality by two-thirds between 1990 and 2015. In order to reach these goals, greater access to basic emergency obstetric care (EmOC) as well as comprehensive EmOC which includes safe Caesarean section, is needed.. The limited capacity of health systems to meet demand for obstetric services has led several countries to utilize mid-level cadres as a substitute to more extensively trained and more internationally mobile healthcare workers. Although this does provide greater capacity for service delivery, concern about the performance and motivation of these workers is emerging. We propose that poor leadership characterized by inadequate and unstructured supervision underlies much of the dissatisfaction and turnover that has been shown to exist amongst these mid-level healthcare workers and indeed health workers more generally. To investigate this, we conducted a large-scale survey of 1,561 mid-level cadre healthcare workers (health workers trained for shorter periods to perform specific tasks e.g. clinical officers) delivering obstetric care in Malawi, Tanzania, and Mozambique. Participants indicated the primary supervision method used in their facility and we assessed their job satisfaction and intentions to leave their current workplace. In all three countries we found robust evidence indicating that a formal supervision process predicted high levels of job satisfaction and low intentions to leave. We find no evidence that facility level factors modify the link between supervisory methods and key outcomes. We interpret this evidence as strongly supporting the need to strengthen leadership and implement a framework and mechanism for systematic supportive supervision. This will promote better job satisfaction and improve the retention and performance of obstetric care workers, something which has the potential to improve maternal and neonatal outcomes in the countdown to 2015. PMID:23555581

  16. Translating research into policy and practice in developing countries: a case study of magnesium sulphate for pre-eclampsia

    PubMed Central

    Aaserud, Morten; Lewin, Simon; Innvaer, Simon; Paulsen, Elizabeth J; Dahlgren, Astrid T; Trommald, Mari; Duley, Lelia; Zwarenstein, Merrick; Oxman, Andrew D

    2005-01-01

    Background The evidence base for improving reproductive health continues to grow. However, concerns remain that the translation of this evidence into appropriate policies is partial and slow. Little is known about the factors affecting the use of evidence by policy makers and clinicians, particularly in developing countries. The objective of this study was to examine the factors that might affect the translation of randomised controlled trial (RCT) findings into policies and practice in developing countries. Methods The recent publication of an important RCT on the use of magnesium sulphate to treat pre-eclampsia provided an opportunity to explore how research findings might be translated into policy. A range of research methods, including a survey, group interview and observations with RCT collaborators and a survey of WHO drug information officers, regulatory officials and obstetricians in 12 countries, were undertaken to identify barriers and facilitators to knowledge translation. Results It proved difficult to obtain reliable data regarding the availability and use of commonly used drugs in many countries. The perceived barriers to implementing RCT findings regarding the use of magnesium sulphate for pre-eclampsia include drug licensing and availability; inadequate and poorly implemented clinical guidelines; and lack of political support for policy change. However, there were significant regional and national differences in the importance of specific barriers. Conclusion The policy changes needed to ensure widespread availability and use of magnesium sulphate are variable and complex. Difficulties in obtaining information on availability and use are combined with the wide range of barriers across settings, including a lack of support from policy makers. This makes it difficult to envisage any single intervention strategy that might be used to promote the uptake of research findings on magnesium sulphate into policy across the study settings. The publication of important trials may therefore not have the impacts on health care that researchers hope for. PMID:16262902

  17. An Ecological Study of the Determinants of Differences in 2009 Pandemic Influenza Mortality Rates between Countries in Europe

    PubMed Central

    Nikolopoulos, Georgios; Bagos, Pantelis; Lytras, Theodoros; Bonovas, Stefanos

    2011-01-01

    Background Pandemic A (H1N1) 2009 mortality rates varied widely from one country to another. Our aim was to identify potential socioeconomic determinants of pandemic mortality and explain between-country variation. Methodology Based on data from a total of 30 European countries, we applied random-effects Poisson regression models to study the relationship between pandemic mortality rates (May 2009 to May 2010) and a set of representative environmental, health care-associated, economic and demographic country-level parameters. The study was completed by June 2010. Principal Findings Most regression approaches indicated a consistent, statistically significant inverse association between pandemic influenza-related mortality and per capita government expenditure on health. The findings were similar in univariable [coefficient: –0.00028, 95% Confidence Interval (CI): –0.00046, –0.00010, p?=?0.002] and multivariable analyses (including all covariates, coefficient: –0.00107, 95% CI: –0.00196, –0.00018, p?=?0.018). The estimate was barely insignificant when the multivariable model included only significant covariates from the univariate step (coefficient: –0.00046, 95% CI: –0.00095, 0.00003, p?=?0.063). Conclusions Our findings imply a significant inverse association between public spending on health and pandemic influenza mortality. In an attempt to interpret the estimated coefficient (–0.00028) for the per capita government expenditure on health, we observed that a rise of 100 international dollars was associated with a reduction in the pandemic influenza mortality rate by approximately 2.8%. However, further work needs to be done to unravel the mechanisms by which reduced government spending on health may have affected the 2009 pandemic influenza mortality. PMID:21589928

  18. Violence and non-violence-related injuries and alcohol in women from developed and developing countries: a multi-site emergency room study.

    PubMed

    da Silva, Rosiane Lopes; Diehl, Alessandra; Cherpitel, Cheryl J; Figlie, Neliana B

    2015-02-01

    This study sought to analyze the association between alcohol consumption and the occurrence of injuries in women attending the emergency room (ER) from developing and developed countries. The sample consisted of ER data from women in 15 countries that were collected as part of two multi-site studies using similar methodologies: the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP), and World Health Organization Collaborative Study on Alcohol and Injuries (WHO Study). Women ranged in age from 18 to 98years. Those from developed countries had higher levels of education (43% completed high-school) than women from developing countries (37%). Over half of the women from developing countries reported they had not consumed alcohol in the last 12months (abstentious), while 2% reported drinking every day. In addition, current drinking women from developing countries reported more binge drinking episodes (33% reported 5 to 11 drinks and 15% reported 12 or more drinks on an occasion) compared to those from developed countries (28% and 11%, respectively). Violence-related injury was more prevalent in developing countries (18%) compared to developed countries (9%). An association between injury and the frequency of alcohol consumption in the last 12months was observed in both developing and developed countries. Although women from developing countries who suffered violence-related injuries were more likely to demonstrate alcohol abstinence or have lower rates of daily alcohol consumption, these women drank in a more dangerous way, and violence-related injuries were more likely to occur in these women than in those living in developed countries. PMID:25452073

  19. Checklist for managing a general program evaluation study

    SciTech Connect

    2009-01-18

    This checklist for managing a general program evaluation study provides action items covering the following topics: initial planning; evaluation design and procurement; implementation of study; and using evaluation results.

  20. Perceived Barriers to Healthy Eating and Physical Activity among Adolescents in Seven Arab Countries: A Cross-Cultural Study

    PubMed Central

    Musaiger, Abdulrahman O.; Tayyem, Reema; Al-Lalla, Osama; Ali, Essa Y. A.; Kalam, Faiza; Benhamed, Mofida M.; Saghir, Sabri; Halahleh, Ismail; Djoudi, Zahra; Chirane, Manel

    2013-01-01

    Objective. To highlight the perceived personal, social, and environmental barriers to healthy eating and physical activity among Arab adolescents. Method. A multistage stratified sampling method was used to select 4698 students aged 15–18 years (2240 males and 2458 females) from public schools. Seven Arab counties were included in the study, namely, Algeria, Jordan, Kuwait, Libya, Palestine, Syria, and the United Arab Emirates. Self-reported questionnaire was used to list the barriers to healthy eating and physical activity facing these adolescents. Results. It was found that lack of information on healthy eating, lack of motivation to eat a healthy diet, and not having time to prepare or eat healthy food were the main barriers to healthy eating among both genders. For physical activity, the main barriers selected were lack of motivation to do physical activity, less support from teachers, and lack of time to do physical activity. In general, females faced more barriers to physical activity than males in all countries included. There were significant differences between males and females within each country and among countries for most barriers. Conclusion. Intervention programmes to combat obesity and other chronic noncommunicable diseases in the Arab world should include solutions to overcome the barriers to weight maintenance, particularly the sociocultural barriers to practising physical activity. PMID:24348144

  1. Risk of disordered eating attitudes among adolescents in seven Arab countries by gender and obesity: a cross-cultural study.

    PubMed

    Musaiger, Abdulrahman O; Al-Mannai, Mariam; Tayyem, Reema; Al-Lalla, Osama; Ali, Essa Y A; Kalam, Faiza; Benhamed, Mofida M; Saghir, Sabri; Halahleh, Ismail; Djoudi, Zahra; Chirane, Manel

    2013-01-01

    The objectives were to discover the prevalence of disordered eating attitudes (EAs) among adolescent males and females, and the association of obesity with EA in seven Arab countries. A multistage stratified sampling technique was used to select secondary students aged 15-18 years from cities in Algeria, Jordan, Kuwait, Libya, Palestine, Syria and Sharijah Emirate (United Arab Emirates). The total sample was 4698 (2240 males and 2458 females). The Eating Attitudes Test (EAT-26) was used to measure those at risk of disordered EA. Obesity was calculated according to the International Obesity Taskforce criteria. Participants were grouped into two categories, non-obese and obese (overweight and obese). The risk of disordered EA was twice as high among females as in males in Jordan, Libya, Palestine and Syria. Kuwaiti adolescents (males and females) showed higher prevalence of disordered EA than their counterparts in other countries. The risk of disordered EA among obese adolescents was two to three times higher than that of non-obese adolescents, in both genders. Excepting Kuwaiti females and Palestinian males. The association of obesity with disordered EA was statistically significant. This study highlighted the magnitude of the risk of disordered eating attitudes among both male and female adolescents in Arab countries and identified the need for programmes to prevent and control these disorders in the Arab region. PMID:23092757

  2. Correlates of functional outcome among stroke survivors in a developing country--a prospective community-based study from India.

    PubMed

    Ghosal, Malay Kumar; Burman, Prabir; Singh, Vineeta; Das, Sujata; Paul, Neelanjana; Ray, Biman Kanti; Hazra, Avijit; Banerjee, Tapas Kumar; Basu, Arindam; Chaudhuri, Arijit; Das, Shyamal Kumar

    2014-01-01

    Stroke survivors (SS) are rising with higher incidence of stroke in developing countries. In addition to physical impairment, other factors such as cognition, social interaction, and depression determine the functional outcome after stroke. Considering the paucity of data from developing countries, we planned to determine the change in various functional parameters among SS. This community-based prospective study was carried out in Kolkata, India among 283 SS between 2006 and 2010. Functional outcome was assessed at baseline and at 3 annual follow-up visits using validated tools. A stepwise regression analysis was performed with demographic and stroke-related covariates against various measures of functional outcome. Result showed that mean Barthel Index score at baseline was 76.4 ± 30.8. Bengali version of mental status examination and Geriatric Depression Scale scores trended down over time with a negative regression coefficient of -.2061 (standard error [SE], .0937) and -.4488 (SE, .2145). Other outcomes did not change. Female gender, depression, and cognitive dysfunction had an unfavorable impact, whereas education correlated positively. In conclusions female gender and neuropsychiatric disturbances showed poor functional outcome compared with education, which correlates with better outcome. This information will be helpful for patients in developing countries for planning stroke rehabilitation. PMID:25238928

  3. Country News.

    ERIC Educational Resources Information Center

    Population Education Newsletter and Forum, 1987

    1987-01-01

    Reports on the progress of population education programs in various countries in Asia and the Pacific region. Describes current developments in Bangladesh, China, India, Malaysia, Maldives, and Viet Nam. (TW)

  4. Blood component use in a sub-Saharan African country: results of a 4-year evaluation of diagnoses associated with transfusion orders in Namibia.

    PubMed

    Pitman, John P; Wilkinson, Robert; Liu, Yang; von Finckenstein, Bjorn; Smit Sibinga, Cees Th; Lowrance, David W; Marfin, Anthony A; Postma, Maarten J; Mataranyika, Mary; Basavaraju, Sridhar V

    2015-01-01

    National blood use patterns in sub-Saharan Africa are poorly described. Although malaria and maternal hemorrhage remain important drivers of blood demand across Africa, economic growth and changes in malaria, HIV/AIDS, and noncommunicable disease epidemiology may contribute to changes in blood demand. We evaluated indications for blood use in Namibia, a country in southern Africa, using a nationally representative sample and discuss implications for the region. Clinical and demographic data related to the issuance of blood component units in Namibia were reviewed for a 4-year period (August 1, 2007-July 31, 2011). Variables included blood component type, recipient age and sex, and diagnosis. Diagnoses reported by clinicians were reclassified into International Statistical Classification of Diseases, 10th Revision categories. Multiple imputation methods were used to complete a data set missing age, sex or diagnosis data. Descriptive analyses were conducted to describe indications for transfusions and use of red blood cells (RBCs), platelets, and plasma. A total of 39,313 records accounting for 91,207 blood component units were analyzed. The median age of Namibian transfusion recipients was 45 years (SD, ±19). A total of 78,660 RBC units were issued in Namibia during the study period. Red blood cells transfused for "unspecified anemia" accounted for the single largest category of blood issued (24,798 units). Of the overall total, 38.9% were for diseases of the blood and blood-forming organs (D50-D89). Infectious disease (A00-B99), pregnancy (O00-O99), and gastrointestinal (K20-K93) accounted for 14.8%, 11.1%, and 6.1% of RBC units issued, respectively. Although a specific diagnosis of malaria accounted for only 2.7% of pediatric transfusions, an unknown number of additional transfusions for malaria may have been categorized by requesting physicians as unspecified anemia and counted under diseases of blood forming organs. During the study period, 9751 units of fresh-frozen plasma were issued. Nearly one-quarter of these units (23.1%) were issued for gastrointestinal (K20-K93) diagnoses. Malignant neoplasms (C00-C97) accounted for 38.1% of 2978 platelet units issued. Blood use in Namibia reflects changes in the health care system due to economic development, improvement in HIV/AIDS and malaria epidemiology, high rates of health care facility-based childbirth, and access to noncommunicable disease treatment. However, better documentation of the indications for transfusion is needed to confirm these observations. Changing patterns of health care will result in changing demands for blood components. Improved methods to evaluate blood use patterns in sub-Saharan Africa may help set realistic national blood collection goals. PMID:25573416

  5. The Politics of Universal Health Coverage in Low- and Middle-Income Countries: A Framework for Evaluation and Action.

    PubMed

    Fox, Ashley M; Reich, Michael R

    2015-10-01

    Universal health coverage has recently become a top item on the global health agenda pressed by multilateral and donor organizations, as disenchantment grows with vertical, disease-specific health programs. This increasing focus on universal health coverage has brought renewed attention to the role of domestic politics and the interaction between domestic and international relations in the health reform process. This article proposes a theory-based framework for analyzing the politics of health reform for universal health coverage, according to four stages in the policy cycle (agenda setting, design, adoption, and implementation) and four variables that affect reform (interests, institutions, ideas, and ideology). This framework can assist global health policy researchers, multilateral organization officials, and national policy makers in navigating the complex political waters of health reforms aimed at achieving universal health coverage. To derive the framework, we critically review the theoretical and applied literature on health policy reform in developing countries and illustrate the framework with examples of health reforms moving toward universal coverage in low- and middle-income countries. We offer a series of lessons stemming from these experiences to date. PMID:26195606

  6. Inequalities of Income and Inequalities of Longevity: A Cross-Country Study

    PubMed Central

    Plümper, Thomas

    2016-01-01

    Objectives. We examined the effects of market income inequality (income inequality before taxes and transfers) and income redistribution via taxes and transfers on inequality in longevity. Methods. We used life tables to compute Gini coefficients of longevity inequality for all individuals and for individuals who survived to at least 10 years of age. We regressed longevity inequality on market income inequality and income redistribution, and we controlled for potential confounders, in a cross-sectional time-series sample of up to 28 predominantly Western developed countries and up to 37 years (1974–2011). Results. Income inequality before taxes and transfers was positively associated with inequality in the number of years lived; income redistribution (the difference between market income inequality and income inequality after taxes and transfers were accounted for) was negatively associated with longevity inequality. Conclusions. To the extent that our estimated effects derived from observational data are causal, governments can reduce longevity inequality not only via public health policies, but also via their influence on market income inequality and the redistribution of incomes from the relatively rich to the relatively poor. PMID:26562120

  7. Centralized pan-Middle East Survey on the undertreatment of hypercholesterolemia: results from the CEPHEUS study in Arabian Gulf countries.

    PubMed

    Arafah, Mohamed; Al-Hinai, Ali T; Al Mahmeed, Wael; Al-Rasadi, Khalid; Al Tamimi, Omer; Al Herz, Shorook; Al Anazi, Faisal; Al Nemer, Khalid; Metwally, Othman; Alkhadra, Akram; Fakhry, Mohammed; Elghetany, Hossam; Medani, Abdel Razak; Yusufali, Afzal Hussein; Al Jassim, Obaid; Al Hallaq, Omar; Baslaib, Fahad Omar Ahmed S; Alawadhi, Mahmoud; Amin, Haitham; Al-Hashmi, Khamis; Shehab, Abdullah

    2014-11-01

    The Centralized pan-Middle East Survey on the undertreatment of hypercholesterolemia (CEPHEUS) survey evaluated the attainment of low-density lipoprotein cholesterol (LDL-C) goals among patients on lipid-lowering drugs (LLDs) according to the updated National Cholesterol Education Program (NCEP)-Adult Treatment Panel (ATP-III) guideline. The survey was conducted in 6 Arabian Gulf countries. Patients aged ?18 years on LLDs for at least ?3 months (stable medication for ?6 weeks) were recruited. Fasting blood samples were collected at a single visit. In this survey, 5276 (58.2% male) patients were included in the final analysis. The LDL-C goal was attained in 91.1% of low-risk, 52.7% of high-risk, and 32.0% in very-high-risk categories. Goal attainment was directly related to female gender, age<40 years, history of diabetes, and family history of cardiovascular disease. The results of this survey highlight the suboptimal management of hypercholesterolemia across Arabian Gulf countries. PMID:24301426

  8. SMS reminders to improve the tuberculosis cure rate in developing countries (TB-SMS Cameroon): a protocol of a randomised control study

    PubMed Central

    2014-01-01

    Background Tuberculosis is a public health problem in Cameroon, just like in many other countries in the world. The National Tuberculosis Control Programme (PNLT) put in place by the state, aims to fight tuberculosis through the implementation of international directives (Directly Observed Treatment Short, DOTS). Despite the deployment of this strategy across the world, its implementation is difficult in the context of low-resource countries. Some expected results are not achieved. In Cameroon, the cure rate for patients with sputum positive pulmonary tuberculosis (TPM+) after 6 months is only about 65%, 20% below the target. This is mainly due to poor patient adherence to treatment. By relying on the potential of mobile Health, the objective of this study is to evaluate the effect of SMS reminders on the cure rate of TPM?+?patients, measured using 6-month bacilloscopy. Methods/design This is a blinded, randomised controlled multicentre study carried out in Cameroon. The research hypothesis is that sending daily SMS messages to remind patients to take their prescribed tuberculosis medication, together with the standard DOTS strategy, will increase the cure rate from 65% (control group: DOTS, no SMS intervention) to 85% (intervention group: DOTS, with SMS intervention) in a group of new TPM?+?patients. In accordance with each treatment centre, the participants will be randomly allocated into the two groups using a computer program: the intervention group and the control group. A member of the research team will send daily SMS messages. Study data will be collected by health professionals involved in the care of patients. Data analysis will be done by the intention-to-treat method. Discussion The achieving of expected outcomes by the PNLT through implementation of DOTS requires several challenges. Although it has been demonstrated that the DOTS strategy is effective in the fight against tuberculosis, its application remains difficult in developing countries. This study explores the potential of mHealth to support DOTS strategy. It will gather new evidence on the effectiveness of mHealth-based interventions and SMS reminders in the improvement of treatment adherence and the cure rate of tuberculosis patients, especially in a low-resource country such as Cameroon. Trial registration The trial is registered on the Pan-African Clinical Trials Registry (http://www.pactr.org) under unique identification number: PACTR201307000583416. PMID:24460827

  9. The impact of socio-economic status on self-rated health: study of 29 countries using European social surveys (2002-2008).

    PubMed

    Alvarez-Galvez, Javier; Rodero-Cosano, Maria Luisa; Motrico, Emma; Salinas-Perez, Jose A; Garcia-Alonso, Carlos; Salvador-Carulla, Luis

    2013-03-01

    Studies show that the association between socio-economic status (SES) and self-rated health (SRH) varies in different countries, however there are not many country-comparisons that examine this relationship over time. The objective of the present study is to determine the effect of three SES measures on SRH in 29 countries according to findings in European Social Surveys (2002-2008), in order to study how socio-economic inequalities can vary our subjective state of health. In line with previous studies, income inequalities seem to be greater not only in Anglo-Saxon and Scandinavian countries, but especially in Eastern European countries. The impact of education is greater in Southern countries, and this effect is similar in Eastern and Scandinavian countries, although occupational status does not produce significant differences in southern countries. This study shows the general relevance of socio-educational factors on SRH. Individual economic conditions are obviously a basic factor contributing to a good state of health, but education could be even more relevant to preserve it. In this sense, policies should not only aim at reducing income inequalities, but should also further the education of people who are in risk of social exclusion. PMID:23439514

  10. Contemporary rhetorical trends and tensions in women's country music 

    E-print Network

    Haynes, Julie Ann

    1994-01-01

    randomly selected songs by women which reached number one on Billboard's "Country Singles" charts. Additionally, through the use of gender ideology criticism, the four most popular music videos of the 1990s sample are evaluated. The study revealed...

  11. EERE Guide for Managing General Program Evaluation Studies Appendix 1: Checklist for Managing a General Program Evaluation Study

    SciTech Connect

    2009-01-18

    This checklist for managing a general program evaluation study provides action items covering the following topics: initial planning; evaluation design and procurement; implementation of study; and using evaluation results.

  12. Community Health Workers and Health Care Delivery: Evaluation of a Women's Reproductive Health Care Project in a Developing Country

    PubMed Central

    Wajid, Abdul; White, Franklin; Karim, Mehtab S.

    2013-01-01

    Background As part of the mid-term evaluation of a Women's Health Care Project, a study was conducted to compare the utilization of maternal and neonatal health (MNH) services in two areas with different levels of service in Punjab, Pakistan. Methods A cross-sectional survey was conducted to interview Married Women of Reproductive Age (MWRA). Information was collected on MWRA knowledge regarding danger signs during pregnancy, delivery, postnatal periods, and MNH care seeking behavior. After comparing MNH service utilization, the two areas were compared using a logistic regression model, to identify the association of different factors with the intervention after controlling for socio-demographic, economic factors and distance of the MWRA residence to a health care facility. Results The demographic characteristics of women in the two areas were similar, although socioeconomic status as indicated by level of education and better household amenities, was higher in the intervention area. Consequently, on univariate analysis, utilization of MNH services: antenatal care, TT vaccination, institutional delivery and use of modern contraceptives were higher in the intervention than control area. Nonetheless, multivariable analysis controlling for confounders such as socioeconomic status revealed that utilization of antenatal care services at health centers and TT vaccination during pregnancy are significantly associated with the intervention. Conclusions Our findings suggest positive changes in health care seeking behavior of women and families with respect to MNH. Some aspects of care still require attention, such as knowledge about danger signs and neonatal care, especially umbilical cord care. Despite overall success achieved so far in response to the Millennium Development Goals, over the past two decades decreases in maternal mortality are far from the 2015 target. This report identifies some of the key factors to improving MNH and serves as an interim measure of a national and global challenge that remains a work in progress. PMID:24086541

  13. Breast-Milk Substitutes: A New Old-Threat for Breastfeeding Policy in Developing Countries. A Case Study in a Traditionally High Breastfeeding Country

    PubMed Central

    Barennes, Hubert; Empis, Gwenaelle; Quang, Thao Duong; Sengkhamyong, Khouanheuan; Phasavath, Phonethepa; Harimanana, Aina; Sambany, Emercia M.; Koffi, Paulin N.

    2012-01-01

    Background Developing countries with traditionally breastfeeding are now experiencing the increasing pressure of formula milk marketing. This may endanger lives and undermine the efforts of national policies in achieving the objectives of the Millennium Development Goals. We examined the use of, and factors for use, of all available breast-milk substitutes (BMS) in a country with a traditionally high rate of breastfeeding. Methods Randomised multi-stage sampling surveys in 90 villages in 12/17 provinces in Laos. Participants: 1057 mothers with infants under 24 months of age. Tools: 50-query questionnaire and a poster of 22 BMS (8 canned or powdered milk; 6 non-dairy; 6 formulas; 2 non-formulas). Outcome measures included: prevalence of use and age of starting BMS in relation to socio-demographic characteristics and information sources, by univariate and multivariate analyses. Results Of 1057 mothers: 72.5% currently breastfed; 25.4% gave BMS (10.6% infant formula); 19.6% gave BMS before 6 months of age (of them: 83% non-dairy or cereals; mean age: 2.9 months; 95% Confidence interval: 2.6–3.2). One formula and one non-formula product accounted for 85% of BMS. BMS were considered as milk by the majority of mothers. Thai TV was the main source of information on BMS for mothers. Lao Loum mothers (the main ethnic group) living in concrete houses with good sanitary conditions, were more likely than others to use BMS before 6 months (OR: 1.79, (1.15–2.78), p<0.009). Mothers who fed their infants colostrum at birth were less likely to use BMS before 6 months of age (OR: 0.63, (0.41–0.99), p?=?0.04). Unemployed mothers living in rural areas were less likely to consider BMS better than breast milk. Conclusion In Laos, mothers with the highest socio-economic status are showing a tendency to give up breastfeeding. Successful educational strategies and advocacy measures should be urgently developed to promote and sustain breastfeeding in developing countries. PMID:22347392

  14. Project identification and evaluation techniques for transportation infrastructure : assessing their role in metropolitan areas of developing countries

    E-print Network

    Kumar, Vimal, S.M. Massachusetts Institute of Technology

    2009-01-01

    Project identification and evaluation of transportation infrastructure play a vital role in shaping and sustaining the forms of cities all over the world. These cities differ substantially in character and urban form and ...

  15. Regionalised spatiotemporal rainfall and temperature models for flood studies in the Basque Country, Spain

    NASA Astrophysics Data System (ADS)

    Cowpertwait, P.; Ocio, D.; Collazos, G.; de Cos, O.; Stocker, C.

    2012-09-01

    A spatial-temporal point process model of rainfall is fitted to data taken from three homogeneous regions in the Basque Country, Spain. The model is the superposition of two spatial-temporal Neyman-Scott processes, in which rain cells are modelled as discs with radii that follow exponential distributions. In addition, the model includes a parameter for the radius of storm discs, so that rain only occurs when both a cell and a storm disc overlap a point. The model is fitted to data for each month, taken from each of the three homogeneous regions, using a modified method of moments procedure that ensures a smooth seasonal variation in the parameter estimates. Daily temperature data from twenty three sites are used to fit a stochastic temperature model. A principal component analysis of the maximum daily temperatures across the sites indicates that 92% of the variance is explained by the first component, implying that this component can be used to account for spatial variation. A harmonic equation with autoregressive error terms is fitted to the first principal component. The temperature model is obtained by regressing the maximum daily temperature on the first principal component, an indicator variable for the region, and altitude. This, together with scaling and a regression model of temperature range, enables hourly temperatures to be predicted. Rainfall is included as an explanatory variable but has only a marginal influence when predicting temperatures. A distributed model (TETIS; Francés et al., 2007) is calibrated for a selected catchment. Five hundred years of data are simulated using the rainfall and temperature models and used as input to the calibrated TETIS model to obtain simulated discharges to compare with observed discharges. Kolmogorov-Smirnov tests indicate that there is no significant difference in the distributions of observed and simulated maximum flows at the same sites, thus supporting the use of the spatiotemporal models for the intended application.

  16. Regionalised spatiotemporal rainfall and temperature models for flood studies in the Basque Country, Spain

    NASA Astrophysics Data System (ADS)

    Cowpertwait, P.; Ocio, D.; Collazos, G.; de Cos, O.; Stocker, C.

    2013-02-01

    A spatiotemporal point process model of rainfall is fitted to data taken from three homogeneous regions in the Basque Country, Spain. The model is the superposition of two spatiotemporal Neyman-Scott processes, in which rain cells are modelled as discs with radii that follow exponential distributions. In addition, the model includes a parameter for the radius of storm discs, so that rain only occurs when both a cell and a storm disc overlap a point. The model is fitted to data for each month, taken from each of the three homogeneous regions, using a modified method of moments procedure that ensures a smooth seasonal variation in the parameter estimates. Daily temperature data from 23 sites are used to fit a stochastic temperature model. A principal component analysis of the maximum daily temperatures across the sites indicates that 92% of the variance is explained by the first component, implying that this component can be used to account for spatial variation. A harmonic equation with autoregressive error terms is fitted to the first principal component. The temperature model is obtained by regressing the maximum daily temperature on the first principal component, an indicator variable for the region, and altitude. This, together with scaling and a regression model of temperature range, enables hourly temperatures to be predicted. Rainfall is included as an explanatory variable but has only a marginal influence when predicting temperatures. A distributed model (TETIS; Francés et al., 2007) is calibrated for a selected catchment. Five hundred years of data are simulated using the rainfall and temperature models and used as input to the calibrated TETIS model to obtain simulated discharges to compare with observed discharges. Kolmogorov-Smirnov tests indicate that there is no significant difference in the distributions of observed and simulated maximum flows at the same sites, thus supporting the use of the spatiotemporal models for the intended application.

  17. Carbon emissions and sequestration in forests: Case studies from seven developing countries

    SciTech Connect

    Makundi, W.; Sathaye, J. ); Fearnside, P.M. , Manaus, AM . Departmento de Ecologia)

    1992-08-01

    Deforestation in Brazilian Amazonia in 1990 was releasing approximately 281--282 X 10{sup 6} metric tons (MT) of carbon on conversion to a landscape of agriculture, productive pasture, degraded pasture, secondary forest and regenerated forest in the proportions corresponding to the equilibrium condition implied by current land-use patterns. Emissions are expressed as committed carbon,'' or the carbon released over a period of years as the carbon stock in each hectare deforested approaches a new equilibrium in the landscape that replaces the original forest. To the extent that deforestation rates have remained constant, current releases from the areas deforested in previous years will be equal to the future releases from the areas being cleared now. Considering the quantities of carbon dioxide, carbon monoxide, methane, nitrous oxide, NO{sub x} and non-methane hydrocarbons released raises the impact by 22--37%. The relative impact on the greenhouse effect of each gas is based on the Intergovernmental Panel on Climate Change (IPCC) calculations over a 20-year time period (including indirect effects). The six gases considered have a combined global warming impact equivalent to 343 to 386 million MT of C0{sub 2}-equivalent carbon, depending on assumptions regarding the release of methane and other gases from the various sources such as burning and termites. These emissions represent 7--8 times the 50 million MT annual carbon release from Brazil's use of fossil fuels, but bring little benefit to the country. Stopping deforestation in Brazil would prevent as much greenhouse emission as tripling the fuel efficiency of all the automobiles in the world. The relatively cheap measures needed to contain deforestation, together with the many complementary benefits of doing so, make this the first priority for funds intended to slow global warming.

  18. State of Play of the Bologna Process in the Tempus Countries of the Southern Mediterranean (2009/2010). A Tempus Study. Issue 03

    ERIC Educational Resources Information Center

    Ruffio, Philippe; Heinamaki, Piia; Tchoukaline, Claire Chastang

    2010-01-01

    The objective of this study is to describe and map the current state of play of the Bologna Process in the nine countries of the Southern Mediterranean participating in the Tempus programme. For the last twenty years, the Tempus programme has supported the modernisation of higher education systems in countries neighbouring the EU by financing…

  19. Comparative Study: Impact of Family, School, and Students Factors on Students Achievements in Reading in Developed (Estonia) and Developing (Azerbaijan) Countries

    ERIC Educational Resources Information Center

    Shukakidze, Berika

    2013-01-01

    The work is based on PISA 2009 International Assessment Study. Two counties were selected: a developed country, Estonia and a developing country, Azerbaijan. The following Datum was used for statistical analysis: students average scores in reading (162 schools, 4 600 students from Azerbaijan; 17 schools, 4 923 students from Estonia). The work is…

  20. Evaluating the value proposition for improving vaccine thermostability to increase vaccine impact in low and middle-income countries.

    PubMed

    Karp, Christopher L; Lans, Deborah; Esparza, José; Edson, Eleanore B; Owen, Katey E; Wilson, Christopher B; Heaton, Penny M; Levine, Orin S; Rao, Raja

    2015-07-01

    The need to keep vaccines cold in the face of high ambient temperatures and unreliable access to electricity is a challenge that limits vaccine coverage in low and middle-income countries (LMICs). Greater vaccine thermostability is generally touted as the obvious solution. Despite conventional wisdom, comprehensive analysis of the value proposition for increasing vaccine thermostability has been lacking. Further, while significant investments have been made in increasing vaccine thermostability in recent years, no vaccine products have been commercialized as a result. We analyzed the value proposition for increasing vaccine thermostability, grounding the analysis in specific vaccine use cases (e.g., use in routine immunization [RI] programs, or in campaigns) and in the broader context of cold chain technology and country level supply chain system design. The results were often surprising. For example, cold chain costs actually represent a relatively small fraction of total vaccine delivery system costs. Further, there are critical, vaccine use case-specific temporal thresholds that need to be overcome for significant benefits to be reaped from increasing vaccine thermostability. We present a number of recommendations deriving from this analysis that suggest a rational path toward unlocking the value (maximizing coverage, minimizing total system costs) of increased vaccine thermostability, including: (1) the full range of thermostability of existing vaccines should be defined and included in their labels; (2) for new vaccines, thermostability goals should be addressed up-front at the level of the target product profile; (3) improving cold chain infrastructure and supply chain system design is likely to have the largest impact on total system costs and coverage in the short term-and will influence the degree of thermostability required in the future; (4) in the long term, there remains value in monitoring the emergence of disruptive technologies that could remove the entire RI portfolio out of the cold chain. PMID:26055297

  1. Ground motion input in seismic evaluation studies

    SciTech Connect

    Sewell, R.T.; Wu, S.C.

    1996-07-01

    This report documents research pertaining to conservatism and variability in seismic risk estimates. Specifically, it examines whether or not artificial motions produce unrealistic evaluation demands, i.e., demands significantly inconsistent with those expected from real earthquake motions. To study these issues, two types of artificial motions are considered: (a) motions with smooth response spectra, and (b) motions with realistic variations in spectral amplitude across vibration frequency. For both types of artificial motion, time histories are generated to match target spectral shapes. For comparison, empirical motions representative of those that might result from strong earthquakes in the Eastern U.S. are also considered. The study findings suggest that artificial motions resulting from typical simulation approaches (aimed at matching a given target spectrum) are generally adequate and appropriate in representing the peak-response demands that may be induced in linear structures and equipment responding to real earthquake motions. Also, given similar input Fourier energies at high-frequencies, levels of input Fourier energy at low frequencies observed for artificial motions are substantially similar to those levels noted in real earthquake motions. In addition, the study reveals specific problems resulting from the application of Western U.S. type motions for seismic evaluation of Eastern U.S. nuclear power plants.

  2. Preventing renal and cardiovascular risk by renal function assessment: insights from a cross-sectional study in low-income countries and the USA

    PubMed Central

    Cravedi, Paolo; Sharma, Sanjib Kumar; Bravo, Rodolfo Flores; Islam, Nazmul; Tchokhonelidze, Irma; Ghimire, Madhav; Pahari, Bishnu; Thapa, Sanjeev; Basnet, Anil; Tataradze, Avtandil; Tinatin, Davitaia; Beglarishvili, Lela; Fwu, Chyng-Wen; Kopp, Jeffrey B; Eggers, Paul; Ene-Iordache, Bogdan; Carminati, Sergio; Perna, Annalisa; Chianca, Antonietta; Couser, William G; Remuzzi, Giuseppe; Perico, Norberto

    2012-01-01

    Objective To assess the prevalence of microalbuminuria and kidney dysfunction in low-income countries and in the USA. Design Cross-sectional study of screening programmes in five countries. Setting Screening programmes in Nepal, Bolivia, the USA (National Health and Nutrition Examination Survey (NHANES) 2005–2008) Bangladesh and Georgia. Participants General population in Nepal (n=20?811), Bolivia (n=3436) and in the USA (n=4299) and high-risk subjects in Bangladesh (n=1518) and Georgia (n=1549). Primary and secondary outcome measures Estimated glomerular filtration rate (eGFR)<60ml/min/1.73?m2 and microalbuminuria (defined as urinary albumin creatinine ratio values of 30–300?mg/g) were the main outcome measures. The cardiovascular (CV) risk was also evaluated on the basis of demographic, clinical and blood data. Results The prevalence of eGFR<60ml/min/1.73?m2 was 19%, 3.2% and 7% in Nepal, Bolivia and the USA, respectively. In Nepal, 7% of subjects were microalbuminuric compared to 8.6% in the USA. The prevalence of participants with predicted 10-year CV disease (CVD) risk ?10% was 16.9%, 9.4% and 17% in Nepal, Bolivia and in the USA, respectively. In Bangladesh and Georgia, subjects with eGFR<60?ml/min/1.73?m2 were 8.6% and 4.9%, whereas those with microalbuminuria were 45.4% and 56.5%, respectively. Predicted 10-year CVD risk ?10% was 25.4% and 25% in Bangladesh and Georgia, respectively. Conclusions Renal abnormalities are common among low-income countries and in the USA. Prevention programmes, particularly focused on those with renal abnormalities, should be established worldwide to prevent CVD and progression to end-stage renal disease. PMID:23002161

  3. [An epidemiologic study of health care seeking behavior of children under 5 years of age by sex in developing countries].

    PubMed

    Tursz, A; Crost, M

    1999-10-01

    Since the end of the 1970's, excess mortality among girls, from the end of the neonatal period until the age of 4 years, has been observed in some South Asian countries. Explanatory hypotheses for this situation have in fact noted differences by sex in food allocation and in care during illness. In some North African and sub-Saharan countries in Africa, mortality data suggest the same type of phenomenon, but less reliable statistics and a lack of data analysis by sex on use of health services does not really allow clarification of the problem. The objective of this study was to analyse health seeking behaviour by sex and to identify explanatory factors for any differences found. A cross sectional study of 1560 consultations of under-5 children was carried out in 6 university and regional hospitals in 3 African countries: Algeria (the zones of Aïn Taya and Tigzirt); Togo (the zones of Lomé, Atakpamé and Kara) and the Congo (Brazzaville). Results confirm the existence of discrimination against girls. In ways which vary according to zones, and in comparison to boys, observations of girls show: under-representation among outpatients (29% in Tigzirt, 40% in Kara), especially when they have many siblings, of which some are sisters; longer duration of the development of symptoms before first resort (leading to increased severity of symptoms); less investment in health care; detrimental feeding practices. Higher SES of the father plays a favourable role, especially for girls, and children of both sexes benefit when the mother has a good educational level. The large regional differences demonstrate the complex interaction among explanatory factors: rurality, problems of access to the hospital, low economic level, low social status of women. This research opens the way so that, in Africa, research will no longer be carried out on health seeking behaviour and utilisation of health services without examining separately the situation of boys and girls, and analysing the possible causes of any differences. PMID:10575716

  4. Low Cloud Cover-Adjusted Ultraviolet B Irradiance Is Associated with High Incidence Rates of Leukemia: Study of 172 Countries

    PubMed Central

    2015-01-01

    There are 52,380 cases of leukemia and 24,090 deaths from it in the US annually. Its causes are unknown and no preventive strategies have been implemented. We hypothesized that leukemia is due mainly to vitamin D deficiency, which is due mainly to low solar ultraviolet B (UVB) irradiance. To test this hypothesis, we estimated age-standardized cloud-cover-adjusted winter UVB irradiance using cloud cover data from the International Satellite Cloud Climatology Project, latitudes of population centroids, and standard astronomical calculations. Incidence rates for 172 countries, available from the International Agency for Cancer Research, were plotted according to cloud-adjusted UVB irradiance. We used multiple regression to account for national differences in elevation and average life expectancy. Leukemia incidence rates were inversely associated with cloud-adjusted UVB irradiance in males (p ? 0.01) and females (p ? 0.01) in both hemispheres. There were few departures from the trend line, which was parabolic when plotted with the equator at the center of the display, northern hemisphere countries on the right side and southern hemisphere countries on the left. The bivariate association displayed by the polynomial trend line indicated that populations at higher latitudes had at least two times the risk of leukemia compared to equatorial populations. The association persisted in males (p ? 0.05) and females (p ? 0.01) after controlling for elevation and life expectancy. Incidence rates of leukemia were inversely associated with solar UVB irradiance. It is plausible that the association is due to vitamin D deficiency. This would be consistent with laboratory studies and a previous epidemiological study. Consideration should be given to prudent use of vitamin D for prevention of leukemia. PMID:26637119

  5. Alcohol attributable burden of incidence of cancer in eight European countries based on results from prospective cohort study

    PubMed Central

    2011-01-01

    Objective To compute the burden of cancer attributable to current and former alcohol consumption in eight European countries based on direct relative risk estimates from a cohort study. Design Combination of prospective cohort study with representative population based data on alcohol exposure. Setting Eight countries (France, Italy, Spain, United Kingdom, the Netherlands, Greece, Germany, Denmark) participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Participants 109?118 men and 254?870 women, mainly aged 37-70. Main outcome measures Hazard rate ratios expressing the relative risk of cancer incidence for former and current alcohol consumption among EPIC participants. Hazard rate ratios combined with representative information on alcohol consumption to calculate alcohol attributable fractions of causally related cancers by country and sex. Partial alcohol attributable fractions for consumption higher than the recommended upper limit (two drinks a day for men with about 24 g alcohol, one for women with about 12 g alcohol) and the estimated total annual number of cases of alcohol attributable cancer. Results If we assume causality, among men and women, 10% (95% confidence interval 7 to 13%) and 3% (1 to 5%) of the incidence of total cancer was attributable to former and current alcohol consumption in the selected European countries. For selected cancers the figures were 44% (31 to 56%) and 25% (5 to 46%) for upper aerodigestive tract, 33% (11 to 54%) and 18% (?3 to 38%) for liver, 17% (10 to 25%) and 4% (?1 to 10%) for colorectal cancer for men and women, respectively, and 5.0% (2 to 8%) for female breast cancer. A substantial part of the alcohol attributable fraction in 2008 was associated with alcohol consumption higher than the recommended upper limit: 33?037 of 178?578 alcohol related cancer cases in men and 17?470 of 397?043 alcohol related cases in women. Conclusions In western Europe, an important proportion of cases of cancer can be attributable to alcohol consumption, especially consumption higher than the recommended upper limits. These data support current political efforts to reduce or to abstain from alcohol consumption to reduce the incidence of cancer. PMID:21474525

  6. Evaluation of BRCA1 and BRCA2 mutations and risk-prediction models in a typical Asian country (Malaysia) with a relatively low incidence of breast cancer

    PubMed Central

    Thirthagiri, E; Lee, SY; Kang, P; Lee, DS; Toh, GT; Selamat, S; Yoon, S-Y; Taib, NA Mohd; Thong, MK; Yip, CH; Teo, SH

    2008-01-01

    Introduction The cost of genetic testing and the limited knowledge about the BRCA1 and BRCA2 genes in different ethnic groups has limited its availability in medium- and low-resource countries, including Malaysia. In addition, the applicability of many risk-assessment tools, such as the Manchester Scoring System and BOADICEA (Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm) which were developed based on mutation rates observed primarily in Caucasian populations using data from multiplex families, and in populations where the rate of breast cancer is higher, has not been widely tested in Asia or in Asians living elsewhere. Here, we report the results of genetic testing for mutations in the BRCA1 or BRCA2 genes in a series of families with breast cancer in the multi-ethnic population (Malay, Chinese and Indian) of Malaysia. Method A total of 187 breast cancer patients with either early-onset breast cancer (at age ? 40 years) or a personal and/or family history of breast or ovarian cancer were comprehensively tested by full sequencing of both BRCA1 and BRCA2. Two algorithms to predict the presence of mutations, the Manchester Scoring System and BOADICEA, were evaluated. Results Twenty-seven deleterious mutations were detected (14 in BRCA1 and 13 in BRCA2), only one of which was found in two unrelated individuals (BRCA2 490 delCT). In addition, 47 variants of uncertain clinical significance were identified (16 in BRCA1 and 31 in BRCA2). Notably, many mutations are novel (13 of the 30 BRCA1 mutations and 24 of the 44 BRCA2). We report that while there were an equal proportion of BRCA1 and BRCA2 mutations in the Chinese population in our study, there were significantly more BRCA2 mutations among the Malays. In addition, we show that the predictive power of the BOADICEA risk-prediction model and the Manchester Scoring System was significantly better for BRCA1 than BRCA2, but that the overall sensitivity, specificity and positive-predictive value was lower in this population than has been previously reported in Caucasian populations. Conclusion Our study underscores the need for larger collaborative studies among non-Caucasian populations to validate the role of genetic testing and the use of risk-prediction models in ensuring that the other populations in the world may also benefit from the genomics and genetics era. PMID:18627636

  7. Moral Education in Asia. Report of a Joint Study on Moral Education in Asian Countries.

    ERIC Educational Resources Information Center

    National Inst. for Educational Research, Tokyo (Japan).

    This report presents findings from a regional study by 16 Asian nations on the status of moral education in the Asian region. The objectives of the study were to compile a state of the art report on moral education and to suggest ways in which moral development can keep pace with technological development. The document is presented in four…

  8. Mobile Phone Use in a Developing Country: A Malaysian Empirical Study

    ERIC Educational Resources Information Center

    Yeow, Paul H. P.; Yen Yuen, Yee; Connolly, Regina

    2008-01-01

    This study examined the factors that influence consumer satisfaction with mobile telephone use in Malaysia. The validity of the study's constructs, criterion, and content was confirmed. Construct validity was verified through the factor analysis with a total variance of 73.72 percent explained by all six independent factors. Content validity was…

  9. Study in the Netherlands: Small Countries Have To Be Smarter. General Edition.

    ERIC Educational Resources Information Center

    Netherlands Organisation for International Cooperation in Higher Education, The Hague.

    This booklet describes opportunities for higher education study in the Netherlands along with information, addresses, and practical tips for foreign students who are considering taking a course or earning a degree at a Dutch institution of higher education. Six sections cover: (1) the rewards of the investment in study abroad; (2) background on…

  10. Population Growth and Economic Development: Lessons from Selected Asian Countries. Policy Development Studies, Number 10.

    ERIC Educational Resources Information Center

    Mason, Andrew; And Others

    The major findings of a research project on the relationship between population growth and economic development are summarized in this monograph. The study compares recent demographic and economic trends in Japan, Korea, Thailand, and Indonesia to worldwide experience as described by an econometric model of population and development. The study

  11. Collecting Panel Data in Developing Countries: Does It Make Sense? Living Standards Measurement Study Working Paper No. 23.

    ERIC Educational Resources Information Center

    Ashenfelter, Orley; And Others

    There is no difference in principle between developing and developed countries in deciding whether it is desirable to collect panel data. However, there are many relevant circumstantial differences in developing countries. A number of aspects of the collection and use of panel data from developing country households are reviewed. Sampling issues…

  12. State of Play of the Bologna Process in the Tempus Countries (2009-2010). A Tempus Study. Issue 02

    ERIC Educational Resources Information Center

    Ruffio, Philippe; Heinamaki, Piia; Tchoukaline, Claire Chastang

    2010-01-01

    Since the beginning of the 2000s, the Bologna Process has expanded from the European Union towards the neighbouring countries and the Bologna Declaration has by now been signed by 47 countries. In addition, an increasing number of countries have shown their interest in the process by implementing most of its recommendations and tools on a…

  13. The aim and participation of scientific tourism in evaluation, recognition and widening of the country's historical and cultural heritage

    NASA Astrophysics Data System (ADS)

    Tashchyan, Davit

    2015-07-01

    Though the phenomenon of scientific tourism is widely spread in the USA and Europe, it is a new branch in Armenian tourism. The aim of the scientific tourism is to establish relationship between the tourist and the scientist, without the tourist having any material interest. The main aim is to involve the tourist in the scientific works, giving him a chance to be a part of the expedition. One of the main goals is also to involve the local tourist in the exploration of the historical and cultural heritage. It is important to mention that besides having the chance to take part in the scientific exploration, they also enjoy the time. It gives an opportunity to make the relation between the tourist and the scientist more strengthen, and let them partnering for future. The scientific tourism gives the scientist an opportunity to get new volunteers to make it wide known for the society. What refers to a tourist it is a good chance for him to be a part of a scientific exploration, to satisfy his own interest, to get new knowledge, and take part in the development of his own country.

  14. Psychosocial interventions for disruptive behavioural problems in children living in low- and middle-income countries: study protocol of a systematic review

    PubMed Central

    Burkey, Matthew D; Hosein, Megan; Purgato, Marianna; Morton, Isabella

    2015-01-01

    Introduction Disruptive behaviour disorders (DBDs) are among the most common forms of child psychopathology and have serious long-term academic, social, and mental health consequences worldwide. Psychosocial treatments are the first line of evidence-based treatments for DBDs, yet their effectiveness often varies according to patient sociodemographic characteristics, practice setting, and implementation procedures. While a large majority of the world's children live in low- and middle-income countries (LMIC), most studies have evaluated psychosocial treatments for DBDs in high-income Anglo countries. Methods and analysis The primary objective of this systematic review is to assess the effects of psychosocial treatments for DBDs in children and adolescents (under age 18) diagnosed with oppositional defiant disorder, conduct disorder, or other disruptive behavioural problems living in LMIC. The secondary objectives are to: (1) describe the range and types of psychosocial treatments used to address DBDs in LMIC and (2) identify key dissemination and implementation factors (adaptation processes, training/supervision processes, and financial costs). All controlled trials comparing psychosocial treatments versus waiting list, no treatment, or treatment as usual in children living in LMIC will be included. Studies will be identified using the methods outlined in the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines without restrictions on language, publication type, status, or date of publication. The primary outcome measures will be disruptive behavioural problems (eg, oppositionality, defiance, aggression or deceit). Secondary outcomes will be positive mental health outcomes (eg, prosocial behaviour), function impairment, institutionalisation (or hospitalisation), academic outcomes and caregiver outcomes. Ethics and dissemination This study uses data from published studies; therefore ethical review is not required. Findings will be presented in a published manuscript. Trial registration number PROSPERO CRD42014015334. PMID:25995239

  15. Forecasting deforestation and carbon emissions in tropical developing countries facing demographic expansion: a case study in Madagascar.

    PubMed

    Vieilledent, Ghislain; Grinand, Clovis; Vaudry, Romuald

    2013-06-01

    Anthropogenic deforestation in tropical countries is responsible for a significant part of global carbon dioxide emissions in the atmosphere. To plan efficient climate change mitigation programs (such as REDD+, Reducing Emissions from Deforestation and forest Degradation), reliable forecasts of deforestation and carbon dioxide emissions are necessary. Although population density has been recognized as a key factor in tropical deforestation, current methods of prediction do not allow the population explosion that is occurring in many tropical developing countries to be taken into account. Here, we propose an innovative approach using novel computational and statistical tools, including R/GRASS scripts and the new phcfM R package, to model the intensity and location of deforestation including the effect of population density. We used the model to forecast anthropogenic deforestation and carbon dioxide emissions in five large study areas in the humid and spiny-dry forests of Madagascar. Using our approach, we were able to demonstrate that the current rapid population growth in Madagascar (+3.39% per year) will significantly increase the intensity of deforestation by 2030 (up to +1.17% per year in densely populated areas). We estimated the carbon dioxide emissions associated with the loss of aboveground biomass to be of 2.24 and 0.26 tons per hectare and per year in the humid and spiny-dry forest, respectively. Our models showed better predictive ability than previous deforestation models (the figure of merit ranged from 10 to 23). We recommend this approach to reduce the uncertainty associated with deforestation forecasts. We also underline the risk of an increase in the speed of deforestation in the short term in tropical developing countries undergoing rapid population expansion. PMID:23789079

  16. Forecasting deforestation and carbon emissions in tropical developing countries facing demographic expansion: a case study in Madagascar

    PubMed Central

    Vieilledent, Ghislain; Grinand, Clovis; Vaudry, Romuald

    2013-01-01

    Anthropogenic deforestation in tropical countries is responsible for a significant part of global carbon dioxide emissions in the atmosphere. To plan efficient climate change mitigation programs (such as REDD+, Reducing Emissions from Deforestation and forest Degradation), reliable forecasts of deforestation and carbon dioxide emissions are necessary. Although population density has been recognized as a key factor in tropical deforestation, current methods of prediction do not allow the population explosion that is occurring in many tropical developing countries to be taken into account. Here, we propose an innovative approach using novel computational and statistical tools, including R/GRASS scripts and the new phcfM R package, to model the intensity and location of deforestation including the effect of population density. We used the model to forecast anthropogenic deforestation and carbon dioxide emissions in five large study areas in the humid and spiny-dry forests of Madagascar. Using our approach, we were able to demonstrate that the current rapid population growth in Madagascar (+3.39% per year) will significantly increase the intensity of deforestation by 2030 (up to +1.17% per year in densely populated areas). We estimated the carbon dioxide emissions associated with the loss of aboveground biomass to be of 2.24 and 0.26 tons per hectare and per year in the humid and spiny-dry forest, respectively. Our models showed better predictive ability than previous deforestation models (the figure of merit ranged from 10 to 23). We recommend this approach to reduce the uncertainty associated with deforestation forecasts. We also underline the risk of an increase in the speed of deforestation in the short term in tropical developing countries undergoing rapid population expansion. PMID:23789079

  17. Prospective cohort study with active surveillance for fever in four dengue endemic countries in Latin America.

    PubMed

    Dayan, Gustavo; Arredondo, Jose L; Carrasquilla, Gabriel; Deseda, Carmen C; Dietze, Reynaldo; Luz, Kleber; Costa, Maria Selma N; Cunha, Rivaldo V; Rey, Luis C; Morales, Javier; Reynales, Humberto; Miranda, Maria; Zambrano, Betzana; Rivas, Enrique; Garbes, Pedro; Noriega, Fernando

    2015-07-01

    To prepare for a Phase III dengue vaccine efficacy trial, 20 investigational sites were selected for this observational study to identify dengue infections in a closed cohort (N = 3,000 children 9-16 years of age). Of 255 acute febrile episodes experienced by 235 children, 50 (21.3%) were considered serologically probable dengue, and 18 (7.7%) were considered virologically confirmed (i.e., dengue NS1 antigen positive) dengue cases. Considering the disease-free and at-risk period from study start to onset of symptoms, the overall incidence density of acute febrile episodes was 17.7 per 100 person-years of follow-up, ranging from 15.3 in Colombia to 22.0 in Puerto Rico. This study showed that all sites were capable of capturing and following up acute febrile episodes within a specific timeframe among the established cohort and to detect dengue cases. PMID:26013373

  18. Viral Hemorrhagic Fever Cases in the Country of Georgia: Acute Febrile Illness Surveillance Study Results

    PubMed Central

    Kuchuloria, Tinatin; Imnadze, Paata; Chokheli, Maiko; Tsertsvadze, Tengiz; Endeladze, Marina; Mshvidobadze, Ketevan; Clark, Danielle V.; Bautista, Christian T.; Fadeel, Moustafa Abdel; Pimentel, Guillermo; House, Brent; Hepburn, Matthew J.; Wölfel, Silke; Wölfel, Roman; Rivard, Robert G.

    2014-01-01

    Minimal information is available on the incidence of Crimean–Congo hemorrhagic fever (CCHF) virus and hantavirus infections in Georgia. From 2008 to 2011, 537 patients with fever ? 38°C for ? 48 hours without a diagnosis were enrolled into a sentinel surveillance study to investigate the incidence of nine pathogens, including CCHF virus and hantavirus. Of 14 patients with a hemorrhagic fever syndrome, 3 patients tested positive for CCHF virus immunoglobulin M (IgM) antibodies. Two of the patients enrolled in the study had acute renal failure. These 2 of 537 enrolled patients were the only patients in the study positive for hantavirus IgM antibodies. These results suggest that CCHF virus and hantavirus are contributing causes of acute febrile syndromes of infectious origin in Georgia. These findings support introduction of critical diagnostic approaches and confirm the need for additional surveillance in Georgia. PMID:24891463

  19. Health Workforce Development: A Needs Assessment Study in French Speaking African Countries

    ERIC Educational Resources Information Center

    Chastonay, Philippe; Moretti, Roberto; Zesiger, Veronique; Cremaschini, Marco; Bailey, Rebecca; Pariyo, George; Kabengele, Emmanuel Mpinga

    2013-01-01

    In 2006, WHO alerted the world to a global health workforce crisis, demonstrated through critical shortages of health workers, primarily in Sub-Saharan Africa (WHO in World Health Report, 2006). The objective of our study was to assess, in a participative way, the educational needs for public health and health workforce development among potential…

  20. Chile's High Growth Economy: Poverty and Income Distribution, 1987-1998. A World Bank Country Study.

    ERIC Educational Resources Information Center

    World Bank, Washington, DC.

    Chile has an outstanding record in reducing poverty, having cut the poverty rate in half in the 11 years ended 1998. Poverty is a multi-dimensional concept, including both income and access to social services and education, as well as such intangibles as empowerment and social capital. This study presents a quantitative assessment of "deficits" in…

  1. Changes in HRM in Europe: A Longitudinal Comparative Study among 18 European Countries

    ERIC Educational Resources Information Center

    Nikandrou, Irene; Apospori, Eleni; Papalexandris, Nancy

    2005-01-01

    Purpose: To examine HRM strategies and practices and HRM position within organizations in various cultural, economic and sociopolitical contexts from a longitudinal perspective. Design/methodology/approach: The study uses the 1995 and 1999 Cranet data in a longitudinal methodological framework to explore the changes and trends in 18 European…

  2. Seven HSS students visited nine countries with faculty this summer studying various subject

    E-print Network

    Kunkle, Tom

    of Humanities and Social Sciences' (HSS) Dean's Excellence Fund supports students with high in a variety of majors within the School of Humanities and Social Sciences. A total of $9,000 was awarded to students in the 2014-15 academic year. Students used funds to travel for study abroad and internship

  3. Development Education and Engineering: A Framework for Incorporating Reality of Developing Countries into Engineering Studies

    ERIC Educational Resources Information Center

    Perez-Foguet, A.; Oliete-Josa, S.; Saz-Carranza, A.

    2005-01-01

    Purpose: To show the key points of a development education program for engineering studies fitted within the framework of the human development paradigm. Design/methodology/approach: The bases of the concept of technology for human development are presented, and the relationship with development education analysed. Special attention is dedicated…

  4. National Cultures, Performance Appraisal Practices, and Organizational Absenteeism and Turnover: A Study across 21 Countries

    ERIC Educational Resources Information Center

    Peretz, Hilla; Fried, Yitzhak

    2012-01-01

    Performance appraisal (PA) is a key human resource activity in organizations. However, in this global economy, we know little about how societal cultures affect PA practices. In this study, we address this gap by focusing on 2 complementary issues: (a) the influence of societal (national) cultural practices on PA practices adopted by organizations…

  5. Curriculum Issues: Teaching and Learning for Sustainable Development in Developing Countries--Zimbabwe Case Study

    ERIC Educational Resources Information Center

    Dambudzo, Ignatius Isaac

    2015-01-01

    The study sought to investigate curriculum issues, teaching and learning for sustainable development in secondary schools in Zimbabwe. Education for sustainable development (ESD) aims at changing the approach to education by integrating principles, values, practices and needs in all forms of learning. Literature has documented the importance of…

  6. Environmental Pollution Studies in an Underdeveloped Country: (1) Heavy Metal Pollution in Ibadan, Nigeria.

    ERIC Educational Resources Information Center

    Onianwa, P. C.

    1993-01-01

    Reviews research studies related to the monitoring of trace heavy metals in environmental samples such as plants, water, soils, and other natural resources in the city of Ibadan, Nigeria. Research results indicate a significant increase in toxic heavy metal levels has occurred, implying the need for environmental education. (Contains 31…

  7. Exploring our Country's History: Linking Fiction to Nonfiction. Literature Bridges to Social Studies Series.

    ERIC Educational Resources Information Center

    Perry, Phyllis J.

    Fiction is a powerful tool that can motivate students to learn. This book is designed to assist elementary teachers in planning integrated units of study based on quality fiction titles about U.S. history. These titles build interest, illuminate specific eras, and lead students to related nonfiction titles. Organized in sections that cover…

  8. Values--A Study of Teacher and Student Perceptions in Four Countries

    ERIC Educational Resources Information Center

    Mahmud, Shamsul H.; Warchal, Judith R.; Masuchi, Ayumi; Ahmed, Rafiq; Schoelmerich, Axel

    2009-01-01

    The study aimed to assess and compare the values prevalent among the students and teachers of Universities in Bangladesh, Japan, USA and Germany. The sample consisted of 480 students and 236 teachers. The sample included 120 undergraduate students from Japan; 120 undergraduate students from Bangladesh; 120 undergraduate students from USA, and 120…

  9. Application of the contingent valuation method in a developing country: a case study of the Yusufeli dam in northeast Turkey.

    PubMed

    Alp, Emre; Yeti?, Ulkü

    2010-01-01

    Hydroelectric power plants and dams often play an important role in developing countries in terms of their contribution to economy. In accordance with the energy policies of Turkish Republic, Yusufeli Dam and Hydroelectric Power Plant in Northeastern Turkey have been initiated. In this study, the Contingent Valuation Method (CVM) was conducted in Yusufeli Village to determine the environmental costs of the Yusufeli Project. The purpose is to assess the willingness to pay (WTP) of Yusufeli Village residents for restoration of the environmental impacts of the dam project and also to investigate the underlying economic, psychological, and social motivations for WTP. WTP was calculated as US$761 per person which can further be used in the cost-benefit analysis. The results from the study suggest that application of the CVM in rural and urban areas located in the same region can show differences. PMID:20595759

  10. Dead on arrival in a low-income country: results from a multicenter study in Pakistan

    PubMed Central

    2015-01-01

    Background This study assessed the characteristics of dead on arrival (DOA) patients in Pakistan. Methods Data about the DOA patients were extracted from Pakistan National Emergency Department Surveillance study (Pak-NEDS). This study recruited all ED patients presenting to seven tertiary care hospitals during a four-month period between November 2010 and March 2011. This study included patients who were declared dead-on-arrival by the ED physician. Results A total of 1,557 DOA patients (7 per 1,000 visits) were included in the Pak-NEDS. Men accounted for two-thirds (64%) of DOA patients. Those aged 20-49 years accounted for about 46% of DOA patients. Nine percent (n = 72) of patients were brought by ambulance, and most patients presented at a public hospital (80%). About 11% of DOA patients had an injury. Factors significantly associated (p < 0.05) with ambulance use were men (adjusted odds ratio [aOR] = 2.72), brought to a private hospital (OR = 2.74), and being injured (aOR = 1.89). Cardiopulmonary resuscitation (CPR) was performed on 6% (n = 42) of patients who received treatment. Those brought to a private hospital were more likely to receive CPR (aOR = 2.81). Conclusion This study noted a higher burden of DOA patients in Pakistan compared to other resourceful settings (about 1 to 2 per 1,000 visits). A large proportion of patients belonging to productive age groups, and the low prevalence of ambulance and CPR use, indicate a need for improving the prehospital care and basic life support training in Pakistan. PMID:26689125

  11. Correlates of physical activity in adolescence: a study from a developing country

    PubMed Central

    Shokrvash, Behjat; Majlessi, Fereshteh; Montazeri, Ali; Nedjat, Saharnaz; Rahimi, Abbas; Djazayeri, Abolgasem; Shojaeezadeh, Davoud

    2013-01-01

    Background Physical activity is important for adolescent health. The current study aimed to explore factors that predict physical activity among adolescents. Methods This was a cross-sectional study of physical activity among a sample of adolescents in Tabriz, Iran. Information on physical activity was collected using a modified version of the Adolescent Physical Activity and Recall Questionnaire (APARQ). In addition, a self-administrated questionnaire was used to collect data on demographic characteristics, perceived family support, and self-efficacy. Both univariate and multivariate logistic regression analyses were performed to examine the association between physical activity and independent variables including gender and psychosocial predictors. Results In all, 402 students were studied. The mean age of adolescents was 12.93 (SD=0.49) years; 51.5% were female. The mean time of moderate and vigorous physical activity for all adolescents was 44.64 (SD=23.24) Metabolic Equivalent (MET) min per day. This figure for female adolescents was 38.77 (SD=19.94) MET min per day and for males it was 50.87 (SD=24.88) (P<0.001). The results obtained from multiple logistic regression analysis indicated that female gender (OR=2.59, 95% CI=1.46–4.57, P=0.001) and poor family support (OR=1.10, 95% CI=1.03–1.20, P=0.038) were the most significant contributing factors to low level physical activity in adolescents. Other variables studied did not show any significant results. Conclusion The findings from the current study indicated that female adolescents were at risk of lower level of physical activity. In addition, it was found that the lack of family support represented an increased risk for low-level physical activity. It seems that family support should be an integrated part of any health education/promotion programs for improving physical activity among young adolescents in general and for female adolescents in particular. PMID:23663416

  12. How much is a 'pea-sized amount'? A study of dentifrice dosing by parents in three countries.

    PubMed

    Creeth, Jonathan; Bosma, Mary Lynn; Govier, Katherine

    2013-12-01

    To provide optimal fluoride effectiveness against caries while minimising risk of negative effects from excessive ingestion from toothbrushing, the fluoride dose delivered at each occasion is critical. This is particularly important for young children, so using a 'pea-sized amount' is generally recommended. However, there appears little guidance regarding what this means in practice, although it has been indicated to be 0.25 g. This study investigated, using conventional toothpastes and toothbrushes in Germany, the USA and the UK, how much toothpaste parents dispense for their 3- to 6 year-old children, and their interpretation of a 'pea-sized' amount of toothpaste. When asked to dispense the amount they would normally for their child, the majority of parents dosed substantially more than 0.25 g; in Germany, all parents over-dispensed. The amount dispensed varied widely: those parents at the 75th centile dispensed approximately twice the amount dispensed by those at the 25th centile, irrespective of country. When asked to dispense a pea-sized amount, the mean amount dosed decreased significantly in all countries. In the USA, electric toothbrush users dispensed about 0.1 g more than manual toothbrush users. While over-dispensing of fluoride toothpaste remains a cause for concern, it may be argued that the general recommendation to use a pea-sized amount of toothpaste generally works well in practice to balance the conflicting demands of risk and benefit from toothbrushing with fluoride toothpaste in young children. PMID:24283281

  13. Working and hypertension: gaps in employment not associated with increased risk in 13 European countries, a retrospective cohort study

    PubMed Central

    2014-01-01

    Background There is growing evidence to suggest unemployment has a role in the development and incidence of cardiovascular disease. This study explores the contribution of breaks in employment to the development of hypertension, a key risk factor for coronary heart disease. Methods We use data from the Survey of Health, Ageing, and Retirement in Europe to estimate the association between gaps in employment of 6 months or more (‘Not Working’, NW) and the incidence of hypertension in 9,985 individuals aged 50 or over across 13 European countries. Life history information including transitions in and out of employment was used to create a panel dataset where each visit represented one year of life between age 30 and incident hypertension or censoring (whichever came first). Pooled logistic models estimated the odds of hypertension according to the experience of not working, controlling for age at interview, age at each visit, gender, childhood socio-economic position, and country. Results We consistently found no association between NW and hypertension, irrespective of the metrics used in defining the exposure or model specification. Conclusion There is the possibility of bias contributing to the null findings. However, given the relatively consistent evidence for an association between unemployment and cardiovascular outcomes in the literature, our results suggest there may be mechanisms - outside of hypertension – that have a comparatively greater contribution to this association. PMID:24885853

  14. Individual, family, and culture level contributions to child physical abuse and neglect: A longitudinal study in nine countries.

    PubMed

    Lansford, Jennifer E; Godwin, Jennifer; Uribe Tirado, Liliana Maria; Zelli, Arnaldo; Al-Hassan, Suha M; Bacchini, Dario; Bombi, Anna Silvia; Bornstein, Marc H; Chang, Lei; Deater-Deckard, Kirby; Di Giunta, Laura; Dodge, Kenneth A; Malone, Patrick S; Oburu, Paul; Pastorelli, Concetta; Skinner, Ann T; Sorbring, Emma; Tapanya, Sombat; Alampay, Liane Peña

    2015-11-01

    This study advances understanding of predictors of child abuse and neglect at multiple levels of influence. Mothers, fathers, and children (N = 1,418 families, M age of children = 8.29 years) were interviewed annually in three waves in 13 cultural groups in nine countries (China, Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand, and the United States). Multilevel models were estimated to examine predictors of (a) within-family differences across the three time points, (b) between-family within-culture differences, and (c) between-cultural group differences in mothers' and fathers' reports of corporal punishment and children's reports of their parents' neglect. These analyses addressed to what extent mothers' and fathers' use of corporal punishment and children's perceptions of their parents' neglect were predicted by parents' belief in the necessity of using corporal punishment, parents' perception of the normativeness of corporal punishment in their community, parents' progressive parenting attitudes, parents' endorsement of aggression, parents' education, children's externalizing problems, and children's internalizing problems at each of the three levels. Individual-level predictors (especially child externalizing behaviors) as well as cultural-level predictors (especially normativeness of corporal punishment in the community) predicted corporal punishment and neglect. Findings are framed in an international context that considers how abuse and neglect are defined by the global community and how countries have attempted to prevent abuse and neglect. PMID:26535934

  15. Women, Drug Dependency and Consequences: A Study from a Developing Country

    PubMed Central

    Khajedaluee, Mohammad; Dadgarmoghaddam, Maliheh; Erfanian, Majidreza; Alipourtabrizi, Arash; Khadem-Rezaiyan, Majid

    2015-01-01

    Introduction. Addiction in women can expose them to malnutrition, high blood pressure, cancer, and some other dangerous diseases like hepatitis, AIDS, or other sexual transmitted diseases. The aim of this study was to assess illegal sexual relations in three groups of women. Methods. This is a cross-sectional study that was done on 236 girls and young women aged 16–25 years in 2012 in three groups: vulnerable women who have substance dependency (crimes that had made women incarcerated were considered as vulnerability in this study), invulnerable women who have substance dependency (substance dependent women without a history of incarceration), and a control group (women with no history of substance dependency or being in prison). Results. 43.8% of vulnerable women who have substance dependency had extramarital sexual relations; this percentage was 55.8% in invulnerable women who have substance dependency and 1.4% in the control group. Crystal and methamphetamine abuse was higher in addicts who had extramarital sexual relations and alcohol abuse was correlated with unsafe sexual intercourse (r = 0.36, P = 0.001). There was a statistically significant difference in extramarital sexual relation based on marital status (P < 0.001). Conclusions. Poverty, drug dependency, divorce, and alcohol consumption make women prone to other high risk behaviors that need more attention. PMID:25802797

  16. Post-diphtheritic neuropathy: a clinical study in paediatric intensive care unit of a developing country.

    PubMed

    Kanwal, Sandeep Kumar; Yadav, Dinesh; Chhapola, Viswas; Kumar, Virendra

    2012-10-01

    A retrospective study was done on 48 consecutive patients with clinical diagnosis of post-diphtheritic neuropathy admitted to the paediatric intensive care unit of tertiary care hospital in North India between January 2008 and December 2010 to study the clinical profile of post-diphtheritic neuropathy in children. The case records were reviewed and information regarding personal details, clinical features, recovery parameters and outcome was recorded using a predesigned proforma. Median age was 4.25 years. All cases were unimmunized. Median latency period was 15 days. Of the children, 52% had palatal palsy whereas 48% had limb weakness initially. Median duration of progression of weakness was five days. Limb muscle weakness was present in 94%. Respiratory muscles were involved in 85.4% cases and 60.4% required mechanical ventilation, while 14.6% had fatal outcome and 10.4% had hypoxic neurological injury. Boys were affected more. Median duration of latency was shorter; muscle weakness, progression and recovery were faster as compared with observational studies in adults. PMID:23146909

  17. Investigating Heuristic Evaluation: A Case Study.

    ERIC Educational Resources Information Center

    Goldman, Kate Haley; Bendoly, Laura

    When museum professionals speak of evaluating a web site, they primarily mean formative evaluation, and by that they primarily mean testing the usability of the site. In the for-profit world, usability testing is a multi-million dollar industry, while non-profits often rely on far too few dollars to do too much. Hence, heuristic evaluation is one…

  18. Correspondence Study: Faculty Evaluation; Phase I of the State-Wide Correspondence Study: Faculty Evaluation.

    ERIC Educational Resources Information Center

    Washington Univ., Seattle. Educational Assessment Center.

    The first of a two-part evaluation of correspondence studies in the State of Washington was concerned with opinion, descriptions, and recommendations of faculty at four state institutions on (1) how the faculty member is affected personally, (2) how students are affected, and (3) program improvement. Interviews collected data from 100 faculty…

  19. Indulging our gendered selves? Sex segregation by field of study in 44 countries.

    PubMed

    Charles, Maria; Bradley, Karen

    2009-01-01

    Data from 44 societies are used to explore sex segregation by field of study. Contrary to accounts linking socioeconomic modernization to a "degendering" of public-sphere institutions, sex typing of curricular fields is stronger in more economically developed contexts. The authors argue that two cultural forces combine in advanced industrial societies to create a new sort of sex segregation regime. The first is gender-essentialist ideology, which has proven to be extremely resilient even in the most liberal-egalitarian of contexts; the second is self-expressive value systems, which create opportunities and incentives for the expression of "gendered selves." Multivariate analyses suggest that structural features of postindustrial labor markets and modern educational systems support the cultivation, realization, and display of gender-specific curricular affinities. PMID:19824299

  20. Defining Neighborhood Boundaries for Urban Health Research in Developing Countries: A Case Study of Accra, Ghana

    PubMed Central

    Ofiesh, Caetlin; Rain, David; Jewell, Henry; Weeks, John

    2013-01-01

    The neighborhood has been used as a sampling unit for exploring variations in health outcomes. In a variety of studies census tracts or ZIP codes have been used as proxies for neighborhoods because the boundaries are pre-defined units for which other data are readily available. However these spatial units can be arbitrary and do not account for social-cultural behaviors and identities that are significant to residents. In this study for the city of Accra, Ghana, our goal was to create a neighborhood map that represented the boundaries generally agreed upon by the residents of the city using the smallest available census unit, the enumeration area (EA), as the base unit. This neighborhood map was then used as the basis for mapping spatial variations in health within the city. The first step in demarcating the boundaries was to identify features that limit a person’s movement including the major roads, drainage features, and railroad tracks that people use to partially define their neighborhood boundaries. Once an initial set of boundaries were established, they were iteratively modified by walking the neighborhoods, talking to residents, public officials, and others. The resulting neighborhood map consolidated 1,723 EAs into 108 neighborhoods covering the entire Accra metropolitan area. Results indicated that the team achieved 71 percent accuracy in mapping neighborhoods when the neighborhood keyed to the survey EA was compared with the response given by the interviewees in the 2008–2009 Women’s Health Survey of Accra when asked which neighborhood they lived in. PMID:23690870

  1. A Comparison of Model-Based and Design-Based Impact Evaluations of Interventions in Developing Countries

    ERIC Educational Resources Information Center

    Hansen, Henrik; Klejnstrup, Ninja Ritter; Andersen, Ole Winckler

    2013-01-01

    There is a long-standing debate as to whether nonexperimental estimators of causal effects of social programs can overcome selection bias. Most existing reviews either are inconclusive or point to significant selection biases in nonexperimental studies. However, many of the reviews, the so-called "between-studies," do not make direct…

  2. Community mental health centres initiated by the South-Eastern Europe Stability Pact: evaluation in seven countries.

    PubMed

    Priebe, Stefan; Matanov, Aleksandra; Demi, Neli; Blagovcanin Simic, Joka; Jovanovic, Sandra; Gajic, Milena; Radonic, Elizabeta; Bajraktarov, Stojan; Boderscova, Larisa; Konatar, Monika; Nica, Raluca; Muijen, Matthijs

    2012-06-01

    Eight community mental health care centres (initiated by the South-Eastern Europe Stability Pact) in Albania, Bosnia-Herzegovina, Croatia, Macedonia, Moldova, Montenegro and Romania were evaluated. Characteristics of patients, patient reported outcomes and patient views of care were assessed in 305 psychiatric patients. Patient characteristics varied across centres, with most patients having long term psychotic disorders. Treatment satisfaction and therapeutic relationships were rated favourably. Subjective quality of life mean scores were rather low, with higher satisfaction with health and dissatisfaction with the financial and employment situation. Being unemployed was the only factor associated with poor quality of life and lower treatment satisfaction. Most developing centres target patients with persistent psychotic disorders. Care appears highly valued by the patients. The findings encourage establishing more centres in the region and call for employment schemes for people with mental illnesses. PMID:21617994

  3. Medical incidents in developing countries: A few case studies from Nigeria.

    PubMed

    Chukwuneke, F N

    2015-12-01

    The moral worth of a clinician's, action in patients' management depends exclusively on the moral acceptability of the rule of obligation to duty on which the clinician acts. Since every rational being thinks of him or herself as an end, all people must act in such a way that they treat humanity, whether in their own person or in the person of another, always as an end and never simply as a means. A duty of care is, therefore, paramount in the relationship between clinician and patient. While litigation in healthcare system is rapidly increasing globally, which affords individual explanation and compensation for perceived wrong diagnosis and treatment; it is still rudimentary in Nigeria. This default position has made most health care providers indifferent in the presence of gross clinical negligence and medical errors. Though most Nigerians may be aware of their rights to institute legal action in situations such as, negligence with serious harm or death, but, the socioeconomic factors, cultural, and religious notions among other reasons within the society often makes litigation impossible for an individual. Attributing every medical adverse event in the course of treatment as "God's Will" and the saying "It's God's Time" for every death among most African people has also become a great impediment to curbing clinical negligence in our environment. This paper presents a few case studies from author's experience and complaints from patients during clinical practice. PMID:26620618

  4. Socio-Economic Differences in Cardiovascular Health: Findings from a Cross-Sectional Study in a Middle-Income Country

    PubMed Central

    Jankovi?, Janko; Eri?, Miloš; Stojisavljevi?, Dragana; Marinkovi?, Jelena; Jankovi?, Slavenka

    2015-01-01

    Background A relatively consistent body of literature, mainly from high-income countries, supports an inverse association between socio-economic status (SES) and risk of cardiovascular disease (CVD). Data from low- and middle-income countries are scarce. This study explores SES differences in cardiovascular health (CVH) in the Republic of Srpska (RS), Bosnia and Herzegovina, a middle-income country. Methods We collected information on SES (education, employment status and household’s relative economic status, i.e. household wealth) and the 7 ideal CVH components (smoking status, body mass index, physical activity, diet, blood pressure, total cholesterol, and fasting blood glucose) among 3601 participants 25 years of age and older, from the 2010 National Health Survey in the RS. Based on the sum of all 7 CVH components an overall CVH score (CVHS) was calculated ranging from 0 (all CVH components at poor levels) to 14 (all CVH components at ideal levels). To assess the differences between groups the chi-square test, t-test and ANOVA were used where appropriate. The association between SES and CVHS was analysed with multivariate linear regression analyses. The dependent variable was CVHS, while independent variables were educational level, employment status and wealth index. Results According to multiple linear regression analysis CVHS was independently associated with education attainment and employment status. Participants with higher educational attainment and those economically active had higher CVHS (b = 0.57; CI = 0.29–0.85 and b = 0.27; CI = 0.10–0.44 respectively) after adjustment for sex, age group, type of settlement, and marital status. We failed to find any statistically significant difference between the wealth index and CVHS. Conclusion This study presents the novel information, since CVHS generated from the individual CVH components was not compared by socio-economic status till now. Our finding that the higher overall CVHS was independently associated with a higher education attainment and those economically active supports the importance of reducing socio-economic inequalities in CVH in RS. PMID:26513729

  5. Prediction of adaptation difficulties by country of origin, cumulate psychosocial stressors and attitude toward integrating: A Swedish study of first-generation immigrants from Somalia, Vietnam and China

    PubMed Central

    Zolkowska, Krystyna; McNeil, Thomas F

    2015-01-01

    Background: Different types of accumulated stress have been found to have negative consequences for immigrants’ capacity to adapt to the new environment. It remains unclear which factors have the greatest influence. Aims: The study investigated whether immigrants’ experience of great difficulty in adapting to a new country could best be explained by (1) country of origin, (2) exposure to accumulated stressors before arrival or (3) after arrival in the new country and/or (4) reserved attitude toward integrating into the new society. Methods: The 119 first-generation immigrants from Somalia, Vietnam and China, living in Malmö, Sweden, were interviewed in a standardized manner. Results: Experiencing great difficulty in adapting to Sweden was independent of length of residence, but significantly related to all four influences, studied one at a time. Country of origin was also related to stressors and attitude. When the effects of the other influences were mutually controlled for, only exposure to accumulated stressors in Sweden (and especially experiencing discrimination/xenophobia/racism) accounted for great adaptation difficulty. Stressors in Sweden had a greater effect if the immigrant had been exposed to stressors earlier. Conclusions: Immigrants’ long-term experiences of great difficulty in adapting to a new country were explained primarily by exposure to accumulated stressors while moving to and living in the new country, rather than by their backgrounds or attitudes toward integrating. This suggests promoting strategies to avoid discrimination and other stressors in the host country. PMID:24927925

  6. Accelerated Hyperfractionated Radiotherapy for Cervical Cancer: Multi-Institutional Prospective Study of Forum for Nuclear Cooperation in Asia Among Eight Asian Countries

    SciTech Connect

    Ohno, Tatsuya Nakano, Takashi; Kato, Shingo

    2008-04-01

    Purpose: To evaluate the toxicity and efficacy of accelerated hyperfractionated radiotherapy (RT) for locally advanced cervical cancer. Methods and Materials: A multi-institutional prospective single-arm study was conducted among eight Asian countries. Between 1999 and 2002, 120 patients (64 with Stage IIB and 56 with Stage IIIB) with squamous cell carcinoma of the cervix were treated with accelerated hyperfractionated RT. External beam RT consisted of 30 Gy to the whole pelvis, 1.5 Gy/fraction twice daily, followed by 20 Gy of pelvic RT with central shielding at a dose of 2-Gy fractions daily. A small bowel displacement device was used with the patient in the prone position. In addition to central shielding RT, intracavitary brachytherapy was started. Acute and late morbidities were graded according to the Radiation Therapy Oncology Group and Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer criteria. Results: The median overall treatment time was 35 days. The median follow-up time for surviving patients was 4.7 years. The 5-year pelvic control and overall survival rate for all patients was 84% and 70%, respectively. The 5-year pelvic control and overall survival rate was 78% and 69% for tumors {>=}6 cm in diameter, respectively. No treatment-related death occurred. Grade 3-4 late toxicities of the small intestine, large intestine, and bladder were observed in 1, 1, and 2 patients, respectively. The 5-year actuarial rate of Grade 3-4 late toxicity at any site was 5%. Conclusion: The results of our study have shown that accelerated hyperfractionated RT achieved sufficient pelvic control and survival without increasing severe toxicity. This treatment could be feasible in those Asian countries where chemoradiotherapy is not available.

  7. Current worldwide nuclear cardiology practices and radiation exposure: results from the 65 country IAEA Nuclear Cardiology Protocols Cross-Sectional Study (INCAPS)

    PubMed Central

    Einstein, Andrew J.; Pascual, Thomas N. B.; Mercuri, Mathew; Karthikeyan, Ganesan; Vitola, João V.; Mahmarian, John J.; Better, Nathan; Bouyoucef, Salah E.; Hee-Seung Bom, Henry; Lele, Vikram; Magboo, V. Peter C.; Alexánderson, Erick; Allam, Adel H.; Al-Mallah, Mouaz H.; Flotats, Albert; Jerome, Scott; Kaufmann, Philipp A.; Luxenburg, Osnat; Shaw, Leslee J.; Underwood, S. Richard; Rehani, Madan M.; Kashyap, Ravi; Paez, Diana; Dondi, Maurizio

    2015-01-01

    Aims To characterize patient radiation doses from nuclear myocardial perfusion imaging (MPI) and the use of radiation-optimizing ‘best practices’ worldwide, and to evaluate the relationship between laboratory use of best practices and patient radiation dose. Methods and results We conducted an observational cross-sectional study of protocols used for all 7911 MPI studies performed in 308 nuclear cardiology laboratories in 65 countries for a single week in March–April 2013. Eight ‘best practices’ relating to radiation exposure were identified a priori by an expert committee, and a radiation-related quality index (QI) devised indicating the number of best practices used by a laboratory. Patient radiation effective dose (ED) ranged between 0.8 and 35.6 mSv (median 10.0 mSv). Average laboratory ED ranged from 2.2 to 24.4 mSv (median 10.4 mSv); only 91 (30%) laboratories achieved the median ED ? 9 mSv recommended by guidelines. Laboratory QIs ranged from 2 to 8 (median 5). Both ED and QI differed significantly between laboratories, countries, and world regions. The lowest median ED (8.0 mSv), in Europe, coincided with high best-practice adherence (mean laboratory QI 6.2). The highest doses (median 12.1 mSv) and low QI (4.9) occurred in Latin America. In hierarchical regression modelling, patients undergoing MPI at laboratories following more ‘best practices’ had lower EDs. Conclusion Marked worldwide variation exists in radiation safety practices pertaining to MPI, with targeted EDs currently achieved in a minority of laboratories. The significant relationship between best-practice implementation and lower doses indicates numerous opportunities to reduce radiation exposure from MPI globally. PMID:25898845

  8. Human rights abuses and collective resilience among sex workers in four African countries: a qualitative study

    PubMed Central

    2013-01-01

    Background Sex work is a criminal offence, virtually throughout Africa. This criminalisation and the intense stigma attached to the profession shapes interactions between sex workers and their clients, family, fellow community members, and societal structures such as the police and social services. Methods We explore the impact of violence and related human rights abuses on the lives of sex workers, and how they have responded to these conditions, as individuals and within small collectives. These analyses are based on data from 55 in-depth interviews and 12 focus group discussions with female, male and transgender sex workers in Kenya, South Africa, Uganda and Zimbabwe. Data were collected by sex worker outreach workers trained to conduct qualitative research among their peers. Results In describing their experiences of unlawful arrests and detention, violence, extortion, vilification and exclusions, participants present a picture of profound exploitation and repeated human rights violations. This situation has had an extreme impact on the physical, mental and social wellbeing of this population. Overall, the article details the multiple effects of sex work criminalisation on the everyday lives of sex workers and on their social interactions and relationships. Underlying their stories, however, are narratives of resilience and resistance. Sex workers in our study draw on their own individual survival strategies and informal forms of support and very occasionally opt to seek recourse through formal channels. They generally recognize the benefits of unified actions in assisting them to counter risks in their environment and mobilise against human rights violations, but note how the fluctuant and stigmatised nature of their profession often undermines collective action. Conclusions While criminal laws urgently need reform, supporting sex work self-organisation and community-building are key interim strategies for safeguarding sex workers’ human rights and improving health outcomes in these communities. If developed at sufficient scale and intensity, sex work organisations could play a critical role in reducing the present harms caused by criminalisation and stigma. PMID:23889941

  9. Evaluation of the National Assessment of Educational Progress. Study Reports

    ERIC Educational Resources Information Center

    Buckendahl, Chad W.; Davis, Susan L.; Plake, Barbara S.; Sireci, Stephen G.; Hambleton, Ronald K.; Zenisky, April L.; Wells, Craig S.

    2009-01-01

    The "Evaluation of the National Assessment of Educational Progress: Study Reports" describes the special studies that comprised the design of the evaluation. In the Final Report, the authors presented a practical discussion of the evaluation studies to its primary, intended audience, namely policymakers. On this accompanying CD, readers will find…

  10. Variation in medication adherence across patient behavioral segments: a multi-country study in hypertension

    PubMed Central

    Sandy, Robert; Connor, Ulla

    2015-01-01

    Objectives This study determines the following for a hypertensive patient population: 1) the prevalence of patient worldview clusters; 2) differences in medication adherence across these clusters; and 3) the adherence predictive power of the clusters relative to measures of patients’ concerns over their medication’s cost, side effects, and efficacy. Methods Members from patient panels in the UK, Germany, Italy, and Spain were invited to participate in an online survey that included the Medication Adherence Report Scale-5 (MARS-5) adherence instrument and a patient segmentation instrument developed by CoMac Analytics, Inc, based on a linguistic analysis of patient talk. Subjects were screened to have a diagnosis of hypertension and treatment with at least one antihypertensive agent. Results A total of 353 patients completed the online survey in August/September 2011 and were categorized against three different behavioral domains: 1) control orientation (n=176 respondents [50%] for I, internal; n=177 respondents [50%] for E, external); 2) emotion (n=100 respondents [28%] for P, positive; n=253 respondents [72%] for N, negative); and 3) agency or ability to act on choices (n=227 respondents [64%] for H, high agency; n=126 [36%] for L, low agency). Domains were grouped into eight different clusters with EPH and IPH being the most prevalent (88 respondents [25%] in each cluster). The prevalence of other behavior clusters ranged from 6% (22 respondents, INH) to 12% (41 respondents, IPL). The proportion of patients defined as perfectly adherent (scored 25 on MARS-5) varied sharply across the segments: 51% adherent (45 of 88 respondents) for the IPH vs 8% adherent (2 of 25 respondents) classified as INL. Side effects, being employed, and stopping medicine because the patient got better were all significant determinants of adherence in a probit regression model. Conclusion By categorizing patients into worldview clusters, we identified wide differences in adherence that can be used to prioritize interventions and to customize adherence messages. Also, the predictive power of segments was greater than that for variables measuring concerns over cost, side effects, and efficacy. PMID:26604707

  11. ["Running amok"--content analytic study of 196 news presentations from industrialized countries].

    PubMed

    Adler, L; Lehmann, K; Räder, K; Schünemann, K F

    1993-12-01

    We performed a content analysis study based on 196 reports in the German press published during the last decade on acts of violence designated as "going berserk" or "running amok (amuck)" and meeting defined criteria. With less than one person per one million men per year running berserk or amok, this is a very rare act of violence, albeit a very dangerous one involving 1.3 deaths and 1.7 injuries per case. Offenders differ from the normal population in regards to the small percentage of women (5%) and high unemployment (40%), and from other violent offenders in that they are normally occupationally well-qualified. Severe psychiatric disorders are overrepresented. A total of 108 cases were classified according to specific syndromes either by specialists or experts on the spot, or on the basis of a description of the signs and symptoms. Of the syndrome-related acts, the most dangerous offences were committed by 10 delusionally ill and 2 psychopathic individuals. 30 less dangerous offenders suffered from paranoid-hallucinatory syndromes. 28 crimes committed in a state of intoxication and 11 "crimes of passion" were the least dangerous. Another 25 persons with an extensive incidence of suicide in the family, without any apparent pre-existing psychiatric disorder, may have gone berserk in the course of a depressive syndrome. Although psychotically ill individuals tend to overreact more often following a minimal slight, under delusions or with no apparent reason at all, on the whole the causes for both the psychotic and other offenders are of a serious nature. Object loss and private disputes on the one hand and social conflicts on the other were of approximately equal significance. The relationship between the offender and his victim is more essential for the course of the occurrence than motives or the type of the psychopathological syndrome. If only family members are attacked, the offenders have usually been inconspicuous, elderly individuals, two thirds of whom can not be allocated to a given syndrome and may be depressive. They kill deliberately and on-target, do not merely injure their victims--hardly ever, in fact--and then commit suicide practically without exception. If strangers are the target of violence, the crimes are generally committed by younger, passive-aggressive, psychopathic, paranoid or intoxicated offenders. They kill only about half of their victims, but injure many, also causing a great deal of damage. They rarely commit suicide.(ABSTRACT TRUNCATED AT 400 WORDS) PMID:8112706

  12. Environmental impact assessment on the construction and operation of municipal solid waste sanitary landfills in developing countries: China case study.

    PubMed

    Yang, Na; Damgaard, Anders; Lü, Fan; Shao, Li-Ming; Brogaard, Line Kai-Sørensen; He, Pin-Jing

    2014-05-01

    An inventory of material and energy consumption during the construction and operation (C&O) of a typical sanitary landfill site in China was calculated based on Chinese industrial standards for landfill management and design reports. The environmental impacts of landfill C&O were evaluated through life cycle assessment (LCA). The amounts of materials and energy used during this type of undertaking in China are comparable to those in developed countries, except that the consumption of concrete and asphalt is significantly higher in China. A comparison of the normalized impact potential between landfill C&O and the total landfilling technology implies that the contribution of C&O to overall landfill emissions is not negligible. The non-toxic impacts induced by C&O can be attributed mainly to the consumption of diesel used for daily operation, while the toxic impacts are primarily due to the use of mineral materials. To test the influences of different landfill C&O approaches on environmental impacts, six baseline alternatives were assessed through sensitivity analysis. If geomembranes and geonets were utilized to replace daily and intermediate soil covers and gravel drainage systems, respectively, the environmental burdens of C&O could be mitigated by between 2% and 27%. During the LCA of landfill C&O, the research scope or system boundary has to be declared when referring to material consumption values taken from the literature; for example, the misapplication of data could lead to an underestimation of diesel consumption by 60-80%. PMID:24656422

  13. Scaling up specialist training in developing countries: lessons learned from the first 12?years of regional postgraduate training in Fiji – a case study

    PubMed Central

    2012-01-01

    Background In 1997, regional specialist training was established in Fiji, consisting of one-year Postgraduate Diplomas followed by three-year master’s degree programs in anesthesia, internal medicine, obstetrics/gynecology, pediatrics and surgery. The evolution of these programs during the first 12?years is presented. Case description A case study utilizing mixed methods was carried out, including a prospective collection of enrolment and employment data, supplemented by semi-structured interviews. Between 1997 and 2009, 207 doctors (113 from Fiji and 94 from 13 other countries or territories in the Pacific) trained to at least the Postgraduate Diploma level. For Fiji graduates, 29.2% migrated permanently to developed countries, compared to only 8.5% for regional graduates (P <0.001). Early years of the program were characterized by large intakes and enthusiasm, but also uncertainty. Many resignations took place following a coup d’etat in 2000. By 2005, interviews suggested a dynamic of political instability initially leading to resignations, leading to even heavier workloads, compounded by academic studies that seemed unlikely to lead to career benefit. This was associated with loss of hope and downward spirals of further resignations. After 2006, however, Master’s graduates generally returned from overseas placements, had variable success in career progression, and were able to engage in limited private practice. Enrolments and retention stabilized and increased. Discussion and evaluation Over time, all specialties have had years when the viability and future of the programs were in question, but all have recovered to varying degrees, and the programs continue to evolve and strengthen. Prospective clarification of expected career outcomes for graduates, establishment of career pathways for diploma-only graduates, and balancing desires for academic excellence with workloads that trainees were able to bear may have lessened ongoing losses of trainees and graduates. Conclusions Despite early losses of trainees, the establishment of regional postgraduate training in Fiji is having an increasingly positive impact on the specialist workforce in the Pacific. With forethought, many of the difficulties we encountered may have been avoidable. Our experiences may help others who are establishing or expanding postgraduate training in developing countries to optimize the benefit of postgraduate training on their national and regional workforces. PMID:23270525

  14. Evaluation of Color and Color Infrared Photography from the Goldfield Mining District, Esmerelda and Nye Countries, Nevada

    NASA Technical Reports Server (NTRS)

    Ashley, R. P.

    1970-01-01

    The determination of geological features characteristic of the Goldfield epithermal ore deposits is considered and which of them can be identified from color and color infrared aerial photography. The Goldfield mining district in the western part of the Basin and Range Province is the area of study, located in desert terrain of relatively low relief.

  15. Appraisal of family doctors: an evaluation study.

    PubMed Central

    Lewis, Malcolm; Elwyn, Glyn; Wood, Fiona

    2003-01-01

    BACKGROUND: Appraisal has evolved to become a key component of workforce management. However, it is not clear from existing proposals for appraisal of doctors whether employers, health authorities or primary care organisations should take responsibility for appraisal processes. AIMS: To evaluate the introduction of a pilot peer appraisal system in general practice and to gain insight into the reactions of appraisers and doctors. DESIGN OF STUDY: Semi-structured telephone interviews combined with participant surveys and documentary analysis. SETTING: Five health authorities in Wales. PARTICIPANTS: General practitioners (GPs) appointed as appraisers and volunteer practitioners (doctors). METHOD: Twenty-six appraisers were appointed and given training in the appraisal process, each appraising an average of eight individuals. Appraisers and appraised doctors participated in semi-structured telephone interviews and completed separate participant questionnaires. RESULTS: GPs willingly undertook peer appraisal in a volunteer-based pilot study where participation was recompensed. The majority of participating clinicians were positive, with appraisers reporting the most gain. Appraisers were enthusiastic, provided the process remained non-judgemental and did not threaten or burden their colleagues. Appraised doctors were less enthusiastic but the most significant perceived benefit was the opportunity to reflect on individual performance with a supportive colleague. There were, however, repeated concerns about time, confusion with revalidation and personal development plans, worries about including health and probity queries, and an opinion that the process would be entirely different if conducted with non-volunteers or by representatives of 'management'. CONCLUSION: This study illustrated three fundamental problems for appraisal systems in general practice. First, there is as yet no organisational hierarchy in general practice. Perhaps the aggregation of practices into primary care organisations will generate a hierarchy. Second, the question of who conducts appraisals then becomes pertinent; this study illustrates a professionally-led peer appraisal model. Third, the spectre of summative assessment causes problems in appraisal schemes. Typically, only mutually agreed summaries are kept for future use in appraisal systems (for example, for promotion or discipline). So the proposal to use GP annual appraisal documentation as the basis of a summative 'revalidation' exercise is at odds with orthodox personnel practice, which regards appraisal as a formative process. PMID:12939890

  16. Risk of injury after alcohol consumption from case-crossover studies in five countries from the America’s

    PubMed Central

    Borges, Guilherme; Orozco, Ricardo; Monteiro, Maristela; Cherpitel, Cheryl; Then, Eddy Pérez; López, Víctor A.; Bassier-Paltoo, Marcia; Weil A., Donald; de Bradshaw, Aldacira M

    2012-01-01

    Aims This study aimed to: 1) provide relative risk (RR) estimates between acute alcohol use and injuries from emergency departments in the Dominican Republic, Guatemala, Guyana, Nicaragua and Panama, and 2) test whether the RR differs if two control periods for the estimates were used. Design Case-crossover methodology was used to obtain estimates of the RR of having an injury within six hours after drinking alcohol, using a pair-matching design with control periods of the same time of day the day prior to injury, and the same time of day and day of week the week prior to injury. Setting Emergency departments(EDs). Participants 2,503 injured patients from EDs were interviewed between 2010–2011, with a response rate of 92.6%. Measurements Number of drinks consumed within six hours prior to the injury and in the two control periods. Findings The RR of injury after drinking alcohol was 4.38 (95% confidence interval CI= 3.29–5.84) using as the control period the prior week, and 5.35 (CI=3.50–8.17) using as a control period the prior day. The RR was 5.08 (CI=4.15–6.23) in multiple matching. Those drinking 1–2 drinks had a RR of 4.85 (CI=3.12–7.54); those drinking 3–5 a RR of 5.00 (CI =3.47–7.18); those drinking 6–15 a RR of 4.54 (CI=3.36–6.14); and those drinking 16 or more a RR of 10.42 (CI=4.38–24.79). Conclusions As in other countries, alcohol drinking is a trigger for an injury in all five countries. The use of more than one control period give further strength to these findings from case-crossover analysis. PMID:22775508

  17. The usefulness of air quality monitoring and air quality impact studies before the introduction of reformulated gasolines in developing countries. Mexico City, a real case study

    NASA Astrophysics Data System (ADS)

    Bravo, H. A.; Torres, R. J.

    Urban air pollution is a major environmental problem in several developing countries in the world. This phenomenon seems to be related to the growth of both the urban population in large cities and the number of old and poorly maintained car fleets. The expected rise of population in the next century in countries which suffer from lack of capital for air pollution control, means that there is a great potential for the worsening of the air quality. The worldwide promoted policy to phase out lead in gasolines has not proved to be an adequate option in improving the environmental quality. Mexico City Metropolitan Area (MCMA) represents a case in which the introduction of reformulated gasolines in an old car fleet has given as a result the reduction of the airborne lead levels but has worsened the ozone concentration of its urban atmosphere. This paper critically analyzes the chronological evolution of the ozone air pollution problem in MCMA after the successive occurrence of several changes in the formulation of low leaded and unleaded gasolines. It also presents evidences of the usefulness potential of air quality monitoring activities and air quality impact studies on the definition of realistic fuel reformulation policies of developing countries.

  18. Overview of the Higher Education Systems in the Tempus Partner Countries: Central Asia. A Tempus Study. Issue 05

    ERIC Educational Resources Information Center

    Ruffio, Philippe; Heinamaki, Piia; Tchoukaline, Claire Chastang; Manthey, Anja; Reichboth, Veronika

    2011-01-01

    The main aim of the Tempus programme is to support the modernisation of higher education in Partner Countries outside the European Union. The targeted regions include Eastern Europe, Central Asia, Western Balkans and the Southern Mediterranean, with a total of 29 Partner Countries participating in the programme. In the field of cooperation in…

  19. Supporting Technology Use in Schools with a Public-Private Partnership: A Collective Case Study of Five Asian Countries

    ERIC Educational Resources Information Center

    Lim, Cher Ping; Wong, Philip; Quah, Vincent

    2007-01-01

    Developing and emerging countries are challenged to transform their educational system and schools in order to prepare their students for the twenty-first century. Although information and communication technology (ICT) has often been used as one of the key catalysts in the transformation process, many of these countries continue to face the…

  20. State of Play of the Bologna Process in the Tempus Partner Countries (2012). A Tempus Study. Issue 09

    ERIC Educational Resources Information Center

    Ruffio, Philippe; Mc Cabe, Roisin; Xhaferri, Elona

    2012-01-01

    The aim of this report is to map, for the second time, the state of play of the higher education reforms in accordance with the Bologna Process in the 27 countries participating in the Tempus programme. The 2010 edition described the situation at that time and concluded that all Tempus Partner Countries are following the process to some extent,…

  1. Handling ethical, legal and social issues in birth cohort studies involving genetic research: responses from studies in six countries

    PubMed Central

    2010-01-01

    Background Research involving minors has been the subject of much ethical debate. The growing number of longitudinal, pediatric studies that involve genetic research present even more complex challenges to ensure appropriate protection of children and families as research participants. Long-term studies with a genetic component involve collection, retention and use of biological samples and personal information over many years. Cohort studies may be established to study specific conditions (e.g. autism, asthma) or may have a broad aim to research a range of factors that influence the health and development of children. Studies are increasingly intended to serve as research platforms by providing access to data and biological samples to researchers over many years. This study examines how six birth cohort studies in North America and Europe that involve genetic research handle key ethical, legal and social (ELS) issues: recruitment, especially parental authority to include a child in research; initial parental consent and subsequent assent and/or consent from the maturing child; withdrawal; confidentiality and sample/data protection; handling sensitive information; and disclosure of results. Methods Semi-structured telephone interviews were carried out in 2008/09 with investigators involved in six birth cohort studies in Canada, Denmark, England, France, the Netherlands and the United States. Interviewees self-identified as being knowledgeable about ELS aspects of the study. Interviews were conducted in English. Results The studies vary in breadth of initial consent, but none adopt a blanket consent for future use of samples/data. Ethics review of new studies is a common requirement. Studies that follow children past early childhood recognise a need to seek assent/consent as the child matures. All studies limit access to identifiable data and advise participants of the right to withdraw. The clearest differences among studies concern handling of sensitive information and return of results. In all studies, signs of child abuse require reports to authorities, but this disclosure duty is not always stated in consent materials. Studies vary in whether they will return to participants results of routine tests/measures, but none inform participants about findings with unknown clinical significance. Conclusions Analysis of how cohort studies in various jurisdictions handle key ELS issues provides informative data for comparison and contrast. Consideration of these and other examples and further scholarly exploration of ELS issues provides insight on how best to address these aspects in ways that respect the well-being of participants, especially children who become research subjects at the start of their lives. PMID:20331891

  2. Complementing Neurophysiology Education for Developing Countries via Cost-Effective Virtual Labs: Case Studies and Classroom Scenarios

    PubMed Central

    Diwakar, Shyam; Parasuram, Harilal; Medini, Chaitanya; Raman, Raghu; Nedungadi, Prema; Wiertelak, Eric; Srivastava, Sanjeeva; Achuthan, Krishnashree; Nair, Bipin

    2014-01-01

    Classroom-level neuroscience experiments vary from detailed protocols involving chemical, physiological and imaging techniques to computer-based modeling. The application of Information and Communication Technology (ICT) is revolutionizing the current laboratory scenario in terms of active learning especially for distance education cases. Virtual web-based labs are an asset to educational institutions confronting economic issues in maintaining equipment, facilities and other conditions needed for good laboratory practice. To enhance education, we developed virtual laboratories in neuroscience and explored their first-level use in (Indian) University education in the context of developing countries. Besides using interactive animations and remotely-triggered experimental devices, a detailed mathematical simulator was implemented on a web-based software platform. In this study, we focused on the perceptions of technology adoption for a virtual neurophysiology laboratory as a new pedagogy tool for complementing college laboratory experience. The study analyses the effect of virtual labs on users assessing the relationship between cognitive, social and teaching presence. Combining feedback from learners and teachers, the study suggests enhanced motivation for students and improved teaching experience for instructors. PMID:24693260

  3. DECEMBER 2008 DIGGER 43 AN ONGOING STUDY EVALUATES

    E-print Network

    Grünwald, Niklaus J.

    of forest trees. Nursery plants can serve as long-distance carri- ers of these forest pathogens. Nurseries across the country. In a study funded by the USDA- ARS Nursery and Floriculture Initiative, with additional contributions from the USDA- Forest Service and The Nature Conservancy, we are using a systems

  4. Evaluating the UK Breast Screening Programme: Study design and practicalities

    Cancer.gov

    Evaluating the UK Breast Screening Programme Study design and practicalities Louise Johns, Sue Moss, Tony Swerdlow Department of Health Cancer Screening Evaluation Unit Section of Epidemiology Background • UK breast screening programme started in 1987

  5. Study of procedures for integrating economic and environmental impact data from irrigation projects in tropical developing countries

    SciTech Connect

    Caupp, C.L.

    1986-01-01

    Integrated Economic Environmental Projects Analysis (IEEPA) is presented as a procedure for incorporating environmental impacts into project feasibility studies. This study documents the need for considering environmental elements in the analysis of Large-Scale River Basin Development Projects (LSRBDPs). Environmental impacts are associated with changes in ecological processes during development (nutrient cycling, population density, water availability, and disease patterns). Traditional project analysis methodologies have failed to examine negative environmental impacts. These methods separate economic and environmental factors, and consequently, cannot deal with the interrelated problems caused by LSRBDPs. Researchers are allowed through IEEPA to provide a more realistic estimate of the costs associated with development projects in developing countries. The success of IEEPA is attributed to the inclusion of environmental impacts in all phases of project design and implementation of a project. An analysis of a dam and irrigation project in the Senegal River Basin was done to demonstrate the process. The inclusion of environmental impacts showed that the intensive irrigation would not be self-supporting and that an alternative project enhancing existing farming practices would cost less and cause fewer environmental impacts.

  6. A mixed-methods study of the implementation of medication adherence policy solutions: how do European countries compare?

    PubMed Central

    Clyne, Wendy; McLachlan, Sarah

    2015-01-01

    Objectives We describe a key informant study that invited national medicines policy leads for the European Union member states to self-assess the level of implementation of medicines adherence initiatives in their country and the adequacy of that implementation. Interviews with medicines policy leads enabled in-depth understanding of the variation in adherence support across nations and the ways in which different nations prioritize, plan, and implement medicines adherence systems and services. Methods Ten national policy leads (Bulgaria, Denmark, Estonia, Finland, Germany, Ireland, Latvia, Lithuania, Malta, and the Netherlands) completed a self-assessment survey, and seven (Estonia, Finland, Germany, Ireland, Lithuania, Malta, and the Netherlands) engaged in a follow-up interview. Key findings Policy leads varied in the level of implementation of medication adherence solutions that they reported in their nations; most initiatives were aimed directly at patients with few initiatives at government or health care commissioner levels of action. Policy leads reported insufficient implementation of medication adherence initiatives across all potential domains. Barriers to implementation included lack of resources, strategic planning, evidence to support action, the “hidden” nature of medication adherence within policy work, and dispersed responsibility for medication adherence as a policy and practice theme. Conclusion This study has international significance and summarizes the emergent characteristics of nations with and without coordinated medication adherence activity. We highlight the importance of sharing good practice in policy formulation and implementation for medication adherence. PMID:26604703

  7. The environmental profile of a community’s health: a cross-sectional study on tobacco marketing in 16 countries

    PubMed Central

    Savell, Emily; Gilmore, Anna B; Sims, Michelle; Mony, Prem K; Koon, Teo; Yusoff, Khalid; Lear, Scott A; Seron, Pamela; Ismail, Noorhassim; Calik, K Burcu Tumerdem; Rosengren, Annika; Bahonar, Ahmad; Kumar, Rajesh; Vijayakumar, Krishnapillai; Kruger, Annamarie; Swidan, Hany; Gupta, Rajeev; Igumbor, Ehimario; Afridi, Asad; Rahman, Omar; Chifamba, Jephat; Zatonska, Katarzyna; Mohan, V; Mohan, Deepa; Lopez-Jaramillo, Patricio; Avezum, Alvaro; Poirier, Paul; Orlandini, Andres; Li, Wei; McKee, Martin; Rangarajan, Sumathy; Yusuf, Salim

    2015-01-01

    Abstract Objective To examine and compare tobacco marketing in 16 countries while the Framework Convention on Tobacco Control requires parties to implement a comprehensive ban on such marketing. Methods Between 2009 and 2012, a kilometre-long walk was completed by trained investigators in 462 communities across 16 countries to collect data on tobacco marketing. We interviewed community members about their exposure to traditional and non-traditional marketing in the previous six months. To examine differences in marketing between urban and rural communities and between high-, middle- and low-income countries, we used multilevel regression models controlling for potential confounders. Findings Compared with high-income countries, the number of tobacco advertisements observed was 81 times higher in low-income countries (incidence rate ratio, IRR: 80.98; 95% confidence interval, CI: 4.15–1578.42) and the number of tobacco outlets was 2.5 times higher in both low- and lower-middle-income countries (IRR: 2.58; 95% CI: 1.17–5.67 and IRR: 2.52; CI: 1.23–5.17, respectively). Of the 11?842 interviewees, 1184 (10%) reported seeing at least five types of tobacco marketing. Self-reported exposure to at least one type of traditional marketing was 10 times higher in low-income countries than in high-income countries (odds ratio, OR: 9.77; 95% CI: 1.24–76.77). For almost all measures, marketing exposure was significantly lower in the rural communities than in the urban communities. Conclusion Despite global legislation to limit tobacco marketing, it appears ubiquitous. The frequency and type of tobacco marketing varies on the national level by income group and by community type, appearing to be greatest in low-income countries and urban communities. PMID:26668437

  8. A comprehensive approach to the formulation of capital projects in developing countries : finance and implementation. Case study, Edendale, Kwazulu (housing)

    E-print Network

    Davis, Trevor Paul

    1983-01-01

    This Thesis deals with capital project formulation in developing countries. The objective is to provide guidelines for the formulation of housing development projects, their implementation structures and financial plans ...

  9. Urban and country level greenhouse gas emissions and carbon footprints: A comparative study of a megacity, Delhi and India.

    PubMed

    Ganga, Sarada; Gurjar, B R; Kumari, Ragini

    2011-04-01

    This paper describes the contribution and comparison of carbon footprints of megacity Delhi with that of India over the period from 1990 to 2000. Two published studies were taken as base to calculate carbon footprint in terms of CO2 equivalents (CO(2)-e) by taking into account CO2, CH4 and N2O emissions mainly from transport, power plants, domestic, industries, agriculture and waste sectors. It is found that carbon footprints have increased more in India (-45%) in comparison to Delhi (-33%) between 1990-2000. However, the average per capita carbon footprints at India level is less than for Delhi. Also, carbon footprint per km area in Delhi is - 40 times to that for India. In India (2000) the contribution to carbon footprint's share primarily comes from power plants, industries and agriculture sector whereas it comes from power plants and transport in case of Delhi. Various control measures taken into account in Delhi during 1990-2000 have resulted in decreasing share of CO2 in the total greenhouse gas (GHG) emissions in comparison to what appears at India level. It indicates that suitable policy measures and norms are required to be implemented at India level to control other GHGs along with CO2 to reduce net carbon footprints at the country level. PMID:23033695

  10. Public views on principles for health care priority setting: findings of a European cross-country study using Q methodology.

    PubMed

    van Exel, Job; Baker, Rachel; Mason, Helen; Donaldson, Cam; Brouwer, Werner

    2015-02-01

    Resources available to the health care sector are finite and typically insufficient to fulfil all the demands for health care in the population. Decisions must be made about which treatments to provide. Relatively little is known about the views of the general public regarding the principles that should guide such decisions. We present the findings of a Q methodology study designed to elicit the shared views in the general public across ten countries regarding the appropriate principles for prioritising health care resources. In 2010, 294 respondents rank ordered a set of cards and the results of these were subject to by-person factor analysis to identify common patterns in sorting. Five distinct viewpoints were identified, (I) "Egalitarianism, entitlement and equality of access"; (II) "Severity and the magnitude of health gains"; (III) "Fair innings, young people and maximising health benefits"; (IV) "The intrinsic value of life and healthy living"; (V) "Quality of life is more important than simply staying alive". Given the plurality of views on the principles for health care priority setting, no single equity principle can be used to underpin health care priority setting. Hence, the process of decision making becomes more important, in which, arguably, these multiple perspectives in society should be somehow reflected. PMID:25550076

  11. Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries

    PubMed Central

    Burnett, Susan; Renz, Anna; Wiig, Siri; Fernandes, Alexandra; Weggelaar, Anne Marie; Calltorp, Johan; Anderson, Janet E.; Robert, Glenn; Vincent, Charles; Fulop, Naomi

    2013-01-01

    Purpose Being able to compare hospitals in terms of quality and safety between countries is important for a number of reasons. For example, the 2011 European Union directive on patients' rights to cross-border health care places a requirement on all member states to provide patients with comparable information on health-care quality, so that they can make an informed choice. Here, we report on the feasibility of using common process and outcome indicators to compare hospitals for quality and safety in five countries (England, Portugal, The Netherlands, Sweden and Norway). Main Challenges Identified The cross-country comparison identified the following seven challenges with respect to comparing the quality of hospitals across Europe: different indicators are collected in each country; different definitions of the same indicators are used; different mandatory versus voluntary data collection requirements are in place; different types of organizations oversee data collection; different levels of aggregation of data exist (country, region and hospital); different levels of public access to data exist; and finally, hospital accreditation and licensing systems differ in each country. Conclusion Our findings indicate that if patients and policymakers are to compare the quality and safety of hospitals across Europe, then further work is urgently needed to agree the way forward. Until then, patients will not be able to make informed choices about where they receive their health care in different countries, and some governments will remain in the dark about the quality and safety of care available to their citizens as compared to that available in neighbouring countries. PMID:23292003

  12. A Sectoral Approach to Training in the Printing Industry and the Hospital Sector. Synthesis Report of a Study in Five European Countries. CEDEFOP Panorama.

    ERIC Educational Resources Information Center

    Warmerdam, John

    The development of sectoral training systems in two economic sectors--the printing industry and the sector of health care in hospitals--was examined in a study that entailed parallel research projects in five European countries: Belgium, Latvia, The Netherlands, Norway, and the United Kingdom. The study was based on the assumption that the…

  13. WMC Database Evaluation. Case Study Report

    SciTech Connect

    Palounek, Andrea P. T

    2015-10-29

    The WMC Database is ultimately envisioned to hold a collection of experimental data, design information, and information from computational models. This project was a first attempt at using the Database to access experimental data and extract information from it. This evaluation shows that the Database concept is sound and robust, and that the Database, once fully populated, should remain eminently usable for future researchers.

  14. AN EVALUATION STUDY OF EPA METHOD 8

    EPA Science Inventory

    Techniques used in EPA Method 8, the source test method for acid mist and sulfur dioxide emissions from sulfuric acid plants, have been evaluated. Evidence is shown that trace amounts of peroxides in isopropyl alcohol result in the conversion of sulfur dioxide to sulfate and caus...

  15. Rural, Urban and Migrant Differences in Non-Communicable Disease Risk-Factors in Middle Income Countries: A Cross-Sectional Study of WHO-SAGE Data

    PubMed Central

    Oyebode, Oyinlola; Pape, Utz J.; Laverty, Anthony A.; Lee, John T.; Bhan, Nandita; Millett, Christopher

    2015-01-01

    Background Understanding how urbanisation and rural-urban migration influence risk-factors for non-communicable disease (NCD) is crucial for developing effective preventative strategies globally. This study compares NCD risk-factor prevalence in urban, rural and migrant populations in China, Ghana, India, Mexico, Russia and South Africa. Methods Study participants were 39,436 adults within the WHO Study on global AGEing and adult health (SAGE), surveyed 2007–2010. Risk ratios (RR) for each risk-factor were calculated using logistic regression in country-specific and all country pooled analyses, adjusted for age, sex and survey design. Fully adjusted models included income quintile, marital status and education. Results Regular alcohol consumption was lower in migrant and urban groups than in rural groups (pooled RR and 95%CI: 0.47 (0.31–0.68); 0.58, (0.46–0.72), respectively). Occupational physical activity was lower (0.86 (0.72–0.98); 0.76 (0.65–0.85)) while active travel and recreational physical activity were higher (pooled RRs for urban groups; 1.05 (1.00–1.09), 2.36 (1.95–2.83), respectively; for migrant groups: 1.07 (1.0 -1.12), 1.71 (1.11–2.53), respectively). Overweight, raised waist circumference and diagnosed diabetes were higher in urban groups (1.19 (1.04–1.35), 1.24 (1.07–1.42), 1.69 (1.15–2.47), respectively). Exceptions to these trends exist: obesity indicators were higher in rural Russia; active travel was lower in urban groups in Ghana and India; and in South Africa, urban groups had the highest alcohol consumption. Conclusion Migrants and urban dwellers had similar NCD risk-factor profiles. These were not consistently worse than those seen in rural dwellers. The variable impact of urbanisation on NCD risk must be considered in the design and evaluation of strategies to reduce the growing burden of NCDs globally. PMID:25849356

  16. Evaluation Authority and Financial Control: A Study of State Mandates.

    ERIC Educational Resources Information Center

    Johnson, Gary R.; Glasman, Naftaly S.

    1983-01-01

    This study investigated the significance of viewing the authority to evaluate as an indicator of the exercise of financial control. Financial control in this investigation focuses exclusively on state financial legislation. Evaluation authority in this investigation focuses exclusively on evaluation components of such legislation. (BW)

  17. Research Governance and the Role of Evaluation: A Comparative Study

    ERIC Educational Resources Information Center

    Molas-Gallart, Jordi

    2012-01-01

    Through a comparative study of the United Kingdom and Spain, this article addresses the effect of different research governance structures on the functioning and uses of research evaluation. It distinguishes three main evaluation uses: distributive, improvement, and controlling. Research evaluation in the United Kingdom plays important…

  18. Dietary Carbohydrate and Nocturnal Sleep Duration in Relation to Children's BMI: Findings from the IDEFICS Study in Eight European Countries.

    PubMed

    Hunsberger, Monica; Mehlig, Kirsten; Börnhorst, Claudia; Hebestreit, Antje; Moreno, Luis; Veidebaum, Toomas; Kourides, Yiannis; Siani, Alfonso; Molnar, Dénes; Sioen, Isabelle; Lissner, Lauren

    2015-01-01

    Previous research has found an association between being overweight and short sleep duration. We hypothesized that this association could be modified by a high carbohydrate (HC) diet and that the timing and type (starch or sugar) of intake may be an important factor in this context. Participants in the prospective, eight-country European study IDEFICS were recruited from September 2007 to June 2008, when they were aged two to nine years. Data on lifestyle, dietary intake and anthropometry were collected on two occasions. This study included 5944 children at baseline and 4301 at two-year follow-up. For each meal occasion (morning, midday, and evening), starch in grams and sugar in grams were divided by total energy intake (EI), and quartiles calculated. HC-starch and HC-sugar intake categories were defined as the highest quartile for each meal occasion. In a mutually adjusted linear regression model, short sleep duration as well as HC-starch in the morning were positively associated with body mass index (BMI) z-scores at baseline. HC-starch at midday was positively associated with body mass index (BMI) z-scores in children with short sleep duration, and negatively associated with BMI z-scores in those with normal sleep. After adjustment for baseline BMI z-scores, associations between total HC from starch or sugar and high BMI z-scores at two-year follow-up did not persist. Our observations offer a perspective on optimal timing for macronutrient consumption, which is known to be influenced by circadian rhythms. Reduced carbohydrate intake, especially during morning and midday meals, and following nocturnal sleep duration recommendations are two modifiable factors that may protect children from being overweight in the future. PMID:26670249

  19. Respondent-driven sampling for an adolescent health study in vulnerable urban settings: a multi-country study.

    PubMed

    Decker, Michele R; Marshall, Beth Dail; Emerson, Mark; Kalamar, Amanda; Covarrubias, Laura; Astone, Nan; Wang, Ziliang; Gao, Ersheng; Mashimbye, Lawrence; Delany-Moretlwe, Sinead; Acharya, Rajib; Olumide, Adesola; Ojengbede, Oladosu; Blum, Robert W; Sonenstein, Freya L

    2014-12-01

    The global adolescent population is larger than ever before and is rapidly urbanizing. Global surveillance systems to monitor youth health typically use household- and school-based recruitment methods. These systems risk not reaching the most marginalized youth made vulnerable by conditions of migration, civil conflict, and other forms of individual and structural vulnerability. We describe the methodology of the Well-Being of Adolescents in Vulnerable Environments survey, which used respondent-driven sampling (RDS) to recruit male and female youth aged 15-19 years and living in economically distressed urban settings in Baltimore, MD; Johannesburg, South Africa; Ibadan, Nigeria; New Delhi, India; and Shanghai, China (migrant youth only) for a cross-sectional study. We describe a shared recruitment and survey administration protocol across the five sites, present recruitment parameters, and illustrate challenges and necessary adaptations for use of RDS with youth in disadvantaged urban settings. We describe the reach of RDS into populations of youth who may be missed by traditional household- and school-based sampling. Across all sites, an estimated 9.6% were unstably housed; among those enrolled in school, absenteeism was pervasive with 29% having missed over 6 days of school in the past month. Overall findings confirm the feasibility, efficiency, and utility of RDS in quickly reaching diverse samples of youth, including those both in and out of school and those unstably housed, and provide direction for optimizing RDS methods with this population. In our rapidly urbanizing global landscape with an unprecedented youth population, RDS may serve as a valuable tool in complementing existing household- and school-based methods for health-related surveillance that can guide policy. PMID:25454005

  20. Respondent-driven sampling for an adolescent health study in vulnerable urban settings: a multi-country study

    PubMed Central

    Decker, Michele R.; Marshall, Beth; Emerson, Mark; Kalamar, Amanda; Covarrubias, Laura; Astone, Nan; Wang, Ziliang; Gao, Ersheng; Mashimbye, Lawrence; Delany-Moretlwe, Sinead; Acharya, Rajib; Olumide, Adesola; Ojengbede, Oladosu; Blum, Robert

    2015-01-01

    The global adolescent population is larger than ever before and is rapidly urbanizing. Global surveillance systems to monitor youth health typically use household- and school-based recruitment methods. These systems risk not reaching the most marginalized youth made vulnerable by conditions of migration, civil conflict and other forms of individual and structural vulnerability. We describe the methodology of the Well Being of Adolescents in Vulnerable Environments (WAVE) survey, which used respondent-driven sampling (RDS) to recruit male and female youth aged 15 to 19 years and living in economically distressed urban settings in Baltimore, USA, Johannesburg, South Africa, Ibadan, Nigeria, Delhi, India and Shanghai, China (migrant youth only) for a cross-sectional study. We describe a shared recruitment and survey administration protocol across the five sites, present recruitment parameters, and illustrate challenges and necessary adaptations for use of RDS with youth in disadvantaged urban settings. We describe the reach of RDS into populations of youth who may be missed by traditional householdbased and school-based sampling. Across all sites, an estimated 9.6% were unstably housed; among those enrolled in school, absenteeism was pervasive with 29% having missed over 6 days of school in the past month. Overall findings confirm the feasibility, efficiency and utility of RDS in quickly reaching diverse samples of youth, including those both in and out of school and those unstably housed, and provide direction for optimizing RDS methods with this population. In our rapidly urbanizing global landscape with an unprecedented youth population, RDS may serve as a valuable tool in complementing existing household- and school-based methods for health-related surveillance that can guide policy. PMID:25454005

  1. Evaluating Humane Education: The Jefferson County Study.

    ERIC Educational Resources Information Center

    Fitzgerald, Thomas A., Jr.

    1981-01-01

    Describes a study which analyzes the impact of three different humane education treatments, all examples of traditional programs taught by local humane societies to fifth- and sixth-grade students. Results are compared with similar studies previously conducted. (CS)

  2. Characteristics of women who continue smoking during pregnancy: a cross-sectional study of pregnant women and new mothers in 15 European countries

    PubMed Central

    2014-01-01

    Background Some women continue smoking during pregnancy despite the extensive information available on the dangers smoking poses to their fetus. This study aimed to examine the prevalence and determinants of smoking before and during pregnancy and the extent of smoking during pregnancy from a European perspective in relation to maternal sociodemographic characteristics, health literacy, morbidity, and pregnancy-related factors. Methods This multinational, web-based study evaluated pregnant women and new mothers in 15 European countries recruited from October 2011 to February 2012. Data were collected via an anonymous online questionnaire. Results Of 8344 women included, 2944 (35.3%) reported smoking before pregnancy, and 771 (26.2%) continued smoking during pregnancy, 88 (11.4%) of whom smoked more than 10 cigarettes per day. There was a wide variation among the 15 European countries in smoking rates before and during pregnancy, ranging from 25.0% (Sweden) to 50.0% (Croatia) before and 4.2% (Iceland) to 18.9% (Croatia) during pregnancy. Women who lived in Eastern Europe, without a spouse/partner, with a low education level and unplanned pregnancy, who did not take folic acid, and consumed alcohol during pregnancy were the most likely to smoke before pregnancy. Women who lived in Eastern or Western Europe, without a spouse/partner, with a low education level and health literacy, being a housewife, having previous children and unplanned pregnancy, and who did not take folic acid were the most likely to continue smoking during pregnancy. Women who smoked more than 10 cigarettes per day during pregnancy were the most likely to be living in Eastern Europe and to have a low education level. Conclusion Women with fewer resources living in Western or Eastern Europe are more likely not only to smoke before pregnancy but also to continue smoking during pregnancy. These high-risk women are characterized as living alone, having high school or less as highest education level, having low health literacy, being a housewife, having previous children, having unplanned pregnancy, and no use of folic acid. Our findings indicated that focus on smoking cessation is important in antenatal care in Europe as many women smoke before pregnancy, and still continue to do so in pregnancy. PMID:24964728

  3. Analysis of Trend of Malaria Prevalence in the Ten Asian Countries from 2006 to 2011: A Longitudinal Study

    PubMed Central

    Roy, Shongkour; Khatun, Tanjina

    2015-01-01

    Background. To control the malaria mortality, the global and national communities have worked together and produced impressive results in the world. Some of the Asian counties' malaria mortality rate is more compared to countries with high health facilities around the world. This paper's main aim is to describe trend of malaria cases and mortality in 10 Asian countries using the World Health Organization data. Methods. Malaria mortality data was collected systematically from WHO and UN database for the period 2006–2011. We estimated malaria mortality by age and countries. We also explored the dynamic relationships among malaria death rate, total populations, and geographical region using a map. During 2006–2011, the average malaria death per 10,000 population of all ages was 0.239 (95% CI 0.104 to 0.373), of children aged less than 5 year 1.143 (0.598 to 1.687), and of age greater than 5 years 0.089 (0.043 to 0.137) in Asian countries. Malaria prevalence per 10,000 populations steadily decreased from 486.7 in 2006 to 298.9 in 2011. Conclusion. The findings show that malaria mortality is higher for children aged less than 5 years compared with with adults selected in Asian countries except Sri Lanka. PMID:26693382

  4. Integrated community case management of malaria, pneumonia and diarrhoea across three African countries: A qualitative study exploring lessons learnt and implications for further scale up.

    PubMed

    Strachan, Clare; Wharton-Smith, Alexandra; Sinyangwe, Chomba; Mubiru, Denis; Ssekitooleko, James; Meier, Joslyn; Gbanya, Miatta; Tibenderana, James K; Counihan, Helen

    2014-12-01

    Numerous studies highlight the effectiveness of an integrated approach for the management of malaria, pneumonia and diarrhoea at the community level. There has however been little study on lessons learnt from implementation in practice and stakeholder experiences which could inform future programmatic planning and evaluation frameworks. A participatory, qualitative evaluation was conducted in the three varied settings of South Sudan, Uganda and Zambia, which have seen the scale up of integrated community case management (iCCM) over the last five years. All key in-country stakeholders were consulted on study design, with a particular focus on scope and methodology. Data collection methods included stakeholder consultations (key informant interviews, focus group discussions), and a review of project and Ministry of Health documentation. Data analysis followed the Framework Approach. Results suggest that iCCM implementation generally followed national pre-agreed guidelines. Overarching key programmatic recommendations included: collaboration with implementing partners in planning stages to positively impact on community acceptance and ownership; adoption of participatory training methods adapted to low literacy populations; development of alternative support supervision methods such as peer support groups; full integration of community level data into the health management information system and emphasizing data analysis, use and feedback at all levels; strengthened supply chains through improved quantification and procurement of commodities in conjunction with the national distribution network; community engagement to establish a support system for community health workers to increase their motivation; enhanced sensitisation and behaviour change communication to raise awareness and usage of appropriate health services; and advocacy at the national level for funding and logistical support for the continuation and integration of iCCM. This qualitative study is a valuable contribution in understanding the 'hows' of iCCM implementation with key insights for improved feasibility and acceptability. Main findings show how community support to iCCM and community health workers is necessary for sustained health benefits coupled with a focus on strengthening and 'enabling' the public health system. The participatory study design and methodologies used enabled the scope of the research enquiry to effectively capture various stakeholder perspectives. PMID:25520794

  5. Integrated community case management of malaria, pneumonia and diarrhoea across three African countries: A qualitative study exploring lessons learnt and implications for further scale up

    PubMed Central

    Strachan, Clare; Wharton–Smith, Alexandra; Sinyangwe, Chomba; Mubiru, Denis; Ssekitooleko, James; Meier, Joslyn; Gbanya, Miatta; Tibenderana, James K.; Counihan, Helen

    2014-01-01

    Numerous studies highlight the effectiveness of an integrated approach for the management of malaria, pneumonia and diarrhoea at the community level. There has however been little study on lessons learnt from implementation in practice and stakeholder experiences which could inform future programmatic planning and evaluation frameworks. A participatory, qualitative evaluation was conducted in the three varied settings of South Sudan, Uganda and Zambia, which have seen the scale up of integrated community case management (iCCM) over the last five years. All key in–country stakeholders were consulted on study design, with a particular focus on scope and methodology. Data collection methods included stakeholder consultations (key informant interviews, focus group discussions), and a review of project and Ministry of Health documentation. Data analysis followed the Framework Approach. Results suggest that iCCM implementation generally followed national pre–agreed guidelines. Overarching key programmatic recommendations included: collaboration with implementing partners in planning stages to positively impact on community acceptance and ownership; adoption of participatory training methods adapted to low literacy populations; development of alternative support supervision methods such as peer support groups; full integration of community level data into the health management information system and emphasizing data analysis, use and feedback at all levels; strengthened supply chains through improved quantification and procurement of commodities in conjunction with the national distribution network; community engagement to establish a support system for community health workers to increase their motivation; enhanced sensitisation and behaviour change communication to raise awareness and usage of appropriate health services; and advocacy at the national level for funding and logistical support for the continuation and integration of iCCM. This qualitative study is a valuable contribution in understanding the ‘hows’ of iCCM implementation with key insights for improved feasibility and acceptability. Main findings show how community support to iCCM and community health workers is necessary for sustained health benefits coupled with a focus on strengthening and ‘enabling’ the public health system. The participatory study design and methodologies used enabled the scope of the research enquiry to effectively capture various stakeholder perspectives. PMID:25520794

  6. EVALUATIVE TEACHING STRATEGIES IN THE SOCIAL STUDIES.

    ERIC Educational Resources Information Center

    MEUX, MILTON; AND OTHERS

    A SIMULTANEOUS APPROACH WAS USED IN AN EXPLORATORY STUDY OF THREE MAJOR INSTRUCTIONAL PROBLEMS THAT ARE ENCOUNTERED IN TEACHING VALUE PROBLEMS IN TWO SOCIAL STUDIES TOPICS ON ENVIRONMENTAL CONTAMINATION--FLOURIDATION AND THE USE OF PESTICIDES. "VALIDITY" WHICH IS CONCERNED WITH THE APPROPRIATE CRITERIA FOR MAKING VALUE JUDGMENTS WAS STUDIED BY…

  7. National health policy-makers’ views on the clarity and utility of Countdown to 2015 country profiles and reports: findings from two exploratory qualitative studies

    PubMed Central

    2014-01-01

    Background The use of sets of indicators to assess progress has become commonplace in the global health arena. Exploratory research has suggested that indicators used for global monitoring purposes can play a role in national policy-making, however, the mechanisms through which this occurs are poorly understood. This article reports findings from two qualitative studies that aimed to explore national policy-makers’ interpretation and use of indicators from country profiles and reports developed by Countdown to 2015. Methods An initial study aimed at exploring comprehension of Countdown data was conducted at the 2010 joint Women Deliver/Countdown conference. A second study was conducted at the 64th World Health Assembly in 2011, specifically targeting national policy-makers. Semi-structured interviews were carried out with 29 and 22 participants, respectively, at each event. Participants were asked about their understanding of specific graphs and indicators used or proposed for use in Countdown country profiles, and their perception of how such data can inform national policy-making. Responses were categorised using a framework analysis. Results Respondents in both studies acknowledged the importance of the profiles for tracking progress on key health indicators in and across countries, noting that they could be used to highlight changes in coverage, possible directions for future policy, for lobbying finance ministers to increase resources for health, and to stimulate competition between neighbouring or socioeconomically similar countries. However, some respondents raised questions about discrepancies between global estimates and data produced by national governments, and some struggled to understand the profile graphs shown in the absence of explanatory text. Some respondents reported that use of Countdown data in national policy-making was constrained by limited awareness of the initiative, insufficient detail in the country profiles to inform policy, and the absence of indicators felt to be more appropriate to their own country contexts. Conclusions The two studies emphasise the need for country consultations to ensure that national policy-makers understand how to interpret and use tools like the Countdown profile for planning purposes. They make clear the value of qualitative research for refining tools used to promote accountability, and the need for country level Countdown-like processes. PMID:25128385

  8. A descriptive study of the prevalence of atypical and classical scrapie in sheep in 20 European countries

    PubMed Central

    Fediaevsky, Alexandre; Tongue, Sue C; Nöremark, Maria; Calavas, Didier; Ru, Giuseppe; Hopp, Petter

    2008-01-01

    Background The development of active surveillance programmes for transmissible spongiform encephalopathies of small ruminants across Europe has led to the recent identification of a previously undetected form of ovine prion disease, 'atypical' scrapie. Knowledge of the epidemiology of this disease is still limited, as is whether it represents a risk for animal and/or public health. The detection of atypical scrapie has been related to the use of only some of the EU agreed rapid tests. Information about the rapid tests used is not, as yet, available from public reports on the surveillance of transmissible spongiform encephalopathies in small ruminants. We collected detailed results of active surveillance from European countries to estimate and to compare the prevalence of atypical scrapie and classical scrapie in sheep for each country stratified by each surveillance stream; healthy slaughtered and found dead adult sheep. Results From the 20 participating countries, it appeared that atypical scrapie was detected in Europe wherever the conditions necessary for its diagnosis were present. In most countries, atypical scrapie and classical scrapie occurred at low prevalence level. The classical scrapie prevalence estimates were more variable than those for atypical scrapie, which appeared remarkably homogeneous across countries, surveillance streams and calendar years of surveillance. Differences were observed in the age and genotype of atypical scrapie and classical scrapie cases that are consistent with previous published findings. Conclusion This work suggests that atypical scrapie is not rare compared to classical scrapie. The homogeneity of its prevalence, whatever the country, stream of surveillance or year of detection, contrasts with the epidemiological pattern of classical scrapie. This suggests that the aetiology of atypical scrapie differs from that of classical scrapie. PMID:18544152

  9. Understanding Private Sector Antimalarial Distribution Chains: A Cross-Sectional Mixed Methods Study in Six Malaria-Endemic Countries

    PubMed Central

    Palafox, Benjamin; Patouillard, Edith; Tougher, Sarah; Goodman, Catherine; Hanson, Kara; Kleinschmidt, Immo; Rueda, Sergio Torres; Kiefer, Sabine; O’Connell, Kathryn A.; Zinsou, Cyprien; Phok, Sochea; Akulayi, Louis; Arogundade, Ekundayo; Buyungo, Peter; Mpasela, Felton; Chavasse, Desmond

    2014-01-01

    Background Private for-profit outlets are important treatment sources for malaria in most endemic countries. However, these outlets constitute only the last link in a chain of businesses that includes manufacturers, importers and wholesalers, all of which influence the availability, price and quality of antimalarials patients can access. We present evidence on the composition, characteristics and operation of these distribution chains and of the businesses that comprise them in six endemic countries (Benin, Cambodia, Democratic Republic of Congo, Nigeria, Uganda and Zambia). Methods and Findings We conducted nationally representative surveys of antimalarial wholesalers during 2009–2010 using an innovative sampling approach that captured registered and unregistered distribution channels, complemented by in-depth interviews with a range of stakeholders. Antimalarial distribution chains were pyramidal in shape, with antimalarials passing through a maximum of 4–6 steps between manufacturer and retailer; however, most likely pass through 2–3 steps. Less efficacious non-artemisinin therapies (e.g. chloroquine) dominated weekly sales volumes among African wholesalers, while volumes for more efficacious artemisinin-based combination therapies (ACTs) were many times smaller. ACT sales predominated only in Cambodia. In all countries, consumer demand was the principal consideration when selecting products to stock. Selling prices and reputation were key considerations regarding supplier choice. Business practices varied across countries, with large differences in the proportions of wholesalers offering credit and delivery services to customers, and the types of distribution models adopted by businesses. Regulatory compliance also varied across countries, particularly with respect to licensing. The proportion of wholesalers possessing any up-to-date licence from national regulators was lowest in Benin and Nigeria, where vendors in traditional markets are important antimalarial supply sources. Conclusions The structure and characteristics of antimalarial distribution chains vary across countries; therefore, understanding the wholesalers that comprise them should inform efforts aiming to improve access to quality treatment through the private sector. PMID:24699934

  10. The inter-relationship among economic activities, environmental degradation, material consumption and population health in low-income countries: a longitudinal ecological study

    PubMed Central

    Chuang, Ying-Chih; Huang, Ya-Li; Hu, Ching-Yao; Chen, Ssm-Ching; Tseng, Kuo-Chien

    2015-01-01

    Objectives The theory of ecological unequal exchange explains how trade and various forms of economic activity create the problem of environmental degradation, and lead to the deterioration of population health. Based on this theory, our study examined the inter-relationship among economic characteristics, ecological footprints, CO2 emissions, infant mortality rates and under-5 mortality rates in low-income countries. Design A longitudinal ecological study design. Setting Sixty-six low-income countries from 1980 to 2010 were included in the analyses. Data for each country represented an average of 23?years (N=1497). Data sources Data were from the World Development Indicators, UN Commodity Trade Statistics Database, Global Footprint Network and Polity IV Project. Analyses Linear mixed models with a spatial power covariance structure and a correlation that decreased over time were constructed to accommodate the repeated measures. Statistical analyses were conducted separately by sub-Saharan Africa, Latin America and other regions. Results After controlling for country-level sociodemographic characteristics, debt and manufacturing, economic activities were positively associated with infant mortality rates and under-5 mortality rates in sub-Saharan Africa. By contrast, export intensity and foreign investment were beneficial for reducing infant and under-5 mortality rates in Latin America and other regions. Although the ecological footprints and CO2 emissions did not mediate the relationship between economic characteristics and health outcomes, export intensity increased CO2 emissions, but reduced the ecological footprints in sub-Saharan Africa. By contrast, in Asia, the Middle East and North Africa, although export intensity was positively associated with the ecological footprints and also CO2 emissions, the percentage of exports to high-income countries was negatively associated with the ecological footprints. Conclusions This study suggested that environmental protection and economic development are important for reducing infant and under-5 mortality rates in low-income countries. PMID:26179643

  11. Evidenced Formal Coverage Index and universal healthcare enactment: A prospective longitudinal study of economic, social, and political predictors of 194 countries.

    PubMed

    Feigl, Andrea B; Ding, Eric L

    2013-11-01

    Determinants of universal healthcare (UHC) are poorly empirically understood. We undertook a comprehensive study of UHC development using a novel Evidenced Formal Coverage (EFC) index that combines three key UHC elements: legal framework, population coverage, and accessibility. Applying the EFC index measures (legislation, ?90% skilled birth attendance, ?85% formal coverage) to 194 countries, aggregating time-varying data from 1880-2008, this study investigates which macro-economic, political, and social indicators are major longitudinal predictors of developing EFC globally, and in middle-income countries. Overall, 75 of 194 countries implemented legal-text UHC legislation, of which 51 achieved EFC. In a country-year prospective longitudinal analysis of EFC prediction, higher GDP-per-capita (per GDP-per-capita doubling, relative risk [RR]=1.77, 95% CI: 1.49-2.10), higher primary school completion (per +20% completion, RR=2.30, 1.65-3.21), and higher adult literacy were significantly associated with achieving EFC. Results also identify a GDP-per-capita of I$5000 as a minimum level for development of EFC. GDP-per-capita and education were each robust predictors in middle-income countries, and education remained significant even controlling for time-varying GDP growth. For income-inequality, the GINI coefficient was suggestive in its role in predicting EFC (p=0.024). For social and political indicators, a greater degree of ethnic fractionalization (per +25%, RR=0.51, 0.38-0.70), proportional electoral system (RR=2.80, 1.22-6.40), and dictatorships (RR=0.10, 0.05-0.27) were further associated with EFC. The novel EFC index and this longitudinal prospective study together indicate that investment in both economic growth and education should be seen of equal importance for development of UHC. Our findings help in understanding the social and political drivers of universal healthcare, especially for transitioning countries. PMID:23906506

  12. Perception and use of massive open online courses among medical students in a developing country: multicentre cross-sectional study

    PubMed Central

    Aboshady, Omar A; Radwan, Ahmed E; Eltaweel, Asmaa R; Azzam, Ahmed; Aboelnaga, Amr A; Hashem, Heba A; Darwish, Salma Y; Salah, Rehab; Kotb, Omar N; Afifi, Ahmed M; Noaman, Aya M; Salem, Dalal S; Hassouna, Ahmed

    2015-01-01

    Objectives To assess the prevalence of awareness and use of massive open online courses (MOOCs) among medical undergraduates in Egypt as a developing country, as well as identifying the limitations and satisfaction of using these courses. Design A multicentre, cross-sectional study using a web-based, pilot-tested and self-administered questionnaire. Settings Ten out of 19 randomly selected medical schools in Egypt. Participants 2700 undergraduate medical students were randomly selected, with an equal allocation of participants in each university and each study year. Primary and secondary outcome measures Primary outcome measures were the percentages of students who knew about MOOCs, students who enrolled and students who obtained a certificate. Secondary outcome measures included the limitations and satisfaction of using MOOCs through five-point Likert scale questions. Results Of 2527 eligible students, 2106 completed the questionnaire (response rate 83.3%). Of these students, 456 (21.7%) knew the term MOOCs or websites providing these courses. Out of the latter, 136 (29.8%) students had enrolled in at least one course, but only 25 (18.4%) had completed courses earning certificates. Clinical year students showed significantly higher rates of knowledge (p=0.009) and enrolment (p<0.001) than academic year students. The primary reasons for the failure of completion of courses included lack of time (105; 77.2%) and slow Internet speed (73; 53.7%). Regarding the 25 students who completed courses, 21 (84%) were satisfied with the overall experience. However, there was less satisfaction regarding student–instructor (8; 32%) and student–student (5; 20%) interactions. Conclusions About one-fifth of Egyptian medical undergraduates have heard about MOOCs with only about 6.5% actively enrolled in courses. Students who actively participated showed a positive attitude towards the experience, but better time-management skills and faster Internet connection speeds are required. Further studies are needed to survey the enrolled students for a better understanding of their experience. PMID:25564149

  13. Evaluating Rogue User Testing: an Industrial Case Study at Softeam

    E-print Network

    Utrecht, Universiteit

    Evaluating Rogue User Testing: an Industrial Case Study at Softeam Sebastian Bauersfeld Nelly.089 3508 TB Utrecht The Netherlands #12;Evaluating Rogue User Testing: an Industrial Case Study at Softeam challenging and time consuming task. The state of the art in the industry are still capture and replay tools

  14. Evaluation Study of an Expanded Distance Education System.

    ERIC Educational Resources Information Center

    Einsiedel, Albert A., Jr.; Taylor, William H.

    A study was conducted to evaluate alternative methods of delivering professional development programs to local government personnel in Alberta. It consisted of the development of the analysis model, the identification and evaluation of selected alternative delivery systems, and the formulation of recommendations based on the study. Three major…

  15. How to Critically Evaluate Case Studies in Social Work

    ERIC Educational Resources Information Center

    Lee, Eunjung; Mishna, Faye; Brennenstuhl, Sarah

    2010-01-01

    The purpose of this article is to develop guidelines to assist practitioners and researchers in evaluating and developing rigorous case studies. The main concern in evaluating a case study is to accurately assess its quality and ultimately to offer clients social work interventions informed by the best available evidence. To assess the quality of…

  16. Multiple micronutrient supplementation during pregnancy in low-income countries: Review of methods and characteristics of studies included in the meta-analysis

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This paper reports on the methods and characteristics of 12 studies from developing countries included in a meta-analysis of the impact of antenatal supplements of multiple micronutrients compared with iron–folic acid on micronutrient status, maternal nutritional status, birth outcomes, and neonatal...

  17. Daily Hassles and Coping Dispositions as Predictors of Psychological Adjustment: A Comparative Study of Young Unaccompanied Refugees and Youth in the Resettlement Country

    ERIC Educational Resources Information Center

    Seglem, Karoline B.; Oppedal, Brit; Roysamb, Espen

    2014-01-01

    This study examined daily hassles and coping dispositions in relation to life satisfaction and depressive symptoms among resettled unaccompanied refugees and other youth in the resettlement country. A total of 223 unaccompanied refugees ("M" = 20 years) was compared with 609 ethnic minority and 427 majority youth in Norway. Unaccompanied…

  18. Quality of Agricultural Products and Protection of the Environment: Training, Knowledge Dissemination and Certification. Synthesis Report of a Study in Five European Countries. CEDEFOP Reference Series.

    ERIC Educational Resources Information Center

    Papadaki-Klavdianou, A.; Menkisoglou-Spiroudi, O.; Tsakiridou, E.

    This book examines existing European environmental education and agricultural practices friendly to the environment. Focus is on studies conducted in five countries Germany, Greece, the Netherlands, Portugal, and Spain--that aimed to define new knowledge qualifications related to environmental issues in producing alternative agricultural products…

  19. Financing the response to HIV among gay men and other men who have sex with men: Case studies from eight diverse countries.

    PubMed

    Grosso, Ashley; Ryan, Owen; Tram, Khai Hoan; Baral, Stefan

    2015-12-01

    Despite reductions in the number of new HIV infections globally, the HIV epidemic among men who have sex with men (MSM) is expanding. This study characterises financing of HIV programmes for MSM and the impact of criminalisation on levels of funding, using data from five countries that criminalise same-sex sexual practices (Ethiopia, Mozambique, Guyana, India and Nigeria) and three that do not (China, Ukraine and Vietnam). For each country, all publicly available documents from the Global Fund to Fight AIDS, Tuberculosis and Malaria for approved HIV/AIDS grants in Rounds 5-9 and Country Operational Plans detailing investments made through the President's Emergency Plan for AIDS Relief (PEPFAR) from US fiscal year (FY) 2007-2009 were examined. Eleven of 20 HIV proposals to the Global Fund contained programmes for MSM totalling approximately $40 million or 6% of proposed budgets. In six countries providing activity-level data on MSM programming, PEPFAR funding that served this population and others ranged from $23.3 million in FY2007 to $35.4 million in FY2009, representing 0.5-25.9% of overall, non-treatment funding over this period. Countries that criminalise same-sex sexual practices spend fewer resources on HIV programmes serving MSM. However, they also show consistent underfunding of programmes serving MSM regardless of context or geography. PMID:26139083

  20. BIQSFP_13_CEA_Study_Evaluation_Guidelines

    Cancer.gov

    Cost-Effectiveness Analysis (CEA) Studies Funding Program Purpose and Background As part of its Prioritization and Scientific Quality Initiatives, the Clinical Trials Working Group (CTWG) of NCI recommended establishing a funding mechanism and prioritization process for essential correlative biomarker, imaging, and QOL studies that are incorporated into the fundamental design of a clinical trial.

  1. Matching Up to the Information Society: An Evaluation of the EU, the EU Accession Countries, Switzerland and the United States. Summary

    ERIC Educational Resources Information Center

    Graafland-Essers, Irma; Cremonini, Leon; Ettedgui, Emile; Botterman, Maarten

    2003-01-01

    This report presents the current understanding of the advancement of the Information Society within the European Union and countries that are up for accession in 2004, and is based on the SIBIS (Statistical Indicators Benchmarking the Information Society) surveys and analyses per SIBIS theme and country. The report is unique in its coherent and…

  2. Life expectancy of individuals on combination antiretroviral therapy in high-income countries: a collaborative analysis of 14 cohort studies

    PubMed Central

    2011-01-01

    Summary Background Combination antiretroviral therapy has led to significant increases in survival and quality of life, but at a population-level the effect on life expectancy is not well understood. Our objective was to compare changes in mortality and life expectancy among HIV-positive individuals on combination antiretroviral therapy. Methods The Antiretroviral Therapy Cohort Collaboration is a multinational collaboration of HIV cohort studies in Europe and North America. Patients were included in this analysis if they were aged 16 years or over and antiretroviral-naive when initiating combination therapy. We constructed abridged life tables to estimate life expectancies for individuals on combination antiretroviral therapy in 1996–99, 2000–02, and 2003–05, stratified by sex, baseline CD4 cell count, and history of injecting drug use. The average number of years remaining to be lived by those treated with combination antiretroviral therapy at 20 and 35 years of age was estimated. Potential years of life lost from 20 to 64 years of age and crude death rates were also calculated. Findings 18 587, 13 914, and 10 854 eligible patients initiated combination antiretroviral therapy in 1996–99, 2000–02, and 2003–05, respectively. 2056 (4·7%) deaths were observed during the study period, with crude death rates decreasing from 16·3 deaths per 1000 person-years in 1996–99 to 10·0 deaths per 1000 person-years in 2003–05. Potential years of life lost per 1000 person-years also decreased over the same time, from 366 to 189 years. Life expectancy at age 20 years increased from 36·1 (SE 0·6) years to 49·4 (0·5) years. Women had higher life expectancies than men. Patients with presumed transmission via injecting drug use had lower life expectancies than those from other transmission groups (32·6 [1·1] years vs 44·7 [0·3] years in 2003–05). Life expectancy was lower in patients with lower baseline CD4 counts than in those with higher baseline counts (32·4 [1·1] years for CD4 cell counts below 100 cells per ?L vs 50·4 [0·4] years for counts of 200 cells per ?L or more). Interpretation Life expectancy in HIV-infected patients treated with combination antiretroviral therapy increased between 1996 and 2005, although there is considerable variability in subgroups of patients. However, the average number of years remaining to be lived at age 20 years was about two-thirds of that in the general population in these countries. PMID:18657708

  3. Education and Training in Madagascar: Toward a Policy Agenda for Economic Growth and Poverty Reduction. A World Bank Country Study.

    ERIC Educational Resources Information Center

    World Bank, Washington, DC.

    Madagascar is a poor, primarily rural country in which three-quarters of the population has subsisted below the poverty line for at least two decades. In view of the important role of education in the government's poverty reduction agenda, this report documents the current status of educational development in Madagascar and the key constraints on…

  4. Restoring Fiscal Discipline for Poverty Reduction in Peru: A Public Expenditure Review. A World Bank Country Study.

    ERIC Educational Resources Information Center

    Lopez-Calix, Jose; Melo, Alberto

    Since his inauguration in July 2001, Peruvian President Alejandro Toledo has proposed to take actions in the areas of macroeconomic stabilization; reopening of country's access to international financial markets; budget modernization and state decentralization; social policy; revamping of the armed forces, police, and internal security services;…

  5. Language Revitalization and the Normalization of Basque: A Study of Teacher Perceptions and Expectations in the Basque Country

    ERIC Educational Resources Information Center

    Valadez, Concepción; Etxeberria, Feli; Intxausti, Nahia

    2015-01-01

    In the Basque Country, Northern Spain, Basque (Euskera) and Spanish are official languages. In recent decades, Basque language revitalization and the efforts to make this an unmarked language (normalization) have co-existed with the rapid increase in immigration from outside the Basque region, and most recently from outside Spain. Given the…

  6. Geomagnetic disturbances may be environmental risk factor for multiple sclerosis: an ecological study of 111 locations in 24 countries

    PubMed Central

    2012-01-01

    Background We noticed that a hypothesis based on the effect of geomagnetic disturbances (GMD) has the ability to explain special features of multiple sclerosis (MS). Areas around geomagnetic 60 degree latitude (GM60L) experience the greatest amount of GMD. The easiest way to evaluate our hypothesis was to test the association of MS prevalence (MSP) with angular distance to geomagnetic 60 degree latitude (AMAG60) and compare it with the known association of MS with geographical latitude (GL). We did the same with angular distance to geographic 60 degree latitude (AGRAPH60) as a control. Methods English written papers with MSP keywords, done in Europe (EUR), North America (NA) or Australasia (AUS) were retrieved from the PubMed. Geomagnetic coordinates were determined for each location and AMAG60 was calculated as absolute value of numerical difference between its geomagnetic latitude from GM60L. By an ecological study with using meta-regression analyses, the relationship of MSP with GL, AMAG60 and AGRAPH60 were evaluated separately. MSP data were weighted by square root of number of prevalent cases. Models were compared by their adjusted R square (AR2) and standard error of estimate (SEE). Results 111 MSP data were entered in the study. In each continent, AMAG60 had the best correlation with MSP, the largest AR2 (0.47, 0.42 and 0.84 for EUR, NA and AUS, respectively) and the least SEE. Merging both hemispheres data, AMAG60 explained 56% of MSP variations with the least SEE (R?=?0.75, AR2?=?0.56, SEE?=?57), while GL explained 17% (R?=?0.41, AR2?=?0.17, SEE?=?78.5) and AGRAPH60 explained 12% of that variations with the highest SEE (R?=?0.35, AR2?=?0.12, SEE?=?80.5). Conclusions Our results confirmed that AMAG60 is the best describer of MSP variations and has the strongest association with MSP distribution. They clarified that the well-known latitudinal gradient of MSP may be actually a gradient related to GM60L. Moreover, the location of GM60L can elucidate why MSP has parabolic and linear gradient in the north and south hemisphere, respectively. This preliminary evaluation supported that GMD can be the mysterious environmental risk factor for MS. We believe that this hypothesis deserves to be considered for further validation studies. PMID:22998435

  7. Vibroacoustic test plan evaluation: Parameter variation study

    NASA Technical Reports Server (NTRS)

    Stahle, C. V.; Gongloef, H. R.

    1976-01-01

    Statistical decision models are shown to provide a viable method of evaluating the cost effectiveness of alternate vibroacoustic test plans and the associated test levels. The methodology developed provides a major step toward the development of a realistic tool to quantitatively tailor test programs to specific payloads. Testing is considered at the no test, component, subassembly, or system level of assembly. Component redundancy and partial loss of flight data are considered. Most and probabilistic costs are considered, and incipient failures resulting from ground tests are treated. Optimums defining both component and assembly test levels are indicated for the modified test plans considered. modeling simplifications must be considered in interpreting the results relative to a particular payload. New parameters introduced were a no test option, flight by flight failure probabilities, and a cost to design components for higher vibration requirements. Parameters varied were the shuttle payload bay internal acoustic environment, the STS launch cost, the component retest/repair cost, and the amount of redundancy in the housekeeping section of the payload reliability model.

  8. Data evaluation, analysis, and scientific study

    NASA Technical Reports Server (NTRS)

    Wu, S. T.

    1991-01-01

    Extensive work was performed in data analysis and modeling of solar active phenomena. The work consisted in the study of UV data from the Ultraviolet Spectrometer and Polarimeter (UVSP) instrument on board the Solar Maximum Mission satellite. These data were studied in conjunction with X-rays from the Hard X-ray Imaging Spectrometer (HXIS) instrument, and with H-alpha and magnetographic data from ground-based observatories. The processes we studied are the active phenomena which result from the interaction of the solar magnetic fields with the plasma in the outer regions of the solar atmosphere. These processes include some very dynamic processes such as the prominence eruptions and the 'microflares'. Our research aimed at characterizing the following: the observed phenomena, the possible physical models, and the relevance to the chromospheric and coronal heating.

  9. Toward evaluating the effect of climate change on investments in the water resources sector: insights from the forecast and analysis of hydrological indicators in developing countries

    NASA Astrophysics Data System (ADS)

    Strzepek, Kenneth; Jacobsen, Michael; Boehlert, Brent; Neumann, James

    2013-12-01

    The World Bank has recently developed a method to evaluate the effects of climate change on six hydrological indicators across 8951 basins of the world. The indicators are designed for decision-makers and stakeholders to consider climate risk when planning water resources and related infrastructure investments. Analysis of these hydrological indicators shows that, on average, mean annual runoff will decline in southern Europe; most of Africa; and in southern North America and most of Central and South America. Mean reference crop water deficit, on the other hand, combines temperature and precipitation and is anticipated to increase in nearly all locations globally due to rising global temperatures, with the most dramatic increases projected to occur in southern Europe, southeastern Asia, and parts of South America. These results suggest overall guidance on which regions to focus water infrastructure solutions that could address future runoff flow uncertainty. Most important, we find that uncertainty in projections of mean annual runoff and high runoff events is higher in poorer countries, and increases over time. Uncertainty increases over time for all income categories, but basins in the lower and lower-middle income categories are forecast to experience dramatically higher increases in uncertainty relative to those in the upper-middle and upper income categories. The enhanced understanding of the uncertainty of climate projections for the water sector that this work provides strongly support the adoption of rigorous approaches to infrastructure design under uncertainty, as well as design that incorporates a high degree of flexibility, in response to both risk of damage and opportunity to exploit water supply ‘windfalls’ that might result, but would require smart infrastructure investments to manage to the greatest benefit.

  10. 2014 BIQSFP-BiomarkerStudyEvaluationGuidelines

    Cancer.gov

    As part of its Prioritization and Scientific Quality Initiatives, the Clinical Trials Working Group (CTWG) of NCI recommended establishing a funding mechanism and prioritization process for essential correlative biomarker studies that are incorporated into the fundamental design of a clinical trial.

  11. BIQSFP_13_Biomarker_Study_Evaluation_Guidelines

    Cancer.gov

    As part of its Prioritization and Scientific Quality Initiatives, the Clinical Trials Working Group (CTWG) of NCI recommended establishing a funding mechanism and prioritization process for essential correlative biomarker studies that are incorporated into the fundamental design of a clinical trial.

  12. A nine country study of the burden of non-severe nocturnal hypoglycaemic events on diabetes management and daily function

    PubMed Central

    Brod, M; Wolden, M; Christensen, T; Bushnell, D M

    2013-01-01

    Aims The purpose of this study was to explore the burden and impact of non-severe nocturnal hypoglycaemic events (NSNHEs) on diabetes management, patient functioning and well-being in order to better understand the role that NSNHEs play in caring for persons with diabetes and facilitate optimal diabetes treatment management strategies. Methods A 20-min survey assessing the impact of NSNHEs was administered to patients with self-reported diabetes age 18 or older via the Internet in nine countries (USA, UK, Germany, Canada, France, Italy, Spain, The Netherlands and Sweden) who experienced an NSNHE in the last month. Questions captured reasons for and length of the event, and impacts on diabetes management, daily function, sleep and well-being. Results A total of 20 212 persons with Type 1 diabetes mellitus (T1DM) and Type 2 diabetes mellitus (T2DM) were screened of which 2108 respondents were eligible. Respondents initiated, on average, an additional 3.6 glucose monitoring tests, and did not resume usual functioning for an average of 3.4 hours after the NSNHE. Of the respondents using insulin, 15.8% decreased their insulin dose over an average of 3.6 days. NSNHEs also impacted sleep, with 10.4% not returning to sleep that night. Next day functioning was affected with 60.3% (n = 1273) feeling the need to take a nap and/or rest (with 65.5% of those actually taking a nap/rest) and 40.2% (n = 848) wanting to go to bed earlier than usual. A total of 21.4% were restricted in their driving the next day. These events also resulted in decreased well-being with 39.6% of respondents feeling ‘emotional low’ the following day. Conclusions NSNHEs have serious consequences for patients. Greater attention to patient and physician education regarding the burden of NSNHEs and incorporation of corrective actions in treatment plans is needed to facilitate patients reaching optimal glycaemic control. PMID:23350726

  13. Management Development of Internal Evaluation in the Islamic Republic of Iran (Case Study)

    ERIC Educational Resources Information Center

    Keshavarz, Mohsen

    2011-01-01

    During the last two decades, many higher education systems in the world have attempted to evaluate and improve the quality of education, research and services at the university and higher education level. Countries which have been successful in these attempts have initiated continuous evaluation and applied internal evaluation as a basis for…

  14. Carbon emissions and sequestration in forests: Case studies from seven developing countries. Volume 3, India and China

    SciTech Connect

    Makundi, W.; Sathaye, J.; Ravindranath, N.H.; Somashekhar, B.S.; Gadgil, M.; Deying, Xu

    1992-08-01

    As part of the effort to understand the sources of carbon dioxide and other major greenhouse gases, the Tropical Forestry and Global Climate Change Research Network (F-7) was established. The countries taking part in the F-7 Network -- Brazil, China, India, Indonesia, Malaysia, Mexico, Nigeria and Thailand -- possess large tracts of tropical forests and together experience the bulk of large scale tropical deforestation. Integreation of work of indigenous researchers and institutions from the participating countries should allow for the gathering of on-site information into the more general and universally available base of knowledge. The information contained in this report represents the results of the first phase of the F-7 project, which had the explicit aim of providing quantitative data on forestry-related carbon emissions from India and China.

  15. Experiences of homophobia among gay and bisexual men: results from a cross-sectional study in seven countries.

    PubMed

    Chard, Anna N; Finneran, Catherine; Sullivan, Patrick S; Stephenson, Rob

    2015-01-01

    Experiences of homophobic discrimination are associated with an increased prevalence of psychological disorders and increased odds of reporting suicidal ideation among gay and bisexual men. We examine two domains of homophobia--external homophobic discrimination and internalised homophobia--and their associations with sexual orientation, demographic characteristics, relationships and social support among a sample of gay and bisexual men from seven countries. Sexually active gay and bisexual men aged over 18 and residing in Australia, Brazil, Canada, South Africa, Thailand, the UK and the USA were recruited through banner advertisements on Facebook. Two outcomes were examined: reporting experiences of homophobic discrimination and reporting feelings of internalised homophobia. No covariates were consistently significantly associated with experiencing external homophobic discrimination across countries. Across all countries, bisexually identifying respondents reported significantly greater feelings of internalised homophobia. Respondents in Brazil and the UK reporting a main partner, and respondents in Australia, Brazil, Canada, South Africa, Thailand and the USA reporting a larger gay/bisexual social network, reported significantly fewer feelings of internalised homophobia. Results suggest an ameliorative effect of social networks on experiencing homophobia. Additional research should focus on the mechanisms through which social networks reduce feelings of internalised homophobia. PMID:26096688

  16. Do Societal Wealth, Family Affluence, and Gender account for Trends in Adolescent Cannabis Use? A 30 Country Cross-National Study

    PubMed Central

    ter Bogt, Tom F.M.; de Looze, Margreet; Molcho, Michal; Godeau, Emmanuelle; Hublet, Anne; Kokkevi, Anna; Kuntsche, Emmanuel; Gabhainn, Saoirse Nic; Franelic, Iva Pejnovic; Simons-Morton, Bruce; Sznitman, Sharon; Vieno, Alessio; Vollebergh, Wilma; Pickett, William

    2013-01-01

    Aims To examine cross-national changes in frequent adolescent cannabis use (40+ times consumed over lifetime at age 15) over time and relate these trends to societal wealth, family affluence, and gender. Design Data from three cycles (2002, 2006, 2010) of the Health Behaviour in School-aged Children (HBSC) Study were used for cross-sectional and trend analyses of adolescent cannabis use. Setting Representative surveys in thirty European and North American countries. Participants 160,606 15-year-old students. Measurements Respondents’ life-time cannabis use, demographics, family affluence (FAS), and frequency of peer contacts were measured individually. Indicators of wealth (Gross Domestic Product per capita, GDP) and perceived availability of cannabis were obtained from national public data bases. Findings The frequency of lifetime cannabis use decreased over time among adolescents in Europe and North America, particularly in Western European countries and the United States of America (Relative Risk (RR) = 0.86: Confidence Interval (CI) 0.79 – 0.93). This trend was not observed consistently in rapidly developing countries in Eastern, Central, and Southern Europe. Over time (2002–2010) cannabis use became: (1) less characteristic of high GDP countries in contrast to lower GDP countries (RR = 0.74: CI 0.57–0.95); (2) less characteristic of youth from high FAS families in contrast to youth from low FAS families (RR = 0.83: CI 0.72–0.96); and (3) characterized by an increasing gender gap, i.e. consumption was higher among males (RR 1.26: CI 1.04–1.53). Perceived availability of cannabis and peer contacts remained strong predictors of frequent cannabis use. Conclusions Among 30 European and North American countries, cannabis use appears to have “trickled down” over time, with developing countries taking on the former (heavier) use pattern of richer countries, and less affluent youth taking on the former (heavier) use pattern of more affluent youth. Cannabis use continues to be more common among adolescent males than females. PMID:24261614

  17. Modelling and Evaluating Longevity Risk A Case Study UK

    E-print Network

    Weber, Stefan

    Modelling and Evaluating Longevity Risk A Case Study UK Dr. Claudia Prévôt LUH-Kolloquium "Versicherungs- und Finanzmathematik" - Mortality and Longevity 20. April 2012 #12;Modelling and Evaluating Longevity Risk2 The information provided in this presentation does in no way whatsoever constitute legal

  18. PRELIMINARY EVALUATION STUDIES WITH THE REGIONAL ACID DEPOSITION MODEL (RADM)

    EPA Science Inventory

    The report focuses on the findings of preliminary evaluation studies of the NCAR Regional Acid Deposition Modeling System (RADM). Current efforts in evaluating the gas-phase chemistry submodel have met with significant success. An understanding of the smog chamber databases has a...

  19. A Study on Developing Evaluation Criteria for Electronic Resources in Evaluation Indicators of Libraries

    ERIC Educational Resources Information Center

    Noh, Younghee

    2010-01-01

    This study aimed to improve the current state of electronic resource evaluation in libraries. While the use of Web DB, e-book, e-journal, and other e-resources such as CD-ROM, DVD, and micro materials is increasing in libraries, their use is not comprehensively factored into the general evaluation of libraries and may diminish the reliability of…

  20. FEASIBLE (II): Its use in an actual PACS evaluation study.

    PubMed

    Ottes, F P; de Valk, J P; Winter, L H

    1988-01-01

    The software package FEASIBLE is a tool for carrying out observer performance studies. The structure, background and possibilities of the program are described in paper I of this series. Observer performance studies can be used to evaluate the diagnostic quality of Picture Archiving and Communication System (PACS) components. This paper summarizes the general features of such an evaluation. It states the specific characteristics of a diagnostic evaluation of a prototype PACS. The examples of the use of FEASIBLE presented here originate from the study that has recently been conducted within the Dutch PACS project, a cooperation between the BAZIS project IMAGIS (IMAGe Information System), the Utrecht University Hospital and Philips Medical Systems. Furthermore, this paper demonstrates how FEASIBLE is used to carry out an observer performance study. It is shown step-by-step how experiments on the evaluation of PACS components can be executed in an easy, reliable and quick way, by means of the FEASIBLE package. PMID:3246910

  1. Why sub-Saharan African health workers migrate to European countries that do not actively recruit: a qualitative study post-migration

    PubMed Central

    Poppe, Annelien; Jirovsky, Elena; Blacklock, Claire; Laxmikanth, Pallavi; Moosa, Shabir; Maeseneer, Jan De; Kutalek, Ruth; Peersman, Wim

    2014-01-01

    Background Many studies have investigated the migration intentions of sub-Saharan African medical students and health professionals within the context of a legacy of active international recruitment by receiving countries. However, many health workers migrate outside of this recruitment paradigm. This paper aims to explore the reasons for migration of health workers from sub-Saharan Africa to Belgium and Austria; European countries without a history of active recruitment in sub-Saharan Africa. Methods Data were collected using semistructured interviews. Twenty-seven health workers were interviewed about their migration experiences. Included participants were born in sub-Saharan Africa, had trained as health workers in sub-Saharan Africa, and were currently living in Belgium or Austria, though not necessarily currently working as a health professional. Results Both Austria and Belgium were shown not to be target countries for the health workers, who instead moved there by circumstance, rather than choice. Three principal reasons for migration were reported: 1) educational purposes; 2) political instability or insecurity in their country of origin; and 3) family reunification. In addition, two respondents mentioned medical reasons and, although less explicit, economic factors were also involved in several of the respondents’ decision to migrate. Conclusion These results highlight the importance of the broader economic, social, and political context within which migration decisions are made. Training opportunities proved to be an important factor for migration. A further development and upgrade of primary care might help to counter the common desire to specialize and improve domestic training opportunities. PMID:24836444

  2. Evaluating Student Achievement in Alberta Social Studies: Report to MACOSA Committee on Social Studies Assessment.

    ERIC Educational Resources Information Center

    Parsons, James B.

    This bibliographic essay discusses evaluation instruments that could be used to evaluate the K-12 social studies program in Alberta, Canada. The author points out the difficulty of evaluating the Alberta social studies program because its objectives are ill defined and it relies heavily on values and the inclusion of the affective domain. While…

  3. Deepening our understanding of quality improvement in Europe (DUQuE): overview of a study of hospital quality management in seven countries

    PubMed Central

    Secanell, Mariona; Groene, Oliver; Arah, Onyebuchi A.; Lopez, Maria Andrée; Kutryba, Basia; Pfaff, Holger; Klazinga, Niek; Wagner, Cordula; Kristensen, Solvejg; Bartels, Paul Daniel; Garel, Pascal; Bruneau, Charles; Escoval, Ana; França, Margarida; Mora, Nuria; Suñol, Rosa; Klazinga, N; Kringos, DS; Lopez, MA; Secanell, M; Sunol, R; Vallejo, P; Bartels, P; Kristensen, S; Michel, P; Saillour-Glenisson, F; Vlcek, F; Car, M; Jones, S; Klaus, E; Bottaro, S; Garel, P; Saluvan, M; Bruneau, C; Depaigne-Loth, A; Shaw, C; Hammer, A; Ommen, O; Pfaff, H; Groene, O; Botje, D; Wagner, C; Kutaj-Wasikowska, H; Kutryba, B; Escoval, A; Lívio, A; Eiras, M; Franca, M; Leite, I; Almeman, F; Kus, H; Ozturk, K; Mannion, R; Arah, OA; Chow, A; DerSarkissian, M; Thompson, CA; Wang, A; Thompson, A

    2014-01-01

    Introduction and Objective This paper provides an overview of the DUQuE (Deepening our Understanding of Quality Improvement in Europe) project, the first study across multiple countries of the European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The paper describes the conceptual framework and methods applied, highlighting the novel features of this study. Design DUQuE was designed as a multi-level cross-sectional study with data collection at hospital, pathway, professional and patient level in eight countries. Setting and Participants We aimed to collect data for the assessment of hospital-wide constructs from up to 30 randomly selected hospitals in each country, and additional data at pathway and patient level in 12 of these 30. Main outcome measures A comprehensive conceptual framework was developed to account for the multiple levels that influence hospital performance and patient outcomes. We assessed hospital-specific constructs (organizational culture and professional involvement), clinical pathway constructs (the organization of care processes for acute myocardial infarction, stroke, hip fracture and deliveries), patient-specific processes and outcomes (clinical effectiveness, patient safety and patient experience) and external constructs that could modify hospital quality (external assessment and perceived external pressure). Results Data was gathered from 188 hospitals in 7 participating countries. The overall participation and response rate were between 75% and 100% for the assessed measures. Conclusions This is the first study assessing relation between quality management and patient outcomes at EU level. The study involved a large number of respondents and achieved high response rates. This work will serve to develop guidance in how to assess quality management and makes recommendations on the best ways to improve quality in healthcare for hospital stakeholders, payers, researchers, and policy makers throughout the EU. PMID:24671120

  4. Evaluation of School Uniform Policy in Turkey: A Case Study

    ERIC Educational Resources Information Center

    Cinoglu, Mustafa

    2014-01-01

    The purpose of this study is to evaluate the results of current school uniform policies according to views of stakeholders. Descriptive case study method was used for this study to understand the concerns of the stakeholders about school uniforms. Data was collected through interviews with stakeholders and also reviewing the documents in TOKI…

  5. Art as an Evaluative Tool: A Pilot Study.

    ERIC Educational Resources Information Center

    Sontag, Mary-Ann; Graham, Michelle

    2001-01-01

    Reports on a pilot study completed in preparation for a multisite study of the effectiveness of children's grief support groups. Uses art therapy to assess children's perspectives of their experience in a grief support group. Results of study support the use of art as an effective qualitative tool that can be utilized in future evaluations of…

  6. Do More Knowledgeable Adolescents Have More Rationally Based Civic Attitudes? Analysis of 38 Countries

    ERIC Educational Resources Information Center

    Lauglo, Jon

    2013-01-01

    This paper discusses the concept of "rational civic attitudes" and its link to knowledge, using data on eighth-grade students from 38 countries in the International Association for the Evaluation of Educational Achievement International Civic and Citizenship Education Study to examine these questions: (1) Are country-averages on self-reported…

  7. The Use of Computers in Education Worldwide: Results from a Comparative Survey in 18 Countries.

    ERIC Educational Resources Information Center

    Pelgrum, Willem J.; Plomp, Tjeerd

    In 1989, the International Association for the Evaluation of Educational Achievement (IEA) Computers in Education study collected data on computer use in elementary, and lower- and upper-secondary education in 22 countries. Although all data sets from the participating countries had not been received at the time of writing, this paper provides…

  8. Committee on the Challenges of Modern Society solar energy pilot study. First follow-up report, October 1979, pilot country: United States; co-pilot countries: Denmark and France. CCMS report No. 110

    SciTech Connect

    1980-01-01

    During 1973 to 1978, over twenty nations participated in the NATO/CCMS Solar Energy Pilot Study, whose objective was to promote and accelerate the use of solar heating and cooling of buildings. The activities in this information exchange included (1) the regular reporting of national solar heating and cooling programs, (2) the development of a format for reporting the performance of solar heating and cooling systems, (3) the exchange of system performance reports, (4) the establishment of two specialized working groups for solar-assisted low energy dwellings and passive solar applications. At the conclusion of the pilot study in 1978, the participants formulated recommendations for continued action at the international level, as well as for action at the national level. This report describes the progress made in implementing those recommendations. In addition to detailing the steps taken to continue collaboration in various efforts initiated within the Solar Energy Pilot Study, the report contains papers on the 1979 status of the solar heating and cooling programs in seventeen CCMS countries.

  9. Material flow analysis as a tool for sustainable sanitation planning in developing countries: case study of Arba Minch, Ethiopia.

    PubMed

    Meinzinger, F; Kröger, K; Otterpohl, R

    2009-01-01

    Material Flow Analysis is a method that can be used to assess sanitation systems with regard to their environmental impacts. Modelling water and nutrients flows of the urban water, wastewater and waste system can highlight risks for environmental pollution and can help evaluating the potential for linking sanitation with resource recovery and agricultural production. This study presents the results of an analysis of nitrogen and phosphorus flows of Arba Minch town in South Ethiopia. The current situation is modelled and possible scenarios for upgrading the town's sanitation system are assessed. Two different scenarios for nutrient recovery are analysed. Scenario one includes co-composting municipal organic waste with faecal sludge from pit latrines and septic tanks as well as the use of compost in agriculture. The second scenario based on urine-diversion toilets includes application of urine as fertiliser and composting of faecal matter. In order to allow for variations in the rate of adoption, the model can simulate varying degrees of technology implementation. Thus, the impact of a step-wise or successive approach can be illustrated. The results show that significant amounts of plant nutrients can be provided by both options, co-composting and urine diversion. PMID:19474484

  10. GIS and the Analytic Hierarchy Process for Regional Landfill Site Selection in Transitional Countries: A Case Study From Serbia

    NASA Astrophysics Data System (ADS)

    Zelenovi? Vasiljevi?, Tamara; Srdjevi?, Zorica; Baj?eti?, Ratko; Vojinovi? Miloradov, Mirjana

    2012-02-01

    The Serbian National Waste Management Strategy for the Period 2010-2019, harmonized with the European Union Directives, mandates new and very strict requirements for landfill sites. To enable analysis of a number of required qualitative and quantitative factors for landfill site selection, the traditional method of site selection must be replaced with a new approach. The combination of GIS and the Analytic Hierarchy Process (AHP) was selected to solve this complex problem. The Srem region in northern Serbia, being one of the most environmentally sensitive areas, was chosen as a case study. Seventeen factors selected as criteria/sub-criteria were recognized as most important, divided into geo-natural, environmental, social and techno-economic factors, and were evaluated by experts from different fields using an AHP extension in Arc GIS. Weighted spatial layers were combined into a landfill suitability map which was then overlapped with four restriction maps, resulting in a final suitability map. According to the results, 82.65% of the territory of Srem is unsuitable for regional landfill siting. The most suitable areas cover 9.14%, suitable areas 5.24%, while areas with low and very low suitability cover 2.21 and 0.76% of the territory, respectively. Based on these findings, five sites close to two large urban agglomerations were suggested as possible locations for a regional landfill site in Srem. However, the final decision will require further field investigation, a public acceptance survey, and consideration of ownership status and price of the land.

  11. Integrated studies for automobile wastes management in developing countries; in the concept of environmentally friendly mechanic village.

    PubMed

    Nwachukwu, Michael Amamechi; Feng, Huan; Achilike, Kennedy

    2011-07-01

    More cities in developing countries now consider mechanic village (MV) as superior to the city wide auto-workshop practice following the increasing influx of used or waste automobile from industrialized nations. This is because of the numerous advantages of the mechanic village concept as a capacity building, and in poverty alleviation. Nevertheless, mechanic villages are poorly developed with no waste management plan. They are now identified with severe to excessive heavy metal soil pollution, causing ecological and public health hazards. This paper has a wider explanation of what it takes for a mechanic village to be environmentally friendly based on spectroscopic analysis and physical measurements conducted in three MVs. Heavy metal concentrations (mg kg(?-1)) above background levels in the upper 100 cm soil profiles of the Okigwe, the Orji, and the Nekede MVs in the Imo River basin collectively range 748-70,606 for Fe; 99-1,090 for Pb; 186-600 for Mn; 102-1,001 for Cu; 8-23 for Cd; 4-27 for Cr; and 3-10 for Ni. The most abundant metals of environmental concerns are Pb, Mn, and Cu, in the order of Pb > Mn > Cu. Three-phase storm water treatment, emission testing, minimum safe farming distance (350 m), extended producer responsibility for disposal or recycling of used motor oil, phyto-remediation using local plants, groundwater monitoring wells, and continuous education of mechanics are recommended. Exporters of waste automobiles to developing countries and the United Nations may assist developing countries in establishing environmentally friendly MVs. PMID:20878465

  12. Using Economic Input/Output Tables to Predict a Country’s Nuclear Status

    SciTech Connect

    Weimar, Mark R.; Daly, Don S.; Wood, Thomas W.

    2010-07-15

    Both nuclear power and nuclear weapons programs should have (related) economic signatures which are detectible at some scale. We evaluated this premise in a series of studies using national economic input/output (IO) data. Statistical discrimination models using economic IO tables predict with a high probability whether a country with an unknown predilection for nuclear weapons proliferation is in fact engaged in nuclear power development or nuclear weapons proliferation. We analyzed 93 IO tables, spanning the years 1993 to 2005 for 37 countries that are either members or associates of the Organization for Economic Cooperation and Development (OECD). The 2009 OECD input/output tables featured 48 industrial sectors based on International Standard Industrial Classification (ISIC) Revision 3, and described the respective economies in current country-of-origin valued currency. We converted and transformed these reported values to US 2005 dollars using appropriate exchange rates and implicit price deflators, and addressed discrepancies in reported industrial sectors across tables. We then classified countries with Random Forest using either the adjusted or industry-normalized values. Random Forest, a classification tree technique, separates and categorizes countries using a very small, select subset of the 2304 individual cells in the IO table. A nation’s efforts in nuclear power, be it for electricity or nuclear weapons, are an enterprise with a large economic footprint -- an effort so large that it should discernibly perturb coarse country-level economics data such as that found in yearly input-output economic tables. The neoclassical economic input-output model describes a country’s or region’s economy in terms of the requirements of industries to produce the current level of economic output. An IO table row shows the distribution of an industry’s output to the industrial sectors while a table column shows the input required of each industrial sector by a given industry.

  13. Risk Factors for Mortality from Acute Lower Respiratory Infections (ALRI) in Children under Five Years of Age in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis of Observational Studies

    PubMed Central

    Sonego, Michela; Pellegrin, Maria Chiara; Becker, Genevieve; Lazzerini, Marzia

    2015-01-01

    Objective To evaluate risk factors for death from acute lower respiratory infections (ALRI) in children in low- and middle-income countries. Design Systematic review and meta-analysis. Study selection Observational studies reporting on risk factors for death from ALRI in children below five years in low- and middle income countries. Data sources Medline, Embase, Global Health Library, Lilacs, and Web of Science to January 2014 Risk of bias assessment Quality In Prognosis Studies tool with minor adaptations to assess the risk of bias; funnel plots and Egger's test to evaluate publication bias. Results Out of 10655 papers retrieved, 77 studies from 39 countries (198359 children) met the inclusion criteria. Host and disease characteristics more strongly associated with ALRI mortality were: diagnosis of very severe pneumonia as per WHO definition (odds ratio 9.42, 95% confidence interval 6.37?13.92); age below two months (5.22, 1.70?16.03); diagnosis of Pneumocystis Carinii (4.79, 2.67 ? 8.61), chronic underlying diseases (4.76, 3.27? 6.93); HIV/AIDS (4.68, 3.72?5.90); and severe malnutrition (OR 4.27, 3.47?5.25). Socio-economic and environmental factors significantly associated with increased odds of death from ALRI were: young maternal age (1.84, 1.03?3.31); low maternal education (1.43, 1.13?1.82); low socio-economic status (1.62, 1.32?2.00); second-hand smoke exposure (1.52, 1.20 to 1.93); indoor air pollution (3.02, 2.11?4.31). Immunisation (0.46, 0.36?0.58) and good antenatal practices (0.50, 0.31?0.81) were associated with decreased odds of death. Conclusions Host and disease characteristics as well as socio-economic and environmental determinants affect the risk of death from ALRI in children. Together with the prevention and treatment of chronic diseases, interventions to modify underlying risk factors such as poverty, lack of female education, and poor environmental conditions, should be considered among the strategies to reduce ALRI mortality in children in low- and middle-income countries. PMID:25635911

  14. Patterns of Frailty in Older Adults: Comparing Results from Higher and Lower Income Countries Using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on Global AGEing and Adult Health (SAGE)

    PubMed Central

    Harttgen, Kenneth; Kowal, Paul; Strulik, Holger; Chatterji, Somnath; Vollmer, Sebastian

    2013-01-01

    We use the method of deficit accumulation to describe prevalent and incident levels of frailty in community-dwelling older persons and compare prevalence rates in higher income countries in Europe, to prevalence rates in six lower income countries. Two multi-country data collection efforts, SHARE and SAGE, provide nationally representative samples of adults aged 50 years and older. Forty items were used to construct the frailty index in each data set. Our study shows that the level of frailty was distributed along the socioeconomic gradient in both higher and lower income countries such that those individuals with less education and income were more likely to be frail. Frailty increased with age and women were more likely to be frail in most countries. Across samples we find that the level of frailty was higher in the higher income countries than in the lower income countries. PMID:24204581

  15. Developing National Cancer Registration in Developing Countries – Case Study of the Nigerian National System of Cancer Registries

    PubMed Central

    Jedy-Agba, Elima E.; Oga, Emmanuel A.; Odutola, Michael; Abdullahi, Yusuf M.; Popoola, Abiodun; Achara, Peter; Afolayan, Enoch; Banjo, Adekunbiola Aina Fehintola; Ekanem, Ima-Obong; Erinomo, Olagoke; Ezeome, Emmanuel; Igbinoba, Festus; Obiorah, Christopher; Ogunbiyi, Olufemi; Omonisi, Abidemi; Osime, Clement; Ukah, Cornelius; Osinubi, Patience; Hassan, Ramatu; Blattner, William; Dakum, Patrick; Adebamowo, Clement A.

    2015-01-01

    The epidemiological transition in sub-Saharan Africa (SSA) has given rise to a concomitant increase in the incidence of non-communicable diseases including cancers. Worldwide, cancer registries have been shown to be critical for the determination of cancer burden, conduct of research, and in the planning and implementation of cancer control measures. Cancer registration though vital is often neglected in SSA owing to competing demands for resources for healthcare. We report the implementation of a system for representative nation-wide cancer registration in Nigeria – the Nigerian National System of Cancer Registries (NSCR). The NSCR coordinates the activities of cancer registries in Nigeria, strengthens existing registries, establishes new registries, complies and analyses data, and makes these freely available to researchers and policy makers. We highlight the key challenges encountered in implementing this strategy and how they were overcome. This report serves as a guide for other low- and middle-income countries (LMIC) wishing to expand cancer registration coverage in their countries and highlights the training, mentoring, scientific and logistic support, and advocacy that are crucial to sustaining cancer registration programs in LMIC. PMID:26284233

  16. DETERMINATION OF IMPORTANCE EVALUATION FOR THE SUBSURFACE EXPORATORY STUDIES FACILITY

    SciTech Connect

    W.J. Clark

    1999-06-28

    This Determination of Importance Evaluation (DIE) applies to the Subsurface Exploratory Studies Facility (ESF), encompassing the Topopah Spring (TS) Loop from Station 0+00 meters (m) at the North Portal to breakthrough at the South Portal (approximately 78+77 m), the Enhanced Characterization of the Repository Block (ECRB) East-West Cross Drift Starter Tunnel (to approximate ECRB Station 0+26 m), and ancillary test and operation support areas in the TS Loop. This evaluation applies to the construction, operation, and maintenance of these excavations. A more detailed description of these items is provided in Section 6.0. Testing activities are not evaluated in this DIE. Certain construction activities with respect to testing activities are evaluated; but the testing activities themselves are not evaluated. The DIE for ESF Subsurface Testing Activities (BAJ3000000-01717-2200-00011 Rev 01) (CRWMS M&O 1998a) evaluates Subsurface ESF Testing activities. The construction, operation, and maintenance of the TS Loop niches and alcove slot cuts is evaluated herein and is also discussed in CRWMS M&O 1998a. The construction, operation, and maintenance of the Busted Butte subsurface test area in support of the Unsaturated Zone (UZ) Transport Test is evaluated in CRWMS M&O 1998a. Potential test-to-test interference and the waste isolation impacts of testing activities are evaluated in the ESF Subsurface Testing Activities DIE and other applicable evaluation(s) for the Job Package (JP), Test Planning Package (TPP), and/or Field Work Package (FWP). The objectives of this DIE are to determine whether the Subsurface ESF TS Loop and associated excavations, including activities associated with their construction and operation, potentially impact site characterization testing or the waste isolation capabilities of the site. Controls needed to limit any potential impacts are identified. The validity and veracity of the individual tests, including data collection, are the responsibility of the assigned Principal Investigator(s) (PIs) and are not evaluated in this DIE.

  17. Potential Transferability of Economic Evaluations of Programs Encouraging Physical Activity in Children and Adolescents across Different Countries—A Systematic Review of the Literature

    PubMed Central

    Korber, Katharina

    2014-01-01

    Physical inactivity is an increasing problem. Owing to limited financial resources, one method of getting information on the cost-effectiveness of different types of prevention programs is to examine existing programs and their results. The aim of this paper is to give an overview of the transferability of cost-effectiveness results of physical activity programs for children and adolescents to other contexts. Based on a systematic review of the literature, the transferability of the studies found was assessed using a sub-checklist of the European Network of Health Economic Evaluation Databases (EURONHEED). Thirteen studies of different physical activity interventions were found and analyzed. The results for transferability ranged from “low” to “very high”. A number of different factors influence a program’s cost-effectiveness (i.e., discount rate, time horizon, etc.). Therefore, transparency with regard to these factors is one fundamental element in the transferability of the results. A major point of criticism is that transferability is often limited because of lack of transparency. This paper is the first to provide both an overview and an assessment of transferability of economic evaluations of existing programs encouraging physical activity in children and adolescents. This allows decision makers to gain an impression on whether the findings are transferable to their decision contexts, which may lead to time and cost savings. PMID:25321876

  18. Developed-developing country partnerships: Benefits to developed countries?

    PubMed Central

    2012-01-01

    Developing countries can generate effective solutions for today’s global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed—this is perhaps the single most immediate need in planning for, and realizing, the full potential of international cooperation between developed and developing countries. PMID:22709651

  19. GIS and the analytic hierarchy process for regional landfill site selection in transitional countries: a case study from Serbia.

    PubMed

    Zelenovi? Vasiljevi?, Tamara; Srdjevi?, Zorica; Baj?eti?, Ratko; Vojinovi? Miloradov, Mirjana

    2012-02-01

    The Serbian National Waste Management Strategy for the Period 2010-2019, harmonized with the European Union Directives, mandates new and very strict requirements for landfill sites. To enable analysis of a number of required qualitative and quantitative factors for landfill site selection, the traditional method of site selection must be replaced with a new approach. The combination of GIS and the Analytic Hierarchy Process (AHP) was selected to solve this complex problem. The Srem region in northern Serbia, being one of the most environmentally sensitive areas, was chosen as a case study. Seventeen factors selected as criteria/sub-criteria were recognized as most important, divided into geo-natural, environmental, social and techno-economic factors, and were evaluated by experts from different fields using an AHP extension in Arc GIS. Weighted spatial layers were combined into a landfill suitability map which was then overlapped with four restriction maps, resulting in a final suitability map. According to the results, 82.65% of the territory of Srem is unsuitable for regional landfill siting. The most suitable areas cover 9.14%, suitable areas 5.24%, while areas with low and very low suitability cover 2.21 and 0.76% of the territory, respectively. Based on these findings, five sites close to two large urban agglomerations were suggested as possible locations for a regional landfill site in Srem. However, the final decision will require further field investigation, a public acceptance survey, and consideration of ownership status and price of the land. PMID:22134738

  20. Attitudes Justifying Domestic Violence Predict Endorsement of Corporal Punishment and Physical and Psychological Aggression towards Children: A Study in 25 Low- and Middle-Income Countries

    PubMed Central

    Lansford, Jennifer E.; Deater-Deckard, Kirby; Bornstein, Marc H.; Putnick, Diane L.; Bradley, Robert H.

    2014-01-01

    Objective The Convention on the Rights of the Child has prompted countries to protect children from abuse and exploitation. Exposure to domestic violence and corporal punishment are risk factors in children’s development. This study investigated how women’s attitudes about domestic violence are related to attitudes about corporal punishment, and harsh behaviors toward children, and whether country-wide norms regarding domestic violence and corporal punishment are related to psychological aggression and physical violence toward children. Study design Data were drawn from the Multiple Indicator Cluster Survey, a nationally representative and internationally comparable household survey developed by UNICEF. Measures of domestic violence and discipline were completed by 85,999 female caregivers of children between the ages of 2 and 14 years from families in 25 low- and middle-income countries. Results Mothers who believed that husbands were justified in hitting their wives were more likely to believe that corporal punishment is necessary to rear children, and, in turn, were justified in hitting their wives and that corporal punishment is necessary to rear children were more likely to report that their child had experienced psychological aggression and physical violence. Countrywide norms regarding the acceptability of husbands hitting wives and advisability of corporal punishment moderated the links between mothers’ attitudes and their behaviors toward children. Conclusions Pediatricians can address parents’ psychological aggression and physical violence toward children by discussing parents’ attitudes and behaviors within a framework that incorporates social norms regarding the acceptability of domestic violence and corporal punishment. PMID:24412139

  1. The Global Enteric Multicenter Study (GEMS) of Diarrheal Disease in Infants and Young Children in Developing Countries: Epidemiologic and Clinical Methods of the Case/Control Study

    PubMed Central

    Kotloff, Karen L.; Blackwelder, William C.; Nasrin, Dilruba; Nataro, James P.; Farag, Tamer H.; van Eijk, Annemieke; Adegbola, Richard A.; Alonso, Pedro L.; Breiman, Robert F.; Golam Faruque, Abu Syed; Saha, Debasish; Sow, Samba O.; Sur, Dipika; Zaidi, Anita K. M.; Biswas, Kousick; Panchalingam, Sandra; Clemens, John D.; Cohen, Dani; Glass, Roger I.; Mintz, Eric D.; Sommerfelt, Halvor; Levine, Myron M.

    2012-01-01

    Background.?Diarrhea is a leading cause of illness and death among children aged <5 years in developing countries. This paper describes the clinical and epidemiological methods used to conduct the Global Enteric Multicenter Study (GEMS), a 3-year, prospective, age-stratified, case/control study to estimate the population-based burden, microbiologic etiology, and adverse clinical consequences of acute moderate-to-severe diarrhea (MSD) among a censused population of children aged 0–59 months seeking care at health centers in sub-Saharan Africa and South Asia. Methods.?GEMS was conducted at 7 field sites, each serving a population whose demography and healthcare utilization practices for childhood diarrhea were documented. We aimed to enroll 220 MSD cases per year from selected health centers serving each site in each of 3 age strata (0–11, 12–23, and 24–59 months), along with 1–3 matched community controls. Cases and controls supplied clinical, epidemiologic, and anthropometric data at enrollment and again approximately 60 days later, and provided enrollment stool specimens for identification and characterization of potential diarrheal pathogens. Verbal autopsy was performed if a child died. Analytic strategies will calculate the fraction of MSD attributable to each pathogen and the incidence, financial costs, nutritional consequences, and case fatality overall and by pathogen. Conclusions.?When completed, GEMS will provide estimates of the incidence, etiology, and outcomes of MSD among infants and young children in sub-Saharan Africa and South Asia. This information can guide development and implementation of public health interventions to diminish morbidity and mortality from diarrheal diseases. PMID:23169936

  2. A Case Study of Student Evaluation of Teaching in University

    ERIC Educational Resources Information Center

    Fah, Benjamin Chan Yin; Osman, Syuhaily

    2011-01-01

    This study aims to determine the factors (course characteristics, lecturer characteristics, and tutorial ratings) that affect student evaluation of teaching in university. A total of 88 undergraduates were selected and self-administered questionnaire was used as a tool for data collection. The study found that most of the respondents have high…

  3. A Major Children's Educational Art Exhibit: An Evaluative Case Study.

    ERIC Educational Resources Information Center

    Schlenk, George W.; Shrock, Sharon A.

    Results of a case study of an exhibit of art and artifacts designed for children are presented. The focus of the study was to apply the principles of instructional-message design to the evaluation of the exhibit. The exhibit, "Art Inside Out: Exploring Art and Culture through Time," was displayed at the Art Institute of Chicago. Textual elements,…

  4. Evaluating QR Code Case Studies Using a Mobile Learning Framework

    ERIC Educational Resources Information Center

    Rikala, Jenni

    2014-01-01

    The aim of this study was to evaluate the feasibility of Quick Response (QR) codes and mobile devices in the context of Finnish basic education. The feasibility was analyzed through a mobile learning framework, which includes the core characteristics of mobile learning. The study is part of a larger research where the aim is to develop a…

  5. North American Students in Israel: An Evaluation of a Study Abroad Experience

    ERIC Educational Resources Information Center

    Donitsa-Schmidt, Smadar; Vadish, Maggie

    2005-01-01

    Every year, thousands of students worldwide leave home for the purpose of participating in an educational experience in a different country. Israel is one of the many destinations offering study abroad programs. Yet, being a Jewish country and a homeland for the Jewish Diaspora (Jewish communities outside Israel), Israel constitutes a unique study

  6. The prospective association between total and type of fish intake and type 2 diabetes in 8 European countries: EPIC-InterAct Study123

    PubMed Central

    Patel, Pinal S; Kuijsten, Anneleen; Schulze, Matthias B; van Woudenbergh, Geertruida J; Ardanaz, Eva; Amiano, Pilar; Arriola, Larraitz; Balkau, Beverley; Barricarte, Aurelio; Beulens, Joline WJ; Boeing, Heiner; Buijsse, Brian; Crowe, Francesca L; de Lauzon-Guillan, Blandine; Fagherazzi, Guy; Franks, Paul W; Gonzalez, Carlos; Grioni, Sara; Halkjaer, Jytte; Huerta, José María; Key, Timothy J; Kühn, Tilman; Masala, Giovanna; Nilsson, Peter; Overvad, Kim; Panico, Salvatore; Quirós, Jose Ramón; Rolandsson, Olov; Sacerdote, Carlotta; Sánchez, María-José; Schmidt, Erik B; Slimani, Nadia; Spijkerman, Annemieke MW; Teucher, Birgit; Tjonneland, Anne; Tormo, Maria-Jose; Tumino, Rosario; van der A, Daphne L; van der Schouw, Yvonne T; Sharp, Stephen J; Langenberg, Claudia; Feskens, Edith JM; Riboli, Elio; Wareham, Nicholas J

    2012-01-01

    Background: Epidemiologic evidence of an association between fish intake and type 2 diabetes (T2D) is inconsistent and unresolved. Objective: The objective was to examine the association between total and type of fish intake and T2D in 8 European countries. Design: This was a case-cohort study, nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) study, with 3.99 million person-years of follow-up, 12,403 incident diabetes cases, and a random subcohort of 16,835 individuals from 8 European countries. Habitual fish intake (lean fish, fatty fish, total fish, shellfish, and combined fish and shellfish) was assessed by country-specific dietary questionnaires. HRs were estimated in each country by using Prentice-weighted Cox regression models and pooled by using a random-effects meta-analysis. Results: No overall association was found between combined fish and shellfish intake and incident T2D per quartile (adjusted HR: 1.00; 95% CI: 0.94, 1.06; P-trend = 0.99). Total fish, lean fish, and shellfish intakes separately were also not associated with T2D, but fatty fish intake was weakly inversely associated with T2D: adjusted HR per quartile 0.97 (0.94, 1.00), with an HR of 0.84 (0.70, 1.01), 0.85 (0.76, 0.95), and 0.87 (0.78, 0.97) for a comparison of the second, third, and fourth quartiles with the lowest quartile of intake, respectively (P-trend = 0.06). Conclusions: These findings suggest that lean fish, total fish, and shellfish intakes are not associated with incident diabetes but that fatty fish intake may be weakly inversely associated. Replication of these findings in other populations and investigation of the mechanisms underlying these associations are warranted. Meanwhile, current public health recommendations on fish intake should remain unchanged. PMID:22572642

  7. Estimating and explaining the effect of education and income on head and neck cancer risk: INHANCE consortium pooled analysis of 31 case-control studies from 27 countries

    PubMed Central

    Conway, David I.; Brenner, Darren R.; McMahon, Alex D.; Macpherson, Lorna M.D.; Agudo, Antonio; Ahrens, Wolfgang; Bosetti, Cristina; Brenner, Hermann; Castellsague, Xavier; Chen, Chu; Curado, Maria Paula; Curioni, Otávio A.; Maso, Luigino Dal; Daudt, Alexander W.; de Gois Filho, José F.; D'Souza, Gypsyamber; Edefonti, Valeria; Fabianova, Eleonora; Fernandez, Leticia; Franceschi, Silvia; Gillison, Maura; Hayes, Richard B.; Healy, Claire M.; Herrero, Rolando; Holcatova, Ivana; Jayaprakash, Vijayvel; Kelsey, Karl; Kjaerheim, Kristina; Koifman, Sergio; La Vecchia, Carlo; Lagiou, Pagona; Lazarus, Philip; Levi, Fabio; Lissowska, Jolanta; Luce, Daniele; Macfarlane, Tatiana V.; Mates, Dana; Matos, Elena; McClean, Michael; Menezes, Ana M; Menvielle, Gwenn; Merletti, Franco; Morgenstern, Hal; Moysich, Kirsten; Müller, Heiko; Muscat, Joshua; Olshan, Andrew F.; Purdue, Mark P.; Ramroth, Heribert; Richiardi, Lorenzo; Rudnai, Peter; Schantz, Stimson; Schwartz, Stephen M.; Shangina, Oxana; Simonato, Lorenzo; Smith, Elaine; Stucker, Isabelle; Sturgis, Erich M.; Szeszenia-Dabrowska, Neonila; Talamini, Renato; Thomson, Peter; Vaughan, Thomas L.; Wei, Qingyi; Winn, Deborah M.; Wunsch-Filho, Victor; Yu, Guo-Pei; Zhang, Zuo-Feng; Zheng, Tongzhang; Znaor, Ariana; Boffetta, Paolo; Chuang, Shu-Chun; Ghodrat, Marianoosh; Lee, Yuan-Chin Amy; Hashibe, Mia; Brennan, Paul

    2015-01-01

    Low socioeconomic status has been reported to be associated with head and neck cancer risk. However, previous studies have been too small to examine the associations by cancer subsite, age, sex, global region and calendar time and to explain the association in terms of behavioral risk factors. Individual participant data of 23,964 cases with head and neck cancer and 31,954 controls from 31 studies in 27 countries pooled with random effects models. Overall, low education was associated with an increased risk of head and neck cancer (OR = 2.50; 95% CI = 2.02 – 3.09). Overall one-third of the increased risk was not explained by differences in the distribution of cigarette smoking and alcohol behaviors; and it remained elevated among never users of tobacco and nondrinkers (OR = 1.61; 95% CI = 1.13 – 2.31). More of the estimated education effect was not explained by cigarette smoking and alcohol behaviors: in women than in men, in older than younger groups, in the oropharynx than in other sites, in South/Central America than in Europe/North America and was strongest in countries with greater income inequality. Similar findings were observed for the estimated effect of low versus high household income. The lowest levels of income and educational attainment were associated with more than 2-fold increased risk of head and neck cancer, which is not entirely explained by differences in the distributions of behavioral risk factors for these cancers and which varies across cancer sites, sexes, countries and country income inequality levels. PMID:24996155

  8. A comparative evaluation of three fluoride varnishes: an in-vitro study.

    PubMed

    Munshi, A K; Reddy, N N; Shetty, V

    2001-09-01

    This study was conducted to compare the caries preventive efficacy of Fluoritop - SR; the first fluoride varnish manufactured in India with Fluor Protector and Bifluorid 12, the two commercially available fluoride varnishes which have to be imported from other countries and are cost prohibitive. The demineralization inhibitory effects and the antibacterial effects on Streptococcus mutans were studied (in vitro). Calcium and Phosphorus dissolutions were estimated as a measure of the demineralization inhibitory effect. Antibiotic sensitivity tests using the serial tube dilution method and disk diffusion method were used to evaluate the antibacterial effects of the fluoride varnishes. Of the three varnishes, Fluor Protector was seen to exhibit the highest demineralization inhibitory effect, while Fluoritop-SR was found to be comparable to Bifluorid 12 in its caries protective effects. PMID:11817800

  9. An Evaluation Study of Youth Participation in Youth Work: A Case Study in Southern Italy

    ERIC Educational Resources Information Center

    Morciano, Daniele; Scardigno, Anna Fausta; Manuti, Amelia; Pastore, Serafina

    2014-01-01

    In this paper an evaluation study of a public programme financing a regional network of 157 youth centres in the South of Italy is presented. A theory-based evaluation model was adopted to explore the causal links between different types of participation experience. Evaluation questions focused on three main issues are: the perception of…

  10. Evaluating library resources for accreditation: results of a study.

    PubMed Central

    Carpenter, K H

    1992-01-01

    When the nursing collection at the University of Illinois Library of the Health Sciences was evaluated in 1990 for an accreditation self-study for the National League for Nursing, the evaluation was broadened to study resources, faculty participation in selecting them, and completeness of holdings. To evaluate holdings, lists were checked and conspectus and comparative statistical data were analyzed. Organization and collection development were also described, to document faculty input. User services and on-site and remote access were briefly reviewed to document how resources were made available. The results demonstrated that the library provided an acceptable level of support for nursing studies at the University of Illinois at Chicago. PMID:1600422

  11. Energy expenditure in adults living in developing compared with industrialized countries: a meta-analysis of doubly labeled water studies123

    PubMed Central

    Dugas, Lara R; Harders, Regina; Merrill, Sarah; Ebersole, Kara; Shoham, David A; Rush, Elaine C; Assah, Felix K; Forrester, Terrence; Durazo-Arvizu, Ramon A; Luke, Amy

    2011-01-01

    Background: There is an assumption that people in developing countries have a higher total energy expenditure (TEE) and physical activity level (PAL) than do people in developed nations, but few objective data for this assertion exist. Objective: We conducted a meta-analysis of TEE and PAL by using data from countries that have a low or middle human development index (HDI) compared with those with a high HDI to better understand how energy-expenditure variables are associated with development status and population differences in body size. Design: We performed a literature search for studies in which energy expenditure was measured by using doubly labeled water. Mean data on age, weight, body mass index (BMI; in kg/m2), TEE, and PAL were extracted, and HDI status was assessed. Pooled estimates of the mean effect by sex were obtained, and the extent to which age, weight, HDI status, and year of publication explained heterogeneity was assessed. Results: A total of 98 studies (14 studies from low- or middle-HDI countries) that represented 183 cohorts and 4972 individuals were included. Mean (±SE) BMI was lower in countries with a low or middle HDI than in those with a high HDI for both men and women (22.7 ± 1.0 compared with 26.0 ± 0.7, respectively, in men and 24.3 ± 0.7 compared with 26.6 ± 0.4, respectively, in women). In meta-regression models, there was an inverse association of age (P < 0.001) and a positive association of weight (P < 0.001) with TEE for both sexes; there was an association of age only in men with PAL (P < 0.001). There was no association of HDI status with either TEE or PAL. Conclusion: TEE adjusted for weight and age or PAL did not differ significantly between developing and industrialized countries, which calls into question the role of energy expenditure in the cause of obesity at the population level. PMID:21159791

  12. Health system delay in pulmonary tuberculosis treatment in a country with an intermediate burden of tuberculosis: a cross-sectional study

    PubMed Central

    2013-01-01

    Background Delayed diagnosis and treatment of tuberculosis increase both the severity of the disease and the duration of infectivity. A number of studies have addressed the issue of health system delays in the treatment of tuberculosis, but mostly in countries with a high or low incidence of the disease. Our understanding of delay is quite limited in settings with an intermediate burden of tuberculosis. We explore the duration and factors associated with delays in the Croatian health system which has free health care and a sufficient network of health services providing tuberculosis diagnosis and care. Methods A total of 241 consecutive adults with culture-confirmed pulmonary tuberculosis were interviewed in seven randomly selected Croatian counties and their medical records were evaluated. A health system delay was defined as the number of days from the first consultation with a physician to the initiation of anti-tuberculosis treatment. A long delay was defined as a period exceeding the median delay, while an extreme delay was considered to be above the 75th percentile delay. Results The median health system delay was 15 days while the 75th percentile was 42 days (the 5th and 95th percentile being 1 and 105 days respectively). Almost 30% of tuberculosis patients remained undiagnosed for more than 30 days after the initial health care visit. Female patients (p?=?0.005), patients with a negative sputum smear (p?=?0.002) and patients having symptoms other than the usual ones (0.027) were found to be in significant correlation with a long delay. In a multivariate model, a long delay remained associated with the same variables (p?=?0.008, p?=?0.003, and p?=?0.037, respectively). A significant association was demonstrated between both the female gender (p?=?0.042) and a negative sputum smear (p?

  13. Teaching Science in Five Countries: Results From the TIMSS 1999 Video Study. Statistical Analysis Report. NCES 2006-011

    ERIC Educational Resources Information Center

    Roth, Kathleen J.; Druker, Stephen L.; Garnier, Helen E.; Lemmens, Meike; Chen, Catherine; Kawanaka, Takako; Rasmussen, Dave; Trubacova, Svetlana; Warvi, Dagmar; Okamoto, Yukari; Stigler, James; Gallimore, Ronald

    2006-01-01

    This report presents the results of a study of eighth-grade science teaching, conducted as part of the Third International Mathematics and Science Study (TIMSS) 1999 Video Study. The Video Study is a supplement to the TIMSS 1999 student assessment, a successor to the TIMSS 1995 student assessment. The TIMSS 1999 Video Study had the broad purpose…

  14. Changing Trends in Antimicrobial Resistance and Serotypes of Streptococcus pneumoniae Isolates in Asian Countries: an Asian Network for Surveillance of Resistant Pathogens (ANSORP) Study

    PubMed Central

    Kim, So Hyun; Chung, Doo Ryeon; Thamlikitkul, Visanu; Yang, Yonghong; Wang, Hui; Lu, Min; So, Thomas Man-kit; Hsueh, Po-Ren; Yasin, Rohani M.; Carlos, Celia C.; Pham, Hung Van; Lalitha, M. K.; Shimono, Nobuyuki; Perera, Jennifer; Shibl, Atef M.; Baek, Jin Yang; Kang, Cheol-In; Ko, Kwan Soo; Peck, Kyong Ran

    2012-01-01

    Antimicrobial resistance in Streptococcus pneumoniae remains a serious concern worldwide, particularly in Asian countries, despite the introduction of heptavalent pneumococcal conjugate vaccine (PCV7). The Asian Network for Surveillance of Resistant Pathogens (ANSORP) performed a prospective surveillance study of 2,184 S. pneumoniae isolates collected from patients with pneumococcal infections from 60 hospitals in 11 Asian countries from 2008 to 2009. Among nonmeningeal isolates, the prevalence rate of penicillin-nonsusceptible pneumococci (MIC, ?4 ?g/ml) was 4.6% and penicillin resistance (MIC, ?8 ?g/ml) was extremely rare (0.7%). Resistance to erythromycin was very prevalent in the region (72.7%); the highest rates were in China (96.4%), Taiwan (84.9%), and Vietnam (80.7%). Multidrug resistance (MDR) was observed in 59.3% of isolates from Asian countries. Major serotypes were 19F (23.5%), 23F (10.0%), 19A (8.2%), 14 (7.3%), and 6B (7.3%). Overall, 52.5% of isolates showed PCV7 serotypes, ranging from 16.1% in Philippines to 75.1% in Vietnam. Serotypes 19A (8.2%), 3 (6.2%), and 6A (4.2%) were the most prominent non-PCV7 serotypes in the Asian region. Among isolates with serotype 19A, 86.0% and 79.8% showed erythromycin resistance and MDR, respectively. The most remarkable findings about the epidemiology of S. pneumoniae in Asian countries after the introduction of PCV7 were the high prevalence of macrolide resistance and MDR and distinctive increases in serotype 19A. PMID:22232285

  15. Social epidemiology of hypertension in middle-income countries: determinants of prevalence, diagnosis, treatment, and control in the WHO SAGE study.

    PubMed

    Basu, Sanjay; Millett, Christopher

    2013-07-01

    Large-scale hypertension screening campaigns have been recommended for middle-income countries. We sought to identify sociodemographic predictors of hypertension prevalence, diagnosis, treatment, and control among middle-income countries. We analyzed data from 47 443 adults in all 6 middle-income countries (China, Ghana, India, Mexico, Russia, and South Africa) sampled in nationally representative household assessments from 2007 to 2010 as part of the World Health Organization Study on Global Aging and Adult Health. We estimated regression models accounting for age, sex, urban/rural location, nutrition, and obesity, as well as hypothesized covariates of healthcare access, such as income and insurance. Hypertension prevalence varied from 23% (India) to 52% (Russia), with between 30% (Russia) and 83% (Ghana) of hypertensives undiagnosed before the survey and between 35% (Russia) and 87% (Ghana) untreated. Although the risk of hypertension significantly increased with age (odds ratio, 4.6; 95% confidence interval, 3.0-7.1; among aged, 60-79 versus <40 years), the risk of being undiagnosed or untreated fell significantly with age. Obesity was a significant correlate to hypertension (odds ratio, 3.7; 95% confidence interval, 2.1-6.8 for obese versus normal weight), and was prevalent even among the lowest income quintile (13% obesity). Insurance status and income also emerged as significant correlates to diagnosis and treatment probability, respectively. More than 90% of hypertension cases were uncontrolled, with men having 3 times the odds as women of being uncontrolled. Overall, the social epidemiology of hypertension in middle-income countries seems to be correlated to increasing obesity prevalence, and hypertension control rates are particularly low for adult men across distinct cultures. PMID:23670299

  16. A case study of industrial building energy performance in a cold climate region in a developing country

    E-print Network

    Chen, Qingyan "Yan"

    of methods to evaluate building energy use, air leakage, condensation, thermal insulation, and indoor air growth in insulation materials and a sharp decline in their thermal resistance. Janssens and Hens (2003, insufficient building insulation, and poor indoor air distribution. This investigation developed a set

  17. Eating out is different from eating at home among individuals who occasionally eat out. A cross-sectional study among middle-aged adults from eleven European countries.

    PubMed

    Naska, Androniki; Katsoulis, Michail; Orfanos, Philippos; Lachat, Carl; Gedrich, Kurt; Rodrigues, Sara S P; Freisling, Heinz; Kolsteren, Patrick; Engeset, Dagrun; Lopes, Carla; Elmadfa, Ibrahim; Wendt, Andrea; Knüppel, Sven; Turrini, Aida; Tumino, Rosario; Ocké, Marga C; Sekula, Wlodzimierz; Nilsson, Lena Maria; Key, Tim; Trichopoulou, Antonia

    2015-06-28

    Eating out has been linked to the current obesity epidemic, but the evaluation of the extent to which out of home (OH) dietary intakes are different from those at home (AH) is limited. Data collected among 8849 men and 14,277 women aged 35-64 years from the general population of eleven European countries through 24-h dietary recalls or food diaries were analysed to: (1) compare food consumption OH to those AH; (2) describe the characteristics of substantial OH eaters, defined as those who consumed 25 % or more of their total daily energy intake at OH locations. Logistic regression models were fit to identify personal characteristics associated with eating out. In both sexes, beverages, sugar, desserts, sweet and savoury bakery products were consumed more OH than AH. In some countries, men reported higher intakes of fish OH than AH. Overall, substantial OH eating was more common among men, the younger and the more educated participants, but was weakly associated with total energy intake. The substantial OH eaters reported similar dietary intakes OH and AH. Individuals who were not identified as substantial OH eaters reported consuming proportionally higher quantities of sweet and savoury bakery products, soft drinks, juices and other non-alcoholic beverages OH than AH. The OH intakes were different from the AH ones, only among individuals who reported a relatively small contribution of OH eating to their daily intakes and this may partly explain the inconsistent findings relating eating out to the current obesity epidemic. PMID:25907775

  18. Field Artillery Ammunition Processing System (FAAPS) concept evaluation study

    SciTech Connect

    Kring, C.T.; Babcock, S.M.; Watkin, D.C.; Oliver, R.P.

    1992-06-01

    The Field Artillery Ammunition Processing System (FAAPS) is an initiative to introduce a palletized load system (PLS) that is transportable with an automated ammunition processing and storage system for use on the battlefield. System proponents have targeted a 20% increase in the ammunition processing rate over the current operation while simultaneously reducing the total number of assigned field artillery battalion personnel by 30. The overall objective of the FAAPS Project is the development and demonstration of an improved process to accomplish these goals. The initial phase of the FAAPS Project and the subject of this study is the FAAPS concept evaluation. The concept evaluation consists of (1) identifying assumptions and requirements, (2) documenting the process flow, (3) identifying and evaluating technologies available to accomplish the necessary ammunition processing and storage operations, and (4) presenting alternative concepts with associated costs, processing rates, and manpower requirements for accomplishing the operation. This study provides insight into the achievability of the desired objectives.

  19. Immigrant and non-immigrant women’s experiences of maternity care: a systematic and comparative review of studies in five countries

    PubMed Central

    2014-01-01

    Background Understanding immigrant women’s experiences of maternity care is critical if receiving country care systems are to respond appropriately to increasing global migration. This systematic review aimed to compare what we know about immigrant and non-immigrant women’s experiences of maternity care. Methods Medline, CINAHL, Health Star, Embase and PsychInfo were searched for the period 1989–2012. First, we retrieved population-based studies of women’s experiences of maternity care (n?=?12). For countries with identified population studies, studies focused specifically on immigrant women’s experiences of care were also retrieved (n?=?22). For all included studies, we extracted available data on experiences of care and undertook a descriptive comparison. Results What immigrant and non-immigrant women want from maternity care proved similar: safe, high quality, attentive and individualised care, with adequate information and support. Immigrant women were less positive about their care than non-immigrant women. Communication problems and lack of familiarity with care systems impacted negatively on immigrant women’s experiences, as did perceptions of discrimination and care which was not kind or respectful. Conclusion Few differences were found in what immigrant and non-immigrant women want from maternity care. The challenge for health systems is to address the barriers immigrant women face by improving communication, increasing women’s understanding of care provision and reducing discrimination. PMID:24773762

  20. Ensuring Data Quality in Extension Research and Evaluation Studies

    ERIC Educational Resources Information Center

    Radhakrishna, Rama; Tobin, Daniel; Brennan, Mark; Thomson, Joan

    2012-01-01

    This article presents a checklist as a guide for Extension professionals to use in research and evaluation studies they carry out. A total of 40 statements grouped under eight data quality components--relevance, objectivity, validity, reliability, integrity, generalizability, completeness, and utility--are identified to ensure that research…

  1. An Evaluation Study of Community Services, Mt. San Antonio College.

    ERIC Educational Resources Information Center

    Lohr, Sue

    A study was conducted by the Community Services Department at Mt. San Antonio College (Mt. SAC) to evaluate participant satisfaction and suggestions for future direction for the department's comprehensive program of non-credit courses. A questionnaire was administered in class to 307 participants between April 1, and June 1, 1987, focusing on…

  2. The Efficacy of Math Coaching: An Evaluative Case Study

    ERIC Educational Resources Information Center

    Dobbins, C. Neelie

    2010-01-01

    There is a lack of implementation of instructional strategies to assist middle school teachers in improving mathematics education for their students. Coaching is one solution to this problem, but its impact on student achievement is unclear. This case study evaluated the relationship between coaching and teacher efficacy and the impact of these…

  3. DESIGN AND EVALUATION OF LABORATORY ECOLOGICAL SYSTEM STUDIES

    EPA Science Inventory

    Design and evaluation of laboratory ecological system studies are considered in relation to problems and objectives in environmental toxicology. Ecological systems are defined to be organismic systems together with their level-specific, co-extensive environmental systems and to o...

  4. Digital Libraries and Repositories in India: An Evaluative Study

    ERIC Educational Resources Information Center

    Mittal, Rekha; Mahesh, G.

    2008-01-01

    Purpose: The purpose of this research is to identify and evaluate the collections within digital libraries and repositories in India available in the public domain. Design/methodology/approach: The digital libraries and repositories were identified through a study of the literature, as well as internet searching and browsing. The resulting digital…

  5. A SIMPLE METHOD FOR EVALUATING DATA FROM AN INTERLABORATORY STUDY

    EPA Science Inventory

    Large-scale laboratory-and method-performance studies involving more than about 30 laboratories may be evaluated by calculating the HORRAT ratio for each test sample (HORRAT=[experimentally found among-laboratories relative standard deviation] divided by [relative standard deviat...

  6. Evaluating the Reliability, Validity, and Usefulness of Education Cost Studies

    ERIC Educational Resources Information Center

    Baker, Bruce D.

    2006-01-01

    Recent studies that purport to estimate the costs of constitutionally adequate education have been described as either a "gold standard" that should guide legislative school finance policy design and judicial evaluation, or as pure "alchemy." Methods for estimating the cost of constitutionally adequate education can be roughly divided into two…

  7. Student's Plagiarisms in Higher Learning Institutions in the Era of Improved Internet Access: Case Study of Developing Countries

    ERIC Educational Resources Information Center

    Anney, Vicent Naano; Mosha, Mary Atanas

    2015-01-01

    This study investigated students' plagiarism practices in Tanzania higher learning institutions by involving two universities-one public and one private university as a case study. The universities involved have honour code and policies for plagiarism detection however they do not employ software for checking students' plagiarism. The study

  8. What Deters Students from Studying Abroad? Evidence from Four European Countries and Its Implications for Higher Education Policy

    ERIC Educational Resources Information Center

    Netz, Nicolai

    2015-01-01

    This study examines factors that deter students in Austria, Germany, Switzerland and the Netherlands from studying abroad. Using an adaptation of the Rubicon model of action phases, the path to gaining study abroad experience is conceptualised as a process involving two thresholds: the decision threshold and the realisation threshold. Theoretical…

  9. Evaluating oil, gas ventures in W. Siberia: Feasibility studies

    SciTech Connect

    Krug, J.A. ); Connelly, W. )

    1993-02-08

    This article discusses the methodology and calculations used in performing the economic evaluations for a typical western Siberia oil project venture. The discussion of taxes, funds, depreciation, and costs assumes the venture is a stock company and that economics are calculated on a project basis. Most ventures available to western companies are delineated oil fields that are not yet developed or producing. The authors focus on this type of property. The required elements for an economic evaluation include original-oil-in-place (OOIP) and recoverable reserves; development plan and associated production forecast; and capital requirements and operating costs. The level of evaluation-i.e., screening, preliminary feasibility study, Technical Efficiency of Organization (TEO), or full feasibility study-determines the detail needed for each of these elements. Several economic analyses of a venture should be made to evaluate the sensitivity of alternative development plans, joint venture deal terms, capital requirements, operating costs, product prices, and taxation variables. The first three parts of this five part series dealt with (1) log and core data, (2) reservoir description and (3) flow tests and reservoir performance, and provided a technical foundation for the evaluation of oil and gas ventures in western Siberia.

  10. Forest health monitoring: 1991 Georgia indicator evaluation and field study

    SciTech Connect

    Alexander, S.A.; Baldwin, M.; Bechtold, W.A.; Cassell, D.L.; Cline, S.

    1994-03-01

    The pilot study was designed to test methods for quantifying vegetation structure, photosynthetically active radiation (PAR), dendrochronology, and selected root fungi. Testing the methods included comparing different data collection procedures for individual indicators, estimating sampling efficiency (both of the sampling design and the sampling unit design), and evaluating spatial variability. In addition, the accuracy and precision of tree height instruments were determined as part of the pilot study.

  11. Appropriate Technology Small Grants Program evaluation: case studies. Volume III

    SciTech Connect

    Not Available

    1984-03-01

    A non-random sample of the Appropriate Technology Program grantees was selected to ensure that the basic goals of the evaluation study were met. Case studies of selected outstanding projects could provide with respect to the Program dynamics associated with success. It was believed that the non-random case study approach would assist us in assessing which approaches have the potential to impact a reduction in our nation's use of non-renewal energy. From this group of projects, 20 projects were selected to highlight in a case study format which illustrates the various types of projects approaches the Program supported.

  12. 42 CFR 456.142 - UR plan requirements for medical care evaluation studies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...2010-10-01 false UR plan requirements for medical care evaluation studies. ...Control: Hospitals Ur Plan: Medical Care Evaluation Studies § 456.142 UR plan requirements for medical care evaluation studies....

  13. 42 CFR 456.243 - Content of medical care evaluation studies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...2010-10-01 false Content of medical care evaluation studies. 456.243 Section...Utilization Control: Mental Hospitals Ur Plan: Medical Care Evaluation Studies § 456.243 Content of medical care evaluation studies. Each medical...

  14. 42 CFR 456.143 - Content of medical care evaluation studies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...2010-10-01 false Content of medical care evaluation studies. 456.143 Section... Utilization Control: Hospitals Ur Plan: Medical Care Evaluation Studies § 456.143 Content of medical care evaluation studies. Each medical...

  15. 42 CFR 456.242 - UR plan requirements for medical care evaluation studies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...2010-10-01 false UR plan requirements for medical care evaluation studies. ...Mental Hospitals Ur Plan: Medical Care Evaluation Studies § 456.242 UR plan requirements for medical care evaluation studies....

  16. Spectroscopy methods for identifying the country of origin

    NASA Astrophysics Data System (ADS)

    Hondrogiannis, Ellen; Ehrlinger, Erin; Miziolek, Andrzej W.

    2013-05-01

    There is a need in many industries and government functions to identify the source of origin for various materials. For example, the food industry needs to ensure that the claimed source of some of the food products (e.g. coffee, spices) are in fact legitimate due to the variation of quality from different source locations world-wide. Another example is to identify the source country for imported commodities going through Customs so as to assess the correct tariff which varies depending on the source country. Laser Induced Breakdown Spectroscopy (LIBS) holds promise for being a field-portable tool for rapid identification of the country of origin of various materials. Recent research at Towson University has identified the elemental markers needed for discrimination of select spices back to their country of origin using wavelength dispersive X-ray fluorescence (WDXRF). The WDXRF device, however, is not particularly suitable for convenient and fast field analysis. We are extending this study to evaluate the potential of a benchtop commercial LIBS device that could be located at ports of entry and to compare its performance with WDXRF. Our initial study on the spice cumin has demonstrated that discriminant function models can not only be created with 100% separation between the 4 countries of origin (China, India, Syria, and Turkey), but also when tested they show 100% correct matching to the country of origin. This study adds to the growing number of publications that indicate the power of LIBS elemental fingerprinting for provenance determinations.

  17. An Educational Program for Mental Health Nurses and Community Health Workers from Pacific Island Countries: Results from a Pilot Study

    PubMed Central

    Usher, Kim; Park, Tanya; Trueman, Scott; Redman-MacLaren, Michelle; Casella, Evan; Woods, Cindy

    2014-01-01

    Delivery of mental health care relies upon professionals with the latest evidence upon which to base their care. This research reports on a pre-test/post-test evaluation of a four-week education program delivered to Pacific Island participants (n = 18) to enhance knowledge, skills, and attitudes (KSAs). The education program used a combination of formal lectures, tutorials, clinical visits, simulations, and laboratory sessions. The measure used was the Nurse Self Report (NSR) questionnaire. Results indicate an education intervention can be an effective tool for improving the knowledge, skills, and attitudes of Pacific Island people who care for persons experiencing mental health problems. PMID:24766168

  18. An educational program for mental health nurses and community health workers from pacific island countries: results from a pilot study.

    PubMed

    Usher, Kim; Park, Tanya; Trueman, Scott; Redman-Maclaren, Michelle; Casella, Evan; Woods, Cindy

    2014-05-01

    Delivery of mental health care relies upon professionals with the latest evidence upon which to base their care. This research reports on a pre-test/post-test evaluation of a four-week education program delivered to Pacific Island participants (n = 18) to enhance knowledge, skills, and attitudes (KSAs). The education program used a combination of formal lectures, tutorials, clinical visits, simulations, and laboratory sessions. The measure used was the Nurse Self Report (NSR) questionnaire. Results indicate an education intervention can be an effective tool for improving the knowledge, skills, and attitudes of Pacific Island people who care for persons experiencing mental health problems. PMID:24766168

  19. Towards a web-based GIS for teaching geo-informatics at under-graduate level in developing countries: a case study of Iran

    NASA Astrophysics Data System (ADS)

    Mobasheri, A.; Vahidi, H.; Guan, Q.

    2014-04-01

    In developing countries, the number of experts and students in geo-informatics domain are very limited compared to experts and students of sciences that could benefit from geo-informatics. In this research, we study the possibility of providing an online education system for teaching geo-informatics at under-graduate level. The hypothesis is that in developing countries, such as Iran, a web-based geo-education system can greatly improve the quantity and quality of knowledge of students in undergraduate level, which is an important step that has to be made in regard of the famous "Geo for all" motto. As a technology for conducting natural and social studies, geo-informatics offers new ways of viewing, representing and analysing information for transformative learning and teaching. Therefore, we design and present a conceptual framework of an education system and elaborate its components as well as the free and open source services and software packages that could be used in this framework for a specific case study: the Web GIS course. The goal of the proposed framework is to develop experimental GI-services in a service-oriented platform for education purposes. Finally, the paper ends with concluding remarks and some tips for future research direction.

  20. Measuring socio-economic position for epidemiological studies in low- and middle-income countries: a methods of measurement in epidemiology paper

    PubMed Central

    Howe, Laura D; Galobardes, Bruna; Matijasevich, Alicia; Gordon, David; Johnston, Deborah; Onwujekwe, Obinna; Patel, Rita; Webb, Elizabeth A; Lawlor, Debbie A; Hargreaves, James R

    2012-01-01

    Much has been written about the measurement of socio-economic position (SEP) in high-income countries (HIC). Less has been written for an epidemiology, health systems and public health audience about the measurement of SEP in low- and middle-income countries (LMIC). The social stratification processes in many LMIC—and therefore the appropriate measurement tools—differ considerably from those in HIC. Many measures of SEP have been utilized in epidemiological studies; the aspects of SEP captured by these measures and the pathways through which they may affect health are likely to be slightly different but overlapping. No single measure of SEP will be ideal for all studies and contexts; the strengths and limitations of a given indicator are likely to vary according to the specific research question. Understanding the general properties of different indicators, however, is essential for all those involved in the design or interpretation of epidemiological studies. In this article, we describe the measures of SEP used in LMIC. We concentrate on measures of individual or household-level SEP rather than area-based or ecological measures such as gross domestic product. We describe each indicator in terms of its theoretical basis, interpretation, measurement, strengths and limitations. We also provide brief comparisons between LMIC and HIC for each measure. PMID:22438428

  1. Developing the Evidence Base to Inform Best Practice: A Scoping Study of Breast and Cervical Cancer Reviews in Low- and Middle-Income Countries

    PubMed Central

    Demment, Margaret M.; Peters, Karen; Dykens, J. Andrew; Dozier, Ann; Nawaz, Haq; McIntosh, Scott; Smith, Jennifer S.; Sy, Angela; Irwin, Tracy; Fogg, Thomas T.; Khaliq, Mahmooda; Blumenfeld, Rachel; Massoudi, Mehran; De Ver Dye, Timothy

    2015-01-01

    Background Breast and cervical cancers have emerged as major global health challenges and disproportionately lead to excess morbidity and mortality in low- and middle-income countries (LMICs) when compared to high-income countries. The objective of this paper was to highlight key findings, recommendations, and gaps in research and practice identified through a scoping study of recent reviews in breast and cervical cancer in LMICs. Methods We conducted a scoping study based on the six-stage framework of Arskey and O’Malley. We searched PubMed, Cochrane Reviews, and CINAHL with the following inclusion criteria: 1) published between 2005-February 2015, 2) focused on breast or cervical cancer 3) focused on LMIC, 4) review article, and 5) published in English. Results Through our systematic search, 63 out of the 94 identified cervical cancer reviews met our selection criteria and 36 of the 54 in breast cancer. Cervical cancer reviews were more likely to focus upon prevention and screening, while breast cancer reviews were more likely to focus upon treatment and survivorship. Few of the breast cancer reviews referenced research and data from LMICs themselves; cervical cancer reviews were more likely to do so. Most reviews did not include elements of the PRISMA checklist. Conclusion Overall, a limited evidence base supports breast and cervical cancer control in LMICs. Further breast and cervical cancer prevention and control studies are necessary in LMICs. PMID:26325181

  2. Not All Those Who Wander Are Lost: Examining the Impact of Sojourner Adjustment and Drinking Motives on Alcohol Consequences Experienced by Americans Studying in Foreign Countries

    PubMed Central

    Pedersen, Eric R.; Neighbors, Clayton; Lee, Christine M.; Larimer, Mary E.

    2012-01-01

    Objective American students studying in foreign countries represent a unique group at risk for increased and problematic drinking. Examination of risk and protective factors for negative alcohol-related consequences can lead to the development of efficacious preventive interventions for reducing high-risk drinking while abroad. The present study examined the relationship between sojourner adjustment (i.e., the sociocultural and psychological adjustment of short-term residents in foreign environments), drinking motives, and alcohol-related consequences. Method Participants were 248 college students (81% women) who recently completed study-abroad trips and completed online surveys about their drinking motives and behavior, alcohol-related consequences, and sojourner adjustment. Results In general, positive sojourner adjustment (i.e., social interaction with host nationals, language development and use, and host culture identification) was protective against negative consequences, whereas negative sojourner adjustment (i.e., social interaction with co-nationals and homesickness/feeling out of place) was associated with increased reporting of consequences. Unexpectedly, the positive sojourner adjustment factor of cultural understanding and participation was associated with greater alcohol-related consequences. Social motives for drinking also predicted consequences. Drinking motives moderated several of the relationships between sojourner adjustment and consequences. Conclusions Interest in and adoption of the host country culture may protect against problematic alcohol use; however, this may vary based on students' reasons for drinking. These findings support the need for further examination of sojourner adjustment in college students abroad and indicate potential areas for development of preventive interventions. PMID:23036220

  3. Antibiotic Exposure and Other Risk Factors for Antimicrobial Resistance in Nasal Commensal Staphylococcus aureus: An Ecological Study in 8 European Countries

    PubMed Central

    van Bijnen, Evelien M. E.; Paget, John; de Lange-de Klerk, Elly S. M.; den Heijer, Casper D. J.; Versporten, Ann; Stobberingh, Ellen E.; Goossens, Herman; Schellevis, François G.

    2015-01-01

    Objectives Antimicrobial resistance (AMR) has become a global public health concern which threatens the effective treatment of bacterial infections. Resistant Staphylococcus aureus (including MRSA) increasingly appears in individuals with no healthcare associated risks. Our study assessed risk factors for nasal carriage of resistant S. aureus in a multinational, healthy, community-based population, including ecological exposure to antibiotics. Methods Data were collected in eight European countries (Austria, Belgium, Croatia, France, Hungary, the Netherlands, Spain and Sweden). Commensal AMR patterns were assessed by collecting 28,929 nasal swabs from healthy persons (aged 4+). Ecological exposure to antibiotics was operationalized as systemic antibiotic treatment patterns, extracted from electronic medical records of primary care practices in which the participants were listed (10–27 per country). A multilevel analysis related AMR in nasal commensal S. aureus to antibiotic exposure and other risk factors (e.g. age and profession). Results Of the 6,093 S. aureus isolates, 77% showed resistance to at least one antibiotic. 7.1% exhibited multidrug resistance (defined as resistance to 3 or more antibiotic classes), and we found 78 cases MRSA (1.3%). A large variation in antibiotic exposure was found between and within countries. Younger age and a higher proportion of penicillin prescriptions in a practice were associated with higher odds for carriage of a resistant S. aureus. Also, we found higher multidrug resistance rates in participants working in healthcare or nurseries. Conclusions This study indicates that in a population with no recent antibiotic use, the prescription behavior of the general practitioner affects the odds for carriage of a resistant S. aureus, highlighting the need for cautious prescribing in primary care. Finally, since variation in AMR could partly be explained on a national level, policy initiatives to decrease AMR should be encouraged at the national level within Europe. PMID:26262679

  4. Evaluating HIV Prevention Programs: Herpes Simplex Virus Type 2 Antibodies as Biomarker for Sexual Risk Behavior in Young Adults in Resource-Poor Countries

    PubMed Central

    Behling, Juliane; Chan, Adrienne K.; Zeh, Clement; Nekesa, Carolyne; Heinzerling, Lucie

    2015-01-01

    Background Measuring effectiveness of HIV prevention interventions is challenged by bias when using self-reported knowledge, attitude or behavior change. HIV incidence is an objective marker to measure effectiveness of HIV prevention interventions, however, because new infection rates are relatively low, prevention studies require large sample sizes. Herpes simplex virus type 2 (HSV-2) is similarly transmitted and more prevalent and could thus serve as a proxy marker for sexual risk behavior and therefore HIV infection. Methods HSV-2 antibodies were assessed in a sub-study of 70,000 students participating in an education intervention in Western Province, Kenya. Feasibility of testing for HSV-2 antibodies was assessed comparing two methods using Fisher’s exact test. Three hundred and ninety four students (aged 18 to 22 years) were randomly chosen from the cohort and tested for HIV, Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Out of these, 139 students were tested for HSV-2 with ELISA and surveyed for sexual risk behavior and 89 students were additionally tested for HSV-2 with a point-of-contact (POC) test. Results Prevalence rates were 0.5%, 1.8%, 0.3% and 2.3% for HIV, Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, respectively. Prevalence of HSV-2 antibodies was 3.4 % as measured by POC test (n=89) and 14.4 % by ELISA (n=139). Specificity of the POC test compared with ELISA was 100%, and the sensitivity only 23.1%. Associations between self-reported sexual behavior and HSV-2 serostatus could not be shown. Conclusions Associations between self-reported sexual risk behavior and HSV-2 serostatus could not be shown, probably due to social bias in interviews since its transmission is clearly linked. HSV-2 antibody testing is feasible in resource-poor settings and shows higher prevalence rates than other sexually transmitted diseases thus representing a potential biomarker for evaluation of HIV prevention interventions. PMID:26010772

  5. A Cross-Country Study on Research Students' Perceptions of the Role of Supervision and Cultural Knowledge in Thesis Development

    ERIC Educational Resources Information Center

    McGinty, Suzanne Claire; Koo, Yew Lie; Saeidi, Mahnaz

    2010-01-01

    This paper presents preliminary findings from a research study in Australia, Malaysia and Iran on students' perceptions of the roles of supervisor and student in the production of their thesis and the contribution of their cultural knowledge to thesis development. The 360 respondents who answered an online survey were studying for their Master's…

  6. Gender Differences in Filicide Offense Characteristics--A Comprehensive Register-Based Study of Child Murder in Two European Countries

    ERIC Educational Resources Information Center

    Putkonen, Hanna; Amon, Sabine; Eronen, Markku; Klier, Claudia M.; Almiron, Maria P.; Cederwall, Jenny Yourstone; Weizmann-Henelius, Ghitta

    2011-01-01

    Objective: This study searched for gender differences in filicidal offense characteristics and associated variables. Methods: In this binational register-based study all filicide perpetrators (75 mothers and 45 fathers) and their crimes in Austria and Finland 1995-2005 were examined for putative gender differences. The assessed variables were…

  7. Progress in Evaluation Study. Third Annual Report of the Center for the Study of Evaluation of Instructional Programs.

    ERIC Educational Resources Information Center

    California Univ., Los Angeles. Center for the Study of Evaluation.

    This report covers the activities of the Center for the Study of Evaluation (CSE) from October 1, 1967 through October 31, 1968, and indicates the major efforts projected for the future. Included in the report are descriptions of the Center's projects and activities, the new CSE approach, administrative functions and supporting services, its staff…

  8. A study of evaluation methods for hospital medical care systems.

    PubMed

    Nobukawa, M; Eussen, M E

    1992-07-01

    When we seek to evaluate hospital medical care services, we first collect data regarding the existing system in order to gather information and to develop a method of analysis that we can use for evaluation. We took the OPD system as an example, taking into account systematic OPD services based on queuing theory and computer simulation. As a result of the computer simulation model based on experimental conditions, we were able to offer recommendations for modifications of the present system that could improve patient service. The hospital manager can use this information to aid him in the decision making processes concerning the hospital. A study of the methods for the evaluation of hospital medical care services is important. It is necessary to develop a regional medical care information system as well as a hospital medical care information system. PMID:10120546

  9. A study on the quantitative evaluation of skin barrier function

    NASA Astrophysics Data System (ADS)

    Maruyama, Tomomi; Kabetani, Yasuhiro; Kido, Michiko; Yamada, Kenji; Oikaze, Hirotoshi; Takechi, Yohei; Furuta, Tomotaka; Ishii, Shoichi; Katayama, Haruna; Jeong, Hieyong; Ohno, Yuko

    2015-03-01

    We propose a quantitative evaluation method of skin barrier function using Optical Coherence Microscopy system (OCM system) with coherency of near-infrared light. There are a lot of skin problems such as itching, irritation and so on. It has been recognized skin problems are caused by impairment of skin barrier function, which prevents damage from various external stimuli and loss of water. To evaluate skin barrier function, it is a common strategy that they observe skin surface and ask patients about their skin condition. The methods are subjective judgements and they are influenced by difference of experience of persons. Furthermore, microscopy has been used to observe inner structure of the skin in detail, and in vitro measurements like microscopy requires tissue sampling. On the other hand, it is necessary to assess objectively skin barrier function by quantitative evaluation method. In addition, non-invasive and nondestructive measuring method and examination changes over time are needed. Therefore, in vivo measurements are crucial for evaluating skin barrier function. In this study, we evaluate changes of stratum corneum structure which is important for evaluating skin barrier function by comparing water-penetrated skin with normal skin using a system with coherency of near-infrared light. Proposed method can obtain in vivo 3D images of inner structure of body tissue, which is non-invasive and non-destructive measuring method. We formulate changes of skin ultrastructure after water penetration. Finally, we evaluate the limit of performance of the OCM system in this work in order to discuss how to improve the OCM system.

  10. Telemedicine utilization to support the management of the burns treatment involving patient pathways in both developed and developing countries: a case study.

    PubMed

    Syed-Abdul, Shabbir; Scholl, Jeremiah; Chen, Chiehfeng Cliff; Santos, Martinho D P S; Jian, Wen-Shan; Liou, Der-Ming; Li, Yu-Chuan

    2012-01-01

    This case study reports on the utilization of telemedicine to support the management of the burns treatment in the islands of Sao Tome and Principe by Taipei Medical University-affiliated hospital in Taiwan. The authors share experiences about usage of telemedicine to support treatment of the burn victims in a low-income country that receive reconstructive surgery in a developed country. Throughout the entire care process, telemedicine has been used not only to provide an expert advice from distance but also to help establish and maintain the doctor-patient relationship, to keep patients in contact with their families, and to help educate and consult the medical personal physically present in Sao Tome and Principe. This case study presents the details of how this process has been conducted to date, on what were learned from this process, and on issues that should be considered to improve this process in the future. The authors plan to create instructional videos and post them on YouTube to aid clinical workers providing similar treatment during the acute care and rehabilitation process and also to support eLearning in many situations where it otherwise is not possible to use videoconferencing to establish real-time contact between doctors at the local site and remote specialists. PMID:22249104

  11. Evaluation of the Project Studies in Social Studies Course of Secondary Schools in Turkey

    ERIC Educational Resources Information Center

    Ibret, B. Unal; Recepoglu, Ergun; Karasu, Emine; Recepoglu, Serpil

    2013-01-01

    The aim of this study is to evaluate project studies in the 6th and 7th grades social studies courses of secondary schools according to opinions of students. This study is a descriptive research in the survey model. The sample is 880 students selected from 6th and 7th grades of 22 secondary schools randomly in central province of Kastamonu. As a…

  12. Participant evaluation results for two indoor air quality studies

    SciTech Connect

    Hawthorne, A.R.; Dudney, C.S.; Cohen, M.A.; Spengler, J.D.

    1987-01-01

    After two surveys for indoor air pollutants (radon and other chemicals) the homeowners were surveyed for their reactions. The results of these participant evaluation surveys, assuming that the participants that responded to the survey were representative, indicate that homeowners will accept a significant level of monitoring activity as part of an indoor air quality field study. Those participants completing surveys overwhelmingly enjoyed being in the studies and would do it again. We believe that the emphasis placed on positive homeowner interactions and efforts made to inform participants throughout our studies were positive factors in this result. There was no substantial differences noted in the responses between the 70-house study, which included a homeowner compensation payment of $100, and the 300-house study, which did not include a compensation payment. These results provide encouragement to conduct future complex, multipollutant indoor air quality studies when they are scientifically sound and cost effective.

  13. America's Country Schools.

    ERIC Educational Resources Information Center

    Gulliford, Andrew

    The book examines the one-room schoolhouse and the memories of this important part of the American past through sections on the country school legacy, country school architecture, and country school preservation. The architectural and historical significance of this distinctive building type is evocatively portrayed by more than 400 photographs.…

  14. Data envelopment analysis in service quality evaluation: an empirical study

    NASA Astrophysics Data System (ADS)

    Najafi, Seyedvahid; Saati, Saber; Tavana, Madjid

    2015-10-01

    Service quality is often conceptualized as the comparison between service expectations and the actual performance perceptions. It enhances customer satisfaction, decreases customer defection, and promotes customer loyalty. Substantial literature has examined the concept of service quality, its dimensions, and measurement methods. We introduce the perceived service quality index (PSQI) as a single measure for evaluating the multiple-item service quality construct based on the SERVQUAL model. A slack-based measure (SBM) of efficiency with constant inputs is used to calculate the PSQI. In addition, a non-linear programming model based on the SBM is proposed to delineate an improvement guideline and improve service quality. An empirical study is conducted to assess the applicability of the method proposed in this study. A large number of studies have used DEA as a benchmarking tool to measure service quality. These models do not propose a coherent performance evaluation construct and consequently fail to deliver improvement guidelines for improving service quality. The DEA models proposed in this study are designed to evaluate and improve service quality within a comprehensive framework and without any dependency on external data.

  15. How effective is good domestic kitchen hygiene at reducing diarrhoeal disease in developed countries? A systematic review and reanalysis of the UK IID study

    PubMed Central

    Stenberg, Anna; Macdonald, Clare; Hunter, Paul R

    2008-01-01

    Background To assess whether domestic kitchen hygiene is an important contributor to the development of diarrhoea in the developed world. Methods Electronic searches were carried out in October 2006 in EMBASE, MEDLINE, Web of Knowledge, Cochrane central register of clinical trials and CINAHL. All publications, irrespective of study design, assessing food hygiene practices with an outcome measure of diarrhoea were included in the review. All included studies underwent data extraction and the data was subsequently analysed. The analysis was conducted by qualitative synthesis of the results. Given the substantial heterogeneity in study design and outcome measures meta-analysis was not done. In addition the existing dataset of the UK IID study was reanalysed to investigate possible associations between self-reported diarrhoea and variables indicative of poor domestic kitchen hygiene Results Some 14 studies were finally included in subsequent analyses. Of the 14 studies included in this systematic review, 11 were case-control studies, 2 cross-sectional surveys, and 1 RCT. Very few studies identified any significant association with good environmental kitchen hygiene. Although some of the variables in the reanalysis of the UK IID study were statistically significant no obvious trend was seen. Conclusion The balance of the available evidence does not support the hypothesis that poor domestic kitchen hygiene practices are important risk factors for diarrhoeal disease in developed countries. PMID:18294383

  16. Toward evaluating the effect of climate change on investments in the water resources sector: insights from the forecast and analysis of hydrological indicators in developing countries

    E-print Network

    Jacobsen, Michael

    The World Bank has recently developed a method to evaluate the effects of climate change on six hydrological indicators across 8951 basins of the world. The indicators are designed for decision-makers and stakeholders to ...

  17. A multi-country study of intussusception in children under 2 years of age in Latin America: analysis of prospective surveillance data

    PubMed Central

    2013-01-01

    Background Intussusception (IS) is a form of acute intestinal obstruction that occurs mainly in infants and is usually of unknown cause. An association between IS and the first licensed rotavirus vaccine, a reassortant-tetravalent, rhesus-based rotavirus vaccine (RRV-TV), led to the withdrawal of the vaccine. New rotavirus vaccines have now been developed and extensively studied for their potential association with IS. This study aimed to describe the epidemiology and to estimate the incidence of IS in Latin American infants prior to new vaccine introduction. Methods Children under 2 years of age representing potential IS cases were enrolled in 16 centers in 11 Latin American countries from January 2003 to May 2005. IS cases were classified as definite, probable, possible or suspected as stated on the Brighton Collaboration Working Group guidelines. Results From 517 potential cases identified, 476 (92%) cases were classified as definite, 21 probable, 10 possible and 10 suspected for intussusception. Among the 476 definite IS cases, the median age at presentation was 6.4 months with 89% of cases aged <1 year. The male to female ratio was 1.5:1. The incidence of definite IS per 100,000 subject-years ranged from 1.9 in Brazil to 62.4 in Argentina for children <2 years of age, and from 3.8 in Brazil to 105.3 in Argentina for children aged <1 year. Median hospital stay was 4 days with a high prevalence of surgery as the primary treatment (65%). Most cases (88%) made a complete recovery, but 13 (3%) died. No clear seasonal pattern of IS cases emerged. Conclusions This study describes the epidemiology and estimates the incidence of IS in Latin American infants prior to the introduction of new rotavirus vaccines. The incidence of IS was found to vary between different countries, as observed in previous studies. Trial registration Clinical study identifier 999910/204 (SERO-EPI-IS-204) PMID:23710610

  18. Multispectral scanner data applications evaluation. Volume 1: User applications study

    NASA Technical Reports Server (NTRS)

    Thomson, F. J.; Erickson, J. D.; Nalepka, R. F.; Weber, J. D.

    1974-01-01

    A six-month systems study of earth resource surveys from satellites was conducted and is reported. SKYLAB S-192 multispectral scanner (MSS) data were used as a baseline to aid in evaluating the characteristics of future systems using satellite MSS sensors. The study took the viewpoint that overall system (sensor and processing) characteristics and parameter values should be determined largely by user requirements for automatic information extraction performance in quasi-operational earth resources surveys, the other major factor being hardware limitations imposed by state-of-the-art technology and cost. The objective was to use actual aircraft and spacecraft MSS data to outline parametrically the trade-offs between user performance requirements and hardware performance and limitations so as to allow subsequent evaluation of compromises which must be made in deciding what system(s) to build.

  19. Combining Mass Spectrometry and Toxicology for a Multi-Country European Epidemiologic Study on Drinking Water Disinfection By-Products.

    EPA Science Inventory

    The HiWATE (Health Impacts of long-term exposure to disinfection by-products in drinking WATEr) project is the first systematic analysis that combines the epidemiology on adverse pregnancy outcomes with analytical chemistry and analytical biology in the European Union. This study...

  20. Combining Mass Spectrometry and Toxicology for a Multi-Country European Epidemiologic Study on Drinking Water Disinfection By-Products

    EPA Science Inventory

    The HiWATE (Health Impacts of long-term exposure to disinfection by-products in drinking WATEr) project is the first systematic analysis that combines the epidemiology on adverse pregnancy outcomes with analytical chemistry and analytical biology in the European Union. This study...

  1. The Search for Quality: A Five Country Study of National Strategies to Improve Educational Quality in Central Asia

    ERIC Educational Resources Information Center

    Chapman, D.W.; Weidman, J.; Cohen, M.; Mercer, M.

    2005-01-01

    This paper presents a comparative analysis of the strategies employed over the last decade by governments of five Central Asia republics-Azerbaijan, Kazakhstan, Kyrgyz Republic, Tajikistan, and Uzbekistan-to raise educational quality at the primary and secondary levels. Data are drawn from a 2002 cross-national study sponsored by the Asian…

  2. Constellations of New Demands Concerning Careers and Jobs: Results from a Two-Country Study on Social and Economic Change

    ERIC Educational Resources Information Center

    Obschonka, Martin; Silbereisen, Rainer K.; Wasilewski, Jacek

    2012-01-01

    Focusing on new demands posed by social and economic change, and applying a pattern-based approach, this study examined constellations of increasing labor market uncertainties (understood as threat) and increasing job-related learning tasks (understood as positive challenge). We investigated whether and how the groups of working individuals behind…

  3. INTERCOMPARISON STUDY OF ATMOSPHERIC MERCURY MODELS: 2. MODELING RESULTS VS. LONG-TERM OBSERVATIONS AND COMPARISON OF COUNTRY ATMOSPHERIC BALANCES

    EPA Science Inventory

    Five regional scale models with a horizontal domain covering the European continent and its surrounding seas, two hemispheric and one global scale model participated in the atmospheric Hg modelling intercomparison study. The models were compared between each other and with availa...

  4. Privatisation Policies and Postprivatisation Control Devices in India's Higher Education: Evidence from a Regional Study and Implications for Developing Countries

    ERIC Educational Resources Information Center

    Narayana, M. R.

    2006-01-01

    This article focuses on economic analysis of privatisation policies and postprivatisation control devices in India's higher education. As a case study, the experiences of Karnataka State in collegiate education under general higher education are emphasised. A change in public financing, rather than a shift of public ownership and management to…

  5. Education and Training for the Informal Sector, Volume 2: Country Case Studies. Occasional Papers on Education, Serial No. 11.

    ERIC Educational Resources Information Center

    Leach, Fiona, Ed.

    This publication is a companion volume to a research report that examined local, national, and international interventions and initiatives aimed at promoting education and training for the informal sector. It provides four case studies on types of initiatives being taken by a wide range of actors in the area of education and training. "Ghana"…

  6. "When You're in a Different Country, Things Are More Apparent": Gender and Study Abroad in Mexico

    ERIC Educational Resources Information Center

    McGivern, Martha B.

    2013-01-01

    This dissertation bridges the divide between comparative education and international education literature by examining student experiences in study abroad programs to make theoretical arguments about the role of culture in "doing" and "undoing" gender. The "undoing gender" framework in comparative education literature…

  7. Do Girls and Boys Perceive Themselves as Equally Engaged in School? The Results of an International Study from 12 Countries

    ERIC Educational Resources Information Center

    Lam, Shui-fong; Jimerson, Shane; Kikas, Eve; Cefai, Carmel; Veiga, Feliciano H.; Nelson, Brett; Hatzichristou, Chryse; Polychroni, Fotini; Basnett, Julie; Duck, Robert; Farrell, Peter; Liu, Yi; Negovan, Valeria; Shin, Hyeonsook; Stanculescu, Elena; Wong, Bernard P. H.; Yang, Hongfei; Zollneritsch, Josef

    2012-01-01

    This study examined gender differences in student engagement and academic performance in school. Participants included 3420 students (7th, 8th, and 9th graders) from Austria, Canada, China, Cyprus, Estonia, Greece, Malta, Portugal, Romania, South Korea, the United Kingdom, and the United States. The results indicated that, compared to boys, girls…

  8. Regional Seminars on University Governance in the Tempus Partner Countries (2010-2011): Conclusions. A Tempus Study. Issue 08

    ERIC Educational Resources Information Center

    Reilly, John: Jongsma, Ard

    2011-01-01

    Following the publication of the Tempus study Changing Rules--a Review of Tempus Support to University Governance, the European Commission and the Education, Audiovisual and Culture Executive Agency held a series of four regional seminars to present its results and to provide an opportunity for reflection and discussion on challenges and trends in…

  9. Expanding the Field of Inquiry: A Cross-Country Study of Higher Education Institutions' Responses to HIV and AIDS

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization (UNESCO), 2006

    2006-01-01

    This report compares, analyses, and summarises findings from twelve case studies commissioned by the United Nations Education, Scientific, and Cultural Organization (UNESCO) in higher education institutions in Brazil, Burkina Faso, China, Democratic Republic of the Congo (DRC), Dominican Republic, Haiti, Jamaica, Lebanon, Lesotho, Suriname,…

  10. A Study of Teachers' Paradigms of the "China Today" Module in Hong Kong under One Country and Two Systems

    ERIC Educational Resources Information Center

    Yau, Dick Tak-sang

    2009-01-01

    Background: During the period of British colonial rule, the nature of civic education in Hong Kong was characterized as denationalized, depoliticized and decontextualized. The 1984 Sino-British Joint Declaration substantially altered the nature of civic education. The "China Today" module of Liberal Studies (LS) was one of the results of the…

  11. Longitudinal evaluation of cryolipolysis efficacy: two case studies.

    PubMed

    Bernstein, Eric F

    2013-06-01

    Cryolipolysis treatment, or cold-induced destruction of adipocytes, provides a noninvasive option for localized subcutaneous fat reduction without damaging the overlying skin or adjacent structures. This case study examines the long-term visibility of fat layer reduction subsequent to cryolipolysis treatment, through longitudinal evaluation. Two male subjects were unilaterally treated on one flank. Baseline and postprocedure photographs (at 2 or 5 years) of the treated and contralateral untreated flanks display durable results despite natural fluctuations in body weight. PMID:23725309

  12. High performance APCS conceptual design and evaluation scoping study

    SciTech Connect

    Soelberg, N.; Liekhus, K.; Chambers, A.; Anderson, G.

    1998-02-01

    This Air Pollution Control System (APCS) Conceptual Design and Evaluation study was conducted to evaluate a high-performance (APC) system for minimizing air emissions from mixed waste thermal treatment systems. Seven variations of high-performance APCS designs were conceptualized using several design objectives. One of the system designs was selected for detailed process simulation using ASPEN PLUS to determine material and energy balances and evaluate performance. Installed system capital costs were also estimated. Sensitivity studies were conducted to evaluate the incremental cost and benefit of added carbon adsorber beds for mercury control, specific catalytic reduction for NO{sub x} control, and offgas retention tanks for holding the offgas until sample analysis is conducted to verify that the offgas meets emission limits. Results show that the high-performance dry-wet APCS can easily meet all expected emission limits except for possibly mercury. The capability to achieve high levels of mercury control (potentially necessary for thermally treating some DOE mixed streams) could not be validated using current performance data for mercury control technologies. The engineering approach and ASPEN PLUS modeling tool developed and used in this study identified APC equipment and system performance, size, cost, and other issues that are not yet resolved. These issues need to be addressed in feasibility studies and conceptual designs for new facilities or for determining how to modify existing facilities to meet expected emission limits. The ASPEN PLUS process simulation with current and refined input assumptions and calculations can be used to provide system performance information for decision-making, identifying best options, estimating costs, reducing the potential for emission violations, providing information needed for waste flow analysis, incorporating new APCS technologies in existing designs, or performing facility design and permitting activities.

  13. Precipitation Indices Low Countries

    NASA Astrophysics Data System (ADS)

    van Engelen, A. F. V.; Ynsen, F.; Buisman, J.; van der Schrier, G.

    2009-09-01

    Since 1995, KNMI published a series of books(1), presenting an annual reconstruction of weather and climate in the Low Countries, covering the period AD 763-present, or roughly, the last millennium. The reconstructions are based on the interpretation of documentary sources predominantly and comparison with other proxies and instrumental observations. The series also comprises a number of classifications. Amongst them annual classifications for winter and summer temperature and for winter and summer dryness-wetness. The classification of temperature have been reworked into peer reviewed (2) series (AD 1000-present) of seasonal temperatures and temperature indices, the so called LCT (Low Countries Temperature) series, now incorporated in the Millennium databases. Recently we started a study to convert the dryness-wetness classifications into a series of precipitation; the so called LCP (Low Countries Precipitation) series. A brief outline is given here of the applied methodology and preliminary results. The WMO definition for meteorological drought has been followed being that a period is called wet respectively dry when the amount of precipitation is considerable more respectively less than usual (normal). To gain a more quantitative insight for four locations, geographically spread over the Low Countries area (De Bilt, Vlissingen, Maastricht and Uccle), we analysed the statistics of daily precipitation series, covering the period 1900-present. This brought us to the following definition, valid for the Low Countries: A period is considered as (very) dry respectively (very) wet if over a continuous period of at least 60 days (~two months) cq 90 days (~three months) on at least two out of the four locations 50% less resp. 50% more than the normal amount for the location (based on the 1961-1990 normal period) has been measured. This results into the following classification into five drought classes hat could be applied to non instrumental observations: Very wet period (+2): Wide scale river flooding, marshy acres and meadows.-Farmers cope with poor harvests of hay, grains, fruit etc. resulting in famines.-Late grape harvests, poor yield quantity and quality of wine. Wet period (+1): High water levels cq discharges of major rivers, tributaries and brooks, local river floodings, marshy acres and meadows in the low lying areas.-Wearisome and hampered agriculture. Normal (0) Dry period (-1): Low water levels cq discharges of major rivers, tributaries and brooks. Some brooks may dry up.-Summer half year: local short of yield of grass, hay and other forage.-Summer half year: moor-, peat- and forest fires. Very dry period (-2): Very low water levels cq discharges of major rivers and tributaries. Brooks and wells dry up. Serious shortage of drinking water; especially in summer.-Major agricultural damage, shortage of water, mortality stock of cattle. Shortage of grain. Flour can not be produced due to water mills running out of water, shortage of bread, bread riots, famines.-Large scale forest and peat areas, resulting in serious air pollution. Town fires. By verifying the historical evidence on these criterions, a series of 5 step indices ranging from very dry to very wet for summer and winter half year of the Low Countries was obtained. Subsequently these indices series were compared with the instrumentally observed seasonal precipitation sums for De Bilt (1735-2008), which is considered to be representative for the Central Netherlands. For winter (Oct-March) and summer half year (Apr.-Sept.) the accumulated precipitation amounts are calculated; these amounts are approximately normally distributed. Based on this distribution, the cumulative frequency distribution is calculated. By tabulating the number of summers in the pre-instrumental period 1201-1750 for each of the drought classes, a distribution is calculated which is then related to the modern accumulated precipitation distribution. Assuming that the accumulated precipitation amount has not been below (above) the mean precipitation minus (plus) three standard deviations for

  14. Effects of animal source foods, with emphasis on milk, in the diet of children in low-income countries

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This review evaluates evidence for benefits of including animal source foods (ASF) in the diets of children in developing countries. In observational studies, a higher usual intake of ASF in such countries is associated with better growth, status of some micronutrients, cognitive performance, motor ...

  15. Scale development on consumer behavior toward counterfeit drugs in a developing country: a quantitative study exploiting the tools of an evolving paradigm

    PubMed Central

    2013-01-01

    Background Although desperate need and drug counterfeiting are linked in developing countries, little research has been carried out to address this link, and there is a lack of proper tools and methodology. This study addresses the need for a new methodological approach by developing a scale to aid in understanding the demand side of drug counterfeiting in a developing country. Methods The study presents a quantitative, non-representative survey conducted in Sudan. A face-to-face structured interview survey methodology was employed to collect the data from the general population (people in the street) in two phases: pilot (n?=?100) and final survey (n?=?1003). Data were analyzed by examining means, variances, squared multiple correlations, item-to-total correlations, and the results of an exploratory factor analysis and a confirmatory factor analysis. Results As an approach to scale purification, internal consistency was examined and improved. The scale was reduced from 44 to 41 items and Cronbach’s alpha improved from 0.818 to 0.862. Finally, scale items were assessed. The result was an eleven-factor solution. Convergent and discriminant validity were demonstrated. Conclusion The results of this study indicate that the “Consumer Behavior Toward Counterfeit Drugs Scale” is a valid, reliable measure with a solid theoretical base. Ultimately, the study offers public health policymakers a valid measurement tool and, consequently, a new methodological approach with which to build a better understanding of the demand side of counterfeit drugs and to develop more effective strategies to combat the problem. PMID:24020730

  16. A Multi-country Study of the Household Willingness-to-Pay for Dengue Vaccines: Household Surveys in Vietnam, Thailand, and Colombia

    PubMed Central

    Lee, Jung-Seok

    2015-01-01

    Background The rise in dengue fever cases and the absence of dengue vaccines will likely cause governments to consider various types of effective means for controlling the disease. Given strong public interests in potential dengue vaccines, it is essential to understand the private economic benefits of dengue vaccines for accelerated introduction of vaccines into the public sector program and private markets of high-risk countries. Methodology/Principal Findings A contingent valuation study for a hypothetical dengue vaccine was administered to 400 households in a multi-country setting: Vietnam, Thailand, and Colombia. All respondents received a description of the hypothetical dengue vaccine scenarios of 70% or 95% effectiveness for 10 or 30 years with a three dose series. Five price points were determined after pilot tests in order to reflect different local situations such as household income levels and general perceptions towards dengue fever. We adopted either Poisson or negative binomial regression models to calculate average willingness-to-pay (WTP), as well as median WTP. We found that there is a significant demand for dengue vaccines. The parametric median WTP is $26.4 ($8.8 per dose) in Vietnam, $70.3 ($23.4 per dose) in Thailand, and $23 ($7.7 per dose) in Colombia. Our study also suggests that respondents place more value on vaccinating young children than school age children and adults. Conclusions/Significance Knowing that dengue vaccines are not yet available, our study provides critical information to both public and private sectors. The study results can be used to ensure broad coverage with an affordable price and incorporated into cost benefit analyses, which can inform prioritization of alternative health interventions at the national level. PMID:26030922

  17. Genetic counseling for patients and families with hereditary breast and ovarian cancer in a developing Asian country: an observational descriptive study.

    PubMed

    Yoon, Sook-Yee; Thong, Meow-Keong; Taib, Nur Aishah Mohd; Yip, Cheng-Har; Teo, Soo-Hwang

    2011-06-01

    Genetic counseling (GC) and genetic testing are vital risk management strategies in hereditary breast and ovarian cancer (HBOC) syndromes. Hitherto, cancer genetic testing amongst Asians has been described only in developed and high-income Asian countries. We studied the uptake and acceptance of GC and genetic testing services to Asian BRCA carriers in a middle-income country. A total of 363 patients were tested by full sequencing and large rearrangement analysis of both BRCA1 and BRCA2 genes in the Malaysian Breast Cancer (MyBrCa) Genetic Study. Of these, 49 index patients (13.5%) were found to carry deleterious mutations. GC pre- and post- result disclosures were provided and these groups of patients and their families were studied. GC and genetic testing were accepted by 82% of Malaysian patients at high risk for HBOC syndromes. However, risk assessment was limited by large, geographically dispersed, often polygamous or polyandrous families, and the lack of complete cancer registry. Cultural taboos about cancer diagnoses, social marginalization and lack of regulatory control of genetic discrimination were significant concerns. Only 78% of index patients informed their families of their risks and 11% of relatives came forward when offered free counseling and testing. Even when GC and genetic testing are provided at no cost, there remain significant societal and regulatory barriers to effective cancer genetic services in this underserved Asian population. Families believe there is a need for regulatory protection against genetic discrimination. Further studies are needed in the area of increasing awareness about the potential benefits of GC and genetic testing in Asians. PMID:21318382

  18. Association between exposure to media and body weight concern among female university students in five Arab countries: a preliminary cross-cultural study.

    PubMed

    Musaiger, Abdulrahman O; Al-Mannai, Mariam

    2014-03-01

    Mass media play an important role in changing body image. This study aimed to determine the role of media (magazines and television) in body weight concern among university females in five Arab countries. A total sample of 1134 female university students was selected at convenience from universities in five Arab countries: Bahrain, Egypt, Jordan, Oman and Syria. The females' ages ranged from 17 to 32. A pre-tested questionnaire was used to assess the exposure to mass media regarding weight concerns. For the variables on exposure to mass media, girls were divided into two groups: infrequently exposed and frequently exposed. In general, the females who were exposed to mass media had a greater risk of having dieted to lose weight and changing their ideas of a perfect body shape than those who were not exposed or infrequently exposed. The association of exposure to magazines with having dieted to lose weight was only significant among females in Bahrain (p<0.044), Egypt (p<0.001) and Jordan (p<0.001). Exposure to television had a weaker association than exposure to magazines with body weight concerns of females. The association of exposure to television with females' idea of a perfect body shape was only statistically significant in females in Egypt (p<0.019) and Oman (p<0.019). The pressure from mass media on the body weight concern of female university students may lead these women to practise unhealthy weight control diets. PMID:23756571

  19. Perception of sexuality and fertility in women living with HIV: a questionnaire study from two Nordic countries

    PubMed Central

    Wessman, Maria; Aho, Inka; Thorsteinsson, Kristina; Storgaard, Merete; Johansen, Isik S; Lunding, Suzanne; Pedersen, Gitte; Lebech, Anne-Mette; Kivelä, Pia; Helleberg, Marie; Katzenstein, Terese L; Weis, Nina

    2015-01-01

    Introduction As the human immunodeficiency virus (HIV)-positive population ages, issues concerning sexuality and fertility, among others, are becoming relevant. HIV is still surrounded by stigma and taboos, and there have been few studies conducted in industrialized settings concerning these questions. We therefore wanted to investigate the perception of sexuality and fertility in women living with HIV (WLWH) in an industrialized setting, using a questionnaire. Methods WLWH were recruited at their regular outpatient clinic visits, at the major Departments of Infectious Diseases in Denmark and Finland, from January 2012 to October 2013. A questionnaire was developed, study participants were informed of the nature of study and, if they agreed to participate and signed a consent form, they filled in the questionnaire. Demographic information on the participants was obtained from patient files (in Finland) or from a national HIV cohort (in Denmark). Statistical analysis was performed using STATA®, version 11. Results In total, 560 women were included in the study. The median age was 44 years. The majority were of white European origin, with fully suppressed HIV viral load, CD4 cell count >350 µL and mild or no symptoms of their HIV infection. A total of 62% were sexually active, stating condom use as their sole form of contraception. Of the sexually inactive women, one-third were in steady relationships. Eighty percent reported prior pregnancies, of which the majority had one or more children. Most children were born prior to the women's HIV diagnosis and the mode of conception was predominantly natural. One-quarter of the participating women desired pregnancy, while more than half did not. The remaining quarter either stated that they already had the desired number of children or chose not to answer the question. Fourteen percent stated that their HIV diagnosis ended their wish for children; of these women, the median time of diagnosis was between 1995 and 1996. Pregnancy had been attempted unsuccessfully in one-quarter of study participants. The final question inquired what the risk of mother-to-child transmission was, with all precautions taken. Fifteen percent estimated the risk to be above two percent. Conclusions In conclusion, the majority of WLWH in industrialized settings in Denmark and Finland have few HIV-related symptoms, are sexually active and have a strong desire for children. PMID:26037151

  20. Social Support and Health in Diabetes Patients: An Observational Study in Six European Countries in an Era of Austerity

    PubMed Central

    Koetsenruijter, Jan; van Lieshout, Jan; Lionis, Christos; Portillo, Maria Carmen; Vassilev, Ivo; Todorova, Elka; Foss, Christina; Gil, Manuel Serrano; Knutsen, Ingrid Ruud; Angelaki, Agapi; Mujika, Agurtzane; Roukova, Poli; Kennedy, Anne; Rogers, Anne; Wensing, Michel

    2015-01-01

    Introduction Support from individual social networks, community organizations and neighborhoods is associated with better self-management and health outcomes. This international study examined the relative impact of different types of support on health and health-related behaviors in patients with type 2 diabetes. Methods Observational study (using interviews and questionnaires) in a sample of 1,692 type 2 diabetes patients with 5,433 connections from Bulgaria, Greece, Netherlands, Norway, Spain, and the United Kingdom. Outcomes were patient-reported health status (SF-12), physical exercise (RAPA), diet and smoking (SDCSCA). Random coefficient regression models were used to examine linkages with individual networks, community organizations, and neighborhood type (deprived rural, deprived urban, or affluent urban). Results Patients had a median of 3 support connections and 34.6% participated in community organizations. Controlled for patients’ age, sex, education, income and comorbidities, large emotional support networks were associated with decrease of non-smoking (OR = 0.87). Large practical support networks were associated with worse physical and mental health (B = -0.46 and -0.27 respectively) and less physical activity (OR = 0.90). Participation in community organizations was associated with better physical and mental health (B = 1.39 and 1.22, respectively) and, in patients with low income, with more physical activity (OR = 1.53). Discussion Participation in community organizations was most consistently related to better health status. Many diabetes patients have individual support networks, but this study did not provide evidence to increase their size as a public health strategy. The consistent association between participation in community organizations and health status provides a clear target for interventions and policies. PMID:26305559