Science.gov

Sample records for challenges policies solutions

  1. Policy to support marine biotechnology-based solutions to global challenges.

    PubMed

    Ritchie, Rachael J; Guy, Ken; Philp, Jim C

    2013-03-01

    Recent advances in science and technology are igniting new interest in marine biotechnology. Governments are recognizing the potential of marine biotechnology to provide solutions to grand global challenges of population health, food, and energy security and sustainable industry. This paper examines some of the challenges to and policy options for the development of marine biotechnology.

  2. Policy to support marine biotechnology-based solutions to global challenges.

    PubMed

    Ritchie, Rachael J; Guy, Ken; Philp, Jim C

    2013-03-01

    Recent advances in science and technology are igniting new interest in marine biotechnology. Governments are recognizing the potential of marine biotechnology to provide solutions to grand global challenges of population health, food, and energy security and sustainable industry. This paper examines some of the challenges to and policy options for the development of marine biotechnology. PMID:23394961

  3. Pharmaceutical policies in a crisis? Challenges and solutions identified at the PPRI Conference.

    PubMed

    Vogler, Sabine; Zimmermann, Nina; Ferrario, Alessandra; Wirtz, Veronika J; de Joncheere, Kees; Pedersen, Hanne Bak; Dedet, Guillaume; Paris, Valérie; Mantel-Teeuwisse, Aukje K; Babar, Zaheer-Ud-Din

    2016-01-01

    In October 2015, the third international Pharmaceutical Pricing and Reimbursement Information (PPRI) Conference was held in Vienna to foster discussion on challenges in pricing and reimbursement policies for medicines. The research presented highlighted that commonly used pharmaceutical pricing and reimbursement policies are not sufficiently effective to address current challenges. Conference participants called for fundamental reforms to ensure access to medicines, particularly to new and potentially more effective and/or safe medicines, while safeguarding the financial sustainability of health systems and working towards universal health coverage. PMID:26981252

  4. Pharmaceutical policies in a crisis? Challenges and solutions identified at the PPRI Conference.

    PubMed

    Vogler, Sabine; Zimmermann, Nina; Ferrario, Alessandra; Wirtz, Veronika J; de Joncheere, Kees; Pedersen, Hanne Bak; Dedet, Guillaume; Paris, Valérie; Mantel-Teeuwisse, Aukje K; Babar, Zaheer-Ud-Din

    2016-01-01

    In October 2015, the third international Pharmaceutical Pricing and Reimbursement Information (PPRI) Conference was held in Vienna to foster discussion on challenges in pricing and reimbursement policies for medicines. The research presented highlighted that commonly used pharmaceutical pricing and reimbursement policies are not sufficiently effective to address current challenges. Conference participants called for fundamental reforms to ensure access to medicines, particularly to new and potentially more effective and/or safe medicines, while safeguarding the financial sustainability of health systems and working towards universal health coverage.

  5. Resiliency Reconsidered: Policy Implications of the Resiliency Movement. Educational Policy in the 21st Century: Opportunities, Challenges and Solutions

    ERIC Educational Resources Information Center

    Davis, Donna M., Ed.

    2007-01-01

    The goal of this book is to generate discussion not only about how individuals can create meaningful educational experiences for all learners, but to challenge systems that necessitate a resilient nature. Ultimately, the authors promote the need for a foundation of socially just policies and practices in all educational settings and respond to the…

  6. Tradition and Culture in the Millennium: Tribal Colleges and Universities. Educational Policy in the 21st Century: Opportunities, Challenges and Solutions

    ERIC Educational Resources Information Center

    Warner, Linda Sue, Ed.; Gipp, Gerald E., Ed.

    2009-01-01

    This volume of The David C. Anchin Research Center Series on Educational Policy in the 21st century: Opportunities, Challenges, and Solutions focuses on tribal colleges and universities. As a recent member of higher education community, tribal colleges and universities provide a unique perspective on higher education policy. Policies and…

  7. Student Governance and Institutional Policy: Formation and Implementation. Educational Policy in the 21st Century: Opportunities, Challenges and Solutions

    ERIC Educational Resources Information Center

    Miller, Michael T., Ed.; Nadler, Daniel P., Ed.

    2006-01-01

    Colleges and universities face a variety of challenges in meeting the needs of students, and one of the greatest is their ability to respond to student needs while protecting institutional and academic integrity. For those working with students, a primary example of this challenge is the involvement of students in shared decision-making, a process…

  8. The changing nature of children's health development: new challenges require major policy solutions.

    PubMed

    Halfon, Neal; Wise, Paul H; Forrest, Christopher B

    2014-12-01

    The epidemiology and social context of American childhood are rapidly changing. Adverse social, economic, and child-rearing conditions are loading children down with preventable illness, physical and behavioral disability, and dysfunction. This new epidemiology of childhood is swamping the capacity of the nation's health care system, schools, juvenile justice facilities, and child protective services to respond to the needs of those they serve. This low-performing system not only jeopardizes the health of children, it also jeopardizes the health of the adults they will become. In this article we review the science of life-course health development, a new field that provides a powerful explanatory framework for understanding how poor health and social adversity during childhood can affect lifelong health. We then present five ambitious policy recommendations to integrate educational, health, social, and economic initiatives designed to enhance health. Our bold but pragmatic goal is that by 2025, US children will have the highest levels of health among industrialized nations, instead of where US children currently rank-among the worst.

  9. A proposed vision: the transatlantic observatory for meeting global health policy challenges through information and communications technology-enabled solutions (ARGOS).

    PubMed

    Lorenzi, Nancy; De Moor, Georges; Bloomrosen, Meryl; Stroetmann, Karl

    2011-01-01

    In 2010 the ARGOS project was funded by the EC (DG RELEX) to contribute to the establishement of a "Transatlantic Observatory for meeting Global Health Policy Challenges through Information and Communication Technology-enabled solutions" to develop and promote common methods for responding to global eHealth challenges in the EU and the US. The European Institute for Health Records (EuroRec) was coordinating the project. The vision is that the Transatlantic Observatory will act as an international platform for dialogue and collaboration on health policy issues and will 1. build international consensus about how to improve the access, efficiency and quality of health services through ICT, 2. promote the importance of interoperability in eHealth, 3. help to define approaches to ensure that health data are easily available where it is needed, 4. identify optimal development paths.

  10. Interior Design: Challenges and Solutions.

    ERIC Educational Resources Information Center

    School Planning and Management, 1999

    1999-01-01

    Presents solutions to architectural challenges in school interior design; these solutions made the indoor environments more conducive and attractive for learning. Addresses four challenges: making a long corridor look less like a tunnel; maintaining tradition and minimizing cost in a new athletic facility; designing a kindergarten that is secure…

  11. The Challenge of Urban Policy

    ERIC Educational Resources Information Center

    Glaeser, Edward L.

    2012-01-01

    Urbanization almost invariably accompanies development, and the cities of India and China are experiencing spectacular increases in population. The concentration of millions of people in a small mass creates challenges for public policy, especially in the areas of basic infrastructure, public health, traffic congestion, and often law enforcement…

  12. Training Higher Education Policy Makers and Leaders: A Graduate Program Perspective. Educational Policy in the 21st Century: Opportunities, Challenges and Solutions

    ERIC Educational Resources Information Center

    Wright, Diane, Ed.; Miller, Michael T., Ed.

    2007-01-01

    Higher Education is a vibrant, changing field of study. With roots in multiple disciplines, these degree programs prepare the administrators, faculty, and policy makers who direct the current and future higher education enterprise. At a time when higher education is changing rapidly, these programs are poised to frame the future of an educated…

  13. Bioanalysis: challenges and solutions seminar.

    PubMed

    Roberts, Andrew

    2011-09-01

    Industry challenges and solutions for bioanalysis were top of the agenda for the Spring Seminar organized by Quotient Bioresearch in Munich, Germany. The seminar was attended by representatives from pharmaceutical and biotechnology organisations across Europe and featured debates and panel discussions from leading industry speakers on new techniques and hot topics, including the latest industry guidelines.

  14. Integrating Variable Renewable Energy: Challenges and Solutions

    SciTech Connect

    Bird, L.; Milligan, M.; Lew, D.

    2013-09-01

    In the U.S., a number of utilities are adopting higher penetrations of renewables, driven in part by state policies. While power systems have been designed to handle the variable nature of loads, the additional supply-side variability and uncertainty can pose new challenges for utilities and system operators. However, a variety of operational and technical solutions exist to help integrate higher penetrations of wind and solar generation. This paper explores renewable energy integration challenges and mitigation strategies that have been implemented in the U.S. and internationally, including forecasting, demand response, flexible generation, larger balancing areas or balancing area cooperation, and operational practices such as fast scheduling and dispatch.

  15. Fact-Challenged Policy. Policy Memorandum #182

    ERIC Educational Resources Information Center

    Rothstein, Richard

    2011-01-01

    This paper is a response on the topic of school reform efforts being promoted by Bill Gates and other prominent education policy advocates. Last week, Microsoft Chairman Bill Gates published an op-ed in the Washington Post, "How Teacher Development could Revolutionize our Schools," proposing that American public schools should do a better job of…

  16. Technical solutions to nonproliferation challenges

    SciTech Connect

    Satkowiak, Lawrence

    2014-05-09

    The threat of nuclear terrorism is real and poses a significant challenge to both U.S. and global security. For terrorists, the challenge is not so much the actual design of an improvised nuclear device (IND) but more the acquisition of the special nuclear material (SNM), either highly enriched uranium (HEU) or plutonium, to make the fission weapon. This paper provides two examples of technical solutions that were developed in support of the nonproliferation objective of reducing the opportunity for acquisition of HEU. The first example reviews technologies used to monitor centrifuge enrichment plants to determine if there is any diversion of uranium materials or misuse of facilities to produce undeclared product. The discussion begins with a brief overview of the basics of uranium processing and enrichment. The role of the International Atomic Energy Agency (IAEA), its safeguard objectives and how the technology evolved to meet those objectives will be described. The second example focuses on technologies developed and deployed to monitor the blend down of 500 metric tons of HEU from Russia's dismantled nuclear weapons to reactor fuel or low enriched uranium (LEU) under the U.S.-Russia HEU Purchase Agreement. This reactor fuel was then purchased by U.S. fuel fabricators and provided about half the fuel for the domestic power reactors. The Department of Energy established the HEU Transparency Program to provide confidence that weapons usable HEU was being blended down and thus removed from any potential theft scenario. Two measurement technologies, an enrichment meter and a flow monitor, were combined into an automated blend down monitoring system (BDMS) and were deployed to four sites in Russia to provide 24/7 monitoring of the blend down. Data was downloaded and analyzed periodically by inspectors to provide the assurances required.

  17. Technical solutions to nonproliferation challenges

    NASA Astrophysics Data System (ADS)

    Satkowiak, Lawrence

    2014-05-01

    The threat of nuclear terrorism is real and poses a significant challenge to both U.S. and global security. For terrorists, the challenge is not so much the actual design of an improvised nuclear device (IND) but more the acquisition of the special nuclear material (SNM), either highly enriched uranium (HEU) or plutonium, to make the fission weapon. This paper provides two examples of technical solutions that were developed in support of the nonproliferation objective of reducing the opportunity for acquisition of HEU. The first example reviews technologies used to monitor centrifuge enrichment plants to determine if there is any diversion of uranium materials or misuse of facilities to produce undeclared product. The discussion begins with a brief overview of the basics of uranium processing and enrichment. The role of the International Atomic Energy Agency (IAEA), its safeguard objectives and how the technology evolved to meet those objectives will be described. The second example focuses on technologies developed and deployed to monitor the blend down of 500 metric tons of HEU from Russia's dismantled nuclear weapons to reactor fuel or low enriched uranium (LEU) under the U.S.-Russia HEU Purchase Agreement. This reactor fuel was then purchased by U.S. fuel fabricators and provided about half the fuel for the domestic power reactors. The Department of Energy established the HEU Transparency Program to provide confidence that weapons usable HEU was being blended down and thus removed from any potential theft scenario. Two measurement technologies, an enrichment meter and a flow monitor, were combined into an automated blend down monitoring system (BDMS) and were deployed to four sites in Russia to provide 24/7 monitoring of the blend down. Data was downloaded and analyzed periodically by inspectors to provide the assurances required.

  18. Heparin Characterization: Challenges and Solutions

    NASA Astrophysics Data System (ADS)

    Jones, Christopher J.; Beni, Szabolcs; Limtiaco, John F. K.; Langeslay, Derek J.; Larive, Cynthia K.

    2011-07-01

    Although heparin is an important and widely prescribed pharmaceutical anticoagulant, its high degree of sequence microheterogeneity and size polydispersity make molecular-level characterization challenging. Unlike nucleic acids and proteins that are biosynthesized through template-driven assembly processes, heparin and the related glycosaminoglycan heparan sulfate are actively remodeled during biosynthesis through a series of enzymatic reactions that lead to variable levels of O- and N-sulfonation and uronic acid epimers. As summarized in this review, heparin sequence information is determined through a bottom-up approach that relies on depolymerization reactions, size- and charge-based separations, and sensitive mass spectrometric and nuclear magnetic resonance experiments to determine the structural identity of component oligosaccharides. The structure-elucidation process, along with its challenges and opportunities for future analytical improvements, is reviewed and illustrated for a heparin-derived hexasaccharide.

  19. Pyoderma gangrenosum: challenges and solutions

    PubMed Central

    Gameiro, Ana; Pereira, Neide; Cardoso, José Carlos; Gonçalo, Margarida

    2015-01-01

    Pyoderma gangrenosum (PG) is a rare disease, but commonly related to important morbidity. PG was first assumed to be infectious, but is now considered an inflammatory neutrophilic disease, often associated with autoimmunity, and with chronic inflammatory and neoplastic diseases. Currently, many aspects of the underlying pathophysiology are not well understood, and etiology still remains unknown. PG presents as painful, single or multiple lesions, with several clinical variants, in different locations, with a non specific histology, which makes the diagnosis challenging and often delayed. In the classic ulcerative variant, characterized by ulcers with inflammatory undermined borders, a broad differential diagnosis of malignancy, infection, and vasculitis needs to be considered, making PG a diagnosis of exclusion. Moreover, there are no definitively accepted diagnostic criteria. Treatment is also challenging since, due to its rarity, clinical trials are difficult to perform, and consequently, there is no “gold standard” therapy. Patients frequently require aggressive immunosuppression, often in multidrug regimens that are not standardized. We reviewed the clinical challenges of PG in order to find helpful clues to improve diagnostic accuracy and the treatment options, namely topical care, systemic drugs, and the new emerging therapies that may reduce morbidity. PMID:26060412

  20. Nutrition policy process challenges in Iran

    PubMed Central

    Goshtaei, Massomeh; Ravaghi, Hamid; Sari, Ali Akbari; Abdollahi, Zahra

    2016-01-01

    Introduction Nutrition transition is occurring rapidly in the world, especially in developing countries. The nutrition transition occurred in Iran very fast due to urbanization and changes in the lifestyle of people, leading to overweight and obesity. However, nutritional deficiencies are still detected due to economic factors and low nutritional knowledge. Nutrition policies do not adequately respond to the nutrition challenges in Iran. This study was conducted to evaluate and analyze the nutrition policy process challenges in Iran. Methods A qualitative study using semi-structured interviews was conducted with 59 policy makers and nutrition experts of medical universities across Iran. Interviews were continued until data saturation was achieved. Data were supplemented with surveys and documentary analysis. Thematic analysis was guided by the propositions of the stages heuristic framework. Results The results were categorized into four main themes and eight sub-themes. The main themes were 1) nutrition problem definition, 2) policy formulation, 3) implementation of the policies, and 4) evaluation of the policies. However, the multi-faceted nature of the nutritional problem makes it difficult to deal with, so a multi-sectoral approach is needed. Conclusion Nutrition policies have been implemented in Iran with varying degrees of success and with different levels of cross-sectoral collaboration. The nutrition policies sometimes have not been able to respond to the nutritional problems. One of the important reasons is that nutrition is not a priority for policy makers. Many policies suffer from a lack of adequate and appropriate resource allocation. Cooperation mechanisms to resolve nutritional problems are sometimes ineffective and inefficient. PMID:27053992

  1. Managing neurocysticercosis: challenges and solutions.

    PubMed

    Fogang, Yannick Fogoum; Savadogo, Abdoul Aziz; Camara, Massaman; Toffa, Dènahin Hinnoutondji; Basse, Anna; Sow, Adjaratou Djeynabou; Ndiaye, Mouhamadou Mansour

    2015-01-01

    Taenia solium neurocysticercosis (NCC) is a major cause of neurological morbidity in the world. Variability in the neuropathology and clinical presentation of NCC often make it difficult to diagnose and manage. Diagnosis of NCC can be challenging especially in endemic and resource-limited countries where laboratory and imaging techniques are often lacking. NCC management can also be challenging as current treatment options are limited and involve symptomatic agents, antiparasitic agents, or surgery. Although antiparasitic treatment probably reduces the number of active lesions and long-term seizure frequency, its efficacy is limited and strategies to improve treatment regimens are warranted. Treatment decisions should be individualized in relation to the type of NCC. Initial measures should focus on symptomatic management, with antiparasitic therapy only to be considered later on, when appropriate. Symptomatic treatment remains the cornerstone in NCC management which should not only focuses on epilepsy, but also on other manifestations that cause considerable burden (recurrent headaches, cognitive decline). Accurate patients' categorization, better antiparasitic regimens, and definition of new clinical outcomes for trials on NCC could improve management quality and prognosis of NCC. Prevention strategies targeting tapeworm carriers and infected pigs are yielding good results in local models. If local elimination of transmission is confirmed and replicated, this will open the door to cysticercosis eradication efforts worldwide. PMID:26527895

  2. Managing neurocysticercosis: challenges and solutions

    PubMed Central

    Fogang, Yannick Fogoum; Savadogo, Abdoul Aziz; Camara, Massaman; Toffa, Dènahin Hinnoutondji; Basse, Anna; Sow, Adjaratou Djeynabou; Ndiaye, Mouhamadou Mansour

    2015-01-01

    Taenia solium neurocysticercosis (NCC) is a major cause of neurological morbidity in the world. Variability in the neuropathology and clinical presentation of NCC often make it difficult to diagnose and manage. Diagnosis of NCC can be challenging especially in endemic and resource-limited countries where laboratory and imaging techniques are often lacking. NCC management can also be challenging as current treatment options are limited and involve symptomatic agents, antiparasitic agents, or surgery. Although antiparasitic treatment probably reduces the number of active lesions and long-term seizure frequency, its efficacy is limited and strategies to improve treatment regimens are warranted. Treatment decisions should be individualized in relation to the type of NCC. Initial measures should focus on symptomatic management, with antiparasitic therapy only to be considered later on, when appropriate. Symptomatic treatment remains the cornerstone in NCC management which should not only focuses on epilepsy, but also on other manifestations that cause considerable burden (recurrent headaches, cognitive decline). Accurate patients’ categorization, better antiparasitic regimens, and definition of new clinical outcomes for trials on NCC could improve management quality and prognosis of NCC. Prevention strategies targeting tapeworm carriers and infected pigs are yielding good results in local models. If local elimination of transmission is confirmed and replicated, this will open the door to cysticercosis eradication efforts worldwide. PMID:26527895

  3. Developing a holistic strategy for integrated waste management within municipal planning: Challenges, policies, solutions and perspectives for Hellenic municipalities in the zero-waste, low-cost direction

    SciTech Connect

    Zotos, G.; Karagiannidis, A.; Zampetoglou, S.; Malamakis, A. Antonopoulos, I.-S.; Kontogianni, S.; Tchobanoglous, G.

    2009-05-15

    The present position paper addresses contemporary waste management options, weaknesses and opportunities faced by Hellenic local authorities. It focuses on state-of-the-art, tested as well as innovative, environmental management tools on a municipal scale and identifies a range of different collaboration schemes between local authorities and related service providers. Currently, a policy implementation gap is still experienced among Hellenic local authorities; it appears that administration at the local level is inadequate to manage and implement many of the general policies proposed; identify, collect, monitor and assess relevant data; and safeguard efficient and effective implementation of MSWM practices in the framework of integrated environmental management as well. This shortfall is partly due to the decentralisation of waste management issues to local authorities without a parallel substantial budgetary and capacity support, thus resulting in local activity remaining often disoriented and isolated from national strategies, therefore yielding significant planning and implementation problems and delays against pressing issues at hand as well as loss or poor use of available funds. This paper develops a systemic approach for MSWM at both the household and the non-household level, summarizes state-of-the-art available tools and compiles a set of guidelines for developing waste management master plans at the municipal level. It aims to provide a framework in the MSWM field for municipalities in Greece as well as other countries facing similar problems under often comparable socioeconomic settings.

  4. Radon Policy in Finland, Achievements and Challenges

    SciTech Connect

    Arvela, Hannu; Maekelaeinen, Ilona; Reisbacka, Heikki

    2008-08-07

    Finland is a country of high indoor radon concentrations. Since 1980 the authority regulations, guidance, radon mapping and research work supporting decision making have been developed continuously. Clear regulations directed to citizens and authorities form the basis for radon policy. Active mapping work and measurement ordered by private home owners has resulted in 100.000 houses measured. National indoor radon data base forms a good basis for decision making, communication and research. The number of new houses provided with radon preventive constructions has increased remarkably. New radon campaigns has increased measurement and mitigation activity. Furher increasing of public awareness is the key challenge.

  5. Scientific Solutions to Nuclear Waste Environmental Challenges

    SciTech Connect

    Johnson, Bradley R.

    2014-01-30

    The Hidden Cost of Nuclear Weapons The Cold War arms race drove an intense plutonium production program in the U.S. This campaign produced approximately 100 tons of plutonium over 40 years. The epicenter of plutonium production in the United States was the Hanford site, a 586 square mile reservation owned by the Department of Energy and located on the Colombia River in Southeastern Washington. Plutonium synthesis relied on nuclear reactors to convert uranium to plutonium within the reactor fuel rods. After a sufficient amount of conversion occurred, the rods were removed from the reactor and allowed to cool. They were then dissolved in an acid bath and chemically processed to separate and purify plutonium from the rest of the constituents in the used reactor fuel. The acidic waste was then neutralized using sodium hydroxide and the resulting mixture of liquids and precipitates (small insoluble particles) was stored in huge underground waste tanks. The byproducts of the U.S. plutonium production campaign include over 53 million gallons of high-level radioactive waste stored in 177 large underground tanks at Hanford and another 34 million gallons stored at the Savannah River Site in South Carolina. This legacy nuclear waste represents one of the largest environmental clean-up challenges facing the world today. The nuclear waste in the Hanford tanks is a mixture of liquids and precipitates that have settled into sludge. Some of these tanks are now over 60 years old and a small number of them are leaking radioactive waste into the ground and contaminating the environment. The solution to this nuclear waste challenge is to convert the mixture of solids and liquids into a durable material that won't disperse into the environment and create hazards to the biosphere. What makes this difficult is the fact that the radioactive half-lives of some of the radionuclides in the waste are thousands to millions of years long. (The half-life of a radioactive substance is the amount

  6. Hair restoration surgery: challenges and solutions

    PubMed Central

    Rose, Paul T

    2015-01-01

    Hair loss is a common problem affecting both men and women. The most frequent etiology is androgenetic alopecia, but other causes of hair loss such as trauma, various dermatologic diseases, and systemic diseases can cause alopecia. The loss of hair can have profound effects on one’s self esteem and emotional well-being, as one’s appearance plays a role in the work place and interpersonal relationships. It is therefore not surprising that means to remedy hair loss are widely sought. Hair transplant surgery has become increasingly popular, and the results that we are able to create today are quite remarkable, providing a natural appearance when the procedure is performed well. In spite of this, hair transplant surgery is not perfect. It is not perfect because the hair transplant surgeon is still faced with challenges that prevent the achievement of optimal results. Some of these challenges include a limit to donor hair availability, hair survival, and ways to conceal any evidence of a surgical procedure having taken place. This article examines some of the most important challenges facing hair restoration surgery today and possible solutions to these challenges. PMID:26203266

  7. Hair restoration surgery: challenges and solutions.

    PubMed

    Rose, Paul T

    2015-01-01

    Hair loss is a common problem affecting both men and women. The most frequent etiology is androgenetic alopecia, but other causes of hair loss such as trauma, various dermatologic diseases, and systemic diseases can cause alopecia. The loss of hair can have profound effects on one's self esteem and emotional well-being, as one's appearance plays a role in the work place and interpersonal relationships. It is therefore not surprising that means to remedy hair loss are widely sought. Hair transplant surgery has become increasingly popular, and the results that we are able to create today are quite remarkable, providing a natural appearance when the procedure is performed well. In spite of this, hair transplant surgery is not perfect. It is not perfect because the hair transplant surgeon is still faced with challenges that prevent the achievement of optimal results. Some of these challenges include a limit to donor hair availability, hair survival, and ways to conceal any evidence of a surgical procedure having taken place. This article examines some of the most important challenges facing hair restoration surgery today and possible solutions to these challenges. PMID:26203266

  8. Challenging Political Spectacle through Grassroots Policy Dialogues

    ERIC Educational Resources Information Center

    Winton, Sue; Evans, Michael P.

    2014-01-01

    Can simply talking about policy strengthen democracy? Drawing on data collected for case studies of one Canadian and two U.S. grassroots organizations, we demonstrate that taking part in policy dialogues hosted by grassroots organizations enables participants to gain greater clarity regarding policy issues, policy processes, and citizens'…

  9. Flood Forecasting in Wales: Challenges and Solutions

    NASA Astrophysics Data System (ADS)

    How, Andrew; Williams, Christopher

    2015-04-01

    With steep, fast-responding river catchments, exposed coastal reaches with large tidal ranges and large population densities in some of the most at-risk areas; flood forecasting in Wales presents many varied challenges. Utilising advances in computing power and learning from best practice within the United Kingdom and abroad have seen significant improvements in recent years - however, many challenges still remain. Developments in computing and increased processing power comes with a significant price tag; greater numbers of data sources and ensemble feeds brings a better understanding of uncertainty but the wealth of data needs careful management to ensure a clear message of risk is disseminated; new modelling techniques utilise better and faster computation, but lack the history of record and experience gained from the continued use of more established forecasting models. As a flood forecasting team we work to develop coastal and fluvial forecasting models, set them up for operational use and manage the duty role that runs the models in real time. An overview of our current operational flood forecasting system will be presented, along with a discussion on some of the solutions we have in place to address the challenges we face. These include: • real-time updating of fluvial models • rainfall forecasting verification • ensemble forecast data • longer range forecast data • contingency models • offshore to nearshore wave transformation • calculation of wave overtopping

  10. A Way Forward: Cooperative Solutions to Our Climate Challenges

    NASA Astrophysics Data System (ADS)

    Little, L. J.; Byrne, J. M.

    2014-12-01

    Solving the global climate crisis is a multidisciplinary challenge. The world is seeking solutions to climate change. The climate research and education community must move beyond the realm of debating the science - we MUST provide the solutions. The research community understands the science and many of the solutions very well. This project will address the specifics of solutions involving social, political and science disciplines. The content is targeted to multidisciplinary education at the senior undergraduate and graduate levels in universities and colleges. Humanity has already changed the climate and current greenhouse gas emission (GHG) projections indicate our world will warm 2-6° C within a young person's lifetime. We must coordinate societal mitigation and adaptation policies, programs and technology transformations. There is now a dramatic need for many, many highly trained multidisciplinary climate change solutions professionals that understand the complexities of the challenges and can work through the social, political and science tribulations needed to sustain communities around the world. This proposed education project: Provides an introduction to the social, political, technical, health and well-being challenges of climate change; Defines and describes the unprecedented changes to personal and community lifestyle, and consumption of energy and other resources; Examines ways and means for rapid transition of energy systems from fossil fuels to clean renewable technologies. Evaluates redevelopment of our infrastructure to withstand increasing weather extremes; Inventories possible abandonment and/or protection of infrastructure that cannot be redeveloped or reworked, particularly with respect to coastal zones where substantial populations currently live. We propose an online living textbook project. Chapter contributions will be invited from outstanding solutions research professionals from around the world. The online presence is the best means

  11. Study of Demodex mites: Challenges and Solutions.

    PubMed

    Lacey, N; Russell-Hallinan, A; Powell, F C

    2016-05-01

    Demodex mites are the largest and most complex organisms of the skin microflora. How they interact with the innate and adaptive immune systems is unknown. Their potential to have a pathogenic role in the causation of human skin disorders causes continued speculation. With growing interest in the microflora of human skin and its relevance to cutaneous health, the role of Demodex mites needs to be better understood. The main challenges facing scientists investigating the role of these organisms and possible solutions are reviewed under the following headings: (1) Determining the mite population in skin, (2) Transporting, extracting and imaging live mites, (3) Maintaining mites viable ex vivo and (4) Establishing methods to determine the immune response to Demodex mites and their internal contents. PMID:26695086

  12. Emerging policy challenges in intellectual disabilities.

    PubMed

    Fujiura, Glenn T; Parish, Susan L

    2007-01-01

    The forces shaping intellectual disability policy-making are diverse; while many of the policy issues reviewed in this issue are specific to intellectual disabilities, there are others that transcend disability-specific concerns. Our review is organized around six emerging demographic and socio-cultural trends that may directly and profoundly impact the intellectual disability field: aging, changing labor markets, immigration, families, federalism, and culture. Each of these trends is discussed in terms of their relevance and potential impact on disability policy. PMID:17563901

  13. Rational Solutions for Challenges of the New Mellennium

    SciTech Connect

    Gover, J.; Guray, P.G.

    1998-08-01

    We have reviewed ten major public problems challenging our Nation as it enters the new millennium. These are defense, healthcare costs, education, aging population, energy and environment, crime, low productivity growth services, income distribution, regulations, and infrastructure. These problems share several features. First, each is so large, if it were soIved; it would have major impact on the U.S. economy. Second, each is resident in a socioeconomic system containing non-linear feedback loops and an adaptive human element. Third, each can only be solved by our political system, yet these problems are not responsive to piecemeal problem solving, the approach traditionally used by policy makers. However, unless each problem is addressed in the context of the system in which it resides, the solution maybe worse than the problem. Our political system is immersed in reams of disconnected, unintelligible information skewed by various special interests to suggest policies favoring their particular needs. Help is needed, if rational solutions that serve public interests are to be forged for these ten probIems, The simulation and modeIing tools of physical scientists, engineers, economists, social scientists, public policy experts, and others, bolstered by the recent explosive growth in massively parallel computing power, must be blended together to synthesize models of the complex systems in which these problems are resident. These models must simulate the seemingly chaotic human element inherent in these systems and support policymakers in making informed decKlons about the future. We propose altering the policy development process by incorporating more modeling, simulation and analysis to bring about a revolution in policy making that takes advantage of the revolution in engineering emerging from simulation and modeling. While we recommend major research efforts to address each of these problems, we also observe these to be very complex, highly interdependent, multi

  14. Database challenges and solutions in neuroscientific applications.

    PubMed

    Dashti, A E; Ghandeharizadeh, S; Stone, J; Swanson, L W; Thompson, R H

    1997-02-01

    In the scientific community, the quality and progress of various endeavors depend in part on the ability of researchers to share and exchange large quantities of heterogeneous data with one another efficiently. This requires controlled sharing and exchange of information among autonomous, distributed, and heterogeneous databases. In this paper, we focus on a neuroscience application, Neuroanatomical Rat Brain Viewer (NeuART Viewer) to demonstrate alternative database concepts that allow neuroscientists to manage and exchange data. Requirements for the NeuART application, in combination with an underlying network-aware database, are described at a conceptual level. Emphasis is placed on functionality from the user's perspective and on requirements that the database must fulfill. The most important functionality required by neuroscientists is the ability to construct brain models using information from different repositories. To accomplish such a task, users need to browse remote and local sources and summaries of data and capture relevant information to be used in building and extending the brain models. Other functionalities are also required, including posing queries related to brain models, augmenting and customizing brain models, and sharing brain models in a collaborative environment. An extensible object-oriented data model is presented to capture the many data types expected in this application. After presenting conceptual level design issues, we describe several known database solutions that support these requirements and discuss requirements that demand further research. Data integration for heterogeneous databases is discussed in terms of reducing or eliminating semantic heterogeneity when translations are made from one system to another. Performance enhancement mechanisms such as materialized views and spatial indexing for three-dimensional objects are explained and evaluated in the context of browsing, incorporating, and sharing. Policies for providing

  15. Local Solutions for National Challenges? Exploring Local Solutions through the Case of a National Succession Planning Strategy

    ERIC Educational Resources Information Center

    Collins, Mike

    2013-01-01

    The notion of localism and decentralization in national policy has come increasingly to the fore in recent years. The national succession planning strategy for headteachers in England introduced by the National College for School Leadership promoted "local solutions for a national challenge". This article deals with some aspects of the…

  16. Commercialization of biopharmaceutical knowledge in Iran; challenges and solutions

    PubMed Central

    2014-01-01

    Background The objective of this study was to investigate the application of the university research findings or commercialization of the biopharmaceutical knowledge in Iran and determine the challenges and propose some solutions. Results A qualitative study including 19 in-depth interviews with experts was performed in 2011 and early 2012. National Innovation System (NIS) model was employed as the study design. Thematic method was applied for the analysis. The results demonstrate that policy making, regulations and management development are considered as fundamental reasons for current commercialization practice pattern. It is suggested to establish foundation for higher level documents that would involve relating bodies and provide them operational guidelines for the implementation of commercialization incentives. Conclusions Policy, regulations and management as the most influential issue should be considered for successful commercialization. The present study, for the first time, attempts to disclose the importance of evidence input for measures in order to facilitate the commercialization process by the authorities in Iran. Overall, the NIS model should be considered and utilized as one of the effective solutions for commercialization. PMID:24568555

  17. Polish migration policies: challenges and dilemmas.

    PubMed

    Bernatowicz, A

    1992-01-01

    Following a brief historical overview of Polish migration policies and trends, current post-Communism migration is examined. The focus is on "two...types of Polish emigration.... The first, continuing over the last two decades, is temporary labor emigration, when emigres spend two to three years (especially overseas) or a few months (in Western Europe) working outside of Poland. The second model of movement of Poles abroad is short-term private business excursions to different regions of Europe and Asia." The author examines "which migration policies will be beneficial to Poland's political and economic systems, as the country enters a new phase of development." PMID:12317548

  18. Shaping public policy: a challenge in faith.

    PubMed

    Hug, J E

    1984-05-01

    Religious health care's involvement in public policy is an essential part of Christian life. The most important way in which Catholic hospitals and health care systems can contribute to public policy is through faith-reflection upon their identity and calling. To guide the shaping of public policy, several theological models have been set forth. The theology of democratic capitalism is based on individual human creativity. As a system of political economy organized to prevent the centralization of government power, it thrives on free competition. Well- intentioned social programs that seek to equalize results, according to democratic capitalists , inevitably lead to greater government control and should be avoided. Inequality, in fact, according to this theory, can create incentive for individuals and industry to be more productive. The stewardship approach to theological reflection calls for a distribution of goods and services based on need. The right to health care, for example, is founded in God's gift of creation to all inhabitants. The resources of creation are allotted to individuals as property in a sense of cooperation and sharing. Thus, according to this notion, government programs that help society steward its resources wisely should be promoted. The U.S. bishops ' 1981 pastoral letter on health and health care presents a third model, which reflects on the dignity of human beings as images of God to guide public policy. Models, however, must not replace personal theological reflection. Catholic health care providers share a responsibility to evaluate social issues from their perspective as members of the healing ministry and to participate in public policy development. PMID:10266503

  19. Shaping public policy: a challenge in faith.

    PubMed

    Hug, J E

    1984-05-01

    Religious health care's involvement in public policy is an essential part of Christian life. The most important way in which Catholic hospitals and health care systems can contribute to public policy is through faith-reflection upon their identity and calling. To guide the shaping of public policy, several theological models have been set forth. The theology of democratic capitalism is based on individual human creativity. As a system of political economy organized to prevent the centralization of government power, it thrives on free competition. Well- intentioned social programs that seek to equalize results, according to democratic capitalists , inevitably lead to greater government control and should be avoided. Inequality, in fact, according to this theory, can create incentive for individuals and industry to be more productive. The stewardship approach to theological reflection calls for a distribution of goods and services based on need. The right to health care, for example, is founded in God's gift of creation to all inhabitants. The resources of creation are allotted to individuals as property in a sense of cooperation and sharing. Thus, according to this notion, government programs that help society steward its resources wisely should be promoted. The U.S. bishops ' 1981 pastoral letter on health and health care presents a third model, which reflects on the dignity of human beings as images of God to guide public policy. Models, however, must not replace personal theological reflection. Catholic health care providers share a responsibility to evaluate social issues from their perspective as members of the healing ministry and to participate in public policy development.

  20. Public Policy and Community Colleges... Challenges Yet Unmet.

    ERIC Educational Resources Information Center

    Walker, Sherry Freeland, Ed.

    1998-01-01

    This issue of State Education Leader titled "Public Policy and Community Colleges" focuses on issues of importance to community colleges. The highlighted articles in this issue discuss current legislation and reform that has impacted community colleges. In "Challenges Yet Unmet," Katherine Boswell discusses how state policy leaders look to…

  1. Language Policy and Planning: Challenges for Latin American Universities

    ERIC Educational Resources Information Center

    Hamel, Rainer Enrique; Álvarez López, Elisa; Carvalhal, Tatiana Pereira

    2016-01-01

    This article starts with an overview of the sociolinguistic situation in Latin America as a context for language policy and planning (LPP) decisions in the academic field. Then it gives a brief overview of the language policy challenges faced by universities to cope with neoliberal internationalisation. A conceptualisation of the domain as a…

  2. Challenges and solutions ensuring EUVL photomask integrity

    NASA Astrophysics Data System (ADS)

    Brux, O.; Dreß, P.; Schmalfuß, H.; Jonckheere, R.; Koolen-Hermkens, W.

    2012-06-01

    Industry roadmaps indicate that the introduction of Extreme Ultraviolet Lithography (EUVL) is on track for high volume manufacturing. Although, there has been significant progress in each of the individual subsets of the EUVL infrastructure, the absolute management of the process outside of the scanner and up to the point-of-exposure has been highlighted as critical requirement for the adoption of EUVL. Significant changes in the EUV system environment and mask architecture are driving a zero process tolerance level. Any unforeseen contamination introduced to the scanner environment from the EUV mask could cause considerable downtime and yield loss. Absolute mask integrity at the point-of-exposure must be guaranteed. EUV mask cleaning processes-of-record have been developed and introduced to the industry [1]. The issue is not longer "how to clean the mask" but, "how to keep it clean". With the introduction of EUVL, mask cleanliness extends out beyond the traditional mask cleaning tool. Complete control of contamination and/or particles during transportation, handling and storage will require a holistic approach to mask management. A new environment specifically for EUV mask integrity must be developed and fully tested for the sub 16nm half-pitch node introduction. The SUSS MaskTrack Pro (MTP) InSync was introduced as the solution for EUV mask integrity. SUSS demonstrated the fully automated handling of EUV masks into and out of a Dual Pod System [2]. Intrinsic cleanliness of each individual handling and storage step of the inner pod (EIP) and EUV mask inside the MTP InSync Tool was investigated and reported. A target specification of a PRP <= 0.08 as criterion for the cross contamination between EIP and the EUV reticle during handling within MTP InSync has been achieved and therefore proofing the applicability for the Dual Pod automation. Moreover an appropriate automated handling, other aspects like backside particle contamination and EIP cleanliness plays a

  3. Institutional challenges for national groundwater governance: policies and issues.

    PubMed

    Theesfeld, Insa

    2010-01-01

    Understanding the issues surrounding groundwater governance is a precondition for developing policy recommendations for both national and transboundary groundwater governance. This review discusses groundwater attributes relevant to the design of governance systems and provides a systematic review of current national groundwater governance differentiated by various policy instruments. The synthesis of both resource system characteristics and experience with policy instruments allows us to conceptualize institutional aspects of groundwater governance. This leads to six institutional aspects: (1) voluntary compliance; (2) tradition and mental models; (3) administrative responsibility and bureaucratic inertia; (4) conflict resolution mechanisms; (5) political economy; and (6) information deficits. Each of these issues embodies institutional challenges for national and international policy implementation.

  4. Ethical and public policy challenges for pharmacogenomics

    PubMed Central

    Gershon, Elliot S.; Alliey-Rodriguez, Ney; Grennan, Kay

    2014-01-01

    It is timely to consider the ethical and social questions raised by progress in pharmacogenomics, based on the current importance of pharmacogenomics for avoidance of predictable side effects of drugs, and for correct choice of medications in certain cancers. It has been proposed that the entire population be genotyped for drug-metabolizing enzyme polymorphisms, as a measure that would prevent many untoward and dangerous drug reactions. Pharmacologic treatment targeting based on genomics of disease can be expected to increase greatly in the coming years. Policy and ethical issues exist on consent for large-scale genomic pharmacogenomic data collection, public vs corporate ownership of genomic research results, testing efficacy and safety of drugs used for rare genomic indications, and accessibility of treatments based on costly research that is applicable to relatively few patients. In major psychiatric disorders and intellectual deficiency, rare and de novo deletion or duplication of chromosomal segments (copy number variation), in the aggregate, are common causes of increased risk. This implies that the policy problems of pharmacogenomics will be particularly important for the psychiatric disorders. PMID:25733960

  5. Ethical and public policy challenges for pharmacogenomics.

    PubMed

    Gershon, Elliot S; Alliey-Rodriguez, Ney; Grennan, Kay

    2014-12-01

    It is timely to consider the ethical and social questions raised by progress in pharmacogenomics, based on the current importance of pharmacogenomics for avoidance of predictable side effects of drugs, and for correct choice of medications in certain cancers. It has been proposed that the entire population be genotyped for drug-metabolizing enzyme polymorphisms, as a measure that would prevent many untoward and dangerous drug reactions. Pharmacologic treatment targeting based on genomics of disease can be expected to increase greatly in the coming years. Policy and ethical issues exist on consent for large-scale genomic pharmacogenomic data collection, public vs corporate ownership of genomic research results, testing efficacy and safety of drugs used for rare genomic indications, and accessibility of treatments based on costly research that is applicable to relatively few patients. In major psychiatric disorders and intellectual deficiency, rare and de novo deletion or duplication of chromosomal segments (copy number variation), in the aggregate, are common causes of increased risk. This implies that the policy problems of pharmacogenomics will be particularly important for the psychiatric disorders.

  6. Health Inequalities Policy in Korea: Current Status and Future Challenges

    PubMed Central

    Lee, Sang-il

    2012-01-01

    In recent years, health inequalities have become an important public health concern and the subject of both research and policy attention in Korea. Government reports, as well as many epidemiological studies, have provided evidence that a wide range of health outcomes and health-related behaviors are socioeconomically patterned, and that the magnitude of health inequalities is even increasing. However, except for the revised Health Plan 2010 targets for health equity, few government policies have explicitly addressed health inequalities. Although a number of economic and social policies may have had an impact on health inequalities, such impact has scarcely been evaluated. In this review, we describe the current status of research and policy on health inequalities in Korea. We also suggest future challenges of approaches and policies to reduce health inequalities and highlight the active and intensive engagement of many policy sectors and good evidence for interventions that will make meaningful reduction of health inequalities possible. PMID:22661869

  7. International challenges and public policy issues.

    PubMed

    Morris, N

    1999-01-01

    The paper presents an overview of current public policy issues relating to biological standardisation and control, drawing on the extensive background material assembled for two recent international reviews, and previously published work. It identifies a number of factors which are destabilising the current system and promoting a climate for change. These include the squeeze on public sector resources, the growth in volume and complexity of biologicals, developing world needs, concerns about harmonisation and new social and ethical issues. It is argued that this situation presents important opportunities for reviewing the existing boundaries between regulatory scientists, industry, and the public, for international agreement on priorities and for harmonisation and mutual recognition. While considerable progress has already been made on these issues at national, regional and global level, there is a need for fuller international participation and the additional impetus that would come from a higher-profile commitment by governments. Such commitment will also be important for the vital questions of sustaining the scientific base and securing the resource for an effective, truly worldwide programme of standardisation and control. An international approach will also be essential in steering biologicals control through the difficult social and ethical questions of the future. WHO, in collaboration with national authorities, has a key role to play in these developments.

  8. Blending at Small Colleges: Challenges and Solutions

    ERIC Educational Resources Information Center

    Liu, Ying-Hsiu; Tourtellott, Mark

    2011-01-01

    Implementing blended accelerated learning programs or courses requires a systematic approach, not just the addition of new technologies. Small colleges face challenges when they move toward blended learning because of already-constrained resources. In this article, we will survey issues faced by small colleges in moving to blended learning,…

  9. Management of orbital fractures: challenges and solutions

    PubMed Central

    Boyette, Jennings R; Pemberton, John D; Bonilla-Velez, Juliana

    2015-01-01

    Many specialists encounter and treat orbital fractures. The management of these fractures is often challenging due to the impact that they can have on vision. Acute treatment involves a thorough clinical examination and management of concomitant ocular injuries. The clinical and radiographic findings for each individual patient must then be analyzed for the need for surgical intervention. Deformity and vision impairment can occur from these injuries, and while surgery is intended to prevent these problems, it can also create them. Therefore, surgical approach and implant selection should be carefully considered. Accurate anatomic reconstruction requires complete assessment of fracture margins and proper implant contouring and positioning. The implementation of new technologies for implant shaping and intraoperative assessment of reconstruction will hopefully lead to improved patient outcomes. PMID:26604678

  10. Managing eosinophilic esophagitis: challenges and solutions

    PubMed Central

    Shah, Nisha A; Albert, Dustin M; Hall, Noah M; Moawad, Fouad J

    2016-01-01

    Eosinophilic esophagitis (EoE) is a chronic and progressive immune-mediated condition defined by symptoms of esophageal dysfunction and dense eosinophilic infiltration of the esophageal mucosa. Therapies consist of anti-eosinophilic medications and specialized diets aimed to decrease the progression of EoE and alleviate its symptoms, namely, dysphagia and food impaction. Assessing response to therapy remains challenging, as treatment end points are not well defined and currently consist of clinical, histologic, and endoscopic features. Newer validated measures may help standardize treatment end points. Emerging data support the use of maintenance therapy, which may reduce disease progression. Optimal dosages, delivery techniques, and duration of treatment need to be determined. When features of fibrostenosis develop, esophageal dilation is a safe and effective adjunctive strategy for improving symptoms. In EoE cases refractory to conventional treatments, newer therapies targeting inflammatory mediators and cytokines are on the horizon. PMID:27695356

  11. Sleep bruxism: challenges and restorative solutions

    PubMed Central

    Mengatto, Cristiane Machado; Coelho-de-Souza, Fábio Herrmann; de Souza Junior, Oswaldo Baptista

    2016-01-01

    Bruxism is a parafunctional activity related to clenching or grinding the teeth and tooth wear can be a consequence of sleep bruxism (SB). Management of severe tooth wear due to SB is a challenging situation because of the common reduced amount of remaining dental structure and loss of vertical dimension of occlusion. Rationale for the planning of oral rehabilitation of patients with SB presenting severe tooth wear should rely on evidence-based approaches; however, few studies have discussed properties of dental materials for SB rehabilitation and how to cosmetically manage severe tooth wear. This review aimed to provide an overview into bruxism cosmetic rehabilitation and how this can be implemented with good outcomes for the patient. PMID:27217798

  12. Managing eosinophilic esophagitis: challenges and solutions

    PubMed Central

    Shah, Nisha A; Albert, Dustin M; Hall, Noah M; Moawad, Fouad J

    2016-01-01

    Eosinophilic esophagitis (EoE) is a chronic and progressive immune-mediated condition defined by symptoms of esophageal dysfunction and dense eosinophilic infiltration of the esophageal mucosa. Therapies consist of anti-eosinophilic medications and specialized diets aimed to decrease the progression of EoE and alleviate its symptoms, namely, dysphagia and food impaction. Assessing response to therapy remains challenging, as treatment end points are not well defined and currently consist of clinical, histologic, and endoscopic features. Newer validated measures may help standardize treatment end points. Emerging data support the use of maintenance therapy, which may reduce disease progression. Optimal dosages, delivery techniques, and duration of treatment need to be determined. When features of fibrostenosis develop, esophageal dilation is a safe and effective adjunctive strategy for improving symptoms. In EoE cases refractory to conventional treatments, newer therapies targeting inflammatory mediators and cytokines are on the horizon.

  13. Type II endoleaks: challenges and solutions

    PubMed Central

    Brown, Andrew; Saggu, Greta K; Bown, Matthew J; Sayers, Robert D; Sidloff, David A

    2016-01-01

    Type II endoleaks are the most common endovascular complications of endovascular abdominal aortic aneurysm repair (EVAR); however, there has been a divided opinion regarding their significance in EVAR. Some advocate a conservative approach unless there is clear evidence of sac expansion, while others maintain early intervention is best to prevent adverse late outcomes such as rupture. There is a lack of level-one evidence in this challenging group of patients, and due to a low event rate of complications, large numbers of patients would be required in well-designed trials to fully understand the natural history of type II endoleak. This review will discuss the imaging, management, and outcome of patients with isolated type II endoleaks following infra-renal EVAR. PMID:27042087

  14. Tensions and Challenges in China's Education Policy Borrowing

    ERIC Educational Resources Information Center

    Tan, Charlene

    2016-01-01

    Background: This article critically discusses the key tensions and challenges arising from the educational policy borrowing in China, through its current education reform. Focussing on the new curriculum reform (NCR), the paper highlights the interactions and conflicts between foreign and local ideologies and practices. Sources of evidence: The…

  15. The Texas Public Education Challenge. Policy Brief No. 1

    ERIC Educational Resources Information Center

    Center for Public Policy Priorities, 2006

    2006-01-01

    This is the first in a trilogy of policy briefs discussing public education and taxes. This brief discusses the challenge facing Texas in funding public education. This brief also explains why the Texas Supreme Court's recent decision in "West Orange-Cove II" requires increased state appropriations for public education.

  16. Quality of herbal medicines: challenges and solutions.

    PubMed

    Zhang, Junhua; Wider, Barbara; Shang, Hongcai; Li, Xuemei; Ernst, Edzard

    2012-01-01

    The popularity of herbal medicines has risen worldwide. This increase in usage renders safety issues important. Many adverse events of herbal medicines can be attributed to the poor quality of the raw materials or the finished products. Different types of herbal medicines are associated with different problems. Quality issues of herbal medicines can be classified into two categories: external and internal. In this review, external issues including contamination (e.g. toxic metals, pesticides residues and microbes), adulteration and misidentification are detailed. Complexity and non-uniformity of the ingredients in herbal medicines are the internal issues affecting the quality of herbal medicines. Solutions to the raised problems are discussed. The rigorous implementation of Good Agricultural and Collection Practices (GACP) and Good Manufacturing Practices (GMP) would undoubtedly reduce the risk of external issues. Through the use of modern analytical methods and pharmaceutical techniques, previously unsolved internal issues have become solvable. Standard herbal products can be manufactured from the standard herbal extracts.

  17. Meeting the challenge: using policy to improve children's health.

    PubMed

    Brush, Charles Adam; Kelly, Maggie M; Green, Denise; Gaffney, Marcus; Kattwinkel, John; French, Molly

    2005-11-01

    We reflect on the proceedings of a symposium at a conference of the Centers for Disease Control and Prevention National Center on Birth Defects and Developmental Disabilities. We present examples of bridging the gap between science and policy to achieve improvements in children's health through case studies in early hearing detection and intervention, folic acid fortification to prevent birth defects, sleep positioning recommendations to reduce infant mortality, and workplace lactation support programs. We discuss case studies that present different policy strategies (public health law and voluntary practices) for improving public health. These case studies demonstrate both the power of policy as a tool for improving children's health and the challenges of communicating public health research to policy decisionmakers.

  18. International trade agreements challenge tobacco and alcohol control policies.

    PubMed

    Zeigler, Donald W

    2006-11-01

    This report reviews aspects of trade agreements that challenge tobacco and alcohol control policies. Trade agreements reduce barriers, increase competition, lower prices and promote consumption. Conversely, tobacco and alcohol control measures seek to reduce access and consumption, raise prices and restrict advertising and promotion in order to reduce health and social problems. However, under current and pending international agreements, negotiated by trade experts without public health input, governments and corporations may challenge these protections as constraints on trade. Advocates must recognise the inherent conflicts between free trade and public health and work to exclude alcohol and tobacco from trade agreements. The Framework Convention on Tobacco Control has potential to protect tobacco policies and serve as a model for alcohol control.

  19. Lubrication of space systems: Challenges and potential solutions

    NASA Technical Reports Server (NTRS)

    Fusaro, Robert L.

    1992-01-01

    Future space missions will all require advanced mechanical moving components which will require wear protection and lubrication. The tribology practices used today are primarily based upon a technology base that is more than 20 years old. This paper will discuss NASA's future space missions and some of the mechanism tribology challenges that will be encountered. Potential solutions to these challenges using coatings technology will be assessed.

  20. Allergen Challenge Chamber: an innovative solution in allergic rhinitis diagnosis

    PubMed Central

    Sowa, Jerzy; Wojas, Oksana; Piekarska, Barbara; Sybilski, Adam; Samoliński, Bolesław

    2015-01-01

    The Allergen Challenge Chamber (ACC) is definitely a serious challenge on the one hand and an innovative solution in allergic rhinitis diagnosis on the other. The gradual validation of the chamber (according to the test protocol) will allow for standardisation, which is a process undertaken by centres worldwide. The process of designing a consistent system that allows for creating conditions as those in the case of natural inhalation took into account all the aspects (technical specification) necessary to ensure appropriate inhalation. PMID:26755904

  1. PET/CT scanner instrumentation, challenges, and solutions.

    PubMed

    Alessio, Adam M; Kinahan, Paul E; Cheng, Phillip M; Vesselle, Hubert; Karp, Joel S

    2004-11-01

    PET/CT scanners offer a hardware solution for aligning and viewing functional and anatomic images that is immune to many of the errors in strictly software registration techniques. Moreover, PET attenuation-corrected emission scans benefit from the use of the onboard CT for fast, low-noise attenuation correction. Along with the significant improved localization and reduced acquisition time, PET/CT scanners also introduce new instrumentation challenges ranging from patient movement to quantitative attenuation correction. This article provides an overview of current PET/CT scanner technology, a discussion of challenges faced by these systems, and pending solutions.

  2. Air pollution in China: Scientific and Public Policy Challenges

    NASA Astrophysics Data System (ADS)

    Zhu, T.

    2014-12-01

    Sever air pollution in China has in recent years caused intensive public, media and governmental attention. Many questions need to be answered about the air pollution in China, such as how harmful is the air pollution, especially PM2.5? Why suddenly so many reports about sever air pollution, is the air in China getting more polluted? How to design a policy that can control the air pollution most efficiently? After updated the national Ambient Air Quality Standards in 2012 and included PM2.5 as one of the critical air pollutants, in 2013, Chinese central government released for the first time the "Air Pollution Prevention and Control Action Plan". The plan has set goals to reduce annual mean concentration of PM2.5 up to 25% in 2017 in different regions in China. If the ambitious goals were achieved, this could be the most significant air pollution reduction in such a short time that affects so many people in human history. To achieve these goals, however, there are enormous scientific and public policy challenges to deal with. For example: Identify the key components, size fraction of PM that have the largest health effects; and identify the sources of PM that has the most harmful effects on human health and ecosystem. Reduce the uncertainty in health risk assessment. Understand complicate chemical transformation processes in air pollution formation with intensive emissions from industry, power plant, vehicles, agriculture. Interactions between air pollution, PBL, and atmospheric circulation at different scales. The accountability, feasibility, effectiveness, and efficiency of air pollution control policies. Integrate multi-pollutant control and achieve co-benefit with climate and energy policy. Regional coordinated air pollution control. The largest challenge in China for air pollution control remains how to strength the link between science and policy.

  3. Challenges and Benefits of Direct Policy Search in Advancing Multiobjective Reservoir Management

    NASA Astrophysics Data System (ADS)

    Castelletti, Andrea; Giuliani, Matteo; Zatarain-Salazar, Jazmin; Hermann, John; Pianosi, Francesca; Reed, Patrick

    2015-04-01

    Optimal management policies for water reservoir operation are generally designed via stochastic dynamic programming (SDP). Yet, the adoption of SDP in complex real-world problems is challenged by the three curses of dimensionality, of modeling, and of multiple objectives. These three curses considerably limit SDP's practical application. Alternatively, in this study, we focus on the use of evolutionary multi-objective direct policy search (EMODPS), a simulation-based optimization approach that combines direct policy search, nonlinear approximating networks and multi-objective evolutionary algorithms to design Pareto approximate operating policies for multi-purpose water reservoirs. Our analysis explores the technical and practical implications of using EMODPS through a careful diagnostic assessment of the EMODPS Pareto approximate solutions attained and the overall reliability of the policy design process. A key choice in the EMODPS approach is the selection of alternative formulations of the operating policies. In this study, we distinguish the relative performance of two widely used nonlinear approximating networks, namely Artificial Neural Networks and Radial Basis Functions, and we further compare them with SDP. Besides, we comparatively assess state-of-the-art multi-objective evolutionary algorithms (MOEAs) in terms of efficiency, effectiveness, reliability, and controllability. Our diagnostic results show that RBFs solutions are more effective that ANNs in designing Pareto approximate policies for several water reservoir systems. They also highlight that EMODPS is very challenging for modern MOEAs and that epsilon dominance is critical for attaining high levels of performance. Epsilon dominance algorithms epsilon-MOEA, epsilon-NSGAII and the auto adaptive Borg MOEA, are statistically superior for the class of problems considered.

  4. Federal funding of health policy in Brazil: trends and challenges.

    PubMed

    Machado, Cristiani Vieira; Lima, Luciana Dias de; Andrade, Carla Lourenço Tavares de

    2014-01-01

    The article analyzes Federal funding of health policy in Brazil in the 2000s, focusing on the Ministry of Health's budget implementation. Federal spending on health was less unstable between 2000 and 2002 and has expanded since 2006. However, it fluctuated as a share of both the Gross Domestic Product and Gross National Revenue. Federal intergovernmental transfers increased, exceeding 70% in 2007. Meanwhile, the proportion of Federal investments remained low, varying from 3.4% to 6.3%. The highest absolute amount of spending was on specialized outpatient and hospital care. The decade showed a proportionally greater increase in spending on pharmaceutical care. The growing allocation of Federal funds to States in the North and Northeast, especially for primary care and epidemiological surveillance, failed to offset the sharp regional inequalities in per capita Federal spending. The main characteristics of health funding limit Federal health policy governance and pose several challenges for the Brazilian Unified National Health System.

  5. Workplace diversity and public policy: challenges and opportunities for psychology.

    PubMed

    Fassinger, Ruth E

    2008-01-01

    This article outlines both challenges and opportunities for psychology of issues related to diversity in education and work. For the purposes of this discussion, "diverse" populations include four groups currently marginalized and disadvantaged in the U.S. workplace: women, people of color, sexual minorities, and people with disabilities. An overview of employment participation patterns for these groups is presented, workplace barriers arising from marginalized status are highlighted, and the article concludes with a discussion of work-related legislative and public policy fronts that can be informed and influenced by the contributions of psychologists.

  6. [Sexual and reproductive rights: challenges for health policies].

    PubMed

    Avila, Maria Betânia

    2003-01-01

    This article discusses sexual and reproductive rights in the sense of a stance that assumes a perspective of transformations in social relations, the struggle against prejudices, the guarantee of well-being, and finally the relationship between sexuality, reproduction, and citizenship. The article then proceeds to reflect on health policy challenges in these fields, emphasizing such issues as: guaranteed resources, quality and quantity of health services in response to demands by the population, and cultural changes that produce a new view of the relationship between health professionals and health system clients, based on the principles of citizenship: recognition others as entitled to freedom and equality.

  7. Workplace diversity and public policy: challenges and opportunities for psychology.

    PubMed

    Fassinger, Ruth E

    2008-01-01

    This article outlines both challenges and opportunities for psychology of issues related to diversity in education and work. For the purposes of this discussion, "diverse" populations include four groups currently marginalized and disadvantaged in the U.S. workplace: women, people of color, sexual minorities, and people with disabilities. An overview of employment participation patterns for these groups is presented, workplace barriers arising from marginalized status are highlighted, and the article concludes with a discussion of work-related legislative and public policy fronts that can be informed and influenced by the contributions of psychologists. PMID:18473610

  8. Conservation biology in Asia: the major policy challenges.

    PubMed

    McNeely, Jeffrey A; Kapoor-Vijay, Promila; Zhi, Lu; Olsvig-Whittaker, Linda; Sheikh, Kashif M; Smith, Andrew T

    2009-08-01

    With about half the world's human population and booming economies, Asia faces numerous challenges to its biodiversity. The Asia Section of the Society for Conservation Biology has identified some key policy issues in which significant progress can be made. These include developing new sources of funding for forest conservation; identifying potential impacts of energy alternatives on the conservation of biodiversity; curbing the trade in endangered species of plants and animals; a special focus on the conservation of mountain biodiversity; enhancing relevant research; ensuring that conservation biology contributes to major international conventions and funding mechanisms; using conservation biology to build a better understanding of zoonotic diseases; more effectively addressing human-animal conflicts; enhancing community-based conservation; and using conservation biology to help address the pervasive water-deficit problems in much of Asia. These challenges can be met through improved regional cooperation among the relevant stakeholders.

  9. Characterization of NEOs from the Policy Perspective: Implications from Problem and Solution Definitions

    NASA Astrophysics Data System (ADS)

    Lindquist, E.

    2015-12-01

    The characterization of near-Earth-objects (NEOs) in regard to physical attributes and potential risk and impact factors presents a complex and complicates scientific and engineering challenge. The societal and policy risks and impacts are no less complex, yet are rarely considered in the same context as material properties or related factors. The objective of this contribution is to position the characterization of NEOs within the public policy process domain as a means to reflect on the science-policy nexus in regard to risks associated with NEOs. This will be accomplished through, first, a brief overview of the science-policy nexus, followed by a discussion of several policy process frameworks, such as agenda setting and the multiple streams model, focusing events, and punctuated equilibrium, and their application and appropriateness to the problem of NEOs. How, too, for example, does NEO hazard and risk compare with other low probability, high risk, hazards in regard to public policy? Finally, we will reflect on the implications of alternative NEO "solutions" and the characterization of the NEO "problem," and the political and public acceptance of policy alternatives as a way to link NEO science and policy in the context of the overall NH004 panel.

  10. Near Earth Objects and Cascading Effects from the Policy Perspective: Implications from Problem and Solution Definition

    NASA Astrophysics Data System (ADS)

    Lindquist, Eric

    2016-04-01

    The characterization of near-Earth-objects (NEOs) in regard to physical attributes and potential risk and impact factors presents a complex and complicates scientific and engineering challenge. The societal and policy risks and impacts are no less complex, yet are rarely considered in the same context as material properties or related factors. Further, NEO impacts are typically considered as discrete events, not as initial events in a dynamic cascading system. The objective of this contribution is to position the characterization of NEOs within the public policy process domain as a means to reflect on the science-policy nexus in regard to risks and multi-hazard impacts associated with these hazards. This will be accomplished through, first, a brief overview of the science-policy nexus, followed by a discussion of policy process frameworks, such as agenda setting and the multiple streams model, focusing events, and punctuated equilibrium, and their application and appropriateness to the problem of NEOs. How, too, for example, does NEO hazard and risk compare with other low probability, high risk, hazards in regard to public policy? Finally, we will reflect on the implications of alternative NEO "solutions" and the characterization of the NEO "problem," and the political and public acceptance of policy alternatives as a way to link NEO science and policy in the context of the overall NH9.12 panel.

  11. Challenges and Solutions for Using Informatics in Research

    PubMed Central

    Ryan, Catherine; Choi, Heeseung; Fritschi, Cynthia; Hershberger, Patricia; Vincent, Catherine; Hacker, Eileen Danaher; Zerwic, Julie; Norr, Kathleen; Park, Hanjong; Tastan, Sevinc; Keenan, Gail M.; Finnegan, Lorna; Zhao, Zhongsheng; Gallo, Agatha M; Wilkie, Diana J.

    2013-01-01

    Computer technology provides innovations for research but not without concomitant challenges. Herein, we present our experiences with technology challenges and solutions across 16 nursing research studies. Issues included intervention integrity, software updates and compatibility, Web accessibility and implementation, hardware and equipment, computer literacy of participants, and programming. Our researchers found solutions related to best practices for computer-screen design and usability testing, especially as they relate to the target populations' computer literacy levels and use patterns; changes in software; availability and limitations of operating systems and Web-browsers; resources for on-site technology help for participants; and creative facilitators to access participants and implement study procedures. Researchers may find this information helpful as they consider successful ways to integrate informatics in the design and implementation of future studies with technology that maximizes research productivity. PMID:23475591

  12. Future humanitarian crises: challenges for practice, policy, and public health.

    PubMed

    Burkle, Frederick M

    2010-01-01

    After more than three decades of preoccupation with wars and internal political conflicts, the humanitarian community has the opportunity to reevaluate what humanitarian crises will dominate both policy and practice in the future. In reality, these crises are already active and some are over the tipping point of recovery. These crises share the common thread of being major public health emergencies which, with a preponderance of excess or indirect mortality and morbidity dominating the consequences, requires new approaches, including unprecedented improvements and alterations in education, training, research, strategic planning, and policy and treaty agendas. Unfortunately, political solutions offered up to date are nation-state centric and miss opportunities to provide what must be global solutions. Public health, redefined as the infrastructure and systems necessary to allow communities, urban settings, and nation-states to provide physical and social protections to their populations has become an essential element of all disciplines from medicine, engineering, law, social sciences, and economics. Public health, which must be recognized as a strategic and security issue should take precedence over politics at every level, not be driven by political motives, and be globally monitored.

  13. Future humanitarian crises: challenges for practice, policy, and public health.

    PubMed

    Burkle, Frederick M

    2010-01-01

    After more than three decades of preoccupation with wars and internal political conflicts, the humanitarian community has the opportunity to reevaluate what humanitarian crises will dominate both policy and practice in the future. In reality, these crises are already active and some are over the tipping point of recovery. These crises share the common thread of being major public health emergencies which, with a preponderance of excess or indirect mortality and morbidity dominating the consequences, requires new approaches, including unprecedented improvements and alterations in education, training, research, strategic planning, and policy and treaty agendas. Unfortunately, political solutions offered up to date are nation-state centric and miss opportunities to provide what must be global solutions. Public health, redefined as the infrastructure and systems necessary to allow communities, urban settings, and nation-states to provide physical and social protections to their populations has become an essential element of all disciplines from medicine, engineering, law, social sciences, and economics. Public health, which must be recognized as a strategic and security issue should take precedence over politics at every level, not be driven by political motives, and be globally monitored. PMID:20586007

  14. Solutions to Challenges Facing a University Digital Library and Press

    PubMed Central

    D'Alessandro, Michael P.; Galvin, Jeffrey R.; Colbert, Stephana I.; D'Alessandro, Donna M.; Choi, Teresa A.; Aker, Brian D.; Carlson, William S.; Pelzer, Gay D.

    2000-01-01

    During the creation of a university digital library and press intended to serve as a medical reference and education tool for health care providers and their patients, six distinct and complex digital publishing challenges were encountered. Over nine years, through a multidisciplinary approach, solutions were devised to the challenges of digital content ownership, management, mirroring, translation, interactions with users, and archiving. The result is a unique, author-owned, internationally mirrored, university digital library and press that serves as an authoritative medical reference and education tool for users around the world. The purpose of this paper is to share the valuable digital publishing lessons learned and outline the challenges facing university digital libraries and presses. PMID:10833161

  15. Solutions to challenges facing a university digital library and press.

    PubMed

    D'Alessandro, M P; Galvin, J R; Colbert, S I; D'Alessandro, D M; Choi, T A; Aker, B D; Carlson, W S; Pelzer, G D

    2000-01-01

    During the creation of a university digital library and press intended to serve as a medical reference and education tool for health care providers and their patients, six distinct and complex digital publishing challenges were encountered. Over nine years, through a multidisciplinary approach, solutions were devised to the challenges of digital content ownership, management, mirroring, translation, interactions with users, and archiving. The result is a unique, author-owned, internationally mirrored, university digital library and press that serves as an authoritative medical reference and education tool for users around the world. The purpose of this paper is to share the valuable digital publishing lessons learned and outline the challenges facing university digital libraries and presses.

  16. Privacy Management and Networked PPD Systems - Challenges Solutions.

    PubMed

    Ruotsalainen, Pekka; Pharow, Peter; Petersen, Francoise

    2015-01-01

    Modern personal portable health devices (PPDs) become increasingly part of a larger, inhomogeneous information system. Information collected by sensors are stored and processed in global clouds. Services are often free of charge, but at the same time service providers' business model is based on the disclosure of users' intimate health information. Health data processed in PPD networks is not regulated by health care specific legislation. In PPD networks, there is no guarantee that stakeholders share same ethical principles with the user. Often service providers have own security and privacy policies and they rarely offer to the user possibilities to define own, or adapt existing privacy policies. This all raises huge ethical and privacy concerns. In this paper, the authors have analyzed privacy challenges in PPD networks from users' viewpoint using system modeling method and propose the principle "Personal Health Data under Personal Control" must generally be accepted at global level. Among possible implementation of this principle, the authors propose encryption, computer understandable privacy policies, and privacy labels or trust based privacy management methods. The latter can be realized using infrastructural trust calculation and monitoring service. A first step is to require the protection of personal health information and the principle proposed being internationally mandatory. This requires both regulatory and standardization activities, and the availability of open and certified software application which all service providers can implement. One of those applications should be the independent Trust verifier. PMID:25980881

  17. Privacy Management and Networked PPD Systems - Challenges Solutions.

    PubMed

    Ruotsalainen, Pekka; Pharow, Peter; Petersen, Francoise

    2015-01-01

    Modern personal portable health devices (PPDs) become increasingly part of a larger, inhomogeneous information system. Information collected by sensors are stored and processed in global clouds. Services are often free of charge, but at the same time service providers' business model is based on the disclosure of users' intimate health information. Health data processed in PPD networks is not regulated by health care specific legislation. In PPD networks, there is no guarantee that stakeholders share same ethical principles with the user. Often service providers have own security and privacy policies and they rarely offer to the user possibilities to define own, or adapt existing privacy policies. This all raises huge ethical and privacy concerns. In this paper, the authors have analyzed privacy challenges in PPD networks from users' viewpoint using system modeling method and propose the principle "Personal Health Data under Personal Control" must generally be accepted at global level. Among possible implementation of this principle, the authors propose encryption, computer understandable privacy policies, and privacy labels or trust based privacy management methods. The latter can be realized using infrastructural trust calculation and monitoring service. A first step is to require the protection of personal health information and the principle proposed being internationally mandatory. This requires both regulatory and standardization activities, and the availability of open and certified software application which all service providers can implement. One of those applications should be the independent Trust verifier.

  18. Six challenges in modelling for public health policy.

    PubMed

    Metcalf, C J E; Edmunds, W J; Lessler, J

    2015-03-01

    The World Health Organisation's definition of public health refers to all organized measures to prevent disease, promote health, and prolong life among the population as a whole (World Health Organization, 2014). Mathematical modelling plays an increasingly important role in helping to guide the most high impact and cost-effective means of achieving these goals. Public health programmes are usually implemented over a long period of time with broad benefits to many in the community. Clinical trials are seldom large enough to capture these effects. Observational data may be used to evaluate a programme after it is underway, but have limited value in helping to predict the future impact of a proposed policy. Furthermore, public health practitioners are often required to respond to new threats, for which there is little or no previous data on which to assess the threat. Computational and mathematical models can help to assess potential threats and impacts early in the process, and later aid in interpreting data from complex and multifactorial systems. As such, these models can be critical tools in guiding public health action. However, there are a number of challenges in achieving a successful interface between modelling and public health. Here, we discuss some of these challenges. PMID:25843392

  19. Six challenges in modelling for public health policy.

    PubMed

    Metcalf, C J E; Edmunds, W J; Lessler, J

    2015-03-01

    The World Health Organisation's definition of public health refers to all organized measures to prevent disease, promote health, and prolong life among the population as a whole (World Health Organization, 2014). Mathematical modelling plays an increasingly important role in helping to guide the most high impact and cost-effective means of achieving these goals. Public health programmes are usually implemented over a long period of time with broad benefits to many in the community. Clinical trials are seldom large enough to capture these effects. Observational data may be used to evaluate a programme after it is underway, but have limited value in helping to predict the future impact of a proposed policy. Furthermore, public health practitioners are often required to respond to new threats, for which there is little or no previous data on which to assess the threat. Computational and mathematical models can help to assess potential threats and impacts early in the process, and later aid in interpreting data from complex and multifactorial systems. As such, these models can be critical tools in guiding public health action. However, there are a number of challenges in achieving a successful interface between modelling and public health. Here, we discuss some of these challenges.

  20. Space Radiation and the Challenges Towards Effective Shielding Solutions

    NASA Technical Reports Server (NTRS)

    Barghouty, Abdulnasser

    2014-01-01

    The hazards of space radiation and their effective mitigation strategies continue to pose special science and technology challenges to NASA. It is widely accepted now that shielding space vehicles and structures will have to rely on new and innovative materials since aluminum, like all high Z materials, are poor shields against the particulate and highly ionizing nature of space radiation. Shielding solutions, motivated and constrained by power and mass limitations, couple this realization with "multifunctionality," both in design concept as well as in material function and composition. Materials endowed with effective shielding properties as well as with some degree of multi-functionality may be the kernel of the so-called "radiation-smart" structures and designs. This talk will present some of the challenges and potential mitigation ideas towards the realization of such structures and designs.

  1. Going Extreme For Small Solutions To Big Environmental Challenges

    SciTech Connect

    Bagwell, Christopher E.

    2011-03-31

    This chapter is devoted to the scale, scope, and specific issues confronting the cleanup and long-term disposal of the U.S. nuclear legacy generated during WWII and the Cold War Era. The research reported is aimed at complex microbiological interactions with legacy waste materials generated by past nuclear production activities in the United States. The intended purpose of this research is to identify cost effective solutions to the specific problems (stability) and environmental challenges (fate, transport, exposure) in managing and detoxifying persistent contaminant species. Specifically addressed are high level waste microbiology and bacteria inhabiting plutonium laden soils in the unsaturated subsurface.

  2. Chinese Helicobacter pylori vaccine: Solution for an old challenge?

    PubMed Central

    Talebi Bezmin Abadi, Amin; Lee, Yeong Yeh

    2016-01-01

    Helicobacter pylori (H. pylori) is an important cause for gastric cancer in high risk individuals. H. pylori colonizes more than 50% of the world’s population and associated peptic ulcer disease and gastric malignancy have important public health implications. It has been classified as a class I carcinogen in 1994 by the World Health Organization. Clinicians are often prompted to eliminate the infection the moment it is detected. This also, unfortunately, led to reckless use of antibiotics and reports of increasing resistance are now worldwide. Each year, many of people die from gastric cancer; thus application of effective vaccine can reduce this relatively high mortality worldwide. H. pylori can be eliminated by antibiotics but efficacy is sharply decreasing. Moreover, current therapy is also expensive and with side effects. Vaccine may be the best solution to the above problem but there are many challenges in producing such an effective therapeutic vaccine. Recently, the Chinese group published in Lancet, a single-center, randomized, phase III study of an oral recombinant vaccine (Urease B subunit fused with heat-labile enterotoxin B derived from Escherichia coli) prescribed in the Chinese children (6-15 years) without a history of H. pylori infection. This review provides an insight into this new solution for an old challenge. PMID:27602242

  3. Chinese Helicobacter pylori vaccine: Solution for an old challenge?

    PubMed

    Talebi Bezmin Abadi, Amin; Lee, Yeong Yeh

    2016-08-01

    Helicobacter pylori (H. pylori) is an important cause for gastric cancer in high risk individuals. H. pylori colonizes more than 50% of the world's population and associated peptic ulcer disease and gastric malignancy have important public health implications. It has been classified as a class I carcinogen in 1994 by the World Health Organization. Clinicians are often prompted to eliminate the infection the moment it is detected. This also, unfortunately, led to reckless use of antibiotics and reports of increasing resistance are now worldwide. Each year, many of people die from gastric cancer; thus application of effective vaccine can reduce this relatively high mortality worldwide. H. pylori can be eliminated by antibiotics but efficacy is sharply decreasing. Moreover, current therapy is also expensive and with side effects. Vaccine may be the best solution to the above problem but there are many challenges in producing such an effective therapeutic vaccine. Recently, the Chinese group published in Lancet, a single-center, randomized, phase III study of an oral recombinant vaccine (Urease B subunit fused with heat-labile enterotoxin B derived from Escherichia coli) prescribed in the Chinese children (6-15 years) without a history of H. pylori infection. This review provides an insight into this new solution for an old challenge. PMID:27602242

  4. Emerging solutions to the water challenges of an urbanizing world.

    PubMed

    Larsen, Tove A; Hoffmann, Sabine; Lüthi, Christoph; Truffer, Bernhard; Maurer, Max

    2016-05-20

    The top priorities for urban water sustainability include the provision of safe drinking water, wastewater handling for public health, and protection against flooding. However, rapidly aging infrastructure, population growth, and increasing urbanization call into question current urban water management strategies, especially in the fast-growing urban areas in Asia and Africa. We review innovative approaches in urban water management with the potential to provide locally adapted, resource-efficient alternative solutions. Promising examples include new concepts for stormwater drainage, increased water productivity, distributed or on-site treatment of wastewater, source separation of human waste, and institutional and organizational reforms. We conclude that there is an urgent need for major transdisciplinary efforts in research, policy, and practice to develop alternatives with implications for cities and aquatic ecosystems alike. PMID:27199414

  5. Emerging solutions to the water challenges of an urbanizing world.

    PubMed

    Larsen, Tove A; Hoffmann, Sabine; Lüthi, Christoph; Truffer, Bernhard; Maurer, Max

    2016-05-20

    The top priorities for urban water sustainability include the provision of safe drinking water, wastewater handling for public health, and protection against flooding. However, rapidly aging infrastructure, population growth, and increasing urbanization call into question current urban water management strategies, especially in the fast-growing urban areas in Asia and Africa. We review innovative approaches in urban water management with the potential to provide locally adapted, resource-efficient alternative solutions. Promising examples include new concepts for stormwater drainage, increased water productivity, distributed or on-site treatment of wastewater, source separation of human waste, and institutional and organizational reforms. We conclude that there is an urgent need for major transdisciplinary efforts in research, policy, and practice to develop alternatives with implications for cities and aquatic ecosystems alike.

  6. The Beacon Project: Challenges, Solutions, and Lessons Learned

    NASA Astrophysics Data System (ADS)

    Brook, R. Glenn

    2014-03-01

    With physical limitations imposing increasingly significant performance limitations on future generations of computing hardware, computer architects are turning to increased parallelism and specialized hardware to accelerate key applications and workloads. As a result, emerging high-performance computing (HPC) systems are much more heterogeneous than their predecessors, leading to both operational challenges and application challenges that must be overcome to effectively utilize the associated architectures. With support from the National Science Foundation, the Application Acceleration Center of Excellence (AACE) at the University of Tennessee is currently exploring the impact of the Intel® Xeon Phi™ coprocessor on computational science and engineering through the Beacon Project, an ongoing research project that encompasses the deployment and operation of an energy-efficient supercomputer and the coordination of an associated research program allowing project teams across the country to explore the applicability of the associated architecture to a variety of scientific codes and libraries. This talk presents an overview of encountered challenges along with associated solutions, highlights some of the current results of the application project teams, and summarizes many of the lessons learned through the Beacon Project to date. This material is based upon work supported by the National Science Foundation under Grant Number 1137097 and by the University of Tennessee through the Beacon Project.

  7. Self-Directed Support Policy: Challenges and Possible Solutions

    ERIC Educational Resources Information Center

    Harkes, Mary A.; Brown, Michael; Horsburgh, Dorothy

    2014-01-01

    A systematic literature review was conducted between September 2010 and April 2011 and published earlier in this journal, paper 1. The findings indicated that few studies of Self-Directed Support focused specifically on people with intellectual disabilities. The range of individuals' ability and distinction between adults with or without…

  8. Compulsory Schooling Policy in Nunavut: Challenges and Suggestions

    ERIC Educational Resources Information Center

    Fredua-Kwarteng, Eric

    2008-01-01

    This paper uses Nunavut's compulsory schooling policy as a case study to discuss the role that cultural difference plays in policy development and implementation. The central argument of the paper is that the implementation and sustainability of the compulsory schooling policy would be fraught with enormous problems, given its colonialist,…

  9. Naturally occurring asbestos: a recurring public policy challenge.

    PubMed

    Lee, R J; Strohmeier, B R; Bunker, K L; Van Orden, D R

    2008-05-01

    the United States are in areas where NOA is known to exist and therefore this issue takes on national significance. This ongoing national dilemma has raised public and business concerns. There has been continuing political and scientific debate and widespread miscommunication over perceived versus actual health risks, the validity of various analytical sampling and testing methods, the questionable necessity and escalating costs of remediation procedures, and the combined negative impact on numerous commercial and public interests. Thus, conflicting research and regulatory positions on the distinctions between and hazards of true asbestos and ordinary rock fragments is all that is presently available to the public until the differing scientific communities and government agencies arrive at a consensus on these issues. The risk assessment methodology and the analytical technology needed to support inferences drawn from existing research are available, but have not been organized and implemented in the manner needed to resolve the NOA controversy. There should exist nationally adopted and peer-reviewed NOA standards (developed jointly by the scientific community, health risk professionals, and government regulators) that establish: (1) a scientific basis for risk evaluation and assessment of NOA and rock fragments; (2) accepted analytical protocols for determining if NOA actually exists in a given area and for separating NOA from related non-asbestos rock fragments and single crystal minerals; and (3) effective public policies for managing NOA, minimizing potential hazards, and protecting public health. This article will review some of the key issues involved with the current NOA debate, propose improved analytical methodologies, describe potential solutions for dealing with NOA, and outline the benefits to be gained by creating a practical national NOA public policy.

  10. Naturally occurring asbestos: a recurring public policy challenge.

    PubMed

    Lee, R J; Strohmeier, B R; Bunker, K L; Van Orden, D R

    2008-05-01

    the United States are in areas where NOA is known to exist and therefore this issue takes on national significance. This ongoing national dilemma has raised public and business concerns. There has been continuing political and scientific debate and widespread miscommunication over perceived versus actual health risks, the validity of various analytical sampling and testing methods, the questionable necessity and escalating costs of remediation procedures, and the combined negative impact on numerous commercial and public interests. Thus, conflicting research and regulatory positions on the distinctions between and hazards of true asbestos and ordinary rock fragments is all that is presently available to the public until the differing scientific communities and government agencies arrive at a consensus on these issues. The risk assessment methodology and the analytical technology needed to support inferences drawn from existing research are available, but have not been organized and implemented in the manner needed to resolve the NOA controversy. There should exist nationally adopted and peer-reviewed NOA standards (developed jointly by the scientific community, health risk professionals, and government regulators) that establish: (1) a scientific basis for risk evaluation and assessment of NOA and rock fragments; (2) accepted analytical protocols for determining if NOA actually exists in a given area and for separating NOA from related non-asbestos rock fragments and single crystal minerals; and (3) effective public policies for managing NOA, minimizing potential hazards, and protecting public health. This article will review some of the key issues involved with the current NOA debate, propose improved analytical methodologies, describe potential solutions for dealing with NOA, and outline the benefits to be gained by creating a practical national NOA public policy. PMID:18180100

  11. Infusing geropsychiatric nursing content into curricula: challenges and solutions.

    PubMed

    Batchelor-Aselage, Melissa; DiMeglio, Brittney; Aaron, Charlene S; Dugger, B Renee

    2014-07-01

    Nurses of the 21st century are unprepared to care for the increasing older adult population's mental health care needs. Nursing schools across the country struggle to identify and infuse geropsychiatric nursing content into curricula. In 2008, the John A. Hartford Foundation partnered with the American Academy of Nursing to fund a 4-year project, the Geropsychiatric Nursing Collaborative (GPNC). In 2011, four schools of nursing were selected to participate in the GPNC consultation project. This article describes two major challenges that schools currently face as they work to infuse geropsychiatric nursing content into nursing curricula and the solutions offered. Core geropsychiatric nursing competencies and content were identified to assist curriculum mapping, and examples of faculty resources for teaching about depression, dementia, and delirium were outlined. Incorporation of geropsychiatric nursing content is critical for preparing our future workforce to meet the increasing mental health care needs of older adults.

  12. Reference metrology for nanotechnology: significance, challenges and solutions

    NASA Astrophysics Data System (ADS)

    Ukraintsev, Vladimir; Banke, Bill

    2010-08-01

    Metrology and control of critical dimensions (CD) are the keys to the nanotechnology success. Modern nanotechnology and nanometrology are largely based on knowledge earned during the last 10-20 years of semiconductor technology development. Semiconductor CD metrology entered the nanotechnology age in the late 1990's. Work on 130 nm and 90 nm node technologies led to the conclusion that precision is an insufficient metric for metrology quality assessment. Other components of measurement uncertainty (MU) must be considered: (i) sample-to-sample measurement bias variation, (ii) sampling uncertainty and (iii) sample variation induced by probe-sample interaction. The first one (sample dependent systematic error) is common for "indirect" and model-based CD metrologies such as top-down and cross-sectional scanning electron microscopy (SEM) and optical scatterometry (OCD). Unless special measures are taken, bias variation of CDSEM and OCD could exceed several nanometers. Variation of bias and, therefore, MU can be assessed only if reference metrology (RM) is employed. The choice of RM tools is very limited. The CD atomic force microscope (AFM) is one of a few available RM tools. The CDAFM provides sub-nanometer MU for a number of nanometrology applications. Significant challenges of CDAFM remain: (a) probe finite dimensions are limiting characterization of narrow high-aspect spaces; (b) probe flexibility complicates positioning control; (c) probe apex sharpness limits 3D AFM resolution; (d) lifetime of atomically sharp probes is too short; (e) adsorbates change properties and dimensions of nanometer-sized objects considerably, etc. We believe that solutions for the problems exist. In this paper we discuss role of RM in nanometrology, current RM choices, challenges of CDAFM, and potential solutions.

  13. Accessing seismic data through geological interpretation: Challenges and solutions

    NASA Astrophysics Data System (ADS)

    Butler, R. W.; Clayton, S.; McCaffrey, B.

    2008-12-01

    Between them, the world's research programs, national institutions and corporations, especially oil and gas companies, have acquired substantial volumes of seismic reflection data. Although the vast majority are proprietary and confidential, significant data are released and available for research, including those in public data libraries. The challenge now is to maximise use of these data, by providing routes to seismic not simply on the basis of acquisition or processing attributes but via the geology they image. The Virtual Seismic Atlas (VSA: www.seismicatlas.org) meets this challenge by providing an independent, free-to-use community based internet resource that captures and shares the geological interpretation of seismic data globally. Images and associated documents are explicitly indexed by extensive metadata trees, using not only existing survey and geographical data but also the geology they portray. The solution uses a Documentum database interrogated through Endeca Guided Navigation, to search, discover and retrieve images. The VSA allows users to compare contrasting interpretations of clean data thereby exploring the ranges of uncertainty in the geometric interpretation of subsurface structure. The metadata structures can be used to link reports and published research together with other data types such as wells. And the VSA can link to existing data libraries. Searches can take different paths, revealing arrays of geological analogues, new datasets while providing entirely novel insights and genuine surprises. This can then drive new creative opportunities for research and training, and expose the contents of seismic data libraries to the world.

  14. Solution Sythesis Of Geranium Nanocrystals: Success And Open Challenges

    SciTech Connect

    Casula, M; Galli, G; Saw, C; Zaitseva, N; Gerion, D; van Buuren, T; Fakra, S

    2003-12-15

    We present a two-steps synthesis route that yields nanometer size crystalline germanium in the form of a black powder. It relies on high temperature decomposition of tetraethylgermane (TEG) in organic solvents. The presence of pure germanium with diamond structure is unambiguously attested by powder XRD measurements. Low resolution TEM indicates that the particles are between {approx}5 to 30 nm in size depending on the synthesis conditions. The as-synthesized Ge powders can be stored in air for months and no oxidation occurs. The Ge powders are sparingly soluble in conventional solvents because Ge nanocrystals are likely embedded in a matrix, composed mainly of C=C, C-C, and C-H bonds. The presence of residual organic by-products impedes probing of the optical properties of the dots. Also, we discuss drawbacks and open challenges in high temperature solution synthesis of Ge nanocrystals that could also be faced in the synthesis of Si nanocrystals. Overall, our results call for a cautious interpretation of reported optical properties of Ge and Si nanocrystals obtained by high temperature solution methods.

  15. National health insurance policy in Nepal: challenges for implementation.

    PubMed

    Mishra, Shiva Raj; Khanal, Pratik; Karki, Deepak Kumar; Kallestrup, Per; Enemark, Ulrika

    2015-01-01

    The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9%) and rural (59%) discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015), the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS) after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal. PMID:26300556

  16. National health insurance policy in Nepal: challenges for implementation.

    PubMed

    Mishra, Shiva Raj; Khanal, Pratik; Karki, Deepak Kumar; Kallestrup, Per; Enemark, Ulrika

    2015-01-01

    The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9%) and rural (59%) discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015), the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS) after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal.

  17. Increasing Diversity in the Sciences: a Partial Solution to the Challenge and the Benefits it Produces

    NASA Astrophysics Data System (ADS)

    Givan, A. V.

    2009-12-01

    Science is supposed to be about talent devoid of the bias’ and judgments generated by background, gender, ethnicity or any culturally determined discriminators. The scientific, academic, corporate and government communities have a vested interest in developing models, practices and policies that significantly increase the number of U.S. graduates in scientific disciplines. Additionally, it is crucial that these graduates possess the essential competencies and creative problem solving skills to compete in the current global economy. The stakeholders (corporations, researchers, educational practitioners, policymakers and funders) who have the common goal of producing highly qualified scientists must commit to collaborate in developing innovative strategies and solutions to this complex challenge. Volumes of research data from a variety of sources such the social and cognitive sciences, educational psychology, National Science Foundation and non-profit groups have been and are available for use enabling us to rise to the challenge we have been charged with, and are responsible for the outcome. A proposed solution to part of the challenge and discussion of the impacts of increasing diversity in science will be discussed in this paper. The paper will address one element of the issue - strategies for the recruitment and retention of under-represented groups in science focusing on the historical and current culture, climate and barriers encountered by minorities as they progress through the educational system and career pathways. The paper will examine the benefits of diversity to the individual and society as a whole.

  18. Health in All (Foreign) Policy: challenges in achieving coherence.

    PubMed

    Labonté, Ronald

    2014-06-01

    Health in All Policies (HiAP) approach is generally perceived as an intersectoral approach to national or sub-national public policy development, such that health outcomes are given full consideration by non-health sectors. Globalization, however, has created numerous 'inherently global health issues' with cross-border causes and consequences, requiring new forms of global governance for health. Although such governance often includes both state and non-state (private, civil society) actors in agenda setting and influence, different actors have differing degrees of power and authority and, ultimately, it is states that ratify intergovernmental covenants or normative declarations that directly or indirectly affect health. This requires public health and health promotion practitioners working within countries to give increased attention to the foreign policies of their national governments. These foreign policies include those governing national security, foreign aid, trade and investment as well as the traditional forms of diplomacy. A new term has been coined to describe how health is coming to be positioned in governments' foreign policies: global health diplomacy. To become adept at this nuanced diplomatic practice requires familiarity with the different policy frames by which health might be inserted into the foreign policy deliberations, and thence intergovernmental/global governance negotiations. This article discusses six such frames (security, trade, development, global public goods, human rights, ethical/moral reasoning) that have been analytically useful in assessing the potential for greater and more health-promoting foreign policy coherence: a 'Health in All (Foreign) Policies' approach. PMID:25217356

  19. Health in All (Foreign) Policy: challenges in achieving coherence.

    PubMed

    Labonté, Ronald

    2014-06-01

    Health in All Policies (HiAP) approach is generally perceived as an intersectoral approach to national or sub-national public policy development, such that health outcomes are given full consideration by non-health sectors. Globalization, however, has created numerous 'inherently global health issues' with cross-border causes and consequences, requiring new forms of global governance for health. Although such governance often includes both state and non-state (private, civil society) actors in agenda setting and influence, different actors have differing degrees of power and authority and, ultimately, it is states that ratify intergovernmental covenants or normative declarations that directly or indirectly affect health. This requires public health and health promotion practitioners working within countries to give increased attention to the foreign policies of their national governments. These foreign policies include those governing national security, foreign aid, trade and investment as well as the traditional forms of diplomacy. A new term has been coined to describe how health is coming to be positioned in governments' foreign policies: global health diplomacy. To become adept at this nuanced diplomatic practice requires familiarity with the different policy frames by which health might be inserted into the foreign policy deliberations, and thence intergovernmental/global governance negotiations. This article discusses six such frames (security, trade, development, global public goods, human rights, ethical/moral reasoning) that have been analytically useful in assessing the potential for greater and more health-promoting foreign policy coherence: a 'Health in All (Foreign) Policies' approach.

  20. Challenging the Logic behind Government Policies for School Completion

    ERIC Educational Resources Information Center

    te Riele, Kitty

    2012-01-01

    This paper investigates a suite of policies that comprise the "National Partnership Agreement" between federal, state and territory governments in Australia that are ostensibly aimed at improving the educational attainment levels of young Australians. It specifically explores the policy terrain of educational targets that have been arrived at by…

  1. Challenges for Policy and Standards for Adult and Higher Education

    ERIC Educational Resources Information Center

    Wheelan, Belle S.

    2016-01-01

    This chapter addresses educational policy as a force that contemporary adult education would be required to reckon with from the point of view of an accreditor. It identifies the issues and projects shifts that are currently taking place in higher education policy at the national, state, and regional levels.

  2. Make in India and Challenges before Education Policy

    ERIC Educational Resources Information Center

    Misra, Satya Narayan; Ghadai, Sanjaya Ku.

    2015-01-01

    Economic development, inclusive growth and high employability are significantly linked to education policy of a country. Beginning with Kothari Commission (1966) with its emphasis on science & technology and research to National Policy on Education (1986), several committees during the last decade have advocated for greater foreign…

  3. Medical management of epileptic seizures: challenges and solutions

    PubMed Central

    Sarma, Anand K; Khandker, Nabil; Kurczewski, Lisa; Brophy, Gretchen M

    2016-01-01

    Epilepsy is one of the most common neurologic illnesses. This condition afflicts 2.9 million adults and children in the US, leading to an economic impact amounting to $15.5 billion. Despite the significant burden epilepsy places on the population, it is not very well understood. As this understanding continues to evolve, it is important for clinicians to stay up to date with the latest advances to provide the best care for patients. In the last 20 years, the US Food and Drug Administration has approved 15 new antiepileptic drugs (AEDs), with many more currently in development. Other advances have been achieved in terms of diagnostic modalities like electroencephalography technology, treatment devices like vagal nerve and deep-brain stimulators, novel alternate routes of drug administration, and improvement in surgical techniques. Specific patient populations, such as the pregnant, elderly, those with HIV/AIDS, and those with psychiatric illness, present their own unique challenges, with AED side effects, drug interactions, and medical–psychiatric comorbidities adding to the conundrum. The purpose of this article is to review the latest literature guiding the management of acute epileptic seizures, focusing on the current challenges across different practice settings, and it discusses studies in various patient populations, including the pregnant, geriatric, those with HIV/AIDS, comatose, psychiatric, and “pseudoseizure” patients, and offers possible evidence-based solutions or the expert opinion of the authors. Also included is information on newer AEDs, routes of administration, and significant AED-related drug-interaction tables. This review has tried to address only some of these issues that any practitioner who deals with the acute management of seizures may encounter. The document also highlights the numerous avenues for new research that would help practitioners optimize epilepsy management. PMID:26966367

  4. Medical management of epileptic seizures: challenges and solutions.

    PubMed

    Sarma, Anand K; Khandker, Nabil; Kurczewski, Lisa; Brophy, Gretchen M

    2016-01-01

    Epilepsy is one of the most common neurologic illnesses. This condition afflicts 2.9 million adults and children in the US, leading to an economic impact amounting to $15.5 billion. Despite the significant burden epilepsy places on the population, it is not very well understood. As this understanding continues to evolve, it is important for clinicians to stay up to date with the latest advances to provide the best care for patients. In the last 20 years, the US Food and Drug Administration has approved 15 new antiepileptic drugs (AEDs), with many more currently in development. Other advances have been achieved in terms of diagnostic modalities like electroencephalography technology, treatment devices like vagal nerve and deep-brain stimulators, novel alternate routes of drug administration, and improvement in surgical techniques. Specific patient populations, such as the pregnant, elderly, those with HIV/AIDS, and those with psychiatric illness, present their own unique challenges, with AED side effects, drug interactions, and medical-psychiatric comorbidities adding to the conundrum. The purpose of this article is to review the latest literature guiding the management of acute epileptic seizures, focusing on the current challenges across different practice settings, and it discusses studies in various patient populations, including the pregnant, geriatric, those with HIV/AIDS, comatose, psychiatric, and "pseudoseizure" patients, and offers possible evidence-based solutions or the expert opinion of the authors. Also included is information on newer AEDs, routes of administration, and significant AED-related drug-interaction tables. This review has tried to address only some of these issues that any practitioner who deals with the acute management of seizures may encounter. The document also highlights the numerous avenues for new research that would help practitioners optimize epilepsy management.

  5. Environmental exposure scenarios: development, challenges and possible solutions.

    PubMed

    Ahrens, Andreas; Traas, Theo P

    2007-12-01

    Under the new REACH system, companies importing, producing and marketing chemical substances will be obliged to register the single substances and to carry out a safety assessment for all identified uses during the life cycle of the substance. This duty will apply to about 10,000 existing substances in the EU market exceeding an annual production or import volume of 10 t per company. If the substance is already known to be dangerous or turns out to be dangerous(1) during the hazard assessment, the registrant is obliged to carry out an exposure assessment and a risk characterisation for all identified uses. The goal of the safety assessment is to define the conditions of use that allow for adequate control of risk with regard to health and safety at the work place, consumer safety and protection of the environment. Once the registrant has established and documented these conditions in the Chemicals Safety Report (CSR), that information is to be communicated down the supply chain by means of the Extended Safety Data Sheet (eSDS). The ultimate aim of the new legislation is to establish duties and mechanisms that systematically prevent or limit exposure to dangerous industrial chemicals. The current paper explains this concept with regard to environmental exposure and highlights the challenges and possible solutions. PMID:18000528

  6. Ethical Challenges and Solutions Regarding Delirium Studies in Palliative Care

    PubMed Central

    Sweet, Lisa; Adamis, Dimitrios; Meagher, David; Davis, Daniel; Currow, David; Bush, Shirley H.; Barnes, Christopher; Hartwick, Michael; Agar, Meera; Simon, Jessica; Breitbart, William; MacDonald, Neil; Lawlor, Peter G.

    2014-01-01

    Context Delirium occurs commonly in settings of palliative care (PC), in which patient vulnerability in the unique context of end-of-life care and delirium-associated impairment of decision-making capacity may together present many ethical challenges. Objectives Based on deliberations at the Studies to Understand Delirium in Palliative Care Settings (SUNDIPS) meeting and an associated literature review, this article discusses ethical issues central to the conduct of research on delirious PC patients. Methods Together with an analysis of the ethical deliberations at the SUNDIPS meeting, we conducted a narrative literature review by key words searching of relevant databases and a subsequent hand search of initially identified articles. We also reviewed statements of relevance to delirium research in major national and international ethics guidelines. Results Key issues identified include the inclusion of PC patients in delirium research, capacity determination, and the mandate to respect patient autonomy and ensure maintenance of patient dignity. Proposed solutions include designing informed consent statements that are clear, concise, and free of complex phraseology; use of concise, yet accurate, capacity assessment instruments with a minimally burdensome schedule; and use of PC friendly consent models, such as facilitated, deferred, experienced, advance, and proxy models. Conclusion Delirium research in PC patients must meet the common standards for such research in any setting. Certain features unique to PC establish a need for extra diligence in meeting these standards and the employment of assessments, consent procedures, and patient-family interactions that are clearly grounded on the tenets of PC. PMID:24388124

  7. Environmental exposure scenarios: development, challenges and possible solutions.

    PubMed

    Ahrens, Andreas; Traas, Theo P

    2007-12-01

    Under the new REACH system, companies importing, producing and marketing chemical substances will be obliged to register the single substances and to carry out a safety assessment for all identified uses during the life cycle of the substance. This duty will apply to about 10,000 existing substances in the EU market exceeding an annual production or import volume of 10 t per company. If the substance is already known to be dangerous or turns out to be dangerous(1) during the hazard assessment, the registrant is obliged to carry out an exposure assessment and a risk characterisation for all identified uses. The goal of the safety assessment is to define the conditions of use that allow for adequate control of risk with regard to health and safety at the work place, consumer safety and protection of the environment. Once the registrant has established and documented these conditions in the Chemicals Safety Report (CSR), that information is to be communicated down the supply chain by means of the Extended Safety Data Sheet (eSDS). The ultimate aim of the new legislation is to establish duties and mechanisms that systematically prevent or limit exposure to dangerous industrial chemicals. The current paper explains this concept with regard to environmental exposure and highlights the challenges and possible solutions.

  8. Public preferences and the challenge to genetic research policy

    PubMed Central

    Dresser, Rebecca

    2014-01-01

    Modern genetic research requires scientists to collect, store, and study DNA samples and health information from thousands of people. Longstanding policy allows researchers to use samples and information without a person's informed consent as long as the person's identity is protected. Under existing policy, researchers must neither disclose study results to interested research participants nor compensate people who contribute to genetic research. Research and ethics experts developed these policy approaches without input from the people whose contributions are essential to the genetic research enterprise. A growing body of evidence shows that many research participants and would-be participants disagree with the current policy approaches. For ethical and practical reasons, participants should have a greater role in determining how genetic research is conducted.

  9. The Importance of Science Policy and its Challenges

    NASA Astrophysics Data System (ADS)

    Preis, Benjamin

    2015-03-01

    I worked for physicist and Congressman Bill Foster (D-IL) as the Mather Public Policy Intern through the American Institute of Physics and the Society of Physics Students during the summer of 2014. This internship is meant to connect undergraduate physics students with the policy process in Washington DC. As a Mather Public Policy Intern, I worked for Congressman Foster researching policy initiatives such as science funding, STEM education, and environmental regulations. This talk will discuss my experience and many of the things that I learned as an undergraduate physicist working on Capitol Hill. For example, through my experience with the internship, I attended lectures and hearings that illuminated for me how members of Congress conceive of scientific research. I also met with many physicists on Capitol Hill working to improve government interest in physics research -- AAAS Fellows, Members of Congress, and Government Relations Specialists -- and I will talk about how I saw physicists impacting governmental policies relating to scientific research and development. This internship is part of the Society of Physics Students internship program and was funded by the John and Jane Mather Foundation for Science and the Arts. This work was part of the Society of Physics Students internship Program.

  10. Estimating Causal Effects in Observational Studies using Electronic Health Data: Challenges and (Some) Solutions

    PubMed Central

    Stuart, Elizabeth A.; DuGoff, Eva; Abrams, Michael; Salkever, David; Steinwachs, Donald

    2013-01-01

    Electronic health data sets, including electronic health records (EHR) and other administrative databases, are rich data sources that have the potential to help answer important questions about the effects of clinical interventions as well as policy changes. However, analyses using such data are almost always non-experimental, leading to concerns that those who receive a particular intervention are likely different from those who do not in ways that may confound the effects of interest. This paper outlines the challenges in estimating causal effects using electronic health data and offers some solutions, with particular attention paid to propensity score methods that help ensure comparisons between similar groups. The methods are illustrated with a case study describing the design of a study using Medicare and Medicaid administrative data to estimate the effect of the Medicare Part D prescription drug program on individuals with serious mental illness. PMID:24921064

  11. Radiotherapy physics research in the UK: challenges and proposed solutions

    PubMed Central

    Mackay, R I; Burnet, N G; Green, S; Illidge, T M; Staffurth, J N

    2012-01-01

    In 2011, the Clinical and Translational Radiotherapy Research Working Group (CTRad) of the National Cancer Research Institute brought together UK radiotherapy physics leaders for a think tank meeting. Following a format that CTRad had previously and successfully used with clinical oncologists, 23 departments were asked to complete a pre-meeting evaluation of their radiotherapy physics research infrastructure and the strengths, weaknesses, opportunities and threats within their own centre. These departments were brought together with the CTRad Executive Group and research funders to discuss the current state of radiotherapy physics research, perceived barriers and possible solutions. In this Commentary, we summarise the submitted materials, presentations and discussions from the meeting and propose an action plan. It is clear that there are challenges in both funding and staffing of radiotherapy physics research. Programme and project funding streams sometimes struggle to cater for physics-led work, and increased representation on research funding bodies would be valuable. Career paths for academic radiotherapy physicists need to be examined and an academic training route identified within Modernising Scientific Careers; the introduction of formal job plans may allow greater protection of research time, and should be considered. Improved access to research facilities, including research linear accelerators, would enhance research activity and pass on developments to patients more quickly; research infrastructure could be benchmarked against centres in the UK and abroad. UK National Health Service departments wishing to undertake radiotherapy research, with its attendant added value for patients, need to develop a strategy with their partner higher education institution, and collaboration between departments may provide enhanced opportunities for funded research. PMID:22972972

  12. Radiotherapy physics research in the UK: challenges and proposed solutions.

    PubMed

    Mackay, R I; Burnet, N G; Green, S; Illidge, T M; Staffurth, J N

    2012-10-01

    In 2011, the Clinical and Translational Radiotherapy Research Working Group (CTRad) of the National Cancer Research Institute brought together UK radiotherapy physics leaders for a think tank meeting. Following a format that CTRad had previously and successfully used with clinical oncologists, 23 departments were asked to complete a pre-meeting evaluation of their radiotherapy physics research infrastructure and the strengths, weaknesses, opportunities and threats within their own centre. These departments were brought together with the CTRad Executive Group and research funders to discuss the current state of radiotherapy physics research, perceived barriers and possible solutions. In this Commentary, we summarise the submitted materials, presentations and discussions from the meeting and propose an action plan. It is clear that there are challenges in both funding and staffing of radiotherapy physics research. Programme and project funding streams sometimes struggle to cater for physics-led work, and increased representation on research funding bodies would be valuable. Career paths for academic radiotherapy physicists need to be examined and an academic training route identified within Modernising Scientific Careers; the introduction of formal job plans may allow greater protection of research time, and should be considered. Improved access to research facilities, including research linear accelerators, would enhance research activity and pass on developments to patients more quickly; research infrastructure could be benchmarked against centres in the UK and abroad. UK National Health Service departments wishing to undertake radiotherapy research, with its attendant added value for patients, need to develop a strategy with their partner higher education institution, and collaboration between departments may provide enhanced opportunities for funded research.

  13. Methodological challenges and solutions in auditory functional magnetic resonance imaging.

    PubMed

    Peelle, Jonathan E

    2014-01-01

    Functional magnetic resonance imaging (fMRI) studies involve substantial acoustic noise. This review covers the difficulties posed by such noise for auditory neuroscience, as well as a number of possible solutions that have emerged. Acoustic noise can affect the processing of auditory stimuli by making them inaudible or unintelligible, and can result in reduced sensitivity to auditory activation in auditory cortex. Equally importantly, acoustic noise may also lead to increased listening effort, meaning that even when auditory stimuli are perceived, neural processing may differ from when the same stimuli are presented in quiet. These and other challenges have motivated a number of approaches for collecting auditory fMRI data. Although using a continuous echoplanar imaging (EPI) sequence provides high quality imaging data, these data may also be contaminated by background acoustic noise. Traditional sparse imaging has the advantage of avoiding acoustic noise during stimulus presentation, but at a cost of reduced temporal resolution. Recently, three classes of techniques have been developed to circumvent these limitations. The first is Interleaved Silent Steady State (ISSS) imaging, a variation of sparse imaging that involves collecting multiple volumes following a silent period while maintaining steady-state longitudinal magnetization. The second involves active noise control to limit the impact of acoustic scanner noise. Finally, novel MRI sequences that reduce the amount of acoustic noise produced during fMRI make the use of continuous scanning a more practical option. Together these advances provide unprecedented opportunities for researchers to collect high-quality data of hemodynamic responses to auditory stimuli using fMRI. PMID:25191218

  14. Challenges and Potential Solutions for Big Data Implementations in Developing Countries

    PubMed Central

    Mayan, J.C; García, M.J.; Almerares, A.A.; Househ, M.

    2014-01-01

    Summary Background The volume of data, the velocity with which they are generated, and their variety and lack of structure hinder their use. This creates the need to change the way information is captured, stored, processed, and analyzed, leading to the paradigm shift called Big Data. Objectives To describe the challenges and possible solutions for developing countries when implementing Big Data projects in the health sector. Methods A non-systematic review of the literature was performed in PubMed and Google Scholar. The following keywords were used: “big data”, “developing countries”, “data mining”, “health information systems”, and “computing methodologies”. A thematic review of selected articles was performed. Results There are challenges when implementing any Big Data program including exponential growth of data, special infrastructure needs, need for a trained workforce, need to agree on interoperability standards, privacy and security issues, and the need to include people, processes, and policies to ensure their adoption. Developing countries have particular characteristics that hinder further development of these projects. Conclusions The advent of Big Data promises great opportunities for the healthcare field. In this article, we attempt to describe the challenges developing countries would face and enumerate the options to be used to achieve successful implementations of Big Data programs. PMID:25123719

  15. Facing Global Challenges: A European University Perspective. Policy Perspectives

    ERIC Educational Resources Information Center

    Swail, Watson Scott

    2014-01-01

    This EPI Policy Perspectives covers a presentation given at the European University Association Annual Convention (March 20, 2009, in Prague, Czech Republic) that addresses the Bologna process in the European Union. The process raised many questions regarding the role of the university, and the entire tertiary/postsecondary system of education.…

  16. Mathematics Education in Europe: Common Challenges and National Policies

    ERIC Educational Resources Information Center

    Parveva, Teodora; Noorani, Sogol; Ranguelov, Stanislav; Motiejunaite, Akvile; Kerpanova, Viera

    2011-01-01

    Competence in mathematics is integral to a wide range of disciplines, professions and areas of life. This Eurydice report reveals crucial elements of the policies and practices that shape mathematics instruction in European education systems, focusing on reforms of mathematics curricula, teaching and assessment methods, as well as teacher…

  17. Algebra: A Challenge at the Crossroads of Policy and Practice

    ERIC Educational Resources Information Center

    Stein, Mary Kay; Kaufman, Julia Heath; Sherman, Milan; Hillen, Amy F.

    2011-01-01

    The authors review what is known about early and universal algebra, including who is getting access to algebra and student outcomes associated with algebra course taking in general and specifically with universal algebra policies. The findings indicate that increasing numbers of students, some of whom are underprepared, are taking algebra earlier.…

  18. Inclusive Education in Korea: Policy, Practice, and Challenges

    ERIC Educational Resources Information Center

    Kim, Yong Wook

    2013-01-01

    Even though the Korean experience with special education in the public education system is limited, inclusive education for special education needs (SEN) students has been at the center of attention at the national policy level since the mid-1990s. Since then, Korean educators and administrators have put an emphasis on the revision and regulation…

  19. Fiscal Challenge: An Experiential Exercise in Policy Making

    ERIC Educational Resources Information Center

    Aguilar, Mike; Soques, Daniel

    2015-01-01

    In this article, the authors introduce a pedagogical innovation that is designed to enhance students' understanding of fiscal policy in general, and the national debt and deficit in particular. The innovation leverages the educational advantages offered through a competitive environment by pitting teams of students against one another with the…

  20. Policy and Challenges of Building Schools as Inclusive Communities

    ERIC Educational Resources Information Center

    Curcic, Svjetlana; Gabel, Susan L.; Zeitlin, Virginia; Cribaro-DiFatta, Shannon; Glarner, Carmel

    2011-01-01

    In this paper, we address building inclusive communities by looking at school as a community, as a place where students participate in learning and also learn to participate in the life of a community and life in a broader inclusive society. At the international level, policies increasingly position education as a business organisation, with…

  1. Primary School English Reform in Japan: Policies, Progress and Challenges

    ERIC Educational Resources Information Center

    Ng, Chin Leong Patrick

    2016-01-01

    In April 2011, the Ministry of Education in Japan formally introduced Primary School English (PSE) language teaching in Japanese elementary schools. The PSE policy made it mandatory for fourth- and fifth-graders to attend English lessons once a week. Using the theoretical framework on why educational language plans fail [Kaplan, R. B., Baldauf, R.…

  2. Challenges in Evaluating the EU's Lifelong Learning Policies

    ERIC Educational Resources Information Center

    Clain, Alexandru

    2016-01-01

    Since the early 1990s, lifelong learning has become a major policy concern for the European Union, being seen as a means for enabling individuals to be more competitive in social and economic contexts that are continually changing. After a series of white papers and strategies in the field of lifelong learning, the EU launched the Lifelong…

  3. Policy challenges for cancer research: a call to arms.

    PubMed

    Sullivan, R

    2007-01-01

    Research has delivered remarkable benefits for cancer patients and their families since James Watson and Francis Crick wrote the now immortal line, 'We wish to propose a structure for the salt of deoxyribonucleic acid' thus setting the molecular foundations for the modern era of cancer control. The pace of technological innovation from fundamental scientific discoveries to the policy impact of huge population studies has been breathtaking. One has only to contrast a paper on the treatment of solid epithelial cancers written by Henri Tagnon and colleagues in 1966 (Eur J Cancer2 51-7) with the myriad of chemotherapeutic approaches at the oncologists disposal today. Inevitably, as the tide of research has risen so it has bought the flotsam and jetsam of regulations and policies. Some have been helpful, many pointless and too many actually harmful. Naturally, some of these regulatory and general policies (by this I mean those concerned with funding, structure and organization) have been specifically targeted at cancer research, e.g. US National Cancer Act 1971, whilst others have been a product of the general regulatory environment with indirect consequences for cancer research, e.g. EU Data Protection Directive 1995. Policy issues thus cover a vast terrain criss-crossed by complex interdependencies between scientific areas, countries S&T policies and socio-political constructs. Unfortunately, there has been little attention paid to the consequences of these policy issues from which the research community has, by and large, been passenger rather than driver.Global investment in cancer research is now at unprecedented levels. The recently published report by the European Cancer Research Managers Forum has found some 14 billion euros being annually spent worldwide on cancer research (this figure includes industry but overall probably underestimates spend by at least one billion [2]). With the ageing demographics of developed countries and the catch-up effect in

  4. Policy challenges for cancer research: a call to arms

    PubMed Central

    Sullivan, R

    2007-01-01

    Research has delivered remarkable benefits for cancer patients and their families since James Watson and Francis Crick wrote the now immortal line, ‘We wish to propose a structure for the salt of deoxyribonucleic acid’ thus setting the molecular foundations for the modern era of cancer control. The pace of technological innovation from fundamental scientific discoveries to the policy impact of huge population studies has been breathtaking. One has only to contrast a paper on the treatment of solid epithelial cancers written by Henri Tagnon and colleagues in 1966 (Eur J Cancer 2 51–7) with the myriad of chemotherapeutic approaches at the oncologists disposal today. Inevitably, as the tide of research has risen so it has bought the flotsam and jetsam of regulations and policies. Some have been helpful, many pointless and too many actually harmful. Naturally, some of these regulatory and general policies (by this I mean those concerned with funding, structure and organization) have been specifically targeted at cancer research, e.g. US National Cancer Act 1971, whilst others have been a product of the general regulatory environment with indirect consequences for cancer research, e.g. EU Data Protection Directive 1995. Policy issues thus cover a vast terrain criss-crossed by complex interdependencies between scientific areas, countries S&T policies and socio-political constructs. Unfortunately, there has been little attention paid to the consequences of these policy issues from which the research community has, by and large, been passenger rather than driver. Global investment in cancer research is now at unprecedented levels. The recently published report by the European Cancer Research Managers Forum has found some 14 billion euros being annually spent worldwide on cancer research (this figure includes industry but overall probably underestimates spend by at least one billion [2]). With the ageing demographics of developed countries and the catch-up effect in

  5. Algebra Policy in California: Great Expectations and Serious Challenges. Executive Summary

    ERIC Educational Resources Information Center

    EdSource, 2009

    2009-01-01

    This is a summary of the May 2009 EdSource report, "Algebra Policy in California: Great Expectations and Serious Challenges." The report focuses on California's policies regarding mathematics, in particular state standards for when students should take Algebra I. It also provides a comprehensive look at state data related to both student…

  6. Threats to Inclusive Education in Lesotho: An Overview of Policy and Implementation Challenges

    ERIC Educational Resources Information Center

    Mosia, Paseka Andrew

    2014-01-01

    This study looks at how the education of Learners with Special Education Needs (LSEN) has developed in Lesotho as a result of international policies on human rights and education. In particular, it explores various challenges to inclusive education such as proper understanding of inclusive education, the development of a policy on special and…

  7. Challenges Faced by Project Competition Participants and Recommended Solutions

    ERIC Educational Resources Information Center

    Demirel, Turgay; Baydas, Ozlem; Yilmaz, Rabia M.; Goktas, Yuksel

    2013-01-01

    The numbers of project competitions and interest in this kind of competition have been steadily increasing in Turkey. Accordingly, it is important to determine what challenges teachers and students may face while preparing themselves for project competitions, so that recommendations may be made to overcome these challenges. This study investigated…

  8. Solutions for Early Childhood Directors: Real Answers to Everyday Challenges.

    ERIC Educational Resources Information Center

    Lee, Kathy

    Noting that directors of early care and education programs face numerous challenges on a daily basis, this book is designed to provide real-world answers to common situations, in a format that directors can access immediately. The book is organized into seven chapters. Chapter 1 addresses staff-related challenges and includes a list of "how to's"…

  9. Development of a Mental Health Nursing Simulation: Challenges and Solutions

    ERIC Educational Resources Information Center

    Kidd, Lori I.; Morgan, Karyn I.; Savery, John R.

    2012-01-01

    Nursing education programs are proliferating rapidly in the United States in an effort to meet demand for nurse professionals. Multiple challenges arise from this rapid expansion. One challenge is finding sufficient clinical sites to accommodate students. Increased competition for scarce resources requires creativity in clinical contracting. This…

  10. Managing an outpatient parenteral antibiotic therapy team: challenges and solutions

    PubMed Central

    Halilovic, Jenana; Christensen, Cinda L; Nguyen, Hien H

    2014-01-01

    Outpatient parenteral antimicrobial therapy (OPAT) programs should strive to deliver safe, cost effective, and high quality care. One of the keys to developing and sustaining a high quality OPAT program is to understand the common challenges or barriers to OPAT delivery. We review the most common challenges to starting and managing an OPAT program and give practical advice on addressing these issues. PMID:24971015

  11. SchoolDude's Affordable Solutions for Educational Operations Challenges

    ERIC Educational Resources Information Center

    School Administrator, 2005

    2005-01-01

    School administrators face one of the most daunting challenges in history--providing quality learning environments during a tremendous financial crisis. The crisis may seem overwhelming, but web-native operations management technology offered by SchoolDude.com can help them overcome these challenges. The Internet makes technology more affordable…

  12. Becoming the Citizen Scientist: Opportunities and Challenges in Science Policy

    NASA Astrophysics Data System (ADS)

    Bosler, T. L.

    2007-03-01

    The methodologies, creativity and intellectual capacity of today's physicists are becoming more and more relevant in the world of policy and politics. Some issues such as climate change, alternative energy and avian influenza clearly reveal the relevance of scientific knowledge and research in policy. However, the connection between science and issues such as electronic voting, government earmarks and international cooperation are not as obvious, but the role of scientists in these topics and their effects on science itself are critical. As the world becomes increasingly technological and global, the need for the involvement of scientists in the political process grows. The traditional scientific training of physicists emphasizes intense scrutiny of specific physical phenomena in the natural world but often misses the opportunity to utilize trained scientific minds on some of society's greatest problems. I will discuss the many ways in which scientists can contribute to society far beyond the academic community and the unique opportunities science policy work offers to the socially conscious scientist or even those just looking to get more grant money.

  13. Workplace Diversity and Public Policy: Challenges and Opportunities for Psychology

    ERIC Educational Resources Information Center

    Fassinger, Ruth E.

    2008-01-01

    This article outlines both challenges and opportunities for psychology of issues related to diversity in education and work. For the purposes of this discussion, "diverse" populations include four groups currently marginalized and disadvantaged in the U.S. workplace: women, people of color, sexual minorities, and people with disabilities. An…

  14. VET Teachers in Europe: Policies, Practices and Challenges

    ERIC Educational Resources Information Center

    Misra, Pradeep Kumar

    2011-01-01

    The objective of making vocational education and training (VET) globally competitive and attractive by the European Union has put vocational teachers in the spotlight. As a result, the VET teacher profession in Europe is facing many challenges and demands expressed constantly by the general public, representatives from the world of work, public…

  15. Human Capital Development in Education: Challenges and Policy Options

    ERIC Educational Resources Information Center

    Best, Jane R.

    2010-01-01

    Increasing student achievement and narrowing the achievement gap are challenges that states and districts continue to confront as they strive to develop talent that will contribute to our nation's economy. Some strategies to produce authentic improvement in learning are not entirely a mystery. A preponderance of research in recent years…

  16. Hispanic-Serving Institutions: Contributions and Challenges. Policy Brief

    ERIC Educational Resources Information Center

    Malcom-Piqueux, Lindsey E.; Lee, John Michael, Jr.

    2011-01-01

    This brief presents information about the characteristics of the nation's Hispanic-serving institutions (HSIs) and their students, as well as the HSIs' contributions to the educational attainment of the Latino population. The brief concludes by outlining some of the challenges faced by HSIs as they aim to meet their implied mission of serving…

  17. Challenges to Freshman Year Interventions in Philadelphia. Policy Brief

    ERIC Educational Resources Information Center

    Research for Action, 2010

    2010-01-01

    Philadelphia made early investments in reforms designed to address the challenges of large neighborhood high schools, including supports for the critical ninth grade transition year. Well over a decade later, our research shows that freshman year interventions are frequently not implemented in ways that maximize their effectiveness. This policy…

  18. Policy challenges in US health care system reform.

    PubMed

    Hussain, Aftab; Rivers, Patrick A

    2010-01-01

    Once again, efforts are being made to overhaul the US health care system. Democrats and Republicans have conflicting views on how to repair this ailing system. However, this is not a new phenomenon. Reformers have long struggled to form a universal health care system only to find themselves in conflict with groups whose financial stake is threatened as well as numerous labor associations who are concerned about a loss of power. This struggle is also caused by differences in ideologies. This article surveys social movements for national health insurance (NHI) that occurred in the United States and will examine features that prevented NHI policy formation. PMID:22329329

  19. Ethics and Continuing Professional Education: Today's Challenges, Tomorrow's Solutions.

    ERIC Educational Resources Information Center

    Lawler, Patricia A.

    2001-01-01

    If continuing professional education is to make a difference and meet challenges, ethics and its place in professional life must be moved to the forefront. Educators should continually renew the ethics discourse, drawing on the resources of adult education. (JOW)

  20. Minority Students and College Success: Challenges and Solutions

    ERIC Educational Resources Information Center

    Dolan, Thomas G.

    2008-01-01

    In terms of opportunities for college, the society is not a level playing field, according to David Conley, professor and director of the research center for educational policy, University of Oregon. Middle and upper classes have far more access to the right information than others. Conley adds that when a person goes to college, he/she needs a…

  1. Privatizing policy: Market solutions to energy and environmental problems

    SciTech Connect

    Stroup, R.

    1995-12-31

    This paper discusses how and why privatization can improve policy, not only in terms of managing production, but also in terms of regulation. Three major aspects of privatization are discussed. The importance for the environment of economic efficiency and prosperity is examined. The role of private law and a rights-based policy for controlling pollution is considered. Finally the claim that privatization would replace farsighted government decisions with shortsighted decisions by owners is examined. 83 refs., 2 figs.

  2. Challenges facing European agriculture and possible biotechnological solutions.

    PubMed

    Ricroch, Agnès; Harwood, Wendy; Svobodová, Zdeňka; Sági, László; Hundleby, Penelope; Badea, Elena Marcela; Rosca, Ioan; Cruz, Gabriela; Salema Fevereiro, Manuel Pedro; Marfà Riera, Victoria; Jansson, Stefan; Morandini, Piero; Bojinov, Bojin; Cetiner, Selim; Custers, René; Schrader, Uwe; Jacobsen, Hans-Joerg; Martin-Laffon, Jacqueline; Boisron, Audrey; Kuntz, Marcel

    2016-10-01

    Agriculture faces many challenges to maximize yields while it is required to operate in an environmentally sustainable manner. In the present study, we analyze the major agricultural challenges identified by European farmers (primarily related to biotic stresses) in 13 countries, namely Belgium, Bulgaria, the Czech Republic, France, Germany, Hungary, Italy, Portugal, Romania, Spain, Sweden, UK and Turkey, for nine major crops (barley, beet, grapevine, maize, oilseed rape, olive, potato, sunflower and wheat). Most biotic stresses (BSs) are related to fungi or insects, but viral diseases, bacterial diseases and even parasitic plants have an important impact on yield and harvest quality. We examine how these challenges have been addressed by public and private research sectors, using either conventional breeding, marker-assisted selection, transgenesis, cisgenesis, RNAi technology or mutagenesis. Both national surveys and scientific literature analysis followed by text mining were employed to evaluate genetic engineering (GE) and non-GE approaches. This is the first report of text mining of the scientific literature on plant breeding and agricultural biotechnology research. For the nine major crops in Europe, 128 BS challenges were identified with 40% of these addressed neither in the scientific literature nor in recent European public research programs. We found evidence that the private sector was addressing only a few of these "neglected" challenges. Consequently, there are considerable gaps between farmer's needs and current breeding and biotechnology research. We also provide evidence that the current political situation in certain European countries is an impediment to GE research in order to address these agricultural challenges in the future. This study should also contribute to the decision-making process on future pertinent international consortia to fill the identified research gaps.

  3. Challenges facing European agriculture and possible biotechnological solutions.

    PubMed

    Ricroch, Agnès; Harwood, Wendy; Svobodová, Zdeňka; Sági, László; Hundleby, Penelope; Badea, Elena Marcela; Rosca, Ioan; Cruz, Gabriela; Salema Fevereiro, Manuel Pedro; Marfà Riera, Victoria; Jansson, Stefan; Morandini, Piero; Bojinov, Bojin; Cetiner, Selim; Custers, René; Schrader, Uwe; Jacobsen, Hans-Joerg; Martin-Laffon, Jacqueline; Boisron, Audrey; Kuntz, Marcel

    2016-10-01

    Agriculture faces many challenges to maximize yields while it is required to operate in an environmentally sustainable manner. In the present study, we analyze the major agricultural challenges identified by European farmers (primarily related to biotic stresses) in 13 countries, namely Belgium, Bulgaria, the Czech Republic, France, Germany, Hungary, Italy, Portugal, Romania, Spain, Sweden, UK and Turkey, for nine major crops (barley, beet, grapevine, maize, oilseed rape, olive, potato, sunflower and wheat). Most biotic stresses (BSs) are related to fungi or insects, but viral diseases, bacterial diseases and even parasitic plants have an important impact on yield and harvest quality. We examine how these challenges have been addressed by public and private research sectors, using either conventional breeding, marker-assisted selection, transgenesis, cisgenesis, RNAi technology or mutagenesis. Both national surveys and scientific literature analysis followed by text mining were employed to evaluate genetic engineering (GE) and non-GE approaches. This is the first report of text mining of the scientific literature on plant breeding and agricultural biotechnology research. For the nine major crops in Europe, 128 BS challenges were identified with 40% of these addressed neither in the scientific literature nor in recent European public research programs. We found evidence that the private sector was addressing only a few of these "neglected" challenges. Consequently, there are considerable gaps between farmer's needs and current breeding and biotechnology research. We also provide evidence that the current political situation in certain European countries is an impediment to GE research in order to address these agricultural challenges in the future. This study should also contribute to the decision-making process on future pertinent international consortia to fill the identified research gaps. PMID:26133365

  4. The mental health system in Brazil: Policies and future challenges

    PubMed Central

    Mateus, Mario D; Mari, Jair J; Delgado, Pedro GG; Almeida-Filho, Naomar; Barrett, Thomas; Gerolin, Jeronimo; Goihman, Samuel; Razzouk, Denise; Rodriguez, Jorge; Weber, Renata; Andreoli, Sergio B; Saxena, Shekhar

    2008-01-01

    . However, services are unequally distributed across the regions of the country, and the growth of the elderly population, combined with an existing treatment gap is increasing the burden on mental health care. This gap may get even wider if funding does not increase and mental health services are not expanded in the country. There is not yet a good degree of integration between primary care and the mental health teams working at CAPS level, and it is necessary to train professionals to act as mental health planners and as managers. Research on service organization, policy and mental health systems evaluation are strongly recommended in the country. There are no firm data to show the impact of such policies in terms of community service cost-effectiveness and no tangible indicators to assess the results of these policies. PMID:18775070

  5. Adolescence and AAC: Intervention Challenges and Possible Solutions

    ERIC Educational Resources Information Center

    Smith, Martine M.

    2015-01-01

    Adolescence is a unique developmental period, spanning the gulf between childhood and adulthood. For adolescents who use augmentative and alternative communication (AAC), the major physical, cognitive, linguistic, social, and emotional changes associated with adolescence may have significant implications for their use of AAC. These challenges are…

  6. Scattered Challenges, Singular Solutions: The New Latino Diaspora

    ERIC Educational Resources Information Center

    Wortham, Stanton; Clonan-Roy, Katherine; Link, Holly; Martinez, Carlos

    2013-01-01

    A new Latino diaspora has seen the arrival of Spanish-speaking students in rural and suburban America--places that had not experienced Hispanic immigration in the way the Southwest and urban centers have. This new development presents educators with challenges in meeting these students' needs. But educators also have the opportunity to draw…

  7. Collaborative Solutions or New Policy Problems: Exploring Multi-Agency Partnerships in Education and Health Work.

    ERIC Educational Resources Information Center

    Milbourne, Linda; Macrae, Sheila; Maguire, Meg

    2003-01-01

    Examines ways in which policy is constructed in a UK multi-agency partnership established to challenge the exclusion of children from primary schools. Considers current social-exclusion policies focusing on problems and dilemmas of multi-agency partnerships. Drawing on data from one study, examines partnership in one specific context, combining…

  8. Integrating Mercury Science and Policy in the Marine Context: Challenges and Opportunities

    PubMed Central

    Lambert, Kathleen F.; Evers, David C.; Warner, Kimberly A.; King, Susannah L.; Selin, Noelle E.

    2014-01-01

    Mercury is a global pollutant and presents policy challenges at local, regional, and global scales. Mercury poses risks to the health of people, fish, and wildlife exposed to elevated levels of mercury, most commonly from the consumption of methylmercury in marine and estuarine fish. The patchwork of current mercury abatement efforts limits the effectiveness of national and multi-national policies. This paper provides an overview of the major policy challenges and opportunities related to mercury in coastal and marine environments, and highlights science and policy linkages of the past several decades. The U.S. policy examples explored here point to the need for a full life cycle approach to mercury policy with a focus on source reduction and increased attention to: (1) the transboundary movement of mercury in air, water, and biota; (2) the coordination of policy efforts across multiple environmental media; (3) the cross-cutting issues related to pollutant interactions, mitigation of legacy sources, and adaptation to elevated mercury via improved communication efforts; and (4) the integration of recent research on human and ecological health effects into benefits analyses for regulatory purposes. Stronger science and policy integration will benefit national and international efforts to prevent, control, and minimize exposure to methylmercury. PMID:22901766

  9. Current status, challenges, policies, and bioethics of biobanks.

    PubMed

    Kang, Byunghak; Park, Jaesun; Cho, Sangyun; Lee, Meehee; Kim, Namhee; Min, Haesook; Lee, Sooyoun; Park, Ok; Han, Bokghee

    2013-12-01

    Many biobanks were established as biorepositories for biomedical research, and a number of biobanks were founded in the 1990s. The main aim of the biobank is to store and to maintain biomaterials for studying chronic disease, identifying risk factors of specific diseases, and applying personalized drug therapies. This report provides a review of biobanks, including Korean biobanks and an analysis of sample volumes, regulations, policies, and ethical issues of the biobank. Until now, the top 6 countries according to the number of large-scale biobanks are the United Kingdom, United States, Sweden, France, the Netherlands, and Italy, and there is one major National Biobank of Korea (NBK) and 17 regional biobanks in Korea. Many countries have regulations and guidelines for the biobanks, and the importance of good management of biobanks is increasing. Meanwhile, according to a first survey of 456 biobank managers in the United States, biobankers are concerned with the underuse of the samples in their repositories, which need to be advertised for researchers. Korea Biobank Network (KBN) project phase II (2013-2015) was also planned for the promotion to use biospecimens in the KBN. The KBN is continuously introducing for researchers to use biospecimens in the biobank. An accreditation process can also be introduced for biobanks to harmonize collections and encourage use of biospecimens in the biobanks. KBN is preparing an on-line application system for the distribution of biospecimens and a biobank accreditation program and is trying to harmonize the biobanks.

  10. Communications Technologies: Challenges and Solutions for Isolated School Learners.

    ERIC Educational Resources Information Center

    Sheppard, Marlene

    1986-01-01

    Discusses the role of communications technologies in distance education; the communication needs of distance education; problems confronting New South Wales (Australia) in providing distance education on the primary and secondary levels; and solutions to those problems by way of technology. The specific case of an electronic mail system is…

  11. Challenges, solutions, and recommendations for Alzheimer's disease combination therapy.

    PubMed

    Hendrix, James A; Bateman, Randall J; Brashear, H Robert; Duggan, Cynthia; Carrillo, Maria C; Bain, Lisa J; DeMattos, Ronald; Katz, Russell G; Ostrowitzki, Susanne; Siemers, Eric; Sperling, Reisa; Vitolo, Ottavio V

    2016-05-01

    Given the complex neuropathology Alzheimer's disease (AD), combination therapy may be necessary for effective treatment. However, scientific, pragmatic, regulatory, and business challenges need to be addressed before combination therapy for AD can become a reality. Leaders from academia and industry, along with a former member of the Food and Drug Administration and the Alzheimer's Association, have explored these challenges and here propose a strategy to facilitate proof-of-concept combination therapy trials in the near future. First, a more integrated understanding of the complex pathophysiology and progression of AD is needed to identify the appropriate pathways and the disease stage to target. Once drug candidates are identified, novel clinical trial designs and selection of appropriate outcome assessments will be needed to enable definition and evaluation of the appropriate dose and dosing regimen and determination of efficacy. Success in addressing this urgent problem will only be achieved through collaboration among multiple stakeholders.

  12. Should AAPL enforce its ethics? Challenges and solutions.

    PubMed

    Candilis, Philip J; Dike, Charles C; Meyer, Donald J; Myers, Wade C; Weinstock, Robert

    2014-01-01

    Ethics enforcement in psychiatry occurs at the district branch and American Psychiatric Association (APA) levels under the guidance of American Medical Association (AMA) and APA ethics documents. Subspecialty ethics consequently have no formal role in the enforcement process. This reality challenges practitioners to work according to guidelines that may not be sufficiently relevant and challenges ethics reviewers to apply frameworks not intended for the subspecialties. This article offers the theoretical and practical support to amend APA Procedures to permit formal consideration of subspecialty ethics during ethics complaints and to include forensic practitioners on panels reviewing them. This is the first step toward an integration of two conflicting models of ethics enforcement, regulatory and aspirational, that bring together specialty and subspecialty ethics.

  13. Multiple myeloma in the very elderly patient: challenges and solutions

    PubMed Central

    Willan, John; Eyre, Toby A; Sharpley, Faye; Watson, Caroline; King, Andrew J; Ramasamy, Karthik

    2016-01-01

    Diagnosis and management of myeloma in the very elderly patient is challenging. Treatment options have vastly improved for elderly myeloma patients but still require the clinician to personalize therapy. In this paper, we offer evidence-based, pragmatic advice on how to overcome six of the main challenges likely to arise: 1) diagnosis of myeloma in this age group, 2) assessment of the need for treatment, and the fitness for combination chemotherapy, 3) provision of the best quality of supportive care, 4) choice of combination chemotherapy in those fit enough for it, 5) treatment of relapsed myeloma, and 6) provision of end of life care. With an increased burden of comorbidities and a reduced resilience to treatment and its associated toxicities, the management of myeloma in this age group requires a different approach to that in younger patients to maximize both quality and length of life. PMID:27143866

  14. Uav Photogrammetry: a Practical Solution for Challenging Mapping Projects

    NASA Astrophysics Data System (ADS)

    Saadatseresht, M.; Hashempour, A. H.; Hasanlou, M.

    2015-12-01

    We have observed huge attentions to application of unmanned aerial vehicle (UAV) in aerial mapping since a decade ago. Though, it has several advantages for handling time/cost/quality issues, there are a dozen of challenges in working with UAVs. In this paper, we; as the Robotic Photogrammetry Research Group (RPRG), will firstly review these challenges then show its advantages in three special practical projects. For each project, we will share our experiences through description of the UAV specifications, flight settings and processing steps. At the end, we will illustrate final result of each project and show how this technology could make unbelievable benefits to clients including 3D city realistic model in decimetre level, ultra high quality map production in several centimetre level, and accessing to a high risk and rough relief area for mapping aims.

  15. Challenges, solutions, and recommendations for Alzheimer's disease combination therapy.

    PubMed

    Hendrix, James A; Bateman, Randall J; Brashear, H Robert; Duggan, Cynthia; Carrillo, Maria C; Bain, Lisa J; DeMattos, Ronald; Katz, Russell G; Ostrowitzki, Susanne; Siemers, Eric; Sperling, Reisa; Vitolo, Ottavio V

    2016-05-01

    Given the complex neuropathology Alzheimer's disease (AD), combination therapy may be necessary for effective treatment. However, scientific, pragmatic, regulatory, and business challenges need to be addressed before combination therapy for AD can become a reality. Leaders from academia and industry, along with a former member of the Food and Drug Administration and the Alzheimer's Association, have explored these challenges and here propose a strategy to facilitate proof-of-concept combination therapy trials in the near future. First, a more integrated understanding of the complex pathophysiology and progression of AD is needed to identify the appropriate pathways and the disease stage to target. Once drug candidates are identified, novel clinical trial designs and selection of appropriate outcome assessments will be needed to enable definition and evaluation of the appropriate dose and dosing regimen and determination of efficacy. Success in addressing this urgent problem will only be achieved through collaboration among multiple stakeholders. PMID:27017906

  16. Insights and Opportunities: Technologies, Policies, and Markets for Clean Energy Solutions (Presentation)

    SciTech Connect

    Arent, D.

    2009-11-01

    A presentation highlighting how strategic energy analysis can affect technologies, policies, and markets for clean energy solutions. This includes an overview of some of NREL's models and tools as well as results from laboratory analysis.

  17. Barriers to Training for Older Workers and Possible Policy Solutions.

    ERIC Educational Resources Information Center

    Wooden, Mark; VandenHeuvel, Adriana; Cully, Mark; Curtain, Richard

    This report covers a study of barriers for older workers in obtaining and benefitting from training and innovative policies to remove them. After an introduction, Chapter 2 reviews literature on incidence and determinants of older workers' participation in training; barriers to training; and employer and government initiatives to enhance older…

  18. Education Policy, Research and Neuroscience: The Final Solution?

    ERIC Educational Resources Information Center

    Sankey, Derek

    2008-01-01

    Taken as a whole, the findings of educational research are often inconclusive; far too many competing ideas and thus difficult for policy makers to decide what to believe, unless it says what they really want to hear. An alternative is to seek help from the much more "scientifically reliable" findings of neuroscience. Perhaps this will…

  19. Implementation of Policies and Strategies for Control of Noncommunicable Diseases in Malawi: Challenges and Opportunities.

    PubMed

    Lupafya, Phindile Chitsulo; Mwagomba, Beatrice L Matanje; Hosig, Kathy; Maseko, Lucy M; Chimbali, Henry

    2016-04-01

    Malawi is a Sub-Saharan African country experiencing the epidemiological transition from predominantly infectious to noncommunicable diseases (NCDs) with dramatically increasing prevalence of lifestyle-related diseases such as obesity, hypertension, and diabetes. Malawi's 2011-2016 Health Sector Strategic Plan included NCDs, and an NCD Control Program was established with subsequent development of a National Action Plan for prevention and management of NCDs launched in 2013. The current study was designed to identify gaps in implementation of NCD control program policies and action plan strategies by describing current efforts toward prevention and management of NCDs in Malawi with emphasis on challenges and opportunities. Semistructured questionnaires were used to collect quantitative and qualitative data from Malawi Ministry of Health personnel (senior officers, service providers, health education officers, and nutritionists) in 10 health districts and 3 central hospitals. Frequencies were generated for quantitative data. Qualitative data were used to generate themes and most common responses. Results showed that current services focus on facility-based NCD screening and clinical services rather than active screening, prevention, and community awareness and outreach, although respondents emphasized the importance of prevention, lifestyle education, and community outreach. Respondents indicated inadequate resources for NCD services including financial capital, human resources, equipment and supplies, and transportation. While Malawi has begun to address NCDs, policy and practice implications include (a) better integration of services within the existing infrastructure with emphasis on capacity building; (b) greater implementation of planned NCD activities; (c) a stronger, more comprehensive data management system; and (d) innovative funding solutions. PMID:27037149

  20. Taming the Beast: Policy-based Solutions for Addressing Corporate Interference in Climate Policy Development

    NASA Astrophysics Data System (ADS)

    Grifo, F.

    2012-12-01

    Inappropriate corporate influence in science-based policy has been a persistent problem in the United States across multiple issue areas and through many administrations. Interference in climate change policy has been especially pervasive in recent years, with tremendous levels of corporate resources being utilized to spread misinformation on climate science and reduce and postpone regulatory action. Much of the influence exerted by these forces is concealed from public view. Better corporate disclosure laws would reveal who is influencing climate policy to policy makers, investors, and the public. Greater transparency in the political activity of corporate actors is needed to shed light on who is responsible for the misinformation campaigns clouding the discussion around climate change in the United States. Such transparency will empower diverse stakeholders to hold corporations accountable. Specific federal policy reforms can be made in order to guide the nation down a path of greater corporate accountability in climate change policy efforts.

  1. Emerging Water Contaminants: Technical, Legal and Policy Challenges

    NASA Astrophysics Data System (ADS)

    Deeb, R. A.; Kresic, N.; Laugier, M. C.; Kavanaugh, M. C.

    2002-12-01

    Approximately 120 new chemicals are created each year due to ever-improving industry and technology markets. Releases of new contaminants into the environment can occur during production, use and disposal of these chemicals thereby leading to potential contamination of water supply sources. Very few emerging contaminants are regulated. In addition, knowledge gaps regarding emerging contaminants include lack health effects, occurrence (either because these compounds are not measured or because concentrations are below detection limits of readily available analytical techniques) and fate and transport in the environment especially with regards to mobility and persistence. The sources of these compounds are numerous. One source is treated wastewater, which is re-injected into groundwater aquifers for indirect potable reuse purposes. Emerging compounds of concern can be classified in various classes. This presentation will focus on contaminants, which have emerged in the last 10 years including pharmaceuticals (antibiotics/drugs), personal care products (polycyclic musks), pesticides/herbicides, industrial solvents (1,4-dioxane), gasoline additives (MTBE), disinfection byproducts such as NDMA (N-nitrosodimethylamine), and inorganic compounds such as perchlorate and arsenic. This presentation will present technical, legal and legislative challenges posed by the presence of these contaminants in water. Background information including chemical's history of use, sources in the environments, nationwide occurrence, physical and chemical properties, behavior in the environment and technologies for removal from soil and water will be presented. In addition, case studies on MTBE, pharmaceuticals and personal care products, 1,4-dioxane, arsenic and NDMA will be discussed.

  2. System- and Policy-Level Challenges to Full Implementation of the Crisis Intervention Team (CIT) Model

    PubMed Central

    Compton, Michael T.; Broussard, Beth; Hankerson-Dyson, Dana; Krishan, Shaily; Stewart, Tarianna; Oliva, Janet R.; Watson, Amy C.

    2010-01-01

    The Crisis Intervention Team (CIT) model of collaboration between law enforcement and mental health is widely recognized as being “more than just training” for police officers; the core elements of CIT include a number of other components. However, several system- and policy-level obstacles can make successful implementation of CIT difficult in many communities. Three such challenges are addressed in this article: insufficient training and policies for dispatchers, poor availability of psychiatric emergency receiving facilities, and complexities related to implementation of CIT in rural settings. Collaboratively addressing these and other challenges will undoubtedly advance the goals of CIT. PMID:21113319

  3. Children's Health Insurance Program (CHIP): accomplishments, challenges, and policy recommendations.

    PubMed

    Racine, Andrew D; Long, Thomas F; Helm, Mark E; Hudak, Mark; Racine, Andrew D; Shenkin, Budd N; Snider, Iris Grace; White, Patience Haydock; Droge, Molly; Harbaugh, Norman

    2014-03-01

    Sixteen years ago, the 105th Congress, responding to the needs of 10 million children in the United States who lacked health insurance, created the State Children's Health Insurance Program (SCHIP) as part of the Balanced Budget Act of 1997. Enacted as Title XXI of the Social Security Act, the Children's Health Insurance Program (CHIP; or SCHIP as it has been known at some points) provided states with federal assistance to create programs specifically designed for children from families with incomes that exceeded Medicaid thresholds but that were insufficient to enable them to afford private health insurance. Congress provided $40 billion in block grants over 10 years for states to expand their existing Medicaid programs to cover the intended populations, to erect new stand-alone SCHIP programs for these children, or to effect some combination of both options. Congress reauthorized CHIP once in 2009 under the Children's Health Insurance Program Reauthorization Act and extended its life further within provisions of the Patient Protection and Affordable Care Act of 2010. The purpose of this statement is to review the features of CHIP as it has evolved over the 16 years of its existence; to summarize what is known about the effects that the program has had on coverage, access, health status, and disparities among participants; to identify challenges that remain with respect to insuring this group of vulnerable children, including the impact that provisions of the new Affordable Care Act will have on the issue of health insurance coverage for near-poor children after 2015; and to offer recommendations on how to expand and strengthen the national commitment to provide health insurance to all children regardless of means.

  4. Opportunities and Challenges in Evidence-Based Social Policy. Social Policy Report. Volume 28, Number 4

    ERIC Educational Resources Information Center

    Supplee, Lauren H.; Metz, Allison

    2014-01-01

    Despite a robust body of evidence of effectiveness of social programs, few evidence-based programs have been scaled for population-level improvement in social problems. Since 2010 the federal government has invested in evidence-based social policy by supporting a number of new evidence-based programs and grant initiatives. These initiatives…

  5. Developing consensus-based policy solutions for medicines adherence for Europe: a delphi study

    PubMed Central

    2012-01-01

    Background Non-adherence to prescribed medication is a pervasive problem that can incur serious effects on patients’ health outcomes and well-being, and the availability of resources in healthcare systems. This study aimed to develop practical consensus-based policy solutions to address medicines non-adherence for Europe. Methods A four-round Delphi study was conducted. The Delphi Expert Panel comprised 50 participants from 14 countries and was representative of: patient/carers organisations; healthcare providers and professionals; commissioners and policy makers; academics; and industry representatives. Participants engaged in the study remotely, anonymously and electronically. Participants were invited to respond to open questions about the causes, consequences and solutions to medicines non-adherence. Subsequent rounds refined responses, and sought ratings of the relative importance, and operational and political feasibility of each potential solution to medicines non-adherence. Feedback of individual and group responses was provided to participants after each round. Members of the Delphi Expert Panel and members of the research group participated in a consensus meeting upon completion of the Delphi study to discuss and further refine the proposed policy solutions. Results 43 separate policy solutions to medication non-adherence were agreed by the Panel. 25 policy solutions were prioritised based on composite scores for importance, and operational and political feasibility. Prioritised policy solutions focused on interventions for patients, training for healthcare professionals, and actions to support partnership between patients and healthcare professionals. Few solutions concerned actions by governments, healthcare commissioners, or interventions at the system level. Conclusions Consensus about practical actions necessary to address non-adherence to medicines has been developed for Europe. These actions are also applicable to other regions. Prioritised

  6. NAIMA as a solution for future GMO diagnostics challenges.

    PubMed

    Dobnik, David; Morisset, Dany; Gruden, Kristina

    2010-03-01

    In the field of genetically modified organism (GMO) diagnostics, real-time PCR has been the method of choice for target detection and quantification in most laboratories. Despite its numerous advantages, however, the lack of a true multiplexing option may render real-time PCR less practical in the face of future GMO detection challenges such as the multiplicity and increasing complexity of new transgenic events, as well as the repeated occurrence of unauthorized GMOs on the market. In this context, we recently reported the development of a novel multiplex quantitative DNA-based target amplification method, named NASBA implemented microarray analysis (NAIMA), which is suitable for sensitive, specific and quantitative detection of GMOs on a microarray. In this article, the performance of NAIMA is compared with that of real-time PCR, the focus being their performances in view of the upcoming challenge to detect/quantify an increasing number of possible GMOs at a sustainable cost and affordable staff effort. Finally, we present our conclusions concerning the applicability of NAIMA for future use in GMO diagnostics. PMID:19821160

  7. An elegant biosensor molecular beacon probe: challenges and recent solutions.

    PubMed

    Kolpashchikov, Dmitry M

    2012-01-01

    Molecular beacon (MB) probes are fluorophore- and quencher-labeled short synthetic DNAs folded in a stem-loop shape. Since the first report by Tyagi and Kramer, it has become a widely accepted tool for nucleic acid analysis and triggered a cascade of related developments in the field of molecular sensing. The unprecedented success of MB probes stems from their ability to detect specific DNA or RNA sequences immediately after hybridization with no need to wash out the unbound probe (instantaneous format). Importantly, the hairpin structure of the probe is responsible for both the low fluorescent background and improved selectivity. Furthermore, the signal is generated in a reversible manner; thus, if the analyte is removed, the signal is reduced to the background. This paper highlights the advantages of MB probes and discusses the approaches that address the challenges in MB probe design. Variations of MB-based assays tackle the problem of stem invasion, improve SNP genotyping and signal-to-noise ratio, as well as address the challenges of detecting folded RNA and DNA.

  8. NAIMA as a solution for future GMO diagnostics challenges.

    PubMed

    Dobnik, David; Morisset, Dany; Gruden, Kristina

    2010-03-01

    In the field of genetically modified organism (GMO) diagnostics, real-time PCR has been the method of choice for target detection and quantification in most laboratories. Despite its numerous advantages, however, the lack of a true multiplexing option may render real-time PCR less practical in the face of future GMO detection challenges such as the multiplicity and increasing complexity of new transgenic events, as well as the repeated occurrence of unauthorized GMOs on the market. In this context, we recently reported the development of a novel multiplex quantitative DNA-based target amplification method, named NASBA implemented microarray analysis (NAIMA), which is suitable for sensitive, specific and quantitative detection of GMOs on a microarray. In this article, the performance of NAIMA is compared with that of real-time PCR, the focus being their performances in view of the upcoming challenge to detect/quantify an increasing number of possible GMOs at a sustainable cost and affordable staff effort. Finally, we present our conclusions concerning the applicability of NAIMA for future use in GMO diagnostics.

  9. An Elegant Biosensor Molecular Beacon Probe: Challenges and Recent Solutions

    PubMed Central

    Kolpashchikov, Dmitry M.

    2012-01-01

    Molecular beacon (MB) probes are fluorophore- and quencher-labeled short synthetic DNAs folded in a stem-loop shape. Since the first report by Tyagi and Kramer, it has become a widely accepted tool for nucleic acid analysis and triggered a cascade of related developments in the field of molecular sensing. The unprecedented success of MB probes stems from their ability to detect specific DNA or RNA sequences immediately after hybridization with no need to wash out the unbound probe (instantaneous format). Importantly, the hairpin structure of the probe is responsible for both the low fluorescent background and improved selectivity. Furthermore, the signal is generated in a reversible manner; thus, if the analyte is removed, the signal is reduced to the background. This paper highlights the advantages of MB probes and discusses the approaches that address the challenges in MB probe design. Variations of MB-based assays tackle the problem of stem invasion, improve SNP genotyping and signal-to-noise ratio, as well as address the challenges of detecting folded RNA and DNA. PMID:24278758

  10. Communicating Geosciences with Policy-makers: a Grand Challenge for Academia

    NASA Astrophysics Data System (ADS)

    Harrison, W. J.; Walls, M. R.; Boland, M. A.

    2015-12-01

    Geoscientists interested in the broader societal impacts of their research can make a meaningful contribution to policy making in our changing world. Nevertheless, policy and public decision making are the least frequently cited Broader Impacts in proposals and funded projects within NSF's Geosciences Directorate. Academic institutions can play a lead role by introducing this societal dimension of our profession to beginning students, and by enabling interdisciplinary research and promoting communication pathways for experienced career geoscientists. Within the academic environment, the public interface of the geosciences can be presented through curriculum content and creative programs. These include undergraduate minors in economics or public policy designed for scientists and engineers, and internships with policy makers. Federal research institutions and other organizations provide valuable policy-relevant experiences for students. Academic institutions have the key freedom of mission to tackle interdisciplinary research challenges at the interface of geoscience and policy. They develop long-standing relationships with research partners, including national laboratories and state geological surveys, whose work may support policy development and analysis at local, state, regional, and national levels. CSM's Payne Institute for Earth Resources awards mini-grants for teams of researchers to develop collaborative research efforts between engineering/science and policy researchers. Current work in the areas of nuclear generation and the costs of climate policy and on policy alternatives for capturing fugitive methane emissions are examples of work at the interface between the geosciences and public policy. With academic engagement, geoscientists can steward their intellectual output when non-scientists translate geoscience information and concepts into action through public policies.

  11. Social Norms and Global Environmental Challenges: The Complex Interaction of Behaviors, Values, and Policy

    PubMed Central

    Ehrlich, Paul R.; Alston, Lee J.; Arrow, Kenneth; Barrett, Scott; Buchman, Timothy G.; Daily, Gretchen C.; Levin, Bruce; Levin, Simon; Oppenheimer, Michael; Ostrom, Elinor; Saari, Donald

    2014-01-01

    SUMMARY Government policies are needed when people’s behaviors fail to deliver the public good. Those policies will be most effective if they can stimulate long-term changes in beliefs and norms, creating and reinforcing the behaviors needed to solidify and extend the public good.It is often the short-term acceptability of potential policies, rather than their longer-term efficacy, that determines their scope and deployment. The policy process should consider both time scales. The academy, however, has provided insufficient insight on the coevolution of social norms and different policy instruments, thus compromising the capacity of decision makers to craft effective solutions to the society’s most intractable environmental problems. Life scientists could make fundamental contributions to this agenda through targeted research on the emergence of social norms. PMID:25143635

  12. GaSb thermophotovoltaics: current challenges and solutions

    NASA Astrophysics Data System (ADS)

    Rahimi, N.; Herrera, D. J.; Aragon, A.; Shima, D. M.; Romero, O. S.; Rotter, T. J.; Busani, T.; Lavrova, O.; Balakrishnan, G.; Lester, L. F.

    2015-03-01

    GaSb thermophotovoltaic cells fabricated using Molecular Beam Epitaxy (MBE) and ion implantation techniques are studied. Challenges including different defect formation mechanisms using MBE and ion-induced defects using ion implantation were investigated by cross-sectional Transmission Electron Microscopy (XTEM), X-Ray Diffraction spectroscopy (XRD) and Scanning Electron Microscopy (SEM). For MBE grown TPVs, several approaches were used to suppress defects, including substrate preparation and using different MBE reactors. For ion-implanted TPVs, different implant doses and energies were tested to minimize the crystal damage and various Rapid Thermal Anneal (RTA) process recipes were studied to maximize the crystal recovery. Large area TPV cells with 1 × 1 cm dimensions were fabricated using these techniques, then electrically and optically characterized. Ideality factors and dark saturation currents were measured and compared for various TPVs.

  13. Challenges and solutions to incorporation of nutraceuticals in foods.

    PubMed

    Augustin, Mary Ann; Sanguansri, Luz

    2015-01-01

    Manufacturers often cannot simply add a nutraceutical to a food when formulating functional foods that have acceptable sensory appeal as well as the desired health benefits. The appropriate application of microencapsulation for stabilizing nutraceuticals enables their effective delivery through food. Careful design of the delivery system helps protect sensitive nutraceuticals from the environment and processing stresses encountered during food manufacture, and prevents undesirable interactions of the nutraceutical with components in the food matrix. Microencapsulation technologies overcome hurdles associated with the successful delivery of nutraceuticals in healthy foods if due consideration is given to challenges at all stages throughout the supply chain. This encompasses stabilizing and protecting nutraceuticals from degradation in ingredient formats, during processing, in the final food product, and during intestinal transit until they are released at the desired site in the gastrointestinal tract to impart their targeted health effects.

  14. Managing drug-resistant epilepsy: challenges and solutions

    PubMed Central

    Dalic, Linda; Cook, Mark J

    2016-01-01

    Despite the development of new antiepileptic drugs (AEDs), ~20%–30% of people with epilepsy remain refractory to treatment and are said to have drug-resistant epilepsy (DRE). This multifaceted condition comprises intractable seizures, neurobiochemical changes, cognitive decline, and psychosocial dysfunction. An ongoing challenge to both researchers and clinicians alike, DRE management is complicated by the heterogeneity among this patient group. The underlying mechanism of DRE is not completely understood. Many hypotheses exist, and relate to both the intrinsic characteristics of the particular epilepsy (associated syndrome/lesion, initial response to AED, and the number and type of seizures prior to diagnosis) and other pharmacological mechanisms of resistance. The four current hypotheses behind pharmacological resistance are the “transporter”, “target”, “network”, and “intrinsic severity” hypotheses, and these are reviewed in this paper. Of equal challenge is managing patients with DRE, and this requires a multidisciplinary approach, involving physicians, surgeons, psychiatrists, neuropsychologists, pharmacists, dietitians, and specialist nurses. Attention to comorbid psychiatric and other diseases is paramount, given the higher prevalence in this cohort and associated poorer health outcomes. Treatment options need to consider the economic burden to the patient and the likelihood of AED compliance and tolerability. Most importantly, higher mortality rates, due to comorbidities, suicide, and sudden death, emphasize the importance of seizure control in reducing this risk. Overall, resective surgery offers the best rates of seizure control. It is not an option for all patients, and there is often a significant delay in referring to epilepsy surgery centers. Optimization of AEDs, identification and treatment of comorbidities, patient education to promote adherence to treatment, and avoidance of triggers should be periodically performed until further

  15. Designing an Illustrated Food Web to Teach Ecological Concepts: Challenges and Solutions.

    ERIC Educational Resources Information Center

    Godkin, Celia M.

    1999-01-01

    Argues that food webs are an efficient method through which to communicate the core idea of ecology--that all living things are interconnected. Assesses the challenges and solutions to using illustrated food webs. (Author/CCM)

  16. Challenges and solutions for biofiltration of hydrophobic volatile organic compounds.

    PubMed

    Cheng, Yan; He, Huijun; Yang, Chunping; Zeng, Guangming; Li, Xiang; Chen, Hong; Yu, Guanlong

    2016-11-01

    Volatile organic compounds (VOCs) emitted to the environment highly probably result in ecological and health risks. Many biotechnologies for waste gases containing hydrophobic VOCs have been developed in recent years. However, these biological processes usually exhibit poor removal performances for hydrophobic VOCs due to the low bioavailability. This review presents an overview of enhanced removal of hydrophobic VOCs in biofilters. Mechanisms and problems relevant to the biological removal of hydrophobic VOCs are reviewed, and then solutions including the addition of surfactants, application of fungal biocatalysts, biofiltration with pretreatment, innovative bioreactors and utilization of hydrophilic compounds are discussed in detail. Future research needs are also proposed. This review provides new insights into hydrophobic VOC removal by biofiltration. PMID:27374790

  17. Bioethics, Religion, and Public Policy: Intersections, Interactions, and Solutions.

    PubMed

    Kahn, Peter A

    2016-10-01

    Bioethics in America positions itself as a totalizing discipline, capable of providing guidance to any individual within the boundaries of a health or medical setting. Yet the religiously observant or those driven by spiritual values have not universally accepted decisions made by "secular" bioethics, and as a result, religious bioethical thinkers and adherents have developed frameworks and rich counter-narratives used to fend off encroachment by policies perceived as threatening. This article uses brain death in Jewish law, the case of Jahi McMath, and vaccination refusal to observe how the religious system of ethics is presently excluded from bioethics and its implications.

  18. Vaccines to promote and protect sexual health: policy challenges and opportunities.

    PubMed

    Hawkes, Sarah; Kismödi, Eszter; Larson, Heidi; Buse, Kent

    2014-03-20

    Vaccines aim to improve the well-being of everyone and are seen as a public health success story in the prevention and control of communicable infections. However, decisions to use vaccinations are not without controversy, and the introduction of vaccines targeting sexually transmitted infections (STIs) is particularly contentious. In this paper we investigate the underlying policy challenges and opportunities for rolling out STI vaccines. Looking in detail at the experience of delivering HPV vaccine, we explore the lessons that can be learnt, including policy and human rights dimensions, for future STI vaccine introduction and scale up. Policies arise from the interaction of ideas, interests and institutions. In the case of HPV vaccine, ideas have been particularly contested, although interests and institutions have impacted on policy too. A review of human rights in relation to STI vaccine policies highlights the specific needs and rights of adolescents, and the paper details concepts of consent and evolving capacity which can be used to ensure that adolescents have full access to health interventions. Policy options for vaccines include mandatory approaches - and these have been utilized in some settings for HPV vaccines. The paper argues, and outlines the rationale, against adopting mandatory STI vaccine policy approaches. The paper concludes by identifying policy opportunities for introducing new vaccines targeting STIs.

  19. Challenging the Inevitability of Rural Decline: Advancing the Policy of Place in Northern British Columbia

    ERIC Educational Resources Information Center

    Markey, Sean; Halseth, Greg; Manson, Don

    2008-01-01

    In current policy discourse, rural decline is often described as an inevitable process associated with such broader structural trends as globalization and urbanization. The purpose of this paper is to challenge the supposed inevitability of rural decline in northern British Columbia (BC), Canada. We argue that rural decline in northern BC has been…

  20. Growth of the Proprietary Sector in Social Welfare: A Challenge to the Social Policy Curriculum.

    ERIC Educational Resources Information Center

    Ortiz, Elizabeth T.

    The rapid growth of the proprietary sector in the provision of social services traditionally administered under non-profit or government auspices creates a problem and challenge for teachers of social policy. Instructors need to interpret this new trend, without much literature support, to a group of students with increasing potential for…

  1. Addressing Challenging Behaviors in Head Start: A Closer Look at Program Policies and Procedures

    ERIC Educational Resources Information Center

    Quesenberry, Amanda C.; Hemmeter, Mary Louise; Ostrosky, Michaelene M.

    2011-01-01

    In this study, Head Start policies and procedures related to child guidance and addressing challenging behaviors were examined. Data were gathered from six Head Start programs in the Midwest, through interviews and document analysis. The findings provide a glimpse into how Head Start programs support children's social and emotional competence and…

  2. Leadership in Urban and Challenging Contexts: Investigating EAZ Policy in Practice.

    ERIC Educational Resources Information Center

    Carter, Karen

    2002-01-01

    Examines Education Action Zone (EAZ) policy as a basis for the development of an analytic framework for investigating contemporary forms of leadership and management within schools in urban and challenging contexts. Discussion explores three paired themes: "Networking and experimentation,""partnership and stakeholder involvement," and…

  3. The Texas Public Education Challenge. Texas Trilogy on Public Education and Taxes. Policy Brief No. 1

    ERIC Educational Resources Information Center

    McCown, F. Scott

    2006-01-01

    This is the first in a trilogy of policy briefs discussing public education and taxes. This brief discusses the challenge facing Texas in funding public education. It also explains why the Texas Supreme Court's recent decision in "West Orange-Cove II" requires increased state appropriations for public education.

  4. Optimal management of night eating syndrome: challenges and solutions.

    PubMed

    Kucukgoncu, Suat; Midura, Margaretta; Tek, Cenk

    2015-01-01

    Night Eating Syndrome (NES) is a unique disorder characterized by a delayed pattern of food intake in which recurrent episodes of nocturnal eating and/or excessive food consumption occur after the evening meal. NES is a clinically important disorder due to its relationship to obesity, its association with other psychiatric disorders, and problems concerning sleep. However, NES often goes unrecognized by both health professionals and patients. The lack of knowledge regarding NES in clinical settings may lead to inadequate diagnoses and inappropriate treatment approaches. Therefore, the proper diagnosis of NES is the most important issue when identifying NES and providing treatment for this disorder. Clinical assessment tools such as the Night Eating Questionnaire may help health professionals working with populations vulnerable to NES. Although NES treatment studies are still in their infancy, antidepressant treatments and psychological therapies can be used for optimal management of patients with NES. Other treatment options such as melatonergic medications, light therapy, and the anticonvulsant topiramate also hold promise as future treatment options. The purpose of this review is to provide a summary of NES, including its diagnosis, comorbidities, and treatment approaches. Possible challenges addressing patients with NES and management options are also discussed.

  5. Challenges of Organ Shortage for Transplantation: Solutions and Opportunities

    PubMed Central

    Saidi, R. F.; Hejazii Kenari, S. K.

    2014-01-01

    Organ shortage is the greatest challenge facing the field of organ transplantation today. A variety of approaches have been implemented to expand the organ donor pool including live donation, a national effort to expand deceased donor donation, split organ donation, paired donor exchange, national sharing models and greater utilization of expanded criteria donors. Increased public awareness, improved efficiency of the donation process, greater expectations for transplantation, expansion of the living donor pool and the development of standardized donor management protocols have led to unprecedented rates of organ procurement and transplantation. Although live donors and donation after brain death account for the majority of organ donors, in the recent years there has been a growing interest in donors who have severe and irreversible brain injuries but do not meet the criteria for brain death. If the physician and family agree that the patient has no chance of recovery to a meaningful life, life support can be discontinued and the patient can be allowed to progress to circulatory arrest and then still donate organs (donation after circulatory death). Increasing utilization of marginal organs has been advocated to address the organ shortage. PMID:25184029

  6. Insuring Solar Photovoltaics: Challenges and Possible Solutions; (Revised)

    SciTech Connect

    Speer, B.; Mendelsohn, M.; Cory, K.

    2010-02-01

    Insuring solar photovoltaic (PV) systems poses certain challenges. Insurance premiums, which can represent a significant part of overall costs for PV developers, can affect market competition. The market for certain types of insurance products is limited. Historical loss data is lacking, and test data for the long-term viability of PV products under real-life conditions is limited. Insurers' knowledge about PV systems and the PV industry is uneven even as the industry introduces innovative contractual structures and business models. Interviews conducted for this report with PV project developers, insurance brokers, and underwriters suggest government actions aimed at better testing, data collection, and communication could facilitate the development of a market for PV insurance products. This report identifies actions by governments, national laboratories, and other stakeholders that could accelerate the development of insurance products in support PV systems. Such actions include: increasing understanding of the solar PV industry among insurance professionals; expanding the availability of PV historical loss data; evaluating the expansion of renewable energy business classification; developing module and component testing capabilities and services offered by federal labs; and, advancing industry standards for PV system installers.

  7. Current and New Approaches in GMO Detection: Challenges and Solutions

    PubMed Central

    Fraiture, Marie-Alice; Herman, Philippe; Taverniers, Isabel; De Loose, Marc; Deforce, Dieter; Roosens, Nancy H.

    2015-01-01

    In many countries, genetically modified organisms (GMO) legislations have been established in order to guarantee the traceability of food/feed products on the market and to protect the consumer freedom of choice. Therefore, several GMO detection strategies, mainly based on DNA, have been developed to implement these legislations. Due to its numerous advantages, the quantitative PCR (qPCR) is the method of choice for the enforcement laboratories in GMO routine analysis. However, given the increasing number and diversity of GMO developed and put on the market around the world, some technical hurdles could be encountered with the qPCR technology, mainly owing to its inherent properties. To address these challenges, alternative GMO detection methods have been developed, allowing faster detections of single GM target (e.g., loop-mediated isothermal amplification), simultaneous detections of multiple GM targets (e.g., PCR capillary gel electrophoresis, microarray, and Luminex), more accurate quantification of GM targets (e.g., digital PCR), or characterization of partially known (e.g., DNA walking and Next Generation Sequencing (NGS)) or unknown (e.g., NGS) GMO. The benefits and drawbacks of these methods are discussed in this review. PMID:26550567

  8. Current and new approaches in GMO detection: challenges and solutions.

    PubMed

    Fraiture, Marie-Alice; Herman, Philippe; Taverniers, Isabel; De Loose, Marc; Deforce, Dieter; Roosens, Nancy H

    2015-01-01

    In many countries, genetically modified organisms (GMO) legislations have been established in order to guarantee the traceability of food/feed products on the market and to protect the consumer freedom of choice. Therefore, several GMO detection strategies, mainly based on DNA, have been developed to implement these legislations. Due to its numerous advantages, the quantitative PCR (qPCR) is the method of choice for the enforcement laboratories in GMO routine analysis. However, given the increasing number and diversity of GMO developed and put on the market around the world, some technical hurdles could be encountered with the qPCR technology, mainly owing to its inherent properties. To address these challenges, alternative GMO detection methods have been developed, allowing faster detections of single GM target (e.g., loop-mediated isothermal amplification), simultaneous detections of multiple GM targets (e.g., PCR capillary gel electrophoresis, microarray, and Luminex), more accurate quantification of GM targets (e.g., digital PCR), or characterization of partially known (e.g., DNA walking and Next Generation Sequencing (NGS)) or unknown (e.g., NGS) GMO. The benefits and drawbacks of these methods are discussed in this review. PMID:26550567

  9. Managing dyslipidemia in HIV/AIDS patients: challenges and solutions

    PubMed Central

    Husain, Nazik Elmalaika OS; Ahmed, Mohamed H

    2015-01-01

    Human immunodeficiency virus (HIV) is a chronic disease associated with dyslipidemia and insulin resistance. In addition, the administration of combination antiretroviral therapy is associated with an increase in the incidence of metabolic risk factors (insulin resistance, lipoatrophy, dyslipidemia, and abnormalities of fat distribution in HIV patients). HIV dyslipidemia is a common problem, and associated with an increase in incidence of cardiovascular disease. Further challenges in the management of HIV dyslipidemia are the presence of diabetes and metabolic syndrome, nonalcoholic fatty liver disease, hypothyroidism, chronic kidney disease, the risk of diabetes associated with statin administration, age and ethnicity, and early menopause in females. Dyslipidemia in patients with HIV is different from the normal population, due to the fact that HIV increases insulin resistance and HIV treatment not only may induce dyslipidemia but also may interact with lipid-lowering medication. The use of all statins (apart from simvastatin and lovastatin) is safe and effective in HIV dyslipidemia, and the addition of ezetimibe, fenofibrate, fish oil, and niacin can be used in statin-unresponsive HIV dyslipidemia. The management of dyslipidemia and cardiovascular disease risks associated with HIV is complex, and a certain number of patients may require management in specialist clinics run by specialist physicians in lipid disorders. Future research is needed to address best strategies in the management of hyperlipidemia with HIV infection. PMID:25565897

  10. Emergency surgery in the elderly: challenges and solutions

    PubMed Central

    Torrance, Andrew D W; Powell, Susan L; Griffiths, Ewen A

    2015-01-01

    Elderly patients frequently present with surgical emergencies to health care providers, and outcomes in this group of patients remain poor. Contributing factors include frailty, preexisting comorbidity, polypharmacy, delayed diagnosis, and lack of timely and consultant-led treatment. In this review, we address common emergency surgical presentations in the elderly and highlight the specific challenges in caring for these patients. We summarize 20 years of reports by various medical bodies that have aimed to improve the care of these patients. To improve morbidity and mortality, several aspects of care need to be addressed. These include accurate and timely preoperative assessment to identify treatable pathology and, where possible, to consider and correct age-specific disease processes. Identification of patients in whom treatment would be futile or associated with high risk is needed to avoid unnecessary interventions and to give patients and carers realistic expectations. The use of multidisciplinary teams to identify common postoperative complications and age-specific syndromes is paramount. Prevention of complications is preferable to rescue treatment due to the high proportion of patients who fail to recover from adverse events. Even with successful surgical treatment, long-term functional decline and increased dependency are common. More research into emergency surgery in the elderly is needed to improve care for this growing group of vulnerable patients. PMID:27147891

  11. Current and new approaches in GMO detection: challenges and solutions.

    PubMed

    Fraiture, Marie-Alice; Herman, Philippe; Taverniers, Isabel; De Loose, Marc; Deforce, Dieter; Roosens, Nancy H

    2015-01-01

    In many countries, genetically modified organisms (GMO) legislations have been established in order to guarantee the traceability of food/feed products on the market and to protect the consumer freedom of choice. Therefore, several GMO detection strategies, mainly based on DNA, have been developed to implement these legislations. Due to its numerous advantages, the quantitative PCR (qPCR) is the method of choice for the enforcement laboratories in GMO routine analysis. However, given the increasing number and diversity of GMO developed and put on the market around the world, some technical hurdles could be encountered with the qPCR technology, mainly owing to its inherent properties. To address these challenges, alternative GMO detection methods have been developed, allowing faster detections of single GM target (e.g., loop-mediated isothermal amplification), simultaneous detections of multiple GM targets (e.g., PCR capillary gel electrophoresis, microarray, and Luminex), more accurate quantification of GM targets (e.g., digital PCR), or characterization of partially known (e.g., DNA walking and Next Generation Sequencing (NGS)) or unknown (e.g., NGS) GMO. The benefits and drawbacks of these methods are discussed in this review.

  12. Optimal management of night eating syndrome: challenges and solutions

    PubMed Central

    Kucukgoncu, Suat; Midura, Margaretta; Tek, Cenk

    2015-01-01

    Night Eating Syndrome (NES) is a unique disorder characterized by a delayed pattern of food intake in which recurrent episodes of nocturnal eating and/or excessive food consumption occur after the evening meal. NES is a clinically important disorder due to its relationship to obesity, its association with other psychiatric disorders, and problems concerning sleep. However, NES often goes unrecognized by both health professionals and patients. The lack of knowledge regarding NES in clinical settings may lead to inadequate diagnoses and inappropriate treatment approaches. Therefore, the proper diagnosis of NES is the most important issue when identifying NES and providing treatment for this disorder. Clinical assessment tools such as the Night Eating Questionnaire may help health professionals working with populations vulnerable to NES. Although NES treatment studies are still in their infancy, antidepressant treatments and psychological therapies can be used for optimal management of patients with NES. Other treatment options such as melatonergic medications, light therapy, and the anticonvulsant topiramate also hold promise as future treatment options. The purpose of this review is to provide a summary of NES, including its diagnosis, comorbidities, and treatment approaches. Possible challenges addressing patients with NES and management options are also discussed. PMID:25834450

  13. Policy and University Faculty Governance. Educational Policy in the 21st Century: Opportunities, Challenges and Solutions

    ERIC Educational Resources Information Center

    Caplow, Julie A., Ed.; Miller, Michael T., Ed.

    2006-01-01

    Broad-based, inclusive decision-making is the historical foundation for determining what should and can be taught, how institutions should grow, and who should become a part of the academic community. This text brings together authors to examine faculty governance from a historical perspective, tracing trends and common themes to the present day.…

  14. Multivariate on-line monitoring: challenges and solutions for modern wastewater treatment operation.

    PubMed

    Rosen, C; Röttorp, J; Jeppsson, U

    2003-01-01

    In this paper, a number of challenges, which need to be overcome if multivariate monitoring of wastewater treatment operation is to be successful, are presented. For each challenge, one or several solutions are discussed. The methodologies are illustrated using an example from full-scale wastewater treatment operation. Some guidelines regarding choices of methods and implementation aspects are given.

  15. International Graduate Students' Academic Writing Practices in Malaysia: Challenges and Solutions

    ERIC Educational Resources Information Center

    Singh, Manjet Kaur Mehar

    2015-01-01

    This article focuses on the challenges faced by non-native English speaking international graduate students in their academic writing practices while they studied at a university in Malaysia as well as the solutions they employed when faced with the challenges. Academic Literacies Questionnaire was used to collect data. Based on 131 participants,…

  16. Management of chronic pain in osteoporosis: challenges and solutions

    PubMed Central

    Paolucci, Teresa; Saraceni, Vincenzo Maria; Piccinini, Giulia

    2016-01-01

    Osteoporosis (OP) is a pathological condition that manifests clinically as pain, fractures, and physical disability, resulting in the loss of independence and the need for long-term care. Chronic pain is a multidimensional experience with sensory, affective, and cognitive aspects. Age can affect each of these dimensions and the pain that is experienced. In OP, chronic pain appears to have sensory characteristics and properties of nociceptive and neuropathic pain. Its evaluation and treatment thus require a holistic approach that focuses on the specific characteristics of this population. Pain management must therefore include pharmacological approaches, physiotherapy interventions, educational measures, and, in rare cases, surgical treatment. Most rehabilitative treatments in the management of patients with OP do not evaluate pain or physical function, and there is no consensus on the effects of rehabilitation therapy on back pain or quality of life in women with OP. Pharmacological treatment of pain in patients with OP is usually insufficient. The management of chronic pain in patients with OP is complicated with regard to its diagnosis, the search for reversible secondary causes, the efficacy and duration of oral bisphosphonates, and the function of calcium and vitamin D. The aim of this review is to discuss the most appropriate solutions in the management of chronic pain in OP. PMID:27099529

  17. Seismic Survey Challenges and Solutions in Industrial And Urban Environments

    NASA Astrophysics Data System (ADS)

    Coueslan, M. L.; El-Kaseeh, G.; Totten, S.

    2011-12-01

    Carbon storage projects are often located in close proximity to anthropogenic sources of CO2. This means that the storage site location may be near industrial power plants, mining activity, or urban centers. Proximity to these environments can present unique challenges for the seismic survey design, acquisition, and processing teams in terms of acquiring surface seismic data that meets the site characterization objectives for a CO2 storage site. Seismic surveys in urban and industrial environments may have acquisition footprints that are severely constrained by surrounding infrastructure. The acquisition crew and survey design team must work closely together in real-time to add in-fill source and receiver locations to surveys in order to ensure that high fold coverage is maintained over the survey. High levels of seismic noise may be generated by the industrial plants themselves. Local and industrial traffic, as well as electrical noise may also be a cause for concern. Near surface conditions, such as water saturated soils, unconsolidated mine tailings, and mining cavities, may accelerate attenuation of the seismic signal and become sources of noise in the survey and further impact data quality. When dealing with such conditions, the acquisition and survey design teams must stay in constant communication to optimize survey parameters to account for noise issues. In some cases, the raw data can be so contaminated with noise that no coherent signal can be seen in the data. However, the use of high density-single sensors is one of the most effective options to deal with noisy acquisition environments as this method allows the recorded noise to be sampled without aliasing so that that it can be removed from the data without impacting the seismic signal. Removing noise and optimizing the final images obtained from the data is the job of the survey design and data processing teams. A final consideration when acquiring seismic surveys in urban areas is the visibility of

  18. Optimizing the pathology workstation "cockpit": Challenges and solutions.

    PubMed

    Krupinski, Elizabeth A

    2010-10-01

    The 21(st) century has brought numerous changes to the clinical reading (i.e., image or virtual pathology slide interpretation) environment of pathologists and it will continue to change even more dramatically as information and communication technologies (ICTs) become more widespread in the integrated healthcare enterprise. The extent to which these changes impact the practicing pathologist differ as a function of the technology under consideration, but digital "virtual slides" and the viewing of images on computer monitors instead of glass slides through a microscope clearly represents a significant change in the way that pathologists extract information from these images and render diagnostic decisions. One of the major challenges facing pathologists in this new era is how to best optimize the pathology workstation, the reading environment and the new and varied types of information available in order to ensure efficient and accurate processing of this information. Although workstations can be stand-alone units with images imported via external storage devices, this scenario is becoming less common as pathology departments connect to information highways within their hospitals and to external sites. Picture Archiving and Communications systems are no longer confined to radiology departments but are serving the entire integrated healthcare enterprise, including pathology. In radiology, the workstation is often referred to as the "cockpit" with a "digital dashboard" and the reading room as the "control room." Although pathology has yet to "go digital" to the extent that radiology has, lessons derived from radiology reading "cockpits" can be quite valuable in setting up the digital pathology reading room. In this article, we describe the concept of the digital dashboard and provide some recent examples of informatics-based applications that have been shown to improve the workflow and quality in digital reading environments.

  19. Atypical teratoid/rhabdoid tumors: challenges and search for solutions

    PubMed Central

    Biswas, Ahitagni; Kashyap, Lakhan; Kakkar, Aanchal; Sarkar, Chitra; Julka, Pramod Kumar

    2016-01-01

    Atypical teratoid/rhabdoid tumor (AT/RT) is a highly malignant embryonal central nervous system tumor commonly affecting children <3 years of age. It roughly constitutes 1%–2% of all pediatric central nervous system tumors. Recent data show that it is the most common malignant central nervous system tumor in children <6 months of age. Management of this aggressive tumor is associated with a myriad of diagnostic and therapeutic challenges. On the basis of radiology and histopathology alone, distinction of AT/RT from medulloblastoma or primitive neuroectodermal tumor is difficult, and hence this tumor has been commonly misdiagnosed as primitive neuroectodermal tumor for decades. Presence of a bulky heterogeneous solid-cystic mass with readily visible calcification and intratumor hemorrhage, occurring off-midline in children <3 years of age, should alert the radiologist toward the possibility of AT/RT. Presence of rhabdoid cells on histopathology and polyphenotypic immunopositivity for epithelial, mesenchymal, and neuroectodermal markers along with loss of expression of SMARCB1/INI1 or SMARCA4/BRG1 help in establishing a diagnosis of AT/RT. The optimal management comprises maximal safe resection followed by radiation therapy and multiagent intensive systemic chemotherapy. Gross total excision is difficult to achieve in view of the large tumor size and location and young age at presentation. Leptomeningeal spread is noted in 15%–30% of patients, and hence craniospinal irradiation followed by boost to tumor bed is considered standard in children older than 3 years. However, in younger children, craniospinal irradiation may lead to long-term neurocognitive and neuroendocrine sequel, and hence focal radiation therapy may be a pragmatic approach. In this age group, high-dose chemotherapy with autologous stem cell rescue may also be considered to defer radiation therapy, but this approach is also associated with significant treatment-related morbidity and mortality

  20. Atypical teratoid/rhabdoid tumors: challenges and search for solutions

    PubMed Central

    Biswas, Ahitagni; Kashyap, Lakhan; Kakkar, Aanchal; Sarkar, Chitra; Julka, Pramod Kumar

    2016-01-01

    Atypical teratoid/rhabdoid tumor (AT/RT) is a highly malignant embryonal central nervous system tumor commonly affecting children <3 years of age. It roughly constitutes 1%–2% of all pediatric central nervous system tumors. Recent data show that it is the most common malignant central nervous system tumor in children <6 months of age. Management of this aggressive tumor is associated with a myriad of diagnostic and therapeutic challenges. On the basis of radiology and histopathology alone, distinction of AT/RT from medulloblastoma or primitive neuroectodermal tumor is difficult, and hence this tumor has been commonly misdiagnosed as primitive neuroectodermal tumor for decades. Presence of a bulky heterogeneous solid-cystic mass with readily visible calcification and intratumor hemorrhage, occurring off-midline in children <3 years of age, should alert the radiologist toward the possibility of AT/RT. Presence of rhabdoid cells on histopathology and polyphenotypic immunopositivity for epithelial, mesenchymal, and neuroectodermal markers along with loss of expression of SMARCB1/INI1 or SMARCA4/BRG1 help in establishing a diagnosis of AT/RT. The optimal management comprises maximal safe resection followed by radiation therapy and multiagent intensive systemic chemotherapy. Gross total excision is difficult to achieve in view of the large tumor size and location and young age at presentation. Leptomeningeal spread is noted in 15%–30% of patients, and hence craniospinal irradiation followed by boost to tumor bed is considered standard in children older than 3 years. However, in younger children, craniospinal irradiation may lead to long-term neurocognitive and neuroendocrine sequel, and hence focal radiation therapy may be a pragmatic approach. In this age group, high-dose chemotherapy with autologous stem cell rescue may also be considered to defer radiation therapy, but this approach is also associated with significant treatment-related morbidity and mortality

  1. Review: Coastal groundwater optimization—advances, challenges, and practical solutions

    NASA Astrophysics Data System (ADS)

    Ketabchi, Hamed; Ataie-Ashtiani, Behzad

    2015-09-01

    Decision models are essential tools for coastal groundwater management (CGM). A combined simulation-optimization framework is employed to develop these models. One of the main barriers in the widespread application of these models for real-world cases is their large computational burden. Recent advances in efficient computational approaches and robust optimization methods can crack this barrier. This study surveys the scientific basis of CGM to provide an overview on this subject and reviews the-state-of-the-art to clarify recent developments and to outline ideas for improving the computational performance. Key details are presented on the performance and choice of possible robust tools such as efficient evolutionary algorithms (EAs), surrogate models, and parallel processing techniques. Then, the potential challenges remaining in this context are scrutinized, demonstrating open fields for further research, which include issues related to advances in simulating and optimizing phases such as introducing new robust algorithms and considering multi-objective purposes, implementing novel and high-performance tools, considering global concerns (e.g. climate change impacts), enhancing the existing models to fit the real world, and taking into account the complexities of real-world applications (e.g. uncertainties in the modeling parameters, and data acquisition). Finally, the outcomes of the systematic review are applied to solve a real-world CGM problem in Iran, to quantitatively examine the performance of combined implementation of some of the suggested tools. It is revealed that the required computational time is considerably reduced by as much as three orders of magnitude when correct combinations of robust EAs, surrogate model, and parallelization technique are utilized.

  2. The Solutions Project: Educating the Public and Policy Makers About Solutions to Global Warming, Air Pollution, and Energy Security

    NASA Astrophysics Data System (ADS)

    Jacobson, M. Z.

    2015-12-01

    Three major global problems of our times are global warming, air pollution mortality and morbidity, and energy insecurity. Whereas, policy makers with the support of the public must implement solutions to these problems, it is scientists and engineers who are best equipped to evaluate technically sound, optimal, and efficient solutions. Yet, a disconnect exists between information provided by scientists and engineers and policies implemented. Part of the reason is that scientific information provided to policy makers and the public is swamped out by information provided by lobbyists and another part is the difficulty in providing information to the hundreds of millions of people who need it rather than to just a few thousand. What other ways are available, aside from issuing press releases on scientific papers, for scientists to disseminate information? Three growing methods are through social media, creative media, and storytelling. The Solutions Project is a non-profit non-governmental organization whose goal is to bring forth scientific information about 100% clean, renewable energy plans to the public, businesses, and policy makers using these and related tools. Through the use of social media, the development of engaging internet and video content, and storytelling, the group hopes to increase the dissemination of information for social good. This talk discusses the history and impacts to date of this group and its methods. Please see www.thesolutionsproject.org and 100.org for more information.

  3. Opportunities and challenges in integrating the science and policy of global environmental change

    NASA Astrophysics Data System (ADS)

    Sundquist, E. T.

    2002-05-01

    The American Geophysical Union's Focus Group (formerly Committee) on Global Environmental Change seeks to foster the interdisciplinary interactions needed for scientific study and public understanding of global environmental change. The Focus Group is exploring ways to improve communication of scientific information to policy makers, and ways to better inform the research community about relevant public policy activities. Scientific information is increasingly influential in shaping public opinion about global environmental change. Likewise, societal concerns are increasingly prominent in the development of plans for scientific study of climate change and other global environmental issues. These developments emphasize the importance of conveying scientific information without political advocacy, and of formulating public policies that include broad advancement of scientific knowledge. This presentation will discuss these challenges and opportunities using examples from recent and pending legislation relevant to climate and carbon-cycle research. Suggestions will be made for ongoing efforts to enhance communications between the research community and policy makers.

  4. [Social cohesion and regional integration: the MERCOSUR social agenda and the integrationist social policy major challenges].

    PubMed

    Draibe, Sônia Miriam

    2007-01-01

    In the consolidation of the Southern Cone Common Market (MERCOSUR), social policies are still in the embryonic stage. However, since the latter half of the 1990s there has been a speedup in the creation of institutions dedicated to such policies with the Common Market's framework. This article focuses on health policy and the broader social policy system in order to identify the reasons for the imbalance, through three movements: reconstitution of the history of the institutional construction of social policies in MERCOSUR; identification and comparison of the successive strategies for the formulation and implementation of the social integration agenda; and reflection on the current dilemmas and challenges faced by the process. According to the study, MERCOSUR operates with strategies that are difficult to mutually reconcile. On the institutional level, it follows a minimalist strategy, while on the conceptual/ discursive level it adopts a maximalist strategy for supranational unification of social policies. The fact is that it operates a minimalist social policy strategy, since it fails to bring to the field of social integration the debate and proposals on economic and social development models that could sustain the effective construction of regional social citizenship.

  5. Measuring health: a practical challenge with a philosophical solution?

    PubMed

    Shroufi, Amir; Chowdhury, Rajiv; Aston, Louise M; Pashayan, Nora; Franco, Oscar H

    2011-03-01

    With the current demographic shift being experienced by populations globally, almost linear increases in life expectancy have been seen and can be expected. However, increases in healthy life expectancy may not keep pace. Among older populations the proportion of time spent in less than full health tends to increase. As a result, the accurate valuation of life spent in states less than full health will become increasingly important. Different techniques and approaches have been used to measure health in populations. The use of summary measures of population health such as DALYs (Disability Adjusted Life Years) has become common, and is widely used to compare health between populations and to evaluate the potential impact of interventions in economic analyses. Most of the commonly used summary measures of health express some measure of life lived in full health and life lived with disability or in a state of sub-optimal health. Critical to the construction of summary health measures are values assigned to health states. Current tools used in determining these values include the standard gamble, time trade off, person trade off, and the visual analogue scale. However, these techniques all have the disadvantage of incorporating individual biases (derived from particular characteristics specific to individuals or populations) into the process through which health state valuations are derived. As a consequence health states are often not directly comparable between populations, since characteristics such as nationality and ethnicity can influence how health states are valued. Furthermore, health can be judged differently by those of different ages, with the young often assigning a lower value to life lived at less than full health compared to older people. The challenge of obtaining opinions which are not influenced by an individual's own circumstances is not new. This issue was encountered and described by the American philosopher John Rawls in 'A Theory of Justice

  6. Challenges to the Development and Implementation of Public Policies to Achieve Animal Welfare Outcomes.

    PubMed

    Rose, Margaret

    2010-12-31

    Although there is a long-established tradition of concern for the welfare of animals, it was not until the mid 1800's that governments sought to enact legislation to protect animals from cruelty. In the 1950's, questions concerning animal welfare re-emerged and in the ensuing years have been an on-going focus of government activities. These developments occurred against a backdrop of significant social change but there are important differences in what now underpins and informs these considerations. In the formulation and implementation of public policies, governments look for a course of action that represents and protects the interests of the community; the process may be challenging with competing interests but the final determination seeks a middle ground that best meets the needs and interests of the community as a whole. When policy development concerns our relationship with other animals, the complexity of this relationship presents particular challenges not only to the formulation of policies but also to the evaluation of outcomes. Notably, the depth of feelings and diversity of views in our community reflect the complex social, cultural and personal dimensions of this relationship. The use of animals for scientific purposes remains one of the most contentious animal welfare issues primarily because when animals are used for these purposes, accepted animal welfare benchmarks cannot always be met. Based on the Australian experience, this paper will discuss the influences in and on-going challenges to the development and implementation of public policy when animals are used for these purposes.

  7. International Education as Soft Power? The Contributions and Challenges of Canadian Foreign Policy to the Internationalization of Higher Education

    ERIC Educational Resources Information Center

    Trilokekar, Roopa Desai

    2010-01-01

    This paper explores the role of the Canadian federal government in two foreign policy areas: overseas development assistance and international cultural relations by providing a brief history of the federal government's engagement in both policy areas and highlighting the contributions and challenges of Canadian foreign policy to the…

  8. College Student-Athletes: Challenges, Opportunities, and Policy Implications. Educational Policy in the 21st Century: Opportunities, Challenges and Solutions

    ERIC Educational Resources Information Center

    Kissinger, Daniel B., Ed.; Miller, Michael T., Ed.

    2009-01-01

    This volume is a critical and objective study of the contemporary college student athlete. Framed around the process of recruitment, transition, and support of student athletes in higher education, the volume is a response to societal pressures to reform college athletics. Driven by publicity and the potential for revenue gains, colleges and…

  9. Green buildings in Malaysia towards greener environment: challenges for policy makers

    NASA Astrophysics Data System (ADS)

    Suhaida, M. S.; Tan, K. L.; Leong, Y. P.

    2013-06-01

    The launch of the National Green Technology Policy (NGTP) in 2009 is a manifesto of the government's seriousness in implementing "green" initiatives for the country. Specifically for buildings, the government promotes the application of renewable energy (RE) and energy efficiency (EE) and the application of green building index. With the introduction of Low Carbon Cities Framework, Green Pass, Green Neighbourhood, Green Building Index by various agencies and organisations in Malaysia, it is time to look back and see how all these tools could come together. This paper attempts to identify the challenges in harmonising the green initiatives for policy makers toward greener environment for sustainability.

  10. Management challenges at the intersection of public policy environments and strategic decision making in public hospitals.

    PubMed

    Longest, Beaufort B

    2012-01-01

    Hospitals in the United States are heavily impacted by public policies that affect them. For example, Medicare and Medicaid programs account for more than half the revenue in most of the nation's almost 5,000 community hospitals, including the almost 1,100 public hospitals controlled by state and local governments (American Hospital Association, 2012). The public hospitals are especially closely aligned with and controlled by governmental entities compared with hospitals with other kinds of sponsorship. This article addresses the management challenges at the intersection of the strategic management of public hospitals and their public policy environments. Public hospitals are complicated entities designed not only to provide health services but also in many cases to play key roles in health-related research and education and to play important general economic development roles in their communities. The multi-faceted strategic decision making in these organizations is as heavily affected by their public policy environments as by their business, demographic, technological or other external environments. Effectively managing the intersection of their public policy environments and their strategic management is indeed vital for contemporary public hospitals. This article is intended to clarify certain aspects of this intersection through a description and model of the strategic activity in public hospitals and the connection between this activity and their external environments. Specific attention is focused on the concept of public policy environments and their features. Attention is also given to how managers can assess public policy environments and incorporate the results into strategic activities.

  11. Reviewing innovative Earth observation solutions for filling science-policy gaps in hydrology

    NASA Astrophysics Data System (ADS)

    Lehmann, Anthony; Giuliani, Gregory; Ray, Nicolas; Rahman, Kazi; Abbaspour, Karim C.; Nativi, Stefano; Craglia, Massimo; Cripe, Douglas; Quevauviller, Philippe; Beniston, Martin

    2014-10-01

    Improved data sharing is needed for hydrological modeling and water management that require better integration of data, information and models. Technological advances in Earth observation and Web technologies have allowed the development of Spatial Data Infrastructures (SDIs) for improved data sharing at various scales. International initiatives catalyze data sharing by promoting interoperability standards to maximize the use of data and by supporting easy access to and utilization of geospatial data. A series of recent European projects are contributing to the promotion of innovative Earth observation solutions and the uptake of scientific outcomes in policy. Several success stories involving different hydrologists' communities can be reported around the World. Gaps still exist in hydrological, agricultural, meteorological and climatological data access because of various issues. While many sources of data exists at all scales it remains difficult and time-consuming to assemble hydrological information for most projects. Furthermore, data and sharing formats remain very heterogeneous. Improvements require implementing/endorsing some commonly agreed standards and documenting data with adequate metadata. The brokering approach allows binding heterogeneous resources published by different data providers and adapting them to tools and interfaces commonly used by consumers of these resources. The challenge is to provide decision-makers with reliable information, based on integrated data and tools derived from both Earth observations and scientific models. Successful SDIs rely therefore on various aspects: a shared vision between all participants, necessity to solve a common problem, adequate data policies, incentives, and sufficient resources. New data streams from remote sensing or crowd sourcing are also producing valuable information to improve our understanding of the water cycle, while field sensors are developing rapidly and becoming less costly. More recent data

  12. Policy makers ignoring science and scientists ignoring policy: the medical ethical challenges of heroin treatment

    PubMed Central

    Small, Dan; Drucker, Ernest

    2006-01-01

    require patients who have been successfully treated with heroin in Canada, to be forced to move back to less effective treatments (treatments that failed to be efficacious in the past)? This essay discusses this dilemma and places it in the broader context of ethics, science, and health policy. It makes the case for continuation of the current successful patients in heroin treatment and the institution of heroin treatment to all Canadian patients living with active addictions who qualify. PMID:16670010

  13. [Challenges and opportunities for the development of a national pharmaceutical policy in México].

    PubMed

    Wirtz, Veronika J; Dreser, Anahí; Heredia-Pi, Ileana

    2013-01-01

    Unlike many other Latin American countries Mexico has no coherent and explicit national pharmaceutical policy (NPP). Other national challenges are: high out-of-pocket expenditure on medicines despite the implementation of universal health care coverage through Seguro Popular, high prices of medicines in the private sector in comparison to other countries when adjusted for income level, and the lack of clear strategies to improve safety and efficiency in the use of medicines, in particular interventions aimed at private physicians, pharmacies and consumers. The aim of this paper is to describe the challenges and opportunities to (1) consolidate the processes of formulating, implementing and evaluating NPP, and (2) define the policy content with regard to access and use of medicines.

  14. Multicultural social policy and community participation in health: new opportunities and challenges for indigenous people.

    PubMed

    Torri, Maria Costanza

    2012-01-01

    Community participation in local health has assumed a central role in the reforms of public healthcare, being increasingly associated with the issue of decentralization of the health system. The aim of this paper is to raise questions regarding the structural approaches to multicultural social policy in Chile and to analyze the results of its implementation. The article analyzes the case study of Makewe Hospital, one of the pioneering experiences of intercultural health initiative in Chile. The Makewe Hospital, which involves the indigenous community of the Mapuche, provides interesting insights to understand the dynamics of multicultural social policy and presents an example of a successful initiative that has succeeded in involving local communities in multicultural health policy. This case study discusses the effectiveness of grassroots participation in multicultural healthcare provision and presents the main strengths and challenges for the replicability of this experience in other settings. PMID:21837643

  15. Public involvement in health priority setting: future challenges for policy, research and society.

    PubMed

    Hunter, David James; Kieslich, Katharina; Littlejohns, Peter; Staniszewska, Sophie; Tumilty, Emma; Weale, Albert; Williams, Iestyn

    2016-08-15

    Purpose - The purpose of this paper is to reflect on the findings of this special issue and discusses the future challenges for policy, research and society. The findings suggest that challenges emerge as a result of legitimacy deficits of both consensus and contestatory modes of public involvement in health priority setting. Design/methodology/approach - The paper draws on the discussions and findings presented in this special issue. It seeks to bring the country experiences and case studies together to draw conclusions for policy, research and society. Findings - At least two recurring themes emerge. An underlying theme is the importance, but also the challenge, of establishing legitimacy in health priority setting. The country experiences suggest that we understand very little about the conditions under which representative, or authentic, participation generates legitimacy and under which it will be regarded as insufficient. A second observation is that public participation takes a variety of forms that depend on the opportunity structures in a given national context. Given this variety the conceptualization of public participation needs to be expanded to account for the many forms of public participation. Originality/value - The paper concludes that the challenges of public involvement are closely linked to the question of how legitimate processes and decisions can be generated in priority setting. This suggests that future research must focus more narrowly on conditions under which legitimacy are generated in order to expand the understanding of public involvement in health prioritization.

  16. Public involvement in health priority setting: future challenges for policy, research and society.

    PubMed

    Hunter, David James; Kieslich, Katharina; Littlejohns, Peter; Staniszewska, Sophie; Tumilty, Emma; Weale, Albert; Williams, Iestyn

    2016-08-15

    Purpose - The purpose of this paper is to reflect on the findings of this special issue and discusses the future challenges for policy, research and society. The findings suggest that challenges emerge as a result of legitimacy deficits of both consensus and contestatory modes of public involvement in health priority setting. Design/methodology/approach - The paper draws on the discussions and findings presented in this special issue. It seeks to bring the country experiences and case studies together to draw conclusions for policy, research and society. Findings - At least two recurring themes emerge. An underlying theme is the importance, but also the challenge, of establishing legitimacy in health priority setting. The country experiences suggest that we understand very little about the conditions under which representative, or authentic, participation generates legitimacy and under which it will be regarded as insufficient. A second observation is that public participation takes a variety of forms that depend on the opportunity structures in a given national context. Given this variety the conceptualization of public participation needs to be expanded to account for the many forms of public participation. Originality/value - The paper concludes that the challenges of public involvement are closely linked to the question of how legitimate processes and decisions can be generated in priority setting. This suggests that future research must focus more narrowly on conditions under which legitimacy are generated in order to expand the understanding of public involvement in health prioritization. PMID:27468775

  17. Moral Discourse and Public Policy in Aging: Framing Problems, Seeking Solutions, and "Public Ethics."

    ERIC Educational Resources Information Center

    Clark, Phillip G.

    1993-01-01

    Examples from Canada and the United States are used to explore social values such as individualism vs. collectivism; definition and solution of social problems; social construction of the "crisis" of aging; and public debate and moral discourse as a process for developing public policy. (SK)

  18. Los Alamos National Laboratory: 21st century solutions to urgent national challenges

    SciTech Connect

    Mcbranch, Duncan

    2008-01-01

    Los Alamos National Laboratory has been called upon to meet urgent national challenges for more than 65 years. The people, tools, and technologies at Los Alamos are a world class resource that has proved decisive through our history, and are needed in the future. We offer expertise in nearly every science, technology, and engineering discipline, a unique integrated capability for large-scale computing and experimentation, and the proven ability to deliver solutions involving the most complex and difficult technical systems. This white paper outlines some emerging challenges and why the nation needs Los Alamos, the premier National Security Science Laboratory, to meet these challenges.

  19. Methodological Issues in the Collection, Analysis, and Reporting of Granular Data in Asian American Populations: Historical Challenges and Potential Solutions

    PubMed Central

    Islam, Nadia Shilpi; Khan, Suhaila; Kwon, Simona; Jang, Deeana; Ro, Marguerite; Trinh-Shevrin, Chau

    2011-01-01

    There are close to 15 million Asian Americans living in the United States, and they represent the fastest growing populations in the country. By the year 2050, there will be an estimated 33.4 million Asian Americans living in the country. However, their health needs remain poorly understood and there is a critical lack of data disaggregated by Asian American ethnic subgroups, primary language, and geography. This paper examines methodological issues, challenges, and potential solutions to addressing the collection, analysis, and reporting of disaggregated (or, granular) data on Asian Americans. The article explores emerging efforts to increase granular data through the use of innovative study design and analysis techniques. Concerted efforts to implement these techniques will be critical to the future development of sound research, health programs, and policy efforts targeting this and other minority populations. PMID:21099084

  20. Migration Related to Climate Change: Impact, Challenges and Proposed Policy Initiatives

    NASA Astrophysics Data System (ADS)

    Sarkar, A.

    2015-12-01

    Migration of human population possesses a great threat to human development and nation building. A significant cause for migration is due to change in climatic conditions and vulnerabilities associated with it. Our case study focuses on the consequent reason and impact of such migration in the coastal areas of West Bengal, India. The changes in rainfall pattern and the variation of temperature have been considered as parameters which have resulted in migration. It is worthy to note that the agricultural pattern has subsequently changed over the last two decades due to change in rainfall and temperature. India being an agriculture oriented economy, the changes in the meteorological variables have not only altered the rate of agricultural pattern but also the rate of migration. A proposed framework depicting relationship between changes in meteorological variables and the migration pattern, and an estimate of how the migration pattern is expected to change over the next century by utilizing the downscaled values of future rainfall and temperature has been analyzed. Moreover, various public policy frameworks has also been proposed through the study for addressing the challenges of migration related to climate change. The proposed public policy framework has been streamlined along the lines of various international treaties and conventions in order to integrate the policy initiatives through universalization of law and policy research.

  1. The Air Transportation Policy of Small States: Meeting the Challenges of Globalization

    NASA Technical Reports Server (NTRS)

    Antoniou, Andreas

    2001-01-01

    The air transport policies of small states are currently at a crossroad. Policy makers in these countries are facing a difficult dilemma: either follow the general trend of liberalization and pay the high cost of the resulting restructuring or maintain the existing regulatory and ownership structures at the risk of isolation thus undermining the viability and sustainability of their air transport sector and their economies in general. This paper proposes to explore the broad issues raised by this difficult dilemma, to outline its special significance in the context of small states and to delineate the options opened to the economic policymakers; in these states. After a brief note on the method of research, we sketch the main elements of the international air transport industry in which the airlines of small states are called upon to act. We then propose to review the main features of the analytical framework of this debate as it pertains to the special circumstances of these states. Then we focus on the challenges facing the airlines of Small States, while the next section proposes a number of the alternative policy options open to the policy makers in these states. The main conclusions are drawn in the final section.

  2. Re-thinking hate crime: fresh challenges for policy and practice.

    PubMed

    Chakraborti, Neil

    2015-06-01

    Hate crime has become an increasingly familiar term in recent times as the harms associated with acts of bigotry and prejudice continue to pose complex challenges for societies across the world. However, despite the greater recognition now afforded to hate crimes by scholars, policy makers and law enforcers, uncertainty continues to cloud the scope and legitimacy of existing policy frameworks. This article draws from an emerging body of inter-disciplinary scholarship and empirical research to highlight a series of important realities about hate crime victimization and perpetration that tend to remain peripheral to the process of policy formation. It suggests that the focus on particular strands of victims and particular sets of motivations has overshadowed a range of significant issues, including the experiences of "marginal" groups of victims, and the way in which identity characteristics intersect with one another--and with other situational factors and context--to leave some targets of hate crime especially vulnerable. The article calls for a more fluid and multi-layered approach to policy formation, which engages with these realities, and which maximizes the real-life value of hate crime discourse.

  3. Community and justice: the challenges of bicultural partnership to policy on assisted reproductive technology.

    PubMed

    Nicholas, Barbara

    1996-07-01

    Listening to other cultures offers challenges to our fundamental assumptions and worldviews. In New Zealand public policy on Assisted Reproductive Technology (ART) is being worked out in a society committed to the development of bicultural partnership honouring the Treaty of Waitangi, a treaty with the indigenous people. Strong claims to the cultural significance of genetic heritage by Maori have made apparent to non-Maori (Pakeha) their own assumptions. These claims also resist reductive understandings of genetics. In this paper I review, as a Pakeha ethicist, initiatives taken in New Zealand, and the impact of bicultural development on public policy on ART. I also discuss some of the issues this raises for western bioethics as it relates to non-western approaches and include reference to the significance of genetic heritage as it is affecting guidelines for donor insemination and surrogacy.

  4. Health policy in Asia and the Pacific: Navigating local needs and global challenges

    PubMed Central

    Lee, Kelley

    2014-01-01

    Asia and the Pacific are undergoing a remarkable economic transformation which is occurring at an exceptional pace. There is clear evidence of an equally rapid epidemiological transition in the region. This paper sets out the policy challenges of building healthy societies in the context of rapid economic change. The region’s location at the crossroads of contemporary globalization, resulting in intensified population mobility, large-scale trade and investment, and pressures to take collective action on shared problems, adds to the complexity of this task. The paper argues that health is integral to building stable and sustainable societies, and that there are opportunities to develop more holistic approaches that bring together hitherto separate policy spheres. PMID:24592312

  5. [Intersectoral policies to meet the challenge of active aging. SESPAS report 2010].

    PubMed

    Zunzunegui, María Victoria; Béland, François

    2010-12-01

    Population aging is accelerating rapidly in Spain, posing challenges and creating opportunities for the active aging of future generations. Currently, the deep economic crisis and the complex political situation form the background to the debate on policies that will influence the life conditions of the elderly of the current and future generations: pensions, retirement age, and the care of dependent people. The present article reviews some aspects of the situation in Spain that can act as barriers or catalyzers for intersectoral action to achieve active aging in our country. The conditions that may influence the success of these actions are identified, and some public policies for intersectoral actions that could promote active aging in Spain are suggested.

  6. Speakers Discuss Science Policy Challenges in the Water-Energy Nexus

    NASA Astrophysics Data System (ADS)

    Hankin, Erik

    2013-08-01

    Water and energy are linked in the ever-increasing demand for these resources in the United States. Most energy production requires an abundant, reliable, and predictable source of water, a resource that is, unfortunately, already in short supply throughout large portions of the United States. In addition, developing water supplies can require large amounts of energy for their extraction, transportation, treatment, and distribution. As such, the ­water-­energy nexus presents a significant challenge for America's water resource and energy developers and distributers as well as for policy makers.

  7. Policy recommendations for addressing privacy challenges associated with cell-based research and interventions

    PubMed Central

    2014-01-01

    Background The increased use of human biological material for cell-based research and clinical interventions poses risks to the privacy of patients and donors, including the possibility of re-identification of individuals from anonymized cell lines and associated genetic data. These risks will increase as technologies and databases used for re-identification become affordable and more sophisticated. Policies that require ongoing linkage of cell lines to donors’ clinical information for research and regulatory purposes, and existing practices that limit research participants’ ability to control what is done with their genetic data, amplify the privacy concerns. Discussion To date, the privacy issues associated with cell-based research and interventions have not received much attention in the academic and policymaking contexts. This paper, arising out of a multi-disciplinary workshop, aims to rectify this by outlining the issues, proposing novel governance strategies and policy recommendations, and identifying areas where further evidence is required to make sound policy decisions. The authors of this paper take the position that existing rules and norms can be reasonably extended to address privacy risks in this context without compromising emerging developments in the research environment, and that exceptions from such rules should be justified using a case-by-case approach. In developing new policies, the broader framework of regulations governing cell-based research and related areas must be taken into account, as well as the views of impacted groups, including scientists, research participants and the general public. Summary This paper outlines deliberations at a policy development workshop focusing on privacy challenges associated with cell-based research and interventions. The paper provides an overview of these challenges, followed by a discussion of key themes and recommendations that emerged from discussions at the workshop. The paper concludes that

  8. Fire Research in the United States--The Challenge of Meeting Changing Management and Policy Needs

    NASA Astrophysics Data System (ADS)

    Conard, S. G.

    2002-05-01

    Since the beginnings of government-sponsored fire research in the United States in the early 1900s, fire research has had close ties with fire management. However, as the social, economic, and environmental impacts of wildland fires and their management are increasingly recognized by the broader land management and environmental policy communities and by Congress, the roles, funding, and potential impacts of fire-related research are changing rapidly. Fire research is increasingly interdisciplinary and multiscalar. It is increasingly addressing a broader range of issues that require new competencies, new collaborations, new tools, and a strong vision of future needs. Fire is a dominant disturbance process in many terrestrial ecosystems, and its wise management is critical to society, to ecosystem health, and to resource sustainability. The challenges to fire research are great, the issues are complex. Developing research programs to meet these challenges is critical to ensuring protection of life and property, while meeting resource needs and maintaining a healthy environment.

  9. The New York Bight 25 years later: use impairments and policy challenges.

    PubMed

    Ofiara, Douglas D

    2015-01-15

    This paper reexamines policies and outcomes concerning the NY Bight Restoration Plan, and the NY-NJ Harbor Estuary Program (NYNJHEP) precipitated by washups of marine debris and medical wastes in the New York Bight some 25-years ago. Findings indicate progress has been made but further work is necessary. Extensive beach closures have not occurred since 1987-88, although localized closings occur annually from pathogens. Objectives of "0" beach closures may not be feasible for some beaches, not to exceed 5% closures may be more achievable. Pathogen and DO data show further reductions of the last 10-20% will be more challenging and costly, suggesting "hot spots" be a focus for further remediation. Marine debris show increasing trends on beaches; presence of balloons, plastic bags, syringes and personal hygiene items found annually is another concern. Future challenges are on two fronts, upstream (harbor estuary based)-toxics, nutrient/organic loads, and atmospheric (bight based)-toxics, metals. PMID:25500197

  10. Reviewing education challenges and solutions for health professionals in community care.

    PubMed

    Kirk, Mary

    2015-10-01

    The biggest asset of the NHS is its staff. Health professionals working in the community are faced with a number of challenges to maintain and develop their knowledge and skills in their clinical practice. NHS England's Five Year Forward View describes the need for change, identifying the necessity to reshape care delivery, harnessing technology, and driving down variations in quality and safety of care. This article explores some of the challenges faced by community health-care providers and reviews possible solutions to meet community health-care needs for now as well as the future.

  11. Adult education and the challenges of regional development: Policy and sustainability in North Denmark

    NASA Astrophysics Data System (ADS)

    Rasmussen, Palle; Staugaard, Hans Jørgen

    2016-10-01

    Adult education is governed at many levels - internationally, nationally and locally. The authors of this paper look at the challenges, structures and practices of adult education policy at the local level, more specifically in North Denmark (Northern Jutland), one of the five administrative regions of the Danish nation-state. In many ways, the current educational challenges in this remote region of Europe are similar to what can be observed worldwide and especially in countries which are generally considered welfare states. The authors see the growing social and educational divide between the region's peripheral areas and its largest city centre as a major challenge - for society as a whole and for adult education in particular. It is from this perspective that the authors describe the present structures of adult education in the region and the strategies employed by local authorities and educational institutions. This is followed by an evaluation of both structures and efforts in terms of their ability to cope with the challenges.

  12. Adult education and the challenges of regional development: Policy and sustainability in North Denmark

    NASA Astrophysics Data System (ADS)

    Rasmussen, Palle; Staugaard, Hans Jørgen

    2016-09-01

    Adult education is governed at many levels - internationally, nationally and locally. The authors of this paper look at the challenges, structures and practices of adult education policy at the local level, more specifically in North Denmark (Northern Jutland), one of the five administrative regions of the Danish nation-state. In many ways, the current educational challenges in this remote region of Europe are similar to what can be observed worldwide and especially in countries which are generally considered welfare states. The authors see the growing social and educational divide between the region's peripheral areas and its largest city centre as a major challenge - for society as a whole and for adult education in particular. It is from this perspective that the authors describe the present structures of adult education in the region and the strategies employed by local authorities and educational institutions. This is followed by an evaluation of both structures and efforts in terms of their ability to cope with the challenges.

  13. Advancing geriatrics research, education, and practice: policy challenges after the great recession.

    PubMed

    Zerzan, Judy T; Rich, Eugene C

    2014-06-01

    The series of articles in this JGIM issue provides a number of policy-relevant recommendations for advancing geriatrics research, education and practice. Despite the unprecedented pressure to reduce state and federal spending, policymakers must concurrently address the challenges of a growing population of older individuals with increasingly complex health care problems. Thus, there may be opportunities to advance this agenda in creative ways. For example, without new spending, federal research agencies can make changes to encourage needed new directions in aging research, and the ACA provides new funding opportunities such as the Patient Centered Outcomes Research Institute. States and the federal government have an increasing need for the health professions workforce to have collaborative care skills and geriatrics clinical competencies, and are finding ways to invest in relevant initiatives. On the clinical program side, state and federal governments are initiating programs to promote delivery system changes that improve the care of older adults. Nonetheless, in the face of the policy challenges that have persisted after the "great recession," academic geriatrics and general internal medicine will need to join forces with public and private interests to secure the resources needed to advance this ambitious agenda for geriatrics research, education and practice.

  14. The management and policy challenges of the globalisation effect of informatics and telemedicine.

    PubMed

    Rigby, M

    1999-01-01

    Managers and policy makers face new and as yet unrecognised challenges--particularly loss of control--through the application of new information technologies in healthcare. Whilst informatics and telemedicine are important developments, the potential for adverse organisational and societal effects should be recognised and anticipated. Health organisations are frequently seen as circumscribed networks, and these in turn form local alliances with related organisations. Information technologies are frequently construed as relating to operational systems within organisations, not least electronic patient record systems and diagnostic systems. These can then be linked to new generation health business systems, to provide accurate management information at low additional cost. However, this pair of assumptions is now seriously flawed, due to the effects of the latest developments in health informatics and telemedicine. In particular, telecommunications and Internet technologies render ineffectual previous external barriers of distance and national boundaries, whilst within the organisation the combination of knowledge bases with information technologies creates tendencies towards internal autonomy. Organisational and national policy control of health care face direct and radical challenges through perverse effects of otherwise beneficial developments, and early action is needed.

  15. Cellular Therapies for Heart Disease: Unveiling the Ethical and Public Policy Challenges

    PubMed Central

    Raval, Amish N.; Kamp, Timothy J.; Hogle, Linda F.

    2008-01-01

    Cellular therapies have emerged as a potential revolutionary treatment for cardiovascular disease. Promising pre-clinical results have resulted in a flurry of basic research activity and spawned multiple clinical trials world-wide. However, the optimal cell type and delivery mode have not been determined for target patient populations. Nor has the mechanisms of benefit for the range of cellular interventions been clearly defined. Experiences to date have unveiled a myriad of ethical and public policy challenges which will affect the way researchers and clinicians make decisions for both basic and clinical research. Stem cells derived from embryos are at the forefront of the ethical and political debate, raising issues of which derivation methods are morally and socially permissible to pursue, as much as which are technically feasible. Adult stem cells are less controversial; however, important challenges exist in determining study design, cell processing, delivery mode, and target patient population. Pathways to successful commercialization and hence broad accessibility of cellular therapies for heart disease are only beginning to be explored. Comprehensive, multi-disciplinary and collaborative networks involving basic researchers, clinicians, regulatory officials and policymakers are required to share information, develop research, regulatory and policy standards and enable rational and ethical cell-based treatment approaches. PMID:18155721

  16. Tipping Points and Balancing Acts: Grand Challenges and Synergistic Opportunities of Integrating Research and Education, Science and Solutions

    NASA Astrophysics Data System (ADS)

    McCaffrey, M. S.; Stroeve, J. C.

    2011-12-01

    The "Grand Challenges" to address Global Change identified by the International Council for Science (ICSU) and its partners through the Earth System Sustainability Initiative-improving forecasting, enhancing and integrating observation systems, confining and minimizing global environmental change, responding effectively to change, as well as innovating and evaluating these efforts-require an integrative approach that engages and inspires society in general and young people in particular. What are some of the effective strategies-and stumbling blocks-in being able to make Earth System science and related sustainability efforts relevant and practical to non-technical audiences? Recent climate education projects have pioneered new strategies toward linking and infusing research with education, science with solutions. For example, the Climate Literacy and Energy Awareness Network (CLEAN), a National Science Digital Library Pathway funded by NSF, has approached this integral approach by "closing the loop" between climate and energy topics, identifying and annotating high quality online resources relating to the carbon cycle and related topics. The Inspiring Climate Education Excellence (ICEE) project, funded by NASA, offers professional development for teachers that infuses climate science with solutions as an emerging "best practice" while being sensitive to the emotional, psychological and political aspects of avoiding "gloom and doom" on one hand or advocating for particular policy solutions on another. Other examples includes NASA's climate website (http://climate.nasa.gov ), which serves as a robust, engaging portal for climate research and data, especially for educators. The recent PBS series Earth: The Operators' Manual and related book and website are other recent example of how climate science research, education and solutions can be incorporated in a way that is appealing and informative. The Alliance for Climate Education (ACE) has given assemblies in

  17. Addressing the ethical, policy, and social challenges of preclinical Alzheimer disease.

    PubMed

    Karlawish, Jason

    2011-10-11

    Research suggests that Alzheimer disease (AD) pathophysiology begins prior to the clinical expression of the disease and that biomarker measures may provide direct evidence of this process. As a result, it may be possible to uncouple the diagnosis of AD from the clinical expression of the disease. The shifting boundaries between normal brain aging and disease present 3 challenges: 1) establishing guidelines for researchers and clinicians to safely and effectively communicate the diagnosis of preclinical AD, 2) setting up a process that effectively translates this diagnosis into practice and policy, and 3) adapting laws, regulations, and professional practices to the diagnosis of preclinical AD. The field of genetic testing for AD suggests how to balance a patient's desire to know his or her risk of developing dementia with a clinician's desire to mitigate the potential harms of that information. The development of diagnostic and treatment guidelines for other diseases of aging, such as cardiovascular disease, suggests the need for a National Alzheimer's Education Program to develop policies and procedures to translate preclinical AD into both clinical practice and policy. Revisions are needed to laws, regulations, and professional practices governing driving, financial management and planning, and privacy and confidentiality.

  18. [The green rural economy: challenges to research and to public health policies posed by agricultural modernization].

    PubMed

    Rigotto, Raquel Maria; Carneiro, Fernando Ferreira; Marinho, Alice Maria Correia Pequeno; Rocha, Mayara Melo; Ferreira, Marcelo José Monteiro; Pessoa, Vanira Matos; Teixeira, Ana Cláudia de Araújo; da Silva, Maria de Lourdes Vicente; Braga, Lara de Queiroz Viana; Teixeira, Maiana Maia

    2012-06-01

    In this paper, we ask ourselves who should, can and has the will to promote health in the rural zone today. The fields of science and public policy were chosen as our primary focus of dialogue conducted from the perspective of the right to health and a healthy environment. Seven lessons emerged: (1) in addition to the surveillance of isolated chemical risks, the relation between agrochemicals and health should be investigated in the context of conservative agricultural modernization; (2) it is mandatory and urgent to discover the health problems related to the use of agrochemicals; (3) the State has been successful in its support of agribusiness, but highly inefficient at enforcing policies to safeguard social rights; (4) sectors of society linked to rural organizations have played an important role in the public policies combating agrochemicals and protecting health; (5) studies must help deconstruct the myths surrounding the Green Revolution model; (6) we are faced with the challenge of contributing to the construction of an emerging scientific paradigm founded on an ethical-political commitment to the most vulnerable social elements; (7) rural communities are creating agro-ecological alternatives for life in semiarid areas.

  19. Addressing the ethical, policy, and social challenges of preclinical Alzheimer disease

    PubMed Central

    2011-01-01

    Research suggests that Alzheimer disease (AD) pathophysiology begins prior to the clinical expression of the disease and that biomarker measures may provide direct evidence of this process. As a result, it may be possible to uncouple the diagnosis of AD from the clinical expression of the disease. The shifting boundaries between normal brain aging and disease present 3 challenges: 1) establishing guidelines for researchers and clinicians to safely and effectively communicate the diagnosis of preclinical AD, 2) setting up a process that effectively translates this diagnosis into practice and policy, and 3) adapting laws, regulations, and professional practices to the diagnosis of preclinical AD. The field of genetic testing for AD suggests how to balance a patient's desire to know his or her risk of developing dementia with a clinician's desire to mitigate the potential harms of that information. The development of diagnostic and treatment guidelines for other diseases of aging, such as cardiovascular disease, suggests the need for a National Alzheimer's Education Program to develop policies and procedures to translate preclinical AD into both clinical practice and policy. Revisions are needed to laws, regulations, and professional practices governing driving, financial management and planning, and privacy and confidentiality. PMID:21917767

  20. E-health-oriented community health information system in china: our challenges, solution, and experience.

    PubMed

    Zhao, Junping; Zhang, Zhenjiang; Guo, Huayuang; Li, Yi; Xue, Wanguo; Ren, Lianzhong; Chen, Yunqi; Chen, Shifu; Liu, Tongze; Jia, Ru; Zhao, Yi; Chai, Chang

    2011-09-01

    China has been implementing regional collaborative medical service (also known as e-health) for >5 years, but is still facing the challenges of bridging different community health information systems (CHISs). The fact that different communities have different systems makes it difficult to share information and data between different CHISs. To explore a solution for addressing this problem, we constructed a demonstration CHIS in Beijing's Dongcheng District. This system is based on the Software-as-a-Service model, in which a central data center is used to store users' health records and to provide different services. This system provides a comprehensive platform combining disease prevention, health protection, medical care, rehabilitation, health education, and family planning. In this article, we first show the challenge of implementing e-health-oriented CHIS in China, then we briefly introduce our solution, and finally we share our experience learned from the modern CHIS implementation practice.

  1. A parametric programming solution to the F-policy queue with fuzzy parameters

    NASA Astrophysics Data System (ADS)

    Yang, Dong-Yuh; Chang, Po-Kai

    2015-03-01

    This paper investigates the F-policy queue using fuzzy parameters, in which the arrival rate, service rate, and start-up rate are all fuzzy numbers. The F-policy deals with the control of arrivals in a queueing system, in which the server requires a start-up time before allowing customers to enter. A crisp F-policy queueing system generalised to a fuzzy environment would be widely applicable; therefore, we apply the α-cuts approach and Zadeh's extension principle to transform fuzzy F-policy queues into a family of crisp F-policy queues. This study presents a mathematical programming approach applicable to the construction of membership functions for the expected number of customers in the system. Furthermore, we propose an efficient solution procedure to compute the membership function of the expected number of customers in the system under different levels of α. Finally, we give an example of the proposed system as applied to a case in the automotive industry to demonstrate its practicality.

  2. Rural hospitals: trends, challenges, and a future research and policy analysis agenda.

    PubMed

    Moscovice, Ira; Stensland, Jeffrey

    2002-01-01

    Previous reviews of the status of rural hospitals conclude that rural hospitals play a major role in ensuring the provision of health services in rural areas, are an essential part of the social and economic identity of rural communities, have had mixed success in their ability to respond to environmental threats, and are very sensitive to public policies due, in part, to their small size. The evolving hospital paradigm in the United States and a turbulent economic and health care environment have created an uncertain future for the rural hospital. Hospitals are being forced to shift their emphasis from filling acute inpatient care beds to providing a more diversified set of services through linkages with other institutions and provider groups. This presents challenges for rural hospitals, which often serve as the foundation for health care delivery in rural communities yet struggle to overcome the effects of troubled local economies, shortages of health professionals, and public policy inequities. This article reviews key trends and challenges facing rural hospitals from the perspective of their structure and organization, financial sustainability, quality of care provided, and strategic linkages with other entities. It concludes with the presentation of a research and policy analysis agenda that addresses the feasibility of the role of the rural hospital as the hub or coordinator of the rural health care delivery system, the fiscal viability of the rural hospital in the post-Balanced Budget Act period, strategies for measuring and improving the quality of care provided by rural hospitals, and the structure and value of horizontal and vertical linkages of rural hospitals.

  3. The Governor's Challenge: "Building a Stronger Virginia Today": Transportation Visions and Solutions

    NASA Technical Reports Server (NTRS)

    Baker, Susan

    2008-01-01

    Using STM(Science, Technology, Engineering, Math) education, this emerging workforce will have the chance to creatively solve one of Virginia's biggest challenges: TRANSPORTATION. - Students will be asked to develop alternative transportation systems for the state. This competition will enable teams to work with business mentors to design creative solutions for regional gridlocks and develop other transportation systems to more easily and expediently reach all parts of the Commonwealth.

  4. Financial sustainability versus access and quality in a challenged health system: an examination of the capitation policy debate in Ghana.

    PubMed

    Atuoye, Kilian Nasung; Vercillo, Siera; Antabe, Roger; Galaa, Sylvester Zackaria; Luginaah, Isaac

    2016-11-01

    Policy makers in low and middle-income countries are frequently confronted with challenges of increasing health access for poor populations in a sustainable manner. After several years of trying out different health financing mechanisms, health insurance has recently emerged as a pro-poor health financing policy. Capitation, a fixed fee periodically paid to health service providers for anticipated services, is one of the payment policies in health insurance. This article examines claims and counter-claims made by coalitions and individual stakeholders in a capitation payment policy debate within Ghana's National Health Insurance Scheme. Using content analysis of public and parliamentary proceedings, we situate the debate within policy making and health insurance literature. We found that the ongoing capitation payment debate stems from challenges in implementation of earlier health insurance claims payment systems, which reflect broader systemic challenges facing the health insurance scheme in Ghana. The study illustrates the extent to which various sub-systems in the policy debate advance arguments to legitimize their claims about the contested capitation payment system. In addition, we found that the health of poor communities, women and children are being used as surrogates for political and individual arguments in the policy debate. The article recommends a more holistic and participatory approach through persuasion and negotiation to join interests and core evidence together in the capitation policy making in Ghana and elsewhere with similar contexts. PMID:27178747

  5. Financial sustainability versus access and quality in a challenged health system: an examination of the capitation policy debate in Ghana.

    PubMed

    Atuoye, Kilian Nasung; Vercillo, Siera; Antabe, Roger; Galaa, Sylvester Zackaria; Luginaah, Isaac

    2016-11-01

    Policy makers in low and middle-income countries are frequently confronted with challenges of increasing health access for poor populations in a sustainable manner. After several years of trying out different health financing mechanisms, health insurance has recently emerged as a pro-poor health financing policy. Capitation, a fixed fee periodically paid to health service providers for anticipated services, is one of the payment policies in health insurance. This article examines claims and counter-claims made by coalitions and individual stakeholders in a capitation payment policy debate within Ghana's National Health Insurance Scheme. Using content analysis of public and parliamentary proceedings, we situate the debate within policy making and health insurance literature. We found that the ongoing capitation payment debate stems from challenges in implementation of earlier health insurance claims payment systems, which reflect broader systemic challenges facing the health insurance scheme in Ghana. The study illustrates the extent to which various sub-systems in the policy debate advance arguments to legitimize their claims about the contested capitation payment system. In addition, we found that the health of poor communities, women and children are being used as surrogates for political and individual arguments in the policy debate. The article recommends a more holistic and participatory approach through persuasion and negotiation to join interests and core evidence together in the capitation policy making in Ghana and elsewhere with similar contexts.

  6. Early lessons and challenges from the healthy Mendocino community of solution.

    PubMed

    Baird Kanaan, Susan

    2013-01-01

    Northern California's Mendocino County is joining the national movement to upgrade the quantity and quality of local data available for assessing and improving local health. A broad-based coalition in the county has successfully engaged 20 community partners in funding a web-based tool for this purpose. HealthyMendocino.org, launched in January 2013, is designed to support setting local priorities, planning and evaluating the program, and building community by giving easy access to timely data on 90 indicators of local health and its determinants compiled from a range of state and federal sources. This article, written before the site's launch by the Chair of the Healthy Mendocino Steering Committee, describes the community of solution that came together to envision, publicize, raise support for, and bring to fruition this new resource. Mendocino is a rural county with limited financial capacity but rich social assets, including a strong collaborative tradition and an infrastructure of dynamic coalitions. This article outlines the anticipated benefits, early lessons, and challenges of the initiative and explains how the organizers leveraged connections with other communities of solution that already are working to improve the quality of life in the area. The article also notes ways in which this local initiative illustrates and aligns with several of the grand challenges outlined in the modern Folsom Report-specifically, challenges 7, 8, 11, 12, and above all 13, which concerns the use of health information technology to enable the flow of knowledge to the community of solution. PMID:23657700

  7. Early lessons and challenges from the healthy Mendocino community of solution.

    PubMed

    Baird Kanaan, Susan

    2013-01-01

    Northern California's Mendocino County is joining the national movement to upgrade the quantity and quality of local data available for assessing and improving local health. A broad-based coalition in the county has successfully engaged 20 community partners in funding a web-based tool for this purpose. HealthyMendocino.org, launched in January 2013, is designed to support setting local priorities, planning and evaluating the program, and building community by giving easy access to timely data on 90 indicators of local health and its determinants compiled from a range of state and federal sources. This article, written before the site's launch by the Chair of the Healthy Mendocino Steering Committee, describes the community of solution that came together to envision, publicize, raise support for, and bring to fruition this new resource. Mendocino is a rural county with limited financial capacity but rich social assets, including a strong collaborative tradition and an infrastructure of dynamic coalitions. This article outlines the anticipated benefits, early lessons, and challenges of the initiative and explains how the organizers leveraged connections with other communities of solution that already are working to improve the quality of life in the area. The article also notes ways in which this local initiative illustrates and aligns with several of the grand challenges outlined in the modern Folsom Report-specifically, challenges 7, 8, 11, 12, and above all 13, which concerns the use of health information technology to enable the flow of knowledge to the community of solution.

  8. Domestic wastewater treatment in waste stabilization ponds for irrigation in Mendoza, Argentina: policies and challenges.

    PubMed

    Vélez, O R; Fasciolo, G E; Bertrano, A V

    2002-01-01

    Arid areas call for imaginative water management solutions to avoid the dangers of water shortages. Growing demands of water for domestic and industrial uses decrease the availability of water for agriculture. It therefore becomes necessary to set up a policy for the use of domestic effluents. For the province of Mendoza, Argentina, with 1,500,000 inhabitants, a master plan was designed as of 1991 for the treatment of domestic effluents and subsequent disposal for irrigation. The guidelines set up by WHO for the use of wastewater in agricultural applications were taken into consideration. At present, the Province of Mendoza has available projects which are either complete, in execution or in the bidding process, entailing secondary treatment capacity with reuse of 320,000 cubic metres/day and an estimated possible irrigation area of 10,000 hectares. With this infrastructure, some strategic lines of action are recommended to establish a policy for the agricultural use of wastewater: (a) to program the use of treated wastewater to avoid discharges to irrigation flows; (b) to develop an institutional scheme for the efficient and safe use of these waters; and (c) develop scientific and technologic know-how to accompany the updated policies. PMID:11833726

  9. Preoperative psychological assessment of patients seeking weight-loss surgery: identifying challenges and solutions

    PubMed Central

    Edwards-Hampton, Shenelle A; Wedin, Sharlene

    2015-01-01

    Preoperative psychosocial assessment is the standard of care for patients seeking weight-loss surgery (WLS). However, the assessment procedure varies widely by surgery site. Comprehensive assessments can provide a wealth of information that assists both the patient and the treatment team, anticipate and prepare for challenges associated with extensive behavioral and lifestyle changes that are required postsurgery. In this review, we provide an overview of the purpose of the preoperative psychosocial assessment and domains to be included. Challenges commonly identified in the assessment are discussed, including maladaptive eating behaviors, psychiatric comorbidities, and alcohol use. Potential solutions and approaches to these challenges are provided. Additionally, patient populations requiring special consideration are presented to include adolescents, those with cognitive vulnerabilities, and aging adults. PMID:26604844

  10. Facing policy challenges with inter- and transdisciplinary soil research focused on the UN Sustainable Development Goals

    NASA Astrophysics Data System (ADS)

    Bouma, Johan; Montanarella, Luca

    2016-04-01

    Our current information society, populated by increasingly well-informed and critical stakeholders, presents a challenge to both the policy and science arenas. The introduction of the UN Sustainable Development Goals (SDGs) offers a unique and welcome opportunity to direct joint activities towards these goals. Soil science, even though it is not mentioned as such, plays an important role in realizing a number of SDGs focusing on food, water, climate, health, biodiversity, and sustainable land use. A plea is made for a systems approach to land use studies, to be initiated by soil scientists, in which these land-related SDGs are considered in an integrated manner. To connect with policy makers and stakeholders, two approaches are functional. The first of these is the policy cycle when planning and executing research, which includes signaling, design, decision making, implementation, and evaluation. Many current research projects spend little time on signaling, which may lead to disengagement of stakeholders. Also, implementation is often seen as the responsibility of others, while it is crucial to demonstrate - if successful - the relevance of soil science. The second approach is the DPSIR approach when following the policy cycle in land-related research, distinguishing external drivers, pressures, impact, and responses to land use change that affect the state of the land in the past, present, and future. Soil science cannot by itself realize SDGs, and interdisciplinary studies on ecosystem services (ESs) provide an appropriate channel to define contributions of soil science in terms of the seven soil functions. ESs, in turn, can contribute to addressing the six SDGs (2, 3, 6, 12, 13, and 15) with an environmental, land-related character. SDGs have a societal focus and future soil science research can only be successful if stakeholders are part of the research effort in transdisciplinary projects, based on the principle of time-consuming "joint learning". The

  11. Challenges in global biodiversity conservation and solutions that cross sociology, politics, economics and ecology.

    PubMed

    Hoban, Sean; Vernesi, Cristiano

    2012-12-23

    The study and practice of conservation biology is inherently interdisciplinary, addresses short and long time-scales and occurs within complex human-natural interfaces. Zoos and aquaria, in partnership with researchers, other non-government organizations, government, industry and educators, are combining knowledge of species and ecosystems with economics, psychology and law to create solutions for conserving biodiversity. From 22 to 25 May, the Conservation Forum of the European Association of Zoos and Aquaria was a venue for discussing conservation research, education and interventions, from the scale of villages to global policy.

  12. Challenges in global biodiversity conservation and solutions that cross sociology, politics, economics and ecology.

    PubMed

    Hoban, Sean; Vernesi, Cristiano

    2012-12-23

    The study and practice of conservation biology is inherently interdisciplinary, addresses short and long time-scales and occurs within complex human-natural interfaces. Zoos and aquaria, in partnership with researchers, other non-government organizations, government, industry and educators, are combining knowledge of species and ecosystems with economics, psychology and law to create solutions for conserving biodiversity. From 22 to 25 May, the Conservation Forum of the European Association of Zoos and Aquaria was a venue for discussing conservation research, education and interventions, from the scale of villages to global policy. PMID:22832128

  13. Challenges in global biodiversity conservation and solutions that cross sociology, politics, economics and ecology

    PubMed Central

    Hoban, Sean; Vernesi, Cristiano

    2012-01-01

    The study and practice of conservation biology is inherently interdisciplinary, addresses short and long time-scales and occurs within complex human–natural interfaces. Zoos and aquaria, in partnership with researchers, other non-government organizations, government, industry and educators, are combining knowledge of species and ecosystems with economics, psychology and law to create solutions for conserving biodiversity. From 22 to 25 May, the Conservation Forum of the European Association of Zoos and Aquaria was a venue for discussing conservation research, education and interventions, from the scale of villages to global policy. PMID:22832128

  14. Temporal trends in childhood mortality in Ghana: impacts and challenges of health policies and programs

    PubMed Central

    Kayode, Gbenga A.; Grobbee, Diederick E.; Koduah, Augustina; Amoakoh-Coleman, Mary; Agyepong, Irene A.; Ansah, Evelyn; van Dijk, Han; Klipstein-Grobusch, Kerstin

    2016-01-01

    Background Following the adoption of the Millennium Development Goal 4 (MDG 4) in Ghana to reduce under-five mortality by two-thirds between 1990 and 2015, efforts were made towards its attainment. However, impacts and challenges of implemented intervention programs have not been examined to inform implementation of Sustainable Development Goal 3.2 (SDG 3.2) that seeks to end preventable deaths of newborns and children aged under-five. Thus, this study aimed to compare trends in neonatal, infant, and under-five mortality over two decades and to highlight the impacts and challenges of health policies and intervention programs implemented. Design Ghana Demographic and Health Survey data (1988–2008) were analyzed using trend analysis. Poisson regression analysis was applied to quantify the incidence rate ratio of the trends. Implemented health policies and intervention programs to reduce childhood mortality in Ghana were reviewed to identify their impact and challenges. Results Since 1988, the annual average rate of decline in neonatal, infant, and under-five mortality in Ghana was 0.6, 1.0, and 1.2%, respectively. From 1988 to 1989, neonatal, infant, and under-five mortality declined from 48 to 33 per 1,000, 72 to 58 per 1,000, and 108 to 83 per 1,000, respectively, whereas from 1989 to 2008, neonatal mortality increased by 2 per 1,000 while infant and under-five mortality further declined by 6 per 1,000 and 17 per 1,000, respectively. However, the observed declines were not statistically significant except for under-five mortality; thus, the proportion of infant and under-five mortality attributed to neonatal death has increased. Most intervention programs implemented to address childhood mortality seem not to have been implemented comprehensively. Conclusion Progress towards attaining MDG 4 in Ghana was below the targeted rate, particularly for neonatal mortality as most health policies and programs targeted infant and under-five mortality. Implementing neonatal

  15. Review and challenges of policies of environmental protection and sustainable development in China.

    PubMed

    Zhang, Kun-Min; Wen, Zong-Guo

    2008-09-01

    China is confronted with the dual task of developing its national economy and protecting its ecological environment. Since the 1980s, China's policies on environmental protection and sustainable development have experienced five changes: (1) progression from the adoption of environmental protection as a basic state policy to the adoption of sustainable development strategy; (2) changing focus from pollution control to ecological conservation equally; (3) shifting from end-of-pipe treatment to source control; (4) moving from point source treatment to regional environmental governance; and (5) a turn away from administrative management-based approaches and towards a legal means and economic instruments-based approach. Since 1992, China has set down sustainable development as a basic national strategy. However, environmental pollution and ecological degradation in China have continued to be serious problems and have inflicted great damage on the economy and quality of life. The beginning of the 21st century is a critical juncture for China's efforts towards sustaining rapid economic development, intensifying environmental protection efforts, and curbing ecological degradation. As the largest developing country, China's policies on environmental protection and sustainable development will be of primary importance not only for China, but also the world. Realizing a completely well-off society by the year 2020 is seen as a crucial task by the Chinese government and an important goal for China's economic development in the new century, however, attaining it would require a four-fold increase over China's year 2000 GDP. Therefore, speeding up economic development is a major mission during the next two decades and doing so will bring great challenges in controlling depletion of natural resources and environmental pollution. By taking a critical look at the development of Chinese environmental policy, we try to determine how best to coordinate the relationship between the

  16. Review and challenges of policies of environmental protection and sustainable development in China.

    PubMed

    Zhang, Kun-Min; Wen, Zong-Guo

    2008-09-01

    China is confronted with the dual task of developing its national economy and protecting its ecological environment. Since the 1980s, China's policies on environmental protection and sustainable development have experienced five changes: (1) progression from the adoption of environmental protection as a basic state policy to the adoption of sustainable development strategy; (2) changing focus from pollution control to ecological conservation equally; (3) shifting from end-of-pipe treatment to source control; (4) moving from point source treatment to regional environmental governance; and (5) a turn away from administrative management-based approaches and towards a legal means and economic instruments-based approach. Since 1992, China has set down sustainable development as a basic national strategy. However, environmental pollution and ecological degradation in China have continued to be serious problems and have inflicted great damage on the economy and quality of life. The beginning of the 21st century is a critical juncture for China's efforts towards sustaining rapid economic development, intensifying environmental protection efforts, and curbing ecological degradation. As the largest developing country, China's policies on environmental protection and sustainable development will be of primary importance not only for China, but also the world. Realizing a completely well-off society by the year 2020 is seen as a crucial task by the Chinese government and an important goal for China's economic development in the new century, however, attaining it would require a four-fold increase over China's year 2000 GDP. Therefore, speeding up economic development is a major mission during the next two decades and doing so will bring great challenges in controlling depletion of natural resources and environmental pollution. By taking a critical look at the development of Chinese environmental policy, we try to determine how best to coordinate the relationship between the

  17. Prenatal diagnosis and selective abortion: a challenge to practice and policy.

    PubMed Central

    Asch, A

    1999-01-01

    Professionals should reexamine negative assumptions about the quality of life with prenatally detectable impairments and should reform clinical practice and public policy to improve informed decision making and genuine reproductive choice. Current data on children and families affected by disabilities indicate that disability does not preclude a satisfying life. Many problems attributed to the existence of a disability actually stem from inadequate social arrangements that public health professionals should work to change. This article assumes a pro-choice perspective but suggests that unreflective uses of prenatal testing could diminish, rather than expand, women's choices. This critique challenges the view of disability that lies behind the social endorsement of such testing and the conviction that women will or should end their pregnancies if they discover that the fetus has a disabling trait. PMID:10553384

  18. Recent trends in reproductive tourism and international surrogacy: ethical considerations and challenges for policy.

    PubMed

    Deonandan, Raywat

    2015-01-01

    Reproductive tourism, or "cross-border reproductive care", is the phenomenon of people crossing international borders to access reproductive technologies. One of the fastest-growing categories of cross-border reproductive care is international surrogacy, the act of infertile clients traveling internationally to engage the paid services of foreign surrogates to carry their babies to term. It is a multibillion-dollar global industry presenting unique legal, ethical, and risk-management challenges. Clients tend to be price-sensitive, middle-income individuals seeking services from surrogates who in the global market are thought to be of quite low socioeconomic status. Risks are experienced by all parties involved in the transaction, including the client's countries of origin and destination. The risks to the surrogate evolve from the potential to exploit her economic vulnerability in order to encourage both consent and unfair pricing. Opportunities for policy development are explored.

  19. Prenatal diagnosis and selective abortion: a challenge to practice and policy.

    PubMed

    Asch, A

    1999-11-01

    Professionals should reexamine negative assumptions about the quality of life with prenatally detectable impairments and should reform clinical practice and public policy to improve informed decision making and genuine reproductive choice. Current data on children and families affected by disabilities indicate that disability does not preclude a satisfying life. Many problems attributed to the existence of a disability actually stem from inadequate social arrangements that public health professionals should work to change. This article assumes a pro-choice perspective but suggests that unreflective uses of prenatal testing could diminish, rather than expand, women's choices. This critique challenges the view of disability that lies behind the social endorsement of such testing and the conviction that women will or should end their pregnancies if they discover that the fetus has a disabling trait. PMID:10553384

  20. Recent trends in reproductive tourism and international surrogacy: ethical considerations and challenges for policy

    PubMed Central

    Deonandan, Raywat

    2015-01-01

    Reproductive tourism, or “cross-border reproductive care”, is the phenomenon of people crossing international borders to access reproductive technologies. One of the fastest-growing categories of cross-border reproductive care is international surrogacy, the act of infertile clients traveling internationally to engage the paid services of foreign surrogates to carry their babies to term. It is a multibillion-dollar global industry presenting unique legal, ethical, and risk-management challenges. Clients tend to be price-sensitive, middle-income individuals seeking services from surrogates who in the global market are thought to be of quite low socioeconomic status. Risks are experienced by all parties involved in the transaction, including the client’s countries of origin and destination. The risks to the surrogate evolve from the potential to exploit her economic vulnerability in order to encourage both consent and unfair pricing. Opportunities for policy development are explored. PMID:26316832

  1. Confidentiality and treatment decisions of minor clients: a health professional's dilemma & policy makers challenge.

    PubMed

    Jackson, Margot Karen; Burns, Katharina Kovacs; Richter, Magdalena S

    2014-01-01

    Issues relating to confidentiality and consent for physical and mental health treatment with minor clients can pose challenges health care providers. Decisions need to be made regarding these issues despite the absence of clear, direct, or comprehensive policies and legislation. In order to fully understand the scope of this topic, a systemic review of several pieces of legislation and guidelines related to this topic are examined. These include the: Canadian Human Rights Act, Children's Rights: International and National Laws and Practices, Health Information Act, Gillick Competence and Medical Emancipation, Freedom of Information and Protection of Privacy Act, Child, Youth and Family Enhancement Act, Common Law Mature Minor Doctrine, and Alberta Health Services Consent to Treatment/Practice(s) Minor/Mature Minor. In order to assist health professionals with decisions regarding confidentiality and treatment with minor clients a case study and guide for decision-making is also presented.

  2. Recent trends in reproductive tourism and international surrogacy: ethical considerations and challenges for policy.

    PubMed

    Deonandan, Raywat

    2015-01-01

    Reproductive tourism, or "cross-border reproductive care", is the phenomenon of people crossing international borders to access reproductive technologies. One of the fastest-growing categories of cross-border reproductive care is international surrogacy, the act of infertile clients traveling internationally to engage the paid services of foreign surrogates to carry their babies to term. It is a multibillion-dollar global industry presenting unique legal, ethical, and risk-management challenges. Clients tend to be price-sensitive, middle-income individuals seeking services from surrogates who in the global market are thought to be of quite low socioeconomic status. Risks are experienced by all parties involved in the transaction, including the client's countries of origin and destination. The risks to the surrogate evolve from the potential to exploit her economic vulnerability in order to encourage both consent and unfair pricing. Opportunities for policy development are explored. PMID:26316832

  3. Modeling Joint Climate and Bioenergy Policies: Challenges of integrating economic and environmental data. (Invited)

    NASA Astrophysics Data System (ADS)

    Hellwinckel, C. M.; West, T. O.; de La Torre Ugarte, D.; Perlack, R.

    2010-12-01

    In the coming decades agriculture will be asked to play a significant role in reducing carbon emissions and reducing our use of foreign oil. The Renewable Fuels Standard combined with possible climate legislation will alter the economic landscape effecting agricultural land use decisions. The joint implementation of these two policies could potentially work against one another. We have integrated biogeophysical data into the POLYSYS economic model to analyze the effects of climate change and bioenergy legislation upon regional land-use change, soil carbon, carbon emissions, biofuel production, and agricultural income. The purpose of the analysis was to use the integrated model to identify carbon and bioenergy policies that could act synergistically to meet Renewable Fuel Standard goals, reduce net emissions of carbon, and increase agricultural incomes. The heterogeneous nature of soils, crop yields, and management practices presented challenges to the modeling process. Regional variation in physical data can significantly affect economic land use decisions and patterns. For this reason, we disaggregated the economic component of the model to the county level, with sub-county soils and land-use data informing the county level decisions. Modeling carbon offset dynamics presented unique challenges, as the physical responses of local soils impact the economic incentives offered, and conversely, the resulting land-use changes impact characteristics of local soils. Additionally, using data from different resolution levels led to questions of appropriate scale of analysis. This presentation will describe the integrated model, present some significant results from our analysis, and discuss appropriate steps forward given what we learned.

  4. Key Challenges for Tertiary Education Policy and Research--An Australian Perspective

    ERIC Educational Resources Information Center

    Goedegebuure, Leo; Schoen, Marian

    2014-01-01

    Australia has had a mixed history in the way in which policy research has related to higher education policy. Recognising a history of policy-related research and to some extent research-informed policy-making, Australia has followed the trend of other New Public Management-driven systems of de-emphasising policy-oriented independent research. In…

  5. MicroResearch--Finding sustainable solutions to local health challenges in East Africa.

    PubMed

    Kollmann, Tobias R; Bortolussi, Robert; MacDonald, Noni E

    2015-06-01

    The urgent need in Africa for research capacity building has been recognized by African leaders and governments for many years. However, lack of large research funding opportunities has been seen as a major obstacle to improving research capacity in precisely those countries that need it the most. Microfinance has shown that a small infusion of capital can "prime the pump" to creative local economic productivity. In a similar way, MicroResearch has proven effective in promoting a similar bottom-up strategy to find sustainable solutions to local health challenges through local community focused research. Specifically, MicroResearch through hands-on didactic courses, mentoring and small-scale research funding promotes small research projects that improve research skills across the entire health-care provider spectrum to unleash a culture of inquiry. This in turn stimulates health care providers to identify the locally most relevant obstacles that need to be overcome and implement locally feasible and sustainable solutions. MicroResearch is a bottom-up strategy proven effective at finding sustainable solutions to local health challenges.

  6. Achieving universal health coverage in France: policy reforms and the challenge of inequalities.

    PubMed

    Nay, Olivier; Béjean, Sophie; Benamouzig, Daniel; Bergeron, Henri; Castel, Patrick; Ventelou, Bruno

    2016-05-28

    Since 1945, the provision of health care in France has been grounded in a social conception promoting universalism and equality. The French health-care system is based on compulsory social insurance funded by social contributions, co-administered by workers' and employers' organisations under State control and driven by highly redistributive financial transfers. This system is described frequently as the French model. In this paper, the first in The Lancet's Series on France, we challenge conventional wisdom about health care in France. First, we focus on policy and institutional transformations that have affected deeply the governance of health care over past decades. We argue that the health system rests on a diversity of institutions, policy mechanisms, and health actors, while its governance has been marked by the reinforcement of national regulation under the aegis of the State. Second, we suggest the redistributive mechanisms of the health insurance system are impeded by social inequalities in health, which remain major hindrances to achieving objectives of justice and solidarity associated with the conception of health care in France. PMID:27145707

  7. Implementation, barriers and challenges of smoke-free policies in hospitals in Egypt

    PubMed Central

    2012-01-01

    Background Tobacco use is a serious public health challenge in North Africa, and health professionals play a vital role in tobacco control. In Egypt, limited data are available on the knowledge and attitudes of health care providers regarding tobacco control policies. Such data are especially relevant due to Egypt’s tobacco control laws, adopted in 2007, prohibiting smoking in hospitals and other public places. This study surveyed 49 senior administrative staff, 267 physicians, 254 nurses, and 109 administrative employees working in El-Kasr El-Aini Hospital in Cairo, assessing their knowledge and attitudes regarding Egypt’s tobacco control laws and barriers to their effective implementation in health care facilities. We also investigated the hospital’s compliance with smoke-free policies. Results The majority (>90%) of the hospital workers knew that exposure to second-hand smoke is harmful to health. Physicians and nurses had a more favorable attitude towards the smoking ban when compared to administrative employees. Hospital staff identified the following barriers to successfully implementing the smoking ban: lax enforcement of tobacco control laws, the lack of penalties for violators, the lack of cessation programs, and the prevalence of smoking among physicians. Conclusions Overall, smoke-free policies were poorly enforced in this large teaching hospital in Cairo, Egypt. Interventions to address the identified barriers to their implementation could include the provision of cessation training and services as well as effective communication programs to educate health care workers at all levels regarding the dangers of second-hand smoke exposure and effective measures for protection. PMID:23069011

  8. Health in all policies: the role of the US Department of Housing and Urban Development and present and future challenges.

    PubMed

    Bostic, Raphael W; Thornton, Rachel L J; Rudd, Elizabeth C; Sternthal, Michelle J

    2012-09-01

    The link between federal housing policy and public health has been understood since the nineteenth century, when housing activists first sought to abolish slums and create healthful environments. This article describes how the Obama administration-building on these efforts and those that followed, including the Great Society programs of President Lyndon Johnson-has adopted a cross-sector approach that takes health considerations into account when formulating housing and community development policy. The federal Department of Housing and Urban Development fully embraces this "health in all policies" approach. Nonetheless, the administration's strategy faces challenges, including fiscal and political ones. Some of these challenges may be overcome by conducting quality research on how housing and community development policies affect health outcomes, and by developing a federal budget strategy that takes into account how investments in one sector contribute to cost savings in another. PMID:22914341

  9. Health in all policies: the role of the US Department of Housing and Urban Development and present and future challenges.

    PubMed

    Bostic, Raphael W; Thornton, Rachel L J; Rudd, Elizabeth C; Sternthal, Michelle J

    2012-09-01

    The link between federal housing policy and public health has been understood since the nineteenth century, when housing activists first sought to abolish slums and create healthful environments. This article describes how the Obama administration-building on these efforts and those that followed, including the Great Society programs of President Lyndon Johnson-has adopted a cross-sector approach that takes health considerations into account when formulating housing and community development policy. The federal Department of Housing and Urban Development fully embraces this "health in all policies" approach. Nonetheless, the administration's strategy faces challenges, including fiscal and political ones. Some of these challenges may be overcome by conducting quality research on how housing and community development policies affect health outcomes, and by developing a federal budget strategy that takes into account how investments in one sector contribute to cost savings in another.

  10. Establishing institutional ethics committees: challenges and solutions - a review of the literature.

    PubMed

    Kuyare, Mukta S; Taur, Santosh R; Thatte, Urmila M

    2014-01-01

    This review of the literature was conducted to identify the challenges faced while establishing institutional ethics committees (IECs) as well as to suggest some solutions. The search of the literature was carried out with the help of the PubMed search engine, using “research ethics committees” (MeSH] and “India” (MeSH]) as the key words for articles published between 2004 and 2012. We found 31 articles related to the topic, and the most common challenge mentioned was inappropriate functioning of IECs (n=17), followed by inappropriate structure (n=14). The authors identified many challenges related to the lack of oversight by regulatory bodies (n=14) as well as issues pertaining to the ethical training of IEC members and investigators (n=13). It is evident from the multitude of papers on the issue that the challenges related to the constitution and functioning of IECs must be given the attention they deserve to ensure that research participants in India are better protected.

  11. Challenges and solutions to implementing drug-resistant tuberculosis programmes for children in Central Asia.

    PubMed

    du Cros, P; Swaminathan, A; Bobokhojaev, O I; Sharifovna, Z D; Martin, C; Herboczek, K; Höhn, C; Seddon, J A

    2015-06-21

    Guidelines for children with drug-resistant tuberculosis (DR-TB) tend to focus on individual patient care; there is little guidance for national tuberculosis programmes (NTPs) on how to plan, implement and integrate DR-TB services for children. In 2013, through the paediatric tuberculosis (TB) programme started by the Tajikistan Ministry of Health and Médecins Sans Frontières in 2011, 21 children became the first to be treated for multidrug-resistant tuberculosis (MDR-TB) in Tajikistan. We describe the challenges encountered in establishing the programme and the solutions to these challenges, and propose a framework to guide the implementation of paediatric DR-TB care. This framework could prove useful for other NTPs in resource-limited settings.

  12. Challenges and design solutions of the liquid hydrogen circuit at the European Spallation Source

    NASA Astrophysics Data System (ADS)

    Gallimore, S.; Nilsson, P.; Sabbagh, P.; Takibayev, A.; Weisend, J. G., II; Beßler, Y.; Klaus, M.

    2014-01-01

    The European Spallation Source (ESS), Lund, Sweden will be a 5MW long-pulse neutron spallation research facility and will enable new opportunities for researchers in the fields of life sciences, energy, environmental technology, cultural heritage and fundamental physics. Neutrons are produced by accelerating a high-energy proton beam into a rotating helium-cooled tungsten target. These neutrons pass through moderators to reduce their energy to an appropriate range (< 5 meV for cold neutrons); two of which will use liquid hydrogen at 17 K as the moderating and cooling medium. There are several technical challenges to overcome in the design of a robust system that will operate under such conditions, not least the 20 kW of deposited heat. These challenges and the associated design solutions will be detailed in this paper.

  13. Personal Genomic Information Management and Personalized Medicine: Challenges, Current Solutions, and Roles of HIM Professionals

    PubMed Central

    Alzu'bi, Amal; Zhou, Leming; Watzlaf, Valerie

    2014-01-01

    In recent years, the term personalized medicine has received more and more attention in the field of healthcare. The increasing use of this term is closely related to the astonishing advancement in DNA sequencing technologies and other high-throughput biotechnologies. A large amount of personal genomic data can be generated by these technologies in a short time. Consequently, the needs for managing, analyzing, and interpreting these personal genomic data to facilitate personalized care are escalated. In this article, we discuss the challenges for implementing genomics-based personalized medicine in healthcare, current solutions to these challenges, and the roles of health information management (HIM) professionals in genomics-based personalized medicine. PMID:24808804

  14. Challenges and solutions of remote sensing at offshore wind energy developments.

    PubMed

    Kelly, T A; West, T E; Davenport, J K

    2009-11-01

    Radar is becoming an important tool used to gather data on bird and bat activity at proposed and existing land-based wind energy sites. Radar will likely play an even more important role at the increasing development of wind energy offshore, given both the lack of knowledge about bird and bat activity offshore and the increased difficulty in obtaining offshore information. Most radar studies to date have used off-the-shelf or modified marine radars. However, there are several issues that continue to hinder the potential usefulness of radar at wind energy sites, with offshore sites providing a particular suite of challenges. We identify these challenges along with current or developing solutions.

  15. Policy Coherence towards East Asia: Development Challenges for OECD Countries. OECD Development Centre Policy Brief No. 26

    ERIC Educational Resources Information Center

    Fukasaku, K.; Kawai, M.; Plummer, M. G.; Trzeciak-Duval, A.

    2005-01-01

    Coherence issues drawn from specific country and regional cases can provide the most concrete information on the development implications of OECD-country policies. A first regional case study focused on East Asia, with financial support from the Policy Research Institute of the Japanese Ministry of Finance. The links between the region's…

  16. The Ebola epidemic in West Africa: challenges, opportunities, and policy priority areas.

    PubMed

    Buseh, Aaron G; Stevens, Patricia E; Bromberg, Mel; Kelber, Sheryl T

    2015-01-01

    The ongoing Ebola epidemic in West Africa has drawn attention to global health inequalities, in particular the inadequacies of health care systems in sub-Saharan African countries for appropriately managing and containing infectious diseases. The purpose of this article is to examine the sociopolitical and economic conditions that created the environment for the Ebola epidemic to occur, identify challenges to and opportunities for the prevention and control of Ebola and future outbreaks, and discuss policy recommendations and priority areas for addressing the Ebola epidemic and future outbreaks in West Africa. Articles in peer-reviewed journals on health system reforms in developing countries and periodicals of international organizations were used to gather the overview reported in this article. We identify individual, structural, and community challenges that must be addressed in an effort to reduce the spread of Ebola in West Africa. The Ebola epidemic in West Africa underscores the need for the overhaul and transformation of African health care systems to build the capacity in these countries to address infectious diseases. Public-private partnerships for investment in developing countries' health care systems that involve the international community are critical in addressing the current Ebola epidemic and future outbreaks. PMID:25645480

  17. Mobilis in mobili: wireless health solutions for a morphing medical challenge

    NASA Astrophysics Data System (ADS)

    Saldivar, Enrique

    2011-10-01

    We face the challenge of providing adequate medical attention to a growing and aging population. Even societies with the best healthcare standards are not prepared to provide adequate medical attention to a growing population. Globally, these problems are magnified as medical care is a mélange ranging from obsolete techniques to state-of-the-art care. A solution to providing proper healthcare in every society, and closing the gap between developed and underserved communities, is the implementation of wireless based preventive medicine. The key components to universalize wireless health care are device miniaturization, increased shelf-life of bio-reagents, and low production cost of medical devices.

  18. Language barriers within primary care consultations: an increasing challenge needing new solutions.

    PubMed

    Li, Shuangyu; Pearson, David; Escott, Sarah

    2010-11-01

    International migration is an increasing global phenomenon, particularly noticeable in the UK where removing barriers to travel and residence within an expanded European Union has brought a huge increase in new arrivals. Migration has increased the number of medical consultations where language barriers occur. This paper summarises findings from a review of the literature and explores the challenges posed within these medical consultations, particularly those in primary care. It highlights limitations to current consultation models and educational interventions to improve consultations across language barriers, and suggests future solutions to those problems.

  19. [New bridges for gaps in psychotherapeutic service provision by the internet: hopes, challenges and a solution].

    PubMed

    Golkaramnay, Valiollah; Wangemann, Thomas; Dogs, Janny; Dogs, Peter; Kordy, Hans

    2003-01-01

    Modern communication technologies such as internet, e-mail or SMS open up new possibilities for the optimization of the psychotherapeutic service provision. However, their use places new challenges. Ethical and legal requirements must be considered, technical and communicative aspects must be integrated into supplying concepts. This paper presents central requirements for the use of the Internet and a possible solution by the example of the project "Internet-Brücke" (internet bridge). In this project internet chat groups are tested as an aftercare program following inpatient treatment in a specialized hospital for psychotherapy and psychosomatic medicine. It is discussed, in what respect the solutions fit the specific requirements of this project and what can be learned for further applications.

  20. Forward and pressure retarded osmosis: potential solutions for global challenges in energy and water supply.

    PubMed

    Klaysom, Chalida; Cath, Tazhi Y; Depuydt, Tom; Vankelecom, Ivo F J

    2013-08-21

    Osmotically driven membrane processes (ODMP) have gained renewed interest in recent years and they might become a potential solution for the world's most challenging problems of water and energy scarcity. Though the concept of utilizing osmotic pressure difference between high and low salinity streams across semipermeable membranes has been explored for several decades, lack of optimal membranes and draw solutions hindered competition between forward osmosis (FO) and pressure retarded osmosis (PRO) with existing water purification and power generation technologies, respectively. Driven by growing global water scarcity and by energy cost and negative environmental impacts, novel membranes and draw solutions are being developed for ODMPs, mass and heat transfer in osmotic process are becoming better understood, and new applications of ODMPs are emerging. Therefore, OMDPs might become promising green technologies to provide clean water and clean energy from abundantly available renewable resources. This review focuses primarily on new insights into osmotic membrane transport mechanisms and on novel membranes and draw solutions that are currently being developed. Furthermore, the effects of operating conditions on the overall performance of osmotic membranes will be highlighted and future perspectives will be presented.

  1. SU-E-E-03: Developing Solutions to Critical Radiation Oncology Challenges in Tanzania

    SciTech Connect

    Kenton, O; Dachi, J; Metz, J; Avery, S

    2014-06-01

    Purpose: Develop solutions to critical medical physics challenges in Tanzania. Methods: In September of 2013 we began working with Jumaa Bin Dachi, a Therapy Physicist at the Ocean Road Cancer Institute in Dar es Salaam, Tanzania. We developed a bi-lateral learning partnership over the course of eight qualitative Skype meetings with Jumaa. From these meetings we have ascertained that there is a gap between the installation of new equipment and treating patients. This gap has often been overlooked by international partners attempting to improve radiation therapy access. Relationships with academic institutions abroad can fill these gaps, and lead to sustained care of patients needing radiation. Results: Our efforts are best given in a supporting role to help develop solutions and new technology that can reduce the burden on the Medical Physicist. Solutions may include: training material, support for radiation therapy classes, development of appropriate local protocols, and peer-review on documents being produced. New technology needs to focus around simple and easy field shaping, improved patient imaging systems, and systems for patient set-up. We believe our work can help alleviate some of the burdens faced by this institute. Conclusion: While we are just in the beginning stage of this partnership, we believe there is great potential for success between both parties. We hope that the Ocean Road Cancer Institute will benefit from potential funding and resources by partnering with a High Income Country to develop affordable solutions to clinical problems in Tanzania.

  2. A review of public policy issues in promoting the development and commercialization of pharmacogenomic applications: challenges and implications.

    PubMed

    Garrison, Louis P; Carlson, Rick J; Carlson, Josh J; Kuszler, Patricia C; Meckley, Lisa M; Veenstra, David L

    2008-01-01

    This article reviews the regulatory, social, policy, and other issues that will shape the development of pharmacogenomics applications. We identify and analyze 19 key public policy issues, ranging from the economic incentives for linked diagnostic-drug development, to the regulation of tests and drugs, and to privacy and informed consent. Challenging technical, business, and policy-related issues might either hinder progress in the field of pharmacogenomics or potentially accelerate it, depending on how they are addressed and resolved. How well the numerous important stakeholders - both private and public - address these issues will be critical for pharmacogenomics to deliver on its promise.

  3. The European Water Framework Directive: Challenges For A New Type of Social and Policy Analysis

    NASA Astrophysics Data System (ADS)

    Pahl-Wostl, C.

    Water resources managment is facing increasing uncertainties in all areas. Socio- economic boundary conditions change quickly and require more flexible management strategies. Climate change, for example results in an increase in uncertainties, in par- ticular extreme events. Given the fact that current management practices deal with extreme events by designing the technical systems to manage the most extreme of all cases (e.g. higher dams for the protection against extreme floods, larger water reser- voirs for droughts and to meet daily peak demand) a serious problem is posed for long-term planning and risk management. Engineering planning has perceived the hu- man dimension as exogenous boundary conditions. Legislation focused largely on the environmental and technological dimensions that set limits and prescribe new tech- nologies without taking the importance of institutional change into account. However, technology is only the "hardware" and it is becoming increasingly obvious that the "software", the social dimension, has to become part of planning and management processes. Hence, the inclusion of the human dimension into integrated models and processes will be valuable in supporting the introduction of new elements into plan- ning processes in water resources management. With the European Water Framework Directive environmental policy enters a new era. The traditional approach to solving isolated environmental problems with technological fixes and end-of-pipe solutions has started to shift towards a more thoughtful attitude which involves the development of integrated approaches to problem solving. The WFD introduces the river basin as the management unit, thus following the experience of some European countries (e.g. France) and the example of the management of some international rivers (e.g. the Rhine). Overall the WFD represents a general shift towards a polycentric understand- ing of policy making that requires the involvement of stakeholders as active

  4. Environmental Education Policy Research--Challenges and Ways Research Might Cope with Them

    ERIC Educational Resources Information Center

    Laessoe, Jeppe; Feinstein, Noah Weeth; Blum, Nicole

    2013-01-01

    This essay examines the relationship between research and policy and, more specifically, how researchers might relate to policy work. Given the current international policy focus on climate change, green growth and sustainability in general, it argues for strengthening and widening policy research in the areas of Environmental Education (EE),…

  5. Policy.

    ERIC Educational Resources Information Center

    Evans, Judith L.; And Others

    1995-01-01

    This theme issue is devoted to discussions of early childhood policy issues. "Creating a Shared Vision: How Policy Affects Early Childhood Care and Development" (Judith L. Evans) defines policy, discusses the motivation for changing or creating national policy and the process for changing such policies, and provides a sample design for an early…

  6. Studies on Nurse staffing and Healthcare Associated Infection: Methodological Challenges and Potential Solutions

    PubMed Central

    Shang, Jingjing; Stone, Patricia; Larson, Elaine

    2015-01-01

    Background Researchers have been studying hospital nurse staffing in relation to healthcare associated infections (HAIs) for over two decades, and the results have been mixed. We summarized published research examining these issues, critically analyzed the commonly used approaches, identified methodologic challenges, proposed potential solutions, and suggested the possible benefits of applying an electronic health record (EHR) system. Method A scoping review was conducted using Medline and Cumulative Index to Nursing and Allied Health Literature since 1990. Original research studies examining relationships between nurse staffing and HAIs in the hospital setting and published in peer-reviewed English-language journals were selected. Results A total of 125 articles/abstracts were identified and 45 met inclusion criteria. Findings from these studies were mixed. The methodologic challenges identified included database selection, variable measurement, methods to link the nurse staffing and HAI data and addressing temporality. Administrative staffing data were often not precise or specific. The most common method to link staffing and HAI data did not assess the temporal relationship. We proposed using daily staffing information 2–4 days prior to HAI onset linked to individual patient HAI data. Discussion To assess the relationships between nurse staffing and HAIs, methodological decisions are necessary based on what data are available and feasible to obtain. National efforts to promote EHR may offer solutions for future studies by providing more comprehensive data on HAIs and nurse staffing. PMID:26042847

  7. Making On-line Science Course Materials Easily Translatable and Accessible Worldwide: Challenges and Solutions

    NASA Astrophysics Data System (ADS)

    Adams, Wendy K.; Alhadlaq, Hisham; Malley, Christopher V.; Perkins, Katherine K.; Olson, Jonathan; Alshaya, Fahad; Alabdulkareem, Saleh; Wieman, Carl E.

    2012-02-01

    The PhET Interactive Simulations Project partnered with the Excellence Research Center of Science and Mathematics Education at King Saud University with the joint goal of making simulations useable worldwide. One of the main challenges of this partnership is to make PhET simulations and the website easily translatable into any language. The PhET project team overcame this challenge by creating the Translation Utility. This tool allows a person fluent in both English and another language to easily translate any of the PhET simulations and requires minimal computer expertise. In this paper we discuss the technical issues involved in this software solution, as well as the issues involved in obtaining accurate translations. We share our solutions to many of the unexpected problems we encountered that would apply generally to making on-line scientific course materials available in many different languages, including working with: languages written right-to-left, different character sets, and different conventions for expressing equations, variables, units and scientific notation.

  8. Policies for agricultural nitrogen management—trends, challenges and prospects for improved efficiency in Denmark

    NASA Astrophysics Data System (ADS)

    Dalgaard, Tommy; Hansen, Birgitte; Hasler, Berit; Hertel, Ole; Hutchings, Nicholas J.; Jacobsen, Brian H.; Stoumann Jensen, Lars; Kronvang, Brian; Olesen, Jørgen E.; Schjørring, Jan K.; Sillebak Kristensen, Ib; Graversgaard, Morten; Termansen, Mette; Vejre, Henrik

    2014-11-01

    With more than 60% of the land farmed, with vulnerable freshwater and marine environments, and with one of the most intensive, export-oriented livestock sectors in the world, the nitrogen (N) pollution pressure from Danish agriculture is severe. Consequently, a series of policy action plans have been implemented since the mid 1980s with significant effects on the surplus, efficiency and environmental loadings of N. This paper reviews the policies and actions taken and their ability to mitigate effects of reactive N (Nr) while maintaining agricultural production. In summary, the average N-surplus has been reduced from approximately 170 kg N ha-1 yr-1 to below 100 kg N ha-1 yr-1 during the past 30 yrs, while the overall N-efficiency for the agricultural sector (crop + livestock farming) has increased from around 20-30% to 40-45%, the N-leaching from the field root zone has been halved, and N losses to the aquatic and atmospheric environment have been significantly reduced. This has been achieved through a combination of approaches and measures (ranging from command and control legislation, over market-based regulation and governmental expenditure to information and voluntary action), with specific measures addressing the whole N cascade, in order to improve the quality of ground- and surface waters, and to reduce the deposition to terrestrial natural ecosystems. However, there is still a major challenge in complying with the EU Water Framework and Habitats Directives, calling for new approaches, measures and technologies to mitigate agricultural N losses and control N flows.

  9. Securing a Better Living Environment for Left-Behind Children: Implications and Challenges for Policies

    PubMed Central

    Lam, Theodora; Ee, Miriam; Anh, Hoang Lan; Yeoh, Brenda S.A.

    2014-01-01

    Migration is an increasingly significant driver of transformations in family configurations and caregiving practices as well as living arrangements. The sustainability of geographically-split family formations is dependent on several factors, including the presence and strength of care support networks among migrants and their left-behind families, access to communication infrastructure and the stability of the families’ financial resources. Drawing on both a selective review of relevant academic literature as well as key findings from the CHAMPSEA Project, the article first examines the effects of these three factors on the well-being of migrants’ left-behind family members, especially children. The article also considers major implications of the project’s findings, as well as possible challenges for migration and development policies. One area of concern for migration and development policy arising from our research findings is the need to provide better support for left-behind caregivers or carers who are substituting for the absent migrant in childcare and domestic work but who may also need care and support themselves. Another area relates to the need to improve communication infrastructure to help migrants and their families maintain their relationships across transnational spaces; while a third lies with the importance of minimizing migrant families’ economic stress stemming from the cycle of debts resulting from exorbitant broker fees and the mismanagement of remittances. By acknowledging both the social and economic costs of international labor migration on families, governments of labor-sending countries can create a more effective legal and institutional framework as well as design suitable supporting mechanisms for left-behind families. There is then a stronger possibility that migration can become a sustainable development strategy for transnational families in South-East Asia. PMID:24954965

  10. Continued challenges in the policy and legal framework for collaborative water planning

    NASA Astrophysics Data System (ADS)

    Tan, Poh-Ling; Bowmer, K. H.; Baldwin, C.

    2012-12-01

    SummaryWe consider the implementation of Australian water reform over the last two decades and into the future. Reform was to provide security for consumptive users and adequate rights for the environment. Overallocation, a key threat to both these aims, continues to challenge planners particularly in the Murray-Darling Basin and cannot be addressed without community support. We draw from four major studies to provide insights on how implementation needs to be underpinned by theory. From the perspective of institutional design for collaborative and sustainable water planning, seven major improvements are required: (1) Provision of detailed policy guidelines to support general legal requirements, particularly practical advice for interpreting and applying the precautionary principle. (2) Tools to identify and engage unorganised or neglected community sectors, for example Indigenous peoples and youth. (3) Procedural fairness and transparent decision making, to build confidence in reform; use of independent experts and visual tools to improve the quality of discussion and increase the acceptability of trade-offs. (4) Clearer documentation and language in planning, as more litigation is likely. (5) In accord with international literature, the development of comprehensive policy and legislative framework allowing a systems approach to consensus building, especially when the science is contested. (6) Information on exactly how much water is required and where, by capturing societal choices on environmental assets. (7) Planning for sustainable contraction where cutbacks to water use is required, as an additional strategy to the current emphasis on buying water or building infrastructure. In summary we advocate collaborative water planning processes to engender community confidence in planning.

  11. Design requirements, challenges, and solutions for high-temperature falling particle receivers

    NASA Astrophysics Data System (ADS)

    Christian, Joshua; Ho, Clifford

    2016-05-01

    Falling particle receivers (FPR) utilize small particles as a heat collecting medium within a cavity receiver structure. Previous analysis for FPR systems include computational fluid dynamics (CFD), analytical evaluations, and experiments to determine the feasibility and achievability of this CSP technology. Sandia National Laboratories has fabricated and tested a 1 MWth FPR that consists of a cavity receiver, top hopper, bottom hopper, support structure, particle elevator, flux target, and instrumentation. Design requirements and inherent challenges were addressed to enable continuous operation of flowing particles under high-flux conditions and particle temperatures over 700 °C. Challenges include being able to withstand extremely high temperatures (up to 1200°C on the walls of the cavity), maintaining particle flow and conveyance, measuring temperatures and mass flow rates, filtering out debris, protecting components from direct flux spillage, and measuring irradiance in the cavity. Each of the major components of the system is separated into design requirements, associated challenges and corresponding solutions. The intent is to provide industry and researchers with lessons learned to avoid pitfalls and technical problems encountered during the development of Sandia's prototype particle receiver system at the National Solar Thermal Test Facility (NSTTF).

  12. Policy challenges for the pediatric rheumatology workforce: Part II. Health care system delivery and workforce supply

    PubMed Central

    2011-01-01

    The United States pediatric population with chronic health conditions is expanding. Currently, this demographic comprises 12-18% of the American child and youth population. Affected children often receive fragmented, uncoordinated care. Overall, the American health care delivery system produces modest outcomes for this population. Poor, uninsured and minority children may be at increased risk for inferior coordination of services. Further, the United States health care delivery system is primarily organized for the diagnosis and treatment of acute conditions. For pediatric patients with chronic health conditions, the typical acute problem-oriented visit actually serves as a barrier to care. The biomedical model of patient education prevails, characterized by unilateral transfer of medical information. However, the evidence basis for improvement in disease outcomes supports the use of the chronic care model, initially proposed by Dr. Edward Wagner. Six inter-related elements distinguish the success of the chronic care model, which include self-management support and care coordination by a prepared, proactive team. United States health care lacks a coherent policy direction for the management of high cost chronic conditions, including rheumatic diseases. A fundamental restructure of United States health care delivery must urgently occur which places the patient at the center of care. For the pediatric rheumatology workforce, reimbursement policies and the actions of health plans and insurers are consistent barriers to chronic disease improvement. United States reimbursement policy and overall fragmentation of health care services pose specific challenges for widespread implementation of the chronic care model. Team-based multidisciplinary care, care coordination and self-management are integral to improve outcomes. Pediatric rheumatology demand in the United States far exceeds available workforce supply. This article reviews the career choice decision-making process

  13. Smartphone-Based Solutions for Fall Detection and Prevention: Challenges and Open Issues

    PubMed Central

    Habib, Mohammad Ashfak; Mohktar, Mas S.; Kamaruzzaman, Shahrul Bahyah; Lim, Kheng Seang; Pin, Tan Maw; Ibrahim, Fatimah

    2014-01-01

    This paper presents a state-of-the-art survey of smartphone (SP)-based solutions for fall detection and prevention. Falls are considered as major health hazards for both the elderly and people with neurodegenerative diseases. To mitigate the adverse consequences of falling, a great deal of research has been conducted, mainly focused on two different approaches, namely, fall detection and fall prevention. Required hardware for both fall detection and prevention are also available in SPs. Consequently, researchers' interest in finding SP-based solutions has increased dramatically over recent years. To the best of our knowledge, there has been no published review on SP-based fall detection and prevention. Thus in this paper, we present the taxonomy for SP-based fall detection and prevention solutions and systematic comparisons of existing studies. We have also identified three challenges and three open issues for future research, after reviewing the existing articles. Our time series analysis demonstrates a trend towards the integration of external sensing units with SPs for improvement in usability of the systems. PMID:24759116

  14. Smartphone-based solutions for fall detection and prevention: challenges and open issues.

    PubMed

    Habib, Mohammad Ashfak; Mohktar, Mas S; Kamaruzzaman, Shahrul Bahyah; Lim, Kheng Seang; Pin, Tan Maw; Ibrahim, Fatimah

    2014-01-01

    This paper presents a state-of-the-art survey of smartphone (SP)-based solutions for fall detection and prevention. Falls are considered as major health hazards for both the elderly and people with neurodegenerative diseases. To mitigate the adverse consequences of falling, a great deal of research has been conducted, mainly focused on two different approaches, namely, fall detection and fall prevention. Required hardware for both fall detection and prevention are also available in SPs. Consequently, researchers' interest in finding SP-based solutions has increased dramatically over recent years. To the best of our knowledge, there has been no published review on SP-based fall detection and prevention. Thus in this paper, we present the taxonomy for SP-based fall detection and prevention solutions and systematic comparisons of existing studies. We have also identified three challenges and three open issues for future research, after reviewing the existing articles. Our time series analysis demonstrates a trend towards the integration of external sensing units with SPs for improvement in usability of the systems. PMID:24759116

  15. Debate-Proof Grades: Experiences and Challenges of Using a Grading Rubric in a Social Welfare Policy Course

    ERIC Educational Resources Information Center

    Adedoyin, Christson A.

    2013-01-01

    This article discusses the experiences and challenges of a graduate teaching assistant in using a grading rubric in a social welfare policy course. Using a grading rubric as a debate-proof strategy against the grade entitlement of students is expatiated. In addition, the benefits of using grading rubrics to achieve CSWE/EPAS competency…

  16. Population policies and programmes in the post-ICPD era: can the Pacific Island countries meet the challenge?

    PubMed

    Chee, S; House, W J; Lewis, L

    1999-03-01

    This article describes prospective population policies and programs that may be implemented in the Pacific Island Countries during the post-International Conference on Population and Development (ICPD) era (i.e., by the year 2005, the target date of the ICPD Program of Action). Some of the positive indicators in the Pacific Islands are a high annual average income level, high average life expectancy by world standards, absence of absolute poverty, high overall literacy rates, universality of primary education, low infant mortality rate, availability of modern transportation and communication infrastructure, and accessibility of safe water supplies and health services. The challenge is to maintain the overall high standard of living in the Islands without taxing their resources. Addressing this challenge will require innovative population-accommodating and population-influencing policies; these would be incorporated into comprehensive national population and development policies and programs targeting reproductive health. The greatest challenge will be to integrate population issues fully into the development and planning process at time when national development policy options are very limited. National governments and donors should respond to this challenge to ensure the maintenance of past achievements and current progress in the quality of life of Pacific Islanders.

  17. Le défi climatique : les limites des politiques publiquesThe Climate Challenge: the limits of public policies

    NASA Astrophysics Data System (ADS)

    Bourg, Dominique

    2003-06-01

    Can democratic societies organise the energy diet imposed by the prevention of climate change? What would be the difficulties to overcome? This challenge could not be met without changing the nature of public policies and without learning how to determine collectively new individual lifestyles, not separable from duties. To cite this article: D. Bourg, C. R. Geoscience 335 (2003).

  18. Transition of New Graduate Nurses to the Workforce: Challenges and Solutions in the Changing Health Care Environment.

    PubMed

    Hofler, Linda; Thomas, Kendal

    2016-01-01

    New graduate nurses face a host of challenges that impact successful transition to practice. Health care organizations thus need to understand how changes in the health care landscape impact new graduate nurses who are transitioning to the practice environment. This commentary discusses challenges and possible solutions to successful transition of new graduates into the work environment. PMID:26961840

  19. [Market and public policy network failures: challenges and possibilities for the Brazilian Unified Health System].

    PubMed

    Pinheiro Filho, Francisco Percival; Sarti, Flávia Mori

    2012-11-01

    The principles and guidelines of the Brazilian Unified Health System (SUS) impose a healthcare service structure based on public policy networks which, combined with the financing model adopted, leads to market failings. This imposes barriers to the management of the public health system and the enactment of SUS objectives. The institutional characteristics and the heterogeneity of players, allied to the existence of different healthcare approaches, generate analytical complexity in the study of the global dynamics of the SUS network. There are limitations in the use of quantitative methods based on static analysis of retrospective SUS data. Thus, an approach taking SUS as a complex system using innovative quantitative methodology based on computational simulation is proposed. This paper sought to analyze challenges and possibilities of the combined application of cellular automata modeling and agent-based modeling for simulation of the evolution of the SUS healthcare service network. This approach should permit better understanding of the organization, heterogeneity and structural dynamics of the SUS service network and a minimization of the effects of market failings on the Brazilian health system. PMID:23175305

  20. Lessons learned and new challenges for integrated assessment under the National Environmental Policy Act

    SciTech Connect

    Carnes, S.A.; Reed, R.M.

    1995-12-31

    One of the first government-sponsored demands for integrated assessment to support decision making in the United States is embodied in the National Environmental Policy Act of 1969 (NEPA). Over the past 25 years, Oak Ridge National Laboratory (ORNL) has supported federal agencies` in evaluating health and environmental impacts as required by NEPA. Many of ORNL`s efforts have focused on complex, programmatic assessments that break new ground and require and integrate expertise from a wide range of technical disciplines. Examples of ORNL projects that illustrate the use of integrated assessment approaches include environmental documentation for: (1) the Department of the Army`s Chemical Stockpile Disposal Program, (2) the Federal Energy Regulatory Commission`s licensing activities related to the Owens River Basin in eastern California and along a 500-mile reach of the upper Ohio River, and (3) the Nuclear Regulatory Commission`s decision regarding restart of the undamaged reactor (Unit 1) at Three Mile Island. Our discussion of these examples illustrates successful integrated assessment approaches and identifies new challenges facing integrated assessment activities.

  1. [Market and public policy network failures: challenges and possibilities for the Brazilian Unified Health System].

    PubMed

    Pinheiro Filho, Francisco Percival; Sarti, Flávia Mori

    2012-11-01

    The principles and guidelines of the Brazilian Unified Health System (SUS) impose a healthcare service structure based on public policy networks which, combined with the financing model adopted, leads to market failings. This imposes barriers to the management of the public health system and the enactment of SUS objectives. The institutional characteristics and the heterogeneity of players, allied to the existence of different healthcare approaches, generate analytical complexity in the study of the global dynamics of the SUS network. There are limitations in the use of quantitative methods based on static analysis of retrospective SUS data. Thus, an approach taking SUS as a complex system using innovative quantitative methodology based on computational simulation is proposed. This paper sought to analyze challenges and possibilities of the combined application of cellular automata modeling and agent-based modeling for simulation of the evolution of the SUS healthcare service network. This approach should permit better understanding of the organization, heterogeneity and structural dynamics of the SUS service network and a minimization of the effects of market failings on the Brazilian health system.

  2. Global environmental change and human health: new challenges to scientist and policy-maker.

    PubMed

    McMichael, A J

    1994-01-01

    Human health may not remain sustainable if damage to the global environment continues. The argument is simple: Earth is essentially a closed system; humans are proliferating and commandeering more surface area, food and energy; the resultant accumulation of waste gases, depletion of soil and water, and loss of biodiversity is starting to overload Earth's carrying capacity. There are limits in any closed system and our species is now pressing against some of them. These are new problems and we cannot be certain of the consequences for human health. A warmer world will probably have more frequent heatwaves, unstable weather, increased spread of mosquito-borne infectious diseases, and disruptions to agriculture. Ozone depletion, if sustained, may cause moderate increases in skin cancer and cataracts, and may damage crop growth and marine stocks. Depletion of agricultural resources, overfishing, and loss of genetic resources from species extinction all entail potentially serious consequences for human health. The manifest uncertainties of these global change processes and the need for prediction, rather than empirical observation, create new challenges to health scientists. Likewise, policy-makers will have to deal with best estimates and long time-frames, informed by understanding of ecological realities.

  3. Controlling sources of preanalytical variability in doping samples: challenges and solutions.

    PubMed

    Lippi, Giuseppe; Mattiuzzi, Camilla; Banfi, Giuseppe

    2013-06-01

    The use of illicit substances and methods contravenes the ethics of sports and may be associated with side effects. Antidoping testing is an essential tool for preventing or limiting the consequences of cheating in sports. As for conventional laboratory testing, major emphasis has been placed on analytical quality, overlooking the inherent risks that may arise from analysis of unsuitable doping samples. The adherence to scrupulous criteria for collection, handling, transportation and storage of samples, especially blood and urine samples, is essential. The leading preanalytical variables that influence doping sample quality include biological variability, sample collection, venous stasis, spurious hemolysis and presence of other interfering substances, sample manipulation and degradation, and inappropriate conditions for transportation and storage. This article provides a personal overview about the current challenges in preanalytical management of doping samples, as well as potential solutions for preventing the negative impact of preanalytical variables on sample quality and test results. PMID:23795934

  4. Controlling sources of preanalytical variability in doping samples: challenges and solutions.

    PubMed

    Lippi, Giuseppe; Mattiuzzi, Camilla; Banfi, Giuseppe

    2013-06-01

    The use of illicit substances and methods contravenes the ethics of sports and may be associated with side effects. Antidoping testing is an essential tool for preventing or limiting the consequences of cheating in sports. As for conventional laboratory testing, major emphasis has been placed on analytical quality, overlooking the inherent risks that may arise from analysis of unsuitable doping samples. The adherence to scrupulous criteria for collection, handling, transportation and storage of samples, especially blood and urine samples, is essential. The leading preanalytical variables that influence doping sample quality include biological variability, sample collection, venous stasis, spurious hemolysis and presence of other interfering substances, sample manipulation and degradation, and inappropriate conditions for transportation and storage. This article provides a personal overview about the current challenges in preanalytical management of doping samples, as well as potential solutions for preventing the negative impact of preanalytical variables on sample quality and test results.

  5. Millimetre-Wave Backhaul for 5G Networks: Challenges and Solutions.

    PubMed

    Feng, Wei; Li, Yong; Jin, Depeng; Su, Li; Chen, Sheng

    2016-01-01

    The trend for dense deployment in future 5G mobile communication networks makes current wired backhaul infeasible owing to the high cost. Millimetre-wave (mm-wave) communication, a promising technique with the capability of providing a multi-gigabit transmission rate, offers a flexible and cost-effective candidate for 5G backhauling. By exploiting highly directional antennas, it becomes practical to cope with explosive traffic demands and to deal with interference problems. Several advancements in physical layer technology, such as hybrid beamforming and full duplexing, bring new challenges and opportunities for mm-wave backhaul. This article introduces a design framework for 5G mm-wave backhaul, including routing, spatial reuse scheduling and physical layer techniques. The associated optimization model, open problems and potential solutions are discussed to fully exploit the throughput gain of the backhaul network. Extensive simulations are conducted to verify the potential benefits of the proposed method for the 5G mm-wave backhaul design.

  6. Russia's Uncertain Transition: Challenges for U.S. Policy. Revised. Choices for the 21st Century.

    ERIC Educational Resources Information Center

    Lhowe, Mary, Ed.

    This unit is part of a continuing series on current foreign policy issues. The first section asks students to join the debate on U.S. policy toward Russia and its neighbors in the former Soviet Union (FSU). Background readings provide information to help students address policy issues and include: (1) "Two Centuries of U.S.-Russian Relations"; (2)…

  7. State Science and Technology Policy Advice: Issues, Opportunities, and Challenges: Summary of a National Convocation

    ERIC Educational Resources Information Center

    Olson, Steve

    2008-01-01

    The federal government plays the predominant role in supporting research and development (R&D) and in establishing public policies that affect science and technology (S&T) in the United States. However, the federal government is no longer the sole focus of R&D funding and S&T policy making. State and local policy makers are…

  8. Progress and Challenges for Language Policy Implementation at the University of KwaZulu-Natal

    ERIC Educational Resources Information Center

    Ndimande-Hlongwa, Nobuhle; Balfour, Robert J.; Mkhize, Nhlanhla; Engelbrecht, Charlotte

    2010-01-01

    The University of KwaZulu-Natal approved its bilingual language policy in 2006 based on the framework of the National Language Policy for Higher Education of 2002. The guiding principles of this policy suggest that the university develops the use of isiZulu as a language of instruction and communication, in line with recommendations of the…

  9. The 21st Century Challenge: Moving the Youth Agenda Forward. A Policy Study of the Levitan Youth Policy Network. Public Policy Issues Monograph.

    ERIC Educational Resources Information Center

    Pines, Marion, Ed.

    This document contains nine papers devoted to the labor market problems faced by out-of-school and other disadvantaged young people in the United States and policy options and strategies for addressing those problems. The papers update the data on out-of-school young adults, review the lessons learned from past youth programs and policies,…

  10. Limited resources of genome sequencing in developing countries: Challenges and solutions.

    PubMed

    Helmy, Mohamed; Awad, Mohamed; Mosa, Kareem A

    2016-06-01

    The differences between countries in national income, growth, human development and many other factors are used to classify countries into developed and developing countries. There are several classification systems that use different sets of measures and criteria. The most common classifications are the United Nations (UN) and the World Bank (WB) systems. The UN classification system uses the UN Human Development Index (HDI), an indicator that uses statistic of life expectancy, education, and income per capita for countries' classification. While the WB system uses gross national income (GNI) per capita that is calculated using the World Bank Atlas method. According to the UN and WB classification systems, there are 151 and 134 developing countries, respectively, with 89% overlap between the two systems. Developing countries have limited human development, and limited expenditure in education and research, among several other limitations. The biggest challenge facing genomic researchers and clinicians is limited resources. As a result, genomic tools, specifically genome sequencing technologies, which are rapidly becoming indispensable, are not widely available. In this report, we explore the current status of sequencing technologies in developing countries, describe the associated challenges and emphasize potential solutions. PMID:27354935

  11. Limited resources of genome sequencing in developing countries: Challenges and solutions.

    PubMed

    Helmy, Mohamed; Awad, Mohamed; Mosa, Kareem A

    2016-06-01

    The differences between countries in national income, growth, human development and many other factors are used to classify countries into developed and developing countries. There are several classification systems that use different sets of measures and criteria. The most common classifications are the United Nations (UN) and the World Bank (WB) systems. The UN classification system uses the UN Human Development Index (HDI), an indicator that uses statistic of life expectancy, education, and income per capita for countries' classification. While the WB system uses gross national income (GNI) per capita that is calculated using the World Bank Atlas method. According to the UN and WB classification systems, there are 151 and 134 developing countries, respectively, with 89% overlap between the two systems. Developing countries have limited human development, and limited expenditure in education and research, among several other limitations. The biggest challenge facing genomic researchers and clinicians is limited resources. As a result, genomic tools, specifically genome sequencing technologies, which are rapidly becoming indispensable, are not widely available. In this report, we explore the current status of sequencing technologies in developing countries, describe the associated challenges and emphasize potential solutions.

  12. New directions in cardiac arrhythmia management: present challenges and future solutions.

    PubMed

    Nattel, Stanley; Andrade, Jason; Macle, Laurent; Rivard, Lena; Dyrda, Katia; Mondesert, Blandine; Khairy, Paul

    2014-12-01

    Cardiac arrhythmias are a major contributor to population morbidity and mortality. Enormous advances in arrhythmia management have occurred over the 60 years since the founding of the Montreal Heart Institute, but important challenges remain. The purpose of this article is to identify the areas of cardiac arrhythmia therapy that need improvement and to discuss the evolving approaches that promise solutions. Challenges in diagnosis, detection, and risk-stratification include difficulties in separating benign from high-risk syncope and pinpointing the underlying causes, the detection of silent atrial fibrillation in patients at risk of stroke, and inadequate identification of sudden-death risk. Implantable devices are limited by the need for battery and device replacements, device complications like infection and dysfunction, and lead complications like fracture, infection, or displacement. Antiarrhythmic drug therapy, although widely used, is plagued by a very limited range of available agents, supply issues, insufficient efficacy, and significant adverse effect risk. Health economic concerns include the high cost of new technologies, challenges in establishing cost effectiveness, and restrictive practices of government or third-party payers. Major improvements in arrhythmia management can be expected from new discoveries and technological developments in genetics, innovative diagnostic tools for arrhythmia monitoring, imaging and analysis, new approaches to antiarrhythmic drug development, biological therapies, and continuing improvement in implantable device technology like further miniaturization, leadless technology, and use of novel energy sources. As exciting as the developments in arrhythmia management have been in the past, we can look forward to exponential improvement in our ability to manage arrhythmia patients in the near future.

  13. Development of the Arctic Research Mapping Application (ARMAP): Interoperability challenges and solutions

    NASA Astrophysics Data System (ADS)

    Walker Johnson, G.; Gaylord, Allison G.; Franco, Juan C.; Cody, Ryan P.; Brady, Jerald J.; Manley, William; Dover, Mike; Garcia-Lavigne, Diana; Score, Roberta; Tweedie, Craig E.

    2011-11-01

    Ensuring interoperability between WebGIS applications is essential for maximizing access to data, data sharing, and data manipulation. Interoperability is maximized through the adoption of best practices, use of open standards, and utilization of spatial data infrastructure (SDI). While many of the interoperability challenges like infrastructure, data exchange, and file formats are common between applications, some regions like the Arctic present specific challenges including the need for presenting data in one or more polar projections. This paper describes the Arctic Research Mapping Application (ARMAP) suite of online interactive maps, web services, and virtual globes (the ARMAP suite; http://armap.org/) and several of the interoperability challenges and solutions encountered in development to date. ARMAP is a unique science and logistic tool supporting United States and international Arctic science by providing users with the ability to access, query, and browse information and data. Access to data services include a text-based search utility, an Internet Map Server client (ArcIMS), a lightweight Flex client, ArcGIS Explorer and Google Earth virtual globes, and Open Geospatial Consortium ( OGC) compliant web services, such as Web Map Service (WMS) and Web Feature Service (WFS). Through the ARMAP suite, users can view a variety of Arctic map layers and explore pertinent information about United States Arctic research efforts. The Arctic Research Logistics Support Service (ARLSS) database is the informational underpinning of ARMAP. Avoiding duplication of effort has been a key priority in the development of the ARMAP applications. The ARMAP suite incorporates best practices that facilitate interoperability such as Federal Geographic Data Committee (FGDC) metadata standards, web services for embedding external data and serving framework layers, and open standards such as Open Geospatial Consortium ( OGC) compliant web services. Many of the features and

  14. Dress codes and appearance policies: challenges under federal legislation, part 2: title VII of the civil rights act and gender.

    PubMed

    Mitchell, Michael S; Koen, Clifford M; Darden, Stephen M

    2014-01-01

    As more and more individuals express themselves with tattoos and body piercings and push the envelope on what is deemed appropriate in the workplace, employers have an increased need for creation and enforcement of reasonable dress codes and appearance policies. As with any employment policy or practice, an appearance policy must be implemented and enforced without regard to an individual's race, color, gender, national origin, religion, disability, age, or other protected status. A policy governing dress and appearance based on the business needs of an employer that is applied fairly and consistently and does not have a disproportionate effect on any protected class will generally be upheld if challenged in court. By examining some of the more common legal challenges to dress codes and how courts have resolved the disputes, health care managers can avoid many potential problems. This article, the second part of a 3-part examination of dress codes and appearance policies, focuses on the issue of gender under the Civil Rights Act of 1964. Pertinent court cases that provide guidance for employers are addressed.

  15. Dress codes and appearance policies: challenges under federal legislation, part 2: title VII of the civil rights act and gender.

    PubMed

    Mitchell, Michael S; Koen, Clifford M; Darden, Stephen M

    2014-01-01

    As more and more individuals express themselves with tattoos and body piercings and push the envelope on what is deemed appropriate in the workplace, employers have an increased need for creation and enforcement of reasonable dress codes and appearance policies. As with any employment policy or practice, an appearance policy must be implemented and enforced without regard to an individual's race, color, gender, national origin, religion, disability, age, or other protected status. A policy governing dress and appearance based on the business needs of an employer that is applied fairly and consistently and does not have a disproportionate effect on any protected class will generally be upheld if challenged in court. By examining some of the more common legal challenges to dress codes and how courts have resolved the disputes, health care managers can avoid many potential problems. This article, the second part of a 3-part examination of dress codes and appearance policies, focuses on the issue of gender under the Civil Rights Act of 1964. Pertinent court cases that provide guidance for employers are addressed. PMID:24463587

  16. mHealth Clinic Appointment PC Tablet: Implementation, Challenges and Solutions

    PubMed Central

    Smith, Carol E.; Spaulding, Ryan; Piamjariyakul, Ubolrat; Werkowitch, Marilyn; Yadrich, Donna Macan; Hooper, Dedrick; Moore, Tyson; Gilroy, Richard

    2015-01-01

    Background Patients requiring daily intravenous (IV) home parenteral nutrition (HPN) would benefit from in-home professional observation to improve self-care, to assess, detect and prevent serious complications. Aims The study aims are to assess the viability and utility of conducting mobile healthcare (mHealth) videoconference assessments with patients managing lifelong daily 12-hour IV nutrition infusions in their homes. The challenges and solutions to implementing mobile personal computer (PC) tablet based clinic appointments are described. Methods A wireless Apple iPad Mini™ mobile touch-screen tablet computer with 5 mega-pixel camera was loaned to patients. Each tablet had Polycom RealPresence software and a fourth generation (4G) mobile telecommunications data plan. These supported audio-visual mobile videoconferencing encrypted connections between health professionals in their offices and HPN patients and their family members in their homes. Patients’ and professionals’ evaluations of their mHealth clinic experiences are collected. Results Patients (mean age = 41.9, SD = 2.8 years) had been prescribed 12-hour home parenteral nutrition (HPN) infusions daily due short bowel disorders. Patients had been on HPN from 1 to 10 years (M=4, SD=3.6). Evaluation of clinic appointments revealed that 100% of the patients (n=45) and the professionals (n=6) indicated that they can clearly hear and easily see one another. The mHealth audio-visual interactions were highly rated by patients and family members. Professionals highly rated their ability to obtain a medical history and visual inspection of patients. Several challenges were identified and recommendations for resolutions are described. Discussion All patients and professionals highly rated the iPad mHealth clinic appointments for convenience and ease of communicating between homes and offices. An important challenge for all mHealth visits is the clinical professional’s ability to make clinically accurate

  17. Forging the Solution to the Energy Challenge: The Role of Materials Science and Materials Scientists

    NASA Astrophysics Data System (ADS)

    Wadsworth, Jeffrey

    2010-04-01

    The energy challenge is central to the most important strategic problems facing the United States and the world. It is increasingly clear that even large-scale deployments of the best technologies available today cannot meet the rising energy demands of a growing world population. Achieving a secure and sustainable energy future will require full utilization of, and substantial improvements in, a comprehensive portfolio of energy systems and technologies. This goal is complicated by several factors. First, energy strategies are inextricably linked to national security and health issues. Second, in developing and deploying energy technologies, it is vital to consider not only environmental issues, such as global climate change, but also economic considerations, which strongly influence both public and political views on energy policy. Third, a significant and sustained effort in basic and applied research and development (R&D) will be required to deliver the innovations needed to ensure a desirable energy future. Innovations in materials science and engineering are especially needed to overcome the limits of essentially all energy technologies. A wealth of historical evidence demonstrates that such innovations are also the key to economic prosperity. From the development of the earliest cities around flint-trading centers, to the Industrial Revolution, to today’s silicon-based global economy, the advantage goes to those who lead in exploiting materials. I view our challenge by considering the rate of innovation and the transition of discovery to the marketplace as the relationship among R&D investment, a skilled and talented workforce, business innovations, and the activities of competitors. Most disturbing in analyzing this relationship is the need for trained workers in science, technology, engineering, and mathematics (STEM). To develop the STEM workforce needed for innovation, we need sustainable, positive change in STEM education at all levels from preschool

  18. Forging the Solution to the Energy Challenge: The Role of Materials Science and Materials Scientists

    NASA Astrophysics Data System (ADS)

    Wadsworth, Jeffrey

    2010-05-01

    The energy challenge is central to the most important strategic problems facing the United States and the world. It is increasingly clear that even large-scale deployments of the best technologies available today cannot meet the rising energy demands of a growing world population. Achieving a secure and sustainable energy future will require full utilization of, and substantial improvements in, a comprehensive portfolio of energy systems and technologies. This goal is complicated by several factors. First, energy strategies are inextricably linked to national security and health issues. Second, in developing and deploying energy technologies, it is vital to consider not only environmental issues, such as global climate change, but also economic considerations, which strongly influence both public and political views on energy policy. Third, a significant and sustained effort in basic and applied research and development (R&D) will be required to deliver the innovations needed to ensure a desirable energy future. Innovations in materials science and engineering are especially needed to overcome the limits of essentially all energy technologies. A wealth of historical evidence demonstrates that such innovations are also the key to economic prosperity. From the development of the earliest cities around flint-trading centers, to the Industrial Revolution, to today’s silicon-based global economy, the advantage goes to those who lead in exploiting materials. I view our challenge by considering the rate of innovation and the transition of discovery to the marketplace as the relationship among R&D investment, a skilled and talented workforce, business innovations, and the activities of competitors. Most disturbing in analyzing this relationship is the need for trained workers in science, technology, engineering, and mathematics (STEM). To develop the STEM workforce needed for innovation, we need sustainable, positive change in STEM education at all levels from preschool

  19. Meeting the challenge of policy-relevant science: lessons from a water resource project

    USGS Publications Warehouse

    Lamb, Berton L.

    1986-01-01

    Water resource scientists face complex tasks in evaluating aspects of water projects, but relatively few assessment procedures have been applied and accepted as standard applications. Decision-makers often rely on environmental assessments to evaluate the value and operation of projects. There is often confusion about scientists' role in policy decisions. The scientist can affect policy-making as an expert withess, an advocate or a surrogate. By understanding the policy process, scientists can make their work more “policy relevant.” Using the Terror Lake hydro project in Alaska as a guide, three lessons are discussed: (1) not all problems are able to be solved with technology; (2) policy-relevant technology is rarely imposed on a problem; and (3) the scientist need not just react to the policy process, but can have an impact on how that process unfolds.

  20. Meeting today's challenges to supply tomorrow's energy. Clean fossil energy technical and policy seminar

    SciTech Connect

    2005-07-01

    Papers discussed the coal policy of China, Russia, Indonesia and Vietnam; clean coal technology (small-scale coal power plants, carbon capture and sequestration, new coking process SCOPE21, coal gasification (HyPr-RING), CO{sub 2} reduction technology, Supercritical coal-fired units and CFB boilers, EAGLE project, coal liquefaction), the coal consumer's view of clean fossil energy policy, and natural gas policy and technology. Some of the papers only consist of the presentation overheads/viewgraphs.

  1. Big Data challenges and solutions in building the Global Earth Observation System of Systems (GEOSS)

    NASA Astrophysics Data System (ADS)

    Mazzetti, Paolo; Nativi, Stefano; Santoro, Mattia; Boldrini, Enrico

    2014-05-01

    . The current implementation of GEOSS already addresses several big data challenges. In particular, the brokered architecture adopted in the GEOSS Common Infrastructure with the deployment of the GEO DAB (Discovery and Access Broker) allows to connect more than 20 big EO infrastructures while keeping them autonomous as required by their own mandate and governance. They make more than 60 million of unique resources discoverable and accessible through the GEO Portal. Through the GEO DAB, users are able to seamlessly discover resources provided by different infrastructures, and access them in a harmonized way, collecting datasets from different sources on a Common Environment (same coordinate reference system, spatial subset, format, etc.). Through the GEONETCast system, GEOSS is also providing a solution related to the Velocity challenge, for delivering EO resources to developing countries with low bandwidth connections. Several researches addressing other Big data Vs challenges in GEOSS are on-going, including quality representation for Veracity (as in the FP7 GeoViQua project), brokering big data analytics platforms for Velocity, and support of other EO resources for Variety (such as modelling resources in the Model Web).

  2. Tackling U.S. energy challenges and opportunities: preliminary policy recommendations for enhancing energy innovation in the United States

    SciTech Connect

    Anadon, Laura Diaz; Gallagher, Kelly Sims; Bunn, Matthew; Jones, Charles

    2009-02-18

    The report offers preliminary recommendations for near-term actions to strengthen the U.S. effort to develop and deploy advanced energy technologies. The report comes as the Obama Administration and the 111th U.S. Congress face enormous challenges and opportunities in tackling the pressing security, economic, and environmental problems posed by the energy sector. Improving the technologies of energy supply and end-use is a prerequisite for surmounting these challenges in a timely and cost-effective way, and this report elaborates on how policy can support develop of these important energy technologies.

  3. Is it possible to give scientific solutions to Grand Challenges? On the idea of grand challenges for life science research.

    PubMed

    Efstathiou, Sophia

    2016-04-01

    This paper argues that challenges that are grand in scope such as "lifelong health and wellbeing", "climate action", or "food security" cannot be addressed through scientific research only. Indeed scientific research could inhibit addressing such challenges if scientific analysis constrains the multiple possible understandings of these challenges into already available scientific categories and concepts without translating between these and everyday concerns. This argument builds on work in philosophy of science and race to postulate a process through which non-scientific notions become part of science. My aim is to make this process available to scrutiny: what I call founding everyday ideas in science is both culturally and epistemologically conditioned. Founding transforms a common idea into one or more scientifically relevant ones, which can be articulated into descriptively thicker and evaluatively deflated terms and enable operationalisation and measurement. The risk of founding however is that it can invisibilise or exclude from realms of scientific scrutiny interpretations that are deemed irrelevant, uninteresting or nonsensical in the domain in question-but which may remain salient for addressing grand-in-scope challenges. The paper considers concepts of "wellbeing" in development economics versus in gerontology to illustrate this process.

  4. 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

  5. Staff Governance and Institutional Policy Formation. Educational Policy in the 21st Century: Opportunities, Challenges and Solutions

    ERIC Educational Resources Information Center

    Murray, John W., Ed.; Miller, Michael T., Ed.

    2011-01-01

    The number of staff members serving American higher education institutions has more than doubled in the past twenty years, as occupations in technology, development, government relations, and even athletic administration have grown as never before in the history of the academy. As the number, variety, and importance of these positions have grown,…

  6. Challenges, Solutions, and Quality Metrics of Personal Genome Assembly in Advancing Precision Medicine

    PubMed Central

    Xiao, Wenming; Wu, Leihong; Yavas, Gokhan; Simonyan, Vahan; Ning, Baitang; Hong, Huixiao

    2016-01-01

    Even though each of us shares more than 99% of the DNA sequences in our genome, there are millions of sequence codes or structure in small regions that differ between individuals, giving us different characteristics of appearance or responsiveness to medical treatments. Currently, genetic variants in diseased tissues, such as tumors, are uncovered by exploring the differences between the reference genome and the sequences detected in the diseased tissue. However, the public reference genome was derived with the DNA from multiple individuals. As a result of this, the reference genome is incomplete and may misrepresent the sequence variants of the general population. The more reliable solution is to compare sequences of diseased tissue with its own genome sequence derived from tissue in a normal state. As the price to sequence the human genome has dropped dramatically to around $1000, it shows a promising future of documenting the personal genome for every individual. However, de novo assembly of individual genomes at an affordable cost is still challenging. Thus, till now, only a few human genomes have been fully assembled. In this review, we introduce the history of human genome sequencing and the evolution of sequencing platforms, from Sanger sequencing to emerging “third generation sequencing” technologies. We present the currently available de novo assembly and post-assembly software packages for human genome assembly and their requirements for computational infrastructures. We recommend that a combined hybrid assembly with long and short reads would be a promising way to generate good quality human genome assemblies and specify parameters for the quality assessment of assembly outcomes. We provide a perspective view of the benefit of using personal genomes as references and suggestions for obtaining a quality personal genome. Finally, we discuss the usage of the personal genome in aiding vaccine design and development, monitoring host immune

  7. Headteacher Critique and Resistance: A Challenge for Policy, and for Leadership/Management Scholars

    ERIC Educational Resources Information Center

    Thomson, Pat

    2008-01-01

    Educational leadership/management scholars have undertaken work which documents the difficulties particular headteachers face when implementing policy. Some have suggested that headteachers mediate policy, ensuring the best possible outcomes for their schools, but there is also critique of this argument and a counter-suggestion that heads ought to…

  8. Language Policy Provisions and Curriculum Issues: The Challenges for Secondary Schools in Nigeria

    ERIC Educational Resources Information Center

    Adejimola, Amuseghan Sunday

    2010-01-01

    Language, language policy and curriculum issues occupy very important and strategic places in educational planning in any society. In a multilingual Nigerian society as well as in similar countries like Australia, India or even in seemingly homogeneous linguistic societies like Britain, language planning, development and policies are sin qua non.…

  9. Connecting Policy Aspirations with Principled Progress? An Analysis of Current Physical Education Challenges in Scotland

    ERIC Educational Resources Information Center

    Thorburn, Malcolm; Jess, Mike; Atencio, Matthew

    2009-01-01

    Various recent politically driven policy interventions have outlined the increased importance of school physical education programmes as a contributor towards realising active lifelong learning targets. This paper explains the origins of the new policy emphasis and describes some of the opportunities which now exist for reviewing many curriculum…

  10. Putting the Young in Business: Policy Challenges for Youth Entrepreneurship. Territorial Development. LEED Notebook No. 29.

    ERIC Educational Resources Information Center

    Cornell, Robert

    Policies and practices promoting youth entrepreneurship in Organisation for Economic Cooperation Development (OECD) member countries were reviewed. Special attention was paid to the following issues: youth unemployment; contrasting employment situations and policy approaches in individual OECD countries; a definition of self-employment; and the…

  11. Challenges and Opportunities of Information Technology in the 90s. Track IV: Policy and Standards.

    ERIC Educational Resources Information Center

    CAUSE, Boulder, CO.

    Seven papers from the 1990 CAUSE conference's Track IV, Policy and Standards are presented. Topics addressed in this track include data administration, computing access, involvement of constituencies in policy making and enforcement, and institutional standards for departmental systems. Papers and their authors are as follows: "Evolution of a…

  12. The Challenges of Global Citizenship: Some Issues for Policy and Practice in Early Childhood

    ERIC Educational Resources Information Center

    Ebbeck, Marjory

    2006-01-01

    The recent rise in terrorism around the world has caused families, educators, and indeed everyone to consider again how to help young children grow up tolerant, accepting, and, above all, non-violent. Policies that support a tolerant, inclusive curriculum are essential if children are to survive in the years ahead. Curriculum policies must be…

  13. What Crisis of Representation? Challenging the Realism of Post-Structuralist Policy Research in Education

    ERIC Educational Resources Information Center

    Petersen, Eva Bendix

    2015-01-01

    Offered through a split-text, this article mounts/destabilises the argument that policy research that cites authors usually associated with post-structural thought and which is published in a mainstream education policy journal is overwhelmingly realist in its ontologising practices. It reminds the reader why that is problematic and calls for a…

  14. Fine-Tuning Language Policy in Hong Kong Education: Stakeholders' Perceptions, Practices and Challenges

    ERIC Educational Resources Information Center

    Chan, Jim Y. H.

    2014-01-01

    The present study evaluates the impact of the fine-tuning medium of instruction (MOI) policy in Hong Kong in the early stages of its implementation. It explores the key stakeholders' perspectives on a school-based policy via a case study, which gathered multiple sources of qualitative data (i.e. focus groups/interviews, open-ended…

  15. Lone-Parent Families. The Economic Challenge. OECD Social Policy Studies No. 8.

    ERIC Educational Resources Information Center

    Duskin, Elizabeth, Ed.

    This volume is based on papers presented at a conference of social policy experts that looked at the growth in lone-parent families, the problems that have emerged, and their policy implications. Chapter 1 is an "Overview" (Duskin). Three chapters look at demographic trends over time and over the life-cycle; they are: "Demographic Aspects of the…

  16. Juggling Educational Ends: Non-Indigenous Yukon Principals and the Policy Challenges that They Face

    ERIC Educational Resources Information Center

    Blakesley, Simon

    2012-01-01

    This article reports on a 2008 study of non-indigenous principals working in indigenous Yukon contexts. It examines the policy contexts in which Yukon principals are embedded, giving attention to how they address the tensions that exist as a result of operating at the intersections of multiple policy levels. The application of critical ethnography…

  17. Adult Education in the Limpopo Province of South Africa: Challenges for Policy Implementation

    ERIC Educational Resources Information Center

    Zeelen, J.; Rampedi, M.; de Jong, G.

    2011-01-01

    In this article we report and reflect on a study about the problems encountered in the implementation of adult education policies in the Limpopo province of South Africa. We used the model of intergovernmental policy implementation of Van Horn and Van Meter as a theoretical framework. We reflect on this study and link the findings with more recent…

  18. Policy Perspective: Meeting the Challenge of the DOE Order 436.1 Departmental Sustainability - 12527

    SciTech Connect

    MacDonald, Jennifer C.

    2012-07-01

    DOE's Sustainability Performance Office is working to meet sustainability goals at DOE by implementing Executive Orders, Departmental policy, the DOE Strategic Sustainability Performance Plan (SSPP) and legislation related to sustainability. Through implementation of Executive Orders, Departmental policy, the SSPP, statutory requirements and regular reporting, analysis and communication, DOE's SPO is working to maintain and expand DOE's leadership in sustainability. (authors)

  19. Between Policies and Practices: The Challenges of Inclusive Education in Brazil

    ERIC Educational Resources Information Center

    Pletsch, Marcia Denise; Mendes, Geovana Mendonça Lunardi

    2015-01-01

    This paper aims to present the second edition of the Special Education Dossier: Differences, Curriculum and Teaching and Learning Processes. We discuss policies and practices regarding the inclusive education proposal in the Basic Education context. Our starting point is the idea that we are facing a global education policy and thus many local…

  20. Challenging Ideology: Could a Better Understanding of Academic Enquiry Lead to Better Public Policy Making?

    ERIC Educational Resources Information Center

    Brown, Roger

    2010-01-01

    Does the present level of public unhappiness with the conduct of governance offer an opportunity to revisit the quality of public policy making and the pernicious role of ideology? In this article I argue that there are some strong parallels between academic enquiry and public policy making, and that a better understanding of the former could lead…

  1. [Perspectives and challenges of the "new" National Health Promotion Policy: to which political arena does management point?].

    PubMed

    Albuquerque, Tales Iuri Paz E; Sá, Ronice Maria Pereira Franco de; Araújo, José Luiz do Amaral Correia de

    2016-06-01

    The "new" National Health Promotion Policy opens up prospects and challenges for the political arena. This is the space where agreements and disagreements relating to decision-making, which will underpin its implementation, are established. This study sought to understand these questions, seeking to reflect upon the formation of arenas, in order to contribute with strategies coherent with the policy. It is a qualitative study, based on the theory of justification and its 'polities' according to Boltanski and Thévenot. Those interviewed were social actors involved with management of this policy. The analysis verified the presence of the polities such as: civic -vision and concepts; project -execution; and industrial - imposed limits. These polities define the arenas where the designated prospects and challenges appear. The configurations arising from the intersection points of these polities reveal arenas established through interests and issues resulting from agreements. It further highlights the grandeur of polities that may be found in controversies or conflicts, especially among the subcategories present in more than one polity. Critical awareness and the establishment of a clear political game are required of the social actors involved in promoting agreements and/or disagreements related to the new policy. PMID:27276537

  2. Dress codes and appearance policies: challenges under federal legislation, part 1: title VII of the civil rights act and religion.

    PubMed

    Mitchell, Michael S; Koen, Clifford M; Moore, Thomas W

    2013-01-01

    As more and more individuals choose to express themselves and their religious beliefs with headwear, jewelry, dress, tattoos, and body piercings and push the envelope on what is deemed appropriate in the workplace, employers have an increased need for creation and enforcement of reasonable dress codes and appearance policies. As with any employment policy or practice, an appearance policy must be implemented and enforced without regard to an individual's race, color, sex, national origin, religion, disability, age, or any other protected status. A policy governing dress and appearance based on the business needs of an employer that is applied fairly and consistently and does not have a disproportionate effect on any protected class will generally be upheld if challenged in court. By examining some of the more common legal challenges to dress codes and how courts have resolved the disputes, health care managers can avoid many potential problems. This article addresses the issue of religious discrimination focusing on dress and appearance and some of the court cases that provide guidance for employers. PMID:24168864

  3. Dress codes and appearance policies: challenges under federal legislation, part 1: title VII of the civil rights act and religion.

    PubMed

    Mitchell, Michael S; Koen, Clifford M; Moore, Thomas W

    2013-01-01

    As more and more individuals choose to express themselves and their religious beliefs with headwear, jewelry, dress, tattoos, and body piercings and push the envelope on what is deemed appropriate in the workplace, employers have an increased need for creation and enforcement of reasonable dress codes and appearance policies. As with any employment policy or practice, an appearance policy must be implemented and enforced without regard to an individual's race, color, sex, national origin, religion, disability, age, or any other protected status. A policy governing dress and appearance based on the business needs of an employer that is applied fairly and consistently and does not have a disproportionate effect on any protected class will generally be upheld if challenged in court. By examining some of the more common legal challenges to dress codes and how courts have resolved the disputes, health care managers can avoid many potential problems. This article addresses the issue of religious discrimination focusing on dress and appearance and some of the court cases that provide guidance for employers.

  4. Novel developments in benthic modelling to address scientific and policy challenges

    NASA Astrophysics Data System (ADS)

    Lessin, Gennadi; Artioli, Yuri; Bruggeman, Jorn; Aldridge, John; Blackford, Jerry

    2016-04-01

    Understanding the role of benthic systems in supporting, regulating and providing marine ecosystem services requires better understanding of their functioning and their response and resilience to stressors. Novel observational methods for the investigation of dynamics of benthic-pelagic coupling in shelf seas are being developed and new data is being collected. Therefore there is an increasing demand for robust representation of benthic processes in marine biogeochemical and ecosystem models, which would improve our understanding of whole systems and benthic-pelagic coupling, rather than act as mere closure terms for pelagic models. However, for several decades development of benthic models has lagged behind their pelagic counterparts. To address contemporary scientific, policy and societal challenges, the biogeochemical and ecological model ERSEM (European Regional Seas Ecosystem Model), including its benthic sub-model, was recently recoded in a scalable and modular format adopting the approach of FABM (Framework for Aquatic Biogeochemical Models). Within the Shelf Sea Biogeochemistry research programme, a series of additional processes have been included, such as a sedimentary carbonate system, a resuspendable fluff layer, and the simulation of advective sediments. It was shown that the inclusion of these processes changes the dynamics of benthic-pelagic fluxes as well as modifying the benthic food web. Comparison of model results with in-situ data demonstrated a general improvement of model performance and highlighted the importance of the benthic system in overall ecosystem dynamics. As an example, our simulations have shown that inclusion of a resuspendable fluff layer facilitates regeneration of inorganic nutrients in the water column due to degradation of resuspended organic material by pelagic bacteria. Moreover, the composition of fluff was found to be important for trophic interactions, and therefore indirectly affects benthic community composition. Where

  5. Millimetre-Wave Backhaul for 5G Networks: Challenges and Solutions.

    PubMed

    Feng, Wei; Li, Yong; Jin, Depeng; Su, Li; Chen, Sheng

    2016-01-01

    The trend for dense deployment in future 5G mobile communication networks makes current wired backhaul infeasible owing to the high cost. Millimetre-wave (mm-wave) communication, a promising technique with the capability of providing a multi-gigabit transmission rate, offers a flexible and cost-effective candidate for 5G backhauling. By exploiting highly directional antennas, it becomes practical to cope with explosive traffic demands and to deal with interference problems. Several advancements in physical layer technology, such as hybrid beamforming and full duplexing, bring new challenges and opportunities for mm-wave backhaul. This article introduces a design framework for 5G mm-wave backhaul, including routing, spatial reuse scheduling and physical layer techniques. The associated optimization model, open problems and potential solutions are discussed to fully exploit the throughput gain of the backhaul network. Extensive simulations are conducted to verify the potential benefits of the proposed method for the 5G mm-wave backhaul design. PMID:27322265

  6. Big data analytics as a service infrastructure: challenges, desired properties and solutions

    NASA Astrophysics Data System (ADS)

    Martín-Márquez, Manuel

    2015-12-01

    CERN's accelerator complex generates a very large amount of data. A large volumen of heterogeneous data is constantly generated from control equipment and monitoring agents. These data must be stored and analysed. Over the decades, CERN's researching and engineering teams have applied different approaches, techniques and technologies for this purpose. This situation has minimised the necessary collaboration and, more relevantly, the cross data analytics over different domains. These two factors are essential to unlock hidden insights and correlations between the underlying processes, which enable better and more efficient daily-based accelerator operations and more informed decisions. The proposed Big Data Analytics as a Service Infrastructure aims to: (1) integrate the existing developments; (2) centralise and standardise the complex data analytics needs for CERN's research and engineering community; (3) deliver real-time, batch data analytics and information discovery capabilities; and (4) provide transparent access and Extract, Transform and Load (ETL), mechanisms to the various and mission-critical existing data repositories. This paper presents the desired objectives and properties resulting from the analysis of CERN's data analytics requirements; the main challenges: technological, collaborative and educational and; potential solutions.

  7. n-butanol: challenges and solutions for shifting natural metabolic pathways into a viable microbial production.

    PubMed

    Branduardi, Paola; Porro, Danilo

    2016-04-01

    The economic upturn of the past 200 years would not have been conceivable without fossil resources such as coal and oil. However, the fossil-based economy increasingly reaches its limits and displays contradictions. Bioeconomy, strategically combining economy and ecology willing to make biobased and sustainable growth possible, is promising to make a significant contribution towards solving these issues. In this context, microbial bioconversions are promising to support partially the increasing need for materials and fuels starting from fresh, preferably waste, biomass. Butanol is a very attractive molecule finding applications both as a chemical platform and as a fuel. Today it principally derives from petroleum, but it also represents the final product of microbial catabolic pathways. Because of the need to maximize yield, titer and productivity to make the production competitive and viable, the challenge is to transform a robustly regulated metabolic network into the principal cellular activity. However, this goal can only be accomplished by a profound understanding of the cellular physiology, survival strategy and sensing/signalling cascades. Here, we shortly review on the natural cellular pathways and circumstances that lead to n-butanol accumulation, its physiological consequences that might not match industrial needs and on possible solutions for circumventing these natural constraints. PMID:27020412

  8. Lightning protection: challenges, solutions and questionable steps in the 21st century

    NASA Astrophysics Data System (ADS)

    Berta, István

    2011-06-01

    Besides the special primary lightning protection of extremely high towers, huge office and governmental buildings, large industrial plants and resident parks most of the challenges were connected to the secondary lightning protection of sensitive devices in Information and Communication Technology. The 70 year history of Budapest School of Lightning Protection plays an important role in the research and education of lightning and development of lightning protection. Among results and solutions the Rolling Sphere designing method (RS) and the Probability Modulated Attraction Space (PMAS) theory are detailed. As a new field Preventive Lightning Protection (PLP) has been introduced. The PLP method means the use of special preventive actions only for the duration of the thunderstorm. Recently several non-conventional lightning protection techniques have appeared as competitors of the air termination systems formed of conventional Franklin rods. The questionable steps, non-conventional lightning protection systems reported in the literature are the radioactive lightning rods, Early Streamer Emission (ESE) rods and Dissipation Arrays (sometimes called Charge Transfer Systems).

  9. X-ray cone-beam computed tomography: principles, applications, challenges and solutions

    NASA Astrophysics Data System (ADS)

    Noo, Frederic

    2010-03-01

    In the nineties, x-ray computed tomography, commonly referred to as CT, seemed to be on the track to become old technology, bound to be replaced by more sophisticated techniques such as magnetic resonance imaging, due in particular to the harmful effects of x-ray radiation exposure. Yet, the new century brought with it new technology that allowed a complete change in trends and re-affirmed CT as an essential tool in radiology. For instance, the popularity of CT in 2007 was such that approximately 68.7 million CT examinations were performed in the United States, which was nearly 2.5 times the number of magnetic resonance (MRI) examinations. More than that, CT has expanded beyond its conventional diagnostic role; CT is now used routinely in interventional radiology and also in radiation therapy treatment. The technology advances that allowed the revival of CT are those that made fast, accurate cone-beam data acquisition possible. Nowadays, cone-beam data acquisition allows scanning large volumes with isotropic sub-millimeter spatial resolution in a very fast time, which can be as short as 500ms for cardiac imaging. The principles of cone-beam imaging will be first reviewed. Then a discussion of its applications will be given. Old and new challenges will be presented along the way with current solutions.

  10. Challenges and solutions for the analysis of in situ, in crystallo micro-spectrophotometric data

    SciTech Connect

    Dworkowski, Florian S. N.; Hough, Michael A.; Pompidor, Guillaume

    2015-01-01

    The particular challenge of the analysis of optical absorption and Raman spectroscopic data measured from protein crystals and how the SLS-APE software toolbox supports scientists in dealing with such data is described. Combining macromolecular crystallography with in crystallo micro-spectrophotometry yields valuable complementary information on the sample, including the redox states of metal cofactors, the identification of bound ligands and the onset and strength of undesired photochemistry, also known as radiation damage. However, the analysis and processing of the resulting data differs significantly from the approaches used for solution spectrophotometric data. The varying size and shape of the sample, together with the suboptimal sample environment, the lack of proper reference signals and the general influence of the X-ray beam on the sample have to be considered and carefully corrected for. In the present article, how to characterize and treat these sample-dependent artefacts in a reproducible manner is discussed and the SLS-APEin situ, in crystallo optical spectroscopy data-analysis toolbox is demonstrated.

  11. Millimetre-Wave Backhaul for 5G Networks: Challenges and Solutions

    PubMed Central

    Feng, Wei; Li, Yong; Jin, Depeng; Su, Li; Chen, Sheng

    2016-01-01

    The trend for dense deployment in future 5G mobile communication networks makes current wired backhaul infeasible owing to the high cost. Millimetre-wave (mm-wave) communication, a promising technique with the capability of providing a multi-gigabit transmission rate, offers a flexible and cost-effective candidate for 5G backhauling. By exploiting highly directional antennas, it becomes practical to cope with explosive traffic demands and to deal with interference problems. Several advancements in physical layer technology, such as hybrid beamforming and full duplexing, bring new challenges and opportunities for mm-wave backhaul. This article introduces a design framework for 5G mm-wave backhaul, including routing, spatial reuse scheduling and physical layer techniques. The associated optimization model, open problems and potential solutions are discussed to fully exploit the throughput gain of the backhaul network. Extensive simulations are conducted to verify the potential benefits of the proposed method for the 5G mm-wave backhaul design. PMID:27322265

  12. Climate change adaptation among Tibetan pastoralists: challenges in enhancing local adaptation through policy support.

    PubMed

    Fu, Yao; Grumbine, R Edward; Wilkes, Andreas; Wang, Yun; Xu, Jian-Chu; Yang, Yong-Ping

    2012-10-01

    While researchers are aware that a mix of Local Ecological Knowledge (LEK), community-based resource management institutions, and higher-level institutions and policies can facilitate pastoralists' adaptation to climate change, policy makers have been slow to understand these linkages. Two critical issues are to what extent these factors play a role, and how to enhance local adaptation through government support. We investigated these issues through a case study of two pastoral communities on the Tibetan Plateau in China employing an analytical framework to understand local climate adaptation processes. We concluded that LEK and community-based institutions improve adaptation outcomes for Tibetan pastoralists through shaping and mobilizing resource availability to reduce risks. Higher-level institutions and policies contribute by providing resources from outside communities. There are dynamic interrelationships among these factors that can lead to support, conflict, and fragmentation. Government policy could enhance local adaptation through improvement of supportive relationships among these factors. While central government policies allow only limited room for overt integration of local knowledge/institutions, local governments often have some flexibility to buffer conflicts. In addition, government policies to support market-based economic development have greatly benefited adaptation outcomes for pastoralists. Overall, in China, there are still questions over how to create innovative institutions that blend LEK and community-based institutions with government policy making.

  13. Scotland's Centre of Expertise for Waters - helping address Scotland's water policy challenges

    NASA Astrophysics Data System (ADS)

    MacDonald, Jannette; Morris, Sue; Hastings, Emily; Ferrier, Bob

    2014-05-01

    CREW connects water research and policy in Scotland. We deliver easily accessible research and expert opinion to support Scottish Government and its delivery partners in the development and implementation of water policy in Scotland. The main policy areas include the Water Framework Directive, Flooding Directive, and Scotland's Hydro Nation Strategy with links to cross cutting policies such as those relating to agriculture and climate change. CREW is unique in its demand-driven and free service for policy makers and practitioners, managing the engagement between scientists, policy makers and practitioners to work effectively across this interface. CREW aims are to; • deliver timely and accurate advice • coordinate and fund research, analysis and interpretation • stimulate innovative and proactive thinking • develop and implement a programme of knowledge exchange • develop the networks and skills of researchers, policy makers and practitioners to make best use of available science leading to improved environmental, social and economic outcomes for all CREW is a partnership between the James Hutton Institute and Scottish Universities, funded by the Scottish Government. http://www.crew.ac.uk/home

  14. Rationality versus reality: the challenges of evidence-based decision making for health policy makers

    PubMed Central

    2010-01-01

    Background Current healthcare systems have extended the evidence-based medicine (EBM) approach to health policy and delivery decisions, such as access-to-care, healthcare funding and health program continuance, through attempts to integrate valid and reliable evidence into the decision making process. These policy decisions have major impacts on society and have high personal and financial costs associated with those decisions. Decision models such as these function under a shared assumption of rational choice and utility maximization in the decision-making process. Discussion We contend that health policy decision makers are generally unable to attain the basic goals of evidence-based decision making (EBDM) and evidence-based policy making (EBPM) because humans make decisions with their naturally limited, faulty, and biased decision-making processes. A cognitive information processing framework is presented to support this argument, and subtle cognitive processing mechanisms are introduced to support the focal thesis: health policy makers' decisions are influenced by the subjective manner in which they individually process decision-relevant information rather than on the objective merits of the evidence alone. As such, subsequent health policy decisions do not necessarily achieve the goals of evidence-based policy making, such as maximizing health outcomes for society based on valid and reliable research evidence. Summary In this era of increasing adoption of evidence-based healthcare models, the rational choice, utility maximizing assumptions in EBDM and EBPM, must be critically evaluated to ensure effective and high-quality health policy decisions. The cognitive information processing framework presented here will aid health policy decision makers by identifying how their decisions might be subtly influenced by non-rational factors. In this paper, we identify some of the biases and potential intervention points and provide some initial suggestions about how the

  15. Linking public health, housing, and indoor environmental policy: successes and challenges at local and federal agencies in the United States.

    PubMed

    Jacobs, David E; Kelly, Tom; Sobolewski, John

    2007-06-01

    We describe the successes and challenges faced by federal and local government agencies in the United States as they have attempted in recent years to connect public and environmental health, housing, community development, and building design with environmental, housing, and building laws, codes, and policies. These policies can either contribute to or adversely affect human physical and mental health, with important implications for economic viability, research, policy development, and overall social stability and progress. Policy impediments include tension between housing affordability and health investment that causes inefficient cost-shifting, privacy issues, unclear statutory authority, and resulting gaps in responsibility for housing, indoor air, and the built environment. We contrast this with other environmental frameworks such as ambient air and water quality statutes where the concept of "shared commons" and the "polluter pays" is more robust. The U.S. experiences in childhood lead poisoning prevention, indoor air, and mold provide useful policy insights. Local programs can effectively build healthy homes capacity through local laws and housing codes. The experience of coordinating remediation for mold, asthma triggers, weatherization, and other healthy housing improvements in Cuyahoga County, Ohio, is highlighted. The U.S. experience shows that policymakers should adopt a prevention-oriented, comprehensive multi-disciplinary approach at all levels of government to prevent unhealthy buildings, houses, and communities.

  16. Linking Public Health, Housing, and Indoor Environmental Policy: Successes and Challenges at Local and Federal Agencies in the United States

    PubMed Central

    Jacobs, David E.; Kelly, Tom; Sobolewski, John

    2007-01-01

    We describe the successes and challenges faced by federal and local government agencies in the United States as they have attempted in recent years to connect public and environmental health, housing, community development, and building design with environmental, housing, and building laws, codes, and policies. These policies can either contribute to or adversely affect human physical and mental health, with important implications for economic viability, research, policy development, and overall social stability and progress. Policy impediments include tension between housing affordability and health investment that causes inefficient cost-shifting, privacy issues, unclear statutory authority, and resulting gaps in responsibility for housing, indoor air, and the built environment. We contrast this with other environmental frameworks such as ambient air and water quality statutes where the concept of “shared commons” and the “polluter pays” is more robust. The U.S. experiences in childhood lead poisoning prevention, indoor air, and mold provide useful policy insights. Local programs can effectively build healthy homes capacity through local laws and housing codes. The experience of coordinating remediation for mold, asthma triggers, weatherization, and other healthy housing improvements in Cuyahoga County, Ohio, is highlighted. The U.S. experience shows that policymakers should adopt a prevention-oriented, comprehensive multi-disciplinary approach at all levels of government to prevent unhealthy buildings, houses, and communities. PMID:17589610

  17. CAP-AND-TRADE POLICY CHALLENGES: A TALE OF THREE MARKETS. (R827150)

    EPA Science Inventory

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  18. Policy challenges and approaches for the conservation of mangrove forests in Southeast Asia.

    PubMed

    Friess, Daniel A; Thompson, Benjamin S; Brown, Ben; Amir, A Aldrie; Cameron, Clint; Koldewey, Heather J; Sasmito, Sigit D; Sidik, Frida

    2016-10-01

    Many drivers of mangrove forest loss operate over large scales and are most effectively addressed by policy interventions. However, conflicting or unclear policy objectives exist at multiple tiers of government, resulting in contradictory management decisions. To address this, we considered four approaches that are being used increasingly or could be deployed in Southeast Asia to ensure sustainable livelihoods and biodiversity conservation. First, a stronger incorporation of mangroves into marine protected areas (that currently focus largely on reefs and fisheries) could resolve some policy conflicts and ensure that mangroves do not fall through a policy gap. Second, examples of community and government comanagement exist, but achieving comanagement at scale will be important in reconciling stakeholders and addressing conflicting policy objectives. Third, private-sector initiatives could protect mangroves through existing and novel mechanisms in degraded areas and areas under future threat. Finally, payments for ecosystem services (PES) hold great promise for mangrove conservation, with carbon PES schemes (known as blue carbon) attracting attention. Although barriers remain to the implementation of PES, the potential to implement them at multiple scales exists. Closing the gap between mangrove conservation policies and action is crucial to the improved protection and management of this imperiled coastal ecosystem and to the livelihoods that depend on them.

  19. Policy challenges and approaches for the conservation of mangrove forests in Southeast Asia.

    PubMed

    Friess, Daniel A; Thompson, Benjamin S; Brown, Ben; Amir, A Aldrie; Cameron, Clint; Koldewey, Heather J; Sasmito, Sigit D; Sidik, Frida

    2016-10-01

    Many drivers of mangrove forest loss operate over large scales and are most effectively addressed by policy interventions. However, conflicting or unclear policy objectives exist at multiple tiers of government, resulting in contradictory management decisions. To address this, we considered four approaches that are being used increasingly or could be deployed in Southeast Asia to ensure sustainable livelihoods and biodiversity conservation. First, a stronger incorporation of mangroves into marine protected areas (that currently focus largely on reefs and fisheries) could resolve some policy conflicts and ensure that mangroves do not fall through a policy gap. Second, examples of community and government comanagement exist, but achieving comanagement at scale will be important in reconciling stakeholders and addressing conflicting policy objectives. Third, private-sector initiatives could protect mangroves through existing and novel mechanisms in degraded areas and areas under future threat. Finally, payments for ecosystem services (PES) hold great promise for mangrove conservation, with carbon PES schemes (known as blue carbon) attracting attention. Although barriers remain to the implementation of PES, the potential to implement them at multiple scales exists. Closing the gap between mangrove conservation policies and action is crucial to the improved protection and management of this imperiled coastal ecosystem and to the livelihoods that depend on them. PMID:27341487

  20. Automated DNA extraction platforms offer solutions to challenges of assessing microbial biofouling in oil production facilities.

    PubMed

    Oldham, Athenia L; Drilling, Heather S; Stamps, Blake W; Stevenson, Bradley S; Duncan, Kathleen E

    2012-11-20

    The analysis of microbial assemblages in industrial, marine, and medical systems can inform decisions regarding quality control or mitigation. Modern molecular approaches to detect, characterize, and quantify microorganisms provide rapid and thorough measures unbiased by the need for cultivation. The requirement of timely extraction of high quality nucleic acids for molecular analysis is faced with specific challenges when used to study the influence of microorganisms on oil production. Production facilities are often ill equipped for nucleic acid extraction techniques, making the preservation and transportation of samples off-site a priority. As a potential solution, the possibility of extracting nucleic acids on-site using automated platforms was tested. The performance of two such platforms, the Fujifilm QuickGene-Mini80™ and Promega Maxwell®16 was compared to a widely used manual extraction kit, MOBIO PowerBiofilm™ DNA Isolation Kit, in terms of ease of operation, DNA quality, and microbial community composition. Three pipeline biofilm samples were chosen for these comparisons; two contained crude oil and corrosion products and the third transported seawater. Overall, the two more automated extraction platforms produced higher DNA yields than the manual approach. DNA quality was evaluated for amplification by quantitative PCR (qPCR) and end-point PCR to generate 454 pyrosequencing libraries for 16S rRNA microbial community analysis. Microbial community structure, as assessed by DGGE analysis and pyrosequencing, was comparable among the three extraction methods. Therefore, the use of automated extraction platforms should enhance the feasibility of rapidly evaluating microbial biofouling at remote locations or those with limited resources.

  1. Integrative analysis of transcriptomic and proteomic data: challenges, solutions and applications

    SciTech Connect

    Nie, Lei; Wu, Gang; Culley, David E.; Scholten, Johannes C.; Zhang, Weiwen

    2007-04-01

    Recent advances in high-throughput technologies enable quantitative monitoring of the abundance of various biological molecules and allow determination of their variation between biological states on a genomic scale. Two popular platforms areDNA microarrays to measure messenger RNA transcript levels, and gel-free proteomic analyses to determine protein abundance. Obviously, no single approach can fully unravel the complexities of fundamental biology and it is equally clear that integrative analysis of multiple levels of gene expression would be valuable in this endeavor. However, most integrative transcriptomic and proteomic studies have thus far either failed to find a correlation or have only observed a weak correlation. It is evident that this failure is not biologically based, but rather is related the inadequacy of available statistical tools to compensate for biases in the data collection methodologies. To address this issue, attempts have recently been made to systematically investigate the correlation patterns between transcriptomic and proteomic datasets, and to develop more sophisticated statistical tools to improve the chances of capturing a relationship. The goal of these investigations is to enhance our understanding of the relationship between transcriptome and proteome data so that integrative analyses may be utilized to reveal new biological insights that are not accessible through one dimensional datasets. In this review, we outline some of the challenges associated with integrative analyses and present some preliminary solutions based on progress being made in recent years. In addition, some new applications of integrated transcriptomic and proteomic analysis to the investigation of post-transcriptional regulation will also be discussed.

  2. Automated DNA extraction platforms offer solutions to challenges of assessing microbial biofouling in oil production facilities.

    PubMed

    Oldham, Athenia L; Drilling, Heather S; Stamps, Blake W; Stevenson, Bradley S; Duncan, Kathleen E

    2012-01-01

    The analysis of microbial assemblages in industrial, marine, and medical systems can inform decisions regarding quality control or mitigation. Modern molecular approaches to detect, characterize, and quantify microorganisms provide rapid and thorough measures unbiased by the need for cultivation. The requirement of timely extraction of high quality nucleic acids for molecular analysis is faced with specific challenges when used to study the influence of microorganisms on oil production. Production facilities are often ill equipped for nucleic acid extraction techniques, making the preservation and transportation of samples off-site a priority. As a potential solution, the possibility of extracting nucleic acids on-site using automated platforms was tested. The performance of two such platforms, the Fujifilm QuickGene-Mini80™ and Promega Maxwell®16 was compared to a widely used manual extraction kit, MOBIO PowerBiofilm™ DNA Isolation Kit, in terms of ease of operation, DNA quality, and microbial community composition. Three pipeline biofilm samples were chosen for these comparisons; two contained crude oil and corrosion products and the third transported seawater. Overall, the two more automated extraction platforms produced higher DNA yields than the manual approach. DNA quality was evaluated for amplification by quantitative PCR (qPCR) and end-point PCR to generate 454 pyrosequencing libraries for 16S rRNA microbial community analysis. Microbial community structure, as assessed by DGGE analysis and pyrosequencing, was comparable among the three extraction methods. Therefore, the use of automated extraction platforms should enhance the feasibility of rapidly evaluating microbial biofouling at remote locations or those with limited resources. PMID:23168231

  3. Colombia's space policy: An analysis of six years of progress and challenges

    NASA Astrophysics Data System (ADS)

    Becerra, Jairo

    2014-07-01

    This paper analyzes Colombia's space policy: its successes, its failures and what it still needs to achieve. The paper examines the interaction among the different players, and how this policy contributes to economic and social development of the country. And postulates that, unless a real national plan of action, with specific milestones and budget as well as a managing agency are developed, this policy may be in danger of disappearing. The Colombian Space Commission (Comisión Colombiana del Espacio, or CCE) was created by Presidential Decree 2442 in 2006. It is a multi-sectorial entity, in charge of coordinating, planning, and leading in the implementation of national policies for the development and application of space technologies. The CCE was also charged with the drafting of plans and programs in this field. The CCE began with only a few members (15) and today is comprised of 47 members: 13 ministries, 4 administrative departments, another 21 governmental entities and 9 universities, the latter acting as consultants. The Vice-President of the Republic is the President of the CCE. These different actors gave great importance to the development of Colombia's space sector, and 6 years later, they are continuing support and development the country's space policy. This analysis takes into account three aspects: first, achieving the objectives of the CCE: the creation and development of a national space policy for Colombia; secondly, focussing on “target groups” and “end users”; and thirdly, the “outcomes” or achievements to date. Some conclusions are worth highlighting: first, the warm reception and support of the CCE by both the public and private sectors on high levels, but the poor knowledge of the national space policy by the Colombian people and the small and medium companies. Secondly, in the context of public policy [9], the strategic plan called “National Policy in regard to Space Activities”, is caught between two phases: the formulation

  4. Incorporating indigenous rights and environmental justice into fishery management: comparing policy challenges and potentials from Alaska and Hawai'i.

    PubMed

    Richmond, Laurie

    2013-11-01

    Colonial processes including the dispossession of indigenous lands and resources and the development of Western management institutions to govern the use of culturally important fish resources have served in many ways to marginalize indigenous interests within the United States fisheries. In recent years, several US fishery institutions have begun to develop policies that can confront this colonial legacy by better accommodating indigenous perspectives and rights in fishery management practices. This paper analyzes two such policies: the 2005 community quota entity program in Alaska which permits rural communities (predominantly Alaska Native villages) to purchase and lease commercial halibut fishing privileges and the 1994 State of Hawai'i community-based subsistence fishing area (CBSFA) legislation through which Native Hawaiian communities can designate marine space near their community as CBSFAs and collaborate with the state of Hawai'i to manage those areas according to traditional Hawaiian practices. The analysis reveals a striking similarity between the trajectories of these two policies. While they both offered significant potential for incorporating indigenous rights and environmental justice into state or federal fishery management, they have so far largely failed to do so. Environmental managers can gain insights from the challenges and potentials of these two policies. In order to introduce meaningful change, environmental policies that incorporate indigenous rights and environmental justice require a commitment of financial and institutional support from natural resource agencies, a commitment from indigenous groups and communities to organize and develop capacity, and careful consideration of contextual and cultural factors in the design of the policy framework. PMID:23529814

  5. A Generation of Challenge: Pathways to Success for Urban Youth. A Policy Study of the Levitan Youth Policy Network. Policy Issues Monograph 97-03.

    ERIC Educational Resources Information Center

    Sum, Andrew; Mangum, Stephen; deJesus, Edward; Walker, Gary; Gruber, David; Pines, Marion; Spring, William

    This report refers to a generation under challenge, meaning the 18-to-24-year-olds who have recently come of age in the United States. A significant part of this generation has fallen victim to a neglected past and may be overwhelmed by its future. The report argues for an integrated and comprehensive service delivery system that can make a…

  6. Children's vulnerability to toxic chemicals: a challenge and opportunity to strengthen health and environmental policy.

    PubMed

    Landrigan, Philip J; Goldman, Lynn R

    2011-05-01

    A key policy breakthrough occurred nearly twenty years ago with the discovery that children are far more sensitive than adults to toxic chemicals in the environment. This finding led to the recognition that chemical exposures early in life are significant and preventable causes of disease in children and adults. We review this knowledge and recommend a new policy to regulate industrial and consumer chemicals that will protect the health of children and all Americans, prevent disease, and reduce health care costs. The linchpins of a new US chemical policy will be: first, a legally mandated requirement to test the toxicity of chemicals already in commerce, prioritizing chemicals in the widest use, and incorporating new assessment technologies; second, a tiered approach to premarket evaluation of new chemicals; and third, epidemiologic monitoring and focused health studies of exposed populations.

  7. [Health equity in the world's most unequal region: a challenge for public policy in Latin America].

    PubMed

    Frenz, Patricia; Titelman, Daniel

    2013-01-01

    Re-democratization has transformed the social agenda and the role of the state in Latin America with a growing commitment to health equity and social justice, yet these aspirations are strained by the region´s profound socioeconomic inequalities. Efforts to provide universal coverage to the right to health have led to the development of a variety of public policies, whose scope depends on how the concepts of health and equity are understood. In general, policy action has centered on health system reforms and only recently on integrated intersectorial action to address wider social determinants of health, particularly structural determinants. Furthermore, if the goal is health equity the predominant minimum standards approach cannot be the final answer, but only a step on the road to equality. Finally, realizing universal coverage of the right to health through public policy requires the strengthening of governmental institutional capacities with an intersectorial and participatory lens. PMID:24448946

  8. [Health equity in the world's most unequal region: a challenge for public policy in Latin America].

    PubMed

    Frenz, Patricia; Titelman, Daniel

    2013-01-01

    Re-democratization has transformed the social agenda and the role of the state in Latin America with a growing commitment to health equity and social justice, yet these aspirations are strained by the region´s profound socioeconomic inequalities. Efforts to provide universal coverage to the right to health have led to the development of a variety of public policies, whose scope depends on how the concepts of health and equity are understood. In general, policy action has centered on health system reforms and only recently on integrated intersectorial action to address wider social determinants of health, particularly structural determinants. Furthermore, if the goal is health equity the predominant minimum standards approach cannot be the final answer, but only a step on the road to equality. Finally, realizing universal coverage of the right to health through public policy requires the strengthening of governmental institutional capacities with an intersectorial and participatory lens.

  9. China’s Rapidly Aging Population Creates Policy Challenges In Shaping A Viable Long-Term Care System

    PubMed Central

    Feng, Zhanlian; Liu, Chang; Guan, Xinping; Mor, Vincent

    2013-01-01

    In China, formal long-term care services for the large aging population have increased to meet escalating demands as demographic shifts and socioeconomic changes have eroded traditional elder care. We analyze China’s evolving long-term care landscape and trace major government policies and private-sector initiatives shaping it. Although home and community-based services remain spotty, institutional care is booming with little regulatory oversight. Chinese policy makers face mounting challenges overseeing the rapidly growing residential care sector, given the tension arising from policy inducements to further institutional growth, a weak regulatory framework, and the lack of enforcement capacity. We recommend addressing the following pressing policy issues: building a balanced system of services and avoiding an “institutional bias” that promotes rapid growth of elder care institutions over home or community-based care; strengthening regulatory oversight and quality assurance with information systems; and prioritizing education and training initiatives to grow a professionalized long-term care workforce. PMID:23213161

  10. Science, technology and policy for Water Pollution Control at the Watershed Scale: Current issues and future challenges

    NASA Astrophysics Data System (ADS)

    Ghadouani, Anas; Coggins, Liah X.

    Water is a critical resource, and the shortage of freshwater resources worldwide will only become more critical as the world population increases and climate changes. The management of water resources provides a myriad of challenges, and, in light of advances in science, technology and policy making, now requires an integrated approach to be successful. Eutrophication and algal blooms are one of the most common and serious threats to the safety and security of water resources; however, despite advances in science and policy, the socio-economic consequences of the impact of such events on systems are still not well known. The economic cost of managing water quality issues is enormous, and can only benefit from the development of more integrated water management strategies. Research into areas related to water resources, such as management, policy, non-point source pollutants, wastewater, nutrients and water quality has increased significantly over the past 20 years, and will continue to increase as stakeholders and managers strive to develop more environmentally, socially, and economically sustainable water resource management plans. This perspective paper also presents a summary of a selection of research that formed part of the deliberations of the International Symposium on Science, Technology and Policy for Water Pollution Control at the Watershed Scale, held in April 2009.

  11. The challenge of contributing to policy making in primary care: the gendered experiences and strategies of nurses.

    PubMed

    Hughes, Alison

    2010-11-01

    This paper explores nurses' experiences as members of primary care organisations set up to develop and commission health services for local communities. Nurses, alongside GPs and other health professionals, were given a place on the governing bodies (boards) of Local Health Groups - a move widely welcomed by the nursing profession as long overdue recognition of the important contribution nurses and nursing could bring to the policy arena. Nurse board members faced a number of challenges in their attempts to contribute to and influence local health policy. This ethnographic study (which involved non-participant observation of 33 board meetings and interviews with 29 board members including nurses) suggests that medical authority and control, and hierarchical power relations between doctors and nurses on the board, were seen by nurses as significant obstacles to their participation in this new policy arena. In response to their perceived lack of power and subordinate status, nurses employed a number of strategies to negotiate their participation as board members - these included 'getting it right', 'achieving the right balance', 'self-presentation' and 'unassertiveness'. These strategies reflected and reproduced gendered identities and relations of power and raise important questions regarding the influence of nurses and nursing within policy making.

  12. Current research on transcultural psychiatry in the Anglophone Caribbean: epistemological, public policy, and epidemiological challenges.

    PubMed

    Hickling, Frederick W; Gibson, Roger C; Hutchinson, Gerard

    2013-12-01

    In this article, we review recent research on mental health in the Caribbean. Three major themes emerge: (a) the effects of colonialism on the Caribbean psyche; (b) decolonization of psychiatric public policy, including innovative treatment approaches, deinstitutionalization, and community and policy responses to mental health issues; and (c) the nature and epidemiology of psychiatric pathology among contemporary Caribbean people, with particular focus on migration, genetic versus social causation of psychosis and personality disorders, and mechanisms of resilience and social capital. Caribbean transcultural psychiatry illustrates the principles of equipoise unique to developing countries that protect the wellness and continued survival of postcolonial Caribbean people. PMID:24151148

  13. Challenges

    ERIC Educational Resources Information Center

    Moore, Thomas R.

    1975-01-01

    Domestic and international challenges facing the National Society for the Prevention of Blindness are discussed; and U.S. and Russian programs in testing and correcting children's vision, developing eye safety programs in agriculture and industry, and disseminating information concerning the detection and treatment of cataracts are compared. (SB)

  14. Challenger

    ERIC Educational Resources Information Center

    Allday, Jonathan

    2002-01-01

    The events that led to the spectacular destruction of the Space Shuttle "Challenger" in 1986 are detailed here. They show how NASA should have heeded engineers' worries over materials problems resulting from a launch in cold weather. Suggestions are made of how pupils could also learn from this tragedy. (Contains 4 figures and 2 footnotes.)

  15. Case Study Analysis of U.S. Policy Solutions to Enable China New Energy Cities

    SciTech Connect

    Simon, J.; Tian, T.; Liu, C.; Miller, M.

    2015-05-28

    This report summarizes various policies for encouraging investment and installation of renewable energy across the country. In particular, we attempt to explain the benefits of, and considerations behind, each policy type and provide examples of implementation across the United States While recognized as important, this report does not address policies or examples of successful energy efficiency or alternative-fuel vehicle strategies. In addition, we summarize the renewable energy policy strategies undertaken by three areas of the United States: New Jersey, Hawaii, and San Francisco.

  16. Impact and Challenges of a Policy Change to Early Track Extubation in the Operating Room for Fontan.

    PubMed

    Kawaguchi, Atsushi; Liu, Qi; Coquet, Sean; Yasui, Yutaka; Cave, Dominic

    2016-08-01

    While policy changes toward early extubation in the operating room (OR) have been commonly seen in palliative surgeries in single ventricle anatomy, no systematic assessment of their impact on patient outcome has been reported. All patients aged 0-17 years admitted to a PICU in a quaternary children's hospital for post-operative management following a primary Fontan procedure between 2005 and 2011 were included. Patients for revision of Fontan or patients admitted to adult Cardiovascular Intensive Care Unit were excluded. Practice policy was changed from routine extubation in the PICU to early extubation in OR in January 2008. Data were compared between the pre-policy-change era (2005-2007) and the post-policy-change era (2008-2011) to assess the impact of the change on patient outcomes. Generalized linear regression (GLM) and interrupted time series (ITS) analysis were used to access the effect of policy change on PICU length of stay and post-operative fluid balance, adjusting for potential confounders using propensity scores. Root cause analysis (RCA) was conducted to describe causes of failed extubation and challenges of this policy change. One hundred twenty-seven children met inclusion criteria. Average body weight was 14.7 kg [standard deviation (SD) 3.9], and age was 3.5 years (SD 1.9). A clear change in extubation practice occurred between the pre- versus post-policy-change eras: 97.5 % were extubated in the PICU in the pre-policy-change era, as compared to 15.0 % in the post-policy-change era. The average PICU length of stay was shortened by 4.1 days from the pre-policy-change era to the post-policy-change era [95 % CI -1.2 to -6.9, p < 0.01] in the GLM, whereas the ITS analysis did not show a statistically significant difference [95 % CI 1.8 to -2.5] (p = 0.23). No statistically significant difference was observed in the fluid balance in the 24 h post-operation in both analyses. Sixteen patients (16/127, 12.6 %) were reintubated mainly for

  17. Guidance for evidence-informed policies about health systems: rationale for and challenges of guidance development.

    PubMed

    Bosch-Capblanch, Xavier; Lavis, John N; Lewin, Simon; Atun, Rifat; Røttingen, John-Arne; Dröschel, Daniel; Beck, Lise; Abalos, Edgardo; El-Jardali, Fadi; Gilson, Lucy; Oliver, Sandy; Wyss, Kaspar; Tugwell, Peter; Kulier, Regina; Pang, Tikki; Haines, Andy

    2012-01-01

    In the first paper in a three-part series on health systems guidance, Xavier Bosch-Capblanch and colleagues examine how guidance is currently formulated in low- and middle-income countries, and the challenges to developing such guidance.

  18. Implementing General Education in Hong Kong: Government Policies, Institutional Responses, Opportunities and Challenges

    ERIC Educational Resources Information Center

    Wang, Xiaoyan; Gano-Phillips, Susan

    2012-01-01

    In this paper, the authors explore the implementation of the government mandate in Hong Kong to move from three-year to four-year undergraduate degree programs which include studies in general education (GE), through an analysis of policies and activities related to the curriculum reform. While the authors are interested in the substance of these…

  19. Norwegian Security Policy and new environmental challenges. Master`s thesis

    SciTech Connect

    Grout, T.J.

    1996-03-01

    The evolution of Norwegian security policy is a result of the evolving post-Cold War political order in Europe and the relationship that Norway has vis-a-vis its neighbors. A new set of priorities is emerging. With the end of the Cold War the factors which influenced the security policies of Norway since World War II have changed to include more non-traditional factors. In the past, Norway`s security concerns were primarily dictated by the military threat from the Soviet Union. Now, as the twenty-first century approaches, the former Soviet Union does not pose an immediate military threat. However, the Arctic still remains strategically important for Norway and NATO. These new priorities emphasize a foreign and security policy which stabilizes the region through political and economic aspects vice military means. This change however does not delete the traditional emphasis on the military aspects. Environmental degradation is one aspect of the non-traditional influences with which Norway is now concerned. The presence of a decaying Russian (former Soviet Union) nuclear submarine fleet coupled with the largest concentration of nuclear reactors in the world in the Kola Peninsula region pose a threat to Norway. Environmental issues have come to the forefront of Norwegian security and foreign policy concerns and in response, Norway has become a leader in emphasizing the importance of addressing environmental problems internationally.

  20. Education Policies and Practices to Address Cultural Diversity in Malaysia: Issues and Challenges

    ERIC Educational Resources Information Center

    Malakolunthu, Suseela; Rengasamy, Nagappan C.

    2012-01-01

    The 1969 racial riot in Kuala Lumpur served as a historical landmark in the development of Malaysian education, as it raised concerns about the state of national unity in the country. Subsequently, education was coupled with the socioeconomic restructuring of Malaysian society in line with the New Economic Policy (NEP) that commenced in 1970.…

  1. State Education Governance and Policy: Dynamic Challenges, Diverse Approaches, and New Frontiers

    ERIC Educational Resources Information Center

    Manna, Paul

    2012-01-01

    State governments are crucial actors in the nation's system of education governance. This issue of the "Peabody Journal of Education" underscores the wide-ranging roles that state governments play in the oversight, development, and implementation of elementary and secondary education policy in the United States. In this article, I consider these…

  2. Interventions for Resilience in Educational Settings: Challenging Policy Discourses of Risk and Vulnerability

    ERIC Educational Resources Information Center

    Ecclestone, Kathryn; Lewis, Lydia

    2014-01-01

    "Resilience" has become a popular goal in research, social policy, intervention design and implementation. Reinforced by its conceptual and political slipperiness, resilience has become a key construct in school-based, universal interventions that aim to develop it as part of social and emotional competence or emotional well-being.…

  3. Managing and Mobilising Talent in Malaysia: Issues, Challenges and Policy Implications for Malaysian Universities

    ERIC Educational Resources Information Center

    Azman, Norzaini; Sirat, Morshidi; Pang, Vincent

    2016-01-01

    The future of Malaysia as a high-income and competitive nation largely depends on its pool of highly skilled human capital. Hence, the issue of human capital development has taken centre stage in numerous reform agendas of Malaysia. This paper seeks to provide examples of policy initiatives aimed at facilitating the management of highly educated…

  4. Policy and Practice in Sign Bilingual Education: Development, Challenges and Directions

    ERIC Educational Resources Information Center

    Swanwick, Ruth

    2010-01-01

    A sign bilingual approach to the education of deaf children was first introduced in the UK in 1990. This paper reviews the growth of sign bilingual education in the UK and documents significant milestones in the development of sign bilingual policy and practice since the 1980s. This overview demonstrates how key issues in sign bilingual education…

  5. Greek Education Policy and the Challenge of Migration: An "Intercultural" View of Assimilation

    ERIC Educational Resources Information Center

    Gropas, Ruby; Triandafyllidou, Anna

    2011-01-01

    This article explores the policy responses and conceptual underpinnings of intercultural education in Greece. In the past two decades, and as a result of migration, Greece has seen its demography significantly and irreversibly altered in social, cultural, economic, ethnic, racial, and religious terms. Faced with an increasingly diverse student…

  6. Challenging Understandings of Inclusive Education Policy Development in Southern Africa through Comparative Reflection

    ERIC Educational Resources Information Center

    Pather, S.; Nxumalo, C. P.

    2013-01-01

    The value of comparative education and the use of reflective experience and research to inform more sustainable local education development, particularly for developing contexts, is an ongoing consideration. This article explores these arguments in relation to the development of a more sustainable Inclusive Education policy in countries of the…

  7. Challenges in College Admissions. A Report of a Survey of Undergraduate Admissions Policies, Practices, and Procedures.

    ERIC Educational Resources Information Center

    Breland, Hunter M.; And Others

    The report summarizes undergraduate admissions policies, practices, and procedures at two- and four-year colleges and universities as of 1992. Information was drawn from a national survey, the third of a series conducted since 1979. A total of 2,024 institutions responded to the survey. An introductory chapter describes the surveys, their…

  8. Canada's New Generic Pricing Policy: A Reasoned Approach to a Challenging Problem.

    PubMed

    Hollis, Aidan; Grootendorst, Paul

    2015-08-01

    Alberta, quickly followed by other Canadian provinces, has introduced a new pricing model for generic drugs, in which prices are inversely related to the number of generic manufacturers of the drug. This paper examines the rationale for the new policy. PMID:26571465

  9. The Cyberspace Challenge: Modernity, Post-modernity and Reflections on International Networking Policy.

    ERIC Educational Resources Information Center

    Goodenow, Ronald

    1996-01-01

    Emergence of global communications networks raises questions about the nature of pluralism, community, delivery of education, construction of knowledge, and role of comparative educators in a postindustrial world. Ownership, access, and definition and distribution of knowledge will become major policy issues. Networking experiences in telemedicine…

  10. The Challenge of Writing Remediation: Can Composition Research Inform Higher Education Policy?

    ERIC Educational Resources Information Center

    Relles, Stefani R.; Tierney, William G.

    2013-01-01

    Background/Context: This article presents a review of research relevant to postsecondary writing remediation. The purpose of the review is to assess empirical support for policy aimed at improving the degree completion rates of students who arrive at tertiary settings underprepared to write. Purpose/Objective/Research Question/Focus of Study: Our…

  11. Challenging Lifelong Learning Policy Discourse: Where Is Structure in Agency in Narrative-Based Research?

    ERIC Educational Resources Information Center

    Warren, Simon; Webb, Sue

    2007-01-01

    Can adult educational research on learning and identity counter the individualising of neoliberal government policy that seeks to constrain educational "choices" to those that contribute to government economic agendas? This article notes the recent move within post-compulsory education research towards an engagement with Bourdieu because of…

  12. Additional Support Needs Policy in Scotland: Challenging or Reinforcing Social Inequality?

    ERIC Educational Resources Information Center

    Riddell, Sheila; Weedon, Elisabet

    2016-01-01

    This paper focuses on Scottish policy on additional support needs and its material outcomes. The central question addressed is the extent to which the Scottish additional support needs system undermines or reinforces existing social and economic inequalities. Administrative data highlight the inflation of the additional support needs category,…

  13. Challenging the Premises of International Policy Reviews: An Introduction to the Review Symposium

    ERIC Educational Resources Information Center

    Feinstein, Noah Weeth; Laessoe, Jeppe; Blum, Nicole; Chambers, Dianne

    2013-01-01

    In 2009, a think tank called the International Alliance of Leading Education Institutes (IALEI) announced the results of a study entitled Climate Change and Sustainable Development: The Response from Education. Intended for a policy audience, the study offered a glimpse into the status of Education for Sustainable Development (ESD) and an early…

  14. Responding to change in a challenging climate: 2015 five-year report of the Policy and Planning Board.

    PubMed

    2016-01-01

    The American Psychological Association (APA) Bylaws Article XI.7 (http://www.apa.org/about/governance/bylaws/article-11.aspx) requires that the Policy and Planning Board report annually by publication to the membership and review the structure and function of the association as a whole every fifth year. This report details the board's 5-year review, including APA's challenges and achievements from 2011 through 2015 within the context of broader social and environmental changes. Recommended priorities for future change are offered. (PsycINFO Database Record PMID:27504574

  15. The status and future challenges of tobacco control policy in Korea.

    PubMed

    Cho, Hong-Jun

    2014-05-01

    Tobacco use is the most important preventable risk factor for premature death. The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC), the first international public health treaty, came into force in 2005. This paper reviews the present status of tobacco control policies in Korea according to the WHO FCTC recommendations. In Korea, cigarette use is high among adult males (48.2% in 2010), and cigarette prices are the lowest among the Organization for Economic Cooperation and Development countries with no tax increases since 2004. Smoke-free policies have shown incremental progress since 1995, but smoking is still permitted in many indoor public places. More than 30% of non-smoking adults and adolescents are exposed to second-hand smoke. Public education on the harmful effects of tobacco is currently insufficient and the current policies have not been adequately evaluated. There is no comprehensive ban on tobacco advertising, promotion, or sponsorship in Korea. Cigarette packages have text health warnings on only 30% of the main packaging area, and misleading terms such as "mild" and "light" are permitted. There are nationwide smoking cessation clinics and a Quitline service, but cessation services are not covered by public insurance schemes and there are no national treatment guidelines. The sale of tobacco to minors is prohibited by law, but is poorly enforced. The socioeconomic inequality of smoking prevalence has widened, although the government considers inequality reduction to be a national goal. The tobacco control policies in Korea have faltered recently and priority should be given to the development of comprehensive tobacco control policies.

  16. The status and future challenges of tobacco control policy in Korea.

    PubMed

    Cho, Hong-Jun

    2014-05-01

    Tobacco use is the most important preventable risk factor for premature death. The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC), the first international public health treaty, came into force in 2005. This paper reviews the present status of tobacco control policies in Korea according to the WHO FCTC recommendations. In Korea, cigarette use is high among adult males (48.2% in 2010), and cigarette prices are the lowest among the Organization for Economic Cooperation and Development countries with no tax increases since 2004. Smoke-free policies have shown incremental progress since 1995, but smoking is still permitted in many indoor public places. More than 30% of non-smoking adults and adolescents are exposed to second-hand smoke. Public education on the harmful effects of tobacco is currently insufficient and the current policies have not been adequately evaluated. There is no comprehensive ban on tobacco advertising, promotion, or sponsorship in Korea. Cigarette packages have text health warnings on only 30% of the main packaging area, and misleading terms such as "mild" and "light" are permitted. There are nationwide smoking cessation clinics and a Quitline service, but cessation services are not covered by public insurance schemes and there are no national treatment guidelines. The sale of tobacco to minors is prohibited by law, but is poorly enforced. The socioeconomic inequality of smoking prevalence has widened, although the government considers inequality reduction to be a national goal. The tobacco control policies in Korea have faltered recently and priority should be given to the development of comprehensive tobacco control policies. PMID:24921015

  17. The Status and Future Challenges of Tobacco Control Policy in Korea

    PubMed Central

    2014-01-01

    Tobacco use is the most important preventable risk factor for premature death. The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC), the first international public health treaty, came into force in 2005. This paper reviews the present status of tobacco control policies in Korea according to the WHO FCTC recommendations. In Korea, cigarette use is high among adult males (48.2% in 2010), and cigarette prices are the lowest among the Organization for Economic Cooperation and Development countries with no tax increases since 2004. Smoke-free policies have shown incremental progress since 1995, but smoking is still permitted in many indoor public places. More than 30% of non-smoking adults and adolescents are exposed to second-hand smoke. Public education on the harmful effects of tobacco is currently insufficient and the current policies have not been adequately evaluated. There is no comprehensive ban on tobacco advertising, promotion, or sponsorship in Korea. Cigarette packages have text health warnings on only 30% of the main packaging area, and misleading terms such as "mild" and "light" are permitted. There are nationwide smoking cessation clinics and a Quitline service, but cessation services are not covered by public insurance schemes and there are no national treatment guidelines. The sale of tobacco to minors is prohibited by law, but is poorly enforced. The socioeconomic inequality of smoking prevalence has widened, although the government considers inequality reduction to be a national goal. The tobacco control policies in Korea have faltered recently and priority should be given to the development of comprehensive tobacco control policies. PMID:24921015

  18. Pulling Up the Drawbridge: A Case Study of Rockwell International's Public Response Policy Following the Destruction of the Space Shuttle Challenger.

    ERIC Educational Resources Information Center

    Kaufman, John A.

    This paper describes the contingent media relations policy employed by Rockwell International, the prime contractor of the United States space shuttle program, following the 1986 destruction of the Challenger, and evaluates that policy in terms of its utility to Rockwell and its impact on public dissemination of information about the shuttle…

  19. The National Science Foundation CAREER Award: A Unique Solution to the Challenges of the Tenure Process

    NASA Astrophysics Data System (ADS)

    Fouch, M. J.

    2011-12-01

    There is a dichotomy inherent in the tenure process at most research-strong universities. Most institutions require strong performance in research production and grant acquisition, while at the same time very good to excellent teaching performance. However, in the first several years of the tenure process, many new faculty spend most of their time preparing lectures for new classes and writing grant proposals, leaving little time to forge new directions and define their individual paths in their research, which, somewhat ironically, is the primary factor by which tenure is either granted or denied. The CAREER grant is a unique solution to this problem, as it enables beginning faculty members to directly thread their research into their teaching, and vice versa. My CAREER award, the first granted by the (at the time) fledgling EarthScope Science program at NSF, enabled me to bring EarthScope data and science directly into the classroom. One cadre of efforts was a focus on software development, which is a critical roadblock in geophysics for students who do not have extensive experience with Unix-based coding. For example, Kevin Eagar developed the MATLAB-based FuncLab software system that enables one to quickly and efficiently analyze receiver functions, allowing one to image layers within Earth's interior, such as the crust-mantle boundary. This system is now publically available at http://geophysics.asu.edu/funclab. At Arizona State University, 5 undergraduate students and 2 graduate students have already used this software package to produce publishable scientific results over the past 2 years, enabling them to experience research firsthand and learn a range of key research skills for their future endeavors. The CAREER award also provided ample opportunities for my research group and me to forge into new research directions given the broad scope of the proposed work. Ultimately, this freedom has led to a number of new and exciting results regarding the nature of

  20. Toward a zero-carbon energy policy in Europe: defining a viable solution

    SciTech Connect

    Jones, Christopher; Glachant, Jean-Michel

    2010-04-15

    The present pace of carbon emission is not sustainable. Human societies need to react and to change. A rational responsive policy to deliver the required carbon emission reduction can be delineated if the key objective parameters are identified and addressed. This article attempts to lay the groundwork for a viable carbon energy policy for Europe. (author)

  1. Exposing Coverage Data to the Semantic Web within the MELODIES project: Challenges and Solutions

    NASA Astrophysics Data System (ADS)

    Riechert, Maik; Blower, Jon; Griffiths, Guy

    2016-04-01

    Coverage data, typically big in data volume, assigns values to a given set of spatiotemporal positions, together with metadata on how to interpret those values. Existing storage formats like netCDF, HDF and GeoTIFF all have various restrictions that prevent them from being preferred formats for use over the web, especially the semantic web. Factors that are relevant here are the processing complexity, the semantic richness of the metadata, and the ability to request partial information, such as a subset or just the appropriate metadata. Making coverage data available within web browsers opens the door to new ways for working with such data, including new types of visualization and on-the-fly processing. As part of the European project MELODIES (http://melodiesproject.eu) we look into the challenges of exposing such coverage data in an interoperable and web-friendly way, and propose solutions using a host of emerging technologies like JSON-LD, the DCAT and GeoDCAT-AP ontologies, the CoverageJSON format, and new approaches to REST APIs for coverage data. We developed the CoverageJSON format within the MELODIES project as an additional way to expose coverage data to the web, next to having simple rendered images available using standards like OGC's WMS. CoverageJSON partially incorporates JSON-LD but does not encode individual data values as semantic resources, making use of the technology in a practical manner. The development also focused on it being a potential output format for OGC WCS. We will demonstrate how existing netCDF data can be exposed as CoverageJSON resources on the web together with a REST API that allows users to explore the data and run operations such as spatiotemporal subsetting. We will show various use cases from the MELODIES project, including reclassification of a Land Cover dataset client-side within the browser with the ability for the user to influence the reclassification result by making use of the above technologies.

  2. Multiple-Indicator Multilevel Growth Model: A Solution to Multiple Methodological Challenges in Longitudinal Studies

    ERIC Educational Resources Information Center

    Wu, Amery D.; Liu, Yan; Gadermann, Anne M.; Zumbo, Bruno D.

    2010-01-01

    This paper described the versatility of the multiple-indicator multilevel (MIML) model in helping to resolve four common challenges in studying growth using longitudinal data. These challenges are (1) how to deal with changes in measurement over time and investigate temporal measurement invariance, (2) how to model residual dependence due to the…

  3. State Policies on School Climate and Bully Prevention Efforts: Challenges and Opportunities for Deepening State Policy Support for Safe and Civil Schools

    ERIC Educational Resources Information Center

    Piscatelli, Jennifer; Lee, Chiqueena

    2011-01-01

    The National School Climate Center (NSCC) completed a 50-state policy scan on state school climate and anti-bullying policies to better understand the current state policy infrastructure supporting the development of positive school climates. This policy brief examines the current status of school climate and anti-bullying policies in each state,…

  4. Iran’s shift in family planning policies: concerns and challenges

    PubMed Central

    Karamouzian, Mohammad; Sharifi, Hamid; Haghdoost, Ali Akbar

    2014-01-01

    Iran’s significant success in implementing Family Planning (FP) during the past 25 years, has made it a role model in the world. The Total Fertility Rate (TFR) in Iran has dropped from 6.5 in 1960 to 1.6 in 2012, which is well below the targeted value of 2.2 for the country. Iran’s success story, however, did not merely root in the implementation of FP programs. In other words, families’ strong tendency to limit fertility and delayed marriages had an undeniable role in decreasing the TFR. On the other hand, Iranian policy-makers are very concerned about such a decrease and have recently restricted access to contraception, while outlawing any surgery that reduces fertility. This paper, tries to highlight the pros and cons of such restrictive policies, and argue that the policy-makers might be jeopardizing the success of Iran’s FP program by overestimating its role in the TFR reduction rate. PMID:25337596

  5. Trade policy and obesity prevention: challenges and innovation in the Pacific Islands.

    PubMed

    Snowdon, W; Thow, A M

    2013-11-01

    The Pacific Island countries experience some of the highest rates of obesity in the world in part due to substantial dietary changes that mirror changes in the food supply in the region. Economic and political ties, donor aid, and trade links are key drivers of the changing availability and accessibility of processed and imported foods. Pacific Island countries have been innovative in developing trade-related policy approaches to create a less obesogenic food environment. Taxation-based approaches that affect pricing in the region include increased import and excise tariffs on sugared beverages and other high-sugar products, monosodium glutamate, and palm oil and lowered tariffs on fruits and vegetables. Other approaches highlight some higher-fat products through labeling and controlling the supply of high-fat meats. The bans on high-fat turkey tails and mutton flaps highlight the politics, trade agreements and donor influences that can be significant barriers to the pursuit of policy options. Countries that are not signatories to trade agreements may have more policy space for innovative action. However, potential effectiveness and practicality require consideration. The health sector's active engagement in the negotiation of trade agreements is a key way to support healthier trade in the region. PMID:24102909

  6. Vaccination Policy in Korean Armed Forces: Current Status and Future Challenge

    PubMed Central

    Yoon, Chang-Gyo; Jeong, Hye Won; Kim, Woo Joo; Cheong, Hee Jin

    2015-01-01

    Infectious diseases have historically resulted in suspended or cancelled military operations. Vaccination for disease prevention is a critical component of the military's force readiness doctrine. Until recently, Korea had not recognized the importance of vaccinating military personnel. However, a 2011 meningococcal disease outbreak at an army recruit training center led to dramatic changes in the paradigm of traditional medical practice in the Korean armed forces. A new vaccination policy was formed by a 2012 Military Healthcare Service Act. Since then, Neisseria meningitidis, hepatitis A, and measles-mumps-rubella vaccines have been routinely administered to all new recruits early in basic training to ensure protection against these diseases. All active-duty soldiers also receive seasonal influenza vaccination annually. Despite quantitative improvements in vaccination policies, several instances of major infectious diseases and adverse vaccine reactions have threatened soldier health. In the future, vaccination policies in the Korean armed forces should be based on epidemiologic data and military medical research for vaccine use and safety management. PMID:25829800

  7. Ten Years of a National Oral Health Policy in Brazil: Innovation, Boldness, and Numerous Challenges.

    PubMed

    Pucca, G A; Gabriel, M; de Araujo, M E; de Almeida, F C S

    2015-10-01

    Brazil is the only country in the world to propose a universal health care system with the aim of guaranteeing delivery of all levels of health care, free of charge, to a population of over 200 million inhabitants by means of a unified health system ("Sistema Único de Saúde" [SUS]). The national policy of oral health, also known as Smiling Brazil ("Brasil Sorridente"), was implemented in 2004. Oral health was designated as 1 of the 4 priority areas of the SUS, transforming oral health care in Brazil, with the objective that the SUS achieve the integrality of care envisaged at its creation. The aim of this article is to share part of this experience in order to prompt reflection about the inclusion of oral health care in other health care systems around the world. The most significant results of Smiling Brazil can be seen in 3 areas: (1) oral health epidemiological indicators, (2) financial investment and professional development, and (3) the building of an oral health care network throughout the 10 y of the policy. The "Discovery!" article presented here portrays 10 y of evolution; however, it is important to point out that this is a process undergoing construction and that the oral health care network needs to be further expanded, refined, and solidified so that over time and through changes in the political parties in power, Smiling Brazil prevails as a perennial policy and not merely an action by a single government.

  8. Trade policy and obesity prevention: challenges and innovation in the Pacific Islands.

    PubMed

    Snowdon, W; Thow, A M

    2013-11-01

    The Pacific Island countries experience some of the highest rates of obesity in the world in part due to substantial dietary changes that mirror changes in the food supply in the region. Economic and political ties, donor aid, and trade links are key drivers of the changing availability and accessibility of processed and imported foods. Pacific Island countries have been innovative in developing trade-related policy approaches to create a less obesogenic food environment. Taxation-based approaches that affect pricing in the region include increased import and excise tariffs on sugared beverages and other high-sugar products, monosodium glutamate, and palm oil and lowered tariffs on fruits and vegetables. Other approaches highlight some higher-fat products through labeling and controlling the supply of high-fat meats. The bans on high-fat turkey tails and mutton flaps highlight the politics, trade agreements and donor influences that can be significant barriers to the pursuit of policy options. Countries that are not signatories to trade agreements may have more policy space for innovative action. However, potential effectiveness and practicality require consideration. The health sector's active engagement in the negotiation of trade agreements is a key way to support healthier trade in the region.

  9. Vaccination policy in Korean armed forces: current status and future challenge.

    PubMed

    Heo, Jung Yeon; Choe, Kang-Won; Yoon, Chang-Gyo; Jeong, Hye Won; Kim, Woo Joo; Cheong, Hee Jin

    2015-04-01

    Infectious diseases have historically resulted in suspended or cancelled military operations. Vaccination for disease prevention is a critical component of the military's force readiness doctrine. Until recently, Korea had not recognized the importance of vaccinating military personnel. However, a 2011 meningococcal disease outbreak at an army recruit training center led to dramatic changes in the paradigm of traditional medical practice in the Korean armed forces. A new vaccination policy was formed by a 2012 Military Healthcare Service Act. Since then, Neisseria meningitidis, hepatitis A, and measles-mumps-rubella vaccines have been routinely administered to all new recruits early in basic training to ensure protection against these diseases. All active-duty soldiers also receive seasonal influenza vaccination annually. Despite quantitative improvements in vaccination policies, several instances of major infectious diseases and adverse vaccine reactions have threatened soldier health. In the future, vaccination policies in the Korean armed forces should be based on epidemiologic data and military medical research for vaccine use and safety management. PMID:25829800

  10. Challenger

    NASA Technical Reports Server (NTRS)

    1986-01-01

    Close-up view of the liftoff of the Shuttle Challenger on mission STS-51L taken from camera site 39B-2/T3. From this camera position, a cloud of grey-brown smoke can be seen on the right side of the Solid Rocket Booster (SRB) on a line directly across from the letter 'U' in United States. This was the first visible sign that an SRB joint breach may have occured. On January 28, 1986 frigid overnight temperatures caused normally pliable rubber O-ring seals and putty that are designed to seal and establish joint integrity between the Solid Rocket Booster (SRB) joint segments, to become hard and non- flexible. At the instant of SRB ignition, tremendous stresses and pressures occur within the SRB casing and especially at the joint attachmentment points. The failure of the O-rings and putty to 'seat' properly at motor ignition, caused hot exhaust gases to blow by the seals and putty. During Challenger's ascent, this hot gas 'blow by' ultimately cut a swath completely through the steel booster casing; and like a welder's torch, began cutting into the External Tank (ET). It is believed that the ET was compromised in several locations starting in the aft at the initial point where SRB joint failure occured. The ET hydrogen tank is believed to have been breached first, with continuous rapid incremental failure of both the ET and SRB. A chain reaction of events occurring in milliseconds culminated in a massive explosion. The orbiter Challenger was instantly ejected by the blast and went askew into the supersonic air flow. These aerodynamic forces caused structural shattering and complete destruction of the orbiter. Though it was concluded that the G-forces experienced during orbiter ejection and break-up were survivable, impact with the ocean surface was not. Tragically, all seven crewmembers perished.

  11. The blood supply in Sub-Saharan Africa: needs, challenges, and solutions.

    PubMed

    Lund, Troy C; Hume, Heather; Allain, Jean P; McCullough, Jeffrey; Dzik, Walter

    2013-12-01

    Sub-Saharan Africa (SSA) is burdened with a growing population and poor health care resources. Transfusion medicine is uniquely affected for SSA as a result of a combination of factors which put tremendous pressure on the blood supply. In this review, we consider these factors including: malaria, sickle cell anemia, transfusion medicine infrastructure, and past transfusion medicine policies including those which are tied to foreign aid, such as a VNRD-only practice. We also consider how SSA can overcome some of these hurdles to achieve a safe and adequate blood supply for its people through the advent of new vaccines, medications, infrastructure development, policy changes, and education.

  12. Measuring Ability, Speed, or Both? Challenges, Psychometric Solutions, and What Can Be Gained From Experimental Control

    PubMed Central

    Goldhammer, Frank

    2015-01-01

    The main challenge of ability tests relates to the difficulty of items, whereas speed tests demand that test takers complete very easy items quickly. This article proposes a conceptual framework to represent how performance depends on both between-person differences in speed and ability and the speed-ability compromise within persons. Related measurement challenges and psychometric models that have been proposed to deal with the challenges are discussed. It is argued that addressing individual differences in the speed-ability trade-off requires the control of item response times. In this way, response behavior can be captured exclusively with the response variable remedying problems in traditional measurement approaches. PMID:26807063

  13. Elderly and long-term care trends and policy in Taiwan: challenges and opportunities for health care professionals.

    PubMed

    Wang, Hsiu-Hung; Tsay, Shwn-Feng

    2012-09-01

    The purpose of this article is to address the trends and policy of elderly and long-term care in Taiwan. In response to the increasing demand of an aging society, healthcare professionals play crucial roles in elderly and long-term care and quality assurance of services. This article focuses on the current situation of elderly health care, demands of long-term care, long-term care policy in Taiwan, draft of the Long-term Care Services Act, and draft of the Long-term Care Insurance Act. After the 10-year long-term care project was proposed by the Taiwan government, the supply of health care services and demand for long-term care have created many challenges and opportunities for innovative health professional development. Challenges consist of low old dependency ratio caused by low birth rate, lack of elderly and long-term care related manpower, services and education reform related to long-term care for the future society, and interprofessional collaboration and team work of long-term care. Opportunities include expanding the roles and the career pathways of healthcare professionals, promoting the concepts of active aging and good quality of life, and developing industrial cooperation related to long-term care services. Under these circumstances, healthcare professonals are actively involved in practice, education and research of long-term care services that ensure elderly and disabled people can live a healthier and better life.

  14. Selecting Teaching Practice Schools across Social Contexts: Conceptual and Policy Challenges from South Africa

    ERIC Educational Resources Information Center

    Robinson, Maureen

    2014-01-01

    In a country like South Africa, as in many other countries around the world, there is an imperative to prepare student teachers for a wide variety of social contexts, as part of breaking the cycle of disadvantage for poor learners. This article explores the challenge of placing student teachers for their field experience in schools that differ…

  15. Meeting the Challenge: Performance Trends in California Schools. Policy Brief 08-1

    ERIC Educational Resources Information Center

    Imazeki, Jennifer

    2008-01-01

    There are significant signs of progress in California's schools, in spite of the tremendous challenges they face. Trends across multiple measures of student performance are fairly consistent: all students are doing better, or at least holding steady, during a time when the system is serving a larger and more diverse population of children. For…

  16. The Evolving Challenges of Black College Students: New Insights for Policy, Practice, and Research

    ERIC Educational Resources Information Center

    Strayhorn, Terrell L., Ed.; Terrell, Melvin Cleveland, Ed.

    2010-01-01

    Presenting new empirical evidence and employing fresh theoretical perspectives, this book sheds new light on the challenges that Black Students face from the time they apply to college through their lives on campus. The contributors make the case that the new generation of Black students differ in attitudes and backgrounds from earlier…

  17. Inclusion in High-Achieving Singapore: Challenges of Building an Inclusive Society in Policy and Practice

    ERIC Educational Resources Information Center

    Walker, Zachary; Musti-Rao, Shobana

    2016-01-01

    Building an inclusive society in which all people can participate effectively and live together requires understanding inclusive education and its impact on the social order. As countries of different regions face the vast array of challenges unique to their educational systems, it becomes apparent that inclusive societies are intricately tied to…

  18. Meeting the Challenges of Higher Education in India through Open Educational Resources: Policies, Practices, and Implications

    ERIC Educational Resources Information Center

    Thakran, Archana; Sharma, Ramesh C.

    2016-01-01

    Over the past two decades, the education sector in India has undergone a substantial transformation. Recent advances in technology have provided access to high quality educational resources and information on the Internet. This article examines the role of open educational resources (OER) in addressing the challenges of higher education in India,…

  19. Education: Past, Present and Future Global Challenges. Policy Research Working Paper 5616

    ERIC Educational Resources Information Center

    Patrinos, Harry Anthony; Psacharopoulos, George

    2011-01-01

    Progress in educational development in the world since 1900 has been slow and uneven between countries. Providing basic education for all children in developing countries has been and remains an unmet challenge of governments and international organizations alike. This is in sharp contrast to recent findings in the economics literature on the…

  20. The Roles of Postsecondary Education in Workforce Development: Challenges for State Policy.

    ERIC Educational Resources Information Center

    Wallhaus, Robert A.

    This paper provides an overview of the issues and challenges facing postsecondary education in workforce development in the states. Key questions of employer, learner, and government and public expectations are listed as a suggested starting point for discussions between state, education, and business leaders about strategies for addressing these…

  1. Changes to Educational Policy and Management in Wales: Facing the "Cuts" and New Strategic Challenges

    ERIC Educational Resources Information Center

    Reid, Ken

    2011-01-01

    Like the rest of the United Kingdom, Wales is facing a new challenge from the implementation of the Coalition Government's cuts. The Welsh Assembly Government [WAG, renamed Welsh Government (WG), in May 2011] budget was reduced by 1.8 billion British Pounds over the next four years. WAG responded by introducing its own revised austerity budget…

  2. Addressing Quality Challenges in the Private University Sector in Bangladesh: From Policy Formulation to Institutional Implementation

    ERIC Educational Resources Information Center

    Blanco Ramírez, Gerardo; Jahirul Haque, H. M.

    2016-01-01

    Private higher education is growing, especially in developing and transitioning countries. Rapid growth frequently comes with concerns about quality. This article explores challenges and opportunities for higher education quality among private universities in Bangladesh. By presenting a vertical case study that explores interactions among actors…

  3. Transformation of University Governance through Internationalization: Challenges for Top Universities and Government Policies in Japan

    ERIC Educational Resources Information Center

    Yonezawa, Akiyoshi; Shimmi, Yukiko

    2015-01-01

    In order to strengthen their international presence, universities pursuing a world-class status are striving to increase their internationalization. Internationalization implies a transformation of university governance, especially for universities in a non-English-speaking system such as Japan's. This paper examines the challenges of…

  4. Success under duress: policies and practices managers view as keys to profitability in five California hospitals with challenging payer mix.

    PubMed

    Rundall, Thomas; Oberlin, Shelley; Thygesen, Brian; Janus, Katharina

    2012-01-01

    Hospitals with a challenging payer mix (CPM)-high proportions of uninsured and Medicaid patients and a low proportion of commercially insured patients-are an important source of care for low-income, uninsured people. Achieving profitability is difficult for CPM hospitals. From 2005 through 2008, only one-third of 67 CPM hospitals in California reported positive total margins. In-depth group interviews were completed with the management leadership teams of a diverse group of five profitable CPM hospitals to identify the management strategies and practices that the hospitals' leadership teams credited for their financial success. Twelve management policy and practice topics were identified. Four of the policies and practices that managers identified involve organizational actions to increase hospital revenue or operational efficiency. These factors are consistent with those identified in previous research. However, managers also identified eight factors not previously revealed in research on hospital profitability, including management policies and practices that establish the organizational culture, workforce, relationships, monitoring systems, and governance necessary to ensure that hospital employees and affiliated physicians support and successfully implement organizational actions necessary to achieve profitability.

  5. Moving DNA barcoding toward bioassessment application: roadmap of challenges and solutions

    EPA Science Inventory

    DNA barcoding holds promise for helping to address several challenges associated with taxonomic based bioassessments; these include the time and effort necessary to identify hundreds of specimens per sample location, incomplete or unavailable local taxonomy that limits the abili...

  6. Developing policy solutions for a more active nation: Integrating economic and public health perspectives.

    PubMed

    Bleich, Sara N; Sturm, Roland

    2009-10-01

    Both economic and public health/medical perspectives play an important role in the policy process but often approach policy questions in an incompatible way. Harnessing any synergy requires an understanding of the other perspective. We begin by comparing and contrasting the economic and public health perspectives, including introducing relevant economic concepts. We next identify economic considerations for the development of environmental incentives that promote physical activity. We then assess features of the political environment which could impact the success of policy alternatives aimed at increasing physical activity. We conclude with several policy levers that may promote active living. Throughout the manuscript, we use the term economics to refer to classical economics and utility maximization rather than behavioral economics. In addition, we focus mostly on normative economics (which offers prescriptions for what should be done) rather than positive economics (which offers predictions of economic outcomes conditional on various hypothetical scenarios).

  7. The Educational Success of Homeless Youth in California: Challenges and Solutions

    ERIC Educational Resources Information Center

    Julianelle, Patricia F.

    2007-01-01

    The California Research Bureau (CRB), in participation with the California Council on Youth Relations (CCYR), and with support from The California Wellness Foundation, has been conducting a major research and policy initiative to bring attention to the issues facing homeless youth in California. These include lack of shelter and educational…

  8. NOA at the Calaveras Dam Replacement Project (CDRP) - Challenges and Solutions

    NASA Astrophysics Data System (ADS)

    Erskine, B.

    2012-12-01

    The San Francisco Public Utilities Commission is one year into construction of the Calaveras Dam Replacement Project (CDRP), a new earthen dam east of Sunol designed to withstand an M 7.1 earthquake on the nearby active Calaveras fault. The zoned earthen dam will be constructed primarily of on-site materials, many of which contain NOA. The upstream shell will be composed of Franciscan complex blueschist which contains crocidolite. This material will be blasted and processed at an on-site quarry. The impermeable core of the dam will be constructed of clay-rich alluvium that contains asbestos derived from Franciscan rocks. This material will be excavated from the south end of the reservoir and transported several miles to the dam. Currently, approximately 3 million yards of Franciscan complex material is being excavated and disposed of within permitted on-site engineered landfills. NOA-bearing rocks that include serpentinite, greenschist, blueschist, and eclogite contain variable amounts and assemblages of chrysotile, actinolite, crocidolite, tremolite, and winchite-class amphiboles. All of these are detected in air samples collected within a sophisticated air monitoring array and analyzed by TEM. The CDRP represents the largest construction project involving NOA in the country. As such, applying regulations that were designed for building materials and routine construction sites, and controlling airborne emissions on such a massive scale, is a major challenge requiring innovative solutions. Because construction occurs simultaneously at distinct and distant parts of the site, and the rugged topography of the site induces complex meteorological conditions, it is sometimes difficult to ascertain the driving activity and location of a source that caused a trigger level exceedance at a perimeter monitoring station. One helpful tool is forensic correlation of source material and air test data using speciation of amphiboles. At the CDRP, we are developing the ability to

  9. 75 FR 57006 - Addressing Policy and Logistical Challenges to Smart Grid Implementation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... solutions being developed by the Smart Grid Subcommittee of the National Science and Technology Council's... series of RFIs issued by DOE regarding smart grid implementation. Prior RFIs sought comment on data access, data usage and privacy issues, and on communications requirements for the smart grid. In this...

  10. Contribution of Targeted Subsidies Law to the Equity in Healthcare Financing in Iran: Exploring the Challenges of Policy Process

    PubMed Central

    Zandian, Hamed; Olyaeemanesh, Alireza; Takian, Amirhossein; Hosseini, Mostafa

    2016-01-01

    Introduction The Targeted Subsidies Law (TSL) was implemented in 2010 with a platform of improving equity in the Iran’s society. One of the objectives of the TSL was improving equity in Healthcare Financing (HCF), but a significant change has not occurred since then. The aim of this study was to analyze the challenges of the TSL to equity in the HCF in Iran. Methods In this interpretive qualitative study, 31 policy makers and health system experts were interviewed face to face from September 2014 to June 2015. A purposeful and snowball sampling method was used to select participants. Also, a document analysis was conducted on upstream documents. Assisted by MAXQDA 10, recorded interviews were transcribed verbatim and analyzed based on Framework Approach. Results Content analysis identified two themes and five sub-themes. Lack of justice in the healthcare system and lack of equity in the total socioeconomic structure of Iran were sub-themes identified as barriers to equity in HCF. Shortcomings in the formulation, implementation, and evaluation of the TSL were sub-themes identified as barriers in the policy process. The TSL did not achieve its intended objectives in the health sector because of the above-mentioned barriers, Conclusion The TSL, according to established goals, had no effect on the equity in HCF in Iran because of problems in the structure of the health system, socioeconomic status, and the policy process. To reach a more equitable HCF, it is advised that, when defining the related policies, various barriers be considered, such as those identified in our research. PMID:27053996

  11. Challenges for Australia's Bio/Nanopharma Policies: trade deals, public goods and reference pricing in sustainable industrial renewal

    PubMed Central

    Faunce, Thomas A

    2007-01-01

    controversial interpretations of reward of pharmaceutical 'innovation' provisions in the Australia-US Free Trade Agreement (AUSFTA) through the policy-development mechanisms of the AUSFTA Medicines Working Group and most recently an Innovative Medicines Working Group with the Department of Health and Ageing. This paper critically analyses such arguments in the context of emerging challenges for sustainable industrial renewal in Australia's bio/nanopharma sector. PMID:17543114

  12. [Advances and challenges to the Brazilian policy of health technology management].

    PubMed

    Silva, Hudson P; Petramale, Clarice A; Elias, Flavia T S

    2012-12-01

    The Brazilian Ministry of Health has institutionalized two articulated processes in the field of health technology management: (i) the production, systematization and dissemination of health technology assessment, and (ii) the adoption of a flow for the incorporation, exclusion or alteration of new technologies by the Brazilian National Health System. Several advances have been made, such as standardization of methods; production and promotion of studies; institutional development and international cooperation in the area of health technology assessment; definition of the necessary requirements for the presentation of proposals; definition of deadlines; and expansion of the segments that compose the committee that is responsible for the analysis and recommendation. However, some difficulties remain: health technology assessment activities concentrated in the Ministry; low sustainability of the activities of production and dissemination of the assessments; low penetration of health technology assessment in health care institutions; activities of assessment/incorporation with low participation of users; non-transparent decision-making processes; and low integration of the health policy with the scientific and technological policy.

  13. Policy options for responding to the growing challenge from obesity in the United Kingdom.

    PubMed

    Mohebati, L; Lobstein, T; Millstone, E; Jacobs, M

    2007-05-01

    The aim of this study was to map and analyse how key stakeholders evaluated options for dealing with the rising incidence of obesity in the UK, as part of a wider cross-national study in nine European countries. Multi-criteria mapping was used to capture the ways in which different policy options were evaluated by a variety of key stakeholders. 'Positive societal benefits' was among the criteria most often selected by participants to assess the options and was generally considered more important than costs. Of the seven pre-defined options that all participants appraised, those related to increasing opportunities for physical activity received the highest rankings, and fiscal measures the lowest. Educational measures fared best among the remaining 13 discretionary options while technological measures performed poorly. No one option, or group of options, was considered sufficient to address the obesity problem. Rather, a general consensus was evident in support of mutually reinforcing measures related to education, information, healthier food and physical activity. Although obesity policies are currently emerging in these different areas in the UK, there is a need for them to be better coordinated, and for improved surveillance to estimate their effectiveness in reversing the trend in obesity. PMID:17371314

  14. The SOLUTIONS project: challenges and responses for present and future emerging pollutants in land and water resources management.

    PubMed

    Brack, Werner; Altenburger, Rolf; Schüürmann, Gerrit; Krauss, Martin; López Herráez, David; van Gils, Jos; Slobodnik, Jaroslav; Munthe, John; Gawlik, Bernd Manfred; van Wezel, Annemarie; Schriks, Merijn; Hollender, Juliane; Tollefsen, Knut Erik; Mekenyan, Ovanes; Dimitrov, Saby; Bunke, Dirk; Cousins, Ian; Posthuma, Leo; van den Brink, Paul J; López de Alda, Miren; Barceló, Damià; Faust, Michael; Kortenkamp, Andreas; Scrimshaw, Mark; Ignatova, Svetlana; Engelen, Guy; Massmann, Gudrun; Lemkine, Gregory; Teodorovic, Ivana; Walz, Karl-Heinz; Dulio, Valeria; Jonker, Michiel T O; Jäger, Felix; Chipman, Kevin; Falciani, Francesco; Liska, Igor; Rooke, David; Zhang, Xiaowei; Hollert, Henner; Vrana, Branislav; Hilscherova, Klara; Kramer, Kees; Neumann, Steffen; Hammerbacher, Ruth; Backhaus, Thomas; Mack, Juliane; Segner, Helmut; Escher, Beate; de Aragão Umbuzeiro, Gisela

    2015-01-15

    SOLUTIONS (2013 to 2018) is a European Union Seventh Framework Programme Project (EU-FP7). The project aims to deliver a conceptual framework to support the evidence-based development of environmental policies with regard to water quality. SOLUTIONS will develop the tools for the identification, prioritisation and assessment of those water contaminants that may pose a risk to ecosystems and human health. To this end, a new generation of chemical and effect-based monitoring tools is developed and integrated with a full set of exposure, effect and risk assessment models. SOLUTIONS attempts to address legacy, present and future contamination by integrating monitoring and modelling based approaches with scenarios on future developments in society, economy and technology and thus in contamination. The project follows a solutions-oriented approach by addressing major problems of water and chemicals management and by assessing abatement options. SOLUTIONS takes advantage of the access to the infrastructure necessary to investigate the large basins of the Danube and Rhine as well as relevant Mediterranean basins as case studies, and puts major efforts on stakeholder dialogue and support. Particularly, the EU Water Framework Directive (WFD) Common Implementation Strategy (CIS) working groups, International River Commissions, and water works associations are directly supported with consistent guidance for the early detection, identification, prioritisation, and abatement of chemicals in the water cycle. SOLUTIONS will give a specific emphasis on concepts and tools for the impact and risk assessment of complex mixtures of emerging pollutants, their metabolites and transformation products. Analytical and effect-based screening tools will be applied together with ecological assessment tools for the identification of toxicants and their impacts. The SOLUTIONS approach is expected to provide transparent and evidence-based candidates or River Basin Specific Pollutants in the case

  15. Is the pro-competition policy an effective solution for China's public hospital reform?

    PubMed

    Pan, Jay; Qin, Xuezheng; Hsieh, Chee-Ruey

    2016-10-01

    The new round of health care reforms in China achieved significant initial results. New and emerging problems coinciding with the deepening of the reforms, however, require further institutional changes to strengthen the competition mechanism and promote public hospital efficiency. This paper provides a conceptual framework and preliminary assessment of public hospital competition in China. Specifically, we distinguish between two closely related concepts - competition and privatization, and identify several critical conditions under which hospital competition can be used as a policy instrument to improve health care delivery in China. We also investigate the current performance and identify several unintended consequences of public hospital competition - mainly, medical arms race, drug over-prescription and the erosion of a trusting relationship between patients and physicians. Finally, we discuss the policy options for enhancing the internal competition in China's hospital market, and conclude that public investment on information provision is key to reaping the positive outcomes of pro-competition policies.

  16. Aviation or space policy: New challenges for the insurance sector to private human access to space

    NASA Astrophysics Data System (ADS)

    van Oijhuizen Galhego Rosa, Ana Cristina

    2013-12-01

    The phenomenon of private human access to space has introduced a new set of problems in the insurance sector. Orbital and suborbital space transportation will surely be unique commercial services for this new market. Discussions are under way regarding space insurance, in order to establish whether this new market ought to be regulated by aviation or space law. Alongside new definitions, infrastructures, legal frameworks and liability insurances, the insurance sector has also been introducing a new approach. In this paper, I aim to analyse some of the possibilities of new premiums, capacities, and policies (under aviation or space insurance rules), as well as the new insurance products related to vehicles, passengers and third party liability. This paper claims that a change toward new insurance regimes is crucial, due to the current stage in development of space tourism and the urgency to adapt insurance rules to support future development in this area.

  17. Gun violence and media effects: challenges for science and public policy.

    PubMed

    Elson, Malte; Ferguson, Christopher J

    2013-11-01

    In response to the Sandy Hook shooting in December 2012, the White House published an action plan to reduce gun violence that, among other things, calls for research into the relationship with violence in digital games or other media images. We acknowledge the administration's efforts to reduce violent crime in society and their obligation to dedicate resources to matters of public interest, such as media effects. However, research projects launched in the midst of a moral panic bear the risk of introducing bias and distracting from more important issues. Ideological rigidity has repeatedly shaped past research on media violence. Current initiatives could be an opportunity to restore credibility to the field and to engage in a responsible dialogue on media effects. In order to inform public policy, we need to close gaps, both in empirical research and the academic debate, while being alert for potential political and social influences. PMID:24187065

  18. Improving the food environment in UK schools: policy opportunities and challenges.

    PubMed

    Devi, Anu; Surender, Rebecca; Rayner, Michael

    2010-07-01

    Childhood obesity and nutrition are high on the UK policy agenda because of their association with chronic illnesses and related costs. In 2007, to improve children's nutrition, the Government introduced new standards for all school food sources, including products sold from vending machines. Our research explores the factors influencing schools' decisions and children's food choices in relation to vending machines. We conducted in-depth interviews with staff and pupils in one English Local Education Authority. We found that pupils made food decisions based on cost considerations, and convenience, and they strongly valued individual choice. Schools' decisions to provide vending were influenced predominantly by fiscal and structural constraints. Although unhappy with the current quality of school food, staff and pupils criticised initiatives to restrict unhealthy foods. It appears that achieving a healthier school environment is a long-term project involving multiple strategies of education and incentives, as well as regulation. These must involve parents as well as pupils and schools.

  19. Gun violence and media effects: challenges for science and public policy.

    PubMed

    Elson, Malte; Ferguson, Christopher J

    2013-11-01

    In response to the Sandy Hook shooting in December 2012, the White House published an action plan to reduce gun violence that, among other things, calls for research into the relationship with violence in digital games or other media images. We acknowledge the administration's efforts to reduce violent crime in society and their obligation to dedicate resources to matters of public interest, such as media effects. However, research projects launched in the midst of a moral panic bear the risk of introducing bias and distracting from more important issues. Ideological rigidity has repeatedly shaped past research on media violence. Current initiatives could be an opportunity to restore credibility to the field and to engage in a responsible dialogue on media effects. In order to inform public policy, we need to close gaps, both in empirical research and the academic debate, while being alert for potential political and social influences.

  20. Policy, systems, and environmentally oriented school-based obesity prevention: opportunities and challenges.

    PubMed

    Fagen, Michael C; Asada, Yuka; Welch, Sarah; Dombrowski, Rachael; Gilmet, Kelsey; Welter, Christina; Stern, Lori; Barnett, Gina Massuda; Mason, Maryann

    2014-01-01

    Public health is increasingly emphasizing policy, systems, and environmental (PSE) change as a key strategy for population-level health promotion and disease prevention. When applied to childhood obesity, this strategy typically involves school systems, since children spend large portions of their days in school and are heavily influenced by this environment. While most school systems have implemented nutrition education and physical activity programs for some time, their understanding and use of PSE approaches to obesity prevention is accelerating based on several large federally funded initiatives. As part of one initiative's evaluation, key informant interviews reveal the specific obesity prevention PSE strategies schools are attempting and the corresponding barriers and facilitators to their implementation. These evaluation findings raise several fundamental issues regarding school-based obesity prevention, including the potential role of school personnel, the influence of grant funding on school health initiatives, and the fit between public health and educational priorities.

  1. Improving the food environment in UK schools: policy opportunities and challenges.

    PubMed

    Devi, Anu; Surender, Rebecca; Rayner, Michael

    2010-07-01

    Childhood obesity and nutrition are high on the UK policy agenda because of their association with chronic illnesses and related costs. In 2007, to improve children's nutrition, the Government introduced new standards for all school food sources, including products sold from vending machines. Our research explores the factors influencing schools' decisions and children's food choices in relation to vending machines. We conducted in-depth interviews with staff and pupils in one English Local Education Authority. We found that pupils made food decisions based on cost considerations, and convenience, and they strongly valued individual choice. Schools' decisions to provide vending were influenced predominantly by fiscal and structural constraints. Although unhappy with the current quality of school food, staff and pupils criticised initiatives to restrict unhealthy foods. It appears that achieving a healthier school environment is a long-term project involving multiple strategies of education and incentives, as well as regulation. These must involve parents as well as pupils and schools. PMID:20535103

  2. Diabetes in Mexico: cost and management of diabetes and its complications and challenges for health policy

    PubMed Central

    2013-01-01

    Background Mexico has been experiencing some of the most rapid shifts ever recorded in dietary and physical activity patterns leading to obesity. Diabetes mellitus has played a crucial role causing nearly 14% of all deaths. We wanted to make a comprehensive study of the role of diabetes in terms of burden of disease, prevalence, cost of diabetes, cost of complications and health policy. Method We review the quantitative data that provides evidence of the extent to which the Mexican health economy is affected by the disease and its complications. We then discuss the current situation of diabetes in Mexico with experts in the field. Results There was a significant increase in the prevalence of diabetes from 1994 to 2006 with rising direct costs (2006: outpatient USD$ 717,764,787, inpatient USD$ 223,581,099) and indirect costs (2005: USD$ 177,220,390), and rising costs of complications (2010: Retinopathy USD$ 10,323,421; Cardiovascular disease USD$ 12,843,134; Nephropathy USD$ 81,814,501; Neuropathy USD$ 2,760,271; Peripheral vascular disease USD$ 2,042,601). The health policy focused on screening and the creation of self-support groups across the country. Conclusions The increasing diabetes mortality and lack of control among diagnosed patients make quality of treatment a major concern in Mexico. The growing prevalence of childhood and adult obesity and the metabolic syndrome suggest that the situation could be even worse in the coming years. The government has reacted strongly with national actions to address the growing burden posed by diabetes. However our research suggests that the prevalence and mortality of diabetes will continue to rise in the future. PMID:23374611

  3. Applying the workload indicators of staffing need (WISN) method in Namibia: challenges and implications for human resources for health policy

    PubMed Central

    2013-01-01

    Introduction As part of ongoing efforts to restructure the health sector and improve health care quality, the Ministry of Health and Social Services (MoHSS) in Namibia sought to update staffing norms for health facilities. To establish an evidence base for the new norms, the MoHSS supported the first-ever national application of the Workload Indicators of Staffing Need (WISN) method, a human resource management tool developed by the World Health Organization. Application The WISN method calculates the number of health workers per cadre, based on health facility workload. It provides two indicators to assess staffing: (1) the gap/excess between current and required number of staff, and (2) the WISN ratio, a measure of workload pressure. Namibian WISN calculations focused on four cadres (doctors, nurses, pharmacists, pharmacy assistants) and all four levels of public facilities (clinics, health centers, district hospitals, intermediate hospitals). WISN steps included establishing a task force; conducting a regional pilot; holding a national validation workshop; field verifying data; collecting, uploading, processing, and analyzing data; and providing feedback to policy-makers. Challenges The task force faced two challenges requiring time and effort to solve: WISN software-related challenges and unavailability of some data at the national level. Findings WISN findings highlighted health worker shortages and inequities in their distribution. Overall, staff shortages are most profound for doctors and pharmacists. Although the country has an appropriate number of nurses, the nurse workforce is skewed towards hospitals, which are adequately or slightly overstaffed relative to nurses’ workloads. Health centers and, in particular, clinics both have gaps between current and required number of nurses. Inequities in nursing staff also exist between and within regions. Finally, the requirement for nurses varies greatly between less and more busy clinics (range = 1 to 7

  4. Home-School Partnerships with Culturally Diverse Families: Challenges and Solutions for School Personnel

    ERIC Educational Resources Information Center

    Nuttal, Ena Vazquez; Li, Chieh; Kaplan, Jason P.

    2006-01-01

    Home-school partnership is one of the important contributors to every child's learning. The changing demographics of the United States present an urgent need for home-school partnership with culturally diverse families. Traditional family involvement practices are challenged when working with multicultural families. The authors propose an…

  5. Measuring Ability, Speed, or Both? Challenges, Psychometric Solutions, and What Can Be Gained from Experimental Control

    ERIC Educational Resources Information Center

    Goldhammer, Frank

    2015-01-01

    The main challenge of ability tests relates to the difficulty of items, whereas speed tests demand that test takers complete very easy items quickly. This article proposes a conceptual framework to represent how performance depends on both between-person differences in speed and ability and the speed-ability compromise within persons. Related…

  6. Note-Taking and Secondary Students with Learning Disabilities: Challenges and Solutions

    ERIC Educational Resources Information Center

    Boyle, Joseph R.

    2012-01-01

    As more secondary students with learning disabilities (LD) enroll in advanced content-area classes and are expected to pass state exams, they are faced with the challenge of mastering difficult concepts and abstract vocabulary while learning content. Once in these classes, students must learn from lectures that move at a quick pace, record…

  7. Looking for Solutions: Gender Differences in Relationship and Parenting Challenges Among Low-Income, Young Parents

    PubMed Central

    Albritton, Tashuna; Angley, Meghan; Grandelski, Valen; Hansen, Nathan; Kershaw, Trace

    2015-01-01

    The need for parenting and relationship strengthening programs is important among low-income minority parents where the burden of relational and parental stressors contributes to relationship dissolution. We examine these stressors among young parents. Data were collected from four focus groups (N = 35) with young parents. Data were audio-recorded and transcribed. Inductive coding was used to generate themes and codes, and analysis was completed using NVivo. Relationship and parenting challenges, values, and areas of need were the three major themes that emerged. Women's relationship challenges were family interference and unbalanced parenting, and men reported feeling disrespected and having limited finances. Common relationship challenges for women and men were family interference and unbalanced parenting. Both genders valued trust, communication, and honesty in relationships. Areas of need for women and men included: improving communication and understanding the impact of negative relationships on current relationships. Parenting challenges for women were unbalanced parenting, child safety, and feeling unprepared to parent; men reported limited finances. Both genders valued quality time with child to instill family morals. Areas of need for women and men included learning child discipline techniques and increasing knowledge about child development. Finally, women and men have relationship and parenting similarities and differences. Young parents are interested in learning how to improve relationships and co-parent to reduce relationship distress, which could reduce risk behaviors and improve child outcomes. PMID:24980026

  8. Small Rural School Districts in Nebraska: A Case Study of Challenges and Solutions

    ERIC Educational Resources Information Center

    Montgomery, Michael R.

    2010-01-01

    The purpose of this study was to determine the problems faced by small, rural Nebraska school districts. For this study, 15 possible challenges were identified (a) student enrollment, (b) instructional programs, (c) instructional support services, (d) extra curricular activities, (e) hiring and retaining administrative staff, (f) hiring and…

  9. First-Year Urban Mathematics and Science Middle School Teachers: Classroom Challenges and Reflective Solutions

    ERIC Educational Resources Information Center

    Kelly, Angela M.; Gningue, Serigne M.; Qian, Gaoyin

    2015-01-01

    This study explored the challenges facing 1st-year alternatively certified teachers of mathematics and science in urban middle schools. Four teachers, participants in a National Science Foundation (NSF)-funded Robert Noyce Scholarship Program, were followed from preservice training through their 1st year of teaching, having taken part in…

  10. Making On-Line Science Course Materials Easily Translatable and Accessible Worldwide: Challenges and Solutions

    ERIC Educational Resources Information Center

    Adams, Wendy K.; Alhadlaq, Hisham; Malley, Christopher V.; Perkins, Katherine K.; Olson, Jonathan; Alshaya, Fahad; Alabdulkareem, Saleh; Wieman, Carl E.

    2012-01-01

    The PhET Interactive Simulations Project partnered with the Excellence Research Center of Science and Mathematics Education at King Saud University with the joint goal of making simulations useable worldwide. One of the main challenges of this partnership is to make PhET simulations and the website easily translatable into any language. The PhET…

  11. Teaching Psychology in Hong Kong: Pedagogical Challenges, Instructional Solutions, and Lessons Learned.

    ERIC Educational Resources Information Center

    Shatz, Mark A.

    2000-01-01

    Draws on an experience of teaching in Hong Kong to discuss (1) the challenges of intercultural teaching, such as culture shock, organizational demands, and communication differences; (2) strategies for adapting instruction to address obstacles; and (3) the ways an international teaching experience can enrich instruction. (CMK)

  12. Implementing and Evaluating a Rural Community-Based Sexual Abstinence Program: Challenges and Solutions

    ERIC Educational Resources Information Center

    Stauss, Kimberly; Boyas, Javier; Murphy-Erby, Yvette

    2012-01-01

    Informing both program evaluation and practice research, this paper describes lessons learned during the planning, implementation, and pilot phases of an abstinence education program based in a rural community in a southern state in the USA. Although a number of challenges can emerge in successfully implementing and evaluating such a program in a…

  13. School Staff Perspectives on the Challenges and Solutions to Working with Court-Involved Students

    ERIC Educational Resources Information Center

    Crosby, Shantel D.; Day, Angelique G.; Baroni, Beverly A.; Somers, Cheryl L.

    2015-01-01

    Background: Court-involved students, such as those in foster care and the juvenile justice system, generally experience high incidences of both acute and chronic trauma, adversely impacting their educational well-being and overall academic trajectory. Utilizing perceptions of teachers and other school staff, this study explores the challenges and…

  14. Looking for solutions: gender differences in relationship and parenting challenges among low-income, young parents.

    PubMed

    Albritton, Tashuna; Angley, Meghan; Grandelski, Valen; Hansen, Nathan; Kershaw, Trace

    2014-12-01

    The need for parenting and relationship strengthening programs is important among low-income minority parents where the burden of relational and parental stressors contributes to relationship dissolution. We examine these stressors among young parents. Data were collected from four focus groups (N = 35) with young parents. Data were audio-recorded and transcribed. Inductive coding was used to generate themes and codes, and analysis was completed using NVivo. Relationship and parenting challenges, values, and areas of need were the three major themes that emerged. Women's relationship challenges were family interference and unbalanced parenting, and men reported feeling disrespected and having limited finances. Common relationship challenges for women and men were family interference and unbalanced parenting. Both genders valued trust, communication, and honesty in relationships. Areas of need for women and men included: improving communication and understanding the impact of negative relationships on current relationships. Parenting challenges for women were unbalanced parenting, child safety, and feeling unprepared to parent; men reported limited finances. Both genders valued quality time with child to instill family morals. Areas of need for women and men included learning child discipline techniques and increasing knowledge about child development. Finally, women and men have relationship and parenting similarities and differences. Young parents are interested in learning how to improve relationships and co-parent to reduce relationship distress, which could reduce risk behaviors and improve child outcomes. PMID:24980026

  15. Technical and Policy Challenges in Deep Vadose Zone Remediation of Metals and Radionuclides - 12025

    SciTech Connect

    Wellman, Dawn M.; Truex, Michael J.; Freshley, Mark; Cantrell, Kirk J.; Dresel, P. Evan

    2012-07-01

    Deep vadose zone contamination is a significant issue facing the U.S. Department of Energy's (DOE) Office of Environmental Management (EM). Contamination in the deep vadose zone is isolated from exposure such that direct contact is not a factor in risk to human health and the environment. Transport of deep vadose zone contamination and discharge to the groundwater creates the potential for exposure and risk to receptors, so limiting flux to groundwater is key for protection of groundwater resources. Remediation approaches for the deep vadose zone need to be considered within the regulatory context, targeted at mitigating the source of contamination and reducing contaminant flux to groundwater. Processes for deep vadose zone metal and radionuclide remediation are discussed, as well as challenges and opportunities for implementation. It may be useful to consider the risk and challenges with leaving contaminants in place as part of a flux-control remedy in comparison with risks associated with contaminant removal and final disposition elsewhere. Understanding and quantifying the ramifications of contaminant removal and disposition options are therefore warranted. While this review suggests that some additional development work is needed for deep vadose zone remediation techniques, the benefits of applying vadose zone remediation for groundwater protection are compelling and worthy of continued development. (authors)

  16. Deep Vadose Zone Remediation: Technical and Policy Challenges, Opportunities, and Progress in Achieving Cleanup Endpoints

    SciTech Connect

    Wellman, Dawn M.; Freshley, Mark D.; Truex, Michael J.; Lee, Michelle H.

    2013-02-24

    Current requirements for site remediation and closure are standards-based and are often overly conservative, costly, and in some cases, technically impractical. Use of risk-informed alternate endpoints provides a means to achieve remediation goals that are permitted by regulations and are protective of human health and the environment. Alternate endpoints enable the establishment of a path for cleanup that may include intermediate remedial milestones and transition points and/or regulatory alternatives to standards-based remediation. A framework is presented that is centered around developing and refining conceptual models in conjunction with assessing risks and potential endpoints as part of a system-based assessment that integrates site data with scientific understanding of processes that control the distribution and transport of contaminants in the subsurface and pathways to receptors. This system-based assessment and subsequent implementation of the remediation strategy with appropriate monitoring are targeted at providing a holistic approach to addressing risks to human health and the environment. This holistic approach also enables effective predictive analysis of contaminant behavior to provide defensible criteria and data for making long-term decisions. Developing and implementing an alternate endpoint-based approach for remediation and waste site closure presents a number of challenges and opportunities. Categories of these challenges include scientific and technical, regulatory, institutional, and budget and resource allocation issues. Opportunities exist for developing and implementing systems-based approaches with respect to supportive characterization, monitoring, predictive modeling, and remediation approaches.

  17. School Curriculum, Globalisation and the Constitution of Policy Problems and Solutions

    ERIC Educational Resources Information Center

    Winter, Christine

    2012-01-01

    To varying degrees, education policy reforms around the world are driven by educational discourses relating to globalisation. At the same time, national and local histories, cultures and politics mediate the effects of globalisation discourses. This paper employs methods of analysis that draw on the concepts of "vernacular globalization" and…

  18. For public policies, our evolved psychology is the problem and the solution.

    PubMed

    Baumard, Nicolas

    2014-08-01

    For the authors, evolutionary approaches should rely less on evolutionary psychology, which studies innate fixed capacities, and more on cultural selection, which emphasizes cultural learning and symbolic innovation. However, successful policies do not seem to culturally reengineer people. Rather, they work by tapping into old human instincts (fairness preference, reputation management, resource seeking) to motivate individuals to change their behaviors. PMID:25162862

  19. Achieving Community Borrower Compliance with an Urban University Library's Circulation Policies: One University's Solution.

    ERIC Educational Resources Information Center

    Nicewarner, Metta; Simon, Matthew

    1996-01-01

    Discussion of the use of academic libraries by public borrowers focuses on policies developed at the University of Nevada, Las Vegas. Highlights include library networks and identity problems; access to materials; fee-based reference services; and requiring patrons to register a credit card to be used for replacement materials and fines. (LRW)

  20. Mapping Geology and Vegetation using Hyperspectral Data in Antarctica: Current Challenges, New Solutions and Looking to the Future

    NASA Astrophysics Data System (ADS)

    Black, M.; Riley, T. R.; Fleming, A. H.; Ferrier, G.; Fretwell, P.; Casanovas, P.

    2015-12-01

    Antarctica is a unique and geographically remote environment. Traditional field campaigns investigating geology and vegetation in the region encounter numerous challenges including the harsh polar climate, the invasive nature of the work, steep topography and high infrastructure costs. Additionally, such field campaigns are often limited in terms of spatial and temporal resolution, and particularly, the topographical challenges presented in the Antarctic mean that many areas remain inaccessible. Remote Sensing, particularly hyperspectral imaging, may provide a solution to overcome the difficulties associated with field based mapping in the Antarctic. Planned satellite launches, such as EnMAP and HyspIRI, if successful, will yield large-scale, repeated hyperspectral imagery of Antarctica. Hyperspectral imagery has proven mapping capabilities and can yield greater information than can be attained using multispectral data. As a precursor to future satellite imagery, we utilise hyperspectral imagery from the first known airborne hyperspectral survey carried out in the Antarctic by the British Antarctic Survey and partners in 2011. Multiple imaging spectrometers were simultaneously deployed covering the visible, shortwave and thermal infrared regions of the electromagnetic spectrum. Additional data was generated during a field campaign deploying multiple ground spectrometers covering the same wavelengths as the airborne imagers. We utilise this imagery to assess the current challenges and propose some new solutions for mapping vegetation and geology, which may be directly applicable to future satellite hyperspectral imagery in the Antarctic.

  1. Diabetes in Argentina: cost and management of diabetes and its complications and challenges for health policy

    PubMed Central

    2013-01-01

    Background Diabetes is an expensive disease in Argentina as well as worldwide, and its prevalence is continuously rising affecting the quality of life of people with the disease and their life expectancy. It also imposes a heavy burden to the national health care budget and on the economy in the form of productivity losses. Aims To review and discuss a) the reported evidence on diabetes prevalence, the degree of control, the cost of care and outcomes, b) available strategies to decrease the health and economic disease burden, and c) how the disease fits in the Argentinian health care system and policy. Finally, to propose evidence-based policy options to reduce the burden of diabetes, both from an epidemiological as well as an economic perspective, on the Argentinian society. The evidence presented is expected to help the local authorities to develop and implement effective diabetes care programmes. Methodology A comprehensive literature review was performed using databases such as MEDLINE, EMBASE and LILACS (Latin American and Caribbean Health Sciences). Literature published from 1980 to 2011 was included. This information was complemented with grey literature, including data from national and provincial official sources, personal communications and contacts with health authorities and diabetes experts in Argentina. Results Overall diabetes prevalence increased from 8.4% in 2005 to 9.6% 2009 at national level. In 2009, diabetes was the seventh leading cause of death with a mortality rate of 19.2 per 100,000 inhabitants, and it accounted for 1,328,802 DALYs lost in the adult population, mainly affecting women aged over fifty. The per capita hospitalisation cost for people with diabetes was significantly higher than for people without the disease, US$ 1,628 vs. US$ 833 in 2004. Evidence shows that implementation of combined educative interventions improved quality of care and outcomes, decreased treatment costs and optimised the use of economic resources

  2. Innovative Learning Solutions in New Communities: Opportunities and Challenges to Teachers' Conceptions of Workspace

    ERIC Educational Resources Information Center

    Costley, Debra

    2007-01-01

    This article explores the possibilities and opportunities created by large-scale property developers for new ways of learning and working in master-planned communities. The discussion is based on the findings from research of one developer's innovative solutions to learning in newly developed communities and specifically draws on data from one…

  3. Challenges in Providing e-Learning Solutions in the Regulated Pharmaceutical Industry.

    ERIC Educational Resources Information Center

    Vesper, James L.

    Regulatory agencies around the world require that those involved in producing pharmaceutical products be adequately trained. E-learning can accomplish this, providing consistent delivery and learner assessment. However, there are some unique expectations that regulators and the pharmaceutical industry have of e-learning solutions. These include…

  4. The Challenge of Multiple Perspectives: Multiple Solution Tasks for Students Incorporating Diverse Tools and Representation Systems

    ERIC Educational Resources Information Center

    Kordaki, Maria

    2015-01-01

    This study focuses on the role of multiple solution tasks (MST) incorporating multiple learning tools and representation systems (MTRS) in encouraging each student to develop multiple perspectives on the learning concepts under study and creativity of thought. Specifically, two types of MST were used, namely tasks that allowed and demanded…

  5. Tobacco Control Policies in Vietnam: Review on MPOWER Implementation Progress and Challenges.

    PubMed

    Minh, Hoang Van; Ngan, Tran Thu; Mai, Vu Quynh; My, Nguyen Thi Tuyet; Chung, Le Hong; Kien, Vu Duy; Anh, Tran Tuan; Ngoc, Nguyen Bao; Giap, Vu Van; Cuong, Nguyen Manh; Manh, Pham Duc; Giang, Kim Bao

    2016-01-01

    In Vietnam, the WHO Framework Convention on Tobacco Control (WHO FCTC) took effect in March 2005 while MPOWER has been implemented since 2008. This paper describes the progress and challenges of implementation of the MPOWER package in Vietnam. We can report that, in term of monitoring, Vietnam is very active in the Global Tobacco Surveillance System, completing two rounds of the Global Adult Tobacco Survey (GATS) and three rounds of the Global Youth Tobacco Survey (GYTS). To protect people from tobacco smoke, Vietnam has issued and enforced a law requiring comprehensive smoking bans at workplaces and public places since 2013. Tobacco advertising and promotion are also prohibited with the exception of points of sale displays of tobacco products. Violations come in the form of promotion girls, corporate social responsibility activities from tobacco manufacturers and packages displayed by retail vendors. Vietnam is one of the 77 countries that require pictorial health warnings to be printed on cigarette packages to warn about the danger of tobacco and the warnings have been implemented effectively. Cigarette tax is 70% of factory price which is equal to less than 45% of retail price and much lower than the recommendation of WHO. However, Vietnam is one of the very few countries that require manufacturers and importers to make "compulsory contributions" at 1-2% of the factory price of cigarettes sold in Vietnam for the establishment of a Tobacco Control Fund (TCF). The TCF is being operated well. In 2015, 67 units of 63 provinces/cities, 22 ministries and political-social organizations and 6 hospitals received funding from TCF to implement a wide range of tobacco control activities. Cessation services have been starting with a a toll-free quit-line but need to be further strengthened. In conclusion, Vietnam has constantly put efforts into the tobacco control field with high commitment from the government, scientists and activists. Though several remarkable achievements

  6. The Challenges of Digital Literacy in the Context of the Spanish Government Educational Policies: The Statement of the Question

    NASA Astrophysics Data System (ADS)

    Díaz, Carmen Guillén; Quílez, Mariá Teresa Blasco

    The "(r)evolution" of the literacy concept and our duty as Languages' Teachers' Trainers at the Faculty of Education and Social Work in Valladolid's University (Spain), guides this research in progress. Our research develops in the framework of the Spanish Higher Education System, within the development of the eight key competences established by the European Council, for the Education and Training of the European citizens for lifelong learning in the knowledge society. We focus on the competences 1, 2 and 4: Communication in the mother tongue, Communication in foreign languages and Digital competence, both as essential competences in the professional language's teacher's profile and as a challenge in the Teacher's Education and Training in the Spanish government policies context.

  7. Technical and Policy Challenges in Deep Vadose Zone Remediation of Metals and Radionuclides

    SciTech Connect

    Wellman, Dawn M.; Truex, Michael J.; Freshley, Mark D.; Dresel, P. E.; Cantrell, Kirk J.

    2012-03-21

    Deep vadose zone contamination is a significant issue facing the U.S. Department of Energy’s (DOE) Office of Environmental Management (EM). Contamination in the deep vadose zone is isolated from exposure such that direct contact is not a factor in risk to human health and the environment; rather, movement of contamination from the deep vadose zone to the groundwater creates the potential for exposure and risk to receptors. Transport of deep vadose zone contamination and discharge to the groundwater creates the potential for exposure and risk to receptors, so limiting flux to groundwater is key for protection of groundwater resources. Remediation approaches for the deep vadose zone need to be considered within the regulatory context, targeted at mitigating the source of contamination and reduce contaminant flux to groundwater. This paper reviews the processes for deep vadose zone metal and radionuclide remediation as well as challenges and opportunities for implementation.

  8. Viewing health care delivery as science: challenges, benefits, and policy implications.

    PubMed

    Pronovost, Peter J; Goeschel, Christine A

    2010-10-01

    The need for health services research is likely to rise rapidly as the population ages, health care costs soar, and therapeutic and diagnostic choices proliferate. Building an effective and efficient health care delivery system is a national priority. Yet the national health care quality report concludes that we lack the ability to monitor progress toward even basic quality and patient safety goals effectively. The gap between the need to improve and our ability to do so exists in part because we fail to view the delivery of health care as science, we lack national improvement priorities, and we lack a national infrastructure to achieve our stated goals. We discuss key challenges implicit in correcting these failures and recommend actions to expedite progress.

  9. Health in the 5th 5-years Development Plan of Iran: Main Challenges, General Policies and Strategies.

    PubMed

    Vosoogh Moghaddam, A; Damari, B; Alikhani, S; Salarianzedeh, Mh; Rostamigooran, N; Delavari, A; Larijani, B

    2013-01-01

    Access to the right to the highest attainable level of health is a constitutional right that obliges governments and other players to take step to increase all individuals' chances of obtaining good health. At the least, health and education are two crucial requirements for this as well. Iran's vision 2025 is going to lead the country to a developed state with the highest rank of economic, scientific and technological status in the region. Enjoying health, welfare, food security, social security, equal opportunities, etc, are also considered as part of characteristics of Iranian society in 2025. Although health system of Iran has many achievements in providing health services specially for the poor following the Islamic Revolution of 1979, but the evidences gathered to develop the 5(th) 5-years economical, social and cultural plan (5(th)5YDP:2011-2015), listed a variety of main challenges in stewardship, financing, resources generation and service provision functions of the existing health system. Thus, to overcome the main challenges, about 11% of general policies of 5(th)5YDP are directly address health related issues with emphasizing on healthy human and comprehensive health approach with considering: Integration of policy making, planning, evaluation, supervision and public financing; Developing both quantity and quality of health insurance system and reducing out-of-pocket expenditures for health services to 30% by the end of the 5th plan. The strategies of 5(th)5YDP adopted by the parliament as an Act will change the health system fundamentally through tuning the main drivers; so, its implementation needs brave leaders, capable managers, motivated technical staff and social mobilization. PMID:23865015

  10. Health in the 5th 5-years Development Plan of Iran: Main Challenges, General Policies and Strategies.

    PubMed

    Vosoogh Moghaddam, A; Damari, B; Alikhani, S; Salarianzedeh, Mh; Rostamigooran, N; Delavari, A; Larijani, B

    2013-01-01

    Access to the right to the highest attainable level of health is a constitutional right that obliges governments and other players to take step to increase all individuals' chances of obtaining good health. At the least, health and education are two crucial requirements for this as well. Iran's vision 2025 is going to lead the country to a developed state with the highest rank of economic, scientific and technological status in the region. Enjoying health, welfare, food security, social security, equal opportunities, etc, are also considered as part of characteristics of Iranian society in 2025. Although health system of Iran has many achievements in providing health services specially for the poor following the Islamic Revolution of 1979, but the evidences gathered to develop the 5(th) 5-years economical, social and cultural plan (5(th)5YDP:2011-2015), listed a variety of main challenges in stewardship, financing, resources generation and service provision functions of the existing health system. Thus, to overcome the main challenges, about 11% of general policies of 5(th)5YDP are directly address health related issues with emphasizing on healthy human and comprehensive health approach with considering: Integration of policy making, planning, evaluation, supervision and public financing; Developing both quantity and quality of health insurance system and reducing out-of-pocket expenditures for health services to 30% by the end of the 5th plan. The strategies of 5(th)5YDP adopted by the parliament as an Act will change the health system fundamentally through tuning the main drivers; so, its implementation needs brave leaders, capable managers, motivated technical staff and social mobilization.

  11. Recent Developments and Challenges Implementing New and Improved Stress Intensity Factor (K) Solutions in NASGRO for Damage Tolerance Analyses

    NASA Technical Reports Server (NTRS)

    Cardinal, Joseph W.; McClung, R. Craig; Lee, Yi-Der; Guo, Yajun; Beek, Joachim M.

    2014-01-01

    Fatigue crack growth analysis software has been available to damage tolerance analysts for many years in either commercial products or via proprietary in-house codes. The NASGRO software has been publicly available since the mid-80s (known as NASA/FLAGRO up to 1999) and since 2000 has been sustained and further developed by a collaborative effort between Southwest Research Institute® (SwRI®), the NASA Johnson Space Center (JSC), and the members of the NASGRO Industrial Consortium. Since the stress intensity factor (K) is the foundation of fracture mechanics and damage tolerance analysis of aircraft structures, a significant focus of development efforts in the past fifteen years has been geared towards enhancing legacy K solutions and developing new and efficient numerical K solutions that can handle the complicated stress gradients computed by today’s analysts using detailed finite element models of fatigue critical locations. This paper provides an overview of K solutions that have been recently implemented or improved for the analysis of geometries such as two unequal through cracks at a hole and two unequal corner cracks at a hole, as well as state-of-the-art weight function models capable of computing K in the presence of univariant and/or bivariant stress gradients and complicated residual stress distributions. Some historical background is provided to review how common K solutions have evolved over the years, including selective examples from the literature and from new research. Challenges and progress in rectifying discrepancies between older legacy solutions and newer models are reviewed as well as approaches and challenges for verification and validation of K solutions. Finally, a summary of current challenges and future research and development needs is presented. A key theme throughout the presentation of this paper will be how members of the aerospace industry have collaborated with software developers to develop a practical analysis tool that is

  12. Bayesian approaches to spatial inference: Modelling and computational challenges and solutions

    NASA Astrophysics Data System (ADS)

    Moores, Matthew; Mengersen, Kerrie

    2014-12-01

    We discuss a range of Bayesian modelling approaches for spatial data and investigate some of the associated computational challenges. This paper commences with a brief review of Bayesian mixture models and Markov random fields, with enabling computational algorithms including Markov chain Monte Carlo (MCMC) and integrated nested Laplace approximation (INLA). Following this, we focus on the Potts model as a canonical approach, and discuss the challenge of estimating the inverse temperature parameter that controls the degree of spatial smoothing. We compare three approaches to addressing the doubly intractable nature of the likelihood, namely pseudo-likelihood, path sampling and the exchange algorithm. These techniques are applied to satellite data used to analyse water quality in the Great Barrier Reef.

  13. The role of family therapy in the management of schizophrenia: challenges and solutions

    PubMed Central

    Caqueo-Urízar, Alejandra; Rus-Calafell, Mar; Urzúa, Alfonso; Escudero, Jorge; Gutiérrez-Maldonado, José

    2015-01-01

    Family interventions for schizophrenia have been amply demonstrated to be effective and are recommended by most of the international clinical guidelines. However, their implementation in the clinical setting as well as in treatment protocols of patients with psychosis has not been fully achieved yet. With the increasing deinstitutionalization of patients, family has begun to assume the role of care performed by psychiatric hospitals, with a high emotional cost for caregivers as well as the recognition of burden experiences. Families have been the substitute in the face of the scarcity of therapeutic, occupational, and residential resources. For this reason, the viability of patients’ care by their families has become a challenge. This article aims to discuss the most important aspects of family interventions, their impact on families, and the most important challenges that need to be overcome in order to achieve well-being and recovery in both patients and caregivers. PMID:25609970

  14. The role of family therapy in the management of schizophrenia: challenges and solutions.

    PubMed

    Caqueo-Urízar, Alejandra; Rus-Calafell, Mar; Urzúa, Alfonso; Escudero, Jorge; Gutiérrez-Maldonado, José

    2015-01-01

    Family interventions for schizophrenia have been amply demonstrated to be effective and are recommended by most of the international clinical guidelines. However, their implementation in the clinical setting as well as in treatment protocols of patients with psychosis has not been fully achieved yet. With the increasing deinstitutionalization of patients, family has begun to assume the role of care performed by psychiatric hospitals, with a high emotional cost for caregivers as well as the recognition of burden experiences. Families have been the substitute in the face of the scarcity of therapeutic, occupational, and residential resources. For this reason, the viability of patients' care by their families has become a challenge. This article aims to discuss the most important aspects of family interventions, their impact on families, and the most important challenges that need to be overcome in order to achieve well-being and recovery in both patients and caregivers.

  15. Network inference from AP-MS data: computational challenges and solutions.

    PubMed

    Teng, Ben; Zhao, Can; Liu, Xiaoqing; He, Zengyou

    2015-07-01

    Protein-protein interaction is of primary importance to understand protein functions. In recent years, the high-throughput AP-MS experiments have generated a large amount of bait-prey data, posing great challenges on the computational analysis of such data for inferring true interactions and protein complexes. To date, many research efforts have been devoted to developing novel computational methods to analyze these AP-MS data sets. In this article, we review and classify the key computational methods developed for the inference of protein-protein interactions and the detection of protein complexes from the AP-MS experiments. We hope that our review as well as the challenges highlighted in the article will provide valuable insights into driving future research for further advancing the state-of-the-art technologies in computational prediction, characterization and analysis of protein-protein interactions and protein complexes from the AP-MS data. PMID:25378435

  16. The role of family therapy in the management of schizophrenia: challenges and solutions.

    PubMed

    Caqueo-Urízar, Alejandra; Rus-Calafell, Mar; Urzúa, Alfonso; Escudero, Jorge; Gutiérrez-Maldonado, José

    2015-01-01

    Family interventions for schizophrenia have been amply demonstrated to be effective and are recommended by most of the international clinical guidelines. However, their implementation in the clinical setting as well as in treatment protocols of patients with psychosis has not been fully achieved yet. With the increasing deinstitutionalization of patients, family has begun to assume the role of care performed by psychiatric hospitals, with a high emotional cost for caregivers as well as the recognition of burden experiences. Families have been the substitute in the face of the scarcity of therapeutic, occupational, and residential resources. For this reason, the viability of patients' care by their families has become a challenge. This article aims to discuss the most important aspects of family interventions, their impact on families, and the most important challenges that need to be overcome in order to achieve well-being and recovery in both patients and caregivers. PMID:25609970

  17. The Trans-Pacific Partnership Agreement: challenges for Australian health and medicine policies.

    PubMed

    Faunce, Thomas A; Townsend, Ruth

    2011-01-17

    Four formal rounds of Trans-Pacific Partnership Agreement (TPPA) negotiations took place in 2010. They involved over 200 officials from Australia, the United States, New Zealand, Chile, Singapore, Brunei, Peru, Vietnam and Malaysia. Future negotiations officially are set to include three issues with public health and medicines policy implications for Australia and our region: ways to approach regulatory coherence and transparency; how to benefit multinational and small-medium enterprises; and multilateral investor-state dispute settlement. US-based multinational pharmaceutical companies are lobbying for TPPA provisions like those in the Australia-US Free Trade Agreement, which reduce government cost-effectiveness regulatory control of pharmaceuticals, threatening equitable access to medicines. They also advocate increased TPPA intellectual monopoly privilege protection, which will further limit the development of Australian generic medicine enterprises and restrict patient access to cheap, bioequivalent prescription drugs. Of particular concern is that proposed TPPA multilateral investor-state dispute settlement procedures would allow US corporations (as well as those of other TPPA nations) to obtain damages against Australian governments through international arbitral proceedings if their investments are impeded by Australian public health and environment protection legislation. PMID:21241222

  18. The Greatest Challenge Ever for Mankind, Requiring Policies of Accelerating Hardship and Implementation Difficulty

    NASA Astrophysics Data System (ADS)

    Wilson, John

    2015-04-01

    Providing energy for the contemporary world has resulted in a multi-variable problem in which a confluence of historical anomalies and economic, psychological, political, and demographic factors thwart efforts to prevent significant harm from increasing atmospheric CO2. This unlikely combination has created the perfect storm in which the warnings by scientists are ineffective. Global warming is occurring simultaneously with increased population, some dysfunctional political institutions, ascendency of oversimplified economic theory, campaigns to discredit scientists, misinterpretation of the meaning of noise in the Milankovitch climate cycles, and substantially improved hydrocarbon extraction methods. These factors are compounded by traits of human nature, such as greed and resistance to changing the familiar and discontinuing profitable endeavors. The idea that future people are equal with us may not be widely supported, yet this value is the foundation of climate change action. History shows that most people and nations will not take appropriate measures until forced, yet the cost increases as action is delayed. This makes appropriate policies even more extreme and difficult to accomplish as more wealth is consumed in treating global warming symptoms.

  19. The Trans-Pacific Partnership Agreement: challenges for Australian health and medicine policies.

    PubMed

    Faunce, Thomas A; Townsend, Ruth

    2011-01-17

    Four formal rounds of Trans-Pacific Partnership Agreement (TPPA) negotiations took place in 2010. They involved over 200 officials from Australia, the United States, New Zealand, Chile, Singapore, Brunei, Peru, Vietnam and Malaysia. Future negotiations officially are set to include three issues with public health and medicines policy implications for Australia and our region: ways to approach regulatory coherence and transparency; how to benefit multinational and small-medium enterprises; and multilateral investor-state dispute settlement. US-based multinational pharmaceutical companies are lobbying for TPPA provisions like those in the Australia-US Free Trade Agreement, which reduce government cost-effectiveness regulatory control of pharmaceuticals, threatening equitable access to medicines. They also advocate increased TPPA intellectual monopoly privilege protection, which will further limit the development of Australian generic medicine enterprises and restrict patient access to cheap, bioequivalent prescription drugs. Of particular concern is that proposed TPPA multilateral investor-state dispute settlement procedures would allow US corporations (as well as those of other TPPA nations) to obtain damages against Australian governments through international arbitral proceedings if their investments are impeded by Australian public health and environment protection legislation.

  20. Terminology, criteria, and definitions in complex regional pain syndrome: challenges and solutions.

    PubMed

    Dutton, Katherine; Littlejohn, Geoffrey

    2015-01-01

    Complex regional pain syndrome has long been recognized as a severe and high impact chronic pain disorder. However, the condition has historically been difficult to define and classify and little attention has been given to where complex regional pain syndrome sits within other apparently similar chronic pain disorders, such as fibromyalgia and regional pain syndrome. In this review challenges in regard to nomenclature, definitions, and classification of complex regional pain syndrome are reviewed and suggestions are provided about future directions.

  1. Enhancing the role of geodiversity and geoheritage in environmental management and policy in a changing world: challenges for geoscience research

    NASA Astrophysics Data System (ADS)

    Gordon, John

    2013-04-01

    Geodiversity delivers or underpins many key ecosystem processes and services that deliver valuable benefits for society. With a growing recognition of the wider economic, social and environmental relevance of geodiversity, it is timely to consider the research requirements and priorities that are necessary to underpin a broader interdisciplinary approach to geodiversity that incorporates the links between natural and human systems in a changing world. A key challenge is to develop the scientific framework of geodiversity and at the same time to enhance the protection of geoheritage. Research that helps to support environmental policy and meet the wider needs of society for sustainable development and improved human wellbeing is fundamental both to improve the recognition of geodiversity and to demonstrate the wider relevance and value of geoheritage and geoconservation. Within this wider context, priorities for research include: 1) assessment of geoheritage and best-practice management of geosites for multiple uses including science, education and tourism; 2) evaluation of geodiversity and the ecosystem services it provides, both in economic and non-economic terms, to help build policy support and public awareness; 3) understanding the functional links between geodiversity and biodiversity across a range of spatial and temporal scales to help assess ecosystem sensitivity and inform management adaptations to climate change, particularly in dynamic environments such as the coast, river catchments and mountain areas; 4) providing a longer time perspective on ecosystem trends and services from palaeoenvironmental records; 5) applications of geodiversity in terrestrial and marine spatial planning.

  2. Challenges to successful implementation of HIV and AIDS-related health policies in Cartagena, Colombia.

    PubMed

    Djellouli, Nehla; Quevedo-Gómez, María Cristina

    2015-05-01

    The Caribbean region presents the highest prevalence of HIV/AIDS worldwide after sub-Saharan Africa; leading to serious social, economic and health consequences at the local scale but also at the regional and global levels. In Colombia, a national plan to tackle the epidemic was formulated with little evidence that its implementation in the local context is effective. This study focused on Cartagena - one of Colombia's largest cities and an international touristic hub - that presents one of the highest HIV prevalences in the country, to investigate whether the national plan accounts for local specificities and what are the barriers to local implementation. Based on the Contextual Interaction Theory (CIT), this qualitative research relied upon 27 interviews and 13 life stories of local inhabitants and stakeholders, collected in a first fieldwork in 2006-2007. A follow-up data collection took place in 2013 with 10 participants: key policymakers and implementers, NGO representatives and local inhabitants. Barriers identified by the participants included: local population's understandings and beliefs on condom use; stigma and discrimination; lack of collaboration from the Church, the education sector and local politicians; corruption; high staff turnover; frequent changes in leadership; lack of economic and human resources; and barriers to health care access. The findings suggest that global influences also have an impact on the CIT framework (e.g. international organisations as a major financier in HIV prevention). The participants put forward several feasible solutions to implementation barriers. We discuss how several of the proposed solutions have been applied in other Latin American and Caribbean countries and yielded positive results. However, further research is needed to find possible ways of overcoming certain barriers identified by this study such as corruption, the lack of collaboration of the Church and barriers to health care access. PMID:25840048

  3. Challenges to successful implementation of HIV and AIDS-related health policies in Cartagena, Colombia.

    PubMed

    Djellouli, Nehla; Quevedo-Gómez, María Cristina

    2015-05-01

    The Caribbean region presents the highest prevalence of HIV/AIDS worldwide after sub-Saharan Africa; leading to serious social, economic and health consequences at the local scale but also at the regional and global levels. In Colombia, a national plan to tackle the epidemic was formulated with little evidence that its implementation in the local context is effective. This study focused on Cartagena - one of Colombia's largest cities and an international touristic hub - that presents one of the highest HIV prevalences in the country, to investigate whether the national plan accounts for local specificities and what are the barriers to local implementation. Based on the Contextual Interaction Theory (CIT), this qualitative research relied upon 27 interviews and 13 life stories of local inhabitants and stakeholders, collected in a first fieldwork in 2006-2007. A follow-up data collection took place in 2013 with 10 participants: key policymakers and implementers, NGO representatives and local inhabitants. Barriers identified by the participants included: local population's understandings and beliefs on condom use; stigma and discrimination; lack of collaboration from the Church, the education sector and local politicians; corruption; high staff turnover; frequent changes in leadership; lack of economic and human resources; and barriers to health care access. The findings suggest that global influences also have an impact on the CIT framework (e.g. international organisations as a major financier in HIV prevention). The participants put forward several feasible solutions to implementation barriers. We discuss how several of the proposed solutions have been applied in other Latin American and Caribbean countries and yielded positive results. However, further research is needed to find possible ways of overcoming certain barriers identified by this study such as corruption, the lack of collaboration of the Church and barriers to health care access.

  4. Challenges for CTC-based liquid biopsies: low CTC frequency and diagnostic leukapheresis as a potential solution.

    PubMed

    Stoecklein, Nikolas H; Fischer, Johannes C; Niederacher, Dieter; Terstappen, Leon W M M

    2016-01-01

    Circulating tumor cells (CTCs) are very attractive surrogate markers for systemic cancer. Currently, major efforts are being made to use these rare cells in the sense of a liquid biopsy to gain molecular information for rational therapeutic decision-making. The advancements in molecular analyses of CTCs down to the single-cell level have been significant in recent years and some applications are ready to be used in clinical studies. As discussed in this review, a major challenge for translating such molecular CTC-based assays into the clinic is the extremely low frequency of CTCs and the associated problems of their reliable detection and isolation. A potential solution to overcome the low CTC frequency is the recently introduced diagnostic leukapheresis that permits screening of liters of blood. Discussed here are the challenges as well as the current efforts implementing this method into clinical workflows to realize more reliable liquid biopsies.

  5. Challenges for the Development of New Non-Toxic Antifouling Solutions

    PubMed Central

    Maréchal, Jean-Philippe; Hellio, Claire

    2009-01-01

    Marine biofouling is of major economic concern to all marine industries. The shipping trade is particularly alert to the development of new antifouling (AF) strategies, especially green AF paint as international regulations regarding the environmental impact of the compounds actually incorporated into the formulations are becoming more and more strict. It is also recognised that vessels play an extensive role in invasive species propagation as ballast waters transport potentially threatening larvae. It is then crucial to develop new AF solutions combining advances in marine chemistry and topography, in addition to a knowledge of marine biofoulers, with respect to the marine environment. This review presents the recent research progress made in the field of new non-toxic AF solutions (new microtexturing of surfaces, foul-release coatings, and with a special emphasis on marine natural antifoulants) as well as the perspectives for future research directions. PMID:20087457

  6. Basic needs, rural financial markets, and appropriate technology: Toward a solution of analytical and policy issues

    SciTech Connect

    Farooq, M.O.

    1988-01-01

    The failure of the standard Growth Approach to economic development to solve the problems of underdevelopment in LDCs has caused an alternative approach, Basic Needs Approach (BNA), to attain prominence in development thought. BNA emphasizes poverty-minimizing growth. Its strategy of direct attack on poverty has better potential for LDCs' development and fulfillment of their populations' basic needs than the trickle-down mechanism of the Growth Approach. BNA requires, among other things, (a) suitable rural financial markets (RFMs) as parts of the overall financial system, and (b) indigenous technological capabilities. The financial system, if it functions as a central element in an institutionalized technology policy, can link technology-related institutions that generate, evaluate, and promote appropriate technologies (ATs) with RFMs that can support adoption and diffusion of ATs in the agro-rural sector. The above argument uses Bangladesh as a case for illustration. In the light of an institutional framework presented, examined, and extended in this dissertation, it is found that Bangladesh currently does not have an institutionalized technology policy. The current organizational framework and policies related to technological development are not conducive to BNA.

  7. Review: Technical and policy challenges in deep vadose zone remediation of metals and radionuclides.

    PubMed

    Dresel, P Evan; Wellman, Dawn M; Cantrell, Kirk J; Truex, Michael J

    2011-05-15

    Contamination in deep vadose zone environments is isolated from exposure so direct contact is not a factor in its risk to human health and the environment. Instead, movement of contamination to the groundwater creates the potential for exposure and risk to receptors. Limiting flux from contaminated vadose zone is key for protection of groundwater resources, thus the deep vadose zone is not necessarily considered a resource requiring restoration. Contaminant discharge to the groundwater must be maintained low enough by natural attenuation (e.g., adsorption processes or radioactive decay) or through remedial actions (e.g., contaminant mass reduction or mobility reduction) to meet the groundwater concentration goals. This paper reviews the major processes for deep vadose zone metal and radionuclide remediation that form the practical constraints on remedial actions. Remediation of metal and radionuclide contamination in the deep vadose zone is complicated by heterogeneous contaminant distribution and the saturation-dependent preferential flow in heterogeneous sediments. Thus, efforts to remove contaminants have generally been unsuccessful although partial removal may reduce downward flux. Contaminant mobility may be reduced through abiotic and biotic reactions or through physical encapsulation. Hydraulic controls may limit aqueous transport. Delivering amendments to the contaminated zone and verifying performance are challenges for remediation. PMID:21395250

  8. Courtesy and the challenges of implementing smoke-free policies in Japan.

    PubMed

    Bialous, Stella Aguinaga; Mochizuki-Kobayashi, Yumiko; Stillman, Frances

    2006-04-01

    For decades, the tobacco companies have developed a worldwide campaign to oppose the creation of smoke-free environments. Public health efforts to promote clean indoor air have been uneven throughout the world, and in few places have such efforts faced as many challenges as in Japan. The Japanese market is dominated by Japan Tobacco, which is partly owned by the government, and Philip Morris International is also present in Japan. Japan Tobacco and Philip Morris International have developed campaigns promoting courtesy and tolerance that, until recently, seem to have resonated well with the public. The companies also have supported research promoting ventilation and have funded consultants to act as experts in the area of second-hand smoke exposure. Japan is a critical country to study, partly because of the strength of Japan Tobacco in the country and the growth of Japan Tobacco International in Southeast Asia and the rest of the world, and partly because of Japan's ratification of the World Health Organization Framework Convention on Tobacco Control. This paper uses tobacco industry documents to provide an overview of the tobacco industry's scientific and political efforts to stifle the development of clean indoor measures in Japan. Learning past industry strategies may assist policymakers and advocates in the development of future public health activities.

  9. Review: Technical and policy challenges in deep vadose zone remediation of metals and radionuclides.

    PubMed

    Dresel, P Evan; Wellman, Dawn M; Cantrell, Kirk J; Truex, Michael J

    2011-05-15

    Contamination in deep vadose zone environments is isolated from exposure so direct contact is not a factor in its risk to human health and the environment. Instead, movement of contamination to the groundwater creates the potential for exposure and risk to receptors. Limiting flux from contaminated vadose zone is key for protection of groundwater resources, thus the deep vadose zone is not necessarily considered a resource requiring restoration. Contaminant discharge to the groundwater must be maintained low enough by natural attenuation (e.g., adsorption processes or radioactive decay) or through remedial actions (e.g., contaminant mass reduction or mobility reduction) to meet the groundwater concentration goals. This paper reviews the major processes for deep vadose zone metal and radionuclide remediation that form the practical constraints on remedial actions. Remediation of metal and radionuclide contamination in the deep vadose zone is complicated by heterogeneous contaminant distribution and the saturation-dependent preferential flow in heterogeneous sediments. Thus, efforts to remove contaminants have generally been unsuccessful although partial removal may reduce downward flux. Contaminant mobility may be reduced through abiotic and biotic reactions or through physical encapsulation. Hydraulic controls may limit aqueous transport. Delivering amendments to the contaminated zone and verifying performance are challenges for remediation.

  10. Issues and challenges of subvisible and submicron particulate analysis in protein solutions.

    PubMed

    Scherer, Thomas M; Leung, Stephenie; Owyang, Laura; Shire, Steven J

    2012-06-01

    The analysis of particulates has been a longstanding challenge in biopharmaceutical drug product development and quality control because the active constituents themselves may form particulate matter as a degradation product that may be difficult to quantify. These analytical challenges were met with success as long as the definition of particulate matter remained well within the capabilities of the instruments and methods used to measure it. The current testing as per USP <788> for parenterals at ≤100 mL stipulates that the sample "passes" the test if the average number of particles present does not exceed 6,000 per container at ≥10 μm and does not exceed 600 per container at ≥25 μm. The new challenge, posed by regulatory direction and academic research, is to count and to characterize subvisible particulates that are ≤10 μm with the goal of providing higher resolution information about the particulate levels and potential consequences of this product quality attribute in vivo. The present discussion focuses on two parallel efforts: (a) to develop a model system for protein subvisible particulates in samples with high protein concentrations and (b) to evaluate the capabilities and limitations of different technologies available (at the time these studies were conducted) for subvisible and submicron particle (<1 μm in diameter) sizing and counting. Our findings illustrate the importance of using appropriate instrumentation that is adapted to the characteristics of the samples to be analyzed. Any sample manipulation to meet the capabilities and to accommodate the limitations of the analytical technique should be carefully evaluated.

  11. Recruitment using mobile telephones in an Irish general population sexual health survey: challenges and practical solutions

    PubMed Central

    2012-01-01

    Background Non-coverage of households without a landline telephone is a major concern of telephone survey researchers. Sampling mobile telephone users in national surveys is vital in order to gain access to the growing proportion of households that use mobile telephones extensively or exclusively. The complex logistics of conducting surveys with mobile telephones have been discussed in the literature. This paper outlines the actual challenges encountered during a recent national sexual health survey in Ireland, which utilized a mobile telephone sampling frame to recruit approximately half of the sample. Method The 2010 Irish Contraception and Crisis Pregnancy Survey (ICCP-2010) is a nationally representative sample of adults aged 18-45 years living in Ireland (n = 3002; 1416 recruited by landline telephone and 1586 recruited by mobile telephone). The overall response rate for the survey was 69% (79% for the landline telephone strand; 61% for the mobile telephone strand). All interviews were conducted using computer-assisting telephone interviewing. Results During the 18-week fieldwork period, five main challenges relating to the use of mobile telephones were encountered: (1) explaining to respondents how random digit dialling works in relation to mobile telephones; (2) establishing the respondent's eligibility; (3) calling the respondent with the Caller ID blocked or withheld; (4) calling the respondent when they are in any number of locations or situations; and (5) explaining to respondents the importance of refusal conversion calls for the response rate calculation. Details of how the survey protocols and procedures were monitored and adapted throughout the study to ensure a high response rate are outlined. Conclusion It is undeniably more challenging to recruit respondents using mobile telephones as opposed to landline telephones. Respondents are generally not familiar with being contacted on their personal mobile telephone for the purposes of being recruited

  12. Implementing lung cancer screening in the real world: opportunity, challenges and solutions

    PubMed Central

    Optican, Robert J.

    2015-01-01

    The World Health Organization estimates that, in 2012, there were 1,589,925 deaths from lung cancer worldwide. Screening for lung cancer with low-dose computed tomography (LDCT) has the potential to significantly alter this statistic, by identifying lung cancers in earlier stages, enabling curative treatment. Challenges remain, however, in replicating the 20% mortality benefit demonstrated by the National Lung Screening Trial (NLST), in populations outside the confines of a research trial, not only in the US but around the world. We review the history of lung cancer screening, the current evidence for LDCT screening, and the key elements needed for a successful screening program. PMID:26380176

  13. Chosen Solutions to the Engineering Challenges of the National Spherical Torus Experiment (NSTX) Magnets

    SciTech Connect

    C. Neumeyer; H.M. Fan; J. Chrzanowski; P. Heitzenroeder; and the NSTX Team

    1999-10-01

    NSTX is one of the largest of a new class of magnetic plasma research devices known as spherical toroids (STs). The plasma in a ST is characterized by its almost spherical shape with a slender cylindrical region through its vertical axis. The so-called ''center stack'' is located in this region. It contains magnetic windings for confining the plasma, induce the plasma current, and shape the plasma. This paper will describe the engineering challenges of designing the center stack magnets to meet their operational requirements within this constrained space.

  14. Youth with Disabilities in the Foster Care System: Barriers to Success and Proposed Policy Solutions

    ERIC Educational Resources Information Center

    National Council on Disability, 2008

    2008-01-01

    The purpose of this report is to provide policymakers, primarily at the federal and state levels, with information about youth with disabilities in foster care, so that policymakers can begin to understand the characteristics of this population; the challenges they face; how they fare with regard to safety, permanency, self-determination and…

  15. A Promising Solution to Teacher Recruitment Woes. F.E.A. Research and Policy Brief

    ERIC Educational Resources Information Center

    Storm, Jeanne

    2008-01-01

    One of the most pressing challenges in public education today is the recruitment and retention of high quality teachers for America's schools. Research shows teacher shortages exist nationwide but vary by geographic area, content area, demographics, and individual schools. In a recent study of the Future Educators Association[R] (FEA) initiative…

  16. Implementing guideline based heart failure care in the Northern Territory: challenges and solutions.

    PubMed

    Iyngkaran, Pupalan; Harris, Melanie; Ilton, Marcus; Kangaharan, Nadarajan; Battersby, Malcolm; Stewart, Simon; Brown, Alex

    2014-05-01

    The Northern Territory of Australia is a vast area serviced by two major tertiary hospitals. It has both a unique demography and geography, which pose challenges for delivering optimal heart failure services. The prevalence of congestive heart failure continues to increase, imposing a significant burden on health infrastructure and health care costs. Specific patient groups suffer disproportionately from increased disease severity or service related issues often represented as a "health care gap". The syndrome itself is characterised by ongoing symptoms interspersed with acute decompensation requiring lifelong therapy and is rarely reversible. For the individual client the overwhelming attention to heart failure care and the impact of health care gaps can be devastating. This gap may also contribute to widening socio-economic differentials for families and communities as they seek to take on some of the care responsibilities. This review explores the challenges of heart failure best practice in the Northern Territory and the opportunities to improve on service delivery. The discussions highlighted could have implications for health service delivery throughout regional centres in Australia and health systems in other countries. PMID:24548637

  17. Good Neighbors: Shared Challenges and Solutions Toward Increasing Value at Academic Medical Centers and Universities.

    PubMed

    Clancy, Gerard P

    2015-12-01

    Academic medical centers (AMCs) and universities are experiencing increasing pressure to enhance the value they offer at the same time that they are facing challenges related to outcomes, controlling costs, new competition, and government mandates. Yet, rarely do the leaders of these academic neighbors work cooperatively to enhance value. In this Perspective the author, a former university regional campus president with duties in an AMC as an academic physician, shares his insights into the shared challenges these academic neighbors face in improving the value of their services in complex environments. He describes the successes some AMCs have had in generating revenues from new clinical programs that reduce the overall cost of care for larger populations. He also describes how several universities have taken a comprehensive approach to reduce overhead and administrative costs. The author identifies six themes related to successful value improvement efforts and provides examples of successful strategies used by AMCs and their university neighbors to improve the overall value of their programs. He concludes by encouraging leaders of AMCs and universities to share information about their successes in value improvements with each other, to seek additional joint value enhancement efforts, and to market their value improvements to the public.

  18. Texas National Coastal Assessment (2000-2004): challenges, solutions, lessons learned and future directions.

    PubMed

    Simons, James D; Smith, Charles R

    2009-03-01

    The Texas National Coastal Assessment (NCA) program began with the immediate challenge of integrating the NCA effort with Texas Parks and Wildlife Department's (TPWD) Coastal Fisheries Division and its existing probabilistic Fishery Independent Monitoring Program. Close coordination and detailed planning along with a novel two boat sampling operation helped to make this alliance work. Partnerships with National Estuary Programs and the Texas Commission on Environmental Quality (TCEQ) greatly improved coverage of the Texas coast over the initial fifty station design. Airboats, biobags, and polyvinyl chloride (PVC) corers were instrumental in overcoming numerous technical challenges. NCA data provide a more complete assessment of water and sediment quality than the traditional 305(b) report, with better spatial coverage and a measure of validity. There were differing patterns of PCBs, PAHs, DDTs and chlorinated pesticides, and metals such as mercury (Hg), arsenic (As), lead (Pb) and zinc (Zn) along the Texas coast. A confederation of Texas state agencies is considering ways to take advantage of probabilistic sampling designs to monitor the Texas coast. The TCEQ and TPWD are working on a joint project to redesign sediment and water quality monitoring that may serve as a springboard to a continuous monitoring program and opportunities for further improvement of ecosystem health assessment of the Texas coast.

  19. Interaction design challenges and solutions for ALMA operations monitoring and control

    NASA Astrophysics Data System (ADS)

    Pietriga, Emmanuel; Cubaud, Pierre; Schwarz, Joseph; Primet, Romain; Schilling, Marcus; Barkats, Denis; Barrios, Emilio; Vila Vilaro, Baltasar

    2012-09-01

    The ALMA radio-telescope, currently under construction in northern Chile, is a very advanced instrument that presents numerous challenges. From a software perspective, one critical issue is the design of graphical user interfaces for operations monitoring and control that scale to the complexity of the system and to the massive amounts of data users are faced with. Early experience operating the telescope with only a few antennas has shown that conventional user interface technologies are not adequate in this context. They consume too much screen real-estate, require many unnecessary interactions to access relevant information, and fail to provide operators and astronomers with a clear mental map of the instrument. They increase extraneous cognitive load, impeding tasks that call for quick diagnosis and action. To address this challenge, the ALMA software division adopted a user-centered design approach. For the last two years, astronomers, operators, software engineers and human-computer interaction researchers have been involved in participatory design workshops, with the aim of designing better user interfaces based on state-of-the-art visualization techniques. This paper describes the process that led to the development of those interface components and to a proposal for the science and operations console setup: brainstorming sessions, rapid prototyping, joint implementation work involving software engineers and human-computer interaction researchers, feedback collection from a broader range of users, further iterations and testing.

  20. Good Neighbors: Shared Challenges and Solutions Toward Increasing Value at Academic Medical Centers and Universities.

    PubMed

    Clancy, Gerard P

    2015-12-01

    Academic medical centers (AMCs) and universities are experiencing increasing pressure to enhance the value they offer at the same time that they are facing challenges related to outcomes, controlling costs, new competition, and government mandates. Yet, rarely do the leaders of these academic neighbors work cooperatively to enhance value. In this Perspective the author, a former university regional campus president with duties in an AMC as an academic physician, shares his insights into the shared challenges these academic neighbors face in improving the value of their services in complex environments. He describes the successes some AMCs have had in generating revenues from new clinical programs that reduce the overall cost of care for larger populations. He also describes how several universities have taken a comprehensive approach to reduce overhead and administrative costs. The author identifies six themes related to successful value improvement efforts and provides examples of successful strategies used by AMCs and their university neighbors to improve the overall value of their programs. He concludes by encouraging leaders of AMCs and universities to share information about their successes in value improvements with each other, to seek additional joint value enhancement efforts, and to market their value improvements to the public. PMID:26266460