Sample records for quality human resources

  1. Effect of Total Quality Management on the Quality and Productivity of Human Resources

    NASA Astrophysics Data System (ADS)

    Siregar, I.; Nasution, A. A.; Sari, R. M.

    2017-03-01

    Human resources is the main factor in improving company performance not only in industrial products but also services. Therefore, all of the organization performers involved must work together to achieve product quality services expected by consumers. Educational institutions are the service industries which are educators and instructor involved in it. Quality of product and services produced depends on the education organization performers. This study did a survey of instructors in public and private universities in North Sumatra to obtain the factors that affect quality of human resources and productivity of human resources. Human resources quality is viewed by the elements of TQM. TQM elements that are discussed in this study are leadership, communication, training and education, support structure, measurement and reward and recognition. The results of this study showed a correlation numbers across the exogenous variables on endogenous variables relationships tend to be strong and be positive. In addition, elements of TQM are discussed except the support structure which has a direct influence on the quality of human resources. Variable leadership, reward and recognition and quality of human resources have a significant effect on productivity.

  2. Quality Service in the International Hotel Sector: A Catalyst for Strategic Human Resource Development?

    ERIC Educational Resources Information Center

    Maxwell, Gill; Watson, Sandra; Quail, Samantha

    2004-01-01

    This paper analyses the nature of, and relationship between, a quality service initiative and the concept of strategic human resource development. Hilton International is the case study used for this analysis. The principal finding is that the quality initiative is acting as a catalyst for a strategic approach to human resource development to…

  3. Total quality management: managing the human dimension in natural resource agencies

    Treesearch

    Denzil Verardo

    1995-01-01

    Stewardship in an era of dwindling human resources requires new approaches to the way business is conducted in the public sector, and Total Quality Management (TQM) can be the avenue for this transformation. Resource agencies are no exception to this requirement, although modifications to "traditional" private enterprise versions of TQM implementation...

  4. Health Effects of Energy Resources

    USGS Publications Warehouse

    Orem, William; Tatu, Calin; Pavlovic, Nikola; Bunnell, Joseph; Kolker, Allan; Engle, Mark; Stout, Ben

    2010-01-01

    Energy resources (coal, oil, and natural gas) are among the cornerstones of modern industrial society. The exploitation of these resources, however, is not without costs. Energy materials may contain harmful chemical substances that, if mobilized into air, water, or soil, can adversely impact human health and environmental quality. In order to address the issue of human exposure to toxic substances derived from energy resources, the U.S. Geological Survey (USGS) Energy Resources Program developed a project entitled 'Impacts of Energy Resources on Human Health and Environmental Quality.' The project is intended to provide policymakers and the public with the scientific information needed to weigh the human health and environmental consequences of meeting our energy needs. This fact sheet discusses several areas where the USGS Energy Resources Program is making scientific advances in this endeavor.

  5. Quality of Life Experienced by Human Capital: An Assessment of European Cities

    ERIC Educational Resources Information Center

    Morais, Paulo; Migueis, Vera L.; Camanho, Ana S.

    2013-01-01

    This paper aims to provide an assessment of urban quality of life (QoL) of European cities from the perspective of qualified human resources. The competitiveness of cities relies increasingly in their capacity to attract highly educated workers, as they are important assets for firms when choosing a location. Qualified human resources, on the…

  6. Evaluating water quality -- is it important, how can it be determined and how can it be used?

    NASA Astrophysics Data System (ADS)

    Leahy, P. P.

    2015-12-01

    Freshwater is critical to sustaining all life on Earth yet most humans take this resource for granted and often consider it a free good. However, in water-poor areas, the availability of clean drinking water limits economic development, negatively impacts human health and causes significant social instability. This was a driver for the Millennium Development Goals to include providing clean water to the developing world. Unlike other resources, another commodity cannot be substituted for water. In mineral resources, substitution is common depending on the use, for example, aluminum for steel in automotive bodies. In energy, humans can, in some instances, use natural gas instead of coal for electricity generation. Given the critical nature of freshwater for human existence, it is important that the resource be evaluated in economic terms. Although efforts to assess the value of the availability of freshwater have been developed, they are not commonly used. Water quality is also a major economic factor in availability of water resources. Quality can be prohibitively expensive to bring to acceptable standards and can easily be contaminated by human activities. Determining an economic and social value on both the availability and quality of water resources is a challenge that the hydrologic community must address at local, regional and national and even global scales to support informed policy and decision-making.

  7. Quest for Quality. Proceedings of National Research Conference on Human Resource Development (College Station, Texas, April 22-24, 1993).

    ERIC Educational Resources Information Center

    Mathis, Laura, Ed.; Mizer, Kaye, Ed.

    Papers on the theme of quality in human resource development include the following: "Missing Link to Quality: An Examination of the Use of Steven Covey's '7 Habits of Highly Effective People' in State Agencies" (Adair et al.); "Executive Women in Business in the United States" (Bierema); "Extent and Nature of Employee Initiated Learning in the…

  8. NATIONAL WATER-QUALITY ASSESSMENT (NAWQA) PROGRAM

    EPA Science Inventory

    The National Water-Quality Assessment (NAWQA) Program is designed to describe the status and trends in the quality of the Nations ground- and surface-water resources and to provide a sound understanding of the natural and human factors that affect the quality of these resources. ...

  9. On the Way into the Bologna Reform--A Consideration of the Quality and the Role of Human Resource Management in Higher Education System

    ERIC Educational Resources Information Center

    Kohont, Andrej; Nadoh Bergoc, Jana

    2010-01-01

    In the article the concept of higher education quality is discussed, putting an emphasis on the concept of quality as a transformation. In this context the teachers are stimulated to use contemporary teaching/learning tools and to take active role in the development and empowerment of learners. The role of human resource management (HRM) is also…

  10. Human Resources as a Strategic Partner: Sitting at the Table with Six Sigma

    ERIC Educational Resources Information Center

    Fazzari, Alan J.; Levitt, Kenneth

    2008-01-01

    For nearly three decades, the quality management philosophy known as Six Sigma has brought competitive advantage to organizations implementing it. The typical approach, however, has been to have leaders from operations, engineering, quality, and marketing manage this strategic initiative. Human resource's role has been to default to the…

  11. Accounting for the Human Factor.

    ERIC Educational Resources Information Center

    Ginsburg, Sigmund G.

    1994-01-01

    College governing boards must address six areas of campus human resources management: composition of the new workforce; leadership and motivation; quality of work life; performance evaluation; compensation; and the role of the campus human resource management department. (MSE)

  12. Housing Quality and Access to Material and Learning Resources within the Home Environment in Developing Countries

    ERIC Educational Resources Information Center

    Bradley, Robert H.; Putnick, Diane L.

    2012-01-01

    This study examined home environment conditions (housing quality, material resources, formal and informal learning materials) and their relations with the Human Development Index (HDI) in 28 developing countries. Home environment conditions in these countries varied widely. The quality of housing and availability of material resources at home were…

  13. Human resources for health: A narrative review of adequacy and distribution of clinical and nonclinical human resources in hospitals of Iran.

    PubMed

    Nobakht, Samin; Shirdel, Arash; Molavi-Taleghani, Yasamin; Doustmohammadi, Mohammad M; Sheikhbardsiri, Hojjat

    2018-03-15

    Human resource supply is considered as one of the most vital factors in achieving organizational goals, and human resources are the most valuable factor in the production and delivery of services. Labor shortages and surpluses could downgrade the quality of services offered to patients. Considering the seriousness of this issue, this study aimed to investigate the status of human resources in Iran hospitals. The narrative review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The key terms "Human Resource," "Human Resource Management," "Staff," "Workforce," "Hospital," "emergency," "staff nursing," "medical," "clinical personnel," "administration," "physician personnel," "non clinical personnel," "hospital personnel," "human development," and "Iran" were used in combination with Boolean operators OR and AND. The Institute for Scientific Information's Web of Science, PubMed, Scopus, ScienceDirect, Ovid, ProQuest, Wiley, Google Scholar, and the Persian database were searched. The research findings revealed that Iran's hospitals have no uniform distribution of human resources. In spite of the concentration of labor forces in some positions (eg, laboratory, radiology, operating room, anesthesia, and midwifery), other positions occupied by physicians and nurses are experiencing serious shortages of human resources, affecting the quality of the provided services. With respect to the study findings, planning to compensate for staff shortages and achieving personnel standard levels as well as providing the grounds for training the heads of wards for proper human resource management and planning would lead to an increase in the efficiency and effectiveness of hospital activities. Copyright © 2018 John Wiley & Sons, Ltd.

  14. The Conservation and Protection: The Development and Utilization of Human Resources.

    ERIC Educational Resources Information Center

    Lippitt, Ronald

    The three dimensions of the quality of the environment for human resource development are discussed as issues of opportunity versus deprivation, issues of growth inducing versus growth destroying interventions, and issues of utilization versus non-utilization of human resources. Both pathology and potential are illustrated by descriptions of our…

  15. HR Manager Leadership in Quality Improvement in a College Environment

    ERIC Educational Resources Information Center

    Sharabi, Moshe

    2010-01-01

    Purpose: The purpose of this paper is to present the influence of the human resource (HR) manager on the quality of service in an academic college, and the human resource management (HRM) outcomes of the process. Design/methodology/approach: The paper relates to a customer satisfaction survey. More than 120 questionnaires were completed by the…

  16. India in the Knowledge Economy--An Electronic Paradigm

    ERIC Educational Resources Information Center

    Bhattacharya, Indrajit; Sharma, Kunal

    2007-01-01

    Purpose: The purpose of this paper is to make a strong case for investing in information and communication technologies (ICT) for building up of quality human resource capital for economic upliftment of India. An attempt has been made to explore the possibilities of online learning (OL)/e-learning towards building up of quality human resources in…

  17. Human Resource Development Practices as Determinant of HRD Climate and Quality Orientation

    ERIC Educational Resources Information Center

    Hassan, Arif; Hashim, Junaidah; Ismail, Ahmad Zaki Hj

    2006-01-01

    Purpose: The aim of the study was to measure employees' perception of human resource development (HRD) practices, to explore whether ISO certification leads to any improvements in HRD system, and to examine the role of HRD practices on employees' development climate and quality orientation in the organization. Design/methodology/approach: A total…

  18. Standards in Action. Using National Standards for Human Resource Management and Development in Further Education. 1. Laying the Foundations.

    ERIC Educational Resources Information Center

    Further Education Unit, London (England).

    This booklet is designed to assist British further education college managers responsible for quality assurance, human resources management (HRM), human resources development (HRD), corporate development, strategic planning, staffing/personnel, and curriculum in using national standards for HRM and HRD in further education. A synopsis, users'…

  19. NCI’s Cooperative Human Tissue Network

    Cancer.gov

    Quality biospecimens are a foundational resource for cancer research. One of NCI’s longest running biospecimen programs is the Cooperative Human Tissue Network, a resource mainly for basic discovery and early translational research.

  20. Iranian staff nurses' views of their productivity and human resource factors improving and impeding it: a qualitative study

    PubMed Central

    Nayeri, Nahid Dehghan; Nazari, Ali Akbar; Salsali, Mahvash; Ahmadi, Fazlollah

    2005-01-01

    Background Nurses, as the largest human resource element of health care systems, have a major role in providing ongoing, high-quality care to patients. Productivity is a significant indicator of professional development within any professional group, including nurses. The human resource element has been identified as the most important factor affecting productivity. This research aimed to explore nurses' perceptions and experiences of productivity and human resource factors improving or impeding it. Method A qualitative approach was used to obtain rich data; open, semi-structured interviews were also conducted. The sampling was based on the maximum variant approach; data analysis was carried out by content analysis, with the constant comparative method. Results Participants indicated that human resources issues are the most important factor in promoting or impeding their productivity. They suggested that the factors influencing effectiveness of human resource elements include: systematic evaluation of staff numbers; a sound selection process based on verifiable criteria; provision of an adequate staffing level throughout the year; full involvement of the ward sister in the process of admitting patients; and sound communication within the care team. Paying attention to these factors creates a suitable background for improved productivity and decreases negative impacts of human resource shortages, whereas ignoring or interfering with them would result in lowering of nurses' productivity. Conclusion Participants maintained that satisfactory human resources can improve nurses' productivity and the quality of care they provide; thereby fulfilling the core objective of the health care system. PMID:16212672

  1. Improvement of Human Resources Quality through Vocational Training in Tourism in Karimunjawa Islands (Central Java, Indonesia): A Pro-Economical Tourism Approach

    ERIC Educational Resources Information Center

    Putro, S. Eko; Sukirno; Budi, S.; Didik, W.

    2016-01-01

    The effort to improve human resource quality is not easy to be implemented. This effort becomes more complicated to do when implemented to the group of poor community, especially in this case marginal community of small island. This research analyzes the characteristic of poor household in small island as well as the strategy of poverty…

  2. Role of Institutions of Higher Learning in Enhancing Sustainable Development in Kenya

    ERIC Educational Resources Information Center

    Ekene, Osuji Gregory; Oluoch-Suleh, Everlyn

    2015-01-01

    Education brings about a change in the individual which promotes greater productivity and work efficiency. It remains a major component in the development of human resources and it accounts for much improvements in population quality and environmental resource management; hence, sustainable development. Improvement of human resources is not…

  3. Managerial implications of corporate board involvement and perceived market competition for quality improvement in nursing homes.

    PubMed

    Weech-Maldonado, R; Zinn, J S; Brannon, D

    1999-01-01

    This study examines the relationships among corporate board involvement, total quality management (TQM) adoption, perceived market competition, and the perceived effect of quality improvement (QI) activities for a sample of nursing homes in Pennsylvania. The findings of this study have several implications for healthcare managers interested in maximizing the effectiveness of QI efforts. Board involvement in quality improvement was an important predictor of QI outcomes in the areas of finance, resident care, and human resources. However, TQM adoption had a positive effect on human resources outcomes only. These findings suggest that board involvement in any organized form of QI may be more important than the adoption of a formal TQM program in the nursing home industry. TQM's emphasis on employee empowerment may account for its positive influence on human resources. Perceived competition was associated with better financial outcomes. Low-cost leadership can be a key to survival in more competitive markets, requiring a focus on efficiency and productivity issues in QI efforts. By focusing on process improvement, the facilities may achieve cost reductions that can result in an improved financial position. Facilities perceived to be in more competitive environments were also more likely to adopt TQM. This is consistent with the assertion by resource-dependence theorists that organizations facing competition for resources must be responsive to the needs of resource-providing constituencies.

  4. Managing human resources in healthcare: learning from world class practices--Part I.

    PubMed

    Zairi, M

    1998-01-01

    This paper, which is presented in two parts, is intended to demonstrate that practices related to the area of human resources management, adopted by model organisations that have dominated their markets consistently, can lend themselves very well to the healthcare sector, which is primarily a "people-oriented" sector. As change in a modern business context is set to continue in an unrelenting way, most organisations will be presented with the challenge of developing the necessary skills and areas of expertise to enable them to cope with the demands on them, master technological opportunities at their disposal, learn how to exploit modern management concepts and optimise value to all the stakeholders they intend to serve. This paper draws from best practices using the experiences of quality recognised organisations and many admired names through pioneering human resource policies and practices and through clear demonstrations on the benefits of relying on people as the major "asset". Part I of this article addresses the importance of human resources as revealed through models of management for organisational excellence. In particular, the paper refers to the criteria for excellence in relation to people management using the following prestigious and integrative management models: Deming Prize (Japan); European Quality Award Model (Europe); and Malcolm Baldrige National Quality Award (USA). In addition, this paper illustrates several case studies using organisations known for their pioneering approaches to people management and which led them to win very prestigious quality awards and various international accolades. The paper concludes by reinforcing the point that human resource management in a healthcare context has to be viewed as an integrated set of processes and practices which need to be adhered to from an integrated perspective in order to optimise individuals' performance levels and so that the human potential can be exploited fully.

  5. Historical trends in human resource issues of hospital nursing in the past generation.

    PubMed

    Tzeng, Huey-Ming; Yin, Chang-Yi

    2009-01-01

    Strategic management of human resource in health care is indeed important to delivering high-quality care. Despite the fact that the nursing profession is growing and becoming more and more sophisticated, human resource issues have not changed in a dramatically significant way in the past generation. The aim of this study was to identify the historical trends in human resource issues related to hospital nursing in the past generation from 1977 to 2006. A total of 10,691 records were reviewed, resulting in 1,799 valid records that addressed human resource issues related to hospital nursing. Content analyses were conducted and a typology of human resource issues was developed. Productivity, work content and flow, and occupational hazards were the three most often reported themes.

  6. Stakeholders' Perceptions of Quality and Potential Improvements in the Learning Resources Centers at Omani Basic Education Schools

    ERIC Educational Resources Information Center

    Al Musawi, Ali; Amer, Talal

    2017-01-01

    This study attempts to investigate the stakeholders' perceptions of quality and prospective improvements in the learning resources centres (LRC) at Omani basic education schools. It focuses on different aspects of the LRCs: organisation, human resources, technological, and educational aspects along with the difficulties faced by these LRCs and…

  7. Housing Quality and Access to Material and Learning Resources within the Home Environment in Developing Countries

    PubMed Central

    Bradley, Robert H.; Putnick, Diane L.

    2011-01-01

    This study examined home environment conditions (housing quality, material resources, formal and informal learning materials) and their relations with the Human Development Index (HDI) in 28 developing countries. Home environment conditions in these countries varied widely. The quality of housing and availability of material resources at home were consistently tied to HDI; the availability of formal and informal learning materials little less so. Gross domestic product (GDP) tended to show a stronger independent relation with housing quality and material resources than life expectancy and education. Formal learning resources were independently related to the GDP and education indices, and informal learning resources were not independently related to any constituent indices of the overall HDI. PMID:22277008

  8. Water Quality Standards for Coral Reef Protection

    EPA Science Inventory

    The U.S. Clean Water Act provides a legal framework to protect coastal biological resources such as coral reefs, mangrove forests, and seagrass meadows from the damaging effects of human activities. Even though many resources are protected under this authority, water quality stan...

  9. Building human resources capability in health care: a global analysis of best practice--Part II.

    PubMed

    Zairi, M

    1998-01-01

    This paper is the second from a series of three, addressing human resource practices using best practice examples. The analysis covered is based on the experiences of organisations that have won the Malcolm Baldrige National Quality Award (MBNQA) in the USA. The subcriteria covered in this benchmarking comparative analysis covers the following areas: human resource planning and management; employee involvement; employee education and training; employee performance and recognition; employee wellbeing and satisfaction. The paper concludes by reflecting on the likely implications for health-care professionals working in the human resource field.

  10. Crossing the quality chasm in resource-limited settings.

    PubMed

    Maru, Duncan Smith-Rohrberg; Andrews, Jason; Schwarz, Dan; Schwarz, Ryan; Acharya, Bibhav; Ramaiya, Astha; Karelas, Gregory; Rajbhandari, Ruma; Mate, Kedar; Shilpakar, Sona

    2012-11-30

    Over the last decade, extensive scientific and policy innovations have begun to reduce the "quality chasm"--the gulf between best practices and actual implementation that exists in resource-rich medical settings. While limited data exist, this chasm is likely to be equally acute and deadly in resource-limited areas. While health systems have begun to be scaled up in impoverished areas, scale-up is just the foundation necessary to deliver effective healthcare to the poor. This perspective piece describes a vision for a global quality improvement movement in resource-limited areas. The following action items are a first step toward achieving this vision: 1) revise global health investment mechanisms to value quality; 2) enhance human resources for improving health systems quality; 3) scale up data capacity; 4) deepen community accountability and engagement initiatives; 5) implement evidence-based quality improvement programs; 6) develop an implementation science research agenda.

  11. Explore the impacts of river flow and quality on biodiversity for water resources management by AI techniques

    NASA Astrophysics Data System (ADS)

    Chang, Fi-John; Tsai Tsai, Wen-Ping; Chang, Li-Chiu

    2016-04-01

    Water resources development is very challenging in Taiwan due to her diverse geographic environment and climatic conditions. To pursue sustainable water resources development, rationality and integrity is essential for water resources planning. River water quality and flow regimes are closely related to each other and affect river ecosystems simultaneously. This study aims to explore the complex impacts of water quality and flow regimes on fish community in order to comprehend the situations of the eco-hydrological system in the Danshui River of northern Taiwan. To make an effective and comprehensive strategy for sustainable water resources management, this study first models fish diversity through implementing a hybrid artificial neural network (ANN) based on long-term observational heterogeneity data of water quality, stream flow and fish species in the river. Then we use stream flow to estimate the loss of dissolved oxygen based on back-propagation neural networks (BPNNs). Finally, the non-dominated sorting genetic algorithm II (NSGA-II) is established for river flow management over the Shihmen Reservoir which is the main reservoir in this study area. In addition to satisfying the water demands of human beings and ecosystems, we also consider water quality for river flow management. The ecosystem requirement takes the form of maximizing fish diversity, which can be estimated by the hybrid ANN. The human requirement is to provide a higher satisfaction degree of water supply while the water quality requirement is to reduce the loss of dissolved oxygen in the river among flow stations. The results demonstrate that the proposed methodology can offer diversified alternative strategies for reservoir operation and improve reservoir operation strategies for producing downstream flows that could better meet both human and ecosystem needs as well as maintain river water quality. Keywords: Artificial intelligence (AI), Artificial neural networks (ANNs), Non-dominated sorting genetic algorithm II (NSGA-II), Sustainable water resources management, Flow regime, River ecosystem.

  12. 77 FR 12818 - Intent To Prepare a Draft Supplemental Environmental Impact Statement for the Proposed Rio Grande...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-02

    ..., floodplain development, water quality, ecological resources, endangered species, wildlife refuge objectives, social welfare, human safety, cultural resources, and aesthetic qualities. Development and implementation... risk management study along the Rio Grande from San Acacia downstream to San Marcial in Socorro County...

  13. The importance of human resources management in health care: a global context.

    PubMed

    Kabene, Stefane M; Orchard, Carole; Howard, John M; Soriano, Mark A; Leduc, Raymond

    2006-07-27

    This paper addresses the health care system from a global perspective and the importance of human resources management (HRM) in improving overall patient health outcomes and delivery of health care services. We explored the published literature and collected data through secondary sources. Various key success factors emerge that clearly affect health care practices and human resources management. This paper will reveal how human resources management is essential to any health care system and how it can improve health care models. Challenges in the health care systems in Canada, the United States of America and various developing countries are examined, with suggestions for ways to overcome these problems through the proper implementation of human resources management practices. Comparing and contrasting selected countries allowed a deeper understanding of the practical and crucial role of human resources management in health care. Proper management of human resources is critical in providing a high quality of health care. A refocus on human resources management in health care and more research are needed to develop new policies. Effective human resources management strategies are greatly needed to achieve better outcomes from and access to health care around the world.

  14. The importance of human resources management in health care: a global context

    PubMed Central

    Kabene, Stefane M; Orchard, Carole; Howard, John M; Soriano, Mark A; Leduc, Raymond

    2006-01-01

    Background This paper addresses the health care system from a global perspective and the importance of human resources management (HRM) in improving overall patient health outcomes and delivery of health care services. Methods We explored the published literature and collected data through secondary sources. Results Various key success factors emerge that clearly affect health care practices and human resources management. This paper will reveal how human resources management is essential to any health care system and how it can improve health care models. Challenges in the health care systems in Canada, the United States of America and various developing countries are examined, with suggestions for ways to overcome these problems through the proper implementation of human resources management practices. Comparing and contrasting selected countries allowed a deeper understanding of the practical and crucial role of human resources management in health care. Conclusion Proper management of human resources is critical in providing a high quality of health care. A refocus on human resources management in health care and more research are needed to develop new policies. Effective human resources management strategies are greatly needed to achieve better outcomes from and access to health care around the world. PMID:16872531

  15. Housing quality and access to material and learning resources within the home environment in developing countries.

    PubMed

    Bradley, Robert H; Putnick, Diane L

    2012-01-01

    This study examined home environment conditions (housing quality, material resources, formal and informal learning materials) and their relations with the Human Development Index (HDI) in 28 developing countries. Home environment conditions in these countries varied widely. The quality of housing and availability of material resources at home were consistently tied to HDI; the availability of formal and informal learning materials a little less so. Gross domestic product (GDP) tended to show a stronger independent relation with housing quality and material resources than life expectancy and education. Formal learning resources were independently related to the GDP and education indices, and informal learning resources were not independently related to any constituent indices of the overall HDI. © 2012 The Authors. Child Development © 2012 Society for Research in Child Development, Inc.

  16. Ecological resource management: A call to arms

    USGS Publications Warehouse

    Emlen, J.M.; Kapustka, Lawrence; Barnthouse, L.; Beyer, N.; Biddinger, G.; Kedwards, T.; Landis, W.; Menzie, C.; Munns, W.; Sorenson, M.; Wentsel, R.

    2002-01-01

    As the human population enlarges, it becomes increasingly difficult to sustain valued ecological resources. Human use of resources, whether it is the harvest of ocean fisheries, logging of forests, or farming of arable lands, has resulted in significant population declines in many wildlife species. The growth of urban areas and the expansion of impermeable surfaces alter landscape diversity and modify hydrologic patterns in ways that decrease habitat quality for many desired plant, fish, and wildlife species. Impaired water, air, and soil quality related to industrial, municipal, and agricultural activities have altered the composition of aquatic and terrestrial communities.

  17. Sensor-based assessment of the in-situ quality of human computer interaction in the cars : final research report.

    DOT National Transportation Integrated Search

    2016-01-01

    Human attention is a finite resource. When interrupted while performing a task, this : resource is split between two interactive tasks. People have to decide whether the benefits : from the interruptive interaction will be enough to offset the loss o...

  18. The Principles and Practice of Educational Management. Educational Management: Research and Practice.

    ERIC Educational Resources Information Center

    Bush, Tony, Ed.; Bell, Les, Ed.

    This book examines the main themes in educational management and leadership, including strategy, human resources, teaching and learning, finance, external relations, and quality. The 19 chapters are divided into 7 sections: "The Context of Educational Management,""Leadership and Strategic Management,""Human Resource Management,""Managing Learning…

  19. Human Resource Management: Accountability, Reciprocity and the Nexus between Employer and Employee

    ERIC Educational Resources Information Center

    Charlton, Donna; Kritsonis, William Allan

    2009-01-01

    The article addresses teacher retention challenges employers are experiencing in the quest to effectively meet standard human resource management practices. The quality of the employer-employee relationship forms the foundation upon which effective management practices thrive. Teachers who remain in education value students and their personal…

  20. Accounting for Natural Resources and Environmental Sustainability: Linking Ecosystem Services to Human Well-being.

    EPA Science Inventory

    One of society's greatest challenges is to sustain natural resources while promoting economic growth and quality of life. In the face of this challenge. society must measure the effectiveness of programs established to protect human health and safeguard the environment. The impet...

  1. Building local human resources to implement SLMTA with limited donor funding: The Ghana experience

    PubMed Central

    van der Puije, Beatrice; Bekoe, Veronica; Adukpo, Rowland; Kotey, Nii A.; Yao, Katy; Fonjungo, Peter N.; Luman, Elizabeth T.; Duh, Samuel; Njukeng, Patrick A.; Addo, Nii A.; Khan, Fazle N.; Woodfill, Celia J.I.

    2014-01-01

    Background In 2009, Ghana adopted the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme in order to improve laboratory quality. The programme was implemented successfully with limited donor funding and local human resources. Objectives To demonstrate how Ghana, which received very limited PEPFAR funding, was able to achieve marked quality improvement using local human resources. Method Local partners led the SLMTA implementation and local mentors were embedded in each laboratory. An in-country training-of-trainers workshop was conducted in order to increase the pool of local SLMTA implementers. Three laboratory cohorts were enrolled in SLMTA in 2011, 2012 and 2013. Participants from each cohort attended in a series of three workshops interspersed with improvement projects and mentorship. Supplemental training on internal audit was provided. Baseline, exit and follow-up audits were conducted using the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) checklist. In November 2013, four laboratories underwent official SLIPTA audits by the African Society for Laboratory Medicine (ASLM). Results The local SLMTA team successfully implemented three cohorts of SLMTA in 15 laboratories. Seven out of the nine laboratories that underwent follow-up audits have reached at least one star. Three out of the four laboratories that underwent official ASLM audits were awarded four stars. Patient satisfaction increased from 25% to 70% and sample rejection rates decreased from 32% to 10%. On average, $40 000 was spent per laboratory to cover mentors’ salaries, SLMTA training and improvement project support. Conclusion Building in-country capacity through local partners is a sustainable model for improving service quality in resource-constrained countries such as Ghana. Such models promote country ownership, capacity building and the use of local human resources for the expansion of SLMTA. PMID:26937417

  2. Building local human resources to implement SLMTA with limited donor funding: The Ghana experience.

    PubMed

    Nkrumah, Bernard; van der Puije, Beatrice; Bekoe, Veronica; Adukpo, Rowland; Kotey, Nii A; Yao, Katy; Fonjungo, Peter N; Luman, Elizabeth T; Duh, Samuel; Njukeng, Patrick A; Addo, Nii A; Khan, Fazle N; Woodfill, Celia J I

    2014-11-03

    In 2009, Ghana adopted the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme in order to improve laboratory quality. The programme was implemented successfully with limited donor funding and local human resources. To demonstrate how Ghana, which received very limited PEPFAR funding, was able to achieve marked quality improvement using local human resources. Local partners led the SLMTA implementation and local mentors were embedded in each laboratory. An in-country training-of-trainers workshop was conducted in order to increase the pool of local SLMTA implementers. Three laboratory cohorts were enrolled in SLMTA in 2011, 2012 and 2013. Participants from each cohort attended in a series of three workshops interspersed with improvement projects and mentorship. Supplemental training on internal audit was provided. Baseline, exit and follow-up audits were conducted using the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) checklist. In November 2013, four laboratories underwent official SLIPTA audits by the African Society for Laboratory Medicine (ASLM). The local SLMTA team successfully implemented three cohorts of SLMTA in 15 laboratories. Seven out of the nine laboratories that underwent follow-up audits have reached at least one star. Three out of the four laboratories that underwent official ASLM audits were awarded four stars. Patient satisfaction increased from 25% to 70% and sample rejection rates decreased from 32% to 10%. On average, $40 000 was spent per laboratory to cover mentors' salaries, SLMTA training and improvement project support. Building in-country capacity through local partners is a sustainable model for improving service quality in resource-constrained countries such as Ghana. Such models promote country ownership, capacity building and the use of local human resources for the expansion of SLMTA.

  3. The Effect of Amount and Timing of Human Resources Data on Subsystem Design.

    ERIC Educational Resources Information Center

    Meister, David; And Others

    Human resources data (HRD) inputs often fail to influence system development. This study investigated the possibility that these inputs are sometimes deficient in quantity or timing. In addition, the effect upon design of different personnel quality and quantity requirements was analyzed. Equipment and HRD inputs which were produced during actual…

  4. Technological Innovation and Strategic Human Resource Management: Developing a Theory.

    ERIC Educational Resources Information Center

    Gattiker, Urs E.

    Technological innovation affects the structure and content of jobs. Research indicates that there is a need for a theory of technological innovation and strategic human resource management considering several factors, such as an employee's beliefs about the effect of technological innovations on the quality of work life and work content.…

  5. Tertiary Educational Institutions for Teaching, Research and Development

    ERIC Educational Resources Information Center

    Amoo, Sikiru A.

    2014-01-01

    This paper examines the quality of teaching and research in developing human resources to facilitate the development of tertiary education in the nation. It discusses the challenges and the roles of research in higher education. The author argues that the combination of content and pedagogical knowledge could help to develop human resources for…

  6. Human Resource Architectures for New Teachers in Flemish Primary Education

    ERIC Educational Resources Information Center

    Vekeman, Eva; Devos, Geert; Valcke, Martin

    2016-01-01

    Since research shows that the quality of a school's teaching force is related to its personnel practices, there is a growing interest in human resource management (HRM) in education. Existing research has generated insights into the differences, constraints and effects of single and isolated HR practices. Yet, little research is available…

  7. The medical education and its impact on public health. Perspectives and challenges.

    PubMed

    Pérez-Gómez, Héctor Raúl; Ramos-Zúñiga, Rodrigo

    2012-01-01

    This paper presents an analysis of the relevance of the formation of human resources trained in health sciences as an essential strategy for sustainability projects applied to health schemes. A solid linkage is required between training and application aspects through the transfer of knowledge in concrete actions. A series of actions aimed to improve the quality and coverage in health services has been proposed. However, the treatment given to education and training in human resources has not been in the same proportion. As a consequence, the formation of qualified human resources represents one of the fundamental axes to perform these actions in health fields. Training of human resources for health provided by educational institutions must not be separate from global decisions in health fields. Evidence shows that the higher density, quality and appropriate distribution of health workforce, the greater the impact on public health in an efficient manner. This rubric must be considered as a priority, achieving the training of professionals with leadership and with the ability of transforming their environment before the predictions about potential collapses in health systems are presented as an emerging challenge.

  8. Design of Cycle 3 of the National Water-Quality Assessment Program, 2013-2022: Part 1: Framework of Water-Quality Issues and Potential Approaches

    USGS Publications Warehouse

    Rowe, Gary L.; Belitz, Kenneth; Essaid, Hedeff I.; Gilliom, Robert J.; Hamilton, Pixie A.; Hoos, Anne B.; Lynch, Dennis D.; Munn, Mark D.; Wolock, David W.

    2010-01-01

    In 1991, the U.S. Congress established the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Program to develop long-term, nationally consistent information on the quality of the Nation's streams and groundwater. Congress recognized the critical need for this information to support scientifically sound management, regulatory, and policy decisions concerning the increasingly stressed water resources of the Nation. The long-term goals of NAWQA are to: (1) assess the status of water-quality conditions in the United States, (2) evaluate long-term trends in water-quality conditions, and (3) link status and trends with an understanding of the natural and human factors that affect water quality. These goals are national in scale, include both surface water and groundwater, and include consideration of water quality in relation to both human uses and aquatic ecosystems. Since 1991, NAWQA assessments and findings have fostered and supported major improvements in the availability and use of unbiased scientific information for decisionmaking, resource management, and planning at all levels of government. These improvements have enabled agencies and stakeholders to cost-effectively address a wide range of water-quality issues related to natural and human influences on the quality of water and potential effects on aquatic ecosystems and human health (http://water.usgs.gov/nawqa/xrel.pdf). NAWQA, like all USGS programs, provides policy relevant information that serves as a scientific basis for decisionmaking related to resource management, protection, and restoration. The information is freely available to all levels of government, nongovernmental organizations, industry, academia, and the public, and is readily accessible on the NAWQA Web site and other diverse formats to serve the needs of the water-resource community at different technical levels. Water-quality conditions in streams and groundwater are described in more than 1,700 publications (available online at http://water.usgs.gov/nawqa/bib/), and are documented by more than 14 million data records representing about 7,600 stream sites, 8,100 wells, and 2,000 water-quality and ecological constituents that are available from the NAWQA data warehouse (http://infotrek.er.usgs.gov/traverse/f?p=NAWQA:HOME:0). The Program promotes collaboration and liaison with government officials, resource managers, industry representatives, and other stakeholders to increase the utility and relevance of NAWQA science to decisionmakers. As part of this effort, NAWQA supports integration of data from other organizations into NAWQA assessments, where appropriate and cost-effective, so that more comprehensive findings are available across geographic and temporal scales.

  9. Human action quality evaluation based on fuzzy logic with application in underground coal mining.

    PubMed

    Ionica, Andreea; Leba, Monica

    2015-01-01

    The work system is defined by its components, their roles and the relationships between them. Any work system gravitates around the human resource and the interdependencies between human factor and the other components of it. Researches in this field agreed that the human factor and its actions are difficult to quantify and predict. The objective of this paper is to apply a method of human actions evaluation in order to estimate possible risks and prevent possible system faults, both at human factor level and at equipment level. In order to point out the importance of the human factor influence on all the elements of the working systems we propose a fuzzy logic based methodology for quality evaluation of human actions. This methodology has a multidisciplinary character, as it gathers ideas and methods from: quality management, ergonomics, work safety and artificial intelligence. The results presented refer to a work system with a high degree of specificity, namely, underground coal mining and are valuable for human resources risk evaluation pattern. The fuzzy logic evaluation of the human actions leads to early detection of possible dangerous evolutions of the work system and alarm the persons in charge.

  10. 38 CFR 26.6 - Environmental documents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... significantly affecting the quality of the human environmental.” NEPA 102(2), 42 U.S.C. 4332(2) see CEQ... alter agency programs and which have a significant effect on the quality of the human environmental. (2...: (i) Probable significant degradation of historic or cultural resources, park lands, prime farmlands...

  11. Roles of laboratories and laboratory systems in effective tuberculosis programmes.

    PubMed

    Ridderhof, John C; van Deun, Armand; Kam, Kai Man; Narayanan, P R; Aziz, Mohamed Abdul

    2007-05-01

    Laboratories and laboratory networks are a fundamental component of tuberculosis (TB) control, providing testing for diagnosis, surveillance and treatment monitoring at every level of the health-care system. New initiatives and resources to strengthen laboratory capacity and implement rapid and new diagnostic tests for TB will require recognition that laboratories are systems that require quality standards, appropriate human resources, and attention to safety in addition to supplies and equipment. To prepare the laboratory networks for new diagnostics and expanded capacity, we need to focus efforts on strengthening quality management systems (QMS) through additional resources for external quality assessment programmes for microscopy, culture, drug susceptibility testing (DST) and molecular diagnostics. QMS should also promote development of accreditation programmes to ensure adherence to standards to improve both the quality and credibility of the laboratory system within TB programmes. Corresponding attention must be given to addressing human resources at every level of the laboratory, with special consideration being given to new programmes for laboratory management and leadership skills. Strengthening laboratory networks will also involve setting up partnerships between TB programmes and those seeking to control other diseases in order to pool resources and to promote advocacy for quality standards, to develop strategies to integrate laboratories functions and to extend control programme activities to the private sector. Improving the laboratory system will assure that increased resources, in the form of supplies, equipment and facilities, will be invested in networks that are capable of providing effective testing to meet the goals of the Global Plan to Stop TB.

  12. The Ozark Highlands

    USGS Publications Warehouse

    Ethridge, Max

    2009-01-01

    The Ozark Highlands include diverse topographic, geologic, soil, and hydrologic conditions that support a broad range of habitat types. The landscape features rugged uplands - some peaks higher than 2,500 feet above sea level - with exposed rock and varying soil depths and includes extensive areas of karst terrain. The Highlands are characterized by extreme biological diversity and high endemism (uniqueness of species). Vegetation communities are dominated by open oak-hickory and shortleaf pine woodlands and forests. Included in this vegetation matrix is an assemblage of various types of fens, forests, wetlands, fluvial features, and carbonate and siliceous glades. An ever-growing human population in the Ozark Highlands has become very dependent on reservoirs constructed on major rivers in the region and, in some cases, groundwater for household and public water supply. Because of human population growth in the Highlands and increases in industrial and agricultural activities, not only is adequate water quantity an issue, but maintaining good water quality is also a challenge. Point and nonpoint sources of excessive nutrients are an issue. U.S. Geological Survey (USGS) partnership programs to monitor water quality and develop simulation tools to help stakeholders better understand strategies to protect the quality of water and the environment are extremely important. The USGS collects relevant data, conducts interpretive studies, and develops simulation tools to help stakeholders understand resource availability and sustainability issues. Stakeholders dependent on these resources are interested in and benefit greatly from evolving these simulation tools (models) into decision support systems that can be used for adaptive management of water and ecological resources. The interaction of unique and high-quality biological and hydrologic resources and the effects of stresses from human activities can be evaluated best by using a multidisciplinary approach that the USGS can provide. Information varying from defining baseline resource conditions to developing simulation models will help resource managers and users understand the human impact on resource sustainability. Varied expertise and experience in biological and water-resources activities across the entire Highlands make the USGS a valued collaborator in studies of Ozark ecosystems, streams, reservoirs, and groundwater. A large part of future success will depend on the involvement and active participation of key partners.

  13. Qualities of an Effective Successor: the Role of Education and Training

    ERIC Educational Resources Information Center

    Ibrahim, A.B.; Soufani, K.; Poutziouris, P.; Lam, J.

    2004-01-01

    Small family firms represent the predominant organizational form in Canada. They are perceived to be crucial to the development and growth of the Canadian economy. Despite this, scant attention is given to the study of human resource management practices in the specialist family business literature. A key human resource issue in family firms,…

  14. The UniProtKB guide to the human proteome

    PubMed Central

    Breuza, Lionel; Poux, Sylvain; Estreicher, Anne; Famiglietti, Maria Livia; Magrane, Michele; Tognolli, Michael; Bridge, Alan; Baratin, Delphine; Redaschi, Nicole

    2016-01-01

    Advances in high-throughput and advanced technologies allow researchers to routinely perform whole genome and proteome analysis. For this purpose, they need high-quality resources providing comprehensive gene and protein sets for their organisms of interest. Using the example of the human proteome, we will describe the content of a complete proteome in the UniProt Knowledgebase (UniProtKB). We will show how manual expert curation of UniProtKB/Swiss-Prot is complemented by expert-driven automatic annotation to build a comprehensive, high-quality and traceable resource. We will also illustrate how the complexity of the human proteome is captured and structured in UniProtKB. Database URL: www.uniprot.org PMID:26896845

  15. Incentives for improving human resource outcomes in health care: overview of reviews.

    PubMed

    Misfeldt, Renee; Linder, Jordana; Lait, Jana; Hepp, Shelanne; Armitage, Gail; Jackson, Karen; Suter, Esther

    2014-01-01

    To review the effectiveness of financial and nonfinancial incentives for improving the benefits (recruitment, retention, job satisfaction, absenteeism, turnover, intent to leave) of human resource strategies in health care. Overview of 33 reviews published from 2000 to 2012 summarized the effectiveness of incentives for improving human resource outcomes in health care (such as job satisfaction, turnover rates, recruitment, and retention) that met the inclusion criteria and were assessed by at least two research members using the Assessment of Multiple Systematic Reviews quality assessment tool. Of those, 13 reviews met the quality criteria and were included in the overview. Information was extracted on a description of the review, the incentives considered, and their impact on human resource outcomes. The information on the relationship between incentives and outcomes was assessed and synthesized. While financial compensation is the best-recognized approach within an incentives package, there is evidence that health care practitioners respond positively to incentives linked to the quality of the working environments including opportunities for professional development, improved work life balance, interprofessional collaboration, and professional autonomy. There is less evidence that workload factors such as job demand, restructured staffing models, re-engineered work designs, ward practices, employment status, or staff skill mix have an impact on human resource outcomes. Overall, evidence of effective strategies for improving outcomes is mixed. While financial incentives play a key role in enhancing outcomes, they need to be considered as only one strategy within an incentives package. There is stronger evidence that improving the work place environment and instituting mechanisms for work-life balance need to be part of an overall strategy to improve outcomes for health care practitioners.

  16. Overview of the National Water-Quality Assessment Program

    USGS Publications Warehouse

    Leahy, P.P.; Thompson, T.H.

    1994-01-01

    The Nation's water resources are the basis for life and our economic vitality. These resources support a complex web of human activities and fishery and wildlife needs that depend upon clean water. Demands for good-quality water for drinking, recreation, farming, and industry are rising, and as a result, the American public is concerned about the condition and sustainability of our water resources. The American public is asking: Is it safe to swim in and drink water from our rivers or lakes? Can we eat the fish that come from them? Is our ground water polluted? Is water quality degrading with time, and if so, why? Has all the money we've spent to clean up our waters, done any good? The U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program was designed to provide information that will help answer these questions. NAWQA is designed to assess historical, current, and future water-quality conditions in representative river basins and aquifers nationwide. One of the primary objectives of the program is to describe relations between natural factors, human activities, and water-quality conditions and to define those factors that most affect water quality in different parts of the Nation. The linkage of water quality to environmental processes is of fundamental importance to water-resource managers, planners, and policy makers. It provides a strong and unbiased basis for better decisionmaking by those responsible for making decisions that affect our water resources, including the United States Congress, Federal, State, and local agencies, environmental groups, and industry. Information from the NAWQA Program also will be useful for guiding research, monitoring, and regulatory activities in cost effective ways.

  17. Pollination and Plant Resources Change the Nutritional Quality of Almonds for Human Health

    PubMed Central

    Brittain, Claire; Kremen, Claire; Garber, Andrea; Klein, Alexandra-Maria

    2014-01-01

    Insect-pollinated crops provide important nutrients for human health. Pollination, water and nutrients available to crops can influence yield, but it is not known if the nutritional value of the crop is also influenced. Almonds are an important source of critical nutrients for human health such as unsaturated fat and vitamin E. We manipulated the pollination of almond trees and the resources available to the trees, to investigate the impact on the nutritional composition of the crop. The pollination treatments were: (a) exclusion of pollinators to initiate self-pollination and (b) hand cross-pollination; the plant resource treatments were: (c) reduced water and (d) no fertilizer. In an orchard in northern California, trees were exposed to a single treatment or a combination of two (one pollination and one resource). Both the fat and vitamin E composition of the nuts were highly influenced by pollination. Lower proportions of oleic to linoleic acid, which are less desirable from both a health and commercial perspective, were produced by the self-pollinated trees. However, higher levels of vitamin E were found in the self-pollinated nuts. In some cases, combined changes in pollination and plant resources sharpened the pollination effects, even when plant resources were not influencing the nutrients as an individual treatment. This study highlights the importance of insects as providers of cross-pollination for fruit quality that can affect human health, and, for the first time, shows that other environmental factors can sharpen the effect of pollination. This contributes to an emerging field of research investigating the complexity of interactions of ecosystem services affecting the nutritional value and commercial quality of crops. PMID:24587215

  18. Water quality degradation effects on freshwater availability: Impacts to human activities

    USGS Publications Warehouse

    Peters, N.E.; Meybeck, Michel

    2000-01-01

    The quality of freshwater at any point on the landscape reflects the combined effects of many processes along water pathways. Human activities on all spatial scales affect both water quality and quantity. Alteration of the landscape and associated vegetation has not only changed the water balance, but typically has altered processes that control water quality. Effects of human activities on a small scale are relevant to an entire drainage basin. Furthermore, local, regional, and global differences in climate and water flow are considerable, causing varying effects of human activities on land and water quality and quantity, depending on location within a watershed, geology, biology, physiographic characteristics, and climate. These natural characteristics also greatly control human activities, which will, in turn, modify (or affect) the natural composition of water. One of the most important issues for effective resource management is recognition of cyclical and cascading effects of human activities on the water quality and quantity along hydrologic pathways. The degradation of water quality in one part of a watershed can have negative effects on users downstream. Everyone lives downstream of the effects of some human activity. An extremely important factor is that substances added to the atmosphere, land, and water generally have relatively long time scales for removal or clean up. The nature of the substance, including its affinity for adhering to soil and its ability to be transformed, affects the mobility and the time scale for removal of the substance. Policy alone will not solve many of the degradation issues, but a combination of policy, education, scientific knowledge, planning, and enforcement of applicable laws can provide mechanisms for slowing the rate of degradation and provide human and environmental protection. Such an integrated approach is needed to effectively manage land and water resources.

  19. National Water-Quality Assessment Program - Red River of the North

    USGS Publications Warehouse

    Stoner, J.D.

    1991-01-01

    In 1991, the U.S. Geological Survey (USGS) began to implement a full-scale National Water-Quality Assessment (NAWQA) program. The long-term goals of the NAWQA program are to describe the status and trends in the quality of a large, representative part of the Nation's surface- and ground-water resources, and to provide a sound scientific understanding of the primary natural and human factors affecting the quality of these resources. The program will produce a wealth of water-quality information that will be useful to policy makers and managers at the national, State, and local levels.

  20. Current perspectives in contaminant hydrology and water resources sustainability

    USGS Publications Warehouse

    Bradley, Paul M.

    2013-01-01

    Human society depends on liquid freshwater resources to meet drinking, sanitation and hygiene, agriculture, and industry needs. Improved resource monitoring and better understanding of the anthropogenic threats to freshwater environments are critical to efficient management of freshwater resources and ultimately to the survival and quality of life of the global human population. This book helps address the need for improved freshwater resource monitoring and threat assessment by presenting current reviews and case studies focused on the fate and transport of contaminants in the environment and on the sustainability of groundwater and surface-water resources around the world. It is intended for students and professionals working in hydrology and water resources management.

  1. Roles of laboratories and laboratory systems in effective tuberculosis programmes

    PubMed Central

    van Deun, Armand; Kam, Kai Man; Narayanan, PR; Aziz, Mohamed Abdul

    2007-01-01

    Abstract Laboratories and laboratory networks are a fundamental component of tuberculosis (TB) control, providing testing for diagnosis, surveillance and treatment monitoring at every level of the health-care system. New initiatives and resources to strengthen laboratory capacity and implement rapid and new diagnostic tests for TB will require recognition that laboratories are systems that require quality standards, appropriate human resources, and attention to safety in addition to supplies and equipment. To prepare the laboratory networks for new diagnostics and expanded capacity, we need to focus efforts on strengthening quality management systems (QMS) through additional resources for external quality assessment programmes for microscopy, culture, drug susceptibility testing (DST) and molecular diagnostics. QMS should also promote development of accreditation programmes to ensure adherence to standards to improve both the quality and credibility of the laboratory system within TB programmes. Corresponding attention must be given to addressing human resources at every level of the laboratory, with special consideration being given to new programmes for laboratory management and leadership skills. Strengthening laboratory networks will also involve setting up partnerships between TB programmes and those seeking to control other diseases in order to pool resources and to promote advocacy for quality standards, to develop strategies to integrate laboratories’ functions and to extend control programme activities to the private sector. Improving the laboratory system will assure that increased resources, in the form of supplies, equipment and facilities, will be invested in networks that are capable of providing effective testing to meet the goals of the Global Plan to Stop TB. PMID:17639219

  2. A Survey of Human Resource Management and Qualification Levels in Hungarian Agriculture

    ERIC Educational Resources Information Center

    Berde, Csaba; Piros, Marta

    2006-01-01

    The question of quality and value of human resources have been at the forefront of Hungarian agriculture for the past few years. The decreasing number of agricultural employees in Hungary in the last decade (1990-2000) is a result of the crisis caused by the change of the socio-economic system rather than economic and technological development.…

  3. Labour Markets, Unemployment and Training for Quality: Germany and Japan.

    ERIC Educational Resources Information Center

    Lange, Thomas; Maguire, Keith

    1998-01-01

    Although unemployment is a serious problem in Europe, deregulating labor markets is not the solution. Deregulation could lead to decline in quality and competitiveness. The example of Japan shows the interaction of education, training, human resource management, and quality control. (SK)

  4. Freshwater resources in designated wilderness areas of the United States: A state-of-knowledge review

    Treesearch

    Adam N. Johnson; David R. Spildie

    2014-01-01

    Clean water is essential for ecosystem processes and for the maintenance of human populations. However, fresh water accounts for less than three percent of the world’s total water volume. Numerous anthropogenic and natural processes impact the quality and quantity of the available resource. The value of high-quality water will likely increase as threats to water...

  5. The influence of facility design and human resource management on health care professionals.

    PubMed

    Sadatsafavi, Hessam; Walewski, John; Shepley, Mardelle M

    2015-01-01

    Cost control of health care services is a strategic concern for organizations. To lower costs, some organizations reduce staffing levels. However, this may not be worth the trade-off, as the quality of services will likely be reduced, morale among health care providers tends to suffer, and patient satisfaction is likely to decline. The potential synergy between human resource management and facility design and operation was investigated to achieve the goal of providing cost containment strategies without sacrificing the quality of services and the commitment of employees. About 700 health care professionals from 10 acute-care hospitals participated in this cross-sectional study. The authors used structural equation modeling to test whether employees' evaluations of their physical work environment and human resource practices were significantly associated with lower job-related anxiety, higher job satisfaction, and higher organizational commitment. The analysis found that employees' evaluations of their physical work environment and human resource practices influenced their job-related feelings and attitudes. Perceived organizational support mediated this relationship. The study also found a small but positive interaction effect between the physical work environment and human resource practices. The influence of physical work environment was small, mainly because of the high predictive value of human resource practices and strong confounding variables included in the analysis. This study specifically showed the role of facility design in reducing job-related anxiety among caregivers. Preliminary evidence is provided that facility design can be used as a managerial tool for improving job-related attitudes and feelings of employees and earning their commitment. Providing a healthy and safe work environment can be perceived by employees as an indication that the organization respects them and cares about their well-being, which might be reciprocated with higher levels of motivation and commitment toward the organization.

  6. 78 FR 69460 - Proposed License Renewal of the Prairie Island Independent Spent Fuel Storage Installation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ...; climatology, meteorology and air quality; geology and soils; water resources; ecology and threatened and... significantly affect the quality of the human environment. No significant changes in NSPM's authorized...

  7. Humane Education: Resource Guide. A Guide for Elementary School Teachers.

    ERIC Educational Resources Information Center

    New York City Board of Education, Brooklyn, NY. Div. of Curriculum and Instruction.

    Humane education promotes responsible behavior and improves the quality of life for animals and humans. Teaching the humane treatment of animals is a complex, philosophical, and values-oriented subject. Lessons for each grade level have performance objectives, materials, and activities. Student activity sheets are provided for follow-up…

  8. The Effect of Coaching and Mentoring Programs to Improve Students Competencies: Case Study of Beastudi Etos Scholarship

    ERIC Educational Resources Information Center

    Udiutoma, Purwa; Srinovita, Yulya

    2015-01-01

    Progress of a country largely determined by quality of its human resources and quality of human life is much influenced by educational factors. Chains of poverty absolutely cannot be separated from economic, health and educational factors. Therefore, one effort to break chains of poverty is to provide proper education. Dompet Dhuafa through…

  9. Home-based telecommuting and quality of life: further evidence on an employee-oriented human resource practice.

    PubMed

    Hornung, Severin; Glaser, Jürgen

    2009-04-01

    Building on previous research, further evidence for the potential of home-based telecommuting as an employee-oriented human resource practice is provided from a study in the German public administration. Survey data from 1,008 public employees were analyzed using structural equation modeling. Mean age of the sample was 43.6 yr. (SD = 8.8 yr.), and 27.5% (277) of the participants were women. Analysis supported the roles of higher Autonomy and lower Work-Family Conflict as psychological mediators between Telecommunication Intensity and both Job Satisfaction and Quality of Life. Implications for the design of flexible working arrangements are discussed.

  10. Indoor Air Pollution (Environmental Health Student Portal)

    MedlinePlus

    ... on how indoor and outdoor air pollution affects human health. Healthy Air at Home (American Lung Association) - Resources ... and the environment, and the potential risks to human health. Experiments and Projects Air Quality (PDF, 981.40 ...

  11. Impacts of land-use change to ecosystem services

    USGS Publications Warehouse

    Stohlgren, Tom; Holcombe, Tracy R.

    2013-01-01

    Increasing human populations on the landscape and globe coincide with increasing demands for food, energy, and other natural resources, with generally negative impacts to wildlife habitat, air and water quality, and natural scenery. Here we define and describe the impacts of land-use change on ecosystem services – the services that ecosystems provide humans such as filtering air and water, providing food, resources, recreation, and esthetics. We show how the human footprint is rapidly expanding due to population growth, demand for resources, and globalization. Increased trade and transportation has brought all the continents back together, creating new challenges for conserving native species and ecosystems.

  12. Total Quality Management in Higher Education.

    ERIC Educational Resources Information Center

    Sherr, Lawrence A.; Lozier, G. Gredgory

    1991-01-01

    Total Quality Management, based on theories of W. Edward Deming and others, is a style of management using continuous process improvement characterized by mission and customer focus, a systematic approach to operations, vigorous development of human resources, long-term thinking, and a commitment to ensuring quality. The values espoused by this…

  13. Mergers: enhancing human resources management.

    PubMed

    Dolan, R; Weil, T P

    1998-01-01

    The health care industry is experiencing merger mania, but the majority of its current leadership underestimates the importance that significant differences in corporate culture and employee morale play among physicians and others in implementing such organizational objectives as enhancing access, reducing cost, and improving quality of care. The key human resources management issues are discussed that are too often overlooked and frequently sidetracked in the formation of powerful health networks now so prevalent in almost every metropolitan region. The authors conclude that in America's intensely competitive managed care environment, there are a number of critical human resources management ingredients that deal makers need to achieve from these mergers in order to ensure their perceived objectives: (1) paying far greater attention to variations in corporate culture and employee morale; (2) reducing total salary and fringe benefit costs; and, (3) concurrently recruiting and maintaining a qualified and stable workforce that focuses more decisively on clinical-fiscal concerns so as to improve quality of patient care at a lower cost.

  14. Summary of the major water-quality findings from the Eastern Iowa Basins study unit of the National Water-Quality Assessment Program

    USGS Publications Warehouse

    Kalkhoff, Stephen J.

    2000-01-01

    Results from the EIWA NAWQA study build on previous and ongoing research and water-quality monitoring programs in Iowa and provide new insights into the relation between the quality of the State's water resources and human activities. The major findings from the study are listed below.

  15. Forbidden fruit: human settlement and abundant fruit create an ecological trap for an apex omnivore.

    PubMed

    Lamb, Clayton T; Mowat, Garth; McLellan, Bruce N; Nielsen, Scott E; Boutin, Stan

    2017-01-01

    Habitat choice is an evolutionary product of animals experiencing increased fitness when preferentially occupying high-quality habitat. However, an ecological trap (ET) can occur when an animal is presented with novel conditions and the animal's assessment of habitat quality is poorly matched to its resulting fitness. We tested for an ET for grizzly (brown) bears using demographic and movement data collected in an area with rich food resources and concentrated human settlement. We derived measures of habitat attractiveness from occurrence models of bear food resources and estimated demographic parameters using DNA mark-recapture information collected over 8 years (2006-2013). We then paired this information with grizzly bear mortality records to investigate kill and movement rates. Our results demonstrate that a valley high in both berry resources and human density was more attractive than surrounding areas, and bears occupying this region faced 17% lower apparent survival. Despite lower fitness, we detected a net flow of bears into the ET, which contributed to a study-wide population decline. This work highlights the presence and pervasiveness of an ET for an apex omnivore that lacks the evolutionary cues, under human-induced rapid ecological change, to assess trade-offs between food resources and human-caused mortality, which results in maladaptive habitat selection. © 2016 The Authors. Journal of Animal Ecology published by John Wiley & Sons Ltd on behalf of British Ecological Society.

  16. Nurse managers' experiences in continuous quality improvement in resource-poor healthcare settings.

    PubMed

    Kakyo, Tracy Alexis; Xiao, Lily Dongxia

    2017-06-01

    Ensuring safe and quality care for patients in hospitals is an important part of a nurse manager's role. Continuous quality improvement has been identified as one approach that leads to the delivery of quality care services to patients and is widely used by nurse managers to improve patient care. Nurse managers' experiences in initiating continuous quality improvement activities in resource-poor healthcare settings remain largely unknown. Research evidence is highly demanded in these settings to address disease burden and evidence-based practice. This interpretive qualitative study was conducted to gain an understanding of nurse managers' Continuous Quality Improvement experiences in rural hospitals in Uganda. Nurse managers in rural healthcare settings used their role to prioritize quality improvement activities, monitor the Continuous Quality Improvement process, and utilize in-service education to support continuous quality improvement. The nurse managers in our sample encountered a number of barriers during the implementation of Continuous Quality Improvement, including: limited patient participation, lack of materials, and limited human resources. Efforts to address the challenges faced through good governance and leadership development require more attention. © 2017 John Wiley & Sons Australia, Ltd.

  17. Recent water quality trends in a typical semi-arid river with a sharp decrease in streamflow and construction of sewage treatment plants

    NASA Astrophysics Data System (ADS)

    Cheng, Peng; Li, Xuyong; Su, Jingjun; Hao, Shaonan

    2018-01-01

    Identification of the interactive responses of water quantity and quality to changes in nature and human stressors is important for the effective management of water resources. Many studies have been conducted to determine the influence of these stressors on river discharge and water quality. However, there is little information about whether sewage treatment plants can improve water quality in a region where river streamflow has decreased sharply. In this study, a seasonal trend decomposition method was used to analyze long-term (1996-2015) and seasonal trends in the streamflow and water quality of the Guanting Reservoir Basin, which is located in a semi-arid region of China. The results showed that the streamflow in the Guanting Reservoir Basin decreased sharply from 1996-2000 due to precipitation change and human activities (human use and reservoir regulation), while the streamflow decline over the longer period of time (1996-2015) could be attributed to human activities. During the same time, the river water quality improved significantly, having a positive relationship with the capacity of wastewater treatment facilities. The water quality in the Guanting Reservoir showed a deferred response to the reduced external loading, due to internal loading from sediments. These results implied that for rivers in which streamflow has declined sharply, the water quality could be improved significantly by actions to control water pollution control. This study not only provides useful information for water resource management in the Guanting Reservoir Basin, but also supports the implementation of water pollution control measures in other rivers with a sharp decline in streamflow.

  18. Challenges of human resource management in the institutions for care of elderly people

    NASA Astrophysics Data System (ADS)

    Lepir, Lj; Šćepović, D.; Radonjić, A. R.

    2017-05-01

    Human resources are the most important resources of any work organization or institution. They are the bearers of the work process and are key in determining the quality of a product or service. The staff employed in an institution contributes with their work to its business success which is why the institution management should pay close attention to human resources management. Functionally, the successful management of social protection institutions implies the attainment of balance in the process of satisfying interests of beneficiaries, interests of the institution management (founder-owner), and interests of the employees (service providers to elderly people). Interests of beneficiaries (elderly people) who are placed in residential care are reflected in the need for high quality and accessible services. Interests of the institution management are recognized as the need to achieve economically sustainable and profitable institution. An interest of direct service providers (employed caregivers, social workers, etc.) is in the safe premises and good working conditions. The term “human resources” in institutions of social protection implies overall knowledge, skills, abilities, creative capabilities, motivation, loyalty and personal characteristics owned by employees in the institution. It is the overall intellectual and emotional energy of employees that the management can count on and that can be engaged to achieving the objectives of the institution. The objectives of human resource management in social protection institutions are related to providing capability with job demands, fulfillment of professional and optimal number of competent workers, improving socio-economic status of employees, ensuring full time engagement of workers, improving the quality of work conditions and work environment, creating and maintaining a flexible and adaptive potential of employees, reducing resistance and increasing the sensitivity of employees to changes in the institution. The activities carried out in pursuit of the objectives of human resource management in institutions for the elderly are analysis and planning of working positions, recruitment and selection of candidates, socialization, training and professional development of workers, performance assessment and evaluation, reward and motivation, the determination of salaries, information, development of interpersonal relations, supervision and support to employees (prevention of “professional burnout”), ensuring the realization of the legal rights (regularity of salaries and contributions, affairs and records related to employment, health and safety at work etc.) The absence of these activities or lack of attention to achieving the objectives of human resources management calls in question the basic sense of existence of institutions for care of the elderly, and this is to provide a decent life to an elderly person.

  19. Human Ageing Genomic Resources: Integrated databases and tools for the biology and genetics of ageing

    PubMed Central

    Tacutu, Robi; Craig, Thomas; Budovsky, Arie; Wuttke, Daniel; Lehmann, Gilad; Taranukha, Dmitri; Costa, Joana; Fraifeld, Vadim E.; de Magalhães, João Pedro

    2013-01-01

    The Human Ageing Genomic Resources (HAGR, http://genomics.senescence.info) is a freely available online collection of research databases and tools for the biology and genetics of ageing. HAGR features now several databases with high-quality manually curated data: (i) GenAge, a database of genes associated with ageing in humans and model organisms; (ii) AnAge, an extensive collection of longevity records and complementary traits for >4000 vertebrate species; and (iii) GenDR, a newly incorporated database, containing both gene mutations that interfere with dietary restriction-mediated lifespan extension and consistent gene expression changes induced by dietary restriction. Since its creation about 10 years ago, major efforts have been undertaken to maintain the quality of data in HAGR, while further continuing to develop, improve and extend it. This article briefly describes the content of HAGR and details the major updates since its previous publications, in terms of both structure and content. The completely redesigned interface, more intuitive and more integrative of HAGR resources, is also presented. Altogether, we hope that through its improvements, the current version of HAGR will continue to provide users with the most comprehensive and accessible resources available today in the field of biogerontology. PMID:23193293

  20. Web Based Education-Moves from Promise to Practice

    ERIC Educational Resources Information Center

    Nachimuthu

    2012-01-01

    Quality of higher education is a very important sector for the growth and development of human resource which can take responsibility for social, economic and scientific development of the Indian country. To achieve the outcome of enhanced quality at all levels of education, Government of India has been focusing its attention on quality and…

  1. Integrating Climate Change Into Nursing Curricula.

    PubMed

    McDermott-Levy, Ruth; Jackman-Murphy, Kathryn P; Leffers, Jeanne M; Jordan, Lisa

    2018-03-28

    Climate change is a significant threat to human health across the life cycle. Nurses play an important role in mitigation, adaptation, and resilience to climate change. The use of health care resources, air quality and extreme heat, mental health, and natural disasters are major content areas across undergraduate nursing curricula that influence or are influenced by climate change. Teaching strategies and resources are offered to prepare nursing students to address climate change and human health.

  2. A framework for human microbiome research

    PubMed Central

    Methé, Barbara A.; Nelson, Karen E.; Pop, Mihai; Creasy, Heather H.; Giglio, Michelle G.; Huttenhower, Curtis; Gevers, Dirk; Petrosino, Joseph F.; Abubucker, Sahar; Badger, Jonathan H.; Chinwalla, Asif T.; Earl, Ashlee M.; FitzGerald, Michael G.; Fulton, Robert S.; Hallsworth-Pepin, Kymberlie; Lobos, Elizabeth A.; Madupu, Ramana; Magrini, Vincent; Martin, John C.; Mitreva, Makedonka; Muzny, Donna M.; Sodergren, Erica J.; Versalovic, James; Wollam, Aye M.; Worley, Kim C.; Wortman, Jennifer R.; Young, Sarah K.; Zeng, Qiandong; Aagaard, Kjersti M.; Abolude, Olukemi O.; Allen-Vercoe, Emma; Alm, Eric J.; Alvarado, Lucia; Andersen, Gary L.; Anderson, Scott; Appelbaum, Elizabeth; Arachchi, Harindra M.; Armitage, Gary; Arze, Cesar A.; Ayvaz, Tulin; Baker, Carl C.; Begg, Lisa; Belachew, Tsegahiwot; Bhonagiri, Veena; Bihan, Monika; Blaser, Martin J.; Bloom, Toby; Vivien Bonazzi, J.; Brooks, Paul; Buck, Gregory A.; Buhay, Christian J.; Busam, Dana A.; Campbell, Joseph L.; Canon, Shane R.; Cantarel, Brandi L.; Chain, Patrick S.; Chen, I-Min A.; Chen, Lei; Chhibba, Shaila; Chu, Ken; Ciulla, Dawn M.; Clemente, Jose C.; Clifton, Sandra W.; Conlan, Sean; Crabtree, Jonathan; Cutting, Mary A.; Davidovics, Noam J.; Davis, Catherine C.; DeSantis, Todd Z.; Deal, Carolyn; Delehaunty, Kimberley D.; Dewhirst, Floyd E.; Deych, Elena; Ding, Yan; Dooling, David J.; Dugan, Shannon P.; Dunne, Wm. Michael; Durkin, A. Scott; Edgar, Robert C.; Erlich, Rachel L.; Farmer, Candace N.; Farrell, Ruth M.; Faust, Karoline; Feldgarden, Michael; Felix, Victor M.; Fisher, Sheila; Fodor, Anthony A.; Forney, Larry; Foster, Leslie; Di Francesco, Valentina; Friedman, Jonathan; Friedrich, Dennis C.; Fronick, Catrina C.; Fulton, Lucinda L.; Gao, Hongyu; Garcia, Nathalia; Giannoukos, Georgia; Giblin, Christina; Giovanni, Maria Y.; Goldberg, Jonathan M.; Goll, Johannes; Gonzalez, Antonio; Griggs, Allison; Gujja, Sharvari; Haas, Brian J.; Hamilton, Holli A.; Harris, Emily L.; Hepburn, Theresa A.; Herter, Brandi; Hoffmann, Diane E.; Holder, Michael E.; Howarth, Clinton; Huang, Katherine H.; Huse, Susan M.; Izard, Jacques; Jansson, Janet K.; Jiang, Huaiyang; Jordan, Catherine; Joshi, Vandita; Katancik, James A.; Keitel, Wendy A.; Kelley, Scott T.; Kells, Cristyn; Kinder-Haake, Susan; King, Nicholas B.; Knight, Rob; Knights, Dan; Kong, Heidi H.; Koren, Omry; Koren, Sergey; Kota, Karthik C.; Kovar, Christie L.; Kyrpides, Nikos C.; La Rosa, Patricio S.; Lee, Sandra L.; Lemon, Katherine P.; Lennon, Niall; Lewis, Cecil M.; Lewis, Lora; Ley, Ruth E.; Li, Kelvin; Liolios, Konstantinos; Liu, Bo; Liu, Yue; Lo, Chien-Chi; Lozupone, Catherine A.; Lunsford, R. Dwayne; Madden, Tessa; Mahurkar, Anup A.; Mannon, Peter J.; Mardis, Elaine R.; Markowitz, Victor M.; Mavrommatis, Konstantinos; McCorrison, Jamison M.; McDonald, Daniel; McEwen, Jean; McGuire, Amy L.; McInnes, Pamela; Mehta, Teena; Mihindukulasuriya, Kathie A.; Miller, Jason R.; Minx, Patrick J.; Newsham, Irene; Nusbaum, Chad; O’Laughlin, Michelle; Orvis, Joshua; Pagani, Ioanna; Palaniappan, Krishna; Patel, Shital M.; Pearson, Matthew; Peterson, Jane; Podar, Mircea; Pohl, Craig; Pollard, Katherine S.; Priest, Margaret E.; Proctor, Lita M.; Qin, Xiang; Raes, Jeroen; Ravel, Jacques; Reid, Jeffrey G.; Rho, Mina; Rhodes, Rosamond; Riehle, Kevin P.; Rivera, Maria C.; Rodriguez-Mueller, Beltran; Rogers, Yu-Hui; Ross, Matthew C.; Russ, Carsten; Sanka, Ravi K.; Pamela Sankar, J.; Sathirapongsasuti, Fah; Schloss, Jeffery A.; Schloss, Patrick D.; Schmidt, Thomas M.; Scholz, Matthew; Schriml, Lynn; Schubert, Alyxandria M.; Segata, Nicola; Segre, Julia A.; Shannon, William D.; Sharp, Richard R.; Sharpton, Thomas J.; Shenoy, Narmada; Sheth, Nihar U.; Simone, Gina A.; Singh, Indresh; Smillie, Chris S.; Sobel, Jack D.; Sommer, Daniel D.; Spicer, Paul; Sutton, Granger G.; Sykes, Sean M.; Tabbaa, Diana G.; Thiagarajan, Mathangi; Tomlinson, Chad M.; Torralba, Manolito; Treangen, Todd J.; Truty, Rebecca M.; Vishnivetskaya, Tatiana A.; Walker, Jason; Wang, Lu; Wang, Zhengyuan; Ward, Doyle V.; Warren, Wesley; Watson, Mark A.; Wellington, Christopher; Wetterstrand, Kris A.; White, James R.; Wilczek-Boney, Katarzyna; Wu, Yuan Qing; Wylie, Kristine M.; Wylie, Todd; Yandava, Chandri; Ye, Liang; Ye, Yuzhen; Yooseph, Shibu; Youmans, Bonnie P.; Zhang, Lan; Zhou, Yanjiao; Zhu, Yiming; Zoloth, Laurie; Zucker, Jeremy D.; Birren, Bruce W.; Gibbs, Richard A.; Highlander, Sarah K.; Weinstock, George M.; Wilson, Richard K.; White, Owen

    2012-01-01

    A variety of microbial communities and their genes (microbiome) exist throughout the human body, playing fundamental roles in human health and disease. The NIH funded Human Microbiome Project (HMP) Consortium has established a population-scale framework which catalyzed significant development of metagenomic protocols resulting in a broad range of quality-controlled resources and data including standardized methods for creating, processing and interpreting distinct types of high-throughput metagenomic data available to the scientific community. Here we present resources from a population of 242 healthy adults sampled at 15 to 18 body sites up to three times, which to date, have generated 5,177 microbial taxonomic profiles from 16S rRNA genes and over 3.5 Tb of metagenomic sequence. In parallel, approximately 800 human-associated reference genomes have been sequenced. Collectively, these data represent the largest resource to date describing the abundance and variety of the human microbiome, while providing a platform for current and future studies. PMID:22699610

  3. A framework for human microbiome research.

    PubMed

    2012-06-13

    A variety of microbial communities and their genes (the microbiome) exist throughout the human body, with fundamental roles in human health and disease. The National Institutes of Health (NIH)-funded Human Microbiome Project Consortium has established a population-scale framework to develop metagenomic protocols, resulting in a broad range of quality-controlled resources and data including standardized methods for creating, processing and interpreting distinct types of high-throughput metagenomic data available to the scientific community. Here we present resources from a population of 242 healthy adults sampled at 15 or 18 body sites up to three times, which have generated 5,177 microbial taxonomic profiles from 16S ribosomal RNA genes and over 3.5 terabases of metagenomic sequence so far. In parallel, approximately 800 reference strains isolated from the human body have been sequenced. Collectively, these data represent the largest resource describing the abundance and variety of the human microbiome, while providing a framework for current and future studies.

  4. 78 FR 13156 - Notice of Rail Energy Transportation Advisory Committee Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-26

    ... suppliers, carriers, and users of energy resources. Potential agenda items include introduction of new..., will be conducted pursuant to RETAC's charter and Board procedures. Further communications about this... significantly affect either the quality of the human environment or the conservation of energy resources...

  5. Proceedings of the 2009 Northeastern Recreation Research Symposium

    Treesearch

    Clifton E. Watts; Cherie LeBlanc Fisher

    2010-01-01

    Contains articles and posters presented at the 2009 Northeastern Recreation Research Symposium. Contents cover GIS applications and recreation resource quality, meanings and measurement of recreation, climate change and resource planning, youth and outdoor recreation, urban recreation challenges, outdoor recreation--trails, human dimensions of wildlife, leisure and...

  6. Total Quality Management in Higher Education: Applying Deming's Fourteen Points.

    ERIC Educational Resources Information Center

    Masters, Robert J.; Leiker, Linda

    1992-01-01

    This article presents guidelines to aid administrators of institutions of higher education in applying the 14 principles of Total Quality Management. The principles stress understanding process improvements, handling variation, fostering prediction, and using psychology to capitalize on human resources. (DB)

  7. THE GOBAL CHANGE AIR QUALITY ASSESSMENT: BACKGROUND AND OVERVIEW OF INTRAMURAL WORK

    EPA Science Inventory

    Factors such as population growth and migration, economic expansion, land use, resource availability, climate change, and technology change impact environmental quality and human health. With populations expected to continue to grow, and with additional countries joining the ran...

  8. MICROORGANISMS DIE-OFF RATES IN URBAN STORMWATER RUNOFF - 2005 VERSION

    EPA Science Inventory

    Urban stormwater runoff is a leading cause of water quality impairment in lakes and reservoirs. Stormwater discharges, with latent bacterial loads, can negatively impact receiving water quality and create human health concerns when these waters are used for drinking water resourc...

  9. Regional characterization of freshwater Use in LCA: modeling direct impacts on human health.

    PubMed

    Boulay, Anne-Marie; Bulle, Cécile; Bayart, Jean-Baptiste; Deschênes, Louise; Margni, Manuele

    2011-10-15

    Life cycle assessment (LCA) is a methodology that quantifies potential environmental impacts for comparative purposes in a decision-making context. While potential environmental impacts from pollutant emissions into water are characterized in LCA, impacts from water unavailability are not yet fully quantified. Water use can make the resource unavailable to other users by displacement or quality degradation. A reduction in water availability to human users can potentially affect human health. If financial resources are available, there can be adaptations that may, in turn, shift the environmental burdens to other life cycle stages and impact categories. This paper proposes a model to evaluate these potential impacts in an LCA context. It considers the water that is withdrawn and released, its quality and scarcity in order to evaluate the loss of functionality associated with water uses. Regionalized results are presented for impacts on human health for two modeling approaches regarding affected users, including or not domestic uses, and expressed in disability-adjusted life years (DALY). A consumption and quality based scarcity indicator is also proposed as a midpoint. An illustrative example is presented for the production of corrugated board with different effluents, demonstrating the importance of considering quality, process effluents and the difference between the modeling approaches.

  10. China's human resources for maternal and child health: a national sampling survey.

    PubMed

    Ren, Zhenghong; Song, Peige; Theodoratou, Evropi; Guo, Sufang; An, Lin

    2015-12-16

    In order to achieve the Millennium Development Goals (MDG) 4 and 5, the Chinese Government has invested greatly in improving maternal and child health (MCH) with impressive results. However, one of the most important barriers for further improvement is the uneven distribution of MCH human resources. There is little information about the distribution, quantity and capacity of the Chinese MCH human resources and we sought to investigate this. Cities at prefectural level were selected by random cluster sampling. All medical and health institutions providing MCH-related services in the sampled areas were investigated using a structured questionnaire. The data were weighted based on the proportion of the sampled districts/cities. Amount, proportions and numbers per 10,000 population of MCH human resources were estimated in order to reveal the quantity of the Chinese MCH human resources. The capacity of MCH human resources was evaluated by analyzing data on the education level and professional skills of the staff. There were 77,248 MCH workers in China in 2010. In general, 67.6% and 71.9% of the women's and children's health care professionals had an associate degree or higher, whereas around 30% had only high-school or lower degrees. More than 40% of the women's health workers were capable of providing skilled birth attendance, but these proportions varied between different institutions and locations. Evidence from this study highlights that Chinese MCH human resources are not in shortage in the national level. However, the quantity and capacity of MCH human resources are not evenly distributed among different institutions and locations. Finally there is a need in the improvement of the MCH services by improving the quality of MCH human resources.

  11. Spiritual activities as a resistance resource for women with human immunodeficiency virus.

    PubMed

    Sowell, R; Moneyham, L; Hennessy, M; Guillory, J; Demi, A; Seals, B

    2000-01-01

    Few studies have investigated the role that spiritual activities play in the adaptational outcomes of women with human immunodeficiency virus (HIV) disease. To examine the role of spiritual activities as a resource that may reduce the negative effects of disease-related stressors on the adaptational outcomes in HIV-infected women. A theoretically based causal model was tested to examine the role of spiritual activities as a moderator of the impact of HIV-related stressors (functional impairment, work impairment, and HIV-related symptoms) on two stress-related adaptational outcomes (emotional distress and quality of life), using a clinic-based sample of 184 HIV-positive women. Findings indicated that as spiritual activities increased, emotional distress decreased even when adjustments were made for HIV-related stressors. A positive relationship between spiritual activities and quality of life was found, which approached significance. Findings showed that HIV-related stressors have a significant negative effect on both emotional distress and quality of life. The findings support the hypothesis that spiritual activities are an important psychological resource accounting for individual variability in adjustment to the stressors associated with HIV disease.

  12. A Model for the Creation of Human-Generated Metadata within Communities

    ERIC Educational Resources Information Center

    Brasher, Andrew; McAndrew, Patrick

    2005-01-01

    This paper considers situations for which detailed metadata descriptions of learning resources are necessary, and focuses on human generation of such metadata. It describes a model which facilitates human production of good quality metadata by the development and use of structured vocabularies. Using examples, this model is applied to single and…

  13. Chapter 6. Temporal and spatial scales

    Treesearch

    Robert R. Ziemer

    1997-01-01

    Human activities have degraded substantial portions of the nation’s ecological resources, including physical and biological aquatic systems. The effects are continuing and cumulative, and few high-quality aquatic ecosystems remain in the United States. Concern about these diminishing resources has resulted in numerous restoration programs. Some are well conceived...

  14. A Multi-Objective Method to Align Human Resource Allocation with University Strategy

    ERIC Educational Resources Information Center

    Bouillard, Philippe

    2016-01-01

    Universities are currently under considerable pressure to reach their stakeholders' expectations. Management tools that use strategic plans, key performance indicators and quality assurance methods are increasingly deployed. This paper aims to demonstrate how resource allocation can be aligned with institutional strategic plans with a very simple…

  15. Environmental quality assessment of groundwater resources in Al Jabal Al Akhdar, Sultanate of Oman

    NASA Astrophysics Data System (ADS)

    Al-Kalbani, Mohammed Saif; Price, Martin F.; Ahmed, Mushtaque; Abahussain, Asma; O'Higgins, Timothy

    2017-11-01

    The research was conducted to assess the quality of groundwater resources of Al Jabal Al Akhdar, Oman. 11 drinking water sources were sampled during summer and winter seasons during 2012-2013 to evaluate their physico-chemical quality indicators; and assess their suitability for drinking and other domestic purposes. Sample collection, handling and processing followed the standard methods recommended by APHA and analyzed in quality assured laboratories using appropriate analytical methods and instrumental techniques. The results show that the quality parameters in all drinking water resources are within the permissible limits set by Omani and WHO standards; and the drinking water quality index is good or medium in quality based on NFS-WQI classification criteria, indicating their suitability for human consumption. There is an indication of the presence of high nitrate concentrations in some groundwater wells, which require more investigations and monitoring program to be conducted on regular basis to ensure good quality water supply for the residents in the mountain. The trilinear Piper diagram shows that most of the drinking water resources of the study area fall in the field of calcium and bicarbonate type with some magnesium bicarbonate type indicating that most of the major ions are natural in origin due to the geology of the region. This study is a first step towards providing indicators on groundwater quality of this fragile mountain ecosystem, which will be the basis for future planning decisions on corrective demand management measures to protect groundwater resources of Al Jabal Al Akhdar.

  16. Made-in-USA Quality Circles Become People-Building Tool.

    ERIC Educational Resources Information Center

    Cohen, Larry

    1983-01-01

    Discusses the use of quality circles as a human resources development tool in Middlesex Community College's Career-Oriented Peer Services tutoring center. Delineates rules for circle participants and follows the activities of two circles comprised of business-oriented and engineering-oriented students. (DMM)

  17. Can we do better? Economic analysis of human resource investment to improve home care service for the elderly in Serbia.

    PubMed

    Mihic, Marko M; Todorovic, Marija Lj; Obradovic, Vladimir Lj; Mitrovic, Zorica M

    2016-01-01

    Social services aimed at the elderly are facing great challenges caused by progressive aging of the global population but also by the constant pressure to spend funds in a rational manner. This paper focuses on analyzing the investments into human resources aimed at enhancing home care for the elderly since many countries have recorded progress in the area over the past years. The goal of this paper is to stress the significance of performing an economic analysis of the investment. This paper combines statistical analysis methods such as correlation and regression analysis, methods of economic analysis, and scenario method. The economic analysis of investing in human resources for home care service in Serbia showed that the both scenarios of investing in either additional home care hours or more beneficiaries are cost-efficient. However, the optimal solution with the positive (and the highest) value of economic net present value criterion is to invest in human resources to boost the number of home care hours from 6 to 8 hours per week and increase the number of the beneficiaries to 33%. This paper shows how the statistical and economic analysis results can be used to evaluate different scenarios and enable quality decision-making based on exact data in order to improve health and quality of life of the elderly and spend funds in a rational manner.

  18. Cooperative water-resources monitoring in the St. Clair River/Lake St. Clair Basin, Michigan

    USGS Publications Warehouse

    Rheaume, Stephen J.; Neff, Brian P.; Blumer, Stephen P.

    2007-01-01

    As part of the Lake St. Clair Regional Monitoring Project, this report describes numerous cooperative water-resources monitoring efforts conducted in the St. Clair River/Lake St. Clair Basin over the last 100 years. Cooperative monitoring is a tool used to observe and record changes in water quantity and quality over time. This report describes cooperative efforts for monitoring streamflows and flood magnitudes, past and present water-quality conditions, significant human-health threats, and flow-regime changes that are the result of changing land use. Water-resources monitoring is a long-term effort that can be made cost-effective by leveraging funds, sharing data, and avoiding duplication of effort. Without long-term cooperative monitoring, future water-resources managers and planners may find it difficult to establish and maintain public supply, recreational, ecological, and esthetic water-quality goals for the St. Clair River/Lake St. Clair Basin.

  19. 36 CFR 1010.1 - Policy.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... an impact on the human environment; (d) Develop and utilize ecological, cultural, and other..., available resources, and national policy, to protect and enhance the quality of the human environment; (b... the participation, where appropriate, of Federal, State, and local authorities and the public in Trust...

  20. A Whole New World of Interventions: The Performance Technologist as Integrating Generalist.

    ERIC Educational Resources Information Center

    Hutchison, Cathleen Smith; Stein, Faith S.

    1997-01-01

    The authors update an article on intervention, discussing career development, communications, feedback, financial, human development, information, instructional, labor relations, measurement and evaluation, quality improvement, resource, reward and recognition, and selection systems; documentation and standards; ergonomics and human factors;…

  1. Exploiting spatio-temporal characteristics of human vision for mobile video applications

    NASA Astrophysics Data System (ADS)

    Jillani, Rashad; Kalva, Hari

    2008-08-01

    Video applications on handheld devices such as smart phones pose a significant challenge to achieve high quality user experience. Recent advances in processor and wireless networking technology are producing a new class of multimedia applications (e.g. video streaming) for mobile handheld devices. These devices are light weight and have modest sizes, and therefore very limited resources - lower processing power, smaller display resolution, lesser memory, and limited battery life as compared to desktop and laptop systems. Multimedia applications on the other hand have extensive processing requirements which make the mobile devices extremely resource hungry. In addition, the device specific properties (e.g. display screen) significantly influence the human perception of multimedia quality. In this paper we propose a saliency based framework that exploits the structure in content creation as well as the human vision system to find the salient points in the incoming bitstream and adapt it according to the target device, thus improving the quality of new adapted area around salient points. Our experimental results indicate that the adaptation process that is cognizant of video content and user preferences can produce better perceptual quality video for mobile devices. Furthermore, we demonstrated how such a framework can affect user experience on a handheld device.

  2. Human-Robot Site Survey and Sampling for Space Exploration

    NASA Technical Reports Server (NTRS)

    Fong, Terrence; Bualat, Maria; Edwards, Laurence; Flueckiger, Lorenzo; Kunz, Clayton; Lee, Susan Y.; Park, Eric; To, Vinh; Utz, Hans; Ackner, Nir

    2006-01-01

    NASA is planning to send humans and robots back to the Moon before 2020. In order for extended missions to be productive, high quality maps of lunar terrain and resources are required. Although orbital images can provide much information, many features (local topography, resources, etc) will have to be characterized directly on the surface. To address this need, we are developing a system to perform site survey and sampling. The system includes multiple robots and humans operating in a variety of team configurations, coordinated via peer-to-peer human-robot interaction. In this paper, we present our system design and describe planned field tests.

  3. Using QMRAcatch - a stochastic hydrological water quality and infection risk model - to identify sustainable management options for long term drinking water resource planning

    NASA Astrophysics Data System (ADS)

    Derx, J.; Demeter, K.; Schijven, J. F.; Sommer, R.; Zoufal-Hruza, C. M.; Kromp, H.; Farnleitner, A.; Blaschke, A. P.

    2017-12-01

    River water resources in urban environments play a critical role in sustaining human health and ecosystem services, as they are used for drinking water production, bathing and irrigation. In this study the hydrological water quality model QMRAcatch was used combined with measured concentrations of human enterovirus and human-associated genetic fecal markers. The study area is located at a river/floodplain area along the Danube which is used for drinking water production by river bank filtration and further disinfection. QMRAcatch was previously developed to support long term planning of water resources in accordance with a public infection protection target (Schijven et al., 2015). Derx et al. 2016 previously used QMRAcatch for evaluating the microbiological quality and required virus-reduction targets at the study area for the current and robust future "crisis" scenarios, i.e. for the complete failure of wastewater treatment plants and infection outbreaks. In contrast, the aim of this study was to elaborate future scenarios based on projected climate and population changes in collaboration with urban water managers. The identified scenarios until 2050 include increased wastewater discharge rates due to the projected urban population growth and more frequent storm and overflow events of urban sewer systems following forecasted changes in climate and hydrology. Based on the simulation results for the developed scenarios sustainable requirements of the drinking water treatment system for virus reductions were re-evaluated to achieve the health risk target. The model outcomes are used to guide practical and scientifically sound management options for long term water resource planning. This paper was supported by FWF (Vienna Doctoral Program on Water Resource Systems W1219-N22) and the GWRS project (Vienna Water) as part of the "(New) Danube-Lower Lobau Network Project" funded by the Government of Austria and Vienna, and the European Agricultural Fund for Rural Development (LE 07-13). ReferencesDerx, J. et al. (2016) QMRAcatch: Human-Associated Fecal Pollution and Infection Risk Modeling for a River/Floodplain Environment. J Env Qual 45(4), 1205-1214 Schijven, J., et al. (2015) QMRAcatch: Microbial Quality Simulation of Water Resources including Infection Risk Assessment. J Env Qual 44(5), 1491-1502

  4. New generation pharmacogenomic tools: a SNP linkage disequilibrium Map, validated SNP assay resource, and high-throughput instrumentation system for large-scale genetic studies.

    PubMed

    De La Vega, Francisco M; Dailey, David; Ziegle, Janet; Williams, Julie; Madden, Dawn; Gilbert, Dennis A

    2002-06-01

    Since public and private efforts announced the first draft of the human genome last year, researchers have reported great numbers of single nucleotide polymorphisms (SNPs). We believe that the availability of well-mapped, quality SNP markers constitutes the gateway to a revolution in genetics and personalized medicine that will lead to better diagnosis and treatment of common complex disorders. A new generation of tools and public SNP resources for pharmacogenomic and genetic studies--specifically for candidate-gene, candidate-region, and whole-genome association studies--will form part of the new scientific landscape. This will only be possible through the greater accessibility of SNP resources and superior high-throughput instrumentation-assay systems that enable affordable, highly productive large-scale genetic studies. We are contributing to this effort by developing a high-quality linkage disequilibrium SNP marker map and an accompanying set of ready-to-use, validated SNP assays across every gene in the human genome. This effort incorporates both the public sequence and SNP data sources, and Celera Genomics' human genome assembly and enormous resource ofphysically mapped SNPs (approximately 4,000,000 unique records). This article discusses our approach and methodology for designing the map, choosing quality SNPs, designing and validating these assays, and obtaining population frequency ofthe polymorphisms. We also discuss an advanced, high-performance SNP assay chemisty--a new generation of the TaqMan probe-based, 5' nuclease assay-and high-throughput instrumentation-software system for large-scale genotyping. We provide the new SNP map and validation information, validated SNP assays and reagents, and instrumentation systems as a novel resource for genetic discoveries.

  5. Shortage of human resources in the Hungarian health care system: short-term or long-term problem?

    PubMed

    Belicza, Eva; Réthelyi, János; Kullmann, Lajos

    2003-01-01

    The Quality-management Committee of the Hungarian Hospital Federation and the Semmelweis University Health Services Management Training Centre, recognizing the threats of the human resources shortage and the consequential quality problems in the delivery of health care services, have launched a program for identifying the major problems and developing recommendations for decision makers and health service managers. The identification of the problems was performed by a task force group using a systematic methodology, recommendations were based on these findings. Members of the task force group were delegated by the Hungarian Hospital Federation and the Health Services Management Training Centre. Additional members were invited from the Ministry of Health and various other professional organizations.

  6. Organization Structure and Strategy.

    ERIC Educational Resources Information Center

    1999

    The first of the four papers in this symposium, "Human Resource Development's Contribution to Strategic Service Quality Performance in Radisson Hotels Worldwide" (Richard A. Swanson, Julie M. Hays, Arthur V. Hill, George John, David W. Johnson, Susan Geurs), illustrates the strategic alignment and contribution of HRD (human resource…

  7. Water Quality Standards for Coral Reef Protection | Science ...

    EPA Pesticide Factsheets

    The U.S. Clean Water Act provides a legal framework to protect coastal biological resources such as coral reefs, mangrove forests, and seagrass meadows from the damaging effects of human activities. Even though many resources are protected under this authority, water quality standards have not been effectively applied to coral reefs. The Environmental Protection Agency is promoting biocriteria and other water quality standards through collaborative development of bioassessment procedures, indicators and monitoring strategies. To support regulatory action, bioassessment indicators must be biologically meaningful, relevant to management, responsive to human disturbance, and relatively immune to natural variability. A rapid bioassessment protocol for reef-building stony corals was developed and tested for regulatory applicability. Preliminary testing in the Florida Keys found indicators had sufficient precision and provided information relevant to coral reef management. Sensitivity to human disturbance was demonstrated in the U.S. Virgin Islands for five of eight indicators tested. Once established, monitoring programs using these indicators can provide valuable, long-term records of coral condition and regulatory compliance. Development of a rapid bioassement protocol for reef-building stony corals was tested for regulatory applicability.

  8. Quality management of human resources. Providers should begin by focusing on education, performance management, and reward systems.

    PubMed

    Blair, C S; Fordyce, M; Barney, S M

    1993-10-01

    For a quality management transformation to occur, a healthcare organization must focus on education and development, performance management, and recognition and reward systems during the first years of implementation. Education and development are perhaps the most important human resource management functions when implementing quality management principles and processes because behavioral changes will be required at all organizational levels. Specific programs that support an organization's quality management effort will vary but should include the conceptual, cultural, and technical aspects of quality management. The essence of quality management is to always satisfy the customer and to continuously improve the services and products the organization offers. The approach to performance management should therefore rely on customer feedback and satisfaction. An organization committed to quality management should base its performance management approach on customer orientation, process improvement, employee involvement, decision making with data, and continuous improvement. Managers and trustees are being challenged to provide innovative recognition and reward systems that reinforce the values and behaviors consistent with quality management. Such systems must also be aligned with the behaviors and outcomes that support the philosophy, mission, and values of the Catholic healthcare ministry. The following components should be considered for a recognition and reward system: base pay, incentives, benefits, and nonmonetary rewards.

  9. Apprenticeship Training in Pakistan: A Comparative Study of Apprenticeship Practices in Punjab and European Countries

    ERIC Educational Resources Information Center

    Asghar, Waheed; Siddi, Sulaman Hafeez

    2008-01-01

    In this era of global competition, human resources will play a decisive role in the battle for efficiency and competitive advantage, where nations and organisations with superior and quality-oriented human capital will soon outperform those with inefficient and quantity-oriented labour force. Rate of human capital formation will be more important…

  10. Urban forests of Tennessee, 2009

    Treesearch

    David J. Nowak; Anne B. Cumming; Daniel Twardus; Robert E. Hoehn; Christopher M. Oswalt; Thomas J. Brandeis

    2012-01-01

    Trees in cities can contribute significantly to human health and environmental quality. Unfortunately, little is known about the urban forest resource in the State of Tennessee and what it contributes locally and regionally in terms of ecology, economy, and social wellbeing. In an effort to better understand this resource and its values, the U.S. Department of...

  11. 77 FR 71842 - Exemption of Material for Proposed Disposal Procedures at the US Ecology Idaho Resource...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    ... Proposed Disposal Procedures at the US Ecology Idaho Resource Conservation and Recovery Act Subtitle C... water solidified with clay containing low-activity radioactive material, at the US Ecology Idaho (USEI... concluded that the proposed action will not significantly impact the quality of the human environment and...

  12. Urban Forest Health Monitoring in the United States

    Treesearch

    David J. Nowak; Robert Hoehn; Jeffrey T. Walton; Daniel E. Crane; Jack C. Stevens; Daniel Twardus; Anne Cumming; Manfred Mielke; Bill Smith

    2006-01-01

    Trees in cities can contribute significantly to human health and environmental quality. Unfortunately, little is known about the urban forest resource and what it contributes to the local, regional, and national societal and economic interests. To help better understand the urban forest resource and its numerous values, the USDA Forest Service has initiated a pilot...

  13. Psychiatrist Health Human Resource Planning - An Essential Component of a Hospital-Based Mental Healthcare System Transformation.

    PubMed

    Jarmain, Sarah

    2016-01-01

    The World Health Organization (WHO) defines health human resource planning as "the process of estimating the number of persons and the kinds of knowledge, skills, and attitudes they need to achieve predetermined health targets and ultimately health status objectives" (OHA 2015). Health human resource planning is a critical component of successful organizational and system transformation, and yet little has been written on how to do this for physicians at the local level. This paper will outline a framework for developing and managing key aspects of physician human resource planning related to both the quantity and quality of work within a hospital setting. Using the example of a complex multiphase hospital-based mental health transformation that involved both the reduction and divestment of beds and services, we will outline how we managed the physician human resource aspects to establish the number of psychiatrists needed and the desired attributes of those psychiatrists, and how we helped an existing workforce transition to meet the new expectations. The paper will describe a process for strategically aligning the selection and management of physicians to meet organizational vision and mandate.

  14. 36 CFR 1010.1 - Policy.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 36 Parks, Forests, and Public Property 3 2014-07-01 2014-07-01 false Policy. 1010.1 Section 1010.1 Parks, Forests, and Public Property PRESIDIO TRUST ENVIRONMENTAL QUALITY § 1010.1 Policy. The Presidio..., available resources, and national policy, to protect and enhance the quality of the human environment; (b...

  15. 36 CFR 1010.1 - Policy.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 3 2012-07-01 2012-07-01 false Policy. 1010.1 Section 1010.1 Parks, Forests, and Public Property PRESIDIO TRUST ENVIRONMENTAL QUALITY § 1010.1 Policy. The Presidio..., available resources, and national policy, to protect and enhance the quality of the human environment; (b...

  16. New Image Qualities in Education: A Comparative Study

    ERIC Educational Resources Information Center

    Çankaya, Ibrahim

    2018-01-01

    The aim of this study is to compare Turkish and European Union Countries Educations in terms of the new image qualities such as data like access to online education, digital access, foreign languages learnt per pupil, research & development investments, human resources employed in science and technology, the study opportunities offered to…

  17. 7 CFR 1466.6 - State allocation and management.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS ENVIRONMENTAL QUALITY INCENTIVES PROGRAM... the State and local level; (2) The availability of human resources, incentive programs, educational...

  18. An integrated model of human-wildlife interdependence

    USGS Publications Warehouse

    John, Kun H.; Walsh, Richard G.; Johnson, R.L.

    1994-01-01

    This paper attempts to integrate wildlife-related ecologic and economic variables into an econometric model. The model reveals empirical evidence of the presumed interdependence of human-wildlife and the holistic nature of humanity's relationship to the ecosystem. Human use of biologic resources varies not only with income, education, and population, but also with sustainability of humankind's action relative to the quality and quantity of the supporting ecological base.

  19. Association between the application of ISO 9001:2008 alone or in combination with health-specific standards and quality-related activities in Hungarian hospitals.

    PubMed

    Dombrádi, Viktor; Csenteri, Orsolya Karola; Sándor, János; Godény, Sándor

    2017-04-01

    To investigate how International Organization for Standardization (ISO) 9001 and the Hungarian Health Care Standards (HHCS) certifications are associated with quality management, patient safety, patient rights and human resource management activities. A cross-sectional study was implemented using the 2009 Hungarian hospital survey's database. Hungary. Fifty-three general hospitals were included in the statistical analysis. No intervention was carried out in the study. The outcomes included the percentage of compliance in the dimensions of quality management, patient safety, patient rights, human resource management and the overall score for each hospital, and they were grouped according to the hospitals' certifications. Sixteen hospitals did not have either ISO 9001 or HHCS certifications, 19 had ISO 9001 certification only and 18 had both. Hospitals with ISO 9001 alone or in combination with the HHCS significantly outperformed hospitals with no certifications in terms of quality management and human resource management activities but not in terms of patient safety or patient rights activities. Combined, the two models provided the highest median levels in all cases. Nevertheless, no significant differences were observed when the hospitals with both certifications were compared with hospitals with ISO 9001 only. Although the combination of ISO 9001 and the HHCS showed the best results, the benefits were not decisive. Furthermore, although the HHCS include standards addressing patient safety, no direct association was found with regard to compliance. Thus, further investigation is required to understand this enigma. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  20. Managing water quality under drought conditions in the Llobregat River Basin.

    PubMed

    Momblanch, Andrea; Paredes-Arquiola, Javier; Munné, Antoni; Manzano, Andreu; Arnau, Javier; Andreu, Joaquín

    2015-01-15

    The primary effects of droughts on river basins include both depleted quantity and quality of the available water resources, which can render water resources useless for human needs and simultaneously damage the environment. Isolated water quality analyses limit the action measures that can be proposed. Thus, an integrated evaluation of water management and quality is warranted. In this study, a methodology consisting of two coordinated models is used to combine aspects of water resource allocation and water quality assessment. Water management addresses water allocation issues by considering the storage, transport and consumption elements. Moreover, the water quality model generates time series of concentrations for several pollutants according to the water quality of the runoff and the demand discharges. These two modules are part of the AQUATOOL decision support system shell for water resource management. This tool facilitates the analysis of the effects of water management and quality alternatives and scenarios on the relevant variables in a river basin. This paper illustrates the development of an integrated model for the Llobregat River Basin. The analysis examines the drought from 2004 to 2008, which is an example of a period when the water system was quantitative and qualitatively stressed. The performed simulations encompass a wide variety of water management and water quality measures; the results provide data for making informed decisions. Moreover, the results demonstrated the importance of combining these measures depending on the evolution of a drought event and the state of the water resources system. Copyright © 2014 Elsevier B.V. All rights reserved.

  1. USGS Science Serves Public Health

    USGS Publications Warehouse

    Buxton, Herbert T.

    2010-01-01

    Human health so often depends on the health of the environment and wildlife around us. The presence of naturally occurring or human environmental contaminants and the emergence of diseases transferred between animals and humans are growing concerns worldwide. The USGS is a source of natural science information vital for understanding the quantity and quality of our earth and living resources. This information improves our understanding not only of how human activities affect environmental and ecological health, but also of how the quality of our environment and wildlife in turn affects human health. USGS is taking a leadership role in providing the natural science information needed by health researchers, policy makers, and the public to safeguard public health

  2. Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans

    PubMed Central

    Hussey, Peter S.; Ringel, Jeanne S.; Ahluwalia, Sangeeta; Price, Rebecca Anhang; Buttorff, Christine; Concannon, Thomas W.; Lovejoy, Susan L.; Martsolf, Grant R.; Rudin, Robert S.; Schultz, Dana; Sloss, Elizabeth M.; Watkins, Katherine E.; Waxman, Daniel; Bauman, Melissa; Briscombe, Brian; Broyles, James R.; Burns, Rachel M.; Chen, Emily K.; DeSantis, Amy Soo Jin; Ecola, Liisa; Fischer, Shira H.; Friedberg, Mark W.; Gidengil, Courtney A.; Ginsburg, Paul B.; Gulden, Timothy; Gutierrez, Carlos Ignacio; Hirshman, Samuel; Huang, Christina Y.; Kandrack, Ryan; Kress, Amii; Leuschner, Kristin J.; MacCarthy, Sarah; Maksabedian, Ervant J.; Mann, Sean; Matthews, Luke Joseph; May, Linnea Warren; Mishra, Nishtha; Miyashiro, Lisa; Muchow, Ashley N.; Nelson, Jason; Naranjo, Diana; O'Hanlon, Claire E.; Pillemer, Francesca; Predmore, Zachary; Ross, Rachel; Ruder, Teague; Rutter, Carolyn M.; Uscher-Pines, Lori; Vaiana, Mary E.; Vesely, Joseph V.; Hosek, Susan D.; Farmer, Carrie M.

    2016-01-01

    Abstract The Veterans Access, Choice, and Accountability Act of 2014 addressed the need for access to timely, high-quality health care for veterans. Section 201 of the legislation called for an independent assessment of various aspects of veterans' health care. The RAND Corporation was tasked with an assessment of the Department of Veterans Affairs (VA) current and projected health care capabilities and resources. An examination of data from a variety of sources, along with a survey of VA medical facility leaders, revealed the breadth and depth of VA resources and capabilities: fiscal resources, workforce and human resources, physical infrastructure, interorganizational relationships, and information resources. The assessment identified barriers to the effective use of these resources and capabilities. Analysis of data on access to VA care and the quality of that care showed that almost all veterans live within 40 miles of a VA health facility, but fewer have access to VA specialty care. Veterans usually receive care within 14 days of their desired appointment date, but wait times vary considerably across VA facilities. VA has long played a national leadership role in measuring the quality of health care. The assessment showed that VA health care quality was as good or better on most measures compared with other health systems, but quality performance lagged at some VA facilities. VA will require more resources and capabilities to meet a projected increase in veterans' demand for VA care over the next five years. Options for increasing capacity include accelerated hiring, full nurse practice authority, and expanded use of telehealth. PMID:28083424

  3. Can we do better? Economic analysis of human resource investment to improve home care service for the elderly in Serbia

    PubMed Central

    Mihic, Marko M; Todorovic, Marija Lj; Obradovic, Vladimir Lj; Mitrovic, Zorica M

    2016-01-01

    Background Social services aimed at the elderly are facing great challenges caused by progressive aging of the global population but also by the constant pressure to spend funds in a rational manner. Purpose This paper focuses on analyzing the investments into human resources aimed at enhancing home care for the elderly since many countries have recorded progress in the area over the past years. The goal of this paper is to stress the significance of performing an economic analysis of the investment. Methods This paper combines statistical analysis methods such as correlation and regression analysis, methods of economic analysis, and scenario method. Results The economic analysis of investing in human resources for home care service in Serbia showed that the both scenarios of investing in either additional home care hours or more beneficiaries are cost-efficient. However, the optimal solution with the positive (and the highest) value of economic net present value criterion is to invest in human resources to boost the number of home care hours from 6 to 8 hours per week and increase the number of the beneficiaries to 33%. Conclusion This paper shows how the statistical and economic analysis results can be used to evaluate different scenarios and enable quality decision-making based on exact data in order to improve health and quality of life of the elderly and spend funds in a rational manner. PMID:26869778

  4. Asia-Pacific Partnership for Human Development through TVET.

    ERIC Educational Resources Information Center

    Basu, C. K.

    Despite their great geographic, economic, and demographic diversity, Asia-Pacific countries share many common challenges and pose many common issues that are fundamental to improving the quality and relevance of technical-vocational education and training (TVET) as a means of human resource development (HRD). Because of their great need for…

  5. Mapping Biodiversity Metrics Representing Ecosystem Services at the Landscape Scale in the American Southwest

    EPA Science Inventory

    It is widely understood that human condition is intrinsically linked to the quality of the environment and the services it provides. Ecosystem services, i.e., "services provided to humans from natural systems," have become a key issue of this century in resource management, conse...

  6. 76 FR 54001 - Agency Information Collection (National Practitioner Data Bank (NPDB) Regulations) Activity Under...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ... the Health Care Quality Improvement Act of 1986 and administered by the Department of Health and Human... Officer, OMB Human Resources and Housing Branch, New Executive Office Building, Room 10235, Washington, DC... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0621] Agency Information Collection (National...

  7. The role of social science in sucessfully implementing watershed management strategies

    Treesearch

    Kristin Floress; Kofi Akamani; Kathleen E. Halvorsen; Andrew T. Kozich; Mae Davenport

    2015-01-01

    Successful watershed management and changes in water quality conditions are dependent upon changes in human behaviors. Those tasked with managing watersheds and other natural resources often assume that people are not acting to protect or restore their resources because they lack the necessary knowledge and understanding. However, individual behaviors are impacted by a...

  8. National Forest Health Monitoring Program, Urban Forests Of Wisconsin: Pilot Monitoring Project 2002

    Treesearch

    Anne Buckelew Cumming; David Nowak; Daniel Twardus; Robert Hoehn; Manfred Mielke; Richard Rideout

    2007-01-01

    Trees in cities can contribute significantly to human health and environmental quality. Unfortunately, little is known about the urban forest resource and what it contributes locally, regionally, and nationally in terms of ecology, economy, and social well-being. To better understand this resource and its values, the Forest Service, U.S. Department of Agriculture,...

  9. Demonstrating the efficacy of the FoneAstra pasteurization monitor for human milk pasteurization in resource-limited settings.

    PubMed

    Naicker, Mageshree; Coutsoudis, Anna; Israel-Ballard, Kiersten; Chaudhri, Rohit; Perin, Noah; Mlisana, Koleka

    2015-03-01

    Human milk provides crucial nutrition and immunologic protection for infants. When a mother's own milk is unavailable, donated human milk, pasteurized to destroy bacteria and viruses, is a lifesaving replacement. Flash-heat pasteurization is a simple, low-cost, and commonly used method to make milk safe, but currently there is no system to monitor milk temperature, which challenges quality control. FoneAstra, a smartphone-based mobile pasteurization monitor, removes this barrier by guiding users through pasteurization and documenting consistent and safe practice. This study evaluated FoneAstra's efficacy as a quality control system, particularly in resource-limited settings, by comparing bacterial growth in donor milk flash-heated with and without the device at a neonatal intensive care unit in Durban, South Africa. For 100 samples of donor milk, one aliquot each of prepasteurized milk, milk flash-heated without FoneAstra, and milk pasteurized with FoneAstra was cultured on routine agar for bacterial growth. Isolated bacteria were identified and enumerated. In total, 300 samples (three from each donor sample) were analyzed. Bacterial growth was found in 86 of the 100 samples before any pasteurization and one of the 100 postpasteurized samples without FoneAstra. None of the samples pasteurized using FoneAstra showed bacterial growth. Both pasteurization methods were safe and effective. FoneAstra, however, provides the additional benefits of user-guided temperature monitoring and data tracking. By improving quality assurance and standardizing the pasteurization process, FoneAstra can support wide-scale implementation of human milk banks in resource-limited settings, increasing access and saving lives.

  10. 36 CFR § 1010.1 - Policy.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 36 Parks, Forests, and Public Property 3 2013-07-01 2012-07-01 true Policy. § 1010.1 Section § 1010.1 Parks, Forests, and Public Property PRESIDIO TRUST ENVIRONMENTAL QUALITY § 1010.1 Policy. The..., available resources, and national policy, to protect and enhance the quality of the human environment; (b...

  11. Quality of University Graduates and Human Resources Development in Nigeria

    ERIC Educational Resources Information Center

    Uche, Rachel D.

    2014-01-01

    The quality of graduates from Nigerian universities is reported to be on the decline, especially in critical and valuable skills, to the extent that companies hardly recruit but rather adopt employment protection strategies because, to them, these graduates do not meet the demands of the industry. The study therefore sought to ascertain the…

  12. Quality Counts 2008: Tapping into Teaching--Unlocking the Key to Student Success

    ERIC Educational Resources Information Center

    Education Week, 2008

    2008-01-01

    "Quality Counts 2008" reintroduces state grades in six key areas, from the Chance-for-Success Index to the teaching profession. This special issue of "Education Week" includes the following articles: (1) Human Resources a Weak Spot (Lynn Olson); (2) Teacher Salaries, Looking at Comparable Jobs (Christopher B. Swanson); (3) Data…

  13. Allocation of health resources according to the type and size of Iranian governmental hospitals.

    PubMed

    Hassani, Sa; Abolhallaje, M; Inanlo, S; Hosseini, H; Pourmohammadi, K; Bastani, P; Ramezanian, M; Marnani, A Barati

    2013-01-01

    Due to consuming about 50%-80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state's hospitals from the size and type of application points of view. The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Because 60-80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital.

  14. Structural relationships between work environment and service quality perceptions as a function of customer contact intensity: implications for human service strategy.

    PubMed

    Scotti, Dennis J; Harmon, Joel; Behson, Scott J

    2009-01-01

    This study assesses the importance of customer-contact intensity at the service encounter level as a determinant of service quality assessments. Using data from the U.S. Department of Veterans Affairs, it shows that performance-driven human resources practices play an important role as determinants of employee customer orientation and service capability in both high-contact (outpatient healthcare) and low-contact (benefits claim processing) human service contexts. However, there existed significant differences across service delivery settings in the salience of customer orientation and the congruence between employee and customer perceptions of service quality, depending on the intensity of customer contact. In both contexts, managerial attention to high-performance work systems and customer-orientation has the potential to favorably impact perceptions of service quality, amplify consumer satisfaction, and enhance operational efficiency.

  15. Health Information Technology in Healthcare Quality and Patient Safety: Literature Review.

    PubMed

    Feldman, Sue S; Buchalter, Scott; Hayes, Leslie W

    2018-06-04

    The area of healthcare quality and patient safety is starting to use health information technology to prevent reportable events, identify them before they become issues, and act on events that are thought to be unavoidable. As healthcare organizations begin to explore the use of health information technology in this realm, it is often unclear where fiscal and human efforts should be focused. The purpose of this study was to provide a foundation for understanding where to focus health information technology fiscal and human resources as well as expectations for the use of health information technology in healthcare quality and patient safety. A literature review was conducted to identify peer-reviewed publications reporting on the actual use of health information technology in healthcare quality and patient safety. Inductive thematic analysis with open coding was used to categorize a total of 41 studies. Three pre-set categories were used: prevention, identification, and action. Three additional categories were formed through coding: challenges, outcomes, and location. This study identifies five main categories across seven study settings. A majority of the studies used health IT for identification and prevention of healthcare quality and patient safety issues. In this realm, alerts, clinical decision support, and customized health IT solutions were most often implemented. Implementation, interface design, and culture were most often noted as challenges. This study provides valuable information as organizations determine where they stand to get the most "bang for their buck" relative to health IT for quality and patient safety. Knowing what implementations are being effectivity used by other organizations helps with fiscal and human resource planning as well as managing expectations relative to cost, scope, and outcomes. The findings from this scan of the literature suggest that having organizational champion leaders that can shepherd implementation, impact culture, and bridge knowledge with developers would be a valuable resource allocation to consider. ©Sue S Feldman, Scott Buchalter, Leslie W. Hayes. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 04.06.2018.

  16. Climate change, water resources and child health.

    PubMed

    Kistin, Elizabeth J; Fogarty, John; Pokrasso, Ryan Shaening; McCally, Michael; McCornick, Peter G

    2010-07-01

    Climate change is occurring and has tremendous consequences for children's health worldwide. This article describes how the rise in temperature, precipitation, droughts, floods, glacier melt and sea levels resulting from human-induced climate change is affecting the quantity, quality and flow of water resources worldwide and impacting child health through dangerous effects on water supply and sanitation, food production and human migration. It argues that paediatricians and healthcare professionals have a critical leadership role to play in motivating and sustaining efforts for policy change and programme implementation at the local, national and international level.

  17. Investment in Green Technologies

    NASA Astrophysics Data System (ADS)

    Das Gupta, Supratim

    Since the middle of the 1970's, there has been considerable research about how to deal with exhaustible natural resources which are essential to production. In the absence of substitution possibilities, the finite stock of these resources acts as a limiting factor to continued growth of output and hence consumption possibilities. In our first chapter, we combine a finite natural resource and human capital in the production function and look at the possibility of maintaining a non-declining or sustainable level of consumption for an infinite horizon. Our results show that the return to human capital accumulation plays a key role in ensuring this objective. In our model without physical capital, we obtain a similar result where this return must be such that the fraction of time devoted to acquiring human capital each period is at least as much as the share of natural resources in output. Our second chapter focuses on the transition from a relatively cheap exhaustible natural resource (coal, gasoline) to an expensive alternative technology assumed to be in nearly unlimited supply (wind, solar). Due to significant cost differences between fossil-fuel based energy sources and these alternative (backstop) technologies, their use is not as widespread. Public subsidies to research can however bring about innovation through cheaper production techniques which would significantly reduce the operating costs of these backstop technologies. But without sufficient incentives for investment and patent protections, individual firms typically underinvest in backstop technologies relative to the socially optimal level. In our paper, we find that this underinvestment in the backstop also leads to an under-extraction of the exhaustible natural resource. This imply firms would conserve the natural resource for too long and switch later to the alternative technology relative to the socially optimal solution. We extend the chapter to include pollution as a flow variable. Pollution from aggregate use of the natural resource is seen to not affect the behavior of an individual firm whereas it significantly affects that of the social planner. For relatively low pollution cost values, the socially optimal solution involves less investment in the backstop and conserving the natural resource for a longer period compared to the case without pollution. For higher values of the pollution cost, the social planner invests more in the backstop each period and switches sooner to the backstop compared to the case without pollution. In some situations, this may involve leaving behind some stock of the natural resource in the ground. The third chapter introduces pollution (a stock variable) through a deterioration of environmental quality. The structure of the second chapter is maintained here. Comparing the true pollution cost of the resource (in terms of a poor environmental quality) and the cost of the backstop technology, it is possible for the natural resource to be relatively more expensive. This arises in a situation of a very dirty environmental quality where the additional benefit from a slightly better environment exceeds the cost of the alternative cleaner technology. In this case, the optimal solution involves using the backstop at first for a few periods before making a discrete jump to a constant mix of using both the resource and the backstop technology. Here the economy settles at a steady state of environmental quality. It similarly follows that when the quality of the environment is relatively clean to begin with, the optimal solution involves starting with the cheaper but polluting natural resource before switching to a constant mix of using both the energy sources.

  18. A Survey of Turkish Pre-Service Science Teachers' Attitudes toward the Environment

    ERIC Educational Resources Information Center

    Özsoy, Sibel

    2012-01-01

    Problem Statement: Increasing global population and unrestrained consumption of natural resources has resulted in increasing pollution, poor air and water quality and the extinction of animal and plant species. Today, environmental problems are experienced worldwide and threatening the continuity of human life. For the sake of human beings,…

  19. From staff-mix to skill-mix and beyond: towards a systemic approach to health workforce management

    PubMed Central

    2009-01-01

    Throughout the world, countries are experiencing shortages of health care workers. Policy-makers and system managers have developed a range of methods and initiatives to optimise the available workforce and achieve the right number and mix of personnel needed to provide high-quality care. Our literature review found that such initiatives often focus more on staff types than on staff members' skills and the effective use of those skills. Our review describes evidence about the benefits and pitfalls of current approaches to human resources optimisation in health care. We conclude that in order to use human resources most effectively, health care organisations must consider a more systemic approach - one that accounts for factors beyond narrowly defined human resources management practices and includes organisational and institutional conditions. PMID:20021682

  20. Intergenerational Efforts to Develop a Healthy Environment for Everyone: Sustainability as a Human Rights Issue.

    PubMed

    Kruger, Tina M; Savage, Caroline E; Newsham, Patrick

    2014-12-01

    As climate change proceeds at an unprecedented rate, concern for the natural environment has increased. The world's population aging also continues to rise at an unprecedented rate, giving greater attention to the implications of an older population. The two trends are linked through the fact that changes to the environment affect older adults, and older adults affect the environment. Sustainability is, therefore, an intergenerational phenomenon, and protecting resources today leaves a positive legacy and enhances quality of life for future generations. Older adults have much to share with younger generations about behaviors that promote sustainable living, yet few sustainability efforts are intergenerational in nature. As large numbers of people currently subsist without secure access to basic needs, ensuring equitable resource consumption for all generations is urgent and aligns with the Universal Declaration of Human Rights. Through exploring linkages between aging and sustainability, we identify intergenerational strategies to protect the environment and promote human rights and quality of life for older adults. © The Author(s) 2015.

  1. Water for the Nation: An overview of the USGS Water Resources Division

    USGS Publications Warehouse

    ,

    1998-01-01

    The Water Resources Division (WRD) of the U.S. Geological Survey (USGS) provides reliable, impartial, timely information needed to understand the Nation's water resources. WRD actively promotes the use of this information by decisionmakers to: * Minimize the loss of life and property as a result of water-related hazards such as floods, droughts, and land movement. * Effectively manage ground-water and surface-water resources for domestic, agricultural, commercial, industrial, recreational, and ecological uses. * Protect and enhance water resources for human health, aquatic health, and environmental quality. * Contribute to wise physical and economic development of the Nation's resources for the benefit of present and future generations.

  2. Meeting Employers' Needs: How One-Stop Centers Can Attract Business Customers. Business Assistance Note #6.

    ERIC Educational Resources Information Center

    Bergman, Terri

    The U.S. Department of Labor's One-Stop Career Center initiative is part of the movement of governments to increase the quality and efficiency of their services. One-stop centers bring together public and private resources to meet individuals' and employers' human resource development and labor market needs. In order to meet employers' needs,…

  3. Keeping wilderness wild: increasing effectiveness with limited resources

    Treesearch

    Linda Merigliano; Bryan Smith

    2000-01-01

    Wilderness managers are forced to make increasingly difficult decisions about where to focus limited resources. Traditionally, areas of high visitor use and high impact are prioritized over areas of light use and light impact. However, areas that contain little to no human impact and contain the qualities that lead to the area’s designation as wilderness are most...

  4. Towards the review of the European Union Water Framework Directive: Recommendations for more efficient assessment and management of chemical contamination in European surface water resources

    EPA Science Inventory

    Water is a vital resource for natural ecosystems and human life, and assuring a high quality of water and protectingit from chemical contamination is a major societal goal in the European Union. The Water Framework Directive(WFD) and its daughter directives are the major body of ...

  5. Challenge theme 2: assuring water availability and quality in the 21st century: Chapter 4 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    USGS Publications Warehouse

    Callegary, James; Langeman, Jeff; Leenhouts, Jim; Martin, Peter

    2013-01-01

    Along the United States–Mexican border, the health of communities, economies, and ecosystems is inextricably intertwined with the availability and quality of water, but effective water management in the Borderlands is complicated. Water users compete for resources, and their needs are increasing. Managers are faced with issues such as finding a balance between agriculture and rapidly growing cities or maintaining public supplies while ensuring sufficient resources for aquatic ecosystems. In addition to human factors, the dry climate of the Borderlands, as compared to more temperate regions, also increases the challenge of balancing water supplies between humans and ecosystems. Warmer, drier, and more variable conditions across the southwestern United States—the projected results of climate change (Seager and others, 2007)—would further stress water supplies.

  6. Training Guarantee: A Levy To Improve the Quality of Australian Workforce.

    ERIC Educational Resources Information Center

    Navaratnam, K. K.

    The Training Guarantee Act (TGA) passed by the Federal Parliament of Australia in 1990 establishes a training guarantee scheme. It requires employers to invest in high quality, employment-related training that will most benefit their businesses. The levy is having an impact on many facets of human resource development in Australia. In seeking to…

  7. How Do Our Actions Affect Water Quantity and Quality?

    ERIC Educational Resources Information Center

    Gordon, Jessica

    2008-01-01

    Water is an essential resource for all living things. How we live on our watershed can impact water quantity and quality. It is important to recognize how humans alter watershed dynamics, but students often find it challenging to visualize watershed processes and understand how decisions that they make as individuals and together as a community…

  8. The AQC Baldrige Report. Lessons Learned by Nine Colleges and Universities Undertaking Self-Study with the Malcolm Baldrige National Quality Award Criteria.

    ERIC Educational Resources Information Center

    Seymour, Daniel

    This report summarized observations of administrators at nine colleges in the Academic Quality Consortium (AQC) who assessed the performance of their institutions using the Malcolm Baldrige criteria as a guideline. These criteria include leadership, information and analysis, strategic planning, human resource development and management, management…

  9. Evaluating the link between human resource management decisions and patient satisfaction with quality of care.

    PubMed

    Oppel, Eva-Maria; Winter, Vera; Schreyögg, Jonas

    Patient satisfaction with quality of care is becoming increasingly important in the competitive hospital market. Simultaneously, the growing shortage of clinical staff poses a considerable challenge to ensuring a high quality of care. In this context, a question emerges regarding whether and how human resource management (HRM) might serve as a means to reduce staff shortage problems and to increase patient satisfaction. Although considerable efforts have been devoted to understanding the concepts of patient satisfaction and HRM, little is known about the interrelationships between these concepts or about the link between staff shortage problems and patients' satisfaction with quality of care. The aim of this study was to investigate the relationship between strategic human resource management (SHRM), staff shortage problems, and patients' satisfaction with care. Furthermore, we analyze how the HRM decision to fill short-term vacancies through temporary staffing affects patient satisfaction. We differentiate between physicians and nurses. We develop and empirically test a theoretical model. The data (n = 165) are derived from a survey on SHRM that was sent to 732 German hospitals and from a survey on patient satisfaction that comprises 436,848 patient satisfaction ratings. We use a structural equation modeling approach to test the model. The results indicate that SHRM significantly reduces staff shortage problems for both occupational groups. Having fewer physician shortage problems is significantly associated with higher levels of patient satisfaction, whereas this effect is not significant for nurses. Furthermore, the use of temporary staffing considerably reduces patients' satisfaction with care. Hospital managers are advised to consider the effects of HRM decisions on patients' satisfaction with care. In particular, investments in SHRM targeted at physicians have significantly positive effects on patient satisfaction, whereas the temporary staffing of physicians and nurses should be avoided.

  10. Quality and Safety as a Core Leadership Competency.

    PubMed

    Bleich, Michael R

    2018-05-01

    A leader's toolbox of competencies comprises knowledge, skills, and abilities in clinical care, finance, human resource management, and more. As essential as these are, a strong command of quality and safety competencies is sovereign in leading and managing, ensuring an optimal patient experience. Four core areas of quality and safety competencies are presented: systems science, knowledge workers, implementation science and big data, and quality safety tools and techniques. J Contin Educ Nurs. 2018;49(5):200-202. Copyright 2018, SLACK Incorporated.

  11. High performance work systems: the gap between policy and practice in health care reform.

    PubMed

    Leggat, Sandra G; Bartram, Timothy; Stanton, Pauline

    2011-01-01

    Studies of high-performing organisations have consistently reported a positive relationship between high performance work systems (HPWS) and performance outcomes. Although many of these studies have been conducted in manufacturing, similar findings of a positive correlation between aspects of HPWS and improved care delivery and patient outcomes have been reported in international health care studies. The purpose of this paper is to bring together the results from a series of studies conducted within Australian health care organisations. First, the authors seek to demonstrate the link found between high performance work systems and organisational performance, including the perceived quality of patient care. Second, the paper aims to show that the hospitals studied do not have the necessary aspects of HPWS in place and that there has been little consideration of HPWS in health system reform. The paper draws on a series of correlation studies using survey data from hospitals in Australia, supplemented by qualitative data collection and analysis. To demonstrate the link between HPWS and perceived quality of care delivery the authors conducted regression analysis with tests of mediation and moderation to analyse survey responses of 201 nurses in a large regional Australian health service and explored HRM and HPWS in detail in three casestudy organisations. To achieve the second aim, the authors surveyed human resource and other senior managers in all Victorian health sector organisations and reviewed policy documents related to health system reform planned for Australia. The findings suggest that there is a relationship between HPWS and the perceived quality of care that is mediated by human resource management (HRM) outcomes, such as psychological empowerment. It is also found that health care organisations in Australia generally do not have the necessary aspects of HPWS in place, creating a policy and practice gap. Although the chief executive officers of health service organisations reported high levels of strategic HRM, the human resource and other managers reported a distinct lack of HPWS from their perspectives. The authors discuss why health care organisations may have difficulty in achieving HPWS. Leaders in health care organisations should focus on ensuring human resource management systems, structures and processes that support HPWS. Policy makers need to consider HPWS as a necessary component of health system reform. There is a strong need to reorient organisational human resource management policies and procedures in public health care organisations towards high performing work systems.

  12. Demonstrating the Efficacy of the FoneAstra Pasteurization Monitor for Human Milk Pasteurization in Resource-Limited Settings

    PubMed Central

    Coutsoudis, Anna; Israel-Ballard, Kiersten; Chaudhri, Rohit; Perin, Noah; Mlisana, Koleka

    2015-01-01

    Abstract Human milk provides crucial nutrition and immunologic protection for infants. When a mother's own milk is unavailable, donated human milk, pasteurized to destroy bacteria and viruses, is a lifesaving replacement. Flash-heat pasteurization is a simple, low-cost, and commonly used method to make milk safe, but currently there is no system to monitor milk temperature, which challenges quality control. FoneAstra, a smartphone-based mobile pasteurization monitor, removes this barrier by guiding users through pasteurization and documenting consistent and safe practice. This study evaluated FoneAstra's efficacy as a quality control system, particularly in resource-limited settings, by comparing bacterial growth in donor milk flash-heated with and without the device at a neonatal intensive care unit in Durban, South Africa. Materials and Methods: For 100 samples of donor milk, one aliquot each of prepasteurized milk, milk flash-heated without FoneAstra, and milk pasteurized with FoneAstra was cultured on routine agar for bacterial growth. Isolated bacteria were identified and enumerated. Results: In total, 300 samples (three from each donor sample) were analyzed. Bacterial growth was found in 86 of the 100 samples before any pasteurization and one of the 100 postpasteurized samples without FoneAstra. None of the samples pasteurized using FoneAstra showed bacterial growth. Conclusions: Both pasteurization methods were safe and effective. FoneAstra, however, provides the additional benefits of user-guided temperature monitoring and data tracking. By improving quality assurance and standardizing the pasteurization process, FoneAstra can support wide-scale implementation of human milk banks in resource-limited settings, increasing access and saving lives. PMID:25668396

  13. Allocation of Health Resources According To the Type and Size of Iranian Governmental Hospitals

    PubMed Central

    Hassani, SA; Abolhallaje, M; Inanlo, S; Hosseini, H; Pourmohammadi, K; Bastani, P; Ramezanian, M; Marnani, A Barati

    2013-01-01

    Background: Due to consuming about 50%–80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. Method: This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state’s hospitals from the size and type of application points of view. Results: The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Conclusion: Because 60–80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital. PMID:23865036

  14. Creating High-Quality Health Care Workplaces. A Background Paper for Canadian Policy Research Networks' National Roundtable (Ottawa, Ontario, Canada, October 29, 2001). CPRN Work Network Discussion Paper.

    ERIC Educational Resources Information Center

    Koehoorn, Mieke; Lowe, Graham S.; Rondeau, Kent V.; Schellenberg, Grant; Wagar, Terry H.

    Insights from a variety of research streams were synthesized to identify the key ingredients of a high-quality work environment in Canada's health care sector and ways of achieving high-quality workplaces in the sector. The following sets of interacting factors were considered: (1) the work environment and the human resource practices that shape…

  15. Accounting for natural resources and environmental sustainability: linking ecosystem services to human well-being.

    PubMed

    Jordan, Stephen J; Hayes, Sharon E; Yoskowitz, David; Smith, Lisa M; Summers, J Kevin; Russell, Marc; Benson, William H

    2010-03-01

    One of society's greatest challenges is to sustain natural resources while promoting economic growth and quality of life. In the face of this challenge, society must measure the effectiveness of programs established to safeguard the environment. The impetus for demonstrating positive results from government-sponsored research and regulation in the United States comes from Congress (General Accountability Office; GAO) and the Executive Branch (Office of Management and Budget; OMB). The message is: regulatory and research programs must demonstrate outcomes that justify their costs. Although the concept is simple, it is a complex problem to demonstrate that environmental research, policies, and regulations cause measurable changes in environmental quality. Even where changes in environmental quality can be tracked reliably, the connections between government actions and environmental outcomes seldom are direct or straightforward. In this article, we describe emerging efforts (with emphasis on the role of the U.S. Environmental Protection Agency; EPA) to frame and measure environmental outcomes in terms of ecosystem services and values-societally and ecologically meaningful metrics for gauging how well we manage environmental resources. As examples of accounting for outcomes and values, we present a novel, low-cost method for determining relative values of multiple ecosystem services, and describe emerging research on indicators of human well-being.

  16. Partners in Creating a 21st Century Head Start. Hearing on Detailing the Recommendations Made in the Report of the Committee on Head Start Quality and Expansion in Preparation for the 1994 Head Start Reauthorization Process, before the Committee on Labor and Human Resources. United States Senate. One Hundred Third Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    This hearing examined issues concerning Project Head Start quality and expansion. Testimony was offered by: (1) Senator Edward Kennedy, who discussed the importance of strengthening Head Start; (2) Mary Jo Bane, Assistant Secretary for the Administration for Children and Families, Department of Health and Human Services, who presented highlights…

  17. A Guide to Job Enrichment and Redesign.

    ERIC Educational Resources Information Center

    Cunningham, J. Barton; Eberle, Ted

    1990-01-01

    Describes job design alternatives--job enrichment, the job characteristics model, Japanese style management, and quality-of-worklife approaches. Focuses on the problems that human resources professionals may encounter when attempting to implement these approaches. (Author/JOW)

  18. Green Streets, Green Jobs, Green Towns (G3) Integrated Planning

    EPA Pesticide Factsheets

    This page describes EPA's perspective on integrated planning to achieve the human health and water quality objectives of the Clean Water Act. It also provides links to several resources on integrated planning.

  19. Revealing Interactions between Human Resources, Quality of Life and Environmental Changes within Socially-oriented Observations : Results from the IPY PPS Arctic Project in the Russian North

    NASA Astrophysics Data System (ADS)

    Vlasova, Tatiana

    2010-05-01

    Socially-oriented Observations (SOO) in the Russian North have been carried out within multidisciplinary IPY PPS Arctic project under the leadership of Norway and supported by the Research Council of Norway as well as Russian Academy of Sciences. The main objective of SOO is to increase knowledge and observation of changes in quality of life conditions (state of natural environment including climate and biota, safe drinking water and foods, well-being, employment, social relations, access to health care and high quality education, etc.) and - to reveal trends in human capital and capacities (health, demography, education, creativity, spiritual-cultural characteristics and diversity, participation in decision making, etc.). SOO have been carried out in industrial cities as well as sparsely populated rural and nature protection areas in observation sites situated in different bioms (from coastal tundra to southern taiga zone) of Murmansk, Arkhangelsk Oblast and Republic of Komi. SOO were conducted according to the international protocol included in PPS Arctic Manual. SOO approaches based both on local people's perceptions and statistics help to identify main issues and targets for life quality, human capital and environment improvement and thus to distinguish leading SOO indicators for further monitoring. SOO have revealed close interaction between human resources, quality of life and environmental changes. Negative changes in human capital (depopulation, increasing unemployment, aging, declining physical and mental health, quality of education, loss of traditional knowledge, marginalization etc.), despite peoples' high creativity and optimism are becoming the major driving force effecting both the quality of life and the state of environment and overall sustainability. Human induced disturbances such as uncontrolled forests cuttings and poaching are increasing. Observed rapid changes in climate and biota (ice and permafrost melting, tundra shrubs getting taller and more numerous, etc.) have become an add factor in accelerating or influencing land use and overall sustainability. In relation to the future sustainability in nature and society it is northern communities, their adaptive capacities and creativity that are decisive. SOO enables to identify and monitor the implementation of local strategies that will stimulate the human capital improvement and act not only as the agent of economic modernization but as an important solutions for better state of environment and society.

  20. Challenges in Hospital-Associated Infection Management: A Unit Perspective.

    PubMed

    Stacy, Kathleen M

    2015-01-01

    Maintaining a successful unit-based continuous quality improvement program for managing hospital-associated infections is a huge challenge and an overwhelming task. It requires strong organizational support and unit leadership, human and fiscal resources, time, and a dedicated and motivated nursing staff. A great deal of effort goes into implementing, monitoring, reporting, and evaluating quality improvement initiatives and can lead to significant frustration on the part of the leadership team and nursing staff when quality improvement efforts fail to produce the desired results. Each initiative presents its own unique set of challenges; however, common issues influence all initiatives. These common issues include organization and unit culture, current clinical practice guidelines being used to drive the initiatives, performance discrepancies on the part of nursing staff, availability of resources including equipment and supplies, monitoring of the data, and conflicting quality improvement priorities.

  1. Human resources: the Cinderella of health sector reform in Latin America

    PubMed Central

    Homedes, Núria; Ugalde, Antonio

    2005-01-01

    Human resources are the most important assets of any health system, and health workforce problems have for decades limited the efficiency and quality of Latin America health systems. World Bank-led reforms aimed at increasing equity, efficiency, quality of care and user satisfaction did not attempt to resolve the human resources problems that had been identified in multiple health sector assessments. However, the two most important reform policies – decentralization and privatization – have had a negative impact on the conditions of employment and prompted opposition from organized professionals and unions. In several countries of the region, the workforce became the most important obstacle to successful reform. This article is based on fieldwork and a review of the literature. It discusses the reasons that led health workers to oppose reform; the institutional and legal constraints to implementing reform as originally designed; the mismatch between the types of personnel needed for reform and the availability of professionals; the deficiencies of the reform implementation process; and the regulatory weaknesses of the region. The discussion presents workforce strategies that the reforms could have included to achieve the intended goals, and the need to take into account the values and political realities of the countries. The authors suggest that autochthonous solutions are more likely to succeed than solutions imported from the outside. PMID:15659241

  2. A workforce in crisis: a case study to expand allied ophthalmic personnel.

    PubMed

    Astle, William; Simms, Craig; Anderson, Lynn

    2016-08-01

    To examine how the development of allied ophthalmic personnel training programs affects human resource capacity. Using a qualitative case study method conducted at a single Ontario institution, this article describes 6 years of establishing a 2-tiered allied ophthalmic personnel training program. The Kingston Ophthalmic Training Centre participated in the study with 8 leadership and program graduate interviews. To assess regional eye health workforce needs, a case study and iterative process used triangulations of the literature, case study, and qualitative interviews with stakeholders. This research was used to develop a model for establishing allied ophthalmic personnel training programs that would result in expanding human resource capacity. Current human resource capacity development and deployment is inadequate to provide the needed eye care services in Canada. A competency-based curriculum and accreditation model as the platform to develop formal academic training programs is essential. Access to quality eye care and patient services can be met by task-shifting from ophthalmologists to appropriately trained allied ophthalmic personnel. Establishing formal training programs is one important strategy to supplying a well-skilled, trained, and qualified ophthalmic workforce. This initiative meets the criteria required for quality, relevance, equity, and cost-effectiveness to meet the future demands for ophthalmic patient care. Copyright © 2016 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.

  3. The Impact of Fathers' Work and Family Conflicts on Children's Self-Esteem: The Hong Kong Case

    ERIC Educational Resources Information Center

    Lau, Yuk King

    2010-01-01

    Work and family conflicts are always viewed as issues of human resource management or occupational health. Insufficient attention has been focused on the impact on child development and quality of parenting, especially regarding the impact of a father's work. To examine the impact of work and family conflicts on the quality of father-child…

  4. Quality Administration and Management in Higher Education in Nigeria: Implications for Human Resource Development

    ERIC Educational Resources Information Center

    Akinyemi, Gbenga M.; Abiddin, Norhasni Zainal

    2013-01-01

    The dynamic changes in today's world have made countries of the world masters of their own destinies. In this light, it has become noted today that "the affluence or penury of nations depends largely on the quality of higher education". This is informed by the fact that higher education systems of a nation is the "machinery of…

  5. Job Quality in Non-Profit Organizations. CPRN Research Series on Human Resources in the Non-Profit Sector.

    ERIC Educational Resources Information Center

    McMullen, Kathryn; Schellenberg, Grant

    The quality of jobs in nonprofit organizations in Canada was examined through a review of data from Canada's Workplace and Employer Survey, which collected data from a nationally representative sample of Canadian workplaces and paid employees in those workplaces. Key findings of the analysis were as follows: (1) overall, compared to the for-profit…

  6. A Community Standard Format for the Representation of Protein Affinity Reagents*

    PubMed Central

    Gloriam, David E.; Orchard, Sandra; Bertinetti, Daniela; Björling, Erik; Bongcam-Rudloff, Erik; Borrebaeck, Carl A. K.; Bourbeillon, Julie; Bradbury, Andrew R. M.; de Daruvar, Antoine; Dübel, Stefan; Frank, Ronald; Gibson, Toby J.; Gold, Larry; Haslam, Niall; Herberg, Friedrich W.; Hiltke, Tara; Hoheisel, Jörg D.; Kerrien, Samuel; Koegl, Manfred; Konthur, Zoltán; Korn, Bernhard; Landegren, Ulf; Montecchi-Palazzi, Luisa; Palcy, Sandrine; Rodriguez, Henry; Schweinsberg, Sonja; Sievert, Volker; Stoevesandt, Oda; Taussig, Michael J.; Ueffing, Marius; Uhlén, Mathias; van der Maarel, Silvère; Wingren, Christer; Woollard, Peter; Sherman, David J.; Hermjakob, Henning

    2010-01-01

    Protein affinity reagents (PARs), most commonly antibodies, are essential reagents for protein characterization in basic research, biotechnology, and diagnostics as well as the fastest growing class of therapeutics. Large numbers of PARs are available commercially; however, their quality is often uncertain. In addition, currently available PARs cover only a fraction of the human proteome, and their cost is prohibitive for proteome scale applications. This situation has triggered several initiatives involving large scale generation and validation of antibodies, for example the Swedish Human Protein Atlas and the German Antibody Factory. Antibodies targeting specific subproteomes are being pursued by members of Human Proteome Organisation (plasma and liver proteome projects) and the United States National Cancer Institute (cancer-associated antigens). ProteomeBinders, a European consortium, aims to set up a resource of consistently quality-controlled protein-binding reagents for the whole human proteome. An ultimate PAR database resource would allow consumers to visit one on-line warehouse and find all available affinity reagents from different providers together with documentation that facilitates easy comparison of their cost and quality. However, in contrast to, for example, nucleotide databases among which data are synchronized between the major data providers, current PAR producers, quality control centers, and commercial companies all use incompatible formats, hindering data exchange. Here we propose Proteomics Standards Initiative (PSI)-PAR as a global community standard format for the representation and exchange of protein affinity reagent data. The PSI-PAR format is maintained by the Human Proteome Organisation PSI and was developed within the context of ProteomeBinders by building on a mature proteomics standard format, PSI-molecular interaction, which is a widely accepted and established community standard for molecular interaction data. Further information and documentation are available on the PSI-PAR web site. PMID:19674966

  7. Devolution and human resources in primary healthcare in rural Mali

    PubMed Central

    2011-01-01

    Devolution, as other types of decentralization (e.g. deconcentration, delegation, privatization), profoundly changes governance relations in the health system. Devolution is meant to affect performance of the health system by transferring responsibilities and authority to locally elected governments. The key question of this article is: what does devolution mean for human resources for health in Mali? This article assesses the key advantages and dilemmas associated with devolution such as responsiveness to local needs, downward accountability and health worker retention. Challenges of politics and capacities are also addressed in relation to human resources for health at the local level. Examples are derived from experiences in Mali with a capacity development programme and from case studies of other countries. It is not research findings that are presented, but highlights of key issues at stake aimed at inspiring the debate in Mali and elsewhere. A first lesson from the discussion suggests that in the context of human resources for health, decentralization of authority and resources is not the main issue. The challenge is to develop or strengthen accountability of those who decide and act, whether they are local politicians, bureaucrats or community representatives. If decentralization policies do not address public accountability, they will not fundamentally change human resource management, quality and equity of staffing. A second lesson is that successful devolution requires innovations in capacity development of all actors involved and in designing effective incentive measures. A final key conclusion is that the topic of devolution policy and its effects on human resources for health, and vice versa, merit more attention. A better understanding may lead to more appropriate policy designs and better preparation for the actors involved in countries that are embarking on decentralization, as is the case in Mali. PMID:21651817

  8. The biosphere: Problems and solutions; Proceedings of the Miami International Symposium on the Biosphere, Miami Beach, FL, April 23, 24, 1984

    NASA Astrophysics Data System (ADS)

    Veziroglu, T. N.

    The objective of the Miami International Symposium on the Biosphere was to provide a forum for the presentation of the latest research findings on the environmental effects of human activities. The topics discussed are related to biosphere reserves, environmental aspects of hydrocarbon fuels, radioactivity and nuclear waste, land management, acid rains, water quality, water resources, coastal resources management, the pollution of rivers, industrial waste, economic development and the environment, health hazards and solutions, endangered species, environmentally compatible systems, space pollution, and global considerations. Attention is given to questions regarding global security and sustainable development, environethics as a global strategy for environmental quality, a gestalt approach to the environment, potential indicators for monitoring biosphere reserves, a review of regional impacts associated with the development of U.S. synthetic fuel resources, water resources in the Soviet Union, and pollution-free pesticides.

  9. Strengthening laboratory systems in resource-limited settings.

    PubMed

    Olmsted, Stuart S; Moore, Melinda; Meili, Robin C; Duber, Herbert C; Wasserman, Jeffrey; Sama, Preethi; Mundell, Ben; Hilborne, Lee H

    2010-09-01

    Considerable resources have been invested in recent years to improve laboratory systems in resource-limited settings. We reviewed published reports, interviewed major donor organizations, and conducted case studies of laboratory systems in 3 countries to assess how countries and donors have worked together to improve laboratory services. While infrastructure and the provision of services have seen improvement, important opportunities remain for further advancement. Implementation of national laboratory plans is inconsistent, human resources are limited, and quality laboratory services rarely extend to lower tier laboratories (eg, health clinics, district hospitals). Coordination within, between, and among governments and donor organizations is also frequently problematic. Laboratory standardization and quality control are improving but remain challenging, making accreditation a difficult goal. Host country governments and their external funding partners should coordinate their efforts effectively around a host country's own national laboratory plan to advance sustainable capacity development throughout a country's laboratory system.

  10. Applying Semantic Web technologies to improve the retrieval, credibility and use of health-related web resources.

    PubMed

    Mayer, Miguel A; Karampiperis, Pythagoras; Kukurikos, Antonis; Karkaletsis, Vangelis; Stamatakis, Kostas; Villarroel, Dagmar; Leis, Angela

    2011-06-01

    The number of health-related websites is increasing day-by-day; however, their quality is variable and difficult to assess. Various "trust marks" and filtering portals have been created in order to assist consumers in retrieving quality medical information. Consumers are using search engines as the main tool to get health information; however, the major problem is that the meaning of the web content is not machine-readable in the sense that computers cannot understand words and sentences as humans can. In addition, trust marks are invisible to search engines, thus limiting their usefulness in practice. During the last five years there have been different attempts to use Semantic Web tools to label health-related web resources to help internet users identify trustworthy resources. This paper discusses how Semantic Web technologies can be applied in practice to generate machine-readable labels and display their content, as well as to empower end-users by providing them with the infrastructure for expressing and sharing their opinions on the quality of health-related web resources.

  11. Quality, Safety and Patient Centered Care--A Dream Come True in the Mountains of Northern Pakistan. An Award winning project of "2015 Quality, Safety & Patient Centered Care Award" at, Chicago USA.

    PubMed

    Jassani, Kashif; Essani, Rozina Roshan; Abbas, Syed Nadeem Husain

    2016-01-01

    Northern Pakistan remains very challenging terrain due to harsh weather all year round presenting an infrastructura, human resource and supply chain challenge of its own. Many times the facility had to move to different locations on emergency and ad hoc basis due to landslides, earthquakes affecting continuity of care. Providing quality healthcare to often resource constraint hard-to-reach areas has always been AKHS,P's unique forte. Breaking barriers for catchment population to access quality healthcare, AKHS,P embarked on an initiative of implementing, achieving and sustaining ISO 9001:2008 Quality Management System international standards certification. This article shares the unique experience of AKHS,P in achieving and sustaining ISO 9001:2008 International Quality Management System Certification. After untiring efforts and the hard work of ground staff; AKHS,P achieved ISO 9001:2008 International Quality Management System Certification as well as 1st Surveillance Audit which itself proved that AKHS,P sustained quality systems and ensured continuous quality improvement in the Mountains of Northern Pakistan.

  12. Climate Change and Water Scarcity: The Case of Saudi Arabia.

    PubMed

    DeNicola, Erica; Aburizaiza, Omar S; Siddique, Azhar; Khwaja, Haider; Carpenter, David O

    2015-01-01

    Climate change is expected to bring increases in average global temperatures (1.4°C-5.8°C [34.52°F-42.44°F] by 2100) and precipitation levels to varying degrees around the globe. The availability and quality of water will be severely affected, and public health threats from the lack of this valuable resource will be great unless water-scarce nations are able to adapt. Saudi Arabia provides a good example of how the climate and unsustainable human activity go hand in hand in creating stress on and depleting water resources, and an example for adaptation and mitigation. A search of the English literature addressing climate change, water scarcity, human health, and related topics was conducted using online resources and databases accessed through the University at Albany, State University of New York library web page. Water scarcity, which encompasses both water availability and water quality, is an important indicator of health. Beyond drinking, water supply is intimately linked to food security, sanitation, and hygiene, which are primary contributors to the global burden of disease. Poor and disadvantaged populations are the ones who will suffer most from the negative effects of climate change on water supply and associated human health issues. Examples of adaptation and mitigation measures that can help reduce the strain on conventional water resources (surface waters and fossil aquifers or groundwater) include desalination, wastewater recycling and reuse, and outsourcing food items or "virtual water trade." These are strategies being used by Saudi Arabia, a country that is water poor primarily due to decades of irresponsible irrigation practices. The human and environmental health risks associated with these adaptation measures are examined. Finally, strategies to protect human health through international collaboration and the importance of these efforts are discussed. International, multidisciplinary cooperation and collaboration will be needed to promote global water security and to protect human health, particularly in low-income countries that do not have the resources necessary to adapt on their own. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

  13. Associations Among Nursing Work Environment and Health-Promoting Behaviors of Nurses and Nursing Performance Quality: A Multilevel Modeling Approach.

    PubMed

    Cho, Hyeonmi; Han, Kihye

    2018-05-14

    This study aimed to determine the relationships among the unit-level nursing work environment and individual-level health-promoting behaviors of hospital nurses in South Korea and their perceived nursing performance quality. This study used a cross-sectional design. Data were collected using self-reported questionnaires from 432 nurses in 57 units at five hospitals in South Korea. Nursing performance quality, nursing work environment, and health-promoting behaviors were measured using the Six Dimension Scale of Nursing Performance, Practice Environment Scale of the Nursing Work Index, and Health Promoting Lifestyle Profile-II, respectively. Nurses working in units with nurse managers who were characterized by better ability and by quality leadership, and who provided more support to nurses exhibited significantly greater health responsibility and physical activity. Nurses working with sufficient staffing and resources reported better stress management. Positive collegial nurse-physician relationships in units were significantly associated with more healthy eating among nurses. Nurses working in units with sufficient staffing and resources, and who had a higher level of spiritual growth and health responsibility, were more likely to perceive their nursing performance quality as being higher. To improve the quality of nursing practice, hospitals should focus on helping nurses maintain healthy lifestyles, as well as improving their working conditions in South Korea. Organizational support for adequate human resources and materials, mutual cooperation among nurses and physicians, and workplace health-promotion interventions for spiritual growth and health responsibility are needed. Organizational efforts to provide sufficient staffing and resources, boost the development of personal resources among nurses, and promote nurses' responsibility for their own health could be effective strategies for improving nursing performance quality and patient outcomes. © 2018 Sigma Theta Tau International.

  14. [Application of an improved model of a job-matching platform for nurses].

    PubMed

    Huang, Way-Ren; Lin, Chiou-Fen

    2015-04-01

    The three-month attrition rate for new nurses in Taiwan remains high. Many hospitals rely on traditional recruitment methods to find new nurses, yet it appears that their efficacy is less than ideal. To effectively solve this manpower shortage, a nursing resource platform is a project worth developing in the future. This study aimed to utilize a quality-improvement model to establish communication between hospitals and nursing students and create a customized employee-employer information-matching platform to help nursing students enter the workforce. This study was structured around a quality-improvement model and used current situation analysis, literature review, focus-group discussions, and process re-engineering to formulate necessary content for a job-matching platform for nursing. The concept of an academia-industry strategic alliance helped connect supply and demand within the same supply chain. The nurse job-matching platform created in this study provided job flexibility as well as job suitability assessments and continued follow-up and services for nurses after entering the workforce to provide more accurate matching of employers and employees. The academia-industry strategic alliance, job suitability, and long-term follow-up designed in this study are all new features in Taiwan's human resource service systems. The proposed human resource process re-engineering provides nursing students facing graduation with a professionally managed human resources platform. Allowing students to find an appropriate job prior to graduation will improve willingness to work and employee retention.

  15. 77 FR 2096 - Notice of Availability of Draft Environmental Impact Statement for the Proposed International...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-13

    ... and scenic resources, climatology, meteorology and air quality, geology, minerals and soils, water... human communities would mostly be small, with the exception of small to moderate impacts on climatology...

  16. Biology as a Study of Man and Society

    ERIC Educational Resources Information Center

    Hurd, Paul DeHart

    1971-01-01

    Biology ought to be taught within the context of human culture; "man" can be the "type animal." Consideration should be given to questions of race, population, food resources, environmental quality, intelligence, genetic engineering, and organ transplants. (AL)

  17. Modeling the Impacts of Hydromodification on Water Quantity and Quality

    EPA Science Inventory

    Hydromodification activities are driven by human population growth and resource extraction and consumption including urbanization, agriculture, forestry, mining, water withdrawal, climate change, and flow regulation by dams and impoundments. These anthropogenic activities alter n...

  18. Quality as a passion.

    PubMed

    Blair, Robin

    2005-04-01

    CIGNA Senior Vice President and Chief Clinical Officer W. Allen Schaffer, M.D., describes how a national health plan combines IT and human resources, and embraces national evidence-based standards, to influence the individual health status of millions of members.

  19. Calidad del aire interior

    EPA Pesticide Factsheets

    This web site will educate the public about indoor environmental issues including health risks and means by which human exposures can be reduced. Content on this site will be focused on Spanish translated resources for information about indoor air quality.

  20. Risk-based water resources planning: Coupling water allocation and water quality management under extreme droughts

    NASA Astrophysics Data System (ADS)

    Mortazavi-Naeini, M.; Bussi, G.; Hall, J. W.; Whitehead, P. G.

    2016-12-01

    The main aim of water companies is to have a reliable and safe water supply system. To fulfil their duty the water companies have to consider both water quality and quantity issues and challenges. Climate change and population growth will have an impact on water resources both in terms of available water and river water quality. Traditionally, a distinct separation between water quality and abstraction has existed. However, water quality can be a bottleneck in a system since water treatment works can only treat water if it meets certain standards. For instance, high turbidity and large phytoplankton content can increase sharply the cost of treatment or even make river water unfit for human consumption purposes. It is vital for water companies to be able to characterise the quantity and quality of water under extreme weather events and to consider the occurrence of eventual periods when water abstraction has to cease due to water quality constraints. This will give them opportunity to decide on water resource planning and potential changes to reduce the system failure risk. We present a risk-based approach for incorporating extreme events, based on future climate change scenarios from a large ensemble of climate model realisations, into integrated water resources model through combined use of water allocation (WATHNET) and water quality (INCA) models. The annual frequency of imposed restrictions on demand is considered as measure of reliability. We tested our approach on Thames region, in the UK, with 100 extreme events. The results show increase in frequency of imposed restrictions when water quality constraints were considered. This indicates importance of considering water quality issues in drought management plans.

  1. Retaining nurses in metropolitan areas: insights from senior nurse and human resource managers.

    PubMed

    Drennan, Vari M; Halter, Mary; Gale, Julia; Harris, Ruth

    2016-11-01

    To investigate the views of senior nurse and human resource managers of strategies to retain hospital nurses in a metropolitan area. Against a global shortage, retaining nurses is a management imperative for the quality of hospital services. Semi-structured interviews, thematically analysed. Metropolitan areas have many health organisations in geographical proximity, offering nurses choices in employer and employment. Senior nurse and human resource managers recognised the complexity of factors influencing nurse turnover, including those that 'pulled' nurses out of their jobs to other posts and factors that 'pushed' nurses to leave. Four themes emerged in retaining nurses: strategy and leadership, including analysis of workforce and leavers' data, remuneration, the type of nursing work and career development and the immediate work environment. In contexts where multiple organisations compete for nurses, addressing retention through strategic leadership is likely to be important in paying due attention and apportioning resources to effective strategies. Aside from good human resource management practices for all, strategies tailored to different segments of the nursing workforce are likely to be important. This metropolitan study suggests attention should be paid to strategies that address remuneration, progressing nursing careers and the immediate work environment. © 2016 The Authors Journal of Nursing Management Published by John Wiley & Sons Ltd.

  2. Groundwater quality in the Southeastern Coastal Plain aquifer system, southeastern United States

    USGS Publications Warehouse

    Barlow, Jeannie; Lindsey, Bruce; Belitz, Kenneth

    2017-01-19

    Groundwater provides nearly 50 percent of the Nation’s drinking water. To help protect this vital resource, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Project assesses groundwater quality in aquifers that are important sources of drinking water. The Southeastern Coastal Plain aquifer system constitutes one of the important areas being evaluated. One or more inorganic constituents with human-health benchmarks were detected at high concentrations in about 6 percent of the study area and at moderate concentrations in about 13 percent. One or more organic constituents with human-health benchmarks were detected at moderate concentrations in about 3 percent of the study area.

  3. The U.S. Geological Survey Energy Resources Program

    USGS Publications Warehouse

    ,

    2006-01-01

    The United States uses tremendous amounts of geologic energy resources. In 2004 alone, the United States consumed more than 7.4 billion barrels of oil, 21.9 trillion cubic feet of natural gas, and 1.1 billion short tons of coal. Forecasts indicate the Nation's need for energy resources will continue to grow, raising several questions: How much domestic and foreign petroleum resources are available to meet the growing energy demands of the Nation and world? Does the United States have coal deposits of sufficient quantity and quality to meet demand over the next century? What other geologic energy resources can be added to the U.S. energy mix? How do the occurrence and use of energy resources affect environmental quality and human health? Unbiased information from robust scientific studies is needed for sound energy policy and resource management decisions addressing these issues. The U.S. Geological Survey Energy Resources Program provides impartial, scientifically robust information to advance the understanding of geologically based energy resources including: petroleum (oil, natural gas, natural gas liquids), coal, gas hydrates, geothermal resources, oil shale, oil sands, uranium, and heavy oil and natural bitumen. This information can be used to contribute to plans for a secure energy future and to facilitate evaluation and responsible use of resources.

  4. Molecular assessment of bacterial pathogens - a contribution to drinking water safety.

    PubMed

    Brettar, Ingrid; Höfle, Manfred G

    2008-06-01

    Human bacterial pathogens are considered as an increasing threat to drinking water supplies worldwide because of the growing demand of high-quality drinking water and the decreasing quality and quantity of available raw water. Moreover, a negative impact of climate change on freshwater resources is expected. Recent advances in molecular detection technologies for bacterial pathogens in drinking water bear the promise in improving the safety of drinking water supplies by precise detection and identification of the pathogens. More importantly, the array of molecular approaches allows understanding details of infection routes of waterborne diseases, the effects of changes in drinking water treatment, and management of freshwater resources.

  5. Labor of love. A model for planning human resource needs.

    PubMed

    Brady, F J

    1989-01-01

    Typically, the annual budgeting process is the hospital's only attempt to forecast human resource requirements. In times of rapid change, this traditional ad hoc approach is incapable of satisfying either the Catholic hospital's ethical obligations as an employer or its responsibilities to provide healthcare to the poor and suffering. Assumptions about future activity, including volume projections on admissions, patient days, and other services, influence the budgeting process to a large degree. Because the amount of work to be done and the number of employees required to do it are related, changes in demand for service immediately and directly affect staffing requirements. A hospital cannot achieve ethical human resource management or provide high-quality healthcare if inadequate planning forces management into a cycle of crisis-coping--reacting to this year's nursing shortage with a major recruiting effort and next year's financial crunch with a traumatic reduction in force. The human resource planning approach outlined here helps the hospital meet legitimate business needs while satisfying its ethical obligations. The model has four phases and covers a charge to the planning committee; committee appointments; announcements; the establishment of ground rules, focus, and task forces; and the work of each task force.

  6. Surficial aquifer system of the New Jersey Coastal Plain: Significance to resource management

    USGS Publications Warehouse

    Buxton, Herbert T.

    1995-01-01

    An understanding of the interaction between human activities and the Nation's surficial (water-table) aquifers is critical to maintaining the quantity and quality of our water resources and the health of the ecosystems they support. In recognition of the importance of these aquifers, the U.S. Geological Survey (USGS) is developing a program to study the surficial aquifers of the New Jersey Coastal Plain.

  7. National Forest Health Monitoring Program, Monitoring Urban Forests in Indiana: Pilot Study 2002, Part 2: Statewide Estimates Using the UFORE Model

    Treesearch

    David Nowak; Anne Buckelew Cumming; Daniel Twardus; Robert Hoehn; Manfred Mielke

    2007-01-01

    Trees in cities can improve environmental quality and human health. Unfortunately, little is known about the urban forest resource and what and how it contributes to local, regional, and national societies and economies. To better understand the urban forest resource and its value, the Forest Service, U.S. Department of Agriculture, Forest Health Monitoring Program...

  8. Development and production of good manufacturing practice grade human embryonic stem cell lines as source material for clinical application.

    PubMed

    De Sousa, P A; Downie, J M; Tye, B J; Bruce, K; Dand, P; Dhanjal, S; Serhal, P; Harper, J; Turner, M; Bateman, M

    2016-09-01

    From 2006 to 2011, Roslin Cells Ltd derived 17 human embryonic stem cells (hESC) while developing (RCM1, RC-2 to -8, -10) and implementing (RC-9, -11 to -17) quality assured standards of operation in a facility operating in compliance with European Union (EU) directives and United Kingdom (UK) licensure for procurement, processing and storage of human cells as source material for clinical application, and targeted to comply with an EU Good Manufacturing Practice specification. Here we describe the evolution and specification of the facility, its operation and outputs, complementing hESC resource details communicated in Stem Cell Research Lab Resources. Copyright © 2016. Published by Elsevier B.V.

  9. Initiating Improvements: The HR Department as the Architect of Quality-of-Life Initiatives.

    ERIC Educational Resources Information Center

    Reis, Frank William

    2002-01-01

    Describes how a wellness program, campus safety and security program, and institutional knowledge management program are succeeding at Cuyahoga Community College after the human resources (HR) department won administrative support for their implementation. (EV)

  10. Customer service: the key to market differentiation.

    PubMed

    Stahl, D A

    1997-06-01

    Fierce competition in the subacute care environment makes customer service orientation essential. Four steps help to achieve quality customer service are: (1) institute core values; (2) identify your customers; (3) understand human resources; and (4) establish an efficient system.

  11. Avoiding failure: tools for successful and sustainable quality-improvement projects.

    PubMed

    Donnelly, Lane F

    2017-06-01

    Involvement in successful and sustained quality improvement can be a very rewarding experience. However, it can be very difficult work. Up to 70% of attempted organizational change is not sustained. There are many reasons why quality-improvement projects might not be successful. In this article, the author reviews items associated with an increased or decreased likelihood of success. Such items have been categorized as structural issues, human issues and environmental context. This paper is intended to serve those embarking on quality-improvement projects as a resource to help position them for success.

  12. The role of hydrological and water quality models in the application of the ecosystem services framework for the EU Water Framework Directive

    NASA Astrophysics Data System (ADS)

    Hallouin, Thibault; Bruen, Michael; Feeley, Hugh B.; Christie, Michael; Bullock, Craig; Kelly, Fiona; Kelly-Quinn, Mary

    2017-04-01

    The hydrological cycle is intimately linked with environmental processes that are essential for human welfare in many regards including, among others, the provision of safe water from surface and subsurface waterbodies, rain-fed agricultural production, or the provision of aquatic-sourced food. As well as being a receiver of these natural benefits, the human population is also a manager of the water and other natural resources and, as such, can affect their future sustainable provision. With global population growth and climate change, both the dependence of the human population on water resources and the threat they pose to these resources are likely to intensify so that the sustainability of the coupled natural and human system is threatened. In the European Union, the Water Framework Directive is driving policy and encouraging member states to manage their water resources wisely in order to maintain or restore ecological quality. To this end, the ecosystem services framework can be a useful tool to link the requirements in terms of ecological status into more tangible descriptors, that is the ecosystem services. In the ESManage Project, existing environmental system models such as hydrological models and water quality models are used as the basis to quantify the provision of many hydrological and aquatic ecosystem services by constructing indicators for the ecosystem services from the modelled environmental variables. By allowing different management options and policies to be compared, these models can be a valuable source of information for policy makers when they are used for climate and land use scenario analyses. Not all hydrological models developed for flood forecasting are suitable for this application and inappropriate models can lead to questionable conclusions. This paper demonstrates the readily available capabilities of a specially developed catchment hydrological model coupled with a water quality model to quantify a wide range of biophysically quantifiable water-related ecosystem services such as water provision (river flows, groundwater recharge and vegetation transpiration), flood regulation or nutrient and sediment retention. This combination of models will be used to carry out scenario analyses on IPCC climate change scenarios as well as various land use scenarios. Results will be presented for a test catchment in the Republic of Ireland.

  13. Continuous quality improvement: a shared governance model that maximizes agent-specific knowledge.

    PubMed

    Burkoski, Vanessa; Yoon, Jennifer

    2013-01-01

    Motivate, Innovate, Celebrate: an innovative shared governance model through the establishment of continuous quality improvement (CQI) councils was implemented across the London Health Sciences Centre (LHSC). The model leverages agent-specific knowledge at the point of care and provides a structure aimed at building human resources capacity and sustaining enhancements to quality and safe care delivery. Interprofessional and cross-functional teams work through the CQI councils to identify, formulate, execute and evaluate CQI initiatives. In addition to a structure that facilitates collaboration, accountability and ownership, a corporate CQI Steering Committee provides the forum for scaling up and spreading this model. Point-of-care staff, clinical management and educators were trained in LEAN methodology and patient experience-based design to ensure sufficient knowledge and resources to support the implementation.

  14. Establishing an academic biobank in a resource-challenged environment.

    PubMed

    Soo, Cassandra Claire; Mukomana, Freedom; Hazelhurst, Scott; Ramsay, Michele

    2017-05-24

    Past practices of informal sample collections and spreadsheets for data and sample management fall short of best-practice models for biobanking, and are neither cost effective nor efficient to adequately serve the needs of large research studies. The biobank of the Sydney Brenner Institute for Molecular Bioscience serves as a bioresource for institutional, national and international research collaborations. It provides high-quality human biospecimens from African populations, secure data and sample curation and storage, as well as monitored sample handling and management processes, to promote both non-communicable and infectious-disease research. Best-practice guidelines have been adapted to align with a low-resource setting and have been instrumental in the development of a quality-management system, including standard operating procedures and a quality-control regimen. Here, we provide a summary of 10 important considerations for initiating and establishing an academic research biobank in a low-resource setting. These include addressing ethical, legal, technical, accreditation and/or certification concerns and financial sustainability.

  15. Establishing an academic biobank in a resource-challenged environment

    PubMed Central

    Soo, C C; Mukomana, F; Hazelhurst, S; Ramsay, M

    2018-01-01

    Past practices of informal sample collections and spreadsheets for data and sample management fall short of best-practice models for biobanking, and are neither cost effective nor efficient to adequately serve the needs of large research studies. The biobank of the Sydney Brenner Institute for Molecular Bioscience serves as a bioresource for institutional, national and international research collaborations. It provides high-quality human biospecimens from African populations, secure data and sample curation and storage, as well as monitored sample handling and management processes, to promote both non-communicable and infectious-disease research. Best-practice guidelines have been adapted to align with a low-resource setting and have been instrumental in the development of a quality-management system, including standard operating procedures and a quality-control regimen. Here, we provide a summary of 10 important considerations for initiating and establishing an academic research biobank in a low-resource setting. These include addressing ethical, legal, technical, accreditation and/or certification concerns and financial sustainability. PMID:28604319

  16. Dynamical aspects of behavior generation under constraints

    PubMed Central

    Harter, Derek; Achunala, Srinivas

    2007-01-01

    Dynamic adaptation is a key feature of brains helping to maintain the quality of their performance in the face of increasingly difficult constraints. How to achieve high-quality performance under demanding real-time conditions is an important question in the study of cognitive behaviors. Animals and humans are embedded in and constrained by their environments. Our goal is to improve the understanding of the dynamics of the interacting brain–environment system by studying human behaviors when completing constrained tasks and by modeling the observed behavior. In this article we present results of experiments with humans performing tasks on the computer under variable time and resource constraints. We compare various models of behavior generation in order to describe the observed human performance. Finally we speculate on mechanisms how chaotic neurodynamics can contribute to the generation of flexible human behaviors under constraints. PMID:19003514

  17. Klickitat Cogeneration Project : Final Environmental Assessment.

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

    United States. Bonneville Power Administration; Klickitat Energy Partners

    1994-09-01

    To meet BPA`s contractual obligation to supply electrical power to its customers, BPA proposes to acquire power generated by Klickitat Cogeneration Project. BPA has prepared an environmental assessment evaluating the proposed project. Based on the EA analysis, BPA`s proposed action is not a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act of 1969 for the following reasons: (1)it will not have a significant impact land use, upland vegetation, wetlands, water quality, geology, soils, public health and safety, visual quality, historical and cultural resources, recreation and socioeconomics, and (2)more » impacts to fisheries, wildlife resources, air quality, and noise will be temporary, minor, or sufficiently offset by mitigation. Therefore, the preparation of an environmental impact statement is not required and BPA is issuing this FONSI (Finding of No Significant Impact).« less

  18. California Groundwater Ambient Monitoring and Assessment (GAMA) Program Priority Basin Project--shallow aquifer assessment

    USGS Publications Warehouse

    ,

    2013-01-01

    The California State Water Resources Control Board’s (SWRCB) GAMA Program is a comprehensive assessment of statewide groundwater quality in California. From 2004 to 2012, the GAMA Program’s Priority Basin Project focused on assessing groundwater resources used for public drinking-water supplies. More than 2,000 public-supply wells were sampled by U.S. Geological Survey (USGS) for this effort. Starting in 2012, the GAMA Priority Basin Project began an assessment of water resources in shallow aquifers in California. These shallow aquifers provide water for domestic and small community-supply wells, which are often drilled to shallower depths in the groundwater system than public-supply wells. Shallow aquifers are of interest because shallow groundwater may respond more quickly and be more susceptible to contamination from human activities at the land surface, than the deeper aquifers. The SWRCB’s GAMA Program was developed in response to the Groundwater Quality Monitoring Act of 2001 (Water Code sections 10780-10782.3): a public mandate to assess and monitor the quality of groundwater resources used for drinking-water supplies, and to increase the availability of information about groundwater quality to the public. The U.S. Geological Survey is the technical lead of the Priority Basin Project. Stewardship of California’s groundwater resources is a responsibility shared between well owners, communities, and the State. Participants and collaborators in the GAMA Program include Regional Water Quality Control Boards, Department of Water Resources, Department of Public Health, local and regional groundwater management entities, county and local water agencies, community groups, and private citizens. Well-owner participation in the GAMA Program is entirely voluntary.

  19. Human trafficking: review of educational resources for health professionals.

    PubMed

    Ahn, Roy; Alpert, Elaine J; Purcell, Genevieve; Konstantopoulos, Wendy Macias; McGahan, Anita; Cafferty, Elizabeth; Eckardt, Melody; Conn, Kathryn L; Cappetta, Kate; Burke, Thomas F

    2013-03-01

    Human trafficking is an increasingly well-recognized human rights violation that is estimated to involve more than 2 million victims worldwide each year. The health consequences of this issue bring victims into contact with health systems and healthcare providers, thus providing the potential for identification and intervention. A robust healthcare response, however, requires a healthcare workforce that is aware of the health impact of this issue; educated about how to identify and treat affected individuals in a compassionate, culturally aware, and trauma-informed manner; and trained about how to collaborate efficiently with law enforcement, case management, and advocacy partners. This article describes existing educational offerings about human trafficking designed for a healthcare audience and makes recommendations for further curriculum development. A keyword search and structured analysis of peer-reviewed and gray literature, conducted in 2011 and 2012, yielded 27 items that provide basic guidance to health professionals on human trafficking. The 27 resources differed substantially in format, length, scope, and intended audience. Topic areas covered by these resources included trafficking definitions and scope, health consequences, victim identification, appropriate treatment, referral to services, legal issues, and security. None of the educational resources has been rigorously evaluated. There is a clear need to develop, implement, and evaluate high-quality education and training programs that focus on human trafficking for healthcare providers. Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  20. Conservation of living resources in a changing world

    NASA Astrophysics Data System (ADS)

    Teer, James G.

    1996-11-01

    Conservation of living resources is no longer parochial in scope; it is a global challenge. Ecological, social, political, and business interests operate in a network that reaches across seas, continents, and nations. Industries, including the electric utility industry, are diversifying in products and expanding into international markets. They soon discover that, while all nations have common goals for their peoples, conservation and environmental issues in less-developed nations have different dimensions and norms than are encountered in Western, affluent societies. In developing countries, survival is more of an issue than quality of life, and burgeoning human numbers have put tremendous pressures on resources including wildlife and its habitats. Human population, urbanization of society, changes in single-species to ecosystem and landscape levels of management, and protectionists and animal rights philosophies are influences with which conservation of resources and the environment must contend. The human condition and conservation efforts are inextricably linked. Examples to demonstrate this fact are given for Project Tiger in India, the jaguar in Latin America, and the Serengeti ecosystem in Kenya and Tanzania.

  1. Importance of good manufacturing practices in microbiological monitoring in processing human tissues for transplant.

    PubMed

    Pianigiani, Elisa; Ierardi, Francesca; Fimiani, Michele

    2013-12-01

    Skin allografts represent an important therapeutic resource in the treatment of severe skin loss. The risk associated with application of processed tissues in humans is very low, however, human material always carries the risk of disease transmission. To minimise the risk of contamination of grafts, processing is carried out in clean rooms where air quality is monitored. Procedures and quality control tests are performed to standardise the production process and to guarantee the final product for human use. Since we only validate and distribute aseptic tissues, we conducted a study to determine what type of quality controls for skin processing are the most suitable for detecting processing errors and intercurrent contamination, and for faithfully mapping the process without unduly increasing production costs. Two different methods for quality control were statistically compared using the Fisher exact test. On the basis of the current study we selected our quality control procedure based on pre- and post-processing tissue controls, operator and environmental controls. Evaluation of the predictability of our control methods showed that tissue control was the most reliable method of revealing microbial contamination of grafts. We obtained 100 % sensitivity by doubling tissue controls, while maintaining high specificity (77 %).

  2. Global impacts of conversions from natural to agricultural ecosystems on water resources: Quantity versus quality

    NASA Astrophysics Data System (ADS)

    Scanlon, Bridget R.; Jolly, Ian; Sophocleous, Marios; Zhang, Lu

    2007-03-01

    Past land use changes have greatly impacted global water resources, with often opposing effects on water quantity and quality. Increases in rain-fed cropland (460%) and pastureland (560%) during the past 300 years from forest and grasslands decreased evapotranspiration and increased recharge (two orders of magnitude) and streamflow (one order of magnitude). However, increased water quantity degraded water quality by mobilization of salts, salinization caused by shallow water tables, and fertilizer leaching into underlying aquifers that discharge to streams. Since the 1950s, irrigated agriculture has expanded globally by 174%, accounting for ˜90% of global freshwater consumption. Irrigation based on surface water reduced streamflow and raised water tables resulting in waterlogging in many areas (China, India, and United States). Marked increases in groundwater-fed irrigation in the last few decades in these areas has lowered water tables (≤1 m/yr) and reduced streamflow. Degradation of water quality in irrigated areas has resulted from processes similar to those in rain-fed agriculture: salt mobilization, salinization in waterlogged areas, and fertilizer leaching. Strategies for remediating water resource problems related to agriculture often have opposing effects on water quantity and quality. Long time lags (decades to centuries) between land use changes and system response (e.g., recharge, streamflow, and water quality), particularly in semiarid regions, mean that the full impact of land use changes has not been realized in many areas and remediation to reverse impacts will also take a long time. Future land use changes should consider potential impacts on water resources, particularly trade-offs between water, salt, and nutrient balances, to develop sustainable water resources to meet human and ecosystem needs.

  3. Global impacts of conversions from natural to agricultural ecosystems on water resources: Quantity versus quality

    USGS Publications Warehouse

    Scanlon, Bridget R.; Jolly, Ian; Sophocleous, Marios; Zhang, Lu

    2007-01-01

    Past land use changes have greatly impacted global water resources, with often opposing effects on water quantity and quality. Increases in rain‐fed cropland (460%) and pastureland (560%) during the past 300 years from forest and grasslands decreased evapotranspiration and increased recharge (two orders of magnitude) and streamflow (one order of magnitude). However, increased water quantity degraded water quality by mobilization of salts, salinization caused by shallow water tables, and fertilizer leaching into underlying aquifers that discharge to streams. Since the 1950s, irrigated agriculture has expanded globally by 174%, accounting for ∼90% of global freshwater consumption. Irrigation based on surface water reduced streamflow and raised water tables resulting in waterlogging in many areas (China, India, and United States). Marked increases in groundwater‐fed irrigation in the last few decades in these areas has lowered water tables (≤1 m/yr) and reduced streamflow. Degradation of water quality in irrigated areas has resulted from processes similar to those in rain‐fed agriculture: salt mobilization, salinization in waterlogged areas, and fertilizer leaching. Strategies for remediating water resource problems related to agriculture often have opposing effects on water quantity and quality. Long time lags (decades to centuries) between land use changes and system response (e.g., recharge, streamflow, and water quality), particularly in semiarid regions, mean that the full impact of land use changes has not been realized in many areas and remediation to reverse impacts will also take a long time. Future land use changes should consider potential impacts on water resources, particularly trade‐offs between water, salt, and nutrient balances, to develop sustainable water resources to meet human and ecosystem needs.

  4. A comparison of human and machine translation of health promotion materials for public health practice: time, costs, and quality.

    PubMed

    Turner, Anne M; Bergman, Margo; Brownstein, Megumu; Cole, Kate; Kirchhoff, Katrin

    2014-01-01

    Most local public health departments serve limited English proficiency groups but lack sufficient resources to translate the health promotion materials that they produce into different languages. Machine translation (MT) with human postediting could fill this gap and work toward decreasing health disparities among non-English speakers. (1) To identify the time and costs associated with human translation (HT) of public health documents, (2) determine the time necessary for human postediting of MT, and (3) compare the quality of postedited MT and HT. A quality comparison of 25 MT and HT documents was performed with public health translators. The public health professionals involved were queried about the workflow, costs, and time for HT of 11 English public health documents over a 20-month period. Three recently translated documents of similar size and topic were then machine translated, the time for human postediting was recorded, and a blind quality analysis was performed. Seattle/King County, Washington. Public health professionals. (1) Estimated times for various HT tasks; (2) observed postediting times for MT documents; (3) actual costs for HT; and (4) comparison of quality ratings for HT and MT. Human translation via local health department methods took 17 hours to 6 days. While HT postediting words per minute ranged from 1.58 to 5.88, MT plus human postediting words per minute ranged from 10 to 30. The cost of HT ranged from $130 to $1220; MT required no additional costs. A quality comparison by bilingual public health professionals showed that MT and HT were equivalently preferred. MT with human postediting can reduce the time and costs of translating public health materials while maintaining quality similar to HT. In conjunction with postediting, MT could greatly improve the availability of multilingual public health materials.

  5. Technology and Participation in Japanese Factories: The Consequences for Morale and Productivity.

    ERIC Educational Resources Information Center

    Hull, Frank; Azumi, Koya

    1988-01-01

    By fully using their human resources, Japanese factories mass produce goods of low cost and high quality. Participation in Japanese factories occurs in a more hierarchical framework than advocated in the Western model of worker democracy. (JOW)

  6. CLUSTER ANALYSIS OF GREAT BASIN ECOREGIONS USING R-EMAP STREAM DATA

    EPA Science Inventory

    Ecological regions ( ecoregions ) are defined as areas of relative homogeneity in ecosystem type, quality and quantity of environmental resources. Ecoregions are identified by analyzing biotic and abiotic geographic patterns, which are natural and human related. Parameters used i...

  7. World Population Crisis.

    ERIC Educational Resources Information Center

    Ehrlich, Paul R.; Ehrlich, Anne H.

    1986-01-01

    Rapid population growth, rising competition for resources, and increasing environmental deterioration are intertwined factors in the human predicament that feed political tensions and conflicts of the late twentieth century. Outlines dimensions of this predicament (including data on population, growth, military spending, quality of life, and…

  8. 7 CFR 3407.6 - Categorical exclusions.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...; (iii) Inventories, research activities and studies, such as resource inventories and routine data... cumulative impacts on the quality of the human environment: (i) The following categories of research programs...) Research conducted within any laboratory, greenhouse, or other contained facility where research practices...

  9. ENVIRONMENTAL ACCOUNTING: BALANCING ECONOMIC GROWTH AND ENVIRONMENTAL QUALITY

    EPA Science Inventory

    Modern industrial economies depend on the environment to support economic production and a high standard of living. Economic production, in turn, impacts the productivity of ecosystems through waste production and resource use or diversion. Human activities control many energy an...

  10. The birds did it!

    EPA Science Inventory

    The US EPA and WHO have set recreational water quality standards based on epidemiologic studies to protect human health at beaches. These studies have largely been limited to sewage-impacted sites, and resources are unlikely to be available to assess the myriad of other impacted...

  11. Agriculture — A river runs through it — The connections between agriculture and water quality

    USGS Publications Warehouse

    Capel, Paul D.; McCarthy, Kathleen A.; Coupe, Richard H.; Grey, Katia M.; Amenumey, Sheila E.; Baker, Nancy T.; Johnson, Richard L.

    2018-06-06

    Sustaining the quality of the Nation’s water resources and the health of our diverse ecosystems depends on the availability of sound water-resources data and information to develop effective, science-based policies. Effective management of water resources also brings more certainty and efficiency to important economic sectors. Taken together, these actions lead to immediate and longterm economic, social, and environmental benefits that make a difference to the lives of the almost 400 million people projected to live in the United States by 2050.In 1991, Congress established the U.S. Geological Survey National Water-Quality Assessment (NAWQA) to address where, when, why, and how the Nation’s water quality has changed, or is likely to change in the future, in response to human activities and natural factors. Since then, NAWQA has been a leading source of scientific data and knowledge used by national, regional, state, and local agencies to develop science-based policies and management strategies to improve and protect water resources used for drinking water, recreation, irrigation, energy development, and ecosystem needs. Plans for the third decade of NAWQA (2013–23) address priority water-quality issues and science needs identified by NAWQA stakeholders, such as the Advisory Committee on Water Information and the National Research Council, and are designed to meet increasing challenges related to population growth, increasing needs for clean water, and changing land-use and weather patterns.This report is one of a series of publications, The Quality of Our Nation’s Waters, which describes major findings of the NAWQA Project on water-quality issues of regional and national concern and provides science-based information for assessing and managing the quality of our groundwater resources. Other reports in this series focus on occurrence and distribution of nutrients, pesticides, and volatile organic compounds in streams and groundwater, the effects of contaminants and stream-flow alteration on the condition of aquatic communities in streams, and on the quality of groundwater from private domestic and public supply wells. Each reports builds toward a more comprehensive understanding of the quality of regional and national water resources. All NAWQA reports are available online (https://water.usgs.gov/nawqa/bib/).We hope this publication will provide you with insights and information to meet your water-resource needs and will foster increased citizen awareness and involvement in the protection and restoration of our Nation’s waters. The information in this report is intended primarily for those interested or involved in resource management and protection, conservation, regulation, and policymaking at the regional and national levels.

  12. Effects of modifying water environments on water supply and human health

    NASA Astrophysics Data System (ADS)

    Takizawa, S.; Nguyen, H. T.; Takeda, T.; Tran, N. T.

    2008-12-01

    Due to increasing population and per-capita water demand, demands for water are increasing in many parts of the world. Consequently, overuse of limited water resources leaves only small amounts of water in rivers and is bringing about rapid drawdown of groundwater tables. Water resources are affected by human activities such as excessive inputs of nutrients and other contaminants, agriculture and aquaculture expansions, and many development activities. The combined effects of modifying the water environments, both in terms of quantity and quality, on water supply and human health are presented in the paper with some examples from the Asian countries. In rural and sub-urban areas in Bangladesh and Vietnam, for example, the traditional way of obtaining surface water from ponds had been replaced by taking groundwaters to avert the microbial health risks that had arisen from contamination by human wastes. Such a change of water sources, however, has brought about human health impact caused by arsenic on a massive scale. In Thailand, the industrial development has driven the residents to get groundwater leaden with very high fluoride. Monitoring the urine fluoride levels reveal the risk of drinking fluoride-laden groundwaters. Rivers are also affected by extensive exploitation such as sand mining. As a result, turbidity changes abruptly after a heavy rainfall. In cities, due to shrinking water resources they have to take poor quality waters from contaminated sources. Algal blooms are seen in many reservoirs and lakes due to increasing levels of nutrients. Hence, it is likely that algal toxins may enter the water supply systems. Because most of the water treatment plants are not designed to remove those known and unknown contaminants, it is estimated that quite a large number of people are now under the threat of the public health "gtime bomb,"h which may one day bring about mass-scale health problems. In order to mitigate the negative impacts of modifying the water environments on human health, we have to develop tools to assess and predict such impacts. This paper presents methodologies to assess the current status of water resources degradation and resultant effects on human health are discussed based on some case studies.

  13. Sustaining Waters: From Hydrology to Drinking Water

    NASA Astrophysics Data System (ADS)

    Toch, S.

    2003-04-01

    Around the world, disastrous effects of floods and droughts are painful evidence of our continuing struggle between human resource demands and the sustainability of our hydrologic systems. Too much or too little rainfall is often deemed the culprit in these water crises, focussing on water "lacks and needs" instead of exploring the mechanisms of the hydrologic functions and processes that sustain us. Applicable to regions around the world, this unified approach is about our human and environmental qualities with user friendly concepts and how-to guides backed up by real life experiences. From the poorest parts of Africa to Urban France to the wealthest state in the USA, examples from surface to groundwater to marine environments demonstrate how the links between vulerable natural areas, and the basins that they support are integral to the availability, adequacy and accessibility of our drinking water. Watershed management can be an effective means for crisis intervention and pollution control. This project is geared as a reference for groups, individuals and agencies concerned with watershed management, a supplement for interdisciplinary high school through university curriculam, for professional development in technical and field assistance, and for community awareness in the trade-offs and consequences of resource decisions that affect hydrologic systems. This community-based project demonstrates how our human resource demands can be managed within ecological constraints. An inter-disciplinary process is developed that specifically assesses risk to human health from resource use practices, and explores the similarities and interations between our human needs and those of the ecosystems in which we all must live together. Disastrous conditions worldwide have triggered reactions in crisis relief rather than crisis prevention. Through a unified management approach to the preservation of water quality, the flows of water that connect all water users can serve as a basis for the maintenance and protection of our valuable watersheds.

  14. External quality assurance performance of clinical research laboratories in sub-saharan Africa.

    PubMed

    Amukele, Timothy K; Michael, Kurt; Hanes, Mary; Miller, Robert E; Jackson, J Brooks

    2012-11-01

    Patient Safety Monitoring in International Laboratories (JHU-SMILE) is a resource at Johns Hopkins University that supports and monitors laboratories in National Institutes of Health-funded international clinical trials. To determine the impact of the JHU-SMILE quality assurance scheme in sub-Saharan African laboratories, we reviewed 40 to 60 months of external quality assurance (EQA) results of the College of American Pathologists (CAP) in these laboratories. We reviewed the performance of 8 analytes: albumin, alanine aminotransferase, creatinine, sodium, WBC, hemoglobin, hematocrit, and the human immunodeficiency virus antibody rapid test. Over the 40- to 60-month observation period, the sub-Saharan laboratories had a 1.63% failure rate, which was 40% lower than the 2011 CAP-wide rate of 2.8%. Seventy-six percent of the observed EQA failures occurred in 4 of the 21 laboratories. These results demonstrate that a system of remote monitoring, feedback, and audits can support quality in low-resource settings, even in places without strong regulatory support for laboratory quality.

  15. Perceptual quality prediction on authentically distorted images using a bag of features approach

    PubMed Central

    Ghadiyaram, Deepti; Bovik, Alan C.

    2017-01-01

    Current top-performing blind perceptual image quality prediction models are generally trained on legacy databases of human quality opinion scores on synthetically distorted images. Therefore, they learn image features that effectively predict human visual quality judgments of inauthentic and usually isolated (single) distortions. However, real-world images usually contain complex composite mixtures of multiple distortions. We study the perceptually relevant natural scene statistics of such authentically distorted images in different color spaces and transform domains. We propose a “bag of feature maps” approach that avoids assumptions about the type of distortion(s) contained in an image and instead focuses on capturing consistencies—or departures therefrom—of the statistics of real-world images. Using a large database of authentically distorted images, human opinions of them, and bags of features computed on them, we train a regressor to conduct image quality prediction. We demonstrate the competence of the features toward improving automatic perceptual quality prediction by testing a learned algorithm using them on a benchmark legacy database as well as on a newly introduced distortion-realistic resource called the LIVE In the Wild Image Quality Challenge Database. We extensively evaluate the perceptual quality prediction model and algorithm and show that it is able to achieve good-quality prediction power that is better than other leading models. PMID:28129417

  16. Groundwater quality in the Basin and Range Basin-Fill Aquifers, southwestern United States

    USGS Publications Warehouse

    Musgrove, MaryLynn; Belitz, Kenneth

    2017-01-19

    Groundwater provides nearly 50 percent of the Nation’s drinking water. To help protect this vital resource, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Project assesses groundwater quality in aquifers that are important sources of drinking water. The Basin and Range basin-fill aquifers constitute one of the important areas being evaluated. One or more inorganic constituents with human-health benchmarks were detected at high concentrations in about 20 percent of the study area and at moderate concentrations in about 49 percent. Organic constituents were not detected at high concentrations in the study area. One or more organic constituents with human-health benchmarks were detected at moderate concentrations in about 3 percent of the study area.

  17. Health-related rehabilitation services: assessing the global supply of and need for human resources

    PubMed Central

    2011-01-01

    Background Human resources for rehabilitation are often a neglected component of health services strengthening and health workforce development. This may be partly related to weaknesses in the available research and evidence to inform advocacy and programmatic strategies. The objective of this study was to quantitatively describe the global situation in terms of supply of and need for human resources for health-related rehabilitation services, as a basis for strategy development of the workforce in physical and rehabilitation medicine. Methods Data for assessing supply of and need for rehabilitative personnel were extracted and analyzed from statistical databases maintained by the World Health Organization and other national and international health information sources. Standardized classifications were used to enhance cross-national comparability of findings. Results Large differences were found across countries and regions between assessed need for services requiring health workers associated to physical and rehabilitation medicine against estimated supply of health personnel skilled in rehabilitation services. Despite greater need, low- and middle-income countries tended to report less availability of skilled health personnel, although the strength of the supply-need relationship varied across geographical and economic country groupings. Conclusion The evidence base on human resources for health-related rehabilitation services remains fragmented, the result of limited availability and use of quality, comparable data and information within and across countries. This assessment offered the first global baseline, intended to catalyze further research that can be translated into evidence to support human resources for rehabilitation policy and practice. PMID:22004560

  18. Medical physics staffing for radiation oncology: a decade of experience in Ontario, Canada

    PubMed Central

    Battista, Jerry J.; Patterson, Michael S.; Beaulieu, Luc; Sharpe, Michael B.; Schreiner, L. John; MacPherson, Miller S.; Van Dyk, Jacob

    2012-01-01

    The January 2010 articles in The New York Times generated intense focus on patient safety in radiation treatment, with physics staffing identified frequently as a critical factor for consistent quality assurance. The purpose of this work is to review our experience with medical physics staffing, and to propose a transparent and flexible staffing algorithm for general use. Guided by documented times required per routine procedure, we have developed a robust algorithm to estimate physics staffing needs according to center‐specific workload for medical physicists and associated support staff, in a manner we believe is adaptable to an evolving radiotherapy practice. We calculate requirements for each staffing type based on caseload, equipment inventory, quality assurance, educational programs, and administration. Average per‐case staffing ratios were also determined for larger‐scale human resource planning and used to model staffing needs for Ontario, Canada over the next 10 years. The workload specific algorithm was tested through a survey of Canadian cancer centers. For center‐specific human resource planning, we propose a grid of coefficients addressing specific workload factors for each staff group. For larger scale forecasting of human resource requirements, values of 260, 700, 300, 600, 1200, and 2000 treated cases per full‐time equivalent (FTE) were determined for medical physicists, physics assistants, dosimetrists, electronics technologists, mechanical technologists, and information technology specialists, respectively. PACS numbers: 87.55.N‐, 87.55.Qr PMID:22231223

  19. Medical physics staffing for radiation oncology: a decade of experience in Ontario, Canada.

    PubMed

    Battista, Jerry J; Clark, Brenda G; Patterson, Michael S; Beaulieu, Luc; Sharpe, Michael B; Schreiner, L John; MacPherson, Miller S; Van Dyk, Jacob

    2012-01-05

    The January 2010 articles in The New York Times generated intense focus on patient safety in radiation treatment, with physics staffing identified frequently as a critical factor for consistent quality assurance. The purpose of this work is to review our experience with medical physics staffing, and to propose a transparent and flexible staffing algorithm for general use. Guided by documented times required per routine procedure, we have developed a robust algorithm to estimate physics staffing needs according to center-specific workload for medical physicists and associated support staff, in a manner we believe is adaptable to an evolving radiotherapy practice. We calculate requirements for each staffing type based on caseload, equipment inventory, quality assurance, educational programs, and administration. Average per-case staffing ratios were also determined for larger-scale human resource planning and used to model staffing needs for Ontario, Canada over the next 10 years. The workload specific algorithm was tested through a survey of Canadian cancer centers. For center-specific human resource planning, we propose a grid of coefficients addressing specific workload factors for each staff group. For larger scale forecasting of human resource requirements, values of 260, 700, 300, 600, 1200, and 2000 treated cases per full-time equivalent (FTE) were determined for medical physicists, physics assistants, dosimetrists, electronics technologists, mechanical technologists, and information technology specialists, respectively.

  20. The human qualities needed to complete the global eradication of polio

    PubMed Central

    2013-01-01

    Abstract Although the 99% decrease seen in global polio incidence between 1988 and 2000 represented remarkable progress towards polio eradication, tackling the last 1% of polio has proved tantalizingly difficult. Pockets of endemic transmission currently persist both on the border between Afghanistan and Pakistan and in northern Nigeria. These pockets have permitted the reinfection of countries that were previously polio-free. Global strategic plans for polio eradication set out the activities, resources and financing needed to overcome the managerial, technical and security challenges faced by those tasked with the interruption of poliovirus transmission. However, polio eradication also depends on the less tangible but equally important human qualities of energy, realism, articulacy, determination, imagination, collaboration, adaptability, tactical awareness, innovation, openness and nimbleness (the initial letters of which give the acronym “ERADICATION”). By paying attention to these human qualities, the stakeholders involved may be more likely to achieve global polio eradication. PMID:23599552

  1. Water-Quality Assessment of the High Plains Aquifer, 1999-2004

    USGS Publications Warehouse

    McMahon, Peter B.; Dennehy, Kevin F.; Bruce, Breton W.; Gurdak, Jason J.; Qi, Sharon L.

    2007-01-01

    Water quality of the High Plains aquifer was assessed for the period 1999-2004 as part of the U.S. Geological Survey's National Water-Quality Assessment (NAWQA) Program. This effort represents the first systematic regional assessment of water quality in this nationally important aquifer. A stratified, nested group of studies was designed to assess linkages between the quality of water recharging the aquifer, the effect of transport through the hydrologic system on water quality, and the quality of the resource used for human consumption and agricultural applications. The stratified, nested design facilitated upscaling of monitoring results to unmonitored areas of the aquifer as well as upscaling of process understanding from local to regional scales.

  2. Algae Assessment of Threats to Freshwater Ecosystems: Trends, Challenges, and Opportunities

    EPA Science Inventory

    As human populations continue to grow, the demands for freshwater resources and ecosystem services are increasing along with concomitant threats to their quality and sustainability. Algal communities in streams, lakes, and wetlands offer powerful insight into assessing and managi...

  3. 42 CFR 494.180 - Condition: Governance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... responsibility for the management of the facility and the provision of all dialysis services, including, but not...; and (4) Allocation of necessary staff and other resources for the facility's quality assessment and...

  4. Assessing the Organizational Characteristics Influencing Quality Improvement Implementation in Saudi Hospitals.

    PubMed

    Shamsuddin Alaraki, Mohammad

    The health care system in Saudi Arabia has serious problems with quality and safety that can be reduced through systematic quality improvement (QI) activities. Despite the use of different QI models to improve health care in Saudi hospitals during the last 2 decades, consistent improvements have not yet been achieved and the results are still far below expectations. This may reflect a problem in introducing and implementing the QI models in the local contexts. The objective of this study is to assess the extent of QI implementation in Saudi hospitals and to identify the organizational characteristics that make Saudi hospitals particularly challenging for QI. Understanding these characteristics can inform efforts to improve them and may lead to more successful implementation. A mixed-methods approach was conducted using 2 data collection tools: questionnaires and interviews. The quantitative phase (questionnaires) aimed to uncover the current level of QI implementation in Saudi hospital as measured by 7 critical dimensions adapted from the literature. The qualitative phase (interviews) aimed to understand the organizational characteristics that impede or underpin QI in Saudi hospitals. The QI implementation was found to be significantly poor across the 7 dimensions with average score ranging between 22.80 ± 0.57 and 2.11 ± 0.69 on a 5-point Likert scale and with P value of less than .05. We also found that the current level of QI implementation helped Saudi hospitals neither to improve "customer satisfaction" nor to achieve measurable improvements in "quality results" scoring significantly low at 2.11 ± 0.69 with P value of .000 and 2.47 ± 0.57 with P value of .000, respectively. Our study confirms the presence of a multitude of organizational barriers that impede QI in Saudi hospitals. These are related to organizational culture, human resources management, processes and systems, and structure. These 4 were found to have the strongest impact on QI in Saudi hospitals. It appears that the most important contributing factors to the successful implementation of QI in Saudi hospitals are proper human resources utilization and effective quality management. Through careful planning, change management, proper utilization of human resources, supportive quality information systems, focus on processes and systems, structural support, and an organizational culture that is compatible with QI philosophy, Saudi hospitals will be more capable in achieving sustained measureable improvements in the quality and safety of patient care.

  5. [Regional integration, population health needs, and human resources for health systems and services: an approach to the concept of health care gap].

    PubMed

    Schweiger, Arturo Luis Francisco; Alvarez, Daniela Teresita

    2007-01-01

    The existence of gaps between the population's health needs and the human resources available for meeting them, as well as limitations in the methods to estimate such needs, constitute key factors to be tackled in the development and integration of health systems in Latin America. This aim of this study was to conduct an initial literature review on the tools and procedures used to estimate and plan human resources allocation in health and to use this review as the basis for identifying the advantages, limitations, and complementary characteristics of these tools, subsequently proposing the need for more in-depth studies on their applicability for designing regional health policies. The article then presents the concept of global public health goods, the generation and use of which results in a strategic alternative for improving both health systems integration in the region and quality of life for the population covered by such services.

  6. Resources and well-being among Arab-American elders.

    PubMed

    Ajrouch, Kristine J

    2007-06-01

    This study addresses diversity of aging experiences by examining the associations among immigrant status, religious affiliation, and resources in the form of both human and social capital with the well-being of Arab-American elders. Data were drawn from a face-to-face survey of 101 Arab-American men and women aged 56 and over living in the metropolitan Detroit area. Correlations demonstrate that religious affiliation is not associated with well-being. Multiple regression analyses reveal that U.S. born Arab Americans reported less frequent feelings of depression and greater life satisfaction than did immigrants, but this variation appears to be accounted for by human capital indicators including education level and language. Social capital including perceptions of the ability to confide in child and relationship quality with spouse is significantly associated with well-being, yet does not constitute a pathway to well-being for Arab-American elders. Human and social capital represent valuable resources and their distribution within this immigrant/ethnic group is associated with noteworthy variations in well-being.

  7. Air quality and future energy system planning

    NASA Astrophysics Data System (ADS)

    Sobral Mourao, Zenaida; Konadu, Dennis; Lupton, Rick

    2016-04-01

    Ambient air pollution has been linked to an increasing number of premature deaths throughout the world. Projected increases in demand for food, energy resources and manufactured products will likely contribute to exacerbate air pollution with an increasing impact on human health, agricultural productivity and climate change. Current events such as tampering emissions tests by VW car manufacturers, failure to comply with EU Air Quality directives and WHO guidelines by many EU countries, the problem of smog in Chinese cities and new industrial emissions regulations represent unique challenges but also opportunities for regulators, local authorities and industry. However current models and practices of energy and resource use do not consider ambient air impacts as an integral part of the planing process. Furthermore the analysis of drivers, sources and impacts of air pollution is often fragmented, difficult to understand and lacks effective visualization tools that bring all of these components together. This work aims to develop a model that links impacts of air quality on human health and ecosystems to current and future developments in the energy system, industrial and agricultural activity and patterns of land use. The model will be added to the ForeseerTM tool, which is an integrated resource analysis platform that has been developed at the University of Cambridge initially with funding from BP and more recently through the EPSRC funded Whole Systems Energy Modeling (WholeSEM) project. The basis of the tool is a set of linked physical models for energy, water and land, including the technologies that are used to transform these resources into final services such as housing, food, transport and household goods. The new air quality model will explore different feedback effects between energy, land and atmospheric systems with the overarching goal of supporting better communication about the drivers of air quality and to incorporate concerns about air quality into energy system planning. Some example applications of this work are: (1) to discover conflicts and synergies between air quality regulations and future developments in the energy system and land use change; (2) to show the drivers of air quality in a given spatial context; (3) to explore effective ways to visualize impacts of different energy, land use and emissions control policies on air quality. An initial test case for the Bay Area in California will be presented, extending the scope of the existing California ForeseerTM tool to identify impacts of different policies within the water-energy-land nexus on local air quality.

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

    Fishkind, H.H.

    A wide array of general background information is presented on the Central Florida area in which the eucalyptus energy plantation and methanol refinery will be located. Five counties in Central Florida may be affected by the project, DeSoto, Hardee, Hillsborough, Manatee, and Polk. The human resources of the area are reviewed. Included are overviews of population demographic and economic trends. Land use patterns and the transportation are system described, and the region's archeological and recreational resources are evaluated. The region's air quality is emphasized. The overall climate is described along with noise and air shed properties. An analysis of themore » region's water resources is included. Ground water is discussed first followed by an analysis of surface water. Then the overall quality and water supply/demand balance for the area is evaluated. An overview of the region's biota is presented. Included here are discussions of the general ecosystems in Central Florida, and an analysis of areas with important biological significance. Finally, land resources are examined.« less

  9. USGS Science: Addressing Our Nation's Challenges

    USGS Publications Warehouse

    Larson, Tania M.

    2009-01-01

    With 6.6 billion people already living on Earth, and that number increasing every day, human influence on our planet is ever more apparent. Changes to the natural world combined with increasing human demands threaten our health and safety, our national security, our economy, and our quality of life. As a planet and a Nation, we face unprecedented challenges: loss of critical and unique ecosystems, the effects of climate change, increasing demand for limited energy and mineral resources, increasing vulnerability to natural hazards, the effects of emerging diseases on wildlife and human health, and growing needs for clean water. The time to respond to these challenges is now, but policymakers and decisionmakers face difficult choices. With competing priorities to balance, and potentially serious - perhaps irreversible - consequences at stake, our leaders need reliable scientific information to guide their decisions. As the Nation's earth and natural science agency, the USGS monitors and conducts scientific research on natural hazards and resources and how these elements and human activities influence our environment. Because the challenges we face are complex, the science needed to better understand and deal with these challenges must reflect the complex interplay among natural and human systems. With world-class expertise in biology, geology, geography, hydrology, geospatial information, and remote sensing, the USGS is uniquely capable of conducting the comprehensive scientific research needed to better understand the interdependent interactions of Earth's systems. Every day, the USGS helps decisionmakers to minimize loss of life and property, manage our natural resources, and protect and enhance our quality of life. This brochure provides examples of the challenges we face and how USGS science helps decisionmakers to address these challenges.

  10. The role of information and communication technology in developing smart education

    NASA Astrophysics Data System (ADS)

    Roslina; Zarlis, Muhammad; Mawengkang, Herman; Sembiring, R. W.

    2017-09-01

    The right to get a proper education for every citizen had been regulated by the government, but not all citizens have the same opportunity. This is due to the other factors in the nation's infrastructure, Frontier, Outermost, and Disadvantaged (3T) which have not beenaccomodatedto access information and communication technology (ICT), and the ideal learning environment in order to pursue knowledge. This condition could be achieved by reforming higher education. Such reforms include the provision of educational services in the form of a flexible learner-oriented, and to change the curriculum with market based.These changes would include the provision of lecturers, professors, and professional teaching force. Another important effort is to update the quality of higher education with resource utilization. This paper proposes a new education business model to realize the Smart Education (SE), with an orientation on the proven skills and competitive.SE is the higher education system to optimize output (outcome) learning with combine individual learning and collaboration techniques based network system, informal practice learning and formal theory. UtilizingICT resources can improve the quality and access to higher education in supporting activities of higher education.This paper shows that ICT resources can support virtual connected with the use of shared resources, such as resource of information, learning resources, computing resources, and human resources.

  11. Leading toward value: the role of strategic human resource management in health system adaptability.

    PubMed

    Garman, Andrew N; Polavarapu, Nandakishor; Grady, Jane C; Canar, W Jeffrey

    2013-01-01

    Personnel costs typically account for 60% or more of total operating expenses in health systems, and as such become a necessary focus in most if not all substantive health reform adaptations. This study sought to assess whether strategic alignment of the human resource (HR) and learning functions was associated with greater adaptive capacity in U.S. health systems. Data were gathered using a survey that was distributed electronically to chief human resource officers from two U.S.-based associations. The survey included questions about organizational structure, strategic human resource management, strategic learning, and organizational response to health reform. Significant correlations were found between strategic alignment of HR and HR's involvement in responses related to cost control (r = 0.46, p < 0.01); quality improvement (r = 0.45, p < 0.01), and patient access (r = 0.39, p < 0.01). However, no significant relationships were found between strategic alignment of organizational learning and HR involvement with these responses. Results suggest that HR structure may affect an organization's capacity for adaptive response. Top-management teams in health systems should consider positioning HR as part of the core leadership team, with a reporting relationship that allows HR to maximally participate in formulating and implementing organizational adaptation.

  12. Quality management and the work environment: an empirical investigation in a public sector organization.

    PubMed

    Taveira, Alvaro D; James, Craig A; Karsh, Ben -Tzion; Sainfort, François

    2003-07-01

    The integration of quality management initiatives, particularly total quality management (TQM), and ergonomics has received increasing attention from scholars and practitioners. Above all, the question of how TQM programs relate to ergonomic aspects of organizational design and culture is at the center of this discussion. This study examines how elements of a "typical", Deming-inspired, TQM program in the public sector interact with the work environment. Elements of the TQM program were defined and measured using the Malcom Baldridge Award criteria. The specific elements examined were "Management Support of Quality", "Information and Analysis", "Human Resources", "Processes and Quality Results", and "Customer Focus and Satisfaction". The relationship between these TQM elements and the work environment were defined through five separate hypotheses. The work environment was described by the constructs "Supervisor Support", "Task Clarity", "Task Orientation", and "Innovation". Data were obtained through survey questionnaires administered to employees of four departments in a municipal government organization. Results supported three of the hypotheses, but produced some unanticipated outcomes with regard to the other two. Namely, "Management Support of Quality" was significantly related to "Supervisor Support", "Task Orientation", "Task Clarity" and "Innovation"; "Human Resources" was significantly related to "Supervisor Support"; "Processes and Quality Results" was significantly related to "Task Orientation" and "Innovation". Contrary to predicted "Information and Analysis" was negatively related to "Innovation", and "Customer Focus" was unrelated to any of the outcome variables. The relationships between these TQM elements and work environment dimensions are discussed. Implications for TQM and ergonomic practice are analyzed, and directions for future research proposed.

  13. Knowledge-based personalized search engine for the Web-based Human Musculoskeletal System Resources (HMSR) in biomechanics.

    PubMed

    Dao, Tien Tuan; Hoang, Tuan Nha; Ta, Xuan Hien; Tho, Marie Christine Ho Ba

    2013-02-01

    Human musculoskeletal system resources of the human body are valuable for the learning and medical purposes. Internet-based information from conventional search engines such as Google or Yahoo cannot response to the need of useful, accurate, reliable and good-quality human musculoskeletal resources related to medical processes, pathological knowledge and practical expertise. In this present work, an advanced knowledge-based personalized search engine was developed. Our search engine was based on a client-server multi-layer multi-agent architecture and the principle of semantic web services to acquire dynamically accurate and reliable HMSR information by a semantic processing and visualization approach. A security-enhanced mechanism was applied to protect the medical information. A multi-agent crawler was implemented to develop a content-based database of HMSR information. A new semantic-based PageRank score with related mathematical formulas were also defined and implemented. As the results, semantic web service descriptions were presented in OWL, WSDL and OWL-S formats. Operational scenarios with related web-based interfaces for personal computers and mobile devices were presented and analyzed. Functional comparison between our knowledge-based search engine, a conventional search engine and a semantic search engine showed the originality and the robustness of our knowledge-based personalized search engine. In fact, our knowledge-based personalized search engine allows different users such as orthopedic patient and experts or healthcare system managers or medical students to access remotely into useful, accurate, reliable and good-quality HMSR information for their learning and medical purposes. Copyright © 2012 Elsevier Inc. All rights reserved.

  14. An applied hydropedological perspective on the rendering of ecosystem services from urban soils

    EPA Science Inventory

    Ecosystem services are benefits to human populations derived from natural capitals like soil. When a soil is urbanized during infrastructure and superstructure development, the related processes modulate the state and quality of natural resources, along with the form and function...

  15. Environmental Education in the Galapagos: Where Do We Go From Here?

    ERIC Educational Resources Information Center

    Stepath, Carl M.

    2009-01-01

    Our future leaders' environmental understanding improves their resource management skills and decision-making capacity. Community awareness and "hands-on" involvement preserves bio-diversity and addresses human impacts. This report discusses the importance of environmental education, and effective learning programs. Quality education in…

  16. From the Shop Floor to the Executive Suite.

    ERIC Educational Resources Information Center

    Lemons, William L.

    1985-01-01

    Describes the Productivity Group, created by the Oklahoma State Department of Vocational and Technical Education. The Group boosts small businesses by making available quality management development programs and human resource consulting services. The article discusses program management, costs, and the business community's response. (CT)

  17. The Learning Organisation: Results of a Benchmarking Study.

    ERIC Educational Resources Information Center

    Zairi, Mohamed

    1999-01-01

    Learning in corporations was assessed using these benchmarks: core qualities of creative organizations, characteristic of organizational creativity, attributes of flexible organizations, use of diversity and conflict, creative human resource management systems, and effective and successful teams. These benchmarks are key elements of the learning…

  18. 7 CFR 3407.6 - Categorical exclusions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...; (iii) Inventories, research activities and studies, such as resource inventories and routine data... impacts on the quality of the human environment: (i) The following categories of research programs or projects of limited size and magnitude or with only short-term effects on the environment: (A) Research...

  19. 7 CFR 3407.6 - Categorical exclusions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...; (iii) Inventories, research activities and studies, such as resource inventories and routine data... impacts on the quality of the human environment: (i) The following categories of research programs or projects of limited size and magnitude or with only short-term effects on the environment: (A) Research...

  20. 7 CFR 3407.6 - Categorical exclusions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...; (iii) Inventories, research activities and studies, such as resource inventories and routine data... impacts on the quality of the human environment: (i) The following categories of research programs or projects of limited size and magnitude or with only short-term effects on the environment: (A) Research...

  1. Phosphorus recovery and reuse from waste streams

    USDA-ARS?s Scientific Manuscript database

    Phosphorus (P) is a macronutrient essential for all living organisms. Regrettably, it is a finite resource since phosphate rock (PR) is the main material used for production of P fertilizers. Globally, the demand for quality PR is escalating due to many factors including increasing human population....

  2. Use of Hyperspectral Remote Sensing to Evaluate Efficacy of Aquatic Plant Management

    USDA-ARS?s Scientific Manuscript database

    Invasive aquatic weeds negatively affect biodiversity, fluvial dynamics, water quality, and water storage and conveyance for a variety of human resource demands. In California’s Sacramento-San Joaquin River Delta one submersed species - Brazilian waterweed (Egeria densa) - and one floating species ...

  3. Conditioning Factors of an Organizational Learning Culture

    ERIC Educational Resources Information Center

    Rebelo, Teresa Manuela; Gomes, Adelino Duarte

    2011-01-01

    Purpose: The aim of this study is to assess the relationship between some variables (organizational structure, organizational dimension and age, human resource characteristics, the external environment, strategy and quality) and organizational learning culture and evaluate the way they interact with this kind of culture.…

  4. A LEAN approach toward automated analysis and data processing of polymers using proton NMR spectroscopy.

    PubMed

    de Brouwer, Hans; Stegeman, Gerrit

    2011-02-01

    To maximize utilization of expensive laboratory instruments and to make most effective use of skilled human resources, the entire chain of data processing, calculation, and reporting that is needed to transform raw NMR data into meaningful results was automated. The LEAN process improvement tools were used to identify non-value-added steps in the existing process. These steps were eliminated using an in-house developed software package, which allowed us to meet the key requirement of improving quality and reliability compared with the existing process while freeing up valuable human resources and increasing productivity. Reliability and quality were improved by the consistent data treatment as performed by the software and the uniform administration of results. Automating a single NMR spectrophotometer led to a reduction in operator time of 35%, doubling of the annual sample throughput from 1400 to 2800, and reducing the turn around time from 6 days to less than 2. Copyright © 2011 Society for Laboratory Automation and Screening. Published by Elsevier Inc. All rights reserved.

  5. [Job Satisfaction: a quality indicator in nursing human resource management].

    PubMed

    Siqueira, Vera Thânia Alves; Kurcgant, Paulina

    2012-02-01

    This descriptive study addresses the job satisfaction of nurse managers and clinical nurses working at the Hematology and Hemotherapy Services of a public hospital in São Paulo. The study objectives were to identify the factors that caused job satisfaction among nurse managers and clinical nurses, and support the results in the development of indicators to evaluate the quality of nursing human resource management. The components of the study were: autonomy, interaction, professional status, job requirements, organizational norms and remuneration. Participants were 44 nurses. Data were collected using a Job Satisfaction Index (JSI) questionnaire. In conclusion, this study permitted the identification of the clinical nurse group, which was the most satisfied, with a JSI of 10.5; the managerial group scored 10.0. Regarding the satisfaction levels in regards to the current activity, 88.9% of the nurse managers reported feeling satisfied, as did 90.9% of clinical nurses. For both groups, autonomy was the component with the highest level of professional satisfaction.

  6. Parents face quantity-quality trade-offs between reproduction and investment in offspring in Iceland.

    PubMed

    Lynch, Robert Francis

    2016-05-01

    How to optimally allocate time, energy and investment in an effort to maximize one's reproductive success is a fundamental problem faced by all organisms. This effort is complicated when the production of each additional offspring dilutes the total resources available for parental investment. Although a quantity-quality trade-off between producing and investing in offspring has long been assumed in evolutionary biology, testing it directly in humans is difficult, partly owing to the long generation time of our species. Using data from an Icelandic genealogy (Íslendingabók) over two centuries, I address this issue and analyse the quantity-quality trade-off in humans. I demonstrate that the primary impact of parents on the fitness of their children is the result of resources and or investment, but not genes. This effect changes significantly across time, in response to environmental conditions. Overall, increasing reproduction has negative fitness consequences on offspring, such that each additional sibling reduces an individual's average lifespan and lifetime reproductive success. This analysis provides insights into the evolutionary conflict between producing and investing in children while also shedding light on some of the causes of the demographic transition.

  7. Coordinated Multiple Cadaver Use for Minimally Invasive Surgical Training

    PubMed Central

    Blaschko, Sarah D.; Brooks, H. Mark; Dhuy, S. Michael; Charest-Shell, Cynthia; Clayman, Ralph V.

    2007-01-01

    Background: The human cadaver remains the gold standard for anatomic training and is highly useful when incorporated into minimally invasive surgical training programs. However, this valuable resource is often not used to its full potential due to a lack of multidisciplinary cooperation. Herein, we propose the coordinated multiple use of individual cadavers to better utilize anatomical resources and potentiate the availability of cadaver training. Methods: Twenty-two postgraduate surgeons participated in a robot-assisted surgical training course that utilized shared cadavers. All participants completed a Likert 4-scale satisfaction questionnaire after their training session. Cadaveric tissue quality and the quality of the training session related to this material were assessed. Results: Nine participants rated the quality of the cadaveric tissue as excellent, 7 as good, 5 as unsatisfactory, and 1 as poor. Overall, 72% of participants who operated on a previously used cadaver were satisfied with their training experience and did not perceive the previous use deleterious to their training. Conclusion: The coordinated use of cadavers, which allows for multiple cadaver use for different teaching sessions, is an excellent training method that increases availability of human anatomical material for minimally invasive surgical training. PMID:18237501

  8. Factors Affecting Quality of Laboratory Services in Public and Private Health Facilities in Addis Ababa, Ethiopia.

    PubMed

    Mesfin, Eyob Abera; Taye, Binyam; Belay, Getachew; Ashenafi, Aytenew; Girma, Veronica

    2017-10-01

    Quality laboratory service is an essential component of health care system but in Sub-Saharan Africa such as Ethiopia, laboratories quality system remains weak due to several factors and it needs more attention to strengthen its capacity and quality system. A cross sectional study was conducted using a questionnaire to assess factors affecting the quality of laboratory service at private and public health institutions in Addis Ababa. A total of 213 laboratory professionals participated in the study and 131 (61.5%) participants had bachelor degree. Majority, 133 (62.4%), of the professionals did not attend any work related training. Seventy five (35.2%) respondents believed that their laboratories did not provide quality laboratory services and the major reported factors affecting provision of quality services were shortage of resources (64.3%), poor management support (57.3%), poor equipment quality (53.4%), high workload (41.1%), lack of equipment calibration (38.3%) and lack of knowledge (23.3%). Moreover logistic regression analysis showed that provision of quality laboratory service was significantly associated with result verification (AOR=9.21, 95% CI=2.26, 37.48), internal quality control (AOR= 6.11, 95% CI=2.11, 17.70), turnaround time (AOR=5.11, 95% CI=1.94, 13.46), shortage of equipment (AOR=7.76, 95% CI=2.55, 23.66), communication with clinicians (AOR=3.24, 95% CI=1.25, 8.41) and lack of job description (AOR=3.67, 95% CI=1.319, 10.22). In conclusion, the major factors that affecting the quality of laboratory service were associated with poor human resource management, poor resources provision, poor management commitment, ineffective communication system and lack of well-established quality management system.

  9. Factors Affecting Quality of Laboratory Services in Public and Private Health Facilities in Addis Ababa, Ethiopia

    PubMed Central

    Taye, Binyam; Belay, Getachew; Ashenafi, Aytenew; Girma, Veronica

    2017-01-01

    Background Quality laboratory service is an essential component of health care system but in Sub-Saharan Africa such as Ethiopia, laboratories quality system remains weak due to several factors and it needs more attention to strengthen its capacity and quality system. Methodology A cross sectional study was conducted using a questionnaire to assess factors affecting the quality of laboratory service at private and public health institutions in Addis Ababa. Results A total of 213 laboratory professionals participated in the study and 131 (61.5%) participants had bachelor degree. Majority, 133 (62.4%), of the professionals did not attend any work related training. Seventy five (35.2%) respondents believed that their laboratories did not provide quality laboratory services and the major reported factors affecting provision of quality services were shortage of resources (64.3%), poor management support (57.3%), poor equipment quality (53.4%), high workload (41.1%), lack of equipment calibration (38.3%) and lack of knowledge (23.3%). Moreover logistic regression analysis showed that provision of quality laboratory service was significantly associated with result verification (AOR=9.21, 95% CI=2.26, 37.48), internal quality control (AOR= 6.11, 95% CI=2.11, 17.70), turnaround time (AOR=5.11, 95% CI=1.94, 13.46), shortage of equipment (AOR=7.76, 95% CI=2.55, 23.66), communication with clinicians (AOR=3.24, 95% CI=1.25, 8.41) and lack of job description (AOR=3.67, 95% CI=1.319, 10.22). Conclusion In conclusion, the major factors that affecting the quality of laboratory service were associated with poor human resource management, poor resources provision, poor management commitment, ineffective communication system and lack of well-established quality management system. PMID:29075171

  10. Improving the Quality of Child Care. Hearing of the Committee on Labor and Human Resources on Examining Proposals To Improve the Quality of Child Care in the United States, Including the Proposed Creating Improved Delivery of Child Care: Affordable, Reliable, and Educational Act of 1997. United States Senate, One Hundred Fifth Congress. First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    These hearings transcripts present testimony on proposals to improve the quality of child care in the United States. Both oral and submitted written statements are included. Contributors are: Representative Peter Deutsch (Florida); Senator James M. Jeffords, committee chairman; Senator Mike Enzi (Wyoming); Senator Edward M. Kennedy…

  11. Better Teachers for Today's Classroom: How to Make it Happen. Hearing on Examining Proposals To Provide More Qualified Teachers in the American Classroom, Focusing on Certain Provisions on the Proposed Higher Education Amendments of 1998 (S. 1882 and H.R. 6) Affecting Institutional Eligibility for Student Aid under Title IV of the Higher Education Act. Committee on Labor and Human Resources. United States Senate, One Hundred Fifth Congress, Second Session (May 7, 1998).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    The Committee on Labor and Human Resources examined the need for more qualified teachers in America's classrooms. Senators Bingaman and Jeffords made opening statements regarding the importance of the issue, then Margot Schenet, a specialist in social legislation with the Congressional Research Service, discussed the need for program quality in…

  12. Health system changes under pay-for-performance: the effects of Rwanda's national programme on facility inputs.

    PubMed

    Ngo, Diana K L; Sherry, Tisamarie B; Bauhoff, Sebastian

    2017-02-01

    Pay-for-performance (P4P) programmes have been introduced in numerous developing countries with the goal of increasing the provision and quality of health services through financial incentives. Despite the popularity of P4P, there is limited evidence on how providers achieve performance gains and how P4P affects health system quality by changing structural inputs. We explore these two questions in the context of Rwanda's 2006 national P4P programme by examining the programme's impact on structural quality measures drawn from international and national guidelines. Given the programme's previously documented success at increasing institutional delivery rates, we focus on a set of delivery-specific and more general structural inputs. Using the programme's quasi-randomized roll-out, we apply multivariate regression analysis to short-run facility data from the 2007 Service Provision Assessment. We find positive programme effects on the presence of maternity-related staff, the presence of covered waiting areas and a management indicator and a negative programme effect on delivery statistics monitoring. We find no effects on a set of other delivery-specific physical resources, delivery-specific human resources, delivery-specific operations, general physical resources and general human resources. Using mediation analysis, we find that the positive input differences explain a small and insignificant fraction of P4P's impact on institutional delivery rates. The results suggest that P4P increases provider availability and facility operations but is only weakly linked with short-run structural health system improvements overall. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  13. [Status and future of natural resource for Chinese materia medica].

    PubMed

    Ma, Xiao-jing; Guo, Juan; Tang, Jin-fu; Ma, Xiao-hui; Ma, Ying; Dai, Zhu-bo; Guo, Lan-ping; Huang, Lu-qi

    2015-05-01

    For thousands of years, the natural resource for Chinese materiamedica has been the foundation of the traditional Chinese medicine industry, which provides abundant medicine for human. In recent years, increasing demands and irrational exploitation led to a lot of problems such as rapid decrease of traditional Chinese herbs reserves, low quality of medicine and dismishing traditional cultures. These restricted the development of the traditional Chinese medicine. To solve these problems, scientists have done much work on investigating traditional Chinese medicine resources, exploring the metabolic pathway of bioactive ingredients, cultivating new varieties, and carrying out synthetic biology. These studies provided a theoretical basis for sustainable utilizationand future developmentof traditional Chinese medicine resources.

  14. Developing Hydrogeological Site Characterization Strategies based on Human Health Risk

    NASA Astrophysics Data System (ADS)

    de Barros, F.; Rubin, Y.; Maxwell, R. M.

    2013-12-01

    In order to provide better sustainable groundwater quality management and minimize the impact of contamination in humans, improved understanding and quantification of the interaction between hydrogeological models, geological site information and human health are needed. Considering the joint influence of these components in the overall human health risk assessment and the corresponding sources of uncertainty aid decision makers to better allocate resources in data acquisition campaigns. This is important to (1) achieve remediation goals in a cost-effective manner, (2) protect human health and (3) keep water supplies clean in order to keep with quality standards. Such task is challenging since a full characterization of the subsurface is unfeasible due to financial and technological constraints. In addition, human exposure and physiological response to contamination are subject to uncertainty and variability. Normally, sampling strategies are developed with the goal of reducing uncertainty, but less often they are developed in the context of their impacts on the overall system uncertainty. Therefore, quantifying the impact from each of these components (hydrogeological, behavioral and physiological) in final human health risk prediction can provide guidance for decision makers to best allocate resources towards minimal prediction uncertainty. In this presentation, a multi-component human health risk-based framework is presented which allows decision makers to set priorities through an information entropy-based visualization tool. Results highlight the role of characteristic length-scales characterizing flow and transport in determining data needs within an integrated hydrogeological-health framework. Conditions where uncertainty reduction in human health risk predictions may benefit from better understanding of the health component, as opposed to a more detailed hydrogeological characterization, are also discussed. Finally, results illustrate how different dose-response models can impact the probability of human health risk exceeding a regulatory threshold.

  15. Refining Automatically Extracted Knowledge Bases Using Crowdsourcing.

    PubMed

    Li, Chunhua; Zhao, Pengpeng; Sheng, Victor S; Xian, Xuefeng; Wu, Jian; Cui, Zhiming

    2017-01-01

    Machine-constructed knowledge bases often contain noisy and inaccurate facts. There exists significant work in developing automated algorithms for knowledge base refinement. Automated approaches improve the quality of knowledge bases but are far from perfect. In this paper, we leverage crowdsourcing to improve the quality of automatically extracted knowledge bases. As human labelling is costly, an important research challenge is how we can use limited human resources to maximize the quality improvement for a knowledge base. To address this problem, we first introduce a concept of semantic constraints that can be used to detect potential errors and do inference among candidate facts. Then, based on semantic constraints, we propose rank-based and graph-based algorithms for crowdsourced knowledge refining, which judiciously select the most beneficial candidate facts to conduct crowdsourcing and prune unnecessary questions. Our experiments show that our method improves the quality of knowledge bases significantly and outperforms state-of-the-art automatic methods under a reasonable crowdsourcing cost.

  16. Earth-Science Research for Addressing the Water-Energy Nexus

    NASA Astrophysics Data System (ADS)

    Healy, R. W.; Alley, W. M.; Engle, M.; McMahon, P. B.; Bales, J. D.

    2013-12-01

    In the coming decades, the United States will face two significant and sometimes competing challenges: preserving sustainable supplies of fresh water for humans and ecosystems, and ensuring available sources of energy. This presentation provides an overview of the earth-science data collection and research needed to address these challenges. Uncertainty limits our understanding of many aspects of the water-energy nexus. These aspects include availability of water, water requirements for energy development, energy requirements for treating and delivering fresh water, effects of emerging energy development technologies on water quality and quantity, and effects of future climates and land use on water and energy needs. Uncertainties can be reduced with an integrated approach that includes assessments of water availability and energy resources; monitoring of surface water and groundwater quantity and quality, water use, and energy use; research on impacts of energy waste streams, hydraulic fracturing, and other fuel-extraction processes on water quality; and research on the viability and environmental footprint of new technologies such as carbon capture and sequestration and conversion of cellulosic material to ethanol. Planning for water and energy development requires consideration of factors such as economics, population trends, human health, and societal values; however, sound resource management must be grounded on a clear understanding of the earth-science aspects of the water-energy nexus. Information gained from an earth-science data-collection and research program can improve our understanding of water and energy issues and lay the ground work for informed resource management.

  17. Changing Workplace.

    ERIC Educational Resources Information Center

    1998

    This document contains four papers from a symposium on the changing workplace and its relationship to human resource development (HRD). In "Globalization, Immigration and Quality of Life Dynamics for Reverse Brain Drains" (Ben-Chieh Liu, Maw Lin Lee, Hau-Lien), the factors responsible for the brain drain from Taiwan to the United States…

  18. 36 CFR 1010.1 - Policy.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Trust's policy is to: (a) Use all practical means, consistent with the Trust's statutory authority, available resources, and national policy, to protect and enhance the quality of the human environment; (b... actions by the Trust; (c) Use systematic and timely approaches which will ensure the integrated use of the...

  19. ENVIRONMENTAL RESTORATION AND PROTECTION STRATEGIES AT MULTIPLE SCALES IN RHODE ISLAND WATERSHEDS

    EPA Science Inventory

    Public concerns for the environment are often the basis for environmental regulations. The Clean Water Act seeks to ensure that water quality and quantity fully support aquatic life and human health. The legislative requirements help focus limited resources on areas where problem...

  20. [Research progress on water footprint in agricultural products].

    PubMed

    Lu, Yang; Liu, Xiu-wei; Zhang, Xi-ying

    2015-10-01

    Water is one of the important resources in human activities. Scientifically and rationally evaluating the effects of human activities on water resources is important for sustainable water resource management. The innovative concepts of water footprint (WF) distinguished the human water consumption into green water, blue water and grey water which extended the evaluation methods in sustainable utilization of water resources. Concepts of WF based on virtual water (VW) and based on life cycle assessment (LCA) both combined water quality and water quantity are now the focuses in agricultural water management researches. Theory of WF based on VW includes the calculation of green, blue and grey WF as well as the evaluation of the sustainability of water environment. Theory of WF based on LCA reflects the overall impact of consumptive and degradative water use on the environment. The purpose of this article was to elaborate the research progresses in theoretical calculation methods and environmental sustainability assessment of the two water footprint theories and then to analyze the differentiation of these two methodologies in describing the consumptive water use in agriculture and its effects on environment. Finally, some future research aspects on water footprint were provided.

  1. Key issues in human resource planning for home support workers in Canada.

    PubMed

    Keefe, Janice M; Knight, Lucy; Martin-Matthews, Anne; Légaré, Jacques

    2011-01-01

    This paper is a synthesis of research on recruitment and retention challenges for home support workers (HSWs) in Canada. Home support workers (HSWs) provide needed support with personal care and daily activities to older persons living in the community. Literature (peer reviewed, government, and non-government documents) published in the past decade was collected from systematic data base searches between January and September 2009, and yielded over 100 references relevant to home care human resources for older Canadians. Four key human resource issues affecting HSWs were identified: compensation, education and training, quality assurance, and working conditions. To increase the workforce and retain skilled employees, employers can tailor their marketing strategies to specific groups, make improvements in work environment, and learn about what workers value and what attracts them to home support work. Understanding these HR issues for HSWs will improve recruitment and retention strategies for this workforce by helping agencies to target their limited resources. Given the projected increase in demand for these workers, preparations need to begin now and consider long-term strategies involving multiple policy areas, such as health and social care, employment, education, and immigration.

  2. Hydrochemical Impacts of CO2 Leakage on Fresh Groundwater: a Field Scale Experiment

    NASA Astrophysics Data System (ADS)

    Lions, J.; Gal, F.; Gombert, P.; Lafortune, S.; Darmoul, Y.; Prevot, F.; Grellier, S.; Squarcioni, P.

    2013-12-01

    One of the questions related to the emerging technology for Carbon Geological Storage concerns the risk of CO2 migration beyond the geological storage formation. In the event of leakage toward the surface, the CO2 might affect resources in neighbouring formations (geothermal or mineral resources, groundwater) or even represent a hazard for human activities at the surface or in the subsurface. In view of the preservation of the groundwater resources mainly for human consumption, this project studies the potential hydrogeochemical impacts of CO2 leakage on fresh groundwater quality. One of the objectives is to characterize the bio-geochemical mechanisms that may impair the quality of fresh groundwater resources in case of CO2 leakage. To reach the above mentioned objectives, this project proposes a field experiment to characterize in situ the mechanisms that could impact the water quality, the CO2-water-rock interactions and also to improve the monitoring methodology by controlled CO2 leakage in shallow aquifer. The tests were carried out in an experimental site in the chalk formation of the Paris Basin. The site is equipped with an appropriate instrumentation and was previously characterized (8 piezometers, 25 m deep and 4 piezairs 11 m deep). The injection test was preceded by 6 months of monitoring in order to characterize hydrodynamics and geochemical baselines of the site (groundwater, vadose and soil). Leakage into groundwater is simulated via the injection of a small quantity of food-grade CO2 (~20 kg dissolved in 10 m3 of water) in the injection well at a depth of about 20 m. A plume of dissolved CO2 is formed and moves downward according to the direction of groundwater flow and probably by degassing in part to the surface. During the injection test, hydrochemical monitoring of the aquifer is done in situ and by sampling. The parameters monitored in the groundwater are the piezometric head, temperature, pH and electrical conductivity. Analysis on water samples provide chemical elements (major, minor and trace metals), dissolved gases, microbiological diversity and isotopes (13C). The evolution of the composition of the groundwater in terms of major elements, trace elements and isotope signatures is interpreted in terms of geochemical mechanisms, and the water-rock-CO2 interactions are characterized. Modification of the chemical composition of water in the aquifer due to CO2 injection is assessed in term of groundwater quality i.e. metal element release and the possibility of exceeding references and quality of water for human consumption. One outcome of the CIPRES project will be to highlight mechanisms that can impact groundwater quality when a CO2 leakage occurs and to propose recommendations to prevent or/and eliminate negative effects and any risks to the environment and human health. This project is partially funded by the French Research Agency (ANR).

  3. Results of a modeling workshop concerning economic and environmental trends and concomitant resource management issues in the Mobile Bay area

    USGS Publications Warehouse

    Hamilton, David B.; Andrews, Austin K.; Auble, Gregor T.; Ellison, Richard A.; Johnson, Richard A.; Roelle, James E.; Staley, Michael J.

    1982-01-01

    During the past decade, the southern regions of the U.S. have experienced rapid change which is expected to continue into the foreseeable future. Growth in population, industry, and resource development has been attributed to a variety of advantages such as an abundant and inexpensive labor force, a mild climate, and the availability of energy, water, land, and other natural resources. While this growth has many benefits for the region, it also creates the potential for increased air, water, and solid waste pollution, and modification of natural habitats. A workshop was convened to consider the Mobile Bay area as a site-specific case of growth and its environmental consequences in the southern region. The objectives of the modeling workshop were to: (1) identify major factors of economic development as they relate to growth in the area over the immediate and longer term; (2) identify major environmental and resource management issues associated with this expected growth; and (3) identify and characterize the complex interrelationships among economic and environmental factors. This report summarizes the activities and results of a modeling workshop concerning economic growth and concomitant resource management issues in the Mobile Bay area. The workshop was organized around construction of a simulation model representing the relationships between a series of actions and indicators identified by participants. The workshop model had five major components. An Industry Submodel generated scenarios of growth in several industrial and transportation sectors. A Human Population/Economy Submodel calculated human population and economic variables in response to employment opportunities. A Land Use/Air Quality Submodel tabulated changes in land use, shoreline use, and air quality. A Water Submodel calculated indicators of water quality and quantity for fresh surface water, ground water, and Mobile Bay based on discharge information provided by the Industry and Human Population/Economy Submodels. Finally, a Fish Submodel calculated indicators of habitat quality for finfish and shellfish, utilizing information on water quality and wetlands acreage. The workshop was successful in identifying many of the critical interrelations between components of the Mobile area system. Not all of those interactions, such as the feedback of air quality as a limitation on development, could be incorporated into the workshop model because of the model's broad spatial scale and because of uncertainties or data gaps. Thus, the value of the modeling workshop was in the areas outlines below, rather than in the predictive power of the initial model developed at the workshop. First, participants developed a holistic perspective on the interactions which will determine future economic and environmental trends within the Mobile Bay area. Potential environmental consequences and limitations to grown identified at the workshop included: shoreline and water access; water quality of Mobile Bay; finfish and shellfish habitat quality with respect to dissolved oxygen and coliforms; air quality; and acreage of critical wetland habitat. Second, the model's requirements for specific, quantitative information stimulated supporting analyses, such as economic input-output calculations, which provide additional insight into the Mobile Bay area system. Third, the perspective of the Mobile area as an interacting system was developed in an open, cooperative forum which my provide a foundation for conflict resolution based on common understanding. Finally, the identification of model limitations and uncertainties should be useful in guiding the efficient allocation of future research effort.

  4. Relevance of Google-customized search engine vs. CISMeF quality-controlled health gateway.

    PubMed

    Gehanno, Jean-François; Kerdelhue, Gaétan; Sakji, Saoussen; Massari, Philippe; Joubert, Michel; Darmoni, Stéfan J

    2009-01-01

    CISMeF (acronym for Catalog and Index of French Language Health Resources on the Internet) is a quality-controlled health gateway conceived to catalog and index the most important and quality-controlled sources of institutional health information in French. The goal of this study is to compare the relevance of results provided by this gateway from a small set of documents selected and described by human experts to those provided by a search engine from a large set of automatically indexed and ranked resources. The Google-Customized search engine (CSE) was used. The evaluation was made using the 10th first results of 15 queries and two blinded physician evaluators. There was no significant difference between the relevance of information retrieval in CISMeF and Google CSE. In conclusion, automatic indexing does not lead to lower relevance than a manual MeSH indexing and may help to cope with the increasing number of references to be indexed in a controlled health quality gateway.

  5. The impact of human activities in the Wulan Delta Estuary, Indonesia

    NASA Astrophysics Data System (ADS)

    Fadlillah, L. N.; Sunarto; Widyastuti, M.; Marfai, M. A.

    2018-04-01

    The increasing of human population in the watershed and the coastal area and the need of life exert pressure in the delta that provides various resources. Wulan Delta is one of active Delta in Central Java, Indonesia. It has been experienced multiple pressures because of natural factors and human factors. In order to provide the scientific solution and to analyze the impact of human intervention in delta, we collected several pieces of evidence based on secondary data and primary data. The secondary data is water quality data on sites 6 and 7, meanwhile the secondary data is the water quality data in site 1 to 5. This paper present a review and problems identification in Wulan Delta, based on hydrological condition, land use, and human activities in the delta. Meanwhile, the human intervention in the land which is land use exchange leads to several problems such as the land use changes, high sediment load, and water degradation. Almost 80% of Delta has been transformed into the fish pond by local communities.

  6. Role of medical, technical, and administrative leadership in the human resource management life cycle: a team approach to laboratory management.

    PubMed

    Wilkinson, D S; Dilts, T J

    1999-01-01

    We believe the team approach to laboratory management achieves the best outcomes. Laboratory management requires the integration of medical, technical, and administrative expertise to achieve optimal service, quality, and cost performance. Usually, a management team of two or more individuals must be assembled to achieve all of these critical leadership functions. The individual members of the management team must possess the requisite expertise in clinical medicine, laboratory science, technology management, and administration. They also must work together in a unified and collaborative manner, regardless of where individual team members appear on the organizational chart. The management team members share in executing the entire human resource management life cycle, creating the proper environment to maximize human performance. Above all, the management team provides visionary and credible leadership.

  7. Understanding the barriers to setting up a healthcare quality improvement process in resource-limited settings: a situational analysis at the Medical Department of Kamuzu Central Hospital in Lilongwe, Malawi.

    PubMed

    Agyeman-Duah, Josephine Nana Afrakoma; Theurer, Antje; Munthali, Charles; Alide, Noor; Neuhann, Florian

    2014-01-02

    Knowledge regarding the best approaches to improving the quality of healthcare and their implementation is lacking in many resource-limited settings. The Medical Department of Kamuzu Central Hospital in Malawi set out to improve the quality of care provided to its patients and establish itself as a recognized centre in teaching, operations research and supervision of district hospitals. Efforts in the past to achieve these objectives were short-lived, and largely unsuccessful. Against this background, a situational analysis was performed to aid the Medical Department to define and prioritize its quality improvement activities. A mix of quantitative and qualitative methods was applied using checklists for observed practice, review of registers, key informant interviews and structured patient interviews. The mixed methods comprised triangulation by including the perspectives of the clients, healthcare providers from within and outside the department, and the field researcher's perspectives by means of document review and participatory observation. Human resource shortages, staff attitudes and shortage of equipment were identified as major constraints to patient care, and the running of the Medical Department. Processes, including documentation in registers and files and communication within and across cadres of staff were also found to be insufficient and thus undermining the effort of staff and management in establishing a sustained high quality culture. Depending on their past experience and knowledge, the stakeholder interviewees revealed different perspectives and expectations of quality healthcare and the intended quality improvement process. Establishing a quality improvement process in resource-limited settings is an enormous task, considering the host of challenges that these facilities face. The steps towards changing the status quo for improved quality care require critical self-assessment, the willingness to change as well as determined commitment and contributions from clients, staff and management.

  8. Risk of Performance Decrement and Crew Illness Due to an Inadequate Food System

    NASA Technical Reports Server (NTRS)

    Douglas, Grace L.; Cooper, Maya; Bermudez-Aguirre, Daniela; Sirmons, Takiyah

    2016-01-01

    NASA is preparing for long duration manned missions beyond low-Earth orbit that will be challenged in several ways, including long-term exposure to the space environment, impacts to crew physiological and psychological health, limited resources, and no resupply. The food system is one of the most significant daily factors that can be altered to improve human health, and performance during space exploration. Therefore, the paramount importance of determining the methods, technologies, and requirements to provide a safe, nutritious, and acceptable food system that promotes crew health and performance cannot be underestimated. The processed and prepackaged food system is the main source of nutrition to the crew, therefore significant losses in nutrition, either through degradation of nutrients during processing and storage or inadequate food intake due to low acceptability, variety, or usability, may significantly compromise the crew's health and performance. Shelf life studies indicate that key nutrients and quality factors in many space foods degrade to concerning levels within three years, suggesting that food system will not meet the nutrition and acceptability requirements of a long duration mission beyond low-Earth orbit. Likewise, mass and volume evaluations indicate that the current food system is a significant resource burden. Alternative provisioning strategies, such as inclusion of bioregenerative foods, are challenged with resource requirements, and food safety and scarcity concerns. Ensuring provisioning of an adequate food system relies not only upon determining technologies, and requirements for nutrition, quality, and safety, but upon establishing a food system that will support nutritional adequacy, even with individual crew preference and self-selection. In short, the space food system is challenged to maintain safety, nutrition, and acceptability for all phases of an exploration mission within resource constraints. This document presents the evidence for the Risk of Performance Decrement and Crew Illness Due to an Inadequate Food System and the gaps in relation to exploration, as identified by the NASA Human Research Program (HRP). The research reviewed here indicates strategies to establish methods, technologies, and requirements that increase food stability, support adequate nutrition, quality, and variety, enable supplementation with grow-pick-and-eat salad crops, ensure safety, and reduce resource use. Obtaining the evidence to establish an adequate food system is essential, as the resources allocated to the food system may be defined based on the data relating nutritional stability and food quality requirements to crew performance and health.

  9. Research about Memory Detection Based on the Embedded Platform

    NASA Astrophysics Data System (ADS)

    Sun, Hao; Chu, Jian

    As is known to us all, the resources of memory detection of the embedded systems are very limited. Taking the Linux-based embedded arm as platform, this article puts forward two efficient memory detection technologies according to the characteristics of the embedded software. Especially for the programs which need specific libraries, the article puts forwards portable memory detection methods to help program designers to reduce human errors,improve programming quality and therefore make better use of the valuable embedded memory resource.

  10. Role of re-screening of cervical smears in internal quality control.

    PubMed Central

    Baker, A; Melcher, D; Smith, R

    1995-01-01

    AIMS--To investigate the use of rapid re-screening as a quality control method for previously screened cervical slides; to compare this method with 10% random re-screening and clinically indicated double screening. METHODS--Between June 1990 and December 1994, 117,890 negative smears were subjected to rapid re-screening. RESULTS--This study shows that rapid re-screening detects far greater numbers of false negative cases when compared with both 10% random re-screening and clinically indicated double screening, with no additional demand on human resources. The technique also identifies variation in the performance of screening personnel as an additional benefit. CONCLUSION--Rapid re-screening is an effective method of quality control. Although less sensitive, rapid re-screening should replace 10% random re-screening and selected re-screening as greater numbers of false negative results are detected while consuming less resources. PMID:8543619

  11. Global bioethics: a suggested distinction between ethics and morality.

    PubMed

    Chiarelli, B

    2000-01-01

    At the beginning of the new century Humankind is facing a new Era. It has to face the effects of a dramatic and accelerated population growth. Human population size increased from one billion in 1835, to six billion by the end of this century. This unprecedented increase in number, affecting specific geographical areas, has augmented the deterioration of the natural environment caused by the misuse of natural resources and the depletion of fertile soils due to climatic changes and pollution. The quality of life is now diminished by the "greenhouse effect" which is the direct result of industrialisation. Ecological integrity is a concept that has to be advanced in order to facilitate the protection of biological and ecological resources against the threat of human survival. Global Bioethics as a discipline of interaction of health professionals with the present endangered environment, the limited global resources and the new biotechnologies is needed in any Biomedical School.

  12. Has the quality of health care for the immigrant population changed during the economic crisis in Catalonia (Spain)? Opinions of health professionals and immigrant users.

    PubMed

    Porthé, Victoria; Vargas, Ingrid; Ronda, Elena; Malmusi, Davide; Bosch, Lola; Vázquez, M Luisa

    2017-06-02

    To analyse changes in health professionals' and immigrant users' perceptions of the quality of care provided to the immigrant population during the crisis. A qualitative descriptive-interpretative and exploratory study was conducted in two areas of Catalonia. Semi-structured individual interviews were used with a theoretical sample of medical (n=24) and administrative (n=10) professionals in primary care (PC) and secondary care (SC), and immigrant users (n=20). Thematic analysis was conducted and the results were triangulated. Problems related to technical and interpersonal quality emerged from the discourse of both professionals and immigrants. These problems were attributed to cutbacks during the economic crisis. Regarding technical quality, respondents reported an increase in erroneous or non-specific diagnoses, inappropriate use of diagnostic tests and non-specific treatments, due to reduction in consultation times as a result of cuts in human resources. With regard to interpersonal quality, professionals reported less empathy, and users also reported worse communication, due to changes in professionals' working conditions and users' attitudes. Finally, a reduction in the resolution capacity of the health services emerged: professionals described unnecessary repeated PC visits and limited responses in SC, while young immigrants reported an insufficient response to their health problems. The results indicate a deterioration in perceived technical and interpersonal quality during the economic crisis, due to cutbacks mainly in human resources. These changes affect the whole population, but especially immigrants. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. School Public Relations: Personnel Roles and Responsibilities

    ERIC Educational Resources Information Center

    Norton, M. Scott

    2008-01-01

    This article emphasizes the paramount importance of the human resources function in the school system--specifically, in the implementation of an effective school public relations program and in the quality of leadership given by the administrators and the professional and classified staffs. The article submits that school administrators at every…

  14. Understanding and Managing the Assessment Process

    Treesearch

    Gene Lessard; Scott Archer; John R. Probst; Sandra Clark

    1999-01-01

    Taking an ecological approach to management, or ecosystem management, is a developing approach for managing natural resources within the context of large geogaphic scales and over multiple time frames. Recently, the Council on Environmental Quality (CEQ) (IEMTF 1995) defined an ecosystem as "...an interconnected community of living things, including humans, and...

  15. Training for a Transformed Labor Market.

    ERIC Educational Resources Information Center

    Olson, Lawrence

    1983-01-01

    The author argues that the American labor market is in the midst of historic transition that will challenge human resource development professionals. Sweeping demographic changes will soon combine with a "Second Industrial Revolution" in technology and a quantum leap in the level and quality of foreign competition to raise sharply the importance…

  16. Maintaining a Quality Environmental Health & Safety Program.

    ERIC Educational Resources Information Center

    Otto, Ann K.; And Others

    1994-01-01

    The college or university human resources department's responsibilities in assuring a healthy and safe environment are enumerated. First, issues to be considered in school safety are outlined, and then the role of the health and safety officer is discussed. A sample job description and list of duties are included. (MSE)

  17. Growing Healing One Garden at a Time.

    PubMed

    Ashman, Julann

    2016-01-01

    Evidence exists regarding the effect of horticultural therapy on improving human well-being, including promotion of overall health and quality of life, physical strength, and cardiac function. This article shares how a nurse created a healing garden at Lourdes Hospital, where she works. Resource information about therapeutic gardens is included.

  18. Make a Splash Day

    ERIC Educational Resources Information Center

    Coverdale, Greg; Rust, April; Jensen, Belinda

    2004-01-01

    At the annual, all-day events-sponsored by Project WET (Water Education for Teachers) and held in nearly every state across the country each September--students participate in interactive activities and exhibits to learn about water resources and explore how human behaviors, such as development and recreation, can affect the quality of the…

  19. America's Opportunity: Teacher Effectiveness and Equity in K-12 Classrooms

    ERIC Educational Resources Information Center

    Goe, Laura, Ed.

    2009-01-01

    Questions about whether states play a role in ensuring access to high-quality teaching talent in local communities have ceased. Increasingly, states are encouraging and requiring more robust preparation programs; more efficient human resources departments that identify, recruit, place, and support the most effective educators; and more continuous…

  20. Another level of leadership: nurses on boards.

    PubMed

    Bleich, Michael R

    2014-12-01

    The movement to place nurses on boards of directors is growing, enriching boards with individuals possessing knowledge of clinical quality tied to care delivery models, human resource competencies and management, finance, and organizational change. Professional development educators are poised to advance a board's capacity to address complex health care problems.

  1. 49 CFR 1182.2 - Content of applications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Mexico or owned or controlled by persons of that country, copies of the actual operating authorities must... the quality of the human environment and the conservation of energy resources; (7) Information to... transaction is either domiciled in Mexico or owned or controlled by persons of that country; and (11) If the...

  2. 49 CFR 1182.2 - Content of applications.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Mexico or owned or controlled by persons of that country, copies of the actual operating authorities must... the quality of the human environment and the conservation of energy resources; (7) Information to... transaction is either domiciled in Mexico or owned or controlled by persons of that country; and (11) If the...

  3. 78 FR 40823 - Notice of Railroad-Shipper Transportation Advisory Council Vacancy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... are voting members and are appointed from senior executive officers of organizations engaged in the... the quality of the human environment or the conservation of energy resources. Authority: 49 U.S.C. 726.... ACTION: Notice of vacancies on the Railroad-Shipper Transportation Advisory Council (RSTAC) and...

  4. Meta-Analysis of Lost Ecosystem Attributes in Urban Streams and the Effectiveness of Out-of-Channel Management Practices

    EPA Science Inventory

    Watershed development is a leading cause of stream impairment, and it increasingly threatens the availability, quality, and sustainability of freshwater resources as human populations continue to grow and migrate. Most efforts have focused on trying to improve ecological conditio...

  5. Social Change and Adult Education Research. Adult Education Research in Nordic Countries 1996.

    ERIC Educational Resources Information Center

    Remes, Pirkko, Ed.; And Others

    The 13 papers in this yearbook discuss 4 broad subject areas: questions of competence, evaluating quality, professional cultures, and learning and trends in adult education. The following papers are included: "Human Resource Development (HRD) Practitioners Analyzing Their Work"(Tuija Valkeavaara); "Life Competence in a World of…

  6. Management and leadership by nurses.

    PubMed

    Henry, B; Lorensen, M; Hirschfeld, M J

    1994-01-01

    Good management and leadership by nurses is essential for the achievement of health for all. Well-prepared nurses are required locally and nationally who can identify problems and needs, work on interdisciplinary teams to formulate development plans for human resources, improve working conditions, and raise the quality of care at reasonable cost.

  7. Applications for remotely sensed evapotranspiration data in monitoring water quality, water use, and water security

    USDA-ARS?s Scientific Manuscript database

    Across the globe there are ever-increasing and competing demands for freshwater resources in support of food production, ecosystems services and human/industrial consumption. Recent studies using the GRACE satellite have identified severely stressed aquifers that are being unsustainably depleted du...

  8. Agricultural applications for remotely sensed evapotranspiration data in monitoring water use, water quality, and water security

    USDA-ARS?s Scientific Manuscript database

    Across the U.S. and globally there are ever increasing and competing demands for freshwater resources in support of food production, ecosystems services and human/industrial consumption. Recent studies using the GRACE satellite have identified severely stressed aquifers globally, which are being un...

  9. QMRA as a compliment to epidemiologic studies estimating bather risk at recreational beaches

    EPA Science Inventory

    The US EPA and WHO have set recreational water quality standards based on epidemiologic studies to protect human health at beaches. These studies have largely been limited to sewage-impacted sites and resources are unlikely to be available to assess the myriad of other impacted ...

  10. 78 FR 78415 - Submission for Review: Customer Service Surveys, OMB Control No. 3206-0236

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-26

    ... . SUPPLEMENTARY INFORMATION: The Office of Personnel Management (OPM) leads Federal agencies in shaping human resources management systems to effectively recruit, develop, manage and retain a high quality and diverse... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Customer Service Surveys, OMB Control No...

  11. Access to University Education in Nigeria: A Review

    ERIC Educational Resources Information Center

    Agboola, B. M.; Ofoegbu, F. I.

    2010-01-01

    Demand for university education has increased due to the recent innovations of universal, free and compulsory education at the basic and senior secondary education level. Education has been expanding very rapidly at all levels in Nigeria. However, there are serious problems related to quality, equity, unavailable human and material resources and…

  12. The Competencies Demonstrated by Farmers while Adapting to Climate Change

    ERIC Educational Resources Information Center

    Pruneau, Diane; Kerry, Jackie; Mallet, Marie-Andree; Freiman, Viktor; Langis, Joanne; Laroche, Anne-Marie; Evichnevetski, Evgueni; Deguire, Paul; Therrien, Jimmy; Lang, Mathieu; Barbier, Pierre-Yves

    2012-01-01

    World population growth, overconsumption of resources, competition among countries and climate change are putting significant pressure on agriculture. In Canada, changes in precipitation, the appearance of new pests and poor soil quality are threatening the prosperity of small farmers. What human competencies could facilitate citizens' adaptation…

  13. The School Administrator Payoff from Teacher Pensions

    ERIC Educational Resources Information Center

    Koedel, Cory; Ni, Shawn; Podgursky, Michael

    2013-01-01

    It is widely recognized that teacher quality is the central input in school performance. This insight has put human resource and compensation policies, including performance pay, tenure, alternative route recruitment, and mentoring, at center stage in school reform debates. Some school administrators have been innovators and reform leaders in…

  14. 76 FR 27312 - Transcontinental Gas Pipe Line Company, LLC; Notice of Availability of the Environmental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-11

    ... certain natural gas pipeline facilities on its existing mainline system in Prince William, Fairfax... action significantly affecting the quality of the human environment. The National Park Service (NPS... law or special expertise with respect to resources potentially affected by the proposal and...

  15. A Comparison of Human and Machine Translation of Health Promotion Materials for Public Health Practice: Time, Costs, and Quality

    PubMed Central

    Turner, Anne M.; Bergman, Margo; Brownstein, Megumu; Cole, Kate; Kirchhoff, Katrin

    2017-01-01

    Context Most local public health departments serve limited English proficiency groups but lack sufficient resources to translate the health promotion materials that they produce into different languages. Machine translation (MT) with human postediting could fill this gap and work toward decreasing health disparities among non–English speakers. Objectives (1) To identify the time and costs associated with human translation (HT) of public health documents, (2) determine the time necessary for human postediting of MT, and (3) compare the quality of postedited MT and HT. Design A quality comparison of 25 MT and HT documents was performed with public health translators. The public health professionals involved were queried about the workflow, costs, and time for HT of 11 English public health documents over a 20-month period. Three recently translated documents of similar size and topic were then machine translated, the time for human postediting was recorded, and a blind quality analysis was performed. Setting Seattle/King County, Washington. Participants Public health professionals. Main Outcome Measures (1) Estimated times for various HT tasks; (2) observed postediting times for MT documents; (3) actual costs for HT; and (4) comparison of quality ratings for HT and MT. Results Human translation via local health department methods took 17 hours to 6 days. While HT postediting words per minute ranged from 1.58 to 5.88, MT plus human postediting words per minute ranged from 10 to 30. The cost of HT ranged from $130 to $1220; MT required no additional costs. A quality comparison by bilingual public health professionals showed that MT and HT were equivalently preferred. Conclusions MT with human postediting can reduce the time and costs of translating public health materials while maintaining quality similar to HT. In conjunction with postediting, MT could greatly improve the availability of multilingual public health materials. PMID:24084391

  16. Competition for resources can explain patterns of social and individual learning in nature.

    PubMed

    Smolla, Marco; Gilman, R Tucker; Galla, Tobias; Shultz, Susanne

    2015-09-22

    In nature, animals often ignore socially available information despite the multiple theoretical benefits of social learning over individual trial-and-error learning. Using information filtered by others is quicker, more efficient and less risky than randomly sampling the environment. To explain the mix of social and individual learning used by animals in nature, most models penalize the quality of socially derived information as either out of date, of poor fidelity or costly to acquire. Competition for limited resources, a fundamental evolutionary force, provides a compelling, yet hitherto overlooked, explanation for the evolution of mixed-learning strategies. We present a novel model of social learning that incorporates competition and demonstrates that (i) social learning is favoured when competition is weak, but (ii) if competition is strong social learning is favoured only when resource quality is highly variable and there is low environmental turnover. The frequency of social learning in our model always evolves until it reduces the mean foraging success of the population. The results of our model are consistent with empirical studies showing that individuals rely less on social information where resources vary little in quality and where there is high within-patch competition. Our model provides a framework for understanding the evolution of social learning, a prerequisite for human cumulative culture. © 2015 The Author(s).

  17. Citizen Science Air Monitoring in the Ironbound Community ...

    EPA Pesticide Factsheets

    The Environmental Protection Agency’s (EPA) mission is to protect human health and the environment. To move toward achieving this goal, EPA is facilitating identification of potential environmental concerns, particularly in vulnerable communities. This includes actively supporting citizen science projects and providing communities with the information and assistance they need to conduct their own air pollution monitoring efforts. The Air Sensor Toolbox for Citizen Scientists1 was developed as a resource to meet stakeholder needs. Examples of materials developed for the Toolbox and ultimately pilot tested in the Ironbound Community in Newark, New Jersey are reported here. The Air Sensor Toolbox for Citizen Scientists is designed as an online resource that provides information and guidance on new, low-cost compact technologies used for measuring air quality. The Toolbox features resources developed by EPA researchers that can be used by citizens to effectively collect, analyze, interpret, and communicate air quality data. The resources include information about sampling methods, how to calibrate and validate monitors, options for measuring air quality, data interpretation guidelines, and low-cost sensor performance information. This Regional Applied Research Effort (RARE) project provided an opportunity for the Office of Research and Development (ORD) to work collaboratively with EPA Region 2 to provide the Ironbound Community with a “Toolbox” specific for c

  18. Competition for resources can explain patterns of social and individual learning in nature

    PubMed Central

    Smolla, Marco; Gilman, R. Tucker; Galla, Tobias; Shultz, Susanne

    2015-01-01

    In nature, animals often ignore socially available information despite the multiple theoretical benefits of social learning over individual trial-and-error learning. Using information filtered by others is quicker, more efficient and less risky than randomly sampling the environment. To explain the mix of social and individual learning used by animals in nature, most models penalize the quality of socially derived information as either out of date, of poor fidelity or costly to acquire. Competition for limited resources, a fundamental evolutionary force, provides a compelling, yet hitherto overlooked, explanation for the evolution of mixed-learning strategies. We present a novel model of social learning that incorporates competition and demonstrates that (i) social learning is favoured when competition is weak, but (ii) if competition is strong social learning is favoured only when resource quality is highly variable and there is low environmental turnover. The frequency of social learning in our model always evolves until it reduces the mean foraging success of the population. The results of our model are consistent with empirical studies showing that individuals rely less on social information where resources vary little in quality and where there is high within-patch competition. Our model provides a framework for understanding the evolution of social learning, a prerequisite for human cumulative culture. PMID:26354936

  19. Mapping Forage Resources Using Earth Observation Data: A Case Study to Assess the Relationship Between Herbaceous and Woody Cover Components as Determinants of Large Herbivore Distribution in Sub-Saharan Africa

    NASA Astrophysics Data System (ADS)

    Hanan, N. P.; Kahiu, M. N.

    2016-12-01

    Grazing systems are important for survival of humans, livestock and wildlife in Sub-Saharan Africa (SSA). They are mainly found in the arid and semi-arid regions and are characterized by naturally occurring tree-grass vegetation mixtures ("savannas"), low and erratic rainfall, low human populations, and scanty water resources. Due to the scarce population and perceived low resource base they have been marginalized for decades, if not centuries. However, their economic and environmental significance, particularly their role as foraging lands for livestock and wildlife cannot be underrated. SSA natural grazing systems comprise a significant source of livelihood, where millions of people depend on pastoralism as a source of food and income. Further, the African savannas support diverse flora and charismatic large herbivore and carnivore guilds. The above considerations motivate a more detailed study of the composition, temporal and spatial variability of foraging resources in SSA arid and semi-arid regions. We have therefore embarked on a research to map Africa foraging resources by partitioning MODIS total leaf area index (LAIA) time series into its woody (LAIW) and herbaceous (LAIH) constituents as proxies for grazing and browsing resources, respectively. Using the portioned LAI estimates we will develop a case study to assess how forage resources affect distribution and abundance of large herbivores in Africa. In our case study we explore two separate but related hypothesis: i) small and medium sized mammalian herbivore numbers will peak at intermediate biomass (LAIH for grazers and LAIW for browsers), since they optimize on forage quantity and quality. Conversely, large-body mammalian herbivores have the ability to process high quantity-low quality food, hence, we hypothesize that ii) larger herbivores will tend to be more common in high forage areas irrespective of forage quality. We will use LAIH and LAIW retrievals to compute annual average leaf area duration (LAD) as a proxy for forage quantity for grazing and browsing for wild and domestic herbivores. Our objectives include: i) to present the MODIS LAI partitioning approach and show case the results of the partitioned woody and herbaceous LAI; and ii) to assess the relationship between forage resources and herbivory in Sub-Saharan Africa.

  20. Groundwater resources of Mosteiros basin, island of Fogo, Cape Verde, West Africa

    USGS Publications Warehouse

    Heilweil, Victor M.; Gingerich, Stephen B.; Plummer, Niel; Verstraeten, Ingrid M.

    2010-01-01

    Groundwater resources in Cape Verde provide water for agriculture, industry, and human consumption. These resources are limited and susceptible to contamination. Additional groundwater resources are needed for continued agricultural development, particularly during times of drought, but increased use and (or) climatic change may have adverse effects on the quantity and quality of freshwater available. In volcanic island aquifers such as those of Cape Verde, a lens of fresh groundwater typically ?floats? upon a layer of brackish water at the freshwater/saltwater boundary, and increased pumping may cause salt water intrusion or other contamination. A recent U.S. Geological Survey study assessed baseline groundwater conditions in watersheds on three islands of Cape Verde to provide the scientific basis for sustainably developing water resources and minimizing future groundwater depletion and contamination.

  1. Does human resource management improve family planning service quality? Analysis from the Kenya Service Provision Assessment 2010.

    PubMed

    Thatte, Nandita; Choi, Yoonjoung

    2015-04-01

    Human resource (HR) management is a priority for health systems strengthening in developing countries, yet few studies have empirically examined associations with service quality. The purpose of this study was to assess the relationship between HR management and family planning (FP) service quality. Data came from the 2010 Kenya Service Provision Assessment, a nationally representative health facility assessment. In total, 912 FP consultations from 301 facilities were analysed. Four indices were created to measure quality on reproductive history taking, physical examination, sexually transmitted infections prevention and pill/injectable specific counselling. HR management variables included training in the past year, any and supportive (i.e. with feedback, technical updates and discussion) in-person supervision in the past 6 months and having a written job description. Multivariate linear regression analyses were conducted to estimate coefficients of HR management variables on each of the four quality indices, adjusting for background characteristics of clients, provider and facilities. The level of service quality ranged from 16 to 53 out of a maximum score of 100 across the indices. Fifty-two per cent of consultations were done by providers who received supportive in-person supervision in the previous 6 months. In 23% and 38% of consultations, the provider was trained in the past year and had a written job description, respectively. Multivariate analyses indicated that having a written job description was associated with higher service quality in history taking, physical examination and the pill/injectable specific counselling. Other HR management variables were not significantly associated with service quality. Having a written job description was significantly associated with higher service quality and may be a useful tool for strengthening management practices. The details of such job descriptions and the quality of other management indicators should be explored to better understand the relationship between HR management and FP service quality. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  2. "Workhood"-a useful concept for the analysis of health workers' resources? an evaluation from Tanzania

    PubMed Central

    2012-01-01

    Background International debates on improving health system performance and quality of care are strongly coined by systems thinking. There is a surprising lack of attention to the human (worker) elements. Although the central role of health workers within the health system has increasingly been acknowledged, there are hardly studies that analyze performance and quality of care from an individual perspective. Drawing on livelihood studies in health and sociological theory of capitals, this study develops and evaluates the new concept of workhood. As an analytical device the concept aims at understanding health workers' capacities to access resources (human, financial, physical, social, cultural and symbolic capital) and transfer them to the community from an individual perspective. Methods Case studies were conducted in four Reproductive-and-Child-Health (RCH) clinics in the Kilombero Valley, south-eastern Tanzania, using different qualitative methods such as participant observation, informal discussions and in-depth interviews to explore the relevance of the different types of workhood resources for effective health service delivery. Health workers' ability to access these resources were investigated and factors facilitating or constraining access identified. Results The study showed that lack of physical, human, cultural and financial capital constrained health workers' capacity to act. In particular, weak health infrastructure and health system failures led to the lack of sufficient drug and supply stocks and chronic staff shortages at the health facilities. However, health workers' capacity to mobilize social, cultural and symbolic capital played a significant role in their ability to overcome work related problems. Professional and non-professional social relationships were activated in order to access drug stocks and other supplies, transport and knowledge. Conclusions By evaluating the workhood concept this study highlights the importance of understanding health worker performance by looking at their resources and capacities. Rather than blaming health workers for health system failures, applying a strength-based approach offers new insights into health workers' capacities and identifies entry points for target actions. PMID:22401037

  3. "Workhood"-a useful concept for the analysis of health workers' resources? An evaluation from Tanzania.

    PubMed

    Gross, Karin; Pfeiffer, Constanze; Obrist, Brigit

    2012-03-08

    International debates on improving health system performance and quality of care are strongly coined by systems thinking. There is a surprising lack of attention to the human (worker) elements. Although the central role of health workers within the health system has increasingly been acknowledged, there are hardly studies that analyze performance and quality of care from an individual perspective. Drawing on livelihood studies in health and sociological theory of capitals, this study develops and evaluates the new concept of workhood. As an analytical device the concept aims at understanding health workers' capacities to access resources (human, financial, physical, social, cultural and symbolic capital) and transfer them to the community from an individual perspective. Case studies were conducted in four Reproductive-and-Child-Health (RCH) clinics in the Kilombero Valley, south-eastern Tanzania, using different qualitative methods such as participant observation, informal discussions and in-depth interviews to explore the relevance of the different types of workhood resources for effective health service delivery. Health workers' ability to access these resources were investigated and factors facilitating or constraining access identified. The study showed that lack of physical, human, cultural and financial capital constrained health workers' capacity to act. In particular, weak health infrastructure and health system failures led to the lack of sufficient drug and supply stocks and chronic staff shortages at the health facilities. However, health workers' capacity to mobilize social, cultural and symbolic capital played a significant role in their ability to overcome work related problems. Professional and non-professional social relationships were activated in order to access drug stocks and other supplies, transport and knowledge. By evaluating the workhood concept this study highlights the importance of understanding health worker performance by looking at their resources and capacities. Rather than blaming health workers for health system failures, applying a strength-based approach offers new insights into health workers' capacities and identifies entry points for target actions.

  4. Developing integrated methods to address complex resource and environmental issues

    USGS Publications Warehouse

    Smith, Kathleen S.; Phillips, Jeffrey D.; McCafferty, Anne E.; Clark, Roger N.

    2016-02-08

    IntroductionThis circular provides an overview of selected activities that were conducted within the U.S. Geological Survey (USGS) Integrated Methods Development Project, an interdisciplinary project designed to develop new tools and conduct innovative research requiring integration of geologic, geophysical, geochemical, and remote-sensing expertise. The project was supported by the USGS Mineral Resources Program, and its products and acquired capabilities have broad applications to missions throughout the USGS and beyond.In addressing challenges associated with understanding the location, quantity, and quality of mineral resources, and in investigating the potential environmental consequences of resource development, a number of field and laboratory capabilities and interpretative methodologies evolved from the project that have applications to traditional resource studies as well as to studies related to ecosystem health, human health, disaster and hazard assessment, and planetary science. New or improved tools and research findings developed within the project have been applied to other projects and activities. Specifically, geophysical equipment and techniques have been applied to a variety of traditional and nontraditional mineral- and energy-resource studies, military applications, environmental investigations, and applied research activities that involve climate change, mapping techniques, and monitoring capabilities. Diverse applied geochemistry activities provide a process-level understanding of the mobility, chemical speciation, and bioavailability of elements, particularly metals and metalloids, in a variety of environmental settings. Imaging spectroscopy capabilities maintained and developed within the project have been applied to traditional resource studies as well as to studies related to ecosystem health, human health, disaster assessment, and planetary science. Brief descriptions of capabilities and laboratory facilities and summaries of some applications of project products and research findings are included in this circular. The work helped support the USGS mission to “provide reliable scientific information to describe and understand the Earth; minimize loss of life and property from natural disasters; manage water, biological, energy, and mineral resources; and enhance and protect our quality of life.” Activities within the project include the following:Spanned scales from microscopic to planetary;Demonstrated broad applications across disciplines;Included life-cycle studies of mineral resources;Incorporated specialized areas of expertise in applied geochemistry including mineralogy, hydrogeology, analytical chemistry, aqueous geochemistry, biogeochemistry, microbiology, aquatic toxicology, and public health; andIncorporated specialized areas of expertise in geophysics including magnetics, gravity, radiometrics, electromagnetics, seismic, ground-penetrating radar, borehole radar, and imaging spectroscopy.This circular consists of eight sections that contain summaries of various activities under the project. The eight sections are listed below:Laboratory Facilities and Capabilities, which includes brief descriptions of the various types of laboratories and capabilities used for the project;Method and Software Development, which includes summaries of remote-sensing, geophysical, and mineralogical methods developed or enhanced by the project;Instrument Development, which includes descriptions of geophysical instruments developed under the project;Minerals, Energy, and Climate, which includes summaries of research that applies to mineral or energy resources, environmental processes and monitoring, and carbon sequestration by earth materials;Element Cycling, Toxicity, and Health, which includes summaries of several process-oriented geochemical and biogeochemical studies and health-related research activities;Hydrogeology and Water Quality, which includes descriptions of innovative geophysical, remote-sensing, and geochemical research pertaining to hydrogeology and water-quality applications;Hazards and Disaster Assessment, which includes summaries of research and method development that were applied to natural hazards, human-caused hazards, and disaster assessments; andDatabases and Framework Studies, which includes descriptions of fundamental applications of geophysical studies and of the importance of archived data.

  5. Human Ageing Genomic Resources: new and updated databases

    PubMed Central

    Tacutu, Robi; Thornton, Daniel; Johnson, Emily; Budovsky, Arie; Barardo, Diogo; Craig, Thomas; Diana, Eugene; Lehmann, Gilad; Toren, Dmitri; Wang, Jingwei; Fraifeld, Vadim E

    2018-01-01

    Abstract In spite of a growing body of research and data, human ageing remains a poorly understood process. Over 10 years ago we developed the Human Ageing Genomic Resources (HAGR), a collection of databases and tools for studying the biology and genetics of ageing. Here, we present HAGR’s main functionalities, highlighting new additions and improvements. HAGR consists of six core databases: (i) the GenAge database of ageing-related genes, in turn composed of a dataset of >300 human ageing-related genes and a dataset with >2000 genes associated with ageing or longevity in model organisms; (ii) the AnAge database of animal ageing and longevity, featuring >4000 species; (iii) the GenDR database with >200 genes associated with the life-extending effects of dietary restriction; (iv) the LongevityMap database of human genetic association studies of longevity with >500 entries; (v) the DrugAge database with >400 ageing or longevity-associated drugs or compounds; (vi) the CellAge database with >200 genes associated with cell senescence. All our databases are manually curated by experts and regularly updated to ensure a high quality data. Cross-links across our databases and to external resources help researchers locate and integrate relevant information. HAGR is freely available online (http://genomics.senescence.info/). PMID:29121237

  6. Are constructed treatment wetlands sustainable sanitation solutions?

    PubMed

    Langergraber, Guenter

    2013-01-01

    The main objective of sanitation systems is to protect and promote human health by providing a clean environment and breaking the cycle of disease. In order to be sustainable, a sanitation system has to be not only economically viable, socially acceptable and technically and institutionally appropriate, but it should also protect the environment and the natural resources. 'Resources-oriented sanitation' describes the approach in which human excreta and water from households are recognized as resource made available for reuse. Nowadays, 'resources-oriented sanitation' is understood in the same way as 'ecological sanitation'. For resources-oriented sanitation systems to be truly sustainable they have to comply with the definition of sustainable sanitation as given by the Sustainable Sanitation Alliance (SuSanA, www.susana.org). Constructed treatment wetlands meet the basic criteria of sustainable sanitation systems by preventing diseases, protecting the environment, and being an affordable, acceptable, and simple technology. Additionally, constructed treatment wetlands produce treated wastewater of high quality, which is fostering reuse, which in turn makes them applicable in resources-oriented sanitation systems. The paper discusses the features that make constructed treatment wetlands a suitable solution in sustainable resources-oriented sanitation systems, the importance of system thinking for sustainability, as well as key factors for sustainable implementation of constructed wetland systems.

  7. The Great Lakes Information Network: the region's Internet information service.

    PubMed

    Ratza, C A

    1996-01-01

    Communication is the cornerstone of ecosystem protection and sustainable development efforts in the binational Great Lakes region of North America. Great Lakes environmental protection, remediation, and pollution prevention efforts bring together individuals from across the public sector, business and industry, citizens groups, and academia. The region is now working to enhance communications between these groups and the rest of the world, through the Internet-based Great Lakes Information Network (GLIN). Diverse regional data, information, and human resources located at key agencies and organizations are accessible via GLIN. These online resources span environmental quality, human health effects and other research, resource management, transportation, demographic, and economic data, as well as other resources in the Great Lakes region of the United States and Canada. Federal, state, provincial, and regional agencies and a range of citizen, business, and research organizations are cooperating with the lead agency, the Great Lakes Commission, in developing GLIN into the region's shared Internet resource. GLIN resources are accessible to users of ubiquitous Internet research tools including World Wide Web and Gopher. Statistical information on usage and the region's response to ongoing efforts to build the GLIN system and solicit contributions of data and information indicate that we can continue to build GLIN into a truly regional resource which enhances communication among researchers, policy makers, students, and the general public.

  8. Recommended advanced techniques for waterborne pathogen detection in developing countries.

    PubMed

    Alhamlan, Fatimah S; Al-Qahtani, Ahmed A; Al-Ahdal, Mohammed N

    2015-02-19

    The effect of human activities on water resources has expanded dramatically during the past few decades, leading to the spread of waterborne microbial pathogens. The total global health impact of human infectious diseases associated with pathogenic microorganisms from land-based wastewater pollution was estimated to be approximately three million disability-adjusted life years (DALY), with an estimated economic loss of nearly 12 billion US dollars per year. Although clean water is essential for healthy living, it is not equally granted to all humans. Indeed, people who live in developing countries are challenged every day by an inadequate supply of clean water. Polluted water can lead to health crises that in turn spread waterborne pathogens. Taking measures to assess the water quality can prevent these potential risks. Thus, a pressing need has emerged in developing countries for comprehensive and accurate assessments of water quality. This review presents current and emerging advanced techniques for assessing water quality that can be adopted by authorities in developing countries.

  9. Comparison and cost analysis of drinking water quality monitoring requirements versus practice in seven developing countries.

    PubMed

    Crocker, Jonny; Bartram, Jamie

    2014-07-18

    Drinking water quality monitoring programs aim to support provision of safe drinking water by informing water quality management. Little evidence or guidance exists on best monitoring practices for low resource settings. Lack of financial, human, and technological resources reduce a country's ability to monitor water supply. Monitoring activities were characterized in Cambodia, Colombia, India (three states), Jordan, Peru, South Africa, and Uganda according to water sector responsibilities, monitoring approaches, and marginal cost. The seven study countries were selected to represent a range of low resource settings. The focus was on monitoring of microbiological parameters, such as E. coli, coliforms, and H2S-producing microorganisms. Data collection involved qualitative and quantitative methods. Across seven study countries, few distinct approaches to monitoring were observed, and in all but one country all monitoring relied on fixed laboratories for sample analysis. Compliance with monitoring requirements was highest for operational monitoring of large water supplies in urban areas. Sample transport and labor for sample collection and analysis together constitute approximately 75% of marginal costs, which exclude capital costs. There is potential for substantive optimization of monitoring programs by considering field-based testing and by fundamentally reconsidering monitoring approaches for non-piped supplies. This is the first study to look quantitatively at water quality monitoring practices in multiple developing countries.

  10. Groundwater quality in the Valley and Ridge and Piedmont and Blue Ridge carbonate-rock aquifers, eastern United States

    USGS Publications Warehouse

    Lindsey, Bruce; Belitz, Kenneth

    2017-01-19

    Groundwater provides nearly 50 percent of the Nation’s drinking water. To help protect this vital resource, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Project assesses groundwater quality in aquifers that are important sources of drinking water. The Valley and Ridge and Piedmont and Blue Ridge carbonate-rock aquifers constitute two of the important areas being evaluated. One or more inorganic constituents with human-health benchmarks were detected at high concentrations in about 15 percent of the study area and at moderate concentrations in about 17 percent. Organic constituents were not detected at high concentrations in the study area. One or more organic constituents with human-health benchmarks were detected at moderate concentrations in about 2 percent of the study area.

  11. Developing a Personnel Capacity Indicator for a high turnover Cartographic Production Sector

    NASA Astrophysics Data System (ADS)

    Mandarino, Flávia; Pessôa, Leonardo A. M.

    2018-05-01

    This paper describes a framework for development of an indicator for human re-sources capacity management in a military organization responsible for nautical chart production. Graphic chart for the results of the model COPPE-COSENZA (Cosenza et al. 2015) is used to properly present the personnel capacity within a high people turnover environment. The specific skills for the nautical charts production allied to the turnover rate require continuous and adequate personnel in-corporation and a capacity building through education and on-the-job training. The adopted approach for the study establishes quantitative values to fulfill quality requirements, and also presents graphically a profile for the human resources on a specific job to facilitate diagnosis and corrective actions.

  12. High Plains regional ground-water study

    USGS Publications Warehouse

    Dennehy, Kevin F.

    2000-01-01

    Over the last 25 years, industry and government have made large financial investments aimed at improving water quality across the Nation. Significant progress has been made; however, many water-quality concerns remain. In 1991, the U.S. Geological Survey (USGS) began implementing a full-scale National Water-Quality Assessment Program to provide consistent and scientifically sound information for managing the Nation's water resources. The goals of the NAWQA Program are to (1) describe current water-quality conditions for a large part of the Nation's freshwater streams and aquifers, (2) describe how water quality is changing over time, and (3) improve our understanding of the primary natural and human factors affecting water quality. Assessing the quality of water in every location in the Nation would not be practical; therefore, NAWQA Program studies are conducted within a set of areas called study units (fig. 1). These study units are composed of more than 50 important river and aquifer systems that represent the diverse geography, water resources, and land and water uses of the Nation. The High Plains Regional Ground-Water Study is one such study area, designed to address issues relevant to the High Plains Aquifer system while supplementing water-quality information collected in other study units across the Nation. Implementation of the NAWQA Program for the High Plains Regional Ground-Water Study area began in 1998.

  13. USGS Science for Restoration of South Florida: The South Florida Ecosystem Program

    USGS Publications Warehouse

    McPherson, Benjamin F.; Gerould, Sarah; Higer, Aaron L.

    1999-01-01

    As land and resource managers see the value of their resources diminish, and the public watches the environments they knew as children become degraded, there are increasing calls to restore what has been lost, or to build productive ecosystems that will be healthy and sustainable under the conditions of human use. The U.S. Geological Survey's (USGS) Placed-Based Studies Program was established to provide sound science for resource managers in critical ecosystems such as South Florida (fig. 1). The program, which began in south Florida in 1995, provides relevant information, high-quality data, and models to support decisions for ecosystem restoration and management. The program applies multi- and interdisciplinary science to address regional and subregional environmental resources issues.

  14. Water Quality in the Yakima River Basin, Washington, 1999-2000

    USGS Publications Warehouse

    Fuhrer, Gregory J.; Morace, Jennifer L.; Johnson, Henry M.; Rinella, Joseph F.; Ebbert, James C.; Embrey, Sandra S.; Waite, Ian R.; Carpenter, Kurt D.; Wise, Daniel R.; Hughes, Curt A.

    2004-01-01

    This report contains the major findings of a 1999?2000 assessment of water quality in streams and drains in the Yakima River Basin. It is one of a series of reports by the NAWQA Program that present major findings on water resources in 51 major river basins and aquifer systems across the Nation. In these reports, water quality is assessed at many scales?from large rivers that drain lands having many uses to small agricultural watersheds?and is discussed in terms of local, State, and regional issues. Conditions in the Yakima River Basin are compared to those found elsewhere and to selected national benchmarks, such as those for drinking-water quality and the protection of aquatic organisms. This report is intended for individuals working with water-resource issues in Federal, Tribal, State, or local agencies; universities; public interest groups; or the private sector. The information will be useful in addressing a number of current issues, such as source-water protection, pesticide registration, human health, drinking water, hypoxia and excessive growth of algae and plants, the effects of agricultural land use on water quality, and monitoring and sampling strategies. This report is also for individuals who wish to know more about the quality of water resources in areas near where they live, and how that water quality compares to the quality of water in other areas across the Nation. Other products describing water-quality conditions in the Yakima River Basin are available. Detailed technical information, data and analyses, methodology, and maps that support the findings presented in this report can be accessed from http://or.water.usgs.gov/yakima. Other reports in this series and data collected from other basins can be accessed from the national NAWQA Web site (http://water.usgs.gov/nawqa).

  15. Continual improvement: A bibliography with indexes, 1992-1993

    NASA Technical Reports Server (NTRS)

    1994-01-01

    This bibliography lists 606 references to reports and journal articles entered into the NASA Scientific and Technical Information Database during 1992 to 1993. Topics cover the philosophy and history of Continual Improvement (CI), basic approaches and strategies for implementation, and lessons learned from public and private sector models. Entries are arranged according to the following categories: Leadership for Quality, Information and Analysis, Strategic Planning for CI, Human Resources Utilization, Management of Process Quality, Supplier Quality, Assessing Results, Customer Focus and Satisfaction, TQM Tools and Philosophies, and Applications. Indexes include subject, personal author, corporate source, contract number, report number, and accession number.

  16. [Validation of the structure and resources of nosocomial infection control team in hospitals ascribed to VINCat program in Catalonia, Spain].

    PubMed

    Limón, Enrique; Pujol, Miquel; Gudiol, Francesc

    2014-07-01

    The main objective of this study was to validate the structure of the infection control team (ICT) in the hospitals adhered to VINCat program and secondary objective was to establish the consistency of resources of each center with the requirements established by the program. Qualitative research consisting of an ethnographic study using participant observation during the years 2008-2010. The centers were stratified in three groups by complexity and beds. The instrument was a semistructured interview to members of the ICT. The transcription of the interview was sent to informants for validation. In November 2010 a questionnaire regarding human resources and number hours dedicated to the ICT was sent. During 2008-2010, 65 centers had been adhered to VINCat program. In 2010, the ICT of Group I hospitals had a mean of two physician, one in full-time and one nurse for every 230 beds. In Group II, one physician part-time and one nurse per 180 beds and in Group III a physician and a nurse for every 98 beds, both part-time. In 2010, all hospitals had a structured ICT, an operative infection committee, and a hospital member representing the center at the program as well as enough electronic resources. The hospitals participating in the program have now VINCat an adequate surveillance structure and meet the minimum technical and human resources required to provide high-quality data. However human resources are not guaranteed. Copyright © 2014. Published by Elsevier Espana.

  17. Human resource solutions--the Gateway Paper proposed health reforms in Pakistan.

    PubMed

    Nishtar, Sania

    2006-12-01

    The existence of appropriate institutional and human resource capacity underpins the viability and sustainability of a health reform process within a country. Building human resource capacity within the health sector involves building the capacity of health service providers, health managers and administers as well as the stewards of health. Although capacity building is linked to a generic process closely linked to the broader economic, social and developmental context, it has specific health system connotations which should be the focus of a concerted effort. These include quantitative issues, in-effective deployment and brain-drain, qualitative considerations which stem from gaps in the quality of undergraduate as well as discrepancies in the content and format of training and absence of this in service of training health professionals and gaps in regulation. As one of the fundamental corner stones of health reform the Gateway Paper calls attention to the need to avert these issues with the development of a well-defined policy in human resource development as an entry point. This should be based on an analysis of the human resource need and should clearly define career structures for all categories of healthcare providers, and articulate the mechanisms of their effective deployment. Creating a conducive an rewarding environment, institutionalizing personnel management reform which go beyond personnel actions and set standards of performance, and develop appropriate incentives around this, would be critical. It would also be important to pay due attention to the content and format of training at an undergraduate level, at a postgraduate level and with reference to ongoing education and the allied roles of continuing medical education programs and accreditation of health systems educational institutions. The Gateway Paper also lays stress on effective regulation to curb the practice of quackery.

  18. A Study on Teaching Quality of Taiwan Government Training Civil Servants with Educational Technology

    ERIC Educational Resources Information Center

    Hsiao, Luke H. C.

    2012-01-01

    When economic globalization, informatization, and marketization are rapidly developing, the world is reaching the globally industrial society based on information technology. In such a fierce competition, human resource is gradually placed on the critical role. This study aims to: (1) understand the present situation of Educational Technology and…

  19. Quantitative Microbial Risk Assessment (QMRA) as a Compliment to epidemiologic Studies Estimating Bather Risk at Recreational Beaches

    EPA Science Inventory

    The US EPA and WHO have set recreational water quality standards based on epidemiologic studies to protect human health at beaches. These studies have largely been limited to sewage-impacted sites and resources are unlikely to be available to assess the myriad of other impacted s...

  20. 76 FR 10825 - Federal Tort Claims Act (FTCA) Medical Malpractice Program Regulations: Clarification of FTCA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-28

    ... Care, Health Resources and Services Administration, U.S. Department of Health and Human Services, 5600... INFORMATION CONTACT: Suma Nair, Director, Office of Quality and Data, Bureau of Primary Health Care, Health... current routine practice. List of Subjects in 42 CFR Part 6 Emergency medical services, Health care...

  1. Utilizing genetic resources and precision agriculture to enhance resistance to biotic and abiotic stress in watermelon

    USDA-ARS?s Scientific Manuscript database

    Originally from Africa, watermelon is a staple crop in South Carolina and rich source of important phytochemicals that promote human health. As a result of many years of domestication and selection for desired fruit quality, modern watermelon cultivars are susceptible to biotic and abiotic stress. T...

  2. Entry-Level Worker Study: Phase 1 Report. Program Report.

    ERIC Educational Resources Information Center

    Owens, Thomas; And Others

    A study examined innovative workplace practices in companies that employ significant numbers of entry-level workers. Findings were based on a series of personal interviews with human resource directors in 58 companies in the Northwest and the Pacific. Asked about the quality of current entry-level workers, employers reported that a disturbing…

  3. Understanding the business of employed physician practices.

    PubMed

    Sanford, Kathleen D

    2013-09-01

    Health system leaders should understand issues related to finance, compliance, human resources, quality, and safety in their employed physician practices to better support the success of these practices. New business and payment models are driving operational changes in physician offices. Catholic Health Initiatives (CHI) has added new system roles and responsibilities to oversee physician practices.

  4. Women, Minorities, and Persons with Disabilities in Science and Engineering: 1996.

    ERIC Educational Resources Information Center

    National Science Foundation, Arlington, VA.

    In an increasingly global economy, making full use of all of the United States' human resources is essential to successful international competition, world leadership in science and engineering, and an improved quality of life. However, some groups--women, minorities, and persons with disabilities--are still underrepresented in science and…

  5. Optimizing human resources: a case for preventive health and stress management.

    PubMed

    Ivancevich, J M; Matteson, M T

    1980-01-01

    Traditionally, medical treatment in this country has focused on treatment of problems and illness after they've reached the point of crisis and pain. But now, managers are beginning to realize that preventive health and stree management can save money for the organization while improving the quality of worklife for employees.

  6. Industrialization: The Key Factor in Changing Rural Communities.

    ERIC Educational Resources Information Center

    Deaton, Brady J.

    While increased movement of industry into rural areas has whittled away at rural poverty in the United States, the question arises whether this transformation of rural landscape is good or bad. Evaluation should detail its effect on both human and natural resources. Though reduction of poverty is important to quality of life, increased…

  7. A National Program of Research for Rural Development and Family Living.

    ERIC Educational Resources Information Center

    Joint Task Force of the Dept. of Agriculture and the State Universities and Land Grant Colleges, Washington, DC.

    The suggested classification of basic research areas in rural development mentioned in this report were population and manpower, human resource development, improvement of community and area environment, and measurement of family and community well-being. The 4 broad categories suggested for improvement in the quality of family living were (1)…

  8. Integrated studies of Azraq Basin in Jordan

    Treesearch

    Mohammed Shahbaz; B. Sunna

    2000-01-01

    Many historical indications of the eastern Mediterranean Basin exhibit climatic changes or alterations effecting the status of water resources, hence, effecting human-kind and the quality of life. It is essential to deeply understand the nature of climates and geological structures employing state of the art techniques to assess rainfall, runoff, and floods that...

  9. National Policy on Education and Higher Education

    ERIC Educational Resources Information Center

    Varughese, Rajan

    2017-01-01

    The Ministry of Human Resource Development (MHRD) has come out with the draft of 'National Education Policy (NEP) 2016' in April 2016. The new NEP 2016 seeks to create conditions to improve the quality of teaching, learning and assessment, and promote transparency in the management of education in the country. The policy prescriptions enunciated…

  10. Sheila Grady-McBride | NREL

    Science.gov Websites

    the Thermochemical Group. Prior to joining the National Renewable Energy Laboratory (NREL), Grady -McBride most recently worked at The Beck Group as a project assistant. Before that she worked for 12 years Beck Group, 2006-2012 Executive Assistant, VP of Quality, VP of Human Resources, Director of Training

  11. Changing Issue Representation among Major United States Environmental Movement Organizations

    ERIC Educational Resources Information Center

    Johnson, Erik

    2006-01-01

    Histories of the environmental movement have emphasized the importance of a shift in focus from those issues traditionally associated with the movement, such as resource and wildlife protection, towards "new" quality of life issues, such as environmental pollution and its human health effects. Here, time-series data between 1970 and 2000…

  12. Solid Waste, Air Pollution and Health

    ERIC Educational Resources Information Center

    Kupchik, George J.; Franz, Gerald J.

    1976-01-01

    This article examines the relationships among solid waste disposal, air pollution, and human disease. It is estimated that solid waste disposal contributes 9.7 percent of the total air pollution and 9.9 percent of the total air pollution health effect. Certain disposal-resource recovery systems can be implemented to meet air quality standards. (MR)

  13. 76 FR 77888 - Student Transportation of America, Inc.-Control-Dairyland Buses, Inc.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-14

    ... Wisconsin law, also holds a FMCSA license (MC-170747) and is owned by Coach USA, Inc., a Delaware..., 2011, from their current owner, Coach USA, Inc., into an independent voting trust established under 49... affect either the quality of the human environment or the conservation of energy resources. It is ordered...

  14. Sustainability and the University

    ERIC Educational Resources Information Center

    Clough, G. Wayne; Chameau, Jean-Lou; Carmichael, Carol

    2006-01-01

    In this article, the authors state that one of the major challenges facing the human race is charting a course for the future that allows economic growth while protecting the fragile planet. The authors discuss the role that higher education must play to help create a vibrant economy and high quality of life, while sustaining natural resources.…

  15. 75 FR 73070 - Empire Pipeline, Inc.; Notice of Availability of the Environmental Assessment for the Proposed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-29

    ... and replace pipeline facilities to provide an additional 350,000 dekatherms per day of natural gas... Federal action significantly affecting the quality of the human environment. The New York State Department... agencies have jurisdiction by law or special expertise with respect to resources potentially affected by...

  16. The future of the ogallala aquifer: We can measure it, but can we manage it?

    USDA-ARS?s Scientific Manuscript database

    Ensuring the availability of fresh water resources in sufficient quantity and quality to support human populations and surrounding ecosystems represents one of the grand challenges of our time. The Ogallala Aquifer, one of the largest freshwater aquifers in the world, is a prime example of the chall...

  17. National water summary 1983: Hydrologic events and issues

    USGS Publications Warehouse

    ,

    1984-01-01

    The United States as a Nation possesses abundant water resources and has developed and used those resources extensively. The national renewable supply of water is about 1,400 billion gallons per day (for the conterminous 48 States). Approximately 380 billion gallons per day of freshwater is withdrawn for use by the Nation's homes, farms, and industries, and about 280 billion gallons per day is returned to streams. Although a large percentage of the Nation's waste is carried in this return flow, the quality of water in streams has improved in many respects as a result of the pollution-control pro- grams of recent years. However, much remains to be learned about water quality particularly the extent of contamination by synthetic organic chemicals and heavy metals, and the effects of these contaminants on human health.

  18. Poor health is associated with use of anthropogenic resources in an urban carnivore

    PubMed Central

    Murray, Maureen; Edwards, Mark A.; Abercrombie, Bill; St. Clair, Colleen Cassady

    2015-01-01

    Rates of encounters between humans and wildlife are increasing in cities around the world, especially when wildlife overlap with people in time, space and resources. Coyotes (Canis latrans) can make use of anthropogenic resources and reported rates of conflict have increased in cities across North America. This increase may be linked to individual differences in the use of human food and developed areas. We compared the relationships between coyote age, sex or health and the use of anthropogenic resources, which we defined as using developed areas over large home ranges, being active during the day, and consuming anthropogenic food. To do so, we applied GPS collars to 19 coyotes and sampled hair for stable isotope analysis. Eleven coyotes appeared to be healthy and eight were visibly infested with sarcoptic mange (Sarcoptes scabiei), a mite that causes hair loss. Diseased coyotes used more developed areas, had larger monthly home ranges, were more active during the day, and assimilated less protein than coyotes that appeared to be healthy. We speculate that anthropogenic food provides a low-quality but easily accessible food source for diseased coyotes, which in turn may increase reliance on it and other anthropogenic resources to promote encounters with people. PMID:25876843

  19. Groundwater resources of Ribeira Paúl basin, island of Santo Antão, Cape Verde, West Africa

    USGS Publications Warehouse

    Heilweil, Victor M.; Gingerich, Stephen B.; Verstraeten, Ingrid M.

    2010-01-01

    Groundwater resources in Cape Verde provide water for agriculture, industry, and human consumption. These resources are limited and susceptible to contamination. Additional groundwater resources are needed for continued agricultural development, particularly during times of drought, but increased use and (or) climatic change may have adverse effects on the quantity and quality of freshwater available. In volcanic island aquifers such as those of Cape Verde, a lens of fresh groundwater typically ?floats? upon a layer of brackish water at the freshwater/saltwater boundary, and increased pumping may cause salt water intrusion or other contamination. A recent U.S. Geological Survey study assessed baseline groundwater conditions in watersheds on three islands of Cape Verde to provide the scientific basis for sustainably developing water resources and minimizing future groundwater depletion and contamination.

  20. Groundwater resources of Ribeira Fajã basin, island of São Nicolau, Cape Verde, West Africa

    USGS Publications Warehouse

    Heilweil, Victor M.; Gingerich, Stephen B.; Plummer, Niel; Verstraeten, Ingrid M.

    2010-01-01

    Groundwater resources in Cape Verde provide water for agriculture, industry, and human consumption. These resources are limited and susceptible to contamination. Additional groundwater resources are needed for continued agricultural development, particularly during times of drought, but increased use and (or) climatic change may have adverse effects on the quantity and quality of freshwater available. In volcanic island aquifers such as those of Cape Verde, a lens of fresh groundwater typically ?floats? upon a layer of brackish water at the freshwater/saltwater boundary, and increased pumping may cause salt water intrusion or other contamination. A recent U.S. Geological Survey study assessed baseline groundwater conditions in watersheds on three islands of Cape Verde to provide the scientific basis for sustainably developing water resources and minimizing future groundwater depletion and contamination.

  1. The use of quality benchmarking in assessing web resources for the dermatology virtual branch library of the National electronic Library for Health (NeLH).

    PubMed

    Kamel Boulos, M N; Roudsari, A V; Gordon, C; Muir Gray, J A

    2001-01-01

    In 1998, the U.K. National Health Service Information for Health Strategy proposed the implementation of a National electronic Library for Health to provide clinicians, healthcare managers and planners, patients and the public with easy, round the clock access to high quality, up-to-date electronic information on health and healthcare. The Virtual Branch Libraries are among the most important components of the National electronic Library for Health. They aim at creating online knowledge based communities, each concerned with some specific clinical and other health-related topics. This study is about the envisaged Dermatology Virtual Branch Libraries of the National electronic Library for Health. It aims at selecting suitable dermatology Web resources for inclusion in the forthcoming Virtual Branch Libraries after establishing preliminary quality benchmarking rules for this task. Psoriasis, being a common dermatological condition, has been chosen as a starting point. Because quality is a principal concern of the National electronic Library for Health, the study includes a review of the major quality benchmarking systems available today for assessing health-related Web sites. The methodology of developing a quality benchmarking system has been also reviewed. Aided by metasearch Web tools, candidate resources were hand-selected in light of the reviewed benchmarking systems and specific criteria set by the authors. Over 90 professional and patient-oriented Web resources on psoriasis and dermatology in general are suggested for inclusion in the forthcoming Dermatology Virtual Branch Libraries. The idea of an all-in knowledge-hallmarking instrument for the National electronic Library for Health is also proposed based on the reviewed quality benchmarking systems. Skilled, methodical, organized human reviewing, selection and filtering based on well-defined quality appraisal criteria seems likely to be the key ingredient in the envisaged National electronic Library for Health service. Furthermore, by promoting the application of agreed quality guidelines and codes of ethics by all health information providers and not just within the National electronic Library for Health, the overall quality of the Web will improve with time and the Web will ultimately become a reliable and integral part of the care space.

  2. Highlights of contractor initiatives in quality enhancement and productivity improvement

    NASA Technical Reports Server (NTRS)

    1986-01-01

    The NASA/Contractor Team efforts are presented as part of NASA's continuing effort to facilitate the sharing of quality and productivity improvement ideas among its contractors. This complilation is not meant to be a comprehensive review of contractor initiative nor does it necessarily express NASA's views. The submissions represent samples from a general survey, and were not edited by NASA. The efforts are examples of quality and productivity programs in private industry, and as such, highlight company efforts in individual areas. Topics range from modernization of equipment, hardware, and technology to management of human resources. Of particular interest are contractor initiatives which deal with measurement and evaluation data pertaining to quality and productivity performance.

  3. Effect of a facility-based multifaceted intervention on the quality of obstetrical care: a cluster randomized controlled trial in Mali and Senegal

    PubMed Central

    2013-01-01

    Background Maternal mortality in referral hospitals in Mali and Senegal surpasses 1% of obstetrical admissions. Poor quality obstetrical care contributes to high maternal mortality; however, poor care is often linked to insufficient hospital resources. One promising method to improve obstetrical care is maternal death review. With a cluster randomized trial, we assessed whether an intervention, based on maternal death review, could improve obstetrical quality of care. Methods The trial began with a pre-intervention year (2007), followed by two years of intervention activities and a post-intervention year. We measured obstetrical quality of care in the post-intervention year using a criterion-based clinical audit (CBCA). We collected data from 32 of the 46 trial hospitals (16 in each trial arm) and included 658 patients admitted to the maternity unit with a trial of labour. The CBCA questionnaire measured 5 dimensions of care- patient history, clinical examination, laboratory examination, delivery care and postpartum monitoring. We used adjusted mixed models to evaluate differences in CBCA scores by trial arms and examined how levels of hospital human and material resources affect quality of care differences associated with the intervention. Results For all women, the mean percentage of care criteria met was 66.3 (SD 13.5). There were significantly greater mean CBCA scores in women treated at intervention hospitals (68.2) compared to control hospitals (64.5). After adjustment, women treated at intervention sites had 5 points’ greater scores than those at control sites. This difference was mostly attributable to greater clinical examination and post-partum monitoring scores. The association between the intervention and quality of care was the same, irrespective of the level of resources available to a hospital; however, as resources increased, so did quality of care scores in both arms of the trial. Trial registration The QUARITE trial is registered on the Current Controlled Trials website under ISRCTN46950658 PMID:23351269

  4. Proactive responses to human impacts that balance development and Atlantic salmon (Salmo salar) conservation: An integrative model

    USGS Publications Warehouse

    Wilzbach, M.A.; Mather, M. E.; Folt, C.L.; Moore, A.; Naiman, R.J.; Youngson, A.F.; McMenemy, J.

    1998-01-01

    Incorporating human impacts into conservation plans is critical to protect natural resources. Using a model that examines how anthropogenic changes might be proactively influenced to promote conservation, we argue that a denser human population does not spell inevitable doom for Atlantic salmon (Salmo salar). Humans affect the Atlantic salmon ecosystem deleteriously through landscape alteration, exploitation, external inputs, and resource competition. An intact ecosystem provides positive feedback to society by providing food, ecosystem services, and improving the quality of life. As Atlantic salmon and associated ecosystem benefits are increasingly valued by society, policies, laws, and regulations that protect salmon populations and habitats are codified into a 'control system' or institutional infrastructure. Via research that helps maintain wild salmon populations and in informing the public about the benefits of a healthy Atlantic salmon ecosystem, scientists can influence public attitudes and facilitate the implementation of environmental policies that moderate harmful anthropogenic changes. Because exchange among scientists is of paramount importance in increasing our understanding of important interrelationships between humans and fish, we recommend the establishment of an international salmon organizational for research.

  5. The occupational safety and health scorecard--a business case example for strategic management.

    PubMed

    Köper, Birgit; Möller, Klaus; Zwetsloot, Gerard

    2009-12-01

    Human resources and health issues are crucial in terms of corporate competitiveness. However, systematic, continuous and strategically aligned occupational safety and health (OSH) management is scarcely applied in companies. One major reason for this could be the lack of generally accepted and standardised OSH control methods. Our objective was thus to conceptualize a method by which qualitative factors such as human resources and OSH aspects contribute to the performance or value-added layer of an organization. We developed a business case based on the well-known and accepted Balanced Scorecard approach, which we adapted and applied to the management of OSH issues. The concept was implemented in the course of a comprehensive case study at a German automobile manufacturer. We gathered health as well as finance data in order to test which health-related indicators had an impact on financial performance. The demonstration of, and reporting on, how the promotion of workplace health contributes strategically to the organization is crucial for both health and human resource managers. Based on multivariate regression analyses, our main finding was that the Balanced Scorecard approach is an adequate means to control OSH issues in terms of strategic health management. Our analyses demonstrated that health-related interventions contribute significantly to performance aspects such as quality, productivity, absenteeism, and cost reduction. Therefore, the financial impact of health-related aspects / interventions could be demonstrated by means of the OSH scorecard. The availability and quality of health data within the context of overall corporate performance data needs to be improved in order to bridge OSH-related and performance issues of an organization.

  6. Integration of HIV care into maternal health services: a crucial change required in improving quality of obstetric care in countries with high HIV prevalence.

    PubMed

    Madzimbamuto, Farai D; Ray, Sunanda; Mogobe, Keitshokile D

    2013-06-10

    The failure to reduce preventable maternal deaths represents a violation of women's right to life, health, non-discrimination and equality. Maternal deaths result from weaknesses in health systems: inadequate financing of services, poor information systems, inefficient logistics management and most important, the lack of investment in the most valuable resource, the human resource of health workers. Inadequate senior leadership, poor communication and low staff morale are cited repeatedly in explaining low quality of healthcare. Vertical programmes undermine other service areas by creating competition for scarce skilled staff, separate reporting systems and duplication of training and tasks. Confidential enquiries and other quality-improvement activities have identified underlying causes of maternal deaths, but depend on the health system to respond with remedies. Instead of separate vertical programmes for management of HIV, tuberculosis, and reproductive health, integration of care and joint management of pregnancy and HIV would be more effective. Addressing health system failures that lead to each woman's death would have a wider impact on improving the quality of care provided in the health service as a whole. More could be achieved if existing resources were used more effectively. The challenge for African countries is how to get into practice interventions known from research to be effective in improving quality of care. Advocacy and commitment to saving women's lives are crucial elements for campaigns to influence governments and policy -makers to act on the findings of these enquiries. Health professional training curricula should be updated to include perspectives on patients' rights, communication skills, and integrated approaches, while using adult learning methods and problem-solving techniques. In countries with high rates of Human Immunodeficiency Virus (HIV), indirect causes of maternal deaths from HIV-associated infections now exceed direct causes of hemorrhage, hypertension and sepsis. Advocacy for all pregnant HIV-positive women to be on anti-retroviral therapy must extend to improvements in the quality of service offered, better organised obstetric services and integration of clinical HIV care into maternity services. Improved communication and specialist support to peripheral facilities can be facilitated through advances in technology such as mobile phones.

  7. Refining Automatically Extracted Knowledge Bases Using Crowdsourcing

    PubMed Central

    Xian, Xuefeng; Cui, Zhiming

    2017-01-01

    Machine-constructed knowledge bases often contain noisy and inaccurate facts. There exists significant work in developing automated algorithms for knowledge base refinement. Automated approaches improve the quality of knowledge bases but are far from perfect. In this paper, we leverage crowdsourcing to improve the quality of automatically extracted knowledge bases. As human labelling is costly, an important research challenge is how we can use limited human resources to maximize the quality improvement for a knowledge base. To address this problem, we first introduce a concept of semantic constraints that can be used to detect potential errors and do inference among candidate facts. Then, based on semantic constraints, we propose rank-based and graph-based algorithms for crowdsourced knowledge refining, which judiciously select the most beneficial candidate facts to conduct crowdsourcing and prune unnecessary questions. Our experiments show that our method improves the quality of knowledge bases significantly and outperforms state-of-the-art automatic methods under a reasonable crowdsourcing cost. PMID:28588611

  8. Interdisciplinary science in support of environmental health along the United States-Mexico border

    USGS Publications Warehouse

    Papoulias, Diana; Parcher, Jean; Stefanov, Jim; Page, Ric

    2006-01-01

    The diverse, fragile ecosystems of the borderlands have been pushed beyond sustainable levels due to rapid population growth and land-use changes. Water shortages and pollution, poor air quality, increased soil salinities, residual pesticides and heavy metal contaminants are some of the many stressors that are degrading the quality of life in the borderlands. The relationship between human health and environmental quality challenges public officials, medical professionals, and resource managers on both sides of the border in their efforts to provide for and maintain healthy communities. To help understand the relationship between environmental and human health, the U.S. Geological Survey's (USGS) Border Environmental Health Initiative (BEHI) created an Internet Map Service (IMS) with binational georeferenced data. The goal is to have seamless integration of borderwide datasets at regional and local scales that can lend understanding of the linkages between the condition of the physical environment and public health issues.

  9. Science data in support of environmental health studies in the U.S.-Mexico border region

    USGS Publications Warehouse

    Buckler, Denny; Strom, Eric

    2004-01-01

    The border region of the United States and Mexico encompasses a vast and diverse array of physical settings and habitats that include wetlands, deserts, rangeland, mountains, and forests, which are unique in terms of the diversity of their water, mineral, and biological resources. The region is interconnected economically, politically, and socially owing to its binational heritage. In 1995, nearly 11 million people lived immediately adjacent to the border. By one account, that population could more than double by 2020. This rapid population growth and consequent economic development and land-use changes are pushing the limits of environmental sustainability and quality. Infrastructure development has lagged behind the rapid growth of the region, resulting in a shortage of water for municipal, agricultural, and industrial uses. These stressors threaten the quality of life in the region and raise concerns about the interdependence of environmental quality and human health. To allow for continued economic growth while protecting the area’s natural resources and fostering a high quality of life, the United States and Mexico need an improved understanding of the threats posed by these anthropogenic changes.Issues of particular concern include (1) contaminants in ground water, surface water, and biota from agricultural, municipal, and industrial activities; (2) airborne pollutants from fossil-fuel combustion and other activities; (3) contaminants from past and present mining activities and mineral deposits; and (4) pathogens, pharmaceuticals, hormones, and other contaminants released in treated and untreated human and animal wastewaters.

  10. Increasing the Adaptive Capacity of the Organism When Exposed to Adverse Environmental Factors Through Phytoadaptogens

    NASA Astrophysics Data System (ADS)

    Babii, N. V.; Pomozova, V. A.; Kiseleva, T. F.; Romanenko, V. O.

    2017-07-01

    The Problem of improving the quality of life of the population in modern conditions is the most relevant. The level of human health largely depends on the quality of the environment. Of special importance are the risk factors for the spread of diseases like environmental pollution, social conditions and bad habits. To the emergence of ecologically dependent diseases leads the combined impact of technogenic, social-economic, natural-climatic factors. The introduction of the principles of biotechnology, nanotechnology and innovations in industrial processing of plant resources, especially natural adaptogens, contributes to the production of balanced, ecologically clean food products functional purpose, the use of which will significantly minimize the adverse effects of the environment on humans.

  11. Data Acquisition and Linguistic Resources

    NASA Astrophysics Data System (ADS)

    Strassel, Stephanie; Christianson, Caitlin; McCary, John; Staderman, William; Olive, Joseph

    All human language technology demands substantial quantities of data for system training and development, plus stable benchmark data to measure ongoing progress. While creation of high quality linguistic resources is both costly and time consuming, such data has the potential to profoundly impact not just a single evaluation program but language technology research in general. GALE's challenging performance targets demand linguistic data on a scale and complexity never before encountered. Resources cover multiple languages (Arabic, Chinese, and English) and multiple genres -- both structured (newswire and broadcast news) and unstructured (web text, including blogs and newsgroups, and broadcast conversation). These resources include significant volumes of monolingual text and speech, parallel text, and transcribed audio combined with multiple layers of linguistic annotation, ranging from word aligned parallel text and Treebanks to rich semantic annotation.

  12. From Field Notes to Data Portal - A Scalable Data QA/QC Framework for Tower Networks: Progress and Preliminary Results

    NASA Astrophysics Data System (ADS)

    Sturtevant, C.; Hackley, S.; Lee, R.; Holling, G.; Bonarrigo, S.

    2017-12-01

    Quality assurance and control (QA/QC) is one of the most important yet challenging aspects of producing research-quality data. Data quality issues are multi-faceted, including sensor malfunctions, unmet theoretical assumptions, and measurement interference from humans or the natural environment. Tower networks such as Ameriflux, ICOS, and NEON continue to grow in size and sophistication, yet tools for robust, efficient, scalable QA/QC have lagged. Quality control remains a largely manual process heavily relying on visual inspection of data. In addition, notes of measurement interference are often recorded on paper without an explicit pathway to data flagging. As such, an increase in network size requires a near-proportional increase in personnel devoted to QA/QC, quickly stressing the human resources available. We present a scalable QA/QC framework in development for NEON that combines the efficiency and standardization of automated checks with the power and flexibility of human review. This framework includes fast-response monitoring of sensor health, a mobile application for electronically recording maintenance activities, traditional point-based automated quality flagging, and continuous monitoring of quality outcomes and longer-term holistic evaluations. This framework maintains the traceability of quality information along the entirety of the data generation pipeline, and explicitly links field reports of measurement interference to quality flagging. Preliminary results show that data quality can be effectively monitored and managed for a multitude of sites with a small group of QA/QC staff. Several components of this framework are open-source, including a R-Shiny application for efficiently monitoring, synthesizing, and investigating data quality issues.

  13. National Water-Quality Assessment Program: Central Arizona Basins

    USGS Publications Warehouse

    Cordy, Gail E.

    1994-01-01

    In 1991, the U.S. Geological Survey (USGS) began to implement a full-scale National Water-Quality Assessment (NAWQA) program. The long-term goals of the NAWQA program are to describe the status and trends in the quality of a large, representative part of the Nation's surface-water and ground-water resources and to provide a sound, scientific understanding of the primary natural and human factors affecting the quality of these resources. In meeting these goals, the program will produce a wealth of water-quality information that will be useful to policymakers and managers at the National, State, and local levels. Studies of 60 hydrologic systems that include parts of most major river basins and aquifer systems (study-unit investigations) are the building blocks of the national assessment. The 60 study units range in size from 1,000 to about 60,000 mi2 and represent 60 to 70 percent of the Nation's water use and population served by public water supplies. Twenty study-unit investigations were started in 1991, 20 additional studies started in 1994, and 20 more are planned to start in 1997. The Central Arizona Basins study unit began assessment activities in 1994.

  14. Understanding the impacts of medical tourism on health human resources in Barbados: a prospective, qualitative study of stakeholder perceptions.

    PubMed

    Snyder, Jeremy; Crooks, Valorie A; Turner, Leigh; Johnston, Rory

    2013-01-05

    Medical tourism is a global health practice where patients travel internationally with the intention of receiving medical services. A range of low, middle, and high income countries are encouraging investment in the medical tourism sector, including countries in the Caribbean targeting patients in North America and Europe. While medical tourism has the potential to provide economic and employment opportunities in destination countries, there are concerns that it could encourage the movement of health workers from the public to private health sector. We present findings from 19 semi-structured interviews with stakeholders across the public health care, private health care, government, allied business, and civil society sectors. These interviews were conducted in-person in Barbados and via phone. The interview transcripts were coded and a thematic analysis developed. Three themes were identified: 1) Stakeholder perceptions of the patterns and plans for health human resource usage by current and planned medical tourism facilities in Barbados. We found that while health human resource usage in the medical tourism sector has been limited, it is likely to grow in the future; 2) Anticipated positive impacts of medical tourism on health human resources and access to care in the public system. These benefits included improved quality control, training opportunities, and health worker retention; and 3) Anticipated negative impacts of medical tourism on health human resources and access to care in the public system. These impacts included longer wait times for care and a shift in planning priorities driven by the medical tourism sector. Stakeholders interviewed who were connected to medical tourism expansion or the tourism sector took a generally positive view of the likely impacts of medical tourism on health human resources in Barbados. However, stakeholders associated with the public health system and health equity expressed concern that medical tourism may spread inequities in this country. The mechanisms by which observed negative health equity impacts in other countries will be avoided in Barbados are unclear. Continued study in Barbados and comparison with the regulatory frameworks in other countries is needed to help enhance positive and mitigate negative impacts of medical tourism on health human resources in Barbados. These findings will likely have import for other Caribbean nations investing in medical tourism and beyond.

  15. Understanding the impacts of medical tourism on health human resources in Barbados: a prospective, qualitative study of stakeholder perceptions

    PubMed Central

    2013-01-01

    Background Medical tourism is a global health practice where patients travel internationally with the intention of receiving medical services. A range of low, middle, and high income countries are encouraging investment in the medical tourism sector, including countries in the Caribbean targeting patients in North America and Europe. While medical tourism has the potential to provide economic and employment opportunities in destination countries, there are concerns that it could encourage the movement of health workers from the public to private health sector. Methods We present findings from 19 semi-structured interviews with stakeholders across the public health care, private health care, government, allied business, and civil society sectors. These interviews were conducted in-person in Barbados and via phone. The interview transcripts were coded and a thematic analysis developed. Results Three themes were identified: 1) Stakeholder perceptions of the patterns and plans for health human resource usage by current and planned medical tourism facilities in Barbados. We found that while health human resource usage in the medical tourism sector has been limited, it is likely to grow in the future; 2) Anticipated positive impacts of medical tourism on health human resources and access to care in the public system. These benefits included improved quality control, training opportunities, and health worker retention; and 3) Anticipated negative impacts of medical tourism on health human resources and access to care in the public system. These impacts included longer wait times for care and a shift in planning priorities driven by the medical tourism sector. Conclusions Stakeholders interviewed who were connected to medical tourism expansion or the tourism sector took a generally positive view of the likely impacts of medical tourism on health human resources in Barbados. However, stakeholders associated with the public health system and health equity expressed concern that medical tourism may spread inequities in this country. The mechanisms by which observed negative health equity impacts in other countries will be avoided in Barbados are unclear. Continued study in Barbados and comparison with the regulatory frameworks in other countries is needed to help enhance positive and mitigate negative impacts of medical tourism on health human resources in Barbados. These findings will likely have import for other Caribbean nations investing in medical tourism and beyond. PMID:23289812

  16. Moving towards Universal Health Coverage through the Development of Integrated Service Delivery Packages for Primary Health Care in the Solomon Islands

    PubMed Central

    Whiting, Stephen; Postma, Sjoerd; Jamshaid de Lorenzo, Ayesha; Aumua, Audrey

    2016-01-01

    The Solomon Islands Government is pursuing integrated care with the goal of improving the quality of health service delivery to rural populations. Under the auspices of Universal Health Coverage, integrated service delivery packages were developed which defined the clinical and public health services that should be provided at different levels of the health system. The process of developing integrated service delivery packages helped to identify key policy decisions the government needed to make in order to improve service quality and efficiency. The integrated service delivery packages have instigated the revision of job descriptions and are feeding into the development of a human resource plan for health. They are also being used to guide infrastructure development and health system planning and should lead to better management of resources. The integrated service delivery packages have become a key tool to operationalise the government’s policy to move towards a more efficient, equitable, quality and sustainable health system. PMID:28321177

  17. Human resources for health in Botswana: the results of in-country database and reports analysis.

    PubMed

    Nkomazana, Oathokwa; Peersman, Wim; Willcox, Merlin; Mash, Robert; Phaladze, Nthabiseng

    2014-11-21

    Botswana is a large middle-income country in Southern Africa with a population of just over two million. Shortage of human resources for health is blamed for the inability to provide high quality accessible health services. There is however a lack of integrated, comprehensive and readily-accessible data on the health workforce. The aim of this study was to analyse the existing databases on health workforce in Botswana in order to quantify the human resources for health. The Department of Policy, Planning, Monitoring and Evaluation at the Ministry of Health, Ministry of Education and Skills Development, the Botswana Health Professions Council, the Nursing and Midwifery Council of Botswana and the in-country World Health Organization office provided raw data on human resources for health in Botswana. The densities of doctors and nurses per 10 000 population were four and 42,respectively; three and 26 for rural districts; and nine and 77 for urban districts. The average vacancy rate in 2007 and 2008 was 5% and 13% in primary and hospital care, respectively, but this is projected to increase to 53% and 43%, respectively, in 2016. Only 21% of the doctors registered with the Botswana Health Professions Council were from Botswana, the rest being mainly from other African countries. Botswana trained 77% of its health workforce locally. Although the density of health workers is relatively high compared to the region, they are concentrated in urban areas, insufficient to meet the projected requirements and reliant on migrant professionals.

  18. Emerging tools for continuous nutrient monitoring networks: Sensors advancing science and water resources protection

    USGS Publications Warehouse

    Pellerin, Brian; Stauffer, Beth A; Young, Dwane A; Sullivan, Daniel J.; Bricker, Suzanne B.; Walbridge, Mark R; Clyde, Gerard A; Shaw, Denice M

    2016-01-01

    Sensors and enabling technologies are becoming increasingly important tools for water quality monitoring and associated water resource management decisions. In particular, nutrient sensors are of interest because of the well-known adverse effects of nutrient enrichment on coastal hypoxia, harmful algal blooms, and impacts to human health. Accurate and timely information on nutrient concentrations and loads is integral to strategies designed to minimize risk to humans and manage the underlying drivers of water quality impairment. Using nitrate sensors as an example, we highlight the types of applications in freshwater and coastal environments that are likely to benefit from continuous, real-time nutrient data. The concurrent emergence of new tools to integrate, manage and share large data sets is critical to the successful use of nutrient sensors and has made it possible for the field of continuous nutrient monitoring to rapidly move forward. We highlight several near-term opportunities for Federal agencies, as well as the broader scientific and management community, that will help accelerate sensor development, build and leverage sites within a national network, and develop open data standards and data management protocols that are key to realizing the benefits of a large-scale, integrated monitoring network. Investing in these opportunities will provide new information to guide management and policies designed to protect and restore our nation’s water resources.

  19. Introduction to special section on impacts of land use change on water resources

    USGS Publications Warehouse

    Stonestrom, David A.; Scanlon, Bridget R.; Zhang, Lu

    2009-01-01

    Changes in land use have potentially large impacts on water resources, yet quantifying these impacts remains among the more challenging problems in hydrology. Water, food, energy, and climate are linked through complex webs of direct and indirect effects and feedbacks. Land use is undergoing major changes due not only to pressures for more efficient food, feed, and fiber production to support growing populations but also due to policy shifts that are creating markets for biofuel and agricultural carbon sequestration. Hydrologic systems embody flows of water, solutes, sediments, and energy that vary even in the absence of human activity. Understanding land use impacts thus necessitates integrated scientific approaches. Field measurements, remote sensing, and modeling studies are shedding new light on the modes and mechanisms by which land use changes impact water resources. Such studies can help deconflate the interconnected influences of human actions and natural variations on the quantity and quality of soil water, surface water, and groundwater, past, present, and future.

  20. Chronic disease prevention and management: implications for health human resources in 2020.

    PubMed

    Orchard, Margo; Green, Esther; Sullivan, Terrence; Greenberg, Anna; Mai, Verna

    2008-01-01

    Through improved screening, detection, better and more targeted therapies and the uptake of evidence-based treatment guidelines, cancers are becoming chronic diseases. However, this good-news story has implications for human resource planning and resource allocation. Population-based chronic disease management is a necessary approach to deal with the growing burden of chronic disease in Canada. In this model, an interdisciplinary team works with and educates the patient to monitor symptoms, modify behaviours and self-manage the disease between acute episodes. In addition, the community as a whole is more attuned to disease prevention and risk factor management. Trusted, high-quality evidence-based protocols and healthy public policies that have an impact on the entire population are needed to minimize the harmful effects of chronic disease. Assuming we can overcome the challenges in recruitment, training and new role development, enlightened healthcare teams and community members will work together to maintain the population's health and wellness and to reduce the incidence and burden of chronic disease in Ontario.

  1. Resource allocation for mitigating regional air pollution–related mortality: A summertime case study for five cities in the United States

    PubMed Central

    Liao, Kuo-Jen; Hou, Xiangting; Strickland, Matthew J.

    2016-01-01

    ABSTRACT An important issue of regional air quality management is to allocate air quality management funds to maximize environmental and human health benefits. In this study, we use an innovative approach to tackle this air quality management issue. We develop an innovative resource allocation model that allows identification of air pollutant emission control strategies that maximize mortality avoidances subject to a resource constraint. We first present the development of the resource allocation model and then a case study to show how the model can be used to identify resource allocation strategies that maximize mortality avoidances for top five Metropolitan Statistical Areas (MSAs) (i.e., New York, Los Angeles, Chicago, Dallas-Fort Worth, and Philadelphia) in the continental United States collectively. Given budget constraints in the U.S. Environmental Protection Agency’s (EPA) Clean Air Act assessment, the results of the case study suggest that controls of sulfur dioxide (SO2) and primary carbon (PC) emissions from EPA Regions 2, 3, 5, 6, and 9 would have significant health benefits for the five selected cities collectively. Around 30,800 air pollution–related mortalities could be avoided during the selected 2-week summertime episode for the five cities collectively if the budget could be allocated based on the results of the resource allocation model. Although only five U.S. cities during a 2-week episode are considered in the case study, the resource allocation model can be used by decision-makers to plan air pollution mitigation strategies to achieve the most significant health benefits for other seasons and more cities over a region or the continental U.S.Implications: Effective allocations of air quality management resources are challenging and complicated, and it is desired to have a tool that can help decision-makers better allocate the funds to maximize health benefits of air pollution mitigation. An innovative resource allocation model developed in this study can help decision-makers identify the best resource allocation strategies for multiple cities collectively. The results of a case study suggest that controls of primary carbon and sulfur dioxides emissions would achieve the most significant health benefits for five selected cities collectively. PMID:27441782

  2. Strengthening Institutional Research Administration in Uganda: A Case Study on Developing Collaborations among Academic and Research Institutions

    ERIC Educational Resources Information Center

    Kakande, Nelson; Namirembe, Regina; Kaye, Dan K.; Mugyenyi, Peter N.

    2012-01-01

    Despite the presence of several funded research projects at academic and research institutions in sub-Saharan Africa, the quality of the pre/post grant award process in these institutions is inadequate. There is a need to strengthen research administration through infrastructural, organizational, and human resource development to match the dynamic…

  3. Quality Assurance in Victorian Schools: An Approach to School Improvement. The School Review Program in Victoria, Australia: An Evaluation.

    ERIC Educational Resources Information Center

    Fearnside, Rob

    The Victorian school accountability framework is designed specifically for Victorian public schooling in the 1990s. These schools have three chief characteristics: (1) a high level of school autonomy in operational decisions about research allocation, human-resource management, and staff selection; (2) a common framework for curriculum and…

  4. Does Support for VET Reduce Employee Churn? A Case Study in Local Government. Occasional Paper

    ERIC Educational Resources Information Center

    Curry, Kath

    2010-01-01

    To what extent do local governments use vocational education and training as a staff retention strategy? Human resources personnel from a selection of councils around Australia believed that a lack of career development or training opportunities might cause an employee to leave their organisation. They had some reservations about the quality and…

  5. Systemic Evaluation of Advisory Services to Family Farms in West Africa

    ERIC Educational Resources Information Center

    Faure, Guy; Rebuffel, Pierre; Violas, Dominique

    2011-01-01

    In West Africa, advisory services for family farms have been promoted to better address producers' needs. The paper aims to show that these services can be understood as a system whose functioning is strongly determined by the financing mechanisms, the governance mechanisms put in place, the quality of human resources delivering advice, and the…

  6. Little Things Count: Principal and New Teacher Feedback about District Support in the Hiring Process

    ERIC Educational Resources Information Center

    Mac Iver, Martha Abele

    2006-01-01

    This study examines the role of district central offices in recruiting and hiring teachers and principals in an urban setting. Findings indicate many district human resources offices, particularly in urban settings, often lose quality candidates to suburban districts whose HR offices are better organized and pay closer attention to managing…

  7. Yash Pal Committee Report on Higher Education: Certain Reflections by Teachers

    ERIC Educational Resources Information Center

    Mumthas, N. S.; Anju Krishnan, K.

    2011-01-01

    In the present scenario, Indian higher education is expanding in quantity but compromising with quality. Hats off to Yash Pal Committee, which took this matter into account, worked on it and submitted a report (renovation and rejuvenation of higher education in India) on June 24, 2009 to the Human Resource Ministry. Major attributes of Yash Pal…

  8. International Harmonization of Training and Qualification in the Manufacturing Industry

    ERIC Educational Resources Information Center

    Quintino, L.; Fernandes, I.; Miranda, R. M.

    2011-01-01

    Purpose: The aim of this paper is to propose a model for international harmonization of the training and qualification of human resources for industrial professions. The outcome is a system based on training guidelines and a quality assurance methodology that is now in use in 42 countries around the world. Design/methodology/approach: The paper…

  9. 77 FR 26317 - Exemption of Material for Proposed Disposal Procedures for the Humboldt Bay Power Plant, Unit 3...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ... hazardous waste containing low-activity radioactive debris, at the US Ecology Idaho (USEI) Resource... for the disposal of waste from the HBPP at the US Ecology Idaho (USEI) facility in accordance with 10... significantly impact the quality of the human environment, and that the proposed action is the preferred...

  10. Forest-related ecosystem services

    Treesearch

    Sandra Luque; Louis Iverson

    2016-01-01

    Forests are a crucial element not only of landscapes but also of human living conditions. Covering nearly a third of the earth's land surtace, they stabilize surface soil, prevent erosion and play an essential role in water resource management at the watershed and local levels. They regulate climate and improve air quality. At the same time they are an important...

  11. Plant Growth-Promoting Microorganisms for Environmental Sustainability.

    PubMed

    Abhilash, P C; Dubey, Rama Kant; Tripathi, Vishal; Gupta, Vijai K; Singh, Harikesh B

    2016-11-01

    Agrochemicals used to meet the needs of a rapidly growing human population can deteriorate the quality of ecosystems and are not affordable to farmers in low-resource environments. Here, we propose the use of plant growth-promoting microorganisms (PGPMs) as a tool for sustainable food production without compromising ecosystems services. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. The art of customer service.

    PubMed

    Williams, Jeni

    2007-10-01

    Strategies for improving the consumer service skills of finance staff include: Hire employees who have a customer service background. Work with your human resources department to provide customer service training. Monitor new hires extensively. Offer front-end employees scripted language for situations they may face on the job. Measure the quality of customer service provided. Provide incentives for performance.

  13. New Developments in Biotechnology: U.S. Investment in Biotechnology. Summary.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Office of Technology Assessment.

    Since the discovery of recombinant DNA in the early 1970s, biotechnology has become an essential tool for many industries. The potential of biotechnology to improve the Nation's health, food supply, and the quality of the environment leads logically to questions of whether current levels of investment in research and development, human resources,…

  14. The Lisbon Strategy Challenges to the Czech Republic Human Resources

    ERIC Educational Resources Information Center

    Kaderabkova, Anna

    2005-01-01

    When achieving long-term sustainable growth, the key role is assigned to knowledge-based competitiveness. The new EU Member States therefore face a double challenge on the Lisbon road. On the one hand, higher expenditure is required to improve the quality of research and education input and infrastructure, and on the other, innovation system…

  15. Brain Korea 21 Phase II: A New Evaluation Model. Monograph

    ERIC Educational Resources Information Center

    Seong, Somi; Popper, Steven W.; Goldman, Charles A.; Evans, David K.

    2008-01-01

    In the late 1990s, the Korea Ministry of Education and Human Resources, in response to concern over the relatively low standing of the nation's universities and researchers, launched the Brain Korea 21 program BK21). BK21 seeks to make Korean research universities globally competitive and to produce more high-quality researchers in Korea. It…

  16. The Current State of Early Childhood Education Programs: How Early Childhood Center Directors Manage Their Human Resources

    ERIC Educational Resources Information Center

    Arend, Lauren E.

    2010-01-01

    Purpose: Research in the field of early childhood education (ECE) demonstrated the association between skilled directors and high quality programs. Still, most state licensing requirements do not delineate the requisite knowledge or experience necessary to be an effective director. Many ECE directors advance to their position directly from the…

  17. Empirical Evaluation Indicators in Thai Higher Education: Theory-Based Multidimensional Learners' Assessment

    ERIC Educational Resources Information Center

    Sritanyarat, Dawisa; Russ-Eft, Darlene

    2016-01-01

    This study proposed empirical indicators which can be validated and adopted in higher education institutions to evaluate quality of teaching and learning, and to serve as an evaluation criteria for human resource management and development of higher institutions in Thailand. The main purpose of this study was to develop empirical indicators of a…

  18. A spatial evaluation of global wildfire-water risks to human and natural systems

    Treesearch

    Francois-Nicolas Robinne; Kevin D. Bladon; Carol Miller; Marc-Andre Parisien; Jerome Mathieu; Mike D. Flannigan

    2017-01-01

    The large mediatic coverage of recent massive wildfires across the world has emphasized the vulnerability of freshwater resources. The extensive hydrogeomorphic effects from a wildfire can impair the ability of watersheds to provide safe drinking water to downstream communities and high-quality water to maintain riverine ecosystem health. Safeguarding water use for...

  19. New Developments in Biotechnology: U.S. Investment in Biotechnology. [Special Report.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Office of Technology Assessment.

    Since the discovery of recombinant DNA in the early 1970s, biotechnology has become an essential tool for many industries. The potential of biotechnology to improve the Nation's health, food supply, and the quality of the environment leads logically to questions of whether current levels of investment in research and development, human resources,…

  20. 78 FR 14787 - Millennium Pipeline Company, L.L.C.; Notice of Availability of the Environmental Assessment for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ... quality of the human environment. The U.S. Environmental Protection Agency participated as a cooperating... with respect to resources potentially affected by the proposal and participate in the NEPA analysis... natural gas-fired compressor unit at the new Hancock Compressor Station; About 320 feet of 30-inch...

  1. 77 FR 74657 - Gas Transmission Northwest LLC; Notice of Availability of the Environmental Assessment for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-17

    ... County, Oregon to provide up to 175,000 dekatherms per day of new natural gas delivery capacity to the... not constitute a major federal action significantly affecting the quality of the human environment... expertise with respect to resources potentially affected by the proposal and participate in the NEPA...

  2. Effect of Herbicides on Soil Productivity and Water Quality

    Treesearch

    Daniel G. Neary; Jerry L. Michael

    1989-01-01

    The southern yellow pine and hardwood forests of the South constitute some of the most intensively managed forest ecosystems in the world (Stone 1983; Kellison and Gingrich 1982). These forests also occur in a region with one of the fastest growing human populations in the United States. Furthermore, future resource demands in the South will certainly intensify...

  3. The Equity Challenge in China's Higher Education Finance Policy

    ERIC Educational Resources Information Center

    Sun, Fengshou; Barrientos, Armando

    2009-01-01

    Sustaining China's rapid economic growth in the future will come to depend in large part on the quantity and quality of the human resources it can mobilize. The paper considers the prospects for higher education financing, and highlights the importance of improving equity in access to higher education as a precondition for a sustainable expansion…

  4. [Concept for a department of intensive care].

    PubMed

    Nierhaus, A; de Heer, G; Kluge, S

    2014-10-01

    Demographic change and increasing complexity are among the reasons for high-tech critical care playing a major and increasing role in today's hospitals. At the same time, intensive care is one of the most cost-intensive departments in the hospital. To guarantee high-quality care, close cooperation of specialised intensive care staff with specialists of all other medical areas is essential. A network of the intensive care units within the hospital may lead to synergistic effects concerning quality of care, simultaneously optimizing the use of human and technical resources. Notwithstanding any organisational concepts, development and maintenance of the highest possible quality of care should be of overriding importance.

  5. Groundwater quality in the Northern Atlantic Coastal Plain aquifer system, eastern United States

    USGS Publications Warehouse

    Lindsey, Bruce; Belitz, Kenneth

    2017-01-19

    Groundwater provides nearly 50 percent of the Nation’s drinking water. To help protect this vital resource, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Project assesses groundwater quality in aquifers that are important sources of drinking water. The Northern Atlantic Coastal Plain aquifer system constitutes one of the important areas being evaluated. One or more inorganic constituents with human-health benchmarks were detected at high concentrations in about 15 percent of the study area and at moderate concentrations in about 17 percent. Organic constituents were not detected at high concentrations in the study area.

  6. Groundwater quality in the Coastal Lowlands aquifer system, south-central United States

    USGS Publications Warehouse

    Barlow, Jeannie R.B.; Belitz, Kenneth

    2017-01-19

    Groundwater provides nearly 50 percent of the Nation’s drinking water. To help protect this vital resource, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) Project assesses groundwater quality in aquifers that are important sources of drinking water. The Coastal Lowlands aquifer system constitutes one of the important areas being evaluated. One or more inorganic constituents with human-health benchmarks were detected at high concentrations in about 12 percent of the study area and at moderate concentrations in about 18 percent. Organic constituents were not detected at high or moderate concentrations in the study area.

  7. From biomedicine to natural history research: EST resources for ambystomatid salamanders

    PubMed Central

    Putta, Srikrishna; Smith, Jeramiah J; Walker, John A; Rondet, Mathieu; Weisrock, David W; Monaghan, James; Samuels, Amy K; Kump, Kevin; King, David C; Maness, Nicholas J; Habermann, Bianca; Tanaka, Elly; Bryant, Susan V; Gardiner, David M; Parichy, David M; Voss, S Randal

    2004-01-01

    Background Establishing genomic resources for closely related species will provide comparative insights that are crucial for understanding diversity and variability at multiple levels of biological organization. We developed ESTs for Mexican axolotl (Ambystoma mexicanum) and Eastern tiger salamander (A. tigrinum tigrinum), species with deep and diverse research histories. Results Approximately 40,000 quality cDNA sequences were isolated for these species from various tissues, including regenerating limb and tail. These sequences and an existing set of 16,030 cDNA sequences for A. mexicanum were processed to yield 35,413 and 20,599 high quality ESTs for A. mexicanum and A. t. tigrinum, respectively. Because the A. t. tigrinum ESTs were obtained primarily from a normalized library, an approximately equal number of contigs were obtained for each species, with 21,091 unique contigs identified overall. The 10,592 contigs that showed significant similarity to sequences from the human RefSeq database reflected a diverse array of molecular functions and biological processes, with many corresponding to genes expressed during spinal cord injury in rat and fin regeneration in zebrafish. To demonstrate the utility of these EST resources, we searched databases to identify probes for regeneration research, characterized intra- and interspecific nucleotide polymorphism, saturated a human – Ambystoma synteny group with marker loci, and extended PCR primer sets designed for A. mexicanum / A. t. tigrinum orthologues to a related tiger salamander species. Conclusions Our study highlights the value of developing resources in traditional model systems where the likelihood of information transfer to multiple, closely related taxa is high, thus simultaneously enabling both laboratory and natural history research. PMID:15310388

  8. Establishing and Delivering Quality Radiation Therapy in Resource-Constrained Settings: The Story of Botswana.

    PubMed

    Efstathiou, Jason A; Heunis, Magda; Karumekayi, Talkmore; Makufa, Remigio; Bvochora-Nsingo, Memory; Gierga, David P; Suneja, Gita; Grover, Surbhi; Kasese, Joseph; Mmalane, Mompati; Moffat, Howard; von Paleske, Alexander; Makhema, Joseph; Dryden-Peterson, Scott

    2016-01-01

    There is a global cancer crisis, and it is disproportionately affecting resource-constrained settings, especially in low- and middle-income countries (LMICs). Radiotherapy is a critical and cost-effective component of a comprehensive cancer control plan that offers the potential for cure, control, and palliation of disease in greater than 50% of patients with cancer. Globally, LMICs do not have adequate access to quality radiation therapy and this gap is particularly pronounced in sub-Saharan Africa. Although there are numerous challenges in implementing a radiation therapy program in a low-resource setting, providing more equitable global access to radiotherapy is a responsibility and investment worth prioritizing. We outline a systems approach and a series of key questions to direct strategy toward establishing quality radiation services in LMICs, and highlight the story of private-public investment in Botswana from the late 1990s to the present. After assessing the need and defining the value of radiation, we explore core investments required, barriers that need to be overcome, and assets that can be leveraged to establish a radiation program. Considerations addressed include infrastructure; machine choice; quality assurance and patient safety; acquisition, development, and retention of human capital; governmental engagement; public-private partnerships; international collaborations; and the need to critically evaluate the program to foster further growth and sustainability. © 2015 by American Society of Clinical Oncology.

  9. Comparison and Cost Analysis of Drinking Water Quality Monitoring Requirements versus Practice in Seven Developing Countries

    PubMed Central

    Crocker, Jonny; Bartram, Jamie

    2014-01-01

    Drinking water quality monitoring programs aim to support provision of safe drinking water by informing water quality management. Little evidence or guidance exists on best monitoring practices for low resource settings. Lack of financial, human, and technological resources reduce a country’s ability to monitor water supply. Monitoring activities were characterized in Cambodia, Colombia, India (three states), Jordan, Peru, South Africa, and Uganda according to water sector responsibilities, monitoring approaches, and marginal cost. The seven study countries were selected to represent a range of low resource settings. The focus was on monitoring of microbiological parameters, such as E. coli, coliforms, and H2S-producing microorganisms. Data collection involved qualitative and quantitative methods. Across seven study countries, few distinct approaches to monitoring were observed, and in all but one country all monitoring relied on fixed laboratories for sample analysis. Compliance with monitoring requirements was highest for operational monitoring of large water supplies in urban areas. Sample transport and labor for sample collection and analysis together constitute approximately 75% of marginal costs, which exclude capital costs. There is potential for substantive optimization of monitoring programs by considering field-based testing and by fundamentally reconsidering monitoring approaches for non-piped supplies. This is the first study to look quantitatively at water quality monitoring practices in multiple developing countries. PMID:25046632

  10. Integrated Water and Sanitation Risk Assessment and Modeling in the Upper Sonora River basin (Northwest, Mexico)

    NASA Astrophysics Data System (ADS)

    Mayer, A. S.; Robles-Morua, A.; Halvorsen, K. E.; Vivoni, E. R.; Auer, M. T.

    2011-12-01

    Studies that integrate human dimensions and the biophysical characteristics of watersheds are necessary to meet the challenge of sustainable water resources development. In this project, we integrated perspectives from sociology, hydrology, and environmental engineering to examine and suggest solutions for managing waterborne disease risks associated with wastewater contamination in the Sonora River basin (SRB), a semiarid rural basin in northwest Mexico. This research consisted of four sub-projects. First, we assessed the perceptions of risks associated with wastewater contamination of water resources in rural communities in the SRB through a series of semi-structured interviews Results from this study indicate that there are major differences in risk perceptions among health professionals, government officials, and lay citizens. Government officials and lay citizens tend to underestimate the severity of the problems related to water related risks. Second, a fully distributed hydrologic model was used to make streamflow predictions in the un-gauged SRB. Synthetic flows generated from the hydrologic model were used to evaluate pollutant transport processes associated with wastewater loadings to the Sonora River. The hydrologic model revealed that the high degree of spatio-temporal variability of runoff in the SRB is associated with links between runoff generation mechanisms and land-atmosphere interactions. Third, a surface water quality model was used to assess the impact of wastewater discharges and develop pathogen contamination indicators in two sites along the Sonora River. To parameterize the water quality model, pathogenic indicator loadings and removal rates were estimated, along with their uncertainty. Results from the water quality modeling show regions in the watershed that may be exceeding pathogenic standards, but also that uncertainty in model parameters requires a probabilistic approach for estimating risks. Finally, a workshop was conducted to explore the use of participatory modeling frameworks in less developed regions. Results indicate that respondents agreed strongly with the hydrologic and water quality modeling methodologies presented and considered the modeling results useful. Our results also show that participatory modeling approaches can have short term impacts as seen in the changes in water-related risk perceptions. In total, these projects revealed that water resources management solutions need to take into account variations across the human landscape (i.e. risk perceptions) and variations in the biophysical response of watersheds to natural phenomena (i.e. streamflow generation) and to anthropogenic activities (i.e. contaminant fate and transport). In addition, this work underscores the notion that sustainable water resources solutions need to contend with uncertainty in our understanding and predictions of human perceptions and biophysical systems.

  11. [The quality of the work-home and home-work relationship in the context of personal resources].

    PubMed

    Szymańska, Paulina

    2014-01-01

    The aim of the study was to examine whether gain or loss of personal resources is associated with conflict or facilitation between work and family. The study involved 90 employees (mean age: 34.5 years). The Polish version of COR-Evaluation (Conservation of Resources-Evaluation) questionnaire, developed by Hobfoll and adapted by Dudek et al, was used to assess personal resources. The questionnaire enables to estimate gain and loss of 40 resources and calculate the overall level of gained or lost resources. SWING Questionnaire (Survey Work-Home Interaction, Nijmegen), developed by Geurts et al. and adapted by Mośicka-Teske and Merecz), was used to examine the quality of work-home and home-work relationship. The gain of personal resources positively correlates with both home-work facilitation (HWF) and work-home facilitation (WHF). Improvement of the family relations proved to be the most significant predictor of HWF and WHF. The loss of personal resources coincides with high level of conflict between the investigated areas of life. The main predictor of home-work conflict (HWC) was the variable relating to restrictions of access to medical services. In case of work-home conflict (WHC) the reduction of material security in case of dramatic life events was the major predictor. The results confirmed that the gain of resources is crucial for HWF/WHF, while their loss is an important factor, when the HWC/WHC is considered. The resources, which proved to be the main predictors of work-home and home-work relatiohship were alsoindicated. The obtained information may be beneficial to human resources managers, especially in designing the activities aimed at increasing the satisfaction and effectiveness of employees.

  12. Biospecimen Reporting for Improved Study Quality

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

    Moore, Ph.D., Helen M.; Kelly, Ph.D., Andrea B.; Jewell, Ph.D., Scott D.

    Human biospecimens are subjected to collection, processing, and storage that can significantly alter their molecular composition and consistency. These biospecimen preanalytical factors, in turn, influence experimental outcomes and the ability to reproduce scientific results. Currently, the extent and type of information specific to the biospecimen preanalytical conditions reported in scientific publications and regulatory submissions varies widely. To improve the quality of research that uses human tissues, it is crucial that information on the handling of biospecimens be reported in a thorough, accurate, and standardized manner. The Biospecimen Reporting for Improved Study Quality (BRISQ) recommendations outlined herein are intended to applymore » to any study in which human biospecimens are used. The purpose of reporting these details is to supply others, from researchers to regulators, with more consistent and standardized information to better evaluate, interpret, compare, and reproduce the experimental results. The BRISQ guidelines are proposed as an important and timely resource tool to strengthen communication and publications on biospecimen-related research and to help reassure patient contributors and the advocacy community that their contributions are valued and respected.« less

  13. Understanding and valuing the broader health system benefits of Uganda's national Human Resources for Health Information System investment.

    PubMed

    Driessen, Julia; Settle, Dykki; Potenziani, David; Tulenko, Kate; Kabocho, Twaha; Wadembere, Ismail

    2015-08-31

    To address the need for timely and comprehensive human resources for health (HRH) information, governments and organizations have been actively investing in electronic health information interventions, including in low-resource settings. The economics of human resources information systems (HRISs) in low-resource settings are not well understood, however, and warrant investigation and validation. This case study describes Uganda's Human Resources for Health Information System (HRHIS), implemented with support from the US Agency for International Development, and documents perceptions of its impact on the health labour market against the backdrop of the costs of implementation. Through interviews with end users and implementers in six different settings, we document pre-implementation data challenges and consider how the HRHIS has been perceived to affect human resources decision-making and the healthcare employment environment. This multisite case study documented a range of perceived benefits of Uganda's HRHIS through interviews with end users that sought to capture the baseline (or pre-implementation) state of affairs, the perceived impact of the HRHIS and the monetary value associated with each benefit. In general, the system appears to be strengthening both demand for health workers (through improved awareness of staffing patterns) and supply (by improving licensing, recruitment and competency of the health workforce). This heightened ability to identify high-value employees makes the health sector more competitive for high-quality workers, and this elevation of the health workforce also has broader implications for health system performance and population health. Overall, it is clear that HRHIS end users in Uganda perceived the system to have significantly improved day-to-day operations as well as longer term institutional mandates. A more efficient and responsive approach to HRH allows the health sector to recruit the best candidates, train employees in needed skills and deploy trained personnel to facilities where there is real demand. This cascade of benefits can extend the impact and rewards of working in the health sector, which elevates the health system as a whole.

  14. A systematic review of Human Factors and Ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety

    PubMed Central

    Xie, Anping; Carayon, Pascale

    2014-01-01

    Healthcare systems need to be redesigned to provide care that is safe, effective and efficient, and meets the multiple needs of patients. This systematic review examines how Human Factors and Ergonomics (HFE) is applied to redesign healthcare work systems and processes and improve quality and safety of care. We identified twelve projects representing 23 studies and addressing different physical, cognitive and organizational HFE issues in a variety of healthcare systems and care settings. Some evidence exists for the effectiveness of HFE-based healthcare system redesign in improving process and outcome measures of quality and safety of care. We assessed risk of bias in 16 studies reporting the impact of HFE-based healthcare system redesign and found varying quality across studies. Future research should further assess the impact of HFE on quality and safety of care, and clearly define the mechanisms by which HFE-based system redesign can improve quality and safety of care. Practitioner Summary Existing evidence shows that HFE-based healthcare system redesign has the potential to improve quality of care and patient safety. Healthcare organizations need to recognize the importance of HFE-based healthcare system redesign to quality of care and patient safety, and invest resources to integrate HFE in healthcare improvement activities. PMID:25323570

  15. Challenge theme 4: People in the Borderlands: Chapter 6 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    USGS Publications Warehouse

    Norman, Laura M.; Shuster, Rudy M.; Parcher, Jean W.

    2013-01-01

    The management of shared resources in the United States–Mexican border region requires cooperation from the people of both countries to assess and understand their relation to the environment. Society is dependent on the long-term healthy functioning of ecosystems and their ability to supply food and raw materials. Likewise, resources and services obtained from nature could be used efficiently within the society. A more equitable distribution of costs and benefits related to goods and services can lead to fewer tensions and a higher quality of life for all the people in the Borderlands. Urban development, background contamination from mineral ore deposits, irrigation, sewage effluent, and even global climate change all have the potential to alter the stability of the fragile systems in the Borderlands (Brady and others, 2001, 2002; Norman, 2007, 2010; Gu and others, 2008; Norman, Gray, and others, 2008; Norman, Hirsch, and Ward, 2008; Norman, Callegary, and others, 2010; Norman, Huth, and others, 2010; Norman, Levick, and others, 2010; Norman, Tallent-Halsell, and others, 2010; Norman, Villarreal, and others 2012). Social efficiency means that because resources should be used where they are needed most, they should be distributed proportionally among human societies and individuals (Azar and others, 1996). Despite the critical role natural resources play in maintaining human and environmental health, current knowledge of the manner in which natural and human-caused forces interact to limit these resources—including their quality and quantity (such as through spatiotemporal changes in precipitation, evapotranspiration, pumping of groundwater, and release of contaminants)—is inadequate. The U.S. Geological Survey (USGS) is trying to understand the relation between changing landscapes, changing demographics, and a changing climate in the Borderlands while the environmental, economic, and societal issues continue to be intertwined between the two nations.

  16. Strengthening Indonesia’s Field Epidemiology Training Programme to address International Health Regulations requirements

    PubMed Central

    Samaan, Gina; Santoso, Hari; Kushadiwijaya, Haripurnomo; Juwita, Ratna; Mohadir, Andi; Aditama, Tjandra

    2010-01-01

    Abstract Problem According to the International Health Regulations (IHR), countries need to strengthen core capacity for disease surveillance and response systems. Many countries are establishing or enhancing their field epidemiology training programmes (FETPs) to meet human resource needs but face challenges in sustainability and training quality. Indonesia is facing these challenges, which include limited resources for field training and limited coordination in a newly decentralized health system. Approach A national FETP workplan was developed based on an evaluation of the existing programme and projected human resource needs. A Ministry of Health Secretariat linking universities, national and international partners was established to oversee revision and implementation of the FETP. Local setting The FETP is integrated into the curriculum of Indonesian universities and field training is conducted in district and provincial health offices under the coordination of the universities and the FETP Secretariat. Relevant changes The FETP was included in the Ministry of Health workforce development strategy through governmental decree. Curricula have been enhanced and field placements strengthened to provide trainees with better learning experiences. To improve sustainability of the FETP, links were established with the Indonesian Epidemiologists’ Association, local governments and donors to cultivate future FETP champions and maintain funding. Courses, competitions and discussion forums were established for field supervisors and alumni. These changes have increased the geographic distribution of students, intersectoral and international participation and the quality of student performance. Lessons learnt The main lesson learnt is that linkages with universities, ministries and international agencies such as the World Health Organization are critical for building a sustainable high-quality programme. The most critical factors were development of trusting relationships and clear definitions of the responsibilities of each stakeholder. PMID:20428389

  17. The science behind One Health: at the interface of humans, animals, and the environment.

    PubMed

    Murtaugh, Michael P; Steer, Clifford J; Sreevatsan, Srinand; Patterson, Ned; Kennedy, Shaun; Sriramarao, P

    2017-05-01

    Humans face a grand quality-of-life challenge as growing demands for resources for an ever-expanding population threaten the existence of wildlife populations, degrade land, and pollute air and water. Public investment and policy decisions that will shape future interactions of humans, animals, and the environment need scientific input to help find common ground for durable and sustainable success. The Second International Conference on One Medicine One Science brought together a broad range of scientists, trainees, regulatory authorities, and health experts from 34 countries to inform and discuss the human impacts of air quality; the complexities of water quality, access, and conflicts; the opportunities and uncertainties in precision medicine; and the role of science communication in health policy formulation. Workshops focused on the roles and development of physician-scientists and multidisciplinary teams in complex problem solving, Big Data tools for analysis and visualization, international policy development processes, and health models that benefit animals and humans. Key realizations were that local and regional health challenges at the interface of humans, animals, and the environment are variations of the same overarching conflicts and that international gatherings provide new opportunities for investigation and policy development that are broadly applicable. © 2017 The Authors. Annals of the New York Academy of Sciences published by Wiley Periodicals, Inc. on behalf of New York Academy of Sciences.

  18. Determining Water Quality Trends in the Sacramento-San Joaquin Delta Watershed in the Face of Climate Change

    NASA Astrophysics Data System (ADS)

    Kynett, K.; Azimi-Gaylon, S.; Doidic, C.

    2014-12-01

    The Sacramento-San Joaquin Delta and Suisun Marsh (Delta) is the largest estuary on the West Coast of the Americas and is a resource of local, State, and national significance. The Delta is simultaneously the most critical component of California's water supply, a primary focus of the state's ecological conservation measures, and a vital resource deeply imperiled by degraded water quality. Delta waterbodies are identified as impaired by salinity, excess nutrients, low dissolved oxygen, pathogens, pesticides, heavy metals, and other contaminants. Climate change is expected to exacerbate the impacts of existing stressors in the Delta and magnify the challenges of managing this natural resource. A clear understanding of the current state of the watershed is needed to better inform scientists, decision makers, and the public about potential impacts from climate change. The Delta Watershed Initiative Network (Delta WIN) leverages the ecological benefits of healthy watersheds, and enhances, expands and creates opportunities for greater watershed health by coordinating with agencies, established programs, and local organizations. At this critical junction, Delta WIN is coordinating data integration and analysis to develop better understanding of the existing and emerging water quality concerns. As first steps, Delta WIN is integrating existing water quality data, analyzing trends, and monitoring to fill data gaps and to evaluate indicators of climate change impacts. Available data will be used for trend analysis; Delta WIN will continue to monitor where data is incomplete and new questions arise. Understanding how climate change conditions may affect water quality will be used to inform efforts to build resilience and maintain water quality levels which sustain aquatic life and human needs. Assessments of historical and new data will aid in recognition of potential climate change impacts and in initiating implementation of best management practices in collaboration with State and local agencies. Ultimately, Delta WIN can inform responsive science and adaptive management in other estuaries and critical natural resource areas facing times of change.

  19. An evaluation of a bed instability index as an indicator of habitat quality in mountain streams of the northwestern United States

    USGS Publications Warehouse

    Kusnierz, Paul C.; Holbrook, Christopher; Feldman, David L.

    2015-01-01

    Managers of aquatic resources benefit from indices of habitat quality that are reproducible and easy to measure, demonstrate a link between habitat quality and biota health, and differ between human-impacted (i.e., managed) and reference (i.e., nonimpacted or minimally impacted) conditions. The instability index (ISI) is an easily measured index that describes the instability of a streambed by relating the tractive force of a stream at bankfull discharge to the median substrate size. Previous studies have linked ISI to biological condition but have been limited to comparisons of sites within a single stream or among a small number of streams. We tested ISI as an indicator of human impact to habitat and biota in mountain streams of the northwestern USA. Among 1428 sites in six northwestern states, ISI was correlated with other habitat measures (e.g., residual pool depth, percent fine sediment) and indices of biotic health (e.g., number of intolerant macroinvertebrate taxa, fine sediment biotic index) and differed between managed and reference sites across a range of stream types and ecoregions. While ISI could be useful in mountain streams throughout the world, this index may be of particular interest to aquatic resource managers in the northwestern USA where a large dataset, from which ISI can be calculated, exists.

  20. Water-quality monitoring and process understanding in support of environmental policy and management

    USGS Publications Warehouse

    Peters, N.E.

    2008-01-01

    The quantity and quality of freshwater at any point on the landscape reflect the combined effects of many processes operating along hydrological pathways within a drainage basin/watershed/catchment. Primary drivers for the availability of water are landscape changes and patterns, and the processes affecting the timing, magnitude, and intensity of precipitation, including global climate change. The degradation of air, land, and water in one part of a drainage basin can have negative effects on users downstream; the time and space scales of the effects are determined by the residence time along the various hydrological pathways. Hydrology affects transport, deposition, and recycling of inorganic materials and sediment. These components affect biota and associated ecosystem processes, which rely on sustainable flows throughout a drainage basin. Human activities on all spatial scales affect both water quantity and quality, and some human activities can have a disproportionate effect on an entire drainage basin. Aquatic systems have been continuously modified by agriculture, through land-use change, irrigation and navigation, disposal of urban, mining, and industrial wastes, and engineering modifications to the environment. Interdisciplinary integrated basin studies within the last several decades have provided a more comprehensive understanding of the linkages among air, land, and water resources. This understanding, coupled with environmental monitoring, has evolved a more multidisciplinary integrated approach to resource management, particularly within drainage basins.

  1. 40 CFR 52.13 - Air quality surveillance; resources; intergovernmental cooperation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 3 2014-07-01 2014-07-01 false Air quality surveillance; resources... § 52.13 Air quality surveillance; resources; intergovernmental cooperation. Disapproved portions of the plan related to the air quality surveillance system, resources, and intergovernmental cooperation are...

  2. 40 CFR 52.13 - Air quality surveillance; resources; intergovernmental cooperation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 3 2011-07-01 2011-07-01 false Air quality surveillance; resources... § 52.13 Air quality surveillance; resources; intergovernmental cooperation. Disapproved portions of the plan related to the air quality surveillance system, resources, and intergovernmental cooperation are...

  3. 40 CFR 52.13 - Air quality surveillance; resources; intergovernmental cooperation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Air quality surveillance; resources... § 52.13 Air quality surveillance; resources; intergovernmental cooperation. Disapproved portions of the plan related to the air quality surveillance system, resources, and intergovernmental cooperation are...

  4. 40 CFR 52.13 - Air quality surveillance; resources; intergovernmental cooperation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 3 2012-07-01 2012-07-01 false Air quality surveillance; resources... § 52.13 Air quality surveillance; resources; intergovernmental cooperation. Disapproved portions of the plan related to the air quality surveillance system, resources, and intergovernmental cooperation are...

  5. 40 CFR 52.13 - Air quality surveillance; resources; intergovernmental cooperation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 3 2013-07-01 2013-07-01 false Air quality surveillance; resources... § 52.13 Air quality surveillance; resources; intergovernmental cooperation. Disapproved portions of the plan related to the air quality surveillance system, resources, and intergovernmental cooperation are...

  6. Experiential Education in Groundwater Hydrology: Bridging the Technical-Policy-Populace Gap Final Report

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

    Tompson, Andrew F.B.; Maxwell, Reed M.; Richardson, Jeffrey H.

    2003-07-17

    It is well recognized that half the countries in the world will face significant fresh water shortages in the next 20 years, due largely to growing populations and increased agricultural and industrial demands (Gleick, 1997). These shortages will significantly limit economic growth, decrease the quality of life and human health for billions of people, and could potentially lead to violence and conflict over securing scarce supplies of water. In the Middle East, groundwater represents an important part of water supply in most locations, yet it is the least understood and one of the most fragile components of the entire watermore » resource system. The occurrence of water underground contributes to the illusion of an infinite resource that is immune to anthropogenic activities. Nevertheless, as has been learned in the West, it can become highly impaired through the actions of man--through the disposal of human, animal, or industrial wastes, from excessive irrigation and fertilization practices in agriculture, or from simple overproduction and overexploitation--and can remain so for decades or even centuries. Finding solutions to groundwater resource and quality problems can be complex, time consuming, and costly. As is the case in many places in the world, but especially in the Middle East, there is a large gap between professionals, policy makers, and the general population with respect to their understanding of groundwater, its abundance, distribution, movement, and pollution. In a region where water supply and quality problems can be extremely acute, it becomes that much more necessary to protect and preserve the water that does exist. To sustain groundwater as a long-term reliable resource, increased understanding of factors affecting both the quality and quantity of groundwater must be better understood by all aspects of society. This report describes the outcome of a collaborative project between Lawrence Livermore National Laboratory (LLNL) in the US and the Jordan University of Science and Technology (JUST), the Ministry of Water and Irrigation (MWI), and the Royal Society for the Conservation of Nature (RSCN), all in Jordan. The project was funded by the United States Information Agency (now known as the Bureau of Educational and Cultural Affairs of the US Department of State) and the Lawrence Livermore National Laboratory, University of California. It was designed to develop, utilize, and distribute a series of educational tools across a wide spectrum of the population in Jordan to illustrate the impact of human activities and policies on the use and preservation of groundwater as an increasingly precious resource. The educational tools involved (1) portable, two-dimensional physical groundwater models for use in educating primary-aged children, laypersons, academic, government, other technical professionals, and farming communities on basic groundwater issues, and (2) computer-based simulation software, which can be used to assess the accrual and movement of groundwater in actual geologic formations, as well as the fate of contaminants that reach and dissolve within groundwater. These tools have an uncommon capacity to illustrate the impact of human activities and policies to a broad spectrum of the population that includes school children, college and post-graduate students, government officials, civic groups, professional organizations, and all, citizens.« less

  7. Examining human resources' efforts to develop a culturally competent workforce.

    PubMed

    Whitman, Marilyn V; Valpuesta, Domingo

    2010-01-01

    The increasing diversification of the nation's population poses significant challenges in providing care that meets the needs of culturally diverse patients. Human resource management plays a vital role in developing a more culturally competent workforce. This exploratory study examines current efforts by human resource directors (HRDs) in Alabama's general hospitals to recruit more diverse candidates, train staff, and make language access resources available. A questionnaire was developed based on the Office of Minority Health's Culturally and Linguistically Appropriate Services standards. The HRDs of the 101 Alabama general hospitals served as the study's target population. A sample of 61 responses, or 60.4% of the population, was obtained. The findings indicate that most HRDs are focusing their efforts on recruiting racially/ethnically diverse candidates and training clerical and nursing staff to care for culturally and linguistically diverse patients. Less effort is being focused on recruiting candidates who speak a different language, and only 44.3% have a trained interpreter on the staff. The HRDs who indicated that they work closely with organizations that provide support to diverse groups were more likely to recruit diverse employees and have racially/ethnically and linguistically diverse individuals in leadership positions. It is crucial that health care organizations take the necessary steps to diversify their workforce to broaden access, improve the quality and equity of care, and capture a greater market share.

  8. An ontology-based telemedicine tasks management system architecture.

    PubMed

    Nageba, Ebrahim; Fayn, Jocelyne; Rubel, Paul

    2008-01-01

    The recent developments in ambient intelligence and ubiquitous computing offer new opportunities for the design of advanced Telemedicine systems providing high quality services, anywhere, anytime. In this paper we present an approach for building an ontology-based task-driven telemedicine system. The architecture is composed of a task management server, a communication server and a knowledge base for enabling decision makings taking account of different telemedical concepts such as actors, resources, services and the Electronic Health Record. The final objective is to provide an intelligent management of the different types of available human, material and communication resources.

  9. From individual to global: Human rights and aphasia.

    PubMed

    Hersh, Deborah

    2018-02-01

    This commentary marks the 70th anniversary of the Universal Declaration of Human Rights by examining Article 19 and its application to people with aphasia. This group of people still face lack of access, stigmatisation, exclusion, disadvantage and social withdrawal as well as poor public awareness of aphasia and inadequate prioritisation of support and resources. Nevertheless, a range of creative initiatives at individual, healthcare, local community, national and global levels have helped to connect and empower people with aphasia. Such initiatives include provision of accessible information in a range of media, inclusion of people with aphasia in decision-making and as research partners, awareness raising campaigns to counter attitudinal barriers, organisation of community aphasia groups, development of guidelines for best practice, national aphasia associations and international collaborations such as Aphasia United. While ongoing work and resourcing is needed to expand these efforts further, they have helped people with aphasia to be heard and to protect their sense of dignity which underlies human rights. A human rights approach can unite, politicise and refocus these efforts, and highlight the essential role of communication in fostering a better quality of life.

  10. Poor health is associated with use of anthropogenic resources in an urban carnivore.

    PubMed

    Murray, Maureen; Edwards, Mark A; Abercrombie, Bill; St Clair, Colleen Cassady

    2015-05-07

    Rates of encounters between humans and wildlife are increasing in cities around the world, especially when wildlife overlap with people in time, space and resources. Coyotes (Canis latrans) can make use of anthropogenic resources and reported rates of conflict have increased in cities across North America. This increase may be linked to individual differences in the use of human food and developed areas. We compared the relationships between coyote age, sex or health and the use of anthropogenic resources, which we defined as using developed areas over large home ranges, being active during the day, and consuming anthropogenic food. To do so, we applied GPS collars to 19 coyotes and sampled hair for stable isotope analysis. Eleven coyotes appeared to be healthy and eight were visibly infested with sarcoptic mange (Sarcoptes scabiei), a mite that causes hair loss. Diseased coyotes used more developed areas, had larger monthly home ranges, were more active during the day, and assimilated less protein than coyotes that appeared to be healthy. We speculate that anthropogenic food provides a low-quality but easily accessible food source for diseased coyotes, which in turn may increase reliance on it and other anthropogenic resources to promote encounters with people. © 2015 The Author(s) Published by the Royal Society. All rights reserved.

  11. Identification and Assessment of Potential Water Quality Impact Factors for Drinking-Water Reservoirs

    PubMed Central

    Gu, Qing; Deng, Jinsong; Wang, Ke; Lin, Yi; Li, Jun; Gan, Muye; Ma, Ligang; Hong, Yang

    2014-01-01

    Various reservoirs have been serving as the most important drinking water sources in Zhejiang Province, China, due to the uneven distribution of precipitation and severe river pollution. Unfortunately, rapid urbanization and industrialization have been continuously challenging the water quality of the drinking-water reservoirs. The identification and assessment of potential impacts is indispensable in water resource management and protection. This study investigates the drinking water reservoirs in Zhejiang Province to better understand the potential impact on water quality. Altogether seventy-three typical drinking reservoirs in Zhejiang Province encompassing various water storage levels were selected and evaluated. Using fifty-two reservoirs as training samples, the classification and regression tree (CART) method and sixteen comprehensive variables, including six sub-sets (land use, population, socio-economy, geographical features, inherent characteristics, and climate), were adopted to establish a decision-making model for identifying and assessing their potential impacts on drinking-water quality. The water quality class of the remaining twenty-one reservoirs was then predicted and tested based on the decision-making model, resulting in a water quality class attribution accuracy of 81.0%. Based on the decision rules and quantitative importance of the independent variables, industrial emissions was identified as the most important factor influencing the water quality of reservoirs; land use and human habitation also had a substantial impact on water quality. The results of this study provide insights into the factors impacting the water quality of reservoirs as well as basic information for protecting reservoir water resources. PMID:24919129

  12. Identification and assessment of potential water quality impact factors for drinking-water reservoirs.

    PubMed

    Gu, Qing; Deng, Jinsong; Wang, Ke; Lin, Yi; Li, Jun; Gan, Muye; Ma, Ligang; Hong, Yang

    2014-06-10

    Various reservoirs have been serving as the most important drinking water sources in Zhejiang Province, China, due to the uneven distribution of precipitation and severe river pollution. Unfortunately, rapid urbanization and industrialization have been continuously challenging the water quality of the drinking-water reservoirs. The identification and assessment of potential impacts is indispensable in water resource management and protection. This study investigates the drinking water reservoirs in Zhejiang Province to better understand the potential impact on water quality. Altogether seventy-three typical drinking reservoirs in Zhejiang Province encompassing various water storage levels were selected and evaluated. Using fifty-two reservoirs as training samples, the classification and regression tree (CART) method and sixteen comprehensive variables, including six sub-sets (land use, population, socio-economy, geographical features, inherent characteristics, and climate), were adopted to establish a decision-making model for identifying and assessing their potential impacts on drinking-water quality. The water quality class of the remaining twenty-one reservoirs was then predicted and tested based on the decision-making model, resulting in a water quality class attribution accuracy of 81.0%. Based on the decision rules and quantitative importance of the independent variables, industrial emissions was identified as the most important factor influencing the water quality of reservoirs; land use and human habitation also had a substantial impact on water quality. The results of this study provide insights into the factors impacting the water quality of reservoirs as well as basic information for protecting reservoir water resources.

  13. Association between human resources and risk of hospitalisation in end-stage renal disease outpatients receiving haemodialysis: a longitudinal cohort study using claim data during 2013–2014

    PubMed Central

    Choi, Hoon-Hee; Han, Kyu-Tae; Nam, Chung Mo; Moon, Ki Tae; Kim, Woorim; Park, Eun-Cheol

    2016-01-01

    Objective The number of patients requiring haemodialysis has gradually increased in South Korea. Owing to this growth, concerns have been raised regarding haemodialysis quality of care, and healthcare professionals must consider alternatives for appropriate management of patients with chronic kidney disease (CKD). Therefore, we investigated the association between risk of hospitalisation of outpatients who received haemodialysis due to end-stage renal disease (ESRD) and the human resources of the haemodialysis unit. Setting We used data from National Health Insurance (NHI) claims during October 2013 to September 2014. Participants These data comprised 40 543 outpatients with ESRD (4 751 047 outpatient cases) who received haemodialysis. Interventions No interventions were made. Outcome measure We performed Poisson regression analysis using a generalised estimating equation that included both patient and haemodialysis unit characteristics to examine the factors associated with hospitalisation of outpatients with ESRD. Results Among 4 751 047 outpatient cases, 27 997 (0.59%) were hospitalised during the study period. A higher proportion of haemodialysis patient care specialists and a higher number of nurses experienced in haemodialysis were inversely associated with the risk of hospitalisation (per 10% increase in haemodialysis patient care specialists: relative risk (RR)=0.987, 95% CI 0.981 to 0.993; per 10-person increase in nurses who provided haemodialysis: RR=0.876, 95% CI 0.833 to 0.921). In addition, such associations were greater in severe patients. Conclusions Our findings suggest that haemodialysis units with high-quality, haemodialysis-specialised human resources could positively affect the outcomes of outpatients with ESRD. Based on our findings, health policymakers and professionals should implement strategies for the optimal management of patients with CKD. PMID:27534988

  14. Infrastructure resources for clinical research in amyotrophic lateral sclerosis.

    PubMed

    Sherman, Alexander V; Gubitz, Amelie K; Al-Chalabi, Ammar; Bedlack, Richard; Berry, James; Conwit, Robin; Harris, Brent T; Horton, D Kevin; Kaufmann, Petra; Leitner, Melanie L; Miller, Robert; Shefner, Jeremy; Vonsattel, Jean Paul; Mitsumoto, Hiroshi

    2013-05-01

    Clinical trial networks, shared clinical databases, and human biospecimen repositories are examples of infrastructure resources aimed at enhancing and expediting clinical and/or patient oriented research to uncover the etiology and pathogenesis of amyotrophic lateral sclerosis (ALS), a rapidly progressive neurodegenerative disease that leads to the paralysis of voluntary muscles. The current status of such infrastructure resources, as well as opportunities and impediments, were discussed at the second Tarrytown ALS meeting held in September 2011. The discussion focused on resources developed and maintained by ALS clinics and centers in North America and Europe, various clinical trial networks, U.S. government federal agencies including the National Institutes of Health (NIH), the Agency for Toxic Substances and Disease Registry (ATSDR) and the Centers for Disease Control and Prevention (CDC), and several voluntary disease organizations that support ALS research activities. Key recommendations included 1) the establishment of shared databases among individual ALS clinics to enhance the coordination of resources and data analyses; 2) the expansion of quality-controlled human biospecimen banks; and 3) the adoption of uniform data standards, such as the recently developed Common Data Elements (CDEs) for ALS clinical research. The value of clinical trial networks such as the Northeast ALS (NEALS) Consortium and the Western ALS (WALS) Consortium was recognized, and strategies to further enhance and complement these networks and their research resources were discussed.

  15. Human pathogenic viruses at sewage sludge disposal sites in the Middle Atlantic region.

    PubMed

    Goyal, S M; Adams, W N; O'Malley, M L; Lear, D W

    1984-10-01

    Human enteric viruses were detected in samples of water, crabs, and bottom sediments obtained from two sewage sludge disposal sites in the Atlantic Ocean. Viruses were isolated from sediments 17 months after the cessation of sludge dumping. These findings indicate that, under natural conditions, viruses can survive for a long period of time in the marine environment and that they may present potential public health problems to humans using these resources for food and recreation. The isolation of viruses in the absence of fecal indicator bacteria reinforces previous observations on the inadequacy of these bacteria for predicting the virological quality of water and shellfish.

  16. Canadian ENGOs in governance of water resources: information needs and monitoring practices.

    PubMed

    Kebo, Sasha; Bunch, Martin J

    2013-11-01

    Water quality monitoring involves a complex set of steps and a variety of approaches. Its goals include understanding of aquatic habitats, informing management and facilitating decision making, and educating citizens. Environmental nongovernmental organizations (ENGOs) are increasingly engaged in water quality monitoring and act as environmental watchdogs and stewards of water resources. These organizations exhibit different monitoring mandates. As government involvement in water quality monitoring continues to decline, it becomes essential that we understand their modi operandi. By doing so, we can enhance efficacy and encourage data sharing and communication. This research examined Canadian ENGOs that collect their own data on water quality with respect to water quality monitoring activities and information needs. This work had a twofold purpose: (1) to enhance knowledge about the Canadian ENGOs operating in the realm of water quality monitoring and (2) to guide and inform development of web-based geographic information systems (GIS) to support water quality monitoring, particularly using benthic macroinvertebrate protocols. A structured telephone survey was administered across 10 Canadian provinces to 21 ENGOs that undertake water quality monitoring. This generated information about barriers and challenges of data sharing, commonly collected metrics, human resources, and perceptions of volunteer-collected data. Results are presented on an aggregate level and among different groups of respondents. Use of geomatics technology was not consistent among respondents, and we found no noteworthy differences between organizations that did and did not use GIS tools. About one third of respondents did not employ computerized systems (including databases and spreadsheets) to support data management, analysis, and sharing. Despite their advantage as a holistic water quality indicator, benthic macroinvertebrates (BMIs) were not widely employed in stream monitoring. Although BMIs are particularly suitable for the purpose of citizen education, few organizations collected this metric, despite having public education and awareness as part of their mandate.

  17. Utah's 1988-93 Vocational-Technical Education Master Plan: A Powerful Resource for Human and Economic Development.

    ERIC Educational Resources Information Center

    Utah State Board of Higher Education, Salt Lake City.

    For Utah residents to remain in the forefront or even stay competitive economically, the state's work force must acquire the knowledge and skills that match or exceed those of their most technically advanced competitors. A powerful engine for economic growth is a high-quality system of vocational-technical education. The majority of Utah public…

  18. Learning about Teacher Professional Learning: Case Studies of Schools at Work in New South Wales

    ERIC Educational Resources Information Center

    McCulla, Norman; Gereige-Hinson, Josephine

    2005-01-01

    The extent of the human and financial resources that teachers have access to for their professional development, and the extent to which they have the capacity to determine when, how and with whom learning takes place, are key factors in determining the quality of professional learning that results. The New South Wales Department of Education and…

  19. Two-Year College Succession Planning: Utilizing the Mission Statement for Selection of the Vice President of Human Resources

    ERIC Educational Resources Information Center

    Lacey-Nevitt, Lucia

    2012-01-01

    Colleges have a critical investment in the proper selection of key executive administrative positions with high quality leadership and character since leadership transitions can be unsettling and costly, and governing boards have a vested interest in getting it right. The problem is that two-year colleges are facing a strategic planning crisis…

  20. Modeling soil erosion and sediment transport from fires in forested watersheds of the South Carolina Piedmont

    Treesearch

    Tyler Crumbley; Ge Sun; Steve McNulty

    2008-01-01

    Forested watersheds in the Southeastern U.S. provide high quality water vital to ecosystem integrity and downstream aquatic resources. Excessive sedimentation from human activities in forest streams is of concern to responsible land managers. Prescribed fire is a common treatment applied to Southeastern piedmont forests and the risk of wildfire is becoming increasingly...

  1. Empowering Staff in an Organization: Making the Most of Human Resources in the New York State Education Department. Summary and Recommendations.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany.

    The identification of strategies for the improvement of individual and organizational effectiveness is the purpose of this task force summary report. Methodology involved passive and active needs assessment techniques. Over 200 New York State Education Department employees voluntarily participated in quality circles, the active component, and a…

  2. Transformative Learning in Human Resource Development: Successes in Scholarly Practitioner Applications--Conflict Management, Discursive Processes in Diversity and Leadership Development

    ERIC Educational Resources Information Center

    Fisher-Yoshida, Beth; Geller, Kathy D.; Wasserman, Ilene C.

    2005-01-01

    Today's complex global environment calls for leaders to be agile decision makers, engage in critical self-reflection, integrate reflection with action, and partner with those who are different in significant ways. These capabilities and skills are the core qualities of transformative learning. This paper weaves research findings that explore…

  3. Workforce Trends, Workplace Trends: How They Dictate a Changing Education and Training Strategy.

    ERIC Educational Resources Information Center

    Plewes, Thomas J.

    Four trends will alter the way the education and training system and other human resource agencies will do business. Themes that reflect them are captured in four words: flexibility, quality, diversity, and scope. The reaction to the current economic downturn remains one of flexibility. Flexibility has emerged as the way in which employers look at…

  4. How Useful Is YouTube in Learning Heart Anatomy?

    ERIC Educational Resources Information Center

    Raikos, Athanasios; Waidyasekara, Pasan

    2014-01-01

    Nowadays more and more modern medical degree programs focus on self-directed and problem-based learning. That requires students to search for high quality and easy to retrieve online resources. YouTube is an emerging platform for learning human anatomy due to easy access and being a free service. The purpose of this study is to make a quantitative…

  5. 2002 Industry Studies: Education

    DTIC Science & Technology

    2002-01-01

    1 EDUCATION ABSTRACT United States schools are better than ever, but they are not assuring competitive advantage . Unequal access to quality...competitive advantage , and promote national security. • Demand for education continues to grow as the US transitions from an industrial to a knowledge... international assessments, pose challenges. With human capital constituting our most critical national resource, a world-class education system is vital to

  6. Quality_Family Deployment: A New Perspective in Determining Priority Importance for Improving Work Performance in Organization

    ERIC Educational Resources Information Center

    Fatimah, P. L. Rika; Jemain, A. A.; Ibrahim, K.; Nasir, S. Mohammad; Anuar, M. A. Khairul

    2009-01-01

    Determining priority importance is a matter of concerns among the organization to improve their performance. One of the important aspects that should be considered by the organization is management of human resources, comprising of members who have their own family life. In this paper, we deliver a new perspective for organization to provide…

  7. Modeling soil erosion and sediment transport from fires in forested watersheds of the South Carolina Piedmont

    Treesearch

    Tyler Crumbley; Ge Sun; Steve McNulty

    2007-01-01

    Forested watersheds in the Southeastern U.S. provide high quality water vital to ecosystem integrity and downstream aquatic resources. Excessive sedimentation from human activities in forest streams is of concern to responsible land managers. Prescribed fire is a common treatment applied to Southeastern Piedmont forests and the risk of wildfire is becoming increasingly...

  8. Oil, fatty acid, flavonoid, and resveratrol content variability in FAD2A functional SNP genotypes in the U.S. peanut mini-core collection

    USDA-ARS?s Scientific Manuscript database

    Peanut seeds contain high amounts of oil and protein as well as some useful bioactive phytochemicals which can contribute to human health. The U.S. peanut mini-core collection is an important genetic resource for improving seed quality and developing new cultivars. Variability of seed chemical compo...

  9. Total Quality Management Implementing Plan for Human Resource Management

    DTIC Science & Technology

    1989-04-01

    process improvement that will be refined, adjusted, updated, and revised as we move through the TQM initiative. Please contact Ms. Roberta Peters or myself...pay starting salaries -t3e r s r zec c- pa, sc e: of Zer home bLIvout and reimburse moving e,,oenses : :-_:. tv lcatic. 1-c-ease Em<o-ee benefits and

  10. Training and Jobs: Keys to Rural Economic Development. A Regional Rural Revitalization Conference (Huntsville, Alabama, April 5-6, 1990).

    ERIC Educational Resources Information Center

    Hall, Jean M. Ed.

    The conference brought Southern state and local leaders together to discuss ways to revitalize depressed rural areas and to improve citizens' quality of life. Papers discussed: (1) goals for rural educational improvement; (2) human resource barriers to community and economic development in the South; (3) survey results indicating that Alabama…

  11. Theoretical Framework for Interaction Game Design

    DTIC Science & Technology

    2016-05-19

    modeling. We take a data-driven quantitative approach to understand conversational behaviors by measuring conversational behaviors using advanced sensing...current state of the art, human computing is considered to be a reasonable approach to break through the current limitation. To solicit high quality and...proper resources in conversation to enable smooth and effective interaction. The last technique is about conversation measurement , analysis, and

  12. Deep groundwater quantity and quality in the southwestern US

    NASA Astrophysics Data System (ADS)

    Kang, M.; Ayars, J. E.; Jackson, R. B.

    2017-12-01

    Groundwater demands are growing in many arid regions and adaptation through the use of non-traditional resources during extreme droughts is increasingly common. One such resource is deep groundwater, which we define as deeper than 300 m and up to several kilometer-depths. Although deep groundwater has been studied in the context of oil and gas, geothermal, waste disposal, and other uses, it remains poorly characterized, especially for the purposes of human consumption and irrigation uses. Therefore, we evaluate deep groundwater quantity and quality within these contexts. We compile and analyze data from water management agencies and oil and gas-based sources for the southwestern US, with a detailed look at California's Central Valley. We also use crop tolerance thresholds to evaluate deep groundwater quality for irrigation purposes. We find fresh and usable groundwater volume estimates in California's Central Valley to increase by three- and four-fold respectively when depths of up to 3 km are considered. Of the ten basins in the southwestern US with the most data, we find that the Great Basin has the greatest proportions of fresh and usable deep groundwater. Given the potentially large deep groundwater volumes, it is important to characterize the resource, guard against subsidence where extracted, and protect it for use in decades and centuries to come.

  13. [Employee satisfaction in hospitals - validation of the Picker employee questionnaire: the German version of the "survey of employee perceptions of health care delivery" (Picker Institute Boston)].

    PubMed

    Riechmann, M; Stahl, K

    2013-05-01

    The aim of this study was the validation of a questionnaire specially developed for the German health-care market to measure workplace-related satisfaction of all employees in direct or indirect contact to patients. Beside this, its suitability for use in human resource and quality management was tested. Based on data from a postal survey of 38 054 employees from 37 hospitals a psychometric evaluation was done via exploratory factor analysis and reliability as well as regression analysis. For testing the capability to differentiate, subgroup analyses were conducted. 14 factors (Cronbach's alpha between 0.6 and 0.9) were extracted, explaining 44% of the variance. The factors leadership and organisational culture, conditions of employment, work load and relationship to direct line manager had the strongest influence on overall employee satisfaction. Age, gender, employment status, and senior position influence job satisfaction or relevant satisfaction-related factors. Psychometric properties, the ability to differentiate between employee groups and practicability render the questionnaire well suited for use in human resource and quality management of hospitals. © Georg Thieme Verlag KG Stuttgart · New York.

  14. The Tanzania experience: clinical laboratory testing harmonization and equipment standardization at different levels of a tiered health laboratory system.

    PubMed

    Massambu, Charles; Mwangi, Christina

    2009-06-01

    The rapid scale-up of the care and treatment programs in Tanzania during the preceding 4 years has greatly increased the demand for quality laboratory services for diagnosis of HIV and monitoring patients during antiretroviral therapy. Laboratory services were not in a position to cope with this demand owing to poor infrastructure, lack of human resources, erratic and/or lack of reagent supply and commodities, and slow manual technologies. With the limited human resources in the laboratory and the need for scaling up the care and treatment program, it became necessary to install automated equipment and train personnel for the increased volume of testing and new tests across all laboratory levels. With the numerous partners procuring equipment, the possibility of a multitude of equipment platforms with attendant challenges for procurement of reagents, maintenance of equipment, and quality assurance arose. Tanzania, therefore, had to harmonize laboratory tests and standardize laboratory equipment at different levels of the laboratory network. The process of harmonization of tests and standardization of equipment included assessment of laboratories, review of guidelines, development of a national laboratory operational plan, and stakeholder advocacy. This document outlines this process.

  15. Defense Human Resources Activity > PERSEREC

    Science.gov Websites

    Skip to main content (Press Enter). Toggle navigation Defense Human Resources Activity Search Search Defense Human Resources Activity: Search Search Defense Human Resources Activity: Search Defense Human Resources Activity U.S. Department of Defense Defense Human Resources Activity Overview

  16. Status and understanding of groundwater quality in the North San Francisco Bay Shallow Aquifer study unit, 2012; California GAMA Priority Basin Project (ver. 1.1, February 2018)

    USGS Publications Warehouse

    Bennett, George L.

    2017-07-20

    Groundwater quality in the North San Francisco Bay Shallow Aquifer study unit (NSF-SA) was investigated as part of the Priority Basin Project of the California Groundwater Ambient Monitoring and Assessment (GAMA) Program. The study unit is in Marin, Mendocino, Napa, Solano, and Sonoma Counties and included two physiographic study areas: the Valleys and Plains area and the surrounding Highlands area. The NSF-SA focused on groundwater resources used for domestic drinking water supply, which generally correspond to shallower parts of aquifer systems than that of groundwater resources used for public drinking water supply in the same area. The assessments characterized the quality of untreated groundwater, not the quality of drinking water.This study included three components: (1) a status assessment, which characterized the status of the quality of the groundwater resources used for domestic supply for 2012; (2) an understanding assessment, which evaluated the natural and human factors potentially affecting water quality in those resources; and (3) a comparison between the groundwater resources used for domestic supply and those used for public supply.The status assessment was based on data collected from 71 sites sampled by the U.S. Geological Survey for the GAMA Priority Basin Project in 2012. To provide context, concentrations of constituents measured in groundwater were compared to U.S. Environmental Protection Agency (EPA) and California State Water Resources Control Board Division of Drinking Water regulatory and non-regulatory benchmarks for drinking-water quality. The status assessment used a grid-based method to estimate the proportion of the groundwater resources that has concentrations of water-quality constituents approaching or above benchmark concentrations. This method provides statistically unbiased results at the study-area scale and permits comparisons to other GAMA Priority Basin Project study areas.In the NSF-SA study unit as a whole, inorganic constituents with human-health benchmarks were detected at high relative concentrations (RCs) in 27 percent of the shallow aquifer system, and inorganic constituents with secondary maximum contaminant levels (SMCL) were detected at high RCs in 24 percent of the system. The inorganic constituents detected at high RCs were arsenic, boron, fluoride, manganese, nitrate, iron, sulfate, and total dissolved solids (TDS). Organic constituents with human-health benchmarks were detected at high RCs in 1 percent of the shallow aquifer system. Of the 148 organic constituents analyzed, 30 constituents were detected, although only 1, chloroform, had a detection frequency greater than 10 percent.Natural and anthropogenic factors that could affect the groundwater quality were evaluated by using results from statistical testing of associations between constituent concentrations and values of potential explanatory factors. Groundwater age class (modern, mixed, or pre-modern), redox class (oxic or anoxic), aquifer lithology class (metamorphic, sedimentary, or volcanic), and dissolved oxygen concentrations were the explanatory factors that explained distribution patterns of most of the inorganic constituents best. Groundwater classified primarily as pre-modern or mixed in age was associated with higher concentrations of arsenic and fluoride than waters classified as modern. Anoxic or mixed redox conditions were associated with higher concentrations of boron, fluoride, and manganese. Similar patterns of association with explanatory variables were seen for inorganic constituents with aesthetic-based benchmarks detected at high concentrations. Nitrate and perchlorate had higher concentrations in oxic than in the anoxic redox class and were positively correlated with urban land use.The NSF-SA water-quality results were compared to those of the GAMA North San Francisco Bay Public-Supply Aquifer study unit (NSF-PA). The NSF-PA was sampled in 2004 and covers much of the same area as the NSF-SA, but focused on the deeper public-supply aquifer system. The comparison of the NSF-PA to the NSF-SA showed that there were more differences between the Valleys and Plains study areas of the two study units than between the Highlands study areas of the two study units. As expected from the shallower depth of wells, the NSF-SA Valleys and Plains study area had a lesser proportion of pre-modern age groundwater and greater proportion of modern age groundwater than the NSF-PA Valleys and Plains study area. In contrast, well depths and groundwater ages were not significantly different between the two Highlands study areas. Arsenic, manganese, and nitrate were present at high RCs, and perchlorate was detected in greater proportions of the NSF-SA Valleys and Plains study area than the NSF-PA Valleys and Plains study area.

  17. A methodology model for quality management in a general hospital.

    PubMed

    Stern, Z; Naveh, E

    1997-01-01

    A reappraisal is made of the relevance of industrial modes of quality management to the issues of medical care. Analysis of the nature of medical care, which differentiates it from the supplier-client relationships of industry, presents the main intrinsic characteristics, which create problems in application of the industrial quality management approaches to medical care. Several examples are the complexity of the relationship between the medical action and the result obtained, the client's nonacceptance of economic profitability as a value in his medical care, and customer satisfaction biased by variable standards of knowledge. The real problems unique to hospitals are addressed, and a methodology model for their quality management is offered. Included is a sample of indicator vectors, measurements of quality care, cost of medical care, quality of service, and human resources. These are based on the trilogy of planning quality, quality control, and improving quality. The conclusions confirm the inadequacy of industrial quality management approaches for medical institutions and recommend investment in formulation of appropriate concepts.

  18. The Use of Quality Benchmarking in Assessing Web Resources for the Dermatology Virtual Branch Library of the National electronic Library for Health (NeLH)

    PubMed Central

    Roudsari, AV; Gordon, C; Gray, JA Muir

    2001-01-01

    Background In 1998, the U.K. National Health Service Information for Health Strategy proposed the implementation of a National electronic Library for Health to provide clinicians, healthcare managers and planners, patients and the public with easy, round the clock access to high quality, up-to-date electronic information on health and healthcare. The Virtual Branch Libraries are among the most important components of the National electronic Library for Health . They aim at creating online knowledge based communities, each concerned with some specific clinical and other health-related topics. Objectives This study is about the envisaged Dermatology Virtual Branch Libraries of the National electronic Library for Health . It aims at selecting suitable dermatology Web resources for inclusion in the forthcoming Virtual Branch Libraries after establishing preliminary quality benchmarking rules for this task. Psoriasis, being a common dermatological condition, has been chosen as a starting point. Methods Because quality is a principal concern of the National electronic Library for Health, the study includes a review of the major quality benchmarking systems available today for assessing health-related Web sites. The methodology of developing a quality benchmarking system has been also reviewed. Aided by metasearch Web tools, candidate resources were hand-selected in light of the reviewed benchmarking systems and specific criteria set by the authors. Results Over 90 professional and patient-oriented Web resources on psoriasis and dermatology in general are suggested for inclusion in the forthcoming Dermatology Virtual Branch Libraries. The idea of an all-in knowledge-hallmarking instrument for the National electronic Library for Health is also proposed based on the reviewed quality benchmarking systems. Conclusions Skilled, methodical, organized human reviewing, selection and filtering based on well-defined quality appraisal criteria seems likely to be the key ingredient in the envisaged National electronic Library for Health service. Furthermore, by promoting the application of agreed quality guidelines and codes of ethics by all health information providers and not just within the National electronic Library for Health, the overall quality of the Web will improve with time and the Web will ultimately become a reliable and integral part of the care space. PMID:11720947

  19. Incorporating Human Movement Behavior into the Analysis of Spatially Distributed Infrastructure.

    PubMed

    Wu, Lihua; Leung, Henry; Jiang, Hao; Zheng, Hong; Ma, Li

    2016-01-01

    For the first time in human history, the majority of the world's population resides in urban areas. Therefore, city managers are faced with new challenges related to the efficiency, equity and quality of the supply of resources, such as water, food and energy. Infrastructure in a city can be viewed as service points providing resources. These service points function together as a spatially collaborative system to serve an increasing population. To study the spatial collaboration among service points, we propose a shared network according to human's collective movement and resource usage based on data usage detail records (UDRs) from the cellular network in a city in western China. This network is shown to be not scale-free, but exhibits an interesting triangular property governed by two types of nodes with very different link patterns. Surprisingly, this feature is consistent with the urban-rural dualistic context of the city. Another feature of the shared network is that it consists of several spatially separated communities that characterize local people's active zones but do not completely overlap with administrative areas. According to these features, we propose the incorporation of human movement into infrastructure classification. The presence of well-defined spatially separated clusters confirms the effectiveness of this approach. In this paper, our findings reveal the spatial structure inside a city, and the proposed approach provides a new perspective on integrating human movement into the study of a spatially distributed system.

  20. Does bacteriology laboratory automation reduce time to results and increase quality management?

    PubMed

    Dauwalder, O; Landrieve, L; Laurent, F; de Montclos, M; Vandenesch, F; Lina, G

    2016-03-01

    Due to reductions in financial and human resources, many microbiological laboratories have merged to build very large clinical microbiology laboratories, which allow the use of fully automated laboratory instruments. For clinical chemistry and haematology, automation has reduced the time to results and improved the management of laboratory quality. The aim of this review was to examine whether fully automated laboratory instruments for microbiology can reduce time to results and impact quality management. This study focused on solutions that are currently available, including the BD Kiestra™ Work Cell Automation and Total Lab Automation and the Copan WASPLab(®). Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  1. Access and Quality of HIV-Related Point-of-Care Diagnostic Testing in Global Health Programs.

    PubMed

    Fonjungo, Peter N; Boeras, Debrah I; Zeh, Clement; Alexander, Heather; Parekh, Bharat S; Nkengasong, John N

    2016-02-01

    Access to point-of-care testing (POCT) improves patient care, especially in resource-limited settings where laboratory infrastructure is poor and the bulk of the population lives in rural settings. However, because of challenges in rolling out the technology and weak quality assurance measures, the promise of human immunodeficiency virus (HIV)-related POCT in resource-limited settings has not been fully exploited to improve patient care and impact public health. Because of these challenges, the Joint United Nations Programme on HIV/AIDS (UNAIDS), in partnership with other organizations, recently launched the Diagnostics Access Initiative. Expanding HIV programs, including the "test and treat" strategies and the newly established UNAIDS 90-90-90 targets, will require increased access to reliable and accurate POCT results. In this review, we examine various components that could improve access and uptake of quality-assured POC tests to ensure coverage and public health impact. These components include evaluation, policy, regulation, and innovative approaches to strengthen the quality of POCT. © The Author 2015. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

  2. How useful is YouTube in learning heart anatomy?

    PubMed

    Raikos, Athanasios; Waidyasekara, Pasan

    2014-01-01

    Nowadays more and more modern medical degree programs focus on self-directed and problem-based learning. That requires students to search for high quality and easy to retrieve online resources. YouTube is an emerging platform for learning human anatomy due to easy access and being a free service. The purpose of this study is to make a quantitative and qualitative analysis of the available human heart anatomy videos on YouTube. Using the search engine of the platform we searched for relevant videos using various keywords. Videos with irrelevant content, animal tissue, non-English language, no sound, duplicates, and physiology focused were excluded from further elaboration. The initial search retrieved 55,525 videos, whereas only 294 qualified for further analysis. A unique scoring system was used to assess the anatomical quality and details, general quality, and the general data for each video. Our results indicate that the human heart anatomy videos available on YouTube conveyed our anatomical criteria poorly, whereas the general quality scoring found borderline. Students should be selective when looking up on public video databases as it can prove challenging, time consuming, and the anatomical information may be misleading due to absence of content review. Anatomists and institutions are encouraged to prepare and endorse good quality material and make them available online for the students. The scoring rubric used in the study comprises a valuable tool to faculty members for quality evaluation of heart anatomy videos available on social media platforms. Copyright © 2013 American Association of Anatomists.

  3. Endocrine disrupting compounds in drinking water supply system and human health risk implication.

    PubMed

    Wee, Sze Yee; Aris, Ahmad Zaharin

    2017-09-01

    To date, experimental and epidemiological evidence of endocrine disrupting compounds (EDCs) adversely affecting human and animal populations has been widely debated. Notably, human health risk assessment is required for risk mitigation. The lack of human health risk assessment and management may thus unreliably regulate the quality of water resources and efficiency of treatment processes. Therefore, drinking water supply systems (DWSSs) may be still unwarranted in assuring safe access to potable drinking water. Drinking water supply, such as tap water, is an additional and crucial route of human exposure to the health risks associated with EDCs. A holistic system, incorporating continuous research in DWSS monitoring and management using multi-barrier approach, is proposed as a preventive measure to reduce human exposure to the risks associated with EDCs through drinking water consumption. The occurrence of EDCs in DWSSs and corresponding human health risk implications are analyzed using the Needs, Approaches, Benefits, and Challenges (NABC) method. Therefore, this review may act as a supportive tool in protecting human health and environmental quality from EDCs, which is essential for decision-making regarding environmental monitoring and management purposes. Subsequently, the public could have sustainable access to safer and more reliable drinking water. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Nursing intellectual capital theory: implications for research and practice.

    PubMed

    Covell, Christine L; Sidani, Souraya

    2013-05-31

    Due to rising costs of healthcare, determining how registered nurses and knowledge resources influence the quality of patient care is critical. Studies that have investigated the relationship between nursing knowledge and outcomes have been plagued with conceptual and methodological issues. This has resulted in limited empirical evidence of the impact of nursing knowledge on patient or organizational outcomes. The nursing intellectual capital theory was developed to assist with this area of inquiry. Nursing intellectual capital theory conceptualizes the sources of nursing knowledge available within an organization and delineates its relationship to patient and organizational outcomes. In this article, we review the nursing intellectual capital theory and discuss its implications for research and practice. We explain why the theory shows promise for guiding research on quality work environments and how it may assist with administrative decision-making related to nursing human resource management and continuing professional development.

  5. [Monitoring evaluation system for high-specialty hospitals].

    PubMed

    Fajardo Dolci, Germán; Aguirre Gas, Héctor G; Robledo Galván, Héctor

    2011-01-01

    Hospital evaluation is a fundamental process to identify medical units' objective compliance, to analyze efficiency of resource use and allocation, institutional values and mission alignment, patient safety and quality standards, contributions to research and medical education, and the degree of coordination among medical units and the health system as a whole. We propose an evaluation system for highly specialized regional hospitals through the monitoring of performance indicators. The following are established as base thematic elements in the construction of indicators: safe facilities and equipment, financial situation, human resources management, policy management, organizational climate, clinical activity, quality and patient safety, continuity of care, patients' and providers' rights and obligations, teaching, research, social responsibility, coordination mechanisms. Monitoring refers to the planned and systematic evaluation of valid and reliable indicators, aimed at identifying problems and opportunity areas. Moreover, evaluation is a powerful tool to strengthen decision-making and accountability in medical units.

  6. The NSW Brain Tissue Resource Centre: Banking for Alcohol and Major Neuropsychiatric Disorders Research

    PubMed Central

    Sutherland, G.T.; Sheedy, D.; Stevens, J.; McCrossin, T.; Smith, C.C.; van Roijen, M.; Kril, J.J.

    2016-01-01

    The New South Wales Brain Tissue Resource Centre (NSWBTRC) at the University of Sydney (Australia) is an established human brain bank providing tissue to the neuroscience research community for investigations on alcohol-related brain damage and major psychiatric illnesses such as schizophrenia. The NSWBTRC relies on wide community engagement to encourage those with and without neuropsychiatric illness to consent to donation through its allied research programs. The subsequent provision of high-quality samples relies on standardized operational protocols, associated clinical data, quality control measures, integrated information systems, robust infrastructure, and governance. These processes are continually augmented to complement the changes in internal and external governance as well as the complexity and diversity of advanced investigation techniques. This report provides an overview of the dynamic process of brain banking and discusses the challenges of meeting the future needs of researchers, including synchronicity with other disease-focus collections. PMID:27139235

  7. Great Salt Lake basins study unit

    USGS Publications Warehouse

    Waddell, Kidd M.; Baskin, Robert L.

    1994-01-01

    In 1991, the U.S. Geological Survey (USGS) began implementing a full-scale National Water-Quality Assessment (NAWQA) Program.The long-term goals of the NAWQA Program are to describe the status and trends in the quality of a large, representative part of the Nation’s surface- and ground-water resources and to provide a sound, scientific understanding of the primary natural and human factors that affect the quality of these resources. In meeting these goals, the program will produce a wealth of water-quality information that will be useful to policy makers and managers at Federal, State, and local levels.A major design feature of the NAWQA Program will enable water-quality information at different areal scales to be integrated. A major component of the program is study-unit investigations, which ae the principal building blocks of the program upon which national-level assessment activities will be based. The 60 study-unit investigations that make up the program are hydrologic systems that include principal river basins and aquifer systems throughout the Nation. These study units cover areas from less than 1.000 to greater than 60,000 mi2 and incorporate from about 60 to 70 percent of the Nation’s water use and population served by public water supply. In 1993, assessment activities began in the Great Salt Lake Basins NAWQA study unit.

  8. Water resource management: an Indian perspective.

    PubMed

    Khadse, G K; Labhasetwar, P K; Wate, S R

    2012-10-01

    Water is precious natural resource for sustaining life and environment. Effective and sustainable management of water resources is vital for ensuring sustainable development. In view of the vital importance of water for human and animal life, for maintaining ecological balance and for economic and developmental activities of all kinds, and considering its increasing scarcity, the planning and management of water resource and its optimal, economical and equitable use has become a matter of the utmost urgency. Management of water resources in India is of paramount importance to sustain one billion plus population. Water management is a composite area with linkage to various sectors of Indian economy including the agricultural, industrial, domestic and household, power, environment, fisheries and transportation sector. The water resources management practices should be based on increasing the water supply and managing the water demand under the stressed water availability conditions. For maintaining the quality of freshwater, water quality management strategies are required to be evolved and implemented. Decision support systems are required to be developed for planning and management of the water resources project. There is interplay of various factors that govern access and utilization of water resources and in light of the increasing demand for water it becomes important to look for holistic and people-centered approaches for water management. Clearly, drinking water is too fundamental and serious an issue to be left to one institution alone. It needs the combined initiative and action of all, if at all we are serious in socioeconomic development. Safe drinking water can be assured, provided we set our mind to address it. The present article deals with the review of various options for sustainable water resource management in India.

  9. Perhaps I am one of the lucky ones.

    PubMed

    Heenan, Michael

    2010-01-01

    I recently participated in the Ontario Hospital Association (OHA) webinar on quality and safety, in which I was asked to address the topic of engaging physicians in performance measurement, quality and safety. I am not a physician, but much of my work in healthcare has involved working with clinical leaders in these areas. At St. Joseph's Healthcare Hamilton, we started our quality and safety journey by creating a medical quality scorecard specifically designed for physicians. The card, written in physician-friendly versus business language, enabled physicians to drop the traditional business quadrants of finance and human resources and select four quadrants focused on clinical process and outcome indicators that matched their daily practice. Quality improvement initiatives resulting from the scorecard included the launch of a sepsis-management campaign in the emergency room and a new approach to neonatal safety.

  10. [The application of operating room quality backward system in instrument place management].

    PubMed

    Du, Hui; He, Anjie; Zeng, Leilei

    2010-09-01

    Improvement of the surgery instrument's clean quality, the optimized preparation way, reasonable arrangement in groups, raising the working efficiency. We use the quality backward system into the instrument clean, the pack and the preparation way's question, carry on the analysis and the optimization, and appraise the effect after trying out 6 months. After finally the way optimized, instrument clean quality distinct enhancement; The flaws in the instrument clean, the pack way and the total operating time reduce; the contradictory between nurses and the cleans arising from the unclear connection reduces, the satisfaction degree of nurse and doctor to the instrument enhances. Using of operating room quality backward system in the management of the instrument clean, the pack and the preparation way optimized, may reduce flaws in the work and the waste of human resources, raise the working efficiency.

  11. Hand dug wells in Namibia: An underestimated water source or a threat to human health?

    NASA Astrophysics Data System (ADS)

    Wanke, H.; Nakwafila, A.; Hamutoko, J. T.; Lohe, C.; Neumbo, F.; Petrus, I.; David, A.; Beukes, H.; Masule, N.; Quinger, M.

    The rural population of parts of northern and western Namibia uses hand dug wells for their domestic water supply, partly because no other source (e.g., deep tube wells) is available, but also as a substitute for pipeline water that is often perceived as being too expensive. The water quality of these wells is usually not monitored or controlled, thus a study has been carried out in four study areas in Namibia: southern Omusati/Oshana area, Okongo/Ohangwena area, Omatjete/Omaruru area, Okanguati/Kunene area. Hand dug wells have been tested for on-site parameters: electric conductivity, pH and temperature while samples were taken for major inorganic constituents and several minor and trace constituents including fluoride and nitrate. In addition a sampling campaign in 2010 included the determination of coliform bacteria and Escherichia coli. Results were classified according to the Namibian Water Guidelines. The constituents making the water unfit for human consumption are fluoride, nitrate, sulphate and total dissolved solids. Contamination by E. coli was indicated in nearly all wells that are used for livestock watering. For the Omatjete/Omaruru study area an isotope based study on the source of nitrate has indicated manure as a source. The range of recharge values obtained for the studied villages ranges from 1 mm/a to locally more than 100 mm/a. Overall the water resource in the shallow perched aquifers in the study areas is in many places inappropriate for human consumption. Treatment to improve the quality or introduction of protection measures is necessary to bring this resource to an acceptable quality according to national and/or international standards.

  12. Addressing challenges to human health in the Anthropocene epoch-an overview of the findings of the Rockefeller/Lancet Commission on Planetary Health.

    PubMed

    Haines, Andy

    The report of the Rockefeller Foundation/Lancet Commission on Planetary Health described how human health directly depends upon the environment. It takes a broad perspective not only acknowledging climate change as the most important global environmental threat to health but also recognizing other impacts, including dramatic loss of tropical forests, land degradation, loss of biodiversity, declining freshwater resources, ocean acidification, and over-exploitation of fisheries. All pose challenges to human health gains, leading to the concept of planetary health-that the human condition is tied to natural systems. The Planetary Health Commission report highlights several major concerns arising from environmental change including impacts on food availability and quality, increases in natural disasters and population displacement, and newly emerging diseases, e.g. from zoonotic infections. Three challenges emerge from the report: the first is imagination, or conceptual challenges-better metrics are needed to assess human progress within the context of environmental change; the second is a lack of relevant knowledge, requiring more research on the inter-linkages between environmental change and health and on the effectiveness of potential solutions; and the third is implementation of solutions, ensuring that the science is translated into policy and practice. There are many opportunities to promote planetary health including developing sustainable and healthy cities, encouraging more resilient health systems and disaster preparedness, reducing food waste, preserving ecosystems, and redirecting harmful subsidies in food, agriculture, fishery and energy sectors. Many current trends are driven by inequitable, inefficient, and unsustainable patterns of resource consumption and technological development, coupled with population growth, but solutions lie within reach. Prosperity must be redefined as an enhancement of the quality of life and the delivery of improved health for all, together with respect for natural systems.

  13. Assessing groundwater availability in the Northern Atlantic Coastal Plain aquifer system

    USGS Publications Warehouse

    Masterson, John P.; Pope, Jason P.; Monti, Jack; Nardi, Mark R.

    2011-01-01

    The U.S. Geological Survey's Groundwater Resources Program is conducting an assessment of groundwater availability throughout the United States to gain a better understanding of the status of the Nation's groundwater resources and how changes in land use, water use, and climate may affect those resources. The goal of this National assessment is to improve our ability to forecast water availability for future economic and environmental uses. Assessments will be completed for the Nation's principal aquifer systems to help characterize how much water is currently available, how water availability is changing, and how much water we can expect to have in the future (Reilly and others, 2008). The concept of groundwater availability is more than just how much water can be pumped from any given aquifer. Groundwater availability is a function of many factors, including the quantity and quality of water and the laws, regulations, economics, and environmental factors that control its use. The primary objective of the North Atlantic Coastal Plain groundwater-availability study is to identify spatial and temporal changes in the overall water budget by more fully determining the natural and human processes that control how water enters, moves through, and leaves the groundwater system. Development of tools such as numerical models can help hydrologists gain an understanding of this groundwater system, allowing forecasts to be made about the response of this system to natural and human stresses, and water quality and ecosystem health to be analyzed, throughout the region.

  14. The High Plains Aquifer, USA: Groundwater development and sustainability

    USGS Publications Warehouse

    Dennehy, K.F.; Litke, D.W.; McMahon, P.B.

    2002-01-01

    The High Plains Aquifer, located in the United States, is one of the largest freshwater aquifers in the world and is threatened by continued decline in water levels and deteriorating water quality. Understanding the physical and cultural features of this area is essential to assessing the factors that affect this groundwater resource. About 27% of the irrigated land in the United States overlies this aquifer, which yields about 30% of the nation's groundwater used for irrigation of crops including wheat, corn, sorghum, cotton and alfalfa. In addition, the aquifer provides drinking water to 82% of the 2.3 million people who live within the aquifer boundary. The High Plains Aquifer has been significantly impacted by human activities. Groundwater withdrawals from the aquifer exceed recharge in many areas, resulting in substantial declines in groundwater level. Residents once believed that the aquifer was an unlimited resource of high-quality water, but they now face the prospect that much of the water may be gone in the near future. Also, agricultural chemicals are affecting the groundwater quality. Increasing concentrations of nitrate and salinity can first impair the use of the water for public supply and then affect its suitability for irrigation. A variety of technical and institutional measures are currently being planned and implemented across the aquifer area in an attempt to sustain this groundwater resource for future generations. However, because groundwater withdrawals remain high and water quality impairments are becoming more commonplace, the sustainability of the High Plains Aquifer is uncertain.

  15. Quality and Cultural Sensitivity of Linguistically Appropriate Cardiovascular Disease Information for Chinese Immigrants: A Review of Online Resources From Heart Foundations.

    PubMed

    Li, Jialin; Lowres, Nicole; Jin, Kai; Zhang, Ling; Neubeck, Lis; Gallagher, Robyn

    Chinese immigrants are at an increased risk for cardiovascular diseases (CVDs) compared with Chinese nationals partly because of lifestyle changes and knowledge deficits. Translated patient resources are available on the Internet and are often provided by health professionals; however, the quality and cultural sensitivity of these resources have not been reported. The aim of this study was to assess the availability, quality, and cultural sensitivity of Chinese-language information available from national "Heart Foundations" (cardiac research bodies, nongovernmental organisations) of the 5 most popular destinations of Chinese immigration. This study is a descriptive research in which national "Heart Foundation" websites were systematically searched for Chinese-language CVD patient education resources. Quality (content, identification, structure) was assessed using the Ensuring Quality Information for Patients instrument. Cultural sensitivity was evaluated using the Cultural Sensitivity Assessment Tool. From 107 identified resources, 33 were CVD specific: coronary heart disease (n = 20), arrhythmias (n = 7), and heart failure (n = 6). Quality of resources was adequate (mean Ensuring Quality Information for Patients score, 69%), but scores varied significantly (min, 60%; max, 85%). Although all resources were classified as culturally sensitive (Cultural Sensitivity Assessment Tool score ≥ 2.5), 2 resources scored low (≤2.5) for visual impact, and across all resources, written and visual domains were assessed as least culturally sensitive. Most resources lacked culturally specific references. Chinese-language CVD resources were inconsistent in the supply of key information. Quality and level of cultural sensitivity were adequate, but most resources lacked culturally specific references. Comprehensive, high-quality CVD resources powered by Editorial Manager and ProduXion Manager from Aries Systems Corporation tailored for Chinese immigrants are urgently needed for healthcare providers to support CVD education and care of patients belonging to this population.

  16. Human resource development for a community-based health extension program: a case study from Ethiopia.

    PubMed

    Teklehaimanot, Hailay D; Teklehaimanot, Awash

    2013-08-20

    Ethiopia is one of the sub-Saharan countries most affected by high disease burden, aggravated by a shortage and imbalance of human resources, geographical distance, and socioeconomic factors. In 2004, the government introduced the Health Extension Program (HEP), a primary care delivery strategy, to address the challenges and achieve the World Health Organization Millennium Development Goals (MDGs) within a context of limited resources. The health system was reformed to create a platform for integration and institutionalization of the HEP with appropriate human capacity, infrastructure, and management structures. Human resources were developed through training of female health workers recruited from their prospective villages, designed to limit the high staff turnover and address gender, social and cultural factors in order to provide services acceptable to each community. The service delivery modalities include household, community and health facility care. Thus, the most basic health post infrastructure, designed to rapidly and cost-effectively scale up HEP, was built in each village. In line with the country's decentralized management system, the HEP service delivery is under the jurisdiction of the district authorities. The nationwide implementation of HEP progressed in line with its target goals. In all, 40 training institutions were established, and over 30,000 Health Extension Workers have been trained and deployed to approximately 15,000 villages. The potential health service coverage reached 92.1% in 2011, up from 64% in 2004. While most health indicators have improved, performance in skilled delivery and postnatal care has not been satisfactory. While HEP is considered the most important institutional framework for achieving the health MDGs in Ethiopia, quality of service, utilization rate, access and referral linkage to emergency obstetric care, management, and evaluation of the program are the key challenges that need immediate attention. This article describes the strategies, human resource developments, service delivery modalities, progress in service coverage, and the challenges in the implementation of the HEP. The Ethiopian approach of revitalization of primary care through innovative, locally appropriate and acceptable strategies will provide important lessons to other poorly resourced countries. It is hoped that the approaches and strategies described in this paper will aid in that process.

  17. Water Quality Instructional Resources Information System (IRIS): A Compilation of Abstracts to Water Quality and Water Resources Materials, Supplement 30, 1987.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus, OH. Information Reference Center for Science, Mathematics, and Environmental Education.

    The Environmental Quality Instructional Resources Center acquires, reviews, indexes, and announces both print (books, modules, units, etc.) and non-print (films, slides, video tapes, etc.) materials related to water quality and water resources education and instruction. This publication contains abstracts and indexes to selected materials related…

  18. Developing a framework to assess the water quality and quantity impacts of climate change, shifting land use, and urbanization in a Midwestern agricultural landscape

    NASA Astrophysics Data System (ADS)

    Loheide, S. P.; Booth, E. G.; Kucharik, C. J.; Carpenter, S. R.; Gries, C.; Katt-Reinders, E.; Rissman, A. R.; Turner, M. G.

    2011-12-01

    Dynamic hydrological processes play a critical role in the structure and functioning of agricultural watersheds undergoing urbanization. Developing a predictive understanding of the complex interaction between agricultural productivity, ecosystem health, water quality, urban development, and public policy requires an interdisciplinary effort that investigates the important biophysical and social processes of the system. Our research group has initiated such a framework that includes a coordinated program of integrated scenarios, model experiments to assess the effects of changing drivers on a broad set of ecosystem services, evaluations of governance and leverage points, outreach and public engagement, and information management. Our geographic focus is the Yahara River watershed in south-central Wisconsin, which is an exemplar of water-related issues in the Upper Midwest. This research addresses three specific questions. 1) How do different patterns of land use, land cover, land management, and water resources engineering practices affect the resilience and sensitivity of ecosystem services under a changing climate? 2) How can regional governance systems for water and land use be made more resilient and adaptive to meet diverse human needs? 3) In what ways are regional human-environment systems resilient and in what ways are they vulnerable to potential changes in climate and water resources? A comprehensive program of model experiments and biophysical measurements will be utilized to evaluate changes in five freshwater ecosystem services (flood regulation, groundwater recharge, surface water quality, groundwater quality, and lake recreation) and five related ecosystem services (food crop yields, bioenergy crop yields, carbon storage in soil, albedo, and terrestrial recreation). Novel additions to existing biophysical models will allow us to simulate all components of the hydrological cycle as well as agricultural productivity, nitrogen and phosphorus transport, and lake water quality. The integrated model will be validated using a comprehensive observational database that includes soil moisture, evapotranspiration, stomatal conductance, streamflow, stream and lake water quality, and crop yields and productivity. Integrated scenarios will be developed to synthesize decision-maker perspectives, alternative approaches to resource governance, plausible trends in demographic and economic drivers, and model projections under alternate climate and land use regimes to understand future conditions of the watershed and its ecosystem services. The quantitative data and integrated scenarios will then be linked to evaluate governance of water and land use.

  19. Building a framework to explore water-human interaction for sustainable agro ecosystems in US Midwest

    NASA Astrophysics Data System (ADS)

    Mishra, S. K.; Ding, D.; Rapolu, U.

    2012-12-01

    Human activity is intricately linked to the quality and quantity of water resources. Although many studies have examined water-human interaction, the complexity of such coupled systems is not well understood largely because of gaps in our knowledge of water-cycle processes which are heavily influenced by socio-economic drivers. On this context, this team has investigated connections among agriculture, policy, climate, land use/land cover, and water quality in Iowa over the past couple of years. To help explore these connections the team is developing a variety of cyber infrastructure tools that facilitate the collection, analysis and visualization of data, and the simulation of system dynamics. In an ongoing effort, the prototype system is applied to Clear Creek watershed, an agricultural dominating catchment in Iowa in the US Midwest, to understand water-human processes relevant to management decisions by farmers regarding agro ecosystems. The primary aim of this research is to understand the connections that exist among the agricultural and biofuel economy, land use/land cover change, and water quality. To help explore these connections an agent-based model (ABM) of land use change has been developed that simulates the decisions made by farmers given alternative assumptions about market forces, farmer characteristics, and water quality regulations. The SWAT model was used to simulate the impact of these decisions on the movement of sediment, nitrogen, and phosphorus across the landscape. The paper also demonstrate how through the use of this system researchers can, for example, search for scenarios that lead to desirable socio-economic outcomes as well as preserve water quantity and quality.

  20. Assessment of groundwater quality in the coastal area of Sindh province, Pakistan.

    PubMed

    Alamgir, Aamir; Khan, Moazzam Ali; Schilling, Janpeter; Shaukat, S Shahid; Shahab, Shoaib

    2016-02-01

    Groundwater is a highly important resource, especially for human consumption and agricultural production. This study offers an assessment of groundwater quality in the coastal areas of Sindh province in Pakistan. Fifty-six samples of groundwater were taken at depths ranging from 30 to 50 m. Bacteriological and physico-chemical analyses were performed using the Standard Methods for the Examination of Water and Wastewater. These were supplemented with expert interviews and observations to identify the usage of water and potential sources of pollution. The quality of the groundwater was found to be unsuitable for human consumption, despite being used for this purpose. The concentrations of sulfate and phosphate were well within the tolerance limits. Most critical were the high levels of organic and fecal pollution followed by turbidity and salinity. Metal concentrations (As, Ca, Cr, Cu, Fe, Mg, Mn, Ni, Pb, and Zn) were also determined, and Ni and Pb strongly exceeded health standards. The study stresses the need for significant improvements of the irrigation, sanitation, and sewage infrastructure.

  1. An investigation of perceptions of programme quality support of adult basic education programmes.

    PubMed

    Udouj, Gary; Grover, Kenda; Belcher, Greg; Kacirek, Kit

    2017-04-01

    This study was designed to identify the degree to which the directors of adult basic education programs perceive they have program quality support, as evidenced by a well-defined mission and role in the community, a management system, human resources management, and a suitable learning environment. NSCALL's Evidence-based program self-assessment (2006) was modified and administered electronically to administrators of adult education programs in a mid-southern state. Findings indicated that most directors perceive they are implementing the indicators of program quality support in all of the areas surveyed. A research-based annual self-study that considers the quality indicators is recommended, leaving a need for an update to the NCSALL assessment for use as a program assessment instrument. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. National Water-Quality Assessment program: The Trinity River Basin

    USGS Publications Warehouse

    Land, Larry F.

    1991-01-01

    In 1991, the U.S. Geological Survey (USGS) began to implement a full-scale National Water-Quality Assessment (NAWQA) program. The long-term goals of the NAWQA program are to describe the status and trends in the quality of a large, representative part of the Nation's surface- and ground-water resources and to provide a sound, scientific understanding of the primary natural and human factors affecting the quality of these resources. In meeting these goals, the program will produce a wealth of water-quality information that will be useful to policy makers and managers at the national, State, and local levels. A major design feature of the NAWQA program will enable water-quality information at different areal scales to be integrated. A major component of the program is study-unit investigations, which comprise the principal building blocks of the program on which national-level assessment activities will be based. The 60 study-unit investigations that make up the program are hydrologic systems that include parts of most major river basins and aquifer systems. These study units cover areas of 1,200 to more than 65,000 square miles and incorporate about 60 to 70 percent of the Nation's water use and population served by public water supply. In 1991, the Trinity River basin study was among the first 20 NAWQA study units selected for study under the full-scale implementation plan.

  3. National Water-Quality Assessment Program: The Sacramento River Basin

    USGS Publications Warehouse

    Domagalski, Joseph L.; Brown, Larry R.

    1994-01-01

    In 1991, the U.S. Geological Survey (USGS) began to implement a full-scale National Water-Quality Assessment (NAWQA) program. The long-term goals of the NAWQA program are to describe the status of and trends in the quality of a large, representative part of the Nation's surface- and ground-water resources and to identify the major natural and human factors that affect the quality of those resources. In addressing these goals, the program will provide a wealth of water- quality information that will be useful to policy makers and managers at the national, State, and local levels. A major asset of the NAWQA program is that it will allow for the integration of water-quality information collected at several scales. A major component of the program is the study-unit investigation-the foundation of national- level assessment. The 60 study units of the NAWQA program are hydrologic systems that include parts of most major river basins and aquifer systems of the conterminous United States. These study units cover areas of 1,000 to more than 60,000 square miles and represent 60 to 70 percent of the Nation's water use and population served by public water supplies. Investigations of the first 20 study units began in 1991. In 1994, the Sacramento River Basin was among the second set of 20 NAWQA study units selected for investigation.

  4. Pathology as the enabler of human research.

    PubMed

    Crawford, James M; Tykocinski, Mark L

    2005-09-01

    Academic Pathology is a key player in human molecular science and in the powerful initiatives of the National Institutes of Health. Pathologists generate data crucial to virtually every molecular study of human tissue, and have the necessary skills and authority to oversee processing of human tissues for research analysis. We advocate that Academic Pathology is optimally positioned to drive the molecular revolution in study of human disease, through human tissue collection, analysis, and databasing. This can be achieved through playing a major role in human tissue procurement and management; establishing high-quality 'Pathology Resource Laboratories'; providing the scientific expertise for pathology data sharing; and recruiting and training physician scientists. Pathology should position itself to be the local institutional driver of technology implementation and development, by operating the resource laboratories, providing the expertise for technical and conceptual design of research projects, maintaining the databases that link molecular and morphological information on human tissues with the requisite clinical databases, providing education and mentorship of technology users, and nurturing new research through the development of preliminary data. We also consider that outstanding pathology journals are available for the publication of research emanating from such studies, to the benefit of the pathology profession as an academic enterprise. It is our earnest hope that Academic Pathology can play a leading role in the remarkable advances to be made as the 21st century unfolds.

  5. Upper Illinois River basin

    USGS Publications Warehouse

    Friedel, Michael J.

    1998-01-01

    During the past 25 years, industry and government made large financial investments that resulted in better water quality across the Nation; however, many water-quality concerns remain. Following a 1986 pilot project, the U.S. Geological Survey began implementation of the National Water-Quality Assessment (NAWQA) Program in 1991. This program differs from other national water-quality assessment studies in that the NAWQA integrates monitoring of surface- and ground-water quality with the study of aquatic ecosystems. The goals of the NAWQA Program are to (1) describe current water-quality conditions for a large part of the Nation's freshwater streams and aquifers (water-bearing sediments and rocks), (2) describe how water quality is changing over time, and (3) improve our understanding of the primary natural and human factors affecting water quality.The Upper Illinois River Basin National Water- Quality Assessment (NAWQA) study will increase the scientific understanding of surface- and ground-water quality and the factors that affect water quality in the basin. The study also will provide information needed by water-resource managers to implement effective water-quality management actions and evaluate long-term changes in water quality.

  6. [Qualitative analysis of water quality deterioration and infection by Helicobacter pylori in a community with high risk of stomach cancer (Cauca, Colombia)].

    PubMed

    Acosta, Claudia Patricia; Benavides, John Alexander; Sierra, Carlos Hernán

    2015-12-01

    This study looks at aspects of the environmental health of the rural population in Timbío (Cauca, Columbia) in relation to the deterioration of water quality. The information was obtained through participatory research methods exploring the management and use of water, the sources of pollution and the perception of water quality and its relation to Helicobacter pylori infection. The results are part of the qualitative analysis of a first research phase characterizing water and sanitation problems and their relation to emerging infectious diseases as well as possible solutions, which was carried out between November 2013 and August 2014. The results of this research are discussed from an ecosystemic approach to human health, recognizing the complexity of environmental conflicts related to water resources and their impacts on the health of populations. Through the methodology used, it is possible to detect and visualize the most urgent problems as well as frequent causes of contamination of water resources so as to propose solutions within a joint agenda of multiple social actors.

  7. Outsourcing Library Technical Services. A How-To-Do-It Manual for Librarians. How-To-Do-It Manuals for Librarians, Number 69.

    ERIC Educational Resources Information Center

    Hirshon, Arnold; Winters, Barbara

    In the effort to reduce costs, improve productivity, enhance quality of services, and improve turnaround time for ordering, receiving, and cataloging new materials, libraries are increasingly turning to outsourcing as a strategic management tool to help them maximize use of their fiscal and human resources. This guide covers all aspects of…

  8. School Matters: Why African American Students Need Multiple Forms of Capital. Counterpoints, Studies in the Postmodern Theory of Education Volume 312

    ERIC Educational Resources Information Center

    Bartee, RoSusan D.; Brown, M. Christopher, II.

    2007-01-01

    There are four types of capital: economic, human, cultural, and social. The distribution of capital in home and school settings affects the types of educational outcomes and the quality of lifelong opportunities that individuals are able to enjoy. Resource availability and accessibility influence the success levels at which teaching and learning…

  9. EDUCATION FOR A CHANGING WORLD OF WORK, REPORT OF THE PANEL OF CONSULTANTS ON VOCATIONAL EDUCATION. APPENDIX II, MANPOWER IN FARMING AND RELATED OCCUPATIONS.

    ERIC Educational Resources Information Center

    BISHOP, C.E.; TOLLEY, G.S.

    THE EFFECTS OF ECONOMIC PROGRESS ON THE STRUCTURE OF AGRICULTURE, THE AMOUNT AND QUALITY OF HUMAN RESOURCES EMPLOYED IN FARMING AND RELATED OCCUPATIONS, AND EDUCATIONAL IMPLICATIONS OF AGRICULTURAL CHANGES ARE REPORTED. MECHANICAL, BIOLOGICAL, AND CHEMICAL CHANGES IN AGRICULTURAL TECHNOLOGY, WHICH PROVIDED INCENTIVES TO INCREASE THE SIZE OF THE…

  10. Final Environmental Assessment for San Andres Water Line, Holloman Air Force Base, Otero County, New Mexico

    DTIC Science & Technology

    2007-04-16

    area by the Proposed Action alternative. 2. There will be no significant impact on the flora, fauna, endangered species, or natural resources in the...result in significant impacts to the quality of the human or natural environment. Accordingly, a finding of no significant impact is warranted for...Table 3-2. Air Pollutant Concentration Standards ..................... ............................ ............ ..... 39 Table 6-1. Individuals

  11. Quality Assurance of Post-Graduate Education: The Case of CAPES, the Brazilian Agency for Support and Evaluation of Graduate Education

    ERIC Educational Resources Information Center

    Almeida Guimarães, Jorge; Chaves Edler de Almeida, Elenara

    2012-01-01

    The authors discuss the CAPES Foundation, the Brazilian Agency for Support and Evaluation of Graduate Education. They also present and discuss the current data and status of the Brazilian venture for developing human resources and for the formation of an active community dedicated to Science and Technology, giving a general vision of its…

  12. Remarks Prepared for Delivery to the American Vocational Association [by the Assistant Secretary for Policy, U.S. Department of Labor.

    ERIC Educational Resources Information Center

    Dorn, Jenna

    A number of factors have led to the crisis of work force unpreparedness that the United States now faces, including revolutionary changes that mean businesses now succeed on the qualities of their human rather than material resources. Jobs are demanding better reading, writing, and reasoning skills, and mental agility has replaced manual dexterity…

  13. Drafting New Curricula in South-East Europe. Final Report of the Regional Seminar (Bohinj, Slovenia, April 26-28, 2002).

    ERIC Educational Resources Information Center

    Rozemeijer, Saskia, Ed.

    The aim of the regional seminar on curriculum renewal, held in Bohinj, Slovenia in April 2002 was to contribute to human resource development and capacity-building in the field of curriculum development. It is currently widely recognized that curriculum renewal is an important component in the reform and in improving the quality of education. The…

  14. Why is it important to monitor social conditions in wilderness?

    Treesearch

    Alan E. Watson

    1990-01-01

    “Social conditions in wilderness” refers to all aspects of human use of the wilderness that pose the possibility of impact to the resource and visitor experiences. The reasons for monitoring (1) use levels and use trends (including characteristics of use and users) and (2) the quality of the recreation experiences provided (ability to provide naturalness, privacy, and...

  15. Laboratory challenges in the scaling up of HIV, TB, and malaria programs: The interaction of health and laboratory systems, clinical research, and service delivery.

    PubMed

    Birx, Deborah; de Souza, Mark; Nkengasong, John N

    2009-06-01

    Strengthening national health laboratory systems in resource-poor countries is critical to meeting the United Nations Millennium Development Goals. Despite strong commitment from the international community to fight major infectious diseases, weak laboratory infrastructure remains a huge rate-limiting step. Some major challenges facing laboratory systems in resource-poor settings include dilapidated infrastructure; lack of human capacity, laboratory policies, and strategic plans; and limited synergies between clinical and research laboratories. Together, these factors compromise the quality of test results and impact patient management. With increased funding, the target of laboratory strengthening efforts in resource-poor countries should be the integrating of laboratory services across major diseases to leverage resources with respect to physical infrastructure; types of assays; supply chain management of reagents and equipment; and maintenance of equipment.

  16. The Importance of Human Resource Planning in Industrial Enterprises

    NASA Astrophysics Data System (ADS)

    Koltnerová, Kristína; Chlpeková, Andrea; Samáková, Jana

    2012-12-01

    Human resource planning in the business practice should represent generally used and key activity for human resource management because human resource planning helps to make optimum utilisation of the human resources in the enterprise and it helps to avoid wastage of human resources. Human resource planning allows to forecast the future manpower requirements and also to forecast the number and type of employees who will be required by the enterprise in a near future. In the long term period, success of any enterprise depends on whether the right people are in the right places at the right time, which is the nature of human resource planning. The aim of this contribution is to explain the importance of human resource planning and to outline results of questionnaire survey which it was realized in industrial enterprises.

  17. Setting targets for human resources for eye health in sub-Saharan Africa: what evidence should be used?

    PubMed

    Courtright, Paul; Mathenge, Wanjiku; Kello, Amir Bedri; Cook, Colin; Kalua, Khumbo; Lewallen, Susan

    2016-03-16

    With a global target set at reducing vision loss by 25% by the year 2019, sub-Saharan Africa with an estimated 4.8 million blind persons will require human resources for eye health (HReH) that need to be available, appropriately skilled, supported, and productive. Targets for HReH are useful for planning, monitoring, and resource mobilization, but they need to be updated and informed by evidence of effectiveness and efficiency. Supporting evidence should take into consideration (1) ever-changing disease-specific issues including the epidemiology, the complexity of diagnosis and treatment, and the technology needed for diagnosis and treatment of each condition; (2) the changing demands for vision-related services of an increasingly urbanized population; and (3) interconnected health system issues that affect productivity and quality. The existing targets for HReH and some of the existing strategies such as task shifting of cataract surgery and trichiasis surgery, as well as the scope of eye care interventions for primary eye care workers, will need to be re-evaluated and re-defined against such evidence or supported by new evidence.

  18. Surface water quality in streams and rivers: introduction, scaling, and climate change: Chapter 5

    USGS Publications Warehouse

    Loperfido, John

    2013-01-01

    A variety of competing and complementary needs such as ecological health, human consumption, transportation, recreation, and economic value make management and protection of water resources in riverine environments essential. Thus, an understanding of the complex and interacting factors that dictate riverine water quality is essential in empowering stake-holders to make informed management decisions (see Chapter 1.15 for additional information on water resource management). Driven by natural and anthropogenic forcing factors, a variety of chemical, physical, and biological processes dictate riverine water quality, resulting in temporal and spatial patterns and cycling (see Chapter 1.2 for information describing how global change interacts with water resources). Furthermore, changes in climatic forcing factors may lead to long-term deviations in water quality outside the envelope of historical data. The goal of this chapter is to present fundamental concepts dictating the conditions of basic water quality parameters in rivers and streams (herein generally referred to as rivers unless discussing a specific system) in the context of temporal (diel (24 h) to decadal) longitudinal scaling. Understanding water quality scaling in rivers is imperative as water is continually reused and recycled (see also Chapters 3.1 and 3.15); upstream discharges from anthropogenic sources are incorporated into bulk riverine water quality that is used by downstream consumers. Water quality parameters reviewed here include temperature, pH, dissolved oxygen (DO), and suspended sediment and were selected given the abundance of data available for these parameters due to recent advances in water quality sensor technology (see Chapter 4.13 for use of hydrologic data in watershed management). General equations describing reactions affecting water temperature, pH, DO, and suspended sediment are included to convey the complexity of how simultaneously occurring reactions can affect water quality in rivers. Concepts presented in this chapter will provide a backdrop that other chapters in this book will explore further, including water quality in the following riverine systems: the Mississippi River (see Chapter 4.9), Hudson River (see Chapter 4.6), and rivers in India (see Chapter 4.10).

  19. Water Quality Instructional Resources Information System (IRIS): A Compilation of Abstracts to Water Quality and Water Resources materials. Supplement 31, 1987.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus, OH. Information Reference Center for Science, Mathematics, and Environmental Education.

    The Environmental Quality Instructional Resources Center in Columbus, Ohio, acquires, reviews, indexes, and announces both print (books, modules, units, etc.) and non-print (films, slides, video tapes, etc.) materials related to water quality and water resources education and instruction. This publication contains abstracts and indexes to selected…

  20. Water Quality Instructional Resources Information System (IRIS): A Compilation of Abstracts to Water Quality and Water Resources Materials. Supplement 33, 1988.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus, OH. Information Reference Center for Science, Mathematics, and Environmental Education.

    The Environmental Quality Instructional Resources Center in Columbus, Ohio, acquires, reviews, indexes, and announces both print (books, modules, units, etc.) and non-print (films, slides, video tapes, etc.) materials related to water quality and water resources education and instruction. In addition some materials related to hazardous materials,…

  1. Water Quality Instructional Resources Information System (IRIS): A Compilation of Abstracts to Water Quality and Water Resources Materials. Supplement 32, 1987.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus, OH. Information Reference Center for Science, Mathematics, and Environmental Education.

    The Environmental Quality Instructional Resources Center in Columbus, Ohio, acquires, reviews, indexes, and announces both print (books, modules, units, etc.) and non-print (films, slides, video tapes, etc.) materials related to water quality and water resources education and instruction. In addition some materials related to pesticides, hazardous…

  2. Water Quality Instructional Resources Information System (IRIS): A Compilation of Abstracts to Water Quality and Water Resources Materials. Supplement 34, 1988.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus, OH. Information Reference Center for Science, Mathematics, and Environmental Education.

    The Environmental Quality Instructional Resources Center in Columbus, Ohio, acquires, reviews, indexes, and announces both print (books, modules, units, etc.) and non-print (films, slides, video tapes, etc.) materials related to water quality and water resources education and instruction. In addition some materials related to pesticides, hazardous…

  3. Human resource aspects of antiretroviral treatment delivery models: current practices and recommendations.

    PubMed

    Assefa, Yibeltal; Van Damme, Wim; Hermann, Katharina

    2010-01-01

    PURPOSE OF VIEW: To illustrate and critically assess what is currently being published on the human resources for health dimension of antiretroviral therapy (ART) delivery models. The use of human resources for health can have an effect on two crucial aspects of successful ART programmes, namely the scale-up capacity and the long-term retention in care. Task shifting as the delegation of tasks from higher qualified to lower qualified cadres has become a widespread practice in ART delivery models in low-income countries in recent years. It is increasingly shown to effectively reduce the workload for scarce medical doctors without compromising the quality of care. At the same time, it becomes clear that task shifting can only be successful when accompanied by intensive training, supervision and support from existing health system structures. Although a number of recent publications have focussed on task shifting in ART delivery models, there is a lack of accessible information on the link between task shifting and patient outcomes. Current ART delivery models do not focus sufficiently on retention in care as arguably one of the most important issues for the long-term success of ART programmes. There is a need for context-specific re-designing of current ART delivery models in order to increase access to ART and improve long-term retention.

  4. Treatment challenges for community oncologists treating postmenopausal women with endocrine-resistant, hormone receptor-positive, human epidermal growth factor receptor 2-negative advanced breast cancer

    PubMed Central

    Gradishar, William J

    2016-01-01

    Community-based oncologists are faced with challenges and opportunities when delivering quality patient care, including high patient volumes and diminished resources; however, there may be the potential to deliver increased patient education and subsequently improve outcomes. This review discusses the treatment of postmenopausal women with endocrine-resistant, hormone receptor-positive, human epidermal growth factor receptor 2- negative advanced breast cancer in order to illustrate considerations in the provision of pertinent quality education in the treatment of these patients and the management of therapy-related adverse events. An overview of endocrine-resistant breast cancer and subsequent treatment challenges is also provided. Approved treatment options for endocrine-resistant breast cancer include hormonal therapies and mammalian target of rapamycin inhibitors. Compounds under clinical investigation are also discussed. PMID:27468248

  5. Motivation, Leadership, Empowerment and Confidence: Their Relation with Nurses’ Burnout

    PubMed Central

    Papathanasiou, Ioanna V.; Fradelos, Evangelos C.; Kleisiaris, Christos F.; Tsaras, Konstantinos; Kalota, Malamati A.; Kourkouta, Lambrini

    2014-01-01

    Introduction: Burnout is usually defined as a state of physical, emotional and mental exhaustion that results from long-term involvement in work situations that are emotionally demanding. A great deal of researches has been devoted to the understanding of factors contributing to burnout and the negative effects that burnout has in the cost and the quality of the provided healthcare. Discussion: Many researchers believe that in difficult and stressful working conditions the work environment should be changed in order to reduce burnout levels successfully. Indeed, recent studies have highlighted the role of human resources management in burnout. It has been widely recognized that human resource management policies should be at the core of any sustainable solution that aims to increase health care systems performance and efficient. Conclusion: Motivation, leadership, empowerment and confidence are very important factors that should be considered in this direction because they are strongly related with burnout levels. PMID:25685089

  6. Motivation, leadership, empowerment and confidence: their relation with nurses' burnout.

    PubMed

    Papathanasiou, Ioanna V; Fradelos, Evangelos C; Kleisiaris, Christos F; Tsaras, Konstantinos; Kalota, Malamati A; Kourkouta, Lambrini

    2014-12-01

    Burnout is usually defined as a state of physical, emotional and mental exhaustion that results from long-term involvement in work situations that are emotionally demanding. A great deal of researches has been devoted to the understanding of factors contributing to burnout and the negative effects that burnout has in the cost and the quality of the provided healthcare. Many researchers believe that in difficult and stressful working conditions the work environment should be changed in order to reduce burnout levels successfully. Indeed, recent studies have highlighted the role of human resources management in burnout. It has been widely recognized that human resource management policies should be at the core of any sustainable solution that aims to increase health care systems performance and efficient. Motivation, leadership, empowerment and confidence are very important factors that should be considered in this direction because they are strongly related with burnout levels.

  7. Non-School Hours: Mobilizing School and Community Resources. Hearing on Examining Certain Initiatives To Mobilize School and Community Resources To Provide Quality Programs To Address the Needs of Students during Non-School Hours, Including the Administration's Proposed Expansion of the 21st Century Community Learning Centers Program Designed To Provide Funds to School-Community Partnerships To Start Up or Expand After-School, Extended Learning Programs for Schoolage Children of the Committee on Labor and Human Resources, United States Senate, One Hundred Fifth Congress, Second Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    This hearing explored ways in which to meet children's and families' needs during nonschool hours. It examined the nature of those needs, the barriers that various segments of the community face, how the Federal Government can help build coordinated school and community networks, and how to make nonschool hours safe for children. Testimony was…

  8. Building HR capability in health care organizations.

    PubMed

    Khatri, Naresh

    2006-01-01

    The current human resource (HR) management practices in health care are consistent with the industrial model of management. However, health care organizations are not factories. They are highly knowledge-intensive and service-oriented entities and thus require a different set of HR practices and systems to support them. Drawing from the resource-based theory, I argue that HRs are a potent weapon of competitive advantage for health care organizations and propose a five-dimensional conception of HR capability for harnessing HRs in health care organizations. The significant complementarities that exist between HRs and information technologies for delivering safer and better quality of patient care are also discussed.

  9. Panel: Eco-informatics and decision making managing our natural resources

    USGS Publications Warehouse

    Gushing, J.B.; Wilson, T.; Martin, F.; Schnase, J.; Spengler, S.; Sugarbaker, L.; Pardo, T.

    2006-01-01

    This panel responds to the December 2004 workshop on Eco-Informatics and Decision Making [1], which addressed how informatics tools can help with better management of natural resources and policy making. The workshop was jointly sponsored by the NSF, NBII, NASA, and EPA. Workshop participants recommended that informatics research in four IT areas be funded: modeling and simulation, data quality, information integration and ontologies, and social and human aspects. Additionally, they recommend that funding agencies provide infrastructure and some changes in funding habits to assure cycles of innovation in the domain were addressed. This panel brings issues raised in that workshop to the attention of digital government researchers.

  10. The Importance of Brain Banks for Molecular Neuropathological Research: The New South Wales Tissue Resource Centre Experience

    PubMed Central

    Dedova, Irina; Harding, Antony; Sheedy, Donna; Garrick, Therese; Sundqvist, Nina; Hunt, Clare; Gillies, Juliette; Harper, Clive G.

    2009-01-01

    New developments in molecular neuropathology have evoked increased demands for postmortem human brain tissue. The New South Wales Tissue Resource Centre (TRC) at The University of Sydney has grown from a small tissue collection into one of the leading international brain banking facilities, which operates with best practice and quality control protocols. The focus of this tissue collection is on schizophrenia and allied disorders, alcohol use disorders and controls. This review highlights changes in TRC operational procedures dictated by modern neuroscience, and provides examples of applications of modern molecular techniques to study the neuropathogenesis of many different brain disorders. PMID:19333451

  11. Problems with provision: barriers to drinking water quality and public health in rural Tasmania, Australia.

    PubMed

    Whelan, Jessica J; Willis, Karen

    2007-01-01

    Access to safe drinking water is essential to human life and wellbeing, and is a key public health issue. However, many communities in rural and regional parts of Australia are unable to access drinking water that meets national standards for protecting human health. The aim of this research was to identify the key issues in and barriers to the provision and management of safe drinking water in rural Tasmania, Australia. Semi-structured interviews were conducted with key local government employees and public health officials responsible for management of drinking water in rural Tasmania. Participants were asked about their core public health duties, regulatory responsibilities, perceptions and management of risk, as well as the key barriers that may be affecting the provision of safe drinking water. This research highlights the effect of rural locality on management and safety of fresh water in protecting public health. The key issues contributing to problems with drinking water provision and quality identified by participants included: poor and inadequate water supply infrastructure; lack of resources and staffing; inadequate catchment monitoring; and the effect of competing land uses, such as forestry, on water supply quality. This research raises issues of inequity in the provision of safe drinking water in rural communities. It highlights not only the increasing need for greater funding by state and commonwealth government for basic services such as drinking water, but also the importance of an holistic and integrated approach to managing drinking water resources in rural Tasmania.

  12. HExpoChem: a systems biology resource to explore human exposure to chemicals.

    PubMed

    Taboureau, Olivier; Jacobsen, Ulrik Plesner; Kalhauge, Christian; Edsgärd, Daniel; Rigina, Olga; Gupta, Ramneek; Audouze, Karine

    2013-05-01

    Humans are exposed to diverse hazardous chemicals daily. Although an exposure to these chemicals is suspected to have adverse effects on human health, mechanistic insights into how they interact with the human body are still limited. Therefore, acquisition of curated data and development of computational biology approaches are needed to assess the health risks of chemical exposure. Here we present HExpoChem, a tool based on environmental chemicals and their bioactivities on human proteins with the objective of aiding the qualitative exploration of human exposure to chemicals. The chemical-protein interactions have been enriched with a quality-scored human protein-protein interaction network, a protein-protein association network and a chemical-chemical interaction network, thus allowing the study of environmental chemicals through formation of protein complexes and phenotypic outcomes enrichment. HExpoChem is available at http://www.cbs.dtu.dk/services/HExpoChem-1.0/.

  13. Achieving competitive advantage through strategic human resource management.

    PubMed

    Fottler, M D; Phillips, R L; Blair, J D; Duran, C A

    1990-01-01

    The framework presented here challenges health care executives to manage human resources strategically as an integral part of the strategic planning process. Health care executives should consciously formulate human resource strategies and practices that are linked to and reinforce the broader strategic posture of the organization. This article provides a framework for (1) determining and focusing on desired strategic outcomes, (2) identifying and implementing essential human resource management actions, and (3) maintaining or enhancing competitive advantage. The strategic approach to human resource management includes assessing the organization's environment and mission; formulating the organization's business strategy; assessing the human resources requirements based on the intended strategy; comparing the current inventory of human resources in terms of numbers, characteristics, and human resource management practices with respect to the strategic requirements of the organization and its services or product lines; formulating the human resource strategy based on the differences between the assessed requirements and the current inventory; and implementing the appropriate human resource practices to reinforce the strategy and attain competitive advantage.

  14. Resource quality or competition: why increase resource acceptance in the presence of conspecifics?

    PubMed Central

    Nufio, César R.; Papaj, Daniel R.

    2011-01-01

    Some animal species increase resource acceptance rates in the presence of conspecifics. Such responses may be adaptive if the presence of conspecifics is a reliable indicator of resource quality. Similarly, these responses could represent an adaptive reduction in choosiness under high levels of scramble competition. Although high resource quality and high levels of scramble competition should both favor increased resource acceptance, the contexts in which the increase occurs should differ. In this paper, we tested the effect of social environment on egg-laying and aggressive behavior in the walnut fly, Rhagoletis juglandis, in multiple contexts to determine whether increased resource acceptance in the presence of conspecifics was better viewed as a response to increased host quality or increased competition. We found that grouped females oviposit more readily than isolated females when provided small (low-quality) artificial hosts but not when provided large (high-quality) artificial hosts, indicating that conspecific presence reduces choosiness. Increased resource acceptance was observed even when exposure to conspecifics was temporally or spatially separate from exposure to the resource. Finally, we found that individuals showed reduced aggression after being housed in groups, as expected under high levels of scramble competition. These results indicate that the pattern of resource acceptance in the presence of conspecifics may be better viewed as a response to increased scramble competition rather than as a response to public information about resource quality. PMID:22479135

  15. Resource quality or competition: why increase resource acceptance in the presence of conspecifics?

    PubMed

    Davis, Jeremy M; Nufio, César R; Papaj, Daniel R

    2011-07-01

    Some animal species increase resource acceptance rates in the presence of conspecifics. Such responses may be adaptive if the presence of conspecifics is a reliable indicator of resource quality. Similarly, these responses could represent an adaptive reduction in choosiness under high levels of scramble competition. Although high resource quality and high levels of scramble competition should both favor increased resource acceptance, the contexts in which the increase occurs should differ. In this paper, we tested the effect of social environment on egg-laying and aggressive behavior in the walnut fly, Rhagoletis juglandis, in multiple contexts to determine whether increased resource acceptance in the presence of conspecifics was better viewed as a response to increased host quality or increased competition. We found that grouped females oviposit more readily than isolated females when provided small (low-quality) artificial hosts but not when provided large (high-quality) artificial hosts, indicating that conspecific presence reduces choosiness. Increased resource acceptance was observed even when exposure to conspecifics was temporally or spatially separate from exposure to the resource. Finally, we found that individuals showed reduced aggression after being housed in groups, as expected under high levels of scramble competition. These results indicate that the pattern of resource acceptance in the presence of conspecifics may be better viewed as a response to increased scramble competition rather than as a response to public information about resource quality.

  16. Health Effects of Ambient Air Pollution in Developing Countries.

    PubMed

    Mannucci, Pier Mannuccio; Franchini, Massimo

    2017-09-12

    The deleterious effects of ambient air pollution on human health have been consistently documented by many epidemiologic studies worldwide, and it has been calculated that globally at least seven million deaths are annually attributable to the effects of air pollution. The major air pollutants emitted into the atmosphere by a number of natural processes and human activities include nitrogen oxides, volatile organic compounds, and particulate matter. In addition to the poor ambient air quality, there is increasing evidence that indoor air pollution also poses a serious threat to human health, especially in low-income countries that still use biomass fuels as an energy resource. This review summarizes the current knowledge on ambient air pollution in financially deprived populations.

  17. Is human fecundity changing? A discussion of research and ...

    EPA Pesticide Factsheets

    Fecundity, the biologic capacity to reproduce, is essential for the health of individuals and is, therefore, fundamental for understanding human health at the population level. Given the absence of a population (bio)marker, fecundity is assessed indirectly by various individual­ based (e.g. semen quality, ovulation) or couple-based (e.g. time-to-pregnancy) endpoints. Population monitoring of fecundity is challenging, and often defaults to relying on rates of births (fertility) or adverse outcomes such as genitourinary malformations and reproductive site cancers . In light of reported declines in semen quality and fertility rates in some global regions among other changes, the question as to whether human fecundity is changing needs investigation. We review existing data and novel methodological approaches aimed at answering this question from a transdisciplinary perspective. The existing literature is insufficient for answering this question; we provide an overview of currently available resources and novel methods suitable for delineating temporal patterns in human fecundity in future research. This paper is a result of a workshop conducted by the National Institutes of Health on September 20-21, 2015. The paper poses five questions relevant to the topic of "Is human fecundity changing?".

  18. Is human fecundity changing? A discussion of research and data gaps precluding us from having an answer.

    PubMed

    Smarr, Melissa M; Sapra, Katherine J; Gemmill, Alison; Kahn, Linda G; Wise, Lauren A; Lynch, Courtney D; Factor-Litvak, Pam; Mumford, Sunni L; Skakkebaek, Niels E; Slama, Rémy; Lobdell, Danelle T; Stanford, Joseph B; Jensen, Tina Kold; Boyle, Elizabeth Heger; Eisenberg, Michael L; Turek, Paul J; Sundaram, Rajeshwari; Thoma, Marie E; Buck Louis, Germaine M

    2017-03-01

    Fecundity, the biologic capacity to reproduce, is essential for the health of individuals and is, therefore, fundamental for understanding human health at the population level. Given the absence of a population (bio)marker, fecundity is assessed indirectly by various individual-based (e.g. semen quality, ovulation) or couple-based (e.g. time-to-pregnancy) endpoints. Population monitoring of fecundity is challenging, and often defaults to relying on rates of births (fertility) or adverse outcomes such as genitourinary malformations and reproductive site cancers. In light of reported declines in semen quality and fertility rates in some global regions among other changes, the question as to whether human fecundity is changing needs investigation. We review existing data and novel methodological approaches aimed at answering this question from a transdisciplinary perspective. The existing literature is insufficient for answering this question; we provide an overview of currently available resources and novel methods suitable for delineating temporal patterns in human fecundity in future research. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  19. W(h)ither the Oracle? Cognitive biases and other human challenges of integrated environmental modeling

    USGS Publications Warehouse

    Glynn, Pierre D.; Ames, D.P.; Quinn, N. W. T.; Rizzoli, A.E.

    2014-01-01

    Integrated environmental modeling (IEM) can organize and increase our knowledge of the complex, dynamic ecosystems that house our natural resources and control the quality of our environments. Human behavior, however, must be taken into account. Human biases/heuristics reflect adaptation over our evolutionary past to frequently experienced situations that affected our survival and that provided sharply distinguished feedbacks at the level of the individual. Unfortunately, human behavior is not adapted to the more diffusely experienced, less frequently encountered, problems and issues that IEM typically seeks to address in the simulation of natural resources and environments. While seeking inspiration from the prophetic traditions of the Oracle of Delphi, several human biases are identified that may affect how the science base of IEM is assembled, and how IEM results are interpreted and used. These biases are supported by personal observations, and by the findings of behavioral scientists. A process for critical analysis is proposed that solicits explicit accounting and cognizance of potential human biases. A number of suggestions are made to address the human challenges of IEM, in addition to maintaining attitudes of watchful humility, open-mindedness, honesty, and transparent accountability. These include creating a new area of study in the behavioral biogeosciences, using structured processes for engaging the modeling and stakeholder community in IEM, and using “red teams” to increase resilience of IEM constructs and use.

  20. Healthcare Resource Availability, Quality of Care, and Acute Ischemic Stroke Outcomes.

    PubMed

    O'Brien, Emily C; Wu, Jingjing; Zhao, Xin; Schulte, Phillip J; Fonarow, Gregg C; Hernandez, Adrian F; Schwamm, Lee H; Peterson, Eric D; Bhatt, Deepak L; Smith, Eric E

    2017-02-03

    Healthcare resources vary geographically, but associations between hospital-based resources and acute stroke quality and outcomes remain unclear. Using Get With The Guidelines-Stroke and Dartmouth Atlas of Health Care data, we examined associations between healthcare resource availability, stroke care, and outcomes. We categorized hospital referral regions with high-, medium-, or low-resource levels based on the 2006 national per-capita availability median of 6 relevant acute stroke care resources. Using multivariable logistic regression, we examined healthcare resource level and in-hospital quality and outcomes. Of 1 480 308 admitted ischemic stroke patients (2006-2013), 28.8% were hospitalized in low-, 44.4% in medium-, and 26.9% in high-resource hospital referral regions. Quality-of-care/timeliness metrics, adjusted length of stay, and in-hospital mortality were similar across all resource levels. Significant variation exists in regional availability of healthcare resources for acute ischemic stroke treatment, yet among Get With the Guidelines-Stroke hospitals, quality of care and in-hospital outcomes did not differ by regional resource availability. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

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