34 CFR 108.6 - Equal access.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 34 Education 1 2014-07-01 2014-07-01 false Equal access. 108.6 Section 108.6 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION EQUAL ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108...

34 CFR 108.6 - Equal access.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 34 Education 1 2013-07-01 2013-07-01 false Equal access. 108.6 Section 108.6 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION EQUAL ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108...

34 CFR 108.6 - Equal access.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 1 2010-07-01 2010-07-01 false Equal access. 108.6 Section 108.6 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION EQUAL ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108...

34 CFR 108.6 - Equal access.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 34 Education 1 2012-07-01 2012-07-01 false Equal access. 108.6 Section 108.6 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION EQUAL ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108...

34 CFR 108.6 - Equal access.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 34 Education 1 2011-07-01 2011-07-01 false Equal access. 108.6 Section 108.6 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION EQUAL ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108...

Validation of the 2015 prostate cancer grade groups for predicting long-term oncologic outcomes in a shared equal-access health system.

PubMed

Schulman, Ariel A; Howard, Lauren E; Tay, Kae Jack; Tsivian, Efrat; Sze, Christina; Amling, Christopher L; Aronson, William J; Cooperberg, Matthew R; Kane, Christopher J; Terris, Martha K; Freedland, Stephen J; Polascik, Thomas J

2017-11-01

A 5-tier prognostic grade group (GG) system was enacted to simplify the risk stratification of patients with prostate cancer in which Gleason scores of ≤6, 3 + 4, 4 + 3, 8, and 9 or 10 are considered GG 1 through 5, respectively. The authors investigated the utility of biopsy GG for predicting long-term oncologic outcomes after radical prostatectomy in an equal-access health system. Men who underwent prostatectomy at 1 of 6 Veterans Affairs hospitals in the Shared Equal Access Regional Cancer Hospital database between 2005 and 2015 were reviewed. The prognostic ability of biopsy GG was examined using Cox models. Interactions between GG and race also were tested. In total, 2509 men were identified who had data available on biopsy Gleason scores, covariates, and follow-up. The cohort included men with GG 1 (909 patients; 36.2%), GG 2 (813 patients; 32.4%), GG 3 (398 patients; 15.9%), GG 4 (279 patients; 11.1%), and GG 5 (110 patients; 4.4%) prostate cancer. The cohort included 1002 African American men (41%). The median follow-up was 60 months (interquartile range, 33-90 months). Higher GG was associated with higher clinical stage, older age, more recent surgery, and surgical center (P < .001) as well as increased biochemical recurrence, secondary therapy, castration-resistant prostate cancer, metastases, and prostate cancer-specific mortality (all P < .001). There were no significant interactions with race in predicting measured outcomes. The 5-tier GG system predicted multiple long-term endpoints after radical prostatectomy in an equal-access health system. The predictive value was consistent across races. Cancer 2017;123:4122-4129. © 2017 American Cancer Society. © 2017 American Cancer Society.

Quantifying Access Disparities in Response Plans

PubMed Central

Indrakanti, Saratchandra; Mikler, Armin R.; O’Neill, Martin; Tiwari, Chetan

2016-01-01

Effective response planning and preparedness are critical to the health and well-being of communities in the face of biological emergencies. Response plans involving mass prophylaxis may seem feasible when considering the choice of dispensing points within a region, overall population density, and estimated traffic demands. However, the plan may fail to serve particular vulnerable subpopulations, resulting in access disparities during emergency response. For a response plan to be effective, sufficient mitigation resources must be made accessible to target populations within short, federally-mandated time frames. A major challenge in response plan design is to establish a balance between the allocation of available resources and the provision of equal access to PODs for all individuals in a given geographic region. Limitations on the availability, granularity, and currency of data to identify vulnerable populations further complicate the planning process. To address these challenges and limitations, data driven methods to quantify vulnerabilities in the context of response plans have been developed and are explored in this article. PMID:26771551

Access to health care: solidarity and justice or egoism and injustice?

PubMed

Prudil, Lukas

2008-09-01

The aim of this paper is to answer the question whether there is a real demand for equal access to health care or--better--to medical care and which interest groups (patients, health care professionals, policy makers and others) are interested in equal access. The focus is on EU countries including recent case law from the European Court of Justice and the European Court of Human Rights. We discuss whether there is a need to have legislative safeguards to protect equal access to medical care and whether such norms really work. The paper concludes that some of the key players in medical care are not primarily governed by a real willingness to have equal and just access to medical care, but by rather egoistic approaches. It seems that policy makers and politicians are the only ones who, surprisingly, must at least formally call for and enforce equal access to medical care. Interests of other groups seem to be different.

Access of children with cerebral palsy to the physical, social and attitudinal environment they need: a cross-sectional European study.

PubMed

Colver, Allan F; Dickinson, Heather O; Parkinson, Kathryn; Arnaud, Catherine; Beckung, Eva; Fauconnier, Jérôme; Marcelli, Marco; McManus, Vicki; Michelsen, Susan I; Parkes, Jackie; Thyen, Ute

2011-01-01

The UN Convention on the Rights of Persons with Disabilities requires states 'to ensure to persons with disabilities access, on an equal basis with others, to the physical environment, transportation, information and communications.' We explored whether this convention was respected for disabled children in Europe. One thousand one-hundred and seventy-four children aged 8-12 years were randomly selected from population-based registers of children with cerebral palsy in eight European regions. 743 children joined the study; one further region recruited 75 children from multiple sources. Researchers visited these 818 children and administered the European Child Environment Questionnaire, which records parents' perceptions of availability of the physical, social and attitudinal environment needed in home, school and community. Multilevel, multivariable regression related child access on these domains to their impairments and socio-demographic characteristics. Children with more impaired walking ability had less access to the physical environment, transport and social support they needed than other children. They also experienced less favourable attitudes from family and friends. However, attitudes of teachers and therapists were similar for children with all levels of impairment. The access of children, across all impairment severities, to their needed environment showed significant variation between regions (p ≤ 0.0001), some regions consistently providing better access on most or all domains. European states need to substantially improve environmental access for disabled children in order to meet their obligations under UN Conventions. In some regions, many environmental factors should and realistically could be changed. Legislation and regulation should be directed to making this happen. Local environmental planners and health and social service providers should listen carefully to parents to address mismatches between policy intentions and parental experience.

Do Low-Income Students Have Equal Access to the Highest-Performing Teachers? Technical Appendix. NCEE 2011-4016

ERIC Educational Resources Information Center

Glazerman, Steven; Max, Jeffrey

2011-01-01

This appendix describes the methods and provides further detail to support the evaluation brief, "Do Low-Income Students Have Equal Access to the Highest-Performing Teachers?" (Contains 8 figures, 6 tables and 5 footnotes.) [For the main report, "Do Low-Income Students Have Equal Access to the Highest-Performing Teachers? NCEE…

78 FR 78398 - Notice and Request for Comments: LSC merger of the migrant service areas in Texas, Arkansas...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-26

... mission of LSC is to promote equal access to justice and to provide funding for high-quality civil legal... legal needs of migrants or seasonal farm workers and implement recommended approaches to meet their special legal needs. 42 U.S.C. 2996f(h). The regional approach to migrant delivery accomplished by merging...

Rural Education for What? A Critical Analysis of Schooling in Some Rural Communities in Nigeria

ERIC Educational Resources Information Center

Umar, Abdurrahman

2005-01-01

One of the most enduring concerns of government and educational planners in developing countries is how to reduce rural-urban inequalities in educational provision. The aim is to ensure that all children have equal access to education of good quality irrespective of region, ethnicity and social class. This paper critically examines the provision…

Negotiating Gender Norms in the Context of Equal Access to Education in North-Western Tigray, Ethiopia

ERIC Educational Resources Information Center

Mjaaland, Thera

2018-01-01

Girls in Tigray region in North Ethiopia have over the past decade started to outnumber boys up through primary and secondary education in terms of enrolment rates. But underage marriage still hampers rural girls' pursuit of education. Left unchallenged by governmental efforts to address marriage of underage girls is the female virginity ideal and…

Remoteness Equals Backwardness? Human Capital and Market Access in the European Regions: Insights from the Long Run

ERIC Educational Resources Information Center

Diebolt, Claude; Hippe, Ralph

2018-01-01

In a recent contribution, Redding and Schott [2003. "Distance, Skill Deepening and Development: Will Peripheral Countries Ever Get Rich?" "Journal of Development Economics": 72 (2): 515-541. doi:10.1016/S0304-3878(03)00118-4] add human capital to a two sector NEG model, highlighting that remoteness represents a penalty that…

Is Equal Access to Higher Education in South Asia and Sub-Saharan Africa Achievable by 2030?

ERIC Educational Resources Information Center

Ilie, Sonia; Rose, Pauline

2016-01-01

Higher education is back in the spotlight, with post-2015 sustainable development goals emphasising equality of access. In this paper, we highlight the long distance still to travel to achieve the goal of equal access to higher education for all, with a focus on poorer countries which tend to have lower levels of enrolment in higher education.…

U.S. National Womens Agenda

ERIC Educational Resources Information Center

Social Policy, 1976

1976-01-01

Priorities on the agenda include fair representation and participation in the political process, equal education and training, meaningful work and adequate compensation, equal access to economic power, adequate housing, physical safety, and fair treatment by and equal access to media and the arts. (Author/AM)

Public Access for Teaching Genomics, Proteomics, and Bioinformatics

ERIC Educational Resources Information Center

Campbell, A. Malcolm

2003-01-01

When the human genome project was conceived, its leaders wanted all researchers to have equal access to the data and associated research tools. Their vision of equal access provides an unprecedented teaching opportunity. Teachers and students have free access to the same databases that researchers are using. Furthermore, the recent movement to…

Granting Each Equal Access.

ERIC Educational Resources Information Center

Walling, Linda Lucas

1992-01-01

Summarizes federal legislation regarding equal access for students with disabilities and discusses environmental barriers to accessibility in the library media center. Solutions to these design problems are suggested in the following areas: material formats and space requirements; the physical setting, including furniture, floor coverings,…

Access to prenatal care: inequalities in a region with high maternal mortality in southeastern Brazil.

PubMed

Martinelli, Katrini Guidolini; Santos Neto, Edson Theodoro Dos; Gama, Silvana Granado Nogueira da; Oliveira, Adauto Emmerich

2016-05-01

Aim This article aims to evaluate access to prenatal care according to the dimensions of availability, affordability and acceptability in the SUS microregion of southeastern Brazil. Methods A cross-sectional study conducted in 2012-2013 that selected 742 postpartum women in seven hospitals in the region chosen for the research. The information was collected, processed and submitted to the chi-square test and the nonparametric Spearman's test, with p-values less than 5% (p < 0.05). Results Although the SUS constitutionally guarantees universal access to health care, there are still inequalities between pregnant women from rural and urban areas in terms of the availability of health care and among families earning up to minimum wage and more than one minimum wage per month in terms of affordability; however, the acceptability of health care was equal, regardless of the modality of the health services. Conclusion The location, transport resources and financing of health services should be reorganised, and the training of health professionals should be enhanced to provide more equitable health care access to pregnant women.

17 CFR 49.27 - Access and fees.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 49.27 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION SWAP DATA REPOSITORIES § 49.27 Access and fees. (a) Fair, open and equal access. (1) A registered swap data repository..., swap dealers, major swap participants and any other counterparties, on a fair, open and equal basis...

17 CFR 49.27 - Access and fees.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 49.27 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION (CONTINUED) SWAP DATA REPOSITORIES § 49.27 Access and fees. (a) Fair, open and equal access. (1) A registered swap data repository..., swap dealers, major swap participants and any other counterparties, on a fair, open and equal basis...

17 CFR 49.27 - Access and fees.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 49.27 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION SWAP DATA REPOSITORIES § 49.27 Access and fees. (a) Fair, open and equal access. (1) A registered swap data repository..., swap dealers, major swap participants and any other counterparties, on a fair, open and equal basis...

Access to Higher Education in Canada: Equality of Opportunity vs. Equality of Results.

ERIC Educational Resources Information Center

Anisef, Paul

1983-01-01

Discusses the issue of access to higher education in Canada and suggests that those who do not gain entry share common social and cultural properties. Recommends three strategies for enhancing accessibility: a monitoring system, compensatory education programs, and financial assistance programs. (JAC)

Accessing Real-Life Episodic Information from Minutes versus Hours Earlier Modulates Hippocampal and High-Order Cortical Dynamics

PubMed Central

Chen, J.; Honey, C. J.; Simony, E.; Arcaro, M. J.; Norman, K. A.; Hasson, U.

2016-01-01

It is well known that formation of new episodic memories depends on hippocampus, but in real-life settings (e.g., conversation), hippocampal amnesics can utilize information from several minutes earlier. What neural systems outside hippocampus might support this minutes-long retention? In this study, subjects viewed an audiovisual movie continuously for 25 min; another group viewed the movie in 2 parts separated by a 1-day delay. Understanding Part 2 depended on retrieving information from Part 1, and thus hippocampus was required in the day-delay condition. But is hippocampus equally recruited to access the same information from minutes earlier? We show that accessing memories from a few minutes prior elicited less interaction between hippocampus and default mode network (DMN) cortical regions than accessing day-old memories of identical events, suggesting that recent information was available with less reliance on hippocampal retrieval. Moreover, the 2 groups evinced reliable but distinct DMN activity timecourses, reflecting differences in information carried in these regions when Part 1 was recent versus distant. The timecourses converged after 4 min, suggesting a time frame over which the continuous-viewing group may have relied less on hippocampal retrieval. We propose that cortical default mode regions can intrinsically retain real-life episodic information for several minutes. PMID:26240179

Equality of Opportunity in American and Canadian Graduate Education: A Comparison of Gender Differences.

ERIC Educational Resources Information Center

Symons, Gladys L.

1980-01-01

Women in Canada and the U.S. enjoy neither equality of access to higher education nor equality of treatment within graduate level institutions. While women in the U.S. have somewhat greater access to graduate study, they are excluded from the sponsorship system in which Canadian women participate. (SB)

Minority Access to Higher Education

ERIC Educational Resources Information Center

Jackson, Nathaniel

2012-01-01

Blacks, Hispanics, Native Americans, and Asian Americans are entitled to equal access to all institutions of higher education. Ensuring greater access and participation by minorities in higher education is one of the most practical ways of moving America closer to the ideal of equal opportunity, which is the actualization of the American dream.…

Equal Access.

ERIC Educational Resources Information Center

De Patta, Joe

2003-01-01

Presents an interview with Stephen McCarthy, co-partner and president of Equal Access ADA Consulting Architects of San Diego, California, about designing schools to naturally integrate compliance with the Americans with Disabilities Act (ADA). (EV)

Implementing the Equal Access Act and State Constitutional Provisions.

ERIC Educational Resources Information Center

Bjorklun, Eugene C.

1992-01-01

Examines the issue of whether implementation of the Equal Access Act would violate the constitutions of some states that require a stricter separation of church and state than the federal Constitution. (MLF)

Equity and equality in health and health care.

PubMed

Culyer, A J; Wagstaff, A

1993-12-01

This paper explores four definitions of equity in health care: equality of utilization, distribution according to need, equality of access, and equality of health. We argue that the definitions of 'need' in the literature are inadequate and propose a new definition. We also argue that, irrespective of how need and access are defined, the four definitions of equity are, in general, mutually incompatible. In contrast to previous authors, we suggest that equality of health should be the dominant principle and that equity in health care should therefore entail distributing care in such a way as to get as close as is feasible to an equal distribution of health.

Highly active antiretroviral therapy in Brazil: the challenge of universal access in a context of social inequality.

PubMed

Hacker, Mariana A; Petersen, Maya L; Enriquez, Melissa; Bastos, Francisco I

2004-08-01

To investigate trends in AIDS mortality and incidence in Brazil over the period of 1984 to 2000 and to assess the impact of the introduction of universal access to highly active antiretroviral therapy (HAART) in the country in 1996. Data from the Brazilian disease notification system and the national mortality information system were used to calculate annual region-specific and sex-specific AIDS incidence and mortality rates. We also calculated sex- and region-specific ratios of the number of AIDS deaths in one year to the number of AIDS cases notified two years earlier. AIDS mortality rates for both men and women and in all five of the geographic regions of Brazil declined following introduction of HAART, despite continued growth in AIDS incidence. The ratio of the number of AIDS deaths in one year to the number of AIDS cases notified two years earlier for men equalized rapidly with the ratio for women following introduction of HAART. More recently, AIDS incidence declined for both sexes and in most of the regions of Brazil. Despite Brazil's resource limitations and disparities in wealth between men and women and among the country's regions, the introduction of universal access to HAART in Brazil has helped achieve impressive declines in AIDS mortality, and it may also be contributing to declines in AIDS incidence.

Quality maternal and newborn care to ensure a healthy start for every newborn in the World Health Organization Western Pacific Region.

PubMed

Obara, H; Sobel, H

2014-09-01

In the World Health Organization Western Pacific Region, the high rates of births attended by skilled health personnel (SHP) do not equal access to quality maternal or newborn care. 'A healthy start for every newborn' for 23 million annual births in the region means that SHP and newborn care providers give quality intrapartum, postpartum and newborn care. WHO and the UNICEF Regional Action Plan for Healthy Newborn Infants provide a platform for countries to scale-up Early Essential Newborn Care (EENC). The plan emphasises the creation of an enabling environment for the practice of EENC; thereby, preventing 50,000 newborn deaths annually. © 2014 Royal College of Obstetricians and Gynaecologists.

Equal Access Initiative HIV/AIDS Information Resources from NLM

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

Templin-Branner W. and N. Dancy

The Equal Access Initiative: HIV/AIDS Information Resources from the National Library of Medicine training is designed specifically for the National Minority AIDS Council 2010 Equal Access Initiative (EAI) Computer Grants Program awardees to provide valuable health information resources from the National Library of Medicine and other reliable sources to increase awareness of the wealth of treatment information and educational materials that are available on the Internet and to improve prevention and treatment education for their clients. These resources will also meet the needs of community-based

Universal Design and LGBTQ (Lesbian, Gay, Transgender, Bisexual, and Queer) Issues: Creating Equal Access and Opportunities for Success

ERIC Educational Resources Information Center

Daniels, Jennifer R.; Geiger, Tracy J.

2010-01-01

The authors extend the ideals set forth by the universal design (UD) framework seeking to include the unique needs of students in the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Universal design is a philosophy that, when applied to higher education, constitutes acceptance of, equal access for, and equal opportunities for…

Promoting Equal Access of Girls/Women to Technical and Vocational Education.

ERIC Educational Resources Information Center

Mishra, Arun; Khanna, Pinki; Shrivastava, Nalini

Despite United Nations' efforts, inequality of access for girls and women to technical and vocational education (TVE) persists in India. Challenges of the 21st century with regard to ensuring equal access of girls and women to TVE include: increasing the participation of girls (especially rural girls) in TVE; overcoming gender bias and…

The Pursuit of Equality: Evaluating and Monitoring Accessibility to Post-Secondary Education in Ontario.

ERIC Educational Resources Information Center

Anisef, Paul; And Others

A report on the current status of accessibility to university education in Ontario has several major objectives: to review the social science literature on such concepts as equality of educational opportunity and accessibility, considering the social, political and intellectual climate of the times; to examine parliamentary minutes and reports of…

Feedback power control strategies in wireless sensor networks with joint channel decoding.

PubMed

Abrardo, Andrea; Ferrari, Gianluigi; Martalò, Marco; Perna, Fabio

2009-01-01

In this paper, we derive feedback power control strategies for block-faded multiple access schemes with correlated sources and joint channel decoding (JCD). In particular, upon the derivation of the feasible signal-to-noise ratio (SNR) region for the considered multiple access schemes, i.e., the multidimensional SNR region where error-free communications are, in principle, possible, two feedback power control strategies are proposed: (i) a classical feedback power control strategy, which aims at equalizing all link SNRs at the access point (AP), and (ii) an innovative optimized feedback power control strategy, which tries to make the network operational point fall in the feasible SNR region at the lowest overall transmit energy consumption. These strategies will be referred to as "balanced SNR" and "unbalanced SNR," respectively. While they require, in principle, an unlimited power control range at the sources, we also propose practical versions with a limited power control range. We preliminary consider a scenario with orthogonal links and ideal feedback. Then, we analyze the robustness of the proposed power control strategies to possible non-idealities, in terms of residual multiple access interference and noisy feedback channels. Finally, we successfully apply the proposed feedback power control strategies to a limiting case of the class of considered multiple access schemes, namely a central estimating officer (CEO) scenario, where the sensors observe noisy versions of a common binary information sequence and the AP's goal is to estimate this sequence by properly fusing the soft-output information output by the JCD algorithm.

Referral for secondary restorative dental care in rural and urban areas of Scotland: findings from the Highlands Et Islands Teledentistry Project.

PubMed

Nuttall, N M; Steed, M S; Donachie, M A

2002-02-23

To compare the reported level of use of secondary care services for restorative dental care in rural and urban areas of Scotland. Postal questionnaire survey Postal questionnaire sent to all dentists in the Highland region, the island regions in Scotland and Dumfries Et Galloway (n = 150) and an equal number were sampled from the remainder of Scotland stratified by health board area. Non-respondents were sent 2 reminders after which 62% of the sample had responded. Most dentists (85%) who practised in what they considered were urban areas of Scotland said they felt that they had good access to a secondary referral service. Whereas most of those who practised in what they considered were rural areas either said they had no access to such a service (26%) or that access was difficult (53%), only 3% of those in urban areas said they had no access to a secondary restorative consultative service compared with 14% of dentists practising in rural areas of mainland Scotland and 54% of those practising on Scottish islands. The survey suggests the people of the Scottish islands and some of the remoter parts of the Scottish mainland would be among those who might benefit from improvement in access to a restorative dentistry consultant service.

47 CFR 36.191 - Equal access equipment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... provided by long distance carriers affiliated with the local exchange company is included. (d) Effective... AND RESERVES FOR TELECOMMUNICATIONS COMPANIES 1 Telecommunications Property Equal Access Equipment... excluded. In the case of independent telephone companies, intrastate toll service provided by the...

Access to innovation: is there a difference in the use of expensive anticancer drugs between French hospitals?

PubMed

Bonastre, Julia; Chevalier, Julie; Van der Laan, Chantal; Delibes, Michel; De Pouvourville, Gerard

2014-06-01

In DRG-based hospital payment systems, expensive drugs are often funded separately. In France, specific expensive drugs (including a large proportion of anticancer drugs) are fully reimbursed up to national reimbursement tariffs to ensure equity of access. Our objective was to analyse the use of expensive anticancer drugs in public and private hospitals, and between regions. We had access to sales per anticancer drug and per hospital in the year 2008. We used a multilevel model to study the variation in the mean expenditure of expensive anticancer drugs per course of chemotherapy and per hospital. The mean expenditure per course of chemotherapy was €922 [95% CI: 890-954]. At the hospital level, specialisation in chemotherapies for breast cancers was associated with a higher expenditure of anticancer drugs per course for those hospitals with the highest proportion of cancers at this site. There were no differences in the use of expensive drugs between the private and the public hospital sector after controlling for case mix. There were no differences between the mean expenditures per region. The absence of disparities in the use of expensive anticancer drugs between hospitals and regions may indicate that exempting chemotherapies from DRG-based payments and providing additional reimbursement for these drugs has been successful at ensuring equal access to care. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Equal Access to Content Instruction for English Learners: An Example from Science

ERIC Educational Resources Information Center

Brown, Zoe Ann; DiRanna, Kathy

2012-01-01

Equal access to content instruction is the foundation of educational equity--it reduces opportunity gaps that lead to achievement gaps. Achievement gaps lead to gaps in college and career access, which lead to income gaps. Income gaps lead to language gaps, thus perpetuating one of the most critical gaps we face in education. This paper is about…

Improving regional and rural cancer services in Western Australia.

PubMed

Platt, Violet; O'Connor, Kathleen; Coleman, Rhonda

2015-02-01

This paper examines health reform which has been designed to improve cancer services across Western Australia. Western Australia is a large state divided into nine regions each with differing demographics. The diversity of the state and the distribution of the population over a large area of land create significant challenge in ensuring equality in service delivery. A comparison was conducted looking at cancer services in Western Australia pre-2005 and service delivery in 2014. A review of the partnership initiatives and programs provides a clear discussion on the need for coordination of care between service providers. The approach undertaken in Western Australia has seen an increase in the delivery of cancer services closer to the patient's home as well as greater involvement of primary care professionals in cancer care. This work has resulted in demonstrated improvements in patient care and support. Services for cancer patients need to be accessible closer to home with distance being an appreciable barrier to treatment access.A statewide approach needs to be developed to ensure all people have equitable access to service delivery. © 2015 National Rural Health Alliance Inc.

Relevance of Education to Rural Development. Regional Study Group Meeting on Identification of Causes of Educational Underdevelopment in Rural Areas and on Relevance of Education to the Rual Environment (Bangkok, Thailand, October 22-November 8, 1985).

ERIC Educational Resources Information Center

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

Developing countries in Asia and the Pacific are undergoing a critical period in rural development. As part of a plan for integrated rural development, education has shifted its priorities to equalizing access to educational opportunities and improving quality of instruction. Representatives from Bangladesh, China, India, Iran, Malaysia, Nepal,…

Comparing side chain packing in soluble proteins, protein-protein interfaces, and transmembrane proteins.

PubMed

Gaines, J C; Acebes, S; Virrueta, A; Butler, M; Regan, L; O'Hern, C S

2018-05-01

We compare side chain prediction and packing of core and non-core regions of soluble proteins, protein-protein interfaces, and transmembrane proteins. We first identified or created comparable databases of high-resolution crystal structures of these 3 protein classes. We show that the solvent-inaccessible cores of the 3 classes of proteins are equally densely packed. As a result, the side chains of core residues at protein-protein interfaces and in the membrane-exposed regions of transmembrane proteins can be predicted by the hard-sphere plus stereochemical constraint model with the same high prediction accuracies (>90%) as core residues in soluble proteins. We also find that for all 3 classes of proteins, as one moves away from the solvent-inaccessible core, the packing fraction decreases as the solvent accessibility increases. However, the side chain predictability remains high (80% within 30°) up to a relative solvent accessibility, rSASA≲0.3, for all 3 protein classes. Our results show that ≈40% of the interface regions in protein complexes are "core", that is, densely packed with side chain conformations that can be accurately predicted using the hard-sphere model. We propose packing fraction as a metric that can be used to distinguish real protein-protein interactions from designed, non-binding, decoys. Our results also show that cores of membrane proteins are the same as cores of soluble proteins. Thus, the computational methods we are developing for the analysis of the effect of hydrophobic core mutations in soluble proteins will be equally applicable to analyses of mutations in membrane proteins. © 2018 Wiley Periodicals, Inc.

Usage evaluation of the Physiotherapy Evidence Database (PEDro) among Brazilian physical therapists

PubMed Central

Elkins, Mark R.; Moseley, Anne M.; Pinto, Rafael Z.

2015-01-01

BACKGROUND: It is unclear whether the Physiotherapy Evidence Database (PEDro) is widely and equally used by physical therapists in Brazil. As PEDro is considered a key resource to support evidence-based physical therapy, analyses of PEDro usage could reflect the extent of dissemination of evidence-based practice. OBJECTIVE: To describe the usage of PEDro among the five regions of the World Confederation for Physical Therapy (WCPT) and, in more detail, in the South American region and Brazil over a 5-year period. METHOD: PEDro home-page sessions and the number of searches performed were logged for a 5-year period (2010-2014). Absolute usage and relative usage were calculated for each region of the WCPT, each country in the South American region of WCPT, and each Regional Council (CREFITO) in Brazil. RESULTS: Europe had the highest absolute and relative usage among the five regions of the WCPT (971 searches per million-population per year), with the South American region ranked 4th in absolute terms and 3rd in relative terms (486). Within the South American region, Brazil accounted for nearly 60% of searches (755). Analysis at a national level revealed that usage per physical therapist in Brazil is very low across all CREFITOs. The highest usage occurred in CREFITO 6 with 1.3 searches per physical therapist per year. CONCLUSIONS: PEDro is not widely and equally used throughout Brazil. Strategies to promote PEDro and to make PEDro more accessible to physical therapists speaking Portuguese are needed. PMID:26443980

Usage evaluation of the Physiotherapy Evidence Database (PEDro) among Brazilian physical therapists.

PubMed

Elkins, Mark R; Moseley, Anne M; Pinto, Rafael Z

2015-01-01

It is unclear whether the Physiotherapy Evidence Database (PEDro) is widely and equally used by physical therapists in Brazil. As PEDro is considered a key resource to support evidence-based physical therapy, analyses of PEDro usage could reflect the extent of dissemination of evidence-based practice. To describe the usage of PEDro among the five regions of the World Confederation for Physical Therapy (WCPT) and, in more detail, in the South American region and Brazil over a 5-year period. PEDro home-page sessions and the number of searches performed were logged for a 5-year period (2010-2014). Absolute usage and relative usage were calculated for each region of the WCPT, each country in the South American region of WCPT, and each Regional Council (CREFITO) in Brazil. Europe had the highest absolute and relative usage among the five regions of the WCPT (971 searches per million-population per year), with the South American region ranked 4th in absolute terms and 3rd in relative terms (486). Within the South American region, Brazil accounted for nearly 60% of searches (755). Analysis at a national level revealed that usage per physical therapist in Brazil is very low across all CREFITOs. The highest usage occurred in CREFITO 6 with 1.3 searches per physical therapist per year. PEDro is not widely and equally used throughout Brazil. Strategies to promote PEDro and to make PEDro more accessible to physical therapists speaking Portuguese are needed.

29 CFR 2704.310 - Payment of award.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN COMMISSION PROCEEDINGS Procedures for Considering Applications § 2704.310 Payment of award. Payment of awards made under the Equal Access to Justice Act by final orders...

29 CFR 2204.102 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN PROCEEDINGS BEFORE THE OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION General... means the Equal Access to Justice Act, 5 U.S.C. 504. (d) The term judge means an administrative law...

19 CFR 212.01 - Purpose.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 19 Customs Duties 3 2010-04-01 2010-04-01 false Purpose. 212.01 Section 212.01 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT General Provisions § 212.01 Purpose. (a) The Equal Access to...

45 CFR 98.43 - Equal access.

Code of Federal Regulations, 2012 CFR

2012-10-01

... DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.43 Equal access. (a) The Lead Agency shall certify that the payment rates for the provision of child care services under this part are...

45 CFR 98.43 - Equal access.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Department of Health and Human Services GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.43 Equal access. (a) The Lead Agency shall certify that the payment rates for the provision of child care services under this part are...

45 CFR 98.43 - Equal access.

Code of Federal Regulations, 2011 CFR

2011-10-01

... DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.43 Equal access. (a) The Lead Agency shall certify that the payment rates for the provision of child care services under this part are...

45 CFR 98.43 - Equal access.

Code of Federal Regulations, 2013 CFR

2013-10-01

... DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.43 Equal access. (a) The Lead Agency shall certify that the payment rates for the provision of child care services under this part are...

45 CFR 98.43 - Equal access.

Code of Federal Regulations, 2010 CFR

2010-10-01

... DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.43 Equal access. (a) The Lead Agency shall certify that the payment rates for the provision of child care services under this part are...

Feedback Power Control Strategies in Wireless Sensor Networks with Joint Channel Decoding

PubMed Central

Abrardo, Andrea; Ferrari, Gianluigi; Martalò, Marco; Perna, Fabio

2009-01-01

In this paper, we derive feedback power control strategies for block-faded multiple access schemes with correlated sources and joint channel decoding (JCD). In particular, upon the derivation of the feasible signal-to-noise ratio (SNR) region for the considered multiple access schemes, i.e., the multidimensional SNR region where error-free communications are, in principle, possible, two feedback power control strategies are proposed: (i) a classical feedback power control strategy, which aims at equalizing all link SNRs at the access point (AP), and (ii) an innovative optimized feedback power control strategy, which tries to make the network operational point fall in the feasible SNR region at the lowest overall transmit energy consumption. These strategies will be referred to as “balanced SNR” and “unbalanced SNR,” respectively. While they require, in principle, an unlimited power control range at the sources, we also propose practical versions with a limited power control range. We preliminary consider a scenario with orthogonal links and ideal feedback. Then, we analyze the robustness of the proposed power control strategies to possible non-idealities, in terms of residual multiple access interference and noisy feedback channels. Finally, we successfully apply the proposed feedback power control strategies to a limiting case of the class of considered multiple access schemes, namely a central estimating officer (CEO) scenario, where the sensors observe noisy versions of a common binary information sequence and the AP's goal is to estimate this sequence by properly fusing the soft-output information output by the JCD algorithm. PMID:22291536

47 CFR 64.705 - Restrictions on charges related to the provision of operator services.

Code of Federal Regulations, 2010 CFR

2010-10-01

... provision of operator services. 64.705 Section 64.705 Telecommunication FEDERAL COMMUNICATIONS COMMISSION... operator services shall: (1) Not bill for unanswered telephone calls in areas where equal access is available; (2) Not knowingly bill for unanswered telephone calls where equal access is not available; (3...

New Mexico Educator Equity Plan

ERIC Educational Resources Information Center

New Mexico Public Education Department, 2015

2015-01-01

Both the U.S. Department of Education and the New Mexico Public Education Department (PED) believe that equal opportunity is a core American value. Equal access to excellent education provides meaningful opportunities for students to achieve their goals. Recognizing that family income and race often predicts a student's ability to access excellent…

77 FR 39117 - Equal Access to Justice Act Implementation Rule

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-29

... regularly perform services for remuneration for the applicant, under the applicant's direction and control... Director may delegate authority to take final action on matters pertaining to the Equal Access to Justice... that the Director's final order issued pursuant to Sec. 1081.405 is final and unappealable, both within...

29 CFR 2704.101 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... hereafter shall be to “administrative law judge”. The Act means the Equal Access to Justice Act 5 U.S.C. 504... Relating to Labor (Continued) FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN COMMISSION PROCEEDINGS General Provisions § 2704.101 Definitions. The following...

CEC's Position on School Vouchers

ERIC Educational Resources Information Center

Council for Exceptional Children (NJ3), 2011

2011-01-01

The Council for Exceptional Children (CEC) recognizes that children and youth with disabilities are entitled to equal access to the public education system and to all rights guaranteed by law. CEC advocates to ensure that children and youth with disabilities receive the equal access and opportunity that they deserve. By definition, vouchers…

Orthogonal frequency-division multiplexing access (OFDMA) based wireless visible light communication (VLC) system

NASA Astrophysics Data System (ADS)

Sung, Jiun-Yu; Yeh, Chien-Hung; Chow, Chi-Wai; Lin, Wan-Feng; Liu, Yang

2015-11-01

An orthogonal frequency-division multiplexing access (OFDMA) based visible light communication (VLC) system is proposed in this paper. The architecture of the proposed system is divided into several VLC cells, which is defined in this paper. The deployment and upgrade of the system involve only simple combination of the VLC cells. Hence it is economically advantageous. To guarantee smooth communication, nearly equal data rate is provided at every location within the system with no concern on the system scale. The user location monitor strategy is also discussed to solve the region division issues. The characteristics of the proposed system are analyzed in detail in this paper. A one-dimensional experiment was demonstrated with 13.6 Mb/s data rate.

Book review: Inside the Equal Access to Justice Act: Environmental litigation and the crippling battle over America's lands, endangered species, and critical habitats

USGS Publications Warehouse

Organ, John F.

2016-01-01

Review info:  Inside the equal access to justice act: Environmental litigation and the crippling battle over America's lands, endangered species, and critical habitats. By Lowell E. Baier, 2016. ISBN: 978-1442257443, 678 pp.

75 FR 17622 - Equal Access to Justice Act Implementation

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-07

... enforceable by the Director of FHFA until such regulations are modified, terminated, set aside, or superseded by the Director of FHFA.\\2\\ \\2\\ See section 1302 and section 1312 of HERA. B. Equal Access to Justice... demand for a lesser amount. Director would be defined as the Director of the Federal Housing Finance...

14 CFR 14.01 - Purpose of these rules.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 General Provisions § 14.01 Purpose of these rules. The Equal Access to Justice Act, 5 U.S.C. 504 (the Act), provides for the award of attorney fees and other...

14 CFR 14.01 - Purpose of these rules.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 General Provisions § 14.01 Purpose of these rules. The Equal Access to Justice Act, 5 U.S.C. 504 (the Act), provides for the award of attorney fees and other...

14 CFR 14.01 - Purpose of these rules.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 General Provisions § 14.01 Purpose of these rules. The Equal Access to Justice Act, 5 U.S.C. 504 (the Act), provides for the award of attorney fees and other...

14 CFR 14.01 - Purpose of these rules.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 General Provisions § 14.01 Purpose of these rules. The Equal Access to Justice Act, 5 U.S.C. 504 (the Act), provides for the award of attorney fees and other...

14 CFR 14.01 - Purpose of these rules.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 General Provisions § 14.01 Purpose of these rules. The Equal Access to Justice Act, 5 U.S.C. 504 (the Act), provides for the award of attorney fees and other...

Ensuring Equal Access to Technology: Providing Assistive Technology for Students with Disabilities

ERIC Educational Resources Information Center

Lee, Hwa; Templeton, Rosalyn

2008-01-01

With the passage of landmark federal laws, equal access to technology for all students, regardless of their abilities, has been getting increasing attention in the field of education. Although considering a continuum of assistive technology (AT) items and services for individuals with disabilities is a mandated practice, education and…

Sign Language Web Pages

ERIC Educational Resources Information Center

Fels, Deborah I.; Richards, Jan; Hardman, Jim; Lee, Daniel G.

2006-01-01

The World Wide Web has changed the way people interact. It has also become an important equalizer of information access for many social sectors. However, for many people, including some sign language users, Web accessing can be difficult. For some, it not only presents another barrier to overcome but has left them without cultural equality. The…

An anatomical comparison of Blair and facelift incisions for parotid surgery.

PubMed

Nouraei, S A R; Al-Yaghchi, C; Ahmed, J; Kirkpatrick, N; Mansuri, S; Singh, A; Grant, W E

2006-12-01

The rhytidectomy approach for parotidectomy allows the incision to be hidden, and post-operative scarring minimised. Furthermore, separate elevation of the Superficial Musculo-Aponeurotic System (SMAS) reduces the incidence of Frey's syndrome, and provides vascularized soft tissue for contour reconstruction. The technique has gained popularity particularly with plastic surgeons, but concerns persist that with this approach, particularly with lesions located anteriorly, access to the gland may be inadequate, and facial nerve identification may be compromised. We undertook an anatomical study to quantitatively compare the surgical access achieved using the facelift approach with the conventional Blair incision, by comparing the distances between the parotid edge and the retracted flaps. Despite reduced tissue elasticity due to formaldehyde fixation, it proved possible to demonstrate all regions of the parotid gland to the operating surgeon with either approach. There were no significant differences in the distance between the parotid edge and the retracted skin flaps (P > 0.1; paired t-test). The facelift approach provides at least equal access to all regions of the parotid gland when compared to a Blair's incision. It is a superior approach aesthetically and its more widespread use in parotid surgery is advocated.

Protocol to the African Charter on the Rights of Women: implications for access to abortion at the regional level.

PubMed

Ngwena, Charles G

2010-08-01

Article 14(2)(c) of the Protocol to the African Charter on the Rights of Women enjoins States Parties to take appropriate measures "to protect the reproductive rights of women by authorising medical abortion in cases of sexual assault, rape, incest, and where continued pregnancy endangers the mental and physical health of the mother or the life of the mother or the foetus." This paper considers the implications of Article 14 for access to safe, legal abortion. It is submitted that Article 14 has the potential to impact positively on regional abortion law, policy, and practice in 3 main areas. First, it takes forward the global consensus on combating abortion as a major public health danger. Second, it provides African countries with not just an incentive, but also an imperative for reforming abortion laws in a transparent manner. Third, if implemented in the context of a treaty that centers on the equality and non-discrimination of women, Article 14 has the potential to contribute toward transforming access to abortion from a crime and punishment model to a reproductive health model. Copyright 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

The Role of Genome Accessibility in Transcription Factor Binding in Bacteria.

PubMed

Gomes, Antonio L C; Wang, Harris H

2016-04-01

ChIP-seq enables genome-scale identification of regulatory regions that govern gene expression. However, the biological insights generated from ChIP-seq analysis have been limited to predictions of binding sites and cooperative interactions. Furthermore, ChIP-seq data often poorly correlate with in vitro measurements or predicted motifs, highlighting that binding affinity alone is insufficient to explain transcription factor (TF)-binding in vivo. One possibility is that binding sites are not equally accessible across the genome. A more comprehensive biophysical representation of TF-binding is required to improve our ability to understand, predict, and alter gene expression. Here, we show that genome accessibility is a key parameter that impacts TF-binding in bacteria. We developed a thermodynamic model that parameterizes ChIP-seq coverage in terms of genome accessibility and binding affinity. The role of genome accessibility is validated using a large-scale ChIP-seq dataset of the M. tuberculosis regulatory network. We find that accounting for genome accessibility led to a model that explains 63% of the ChIP-seq profile variance, while a model based in motif score alone explains only 35% of the variance. Moreover, our framework enables de novo ChIP-seq peak prediction and is useful for inferring TF-binding peaks in new experimental conditions by reducing the need for additional experiments. We observe that the genome is more accessible in intergenic regions, and that increased accessibility is positively correlated with gene expression and anti-correlated with distance to the origin of replication. Our biophysically motivated model provides a more comprehensive description of TF-binding in vivo from first principles towards a better representation of gene regulation in silico, with promising applications in systems biology.

Equal Access of Ethnic Minority Students to Different Types of Higher Education Institutions?

ERIC Educational Resources Information Center

Zhang, Jianxin; Verhoeven, Jef C.

2012-01-01

In this article we focus on answering the question "Is there equal access to different types of higher education institutions (HEIs) for ethnic minority (EM) students in Yunnan Province (China), and what explanation might be found for any differences?" In order to answer this question, we rely on the education attainment theory, and a…

Secret Shoppers Find Access To Providers And Network Accuracy Lacking For Those In Marketplace And Commercial Plans.

PubMed

Haeder, Simon F; Weimer, David L; Mukamel, Dana B

2016-07-01

The adequacy of provider networks for plans sold through insurance Marketplaces established under the Affordable Care Act has received much scrutiny recently. Various studies have established that networks are generally narrow. To learn more about network adequacy and access to care, we investigated two questions. First, no matter the nominal size of a network, can patients gain access to primary care services from providers of their choice in a timely manner? Second, how does access compare to plans sold outside insurance Marketplaces? We conducted a "secret shopper" survey of 743 primary care providers from five of California's nineteen insurance Marketplace pricing regions in the summer of 2015. Our findings indicate that obtaining access to primary care providers was generally equally challenging both inside and outside insurance Marketplaces. In less than 30 percent of cases were consumers able to schedule an appointment with an initially selected physician provider. Information about provider networks was often inaccurate. Problems accessing services for patients with acute conditions were particularly troubling. Effectively addressing issues of network adequacy requires more accurate provider information. Project HOPE—The People-to-People Health Foundation, Inc.

Health sector reform in Brazil: a case study of inequity.

PubMed

Almeida, C; Travassos, C; Porto, S; Labra, M E

2000-01-01

Health sector reform in Brazil built the Unified Health System according to a dense body of administrative instruments for organizing decentralized service networks and institutionalizing a complex decision-making arena. This article focuses on the equity in health care services. Equity is defined as a principle governing distributive functions designed to reduce or offset socially unjust inequalities, and it is applied to evaluate the distribution of financial resources and the use of health services. Even though in the Constitution the term "equity" refers to equal opportunity of access for equal needs, the implemented policies have not guaranteed these rights. Underfunding, fiscal stress, and lack of priorities for the sector have contributed to a progressive deterioration of health care services, with continuing regressive tax collection and unequal distribution of financial resources among regions. The data suggest that despite regulatory measures to increase efficiency and reduce inequalities, delivery of health care services remains extremely unequal across the country. People in lower income groups experience more difficulties in getting access to health services. Utilization rates vary greatly by type of service among income groups, positions in the labor market, and levels of education.

Eleventh Annual "Brown" Lecture in Education Research A Long Shadow: The American Pursuit of Political Justice and Education Equality

ERIC Educational Resources Information Center

Anderson, James D.

2015-01-01

This article examines the historical relationship between political power and the pursuit of education and social equality from the Reconstruction era to the present. The chief argument is that education equality is historically linked to and even predicated on equal political power, specifically, equal access to the franchise and instruments of…

Equal Access to Early Learning. Cantigny Conference Report (Chicago, Illinois, June 5-7, 2001).

ERIC Educational Resources Information Center

National Black Child Development Inst., Inc., Washington, DC.

Despite a growing acknowledgement that the United States needs to invest more in the early care and education needs of children, the country lacks a common vision for a comprehensive approach to an early childhood care and education system. The Equal Access to Early Learning Conference, sponsored by the National Black Child Development Institute…

Struggles for Modern Education: Egalitarian Liberalism and Its Quest for Equal Access to Opportunity

ERIC Educational Resources Information Center

Pistone, Renee A.

2010-01-01

Egalitarian liberalism strives for equal access to opportunity and can achieve it. Every individual must be granted the chance to live his or her own life (Rawls, 1971). Our society must offer all citizens their own autonomy and live up to the egalitarian promises giving them respect. This paper disagrees with the notion that children raised in…

Disability as Diversity: Assessing the Perceptions of Students with Physical Disabilities regarding Access and Equal Opportunity in Postsecondary Education

ERIC Educational Resources Information Center

Cooper, Lisa Marie

2012-01-01

The initial purpose of this study was to utilize the Higher Education and Students with Physical Disabilities Survey (HESPDS) to develop a better understanding of the perceptions of students with physical disabilities regarding the extent to which private, residential colleges and universities provide access and equal opportunity. The significance…

Equality or Equity, Player or Guardian? The Dutch Government and Its Role in Providing Access Opportunities for Government Sponsored International Secondary Education, 1979-2009

ERIC Educational Resources Information Center

Prickarts, Boris

2010-01-01

This article focuses on the Dutch government's International Baccalaureate (IB) Diploma Programme (DP) Pilot, allowing Dutch pre-university students to take part in the IB DP. Is it likely to create "equal", or rather "equitable", access opportunities for government-sponsored Dutch international secondary schools? The article…

Stranded cost recovery presents stumbling block to open access

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

Del Roccili, J.A.

Much of the impetus for the movement to competitive power markets is a result of the tremendous variance in energy prices across the country. Large commercial and industrial customers are becoming increasingly aware of these discrepancies and are marshaling the market and political forces required to guarantee the eventual development of a national open-access transmission policy. Such a policy will facilitate competition and equalize prices on a regional, and to some extent, national level. The stumbling block, however, is the recovery of stranded investment. Under traditional regulation, historical costs could be collected through approved rates for a bundled service. Withmore » the protection of a monopoly franchise, average electricity prices provide the possibility of cost recovery for assets that might not be recoverable in a competitive market.« less

Digging Back In Time: Integrating Historical Data Into an Operational Ocean Observing System

NASA Astrophysics Data System (ADS)

McCammon, M.

2016-02-01

Modern technologies allow reporting and display of data near real-time from in situ instrumentation live on the internet. This has given users fast access to critical information for scientific applications, marine safety, planning, and numerous other activities. Equally as valuable is having access to historical data sets. However, it is challenging to identify sources and access of historical data of interest as it exists in many different locations, depending on the funding source and provider. Also, time-varying formats can make it difficult to data-mine and display historical data. There is also the issue of data quality, and having a systematic means of assessing credibility of historical data sets. The Alaska Ocean Observing System (AOOS) data management system demonstrates the successful ingestion of historical data, both old and new (as recent as yesterday) and has integrated numerous historical data streams into user friendly data portals, available for data upload and display on the AOOS Website. An example is the inclusion of non-real-time (e.g. day old) AIS (Automatic Identification System) ship tracking data, important for scientists working in marine mammal migration regions. Other examples include historical sea ice data, and various data streams from previous research projects (e.g. moored time series, HF Radar surface currents, weather, shipboard CTD). Most program or project websites only offer access to data specific to their agency or project alone, but do not have the capacity to provide access to the plethora of other data that might be available for the region and be useful for integration, comparison and synthesis. AOOS offers end users access to a one stop-shop for data in the area they want to research, helping them identify other sources of information and access. Demonstrations of data portals using historical data illustrate these benefits.

Democracy, Equal Citizenship, and Education

ERIC Educational Resources Information Center

Callan, Eamonn

2016-01-01

Two appealing principles of educational distribution--equality and sufficiency--are comparatively assessed. The initial point of comparison is the distribution of civic educational goods. One reason to favor equality in educational distribution rather than sufficiency is the elimination of undeserved positional advantage in access to labor…

Understanding Resource: Maldistribution and Acting on Inequality of Resources

ERIC Educational Resources Information Center

Ochoa, Alberto M.; Pearl, Art

2010-01-01

The United States is both morally and legally obligated to equally educate all of its students. It means that the US has to provide all students with equal access and equal resources. Historically and currently this goal has not been met. To truly provide all students with equal resources would require reformative action at many levels. Leveling…

Women, gender equality, and diabetes.

PubMed

Hannan, Carolyn

2009-03-01

Discussion of women, gender equality, and diabetes should be placed in the context of United Nations mandates on women's health which highlight the need for equal access to information, prevention activities, services, and care across the life cycle. Gender differences and inequalities have been identified in relation to causes and consequences of diabetes and access to services and support between women and men, and among different groups of women. Appropriate gender-sensitive policy responses, including research and data collection, need to be developed. The recent United Nations resolution on diabetes provides an opportunity to strengthen the focus on women and diabetes.

Vocational Guidance for Equal Access and Opportunity for Girls and Women in Technical and Vocational Education. UNEVOC Studies in Technical and Vocational Education 6.

ERIC Educational Resources Information Center

Miller, Juliet V.; Vetter, Louise

A study examined the relevance of vocational information and guidance for the equal access of girls and women to technical/vocational education in the following countries: Argentina; India; Mexico; Republic of Korea; South Africa; Spain; Sweden; Turkey; United Arab Emirates; and Zambia. Case studies were conducted by using a multiple-strategy…

Promotion of the Equal Access of Girls and Women to Technical and Vocational Education. Studies on Technical and Vocational Education 7.

ERIC Educational Resources Information Center

United Nations Educational, Scientific, and Cultural Organization, Paris (France).

This monograph includes the final report of the International Expert Meeting on the Promotion of Equal Access of Girls and Women to Technical and Vocational Education (TVE) held in Seoul, Republic of Korea, and country discussion papers. The final report is composed of an introduction that proposes that many Member States require special measures…

Screening for Diabetic Retinopathy in Adults with Learning Disability: Current Uptake and Adjustments to Facilitate Equality of Access

ERIC Educational Resources Information Center

Pilling, Rachel F.

2015-01-01

Equality of access to health care for adults with learning disability has been in the spotlight in the UK in recent years due to publication of several reports. Adults with learning disability are thought to account for a significant proportion of the diabetic population in the UK. A list of adults known to the learning disability health…

Quantifying the Impact of Accessibility on Preventive Healthcare in Sub-Saharan Africa Using Mobile Phone Data

PubMed Central

Wesolowski, Amy; O’Meara, Wendy Prudhomme; Tatem, Andrew J.; Ndege, Samson; Eagle, Nathan

2015-01-01

Background: Poor physical access to health facilities has been identified as an important contributor to reduced uptake of preventive health services and is likely to be most critical in low-income settings. However, the relation among physical access, travel behavior, and the uptake of healthcare is difficult to quantify. Methods: Using anonymized mobile phone data from 2008 to 2009, we analyze individual and spatially aggregated travel patterns of 14,816,521 subscribers across Kenya and compare these measures to (1) estimated travel times to health facilities and (2) data on the uptake of 2 preventive healthcare interventions in an area of western Kenya: childhood immunizations and antenatal care. Results: We document that long travel times to health facilities are strongly correlated with increased mobility in geographically isolated areas. Furthermore, we found that in areas with equal physical access to healthcare, mobile phone-derived measures of mobility predict which regions are lacking preventive care. Conclusions: Routinely collected mobile phone data provide a simple and low-cost approach to mapping the uptake of preventive healthcare in low-income settings. PMID:25643101

Quantifying the impact of accessibility on preventive healthcare in sub-Saharan Africa using mobile phone data.

PubMed

Wesolowski, Amy; O'Meara, Wendy Prudhomme; Tatem, Andrew J; Ndege, Samson; Eagle, Nathan; Buckee, Caroline O

2015-03-01

Poor physical access to health facilities has been identified as an important contributor to reduced uptake of preventive health services and is likely to be most critical in low-income settings. However, the relation among physical access, travel behavior, and the uptake of healthcare is difficult to quantify. Using anonymized mobile phone data from 2008 to 2009, we analyze individual and spatially aggregated travel patterns of 14,816,521 subscribers across Kenya and compare these measures to (1) estimated travel times to health facilities and (2) data on the uptake of 2 preventive healthcare interventions in an area of western Kenya: childhood immunizations and antenatal care. We document that long travel times to health facilities are strongly correlated with increased mobility in geographically isolated areas. Furthermore, we found that in areas with equal physical access to healthcare, mobile phone-derived measures of mobility predict which regions are lacking preventive care. Routinely collected mobile phone data provide a simple and low-cost approach to mapping the uptake of preventive healthcare in low-income settings.

Survey on paediatric tumour boards in Europe: current situation and results from the ExPo-r-Net project.

PubMed

Juan Ribelles, A; Berlanga, P; Schreier, G; Nitzlnader, M; Brunmair, B; Castel, V; Essiaf, S; Cañete, A; Ladenstein, R

2018-01-08

Under the ExPO-r-NeT project (European Expert Paediatric Oncology Reference Network for Diagnostics and Treatment), we aimed to identify paediatric oncology tumour boards in Europe to investigate the kind of technologies and logistics that are in place in different countries and to explore current differences between regions. A 20-question survey regarding several features of tumor boards was designed. Data collected included infrastructure, organization, and clinical decision-making information from the centres. The survey was distributed to the National Paediatric Haematology and Oncology Societies that forwarded the survey to the sites. For comparative analysis, respondents were grouped into four geographical regions. The questionnaire was distributed amongst 30 countries. Response was obtained from 23 (77%) that altogether have 212 paediatric oncology treating centres. A total of 121 institutions answered (57%). Ninety-one percent of the centres hold multidisciplinary boards; however, international second consultations are performed in 36% and only 15% participate on virtual tumor boards. Videoconferencing facilities and standard operational procedures (SOPs) are available in 49 and 43% of the centres, respectively. There were statistically significant differences between European regions concerning meeting infrastructure and organization/logistics: specific room, projecting equipment, access to medical records, videoconferencing facilities, and existence of SOPs. Paediatric tumor boards are a common feature in Europe. To reduce inequalities and have equal access to healthcare, a virtual network is needed. Important differences on the functioning and access to technology between regions in Europe have been observed and need to be addressed.

One and done? Equality of opportunity and repeated access to scarce, indivisible medical resources

PubMed Central

2012-01-01

Background Existing ethical guidelines recommend that, all else equal, past receipt of a medical resource (e.g. a scarce organ) should not be considered in current allocation decisions (e.g. a repeat transplantation). Discussion One stated reason for this ethical consensus is that formal theories of ethics and justice do not persuasively accept or reject repeated access to the same medical resources. Another is that restricting attention to past receipt of a particular medical resource seems arbitrary: why couldn’t one just as well, it is argued, consider receipt of other goods such as income or education? In consequence, simple allocation by lottery or first-come-first-served without consideration of any past receipt is thought to best afford equal opportunity, conditional on equal medical need. There are three issues with this view that need to be addressed. First, public views and patient preferences are less ambiguous than formal theories of ethics. Empirical work shows strong preferences for fairness in health care that have not been taken into account: repeated access to resources has been perceived as unfair. Second, while difficult to consider receipt of many other prior resources including non-medical resources, this should not be used a motive for ignoring the receipt of any and all goods including the focal resource in question. Third, when all claimants to a scarce resource are equally deserving, then use of random allocation seems warranted. However, the converse is not true: mere use of a randomizer does not by itself make the merits of all claimants equal. Summary My conclusion is that not ignoring prior receipt of the same medical resource, and prioritizing those who have not previously had access to the medical resource in question, may be perceived as fairer and more equitable by society. PMID:22624597

One and done? Equality of opportunity and repeated access to scarce, indivisible medical resources.

PubMed

Huesch, Marco D

2012-05-24

Existing ethical guidelines recommend that, all else equal, past receipt of a medical resource (e.g. a scarce organ) should not be considered in current allocation decisions (e.g. a repeat transplantation). One stated reason for this ethical consensus is that formal theories of ethics and justice do not persuasively accept or reject repeated access to the same medical resources. Another is that restricting attention to past receipt of a particular medical resource seems arbitrary: why couldn't one just as well, it is argued, consider receipt of other goods such as income or education? In consequence, simple allocation by lottery or first-come-first-served without consideration of any past receipt is thought to best afford equal opportunity, conditional on equal medical need.There are three issues with this view that need to be addressed. First, public views and patient preferences are less ambiguous than formal theories of ethics. Empirical work shows strong preferences for fairness in health care that have not been taken into account: repeated access to resources has been perceived as unfair. Second, while difficult to consider receipt of many other prior resources including non-medical resources, this should not be used a motive for ignoring the receipt of any and all goods including the focal resource in question. Third, when all claimants to a scarce resource are equally deserving, then use of random allocation seems warranted. However, the converse is not true: mere use of a randomizer does not by itself make the merits of all claimants equal. My conclusion is that not ignoring prior receipt of the same medical resource, and prioritizing those who have not previously had access to the medical resource in question, may be perceived as fairer and more equitable by society.

Equity Implications for Mathematics Learning Outcomes

ERIC Educational Resources Information Center

Reznichenko, Nataliya

2013-01-01

The call for "mathematics for all" reaffirms the belief that all students should have equal access, equal educational experiences, and equal educational outcomes. Existing gap in students' mathematics achievement have long been coupled with the demographic categories of race and ethnicity, culture and language, SES and social class,…

3 CFR - Coordination of Policies and Programs To Promote Gender Equality and Empower Women and Girls...

Code of Federal Regulations, 2014 CFR

2014-01-01

..., are free from violence, and have equal access to education, economic opportunity, and health care... Equality and Female Empowerment Policy. The Millennium Challenge Corporation issued Gender Integration..., Defense, Justice, Agriculture, Commerce, Labor, Health and Human Services, Education, and Homeland...

Transgender social inclusion and equality: a pivotal path to development

PubMed Central

Divan, Vivek; Cortez, Clifton; Smelyanskaya, Marina; Keatley, JoAnne

2016-01-01

Introduction The rights of trans people are protected by a range of international and regional mechanisms. Yet, punitive national laws, policies and practices targeting transgender people, including complex procedures for changing identification documents, strip transgender people of their rights and limit access to justice. This results in gross violations of human rights on the part of state perpetrators and society at large. Transgender people's experience globally is that of extreme social exclusion that translates into increased vulnerability to HIV, other diseases, including mental health conditions, limited access to education and employment, and loss of opportunities for economic and social advancement. In addition, hatred and aggression towards a group of individuals who do not conform to social norms around gender manifest in frequent episodes of extreme violence towards transgender people. This violence often goes unpunished. Discussion The United Nations Development Programme (UNDP) views its work in the area of HIV through the lens of human rights and advances a range of development solutions such as poverty reduction, improved governance, active citizenship, and access to justice. This work directly relates to advancing the rights of transgender people. This manuscript lays out the various aspects of health, human rights, and development that frame transgender people's issues and outlines best practice solutions from transgender communities and governments around the globe on how to address these complex concerns. The examples provided in the manuscript can help guide UN agencies, governments, and transgender activists in achieving better standards of health, access to justice, and social inclusion for transgender communities everywhere. Conclusions The manuscript provides a call to action for countries to urgently address the violations of human rights of transgender people in order to honour international obligations, stem HIV epidemics, promote gender equality, strengthen social and economic development, and put a stop to untrammelled violence. PMID:27431473

Transgender social inclusion and equality: a pivotal path to development.

PubMed

Divan, Vivek; Cortez, Clifton; Smelyanskaya, Marina; Keatley, JoAnne

2016-01-01

The rights of trans people are protected by a range of international and regional mechanisms. Yet, punitive national laws, policies and practices targeting transgender people, including complex procedures for changing identification documents, strip transgender people of their rights and limit access to justice. This results in gross violations of human rights on the part of state perpetrators and society at large. Transgender people's experience globally is that of extreme social exclusion that translates into increased vulnerability to HIV, other diseases, including mental health conditions, limited access to education and employment, and loss of opportunities for economic and social advancement. In addition, hatred and aggression towards a group of individuals who do not conform to social norms around gender manifest in frequent episodes of extreme violence towards transgender people. This violence often goes unpunished. The United Nations Development Programme (UNDP) views its work in the area of HIV through the lens of human rights and advances a range of development solutions such as poverty reduction, improved governance, active citizenship, and access to justice. This work directly relates to advancing the rights of transgender people. This manuscript lays out the various aspects of health, human rights, and development that frame transgender people's issues and outlines best practice solutions from transgender communities and governments around the globe on how to address these complex concerns. The examples provided in the manuscript can help guide UN agencies, governments, and transgender activists in achieving better standards of health, access to justice, and social inclusion for transgender communities everywhere. The manuscript provides a call to action for countries to urgently address the violations of human rights of transgender people in order to honour international obligations, stem HIV epidemics, promote gender equality, strengthen social and economic development, and put a stop to untrammelled violence.

[Gender, equality, and health services access: an empirical approximation].

PubMed

Gómez Gómez, Elsa

2002-01-01

This piece describes the conceptual framework and the objectives that guided a research initiative in the Region of the Americas that was called "Gender, Equity, and Access to Health Services" and that was sponsored in 2001 by the Pan American Health Organization. The piece does not summarize the results of the six projects that were carried under the initiative, whose analyses have not all been completed. Instead, the piece discusses some of the foundations of the initiative and provides a general introduction to the country studies that were done. The six studies were done in Barbados/Jamaica, Brazil, Chile, Colombia, Ecuador, and Peru. The primary objective of the initiative was to stimulate the use of existing quantitative information in the countries, with the goal of starting a process of systematically documenting two things: 1) the unfair, unnecessary, and avoidable inequalities between men and women in their access to health care and 2) the linkages between those inequalities and other socioeconomic factors. The concept of gender equity that guided this examination of health care was not the usual one calling for the equal distribution of resources. Rather, it was the notion that resources should be allocated differentially, according to the particular needs of men and of women, and that persons should pay for health services according to their economic ability rather than their risk level. The starting point for the initiative was the premise that gender inequities in utilizing and paying for health care result from gender differences in the macroeconomic and microeconomic distribution of resources. The piece concludes that achieving equity in health care access will require a better understanding of the gender needs and gender barriers that are linked to social structures and health systems.

Financing strategies to improve essential public health equalization and its effects in China.

PubMed

Yang, Li; Sun, Li; Wen, Liankui; Zhang, Huyang; Li, Chenyang; Hanson, Kara; Fang, Hai

2016-12-01

In 2009, China launched a health reform to promote the equalization of national essential public health services package (NEPHSP). The present study aimed to describe the financing strategies and mechanisms to improve access to public health for all, identify the strengths and weaknesses of the different approaches, and showed evidence on equity improvement among different regions. We reviewed the relevant literatures and identified 208 articles after screening and quality assessment and conducted six key informants' interviews. Secondary data on national and local government health expenditures, NEPHSP coverage and health indicators in 2003-2014 were collected, descriptive and equity analyses were used. Before 2009, the government subsidy to primary care institutions (PCIs) were mainly used for basic construction and a small part of personnel expenses. Since 2009, the new funds for NEPHSP have significantly expanded service coverage and population coverage. These funds have been allocated by central, provincial, municipal and county governments at different proportions in China's tax distribution system. Due to the fiscal transfer payment, the Central Government allocated more subsides to less-developed western regions and all the funds were managed in a specific account. Several types of payment methods have been adopted including capitation, pay for performance (P4P), pay for service items, global budget and public health voucher, to address issues from both the supply and demand sides. The equalization of NEPHSP did well through the establishment of health records, systematic care of children and maternal women, etc. Our data showed that the gap between the eastern, central and western regions narrowed. However the coverage for migrants was still low and performance was needed improving in effectiveness of managing patients with chronic diseases. The delivery of essential public health services was highly influenced by public fiscal policy, and the implementation of health reform since 2009 has led the public health development towards the right direction. However China still needs to increase the fiscal investments to expand service coverage as well as promote the quality of public health services and equality among regions. Independent scientific monitoring and evaluation are also needed.

Predicting enhancer activity and variant impact using gkm-SVM.

PubMed

Beer, Michael A

2017-09-01

We participated in the Critical Assessment of Genome Interpretation eQTL challenge to further test computational models of regulatory variant impact and their association with human disease. Our prediction model is based on a discriminative gapped-kmer SVM (gkm-SVM) trained on genome-wide chromatin accessibility data in the cell type of interest. The comparisons with massively parallel reporter assays (MPRA) in lymphoblasts show that gkm-SVM is among the most accurate prediction models even though all other models used the MPRA data for model training, and gkm-SVM did not. In addition, we compare gkm-SVM with other MPRA datasets and show that gkm-SVM is a reliable predictor of expression and that deltaSVM is a reliable predictor of variant impact in K562 cells and mouse retina. We further show that DHS (DNase-I hypersensitive sites) and ATAC-seq (assay for transposase-accessible chromatin using sequencing) data are equally predictive substrates for training gkm-SVM, and that DHS regions flanked by H3K27Ac and H3K4me1 marks are more predictive than DHS regions alone. © 2017 Wiley Periodicals, Inc.

[Multidisciplinary health houses and regional development: a necessarily shared dyanamics.].

PubMed

Autès, Michel; Dufay, Marie-Guite

2009-03-29

Many regional authorities (Conseils Régionaux) have taken up the issue of health houses by underlining their competence in dealing with regional development issues. This initiative is part of a broader process designed to ensure the continuity of healthcare at the different levels of provision as well as equal, universal access according to the specific needs of patients, from prevention to the most specialized forms of medical treatment. Health houses are one of the chief access points in this process, and are situated at the cross-roads of health and healthcare. The territorial health project must provide the fondations of the new health house model. According to the Health Committee of the Association of French Regions (Commission Santé de l'Association des Régions de France), there are three prerequisites: 1. a multidisciplinary offer of access to front-line healthcare services; 2. public healthcare activities: prevention, promotion of health...; 3. a network mode of organization with the local and regional hospital system to ensure optimum healthcare provision for patients. Yet a number of obstacles need to be overcome, particularly the risk of concentrating healthcare provision within a single center, thus depriving the surrounding area, but also the ill-adapted current framework of remuneration for independent medical practitioners. The purpose of regional authorities (i.e. Conseils Régionaux) is not to ensure the expansion of health houses, but rather to enable innovation by accompanying the different actors involved within the sector. Heeding the specific requirements of the local area and its needs, as well as the will of elected representatives and healthcare professionals, their aim is to develop a policy of exemplarity with all the actors involved in the sector and to uphold their legitimacy as agents of regional development. The ?Hospital, patients, health and territories' law (loi "Hôpital, patients, santé et territoires") may yet throw the entire process into question.

29 CFR 33.11 - Communications.

Code of Federal Regulations, 2010 CFR

2010-07-01

... beneficiaries by telephone, telecommunications devices for deaf persons (TDDs), or equally effective... about accessible facilities. The international symbol for accessibility shall be used at each primary...

The "Acute coronary syndromes: consensus recommendations for translating knowledge into action" position statement is based on a false premise.

PubMed

Forge, Brett H

2010-06-21

Recent National Heart Foundation of Australia (NHFA) guidelines for management of acute coronary syndromes (ACS) recommend increasing the rates of early invasive management of ACS and providing equal access for all Australians to percutaneous coronary intervention (PCI) facilities. For patients with ACS managed in regional hospitals without PCI facilities, review of the evidence does not show unequivocal benefit of early routine PCI over selective PCI for patients with non-ST-segment-elevation ACS or ST-elevation myocardial infarction. The current pattern of transfer based on the NHFA guidelines is expensive and disruptive of patient care, as well as undermining regional health care services. Further increase in transfer rates and increases in PCI facilities would divert resources away from supporting the regional infrastructure needed to provide evidence-based therapies, without any evidence that lives would be saved.

Access to Effective Teaching for Disadvantaged Students. NCEE 2014-4001

ERIC Educational Resources Information Center

Isenberg, Eric; Max, Jeffrey; Gleason, Philip; Potamites, Liz; Santillano, Robert; Hock, Heinrich; Hansen, Michael

2013-01-01

Recent federal initiatives emphasize measuring teacher effectiveness and ensuring that disadvantaged students have equal access to effective teachers. This study substantially broadens the existing evidence on access to effective teaching by examining access in 29 geographically dispersed school districts over the 2008-2009 to 2010-2011 school…

77 FR 18814 - Emergency Access Advisory Committee; Announcement of Date of Next Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-28

... Communications and Video Accessibility Act (CVAA), Public Law 11-260, for the purpose of achieving equal access... those effective and efficient technologies and methods. Public Law 111-260 Sec. 106(c). During the... FEDERAL COMMUNICATIONS COMMISSION [DA 12-406] Emergency Access Advisory Committee; Announcement of...

The Effects of Implementing Web Accessibility Standards on the Success of Secondary Adolescents

ERIC Educational Resources Information Center

Savi, Christine Opitz; Savenye, Wilhelmina; Rowland, Cynthia

2008-01-01

Web accessibility has become a paramount concern in providing equal access to audiences of all abilities. Unless web accessibility is supported and employed, the internet does not deliver worldwide access as it was intended. This study engaged 60 students in a secondary school setting in order to identify the navigational effectiveness and…

Not All Lexical Access Tasks Are Created Equal: Lexical Development between Three and Five

ERIC Educational Resources Information Center

Isacoff, Nora M.; Stromswold, Karin

2014-01-01

Lexical access tasks are designed to measure efficiency of lexical access, but task demands and methods vary greatly. Many lexical access tasks do not account for confounding factors including competence in other linguistic abilities. In this study, preschoolers were given two lexical access tasks. In the single-category naming (SCN) task,…

Brown v. Board of Education: The Challenge for Today's Schools.

ERIC Educational Resources Information Center

Lagemann, Ellen Condliffe, Ed.; Miller, Lamar P., Ed.

The 1954 Supreme Court decision in the case of "Brown v. Board of Education of Topeka, Kansas" provided the legal basis for equal educational opportunity. More than 40 years after the decision, equal opportunity, equal access, and affirmative action remain issues of intense debate. This book offers essays by 23 prominent voices in…

The Education Equality Initiative and the Citizen Learner

ERIC Educational Resources Information Center

Shannon, Denise

2005-01-01

The Education Equality Initiative (EEI) has been established by the Department of Education and Science in an attempt to address educational disadvantage through the strategic allocation of funding to promote equality of access, treatment and outcomes within a lifelong learning framework for individuals and groups. The aim of this initiative is to…

5 CFR 1850.160 - Communications.

Code of Federal Regulations, 2010 CFR

2010-01-01

... applicants and beneficiaries by telephone, telecommunication devices for deaf persons (TDD's) or equally... international symbol for accessibility shall be used at each primary entrance of an accessible facility. (d...

Using GIS for Developing Sustainable Urban Growth Case Kyrenia Region

NASA Astrophysics Data System (ADS)

Kara, C.; Akçit, N.

2018-03-01

It is critical to develop urban layers for analysis sustainable urban development possibilities within planning process. Kyrenia Region has many physical, environmental or economic issues that may danger the growth possibilities in sustainable manner. From this point, this study uses different spatial layers such as slope, distance to roads, distance to central zone, vegetation, soil productivity, environmental protection zones, distance to open/green space, distance to education for supporting sustainable urban growth policies and define suitable areas for urban development within this perspective. The study tries to convert sustainable urban growth policies such as; compact growth, environmental protection, equal accessibility to basic services; into spatial layers and establish proper framework for multi criteria evaluation in Kyrenia Region within using geographical information systems. It shows suitability values for Kyrenia region and constraints zones at final section. It clearly presents the suitable areas for the sustainable urbanization and also unsuitable or risky areas for reducing the possible disasters and may happen in the future.

Race does not predict the development of metastases in men with nonmetastatic castration-resistant prostate cancer.

PubMed

Whitney, Colette A; Howard, Lauren E; Amling, Christopher L; Aronson, William J; Cooperberg, Matthew R; Kane, Christopher J; Terris, Martha K; Freedland, Stephen J

2016-12-15

Although race is associated with prostate cancer progression in early stage disease, once men have advanced disease, it is unclear whether race continues to predict a poor outcome. The authors hypothesized that, in an equal-access setting among patients with castration-resistant prostate cancer (CRPC) and no known metastases (M0/Mx), black men would receive imaging tests at similar rates as nonblack men (ie, there would be an equal opportunity to detect metastases) but would have a higher risk of metastatic disease. In total, 837 men who were diagnosed with M0/Mx CRPC during 2000 through 2014 from 5 Veterans Affairs hospitals in the SEARCH (Shared Equal Access Regional Cancer Hospital) database were analyzed. Data on all imaging tests after CRPC diagnosis were collected, including date, type, and outcome. Multivariable Cox models were used to test associations between race and the time to first metastasis, first bone metastasis, first bone scan, second bone scan among men who had a negative first bone scan, and overall survival. Black men (n = 306) were equally as likely as nonblack men (n = 531) to receive a first and second bone scan after a diagnosis of CRPC. There were no significant differences in the risk of developing any metastases, bone metastases, time to bone scans, or overall survival between black men and nonblack men (all P > .2). The lack of racial differences in the development of metastases and scanning practices observed in this study suggests that, once men have a diagnosis of M0/Mx CRPC, race may not be a prognostic factor. Efforts to understand prostate cancer racial disparities may derive greater benefit by focusing on the risk of developing prostate cancer and on the outcomes of men who have early stage disease. Cancer 2016;122:3848-3855. © 2016 American Cancer Society. © 2016 American Cancer Society.

Area beam equalization: optimization and performance of an automated prototype system for chest radiography.

PubMed

Xu, Tong; Shikhaliev, Polad M; Berenji, Gholam R; Tehranzadeh, Jamshid; Saremi, Farhood; Molloi, Sabee

2004-04-01

To evaluate the feasibility and performance of an x-ray beam equalization system for chest radiography using anthropomorphic phantoms. Area beam equalization involves the process of the initial unequalized image acquisition, attenuator thickness calculation, mask generation using a 16 x 16 piston array, and final equalized image acquisition. Chest radiographs of three different anthropomorphic phantoms were acquired with no beam equalization and equalization levels of 4.8, 11.3, and 21. Six radiologists evaluated the images by scoring them from 1-5 using 13 different criteria. The dose was calculated using the known attenuator material thickness and the mAs of the x-ray tube. The visibility of anatomic structures in the under-penetrated regions of the chest radiographs was shown to be significantly (P < .01) improved after beam equalization. An equalization level of 4.8 provided most of the improvements with moderate increases in patient dose and tube loading. Higher levels of beam equalization did not show much improvement in the visibility of anatomic structures in the under-penetrated regions. A moderate level of x-ray beam equalization in chest radiography is superior to both conventional radiographs and radiographs with high levels of beam equalization. X-ray beam equalization can significantly improve the visibility of anatomic structures in the under-penetrated regions while maintaining good image quality in the lung region.

Racial variation in tumor stage at diagnosis among Department of Defense beneficiaries.

PubMed

Enewold, Lindsey; Zhou, Jing; McGlynn, Katherine A; Devesa, Susan S; Shriver, Craig D; Potter, John F; Zahm, Shelia H; Zhu, Kangmin

2012-03-01

Tumor stage at diagnosis often varies by racial/ethnic group, possibly because of inequitable health care access. Within the Department of Defense (DoD) Military Health System, beneficiaries have equal health care access. The objective of this study was to determine whether tumor stage differed between whites and blacks with breast, cervical, colorectal, and prostate cancers, which have effective screening regimens, based on data from the DoD Automated Cancer Tumor Registry from 1990 to 2003. Distributions of tumor stage (localized vs nonlocalized) between whites and blacks in the military were compared stratified by sex, active duty status, and age at diagnosis. Logistic regression was used to further adjust for age, marital status, year of diagnosis, geographic region, military service branch, and tumor grade. Distributions of tumor stage were then compared between the military and general populations. Racial differences in the distribution of stage were significant only among nonactive duty beneficiaries. After adjusting for covariates, earlier stages of breast cancer after age 49 years and prostate cancer after age 64 years were significantly more common among white than black nonactive duty beneficiaries (P < .05), although the absolute difference was minimal for prostate cancer. Racial differences in stage for cervical and colorectal cancers were not significant after adjustment. Compared with the general population, racial differences in the military were similar or were slightly attenuated. Racial disparities in stage at diagnosis were apparent in the DoD equal-access health care system among older nonactive duty beneficiaries. Socioeconomic status, supplemental insurance, cultural beliefs, and biologic factors may be related to these results. Copyright © 2011 American Cancer Society.

A Scorecard on Gender Equality and Girls' Education in Asia, 1990-2000. Advocacy Brief

ERIC Educational Resources Information Center

Unterhalter, Elaine; Rajagopalan, Rajee; Challender, Chloe

2005-01-01

Background: Existing measures for access to and efficiency in the school system are very limited as measures of gender equality, even though there have been marked improvements in sex-disaggregated data. A methodology for developing a scorecard which measures gender equality in schooling and education partly based on Amartya Sen's capability…

A Model Policy Statement and Guidelines for Implementation: Equal Treatment of Students.

ERIC Educational Resources Information Center

Education Commission of the States, Denver, CO.

This booklet offers a model policy statement that schools shall provide equal educational opportunities to all students regardless of sex. It includes stipulations and guidelines to achieve equal access in all areas of education. The following areas are considered: (1) Course offerings: every course shall be open to all students and schools should…

Accessible Information for Equally-Distant Partially-Entangled Alphabet State Resource

NASA Astrophysics Data System (ADS)

Hao, San-Ru; Hou, Bo-Yu; Xi, Xiao-Qiang; Yue, Rui-Hong

2002-02-01

We have proposed a quantum system with equally-distant partially-entangled alphabet states which has the minimal mutual overlap and the highly distinguishability, these quantum states are used as the "signal states" of the quantum communication. We have also constructed the positive operator-valued measure for these "signal states" and discussed their entanglement properties and measurement of entanglement. We calculate the accessible information for these alphabet states and show that the accessible information is closely related to the entanglement of the "signal states": the higher the entanglement of the "signal states", the better the accessible information of the quantum system, and the accessible information reaches its maximal value when the alphabet states have their maximal entanglement. The project supported in part by Foundation of the Science and Technology Committee of China, and Foundation of the Science and Technology Committee of Hunan Province of China under the contract FSTCH-21000205

The Arabidopsis thaliana mobilome and its impact at the species level.

PubMed

Quadrana, Leandro; Bortolini Silveira, Amanda; Mayhew, George F; LeBlanc, Chantal; Martienssen, Robert A; Jeddeloh, Jeffrey A; Colot, Vincent

2016-06-03

Transposable elements (TEs) are powerful motors of genome evolution yet a comprehensive assessment of recent transposition activity at the species level is lacking for most organisms. Here, using genome sequencing data for 211 Arabidopsis thaliana accessions taken from across the globe, we identify thousands of recent transposition events involving half of the 326 TE families annotated in this plant species. We further show that the composition and activity of the 'mobilome' vary extensively between accessions in relation to climate and genetic factors. Moreover, TEs insert equally throughout the genome and are rapidly purged by natural selection from gene-rich regions because they frequently affect genes, in multiple ways. Remarkably, loci controlling adaptive responses to the environment are the most frequent transposition targets observed. These findings demonstrate the pervasive, species-wide impact that a rich mobilome can have and the importance of transposition as a recurrent generator of large-effect alleles.

Equality and Excellence in Higher Education--Is It Possible?

ERIC Educational Resources Information Center

Guri, Sarah

1986-01-01

The underlying philosophy of Everyman's University, Israel's open university, is to maintain educational excellence while providing equal educational opportunity to large segments of the population through free access and a flexible program of distance education. (MSE)

Quality and Equality in Education.

ERIC Educational Resources Information Center

Hanford, George H.

1984-01-01

College Board programs and publications aimed at increasing access to higher education while helping maintain and enhance educational quality are discussed, including the Educational Equality Project on college preparation, Advanced Placement, College-Level Exaination Program, and Options for Excellence. (MSE)

Accessibility Considerations for Hybrid Courses

ERIC Educational Resources Information Center

Behling, Kirsten

2017-01-01

This chapter explores the central questions and issues that faculty and administrators need to consider when designing and implementing hybrid courses to ensure that all students, including those with disabilities, have equal access. The author offers resources on faculty development programs, accessibility checklists, and online resources on…

49 CFR 28.160 - Communications.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., telecommunications devices for deaf persons (TDDs) or equally effective telecommunication systems, shall be used to... accessibility shall be used at each primary entrance of an accessible facility. (d) This section does not...

32 CFR 216.3 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

...’ secured its access * * * We do not think that the military recruiter has received equal 'access' [when a... institution of higher education is a discrete (although not necessarily autonomous) organizational entity that...

Gender equality and childbirth in a health facility: Nigeria and MDG5.

PubMed

Singh, Kavita; Bloom, Shelah; Haney, Erica; Olorunsaiye, Comfort; Brodish, Paul

2012-09-01

This paper examined how addressing gender equality can lead to reductions in maternal mortality in Nigeria through an increased use of facility delivery. Because the majority of maternal complications cannot be predicted and often arise suddenly during labor, delivery and the immediate postpartum period, childbirth in a health facility is key to reducing maternal mortality. This paper used data from the 2008 Nigeria Demographic and Health Survey (DHS) to examine associations of gender measures on the utilization of facility delivery after controlling for socio-demographic factors. Four gender equality measures were studied: household decision-making, financial decision-making, attitudes towards wife beating, and attitudes regarding a wife's ability to refuse sex. Results found older, more educated, wealthier, urban, and working women were more likely to have a facility delivery than their counterparts. In addition ethnicity was a significant variable indicating the importance of cultural and regional diversity. Notably, after controlling for the socioeconomic variables, two of the gender equality variables were significant: household decision-making and attitudes regarding a wife's ability to refuse sex. In resource-poor settings such as Nigeria, women with more decision-making autonomy are likely better able to advocate for and access a health facility for childbirth. Thus programs and policies that focus on gender in addition to focusing on education and poverty have the potential to reduce maternal mortality even further.

Does equality legislation reduce intergroup differences? Religious affiliation, socio-economic status and mortality in Scotland and Northern Ireland: A cohort study of 400,000 people.

PubMed

Wright, David M; Rosato, Michael; Raab, Gillian; Dibben, Chris; Boyle, Paul; O'Reilly, Dermot

2017-05-01

Religion frequently indicates membership of socio-ethnic groups with distinct health behaviours and mortality risk. Determining the extent to which interactions between groups contribute to variation in mortality is often challenging. We compared socio-economic status (SES) and mortality rates of Protestants and Catholics in Scotland and Northern Ireland, regions in which interactions between groups are profoundly different. Crucially, strong equality legislation has been in place for much longer and Catholics form a larger minority in Northern Ireland. Drawing linked Census returns and mortality records of 404,703 people from the Scottish and Northern Ireland Longitudinal Studies, we used Poisson regression to compare religious groups, estimating mortality rates and incidence rate ratios. We fitted age-adjusted and fully adjusted (for education, housing tenure, car access and social class) models. Catholics had lower SES than Protestants in both countries; the differential was larger in Scotland for education, housing tenure and car access but not social class. In Scotland, Catholics had increased age-adjusted mortality risk relative to Protestants but variation among groups was attenuated following adjustment for SES. Those reporting no religious affiliation were at similar mortality risk to Protestants. In Northern Ireland, there was no mortality differential between Catholics and Protestants either before or after adjustment. Men reporting no religious affiliation were at increased mortality risk but this differential was not evident among women. In Scotland, Catholics remained at greater socio-economic disadvantage relative to Protestants than in Northern Ireland and were also at a mortality disadvantage. This may be due to a lack of explicit equality legislation that has decreased inequality by religion in Northern Ireland during recent decades. Copyright © 2017 Elsevier Ltd. All rights reserved.

24 CFR 40.7 - Availability of Accessibility Standards.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Standards. 40.7 Section 40.7 Housing and Urban Development Office of the Secretary, Department of Housing... OWNED RESIDENTIAL STRUCTURES § 40.7 Availability of Accessibility Standards. Copies of the Uniform Federal Accessibility Standards are available from the Office of Fair Housing and Equal Opportunity, U.S...

Assessing State Performance in Equalizing Access to Educational Resources: The Case of Rhode Island (1992-1996).

ERIC Educational Resources Information Center

Fastrup, Jerry C.

2002-01-01

Uses a foundation-equalizing model to develop a number of indicators measuring the extent to which states utilize the full range of equalization tools at its disposal. Illustrates the utility of these indicators through an evaluation of the school finance reform instituted by Rhode Island between 1992 and 1996. (Contains 25 references.)…

Homonormativity, Charternormativity, and Processes of Legitimation: Exploring the Affective-Spatio-Temporal-Fixed Dimensions of Marriage Equality and Charter Schools

ERIC Educational Resources Information Center

Stern, Mark

2015-01-01

Over the past five years, marriage equality and charter schools have emerged at the forefront of political conversations about equality and rights. Some argue that these policies extend access to certain benefits and opportunities to historically oppressed communities, thus furthering liberalism and egalitarianism. In this article, I engage these…

The Need for Direct High-Energy Cosmic-Ray Measurements

NASA Technical Reports Server (NTRS)

Jones, Frank C.; Streitmatter, Robert

2004-01-01

Measuring the chemical composition of the cosmic rays in the energy region of greater than or equal to 10(exp 12)eV would be highly useful in settling several nagging questions concerning the propagation of cosmic rays in the galaxy. In particular an accurate measurement of secondary to primary ratios such as Boron to Carbon would gibe clear evidence as to whether the propagation of cosmic rays is determined by a diffusion coefficient that varies with the particle's energy as E(sup 0.5) or E(sup 0.3). This would go a long ways in helping us to understand the anistropy (or lack thereof) of the highest energy cosmic rays and the power requirements for producing those particles at approximately equal to 10(exp 18) eV which are believed to be highest energy particles produced in the Galaxy. This would be only one of the benefits of a mission such as ACCESS to perform direct particle measurements on very high energy cosmic rays.

Access to Effective Teaching for Disadvantaged Students: Executive Summary. NCEE 2014-4002

ERIC Educational Resources Information Center

Isenberg, Eric; Max, Jeffrey; Gleason, Philip; Potamites, Liz; Santillano, Robert; Hock, Heinrich; Hansen, Michael

2013-01-01

This report describes disadvantaged students' access to effective teaching in grades 4 through 8 in 29 diverse school districts, using value-added analysis to measure effective teaching. Recent federal initiatives emphasize measuring teacher effectiveness and ensuring that disadvantaged students have equal access to effective teachers. These…

77 FR 45471 - White House Initiative on Educational Excellence for African Americans

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-01

... safe and healthy environments, and have access to high-level, rigorous course work and support services...-rounded education in safe and healthy environments, as well as access to support services, which will... system. African Americans lack equal access to highly effective teachers and principals, safe schools...

The Need for Federal Legislation and Regulation Prohibiting Telecommunications and Information Services Discrimination

ERIC Educational Resources Information Center

Strauss, Karen Peltz

2006-01-01

This paper explores the need to adopt legislative and regulatory safeguards to guarantee equal access by people with disabilities to evolving high speed broadband, wireless and Internet-based technologies. Recommendations include: (1) Communications Access--FCC or Congress: Extend the telecommunications accessibility requirements of Section 255 of…

What does equity in health mean?

PubMed

Mooney, G

1987-01-01

The author posits some ethical concerns and theories of distribution in order to gain some insight into the meaning of equity in health, as referred to in WHO documents. It is pointed out that the lack of clarity in the WHO positions is evidenced by examining 1) the European strategy document, which focuses on giving equal health to all and equity access to health care, and 2) the Global Strategy for Health, which talks about reducing inequality and health as a human right. The question raised in document 1 is whether more equal sharing of health might mean less health for the available quantity of resources. The question raised in document 2 is whether there is a right to health per se. The question is how does one measure health policy effects. Health effects are different for an 8-year-old girl and an octogenarian. How does one measure the fairness of access to health care in remote mountain villages versus an urban area? Is equal utilization which is more easily measured comparable to equal need as a measure? How does one distribute doctors equitably? The author espouses the determinant of health as Aday's illness and health promotion, which is not biased by class and controversy. The Aday definition embraces both demand and need, although his definition is still open to question. Concepts of health with distinction between need and demand are made. Theories of Veatch which relate to distributive justice and equity in health care are provided as entitlement theory (market forces determine allocation of resources), utilitarianism (greatest good for the greatest number regardless of redistribution issues), maximum theory (maximize the minimum position or giver priority to the least well off), and equality (fairness in distribution). Different organizational and financing structures will influence the approach to equity. The conclusion is that equity is a value laden concept which has no uniquely correct definition. 5 theories of equity in distribution of health resources are discussed: 1) a theory of maximum (Rawl's theory modified to include health care institutions providing opportunity as the social good), 2) altruism as a basis for equity (Titmuss' Kantian view of national responsibility to provide equitable service delivery altruistically or equal access), 3) a fair share theory of distribution (Margolis' process utility theory of doing one's fair share or equality of access for equal need, 4) commitment to equity (Sen's focus on sympathy and commitment to another's ill health status and access), and 5) equity as externality (Culyer's health care consumption where government determines the merit good or extent of consumption). If policy objectives are not clear and the definitions muddy, resources may be badly wasted or misdirected and the pursuit of equity unfulfilled, even though there is agreement in principle.

Sickness absence in gender-equal companies: a register study at organizational level.

PubMed

Sörlin, Ann; Ohman, Ann; Lindholm, Lars

2011-07-11

The differences in sickness absence between men and women in Sweden have attracted a great deal of interest nationally in the media and among policymakers over a long period. The fact that women have much higher levels of sickness absence has been explained in various ways. These explanations are contextual and one of the theories points to the lack of gender equality as an explanation. In this study, we evaluate the impact of gender equality on health at organizational level. Gender equality is measured by an index ranking companies at organizational level; health is measured as days on sickness benefit. Gender equality was measured using the Organizational Gender Gap Index or OGGI, which is constructed on the basis of six variables accessible in Swedish official registers. Each variable corresponds to a key word illustrating the interim objectives of the "National Plan for Gender Equality", implemented by the Swedish Parliament in 2006. Health is measured by a variable, days on sickness benefit, also accessible in the same registers. We found significant associations between company gender equality and days on sickness benefit. In gender-equal companies, the risk for days on sickness benefit was 1.7 (95% CI 1.6-1.8) higher than in gender-unequal companies. The differences were greater for men than for women: OR 1.8 (95% CI 1.7-2.0) compared to OR 1.4 (95% CI 1.3-1.5). Even though employees at gender-equal companies had more days on sickness benefit, the differences between men and women in this measure were smaller in gender-equal companies. Gender equality appears to alter health patterns, converging the differences between men and women.

Sickness absence in gender-equal companies A register study at organizational level

PubMed Central

2011-01-01

Background The differences in sickness absence between men and women in Sweden have attracted a great deal of interest nationally in the media and among policymakers over a long period. The fact that women have much higher levels of sickness absence has been explained in various ways. These explanations are contextual and one of the theories points to the lack of gender equality as an explanation. In this study, we evaluate the impact of gender equality on health at organizational level. Gender equality is measured by an index ranking companies at organizational level; health is measured as days on sickness benefit. Methods Gender equality was measured using the Organizational Gender Gap Index or OGGI, which is constructed on the basis of six variables accessible in Swedish official registers. Each variable corresponds to a key word illustrating the interim objectives of the "National Plan for Gender Equality", implemented by the Swedish Parliament in 2006. Health is measured by a variable, days on sickness benefit, also accessible in the same registers. Results We found significant associations between company gender equality and days on sickness benefit. In gender-equal companies, the risk for days on sickness benefit was 1.7 (95% CI 1.6-1.8) higher than in gender-unequal companies. The differences were greater for men than for women: OR 1.8 (95% CI 1.7-2.0) compared to OR 1.4 (95% CI 1.3-1.5). Conclusions Even though employees at gender-equal companies had more days on sickness benefit, the differences between men and women in this measure were smaller in gender-equal companies. Gender equality appears to alter health patterns, converging the differences between men and women. PMID:21745375

34 CFR 108.1 - Purpose.

Code of Federal Regulations, 2012 CFR

2012-07-01

... ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108.1 Purpose. The purpose of this part is to implement the Boy Scouts of America Equal Access Act, 20 U...

34 CFR 108.1 - Purpose.

Code of Federal Regulations, 2010 CFR

2010-07-01

... ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108.1 Purpose. The purpose of this part is to implement the Boy Scouts of America Equal Access Act, 20 U...

34 CFR 108.1 - Purpose.

Code of Federal Regulations, 2011 CFR

2011-07-01

... ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108.1 Purpose. The purpose of this part is to implement the Boy Scouts of America Equal Access Act, 20 U...

34 CFR 108.1 - Purpose.

Code of Federal Regulations, 2013 CFR

2013-07-01

... ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108.1 Purpose. The purpose of this part is to implement the Boy Scouts of America Equal Access Act, 20 U...

34 CFR 108.1 - Purpose.

Code of Federal Regulations, 2014 CFR

2014-07-01

... ACCESS TO PUBLIC SCHOOL FACILITIES FOR THE BOY SCOUTS OF AMERICA AND OTHER DESIGNATED YOUTH GROUPS § 108.1 Purpose. The purpose of this part is to implement the Boy Scouts of America Equal Access Act, 20 U...

Health care on equal terms? Assessing horizontal equity in health care use in Northern Sweden.

PubMed

San Sebastián, Miguel; Mosquera, Paola A; Ng, Nawi; Gustafsson, Per E

2017-08-01

The Swedish health care system has successively moved toward increased market-orientation, which has raised concerns as to whether Sweden still offers health on equal terms. To explore this issue, this study aimed (i) to assess if the principles of horizontal equity (equal access for equal need regardless of socio-economic factors) are met in Northern Sweden 2006-14; and (ii) to explore the contribution of different factors to the inequalities in access along the same period. Data came from cross sectional surveys known in 2006, 2010 and 2014 targeting 16-84-year-old residents in the four northern-most counties in Sweden. The horizontal inequity index was calculated based on variables representing (i) the individual socioeconomic status, (ii) the health care needs, (iii) non-need factors as well as (iv) health care utilization: general practitioner (GP), specialist doctors, hospitalization. Decomposition analysis of the concentration index for need-standardized health care utilization was applied. Adjusting for needs, there was a higher use of GP services by rich people during the two last surveys, a roughly equal use of specialists, and hospitalization concentrated among the poor but with a clear time trend toward equality. The pro-rich inequalities in GP use were to a large part explained by the income gap. While health care utilization can be considered equitable regarding specialist and hospital use, the increasing pro-rich trend in the use of GP is a concern. Further studies are required to investigate the reasons and a constant monitoring of socioeconomic differences in health care access is recommended. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Securing Gender Equality through a Nexus of Energy Policy Performance and Relative Political Performance

NASA Astrophysics Data System (ADS)

Perkins-Ozuagiemhe, Andrea Christen

This dissertation presents what is believed to be the first empirical study that measures the effect of increasing access to modern household energy sources upon advancing gender equality within developing countries. As a powerful and fundamental public infrastructural socio-economic building block, improved access to modern energy in developing countries delivers the necessary economic ingredient of time as a major component of household production and consumption and captures the interdependence between market and household economies. Thus, because it has been empirically proven that men and women differ in their utilization of household energy with women spending more time engaged in non-market household labor than men, improving access to modern household energy in developing countries, especially in rural areas, theoretically would disproportionately affect women's lives. Essentially, the element of "time" not only extends the day for women to use towards more economically and educationally productive activities, but also lessens the burden of domestic chores from women with technological advancements in more time-efficient household appliances and cleaner modern energy sources. This dissertation introduces gender differentiation in a model in the form of a gender relative status composite measure comparing socio-economic achievements in secondary education, life expectancy, and labor force participation rates by varying degree of demographic transition, thereby, measuring the effect of improved access to modern household energy upon overall gender equality. Fixed effects panel regressions employing a Driscoll-Kraay non-parametric covariance matrix, and estimated and interpreted adjusted predictions and marginal effects of the two-way interaction between a country's available access to residential electric power (kWh per capita) and the level of relative political performance against predicted values of gender relative status are employed. The models confirm that, in fact, that women are not impacted equally by energy policy preferences as men and that women in developing countries benefit from increased access to modern household energy. Thus, gender-differentiated energy usage illustrates why treating population as a homogenous group fails to capture how energy policy preferences and energy policy performance can affect different subgroups of population in terms of individual choices and how those differences can affect an overall economic growth and development. Fundamental theoretical implications emerge from this dissertation's empirical findings. First, improving gender equality through technological advancements in household electricity facilitates the progress of demographic transition in terms of reducing fertility rates. Time altering effects of increased access and use of household electricity modify intra-household relations by diminishing differing roles between men and women. When women gain greater autonomy facilitated by increasing time via access to modern household electricity for more economically and educationally productive activities, fertility rates and child births tend to decrease by altering choice in family size with increased investments in children. The effect that the reduction in fertility generated by increased gender equality has upon demographic transition is that it alters the change in age structure in a developing country by decreasing youth dependency ratios generating the demographic dividend. Gender equality-generated fertility reductions may also facilitate the return to human capital by lessening the burden of non-SNA work and activities including reducing child care, increasing female labor force participation rates.

Cross border health care provision: who gains, who loses.

PubMed

Levaggi, Rosella; Menoncin, Francesco

2014-01-01

The diffusion of the welfare state has produced a widespread involvement of the public sector in financing the production of private goods for paternalistic reasons. In this chapter we model the production of health care as a merit impure local public good whose consumption is subsidized and whose access is free, but not unlimited. The impure local public good aspect means that the production of health care spreads its benefits beyond the geographical boundaries of the Region where it is produced. Finally, we include the (optional) provision of an equalization grant that allows reduction of fiscal imbalance among Regions. In this framework we study the possible effects of cross border provision of health care. We assume that information is complete and symmetric and that there is no comparative advantage in local provision. In this context devolution is always suboptimal for the whole community: the lack of coordination means that the impure public good is under-provided. However, more efficient Regions may be better off because of the impure public good nature of health care.

Charm Penguin in B± → K±K+K-: Partonic and hadronic loops

NASA Astrophysics Data System (ADS)

Bediaga, I.; Frederico, T.; Magalhães, P. C.

2018-05-01

Charm penguin diagrams are known to be the main contribution to charmless B decay process with strangeness variation equal to minus one, which is the case of B± →K±K+K- decay. The large phase space available in this and other B three-body decays allows non trivial final state interactions with all sort of rescattering processes and also access high momentum transfers in the central region of the Dalitz plane. In this work we investigate the charm Penguin contribution to B± →K±K+K-, described by a hadronic triangle loop in nonperturbative regions of the phase space, and by a partonic loop at the quasi perturbative region. These nonresonant amplitudes should have a particular structure in the Dalitz plane and their contributions to the final decay amplitude can be confirmed by a data amplitude analysis in this channel. In particular, the hadronic amplitude has a changing sign in the phase at D D bar threshold which can result in a change of sign for the CP asymmetry.

The Italian health-care system.

PubMed

France, George; Taroni, Francesco; Donatini, Andrea

2005-09-01

Italy's national health service is statutorily required to guarantee the uniform provision of comprehensive care throughout the country. However, this is complicated by the fact that, constitutionally, responsibility for health care is shared between the central government and the 20 regions. There are large and growing differences in regional health service organisation and provision. Public health-care expenditure has absorbed a relatively low share of gross domestic product, although in the last 25 years it has consistently exceeded central government forecasts. Changes in payment systems, particularly for hospital care, have helped to encourage organisational appropriateness and may have contributed to containing expenditure. Tax sources used to finance the Servizio Sanitario Nazionale (SSN) have become somewhat more regressive. The limited evidence on vertical equity suggests that the SSN ensures equal access to primary care but lower income groups face barriers to specialist care. The health status of Italians has improved and compares favourably with that in other countries, although regional disparities persist. Copyright (c) 2005 John Wiley & Sons, Ltd.

Library Media Center Design Considerations for Physically Disabled Students.

ERIC Educational Resources Information Center

Moy, Patricia J.

Federal legislation ensures that children with physical disabilities should not be denied access to the school library. These children have the same information needs as their peers, and they want equal access to information in the school library media center. To create an accessible and functional school library, many requirements and…

Advanced Placement and Rural Schools: Access, Success, and Exploring Alternatives

ERIC Educational Resources Information Center

Gagnon, Douglas J.; Mattingly, Marybeth J.

2016-01-01

Completing Advanced Placement (AP) coursework is an important part of the selective college admissions process, and access to AP coursework can be viewed as a measure of equal opportunity. Relatively little research has fully examined how access to AP coursework is mediated by school characteristics. Rural schools are at a particular disadvantage…

The Future Revisited.

ERIC Educational Resources Information Center

Mason, Marilyn Gell

1996-01-01

Reviews earlier predictions about technological change in libraries, finds that providing equal access to information remains the library's mission, and forecasts the future. Topics include ownership versus access, electronic resources, information infrastructure, users, levels of service fees, circulation, librarians as "information…

24 CFR 14.345 - Payment of award.

Code of Federal Regulations, 2010 CFR

2010-04-01

... IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN ADMINISTRATIVE PROCEEDINGS Procedures for Considering... Equal Opportunity and Administrative Law, Room 10244, Department of Housing and Urban Development, Washington, DC 20410. A statement that review of the underlying decision is not being sought in the United...

"The Impacts of External Constraints on the Institutional Research Function."

ERIC Educational Resources Information Center

Law, Bill, Ed.

This document contains seventeen presentations delivered at the ninth annual meeting of the Florida Statewide Conference on Institutional Research. Part one contains: (1) "Your Legislative Session--1976"; (2) "Equal Access/Equal Opportunity: Institutions, Students, Politics, and Fairness"; (3) "The Impact of the Equal…

3 CFR 8913 - Proclamation 8913 of December 3, 2012. International Day of Persons With Disabilities, 2012

Code of Federal Regulations, 2013 CFR

2013-01-01

... shot at opportunity, all of us do better. For more than two decades, our country has upheld those basic... by the belief that equal access and equal opportunity are common principles that unite us as one...

Access to medicines by patients of the primary health care in the Brazilian Unified Health System

PubMed Central

Álvares, Juliana; Guerra, Augusto Afonso; de Araújo, Vânia Eloisa; Almeida, Alessandra Maciel; Dias, Carolina Zampirolli; Ascef, Bruna de Oliveira; Costa, Ediná Alves; Guibu, Ione Aquemi; Soeiro, Orlando Mario; Leite, Silvana Nair; Karnikowski, Margô Gomes de Oliveira; Costa, Karen Sarmento; Acurcio, Francisco de Assis

2017-01-01

ABSTRACT OBJECTIVE To evaluate the access to medicines in primary health care of the Brazilian Unified Health System (SUS), from the patients’ perspective. METHODS This is a cross-sectional study that used data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Services, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines), conducted by interviews with 8,591 patients in cities of the five regions of Brazil. Evaluation of access to medicines used concepts proposed by Penshansky and Thomas (1981), according to the dimensions: availability, accessibility, accommodation, acceptability, and affordability. Each dimension was evaluated by its own indicators. RESULTS For the “availability” dimension, 59.8% of patients reported having full access to medicines, without significant difference between regions. For “accessibility,” 60% of patients declared that the basic health unit (UBS) was not far from their house, 83% said it was very easy/easy to get to the UBS, and most patients reported that they go walking (64.5%). For “accommodation,” UBS was evaluated as very good/good for the items “comfort” (74.2%) and “cleanliness” (90.9%), and 70.8% of patients reported that they do not wait to receive their medicines, although the average waiting time was 32.9 minutes. For “acceptability,” 93.1% of patients reported to be served with respect and courtesy by the staff of the dispensing units and 90.5% declared that the units’ service was very good/good. For “affordability,” 13% of patients reported not being able to buy something important to cover expenses with health problems, and 41.8% of participants pointed out the expense with medicines. CONCLUSIONS Results show 70%–90% compliance, which is compatible with developed countries. However, access to medicines remains a challenge, because it is still heavily compromised by the low availability of essential medicines in public health units, showing that it does not occur universally, equally, and decisively to the population. PMID:29160463

Rights to Equality for Disabled Persons under Federal and State Law

ERIC Educational Resources Information Center

Stapleton, Margaret

1976-01-01

Legislation has mandated equal opportunity in American society for persons with handicaps, creating mechanisms for ending discrimination against them. Access to education, employment, public transportation vehicles and other facilities, and community living situations is specifically guaranteed in federal legislation. State statutes and municipal…

Race Equality Scheme 2005-2008

ERIC Educational Resources Information Center

Her Majesty's Inspectorate of Education, 2005

2005-01-01

Her Majesty's Inspectorate of Education (HMIE) is strongly committed to promoting race equality in the way that HMIE staff go about performing their role within Scottish education. Scottish society reflects cultural, ethnic, religious and linguistic diversity and Scottish education should be accessible to all. No-one should be disadvantaged or…

Education and Muslim Identity: The Case of France.

ERIC Educational Resources Information Center

Limage, Leslie J.

2000-01-01

Background for understanding the experience of Muslim immigrant students in French schools. Discusses the philosophy of equal education as equal access to the same knowledge (defined exclusively by the state and teachers); lack of teacher accountability; examination-based selection; and church-state separation. Describes government responses to…

A study of topics for distance education-A survey of U.S. Fish and Wildlife Service employees

USGS Publications Warehouse

Ratz, Joan M.; Schuster, Rudy M.; Marcy, Ann H.

2011-01-01

The purpose of this study was to identify training topics and distance education technologies preferred by U.S. Fish and Wildlife Service employees. This study was conducted on behalf of the National Conservation Training Center to support their distance education strategy planning and implementation. When selecting survey recipients, we focused on employees in positions involving conservation and environmental education and outreach programming. We conducted the study in two phases. First, we surveyed 72 employees to identify useful training topics. The response rate was 61 percent; respondents were from all regions and included supervisors and nonsupervisors. Five topics for training were identified: creating and maintaining partnerships (partnerships), technology, program planning and development (program planning), outreach methods to engage the community (outreach methods), and evaluation methods. In the second phase, we surveyed 1,488 employees to assess preferences for training among the five topics identified in the first survey and preferences among six distance education technologies: satellite television, video conferencing, audio conferencing, computer mediated training, written resources, and audio resources. Two types of instructor-led training were included on the survey to compare to the technology options. Respondents were asked what types of information, such as basic facts or problem solving skills, were needed for each of the five topics. The adjusted response rate was 64 percent; respondents were from all regions and included supervisors and nonsupervisors. The results indicated clear preferences among respondents for certain training topics and technologies. All five training topics were valued, but the topics of partnerships and technology were given equal value and were valued more than the other three topics. Respondents indicated a desire for training on the topics of partnerships, technology, program planning, and outreach methods. For the six distance education technologies, respondents indicated different levels of usability and access. Audio conferencing and written resources were reported to be most usable and accessible. The ratings of technology usability/access differed according to region; respondents in region 9 rated most technologies higher on usability/access. Respondents indicated they would take courses through either onsite or distance education approaches, but they prefer onsite training for most topics and most types of information.

National Information Policy Developments Worldwide II: Universal Access-Addressing the Digital Divide.

ERIC Educational Resources Information Center

Muir, Adrienne; Oppenheim, Charles

2002-01-01

Describes the results of a literature survey on recent developments in national information policies in the area of universal access that tries to ensure equal access to information, and considers the digital divide. Highlights include policies in Australia, Canada, the European Union, Hong Kong, the United States, and Okinawa. (Contains 64…

The Relationship between Selected Educational Technologies and Student-Centered versus Teacher-Centered Instruction

ERIC Educational Resources Information Center

Kollmer, Michael J.

2013-01-01

Not all teachers and students have equal access to technology. This inequality of access creates an uneven instructional practice that may result in varied student learning. By and large, students have limited access to technology within the confines of the classroom. New educational technologies provide schools with an opportunity to broaden and…

Equity and Access in the Workplace: A Feminist HRD Perspective

ERIC Educational Resources Information Center

Valenziano, Laura

2008-01-01

The issues of equity and access are becoming increasingly important as the workforce becomes diversified. As the number of minority groups in the ranks of organizations grows, there is a need to examine the issues related to equity and access from a perspective that strives for equality, e.g. feminist theory. This paper examines feminism's…

Emulation of Equal Open Access and Competition Creation in the Wireline Telecommunications Local and Last Mile Market Segments

ERIC Educational Resources Information Center

Van Epps, Daniel L.

2013-01-01

Expanded telecommunications was deemed a serious need for end users. The "Local Market" and "Last Mile" market segments have largely consolidated into "natural utilities". Competition and access problems occur if new providers enter the local market and desire competitive access and service to end users. Local and…

Equal Telecommunications Access for Deaf and Hard of Hearing Virginians (TDD/Message Relay Programs). Report to the Governor and the General Assembly of Virginia. House Document No. 9.

ERIC Educational Resources Information Center

Virginia State Dept. for the Deaf and Hard of Hearing, Richmond.

The report addresses issues of telecommunications access for hearing and speech impaired persons in Virginia. Six analyses were performed: (1) Accessibility of service organizations--over 89% of sample organizations were not accessible by a telecommunications device for the deaf and existing TDDs were underutilized; (2) Telephone use by persons…

Socioeconomic inequalities of outpatient and inpatient service utilization in China: personal and regional perspectives.

PubMed

Zhu, Dawei; Guo, Na; Wang, Jian; Nicholas, Stephen; Chen, Li

2017-12-04

China's health system has shown remarkable progress in health provision and health outcomes in recent decades, however inequality in health care utilization persists and poses a serious social problem. While government pro-poor health policies addressed affordability as the major obstacle to equality in health care access, this policy direction deserves further examination. Our study examines the issue of health care inequalities in China, analyzing both regional and individual socioeconomic factors associated with the inequality, and provides evidence to improve governmental health policies. The China Health and Nutrition Survey (CHNS) 1991-2011 data were used to analyze the inequality of health care utilization. The random effects logistic regression technique was used to model health care utilization as the dependent variable, and income and regional location as the independent variables, controlling for individuals' age, gender, marital status, education, health insurance, body mass index (BMI), and period variations. The dynamic trend of 1991-2011 regional disparities was estimated using an interaction term between the regional group dummy and the wave dummy. The probability of using outpatient service and inpatient services during the previous 4 weeks was 8.6 and 1.1% respectively. Compared to urban residents, suburban (OR: 0.802, 95% CI: 0.720-0.893), town (OR: 0.722, 95% CI: 0.648-0.804), rich (OR: 0.728, 95% CI: 0.656-0.807) and poor village (OR: 0.778, 95% CI: 0.698-0.868) residents were less likely to use outpatient service; and rich (OR: 0.609, 95% CI: 0.472-0.785) and poor village (OR: 0.752, 95% CI: 0. 576-0.983) residents were less likely to use inpatient health care. But the differences between income groups were not significant, except the differences between top and bottom income group in outpatient service use. Regional location was a more important factor than individual characteristics in determining access to health care. Besides demand-side subsidies, Chinese policy makers should pay enhanced attention to health care resource allocation to address inequity in health care access.

Breast cancer screening patterns among military beneficiaries: racial variations in screening eliminated in an equal-access model.

PubMed

Oseni, Tawakalitu O; Soballe, Peter W

2014-10-01

African American women present with more aggressive breast tumors and at later stages than white women. Many factors have been proposed to explain these findings, including socioeconomic status, cultural beliefs, and access to medical care. The purpose of this project was to determine if stage at presentation would be equivalent in a system providing equal access to care and if screening was equivalent. The Naval Medical Center San Diego (NMCSD) tumor registry from 2007 to 2012 was queried for this cross-sectional study. Eligible women included all those diagnosed and treated for breast cancer at NMCSD. Distribution of tumor stage (early vs. advanced) between racial groups was compared by age, treatment, and receptor status. A total of 624 women were eligible; 88 % were early stage (0-II) and 12 % presented with advanced stage (III or IV). Racial differences in distribution were significant among African American and Hispanic women for early versus advanced presentation (p = 0.011). No racial disparity was seen in screening patterns among women. In a military health system with equal access to care and standard screening recommendations, screening patterns did not vary with race but did vary with stage and active duty status. African American women present with breast cancer at later stages and with more hormone-receptor negative tumors, suggesting that biology rather than socioeconomic or access factors may be the most important determinant of stage at presentation of breast cancer for African American women.

Silent Policy Feedback through School Choice

ERIC Educational Resources Information Center

Little-Hunt, Catherine Cecchini

2017-01-01

Increasing numbers of Florida parents are withdrawing their children from traditional public schools in highly-rated school districts to enroll them in tuition-free, startup, charter schools. Since not all parents have equal access or are as equally motivated to elect school choice alternatives, the fiscal sustainability of the traditional public…

Discipline: Impact on Access to Equal Educational Opportunities

ERIC Educational Resources Information Center

Joubert, Rika; de Waal, Elda; Rossouw, JP

2004-01-01

Complying with the founding values (human dignity, equality and freedom) of the South African Constitution is one of the most important challenges of creating and maintaining a safe, disciplined environment where effective teaching and learning can take place. All school principals, educators and school governing bodies--bearing in mind the…

Access or Inclusion? Conceptualisation and Operationalisation of Gender Equality in Zimbabwean State Universities

ERIC Educational Resources Information Center

Chauraya, Efiritha

2014-01-01

This article explores concerns about gender inequality in Zimbabwean state universities. The researcher's interest arose from the realisation of persistent gender inequalities despite initiatives to close gender gaps. Of particular concern is the conceptualization and operationalisation of gender equality in institutions. Focusing only on the…

Educational Opportunity: El Salvador's Barriers to Achieving Equality Persist.

ERIC Educational Resources Information Center

Rosekrans, Kristin

This paper analyzes barriers to educational equality in El Salvador, using a multi-layered framework of educational opportunity. To improve educational opportunity and give the most marginalized sectors of society the possibility of changing their life circumstances requires policies that go beyond mere access to formal schooling. The model…

3 CFR 13621 - Executive Order 13621 of July 26, 2012. White House Initiative on Educational Excellence for...

Code of Federal Regulations, 2013 CFR

2013-01-01

... America's history, African American men and women have strengthened our Nation, including by leading.... Board of Education decision put America on a path toward equal educational opportunity, America's... educational opportunity still remain in America's educational system. African Americans lack equal access to...

Economic Justice: Necessary Condition for Human Rights.

ERIC Educational Resources Information Center

Cloud, Fred

1993-01-01

Economic justice means taking the personhood of poor people into account; respecting their needs, personal ambitions, rights, and dignity; and affording equal opportunity and equal access to education, health care, housing, and jobs. Examples of injustice to minority groups are provided, citing the Universal Declaration of Human Rights. (SLD)

25 CFR 1000.431 - Does the Equal Access to Justice Act (EAJA) apply to appeals under this subpart?

Code of Federal Regulations, 2011 CFR

2011-04-01

... Justice Act (EAJA) apply to appeals under this subpart? Yes. EAJA claims against the DOI will be heard under 48 CFR 6101.30, 6101.31 (CBCA) and 43 CFR 4.602, 4.604 through 4.628 (DOI) and under the Equal...

Environmental equity as a criterion for water management

NASA Astrophysics Data System (ADS)

Grande, M.; Galvão, C.; Miranda, L.; Rufino, I.

2014-09-01

Environmental equity is a concept derived from the (un)equal exposure to environmental degradation by different social groups, usually minorities and low-income people exposed to major environmental risks, also known as environmental justice. It is assumed that no group of people, independent of race, ethnicity or socio-economic class, should support, either in concentrated or unevenly distributed form, the negative environmental impacts resulting from industrial, agricultural, commercial and infrastructure activities or government programs and policies. In this paper the concept of environmental equity is explored as a criterion for water management through the analysis of a typical coupled human-natural system: the Epitácio Pessoa Reservoir, located in the semi-arid region of Brazil. Inefficient water resource management has caused unequal access to water by the population, particularly during drought periods. However, census data indicate that population have practically the same access to water, which actually is not able to reflect the actual picture. This study argues that environmental equity can be an additional criterion to improve water management.

The Arabidopsis thaliana mobilome and its impact at the species level

PubMed Central

Quadrana, Leandro; Bortolini Silveira, Amanda; Mayhew, George F; LeBlanc, Chantal; Martienssen, Robert A; Jeddeloh, Jeffrey A; Colot, Vincent

2016-01-01

Transposable elements (TEs) are powerful motors of genome evolution yet a comprehensive assessment of recent transposition activity at the species level is lacking for most organisms. Here, using genome sequencing data for 211 Arabidopsis thaliana accessions taken from across the globe, we identify thousands of recent transposition events involving half of the 326 TE families annotated in this plant species. We further show that the composition and activity of the 'mobilome' vary extensively between accessions in relation to climate and genetic factors. Moreover, TEs insert equally throughout the genome and are rapidly purged by natural selection from gene-rich regions because they frequently affect genes, in multiple ways. Remarkably, loci controlling adaptive responses to the environment are the most frequent transposition targets observed. These findings demonstrate the pervasive, species-wide impact that a rich mobilome can have and the importance of transposition as a recurrent generator of large-effect alleles. DOI: http://dx.doi.org/10.7554/eLife.15716.001 PMID:27258693

Numerical study of a matrix-free trust-region SQP method for equality constrained optimization.

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

Heinkenschloss, Matthias; Ridzal, Denis; Aguilo, Miguel Antonio

2011-12-01

This is a companion publication to the paper 'A Matrix-Free Trust-Region SQP Algorithm for Equality Constrained Optimization' [11]. In [11], we develop and analyze a trust-region sequential quadratic programming (SQP) method that supports the matrix-free (iterative, in-exact) solution of linear systems. In this report, we document the numerical behavior of the algorithm applied to a variety of equality constrained optimization problems, with constraints given by partial differential equations (PDEs).

Spatially rearranged object parts can facilitate perception of intact whole objects.

PubMed

Cacciamani, Laura; Ayars, Alisabeth A; Peterson, Mary A

2014-01-01

The familiarity of an object depends on the spatial arrangement of its parts; when the parts are spatially rearranged, they form a novel, unrecognizable configuration. Yet the same collection of parts comprises both the familiar and novel configuration. Is it possible that the collection of familiar parts activates a representation of the intact familiar configuration even when they are spatially rearranged? We presented novel configurations as primes before test displays that assayed effects on figure-ground perception from memories of intact familiar objects. In our test displays, two equal-area regions shared a central border; one region depicted a portion of a familiar object. Previous research with such displays has shown that participants are more likely to perceive the region depicting a familiar object as the figure and the abutting region as its ground when the familiar object is depicted in its upright orientation rather than upside down. The novel primes comprised either the same or a different collection of parts as the familiar object in the test display (part-rearranged and control primes, respectively). We found that participants were more likely to perceive the familiar region as figure in upright vs. inverted displays following part-rearranged primes but not control primes. Thus, priming with a novel configuration comprising the same familiar parts as the upcoming figure-ground display facilitated orientation-dependent effects of object memories on figure assignment. Similar results were obtained when the spatially rearranged collection of parts was suggested on the groundside of the prime's border, suggesting that familiar parts in novel configurations access the representation of their corresponding intact whole object before figure assignment. These data demonstrate that familiar parts access memories of familiar objects even when they are arranged in a novel configuration.

Spatially rearranged object parts can facilitate perception of intact whole objects

PubMed Central

Cacciamani, Laura; Ayars, Alisabeth A.; Peterson, Mary A.

2014-01-01

The familiarity of an object depends on the spatial arrangement of its parts; when the parts are spatially rearranged, they form a novel, unrecognizable configuration. Yet the same collection of parts comprises both the familiar and novel configuration. Is it possible that the collection of familiar parts activates a representation of the intact familiar configuration even when they are spatially rearranged? We presented novel configurations as primes before test displays that assayed effects on figure-ground perception from memories of intact familiar objects. In our test displays, two equal-area regions shared a central border; one region depicted a portion of a familiar object. Previous research with such displays has shown that participants are more likely to perceive the region depicting a familiar object as the figure and the abutting region as its ground when the familiar object is depicted in its upright orientation rather than upside down. The novel primes comprised either the same or a different collection of parts as the familiar object in the test display (part-rearranged and control primes, respectively). We found that participants were more likely to perceive the familiar region as figure in upright vs. inverted displays following part-rearranged primes but not control primes. Thus, priming with a novel configuration comprising the same familiar parts as the upcoming figure-ground display facilitated orientation-dependent effects of object memories on figure assignment. Similar results were obtained when the spatially rearranged collection of parts was suggested on the groundside of the prime's border, suggesting that familiar parts in novel configurations access the representation of their corresponding intact whole object before figure assignment. These data demonstrate that familiar parts access memories of familiar objects even when they are arranged in a novel configuration. PMID:24904495

Poverty, Equity and Access to Education in Bangladesh. CREATE Pathways to Access. Research Monograph No. 51

ERIC Educational Resources Information Center

Hossain, Altaf; Zeitlyn, Benjamin

2010-01-01

Bangladesh has made great improvements in the scale and quality of access to education in recent years and gender equality has almost been achieved in primary education (World Bank, 2008). Evidence from CREATE's nationwide community and school survey (ComSS) confirms results from other research (such as Al-Samarrai, 2009) which suggests that…

Predictors of appendiceal perforation in an equal access system.

PubMed

Walker, Avery; Hatch, Quinton; Drake, Thurston; Nelson, Daniel W; Fitzpatrick, Emilie; Bingham, Jason; Black, George; Maykel, Justin A; Steele, Scott R

2014-07-01

Discrepancies in socioeconomic factors have been associated with higher rates of perforated appendicitis. As an equal-access health care system theoretically removes these barriers, we aimed to determine if remaining differences in demographics, education, and pay result in disparate outcomes in the rate of perforated appendicitis. All patients undergoing appendectomy for acute appendicitis (November 2004-October 2009) at a tertiary care equal access institution were categorized by demographics and perioperative data. Rank of the sponsor was used as a surrogate for economic status. A multivariate logistic regression model was performed to determine patient and clinical characteristics associated with perforated appendicitis. A total of 680 patients (mean age 30±16 y; 37% female) were included. The majority were Caucasian (56.4% [n=384]; African Americans 5.6% [n=38]; Asians 1.9% [n=13]; and other 48.9% [n=245]) and enlisted (87.2%). Overall, 6.4% presented with perforation, with rates of 6.6%, 5.8%, and 6.7% (P=0.96) for officers, enlisted soldiers, and contractors, respectively. There was no difference in perforation when stratified by junior or senior status for either officers or enlisted (9.3% junior versus 4.40% senior officers, P=0.273; 6.60% junior versus 5.50% senior enlisted, P=0.369). On multivariate analysis, parameters such as leukocytosis and temperature, as well as race and rank were not associated with perforation (P=0.7). Only age had a correlation, with individuals aged 66-75 y having higher perforation rates (odds ratio, 1.04; 95% confidence interval, 1.02-1.05; P<0.001). In an equal-access health care system, older age, not socioeconomic factors, correlated with increased appendiceal perforation rates. Published by Elsevier Inc.

7 CFR 25.204 - Evaluation of the strategic plan.

Code of Federal Regulations, 2011 CFR

2011-01-01

... pertaining to the plan and the proposed area and may, as part of that request, suggest modifications to the... review each plan submitted in terms of the four equally weighted principal objectives, and of such other... and ensuring that all residents will have equal access to that housing is contained in the strategic...

7 CFR 25.204 - Evaluation of the strategic plan.

Code of Federal Regulations, 2012 CFR

2012-01-01

... pertaining to the plan and the proposed area and may, as part of that request, suggest modifications to the... review each plan submitted in terms of the four equally weighted principal objectives, and of such other... and ensuring that all residents will have equal access to that housing is contained in the strategic...

7 CFR 25.204 - Evaluation of the strategic plan.

Code of Federal Regulations, 2014 CFR

2014-01-01

... pertaining to the plan and the proposed area and may, as part of that request, suggest modifications to the... review each plan submitted in terms of the four equally weighted principal objectives, and of such other... and ensuring that all residents will have equal access to that housing is contained in the strategic...

76 FR 15049 - Agency Information Collection (Equal Opportunity Compliance Review Report); Activity Under OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-18

...) of 1995 (44 U.S.C. 3501-21), this notice announces that the Veterans Benefits Administration (VBA... schools below college level. The information is used to assure that participants have equal access to.... Estimated Annual Burden and Average Burden per Respondent: Based on past experience, VBA estimates that 76...

Women's Views about Gender Equality on the Current Social Policy in Turkey

ERIC Educational Resources Information Center

Öztop, Hülya; Finkel, Müge

2015-01-01

Women's equal participation in all aspects of social, political and economic life is an essential requirement for sustainable development and democratic governance. How to engage women in these different spheres of policy, increase their access to information and ensure their participation in policy debates are therefore among the key questions…

Counterbalancing Student Debt with "Asset Empowerment" and Economic Mobility

ERIC Educational Resources Information Center

Elliott, William; Chan, Monnica; Poore, Anthony

2015-01-01

Education provides one of the best opportunities for American children to build the capacity to climb up the economic ladder. It has even been called the "great equalizer" in American society. In today's tightened labor market, providing equal access to postsecondary education is more critical than ever. The Georgetown Center on…

Community Engagement to End Child Early Forced Marriage--Experiences in Selected South Asian Countries

ERIC Educational Resources Information Center

Ferreira, Frances J.; Kamal, Mostafa Azad

2017-01-01

Sustainable Development Goal (SDG) 5, "achieve gender equality and empower all women and girls", emphasises the need for "providing women and girls with equal access to education, health care, decent work, and representation in political and economic decision-making processes [which] will fuel sustainable economies and benefit…

The "Second Chance" Myth: Equality of Opportunity in Irish Adult Education Policies

ERIC Educational Resources Information Center

Grummell, Bernie

2007-01-01

This article explores the "second chance" myth that surrounds the role of adult education in society. This myth apparently offers all citizens an equal chance to access educational opportunities to improve their life chances. I argue that recent developments in educational policy-making are increasingly shaped by neoliberal discourses…

Learning To Change. A WEA Equal Opportunities Training Pack.

ERIC Educational Resources Information Center

Workers Educational Association, London (England).

This training pack contains materials to help embed the principles of equal opportunities into the practice of part-time tutors and voluntary members of the Workers' Educational Association (WEA), a national voluntary organization dedicated to giving adults in the United Kingdom access to organized learning. Part 1 describes the rationale for the…

The One World of Working Women. Monograph No. 1.

ERIC Educational Resources Information Center

Nelson, Anne H.

Women of many nations, particularly the industrialized countries, are achieving greater opportunity and equality in the working world. The rate at which women are joining the work force has confounded all predictions and created unexpected difficulties in securing equal pay and access to jobs and training. The most direct discrimination, separate…

Are Disadvantaged Students Given Equal Opportunities to Learn Mathematics? PISA in Focus. No. 63

ERIC Educational Resources Information Center

OECD Publishing, 2016

2016-01-01

Socio-economically advantaged and disadvantaged students are not equally exposed to mathematics problems and concepts at school. Exposure to mathematics at school has an impact on performance, and disadvantaged students' relative lack of familiarity with mathematics partly explains their lower performance. Widening access to mathematics content…

Enabling Equal Access to Molecular Diagnostics: What Are the Implications for Policy and Health Technology Assessment?

PubMed

Plun-Favreau, Juliette; Immonen-Charalambous, Kaisa; Steuten, Lotte; Strootker, Anja; Rouzier, Roman; Horgan, Denis; Lawler, Mark

2016-01-01

Molecular diagnostics can offer important benefits to patients and are a key enabler of the integration of personalised medicine into health care systems. However, despite their promise, few molecular diagnostics are embedded into clinical practice (especially in Europe) and access to these technologies remains unequal across countries and sometimes even within individual countries. If research translation and the regulatory environments have proven to be more challenging than expected, reimbursement and value assessment remain the main barriers to providing patients with equal access to molecular diagnostics. Unclear or non-existent reimbursement pathways, together with the lack of clear evidence requirements, have led to significant delays in the assessment of molecular diagnostics technologies in certain countries. Additionally, the lack of dedicated diagnostics budgets and the siloed nature of resource allocation within certain health care systems have significantly delayed diagnostics commissioning. This article will consider the perspectives of different stakeholders (patients, health care payers, health care professionals, and manufacturers) on the provision of a research-enabled, patient-focused molecular diagnostics platform that supports optimal patient care. Through the discussion of specific case studies, and building on the experience from countries that have successfully integrated molecular diagnostics into clinical practice, this article will discuss the necessary evolutions in policy and health technology assessment to ensure that patients can have equal access to appropriate molecular diagnostics. © 2016 S. Karger AG, Basel.

Definition and preoperative predictors of persistently elevated prostate-specific antigen after radical prostatectomy: results from the Shared Equal Access Regional Cancer Hospital (SEARCH) database.

PubMed

Moreira, Daniel M; Presti, Joseph C; Aronson, William J; Terris, Martha K; Kane, Christopher J; Amling, Christopher L; Freedland, Stephen J

2010-06-01

To define a level of persistently elevated prostate-specific antigen (PSA) after radical prostatectomy (RP) that equates with high-risk for disease progression, and to identify preoperative predictors of PSA persistence among men from the Shared Equal Access Regional Cancer Hospital (SEARCH) database. A total of 901 men treated with RP between 2001 and 2008 were separated into groups based upon PSA nadir within 6 months after RP. We explored the association between nadir groups and time to biochemical recurrence (BCR) using multivariate Cox proportional hazards and determined the preoperative predictors of PSA persistence using logistic regression. Relative to men with undetectable PSA levels, those with a PSA nadir of 0.03 (hazard ratio [HR] 3.88, P < 0.001), 0.04 (HR 4.87, P < 0.001), 0.05-0.09 (HR 12.69, P < 0.001), 0.1-0.19 (HR 13.17, P < 0.001), and 0.2 ng/mL (HR 13.23, P < 0.001) were at increased risk of BCR while men with a nadir of 0.01 (HR 1.36, P = 0.400) and 0.02 (HR 1.64, P = 0.180) were not. Using the PSA persistence definition of a PSA nadir > or = 0.03 ng/mL, 230 men (26%) had persistence. The independent preoperative predictors of PSA persistence were higher body mass index (BMI, P = 0.002), pathological Gleason score (relative to 2-6: 4 + 3-10, P = 0.001) and preoperative PSA level (P < 0.001). Men with a PSA nadir > or = 0.03 ng/mL after RP were at higher risk for BCR. Using a PSA persistence definition of a PSA nadir > or = 0.03 ng/mL, persistence was predicted by known factors associated with aggressive disease (tumour grade, PSA level and BMI). Validation of the present definition in different populations using later end-points remains necessary to assess its prognostic usefulness.

Cairo conference to link population and sustainable development.

PubMed

1994-09-01

Couples who want to limit the size of their families but whom family planning services elude are a key factor in the persistence of high rates of fertility and rapid population growth in some countries of the Asian and Pacific region (ESCAP). High fertility and rapid growth are linked to high rates of maternal and child mortality, poverty, and increasing pressure on the environment. These issues will be considered at the International Conference on Population and Development at Cairo from 5 to 13 September, 1994. The Conference objectives entail the promotion of more effective national programs to meet individual needs of women, and to bring population into balance with available resources. The Conference is expected to adopt a program of action covering the period 1995-2015. A preparatory meeting, the Fourth Asian and Pacific Population Conference, adopted the Bali Declaration on Population and Development as a blueprint for ESCAP region countries. Unprecedented growth in human numbers, widespread poverty, social and economic in equality and wasteful consumption are accelerating the depletion of resources and environmental degradation. Rural-to-urban migration will also be major concerns at the Conference. Real poverty and unemployment are the leading causes of urbanization. Recent United Nations data show that by 2005 half the world's population will be urban. Development policies affecting the rural work-force need to emphasize gender equity and access to land tenure and credit. Economic growth and improvement in the quality of life have been fastest in those areas where the status of women is highest, therefore population policies will succeed only if women are equal to men in making and directing policy. The draft Program of Action would commit the world community to goals in education, especially for girls; reduction of infant, child and maternal mortality; and universal access to family planning and reproductive health services.

A natural history of weight change in men with prostate cancer on androgen-deprivation therapy (ADT): results from the Shared Equal Access Regional Cancer Hospital (SEARCH) database.

PubMed

Kim, Howard S; Moreira, Daniel M; Smith, Matthew R; Presti, Joseph C; Aronson, William J; Terris, Martha K; Kane, Christopher J; Amling, Christopher L; Freedland, Stephen J

2011-03-01

• To better understand the natural history of weight change with androgen-deprivation therapy (ADT), we investigated the effect of ADT on body weight among men from the Shared Equal Access Regional Cancer Hospital (SEARCH) database. • Men undergoing ADT lose lean muscle but gain fat mass, contributing to an overall gain in weight. • We identified 132 men in SEARCH who received ADT after radical prostatectomy. • 'Weight change' was defined as the difference in weight before starting ADT (6 months before ADT) and the on-ADT weight (between 6 and 18 months after starting ADT). • In a subanalysis, baseline characteristics of weight-gainers and -losers were analysed using univariate and multivariate analysis to test association with weight change. • In all, 92 men (70%) gained weight, and 40 (30%) either lost or maintained a stable weight. • On average, weight on ADT was 2.2 kg higher than the weight before ADT, with the mean change for weight-gainers and -losers being +4.2 kg and -2.4 kg, respectively. • This compared with no significant weight change in the year before starting ADT (paired t-test, change -0.7 kg, P= 0.19) or in the second year on ADT (paired t-test, change -0.5 kg, P= 0.46) for 84 men in whom these additional weight values were recorded. • There was no significant association between any of the features examined and weight change on univariate and multivariate analysis. • In this longitudinal study, ADT was accompanied by significant weight gain (+2.2 kg). This change occurred primarily in the first year of therapy, with men neither losing nor gaining additional weight thereafter. © 2010 THE AUTHORS. BJU INTERNATIONAL © 2010 BJU INTERNATIONAL.

Rural women's perspectives of maternity services in the Midland Region of New Zealand.

PubMed

Gibbons, Veronique; Lancaster, Gytha; Gosman, Kim; Lawrenson, Ross

2016-09-01

INTRODUCTION Rural women face many challenges with regards to maternity services. Many rural primary birthing facilities in New Zealand have closed. The Lead Maternity Carer (LMC) model of maternity care, introduced in 1990, has moved provision of rural maternity care from doctors to independent midwifery services. Shortages of rural midwives in the Midland region led to rural maternity care being seen as a vulnerable service. AIM To understand the views and experiences of rural women concerning maternity care, to inform the future design and provision of rural maternity services. METHODS Participants were drawn from areas purposively selected to represent the five District Health Boards comprising the Midland health region. A demographic questionnaire, focus groups and individual interviews explored rural women's perspectives of antenatal care provision. These were analysed thematically. RESULTS Sixty-two women were recruited. Key themes emerging from focus groups and interviews included: access to services, the importance of safety and quality of care, the need for appropriate information at different stages, and the role of partners, family and friends in the birthing journey. While most women were happy with access to services, quality of care, provision of information, and the role of family in their care, for some women, this experience could be enhanced. CONCLUSION Midwives are the frontline service for women seeking antenatal services. Support for rural midwives and for local birthing units is needed to ensure rural women receive services equal to that of their urban counterparts.

Mesothelioma and thymic tumors: Treatment challenges in (outside) a network setting.

PubMed

Imbimbo, Martina; Maury, Jean-Michel; Garassino, Marina; Girard, Nicolas

2018-02-02

The management of patients with mesothelioma and thymic malignancy requires continuous multidisciplinary expertise at any step of the disease. A dramatic improvement in our knowledge has occurred in the last few years, through the development of databases, translational research programs, and clinical trials. Access to innovative strategies represents a major challenge, as there is a lack of funding for clinical research in rare cancers and their rarity precludes the design of robust clinical trials that could lead to specific approval of drugs. In this context, patient-centered initiatives, such as the establishment of dedicated networks, are warranted. International societies, such as IMIG (International Mesothelioma Interest Group) and ITMIG (International Thymic Malignancy Interest Group) provide infrastructure for global collaboration, and there are many advantages to having strong regional groups working on the same issues. There may be regional differences in risk factors, susceptibility, management and outcomes. The ability to address questions both regionally as well as globally is ideal to develop a full understanding of mesothelioma and thymic malignancies. In Europe, through the integration of national networks with EURACAN, the collaboration with academic societies and international groups, the development of networks in thoracic oncology provides multiplex integration of clinical care and research, ultimately ensuring equal access to high quality care to all patients, with the opportunity of conducting high level clinical and translational research projects. Copyright © 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

Justice and health for all.

PubMed

de Jong, G A; Rutten, F F

1983-01-01

The ethical aspects of the distribution of resources for health care at the macro level deserve more study than they hitherto received. The socio-medical and economic policy implications of four distribution principles are reviewed: the utilitarian, the egalitarian, the equal access and the libertarian. Policy in welfare states is primarily based on the equal access principle. Economic factors have led to policy proposals in libertarian and utilitarian directions; competition, cost-sharing, cost-effectiveness and individual responsibility are central to the discussion. The authors conclude that it remains to be seen whether these alternatives produce the results expected. They recommend more comprehensive examination of the practical and political feasibilities of a more egalitarian policy.

Potential Start Codon Targeted (SCoT) and Inter-retrotransposon Amplified Polymorphism (IRAP) Markers for Evaluation of Genetic Diversity and Conservation of Wild Pistacia Species Population.

PubMed

Sorkheh, Karim; Amirbakhtiar, Nazanin; Ercisli, Sezai

2016-08-01

Wild pistachio species is important species in forests regions Iran and provide protection wind and soil erosion. Even though cultivation and utilization of Pistacia are fully exploited, the evolutionary history of the Pistacia genus and the relationships among the species and accessions is still not well understood. Two molecular marker strategies, SCoT and IRAP markers were analyzed for assessment of 50 accessions of this species accumulated from diverse geographical areas of Iran. A thorough of 115 bands were amplified using eight IRAP primers, of which 104 (90.4 %) have been polymorphic, and 246 polymorphic bands (68.7 %) had been located in 358 bands amplified by way of forty-four SCoT primers. Average PIC for IRAP and SCoT markers became 0.32 and 0.48, respectively. This is exposed that SCoT markers have been extra informative than IRAP for the assessment of variety among pistachio accessions. Primarily based on the two extraordinary molecular markers, cluster evaluation revealed that the 50 accessions taken for the evaluation may be divided into three distinct clusters. Those results recommend that the performance of SCoT and IRAP markers was highly the equal in fingerprinting of accessions. The results affirmed a low genetic differentiation among populations, indicating the opportunity of gene drift most of the studied populations. These findings might render striking information in breeding management strategies for genetic conservation and cultivar improvement.

Lucy Montoro Rehabilitation Network mobile unit: an alternative public healthcare policy.

PubMed

Battistella, Linamara Rizzo; Juca, Sueli Satie H; Tateishi, Mariane; Oshiro, Milton Seigui; Yamanaka, Eduardo Inglez; Lima, Eliana; Ramos, Vinicius Delgado

2015-07-01

The aim is to analyze rehabilitation services provided by a mobile rehabilitation clinic (MU) in nine regions of the State of São Paulo, demonstrating the distribution of orthoses, prostheses and other mobility aids for persons with physical disabilities according to age groups and impairments, as well as the number of persons with physical disabilities as estimated by Brazilian official data sources. The number of persons with disabilities in each region was obtained through estimations from the 2010 Brazilian IBGE Census. The number of assistive technologies suppliers and technicians were provided by the Brazilian Technical Orthopedics Association (ABOTEC). Patients were referred to the MU by Regional Health Departments. After examination of a multidisciplinary team, assistive devices are prescribed and delivered according to patients' needs. Data on patients were also assessed according to questionnaires on their age, diagnosis, gender, marital status and education level. From 2009 to 2011, the MU went through 15,000 km providing rehabilitation services through the Public Health System to 1801 patients. Additionally, 3328 devices were delivered in this period. Different age, diagnosis, gender, marital status and schooling profiles are highlighted in each of the analyzed regions. Data on patients' profiles were made available through services provided by the MU--including the average index of 1.85 devices delivered to each patient and demand projections--which can be used in the planning of public policies. The MU made rehabilitation services more accessible, trained professionals, raised awareness on the correct delivery and use of assistive devices, and identified and organized people's demand in each region. Implications for Rehabilitation Delivering prostheses, orthoses and other mobility aids fulfills the rights of persons with disabilities to personal mobility with the greatest possible independence, as foreseen by the Convention on the Rights of Persons with Disabilities, increasing their participation in society on an equal basis with others. The direct impact of actively reaching out into the community to provide quality rehabilitation services and assistive devices increases the level of access of persons with disabilities to health services and equalizes opportunities. Outreach initiatives to deliver rehabilitation services in the community must include a capacity-building component. Building the capacities of local practitioners and health personnel will further empower both these professionals and persons with disabilities, diminishing attitudinal barriers. Reaching out into the community allows gathering data on the prevalence of health conditions, local need and demand for assistive devices and rehabilitation services, and informs decision-making.

Octupole deformation in odd-odd nuclei

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

Sheline, R.K.

1988-01-01

Comparison of the experimental and theoretical ground-state spins of odd-odd nuclei in the region 220less than or equal toAless than or equal to228 generally shows agreement with a folded Yukawa octupole deformed model with epsilon/sub 3/ = 0.08 and some lack of agreement with the same model with epsilon/sub 3/ = 0. Thus in spite of limited spectroscopic information, the ground-state spins suggest the existence of octupole deformation in odd-odd nuclei in the region 220less than or equal toAless than or equal to228.

Flare onset at sites of maximum magnetic shear

NASA Technical Reports Server (NTRS)

Hagyard, M. J.; Smith, J. B., Jr.

1988-01-01

Observations of the transverse component of the Sun's photospheric magnetic field obtained with the MSFC vector magnetograph show where the fields are nonpotential. The correlation was studied between locations of nonpotential fields and sites of flare onset for four different active regions. The details of the active region AR 4711 are outlined. Similar results are presented for three other regions: AR 2372 (April 1980), AR 2776 (November 1980), and AR 4474 (April 1984). For all four regions it is shown that flares initiate at sites on the magnetic neutral line where the local field deviates the most from the potential field. The results of this study suggest that flares are likely to erupt where the shear is equal to or greater than 85 degrees, the field is equal to or greater than 10000 G, and there is strong shear (equal to or greater then 80 degress) extending over a length equal to or greater than 8000 km.

Perceptions of emergency care in Kenyan communities lacking access to formalised emergency medical systems: a qualitative study

PubMed Central

Broccoli, Morgan C; Calvello, Emilie J B; Skog, Alexander P; Wachira, Benjamin; Wallis, Lee A

2015-01-01

Objectives We undertook this study in Kenya to understand the community's emergency care needs and barriers they face when trying to access care, and to seek community members’ thoughts regarding high impact solutions to expand access to essential emergency services. Design We used a qualitative research methodology to conduct 59 focus groups with 528 total Kenyan community member participants. Data were coded, aggregated and analysed using the content analysis approach. Setting Participants were uniformly selected from all eight of the historical Kenyan provinces (Central, Coast, Eastern, Nairobi, North Eastern, Nyanza, Rift Valley and Western), with equal rural and urban community representation. Results Socioeconomic and cultural factors play a major role both in seeking and reaching emergency care. Community members in Kenya experience a wide range of medical emergencies, and seem to understand their time-critical nature. They rely on one another for assistance in the face of substantial barriers to care—a lack of: system structure, resources, transportation, trained healthcare providers and initial care at the scene. Conclusions Access to emergency care in Kenya can be improved by encouraging recognition and initial treatment of emergent illness in the community, strengthening the pre-hospital care system, improving emergency care delivery at health facilities and creating new policies at a national level. These community-generated solutions likely have a wider applicability in the region. PMID:26586324

Assessing the Optimal Length of Parental Leave for Child and Parental Well-Being: How Can Research Inform Policy?

ERIC Educational Resources Information Center

Galtry, Judith; Callister, Paul

2005-01-01

Parental leave is a complex area of public policy. Concerns include health protection for working mothers, equal employment opportunities for women, access to adequate antenatal and birthing care, maternal recovery, optimal nutrition for infants, and gender equality within families. Given this complexity, the design of parental leave schemes,…

A World We Never Had: The Forgotten Quest for a Comprehensive School Curriculum

ERIC Educational Resources Information Center

Davies, Mike

2017-01-01

Recently the spectre of increased selection has raised much attention, frequently associated with "fairness" linked to a meritocracy--reminding us of the tension between the principles of equality of opportunity and access as the key driver of the comprehensive school as against the principles of equal value and respect. Whether the…

Bathrooms without Borders: Transgender Students Argue Separate Is Not Equal

ERIC Educational Resources Information Center

Watkins, Paul J.; Moreno, Edward

2017-01-01

Title IX guidelines governing equal access to collide with state legislation around gender identity and multiple use bathrooms and changing facilities. This policy review of literature argues for a stronger voice from Washington, protecting the rights of all students to feel safe using private spaces at school. The many court rulings offer a fair…

Combating Inequalities in Two-Way Language Immersion Programs: Toward Critical Consciousness in Bilingual Education Spaces

ERIC Educational Resources Information Center

Cervantes-Soon, Claudia G.; Dorner, Lisa; Palmer, Deborah; Heiman, Dan; Schwerdtfeger, Rebecca; Choi, Jinmyung

2017-01-01

This chapter reviews critical areas of research on issues of equity/equality in the highly proclaimed and exponentially growing model of bilingual education: two-way immersion (TWI). There is increasing evidence that TWI programs are not living up to their ideal to provide equal access to educational opportunity for transnational emergent…

Legally and Morally, What Our Gay Students Must Be Given

ERIC Educational Resources Information Center

Weiler, Erica M.

2004-01-01

Schools have a legal, ethical, and moral obligation to provide to all students equal access to education and equal protection under the law. For many sexual minority students, however, schools are unsafe and survival, not education, is the priority. Schools typically do not have the information, interest, or comfort level to address the needs of…

Higher Education as Object for Corporate and Nation Branding: Between Equality and Flagships

ERIC Educational Resources Information Center

Sataøen, Hogne Lerøy

2015-01-01

Branding has become an important issue within higher education. The use of core value statements and visions are expressions of this. To be a successful brand, organisations must also make sure they are different from others. However, in both the scholarly discourse and in political rhetoric, the Nordic model highlights equal access to education…

Should the Public Pay for Higher Education? Equality, Liberty, and Educational Debt

ERIC Educational Resources Information Center

Martin, Christopher

2017-01-01

As governments shift costs from the public to students, a higher education has become synonymous with educational debt. Liberal egalitarians have justified educational debt on the grounds that it facilitates socioeconomic equality. On this view, the public should only fund access for those students who are so poorly off that educational debt would…

The Praeger Handbook of Latino Education in the U.S. Volume 2

ERIC Educational Resources Information Center

Soto, Lourdes Diaz, Ed.

2007-01-01

Latinos in the United States have fought hard to attain equality, especially in the field of education. "The Praeger Handbook of Latino Education in the U.S." focuses on this fight for equal educational access and represents a significant addition to American educational literature. The contributors to this volume reveal that many Latino…

The Praeger Handbook of Latino Education in the U.S.. Volume 1

ERIC Educational Resources Information Center

Soto, Lourdes Diaz, Ed.

2007-01-01

Latinos in the United States have fought hard to attain equality, especially in the field of education. "The Praeger Handbook of Latino Education in the U.S." focuses on this fight for equal educational access and represents a significant addition to American educational literature. The contributors to this volume reveal that many Latino…

Depth of origin of solar active regions

NASA Technical Reports Server (NTRS)

Parker, E. N.

1984-01-01

Observations show that the individual bipolar magnetic regions on the sun remain confined during their decay phase, with much of the magnetic field pulling back under the surface, in reverse of the earlier emergence. This suggests that the magnetic field is held on a short rein by subsurface forces, for otherwise the region would decay entirely by dispersing across the face of the sun. With the simple assumption that the fields at the surface are controlled from well-defined anchor points at a depth h, it is possible to relate the length l of the bipolar region at the surface to the depth h, with h about equal to l. The observed dimensions l about equal to 100,000 km for normal active regions, and l about equal to 10,000 km for the ephemeral active regions, indicate comparable depths of origin. More detailed observational studies of the active regions may be expected to shed further light on the problem.

The Role of Accessibility of Semantic Word Knowledge in Monolingual and Bilingual Fifth-Grade Reading

ERIC Educational Resources Information Center

Cremer, M.; Schoonen, R.

2013-01-01

The influences of word decoding, availability, and accessibility of semantic word knowledge on reading comprehension were investigated for monolingual "("n = 65) and bilingual children ("n" = 70). Despite equal decoding abilities, monolingual children outperformed bilingual children with regard to reading comprehension and…

The Advanced Placement Arms Race and the Reproduction of Educational Inequality

ERIC Educational Resources Information Center

Klugman, Joshua

2013-01-01

Background: Access to Advanced Placement (AP) courses is stratified by class and race. Researchers have identified how schools serving disadvantaged students suffer from various kinds of resource deprivations, concluding that interventions are needed to equalize access to AP courses. On the other hand, the theory of Effectively Maintained…

Instructional Technology for Rural Schools: Access and Acquisition

ERIC Educational Resources Information Center

Sundeen, Todd H.; Sundeen, Darrelanne M.

2013-01-01

Integrating instructional technology into all classrooms has the potential to transform modern education and student learning. However, access to technology is not equally available to all districts or schools. Decreased funding and budgetary restraints have had a direct impact on technology acquisition in many rural school districts. One of the…

Higher Education and Disability: Past and Future of Underrepresented Populations

ERIC Educational Resources Information Center

Leake, David W.; Stodden, Robert A.

2014-01-01

Over the past half century higher education in the United States has been challenged to develop and implement policies and practices that effectively promote the access, retention, and graduation of diverse underrepresented populations. One of these populations is comprised of individuals with disabilities, whose equal access to higher education…

Is the Shine off the A.P. Apple?

ERIC Educational Resources Information Center

Hurwitz, Nina; Hurwitz, Sol

2003-01-01

Describes challenges facing College Board's efforts to expand Advanced Placement (A.P.) courses to provide equal access to previously underserved low-performing urban and rural school students while maintaining the program's high academic standards. Includes list of strategies school boards can use to achieve greater access to A.P. courses while…

The Professional Responsibilities of Professional Schools.

ERIC Educational Resources Information Center

Rhode, Deborah L.

1999-01-01

A discussion of the professional responsibility of law schools focuses on the need to highlight professional issues within the curriculum, pro bono policies, access to and delivery of legal services to those who need them, equal access to legal education, and more effective treatment of issues related to race, gender, ethnicity, and sexual…

Bomb or Boon: Linking Population, People and Power in Fragile Regions: Comment on "The Pill Is Mightier Than the Sword".

PubMed

Gilpin, Raymond

2015-10-02

The relationship between population structure and violent conflict is complex and heavily dependent on the behavior of other variables like governance, economic prospects, and urbanization. While addressing rapid population growth might be a necessary condition for peace, it is by no means sufficient. Concomitant steps must also be taken to foster inclusivity, guarantee broader rights for all, particularly women, rebuild social contracts and ensure that all citizens have equal access to economic opportunity. Measures to control family size could reduce dependency and create greater socio-economic opportunities for women and youth, By so doing, the "youth bulge" phenomenon could be a boon for rapidly growing developing countries. © 2016 by Kerman University of Medical Sciences.

U. S. Geological Survey programs in Michigan

USGS Publications Warehouse

,

1996-01-01

For more than 100 years, the United States Geological Survey (USGS) has provided earth-science information on which managers, scientists, and other interested citizens base decisions regarding Michigan’s natural resources and natural hazards. The non-regulatory and scientific nature of the USGS work ensures that our products are technically sound, unbiased, and equally accessible and available to all interested parties. The various programs of the USGS in Michigan reflect a response to the citizens of Michigan and their need for geologic, topographic, biologic, and hydrologic information. Much of the work of the USGS in Michigan is part of cooperative programs in which the diversity of interests among local, regional, State, Tribal, and Federal agencies is accommodated through joint planning and funding.

Network design for telemedicine--e-health using satellite technology.

PubMed

Graschew, Georgi; Roelofs, Theo A; Rakowsky, Stefan; Schlag, Peter M

2008-01-01

Over the last decade various international Information and Communications Technology networks have been created for a global access to high-level medical care. OP 2000 has designed and validated the high-end interactive video communication system WinVicos especially for telemedical applications, training of the physician in a distributed environment, teleconsultation and second opinion. WinVicos is operated on a workstation (WoTeSa) using standard hardware components and offers a superior image quality at a moderate transmission bandwidth of up to 2 Mbps. WoTeSa / WinVicos have been applied for IP-based communication in different satellite-based telemedical networks. In the DELTASS-project a disaster scenario was analysed and an appropriate telecommunication system for effective rescue measures for the victims was set up and evaluated. In the MEDASHIP project an integrated system for telemedical services (teleconsultation, teleelectro-cardiography, telesonography) on board of cruise ships and ferries has been set up. EMISPHER offers an equal access for most of the countries of the Euro-Mediterranean area to on-line services for health care in the required quality of service. E-learning applications, real-time telemedicine and shared management of medical assistance have been realized. The innovative developments in ICT with the aim of realizing a ubiquitous access to medical resources for everyone at any time and anywhere (u-Health) bear the risk of creating and amplifying a digital divide in the world. Therefore we have analyzed how the objective needs of the heterogeneous partners can be joined with the result that there is a need for real integration of the various platforms and services. A virtual combination of applications serves as the basic idea for the Virtual Hospital. The development of virtual hospitals and digital medicine helps to bridge the digital divide between different regions of the world and enables equal access to high-level medical care. Pre-operative planning, intra-operative navigation and minimally-invasive surgery require a digital and virtual environment supporting the perception of the physician. As data and computing resources in a virtual hospital are distributed over many sites the concept of the Grid should be integrated with other communication networks and platforms.

A summary of the recommendations adopted unanimously at the Fourth World Conference on Women (4-15 September 1995).

PubMed

1996-01-01

This article presents a summary of the platform of action recommendations adopted unanimously at the Fourth World Conference on Women in 1995. The Platform called for the empowerment of women; the protection of human rights and freedoms throughout the life cycle; and equity at home, at work, and abroad, items that reinforced the Beijing Declaration. This article identifies recommended actions on poverty, education and training, health, domestic violence, armed conflict, economy, decision-making, institutional mechanisms, human rights, mass media, environment, the girl-child, and institutional and financial arrangements. The Platform recommends, for example, action to create macroeconomic policies and development strategies that address the needs of women in poverty. It recommends changes in laws and administrative practices to ensure women's equal rights and access to economic resources. It recommends action to ensure equal access to education throughout the life cycle, to eradicate illiteracy among women, to develop nondiscriminatory education and training, and to allocate sufficient resources for educational reform. It recommends action to increase women's access throughout the life cycle to appropriate, affordable, and quality health care, information, and related services. Action should reduce maternal mortality by at least 50% of 1990 levels by the year 2000, and a further 50% by 2015. Legislation must be adopted to end violence against women in peace and wartime. Action must promote women's economic and human rights and women's equal access to and full participation in power structures and government decision-making.

75 FR 8423 - Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing of Proposed Rule Change To...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-24

... below $1. For these securities, BX currently charges members accessing liquidity a fee equal to 0.1% (10 basis points) of the total transaction cost and provides no credit to members providing liquidity. Under... transaction cost, and members providing liquidity will be provided a credit equal to 0.25% (25 basis points...

The Invisible Obstacle to Educational Equality: Gender Bias in Textbooks

ERIC Educational Resources Information Center

Blumberg, Rae Lesser

2008-01-01

Gender bias in textbooks (GBIT) is a low-profile education issue, given the 72,000,000 children who still have no access to schooling, but this article argues that GBIT is: (1) an important, (2) near-universal, (3) remarkably uniform, (4) quite persistent but (5) virtually invisible obstacle on the road to gender equality in education--an obstacle…

E-inclusion: Digital equality - young people with disabilities.

PubMed

Hemmingsson, H; Bolic-Baric, V; Lidström, H

2015-01-01

The United Nations' position is that digital access is a matter involving equality between groups of people, the securing of democratic rights, and equal opportunities for all citizens. This study investigates digital equality in school and leisure between young people with and without disabilities. A cross-sectional design with group comparisons was applied. Participants were young people (10-18 years of age) with disabilities (n=389) and a reference group in about the same ages. Data were collected by a survey focusing on access to and engagement in ICT activities in school and during leisure time. The results demonstrated young people with disabilities had restricted participation in computer use in educational activities, in comparison to young people in general. During leisure time young people with disabilities had a leading position compared to the reference group with respect to internet use in a variety of activities. Beneficial environmental conditions at home (and the reverse in schools) are discussed as parts of the explanation for the differing engagement levels at home and in school, and among young people with disabilities and young people in general. Schools need to prioritise use of ICT by young people with disabilities.

Doe v. Director of Department of Social Services.

PubMed

1991-02-19

The Michigan Court of Appeals ruled that the state is obligated to fund abortions for women eligible for Medicaid if it intends to fund childbirth expenses for those women. Otherwise, the court said, the state would be effectively depriving its poorest citizens of access to a constitutionally protected right and rewarding those who choose not to exercise the right by paying for their childbirth expenses. Equal benefit and equal protection clauses of the Michigan constitution provide greater protection than the federal equal protection clause alone, the court held.

An Alternative Option to Dedicated Braille Notetakers for People with Visual Impairments: Universal Technology for Better Access

ERIC Educational Resources Information Center

Hong, Sunggye

2012-01-01

Technology provides equal access to information and helps people with visual impairments to complete tasks more independently. Among various assistive technology options for people with visual impairments, braille notetakers have been considered the most significant because of their technological innovation. Braille notetakers allow users who are…

MOOCs: When Opening Doors to Education, Institutions Must Ensure That People with Disabilities Have Equal Access

ERIC Educational Resources Information Center

Anastasopoulos, Nicholas; Baer, Amanda Marie

2013-01-01

Massive Open Online Courses ("MOOCs") are free online courses offered by institutions of higher education to individuals across the world, without any admissions criteria. Through web-based courses hosted by MOOC platforms, student-participants learn by accessing media, including documents, pictures and uploaded lectures on the course…

Open Educational Resources: A Bridge to Education in the Developing World

ERIC Educational Resources Information Center

Pereira, Mike

2007-01-01

Leveraging ICT to equalize access to education is critical in a world with over four billion poor people who have little access to formal education. Mainstreaming OER as a public good throughout the developing world could make an enormous contribution. The Development Gateway Foundation has established an online OER…

Virtual Tutoring and Student Support Systems

ERIC Educational Resources Information Center

Geary, Jennifer Lee

2005-01-01

Virtual tutoring and student support systems may be pivotal in developing opportunities of equality and of outcome for students who study at a distance. Cookson (2002) mentions that it is important to assist students to have access to study programs. Cookson (2002) elaborates upon this and states, "If access is to be equitable, once they are…

Equal Access to Early Childhood Education in South Korea Using the Geographic Information System

ERIC Educational Resources Information Center

Lee, Jin; Jang, Youn Joo

2017-01-01

While the importance of early childhood education is well documented, scant attention is afforded to the access to institutions for early childhood education. Uneven distribution of institutions for early childhood education in segregated metropolitan areas can cause inequality of educational opportunity. By using the Geographic Information System…

Do Your School Policies Provide Equal Access to Computers? Are You Sure?

ERIC Educational Resources Information Center

DuBois, Phyllis A.; Schubert, Jane G.

1986-01-01

Outlines how school policies can unintentionally perpetuate gender discrimination in student computer use and access. Describes four areas of administrative policies that can cause inequities and provides ways for administrators to counteract these policies. Includes discussion of a program to balance computer use, and an abstract of an article…

Social Inequality and Access to Higher Education in Russia

ERIC Educational Resources Information Center

Konstantinovskiy, David L.

2012-01-01

This article analyses research on social inequality and access to higher education in Russia. It argues that the myth about equality of life chances, as with certain other myths, was an important part of the Soviet ideology. However, children from privileged groups traditionally received the education and professional training which were most…

Access to Knowledge: Removing School Barriers to Learning. Youth at Risk.

ERIC Educational Resources Information Center

Keating, Pamela; Oakes, Jeannie

School barriers to equal access need to be removed by fundamentally new policy initiatives at the state and district levels in order to assure educational opportunities for at-risk students. Gender, race, poverty and individual disabilities continue to generate barriers for at-risk students despite broad legal efforts at reform. The following…

Balancing the Equation: Do Course Variations in Algebra 1 Provide Equal Student Outcomes?

ERIC Educational Resources Information Center

Kenfield, Danielle M.

2013-01-01

Historically, algebra has served as a gatekeeper that divides students into academic programs with varying opportunities to learn and controls access to higher education and career opportunities. Successful completion of Algebra 1 demonstrates mathematical proficiency and allows access to a sequential and progressive path of advanced study that…

Overcoming Exclusion through Quality Schooling. Pathways to Access. Research Monograph No. 65

ERIC Educational Resources Information Center

Govinda, R.; Bandyopadhyay, Madhumita

2011-01-01

In the era of globalisation, provision of quality education is increasingly gaining importance across the world. Like elsewhere, it has already been realised in India that equal attention is needed simultaneously on access, equity and quality to achieve the goal of universalisation of elementary education. It has also been experienced that…

1.9-um diode-laser-assisted anastomoses in reconstructive microsurgery: preliminary results in 12 patients

NASA Astrophysics Data System (ADS)

Mordon, Serge R.; Schoffs, Michel; Martinot, Veronique L.; Buys, Bruno; Patenotre, Philippe; Lesage, Jean C.; Dhelin, Guy

1998-01-01

The authors reported an original 1.9 micrometer diode laser assisted microvascular anastomosis (LAMA) in human. This technique has been applied in 12 patients during reconstructive surgery for digital replantations (n equals 2), for digital revascularizations (n equals 3) and for free flap transfers (n equals 7). Fourteen end-to-end anastomoses (10 arteries, 4 veins) were performed. LAMA were always performed on vessel which did not impede the chance of success of the surgical procedure in case of thrombosis. LAMA was performed with a 1.9 micrometer diode laser after placement of 2 equidistant stitches. The didoes spot was obtained by means of an optic fiber transmitted to the vessel wall via a pencil size hand piece. The used parameters were as followed: spot size equals 400 micrometer, power equals 70 to 220 mW, time equals 0.7 to 2 seconds, mean fluence equals 115 J/cm2. The mechanism involved is a thermal effect on the collagen of the adventitia and media leading to a phenomena which the authors have termed 'heliofusion.' This preliminary trial has permitted to define the modalities of its use in human. The technique is simple, rapid and easily learned. The equipment is not cumbersome, sterilizable and very ergonomic. LAMA does not replace sutures but is complementary, thanks to a reduction in the number of stitches used and to an access to surgical areas which are not easily accessible. This study must be completed by a larger scale study to confirm this technique and its reliability. Others uses could performed on different tissues such as biliary and urinary track, specially under laparoscopic conditions.

[Equality between men and women is a right].

PubMed

1995-07-01

Equality between men and women is one of the basic human rights. Investments in health, education, and family planning are the fundamental measures for promoting sexual equality. Promoting equality in turn is an investment in improving the health of women and children and the quality of human resources. By reducing pressure for large families, sexual equality creates conditions for faster economic growth. Women control most of the nonmonetary economy including subsistence agriculture, care of children, and domestic work, and they also play an important role in the monetary economy, although much of their work is unrecognized. The unfavorable condition of women limits their access to productive goods and social services. A strong inverse relationship exists between fertility and female education. More educated women have a greater probability of receiving prenatal care and of providing adequate care for their children. In many countries of Latin America, more than 20% of births are to adolescents. Adolescent pregnancies are often problematic, resulting in interrupted education, perpetuation of poverty, health complications, abortion, or even suicide. The problems of adolescent maternity are closely related to the inferior position of women. Education and family planning services are essential in breaking the vicious cycle. Access to employment for women contributes to reducing fertility, improves the position of women in the family, directly aids children, and reduces the woman's need to have many children for old age security. To establish conditions of equality between men and women, political actions must be taken to assure women equal social conditions and economic opportunities. Men must become more involved in family planning and in child care. The society as a whole must understand the social function of maternity.

Digital Divide Measurement in Lembata Regency Using SIBIS

NASA Astrophysics Data System (ADS)

Gabriel, Cecilia Dai Payon Binti; Setyohadi, Djoko Budiyanto; Suyoto

2018-02-01

Along with technological development in Indonesia, digital divide occurs in various regions, which were behind in terms of information on how to use, access and utilize ICT in collecting information from internet. One of the regions is Lembata Regency in East Nusa Tenggara, where digital divide among the people should be measured. The purpose of this study was to determine the level of digital divide among the people of Lembata Regency. To determine the level of digital divide, we used SIBIS GPS (General Population Survey) method, which consisted of several indicators or aspect, i.e. internet usage behavior, internet utilization, and e-government. We also performed two tests, i.e. validity test and reliability test to obtain value of index of digital divide measurement among the people of Lembata Regency. The results of validity test which is processed using SPSS program are categorized valid for each variable indicator and the reliability test results show reliable status. According to the test results on digital discrepancy in Lembata people, the internet usage attitude indicator is categorized low which is 63.1%, the internet usage function indicator is categorized low which is 64%, and the digital discrepancy of e-government indicator is categorized medium which is 40.4%. Therefore, the result of this study because consideration for the government of Lembata Regency in improving ICT services in e-government and in distributing ICT access and ability equally to the people.

Surveillance mammography among female Department of Defense beneficiaries: a study by race and ethnicity.

PubMed

Enewold, Lindsey; McGlynn, Katherine A; Zahm, Shelia H; Jatoi, Ismail; Anderson, William F; Gill, Abegail A; Shriver, Craig D; Zhu, Kangmin

2013-10-01

Annual surveillance mammography is recommended after a diagnosis of breast cancer. Previous studies have suggested that surveillance mammography varies by demographics and initial tumor characteristics, which are related to an individual's access to health care. The Military Health System of the Department of Defense provides beneficiaries with equal access health care and thus offers an excellent opportunity to assess whether racial differences in surveillance mammography persist when access to care is equal. Among female beneficiaries with a history of breast cancer, logistic regression was used to assess racial/ethnic variations in the use of surveillance mammography during 3 periods of 12 months each, beginning 1 year after diagnosis adjusting for demographic, tumor, and health characteristics. The rate of overall surveillance mammography decreased from 70% during the first year to 59% during the third year (P < .01). Although there was an overall tendency for surveillance mammography to be higher among minority women compared with non-Hispanic white women, after adjusting for covariates, the difference was found to be significant only during the first year among black women (odds ratio [OR], 1.46; 95% confidence interval [95% CI], 1.10-1.95) and the second year among Asian/Pacific Islander (OR, 2.29; 95%CI, 1.52-3.44) and Hispanic (OR, 1.92; 95%CI, 1.17-3.18) women. When stratified by age at diagnosis and type of breast cancer surgery performed, significant racial differences tended to be observed among younger women (aged < 50 years) and only among women who had undergone mastectomies. Minority women were equally or more likely than non-Hispanic white women to receive surveillance mammography within the Military Health System. The racial disparities in surveillance mammography reported in other studies were not observed in a system with equal access to health care. Copyright © 2013 American Cancer Society.

Exploring the Barriers: A Qualitative Study about the Experiences of Mid-SES Roma Navigating the Spanish Healthcare System.

PubMed

Aiello, Emilia; Flecha, Ainhoa; Serradell, Olga

2018-02-22

Whereas the topic of the 'cultural sensitivity' of healthcare systems has been addressed extensively in the US and the UK, literature on the subject in most European countries, specifically looking at the situation of Roma, is still scarce. Drawing on qualitative research conducted mainly in the city of Barcelona under the communicative approach with Roma subjects who have stable socioeconomic positions and higher cultural capitals (end-users, professionals of the healthcare system, and key informants of a regional policy oriented to the improvement of Roma living conditions), the present study aims to fill this gap. We explore the barriers that the Roma face in accessing the healthcare system, reflecting on how these barriers are accentuated by the existing anti-Roma prejudices and institutional arrangements that do not account for minority cultures. Our results point out a series of obstacles at two levels, in the interaction with healthcare professionals, and in relation to existing institutional arrangements, which prevent Roma families from having equal access to the healthcare system. Education stands up as a mechanism to contest anti-Roma sentiments among healthcare professionals.

Access to health care and equal protection of the law: the need for a new heightened scrutiny.

PubMed

Mariner, W K

1986-01-01

Proposals to reduce national expenditures for health care under Medicare and other programs raise questions about the limits on legislative power to distribute health care benefits. The constitutional guarantee of equal protection has been a weak source of protection for the sick, largely because they fail to qualify for special scrutiny under traditional equal protection analysis. Recent decisions of the United States Supreme Court suggest that the Justices seek a newer, more flexible approach to reviewing claims of unequal protection. This Article examines the application of the equal protection guarantee to health-related claims. It argues that traditional equal protection analysis is too rigid and newer rationality review too imprecise to provide just eligibility determinations. The Article concludes that courts should subject claims of unequal protection in the health care context to heightened scrutiny, as health care plays a special role in assuring equality of opportunity.

Refugees and Access to Vocational Education and Training across Europe: A Case of Protection of White Privilege?

ERIC Educational Resources Information Center

Chadderton, Charlotte; Edmonds, Casey

2015-01-01

This small-scale, highly original study connects themes which are rarely explored in relation to each other, particularly in a European context: vocational education and training (VET), refugees and race equality in order to explore how VET policies impact on racial equality, and the ways racial structures in Europe impact on VET. It begins to…

The Challenge for Deaf and Hard-of-Hearing Students to Learn Foreign Languages in Special Needs Schools

ERIC Educational Resources Information Center

Kontra, Edit H.; Csizér, Kata; Piniel, Katalin

2015-01-01

Deaf and hard-of-hearing (D/HH) learners have the right to equal access to knowledge and information which entails equal opportunities in learning foreign languages (FLs). As part of a larger project, the present study aims at exploring how students in eight specialised institutions across Hungary perceive the challenge of learning a FL. Following…

Regionally adaptive histogram equalization of the chest.

PubMed

Sherrier, R H; Johnson, G A

1987-01-01

Advances in the area of digital chest radiography have resulted in the acquisition of high-quality images of the human chest. With these advances, there arises a genuine need for image processing algorithms specific to the chest, in order to fully exploit this digital technology. We have implemented the well-known technique of histogram equalization, noting the problems encountered when it is adapted to chest images. These problems have been successfully solved with our regionally adaptive histogram equalization method. With this technique histograms are calculated locally and then modified according to both the mean pixel value of that region as well as certain characteristics of the cumulative distribution function. This process, which has allowed certain regions of the chest radiograph to be enhanced differentially, may also have broader implications for other image processing tasks.

Getting into Higher Education: Young People's Views of Fairness

ERIC Educational Resources Information Center

Minty, Sarah

2016-01-01

Free tuition in Scotland is frequently linked to principles of equal access and fairness. But just how "fair" do young people think access to higher education is? And what concepts of fairness are their views based on? This article reports the findings of semi-structured interviews with 121 young people aged 15-18 in Scotland. The paper…

Equal Access to Education: A Peace Imperative for Burundi.

ERIC Educational Resources Information Center

Jackson, Tony

This report examines the status of Burundi's formal education system, focusing on elementary and secondary schooling. It addresses the issues of access to education and quality of education as well as the role of the state and donors in funding the system. It explains how the protracted civil war in Burundi has paralyzed the education system,…

The Politics, Policies and Progress of Basic Education in Sri Lanka. CREATE Pathways to Access. Research Monograph No. 38

ERIC Educational Resources Information Center

Little, Angela W.

2010-01-01

Sri Lanka is hailed internationally for her achievements in literacy, access to education and equality of educational opportunity. However, progress has not been straightforward due to the complex interactions between politics, policy formulation, and the implementation of reforms. This dynamic process has often led to contradictory outcomes. This…

Helping Children to Learn at Home: A Family Project to Support Young English-Language Learners

ERIC Educational Resources Information Center

Jasinski, Mary-Anne

2012-01-01

The Coalition for Equal Access to Education (CEAE) is a Calgary-based nonprofit organization committed to working with community, education, and government stakeholders to promote access to quality, equitable education and services for K-12 English-as-a-second-language (ESL) learners. CEAE is active in developing innovative projects, research…

50 CFR 697.26 - EEZ Nearshore Management Area 5 Trap Waiver.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Eligibility. Vessels eligible for limited access lobster permits under § 697.4(a)(1) and limited access black... applicable to lobster and black sea bass fishing. (1) A vessel issued a permit under this section may retain, land and sell an incidental allowance of lobster equal to the non-trap harvest restrictions specified...

50 CFR 697.26 - EEZ Nearshore Management Area 5 Trap Waiver.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) Eligibility. Vessels eligible for limited access lobster permits under § 697.4(a)(1) and limited access black... applicable to lobster and black sea bass fishing. (1) A vessel issued a permit under this section may retain, land and sell an incidental allowance of lobster equal to the non-trap harvest restrictions specified...

The Role of Boards in College Access Programs: Creating and Maintaining Quality

ERIC Educational Resources Information Center

Center for Higher Education Policy Analysis, University of Southern California, 2006

2006-01-01

Access programs are facing increased scrutiny. Not all programs are equally effective. In an environment in which resources are short, funders increasingly require criteria that enable them to make informed decisions about program quality. As elaborated in this report , one role of a high performance board is to help develop benchmarks of…

Access to Knowledge: The Continuing Agenda for Our Nation's Schools. Revised Edition.

ERIC Educational Resources Information Center

Goodlad, John I., Ed.; Keating, Pamela, Ed.

This book presents a collection of essays by education researchers and practitioners about issues of educational equity and excellence. The authors examine the problem of failure in schools and describe the various curricular and structural factors that block access to an equal and quality education for all students. Chapters are entitled: (1)…

Equal Access? Analyzing Charter Location Relative to Demographics in Ohio

ERIC Educational Resources Information Center

Saultz, Andrew; Yaluma, Christopher B.

2017-01-01

We analyze the geographical distribution of, and access to, charter schools in the state of Ohio. Using poverty and race data from the U.S. Census, as well as publicly available student achievement scores, we analyze the locational preferences of charter schools. We use Geographic Information System (GIS) to visual display charter school locations…

School Location and Teacher Supply: Understanding the Distribution of Teacher Effects

ERIC Educational Resources Information Center

Gagnon, Douglas

2015-01-01

The U.S. Department of Education has recently called on all states to create plans to ensure equal access to excellent teachers. Although there are numerous limitations in using VAM [value-added modeling] in high-stakes contexts such as teacher evaluation, such techniques offer promise in helping states grapple with issues in equitable access.…

What's in Your Refrigerator? Children's Views on Equality, Work, Money and Access to Food

ERIC Educational Resources Information Center

Hammond, Libby-Lee; Hesterman, Sandra; Knaus, Marianne

2015-01-01

This study investigates young children's theorising about families and their differential access to food from a perspective of wealth and poverty. Fifty-two children, aged 6-7 years, attending a Western Australian school were invited to share their perspectives on this global issue. The single case study method utilised three children's focus…

Access to employment among African migrant women living with HIV in France: opportunities and constraints.

PubMed

Gerbier-Aublanc, Marjorie; Gosselin, Anne

2016-08-01

HIV in France particularly affects sub-Saharan migrants as they accounted for 31% of the new diagnoses in 2013. The objective of this study is to investigate the access to and the experience of employment among migrant women living with HIV in France. We use a mixed-method approach. The quantitative data come from the ANRS Parcours study, a life-event survey conducted in 2012-2013 in 70 health centres which collected year-by-year detailed information on living conditions about 755 sub-Saharan women migrants in the greater Paris region (470 with HIV and 285 without HIV). The qualitative data have been collected independently in the same region through socio-ethnographic observations and interviews conducted in 8 HIV-positive migrant organisations and among 35 women-members from 2011 to 2013. Two main results are noteworthy. First, being HIV-positive unexpectedly gives sub-Saharan migrant women a quicker access to employment thanks to the social support they find in migrant organisations: in the third year in France in median (versus 5th year among HIV-negative group). This effect of being HIV-positive on the access to employment remains all things being equal in a discrete-time logistic regression (aOR [95% CI] HIV+: 1.4[1.1;1.8]). Second, their employment situation remains strongly shaped by the racial division of work existing in France and they develop individual strategies to negotiate this constraint: for example, temporary jobs and working as health mediators. The type of jobs they find, mainly in the care sector, force them to carefully hide their HIV status because they fear discrimination at work. Not only migrant women endure structural discrimination in a segmented labour market, but they also anticipate HIV-related discrimination related to caring activities. Thus, the design and implementation of programmes that address stigma should consider structural discrimination to improve PLWHA's working experiences.

12 CFR 794.160 - Communications.

Code of Federal Regulations, 2010 CFR

2010-01-01

... beneficiaries by telephone, telecommunication devices for deaf person (TDD's) or equally effective... facilities. The international symbol for accessibility shall be used at each primary entrance of an...

The Evolution of Organ Allocation for Liver Transplantation: Tackling Geographic Disparity Through Broader Sharing.

PubMed

Axelrod, David A; Vagefi, Parsia A; Roberts, John P

2015-08-01

The liver transplant allocation system has evolved to a ranking system of “sickest-first” system based on objective criteria. Yet, organs continue to be distributed first within OPOs and regions that are largely based on historical practice patterns related to kidney transplantation and were never designed to minimize waitlist death or equalize opportunity for liver transplant. The current proposal is a move to enhance survival though the application of modern mathematical techniques to optimize liver distribution. Like MELDbased allocation, it will never be perfect and should be continually evaluated and revised. However, the disparity in access, which favors those residing in or able to travel to privileged areas, to the detriment of the patients dying on the list in underserved areas, is simply not defensible in 2015.

High-fructose corn syrup causes characteristics of obesity in rats: increased body weight, body fat and triglyceride levels

PubMed Central

Bocarsly, Miriam E.; Powell, Elyse S.; Avena, Nicole M.; Hoebel, Bartley G.

2010-01-01

High-fructose corn syrup (HFCS) accounts for as much as 40% of caloric sweeteners used in the United States. Some studies have shown that short-term access to HFCS can cause increased body weight, but the findings are mixed. The current study examined both short- and long-term effects of HFCS on body weight, body fat, and circulating triglycerides. In Experiment 1, male Sprague-Dawley rats were maintained for short term (8 wks) on (1) 12-h/day of 8% HFCS, (2) 12-h/day 10% sucrose, (3) 24-h/day HFCS, all with ad libitum rodent chow, or (4) ad libitum chow alone. Rats with 12-h access to HFCS gained significantly more body weight than animals given equal access to 10% sucrose, even though they consumed the same number of total calories but fewer calories from HFCS than sucrose. In Experiment 2, the long-term effects of HFCS on body weight and obesogenic parameters, as well as gender differences, were explored. Over the course of 6 or 7 months, both male and female rats with access to HFCS gained significantly more body weight than control groups. This increase in body weight with HFCS was accompanied by an increase in adipose fat, notably in the abdominal region, and elevated circulating triglyceride levels. Translated to humans, these results suggest that excessive consumption of HFCS may contribute to the incidence of obesity. PMID:20219526

High-fructose corn syrup causes characteristics of obesity in rats: increased body weight, body fat and triglyceride levels.

PubMed

Bocarsly, Miriam E; Powell, Elyse S; Avena, Nicole M; Hoebel, Bartley G

2010-11-01

High-fructose corn syrup (HFCS) accounts for as much as 40% of caloric sweeteners used in the United States. Some studies have shown that short-term access to HFCS can cause increased body weight, but the findings are mixed. The current study examined both short- and long-term effects of HFCS on body weight, body fat, and circulating triglycerides. In Experiment 1, male Sprague-Dawley rats were maintained for short term (8 weeks) on (1) 12 h/day of 8% HFCS, (2) 12 h/day 10% sucrose, (3) 24 h/day HFCS, all with ad libitum rodent chow, or (4) ad libitum chow alone. Rats with 12-h access to HFCS gained significantly more body weight than animals given equal access to 10% sucrose, even though they consumed the same number of total calories, but fewer calories from HFCS than sucrose. In Experiment 2, the long-term effects of HFCS on body weight and obesogenic parameters, as well as gender differences, were explored. Over the course of 6 or 7 months, both male and female rats with access to HFCS gained significantly more body weight than control groups. This increase in body weight with HFCS was accompanied by an increase in adipose fat, notably in the abdominal region, and elevated circulating triglyceride levels. Translated to humans, these results suggest that excessive consumption of HFCS may contribute to the incidence of obesity. Copyright © 2010 Elsevier Inc. All rights reserved.

Disability rights in the context of HIV and AIDS: a critical review of nineteen Eastern and Southern Africa (ESA) countries.

PubMed

Hanass-Hancock, Jill; Grant, Catherine; Strode, Ann

2012-01-01

Many Eastern and Southern African (ESA) states are obliged to review and amend their legal frameworks with regards to disability since signing and ratifying the UN Convention on the Rights of Persons with Disabilities (CRPD). The HIV epidemic is one of the main health concerns in the region and is becoming increasingly associated with causing disabilities. In addition, people with disabilities are particularly at risk of exposure to HIV. Despite this, HIV programming has not yet included the interrelationship of disability and HIV. The principles within the CRPD may create much-needed international pressure and so provide a platform for the integration and inclusion of disability into HIV policies and programs. This paper is based on a review of the legal framework in relation to HIV and disability in 19 ESA countries. It identifies 12 key articles of the Convention, which are particularly relevant to the interrelationship of HIV and disability. The paper assesses how these are integrated in the region's disability or HIV legal frameworks and identifies the main gaps within these legal systems. While many country's constitutions, disability and HIV laws protect certain key rights, such as the rights to equality and nondiscrimination, employment and health, there are clear gaps in the legal responses to disability and HIV. In particular, legal frameworks fail to provide adequately for accessibility, mobility and access to justice and protection from violence for people with disabilities. This results in limited protection for people with disabilities from HIV exposure and access to services to address HIV-related health and welfare needs. The paper identifies the gaps and makes recommendations for implementing steps toward the integration of disability into HIV-related laws, policies and programs.

Assessment of accessible facilities for disabled passenger movement in aerodrome terminals in Klang Valley

NASA Astrophysics Data System (ADS)

Ramli, M. Z.; Hasnol., J. N. E.; Hamid, N. B.; Ismail, N.; Zawawi, M. H.; Zainal, M. Z.

2017-09-01

The effectiveness of accessibility in public transport has prompted a great deal of weakness and confines many disabled from moving around unreservedly. As far as the built-up environment is concerned, it is important that it should be barrier-free and adapted to fulfill the needs of all people equally. The consideration of equal accessibility to outdoor environments is still lacking. These cause the problems with poor accessibility, the disabled people face more challenges and difficulties while travelling and using the public transport. Therefore, the aim of the study is to evaluate the performance of accessible facilities for disabled movement in aerodrome terminals in Klang Valley. An assessment rating was developed from an established guideline to assess the disabled facilities provided in the Aerodrome Terminal 1 and Aerodrome Terminal 2 by using manual observation and measurement technique. Based on the results obtained, the facility for disabled people in both aerodrome terminals are moderate. Aerodrome Terminal 1 is averagely 63.46% while for Aerodrome Terminal 2 is 67.31%. Results demonstrated that effort is needed by the respective agencies and there was a demand on re-designing the current facility, so that disabled people will not face any difficulty while traveling through public transport stations or terminals.

State of the art in telemedicine - concepts, management, monitoring and evaluation of the telemedicine programme in Alentejo (Portugal).

PubMed

Oliveira, Tiago Cravo; Branquinho, Maria José; Gonçalves, Luís

2012-01-01

Alentejo - one of five Portuguese continental regions - faces major problems impacting the health and social system of the region. Here, the low population density, the low educational and income level as well as an aging population have to be mentioned. Faced with the task of ensuring equal access to healthcare for all its inhabitants, the regional health authorities created the telemedicine program. From 1998 until 2000, the program developed in an experimental fashion, with teleconsultations involving a number of providers: primary health care centers, regional hospitals, and central hospitals. Between 2000 and 2010, there were a total of 135,000 telemedicine acts including teleconsultations, teleradiology (computerised tomography and x-rays), ultrasound telemedicine and telepathology. Presently, the network comprises 20 health centers and 6 hospitals, covering 4 districts. The platform is composed of high resolution videoconferencing equipment, software with patients' clinical records, an image archive, and a number of peripherals, such as electronic dermatoscopes and phonendoscopes. Teleconsultations are provided by fifteen medical specialties, across 3 district hospitals, ranging from neurology to pediatric surgery. In 2008, health authorities started the telelearning program, initially using point to point videoconferencing, and by the end of 2010, 848 healthcare professionals, across 52 locations, had participated in remote learning sessions, covering topics from chronic wound treatment, to infection control, to medical error. As of 2011, point to multipoint telelearning is also in operation. This paper provides an overview of the telemedicine program in Alentejo, including both infrastructure and operations. Preliminary results of an ongoing evaluation of the impact of teleconsultations on key indicators of the regional healthcare system are also presented (including current utilization and plans for future expansion). This article builds on the experience acquired throughout a decade of using telemedicine on an everyday basis, in a context of remarkable challenges in the delivery of accessible, equitable and quality healthcare services.

Celebrate Your Freedom--Assuring Equal Justice for All. Law Day 2002 Planning Guide.

ERIC Educational Resources Information Center

White, Charles, Ed.

The theme for Law Day 2002 was set long before the tragic events of September 11, 2001, and its aftermath. The vision of Law Day planners was to plan programs on how the courts and legal system seek to assure equal access to justice for all people. This guide gives planners the tools for programs and discussions on legal aid, the "pro bono…

Equality Postponed: Continuing Barriers to Higher Education in the 1980s. Report from the Policy Conference on Postsecondary Programs for the Disadvantaged (Racine, Wisconsin, June 1982).

ERIC Educational Resources Information Center

Adolphus, Stephen H., Ed.

Major barriers to equal access of minority and disadvantaged students to higher education are considered in eight papers and five responses from the 1982 Wingspread Conference on Postsecondary Programs for the Disadvantaged. Included is a policy statement from the conference that covers: quality education for all, the interrelatedness of education…

45 CFR 707.9 - Access to communications.

Code of Federal Regulations, 2010 CFR

2010-10-01

... requirements regarding oral communications—(1) Telecommunications devices for deaf persons. (i) The Agency... for deaf persons (TDD) or equally effective telecommunications device. (ii) The Agency shall ensure...

The role of higher education in equitable human development

NASA Astrophysics Data System (ADS)

Peercy, Chavanne; Svenson, Nanette

2016-04-01

As developing countries continue to battle poverty despite strong economic growth, understanding the relationship between equity and human development becomes increasingly important. In this context, equity is not equivalent to equality for any specific outcome such as health status, education or income. It is an objective ideal whereby people's achievements are increasingly dependent upon personal effort, choice and initiative rather than predetermined characteristics such as race, gender and socioeconomic background. As such, equity becomes an issue of moral equality based on the belief that people should be treated as equals, with equal access to life chances. This ideal pursues equal access to public services, infrastructure and rights for all citizens, including the right to education. While evidence suggests that education builds healthier, richer, more equitable societies, research on this has focused predominantly on primary and secondary schooling. The authors of this paper begin with an extensive review of existing research and relevant literature. In the second part of their article, they then report on their own study which furthers the discussion by exploring connections between tertiary education and development using equity as a reflection of human development - a holistic extension of economic development. After extracting relevant data from a number of available world reports by the United Nations, the World Bank and other organisations, they carried out a cross-national statistical analysis designed to examine the relationship between tertiary enrolment levels and a composite equity variable. Their results indicate a strong association between higher post-secondary education levels and higher levels of social equity.

Fiscal decentralization in the Italian NHS: what happens to interregional redistribution?

PubMed

Ferrario, Caterina; Zanardi, Alberto

2011-04-01

This paper explores how pressures for an increased decentralization of taxing powers to sub-national governments may affect the degree of income redistribution across regional territories accomplished by the Italian NHS. In Italy, political responsibilities for health care are decentralized to regional governments, but the central government retains a critical role in ensuring all citizens uniform access to health services. To this end the central government runs an expenditure needs equalizing system to top up regional governments own resources. However, this system is currently put under question by strong political pressures calling for a weakening of central government involvement. Applying a well developed econometric approach we find that the NHS currently reduces interregional differences in per-capita income by about 7% of GDP. A reform of the NHS in terms of a reduction of expenditure standards produces a weakening of redistribution across jurisdictions, the size of which crucially depends on the financing arrangements of health care that will be actually adopted. We conclude that the decentralization of the NHS would give rise to relevant policy issues concerning in particular the different health care spending possibilities across regions and the impact on the interregional mobility of patients. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

The effects of gender disparities on dental hygiene education and practice in Europe.

PubMed

Luciak-Donsberger, C

2003-11-01

In Europe, over 96.5% of dental hygienists are women. The objective of this report was to examine the impact of gender role stereotyping on the image of the dental hygiene profession and on disparities in educational attainment and work regulations within Europe. Data pertaining to regulated or non-regulated dental hygiene practice in 22 European countries were analysed according to possible gender impact on access to education and on the structure of the delivery of care. It was examined whether there is a correlation between national differences found in the dental hygiene profession and gender related disparities found in other work-related areas. Results show that the gender bias in the dental hygiene profession has an effect on equal access to education, and on equal occupational opportunities for dental hygienists within the European Union (EU) and beyond. In northern Europe, higher educational attainment in the field of dental hygiene, more extensive professional responsibilities and greater opportunities for self-employment in autonomous practice tend to correlate with greater equality in the work force. In eastern Europe, lower educational and professional opportunities in dental hygiene correlate with greater gender disparities found in other work-related areas. In some western European countries, the profession has not been implemented because of the political impact of organised dentistry, which expects financial loss from autonomous dental hygiene practice. In order to fulfil mandates of the EU, initiatives must be taken to remove the gender bias in the delivery of preventive care and to promote equal access to educational attainment and to professional development in the whole of Europe for those who choose to do so.

A Morphological Hessian Based Approach for Retinal Blood Vessels Segmentation and Denoising Using Region Based Otsu Thresholding

PubMed Central

BahadarKhan, Khan; A Khaliq, Amir; Shahid, Muhammad

2016-01-01

Diabetic Retinopathy (DR) harm retinal blood vessels in the eye causing visual deficiency. The appearance and structure of blood vessels in retinal images play an essential part in the diagnoses of an eye sicknesses. We proposed a less computational unsupervised automated technique with promising results for detection of retinal vasculature by using morphological hessian based approach and region based Otsu thresholding. Contrast Limited Adaptive Histogram Equalization (CLAHE) and morphological filters have been used for enhancement and to remove low frequency noise or geometrical objects, respectively. The hessian matrix and eigenvalues approach used has been in a modified form at two different scales to extract wide and thin vessel enhanced images separately. Otsu thresholding has been further applied in a novel way to classify vessel and non-vessel pixels from both enhanced images. Finally, postprocessing steps has been used to eliminate the unwanted region/segment, non-vessel pixels, disease abnormalities and noise, to obtain a final segmented image. The proposed technique has been analyzed on the openly accessible DRIVE (Digital Retinal Images for Vessel Extraction) and STARE (STructured Analysis of the REtina) databases along with the ground truth data that has been precisely marked by the experts. PMID:27441646

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

Guha, Saikat; Shapiro, Jeffrey H.; Erkmen, Baris I.

Previous work on the classical information capacities of bosonic channels has established the capacity of the single-user pure-loss channel, bounded the capacity of the single-user thermal-noise channel, and bounded the capacity region of the multiple-access channel. The latter is a multiple-user scenario in which several transmitters seek to simultaneously and independently communicate to a single receiver. We study the capacity region of the bosonic broadcast channel, in which a single transmitter seeks to simultaneously and independently communicate to two different receivers. It is known that the tightest available lower bound on the capacity of the single-user thermal-noise channel is thatmore » channel's capacity if, as conjectured, the minimum von Neumann entropy at the output of a bosonic channel with additive thermal noise occurs for coherent-state inputs. Evidence in support of this minimum output entropy conjecture has been accumulated, but a rigorous proof has not been obtained. We propose a minimum output entropy conjecture that, if proved to be correct, will establish that the capacity region of the bosonic broadcast channel equals the inner bound achieved using a coherent-state encoding and optimum detection. We provide some evidence that supports this conjecture, but again a full proof is not available.« less

First Amendment Issues in the Control and Use of Public School Facilities

ERIC Educational Resources Information Center

Davis, Thomas E., Jr.

2011-01-01

The passage of the Equal Access Act (1984) brought to light the legal conflict that had been building over the previous four decades over who should or should not have access to public school facilities. Following the passage of the Act, many student and community groups began to request use of school facilities. School leaders were called on to…

Do Low-Income Students Have Equal Access to the Highest-Performing Teachers? NCEE Evaluation Brief. NCEE 2011-4016

ERIC Educational Resources Information Center

Glazerman, Steven; Max, Jeffrey

2011-01-01

This brief describes the prevalence of highest-performing teachers in ten purposely selected districts across seven states. The overall patterns indicate that low-income students have unequal access, on average, to the district's highest-performing teachers at the middle school level but not at the elementary level. However, there is evidence of…

Who Decided College Access in Chinese Secondary Education? Rural-Urban Inequality of Basic Education in Contemporary China

ERIC Educational Resources Information Center

Li, Jian

2016-01-01

This paper investigates the rural-urban inequalities in basic education of contemporary China. The China Education Panel Survey (2013-2014) (CEPS) was utilized to analyze the gaps between rural and urban inequality in junior high schools in terms of three domains, which include the equalities of access, inputs, and outcomes. From the sociocultural…

Widening Access to Higher Education for Disabled Students: The Intersection of Socio-Economic Background and Impairment

ERIC Educational Resources Information Center

Weedon, Elisabet

2016-01-01

The proportion of disabled students in higher education across the UK has increased over the last 20 years as a result of equalities legislation and widening access measures promoted by the Scottish Government. For monitoring and reporting purposes, disabled students have often been treated as a homogeneous group. Drawing on an analysis of…

Japan's Widespread Use of Cellular Telephones To Access the Internet: Implications for Educational Telecommunications.

ERIC Educational Resources Information Center

Scott, Douglass J.

In the 3 years since their introduction, Internet-capable cellular telephones are used by over 47 million Japanese (37% of the population) which nearly equals the number of people using personal computers to access the Internet. If this trend continues, the cellular telephone will overtake the personal computer as the most widely used Internet…

Paralympics 2012 Legacy: Accessible Housing and Disability Equality or Inequality?

ERIC Educational Resources Information Center

Ahmed, Nadia

2013-01-01

The golden summer of sport is now over, but what is the legacy of London 2012 for disabled people? Nadia Ahmed, a disabled student, discusses the difficulties she has faced in finding accessible accommodation in London. She argues that while the Games are over, the United Kingdom still has lots of hurdles to leap when it comes to disability. The…

Factors Associated with Waiting Time for Access to Mental Health Services for Children and Adolescents in Norway

ERIC Educational Resources Information Center

Andersson, Helle Wessel

2004-01-01

The present study addresses the question of equality of access, as it relates to waiting time for specialised mental health treatment for children and adolescents. The aim was to investigate whether demographic, clinical factors and service-related factors were associated with waiting time. Data was based on a documentation system in which all…

Exploring Access and Equity in Higher Education: Policy and Performance in a Comparative Perspective

ERIC Educational Resources Information Center

Clancy, Patrick; Goastellec, Gaele

2007-01-01

A comparative analysis of how access and equity are defined and how policies have evolved reveals a number of commonalities and differences between countries. The overall trend is a movement from the priority given to "inherited merit" in the admission process through a commitment to formal equality, towards the application of some modes of…

Forum Guide to Ensuring Equal Access to Education Websites: Introduction to Electronic Information Accessibility Standards. NFES 2011-807

ERIC Educational Resources Information Center

National Forum on Education Statistics, 2011

2011-01-01

This guide is designed for use by information technology administrators, data specialists, and program staff responsible for the "content" in data reports, as well as education leaders (e.g., administrators who prioritize tasks for technical and data staff), and other stakeholders who have an interest in seeing that schools, school…

Time for a new language for asthma control: results from REALISE Asia

PubMed Central

Price, David; David-Wang, Aileen; Cho, Sang-Heon; Ho, James Chung-Man; Jeong, Jae-Won; Liam, Chong-Kin; Lin, Jiangtao; Muttalif, Abdul Razak; Perng, Diahn-Warng; Tan, Tze-Lee; Yunus, Faisal; Neira, Glenn

2015-01-01

Purpose Asthma is a global health problem, and asthma prevalence in Asia is increasing. The REcognise Asthma and LInk to Symptoms and Experience Asia study assessed patients’ perception of asthma control and attitudes toward treatment in an accessible, real-life adult Asian population. Patients and methods An online survey of 2,467 patients with asthma from eight Asian countries/regions, aged 18–50 years, showed greater than or equal to two prescriptions in previous 2 years and access to social media. Patients were asked about their asthma symptoms, exacerbations and treatment type, views and perceptions of asthma control, attitudes toward asthma management, and sources of asthma information. Results Patients had a mean age of 34.2 (±7.4) years and were diagnosed with asthma for 12.5 (±9.7) years. Half had the Global Initiative for Asthma-defined uncontrolled asthma. During the previous year, 38% of patients visited the emergency department, 33% were hospitalized, and 73% had greater than or equal to one course of oral corticosteroids. About 90% of patients felt that their asthma was under control, 82% considered their condition as not serious, and 59% were concerned about their condition. In all, 66% of patients viewed asthma control as managing attacks and 24% saw it as an absence of or minimal symptoms. About 14% of patients who correctly identified their controller inhalers had controlled asthma compared to 6% who could not. Conclusion Patients consistently overestimated their level of asthma control contrary to what their symptoms suggest. They perceived control as management of exacerbations, reflective of a crisis-oriented mind-set. Interventions can leverage on patients’ trust in health care providers and desire for self-management via a new language to generate a paradigm shift toward symptom control and preventive care. PMID:26445555

Communication access to businesses and organizations for people with complex communication needs.

PubMed

Collier, Barbara; Blackstone, Sarah W; Taylor, Andrew

2012-12-01

Human rights legislation and anti-discrimination and accessibility laws exist in many countries and through international conventions and treaties. To varying degrees, these laws protect the rights of people with disabilities to full and equal access to goods and services. Yet, the accessibility requirements of people with complex communication needs (CCN) are not well represented in the existing accessibility literature. This article describes the results of surveys completed by disability service providers and individuals with CCN due to cerebral palsy, developmental delay, and acquired disabilities. It identifies accessibility requirements for people with CCN for face-to-face communication; comprehension of spoken language; telephone communication; text and print-based communication; Internet, email, and social media interactions; and written communication. Recommendations are made for communication accessibility accommodations in regulations, guidelines, and practices.

Moving toward a universally accessible web: Web accessibility and education.

PubMed

Kurt, Serhat

2017-12-08

The World Wide Web is an extremely powerful source of information, inspiration, ideas, and opportunities. As such, it has become an integral part of daily life for a great majority of people. Yet, for a significant number of others, the internet offers only limited value due to the existence of barriers which make accessing the Web difficult, if not impossible. This article illustrates some of the reasons that achieving equality of access to the online world of education is so critical, explores the current status of Web accessibility, discusses evaluative tools and methods that can help identify accessibility issues in educational websites, and provides practical recommendations and guidelines for resolving some of the obstacles that currently hinder the achievability of the goal of universal Web access.

Do as I say, not as I do: a survey of public impressions of queue-jumping and preferential access.

PubMed

Friedman, Steven Marc; Schofield, Lee; Tirkos, Sam

2007-10-01

The Canada Health Act legislates that Canadian citizens have access to healthcare that is publicly administered, universal, comprehensive, portable, and accessible (i.e. unimpeded by financial, clinical, or social factors). We surveyed public impressions and practices regarding preferential access to healthcare and queue jumping. Households were randomly selected from the Toronto telephone directory. English speakers aged 18 years or older were solicited for a standardized telephone survey. Statistical analysis was performed using SPSS and SAS. Fifteen percent (n=101) of 668 solicited were surveyed. Ninety-five percent advocated equal access based on need. Support for queue jumping in the emergency department (ED) was strong for cases of emergency, severe pain, and pediatrics, equivocal for police, and minimal for the homeless, doctors, hospital administrators, and government officials. To improve a position on a waiting list, approximately half surveyed would call a friend who is a doctor, works for a doctor, or is a hospital administrator. Sixteen percent reported having done this. The likelihoods of offering material inducement for preferential access were 30 and 51% for low and high-impact medical scenarios, respectively. The likelihoods of offering nonmaterial inducement were 56 and 71%, respectively. Responses were not associated with sex, occupation, or education. Respondents expressed support for equal access based on need. Policy and scenario-type questions elicited different responses. Expressed beliefs may vary from personal practice. Clearly defined and enforced policies at the hospital and provincial level might enhance principles of fairness in the ED queue.

Assessment method of accessibility conditions: how to make public buildings accessible?

PubMed

Andrade, Isabela Fernandes; Ely, e Vera Helena Moro Bins

2012-01-01

The enforcement of accessibility today has faced several difficulties, such as intervention in historic buildings that now house public services and cultural activities, such as town halls, museums and theaters and should allow access, on equal terms to all people. The paper presents the application of a method for evaluating the spatial accessibility conditions and their results. For this, we sought to support the theoretical foundation about the main issue involved and legislation. From the method used--guided walks--it was possible to identify the main barriers to accessibility in historic buildings. From the identified barriers, possible solutions are presented according to the four components of accessibility: spatial orientation, displacement, use and communication. It is hoped also that the knowledge gained in this research contributes to an improvement of accessibility legislation in relation to the listed items.

When equal masses don't balance

NASA Astrophysics Data System (ADS)

Newburgh, Ronald; Peidle, Joseph; Rueckner, Wolfgang

2004-05-01

We treat a modified Atwood's machine in which equal masses do not balance because of being in an accelerated frame of reference. Analysis of the problem illuminates the meaning of inertial forces, d'Alembert's principle, the use of free-body diagrams and the selection of appropriate systems for the diagrams. In spite of the range of these applications the analysis does not require calculus, so the ideas are accessible even to first-year students.

How fair is access to more prestigious UK universities?

PubMed

Boliver, Vikki

2013-06-01

Now that most UK universities have increased their tuition fees to £9,000 a year and are implementing new Access Agreements as required by the Office for Fair Access, it has never been more important to examine the extent of fair access to UK higher education and to more prestigious UK universities in particular. This paper uses Universities and Colleges Admissions Service (UCAS) data for the period 1996 to 2006 to explore the extent of fair access to prestigious Russell Group universities, where 'fair' is taken to mean equal rates of making applications to and receiving offers of admission from these universities on the part of those who are equally qualified to enter them. The empirical findings show that access to Russell Group universities is far from fair in this sense and that little changed following the introduction of tuition fees in 1998 and their initial increase to £3,000 a year in 2006. Throughout this period, UCAS applicants from lower class backgrounds and from state schools remained much less likely to apply to Russell Group universities than their comparably qualified counterparts from higher class backgrounds and private schools, while Russell Group applicants from state schools and from Black and Asian ethnic backgrounds remained much less likely to receive offers of admission from Russell Group universities in comparison with their equivalently qualified peers from private schools and the White ethnic group. © London School of Economics and Political Science 2013.

Do health care reforms in Turkey have a significant effect in equal access to maternal and child health services in Turkey: An evidence from 20 years.

PubMed

Santas, Fatih; Celik, Yusuf; Eryurt, Mehmet Ali

2018-01-01

This study aimed to investigate whether there was an improvement in the equitable access to maternal and child health care services by examining the effects of socioeconomic and individual factors in Turkey from 1993 to 2013 and determine the effectiveness of health care reforms implemented mainly under the Health Transformation Program since 2003 on equitable access t;o maternal and child health care services in terms of years. The study used nationally representative 5 Turkey Demographic and Health Surveys (1993, 1998, 2003, 2008, and 2013). Prenatal care utilization rate increased from 67.0% in 1993 to 96.2% in 2013 while the rate of women giving birth at health care facilities increased from 63.8% to 98.1% in 2013. Prenatal care utilization and giving birth at health care facilities were higher among women who were under health insurance coverage, first time mothers, those staying in the western region and urban areas, and those with the highest level of wealth. The findings suggest that the issue of equity in the utilization of maternal and child health care services exists in Turkey, and the latest health care reforms under HTP are not effective in diminishing the effect of wealth. Copyright © 2017 John Wiley & Sons, Ltd.

The Global Inventor Gap: Distribution and Equality of World-Wide Inventive Effort, 1990–2010

PubMed Central

Toivanen, Hannes; Suominen, Arho

2015-01-01

Applying distance-to-frontier analysis, we have used 2.9 million patents and population data to assess whether the relative capacity of world countries and major regions to create new knowledge and technology has become globally more equal or less equal between 1990 and 2010. We show with the Gini coefficient that the global distribution of inventors has become more equal between major countries and regions. However, this trend has been largely due to the improved performance of only two major countries, China and India. The worst performing regions, totalling a population of almost 2 billion, are actually falling behind. Our results suggest that substantial parts of the global population have fallen further behind countries at the global frontier in their ability to create new knowledge and inventions, and that the catch-up among the least developed and middle-income countries is highly uneven, prompting questions about the nature and future of the global knowledge economy. PMID:25849202

Regional Disparities in Online Map User Access Volume and Determining Factors

NASA Astrophysics Data System (ADS)

Li, R.; Yang, N.; Li, R.; Huang, W.; Wu, H.

2017-09-01

The regional disparities of online map user access volume (use `user access volume' in this paper to indicate briefly) is a topic of growing interest with the increment of popularity in public users, which helps to target the construction of geographic information services for different areas. At first place we statistically analysed the online map user access logs and quantified these regional access disparities on different scales. The results show that the volume of user access is decreasing from east to the west in China as a whole, while East China produces the most access volume; these cities are also the crucial economic and transport centres. Then Principal Component Regression (PCR) is applied to explore the regional disparities of user access volume. A determining model for Online Map access volume is proposed afterwards, which indicates that area scale is the primary determining factor for regional disparities, followed by public transport development level and public service development level. Other factors like user quality index and financial index have very limited influence on the user access volume. According to the study of regional disparities in user access volume, map providers can reasonably dispatch and allocate the data resources and service resources in each area and improve the operational efficiency of the Online Map server cluster.

Telemedicine to Improve Access to Specialist Care in Fetal Heart Rate Monitoring: Analysis of 17 Years of TOCOMAT Network Clinical Activity.

PubMed

Tagliaferri, Salvatore; Esposito, Francesca Giovanna; Ippolito, Adelaide; Mereghini, Flavia; Magenes, Giovanni; Martinelli, Pasquale; Campanile, Marta; Signorini, Maria Gabriella

2017-03-01

The objective of this article is to provide an overview of the clinical experience of our telemedicine network (TOCOMAT) for fetal well-being assessment through computerized Cardiotocography (cCTG), analyzing cultural, socioeconomic, and environmental conditions of pregnant women and its economic sustainability over time. We used the central data store, including all cCTG records collected in Campania region (Italy) during 17 years of activity. The Operations Center acquires the traces recorded in the Remote Units and simultaneously performs a complex fetal heart rate analysis. An Internet or phone conference calling is available to discuss the information transmitted. Finally, the report is send back to the Remote Units. The number of cCTG traces performed was constantly increasing, despite the progressive reduction in the number of peripheral units involved. Pregnant women in Remote Unit group were younger and overweight and showed a higher incidence of diabetes and fetal defects than Operations Center ones. Moreover, a high rate of African migrant women and low socioeconomic and cultural standards were found in Remote Unit group. The cost analysis showed an economic advantage both in the reduction of inappropriate admissions and in the improvement of admission indicators (hospital stay days) for pregnant women. The global economic recession has had a significant impact on the Italian regional healthcare system and socioeconomic deprivation. Telemedicine could avoid unnecessary referral to Level III centers (Hospital) in Campania region, where the average population density is very high, allowing equal access to ultra-specialist assessment irrespective of the geographical location of the pregnant woman with medium to high risk, as well as rationalizing the costs for maternal and fetal care.

Evaluating the Influence of an Urban High School Reform Effort on College Readiness and Access Outcomes: A Quasiexperimental Cohort Study

ERIC Educational Resources Information Center

Sondergeld, Toni A.; Fischer, John M.; Samel, Arthur N.; Knaggs, Christine M.

2013-01-01

It is widely accepted that postsecondary education has become a necessity for US youth. College access, however, has been found not to be equal for all. As a result, federally funded college-readiness programs, such as Gaining Early Awareness and Readiness for Undergraduate Programs (GEAR UP), have been established to increase the numbers of…

How Does Access to Early Childhood Services Affect the Participation of Women in the Labour Market? Education Indicators in Focus. No. 59

ERIC Educational Resources Information Center

OECD Publishing, 2018

2018-01-01

While the benefits of early childhood education and care (ECEC) services to better learning are now widely acknowledged, a widespread and accessible provision for these services also helps support gender equality in the workforce. In particular, the availability, intensity, reliability and affordability of ECEC play an important role in engaging…

It's the Law! A Review of the Laws that Provide Americans with Access for All

ERIC Educational Resources Information Center

Raimondo, Barbara

2013-01-01

The United States is more accessible to deaf and hard of hearing individuals and people with disabilities today than it was 50, 20, or even 10 years ago. A variety of laws ensures equality in the treatment of deaf and hard of hearing people. Communication barriers have been addressed, and wider opportunities are available in education, employment,…

Creating (In)Equalities in Access to Higher Education in the Context of Structural Adjustment and Post-Adjustment Policies: The Case of Chile

ERIC Educational Resources Information Center

Espinoza, Oscar

2008-01-01

By analyzing the access of different socio-economic groups to post-secondary institutions by quintile, this paper examines the impact produced by higher education financing policies in Chile during the Pinochet (1973-1990), the Aylwin (1990-1994) and the Frei (1994-2000) administrations. To this purpose, CASEN databases and semi-structured…

How Should Quality of Education Be Re-Defined for Education Achievements in Tanzania? What Are Stakeholders' Opinions?

ERIC Educational Resources Information Center

Telli, Godfrey

2013-01-01

Quality of education is a complex concept. Numerous studies attribute quality of education as an inclusive term that contains access and input on the one hand and process, output or outcome on the other. Others regard access and input of education as separate but equally important concepts of quality of education. For the latter, quality of…

South Africa's protracted struggle for equal distribution and equitable access - still not there.

PubMed

van Rensburg, Hendrik C J

2014-05-08

The purpose of this contribution is to analyse and explain the South African HRH case, its historical evolution, and post-apartheid reform initiatives aimed at addressing deficiencies and shortfalls. HRH in South Africa not only mirrors the nature and diversity of challenges globally, but also the strategies pursued by countries to address these challenges. Although South Africa has strongly developed health professions, large numbers of professional and mid-level workers, and also well-established training institutions, it is experiencing serious workforce shortages and access constraints. This results from the unequal distribution of health workers between the well-resourced private sector over the poorly-resourced public sector, as well as from distributional disparities between urban and rural areas. During colonial and apartheid times, disparities were aggravated by policies of racial segregation and exclusion, remnants of which are today still visible in health-professional backlogs, unequal provincial HRH distribution, and differential access to health services for specific race and class groups. Since 1994, South Africa's transition to democracy deeply transformed the health system, health professions and HRH establishments. The introduction of free-health policies, the district health system and the prioritisation of PHC ensured more equal distribution of the workforce, as well as greater access to services for deprived groups. However, the HIV/AIDS epidemic brought about huge demands for care and massive patient loads in the public-sector. The emigration of health professionals to developed countries and to the private sector also undermines the strength and effectiveness of the public health sector. For the poor, access to care thus remains constrained and in perpetual shortfall. The post-1994 government has introduced several HRH-specific strategies to recruit, distribute, motivate and retain health professionals to strengthen the public sector and to expand access and coverage. Of great significance among these is the NHI Plan that aims to bridge the structural divide and to redistribute material and human resources more equally. Its success largely hinges on HRH and the balanced deployment of the national workforce.Low- and middle-income countries have much to learn from South African HRH experiences. In turn, South Africa has much to learn from other countries, as this case study shows.

Screening or Symptoms? How Do We Detect Colorectal Cancer in an Equal Access Health Care System?

PubMed

Hatch, Quinton M; Kniery, Kevin R; Johnson, Eric K; Flores, Shelly A; Moeil, David L; Thompson, John J; Maykel, Justin A; Steele, Scott R

2016-02-01

Detection of colorectal cancer ideally occurs at an early stage through proper screening. We sought to establish methods by which colorectal cancers are diagnosed within an equal access military health care population and evaluate the correlation between TNM stage at colorectal cancer diagnosis and diagnostic modality (i.e., symptomatic detection vs screen detection). A retrospective chart review of all newly diagnosed colorectal cancer patients from January 2007 to August 2014 was conducted at the authors' equal access military institution. We evaluated TNM stage relative to diagnosis by screen detection (fecal occult blood test, flexible sigmoidoscopy, CT colonography, colonoscopy) or symptomatic evaluation (diagnostic colonoscopy or surgery). Of 197 colorectal cancers diagnosed (59 % male; mean age 62 years), 50 (25 %) had stage I, 47 (24 %) had stage II, 70 (36 %) had stage III, and 30 (15 %) had stage IV disease. Twenty-five percent of colorectal cancers were detected via screen detection (3 % by fecal occult blood testing (FOBT), 0.5 % by screening CT colonography, 17 % by screening colonoscopy, and 5 % by surveillance colonoscopy). One hundred forty-eight (75 %) were diagnosed after onset of signs or symptoms. The preponderance of these was advanced-stage disease (stages III-IV), although >50 % of stage I-II disease also had signs or symptoms at diagnosis. The most common symptoms were rectal bleeding (45 %), abdominal pain (35 %), and change in stool caliber (27 %). The most common overall sign was anemia (60 %). Screening FOBT (odds ratio (OR) 8.7, 95 % confidence interval (CI) 1.0-78.3; P = 0.05) independently predicted early diagnosis with stage I-II disease. Patient gender and ethnicity were not associated with cancer stage at diagnosis. Despite equal access to colorectal cancer screening, diagnosis after development of symptomatic cancer remains more common. Fecal occult blood screen detection is associated with early stage at colorectal cancer diagnosis and is the focus for future initiatives.

The ANTOSTRAT legacy: Science collaboration and international transparency in potential marine mineral resource exploitation of Antarctica

USGS Publications Warehouse

Cooper, Alan; Barker, Peter; Barrett, Peter; Behrendt, John; Brancolini, Giuliano; Childs, Jonathan R.; Escutia, Carlota; Jokat, Wilfried; Kristoffersen, Yngve; Leitchenkov, German; Stagg, Howard; Tanahashi, Manabu; Wardell, Nigel; Webb, Peter

2009-01-01

The Antarctic Offshore Stratigraphy project (ANTOSTRAT; 1989–2002) was an extremely successful collaboration in international marine geological science that also lifted the perceived “veil of secrecy” from studies of potential exploitation of Antarctic marine mineral resources. The project laid the groundwork for circum-Antarctic seismic, drilling, and rock coring programs designed to decipher Antarctica’s tectonic, stratigraphic, and climate histories. In 2002, ANTOSTRAT evolved into the equally successful and currently active Antarctic Climate Evolution research program. The need for, and evolution of, ANTOSTRAT was based on two simple tenets within SCAR and the Antarctic Treaty: international science collaboration and open access to data. The ANTOSTRAT project may be a helpful analog for other regions of strong international science and geopolitical interests, such as the Arctic. This is the ANTOSTRAT story.

New trends in the virtualization of hospitals--tools for global e-Health.

PubMed

Graschew, Georgi; Roelofs, Theo A; Rakowsky, Stefan; Schlag, Peter M; Heinzlreiter, Paul; Kranzlmüller, Dieter; Volkert, Jens

2006-01-01

The development of virtual hospitals and digital medicine helps to bridge the digital divide between different regions of the world and enables equal access to high-level medical care. Pre-operative planning, intra-operative navigation and minimally-invasive surgery require a digital and virtual environment supporting the perception of the physician. As data and computing resources in a virtual hospital are distributed over many sites the concept of the Grid should be integrated with other communication networks and platforms. A promising approach is the implementation of service-oriented architectures for an invisible grid, hiding complexity for both application developers and end-users. Examples of promising medical applications of Grid technology are the real-time 3D-visualization and manipulation of patient data for individualized treatment planning and the creation of distributed intelligent databases of medical images.

Using NMME in Region-Specific Operational Seasonal Climate Forecasts

NASA Astrophysics Data System (ADS)

Gronewold, A.; Bolinger, R. A.; Fry, L. M.; Kompoltowicz, K.

2015-12-01

The National Oceanic and Atmospheric Administration's Climate Prediction Center (NOAA/CPC) provides access to a suite of real-time monthly climate forecasts that comprise the North American Multi-Model Ensemble (NMME) in an attempt to meet increasing demands for monthly to seasonal climate prediction. While the graphical map forecasts of the NMME are informative, there is a need to provide decision-makers with probabilistic forecasts specific to their region of interest. Here, we demonstrate the potential application of the NMME to address regional climate projection needs by developing new forecasts of temperature and precipitation for the North American Great Lakes, the largest system of lakes on Earth. Regional opertional water budget forecasts rely on these outlooks to initiate monthly forecasts not only of the water budget, but of monthly lake water levels as well. More specifically, we present an alternative for improving existing operational protocols that currently involve a relatively time-consuming and subjective procedure based on interpreting the maps of the NMME. In addition, all forecasts are currently presented in the NMME in a probabilistic format, with equal weighting given to each member of the ensemble. In our new evolution of this product, we provide historical context for the forecasts by superimposing them (in an on-line graphical user interface) with the historical range of observations. Implementation of this new tool has already led to noticeable advantages in regional water budget forecasting, and has the potential to be transferred to other regional decision-making authorities as well.

Issues in Electronic Publishing.

ERIC Educational Resources Information Center

Meadow, Charles T.

1997-01-01

Discusses issues related to electronic publishing. Topics include writing; reading; production, distribution, and commerce; copyright and ownership of intellectual property; archival storage; technical obsolescence; control of content; equality of access; and cultural changes. (Author/LRW)

12 CFR 747.607 - Statement of net worth.

Code of Federal Regulations, 2012 CFR

2012-01-01

... and Procedures Applicable to Recovery of Attorneys Fees and Other Expenses Under the Equal Access to... is an eligible party. The administrative law judge or the NCUA Board may require additional...

Preserving Equal Access to Mortgage Finance Programs Act

THOMAS, 112th Congress

Rep. Miller, Gary G. [R-CA-42

2011-05-05

House - 06/02/2011 Referred to the Subcommittee on Insurance, Housing and Community Opportunity. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Female Engagement Teams: Making the Case for Institutionalization Based on U.S. Security Objectives in Africa

DTIC Science & Technology

2013-05-23

politically when men and women are afforded equitable access to health, education, economic, and political resources.8 However, a review of countries...theory; there would need to be an equal improvement in how the local community understood what the school and education more broadly represented for the...in its World Development Report 2012: Gender Equality and Development: 18LTG Michael T. Flynn, Capt Matt Pottinger, and Paul D. Batchelor, Fixing

Health policy considerations for our sexual minority patients.

PubMed

O'Hanlan, Katherine A

2006-03-01

Homosexuality and transsexuality are still widely viewed by lay individuals as morally negative and deserving of legal proscription. Peer-reviewed data confirm that experiences of legal discrimination are associated with stress-related health problems, reduced utilization of health care, and financial and legal challenges for individuals and families, especially those with children. In the last 3 years, the American Psychiatric Association, American Psychological Association, and American Psychoanalytic Association have each reviewed the research on sexual orientation and identity, and each has confirmed that sexual orientation and gender identity do not correlate with mental illness or immorality. They have each endorsed laws that confer equality to sexual minorities, including nondiscrimination in employment, medical insurance coverage, adoption, and access to civil marriage. The American College of Obstetricians and Gynecologists (ACOG), by virtue of its history of advocacy for women's health, is in a position to promote policy and make similar recommendations, recognizing that sexual minority women's health and their family issues are an integral component of taking care of all women. The College should review the policies of America's premier mental health associations and consider including sexual orientation and gender identity in its own nondiscrimination policy, and ACOG should issue a policy statement in support of laws to provide safety from violence and discrimination, equal employment opportunities, equal health insurance coverage, and equal access to civil marriage.

Exploring the Barriers: A Qualitative Study about the Experiences of Mid-SES Roma Navigating the Spanish Healthcare System

PubMed Central

2018-01-01

Whereas the topic of the ‘cultural sensitivity’ of healthcare systems has been addressed extensively in the US and the UK, literature on the subject in most European countries, specifically looking at the situation of Roma, is still scarce. Drawing on qualitative research conducted mainly in the city of Barcelona under the communicative approach with Roma subjects who have stable socioeconomic positions and higher cultural capitals (end-users, professionals of the healthcare system, and key informants of a regional policy oriented to the improvement of Roma living conditions), the present study aims to fill this gap. We explore the barriers that the Roma face in accessing the healthcare system, reflecting on how these barriers are accentuated by the existing anti-Roma prejudices and institutional arrangements that do not account for minority cultures. Our results point out a series of obstacles at two levels, in the interaction with healthcare professionals, and in relation to existing institutional arrangements, which prevent Roma families from having equal access to the healthcare system. Education stands up as a mechanism to contest anti-Roma sentiments among healthcare professionals. PMID:29470450

Equal Access to COBRA Act of 2010

THOMAS, 111th Congress

Sen. Boxer, Barbara [D-CA

2010-03-25

Senate - 03/25/2010 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Equal Access to COBRA Act of 2011

THOMAS, 112th Congress

Sen. Boxer, Barbara [D-CA

2011-03-10

Senate - 03/10/2011 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

12 CFR 625.29 - Payment of award.

Code of Federal Regulations, 2010 CFR

2010-01-01

... FCA will pay the amount awarded to the applicant within 60 days of receipt of the applicant's... EXPENSES UNDER THE EQUAL ACCESS TO JUSTICE ACT Procedures for Considering Applications § 625.29 Payment of...

Equal Access to Quality Education Act of 2011

THOMAS, 112th Congress

Rep. Chu, Judy [D-CA-32

2011-09-13

House - 11/18/2011 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Equal Access to Quality Education Act of 2013

THOMAS, 113th Congress

Rep. Chu, Judy [D-CA-27

2013-03-21

House - 04/23/2013 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Sign language Web pages.

PubMed

Fels, Deborah I; Richards, Jan; Hardman, Jim; Lee, Daniel G

2006-01-01

The WORLD WIDE WEB has changed the way people interact. It has also become an important equalizer of information access for many social sectors. However, for many people, including some sign language users, Web accessing can be difficult. For some, it not only presents another barrier to overcome but has left them without cultural equality. The present article describes a system that allows sign language-only Web pages to be created and linked through a video-based technique called sign-linking. In two studies, 14 Deaf participants examined two iterations of signlinked Web pages to gauge the usability and learnability of a signing Web page interface. The first study indicated that signing Web pages were usable by sign language users but that some interface features required improvement. The second study showed increased usability for those features; users consequently couldnavigate sign language information with ease and pleasure.

The consequences of health service privatisation for equality and equity in health care in South Africa.

PubMed

Price, M

1988-01-01

The trend towards the privatisation of health services in South Africa reflects a growing use of private sources of finance and the growing proportion of privately owned fee-for-service providers and facilities. Fee-for-service methods of reimbursement aggravate the geographical maldistribution of personnel and facilities, and the competition for scarce personnel resources aggravates the difference in the quality of the public and private services. Thus the growth in demand for these types of providers may be expected to increase inequality of access in these two respects. The potential expansion of medical scheme coverage is shown to be limited to well under 50% of the population, leaving the majority of the population without access to private sector health care. Even for members of the medical schemes, benefits are linked to income, thus clashing with the principle of equal care for equal need. The public funds needed to overcome financial obstacles to access to private providers could be more efficiently deployed by financing publicly owned and controlled health services directly. Taxation also offers the most equitable method of financing health services. Finally, attention is drawn to the dilemma resulting from the strengthening of the private health sector; while in the short term this can offer better care to more people on a racially non-discriminatory basis, in the long term, health care for the population as a whole may become more unequal and for those dependent on the public sector it may even deteriorate.

Structural barriers at the workplace for employees with vision and locomotor disabilities in New Delhi, India.

PubMed

Saigal, Neha; Narayan, Rajeev

2014-01-01

India, a signatory to the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), has 2.21% of people with disabilities to the total population of which 26% are employed (Census 2011 and 2001). Accessibility was introduced for the first time in 1995 under The Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act. Article 9 of UNCRPD promotes barrier-free environment on an equal basis with others. Despite the legislation and the UN convention, structural barriers continue to be one of the largest barriers posing concern for PwDs at their workplace. To identify various physicall barriers limiting accessibility of PWDs in the formal sector in Delhi. Quantitative descriptive research design. Random sample was drawn. Structural barriers create difficulty in accessing basic amenities such as canteens, toilets etc. Disability is a human rights issue. An employee with disability is entitled to dignified life. Effective implementation of Article 9 and 27 of UNCRPD will pave a way for removing structural barriers at workplace.

Analysis of the hand vein pattern for people recognition

NASA Astrophysics Data System (ADS)

Castro-Ortega, R.; Toxqui-Quitl, C.; Cristóbal, G.; Marcos, J. Victor; Padilla-Vivanco, A.; Hurtado Pérez, R.

2015-09-01

The shape of the hand vascular pattern contains useful and unique features that can be used for identifying and authenticating people, with applications in access control, medicine and financial services. In this work, an optical system for the image acquisition of the hand vascular pattern is implemented. It consists of a CCD camera with sensitivity in the IR and a light source with emission in the 880 nm. The IR radiation interacts with the desoxyhemoglobin, hemoglobin and water present in the blood of the veins, making possible to see the vein pattern underneath skin. The segmentation of the Region Of Interest (ROI) is achieved using geometrical moments locating the centroid of an image. For enhancement of the vein pattern we use the technique of Histogram Equalization and Contrast Limited Adaptive Histogram Equalization (CLAHE). In order to remove unnecessary information such as body hair and skinfolds, a low pass filter is implemented. A method based on geometric moments is used to obtain the invariant descriptors of the input images. The classification task is achieved using Artificial Neural Networks (ANN) and K-Nearest Neighbors (K-nn) algorithms. Experimental results using our database show a percentage of correct classification, higher of 86.36% with ANN for 912 images of 38 people with 12 versions each one.

Gendered Distances: A Methodological Inquiry into Spatial Analysis as an Instrument for Assessing Gender Equality in Access to Secondary Schools in Mukono District, Uganda

ERIC Educational Resources Information Center

Wawro, Patrick R.

2010-01-01

This study focused on how accessibility to secondary schools in the Mukono District of Uganda is related to the sex and gender of the student and the distance that separates the student's home from the school they attend. This research is a methodological inquiry exploring the use of spatial analysis, specifically how cognitive and metric…

Beyond open access: open discourse, the next great equalizer.

PubMed

Dayton, Andrew I

2006-08-30

The internet is expanding the realm of scientific publishing to include free and open public debate of published papers. Journals are beginning to support web posting of comments on their published articles and independent organizations are providing centralized web sites for posting comments about any published article. The trend promises to give one and all access to read and contribute to cutting edge scientific criticism and debate.

Immigrants' access to health insurance: no equality without awareness.

PubMed

Dzúrová, Dagmar; Winkler, Petr; Drbohlav, Dušan

2014-07-14

The Czech government has identified commercial health insurance as one of the major problems for migrants' access to health care. Non-EU immigrants are eligible for public health insurance only if they have employee status or permanent residency. The present study examined migrants' access to the public health insurance system in Czechia. A cross-sectional survey of 909 immigrants from Ukraine and Vietnam was conducted in March and May 2013, and binary logistic regression was applied in data analysis. Among immigrants entitled to Czech public health insurance due to permanent residency/asylum, 30% were out of the public health insurance system, and of those entitled by their employment status, 50% were out of the system. Migrants with a poor knowledge of the Czech language are more likely to remain excluded from the system of public health insurance. Instead, they either remain in the commercial health insurance system or they simultaneously pay for both commercial and public health insurance, which is highly disadvantageous. Since there are no reasonable grounds to stay outside the public health insurance, it is concluded that it is lack of awareness that keeps eligible immigrants from entering the system. It is suggested that no equal access to health care exists without sufficient awareness about health care system.

Can antibiotic use be both just and sustainable... or only more or less so?

PubMed

Millar, Michael

2011-03-01

Antibiotic resistance threatens the capacity to treat life-threatening infections. If it is accepted that it will be many years (if not decades) until the production of new antibiotics overcomes current concerns with antibiotic resistance then ways to conserve the effectiveness of current antibiotics will have to be found. For many bacterial agents of infection levels of antibiotic resistance are directly dependent on the quantity of antibiotic prescribed. Antibiotics are currently underutilised in many parts of the world. If a just distribution of access to antibiotics requires equal access for individuals with equal need irrespective of wealth then responding to this requirement of justice has the potential to shorten the effective life of currently available antibiotics. Increasing the range and numbers of individuals treated with antibiotics would seem to threaten sustainability and also potentially undermine the access of future generations to cost-effective treatments for bacterial infection. The control of antibiotic resistance requires that the determinants of infectious disease transmission are addressed, such as poor housing, education and nutrition as well as the provision of antibiotics. The apparent tension between intragenerational justice and sustainability diminishes when the account of distributive justice extends beyond access to antibiotics and includes plural entitlements. Controlling antibiotic resistance requires more than the redistribution or reduction (in the overall use) of antibiotics.

Extracting Compositional Variation from THEMIS Data for Features with Large Topography on Mars Via Atmospheric Equalization

NASA Technical Reports Server (NTRS)

Anderson, F. S.; Drake, J. S.; Hamilton, V. E.

2005-01-01

We have developed a means of equalizing the atmospheric signature in Mars Odyssey Thermal Emission Imaging System (THEMIS) infrared data over regions with large topography such as the Valles Marineris (VM). This equalization allows for the analysis of compositional variations in regions that previously have been difficult to study because of the large differences in atmospheric path length that result from large changes in surface elevation. Specifically, our motivation for this study is to examine deposits that are small at the scales observable by the Thermal Emission Spectrometer (TES) onboard Mars Global Surveyor, but which are more readily resolved with THEMIS.

The effect of secular resonances in the asteroid region between 2.1 and 2.4 AU

NASA Technical Reports Server (NTRS)

Froeschle, Christiane; Scholl, Hans

1992-01-01

The asteroid region between 2.1 and 2.4 AU appears to be depopulated at inclinations i greater than 12 deg. This region is surrounded by the three main secular resonances nu(sub 5), nu(sub 6), and nu(sub 16) and is crossed by higher order secular resonances. Secular resonances appear to overlap in this region. Numerical integrations of the orbits of seventeen fictituous asteroids with initial inclinations 12 deg less than or equal to i less than or equal to 20 deg show the following: (1) this particular asteroid region is not depopulated in our computer experiment on timescales of 2.7 Myrs; (2) inclinations are pumped up by successive crossings through higher order secular resonances while eccentricities are not increased sufficiently to produce planet-crossers; (3) bodies located in the bordering nu(sub 6) resonance with semi-major axes a less than or equal to 2.4 AU become Earth-crossers on a time scale of 1 Myr; and (4) we confirm the result that modes due to higher order secular resonances must be eliminated when proper elements are computed.

Dispersion compensation of fiber optic communication system with direct detection using artificial neural networks (ANNs)

NASA Astrophysics Data System (ADS)

Maghrabi, Mahmoud M. T.; Kumar, Shiva; Bakr, Mohamed H.

2018-02-01

This work introduces a powerful digital nonlinear feed-forward equalizer (NFFE), exploiting multilayer artificial neural network (ANN). It mitigates impairments of optical communication systems arising due to the nonlinearity introduced by direct photo-detection. In a direct detection system, the detection process is nonlinear due to the fact that the photo-current is proportional to the absolute square of the electric field intensity. The proposed equalizer provides the most efficient computational cost with high equalization performance. Its performance is comparable to the benchmark compensation performance achieved by maximum-likelihood sequence estimator. The equalizer trains an ANN to act as a nonlinear filter whose impulse response removes the intersymbol interference (ISI) distortions of the optical channel. Owing to the proposed extensive training of the equalizer, it achieves the ultimate performance limit of any feed-forward equalizer (FFE). The performance and efficiency of the equalizer is investigated by applying it to various practical short-reach fiber optic communication system scenarios. These scenarios are extracted from practical metro/media access networks and data center applications. The obtained results show that the ANN-NFFE compensates for the received BER degradation and significantly increases the tolerance to the chromatic dispersion distortion.

Incentives, health promotion and equality.

PubMed

Voigt, Kristin

2012-07-01

The use of incentives to encourage individuals to adopt 'healthier' behaviours is an increasingly popular instrument in health policy. Much of the literature has been critical of 'negative' incentives, often due to concerns about equality; 'positive' incentives, however, have largely been welcomed as an instrument for the improvement of population health and possibly the reduction of health inequalities. The aim of this paper is to provide a more systematic assessment of the use of incentives from the perspective of equality. The paper begins with an overview of existing and proposed incentive schemes. I then suggest that the distinction between 'positive' and 'negative' incentives - or 'carrots' and 'sticks' - is of limited use in distinguishing those incentive schemes that raise concerns of equality from those that do not. The paper assesses incentive schemes with respect to two important considerations of equality: equality of access and equality of outcomes. While our assessment of incentive schemes will, ultimately, depend on various empirical facts, the paper aims to advance the debate by identifying some of the empirical questions we need to ask. The paper concludes by considering a number of trade-offs and caveats relevant to the assessment of incentive schemes.

12 CFR 747.610 - Answer to application.

Code of Federal Regulations, 2012 CFR

2012-01-01

... and Procedures Applicable to Recovery of Attorneys Fees and Other Expenses Under the Equal Access to... settlement. The filing of this statement shall extend the time for filing an answer for an additional 30 days...

Can Distance Education Increase Educational Equality? Evidence from the Expansion of Chinese Higher Education

ERIC Educational Resources Information Center

Li, Fengliang; Zhou, Mengying; Fan, Baolong

2014-01-01

Since China decided to expand its higher education, we have seen an increasing number of discussions of the relationship between educational expansion and equality. However, few studies have examined whether the expansion of distance higher education will improve educational equality among different regions. In this study, we analyzed the changes…

Geographic Variation in Household and Catastrophic Health Spending in India: Assessing the Relative Importance of Villages, Districts, and States, 2011-2012.

PubMed

Mohanty, Sanjay K; Kim, Rockli; Khan, Pijush Kanti; Subramanian, S V

2018-03-01

Policy Points: Per-capita household health spending was higher in economically developed states and was associated with ability to pay, but catastrophic health spending (CHS) was equally high in both poorer and more developed states in India. Based on multilevel modeling, we found that the largest geographic variation in health spending and CHS was at the state and village levels, reflecting wide inequality in the accessibility to and cost of health care at these levels. Contextual factors at macro and micro political units are important to reduce health spending and CHS in India. In India, health care is a local good, and households are the major source of financing it. Earlier studies have examined diverse determinants of health care spending, but no attempt has been made to understand the geographical variation in household and catastrophic health spending. We used multilevel modeling to assess the relative importance of villages, districts, and states to health spending in India. We used data on the health expenditures of 101,576 households collected in the consumption expenditure schedule (68th round) carried out by the National Sample Survey in 2011-2012. We examined 4 dependent variables: per-capita health spending (PHS), per-capita institutional health spending (PIHS), per-capita noninstitutional health spending (PNHS), and catastrophic health spending (CHS). CHS was defined as household health spending exceeding 40% of its capacity to pay. We used multilevel linear regression and logistic models to decompose the variation in each outcome by state, region, district, village, and household levels. The average PHS was 1,331 Indian rupees (INR), which varied by state-level economic development. About one-fourth of Indian households incurred CHS, which was equally high in both the economically developed and poorer states. After controlling for household level factors, 77.1% of the total variation in PHS was attributable to households, 10.1% to states, 9.5% to villages, 2.6% to districts, and 0.7% to regions. The pattern in variance partitioning was similar for PNHS. The largest interstate variation was found for CHS (15.9%), while the opposite was true for PIHS (3.2%). We observed substantial variations in household health spending at the state and village levels compared with India's districts and regions. The large variation in CHS attributable to states indicates interstate inequality in the accessibility to and cost of health care. Our findings suggest that contextual factors at the macro and micro political units are important to reduce India's household health spending and CHS. © 2018 Milbank Memorial Fund.

A Study of Dispersion Compensation of Polarization Multiplexing-Based OFDM-OCDMA for Radio-over-Fiber Transmissions

PubMed Central

Yen, Chih-Ta; Chen, Wen-Bin

2016-01-01

Chromatic dispersion from optical fiber is the most important problem that produces temporal skews and destroys the rectangular structure of code patterns in the spectra-amplitude-coding-based optical code-division multiple-access (SAC-OCDMA) system. Thus, the balance detection scheme does not work perfectly to cancel multiple access interference (MAI) and the system performance will be degraded. Orthogonal frequency-division multiplexing (OFDM) is the fastest developing technology in the academic and industrial fields of wireless transmission. In this study, the radio-over-fiber system is realized by integrating OFDM and OCDMA via polarization multiplexing scheme. The electronic dispersion compensation (EDC) equalizer element of OFDM integrated with the dispersion compensation fiber (DCF) is used in the proposed radio-over-fiber (RoF) system, which can efficiently suppress the chromatic dispersion influence in long-haul transmitted distance. A set of length differences for 10 km-long single-mode fiber (SMF) and 4 km-long DCF is to verify the compensation scheme by relative equalizer algorithms and constellation diagrams. In the simulation result, the proposed dispersion mechanism successfully compensates the dispersion from SMF and the system performance with dispersion equalizer is highly improved. PMID:27618042

Using human rights-based approaches to conceptualise lesbian and bisexual women's health inequalities.

PubMed

Fish, Julie; Bewley, Susan

2010-07-01

This article makes a contribution to current debates in human rights-based approaches to lesbian and bisexual (LB) women's health. With reference to concepts embodied in the Yogyakarta Principles, it is proposed that the right to health includes access to health information, participation, equity, equality and non-discrimination. Specifically, the article examines how LB women's health can be considered as a health inequality and discusses international developments to reduce disparities. Drawing on qualitative data collected in an online survey, the article reports on sexual minority women's experiences of health-care. Participants were recruited via a purposive sampling strategy; questionnaires were completed by 6490 respondents of whom 5909 met the study criteria of residence in the UK, sexual orientation and completing the survey once. Analysis revealed four broad themes: heteronormativity in health-care; improving attitudes among healthcare professionals; equality in access; raising awareness and informed communities. The accounts highlight the centrality of human rights principles: fairness, respect, equality, dignity and autonomy. The implications for healthcare policy and practice are discussed including ways to empower staff and service users with knowledge and skills and ensuring non-discrimination in health service delivery.

[Centralized immunization schedules and regional equity of access: an audit among Apulian healthcare workers].

PubMed

Tafuri, S; Martinelli, D; Caputi, G; Fortunato, F; Germinario, C; Prato, R

2009-01-01

The reform of the Vth Title of the Italian Constitution has given the Regions autonomous power over planning of their immunization programme and immunization calendar. This amendment has federalized Italy's vaccination system and, is justified by epidemiological evidence however casts doubt on its provision of equal rights to health care. The objective of this current study is to gain insight into the opinion of vaccine services officers in the Apulia region on federal immunization and the regional immunization programme. Research was conducted using an anonymous standardized questionnaire to which 302 vaccines services staff responded. 67.4% of respondents believe that the current federal vaccination programme should be maintained, whilst 20.2% believe that the current system should be eradicated and 12.4% believe it should be phased out gradually. The current apulian vaccination calendar provides free and active immunizations for all newborns for the pneumococcal, meningitis C, chickenpox and hepatitis A vaccines. The interviewees believe that the vaccinations provided in the regional immunization programme are very important (average importance out of 10 = 6.1/7). The positive response to the regional vaccination plan given by the health officers explains, at least in part, the conservative attitude tewards federal vaccination plans. It cannot be excluded that sacrificing regional autonomy over vaccination programmes might be considered by the vaccination officers as being responsible for the abandonment of the Region's long established immunization practices. The success of these practices is evident in the case of the Region's Hepatitis A immunization programme where the active provision of this vaccine has drastically reduced the endemicity of the illness in Apulia. These experiences of good practice should be adequately considered in before opting to phase out the current immunisation programme.

Checking transfer efficiency and equal loading via qualitative optical way in western blotting.

PubMed

Gong, Jun-Hua; Gong, Jian-Ping; Zheng, Kai-Wen

2017-11-01

The ability to determine that successful transfer and equal loading occur prior to using primary antibodies is important. And total protein staining is commonly used to check transfer efficiency and normalization, which play a crucial role in western blotting. Ponceau S and coomassie blue are commonly used, but there are disadvantages reported in recent years. Therefore, we are interested in finding another method, which is cheap, easy and fast. As we know, protein binding region of PVDF membrane is still hydrophilic when carbinol volatilizes, however, the non-protein binding region of PVDF membrane became hydrophobic again. And this different wettability between non-protein binding region and protein binding region of Polyvinylidene difluoride membrane may be used to check transfer efficiency and equal loading in western blotting. Based on the principle above, we describe an optical approach where an experimenter can observe that the proteins have been transferred to the membrane without any staining within minutes. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Equity of the essential public health service in rural china: evidence from a nationwide survey of hypertensive patients.

PubMed

Zhou, Donghua; Feng, Zhanchun; He, Shasha; Sun, Xi; Ma, Caihui; Lv, Benyan; Zou, Xiong

2013-07-01

To explore healthcare disparities in rural China two years after the implementation of the Essential Public Health Service (EPHS) reform in 2009. A cross-sectional study was conducted by surveying 930 hypertension patients (HPs) from different regions in rural China in 2011. The percentages of patients using recommended four or more follow-up visits in a year were calculated by patient socio-demographic characteristics and statistically examined using chi-square and logistic regression to uncover disparities and correlated factors in EPHS use. The rates were not significantly different by age, gender, education, insurance status or income, but significantly different by region and hypertension history (p<0.01). Higher rates were also observed on patients who sought actively follow-up service at clinics, making appointment for the next follow-up with doctors, awareness of the need of follow-up, more satisfied with the follow-up services, and better medication adherence (p<0.01). There were no disparities observed among HPs in the use of follow-up services, suggesting that the reform has to some extent achieved its goal in ensuring equal access to EPHS. In this regard, regional implementation of the national policies and improvement of EPHS management at local level should be further improved.

The neural bases for valuing social equality.

PubMed

Aoki, Ryuta; Yomogida, Yukihito; Matsumoto, Kenji

2015-01-01

The neural basis of how humans value and pursue social equality has become a major topic in social neuroscience research. Although recent studies have identified a set of brain regions and possible mechanisms that are involved in the neural processing of equality of outcome between individuals, how the human brain processes equality of opportunity remains unknown. In this review article, first we describe the importance of the distinction between equality of outcome and equality of opportunity, which has been emphasized in philosophy and economics. Next, we discuss possible approaches for empirical characterization of human valuation of equality of opportunity vs. equality of outcome. Understanding how these two concepts are distinct and interact with each other may provide a better explanation of complex human behaviors concerning fairness and social equality. Copyright © 2014 Elsevier Ireland Ltd and the Japan Neuroscience Society. All rights reserved.

Dithiothreitol-based protein equalization technology to unravel biomarkers for bladder cancer.

PubMed

Araújo, J E; López-Fernández, H; Diniz, M S; Baltazar, Pedro M; Pinheiro, Luís Campos; da Silva, Fernando Calais; Carrascal, Mylène; Videira, Paula; Santos, H M; Capelo, J L

2018-04-01

This study aimed to assess the benefits of dithiothreitol (DTT)-based sample treatment for protein equalization to assess potential biomarkers for bladder cancer. The proteome of plasma samples of patients with bladder carcinoma, patients with lower urinary tract symptoms (LUTS) and healthy volunteers, was equalized with dithiothreitol (DTT) and compared. The equalized proteomes were interrogated using two-dimensional gel electrophoresis and matrix assisted laser desorption ionization time of flight mass spectrometry. Six proteins, namely serum albumin, gelsolin, fibrinogen gamma chain, Ig alpha-1 chain C region, Ig alpha-2 chain C region and haptoglobin, were found dysregulated in at least 70% of bladder cancer patients when compared with a pool of healthy individuals. One protein, serum albumin, was found overexpressed in 70% of the patients when the equalized proteome of the healthy pool was compared with the equalized proteome of the LUTS patients. The pathways modified by the proteins differentially expressed were analyzed using Cytoscape. The method here presented is fast, cheap, of easy application and it matches the analytical minimalism rules as outlined by Halls. Orthogonal validation was done using western-blot. Overall, DTT-based protein equalization is a promising methodology in bladder cancer research. Copyright © 2017 Elsevier B.V. All rights reserved.

Programmable Direct-Memory-Access Controller

NASA Technical Reports Server (NTRS)

Hendry, David F.

1990-01-01

Proposed programmable direct-memory-access controller (DMAC) operates with computer systems of 32000 series, which have 32-bit data buses and use addresses of 24 (or potentially 32) bits. Controller functions with or without help of central processing unit (CPU) and starts itself. Includes such advanced features as ability to compare two blocks of memory for equality and to search block of memory for specific value. Made as single very-large-scale integrated-circuit chip.

Replacing Smartphones With Mini Tablet Technology: An Evaluation.

PubMed

Maneval, Rhonda; Mechtel, Marci

Handheld technology allows students to access point-of-care resources throughout the clinical experience. To assess the viability of replacing student smartphones with tablets, an evaluation project was undertaken. Overall, students were equally dissatisfied with the 2 types of tablets that were evaluated. Students saw the potential usefulness of tablets to manage clinical assignments, interact with the learning management system, and communicate with faculty, but not for retrieving information currently accessible on their phones.

Evidence for Reduced Species Star Formation Rates in the Centers of Massive Galaxies at zeta = 4

NASA Technical Reports Server (NTRS)

Jung, Intae; Finkelstein, Steven L.; Song, Mimi; Dickinson, Mark; Dekel, Avishai; Ferguson, Henry C.; Fontana, Adriano; Koekemoer, Anton M.; Lu, Yu; Mobasher, Bahram;

77 FR 23229 - Submission for OMB Review; Assurance of Compliance-Civil Rights Certificate

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-18

... rights laws, including Title VI, Title IX, Section 504, the Age Discrimination Act, and the Boy Scouts of America Equal Access Act. To meet these responsibilities, OCR collects assurances of compliance from...

Open Book on Equal Access to Justice Act

THOMAS, 113th Congress

Rep. Lummis, Cynthia M. [R-WY-At Large

2013-08-01

Senate - 05/07/2014 Received in the Senate and Read twice and referred to the Committee on the Judiciary. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

Equal Opportunity and Accessibility | Oregon State University Extension

Science.gov Websites

discrimination based on age, color, disability, familial or parental status, gender identity or expression inclusion for people with a wide range of needs. People who benefit include those with: Vision, hearing, or

Random access to mobile networks with advanced error correction

NASA Technical Reports Server (NTRS)

Dippold, Michael

1990-01-01

A random access scheme for unreliable data channels is investigated in conjunction with an adaptive Hybrid-II Automatic Repeat Request (ARQ) scheme using Rate Compatible Punctured Codes (RCPC) Forward Error Correction (FEC). A simple scheme with fixed frame length and equal slot sizes is chosen and reservation is implicit by the first packet transmitted randomly in a free slot, similar to Reservation Aloha. This allows the further transmission of redundancy if the last decoding attempt failed. Results show that a high channel utilization and superior throughput can be achieved with this scheme that shows a quite low implementation complexity. For the example of an interleaved Rayleigh channel and soft decision utilization and mean delay are calculated. A utilization of 40 percent may be achieved for a frame with the number of slots being equal to half the station number under high traffic load. The effects of feedback channel errors and some countermeasures are discussed.

[The Evaluation of the German Federal Law of Equal Treatment of Disabled Persons].

PubMed

Ramm, D; Welti, F

2017-08-01

The German federal law of equal treatment of disabled persons (Behindertengleichstellungsgesetz des Bundes, BGG) came into effect in 2002. An evaluation of this law was required by the national plan of action for the implementation of the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Project evaluation objectives were to estimate whether the needs of disabled persons were being met and whether the instruments proved to be adequate for fulfilling the aims of the law. Jurisprudential analyses in combination with surveys were used for this research. It was found that the BGG still lacks adequate publicity. Its impact, however, was assessed as positive. Results also indicate that there might be some shortcomings with regard to accessibility. For a closer examination, however, more data focusing on accessibility in the context of health care and rehabilitation is. © Georg Thieme Verlag KG Stuttgart · New York.

Towards ensuring gender equity.

PubMed

Basu, A

1996-01-01

All people should participate in the development process. Many, however, remain excluded from the benefits of development. For example, women are privy to only a small share of developmental opportunities. The goals of equality, development, and peace were stated during the Fourth World Conference on Women held in Beijing in September 1995. The author considers whether women truly have equitable access to literacy, education, food, nutrition, health, employment, and the political and economic decision making process. She stresses that the goals pronounced at the Fourth World Conference on Women must be backed up with the necessary resources, including institutions established at the local, state, and national levels to ensure that the objectives are implemented and the implementation is monitored. The author further argues that in order for women to achieve equality with men, all girls must have access to primary and secondary schools; basic literacy is inadequate. Moreover, gender stereotyping must be avoided and gender sensitization ensured at all levels.

Orthogonal Multi-Carrier DS-CDMA with Frequency-Domain Equalization

NASA Astrophysics Data System (ADS)

Tanaka, Ken; Tomeba, Hiromichi; Adachi, Fumiyuki

Orthogonal multi-carrier direct sequence code division multiple access (orthogonal MC DS-CDMA) is a combination of orthogonal frequency division multiplexing (OFDM) and time-domain spreading, while multi-carrier code division multiple access (MC-CDMA) is a combination of OFDM and frequency-domain spreading. In MC-CDMA, a good bit error rate (BER) performance can be achieved by using frequency-domain equalization (FDE), since the frequency diversity gain is obtained. On the other hand, the conventional orthogonal MC DS-CDMA fails to achieve any frequency diversity gain. In this paper, we propose a new orthogonal MC DS-CDMA that can obtain the frequency diversity gain by applying FDE. The conditional BER analysis is presented. The theoretical average BER performance in a frequency-selective Rayleigh fading channel is evaluated by the Monte-Carlo numerical computation method using the derived conditional BER and is confirmed by computer simulation of the orthogonal MC DS-CDMA signal transmission.

Video enhancement workbench: an operational real-time video image processing system

NASA Astrophysics Data System (ADS)

Yool, Stephen R.; Van Vactor, David L.; Smedley, Kirk G.

1993-01-01

Video image sequences can be exploited in real-time, giving analysts rapid access to information for military or criminal investigations. Video-rate dynamic range adjustment subdues fluctuations in image intensity, thereby assisting discrimination of small or low- contrast objects. Contrast-regulated unsharp masking enhances differentially shadowed or otherwise low-contrast image regions. Real-time removal of localized hotspots, when combined with automatic histogram equalization, may enhance resolution of objects directly adjacent. In video imagery corrupted by zero-mean noise, real-time frame averaging can assist resolution and location of small or low-contrast objects. To maximize analyst efficiency, lengthy video sequences can be screened automatically for low-frequency, high-magnitude events. Combined zoom, roam, and automatic dynamic range adjustment permit rapid analysis of facial features captured by video cameras recording crimes in progress. When trying to resolve small objects in murky seawater, stereo video places the moving imagery in an optimal setting for human interpretation.

COPYCAT; IBM OS system catalog utility routine. [IBM360,370; Assembly language

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

Engert, D.E.

COPYCAT is an OS utility program designed to produce an efficient system-wide catalog which may reside on many volumes. Substantial improvement in performance may also be obtained on a system with only a single catalog. First, catalog entries from many different catalogs may be redistributed to equalize the load on each catalog. Second, each individual catalog is restructured in a way designed to minimize the I/O time required for searching and updating. Redistribution and restructuring parameters are under user control. Model DSCB's for generation data groups and alias entries are also processed. Catalogs on all direct access devices, including datamore » cells, are supported. Backup copies may also be made.IBM360,370; Assembly language; OS/MVT, OS/MFT, OS/VS1 and OS/VS2 Release 1; A large region size is recommended since COPYCAT will use all of the core available to it for buffers..« less

Crossover to the anomalous quantum regime in the extrinsic spin Hall effect of graphene

NASA Astrophysics Data System (ADS)

Ferreira, Aires; Milletari, Mirco

Recent reports of spin-orbit coupling enhancement in chemically modified graphene have opened doors to studies of the spin Hall effect with massless chiral fermions. Here, we theoretically investigate the interaction and impurity density dependence of the extrinsic spin Hall effect in spin-orbit coupled graphene. We present a nonperturbative quantum diagrammatic calculation of the spin Hall response function in the strong-coupling regime that incorporates skew scattering and anomalous impurity density-independent contributions on equal footing. The spin Hall conductivity dependence on Fermi energy and electron-impurity interaction strength reveals the existence of experimentally accessible regions where anomalous quantum processes dominate. Our findings suggest that spin-orbit-coupled graphene is an ideal model system for probing the competition between semiclassical and bona fide quantum scattering mechanisms underlying the spin Hall effect. A.F. gratefully acknowledges the financial support of the Royal Society (U.K.).

Contraceptive issues of youth and adolescents in developing countries: highlights from the Philippines and other Asian countries.

PubMed

Alesna-Llanto, Emma; Raymundo, Corazon M

2005-10-01

This article highlights contraceptive issues in Asia, home to some 700 million adolescents. It starts with a description of the socio-cultural milieu of adolescents in South and Southeast Asia, their knowledge and use of contraceptives, the myriad barriers to access, and the many innovative programs to broaden contraceptive availability. The reproductive health needs of adolescents in poor countries cannot be solved by merely supplying them with contraceptives--these needs can only be fully addressed in the context of gender equality, poverty alleviation and the conviction that investing in the reproductive health of adolescents is a most urgent priority. Investing in the reproductive health of adolescents will have an impact not only on birth and abortion rates, maternal health, and the spread of STI/HIV but also on the demographics and economic development of the region--and beyond.

Concentration of Access to Information and Communication Technologies in the Municipalities of the Brazilian Legal Amazon.

PubMed

de Brito, Silvana Rossy; da Silva, Aleksandra do Socorro; Cruz, Adejard Gaia; Monteiro, Maurílio de Abreu; Vijaykumar, Nandamudi Lankalapalli; da Silva, Marcelino Silva; Costa, João Crisóstomo Weyl Albuquerque; Francês, Carlos Renato Lisboa

2016-01-01

This study fills demand for data on access and use of information and communication technologies (ICT) in the Brazilian legal Amazon, a region of localities with identical economic, political, and social problems. We use the 2010 Brazilian Demographic Census to compile data on urban and rural households (i) with computers and Internet access, (ii) with mobile phones, and (iii) with fixed phones. To compare the concentration of access to ICT in the municipalities of the Brazilian Amazon with other regions of Brazil, we use a concentration index to quantify the concentration of households in the following classes: with computers and Internet access, with mobile phones, with fixed phones, and no access. These data are analyzed along with municipal indicators on income, education, electricity, and population size. The results show that for urban households, the average concentration in the municipalities of the Amazon for computers and Internet access and for fixed phones is lower than in other regions of the country; meanwhile, that for no access and mobile phones is higher than in any other region. For rural households, the average concentration in the municipalities of the Amazon for computers and Internet access, mobile phones, and fixed phones is lower than in any other region of the country; meanwhile, that for no access is higher than in any other region. In addition, the study shows that education and income are determinants of inequality in accessing ICT in Brazilian municipalities and that the existence of electricity in rural households is directly associated with the ownership of ICT resources.

Concentration of Access to Information and Communication Technologies in the Municipalities of the Brazilian Legal Amazon

PubMed Central

de Brito, Silvana Rossy; da Silva, Aleksandra do Socorro; Cruz, Adejard Gaia; Monteiro, Maurílio de Abreu; Vijaykumar, Nandamudi Lankalapalli; da Silva, Marcelino Silva; Costa, João Crisóstomo Weyl Albuquerque; Francês, Carlos Renato Lisboa

2016-01-01

This study fills demand for data on access and use of information and communication technologies (ICT) in the Brazilian legal Amazon, a region of localities with identical economic, political, and social problems. We use the 2010 Brazilian Demographic Census to compile data on urban and rural households (i) with computers and Internet access, (ii) with mobile phones, and (iii) with fixed phones. To compare the concentration of access to ICT in the municipalities of the Brazilian Amazon with other regions of Brazil, we use a concentration index to quantify the concentration of households in the following classes: with computers and Internet access, with mobile phones, with fixed phones, and no access. These data are analyzed along with municipal indicators on income, education, electricity, and population size. The results show that for urban households, the average concentration in the municipalities of the Amazon for computers and Internet access and for fixed phones is lower than in other regions of the country; meanwhile, that for no access and mobile phones is higher than in any other region. For rural households, the average concentration in the municipalities of the Amazon for computers and Internet access, mobile phones, and fixed phones is lower than in any other region of the country; meanwhile, that for no access is higher than in any other region. In addition, the study shows that education and income are determinants of inequality in accessing ICT in Brazilian municipalities and that the existence of electricity in rural households is directly associated with the ownership of ICT resources. PMID:27035577

Access to destinations : annual accessibility measure for the Twin Cities Metropolitan Region.

DOT National Transportation Integrated Search

2012-11-01

This report summarizes previous phases of the Access to Destinations project and applies the techniques developed : over the course of the project to conduct an evaluation of accessibility in the Twin Cities metropolitan region for : 2010. It describ...

Women swell ranks of working poor.

PubMed

1996-01-01

Despite expanded global female employment (45% of women aged 15-64 years are economically active), women still comprise 70% of the world's 1 billion people living in poverty. Moreover, women's economic activities remain largely confined to low-wage, low-productivity forms of employment. A report by the International Labor Organization (ILO), prepared as a follow-up to the Fourth World Conference on Women and the World Summit for Social Development, identified discrimination in education as a central cause of female poverty and underemployment. Each additional year of schooling is estimated to increase a woman's earnings by 15%, compared to 11% for a man. At the workplace, women face inequalities in terms of hiring and promotion standards, access to training and retraining, access to credit, equal pay for equal work, and participation in economic decision making. In addition, even women in higher-level jobs in developing countries spend 31-42 hours per week in unpaid domestic activities. The ILO has concluded that increasing employment opportunities for women is not a sufficient goal. Required are actions to improve the terms and conditions of such employment, including equal pay for work of equal value, improved occupational safety and health, enhanced security in informal or atypical forms of work, guarantees of freedom of association and the right to organize and bargain collectively, and appropriate maternity protection and child care provisions. Finally, taxation and social welfare policies must be rewritten to accommodate the reality that women are no longer the dependent or secondary earner in families.

Constitution, 16 May 1984.

PubMed

1987-01-01

This document reprints portions of Guinea-Bissau's 1984 Constitution. The Constitution notes that public health efforts would be directed towards prevention as well as the progressive socialization of the health sector. Education is to be strictly linked to productive work and will strengthen an individual's position in the community. The elimination of illiteracy is considered a fundamental task of the state. All citizens are equal before the law, and men and women have equal legal status in all aspects of political, economic, social, and cultural life. The family is protected by the state, and children are equal before the law regardless of their parentage. Foreigners and stateless persons residing in Guinea-Bissau have the same rights and duties as citizens as permitted by law. Citizens have the right to health, and children, youth, and mothers have the right to social protection. All citizens have the right to equal access to educational opportunities.

Investigation of advanced pre- and post-equalization schemes in high-order CAP modulation based high-speed indoor VLC transmission system

NASA Astrophysics Data System (ADS)

Wang, Yiguang; Chi, Nan

2016-10-01

Light emitting diodes (LEDs) based visible light communication (VLC) has been considered as a promising technology for indoor high-speed wireless access, due to its unique advantages, such as low cost, license free and high security. To achieve high-speed VLC transmission, carrierless amplitude and phase (CAP) modulation has been utilized for its lower complexity and high spectral efficiency. Moreover, to compensate the linear and nonlinear distortions such as frequency attenuation, sampling time offset, LED nonlinearity etc., series of pre- and post-equalization schemes should be employed in high-speed VLC systems. In this paper, we make an investigation on several advanced pre- and postequalization schemes for high-order CAP modulation based VLC systems. We propose to use a weighted preequalization technique to compensate the LED frequency attenuation. In post-equalization, a hybrid post equalizer is proposed, which consists of a linear equalizer, a Volterra series based nonlinear equalizer, and a decision-directed least mean square (DD-LMS) equalizer. Modified cascaded multi-modulus algorithm (M-CMMA) is employed to update the weights of the linear and the nonlinear equalizer, while DD-LMS can further improve the performance after the preconvergence. Based on high-order CAP modulation and these equalization schemes, we have experimentally demonstrated a 1.35-Gb/s, a 4.5-Gb/s and a 8-Gb/s high-speed indoor VLC transmission systems. The results show the benefit and feasibility of the proposed equalization schemes for high-speed VLC systems.

Global health inequalities and the need for solidarity: a view from the Global South.

PubMed

Tosam, Mbih J; Chi, Primus Che; Munung, Nchangwi Syntia; Oukem-Boyer, Odile Ouwe Missi; Tangwa, Godfrey B

2017-12-20

Although the world has experienced remarkable progress in health care since the last half of the 20th century, global health inequalities still persist. In some poor countries life expectancy is between 37-40 years lower than in rich countries; furthermore, maternal and infant mortality is high and there is lack of access to basic preventive and life-saving medicines, as well a high prevalence of neglected diseases, HIV/AIDS, tuberculosis, and malaria. Moreover, globalization has made the world more connected than before such that health challenges today are no longer limited within national or regional boundaries, making all persons equally vulnerable. Because of this, diseases in the most affluent countries are closely connected with diseases in the poorest countries. In this paper, we argue that, because of global health inequalities, in a situation of equal vulnerability, there is need for global solidarity not only as a means of reducing health inequalities, but also as a way of putting up a united force against global health challenges. We argue for an African approach to solidarity in which the humanity of a person is not determined by his/her being human or rational capacity, but by his/her capacity to live a virtuous life. According to this view of solidarity, because no one is self-sufficient, no individual can survive alone. If we are to collectively flourish in a world where no individual, nation or region has all the health resources or protection needed for survival, we must engage in solidarity where we remain compassionate and available to one another at all times. © 2017 John Wiley & Sons Ltd.

Liver transplantation in New Orleans: parity in a world of disparity?

PubMed

Smith, Alison A; Darden, Michael; Al-Qurayshi, Zaid; Paramesh, Anil S; Killackey, Mary; Kandil, Emad; Parker, Geoffrey; Balart, Luis; Friedlander, Paul; Buell, Joseph F

2017-09-01

Racial disparity in access to liver transplantation among African Americans (AA) compared to Caucasians (CA) has been well described. The aim of this investigation was to examine the presentation of AA liver transplant recipients in a socioeconomically challenged region. 680 adult liver transplant candidates and 233 resultant recipients between 2007 and 2015 were analyzed using univariate and multivariate analyses to evaluate factors significant for transplantation. Percentages of wait list patients transplanted were similar between CA and AA (34.9% vs. 32.2%, p = 0.5205). AA were younger (50.4 ± 1.8 vs. 56.3 ± 0.7 yrs, p = 0.0003) with higher average MELD scores (22.9 ± 1.6 vs. 19.4 ± 0.7, p = 0.0230). Overall patient mortality was similar (AA 22.7% vs. CA 26.3%, p = 0.5931). A multiple linear regression showed that male gender was strongly associated with transplantation. Equal access to liver transplantation remains challenging for racial minorities. At our institution, AA were accepted and transplanted at an equivalent rate as CA despite a higher AA population, HCV rate and diagnosed HCC. AA were younger and sicker at the time of transplant, but overall had similar outcomes compared to CA. Our study highlights the need for studies to delineate the underpinnings of disparity in transplantation access. Copyright © 2017 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.

An upstream burst-mode equalization scheme for 40 Gb/s TWDM PON based on optimized SOA cascade

NASA Astrophysics Data System (ADS)

Sun, Xiao; Chang, Qingjiang; Gao, Zhensen; Ye, Chenhui; Xiao, Simiao; Huang, Xiaoan; Hu, Xiaofeng; Zhang, Kaibin

2016-02-01

We present a novel upstream burst-mode equalization scheme based on optimized SOA cascade for 40 Gb/s TWDMPON. The power equalizer is placed at the OLT which consists of two SOAs, two circulators, an optical NOT gate, and a variable optical attenuator. The first SOA operates in the linear region which acts as a pre-amplifier to let the second SOA operate in the saturation region. The upstream burst signals are equalized through the second SOA via nonlinear amplification. From theoretical analysis, this scheme gives sufficient dynamic range suppression up to 16.7 dB without any dynamic control or signal degradation. In addition, a total power budget extension of 9.3 dB for loud packets and 26 dB for soft packets has been achieved to allow longer transmission distance and increased splitting ratio.

Air ambulance and hospital services for critically ill and injured in Greenland, Iceland and the Faroe Islands: how can we improve?

PubMed Central

Gunnarsson, Björn; Jensen, Niels S Kieler; Garði, Tummas i; Harðardóttir, Helga; Stefánsdóttir, Lilja; Heimisdóttir, María

2015-01-01

The Nordic Atlantic Cooperation (NORA) is an intergovernmental organization under the auspices of the Nordic Council of Ministers. The NORA region comprises Greenland, Iceland, Faroe Islands and western coastal areas of Norway. Historical, cultural and institutional links bind these nations together in multiple ways, and regional co-operation has in recent years become a focus of interest. This commentary addresses air medical services (AMSs) and available advanced hospital services in the 3 smallest NORA countries challenged sparse populations, hereafter referred to as the region. It seems likely that strengthened regional co-operation can help these countries to address common challenges within health care by exchanging know-how and best practices, pooling resources and improving the efficiency of care delivery. The 4 largest hospitals in the region, Dronning Ingrids Hospital in Nuuk (Greenland), Landspítali in Reykjavík and Sjúkrahúsið á Akureyri, (both in Iceland) and Landssjúkrahúsið Tórshavn on the Faroe Islands, have therefore undertaken the project Network for patient transport in the North-West Atlantic (in Danish: Netværk for patienttransport i Vest-Norden). The goal of the project, and of this article, is to exchange information and provide an overview of current AMSs and access to acute hospital care for severely ill or injured patients in the 3 participating countries. Of equal importance is the intention to highlight the need for increased regional co-operation to optimize use of limited resources in the provision of health care services. PMID:26066019

Disability in post-earthquake Haiti: prevalence and inequality in access to services.

PubMed

Danquah, Lisa; Polack, Sarah; Brus, Aude; Mactaggart, Islay; Houdon, Claire Perrin; Senia, Patrick; Gallien, Pierre; Kuper, Hannah

2015-01-01

To assess the prevalence of disability and service needs in post-earthquake Haiti, and to compare the inclusion and living conditions of people with disabilities to those without disabilities. A population-based prevalence survey of disability was undertaken in 2012 in Port-au-Prince region, which was at the centre of the earthquake in 2010. Sixty clusters of 50 people aged 5 + years were selected with probability proportionate to size sampling and screened for disability (Washington Group short set questionnaire). A case-control study was undertaken, nested within the survey, matching cases to controls by age, gender and cluster. There was additional case finding to identify further children with disabilities. Information was collected on: socioeconomic status, education, livelihood, health, activities, participation and barriers. The prevalence of disability was 4.1% (3.4-4.7%) across 3132 eligible individuals. The earthquake was the second leading cause of disability. Disability was more common with increasing age, but unrelated to poverty. Large gaps existed in access of services for people with disabilities. Adults with disabilities were less likely to be literate or work and more likely to visit health services than adults without disabilities. Children with disabilities were less likely to be currently enrolled at school compared to controls. Children and adults with disabilities reported more activity limitations and participation restriction. Further focus is needed to improve inclusion of people with disabilities in post-earthquake Haiti to ensure that their rights are fulfilled. Almost one in six households in this region of Haiti included a person with a disability, and the earthquake was the second leading cause of disability. Fewer than half of people who reported needing medical rehabilitation had received this service. The leading reported barriers to the uptake of health services included financial constraints (50%) and difficulties with transport (40%). People with disabilities did not participate equally in education or employment and had poorer access to health care.

Predictors of unmet health care needs in Serbia; Analysis based on EU-SILC data

PubMed Central

Mladenovic, Biljana

2017-01-01

Unmet health care needs have been designated as an indicator of equality in access to health care, which provides insight into specific barriers faced by respondents when they need medical services. The purpose of this research was to analyze demographic, socioeconomic, regional characteristics and perception of the health status; and identify predictors of unmet health care needs and consequently determine the size of inequalities in the availability, accessibility and acceptability of health care. The cross-sectional study obtained data from the Survey on Income and Living Conditions in the Republic of Serbia in 2014, based on a sample of 20,069 respondents over 16 years. Data was collected by using a household questionnaire and a questionnaire for individuals. Multivariate logistic regressions were applied. Almost every seventh citizen (14.9%) reported unmet health care needs. Predictors of unmet needs, for overall reasons, which increase the likelihood of their emergence included: self-perceived health status as very bad (OR = 6.37), divorced or widower/widow (OR = 1.31), living in the Sumadija region or Western Serbia (OR = 1.54) and belonging to the age group of 27 to 44 (OR = 1.55) or 45 to 64 years (OR = 1.52). The probability for those least reporting unmet health care needs included female patients (OR = 0.81), those with higher education (OR = 0.77), those who belong to the richest quintile (OR = 0.46) and who are unemployed (OR = 0.64). Reasons for unmet needs that indicate the responsibility of the health system amounted to 58.2% and reasons which represent preferences of the respondents amounted to 41.7%. The most frequent reason for unmet needs was financial (36.6%), and the wish to wait and see if the problem got better on its own (18.3%). Health policy should adopt a multidimensional approach and develop incentives for the appropriate use of health services and should eliminate barriers which restrict the accessibility and availability. PMID:29117216

Predictors of unmet health care needs in Serbia; Analysis based on EU-SILC data.

PubMed

Popovic, Natasa; Terzic-Supic, Zorica; Simic, Snezana; Mladenovic, Biljana

2017-01-01

Unmet health care needs have been designated as an indicator of equality in access to health care, which provides insight into specific barriers faced by respondents when they need medical services. The purpose of this research was to analyze demographic, socioeconomic, regional characteristics and perception of the health status; and identify predictors of unmet health care needs and consequently determine the size of inequalities in the availability, accessibility and acceptability of health care. The cross-sectional study obtained data from the Survey on Income and Living Conditions in the Republic of Serbia in 2014, based on a sample of 20,069 respondents over 16 years. Data was collected by using a household questionnaire and a questionnaire for individuals. Multivariate logistic regressions were applied. Almost every seventh citizen (14.9%) reported unmet health care needs. Predictors of unmet needs, for overall reasons, which increase the likelihood of their emergence included: self-perceived health status as very bad (OR = 6.37), divorced or widower/widow (OR = 1.31), living in the Sumadija region or Western Serbia (OR = 1.54) and belonging to the age group of 27 to 44 (OR = 1.55) or 45 to 64 years (OR = 1.52). The probability for those least reporting unmet health care needs included female patients (OR = 0.81), those with higher education (OR = 0.77), those who belong to the richest quintile (OR = 0.46) and who are unemployed (OR = 0.64). Reasons for unmet needs that indicate the responsibility of the health system amounted to 58.2% and reasons which represent preferences of the respondents amounted to 41.7%. The most frequent reason for unmet needs was financial (36.6%), and the wish to wait and see if the problem got better on its own (18.3%). Health policy should adopt a multidimensional approach and develop incentives for the appropriate use of health services and should eliminate barriers which restrict the accessibility and availability.

South Africa’s protracted struggle for equal distribution and equitable access – still not there

PubMed Central

2014-01-01

The purpose of this contribution is to analyse and explain the South African HRH case, its historical evolution, and post-apartheid reform initiatives aimed at addressing deficiencies and shortfalls. HRH in South Africa not only mirrors the nature and diversity of challenges globally, but also the strategies pursued by countries to address these challenges. Although South Africa has strongly developed health professions, large numbers of professional and mid-level workers, and also well-established training institutions, it is experiencing serious workforce shortages and access constraints. This results from the unequal distribution of health workers between the well-resourced private sector over the poorly-resourced public sector, as well as from distributional disparities between urban and rural areas. During colonial and apartheid times, disparities were aggravated by policies of racial segregation and exclusion, remnants of which are today still visible in health-professional backlogs, unequal provincial HRH distribution, and differential access to health services for specific race and class groups. Since 1994, South Africa’s transition to democracy deeply transformed the health system, health professions and HRH establishments. The introduction of free-health policies, the district health system and the prioritisation of PHC ensured more equal distribution of the workforce, as well as greater access to services for deprived groups. However, the HIV/AIDS epidemic brought about huge demands for care and massive patient loads in the public-sector. The emigration of health professionals to developed countries and to the private sector also undermines the strength and effectiveness of the public health sector. For the poor, access to care thus remains constrained and in perpetual shortfall. The post-1994 government has introduced several HRH-specific strategies to recruit, distribute, motivate and retain health professionals to strengthen the public sector and to expand access and coverage. Of great significance among these is the NHI Plan that aims to bridge the structural divide and to redistribute material and human resources more equally. Its success largely hinges on HRH and the balanced deployment of the national workforce. Low- and middle-income countries have much to learn from South African HRH experiences. In turn, South Africa has much to learn from other countries, as this case study shows. PMID:24885691

Child anthropometry data quality from Demographic and Health Surveys, Multiple Indicator Cluster Surveys, and National Nutrition Surveys in the West Central Africa region: are we comparing apples and oranges?

PubMed Central

Corsi, Daniel J.; Perkins, Jessica M.; Subramanian, S. V.

2017-01-01

ABSTRACT Background: There has been limited work comparing survey characteristics and assessing the quality of child anthropometric data from population-based surveys. Objective: To investigate survey characteristics and indicators of quality of anthropometric data in children aged 0–59 months from 23 countries in the West Central Africa region. Methods: Using established methodologies and criteria to examine child age, sex, height, and weight, we conducted a comprehensive assessment and scoring of the quality of anthropometric data collected in 100 national surveys. Results: The Multiple Indicator Cluster Surveys (MICS) and Demographic and Health Surveys (DHS) collected data from a greater number of younger children than older children while the opposite was found for the National Nutrition Surveys (NNS). Missing or implausible height/weight data proportions were 12% and 8% in MICS and DHS compared to 3% in NNS. Average data quality scores were 14 in NNS, 33 in DHS, and 41 in MICS. Conclusions: Although our metric of data quality suggests that data from the NNS appear more consistent and robust, it is equally important to consider its disadvantages related to access and lack of broader socioeconomic information. In comparison, the DHS and MICS are publicly-accessable for research and provide socioeconomic context essential for assessing and addressing the burden of undernutrition within and between countries. The strengths and weaknesses of data from these three sources should be carefully considered when seeking to determine the burden of child undernutrition and its variation within countries. PMID:28641057

Child anthropometry data quality from Demographic and Health Surveys, Multiple Indicator Cluster Surveys, and National Nutrition Surveys in the West Central Africa region: are we comparing apples and oranges?

PubMed

Corsi, Daniel J; Perkins, Jessica M; Subramanian, S V

2017-01-01

There has been limited work comparing survey characteristics and assessing the quality of child anthropometric data from population-based surveys. To investigate survey characteristics and indicators of quality of anthropometric data in children aged 0-59 months from 23 countries in the West Central Africa region. Using established methodologies and criteria to examine child age, sex, height, and weight, we conducted a comprehensive assessment and scoring of the quality of anthropometric data collected in 100 national surveys. The Multiple Indicator Cluster Surveys (MICS) and Demographic and Health Surveys (DHS) collected data from a greater number of younger children than older children while the opposite was found for the National Nutrition Surveys (NNS). Missing or implausible height/weight data proportions were 12% and 8% in MICS and DHS compared to 3% in NNS. Average data quality scores were 14 in NNS, 33 in DHS, and 41 in MICS. Although our metric of data quality suggests that data from the NNS appear more consistent and robust, it is equally important to consider its disadvantages related to access and lack of broader socioeconomic information. In comparison, the DHS and MICS are publicly-accessable for research and provide socioeconomic context essential for assessing and addressing the burden of undernutrition within and between countries. The strengths and weaknesses of data from these three sources should be carefully considered when seeking to determine the burden of child undernutrition and its variation within countries.

29 CFR 2204.308 - Decision.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN PROCEEDINGS BEFORE THE OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION... also include, if at issue, findings on whether the Secretary's position was substantially justified...

A Space Commodities Futures Trading Exchange to Grow the Lunar Economy

NASA Astrophysics Data System (ADS)

Cahan, B. B. C.

2017-10-01

This paper proposes to establish a Space Commodities Futures Trading Exchange in order to define and trade essential commodities that, when traded on an open exchange, improve availability, quality, price discovery, financeability, and equal access.

78 FR 14433 - Women's History Month, 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-06

... greater workplace flexibility, access to capital and training for women-owned businesses, and equal pay..., and to empower women around the world with full political and economic opportunity. Meeting those..., March 6, 2013 / Presidential Documents#0;#0; [[Page 14433

3 CFR 9042 - Proclamation 9042 of October 11, 2013. Blind Americans Equality Day, 2013

Code of Federal Regulations, 2014 CFR

2014-01-01

... to information, culture, and education. By facilitating access to books and other printed material... issued new guidance in June for the use of Braille as a literacy tool under the Individuals with...

Designed to deter: Barriers to facilities at secondary schools in Ghana

PubMed Central

Owusu-Ansah, Frances E.; Alorwu, Divine

2012-01-01

Background There are varied and complex problems associated with the admission of students with disabilities into secondary (senior high) schools all over the world. This situation is further complicated by difficulties encountered in the built environment of these institutions and, in this, Ghana is no exception. Objectives This exploratory study investigated the level of accessibility of the built environment in secondary schools in eight out of the ten regions of Ghana, in order to determine whether they conform to guidelines provided in international building standards and also assess the extent to which they have been designed and constructed to meet the provisions of the Persons with Disability Act 2006, which allows for equal access to public buildings in Ghana. Method In total, 705 building elements in 264 facilities were surveyed using international standards, building codes, regulations and guidelines. These facilities included car parks, classrooms, dormitories, assembly halls, telephone booths and administration blocks. Results Our findings revealed that most of the building elements were barring and not disability-friendly. Just to name a few: there were obstructions on access routes to and around buildings, absence of designated car parks, unfriendly vertical and horizontal means of circulation in buildings and lack of accessible sanitary accommodations. In addition, the general lighting and signage were poor. As a result, very few students with disabilities are admitted and retained in these schools. Conclusion Mainstreaming of people with disabilities into the Ghanaian educational system remains impossible unless urgent action is taken to alter the facilities at secondary schools. Based on this research outcome, recommendations have been made to the Ghanaian government and the Ghana Education Service, as well as non-governmental organisations and relevant professional bodies for the amelioration of the present situation in our secondary schools. PMID:28729972

‘They will be afraid to touch you’: LGBTI people and sex workers' experiences of accessing healthcare in Zimbabwe—an in-depth qualitative study

PubMed Central

Hunt, Jennifer; Bristowe, Katherine; Chidyamatare, Sybille; Harding, Richard

2017-01-01

Objectives To examine experiences of key populations (lesbian, gay, bisexual, trans and intersex (LGBTI) people, men who have sex with men (MSM) and sex workers) in Zimbabwe regarding access to, and experiences of, healthcare. Design Qualitative study using in-depth interviews and focus groups, with thematic analysis. Participants Sixty individuals from key populations in Zimbabwe. Setting Participants were recruited from four locations (Harare, Bulawayo, Mutare, Beitbridge/Masvingo). Results Participants described considerable unmet needs and barriers to accessing basic healthcare due to discrimination regarding key population status, exacerbated by the sociopolitical/legal environment. Three main themes emerged: (1) key populations' illnesses were caused by their behaviour; (2) equal access to healthcare is conditional on key populations conforming to ‘sexual norms’ and (3) perceptions that healthcare workers were ill-informed about key populations, and that professionals' personal attitudes affected care delivery. Participants felt unable to discuss their key population status with healthcare workers. Their healthcare needs were expected to be met almost entirely by their own communities. Conclusions This is one of very few studies of healthcare access beyond HIV for key populations in Africa. Discrimination towards key populations discourages early diagnosis, limits access to healthcare/treatment and increases risk of transmission of infectious diseases. Key populations experience unnecessary suffering from untreated conditions, exclusion from healthcare and extreme psychological distress. Education is needed to reduce stigma and enhance sensitive clinical interviewing skills. Clinical and public health implications of discrimination in healthcare must be addressed through evidence-based interventions for professionals, particularly in contexts with sociopolitical/legal barriers to equality. PMID:28589012

The Potential Impact of E-Commerce on the Rural South: Will It Equalize or Deepen the Digital Divide? The Rural South: Preparing for the Challenges of the 21st Century, No. 14.

ERIC Educational Resources Information Center

Duncan, Beth; Culver, Virgil

Buying and selling on the Internet, known as e-commerce, has become big business, and is still growing. E-commerce has two components, business to consumer retailing and business to business supply-chain operations. Participation is dependent on access to and adoption of advanced information technologies. Access to technology is influenced by…

Accessibility-based evaluation of transportation and land-use planning : from laboratory to practice : USDOT Region V Regional University Transportation Center final report.

DOT National Transportation Integrated Search

2016-12-16

The concept of accessibility has made inroads into planning practice, largely at the system level. That is, accessibility is measured or modeled for current or future regional transportation and land-use scenarios for evaluation or broad policy guida...

The relation between community bans of self-service tobacco displays and store environment and between tobacco accessibility and merchant incentives.

PubMed

Lee, R E; Feighery, E C; Schleicher, N C; Halvorson, S

2001-12-01

These studies investigated (1) the effect of community bans of self-service tobacco displays on store environment and (2) the effect of consumer tobacco accessibility on merchants. We counted cigarette displays (self-service, clerk-assisted, clear acrylic case) in 586 California stores. Merchant interviews (N = 198) identified consumer tobacco accessibility, tobacco company incentives, and shoplifting. Stores in communities with self-service tobacco display bans had fewer self-service displays and more acrylic displays but an equal total number of displays. The merchants who limited consumer tobacco accessibility received fewer incentives and reported lower shoplifting losses. In contrast, consumer access to tobacco was unrelated to the amount of monetary incentives. Community bans decreased self-service tobacco displays; however, exposure to tobacco advertising in acrylic displays remained high. Reducing consumer tobacco accessibility may reduce shoplifting.

Probe Without Moving Parts Measures Flow Angle

NASA Technical Reports Server (NTRS)

Corda, Stephen; Vachon, M. Jake

2003-01-01

The measurement of local flow angle is critical in many fluid-dynamic applications, including the aerodynamic flight testing of new aircraft and flight systems. Flight researchers at NASA Dryden Flight Research Center have recently developed, flight-tested, and patented the force-based flow-angle probe (FLAP), a novel, force-based instrument for the measurement of local flow direction. Containing no moving parts, the FLAP may provide greater simplicity, improved accuracy, and increased measurement access, relative to conventional moving vane-type flow-angle probes. Forces in the FLAP can be measured by various techniques, including those that involve conventional strain gauges (based on electrical resistance) and those that involve more advanced strain gauges (based on optical fibers). A correlation is used to convert force-measurement data to the local flow angle. The use of fiber optics will enable the construction of a miniature FLAP, leading to the possibility of flow measurement in very small or confined regions. This may also enable the tufting of a surface with miniature FLAPs, capable of quantitative flow-angle measurements, similar to attaching yarn tufts for qualitative measurements. The prototype FLAP was a small, aerodynamically shaped, low-aspect-ratio fin about 2 in. (approximately equal to 5 cm) long, 1 in. (approximately equal to 2.5 cm) wide, and 0.125 in. (approximately equal to 0.3 cm) thick (see Figure 1). The prototype FLAP included simple electrical-resistance strain gauges for measuring forces. Four strain gauges were mounted on the FLAP; two on the upper surface and two on the lower surface. The gauges were connected to form a full Wheatstone bridge, configured as a bending bridge. In preparation for a flight test, the prototype FLAP was mounted on the airdata boom of a flight-test fixture (FTF) on the NASA Dryden F-15B flight research airplane.

Global rights, local realities: negotiating gender equality and sexual rights in the Caprivi Region, Namibia.

PubMed

Thomas, Felicity

2007-01-01

Gender inequalities are frequently cited as a major reason for high HIV-prevalence rates in southern Africa. While steps have been taken to promote and pass legislation that upholds equal rights for women, this paper examines the ways in which discourses of gender equality and ensuing sexual rights can have complex, contradictory and even adverse implications when they are mobilised, resisted and reinterpreted at local level. Drawing upon research undertaken in the Caprivi Region of Namibia, this paper examines this ways in which men and women respond to ideas about gender equality, and seeks to place these responses within the wider context of socioeconomic change and understandings of morality prevalent within the region. The tendency of many young women to seek out relationships with older men and the increasing costs of bride-wealth payments play a key role in reinforcing patriarchal attitudes and fuelling disrespect for women's rights both before and within marriage. In addition, a failure to adhere to customary norms, which uphold men's dominant role, continues to threaten the support networks and assets available to women. The consequences of this situation are examined with particular focus on implications for the future transmission of HIV.

Reframing diversity: younq dentists and the numbers game.

PubMed

Lugo, Ivan

2005-01-01

Diversity is not the same thing as equality, although it creates pressure in that direction. As America becomes more diverse, we would like to see greater progress in access to education and equitable entry into the profession. The new dentist is increasingly both young and a member of a minority group. Foundations, such as Kellogg, Robert Wood Johnson, and the California Endowment, and the Hispanic, the National, and other ethnically affiliated dental associations and the American Association of Women Dentists are becoming a voice to convert diversity into equality.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study.

PubMed

Meng, Qun; Xu, Ling; Zhang, Yaoguang; Qian, Juncheng; Cai, Min; Xin, Ying; Gao, Jun; Xu, Ke; Boerma, J Ties; Barber, Sarah L

2012-03-03

In the past decade, the Government of China initiated health-care reforms to achieve universal access to health care by 2020. We assessed trends in health-care access and financial protection between 2003, and 2011, nationwide. We used data from the 2003, 2008, and 2011 National Health Services Survey (NHSS), which used multistage stratified cluster sampling to select 94 of 2859 counties from China's 31 provinces and municipalities. The 2011 survey was done with a subset of the NHSS sampling frame to monitor key indicators after the national health-care reforms were announced in 2009. Three sets of indicators were chosen to measure trends in access to coverage, health-care activities, and financial protection. Data were disaggregated by urban or rural residence and by three geographical regions: east, central, and west, and by household income. We examined change in equity across and within regions. The number of households interviewed was 57,023 in 2003, 56,456 in 2008, and 18,822 in 2011. Response rates were 98·3%, 95·0%, and 95·5%, respectively. The number of individuals interviewed was 193,689 in 2003, 177,501 in 2008, and 59,835 in 2011. Between 2003 and 2011, insurance coverage increased from 29·7% (57,526 of 193,689) to 95·7% (57,262 of 59,835, p<0·0001). The average share of inpatient costs reimbursed from insurance increased from 14·4 (13·7-15·1) in 2003 to 46·9 (44·7-49·1) in 2011 (p<0·0001). Hospital delivery rates averaged 95·8% (1219 of 1272) in 2011. Hospital admissions increased 2·5 times to 8·8% (5288 of 59,835, p<0·0001) in 2011 from 3·6% (6981 of 193,689) in 2003. 12·9% of households (2425 of 18,800) had catastrophic health expenses in 2011. Caesarean section rates increased from 19·2% (736 of 3835) to 36·3% (443 of 1221, p<0·0001) between 2003 and 2011. Remarkable increases in insurance coverage and inpatient reimbursement were accompanied by increased use and coverage of health care. Important advances have been made in achieving equal access to services and insurance coverage across and within regions. However, these increases have not been accompanied by reductions in catastrophic health expenses. With the achievement of basic health-services coverage, future challenges include stronger risk protection, and greater efficiency and quality of care. None. Copyright © 2012 Elsevier Ltd. All rights reserved.

SOUTHERN COSMOLOGY SURVEY. III. QSOs FROM COMBINED GALEX AND OPTICAL PHOTOMETRY

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

Jimenez, Raul; Verde, Licia; Spergel, David N.

2009-04-15

We present catalogs of QSO candidates selected using photometry from Galaxy Evolution Explorer (GALEX) combined with the Sloan Digital Sky Survey (SDSS) in the Stripe 82 region and Blanco Cosmology Survey (BCS) near declination -55 deg. The SDSS region contains {approx_equal}700 objects with magnitude i < 20 and {approx_equal}3600 objects with i < 21.5 in a {approx_equal}60 deg{sup 2} sky region, while the BCS region contains {approx_equal}280 objects with magnitude i < 20 and {approx}2000 objects with i < 21.5 for a 11 deg{sup 2} sky region that is being observed by three current microwave Sunyaev-Zeldovich surveys. Our QSO catalogmore » is the first one in the BCS region. Deep GALEX exposures ({approx}>2000 s in F {sub UV} and N {sub UV}, except in three fields) provide high signal-to-noise photometry in the GALEX bands (F {sub UV}, N {sub UV} < 24.5 mag). From this data, we select QSO candidates using only GALEX and optical r-band photometry, using the method given by Atlee and Gould. In the Stripe 82 field, 60% (30%) of the GALEX-selected QSOs with optical magnitude i < 20 (i < 21.5) also appear in the Richards et al. QSO catalog constructed using five-band optical SDSS photometry. Comparison with the same catalog by Richards et al. shows that the completeness of the sample is approximately 40% (25%). However, for regions of the sky with very low dust extinction, like the BCS 23-hr field and the Stripe 82 between 0{sup 0} and 10{sup 0} in R.A., our completeness is close to 95%, demonstrating that deep GALEX observations are almost as efficient as multiwavelength observations at finding QSOs. GALEX observations thus provide a viable alternate route to QSO catalogs in sky regions where u-band optical photometry is not available. The full catalog is available at http://www.ice.csic.es/personal/jimenez/PHOTOZ.« less

Eye Care Quality and Accessibility Improvement in the Community (EQUALITY) for adults at risk for glaucoma: study rationale and design.

PubMed

Owsley, Cynthia; Rhodes, Lindsay A; McGwin, Gerald; Mennemeyer, Stephen T; Bregantini, Mary; Patel, Nita; Wiley, Demond M; LaRussa, Frank; Box, Dan; Saaddine, Jinan; Crews, John E; Girkin, Christopher A

2015-11-18

Primary open angle glaucoma is a chronic, progressive eye disease that is the leading cause of blindness among African Americans. Glaucoma progresses more rapidly and appears about 10 years earlier in African Americans as compared to whites. African Americans are also less likely to receive comprehensive eye care when glaucoma could be detected before irreversible blindness. Screening and follow-up protocols for managing glaucoma recommended by eye-care professional organizations are often not followed by primary eye-care providers, both ophthalmologists and optometrists. There is a pressing need to improve both the accessibility and quality of glaucoma care for African Americans. Telemedicine may be an effective solution for improving management and diagnosis of glaucoma because it depends on ocular imaging and tests that can be electronically transmitted to remote reading centers where tertiary care specialists can examine the results. We describe the Eye Care Quality and Accessibility Improvement in the Community project (EQUALITY), set to evaluate a teleglaucoma program deployed in retail-based primary eye care practices serving communities with a large percentage of African Americans. We conducted an observational, 1-year prospective study based in two Walmart Vision Centers in Alabama staffed by primary care optometrists. EQUALITY focuses on new or existing adult patients who are at-risk for glaucoma or already diagnosed with glaucoma. Patients receive dilated comprehensive examinations and diagnostic testing for glaucoma, followed by the optometrist's diagnosis and a preliminary management plan. Results are transmitted to a glaucoma reading center where ophthalmologists who completed fellowship training in glaucoma review results and provide feedback to the optometrist, who manages the care of the patient. Patients also receive eye health education about glaucoma and comprehensive eye care. Research questions include diagnostic and management agreement between providers, the impact of eye health education on patients' knowledge and adherence to follow-up and medication, patient satisfaction, program cost-effectiveness, and EQUALITY's impact on Walmart pharmacy prescription rates. As eye-care delivery systems in the US strive to improve quality while reducing costs, telemedicine programs including teleglaucoma initiatives such as EQUALITY could contribute toward reaching this goal, particularly among underserved populations at-risk for chronic blinding diseases.

Travel assistant device (TAD) to aid transit riders with special needs.

DOT National Transportation Integrated Search

2008-08-01

The goal of the Americans with Disabilities (ADA) Act is to provide equal opportunity, full participation, and independence to persons with disabilities. The inability to travel, or the lack of knowledge in accessing the available transportation opti...

28 CFR 24.305 - Extensions of time.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Judicial Administration DEPARTMENT OF JUSTICE IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN DEPARTMENT OF JUSTICE ADMINISTRATIVE PROCEEDINGS Procedures for Considering Applications § 24.305 Extensions... shall be conducted pursuant to the procedural rules governing adversary adjudications conducted by the...

28 CFR 24.305 - Extensions of time.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Judicial Administration DEPARTMENT OF JUSTICE IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN DEPARTMENT OF JUSTICE ADMINISTRATIVE PROCEEDINGS Procedures for Considering Applications § 24.305 Extensions... shall be conducted pursuant to the procedural rules governing adversary adjudications conducted by the...

28 CFR 24.305 - Extensions of time.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Judicial Administration DEPARTMENT OF JUSTICE IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN DEPARTMENT OF JUSTICE ADMINISTRATIVE PROCEEDINGS Procedures for Considering Applications § 24.305 Extensions... shall be conducted pursuant to the procedural rules governing adversary adjudications conducted by the...

28 CFR 24.305 - Extensions of time.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Judicial Administration DEPARTMENT OF JUSTICE IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN DEPARTMENT OF JUSTICE ADMINISTRATIVE PROCEEDINGS Procedures for Considering Applications § 24.305 Extensions... shall be conducted pursuant to the procedural rules governing adversary adjudications conducted by the...

28 CFR 24.305 - Extensions of time.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Judicial Administration DEPARTMENT OF JUSTICE IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN DEPARTMENT OF JUSTICE ADMINISTRATIVE PROCEEDINGS Procedures for Considering Applications § 24.305 Extensions... shall be conducted pursuant to the procedural rules governing adversary adjudications conducted by the...

29 CFR 2204.307 - Further proceedings.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN PROCEEDINGS BEFORE THE OCCUPATIONAL SAFETY AND HEALTH REVIEW... discovery and an evidentiary hearing, as to issues other than substantial justification (such as the...

29 CFR 2704.304 - Comments by other parties.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN COMMISSION PROCEEDINGS Procedures for Considering Applications... on the application unless the administrative law judge determines that the public interest requires...

34 CFR 75.500 - Federal statutes and regulations on nondiscrimination.

Code of Federal Regulations, 2014 CFR

2014-07-01

... of sex Title IX of the Education Amendments of 1972 (20 U.S.C. 1681-1683) 34 CFR part 106... the nondiscrimination requirements of the Boy Scouts of America Equal Access Act, 20 U.S.C. 7905, 34...

34 CFR 75.500 - Federal statutes and regulations on nondiscrimination.

Code of Federal Regulations, 2013 CFR

2013-07-01

... of sex Title IX of the Education Amendments of 1972 (20 U.S.C. 1681-1683) 34 CFR part 106... the nondiscrimination requirements of the Boy Scouts of America Equal Access Act, 20 U.S.C. 7905, 34...

34 CFR 75.500 - Federal statutes and regulations on nondiscrimination.

Code of Federal Regulations, 2010 CFR

2010-07-01

... of sex Title IX of the Education Amendments of 1972 (20 U.S.C. 1681-1683) 34 CFR part 106... the nondiscrimination requirements of the Boy Scouts of America Equal Access Act, 20 U.S.C. 7905, 34...

34 CFR 75.500 - Federal statutes and regulations on nondiscrimination.

Code of Federal Regulations, 2012 CFR

2012-07-01

... of sex Title IX of the Education Amendments of 1972 (20 U.S.C. 1681-1683) 34 CFR part 106... the nondiscrimination requirements of the Boy Scouts of America Equal Access Act, 20 U.S.C. 7905, 34...

34 CFR 75.500 - Federal statutes and regulations on nondiscrimination.

Code of Federal Regulations, 2011 CFR

2011-07-01

... of sex Title IX of the Education Amendments of 1972 (20 U.S.C. 1681-1683) 34 CFR part 106... the nondiscrimination requirements of the Boy Scouts of America Equal Access Act, 20 U.S.C. 7905, 34...

ASPPRC

Science.gov Websites

; Current Students: Go inside.mines Home Operations Summary Corporate Sponsors Sponsor Access Staff Students fifty Industry/University Cooperative Research Centers. Thanks to corporate supporters from all over the corporate sponsors. © 2018 Colorado School of Mines | | Equal Opportunity | Privacy Policy | Directories

Dismantling Noah's Ark.

ERIC Educational Resources Information Center

Lorber, Judith

1986-01-01

Presents a prescription for a restructured postindustrial society without gender as an organizing principle. The potential nongendered social order is described in terms of nongendered reproduction, equally valued wage work and a gender-neutral wage structure, and gender-neutral access to authority and power. (SA)

Math Wars.

ERIC Educational Resources Information Center

Abreu, Julio

2000-01-01

Four decades ago following Russia's Sputnik satellite launching, the nation embraced "new" math as part of its commitment not to fall behind its global neighbors. Issues addressed in "new-new" math include equal access to challenging learning, problem solving, reasoning and proof, communications, multiple ways to solve…

17 CFR 200.660 - Communications.

Code of Federal Regulations, 2011 CFR

2011-04-01

...; CONDUCT AND ETHICS; AND INFORMATION AND REQUESTS Enforcement of Nondiscrimination on the Basis of Handicap...) or equally effective telecommunication systems shall be used to communicate with persons with... vision or hearing, can obtain information as to the existence and location of accessible services...

14 CFR 1262.304 - Comments by other parties.

Code of Federal Regulations, 2012 CFR

2012-01-01

... exploration of matters raised in the comments. ... 14 Aeronautics and Space 5 2012-01-01 2012-01-01 false Comments by other parties. 1262.304 Section 1262.304 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION EQUAL ACCESS TO JUSTICE...

14 CFR 1262.304 - Comments by other parties.

Code of Federal Regulations, 2011 CFR

2011-01-01

... exploration of matters raised in the comments. ... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Comments by other parties. 1262.304 Section 1262.304 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION EQUAL ACCESS TO JUSTICE...

14 CFR 1262.304 - Comments by other parties.

Code of Federal Regulations, 2013 CFR

2013-01-01

... exploration of matters raised in the comments. ... 14 Aeronautics and Space 5 2013-01-01 2013-01-01 false Comments by other parties. 1262.304 Section 1262.304 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION EQUAL ACCESS TO JUSTICE...

14 CFR 1262.304 - Comments by other parties.

Code of Federal Regulations, 2010 CFR

2010-01-01

... exploration of matters raised in the comments. ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Comments by other parties. 1262.304 Section 1262.304 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION EQUAL ACCESS TO JUSTICE...

Remoteness and Access to Learning Opportunities in the Pacific Region.

ERIC Educational Resources Information Center

Pacific Region Educational Lab., Honolulu, HI.

The Remoteness and Access to Learning Opportunities in the Pacific Region Study was carried out to investigate whether access to learning opportunities (ALO) is related to the remoteness and isolation of many schools in the Pacific region. The study also profiles the conditions of remote and isolated schools and the ALO for Pacific students. Seven…

Regional variations in the use of home care services in Ontario, 1993/95

PubMed Central

Coyte, P C; Young, W

1999-01-01

BACKGROUND: Although regional variations in the use of many health care services have been reported, little attention has been devoted to home care practices. Given the dramatic shift in care settings from hospitals to private homes, it is important to determine the extent to which home care practices vary by geographic region. METHODS: Data from the Canadian Institute for Health Information and the Ontario Home Care Administration System database were used to assess regional variations in rates of home care use following inpatient care and same-day surgery for the fiscal years 1993, 1994 and 1995. Various measures of regional variation were employed. RESULTS: Of the 2,870,695 inpatient separations and 1,803,307 same-day surgery separations during the study period, 359,972 and 64,541, respectively, were followed by home care. The rate of home care use per 100 separations was 12.5 for inpatients and 3.6 for same-day surgery patients. There was a a 3.5-fold regional variation in the rates of home care use following inpatient care and a 7-fold variation in rates of use following same-day surgery. Additional home care funding to attain calculated target rates was estimated to be $48.9 million (30% of expenditures for patients recently discharged from hospital over the study period). For a 20% increase in service provision it was estimated that an additional injection of $42.2 million is required. INTERPRETATION: The wide regional variations in rates of home care use highlight the importance of modifying home care funding to ensure that all residents of Ontario have equal access to services. To achieve this our estimates suggest that a substantial increase in home care funding is warranted. PMID:10478160

Ecosystem Services Flows: Why Stakeholders' Power Relationships Matter.

PubMed

Felipe-Lucia, María R; Martín-López, Berta; Lavorel, Sandra; Berraquero-Díaz, Luis; Escalera-Reyes, Javier; Comín, Francisco A

2015-01-01

The ecosystem services framework has enabled the broader public to acknowledge the benefits nature provides to different stakeholders. However, not all stakeholders benefit equally from these services. Rather, power relationships are a key factor influencing the access of individuals or groups to ecosystem services. In this paper, we propose an adaptation of the "cascade" framework for ecosystem services to integrate the analysis of ecological interactions among ecosystem services and stakeholders' interactions, reflecting power relationships that mediate ecosystem services flows. We illustrate its application using the floodplain of the River Piedra (Spain) as a case study. First, we used structural equation modelling (SEM) to model the dependence relationships among ecosystem services. Second, we performed semi-structured interviews to identify formal power relationships among stakeholders. Third, we depicted ecosystem services according to stakeholders' ability to use, manage or impair ecosystem services in order to expose how power relationships mediate access to ecosystem services. Our results revealed that the strongest power was held by those stakeholders who managed (although did not use) those keystone ecosystem properties and services that determine the provision of other services (i.e., intermediate regulating and final services). In contrast, non-empowered stakeholders were only able to access the remaining non-excludable and non-rival ecosystem services (i.e., some of the cultural services, freshwater supply, water quality, and biological control). In addition, land stewardship, access rights, and governance appeared as critical factors determining the status of ecosystem services. Finally, we stress the need to analyse the role of stakeholders and their relationships to foster equal access to ecosystem services.

Ecosystem Services Flows: Why Stakeholders’ Power Relationships Matter

PubMed Central

Felipe-Lucia, María R.; Martín-López, Berta; Lavorel, Sandra; Berraquero-Díaz, Luis; Escalera-Reyes, Javier; Comín, Francisco A.

2015-01-01

The ecosystem services framework has enabled the broader public to acknowledge the benefits nature provides to different stakeholders. However, not all stakeholders benefit equally from these services. Rather, power relationships are a key factor influencing the access of individuals or groups to ecosystem services. In this paper, we propose an adaptation of the “cascade” framework for ecosystem services to integrate the analysis of ecological interactions among ecosystem services and stakeholders’ interactions, reflecting power relationships that mediate ecosystem services flows. We illustrate its application using the floodplain of the River Piedra (Spain) as a case study. First, we used structural equation modelling (SEM) to model the dependence relationships among ecosystem services. Second, we performed semi-structured interviews to identify formal power relationships among stakeholders. Third, we depicted ecosystem services according to stakeholders’ ability to use, manage or impair ecosystem services in order to expose how power relationships mediate access to ecosystem services. Our results revealed that the strongest power was held by those stakeholders who managed (although did not use) those keystone ecosystem properties and services that determine the provision of other services (i.e., intermediate regulating and final services). In contrast, non-empowered stakeholders were only able to access the remaining non-excludable and non-rival ecosystem services (i.e., some of the cultural services, freshwater supply, water quality, and biological control). In addition, land stewardship, access rights, and governance appeared as critical factors determining the status of ecosystem services. Finally, we stress the need to analyse the role of stakeholders and their relationships to foster equal access to ecosystem services. PMID:26201000

The Analysis of Basic Public Service Supply Regional Equalization in China’s Provinces——Based on the Theil Index Evaluation

NASA Astrophysics Data System (ADS)

Liao, Zangyi

2017-12-01

Accomplishing the regional equalization of basic public service supply among the provinces in China is an important objective that can promote the people’s livelihood construction. In order to measure the problem which is about the non-equalization of basic public service supply, this paper takes these aspects as the first index, such as the infrastructure construction, basic education services, public employment services, public health service and social security service. At the same time, it cooperates with 16 index as the second index to construct the performance evaluation systems, and then use the Theil index to evaluate the performance in provinces that using the panel data from the year 2000 to 2012.

Social inequalities and pharmaceutical cost sharing in Italian regions.

PubMed

Terraneo, Marco; Sarti, Simone; Tognetti Bordogna, Mara

2014-01-01

In recent years, Italian citizens have increasingly been asked to share pharmaceutical costs, but at the same time, households' medicines expenditure has decreased. Cost-sharing policies have to be assessed not just in terms of limitation of moral hazard and revenue to the state, but also for equal opportunities for citizen users accessing health services. The aim of this article is to analyze how Italian co-payment policies ("ticket") on medicines may affect pharmaceutical expenditure of households, considering territorial and social groups variation. We reviewed the per capita private spending on medicines of Italian regions, separating pharmaceutical outlay and "ticket." Across the period 2001-2010 we found that the overall per capita private spending on medicines remained substantially stable, although medicine expenditure decreases while the "ticket" increases. When cost sharing rises, out-of-pocket spending on medicines by poorer families seems to remain unchanged; however, poorer families seem to reduce their pharmaceutical expenditure. Our analysis suggests that applying co-payment in Italy is partly successful, in terms of greater revenue to the health system, but in the last few years, cost-sharing increases would seem to have rebounded negatively on more vulnerable families, due to the economic crisis.

Women's NGOs mobilize for population summit.

PubMed

1993-10-01

The Center for Development and Population Activities (CEDPA) encouraged representatives from women's nongovernmental organizations (NGOs) to attend the 1994 International Conference on Population and Development (ICPD) in Cairo, Egypt. ICPD policy makers held issues meetings in September, 1993, for women's NGOs. the ICPD will have a direct bearing on women's issues such as access to family planning, reproductive health care, the fate of girls, and gender equality. 31 alumni of CEDPA met with UN officials and other NGO leaders at the second ICPD Preparatory Committee meeting in New York. CEDPA was encouraged that US policy supported women-managed and women-centered health services. CEDPA president Peggy Curlin recommends health and girl's education as the best means for improving the quality of life in developing countries. CEDPA has a Leadership and Advocacy Project, which promotes women's leadership in population policy at ICPD, regionally, and nationally. CEDPA recommends that women's NGOs and CEDPA link up with appropriate regional networks (in Bangladesh, Ghana, India, Kenya, Mexico, Nigeria, and Pakistan). Women can become involved in the ICPD by becoming an NGO representative to the conference. Women can also become involved by writing to CEDPA about their concerns regarding gender equity and women's empowerment, reproductive rights, girl child initiatives, and adequate resources for NGOs.

Age-related differences in the neural basis of the subjective vividness of memories: Evidence from multivoxel pattern classification

PubMed Central

Johnson, Marcia K.; Kuhl, Brice A.; Mitchell, Karen J.; Ankudowich, Elizabeth; Durbin, Kelly A.

2016-01-01

Although older adults often show reduced episodic memory accuracy, their ratings of the subjective vividness of their memories often equal or even exceed those of young adults. Such findings suggest that young and older adults may differentially access and/or weight different kinds of information in making vividness judgments. We examined this idea using multivoxel pattern classification of fMRI data to measure category representations while participants saw and remembered pictures of objects and scenes. Consistent with our hypothesis, there were age-related differences in how category representations related to the subjective sense of vividness. During remembering, older adults’ vividness ratings were more related, relative to young adults’, to category representations in prefrontal cortex. In contrast, young adults’ vividness ratings were more related, relative to older adults, to category representations in parietal cortex. In addition, category representations were more correlated among posterior regions in young than older adults, whereas correlations between PFC and posterior regions did not differ between the two groups. Together, these results are consistent with the idea that young and older adults differentially weight different types of information in assessing subjective vividness of their memories. PMID:25855004

Longitudinal study of health, disease and access to care in rural Victoria: the Crossroads-II study: methods.

PubMed

Glenister, Kristen M; Bourke, Lisa; Bolitho, Leslie; Wright, Sian; Roberts, Stuart; Kemp, William; Rhode, Leigh; Bhat, Ravi; Tremper, Sönke; Magliano, Dianna J; Morgan, Mike; Mariño, Rodrigo; Adam, William; Simmons, David

2018-05-30

High quality, contemporary data regarding patterns of chronic disease is essential for planning by health services, policy makers and local governments, but surprisingly scarce, including in rural Australia. This dearth of data occurs despite the recognition that rural Australians live with high rates of ill health, poor health behaviours and restricted access to health services. Crossroads-II is set in the Goulburn Valley, a rural region of Victoria, Australia 100-300 km north of metropolitan Melbourne. It is primarily an irrigated agricultural area. The aim of the study is to identify changes in the prevalence of key chronic health conditions including the extent of undiagnosed and undermanaged disease, and association with access to care, over a 15 year period. This study is a 15 year follow up from the 2000-2003 Crossroads-I study (2376 households participated). Crossroads-II includes a similar face to face household survey of 3600 randomly selected households across four towns of sizes 6300 to 49,800 (50% sampled in the larger town with the remainder sampled equally from the three smaller towns). Self-reported health, health behaviour and health service usage information is verified and supplemented in a nested sub-study of 900 randomly selected adult participants in 'clinics' involving a range of additional questionnaires and biophysical measurements. The study is expected to run from October 2016 to December 2018. Besides providing epidemiological and health service utilisation information relating to different diseases and their risk factors in towns of different sizes, the results will be used to develop a composite measure of health service access. The importance of access to health services will be investigated by assessing the correlation of this measure with rates of undiagnosed and undermanaged disease at the mesh block level. Results will be shared with partner organisations to inform service planning and interventions to improve health outcomes for local people.

Effects of exposure equalization on image signal-to-noise ratios in digital mammography: A simulation study with an anthropomorphic breast phantom

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

Liu Xinming; Lai Chaojen; Whitman, Gary J.

Purpose: The scan equalization digital mammography (SEDM) technique combines slot scanning and exposure equalization to improve low-contrast performance of digital mammography in dense tissue areas. In this study, full-field digital mammography (FFDM) images of an anthropomorphic breast phantom acquired with an anti-scatter grid at various exposure levels were superimposed to simulate SEDM images and investigate the improvement of low-contrast performance as quantified by primary signal-to-noise ratios (PSNRs). Methods: We imaged an anthropomorphic breast phantom (Gammex 169 ''Rachel,'' Gammex RMI, Middleton, WI) at various exposure levels using a FFDM system (Senographe 2000D, GE Medical Systems, Milwaukee, WI). The exposure equalization factorsmore » were computed based on a standard FFDM image acquired in the automatic exposure control (AEC) mode. The equalized image was simulated and constructed by superimposing a selected set of FFDM images acquired at 2, 1, 1/2, 1/4, 1/8, 1/16, and 1/32 times of exposure levels to the standard AEC timed technique (125 mAs) using the equalization factors computed for each region. Finally, the equalized image was renormalized regionally with the exposure equalization factors to result in an appearance similar to that with standard digital mammography. Two sets of FFDM images were acquired to allow for two identically, but independently, formed equalized images to be subtracted from each other to estimate the noise levels. Similarly, two identically but independently acquired standard FFDM images were subtracted to estimate the noise levels. Corrections were applied to remove the excess system noise accumulated during image superimposition in forming the equalized image. PSNRs over the compressed area of breast phantom were computed and used to quantitatively study the effects of exposure equalization on low-contrast performance in digital mammography. Results: We found that the highest achievable PSNR improvement factor was 1.89 for the anthropomorphic breast phantom used in this study. The overall PSNRs were measured to be 79.6 for the FFDM imaging and 107.6 for the simulated SEDM imaging on average in the compressed area of breast phantom, resulting in an average improvement of PSNR by {approx}35% with exposure equalization. We also found that the PSNRs appeared to be largely uniform with exposure equalization, and the standard deviations of PSNRs were estimated to be 10.3 and 7.9 for the FFDM imaging and the simulated SEDM imaging, respectively. The average glandular dose for SEDM was estimated to be 212.5 mrad, {approx}34% lower than that of standard AEC-timed FFDM (323.8 mrad) as a result of exposure equalization for the entire breast phantom. Conclusions: Exposure equalization was found to substantially improve image PSNRs in dense tissue regions and result in more uniform image PSNRs. This improvement may lead to better low-contrast performance in detecting and visualizing soft tissue masses and micro-calcifications in dense tissue areas for breast imaging tasks.« less

Current state of web accessibility of Malaysian ministries websites

NASA Astrophysics Data System (ADS)

Ahmi, Aidi; Mohamad, Rosli

2016-08-01

Despite the fact that Malaysian public institutions have progressed considerably on website and portal usage, web accessibility has been reported as one of the issues deserves special attention. Consistent with the government moves to promote an effective use of web and portal, it is essential for the government institutions to ensure compliance with established standards and guidelines on web accessibility. This paper evaluates accessibility of 25 Malaysian ministries websites using automated tools i.e. WAVE and Achecker. Both tools are designed to objectively evaluate web accessibility in conformance with Web Content Accessibility Guidelines 2.0 (WCAG 2.0) and United States Rehabilitation Act 1973 (Section 508). The findings reported somewhat low compliance to web accessibility standard amongst the ministries. Further enhancement is needed in the aspect of input elements such as label and checkbox to be associated with text as well as image-related elements. This findings could be used as a mechanism for webmasters to locate and rectify errors pertaining to the web accessibility and to ensure equal access of the web information and services to all citizen.

Pathological and Biochemical Outcomes among African-American and Caucasian Men with Low Risk Prostate Cancer in the SEARCH Database: Implications for Active Surveillance Candidacy.

PubMed

Leapman, Michael S; Freedland, Stephen J; Aronson, William J; Kane, Christopher J; Terris, Martha K; Walker, Kelly; Amling, Christopher L; Carroll, Peter R; Cooperberg, Matthew R

2016-11-01

Racial disparities in the incidence and risk profile of prostate cancer at diagnosis among African-American men are well reported. However, it remains unclear whether African-American race is independently associated with adverse outcomes in men with clinical low risk disease. We retrospectively analyzed the records of 895 men in the SEARCH (Shared Equal Access Regional Cancer Hospital) database in whom clinical low risk prostate cancer was treated with radical prostatectomy. Associations of African-American and Caucasian race with pathological biochemical recurrence outcomes were examined using chi-square, logistic regression, log rank and Cox proportional hazards analyses. We identified 355 African-American and 540 Caucasian men with low risk tumors in the SEARCH cohort who were followed a median of 6.3 years. Following adjustment for relevant covariates African-American race was not significantly associated with pathological upgrading (OR 1.33, p = 0.12), major upgrading (OR 0.58, p = 0.10), up-staging (OR 1.09, p = 0.73) or positive surgical margins (OR 1.04, p = 0.81). Five-year recurrence-free survival rates were 73.4% in African-American men and 78.4% in Caucasian men (log rank p = 0.18). In a Cox proportional hazards analysis model African-American race was not significantly associated with biochemical recurrence (HR 1.11, p = 0.52). In a cohort of patients at clinical low risk who were treated with prostatectomy in an equal access health system with a high representation of African-American men we observed no significant differences in the rates of pathological upgrading, up-staging or biochemical recurrence. These data support continued use of active surveillance in African-American men. Upgrading and up-staging remain concerning possibilities for all men regardless of race. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

29 CFR 2204.309 - Commission review.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN PROCEEDINGS BEFORE THE OCCUPATIONAL SAFETY AND HEALTH REVIEW... is directed, the Commission shall issue a final decision on the application or remand the application...

12 CFR 747.613 - Further proceedings.

Code of Federal Regulations, 2010 CFR

2010-01-01

... and Procedures Applicable to Recovery of Attorneys Fees and Other Expenses Under the Equal Access to... argument, additional written submissions or an evidentiary hearing. Such further proceedings shall be held... the disputed issues and shall explain why the additional proceedings are necessary to resolve the...

12 CFR 747.613 - Further proceedings.

Code of Federal Regulations, 2012 CFR

2012-01-01

... and Procedures Applicable to Recovery of Attorneys Fees and Other Expenses Under the Equal Access to... argument, additional written submissions or an evidentiary hearing. Such further proceedings shall be held... the disputed issues and shall explain why the additional proceedings are necessary to resolve the...

12 CFR 747.613 - Further proceedings.

Code of Federal Regulations, 2013 CFR

2013-01-01

... and Procedures Applicable to Recovery of Attorneys Fees and Other Expenses Under the Equal Access to... argument, additional written submissions or an evidentiary hearing. Such further proceedings shall be held... the disputed issues and shall explain why the additional proceedings are necessary to resolve the...

Future Asian Education: The Challenge of Numbers.

ERIC Educational Resources Information Center

Adiseshiah, Malcolm S.

1980-01-01

Probes educational problems and needs in the developing nations of Asia. The major problems are overpopulation, poor educational facilities in rural areas, insufficient financial resources, inappropriate educational models and objectives, and unrealistically high expectations. More recent educational models stress equalizing educational access and…

34 CFR 403.14 - What are the personnel requirements regarding coordination with services for individuals with...

Code of Federal Regulations, 2011 CFR

2011-07-01

... part B of the Individuals with Disabilities Education Act (IDEA) (20 U.S.C. 1400 et seq.) to review the.... 794) and the IDEA and regulations implementing those statutes, regarding equal access to programs; and...

5 CFR 2610.304 - Reply.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Reply. 2610.304 Section 2610.304 Administrative Personnel OFFICE OF GOVERNMENT ETHICS ORGANIZATION AND PROCEDURES IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT Procedures for Considering Applications § 2610.304 Reply. Within 15 days after...

HESS Opinions: Linking Darcy's equation to the linear reservoir

NASA Astrophysics Data System (ADS)

Savenije, Hubert H. G.

2018-03-01

In groundwater hydrology, two simple linear equations exist describing the relation between groundwater flow and the gradient driving it: Darcy's equation and the linear reservoir. Both equations are empirical and straightforward, but work at different scales: Darcy's equation at the laboratory scale and the linear reservoir at the watershed scale. Although at first sight they appear similar, it is not trivial to upscale Darcy's equation to the watershed scale without detailed knowledge of the structure or shape of the underlying aquifers. This paper shows that these two equations, combined by the water balance, are indeed identical provided there is equal resistance in space for water entering the subsurface network. This implies that groundwater systems make use of an efficient drainage network, a mostly invisible pattern that has evolved over geological timescales. This drainage network provides equally distributed resistance for water to access the system, connecting the active groundwater body to the stream, much like a leaf is organized to provide all stomata access to moisture at equal resistance. As a result, the timescale of the linear reservoir appears to be inversely proportional to Darcy's conductance, the proportionality being the product of the porosity and the resistance to entering the drainage network. The main question remaining is which physical law lies behind pattern formation in groundwater systems, evolving in a way that resistance to drainage is constant in space. But that is a fundamental question that is equally relevant for understanding the hydraulic properties of leaf veins in plants or of blood veins in animals.

Treatment Trends for Stage I Testicular Seminoma in an Equal-Access Medical System.

PubMed

Wingate, Jonathan T; Etzioni, Ruth; Macdonald, Dusten M; Brand, Timothy C

2016-10-01

The practice patterns for adjuvant therapies for stage I seminoma are rapidly evolving, and surveillance is currently preferred. How these recommendations have affected contemporary practice in an equal-access US population is unknown. A total of 436 men diagnosed with clinical stage IA-IB seminoma from 2001 to 2011 were identified in the Automated Central Tumor Registry (ACTUR). The ACTUR is the cancer registry system for the Department of Defense. Logistic regression models analyzed the association between patient characteristics and adjuvant therapy. Overall and recurrence-free survival were determined from Kaplan-Meier analysis. The use of adjuvant radiotherapy in this population decreased significantly from 2001 to 2011. In 2001, 83.9% of patients received radiotherapy compared with only 24.0% in 2011. During that period, a concomitant increase occurred in the use of chemotherapy from 0% to 38.0%. A later year of diagnosis was significantly associated with a greater rate of receiving chemotherapy relative to radiotherapy (P < .001 for 2006-2011 vs. 2001-2005; relative rate ratio, 19.3; 95% confidence interval [CI], 8.04-46.13). A later year of diagnosis was not significantly associated with the receipt of surveillance (P = .412 for 2006-2011 vs. 2001-2005; odds ratio, 0.83; 95% CI, 0.54-1.29). Black race or age was not significantly associated with adjuvant therapy. With a median follow-up period of 4.7 years, the 5-year overall and recurrence-free survival rates were 98.0% and 77.0%, respectively. The use of adjuvant radiotherapy has been replaced by chemotherapy for clinical stage I testicular seminoma in an equal-access system. The lack of an increase in active surveillance in our cohort might represent overtreatment of the population. Published by Elsevier Inc.

Balancing game universes for playing without sight or hearing.

PubMed

Westin, Thomas; Furöstam, Malin; Yasasindhu, Roy; Norberg, Lena; Wiklund, Mats; Mozelius, Peter

2015-01-01

Equal access to cultural activities is important for inclusion and computer gaming is one of the most common activities in digital culture. However, many people with impairments are excluded from participating. While parallel game universes (PGUs) provide a method to achieve equal access, the question is: how can a balanced collaborative real-time game be designed with the help of PGU for playing without sight or hearing? Balance is a central concept in game design and is important to avoid perceived cheating or disadvantages due to individual or environmental differences. The question was examined with a design science approach, where a game prototype was created in two iterations with a structured design method and evaluated using interviews and observations. In this first step of a more long-term study, ten experienced gamers without impairments were selected with purposive sampling to provide relevant data through simulation of temporary impairments or environmental issues, which can affect many or all gamers. By sorting out these issues first, later testing with actual blind and deaf gamers can focus on more specific issues for each group. The ten participants played either without sight or hearing. The results confirm the use of PGUs for creating a balanced experience but also finds that while multiplayer feel is not optimal, it is a reasonable trade-off for universal access for blind and deaf being able to play together. The results also show that a help system and equal understanding of the game play between the blind and deaf players are important aspects to achieve game balance. Further research should be done involving actual blind and deaf gamers, and similar evaluations of game balance should be conducted with users having other types of impairments.

The association between race and prostate cancer risk on initial biopsy in an equal access, multiethnic cohort

PubMed Central

Gaines, Alexis R.; Turner, Elizabeth L.; Moorman, Patricia G.; Freedland, Stephen J.; Keto, Christopher J.; McPhail, Megan E.; Grant, Delores J.; Vidal, Adriana C.

2014-01-01

Purpose Population-based studies have established a link between race and prostate cancer (PC) risk, but whether race predicts PC after adjusting for clinical characteristics is unclear. We investigated the association between race and risk of low- and high-grade PC in men undergoing initial prostate biopsy in an equal access medical center. Methods We conducted a retrospective record review of 887 men (48.6 % black, 51.4 % white) from the Durham Veterans Affairs Medical Center who underwent initial prostate biopsy between 2001 and 2009. Multivariable logistic regression analysis of race and biopsy outcome was conducted adjusting for age, body mass index, number of cores taken, prostate-specific antigen (PSA), and digital rectal examination findings. Multinomial logistic regression was used to test the association between black race and PC grade (Gleason <7 vs. ≥7). Results Black men were younger at biopsy (61 vs. 65 years, p <0.001) and had a higher pre-biopsy PSA (6.6 vs. 5.8 ng/ml, p = 0.001). A total of 499 men had PC on biopsy (245 low grade; 254 high grade). In multivariable analyses, black race was significantly predictive of PC overall [odds ratio 1.50, p = 0.006] and high-grade PC [relative risk ratio (RRR) 1.84, p = 0.001], but was not significantly associated with low-grade PC (RRR 1.29, p = 0.139). Conclusion In an equal access healthcare facility, black race was associated with greater risk of PC detection on initial biopsy and of high-grade PC after adjusting for clinical characteristics. Additional investigation of mechanisms linking black race and PC risk and PC aggressiveness is needed. PMID:24879044

The association between race and prostate cancer risk on initial biopsy in an equal access, multiethnic cohort.

PubMed

Gaines, Alexis R; Turner, Elizabeth L; Moorman, Patricia G; Freedland, Stephen J; Keto, Christopher J; McPhail, Megan E; Grant, Delores J; Vidal, Adriana C; Hoyo, Cathrine

2014-08-01

Population-based studies have established a link between race and prostate cancer (PC) risk, but whether race predicts PC after adjusting for clinical characteristics is unclear. We investigated the association between race and risk of low- and high-grade PC in men undergoing initial prostate biopsy in an equal access medical center. We conducted a retrospective record review of 887 men (48.6 % black, 51.4 % white) from the Durham Veterans Affairs Medical Center who underwent initial prostate biopsy between 2001 and 2009. Multivariable logistic regression analysis of race and biopsy outcome was conducted adjusting for age, body mass index, number of cores taken, prostate-specific antigen (PSA), and digital rectal examination findings. Multinomial logistic regression was used to test the association between black race and PC grade (Gleason <7 vs. ≥7). Black men were younger at biopsy (61 vs. 65 years, p < 0.001) and had a higher pre-biopsy PSA (6.6 vs. 5.8 ng/ml, p = 0.001). A total of 499 men had PC on biopsy (245 low grade; 254 high grade). In multivariable analyses, black race was significantly predictive of PC overall [odds ratio 1.50, p = 0.006] and high-grade PC [relative risk ratio (RRR) 1.84, p = 0.001], but was not significantly associated with low-grade PC (RRR 1.29, p = 0.139). In an equal access healthcare facility, black race was associated with greater risk of PC detection on initial biopsy and of high-grade PC after adjusting for clinical characteristics. Additional investigation of mechanisms linking black race and PC risk and PC aggressiveness is needed.

Inequality and inequity in access to health care and treatment for chronic conditions in China: the Guangzhou Biobank Cohort Study.

PubMed

Elwell-Sutton, Timothy M; Jiang, Chao Qiang; Zhang, Wei Sen; Cheng, Kar Keung; Lam, Tai H; Leung, Gabriel M; Schooling, C M

2013-08-01

Non-communicable diseases (NCDs) are a large and rapidly-growing problem in China and other middle-income countries. Clinical treatment of NCDs is long-term and expensive, so it may present particular problems for equality and horizontal equity (equal treatment for equal need) in access to health care, although little is known about this at present in low- and middle-income countries. To address this gap, and inform policy for a substantial proportion of the global population, we examined inequality and inequity in general health care utilization (doctor consultations and hospital admissions) and in treatment of chronic conditions (hypertension, hyperglycaemia and dyslipidaemia), in 30 499 Chinese adults aged ≥50 years from one of China's richest provinces, using the Guangzhou Biobank Cohort Study (2003-2008). We used concentration indices to test for inequality and inequity in utilization by household income per head. Inequality was decomposed to show the contributions of income, indicators of 'need for health care' (age, sex, self-rated health, coronary heart disease risk and chronic obstructive pulmonary disease) and non-need factors (education, occupation, out-of-pocket health care payments and health insurance). We found inequality and inequity in treatment of chronic conditions but not in general health care utilization. Using more objective and specific measures of 'need for health care' increased estimates of inequity for treatment of chronic conditions. Income and non-need factors (especially health insurance, education and occupation) made the largest contributions to inequality. Further work is needed on why access to treatment for chronic conditions in China is restricted for those on low incomes and how these inequities can be mitigated.

How Can Social Media Lead to Co-Production (Co-Delivery) of New Services for the Elderly Population? A Qualitative Study.

PubMed

Daneshvar, Hadi; Anderson, Stuart; Williams, Robin; Mozaffar, Hajar

2018-02-12

The future of health care services in the European Union faces the triple challenges of aging, fiscal restriction, and inclusion. Co-production offers ways to manage informal care resources to help them cater for the growing needs of elderly people. Social media (SM) is seen as a critical enabler for co-production. The objective of this study was to investigate how SM-private Facebook groups, forums, Twitter, and blogging-acts as an enabler of co-production in health and care by facilitating its four underlying principles: equality, diversity, accessibility, and reciprocity. We used normalization process theory as our theoretical framework to design this study. We conducted a qualitative study and collected data through 20 semistructured interviews and observation of the activities of 10 online groups and individuals. We then used thematic analysis and drew on principles of co-production (equality, diversity, accessibility, and reciprocity) as a deductive coding framework to analyze our findings. Our findings point to distinct patterns of feature use by different people involved in care of elderly people. This diversity makes possible the principles of co-production by offering equality among users, enabling diversity of use, making experiences accessible, and encouraging reciprocity in the sharing of knowledge and mutual support. We also identified that explication of common resources may lead to new forms of competition and conflicts. These conflicts require better management to enhance the coordination of the common pool of resources. SM uses afford new forms of organizing and collective engagement between patients, carers, and professionals, which leads to change in health and care communication and coordination. ©Hadi Daneshvar, Stuart Anderson, Robin Williams, Hajar Mozaffar. Originally published in JMIR Human Factors (http://humanfactors.jmir.org), 12.02.2018.

How Can Social Media Lead to Co-Production (Co-Delivery) of New Services for the Elderly Population? A Qualitative Study

PubMed Central

Anderson, Stuart; Williams, Robin; Mozaffar, Hajar

2018-01-01

Background The future of health care services in the European Union faces the triple challenges of aging, fiscal restriction, and inclusion. Co-production offers ways to manage informal care resources to help them cater for the growing needs of elderly people. Social media (SM) is seen as a critical enabler for co-production. Objective The objective of this study was to investigate how SM—private Facebook groups, forums, Twitter, and blogging—acts as an enabler of co-production in health and care by facilitating its four underlying principles: equality, diversity, accessibility, and reciprocity. Methods We used normalization process theory as our theoretical framework to design this study. We conducted a qualitative study and collected data through 20 semistructured interviews and observation of the activities of 10 online groups and individuals. We then used thematic analysis and drew on principles of co-production (equality, diversity, accessibility, and reciprocity) as a deductive coding framework to analyze our findings. Results Our findings point to distinct patterns of feature use by different people involved in care of elderly people. This diversity makes possible the principles of co-production by offering equality among users, enabling diversity of use, making experiences accessible, and encouraging reciprocity in the sharing of knowledge and mutual support. We also identified that explication of common resources may lead to new forms of competition and conflicts. These conflicts require better management to enhance the coordination of the common pool of resources. Conclusions SM uses afford new forms of organizing and collective engagement between patients, carers, and professionals, which leads to change in health and care communication and coordination. PMID:29434014

The Bolocam Galactic Plane Survey

NASA Technical Reports Server (NTRS)

Glenn, Jason; Aguirre, James; Bally, John; Battersby, Cara; Bradley, Eric Todd; Cyganowski, Claudia; Dowell, Darren; Drosback, Meredith; Dunham, Miranda K.; Evans, Neal J., II;

Groundwater Depletion in the Middle East from GRACE with Implications for Transboundary Water Management in the Tigris-Euphrates-Western Iran Region

NASA Technical Reports Server (NTRS)

Voss, Katalyn A.; Famiglietti, James S.; Lo, MinHui; De Linage, Caroline; Rodell, Matthew; Swenson, Sean C.

2013-01-01

In this study, we use observations from the Gravity Recovery and Climate Experiment (GRACE) satellite mission to evaluate freshwater storage trends in the north-central Middle East, including portions of the Tigris and Euphrates River Basins and western Iran, from January 2003 to December 2009. GRACE data show an alarming rate of decrease in total water storage of approximately -27.2 plus or minus 0.6 millimeters per year equivalent water height, equal to a volume of 143.6 cubic kimometers during the course of the study period. Additional remote-sensing information and output from land surface models were used to identify that groundwater losses are the major source of this trend. The approach used in this study provides an example of ''best current capabilities'' in regions like the Middle East, where data access can be severely limited. Results indicate that the region lost 17.3 plus or minus 2.1 millimeters per year equivalent water height of groundwater during the study period, or 91.3 plus or minus 10.9 cubic kilometers in volume. Furthermore, results raise important issues regarding water use in transboundary river basins and aquifers, including the necessity of international water use treaties and resolving discrepancies in international water law, while amplifying the need for increased monitoring for core components of the water budget.

Groundwater Depletion in the Middle East from GRACE with Implications for Transboundary Water Management in the Tigris-Euphrates-Western Iran Region

NASA Technical Reports Server (NTRS)

Voss, Katalyn; Famiglietti, James S.; Lo, MinHui; de Linage, Caroline; Rodell, Matthew; Swenson, Sean C.

2013-01-01

In this study, we use observations from the Gravity Recovery and Climate Experiment (GRACE) satellite mission to evaluate freshwater storage trends in the north-central Middle East, including portions of the Tigris and Euphrates River Basins and western Iran, from January 2003 to December 2009. GRACE data show an alarming rate of decrease in total water storage of approximately -27.2 plus or minus 0.6 mm per yr equivalent water height, equal to a volume of 143.6 cubic kilometers during the course of the study period. Additional remote-sensing information and output from land surface models were used to identify that groundwater losses are the major source of this trend. The approach used in this study provides an example of ''best current capabilities'' in regions like the Middle East, where data access can be severely limited. Results indicate that the region lost 17.3 plus or minus 2.1 mm per yr equivalent water height of groundwater during the study period, or 91.3 plus or minus 10.9 cubic kilometers in volume. Furthermore, results raise important issues regarding water use in transboundary river basins and aquifers, including the necessity of international water use treaties and resolving discrepancies in international water law, while amplifying the need for increased monitoring for core components of the water budget

Groundwater depletion in the Middle East from GRACE with implications for transboundary water management in the Tigris-Euphrates-Western Iran region

NASA Astrophysics Data System (ADS)

Voss, Katalyn A.; Famiglietti, James S.; Lo, MinHui; de Linage, Caroline; Rodell, Matthew; Swenson, Sean C.

2013-02-01

In this study, we use observations from the Gravity Recovery and Climate Experiment (GRACE) satellite mission to evaluate freshwater storage trends in the north-central Middle East, including portions of the Tigris and Euphrates River Basins and western Iran, from January 2003 to December 2009. GRACE data show an alarming rate of decrease in total water storage of approximately -27.2±0.6 mm yr-1 equivalent water height, equal to a volume of 143.6 km3 during the course of the study period. Additional remote-sensing information and output from land surface models were used to identify that groundwater losses are the major source of this trend. The approach used in this study provides an example of "best current capabilities" in regions like the Middle East, where data access can be severely limited. Results indicate that the region lost 17.3±2.1 mm yr-1 equivalent water height of groundwater during the study period, or 91.3±10.9 km3 in volume. Furthermore, results raise important issues regarding water use in transboundary river basins and aquifers, including the necessity of international water use treaties and resolving discrepancies in international water law, while amplifying the need for increased monitoring for core components of the water budget.

75 FR 80452 - Rules of Practice in Air Safety Proceedings and Implementing the Equal Access to Justice Act of 1980

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-22

..., see the SUPPLEMENTARY INFORMATION section of this document. Privacy: We will post all comments we... whether, based on the acts and omissions alleged in the Administrator's order, and assuming the truth of...

14 CFR 14.23 - Reply.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Reply. 14.23 Section 14.23 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.23 Reply. Within...

14 CFR 14.23 - Reply.

Code of Federal Regulations, 2012 CFR

2012-01-01

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14 CFR 14.10 - Contents of application.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Contents of application. 14.10 Section 14.10 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Information Required From Applicants...

14 CFR 14.10 - Contents of application.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Contents of application. 14.10 Section 14.10 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Information Required From Applicants...

14 CFR 14.27 - Decision.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Decision. 14.27 Section 14.27 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.27 Decision...

14 CFR 14.25 - Settlement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Settlement. 14.25 Section 14.25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.25 Settlement...

14 CFR 14.25 - Settlement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Settlement. 14.25 Section 14.25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.25 Settlement...

14 CFR 14.25 - Settlement.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Settlement. 14.25 Section 14.25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.25 Settlement...

14 CFR 14.10 - Contents of application.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Contents of application. 14.10 Section 14.10 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Information Required From Applicants...

14 CFR 14.23 - Reply.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Reply. 14.23 Section 14.23 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.23 Reply. Within...

14 CFR 14.27 - Decision.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Decision. 14.27 Section 14.27 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.27 Decision...

14 CFR 14.25 - Settlement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Settlement. 14.25 Section 14.25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.25 Settlement...

14 CFR 14.23 - Reply.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Reply. 14.23 Section 14.23 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.23 Reply. Within...

14 CFR 14.10 - Contents of application.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Contents of application. 14.10 Section 14.10 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Information Required From Applicants...

14 CFR 14.27 - Decision.

Code of Federal Regulations, 2010 CFR

2010-01-01

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14 CFR 14.23 - Reply.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Reply. 14.23 Section 14.23 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL RULES RULES IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 14.23 Reply. Within...

14 CFR 14.25 - Settlement.

Code of Federal Regulations, 2010 CFR

2010-01-01

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14 CFR 14.27 - Decision.

Code of Federal Regulations, 2013 CFR

2013-01-01

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14 CFR 14.27 - Decision.

Code of Federal Regulations, 2012 CFR

2012-01-01

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14 CFR 14.10 - Contents of application.

Code of Federal Regulations, 2014 CFR

2014-01-01

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45 CFR 13.29 - Payment of award.

Code of Federal Regulations, 2010 CFR

2010-10-01

... States courts. The Department will pay the amount awarded to the applicant within 60 days, unless... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION IMPLEMENTATION OF THE EQUAL ACCESS... and address of the appropriate Departmental finance office that will pay the award. An applicant...

Investigating the Rights of Youths. Students in Action.

ERIC Educational Resources Information Center

Insights on Law & Society, 2002

2002-01-01

Focuses on the rights of youth in three articles: (1) "Equal Justice? Girls in the Juvenile Justice System"; (2) "Child Labor: An International Challenge"; and (3) "Should Minors Have Access to Violent Video Games?" Includes learning activities at the end of each article. (CMK)

Public and Private Interests in Networking Educational Services for Schools, Households, Communities.

ERIC Educational Resources Information Center

Sheekey, Arthur D.

1997-01-01

Discusses the networking of educational services for schools, homes, and communities. Highlights include equal access; the development of digital technologies; visions for electronic information services; the public sector; the private sector; creating learning communities; and future possibilities, including funding strategies. (LRW)

13 CFR 124.103 - Who is socially disadvantaged?

Code of Federal Regulations, 2010 CFR

2010-01-01

... denial of equal access to institutions of higher education, exclusion from social and professional association with students or teachers, denial of educational honors rightfully earned, and social patterns or... prejudice or cultural bias within American society because of their identities as members of groups and...

29 CFR 2204.106 - Standards for awards.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN PROCEEDINGS BEFORE THE OCCUPATIONAL SAFETY AND HEALTH REVIEW... failure to act by the Secretary upon which the adversary adjudication is based. The burden of persuasion...

29 CFR 2204.101 - Purpose of these rules.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN PROCEEDINGS BEFORE THE OCCUPATIONAL SAFETY AND HEALTH REVIEW... the Occupational Safety and Health Review Commission. An eligible party may receive an award when it...

29 CFR 2204.202 - Net worth exhibit.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH REVIEW COMMISSION IMPLEMENTATION OF THE EQUAL ACCESS TO JUSTICE ACT IN PROCEEDINGS BEFORE THE OCCUPATIONAL SAFETY AND HEALTH REVIEW... the specific exemptions from mandatory disclosure under the Freedom of Information Act, 5 U.S.C. 552(b...

Designing Effective Library Services for African American Youth

ERIC Educational Resources Information Center

Hughes-Hassell, Sandra

2013-01-01

President Obama signed the "White House Initiative on Educational Excellence for African Americans" on July 26, 2012. This executive order recognizes that many "African Americans lack equal access to highly effective teachers and principals, safe schools, and challenging college preparatory classes, and disproportionately experience…

Implementing Equal Access Computer Labs.

ERIC Educational Resources Information Center

Clinton, Janeen; And Others

This paper discusses the philosophy followed in Palm Beach County to adapt computer literacy curriculum, hardware, and software to meet the needs of all children. The Department of Exceptional Student Education and the Department of Instructional Computing Services cooperated in planning strategies and coordinating efforts to implement equal…

14 CFR 1262.306 - Further proceedings.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Further proceedings. 1262.306 Section 1262.306 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION EQUAL ACCESS TO JUSTICE ACT IN AGENCY PROCEEDINGS Procedures for Considering Applications § 1262.306 Further proceedings. (a) Ordinarily...

14 CFR 1262.307 - Decision.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Decision. 1262.307 Section 1262.307 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION EQUAL ACCESS TO JUSTICE ACT IN AGENCY PROCEEDINGS Procedures for Considering Applications § 1262.307 Decision. (a) The adjudicative officer shall...

iNET Preamble Detector Performance in the Presence of Multipath Interference

DTIC Science & Technology

2014-06-24

detection performance for a reduced complexity. 15. SUBJECT TERMS Preamble-Assisted Equalization for Aeronautical Telemtry ( PAQ ), Spectrum...Instrumentation (PEO STRI) under contract W900KK-13-C-0026 ( PAQ ). REFERENCES [1] integrated Network Enhanced Telemetry (iNET) Radio Access Network Standards

14 CFR § 1262.304 - Comments by other parties.

Code of Federal Regulations, 2014 CFR

2014-01-01

... exploration of matters raised in the comments. ... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false Comments by other parties. § 1262.304 Section § 1262.304 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION EQUAL ACCESS TO...

Empirical Modeling Of Single-Event Upset

NASA Technical Reports Server (NTRS)

Zoutendyk, John A.; Smith, Lawrence S.; Soli, George A.; Thieberger, Peter; Smith, Stephen L.; Atwood, Gregory E.

1988-01-01

Experimental study presents examples of empirical modeling of single-event upset in negatively-doped-source/drain metal-oxide-semiconductor static random-access memory cells. Data supports adoption of simplified worst-case model in which cross sectionof SEU by ion above threshold energy equals area of memory cell.

DISTRIBUTED AND ACCUMULATED REINFORCEMENT ARRANGEMENTS: EVALUATIONS OF EFFICACY AND PREFERENCE

PubMed Central

DELEON, ISER G.; CHASE, JULIE A.; FRANK-CRAWFORD, MICHELLE A.; CARREAU-WEBSTER, ABBEY B.; TRIGGS, MANDY M.; BULLOCK, CHRISTOPHER E.; JENNETT, HEATHER K.

2015-01-01

We assessed the efficacy of, and preference for, accumulated access to reinforcers, which allows uninterrupted engagement with the reinforcers but imposes an inherent delay required to first complete the task. Experiment 1 compared rates of task completion in 4 individuals who had been diagnosed with intellectual disabilities when reinforcement was distributed (i.e., 30-s access to the reinforcer delivered immediately after each response) and accumulated (i.e., 5-min access to the reinforcer after completion of multiple consecutive responses). Accumulated reinforcement produced response rates that equaled or exceeded rates during distributed reinforcement for 3 participants. Experiment 2 used a concurrent-chains schedule to examine preferences for each arrangement. All participants preferred delayed, accumulated access when the reinforcer was an activity. Three participants also preferred accumulated access to edible reinforcers. The collective results suggest that, despite the inherent delay, accumulated reinforcement is just as effective and is often preferred by learners over distributed reinforcement. PMID:24782203

Perceptions of Medicaid Beneficiaries Regarding the Usefulness of Accessing Personal Health Information and Services through a Patient Internet Portal

PubMed Central

Lobach, David F.; Willis, Janese M.; Macri, Jennifer M.; Simo, Jessica; Anstrom, Kevin J.

2006-01-01

Increasing emphasis is being placed on the importance of information technology to improve the safety and quality of healthcare. However, concern is growing that these potential benefits will not be equally distributed across the population because of a widening digital divide along racial and socioeconomic lines. In this pilot study, we surveyed 31 Medicaid beneficiaries to ascertain their interest in and projected use of a healthcare patient Internet portal. We found that most Medicaid beneficiaries (or their parents/guardians) were very interested in accessing personal health information about themselves (or their dependents) online. Additionally, they were interested in accessing healthcare services online. We also found that many Medicaid beneficiaries have Internet access, including a slight majority with access to high-speed Internet connections. Our study revealed significant concern about the privacy of online health information. PMID:17238393

Water for Two Worlds: Designing Terrestrial Applications for Exploration-class Sanitation Systems

NASA Technical Reports Server (NTRS)

Adams, Constance; Andersson, Ingvar; Feighery, John

2004-01-01

At the United Nations Millennium Summit in September of 2000, the world leaders agreed on an ambitious agenda for reducing poverty and improving lives: the Millennium Development Goals (MDGs) , a list of issues they consider highly pernicious, threatening to human welfare and, thereby, to global security and prosperity. Among the eight goals are included fundamental human needs such as the eradication of extreme poverty and hunger, the promotion of gender equality, the reduction of child mortality and improvement of maternal health, and ensuring the sustainability of our shared environment. In order to help focus the efforts to meet these goals, the United Nations (UN) has established a set of eighteen concrete targets, each with an associated schedule. Among these is Target 10: "By 2015, reduce by half the proportion of people without access to safe drinking water." A closely related target of equal dignity was agreed at the World Summit on Sustainable Development (Johannesburg, September 2002): "By 2015, reduce by half the proportion of people without access to basic sanitation".

Equal and universal access?: water at mealtimes, inequalities, and the challenge for schools in poor and rural communities.

PubMed

Ramirez, Sarah M; Stafford, Randall

2013-05-01

As a result of the rising national obesity rates, public health researchers and advocates have initiated a number of obesity prevention interventions to reduce the rates of overweight and obesity along with their related medical conditions and costs. Policymakers have also initiated a wide range of environmental and policies to support healthy eating and physical activity. Policies such as California's SB1413, which requires that free drinking water be served in school cafeterias during mealtimes, and subsequently the Healthy Hunger-Free Kids Act of 2010, assume an equal access to safe and healthy drinking water. As a result, these policies and their application may unintentionally, exacerbate the inequities already present. Unless we take reasonable steps to address the needs of high-need communities, these one-size-fits-all policy efforts may result in an unequal patchwork of disparities and may have a greater negative impact in high-need poor and rural areas.

Equal and Universal Access? Water at Mealtimes, Inequalities, and the Challenge for Schools in Poor and Rural Communities

PubMed Central

Ramirez, Sarah M.; Stafford, Randall S.

2014-01-01

As a result of the rising national obesity rates, public health researchers and advocates have initiated a number of obesity prevention interventions to reduce the rates of overweight and obesity along with their related medical conditions and costs. Policymakers have also initiated a wide range of environmental and policies to support healthy eating and physical activity. Policies such as California’s SB1413, which requires that free drinking water be served in school cafeterias during mealtimes, and subsequently the Healthy Hunger-Free Kids Act of 2010, assume an equal access to safe and healthy drinking water. As a result, these policies and their application may unintentionally, exacerbate the inequities already present. Unless we take reasonable steps to address the needs of high-need communities, these one-size-fits-all policy efforts may result in an unequal patchwork of disparities and may have a greater negative impact in high-need poor and rural areas. PMID:23728054

Accessibility of general practitioners and selected specialist physicians by car and by public transport in a rural region of Germany.

PubMed

Stentzel, Ulrike; Piegsa, Jens; Fredrich, Daniel; Hoffmann, Wolfgang; van den Berg, Neeltje

2016-10-19

The accessibility of medical care facilities in sparsely populated rural regions is relevant especially for elderly people which often represent a large segment of the population in such regions. Elderly people have higher morbidity risks and a higher demand for medical care. Although travelling with private cars is the dominating traffic mode in rural regions, accessibility by public transport is increasingly important especially because of limited mobility of elderly people. The aim of this study was to determine accessibility both by car and public transport to general practitioners (GP) and selected specialist physicians for a whole region and to detect areas with poor to no access in the county Vorpommern-Greifswald, which is a rural and sparsely populated region in the very northeast of Germany. Accessibility of medical care facilities by car was calculated on the basis of a network analysis within a geographic information system (GIS) with routable street data. Accessibility by public transport was calculated using GIS and a network analysis based on the implementation of Dijkstra's algorithm. The travelling time to general practitioners (GP) by car in the study region ranges from 0.1 to 22.9 min. This is a significant difference compared to other physician groups. Traveling times to specialist physicians are 0.4 to 42.9 min. A minority of 80 % of the inhabitants reach the specialist physicians within 20 min. The accessibility of specialist physicians by public transport is poor. The travel time (round trip) to GPs averages 99.3 min, to internists 143.0, to ophthalmologists 129.3 and to urologists 159.9 min. These differences were significant. Assumed was a one hour appointment on a Tuesday at 11 am. 8,973 inhabitants (3.8 %) have no connection to a GP by public transport. 15,455 inhabitants (6.5 %) have no connection to specialist internists. Good accessibility by public transport is not a question of distance but of transport connections. GIS analyses can detect areas with imminent or manifest deficits in the accessibility of health care providers. Accessibility analyses should be established instruments in planning issues.

Unequal Gain of Equal Resources across Racial Groups.

PubMed

Assari, Shervin

2017-08-05

The health effects of economic resources (eg, education, employment, and living place) and psychological assets (eg, self-efficacy, perceived control over life, anger control, and emotions) are well-known. This article summarizes the results of a growing body of evidence documenting Blacks' diminished return, defined as a systematically smaller health gain from economic resources and psychological assets for Blacks in comparison to Whites. Due to structural barriers that Blacks face in their daily lives, the very same resources and assets generate smaller health gain for Blacks compared to Whites. Even in the presence of equal access to resources and assets, such unequal health gain constantly generates a racial health gap between Blacks and Whites in the United States. In this paper, a number of public policies are recommended based on these findings. First and foremost, public policies should not merely focus on equalizing access to resources and assets, but also reduce the societal and structural barriers that hinder Blacks. Policy solutions should aim to reduce various manifestations of structural racism including but not limited to differential pay, residential segregation, lower quality of education, and crime in Black and urban communities. As income was not found to follow the same pattern demonstrated for other resources and assets (ie, income generated similar decline in risk of mortality for Whites and Blacks), policies that enforce equal income and increase minimum wage for marginalized populations are essential. Improving quality of education of youth and employability of young adults will enable Blacks to compete for high paying jobs. Policies that reduce racism and discrimination in the labor market are also needed. Without such policies, it will be very difficult, if not impossible, to eliminate the sustained racial health gap in the United States. © 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

[Access to oral health services in children under twelve years of age in Peru, 2014].

PubMed

Hernández-Vásquez, Akram; Azañedo, Diego; Díaz-Seijas, Deysi; Bendezú-Quispe, Guido; Arroyo-Hernández, Hugo; Vilcarromero, Stalin; Agudelo-Suárez, Andrés A

2016-01-01

The aim of the study was to explore the patterns of dental health services access in children under twelve years of age in Peru. Data from 25,285 children under 12 years who participated in the Demographic and Family Health Survey of 2014 were reviewed. An exploratory spatial analysis was performed to project the proportions of children with access to dental health services, according to national regions, type of health service and urban or rural place of residence. The results show that of the total sample, 26.7% had access to dental health services in the last six months, 39.6% belonged to the age group 0-4 years, 40.6% lived in the Andean region and 58.3% lived in urban areas. The regions of Huancavelica, Apurimac, Ayacucho, Lima and Pasco had the highest percentages of access nationwide. In conclusion, there is low access to dental health services in the population under 12 years of age in Peru. The spatial distribution of access to dental health services allows regions to be identified and grouped according to similar access patterns, in order to better focus public health actions.

Contraceptive Methods Accessed in Volta Region, Ghana, 2009-2014.

PubMed

Wilson, Himiede W; Ameme, Donne K; Ilesanmi, Olayinka Stephen

2017-01-01

In 2016, Volta Region was one of the two regions in Ghana that recorded a high prevalence of teenage pregnancy, accounting for 15.5% of all adolescent pregnancies in the country. This study aimed to determine the prevalence of contraceptive methods accessed by person, place, and time in Volta Region, Ghana, 2009-2014. We carried out a secondary analysis of contraceptive use data derived from the District Health Information Management System (DHIMS) 2 for Volta Region, between 2009 and 2014. We calculated proportions and described trends. Over the five-year period, there were 673,409 (75.0%) acceptors of family planning out of a total 897, 645 males and females of reproductive age. The proportion of family planning acceptors increased gradually from 18% in 2009 to 23% in 2014. Contraceptive methods were most commonly accessed by male and female between 20 and 29 years. The most common methods of contraceptives accessed were injectables among females accounting for about 70% and condoms accounting for over 90% among males. All the districts in Volta Region did not access contraceptives adequately. The Volta Regional Health Directorate should encourage and support research to ascertain factors influencing uptake of contraceptive methods in all the districts.

The needs of health promoters on a health promotion programme for families with adolescents orphaned by HIV and AIDS.

PubMed

Mthobeni, Maseapo P; Peu, Mmapheko D

2013-02-01

The South African communities has shown to have a challenge in accessing health services especially in rural areas; hence the national strategic objective 1.7 aimed at strengthening community systems to expand access to services using the community-based care programmes (NSP 2012-2016). The programmes enhance access to health services whilst promoting health and educating the community to improve health knowledge and work towards attaining a healthy living (NSP 2012-2016). However, the health promoters from the rural Hammanskraal region in the North West Province of South Africa often found themselves rendering the health promotion services in their communities with limited resources. This study aimed at exploring and describing the challenges faced by health promoters in implementing health promotion programmes for families with adolescents orphaned by HIV and AIDS. The study followed a qualitative design. Data was collected using focus group interviews. Participants were purposely selected by the social worker and the health promotion coordinator working at Hammanskraal. The process of data analysis was adapted from the eight steps of Tesch method of data analysis where categories, sub-categories and themes were isolated. The following categories emerged as the needs of health promoters on health promotion programmes for families with adolescents orphaned by HIV and AIDS, (1) financial needs, (2) resources, (3) basic life needs, (4) educational needs and (5) health promoter's needs. It is therefore recommended that equal distribution of resources: including medicine, equipment and finances, should be maintained in order to ensure non-interrupted services.

[Prevalence of Hypertriglyceridemia: New Data Across the Russian Population. The PROMETHEUS Study].

PubMed

Karpov On Behalf Of Participants Of The Prometheus Study, Yu A

2016-07-01

The main purpose of the study was to estimate prevalence of subjects with hypertriglyceridemia (HTG) in Russia. Secondary objectives were to explore HTG prevalence by levels, age and sex, and to assess correlation between glycated hemoglobin (HbA1C) and triglyceride (TG) level. Additionally, we analyzed geographical differences in HTG prevalence in regions of Russia. This was a cross-sectional, retrospective, observational study using database of results of lipid profile determination in 357,072 subjects from 254 Russian cities during the 3-year period from 2011 to 2013. Altogether, 29.2% (95% confidence interval [CI] 29.1-29.4%) of Russian individuals had HTG (serum TG more or equal 1.7 mmol/L). The percentage of patients with very high (TG more or equal 5.6 mmol/L) and severe HTG (TG more or equal 10.0mmol/L) was low (0.01% and 0.011%, respectively). At the same time, the portion of subjects with mixed hyperlipidemia (total cholesterol [TC] more or equal 5.2mmol/L, low-density lipoprotein cholesterol [LDL-C] more or equal 3.4 mmol/L, TG more or equal 1.7 mmol/L) was 19% of the study population. Men had 1.25 (95% CI, 1.24-1.26) times higher risk of HTG than women. Prevalence of HTG increased with age: in women TG level was maximal in the age group 60-69 years (34%), whereas in men TG level was maximal in the age group 40-49 years (43%). Prevalence of HTG increased from 2011 to 2013 from 28 to 30% (p<0.0001). Risk of HTG was 1.69 times greater when high HbA1C more or equal 6.5% was present, and vice versa, risk of HbA1C more or equal 6.5% was 2.04 times higher in individuals with HTG. Distribution of HTG and dyslipidemia by regions of Russia had large variability being higher in the south and lower in the northern regions of European part of Russia. Almost a third of Russian population has HTG. Men have higher risk of HTG than women. Prevalence of HTG increases with age and reaches its peak in age groups 60-69 years in (women) and 40-49 years (men). There is a linear association between high HbA- and high level of TG. Prevalence of HTG and dyslipidemia is heterogeneous in Russian regions.

HELIOSHEATH MAGNETIC FIELDS BETWEEN 104 AND 113 AU IN A REGION OF DECLINING SPEEDS AND A STAGNATION REGION

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

Burlaga, L. F.; Ness, N. F., E-mail: lburlagahsp@verizon.net, E-mail: nfnudel@yahoo.com

2012-04-10

We examine the relationships between the magnetic field and the radial velocity component V{sub R} observed in the heliosheath by instruments on Voyager 1 (V1). No increase in the magnetic field strength B was observed in a region where V{sub R} decreased linearly from 70 km s{sup -1} to 0 km s{sup -1} as plasma moved outward past V1. An unusually broad transition from positive to negative polarity was observed during a Almost-Equal-To 26 day interval when the heliospheric current sheet (HCS) moved below the latitude of V1 and the speed of V1 was comparable to the radial speed ofmore » the heliosheath flow. When V1 moved through a region where V{sub R} Almost-Equal-To 0 (the 'stagnation region'), B increased linearly with time by a factor of two, and the average of B was 0.14 nT. Nothing comparable to this was observed previously. The magnetic polarity was negative throughout the stagnation region for Almost-Equal-To 580 days until 2011 DOY 235, indicating that the HCS was below the latitude of V1. The average passage times of the magnetic holes and proton boundary layers were the same during 2009 and 2011, because the plasma moved past V1 during 2009 at the same speed that V1 moved through the stagnation region during 2011. The microscale fluctuations of B in the stagnation region during 2011 are qualitatively the same as those observed in the heliosheath during 2009. These results suggest that the stagnation region is a part of the heliosheath, rather than a 'transition region' associated with the heliopause.« less

VA-Index: Quantifying Assortativity Patterns in Networks with Multidimensional Nodal Attributes (Open Access)

DTIC Science & Technology

2016-01-27

bias of the estimator U, bias(U), the difference between this estimator’s expected value and the true value of the parameter being estimated, i.e...biasðUÞ ¼ EðU yÞ ¼ EðUÞ y ð9Þ Based on the above definition, an unbiased estimator is one whose expected value is equal to the true value being...equal to 0.94 (p- value < 0.05), if we con- sider the pure ER network model as our baseline, and 0.31 (p- value < 0.05), if we control for the home

Stability Limits and Dynamics of Nonaxisymmetric Liquid Bridges

NASA Technical Reports Server (NTRS)

Alexander, J. Iwan D.

1998-01-01

Theoretical and experimental investigation of the stability of nonaxisymmetric and nonaxisymmetric bridges contained between equal and unequal radii disks as a function of Bond and Weber number with emphasis on the transition from unstable axisymmetric to stable nonaxisymmetric shapes. Numerical analysis of the stability of nonaxisymmetric bridges for various orientations of the gravity vector for equal and unequal disks. Experimental and theoretical investigation of large (nonaxisymmetric) oscillations and breaking of liquid bridges. This project involves both experimental and theoretical work. Static and dynamic experiments are conducted in a Plateau tank which makes a range of static Bond numbers accessible.

Gender equality and sustainable human development are key issues.

PubMed

Ando, H

1995-01-01

In a message to the Indochina Women's Parliamentarians Meeting, Hirofumi Ando, Deputy Executive Director of the United Nations Family Planning Association (UNFPA), encouraged participants to link gender equality and development issues. Ando noted that many of the goals of the 1994 International Conference on Population and Development imply recognition of the need to redress gender inequalities and empower women. The Program of Action adopted in Cairo requires countries to achieve universal access to primary education and reproductive health care services. Parliamentarians in attendance were urged to mobilize the financial resources and political will necessary to implement programs in these areas.