Sample records for economic studies started

  1. Children's Schooling and Parents' Investment in Children: Evidence from the Head Start Impact Study. NBER Working Paper No. 17704

    ERIC Educational Resources Information Center

    Gelber, Alexander M.; Isen, Adam

    2011-01-01

    Parents may have important effects on their children, but little work in economics explores whether children's schooling opportunities crowd out or encourage parents' investment in children. We analyze data from the Head Start Impact Study, which granted randomly-chosen preschool-aged children the opportunity to attend Head Start. We find that…

  2. Teacher Questionnaire [ETS Head Start Longitudinal Study].

    ERIC Educational Resources Information Center

    Educational Testing Service, Princeton, NJ.

    This 147-item questionnaire was used to collect data on those Head Start and other preschool teachers who were teaching Longitudinal Study target children. Areas of requested information included: demographic characteristics, education and experience, attitudes toward minority-groups and economically disadvanted children's motivation and learning…

  3. Starting Point: Pedagogic Resources for Teaching and Learning Economics

    ERIC Educational Resources Information Center

    Maier, Mark H.; McGoldrick, KimMarie; Simkins, Scott P.

    2012-01-01

    This article describes Starting Point: Teaching and Learning Economics, a Web-based portal that makes innovative pedagogic resources and effective teaching practices easily accessible to economists. Starting Point introduces economists to teaching innovations through 16 online modules, each containing a general description of a specific pedagogic…

  4. Inputs in the Production of Early Childhood Human Capital: Evidence from Head Start. NBER Working Paper No. 20639

    ERIC Educational Resources Information Center

    Walters, Christopher

    2014-01-01

    Studies of small-scale "model" early-childhood programs show that high-quality preschool can have transformative effects on human capital and economic outcomes. Evidence on the Head Start program is more mixed. Inputs and practices vary widely across Head Start centers, however, and little is known about variation in effectiveness within…

  5. The Impact of Short-Term Economic Fluctuations on Kindergarten Enrollment

    ERIC Educational Resources Information Center

    Herman, Douglas A.

    2010-01-01

    For some 5-year-olds, delayed kindergarten enrollment may result in long-term academic benefits. Although waiting an additional year allows for further development prior to the start of formal education, the economic costs of the next best alternatives can be significant. This study examines the impact of short-term economic fluctuations on a…

  6. The Gift of Time? School Starting Age and Mental Health. CEPA Working Paper No. 15-08

    ERIC Educational Resources Information Center

    Dee, Thomas; Sievertsen, Hans Henrik

    2015-01-01

    In many developed countries, children now begin their formal schooling at an older age. However, a growing body of empirical studies provides little evidence that such schooling delays improve educational and economic outcomes. This study presents new evidence on whether school starting age influences student outcomes by relying on linked Danish…

  7. Incorporating Student-Centred Learning in Innovation and Entrepreneurship Education

    ERIC Educational Resources Information Center

    Harkema, Saskia J. M.; Schout, Henk

    2008-01-01

    Innovation and entrepreneurship are vital for economic growth, as was already asserted by Schumpeter in 1934. In a recent survey carried out by the Ministry of Economic Affairs (Dutch Ministry of Economic Affairs, 2006) a picture emerges of The Netherlands as lagging behind when it comes to starting a company, whereby start-ups of students coming…

  8. Behavioral Economics Applied to Energy Demand Analysis: A Foundation

    EIA Publications

    2014-01-01

    Neoclassical economics has shaped our understanding of human behavior for several decades. While still an important starting point for economic studies, neoclassical frameworks have generally imposed strong assumptions, for example regarding utility maximization, information, and foresight, while treating consumer preferences as given or external to the framework. In real life, however, such strong assumptions tend to be less than fully valid. Behavioral economics refers to the study and formalizing of theories regarding deviations from traditionally-modeled economic decision-making in the behavior of individuals. The U.S. Energy Information Administration (EIA) has an interest in behavioral economics as one influence on energy demand.

  9. An Evaluation of the Effectiveness of Intervention in Families with Children with Behavioural Problems within the Context of a Sure Start Programme

    ERIC Educational Resources Information Center

    Brown, Eleanor A.; Dillenburger, Karola

    2004-01-01

    Sure Start is a Government project that aims to prevent social exclusion by targeting children between 0 and 4 years of age living in areas of social and economic deprivation. This study examined whether a Tier 2 Behaviour Support Service within a local Sure Start project was able to bring about improvements in children's behaviour and the levels…

  10. Waco Head Start Program.

    ERIC Educational Resources Information Center

    Porter, Para

    The Economic Opportunity Act of 1964 led to the formation of three separate Head Start Programs in Waco, Texas. The first year, 1,500 children were involved. Of these, 40 percent were Negro, 30 percent Latin American, and 30 percent white. All teachers received a week of preparatory study at the University of Texas. The program involved four areas…

  11. Statistical Physics of Economic Systems: a Survey for Open Economies

    NASA Astrophysics Data System (ADS)

    Tao, Yong; Chen, Xun

    2012-05-01

    We extend the theoretical framework of an independent economy developed by Tao [Phys. Rev. E 82 (2010) 036118] so as to include multiple economies. Since the starting point of our framework is on the basis of the theory of the competitive markets of traditional economics, this framework shall be suitable for any free market. Our study shows that integration of world economies can decrease trade friction among economic systems, but may also cause a global economic crisis whenever economy disequilibrium occurs in any one of these economic systems.

  12. How community-level social and economic developments have changed the patterns of substance use in a transition economy?

    PubMed

    Yang, Xiaozhao Y

    2017-07-01

    Most social changes take place at the community level before indirectly affecting individuals. Although the contextual effect is far-reaching, few studies have investigated the important questions of: how do community-level developments affect drinking and smoking, and how do they change the existing gender and income patterns of drinking and smoking, particularly in transition economies? In this study, I used a Chinese panel dataset between 1991 and 2011 to reveal the moderating effects of community developments. Through multilevel growth curve modeling that controls for age, period, and cohort effects, as well as individual- and community-level covariates, I found that community-level economic development and social development are negatively associated with drinking and smoking. Moreover, economic and social developments also moderate the important influences of income and gender: women start to drink more in communities with higher economic development; the traditionally positive association between income and smoking/drinking is also reversed, i.e. the rich start to smoke and drink less in communities with higher social development. This study concludes that the rapid changes in communal social and economic structures have created new health disparities based on the gender and socioeconomic hierarchy. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Economic Learning Media Development Based on Local Locality

    ERIC Educational Resources Information Center

    Hadi, Rizali; Supriyanto; Hasanah, Mahmudah

    2017-01-01

    This study aims to describe the learning medium of economic education at senior High School in Banjarmasin with media based on local wisdom. This research uses qualitative method as developed by Miles & Huberman, starting from data collection, data reduction data display, and then made conclusion. Data were collected in the order of Basic…

  14. The Global Economic Crisis and Educational Development: Responses and Coping Strategies in Asia

    ERIC Educational Resources Information Center

    Mok, Ka Ho

    2010-01-01

    This article critically examines how Asian countries have responded to the global economic crisis which started in late 2008, with particular reference to explore what major coping strategies have been adopted by these Asian governments to continue educational development. This comparative study highlights the significant role of the state in…

  15. Child Temperamental Regulation and Classroom Quality in Head Start: Considering the Role of Cumulative Economic Risk

    ERIC Educational Resources Information Center

    Rudasill, Kathleen Moritz; Hawley, Leslie R.; LoCasale-Crouch, Jennifer; Buhs, Eric S.

    2017-01-01

    There is growing recognition that cumulative economic risk places children at higher risk for depressed academic competencies (Crosnoe & Cooper, 2010; NCCP, 2008; Sameroff, 2000). Yet, children's temperamental regulation and the quality of the early childhood classroom environment have been associated with better academic skills. This study is…

  16. Arsenic Removal from Drinking Water by Adsorptive Media, U.S. EPA Demonstration Project at LEADS Head Start Building in Buckeye Lake, OH - Final Performance Evaluation Report

    EPA Science Inventory

    This report documents the activities performed and the results obtained for the arsenic removal treatment technology demonstration project at Licking Economic Action Development Study (LEADS) Head Start School in Buckeye Lake, Ohio. The objectives of the project were to evaluate...

  17. Can the Arts Get under the Skin? Arts and Cortisol for Economically Disadvantaged Children

    ERIC Educational Resources Information Center

    Brown, Eleanor D.; Garnett, Mallory L.; Anderson, Kate E.; Laurenceau, Jean-Philippe

    2017-01-01

    This within-subjects experimental study investigated the influence of the arts on cortisol for economically disadvantaged children. Participants were 310 children, ages 3-5 years, who attended a Head Start preschool and were randomly assigned to participate in different schedules of arts and homeroom classes on different days of the week. Cortisol…

  18. Steps to Starting a Small Business. Student Notebook.

    ERIC Educational Resources Information Center

    Wisconsin Univ., Madison. Vocational Studies Center.

    This student notebook provides student materials for a program of study made up of a series of community-based activities potentially leading to the start-up of one's own business, while at the same time providing a better understanding of the American economic system of free enterprise. It begins with a glossary. For each of 15 units (1 more unit…

  19. Can the Arts Get Under the Skin? Arts and Cortisol for Economically Disadvantaged Children.

    PubMed

    Brown, Eleanor D; Garnett, Mallory L; Anderson, Kate E; Laurenceau, Jean-Philippe

    2017-07-01

    This within-subjects experimental study investigated the influence of the arts on cortisol for economically disadvantaged children. Participants were 310 children, ages 3-5 years, who attended a Head Start preschool and were randomly assigned to participate in different schedules of arts and homeroom classes on different days of the week. Cortisol was sampled at morning baseline and after arts and homeroom classes on two different days at start, middle, and end of the year. For music, dance, and visual arts, grouped and separately, results of piecewise hierarchical linear modeling with time-varying predictors suggested cortisol was lower after an arts versus homeroom class at middle and end of the year but not start of the year. Implications concern the impact of arts on cortisol for children facing poverty risks. © 2016 The Authors. Child Development © 2016 Society for Research in Child Development, Inc.

  20. Impact of the post-2008 economic crisis on harmful drinking in the Dutch working-age population.

    PubMed

    de Goeij, Moniek C M; van der Wouden, Bregje; Bruggink, Jan-Willem; Otten, Ferdy; Kunst, Anton E

    2016-04-01

    Studies on the impact of economic crises on alcohol consumption have yielded ambiguous results. Therefore, we studied changes in trends in harmful drinking among Dutch working-age men and women after the post-2008 economic crisis started. We also assessed whether these trend changes differed across age and socioeconomic groups. We used repeated cross-sectional data from the Dutch Health Interview Survey conducted by Statistics Netherlands. Representative samples were independently drawn each month (January, 2004-December, 2013). Our working-age study population consisted of 20,140 men and 22,394 women aged 25-64. For men and women, episodic drinking was defined as drinking ≥6 glasses on one day at least once a week. Chronic drinking was defined as consuming ≥14 glasses/week for women and ≥21 for men. Segmented logistic regression was used to model trend changes separately in men and women. A downward trend in episodic and chronic drinking before the crisis slowed down after the crisis started. For episodic drinking, we observed a ceasing-of-decline among men aged 35-44/45-54/55-64, compared to a start-of-decline among those aged 25-34 (p-interaction=0.042/0.020/0.047). For chronic drinking, we observed a ceasing-of-decline among women (p=0.023) but not among men in general (p=0.238). Among men, a ceasing-of-decline did occur in those with a high income, but a start-of-decline was found among those with a low income (p-interaction=0.049). In some subgroups of the Dutch working-age population, the downward trend in episodic and chronic drinking ceased after the crisis started. This suggests that the crisis had an upward effect on harmful drinking, but only in specific populations. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  1. Neighborhood Economic Enterprises: An Analysis, Survey, and Guide to Resources in Starting Up Neighborhood Enterprises.

    ERIC Educational Resources Information Center

    Kotler, Neil G.

    This pamphlet provides information on the history of and current trends toward neighborhood economic enterprises and provides guidance for setting up such enterprises. A bibliography of books, articles, and newsletters that have information on how to start and sustain neighborhood businesses and cooperatives is provided. Also included is a list of…

  2. Start-up and operating costs for artisan cheese companies.

    PubMed

    Bouma, Andrea; Durham, Catherine A; Meunier-Goddik, Lisbeth

    2014-01-01

    Lack of valid economic data for artisan cheese making is a serious impediment to developing a realistic business plan and obtaining financing. The objective of this study was to determine approximate start-up and operating costs for an artisan cheese company. In addition, values are provided for the required size of processing and aging facilities associated with specific production volumes. Following in-depth interviews with existing artisan cheese makers, an economic model was developed to predict costs based on input variables such as production volume, production frequency, cheese types, milk types and cost, labor expenses, and financing. Estimated values for start-up cost for processing and aging facility ranged from $267,248 to $623,874 for annual production volumes of 3,402 kg (7,500 lb) and 27,216 kg (60,000 lb), respectively. First-year production costs ranged from $65,245 to $620,094 for the above-mentioned production volumes. It is likely that high start-up and operating costs remain a significant entry barrier for artisan cheese entrepreneurs. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  3. Model for the techno-economic analysis of common work of wind power and CCGT power plant to offer constant level of power in the electricity market

    NASA Astrophysics Data System (ADS)

    Tomsic, Z.; Rajsl, I.; Filipovic, M.

    2017-11-01

    Wind power varies over time, mainly under the influence of meteorological fluctuations. The variations occur on all time scales. Understanding these variations and their predictability is of key importance for the integration and optimal utilization of wind in the power system. There are two major attributes of variable generation that notably impact the participation on power exchanges: Variability (the output of variable generation changes and resulting in fluctuations in the plant output on all time scales) and Uncertainty (the magnitude and timing of variable generation output is less predictable, wind power output has low levels of predictability). Because of these variability and uncertainty wind plants cannot participate to electricity market, especially to power exchanges. For this purpose, the paper presents techno-economic analysis of work of wind plants together with combined cycle gas turbine (CCGT) plant as support for offering continues power to electricity market. A model of wind farms and CCGT plant was developed in program PLEXOS based on real hourly input data and all characteristics of CCGT with especial analysis of techno-economic characteristics of different types of starts and stops of the plant. The Model analyzes the followings: costs of different start-stop characteristics (hot, warm, cold start-ups and shutdowns) and part load performance of CCGT. Besides the costs, the technical restrictions were considered such as start-up time depending on outage duration, minimum operation time, and minimum load or peaking capability. For calculation purposes, the following parameters are necessary to know in order to be able to economically evaluate changes in the start-up process: ramp up and down rate, time of start time reduction, fuel mass flow during start, electricity production during start, variable cost of start-up process, cost and charges for life time consumption for each start and start type, remuneration during start up time regarding expected or unexpected starts, the cost and revenues for balancing energy (important when participating in electricity market), and the cost or revenues for CO2-certificates. Main motivation for this analysis is to investigate possibilities to participate on power exchanges by offering continues guarantied power from wind plants by backing-up them with CCGT power plant.

  4. Investing in Preschool.

    ERIC Educational Resources Information Center

    Bracey, Gerald W.

    2003-01-01

    Reviews several studies examining long-term academic, economic, and social benefits of investment in early childhood education. Includes the High/Scope Perry Preschool Project, the Chicago Child-Parent Center Program, the Abecedarian Project, and Head Start. (Contains 10 references.) (PKP)

  5. Strategic Assessment 1999. Priorities for a Turbulent World.

    DTIC Science & Technology

    1999-01-01

    collectively they have economic and political weight. Second, they are demographi - cally linked to the United States Third, they have a capacity...regimes are at a considerably higher risk of failure than those with greater longevity . INSTITUTE FOR NATIONAL STRATEGIC STUDIES 243 S T R A T E G I...Re-thinking START Negotiations The START era may be ending in a formal sense. Similar to parallel reductions pioneered by Pres iden t s Bush

  6. Made in Montana: Entrepreneurial Home Economics.

    ERIC Educational Resources Information Center

    Goetting, Marsha A.; Muggli, Gayle Y.

    1988-01-01

    Reports results from a survey of 13 Montana home economists who each started a small business. Information is included on types of businesses the women had started, income, personal characteristics, reasons for starting a business, its impact on family concerns, marketing, obstacles to success, and resources. (CH)

  7. Public provision of four-wheeled walkers: contingent valuation study of economic benefit.

    PubMed

    Haines, Terry; Brown, Cassandra; Morrison, Jan

    2008-09-01

    To quantify the economic value of publicly provided four-wheeled walkers as judged by recipients in Queensland, Australia. Contingent valuation study using willingness-to-pay approach. A sample of 49 Australian older adults who received a publicly funded four-wheeled walker in the past 3 months completed the survey via telephone. A discrete choice bidding response format with a randomly selected starting bid was employed to glean valuations. This approach yielded only one non-response, and one zero dollar response. The mean (standard deviation) valuation provided was $ A 290 ($ A 167), which was $ A 84 in excess of the price paid by the public provider agency to purchase the equipment. Starting bid was significantly associated with values provided. The current public provision program of four-wheeled walkers is likely to generate net societal benefit. These findings coupled with arguments based on equity build a moderate case for the continuation of this program.

  8. United States Pacific Command, Asia-Pacific Economic Update.

    DTIC Science & Technology

    1998-04-01

    economic development and regional security in the Asia Pacific region. What started as a collapse of investor confidence in Thailand...growth in history. This economic growth has been fostered by market-oriented economic policies on the part of individual countries and a secure regional...U.S. investment in regional security supports the maintenance of a regional focus on productive activity and economic

  9. 13 CFR 305.11 - Contract awards; early construction start.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Contract awards; early construction start. 305.11 Section 305.11 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION... § 305.11 Contract awards; early construction start. EDA must determine that the award of all contracts...

  10. 13 CFR 305.11 - Contract awards; early construction start.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 13 Business Credit and Assistance 1 2011-01-01 2011-01-01 false Contract awards; early construction start. 305.11 Section 305.11 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION... § 305.11 Contract awards; early construction start. EDA must determine that the award of all contracts...

  11. African American Health

    MedlinePlus

    ... early years. Health differences are often due to economic and social conditions that are more common among ... business, transportation, and housing, to create social and economic conditions that promote health starting in childhood. Link ...

  12. It Should BE Studied and Tailored to each Problem

    NASA Astrophysics Data System (ADS)

    Pietronero, Luciano

    The immense accumulation of data is a new phenomenon which induces many considerations, represents great potential, and sometimes leads to mythical expectations. Here we discuss a specific example of big data applications, the case of economic complexity. This is a new perspective on fundamental economics, adopting a bottom-up approach which starts with a novel use of older data and then develops into its own streamline. The approach confirms some expectations about big data but also disproves others...

  13. Analysis of the Impacts of an Early Start for Compliance with the Kyoto Protocol

    EIA Publications

    1999-01-01

    This report describes the Energy Information Administration's analysis of the impacts of an early start, using the same methodology as in Impacts of the Kyoto Protocol on U.S. Energy Markets and Economic Activity, with only those changes in assumptions caused by the early start date.

  14. 14 CFR 137.19 - Certification requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... economic poisons, that applicant is not required to demonstrate the knowledge required in paragraphs (e)(1... starting operations, including survey of the area to be worked. (ii) Safe handling of economic poisons and the proper disposal of used containers for those poisons. (iii) The general effects of economic...

  15. 14 CFR 137.19 - Certification requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... economic poisons, that applicant is not required to demonstrate the knowledge required in paragraphs (e)(1... starting operations, including survey of the area to be worked. (ii) Safe handling of economic poisons and the proper disposal of used containers for those poisons. (iii) The general effects of economic...

  16. 14 CFR 137.19 - Certification requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... economic poisons, that applicant is not required to demonstrate the knowledge required in paragraphs (e)(1... starting operations, including survey of the area to be worked. (ii) Safe handling of economic poisons and the proper disposal of used containers for those poisons. (iii) The general effects of economic...

  17. 14 CFR 137.19 - Certification requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... economic poisons, that applicant is not required to demonstrate the knowledge required in paragraphs (e)(1... starting operations, including survey of the area to be worked. (ii) Safe handling of economic poisons and the proper disposal of used containers for those poisons. (iii) The general effects of economic...

  18. Economic modeling of HIV treatments.

    PubMed

    Simpson, Kit N

    2010-05-01

    To review the general literature on microeconomic modeling and key points that must be considered in the general assessment of economic modeling reports, discuss the evolution of HIV economic models and identify models that illustrate this development over time, as well as examples of current studies. Recommend improvements in HIV economic modeling. Recent economic modeling studies of HIV include examinations of scaling up antiretroviral (ARV) in South Africa, screening prior to use of abacavir, preexposure prophylaxis, early start of ARV in developing countries and cost-effectiveness comparisons of specific ARV drugs using data from clinical trials. These studies all used extensively published second-generation Markov models in their analyses. There have been attempts to simplify approaches to cost-effectiveness estimates by using simple decision trees or cost-effectiveness calculations with short-time horizons. However, these approaches leave out important cumulative economic effects that will not appear early in a treatment. Many economic modeling studies were identified in the 'gray' literature, but limited descriptions precluded an assessment of their adherence to modeling guidelines, and thus to the validity of their findings. There is a need for developing third-generation models to accommodate new knowledge about adherence, adverse effects, and viral resistance.

  19. Economics in Detention

    ERIC Educational Resources Information Center

    Elonge, Michael

    2013-01-01

    Economics in Detention is a University of Maryland Extension program that teaches inmates essential principles of economics as a foundation to a spectrum of decision making. Also, the program includes an emphasis on starting a small business after incarceration. The idea of this program emanates from an invitation by the Baltimore City Detention…

  20. Economics of growth regulator treatment of alfalfa seed for interseeding into silage corn

    USDA-ARS?s Scientific Manuscript database

    Previous studies have focused on interseeding of alfalfa into corn for use as a temporary cover crop rather than as a means of jump-starting alfalfa production after corn. In ongoing field studies, we are evaluating whether plant growth regulators (PGR) may be used to aid the establishment of inters...

  1. Resourcing Lab Experiments for New Ventures: The Potential of a Start-Up Database

    ERIC Educational Resources Information Center

    Pietrobon, Alberto

    2009-01-01

    This article responds to "Laboratory experiments as a tool in the empirical economic analysis of high-expectation start-ups" by Martin Curley and Piero Formica, published in the December 2008 issue of "Industry and Higher Education". Curley and Formica introduce a new concept for high-expectation start-ups, involving the use of "laboratory…

  2. A study of space station needs, attributes and architectural options

    NASA Technical Reports Server (NTRS)

    1983-01-01

    The mission requirements, economic benefits, and time table of deployment of the space station are discussed. It is concluded that: (1) mission requirements overwhelmingly support the need for a space station; (2) a single space station is the way to begin; (3) the space station must evolve its capability; (4) the orbit transfer vehicle aspect of the space station will provide significant economic benefit; and (5) an early, affordable, effective way to start the space station program is needed.

  3. A techno-economic approach to plasma gasification

    NASA Astrophysics Data System (ADS)

    Ramos, Ana; Rouboa, Abel

    2018-05-01

    Within the most used Waste-to-Energy technologies plasma gasification is recent and therefore not yet widely commercialized. Thus, it is necessary to conduct a viability study to support the thorough understanding and implementation of this thermal treatment. This paper aims to assess some technical, environmental and economic aspects of plasma gasification paving the way for a more sustained waste management system, as well as taking advantage of the commodity assets granted by the technique. Therefore, results from previously published studies were updated and highlighted as a preliminary starting point in order to potentially evolve to a complete and systematic work.

  4. Bigger is Better, but at What Cost? Estimating the Economic Value of Incremental Data Assets.

    PubMed

    Dalessandro, Brian; Perlich, Claudia; Raeder, Troy

    2014-06-01

    Many firms depend on third-party vendors to supply data for commercial predictive modeling applications. An issue that has received very little attention in the prior research literature is the estimation of a fair price for purchased data. In this work we present a methodology for estimating the economic value of adding incremental data to predictive modeling applications and present two cases studies. The methodology starts with estimating the effect that incremental data has on model performance in terms of common classification evaluation metrics. This effect is then translated into economic units, which gives an expected economic value that the firm might realize with the acquisition of a particular data asset. With this estimate a firm can then set a data acquisition price that targets a particular return on investment. This article presents the methodology in full detail and illustrates it in the context of two marketing case studies.

  5. A Comparison of Developmental Sentence Scores from Head Start Children Collected in Four Conditions

    ERIC Educational Resources Information Center

    Longhurst, Thomas M.; File, Judy J.

    1977-01-01

    In a comparison of expressive language in different settings, 20 economically disadvantaged students in a Head Start program were divided into four groups: single-object picture, toy, multi-object picture, and adult-child conversation. (CL)

  6. Neighborhood Economic Disadvantage and Children's Cognitive and Social-Emotional Development: Exploring Head Start Classroom Quality as a Mediating Mechanism.

    PubMed

    McCoy, Dana Charles; Connors, Maia C; Morris, Pamela A; Yoshikawa, Hirokazu; Friedman-Krauss, Allison H

    Past research has shown robust relationships between neighborhood socioeconomic disadvantage and children's school achievement and social-emotional outcomes, yet the mechanisms for explaining these relationships are poorly understood. The present study uses data from 1,904 Head Start participants enrolled in the Head Start Impact Study to examine the role that classroom structural and relational quality play in explaining the association between neighborhood poverty and children's developmental gains over the preschool year. Results suggest that neighborhood poverty is directly related to lower levels of classroom quality, and lower gains in early literacy and math scores. Indirect relationships were also found between neighborhood poverty and children's social-emotional outcomes (i.e., approaches to learning and behavior problems) via differences in the physical resources and negative student-teacher relationships within classrooms. These findings highlight the need for policy initiatives to consider community characteristics as potential predictors of disparities in classroom quality and children's cognitive and social-emotional development in Head Start.

  7. Economic Development through Youth. A Program for Schools and Communities. Manual.

    ERIC Educational Resources Information Center

    Nolen, Lori

    This manual is designed to help teachers, businesses, Chambers of Commerce, and students start their own economic development activities and youth ventures. It describes a two-step plan to economic development through youth: development of an in-school student chamber of commerce program and development of a youth-owned venture. The first part of…

  8. Corporate Giving to Education during Economic Downturns: General Trends and the Difficulty of Prediction

    ERIC Educational Resources Information Center

    van Fleet, Justin W.

    2010-01-01

    With the economic downturn starting in December 2007 (National Bureau of Economic Research, 2009), K-12 school systems, educational non-profits and institutions of higher education have found themselves questioning the degree to which they can rely on outside philanthropic giving to support their activities. Although some research has examined the…

  9. Housing Wealth and Higher Education: Building a Foundation for Economic Mobility

    ERIC Educational Resources Information Center

    Lovenheim, Michael

    2011-01-01

    A college degree often translates into economic success: Americans who start at the bottom of the income ladder "quadruple" their chances of making it to the top when they earn a four-year degree, according to past research by the Pew Economic Mobility Project. Nevertheless, many young people from the bottom and middle of the ladder…

  10. Riding out the Storm: Graduates, Enterprise and Careers in Turbulent Economic Times

    ERIC Educational Resources Information Center

    Rae, David

    2008-01-01

    Purpose: The purpose of this paper is to explore the possible implications for graduate employability of the economic changes which are affecting the UK in the wake of the "credit crunch". It explores the changing economic context and its implications both for HEIs and for graduates starting their careers. Design/methodology/approach:…

  11. Entrepreneurial Intention and Startup Preparation: A Study among Business Students in Malaysia

    ERIC Educational Resources Information Center

    Mamun, Abdullah Al; Nawi, Noorshella Binti Che; Mohiuddin, Muhammad; Shamsudin, Siti Farhah Fazira Binti; Fazal, Syed Ali

    2017-01-01

    Intention, as the starting point of pursuing self-employment and creating new ventures, is crucial before actually establishing a business enterprise. Entrepreneurship is understood to be an essential ingredient for enhancing a country's economic competitiveness, growth, and sustainability while confronting the escalating challenges of…

  12. Survey study of the efficiency and economics of hydrogen liquefaction

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The production of liquid hydrogen, with coal as the starting material, is reported. The minimum practicable energy and cost for liquefaction of gaseous hydrogen in the 1985-2000 time period is presented to investigate the possible benefits of the integration of coal gasification processes with the liquefaction process.

  13. Genetic diversity in Gossypium hirsutum L. for cotton leaf curl disease in association with agronomic and fiber traits

    USDA-ARS?s Scientific Manuscript database

    Information of genetic diversity in germplasm for cotton leaf curl disease (CLCuD) resistance/susceptibility and economic characters is essential before starting a breeding program to development germplasm with disease resistance. In this study, 17 conventional cotton (Gossypium hirsutum L.) genoty...

  14. The impact of economic evaluation on quality management in spine surgery

    PubMed Central

    2009-01-01

    Health care expenditures are substantially increasing within the last two decades prompting the imperative need for economic evaluations in health care. Historically, economic evaluations in health care have been carried out by four approaches: (1) the human-capital approach (HCA), (2) cost-effectiveness analysis (CEA), (3) cost-utility analysis (CUA) and (4) cost-benefit analysis (CBA). While the HCA cannot be recommended because of methodological shortcomings, CEA and CUA have been used frequently in healthcare. In CEA, costs are measured in monetary terms and health effects are measured in a non-monetary unit, e.g. number of successfully treated patients. In an attempt to develop an effectiveness measure that incorporates effects on both quantity and quality of life, so-called Quality Adjusted Life Years (QUALYs) were introduced. Contingent valuation surveys are used in cost-benefit analyses (CBA) to elicit the consumer’s monetary valuations for program benefits by applying the willingness-to-pay approach. A distinguished feature of CBA is that costs and benefits are expressed in the same units of value, i.e. money. Only recently, economic evaluations have started to explore various spinal interventions particularly the very expensive fusion operations. While most of the studies used CEA or CUA approaches, CBAs are still rare. Most studies fail to show that sophisticated spinal interventions are more cost-effective than conventional treatments. In spite of the lack of therapeutic or cost-effectiveness for most spinal surgeries, there is rapidly growing spinal implant market demonstrating market imperfection and information asymmetry. A change can only be anticipated when physicians start to focus on the improvement of health care quality as documented by outcome research and economic evaluations of cost-effectiveness and net benefits. PMID:19337760

  15. The impact of economic evaluation on quality management in spine surgery.

    PubMed

    Boos, Norbert

    2009-08-01

    Health care expenditures are substantially increasing within the last two decades prompting the imperative need for economic evaluations in health care. Historically, economic evaluations in health care have been carried out by four approaches: (1) the human-capital approach (HCA), (2) cost-effectiveness analysis (CEA), (3) cost-utility analysis (CUA) and (4) cost-benefit analysis (CBA). While the HCA cannot be recommended because of methodological shortcomings, CEA and CUA have been used frequently in healthcare. In CEA, costs are measured in monetary terms and health effects are measured in a non-monetary unit, e.g. number of successfully treated patients. In an attempt to develop an effectiveness measure that incorporates effects on both quantity and quality of life, so-called Quality Adjusted Life Years (QUALYs) were introduced. Contingent valuation surveys are used in cost-benefit analyses (CBA) to elicit the consumer's monetary valuations for program benefits by applying the willingness-to-pay approach. A distinguished feature of CBA is that costs and benefits are expressed in the same units of value, i.e. money. Only recently, economic evaluations have started to explore various spinal interventions particularly the very expensive fusion operations. While most of the studies used CEA or CUA approaches, CBAs are still rare. Most studies fail to show that sophisticated spinal interventions are more cost-effective than conventional treatments. In spite of the lack of therapeutic or cost-effectiveness for most spinal surgeries, there is rapidly growing spinal implant market demonstrating market imperfection and information asymmetry. A change can only be anticipated when physicians start to focus on the improvement of health care quality as documented by outcome research and economic evaluations of cost-effectiveness and net benefits.

  16. Economic tour package model using heuristic

    NASA Astrophysics Data System (ADS)

    Rahman, Syariza Abdul; Benjamin, Aida Mauziah; Bakar, Engku Muhammad Nazri Engku Abu

    2014-07-01

    A tour-package is a prearranged tour that includes products and services such as food, activities, accommodation, and transportation, which are sold at a single price. Since the competitiveness within tourism industry is very high, many of the tour agents try to provide attractive tour-packages in order to meet tourist satisfaction as much as possible. Some of the criteria that are considered by the tourist are the number of places to be visited and the cost of the tour-packages. Previous studies indicate that tourists tend to choose economical tour-packages and aiming to visit as many places as they can cover. Thus, this study proposed tour-package model using heuristic approach. The aim is to find economical tour-packages and at the same time to propose as many places as possible to be visited by tourist in a given geographical area particularly in Langkawi Island. The proposed model considers only one starting point where the tour starts and ends at an identified hotel. This study covers 31 most attractive places in Langkawi Island from various categories of tourist attractions. Besides, the allocation of period for lunch and dinner are included in the proposed itineraries where it covers 11 popular restaurants around Langkawi Island. In developing the itinerary, the proposed heuristic approach considers time window for each site (hotel/restaurant/place) so that it represents real world implementation. We present three itineraries with different time constraints (1-day, 2-day and 3-day tour-package). The aim of economic model is to minimize the tour-package cost as much as possible by considering entrance fee of each visited place. We compare the proposed model with our uneconomic model from our previous study. The uneconomic model has no limitation to the cost with the aim to maximize the number of places to be visited. Comparison between the uneconomic and economic itinerary has shown that the proposed model have successfully achieved the objective that minimize the tour cost and cover maximum number of places to be visited.

  17. Modelling the role of national system of innovation in economical differentiation

    NASA Astrophysics Data System (ADS)

    Ruiz, Ricardo M.; Albuquerque, Eduardo; Ribeiro, Leonardo C.; Bernardes, Américo T.

    2005-07-01

    Nowadays it is well accepted that science and technology has a fundamental role in the economic development (GNP per capita) of any country. Aiming to study this role, we introduce a model that creates an artificial world economy that is a network of countries. Each country has its own national system of innovation (represented by a technological parameter). The interactions among the countries are given by functions that connect their prices, demands and incomes. Starting from random values, the artificial world economy self-organize itself and create hierarchies of countries.

  18. Economic manufacturing of bulk metallic glass compositions by microalloying

    DOEpatents

    Liu, Chain T.

    2003-05-13

    A method of making a bulk metallic glass composition includes the steps of:a. providing a starting material suitable for making a bulk metallic glass composition, for example, BAM-11; b. adding at least one impurity-mitigating dopant, for example, Pb, Si, B, Sn, P, to the starting material to form a doped starting material; and c. converting the doped starting material to a bulk metallic glass composition so that the impurity-mitigating dopant reacts with impurities in the starting material to neutralize deleterious effects of the impurities on the formation of the bulk metallic glass composition.

  19. Fuels planning: science synthesis and integration; economic uses fact sheet 05: NEPA and economics

    Treesearch

    Rocky Mountain Research Station USDA Forest Service

    2004-01-01

    The National Environmental Policy Act (NEPA) is the law that requires Federal agencies to consider the environmental impacts of their actions, involve the public in the decisionmaking process, and disclose information, starting at the initial stages of planning. This fact sheet discusses when you should consider economics in the NEPA process, when to do an analysis,...

  20. Teaching Economics with Spanish Primary School Textbooks during the Franco Dictatorship and the Transition to Democracy (1962-1982)

    ERIC Educational Resources Information Center

    Angulo, Kira Mahamud; Hernández Laina, Yovana

    2017-01-01

    In this article we analyze knowledge about economics conveyed via primary school textbooks published during the late Franco dictatorship and the years of transition to democracy in Spain. Starting from the premise that the process of political socialization and identity construction is based partly on economic factors, we examine the evolution of…

  1. K-12 Education in the U.S. Economy: Its Impact on Economic Development, Earnings, and Housing Values. NEA Research Working Paper

    ERIC Educational Resources Information Center

    Hungerford, Thomas L.; Wassmer, Robert W.

    2004-01-01

    This report introduces, analyzes, and summarizes for policymakers an extensive and diverse economics literature on the effects of public K-12 education spending on local, regional, and state economies. The effects of education spending appear in indicators ranging from economic development to employment rates, small business starts, personal…

  2. Return Migration: A Study of College Graduates Returning to Rural U.S. Homes

    ERIC Educational Resources Information Center

    Mahoney, Elizabeth D.

    2009-01-01

    The purpose of this study is to explore perceptions of return migration experiences and gain knowledge from rural residents who have left to obtain a college education and start careers in non-rural areas, and who then returned to their rural hometowns with the social and economic benefits of a college education, and other valuable resources. This…

  3. El Lexico Tecnico Espanol E Ingles: Linguistica y Humanismo (Spanish/English Lexicon: Linguistics and Humanism).

    ERIC Educational Resources Information Center

    Vivanco, Veronica

    This manual, written in Spanish, contains a linguistic study to show that all sciences, whether economic or social, technical or humanistic in nature have a direct impact on our terminology. Starting with general linguistic considerations on technical terms in both English and Spanish, the study advances to semantics used in symbolic language. It…

  4. Native American Entrepreneurship. Digest.

    ERIC Educational Resources Information Center

    Seymour, Nicole

    Although Native Americans have owned and started the fewest small businesses of all U.S. minority groups, entrepreneurship is considered to be an efficient tool for alleviating their economic problems. Barriers to Native American entrepreneurship include poverty, scarce start-up capital, poor access to business education and technical assistance,…

  5. 75 FR 5565 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-03

    ... and dynamic construction industry. Given the importance of this industry, several of the statistical... Authorized by Building Permits, (2) Housing Starts, and (3) New One-Family Houses Sold. These statistics help... economic indicators, to estimate the number of housing units started, completed, and sold (single-family...

  6. The Effect on Economic Development of an Entrepreneurship Program at a North Carolina Community College

    ERIC Educational Resources Information Center

    Fox, Joseph L.; Pennington, Kevin

    2009-01-01

    This article presents the findings from a review of a community college's entrepreneurship course designed to encourage business start-ups. The study utilized a survey to obtain information from 142 Haywood Community College students who completed the Rural Entrepreneurship through Action Learning (REAL) course. Qualitative interviews were…

  7. A Model for Competency Assessment of the Faculty in Islamic Azad University

    ERIC Educational Resources Information Center

    Mashinchi, Aliasghar; Hashemi, Seyed Ahmad; Khani, Kamran Mohammad

    2017-01-01

    Today country success in economic, social, political, cultural tendencies etc. … is approved to be the hostages and pawns of coherent and dynamic didactic system. The education and didactic programs for qualification improvement and dynamism need to quantitatively and qualitatively evaluation and scrutiny. Current study started with the goal of…

  8. Development of Understanding of Selected Science Phenomena in Young Children.

    ERIC Educational Resources Information Center

    Donaldson, Marcia Jackson

    The major purpose of this study was to investigate developmental patterns of understandings of four types of selected phenomena possessed by economically and racially different boys and girls. A total of 64 boys and girls, 32 blacks and 32 whites, were selected from Head Start, kindergarten, nursery, and primary schooling environments and then…

  9. Parent Characteristics, Economic Stress and Neighborhood Context as Predictors of Parent Involvement in Preschool Children's Education

    ERIC Educational Resources Information Center

    Waanders, Christine; Mendez, Julia L.; Downer, Jason T.

    2007-01-01

    This study examines factors related to three dimensions of parent involvement in preschool: school-based involvement, home-based involvement, and the parent-teacher relationship. Participants were 154 predominantly African American parents recruited from two Head Start programs. Results of bivariate and canonical correlation analyses support the…

  10. International service trade and its implications for human resources for health: a case study of Thailand.

    PubMed

    Wibulpolprasert, Suwit; Pachanee, Cha-Aim; Pitayarangsarit, Siriwan; Hempisut, Pintusorn

    2004-06-29

    This study aims at analysing the impact of international service trade on the health care system, particularly in terms of human resources for health (HRH), using Thailand as a case study. Information was gathered through a literature review and interviews of relevant experts, as well as a brainstorming session.It was found that international service trade has greatly affected the Thai health care system and its HRH. From 1965 to 1975 there was massive emigration of physicians from Thailand in response to increasing demand in the United States of America. The country lost about 1,500 physicians, 20% of its total number, during that period.External migration of health professionals occurred without relation to agreements on trade in services. It was also found that free trade in service sectors other than health could seriously affect the health care system and HRH. Free trade in financial services with free flow of low-interest foreign loans, which started in 1993 in Thailand, resulted in the mushrooming of urban private hospitals between 1994 and 1997. This was followed by intensive internal migration of health professionals from rural public to urban private hospitals.After the economic crisis in 1997, with the resulting downturn of the private health sector, reverse brain drain was evident. At the same time, foreign investors started to invest in the bankrupt private hospitals. Since 2001, the return of economic growth and the influx of foreign patients have started another round of internal brain drain.

  11. International service trade and its implications for human resources for health: a case study of Thailand

    PubMed Central

    Wibulpolprasert, Suwit; Pachanee, Cha-aim; Pitayarangsarit, Siriwan; Hempisut, Pintusorn

    2004-01-01

    This study aims at analysing the impact of international service trade on the health care system, particularly in terms of human resources for health (HRH), using Thailand as a case study. Information was gathered through a literature review and interviews of relevant experts, as well as a brainstorming session. It was found that international service trade has greatly affected the Thai health care system and its HRH. From 1965 to 1975 there was massive emigration of physicians from Thailand in response to increasing demand in the United States of America. The country lost about 1,500 physicians, 20% of its total number, during that period. External migration of health professionals occurred without relation to agreements on trade in services. It was also found that free trade in service sectors other than health could seriously affect the health care system and HRH. Free trade in financial services with free flow of low-interest foreign loans, which started in 1993 in Thailand, resulted in the mushrooming of urban private hospitals between 1994 and 1997. This was followed by intensive internal migration of health professionals from rural public to urban private hospitals. After the economic crisis in 1997, with the resulting downturn of the private health sector, reverse brain drain was evident. At the same time, foreign investors started to invest in the bankrupt private hospitals. Since 2001, the return of economic growth and the influx of foreign patients have started another round of internal brain drain. PMID:15225376

  12. The Venture Capital-University Interface: Best Practices for Maximum Impact

    ERIC Educational Resources Information Center

    Holly, Krisztina

    2010-01-01

    Entrepreneurial start-ups have left an indelible impression on much of the USA's recent economic history. As hotbeds for technological innovation, university research laboratories create groundbreaking innovations that have been at the heart of many successful start-ups. However, powerful ideas do not necessarily beget successful companies: great…

  13. A Boom Time for Education Start-Ups

    ERIC Educational Resources Information Center

    DeSantis, Nick

    2012-01-01

    Harsh economic realities mean trouble for college leaders. But where administrators perceive an impending crisis, investors increasingly see opportunity. In recent years, venture capitalists have poured millions into education-technology start-ups, trying to cash in on a market they see as ripe for a digital makeover. And lately, those wagers have…

  14. Economic Evaluation of Health IT.

    PubMed

    Luzi, Daniela; Pecoraro, Fabrizio; Tamburis, Oscar

    2016-01-01

    Economic evaluation in health care supports decision makers in prioritizing interventions and maximizing the available limited resources for social benefits. Health Information Technology (health IT) constitutes a promising strategy to improve the quality and delivery of health care. However, to determine whether the appropriate health IT solution has been selected in a specific health context, its impact on the clinical and organizational process, on costs, on user satisfaction as well as on patient outcomes, a rigorous and multidimensional evaluation analysis is necessary. Starting from the principles of evaluation introduced since the mid-1980s within the Health Technology Assessment (HTA) guidelines, this contribution provides an overview of the main challenging issues related to the complex task of performing an economic evaluation of health IT. A set of necessary key principles to deliver a proper design and implementation of a multidimensional economic evaluation study is described, focusing in particular on the classification of costs and outcomes as well as on the type of economic analysis to be performed. A case study is eventually described to show how the key principles introduced are applied.

  15. Neighborhood Economic Disadvantage and Children’s Cognitive and Social-Emotional Development: Exploring Head Start Classroom Quality as a Mediating Mechanism

    PubMed Central

    McCoy, Dana Charles; Connors, Maia C.; Morris, Pamela A.; Yoshikawa, Hirokazu; Friedman-Krauss, Allison H.

    2015-01-01

    Past research has shown robust relationships between neighborhood socioeconomic disadvantage and children’s school achievement and social-emotional outcomes, yet the mechanisms for explaining these relationships are poorly understood. The present study uses data from 1,904 Head Start participants enrolled in the Head Start Impact Study to examine the role that classroom structural and relational quality play in explaining the association between neighborhood poverty and children’s developmental gains over the preschool year. Results suggest that neighborhood poverty is directly related to lower levels of classroom quality, and lower gains in early literacy and math scores. Indirect relationships were also found between neighborhood poverty and children’s social-emotional outcomes (i.e., approaches to learning and behavior problems) via differences in the physical resources and negative student-teacher relationships within classrooms. These findings highlight the need for policy initiatives to consider community characteristics as potential predictors of disparities in classroom quality and children’s cognitive and social-emotional development in Head Start. PMID:25937703

  16. How Much of a "Running Start" Do Dual Enrollment Programs Provide Students? Working Paper 92

    ERIC Educational Resources Information Center

    Cowan, James; Goldhaber, Dan

    2013-01-01

    We study a popular dual enrollment program in Washington State using a new administrative database linking high school and postsecondary enrollments. Conditional on prior high school performance and basic demographic and economic covariates, dual enrollment students are more likely to attend any college, but they are no more likely to attend…

  17. Starting a General Surgery Program at a Small Rural Critical Access Hospital: A Case Study from Southeastern Oregon

    ERIC Educational Resources Information Center

    Doty, Brit Cruse; Heneghan, Steven; Zuckerman, Randall

    2007-01-01

    Context: Surgical services are frequently unavailable in rural American communities. Therefore, rural residents often must travel long distances to receive surgical care. Rural hospitals commonly have difficulty providing surgical services despite potential economic benefits. Purpose: The purpose of this project was to identify the key challenges…

  18. Biology Labs That Work: The Best of How-To-Do-Its.

    ERIC Educational Resources Information Center

    Moore, Randy, Ed.

    This book is a compilation of articles from the The American Biology Teacher journal that present biology labs that are safe, simple, dependable, economic, and diverse. Each activity can be used alone or as a starting point for helping students design follow-up experiments for in-depth study on a particular topic. Students must make keen…

  19. The Economic Benefits of Academic and Career Preparation. Issues in College Success

    ERIC Educational Resources Information Center

    ACT, Inc., 2008

    2008-01-01

    Students should start career planning as early as middle school by learning about their interests and their academic strengths and weaknesses as they begin to consider postsecondary and career options. This issue brief presents the results of a study that provides a financial rationale in finding that those students who engage in such long-term…

  20. Starting a Business in the Permian Basin.

    ERIC Educational Resources Information Center

    Harrison, Danny

    The business and economic development center of Midland College provides assistance to small businesses. Written for use by future and current small business owners and entrepreneurs living in a 17-county area of the Permian Basin of Texas, this guidebook describes the procedures for developing a business plan and for successfully starting and…

  1. Entrepreneurial Education at the Postsecondary Level.

    ERIC Educational Resources Information Center

    Clayton, Graham

    Since 1984, Canada has experienced roughly 150,000 new business start-ups each year. Most of these businesses start small and remain small, yet they have had a significant impact on Canada's economic well-being. Unfortunately, somewhere between 70% and 80% of the new businesses fail to survive beyond 5 years. These statistics underscore the need…

  2. Mothers' Parenting and Young Economically Disadvantaged Children's Relational and Overt Bullying

    ERIC Educational Resources Information Center

    Curtner-Smith, Mary E.; Culp, Anne M.; Culp, Rex; Scheib, Carrie; Owen, Kelly; Tilley, Angela; Murphy, Molly; Parkman, Lauren; Coleman, Peter W.

    2006-01-01

    We examined links between mothers' parenting and children's relational bullying and overt bullying in a sample of children attending a Head Start program. Mothers completed surveys and face-to-face interviews. Head Start teachers completed assessments on children. Results indicated that a small percentage of children in the sample was rated by…

  3. Using Meta-Analysis to Explain Variation in Head Start Research Results: The Role of Research Design

    ERIC Educational Resources Information Center

    Shager, Hilary M.; Schindler, Holly S.; Hart, Cassandra M.D.; Duncan, Greg J.; Magnuson, Katherine A.; Yoshikawa, Hirokazu

    2010-01-01

    Head Start was designed as a holistic intervention to improve economically disadvantaged, preschool-aged children's cognitive and social development by providing a comprehensive set of educational, health, nutritional, and social services, as well as opportunities for parent involvement (Zigler & Valentine, 1979). Given the current interest in ECE…

  4. Higher Education, Collaboration and a New Economics

    ERIC Educational Resources Information Center

    Fulford, Amanda

    2016-01-01

    In this article I take as my starting point the economist, Jeremy Rifkin's, claims about the rise of what he calls the "collaborative commons". For Rifkin, this is nothing less than the emergence of a new economic paradigm where traditional consumers exploit the possibilities of technology, and position themselves as…

  5. The correlation between stress and economic crisis: a systematic review

    PubMed Central

    Mucci, Nicola; Giorgi, Gabriele; Roncaioli, Mattia; Fiz Perez, Javier; Arcangeli, Giulio

    2016-01-01

    In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees’ well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers’ mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages). PMID:27143898

  6. The correlation between stress and economic crisis: a systematic review.

    PubMed

    Mucci, Nicola; Giorgi, Gabriele; Roncaioli, Mattia; Fiz Perez, Javier; Arcangeli, Giulio

    2016-01-01

    In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees' well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers' mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages).

  7. Thermodynamic and economic analysis of heat pumps for energy recovery in industrial processes

    NASA Astrophysics Data System (ADS)

    Urdaneta-B, A. H.; Schmidt, P. S.

    1980-09-01

    A computer code has been developed for analyzing the thermodynamic performance, cost and economic return for heat pump applications in industrial heat recovery. Starting with basic defining characteristics of the waste heat stream and the desired heat sink, the algorithm first evaluates the potential for conventional heat recovery with heat exchangers, and if applicable, sizes the exchanger. A heat pump system is then designed to process the residual heating and cooling requirements of the streams. In configuring the heat pump, the program searches a number of parameters, including condenser temperature, evaporator temperature, and condenser and evaporator approaches. All system components are sized for each set of parameters, and economic return is estimated and compared with system economics for conventional processing of the heated and cooled streams (i.e., with process heaters and coolers). Two case studies are evaluated, one in a food processing application and the other in an oil refinery unit.

  8. [Objective functional compensation in NHIL: INAIL prosthesic protocol in Lombardy, 2007-2010].

    PubMed

    Calcinoni, O; Polo, L

    2011-01-01

    Even if NHIL gives already right to economic compensation, our Insurance aimed to real functional compensation, to reduce handicap in everyday life. Together with Professor Giordano, Audioprosthesists' Association and Manufacturers' representatives, INAIL Medical Superintendence started in 2003 a study on this problem, involving some of his forensic physician and ENT staff; in 2007-2009 INAIL issued directives innovating and planning the rules in prosthesis provision, not only acoustical ones. In 2010 started an experimental protocol to rule hearing aid provision in all INAIL centers, throughout Italy. Authors present first results of this protocol in Lombardy, related to previous and national ones.

  9. Family Factors Related to Competence in Young, Disadvantaged Mexican-American Children. Part of the Final Report on Head Start Evaluation and Research: 1968-69 to the Office of Economic Opportunity.

    ERIC Educational Resources Information Center

    Stedman, James M.; McKenzie, Richard E.

    As part of the continuing search for the environmental antecedents of competence in young children, this study investigated several parameters of a population of disadvantaged Mexican-American children. The factors of child competence on which this study focused were behavioral adjustment and linguistic ability. The antecedents of competence were…

  10. Malaria and global change: Insights, uncertainties and possible surprises

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Martin, P.H.; Steel, A.

    Malaria may change with global change. Indeed, global change may affect malaria risk and malaria epidemiology. Malaria risk may change in response to a greenhouse warming; malaria epidemiology, in response to the social, economic, and political developments which a greenhouse warming may trigger. To date, malaria receptivity and epidemiology futures have been explored within the context of equilibrium studies. Equilibrium studies of climate change postulate an equilibrium present climate (the starting point) and a doubled-carbon dioxide climate (the end point), simulate conditions in both instances, and compare the two. What happens while climate changes, i.e., between the starting point andmore » the end point, is ignored. The present paper focuses on malaria receptivity and addresses what equilibrium studies miss, namely transient malaria dynamics.« less

  11. Prioritizing health services research: an economic perspective.

    PubMed

    Gandjour, Afschin

    2016-05-01

    Given limited resources policymakers need to decide about how much and in what areas of health services research (HSR) to invest. The purpose of this study is to provide guidance for priority setting of HSR projects based on economic theory. The conceptual analysis starts from the premise that competition in health care is valuable-a position that seems to predominate among Western policymakers. The principle of competition rests on economic theory and, in particular, its branch of welfare economics. Based on economic theory, the role of HSR is to detect and alleviate information asymmetry, negative externalities, and harm caused by competition and inappropriate incentives for competition. A hierarchy of HSR projects is provided; following the ethical principle of harm ('do not harm'), the detection and prevention of harm would receive highest priority among HSR projects. Agreeing that competition is valuable in achieving efficiency and quality of care (and therefore agreeing to the assumptions of economic theory) implies accepting the role of HSR in detecting market failure and the HSR hierarchy as suggested. Disagreement would require an alternative coherent concept of improving efficiency and quality of care.

  12. Socio-Economic Resilience to Floods in 90 Countries

    NASA Astrophysics Data System (ADS)

    Hallegatte, S.; Bangalore, M.; Vogt-Schilb, A.

    2015-12-01

    Global losses from floods are increasing, with renewed calls for action to reduce their impact. In each country, region or city, many actions can protect the population and help rebuild and recover: building dikes and restoring mangroves; land-use planning; early warning and evacuation; insurance and social safety nets. What should be the priorities? How to build a comprehensive strategy? Is progress being made? We propose a tool - a national-level scorecard based on welfare economics - to assess a country's socio-economic resilience to river floods and identify the most promising policy options in different contexts to reduce the impact of floods on well-being. The tool is applied to 90 countries using open databases, and can serve as a starting point for designing policies and more in-depth local studies.

  13. The Economic Outlook and What It Means for Colleges and Universities.

    ERIC Educational Resources Information Center

    Anderson, Richard E.; Massy, William F.

    1989-01-01

    This issue of Capital Ideas reproduces, in an abridged form, the first chapter of a new book titled, "Financial Planning Under Economic Uncertainty", in the series, "New Directions for Higher Education." The chapter reviews the macroeconomic environment at the start of the 1990s, with particular focus on the problems facing…

  14. Piloting through the Recession: Continuing Higher Education in Europe and the United Kingdom

    ERIC Educational Resources Information Center

    Roffe, Ian

    2009-01-01

    In common with the United States, Europe is currently experiencing a serious economic recession. The crisis, which started in the financial sector, is now rippling out and affecting heavily other economic sectors: construction, property, retailing, manufacturing, etc. The arguable cause of the crisis was a failure of management in financial…

  15. How Could a Beaver Start a War?

    ERIC Educational Resources Information Center

    Millward, Robert

    2010-01-01

    Students gain a better understanding of war and economics when the variables come alive through stories, artifacts, and paintings. In this article, the author describes a short story about the fur trade which can generate lots of student questions about the fur economics, the Eastern Woodland Indians, trade artifacts, and war. The author also…

  16. The Effect of Business and Economics Education Programs on Students' Entrepreneurial Intention

    ERIC Educational Resources Information Center

    De Jorge-Moreno, Justo; Castillo, Leopoldo Laborda; Triguero, Maria Sanz

    2012-01-01

    Purpose: This paper aims to evaluate the effect of participation in business and economics education programs on the student's entrepreneurial intention in terms of perceptions of the desirability and personal feasibility of starting a business. Design/methodology/approach: The methodology used to measure the student's entrepreneurial intention is…

  17. Financing Albanian Higher Education: Growth between the Public and Private Sectors

    ERIC Educational Resources Information Center

    Pere, Engjell; Minxhozi, Luljeta

    2011-01-01

    In many countries, reforms in higher education have follow-on effects on social and economic development. This article relates mainly to economic and financial issues regarding the development of higher education. Starting from the notable increase in demand for higher education and the budgetary constraints on public education financing, we argue…

  18. Complex Economies Have a Lateral Escape from the Poverty Trap

    PubMed Central

    Pugliese, Emanuele; Chiarotti, Guido L.; Zaccaria, Andrea; Pietronero, Luciano

    2017-01-01

    We analyze the decisive role played by the complexity of economic systems at the onset of the industrialization process of countries over the past 50 years. Our analysis of the input growth dynamics, considering a further dimension through a recently introduced measure of economic complexity, reveals that more differentiated and more complex economies face a lower barrier (in terms of GDP per capita) when starting the transition towards industrialization. As a consequence, we can extend the classical concept of a one-dimensional poverty trap, by introducing a two-dimensional poverty trap: a country will start the industrialization process if it is rich enough (as in neo-classical economic theories), complex enough (using this new dimension and laterally escaping from the poverty trap), or a linear combination of the two. This naturally leads to the proposal of a Complex Index of Relative Development (CIRD) which shows, when analyzed as a function of the growth due to input, a shape of an upside down parabola similar to that expected from the standard economic theories when considering only the GDP per capita dimension. PMID:28072867

  19. Complex Economies Have a Lateral Escape from the Poverty Trap.

    PubMed

    Pugliese, Emanuele; Chiarotti, Guido L; Zaccaria, Andrea; Pietronero, Luciano

    2017-01-01

    We analyze the decisive role played by the complexity of economic systems at the onset of the industrialization process of countries over the past 50 years. Our analysis of the input growth dynamics, considering a further dimension through a recently introduced measure of economic complexity, reveals that more differentiated and more complex economies face a lower barrier (in terms of GDP per capita) when starting the transition towards industrialization. As a consequence, we can extend the classical concept of a one-dimensional poverty trap, by introducing a two-dimensional poverty trap: a country will start the industrialization process if it is rich enough (as in neo-classical economic theories), complex enough (using this new dimension and laterally escaping from the poverty trap), or a linear combination of the two. This naturally leads to the proposal of a Complex Index of Relative Development (CIRD) which shows, when analyzed as a function of the growth due to input, a shape of an upside down parabola similar to that expected from the standard economic theories when considering only the GDP per capita dimension.

  20. Information security: where computer science, economics and psychology meet.

    PubMed

    Anderson, Ross; Moore, Tyler

    2009-07-13

    Until ca. 2000, information security was seen as a technological discipline, based on computer science but with mathematics helping in the design of ciphers and protocols. That perspective started to change as researchers and practitioners realized the importance of economics. As distributed systems are increasingly composed of machines that belong to principals with divergent interests, incentives are becoming as important to dependability as technical design. A thriving new field of information security economics provides valuable insights not just into 'security' topics such as privacy, bugs, spam and phishing, but into more general areas of system dependability and policy. This research programme has recently started to interact with psychology. One thread is in response to phishing, the most rapidly growing form of online crime, in which fraudsters trick people into giving their credentials to bogus websites; a second is through the increasing importance of security usability; and a third comes through the psychology-and-economics tradition. The promise of this multidisciplinary research programme is a novel framework for analysing information security problems-one that is both principled and effective.

  1. A retrospective study of radiographic abnormalities in the repositories for Thoroughbreds at yearling sales in Japan.

    PubMed

    Miyakoshi, Daisuke; Senba, Hiroyuki; Shikichi, Mitsumori; Maeda, Masaya; Shibata, Ryo; Misumi, Kazuhiro

    2017-11-10

    This study aimed to evaluate whether radiographic abnormalities at yearling sales were associated with the failure to start racing at 2-3 years of age. Radiographic abnormalities in the carpal (n=852), tarsal (n=976), metacarpophalangeal (n=1,055), and metatarsophalangeal joints (n=1,031) from 1,082 horses, recorded at yearling sale, were reviewed. Eighty-two horses (7.6%) failed to start racing. Radiographic abnormalities such as wedged or collapsed tarsal bones, irregular lucency of a sagittal ridge at the distal aspect of the distal third metatarsal bone, and proximal dorsal fragmentation of the first phalanx in metatarsophalangeal joints were associated with failure to start racing in these horses. In the follow-up survey of 12 horses with one or more these radiographic abnormalities, the horses failed to start racing due to reasons unrelated to these radiographic abnormalities such as pelvic fractures (2 horses), fracture of a distal phalanx (1 horse), cervical stenotic myelopathy and proximal sesamoid fracture (1 horse), superficial digital flexor tendonitis (2 horses), laryngeal hemiplegia (1 horse), economic problems (2 horses) and unknown causes (3 horses). Although radiographic abnormalities at yearling sales can be associated with failure to start racing at 2-3 years of age, these radiographically detected abnormalities might not necessarily cause that failure.

  2. Using Economic Incentives to Recruit Community College Faculty: Effects of Starting Salary and Healthcare Benefits Plan

    ERIC Educational Resources Information Center

    Winter, Paul A.; Petrosko, Joseph M.; Rodriguez, Glenn

    2007-01-01

    Staffing the nation's community colleges with qualified faculty is an emerging problem. The problem results from massive retirements among members of the post-WW II "baby boom" generation and intense competition from other sectors of the economy for scarce human talent. This study was a faculty-recruitment simulation designed to investigate the…

  3. Measuring the Impact of Enterprise Education and Entrepreneurship Support in Higher Education: Can Routinely Collected Data Be of Use?

    ERIC Educational Resources Information Center

    Smith, Kelly

    2015-01-01

    Policy makers and others charged with driving economic growth often assume a link between entrepreneurship education and business start-up. However, there is little by way of supporting literature in this regard, with few studies exploring impact measures that relate to actual venture creation. This paper considers two routinely collected data…

  4. Starting a Learning Progression for Agricultural Literacy: A Qualitative Study of Urban Elementary Student Understandings of Agricultural and Science Education Benchmarks

    ERIC Educational Resources Information Center

    Hess, Alexander Jay

    2010-01-01

    Science and agriculture professional organizations have argued for agricultural literacy as a goal for K-12 public education. Due to the complexity of our modern agri-food system, with social, economic, and environmental concerns embedded, an agriculturally literate society is needed for informed decision making, democratic participation, and…

  5. Promoting Diversity in Creative Art Education: The Case of Fine Art at Goldsmiths, University of London

    ERIC Educational Resources Information Center

    Hayton, Annette Ruth; Haste, Polly; Jones, Alison

    2015-01-01

    Students studying art at university in the United Kingdom tend to be female, from higher social classes and from majority ethnic groups. This paper considers some of the complex and deeply-rooted social and economic factors that militate against wider participation in the arts and describes how we started to tackle under-representation at…

  6. Economic Evaluation of Urgent-Start Peritoneal Dialysis Versus Urgent-Start Hemodialysis in the United States

    PubMed Central

    Liu, Frank Xiaoqing; Ghaffari, Arshia; Dhatt, Harman; Kumar, Vijay; Balsera, Cristina; Wallace, Eric; Khairullah, Quresh; Lesher, Beth; Gao, Xin; Henderson, Heather; LaFleur, Paula; Delgado, Edna M.; Alvarez, Melissa M.; Hartley, Janett; McClernon, Marilyn; Walton, Surrey; Guest, Steven

    2014-01-01

    Abstract Patients presenting late in the course of kidney disease who require urgent initiation of dialysis have traditionally received temporary vascular catheters followed by hemodialysis. Recent changes in Medicare payment policy for dialysis in the USA incentivized the use of peritoneal dialysis (PD). Consequently, the use of more expeditious PD for late-presenting patients (urgent-start PD) has received new attention. Urgent-start PD has been shown to be safe and effective, and offers a mechanism for increasing PD utilization. However, there has been no assessment of the dialysis-related costs over the first 90 days of care. The objective of this study was to characterize the costs associated with urgent-start PD, urgent-start hemodialysis (HD), or a dual approach (urgent-start HD followed by urgent-start PD) over the first 90 days of treatment from a provider perspective. A survey of practitioners from 5 clinics known to use urgent-start PD was conducted to provide inputs for a cost model representing typical patients. Model inputs were obtained from the survey, literature review, and available cost data. Sensitivity analyses were also conducted. The estimated per patient cost over the first 90 days for urgent-start PD was $16,398. Dialysis access represented 15% of total costs, dialysis services 48%, and initial hospitalization 37%. For urgent-start HD, total per patient costs were $19,352, and dialysis access accounted for 27%, dialysis services 42%, and initial hospitalization 31%. The estimated cost for dual patients was $19,400. Urgent-start PD may offer a cost saving approach for the initiation of dialysis in eligible patients requiring an urgent-start to dialysis. PMID:25526471

  7. Contribution of economic evaluation to decision making in early phases of product development: a methodological and empirical review.

    PubMed

    Hartz, Susanne; John, Jürgen

    2008-01-01

    Economic evaluation as an integral part of health technology assessment is today mostly applied to established technologies. Evaluating healthcare innovations in their early states of development has recently attracted attention. Although it offers several benefits, it also holds methodological challenges. The aim of our study was to investigate the possible contributions of economic evaluation to industry's decision making early in product development and to confront the results with the actual use of early data in economic assessments. We conducted a literature research to detect methodological contributions as well as economic evaluations that used data from early phases of product development. Economic analysis can be beneficially used in early phases of product development for various purposes including early market assessment, R&D portfolio management, and first estimations of pricing and reimbursement scenarios. Analytical tools available for these purposes have been identified. Numerous empirical works were detected, but most do not disclose any concrete decision context and could not be directly matched with the suggested applications. Industry can benefit from starting economic evaluation early in product development in several ways. Empirical evidence suggests that there is still potential left unused.

  8. A Primer on Health Economic Evaluations in Thoracic Oncology.

    PubMed

    Whittington, Melanie D; Atherly, Adam J; Bocsi, Gregary T; Camidge, D Ross

    2016-08-01

    There is growing interest for economic evaluation in oncology to illustrate the value of multiple new diagnostic and therapeutic interventions. As these analyses have started to move from specialist publications into mainstream medical literature, the wider medical audience consuming this information may need additional education to evaluate it appropriately. Here we review standard practices in economic evaluation, illustrating the different methods with thoracic oncology examples where possible. When interpreting and conducting health economic studies, it is important to appraise the method, perspective, time horizon, modeling technique, discount rate, and sensitivity analysis. Guidance on how to do this is provided. To provide a method to evaluate this literature, a literature search was conducted in spring 2015 to identify economic evaluations published in the Journal of Thoracic Oncology. Articles were reviewed for their study design, and areas for improvement were noted. Suggested improvements include using more rigorous sensitivity analyses, adopting a standard approach to reporting results, and conducting complete economic evaluations. Researchers should design high-quality studies to ensure the validity of the results, and consumers of this research should interpret these studies critically on the basis of a full understanding of the methodologies used before considering any of the conclusions. As advancements occur on both the research and consumer sides, this literature can be further developed to promote the best use of resources for this field. Copyright © 2016 International Association for the Study of Lung Cancer. Published by Elsevier Inc. All rights reserved.

  9. Success of commonly used operating room management tools in reducing tardiness of first case of the day starts: evidence from German hospitals.

    PubMed

    Ernst, Christian; Szczesny, Andrea; Soderstrom, Naomi; Siegmund, Frank; Schleppers, Alexander

    2012-09-01

    One of the declared objectives of surgical suite management in Germany is to increase operating room (OR) efficiency by reducing tardiness of first case of the day starts. We analyzed whether the introduction of OR management tools by German hospitals in response to increasing economic pressure was successful in achieving this objective. The OR management tools we considered were the appointment of an OR manager and the development and adoption of a surgical suite governance document (OR charter). We hypothesized that tardiness of first case starts was less in ORs that have adopted one or both of these tools. Using representative 2005 survey data from 107 German anesthesiology departments, we used a Tobit model to estimate the effect of the introduction of an OR manager or OR charter on tardiness of first case starts, while controlling for hospital size and surgical suite complexity. Adoption reduced tardiness of first case starts by at least 7 minutes (mean reduction 15 minutes, 95% confidence interval (CI): 7-22 minutes, P < 0.001). Reductions in tardiness of first case starts figure prominently the objectives of surgical suite management in Germany. Our results suggest that the appointment of an OR manager or the adoption of an OR charter support this objective. For short-term decision making on the day of surgery, this reduction in tardiness may have economic implications, because it reduced overutilized OR time.

  10. "It's Easy to Learn when You Using Your Home Language but with English You Need to Start Learning Language before You Get to the Concept": Bilingual Concept Development in an English Medium University in South Africa

    ERIC Educational Resources Information Center

    Paxton, Moragh Isobel Jane

    2009-01-01

    This article describes a multilingual glossary project in the economics department at the University of Cape Town which gave multilingual students learning economics through the medium of English, opportunities to discuss new economic concepts in their home languages in order to broaden and enrich understanding of these new concepts. The findings…

  11. Marital fertility decline in the Netherlands: child mortality, real wages, and unemployment, 1860-1939.

    PubMed

    Schellekens, Jona; van Poppel, Frans

    2012-08-01

    Previous studies of the fertility decline in Europe are often limited to an earlier stage of the marital fertility decline, when the decline tended to be slower and before the large increase in earnings in the 1920s. Starting in 1860 (before the onset of the decline), this study follows marital fertility trends until 1939, when fertility reached lower levels than ever before. Using data from the Historical Sample of the Netherlands (HSN), this study shows that mortality decline, a rise in real income, and unemployment account for the decline in the Netherlands. This finding suggests that marital fertility decline was an adjustment to social and economic change, leaving little room for attitudinal change that is independent of social and economic change.

  12. Learning from Sure Start: Working with Young Children and Their Families

    ERIC Educational Resources Information Center

    Weinberger, Jo, Ed.; Pickstone, Caroline, Ed.; Hannon, Peter, Ed.

    2005-01-01

    The book comes out of a University research project that has worked closely with one local programme over five years from its beginning. Sure Start is a national government initiative that targets families with children aged up to the age of four in areas of social and economic disadvantage, to promote development so children are ready to thrive…

  13. Research on the Coordinative Development of Regional Higher Education and Economy

    ERIC Educational Resources Information Center

    Hong, Yingjun

    2012-01-01

    In the current society, economic development in any region has to rely on higher education. Conversely, higher education cannot do without regional economic development in order to achieve greater progress in scale and level. Starting with the function of higher education in Wenzhou, this paper analyzes the reality and problems in Wenzhou's higher…

  14. Starting up a lumpfish breeding program and those pesky opportunistic bacteria

    USDA-ARS?s Scientific Manuscript database

    Sea lice are likely the most economically costly pathogen that has faced the salmon farming industry over the past 40 years. Recent economic estimates put the annual cost of sea lice at $742 million USD in 2012. With the rise of resistance to multiple drugs used to treat sea lice, there has been a s...

  15. Econometric Methods for Research in Education. NBER Working Paper No. 16003

    ERIC Educational Resources Information Center

    Meghir, Costas; Rivkin, Steven G.

    2010-01-01

    This paper reviews some of the econometric methods that have been used in the economics of education. The focus is on understanding how the assumptions made to justify and implement such methods relate to the underlying economic model and the interpretation of the results. We start by considering the estimation of the returns to education both…

  16. Laboratory Experiments as a Tool in the Empirical Economic Analysis of High-Expectation Entrepreneurship

    ERIC Educational Resources Information Center

    Curley, Martin; Formica, Piero

    2008-01-01

    High-expectation start-ups are firms launched by entrepreneurs with high ambitions for growth. The encounter between new technology and entrepreneurship that characterizes such new ventures has a significant impact on the nature and speed of economic development, driving the growth of high-technology industries and helping to make the economic…

  17. Valuing the Future: Should Educational Benefits Be Discounted?

    ERIC Educational Resources Information Center

    Gilead, Tal

    2015-01-01

    The practice of assigning a lesser value to benefits the further they are into the future, or, in economic terms, discounting, has long played a significant role in shaping public policy. Recently, due to the growing influence of economic modes of thinking on the educational realm, the concept of discounting is also starting to have an influence…

  18. Formations of New Governing Technologies and Productions of New Norms: The Dangers of Preschool Voucher Discourse

    ERIC Educational Resources Information Center

    Lee, I-Fang

    2008-01-01

    For governments around the world, conceptualizing early childhood education and care as a site for an early start on educational, social, and economic investments has become a dominant trend of educational planning. Educational policies, both locally and globally, reflect the effects of a neoliberal political economic reasoning system. Voucher…

  19. Unemployment Rates and Starting Salaries: Are Australian Graduates at the Whim of the Wage Curve?

    ERIC Educational Resources Information Center

    Carroll, David

    2011-01-01

    The existence of an inverse relationship between wage levels and regional unemployment rates, commonly referred to as the wage curve, is well established in the economic literature and was described by Card (1995) as being "close to an empirical law of economics". This microeconomic wage-unemployment relationship, first identified by…

  20. Technology for America’s Economic Growth, A New Direction to Build Economic Strength

    DTIC Science & Technology

    1993-02-22

    1994 and $1 billion each year from 1995 to 1998 in transit capital projects. B. Investing in magnetic levitation ( maglev ) transportation and high-speed...rail by providing funds for a maglev prototype and for start-up of private or state/local high- speed rail projects. C. Increasing research on new

  1. Transformation of Corporate Culture in Conditions of Transition to Knowledge Economics

    ERIC Educational Resources Information Center

    Korsakova, Tatiana V.; Chelnokova, Elena A.; Kaznacheeva, Svetlana N.; Bicheva, Irena B.; Lazutina, Antonina L.; Perova, Tatyana V.

    2016-01-01

    This article is devoted to the problem of corporate culture transformations which are conditioned by changes in social-economic situation. The modern paradigm of knowledge management is assumed to become the main value for forming a new vision of corporate culture. The starting point for transformations can be found in the actual corporate culture…

  2. When Socialism Meets Market Capitalism: Challenges for Privatizing and Marketizing Education in China and Vietnam

    ERIC Educational Resources Information Center

    Mok, Ka Ho

    2008-01-01

    China and Vietnam have experienced drastic social, economic and political changes, especially when these two socialist regimes have started economic reforms in the last few decades. In order to create more opportunities for higher education with limited national resources, both Chinese and Vietnamese governments have adopted strategies along the…

  3. Teaching for Tomorrow: "Quick Start-Up" Vocational Training Programs.

    ERIC Educational Resources Information Center

    Langen, Herbert J.; Thomas, Violet S.

    This report contains a description of the economic outlook of Arizona and the nation as a whole, information on nationwide skill centers and their efforts to meet industry's needs, and recommendations for a program that would be effective in answering future labor needs. Section 1 includes the economic outlook for Arizona and the nation; a report…

  4. The West of Scotland coronary prevention study: economic benefit analysis of primary prevention with pravastatin.

    PubMed Central

    Caro, J.; Klittich, W.; McGuire, A.; Ford, I.; Norrie, J.; Pettitt, D.; McMurray, J.; Shepherd, J.

    1997-01-01

    OBJECTIVE: To estimate the economic efficiency of using pravastatin to prevent the transition from health to cardiovascular disease in men with hypercholesterolaemia. DESIGN: Economic benefit analysis based on data from the West of Scotland coronary prevention study. Treatment specific hazards of developing cardiovascular disease according to various definitions were estimated. Scottish record linkage data provided disease specific survival. Cost estimates were based on extracontractual tariffs and event specific average lengths of stay calculated from the West of Scotland coronary prevention study. SUBJECTS: Men with hypercholesterolaemia similar to the subjects in the West of Scotland coronary prevention study. MAIN OUTCOME: Cost consequences, the number of transitions from health to cardiovascular disease prevented, the number needed to start treatment, and cost per life year gained. RESULTS: If 10,000 of these men started taking pravastatin, 318 of them would not make the transition from health to cardiovascular disease (number needed to treat, 31.4), at a net discounted cost of 20m Pounds over 5 years. These benefits imply an undiscounted gain of 2,460 years of life, and thus 8121 Pounds per life year gained, or 20,375 Pounds per life year gained if benefits are discounted. Restriction to the 40% of men at highest risk reduces the number needed to treat to 22.5 (5601 Pounds per life year gained (undiscounted) and 13,995 Pounds per life year gained (discounted)). CONCLUSIONS: In subjects without evidence of prior myocardial infarction but who have hypercholesterolaemia, the use of pravastatin yields substantial health benefits at a cost that is not prohibitive overall and can be quite efficient in selected high risk subgroups. PMID:9437275

  5. Can Universities Develop Advanced Technology and Solve Social Problems?

    NASA Astrophysics Data System (ADS)

    Pérez Ones, Isarelis; Núñez Jover, Jorge

    This paper presents case studies on how Cuban universities have increasingly become directly involved with the economic and social development of the country. The paper shows how Cuban universities, from the early 1980s and early 1990s, started reorientation and organization of their scientific research, becoming more directly and intensely involved in the economic and social development of the country. In this way, special reference is made to the case of a research group at the University of Havana: the Laboratory of Synthetic Antigens. This group developed the first synthetic vaccine for human use approved in the world. In the article, public policies involved in this success as well as different obstacles are discussed. These obstacles demonstrate the difficulties and challenges that universities face when carrying out research and innovation activities related to economic and social development.

  6. Some past and present challenges of econophysics

    NASA Astrophysics Data System (ADS)

    Mantegna, R. N.

    2016-12-01

    We discuss the cultural background that was shared by some of the first econophysicists when they started to work on economic and financial problems with methods and tools of statistical physics. In particular we discuss about the role of stylized facts and statistical physical laws in economics and statistical physics respectively. As an example of the problems and potentials associated with the interaction of different communities of scholars dealing with problems observed in economic and financial systems we briefly discuss the development and the perspectives of the use of tools and concepts of networks in econophysics, economics and finance.

  7. Developing core economic outcome sets for asthma studies: a protocol for a systematic review.

    PubMed

    Hounsome, Natalia; Fitzsimmons, Deborah; Phillips, Ceri; Patel, Anita

    2017-08-11

    Core outcome sets are standardised lists of outcomes, which should be measured and reported in all clinical studies of a specific condition. This study aims to develop core outcome sets for economic evaluations in asthma studies. Economic outcomes include items such as costs, resource use or quality-adjusted life years. The starting point in developing core outcome sets will be conducting a systematic literature review to establish a preliminary list of reporting items to be considered for inclusion in the core outcome set. We will conduct literature searches of peer-reviewed studies published from January 1990 to January 2017. These will include any comparative or observational studies (including economic models) and systematic reviews reporting economic outcomes. All identified economic outcomes will be tabulated together with the major study characteristics, such as population, study design, the nature and intensity of the intervention, mode of data collection and instrument(s) used to derive an outcome. We will undertake a 'realist synthesis review' to analyse the identified economic outcomes. The outcomes will be summarised in the context of evaluation perspectives, types of economic evaluation and methodological approaches. Parallel to undertaking a systematic review, we will conduct semistructured interviews with stakeholders (including people with personal experience of asthma, health professionals, researchers and decision makers) in order to explore additional outcomes which have not been considered, or used, in published studies. The list of outcomes generated from the systematic review and interviews with stakeholders will form the basis of a Delphi survey to refine the identified outcomes into a core outcome set. The review will not involve access to individual-level data. Findings from our systematic review will be communicated to a broad range of stakeholders including clinical guideline developers, research funders, trial registries, ethics committees and other regulators. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  8. Effectiveness of a Federal Healthy Start program in reducing primary and repeat teen pregnancies: our experience over the decade.

    PubMed

    Salihu, Hamisu M; August, Euna M; Jeffers, Delores F; Mbah, Alfred K; Alio, Amina P; Berry, Estrellita

    2011-06-01

    To evaluate the effectiveness of a Federal Healthy Start program in reducing primary and repeat teen pregnancies in a disadvantaged community. An ecological study that compares trends in teen pregnancy in the catchment area in which the community-based intervention was administered with two ecologic controls: the county (Hillsborough) and the state (Florida). Our catchment area is East Tampa, a socio-economically disadvantaged community in Hillsborough County, Florida. Preconception care targeted teenagers between the ages of 10 and 19 years. Interconception care involved young mothers under the age of 20 with a previous birth. The population was comprised primarily of African Americans. Preconception care services for primary teen pregnancy reduction offered sex education, family planning, drug and violence prevention education, and communication and negotiation skills acquisition. Interconception care service offered young women health education through monthly home visitation or monthly peer support group meetings addressing a range of topics using the life course perspective as framework. Reduction in primary teen pregnancy and repeat teen pregnancy among adolescents. The decline in primary teen pregnancy in the catchment area was 60% and 80% greater than the reduction experienced at the county level and at the state level respectively over the period of the study. However, efforts to prevent repeat pregnancy were not successful. The Federal Healthy Start Preconception Care program, in collaboration with community partners, contributed to the prevention of first-time teen pregnancy in a community faced with significant social and economic challenges. Copyright © 2011 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  9. PET Radiopharmaceuticals in Brazil and Belarus: Economic Comparison Using the Case of 18FDG.

    PubMed

    Brinkevich, Sviatoslav; Pires, Leonardo Paredes; Portilho, Filipe Leal; Santos-Oliveira, Ralph

    2018-01-01

    The production of radiopharmaceuticals, especially the PET ones, is a complex combination of economic and social factors. Despite the social aspects, that are essential, the economic issue must be considered and play an important parameter for the implementation and maintenance of producer centers around the world, with especial regards for countries which face economic crisis and/or belongs to aegis of under development countries. In order to evaluate this scenario with carried out this study, comparing a well-established producer center in Brazil and a new on in Belarus. The results showed that the producer center in Brazil face serious economic problems and all the production logistic must be re-done. On the other hand the new producer center in Belarus started following a new model of production and although it has not been profitable, the perspectives seem to be better than the Brazilian producer center. The Brazilian model for PET radiopharmaceutical productions should be revised in order to avoid waste and create a new perspective for the research area. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  10. Technical and Economic Assessment of the Implementation of Measures for Reducing Energy Losses in Distribution Systems

    NASA Astrophysics Data System (ADS)

    Aguila, Alexander; Wilson, Jorge

    2017-07-01

    This paper develops a methodology to assess a group of measures of electrical improvements in distribution systems, starting from the complementation of technical and economic criteria. In order to solve the problem of energy losses in distribution systems, technical and economic analysis was performed based on a mathematical model to establish a direct relationship between the energy saved by way of minimized losses and the costs of implementing the proposed measures. This paper aims at analysing the feasibility of reducing energy losses in distribution systems, by changing existing network conductors by larger crosssection conductors and distribution voltage change at higher levels. The impact of this methodology provides a highly efficient mathematical tool for analysing the feasibility of implementing improvement projects based on their costs which is a very useful tool for the distribution companies that will serve as a starting point to the analysis for this type of projects in distribution systems.

  11. Flash flood disasters analysis and evaluation: a case study of Yiyang County in China

    NASA Astrophysics Data System (ADS)

    Li, Haichen; Zhang, Xiaolei; Li, Qing; Qin, Tao; Lei, Xiaohui

    2018-03-01

    Global climate change leads to the more extreme precipitation and more flash flood disasters, which is a serious threat to the mountain inhabitants. To prevent flash flood disasters, China started flash flood disaster control planning and other projects from 2006. Among those measures, non-engineering measures are effective and economical. This paper introduced the framework of flash flood disaster analysis and evaluation in China, followed by a case study of Yiyang County.

  12. Leader's Handbook for a Nutrition and Food Course. Parent Education in Nutrition and Food: A Series of Ten Lessons for Parents.

    ERIC Educational Resources Information Center

    Murrah, Pauline

    This booklet presents a 10-lesson curriculum guide for teaching mothers of Head Start children to plan, purchase, prepare, and serve food more efficiently and economically. Leaders of programs in nutrition education for Head Start parents must complete a Leaders Training Course, taught by a professional nutritionist or home economist. The first…

  13. Effectiveness of pictorial health warnings on cigarette packs among Lebanese school and university students.

    PubMed

    Alaouie, Hala; Afifi, Rema A; Haddad, Pascale; Mahfoud, Ziyad; Nakkash, Rima

    2015-03-01

    Pictorial health warnings are more effective than text warnings in enhancing motivation to quit and not to start smoking among youth. In Lebanon, packs still have only a very small text warning. The aim of this study was to evaluate the perceived effectiveness of pictorial health warnings on cigarette packs among Lebanese youth. This was a cross-sectional study including school students (n=1412) aged 13-18 years recruited from 28 schools and university students (n=1217) aged 18-25 years recruited from 7 universities. A variety of warnings were adapted from other countries. In all, 4 warnings were tested among school students and 18 among university students. All pictorial warnings were considered more effective than the current text warning on message-related and impact-related variables, including intentions to quit or not to start smoking among school and university students. Selected examples related to the top-ranked pictorial warnings are: among male non-smoking school students, 81% agreed that the 'lung' warning had more impact on their intentions not to start smoking as compared to 57% for the current text warning (p<0.001) with a significant difference compared to the current text warning; among female non-smoking university students, 75% agreed that the 'economic impact' pictorial had more impact on their intentions not to start smoking with significant difference as compared to 43% for the current text warning (p value=0.001); finally, the 'heart attack' pictorial resulted in 52% of male university students smokers stating they intended to quit as opposed to 20% for the current text warning (p value=0.019). The results of the present study add to the general international literature on the impact of pictorial warnings on youth and young adults. This study is also the first to test a non-health pictorial warning about the negative economic consequences of smoking, and to find that such a warning was effective among specific sociodemographic groups. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  14. Economic value of ecosystem conservation in Japan: Reduction of starting point bias by bid effect function

    Treesearch

    Mitsuyasu Yabe

    2007-01-01

    Over 18 million people visit and enjoy the view of the world’s largest class caldera topography, which forms the important landscape element of National Park Aso. Aso grassland spreads and rare plants exist in the harmony of nature and human activities. This study was a Contingent Valuation (CV) survey to estimate the conservation value of Aso grassland. We...

  15. Very large hadron collider (VLHC)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1998-09-01

    A VLHC informal study group started to come together at Fermilab in the fall of 1995 and at the 1996 Snowmass Study the parameters of this machine took form. The VLHC as now conceived would be a 100 TeV hadron collider. It would use the Fermilab Main Injector (now nearing completion) to inject protons at 150 GeV into a new 3 TeV Booster and then into a superconducting pp collider ring producing 100 TeV c.m. interactions. A luminosity of {approximately}10{sup 34} cm{sup -2}s{sup -1} is planned. Our plans were presented to the Subpanel on the Planning for the Future ofmore » US High- Energy Physics (the successor to the Drell committee) and in February 1998 their report stated ``The Subpanel recommends an expanded program of R&D on cost reduction strategies, enabling technologies, and accelerator physics issues for a VLHC. These efforts should be coordinated across laboratory and university groups with the aim of identifying design concepts for an economically and technically viable facility`` The coordination has been started with the inclusion of physicists from Brookhaven National Laboratory (BNL), Lawrence Berkeley National Laboratory (LBNL), and Cornell University. Clearly, this collaboration must expanded internationally as well as nationally. The phrase ``economically and technically viable facility`` presents the real challenge.« less

  16. Systematic co-operation between employer, occupational health service and social insurance office: a 6-year follow-up of vocational rehabilitation for people on sick-leave, including economic benefits.

    PubMed

    Kärrholm, Jenny; Ekholm, Karolina; Ekholm, Jan; Bergroth, Alf; Ekholm, Kristina Schüldt

    2008-08-01

    To evaluate the effects of systematic co-operation among municipal employees on the number of sick-leave days per month and the type of benefit granted by the Social Insurance Office. A further aim was to evaluate the economic consequences for society. A 6-year follow-up study with a matched-pairs design. Days on sick-leave were calculated for each subject one year before the intervention started and yearly for the following 6-year period. Statistical mixed-model analysis was used. The economic benefit of the intervention was estimated as the increased production stemming from fewer days on sick-leave. Sixty-four employees on long-term sick-leave were individually matched with controls from another Social Insurance Office in a county with a socioeconomic structure similar to that of the study group. The study group had 5.7 fewer days on sick-leave per month and person over the 6-year period (p=0.003). The estimated average economic benefit of the intervention was euro36,600 per person over the 6-year period. In conclusion, those who received systematic co-operation in vocational rehabilitation had fewer days on sick-leave than their "treatment-as-usual" peers. This effect persisted over 6 years, generating substantial net economic gains for society.

  17. 13 CFR 123.505 - What if you are both an essential employee and the owner of the small business and you started...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What if you are both an essential... DISASTER LOAN PROGRAM Military Reservist Economic Injury Disaster Loans § 123.505 What if you are both an essential employee and the owner of the small business and you started active duty before applying for a...

  18. Habitat Size Optimization of the O'Neill - Glaser Economic Model for Space Solar Satellite Production

    NASA Technical Reports Server (NTRS)

    Curreri, Peter A.; Detweiler, Michael

    2010-01-01

    Creating large space habitats by launching all materials from Earth is prohibitively expensive. Using space resources and space based labor to build space solar power satellites can yield extraordinary profits after a few decades. The economic viability of this program depends on the use of space resources and space labor. To maximize the return on the investment, the early use of high density bolo habitats is required. Other shapes do not allow for the small initial scale required for a quick population increase in space. This study found that 5 Man Year, or 384 person bolo high density habitats will be the most economically feasible for a program started at year 2010 and will cause a profit by year 24 of the program, put over 45,000 people into space, and create a large system of space infrastructure for the further exploration and development of space.

  19. The Resource Relationship: The Institutional Legacies of Oil in Venezuela

    NASA Astrophysics Data System (ADS)

    Bridgewater, Elliot

    This thesis problematizes the concept of the 'Resource Curse', addressing the arguments of several theorists that resource dependence results in state monopolization of natural resource production, and causes poor development outcomes in resource dependent states. A single case study of the Venezuelan experience is used in order to take a longer-run historical approach that considers economic and political determinants of oil-dependent development starting with the impressive growth and emerging democracy of the post war period, economic stagnation of the 1980's and 1990's, and the divisive contemporary era of 'Chavismo'. To deconstruct the thesis that oil and development do not mix, each chapter explores the dynamic connections between the fiscal structure of the Venezuelan state, institutionalized patterns of political conflict and compromise, and their socio-economic consequences. It is argued that such a multi-faceted approach moves beyond static interpretations of the resource curse to grasp more firmly the ever-changing resource relationship.

  20. Using the Circular Flow of Income Model to Teach Economics in the Middle School Classroom

    ERIC Educational Resources Information Center

    Marks, Melanie; Kotula, Gemma

    2009-01-01

    The circular flow of income diagram is a traditional starting point for economics taught at the high school and college level. Although it is an incredibly useful tool for illustrating how money flows through the economy, the model can be abstract and relies on a sophisticated vocabulary that makes it impractical for use with younger students.…

  1. Funding in 2012: "great recession" starts to bite.

    PubMed

    Macilwain, Colin

    2012-01-20

    Biomedical research budgets are frozen or falling in developed countries. Can expansion in developing nations continue as economic contagion spreads? Copyright © 2012 Elsevier Inc. All rights reserved.

  2. The Iron Triangle Manifested: U.S. Air Force Tanker Lease 2001-2005 Case Study

    DTIC Science & Technology

    2012-01-01

    own experts along with participants from Boeing and Rockwell to perform the KC–135 Economic Service Life Study ( ESLS ). Based on usage at that time...General John D. Ryan stated a replacement program would start in the next 15 years.9 2 Punjani The ESLS pre-dated 9/11 and did not account for...increased flight hours due to homeland defense air patrols and the war in Afghanistan. Usage rates increased from the ESLS -report- ed figure of 308 hours per

  3. A Replication and Extension Study on N-Length, Inhibition and Cooperative Behavior with a Mexican-American Population. Part of the Final Report on Head Start Evaluation and Research: 1968-69 to the Office of Economic Opportunity.

    ERIC Educational Resources Information Center

    Manning, Brad A.; And Others

    A study of cooperative behavior (social learning) and N-lengths using Negro subjects was replicated and extended. Subjects were 100 Mexican-American children, 4 1/2 to 6 years old. N-length was defined as the number of nonreinforced trials spaced between reinforced trials and intertrial reinforcement (ITR), introduced between regularly scheduled…

  4. Decline in alcohol consumption in Estonia: combined effects of strengthened alcohol policy and economic downturn.

    PubMed

    Lai, Taavi; Habicht, Jarno

    2011-01-01

    To describe alcohol policy changes in parallel to consumption changes in 2005-2010 in Estonia, where alcohol consumption is among the highest in Europe. Review of pertinent legislation and literature. Alcohol consumption decreased since 2008, while alcohol excise tax, sales time restrictions and ad bans have increased since 2005. An economic downturn started in 2008. The precise roles of policy changes and the economic downturn in the decline of alcohol consumption, and whether the decrease will be sustained, are still unclear.

  5. Political influences on greenhouse gas emissions from US states.

    PubMed

    Dietz, Thomas; Frank, Kenneth A; Whitley, Cameron T; Kelly, Jennifer; Kelly, Rachel

    2015-07-07

    Starting at least in the 1970s, empirical work suggested that demographic (population) and economic (affluence) forces are the key drivers of anthropogenic stress on the environment. We evaluate the extent to which politics attenuates the effects of economic and demographic factors on environmental outcomes by examining variation in CO2 emissions across US states and within states over time. We find that demographic and economic forces can in part be offset by politics supportive of the environment--increases in emissions over time are lower in states that elect legislators with strong environmental records.

  6. Measuring costs of alcohol harm to others: a review of the literature.

    PubMed

    Navarro, Héctor José; Doran, Christopher M; Shakeshaft, Anthony P

    2011-04-01

    People other than the drinker experience harmful consequences from alcohol misuse, accounting for part of the economic burden to society. Little has been done on costing harm to others. A literature review was undertaken of various databases, government publications, dissertations, conference papers and reference materials. Publications were included for analysis if they reported costs on alcohol harm to others. Methodological adequacy of costing studies was assessed using a checklist modified from the Drummond 10-point checklist. In total, 25 publications including costs on alcohol harm to others were reviewed. Fetal alcohol syndrome (FAS) was the harm to others most frequently cost. The cost-of-illness (COI) framework was used in 24 of the publications, while 1 employed a cost-benefit analysis (CBA) serving as starting point for further studies estimating intangible costs (e.g. victim's quality-of-life (QoL) loss). Indirect costs (e.g. victim's lost productivity) were quantified most frequently with the human capital approach. The majority of publications critically assessed on costing received an average quality score (17/25). Few studies have reported costs on the magnitude from harm to people other than the drinker, therefore the overall economic burden of risky alcohol consumption across countries is underestimated. This review may be considered a starting point for future research on costing alcohol harm to others. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  7. USABC Development of 12 Volt Battery for Start-Stop Application: Preprint

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Tataria, H.; Gross, O.; Bae, C.

    Global automakers are accelerating the development of fuel efficient vehicles, as a part of meeting regional regulatory CO2 emissions requirements. The micro hybrid vehicles with auto start-stop functionality are considered economical solutions for the stringent European regulations. Flooded lead acid batteries were initially considered the most economical solution for idle-stop systems. However, the dynamic charge acceptance (DCA) at lower state-of-charge (SOC) was limiting the life of the batteries. While improved lead-acid batteries with AGM and VRLA features have improved battery longevity, they do not last the life of the vehicle. The United States Advanced Battery Consortium (or USABC, a consortiummore » of GM, Ford, and Chrysler) analyzed energy storage needs for a micro hybrid automobile with start-stop capability, and with a single power source. USABC has analyzed the start-stop behaviors of many drivers and has developed the requirements for the start-stop batteries (Table 3). The testing procedures to validate the performance and longevity were standardized and published. The guideline for the cost estimates calculations have also been provided, in order to determine the value of the newly developed modules. The analysis effort resulted in a set of requirements which will help the battery manufacturers to develop a module to meet the automotive Original Equipment Manufacturers (OEM) micro hybrid vehicle requirements. Battery developers were invited to submit development proposals and two proposals were selected for 50% cost share with USABC/DOE.« less

  8. Comparison of the financial performance of Islamic and conventional bank in Malaysia during and after economic crisis

    NASA Astrophysics Data System (ADS)

    Kadir, Norhidayah A.; Jaffar, Aidatullaini; Abdullah, Nur Lina; Harun, Nurzalina

    2013-09-01

    This paper is a continuation of our former work. In this paper, we compare the financial performance of the two banking systems that exist in Malaysia over two periods of time, during economic crisis (1997-1999) and after economic crisis (2001-2003). In order to see the conventional as well as Islamic bank's performance over these two periods of time, the study uses 10 financial ratios which are broadly categorized into 4 groups: (a) profitability ratios; (b) liquidity ratios; (c) risk and solvency ratios; and (d) efficiency ratios. Next, the study used T-test in determining the significance of the differential performance of the two banks over two periods of time. By using inter-bank comparison, the study found that, conventional bank has better performance, efficient, more profitable and has greater risk as compared to Islamic bank. However, in terms of utilizing asset, Islamic bank is better than conventional bank. As an overall, conventional bank is better in much aspect due to the longer history and experience in the industry than Islamic bank that start their operation in 1983.

  9. Cotton harvest at 40% versus 75% boll-splitting on yield and economic return under standard and proactive boll weevil (Coleoptera: Curculionidae) spray regimes.

    PubMed

    Showler, A T; Robinson, J R C

    2008-10-01

    The standard practice of two or three preemptive insecticide applications at the start of pinhead (1-2-mm-diameter) squaring followed by threshold-triggered (when 10% of randomly selected squares have oviposition punctures) insecticide applications for boll weevil, Anthonomus grandis grandis Boheman (Coleoptera: Curculionidae), control does not provide reliable protection of cotton, Gossypium hirsutum L., lint production. This study, conducted during 2004 and 2005, showed that three to six fewer spray applications in a "proactive" approach, in which spraying began at the start of large (5.5-8-mm-diameter) square formation and continued at approximately 7-d intervals while large squares were abundant, resulted in fewer infested squares and 1.4- to 1.7-fold more lint than the standard treatment. Fewer sprays and increased yield made proactive spraying significantly more profitable than the standard approach, which resulted in relatively low or negative economic returns. Harvest at 75% boll-split in the proactive spray regime of 2005 resulted in four-fold greater economic return than cotton harvested at 40% boll-split because of improved protection of large squares and the elimination of late-season sprays inherent to standard spray regime despite the cost of an extra irrigation in the 75% boll-split treatments. The earlier, 40% harvest trigger does not avoid high late-season boll weevil pressure, which exerts less impact on bolls, the predominant form of fruiting body at that time, than on squares. Proactive spraying and harvest timing are based on an important relationship between nutrition, boll weevil reproduction, and economic inputs; therefore, the tactic of combining proaction with harvest at 75% boll-split is applicable where boll weevils are problematic regardless of climate or region, or whether an eradication program is ongoing.

  10. Healthy travel and the socio-economic structure of car commuting in Cambridge, UK: a mixed-methods analysis.

    PubMed

    Goodman, Anna; Guell, Cornelia; Panter, Jenna; Jones, Natalia R; Ogilvie, David

    2012-06-01

    Car use is associated with substantial health and environmental costs but research in deprived populations indicates that car access may also promote psychosocial well-being within car-oriented environments. This mixed-method (quantitative and qualitative) study examined this issue in a more affluent setting, investigating the socio-economic structure of car commuting in Cambridge, UK. Our analyses involved integrating self-reported questionnaire data from 1142 participants in the Commuting and Health in Cambridge study (collected in 2009) and in-depth interviews with 50 participants (collected 2009-2010). Even in Britain's leading 'cycling city', cars were a key resource in bridging the gap between individuals' desires and their circumstances. This applied both to long-term life goals such as home ownership and to shorter-term challenges such as illness. Yet car commuting was also subject to constraints, with rush hour traffic pushing drivers to start work earlier and with restrictions on, or charges for, workplace parking pushing drivers towards multimodal journeys (e.g. driving to a 'park-and-ride' site then walking). These patterns of car commuting were socio-economically structured in several ways. First, the gradient of housing costs made living near Cambridge more expensive, affecting who could 'afford' to cycle and perhaps making cycling the more salient local marker of Bourdieu's class distinction. Nevertheless, cars were generally affordable in this relatively affluent, highly-educated population, reducing the barrier which distance posed to labour-force participation. Finally, having the option of starting work early required flexible hours, a form of job control which in Britain is more common among higher occupational classes. Following a social model of disability, we conclude that socio-economic advantage can make car-oriented environments less disabling via both greater affluence and greater job control, and in ways manifested across the full socio-economic range. This suggests the importance of combining individual-level 'healthy travel' interventions with measures aimed at creating travel environments in which all social groups can pursue healthy and satisfying lives. Copyright © 2012 Elsevier Ltd. All rights reserved.

  11. Healthy travel and the socio-economic structure of car commuting in Cambridge, UK: A mixed-methods analysis

    PubMed Central

    Goodman, Anna; Guell, Cornelia; Panter, Jenna; Jones, Natalia R.; Ogilvie, David

    2012-01-01

    Car use is associated with substantial health and environmental costs but research in deprived populations indicates that car access may also promote psychosocial well-being within car-oriented environments. This mixed-method (quantitative and qualitative) study examined this issue in a more affluent setting, investigating the socio-economic structure of car commuting in Cambridge, UK. Our analyses involved integrating self-reported questionnaire data from 1142 participants in the Commuting and Health in Cambridge study (collected in 2009) and in-depth interviews with 50 participants (collected 2009–2010). Even in Britain's leading ‘cycling city’, cars were a key resource in bridging the gap between individuals' desires and their circumstances. This applied both to long-term life goals such as home ownership and to shorter-term challenges such as illness. Yet car commuting was also subject to constraints, with rush hour traffic pushing drivers to start work earlier and with restrictions on, or charges for, workplace parking pushing drivers towards multimodal journeys (e.g. driving to a ‘park-and-ride’ site then walking). These patterns of car commuting were socio-economically structured in several ways. First, the gradient of housing costs made living near Cambridge more expensive, affecting who could ‘afford’ to cycle and perhaps making cycling the more salient local marker of Bourdieu's class distinction. Nevertheless, cars were generally affordable in this relatively affluent, highly-educated population, reducing the barrier which distance posed to labour-force participation. Finally, having the option of starting work early required flexible hours, a form of job control which in Britain is more common among higher occupational classes. Following a social model of disability, we conclude that socio-economic advantage can make car-oriented environments less disabling via both greater affluence and greater job control, and in ways manifested across the full socio-economic range. This suggests the importance of combining individual-level ‘healthy travel’ interventions with measures aimed at creating travel environments in which all social groups can pursue healthy and satisfying lives. PMID:22465380

  12. Cost-of-illness studies of atrial fibrillation: methodological considerations.

    PubMed

    Becker, Christian

    2014-10-01

    Atrial fibrillation (AF) is the most common heart rhythm arrhythmia, which has considerable economic consequences. This study aims to identify the current cost-of-illness estimates of AF; a focus was put on describing the studies' methodology. A literature review was conducted. Twenty-eight cost-of-illness studies were identified. Cost-of-illness estimates exist for health insurance members, hospital and primary care populations. In addition, the cost of stroke in AF patients and the costs of post-operative AF were calculated. The methods used were heterogeneous, mostly studies calculated excess costs. The identified annual excess costs varied, even among studies from the USA (∼US$1900 to ∼US$19,000). While pointing toward considerable costs, the cost-of-illness studies' relevance could be improved by focusing on subpopulations and treatment mixes. As possible starting points for subsequent economic studies, the methodology of cost-of-illness studies should be taken into account using methods, allowing stakeholders to find suitable studies and validate estimates.

  13. Using Satellite Data for Environmental Impact Analysis in Economic Growth: the Case of Mongolia

    NASA Astrophysics Data System (ADS)

    Tungalag, A.; Tsolmon, R.; Ochirkhuyag, L.; Oyunjargal, J.

    2016-06-01

    The Mongolian economy is based on the primary and secondary economic sectors of agriculture and industry. In addition, minerals and mining become a key sector of its economy. The main mining resources are gold, copper, coal, fluorspar and steel. However, the environment and green economy is one of the big problems among most of the countries and especially for countries like Mongolia where the mining is major part of economy; it is a number one problem. The research of the work tested how environmental elements effect to current Mongolian economic growth, which is growing economy because of mining sector. The study of economic growth but the starting point for any study of economic growth is the neoclassical growth model emphasizing the role of capital accumulation. The growth is analysed either in terms of models with exogenous saving rates (the Solow-Swan model), or models where consumption and hence savings are determined by optimizing individuals. These are the so-called optimal growth or Ramsey-Cass-Koopmans. The study extends the Solow model and the Ramsey-Cass-Koopmans model, including environmental elements which are satellite data determine to degraded land and vegetation value from 1995 to 2013. In contrast, we can see the degraded land area increases from 1995 (4856 m2) to 2013 (10478 m2) and vegetation value decrease at same time. A description of the methodology of the study conducted follows together with the data collected and econometric estimations and calibration with environmental elements.

  14. The economic burden of TB diagnosis and treatment in South Africa.

    PubMed

    Foster, Nicola; Vassall, Anna; Cleary, Susan; Cunnama, Lucy; Churchyard, Gavin; Sinanovic, Edina

    2015-04-01

    Social protection against the cost of illness is a central policy objective of Universal Health Coverage and the post-2015 Global strategy for Tuberculosis (TB). Understanding the economic burden associated with TB illness and care is key to identifying appropriate interventions towards achieving this target. The aims of this study were to identify points in patient pathways from start of TB symptoms to treatment completion where interventions could be targeted to reduce the economic impact on patients and households, and to identify those most vulnerable to these costs. Two cohorts of patients accessing TB services from ten clinics in four provinces in South Africa were surveyed between July 2012 and June 2013. One cohort of 351 people with suspected TB were interviewed at the point of receiving a TB diagnostic and followed up six months later. Another cohort of 168 patients on TB treatment, at the same ten facilities, was interviewed at two-months and five-months on treatment. Patients were asked about their health-seeking behaviour, associated costs, income loss, and coping strategies used. Patients incurred the greatest share of TB episode costs (41%) prior to starting treatment, with the largest portion of these costs being due to income loss. Poorer patients incurred higher direct costs during treatment than those who were less poor but only 5% of those interviewed were accessing cash-transfers during treatment. Indirect costs accounted for 52% of total episode cost. Despite free TB diagnosis and care in South Africa, patients incur substantial direct and indirect costs particularly prior to starting treatment. The poorest group of patients were incurring higher costs, with fewer resources to pay for it. Both the direct and indirect cost of illness should be taken into account when setting levels of financial protection and social support, to prevent TB illness from pushing the poor further into poverty. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  15. The present global financial and economic crisis poses an additional risk factor for mental health problems on the employees.

    PubMed

    Avčin, Bojana Avguštin; Kučina, Andrea Užmah; Sarotar, Brigita Novak; Radovanović, Mirjana; Plesničar, Blanka Kores

    2011-09-01

    The global financial and economic crisis starting in 2007 led to a deterioration of several socio-economic determinants of mental health. The aim of this cross-sectional study was to examine the impact of the present economic crisis on the depression and anxiety levels of the employed in the private and public sector in Slovenia. Altogether 1592 employees completed an internet based self-reported questionnaire. Data about perceived impact of the economic crisis, several socio-demographic, socioeconomic, and health parameters were collected. Depression symptoms were assessed by the Center for Epidemiological Studies-Depression Scale and anxiety symptoms by the Spielberger State-Inventory. Regression models were used 1) to explore the associations of the economic crisis with the level of depression and anxiety symptoms while controlling for some sociodemographic and work characteristic variables, and 2) to understand the relationship between some potentially important socioeconomic variables and the perception of the economic crisis. Depressive and anxiety scores were significantly increased among 590 (46.6%) employees being affected by the economic crisis. The level of depressive symptoms was significantly associated with perceived impact by the crisis, recent sick leave, reported injuries sustained at work, benzodiazepine and analgesic use, the lack of emotional support, and trust in crisis telephone lines. The level of anxiety symptoms yielded the robust association with the level of depression symptoms, reported injuries sustained on the way to work and education. The economic crisis poses an additional risk factor for mental health problems which clinicians should internalize and become more aware of them. Symptoms of depression and anxiety can be masked in high-utilizers of medical care with physical complaints or psychoactive drug use.

  16. Conceptual model and economic experiments to explain nonpersistence and enable mechanism designs fostering behavioral change.

    PubMed

    Djawadi, Behnud Mir; Fahr, René; Turk, Florian

    2014-12-01

    Medical nonpersistence is a worldwide problem of striking magnitude. Although many fields of studies including epidemiology, sociology, and psychology try to identify determinants for medical nonpersistence, comprehensive research to explain medical nonpersistence from an economics perspective is rather scarce. The aim of the study was to develop a conceptual framework that augments standard economic choice theory with psychological concepts of behavioral economics to understand how patients' preferences for discontinuing with therapy arise over the course of the medical treatment. The availability of such a framework allows the targeted design of mechanisms for intervention strategies. Our conceptual framework models the patient as an active economic agent who evaluates the benefits and costs for continuing with therapy. We argue that a combination of loss aversion and mental accounting operations explains why patients discontinue with therapy at a specific point in time. We designed a randomized laboratory economic experiment with a student subject pool to investigate the behavioral predictions. Subjects continue with therapy as long as experienced utility losses have to be compensated. As soon as previous losses are evened out, subjects perceive the marginal benefit of persistence lower than in the beginning of the treatment. Consequently, subjects start to discontinue with therapy. Our results highlight that concepts of behavioral economics capture the dynamic structure of medical nonpersistence better than does standard economic choice theory. We recommend that behavioral economics should be a mandatory part of the development of possible intervention strategies aimed at improving patients' compliance and persistence behavior. Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  17. Sensitivity analysis and economic optimization studies of inverted five-spot gas cycling in gas condensate reservoir

    NASA Astrophysics Data System (ADS)

    Shams, Bilal; Yao, Jun; Zhang, Kai; Zhang, Lei

    2017-08-01

    Gas condensate reservoirs usually exhibit complex flow behaviors because of propagation response of pressure drop from the wellbore into the reservoir. When reservoir pressure drops below the dew point in two phase flow of gas and condensate, the accumulation of large condensate amount occurs in the gas condensate reservoirs. Usually, the saturation of condensate accumulation in volumetric gas condensate reservoirs is lower than the critical condensate saturation that causes trapping of large amount of condensate in reservoir pores. Trapped condensate often is lost due to condensate accumulation-condensate blockage courtesy of high molecular weight, heavy condensate residue. Recovering lost condensate most economically and optimally has always been a challenging goal. Thus, gas cycling is applied to alleviate such a drastic loss in resources. In gas injection, the flooding pattern, injection timing and injection duration are key parameters to study an efficient EOR scenario in order to recover lost condensate. This work contains sensitivity analysis on different parameters to generate an accurate investigation about the effects on performance of different injection scenarios in homogeneous gas condensate system. In this paper, starting time of gas cycling and injection period are the parameters used to influence condensate recovery of a five-spot well pattern which has an injection pressure constraint of 3000 psi and production wells are constraint at 500 psi min. BHP. Starting injection times of 1 month, 4 months and 9 months after natural depletion areapplied in the first study. The second study is conducted by varying injection duration. Three durations are selected: 100 days, 400 days and 900 days. In miscible gas injection, miscibility and vaporization of condensate by injected gas is more efficient mechanism for condensate recovery. From this study, it is proven that the application of gas cycling on five-spot well pattern greatly enhances condensate recovery preventing financial, economic and resource loss that previously occurred.

  18. Defining the public health threat of food fraud.

    PubMed

    Spink, John; Moyer, Douglas C

    2011-01-01

    Food fraud, including the more defined subcategory of economically motivated adulteration, is a food risk that is gaining recognition and concern. Regardless of the cause of the food risk, adulteration of food is both an industry and a government responsibility. Food safety, food fraud, and food defense incidents can create adulteration of food with public health threats. Food fraud is an intentional act for economic gain, whereas a food safety incident is an unintentional act with unintentional harm, and a food defense incident is an intentional act with intentional harm. Economically motivated adulteration may be just that-economically motivated-but the food-related public health risks are often more risky than traditional food safety threats because the contaminants are unconventional. Current intervention systems are not designed to look for a near infinite number of potential contaminants. The authors developed the core concepts reported here following comprehensive research of articles and reports, expert elicitation, and an extensive peer review. The intent of this research paper is to provide a base reference document for defining food fraud-it focuses specifically on the public health threat-and to facilitate a shift in focus from intervention to prevention. This will subsequently provide a framework for future quantitative or innovative research. The fraud opportunity is deconstructed using the criminology and behavioral science applications of the crime triangle and the chemistry of the crime. The research provides a food risk matrix and identifies food fraud incident types. This project provides a starting point for future food science, food safety, and food defense research. Food fraud, including the more defined subcategory of economically motivated adulteration, is a food protection threat that has not been defined or holistically addressed. The terrorist attacks of September 11, 2001, led to the development of food defense as an autonomous area of study and a new food protection discipline. As economically motivated adulteration grows in scope, scale, and awareness, it is conceivable that food fraud will achieve the same status as an autonomous concept, between food safety and food defense. This research establishes a starting point for defining food fraud and identifying the public health risks. © 2011 Institute of Food Technologists®

  19. Rational Prescribing in Primary Care (RaPP): Economic Evaluation of an Intervention to Improve Professional Practice

    PubMed Central

    Fretheim, Atle; Aaserud, Morten; Oxman, Andrew D

    2006-01-01

    Background Interventions designed to narrow the gap between research findings and clinical practice may be effective, but also costly. Economic evaluations are necessary to judge whether such interventions are worth the effort. We have evaluated the economic effects of a tailored intervention to support the implementation of guidelines for the use of antihypertensive and cholesterol-lowering drugs. The tailored intervention was evaluated in a randomized trial, and was shown to significantly increase the use of thiazides for patients started on antihypertensive medication, but had little or no impact on other outcomes. The increased use of thiazides was not expected to have an impact on health outcomes. Methods and Findings We performed cost-minimization and cost-effectiveness analyses on data from a randomized trial involving 146 general practices from two geographical areas in Norway. Each practice was randomized to either the tailored intervention (70 practices; 257 physicians) or control group (69 practices; 244 physicians). Only patients that were being started on antihypertensive medication were included in the analyses. A multifaceted intervention was tailored to address identified barriers to change. Key components were an educational outreach visit with audit and feedback, and computerized reminders. Pharmacists conducted the visits. A cost-minimization framework was adopted, where the costs of intervention were set against the reduced treatment costs (principally due to increased use of thiazides rather than more expensive medication). The cost-effectiveness of the intervention was estimated as the cost per additional patient being started on thiazides. The net annual cost (cost minimization) in our study population was US$53,395, corresponding to US$763 per practice. The cost per additional patient started on thiazides (cost-effectiveness) was US$454. The net annual savings in a national program was modeled to be US$761,998, or US$540 per practice after 2 y. In this scenario the savings exceeded the costs in all but two of the sensitivity analyses we conducted, and the cost-effectiveness was estimated to be US$183. Conclusions We found a significant shift in prescribing of antihypertensive drugs towards the use of thiazides in our trial. A major reason to promote the use of thiazides is their lower price compared to other drugs. The cost of the intervention was more than twice the savings within the time frame of our study. However, we predict modest savings over a 2-y period. PMID:16737349

  20. Economics of electricity

    NASA Astrophysics Data System (ADS)

    Erdmann, G.

    2015-08-01

    The following text is an introduction into the economic theory of electricity supply and demand. The basic approach of economics has to reflect the physical peculiarities of electric power that is based on the directed movement of electrons from the minus pole to the plus pole of a voltage source. The regular grid supply of electricity is characterized by a largely constant frequency and voltage. Thus, from a physical point of view electricity is a homogeneous product. But from an economic point of view, electricity is not homogeneous. Wholesale electricity prices show significant fluctuations over time and between regions, because this product is not storable (in relevant quantities) and there may be bottlenecks in the transmission and distribution grids. The associated non-homogeneity is the starting point of the economic analysis of electricity markets.

  1. Catholic social teaching and America's suboptimal breastfeeding rate: Where faith and policy should meet to combat injustice.

    PubMed

    Stark, Grace Emily

    2017-11-01

    Despite the numerous health benefits of breastfeeding, few American women breastfeed for the optimal duration of time. Reasons given for not following national and global institutional breastfeeding recommendations are various and multi-faceted. However, for many American women who would like to breastfeed, unjust historical, social, economic, cultural, and environmental factors negatively impact their ability to breastfeed. Catholic social teaching seeks to protect the poor and the vulnerable by working for social and economic justice, encourages stewardship of the environment, and uplifts the family as the most important unit in society. As such, Catholic social teaching has clear implications for individuals and institutions seeking to make breastfeeding a more widespread, accepted practice. In response to the crisis in American rates of breastfeeding, American Catholic healthcare institutions should work to promote the just economic and social conditions necessary for American women to breastfeed their children, starting by implementing breastfeeding-friendly policies for patients and employees in their own institutions. For many American women who would like to breastfeed, unjust historical, social, economic, cultural, and environmental factors negatively impact their ability to breastfeed. Catholic social teaching has clear implications for individuals and institutions seeking to make breastfeeding a more widespread, accepted practice. Therefore, American Catholic healthcare institutions should work particularly hard to promote the just economic and social conditions necessary for American women to breastfeed their children, starting by implementing breastfeeding-friendly policies for patients and employees in their own institutions.

  2. Political influences on greenhouse gas emissions from US states

    PubMed Central

    Dietz, Thomas; Frank, Kenneth A.; Whitley, Cameron T.; Kelly, Jennifer; Kelly, Rachel

    2015-01-01

    Starting at least in the 1970s, empirical work suggested that demographic (population) and economic (affluence) forces are the key drivers of anthropogenic stress on the environment. We evaluate the extent to which politics attenuates the effects of economic and demographic factors on environmental outcomes by examining variation in CO2 emissions across US states and within states over time. We find that demographic and economic forces can in part be offset by politics supportive of the environment—increases in emissions over time are lower in states that elect legislators with strong environmental records. PMID:26080396

  3. Root Shock Revisited: Perspectives of Early Head Start Mothers on Community and Policy Environments and Their Effects on Child Health, Development, and School Readiness

    PubMed Central

    McAllister, Carol L.; Thomas, Tammy L.; Green, Beth L.

    2009-01-01

    Racial differences in school readiness are a form of health disparity. By examining, from the perspective of low-income minority families participating in an Early Head Start study, community and policy environments as they shape and inform lived experiences, we identified several types of social and economic dislocation that undermine the efforts of parents to ready their children for school. The multiple dislocations of community triggered by housing and welfare reform and “urban renewal” are sources of stress for parents and children and affect the health and development of young children. Our findings suggest that racial differences in school readiness result not from race but from poverty and structural racism in American society. PMID:19059871

  4. [Sustainable development of the three economic patterns in China: The application of genuine progress indicator in the sustainability assessment of six typical cities.

    PubMed

    Li, Jing; Huang, Lu; Yan, Li Jiao

    2016-06-01

    Three economic patterns, i.e., Zhujiang Model, Wenzhou Model and Sunan Model, were all generated in the developed areas of China. Sustainability assessment of those areas plays an important role in guiding future development of the economy of China. Genuine progress indicator (GPI) was adopted in this study to evaluate the sustainability of 6 typical cities (Guangzhou, Shenzhen, Wenzhou, Suzhou, Wuxi, and Changzhou) of the three economic patterns from 1995 to 2012. During the study period, the values of GDP for the six cities had experienced exponential growth, while the values of GPI started to increase since 2005 after a relatively constant period between 1995 and 2005. The gap between GPI and GDP had been widening from a historical perspective. Zhujiang Model made great progress in economic growth, however, the economic, social, and environmental costs were evident. It should tackle income inequality, traffic jam, and environmental pollution to reach sustainability. The development of Wenzhou Model slowed down in the late pe-riod, with inadequate potential to develop. Its income inequality was tough, social and economic development was slow, and the economic development pattern needed to be urgently changed. Sunan Model had a higher value of GPI and the potential to reach sustainability, with remarkable growth of economy, median level of the GPI costs, and steady improvement of social development, although its natural resources were depleted. Three economic patterns should focus on the three dimensions of sustainability (economy, environment, and society), and Zhujiang Model and Wenzhou Model needed to be more active to search for transition of their development.

  5. The Challenge of Drug Trafficking to Democratic Governance and Human Security in West Africa

    DTIC Science & Technology

    2013-05-01

    Washing ton, DC, as the Director of the Office of Environmental Policy; as Economic Officer in the Bu- reau of Econom ic and Business Affairs... Colombian cartels established links with Mexican syndicates after the United States significantly choked off the old Ca- ribbean drug...transportation corridor and forced the Colombians to start moving their drug loads across the southwest border of the United States.48 Mexican DTOs, including

  6. The Black Leader's Rhetorical Dilemma: An Analysis of the Debate Between W.E.B. DuBois and Booker T. Washington.

    ERIC Educational Resources Information Center

    Harris, Thomas E.

    Improving the economic condition of the Negro was a fundamental concern of both W. E. B. DuBois and Booker T. Washington. It was Washington's view that the Negro should be willing to perform menial tasks as a means for gaining a foothold in the economic structure. He counseled the Negro to start at the bottom. Washington's philosophy centered on…

  7. Cost-effectiveness analysis: what it really means for transfusion medicine decision making.

    PubMed

    Custer, Brian; Hoch, Jeffrey S

    2009-01-01

    Some have suggested that "blood is different," and the role for cost-effectiveness is thus circumscribed. In this article, the authors start by reviewing key concepts in health economics and economic analysis methods. Examples are drawn from published blood safety studies. After explaining the underlying reasoning behind cost-effectiveness analysis, the authors point out how economic thinking is evident in some aspects of transfusion medicine. Some cost-effectiveness study results for blood safety are discussed to provide context, followed by consideration of prominent decisions that have been made in transfusion medicine field. In the last section, the authors conjecture as to why in some cases cost-effectiveness analysis appears to have greater impact than in others, noting the terrible price that is paid in mortality and morbidity when cost-effectiveness analysis is ignored. In this context, the implications of opportunity cost are discussed, and it is noted that opportunity cost should not be viewed as benefits forgone by concentrating on one aspect of blood safety and instead should be viewed as our societal willingness to misallocate resources to achieve less health for the same cost.

  8. High titer L-lactic acid production from corn stover with minimum wastewater generation and techno-economic evaluation based on Aspen plus modeling.

    PubMed

    Liu, Gang; Sun, Jiaoe; Zhang, Jian; Tu, Yi; Bao, Jie

    2015-12-01

    Technological potentials of l-lactic acid production from corn stover feedstock were investigated by experimental and techno-economic studies. An optimal performance with 104.5 g/L in l-lactic acid titer and 71.5% in overall yield from cellulose in corn stover to l-lactic acid using an engineered Pediococcus acidilactici strain were obtained by overcoming several technical barriers. A rigorous Aspen plus model for l-lactic acid production starting from dry dilute acid pretreated and biodetoxified corn stover was developed. The techno-economic analysis shows that the minimum l-lactic acid selling price (MLSP) was $0.523 per kg, which was close to that of the commercial l-lactic acid produced from starch feedstock, and 24% less expensive than that of ethanol from corn stover, even though the xylose utilization was not considered. The study provided a prototype of industrial application and an evaluation model for high titer l-lactic acid production from lignocellulose feedstock. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. Do Political and Economic Choices Rely on Common Neural Substrates? A Systematic Review of the Emerging Neuropolitics Literature.

    PubMed

    Krastev, Sekoul; McGuire, Joseph T; McNeney, Denver; Kable, Joseph W; Stolle, Dietlind; Gidengil, Elisabeth; Fellows, Lesley K

    2016-01-01

    The methods of cognitive neuroscience are beginning to be applied to the study of political behavior. The neural substrates of value-based decision-making have been extensively examined in economic contexts; this might provide a powerful starting point for understanding political decision-making. Here, we asked to what extent the neuropolitics literature to date has used conceptual frameworks and experimental designs that make contact with the reward-related approaches that have dominated decision neuroscience. We then asked whether the studies of political behavior that can be considered in this light implicate the brain regions that have been associated with subjective value related to "economic" reward. We performed a systematic literature review to identify papers addressing the neural substrates of political behavior and extracted the fMRI studies reporting behavioral measures of subjective value as defined in decision neuroscience studies of reward. A minority of neuropolitics studies met these criteria and relatively few brain activation foci from these studies overlapped with regions where activity has been related to subjective value. These findings show modest influence of reward-focused decision neuroscience on neuropolitics research to date. Whether the neural substrates of subjective value identified in economic choice paradigms generalize to political choice thus remains an open question. We argue that systematically addressing the commonalities and differences in these two classes of value-based choice will be important in developing a more comprehensive model of the brain basis of human decision-making.

  10. Space tourism: from earth orbit to the moon

    NASA Astrophysics Data System (ADS)

    Collins, P.

    Travel to and from the lunar surface has been known to be feasible since it was first achieved 34 years ago. Since that time there has been enormous progress in related engineering fields such as rocket propulsion, materials and avionics, and about 1 billion has been spent on lunar science and engineering research. Consequently there are no fundamental technical problems facing the development of lunar tourism - only business and investment problems. The outstanding problem is to reduce the cost of launch to low Earth orbit. Recently there has been major progress towards overturning the myth that launch costs are high because of physical limits. Several "X Prize" competitor vehicles currently in test-flight are expected to be able to perform sub-orbital flights at approximately 1/1,000 of the cost of Alan Shepard's similar flight in 1961. This activity could have started 30 years ago if space agencies had had economic rather than political objectives. A further encouraging factor is that the demand for space tourism seems potentially limitless. Starting with sub-orbital flights and growing through orbital activities, travel to the Moon will offer further unique attractions. In every human culture there is immense interest in the Moon arising from millennia of myths. In addition, bird-like flying sports, first described by Robert Heinlein, will become another powerful demand factor. Roundtrips of 1 to 2 weeks are very convenient for travel companies; and the radiation environment will permit visitors several days of surface activity without significant health risks. The paper also discusses economic aspects of lunar tourism, including the benefits it will have for those on Earth. Lunar economic development based on tourism will have much in common with economic development on Earth based on tourism: starting from the fact that many people spontaneously wish to visit popular places, companies in the tourism industry invest to sell a growing range of services to ever more customers, thereby creating a major new hubs of economic activity and wealth. In the same way as trade with the "New World" enriched the "Old World" of Europe as well as emigrants themselves, the contribution of tourism to the economic development of the Moon will also create wealth on Earth, and open numerous opportunities for innovation.

  11. Economic and kinetic studies of the biological production of farm energy and chemicals from biomass. Annual progress report, March 1979-August 1980

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gaddy, J.L.

    1981-08-01

    A system has been designed and built to test the technical and economic feasibility of producing farm energy from cellulosic residues. The system has the capacity to produPropinibactriume 1300 CF of biogas and 180 kwh per day, using four parallel batch anaerobic digesters which are agitated mechanically and heated with waste heat from the engine-generator. This system has been satisfactorily operated for a one year period utilizing native grasses as the raw material. Laboratory reactors have been operated to determine the proper inoculation ratio for starting batch cultures with cellulosic raw materials. Procedures for startup and operation of batch digestionmore » systems have been developed and are presented. Energy and economic analyses of the operation of the test unit have been performed. Studies to determine the fertilizer potential of anaerobic digestor sludge (from agricultural residues) have been conducted. Additional studies reported include determinations of the feasibility of separating the stages of anaerobic digestion, the production of acetic and propionic acids by the micro-organism Propionibacterium acidi-propionici, the production of methane from acid hydrolyzates, and the kinetics of the continuos digestion of corn stover.« less

  12. Timely and complete publication of economic evaluations alongside randomized controlled trials.

    PubMed

    Thorn, Joanna C; Noble, Sian M; Hollingworth, William

    2013-01-01

    Little is known about the extent and nature of publication bias in economic evaluations. Our objective was to determine whether economic evaluations are subject to publication bias by considering whether economic data are as likely to be reported, and reported as promptly, as effectiveness data. Trials that intended to conduct an economic analysis and ended before 2008 were identified in the International Standard Randomised Controlled Trial Number (ISRCTN) register; a random sample of 100 trials was retrieved. Fifty comparator trials were randomly drawn from those not identified as intending to conduct an economic study. The trial start and end dates, estimated sample size and funder type were extracted. For trials planning economic evaluations, effectiveness and economic publications were sought; publication dates and journal impact factors were extracted. Effectiveness abstracts were assessed for whether they reached a firm conclusion that one intervention was most effective. Primary investigators were contacted about reasons for non-publication of results, or reasons for differential publication strategies for effectiveness and economic results. Trials planning an economic study were more likely to be funded by government (p = 0.01) and larger (p = 0.003) than other trials. The trials planning an economic evaluation had a mean of 6.5 (range 2.7-13.2) years since the trial end in which to publish their results. Effectiveness results were reported by 70 %, while only 43 % published economic evaluations (p < 0.001). Reasons for non-publication of economic results included the intervention being ineffective, and staffing issues. Funding source, time since trial end and length of study were not associated with a higher probability of publishing the economic evaluation. However, studies that were small or of unknown size were significantly less likely to publish economic evaluations than large studies (p < 0.001). The authors' confidence in labelling one intervention clearly most effective did not affect the probability of publication. The mean time to publication was 0.7 years longer for cost-effectiveness data than for effectiveness data where both were published (p = 0.001). The median journal impact factor was 1.6 points higher for effectiveness publications than for the corresponding economic publications (p = 0.01). Reasons for publishing in different journals included editorial decision making and the additional time that economic evaluation takes to conduct. Trials that intend to conduct an economic analysis are less likely to report economic data than effectiveness data. Where economic results do appear, they are published later, and in journals with lower impact factors. These results suggest that economic output may be more susceptible than effectiveness data to publication bias. Funders, grant reviewers and trialists themselves should ensure economic evaluations are prioritized and adequately staffed to avoid potential problems with bias.

  13. 3 CFR 8951 - Proclamation 8951 of March 29, 2013. National Financial Capability Month, 2013

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... college, starting a business, or opening a retirement account. Financial capability also means helping.... These reforms would encourage the kind of broad-based economic growth that gives everyone a better...

  14. Epidemiological and Clinical Characteristics of Kawasaki Disease and Factors Associated with Coronary Artery Abnormalities in East China: Nine Years Experience

    PubMed Central

    Tang, Yunjia; Gao, Xiang; Shen, Jie; Sun, Ling

    2016-01-01

    Background: Because of the different genetic backgrounds, living environments and economic conditions, the epidemiologic, clinical characteristics and risk factors for coronary artery abnormalities (CAAs) in the Chinese population may differ among different parts of China. Methods: We did a retrospective study to explore the clinical characteristics and risk factors for CAAs in east China between 2006 and 2014. Results: There were 1016 patients during the study period. Of the 1004 patients who completed echocardiographic studies, 23.9% had CAAs. Sex, serum albumin, erythrocyte sedimentation rate (ESR), Mycoplasma pneumoniae (MP) infection, intravenous immunoglobulin (IVIG) started after the 10th day of illness and IVIG non-responders were independent risk factors associated with CAA. Conclusions: East China has a lower incidence of CAAs compared with southwest and northeast China, while similar to north China. Male gender, serum albumin, ESR, MP infection, IVIG started after the 10th day of illness and IVIG non-responders were predictive of CAA. PMID:26884440

  15. Economical launching and accelerating control strategy for a single-shaft parallel hybrid electric bus

    NASA Astrophysics Data System (ADS)

    Yang, Chao; Song, Jian; Li, Liang; Li, Shengbo; Cao, Dongpu

    2016-08-01

    This paper presents an economical launching and accelerating mode, including four ordered phases: pure electrical driving, clutch engagement and engine start-up, engine active charging, and engine driving, which can be fit for the alternating conditions and improve the fuel economy of hybrid electric bus (HEB) during typical city-bus driving scenarios. By utilizing the fast response feature of electric motor (EM), an adaptive controller for EM is designed to realize the power demand during the pure electrical driving mode, the engine starting mode and the engine active charging mode. Concurrently, the smoothness issue induced by the sequential mode transitions is solved with a coordinated control logic for engine, EM and clutch. Simulation and experimental results show that the proposed launching and accelerating mode and its control methods are effective in improving the fuel economy and ensure the drivability during the fast transition between the operation modes of HEB.

  16. Migration, Business Formation, and the Informal Economy in Urban Mexico

    PubMed Central

    Riosmena, Fernando

    2013-01-01

    Although the informal economy has grown rapidly in several developing nations, and migration and informality may be related to similar types of credit constraints and market failures, previous research has not systematically attempted to identify if migrant households are more likely to start informal and formal businesses alike and if this association varies across local contexts. We examine the relationship between prior U.S. migration and the creation of both formal and informal businesses in urban Mexico using several criteria to indirectly assess sector location. We use data from 56 communities from the Mexican Migration Project to estimate multilevel survival and nonmultilevel competing risk models predicting the likelihood of informal, formal, and no business formation. The recent return migration of the household head is strongly associated with informal business creation, particularly in economically dynamic areas. On the other hand, migrants are only marginally more likely to start formal businesses in highly economically dynamic sending areas. PMID:23721676

  17. Parental influence on sport participation in elite young athletes.

    PubMed

    Baxter-Jones, A D G; Maffulli, N

    2003-06-01

    To ascertain how talented young British swimmers, gymnasts, tennis and soccer players are introduced to their sport, and to identify how they are encouraged into intensive systematic training. Two hundred and eighty-two elite young athletes (aged 8 to 17 yrs) and their parents were interviewed in their homes to identify how and why they started intensive training. Of the 4 sports studied (soccer, gymnastics, tennis, and swimming), parents of swimmers were more likely introduce their children to the sport (70%), while parents of gymnasts (42%) were the least likely to do so. However, in this sports parents played a lesser role in the transition to intensive training (6% and 5%, respectively). Nearly half the soccer players (47%) became involved in the sport because of their own interest, with the majority making the transition to intensive training because of encouragement by a coach (65%). Self-motivation (27%) and parental influence (57%) brought children into tennis with 25% of the young athletes in the sample autonomously deciding to start intensive training. Children from the lower socio-economic classes were underrepresented, and the total number of 1-parent families (5.3%) was considerably less than current British national norms (16.1%). In Britain, young athletes' involvement in high level sport is heavily dependent on their parents, with sports clubs and coaches playing an important later role. In the present socio-economic and cultural situation, many talented youngsters with less motivated parents will not undertake sport. Talented youngsters from a poorer economic background will be heavily disadvantaged, especially in sports such as tennis.

  18. Early economic evaluation of emerging health technologies: protocol of a systematic review

    PubMed Central

    2014-01-01

    Background The concept of early health technology assessment, discussed well over a decade, has now been collaboratively implemented by industry, government, and academia to select and expedite the development of emerging technologies that may address the needs of patients and health systems. Early economic evaluation is essential to assess the value of emerging technologies, but empirical data to inform the current practice of early evaluation is limited. We propose a systematic review of early economic evaluation studies in order to better understand the current practice. Methods/design This protocol describes a systematic review of economic evaluation studies of regulated health technologies in which the evaluation is conducted prior to regulatory approval and when the technology effectiveness is not well established. Included studies must report an economic evaluation, defined as the comparative analysis of alternatives with respect to their associated costs and health consequences, and must evaluate some regulated health technology such as pharmaceuticals, biologics, high-risk medical devices, or biomarkers. We will conduct the literature search on multiple databases, including MEDLINE, EMBASE, the Centre for Reviews and Dissemination Databases, and EconLit. Additional citations will be identified via scanning reference lists and author searching. We suspect that many early economic evaluation studies are unpublished, especially those conducted for internal use only. Additionally, we use a chain-referral sampling approach to identify authors of unpublished studies who work in technology discovery and development, starting out with our contact lists and authors who published relevant studies. Citation screening and full-text review will be conducted by pairs of reviewers. Abstracted data will include those related to the decision context and decision problem of the early evaluation, evaluation methods (e.g., data sources, methods, and assumptions used to identify, measure, and value the likely effectiveness and the costs and consequences of the new technology, handling of uncertainty), and whether the study results adequately address the main study question or objective. Data will be summarized overall and stratified by publication status. Discussion This study is timely to inform early economic evaluation practice, given the international trend in early health technology assessment initiatives. PMID:25055987

  19. Early economic evaluation of emerging health technologies: protocol of a systematic review.

    PubMed

    Pham, Ba'; Tu, Hong Anh Thi; Han, Dolly; Pechlivanoglou, Petros; Miller, Fiona; Rac, Valeria; Chin, Warren; Tricco, Andrea C; Paulden, Mike; Bielecki, Joanna; Krahn, Murray

    2014-07-23

    The concept of early health technology assessment, discussed well over a decade, has now been collaboratively implemented by industry, government, and academia to select and expedite the development of emerging technologies that may address the needs of patients and health systems. Early economic evaluation is essential to assess the value of emerging technologies, but empirical data to inform the current practice of early evaluation is limited. We propose a systematic review of early economic evaluation studies in order to better understand the current practice. This protocol describes a systematic review of economic evaluation studies of regulated health technologies in which the evaluation is conducted prior to regulatory approval and when the technology effectiveness is not well established. Included studies must report an economic evaluation, defined as the comparative analysis of alternatives with respect to their associated costs and health consequences, and must evaluate some regulated health technology such as pharmaceuticals, biologics, high-risk medical devices, or biomarkers. We will conduct the literature search on multiple databases, including MEDLINE, EMBASE, the Centre for Reviews and Dissemination Databases, and EconLit. Additional citations will be identified via scanning reference lists and author searching. We suspect that many early economic evaluation studies are unpublished, especially those conducted for internal use only. Additionally, we use a chain-referral sampling approach to identify authors of unpublished studies who work in technology discovery and development, starting out with our contact lists and authors who published relevant studies. Citation screening and full-text review will be conducted by pairs of reviewers. Abstracted data will include those related to the decision context and decision problem of the early evaluation, evaluation methods (e.g., data sources, methods, and assumptions used to identify, measure, and value the likely effectiveness and the costs and consequences of the new technology, handling of uncertainty), and whether the study results adequately address the main study question or objective. Data will be summarized overall and stratified by publication status. This study is timely to inform early economic evaluation practice, given the international trend in early health technology assessment initiatives.

  20. Improving the genome annotation of the acarbose producer Actinoplanes sp. SE50/110 by sequencing enriched 5'-ends of primary transcripts.

    PubMed

    Schwientek, Patrick; Neshat, Armin; Kalinowski, Jörn; Klein, Andreas; Rückert, Christian; Schneiker-Bekel, Susanne; Wendler, Sergej; Stoye, Jens; Pühler, Alfred

    2014-11-20

    Actinoplanes sp. SE50/110 is the producer of the alpha-glucosidase inhibitor acarbose, which is an economically relevant and potent drug in the treatment of type-2 diabetes mellitus. In this study, we present the detection of transcription start sites on this genome by sequencing enriched 5'-ends of primary transcripts. Altogether, 1427 putative transcription start sites were initially identified. With help of the annotated genome sequence, 661 transcription start sites were found to belong to the leader region of protein-coding genes with the surprising result that roughly 20% of these genes rank among the class of leaderless transcripts. Next, conserved promoter motifs were identified for protein-coding genes with and without leader sequences. The mapped transcription start sites were finally used to improve the annotation of the Actinoplanes sp. SE50/110 genome sequence. Concerning protein-coding genes, 41 translation start sites were corrected and 9 novel protein-coding genes could be identified. In addition to this, 122 previously undetermined non-coding RNA (ncRNA) genes of Actinoplanes sp. SE50/110 were defined. Focusing on antisense transcription start sites located within coding genes or their leader sequences, it was discovered that 96 of those ncRNA genes belong to the class of antisense RNA (asRNA) genes. The remaining 26 ncRNA genes were found outside of known protein-coding genes. Four chosen examples of prominent ncRNA genes, namely the transfer messenger RNA gene ssrA, the ribonuclease P class A RNA gene rnpB, the cobalamin riboswitch RNA gene cobRS, and the selenocysteine-specific tRNA gene selC, are presented in more detail. This study demonstrates that sequencing of enriched 5'-ends of primary transcripts and the identification of transcription start sites are valuable tools for advanced genome annotation of Actinoplanes sp. SE50/110 and most probably also for other bacteria. Copyright © 2014 Elsevier B.V. All rights reserved.

  1. Introduction of the Tools for Economic Analysis of Patient Management Interventions in Heart Failure Costing Tool: a user-friendly spreadsheet program to estimate costs of providing patient-centered interventions.

    PubMed

    Reed, Shelby D; Li, Yanhong; Kamble, Shital; Polsky, Daniel; Graham, Felicia L; Bowers, Margaret T; Samsa, Gregory P; Paul, Sara; Schulman, Kevin A; Whellan, David J; Riegel, Barbara J

    2012-01-01

    Patient-centered health care interventions, such as heart failure disease management programs, are under increasing pressure to demonstrate good value. Variability in costing methods and assumptions in economic evaluations of such interventions limit the comparability of cost estimates across studies. Valid cost estimation is critical to conducting economic evaluations and for program budgeting and reimbursement negotiations. Using sound economic principles, we developed the Tools for Economic Analysis of Patient Management Interventions in Heart Failure (TEAM-HF) Costing Tool, a spreadsheet program that can be used by researchers and health care managers to systematically generate cost estimates for economic evaluations and to inform budgetary decisions. The tool guides users on data collection and cost assignment for associated personnel, facilities, equipment, supplies, patient incentives, miscellaneous items, and start-up activities. The tool generates estimates of total program costs, cost per patient, and cost per week and presents results using both standardized and customized unit costs for side-by-side comparisons. Results from pilot testing indicated that the tool was well-formatted, easy to use, and followed a logical order. Cost estimates of a 12-week exercise training program in patients with heart failure were generated with the costing tool and were found to be consistent with estimates published in a recent study. The TEAM-HF Costing Tool could prove to be a valuable resource for researchers and health care managers to generate comprehensive cost estimates of patient-centered interventions in heart failure or other conditions for conducting high-quality economic evaluations and making well-informed health care management decisions.

  2. 78 FR 46966 - Food Safety Modernization Act Domestic and Foreign Facility Reinspection, Recall, and Importer...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... the full cost recovery of FDA reinspection or recall oversight could impose severe economic hardship... Safety and Applied Nutrition (CFSAN) and the Center for Veterinary Medicine (CVM). Thus, as the starting...

  3. JPRS Report, Soviet Union Economic Affairs

    DTIC Science & Technology

    1988-11-01

    Shatlykgazstroy [ Shatlyk Gas Construction] Trust and a group of Romanian construc- tion workers. A creative camaraderie was established between the...international collectives, and competition developed for the fastest start-up of the facilities. The Shatlyk gas-construction workers are successfully

  4. Starting Up a Company in a Mature Market: Wise or Foolish ?

    NASA Astrophysics Data System (ADS)

    Biberger, Maximilian

    SDCmaterials, Inc. (SDC) is a venture backed, mature start up in the automotive sector. Moreover: Catalytic Converters for vehicles and stationary applications. The company has invented and developed environmentally friendly, novel materials as well as material integration techniques for catalytic converters based on a proprietary and patented nanotechnology. Traditionally catalysts require large amounts of PGMs (Platinum Group Metals), more than USD 10B per year, in order to treat vehicle emissions. Due to that, the catalytic converter is the single most expensive piece part in a vehicle. The currently used technologies have served the industry well. However, as emission standards dramatically tighten, particularly in China, the demand for more fuel efficient and Hybrid vehicles increases, this technology begins to start showing limitations as it can meet the aforementioned demands only by increasing the PGM amount per vehicle. This in turn will increase the cost per vehicle and / or reduce margins for the automotive industry, and in addition to that impact the environment negatively. In contrast to existing technologies, the SDC based technology can meet future emission goals by maintaining, or even reducing, the PGM amount required to treat exhaust emissions. This results in tremendous savings for the consumer and the automotive industry, as well as a significantly better stewardship of natural resources and clean manufacturing. In the present paper the pros and cons of starting a nanotechnology company in a mature market are presented. Both from a business & economics, as well as from a technology point of view. The case is made that it is possible to start a company in a mature market and that novel technologies can compete economically with 40+ old year technologies.

  5. Methodological barriers to studying the association between the economic crisis and suicide in Spain.

    PubMed

    Alvarez-Galvez, Javier; Salinas-Perez, Jose A; Rodero-Cosano, María Luisa; Salvador-Carulla, Luis

    2017-09-06

    The hypothetical relationship between economic recession and the increase in suicides in Spain is subject to various arguments. In addition to the inherent complexity of capturing and explaining the underlining mechanisms that could describe this causal link, different points of contention have been be identified. The period of this association and its possible starting points, the socioeconomic determinants that may explain the variation in suicide rate, and the data sources available are the main focus of controversy. The present study aims to identify the phases of association between different periods of economic recession and suicide rates, and compare the effect of different social determinants of health that have been mentioned in previous studies. We have used interrupted time series analyses to assess the impact of economic recession on national rates of suicide mortality provided by the Spanish Statistical Office (1980-2014). In an attempt to consider the factors that have affected the study of suicide in Spain, different data sources/periods, predictors, and regions in Spain were analysed. The analysis revealed a positive and significant relationship between the Great Recession and suicide rates during the second period of economic recession (2011-2014), while appeared to decrease during the first recession period. However, the first decreasing trend was not statistically significant in the global analysis of the evolution of monthly suicide rates for the entire country. Both unemployment and per capita GDP were positively related to suicide trends. Finally, the regional analysis demonstrates a similar pattern in different Spanish areas. Although previous studies have mentioned the double-dip in the suicide rate associated with the corresponding period of double recession, our study only identify a positive relationship during the second recession period. These results points out that the major impact of economic problems might have had a delayed effect due to initial protection policies.

  6. Knowledge Translation Interventions to Improve the Timing of Dialysis Initiation: Protocol for a Cluster Randomized Trial.

    PubMed

    Chau, Elaine M T; Manns, Braden J; Garg, Amit X; Sood, Manish M; Kim, S Joseph; Naimark, David; Nesrallah, Gihad E; Soroka, Steven D; Beaulieu, Monica; Dixon, Stephanie; Alam, Ahsan; Tangri, Navdeep

    2016-01-01

    Early initiation of chronic dialysis (starting dialysis with higher vs lower kidney function) has risen rapidly in the past 2 decades in Canada and internationally, despite absence of established health benefits and higher costs. In 2014, a Canadian guideline on the timing of dialysis initiation, recommending an intent-to-defer approach, was published. The objective of this study is to evaluate the efficacy and safety of a knowledge translation intervention to promote the intent-to-defer approach in clinical practice. This study is a multicenter, 2-arm parallel, cluster randomized trial. The study involves 55 advanced chronic kidney disease clinics across Canada. Patients older than 18 years who are managed by nephrologists for more than 3 months, and initiate dialysis in the follow-up period are included in the study. Outcomes will be measured at the patient-level and enumerated within a cluster. Data on characteristics of each dialysis start will be determined by linkages with the Canadian Organ Replacement Register. Primary outcomes include the proportion of patients who start dialysis early with an estimated glomerular filtration rate greater than 10.5 mL/min/1.73 m 2 and start dialysis in hospital as inpatients or in an emergency room setting. Secondary outcomes include the rate of change in early dialysis starts; rates of hospitalizations, deaths, and cost of predialysis care (wherever available); quarterly proportion of new starts; and acceptability of the knowledge translation materials. We randomized 55 multidisciplinary chronic disease clinics (clusters) in Canada to receive either an active knowledge translation intervention or no intervention for the uptake of the guideline on the timing of dialysis initiation. The active knowledge translation intervention consists of audit and feedback as well as patient- and provider-directed educational tools delivered at a comprehensive in-person medical detailing visit. Control clinics are only exposed to guideline release without active dissemination. We hypothesize that the clinics randomized to the intervention group will have a lower proportion of early dialysis starts. Limitations include passive dissemination of the guideline through publication, and lead-time and survivor bias, which favors delayed dialysis initiation. If successful, this active knowledge translation intervention will reduce early dialysis starts, lead to health and economic benefits, and provide a successful framework for evaluating and disseminating future guidelines. ClinicalTrials.gov, NCT02183987.

  7. Effect of treatment with natalizumab on ability to work in people with multiple sclerosis: productivity gain based on direct measurement of work capacity before and after 1 year of treatment.

    PubMed

    Olofsson, Sara; Wickström, Anne; Häger Glenngård, Anna; Persson, Ulf; Svenningsson, Anders

    2011-10-01

    Sweden is a high endemic region for multiple sclerosis (MS), a neurologic disorder characterized by repeated inflammatory episodes affecting the CNS. The disease has its peak age of onset at approximately 30 years and affects women twice as often as men. The young age of onset makes MS one of the major causes of reduced capacity to work due to neurologic disease in Western society. Natalizumab (Tysabri®) is among the new generation of biologic drugs for the treatment of MS. Clinical studies have demonstrated that natalizumab is an effective treatment for preventing relapses and inflammatory activity. The aim of the study was to estimate the monetary value of treatment with natalizumab on the ability to work in patients with MS in Sweden, based on a direct measurement of weekly hours worked before and after 1 year of treatment with natalizumab. A sample of patients, consisting of all patients who had started treatment with natalizumab during the period June 2007-May 2008, was identified through the Swedish Multiple Sclerosis Register (SMSreg). Data about sex, age, disease severity, and disease duration were collected from the register. Data about type of work and work capacity (number of hours worked per week) were collected retrospectively through a postal questionnaire. The average hours worked per week was estimated at baseline (2 weeks before treatment started) and at follow-up (50 weeks after treatment started), and the change was assigned an economic value using the human capital approach. This study showed that after 50 weeks of treatment with natalizumab, people with MS increased their productivity by 3.3 hours per week on average (p < 0.01), which corresponded to an economic value of &U20AC;3216 per person per year (year 2007 values). A shorter duration of illness or being 25-35 years old was significantly associated with a greater productivity gain (p = 0.025 and p = 0.002, respectively). A shorter duration of illness and a lower age at the start of treatment were significantly associated with a greater productivity gain after 50 weeks of treatment with natalizumab, which indicates that it is more beneficial to initiate efficient therapy early in patients with MS.

  8. Preliminary estimates of the direct costs associated with endemic diseases of livestock in Great Britain.

    PubMed

    Bennett, R; Christiansen, K; Clifton-Hadley, R

    1999-04-09

    Many 'economic' studies of livestock diseases in Great Britain have been carried out over time. Most studies have considered just one or two diseases and used a different methodology and valuation base from other studies, hampering any comparative assessment of the economic impact of diseases. A standardized methodology was applied to the estimation of the direct costs to livestock production of some 30 endemic diseases/conditions of farm animals in Great Britain. This involved identification of the livestock populations at risk, estimation of the annual incidence of each disease in these populations, identification of the range and incidence of physical effects of each disease on production, valuation of the physical effects of each disease and estimation of the financial value of output losses/resource wastage due to a disease and the costs of specific treatment and prevention measures. The wider economic impacts of disease (such as the implications for human health, animal welfare and markets) were not included in the assessments. Using this standardized methodology with common financial values, a simple spreadsheet model was constructed for each disease. Given the paucity of appropriate disease data for economic assessment, 'low' and 'high' values were used to reflect uncertainties surrounding key disease parameters. Preliminary estimates of the value of disease output losses/resource wastage, treatment and prevention costs are presented for each disease. Despite the limitations of the spreadsheet models and of the estimates derived from them, we conclude that the models represent a useful start in developing a system for the comparative economic assessment of livestock diseases in Great Britain.

  9. A methodology for hypersonic transport technology planning

    NASA Technical Reports Server (NTRS)

    Repic, E. M.; Olson, G. A.; Milliken, R. J.

    1973-01-01

    A systematic procedure by which the relative economic value of technology factors affecting design, configuration, and operation of a hypersonic cruise transport can be evaluated is discussed. Use of the methodology results in identification of first-order economic gains potentially achievable by projected advances in each of the definable, hypersonic technologies. Starting with a baseline vehicle, the formulas, procedures and forms which are integral parts of this methodology are developed. A demonstration of the methodology is presented for one specific hypersonic vehicle system.

  10. Energy Market and Economic Impacts of S. 280, the Climate Stewardship and Innovation Act of 2007

    EIA Publications

    2007-01-01

    This report responds to a request from Senators Joseph Lieberman and John McCain for an estimate of the economic impacts of S.280, the Climate Stewardship and Innovation Act of 2007. S. 280 would establish a series of caps on greenhouse gas emissions starting in 2012 followed by increasingly stringent caps beginning in 2020, 2030 and 2050. The report provides estimates of the effects of S. 280 on energy markets and the economy through 2030.

  11. A methodology for boost-glide transport technology planning

    NASA Technical Reports Server (NTRS)

    Repic, E. M.; Olson, G. A.; Milliken, R. J.

    1974-01-01

    A systematic procedure is presented by which the relative economic value of technology factors affecting design, configuration, and operation of boost-glide transport can be evaluated. Use of the methodology results in identification of first-order economic gains potentially achievable by projected advances in each of the definable, hypersonic technologies. Starting with a baseline vehicle, the formulas, procedures and forms which are integral parts of this methodology are developed. A demonstration of the methodology is presented for one specific boost-glide system.

  12. Knee Joint Distraction Compared to Total Knee Arthroplasty for Treatment of End Stage Osteoarthritis: Simulating Long-Term Outcomes and Cost-Effectiveness.

    PubMed

    van der Woude, J A D; Nair, S C; Custers, R J H; van Laar, J M; Kuchuck, N O; Lafeber, F P J G; Welsing, P M J

    2016-01-01

    In end-stage knee osteoarthritis the treatment of choice is total knee arthroplasty (TKA). An alternative treatment is knee joint distraction (KJD), suggested to postpone TKA. Several studies reported significant and prolonged clinical improvement of KJD. To make an appropriate decision regarding the position of this treatment, a cost-effectiveness and cost-utility analysis from healthcare perspective for different age and gender categories was performed. A treatment strategy starting with TKA and a strategy starting with KJD for patients of different age and gender was simulated. To extrapolate outcomes to long-term health and economic outcomes a Markov (Health state) model was used. The number of surgeries, QALYs, and treatment costs per strategy were calculated. Costs-effectiveness is expressed using the cost-effectiveness plane and cost-effectiveness acceptability curves. Starting with KJD the number of knee replacing procedures could be reduced, most clearly in the younger age categories; especially revision surgery. This resulted in the KJD strategy being dominant (more effective with cost-savings) in about 80% of simulations (with only inferiority in about 1%) in these age categories when compared to TKA. At a willingness to pay of 20.000 Euro per QALY gained, the probability of starting with KJD to be cost-effective compared to starting with a TKA was already found to be over 75% for all age categories and over 90-95% for the younger age categories. A treatment strategy starting with knee joint distraction for knee osteoarthritis has a large potential for being a cost-effective intervention, especially for the relatively young patient.

  13. [Economic aspects of prevention: an international perspective].

    PubMed

    Suhrcke, M

    2009-10-01

    This article provides an overview of selected economic aspects of primary prevention, from an international perspective. It starts by qualifying two widely held myths about the economics of prevention. It then discusses two core components of the economic argument for (or against) prevention: first, this involves providing a very basic, efficiency-based rationale for a role of government in prevention; second, we review the existing evidence on the cost-effectiveness of primary prevention. While a fair amount of encouraging evidence exists, there has definitely been far more cost-effectiveness research on clinical than on non-clinical primary prevention (e. g., health promotion). The article seeks to explain this comparative shortage, which carries over to pure effectiveness research on prevention. It concludes by arguing the economic case for a role of government not only in prevention but also, and even more so, in research on non-clinical prevention. Copyright Georg Thieme Verlag KG Stuttgart . New York.

  14. The Freight Transportation Services Index as a leading economic indicator

    DOT National Transportation Integrated Search

    2009-09-01

    The Bureau of Transportation Statistics (BTS) freight Transportation : Services Index (TSI) showed a decline a full year : and a half prior to the start of the current recession. This : downturn suggests the TSI may prove particularly useful : as ...

  15. Sunflower

    USDA-ARS?s Scientific Manuscript database

    Sunflower (Helianthus annuus L.) is a species native to North America. It is a relatively new crop in the USA with commercialization starting around 1970. The high oil content sunflower seed changed the economics of producing and crushing sunflower seed for oil, making it attractive for growers. A n...

  16. Start Out: Building Healthcare Careers for Minority Teenagers.

    ERIC Educational Resources Information Center

    Yates, Susan Hunter; Bline, Kerri; Bird, Chelsea; Bresnahan, Erin; Couper-Noles, Rebekah; Cutler, Sarah; Henderson, Susanne; Hymel, Erin; Salsman, Tracie; Tonellato, Malia; Steele, Annie; Lindenberg, Cathy Strachan

    2003-01-01

    To interest multicultural, bilingual teenagers in nursing careers, an 8-week culturally focused summer program integrated life planning, mentorship, nursing assistant training, and college application assistance while providing stipends and scholarship opportunities. Twenty-four economically disadvantaged teenagers completed the program and passed…

  17. 45 CFR 1302.2 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Economic Opportunity Act of 1964, as amended. Approvable application means an application for a Head Start... financial viability, provides for comprehensive services for children and families and for effective and... by a community action agency. Financial viability means the capability of an applicant or the...

  18. 45 CFR 1302.2 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Economic Opportunity Act of 1964, as amended. Approvable application means an application for a Head Start... financial viability, provides for comprehensive services for children and families and for effective and... by a community action agency. Financial viability means the capability of an applicant or the...

  19. 45 CFR 1302.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Economic Opportunity Act of 1964, as amended. Approvable application means an application for a Head Start... financial viability, provides for comprehensive services for children and families and for effective and... by a community action agency. Financial viability means the capability of an applicant or the...

  20. 45 CFR 1302.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Economic Opportunity Act of 1964, as amended. Approvable application means an application for a Head Start... financial viability, provides for comprehensive services for children and families and for effective and... by a community action agency. Financial viability means the capability of an applicant or the...

  1. 45 CFR 1302.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Economic Opportunity Act of 1964, as amended. Approvable application means an application for a Head Start... financial viability, provides for comprehensive services for children and families and for effective and... by a community action agency. Financial viability means the capability of an applicant or the...

  2. Production of hydrocarbons from hydrates. [DOE patent application

    DOEpatents

    McGuire, P.L.

    1981-09-08

    An economical and safe method of producing hydrocarbons (or natural gas) from in situ hydrocarbon-containing hydrates is given. Once started, the method will be self-driven and will continue producing hydrocarbons over an extended period of time (i.e., many days).

  3. China Report, Economic Affairs

    DTIC Science & Technology

    1986-04-23

    uniformity" otherwise the scope control will not be effective. If we want to strengthen macroeconomic control and to stimulate the microeconomy ...management results of microeconomy . They blindly pursue the starting of projects but fail to consider or assume responsibility for the "ending" of projects

  4. Innovation, entrepreneurship and textiles

    NASA Astrophysics Data System (ADS)

    Blanton Godfrey, A.; Pourmojib, S.

    2017-10-01

    Innovation and entrepreneurship have become increasingly important parts of economic development in almost every country, region, and community. In this research we investigate the reasons people become entrepreneurs in the textile and apparel industries and compare entrepreneurship in these industries with other industries looking also at the success factors for start up companies. During our research we found many disrupters, people entering the textile and apparel industries from outside often having no prior experience in textiles or apparel. We also investigate the impact of government intervention on entrepreneurship. In recognition of the large economic impact entrepreneurial companies have on economic development and job growth, almost all federal governments, regional governments, and community governments have created support for innovation and entrepreneurship.

  5. How did the economic recession (2008-2010) influence traffic fatalities in OECD-countries?

    PubMed

    Wegman, Fred; Allsop, Richard; Antoniou, Constantinos; Bergel-Hayat, Ruth; Elvik, Rune; Lassarre, Sylvain; Lloyd, Daryl; Wijnen, Wim

    2017-05-01

    This paper presents analyses of how the economic recession that started in 2008 has influenced the number of traffic fatalities in OECD countries. Previous studies of the relationship between economic recessions and changes in the number of traffic fatalities are reviewed. Based on these studies, a causal diagram of the relationship between changes of the business cycle and changes in the number of traffic fatalities is proposed. This causal model is tested empirically by means of multivariate analyses and analyses of accident statistics for Great Britain and Sweden. Economic recession, as indicated both by slower growth of, or decline of gross national product, and by increased unemployment is associated with an accelerated decline in the number of traffic fatalities, i.e. a larger decline than the long-term trend that is normal in OECD countries. The principal mechanisms bringing this about are a disproportionate reduction of driving among high-risk drivers, in particular young drivers and a reduction of fatality rate per kilometre of travel, probably attributable to changes in road user behaviour that are only partly observable. The total number of vehicle kilometres of travel did not change very much as a result of the recession. The paper is based on an ITF-report that presents the analyses in greater detail. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Optical MEMS: past, present and future

    NASA Astrophysics Data System (ADS)

    Ramani, Chandra Mouli

    2005-09-01

    Spurred by the growth of the internet, Optical Telecommunications bandwidth, experienced unprecedented growth during late 1990's. During this time of great economic expansion, the creation of new enterprises was vast and the expansion of established component, system and services companies was breathtaking. Unfortunately, this positive economic state was short-lived. This period was followed in 2001-2004 by one of the most significant market crashes in history. During those 10 years of economic growth, about $20B in venture capital was invested in the optical telecom industry, most of this investment was lost in recent years. Many start-up industries which experienced unprecedented growth at the end of the 20th century were lost at the start of the 21st. (1) During this time many, innovative technologies were born and buried. However, many new capabilities emerged from this period of unrest; one such example is the advent of Optical MEMS (MOEMS). Many academics and corporate laboratories pursued the development of MOEMS during the economic boom and, in the author's view; MOEMS surfaced as a powerful and versatile tool set that has proved invaluable and in the last few years during economic downturn, stood the test of time. In the Telecommunications industry, for optical switching and wavelength management applications MOEMS has proven to be the technology of choice. (2) Variable Optical Attenuators (VOA), Wavelength Blockers (WB), Dynamic Gain Equalizers (DGE), and most recently Wavelength Selective Switches (WSS) are being used in the numerous recent network deployments. Moreover, agile networks of the future will have MOEMS at every node. This presentation will provide an overview of the history of MOEMS in Telecommunications, discuss its byproducts and offer a window into the future of the technology.

  7. Peste des Petits Ruminants virus: an emerging threat to goat farming in Pakistan.

    PubMed

    Abubakar, M; Munir, M

    2014-08-01

    Pakistan at present is having more than 60 million head of goats, which consist of about 37 well-recognized breeds found in different regions of the country. Although the goat farming on commercial level is escalating in Pakistan, there are threats, which result this initiative into a loss. Among these threats, Peste des Petits Ruminants (PPR) outbreaks are causing huge economic damages. In this study, three outbreaks of PPR were confirmed at three different commercial farms in various regions of Punjab province and their economic impact on small ruminants farming was calculated. The disease started after 1-2 months of the establishment of these farms as the animals were purchased from different livestock markets. Disease started with sudden onset of respiratory and enteric clinical signs and spreads quickly. Disease caused mortality and morbidity of 10-15% and 20-40%, respectively, within a time period of 01-03 weeks. At these three farms, 116 of 365 animals exhibited the clinical disease, with an overall morbidity rate of 31.78%. A total of 43 animals died with mortality rate of 11.78% (43/365) causing a direct financial loss of $4300 (Pakistan Rupees 430,000/-), while the indirect cost due to treatment, loss of animal body condition, reduction in market value, increase veterinary services and labour was $7911 (Pak Rs. 791,100/-). Taken together, the results demonstrate that there is an urgent need to assess the economic impact of the disease throughout the country and to give proper emphasis for controlling PPR in sensitive regions where it is discouraging the investment in goat farming. © 2014 Blackwell Verlag GmbH.

  8. Preschool Interpersonal Relationships Predict Kindergarten Achievement: Mediated by Gains in Emotion Knowledge

    PubMed Central

    Torres, Marcela M.; Domitrovich, Celene E.; Bierman, Karen L.

    2016-01-01

    Using longitudinal data, this study tested a model in which preschool interpersonal relationships promoted kindergarten achievement in a pathway mediated by growth in emotion knowledge. The sample included 164 children attending Head Start (14% Hispanic-American, 30% African-American, 56% Caucasian; 56% girls). Preschool interpersonal relationships were indexed by student-teacher relationship closeness and positive peer interactions. Two measures of emotion knowledge (identifying emotions in photographs, recognizing emotions in stories) were assessed at the start and end of the preschool year. Structural equation models revealed that positive interpersonal relationships (with teachers and peers) predicted gains in emotion knowledge (identification, recognition) during the preschool year. Positive interpersonal relationships in preschool also predicted kindergarten achievement (controlling for initial preschool achievement); however, this association was mediated by gains in emotion knowledge during the preschool year. Implications are discussed for school readiness programs serving economically-disadvantaged children. PMID:27630379

  9. Introduction of the TEAM-HF Costing Tool: A User-Friendly Spreadsheet Program to Estimate Costs of Providing Patient-Centered Interventions

    PubMed Central

    Reed, Shelby D.; Li, Yanhong; Kamble, Shital; Polsky, Daniel; Graham, Felicia L.; Bowers, Margaret T.; Samsa, Gregory P.; Paul, Sara; Schulman, Kevin A.; Whellan, David J.; Riegel, Barbara J.

    2011-01-01

    Background Patient-centered health care interventions, such as heart failure disease management programs, are under increasing pressure to demonstrate good value. Variability in costing methods and assumptions in economic evaluations of such interventions limit the comparability of cost estimates across studies. Valid cost estimation is critical to conducting economic evaluations and for program budgeting and reimbursement negotiations. Methods and Results Using sound economic principles, we developed the Tools for Economic Analysis of Patient Management Interventions in Heart Failure (TEAM-HF) Costing Tool, a spreadsheet program that can be used by researchers or health care managers to systematically generate cost estimates for economic evaluations and to inform budgetary decisions. The tool guides users on data collection and cost assignment for associated personnel, facilities, equipment, supplies, patient incentives, miscellaneous items, and start-up activities. The tool generates estimates of total program costs, cost per patient, and cost per week and presents results using both standardized and customized unit costs for side-by-side comparisons. Results from pilot testing indicated that the tool was well-formatted, easy to use, and followed a logical order. Cost estimates of a 12-week exercise training program in patients with heart failure were generated with the costing tool and were found to be consistent with estimates published in a recent study. Conclusions The TEAM-HF Costing Tool could prove to be a valuable resource for researchers and health care managers to generate comprehensive cost estimates of patient-centered interventions in heart failure or other conditions for conducting high-quality economic evaluations and making well-informed health care management decisions. PMID:22147884

  10. Social franchising of TB care through private GPs in Myanmar: an assessment of treatment results, access, equity and financial protection.

    PubMed

    Lönnroth, Knut; Aung, Tin; Maung, Win; Kluge, Hans; Uplekar, Mukund

    2007-05-01

    This article assesses whether social franchising of tuberculosis (TB) services in Myanmar has succeeded in providing quality treatment while ensuring equity in access and financial protection for poor patients. Newly diagnosed TB patients receiving treatment from private general practitioners (GPs) belonging to the franchise were identified. They were interviewed about social conditions, health seeking and health care costs at the time of starting treatment and again after 6 months follow-up. Routine data were used to ascertain clinical outcomes as well as to monitor trends in case notification. The franchisees contributed 2097 (21%) of the total 9951 total new sputum smear-positive pulmonary cases notified to the national TB programme in the study townships. The treatment success rate for new smear-positive cases was 84%, close to the World Health Organization target of 85% and similar to the treatment success of 81% in the national TB programme in Myanmar. People from the lower socio-economic groups represented 68% of the TB patients who access care in the franchise. Financial burden related to direct and indirect health care costs for tuberculosis was high, especially among the poor. Patients belonging to lower socio-economic groups incurred on average costs equivalent to 68% of annual per capita household income, with a median of 28%. However, 83% of all costs were incurred before starting treatment in the franchise, while 'shopping' for care. During treatment in the franchise, the cost of care was relatively low, corresponding to a median proportion of annual per capita income of 3% for people from lower socio-economic groups. This study shows that highly subsidized TB care delivered through a social franchise scheme in the private sector in Myanmar helped reach the poor with quality services, while partly protecting them from high health care expenditure. Extended outreach to others parts of the private sector may reduce diagnostic delay and patient costs further.

  11. Costs and economic consequences of a help-at-home scheme for older people in England.

    PubMed

    Bauer, Annette; Knapp, Martin; Wistow, Gerald; Perkins, Margaret; King, Derek; Iemmi, Valentina

    2017-03-01

    Solutions to support older people to live independently and reduce the cost of an ageing population are high on the political agenda of most developed countries. Help-at-home schemes offer a mix of community support with the aim to address a range of well-being needs. However, not much is currently known about the costs, outcomes and economic consequences of such schemes. Understanding their impact on individuals' well-being and the economic consequences for local and central government can contribute to decisions about sustainable long-term care financing. This article presents results from a mixed-methods study of a voluntary sector-provided help-at-home scheme in England for people of 55 years and older. The study followed a participatory approach, which involved staff and volunteers. Data were collected during 2012 and 2013. Social care-related quality of life was measured with the Adult Social Care Outcomes Toolkit for 24 service users (59% response rate) when they started using the scheme and 4-6 months later. A customised questionnaire that captured resource use and well-being information was sent to 1064 service users (63% response rate). The same tool was used in assessment with service users who started using the scheme between November 2012 and April 2013 (100% response rate). Costs of the scheme were established from local budget and activity data. The scheme was likely to achieve a mean net benefit of £1568 per person from a local government and National Health Service (NHS) perspective and £3766 from the perspective of the individual. An expenditure of £2851 per person accrued to central government for the additional redistribution of benefit payments to older people. This article highlights the potential contribution of voluntary sector-run help-at-home schemes to an affordable welfare system for ageing societies. © 2016 John Wiley & Sons Ltd.

  12. Public choice economics and space policy: realising space tourism

    NASA Astrophysics Data System (ADS)

    Collins, Patrick

    2001-03-01

    Government space agencies have the statutory responsibility to suport the commercialisation of space activities. NASA's 1998 report "General Public Space Travel and Tourism" concluded that passenger space travel can start using already existing technology, and is likely to grow into the largest commercial activity in space: it is therefore greatly in taxpayers' economic interest that passenger space travel and accommodation industries should be developed. However, space agencies are doing nothing to help realise this — indeed, they are actively delaying it. This behaviour is predicted by 'public choice' economics, pioneered by Professors George Stigler and James Buchanan who received the 1982 and 1986 Nobel prizes for Economics, which views government organisations as primarily self-interested. The paper uses this viewpoint to discuss public and private roles in the coming development of a space tourism industry.

  13. 13 CFR 308.2 - Performance awards.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Performance awards. 308.2 Section 308.2 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION, DEPARTMENT OF COMMERCE... Recipient's projection of private sector capital invested; (3) Meet or exceed target dates for Project start...

  14. 13 CFR 315.10 - Loss of certification benefits.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Loss of certification benefits. 315.10 Section 315.10 Business Credit and Assistance ECONOMIC DEVELOPMENT ADMINISTRATION, DEPARTMENT... expiration; (b) Failure to submit documentation necessary to start implementation or modify its request for...

  15. Worldwide Report, Telecommunications Policy, Research and Development

    DTIC Science & Technology

    1984-03-23

    billion dollars) in credit to China under the second economic cooperation package starting in fiscal 1984, government sources said Thursday. The...Minister Mota Pinto recently announced during his trip to the United States that this project, which was budgeted for 9 million escudos at the

  16. Classroom Capitalists

    ERIC Educational Resources Information Center

    Seaquist, Robert; And Others

    1977-01-01

    Economics projects, for all levels, that feature in-the-classroom factories and stores, fund raising to save a cat, and the formation of a corporation. The kids even took out a loan to get started. And they're all designed to earn a lot of learning on the bottom line. (Editor)

  17. Migration, business formation, and the informal economy in urban Mexico.

    PubMed

    Sheehan, Connor M; Riosmena, Fernando

    2013-07-01

    Although the informal economy has grown rapidly in several developing nations, and migration and informality may be related to similar types of credit constraints and market failures, previous research has not systematically attempted to identify if migrant households are more likely to start informal and formal businesses alike and if this association varies across local contexts. We examine the relationship between prior US migration and the creation of both formal and informal businesses in urban Mexico using several criteria to indirectly assess sector location. We use data from 56 communities from the Mexican Migration Project to estimate multilevel survival and nonmultilevel competing risk models predicting the likelihood of informal, formal, and no business formation. The recent return migration of the household head is strongly associated with informal business creation, particularly in economically dynamic areas. On the other hand, migrants are only marginally more likely to start formal businesses in highly economically dynamic sending areas. Published by Elsevier Inc.

  18. Implementation of thermographers' certification in Brazil

    NASA Astrophysics Data System (ADS)

    dos Santos, Laerte; Alves, Luiz M.; da Costa Bortoni, Edson

    2011-05-01

    In recent years Brazil has experienced extraordinary growth despite the recent economic global crisis. The demand for infrared thermography products and services has accompanied this growth. Like other non-destructive testing and inspection, the results obtained by thermography are highly dependent on the skills of thermographer. Therefore, it is very important to establish a serious and recognized process of certification to assess thermographers' qualifications and help services suppliers to establish credibility with their customers and increase the confidence of these costumers on the quality of these services. The Brazilian Society of Non-Destructive Testing and Inspection, ABENDI, a non-profitable, private technical-scientific entity, recognized nationally and internationally, has observed the necessity of starting a process for certification of thermographers in Brazil. With support of a work group composed by experts from oil and energy industries, transportation, universities and manufactures, the activities started in 2005. This paper describes the economic background required for installation of the certification process, its initial steps, the main characteristics of the Brazilian certification and the expectation for initiating the certification process.

  19. Regretting Ever Starting to Smoke: Results from a 2014 National Survey.

    PubMed

    Nayak, Pratibha; Pechacek, Terry F; Slovic, Paul; Eriksen, Michael P

    2017-04-06

    Background : The majority of smokers regret ever starting to smoke, yet the vast majority continue to smoke despite the fact that smoking kills nearly 50% of lifetime users. This study examined the relationships between regret and smoker characteristics, quit history, risk perceptions, experiential thinking, and beliefs and intentions at time of smoking initiation. Methods : Data from the 2014 Tobacco Products and Risk Perceptions Survey, a nationally representative survey of United States adults, were analyzed to provide the latest prevalence estimates of regret and potential predictors. Relationships among predictor variables and regret were analyzed using correlations, t -tests, and multinomial logistic regression. Results : The majority of smokers (71.5%) regretted starting to smoke. Being older and non-Hispanic white were significant predictors of regret. Smokers having a high intention to quit, having made quit attempts in the past year, worrying about getting lung cancer, believing smoking every day can be risky for your health, perceiving a risk of being diagnosed with lung cancer during one's lifetime, and considering themselves addicted to cigarettes were significant predictors of regret for smoking initiation. Conclusions : This study provides updated prevalence data on regret using a national sample, and confirms that regret is associated with perceived risk. The findings from this study can be used to inform smoking intervention programs and support the inclusion of smoker regret in cost-benefit analyses of the economic impact of tobacco regulations.

  20. [Prevalence of breastfeeding and factors associated with the start and duration of exclusive breastfeeding in the Community of Madrid among participants in the ELOIN].

    PubMed

    Ramiro González, María D; Ortiz Marrón, Honorato; Arana Cañedo-Argüelles, Celina; Esparza Olcina, María Jesús; Cortés Rico, Olga; Terol Claramonte, María; Ordobás Gavín, María

    2017-11-02

    Breastfeeding has important benefits for population health. The aims of this study are: (i)to determine the prevalence and duration of breastfeeding and exclusive breastfeeding; (ii)analyse the reasons for not starting or abandoning of breastfeeding, and (iii)describe the factors associated with the initiation and duration of exclusive breastfeeding. Cross sectional study using the baseline data of the ELOIN cohort, obtained using an epidemiological questionnaire. A sample of 2,627 children born in 2008-2009 from the Community of Madrid was studied. Logistic regression models were used. Prevalence of exclusive breastfeeding and breastfeeding was 77.6% and 88% respectively; prevalence of exclusive breastfeeding at 6months 25.4%, and prevalence of breastfeeding at 2years was 7.7%. The most common reasons for abandoning breastfeeding were insufficient milk (36%), and incorporation to work (25.9%). The variables associated with starting or maintaining of exclusive breastfeeding were: mother older than 35years, medium-high economic status, foreigner residing in Spain less than 10 years, and having participated in a breastfeeding workshop. Breastfeeding prevalence in the Community of Madrid did not reach the international recommendations in 2008-2009. It is necessary to intensify strategies for breastfeeding promotion, protection, and support, including their periodic monitoring. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  1. Techno-economic feasibility of waste biorefinery: Using slaughtering waste streams as starting material for biopolyester production.

    PubMed

    Shahzad, Khurram; Narodoslawsky, Michael; Sagir, Muhammad; Ali, Nadeem; Ali, Shahid; Rashid, Muhammad Imtiaz; Ismail, Iqbal Mohammad Ibrahim; Koller, Martin

    2017-09-01

    The utilization of industrial waste streams as input materials for bio-mediated production processes constitutes a current R&D objective not only to reduce process costs at the input side but in parallel, to minimize hazardous environmental emissions. In this context, the EU-funded project ANIMPOL elaborated a process for the production of polyhydroxyalkanoate (PHA) biopolymers starting from diverse waste streams of the animal processing industry. This article provides a detailed economic analysis of PHA production from this waste biorefinery concept, encompassing the utilization of low-quality biodiesel, offal material and meat and bone meal (MBM). Techno-economic analysis reveals that PHA production cost varies from 1.41 €/kg to 1.64 €/kg when considering offal on the one hand as waste, or, on the other hand, accounting its market price, while calculating with fixed costs for the co-products biodiesel (0.97 €/L) and MBM (350 €/t), respectively. The effect of fluctuating market prices for offal materials, biodiesel, and MBM on the final PHA production cost as well as the investment payback time have been evaluated. Depending on the current market situation, the calculated investment payback time varies from 3.25 to 4.5years. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Comparison of Economic Evaluation Methods Across Low‐income, Middle‐income and High‐income Countries: What are the Differences and Why?

    PubMed Central

    Legood, Rosa; Pitt, Catherine

    2016-01-01

    Abstract There are marked differences in methods used for undertaking economic evaluations across low‐income, middle‐income, and high‐income countries. We outline the most apparent dissimilarities and reflect on their underlying reasons. We randomly sampled 50 studies from each of three country income groups from a comprehensive database of 2844 economic evaluations published between January 2012 and May 2014. Data were extracted on ten methodological areas: (i) availability of guidelines; (ii) research questions; (iii) perspective; (iv) cost data collection methods; (v) cost data analysis; (vi) outcome measures; (vii) modelling techniques; (viii) cost‐effectiveness thresholds; (ix) uncertainty analysis; and (x) applicability. Comparisons were made across income groups and odds ratios calculated. Contextual heterogeneity rightly drives some of the differences identified. Other differences appear less warranted and may be attributed to variation in government health sector capacity, in health economics research capacity and in expectations of funders, journals and peer reviewers. By highlighting these differences, we seek to start a debate about the underlying reasons why they have occurred and to what extent the differences are conducive for methodological advancements. We suggest a number of specific areas in which researchers working in countries of differing environments could learn from one another. © 2016 The Authors. Health Economics published by John Wiley & Sons Ltd. PMID:26775571

  3. The Effect of N-Length on the Development of Cooperative and Non-Cooperative Behavior in a Two-Person Game. Part of the Final Report on Head Start Evaluation and Research: 1968-69 to the Office of Economic Opportunity.

    ERIC Educational Resources Information Center

    Manning, Brad A.; Pierce-Jones, John

    In this study of cooperative behavior and its antecedents, the main experimental tool was a two-person, two-choice game. The subjects, 80 Negro males ranging in age from 4 1/2 to 6 years, could choose either to cooperate by giving a piece of candy or not to cooperate by refusing to give a piece of candy to the other child during an acquisition…

  4. The effect of the behavior of an average consumer on the public debt dynamics

    NASA Astrophysics Data System (ADS)

    De Luca, Roberto; Di Mauro, Marco; Falzarano, Angelo; Naddeo, Adele

    2017-09-01

    An important issue within the present economic crisis is understanding the dynamics of the public debt of a given country, and how the behavior of average consumers and tax payers in that country affects it. Starting from a model of the average consumer behavior introduced earlier by the authors, we propose a simple model to quantitatively address this issue. The model is then studied and analytically solved under some reasonable simplifying assumptions. In this way we obtain a condition under which the public debt steadily decreases.

  5. Integrating health economics modeling in the product development cycle of medical devices: a Bayesian approach.

    PubMed

    Vallejo-Torres, Laura; Steuten, Lotte M G; Buxton, Martin J; Girling, Alan J; Lilford, Richard J; Young, Terry

    2008-01-01

    Medical device companies are under growing pressure to provide health-economic evaluations of their products. Cost-effectiveness analyses are commonly undertaken as a one-off exercise at the late stage of development of new technologies; however, the benefits of an iterative use of economic evaluation during the development process of new products have been acknowledged in the literature. Furthermore, the use of Bayesian methods within health technology assessment has been shown to be of particular value in the dynamic framework of technology appraisal when new information becomes available in the life cycle of technologies. In this study, we set out a methodology to adapt these methods for their application to directly support investment decisions in a commercial setting from early stages of the development of new medical devices. Starting with relatively simple analysis from the very early development phase and proceeding to greater depth of analysis at later stages, a Bayesian approach facilitates the incorporation of all available evidence and would help companies to make better informed choices at each decision point.

  6. The Impact of Economic Crises on Communicable Disease Transmission and Control: A Systematic Review of the Evidence

    PubMed Central

    Suhrcke, Marc; Stuckler, David; Suk, Jonathan E.; Desai, Monica; Senek, Michaela; McKee, Martin; Tsolova, Svetla; Basu, Sanjay; Abubakar, Ibrahim; Hunter, Paul; Rechel, Boika; Semenza, Jan C.

    2011-01-01

    There is concern among public health professionals that the current economic downturn, initiated by the financial crisis that started in 2007, could precipitate the transmission of infectious diseases while also limiting capacity for control. Although studies have reviewed the potential effects of economic downturns on overall health, to our knowledge such an analysis has yet to be done focusing on infectious diseases. We performed a systematic literature review of studies examining changes in infectious disease burden subsequent to periods of crisis. The review identified 230 studies of which 37 met our inclusion criteria. Of these, 30 found evidence of worse infectious disease outcomes during recession, often resulting from higher rates of infectious contact under poorer living circumstances, worsened access to therapy, or poorer retention in treatment. The remaining studies found either reductions in infectious disease or no significant effect. Using the paradigm of the “SIR” (susceptible-infected-recovered) model of infectious disease transmission, we examined the implications of these findings for infectious disease transmission and control. Key susceptible groups include infants and the elderly. We identified certain high-risk groups, including migrants, homeless persons, and prison populations, as particularly vulnerable conduits of epidemics during situations of economic duress. We also observed that the long-term impacts of crises on infectious disease are not inevitable: considerable evidence suggests that the magnitude of effect depends critically on budgetary responses by governments. Like other emergencies and natural disasters, preparedness for financial crises should include consideration of consequences for communicable disease control. PMID:21695209

  7. Knee Joint Distraction Compared to Total Knee Arthroplasty for Treatment of End Stage Osteoarthritis: Simulating Long-Term Outcomes and Cost-Effectiveness

    PubMed Central

    van der Woude, J. A. D.; Nair, S. C.; Custers, R. J. H.; van Laar, J. M.; Kuchuck, N. O.; Lafeber, F. P. J. G.; Welsing, P. M. J.

    2016-01-01

    Objective In end-stage knee osteoarthritis the treatment of choice is total knee arthroplasty (TKA). An alternative treatment is knee joint distraction (KJD), suggested to postpone TKA. Several studies reported significant and prolonged clinical improvement of KJD. To make an appropriate decision regarding the position of this treatment, a cost-effectiveness and cost-utility analysis from healthcare perspective for different age and gender categories was performed. Methods A treatment strategy starting with TKA and a strategy starting with KJD for patients of different age and gender was simulated. To extrapolate outcomes to long-term health and economic outcomes a Markov (Health state) model was used. The number of surgeries, QALYs, and treatment costs per strategy were calculated. Costs-effectiveness is expressed using the cost-effectiveness plane and cost-effectiveness acceptability curves. Results Starting with KJD the number of knee replacing procedures could be reduced, most clearly in the younger age categories; especially revision surgery. This resulted in the KJD strategy being dominant (more effective with cost-savings) in about 80% of simulations (with only inferiority in about 1%) in these age categories when compared to TKA. At a willingness to pay of 20.000 Euro per QALY gained, the probability of starting with KJD to be cost-effective compared to starting with a TKA was already found to be over 75% for all age categories and over 90–95% for the younger age categories. Conclusion A treatment strategy starting with knee joint distraction for knee osteoarthritis has a large potential for being a cost-effective intervention, especially for the relatively young patient. PMID:27171268

  8. Factors influencing access to education, decision making, and receipt of preferred dialysis modality in unplanned dialysis start patients.

    PubMed

    Machowska, Anna; Alscher, Mark Dominik; Reddy Vanga, Satyanarayana; Koch, Michael; Aarup, Michael; Qureshi, Abdul Rashid; Lindholm, Bengt; Rutherford, Peter A

    2016-01-01

    Unplanned dialysis start (UPS) leads to worse clinical outcomes than planned start, and only a minority of patients ever receive education on this topic and are able to make a modality choice, particularly for home dialysis. This study aimed to determine the predictive factors for patients receiving education, making a decision, and receiving their preferred modality choice in UPS patients following a UPS educational program (UPS-EP). The Offering Patients Therapy Options in Unplanned Start (OPTiONS) study examined the impact of the implementation of a specific UPS-EP, including decision support tools and pathway improvement on dialysis modality choice. Linear regression models were used to examine the factors predicting three key steps: referral and receipt of UPS-EP, modality decision making, and actual delivery of preferred modality choice. A simple economic assessment was performed to examine the potential benefit of implementing UPS-EP in terms of dialysis costs. The majority of UPS patients could receive UPS-EP (214/270 patients) and were able to make a decision (177/214), although not all patients received their preferred choice (159/177). Regression analysis demonstrated that the initial dialysis modality was a predictive factor for referral and receipt of UPS-EP and modality decision making. In contrast, age was a predictor for referral and receipt of UPS-EP only, and comorbidity was not a predictor for any step, except for myocardial infarction, which was a weak predictor for lower likelihood of receiving preferred modality. Country practices predicted UPS-EP receipt and decision making. Economic analysis demonstrated the potential benefit of UPS-EP implementation because dialysis modality costs were associated with modality distribution driven by patient preference. Education and decision support can allow UPS patients to understand their options and choose dialysis modality, and attention needs to be focused on ensuring equity of access to educational programs, especially for the elderly. Physician practice and culture across units/countries is an important predictor of UPS patient management and modality choice independent of patient-related factors. Additional work is required to understand and improve patient pathways to ensure that modality preference is enacted. There appears to be a cost benefit of delivering education, supporting choice, and ensuring that the choice is enacted in UPS patients.

  9. Rational Speculative Bubble Size in Gold, Hang Seng, S&P 500 and Nikkei 225 Index During Year 2008 to 2016

    NASA Astrophysics Data System (ADS)

    Borhan, Nurharyanti; Halim, Nurfadhlina Abdul; Amir, W. Ahmad Wan Muhammad

    2017-09-01

    A rational speculative bubble is a surge in asset prices that exceed its intrinsic value. Rational speculative bubbles are among the ascription which may lead to the collapse of an economic system. Rational speculative bubble cannot be created but it comes into existence when assets started to be traded. Financial rational speculative bubble and burst have negative effect on the economy and markets. Financial rational speculative bubbles are difficult to detect. This study aims to shows the size of rational speculative bubble in four markets, which are gold, Hang Seng, S&P500 and Nikkei 225 during year 2008 to 2016. In this study, generalized Johansen-Ledoit-Sornette model are used to find the size of the rational speculative bubble. Bubble detection is important for both sides of macro-economic decision makers and to the trader. Especially for a trading system that requires detailed knowledge about the time and the stage of the bubble burst.

  10. Awareness to Action.

    ERIC Educational Resources Information Center

    Blanzy, J.

    Macomb Community College in Michigan emphasized a commitment to economic development in an effort to combat a failing economy and falling resources for college funding. The college started by forming an internal task force to determine what alternatives were available to meet existing needs, then hosted two meetings focusing on economic…

  11. Ecological Development through Service-Learning

    ERIC Educational Resources Information Center

    Baker, Daniel

    2006-01-01

    This article describes a successful model used in international service-learning projects that integrates economic development and ecological improvement. The principles of the model are discussed, including commitments to maintain partnerships over time, emphasize the transfer of knowledge from one generation of students to the next, start small,…

  12. National Military Strategy: Army Reserve Readiness

    DTIC Science & Technology

    2013-03-01

    that resulted in a national unemployment rate of 4.5 % (until this period economic unemployment was generally calculated at 7.0 %).14F15 Though this...vehicles they have in stock today, but also start talking to General Motors about getting some other franchises and allocations for sportier model

  13. Eastward Bound

    ERIC Educational Resources Information Center

    Ly, Phuong

    2012-01-01

    In recent years, the economic boom in Asia has resulted in more families sending their children to independent secondary schools in North America, Europe, and Australia. Donations, however, haven't been as forthcoming. Schools often have to start from scratch in educating parents about the need for fundraising. Independent schools, more so than…

  14. Shelved: The Retired Librarian's Guidebook.

    ERIC Educational Resources Information Center

    Elder, Jane D.

    Free-lance librarianship is discussed, and retired librarians are urged to start their own information service as a business. Because computer based storage and retrieval systems are not socially, politically, or economically integrated, and one library cannot hold all information, new needs are emerging for information services. For example, a…

  15. 7 CFR 4280.15 - Ultimate Recipient Projects eligible for Rural Economic Development Loan funding.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture (Continued) RURAL BUSINESS-COOPERATIVE SERVICE AND RURAL UTILITIES SERVICE, DEPARTMENT OF... may only be used to provide the following assistance: (a) Start-Up Venture costs, including, but not... capital; (b) Business expansion; (c) Business Incubators; (d) Technical Assistance; (e) Project...

  16. Internationalizing the American History Curriculum.

    ERIC Educational Resources Information Center

    Paquette, William

    New programs promoting global or international education have been started all over the country. At Tidewater Community College (TCC) in Virginia, efforts to add an international dimension to the curriculum began in 1988, when 20 faculty members from the disciplines of psychology, sociology, economics, mathematics, history, English, and business…

  17. Entrepreneurship Education: Ireland's Solution to Economic Regeneration?

    ERIC Educational Resources Information Center

    O'Connor, John; Fenton, Mary; Barry, Almar

    2012-01-01

    The significance of entrepreneurship has come into sharper focus as enterprise and innovation are being flagged as solutions to regenerate the Irish economy. The Irish Innovation Task Force believes that Ireland could become an "innovation hub", attracting foreign risk capital and international and indigenous entrepreneurs to start and…

  18. The pebbles that started the tea and ohelo berry projects in Hawaii

    USDA-ARS?s Scientific Manuscript database

    Hawaii farmers face many challenges in production including high cost of operation, limitation of affordable land, infra-structure, energy and human resources. After World War II, success in agricultural research into new crops contributed to the economic development and stability in Hawaii. Some...

  19. Starting Strong II: Early Childhood Education and Care

    ERIC Educational Resources Information Center

    OECD Publishing (NJ3), 2006

    2006-01-01

    This review of early childhood education and care (ECEC) in twenty OECD countries describes the social, economic, conceptual and research factors that influence early childhood policy. These include increasing women's labour market participation; reconciling work and family responsibilities on a more equitable basis for women; confronting the…

  20. Health, "illth," and economic growth: medicine, environment, and economics at the crossroads.

    PubMed

    Egger, Garry

    2009-07-01

    Economic growth has been the single biggest contributor to population health since the Industrial Revolution. The growth paradigm, by definition, is dynamic, implying similar diminishing returns on investment at both the macro- and the micro-economic levels. Changes in patterns of health in developing countries, from predominantly microbial-related infectious diseases to lifestyle-related chronic diseases (e.g., obesity, type 2 diabetes) beyond a point of economic growth described as the epidemiologic transition, suggest the start of certain declining benefits from further investment in the growth model. These changes are reflected in slowing improvements in some health indices (e.g., mortality, infant mortality) and deterioration in others (e.g., disability-associated life years, obesity, chronic diseases). Adverse environmental consequences, such as climate change from economic development, are also related to disease outcomes through the development of inflammatory processes due to an immune reaction to new environmental and lifestyle-related inducers. Both increases in chronic disease and climate change can be seen as growth problems with a similar economic cause and potential economic and public health-rather than personal health-solutions. Some common approaches for dealing with both are discussed, with a plea for greater involvement by health scientists in the economic and environmental debates in order to deal effectively with issues like obesity and chronic disease.

  1. Evaluation of the productivity decrease risk due to a future increase in tropical cyclone intensity in Japan.

    PubMed

    Esteban, Miguel; Longarte-Galnares, Gorka

    2010-12-01

    A number of scientists have recently conducted research that shows that tropical cyclone intensity is likely to increase in the future. This would result in an increase in the damage along with a decrease in economic productivity due to precautionary cessation of the economic activity of the affected areas during the passage of the cyclone. The economic effect of this stop in economic activity is a phenomenon that has not received much attention in the past, and the cumulative effect that it can have on the Japanese economy over the next 75 years has never been evaluated. The starting point for the evaluation of the economic risks is the change in the patterns of tropical cyclone intensity suggested by Knutson and Tuleya. The results obtained show how a significant decrease in the overall productivity of the country could be expected, which could lower GDP by between 6% and 13% by 2085. © 2010 Society for Risk Analysis.

  2. Measuring Changes in the Economics of Medical Practice.

    PubMed

    Fleming, Christopher; Rich, Eugene; DesRoches, Catherine; Reschovsky, James; Kogan, Rachel

    2015-08-01

    For the latter third of the twentieth century, researchers have estimated production and cost functions for physician practices. Today, those attempting to measure the inputs and outputs of physician practice must account for many recent changes in models of care delivery. In this paper, we review practice inputs and outputs as typically described in research on the economics of medical practice, and consider the implications of the changing organization of medical practice and nature of physician work. This evolving environment has created conceptual challenges in what are the appropriate measures of output from physician work, as well as what inputs should be measured. Likewise, the increasing complexity of physician practice organizations has introduced challenges to finding the appropriate data sources for measuring these constructs. Both these conceptual and data challenges pose measurement issues that must be overcome to study the economics of modern medical practice. Despite these challenges, there are several promising initiatives involving data sharing at the organizational level that could provide a starting point for developing the needed new data sources and metrics for physician inputs and outputs. However, additional efforts will be required to establish data collection approaches and measurements applicable to smaller and single specialty practices. Overcoming these measurement and data challenges will be key to supporting policy-relevant research on the changing economics of medical practice.

  3. An economic prediction of the finer resolution level wavelet coefficients in electronic structure calculations.

    PubMed

    Nagy, Szilvia; Pipek, János

    2015-12-21

    In wavelet based electronic structure calculations, introducing a new, finer resolution level is usually an expensive task, this is why often a two-level approximation is used with very fine starting resolution level. This process results in large matrices to calculate with and a large number of coefficients to be stored. In our previous work we have developed an adaptively refined solution scheme that determines the indices, where the refined basis functions are to be included, and later a method for predicting the next, finer resolution coefficients in a very economic way. In the present contribution, we would like to determine whether the method can be applied for predicting not only the first, but also the other, higher resolution level coefficients. Also the energy expectation values of the predicted wave functions are studied, as well as the scaling behaviour of the coefficients in the fine resolution limit.

  4. Research in space commercialization, technology transfer, and communications

    NASA Technical Reports Server (NTRS)

    1982-01-01

    Research and internship programs in technology transfer, space commercialization, and information and communications policy are described. The intern's activities are reviewed. On-campus research involved work on the costs of conventional telephone technology in rural areas, an investigation of the lag between the start of a research and development project and the development of new technology, using NASA patent and patent waiver data, studies of the financial impact and economic prospects of a space operation center, a study of the accuracy of expert forecasts of uncertain quantities and a report on frequency coordination in the fixed and fixed satellite services at 4 and 6 GHz.

  5. Emerging Risks Due to New Injecting Patterns in Hungary During Austerity Times.

    PubMed

    Tarján, Anna; Dudás, Mária; Gyarmathy, V Anna; Rusvai, Erzsébet; Tresó, Bálint; Csohán, Ágnes

    2015-01-01

    As a consequence of the massive restructuring of drug availability, heroin injection in Hungary was largely replaced by the injecting of new psychoactive substances (NPS) starting in 2010. In the following years in our sero-prevalence studies we documented higher levels of injecting paraphernalia sharing, daily injection-times, syringe reuse, and HCV prevalence among stimulant injectors, especially among NPS injectors. Despite the increasing demand, in 2012 the number of syringes distributed dropped by 35% due to austerity measures. Effects of drug market changes and the economic recession may have future epidemiological consequences. Study limitations are noted and future needed research is suggested.

  6. Drafting guidelines for occupational exposure to chemicals: the Dutch experience with the assessment of reproductive risks.

    PubMed

    Stijkel, A; van Eijndhoven, J C; Bal, R

    1996-12-01

    The Dutch procedure for standard setting for occupational exposure to chemicals, just like the European Union (EU) procedure, is characterized by an organizational separation between considerations of health on the one side, and of technology, economics, and policy on the other side. Health considerations form the basis for numerical guidelines. These guidelines are next combined with technical-economical considerations. Standards are then proposed, and are finally set by the Ministry of Social Affairs and Employment. An analysis of this procedure might be of relevance to the US, where other procedures are used and criticized. In this article we focus on the first stage of the standard-setting procedure. In this stage, the Dutch Expert Committee on Occupational Standards (DECOS) drafts a criteria document in which a health-based guideline is proposed. The drafting is based on a set of starting points for assessing toxicity. We raise the questions, "Does DECOS limit itself only to health considerations? And if not, what are the consequences of such a situation?" We discuss DECOS' starting points and analyze the relationships between those starting points, and then explore eight criteria documents where DECOS was considering reproductive risks as a possible critical effect. For various reasons, it will be concluded that the starting points leave much interpretative space, and that this space is widened further by the manner in which DECOS utilizes it. This is especially true in situations involving sex-specific risks and uncertainties in knowledge. Consequently, even at the first stage, where health considerations alone are intended to play a role, there is much room for other than health-related factors to influence decision making, although it is unavoidable that some interpretative space will remain. We argue that separating the various types of consideration should not be abandoned. Rather, through adjustments in the starting points and aspects of the procedure, clarity should be guaranteed about the way the interpretative space is being employed.

  7. Basic Business and Economics: Students Learn to Begin a Business.

    ERIC Educational Resources Information Center

    Gruber, James

    1979-01-01

    A simulated advertising compaign and other business management experiences in a high school business organization course are described. In deciding what kind of business to start, how to obtain capital, and how to organize and operate successfully, students learned the importance of human relations and caution in business. (MF)

  8. A Passage through Science: Crossing Disciplinary Boundaries.

    ERIC Educational Resources Information Center

    Small, Henry

    1999-01-01

    Presents a methodology for creating pathways through the scientific literature following strong cocitation links. A path is described starting in economics and ending in astrophysics, traversing 331 documents. Attention is given to where the path crosses disciplinary boundaries and how analogy can be used to model the thought processes involved in…

  9. Calculation of fuel, currency, and inland freight price adjustment factors for military marine shipping

    DOT National Transportation Integrated Search

    2013-11-01

    This report describes the refreshing of the USTRANSCOM Economic Price Adjustment (EPA) factors for use in the USC-7 contract. The three EPA factors developed by Volpe in 2009 are the starting point for this update, and these are the Bunker Fuel Adjus...

  10. Master Classes in Dispute Resolution?

    ERIC Educational Resources Information Center

    Evans, G. R.

    2011-01-01

    Many institutions have difficulties in resolving complaints and grievances and other types of dispute speedily and economically. Lapses still occur in following procedures; disputes frequently grow more complicated than they were at the start; they drag on; they waste the time of administrators and those involved, even ending sometimes in an…

  11. The REAL Path to Homegrown Enterprise.

    ERIC Educational Resources Information Center

    Casto, James E.

    1996-01-01

    REAL Enterprises, Inc. (Rural Entrepreneurship through Action Learning) is an academic program that helps students learn the basics of starting and nurturing a new business. West Virginia is 1 of 17 states offering the program with the goal of preparing youth to take advantage of economic opportunities in their own communities. (LP)

  12. Can Lifelong Learning Reshape Life Chances?

    ERIC Educational Resources Information Center

    Evans, Karen; Schoon, Ingrid; Weale, Martin

    2013-01-01

    Despite the expansion of post-school education and incentives to participate in lifelong learning, institutions and labour markets continue to interlock in shaping life chances according to starting social position, family and private resources. The dominant view that the economic and social returns to public investment in adult learning are too…

  13. 25 CFR 286.21 - Return of unused funds.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Return of unused funds. 286.21 Section 286.21 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR ECONOMIC ENTERPRISES INDIAN BUSINESS DEVELOPMENT...., lease obtained, if needed, construction started, equipment purchased or other, within the time stated in...

  14. The Insulation Board Industry - An Economic Analysis

    Treesearch

    Albert T. Schuler

    1978-01-01

    An econometric model of the domestic insulation board industry was developed to identify and quantify the major factors affecting quantity consumed and price. The factors identified were housing starts, residential improvement activity, disposable personal income, productivity, pulpwood and residue prices, and power costs. Disposable personal income was the most...

  15. Policies and Practices of Diversity: Reimagining Possibilities for New Discourses

    ERIC Educational Resources Information Center

    Infante, Marta D.; Matus, Claudia

    2009-01-01

    The processes of globalization have demanded that emergent countries include issues of diversity into their political, economic and educational agendas. Consequently, educational institutions have started, in order to ascribe to requests made by transnational organizations (UNESCO, the World Bank and OECD), to include diversity as a priority to…

  16. The next wave of mergers and acquisitions. What's your organization's position?

    PubMed

    Zuckerman, Alan

    2009-05-01

    Review your organization's strategic and financial plan given the current economic erosion and challenges. If your organization can and should be a consolidator, identify the likely and desired opportunities. If your organization cannot or should not go it alone, start to look for a partner.

  17. Illinois Institute for Rural Affairs Annual Report, 1999.

    ERIC Educational Resources Information Center

    Western Illinois Univ., Macomb. Illinois Inst. for Rural Affairs.

    The Illinois Institute for Rural Affairs (IIRA) started at Western Illinois University in 1989. An outgrowth of the population declines and economic stagnation during the early 1980s, it provides a comprehensive program of applied research, technical assistance, policy evaluation, and educational outreach to community leaders and residents in…

  18. Understanding CLIL as an Innovation

    ERIC Educational Resources Information Center

    Kiely, Richard

    2011-01-01

    Content and Language Integrated Learning (CLIL) initiatives in schools have become widespread across Europe and beyond in the last decade or so. Drivers for this include the role of English as the language of international economic activity, media and culture, belief in the value of early start and meaning-focussed instruction in foreign language…

  19. Validating an Asthma Case Detection Instrument in a Head Start Sample

    ERIC Educational Resources Information Center

    Bonner, Sebastian; Matte, Thomas; Rubin, Mitchell; Sheares, Beverley J.; Fagan, Joanne K.; Evans, David; Mellins, Robert B.

    2006-01-01

    Although specific tests screen children in preschool programs for vision, hearing, and dental conditions, there are no published validated instruments to detect preschool-age children with asthma, one of the most common pediatric chronic conditions affecting children in economically disadvantaged communities of color. As part of an asthma…

  20. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Alagoez, Aylin Zeren; Kocasoy, Guenay

    Health-care waste management has been a significant problem in most economically developing countries as it is in Turkey. Most of the time, the main reason for the mismanagement of these wastes is the lack of appropriate legislation and effective control; other reasons are: financial strains and a lack of awareness. Being aware of the significance of the subject, in this paper the management of the health-care wastes in Istanbul, as a Metropolitan City of Turkey, was analyzed to create an integrated health-care waste management system in the city. Within the scope of the study, the existing situation and management practicesmore » such as the amount of the health-care wastes generated, segregation procedures, collection, temporary storage and transportation of the wastes within and outside of the institution were examined. Deficiencies, inconsistencies and improper applications were revealed. The existing Turkish Medical Wastes Control Regulation and institutional structure of the health-care waste management body were reviewed. After the evaluation and comparison with the requirements of other national and international organizations, items to be changed/added in the Regulation were identified. At the end of the study, the best management methods for the Istanbul City were determined and started to be applied at the institutions. After this study, the existing Regulation has been changed. The modified Regulation was published in 2005 and implementation has started. It is expected that by the application and implementation of the research outcomes, the management of health-care wastes in Istanbul and then in all over Turkey will be improved. The results obtained can also be used in most economically developing countries where there are similar environmental problems and strict budgets.« less

  1. Microeconomic Surplus in Health Care: Applied Economic Theory in Health Care in Four European Countries

    PubMed Central

    Walzer, S.; Nuijten, M.; Wiesner, C.; Kaier, K.; Johansson, P-O.; Oertel, S.

    2013-01-01

    Introduction: In economic theory economic surplus refers to two related quantities: Consumer and producer surplus. Applying this theory to health care “convenience” could be one way how consumer benefits might manifest itself. Methods: Various areas of economic surplus were identified and subsequently screened and analyzed in Germany, Spain, The Netherlands, and the UK: Cesarean births, emergency room visits (nights or weekends), drug availability after test results, and response surplus. A targeted literature search was being conducted to identify the associated costs. Finally the economic surplus (convenience value) was calculated. Results: The economic surplus for different health care areas was being calculated. The highest economic surplus was obtained for the example of response surplus IVF-treatments in The Netherlands. Conclusion: The analyzed examples in this article support the underlying hypothesis for this research: “Value of convenience defined as the consumer surplus in health care can be shown in different health care settings.” Again, this hypothesis should be accepted as a starting point in this research area and hence further primary research is strongly recommended in order to fully proof this concept. PMID:23423475

  2. Ecological Economics

    NASA Astrophysics Data System (ADS)

    Common, Michael; Stagl, Sigrid

    2005-10-01

    Taking as its starting point the interdependence of the economy and the natural environment, this book provides a comprehensive introduction to the emerging field of ecological economics. The authors, who have written extensively on the economics of sustainability, build on insights from both mainstream economics and ecological sciences. Part I explores the interdependence of the modern economy and its environment, while Part II focuses mainly on the economy and on economics. Part III looks at how national governments set policy targets and the instruments used to pursue those targets. Part IV examines international trade and institutions, and two major global threats to sustainability - climate change and biodiversity loss. Assuming no prior knowledge of economics, this textbook is well suited for use on interdisciplinary environmental science and management courses. It has extensive student-friendly features including discussion questions and exercises, keyword highlighting, real-world illustrations, further reading and website addresses. A comprehensive introduction to a developing field which will interest students from science, economics and management backgrounds A global approach to the problems of sustainability and sustainable development, issues which are increasingly prominent in political debate and policy making Filled with student-friendly features including focus areas for each chapter, keyword highlighting, real-world illustrations, discussion questions and exercises, further reading and website addresses

  3. Do Political and Economic Choices Rely on Common Neural Substrates? A Systematic Review of the Emerging Neuropolitics Literature

    PubMed Central

    Krastev, Sekoul; McGuire, Joseph T.; McNeney, Denver; Kable, Joseph W.; Stolle, Dietlind; Gidengil, Elisabeth; Fellows, Lesley K.

    2016-01-01

    The methods of cognitive neuroscience are beginning to be applied to the study of political behavior. The neural substrates of value-based decision-making have been extensively examined in economic contexts; this might provide a powerful starting point for understanding political decision-making. Here, we asked to what extent the neuropolitics literature to date has used conceptual frameworks and experimental designs that make contact with the reward-related approaches that have dominated decision neuroscience. We then asked whether the studies of political behavior that can be considered in this light implicate the brain regions that have been associated with subjective value related to “economic” reward. We performed a systematic literature review to identify papers addressing the neural substrates of political behavior and extracted the fMRI studies reporting behavioral measures of subjective value as defined in decision neuroscience studies of reward. A minority of neuropolitics studies met these criteria and relatively few brain activation foci from these studies overlapped with regions where activity has been related to subjective value. These findings show modest influence of reward-focused decision neuroscience on neuropolitics research to date. Whether the neural substrates of subjective value identified in economic choice paradigms generalize to political choice thus remains an open question. We argue that systematically addressing the commonalities and differences in these two classes of value-based choice will be important in developing a more comprehensive model of the brain basis of human decision-making. PMID:26941703

  4. Economic and Ethical Consequences of Natural Hazards in Alpine Valleys (EE-Con)

    NASA Astrophysics Data System (ADS)

    Ortner, Florian; Brantl, Dirk; Meyer, Lukas; Steininger, Karl; Sass, Oliver

    2015-04-01

    The Alps and their population are particularly vulnerable to geomorphological and hydrological hazards and this problem might be amplified by ongoing climate change. Natural disasters cause severe monetary damage which often leads to the difficult question whether it socially pays to protect settlements at high costs or whether alternatively settlement areas should better be abandoned. By investigations in the Johnsbachtal and the Kleinsölktal (Styria), the interdisciplinary project "Economic and Ethical Consequences of Natural Hazards in Alpine Valleys" (EE-Con), funded by the Austrian Academy of Sciences, seeks to answer the following questions: (1) Are natural hazards and associated damages in fact increasing, and is this due to meteorological triggers, to anthropogenic factors or to internal process dynamics? (2) What is the perception and knowledge of local people, how is risk and risk prevention communicated? (3) What is the respective cost ratio between protection infrastructure, soft measures of adaptation and other options (e.g. reduction of settlement area)? (4) What legitimate claims to compensation do people have, how far does societal responsibility go and where does individual responsibility start if parts of the settlement area had to be abandoned? These questions will be tackled in an interdisciplinary cooperation between geography, economics and normative theory (philosophy). EE-Con will follow broadly the path of risk analysis and risk assessment, focusing on the temporal dimension (past - present - future) with the aim to unravel the history of natural hazards in the areas and to analyse the economic values involved. In the following, natural hazard scenarios for the future (2050 and 2100) will be developed considering the economic consequences. Besides this, the project deals with local knowledge, risk perception and risk communication, which will be investigated via group interviews and stakeholder workshops and be integrated into a human-ecological model. Therefore, local people and stakeholders are going to be involved in a transdisciplinary approach from the start of the project. The geographic and economic information will then be used to find proper weighing mechanisms answering the normative questions mentioned above. The questions of enduring the respective costs and of responsibility for protecting the respective entitlements will be investigated from an ethical, a legal, and an economic viewpoint. The overall outcome of the results should provide an integrative view on the economic and ethical consequences of natural hazards in alpine valleys.

  5. How Sustainable is Groundwater Abstraction? A Global Assessment.

    NASA Astrophysics Data System (ADS)

    de Graaf, I.; Van Beek, R.; Gleeson, T. P.; Sutanudjaja, E.; Wada, Y.; Bierkens, M. F.

    2016-12-01

    Groundwater is the world's largest accessible freshwater resource and is of critical importance for irrigation, and thus for global food security. For regions with high demands, groundwater abstractions often exceed recharge and persistent groundwater depletion occurs. The direct effects of depletion are falling groundwater levels, increased pumping costs, land subsidence, and reduced baseflows to rivers. Water demands are expected to increase further due to growing population, economic development, and climate change, posing the urgent question how sustainable current water abstractions are worldwide and where and when these abstractions approach conceivable economic and environmental limits. In this study we estimated trends over 1960-2100 in groundwater levels, resulting from changes in demand and climate. We explored the limits of groundwater abstraction by predicting where and when groundwater levels drop that deep that groundwater gets unattainable for abstraction (economic limit) or, that groundwater baseflows to rivers drop below environmental requirements (environmental limit). We used a global hydrological model coupled to a groundwater model, meaning lateral groundwater flows, river infiltration and drainage, and infiltration and capillary-rise are simulated dynamically. Historical data and projections are used to prescribe water demands and climate forcing to the model. For the near future we used RCP8.5 and applied globally driest, average, and wettest GCM to test climate sensitivity. Results show that in general environmental limits are reached before economic limits, for example starting as early as the 1970s compared to the 1980s for economic limits in the upper Ganges basin. Economic limits are mostly related to regions with depletion, while environmental limits are reached also in regions were groundwater and surface water withdrawals are significant but depletion is not taking place (yet), for example in Spain and Portugal. In the near future, more regions will reach their limits, current depletion regions will expand and new regions experiencing depletion will develop. Regionally the increasing level of groundwater stress, economically and environmentally, will be an important factor in future economic development and could lead to socio-economic tension.

  6. How Sustainable is Groundwater Abstraction? A Global Assessment.

    NASA Astrophysics Data System (ADS)

    de Graaf, I.; Van Beek, R.; Gleeson, T. P.; Sutanudjaja, E.; Wada, Y.; Bierkens, M. F.

    2017-12-01

    Groundwater is the world's largest accessible freshwater resource and is of critical importance for irrigation, and thus for global food security. For regions with high demands, groundwater abstractions often exceed recharge and persistent groundwater depletion occurs. The direct effects of depletion are falling groundwater levels, increased pumping costs, land subsidence, and reduced baseflows to rivers. Water demands are expected to increase further due to growing population, economic development, and climate change, posing the urgent question how sustainable current water abstractions are worldwide and where and when these abstractions approach conceivable economic and environmental limits. In this study we estimated trends over 1960-2100 in groundwater levels, resulting from changes in demand and climate. We explored the limits of groundwater abstraction by predicting where and when groundwater levels drop that deep that groundwater gets unattainable for abstraction (economic limit) or, that groundwater baseflows to rivers drop below environmental requirements (environmental limit). We used a global hydrological model coupled to a groundwater model, meaning lateral groundwater flows, river infiltration and drainage, and infiltration and capillary-rise are simulated dynamically. Historical data and projections are used to prescribe water demands and climate forcing to the model. For the near future we used RCP8.5 and applied globally driest, average, and wettest GCM to test climate sensitivity. Results show that in general environmental limits are reached before economic limits, for example starting as early as the 1970s compared to the 1980s for economic limits in the upper Ganges basin. Economic limits are mostly related to regions with depletion, while environmental limits are reached also in regions were groundwater and surface water withdrawals are significant but depletion is not taking place (yet), for example in Spain and Portugal. In the near future, more regions will reach their limits, current depletion regions will expand and new regions experiencing depletion will develop. Regionally the increasing level of groundwater stress, economically and environmentally, will be an important factor in future economic development and could lead to socio-economic tension.

  7. Differences in illegal drug consumption between native and immigrants in a large sample of injected drug users in Catalonia (Spain).

    PubMed

    Saigí, Núria; Espelt, Albert; Folch, Cinta; Sarasa-Renedo, Ana; Castellano, Yolanda; Majó, Xavier; Meroño, Mercè; Brugal, M Teresa; Casabona, Jordi

    2014-01-01

    The aims of this study were to describe illegal drug abuse patterns in relation to the migration process and use of drug treatment centers among immigrant injected drug users (IDUs) involved in harm reduction programs, and to compare the characteristics of immigrant and native IDUs. Cross-sectional study of 748 IDUs aged ≥18 years attending harm reduction centers between 2008 and 2009. We explored differences in socio-economic status, illegal drug consumption, health status and use of treatment centers in native versus immigrant IDUs. We also described whether immigrant IDUs started using injected drugs before or after entering the host country. Immigrant IDUs tend to live alone more frequently, start injection at later ages, use heroin and inject it more frequently and use drug treatment centers less frequently than native IDUs. Seventy-six percent of immigrants began using illegal drugs before arriving at the host country. Those who started in other countries were residing in the host country for 5 years or less (63.9%). Overall, immigrant IDUs attended drug treatment centers (36.9%) less frequently than native IDUs (71.8%). In conclusion, migration could be a risk factor for illegal drug abuse initiation or increase in consumption, often with the adoption of local consumption patterns and aggravated due to a lower access to drug treatment centers.

  8. Explore with Us

    NASA Technical Reports Server (NTRS)

    Morales, Lester

    2012-01-01

    The fundamental goal of this vision is to advance U.S. scientific, security and economic interest through a robust space exploration program. Implement a sustained and affordable human and robotic program to explore the solar system and beyond. Extend human presence across the solar system, starting with a human return to the Moon by the year 2020, in preparation for human exploration of Mars and other destinations. Develop the innovative technologies, knowledge, and infrastructures both to explore and to support decisions about the destinations for human exploration. Promote international and commercial participation in exploration to further U.S. scientific, security, and economic interests.

  9. 20 Years of Public Health Economics and Decision Sciences at the US Centers for Disease Control and Prevention: The CDC Steven M. Teutsch Prevention Effectiveness Fellowship, 1995-2015.

    PubMed

    Skelton, Adam G; Meltzer, Martin I

    The CDC Steven M. Teutsch Prevention Effectiveness Fellowship was started in 1995 to provide postdoctoral training in public health economics. This article describes the origins and state of the fellowship and the practice of prevention effectiveness research at the Centers for Disease Control and Prevention. The fellowship can be seen as one successful example of a demand-driven public health innovation to develop crucial capacity for the contemporary health system. Nearly 150 individuals have been trained through the program since its inception.

  10. Impact of the economic crisis on the health of older persons in Spain: research clues based on an analysis of mortality. SESPAS report 2014.

    PubMed

    Benmarhnia, Tarik; Zunzunegui, Maria-Victoria; Llácer, Alicia; Béland, Francois

    2014-06-01

    Older adults are seldom considered in studies on the health impact of economic recessions or crises. However, they constitute a population group that is highly vulnerable to decreases in investment in health and social services and social security. Our aim is to examine the relationship between the economic crisis starting in 2008 and the health status of older adults in Spain. More specifically, we analyze changes in trends of mortality in relation to the crisis, the specific impact of winter on mortality and gender differences in the crisis' impact on mortality. Using data from the National Institute of Statistics of Spain on people over 60 years of age, the number of monthly deaths by age and sex from January 2005 to December 2012 was analyzed. Interrupted time series analyses and the "difference in differences" method were used. During the crisis, for adults 60 years and older: 1) the observed mortality seems to be decreasing at a slower rate than what would have been expected in the absence of the crisis; 2) there has been an increase in winter mortality; 3) the impact of the crisis has been greater for female than for male mortality. These results suggest sizable effects of the economic crisis on the mortality of older adults and argue for research done using more detailed analyses integrating economic indicators. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

  11. A socio-economic impact assessment of the European launcher sector

    NASA Astrophysics Data System (ADS)

    Monte, Luca del; Scatteia, Luigi

    2017-08-01

    In a context where the economic strains are challenging European policies as well as the very fabric of governmental contributions to public life, innovation and efficacy of public policy in research are called upon to support growth in Europe and to sustain employment and entrepreneurial capacities. Governments need evidence that the investments in space, while providing strategic tools to implement sovereign policies, create jobs and build the competitive European economy of the future. This is particularly true when the decisions at stake have a potential bearing on the future of the European space sector for at least the next 30 years, as it has been the case for the ESA Council at ministerial level meeting in December 2014. On that occasion, Ministers took the decision to start the development of a new Ariane 6 launcher and Vega evolutions having a critical bearing on the Member States' strategic industrial capabilities and on the sustainability of the European guaranteed access to space. Given the importance of the subject, and following similar studies undertaken in the past for e.g. the Ariane 1-4 programme, the Agency has requested an independent consulting team to perform a dedicated study to assess ex-post the direct, indirect and induced socio-economic impacts of the Ariane 5 programme (mid-term evaluation) and of the Vega programme (early evaluation) globally, at European level, and within the economies and industries of each ESA Member State. This paper presents the assessment of the socio-economic impacts allowing the evaluation of the return on public investments in launchers through ESA in a wider perspective, going beyond the purely economic terms. The scope of the assessment covered in total approximately 25 ESA programmatic and activity lines and 30,000 commitments from 1986 to end 2012. In the framework of the study, the economic impact of the European launcher programmes is measured through a GDP impact defined as the straight economic activity deriving from the injection of Participating States funding channelled through ESA into the space upstream (manufacturing) industry, and through a cumulative assessment of the enabled revenues (catalytic impacts) arising from Ariane 5 and Vega operations.

  12. Spanking by parents and subsequent antisocial behavior of children.

    PubMed

    Straus, M A; Sugarman, D B; Giles-Sims, J

    1997-08-01

    To deal with the causal relationship between corporal punishment and antisocial behavior (ASB) by considering the level of ASB of the child at the start of the study. Data from interviews with a national sample of 807 mothers of children aged 6 to 9 years in the National Longitudinal Survey of Youth-Child Supplement. Analysis of variance was used to test the hypothesis that when parents use corporal punishment to correct ASB, it increases subsequent ASB. The analysis controlled for the level of ASB at the start of the study, family socio-economic status, sex of the child, and the extent to which the home provided emotional support and cognitive stimulation. Forty-four percent of the mothers reported spanking their children during the week prior to the study and they spanked them an average of 2.1 times that week. The more spanking at the start of the period, the higher the level of ASB 2 years later. The change is unlikely to be owing to the child's tendency toward ASB or to confounding with demographic characteristics or with parental deficiency in other key aspects of socialization because those variables were statistically controlled. When parents use corporal punishment to reduce ASB, the long-term effect tends to be the opposite. The findings suggest that if parents replace corporal punishment by nonviolent modes of discipline, it could reduce the risk of ASB among children and reduce the level of violence in American society.

  13. Regio- and Stereoselective Cascades via Aldol Condensation and 1,3-Dipolar Cycloaddition for Construction of Functional Pyrrolizidine Derivatives.

    PubMed

    Mao, Zhuo-Ya; Liu, Yi-Wen; Han, Pan; Dong, Han-Qing; Si, Chang-Mei; Wei, Bang-Guo; Lin, Guo-Qiang

    2018-02-16

    An efficient and step-economical approach to access functionalized pyrrolizidine derivatives by a one-pot tandem sequence, including an aldol condensation and subsequent 1,3-dipolar cycloaddition process, has been developed, starting from acetone, aldehyde, and proline. A number of substituted aromatic aldehydes were amenable to this transformation, and the desired products, racemic 7a-7w and chiral 9a-9m, were obtained with excellent regioselectivities and outstanding diastereoselectivities. Moreover, in situ NMR studies revealed MgSO 4 could effectively promote the aldol condensation pathway in this tandem process.

  14. Douglas Aircraft HSCT status and future research needs

    NASA Technical Reports Server (NTRS)

    Welge, H. Robert

    1992-01-01

    Current activities on the High Speed Civil Transport (HSCT) at Douglas are focussed on baseline vehicle development at Mach 1.6 and 2.4. Parallel design activities incorporating the latest technologies in structures/materials, propulsion/noise, and aerodynamics are also being conducted and incorporated into the baseline to establish performance, economic viability, and environmental compliance. Studies are also being conducted to establish the feasibility of incorporating laminar flow control and minimized sonic boom concepts into the baseline. A decision point on these last two technologies is targeted prior to the start of the NASA HSR Phase 2 Program in 1993.

  15. Comparative analysis of wind energy production in Oklahoma

    NASA Astrophysics Data System (ADS)

    Ermilova, Ekaterina Alexeevna

    Scope and method of study. In the last decades humanity has realized the necessity of developing alternative energy sources for its efficient economic development and simple survival in the future. During the last 30 years major improvements were made in renewable energy technologies and they started to become competitive with traditional energy sources (fossil fuels), especially with consideration of external costs. Among the renewable energy sources, wind energy is one of the cheapest and fastest growing nowadays. Oklahoma is a very promising site for wind energy development considering its excellent wind resources. Developing wind energy can allow not only electricity production for in-state consumption, but also exporting to other states. The development of wind energy could encourage economic growth with very few adverse impacts on the environment. However, traditional energy sources are still the cheapest and, thus, the introduction of the wind energy in Oklahoma should be critically analyzed from economic, ecological and social points of view. The goal of this study is to conduct analysis of wind energy electricity production in Oklahoma on the four main stages: (1) Investment Analysis from Private Perspective: Calculate present value net benefits for wind energy and traditional energy (natural gas), make sure that both of them are positive. (2) Investment Analysis from Social Perspective: Evaluate present value net private benefits (PVNPB) and present value net social benefit from both projects (PVNSB). (3) Government Subsidy Analysis: recognize the necessity of the subsidies and evaluate the amount of subsidies if any. (4) Investment Analysis from a Geographic Perspective: determine economic feasibility of wind power generation for 77 Oklahoma counties. Findings and conclusions. The final output of the study is the recommendations concerning wind energy development in Oklahoma with consideration of economic efficiency, ecological and social impacts. Study not only analyze possibilities for wind energy development in the state, but make recommendations on the county by county basis with consideration of wind power density, land cost, property tax and infrastructure development in each county.

  16. Development and Pilot Evaluation of an Internet-Facilitated Cognitive-Behavioral Intervention for Maternal Depression

    ERIC Educational Resources Information Center

    Sheeber, Lisa B.; Seeley, John R.; Feil, Edward G.; Davis, Betsy; Sorensen, Erik; Kosty, Derek B.; Lewinsohn, Peter M.

    2012-01-01

    Objective: Develop and pilot an Internet-facilitated cognitive-behavioral treatment intervention for depression, tailored to economically disadvantaged mothers of young children. Method: Mothers (N = 70) of children enrolled in Head Start, who reported elevated levels of depressive symptoms, were randomized to either the 8-session,…

  17. University Roles in Technological Innovation in California. Research & Occasional Paper Series: CSHE.6.07

    ERIC Educational Resources Information Center

    King, C. Judson

    2007-01-01

    California has achieved considerable economic success through technological innovation and the formation of businesses based upon those technologies. This paper addresses some of the roles of universities in that success story. It starts with some measures of the contributions of innovation and a robust university structure to the California…

  18. Language Education for Sustainable Development

    ERIC Educational Resources Information Center

    Zygmunt, Tomasz

    2016-01-01

    Nowadays, education for sustainable development starts covering wider and wider spheres of interest and human activity. Out of the three main spheres of interest, such as environmental, economic, and socio-cultural, the first two mentioned here seem to be given more attention than the sphere of socio-cultural activity. In this respect, the aim of…

  19. Will "Things" or Will Knowledge and Ideas Fuel South Africa's Growth?

    ERIC Educational Resources Information Center

    Crouch, Luis

    1997-01-01

    Examines South Africa's macroeconomic policies as they relate to investment in the country's education. Analyzes ideas that educational and economic authorities hold in common in their calls for greater efficiency in order to start a dialog, based on mutual recognition of the issues raised, between these authorities. Contains 37 references. (MMU)

  20. The Escalation of Business as Usual

    ERIC Educational Resources Information Center

    Tuchman, Gaye

    2011-01-01

    An academic plan is a business plan disguised in the regalia donned for significant public ceremonies--black cap and gown, colorful hood, and, of course, gold tassel. Several years ago, the University of Connecticut started to plan for the economic disaster that was at the time so obviously in the future of higher education institutions. A formal…

  1. Job Skills Program Biennial Report 1985-1987.

    ERIC Educational Resources Information Center

    Washington State Board for Vocational Education, Olympia.

    The Washington State Job Skills Program (JSP) was established by the legislature in 1983 as an economic development incentive to provide customized, quick-start training to meet the employment needs of new or expanding businesses in the state. Funds are granted to public and private educational institutions to train people for new jobs, prepare…

  2. Do Economic Rewards Work?

    ERIC Educational Resources Information Center

    Wallace, Brian D.

    2009-01-01

    The love of learning--that intrinsic desire to gain knowledge and insight into new subjects--was once its own reward. That was altered decades ago when parents started using the proverbial "stick and carrot" to motivate their children to do well in school, or even just show up. Today, educators across the country have taken hold of this…

  3. REDUCING THE WASTE STREAM: BRINGING ENVIRONMENTAL, ECONOMICAL, AND EDUCATIONAL COMPOSTING TO A LIBERAL ARTS COLLEGE

    EPA Science Inventory

    The Northfield, Minnesota area contains three institutions that produce a large amount of compostable food waste. St. Olaf College uses a large-scale on-site composting machine that effectively transforms the food waste to compost, but the system requires an immense start-up c...

  4. A Position Statement on Rescinded and Deferred Employment Offers.

    ERIC Educational Resources Information Center

    Journal of Career Planning & Employment, 2002

    2002-01-01

    Early in Spring 2001, in the midst of an economic downturn, employers were sometimes forced into rescinding job offers to graduating college students or delaying their start dates. In light of this trend, the National Association of Colleges and Employers (NACE) Principles for Professional Conduct Committee has issued guidelines for employers on…

  5. Aging Workers in Changing Labor Markets and Career Learning

    ERIC Educational Resources Information Center

    Krekanova, Vera

    2017-01-01

    In many areas, the number of people transitioning to retirement is starting to outnumber the number of young people negotiating their way into the labor market. To sustain economic prosperity, these regions need to prolong the working lives of older workers. Maintaining older workers' earning power and employment until and past the traditional…

  6. Career and Technical Education (CTE) Transfer Research Project: Improving Transfer Pathways for California Community College Students in CTE Programs

    ERIC Educational Resources Information Center

    Karandjeff, Kelley; Schiorring, Eva

    2011-01-01

    Despite the current economic downturn, workforce projections indicate that California will experience shortages in its supply of baccalaureate-trained workers in the decades to come, particularly engineers, accountants, nurses, teachers and law enforcement professionals. Students often start their journey toward these occupations in community…

  7. 76 FR 12693 - Notice of an Opportunity To Serve on the Innovation Advisory Board Advising the Department of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-08

    ... experts, and State and local government officials active in technology-based economic development. DATES...) Barriers to competitiveness in newly emerging business or technology sectors, factors influencing... development and evolution of start-ups, firms, and industries. (vii) The effects of domestic and international...

  8. Evaluation after the Fact: Some Comments on Student Affirmative Action Outreach Programs in California.

    ERIC Educational Resources Information Center

    Frank, Austin

    Student Affirmative Action (SAA) outreach programs to increase the participation of underrepresented minorities and the economically disadvantaged in higher education in California started with little or no coordination and scant thought of evaluation. For a variety of reasons, which include how they were planned, how they are staffed and…

  9. Economic Engines

    ERIC Educational Resources Information Center

    Dziczek, Kristin

    2012-01-01

    The U.S. automotive industry has always been a cyclical business, but its near-collapse in 2008-09 and the subsequent bankruptcy of two of the three largest domestic automakers was more than a cyclical downturn. As light vehicle sales and production slowly recover, the industry has started to hire again, though with caution. In an industry known…

  10. Mobile Chatting Behaviour of Arts and Science College Students

    ERIC Educational Resources Information Center

    Ramakrishnan, N.; Priya, J. Johnsi

    2016-01-01

    Mobile connectivity is the order of the day. Personas irrespective of their socio-economic status possess mobile device either basic or advanced android or windows or IOS. The chat applications have become popular with younger generation. It has started trickling down to children below the age of eighteen. The behaviour has influenced the aged…

  11. Entrepreneurial Universities for the UK: A "Stanford University" at Bamburgh Castle?

    ERIC Educational Resources Information Center

    Etzkowitz, Henry

    2010-01-01

    It is suggested that the value of projected cuts in UK higher education spending should be redirected to fund start-up entrepreneurial universities as part of a strategy for knowledge-based economic growth. Two specific elements of academic entrepreneurial redesign are outlined: the Professor of Practice, linking university and industry through…

  12. "Starting from Ground Zero:" Constraints and Experiences of Adult Women Returning to College

    ERIC Educational Resources Information Center

    Deutsch, Nancy L.; Schmertz, Barbara

    2011-01-01

    Women adult students face particular constraints when pursuing degrees. This paper uses focus group data to explore the educational pathways, barriers, and supports of women students. Women's educations are shaped by personal and structural gendered forces, including family, economic, and workplace issues. Women report conflict over short-term…

  13. China and India: Different Educational Paths toward Prosperity. Policy Insight, Volume 2, Issue 1

    ERIC Educational Resources Information Center

    Liu, Ying; Kumar, Krishna B.

    2008-01-01

    Different educational approaches in China and India have been successful in stimulating economic growth. The two countries started building their national education systems under comparable conditions in the late 1940s; however, different policies, strategies, and historical circumstances have led them through different routes. China has…

  14. Preparing Your Students for Careers in Science and Engineering: How Is Your State Doing?

    NASA Astrophysics Data System (ADS)

    White, Susan; Cottle, Paul

    2011-10-01

    With one glance at the starting salaries of new bachelor's degree recipients in Fig. 1, a teacher or parent can see the career fields to which their high school students interested in the best economic opportunities might aspire: several engineering fields (chemical, electrical, mechanical), computer science, physics, and mathematics.

  15. Fall Leaf Portraits

    ERIC Educational Resources Information Center

    O'Hara, Cristina

    2012-01-01

    In this article, the author describes how students can create a stunning as well as economical mosaic utilizing fall's brilliantly colored leaves, preserved at their peak in color. Start by choosing a beautiful fall day to take students on a nature walk to collect a variety of leaves in different shapes, sizes, and colors. Focus on collecting a…

  16. Preparing Your Students for Careers in Science and Engineering: How Is Your State Doing?

    ERIC Educational Resources Information Center

    White, Susan; Cottle, Paul

    2011-01-01

    With one glance at the starting salaries of new bachelor's degree recipients in Fig. 1, a teacher or parent can see the career fields to which their high school students interested in the best economic opportunities might aspire: several engineering fields (chemical, electrical, mechanical), computer science, physics, and mathematics.

  17. System-wide emissions implications of increased wind power penetration.

    PubMed

    Valentino, Lauren; Valenzuela, Viviana; Botterud, Audun; Zhou, Zhi; Conzelmann, Guenter

    2012-04-03

    This paper discusses the environmental effects of incorporating wind energy into the electric power system. We present a detailed emissions analysis based on comprehensive modeling of power system operations with unit commitment and economic dispatch for different wind penetration levels. First, by minimizing cost, the unit commitment model decides which thermal power plants will be utilized based on a wind power forecast, and then, the economic dispatch model dictates the level of production for each unit as a function of the realized wind power generation. Finally, knowing the power production from each power plant, the emissions are calculated. The emissions model incorporates the effects of both cycling and start-ups of thermal power plants in analyzing emissions from an electric power system with increasing levels of wind power. Our results for the power system in the state of Illinois show significant emissions effects from increased cycling and particularly start-ups of thermal power plants. However, we conclude that as the wind power penetration increases, pollutant emissions decrease overall due to the replacement of fossil fuels.

  18. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Jung, Haeryong; Lee, Eunyong; Jeong, YiYeong

    Korea Radioactive-waste Management Corporation (KRMC) established in 2009 has started a new project to collect information on long-term stability of deep geological environments on the Korean Peninsula. The information has been built up in the integrated natural barrier database system available on web (www.deepgeodisposal.kr). The database system also includes socially and economically important information, such as land use, mining area, natural conservation area, population density, and industrial complex, because some of this information is used as exclusionary criteria during the site selection process for a deep geological repository for safe and secure containment and isolation of spent nuclear fuel andmore » other long-lived radioactive waste in Korea. Although the official site selection process has not been started yet in Korea, current integrated natural barrier database system and socio-economic database is believed that the database system will be effectively utilized to narrow down the number of sites where future investigation is most promising in the site selection process for a deep geological repository and to enhance public acceptance by providing readily-available relevant scientific information on deep geological environments in Korea. (authors)« less

  19. Assessing the indirect effects due to natural hazards on a mesoscale

    NASA Astrophysics Data System (ADS)

    Pfurtscheller, C.; Schwarze, R.

    2009-04-01

    Measuring indirect economic costs and other effects from natural hazards, especially floods in alpine and other mountainous regions, are a necessary part of a comprehensive economic assessment. Their omission seriously affects the relative economic benefits of structural or non structural measures of flood defence. Surpassing controversial, IO-model-based economic estimates, analysing indirect economic effects lead to the key question of identifying and evaluating the drivers of indirect economic effects and resilience to system effects in the regional economy, i.e. at the meso-level. This investigation takes place for the catastrophic floods in summer 2005 in the provinces of Tyrol and Vorarlberg, Austria, which caused an estimated € 670 Mio direct loss on private and public assets and severe interruptions in lifeline services. The paper starts out with differentiating the concept of indirect economic costs from direct costs, examing different temporal (short vs. long-term) and spatial (macro-, meso- vs. microeconomic) system boundaries. It surveys common theories of economic resilience and vulnerability at the regional economy level. Indirect effects at the regional economy level can be defined as interferences of the economic exchange of goods and services triggered by breakdowns of transport lines and critical production inputs. The extent and persistence of indirect effects of natural hazards is not only by parameters of the extreme event, such as duration and amplitude of the flood, but much more by resilience parameters of the regional economy such as size of enterprises, the network structure (linkages) of the regional economy, availability of insurance and relief funds, and the stock of inventory. These effects can only be dissected by means of expert judgement and event studies. This paper presents the results of a survey conducted among business practioneers, members of chamber of commerce, civil protection agencies to identify and scale the drivers of indirect costs triggered by floods on a local and regional scale. We develop a risk point scale and explain how it can be nested into IO-model-based economic tools such as the HAZUS indirect economic loss calculator

  20. The use of economic evaluation for guiding the pharmaceutical reimbursement list in Thailand.

    PubMed

    Teerawattananon, Yot; Tritasavit, Nattha; Suchonwanich, Netnapis; Kingkaew, Pritaporn

    2014-01-01

    Medicines expenditure consumes a significant proportion of public health expenditure in Thailand, where Universal Health Coverage has been in place since 2002. The National List of Essential Medicines has been successfully used as a pharmaceutical benefits package for all public health plans. All patients are eligible for all medicines included in the list free of charge by law. Health economic evaluation has been employed as a tool for the development of this list, including price negotiation of medicines before inclusion, especially of high-cost medicines or medicines with high budget implications. This paper illustrates the current process, mechanisms, and impact and informs of seven success factors that have contributed to the successful use of health economic evaluation in Thailand. These include strong political commitment, development of individual and institutional capacity, participation of all relevant stakeholders, establishment of standard methodological and process guidelines, consideration of several elements in the decision-making process, using evidence as a starting point rather than a deciding factor, and strong enforcement. The lessons learned from this study are likely to be applicable to other settings committed to evidence-based decision making. Copyright © 2014. Published by Elsevier GmbH.

  1. A New Lagrangian Relaxation Method Considering Previous Hour Scheduling for Unit Commitment Problem

    NASA Astrophysics Data System (ADS)

    Khorasani, H.; Rashidinejad, M.; Purakbari-Kasmaie, M.; Abdollahi, A.

    2009-08-01

    Generation scheduling is a crucial challenge in power systems especially under new environment of liberalization of electricity industry. A new Lagrangian relaxation method for unit commitment (UC) has been presented for solving generation scheduling problem. This paper focuses on the economical aspect of UC problem, while the previous hour scheduling as a very important issue is studied. In this paper generation scheduling of present hour has been conducted by considering the previous hour scheduling. The impacts of hot/cold start-up cost have been taken in to account in this paper. Case studies and numerical analysis presents significant outcomes while it demonstrates the effectiveness of the proposed method.

  2. Numerical simulation of the circulation of the atmosphere of Titan

    NASA Technical Reports Server (NTRS)

    Hourdin, F.; Levan, P.; Talagrand, O.; Courtin, Regis; Gautier, Daniel; Mckay, Christopher P.

    1992-01-01

    A three dimensional General Circulation Model (GCM) of Titan's atmosphere is described. Initial results obtained with an economical two dimensional (2D) axisymmetric version of the model presented a strong superrotation in the upper stratosphere. Because of this result, a more general numerical study of superrotation was started with a somewhat different version of the GCM. It appears that for a slowly rotating planet which strongly absorbs solar radiation, circulation is dominated by global equator to pole Hadley circulation and strong superrotation. The theoretical study of this superrotation is discussed. It is also shown that 2D simulations systemically lead to instabilities which make 2D models poorly adapted to numerical simulation of Titan's (or Venus) atmosphere.

  3. The Italian economic crisis and its impact on nursing services and education: hard and challenging times.

    PubMed

    Bortoluzzi, Guido; Palese, Alvisa

    2010-07-01

    Three levels of impact are reported and discussed in this commentary: the 'macro' level, which corresponds to policy(ies); the 'meso' level, which corresponds to nursing services and nursing education; and the 'micro' level, which deals with clinical practice and education, where interactions between patients and nurses and/or students take place. The Italian economy is showing some signs of recovery after the worst economic crisis of past decades. However, these signs are still quite weak and insufficient to declare that the country is finally coming out of it. Several negative impacts of the economic crisis on nursing services and nursing education are documented. Reports have started to document initial signs of the economical crisis impact on patients too. Present and future issues related to nursing services, education and clinical practice are commented both from national data and from nurses' daily perceptions. The Italian economic crisis will leave a heavy burden on the shoulders of future generations. Nurses' leaders are coping with these challenges, innovating the nursing system and preparing a sustainable future for generations of patients and nurses.

  4. Economics, cultural transmission, and the dynamics of the sex ratio at birth in China

    PubMed Central

    Lipatov, Mikhail; Li, Shuzhuo; Feldman, Marcus W.

    2008-01-01

    In rural China, the ratio of newborn boys to newborn girls [sex ratio at birth (SRB)] has been rising for several decades, to values significantly above its biological norm. This trend has a number of alarming societal consequences, and has attracted the attention of scholars and politicians. The root of the problem lies in a 2,500-year-old culture of son preference. This culture is intricately linked with the economic reality of each couple's life, so that there are financial and psychological repercussions to parents who have no sons. To bring greater clarity and understanding to this issue, we present a quantitative framework that describes the interaction between economics and cultural transmission. We start with an explicit mechanism by which economic incentives can change cultural beliefs of a given individual, and go on to include a mechanism of cultural inheritance from generation to generation. We then show how economic conditions can affect the dynamics of cultural change in an entire society, and may lead to a decrease in the country's sex ratio at birth. PMID:19047641

  5. Economics, cultural transmission, and the dynamics of the sex ratio at birth in China.

    PubMed

    Lipatov, Mikhail; Li, Shuzhuo; Feldman, Marcus W

    2008-12-09

    In rural China, the ratio of newborn boys to newborn girls [sex ratio at birth (SRB)] has been rising for several decades, to values significantly above its biological norm. This trend has a number of alarming societal consequences, and has attracted the attention of scholars and politicians. The root of the problem lies in a 2,500-year-old culture of son preference. This culture is intricately linked with the economic reality of each couple's life, so that there are financial and psychological repercussions to parents who have no sons. To bring greater clarity and understanding to this issue, we present a quantitative framework that describes the interaction between economics and cultural transmission. We start with an explicit mechanism by which economic incentives can change cultural beliefs of a given individual, and go on to include a mechanism of cultural inheritance from generation to generation. We then show how economic conditions can affect the dynamics of cultural change in an entire society, and may lead to a decrease in the country's sex ratio at birth.

  6. Factor structure of the pictorial scale of perceived competence and social acceptance with two pre-elementary samples.

    PubMed

    Mantzicopoulos, Panayota; French, Brian F; Maller, Susan J

    2004-01-01

    Competing models of the factorial structure of the Pictorial Scale of Perceived Competence and Social Acceptance (PSPCSA) were tested for fit using multisample confirmatory factor analysis. The best fitting model was tested for invariance (a) across samples of middle-class (n = 251) and economically disadvantaged (Head Start, n = 117) kindergarten children (whose ages ranged from 67 to 86 months), and (b) over time (at the end of preschool and kindergarten) for the Head Start sample. For kindergarten children, regardless of socioeconomic status, the factor structure of the PSPCSA was consistent with the 2-factor model of Competence and Acceptance. This model also fit reasonably well for Head Start children at the end of their preschool year. However, in addition to providing broad support for the dimensionality of the measure, our findings highlight important concerns about the PSPCSA. Copyright 2004 Society for Research in Child Development, Inc.

  7. Shamba Maisha: A pilot study assessing impacts of a micro-irrigation intervention on the health and economic wellbeing of HIV patients

    PubMed Central

    2010-01-01

    Background HIV/AIDS negatively impacts poverty alleviation and food security, which reciprocally hinder the rapid scale up and effectiveness of HIV care programs. Nyanza province has the highest HIV prevalence (15.3%), and is the third highest contributor (2.4 million people) to rural poverty in Kenya. Thus, we tested the feasibility of providing a micro-irrigation pump to HIV-positive farmers in order to evaluate its impact on health and economic advancement among HIV-positive patients and their families. Methods Thirty HIV-positive patients enrolled in the Family AIDS Care and Education Services (FACES) program in Kisumu, Kenya were provided a micro-financed loan to receive an irrigation pump and farming guidance from KickStart, the developer of the pump. Economic data, CD4 counts, household health and loan repayment history were collected 12 months after the pumps were distributed. Results Mean annual family income increased by $1,332 over baseline. CD4 counts did not change significantly. Though income increased, only three (10%) participants had paid off more than a quarter of the loan. Conclusions We demonstrated the feasibility of an income-generating micro-irrigation intervention among HIV-positive patients and the collection of health and economic data. While family income improved significantly, loan repayment rates were low- likely complicated by the drought that occurred in Kenya during the intervention period. PMID:20459841

  8. Shamba Maisha: a pilot study assessing impacts of a micro-irrigation intervention on the health and economic wellbeing of HIV patients.

    PubMed

    Pandit, Jay A; Sirotin, Nicole; Tittle, Robin; Onjolo, Elijah; Bukusi, Elizabeth A; Cohen, Craig R

    2010-05-11

    HIV/AIDS negatively impacts poverty alleviation and food security, which reciprocally hinder the rapid scale up and effectiveness of HIV care programs. Nyanza province has the highest HIV prevalence (15.3%), and is the third highest contributor (2.4 million people) to rural poverty in Kenya. Thus, we tested the feasibility of providing a micro-irrigation pump to HIV-positive farmers in order to evaluate its impact on health and economic advancement among HIV-positive patients and their families. Thirty HIV-positive patients enrolled in the Family AIDS Care and Education Services (FACES) program in Kisumu, Kenya were provided a micro-financed loan to receive an irrigation pump and farming guidance from KickStart, the developer of the pump. Economic data, CD4 counts, household health and loan repayment history were collected 12 months after the pumps were distributed. Mean annual family income increased by $1,332 over baseline. CD4 counts did not change significantly. Though income increased, only three (10%) participants had paid off more than a quarter of the loan. We demonstrated the feasibility of an income-generating micro-irrigation intervention among HIV-positive patients and the collection of health and economic data. While family income improved significantly, loan repayment rates were low- likely complicated by the drought that occurred in Kenya during the intervention period.

  9. Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study.

    PubMed

    Eiríksdóttir, Védís Helga; Valdimarsdóttir, Unnur Anna; Ásgeirsdóttir, Tinna Laufey; Hauksdóttir, Arna; Lund, Sigrún Helga; Bjarnadóttir, Ragnheiður Ingibjörg; Cnattingius, Sven; Zoëga, Helga

    2015-01-01

    Data on the potential influence of macroeconomic recessions on maternal diseases during pregnancy are scarce. We aimed to assess potential change in prevalence of pregnancy-induced hypertensive disorders (preeclampsia and gestational hypertension) during the first years of the major national economic recession in Iceland, which started abruptly in October 2008. Women whose pregnancies resulted in live singleton births in Iceland in 2005-2012 constituted the study population (N = 35,211). Data on pregnancy-induced hypertensive disorders were obtained from the Icelandic Medical Birth Register and use of antihypertensive drugs during pregnancy, including β-blockers and calcium channel blockers, from the Icelandic Medicines Register. With the pre-collapse period as reference, we used logistic regression analysis to assess change in pregnancy-induced hypertensive disorders and use of antihypertensives during the first four years after the economic collapse, adjusting for demographic and pregnancy characteristics, taking aggregate economic indicators into account. Compared with the pre-collapse period, we observed an increased prevalence of gestational hypertension in the first year following the economic collapse (2.4% vs. 3.9%; adjusted odds ratio [aOR] 1.47; 95 percent confidence interval [95%CI] 1.13-1.91) but not in the subsequent years. The association disappeared completely when we adjusted for aggregate unemployment rate (aOR 1.04; 95% CI 0.74-1.47). Similarly, there was an increase in prescription fills of β-blockers in the first year following the collapse (1.9% vs.3.1%; aOR 1.43; 95% CI 1.07-1.90), which disappeared after adjusting for aggregate unemployment rate (aOR 1.05; 95% CI 0.72-1.54). No changes were observed for preeclampsia or use of calcium channel blockers between the pre- and post-collapse periods. Our data suggest a transient increased risk of gestational hypertension and use of β-blockers among pregnant women in Iceland in the first and most severe year of the national economic recession.

  10. Optoelectronic and photoacoustic studies of an organic dye synthesized through green route

    NASA Astrophysics Data System (ADS)

    Vijayakumar, S.; Sreelatha, S.; Hatamimoslehabadi, M.; Yelleswarappu, C. S.

    2017-10-01

    An azo dye was prepared through an environmentally benign and economically feasible synthesis route with cardanol as a starting material. Cardanol is a cost-effective and renewable natural source obtained from Cashew Nut Shell Liquid, a by-product of the cashew industry. The dye was spectrally characterized by IR, UV-Vis, NMR and fluorescence studies. UV-Vis absorption showed a bathochromic shift between solvents of lower and higher polarities. Nonlinear optical and photoacoustic properties were studied using a frequency doubled Nd:YAG laser producing 532 nm laser pulses of 3 ns pulse width. Results show that the nonlinear absorption coefficient decreases with the increase of on-axis intensity, suggesting excited state absorption as the principal mechanism. The observed nonlinearity has applications in optoelectronics.

  11. Which group of smokers is more vulnerable to the economic crisis?

    PubMed

    Gallus, S; Asciutto, R; Muttarak, R; Pacifici, R; La Vecchia, C; Lugo, A

    2016-05-01

    Studies investigating whether smoking increases or decreases during economic downturn provided contrasting results. For the first time, we used direct questions to analyse changes in smoking behaviour due to the 2008 financial crisis, comparing socio-economic characteristics of smokers who changed with those who kept their smoking intensity. Cross-sectional survey. We used data from three annual surveys conducted in Italy in 2012-2014 on representative samples of the Italian general population aged ≥15 years. A total of 1919 current smokers were asked specific questions on the influence of the economic crisis that started in 2008 on their smoking behaviour. Overall, 77.4% of 1919 current smokers reported not to have changed their smoking behaviour, 19.1% to have reduced, and 3.5% to have increased their smoking intensity as a consequence of the economic crisis. The reduction in cigarette smoking increased with age: compared to the respondents aged <25 years, the multivariate odds ratio (OR) for those aged 25-44, 45-64 and ≥65 years were 0.65, 0.46 and 0.33, respectively (P for trend<0.001). Reduction was significantly lower among intermediate (OR = 0.68 compared to low) and high education levels (OR = 0.28; P for trend<0.001). A significant inverse trend for increasing consumption was observed with age (P = 0.022), education (P = 0.003) and family income (P < 0.001). The large majority of current smokers did not change their smoking habit following the economic crisis. However, there are specific vulnerable subgroups of smokers, constituted by the young and subjects with low socio-economic status, that were reactive to the global economic crisis. These groups are more prone to change their smoking behaviours, either for better or -, in a smaller proportion -, for worse. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  12. Nine-year follow-up of a home-visitation program: a randomized trial.

    PubMed

    Fergusson, David M; Boden, Joseph M; Horwood, L John

    2013-02-01

    To evaluate the extent to which a home-visitation program (Early Start) had benefits for child abuse, child behavior, and parental- and family-level benefits to the 9-year follow-up. A randomized controlled trial in which 220 families receiving Early Start were contrasted with a control series of 223 families not receiving the program. Families were enrolled in the program for up to 5 years. Outcomes were assessed at 6 months, annually from 1 year to 6 years, and at 9 years after trial entry. Comparisons between the Early Start and control series showed that families in the Early Start program showed significant (P < .05) benefits in reduced risk of hospital attendance for unintentional injury, lower risk of parent-reported harsh punishment, lower levels of physical punishment, higher parenting competence scores, and more positive child behavioral adjustment scores. Effect sizes (Cohen's "d") ranged from 0.13 to 0.29 (median = 0.25). There were no significant differences (all P values > .05) between the Early Start and control series on a range of measures of parental behavior and family outcomes, including maternal depression, parental substance use, intimate partner violence, adverse economic outcomes, and life stress. The Early Start program was associated with small to moderate benefits in a range of areas relating to child abuse, physical punishment, child behavior, and parenting competence. There was little evidence to suggest that the Early Start program had benefits that extended to the level of parents or family overall.

  13. [Introduction of a bar coding pharmacy stock replenishment system in a prehospital emergency medical unit: economical impact].

    PubMed

    Dupuis, S; Fecci, J-L; Noyer, P; Lecarpentier, E; Chollet-Xémard, C; Margenet, A; Marty, J; Combes, X

    2009-01-01

    To assess economical impact after introduction of a bar coding pharmacy stock replenishment system in a prehospital emergency medical unit. Observational before and after study. A computer system using specific software and bare-code technology was introduced in the pre hospital emergency medical unit (Smur). Overall activity and costs related to pharmacy were recorded annually during two periods: the first 2 years period before computer system introduction and the second one during the 4 years following this system installation. The overall clinical activity increased by 10% between the two periods whereas pharmacy related costs continuously decreased after the start of pharmacy management computer system use. Pharmacy stock management was easier after introduction of the new stock replenishment system. The mean pharmacy related cost of one patient management was 13 Euros before and 9 Euros after the introduction of the system. The overall cost savings during the studied period was calculated to reach 134,000 Euros. The introduction of a specific pharmacy management computer system allowed to do important costs savings in a prehospital emergency medical unit.

  14. An economic evaluation of the costs of training a medical scribe to work in Emergency Medicine.

    PubMed

    Walker, Katherine J; Dunlop, Will; Liew, Danny; Staples, Margaret P; Johnson, Matt; Ben-Meir, Michael; Rodda, Hamish Gordon; Turner, Ian; Phillips, David

    2016-12-01

    To undertake a cost analysis of training medical scribes in an ED. This was a pilot, observational, single-centre study at Cabrini ED, Melbourne, Australia, studying the costs of initiating a scribe programme from the perspective of the hospital and Australian Health sector. Recruitment and training occurred between August 2015 and February 2016 and comprised of a prework course (1 month), prework training sessions and clinical training shifts for scribe trainees (2-4 months, one shift per week) who were trained by emergency physicians. Costs of start-up, recruitment, administration, preclinical training, clinical training shifts and productivity changes for trainers were calculated. 10 trainees were recruited to the prework course, 9 finished, 6 were offered clinical training after simulation assessment, 5 achieved competency. Scribes required clinical training ranging from 68 to 118 hours to become competent after initial classroom training. Medical students (2) required 7 shifts to become competent, premedical students (3) 8-16 shifts, while a trainee from an alternative background did not achieve competency. Based on a scribe salary of US$15.91/hour (including 25% on-costs) plus shift loadings, costs were: recruitment and start-up US$3111, education US$1257, administration US$866 and clinical shift costs US$1137 (overall cost US$6317 per competent scribe). Physicians who trained the clinical trainee scribes during shifts did not lose productivity. Training scribes outside the USA is feasible using an on-line training course and local physicians. It makes economic sense to hire individuals who can work over a long period of time to recoup training costs. ACTRN12615000607572. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  15. Changing Ocean, Changing Economics: Impact of Rising Temperatures on the American Lobster Landings and on the US-Canada Lobster Economics in the Emerging Chinese Market

    NASA Astrophysics Data System (ADS)

    Sun, C. H. J.

    2016-02-01

    Record high temperatures in 2012 pushed the start date of the Maine lobster fishing season three weeks earlier than normal. High landings during a compressed time period more than doubled the volume experienced in June and July. As supply outpaced demand, an average 40% decrease in ex-vessel price significantly reduced fishermen's profitability. This study examined how the timing and location of lobster landings is affected by ocean temperatures, number of trips, distance fished from shore, price, and seasonality. Weekly lobster landings and the number of fishing trips in eastern, central, and western Maine from 2008 to 2014 were combined with NERACOOS buoy temperatures to model the change in productivity. The model shows warming leads to significant increases in landings. We also used monthly landings, prices, and trade of live and processed lobster between the U.S. and Canada from 1990 to 2014 to specify a system of equations that captures how both markets are integrated and how they respond to changing market conditions. The model shows that an increase in landings in both areas leads to an increase in lobster trade and then to an increase in US imports of frozen lobster meat. Furthermore, lobster exports to the emerging Chinese market started to expand after 2012 and grew to account for 21% and 11% of the exports value from U.S. and Canada, respectively. From 2010 to 2014, a sub-system model is specified to address how increasing demand in the Chinese market for hard-shell lobster could create incentives to delay production and increase the supply of hard-shell live lobster. The full model was then used to explore ways in which this coastal social-ecological system can adapt to increasing ocean temperature and how the integrated global market might alter the economic implications of the next ocean heatwave.

  16. Premarital relationships and livelihoods in Ghana.

    PubMed

    Ankomah, A

    1996-10-01

    This study is based on interviews with a sample of 400 single women aged 18-25 years from the Fante ethnic group in Cape Coast, Ghana, in 1991, and on focus groups. This case study illustrates the importance of economic and living arrangement support expected from partners in premarital relationships. Support may be for living and maintenance ('chopmoney', provisions, household items, and rent); for financial security (provision of capital); and for clothing and hairdressing. Women did not always require economic support in premarital relationships. Women expect boyfriends to provide 'chopmoney' (money for food and general upkeep) and contribute some money for the rent. Only 36% of sexually active women expected their boyfriends to supply food provisions. Premarital sexual relationships are used to obtain start-up capital. The author refers to evidence that senior government officials engaged in sexual transactions with clients before loans and credit facilities were offered. 87% of sexually experienced women expected their partners to pay for at least part of clothing expenses. The study revealed that there was considerable disparity between women's expectations and actual receipt of economic support. 56% desired, but only 36% received, 'chopmoney' in full. 40% expected their partners to pay for household furnishings in full, while only 10% did so. 55% expected capital, but only 15% received it. The three most frequently received benefits in full were hair dressing, shoes, and dresses. Men provided most non-negotiable items as a means of "boosting their egos." Many young women rely on the support of men in order to improve their status. Ghanaian men control financial resources and economic power. Mothers of adolescent daughters encourage premarital sexual behavior. Prostitution is considered different from sexual exchange relationships. It is argued that gender inequalities and domestic abuse are perpetuated through sexual exchange relationships.

  17. Health disparities by income in Spain before and after the economic crisis

    PubMed Central

    Coveney, Max; García-Gómez, Pilar; Van Doorslaer, Eddy

    2016-01-01

    Little is known about what the economic crisis has done to health disparities by income. We apply a decomposition method to unravel the contributions of income growth, income inequality and differential income mobility across socio-demographic groups to changes in health disparities by income in Spain using longitudinal data from the Survey of Income and Living Conditions (SILC) for the period 2004–2012. We find a modest rise in health inequality by income in Spain in the five years of economic growth prior to the start of the crisis in 2008, but a sharp fall after 2008. The drop mainly derives from the fact that loss of employment and earnings has disproportionately affected the incomes of the younger and healthier groups rather than the (mainly stable pension) incomes of the over 65s. This suggests that unequal distribution of income protection by age may reduce health inequality in the short run after an economic recession. PMID:27870306

  18. Health Disparities by Income in Spain Before and After the Economic Crisis.

    PubMed

    Coveney, Max; García-Gómez, Pilar; Van Doorslaer, Eddy; Van Ourti, Tom

    2016-11-01

    Little is known about how health disparities by income change during times of economic crisis. We apply a decomposition method to unravel the contributions of income growth, income inequality and differential income mobility across socio-demographic groups to changes in health disparities by income in Spain using longitudinal data from the Survey of Income and Living Conditions for the period 2004-2012. We find a modest rise in health inequality by income in Spain in the 5 years of economic growth prior to the start of the crisis in 2008, but a sharp fall after 2008. The drop mainly derives from the fact that loss of employment and earnings has disproportionately affected the incomes of the younger and healthier groups rather than the (mainly stable pension) incomes of the groups over 65 years. This suggests that unequal distribution of income protection by age may reduce health inequality in the short run after an economic recession. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  19. Adolescents’ and Young Adults' Naïve Understandings of the Economic Crisis

    PubMed Central

    Berti, Anna Emilia; Ajello, Anna Maria; Aprea, Carmela; Castelli, Ilaria; Lombardi, Elisabetta; Marchetti, Antonella; Massaro, Davide; Sappa, Viviana; Valle, Annalisa

    2017-01-01

    Over the last decade, Financial Literacy (FL) and interventions aimed at improving it, that is Financial Education (FE), have been the focus of increased attention from economists, governments, and international organizations such as the world Bank and OECD, but much less by scholars in the fields of Learning and Instruction. We examined open-ended written answers on the causes of the economic crisis that started in 2007-2008, as given by 381 Italian secondary school and university students, and 268 Swiss Italian-speaking secondary school students. Most Italian students mentioned internal political causes (i.e., corrupt politicians or inefficiency of the government), whereas Swiss students mentioned banks more often. International factors were rarely mentioned by either group, and explanations were generally very poor, listing a few causes without making connections between them. These findings indicate the need for economics education aimed at making people more knowledgeable of the workings of the economic system and the effects of financial systems on the real economy. PMID:28344680

  20. Agricultural Model for the Nile Basin Decision Support System

    NASA Astrophysics Data System (ADS)

    van der Bolt, Frank; Seid, Abdulkarim

    2014-05-01

    To analyze options for increasing food supply in the Nile basin the Nile Agricultural Model (AM) was developed. The AM includes state-of-the-art descriptions of biophysical, hydrological and economic processes and realizes a coherent and consistent integration of hydrology, agronomy and economics. The AM covers both the agro-ecological domain (water, crop productivity) and the economic domain (food supply, demand, and trade) and allows to evaluate the macro-economic and hydrological impacts of scenarios for agricultural development. Starting with the hydrological information from the NileBasin-DSS the AM calculates the available water for agriculture, the crop production and irrigation requirements with the FAO-model AquaCrop. With the global commodity trade model MAGNET scenarios for land development and conversion are evaluated. The AM predicts consequences for trade, food security and development based on soil and water availability, crop allocation, food demand and food policy. The model will be used as a decision support tool to contribute to more productive and sustainable agriculture in individual Nile countries and the whole region.

  1. [Grounding public health policies in ethics and economic efficiency. SESPAS report 2010].

    PubMed

    Ramiro Avilés, Miguel A; Lobo, Félix

    2010-12-01

    In recent times, various voices in Spain have questioned public health policies as an assault to personal freedom. The present article aims to respond to these voices with ethical and economic arguments. The scope and characteristics of this current of opinion are described. Then, starting with John Stuart Mill, the ethical principles of non-maleficence, beneficence, personal autonomy and justice, as well as related concepts taken from economic efficiency, such as externalities, monopoly, incomplete and asymmetric information, agency relationship, public goods and adverse selection, are discussed. A short mention is made of equity in economics, the welfare state and public health systems. The justification for paternalist actions by the state, as well as limits to these actions, are briefly discussed. Respect for individual freedom does not exclude the implementation of public health actions but rather demands the adoption of such policies. If these actions comply with certain conditions, they do not limit individual freedom but rather serve to protect it. Copyright © 2010 SESPAS. Published by Elsevier Espana. All rights reserved.

  2. [Trends on generation and reproduction of knowledge about economic evaluation and health].

    PubMed

    Arredondo, A; Parada, I

    2001-08-01

    This paper identifies the trends and recent progress in the generation and reproduction of knowledge on health economic evaluation. Analysis is organized along nine public health action fields, namely: health determinants and predictors, economic value of health, healthcare demand, healthcare supply, microeconomic evaluation of healthcare, healthcare market balance, evaluation of policy instruments, general evaluation of the health system, and healthcare planning, regulation and supervision. Each action field is defined to place the reader in the proper setting and level of analysis. In addition, thematic research topics developed in each action field are proposed and discussed. The generation and reproduction of knowledge on the different action fields was based on the review of the bibliographic databases MEDLINE and LILACS for the 1992-2000 period. Results lead to the conclusion that development and application of economic evaluation of healthcare has been uneven across different countries and that there is a growing increase of applications starting in 1994, the year of initiation of healthcare reform in Latin America.

  3. Adolescents' and Young Adults' Naïve Understandings of the Economic Crisis.

    PubMed

    Berti, Anna Emilia; Ajello, Anna Maria; Aprea, Carmela; Castelli, Ilaria; Lombardi, Elisabetta; Marchetti, Antonella; Massaro, Davide; Sappa, Viviana; Valle, Annalisa

    2017-03-01

    Over the last decade, Financial Literacy (FL) and interventions aimed at improving it, that is Financial Education (FE), have been the focus of increased attention from economists, governments, and international organizations such as the world Bank and OECD, but much less by scholars in the fields of Learning and Instruction. We examined open-ended written answers on the causes of the economic crisis that started in 2007-2008, as given by 381 Italian secondary school and university students, and 268 Swiss Italian-speaking secondary school students. Most Italian students mentioned internal political causes (i.e., corrupt politicians or inefficiency of the government), whereas Swiss students mentioned banks more often. International factors were rarely mentioned by either group, and explanations were generally very poor, listing a few causes without making connections between them. These findings indicate the need for economics education aimed at making people more knowledgeable of the workings of the economic system and the effects of financial systems on the real economy.

  4. Critical path method applied to research project planning: Fire Economics Evaluation System (FEES)

    Treesearch

    Earl B. Anderson; R. Stanton Hales

    1986-01-01

    The critical path method (CPM) of network analysis (a) depicts precedence among the many activities in a project by a network diagram; (b) identifies critical activities by calculating their starting, finishing, and float times; and (c) displays possible schedules by constructing time charts. CPM was applied to the development of the Forest Service's Fire...

  5. Recession Tempers the Usual Optimism in College Fund-Raising Offices

    ERIC Educational Resources Information Center

    Masterson, Kathryn

    2009-01-01

    After years of growth and predictions that fund raising for higher education would escape the brunt of the economic crash, the recession has started to affect colleges' efforts to raise money, according to a survey by "The Chronicle" and Moody's Investors Service. Predictions are that 2009 may be an even tougher year for fund raisers, with…

  6. Problem-Based Assignments as a Trigger for Developing Ethical and Reflective Competencies

    ERIC Educational Resources Information Center

    Euler, Dieter; Kühner, Patrizia

    2017-01-01

    The following research question serves as the starting point of this research and development project: How, in the context of a didactic design, can problem-based assignments trigger learning activities for the development of ethical and reflective competencies in students in economics courses? This paper focuses on the design of problem-based…

  7. Starting a Small Business Incubator. A Handbook for Sponsors and Developers.

    ERIC Educational Resources Information Center

    Kirchner, Charles, Ed.

    An increasingly popular economic development tool to improve the success rate of new firms is the small business incubator. These are buildings in which a number of new or growing businesses can locate and operate at a much lower overhead cost than in conventional space where market rates prevail. Incubator facilities are characterized by access…

  8. 14th Annual School Construction Report, 2009

    ERIC Educational Resources Information Center

    Abramson, Paul

    2009-01-01

    School construction remains high, but not as high as it has been over the last eight years. Projections for the future (projects expected to be completed and/or started in 2009) show a significant decline. Capital budgets may be in place, but the economic hard times and forced cuts in many local school programs are having an effect on construction…

  9. Reading the IT Leaves: Four Predictions for Higher Education Technology in 2011

    ERIC Educational Resources Information Center

    Grush, Mary

    2011-01-01

    No start to the new year is complete without media prognostications for the 12 months ahead. Leaving the social, political, and economic fad predictions to others, "CT" asked four members of its editorial and conference advisory boards to identify information technology trends in higher education that are beginning to take real hold in 2011--the…

  10. A Century for Children...It Starts with Us. Save the Children 2000 Annual Report.

    ERIC Educational Resources Information Center

    Hollander, Vera; Torsney, Janet

    Save the Children was founded in 1932 as a nonprofit child-assistance organization to help children and families improve their health, education, and economic opportunities. This annual report presents information on the activities of the organization for the year 2000 and details its financial position. Beginning with highlights of the year's…

  11. The Experiential Domain: Developing a Model for Enhancing Practice in D&T Education

    ERIC Educational Resources Information Center

    O'Connor, Adrian; Seery, Niall; Canty, Donal

    2018-01-01

    Creativity and innovation are leading topics for the twenty-first century, not only in individual, cultural or social contexts but also within a wider perspective in business or economic development. For that reason, creative and innovative activities have started to feature in many design-based programs in second level education. Design and…

  12. Hiring and Higher Education: Business Executives Talk about the Costs and Benefits of College

    ERIC Educational Resources Information Center

    Farkas, Steve

    2011-01-01

    The Committee for Economic Development (CED), in collaboration with Public Agenda, launched this qualitative research effort to explore the attitudes of business leaders toward higher education. The goal is to understand the starting point of business executives: What are their views on the purposes, importance, strengths and weaknesses of the…

  13. Profitable Child Care: HOw To Start and Run a Successful Business.

    ERIC Educational Resources Information Center

    Howkins, Nan Lee; Rosenholtz, Heidi Kane

    Noting that the demand for day care has consistently outpaced supply, this book explains how to capitalize on the economic opportunities available and turn a child care center into an attractive and lucrative business that will at the same time benefit the community. Following an introduction, Part One covers the basics of planning a child care…

  14. "Newstart" or "Stop-Start"? the Implications of Recent Welfare Reforms on Undergraduate Students Who Are Sole Parents

    ERIC Educational Resources Information Center

    Lenette, Caroline; McDonald, Donna; Fowler, Jane L.

    2014-01-01

    This article discusses the implications of recent income support payment changes for sole-parented families in Australia, and in particular, their capacity to access tertiary education. The government's program to reduce welfare benefit payments to sole-parented families already at high risk of economic disadvantage and social marginalization…

  15. Positive Outcomes from Poor Starts: Predictors of Dropping Back In

    ERIC Educational Resources Information Center

    Hill, Lauren E.; Jepsen, Christopher

    2007-01-01

    A vast body of research finds an association between missteps taken during the teen years (such as motherhood or dropping out of high school) and poor economic and educational outcomes. However, youth who take major missteps as teens often have subsequent success in school or the labor market. This paper attempts to draw lessons from youth who…

  16. Genetic variation of the pathogen causing impatiens downy mildew pre-dating and including 21st century epidemics on Impatiens walleriana

    USDA-ARS?s Scientific Manuscript database

    Impatiens downy mildew (IDM) disease on cultivated Impatiens walleriana has had a significant economic impact on the ornamental horticulture industry in the U.S. and globally. Although recent IDM outbreaks started in 2004, downy mildews on non-cultivated Impatiens species have been documented since ...

  17. Achieving Business Focus: Promoting the Entrepreneurial Management Capabilities of Owner-Managers

    ERIC Educational Resources Information Center

    Rae, David

    2007-01-01

    The development of entrepreneurial management skills by owner-managers of existing small firms has been neglected in comparison with the attention paid to new venture entrepreneurs. However, the survival and growth of small firms is vital in regional economic development. Many small businesses are vulnerable in the period after start-up, or when…

  18. New Literacies for New Learners: The Need for Digital Technologies in Primary Classrooms

    ERIC Educational Resources Information Center

    Forzani, Elena; Leu, Donald J.

    2012-01-01

    All students must start learning new literacies skills early if they are to gain the skills they will need as adults. Integrating these skills into classroom instruction at a young age is especially important for economically disadvantaged students. Moreover, the interactive nature of the Internet and other digital tools may hold special learning…

  19. Alternatives to Waste Disposal. Rural Information Center Publication Series, No. 43. Revised Edition.

    ERIC Educational Resources Information Center

    Moberly, Heather K., Comp.

    Solid waste disposal has become a major concern in rural areas, threatening public health, ruining the environment, and hindering economic development due to an overall poor impression of areas. This bibliography serves as a starting point for small communities to examine the issues and begin planning for feasible programs for disposing or…

  20. Widening Access in Higher Education in Zimbabwe

    ERIC Educational Resources Information Center

    Kariwo, Michael Tonderai

    2007-01-01

    Higher education in Zimbabwe is undergoing changes mainly because of the rapid expansion that started in 1999. The current situation is that higher education is going through a series of crises due to the fact that government subventions are diminishing in real terms as a result of the decline in economic growth, yet at the same time, student…

  1. Changing Jobs in Difficult Financial Times

    ERIC Educational Resources Information Center

    Brown, Wayne

    2009-01-01

    Starting a new CIO job is always a challenge. There is a new department and institution to learn about, people to meet, and problems to solve. There is always plenty to learn and projects to realize. Throwing in economic challenges to the new-job transition can feel like one is attempting to climb a mountain without any gear. Fortunately, there…

  2. Follow the Leader: A Proposal to Make Whole of Government Global Engagement Work

    DTIC Science & Technology

    2009-06-12

    fragmented control over global information across all topics - social , economic and political, shattering one of the central unifying factors in the ...Science Degree in Joint Campaign Planning and Strategy. The contents of this paper reflect my own personal views and are not necessarily endorsed by...Distinction .................................................. 53 Leadership from the Start : Operationalizing Consensus

  3. Other Japanese Educations and Japanese Education Otherwise. Review Essay

    ERIC Educational Resources Information Center

    Takayama, Keita

    2011-01-01

    Education in the United States was in a state of "crisis" at the time of the 1983 release of "A Nation at Risk," the landmark report on the US education reform. This was the time when the rising Japanese economy started threatening the post-war US economic dominance and conservative figures such as Ronald Reagan gained popular…

  4. Employment and Access to On-the-Job Training of Chinese Women. Verhandelingen No. 47.

    ERIC Educational Resources Information Center

    Kan, Feng Min

    This paper investigates the change in women workers' position in the labor market in China since economic reforms were started 10 years ago. The reforms which granted enterprises more decision-making power and caused the Chinese government to stop subsidizing maternity leave, time off for breast feeding, and nursery school, resulted in enterprises…

  5. Mobilizing Intercultural Education for Equity and Social Justice. Time to React against the Intolerable: A Proposal from Spain

    ERIC Educational Resources Information Center

    Aguado-Odina, Teresa; Mata-Benito, Patricia; Gil-Jaurena, Inés

    2017-01-01

    Education is suffering from the consequences of strengthening neoliberal policies, which impose an education model that serves the interests of the hegemonic economic system. The market rationale is being implemented in schools, moving the interests from equity to efficiency, from equal opportunities to performance. Starting from setting out a…

  6. Relationship of log production in Oregon and Washington to economic conditions.

    Treesearch

    Brian R. Wall

    1972-01-01

    Increasing demand for timber has put upward pressure on log production levels in Oregon and Washington. Fluctuations in log production result primarily from changes in national demand for wood products. The log production cycle with respect to business conditions has become countercyclical since World War II. During the 1949-69 period, annual changes in housing starts...

  7. "Forging the Fatherland": Work and Vocational Education in Argentina during Peronism (1944-1955)

    ERIC Educational Resources Information Center

    Oelsner, Veronica

    2013-01-01

    This article focuses on the reforms in the field of vocational education, as well as on representations related to work, in Argentina during Peron's political leadership. In the framework of far-reaching economic reforms and social transformations, while in the position of secretary of labour (1943-1945) Peron started a vocational education…

  8. Continuing Education for the Emerging Social Work Profession in China: The Experiment in Shenzhen

    ERIC Educational Resources Information Center

    Lam, Ching Man; Yan, Miu Chung; Liang, Yan

    2016-01-01

    In-service training as a form of continuing professional education (CPE) is important for social work professionals to maintain their skills and enhance their knowledge for publicly accountable practice. These goals are concerns in Mainland China, which has experienced rapid development in social work since economic reforms started in the early…

  9. Initial Aid is Puzzle to Track

    ERIC Educational Resources Information Center

    McNeil, Michele

    2009-01-01

    States and federal agencies are off to a slow and uneven start in allowing the public to track the first allotments from up to $100 billion in new education funding under the federal economic-stimulus package, despite strong pledges of transparency for the program from the Obama administration. Although about $145 million in aid has been sent from…

  10. Going Green: The Vital Role of Community Colleges in Building a Sustainable Future and Green Workforce

    ERIC Educational Resources Information Center

    Feldbaum, Mindy

    2009-01-01

    The emerging transition to a low-carbon and sustainable economy holds great promise for economic growth and prosperity, innovation, and job creation. New green technologies and discoveries--coupled with new demand and forward-thinking public policies that advance sustainability and encourage public-private investments--are starting to transform…

  11. Bilingualism and Learning: The Effect of Language Pair on Phonological Awareness Abilities

    ERIC Educational Resources Information Center

    Dodd, Barbara J.; So, Lydia K. H.; Lam, Kobe K. C.

    2008-01-01

    Children first exposed to English as a second language when they start school are at risk for poor academic outcome. They perform less well than their monolingual peers, matched for socio-economic background, at the end of primary school on measures of language and literacy, despite immersion in English at school. Previous research suggests,…

  12. Economic evaluation of the randomized European Achalasia trial comparing pneumodilation with Laparoscopic Heller myotomy.

    PubMed

    Moonen, A; Busch, O; Costantini, M; Finotti, E; Tack, J; Salvador, R; Boeckxstaens, G; Zaninotto, G

    2017-11-01

    A recent multicenter randomized trial in achalasia patients has shown that pneumatic dilation resulted in equivalent relief of symptoms compared to laparoscopic Heller myotomy. Additionally, the cost of each treatment should be also taken in consideration. Therefore, the aim of the present study was to perform an economic analysis of the European achalasia trial. Patients with newly diagnosed achalasia were enrolled from to 2003 to 2008 in 14 centers in five European countries and were randomly assigned to either pneumatic dilation (PD) or laparoscopic Heller (LHM). The economic analysis was performed in the three centers in three different countries where most patients were enrolled (Amsterdam [NL], Leuven, [B] and Padova [I]) and then applied to all patients included in the study. The total raw costs of the two treatments per patient include the initial costs, the costs of complications, and the costs of retreatments. Two hundred and one patients, 107 (57 males and 50 females, mean age 46 CI: 43-49 years) were randomized to LHM and 94 (59 males and 34 females, mean age 46 CI 43-50 years) to PD. The total cost of PD per patient was quite comparable in the three different centers; €3397 in Padova, €3259 in Amsterdam and €3792 in Leuven. For LHM, the total costs per patient were highest in Amsterdam: €4488 in Padova, €6720 in Amsterdam, and €5856 in Leuven. In conclusion, the strategy of treating achalasia starting with PD appears the most economic approach, independent of the health system. © 2017 John Wiley & Sons Ltd.

  13. The evaluation of research papers in the XXI century. The Open Peer Discussion system of the World Economics Association.

    PubMed

    Ietto-Gillies, Grazia

    2012-01-01

    The paper starts with a brief discussion of the traditional peer review (TPR) system of research evaluation, its role, and the criticisms levelled at it. An analysis of specific problems in economics leads to a full discussion of the Open Peer Review (OPR) system developed by the World Economics Association (WEA) and the principles behind it. The system is open in the following two respects: (a) disclosure of names of authors and reviewers; and (b) inclusivity of potential reviewers in terms of paradigmatic approaches, country, and community. The paper then discusses the applicability of the same system to other disciplines. In doing so, it stressed the aims of various evaluation systems and the possible pitfalls of rating systems. It also speculates on the future of journal publication.

  14. Correlation between Gini index and mobility in a stochastic kinetic model of economic exchange

    NASA Astrophysics Data System (ADS)

    Bertotti, Maria Letizia; Chattopadhyay, Amit K.; Modanese, Giovanni

    Starting from a class of stochastically driven kinetic models of economic exchange, here we present results highlighting the correlation of the Gini inequality index with the social mobility rate, close to dynamical equilibrium. Except for the "canonical-additive case", our numerical results consistently indicate negative values of the correlation coefficient, in agreement with empirical evidence. This confirms that growing inequality is not conducive to social mobility which then requires an "external source" to sustain its dynamics. On the other hand, the sign of the correlation between inequality and total income in the canonical ensemble depends on the way wealth enters or leaves the system. At a technical level, the approach involves a generalization of a stochastic dynamical system formulation, that further paves the way for a probabilistic formulation of perturbed economic exchange models.

  15. Using Economic Evaluation to Illustrate Value of Care for Improving Patient Safety and Quality: Choosing the Right Method.

    PubMed

    Padula, William V; Lee, Ken K H; Pronovost, Peter J

    2017-08-03

    To scale and sustain successful quality improvement (QI) interventions, it is recommended for health system leaders to calculate the economic and financial sustainability of the intervention. Many methods of economic evaluation exist, and the type of method depends on the audience: providers, researchers, and hospital executives. This is a primer to introduce cost-effectiveness analysis, budget impact analysis, and return on investment calculation as 3 distinct methods for each stakeholder needing a measurement of the value of QI at the health system level. Using cases for the QI of hospital-acquired condition rates (e.g., pressure injuries), this primer proceeds stepwise through each method beginning from the same starting point of constructing a model so that the repetition of steps is minimized and thereby capturing the attention of all intended audiences.

  16. [Epidemiologic and economic effectiveness of school closure during influenza epidemics and pandemics].

    PubMed

    Gendon, Iu Z; Vasil'ev, Iu M

    2012-01-01

    Epidemiologic and economic effectiveness of school closure during influenza epidemics and pandemics is discussed. Optimal effect of school closure is observed when this measure is taken at the start of the epidemic or pandemic and for a sufficiently long time. School closure during high morbidity among schoolchildren, in the middle (at the peak) and by the end of epidemic or pandemic does not influence significantly the spread of influenza or morbidity. Significant economic losses and other negative consequences of school closure are noted. School closure may be the most appropriate during the emergence of influenza pandemic when the pandemic vaccine is not yet available, however timely mass immunization of schoolchildren against influenza may be a more appropriate measure than school closure for the reduction of influenza morbidity and spread during seasonal influenza epidemics.

  17. Animal spirits, competitive markets, and endogenous growth

    NASA Astrophysics Data System (ADS)

    Miyazaki, Kenji

    2013-10-01

    This paper uses a simple model with an endogenous discount rate and linear technology to investigate whether a competitive equilibrium has a higher balanced growth path (BGP) than the social planning solution and whether the BGP is determinate or indeterminate. The implications are as follows. To start with, people with an instinct to compare themselves with others possess an endogenous discount rate. In turn, this instinct affects the economic growth rate in a competitive market economy. The competitive market economy also sometimes achieves higher economic growth than a social planning economy. However, the outcomes of market economy occasionally fluctuate because of the presence of the self-fulfilling prophecy or animal spirits.

  18. Eco-Material Selection for Auto Bodies

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mayyas, Ahmad T; Omar, Mohammed; Hayajneh, Mohammed T.

    In the last decades, majority of automakers started to include lightweight materials in their vehicles to meet hard environmental regulations and to improve fuel efficiency of their vehicles. As a result, eco-material selection for vehicles emerged as a new discipline under design for environment. This chapter will summarize methods of eco-material selections for automotive applications with more emphasis into auto-bodies. A set of metrics for eco-material selection that takes into account all economic, environmental and social factors will be developed using numerical and qualitative methods. These metrics cover products' environmental impact, functionality and manufacturability, in addition to the economic andmore » societal factors.« less

  19. Climate engineering and space

    NASA Astrophysics Data System (ADS)

    Schrogl, K.-U.; Summerer, L.

    2016-12-01

    This article provides a comprehensive look at climate engineering and space. Its starting point is that the States are failing to slow down global warming. The consequences for the environment and the economic and societal burden are uncontested. The priority to maintain the use of fossil resources might soon lead to the implementation of deliberate engineering measures to alter the climate instead of reducing the greenhouse gases. The article describes these currently discussed measures for such climate engineering. It will particularly analyse the expected contributions from space to these concepts. Based on this it evaluates the economic and political implications and finally tests the conformity of these concepts with space law.

  20. [Process-oriented cost calculation in interventional radiology. A case study].

    PubMed

    Mahnken, A H; Bruners, P; Günther, R W; Rasche, C

    2012-01-01

    Currently used costing methods such as cost centre accounting do not sufficiently reflect the process-based resource utilization in medicine. The goal of this study was to establish a process-oriented cost assessment of percutaneous radiofrequency (RF) ablation of liver and lung metastases. In each of 15 patients a detailed task analysis of the primary process of hepatic and pulmonary RF ablation was performed. Based on these data a dedicated cost calculation model was developed for each primary process. The costs of each process were computed and compared with the revenue for in-patients according to the German diagnosis-related groups (DRG) system 2010. The RF ablation of liver metastases in patients without relevant comorbidities and a low patient complexity level results in a loss of EUR 588.44, whereas the treatment of patients with a higher complexity level yields an acceptable profit. The treatment of pulmonary metastases is profitable even in cases of additional expenses due to complications. Process-oriented costing provides relevant information that is needed for understanding the economic impact of treatment decisions. It is well suited as a starting point for economically driven process optimization and reengineering. Under the terms of the German DRG 2010 system percutaneous RF ablation of lung metastases is economically reasonable, while RF ablation of liver metastases in cases of low patient complexity levels does not cover the costs.

  1. Healthy working days: The (positive) effect of work effort on occupational health from a human capital approach.

    PubMed

    Urtasun, Ainhoa; Nuñez, Imanol

    2018-04-01

    The neoclassic economic rationale has taken for granted that the effect of effort on health is negative. However, several studies in the field of occupational health and medicine claim that working is clearly better for health than non-working or being unemployed, as some psychological and physical condition may improve with work effort. This paper analyzes the effect of work effort on occupational health. The proposed human capital approach builds upon the classic economic perspective, that assumes a negative effect of effort on health, and extends it by allowing positive effects, as suggested by occupational researchers. Using a sample from 2010 of 20,000 European workers we find that, under adequate working conditions, the level of effort (measured in working hours) at which health starts to deteriorate is very high (120 h per week). However, if working conditions are not adequate, even a moderate effort (35 h per week) can harm workers health. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. [Temporary employment and health: a multivariate analysis of occupational injury risk by job tenure].

    PubMed

    Bena, Antonella; Giraudo, Massimiliano

    2013-01-01

    To study the relationship between job tenure and injury risk, controlling for individual factors and company characteristics. Analysis of incidence and injury risk by job tenure, controlling for gender, age, nationality, economic activity, firm size. Sample of 7% of Italian workers registered in the INPS (National Institute of Social Insurance) database. Private sector employees who worked as blue collars or apprentices. First-time occupational injuries, all occupational injuries, serious occupational injuries. Our findings show an increase in injury risk among those who start a new job and an inverse relationship between job tenure and injury risk. Multivariate analysis confirm these results. Recommendations for improving this situation include the adoption of organizational models that provide periods of mentoring from colleagues already in the company and the assignment to simple and not much hazardous tasks. The economic crisis may exacerbate this problem: it is important for Italy to improve the systems of monitoring relations between temporary employment and health.

  3. Clinical consequences and economic costs of untreated obstructive sleep apnea syndrome.

    PubMed

    Knauert, Melissa; Naik, Sreelatha; Gillespie, M Boyd; Kryger, Meir

    2015-09-01

    To provide an overview of the healthcare and societal consequences and costs of untreated obstructive sleep apnea syndrome. PubMed database for English-language studies with no start date restrictions and with an end date of September 2014. A comprehensive literature review was performed to identify all studies that discussed the physiologic, clinical and societal consequences of obstructive sleep apnea syndrome as well as the costs associated with these consequences. There were 106 studies that formed the basis of this analysis. Undiagnosed and untreated obstructive sleep apnea syndrome can lead to abnormal physiology that can have serious implications including increased cardiovascular disease, stroke, metabolic disease, excessive daytime sleepiness, work-place errors, traffic accidents and death. These consequences result in significant economic burden. Both, the health and societal consequences and their costs can be decreased with identification and treatment of sleep apnea. Treatment of obstructive sleep apnea syndrome, despite its consequences, is limited by lack of diagnosis, poor patient acceptance, lack of access to effective therapies, and lack of a variety of effective therapies. Newer modes of therapy that are effective, cost efficient and more accepted by patients need to be developed.

  4. Climate Change Policy

    NASA Astrophysics Data System (ADS)

    Jepma, Catrinus J.; Munasinghe, Mohan; Bolin, Foreword By Bert; Watson, Robert; Bruce, James P.

    1998-03-01

    There is increasing scientific evidence to suggest that humans are gradually but certainly changing the Earth's climate. In an effort to prevent further damage to the fragile atmosphere, and with the belief that action is required now, the scientific community has been prolific in its dissemination of information on climate change. Inspired by the results of the Intergovernmental Panel on Climate Change's Second Assessment Report, Jepma and Munasinghe set out to create a concise, practical, and compelling approach to climate change issues. They deftly explain the implications of global warming, and the risks involved in attempting to mitigate climate change. They look at how and where to start action, and what organization is needed to be able to implement the changes. This book represents a much needed synopsis of climate change and its real impacts on society. It will be an essential text for climate change researchers, policy analysts, university students studying the environment, and anyone with an interest in climate change issues. A digestible version of the IPCC 1995 Economics Report - written by two of IPCC contributors with a Foreword by two of the editors of Climate Change 1995: Economics of Climate Change: i.e. has unofficial IPCC approval Focusses on policy and economics - important but of marginal interest to scientists, who are more likely to buy this summary than the full IPCC report itself Has case-studies to get the points across Separate study guide workbook will be available, mode of presentation (Web or book) not yet finalized

  5. Ontogenetic development of digestive functionality in golden pompano Trachinotus ovatus (Linnaeus 1758).

    PubMed

    Ma, Zhenhua; Guo, Huayang; Zheng, Panlong; Wang, Long; Jiang, Shigui; Qin, Jian G; Zhang, Dianchang

    2014-08-01

    Ontogenetic development of the digestive system in golden pompano (Trachinotus ovatus, Linnaeus 1758) larvae was histologically and enzymatically studied from hatch to 32 day post-hatch (DPH). The development of digestive system in golden pompano can be divided into three phases: phase I starting from hatching and ending at the onset of exogenous feeding; phase II starting from first feeding (3 DPH) and finishing at the formation of gastric glands; and phase III starting from the appearance of gastric glands on 15 DPH and continuing onward. The specific activities of trypsin, amylase, and lipase increased sharply from the onset of first feeding to 5-7 DPH, followed by irregular fluctuations. Toward the end of this study, the specific activities of trypsin and amylase showed a declining trend, while the lipase activity remained at similar levels as it was at 5 DPH. The specific activity of pepsin was first detected on 15 DPH and increased with fish age. The dynamics of digestive enzymes corresponded to the structural development of the digestive system. The enzyme activities tend to be stable after the formation of the gastric glands in fish stomach on 15 DPH. The composition of digestive enzymes in larval pompano indicates that fish are able to digest protein, lipid and carbohydrate at early developmental stages. Weaning of larval pompano is recommended from 15 DPH onward. Results of the present study lead to a better understanding of the ontogeny of golden pompano during the larval stage and provide a guide to feeding and weaning of this economically important fish in hatcheries.

  6. [Economic evaluation on breast cancer screening in mainland China: a systematic review].

    PubMed

    Wang, L; Shi, J F; Huang, H Y; Zhu, J; Li, J; Fang, Y; Dai, M

    2016-12-10

    Objective: To gather available evidence related to the economic evaluation on breast cancer screening in mainland China and to provide reference for further research. Methods: A systematic review was conducted to identify articles in PubMed and three Chinese databases (CNKI, Wanfang and VIP) during 1995-2015. Data related to descriptive characteristics, rates on participation and detection for population-based studies, methods for model-based studies, types of economic evaluation and results, were extracted. A Consolidated Health Economic Evaluation Reporting Standards (CHEERS) was used to assess the reporting quality of included studies. Results: Of the 356 records searched in the databases, 13 studies (all published between 2012 and 2015) were included in the current paper involving 11 population-based studies and 3 model-based evaluations (1 study using both methods). Age of the participants who started to be engaged in the screening program ranged from 18 to 45 years old, but terminated at the age of 59 years or older. The screening modalities included single-used clinical breast examination, mammography and ultrasound or combined applications. Study persepectives were described in 7 studies, with 5 from the healthcare providers, and 2 from societal angles. Only 5 studies discounted cost or effectiveness. Out of 11 papers, 9 showed the results on cost-effectiveness analysis (CEA) that reporting the cost per breast cancer detection, with median as 145.0 thousand Chinese Yuan (CNY), ranging from 49.7 thousand to 2 293.0 thousand CNY. From 4 papers with results of cost-utility analysis (CUA), the cost per quality adjusted life year (QALY) gained or cost per disability adjusted life year (DALY) averted, were evaluated. The incremental cost-effectiveness ratio (ICER) was from 2.9 thousand to 270.7 thousand CNY (GDP per capita of China was CNY 49.3 thousand in 2015). In 13 studies, the quality of reporting varied, with an average score of 14.5 (range: 9.5-21.0). In the domains of study perspective, discounting, ICER and uncertainty, all the scores of equalities were relatively levels. Conclusions: Currently, evidence on economic evaluation of breast cancer screening in mainland China remained limited and weakly comparable, particularly model-based studies. Comprehensive analysis from societal perspective and QALY or DALY related cost-utility analysis should be implemented.

  7. Preliminary compressor design study for an advanced multistage axial flow compressor

    NASA Technical Reports Server (NTRS)

    Marman, H. V.; Marchant, R. D.

    1976-01-01

    An optimum, axial flow, high pressure ratio compressor for a turbofan engine was defined for commercial subsonic transport service starting in the late 1980's. Projected 1985 technologies were used and applied to compressors with an 18:1 pressure ratio having 6 to 12 stages. A matrix of 49 compressors was developed by statistical techniques. The compressors were evaluated by means of computer programs in terms of various airline economic figures of merit such as return on investment and direct-operating cost. The optimum configuration was determined to be a high speed, 8-stage compressor with an average blading aspect ratio of 1.15.

  8. Both bias and lack of knowledge influence organizational focus on first case of the day starts.

    PubMed

    Dexter, Elisabeth U; Dexter, Franklin; Masursky, Danielle; Garver, Michael P; Nussmeier, Nancy A

    2009-04-01

    The economic costs of reducing first case delays are often high, because efforts need to be applied to multiple operating rooms (ORs) simultaneously. Nevertheless, delays in starting first cases of the day are a common topic in OR committee meetings. We added three scientific questions to a 24 question online, anonymous survey performed before the implementation of a new OR information system. The 57 respondents cared sufficiently about OR management at the United States teaching hospital to complete all questions. The survey revealed reasons why personnel may focus on the small reductions in nonoperative time achievable by reducing tardiness in first cases of the day. (A) Respondents lacked knowledge about principles in reducing over-utilized OR time to increase OR efficiency, based on their answering the relevant question correctly at a rate no different from guessing at random. Those results differed from prior findings of responses at a rate worse than random, resulting from a bias on the day of surgery of making decisions that increase clinical work per unit time. (B) Most respondents falsely believed that a 10 min delay at the start of the day causes subsequent cases to start at least 10 min late (P < 0.0001 versus random chance). (C) Most respondents did not know that cases often take less time than scheduled (P = 0.008 versus chance). No one who demonstrated knowledge (C) about cases sometimes taking less time than scheduled applied that information to their response to (B) regarding cases starting late (P = 0.0002). Knowledge of OR efficiency was low among the respondents working in ORs. Nevertheless, the apparent absence of bias shows that education may influence behavior. In contrast, presence of bias on matters of tardiness of start times shows that education may be of no benefit. As the latter results match findings of previous studies of scheduling decisions, interventions to reduce patient and surgeon waiting from start times may depend principally on the application of automation to guide decision-making.

  9. Supporting Language in Schools: Evaluating an Intervention for Children with Delayed Language in the Early School Years

    ERIC Educational Resources Information Center

    Lee, Wendy; Pring, Tim

    2016-01-01

    Extensive evidence exists that many children who experience early socio-economic disadvantage have delayed language development. These delays have been shown to exist when children start school and appear to persist through their education. Interventions that can help these children are desirable to ease the difficulties they have in school and to…

  10. Segregation by Poverty in Secondary Schools in England 2006-2009: A Research Note

    ERIC Educational Resources Information Center

    Cheng, Shou Chen; Gorard, Stephen

    2010-01-01

    This research note shows that secondary school segregation by poverty in England has recently started declining again. By comparing the long-term pattern of school compositions with an economic indicator, it is possible to link this decline to the recession, but only if a further, and contentious, assumption is made about what happened in the…

  11. The G-20 and International Economic Cooperation: Background and Implications for Congress

    DTIC Science & Technology

    2013-10-23

    coordination among 20 major advanced and emerging- market economies.1 Originally established in 1999, the G-20 rose to prominence during the global...Gain Greater Influence Although emerging economies became more active in the international economy, particularly in financial markets starting in...crisis demonstrated that problems in the financial markets of emerging- market countries can have serious spillover

  12. Na Putu Od Drazvne Do Samoupravne Skole (On the Road from State to Self-Governing School).

    ERIC Educational Resources Information Center

    Podgorski, Ivica

    1971-01-01

    This document is an English-language abstract (approximately 1500 words) of an article by a Croatian discussing certain reforms in educational administration in the Socialist Republic of Croatia. The author starts by discussing education against the background of the new Yugoslav social and economic order. To comply with these trends, he insists…

  13. Multisectoral Approaches in Advancing Girls' Education: Lessons Learned in Five SAGE Countries. SAGE Technical Report.

    ERIC Educational Resources Information Center

    Rugh, Andrea

    Strategies for Advancing Girls' Education (SAGE) is a project of the U.S. Agency for International Development (USAID), Bureau for Economic Growth, Agriculture and Trade/Office of Women in Development (EGAT/WID). Five countries participated in SAGE: Guinea, Mali, Ghana, El Salvador; and the Democratic Republic of the Congo. The project started in…

  14. A Place for Food in Australian Schools: A Socio-Historical Review of Food Education

    ERIC Educational Resources Information Center

    Turner, Angela; Wilks, Judith

    2018-01-01

    The historical development of food education in secondary schools in New South Wales Australia is a compelling yet under-researched area of interest. This review starts by exploring how food curricula have evolved since the 1700s to the present day juxtaposed on socio-economic and political factors. This review is interested in the role secondary…

  15. Toward One of the Leading Education-Based Economies? Investigating Aims, Strategies, and Practices of Finland's Education Export Landscape

    ERIC Educational Resources Information Center

    Schatz, Monika

    2015-01-01

    Since the first publication of the Organization for Economic Co-Operation and Development (OECD) PISA (Programme for International Student Assessment) results in 2000, the Finnish education system has received much praise both in Finland and abroad. In recent years, Finland started to build up its own education export sector with the aim of…

  16. Stimulus Patching Budgets: Local Officials Crying Foul as Governors Grab for Aid

    ERIC Educational Resources Information Center

    McNell, Michele

    2009-01-01

    Desperate for cash to fill growing budget deficits, state governments are starting to tangle with federal and local officials over a $39.8 billion pot of economic-stimulus money that was designed to prop up the budgets of local school districts, but is increasingly being eyed as a patch for states' own financial woes. Vague language and loopholes…

  17. Characteristics of the Romanian energy market

    NASA Astrophysics Data System (ADS)

    Stet, M.

    2017-05-01

    This paper highlights the main characteristics of the energy market in Romania. Starting from the mode of organization and operation of the electricity market, there are revealed prices and tariffs for electricity for different categories of customers and their evolution in time. There are pointed also ways of setting electricity prices and tariffs, taking into account the expenditures actually recorded by economic operators.

  18. Virtual University of Applied Sciences--German Flagship Project in the Field of E-Learning in Higher Education.

    ERIC Educational Resources Information Center

    Granow, Rolf; Bischoff, Michael

    In 1997, the German Federal Ministry of Education and Research started an initiative to promote e-learning in Germany by installing an extensive research program. The Virtual University of Applied Sciences in Engineering, Computer Science and Economic Engineering is the most prominent and best-funded of the more than 100 projects in the field…

  19. The Cynon Valley Project: Investing in the Future. Early Childhood Development: Practice and Reflections Number 12.

    ERIC Educational Resources Information Center

    Thomas, Alain

    The Cynon Valley Project in Wales, United Kingdom, used funding from the Save the Children Fund and the Bernard van Leer Foundation to address consequences of economic decline in the two communities of Fernhill and Perthcelyn. The project's focus was on early childhood education and community development. Though starting at about the same time and…

  20. Revisiting School District Consolidation Issues. Education Policy Brief. Volume 8, Number 3, Summer 2010

    ERIC Educational Resources Information Center

    Spradlin, Terry E.; Carson, Fatima R.; Hess, Sara E.; Plucker, Jonathan A.

    2010-01-01

    In light of a slow economic recovery from the Great Recession, state and local governments are faced with the challenge of providing services to citizens amidst ongoing budgetary woes. For instance, although the most recent Indiana revenue collections for the month of August were above revised projections to help start fiscal year 2011 (which…

  1. One Environmental Education Center's Industry Initiative: Collaborating to Create More Environmentally and Economically Sustainable Businesses

    ERIC Educational Resources Information Center

    Hollweg, Karen S.

    2009-01-01

    The Centre for Environment Education (CEE) added an Industry Initiative to its portfolio of more traditional environmental education programs in 1993. This article documents the start-up and evolution of that program and the ways that businesses and CEE have worked together for a sustainable future. A specific 18-month project, in which CEE and an…

  2. JPRS Report, East Asia, Southeast Asia

    DTIC Science & Technology

    1993-01-15

    Louangphachit [PASASON 18 Nov] ...., 21 MALAYSIA ECONOMIC Proton To Start Plant in Chile [BERITA HARIAN 14 Nov] 22 THAILAND MILITARY Opinion...increase its lobbying with EC countries. Taiwan, South Korea, Malaysia , and Hong Kong conduct vigorous lobbying. Those countries have repeatedly sent...increase its lobbying efforts. He considered that Thailand, Taiwan, and Malaysia appeared to be more effective than Indonesia in lob- bying

  3. Connecticut's Children: A New Century's Promise. 2000 Data Book.

    ERIC Educational Resources Information Center

    Cunningham, Michelle Doucette

    This Kids Count data book examines statewide trends in the well-being of Connecticut's children. The report first examines how well children have faired during the past 100 years in terms of economics, education, health and safety, and race relations, and how they are doing at the start of the 21st century. This section also outlines the state's…

  4. Off to a Good Start: Social and Emotional Development of Memphis' Children

    ERIC Educational Resources Information Center

    Martin, Laurie; Sontag-Padilla, Lisa

    2015-01-01

    For children to flourish and succeed in the 21st century, they must be able to problem solve, to develop resilience and handle stress, and to interact appropriately with peers and adults. While there is significant focus on the racial/ethnic and economic disparities in academic achievement and other cognitive outcomes, far less attention has been…

  5. Microenterprise program gives hope to the world's poor.

    PubMed

    Anderson, J B

    2000-01-01

    When the Point Four Program was launched by US President Harry Truman in 1949, helping the world's poorest people help themselves became the primary aim of US development assistance. While much of the US Agency for International Development's (USAID) economic development work has concentrated on policy reforms, privatization and other measures aimed at strengthening overall economies, the very poor often are unable to share in the resulting economic growth. Although starting small businesses is an important way for people to work their way out of poverty, the poorest people usually lack the resources to get started and have no access to traditional loans. However, microenterprise financing is changing that by granting poor people loans to enable them to establish and expand microenterprises. It is noted that since 1990 USAID has provided well over US$1 billion to support more than 1000 institutions around the world that provide the very poor with small loans and secure, interest-bearing savings accounts as well as services to help them develop businesses. In turn, it is recorded that USAID-supported institutions have helped more than 10 million microentrepreneurs in Asia, Africa, Latin America, and Eastern and Central Europe build better lives for their families.

  6. Rationale and Roadmap for Moon Exploration

    NASA Astrophysics Data System (ADS)

    Foing, B. H.; ILEWG Team

    We discuss the different rationale for Moon exploration. This starts with areas of scientific investigations: clues on the formation and evolution of rocky planets, accretion and bombardment in the inner solar system, comparative planetology processes (tectonic, volcanic, impact cratering, volatile delivery), records astrobiology, survival of organics; past, present and future life. The rationale includes also the advancement of instrumentation: Remote sensing miniaturised instruments; Surface geophysical and geochemistry package; Instrument deployment and robotic arm, nano-rover, sampling, drilling; Sample finder and collector. There are technologies in robotic and human exploration that are a drive for the creativity and economical competitivity of our industries: Mecha-electronics-sensors; Tele control, telepresence, virtual reality; Regional mobility rover; Autonomy and Navigation; Artificially intelligent robots, Complex systems, Man-Machine interface and performances. Moon-Mars Exploration can inspire solutions to global Earth sustained development: In-Situ Utilisation of resources; Establishment of permanent robotic infrastructures, Environmental protection aspects; Life sciences laboratories; Support to human exploration. We also report on the IAA Cosmic Study on Next Steps In Exploring Deep Space, and ongoing IAA Cosmic Studies, ILEWG/IMEWG ongoing activities, and we finally discuss possible roadmaps for robotic and human exploration, starting with the Moon-Mars missions for the coming decade, and building effectively on joint technology developments.

  7. DCCA analysis of renewable and conventional energy prices

    NASA Astrophysics Data System (ADS)

    Paiva, Aureliano Sancho Souza; Rivera-Castro, Miguel Angel; Andrade, Roberto Fernandes Silva

    2018-01-01

    Here we investigate the inter-influence of oil prices and renewable energy sources. The non-stationary time series are scrutinized within the Detrended Cross-Correlation Analysis (DCCA) framework, where the resulting DCCA coefficient provides a useful and reliable index to the evaluate the cross correlation between events at the same time instant as well as at a suitably chosen time lags. The analysis is based on the quotient of two successive daily closing oil prices and composite indices of renewable energy sources in USA and Europe in the period 2006-2015, which was subject to several social and economic driving forces, as the increase of social pressure in favor of the use of non-fossil energy sources and the worldwide economic crisis that started in 2008. The DCCA coefficient is evaluated for different window sizes, extracting information for short and long term correlation between the indices. Particularly, strong correlation between the behavior of the two distinct economic sectors are observed for large time intervals during the worst period of the economic crisis (2008-2012), hinting at a very cautious behavior of the economic agents. Before and after this period, the behavior of two economic sectors are overwhelmingly uncorrelated or very weakly correlated. The results reported here may be useful to select proper strategies in future similar scenarios.

  8. Dissemination of evidence-based practice: can we train therapists from a distance?

    PubMed

    Vismara, Laurie A; Young, Gregory S; Stahmer, Aubyn C; Griffith, Elizabeth McMahon; Rogers, Sally J

    2009-12-01

    Although knowledge about the efficacy of behavioral interventions for children with ASD is increasing, studies of effectiveness and transportability to community settings are needed. The current study conducted an effectiveness trial to compare distance learning vs. live instruction for training community-based therapists to implement the Early Start Denver Model. Findings revealed: (a) distance learning and live instruction were equally effective for teaching therapists to both implement the model and to train parents; (b) didactic workshops and team supervision were required to improve therapists' skill use; (c) significant child gains occurred over time and across teaching modalities; and (d) parents implemented the model more skillfully after coaching. Implications are discussed in relation to the economic and clinical utility of distance learning.

  9. Needs Assessment and Scoping Study for Sinking Ships as Diving Sites in Puget Sound

    USGS Publications Warehouse

    Rubin, Steve; Grossman, Eric E.; Koontz, Lynne; Paulson, Anthony; Sexton, Natalie; Reisenbichler, Reg

    2008-01-01

    BACKGROUND There is growing interest in starting a program to sink ships in Puget Sound to create one or more underwater dive sites. Experience in other parts of the world has indicated that sunken vessels are highly popular with divers and could provide a basis for increased recreation and attraction of out-of-state divers with attendant economic benefits to the State. The Washington State legislature reviewed this possibility during the 2006 session and determined that more information is required before the legislature could determine if this activity is feasible or desirable. The legislature directed several State agencies to undertake a preliminary study of the feasibility. The Washington Department of Fish and Wildlife (WDFW, lead State agency) in turn asked U.S. Geological Survey to conduct the study.

  10. Real-world clinical effectiveness, regulatory transparency and payer coverage: three ingredients for translating pharmacogenomics into clinical practice.

    PubMed

    Frueh, Felix W

    2010-05-01

    The past decade of pharmacogenomics was driven by the sequencing of the human genome to create ever denser maps of genetic variations for studying the diversity across individuals. Today, genotyping technology is available at a fraction of the cost of what it was 10 years ago and many pharmacogenomic variations have been studied in detail. Still, we are only starting to gain an understanding of how pharmacogenomic-guided drug therapy affects clinical outcomes: real-world studies that demonstrate the clinical effectiveness and address the economic implications of pharmacogenomics are needed to help decide when and how to implement pharmacogenomics in clinical practice, how to regulate pharmacogenomic testing and how the healthcare system will integrate this new science into an environment of rapidly increasing cost.

  11. Witchcraft beliefs and witch hunts: an interdisciplinary explanation.

    PubMed

    Koning, Niek

    2013-06-01

    This paper proposes an interdisciplinary explanation of the cross-cultural similarities and evolutionary patterns of witchcraft beliefs. It argues that human social dilemmas have led to the evolution of a fear system that is sensitive to signs of deceit and envy. This was adapted in the evolutionary environment of small foraging bands but became overstimulated by the consequences of the Agricultural Revolution, leading to witch paranoia. State formation, civilization, and economic development abated the fear of witches and replaced it in part with more collectivist forms of social paranoia. However, demographic-economic crises could rekindle fear of witches-resulting, for example, in the witch craze of early modern Europe. The Industrial Revolution broke the Malthusian shackles, but modern economic growth requires agricultural development as a starting point. In sub-Saharan Africa, witch paranoia has resurged because the conditions for agricultural development are lacking, leading to fighting for opportunities and an erosion of intergenerational reciprocity.

  12. The Economic Importance of Financial Literacy: Theory and Evidence

    PubMed Central

    Lusardi, Annamaria; Mitchell, Olivia S.

    2017-01-01

    This paper undertakes an assessment of a rapidly growing body of economic research on financial literacy. We start with an overview of theoretical research which casts financial knowledge as a form of investment in human capital. Endogenizing financial knowledge has important implications for welfare as well as policies intended to enhance levels of financial knowledge in the larger population. Next, we draw on recent surveys to establish how much (or how little) people know and identify the least financially savvy population subgroups. This is followed by an examination of the impact of financial literacy on economic decision-making in the United States and elsewhere. While the literature is still young, conclusions may be drawn about the effects and consequences of financial illiteracy and what works to remedy these gaps. A final section offers thoughts on what remains to be learned if researchers are to better inform theoretical and empirical models as well as public policy. PMID:28579637

  13. ECONOMICS AND APPRAISAL OF CONVENTIONAL OIL AND GAS IN THE WESTERN GULF OF MEXICO.

    USGS Publications Warehouse

    Attanasi, E.D.; Haynes, John L.

    1984-01-01

    The oil and gas industry frequently appraises undiscovered oil and gas resources on a regional basis to decide whether to start or continue exploration programs. The appraisals are of little value unless conditioned by estimates of the costs of finding and producing the resources. This paper presents an economic appraisal of undiscovered oil and gas resources in the western Gulf of Mexico. Also presented are a description of the model used to make the assessment, results of a sensitivity analysis, and a discussion of the implications of the results to the industry. The appraisal is shown to be relatively robust to changes in physical and engineering assumptions. Because the number of commercial discoveries was found to be quite sensitive to economic conditions, the analysis has important implications in terms of forecasting future industry drilling and other associated activities in the western Gulf of Mexico.

  14. The Economic Importance of Financial Literacy: Theory and Evidence.

    PubMed

    Lusardi, Annamaria; Mitchell, Olivia S

    2014-03-01

    This paper undertakes an assessment of a rapidly growing body of economic research on financial literacy. We start with an overview of theoretical research which casts financial knowledge as a form of investment in human capital. Endogenizing financial knowledge has important implications for welfare as well as policies intended to enhance levels of financial knowledge in the larger population. Next, we draw on recent surveys to establish how much (or how little) people know and identify the least financially savvy population subgroups. This is followed by an examination of the impact of financial literacy on economic decision-making in the United States and elsewhere. While the literature is still young, conclusions may be drawn about the effects and consequences of financial illiteracy and what works to remedy these gaps. A final section offers thoughts on what remains to be learned if researchers are to better inform theoretical and empirical models as well as public policy.

  15. Linking Human Health and Livestock Health: A “One-Health” Platform for Integrated Analysis of Human Health, Livestock Health, and Economic Welfare in Livestock Dependent Communities

    PubMed Central

    Thumbi, S. M.; Njenga, M. Kariuki; Marsh, Thomas L.; Noh, Susan; Otiang, Elkanah; Munyua, Peninah; Ochieng, Linus; Ogola, Eric; Yoder, Jonathan; Audi, Allan; Montgomery, Joel M.; Bigogo, Godfrey; Breiman, Robert F.; Palmer, Guy H.; McElwain, Terry F.

    2015-01-01

    Background For most rural households in sub-Saharan Africa, healthy livestock play a key role in averting the burden associated with zoonotic diseases, and in meeting household nutritional and socio-economic needs. However, there is limited understanding of the complex nutritional, socio-economic, and zoonotic pathways that link livestock health to human health and welfare. Here we describe a platform for integrated human health, animal health and economic welfare analysis designed to address this challenge. We provide baseline epidemiological data on disease syndromes in humans and the animals they keep, and provide examples of relationships between human health, animal health and household socio-economic status. Method We designed a study to obtain syndromic disease data in animals along with economic and behavioral information for 1500 rural households in Western Kenya already participating in a human syndromic disease surveillance study. Data collection started in February 2013, and each household is visited bi-weekly and data on four human syndromes (fever, jaundice, diarrhea and respiratory illness) and nine animal syndromes (death, respiratory, reproductive, musculoskeletal, nervous, urogenital, digestive, udder disorders, and skin disorders in cattle, sheep, goats and chickens) are collected. Additionally, data from a comprehensive socio-economic survey is collected every 3 months in each of the study households. Findings Data from the first year of study showed 93% of the households owned at least one form of livestock (55%, 19%, 41% and 88% own cattle, sheep, goats and chickens respectively). Digestive disorders, mainly diarrhea episodes, were the most common syndromes observed in cattle, goats and sheep, accounting for 56% of all livestock syndromes, followed by respiratory illnesses (18%). In humans, respiratory illnesses accounted for 54% of all illnesses reported, followed by acute febrile illnesses (40%) and diarrhea illnesses (5%). While controlling for household size, the incidence of human illness increased 1.31-fold for every 10 cases of animal illness or death observed (95% CI 1.16–1.49). Access and utilization of animal source foods such as milk and eggs were positively associated with the number of cattle and chickens owned by the household. Additionally, health care seeking was correlated with household incomes and wealth, which were in turn correlated with livestock herd size. Conclusion This study platform provides a unique longitudinal dataset that allows for the determination and quantification of linkages between human and animal health, including the impact of healthy animals on human disease averted, malnutrition, household educational attainment, and income levels. PMID:25798951

  16. Linking human health and livestock health: a "one-health" platform for integrated analysis of human health, livestock health, and economic welfare in livestock dependent communities.

    PubMed

    Thumbi, S M; Njenga, M Kariuki; Marsh, Thomas L; Noh, Susan; Otiang, Elkanah; Munyua, Peninah; Ochieng, Linus; Ogola, Eric; Yoder, Jonathan; Audi, Allan; Montgomery, Joel M; Bigogo, Godfrey; Breiman, Robert F; Palmer, Guy H; McElwain, Terry F

    2015-01-01

    For most rural households in sub-Saharan Africa, healthy livestock play a key role in averting the burden associated with zoonotic diseases, and in meeting household nutritional and socio-economic needs. However, there is limited understanding of the complex nutritional, socio-economic, and zoonotic pathways that link livestock health to human health and welfare. Here we describe a platform for integrated human health, animal health and economic welfare analysis designed to address this challenge. We provide baseline epidemiological data on disease syndromes in humans and the animals they keep, and provide examples of relationships between human health, animal health and household socio-economic status. We designed a study to obtain syndromic disease data in animals along with economic and behavioral information for 1500 rural households in Western Kenya already participating in a human syndromic disease surveillance study. Data collection started in February 2013, and each household is visited bi-weekly and data on four human syndromes (fever, jaundice, diarrhea and respiratory illness) and nine animal syndromes (death, respiratory, reproductive, musculoskeletal, nervous, urogenital, digestive, udder disorders, and skin disorders in cattle, sheep, goats and chickens) are collected. Additionally, data from a comprehensive socio-economic survey is collected every 3 months in each of the study households. Data from the first year of study showed 93% of the households owned at least one form of livestock (55%, 19%, 41% and 88% own cattle, sheep, goats and chickens respectively). Digestive disorders, mainly diarrhea episodes, were the most common syndromes observed in cattle, goats and sheep, accounting for 56% of all livestock syndromes, followed by respiratory illnesses (18%). In humans, respiratory illnesses accounted for 54% of all illnesses reported, followed by acute febrile illnesses (40%) and diarrhea illnesses (5%). While controlling for household size, the incidence of human illness increased 1.31-fold for every 10 cases of animal illness or death observed (95% CI 1.16-1.49). Access and utilization of animal source foods such as milk and eggs were positively associated with the number of cattle and chickens owned by the household. Additionally, health care seeking was correlated with household incomes and wealth, which were in turn correlated with livestock herd size. This study platform provides a unique longitudinal dataset that allows for the determination and quantification of linkages between human and animal health, including the impact of healthy animals on human disease averted, malnutrition, household educational attainment, and income levels.

  17. Contemporary specificities of labour in the health care sector: introductory notes for discussion

    PubMed Central

    Campos, Francisco Eduardo; Albuquerque, Eduardo da Motta e

    2005-01-01

    Background This paper combines the literature on public health, on economics of health and on economics of technological innovation to discuss the peculiarities of labour in the health care sector. Method and framework The starting point is the investigation of the economic peculiarities of medical care. Results and discussions This investigation leads to the identification of the prevalence of non-market forms of medical care in the countries of the Organisation for Economic Co-operation and Development (OECD). Furthermore, the health care system has a distinctive characteristic from other economic sectors: it is the intersection between social welfare and innovation systems. The relationship between technological innovation and cost in the health care sector is surveyed. Finally, the Brazilian case is discussed as an example of a developing country. Conclusion The peculiarities of labour in the health care sector suggest the need to recognize the worth of sectoral labour and to cease to treat it separately. This process should take into account the rapid development of the health innovation system and one important consequence: the obsolescence of the acquired knowledge. One way to dignify labour is to implement continued education and training of health professions personnel. PMID:16109174

  18. Contemporary specificities of labour in the health care sector: introductory notes for discussion.

    PubMed

    Campos, Francisco Eduardo; Albuquerque, Eduardo da Motta e

    2005-08-18

    This paper combines the literature on public health, on economics of health and on economics of technological innovation to discuss the peculiarities of labour in the health care sector. METHOD AND FRAMEWORK: The starting point is the investigation of the economic peculiarities of medical care. This investigation leads to the identification of the prevalence of non-market forms of medical care in the countries of the Organisation for Economic Co-operation and Development (OECD). Furthermore, the health care system has a distinctive characteristic from other economic sectors: it is the intersection between social welfare and innovation systems. The relationship between technological innovation and cost in the health care sector is surveyed. Finally, the Brazilian case is discussed as an example of a developing country. The peculiarities of labour in the health care sector suggest the need to recognize the worth of sectoral labour and to cease to treat it separately. This process should take into account the rapid development of the health innovation system and one important consequence: the obsolescence of the acquired knowledge. One way to dignify labour is to implement continued education and training of health professions personnel.

  19. Optimized dispatch in a first-principles concentrating solar power production model

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wagner, Michael J.; Newman, Alexandra M.; Hamilton, William T.

    Concentrating solar power towers, which include a steam-Rankine cycle with molten salt thermal energy storage, is an emerging technology whose maximum effectiveness relies on an optimal operational and dispatch policy. Given parameters such as start-up and shut-down penalties, expected electricity price profiles, solar availability, and system interoperability requirements, this paper seeks a profit-maximizing solution that determines start-up and shut-down times for the power cycle and solar receiver, and the times at which to dispatch stored and instantaneous quantities of energy over a 48-h horizon at hourly fidelity. The mixed-integer linear program (MIP) is subject to constraints including: (i) minimum andmore » maximum rates of start-up and shut-down, (ii) energy balance, including energetic state of the system as a whole and its components, (iii) logical rules governing the operational modes of the power cycle and solar receiver, and (iv) operational consistency between time periods. The novelty in this work lies in the successful integration of a dispatch optimization model into a detailed techno-economic analysis tool, specifically, the National Renewable Energy Laboratory's System Advisor Model (SAM). The MIP produces an optimized operating strategy, historically determined via a heuristic. Using several market electricity pricing profiles, we present comparative results for a system with and without dispatch optimization, indicating that dispatch optimization can improve plant profitability by 5-20% and thereby alter the economics of concentrating solar power technology. While we examine a molten salt power tower system, this analysis is equally applicable to the more mature concentrating solar parabolic trough system with thermal energy storage.« less

  20. Fuel-Flexible Gasification-Combustion Technology for Production of H2 and Sequestration-Ready CO2

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    George Rizeq; Parag Kulkarni; Wei Wei

    It is expected that in the 21st century the Nation will continue to rely on fossil fuels for electricity, transportation, and chemicals. It will be necessary to improve both the process efficiency and environmental impact performance of fossil fuel utilization. GE Global Research is developing an innovative fuel-flexible Unmixed Fuel Processor (UFP) technology to produce H{sub 2}, power, and sequestration-ready CO{sub 2} from coal and other solid fuels. The UFP module offers the potential for reduced cost, increased process efficiency relative to conventional gasification and combustion systems, and near-zero pollutant emissions including NO{sub x}. GE was awarded a contract frommore » U.S. DOE NETL to develop the UFP technology. Work on the Phase I program started in October 2000, and work on the Phase II effort started in April 2005. In the UFP technology, coal and air are simultaneously converted into separate streams of (1) high-purity hydrogen that can be utilized in fuel cells or turbines, (2) sequestration-ready CO{sub 2}, and (3) high temperature/pressure vitiated air to produce electricity in a gas turbine. The process produces near-zero emissions with an estimated efficiency higher than IGCC with conventional CO2 separation. The Phase I R&D program established the feasibility of the integrated UFP technology through lab-, bench- and pilot-scale testing and investigated operating conditions that maximize separation of CO{sub 2} and pollutants from the vent gas, while simultaneously maximizing coal conversion efficiency and hydrogen production. The Phase I effort integrated experimental testing, modeling and preliminary economic studies to demonstrate the UFP technology. The Phase II effort will focus on three high-risk areas: economics, sorbent attrition and lifetime, and product gas quality for turbines. The economic analysis will include estimating the capital cost as well as the costs of hydrogen and electricity for a full-scale UFP plant. These costs will be benchmarked with IGCC polygen costs for plants of similar size. Sorbent attrition and lifetime will be addressed via bench-scale experiments that monitor sorbent performance over time and by assessing materials interactions at operating conditions. The product gas from the third reactor (high-temperature vitiated air) will be evaluated to assess the concentration of particulates, pollutants and other impurities relative to the specifications required for gas turbine feed streams. This is the eighteenth quarterly technical progress report for the UFP program, which is supported by U.S. DOE NETL (Contract No. DE-FC26-00FT40974) and GE. This report summarizes program accomplishments for the Phase II period starting July 01, 2005 and ending September 30, 2005. The report includes an introduction summarizing the UFP technology, main program tasks, and program objectives; it also provides a summary of program activities and accomplishments covering progress in tasks including process modeling, scale-up and economic analysis.« less

  1. Environmental and social risk evaluation of overseas investment under the China-Pakistan Economic Corridor.

    PubMed

    Zhang, Ruilian; Andam, Francis; Shi, Guoqing

    2017-06-01

    Along with the further implementation of the "One Belt, One Road" initiative and the promotion of the China-Pakistan Economic Corridor (CPEC), the construction of the CPEC will likely face challenges owing to differences between China and Pakistan in politics, economics, culture, religion, language, customs, environmental management systems, environmental protection laws, social management systems, and social management regulations. To address potential environmental and social risks associated with Chinese enterprises as they invest in the CPEC region, this paper examines previous studies addressing topics such as the environmental and social safeguards of international institutions and Pakistan's domestic environmental and social management requirements. We then systematically identify the environmental and social risk factors involved in CPEC construction, which cover risks regarding water, air, soil, noise, biodiversity, politics, economics, culture, technology, and individuals. By establishing and calculating these risks and using a multi-fuzzy comprehensive evaluation model, we found that noise and individual risks belong to a medium risk category, while others belong to a higher risk category. In view of these risks, the Chinese government must create a friendly and peaceful environment for Chinese enterprises to invest in the CPEC region, and Chinese enterprises must adopt a development strategy of strength and capacity building and establish enterprises capable of addressing environmental and social issues during the investment process. All stakeholders must understand that if no determined and diligent steps are taken, CPEC construction might be doomed for failure from the start.

  2. The role of models in estimating consequences as part of the risk assessment process.

    PubMed

    Forde-Folle, K; Mitchell, D; Zepeda, C

    2011-08-01

    The degree of disease risk represented by the introduction, spread, or establishment of one or several diseases through the importation of animals and animal products is assessed by importing countries through an analysis of risk. The components of a risk analysis include hazard identification, risk assessment, risk management, and risk communication. A risk assessment starts with identification of the hazard(s) and then continues with four interrelated steps: release assessment, exposure assessment, consequence assessment, and risk estimation. Risk assessments may be either qualitative or quantitative. This paper describes how, through the integration of epidemiological and economic models, the potential adverse biological and economic consequences of exposure can be quantified.

  3. Construction method of pre assembled unit of bolt sphere grid

    NASA Astrophysics Data System (ADS)

    Hu, L. W.; Guo, F. L.; Wang, J. L.; Bu, F. M.

    2018-03-01

    The traditional construction of bolt sphere grid has many disadvantages, such as high cost, large amount of work at high altitude and long construction period, in order to make up for these shortcomings, in this paper, a new and applicable construction method is explored: setting up local scaffolding, installing the bolt sphere grid starting frame on the local scaffolding, then the pre assembled unit of bolt sphere grid is assembled on the ground, using small hoisting equipment to lift pre assembled unit to high altitude and install. Compared with the traditional installation method, the construction method has strong practicability and high economic efficiency, and has achieved good social and economic benefits.

  4. Hospitalizations and economic analysis in psychotic patients with paliperidone palmitate long-acting injection.

    PubMed

    Mesones-Peral, Jesús E; Gurillo-Muñoz, Pedro; Sánchez-Sicilia, Mari Paz; Miller, Adam; Griñant-Fernández, Alejandra

    Prevent hospitalizations in psychotic disorders is an important aim, so long-acting antipsychotic is a good option that can control better the correct adherence. Moreover, in the current economic context pharmacoeconomic studies are necessary. We estimate the effect in prevention of paliperidone palmitate long-acting injection (PP-LAI) and calculate the economic cost in the 12 months preceding the start of treatment with PP-LAI and 12 months later. Mirror image study of 71 outpatients diagnosed with psychotic disorders and treated with PP-LAI. In a first analysis, we measured along one year: number of hospitalizations/year, number of hospitalization in days, number of emergency assists/year and if there is antipsychotics associated to long-acting treatment. After this phase, we applied Fees Act of Valencia for economic analysis and estimate of the cost per hospitalization (€ 5,640.41) and hospital emergency (€ 187.61). After one year of treatment with PP-LAI (mean dose=130.65mg/month), we obtained greater numbers in assistance variables: total hospitalizations decrease, 78.8% (P=.009); shortening in hospitalization days, 89.4% (P=.009); abridgement of number of emergency assists, 79.1% (P=.002); decrease of rate of antipsychotics associated to long-acting treatment, 21% (P<.0001); increase in monotherapy, 53.8% (P<.0001). Therefore, after 12 months of treatment with PP-LAI we obtained a reduction in inpatient spending (savings of € 175,766.54) and increased spending on antipsychotics 32% (equivalent to € 151,126.92). PP-LAI can be an effective therapy for the treatment of patients with severe psychotic disorders: improves symptomatic stability and can prevent hospitalizations with cost-effective symptom control. Copyright © 2016 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Schistosomiasis and soil-transmitted helminth control in Niger: cost effectiveness of school based and community distributed mass drug administration [corrected].

    PubMed

    Leslie, Jacqueline; Garba, Amadou; Oliva, Elisa Bosque; Barkire, Arouna; Tinni, Amadou Aboubacar; Djibo, Ali; Mounkaila, Idrissa; Fenwick, Alan

    2011-10-01

    In 2004 Niger established a large scale schistosomiasis and soil-transmitted helminths control programme targeting children aged 5-14 years and adults. In two years 4.3 million treatments were delivered in 40 districts using school based and community distribution. Four districts were surveyed in 2006 to estimate the economic cost per district, per treatment and per schistosomiasis infection averted. The study compares the costs of treatment at start up and in a subsequent year, identifies the allocation of costs by activity, input and organisation, and assesses the cost of treatment. The cost of delivery provided by teachers is compared to cost of delivery by community distributers (CDD). The total economic cost of the programme including programmatic, national and local government costs and international support in four study districts, over two years, was US$ 456,718; an economic cost/treatment of $0.58. The full economic delivery cost of school based treatment in 2005/06 was $0.76, and for community distribution was $0.46. Including only the programme costs the figures are $0.47 and $0.41 respectively. Differences at sub-district are more marked. This is partly explained by the fact that a CDD treats 5.8 people for every one treated in school. The range in cost effectiveness for both direct and direct and indirect treatments is quantified and the need to develop and refine such estimates is emphasised. The relative cost effectiveness of school and community delivery differs by country according to the composition of the population treated, the numbers targeted and treated at school and in the community, the cost and frequency of training teachers and CDDs. Options analysis of technical and implementation alternatives including a financial analysis should form part of the programme design process.

  6. Use of Oral Fluids for Detection of Virus and Antibodies in Pigs Infected with Swine Vesicular Disease Virus.

    PubMed

    Senthilkumaran, C; Bittner, H; Ambagala, A; Lung, O; Babiuk, S; Yang, M; Zimmerman, J; Giménez-Lirola, L G; Nfon, C

    2017-12-01

    The use of swine oral fluid (OF) for the detection of nucleic acids and antibodies is gaining significant popularity. Assays have been developed for this purpose for endemic and foreign animal diseases of swine. Here, we report the use of OF for the detection of virus and antibodies in pigs experimentally infected with swine vesicular disease virus (SVDV), a virus that causes a disease clinically indistinguishable from the economically devastating foot-and-mouth disease. Viral genome was detected in OF by real-time reverse transcription polymerase chain reaction (RRT-PCR) from 1 day post-infection (DPI) to 21 DPI. Virus isolation from OF was also successful at 1-5 DPI. An adapted competitive ELISA based on the monoclonal antibodies 5B7 detected antibodies to SVDV in OF starting at DPI 6. Additionally, using isotype-specific indirect ELISAs, SVDV-specific IgM and IgA were evaluated in OF. IgM response started at DPI 6, peaking at DPI 7 or 14 and declining sharply at DPI 21, while IgA response started at DPI 7, peaked at DPI 14 and remained high until the end of the experiment. These results confirm the potential use of OF for SVD surveillance using both established and partially validated assays in this study. © 2016 Her Majesty the Queen in Right of Canada.

  7. Fiscalini Farms Biomass Energy Project

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    William Stringfellow; Mary Kay Camarillo; Jeremy Hanlon

    2011-09-30

    In this final report describes and documents research that was conducted by the Ecological Engineering Research Program (EERP) at the University of the Pacific (Stockton, CA) under subcontract to Fiscalini Farms LP for work under the Assistance Agreement DE-EE0001895 'Measurement and Evaluation of a Dairy Anaerobic Digestion/Power Generation System' from the United States Department of Energy, National Energy Technology Laboratory. Fiscalini Farms is operating a 710 kW biomass-energy power plant that uses bio-methane, generated from plant biomass, cheese whey, and cattle manure via mesophilic anaerobic digestion, to produce electricity using an internal combustion engine. The primary objectives of the projectmore » were to document baseline conditions for the anaerobic digester and the combined heat and power (CHP) system used for the dairy-based biomass-energy production. The baseline condition of the plant was evaluated in the context of regulatory and economic constraints. In this final report, the operation of the plant between start-up in 2009 and operation in 2010 are documented and an interpretation of the technical data is provided. An economic analysis of the biomass energy system was previously completed (Appendix A) and the results from that study are discussed briefly in this report. Results from the start-up and first year of operation indicate that mesophilic anaerobic digestion of agricultural biomass, combined with an internal combustion engine, is a reliable source of alternative electrical production. A major advantage of biomass energy facilities located on dairy farms appears to be their inherent stability and ability to produce a consistent, 24 hour supply of electricity. However, technical analysis indicated that the Fiscalini Farms system was operating below capacity and that economic sustainability would be improved by increasing loading of feedstocks to the digester. Additional operational modifications, such as increased utilization of waste heat and better documentation of potential of carbon credits, would also improve the economic outlook. Analysis of baseline operational conditions indicated that a reduction in methane emissions and other greenhouse gas savings resulted from implementation of the project. The project results indicate that using anaerobic digestion to produce bio-methane from agricultural biomass is a promising source of electricity, but that significant challenges need to be addressed before dairy-based biomass energy production can be fully integrated into an alternative energy economy. The biomass energy facility was found to be operating undercapacity. Economic analysis indicated a positive economic sustainability, even at the reduced power production levels demonstrated during the baseline period. However, increasing methane generation capacity (via the importation of biomass codigestate) will be critical for increasing electricity output and improving the long-term economic sustainability of the operation. Dairy-based biomass energy plants are operating under strict environmental regulations applicable to both power-production and confined animal facilities and novel approached are being applied to maintain minimal environmental impacts. The use of selective catalytic reduction (SCR) for nitrous oxide control and a biological hydrogen sulfide control system were tested at this facility. Results from this study suggest that biomass energy systems can be compliant with reasonable scientifically based air and water pollution control regulations. The most significant challenge for the development of biomass energy as a viable component of power production on a regional scale is likely to be the availability of energy-rich organic feedstocks. Additionally, there needs to be further development of regional expertise in digester and power plant operations. At the Fiscalini facility, power production was limited by the availability of biomass for methane generation, not the designed system capacity. During the baseline study period, feedstocks included manure, sudan grass silage, and refused-feed. The ability of the dairy to produce silage in excess of on-site feed requirements limited power production. The availability of biomass energy crops and alternative feedstocks, such as agricultural and food wastes, will be a major determinant to the economic and environmental sustainability of biomass based electricity production.« less

  8. A history of the Allais paradox.

    PubMed

    Heukelom, Floris

    2015-03-01

    This article documents the history of the Allais paradox, and shows that underneath the many discussions of the various protagonists lay different, irreconcilable epistemological positions. Savage, like his mentor von Neumann and similar to economist Friedman, worked from an epistemology of generalized characterizations. Allais, on the other hand, like economists Samuelson and Baumol, started from an epistemology of exact descriptions in which every axiom was an empirical claim that could be refuted directly by observations. As a result, the two sides failed to find a common ground. Only a few decades later was the now so-called Allais paradox rediscovered as an important precursor when a new behavioural economic subdiscipline started to adopt the epistemology of exact descriptions and its accompanying falsifications of rational choice theory.

  9. Timing of oral anticoagulant therapy in acute ischemic stroke with atrial fibrillation: study protocol for a registry-based randomised controlled trial.

    PubMed

    Åsberg, Signild; Hijazi, Ziad; Norrving, Bo; Terént, Andreas; Öhagen, Patrik; Oldgren, Jonas

    2017-12-02

    Oral anticoagulation therapy is recommended for the prevention of recurrent ischemic stroke in patients with atrial fibrillation (AF). Current guidelines do not provide evidence-based recommendations on optimal time-point to start anticoagulation therapy after an acute ischemic stroke. Non-vitamin K antagonist oral anticoagulants (NOACs) may offer advantages compared to warfarin because of faster and more predictable onset of action and potentially a lower risk of intracerebral haemorrhage also in the acute phase after an ischemic stroke. The TIMING study aims to establish the efficacy and safety of early vs delayed initiation of NOACs in patients with acute ischemic stroke and AF. The TIMING study is a national, investigator-led, registry-based, multicentre, open-label, randomised controlled study. The Swedish Stroke Register is used for enrolment, randomisation and follow-up of 3000 patients, who are randomised (1:1) within 72 h from ischemic stroke onset to either early (≤ 4 days) or delayed (≥ 5-10 days) start of NOAC therapy. The primary outcome is the composite of recurrent ischemic stroke, symptomatic intracerebral haemorrhage, or all-cause mortality within 90 days after randomisation. Secondary outcomes include: individual components of the primary outcome at 90 and 365 days; major haemorrhagic events; functional outcome by the modified Rankin Scale at 90 days; and health economics. In an optional biomarker sub-study, blood samples will be collected after randomisation from approximately half of the patients for central analysis of cardiovascular biomarkers after study completion. The study is funded by the Swedish Medical Research Council. Enrolment of patients started in April 2017. The TIMING study addresses the ongoing clinical dilemma of when to start NOAC after an acute ischemic stroke in patients with AF. By the inclusion of a randomisation module within the Swedish Stroke Register, the advantages of a prospective randomised study design are combined with the strengths of a national clinical quality register in allowing simplified enrolment and follow-up of study patients. In addition, the register adds the possibility of directly assessing the external validity of the study findings. ClinicalTrials.gov, NCT02961348 . Registered on 8 November 2016.

  10. Beyond pills and tests: addressing the social determinants of tuberculosis.

    PubMed

    Wingfield, Tom; Tovar, Marco A; Huff, Doug; Boccia, Delia; Saunders, Matthew J; Datta, Sumona; Montoya, Rosario; Ramos, Eric; Lewis, James J; Gilman, Robert H; Evans, Carlton

    2016-12-01

    Poverty drives tuberculosis (TB) rates but the approach to TB control has been disproportionately biomedical. In 2015, the World Health Organization's End TB Strategy explicitly identified the need to address the social determinants of TB through socio-economic interventions. However, evidence concerning poverty reduction and cost mitigation strategies is limited. The research described in this article, based on the 2016 Royal College of Physicians Linacre Lecture, aimed to address this knowledge gap. The research was divided into two phases: the first phase was an analysis of a cohort study identifying TB-related costs of TB-affected households and creating a clinically relevant threshold above which those costs became catastrophic; the second was the design, implementation and evaluation of a household randomised controlled evaluation of socio-economic support to improve access to preventive therapy, increase TB cure, and mitigate the effects of catastrophic costs. The first phase showed TB remains a disease of people living in poverty - 'free' TB care was unaffordable for impoverished TB-affected households and incurring catastrophic costs was associated with as many adverse TB treatment outcomes (including death, failure of treatment, lost to follow-up and TB recurrence) as multidrug resistant (MDR) TB. The second phase showed that, in TB-affected households receiving socio-economic support, household contacts were more likely to start and adhere to TB preventive therapy, TB patients were more likely to be cured and households were less likely to incur catastrophic costs. In impoverished Peruvian shantytowns, poverty remains inextricably linked with TB and incurring catastrophic costs predicted adverse TB treatment outcome. A novel socio-economic support intervention increased TB preventive therapy uptake, improved TB treatment success and reduced catastrophic costs. The impact of the intervention on TB control is currently being evaluated by the Community Randomized Evaluation of a Socio-economic Intervention to Prevent TB (CRESIPT) study. © Royal College of Physicians 2016. All rights reserved.

  11. A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults

    PubMed Central

    Hillier-Brown, F C; Bambra, C L; Cairns, J-M; Kasim, A; Moore, H J; Summerbell, C D

    2014-01-01

    Background: Socioeconomic inequalities in obesity are well established in high-income countries. There is a lack of evidence of the types of intervention that are effective in reducing these inequalities among adults. Objectives: To systematically review studies of the effectiveness of individual, community and societal interventions in reducing socio-economic inequalities in obesity among adults. Methods: Nine electronic databases were searched from start date to October 2012 along with website and grey literature searches. The review examined the best available international evidence (both experimental and observational) of interventions at an individual, community and societal level that might reduce inequalities in obesity among adults (aged 18 years or over) in any setting and country. Studies were included if they reported a body fatness-related outcome and if they included a measure of socio-economic status. Data extraction and quality appraisal were conducted using established mechanisms and narrative synthesis was conducted. Results: The ‘best available' international evidence was provided by 20 studies. At the individual level, there was evidence of the effectiveness of primary care delivered tailored weight loss programmes among deprived groups. Community based behavioural weight loss interventions and community diet clubs (including workplace ones) also had some evidence of effectiveness—at least in the short term. Societal level evaluations were few, low quality and inconclusive. Further, there was little evidence of long term effectiveness, and few studies of men or outside the USA. However, there was no evidence to suggest that interventions increase inequalities. Conclusions: The best available international evidence suggests that some individual and community-based interventions may be effective in reducing socio-economic inequalities in obesity among adults in the short term. Further research is required particularly of more complex, multi-faceted and societal-level interventions. PMID:24813369

  12. The NLstart2run study: Economic burden of running-related injuries in novice runners participating in a novice running program.

    PubMed

    Hespanhol Junior, Luiz C; Huisstede, Bionka M A; Smits, Dirk-Wouter; Kluitenberg, Bas; van der Worp, Henk; van Middelkoop, Marienke; Hartgens, Fred; Verhagen, Evert

    2016-10-01

    To investigate the economic burden of running-related injuries (RRI) occurred during the 6-week 'Start-to-Run' program of the Dutch Athletics Federation in 2013. Prospective cohort study. This was a monetary cost analysis using the data prospectively gathered alongside the RRI registration in the NLstart2run study. RRI data were collected weekly. Cost diaries were applied two and six weeks after the RRI registration to collect data regarding healthcare utilisation (direct costs) and absenteeism from paid and unpaid work (indirect costs). RRI was defined as running-related pain that hampered running ability for three consecutive training sessions. From the 1696 participants included in the analysis, 185 reported a total of 272 RRIs. A total of 26.1% of the cost data (71 RRIs reported by 50 participants) were missing. Therefore, a multiple imputation procedure was performed. The economic burden (direct plus indirect costs) of RRIs was estimated at €83.22 (95% CI €50.42-€116.02) per RRI, and €13.35 (95% CI €7.07-€19.63) per participant. The direct cost per RRI was €56.93 (95% CI €42.05-€71.81) and the indirect cost per RRI was €26.29 (95% CI €0.00-€54.79). The indirect cost was higher for sudden onset RRIs than for gradual onset RRIs, with a mean difference of €33.92 (95% CI €17.96-€49.87). Direct costs of RRIs were 2-fold higher than the indirect costs, and sudden onset RRIs presented higher costs than gradual onset RRIs. The results of this study are important to provide information to public health agencies and policymakers about the economic burden of RRIs in novice runners. Copyright © 2015 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  13. Economic assessment and optimal operation of CSP systems with TES in California electricity markets

    NASA Astrophysics Data System (ADS)

    Dowling, Alexander W.; Dyreson, Ana; Miller, Franklin; Zavala, Victor M.

    2017-06-01

    The economics and performance of concentrated power (CSP) systems with thermal energy storage (TES) inherently depend on operating policies and the surrounding weather conditions and electricity markets. We present an integrated economic assessment framework to quantify the maximum possible revenues from simultaneous energy and ancillary services sales by CSP systems. The framework includes both discrete start-up/shutdown restrictions and detailed physical models. Analysis of coinci-dental historical market and meteorological data reveals provision of ancillary services increases market revenue 18% to 37% relative to energy-only participation. Surprisingly, only 53% to 62% of these revenues are available through sole participation in the day-ahead market, indicating significant opportunities at faster timescales. Motivated by water-usage concerns and permitting requirements, we also describe a new nighttime radiative-enhanced dry-cooling system with cold-side storage that consumes no water and offers higher effciencies than traditional air-cooled designs. Operation of this new system is complicated by the cold-side storage and inherent coupling between the cooling system and power plant, further motivating integrated economic analysis.

  14. Being born under adverse economic conditions leads to a higher cardiovascular mortality rate later in life: evidence based on individuals born at different stages of the business cycle.

    PubMed

    van den Berg, Gerard J; Doblhammer-Reiter, Gabriele; Christensen, Kaare

    2011-05-01

    We connect the recent medical and economic literatures on the long-run effects of early-life conditions by analyzing the effects of economic conditions on the individual cardiovascular (CV) mortality rate later in life, using individual data records from the Danish Twin Registry covering births since the 1870s and including the cause of death. To capture exogenous variation of conditions early in life, we use the state of the business cycle around birth. We find significant negative effects of economic conditions around birth on the individual CV mortality rate at higher ages. There is no effect on the cancer-specific mortality rate. From variation within and between monozygotic and dizygotic twin pairs born under different conditions, we conclude that the fate of an individual is more strongly determined by genetic and household-environmental factors if early-life conditions are poor. Individual-specific qualities come more to fruition if the starting position in life is better.

  15. Karl Marx in One Lesson (1818-1883). Series on Public Issues No. 6.

    ERIC Educational Resources Information Center

    Pejovich, Steve

    This booklet, one of a series intended to apply economic principles to major social and political issues of the day, starts from the premise that Marxism is a threat to our way of life and offers a critique of fundamental components of the social movement Marx created. The first of six subsections focuses on sources of influence on Karl Marx…

  16. The economic situation and construction-sector developments in the UNECE region, 2011-2012

    Treesearch

    Delton Alderman

    2012-01-01

    The US housing market continues to struggle from overbuilding, the housing crash, and the Great Recession. It is still in a correction that began in 2008, with new housing starts and sales at their lowest levels since modern records began being kept in 1963. Spending on housing construction is at record lows; however, the remodelling and multi-family subsectors'...

  17. Why has Mongolia Chosen to Participate in Peace Support Operations? An Analysis of Current Trends and Future Opportunities

    DTIC Science & Technology

    2012-06-01

    democratic and humane society with a new constitution and political, social, and economic changes, thus starting a new page in Mongolian history...40 The statistical data are provided by Human Resource Department of the Ministry of Defense of Mongolia. 41...42 Judy Keen, “Bush cheers Mongolia for pushing democracy”, USA Today, available online at: http

  18. The Migration Behavior of College Students in Siberia

    ERIC Educational Resources Information Center

    Gorbacheva, E. A.

    2008-01-01

    Given the conditions of the aging of the population of Russia there has been a steady decline in the size of the population, and starting in 2006 that includes a decline in the size of the working-age population. This is a very serious problem in regard to the social and economic development of the country, and the ways to solve the problem will…

  19. The American Farmworker Community. Prepared for the Migrant Head Start Resource Center's Health/Disability/Social Service/Parent Involvement Institute (San Antonio, Texas, January 5-10, 1992).

    ERIC Educational Resources Information Center

    Velarde, Servando Jose

    The social, cultural and economic issues of America's migrant farmworkers are producing an ever widening gap between the farmworker community and mainstream society. Comprehensive and coordinated efforts by public and private sectors are needed to stabilize the farm labor force and to permanently resolve the migrant farmworkers problems. The…

  20. The Vicious Cycle of Gender and Status at the University of California at Berkeley, 1918-1954. ASHE 1988 Annual Meeting Paper.

    ERIC Educational Resources Information Center

    Nerad, Maresi

    The way in which an all-women's department, the Department of Home Economics at the University of California (Berkeley), tried to raise its status and adhere to academic values of a research university after starting out as a low prestige undergraduate program is analyzed. Some of the related research questions are: whether academic departments…

  1. Achieving Kindergarten Readiness for All Our Children: A Funder's Guide to Early Childhood Development from Birth to Five

    ERIC Educational Resources Information Center

    Pritzker, J. B.; Bradach, Jeffrey L.; Kaufmann, Katherine

    2015-01-01

    When every child has the opportunity to meet his or her full potential, families, communities, and the nation's economic future strengthens. Remarkably, one in four American children come from low-income families and enter kindergarten not ready to learn and, as a result, fall behind from the very start. The nation pays a heavy price through…

  2. A Comparison of Starting Wages and Job Satisfaction for Reemployed Dislocated Workers Participating in the Rock County Dislocated Worker Program.

    ERIC Educational Resources Information Center

    Borremans, Robert T.

    Following the economic recession of the early 1980's and the consequent high levels of unemployment in Rock County, a program was created at the Blackhawk Technical Institute (BTI) to assist dislocated workers reentering the labor force. The Rock County Dislocated Worker Program was intended as a comprehensive program with two principal activities…

  3. China Report, Economic Affairs, Number 243, Energy: Status and Development -- VI

    DTIC Science & Technology

    1982-06-29

    the enterprises. 3. We should start the work of technical transformation and equipment renovation with energy conservation as the core. At present...transformation and equipment renovation for the purpose of energy conservation. The technology and many sets of equipment used for energy consumption...true that equipment renovation and technical transformation will cost money. Compared with investment in the exploitation of energy resources, however

  4. Cooking Up a Food Service Program in Rural Alaska. Guidelines for Consumer and Homemaking Education.

    ERIC Educational Resources Information Center

    Shelton, Nicki

    This guide shows teachers how to offer successfully a food service program as part of the home economics curriculum. It describes a rural, secondary-level food service program--a bakery service offered to the community--and gives step-by-step instructions for starting the program as well as guidelines for developing it each year. The first section…

  5. Clinical integration, round two: finding success with economic coordination.

    PubMed

    Naas, Peggy; Smithson, K W

    2008-12-01

    To establish an effective, and lasting, collaboration with physicians, a hospital must: Create a positive vision of the future. Structure the collaboration to reflect market imperatives. Work only with the best partners and make it clear from the start what the expectations are for those partners. Establish accounting and governance practices that promote the venture's near-term profitability and the long-term goals.

  6. Soviet Post Attack Recovery: An Initial Assessment

    DTIC Science & Technology

    1978-05-01

    3 It BASIC CHARACTERISTICS OF THIS APPIOACH TO ECONOMIC ANALYSIS "Of TH9 POSTATTACK. RECOVERY. PRCESS . ........... IlI A BRIEF UESCRIPTION...can influbince start-up cmditions. 4 decisive analytic advantage of this approach, different from that previously employed in maoor research efforts...Industrial capacity that eventually provides a foundation for the restoration of consumer etandardo of living. 40• The combined Impact of these chae

  7. Edgewood Arsenal: An Installation Environmental Impact Assessment

    DTIC Science & Technology

    1975-07-01

    started if a "forecast stage" is in effect or if a temperature inversion is present. e. The Harford County Health Department Bureau of Environmental...22 Curies of carbon 14 2.5 Curies of strontium 90 6 Curi-s of nickel 63 305 turies of hydrogen 3 202 Millicuries of polonium 210 10.2 Curies of...Economic Effects ................ ....................... .......... 38 B. Public Utilities . . . . . . . . . . . . . . . . . . . . . . . . . 40 C

  8. The Resilience of Recently Graduated and Unemployed Dutch Academics in Coping with the Economic Crisis

    ERIC Educational Resources Information Center

    Dekker, Jeroen J. H.; Amsing, Hilda T. A.; Hahurij, Lisa; Wichgers, Inge

    2014-01-01

    Some years after the world-wide crisis starting in 2008, also many recently graduated Dutch academics were confronted with the problem of how to cope with getting a job. This article focuses on the coping strategies they use when searching after a job, spending the day, and coping with limited financial means. 91 graduated academics completed a…

  9. Status and Trends for the U.S. Forest Products Sector: A Technical Document Supporting the Forest Service 2010 RPA Assessment

    Treesearch

    Kenneth E. Skog; David B. McKeever; Peter J. Ince; James L. Howard; Henry N. Spelter; Albert T. Schuler

    2012-01-01

    Forest products sector products and income help sustain the social, economic, and ecological benefits of forestry in the United States. Solidwood products consumption increased with population between 1965 and 2008 and varied with housing starts. Lumber's share declined from 83% to 70%, and structural panels' share increased from 9% to 17%. Paper and...

  10. 30 CFR 203.47 - What administrative steps do I take to obtain and use the royalty suspension supplement?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... test, seismic, and economic data, if your well does meet the producibility requirements of 30 CFR part... Oil, Gas, and Sulfur General Royalty Relief for Drilling Deep Gas Wells on Leases Not Subject to Deep... suspension supplement? (a) Before you start drilling a well on your lease targeted to a reservoir at least 18...

  11. Truckstop -- and Truck!-- Electrification

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Skip Yeakel

    2001-12-13

    The conclusions of this paper are: 0.5-1.5 G/H and/or BUSG/Y--how much time and money will it take to quantify and WHY BOTHER TO DO SO? No shortage of things to do re truckstop--+ truck!-- electrification; Better that government and industry should put many eggs in lots of baskets vs. all in one or few; Best concepts will surface as most viable; Economic appeal better than regulation or brute force; Launch Ground Freight Partnership and give it a chance to work; Demonstration is an effective means to educate, and learn from, customers--learning is a two way street; Research, Development, Demonstration, andmore » Deployment (RD 3) are all important but only deployment gets results; TSE can start small in numbers of spaces to accommodate economically inspired growth but upfront plans should be made for expansion if meaningful idle reduction is to follow via TE; 110VAC 15A service/ parking space is minimal--if infrastructure starts like this, upfront plans must be made to increase capacity; Increased electrification of truckstop and truck alike will result in much better life on the road; Improved sleep will improve driver alertness and safety; Reduced idling will significantly reduce fuel use and emissions; Universal appeal for DOD, DOE, DOT, EPA, OEMs, and users alike; Clean coal, gas, hydro, nuclear, or wind energy sources are all distinctly American means by which to generate electricity; Nothing can compete with diesel fuel to serve mobile truck needs; stationary trucks are like power plants--they don't move and should NOT be powered by petroleum products whenever possible; Use American fueled power plants--electricity--to serve truck idling needs wherever practical to do so; encourage economic aspect; Create and reward industry initiatives to reduce fuel use; Eliminate FET on new trucks, provide tax credits (non highway fuel use and investment), provide incentives based on results; Encourage newer/ cleaner truck use; solicit BAAs with mandatory OEM/ fleet participation/ lead; and A gallon saved is a gallon earned-- start NOW, not later.« less

  12. Economic feasibility of the sugar beet-to-ethylene value chain.

    PubMed

    Althoff, Jeroen; Biesheuvel, Kees; De Kok, Ad; Pelt, Henk; Ruitenbeek, Matthijs; Spork, Ger; Tange, Jan; Wevers, Ronald

    2013-09-01

    As part of a long-term strategy toward renewable feedstock, a feasibility study into options for the production of bioethylene by integrating the sugar beet-to-ethanol-to-ethylene value chain. Seven business cases were studied and tested for actual economic feasibility of alternative sugar-to-ethanol-to-ethylene routes in comparison to fossil-fuel alternatives. An elaborate model was developed to assess the relevant operational and financial aspects of each business case. The calculations indicate that bioethylene from sugar beet is not commercially viable under current market conditions. In light of expected global energy and feedstock prices it is also reasonable to expect that this will not change in the near future. To consider biorenewable sources as starting material, they need to be low in cost (compared to sugar beets) and also require less capital and energy-intensive methods for the conversion to chemicals. In general, European sugar prices will be too high for many chemical applications. Future efforts for in sugar-to-chemicals routes should, therefore, focus on integrated process routes and process intensification and/or on products that contain a significant part of the original carbohydrate backbone. Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  13. The economic costs of intrapartum care in Tower Hamlets: A comparison between the cost of birth in a freestanding midwifery unit and hospital for women at low risk of obstetric complications.

    PubMed

    Schroeder, Liz; Patel, Nishma; Keeler, Michelle; Rocca-Ihenacho, Lucia; Macfarlane, Alison J

    2017-02-01

    to compare the economic costs of intrapartum maternity care in an inner city area for 'low risk' women opting to give birth in a freestanding midwifery unit compared with those who chose birth in hospital. micro-costing of health service resources used in the intrapartum care of mothers and their babies during the period between admission and discharge, data extracted from clinical notes. the Barkantine Birth Centre, a freestanding midwifery unit and the Royal London Hospital's consultant-led obstetric unit, both run by the former Barts and the London NHS Trust in Tower Hamlets, a deprived inner city borough in east London, England, 2007-2010. maternity records of 333 women who were resident in Tower Hamlets and who satisfied the Trust's eligibility criteria for using the Birth Centre. Of these, 167 women started their intrapartum care at the Birth Centre and 166 started care at the Royal London Hospital. women who planned their birth at the Birth Centre experienced continuous intrapartum midwifery care, higher rates of spontaneous vaginal delivery, greater use of a birth pool, lower rates of epidural use, higher rates of established breastfeeding and a longer post-natal stay, compared with those who planned for care in the hospital. The total average cost per mother-baby dyad for care where mothers started their intrapartum care at the Birth Centre was £1296.23, approximately £850 per patient less than the average cost per mother and baby who received all their care at the Royal London Hospital. These costs reflect intrapartum throughput using bottom up costing per patient, from admission to discharge, including transfer, but excluding occupancy rates and the related running costs of the units. the study showed that intrapartum throughput in the Birth Centre could be considered cost-minimising when compared to hospital. Modelling the financial viability of midwifery units at a local level is important because it can inform the appropriate provision of these services. This finding from this study contribute a local perspective and thus further weight to the evidence from the Birthplace Programme in support of freestanding midwifery unit care for women without obstetric complications. Copyright © 2016. Published by Elsevier Ltd.

  14. Toltrazuril and sulphonamide treatment against naturally Isospora suis infected suckling piglets: is there an actual profit?

    PubMed

    Scala, Antonio; Demontis, Francesca; Varcasia, Antonio; Pipia, Anna Paola; Poglayen, Giovanni; Ferrari, Nicola; Genchi, Marco

    2009-08-26

    A study was carried out to assess the efficacy and the economic profit of prophylactic treatment against Isopsora suis with toltrazuril or with a sulfamethazine/trimethoprim combination in piglets from an intensive pig farm. Thirty-one litters were included in study. Eight litters were treated once with toltrazuril (20 mg/kg b.w.) at 3 days of age (Toltra group); 8 litters were treated with 2 ml/animal of a [corrected] sulphonamide combination (sodium sulfamethazine 250 [DOSAGE ERROR CORRECTED] mg and trimethoprim 50 [DOSAGE ERROR CORRECTED] mg/kg b.w.) for 3 consecutive days starting at 3 days of age (Sulfa group), and 15 litters were untreated (control group). Counts of oocyst per gram on pooled feces sampled from each litter were carried out on Days 7, 14, 21 and 28 and diarrhea was registered daily from pooled samples. Piglets were weighed on Days 1, 7 and 28 and mean weight gain (WG) and daily weight gain (DWG) were evaluated. The economic profit of treatment was evaluated comparing the WG of piglets of each treatment group from the day of birth to Day 28. On Days 14, 21 and 28, toltrazuril showed a better efficacy in controlling fecal oocyst output, diarrhea and weight gain compared with sulphamidic treatment (P<0.001). The budgeting analysis showed a return of economic benefit of euro 0.915 per toltrazuril-treated piglets and an additional cost of euro 1.155 per sulphonamide-treated piglets.

  15. The cost-effectiveness of domiciliary non-invasive ventilation in patients with end-stage chronic obstructive pulmonary disease: a systematic review and economic evaluation.

    PubMed

    Dretzke, Janine; Blissett, Deirdre; Dave, Chirag; Mukherjee, Rahul; Price, Malcolm; Bayliss, Sue; Wu, Xiaoying; Jordan, Rachel; Jowett, Sue; Turner, Alice M; Moore, David

    2015-10-01

    Chronic obstructive pulmonary disease (COPD) is a chronic progressive lung disease characterised by non-reversible airflow obstruction. Exacerbations are a key cause of morbidity and mortality and place a considerable burden on health-care systems. While there is evidence that patients benefit from non-invasive ventilation (NIV) in hospital during an acute exacerbation, evidence supporting home use for more stable COPD patients is limited. In the U.K., domiciliary NIV is considered on health economic grounds in patients after three hospital admissions for acute hypercapnic respiratory failure. To assess the clinical effectiveness and cost-effectiveness of domiciliary NIV by systematic review and economic evaluation. Bibliographic databases, conference proceedings and ongoing trial registries up to September 2014. Standard systematic review methods were used for identifying relevant clinical effectiveness and cost-effectiveness studies assessing NIV compared with usual care or comparing different types of NIV. Risk of bias was assessed using Cochrane guidelines and relevant economic checklists. Results for primary effectiveness outcomes (mortality, hospitalisations, exacerbations and quality of life) were presented, where possible, in forest plots. A speculative Markov decision model was developed to compare the cost-effectiveness of domiciliary NIV with usual care from a UK perspective for post-hospital and more stable populations separately. Thirty-one controlled effectiveness studies were identified, which report a variety of outcomes. For stable patients, a modest volume of evidence found no benefit from domiciliary NIV for survival and some non-significant beneficial trends for hospitalisations and quality of life. For post-hospital patients, no benefit from NIV could be shown in terms of survival (from randomised controlled trials) and findings for hospital admissions were inconsistent and based on limited evidence. No conclusions could be drawn regarding potential benefit from different types of NIV. No cost-effectiveness studies of domiciliary NIV were identified. Economic modelling suggested that NIV may be cost-effective in a stable population at a threshold of £30,000 per quality-adjusted life-year (QALY) gained (incremental cost-effectiveness ratio £28,162), but this is associated with uncertainty. In the case of the post-hospital population, results for three separate base cases ranged from usual care dominating to NIV being cost-effective, with an incremental cost-effectiveness ratio of less than £10,000 per QALY gained. All estimates were sensitive to effectiveness estimates, length of benefit from NIV (currently unknown) and some costs. Modelling suggested that reductions in the rate of hospital admissions per patient per year of 24% and 15% in the stable and post-hospital populations, respectively, are required for NIV to be cost-effective. Evidence on key clinical outcomes remains limited, particularly quality-of-life and long-term (> 2 years) effects. Economic modelling should be viewed as speculative because of uncertainty around effect estimates, baseline risks, length of benefit of NIV and limited quality-of-life/utility data. The cost-effectiveness of domiciliary NIV remains uncertain and the findings in this report are sensitive to emergent data. Further evidence is required to identify patients most likely to benefit from domiciliary NIV and to establish optimum time points for starting NIV and equipment settings. The results from this report will need to be re-examined in the light of any new trial results, particularly in terms of reducing the uncertainty in the economic model. Any new randomised controlled trials should consider including a sham non-invasive ventilation arm and/or a higher- and lower-pressure arm. Individual participant data analyses may help to determine whether or not there are any patient characteristics or equipment settings that are predictive of a benefit of NIV and to establish optimum time points for starting (and potentially discounting) NIV. This study is registered as PROSPERO CRD42012003286. The National Institute for Health Research Health Technology Assessment programme.

  16. Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability.

    PubMed

    Leclerc-Madlala, Suzanne

    2008-12-01

    This paper reviews the current state of knowledge on age-disparate sexual relationships in the context of the southern African HIV/AIDS hyperepidemic. Disproportionately high HIV infection rates among young women aged 15-24 years have been attributed to their greater involvement in relationships with older-aged partners. Whereas early studies emphasized economic concerns in the context of poverty as driving girls to accept or seek the attentions of older employed men, close-grained studies reveal a complex interplay of meanings and motives that prompt both men and women across socioeconomic strata to engage in intergenerational sex. Studies have revealed that age-disparate relationships are meaningful and perceived as beneficial at a number of levels, including social, physical, psychological, as well as economic and symbolic. In the context of growing economic inequalities and cultural expectations for men to give and women to receive a compensation for sex, relationships with older men are a common and readily available way through which young women gain materially, affirm self-worth, achieve social goals, increase longer-term life chances, or otherwise add value and enjoyment to life. Awareness of HIV risks in these relationships remains low. HIV prevention policies and programmes need to start from an understanding of how those engaged in risky behaviour perceive their sexual relationships and conceptualize the choices they make and the strategies they use. A more comprehensive policy on women and girls with better integration of communities in assessing and addressing issues, and an expansion of campaigns and programmes on the role of men as protectors and supporters of women are recommended.

  17. Power, Profits, and Politics: Energy Security and Cooperation in Eurasia

    NASA Astrophysics Data System (ADS)

    Svyatets, Ekaterina

    This study explores varying outcomes of energy cooperation, defined as diplomatic relations, bilateral trade, and investment in oil and natural gas. Tests of theories pertinent to energy security - broadly speaking, realism, liberalism, and domestic politics---reveal that they alone can offer only a narrow and one-sided explanation, not embracing the complexity of energy issues. Nevertheless, using them as a starting point, this study outlined a structured framework that incorporates three variables---economic potential, geopolitical rivalry, and domestic interest groups---that are applied to the cases of U.S.-Russia, U.S.-Azerbaijan, and Russia-Germany energy ties. This study concludes that if the economic potential (defined by geographic proximity and resource availability) is very high, such as in the case of Russia-Germany, states can overcome geopolitical rivalries and historical enmities in favor of energy cooperation. However, if the economic potential is relatively low (because of geographic obstacles or easily available alternative suppliers, as in the cases of U.S.-Russia and U.S.-Azerbaijan), then geopolitics prevails---for example, to bypass Russia or to limit American access to contracts in Russia when U.S.-Russian relations are strained. In all the cases explored here, domestic interest groups have mixed influence: if they are united along energy issues, they usually successfully achieve their energy policy goals, although the impact of these groups often becomes intertwined with state interests. In other situations, when powerful interest groups are divided or focused on non-energy-related issues (such as ethnic priorities), their influence over energy deals is much lower.

  18. Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study

    PubMed Central

    Eiríksdóttir, Védís Helga; Valdimarsdóttir, Unnur Anna; Ásgeirsdóttir, Tinna Laufey; Hauksdóttir, Arna; Lund, Sigrún Helga; Bjarnadóttir, Ragnheiður Ingibjörg; Cnattingius, Sven; Zoëga, Helga

    2015-01-01

    Background Data on the potential influence of macroeconomic recessions on maternal diseases during pregnancy are scarce. We aimed to assess potential change in prevalence of pregnancy-induced hypertensive disorders (preeclampsia and gestational hypertension) during the first years of the major national economic recession in Iceland, which started abruptly in October 2008. Methods and Findings Women whose pregnancies resulted in live singleton births in Iceland in 2005–2012 constituted the study population (N = 35,211). Data on pregnancy-induced hypertensive disorders were obtained from the Icelandic Medical Birth Register and use of antihypertensive drugs during pregnancy, including β-blockers and calcium channel blockers, from the Icelandic Medicines Register. With the pre-collapse period as reference, we used logistic regression analysis to assess change in pregnancy-induced hypertensive disorders and use of antihypertensives during the first four years after the economic collapse, adjusting for demographic and pregnancy characteristics, taking aggregate economic indicators into account. Compared with the pre-collapse period, we observed an increased prevalence of gestational hypertension in the first year following the economic collapse (2.4% vs. 3.9%; adjusted odds ratio [aOR] 1.47; 95 percent confidence interval [95%CI] 1.13–1.91) but not in the subsequent years. The association disappeared completely when we adjusted for aggregate unemployment rate (aOR 1.04; 95% CI 0.74–1.47). Similarly, there was an increase in prescription fills of β-blockers in the first year following the collapse (1.9% vs.3.1%; aOR 1.43; 95% CI 1.07–1.90), which disappeared after adjusting for aggregate unemployment rate (aOR 1.05; 95% CI 0.72–1.54). No changes were observed for preeclampsia or use of calcium channel blockers between the pre- and post-collapse periods. Conclusions Our data suggest a transient increased risk of gestational hypertension and use of β-blockers among pregnant women in Iceland in the first and most severe year of the national economic recession. PMID:26379126

  19. How first-generation students learn to navigate education systems: a case study of First Graduate.

    PubMed

    Kirshner, Ben; Saldivar, Manuel Gerardo; Tracy, Rita

    2011-01-01

    Students from underrepresented groups who seek to become the first in their family to attend college confront economically and racially stratified education systems. This article reports findings from an evaluation of First Graduate, an organization that offers college advising, mentoring, tutoring, and case management to first-generation students starting in seventh grade. We highlight three systems that youth say they encountered on their pathway to college: open enrollment, course taking, and college admissions. We describe how youth navigated these systems and the roles that adults played in support. Our conclusion discusses implications for how after-school programs can support first-generation students. Copyright © 2011 Wiley Periodicals, Inc., A Wiley Company.

  20. ORNL-TNS/PEPR overall heating requirements

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Peng, Y. K.M.; Rome, J. A.

    1977-01-01

    The ORNL TNS/PEPR studies have the objectives of (1) leading to a system that demonstrates the fusion reactor core in the mid-to-late 1980's and extrapolates to an economic tokamak power reactor, and (2) providing a near-term focus for the scientific and technological programs toward the power reactor. This discussion of the overall heating requirements for the ORNL TNS/PEPR is concerned with the neutral beams as the primary heating method, the electron-cyclotron resonance (ECR) heating at a lower power level for profile control, and the upper hybrid resonance (UHR) initiation and preheating of currentless plasmas to reduce current start-up loop voltagemore » (V/sub l/) requirements.« less

  1. [The theory of the demographic transition as a reference for demo-economic models].

    PubMed

    Genne, M

    1981-01-01

    The aim of the theory of demographic transition (TTD) is to better understand the behavior and interrelationship of economic and demographic variables. There are 2 types of demo-economic models: 1) the malthusian models, which consider demographic variables as pure exogenous variables, and 2) the neoclassical models, which consider demographic variables as strictly endogenous. If TTD can explore the behavior of exogenous and endogenous demographic variables, it cannot demonstrate neither the relation nor the order of causality among the various demographic and economic variables, but it is simply the theoretical framework of a complex social and economic phenomenon which started in Europe in the 19th Century, and which today can be extended to developing countries. There are 4 stages in the TTD; the 1st stage is characterized by high levels of fecundity and mortality; the 2nd stage is characterized by high fecundity levels and declining mortality levels; the 3rd stage is characterized by declining fecundity levels and low mortality levels; the 4th stage is characterized by low fertility and mortality levels. The impact of economic variables over mortality and birth rates is evident for mortality rates, which decline earlier and at a greater speed than birth rates. According to reliable mathematical predictions, around the year 1987 mortality rates in developing countries will have reached the low level of European countries, and growth rate will be only 1.5%. If the validity of demo-economic models has not yet been established, TTD has clearly shown that social and economic development is the factor which influences demographic expansion.

  2. Digital Transformation and Disruption of the Health Care Sector: Internet-Based Observational Study.

    PubMed

    Herrmann, Maximilian; Boehme, Philip; Mondritzki, Thomas; Ehlers, Jan P; Kavadias, Stylianos; Truebel, Hubert

    2018-03-27

    Digital innovation, introduced across many industries, is a strong force of transformation. Some industries have seen faster transformation, whereas the health care sector only recently came into focus. A context where digital corporations move into health care, payers strive to keep rising costs at bay, and longer-living patients desire continuously improved quality of care points to a digital and value-based transformation with drastic implications for the health care sector. We tried to operationalize the discussion within the health care sector around digital and disruptive innovation to identify what type of technological enablers, business models, and value networks seem to be emerging from different groups of innovators with respect to their digital transformational efforts. From the Forbes 2000 and CBinsights databases, we identified 100 leading technology, life science, and start-up companies active in the health care sector. Further analysis identified projects from these companies within a digital context that were subsequently evaluated using the following criteria: delivery of patient value, presence of a comprehensive and distinctive underlying business model, solutions provided, and customer needs addressed. Our methodological approach recorded more than 400 projects and collaborations. We identified patterns that show established corporations rely more on incremental innovation that supports their current business models, while start-ups engage their flexibility to explore new market segments with notable transformations of established business models. Thereby, start-ups offer higher promises of disruptive innovation. Additionally, start-ups offer more diversified value propositions addressing broader areas of the health care sector. Digital transformation is an opportunity to accelerate health care performance by lowering cost and improving quality of care. At an economic scale, business models can be strengthened and disruptive innovation models enabled. Corporations should look for collaborations with start-up companies to keep investment costs at bay and off the balance sheet. At the same time, the regulatory knowledge of established corporations might help start-ups to kick off digital disruption in the health care sector. ©Maximilian Herrmann, Philip Boehme, Thomas Mondritzki, Jan P Ehlers, Stylianos Kavadias, Hubert Truebel. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 27.03.2018.

  3. Digital Transformation and Disruption of the Health Care Sector: Internet-Based Observational Study

    PubMed Central

    Mondritzki, Thomas; Ehlers, Jan P; Kavadias, Stylianos

    2018-01-01

    Background Digital innovation, introduced across many industries, is a strong force of transformation. Some industries have seen faster transformation, whereas the health care sector only recently came into focus. A context where digital corporations move into health care, payers strive to keep rising costs at bay, and longer-living patients desire continuously improved quality of care points to a digital and value-based transformation with drastic implications for the health care sector. Objective We tried to operationalize the discussion within the health care sector around digital and disruptive innovation to identify what type of technological enablers, business models, and value networks seem to be emerging from different groups of innovators with respect to their digital transformational efforts. Methods From the Forbes 2000 and CBinsights databases, we identified 100 leading technology, life science, and start-up companies active in the health care sector. Further analysis identified projects from these companies within a digital context that were subsequently evaluated using the following criteria: delivery of patient value, presence of a comprehensive and distinctive underlying business model, solutions provided, and customer needs addressed. Results Our methodological approach recorded more than 400 projects and collaborations. We identified patterns that show established corporations rely more on incremental innovation that supports their current business models, while start-ups engage their flexibility to explore new market segments with notable transformations of established business models. Thereby, start-ups offer higher promises of disruptive innovation. Additionally, start-ups offer more diversified value propositions addressing broader areas of the health care sector. Conclusions Digital transformation is an opportunity to accelerate health care performance by lowering cost and improving quality of care. At an economic scale, business models can be strengthened and disruptive innovation models enabled. Corporations should look for collaborations with start-up companies to keep investment costs at bay and off the balance sheet. At the same time, the regulatory knowledge of established corporations might help start-ups to kick off digital disruption in the health care sector. PMID:29588274

  4. Simulation of diurnal thermal energy storage systems: Preliminary results

    NASA Astrophysics Data System (ADS)

    Katipamula, S.; Somasundaram, S.; Williams, H. R.

    1994-12-01

    This report describes the results of a simulation of thermal energy storage (TES) integrated with a simple-cycle gas turbine cogeneration system. Integrating TES with cogeneration can serve the electrical and thermal loads independently while firing all fuel in the gas turbine. The detailed engineering and economic feasibility of diurnal TES systems integrated with cogeneration systems has been described in two previous PNL reports. The objective of this study was to lay the ground work for optimization of the TES system designs using a simulation tool called TRNSYS (TRaNsient SYstem Simulation). TRNSYS is a transient simulation program with a sequential-modular structure developed at the Solar Energy Laboratory, University of Wisconsin-Madison. The two TES systems selected for the base-case simulations were: (1) a one-tank storage model to represent the oil/rock TES system; and (2) a two-tank storage model to represent the molten nitrate salt TES system. Results of the study clearly indicate that an engineering optimization of the TES system using TRNSYS is possible. The one-tank stratified oil/rock storage model described here is a good starting point for parametric studies of a TES system. Further developments to the TRNSYS library of available models (economizer, evaporator, gas turbine, etc.) are recommended so that the phase-change processes is accurately treated.

  5. Economic stress in the workplace: The impact of fear of the crisis on mental health.

    PubMed

    Giorgi, Gabriele; Arcangeli, Giulio; Mucci, Nicola; Cupelli, Vincenzo

    2015-01-01

    Since 2008, a deep financial crisis, which started in the United States, has widely spread around the world. Scientists expressed their worry about this crisis by pointing out that potential negative health effects can be created by collective fear and panic. The main purpose of this cross-sectional study on the fear of the crisis has been to examine its impact on mental health through the use of structural equation modeling. In the trial a new model of economic stress we were also interested in identifying if fear of the crisis has an indirect relationship with employees' health (e.g. related to a poor social support or to work-related stress). Furthermore, this study aimed to examine whether a full or a partial mediation model best fits the data. Data collection took place between 2010 and 2011. During this period several private organizations that comprised of 1236 employees participated in the study. It was found that social support and job stress fully mediated the relationship between fear of the crisis and health, with all fit indices meeting their respective criteria, and with all path coefficients being significant. Implications for discussion of the crisis among employees were presented. In conclusion, fear of the crisis appeared to be an important innovative construct for organizational wellbeing.

  6. Emperical Laws in Economics Uncovered Using Methods in Statistical Mechanics

    NASA Astrophysics Data System (ADS)

    Stanley, H. Eugene

    2001-06-01

    In recent years, statistical physicists and computational physicists have determined that physical systems which consist of a large number of interacting particles obey universal "scaling laws" that serve to demonstrate an intrinsic self-similarity operating in such systems. Further, the parameters appearing in these scaling laws appear to be largely independent of the microscopic details. Since economic systems also consist of a large number of interacting units, it is plausible that scaling theory can be usefully applied to economics. To test this possibility using realistic data sets, a number of scientists have begun analyzing economic data using methods of statistical physics [1]. We have found evidence for scaling (and data collapse), as well as universality, in various quantities, and these recent results will be reviewed in this talk--starting with the most recent study [2]. We also propose models that may lead to some insight into these phenomena. These results will be discussed, as well as the overall rationale for why one might expect scaling principles to hold for complex economic systems. This work on which this talk is based is supported by BP, and was carried out in collaboration with L. A. N. Amaral S. V. Buldyrev, D. Canning, P. Cizeau, X. Gabaix, P. Gopikrishnan, S. Havlin, Y. Lee, Y. Liu, R. N. Mantegna, K. Matia, M. Meyer, C.-K. Peng, V. Plerou, M. A. Salinger, and M. H. R. Stanley. [1.] See, e.g., R. N. Mantegna and H. E. Stanley, Introduction to Econophysics: Correlations & Complexity in Finance (Cambridge University Press, Cambridge, 1999). [2.] P. Gopikrishnan, B. Rosenow, V. Plerou, and H. E. Stanley, "Identifying Business Sectors from Stock Price Fluctuations," e-print cond-mat/0011145; V. Plerou, P. Gopikrishnan, L. A. N. Amaral, X. Gabaix, and H. E. Stanley, "Diffusion and Economic Fluctuations," Phys. Rev. E (Rapid Communications) 62, 3023-3026 (2000); P. Gopikrishnan, V. Plerou, X. Gabaix, and H. E. Stanley, "Statistical Properties of Share Volume Traded in Financial Markets," Phys. Rev. E (Rapid Communications) 62, 4493-4496 (2000).

  7. Economic Analysis of Classical Swine Fever Surveillance in the Netherlands.

    PubMed

    Guo, X; Claassen, G D H; Oude Lansink, A G J M; Loeffen, W; Saatkamp, H W

    2016-06-01

    Classical swine fever (CSF) is a highly contagious pig disease that causes economic losses and impaired animal welfare. Improving the surveillance system for CSF can help to ensure early detection of the virus, thereby providing a better initial situation for controlling the disease. Economic analysis is required to compare the benefits of improved surveillance with the costs of implementing a more intensive system. This study presents a comprehensive economic analysis of CSF surveillance in the Netherlands, taking into account the specialized structure of Dutch pig production, differences in virulence of CSF strains and a complete list of possible surveillance activities. The starting point of the analysis is the current Dutch surveillance system (i.e. the default surveillance-setup scenario), including the surveillance activities 'daily clinical observation by the farmer', 'veterinarian inspection after a call', 'routine veterinarian inspection', 'pathology in AHS', 'PCR on tonsil in AHS', 'PCR on grouped animals in CVI' and 'confirmatory PCR by NVWA'. Alternative surveillance-setup scenarios were proposed by adding 'routine serology in slaughterhouses', 'routine serology on sow farms' and 'PCR on rendered animals'. The costs and benefits for applying the alternative surveillance-setup scenarios were evaluated by comparing the annual mitigated economic losses because of intensified CSF surveillance with the annual additional surveillance costs. The results of the cost-effectiveness analysis show that the alternative surveillance-setup scenarios with 'PCR on rendered animals' are effective for the moderately virulent CSF strain, whereas the scenarios with 'routine serology in slaughterhouses' or 'routine serology on sow farms' are effective for the low virulent strain. Moreover, the current CSF surveillance system in the Netherlands is cost-effective for both moderately virulent and low virulent CSF strains. The results of the cost-benefit analysis for the moderately virulent CSF strain indicate that the current surveillance system in the Netherlands is adequate. From an economic perspective, there is little to be gained from intensifying surveillance. © 2014 Blackwell Verlag GmbH.

  8. Human-started wildfires expand the fire niche across the United States.

    PubMed

    Balch, Jennifer K; Bradley, Bethany A; Abatzoglou, John T; Nagy, R Chelsea; Fusco, Emily J; Mahood, Adam L

    2017-03-14

    The economic and ecological costs of wildfire in the United States have risen substantially in recent decades. Although climate change has likely enabled a portion of the increase in wildfire activity, the direct role of people in increasing wildfire activity has been largely overlooked. We evaluate over 1.5 million government records of wildfires that had to be extinguished or managed by state or federal agencies from 1992 to 2012, and examined geographic and seasonal extents of human-ignited wildfires relative to lightning-ignited wildfires. Humans have vastly expanded the spatial and seasonal "fire niche" in the coterminous United States, accounting for 84% of all wildfires and 44% of total area burned. During the 21-y time period, the human-caused fire season was three times longer than the lightning-caused fire season and added an average of 40,000 wildfires per year across the United States. Human-started wildfires disproportionally occurred where fuel moisture was higher than lightning-started fires, thereby helping expand the geographic and seasonal niche of wildfire. Human-started wildfires were dominant (>80% of ignitions) in over 5.1 million km 2 , the vast majority of the United States, whereas lightning-started fires were dominant in only 0.7 million km 2 , primarily in sparsely populated areas of the mountainous western United States. Ignitions caused by human activities are a substantial driver of overall fire risk to ecosystems and economies. Actions to raise awareness and increase management in regions prone to human-started wildfires should be a focus of United States policy to reduce fire risk and associated hazards.

  9. Human-started wildfires expand the fire niche across the United States

    PubMed Central

    Balch, Jennifer K.; Bradley, Bethany A.; Nagy, R. Chelsea; Fusco, Emily J.; Mahood, Adam L.

    2017-01-01

    The economic and ecological costs of wildfire in the United States have risen substantially in recent decades. Although climate change has likely enabled a portion of the increase in wildfire activity, the direct role of people in increasing wildfire activity has been largely overlooked. We evaluate over 1.5 million government records of wildfires that had to be extinguished or managed by state or federal agencies from 1992 to 2012, and examined geographic and seasonal extents of human-ignited wildfires relative to lightning-ignited wildfires. Humans have vastly expanded the spatial and seasonal “fire niche” in the coterminous United States, accounting for 84% of all wildfires and 44% of total area burned. During the 21-y time period, the human-caused fire season was three times longer than the lightning-caused fire season and added an average of 40,000 wildfires per year across the United States. Human-started wildfires disproportionally occurred where fuel moisture was higher than lightning-started fires, thereby helping expand the geographic and seasonal niche of wildfire. Human-started wildfires were dominant (>80% of ignitions) in over 5.1 million km2, the vast majority of the United States, whereas lightning-started fires were dominant in only 0.7 million km2, primarily in sparsely populated areas of the mountainous western United States. Ignitions caused by human activities are a substantial driver of overall fire risk to ecosystems and economies. Actions to raise awareness and increase management in regions prone to human-started wildfires should be a focus of United States policy to reduce fire risk and associated hazards. PMID:28242690

  10. [Epidemiology of myopia].

    PubMed

    Hopf, S; Pfeiffer, N

    2017-01-01

    Myopia is the most common cause for impaired vision in children and young adults with increasing tendency. Although myopia is hereditary, genetic findings do not explain the full extent of its recent increase. Epidemiologic studies are required to investigate the prevalence and incidence of this disease. The prevalence, incidence and progression of myopia with its economic impact are emphasized to review the distribution and consequences of the development and progression of myopia. A systematic literature search was conducted in MEDLINE. The global prevalence of myopia is currently 28.3 % and is dramatically increasing. In 2050, half of the world population will be affected. Myopia starts earlier and exhibits a peak prevalence in young Asian adults. High myopia indicates a similar development. Interventions to slow the development and progression of myopia are strongly required due to the medical and socio-economic drawbacks for the individuals and for society. Myopia is already a ubiquitous phenomenon in some parts of the world. One out of ten persons will be at a relevant risk of becoming blind as a result of myopia in the future. Preventive measures have not shown sweeping success.

  11. A Secular Trend in Birth Weight and Delivery Practices in Periurban Vietnam During 2005-2012.

    PubMed

    Duong, Duc Minh; Nguyen, Anh Duy; Nguyen, Chuong Canh; Le, Vui Thi; Hoang, Son Ngoc; Bui, Ha Thi Thu

    2017-07-01

    The remarkable increase in Vietnamese economic conditions can increase the birth weight in neonates and better delivery practices among women. The Chi Linh Health and Demographic Surveillance System started in 2004. An open cohort of data consisting of about 57 561 people from 17 993 households has been followed primarily with respect to demography, economy, and education. The aim of this research is to study secular trends in delivery practice and birth weight in the past decade (2005-2012) in Chi Linh. We found a significant change in delivery rates at hospitals and cesarean section rates, but the birth weights over a decade of drastic economic development were stable. Furthermore, the findings show significant associations of birth weight and delivery practices with the child's sex, mother's age, and household income. Our results might be considered as representative for other similar periurban settings in Vietnam. We suggest that appropriate policies should be developed given the reduction in the use of delivery services in commune health centers in urban areas.

  12. “A question of balance”: addressing the public health impacts of multinational enterprises in the OECD Guidelines for Multinational Enterprises

    PubMed Central

    Yang, Joshua S.; McDaniel, Patricia A.; Malone, Ruth E.

    2012-01-01

    Background The global community is beginning to address non-communicable diseases, but how to increase the accountability of multinational enterprises (MNEs) for the health impacts of their products and practices remains unclear. We examine the Organization for Economic Cooperation and Development’s (OECD) efforts to do so through voluntary MNE guidelines. Methods We developed a historical case study of how the OECD Guidelines for Multinational Enterprises were developed and revised from 1973–2000 through an analysis of publicly available archived OECD and tobacco industry documents. Results The first edition of the Guidelines was a purely economic instrument. Outside pressures and a desire to ward off more stringent regulatory efforts resulted in the addition over time of guidelines related to the environment, consumer interests, sustainable development, and human rights. Conclusion Despite their voluntary nature, the Guidelines can play a role in efforts to help balance the interests of MNEs and public health by providing a starting point for efforts to create binding provisions addressing MNEs’ contributions to disease burden or disease reduction. PMID:23046298

  13. Cultural influences on suicide in Japan.

    PubMed

    Russell, Roxanne; Metraux, Daniel; Tohen, Mauricio

    2017-01-01

    Following the economic crash of the late 1990s, the suicide rate in Japan increased to a rate of over 30 000 people per year and has been one of the highest in the world. Cultural factors have influenced this high suicide rate, such as a tradition of honorable suicide as well as permissive attitudes towards suicide that remain in modern times. Additionally, the economic downturn, particularly the trend of unemployment in middle-aged men, also played a significant role in the high suicide rate. The suicide rate has started to decrease in recent years perhaps in part due to suicide prevention measures undertaken by the government. © 2016 The Authors. Psychiatry and Clinical Neurosciences © 2016 Japanese Society of Psychiatry and Neurology.

  14. Grain production trends in Russia, Ukraine and Kazakhstan: New opportunities in an increasingly unstable world?

    NASA Astrophysics Data System (ADS)

    Lioubimtseva, Elena; Henebry, Geoffrey M.

    2012-06-01

    Grain production in the countries of the former USSR sharply declined during the past two decades and has only recently started to recover. In the context of the current economic and food-price crisis, Russia, Ukraine, and Kazakhstan might be presented with a window of opportunity to reemerge on the global agricultural market, if they succeed in increasing their productivity. The future of their agriculture, however, is highly sensitive to a combination of internal and external factors, such as institutional changes, land-use changes, climate variability and change, and global economic trends. The future of this region's grain production is likely to have a significant impact on the global and regional food security over the next decades.

  15. Forecast of Future Aviation Fuels. Part 1: Scenarios

    NASA Technical Reports Server (NTRS)

    English, J. M.; Liu, C. Y.; Smith, J. L.; Yin, A. K. K.; Pan, G. A.; Ayati, M. B.; Gyamfi, M.; Arabzadah, M. R.

    1978-01-01

    A preliminary set of scenarios is described for depicting the air transport industry as it grows and changes, up to the year 2025. This provides the background for predicting the needs for future aviation fuels to meet the requirements of the industry as new basic sources, such as oil shale and coal, which are utilized to supplement petroleum. Five scenarios are written to encompass a range of futures from a serious resource-constrained economy to a continuous and optimistic economic growth. A unique feature is the choice of one immediate range scenario which is based on a serious interruption of economic growth occasioned by an energy shortfall. This is presumed to occur due to lags in starting a synfuels program.

  16. [Metalworking industry management evolution].

    PubMed

    Mattucci, Massimo

    2011-01-01

    Analysis of the evolution drivers of the management systems in the metalworking industry, mainly characterized as "automotive", starting with the "mass production" model, followed for the development of Italian industry in the '50. Through the socio-economic changes of the '90/10, the metalworking plants were deeply restructured with the introduction of computers in the production systems, and then with the first global benchmarks such as the "lean production", towards the needed operational flexibility to respond to the market dynamics. Plants change radically, company networks become real, ICT services are fundamental elements for the integration. These trends help visualizing a new "Factory of the Future" for the years 2020/30, where the competition will be based on the socio-economical, technological and environmental factors included in the "Competitive Sustainable Manufacturing" paradigm.

  17. Application of urban neighborhoods in understanding of local level electricity consumption patterns

    NASA Astrophysics Data System (ADS)

    Roy Chowdhury, P. K.; Bhaduri, B. L.

    2017-12-01

    Aggregated national or regional level electricity consumption data fail to capture the spatial variation in consumption, a function of location, climate, topography, and local economics. Spatial monitoring of electricity usage patterns helps to understand derivers of location specific consumption behavior and develop models to cater to the consumer needs, plan efficiency measures, identify settled areas lacking access, and allows for future planning through assessing requirements. Developed countries have started to deploy sensor systems such as smart meters to gather information on local level consumption patterns, but such infrastructure is virtually nonexistent in developing nations, resulting in serious dearth of reliable data for planners and policy makers. Remote sensing of artificial nighttime lights from human settlements have proven useful to study electricity consumptions from global to regional scales, however, local level studies remain scarce. Using the differences in spatial characteristics among different urban neighborhoods such as industrial, commercial and residential, observable through very high resolution day time satellite images (<0.5 meter), formal urban neighborhoods have been generated through texture analysis. In this study, we explore the applicability of these urban neighborhoods in understanding local level electricity consumption patterns through exploring possible correlations between the spatial characteristics of these neighborhoods, associated general economic activities, and corresponding VIIRS day-night band (DNB) nighttime lights observations, which we use as a proxy for electricity consumption in the absence of ground level consumption data. The overall trends observed through this analysis provides useful explanations helping in understanding of broad electricity consumption patterns in urban areas lacking ground level observations. This study thus highlights possible application of remote sensing data driven methods in providing novel insights into local level socio-economic patterns that were hitherto undetected due to lack of ground data.

  18. The costs and benefits of private sector provision of treatment to HIV-infected employees in Kampala, Uganda.

    PubMed

    Marseille, Elliot; Saba, Joseph; Muyingo, Sowedi; Kahn, James G

    2006-04-04

    The objective of this study was to determine the financial incentives that companies have to treat HIV-infected employees, in a health care services company in Kampala, Uganda. Cost-benefit analysis from the company's perspective of three interventions to treat HIV-infected employees. The costs and benefits of each intervention were compared with no intervention and with each other: cotrimoxazole prophylaxis (CTX) starting at WHO stage 2; highly active antiretroviral therapy (HAART) plus CTX starting at WHO stage 2; and a 'hybrid' strategy that begins with CTX at WHO stage 2 and later includes HAART. The 5-year health and economic outcomes were calculated using a Markov model. Inputs for disease progression rates and effects of HIV on company costs were derived from published and unpublished data and a survey administered to company officers. The analysis showed that the 'hybrid' intervention is the most cost-effective. For 100 skilled employees it would save the company 38,939 US dollars and 73 disability adjusted life-years (DALYs). For unskilled workers 'CTX' is the most cost effective and would save 16,417 US dollars and 60 DALYs. 'Hybrid' has an incremental cost-effectiveness ratio of 45 US dollars per DALY for unskilled workers whereas HAART is far less economical at an incremental cost per DALY of 4118 US dollars. For 'CTX', net savings are preserved across the full range of input values. A 'hybrid' intervention combining CTX prophylaxis followed by HAART would generate savings to a Ugandan company. Governments and other donors may find opportunities to share costs with the private sector as part of their phase-in strategy for antiretroviral therapy.

  19. Differences in ADHD medication usage patterns in children and adolescents from different cultural backgrounds in the Netherlands.

    PubMed

    van den Ban, Els F; Souverein, Patrick C; van Engeland, Herman; Swaab, Hanna; Egberts, Toine C G; Heerdink, Eibert R

    2015-07-01

    Differences in incidence and prevalence of ADHD medication use between ethnic groups have been reported. Goal of this study was to determine whether there are also differences in usage patterns of ADHD medication among native Dutch children and adolescents and those with a Moroccan, Turkish and Surinam cultural background in the Netherlands between 1999 and 2010. In a cohort of ADHD patients <19 years (N = 817) incident use and discontinuation of ADHD medication were measured for ethnicity and adjusted for age, gender and socio-economic status. A significant higher proportion of ADHD-diagnosed patients from Moroccan (32 %) and Turkish (42 %) cultural background never used ADHD medication compared to Dutch natives (21 %). One-fifth of native Dutch and Turkish patients already used ADHD medication before the ADHD diagnosis date. Discontinuation of ADHD medication within 5 years was significantly higher in Moroccan [HR 2.4 (95 % CI 1.8-3.1)] and Turkish [HR 1.7 (95 % CI 1.1-2.6)] patients. A sensitivity analysis with a zip code-matched comparison between Dutch natives and non-natives showed similar results, suggesting this effect is probably not explained by socio-economic status (SES). Differences are found in prescribing and use of ADHD medication between patients with a different cultural background. Native Dutch and Turkish patients start more frequently with ADHD medication before the ADHD diagnose date, which can be an indication of differences in either referral patterns and/or access to care. A higher percentage of patients with a Moroccan and Turkish cultural background never start using ADHD medication at all and discontinuation rate is higher compared to Dutch natives and Surinamese.

  20. Socio-demographic characteristics of the addicted inmates of Qom and Tabriz prisons in Iran.

    PubMed

    Sattari, Mohammadreza; Islambulchilar, Mina; Toluyi, Mohsen; Mashayekhi, Siminozar

    2012-01-01

    The aim of this investigation was to study the factors responsible for drug addiction amongst the inmates of Tabriz and Qom prisons, to further understand the reasons for drug abuse particularly in the young and find improved methods for combating these widespread problems. A multi-choice questionnaire was provided to inmates to potentially assess the reasons for their drug addiction psychiatric, personal, social, economical, and political factors were thought to be implicated. Two hundred drug addicted prisoners were individually interviewed randomly in both Tabriz and Qom prisons. A questionnaire including questions about the inmates' demographic characteristics and 49 multiple answers questions, was provided to identify the effects of different reasons for drug addiction for instance: psychiatric, personal, social, economical, and political factors. The collected data were analyzed by Student t-test and chi-squared test using SPSS software. The results showed that the following factors could lead to drug addiction e.g. company with addicted friends and offenders, curiosity, imitation, illiteracy, family problems, crowded family, poverty, unemployment, and lack of self confidence. There were significant differences between Tabriz and Qom prisoners in relation to age, starting age of addiction, job, income, education, class of addiction, marital status, and hobbies. Mean age, mean starting age of addiction, poverty, alcohol drinking before addiction, marital status, heroin addiction, codeine and benzodiazepines abuse were significantly greater for Tabriz prisoners than those of Qom. It is clear that the governmental programs for reducing unemployment, creation of safe hobbies, proper control on drug dispensing in the pharmacies, proper birth control programs, and encouragement to higher education could alleviate addiction problem in Iran.

  1. New business opportunity: Green field project with new technology

    NASA Astrophysics Data System (ADS)

    Lee, Seung Jae; Woo, Jong Hun; Shin, Jong Gye

    2014-06-01

    Since 2009 of global financial crisis, shipbuilding industry has undergone hard times seriously. After such a long depression, the latest global shipping market index shows that the economic recovery of global shipbuilding market is underway. Especially, nations with enormous resources are going to increase their productivity or expanding their shipyards to accommodate a large amount of orders expected in the near future. However, few commercial projects have been carried out for the practical shipyard layout designs even though those can be good commercial opportunities for shipbuilding engineers. Shipbuilding starts with a shipyard construction with a large scale investment initially. Shipyard design and the equipment layout problem, which is directly linked to the productivity of ship production, is an important issue in the production planning of mass production of ships. In many cases, shipbuilding yard design has relied on the experience of the internal engineer, resulting in sporadic and poorly organized processes. Consequently, economic losses and the trial and error involved in such a design process are inevitable problems. The starting point of shipyard construction is to design a shipyard layout. Four kinds of engineering parts required for the shipyard layout design and construction. Those are civil engineering, building engineering, utility engineering and production layout engineering. Among these parts, production layout engineering is most important because its result is used as a foundation of the other engineering parts, and also, determines the shipyard capacity in the shipyard lifecycle. In this paper, the background of shipbuilding industry is explained in terms of engineering works for the recognition of the macro trend. Nextly, preliminary design methods and related case study is introduced briefly by referencing the previous research. Lastly, the designed work of layout design is validated using the computer simulation technology.

  2. Socio-demographic characteristics of the addicted inmates of Qom and Tabriz prisons in Iran

    PubMed Central

    Sattari, Mohammadreza; Islambulchilar, Mina; Toluyi, Mohsen; Mashayekhi, Siminozar

    2012-01-01

    Purpose: The aim of this investigation was to study the factors responsible for drug addiction amongst the inmates of Tabriz and Qom prisons, to further understand the reasons for drug abuse particularly in the young and find improved methods for combating these widespread problems. Methods: A multi-choice questionnaire was provided to inmates to potentially assess the reasons for their drug addiction psychiatric, personal, social, economical, and political factors were thought to be implicated. Two hundred drug addicted prisoners were individually interviewed randomly in both Tabriz and Qom prisons. A questionnaire including questions about the inmates’ demographic characteristics and 49 multiple answers questions, was provided to identify the effects of different reasons for drug addiction for instance: psychiatric, personal, social, economical, and political factors. The collected data were analyzed by Student t-test and chi-squared test using SPSS software. Results: The results showed that the following factors could lead to drug addiction e.g. company with addicted friends and offenders, curiosity, imitation, illiteracy, family problems, crowded family, poverty, unemployment, and lack of self confidence. There were significant differences between Tabriz and Qom prisoners in relation to age, starting age of addiction, job, income, education, class of addiction, marital status, and hobbies. Mean age, mean starting age of addiction, poverty, alcohol drinking before addiction, marital status, heroin addiction, codeine and benzodiazepines abuse were significantly greater for Tabriz prisoners than those of Qom. Conclusion: It is clear that the governmental programs for reducing unemployment, creation of safe hobbies, proper control on drug dispensing in the pharmacies, proper birth control programs, and encouragement to higher education could alleviate addiction problem in Iran. PMID:24312772

  3. [Combination therapy of metformin vs dipeptidulpeptidase inhibitors and sulfonylureas in type 2 diabetes: clinical and economic impact].

    PubMed

    Sicras-Mainar, Antoni; Navarro-Artieda, Ruth

    2014-01-01

    Determine the clinical repurcussions of adherence, metabolic control, hypoglycemia and cardiovascular events (CVE) and economics (resources and costs) in the combination therapy of metformin vs DPP-4 (dipeptidyl peptidase-4) inhibitors and sulfonylureas in patients with type 2 diabetes. Materials and methods. Observational-multicenter and retrospective design. We evaluated patients ≥ 30 years of age in treatment with metformin and who started a second oral antidiabetic treatment during 2008-2009. 2 study groups were established: a) metformin + DPP-4 inhibitors, and b) metformin + sulfonylurea. comorbidity, metabolic control (HbA1c <7%), compliance and complications (hypoglycemia, CVE). Follow up was conducted over two years. The cost model differentiated between direct healthcare costs (primary/ specialty care), and indirect costs (labor productivity). logistic regression and ANCOVA models. Results. 1,405 patients were recruited (average age 67.1 years old; 56.2% male). 37.0% started a second treatment with DPP-4 inhibitors, and 63.0% with sulfonylureas. After two years of follow up, patients treated with DPP-4 inhibitors showed greater treatment adherence (70.3% vs. 60.6%; p <0.001); better metabolic control (64.3% vs. 60.6%; p<0.001), and a lower proportion of hypoglycemia (13.9% vs. 40.4%; p <0.001, respectively). The average/unit of adjusted total costs was € 2,341 vs. € 2,512; p = 0.038. CVE and renal failure rates were 3.7% vs. 6.4%; p = 0.027. Vildagliptin was the most used drug among DPP-4 inhibitors. Conclusions. Sulfonylureas were the most used drug for diabetes treatment. Patients treated with DPP-4 inhibitors had higher adherence and control of diabetes, with lower rates of hypoglycemia and CVE, resulting in lower healthcare costs.

  4. Preparing Youth for the 21st Century: The Transition from Education to the Labour Market. Conference Proceedings (Washington, D.C., February 23-24, 1999).

    ERIC Educational Resources Information Center

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

    This document contains 15 papers from a conference on preparing youth for the 21st century that was organized by the U.S. Department of Education and the Organisation for Economic Cooperation and Development (OECD). The following papers are included: "Giving Young People a Good Start: The Experience of OECD Countries" (Norman Bowers,…

  5. KSC-2013-1000

    NASA Image and Video Library

    2013-01-02

    CAPE CANAVERAL, Fla. -- To start the new year, Joyce M. Riquelme from Kennedy's Center Planning and Development Office discusses the space center's direction with TV news reporter Greg Pallone of Channel 13 in Orlando.The office's purpose is to develop the world’s premier spaceport, meeting government and commercial space industry needs through comprehensive resource planning and the formation of partnerships to ensure the economic vitality of Kennedy Space Center. Photo credit: NASA/Kim Shiflett

  6. KSC-2013-1001

    NASA Image and Video Library

    2013-01-02

    CAPE CANAVERAL, Fla. -- To start the new year, Joyce M. Riquelme from Kennedy's Center Planning and Development Office discusses the space center's direction with TV news reporter Greg Pallone of Channel 13 in Orlando.The office's purpose is to develop the world’s premier spaceport, meeting government and commercial space industry needs through comprehensive resource planning and the formation of partnerships to ensure the economic vitality of Kennedy Space Center. Photo credit: NASA/Kim Shiflett

  7. Developing a Storysack Project within a Sure Start Initiative: Reflections and Emerging Findings on Working Together with Parents To Produce a Community Resource.

    ERIC Educational Resources Information Center

    Forde, Jan; Weinberger, Jo

    This paper explores a community project to develop "storysacks" within an area of identified economic and social need. (Storysacks are books sent home for preschool children in England to share with their parents on a regular basis; each sack contains a fiction book, a nonfiction book linked to the story, and a wide variety of props…

  8. Operation Iraqi Freedom: Strategies, Approaches, Results, and Issues for Congress

    DTIC Science & Technology

    2009-04-02

    Joost Hiltermann characterized the operations as “a fairly transparent partisan effort by the Supreme Council [ISCI] dressed in government uniforms to... poultry debate” of 2008. In mid-2008, as part of the search for sustainable economic activity, some military and PRT officials proposed supporting the...development of domestic poultry and egg farming. Some argued that such a business required relatively low start- up costs, and would provide both

  9. Improving Government Legitimacy in the Eyes of Its People

    DTIC Science & Technology

    2012-06-08

    Alvaro Uribe became the 58th president of Colombia and took many positive steps toward bringing stability to Colombia. He pushed hard to declare the...the illegal narcotics trade in Colombia. The plan started to show progress when President Uribe dismissed a number of military officers and soldiers...pledged to continue the successful security strategies of President Uribe while pursuing democratic, economic and, social reforms. He announced the

  10. Translations on USSR Science and Technology Physical Sciences and Technology No. 7

    DTIC Science & Technology

    1977-02-28

    cybernetics. [Answer] Immediately after the war , when the restoration of the national economy, which had been wrecked by the enemy, was started, Soviet...cyberneticization of economics and science will be developed at accelerated rates. 8545 CSO: 1870 CYBERNETICS, COMPUTERS AND AUTOMATION TECHNOLOGY...working storage of the machine exceeds 64 thousand alpha-numeric characters. Communication with the external world is effected by means of a main

  11. Economic Analysis of Obtaining a PharmD Degree and Career as a Pharmacist

    PubMed Central

    Gatwood, Justin; Spivey, Christina A.

    2015-01-01

    Objective. To evaluate the economic value of pharmacy education/career and the effects of the cost of private or public pharmacy school, the length of degree program, residency training, and pharmacy career path on net career earnings. Methods. This study involved an economic analysis using Markov modeling. Estimated costs of education including student loans were considered in calculating net career earnings of 4 career paths following high school graduation: (1) immediate employment; (2) employment with bachelor’s degree in chemistry or biology; (3) employment as a pharmacist with no residency training; and (4) employment as a pharmacist after completing one or two years of residency training. Results. Models indicated that throughout their careers (up to age 67), PharmD graduates may accumulate net career earnings of $5.66 million to $6.29 million, roughly 3.15 times more than high school graduates and 1.57 to 1.73 times more than those with bachelor’s degrees in biology or chemistry. Attending a public pharmacy school after completing 3 years of prepharmacy education generally leads to higher net career earnings. Community pharmacists have the highest net career earnings, and PGY-1 residency-trained hospital pharmacists have greater net career earnings than those who immediately started their careers in a hospital setting. Conclusion. The economic models presented are based on assumptions described herein; as conditions are subject to variability, these models should not be used to predict future earnings. Nevertheless, the findings demonstrate investment in a pharmacy education yields favorable financial return. Application of results to schools of pharmacy, students, and graduates is discussed. PMID:26689560

  12. Midwives' experiences of labour care in midwifery units. A qualitative interview study in a Norwegian setting.

    PubMed

    Skogheim, Gry; Hanssen, Tove A

    2015-12-01

    In some economically developed countries, women's choice of birth care and birth place is encouraged. The aim of this study was to explore and describe the experiences of midwives who started working in alongside/free-standing midwifery units (AMU/FMU) and their experiences with labour care in this setting. A qualitative explorative design using a phenomenographic approach was used. Semi-structured interviews were conducted with ten strategically sampled midwives working in midwifery units. The analysis revealed the following five categories of experiences noted by the midwives: mixed emotions and de-learning obstetric unit habits, revitalising midwifery philosophy, alertness and preparedness, presence and patience, and coping with time. Starting to work in an AMU/FMU can be a distressing period for a midwife. First, it may require de-learning the medical approach to birth, and, second, it may entail a revitalisation (and re-learning) of birth care that promotes physiological birth. Midwifery, particularly in FMUs, requires an especially careful assessment of the labouring process, the ability to be foresighted, and capability in emergencies. The autonomy of midwives may be constrained also in AMUs/FMUs. However, working in these settings is also viewed as experiencing "the art of midwifery" and enables revitalisation of the midwifery philosophy. Copyright © 2015 Elsevier B.V. All rights reserved.

  13. Socioeconomic Disparities in Breast Cancer Treatment Among Older Women

    PubMed Central

    Richardson, Lisa C.; Krontiras, Helen; Pisu, Maria

    2014-01-01

    Abstract Background: Racial disparities in breast cancer treatment among Medicare beneficiaries have been documented. This study aimed to determine whether racial disparities exist among white and black female Medicare beneficiaries in Alabama, an economically disadvantaged U.S. state. Methods: From a linked dataset of breast cancer cases from the Alabama Statewide Cancer Registry and fee-for-service claims from Medicare, we identified 2,097 white and black females, aged 66 years and older, who were diagnosed with stages 1–3 breast cancer from January 1, 2000, to December 31, 2002. Generalized estimating equation (GEE) models were used to determine whether there were racial differences in initiating and completing National Comprehensive Cancer Network Clinical Practice guideline-specific treatment. Results: Sixty-two percent of whites and 64.7% of blacks had mastectomy (p=0.27); 34.6% of whites and 30.2% of blacks had breast conserving surgery (BCS) (p=0.12). Among those who had BCS, 76.8% of whites and 83.3% of blacks started adjuvant radiation therapy (p=0.33) and they equally completed adjuvant radiation therapy (p=0.29). For women with tumors over 1 centimeter, whites and blacks were equally likely to start (16.1% of whites and 18.3% of black; p=0.34) and complete (50.6% of whites and 46.3% of black; p=0.87) adjuvant chemotherapy. There were still no differences after adjusting for confounders using GEE. However, differences were observed by area-level socioeconomic status (SES), with lower SES residents more likely to receive a mastectomy (odds ratio [OR]=1.26; 95% confidence interval [CI]: 1.01–1.57) and initiate radiation after BCS (OR=2.24; 95% CI: 1.28–3.93). Conclusions: No racial differences were found in guideline-specific breast cancer treatment or treatment completion, but there were differences by SES. Future studies should explore reasons for SES differences and whether similar results hold in other economically disadvantaged U.S. states. PMID:24350590

  14. A goal programming approach for a joint design of macroeconomic and environmental policies: a methodological proposal and an application to the Spanish economy.

    PubMed

    André, Francisco J; Cardenete, M Alejandro; Romero, Carlos

    2009-05-01

    The economic policy needs to pay increasingly more attention to the environmental issues, which requires the development of methodologies able to incorporate environmental, as well as macroeconomic, goals in the design of public policies. Starting from this observation, this article proposes a methodology based upon a Simonian satisficing logic made operational with the help of goal programming (GP) models, to address the joint design of macroeconomic and environmental policies. The methodology is applied to the Spanish economy, where a joint policy is elicited, taking into consideration macroeconomic goals (economic growth, inflation, unemployment, public deficit) and environmental goals (CO(2), NO( x ) and SO( x ) emissions) within the context of a computable general equilibrium model. The results show how the government can "fine-tune" its policy according to different criteria using GP models. The resulting policies aggregate the environmental and the economic goals in different ways: maximum aggregate performance, maximum balance and a lexicographic hierarchy of the goals.

  15. The Researches on Reasonable Well Spacing of Gas Wells in Deep and low Permeability Gas Reservoirs

    NASA Astrophysics Data System (ADS)

    Bei, Yu Bei; Hui, Li; Lin, Li Dong

    2018-06-01

    This Gs64 gas reservoir is a condensate gas reservoir which is relatively integrated with low porosity and low permeability found in Dagang Oilfield in recent years. The condensate content is as high as 610g/m3. At present, there are few reports about the well spacing of similar gas reservoirs at home and abroad. Therefore, determining the reasonable well spacing of the gas reservoir is important for ensuring the optimal development effect and economic benefit of the gas field development. This paper discusses the reasonable well spacing of the deep and low permeability gas reservoir from the aspects of percolation mechanics, gas reservoir engineering and numerical simulation. considering there exist the start-up pressure gradient in percolation process of low permeability gas reservoir, this paper combined with productivity equation under starting pressure gradient, established the formula of gas well spacing with the formation pressure and start-up pressure gradient. The calculation formula of starting pressure gradient and well spacing of gas wells. Adopting various methods to calculate values of gas reservoir spacing are close to well testing' radius, so the calculation method is reliable, which is very important for the determination of reasonable well spacing in low permeability gas reservoirs.

  16. Pressure ulcer multidisciplinary teams via telemedicine: a pragmatic cluster randomized stepped wedge trial in long term care.

    PubMed

    Stern, Anita; Mitsakakis, Nicholas; Paulden, Mike; Alibhai, Shabbir; Wong, Josephine; Tomlinson, George; Brooker, Ann-Sylvia; Krahn, Murray; Zwarenstein, Merrick

    2014-02-24

    The study was conducted to determine the clinical and cost effectiveness of enhanced multi-disciplinary teams (EMDTs) vs. 'usual care' for the treatment of pressure ulcers in long term care (LTC) facilities in Ontario, Canada We conducted a multi-method study: a pragmatic cluster randomized stepped-wedge trial, ethnographic observation and in-depth interviews, and an economic evaluation. Long term care facilities (clusters) were randomly allocated to start dates of the intervention. An advance practice nurse (APN) with expertise in skin and wound care visited intervention facilities to educate staff on pressure ulcer prevention and treatment, supported by an off-site hospital based expert multi-disciplinary wound care team via email, telephone, or video link as needed. The primary outcome was rate of reduction in pressure ulcer surface area (cm2/day) measured on before and after standard photographs by an assessor blinded to facility allocation. Secondary outcomes were time to healing, probability of healing, pressure ulcer incidence, pressure ulcer prevalence, wound pain, hospitalization, emergency department visits, utility, and cost. 12 of 15 eligible LTC facilities were randomly selected to participate and randomized to start date of the intervention following the stepped wedge design. 137 residents with a total of 259 pressure ulcers (stage 2 or greater) were recruited over the 17 month study period. No statistically significant differences were found between control and intervention periods on any of the primary or secondary outcomes. The economic evaluation demonstrated a mean reduction in direct care costs of $650 per resident compared to 'usual care'. The qualitative study suggested that onsite support by APN wound specialists was welcomed, and is responsible for reduced costs through discontinuation of expensive non evidence based treatments. Insufficient allocation of nursing home staff time to wound care may explain the lack of impact on healing. Enhanced multi-disciplinary wound care teams were cost effective, with most benefit through cost reduction initiated by APNs, but did not improve the treatment of pressure ulcers in nursing homes. Policy makers should consider the potential yield of strengthening evidence based primary care within LTC facilities, through outreach by APNs. ClinicalTrials.gov identifier NCT01232764.

  17. Hydrometeorological extremes at the Veselí nad Moravou estate (Czech Republic) in the period 1794-1850 derived from documentary evidence of the economic character

    NASA Astrophysics Data System (ADS)

    Chromá, Kateřina

    2010-05-01

    Hydrometeorological extremes influenced always human activities (agriculture, forestry, water management) and caused losses of human lives and great material damage. Systematic meteorological and hydrological observations in the Czech Lands (recent Czech Republic) started generally in the latter half of the 19th century. In order to create long-term series of hydrometeorological extremes, it is necessary to search for other sources of information for their study before 1850. Such direct and indirect information about hydrometeorological extremes is included in documentary evidence (e.g. chronicles, memoirs, diaries, early visual weather observations, newspapers, economic sources etc.). Documentary evidence of economic character belongs to the most important sources, especially documents related to taxation records. Damage to agricultural crops on the fields or damage to hay on meadows due to the hydrological and meteorological phenomena has been a good reason for the abatement of tax duty. Based on the official correspondence of the estate of Veselí nad Moravou (southern Moravia), archival information about taxation from the Moravian Land Archives in Brno was excerpted. Based on it, 46 hydrometeorological extremes which occurred between the years 1794 and 1850 were selected and further analysed. Because of fields and meadows of the above estate were located along the Morava River, reports of damage due to floods were the most frequent, followed by damage due to torrential rains and hailstorms.

  18. Socio-economic effects of khat chewing in north eastern Kenya.

    PubMed

    Aden, A; Dimba, E A O; Ndolo, U M; Chindia, M L

    2006-03-01

    The khat habit is a widespread phenomenon which has in the past two decades spread to parts of Western Europe and North America from Eastern Africa and the Arabian Peninsula. Although khat has been identified as one of the most commonly abused substances in Kenya, restrictions on cultivation, trade and usage have been non-existent since its legalisation in 1977. To describe the socio-economic effects of khat chewing in Ijara District in the North Eastern Province of Kenya. Cross sectional study. Ijara District, North Eastern Kenya. Fifty respondents were interviewed. Eighty eight percent of the respondents were khat chewers, and the majority (80%) had family members who engaged in the khat habit. There was a general lack of education on the negative effects of khat chewing. Due to reported mood changes and withdrawal symptoms when not chewing khat, many respondents used more than half of their domestic budgets on khat, but few (28%) perceived this as a waste of resources. Fifty four percent of khat chewers typically started the habit during the day, implying a waste of time for productive work. However, only 40% of the persons interviewed admitted that the drug affected work performance negatively. The khat habit was associated with strain on family relationships, anti-social behaviour and health effects such as insomnia. In spite of the negative socio-economic impact of khat in Ijara District, khat consumption remains a widespread habit.

  19. Ionic Liquids in Biomass Processing

    NASA Astrophysics Data System (ADS)

    Tan, Suzie Su Yin; Macfarlane, Douglas R.

    Ionic liquids have been studied for their special solvent properties in a wide range of processes, including reactions involving carbohydrates such as cellulose and glucose. Biomass is a widely available and renewable resource that is likely to become an economically viable source of starting materials for chemical and fuel production, especially with the price of petroleum set to increase as supplies are diminished. Biopolymers such as cellulose, hemicellulose and lignin may be converted to useful products, either by direct functionalisation of the polymers or depolymerisation to monomers, followed by microbial or chemical conversion to useful chemicals. Major barriers to the effective conversion of biomass currently include the high crystallinity of cellulose, high reactivity of carbohydrates and lignin, insolubility of cellulose in conventional solvents, as well as heterogeneity in the native lignocellulosic materials and in lignin itself. This combination of factors often results in highly heterogeneous depolymerisation products, which make efficient separation difficult. Thus the extraction, depolymerisation and conversion of biopolymers will require novel reaction systems in order to be both economically attractive and environmentally benign. The solubility of biopolymers in ionic liquids is a major advantage of their use, allowing homogeneous reaction conditions, and this has stimulated a growing research effort in this field. This review examines current research involving the use of ionic liquids in biomass reactions, with perspectives on how it relates to green chemistry, economic viability, and conventional biomass processes.

  20. Has the Spanish economic crisis affected the duration of sickness absence episodes?

    PubMed

    Murcia López, Guillermo; Delclós Clanchet, Jordi; Ubalde López, Mònica; Calvo Bonacho, Eva; Benavides, Fernando G

    2016-07-01

    The global economic crisis has had particularly intense effects on the Spanish labor market. We investigated whether the duration of non-work related sickness absence (SA) episodes in salaried workers had experienced any changes before and after the crisis started. This was a repeated cross-sectional analysis conducted in a dynamic cohort in 2006 and 2010. Database was provided by eight mutual insurance companies, covering 983,108 workers and 451,801 SA episodes. Descriptive analysis and crude, bivariate and multivariate analyses using Cox proportional hazards modeling were performed, to quantify the changes in duration of SA episodes between 2006 and 2010, stratified by sex. There was a higher number of episodes in 2010 for both sexes, but especially for women. Unadjusted median duration in men was similar for both years, while for women it was shorter in 2010. Final multivariate models show a greater risk of longer episode duration for men in 2010 (HR 0.95; 95% CI, 0.95-0.95), but a shorter one for women (HR 1.07; 95% CI, 1.07-1.07). Once the economic crisis started affecting the Spanish labor market, the number of SA episodes in women equalized with those in men. There was a decrease of episodes in the youngest age groups, in the construction and in temporary contracts. The relative ranking of leading diagnoses was similar in both years with an increase in infectious, nervous system and respiratory diseases and in mental disorder episodes for both sexes, but especially for women. The risk of longer episode duration was greater in 2010 among men, but smaller in women. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Verified by Visa and MasterCard SecureCode: Or, How Not to Design Authentication

    NASA Astrophysics Data System (ADS)

    Murdoch, Steven J.; Anderson, Ross

    Banks worldwide are starting to authenticate online card transactions using the '3-D Secure' protocol, which is branded as Verified by Visa and MasterCard SecureCode. This has been partly driven by the sharp increase in online fraud that followed the deployment of EMV smart cards for cardholder-present payments in Europe and elsewhere. 3-D Secure has so far escaped academic scrutiny; yet it might be a textbook example of how not to design an authentication protocol. It ignores good design principles and has significant vulnerabilities, some of which are already being exploited. Also, it provides a fascinating lesson in security economics. While other single sign-on schemes such as OpenID, InfoCard and Liberty came up with decent technology they got the economics wrong, and their schemes have not been adopted. 3-D Secure has lousy technology, but got the economics right (at least for banks and merchants); it now boasts hundreds of millions of accounts. We suggest a path towards more robust authentication that is technologically sound and where the economics would work for banks, merchants and customers - given a gentle regulatory nudge.

  2. Tritium resources available for fusion reactors

    NASA Astrophysics Data System (ADS)

    Kovari, M.; Coleman, M.; Cristescu, I.; Smith, R.

    2018-02-01

    The tritium required for ITER will be supplied from the CANDU production in Ontario, but while Ontario may be able to supply 8 kg for a DEMO fusion reactor in the mid-2050s, it will not be able to provide 10 kg at any realistic starting time. The tritium required to start DEMO will depend on advances in plasma fuelling efficiency, burnup fraction, and tritium processing technology. It is in theory possible to start up a fusion reactor with little or no tritium, but at an estimated cost of 2 billion per kilogram of tritium saved, it is not economically sensible. Some heavy water reactor tritium production scenarios with varying degrees of optimism are presented, with the assumption that only Canada, the Republic of Korea, and Romania make tritium available to the fusion community. Results for the tritium available for DEMO in 2055 range from zero to 30 kg. CANDU and similar heavy water reactors could in theory generate additional tritium in a number of ways: (a) adjuster rods containing lithium could be used, giving 0.13 kg per year per reactor; (b) a fuel bundle with a burnable absorber has been designed for CANDU reactors, which might be adapted for tritium production; (c) tritium production could be increased by 0.05 kg per year per reactor by doping the moderator with lithium-6. If a fusion reactor is started up around 2055, governments in Canada, Argentina, China, India, South Korea and Romania will have the opportunity in the years leading up to that to take appropriate steps: (a) build, refurbish or upgrade tritium extraction facilities; (b) extend the lives of heavy water reactors, or build new ones; (c) reduce tritium sales; (d) boost tritium production in the remaining heavy water reactors. All of the alternative production methods considered have serious economic and regulatory drawbacks, and the risk of diversion of tritium or lithium-6 would also be a major concern. There are likely to be serious problems with supplying tritium for future fusion reactors.

  3. An Unwilling Partnership With the Great Society Part I: Head Start and the Beginning of Change in the White Medical Community.

    PubMed

    deShazo, Richard D; Minor, Wilson F Bill; Smith, Robert; Skipworth, Leigh Baldwin

    2016-07-01

    By 1965, the policies and programs of Lyndon B. Johnson's Great Society brought optimism to black physicians and a new wave of resistance against black civil rights advocates in the American South. The largest of the first Head Start programs, Child Development Group of Mississippi (CDGM), had its roots in Freedom Summer 1964 and the Medical Committee for Human Rights. Like other proposed programs with strong medical components, CDGM was caught in a legislative Bermuda triangle created by the powerful Mississippi congressional delegation to maintain white supremacy and plantation economics. Physician-led investigations exposed the extraordinary level of poor health among Mississippi's black children, supported Head Start as a remedy, and awakened the white medical establishment to health disparities of the Jim Crow period. It was also the beginning of positive change in the previously silent white medical community in the South and their support of civil justice in health. Copyright © 2016 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

  4. Economic valuation of landslide damage in hilly regions: a case study from Flanders, Belgium.

    PubMed

    Vranken, Liesbet; Van Turnhout, Pieter; Van Den Eeckhaut, Miet; Vandekerckhove, Liesbeth; Poesen, Jean

    2013-03-01

    Several regions around the globe are at risk of incurring damage from landslides, but only few studies have concentrated on a quantitative estimate of the overall damage caused by landslides at a regional scale. This study therefore starts with a quantitative economic assessment of the direct and indirect damage caused by landslides in a 2,910 km study area located west of Brussels, a low-relief region susceptible to landslides. Based on focus interviews as well as on semi-structured interviews with homeowners, civil servants and the owners and providers of lifelines such as electricity and sewage, a quantitative damage assessment is provided. For private properties (houses, forest and pasture land) we estimate the real estate and production value losses for different damage scenarios, while for public infrastructure the costs of measures to repair and prevent landslide induced damage are estimated. In addition, the increase in amenity value of forests and grasslands due to the occurrence of landslides is also calculated. The study illustrates that a minority of land (only 2.3%) within the study area is used for dwellings, roads and railway lines, but that these land use types are responsible for the vast majority of the economic damage due to the occurrence of landslides. The annual cost of direct damage due to landsliding amounts to 688,148 €/year out of which 550,740 €/year for direct damage to houses, while the annual indirect damage augments to 3,020,049 €/year out of which 2,007,375 €/year for indirect damage to real estate. Next, the study illustrates that the increase of the amenity value of forests and grasslands outweighs the production value loss. As such the study does not only provide quantitative input data for the estimation of future risks, but also important information for government officials as it clearly informs about the costs associated with certain land use types in landslide areas. Copyright © 2013 Elsevier B.V. All rights reserved.

  5. Guidebook for Supporting Economic Development in Stability Operations

    DTIC Science & Technology

    2009-01-01

    purpose. Gravel roads with single-lane bridges are ade- quate to connect rural villages to major roads where traffic is light. Asphalt or concrete is suit...It is updated annually and can be purchased directly from the World Bank through the inter- net site at http://publications.worldbank.org/ ecommerce ...providing grants to help ex-combatants and rural workers to start their own businesses. Most ex-combatants and unskilled civilian laborers do not have the

  6. THE DEAL WITH IRAN IS THE BEST-CASE SCENARIO THE INTERNATIONAL COMMUNITY COULD ACHIEVE IN THE CURRENT GEOPOLITICAL ENVIRONMENT

    DTIC Science & Technology

    2016-02-16

    that significant contributions to the successful negotiations were the geopolitical realities of the effects of escalating economic sanctions in Iran...since 2010. Three years later started a cycle of intense international negotiations . 4 The Nuclear Deal On July 14, 2015, negotiators from...with many international negotiations and agreements, brings with it varying expectations. The complexity of the process before the agreement is

  7. Direct Digital Control of HVAC (Heating, Ventilating, and Air Conditioning).

    DTIC Science & Technology

    1985-01-01

    controller func- tions such as time-of-day, economizer cycles, reset, load shedding, chiller optimization , VAV fan synchronization, and optimum start/stop...control system such as that illustrated in Fig- urc 4. Data on setpoints , reset schedules, and event timing, such as that presented in Figure 6, are...program code (Figure 7). In addition to the control logic, setpoint and other data are readily available. Program logi:, setpoint and schedule data, and

  8. Dynamic Cost Risk Assessment for Controlling the Cost of Naval Vessels

    DTIC Science & Technology

    2008-04-23

    for each individual RRA at the start of the project are depicted in Figures 2a and 2b, respectively. The PDFs are multimodal and cannot be...underestimates cost. 7 Probabilistic cost analysis A physician metaphor Adapted from Yacov Y. Haimes, NPS 2007 8 Dynamic cost risk management A physician... metaphor Adapted from Yacov Y. Haimes, NPS 2007 9 Sources of cost uncertainty Macroscopic analysis Economic, Materials & Labor, Learning rates

  9. Have the Cake and Eat It: Ecojustice versus Development? Is It Possible to Reconcile Social and Economic Equity, Ecological Sustainability, and Human Development? Some Implications for Ecojustice Education

    ERIC Educational Resources Information Center

    Jucker, Rolf

    2004-01-01

    In this article I argue that it is impossible to look at educational issues before we develop a clear understanding of the dominant ideologies that currently perpetuate unsustainability. Only if we appreciate the pervasiveness and the fallacies of such concepts as "development," "growth," and "progress" within a limited biosphere can we start to…

  10. China’s Economic Development Plan in Xinjiang and How It Affects Ethnic Instability

    DTIC Science & Technology

    2015-03-01

    tourism , while being supported by growth in agriculture, manufacturing and local service industries. Kashgar should start by capitalizing on its rich...culture, old architecture and native art scene. After tourism matures, manufacturing and other sectors are likely to follow.169 D. DEVELOPMENT...from the ban on burqa, in August 2014, due to a sport competition in Karamay, the XUAR temporarily prohibited passengers with long beards, head

  11. Searching for the Holy Grail of Learning Outcomes. SERU Project and Consortium Research Paper. Research & Occasional Paper Series: CSHE.3.12

    ERIC Educational Resources Information Center

    Douglass, John Aubrey; Thomson, Gregg; Zhao, Chun-Mei

    2012-01-01

    The search for the Holy Grail to measure learning gains started in the US, but the Organisation for Economic Co-operation and Development (OECD) wants to take it global. Here we tell a bit of this story and raise serious questions regarding the validity of the Collegiate Learning Assessment test and suggest there are alternatives. The merit of the…

  12. Hearing on What Works in Public Education. Hearing before the Committee on Economic and Educational Opportunities, House of Representatives. One Hundred Fourth Congress, Second Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Economic and Educational Opportunities.

    The prupose of the hearing, which was chaired by William F. Goodling, was to disseminate information about the good things that are happening in public education. The document contains the testimonies and prepared statements of the following members of the first panel: (1) Christopher Atchinson, graduate of the West Stand Lake Even Start Program;…

  13. Formation of benzo[f]-1-indanone frameworks by regulable intramolecular annulations of gem-dialkylthio trienynes.

    PubMed

    Fang, Zhongxue; Liu, Ying; Barry, Badru-Deen; Liao, Peiqiu; Bi, Xihe

    2015-02-20

    An atom-economic route to benzo[f]-1-indanone frameworks has been developed starting from the readily available gem-dialkylthio trienynes by intramolecular annulations. The chemoselectivity of the intramolecular cyclizations can be regulated by both the base and the type of gas atmosphere used in the reaction, thus allowing the divergent synthesis of the corresponding functionalized benzo[f]-1-indanones in good to excellent yields.

  14. Race to the Top: What Have We Learned from the States So Far? A State-by-State Evaluation of Race to the Top Performance

    ERIC Educational Resources Information Center

    Boser, Ulrich

    2012-01-01

    On February 17, 2009, President Obama signed the American Recovery and Reinvestment Act (ARRA). The law had a very simple mission: kick-start an economic recovery through strategic investment. Deep within the law were a number of key education initiatives, including Race to the Top (RTT), which was a way to invest in the nation's education system…

  15. The French Officers: Craftsmen of the Conquest and Pacification of Tonkin (1871-1897)

    DTIC Science & Technology

    2012-06-08

    business with Chinese in Yunnan. 1873 February: Rear-Admiral Dupré started a cultural college to teach Annamite culture to French officers. 5...Annamites and Chinese armies, then finally the local piracy and insurgency. Based on their personal experience and culture , they used an empirical...and used these places as strategic trade ports and hubs opening to the Chinese outlet market.37 To support this economic motivation and find new

  16. Special Inspector General for Iraq Reconstruction, Report to Congress, October 30, 2006

    DTIC Science & Technology

    2006-10-30

    governorate, including the workover of 30 wells in the Rumaila fields and completion and replace- ment of tubing in 30 wells in West Qurna. The...economic governance, trade, bank lending, capital markets, and microfinance . • There are more than 200 independent media sources in Iraq, but only...sector development. USAID also manages the microfinance program, under Izdihar, that was started by the CPA.195 The IRMO Office of Private Sector

  17. Has the economic crisis led to a new risk profile for international travellers?

    PubMed

    Roure, S; Pérez-Quílez, O; Vallès, X; Martínez-Cuevas, O; Sabrià, M; Valerio, L

    2015-11-01

    The economic world crisis has led to the migration of European workers to developing countries with a high incidence of infectious diseases. The objective of this study was to assess whether this context has produced an increase in the risks to international travellers for work reasons (TWR). Observational, retrospective study. The study population included TWR who were attended before travelling at an International Health Unit in the year 2007 (the year before the initiation of the European crisis) and in the year 2012 (when the structural crisis was established). A comparative socioeconomic analysis was performed as well as an analysis of the risk factors present in both groups. In 2007 and 2012 a total of 9,197 travellers were attended. Of these, there were 344 TWR (3.4%); 101 TWR (2.8%) in 2007 and 243 TWR (4.5%) in 2012 (p<0.001). The average age of the travellers was 38.1 years (SD: 10.57). The most common destination was Sub-Saharan Africa, in 164 (47.6%) of the cases. Malaria chemoprophylaxis was prescribed to 152 travellers (44%) and 80 presented comorbidity (23.25%). The TWR from 2012 presented a significantly greater age (p=0.05), more comorbidity (p=0.018) and a greater proportion of stays in rural areas (p=0.0009) for longer time periods (p=0.001). At 5 years from the start of the economic crisis, there was a change in the profile of TWR. Their number has increased significantly, as has the proportion who present risk factors for contracting imported diseases. The International Health Units should adapt to these new circumstances and adopt preventive measures for this population. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  18. Intergenerational transmission of family meal patterns from adolescence to parenthood: longitudinal associations with parents' dietary intake, weight-related behaviours and psychosocial well-being.

    PubMed

    Berge, Jerica M; Miller, Jonathan; Watts, Allison; Larson, Nicole; Loth, Katie A; Neumark-Sztainer, Dianne

    2018-02-01

    The present study examined longitudinal associations between four family meal patterns (i.e. never had regular family meals, started having regular family meals, stopped having regular family meals, maintained having regular family meals) and young adult parents' dietary intake, weight-related behaviours and psychosocial well-being. In addition, family meal patterns of parents were compared with those of non-parents. Analysis of data from the longitudinal Project EAT (Eating and Activity in Adolescents and Young Adults) study. Linear and logistic regressions were used to examine the associations between family meal patterns and parents' dietary intake, weight-related behaviours and psychosocial well-being. School and in-home settings. At baseline (1998; EAT-I), adolescents (n 4746) from socio-economically and racially/ethnically diverse households completed a survey and anthropometric measurements at school. At follow-up (2015; EAT-IV), participants who were parents (n 726) and who were non-parents with significant others (n 618) completed an online survey. Young adult parents who reported having regular family meals as an adolescent and as a parent ('maintainers'), or who started having regular family meals with their own families ('starters'), reported more healthful dietary, weight-related and psychosocial outcomes compared with young adults who never reported having regular family meals ('nevers'; P<0·05). In addition, parents were more likely to be family meal starters than non-parents. Results suggest that mental and physical health benefits of having regular family meals may be realized as a parent whether the routine of regular family meals is carried forward from adolescence into parenthood, or if the routine is started in parenthood.

  19. Next Space Race is in IT

    NASA Technical Reports Server (NTRS)

    Alger, George; Santiago, S. Scott (Technical Monitor)

    2001-01-01

    The next Space Race will be in the economic applications from space and science technology. As NASA science and technology has global application; IT is global, economics is global; surely there are great untapped potentials in finding the IT links of commonality among these three. The Economics of IT will continue to depend upon solution providers creating new methods that capitalize on linking information and information centers with the applications community for business and economic functions.. New and innovative IT vendors whose increased efforts to apply evolving technologies and principles that power the e-business revolution are now seeing the business of government being transformed in a similar fashion. NASA will be a prime example of IT transformation. Potential benefits of e-government are identical to the benefits of e-commerce, which start from value derived from capabilities and assets. The capability and asset wealth of NASA technology and data mass scattered through hundreds of archives will one day provide incredible economic benefit across international and corporate boundaries. Yet the ability to economically benefit from bridging the gap between capability to billable service has yet to find it's first major market. Ultimately the role of government, science, and technology linking to the business world will find greater dependence from this increasingly common ground of IT solutions and technologies. Therefore the future role of the IT industry may be as much administrative as technical, ultimately of critical importance furthering the role of science into application.

  20. Cost of care of haemophilia with inhibitors.

    PubMed

    Di Minno, M N D; Di Minno, G; Di Capua, M; Cerbone, A M; Coppola, A

    2010-01-01

    In Western countries, the treatment of patients with inhibitors is presently the most challenging and serious issue in haemophilia management, direct costs of clotting factor concentrates accounting for >98% of the highest economic burden absorbed for the healthcare of patients in this setting. Being designed to address questions of resource allocation and effectiveness, decision models are the golden standard to reliably assess the overall economic implications of haemophilia with inhibitors in terms of mortality, bleeding-related morbidity, and severity of arthropathy. However, presently, most data analyses stem from retrospective short-term evaluations, that only allow for the analysis of direct health costs. In the setting of chronic diseases, the cost-utility analysis, that takes into account the beneficial effects of a given treatment/healthcare intervention in terms of health-related quality of life, is likely to be the most appropriate approach. To calculate net benefits, the quality adjusted life year, that significantly reflects such health gain, has to be compared with specific economic impacts. Differences in data sources, in medical practice and/or in healthcare systems and costs, imply that most current pharmacoeconomic analyses are confined to a narrow healthcare payer perspective. Long-term/lifetime prospective or observational studies, devoted to a careful definition of when to start a treatment; of regimens (dose and type of product) to employ, and of inhibitor population (children/adults, low-responding/high responding inhibitors) to study, are thus urgently needed to allow for newer insights, based on reliable data sources into resource allocation, effectiveness and cost-utility analysis in the treatment of haemophiliacs with inhibitors.

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