Educational Reform Implementation: A Co-Constructed Process. Research Report 5.

ERIC Educational Resources Information Center

Datnow, Amanda; Hubbard, Lea; Mehan, Hugh

This research report argues for viewing the complex, often messy process of school reform implementation as a "conditional matrix" coupled with qualitative research. As illustration, two studies (of six reform efforts in one county and of implementation of an untracking program in Kentucky) are reported. Preliminary analysis reveals that…

European Education Reform and Its Impact on Curriculum and Admissions: Implications of the Bologna Process on United States Education

ERIC Educational Resources Information Center

Roper, Steven D.

2007-01-01

This article explores the European-wide educational reform known as the Bologna Process in order to provide an understanding of the methodology that will be used by European countries to assess course credit hours as well as degree programs. The Bologna Process is culmination of years of educational reform within the European Union (EU) and more…

Reformer Fuel Injector

NASA Technical Reports Server (NTRS)

Suder, Jennifer L.

2004-01-01

Today's form of jet engine power comes from what is called a gas turbine engine. This engine is on average 14% efficient and emits great quantities of green house gas carbon dioxide and air pollutants, Le. nitrogen oxides and sulfur oxides. The alternate method being researched involves a reformer and a solid oxide fuel cell (SOFC). Reformers are becoming a popular area of research within the industry scale. NASA Glenn Research Center's approach is based on modifying the large aspects of industry reforming processes into a smaller jet fuel reformer. This process must not only be scaled down in size, but also decrease in weight and increase in efficiency. In comparison to today's method, the Jet A fuel reformer will be more efficient as well as reduce the amount of air pollutants discharged. The intent is to develop a 10kW process that can be used to satisfy the needs of commercial jet engines. Presently, commercial jets use Jet-A fuel, which is a kerosene based hydrocarbon fuel. Hydrocarbon fuels cannot be directly fed into a SOFC for the reason that the high temperature causes it to decompose into solid carbon and Hz. A reforming process converts fuel into hydrogen and supplies it to a fuel cell for power, as well as eliminating sulfur compounds. The SOFC produces electricity by converting H2 and CO2. The reformer contains a catalyst which is used to speed up the reaction rate and overall conversion. An outside company will perform a catalyst screening with our baseline Jet-A fuel to determine the most durable catalyst for this application. Our project team is focusing on the overall research of the reforming process. Eventually we will do a component evaluation on the different reformer designs and catalysts. The current status of the project is the completion of buildup in the test rig and check outs on all equipment and electronic signals to our data system. The objective is to test various reformer designs and catalysts in our test rig to determine the most efficient configuration to incorporate into the specific compact jet he1 reformer test rig. Additional information is included in the original extended abstract.

Healthcare reform: the role of coordinated critical care.

PubMed

Cerra, F B

1993-03-01

To evaluate and editorialize the evolving role of the discipline of critical care as a healthcare delivery system in the process of healthcare reform. The sources included material from the Federal Office of Management and Budget, Health Care Financing Review, President Bush's Office, Association of American Medical Colleges, and publications of the Society of Critical Care Medicine. Data were selected that the author felt was relevant to the healthcare reform process and its implications for the discipline of critical care. The data were extracted by the author to illustrate the forces behind healthcare reform, the implications for the practice of critical care, and role of critical care as a coordinated (managed) care system in the process of healthcare reform. Healthcare reform has been initiated because of a number of considerations that arise in evaluating the current healthcare delivery system: access, financing, cost, dissatisfactions with the mechanisms of delivery, and political issues. The reform process will occur with or without the involvement of critical care practitioners. Reforms may greatly alter the delivery of critical care services, education, training, and research in critical care. Critical care has evolved into a healthcare delivery system that provides services to patients who need and request them and provides these services in a coordinated (managed) care model. Critical care practitioners must become involved in the healthcare reform process, and critical care services that are effective must be preserved, as must the education, training, and research programs. Critical care as a healthcare delivery system utilizing a coordinated (managed) care model has the potential to provide services to all patients who need them and to deliver them in a manner that is cost effective and recognized as providing added value.

The Bologna Process in Italy

ERIC Educational Resources Information Center

Ballarino, Gabriele; Perotti, Loris

2012-01-01

Italy was among the promoters of the Bologna Process and the early adopters of the reform. If one looks at its impact on the formal structure of curricula and study programmes, the reform undertaken under the Bologna banner seems to have been one of the major educational reforms ever achieved in Italy. This article describes how the Bologna…

Flawed Implementation or Inconsistent Logics? Lessons from Higher Education Reform in Ukraine

ERIC Educational Resources Information Center

Shaw, Marta A.

2013-01-01

This article investigates two competing explanations of why reforms associated with the Bologna process brought disappointing results in Ukraine. The lack of anticipated benefits from the reforms may stem either from a flawed implementation of the Bologna process, or from more fundamental differences between the models of higher education…

Becoming Good American Schools: The Struggle for Civic Virtue in Education Reform. The Jossey-Bass Education Series.

ERIC Educational Resources Information Center

Oakes, Jeannie; Quartz, Karen Hunter; Ryan, Steve; Lipton, Martin

Education reform based on technical and rational processes often short-circuits reform because it is uncontentious, abstract, and provides educators with no legitimate ways to question the marketplace values and policies that drive much contemporary school reform. The perspective referred to as "betterment" is an alternative reform that…

International Perspectives on Education and Society. Volume 4, Educational Reform in International Perspective.

ERIC Educational Resources Information Center

Rust, Val D., Ed.; Yogev, Abraham, Ed.

National educational reform must be interpreted from a broader sociopolitical vantage point. Following the introduction, "The Change Process and Educational Reform" by Val D. Rust, the four papers in part 1 are devoted primarily to conceptual issues related to educational reform. They include: (1) "Problems of Educational Reforms in a Changing…

Reforming Victoria's primary health and community service sector: rural implications.

PubMed

Alford, K

2000-01-01

In 1999 the Victorian primary care and community support system began a process of substantial reform, involving purchasing reforms and a contested selection process between providers in large catchment areas across the State. The Liberal Government's electoral defeat in September 1999 led to a review of these reforms. This paper questions the reforms from a rural perspective. They were based on a generic template that did not consider rural-urban differences in health needs or other differences including socio-economic status, and may have reinforced if not aggravated rural-urban differences in the quality of and access to primary health care in Victoria.

General Education Reform: Opportunities for Institutional Alignment

ERIC Educational Resources Information Center

Fuess, Scott M., Jr.; Mitchell, Nancy D.

2011-01-01

General education reform provides strategic opportunities for departments. This article analyzes reform at the University of Nebraska-Lincoln, illustrating how departments could use the reform process to clarify their strategic planning, align with institutional goals, and steer the university closer to departmental objectives. (Contains 1 table.)

Reforming process

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

Mitsche, R.T.; Pope, G.N.

A process for reforming a naphtha feedstock is disclosed. The reforming process is effected at reforming conditions in contact with a catalyst comprising a platinum group metal component and a group iv-a metal component composited with an alumina support wherein said support is prepared by admixing an alpha alumina monohydrate with an aqueous ammoniacal solution having a ph of at least about 7.5 to form a stable suspension. A salt of a strong acid, e.g., aluminum nitrate, is commingled with the suspension to form an extrudable paste or dough. On extrusion, the extrudate is dried and calcined to form saidmore » alumina support.« less

Re-forming supercritical quasi-parallel shocks. I - One- and two-dimensional simulations

NASA Technical Reports Server (NTRS)

Thomas, V. A.; Winske, D.; Omidi, N.

1990-01-01

The process of reforming supercritical quasi-parallel shocks is investigated using one-dimensional and two-dimensional hybrid (particle ion, massless fluid electron) simulations both of shocks and of simpler two-stream interactions. It is found that the supercritical quasi-parallel shock is not steady. Instread of a well-defined shock ramp between upstream and downstream states that remains at a fixed position in the flow, the ramp periodically steepens, broadens, and then reforms upstream of its former position. It is concluded that the wave generation process is localized at the shock ramp and that the reformation process proceeds in the absence of upstream perturbations intersecting the shock.

The conversion of anaerobic digestion waste into biofuels via a novel Thermo-Catalytic Reforming process.

PubMed

Neumann, Johannes; Meyer, Johannes; Ouadi, Miloud; Apfelbacher, Andreas; Binder, Samir; Hornung, Andreas

2016-01-01

Producing energy from biomass and other organic waste residues is essential for sustainable development. Fraunhofer UMSICHT has developed a novel reactor which introduces the Thermo-Catalytic Reforming (TCR®) process. The TCR® is a process which can convert any type of biomass and organic feedstocks into a variety of energy products (char, bio-oil and permanent gases). The aim of this work was to demonstrate this technology using digestate as the feedstock and to quantify the results from the post reforming step. The temperature of a post reformer was varied to achieve optimised fuel products. The hydrogen rich permanent gases produced were maximised at a post reforming temperature of 1023 K. The highly de-oxygenated liquid bio-oil produced contained a calorific value of 35.2 MJ/kg, with significantly improved fuel physical properties, low viscosity and acid number. Overall digestate showed a high potential as feedstock in the Thermo-Catalytic Reforming to produce pyrolysis fuel products of superior quality. Copyright © 2015 Elsevier Ltd. All rights reserved.

Taking Stock of Gender Reform Policies for Australian Schools: Past, Present and Future.

ERIC Educational Resources Information Center

Kenway, Jane

1997-01-01

Narrates 20 years of gender reform in Australian schools, including boys' education. Discusses the practices and processes of schools' gender reform work, indicating strengths and limitations. Identifies current contexts of gender reform, including the fields of educational policy and politics. Mentions larger cultural shifts affecting gender…

Needed: A New Kind of Teacher.

ERIC Educational Resources Information Center

Wilson, Elizabeth C.

This essay discusses the need for reform of American public school education as part of a general process of social reform. The author argues that the old image of the school as a "factory" in which the student is regarded as a product to be processed must be reformed so that the school really does provide a quality education for all. The reform…

Assessment and Educational Reform: Doing More than Polishing Brass on the Titanic, a Call for Discussion.

ERIC Educational Resources Information Center

Jackman, Andrew

This exploration of evaluation strategies for systemic educational reform considers whether there is a way to design an assessment and delivery system that can accomplish the goals of the total educational process. A basic question that must be addressed in systemic reform is the role of education in the socialization processes of society. Beyond…

[Health care reform in the Obama administration: difficulties of reaching a similar agreement in Argentina].

PubMed

Belmartino, Susana

2014-04-01

This article presents a comparative analysis of the processes leading to health care reform in Argentina and in the USA. The core of the analysis centers on the ideological references utilized by advocates of the reform and the decision-making processes that support or undercut such proposals. The analysis begins with a historical summary of the issue in each country. The political process that led to the sanction of the Obama reform is then described. The text defends a hypothesis aiming to show that deficiencies in the institutional capacities of Argentina's decision-making bodies are a severe obstacle to attaining substantial changes in this area within the country.

The politics of local hospital reform: a case study of hospital reorganization following the 2002 Norwegian hospital reform.

PubMed

Tjerbo, Trond

2009-11-20

The Norwegian hospital reform of 2002 was an attempt to make restructuring of hospitals easier by removing politicians from the decision-making processes. To facilitate changes seen as necessary but politically difficult, the central state took over ownership of the hospitals and stripped the county politicians of what had been their main responsibility for decades. This meant that decisions regarding hospital structure and organization were now being taken by professional administrators and not by politically elected representatives. The question raised here is whether this has had any effect on the speed of restructuring of the hospital sector. The empirical part is a case study of the restructuring process in Innlandet Hospital Trust (IHT), which was one of the largest enterprise established after the hospital reform and where the vision for restructuring was clearly set. Different sources of qualitative data are used in the analysis. These include interviews with key actors, observational data and document studies. The analysis demonstrates how the new professional leaders at first acted in accordance with the intentions of the hospital reform, but soon chose to avoid the more ambitious plans for restructuring the hospital structure and in fact reintroduced local politics into the decision-making process. The analysis further illustrates how local networks and engagement of political representatives from all levels of government complicated the decision-making process surrounding local structural reforms. Local political representatives teamed up with other actors and created powerful networks. At the same time, national politicians had incentives to involve themselves in the processes as supporters of the status quo. Because of the incentives that faced political actors and the controversial nature of major hospital reforms, the removal of local politicians and the centralization of ownership did not necessarily facilitate reforms in the hospital structure. Keeping politics at an arm's length may simply be unrealistic and further complicate the politics of local hospital reforms.

The politics of local hospital reform: a case study of hospital reorganization following the 2002 Norwegian hospital reform

PubMed Central

2009-01-01

Background The Norwegian hospital reform of 2002 was an attempt to make restructuring of hospitals easier by removing politicians from the decision-making processes. To facilitate changes seen as necessary but politically difficult, the central state took over ownership of the hospitals and stripped the county politicians of what had been their main responsibility for decades. This meant that decisions regarding hospital structure and organization were now being taken by professional administrators and not by politically elected representatives. The question raised here is whether this has had any effect on the speed of restructuring of the hospital sector. Method The empirical part is a case study of the restructuring process in Innlandet Hospital Trust (IHT), which was one of the largest enterprise established after the hospital reform and where the vision for restructuring was clearly set. Different sources of qualitative data are used in the analysis. These include interviews with key actors, observational data and document studies. Results The analysis demonstrates how the new professional leaders at first acted in accordance with the intentions of the hospital reform, but soon chose to avoid the more ambitious plans for restructuring the hospital structure and in fact reintroduced local politics into the decision-making process. The analysis further illustrates how local networks and engagement of political representatives from all levels of government complicated the decision-making process surrounding local structural reforms. Local political representatives teamed up with other actors and created powerful networks. At the same time, national politicians had incentives to involve themselves in the processes as supporters of the status quo. Conclusion Because of the incentives that faced political actors and the controversial nature of major hospital reforms, the removal of local politicians and the centralization of ownership did not necessarily facilitate reforms in the hospital structure. Keeping politics at an arm's length may simply be unrealistic and further complicate the politics of local hospital reforms. PMID:19930553

Power and process: The politics of electricity sector reform in Uganda

NASA Astrophysics Data System (ADS)

Gore, Christopher David

In 2007, Uganda had one of the lowest levels of access to electricity in the world. Given the influence of multilateral and bilateral agencies in Uganda; the strong international reputation and domestic influence of its President; the country's historic achievements in public sector and economic reform; and the intimate connection between economic performance, social well-being and access to electricity, the problems with Uganda's electricity sector have proven deeply frustrating and, indeed, puzzling. Following increased scholarly attention to the relationship between political change, policymaking, and public sector reform in sub-Saharan Africa and the developing world generally, this thesis examines the multilevel politics of Uganda's electricity sector reform process. This study contends that explanations for Uganda's electricity sector reform problems generally, and hydroelectric dam construction efforts specifically, must move beyond technical and financial factors. Problems in this sector have also been the result of a model of reform (promoted by the World Bank) that failed adequately to account for the character of political change. Indeed, the model of reform that was promoted and implemented was risky and it was deeply antagonistic to domestic and international civil society organizations. In addition, it was presented as a linear, technical, apolitical exercise. Finally the model was inconsistent with key principles the Bank itself, and public policy literature generally, suggest are needed for success. Based on this analysis, the thesis contends that policymaking and reform must be understood as deeply political processes, which not only define access to services, but also participation in, and exclusion from, national debates. Future approaches to reform and policymaking must anticipate the complex, multilevel, non-linear character of 'second-generation' policy issues like electricity, and the political and institutional capacity needed to increase the potential for success. At the heart of this approach is a need to carefully consider how the character of state-society relations in the country---"governance"---will influence reform processes and outcomes.

Understanding University Reform in Japan through the Prism of the Social Sciences

ERIC Educational Resources Information Center

Goodman, Roger

2008-01-01

This article looks at current university reforms in Japan through two slightly different social science prisms: how social science methodologies and theories can help us understand those reforms better and how social science teaching in universities will be affected by the current reform processes. (Contains 3 tables and 7 notes.)

Global Citizenship and National (Re)formations: Analysis of Citizenship Education Reform in Spain

ERIC Educational Resources Information Center

Engel, Laura C.

2014-01-01

In recent years, many European education systems have embarked on a process of education policy and curriculum reform related to citizenship education. This article explores citizenship education reform in the context of Spain. It considers how and to what extent Spain's 2006 citizenship education addressed issues of national and global…

Understanding Educational Reform in Global Context: Economy, Ideology, and the State.

ERIC Educational Resources Information Center

Ginsburg, Mark B., Ed.

This book presents a set of national case studies on educational reform of higher education that views reform as processes of ideological and social struggles. The titles and authors are as follows: "Educational Reform: Social Struggles, the State and the World Economic System" (Mark B. Ginsburg, et al.); "Restructuring Education…

Instructional Leadership in Indonesian School Reform: Overcoming the Problems to Move Forward

ERIC Educational Resources Information Center

Sofo, Francesco; Fitzgerald, Robert; Jawas, Umiati

2012-01-01

The paper reviews the research on instructional leadership and, through identifying problems emerging in Indonesian school reform, suggests some sustainable solutions. There are some discrepancies in the processes of Indonesia's school reform, and the objectives of the national education reform do not seem to have been reflected in the actual…

DATA QUALITY OBJECTIVES FOR SELECTING WASTE SAMPLES FOR THE BENCH STEAM REFORMER TEST

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

BANNING DL

2010-08-03

This document describes the data quality objectives to select archived samples located at the 222-S Laboratory for Fluid Bed Steam Reformer testing. The type, quantity and quality of the data required to select the samples for Fluid Bed Steam Reformer testing are discussed. In order to maximize the efficiency and minimize the time to treat Hanford tank waste in the Waste Treatment and Immobilization Plant, additional treatment processes may be required. One of the potential treatment processes is the fluid bed steam reformer (FBSR). A determination of the adequacy of the FBSR process to treat Hanford tank waste is required.more » The initial step in determining the adequacy of the FBSR process is to select archived waste samples from the 222-S Laboratory that will be used to test the FBSR process. Analyses of the selected samples will be required to confirm the samples meet the testing criteria.« less

A Comparative History of Department of Defense Management Reform from 1947 to 2005

DTIC Science & Technology

2006-12-01

type of management reform agenda to improve the Department of Defense business processes and incorporate recent management ideas from the business ...introduce some type of management reform agenda to improve the Department of Defense business processes and incorporate recent management ideas...Steering Group BMMP Business Management Modernization Plan BRAC Base Realignment and Closure C3I Command, Control, Communications, and Intelligence

Tri-reforming and combined reforming of methane for producing syngas with desired hydrogen/carbon monoxide ratios

NASA Astrophysics Data System (ADS)

Pan, Wei

This dissertation is an exploratory study of a new process concept for direct production of synthesis gas (CO + H2) with desired H 2/CO ratios (1.5--2.0) for methanol synthesis and F-T synthesis, using CO2 together with steam and unconverted O2 in flue gas from fossil fuel-fired electric power plants to react with methane or natural gas. This new process is called tri-reforming, referring to simultaneous CO2-steam-O2 reforming of methane or natural gas. This study included (1) The investigation of carbon formation in the tri-reforming process. For comparison, carbon formation in the combined reforming and CO2 reforming reaction was studied as well. (2) The effect of reaction conditions and feed compositions on equilibrium composition (e.g. H2/CO ratio) and equilibrium conversions in the tri-reforming process. (3) The role of catalysts in the tri-reforming process, especially the effect of catalysts on CO2 conversion in the presence of H 2O and O2. It was clearly evidenced from this study that CO in the product stream is probably the major source of carbon over Ni/Al2O3 in the equimolar CO2-CH4 reforming at 650°C and 1 atm. Addition of either O2 or H2O into the CO 2 reforming reaction system can suppress carbon formation. It was demonstrated that carbon-free operation can be achieved in the tri-reforming process. A thermodynamic comparison of tri-reforming with feed compositions of (H2O+CO2+0.5O2)/CH4 (mol ratio) = 1 showed that O2 improves equilibrium CH4 conversion, yet greatly decreases equilibrium CO2 conversion. H2O in tri-reforming has a significant effect on the H2/CO ratio in the products, while O2 has a minor effect. A kinetic study and catalytic performance tests indicated that the support in a supported catalyst has a significant role in enhancing CO2 conversion to CO in the presence of H2O and O2 in tri-reforming. The Ni/MgO catalyst showed superior performance with close to equilibrium CH4 and CO2 conversions at 850°C, 1 atm, and 32,000 ml/(h.gcat.). The apparent Activation energy for CH4 conversion over Ni/MgO was estimated to be 219 kJ/mol, which is higher than over Ni/Al2O 3 (69.1 kJ/mol) and Ni/MgO/CeZrO (67.4 kJ/mol). This may be attributed to less CH4 activation over Ni/MgO or to an experimental artifact caused by catalyst deactivation as reaction temperature decreases from 850°C to 750°C. With the decrease of temperature, Ni may be re-oxidized and form NiO-MgO solid solution in the presence of H2O, CO2, or O2. (Abstract shortened by UMI.)

Bringing electricity reform to the Philippines

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

Fe Villamejor-Mendoza, Maria

2008-12-15

Electricity reforms will not translate to competition overnight. But reforms are inching their way forward in institutions and stakeholders of the Philippine electricity industry, through regulatory and competition frameworks, processes, and systems promulgated and implemented. (author)

Non-catalytic recuperative reformer

DOEpatents

Khinkis, Mark J.; Kozlov, Aleksandr P.; Kurek, Harry

2015-12-22

A non-catalytic recuperative reformer has a flue gas flow path for conducting hot flue gas from a thermal process and a reforming mixture flow path for conducting a reforming mixture. At least a portion of the reforming mixture flow path is embedded in the flue gas flow path to permit heat transfer from the hot flue gas to the reforming mixture. The reforming mixture flow path contains substantially no material commonly used as a catalyst for reforming hydrocarbon fuel (e.g., nickel oxide, platinum group elements or rhenium), but instead the reforming mixture is reformed into a higher calorific fuel via reactions due to the heat transfer and residence time. In a preferred embodiment, extended surfaces of metal material such as stainless steel or metal alloy that are high in nickel content are included within at least a portion of the reforming mixture flow path.

SIMULATION OF ECOLOGICALLY CONSCIOUS CHEMICAL PROCESSES: FUGITIVE EMISSIONS VERSUS OPERATING CONDITIONS

EPA Science Inventory

Catalytic reforming is an important refinery process for the conversion of low-octane naphtha (mostly paraffins) into high-octane motor fuels (isoparaffins, naphthenes and aromatics), light gases and hydrogen. In this study the catalytic reforming process is analyzed under differ...

System and process for producing fuel with a methane thermochemical cycle

DOEpatents

Diver, Richard B.

2015-12-15

A thermochemical process and system for producing fuel are provided. The thermochemical process includes reducing an oxygenated-hydrocarbon to form an alkane and using the alkane in a reforming reaction as a reducing agent for water, a reducing agent for carbon dioxide, or a combination thereof. Another thermochemical process includes reducing a metal oxide to form a reduced metal oxide, reducing an oxygenated-hydrocarbon with the reduced metal oxide to form an alkane, and using the alkane in a reforming reaction as a reducing agent for water, a reducing agent for carbon dioxide, or a combination thereof. The system includes a reformer configured to perform a thermochemical process.

Abortion law reforms in Colombia and Nicaragua: issue networks and opportunity contexts.

PubMed

Reuterswärd, Camilla; Zetterberg, Pär; Thapar-Björkert, Suruchi; Molyneux, Maxine

2011-01-01

This article analyses two instances of abortion law reform in Latin America. In 2006, after a decades-long impasse, the highly controversial issue of abortion came to dominate the political agenda when Colombia liberalized its abortion law and Nicaragua adopted a total ban on abortion. The article analyses the central actors in the reform processes, their strategies and the opportunity contexts. Drawing on Htun's (2003) framework, it examines why these processes concluded with opposing legislative outcomes. The authors argue for the need to understand the state as a non-unitary site of politics and policy, and for judicial processes to be seen as a key variable in facilitating gender policy reforms in Latin America. In addition, they argue that ‘windows of opportunity’ such as the timing of elections can be critically important in legislative change processes.

Reforming Schools: A Case Study of New Basics in a Primary School

ERIC Educational Resources Information Center

Jorgensen, Robyn; Walsh, Lynne; Niesche, Richard

2009-01-01

Reforming schools is a challenging aspect of contemporary education. The role of leadership within reform agendas is critical. This article presents a case study of one school that has been highly successful in the implementation of this reform. The processes employed by the school at various levels demonstrate the ways in which effective…

Intelligence Reform: A Question of Balance (Walker Paper, Number 5)

DTIC Science & Technology

2006-08-01

process and provided recommenda- tions for reform. The total number of these studies ranges from...Reorganization Act of 1986 as a model for reform of the IC.1 At least two thought processes appear to account for this. On the one hand, some re- formers...Criticism of the military aspects of the operation found areas for improvement, including evidence of service parochialism in the choice of

Misconceptions and Integration.

PubMed

Mortaz Hejri, Sara; Mirzazadeh, Azim; Jalili, Mohammad

2015-10-01

Pervasive beliefs regarding curricular reform and integration have flourished among medical students, faculty members and medical school administrators. These concepts have extensively impacted the reform process, sometimes by resisting the reforms and sometimes by diverting the curriculum from its planned objectives. In the current paper, we have tried to address the challenges of integration in MD program by looking at the existing literature and the experience of the international universities. We collected the questions frequently asked during the curricular reform process. We, then, evaluated them, and selected 5 main ideas. In order to find their answers, we searched the literature using these keywords: integration, reform, and undergraduate medical curriculum. The findings are discussed in five sections: 1) Reform is not equivalent to integration, 2) Integration can be implemented in both high school and graduate programs, 3) Organ-system based integration is not the only method available for integration, 4) Integration of two phases (basic sciences and physiopathology) can be considered but it is not mandatory, 5) Integration does not fade basic sciences in favor of clinical courses. It seems that medical education literature and prior experience of the leading universities do not support most of the usual concepts about integration. Therefore, it is important to consider informed decision making based on best evidence rather than personal opinions during the curricular reform process.

Reforming options for hydrogen production from fossil fuels for PEM fuel cells

NASA Astrophysics Data System (ADS)

Ersoz, Atilla; Olgun, Hayati; Ozdogan, Sibel

PEM fuel cell systems are considered as a sustainable option for the future transport sector in the future. There is great interest in converting current hydrocarbon based transportation fuels into hydrogen rich gases acceptable by PEM fuel cells on-board of vehicles. In this paper, we compare the results of our simulation studies for 100 kW PEM fuel cell systems utilizing three different major reforming technologies, namely steam reforming (SREF), partial oxidation (POX) and autothermal reforming (ATR). Natural gas, gasoline and diesel are the selected hydrocarbon fuels. It is desired to investigate the effect of the selected fuel reforming options on the overall fuel cell system efficiency, which depends on the fuel processing, PEM fuel cell and auxiliary system efficiencies. The Aspen-HYSYS 3.1 code has been used for simulation purposes. Process parameters of fuel preparation steps have been determined considering the limitations set by the catalysts and hydrocarbons involved. Results indicate that fuel properties, fuel processing system and its operation parameters, and PEM fuel cell characteristics all affect the overall system efficiencies. Steam reforming appears as the most efficient fuel preparation option for all investigated fuels. Natural gas with steam reforming shows the highest fuel cell system efficiency. Good heat integration within the fuel cell system is absolutely necessary to achieve acceptable overall system efficiencies.

Catalyst evaluation for high-purity H2 production by sorption-enhanced steam-methane reforming coupled to a Ca/Cu process

NASA Astrophysics Data System (ADS)

Navarro, M. V.; López, J. M.; García, T.; Grasa, G.; Murillo, R.

2017-09-01

The operational limits of a commercial nickel-based catalyst under the conditions of a sorption-enhanced steam-methane reforming process coupled to a Ca/Cu chemical loop are investigated for high-purity H2 production in a cyclic operation. The performance of the reforming catalyst is tested by means of a high number of oxidation-reduction-reforming cycles. After 100 oxidation-reduction cycles, this catalyst retains its exceptional reforming activity. The methane conversion values are close to the thermodynamic equilibrium under very demanding conditions: temperature between 500 °C - 700 °C and mass hourly space velocity of 8.8 kgCH4 h-1 kgcat-1. After 200 cycles, the sample shows reduction in its reforming activity in line with a lower dispersion of the Ni species. Sintering of Ni nanocrystals is evidenced during the oxidation-reduction multi-cycles. The performance of the catalyst after 200 oxidation-reduction cycles mixed with a CaO-based CO2 sorbent is studied under optimal conditions calculated for the sorption-enhanced reforming process coupled to a Ca/Cu cycle (temperature of 650 °C, steam/methane ratio of 4, sorbent/catalyst ratio of 4 and space velocity of 0.75 kgCH4 h-1 kgcat-1). Remarkably, an equilibrium value over 92 vol.% H2 concentration is achieved, highlighting this catalyst as a promising candidate for the next steps of the process development.

Impact of the 2011 ACGME resident duty hour reform on hospital patient experience and processes-of-care.

PubMed

Rajaram, Ravi; Saadat, Lily; Chung, Jeanette; Dahlke, Allison; Yang, Anthony D; Odell, David D; Bilimoria, Karl Y

2016-12-01

In 2011, the Accreditation Council for Graduate Medical Education (ACGME) expanded restrictions on resident duty hours. While studies have shown no association between these restrictions and improved outcomes, process-of-care and patient experience measures may be more sensitive to resident performance, and thus may be impacted by duty hour policies. The objective of this study was to evaluate the association between the 2011 resident duty hour reform and measures of processes-of-care and patient experience. Hospital Consumer Assessment of Healthcare Providers and Systems survey data and process-of-care scores were obtained from the Centers for Medicare and Medicaid Services Hospital Compare website for 1 year prior to (1 July 2010 to 30 June 2011) and 1 year after (1 July 2011 to 30 June 2012) duty hour reform implementation. Using a difference-in-differences model, non-teaching and teaching hospitals were compared before and after the 2011 reform to test the association of this policy with changes in process-of-care and patient experience measure scores. Duty hour reform was not associated with a change in the five patient experience measures evaluated, including patients rating a hospital 9 or 10 (coefficient -0.003, 95% CI -0.79 to 0.79) or stating they would 'definitely recommend' a hospital (coefficient -0.28, 95% CI -1.01 to 0.44). For all 10 process-of-care measures examined, such as antibiotic timing (coefficient -0.462, 95% CI -1.502 to 0.579) and discontinuation (0.188, 95% CI -0.529 to 0.904), duty hour reform was not associated with a change in scores. The 2011 ACGME duty hour reform was not associated with improvements in process-of-care and patient experience measures. These data should be considered when considering reform of resident duty hour policies. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

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

Khinkis, Mark J.; Kozlov, Aleksandr P.

A radiant, non-catalytic recuperative reformer has a flue gas flow path for conducting hot exhaust gas from a thermal process and a reforming mixture flow path for conducting a reforming mixture. At least a portion of the reforming mixture flow path is positioned adjacent to the flue gas flow path to permit heat transfer from the hot exhaust gas to the reforming mixture. The reforming mixture flow path contains substantially no material commonly used as a catalyst for reforming hydrocarbon fuel (e.g., nickel oxide, platinum group elements or rhenium), but instead the reforming mixture is reformed into a higher calorificmore » fuel via reactions due to the heat transfer and residence time. In a preferred embodiment, a portion of the reforming mixture flow path is positioned outside of flue gas flow path for a relatively large residence time.« less

Cancer drug funding decisions in Scotland: impact of new end-of-life, orphan and ultra-orphan processes.

PubMed

Morrell, Liz; Wordsworth, Sarah; Fu, Howell; Rees, Sian; Barker, Richard

2017-08-30

The Scottish Medicines Consortium evaluates new drugs for use in the National Health Service in Scotland. Reforms in 2014 to their evaluation process aimed to increase patient access to new drugs for end-of-life or rare conditions; the changes include additional steps in the process to gain further information from patients and clinicians, and for revised commercial agreements. This study examines the extent of any impact of the reforms on funding decisions. Data on the Scottish Medicines Consortium's funding decisions during 24 months post-reform were extracted from published Advice, for descriptive statistics and thematic analysis. Comparison data were extracted for the 24 months pre-reform. Data on decisions for England by the National Institute for Clinical and Health Excellence for the same drugs were extracted from published Technology Appraisals. The new process was used by 90% (53/59) of cancer submissions. It is triggered if the initial advice is not to recommend, and this risk-of-rejection level is higher than in the pre-period. Thirty-eight cancer drugs obtained some level of funding through the new process, but there was no significant difference in the distribution of decision types compared to the pre-reform period. Thematic analysis of patient and clinician input showed no clear relationship between issues raised and funding decision. Differences between SMC's and NICE's definitions of End-of-Life did not fully explain differences in funding decisions. The Scottish Medicines Consortium's reforms have allowed funding of up to 38 cancer drugs that might previously have been rejected. However, the contribution of specific elements of the reforms to the final decision is unclear. The process could be improved by increased transparency in how the non-quantitative inputs influence decisions. Some disparities in funding decisions between England and Scotland are likely to remain despite recent process convergence.

Harmony and Disharmony in an Educational Reform Concert: Towards a Parsons' Inspired Dynamic Model of Tuning

ERIC Educational Resources Information Center

Carpay, Thérèse; Luttenberg, Johan; Veugelers, Wiel; Pieters, Jules

2013-01-01

In large-scale educational reforms, many actors play their roles. The diversity of contributions and lack of harmonization prove to be frequently found to cause educational reform failures. Many explanations for these failures focus on differences between the actors and on differences in their contributions to the reform process. In this article,…

The Adoption Features of Government Initiatives for the Curriculum Reform in Hong Kong Schools

ERIC Educational Resources Information Center

Wong, Ping-Man; Cheung, Alan

2015-01-01

This article is one of a series of papers generated from the Curriculum Reform study in Hong Kong with the purpose of understanding the impact of government's role in the change process of the reform. This paper specifically examines the 17 government initiatives in the Curriculum Reform in terms of their adoption percentages of schools from…

A Novel Study of Methane-Rich Gas Reforming to Syngas and Its Kinetics over Semicoke Catalyst

PubMed Central

Zhang, Guojie; Su, Aiting; Qu, Jiangwen; Du, Yannian

2014-01-01

A small-size gasification unit is improved through process optimization to simulate industrial United Gas Improvement Company gasification. It finds that the reaction temperature has important impacts on semicoke catalyzed methane gas mixture. The addition of water vapor can enhance the catalytic activity of reforming, which is due to the fact that addition of water vapor not only removes carbon deposit produced in the reforming and gasification reaction processes, but also participates in gasification reaction with semicoke to generate some active oxygen-containing functional groups. The active oxygen-containing functional groups provide active sites for carbon dioxide reforming of methane, promoting the reforming reaction. It also finds that the addition of different proportions of methane-rich gas can yield synthesis gas with different H2/CO ratio. The kinetics study shows that the semicoke can reduce the activation energy of the reforming reaction and promote the occurrence of the reforming reaction. The kinetics model of methane reforming under the conditions of steam gasification over semicoke is as follows: k-=5.02×103·pCH40.71·pH20.26·exp(−74200/RT). PMID:24959620

Advancing universal coverage of healthcare in China: translating political will into policy and practice.

PubMed

Tang, Shenglan; Brixi, Hana; Bekedam, Henk

2014-01-01

China launched its new health system reform plan in 2009 to advance its universal coverage of healthcare, after more than 4 years' consultations and discussions with various stakeholders including the public. This paper aims to introduce and discuss the context and process of China's current health system reform and analyse how political will in China has been translated into policy practice over the past decade. The paper also shares the insights of World Health Organization's contribution to China's health system reform, as the authors advised the Chinese government on the reform options and process. Furthermore, the paper describes and discusses key challenges in the implementation of the reform plan over the past 3 years and draws lessons for other countries. Copyright © 2013 John Wiley & Sons, Ltd.

Health Reform in Ceará: the process of decentralisation in the 1990s

PubMed Central

Medeiros, Regianne Leila Rolim; Atkinson, Sarah

2015-01-01

The objective of this article is to offer an overview of the health reform in Ceará focusing on the decentralisation process in the 1990s. The driving factor behind the Brazilian health reform movement was the necessity to reorganise the national health system and overcome inequalities. For the reformists, decentralisation, and together with it the idea of popular participation, is seen as essential to guarantee the fulfilment of the people’s needs and to incorporate their voice in the decision-making processes of the health system. In the state of Ceará, after the 1986 elections, health reform movement members took control over the management of the state Health Secretariat. This is the main cause of the acceleration of the decentralisation process with the transference of responsibility over the management of health care delivery to municipalities. PMID:25729333

A light hydrocarbon fuel processor producing high-purity hydrogen

NASA Astrophysics Data System (ADS)

Löffler, Daniel G.; Taylor, Kyle; Mason, Dylan

This paper discusses the design process and presents performance data for a dual fuel (natural gas and LPG) fuel processor for PEM fuel cells delivering between 2 and 8 kW electric power in stationary applications. The fuel processor resulted from a series of design compromises made to address different design constraints. First, the product quality was selected; then, the unit operations needed to achieve that product quality were chosen from the pool of available technologies. Next, the specific equipment needed for each unit operation was selected. Finally, the unit operations were thermally integrated to achieve high thermal efficiency. Early in the design process, it was decided that the fuel processor would deliver high-purity hydrogen. Hydrogen can be separated from other gases by pressure-driven processes based on either selective adsorption or permeation. The pressure requirement made steam reforming (SR) the preferred reforming technology because it does not require compression of combustion air; therefore, steam reforming is more efficient in a high-pressure fuel processor than alternative technologies like autothermal reforming (ATR) or partial oxidation (POX), where the combustion occurs at the pressure of the process stream. A low-temperature pre-reformer reactor is needed upstream of a steam reformer to suppress coke formation; yet, low temperatures facilitate the formation of metal sulfides that deactivate the catalyst. For this reason, a desulfurization unit is needed upstream of the pre-reformer. Hydrogen separation was implemented using a palladium alloy membrane. Packed beds were chosen for the pre-reformer and reformer reactors primarily because of their low cost, relatively simple operation and low maintenance. Commercial, off-the-shelf balance of plant (BOP) components (pumps, valves, and heat exchangers) were used to integrate the unit operations. The fuel processor delivers up to 100 slm hydrogen >99.9% pure with <1 ppm CO, <3 ppm CO 2. The thermal efficiency is better than 67% operating at full load. This fuel processor has been integrated with a 5-kW fuel cell producing electricity and hot water.

Examining the Role of Leadership in an Undergraduate Biology Institutional Reform Initiative

PubMed Central

Matz, Rebecca L.; Jardeleza, Sarah E.

2016-01-01

Undergraduate science, technology, engineering, and mathematics (STEM) education reform continues to be a national priority. We studied a reform process in undergraduate biology at a research-intensive university to explore what leadership issues arose in implementation of the initiative when characterized with a descriptive case study method. The data were drawn from transcripts of meetings that occurred over the first 2 years of the reform process. Two literature-based models of change were used as lenses through which to view the data. We find that easing the burden of an undergraduate education reform initiative on faculty through articulating clear outcomes, developing shared vision across stakeholders on how to achieve those outcomes, providing appropriate reward systems, and ensuring faculty have ample opportunity to influence the initiative all appear to increase the success of reform. The two literature-based models were assessed, and an extended model of change is presented that moves from change in STEM instructional strategies to STEM organizational change strategies. These lessons may be transferable to other institutions engaging in education reform. PMID:27856545

Hydrogen Generation Via Fuel Reforming

NASA Astrophysics Data System (ADS)

Krebs, John F.

2003-07-01

Reforming is the conversion of a hydrocarbon based fuel to a gas mixture that contains hydrogen. The H2 that is produced by reforming can then be used to produce electricity via fuel cells. The realization of H2-based power generation, via reforming, is facilitated by the existence of the liquid fuel and natural gas distribution infrastructures. Coupling these same infrastructures with more portable reforming technology facilitates the realization of fuel cell powered vehicles. The reformer is the first component in a fuel processor. Contaminants in the H2-enriched product stream, such as carbon monoxide (CO) and hydrogen sulfide (H2S), can significantly degrade the performance of current polymer electrolyte membrane fuel cells (PEMFC's). Removal of such contaminants requires extensive processing of the H2-rich product stream prior to utilization by the fuel cell to generate electricity. The remaining components of the fuel processor remove the contaminants in the H2 product stream. For transportation applications the entire fuel processing system must be as small and lightweight as possible to achieve desirable performance requirements. Current efforts at Argonne National Laboratory are focused on catalyst development and reactor engineering of the autothermal processing train for transportation applications.

Large-Scale Curriculum Reform in Finland--Exploring the Interrelation between Implementation Strategy, the Function of the Reform, and Curriculum Coherence

ERIC Educational Resources Information Center

Pietarinen, Janne; Pyhältö, Kirsi; Soini, Tiina

2017-01-01

The study aims to gain a better understanding of the national large-scale curriculum process in terms of the used implementation strategies, the function of the reform, and the curriculum coherence perceived by the stakeholders accountable in constructing the national core curriculum in Finland. A large body of school reform literature has shown…

Conservation and aid: designing more effective investments in natural resource governance reform.

PubMed

Nelson, Fred

2009-10-01

Biodiversity conservation outcomes are closely related to the rules and institutions governing resource use. Creating local incentives for conservation through more secure resource tenure is central to conservation outcomes on private and communal lands, where the preponderance of biodiversity occurs. Conservation efforts in sub-Saharan Africa are therefore centrally concerned with governance dynamics and institutional reform processes, such as the decentralization of property rights, and how best to achieve such reforms. Traditional mechanisms for financing conservation efforts in Africa rely heavily on funds channeled through multilateral and bilateral aid agencies. The history of development aid highlights a range of constraints these aid agencies face in terms of working toward more effective resource governance arrangements and promoting reforms. Government aid agencies possess incentives for promoting large-scale and short-term projects that maximize expenditure volumes and tend to define issues in technical rather than political terms. The history of development aid suggests that these and other characteristics of aid agencies impedes their ability to influence governance reform processes and that aid funding may discourage the adoption of reforms. Greater emphasis in African conservation financing needs to be placed on flexible, small-scale investments aligned to local interests and constituencies that prioritize innovation, learning, and experimentation. Additionally, more research is required that explores the linkages between conservation funding, donor decision-making processes, and governance reforms.

The interface between health sector reform and human resources in health

PubMed Central

Rigoli, Felix; Dussault, Gilles

2003-01-01

The relationship between health sector reform and the human resources issues raised in that process has been highlighted in several studies. These studies have focused on how the new processes have modified the ways in which health workers interact with their workplace, but few of them have paid enough attention to the ways in which the workers have influenced the reforms. The impact of health sector reform has modified critical aspects of the health workforce, including labor conditions, degree of decentralization of management, required skills and the entire system of wages and incentives. Human resources in health, crucial as they are in implementing changes in the delivery system, have had their voice heard in many subtle and open ways – reacting to transformations, supporting, blocking and distorting the proposed ways of action. This work intends to review the evidence on how the individual or collective actions of human resources are shaping the reforms, by spotlighting the reform process, the workforce reactions and the factors determining successful human resources participation. It attempts to provide a more powerful way of predicting the effects and interactions in which different "technical designs" operate when they interact with the human resources they affect. The article describes the dialectic nature of the relationship between the objectives and strategies of the reforms and the objectives and strategies of those who must implement them. PMID:14613523

The aftermath of health sector reform in the Republic of Georgia: effects on people's health.

PubMed

Collins, Téa

2003-04-01

After the collapse of the Former Soviet Union a health reform process was undertaken in Georgia beginning in 1994. This process was intended to encompass all aspects of the health-care sector and to transform the Soviet-style health system into one that was directed towards quality of care, improved access, efficiency, and a strengthened focus on Primary Health Care (PHC). Health sector reform fundamentally changed the ways health care is financed in Georgia. There has been a transition to program-based financing, and payroll-tax-based social insurance schemes have been introduced. Despite these measures, the performance of the health system is still disappointing. All health programs are severely under-funded, and when the majority of the population is unemployed or self-employed, collection of taxes seems impossible. Overall, Georgian consumers are uninformed about the basic principles of health reforms and their entitlements and therefore do not support them. The analysis introduced in this paper of the current situation in Georgia establishes that the rush to insurance-based medicine was more a rush from the previous system than a well-thought-out policy direction. After 70 years of a Soviet rule, the country had no institutional capacity to provide insurance-based health care. To achieve universal coverage, or at least ensure that the majority of the population has access to basic health services, government intervention is essential. In addition, educating the public on reforms would allow the reform initiators to fundamentally change the nature of the reform process from a "top-down" centralized process to one that is demand-driven and collaborative.

Translating Globalization and Democratization into Local Policy: Educational Reform in Hong Kong and Taiwan

NASA Astrophysics Data System (ADS)

Law, Wing-Wah

2004-11-01

The past two decades have witnessed three important international trends: an increase in the number of democratic states; economic globalization; and educational reforms in light of the challenges of the new millennium. A great deal of research has addressed educational change in relation to either globalization or democratization, but little has been said about the complex interactions among all three processes. In view of recent educational reforms in Hong Kong and Taiwan, the present contribution examines the local nature of education policy in a globalized age. It challenges those globalization theories which minimize the role of the state and exaggerate the power of globalization over local factors. In particular, it explores how the governments of these two Chinese societies have employed democratization to generate and legitimate reform proposals and have used economic globalization to justify educational reforms. The study concludes by discussing the complex interrelations of these processes, including tensions between global and local concerns in educational reform.

The Patient Protection and Affordable Care Act: the victory of unorthodox lawmaking.

PubMed

Beaussier, Anne-Laure

2012-10-01

The 2010 Patient Protection and Affordable Care Act was a major legislative achievement of the 111th Congress. This law structurally reforms the US health care system by encouraging universal health care coverage through regulated competition among private insurance companies. When looking at the process for reform, what strikes an observer of US health care policy in the first place is that the Democratic majority was able to enact something in a political field characterized by strong resistance to change. This article builds on that observation. Arguments concentrate on the legislative process of the reform and support the idea that it may be partly explained by considering an evolution of US legislative institutions, mostly in the sense of a more centralized legislative process. Based on approximately one hundred semidirected interviews, I argue that the Democratic majority, building on lessons from both President Bill Clinton's health care reform attempt and the Republicans' strategy of using strong congressional leadership to pass social reforms, was able to overcome institutional constraints that have long prevented comprehensive change. A more centralized legislative process, which has been described as "unorthodox lawmaking," enabled the Democratic leadership to overcome multiple institutional and political veto players.

Reforms: a quest for efficiency or an opportunity for vested interests'? A case study of pharmaceutical policy reforms in Tanzania.

PubMed

Mori, Amani Thomas; Kaale, Eliangiringa Amos; Risha, Peter

2013-07-13

Regulation of the pharmaceutical sector is a challenging task for most governments in the developing countries. In Tanzania, this task falls under the Food and Drugs Authority and the Pharmacy Council. In 2010, the Pharmacy Council spearheaded policy reforms in the pharmaceutical sector aimed at taking over the control of the regulation of the business of pharmacy from the Tanzania Food and Drugs Authority. This study provides a critical analysis of these reforms. The study employed a qualitative case-study design. Data was collected through in-depth interviews, focus group discussions and document reviews. Data was analyzed thematically using a policy triangle framework. The analysis was done manually. The reforms adopted an incremental model of public policy-making and the process was characterized by lobbying for political support, negotiations and bargaining between the interest groups. These negotiations were largely centred on vested interests and not on the impact of the reforms on the efficiency of pharmaceutical regulations in the country. Stakeholders from the micro and meso levels were minimally involved in the policy reforms. Recent pharmaceutical regulation reforms in Tanzania were overshadowed by vested interests, displacing a critical analysis of optimal policy options that have the potential to increase efficiency in the regulation of the business of pharmacy. Politics influenced decision-making at different levels of the reform process.

[In defense of psychiatric reform: for the dawn of a new unavoidable future].

PubMed

de Paiva, Ilana Lemos; Yamamoto, Oswaldo H

2007-01-01

This work comprises a study into the historic process of implementation of psychiatric reforms in Rio Grande do Norte state, highlighting the agents involved, their careers, achievements and progress and this movement's current prospectsfor realizing the ideal of reintegrating mental health patients in society. It is necessary to comprehend the process that took place within the Municipal Health Department starting in 1992, since this experience was the driving force for reflections upon psychiatric reform across the state. This is followed by a documental analysis of reports, legislation and dossiers, as well as the collection of depositions by people involved in the process with a view to building up the identity of the social agents and analyzing their perceptions of the facts, highlighting congruencies and incongruencies concerning the history of the local psychiatric reform.

Education as Recovery: Neoliberalism, School Reform, and the Politics of Crisis

ERIC Educational Resources Information Center

Slater, Graham B.

2015-01-01

Building upon critical education policy studies of crisis, disaster, and reform, this essay develops a theory of "recovery" that further elaborates the nature and operation of "crisis politics" in neoliberal education reform. Recovery is an integral process in capital accumulation, exploiting material, and subjective…

Are Educational Governance Reforms in a Post-Conflict Society Conforming to Global Standards? Examining the Application of Education Convergence Theory in an Internationally Supervised and Politicized Context

ERIC Educational Resources Information Center

Komatsu, Taro

2016-01-01

This article examines whether and to what extent educational reforms in a post-conflict society conform to "global (regional) standards," and explores the meaning of inconsistencies observed in the process of global reform transfer. Among the nations of the world, nowhere is the influence of external forces on educational reforms more…

Fuel Processing System for a 5kW Methanol Fuel Cell Power Unit.

DTIC Science & Technology

1985-11-27

report documents the development and design of a 5kW neat methanol reformer for phosphoric acid fuel cell power plants . The reformer design was based...VAPORIZATION OF METHANOL ........... 4.3 REFORMING/SHIFT CATALYST BED ......... 2 5.0 COMPONENT TESTING............... 5.1 COMBUSTION TUBE...69 36 Catalyst Bed Temperature Profile Before and After Transient ................. 70 37 Assembly -5kw Neat Methanol Reformer. ......... 72 Page No

The Role of Technical Vocational Education and Training in Transition Countries. The Case of Central and Eastern Europe and the New Independent States. Working Document.

ERIC Educational Resources Information Center

European Training Foundation, Turin (Italy).

In comparison with the context in which reforms usually occur, the current vocational education and training (VET) reforms in Central and Eastern Europe (CEE) and New Independent States (NIS) have these two unusual aspects: breadth, range, and depth of VET reforms are extremely large; and the reform process is exceptionally rapid. The European…

Process for preparing a liquid fuel composition

DOEpatents

Singerman, Gary M.

1982-03-16

A process for preparing a liquid fuel composition which comprises liquefying coal, separating a mixture of phenols from said liquefied coal, converting said phenols to the corresponding mixture of anisoles, subjecting at least a portion of the remainder of said liquefied coal to hydrotreatment, subjecting at least a portion of said hydrotreated liquefied coal to reforming to obtain reformate and then combining at least a portion of said anisoles and at least a portion of said reformate to obtain said liquid fuel composition.

Can ICT Reform Public Agencies?

NASA Astrophysics Data System (ADS)

Jansen, Arild; Løvdal, Einar

This study examines the reorganisation of the administration of admission to higher education in Norway, which has also included the development of a nationwide, ICT-based case handling system. This reform process was initiated out of the need to provide politicians with information for control and regulatory purposes, and the reform resulted in a centralised management information system. This system, however, has evolved into a coordinated but also partly locally delegated decision-making instrument which processes most of the applications for admission to higher education in Norway.

Bringing Home the Bacon: The Politics of Rural School Reform.

ERIC Educational Resources Information Center

Sher, Jonathan P.

1983-01-01

Self-interested political, corporate, and education leaders have undermined recent West Virginia court decisions mandating educational reform. Three implications are: (1) principals, teachers, parents, and students must be equal partners in the educaiton reform process; (2) a constituency for rural children is needed; and (3) rural educators must…

The Retrospection and Elicitation of China's Teacher Education Reform and Opening-Up More Than 30 Years

ERIC Educational Resources Information Center

Tian-Ping, Yang

2012-01-01

Since implementation of reform and opening-up policy, China's teacher education has got significant success on policy design, legislation process, theory research, system reform, model innovation and teaching qualification system building. Teachers' educational background level has been increased. Teachers' professional ethics and teaching…

Reforming a University during Political Transformation: A Case Study of Yangon University in Myanmar

ERIC Educational Resources Information Center

Esson, James; Wang, Kevin

2018-01-01

Since 2010, Myanmar has been transitioning from an authoritarian military regime towards a parliamentary democracy. Several education policies have been launched as part of this political transformation process, including the reform of Myanmar's flagship higher education institution, Yangon University. This article investigates the reform of…

Uncovering Portuguese Teachers' Difficulties in Implementing Sciences Curriculum

ERIC Educational Resources Information Center

Vasconcelos, Clara; Torres, Joana; Moutinho, Sara; Martins, Idalina; Costa, Nilza

2015-01-01

Many countries recognize the positive and effective results of improving science education through the introduction of reforms in the sciences curriculum. However, some important issues are generally neglected like, for example, the involvement of the teachers in the reform process. Taking the sciences curriculum reform under analysis and…

Leadership Metaphors: School Principals' Sense-Making of a National Reform

ERIC Educational Resources Information Center

Schechter, Chen; Shaked, Haim; Ganon-Shilon, Sherry; Goldratt, Miri

2018-01-01

During reforms, principals often experience ambiguity, contradicting demands, and lack of information. As critical change agents and system players, principals interpret reform demands and translate them into school practices through a process of sense-making. The current qualitative research explored 59 elementary school principals' sense-making…

The Place of Education in Modernization Processes

ERIC Educational Resources Information Center

Benin, V. L.

2015-01-01

The article analyzes the latest steps taken by Russian authorities in reforming the system of education, and substantiates society's strongly felt need for the reforms to be liberated from bureaucratic dictatorship and secrecy. It demonstrates the close connection between the reform of education and the rapidly dropping quality of education,…

Reform of the Method for Evaluating the Teaching of Medical Linguistics to Medical Students

ERIC Educational Resources Information Center

Zhang, Hongkui; Wang, Bo; Zhang, Longlu

2014-01-01

Explorating reform of the teaching evaluation method for vocational competency-based education (CBE) curricula for medical students is a very important process in following international medical education standards, intensify ing education and teaching reforms, enhancing teaching management, and improving the quality of medical education. This…

Japan's National Curriculum Reforms: Focus on Integrated Curriculum Approach

ERIC Educational Resources Information Center

Arani, Mohammad Reza Sarkar

2008-01-01

This article describes the process of national curriculum standards reform and the progress of applying the integrated curriculum from theory and research to practice. The curriculum council of Japanese government received an inquiry from Monbusho in August 1996 about "reform of the national curriculum". The council comprehensively…

A novel nano-Ni/SiO2 catalyst for hydrogen production from steam reforming of ethanol.

PubMed

Wu, Chunfei; Williams, Paul T

2010-08-01

Catalytic steam reforming of ethanol has been regarded as a promising way to produce hydrogen. However, catalytic deactivation is a key problem in the process. In this paper, a novel nano-Ni/SiO2 catalyst was prepared by a simple sol-gel method and compared to catalysts prepared by an impregnation method in relation to the steam reforming ethanol process. Good Ni dispersion and high BET surface areas (>700 m2 g(-1)) were obtained for sol-gel catalysts, whereas only 1 m2 g(-1) surface area was obtained for the Ni/SiO2 impregnation catalyst. The results of catalytic steam reforming of ethanol showed that about twice of the hydrogen production was produced with the Ni/SiO2 catalyst prepared by sol-gel (around 0.2 g h(-1)) compared with that prepared by impregnation (around 0.1 g h(-1)). The analysis of the used catalysts showed that 10Ni/SiO2-B and 20Ni/SiO2-B presented the highest stability, while other catalysts were fragmented into small pieces after the reforming process, especially the catalysts prepared by impregnation. A novel catalyst has been produced that has been shown to be effective in the production of hydrogen from the steam reforming of ethanol.

Conceptual Design of Low-Temperature Hydrogen Production and High-Efficiency Nuclear Reactor Technology

NASA Astrophysics Data System (ADS)

Fukushima, Kimichika; Ogawa, Takashi

Hydrogen, a potential alternative energy source, is produced commercially by methane (or LPG) steam reforming, a process that requires high temperatures, which are produced by burning fossil fuels. However, as this process generates large amounts of CO2, replacement of the combustion heat source with a nuclear heat source for 773-1173K processes has been proposed in order to eliminate these CO2 emissions. In this paper, a novel method of nuclear hydrogen production by reforming dimethyl ether (DME) with steam at about 573K is proposed. From a thermodynamic equilibrium analysis of DME steam reforming, the authors identified conditions that provide high hydrogen production fraction at low pressure and temperatures of about 523-573K. By setting this low-temperature hydrogen production process upstream from a turbine and nuclear reactor at about 573K, the total energy utilization efficiency according to equilibrium mass and heat balance analysis is about 50%, and it is 75%for a fast breeder reactor (FBR), where turbine is upstream of the reformer.

Implementing a Nation-Wide Mental Health Care Reform: An Analysis of Stakeholders' Priorities.

PubMed

Lorant, Vincent; Grard, Adeline; Nicaise, Pablo

2016-04-01

Belgium has recently reformed its mental health care delivery system with the goals to strengthen the community-based supply of care, care integration, and the social rehabilitation of users and to reduce the resort to hospitals. We assessed whether these different reform goals were endorsed by stakeholders. One-hundred and twenty-two stakeholders ranked, online, eighteen goals of the reform according to their priorities. Stakeholders supported the goals of social rehabilitation of users and community care but were reluctant to reduce the resort to hospitals. Stakeholders were averse to changes in treatment processes, particularly in relation to the reduction of the resort to hospitals and mechanisms for more care integration. Goals heterogeneity and discrepancies between stakeholders' perspectives and policy priorities are likely to produce an uneven implementation of the reform process and, hence, reduce its capacity to achieve the social rehabilitation of users.

Education System Reforms in an Unstable Political Situation: The Case of Serbia in the First Decade of the 21st Century

ERIC Educational Resources Information Center

Ivic, Ivan; Pešikan, Ana

2012-01-01

In the present paper, education reform in the Republic of Serbia since 2000 is presented. The focus is on two major reform waves: 2000-2003 and 2004-2005. We analyse why these broad educational interventions failed. After 2005, there was a lull in the reform process, a period with no major changes (2005-2010). A new phase of improving education…

Developing an energy efficient steam reforming process to produce hydrogen from sulfur-containing fuels

NASA Astrophysics Data System (ADS)

Simson, Amanda

Hydrogen powered fuel cells have the potential to produce electricity with higher efficiency and lower emissions than conventional combustion technology. In order to realize the benefits of a hydrogen fuel cell an efficient method to produce hydrogen is needed. Currently, over 90% of hydrogen is produced from the steam reforming of natural gas. However, for many applications including fuel cell vehicles, the use of a liquid fuel rather than natural gas is desirable. This work investigates the feasibility of producing hydrogen efficiently by steam reforming E85 (85% ethanol/15% gasoline), a commercially available sulfur-containing transportation fuel. A Rh-Pt/SiO2-ZrO2 catalyst has demonstrated good activity for the E85 steam reforming reaction. An industrial steam reforming process is often run less efficiently, with more water and at higher temperatures, in order to prevent catalyst deactivation. Therefore, it is desirable to develop a process that can operate without catalyst deactivation at more energy efficient conditions. In this study, the steam reforming of a sulfur-containing fuel (E85) was studied at near stoichiometric steam/carbon ratios and at 650C, conditions at which catalyst deactivation is normally measured. At these conditions the catalyst was found to be stable steam reforming a sulfur-free E85. However, the addition of low concentrations of sulfur significantly deactivated the catalyst. The presence of sulfur in the fuel caused catalyst deactivation by promoting ethylene which generates surface carbon species (coke) that mask catalytic sites. The amount of coke increased during time on stream and became increasingly graphitic. However, the deactivation due to both sulfur adsorption and coke formation was reversible with air treatment at 650°C. However, regenerations were found to reduce the catalyst life. Air regenerations produce exotherms on the catalyst surface that cause structural changes to the catalyst. During regenerations the accessibility of the precious metal particles is reduced which causes the catalyst to deactivate more rapidly during subsequent steam reforming cycles. Changes to the carrier morphology also occur at these conditions. Regenerating the catalyst before significant deactivation is measured can improve the stability of the catalyst. Thus a process with preemptive controlled air regenerations is proposed in order to run a steam reforming process with sulfur containing fuels.

Production of synthetic fuels using syngas from a steam hydrogasification and reforming process

NASA Astrophysics Data System (ADS)

Raju, Arun Satheesh Kumar

This thesis is aimed at the research, optimization and development of a thermo-chemical process aimed at the production of synthesis gas (mixture of H2 and CO) with a flexible H2 to CO ratio using coupled steam hydrogasification and steam reforming processes. The steam hydrogasification step generates a product gas containing significant amounts of methane by gasifying a carbonaceous feed material with steam and internally generated H2. This product gas is converted to synthesis gas with an excess H2 to CO using the steam reformer. Research involving experimental and simulation work has been conducted on steam hydrogasification, steam reforming and the Fischer-Tropsch reaction. The Aspen Plus simulation tool has been used to develop a process model that can perform heat and mass balance calculations of the whole process using built-in reactor modules and an empirical FT model available in the literature. This model has been used to estimate optimum feed ratios and process conditions for specific feedstocks and products. Steam hydrogasification of coal and wood mixtures of varying coal to wood ratios has been performed in a stirred batch reactor. The carbon conversion of the feedstocks to gaseous products is around 60% at 700°C and 80% at 800°C. The coal to wood ratio of the feedstock does not exert a significant influence on the carbon conversion. The rates of formation of CO, CO 2 and CH4 during gasification have been calculated based on the experimental results using a simple kinetic model. Experimental research on steam reforming has been performed. It has been shown that temperature and the feed CO2/CH4 ratio play a dominant role in determining the product gas H2/CO ratio. Reforming of typical steam hydrogasification product-gas stream has been investigated over a commercial steam reforming catalyst. The results demonstrate that the combined use of steam hydrogasification process with a reformer can generate a synthesis gas with a predetermined H2/CO ratio from carbonaceous feedstocks. Experimental work on the Fischer-Tropsch synthesis has also been performed. A life cycle analysis has been performed with the objective of comparing the life cycle energy consumption and emissions of synthetic diesel fuel produced through the CE-CERT process with other fuel/vehicle combinations. The experimental and simulation results presented here demonstrate that the CE-CERT process is versatile and can potentially handle a number of different feedstocks. CE-CERT process appears to be suitable for commercialization in very large scales with a coal feedstock and also in a distributed network of smaller scale reactors utilizing localized renewable feedstocks.

An afterburner-powered methane/steam reformer for a solid oxide fuel cells application

NASA Astrophysics Data System (ADS)

Mozdzierz, Marcin; Chalusiak, Maciej; Kimijima, Shinji; Szmyd, Janusz S.; Brus, Grzegorz

2018-04-01

Solid oxide fuel cell (SOFC) systems can be fueled by natural gas when the reforming reaction is conducted in a stack. Due to its maturity and safety, indirect internal reforming is usually used. A strong endothermic methane/steam reforming process needs a large amount of heat, and it is convenient to provide thermal energy by burning the remainders of fuel from a cell. In this work, the mathematical model of afterburner-powered methane/steam reformer is proposed. To analyze the effect of a fuel composition on SOFC performance, the zero-dimensional model of a fuel cell connected with a reformer is formulated. It is shown that the highest efficiency of a solid oxide fuel cell is achieved when the steam-to-methane ratio at the reforming reactor inlet is high.

Process and apparatus for the production of hydrogen by steam reforming of hydrocarbon

DOEpatents

Sircar, Shivaji; Hufton, Jeffrey Raymond; Nataraj, Shankar

2000-01-01

In the steam reforming of hydrocarbon, particularly methane, under elevated temperature and pressure to produce hydrogen, a feed of steam and hydrocarbon is fed into a first reaction volume containing essentially only reforming catalyst to partially reform the feed. The balance of the feed and the reaction products of carbon dioxide and hydrogen are then fed into a second reaction volume containing a mixture of catalyst and adsorbent which removes the carbon dioxide from the reaction zone as it is formed. The process is conducted in a cycle which includes these reactions followed by countercurrent depressurization and purge of the adsorbent to regenerate it and repressurization of the reaction volumes preparatory to repeating the reaction-sorption phase of the cycle.

Negotiating with Tradition: Curriculum Reform and Institutional Transition in a Conservatoire

ERIC Educational Resources Information Center

Duffy, Celia

2013-01-01

The Royal Conservatoire of Scotland has recently transformed its curriculum through a process of curriculum reform. This has been a major institutional transition and has challenged many of the traditional practices of the conservatoire. Taking the global thinking on curriculum reform as its starting point, the conservatoire’s aspiration has been…

Vocational Education and Training Reform in Estonia.

ERIC Educational Resources Information Center

European Training Foundation, Turin (Italy).

This report on vocational education and training (VET) reform in Estonia is one of a series of country reports by the European Training Foundation on the reform process in partner countries. Chapter 1 provides basic data on the country. Chapter 2 describes the present situation and recent developments in VET. It covers main features of the…

Toward State Tax Reform: Lessons from State Tax Studies.

ERIC Educational Resources Information Center

McGuire, Therese J.; Rio, Jessica E.

This paper reviews recent state tax-commission recommendations in selected states and identifies critical factors for the success of state tax-reform commissions. The paper focuses on factors linked to the process of forming a commission and generating the necessary consensus to enact tough reforms. It describes and compares comprehensive studies…

The Cultural Politics of the Texas Educational Reform Agenda: Examining Who Gets What, When, and How

ERIC Educational Resources Information Center

Salinas, Cinthia S.; Reidel, Michelle

2007-01-01

This critical policy examination of the economistic discourses that control Texas's accountability reforms explores how over the last three decades Texas business elite utilized the policy process, power relationships, and educational value conflicts that promote accountability as the paradigm for education reform. Attention on "who gets…

"We Think That's the Future": Curriculum Reform Initiatives in Higher Education

ERIC Educational Resources Information Center

Pegg, Ann

2014-01-01

This international research considered two key questions: (1) What self-scrutiny, strategies, planning and processes do universities with a successfully reformed curriculum undertake?; and (2) How do these universities measure and evaluate the impact of whole curriculum reform in relation to learning and teaching and the student experience?…

Examining the Role of Leadership in an Undergraduate Biology Institutional Reform Initiative

ERIC Educational Resources Information Center

Matz, Rebecca L.; Jardeleza, Sarah E.

2016-01-01

Undergraduate science, technology, engineering, and mathematics (STEM) education reform continues to be a national priority. We studied a reform process in undergraduate biology at a research-intensive university to explore what leadership issues arose in implementation of the initiative when characterized with a descriptive case study method. The…

Educational Reform: The Players and the Politics.

ERIC Educational Resources Information Center

Farkas, Steve

Substantive arguments on school reform may be disguising a hidden debate over the process and politics of such reform--a debate over who should be responsible for educating our youth, the parties responsible for the current difficulties, and how severe these difficulties are. This document attempts to identify the attitudes that drive this hidden…

An evaluation of federal order reform.

PubMed

Bailey, K; Tozer, P

2001-04-01

The Federal Agricultural Improvement and Reform Act of 1996 required the Secretary of Agriculture to reform federal milk marketing orders. The Secretary carried out this task and issued a final rule on March 31, 1999, that was eventually approved by dairy farmers in a national referendum. However, a temporary restraining order (TRO) was issued on September 28, 1999, that halted the reform process. The TRO was effectively overturned and the reform process restarted when President Bill Clinton signed the Consolidated Appropriations Act of 2000 on November 29, 1999. The final rule as amended consolidates the number of orders, develops a multiple component pricing system that determines new formulas for class prices, and provides a new system for pricing fluid milk based on county-level price differentials. The impact of these changes is to provide more transparency in pricing and improved market signals to farmers. But the new system is also much more vulnerable to changes in dairy commodity prices. The objective of this report is to provide a comprehensive overview of federal order reform and to analyze the impact of recent changes in class price formulas.

Catalytic dry reforming of waste plastics from different waste treatment plants for production of synthesis gases.

PubMed

Saad, Juniza Md; Williams, Paul T

2016-12-01

Catalytic dry reforming of mixed waste plastics, from a range of different municipal, commercial and industrial sources, were processed in a two-stage fixed bed reactor. Pyrolysis of the plastics took place in the first stage and dry (CO 2 ) reforming of the evolved pyrolysis gases took place in the second stage in the presence of Ni/Al 2 O 3 and Ni-Co/Al 2 O 3 catalysts in order to improve the production of syngas from the dry reforming process. The results showed that the highest amount of syngas yield was obtained from the dry reforming of plastic waste from the agricultural industry with the Ni/Al 2 O 3 catalyst, producing 153.67mmol syngas g -1 waste . The addition of cobalt metal as a promoter to the Ni/Al 2 O 3 catalyst did not have a major influence on syngas yield. Overall, the catalytic-dry reforming of waste plastics from various waste treatment plants showed great potential towards the production of synthesis gases. Copyright © 2016 Elsevier Ltd. All rights reserved.

Health care reform and changes: the Malaysian experience.

PubMed

Merican, Mohd Ismail; bin Yon, Rohaizat

2002-01-01

Health care reform is an intentional, sustained and systematic process of structural change to one or more health subsystems to improve efficiency, effectiveness, patient choices and equity. Health care all over the world is continuously reforming with time. Health care reform has become an increasingly important agenda for policy change in both developed and developing countries including Malaysia. This paper provides an overview of the Malaysian health care system, its achievements, and issues and challenges leading to ongoing reform towards a more efficient and equitable health care system that possess a better quality of life for the population.

Passive Thermal Management for a Fuel Cell Reforming Process

DTIC Science & Technology

2006-06-01

American Institute of Aeronautics and Astronautics 1 PASSIVE THERMAL MANAGEMENT FOR A FUEL CELL REFORMING PROCESS David B. Sarraf * and...REPORT DATE JUN 2006 2. REPORT TYPE 3. DATES COVERED 00-00-2006 to 00-00-2006 4. TITLE AND SUBTITLE Passive Thermal Management for a Fuel Cell

Comprehensive School Reform: Allocating Federal Funds.

ERIC Educational Resources Information Center

Education Commission of the States, Denver, CO.

This booklet is designed to assist state leaders as they develop their process for allocating funds to schools. It suggests components of a state-allocation process that are based on research and field experience with successfully implemented comprehensive school-reform (CSR) models. The document provides guidelines for defining the eligibility of…

ECO LOGIC INTERNATIONAL GAS-PHASE CHEMICAL REDUCTION PROCESS - THE REACTOR SYSTEM - APPLICATIONS ANALYSIS REPORT

EPA Science Inventory

The ELI Eco Logic International Inc. (Eco Logic) process thermally separates organics, then chemically reduces them in a hydrogen atmosphere, converting them to a reformed gas that consists of light hydrocarbons and water. A scrubber treats the reformed gas to remove hydrogen chl...

Heat exchanger for fuel cell power plant reformer

DOEpatents

Misage, Robert; Scheffler, Glenn W.; Setzer, Herbert J.; Margiott, Paul R.; Parenti, Jr., Edmund K.

1988-01-01

A heat exchanger uses the heat from processed fuel gas from a reformer for a fuel cell to superheat steam, to preheat raw fuel prior to entering the reformer and to heat a water-steam coolant mixture from the fuel cells. The processed fuel gas temperature is thus lowered to a level useful in the fuel cell reaction. The four temperature adjustments are accomplished in a single heat exchanger with only three heat transfer cores. The heat exchanger is preheated by circulating coolant and purge steam from the power section during startup of the latter.

Policy experimentation and innovation as a response to complexity in China's management of health reforms.

PubMed

Husain, Lewis

2017-08-03

There are increasing criticisms of dominant models for scaling up health systems in developing countries and a recognition that approaches are needed that better take into account the complexity of health interventions. Since Reform and Opening in the late 1970s, Chinese government has managed complex, rapid and intersecting reforms across many policy areas. As with reforms in other policy areas, reform of the health system has been through a process of trial and error. There is increasing understanding of the importance of policy experimentation and innovation in many of China's reforms; this article argues that these processes have been important in rebuilding China's health system. While China's current system still has many problems, progress is being made in developing a functioning system able to ensure broad population access. The article analyses Chinese thinking on policy experimentation and innovation and their use in management of complex reforms. It argues that China's management of reform allows space for policy tailoring and innovation by sub-national governments under a broad agreement over the ends of reform, and that shared understandings of policy innovation, alongside informational infrastructures for the systemic propagation and codification of useful practices, provide a framework for managing change in complex environments and under conditions of uncertainty in which 'what works' is not knowable in advance. The article situates China's use of experimentation and innovation in management of health system reform in relation to recent literature which applies complex systems thinking to global health, and concludes that there are lessons to be learnt from China's approaches to managing complexity in development of health systems for the benefit of the poor.

Thermally efficient melting and fuel reforming for glass making

DOEpatents

Chen, Michael S.; Painter, Corning F.; Pastore, Steven P.; Roth, Gary S.; Winchester, David C.

1991-01-01

An integrated process for utilizing waste heat from a glass making furnace. The hot off-gas from the furnace is initially partially cooled, then fed to a reformer. In the reformer, the partially cooled off-gas is further cooled against a hydrocarbon which is thus reformed into a synthesis gas, which is then fed into the glass making furnace as a fuel. The further cooled off-gas is then recycled back to absorb the heat from the hot off-gas to perform the initial cooling.

Making Sense While Steering through the Fog: Principals' Metaphors within a National Reform Implementation

ERIC Educational Resources Information Center

Ganon-Shilon, Sherry; Schechter, Chen

2017-01-01

Principals' implementation of national reforms in the educational arena resembles a wild ride on a roller coaster as they face with contradicting demands, ongoing confusion and ambiguity. As critical change agents, principals interpret and translate reform demands into local practices through a process of sense-making. This current qualitative…

Get Over It! Education Reform Is Dead. Now What?

ERIC Educational Resources Information Center

Black, Caren

This book shares what one educator learned as a teacher and administrator in public and private schools and business, examining where the country is in the process of reforming public education and suggesting that it is tired out from so many reform efforts. It notes that new programs often suffocate under the latest federal, state, or district…

Council of Medical Specialty Societies: Committed to Continuing Medical Education Reform

ERIC Educational Resources Information Center

McDonald, Walter J.

2005-01-01

The Council of Medical Specialty Societies (CMSS) recognizes the need for continuing medical education (CME) reform and intends to be actively engaged in that process. While recognizing that CME reform must involve many organizations, the CMSS and particularly the 23 societies that make up the CMSS are in a position to affect many of the needed…

Changing Practice in Malaysian Primary Schools: Learning from Student Teachers' Reports of Using Action, Reflection and Modelling (ARM)

ERIC Educational Resources Information Center

Dickerson, Claire; Thomas, Kit; Jarvis, Joy; Levy, Roger

2018-01-01

Curricular and pedagogical reforms are complex inter-linked processes such that curricular reform can only be enacted through teachers teaching differently. This article reports the perspective of emergent Malaysian primary teachers who were expected to implement a Government reform that promoted active learning. The 120 student teachers were…

Efficiency and Counter-Revolution: Connecting University and Civil Service Reform in the 1850s

ERIC Educational Resources Information Center

Ellis, Heather

2013-01-01

Historians have often recognised important links between the processes of university and civil service reform in mid-nineteenth-century England. Yet such connections are usually seen as forming part of a wider project of modernising reform with any conservative or counter-revolutionary aims largely discounted. However, as this article suggests,…

India's Social Development in a Decade of Reforms: 1990-91/1999-2000

ERIC Educational Resources Information Center

Ray, Amal Kanti

2008-01-01

The economic reforms initiated in India in 1991 have brought about visible upliftment of economic conditions of the country. This paper examines if the economic process is associated with an enhancement of India's social development in equal measure in the reform decade of nineties. Ray (1989) considered thirteen social indicators of India and…

Teachers' Emotions in the Context of Education Reform: Labor Process Theory and Social Constructionism

ERIC Educational Resources Information Center

Tsang, Kwok Kuen; Kwong, Tsun Lok

2017-01-01

In recent years, many teachers suffered different kinds of negative emotions in the context of education reforms. A typical explanation was that the education reforms disempowered teachers in teaching, so teachers were forced to do much non-instructional work. Teachers considered their work meaningless but were powerless to change it, and…

An Unfulfilled Dream of an Urban Community School for Girls: A Failed Experiment in Educational Reform

ERIC Educational Resources Information Center

Doyle, Kerri

2013-01-01

This research presents the qualitative case study of an urban community school initiative that began as an educational reform effort and that ultimately failed. The process of emergence for this school and factors leading to its collapse are described through participant interviews and document analysis. Nationally, policy reformers,…

Politics, Modernisation and Educational Reform in Russia: From Past to Present. Oxford Studies in Comparative Education

ERIC Educational Resources Information Center

Johnson, David, Ed.

2010-01-01

The chapters in this volume give an account of the process of modernisation and educational reform in Russia, variously considering the cultural and political dilemmas provoked by democratisation, the structural and policy challenges associated with the reform of higher and vocational education, and the deep divisions exposed as socio-cultural…

Current Developments in School Education in Turkey: Education "Reforms" and Teacher Trade Union Responses

ERIC Educational Resources Information Center

Buyruk, Halil

2015-01-01

Education "reforms"' have been accelerated in the last decade in Turkey. Teachers, as the main actors of the education system, have developed a variety of responses to the reforms implemented in the field of education, both individually and collectively. They give directions to the change process in education by means of their trade…

An Investigation of the Engagement of Elementary Students in the NCTM Process Standards after One Year of Standards-Based Instruction

ERIC Educational Resources Information Center

Fillingim, Jennifer Gale

2010-01-01

Contemporary mathematics education reform has placed increased emphasis on K-12 mathematics curriculum. Reform-based curricula, often referred to as "Standards-based" due to philosophical alignment with the NCTM Process Standards, have generated controversy among families, educators, and researchers. The mathematics education research…

A National Educational Cultural Reform Model: Professionalizing the Principalship to Reform a Nation's Educational System

ERIC Educational Resources Information Center

Korem, Andrej; Shapiro, Arthur

2006-01-01

Globalizing processes in education are reflected in conceptions of "policy borrowing" and knowledge transfer. These processes tend to be associated with the notion of "developed" and "undeveloped" countries. The idea of a direct-line transfer may be limited in that each nation has developed a culture and numerous…

AFT Chief Promises Due-Process Reform

ERIC Educational Resources Information Center

Sawchuk, Stephen

2010-01-01

The president of the American Federation of Teachers (AFT), Randi Weingarten, is putting the sensitive issue of due process on the education reform table, with a pledge to work with districts to streamline the often-cumbersome procedures for dismissing teachers who fail to improve their performance after receiving help and support. She has also…

Puerto Rico's PLATO Learning Program: An Independent Evaluation of the PLATO Learning Model

ERIC Educational Resources Information Center

Shillady, Lucinda; Miller, Libbie

2004-01-01

The Comprehensive School Reform (CSR) program has become a valuable resource in the implementation of the Puerto Rico Department of Education's educational reform process. To support the process, the Commonwealth of Puerto Rico granted computerized equipment, reading and mathematics software and training designed for schools. This included reading…

Reforming Schools: The Collective Doubting Perspective

ERIC Educational Resources Information Center

Schechter, Chen; Ganon-Shilon, Sherry

2015-01-01

Purpose: The ongoing challenge to sustain educational reforms requires a learning process through which doubt is induced as a means of fostering productive school change. The purpose of this paper is to explore the concept of doubt as well as the doubting process and its importance to the school community, particularly with regard to educational…

Same Challenges, Different Processes: Perceptions on Governance Changes in Portuguese and Finnish Higher Education

ERIC Educational Resources Information Center

Diogo, Sara

2015-01-01

This article compares recent governance reforms in Finnish and Portuguese higher education (HE) systems and institutions (HEIs). Although Portugal and Finland differ significantly, both the countries have recently undertaken similar HE legislative reforms. This article analyses the contexts and implementation processes of these legal frameworks:…

Between Competition Imperative and Europeanisation: The Case of Higher Education Reform in Poland

ERIC Educational Resources Information Center

Dakowska, Dorota

2015-01-01

While the Europeanisation of Higher Education (HE) systems has triggered much debate, the relationship between European factors and domestic economic processes, has been less thoroughly analysed. This article analyses HE reforms in the light of two parallel processes, which have shaped this sector: the introduction of market mechanisms and a…

The Reform Process of Portuguese Higher Education Institutions: From Collegial to Managerial Governance

ERIC Educational Resources Information Center

Bruckmann, Sofia; Carvalho, Teresa

2014-01-01

Portuguese public higher education institutions have been undergoing a major reform process since 2007. The most noticeable changes were introduced by Law 62/2007, which gave higher education institutions the option to choose between two different institutional models (foundational and public institute), and allowed the implementation of new…

Hydrogen Production via a High-Efficiency Low-Temperature Reformer

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

Paul KT Liu; Theo T. Tsotsis

2006-05-31

Fuel cells are promoted by the US government as a viable alternative for clean and efficient energy generation. It is anticipated that the fuel cell market will rise if the key technical barriers can be overcome. One of them is certainly fuel processing and purification. Existing fuel reforming processes are energy intensive, extremely complicated and capital intensive; these disadvantages handicap the scale-down of existing reforming process, targeting distributed or on-board/stationary hydrogen production applications. Our project involves the bench-scale demonstration of a high-efficiency low-temperature steam reforming process. Hydrogen production can be operated at 350 to 400ºC with our invention, as opposedmore » to >800ºC of existing reforming. In addition, our proposed process improves the start-up deficiency of conventional reforming due to its low temperature operation. The objective of this project is to demonstrate the invented process concept via a bench scale unit and verify mathematical simulation for future process optimization study. Under this project, we have performed the experimental work to determine the adsorption isotherm, reaction kinetics, and membrane permeances required to perform the process simulation based upon the mathematical model developed by us. A ceramic membrane coated with palladium thin film fabricated by us was employed in this study. The adsorption isotherm for a selected hydrotalcite adsorbent was determined experimentally. Further, the capacity loss under cyclic adsorption/desorption was confirmed to be negligible. Finally a commercial steam reforming catalyst was used to produce the reaction kinetic parameters required for the proposed operating condition. With these input parameters, a mathematical simulation was performed to predict the performance of the invented process. According to our simulation, our invented hybrid process can deliver 35 to 55% methane conversion, in comparison with the 12 and 18-21% conversion of the packed bed and an adsorptive reactor respectively. In addition CO contamination with <10 to 120 ppm is predicted for the invented process depending upon the cycle time for the PSA type operation. In comparison, the adsorption reactor can also deliver a similar CO contaminant at the low end; however, its high end reaches as high as 300 ppm based upon the simulation of our proposed operating condition. Our experimental results for the packed bed and the membrane reactor deliver 12 and 18% conversion at 400°C, approaching the conversion by the mathematical simulation. Due to the time constraint, the experimental study on the conversion of the invented process has not been complete. However, our in-house study using a similar process concept for the water gas shift reaction has demonstrated the reliability of our mathematical simulation for the invented process. In summary, we are confident that the invented process can deliver efficiently high purity hydrogen at a low temperature (~400°C). According to our projection, the invented process can further achieve 5% energy savings and ~50% capital savings over conventional reforming for fuel cell applications. The pollution abatement potential associated with the implementation of fuel cells, including the elimination of nitrogen oxides and CO, and the reduction in volatile organics and CO2, can thus be realized with the implementation of this invented process. The projected total market size for equipment sale for the proposed process in US is $1.5 billion annually.« less

Mexico`s economic reform: Energy and the Constitution

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

Rubio, L.

1993-12-31

Oil is a fundamental component of nationhood in Mexico. The 1938 expropriation of oil resources concluded a process of internal political consolidation and thus became the most important symbol of nationalism. Mexico has been undergoing a process of economic reform that has altered the country`s economic structure and has subjected it to international competition. Oil in particular and energy in general have been left untouched. There is recognition that without an equal reform of the energy industry, the potential for success will be significantly limited. While the Constitution allows private investment in the industry--with the exception of the resource propertiesmore » themselves--the Regulatory Law bans any private participation. Because of its political sensitivity, however, amending the law in order to reform the oil industry will necessitate a domestic initiative rather than foreign pressure. In this perspective, NAFTA served to slow and postpone the reform of the industry, rather than the opposite. Once NAFTA is well in place, the industry will have to face competition.« less

In-Space Propulsion, Logistics Reduction, and Evaluation of Steam Reformer Kinetics: Problems and Prospects

NASA Technical Reports Server (NTRS)

Jaworske, D. A.; Palaszewski, B. A.; Kulis, M. J.; Gokoglu, S. A.

2015-01-01

Human space missions generate waste materials. A 70-kg crewmember creates a waste stream of 1 kg per day, and a four-person crew on a deep space habitat for a 400+ day mission would create over 1600 kg of waste. Converted into methane, the carbon could be used as a fuel for propulsion or power. The NASA Advanced Exploration Systems (AES) Logistics Reduction and Repurposing (LRR) project is investing in space resource utilization with an emphasis on repurposing logistics materials for useful purposes and has selected steam reforming among many different competitive processes as the preferred method for repurposing organic waste into methane. Already demonstrated at the relevant processing rate of 5.4 kg of waste per day, high temperature oxygenated steam consumes waste and produces carbon dioxide, carbon monoxide, and hydrogen which can then be converted into methane catalytically. However, the steam reforming process has not been studied in microgravity. Data are critically needed to understand the mechanisms that allow use of steam reforming in a reduced gravity environment. This paper reviews the relevant literature, identifies gravity-dependent mechanisms within the steam gasification process, and describes an innovative experiment to acquire the crucial kinetic information in a small-scale reactor specifically designed to operate within the requirements of a reduced gravity aircraft flight. The experiment will determine if the steam reformer process is mass-transport limited, and if so, what level of forced convection will be needed to obtain performance comparable to that in 1-g.

The Gateway Paper--context and configuration of the proposed health reforms in Pakistan.

PubMed

Nishtar, Sania

2006-12-01

As an opening of a dialogue on health reforms in Pakistan, the Gateway Paper presents a viewpoint on its proposed directions making a strong case for systems reforms, which need to scope beyond the healthcare system. Positioning the reform process to strengthen Pakistan's health policy cycle, the paper articulates a roadmap for a paradigm shift to achieve health outcomes in Pakistan with major structural reorganization within the health system. The proposed reform points in the four areas namely, reforms within the health sector, overarching measures, reconfiguration of health within an inter-sectoral scope and generating evidence for reforms. Reforms within the health sector focus on developing new models of service delivery and health financing which can enable the state to leverage the private sector outreach to deliver health-related public goods on the one hand and maximize the outreach of the State's health care delivery mechanisms through mainstreaming the role of the private sector on the other, albeit with safeguards. In addition, these call for strengthening the stewardship role to regulate these arrangements. The second area of reform focuses on overarching measures; these include developing frameworks for public-private partnerships which will enable the bringing together of organizations with the mandate to offer public goods and those that could facilitate this goal through the provision of resources, technical expertise or outreach; mainstreaming health into the country's social protection strategy in order to address issues of access and affordability for the poor and introducing civil service and public service reform focused on good governance, accountability, breakdown of institutional corruption which are critical to improving health outcomes. The third area of reform involves broadening health to its inter-sectoral scope, redefinition of objectives and targets within the health sector and garnering support from across the sectors to forester inter-sectoral action particularly with reference to the social determinant of health. The fourth area of reform focuses on generation of evidence around which several priority areas for health systems and policy research have been flagged. The Gateway Paper also underscores the need to develop norms and standards and points to institution mechanisms which need to be created to support the reform process.

Australian tort law reform: statutory principles of causation and the common law.

PubMed

Mendelson, Danuta

2004-05-01

By mid-2004, Parliaments in each Australian jurisdiction will either complete or will be in the process of partial codification of the law of torts. The reforms, including those to the law of negligence, are extensive. This article focuses on codification of the law of causation as an element of the cause of action in negligence. It examines the background to "tort reform", as the process has been labelled, and discusses the common law paradigm of negligence and various approaches to causation. It then analyses and compares the causation provisions in each jurisdiction.

Fuel Cell/Reformers Technology Development

NASA Technical Reports Server (NTRS)

2004-01-01

NASA Glenn Research Center is interested in developing Solid Oxide Fuel Cell for use in aerospace applications. Solid oxide fuel cell requires hydrogen rich feed stream by converting commercial aviation jet fuel in a fuel processing process. The grantee's primary research activities center on designing and constructing a test facility for evaluating injector concepts to provide optimum feeds to fuel processor; collecting and analyzing literature information on fuel processing and desulfurization technologies; establishing industry and academic contacts in related areas; providing technical support to in-house SOFC-based system studies. Fuel processing is a chemical reaction process that requires efficient delivery of reactants to reactor beds for optimum performance, i.e., high conversion efficiency and maximum hydrogen production, and reliable continuous operation. Feed delivery and vaporization quality can be improved by applying NASA's expertise in combustor injector design. A 10 KWe injector rig has been designed, procured, and constructed to provide a tool to employ laser diagnostic capability to evaluate various injector concepts for fuel processing reactor feed delivery application. This injector rig facility is now undergoing mechanical and system check-out with an anticipated actual operation in July 2004. Multiple injector concepts including impinging jet, venturi mixing, discrete jet, will be tested and evaluated with actual fuel mixture compatible with reforming catalyst requirement. Research activities from September 2002 to the closing of this collaborative agreement have been in the following areas: compiling literature information on jet fuel reforming; conducting autothermal reforming catalyst screening; establishing contacts with other government agencies for collaborative research in jet fuel reforming and desulfurization; providing process design basis for the build-up of injector rig facility and individual injector design.

The Political Context of School Finance Reform

ERIC Educational Resources Information Center

Rossmiller, Richard A.; Geske, Terry G.

1976-01-01

Reports the results of a case study of the political decision-making process in Wisconsin through which control over educational finance reform was exercised between January, 1972, and August, 1973. (Author)

Reform, Inequalities of Process and the Transformative Potential of Communities of Practice in the Pre-School Sector of England

ERIC Educational Resources Information Center

Simpson, Donald

2011-01-01

The integration of care and education across pre-school sectors of several European countries is currently a key policy priority. In England this necessitates reform aimed at re-modelling a traditionally hierarchical and divided workforce. Drawing on research with early years professionals, this article explores the micro-politics of reform with a…

Faculty Perspectives on the "3+3+4" Curriculum Reform in Hong Kong: A Case Study

ERIC Educational Resources Information Center

Chan, Cecilia K. Y.; Luk, Lillian Y. Y.

2013-01-01

Curriculum reform in higher education has been taking place in many countries, with much attention paid to many such as the national-level Bologna process in Europe, institutional-level Melbourne Model in Australia and discipline-level Engineering Criteria 2000 (EC2000). This paper gives a detailed account of the reform initiatives taking place in…

Action Research as Professional Development: Its Role in Education Reform in the United Arab Emirates

ERIC Educational Resources Information Center

Hathorn, Conley; Dillon, Anna Marie

2018-01-01

This paper is concerned with exploring the microsystem of teachers' experiences with education reform within the action research (AR) model for professional development (PD). Within the macrosystem of current major education reform in the UAE, it is timely to explore teachers' experiences of AR as PD to improve pedagogy. The process of engaging in…

Voluntary Self-Control: Education Reform as a Governmental Strategy

ERIC Educational Resources Information Center

Pongratz, Ludwig A.

2006-01-01

This paper takes the vigorous political debate unleashed in Germany by the results of the PISA study as a stimulus to take a closer look at the strategic aims and effects of the current education reforms, of which the PISA study is only one example. It shows that the reform measures underpin a powerful process of normalisation. In this context,…

Inside the Black Box of School Reform: Explaining the How and Why of Change at "Getting Results" Schools

ERIC Educational Resources Information Center

McDougall, Dennis; Saunders, William M.; Goldenberg, Claude

2007-01-01

This article reports key findings from a process-focused external evaluation that compared a subset of "Getting Results" project schools and comparison schools in order to understand the dynamics of school-wide reform efforts at these primary schools. Findings shed light on the "black box" of school reform and illuminate the…

Progress and Problems in Reforming Public Language Examinations in Europe: Cameos from the Baltic States, Greece, Hungary, Poland, Slovenia, France and Germany

ERIC Educational Resources Information Center

Eckes, Thomas; Ellis, Melanie; Kalnberzina, Vita; Pizorn, Karmen; Springer, Claude; Szollas, Krisztina; Tsagari, Constance

2005-01-01

Contributions from seven European countries pinpoint major projects, problems, and prospects of reforming public language assessment procedures. Each country has faced unique problems in the reform process, yet there have also been several common themes emerging, such as a focus on multilingualism, communicative skills, standardization, reference…

Implementation of the K-12 Education Reform in Qatar's Schools. Monograph

ERIC Educational Resources Information Center

Zellman, Gail L.; Ryan Gery W.; Karam, Rita; Constant, Louay; Salem, Hanine; Gonzalez, Gabriella; Orr, Nate; Goldman, Charles A.; Al-Thani, Hessa; Al-Obaidli, Kholode

2009-01-01

The leadership of Qatar is greatly invested in its K-12 education reform, "Education for a New Era," because it views education as the key to the nation's economic and social progress. This study, one of a number of RAND studies that trace and document the reform process in Qatar, was designed to assess progress made in the first years…

The Impact of the Bologna Reform on Teacher Education in Germany: An Empirical Case Study on Policy Borrowing in Education

ERIC Educational Resources Information Center

Kuhlee, Dina

2017-01-01

This article investigates aspects of policy transfer and educational borrowing in German higher education in the wake of the Bologna reforms of higher education in Europe. It examines the origins and results of the Bologna reform process in Germany. Focussing on teacher education, it highlights inconsistencies between political legitimation,…

Reform and Practice of the Teaching Content System Based on the Management Course System of PBL

ERIC Educational Resources Information Center

Ao-tian, Peng

2017-01-01

With the development of the social economic conditions, society has a great change to the ability of the business management major students compare with the past, which requires colleges and universities to reform the teaching process. Combined with the relevant requirements of the project of training the talents of management major, we reform the…

Implementing Education Reforms in New Zealand, 1987-97: A Case Study. The Education Reform and Management Series, Vol. 1, No. 1.

ERIC Educational Resources Information Center

Perris, Lyall

In 1987 New Zealand faced multiple economic problems and high unemployment. A flexible and responsive education system was needed to produce the skills, attitudes, and learning required for New Zealand's future. The primary objective was decentralizing authority to school level. This book emphasizes the process of successful reform, rather than…

How Change Does and Does Not Take Place: Innovation and Recurrence in Educational Reform Programs. Final Report.

ERIC Educational Resources Information Center

Rensenbrink, John

This report describes a study that examined the process of educational reform and sought to determine how and why internal changes occur in the evolution of an educational program. The author studied the progress of four educational reforms in the Brunswick-Freeport area of midcoast Maine, including the introduction of significant changes in the…

Strengthening revenue cycle capabilities in an era of reform.

PubMed

Glaser, John

2011-05-01

Strategies that healthcare finance professionals should incorporate to help their organizations respond effectively to payment reforms include: Assessing the organization's ability to capture and share relevant data. Educating themselves, the board of trustees, and the medical staff on pertinent rules as payment reforms are rolled out. Examining inefficiencies related to care processes. Establishing policies and procedures to address "commingled" data.

Quasiperpendicular High Mach Number Shocks

NASA Astrophysics Data System (ADS)

Sulaiman, A. H.; Masters, A.; Dougherty, M. K.; Burgess, D.; Fujimoto, M.; Hospodarsky, G. B.

2015-09-01

Shock waves exist throughout the Universe and are fundamental to understanding the nature of collisionless plasmas. Reformation is a process, driven by microphysics, which typically occurs at high Mach number supercritical shocks. While ongoing studies have investigated this process extensively both theoretically and via simulations, their observations remain few and far between. In this Letter we present a study of very high Mach number shocks in a parameter space that has been poorly explored and we identify reformation using in situ magnetic field observations from the Cassini spacecraft at 10 AU. This has given us an insight into quasiperpendicular shocks across 2 orders of magnitude in Alfvén Mach number (MA ) which could potentially bridge the gap between modest terrestrial shocks and more exotic astrophysical shocks. For the first time, we show evidence for cyclic reformation controlled by specular ion reflection occurring at the predicted time scale of ˜0.3 τc , where τc is the ion gyroperiod. In addition, we experimentally reveal the relationship between reformation and MA and focus on the magnetic structure of such shocks to further show that for the same MA , a reforming shock exhibits stronger magnetic field amplification than a shock that is not reforming.

Biogas reforming over multi walled carbon nanotubes with Co-Mo/MgO nanoparticles

NASA Astrophysics Data System (ADS)

Khavarian, Mehrnoush; Mohamed, Abdul Rahman

2017-12-01

The utilization of biogas for the production of valuable chemicals is among the very important processes in the energy research field. The most suitable process for biogas reforming is dry reforming of methane. An obvious drawback is the variable composition of biogas rather than the stoichiometrically equimolar quantities of methane and carbon dioxide. Moreover, activating the methane and carbon dioxide molecules in the reforming reaction provides many challenges in exploring new concepts and opportunities for development of unique catalysts. In the present work, the catalytic activity behavior of Co-Mo-MgO/multi-walled carbon nanotubes (MWCNTs) nanocomposite in dry reforming was investigated with different CO2/CH4 feed ratio to evaluate the performance of this catalyst for biogas reforming reaction. It was found that conversions of methane and carbon dioxide were greatly influenced by the feed gas ratio. The CH4 and CO2 conversions are 83 % and 87 % at the reaction temperature of 825 °C, GHSV of 175 L/h.gcat and CO2/CH4 feed ratio of unity. The minimum carbon deposition rate is observed at the CO2/CH4 feed ratio of 0.6 which is 0.080 gc/gcat-h.

New anti-rebate legislation in South Korea.

PubMed

Yu, Su-Yeon; Yang, Bong-Min; Kim, Jin-Hyun

2013-08-01

The South Korean Government recently announced a reform in the drug anti-rebate law, with the purpose of eradicating pervasive, unethical, and illegal rebate practices in pharmaceutical marketing. The main objective of this reform is to have the ability to bring criminal charges against doctors and pharmacists for receiving illegal kickbacks from drug companies. Previously, provision of illegal kickbacks by drug companies led to criminal punishment of the drug companies alone, leaving doctors and pharmacists unpunished as the recipients. With the introduction of the "Dual Punishment System (DPS)" reform, criminal punishment for illegal rebates is extended to those receiving illegal kickbacks. Although bitter controversy erupted among stakeholders when the reform was first drafted, a civic group participated in the reform process and effectively influenced the legislative process to a successful end. Some interim outcomes from the DPS in terms of bringing illegal practices to account have already been reported since the policy's implementation in November 2010. The reform background, goals, potential issues, and policy implications are explored in this study with the objective of providing further insight into drug policy for other countries that face similar challenges in the area of drug marketing.

Impact of healthcare reforms on out-of-pocket health expenditures in Turkey for public insurees.

PubMed

Erus, Burcay; Aktakke, Nazli

2012-06-01

The Turkish healthcare system has been subject to major reforms since 2003. During the reform process, access to public healthcare providers was eased and private providers were included in the insurance package for public insurees. This study analyzes data on out-of-pocket (OOP) healthcare expenditures to look into the impact of reforms on the size of OOP health expenditures for premium-based public insurees. The study uses Household Budget Surveys that provide a range of individual- and household-level data as well as healthcare expenditures for the years 2003, before the reforms, and 2006, after the reforms. Results show that with the reforms ratio of households with non-zero OOP expenditure has increased. Share and level of OOP expenditures have decreased. The impact varies across income levels. A semi-parametric analysis shows that wealthier individuals benefited more in terms of the decrease in OOP health expenditures.

Fuels processing for transportation fuel cell systems

NASA Astrophysics Data System (ADS)

Kumar, R.; Ahmed, S.

Fuel cells primarily use hydrogen as the fuel. This hydrogen must be produced from other fuels such as natural gas or methanol. The fuel processor requirements are affected by the fuel to be converted, the type of fuel cell to be supplied, and the fuel cell application. The conventional fuel processing technology has been reexamined to determine how it must be adapted for use in demanding applications such as transportation. The two major fuel conversion processes are steam reforming and partial oxidation reforming. The former is established practice for stationary applications; the latter offers certain advantages for mobile systems and is presently in various stages of development. This paper discusses these fuel processing technologies and the more recent developments for fuel cell systems used in transportation. The need for new materials in fuels processing, particularly in the area of reforming catalysis and hydrogen purification, is discussed.

[Impact of health care reform on human resources and employment management].

PubMed

Brito Quintana, P E

2000-01-01

According to those in charge of health sector reform, human resources are the key component of health sector reform processes and offer health services their greatest competitive advantage. With the help of the Observatory for Human Resources within Health Sector Reform promoted by the Pan American Health Organization and other groups, countries of the Region of the Americas have now begun to gather, in a methodical fashion, tangible evidence of the decisive importance of human resources within health sector reform initiatives and particularly of the impact of these initiatives on health personnel. This mutual influence is the main theme of this article, which explores the most disturbing aspects of health sector reform from a human resources perspective, including job instability and conflicting interests of employers and employees.

The "National Medium- and Long-Term Educational Reform and Development Guideline (2010-20)": Expectations, Strategies, and Significance

ERIC Educational Resources Information Center

Xiaobing, Sun

2012-01-01

This paper starts out by describing the research and drafting processes of the "National Medium- and Long-Term Educational Reform and Development Guideline" (2010-20) (hereafter abbreviated as the "Guideline") and analyzes a series of core concepts that ran through the entire process of researching and drafting the…

Performance Screens for School Improvement: The Case of Teacher Tenure Reform in New York City

ERIC Educational Resources Information Center

Loeb, Susanna; Miller, Luke C.; Wyckoff, James

2015-01-01

Tenure is intended to protect teachers with demonstrated teaching skills against arbitrary or capricious dismissal. Critics of typical tenure processes argue that tenure assessments are superficial and rarely discern whether teachers in fact have the requisite teaching skills. A recent reform of the tenure process in New York City provides an…

Choosing a Model and Types of Models: How To Find What Works for Your School. Research Brief.

ERIC Educational Resources Information Center

Schwartzbeck, Terri Duggan

It is critical for schools and districts engaged in a comprehensive school-reform process to develop a schoolwide or districtwide strategy, one that affects teaching and learning, governance, and professional development. Researchers studying school-reform processes have noted that different types of models suit different schools differently.…

Reforming the University Sector: Effects on Teaching Efficiency--Evidence from Italy

ERIC Educational Resources Information Center

Agasisti, Tommaso; Dal Bianco, Antonio

2009-01-01

In this article, we analyse the effects of teaching reforms in Italy. These were introduced in 1999, and changed the entire organization of university courses, where the Bachelor-Master (BA-MA) structure was adopted. The first step is to define the production process of higher education (HE). This process consists of several inputs (professors,…

Unmanned Maritime Systems Incremental Acquisition Approach

DTIC Science & Technology

2016-12-01

We find that current UMS acquisitions are utilizing previous acquisition reforms, but could benefit from additional contractor peer competition and...peer review. Additional cost and schedule benefits could result from contractor competition during build processes in each incremental process. We...acquisitions are utilizing previous acquisition reforms, but could benefit from additional contractor peer competition and peer review. Additional

The Interpretation and Implementation of the Bologna Process in Serbia

ERIC Educational Resources Information Center

Despotovic, Miomir

2011-01-01

This paper neither attacks nor defends the Bologna Declaration; rather, it attempts a critical assessment of its implementation in Serbia. Review of the available data shows that the higher education system in Serbia is inefficient and in profound need of reform. Analysis of some of the reform processes shows that the Bologna Declaration as a…

Management of reforming of housing-and-communal services

NASA Astrophysics Data System (ADS)

Skripnik, Oksana

2017-10-01

The international experience of reforming of housing and communal services is considered. The main scientific and methodical approaches of system transformation of the housing sphere are analyzed in the article. The main models of reforming are pointed out, interaction of participants of structural change process from the point of view of their commercial and social importance is characterized, advantages and shortcomings are revealed, model elements of the reform transformations from the point of view of the formation of investment appeal, competitiveness, energy efficiency and social importance of the carried-out actions are allocated.

Thermally efficient melting and fuel reforming for glass making

DOEpatents

Chen, M.S.; Painter, C.F.; Pastore, S.P.; Roth, G.S.; Winchester, D.C.

1991-10-15

An integrated process is described for utilizing waste heat from a glass making furnace. The hot off-gas from the furnace is initially partially cooled, then fed to a reformer. In the reformer, the partially cooled off-gas is further cooled against a hydrocarbon which is thus reformed into a synthesis gas, which is then fed into the glass making furnace as a fuel. The further cooled off-gas is then recycled back to absorb the heat from the hot off-gas to perform the initial cooling. 2 figures.

Catalyst and process development for the H/sub 2/ preparation from future fuel cell feedstocks. Quarterly progress report, October 1, 1978-December 31, 1978

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

Yarrington, R M; Feins, I R; Hwang, H S

1979-01-01

The work done under this contract in the last quarter of 1978 was concerned with Phase I, which involved preliminary catalyst and process evaluation. The processes under study are hydrogen assisted steam reforming (HASR), catalytic partial oxidation (CPO), and autothermal steam reforming (ATR). Existing Engelhard test units were modified to carry out preliminary runs using the first two processes. Technical analysis to support work in this area consisted of heat and material balances constrained by equilibrium considerations. In a third task, the steam reforming of methanol to produce hydrogen was studied over two commercial low-temperature shift catalysts. Aging runs indicatedmore » good initial performance on both catalysts, but methanol conversion started to decline after a few hundred hours on stream.« less

The role of strategic health planning processes in the development of health care reform policies: a comparative study of Eritrea, Mozambique and Zimbabwe.

PubMed

Green, Andrew; Collins, Charles; Stefanini, Angelo; Ferrinho, Paulo; Chapman, Glyn; Hagos, Besrat; Adams, Yussuf; Omar, Mayeh

2007-01-01

This paper reports on comparative analysis of health planning and its relationship with health care reform in three countries, Eritrea, Mozambique and Zimbabwe. The research examined strategic planning in each country focusing in particular on its role in developing health sector reforms. The paper analyses the processes for strategic planning, the values that underpin the planning systems, and issues related to resources for planning processes. The resultant content of strategic plans is assessed and not seen to have driven the development of reforms; whilst each country had adopted strategic planning systems, in all three countries a more complex interplay of forces, including influences outside both the health sector and the country, had been critical forces behind the sectoral changes experienced over the previous decade. The key roles of different actors in developing the plans and reforms are also assessed. The paper concludes that a number of different conceptions of strategic planning exist and will depend on the particular context within which the health system is placed. Whilst similarities were discovered between strategic planning systems in the three countries, there are also key differences in terms of formality, timeframes, structures and degrees of inclusiveness. No clear leadership role for strategic planning in terms of health sector reforms was discovered. Planning appears in the three countries to be more operational than strategic. Copyright (c) 2006 John Wiley & Sons, Ltd.

Liquid-Phase Electrical Discharges: Fundamental Mechanisms and Applications

NASA Astrophysics Data System (ADS)

Franclemont, Joshua

The increased demand in alternative energy in recent decades has generated significant interest in cleaner fuel sources including hydrogen and syngas (hydrogen and carbon monoxide). Hydrogen and syngas are both primarily produced through the steam reforming of hydrocarbons, specifically natural gas. Although other processes are known, the cheapest source of these fuels is currently through the heating of natural gas in the presence of steam and a catalyst. However, due to the emissions associated with the steam reforming of natural gas and the lack of low cost, efficient, and reliable onboard hydrogen storage technologies for fuel cell powered vehicles, attention has been focused on plasma-assisted reforming of hydrocarbons. Plasma processes can be implemented onboard and are able to directly reform liquid hydrocarbons and alcohols without external heating or catalysts. In addition to hydrogen and syngas, the plasma-assisted reforming of hydrocarbons and alcohols offers other desirable products such as C2 gases (ethane, ethylene, and acetylene), methanol and ethanol. The primary goal of this study is to investigate the fundamental chemical reactions occurring during plasma-assisted reforming of liquid hydrocarbons and alcohols using streamer-like pulsed electrical discharges. Due to the relatively unexplored field of chemical reactions in liquid plasmas, the focus of this study is on elucidating chemical pathways responsible for the formation of hydrogen, syngas, and other products during the direct reforming of liquid methanol, glycerol, and pentane as model species.

Student-centered and ability training-oriented curriculum reform in teaching Microcontroller Principles and Interface Techniques

NASA Astrophysics Data System (ADS)

Wang, Xiaoping; Cai, Peijun; Liu, Yuling; Wang, Liqiang; Liang, Yiyong

2017-08-01

Courses are an important way of cultivating talents in college education. Advanced training schemes and the course system are implemented through course teaching. Advanced teaching notions and methods also rely on course teaching. Therefore, the quality of course teaching is the fundamental guarantor for grooming talent. The teachers of the course "Microcontroller Principles and Interface Techniques" in the Optical Science and Engineering College of Zhejiang University insist on course teaching becoming student centered and ability-training-oriented. They pay attention to students'all-round development in terms of learning ability, practical ability, innovation ability, and exploring spirit. They actively carried out course reforms in four aspects, namely teaching, learning, evaluation, and experimentation. This paper mainly introduced these reforms. First, the teaching method was reformed by introducing case analysis and the notion of a flipped classroom to shift the course focus from the teacher to the students. Second, the learning method was reformed through the use of techniques such as peer learning and project design to promote students' sense of enquiry and learning initiative. Third, the evaluation method was reformed through the use of process assessment and diversity evaluation to encourage students to develop logical thinking and a down-to-earth manner. Fourth, the experimentation method was reformed by introducing hierarchical content, process management, and diversification of examination to change students'learning attitude from "dependence, passivity, and imitation" to "independence, active involvement, and creation."In general, the teaching method reform promoted reforms in learning, evaluation, and experimentation methods and further improved the style of study. These reforms improved teachers' teaching abilities and enabled course teaching to transform from being teacher centered to student centered. Years of exploration and practice results have shown that such reforms not only effectively inspire students to learn, explore, and practice actively, but also cultivate their creative spirit and courage to face challenges, providing a good platform for theirself-learning and personal growth. The course reforms discussed here have been highly recommended for their reference value.

Stewardship as a Means to Create Organizational Reform: A View into Minnesota 4-H Youth Development

ERIC Educational Resources Information Center

Skuza, Jennifer A.; Freeman, Dorothy M.; Bremseth, Tamara J.; Doering, Shirley A.; Quinlan, Robert B.; Morreim, Patricia A.; Deidrick, James C.

2010-01-01

Minnesota 4-H Youth Development (MN 4-H) used stewardship as a means to create organizational reform to address the public use of the 4-H name and emblem in terms of risk management, real estate and equipment, and finances. A task force implemented a participatory process with colleagues and stakeholders to build and implement the reform effort.…

The Reception of the Educational Decentralization and Curricular Reform among the Hungarian Teachers from Romania

ERIC Educational Resources Information Center

Péter, Lilla

2008-01-01

Choosing of the theme was determined by the Central-Eastern European educational reforms, the role of the educators in the process of changing in the educational system and the enlargement of the social demands towards the schools. The aim of our the research is on the connection between the educational reforms and the educators. Partly, it is due…

From Times of Transition to Adaptation: Background and Theoretical Approach to the Curriculum Reform in Estonia 1987-1996

ERIC Educational Resources Information Center

Rouk, Vadim

2013-01-01

The aim of the paper is to research the important process of the history of the educational development of Estonia, the reform of the national school curriculum which began after the teacher's congress in 1987 and ended in 1996 when government approved the document. That reform was carried out in the context of thoroughgoing and dramatic…

Dry reforming of methane to syngas: a potential alternative process for value added chemicals-a techno-economic perspective.

PubMed

Mondal, Kartick; Sasmal, Sankar; Badgandi, Srikant; Chowdhury, Dipabali Roy; Nair, Vinod

2016-11-01

During the past decade, there has been increasing global concern over the rise of anthropogenic CO 2 emission into the Earth's atmosphere (J Air Waste Manage Assoc 53:645-715, 2003). The utilization of CO 2 to produce any valuable product is need of the hour. The production of syngas from CO 2 and CH 4 seems to be one of the promising alternatives in terms of industrial utilization, as it offers several advantages: (a) mitigation of CO 2 , (b) transformation of natural gas and CO 2 into valuable syngas, and (c) producing syngas with H 2 /CO ratio 1 which may further be used for the production of valuable petrochemicals (J Air Waste Manage Assoc 53:645-715, 2003). A conceptual design for the production of synthesis gas by dry reforming of methane is presented here. An economic assessment of this process with an integrated methanol production section as a case was conceptualized and compared with the conventional steam methane reforming route to produce methanol. The economic study indicated that dry reforming of natural gas/methane is a competitive process with lower operating and capital costs in comparison with steam reforming assuming negligible cost of CO 2 import.

Processing real-world waste plastics by pyrolysis-reforming for hydrogen and high-value carbon nanotubes.

PubMed

Wu, Chunfei; Nahil, Mohamad A; Miskolczi, Norbert; Huang, Jun; Williams, Paul T

2014-01-01

Producing both hydrogen and high-value carbon nanotubes (CNTs) derived from waste plastics is reported here using a pyrolysis-reforming technology comprising a two-stage reaction system, in the presence of steam and a Ni-Mn-Al catalyst. The waste plastics consisted of plastics from a motor oil container (MOC), commercial waste high density polyethylene (HDPE) and regranulated HDPE waste containing polyvinyl chloride (PVC). The results show that hydrogen can be produced from the pyrolysis-reforming process, but also carbon nanotubes are formed on the catalyst. However, the content of 0.3 wt.% polyvinyl chloride in the waste HDPE (HDPE/PVC) has been shown to poison the catalyst and significantly reduce the quantity and purity of CNTs. The presence of sulfur has shown less influence on the production of CNTs in terms of quantity and CNT morphologies. Around 94.4 mmol H2 g(-1) plastic was obtained for the pyrolysis-reforming of HDPE waste in the presence of the Ni-Mn-Al catalyst and steam at a reforming temperature of 800 °C. The addition of steam in the process results in an increase of hydrogen production and reduction of carbon yield; in addition, the defects of CNTs, for example, edge dislocations were found to be increased with the introduction of steam (from Raman analysis).

Analysis of the enablers of capacities to produce primary health care-based reforms in Latin America: a multiple case study

PubMed Central

Báscolo, Ernesto Pablo; Yavich, Natalia; Denis, Jean-Louis

2016-01-01

Abstract Background Primary health care (PHC)-based reforms have had different results in Latin America. Little attention has been paid to the enablers of collective action capacities required to produce a comprehensive PHC approach. Objective To analyse the enablers of collective action capacities to transform health systems towards a comprehensive PHC approach in Latin American PHC-based reforms. Methods We conducted a longitudinal, retrospective case study of three municipal PHC-based reforms in Bolivia and Argentina. We used multiple data sources and methodologies: document review; interviews with policymakers, managers and practitioners; and household and services surveys. We used temporal bracketing to analyse how the dynamic of interaction between the institutional reform process and the collective action characteristics enabled or hindered the enablers of collective action capacities required to produce the envisioned changes. Results The institutional structuring dynamics and collective action capacities were different in each case. In Cochabamba, there was an ‘interrupted’ structuring process that achieved the establishment of a primary level with a selective PHC approach. In Vicente López, there was a ‘path-dependency’ structuring process that permitted the consolidation of a ‘primary care’ approach, but with limited influence in hospitals. In Rosario, there was a ‘dialectic’ structuring process that favoured the development of the capacities needed to consolidate a comprehensive PHC approach that permeates the entire system. Conclusion The institutional change processes achieved the development of a primary health care level with different degrees of consolidation and system-wide influence given how the characteristics of each collective action enabled or hindered the ‘structuring’ processes. PMID:27209640

Equipped for the Future Research Report: Building the Framework, 1993-1997. EFF Technical Report.

ERIC Educational Resources Information Center

Merrifield, Juliet

This report focuses on the research aspects of the Equipped for the Future (EFF) project that works toward system reform for adult literacy and lifelong learning. Section 1 describes the EFF process 1993-97, the impetus for EFF, and approaches to system reform. Section 2 explores the research processes EFF uses to build a framework that could…

The Bologna Process as a Reform Initiative in Higher Education in the Balkan Countries: The Case of Romania

ERIC Educational Resources Information Center

Damian, Radu Mircea

2011-01-01

This paper describes the development of the Bologna process in Romania. The historical context covers the last years of the communist regime through 1989. From 1990 free elections of university leadership, the foundation of private universities and new democratic legislation, and projects for reforming higher education funded by different sources…

Competition, Autonomy and New Thinking: Transformation of Higher Education in Federal Germany

ERIC Educational Resources Information Center

Mayer, Peter; Ziegele, Frank

2009-01-01

Germany has recently gone through a fundamental process of reform of its higher education system. The last 15 years have been characterised by significant changes in virtually all aspects of the system. The impacts of the Bologna Process have been far reaching. The reform of the governance and funding systems in higher education has also been…

Why Do Policy-Makers Adopt Global Education Policies? Toward a Research Framework on the Varying Role of Ideas in Education Reform

ERIC Educational Resources Information Center

Verger, Antoni

2014-01-01

Globalization is profoundly altering the education policy landscape. It introduces new problems in education agendas, compresses time and space in policy processes, and revitalizes the role of a range of supra-national players in educational reform. This deterritorialization of the education policy process has important theoretical and…

Curriculum reform and evolution: Innovative content and processes at one US medical school.

PubMed

Fischel, Janet E; Olvet, Doreen M; Iuli, Richard J; Lu, Wei-Hsin; Chandran, Latha

2018-03-11

Curriculum reform in medical schools continues to be an ever-present and challenging activity in medical education. This paper describes one school's experiences with specific curricular innovations that were developed or adapted and targeted to meet a clear set of curricular goals during the curriculum reform process. Those goals included: (a) promoting active learning and learner engagement; (b) establishing early professional identity; and (c) developing physician competencies in an integrated and contextual manner while allowing for individualized learning experiences for the millennial student. Six specific innovations championed by the school are described in detail. These included Themes in Medical Education, Translational Pillars, Stony Brook Teaching Families, Transition Courses, Educational Continuous Quality Improvement Processes, and our Career Advising Program. Development of the ideas and design of the innovations were done by faculty and student teams. We discuss successes and ongoing challenges with these innovations which are currently in the fourth year of implementation. Our curriculum reform has emphasized the iterative process of curriculum building. Based on our experience, we discuss general and practical guidelines for curriculum innovation in its three phases: setting the stage, implementation, and monitoring for the achievement of intended goals.

Optimization of bio-ethanol autothermal reforming and carbon monoxide removal processes

NASA Astrophysics Data System (ADS)

Markova, D.; Bazbauers, G.; Valters, K.; Alhucema Arias, R.; Weuffen, C.; Rochlitz, L.

Experimental investigation of bio-ethanol autothermal reforming (ATR) and water-gas shift (WGS) processes for hydrogen production and regression analysis of the data is performed in the study. The main goal was to obtain regression relations between the most critical dependent variables such as hydrogen, carbon monoxide and methane content in the reformate gas and independent factors such as air-to-fuel ratio (λ), steam-to-carbon ratio (S/C), inlet temperature of reactants into reforming process (T ATRin), pressure (p) and temperature (T ATR) in the ATR reactor from the experimental data. Purpose of the regression models is to provide optimum values of the process factors that give the maximum amount of hydrogen. The experimental ATR system consisted of an evaporator, an ATR reactor and a one-stage WGS reactor. Empirical relations between hydrogen, carbon monoxide, methane content and the controlling parameters downstream of the ATR reactor are shown in the work. The optimization results show that within the considered range of the process factors the maximum hydrogen concentration of 42 dry vol. % and yield of 3.8 mol mol -1 of ethanol downstream of the ATR reactor can be achieved at S/C = 2.5, λ = 0.20-0.23, p = 0.4 bar, T ATRin = 230 °C, T ATR = 640 °C.

Catalytic EGR-Loop Reforming for High Efficiency in a Stoichiometric SI Engine through TCR and Dilution Limit Extension. 1. Catalyst Performance and Fuel Effects

DOE PAGES

Chang, Yan; Szybist, James P.; Pihl, Josh A.; ...

2017-12-19

The use of fuel reformate from catalytic processes is known to have beneficial effects on the spark-ignited (SI) combustion process through enhanced dilution tolerance and decreased combustion duration, but in many cases reformate generation can incur a significant fuel penalty. Here, in this two-part investigation, we demonstrate that efficient catalytic fuel reforming can result in improved brake engine efficiency while maintaining stoichiometric exhaust under the right conditions. In part one of this investigation, we used a combination of thermodynamic equilibrium calculations and experimental fuel catalytic reforming measurements on an engine to characterize the best possible reforming performance and energetics overmore » a range of equivalence ratios and O 2 concentrations. Ideally, one might expect the highest levels of thermochemical recuperation for the highest catalyst equivalence ratios. However, reforming under these conditions is highly endothermic, and the available enthalpy for reforming is constrained. Thus for relatively high equivalence ratios, more methane and less H 2 and CO are produced. Our experiments revealed that this suppression of H 2 and CO could be countered by adding small amounts of O 2, yielding as much as 15 vol % H 2 at the catalyst outlet for 4 < Φ catalyst < 7 under quasi-steady-state conditions. Under these conditions the H 2 and CO yields were highest and there was significant water consumption, confirming the presence of steam reforming reactions. Analyses of the experimental catalyst measurements indicated the possibility of both endothermic and exothermic reaction stages and global reaction rates sufficient to enable the utilization of higher space velocities than those employed in our experiments. Finally, in a companion paper detailing part two of this investigation, we present results for the engine dilution tolerance and brake engine efficiency impacts of the reforming levels achieved.« less

Catalytic EGR-Loop Reforming for High Efficiency in a Stoichiometric SI Engine through TCR and Dilution Limit Extension. 1. Catalyst Performance and Fuel Effects

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

Chang, Yan; Szybist, James P.; Pihl, Josh A.

The use of fuel reformate from catalytic processes is known to have beneficial effects on the spark-ignited (SI) combustion process through enhanced dilution tolerance and decreased combustion duration, but in many cases reformate generation can incur a significant fuel penalty. Here, in this two-part investigation, we demonstrate that efficient catalytic fuel reforming can result in improved brake engine efficiency while maintaining stoichiometric exhaust under the right conditions. In part one of this investigation, we used a combination of thermodynamic equilibrium calculations and experimental fuel catalytic reforming measurements on an engine to characterize the best possible reforming performance and energetics overmore » a range of equivalence ratios and O 2 concentrations. Ideally, one might expect the highest levels of thermochemical recuperation for the highest catalyst equivalence ratios. However, reforming under these conditions is highly endothermic, and the available enthalpy for reforming is constrained. Thus for relatively high equivalence ratios, more methane and less H 2 and CO are produced. Our experiments revealed that this suppression of H 2 and CO could be countered by adding small amounts of O 2, yielding as much as 15 vol % H 2 at the catalyst outlet for 4 < Φ catalyst < 7 under quasi-steady-state conditions. Under these conditions the H 2 and CO yields were highest and there was significant water consumption, confirming the presence of steam reforming reactions. Analyses of the experimental catalyst measurements indicated the possibility of both endothermic and exothermic reaction stages and global reaction rates sufficient to enable the utilization of higher space velocities than those employed in our experiments. Finally, in a companion paper detailing part two of this investigation, we present results for the engine dilution tolerance and brake engine efficiency impacts of the reforming levels achieved.« less

Evaluation of thermodynamically favourable operating conditions for production of hydrogen in three different reforming technologies

NASA Astrophysics Data System (ADS)

Seo, Y.-S.; Shirley, A.; Kolaczkowski, S. T.

With the aid of thermodynamic analysis using AspenPlus™, the characteristics of three different types of reforming process are investigated. These include: steam-methane reforming (SMR), partial oxidation (POX) and autothermal reforming (ATR). Thereby, favourable operating conditions are identified for each process. The optimum steam-to-carbon (S:C) ratio of the SMR reactor is found to be 1.9. The optimum air ratio of the POX reactor is 0.3 at a preheat temperature of 312 °C. The optimum air ratio and S:C ratio of the ATR reactor are 0.29 and 0.35, respectively at a preheat temperature of 400 °C. Simulated material and energy balances show that the CH 4 flow rates required to generate 1 mol s -1 of hydrogen are 0.364 mol s -1 for POX, 0.367 mol s -1 for ATR and 0.385 mol s -1 for the SMR. These results demonstrate that the POX reforming system has the lowest energy cost to produce the same amount of hydrogen from CH 4.

[Health reform in Ecuador: never again the right to health as a privilege].

PubMed

Malo-Serrano, Miguel; Malo-Corral, Nicolás

2014-01-01

The process of the health reform being experienced by Ecuador has had significant achievements because it occurs within the framework of a new Constitution of the Republic, which allowed the incorporation of historical social demands that arose from the criticism of neoliberalism in the restructure and modernization of the state. The backbone of the reform consists of three components: organization of a National Health System that overcomes the previous fragmentation and constitutes the Integral Public Health Network; development of policies to strengthen primary health care, articulating actions on the determinants of health, and finally, increasing funding to consolidate these changes. We conclude that challenges to the reform are related to the sustainability of the processes, financial sustainability of the system, greater activation of participatory mechanisms that enable citizen assessment of services and citizen empowerment regarding their right to health.

Advanced waste management technology evaluation

NASA Technical Reports Server (NTRS)

Couch, H.; Birbara, P.

1996-01-01

The purpose of this program is to evaluate the feasibility of steam reforming spacecraft wastes into simple recyclable inorganic salts, carbon dioxide and water. Model waste compounds included cellulose, urea, methionine, Igapon TC-42, and high density polyethylenes. These are compounds found in urine, feces, hygiene water, etc. The gasification and steam reforming process used the addition of heat and low quantities of oxygen to oxidize and reduce the model compounds.The studied reactions were aimed at recovery of inorganic residues that can be recycled into a closed biologic system. Results indicate that even at very low concentrations of oxygen (less than 3%) the formation of a carbonaceous residue was suppressed. The use of a nickel/cobalt reforming catalyst at reaction temperature of 1600 degrees yielded an efficient destruction of the organic effluents, including methane and ammonia. Additionally, the reforming process with nickel/cobalt catalyst diminished the noxious odors associated with butyric acid, methionine and plastics.

The Role of Vocational Education and Training in Transition Countries: The Case of Central and Eastern Europe and the New Independent States.

ERIC Educational Resources Information Center

European Training Foundation, Turin (Italy).

The vocational education and training (VET) reforms currently under way in Central and Eastern Europe and the New Independent States are distinguished by the breadth, range, depth, and speed of the reforms proposed or already initiated. The European Union has assisted the reform process through its Phare and Tacis programs. The following have been…

The Human Dimension of Systemic Department-Level Change: A Change Agent's Retrospective on a Case of Reform

ERIC Educational Resources Information Center

Vanasupa, Linda

2011-01-01

This paper represents a narrative of the process of department-level reform through the eyes of the initiating agent of change. Over the course of reform, our program has grown by 40%, primarily through retaining students. We exhibit a 10% net important rate of engineering students in the first two years of the curriculum relative to the college's…

A numerical analysis of heat and mass transfer during the steam reforming process of ethane

NASA Astrophysics Data System (ADS)

Tomiczek, Marcin; Kaczmarczyk, Robert; Mozdzierz, Marcin; Brus, Grzegorz

2017-11-01

This paper presents a numerical analysis of heat and mass transfer during the steam reforming of ethane. From a chemical point of view, the reforming process of heavy hydrocarbons, such as ethane, is complex. One of the main issue is a set of undesired chemical reactions that causes the deposition of solid carbon and consequently blocks the catalytic property of a reactor. In the literature a carbon deposition regime is selected by thermodynamical analysis to design safe operation conditions. In the case of Computational Fluid Dynamic (CFD, hereafter) models each control volume should be investigated to determinate if carbon deposition is thermodynamically favourable. In this paper the authors combine equilibrium and kinetics analysis to simulate the steam reforming of methane-ethane rich fuel. The results of the computations were juxtaposed with experimental data for methane steam reforming, and good agreement was found. An analysis based on the kinetics of reactions was conducted to predict the influence of temperature drop and non-equilibrium composition on solid carbon deposition. It was found that strong non-uniform temperature distribution in the reactor causes conditions favourable for carbon deposition at the inlet of the reformer. It was shown that equilibrium calculations, often used in the literature, are insufficient.

Administrative reform in the Venezuelan Ministry of Education: A case analysis of the 1970's

NASA Astrophysics Data System (ADS)

Hanson, E. Mark

1984-06-01

Democracy arrived in Venezuela in 1958, and reforming the rigid, centralized and unrepresentative institutions of government subsequently assumed a high priority. This article, based on data gathered in Venezuela several times over a twelve-year period by means of a standard field research methodology, represents a longitudinal case study of efforts through the 70's to generate administrative reform in the Ministry of Education. Specifically, the reform proposed to decentralize and regionalize the organization and management of education in order to promote regional socio-economic development. The study describes and discusses political and organizational factors which disrupted and frustrated the reform process, including: (1) lack of political continuity and maturity; (2) lack of appropriate structures within the system and of real desire on the part of ministry officials to initiate an effective delegation of powers and responsibilities; (3) lack of adequate mechanisms for gathering, processing and distributing information; and (4) lack of sufficient personnel within the ministry with the training and sustained experience to manage complex programs. As in many other countries, the ideals of the reform in Venezuela outstripped the political and human realities of the situation there. Comparative research is now needed to enable other nations to learn from this experience.

[Governance and health: the rise of the managerialism in public sector reform].

PubMed

Denis, Jean L; Lamothe, Lise; Langley, Ann; Stéphane, Guérard

2010-01-01

The article examines various healthcare systems reform projects in Canada and some Canadian provinces and reveals some tendencies in governance renewal. The analisis is based on the hypothesis that reform is an exercise aiming at the renewal of governance conception and practices. In renewing governance, reform leaders hope to use adequate and effective levers to attain announced reform objectives. The article shows that the conceptions and operational modalities of governance have changed over time and that they reveal tensions inherent to the transformation and legitimation process of public healthcare systems. The first section discusses the relationships between reform and change. The second section defines the conception of gouvernance used for the analisis. Based on a content analisis of the various reform reports, the third section reveals the evolution of the conception of governance in healthcare systems in Canada. In order to expose the new tendencies, ideologies and operational principles at the heart of the reform projects are analysed. Five ideologies are identified: the democratic ideology, the "population health" ideology, the business ideology, the managerial ideology and the ideology of equity and humanism. This leads to a discussion on the dominant influence of the managerial ideology in the current reform projects.

Working on reform. How workers' compensation medical care is affected by health care reform.

PubMed

Himmelstein, J; Rest, K

1996-01-01

The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies?

Executive summary: value-based purchasing and technology assessment in orthopaedics.

PubMed

Ranawat, Anil S; Nunley, Ryan; Bozic, Kevin

2009-10-01

As US healthcare expenditures continue to rise, reform has shifted from spending controls to value-based purchasing. This paradigm shift is a drastic change on how health care is delivered and reimbursed. For the shift to work, policymakers and physicians must restructure the present system by using initiatives such as process reengineering, insurance and payment reforms, physician reeducation, data and quality measurements, and technology assessments. Value, as defined in economic terms, will be a critical concept in modern healthcare reform. We summarize the conclusions of this ABJS Carl T. Brighton Workshop on healthcare reform.

Ethics committees in New Zealand.

PubMed

Gillett, Grant; Douglass, Alison

2012-12-01

The ethical review of research in New Zealand after the Cartwright Report of 1988 produced a major change in safeguards for and empowerment of participants in health care research. Several reforms since then have streamlined some processes but also seriously weakened some of the existing safeguards. The latest reforms, against the advice of various ethics bodies and the New Zealand Law Society, further reduced and attenuated the role of ethics committees so that New Zealand has moved from being a world leader in ethical review processes to there being serious doubt whether it is in conformity to international Conventions and codes. The latest round of reforms, seemingly driven by narrow economic aspirations, anecdote and innuendo, have occurred without any clear evidence of dysfunction in the system nor any plans for the resourcing required to improve quality of ethical review or to audit the process. It is of serious concern both to ethicists and medical lawyers in New Zealand that such hasty and poorly researched changes should have been made which threaten the hard-won gains of the Cartwright reforms.

The monopolistic integrated model and health care reform: the Swedish experience.

PubMed

Anell, A

1996-07-01

This article reviews recent reforms geared to creating internal markets in the Swedish health-care sector. The main purpose is to describe driving forces behind reforms, and to analyse the limitations of reforms oriented towards internal markets within a monopolistic integrated health-care model. The principal part of the article is devoted to a discussion of incentives within Swedish county councils, and of how these incentives have influenced reforms in the direction of more choices for consumers and a separation between purchasers and providers. It is argued that the current incentives, in combination with criticism against county council activities in the early 1990's, account for the present inconsistencies as regards reforms. Furthermore, the article maintains that a weak form of separation between purchasers and providers will lead to distorted incentives, restricting innovative behaviour and structural change. In conclusion, the process of reforming the Swedish monopolistic integrated health-care model in the direction of some form of internal market is said to rest on shaky ground.

Examining the Role of Leadership in an Undergraduate Biology Institutional Reform Initiative.

PubMed

Matz, Rebecca L; Jardeleza, Sarah E

Undergraduate science, technology, engineering, and mathematics (STEM) education reform continues to be a national priority. We studied a reform process in undergraduate biology at a research-intensive university to explore what leadership issues arose in implementation of the initiative when characterized with a descriptive case study method. The data were drawn from transcripts of meetings that occurred over the first 2 years of the reform process. Two literature-based models of change were used as lenses through which to view the data. We find that easing the burden of an undergraduate education reform initiative on faculty through articulating clear outcomes, developing shared vision across stakeholders on how to achieve those outcomes, providing appropriate reward systems, and ensuring faculty have ample opportunity to influence the initiative all appear to increase the success of reform. The two literature-based models were assessed, and an extended model of change is presented that moves from change in STEM instructional strategies to STEM organizational change strategies. These lessons may be transferable to other institutions engaging in education reform. © 2016 R. L. Matz and S. E. Jardeleza. CBE—Life Sciences Education © 2016 The American Society for Cell Biology. This article is distributed by The American Society for Cell Biology under license from the author(s). It is available to the public under an Attribution–Noncommercial–Share Alike 3.0 Unported Creative Commons License (http://creativecommons.org/licenses/by-nc-sa/3.0).

Higher Education Reform in Germany: How the Aims of the Bologna Process Can Be Simultaneously Supported and Missed

ERIC Educational Resources Information Center

Winkel, Olaf

2010-01-01

Purpose: The purpose of this paper is to provide information about the current reform of higher education in Germany, which can be described as German reading of the Bologna process, about the problems and deficits occurring in this area, and about ways to correct unwelcome developments. Design/methodology/approach: The paper starts with a review…

Job satisfaction of village doctors during the new healthcare reforms in China.

PubMed

Zhang, Xiaoyan; Fang, Pengqian

2016-04-01

Objective China launched new healthcare reforms in 2009 and several policies targeted village clinics, which affected village doctors' income, training and duties. The aim of the present study was to assess village doctors' job satisfaction during the reforms and to explore factors affecting job satisfaction. Methods Using a stratified multistage cluster sampling process, 935 village doctors in Jiangxi Province were surveyed with a self-administered questionnaire that collected demographic information and contained a job satisfaction scale and questions regarding their work situation and individual perceptions of the new healthcare reforms. Descriptive analysis, Pearson's Chi-squared test and binary logistic regression were used to identify village doctors' job satisfaction and the factors associated with their job satisfaction. Results Only 12.72% of village doctors were either satisfied or very satisfied with their jobs and the top three items leading to dissatisfaction were pay and the amount of work that had to be done, opportunities for job promotion and work conditions. Marriage, income, intention to leave, satisfaction with learning and training, social status, relationship with patients and satisfaction with the new healthcare reforms were significantly associated with job satisfaction (P<0.05). Conclusions China is facing critical challenges with regard to village doctors because of their low job satisfaction. For future healthcare reforms, policy makers should pay more attention to appropriate remuneration and approaches that incentivise village doctors to achieve the goals of the health reforms. What is known about the topic? Village doctors act as gatekeepers at the bottom tier of the rural health system. However, the policies of the new healthcare reform initiatives in China were centred on improving the quality of care delivered to the rural population and reducing fast-growing medical costs. There have been limited studies on village doctors' reactions to these reforms. What does this paper add? The findings of the present study indicate that in the process of implementing the new healthcare reforms, village doctors' overall job satisfaction is low and most respondents are dissatisfied with the reforms. The factors affecting job satisfaction include income, training, social status, relationship with patients and satisfaction with the reforms. What are the implications for practitioners? Health reform policy makers should ensure village doctors feel appropriately remunerated and are motivated while aiming to reduce the financial burden on patients. The views of stakeholders (i.e. patients and village doctors) should be considered when designing future health reforms.

The Political Economy of India’s Economic Reforms: Three Periods from 1947-2016

DTIC Science & Technology

2016-06-01

eventual adoption of free- market principles in 1991 under Narsimha Rao’s leadership. What drove Indian economic policy decisions from independence to...three different eras of Indian economic policy, this one is characterized by a gradual shift toward free- market principles . Economic reforms, which...Margaret Thatcher in India: reform was a very pragmatic process.”126 There were no leaders in India who championed free- market economic principles

P-16: The Last Education Reform. Book One: Reflections on School Restructuring and the Establishment of Local Preschool through College Compacts

ERIC Educational Resources Information Center

Rochford, Joseph A.; O'Neill, Adrienne; Gelb, Adele; Ross, Kimberly J.

2005-01-01

The first in a series of three books on P-16 systems of education, P-16: The Last Education Reform chronicles the establishment of Ohio's first regional P-16 Compact and how one community began the process of large scale systemic education reform not just for K-12 education, but for its entire education system--preschool through college and…

Moderate Expectations: Barriers to Access and Complete Higher Education in Tajikistan: Listening to Stakeholders' Voices during the University Entrance Exam Reform. Report No: AUS7057

ERIC Educational Resources Information Center

Safir, Abla

2015-01-01

With the adoption of sweeping changes in the governance of university admission, namely the implementation of the university entrance exam (UEE) in July 2014, and with broader reforms supported by the World Bank. The UEE reform improves governance in only one step, if a key one, in the long process to access and complete higher education: this…

Statistical validation and an empirical model of hydrogen production enhancement found by utilizing passive flow disturbance in the steam-reformation process

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

Erickson, Paul A.; Liao, Chang-hsien

2007-11-15

A passive flow disturbance has been proven to enhance the conversion of fuel in a methanol-steam reformer. This study presents a statistical validation of the experiment based on a standard 2{sup k} factorial experiment design and the resulting empirical model of the enhanced hydrogen producing process. A factorial experiment design was used to statistically analyze the effects and interactions of various input factors in the experiment. Three input factors, including the number of flow disturbers, catalyst size, and reactant flow rate were investigated for their effects on the fuel conversion in the steam-reformation process. Based on the experimental results, anmore » empirical model was developed and further evaluated with an uncertainty analysis and interior point data. (author)« less

THE EFFECT OF SULFUR ON METHANE PARTIAL OXIDATION AND REFORMING PROCESSES FOR LEAN NOX TRAP CATALYSIS

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

Parks, II, James E; Ponnusamy, Senthil

2006-01-01

Lean NOx trap catalysis has demonstrated the ability to reduce NOx emissions from lean natural gas reciprocating engines by >90%. The technology operates in a cyclic fashion where NOx is trapped on the catalyst during lean operation and released and reduced to N2 under rich exhaust conditions; the rich cleansing operation of the cycle is referred to as "regeneration" since the catalyst is reactivated for more NOx trapping after NOx purge. Creating the rich exhaust conditions for regeneration can be accomplished by catalytic partial oxidation of methane in the exhaust system. Furthermore, catalytic reforming of partial oxidation exhaust can enablemore » increased quantities of H2 which is an excellent reductant for lean NOx trap regeneration. It is critical to maintain clean and efficient partial oxidation and reforming processes to keep the lean NOx trap functioning properly and to reduce extra fuel consumption from the regeneration process. Although most exhaust constituents do not impede partial oxidation and reforming, some exhaust constituents may negatively affect the catalysts and result in loss of catalytic efficiency. Of particular concern are common catalyst poisons sulfur, zinc, and phosphorous. These poisons form in the exhaust through combustion of fuel and oil, and although they are present at low concentrations, they can accumulate to significant levels over the life of an engine system. In the work presented here, the effects of sulfur on the partial oxidation and reforming catalytic processes were studied to determine any durability limitations on the production of reductants for lean NOx trap catalyst regeneration.« less

One Teacher's Identity, Emotions, and Commitment to Change: A Case Study into the Cognitive-Affective Processes of a Secondary School Teacher in the Context of Reforms

ERIC Educational Resources Information Center

van Veen, Klaas; Sleegers, Peter; van de Ven, Piet-Hein

2005-01-01

This paper presents a cognitive social-psychological theoretical framework on emotions, derived from Richard Lazarus, to understand how teachers' identity can be affected in a context of reforms. The emphasis of this approach is on the cognitive-affective processes of individual teachers, enabling us to gain a detailed understanding of what…

Blueprint for Acquisition Reform, Version 3.0

DTIC Science & Technology

2008-07-01

represents a substantial and immediate step forward in establishing the Coast Guard as a model mid-sized federal agency for acquisition processes...Blueprint for Acquisition Reform in the U. S. Coast Guard “The Coast Guard must become the model for mid-sized Federal agency acquisition in process...acquisition (DoD 5000 model >CG Major Systems Acquisition Manual) • Deepwater Program Executive Officer (PEO): System of Systems performance-based

Proposing evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings: a summative analysis

PubMed Central

Manyazewal, Tsegahun; Oosthuizen, Martha J; Matlakala, Mokgadi C

2016-01-01

Objectives Many resource-limited countries have adopted and implemented healthcare reform to improve the quality of healthcare, but few have had much impact and strategies in support of these efforts remain limited. We aimed to explore and propose evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings. Design Descriptive and exploratory designs in two phases. Phase I involved assessing the effectiveness of the healthcare reform implemented in Ethiopia in the form of business process reengineering, with evidence compiled from healthcare professionals through a self-administered questionnaire; and phase II involved proposing strategies and seeking consensus from experts using Delphi method. Setting Public hospitals in central Ethiopia. Participants 406 healthcare professionals and 10 senior health policy experts. Findings The healthcare reform that we evaluated was able to restructure hospital departments into case teams, with the goal of adopting a ‘one-stop shopping’ approach. However, shortages of critical infrastructure, furniture and supplies and job dissatisfaction continued to hamper the system. The most important predictors that influenced implementation of the reform were financial resources, top management commitment and support, collaborative working environment and information technology (IT). Five strategies with 14 operational objectives and 67 potential interventions that could strengthen the reform are proposed based on their strategic priority, which are as follows: reinforce patient-centred quality of care services; foster a healthy and respectful workforce environment; efficient and accountable leadership and governance; efficient use of hospital financing and maximise innovations and the use of health technologies. Conclusions Effective implementation of healthcare reform remained a challenge for governments in resource-limited settings. Resilient operational, clinical and governance functions of health systems, as well as a motivated and committed health workforce, are important to move healthcare reform processes forward. Political commitments at this juncture might be critical though there need to be a clear demarcation between political and technical engagements. PMID:27650769

National standards in science education: Teacher perceptions regarding utilization

NASA Astrophysics Data System (ADS)

Fletcher, Carol Louise Parsons

The purpose of this naturalistic study was to determine what factors most influence middle school science teachers' intentions to utilize or ignore national standards, as a toot for reform in their classrooms, schools, or districts. Results indicate. that teachers with. minimal training were unlikely to use national standards documents due to their perceptions of a lack of support from peers, administrators and a high-stakes state accountability system. Teachers with more extensive training were more inclined to use national standards documents as philosophical guides for reform because they believed in the validity of the recommendations. Implications are discussed, chief among them that short-term professional development may actually do more harm than good if teachers retain or develop unexamined misconceptions about national standards recommendations as a result. In addition, due to the concerns expressed by teachers regarding state curriculum mandates and standardized testing, this study indicates that changes in these external factors must be instituted before teachers will commit themselves to standards-based reforms. It is suggested that staff development focus on opportunities for reflection and application which will promote conceptual change in teachers. A model predicated on the notion that the process of implementing reform is essentially an issue of promoting conceptual change in teachers is proposed. This model, termed the Reform Implementation as Conceptual Change, or RICC, focuses specifically on the cognitive processes teachers may go through when they are exposed to an innovation such as national standards. Stages such as integrated application, accommodation, assimilation, disconnection, and false accommodation, are described. The impact that professional development and training may have on the likelihood that teachers will experience these various stages is also discussed. This model serves as a theoretical framework for explaining why some teachers are unlikely to embrace national standards while others choose to utilize them as a tool for reforming science education in their classrooms, schools, or districts. As such, it can be used by reformers to design and diagnostically evaluate the implementation process and its related staff development.

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

A miniature fuel reformer system for portable power sources

NASA Astrophysics Data System (ADS)

Dolanc, Gregor; Belavič, Darko; Hrovat, Marko; Hočevar, Stanko; Pohar, Andrej; Petrovčič, Janko; Musizza, Bojan

2014-12-01

A miniature methanol reformer system has been designed and built to technology readiness level exceeding a laboratory prototype. It is intended to feed fuel cells with electric power up to 100 W and contains a complete setup of the technological elements: catalytic reforming and PROX reactors, a combustor, evaporators, actuation and sensing elements, and a control unit. The system is engineered not only for performance and quality of the reformate, but also for its lightweight and compact design, seamless integration of elements, low internal electric consumption, and safety. In the paper, the design of the system is presented by focussing on its miniaturisation, integration, and process control.

Two Roads to School Finance Reform

ERIC Educational Resources Information Center

Berke, Joel S.; And Others

1976-01-01

Research on legislative and electoral consideration of school finance reforms identifies three important elements; the art of compromise, the fiscal context, and political leadership. Adoption of new school finance formulas is far more likely through the legislative process than through a referendum. (Author/AM)

Crabs in a bucket: the politics of health care reform in California.

PubMed

Bergthold, L

1984-01-01

In 1982 the state of California adopted a package of legislation collectively known as "the Medi-Cal reform." This article examines the background of this reform, the process through which it was adopted by the state legislature, and its effects on the various interests involved. In particular, the article focuses on the alteration of power relationships occasioned by the emergence of business interests as an active force in the formulation of health policy.

Catalytic Reforming of Oxygenates: State of the Art and Future Prospects.

PubMed

Li, Di; Li, Xinyu; Gong, Jinlong

2016-10-12

This Review describes recent advances in the design, synthesis, reactivity, selectivity, structural, and electronic properties of the catalysts for reforming of a variety of oxygenates (e.g., from simple monoalcohols to higher polyols, then to sugars, phenols, and finally complicated mixtures like bio-oil). A comprehensive exploration of the structure-activity relationship in catalytic reforming of oxygenates is carried out, assisted by state-of-the-art characterization techniques and computational tools. Critical emphasis has been given on the mechanisms of these heterogeneous-catalyzed reactions and especially on the nature of the active catalytic sites and reaction pathways. Similarities and differences (reaction mechanisms, design and synthesis of catalysts, as well as catalytic systems) in the reforming process of these oxygenates will also be discussed. A critical overview is then provided regarding the challenges and opportunities for research in this area with a focus on the roles that systems of heterogeneous catalysis, reaction engineering, and materials science can play in the near future. This Review aims to present insights into the intrinsic mechanism involved in catalytic reforming and provides guidance to the development of novel catalysts and processes for the efficient utilization of oxygenates for energy and environmental purposes.

From instinct to evidence: the role of data in country decision-making in Chile.

PubMed

Aguilera, Ximena Paz; Espinosa-Marty, Consuelo; Castillo-Laborde, Carla; Gonzalez, Claudia

2016-01-01

The Chilean health system has undergone profound reforms since 1990, while going through many political upheavals, and faced demographic, health, and economic transformations. The full information requirements to develop an evidence-informed process implied the best possible use of available data, as well as efforts for improving the information systems. To examine, from a historical perspective, the use of data during the health reforms undertaken in Chile since 1990, and to identify the factors that have determined its utilization and improvement. A qualitative methodological approach was followed to review the case study of the Chilean experience with data on decision-making. We use as the primary source our first-hand experience as officials of the Ministry of Health (MOH) and the Ministry of Finance during the reform period considered. Second, a literature review was conducted, using documents from official sources, historical accounts, books, policy reports, and articles about the reform process, looking for the use of data. The Chilean health care reform process was intensive in utilization and production of information. In this context, the MOH conducted several studies, from the burden of disease, efficacy of interventions, cost-effectiveness, out-of-pocket payments, and fiscal impact to social preferences, among others. Policy and prioritization frameworks developed by international agencies influenced the use of data and the studies' agenda. Health systems in Latin America have struggled to adapt to changing health needs caused by demographic transition and economic growth. Health reforms in Chile provide lessons of this sustained effort, based on data and scientific grounds, with lights and shadows. Tradition, receptiveness to foreign ideas, and benchmarking with international data determined this approach, facilitated by the political influence of physicians and other technocrats. Besides, internationally comparable statistics are shown to play a significant role in policy debate.

Evaluation of health care system reform in Hubei Province, China.

PubMed

Sang, Shuping; Wang, Zhenkun; Yu, Chuanhua

2014-02-21

This study established a set of indicators for and evaluated the effects of health care system reform in Hubei Province (China) from 2009 to 2011 with the purpose of providing guidance to policy-makers regarding health care system reform. The resulting indicators are based on the "Result Chain" logic model and include the following four domains: Inputs and Processes, Outputs, Outcomes and Impact. Health care system reform was evaluated using the weighted TOPSIS and weighted Rank Sum Ratio methods. Ultimately, the study established a set of indicators including four grade-1 indicators, 16 grade-2 indicators and 76 grade-3 indicators. The effects of the reforms increased year by year from 2009 to 2011 in Hubei Province. The health status of urban and rural populations and the accessibility, equity and quality of health services in Hubei Province were improved after the reforms. This sub-national case can be considered an example of a useful approach to the evaluation of the effects of health care system reform, one that could potentially be applied in other provinces or nationally.

Educational reform and the public: Two case studies of Poland and Saskatchewan (Canada)

NASA Astrophysics Data System (ADS)

Kaproń, Danuta; Stephan, Werner

1991-09-01

The involvement of the public in educational reform processes in modern democratic societies primarily serves the purpose of politically legitimizing the reform agenda. This study examines the rationales implicitly or explicitly submitted to the public to explain why educational reforms in the two countries should be endorsed. Although differences in the political culture caution against a hasty comparison of the two case studies, a number of politico-economic similarities allow for a valid juxtaposition. In Poland the context of socio-political and economic renewal prompted the reformers to emphasize the human-capital model which heightened public awareness and participation in the debate surrounding the reform. Public involvement in Saskatchewan was negatively affected for mainly two reasons. First, the government evidently manipulated public input by various means and thereby appears to have predetermined the outcome. Second, the rationale for the reform, based on a free-market model, tightened the linkage between the needs of the labour market and the mandate of the schools. As a result, public interest and participation was greatly diminished.

Steam Hydrocarbon Cracking and Reforming

ERIC Educational Resources Information Center

Golombok, Michael

2004-01-01

The interactive methods of steam hydrocarbon reforming and cracking of the oil and chemical industries are scrutinized, with special focus on their resemblance and variations. The two methods are illustrations of equilibrium-controlled and kinetically-controlled processes, the analysis of which involves theories, which overlap and balance each…

Organizational Culture in a Mexican School: Lessons for Reform.

ERIC Educational Resources Information Center

Davila, Anabella; Willower, donald J.

1996-01-01

Discusses a study of a Mexican Roman Catholic high school's organizational culture, highlighting findings concerning school reform and improvement processes. The school stressed community and featured activities and values promoting student commitment to learning. Religion reinforced the school's "hidden curriculum" of good conduct and…

Applying a Cognitive-Affective Model of Conceptual Change to Professional Development

NASA Astrophysics Data System (ADS)

Ebert, Ellen K.; Crippen, Kent J.

2010-04-01

This study evaluated Gregoire’s (2003) Cognitive-Affective Conceptual Change model (CAMCC) for predicting and assessing conceptual change in science teachers engaged in a long-term professional development project set in a large school district in the southwestern United States. A multiple case study method with data from three teacher participants was used to understand the process of integrating and applying a reform message of inquiry based science teaching. Data sources included: responses to example teaching scenarios, reflective essays, lesson plans, classroom observations, and action research projects. Findings show that the CAMCC functioned well in predicting how these teachers made decisions that impacted how they processed the reform message. When the reform message was communicated in such a way as to initiate stress appraisal, conceptual change occurred, producing changes in classroom practice. If the reform message did not initiate stress appraisal, teachers rejected the professional development message and developed heuristic responses. In order to further research and improve practice, propositions for assessments related to the CAMCC are provided.

Comparison of Iron and Tungsten Based Oxygen Carriers for Hydrogen Production Using Chemical Looping Reforming

NASA Astrophysics Data System (ADS)

Khan, M. N.; Shamim, T.

2017-08-01

Hydrogen production by using a three reactor chemical looping reforming (TRCLR) technology is an innovative and attractive process. Fossil fuels such as methane are the feedstocks used. This process is similar to a conventional steam-methane reforming but occurs in three steps utilizing an oxygen carrier. As the oxygen carrier plays an important role, its selection should be done carefully. In this study, two oxygen carrier materials of base metal iron (Fe) and tungsten (W) are analysed using a thermodynamic model of a three reactor chemical looping reforming plant in Aspen plus. The results indicate that iron oxide has moderate oxygen carrying capacity and is cheaper since it is abundantly available. In terms of hydrogen production efficiency, tungsten oxide gives 4% better efficiency than iron oxide. While in terms of electrical power efficiency, iron oxide gives 4.6% better results than tungsten oxide. Overall, a TRCLR system with iron oxide is 2.6% more efficient and is cost effective than the TRCLR system with tungsten oxide.

Thermo-electrochemical production of compressed hydrogen from methane with near-zero energy loss

NASA Astrophysics Data System (ADS)

Malerød-Fjeld, Harald; Clark, Daniel; Yuste-Tirados, Irene; Zanón, Raquel; Catalán-Martinez, David; Beeaff, Dustin; Morejudo, Selene H.; Vestre, Per K.; Norby, Truls; Haugsrud, Reidar; Serra, José M.; Kjølseth, Christian

2017-11-01

Conventional production of hydrogen requires large industrial plants to minimize energy losses and capital costs associated with steam reforming, water-gas shift, product separation and compression. Here we present a protonic membrane reformer (PMR) that produces high-purity hydrogen from steam methane reforming in a single-stage process with near-zero energy loss. We use a BaZrO3-based proton-conducting electrolyte deposited as a dense film on a porous Ni composite electrode with dual function as a reforming catalyst. At 800 °C, we achieve full methane conversion by removing 99% of the formed hydrogen, which is simultaneously compressed electrochemically up to 50 bar. A thermally balanced operation regime is achieved by coupling several thermo-chemical processes. Modelling of a small-scale (10 kg H2 day-1) hydrogen plant reveals an overall energy efficiency of >87%. The results suggest that future declining electricity prices could make PMRs a competitive alternative for industrial-scale hydrogen plants integrating CO2 capture.

Production of hydrogen from biomass by catalytic steam reforming of fast pyrolysis oil

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

Czernik, S.; Wang, D.; Chornet, E.

1998-08-01

Hydrogen is the prototype of the environmentally cleanest fuel of interest for power generation using fuel cells and for transportation. The thermochemical conversion of biomass to hydrogen can be carried out through two distinct strategies: (a) gasification followed by water-gas shift conversion, and (b) catalytic steam reforming of specific fractions derived from fast pyrolysis and aqueous/steam processes of biomass. This paper presents the latter route that begins with fast pyrolysis of biomass to produce bio-oil. This oil (as a whole or its selected fractions) can be converted to hydrogen via catalytic steam reforming followed by a water-gas shift conversion step.more » Such a process has been demonstrated at the bench scale using model compounds, poplar oil aqueous fraction, and the whole pyrolysis oil with commercial Ni-based steam reforming catalysts. Hydrogen yields as high as 85% have been obtained. Catalyst initial activity can be recovered through regeneration cycles by steam or CO{sub 2} gasification of carbonaceous deposits.« less

Coupling of a 2.5 kW steam reformer with a 1 kW el PEM fuel cell

NASA Astrophysics Data System (ADS)

Mathiak, J.; Heinzel, A.; Roes, J.; Kalk, Th.; Kraus, H.; Brandt, H.

The University of Duisburg-Essen has developed a compact multi-fuel steam reformer suitable for natural gas, propane and butane. This steam reformer was combined with a polymer electrolyte membrane fuel cell (PEM FC) and a system test of the process chain was performed. The fuel processor comprises a prereformer step, a primary reformer, water gas shift reactors, a steam generator, internal heat exchangers in order to achieve an optimised heat integration and an external burner for heat supply as well as a preferential oxidation step (PROX) as CO purification. The fuel processor is designed to deliver a thermal hydrogen power output from 500 W to 2.5 kW. The PEM fuel cell stack provides about 1 kW electrical power. In the following paper experimental results of measurements of the single components PEM fuel cell and fuel processor as well as results of the coupling of both to form a process chain are presented.

Presidents and health reform: from Franklin D. Roosevelt to Barack Obama.

PubMed

Morone, James A

2010-06-01

The health care reforms that President Barack Obama signed into law in March 2010 were seventy-five years in the making. Since Franklin D. Roosevelt, U.S. presidents have struggled to enact national health care reform; most failed. This article explores the highly charged political landscape in which Obama maneuvered and the skills he brought to bear. It contrasts his accomplishments with the experiences of his Oval Office predecessors. Going forward, implementation poses formidable challenges for Democrats, Republicans, and the political process itself.

Production of hydrogen, liquid fuels, and chemicals from catalytic processing of bio-oils

DOEpatents

Huber, George W; Vispute, Tushar P; Routray, Kamalakanta

2014-06-03

Disclosed herein is a method of generating hydrogen from a bio-oil, comprising hydrogenating a water-soluble fraction of the bio-oil with hydrogen in the presence of a hydrogenation catalyst, and reforming the water-soluble fraction by aqueous-phase reforming in the presence of a reforming catalyst, wherein hydrogen is generated by the reforming, and the amount of hydrogen generated is greater than that consumed by the hydrogenating. The method can further comprise hydrocracking or hydrotreating a lignin fraction of the bio-oil with hydrogen in the presence of a hydrocracking catalyst wherein the lignin fraction of bio-oil is obtained as a water-insoluble fraction from aqueous extraction of bio-oil. The hydrogen used in the hydrogenating and in the hydrocracking or hydrotreating can be generated by reforming the water-soluble fraction of bio-oil.

Multiple Aims in the Development of a Major Reform of the National Curriculum for Science in England

NASA Astrophysics Data System (ADS)

Ryder, Jim; Banner, Indira

2011-03-01

In the context of a major reform of the school science curriculum for 14-16-year-olds in England, we examine the aims ascribed to the reform, the stakeholders involved, and the roles of differing values and authority in its development. This reform includes an emphasis on socioscientific issues and the nature of science; curriculum trends of international relevance. Our analysis identifies largely 'instrumental' aims, with little emphasis on 'intrinsic' aims and associated values. We identify five broad categories of stakeholders focusing on different aims with, for example, a social, individual, political, or economic emphasis. We suggest that curriculum development projects reflecting largely social and individual aims were appropriated by other stakeholders to serve political and economic aims. We argue that a curriculum reform body representing all stakeholder interests is needed to ensure that multiple aims are considered throughout the curriculum reform process. Within such a body, the differentiated character of the science teaching community would need to be represented.

Internal reforming of methane in solid oxide fuel cell systems

NASA Astrophysics Data System (ADS)

Peters, R.; Dahl, R.; Klüttgen, U.; Palm, C.; Stolten, D.

Internal reforming is an attractive option offering a significant cost reduction, higher efficiencies and faster load response of a solid oxide fuel cell (SOFC) power plant. However, complete internal reforming may lead to several problems which can be avoided with partial pre-reforming of natural gas. In order to achieve high total plant efficiency associated with low energy consumption and low investment costs, a process concept has been developed based on all the components of the SOFC system. In the case of anode gas recycling an internal steam circuit exists. This has the advantage that there is no need for an external steam generator and the steam concentration in the anode gas is reduced. However, anode gas recycling has to be proven by experiments in a pre-reformer and for internal reforming. The addition of carbon dioxide clearly shows a decrease in catalyst activity, while for temperatures higher than 1000 K hydrogen leads to an increase of the measured methane conversion rates.

Questioning the "big assumptions". Part II: recognizing organizational contradictions that impede institutional change.

PubMed

Bowe, Constance M; Lahey, Lisa; Kegan, Robert; Armstrong, Elizabeth

2003-08-01

Well-designed medical curriculum reforms can fall short of their primary objectives during implementation when unanticipated or unaddressed organizational resistance surfaces. This typically occurs if the agents for change ignore faculty concerns during the planning stage or when the provision of essential institutional safeguards to support new behaviors are neglected. Disappointing outcomes in curriculum reforms then result in the perpetuation of or reversion to the status quo despite the loftiest of goals. Institutional resistance to change, much like that observed during personal development, does not necessarily indicate a communal lack of commitment to the organization's newly stated goals. It may reflect the existence of competing organizational objectives that must be addressed before substantive advances in a new direction can be accomplished. The authors describe how the Big Assumptions process (see previous article) was adapted and applied at the institutional level during a school of medicine's curriculum reform. Reform leaders encouraged faculty participants to articulate their reservations about considered changes to provided insights into the organization's competing commitments. The line of discussion provided an opportunity for faculty to appreciate the gridlock that existed until appropriate test of the school's long held Big Assumptions could be conducted. The Big Assumptions process proved useful in moving faculty groups to recognize and questions the validity of unchallenged institutional beliefs that were likely to undermine efforts toward change. The process also allowed the organization to put essential institutional safeguards in place that ultimately insured that substantive reforms could be sustained.

Plasma catalytic reforming of methane

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

Bromberg, L.; Cohn, D.R.; Rabinovich, A.

1998-08-01

Thermal plasma technology can be efficiently used in the production of hydrogen and hydrogen-rich gases from methane and a variety of fuels. This paper describes progress in plasma reforming experiments and calculations of high temperature conversion of methane using heterogeneous processes. The thermal plasma is a highly energetic state of matter that is characterized by extremely high temperatures (several thousand degrees Celsius) and high degree of dissociation and substantial degree of ionization. The high temperatures accelerate the reactions involved in the reforming process. Hydrogen-rich gas (50% H{sub 2}, 17% CO and 33% N{sub 2}, for partial oxidation/water shifting) can bemore » efficiently made in compact plasma reformers. Experiments have been carried out in a small device (2--3 kW) and without the use of efficient heat regeneration. For partial oxidation/water shifting, it was determined that the specific energy consumption in the plasma reforming processes is 16 MJ/kg H{sub 2} with high conversion efficiencies. Larger plasmatrons, better reactor thermal insulation, efficient heat regeneration and improved plasma catalysis could also play a major role in specific energy consumption reduction and increasing the methane conversion. A system has been demonstrated for hydrogen production with low CO content ({approximately} 1.5%) with power densities of {approximately} 30 kW (H{sub 2} HHV)/liter of reactor, or {approximately} 10 m{sup 3}/hr H{sub 2} per liter of reactor. Power density should further increase with increased power and improved design.« less

Design and Operation of the Synthesis Gas Generator System for Reformed Propane and Glycerin Combustion

NASA Astrophysics Data System (ADS)

Pickett, Derek Kyle

Due to an increased interest in sustainable energy, biodiesel has become much more widely used in the last several years. Glycerin, one major waste component in biodiesel production, can be converted into a hydrogen rich synthesis gas to be used in an engine generator to recover energy from the biodiesel production process. This thesis contains information detailing the production, testing, and analysis of a unique synthesis generator rig at the University of Kansas. Chapter 2 gives a complete background of all major components, as well as how they are operated. In addition to component descriptions, methods for operating the system on pure propane, reformed propane, reformed glycerin along with the methodology of data acquisition is described. This chapter will serve as a complete operating manual for future students to continue research on the project. Chapter 3 details the literature review that was completed to better understand fuel reforming of propane and glycerin. This chapter also describes the numerical model produced to estimate the species produced during reformation activities. The model was applied to propane reformation in a proof of concept and calibration test before moving to glycerin reformation and its subsequent combustion. Chapter 4 first describes the efforts to apply the numerical model to glycerin using the calibration tools from propane reformation. It then discusses catalytic material preparation and glycerin reformation tests. Gas chromatography analysis of the reformer effluent was completed to compare to theoretical values from the numerical model. Finally, combustion of reformed glycerin was completed for power generation. Tests were completed to compare emissions from syngas combustion and propane combustion.

Reflections on Educational Reform in Cuba.

ERIC Educational Resources Information Center

Lindahl, Ronald A.

1998-01-01

Reviews Cuban educational reforms, highlighting 1959, 1976, and 1980s initiatives. Compares Cuba's progress with John Kotter's eight-step process based on establishing a sense of urgency, creating a guiding coalition, developing and communicating the change vision, empowering broad-based action, generating short-term wins, consolidating gains, and…

Strategic Planning for Educational Reform and Improvement.

ERIC Educational Resources Information Center

D'Amico, Joseph J.

1988-01-01

Defines strategic planning, outlines its key elements and activities, and summarizes the difficulties of applying a top-down, profit-driven process to education. Explains Strategic Planning for Educational Reform and Improvement (SPERI), a set of manageable, concise procedures for top school administrators. Describes SPERI applications in an…

Preferences for School Finance Systems: Voters versus Judges.

ERIC Educational Resources Information Center

Campbell, Colin D.; Fischel, William A.

1996-01-01

A theory that urges judges to decide that locally financed school systems are unconstitutional holds that courts must implement reforms because the legislative process is dominated by property-rich communities. However, the defeat of a New Hampshire gubernatorial candidate who advocated such reforms contradicts the theory. (JOW)

Chapter 3: Design of the Saber-Tooth Project.

ERIC Educational Resources Information Center

Ward, Phillip

1999-01-01

Used data from interviews, surveys, and document analysis to describe the methods and reform processes of the Saber Tooth Project, examining selection of sites; demographics (school sites, teachers, data sources, and project assumptions); and project phases (development, planning, implementation, and support). The project's method of reform was…

Knowledge Regimes and Contradictions in Education Reforms

ERIC Educational Resources Information Center

Aasen, Petter; Prøitz, Tine Sophie; Sandberg, Nina

2014-01-01

The article outlines a theoretical framework for understanding education policy and education reforms based on the concept of knowledge regimes. The concept refers to understandings and definitions of governance and procedural aspects, manners of governing and curriculum issues, thus it comprises contents, structures, and processes of education…

Towards a New Cartography of Curriculum Reform: Reflections on Educational Decentralization in Argentina.

ERIC Educational Resources Information Center

Dussel, Ines; Tiramonti, Guillermina; Birgin, Alejandra

2000-01-01

States that educational reforms in Argentina have reshaped both school knowledge and institutional patterns of school administration. Analyzes the process of "curriculum reterritorialization" in Argentina, the contradictions and displacements it produces, and the hybrid products that result. Traces reterritorialization through four…

Technology and Reform-Based Science Education

ERIC Educational Resources Information Center

Dani, Danielle E.; Koenig, Kathleen M.

2008-01-01

Current reforms in science education call for the integration of digital technologies into science teaching, advocating that students learn science content and processes through technology. In this article, we provide practical examples, situated within the literature, of how digital technologies can be used to support the development and…

Reviewing an Economics Curriculum in the Context of University-Wide Reforms.

ERIC Educational Resources Information Center

Smith, Vardaman R.; And Others

1992-01-01

Reviews the process and method used by the department of economics at James Madison University in developing a coherent and substantive curriculum review within the broader context of university general education reforms. Considers departmental objectives for student outcomes, assessment methods, operational definitions, strategies for…

Health policy in Denmark: leaving the decentralized welfare path?

PubMed

Vrangbaek, Karsten; Christiansen, Terkel

2005-01-01

In this article, we investigate developments in Danish health care policy. After a short presentation of its historical roots, we focus on the decades after the administrative reform of 1970, which shaped the current decentralized public health care system. Theories of path dependency and institutional inertia are used to explain the relative stability in the overall structure, and theories of policy process and reform are used to discuss gradual changes within the overall framework. Although comprehensive reforms have not taken place in Denmark, many gradual changes may pave the way for more radical changes in the future. The political climate currently seems to be more favorable toward structural reform than in the past.

Health care reforms.

PubMed

Marušič, Dorjan; Prevolnik Rupel, Valentina

2016-09-01

In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process. Despite all debates and experiences, it is impossible to clearly define the best approach to tackle health care reform due to a different configuration of governance structure, political will and state of the economy in a country.

Achieving and Sustaining Universal Health Coverage: Fiscal Reform of the National Health Insurance in Taiwan.

PubMed

Lan, Jesse Yu-Chen

2017-12-01

The paper discusses the expansion of the universal health coverage (UHC) in Taiwan through the establishment of National Health Insurance (NHI), and the fiscal crisis it caused. Two key questions are addressed: How did the NHI gradually achieve universal coverage, and yet cause Taiwanese health spending to escalate to fiscal crisis? What measures have been taken to reform the NHI finance and achieve moderate success to date? The main argument of this paper is that the Taiwanese Government did try to implement various reforms to save costs and had moderate success, but the path-dependent process of reform does not allow increasing contribution rates significantly and thereby makes sustainability challenging.

Reforming primary healthcare: from public policy to organizational change.

PubMed

Gilbert, Frédéric; Denis, Jean-Louis; Lamothe, Lise; Beaulieu, Marie-Dominique; D'amour, Danielle; Goudreau, Johanne

2015-01-01

Governments everywhere are implementing reform to improve primary care. However, the existence of a high degree of professional autonomy makes large-scale change difficult to achieve. The purpose of this paper is to elucidate the change dynamics and the involvement of professionals in a primary healthcare reform initiative carried out in the Canadian province of Quebec. An empirical approach was used to investigate change processes from the inception of a public policy to the execution of changes in professional practices. The data were analysed from a multi-level, combined contextualist-processual perspective. Results are based on a longitudinal multiple-case study of five family medicine groups, which was informed by over 100 interviews, questionnaires, and documentary analysis. The results illustrate the multiple processes observed with the introduction of planned large-scale change in primary care services. The analysis of change content revealed that similar post-change states concealed variations between groups in the scale of their respective changes. The analysis also demonstrated more precisely how change evolved through the introduction of "intermediate change" and how cycles of prescribed and emergent mechanisms distinctively drove change process and change content, from the emergence of the public policy to the change in primary care service delivery. This research was conducted among a limited number of early policy adopters. However, given the international interest in turning to the medical profession to improve primary care, the results offer avenues for both policy development and implementation. The findings offer practical insights for those studying and managing large-scale transformations. They provide a better understanding of how deliberate reforms coexist with professional autonomy through an intertwining of change content and processes. This research is one of few studies to examine a primary care reform from emergence to implementation using a longitudinal multi-level design.

Steam reforming of commercial ultra-low sulphur diesel

NASA Astrophysics Data System (ADS)

Boon, Jurriaan; van Dijk, Eric; de Munck, Sander; van den Brink, Ruud

Two main routes for small-scale diesel steam reforming exist: low-temperature pre-reforming followed by well-established methane steam reforming on the one hand and direct steam reforming on the other hand. Tests with commercial catalysts and commercially obtained diesel fuels are presented for both processes. The fuels contained up to 6.5 ppmw sulphur and up to 4.5 vol.% of biomass-derived fatty acid methyl ester (FAME). Pre-reforming sulphur-free diesel at around 475 °C has been tested with a commercial nickel catalyst for 118 h without observing catalyst deactivation, at steam-to-carbon ratios as low as 2.6. Direct steam reforming at temperatures up to 800 °C has been tested with a commercial precious metal catalyst for a total of 1190 h with two catalyst batches at steam-to-carbon ratios as low as 2.5. Deactivation was neither observed with lower steam-to-carbon ratios nor for increasing sulphur concentration. The importance of good fuel evaporation and mixing for correct testing of catalysts is illustrated. Diesel containing biodiesel components resulted in poor spray quality, hence poor mixing and evaporation upstream, eventually causing decreasing catalyst performance. The feasibility of direct high temperature steam reforming of commercial low-sulphur diesel has been demonstrated.

Working on reform. How workers' compensation medical care is affected by health care reform.

PubMed Central

Himmelstein, J; Rest, K

1996-01-01

The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies? Images p13-a p14-a p15-a p16-a p18-a p19-a p20-a p22-a p24-a PMID:8610187

Utilization of heat from High Temperature Reactors (HTR) for dry reforming of methane

NASA Astrophysics Data System (ADS)

Jastrząb, Krzysztof

2018-01-01

One of the methods for utilization of waste carbon dioxide consists in reaction of methane with carbon dioxide, referred to as dry reforming of methane. It is an intensely endothermic catalytic process that takes place at the temperature above 700°C. Reaction of methane with carbon dioxide leads to formation of synthesis gas (syngas) that is a valuable chemical raw material. The energy that is necessary for the process to take place can be sourced from High Temperature Nuclear Reactors (HTR). The completed studies comprises a series of thermodynamic calculations and made it possible to establish optimum conditions for the process and demand for energy from HTR units. The dry reforming of methane needs also a catalytic agent with appropriate activity, therefore the hydrotalcite catalyser with admixture of cerium and nickel, developed at AGH University of Technology seems to be a promising solution. Thus, the researchers from the Institute for Chemical Processing of Coal (IChPW) in Zabrze have developed a methodology for production of the powdery hydrotalcite catalyser and investigated catalytic properties of the granulate obtained. The completed experiments confirmed that the new catalyser demonstrated high activity and is suitable for the process of methane dry reforming. In addition, optimum parameters of the were process (800°C, CO2:CH4 = 3:1) were established as well. Implementation of the technology in question into industrial practice, combined with utilization of HTR heat can be a promising method for management of waste carbon dioxide and may eventually lead to mitigation of the greenhouse effect.

Medical revalidation as professional regulatory reform: Challenging the power of enforceable trust in the United Kingdom.

PubMed

Spendlove, Zoey

2018-05-01

For more than two decades, international healthcare crises and ensuing political debates have led to increasing professional governance and regulatory policy reform. Governance and policy reforms, commonly representing a shift from embodied trust in professionals to state enforceable trust, have challenged professional power and self-regulatory privileges. However, controversy remains as to whether such policies do actually shift the balance of power and what the resulting effects of policy introduction would be. This paper explores the roll-out and operationalisation of revalidation as medical regulatory reform within a United Kingdom National Health Service hospital from 2012 to 2013, and its impact upon professional power. Revalidation policy was subject to the existing governance and management structures of the organisation, resulting in the formal policy process being shaped at the local level. This paper explores how the disorganised nature of the organisation hindered rather than facilitated robust processes of professional governance and regulation, fostering formalistic rather than genuine professional engagement with the policy process. Formalistic engagement seemingly assisted the medical profession in retaining self-regulatory privileges whilst maintaining professional power over the policy process. The paper concludes by challenging the concept of state enforceable trust and the theorisation that professional groups are effectively regulated and controlled by means of national and organisational objectives, such as revalidation. Copyright © 2018 Elsevier Ltd. All rights reserved.

Healthy Competition and Unsound Comparison: Reforming Educational Competition in Singapore

ERIC Educational Resources Information Center

Christensen, Søren

2015-01-01

It is frequently claimed that the "competition state" responds to external competition by making competition increasingly central to its internal processes as well. This article discusses education reform in Singapore as departing from the opposite position. In Singapore "excessive" competition in education is now targeted by…

International Perspectives on Educational Reform and Policy Implementation.

ERIC Educational Resources Information Center

Carter, David S. G., Ed.; O'Neill, Marnie H., Ed.

This book focuses on educational change processes in the context of larger scale educational reform. The first of 2 volumes, the book contains 11 chapters that examine the historical, social, and economic forces at work in the formulation and implementation of educational policy. The chapters present different cross-cultural experiences of…

Continuity and Coherence in the Science Curriculum.

ERIC Educational Resources Information Center

James, E. O.

1988-01-01

Exposes concerns related to physics in the period of mandatory education levels. Discussed are primary science, the transition from primary to secondary, content and process, double award GSCE science, science and technology, and reform of GCE advanced level. Argues toward a reappraisal of the mechanism for curricular reform. (CW)

Impact of Comprehensive School Reform on Social Capital and Pedagogical Change

ERIC Educational Resources Information Center

Uekawa, Kazuaki; Aladjem, Daniel K.; Zhang, Yu

2006-01-01

We evaluated the role that social capital among teachers plays in affecting teacher pedagogy in the context of comprehensive school reform (CSR). CSR implementation was designed to change school- and classroom-level processes, including organization and governance, curriculum and instruction, professional development (PD), and parental…

On the Reform of Russian Education

ERIC Educational Resources Information Center

Mironov, V. V.

2013-01-01

The "modernization" of Russian education is linked to the functioning of the entire social system of Russia, and reforms are proving difficult and contradictory. The use of the Unified State Examination in Russia, plus participation in the Bologna process, is causing concern about the ability of education to meet the needs of the…

The Irrational Science of Educational Reform.

ERIC Educational Resources Information Center

Gordon, Rick

This paper discusses the problems encountered in applying rational and participatory models to school reform and presents an alternative model based on action research. The group processes of a school-improvement team (SIT) at a high school are examined. Data were collected through participant observation, interviews with three faculty members,…

New Public Management in Educational Reform in Norway

ERIC Educational Resources Information Center

Solhaug, Trond

2011-01-01

The article focuses on the similarities and differences in using new public management (NPM) administrative arrangements in educational policy as they have been presented in the educational reform process carried out this millennium by two governments in Norway: the Centre-Conservative government and the current Red-Green coalition government.…

The Rhetoric of Policy Formation in Cordoba Education Reform

ERIC Educational Resources Information Center

Olmos, Liliana Esther

2009-01-01

The purpose of this study is to explore education policies formation during two administrations (1983-1998) in the province of Cordoba, Argentina through the comparison of policy documents. The profound connections of the social, cultural, economic, and educational processes impact of Argentina's educational reforms during the last two decades of…

Home-School Relationships: A School Management Perspective

ERIC Educational Resources Information Center

Stringer, Patricia; Hourani, Rida Blaik

2013-01-01

Abu Dhabi, United Arab Emirates (UAE) is in the process of initiating major education reform designed to improve schools. Parental involvement in support of student learning ranks high on the reform agenda. This study explores managerial aspects of implementing home-school relationships in seven primary Public Private Partnership (PPP) schools in…

Curriculum Model for Optometry: Outcomes of the Process.

ERIC Educational Resources Information Center

Berman, Morris S.

1994-01-01

A national conference of colleges of optometry focused on planning for optometric curricular reform and faculty development. Issues addressed included changes needed to meet entry-level professional needs, available resources, changes in optometry practice, and optometry's role in health care reform. Task forces worked together to develop a…

Evidence of technetium and iodine release from a sodalite-bearing ceramic waste form

DOE PAGES

Neeway, James J.; Qafoku, Nikolla P.; Williams, Benjamin D.; ...

2015-12-31

We proposed sodalites as a possible host of certain radioactive species, specifically 99Tc and 129I, which may be encapsulated into the cage structure of the mineral. To demonstrate the ability of this framework silicate mineral to encapsulate and immobilize 99Tc and 129I, single-pass flow-through (SPFT) tests were conducted on a sodalite-bearing multi-phase ceramic waste form produced through a steam reforming process. We produced two samples made using a steam reformer samples using nonradioactive I and Re (as a surrogate for Tc), while a third sample was produced using actual radioactive tank waste containing Tc and added Re. One of themore » non-radioactive samples was produced with an engineering-scale steam reformer while the other non-radioactive sample and the radioactive sample were produced using a bench-scale steam reformer. For all three steam reformer products, the similar steady-state dilute-solution release rates for Re, I, and Tc at pH (25 C) 9 and 40 C were measured. However, it was found that the Re, I, and Tc releases were equal or up to 4.5x higher compared to the release rates of the network-forming elements, Na, Al, and Si. Moreover, the similar releases of Re and Tc in the SPFT test, and the similar time-dependent shapes of the release curves for samples containing I, suggest that Re, Tc, and I partition to the sodalite minerals during the steam reforming process.« less

Exploration on practice teaching reform of Photoelectric Image Processing course under applied transformation

NASA Astrophysics Data System (ADS)

Cao, Binfang; Li, Xiaoqin; Liu, Changqing; Li, Jianqi

2017-08-01

With the further applied transformation of local colleges, teachers are urgently needed to make corresponding changes in the teaching content and methods from different courses. The article discusses practice teaching reform of the Photoelectric Image Processing course in the Optoelectronic Information Science and Engineering major. The Digital Signal Processing (DSP） platform is introduced to the experimental teaching. It will mobilize and inspire students and also enhance their learning motivation and innovation through specific examples. The course via teaching practice process has become the most popular course among students, which will further drive students' enthusiasm and confidence to participate in all kinds of electronic competitions.

Conceptual framework of public health surveillance and action and its application in health sector reform.

PubMed

McNabb, Scott J N; Chungong, Stella; Ryan, Mike; Wuhib, Tadesse; Nsubuga, Peter; Alemu, Wondi; Carande-Kulis, Vilma; Rodier, Guenael

2002-01-01

Because both public health surveillance and action are crucial, the authors initiated meetings at regional and national levels to assess and reform surveillance and action systems. These meetings emphasized improved epidemic preparedness, epidemic response, and highlighted standardized assessment and reform. To standardize assessments, the authors designed a conceptual framework for surveillance and action that categorized the framework into eight core and four support activities, measured with indicators. In application, country-level reformers measure both the presence and performance of the six core activities comprising public health surveillance (detection, registration, reporting, confirmation, analyses, and feedback) and acute (epidemic-type) and planned (management-type) responses composing the two core activities of public health action. Four support activities - communications, supervision, training, and resource provision - enable these eight core processes. National, multiple systems can then be concurrently assessed at each level for effectiveness, technical efficiency, and cost. This approach permits a cost analysis, highlights areas amenable to integration, and provides focused intervention. The final public health model becomes a district-focused, action-oriented integration of core and support activities with enhanced effectiveness, technical efficiency, and cost savings. This reform approach leads to sustained capacity development by an empowerment strategy defined as facilitated, process-oriented action steps transforming staff and the system.

Efficiency gain of solid oxide fuel cell systems by using anode offgas recycle - Results for a small scale propane driven unit

NASA Astrophysics Data System (ADS)

Dietrich, Ralph-Uwe; Oelze, Jana; Lindermeir, Andreas; Spitta, Christian; Steffen, Michael; Küster, Torben; Chen, Shaofei; Schlitzberger, Christian; Leithner, Reinhard

The transfer of high electrical efficiencies of solid oxide fuel cells (SOFC) into praxis requires appropriate system concepts. One option is the anode-offgas recycling (AOGR) approach, which is based on the integration of waste heat using the principle of a chemical heat pump. The AOGR concept allows a combined steam- and dry-reforming of hydrocarbon fuel using the fuel cell products steam and carbon dioxide. SOFC fuel gas of higher quantity and quality results. In combination with internal reuse of waste heat the system efficiency increases compared to the usual path of partial oxidation (POX). The demonstration of the AOGR concept with a 300 Wel-SOFC stack running on propane required: a combined reformer/burner-reactor operating in POX (start-up) and AOGR modus; a hotgas-injector for anode-offgas recycling to the reformer; a dynamic process model; a multi-variable process controller; full system operation for experimental proof of the efficiency gain. Experimental results proof an efficiency gain of 18 percentage points (η·POX = 23%, η·AOGR = 41%) under idealized lab conditions. Nevertheless, further improvements of injector performance, stack fuel utilization and additional reduction of reformer reformer O/C ratio and system pressure drop are required to bring this approach into self-sustaining operation.

[Assessing the impact of health sector reform in Costa Rica through a quasi-experimental study].

PubMed

Bixby, Luis Rosero

2004-02-01

To assess the impact of health sector reform in Costa Rica on that country's child and adult mortality rates and on the people's access to primary health care. Health sector reform was initiated in Costa Rica in 1995 in some districts, but in others reforms were adopted later. This made it possible to perform a time series analysis, using a quasi-experimental study design, in which observations were made annually from 1985 through 2001 for each of the 420 districts that existed in Costa Rica in 1984. The time series were divided into three periods that allowed all districts to be grouped into three categories (pioneer, intermediate, and late) according to the year when they first implemented health sector reform: 1995-1996; 1997-2000; and 2001 or after, respectively. For each of these periods, mortality rates were broken down by cause (communicable, socially-determined, or chronic disease), sex, and age group. The status of the reform process in a particular district was described by two indicators: (1) the presence or absence of health sector reform during a given period and, wherever such reforms had been adopted, (2) the number of years that had transpired since their adoption. Eight variables were used to control for confounders. Vital statistics and demographic data were obtained from the National Institute for Statistics and Census' [Centro Nacional de Estadística y Censos] electronic database. Poisson multiple regression analysis with fixed effects was used to estimate the impact of reform on child and adult mortality from different causes. Assessment of the population's access to primary care before and after the reform was based on the percentage of people who lived within a 4 km radius of a health facility that offered patient visiting hours two or more days a week. This information came from a previous study that used census data from 2000 and geographic information systems to map health care facilities throughout the country. Multiple regression showed that the reform was associated with an overall 8% reduction in deaths among children and with a 2% reduction in deaths among adults, both statistically significant. Also noted were a 14% reduction in deaths from communicable diseases or from conditions brought on by the presence of infectious processes, a 0% reduction in deaths from socially-determined causes, and a 2% reduction in deaths from chronic diseases. An estimated 120 child lives and 350 adult lives were saved by the reform in 2001 alone. Also, the percentage of people without equitable access to primary health services dropped by 15% between 1994 and 2000 in areas where health sector reform was implemented in 1995-1996, whereas areas that had not yet initiated health sector reform in 2000 experienced only a 3% reduction. Health sector reform significantly reduced mortality in Costa Rica and put an end to a decade of stagnation, as shown by certain health indicators, such as life expectancy. Equity in access to primary care improved considerably, perhaps because the first reforms were implemented in less developed areas of the country.

Study of Hydrogen Production Method using Latent Heat of Liquefied Natural Gas

NASA Astrophysics Data System (ADS)

Ogawa, Masaru; Seki, Tatsuyoshi; Honda, Hiroshi; Nakamura, Motomu; Takatani, Yoshiaki

In recent years, Fuel Cell Electrical Vehicle is expected to improve urban environment. Particularly a hydrogen fuel type FCEV expected for urban use, because its excellent characters such as short startup time, high responsibility and zero emission. On the other hand, as far as hydrogen production is concerned, large amount of CO2 is exhausted into the atmosphere by the process of LNG reforming. In our research, we studied the utilization of LNG latent heat for hydrogen gas production process as well as liquefied hydrogen process. Furthermore, CO2---Capturing as liquid state or solid state from hydrogen gas production process by LNG is also studied. Results of research shows that LNG latent heat is very effect to cool hydrogen gas for conventional hydrogen liquefied process. However, the LNG latent heat is not available for LNG reforming process. If we want to use LNG latent heat for this process, we have to develop new hydrogen gas produce process. In this new method, both hydrogen and CO2 is cooled by LNG directly, and CO2 is removed from the reforming gas. In order to make this method practical, we should develop a new type heat-exchanger to prevent solid CO2 from interfering the performance of it.

Negotiating a space to teach science: Stories of community conversation and personal process in a school reform effort

NASA Astrophysics Data System (ADS)

Barker, Heidi Bulmahn

This is a qualitative study about elementary teachers in a school district who are involved in a science curricular reform effort. The teachers attempted to move from textbook-based science teaching to a more inquiry and process-based approach. I specifically explore how teachers negotiate their place within changes in pedagogy and curriculum and how this negotiation is enacted in the space of a teacher's own classroom. The account developed here is based on a two-year study. Presented are descriptions, analysis, and my own interpretations of teaching and conversations as teachers spoke with one another, with me and with children as they tried out the new science curriculum and pedagogies. I conclude that people interested in school reform should consider the following ideas as they work with teachers to implement pedagogical and curricular changes. (1) Teaching is a personal/individual process that takes place within a larger community. This leads to a complex context for working and making decisions. (2) Despite feeling that changes were imposed, teachers make the curriculum work for the needs in their own classroom. (3) Change is a process that teachers view as part of their work. Teachers expect that they will adapt curriculum and make it work for the children in their classes and for themselves. I suggest that those who advocate various reform efforts in teaching and curriculum should consider the spaces that teachers create as they become a part of the change process including intellectual, physical, and emotional ones. In my stories I assert: teachers create their own spaces for making changes in pedagogy and curriculum and they do this as a complex negotiation of external demands (such as their community, relationships with colleagues, and state standards) and their own values and interpretations. The ways that teachers implement the change process is a personal one, and because it is a personal process, school reform efforts largely depend on the teachers making these efforts a part of their own thinking, teaching, and learning.

Fuel cell electric power production

DOEpatents

Hwang, Herng-Shinn; Heck, Ronald M.; Yarrington, Robert M.

1985-01-01

A process for generating electricity from a fuel cell includes generating a hydrogen-rich gas as the fuel for the fuel cell by treating a hydrocarbon feed, which may be a normally liquid feed, in an autothermal reformer utilizing a first monolithic catalyst zone having palladium and platinum catalytic components therein and a second, platinum group metal steam reforming catalyst. Air is used as the oxidant in the hydrocarbon reforming zone and a low oxygen to carbon ratio is maintained to control the amount of dilution of the hydrogen-rich gas with nitrogen of the air without sustaining an insupportable amount of carbon deposition on the catalyst. Anode vent gas may be utilized as the fuel to preheat the inlet stream to the reformer. The fuel cell and the reformer are preferably operated at elevated pressures, up to about a pressure of 150 psia for the fuel cell.

[Health impact assessment of occupational health policy reform at a multinational chemical company in Japan].

PubMed

Fujino, Yoshihisa; Nagata, Tomohisa; Kuroki, Naomi; Dohi, Seitaro; Uehara, Masamichi; Oyama, Ichiro; Kajiki, Shigeyuki; Mori, Koji

2009-09-01

A health impact assessment (HIA) was conducted to identify potential health impacts arising from policy reform of occupational health and safety at S-chemical company, a multinational global company that employs about 13,000 workers. A multidisciplinary team of health professionals including occupational physicians, an epidemiologist, and public health researchers oversaw the HIA. A project manager from S-company was also involved in the whole HIA process. A literature review, profiling using annual health examination data and interviews with stakeholders and key informants were undertaken in order to identify possible impacts. A range of positive and negative health impacts were identified and develop recommendations for implementation of the new occupational health policy were proposed. The HIA added value to the planning process for the occupational health policy reform.

Re-forming supercritical quasi-parallel shocks. II - Mechanism for wave generation and front re-formation

NASA Technical Reports Server (NTRS)

Winske, D.; Thomas, V. A.; Omidi, N.; Quest, K. B.

1990-01-01

This paper continues the study of Thomas et al. (1990) in which hybrid simulations of quasi-parallel shocks were performed in one and two spatial dimensions. To identify the wave generation processes, the electromagnetic structure of the shock is examined by performing a number of one-dimensional hybrid simulations of quasi-parallel shocks for various upstream conditions. In addition, numerical experiments were carried out in which the backstreaming ions were removed from calculations to show their fundamental importance in reformation process. The calculations show that the waves are excited before ions can propagate far enough upstream to generate resonant modes. At some later times, the waves are regenerated at the leading edge of the interface, with properties like those of their initial interactions.

Institutional stakeholder perceptions of barriers to addiction treatment under Mexico's drug policy reform.

PubMed

Werb, Dan; Strathdee, Steffanie A; Meza, Emilo; Rangel Gomez, Maria Gudelia; Palinkas, Lawrence; Medina-Mora, Maria Elena; Beletsky, Leo

2017-05-01

Mexico has experienced disproportionate drug-related harms given its role as a production and transit zone for illegal drugs destined primarily for the USA. In response, in 2009, the Mexican federal government passed legislation mandating pre-arrest diversion of drug-dependent individuals towards addiction treatment. However, this federal law was not specific about how the scale-up of the addiction treatment sector was to be operationalised. We therefore conducted in-depth qualitative interviews with key 'interactors' in fields affected by the federal legislation, including participants from the law enforcement, public health, addiction treatment, and governmental administration sectors. Among 19 participants from the municipal, state and federal levels were interviewed and multiple barriers to policy reform were identified. First, there is a lack of institutional expertise to implement the reform. Second, the operationalisation of the reform was not accompanied by a coordinated action plan. Third, the law is an unfunded mandate. Institutional barriers are likely hampering the implementation of Mexico's policy reform. Addressing the concerns expressed by interactors through the scale-up of services, the provision of increased training and education programmes for stakeholders and a coordinated action plan to operationalise the policy reform are likely needed to improve the policy reform process.

Proposing evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings: a summative analysis.

PubMed

Manyazewal, Tsegahun; Oosthuizen, Martha J; Matlakala, Mokgadi C

2016-09-20

Many resource-limited countries have adopted and implemented healthcare reform to improve the quality of healthcare, but few have had much impact and strategies in support of these efforts remain limited. We aimed to explore and propose evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings. Descriptive and exploratory designs in two phases. Phase I involved assessing the effectiveness of the healthcare reform implemented in Ethiopia in the form of business process reengineering, with evidence compiled from healthcare professionals through a self-administered questionnaire; and phase II involved proposing strategies and seeking consensus from experts using Delphi method. Public hospitals in central Ethiopia. 406 healthcare professionals and 10 senior health policy experts. The healthcare reform that we evaluated was able to restructure hospital departments into case teams, with the goal of adopting a 'one-stop shopping' approach. However, shortages of critical infrastructure, furniture and supplies and job dissatisfaction continued to hamper the system. The most important predictors that influenced implementation of the reform were financial resources, top management commitment and support, collaborative working environment and information technology (IT). Five strategies with 14 operational objectives and 67 potential interventions that could strengthen the reform are proposed based on their strategic priority, which are as follows: reinforce patient-centred quality of care services; foster a healthy and respectful workforce environment; efficient and accountable leadership and governance; efficient use of hospital financing and maximise innovations and the use of health technologies. Effective implementation of healthcare reform remained a challenge for governments in resource-limited settings. Resilient operational, clinical and governance functions of health systems, as well as a motivated and committed health workforce, are important to move healthcare reform processes forward. Political commitments at this juncture might be critical though there need to be a clear demarcation between political and technical engagements. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

CESIUM REMOVAL FROM TANKS 241-AN-103 & 241-SX-105 & 241-AZ-101/102 COMPOSITE FOR TESTING IN BENCH SCALE STEAM REFORMER

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

DUNCAN JB; HUBER HJ

2011-06-08

This report documents the preparation of three actual Hanford tank waste samples for shipment to the Savannah River National Laboratory (SRNL). Two of the samples were dissolved saltcakes from tank 241-AN-103 (hereafter AN-103) and tank 241-SX-105 (hereafter SX-105); one sample was a supernate composite from tanks 241-AZ-101 and 241-AZ-102 (hereafter AZ-101/102). The preparation of the samples was executed following the test plans LAB-PLAN-10-00006, Test Plan for the Preparation of Samples from Hanford Tanks 241-SX-105, 241-AN-103, 241-AN-107, and LAB-PLN-10-00014, Test Plan for the Preparation of a Composite Sample from Hanford Tanks 241-AZ-101 and 241-AZ-102 for Steam Reformer Testing at the Savannahmore » River National Laboratory. All procedural steps were recorded in laboratory notebook HNF-N-274 3. Sample breakdown diagrams for AN-103 and SX-105 are presented in Appendix A. The tank samples were prepared in support of a series of treatability studies of the Fluidized Bed Steam Reforming (FBSR) process using a Bench-Scale Reformer (BSR) at SRNL. Tests with simulants have shown that the FBSR mineralized waste form is comparable to low-activity waste glass with respect to environmental durability (WSRC-STI-2008-00268, Mineralization of Radioactive Wastes by Fluidized Bed Steam Reforming (FBSR): Comparisons to Vitreous Waste Forms and Pertinent Durability Testing). However, a rigorous assessment requires long-term performance data from FB SR product formed from actual Hanford tank waste. Washington River Protection Solutions, LLC (WRPS) has initiated a Waste Form Qualification Program (WP-S.2.1-20 1 0-00 1, Fluidized Bed Steam Reformer Low-level Waste Form Qualification) to gather the data required to demonstrate that an adequate FBSR mineralized waste form can be produced. The documentation of the selection process of the three tank samples has been separately reported in RPP-48824, 'Sample Selection Process for Bench-Scale Steam Reforming Treatability Studies Using Hanford Waste Samples.'« less

CESIUM REMOVAL FROM TANKS 241-AN-103 & 241-SX-105 & 241-AZ-101 & 241AZ-102 COMPOSITE FOR TESTING IN BENCH SCALE STEAM REFORMER

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

DUNCAN JB; HUBER HJ

2011-04-21

This report documents the preparation of three actual Hanford tank waste samples for shipment to the Savannah River National Laboratory (SRNL). Two of the samples were dissolved saltcakes from tank 241-AN-103 (hereafter AN-103) and tank 241-SX-105 (hereafter SX-105); one sample was a supernate composite from tanks 241-AZ-101 and 241-AZ-102 (hereafter AZ-101/102). The preparation of the samples was executed following the test plans LAB-PLAN-10-00006, Test Plan for the Preparation of Samples from Hanford Tanks 241-SX-105, 241-AN-103, 241-AN-107, and LAB-PLN-l0-00014, Test Plan for the Preparation of a Composite Sample from Hanford Tanks 241-AZ-101 and 241-AZ-102 for Steam Reformer Testing at the Savannahmore » River National Laboratory. All procedural steps were recorded in laboratory notebook HNF-N-274 3. Sample breakdown diagrams for AN-103 and SX-105 are presented in Appendix A. The tank samples were prepared in support of a series of treatability studies of the Fluidized Bed Steam Reforming (FBSR) process using a Bench-Scale Reformer (BSR) at SRNL. Tests with simulants have shown that the FBSR mineralized waste form is comparable to low-activity waste glass with respect to environmental durability (WSRC-STI-2008-00268, Mineralization of Radioactive Wastes by Fluidized Bed Steam Reforming (FBSR): Comparisons to Vitreous Waste Forms and Pertinent Durability Testing). However, a rigorous assessment requires long-term performance data from FBSR product formed from actual Hanford tank waste. Washington River Protection Solutions, LLC (WRPS) has initiated a Waste Form Qualification Program (WP-5.2.1-2010-001, Fluidized Bed Steam Reformer Low-level Waste Form Qualification) to gather the data required to demonstrate that an adequate FBSR mineralized waste form can be produced. The documentation of the selection process of the three tank samples has been separately reported in RPP-48824, Sample Selection Process for Bench-Scale Steam Reforming Treatability Studies Using Hanford Waste Samples.« less

[Bioethical aspects of the Health Care Reform in Chile. The problems of access and costs of resources ].

PubMed

Rosselot, Eduardo

2003-09-01

During the process of health reforms there is always the concern that patients rights might be harmed. The bill that is being discussed in the Chilean Parliament contains an special issue dedicated to patient's obligations and rights. However, on the author's opinion, the best protection for patient rights rests on adequate financing and access to a reasonably, good and qualified health care. A thorough revision of the proposals contained in the reform will allow an objective assessment of the eventual ethical problems that it might imply.

The influence of social challenges when implementing information systems in a Swedish health-care organisation.

PubMed

Nilsson, Lina; Eriksén, Sara; Borg, Christel

2016-09-01

To describe and obtain a deeper understanding of social challenges and their influence on the implementation process when implementing Information systems in a Swedish health-care organisation. Despite positive effects when implementing Information systems in health-care organisations, there are difficulties in the implementation process. Nurses' experiences of being neglected have been dismissed as reasons for setbacks in implementation. An Institutional Ethnography design was used. A deductive content analysis was made influenced by empirically identified social challenges of power, professional identity and encounters. An abstraction was made of the analysis. Nineteen nurses at macro, meso and micro levels were interviewed in focus groups. Organisational levels are lost in different ways in how to control the reformation, how to introduce Information systems as reformation strategies and in how to translate new tools and assumptions that do not fit traditional ways of working in shaping professional identities. Different focus may affect the reformation of health-care organisations and implementation and knowledge processes. An implementation climate is needed where the system standards fit the values of the users. Nursing management needs to be visionary, engaged and work with risk factors in order to reform the hierarchical health-care organisation. © 2016 John Wiley & Sons Ltd.

Glycerol Production and Transformation: A Critical Review with Particular Emphasis on Glycerol Reforming Reaction for Producing Hydrogen in Conventional and Membrane Reactors.

PubMed

Bagnato, Giuseppe; Iulianelli, Adolfo; Sanna, Aimaro; Basile, Angelo

2017-03-23

Glycerol represents an emerging renewable bio-derived feedstock, which could be used as a source for producing hydrogen through steam reforming reaction. In this review, the state-of-the-art about glycerol production processes is reviewed, with particular focus on glycerol reforming reactions and on the main catalysts under development. Furthermore, the use of membrane catalytic reactors instead of conventional reactors for steam reforming is discussed. Finally, the review describes the utilization of the Pd-based membrane reactor technology, pointing out the ability of these alternative fuel processors to simultaneously extract high purity hydrogen and enhance the whole performances of the reaction system in terms of glycerol conversion and hydrogen yield.

Narrativity and the mediation of health reform agendas.

PubMed

Hodgetts, Darrin; Chamberlain, Kerry

2003-09-01

Over the last two decades the repositioning of state-funded health systems and the increased use of private services have been the focus of extensive public debate. This paper explores the ways in which media coverage of healthcare reform is made sense of by lower socio-economic status (SES) audiences. We presented television documentaries to participants and analysed their accounts from focus group discussions following the viewing. We explore these discussions as shared social spaces within which participants work through the dilemmas posed by the reforms. In exploring reception as a storytelling process, we link audience and lay beliefs research and investigate how aspects of television coverage are appropriated by viewers to make sense of the causes and implications of healthcare reform.

The Effects of Behavioral Health Reform on Safety-Net Institutions: A Mixed-Method Assessment in a Rural State

PubMed Central

Sommerfeld, David H.; Aarons, Gregory A.; Waitzkin, Howard

2013-01-01

In July 2005, New Mexico initiated a major reform of publicly-funded behavioral healthcare to reduce cost and bureaucracy. We used a mixed-method approach to examine how this reform impacted the workplaces and employees of service agencies that care for low-income adults in rural and urban areas. Information technology problems and cumbersome processes to enroll patients, procure authorizations, and submit claims led to payment delays that affected the financial status of the agencies, their ability to deliver care, and employee morale. Rural employees experienced lower levels of job satisfaction and organizational commitment and higher levels of turnover intentions under the reform when compared to their urban counterparts. PMID:23307162

Glycerol Production and Transformation: A Critical Review with Particular Emphasis on Glycerol Reforming Reaction for Producing Hydrogen in Conventional and Membrane Reactors

PubMed Central

Bagnato, Giuseppe; Iulianelli, Adolfo; Sanna, Aimaro; Basile, Angelo

2017-01-01

Glycerol represents an emerging renewable bio-derived feedstock, which could be used as a source for producing hydrogen through steam reforming reaction. In this review, the state-of-the-art about glycerol production processes is reviewed, with particular focus on glycerol reforming reactions and on the main catalysts under development. Furthermore, the use of membrane catalytic reactors instead of conventional reactors for steam reforming is discussed. Finally, the review describes the utilization of the Pd-based membrane reactor technology, pointing out the ability of these alternative fuel processors to simultaneously extract high purity hydrogen and enhance the whole performances of the reaction system in terms of glycerol conversion and hydrogen yield. PMID:28333121

Health insurance reform: labor versus health perspectives.

PubMed

Ammar, Walid; Awar, May

2012-01-01

The Ministry of Labor (MOL) has submitted to the Council of Ministers a social security reform plan. The Ministry of Public Health (MOPH) considers that health financing should be dealt with as part of a more comprehensive health reform plan that falls under its prerogatives. While a virulent political discussion is taking place, major stakeholders' inputs are very limited and civil society is totally put away from the whole policy making process. The role of the media is restricted to reproducing political disputes, without meaningful substantive debate. This paper discusses health insurance reform from labor market as well as public health perspectives, and aims at launching a serious public debate on this crucial issue that touches the life of every citizen.

Study of Catalyst Variation Effect in Glycerol Conversion Process to Hydrogen Gas by Steam Reforming

NASA Astrophysics Data System (ADS)

Widayat; Hartono, R.; Elizabeth, E.; Annisa, A. N.

2018-04-01

Along with the economic development, needs of energy being increase too. Hydrogen as alternative energy has many usages. Besides that, hydrogen is one source of energy that is a clean fuel, but process production of hydrogen from natural gas as a raw material has been used for a long time. Therefore, there is need new invention to produce hydrogen from the others raw material. Glycerol, a byproduct of biodiesel production, is a compound which can be used as a raw material for hydrogen production. By using glycerol as a raw material of hydrogen production, we can get added value of glycerol as well as an energy source solution. The process production of hydrogen by steam reforming is a thermochemical process with efficiency 70%. This process needs contribution of catalyst to improve its efficiency and selectivity of the process. In this study will be examined the effect variation of catalyst for glycerol conversion process to hydrogen by steam reforming. The method for catalyst preparation was variation of catalyst impregnation composition, catalyst calcined with difference concentration of hydrochloric acid and calcined with difference hydrochloric acid ratio. After that, all of catalyst which have been prepared, used for steam reforming process for hydrogen production from glycerol as a raw material. From the study, the highest yield of hydrogen gas showed in the process production by natural zeolite catalyst with 1:15 Hydrochloric acid ratio was 42.28%. Hydrogen yield for 2M calcined natural zeolite catalyst was 38.37%, for ZSM-5 catalyst was 15.83%, for 0.5M calcined natural zeolite was 13.09% and for ultrasonic natural zeolite was 11.43%. The lowest yield of hydrogen gas showed in catalyst 2Zn/ZSM-5 with 11.22%. This result showed that hydrogen yield product was affected by catalyst variation because of the catalyst has difference characteristic and difference catalytic activity after the catalyst preparation process.

Reform of Higher Education in Russia: Habitus Conflict

ERIC Educational Resources Information Center

Babintsev, Valentin P.; Sapryka, Viktor ?.; Serkina, Yana I.; Ushamirskaya, Galina F.

2016-01-01

This article discusses changes that actually occur in the Russian Higher Education in the process of reform. The thesis that the functioning of the educational system increasingly detects formal rationality, not focused on the senses, and their imitation. It is noted that the Russian system of higher education refers to a specific type, which can…

It's Time for Serious Reform of the Student-Aid System

ERIC Educational Resources Information Center

Baum, Sandy

2007-01-01

This article discusses the current student-aid system in American higher education and the policy issues surrounding it. The author asserts that it is time to consider serious reform of the complex system of federal, state, and institutional subsidies that has evolved to support postsecondary students. A rational long-term planning process never…

Policy and Workforce Reform in England

ERIC Educational Resources Information Center

Gunter, Helen M.

2008-01-01

Current workforce reform, known as Remodelling the School Workforce, is part of an enduring policy process where there have been tensions between public and private sector structures and cultures. I show that the New Right and New Labour governments who have built and configured site based performance management over the past quarter of a century…

Teacher Tenure Reform: Problem Definition in Policy Formulation.

ERIC Educational Resources Information Center

Elrod, Ann L.

When Colorado's Tenure Reform Bill, House Bill 1159, was signed into law, the work of teachers was not significantly changed. However, the law did make some significant inroads in the work of administrators and streamlined the due process accorded to teachers in the event that dismissal becomes necessary. This paper addresses whether the…

Epistemological Beliefs and Leadership Approaches among South African School Principals

ERIC Educational Resources Information Center

Botha, R. J.

2013-01-01

Studies on school restructuring and the leadership role of the principal in this process suggest that what has been the traditional leadership approach of the principal appears to be changing in relation to the substantial changes and school-wide reforms that are continually taking place in schools today. These school reform initiatives…

Neoliberalism and the Academic as Critic and Conscience of Society

ERIC Educational Resources Information Center

Harland, Tony; Tidswell, Toni; Everett, David; Hale, Leigh; Pickering, Neil

2010-01-01

This paper provides a critique of academic experiences of neoliberal economic reform at a New Zealand (NZ) university. The authors engaged in a collaborative inquiry that was based upon a developing theoretical perspective of the reform process and how this affected their academic lives. We were keen to develop an understanding of liberal…

How Leadership for an ICT Reform Is Distributed within a School

ERIC Educational Resources Information Center

Seong, David Ng Foo; Ho, Jeanne Marie

2012-01-01

Purpose: The purpose of this paper is to examine the process of information communication technology (ICT) reform in a government school in Singapore. The focus is on the distributed leadership actions performed by various individuals, and how the multiple leaders and their leadership practices interacted with one another.…

Teachers' Sense-Making about Comprehensive School Reform: The Influence of Emotions

ERIC Educational Resources Information Center

Schmidt, Michele; Datnow, Amanda

2005-01-01

The paper examines teachers' emotions in the process of making sense of educational reforms. We draw upon concepts from sociological theory and education to inform our framework for understanding how emotions, as a social construct, directly and indirectly, influence teachers' understandings. Using qualitative data gathered in a study of…

Models Matter--The Final Report of the National Longitudinal Evaluation of Comprehensive School Reform

ERIC Educational Resources Information Center

Aladjem, Daniel K.; LeFloch, Kerstin Carlson; Zhang, Yu; Kurki, Anja; Boyle, Andrea; Taylor, James E.; Herrmann, Suzannah; Uekawa, Kazuaki; Thomsen, Kerri; Fashola, Olatokunbo

2006-01-01

The National Longitudinal Evaluation of Comprehensive School Reform (NLECSR) is a quantitative and qualitative study of behavior, decisions, processes, and outcomes. It employs a quasi-experimental design with matched treatment and comparison schools. NLECSR seeks to determine the effects of CSR models on student achievement in about 650…

Policy, Pedagogy, and Priorities: Exploring Stakeholder Perspectives on Active Learning in the Maldives

ERIC Educational Resources Information Center

Di Biase, Rhonda

2015-01-01

Challenges of implementing active-learning reform have been reported across a range of countries and include the need for greater attention to contextual factors and practical realities in the reform process. This study investigates how teachers enact active-learning pedagogy within the Maldives. Using design-based research, it explores--through…

Is This Radical Enough? Curriculum Reform, Change, and the Language of Probability.

ERIC Educational Resources Information Center

Deever, Bryan

1996-01-01

Discusses the need for and construction of a language of probability to complement the extant languages of critique and possibility in critical curriculum theory. Actions framed in the language, and the ensuing dialogue, could then be forces in radical reform through a process of infiltration, appropriation, and reconfiguration. (SM)

Place Matters: Mathematics Education Reform in Urban Schools

ERIC Educational Resources Information Center

Rousseau Anderson, Celia

2014-01-01

While mathematics education research has often focused at the level of the classroom (Rousseau Anderson & Tate, 2008), there are emerging calls for attention to shift from individual classrooms to consider the process of reform at the school or district level. Investigating the role of the institution and conditions of the organization becomes…

Balancing Campaign Finance Reform Against the First Amendment. Looking at the Law.

ERIC Educational Resources Information Center

Yang, Elizabeth M.

2000-01-01

Focuses on the rationale for campaign finance reform, preventing corruption or the appearance of corruption in the electoral process, and the need for balancing the constitutional rights protected by the First Amendment. Discusses the issues of disclosure, contribution limits, issue advocacy, and soft money. Includes teaching activities and…

Public Schools in Marketized Environments: Shifting Incentives and Unintended Consequences of Competition-Based Educational Reforms

ERIC Educational Resources Information Center

Lubienski, Christopher

2005-01-01

By opening the system to competition, popular school choice reforms seek to remake public education into a more consumer-oriented endeavor. While the underlying theory holds that competitive pressures will induce change and improvement in educational processes, research indicates that organizations often respond instead by developing promotional…

Educational Reforms in Malta: A Missed Opportunity to Establish Distributed Governance

ERIC Educational Resources Information Center

Cutajar, Mario; Bezzina, Christopher; James, Chris

2013-01-01

This article critically analyses the current Maltese educational reform process, which aimed to transform educational governance in Malta from a centralized system to a more decentralized one. This longitudinal study adopted a multi-site inquiry of a sample of the colleges involving different stakeholders, including key policy-makers, college…

"Because We Can": Pluralism and Structural Reform in Education

ERIC Educational Resources Information Center

Glatter, Ron

2017-01-01

This article revisits a major paper published a decade ago by the political scientist Christopher Pollitt about the highly activist approach to the reform of public services taken in England in recent years. In education, the pace has accelerated since that paper appeared. The weaknesses of the current structures and processes resulting from this…

Revitalizing Qatar's National University. Research Brief

ERIC Educational Resources Information Center

Steinberg, Paul

2009-01-01

Although Qatar University (QU) had been well regarded in the past, its performance had deteriorated by 2003, and the country's leadership was concerned that the university was not meeting Qatar's needs. From 2003 to 2007, the university led a reform process facilitated by RAND and outside experts, which clarified QU's mission and reformed QU's…

A Blueprint for Effective and Adaptable School District Procurement

ERIC Educational Resources Information Center

Maas, Tricia; Lake, Robin

2015-01-01

In public education, procurement reform has been all but ignored in policy discussions and procurement policies have remained virtually untouched. But the high price of ignoring procurement is becoming clear to people trying to reform education on the ground. Often involving long, cumbersome processes and risk-averse central office cultures,…

A Comparison of Local Empowerment in Education: Porto Alegre, Brazil and Chicago, USA

ERIC Educational Resources Information Center

Edwards, D. Brent, Jr.

2010-01-01

Democratization of decision-making processes and increased local involvement are mentioned regularly as desirable ways to proceed in education policy reform. Nevertheless, the limited publications examining reforms for more democratic organization of school districts have tended to focus on isolated examples and very specific aspects of that…

Examining the Challenges Early Childhood Teacher Candidates Face in Figuring Their Roles as Early Educators

ERIC Educational Resources Information Center

Brown, Christopher P.; Feger, Beth Smith

2010-01-01

Federal, state, and local policy makers' high-stakes standards-based accountability reforms are transforming the early childhood teacher education process. These reforms affect how early education teacher candidates figure their role as teachers. By employing Holland, Lachicotte, Skinner, and Cain's conception of figured worlds to analyze the…

Teacher Education in Bhutan: Highlights and Challenges for Reform

ERIC Educational Resources Information Center

VanBalkom, W. Duffie; Sherman, Ann

2010-01-01

Bhutan is embarking on a comprehensive education reform process, with teachers and teacher education at the centre of a number of initiatives. This study describes the current state of affairs based on interviews with key informants and semi-structured focus groups in Bhutan. Several major themes emerged, including issues of quality of students…

Formation of Apprenticeships in the Swedish Education System: Different Stakeholder Perspectives

ERIC Educational Resources Information Center

Andersson, Ingela; Wärvik, Gun-Britt; Thång, Per-Olof

2015-01-01

The article explores the major features of the Swedish Government's new initiative--a school based Upper Secondary Apprenticeship model. The analyses are guided by activity theory. The analysed texts are part of the parliamentary reform-making process of the 2011 Upper Secondary School reform. The analyses unfold how the Government, the Swedish…

Teaching American Politics through Student Projects: Electoral Reform Issues and Political Change.

ERIC Educational Resources Information Center

Alper, Donald K.; Hogan, Eugene

1979-01-01

Describes two projects which involve college students in political science courses on American politics in doing research and giving class reports on proposals for reforming the electoral college and the electoral process. Findings indicate that students participating in the projects become more aware of political realities and learn how to use…

Increasing the Openness of Education as an Approach to Promoting Educational Reform and Development

ERIC Educational Resources Information Center

Jinqiu, He

2012-01-01

This paper presents the main content of the portion on "increasing the openness of China's education" in the "National Medium- and Long-Term Educational Reform and Development Guideline (2010-20)" (hereafter abbreviated as the "Guideline") and the key issues studied and discussed in the formulation process. Issues…

Governance and Funding Reforms in Dutch Higher Education: Past, Present, and Future

ERIC Educational Resources Information Center

Ritzen, Jozef M. M.; Marconi, Gabriele

2012-01-01

This article reviews the history of higher education governance and funding in The Netherlands, generalising when possible to other European countries. It finds that governance reforms and the funding of higher education appear to be driven by economic and demographic factors, including massification. Furthermore, the Bologna Process can be…

Using Symbolic Interactionism to Analyze a Specialized STEM High School Teacher's Experience in Curriculum Reform

ERIC Educational Resources Information Center

Teo, Tang Wee; Osborne, Margery

2012-01-01

In this paper, we present a microanalysis of a specialized STEM (science, technology, engineering, and mathematics) high school teacher's experience of self-initiated science inquiry curriculum reform. We examine the meanings of these two constructs: "inquiry curriculum" and "curriculum change" through the process lens of interactions, actions,…

Reforming the Discipline Management Process in Schools: An Alternative Approach to Zero Tolerance

ERIC Educational Resources Information Center

Kajs, Lawrence T.

2006-01-01

There is a need for educational reform of zero tolerance policies in school disciplinary management procedures. Zero tolerance policies are rigid mandates of predetermined consequences for specific student misconduct. Common sense and fairness are not necessarily served by the application of inflexible disciplinary rules that do not address the…

Perspective Transformation: A Mechanism to Assist in the Acceptance of Contemporary Education Reform in Athletic Training

ERIC Educational Resources Information Center

Peer, Kimberly S.

2017-01-01

Context: Athletic training education is experiencing major reform. As professionals consider the implications of these initiatives, the perspective transformation approach to change processes and future impact provides a viable model for all constituents. Objectives: Transformative learning is used as a construct for framing perspective…

Community Action, Urban Reform, and the Fight against Poverty: The Ford Foundation's Gray Areas Program.

ERIC Educational Resources Information Center

O'Connor, Alice

1996-01-01

Describes the process by which experimental Ford Foundation programs designed to stem the urban crisis evolved into more narrowly constructed interventions to reform service delivery systems and alleviate poverty in inner-city neighborhoods. Related themes are highlighted and limitations caused by problems of institutional constraints, political…

A School Leadership Faculty Struggles for Democracy: Leadership Education Priorities for a Democratic Society

ERIC Educational Resources Information Center

Bogotch, Ira

2010-01-01

For the past 3 years, the educational leadership faculty at Florida Atlantic University (FAU) has been engaged in program reform and curricular innovation. The reform process was initiated by centralized external authorities--a combination of international rankings, national accreditation bodies, national leadership standards, and state standards,…

The Impact of the Bologna Reform on the Productivity of Swiss Universities

ERIC Educational Resources Information Center

Agasisti, Tommaso; Bolli, Thomas

2013-01-01

The Bologna reform aims to enhance several dimensions of the universities' activities, by favouring mobility and mutual recognition of higher education degrees across Europe, with the objective to create a European Higher Education Area. The radical changes induced by the Bologna Process affect universities' productivity both directly (for…

High School Health and Physical Education: Reinforcing the 3Rs

ERIC Educational Resources Information Center

Moore, John

2009-01-01

The ultimate goal of the education process should be to improve instruction and increase student learning. To effectively accomplish this would truly result in education reform. Therefore, the first step in bringing about education reform is to provide academic rigor, vocational relevance and curricula relationships in programs that students see…

Implementing Marzano's Model: The Reality of Educational Leadership and School Reform

ERIC Educational Resources Information Center

Keaveny, Stacy M.

2013-01-01

Federal and state guidelines for school reform dominate the landscape of public education. Florida and its school districts, as a Race to the Top state, are in the process of fully implementing a value-added model of teacher evaluation. Effective school leaders are calling upon the theoretical framework of transformational, visionary and…

Auto-Thermal Reforming of Jet-A Fuel over Commercial Monolith Catalysts: MicroReactor Evaluation and Screening Test Results

NASA Technical Reports Server (NTRS)

Yen, Judy C. H.; Tomsik, Thomas M.

2004-01-01

This paper describes the results of a series of catalyst screening tests conducted with Jet-A fuel under auto-thermal reforming (ATR) process conditions at the research laboratories of SOFCo-EFS Holdings LLC under Glenn Research Center Contract. The primary objective is to identify best available catalysts for future testing at the NASA GRC 10-kW(sub e) reformer test facility. The new GRC reformer-injector test rig construction is due to complete by March 2004. Six commercially available monolithic catalyst materials were initially selected by the NASA/SOFCo team for evaluation and bench scale screening in an existing 0.05 kW(sub e) microreactor test apparatus. The catalyst screening tests performed lasted 70 to 100 hours in duration in order to allow comparison between the different samples over a defined range of ATR process conditions. Aging tests were subsequently performed with the top two ranked catalysts as a more representative evaluation of performance in a commercial aerospace application. The two catalyst aging tests conducted lasting for approximately 600 hours and 1000 hours, respectively.

Negotiating authority: a comparative study of reform in medical training regimes.

PubMed

Wallenburg, Iris; Helderman, Jan-Kees; de Bont, Antoinette; Scheele, Fedde; Meurs, Pauline

2012-06-01

Recently the medical profession has faced increased outside pressure to reform postgraduate medical training programs to better equip young doctors for changing health care needs and public expectations. In this article we explore the impact of reform on professional self-governance by conducting a comparative historical-institutional analysis of postgraduate medical training reform in the United Kingdom and the Netherlands. In both countries the medical training regime has shifted from professional self-regulation to coregulation. Yet there are notable differences in each country that cannot be explained solely by diverging institutional contexts. They also result from the strategic actions by the actors involved. Based on an assessment of the recent literature on institutional transformation, this article shows how strategic actions set negotiating authority processes into motion, producing new and sometimes surprising institutional arrangements that can have profound effects on the distribution and allocation of authority in the medical training regime. It stresses the need to study the interactions among political context, the properties of institutions, and negotiating authority processes, as they are crucially important to understanding institutional transformation.

CO 2-scrubbing and methanation as purification system for PEFC

NASA Astrophysics Data System (ADS)

Ledjeff-Hey, K.; Roes, J.; Wolters, R.

Hydrogen is usually produced by steam reforming of natural gas in large-scale processes. The reformate consists of hydrogen, carbon dioxide, carbon monoxide, and residues of hydrocarbons. Since the anode catalyst of a polymer electrolyte membrane fuel cell (PEFC) is usually based on platinum, which is easily poisoned by carbon monoxide, the conditioned feed gas should contain less than 100 ppmv CO, and preferably, less than 10 ppmv. Depending on the design and operating conditions of the hydrogen production process, the CO content of a typical reformate gas, even after the CO shift reactor may be in the range of 0.2-1.0 vol.%; this is far higher than a PEFC can tolerate. A CO management system is required to lower the CO concentration to acceptable levels. In many cases, the CO purification system consists of a combination of physical or chemical processes to achieve the necessary reduction in CO content. A promising alternative for hydrogen purification is a combined process consisting of a carbon dioxide scrubber with subsequent methanation to reduce the carbon monoxide content to an acceptable level of less than 10 ppmv.

Negotiating reform at an arm's length from the state: Disease Management Programmes and the introduction of clinical standards in Germany.

PubMed

Burau, Viola

2009-07-01

Studies of German health policy often highlight institutional constraints to reform. However, based on a case study of the introduction of clinical standards as part of the Disease Management Programmes for chronic illnesses, this article suggests that negotiating reform at an arm's length from the state can also lead to governance change, although the strengthening of hierarchy is not as prominent as that in some of the countries studied in this special issue. As such, the case of Germany offers interesting insights into the politics of governance change that occur in the shadow, but largely without the direct involvement of the state, which is typical of a corporatist health-care state. In this respect, the analysis identifies three leverages for change. First, the change in medical governance explicitly builds on earlier reforms and gives the reform alliance a competitive edge. Second, the organisations of the joint self-administration, as a more or less open ally of the state, play an influential role throughout the reform process. Importantly and third, this is complemented by the state steering at a distance.

Fabrication of a Flexible Micro CO Sensor for Micro Reformer Applications

PubMed Central

Lee, Chi-Yuan; Chang, Chi-Chung; Lo, Yi-Man

2010-01-01

Integration of a reformer and a proton exchange membrane fuel cell (PEMFC) is problematic due to the presence in the gas from the reforming process of a slight amount of carbon monoxide. Carbon monoxide poisons the catalyst of the proton exchange membrane fuel cell subsequently degrading the fuel cell performance, and necessitating the sublimation of the reaction gas before supplying to fuel cells. Based on the use of micro-electro-mechanical systems (MEMS) technology to manufacture flexible micro CO sensors, this study elucidates the relation between a micro CO sensor and different SnO2 thin film thicknesses. Experimental results indicate that the sensitivity increases at temperatures ranging from 100–300 °C. Additionally, the best sensitivity is obtained at a specific temperature. For instance, the best sensitivity of SnO2 thin film thickness of 100 nm at 300 °C is 59.3%. Moreover, a flexible micro CO sensor is embedded into a micro reformer to determine the CO concentration in each part of a micro reformer in the future, demonstrating the inner reaction of a micro reformer in depth and immediate detection. PMID:22163494

Curriculum reform: Why? What? How? and how will we know it works?

PubMed

Reis, Shmuel

2018-06-07

In a recent IJHPR article, Dankner et al. describe a reform in one longitudinal strand within Basic Medical Education i.e." public health and preventive medicine curriculum" using a Competency Based Medical Education approach. This reform raises several concerns: What should prompt a medical school to change a curriculum? How should such change be conducted? What kinds of paradigms may inform such a change? What constitutes a success in a curricular reform? And, how can curricular reform be evaluated within a reasonable time framework?This commentary addresses these concerns and concludes that curricular reform should follow as much as possible the current wisdom of educational innovation and change strategy, follow a clear vision, mission, and selected educational paradigm, and pay attention to stakeholders, context, culture and politics. The design should allow for the emergence of unintended consequences. Implementation needs careful planning and monitoring and the evaluation should be multi-faceted. Finally, since all Israeli medical schools are now using the Competency Based Medical Education approach and aligning their curricula and testing accordingly, a fascinating collaborative opportunity exists to professionalize this process and hopefully make a positive impact.

The policy and politics of the 2015 long-term care reform in the Netherlands.

PubMed

Maarse, J A M Hans; Jeurissen, P P Patrick

2016-03-01

As of 2015 a major reform in LTC is taking place in the Netherlands. An important objective of the reform is to reign in expenditure growth to safeguard the fiscal sustainability of LTC. Other objectives are to improve the quality of LTC by making it more client-tailored. The reform consists of four interrelated pillars: a normative reorientation, a shift from residential to non-residential care, decentralization of non-residential care and expenditure cuts. The article gives a brief overview of these pillars and their underlying assumptions. Furthermore, attention is paid to the political decision-making process and the politics of implementation and evaluation. Perceptions of the effects of the reform so far widely differ: positive views alternate with critical views. Though the reform is radical in various aspects, LTC care will remain a largely publicly funded provision. A statutory health insurance scheme will remain in place to cover residential care. The role of municipalities in publicly funded non-residential care is significantly upgraded. The final section contains a few policy lessons. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Reformer assisted lean NO.sub.x catalyst aftertreatment system and method

DOEpatents

Kalyanaraman, Mohan [Media, PA; Park, Paul W [Peoria, IL; Ragle, Christie S [Havana, IL

2010-06-29

A method and apparatus for catalytically processing a gas stream passing therethrough to reduce the presence of NO.sub.x therein, wherein the apparatus includes a first catalyst composed of a silver-containing alumina that is adapted for catalytically processing the gas stream at a first temperature range, a second catalyst composed of a copper-containing zeolite located downstream from the first catalyst, wherein the second catalyst is adapted for catalytically processing the gas stream at a lower second temperature range relative to the first temperature range, a hydrocarbon compound for injection into the gas stream upstream of the first catalyst to provide a reductant, and a reformer for reforming a portion of the hydrocarbon compound into H.sub.2 and/or oxygenated hydrocarbon for injection into the gas stream upstream of the first catalyst. The second catalyst is adapted to facilitate the reaction of reducing NOx into N.sub.2, whereby the intermediates are produced via the first catalyst reacting with NOx and hydrocarbons.

Solar hydrogen production: renewable hydrogen production by dry fuel reforming

NASA Astrophysics Data System (ADS)

Bakos, Jamie; Miyamoto, Henry K.

2006-09-01

SHEC LABS - Solar Hydrogen Energy Corporation constructed a pilot-plant to demonstrate a Dry Fuel Reforming (DFR) system that is heated primarily by sunlight focusing-mirrors. The pilot-plant consists of: 1) a solar mirror array and solar concentrator and shutter system; and 2) two thermo-catalytic reactors to convert Methane, Carbon Dioxide, and Water into Hydrogen. Results from the pilot study show that solar Hydrogen generation is feasible and cost-competitive with traditional Hydrogen production. More than 95% of Hydrogen commercially produced today is by the Steam Methane Reformation (SMR) of natural gas, a process that liberates Carbon Dioxide to the atmosphere. The SMR process provides a net energy loss of 30 to 35% when converting from Methane to Hydrogen. Solar Hydrogen production provides a 14% net energy gain when converting Methane into Hydrogen since the energy used to drive the process is from the sun. The environmental benefits of generating Hydrogen using renewable energy include significant greenhouse gas and criteria air contaminant reductions.

Solid oxide fuel cell power plant having a bootstrap start-up system

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

Lines, Michael T

The bootstrap start-up system (42) achieves an efficient start-up of the power plant (10) that minimizes formation of soot within a reformed hydrogen rich fuel. A burner (48) receives un-reformed fuel directly from the fuel supply (30) and combusts the fuel to heat cathode air which then heats an electrolyte (24) within the fuel cell (12). A dilute hydrogen forming gas (68) cycles through a sealed heat-cycling loop (66) to transfer heat and generated steam from an anode side (32) of the electrolyte (24) through fuel processing system (36) components (38, 40) and back to an anode flow field (26)more » until fuel processing system components (38, 40) achieve predetermined optimal temperatures and steam content. Then, the heat-cycling loop (66) is unsealed and the un-reformed fuel is admitted into the fuel processing system (36) and anode flow (26) field to commence ordinary operation of the power plant (10).« less

Strengthening health systems by health sector reforms.

PubMed

Senkubuge, Flavia; Modisenyane, Moeketsi; Bishaw, Tewabech

2014-01-01

The rising burden of disease and weak health systems are being compounded by the persistent economic downturn, re-emerging diseases, and violent conflicts. There is a growing recognition that the global health agenda needs to shift from an emphasis on disease-specific approaches to strengthening of health systems, including dealing with social, environmental, and economic determinants through multisectoral responses. A review and analysis of data on strengthening health sector reform and health systems was conducted. Attention was paid to the goal of health and interactions between health sector reforms and the functions of health systems. Further, we explored how these interactions contribute toward delivery of health services, equity, financial protection, and improved health. Health sector reforms cannot be developed from a single global or regional policy formula. Any reform will depend on the country's history, values and culture, and the population's expectations. Some of the emerging ingredients that need to be explored are infusion of a health systems agenda; development of a comprehensive policy package for health sector reforms; improving alignment of planning and coordination; use of reliable data; engaging 'street level' policy implementers; strengthening governance and leadership; and allowing a holistic and developmental approach to reforms. The process of reform needs a fundamental rather than merely an incremental and evolutionary change. Without radical structural and systemic changes, existing governance structures and management systems will continue to fail to address the existing health problems.

From instinct to evidence: the role of data in country decision-making in Chile

PubMed Central

Aguilera, Ximena Paz; Espinosa-Marty, Consuelo; Castillo-Laborde, Carla; Gonzalez, Claudia

2016-01-01

Background The Chilean health system has undergone profound reforms since 1990, while going through many political upheavals, and faced demographic, health, and economic transformations. The full information requirements to develop an evidence-informed process implied the best possible use of available data, as well as efforts for improving the information systems. Objective To examine, from a historical perspective, the use of data during the health reforms undertaken in Chile since 1990, and to identify the factors that have determined its utilization and improvement. Design A qualitative methodological approach was followed to review the case study of the Chilean experience with data on decision-making. We use as the primary source our first-hand experience as officials of the Ministry of Health (MOH) and the Ministry of Finance during the reform period considered. Second, a literature review was conducted, using documents from official sources, historical accounts, books, policy reports, and articles about the reform process, looking for the use of data. Findings The Chilean health care reform process was intensive in utilization and production of information. In this context, the MOH conducted several studies, from the burden of disease, efficacy of interventions, cost-effectiveness, out-of-pocket payments, and fiscal impact to social preferences, among others. Policy and prioritization frameworks developed by international agencies influenced the use of data and the studies’ agenda. Conclusions Health systems in Latin America have struggled to adapt to changing health needs caused by demographic transition and economic growth. Health reforms in Chile provide lessons of this sustained effort, based on data and scientific grounds, with lights and shadows. Tradition, receptiveness to foreign ideas, and benchmarking with international data determined this approach, facilitated by the political influence of physicians and other technocrats. Besides, internationally comparable statistics are shown to play a significant role in policy debate. PMID:27887667

Lignin solubilization and aqueous phase reforming for the production of aromatic chemicals and hydrogen.

PubMed

Zakzeski, Joseph; Weckhuysen, Bert M

2011-03-21

The solubilization and aqueous phase reforming of lignin, including kraft, soda, and alcell lignin along with sugarcane bagasse, at low temperatures (T≤498 K) and pressures (P≤29 bar) is reported for the first time for the production of aromatic chemicals and hydrogen. Analysis of lignin model compounds and the distribution of products obtained during the lignin aqueous phase reforming revealed that lignin was depolymerized through disruption of the abundant β-O-4 linkages and, to a lesser extent, the 5-5' carbon-carbon linkages to form monomeric aromatic compounds. The alkyl chains contained on these monomeric compounds were readily reformed to produce hydrogen and simple aromatic platform chemicals, particularly guaiacol and syringol, with the distribution of each depending on the lignin source. The methoxy groups present on the aromatic rings were subject to hydrolysis to form methanol, which was also readily reformed to produce hydrogen and carbon dioxide. The composition of the isolated yields of monomeric aromatic compounds and overall lignin conversion based on these isolated yields varied from 10-15% depending on the lignin sample, with the balance consisting of gaseous products and residual solid material. Furthermore, we introduce the use of a high-pressure autoclave with optical windows and an autoclave with ATR-IR sentinel for on-line in situ spectroscopic monitoring of biomass conversion processes, which provides direct insight into, for example, the solubilization process and aqueous phase reforming reaction of lignin. Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

American Medical Association

MedlinePlus

... the Payment Process Physician Payment Resource Center Reinventing Medical Practice Managing Your Practice CPT® (Current Procedural Terminology) Medicare & Medicaid Private Payer Reform Claims Processing & Practice ...

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

Wood, A.

Cyclohexane buyers, hit by a string of US plant closures, are breathing a sigh of relief at signs of an upswing in capacity. Phillips Petroleum has assured the future of a cyclohexane plant at its Guayama, PR site, while Kerr-McGee Chemical has confirmed it will acquire a mothballed 30-million gal/year unit from Unocal and restart it. Phillips deal is connected to an agreement to license Chevron Chemical's Aromax catalytic reforming technology for its Guayama refinery. The technology, which will cut the company's aromatics production costs, secures the future of Phillips petrochemical operations at the site, including the downstream 90-million gal/yearmore » cyclohexane plant. The Chevron process is said to boost yields of benzene, toluene, and xylene above those of conventional reforming processes. It relies on a zeolite catalyst to convert light paraffins into aromatics; conventional reforming converts higher-valued aromatic naphthas.« less

Challenges to neurosurgery service delivery. Who moved my cheese?

PubMed

Palmer, J D

2007-04-01

The change programme in the National Health Service has moved the Acute Trusts providing neurosurgical services to very different ways of delivering healthcare. The process of reform has been supported by investment but the next few years will see far less additional money, and success and failure of services will be dependent upon the approach to those reforms. The 'payment by results' system of funding through tariff, the 'plurality of providers' policy of forcing commissioners to purchase activity from independent providers, the 'patient choice' process of encouraging patients to select treatment from a number of providers, and the '18-week wait' target of bringing down referral to treatment times are all major shifts in the way services are delivered and developed. The reforms have not been made with neurosurgery in mind, how will they affect the way this small specialty is delivered?

Public purchasing and private priorities for healthcare in New Zealand.

PubMed

Howden-Chapman, P; Ashton, T

2000-11-01

The 1993 Health and Disability Services Act heralded a range of structural reforms in the New Zealand health care system. Despite these reforms considerable resources being spent on convincing consumers of their merits, have failed to gain widespread public approval. This paper examines two key issues that have arisen during the reform process. These are the difficulties associated with trying to set priorities in ways which are effective and politically acceptable, and the relationship between the public and private sectors. Unacknowledged conflicts of interest have helped to undermine the priority setting process. The discussion suggests that it may be increasingly difficult for any government in future to determine the allocation of resources without taking private sector interests and rising public concern into account. It remains to be seen which of these factors is more powerful.

Choosing Your Medical Specialty

MedlinePlus

... the Payment Process Physician Payment Resource Center Reinventing Medical Practice Managing Your Practice CPT® (Current Procedural Terminology) Medicare & Medicaid Private Payer Reform Claims Processing & Practice ...

INSTITUTIONAL STAKEHOLDER PERCEPTIONS OF BARRIERS TO ADDICTION TREATMENT UNDER MEXICO’S DRUG POLICY REFORM

PubMed Central

Werb, Dan; Strathdee, Steffanie A.; Meza, Emilo; Gomez, Maria Gudelia Rangel; Palinkas, Lawrence; Medina-Mora, Maria Elena; Beletsky, Leo

2017-01-01

Background Mexico has experienced disproportionate drug-related harms given its role as a production and transit zone for illegal drugs destined primarily for the United States. In response, in 2009, the Mexican federal government passed legislation mandating pre-arrest diversion of drug-dependent individuals towards addiction treatment. However, this federal law was not specific about how the scale-up of the addiction treatment sector was to be operationalized. We therefore conducted in-depth qualitative interviews with key ‘interactors’ in fields affected by the federal legislation, including participants from the law enforcement, public health, addiction treatment, and governmental administration sectors. Among 19 participants from the municipal, state, and federal level, multiple barriers to policy reform were identified. First, there is a lack of institutional expertise to implement the reform. Second, the operationalization of the reform was not accompanied by a coordinated action plan. Third, the law is an unfunded mandate. Institutional barriers are likely hampering the implementation of Mexico’s policy reform. Addressing the concerns expressed by interactors through the scale up of services, the provision of increased training and education programs for stakeholders, and a coordinated action plan to operationalize the policy reform, are likely needed to improve the policy reform process. PMID:28278755

Implementing health care reform in Israel: organizational response to perceived incentives.

PubMed

Gross, Revital

2003-08-01

Devising new incentives was a main element of health care reform in Israel, which created a regulated market that embodies many principles of managed competition. This study examined sick fund directors' perceptions of the new incentives and their strategic responses to these incentives, enabling the testing of how managed competition works in practice. The methodology used was a multiple case study of Israel's four sick funds. Data were gathered through in-depth interviews with 160 senior officials, analysis of national health insurance legislation, and analysis of published and unpublished archival documents, newspaper articles, public statements of senior managers, and other published data on the sick funds' behavior. The study revealed discrepancies between planned and perceived incentives and highlighted the effect of the latter on strategy formulation. Analysis of sick fund strategies showed that their responses to managed competition incentives deviated from theoretical expectations, compromising some of the objectives of the reform. The study also shows that contextual features account for the specific model of managed competition that was implemented and for the specific strategies employed by the sick funds. The study concludes by highlighting the need to build a process that will enable policy makers to consider local contextual factors when planning and implementing reform, involving health care providers in designing incentives, continuously monitoring processes and outcomes in the reformed system, and allowing for flexibility in policy making.

Experimental and Numerical Observations of Hydrate Reformation during Depressurization in a Core-Scale Reactor

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

Seol, Yongkoo; Myshakin, Evgeniy

2011-01-01

Gas hydrate has been predicted to reform around a wellbore during depressurization-based gas production from gas hydrate-bearing reservoirs. This process has an adverse effect on gas production rates and it requires time and sometimes special measures to resume gas flow to producing wells. Due to lack of applicable field data, laboratory scale experiments remain a valuable source of information to study hydrate reformation. In this work, we report laboratory experiments and complementary numerical simulations executed to investigate the hydrate reformation phenomenon. Gas production from a pressure vessel filled with hydrate-bearing sand was induced by depressurization with and without heat fluxmore » through the boundaries. Hydrate decomposition was monitored with a medical X-ray CT scanner and pressure and temperature measurements. CT images of the hydrate-bearing sample were processed to provide 3-dimensional data of heterogeneous porosity and phase saturations suitable for numerical simulations. In the experiments, gas hydrate reformation was observed only in the case of no-heat supply from surroundings, a finding consistent with numerical simulation. By allowing gas production on either side of the core, numerical simulations showed that initial hydrate distribution patterns affect gas distribution and flow inside the sample. This is a direct consequence of the heterogeneous pore network resulting in varying hydraulic properties of the hydrate-bearing sediment.« less

Equipped for the Future: A Collaborative Journey toward System Reform.

ERIC Educational Resources Information Center

NIFL News, 1997

1997-01-01

This issue of the National Institute for Literacy (NIFL) News is devoted to "Equipped for the Future" (EFF), the organization's long-term collaborative initiative for system reform. The newsletter contains the testimony of people who have been involved in the process over the past 2 years, speaking of the promise they see in EFF. The…

Apply Deming's Methods to K-12 Curriculum and Improve Student Achievement

ERIC Educational Resources Information Center

Kelly, Thomas F.

2008-01-01

The United States has been engaged in school reform for three decades. The federal government as well as all fifty states have passed numerous versions of reform legislation to mandate and regulate the process. Educators have adjusted their practices to the policy created by this legislation. They have also allocated hundreds of billions of…

Curriculum Development Program in a Privately-Managed Public Preschool in Taiwan: Overcoming Difficulties and Establishing a Process Pattern

ERIC Educational Resources Information Center

Lin, Chia-Fen

2016-01-01

Preschool curriculum reform is currently underway in Taiwan. Privately-managed public preschools (PMPPs) currently play the role of bellwethers because they stand halfway between public and private preschools, and serve as testing grounds for curriculum reforms promoted by the government. This study originated from Curriculum Development Program…

Implementing the National Curriculum Reform in China: A Review of the Decade

ERIC Educational Resources Information Center

Yin, Hongbiao

2013-01-01

In China, the eighth round of national curriculum reform (NCR) is the most serious, systematic, and ambitious attempt to transform the basic education curriculum system since 1949. Through a review of the contexts, processes and outcomes of the implementation of the NCR from 2001-2011, this paper provides a further discussion on three pairs of…

Collaborative Reform and Other Improbable Dreams: The Challenges of Professional Development Schools. SUNY Series, Teacher Preparation and Development.

ERIC Educational Resources Information Center

Johnston, Marilyn, Ed.; Brosnan, Patti, Ed.; Cramer, Don, Ed.; Dove, Tim, Ed.

This collection of papers examines a 10-year process of teacher education reform at Ohio State University, describing 13 Professional Development Schools (PDSs). After "Introduction: Context, Challenges, and Consequences: PDSs in the Making" (Marilyn Johnston), there are 16 papers in four parts. Part 1, "Contextualizing PDS Work and…

Sexism in School Textbooks Prepared under Education Reform in Turkey

ERIC Educational Resources Information Center

Esen, Yasemin

2007-01-01

The objective of this study is to analyze the new textbooks prepared under the framework of the "curriculum reform" realized in Turkey , as part of the EU harmonization process, in terms of gender representation. For this purpose, illustrations in the new ABC, Life Studies and Social Studies textbooks prepared under the new program were…

Attending to the Noise: Applying Chaos Theory to School Reform.

ERIC Educational Resources Information Center

Wertheimer, Richard; Zinga, Mario

The Common Knowledge: Pittsburgh (CK:P), a technology-based project, introduced the Internet into all levels of the Pittsburgh Public Schools during 1993-97. This is a case study of the ideology, strategies, and process of the CK:P project describes the project's activities, examines the project in light of school-reform literature, and uses its…

Diagnostic Tools for the Systemic Reform of Schools.

ERIC Educational Resources Information Center

Amsler, Mary; Kirsch, Kayla

This paper presents three interrelated diagnostic tools that can be used by school staff as they begin to plan a systemic reform effort. These tools are designed to help educators reflect on their experiences in creating changes in their school and to examine the current barriers to and supports for the change process. The tools help school design…

"Locking the Door before We Got the Keys": Racial Realities of the Charter School Authorization Process in Post-Katrina New Orleans

ERIC Educational Resources Information Center

Henry, Kevin Lawrence, Jr.; Dixson, Adrienne D.

2016-01-01

Charter schools have become the hegemonic "solution" for urban educational reform initiatives aimed at curtailing longstanding race-based educational inequities. The "common sense" of neoliberal charter schools as the cure to persistent inequality is best illustrated in the post-Katrina New Orleans educational reforms. This…

Reforming Long-Term Care in the United States: Findings from a National Survey of Specialists

ERIC Educational Resources Information Center

Miller, Edward Alan; Mor, Vincent; Clark, Melissa

2010-01-01

Purpose: Theories of the policy process recognize that policy proposals are typically generated, debated, redrafted, and accepted for consideration through the gradual accumulation of knowledge within communities of specialists. Thus, to inform long-term care (LTC) reform efforts, we conducted a Web-based survey of 1,147 LTC specialists…

Equipped for the Future. A Reform Agenda for Adult Literacy and Lifelong Learning.

ERIC Educational Resources Information Center

Stein, Sondra Gayle

The National Institute for Literacy's Equipped for the Future initiative was undertaken to achieve customer-driven, standards-based reform of adult literacy and lifelong learning through a broad, national consensus-building process. The initiative's six stages are as follows: (1) build consensus on the knowledge and skills adults need to fulfill…

Schools at the Center of Society's Values and Vision.

ERIC Educational Resources Information Center

Irwin, Kathleen

The critical need for school reform cannot be separated from social reform. It is necessary, therefore, to go beyond the limited scope of curriculum modification to the process of learning how to take every element of an educational experience, raise it to a conscious level, and relate it to a universal struggle around a system of democratic…

The Road to Change? A Case Study Examining Educational Reform in Sibiu County, Romania

ERIC Educational Resources Information Center

Tucker, Stan; Trotman, Dave; Rusu, Horatiu; Mara, Daniel

2014-01-01

This article examines processes of educational reform and change in a post-Communist Eastern European country. Focusing on the experiences and challenges facing one geographical community in Sibiu County, Romania, an attempt is made to understand some of the macro and micro factors, influences and external policy drivers, shaping the organization…

Transatlantic Recognition Issues: Seeking New Directions in the Twenty-First Century

ERIC Educational Resources Information Center

Hunt, E. Stephen

2009-01-01

Both the US and European higher education systems have long histories of transatlantic cooperation, a tradition that it is important to preserve and enhance even in the context of increased competition and important systemic reforms in both North America and Europe. The Bologna Process has led to several systemic reforms in European higher…

New Structures of Power and Regulation within "Distributed" Education Policy--The Example of the US Common Core State Standards Initiative

ERIC Educational Resources Information Center

Hartong, Sigrid

2016-01-01

This article focuses on the growing development towards new forms of '"distributed" governance within current large-scale educational reforms. The emphasis is on so-called "governance through standards" as a transformative reform complex which manifests itself in a simultaneous process of regulative destabilisation and (global)…

Design Thinking: A Process for Developing and Implementing Lasting District Reform. Knowledge Brief

ERIC Educational Resources Information Center

Rice, Erik

2011-01-01

Traditionally, challenges such as how to sustain district reform, how to build a leadership pipeline, how to create an integrated project, or how to best intervene with struggling students would be resolved with a team of "experts" developing a solution in isolation of the stakeholders involved. By contrast, design thinking centers on the…

Factors Which Impact the Distribution of Leadership for an ICT Reform: Expertise vis-a-vis Formal Role?

ERIC Educational Resources Information Center

Ho, Jeanne Marie; Ng, David

2012-01-01

This study examined the process of Information Communication Technology reform in a Singapore school. The focus was on distributed leadership actions, and the factors which enabled and constrained the distribution of leadership. This study adopted a naturalistic inquiry approach, involving the case study of a school. The study found that…

Reforms in Education: The Need for Re-Engineering Teacher Education for Sustainable Development

ERIC Educational Resources Information Center

Ofoego, O. C.; Ebebe, I. E.

2016-01-01

The paper is concerned with reforms in Education and the need for re-engineering Teacher education in Nigeria for better professionalism and National Development. In the process, key concepts like Teacher Education and professionalism were explained. A brief review of the state of Teacher Education and Development in Nigeria revealed the…

New Schools of the People: New Orientations in Reform and Research in Education.

ERIC Educational Resources Information Center

Canieso-Doronila, Maria Luisa

Emergent reforms in education in the formal and nonformal sectors in the Philippines are changing the answers to traditional research questions and ways in which educational research will be carried out. Informal education is the ongoing process of transmission of knowledge, skills, values, and attitudes by a society to its youth. Formal education…

Teaching Reform of Course Group Regarding Theory and Design of Mechanisms Based on MATLAB Technology

ERIC Educational Resources Information Center

Shen, Yi; Yuan, Mingxin; Wang, Mingqiang

2013-01-01

Considering that the course group regarding theory and design of mechanisms is characterized by strong engineering application background and the students generally feel very boring and tedious during the learning process, some teaching reforms for the theory and design of mechanisms are carried out to improve the teaching effectiveness in this…

Research Assessments and Rankings: Accounting for Accountability in "Higher Education Ltd"

ERIC Educational Resources Information Center

Singh, Geeta

2008-01-01

Over the past two decades, higher education in advanced capitalist societies has undergone a process of radical "reform". A key element of this reform has been the introduction of a number of accounting-based techniques in the pursuit of improved accountability and transparency. While the "old" accounting was to do with stewardship, the "new"…

Developing Indicators of Classroom Practice to Evaluate the Impact of District Mathematics Reform Initiative: A Generalizability Analysis

ERIC Educational Resources Information Center

Newton, Xiaoxia A.

2010-01-01

This paper reported results from a generalizability study that examined the process of developing classroom practice indicators used to evaluate the impact of a school district's mathematics reform initiative. The study utilized classroom observational data from 32 second, fourth, eighth, and tenth grade teachers. The study addresses important…

The Practical Art of Redesigning Teacher Education: Teacher Education Reform at Washington University, 1970-1975.

ERIC Educational Resources Information Center

Tom, Alan R.

1988-01-01

This article proposes rules of thumb about the teacher education design process. The rules are grounded in the attempts at reforming teacher education at Washington University in the early 1970s, at a time during which a year-long, field-based alternative to the traditional elementary program was operated. (IAH)

Standards of Competence: A Multi-Site Case Study of School Reform. Project: Effects of Testing Reforms and Standards.

ERIC Educational Resources Information Center

Ellwein, Mary Catherine; Glass, Gene V.

A qualitative case study involving five educational institutions assessed the use of competency testing as a prerequisite for high school graduation, criterion for admission into college, criterion for teacher certification, and statewide assessment tool. Focus was on persons and processes involved in setting educational standards associated with…

Competition and Market Reform in the Australian VET Sector. Review of Research.

ERIC Educational Resources Information Center

Anderson, Damon

This report examines current knowledge about the nature, development, and consequences of competition and market reform in the Australian vocational education and training (VET) sector. In the process, the policy context and key aspects of the theory and practice of a competitive training market are analyzed. These other topics related to the…

Laying Bare Educational Crosstalk: A Study of Discursive Repertoires in the Wake of Educational Reform

ERIC Educational Resources Information Center

McGrath, Cormac; Laksov, Klara Bolander

2014-01-01

In the wake of the Bologna process, many European universities are undergoing comprehensive educational reform. Our attention in this paper is focused on how a medical university came to terms with the challenges presented therein. We wished to explore how educators identify, understand and deal with opportunities for change at a medical…

Arts Integration as School Reform: Exploring How Teachers Experience Policy

ERIC Educational Resources Information Center

Lackey, Lara; Huxhold, Dianna

2016-01-01

This article reports on the perceptions and experiences of general elementary educators as they engage in a school reform process that requires them to learn and implement an arts infused curriculum intended to raise student achievement on standardized tests in non-arts subjects. This qualitative study reveals not only how one arts-based school…

Reforming Special Education in Scotland: Tensions between Discourses of Professionalism and Rights

ERIC Educational Resources Information Center

Riddell, Sheila; Weedon, Elisabet

2010-01-01

In 2001, the (then) Scottish Executive embarked on a process of reform of the SEN framework in Scotland. This paper analyses negotiations between different social actors, principally local authority staff and parents, in the formation of the legislation and its subsequent enactment. Data are drawn from an analysis of responses to consultations,…

The Freedom to Set Research Agendas--Illusion and Reality of the Research Units in the Dutch Universities

ERIC Educational Resources Information Center

Leisyte, Liudvika; Enders, Jurgen; De Boer, Harry

2008-01-01

The Dutch higher education and research system has incrementally changed during the last decade. Several reforms, initiated by the government, have hinted towards influencing the basic processes within universities, such as research programming. However, it is largely unknown how these reforms have been implemented at the university shop floor…

The Process of Developing and Implementing the Ten-Year Educational Development Programme

ERIC Educational Resources Information Center

Doucoure, Samba; Diarra, Abou

2006-01-01

Mali, in choosing democratic education within a decentralised context, has made a clear choice as to the importance of the role that communities and territorial collectivities should play in the profound change and reform of the educational system. This reform will only happen if the communities, territorial collectivities, and all the actors…

[Bioethical aspects of health care reform in Chile. II. Discrimination, free election and informed consent].

PubMed

Rosselot, Eduardo

2003-11-01

Bioethical issues emerge each time health care reform projects are discussed. These affect diverse moral values and principles and have an impact on cultural, social and political areas. Thus, they demand more than just organizational, financial or administrative solutions. This review analyses discrimination, free election of professionals and informed consent. All three concepts are alluded in the legislative debate raised upon the actual process for health reform. Having clear ideas about these subjects is crucial to foresee the reactions expected to arise among physicians and the general public, when confronting the proposed changes.

Studies of the use of high-temperature nuclear heat from an HTGR for hydrogen production

NASA Technical Reports Server (NTRS)

Peterman, D. D.; Fontaine, R. W.; Quade, R. N.; Halvers, L. J.; Jahromi, A. M.

1975-01-01

The results of a study which surveyed various methods of hydrogen production using nuclear and fossil energy are presented. A description of these methods is provided, and efficiencies are calculated for each case. The process designs of systems that utilize the heat from a general atomic high temperature gas cooled reactor with a steam methane reformer and feed the reformer with substitute natural gas manufactured from coal, using reforming temperatures, are presented. The capital costs for these systems and the resultant hydrogen production price for these cases are discussed along with a research and development program.

European hospital reforms in times of crisis: aligning cost containment needs with plans for structural redesign?

PubMed

Clemens, Timo; Michelsen, Kai; Commers, Matt; Garel, Pascal; Dowdeswell, Barrie; Brand, Helmut

2014-07-01

Hospitals have become a focal point for health care reform strategies in many European countries during the current financial crisis. It has been called for both, short-term reforms to reduce costs and long-term changes to improve the performance in the long run. On the basis of a literature and document analysis this study analyses how EU member states align short-term and long-term pressures for hospital reforms in times of the financial crisis and assesses the EU's influence on the national reform agenda. The results reveal that there has been an emphasis on cost containment measures rather than embarking on structural redesign of the hospital sector and its position within the broader health care system. The EU influences hospital reform efforts through its enhanced economic framework governance which determines key aspects of the financial context for hospitals in some countries. In addition, the EU health policy agenda which increasingly addresses health system questions stimulates the process of structural hospital reforms by knowledge generation, policy advice and financial incentives. We conclude that successful reforms in such a period would arguably need to address both the organisational and financing sides to hospital care. Moreover, critical to structural reform is a widely held acknowledgement of shortfalls in the current system and belief that new models of hospital care can deliver solutions to overcome these deficits. Advancing the structural redesign of the hospital sector while pressured to contain cost in the short-term is not an easy task and only slowly emerging in Europe. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Plasma promoted manufacturing of hydrogen and vehicular applications

NASA Astrophysics Data System (ADS)

Bromberg, Leslie

2003-10-01

Plasmas can be used for promoting reformation of fuels. Plasma-based reformers developed at MIT use a low temperature, low power, low current electrical discharge to promote partial oxidation conversion of hydrocarbon fuels into hydrogen and CO. The very fuel rich mixture is hard to ignite, and the plasmatron provides a volume-ignition. To minimize erosion and to simplify the power supply, a low current high voltage discharge is used, with wide area electrodes. The plasmatron fuel reformer operates at or slightly above atmospheric pressure. The plasma-based reformer technology provides the advantages of rapid startup and transient response; efficient conversion of the fuel to hydrogen rich gas; compact size; relaxation or elimination of reformer catalyst requirements; and capability to process difficult to reform fuels. These advantages enable use of hydrogen-manufacturing reformation technology in cars using available fuels, such as gasoline and diesel. This plasma-based reformer technology can provide substantial throughputs even without the use of a catalyst. The electrical power consumption of the device is minimized by design and operational characteristics (less than 500 W peak and 200 W average). The product from these plasma reactors is a hydrogen rich mixture that can be used for combustion enhancement and emissions aftertreatment in vehicular applications. By converting a small fraction of the fuel to hydrogen rich gas, in-cylinder combustion can be improved. With minor modification of the engine, use of hydrogen rich gas results in increased fuel efficiency and decreased emissions of smog producing gases. The status of plasma based reformer technology and its application to vehicles will be described.

Framing divorce reform: media, morality, and the politics of family.

PubMed

Adams, Michele; Coltrane, Scott

2007-03-01

No-fault statutes changed divorce from an adversarial system pitting victims against victimizers, with the state acting as enforcer of marital norms, to a private decision between unhappily married but legally blameless partners. Divorce reform following no-fault primarily focused on making divorce more fair for the parties involved. Over the last several decades, divorce reform has transitioned from making divorce better to making marriage healthier. The good divorce has slipped from policy attention, elevating the potential for restigmatization of divorced couples and their children. We trace the trajectory of media framing of divorce reform discourse in three general circulation newspapers from the start of the no-fault revolution, noting how media framing parallels and naturalizes the transition in divorce reform policy. We conclude by observing the prevalence of divorce and the related need for therapists to be cognizant of this naturalization process, thereby keeping the good divorce as a goal for those who desire to end their marriages.

From instinct to evidence: the role of data in country decision-making in Chile.

PubMed

Paz Aguilera, Ximena; Espinosa-Marty, Consuelo; Castillo-Laborde, Carla; Gonzalez, Claudia

2017-01-01

The Chilean health system has undergone profound reforms since 1990, while going through political upheaval and facing demographic, health, and economic transformations. The full information requirements to develop an evidence-informed process implied the best possible use of the available data, as well as efforts to improve information systems. To examine, from a historical perspective, the use of evidence during the health sector reforms undertaken in Chile from 1990 to date, and to identify the factors that have both determined improvements in the data and facilitated their use. A qualitative methodological approach was followed to review the Chilean experience with data on decision-making. We use as the primary source our first-hand experience as officials of the Ministry of Health (MOH) and the Ministry of Finance before and during the reform period considered. A literature review was also conducted, using documents from official sources, historical accounts, books, policy reports, and articles published in indexed journals reviewing and discussing the reform process, looking for the use of data. The Chilean health-care reform process was intensive in its use and production of information. The MOH conducted several studies on the burden of disease, efficacy of interventions, cost-effectiveness, out-of-pocket payments, fiscal impact, social preferences, and other factors. Policy and prioritization frameworks developed by international agencies strongly influenced the use of data and the study's agenda. The Chilean example provides evidence that tradition, receptiveness to foreign ideas, and benchmarking with international data determined the use of data, facilitated by the political influence of physicians and, later, other technocrats. Internationally comparable statistics are also shown to play a significant role in the policy debate.

The politics of learning to teach: The juxtaposition of reform, risk-taking, and survival for a prospective science teacher

NASA Astrophysics Data System (ADS)

McLoughlin, Andrea Sabatini

1998-12-01

It has proven difficult for teachers to enact and sustain the changes to thinking and pedagogy called for in science education reforms. It may be especially difficult for prospective teachers to create coherent professional identities as they learn to teach in the borderland between educational change and the existing context of education. Field experiences remain a pivotal point in teacher education, as prospective teachers mature from the perspective they have lived as students to the vantage point they are constructing as developing teachers. This qualitative, naturalistic case study examined a reform-oriented preservice science teacher's beliefs and actions during a year of field practica, including student teaching. Interviews, observations, and written documents were collected to examine the extent to which the prospective teacher's thoughts and actions continued to reflect reform ideals across that time. Inductive data analysis indicated that tacit beliefs held by the participant interacted with significant events of the field experiences to direct her learning to teach process in non-educative ways. Implications include: (a) deeper examination of the beliefs and experiences of prospective teachers would allow teacher educators the ability to understand and guide professional development in deeper and more productive ways, (b) the establishment of an atmosphere of experimentation/inquiry and a more cohesive, collaborative approach to teacher education are needed, especially during field experiences, if teacher education programs are to foster the productive and educative experiences supportive of reform ideals, (c) the preparation of prospective teachers who intend to implement reform ideals should include developing understandings of the dynamics of the change process, and (d) the exploration/confrontation of the power structures inherent in the existing educational system is essential if they are to be prevented from undermining reform efforts. As science teacher educators more fully explore prospective teachers' beliefs about teaching and learning, challenge the thinking and events that tend to reproduce the status quo, and look for the common points of departure that will help prospective teachers to construct an empowered and implementable new vision of themselves and their classrooms, science education reform will surely move closer to sustainability.

Using stakeholder analysis to support moves towards universal coverage: lessons from the SHIELD project.

PubMed

Gilson, Lucy; Erasmus, Ermin; Borghi, Jo; Macha, Janet; Kamuzora, Peter; Mtei, Gemini

2012-03-01

Stakeholder analysis is widely recommended as a tool for gathering insights on policy actor interests in, positions on, and power to influence, health policy issues. Such information is recognized to be critical in developing viable health policy proposals, and is particularly important for new health care financing proposals that aim to secure universal coverage (UC). However, there remain surprisingly few published accounts of the use of stakeholder analysis in health policy development generally, and health financing specifically, and even fewer that draw lessons from experience about how to do and how to use such analysis. This paper, therefore, aims to support those developing or researching UC reforms to think both about how to conduct stakeholder analysis, and how to use it to support evidence-informed pro-poor health policy development. It presents practical lessons and ideas drawn from experience of doing stakeholder analysis around UC reforms in South Africa and Tanzania, combined with insights from other relevant material. The paper has two parts. The first presents lessons of experience for conducting a stakeholder analysis, and the second, ideas about how to use the analysis to support policy design and the development of actor and broader political management strategies. Comparison of experience across South Africa and Tanzania shows that there are some commonalities concerning which stakeholders have general interests in UC reform. However, differences in context and in reform proposals generate differences in the particular interests of stakeholders and their likely positioning on reform proposals, as well as in their relative balance of power. It is, therefore, difficult to draw cross-national policy comparisons around these specific issues. Nonetheless, the paper shows that cross-national policy learning is possible around the approach to analysis, the factors influencing judgements and the implications for, and possible approaches to, management of policy processes. Such learning does not entail generalization about which UC reform package offers most gain in any setting, but rather about how to manage the reform process within a particular context.

Analysis of the energy efficiency of an integrated ethanol processor for PEM fuel cell systems

NASA Astrophysics Data System (ADS)

Francesconi, Javier A.; Mussati, Miguel C.; Mato, Roberto O.; Aguirre, Pio A.

The aim of this work is to investigate the energy integration and to determine the maximum efficiency of an ethanol processor for hydrogen production and fuel cell operation. Ethanol, which can be produced from renewable feedstocks or agriculture residues, is an attractive option as feed to a fuel processor. The fuel processor investigated is based on steam reforming, followed by high- and low-temperature shift reactors and preferential oxidation, which are coupled to a polymeric fuel cell. Applying simulation techniques and using thermodynamic models the performance of the complete system has been evaluated for a variety of operating conditions and possible reforming reactions pathways. These models involve mass and energy balances, chemical equilibrium and feasible heat transfer conditions (Δ T min). The main operating variables were determined for those conditions. The endothermic nature of the reformer has a significant effect on the overall system efficiency. The highest energy consumption is demanded by the reforming reactor, the evaporator and re-heater operations. To obtain an efficient integration, the heat exchanged between the reformer outgoing streams of higher thermal level (reforming and combustion gases) and the feed stream should be maximized. Another process variable that affects the process efficiency is the water-to-fuel ratio fed to the reformer. Large amounts of water involve large heat exchangers and the associated heat losses. A net electric efficiency around 35% was calculated based on the ethanol HHV. The responsibilities for the remaining 65% are: dissipation as heat in the PEMFC cooling system (38%), energy in the flue gases (10%) and irreversibilities in compression and expansion of gases. In addition, it has been possible to determine the self-sufficient limit conditions, and to analyze the effect on the net efficiency of the input temperatures of the clean-up system reactors, combustion preheating, expander unit and crude ethanol as fuel.

Strengthening health systems by health sector reforms

PubMed Central

Senkubuge, Flavia; Modisenyane, Moeketsi; Bishaw, Tewabech

2014-01-01

Background The rising burden of disease and weak health systems are being compounded by the persistent economic downturn, re-emerging diseases, and violent conflicts. There is a growing recognition that the global health agenda needs to shift from an emphasis on disease-specific approaches to strengthening of health systems, including dealing with social, environmental, and economic determinants through multisectoral responses. Methods A review and analysis of data on strengthening health sector reform and health systems was conducted. Attention was paid to the goal of health and interactions between health sector reforms and the functions of health systems. Further, we explored how these interactions contribute toward delivery of health services, equity, financial protection, and improved health. Findings Health sector reforms cannot be developed from a single global or regional policy formula. Any reform will depend on the country's history, values and culture, and the population's expectations. Some of the emerging ingredients that need to be explored are infusion of a health systems agenda; development of a comprehensive policy package for health sector reforms; improving alignment of planning and coordination; use of reliable data; engaging ‘street level’ policy implementers; strengthening governance and leadership; and allowing a holistic and developmental approach to reforms. Conclusions The process of reform needs a fundamental rather than merely an incremental and evolutionary change. Without radical structural and systemic changes, existing governance structures and management systems will continue to fail to address the existing health problems. PMID:24560261

[Proposals for health reform and equity in Uruguay: a redefinition of the Welfare State?].

PubMed

Mitjavila, Myriam; Fernandez, José; Moreira, Constanza

2002-01-01

This article reviews and analyzes health sector reform proposals in Uruguay and the possible effects of such reforms in terms of equity, the health sector's institutional structure, and the power relationship between the various actors in the process. The authors contend that a highly structured yet simultaneously fragmented system has conspired against any attempt to introduce major reforms into the system. Thus the only possibility for reform resides neither in the consolidation of the so-called Institutions for Collective Medical Care (IAMCs) nor in the move towards a residual model. Rather, Uruguay is witnessing the system's passive restructuring (i.e., reform by default). In this context and given the system's built-in inequities, the current trend is towards an even more regressive distribution of goods and services. The authors use qualitative and quantitative techniques to show that inequities in expenditure, access, and quality have resulted from long-term developments and adaptive movements of an IAMC system in fiscal stress and the public system's declining quality. Thus, in the absence of changes in state policy that redefine the actors' power or in the absence of system collapse, the country should expect this same regressive trend to deepen.

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

PubMed

Fox, Ashley M; Reich, Michael R

2015-10-01

Universal health coverage has recently become a top item on the global health agenda pressed by multilateral and donor organizations, as disenchantment grows with vertical, disease-specific health programs. This increasing focus on universal health coverage has brought renewed attention to the role of domestic politics and the interaction between domestic and international relations in the health reform process. This article proposes a theory-based framework for analyzing the politics of health reform for universal health coverage, according to four stages in the policy cycle (agenda setting, design, adoption, and implementation) and four variables that affect reform (interests, institutions, ideas, and ideology). This framework can assist global health policy researchers, multilateral organization officials, and national policy makers in navigating the complex political waters of health reforms aimed at achieving universal health coverage. To derive the framework, we critically review the theoretical and applied literature on health policy reform in developing countries and illustrate the framework with examples of health reforms moving toward universal coverage in low- and middle-income countries. We offer a series of lessons stemming from these experiences to date. Copyright © 2015 by Duke University Press.

The evaluator as technical assistant: A model for systemic reform support

NASA Astrophysics Data System (ADS)

Century, Jeanne Rose

This study explored evaluation of systemic reform. Specifically, it focused on the evaluation of a systemic effort to improve K-8 science, mathematics and technology education. The evaluation was of particular interest because it used both technical assistance and evaluation strategies. Through studying the combination of these roles, this investigation set out to increase understanding of potentially new evaluator roles, distinguish important characteristics of the evaluator/project participant relationship, and identify how these roles and characteristics contribute to effective evaluation of systemic science education reform. This qualitative study used interview, document analysis, and participant observation as methods of data collection. Interviews were conducted with project leaders, project participants, and evaluators and focused on the evaluation strategies and process, the use of the evaluation, and technical assistance. Documents analyzed included transcripts of evaluation team meetings and reports, memoranda and other print materials generated by the project leaders and the evaluators. Data analysis consisted of analytic and interpretive procedures consistent with the qualitative data collected and entailed a combined process of coding transcripts of interviews and meetings, field notes, and other documents; analyzing and organizing findings; writing of reflective and analytic memos; and designing and diagramming conceptual relationships. The data analysis resulted in the development of the Multi-Function Model for Systemic Reform Support. This model organizes systemic reform support into three functions: evaluation, technical assistance, and a third, named here as "systemic perspective." These functions work together to support the project's educational goals as well as a larger goal--building capacity in project participants. This model can now serve as an informed starting point or "blueprint" for strategically supporting systemic reform.

Decentralisation Policy and Practice in Ghana: The Promise and Reality of Community Participation in Education in Rural Communities

ERIC Educational Resources Information Center

Essuman, Ato; Akyeampong, Kwame

2011-01-01

In 1987, the government of Ghana embarked on a process to decentralise education management to districts as part of wider social and democratic governance reforms. A central part of this reform was the prescription of active community participation in the affairs of schools within their locality. This paper explores the different meanings…

The School-to-College Transition in the Context of Educational Reform: Student Retention and the State Policy Process

ERIC Educational Resources Information Center

Welsh, John F.; Petrosko, Joseph; Taylor, Hal

2007-01-01

This study examines the impact of state-level educational reform in Kentucky on college student retention. By tracking the educational progress of students who graduated from high school in a large school district and who subsequently enrolled in a research university in the same metropolitan area, the study reveals that the accountability…

Kindergarten through Third Grade Reading Tutors in Northeast Mississippi

ERIC Educational Resources Information Center

Williams, Angela

2010-01-01

All public schools in the United States have been caught up in educational reform. This has especially been true since the 1980's. The No Child Left Behind Act of 2001 was a major component in how schools have changed the process of educating students. In response to reform efforts, many schools have relied on their own knowledge to achieve higher…

Something Borrowed, Something Learned? The Transatlantic Market in Education and Training Reform.

ERIC Educational Resources Information Center

Finegold, David, Ed.; And Others

The concentration of numerous case studies of British appropriation of U.S. education and training (ET) policies in a brief period of time (1986-90) provides a unique opportunity to improve understanding of the ET reform process and the role that international comparisons can play in shaping the domestic ET policy agenda. In this book, political…

Higher Education Reform in Ukraine during the Transition Period: On the Path to Renewal

ERIC Educational Resources Information Center

Shandruk, Svitlana; Shatrova, Zhanna

2015-01-01

The article discusses the challenges and factors impeding the education reforms in Ukraine despite the continuous efforts to modernize the higher education system. It considers the major provisions of the new Higher Education Law of Ukraine (HELU) and their alignment with the requirements of the Bologna Process for the country to integrate in the…

"Exactly What Do You Mean by Consistency?" Exploring Concepts of Consistency and Standards in Curriculum for Excellence in Scotland

ERIC Educational Resources Information Center

Hayward, E. Louise; Hutchinson, Carolyn

2013-01-01

Scotland, in common with many other countries internationally, has paid considerable attention to the development of assessment for learning. Currently, schools in Scotland are engaged in a major programme of curriculum and assessment reform, entitled Curriculum for Excellence. As part of the reform process, there is concern amongst practitioners,…

Education for Responsibility: Possibilities of a Derridian Text for University Education

ERIC Educational Resources Information Center

Higgs, Philip

2004-01-01

The reform of the higher education system in South Africa has been well-documented in recent years.* The reform process it is stated, is directed at the establishment of one higher education system that will contribute to the social, economic and political development of the South African society. In this article I explore the possibilities that a…

A Survey of Leadership Standards for Professional Preparation of Public School Principals in Kuwait

ERIC Educational Resources Information Center

Alansari, Amal EEHE

2012-01-01

Problem: Over the last decade, the Ministry of Education in Kuwait undertook the responsibility of reforming the Kuwaiti education system. While it noted the importance of school principals in this reform process, it has not yet focused on the development of school leaders through formal preparation. There were no standards set to guide school…

A Study of the State of Budgetary Financial Reporting in Navy Medicine

DTIC Science & Technology

1998-12-01

comply with financial reporting reform mandates from Congress and other federal agencies, while simultaneously optimizing the use of its financial...systems to improve financial management processes. This thesis describes and examines the effectiveness of budgetary financial reporting in Navy medicine...contributing to financial reporting reforms by increasing efficiencies of its systems through consolidation and integration. Additionally, BUMED has complied

Explore the Human-Based Teaching for the Professional Course of Materials Science and Engineering

ERIC Educational Resources Information Center

Zhao, Yiping; Chen, Li; Zhang, Yufeng

2008-01-01

As viewed from two sides such as teacher and student, in this article, we explore the human-based teaching reform for the college professional course of materials Science and Engineering, point out the qualities and conditions that professional teacher should possess in the process of human-based teaching reform of professional course and the…

Reforming of the System of Higher Education in the State of the Former Soviet Union: Characteristics and Problems

ERIC Educational Resources Information Center

Khairullina, Nursafa Gafurovna; Ustinova, Oksana Vyacheslavovna; Antipina, Natalya Lvovna; Zykova, Vera Konstantinovna; Romanova, Tatyana Alekseyevna

2016-01-01

The processes of globalization that took place in the modern world, significantly influenced on system of management of higher education, refocusing it on subject-subject relationship by achieving a balance of interests of the individual, society and state. The priority task of reforming higher educational system of Republic of Kazakhstan is…

Integrated System in the Malaysian Education Paradigm: A Catalyst for a Holistic Personality Development

ERIC Educational Resources Information Center

Othman, Nooraini; Mohamad, Khairul Azmi

2014-01-01

This paper intends to describe and analyse the process of education reform that has taken place in Malaysia. Islamisation plays a major role in such reform. The approach is innovative and novel in nature. Historically, Malaysia was under the British colony and the British left a strong impact in the education system. Naturally the position of…

A Case Study on the Reforms of Dance in Higher Education in Taiwan

ERIC Educational Resources Information Center

Tai, Juan-Ann

2012-01-01

This case study focuses on a group of teachers' and students' opinions regarding the recent reforms in the dance department of Tainan University of Technology (TUT) in Taiwan. The author uses Pierre Bourdieu's theory of forms of capital and symbolic violence to probe for the motivation, process and consequences of the changes brought about by…

Using Assessment to Drive the Reform of Schooling: Time to Stop Pursuing the Chimera?

ERIC Educational Resources Information Center

Torrance, Harry

2011-01-01

Internationally, over the last 20-30 years, changing the procedures and processes of assessment has come to be seen, by many educators as well as policy-makers, as a way to frame the curriculum and drive the reform of schooling. Such developments have often been manifested in large scale, high stakes testing programmes. At the same time…

Theory, Practice and Competences in the Study of Pedagogy--Views of Ljubljana and Belgrade University Teachers

ERIC Educational Resources Information Center

Ermenc, Klara Skubic; Vujisic Živkovic, Nataša; Spasenovic, Vera

2015-01-01

Over the previous decade, higher education in Slovenia and Serbia has undergone considerable reforms, influenced by the Bologna process and its agenda of competence and learning outcomes. In the context of these reforms, the aim of this research is to consider the question of the relationship between the theoretical and the practical education of…

With Bologna in Mind and the Sword in the Hand: The German Bachelor/Master Reform Reconsidered

ERIC Educational Resources Information Center

Mause, Karsten

2013-01-01

Since the late 1990s, many European countries have adapted their traditional one-cycle curriculum structure in higher education to the two-cycle structure employed in the Anglo-American world. In the large social science literature dealing with this reform phenomenon, the Bologna Process -- starting with the 1999 Declaration of Bologna -- is…

Writing to Learn the Reformation: Or, Who Was Ulrich Zwingli and Why Should I Care?

ERIC Educational Resources Information Center

Jordon, Sherry

2014-01-01

This article describes the use of "Writing to Learn" assignments in a course on the Theology of the Protestant and Catholic Reformations. These short, informal assignments promote active learning by focusing on writing as a process for critical thinking and as a way to learn the content of the course. They help students creatively engage…

Communities of Practice in Higher Education: Contradictory Narratives of a University-Wide Curriculum Reform

ERIC Educational Resources Information Center

Annala, Johanna; Mäkinen, Marita

2017-01-01

This article presents an analysis of the experiences of scholars in a university-wide curriculum reform in one public research university. The focus is on the intentions and dynamics that shape the curriculum process in the local communities of practice (CoPs). The data, comprising interviews with 25 scholars, are examined as experience-centred…

Navigating a Restless Sea: The Continuing Struggle to Achieve a Decent Education for African-American Youngsters in Chicago.

ERIC Educational Resources Information Center

Ayers, William; Klonsky, Michael

1994-01-01

The movement to reform the Chicago (Illinois) public schools faces a host of problems in the classroom and a sea of social ills outside the classroom. Without support from the African American community and largely cut off from the reform process, neither significant progress nor progressive change can be made. (SLD)

Reforming Higher Education in Hong Kong towards Post-Massification: The First Decade and Challenges Ahead

ERIC Educational Resources Information Center

Wan, Calvin

2011-01-01

The process of reforming Hong Kong's higher education sector commenced in 2001, and the system moved into the post-massification era. Within five years, the post-secondary participation rate for the 17-20 age cohort had increased to 66 per cent. This target was achieved much earlier than the Government had planned. More educational opportunities…

Bearing the Cost: An Examination of the Gendered Impacts of Water Policy Reform in Malawi

ERIC Educational Resources Information Center

Marra, Simona

2008-01-01

Water insecurity is one of the most pressing issues currently faced by Malawi. The consequences of these issues are borne significantly by women, who are most directly involved with water provision and use, particularly at the household level. Since the mid-1990s, Malawi has undertaken a process of water policy reform. Reflective of international…

Mainstreaming gender in integrated water resources management: the case of Zimbabwe

NASA Astrophysics Data System (ADS)

Manase, G.; Ndamba, J.; Makoni, F.

Zimbabwe embarked on a water sector reform programme in 1995. Two goals of the water reform were to broaden women’s access to water and to enhance their participation in water management. This paper analyses how gender was addressed at the national and institutional levels and in the water reform process, paying particular attention on how strategic gender needs were addressed in the process and the resultant policies and Acts. The results show that although the government of Zimbabwe has made considerable progress in mainstreaming gender at the ministerial level, departments which are involved in the actual implementation of water programmes do not have clear gender policies. Therefore although gender equity was one of the main goals of the water reform, most poor women and men were not involved in the consultations. Consequently neither the new Water Act nor the Zimbabwe National Water Authority (ZINWA) Act addresses gender in explicit terms. Strategic gender needs are not addressed at all. It is recommended that all institutions in the water sector, including NGOs, should have clear gender policies, include a gender perspective in their organisation culture and practices and address strategic gender needs through training, education and supporting productive use of water.

Narratives of change and reform processes: global and local transactions in French psychiatric hospital reform after the Second World War.

PubMed

Henckes, Nicolas

2009-02-01

As with the rest of biomedicine, psychiatry has, since the Second World War, developed under the strong influence of the transnational accumulation of a whole series of practices and knowledge. Anthropology has taught us to pay attention to the transactions between local-level actors and those operating at the global level in the construction of this new world of medicine. This article examines the role played by the recommendations of the WHO Expert Committee of Mental Health in the reform of the French mental health system during the 1950s. Rooted in the experience of practitioners and administrators participating in the process of reforming local psychiatric systems, the recommendations of the WHO Expert Committee developed a new vision of regulating psychiatry, based on professionalism and an idea of a normativity of the doctor-patient relation. This article shows how, by mobilizing the WHO reports' recommendations, French administrators and doctors succeeded in creating a typically French object: "the psychiatric sector", founded on elaborating a new mandate for the psychiatric profession. The article thus questions the deinstitutionalization model as an explanation of transformations of the structure of the French psychiatry system in the post-war period.

Failure of health care reform in the USA.

PubMed

Mechanic, D

1996-01-01

The failure of health reform in the USA reflects the individualism and lack of community responsibility of the American political culture, the power of interest groups, and the extraordinary process President Clinton followed in developing his highly elaborate plan. Despite considerable initial public support and a strong start, the reform effort was damaged by the cumbersome process, the complexity of the plan itself, and the unfamiliarity of key components such as alliances for pooled buying of health insurance. In addition, the alienation of important interest groups and the loss of presidential initiative in framing the public discussion as a result of international, domestic and personal issues contributed to the failure in developing public consensus. This paper considers an alternative strategy that would have built on the extension of the Medicare program as a way of exploring the possibilities and barriers to achieving health care reform. Such an approach would build on already familiar and popular pre-existing components. The massive losses in the most recent election and large budget cuts planned by the Republican majority makes it unlikely that gaps in insurance or comprehensiveness of coverage will be corrected in the foreseeable future.

Design and practice of a novel experiment teaching system based on the optoelectric information chain

NASA Astrophysics Data System (ADS)

Luo, Yunhan; Chen, Zhe; Li, Yan; Di, Hongwei; Li, Zhen; Bai, Chunhe; Tang, Jieyuan; Zhang, Jun; Yi, Xiao

2017-08-01

The course of optoelectronic information science is a diverse science and technology with wide range of disciplines, intensive technology, and strong applicability. As a result, the practice teaching in undergraduate education occupies the strategic important position, which is a key link in the process of innovative talents cultivation of photoelectric information, plays a unique and irreplaceable role by any other teaching methods. In order to meet the requirements of national innovative talents of photoelectric information, the complete teaching reform strategy was put forward by combining with the higher education policy and development strategy of teaching and professional characteristics. The goal of the experimental teaching reform is to cultivate innovative talents and to construct the photoelectric information industry chain system of experimental teaching platform and cultivating creative personnel. The key clue is the photoelectric information surrounding photoelectric information, like "generation - modulation - transformation - detection - procession" which will be realized by resource integration and complementary among cross disciplines, and focusing on scientific research support for the teaching and the combination of professional knowledge and practical application. This teaching reform scheme presented in the paper will provide very good demonstration effect in the curriculum reform of other photoelectric information related courses.

Thermodynamic analysis of tar reforming through auto-thermal reforming process

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

Nurhadi, N., E-mail: nurhadi@tekmira.esdm.go.id; Diniyati, Dahlia; Efendi, M. Ade Andriansyah

2015-12-29

Fixed bed gasification is a simple and suitable technology for small scale power generation. One of the disadvantages of this technology is producing tar. So far, tar is not utilized yet and being waste that should be treated into a more useful product. This paper presents a thermodynamic analysis of tar conversion into gas producer through non-catalytic auto-thermal reforming technology. Tar was converted into components, C, H, O, N and S, and then reacted with oxidant such as mixture of air or pure oxygen. Thus, this reaction occurred auto-thermally and reached chemical equilibrium. The sensitivity analysis resulted that the mostmore » promising process performance occurred at flow rate of air was reached 43% of stoichiometry while temperature of process is 1100°C, the addition of pure oxygen is 40% and preheating of oxidant flow is 250°C. The yield of the most promising process performance between 11.15-11.17 kmol/h and cold gas efficiency was between 73.8-73.9%.The results of this study indicated that thermodynamically the conversion of tar into producer gas through non-catalytic auto-thermal reformingis more promising.« less

Thermodynamic analyses of hydrogen production from sub-quality natural gas. Part II: Steam reforming and autothermal steam reforming

NASA Astrophysics Data System (ADS)

Huang, Cunping; T-Raissi, Ali

Part I of this paper analyzed sub-quality natural gas (SQNG) pyrolysis and autothermal pyrolysis. Production of hydrogen via direct thermolysis of SQNGs produces only 2 mol of hydrogen and 1 mol of carbon per mole of methane (CH 4). Steam reforming of SQNG (SRSQNG) could become a more effective approach because the processes produce two more moles of hydrogen via water splitting. A Gibbs reactor unit operation in the AspenPlus™ chemical process simulator was employed to accomplish equilibrium calculations for the SQNG + H 2O and SQNG + H 2O + O 2 systems. The results indicate that water and oxygen inlet flow rates do not significantly affect the decomposition of hydrogen sulfide (H 2S) at temperatures lower than 1000 °C. The major co-product of the processes is carbonyl sulfide (COS) while sulfur dimer (S 2) and carbon disulfide (CS 2) are minor by-products within this temperature range. At higher temperatures (>1300 °C), CS 2 and S 2 become major co-products. No sulfur dioxide (SO 2) or sulfur trioxide (SO 3) is formed during either SRSQNG or autothermal SRSQNG processes, indicating that no environmentally harmful acidic gases are generated.

Public service or commodity goods? Electricity reforms, access, and the politics of development in Tanzania

NASA Astrophysics Data System (ADS)

Ghanadan, Rebecca Hansing

Since the 1990s, power sector reforms have become paramount in energy policy, catalyzing a debate in Africa about market-based service provision and the effects of reforms on access. My research seeks to move beyond the conceptual divide by grounding attention not in abstract 'market forces' but rather in how development institutions shape energy services and actually practice policy on the ground. Using the case of Tanzania, a country known for having instituted some of the most extensive reforms and a 'success story' in Africa, I find that reforms are creating large burdens and barriers for access and use of services, including: increasing costs, enforcement pressures, and measures to impose 'market' discipline. However, I also find that many of the most significant outcomes are not found in direct 'market' changes, but rather how reforms are selective, partial, and shaped by the wider needs and claims of the institutions driving reforms, so that questions of how reforms are implemented, how they are measured, and who tells the story become as important as the policies themselves. Using a multiple-arenas framework, including (i) a household and community level study of urban energy conditions, (ii) a study of service and management conditions at the national electric utility, (iii) an examination of the international policy process, and (iv) a study of the history of electricity services across colonial, post-independence, and reform periods, I show that African energy reforms are a technical and political project connecting energy to international investments, donor aid programs, and elite interests within national governments. Energy reforms also involve fundamental service changes that are reorganizing how the costs and benefits of energy systems are distributed, allocated, and managed. The effects of reform extend beyond formal services to have wide-reaching repercussions within natural resources, and uneven social dynamics on the ground. These features point to the importance of critical ethnographic studies of energy, not simply as technical policy, but also as technical-political practice. It is in these grounded, institutional, and power-laden terms of how development is actually practiced that the wider outcomes of reform are revealed. Situating energy in development reveals the wider politics and relations of reforms.

Health reform in Mexico: the promotion of inequality.

PubMed

Laurell, A C

2001-01-01

The Mexican health reform can be understood only in the context of neoliberal structural adjustment, and it reveals some of the basic characteristics of similar reforms in the Latin American region. The strategy to transform the predominantly public health care system into a market-driven system has been a complex process with a hidden agenda to avoid political resistance. The compulsory social security system is the key sector in opening health care to private insurance companies, health maintenance organizations, and hospital enterprises mainly from abroad. Despite the government's commitment to universal coverage, equity, efficiency, and quality, the empirical data analyzed in this article do not confirm compliance with these objectives. Although an alternative health policy that gradually grants the constitutional right to health would be feasible, the new democratically elected government will continue the previous regressive health reform.

Quality management of medical education at the Carl Gustav Carus Faculty of Medicine, University of Technology Dresden, Germany.

PubMed

Dieter, Peter Erich

2008-12-01

The Carl Gustav Carus Faculty of Medicine, University of Technology Dresden, Germany, was founded in 1993 after the reunification of Germany. In 1999, a reform process of medical education was started together with Harvard Medical International. The traditional teacher and discipline-centred curriculum was replaced by a student-centred, interdisciplinary and integrative curriculum which has been named DIPOL (Dresden Integrative Patient/Problem- Oriented Learning). The reform process was accompanied and supported by a parallel-ongoing Faculty Development Program. In 2004, a Quality Management Program in medical education was implemented, and in 2005 medical education received DIN EN ISO 9001:2000 certification. Quality Management Program and DIN EN ISO 9001:2000 certification were/are unique for the 34 medical schools in Germany. The students played a very important strategic role in all processes. They were/are members in all committees like the Faculty Board, the Board of Study Affairs (with equal representation) and the ongoing audits in the Quality Management Program. Students are the only ones who experience all years of the curriculum and are capable of detecting, for example gaps, overlaps, inconsistencies of the curriculum and assessments. Therefore, the in-depth knowledge of students about the medical school's curriculum is a very helpful and essential tool in curriculum reform processes and Quality Management Programs of medical education. The reform in medical education, the establishment of the Quality Management program and the certification resulted in an improvement of quality and output of medical education and medical research.

Curricular Revision and Reform: The Process, What Was Important, and Lessons Learned.

PubMed

Ilkiw, Jan E; Nelson, Richard W; Watson, Johanna L; Conley, Alan J; Raybould, Helen E; Chigerwe, Munashe; Boudreaux, Karen

Beginning in 2005, the Doctor of Veterinary Medicine program at the University of California underwent major curricular review and reform. To provide information for others that follow, we have documented our process and commented on factors that were critical to success, as well as factors we found surprising, difficult, or problematic. The review and reform were initiated by the Executive Committee, who led the process and commissioned the committees. The planning stage took 6 years and involved four faculty committees, while the implementation stage took 5 years and was led by the Curriculum Committee. We are now in year 2 of the institutionalizing stage and no longer refer to our reform as the "new curriculum." The change was driven by a desire to improve the curriculum and the learning environment of the students by aligning the delivery of information with current teaching methodologies and implementing adult learning strategies. We moved from a department- and discipline-based curriculum to a school-wide integrated block curriculum that emphasized student-centered, inquiry-based learning. A limit was placed on in-class time to allow students to apply classroom knowledge by solving problems and cases. We found the journey long and arduous, requiring tremendous commitment and effort. In the change process, we learned the importance of adequate planning, leadership, communication, and a reward structure for those doing the "heavy lifting." Specific to our curricular design, we learned the importance of the block leader role, of setting clear expectations for students, and of partnering with students on the journey.

The SAZA study: implementing health financing reform in South Africa and Zambia.

PubMed

Gilson, Lucy; Doherty, Jane; Lake, Sally; McIntyre, Di; Mwikisa, Chris; Thomas, Stephen

2003-03-01

This paper explores the policy-making process in the 1990s in two countries, South Africa and Zambia, in relation to health care financing reforms. While much of the analysis of health reform programmes has looked at design issues, assuming that a technically sound design is the primary requirement of effective policy change, this paper explores the political and bureaucratic realities shaping the pattern of policy change and its impacts. Through a case study approach, it provides a picture of the policy environment and processes in the two countries, specifically considering the extent to which technical analysts and technical knowledge were able to shape policy change. The two countries' experiences indicate the strong influence of political factors and actors over which health care financing policies were implemented, and which not, as well as over the details of policy design. Moments of political transition in both countries provided political leaders, specifically Ministers of Health, with windows of opportunity in which to introduce new policies. However, these transitions, and the changes in administrative structures introduced with them, also created environments that constrained the processes of reform design and implementation and limited the equity and sustainability gains achieved by the policies. Technical analysts, working either inside or outside government, had varying and often limited influence. In part, this reflected the limits of their own capacity as well as weaknesses in the way they were used in policy development. In addition, the analysts were constrained by the fact that their preferred policies often received only weak political support. Focusing almost exclusively on designing policy reforms, these analysts gave little attention to generating adequate support for the policy options they proposed. Finally, the country experiences showed that front-line health workers, middle level managers and the public had important influences over policy implementation and its impacts. The limited attention given to communicating policy changes to, or consulting with, these actors only heightened the potential for reforms to result in unanticipated and unwanted impacts. The strength of the paper lies in its 'thick description' of the policy process in each country, an empirical case study approach to policy that is under-represented in the literature. While such an approach allows only a cautious drawing of general conclusions, it suggests a number of ways in which to strengthen the implementation of financing policies in each country.

Superfund Reform 1995. Principles for a new Superfund program

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

Bresnick, W.

1995-11-01

Superfund Reform `95 is a broad coalition of small and large businesses and local governments. Superfund Reform `95 believes now is the time for a new law to be drafted based on the principles and programmatic elements described below. Superfund Reform `95 believes that the program they are proposing will generate efficiencies and cost savings that will permit it to be implemented without the need to increase the total amount of taxes currently being levied to support the Superfund. The current federal Superfund program is badly broken and in need of major restructuring. The existing Superfund program must be replacedmore » by a new program in which the benefits justify its cost and which is equitable, cost-effective, and limited in size and scope so that it is targeted to address real, current, and significant risks to human health and environment posed by the past disposal of hazardous substances. The size of the federal National Priorities List (NPL) should be capped so that the remedial response program is phased out over time. Retroactive liability should be repealed and the remedy selection process significantly reformed. States should be given the opportunity to be delegated implementation of the reformed federal Superfund program at NPL sites as well as provided with incentives to implement their own similarly reformed programs in a fair and cost-effective manner.« less

Introducing a complex health innovation--primary health care reforms in Estonia (multimethods evaluation).

PubMed

Atun, Rifat Ali; Menabde, Nata; Saluvere, Katrin; Jesse, Maris; Habicht, Jarno

2006-11-01

All post-Soviet countries are trying to reform their primary health care (PHC) systems. The success to date has been uneven. We evaluated PHC reforms in Estonia, using multimethods evaluation: comprising retrospective analysis of routine health service data from Estonian Health Insurance Fund and health-related surveys; documentary analysis of policy reports, laws and regulations; key informant interviews. We analysed changes in organisational structure, regulations, financing and service provision in Estonian PHC system as well as key informant perceptions on factors influencing introduction of reforms. Estonia has successfully implemented and scaled-up multifaceted PHC reforms, including new organisational structures, user choice of family physicians (FPs), new payment methods, specialist training for family medicine, service contracts for FPs, broadened scope of services and evidence-based guidelines. These changes have been institutionalised. PHC effectiveness has been enhanced, as evidenced by improved management of key chronic conditions by FPs in PHC setting and reduced hospital admissions for these conditions. Introduction of PHC reforms - a complex innovation - was enhanced by strong leadership, good co-ordination between policy and operational level, practical approach to implementation emphasizing simplicity of interventions to be easily understood by potential adopters, an encircling strategy to roll-out which avoided direct confrontations with narrow specialists and opposing stakeholders in capital Tallinn, careful change-management strategy to avoid health reforms being politicized too early in the process, and early investment in training to establish a critical mass of health professionals to enable rapid operationalisation of policies. Most importantly, a multifaceted and coordinated approach to reform - with changes in laws; organisational restructuring; modifications to financing and provider payment systems; creation of incentives to enhance service innovations; investment in human resource development - was critical to the reform success.

The reorientation of market-oriented reforms in Swedish health-care.

PubMed

Harrison, M I; Calltorp, J

2000-01-01

Sweden was an important pioneer of market-oriented reform in publicly funded health-care systems. Yet by the mid-1990s the county councils, which fund and manage most health-care, had substantially scaled back reforms based on provider competition while continuing to constrain health budgets. As policy makers faced new issues, they turned increasingly to longer-term and more cooperative contracts to define relations between hospitals and the county councils. Growing regionalization of government and hospital mergers further reconfigured acute care and limited opportunities for competition between hospitals. We seek to explain this reorientation of market-oriented reforms between 1989 and 1996 in terms of shifts in the positions taken by powerful policy actors, and in particular by county council politicians. During this period, elections moved liberal and conservative politicians, who were the most enthusiastic supporters of market-oriented reform, in and out of control of most county governments. Meanwhile many Social Democratic politicians gradually turned from initial support of competitive reform toward opposition. Politicians and county administrators from all parties were particularly concerned about controlling health expenditures during a period of recession. In addition, the public, politicians in the counties and municipalities, and health professionals resisted steps that threatened health sector employment and would have allowed market mechanisms, rather than governments, to determine the prices and distribution of health services. During the years under study Sweden's market-oriented reforms followed a course of development similar to that taken by other management and policy fashions (Abrahamson E. Management fashion, Academy of Management Review 1996;21: 254-85). At first the reforms enjoyed uncritical support by a broad spectrum of stakeholders. Gradually participants in the reform process recognized inherent tensions among the goals of the reform, conflicts between reform programs and fundamental social and political values, unrealistic assumptions about the effects of competition, technical and organizational obstacles to implementation, and threats to interest groups. Since 1998, there have been indications that Sweden may be entering yet another stage of experimentation with market-oriented reform.

Electoral reform and public policy outcomes in Thailand: the politics of the 30-Baht health scheme.

PubMed

Selway, Joel Sawat

2011-01-01

How do changes in electoral rules affect the nature of public policy outcomes? The current evidence supporting institutional theories that answer this question stems almost entirely from quantitative cross-country studies, the data of which contain very little within-unit variation. Indeed, while there are many country-level accounts of how changes in electoral rules affect such phenomena as the number of parties or voter turnout, there are few studies of how electoral reform affects public policy outcomes. This article contributes to this latter endeavor by providing a detailed analysis of electoral reform and the public policy process in Thailand through an examination of the 1997 electoral reforms. Specifically, the author examines four aspects of policy-making: policy formulation, policy platforms, policy content, and policy outcomes. The article finds that candidates in the pre-1997 era campaigned on broad, generic platforms; parties had no independent means of technical policy expertise; the government targeted health resources to narrow geographic areas; and health was underprovided in Thai society. Conversely, candidates in the post-1997 era relied more on a strong, detailed national health policy; parties created mechanisms to formulate health policy independently; the government allocated health resources broadly to the entire nation through the introduction of a universal health care system, and health outcomes improved. The author attributes these changes in the policy process to the 1997 electoral reform, which increased both constituency breadth (the proportion of the population to which politicians were accountable) and majoritarianism.

Strengthening the management of ESA - the Inter-Directorate Reform of Corporate and Risk Management

NASA Astrophysics Data System (ADS)

Feustel-Büechl, Jörg; Arend, Harald; Derio, Eric; Infante, Giovanni; Kreiner, Gerhard; Phaler, Jesse; Tabbert, Michael

2007-02-01

ESA has undertaken the Inter-Directorate Reform of Corporate and Risk Management to strengthen the Agency's internal operations. The reform was completed at the end of 2006, encompassing five dedicated projects on Risk Management, Agency-Wide Controlling System, Project Plan and Integrated Project Review, General Budget Structure and Charging Policy, and Corporate Information Systems. It has contributed to improved management of the Agency's internal operations by engaging all internal stakeholders in a common objective, introducing improvements to planning and management methods, elaborating consolidated information structures and tools, contributing to enhanced transparency and accountability, and by providing qualified new policies, processes and tools.

Public Health Law Reform

PubMed Central

Gostin, Lawrence O.

2001-01-01

Public health law reform is necessary because existing statutes are outdated, contain multiple layers of regulation, and are inconsistent. A model law would define the mission and functions of public health agencies, provide a full range of flexible powers, specify clear criteria and procedures for activities, and provide protections for privacy and against discrimination. The law reform process provides an opportunity for public health agencies to draw attention to their resource needs and achievements and to form ties with constituency groups and enduring relations with the legislative branch of government. Ultimately, the law should become a catalyst, rather than an impediment, to reinvigorating the public health system. PMID:11527757

State Perspectives on Health Care Reform: Oregon, Hawaii, Tennessee, and Rhode Island

PubMed Central

Thome, Jean I.; Bianchi, Barbara; Bonnyman, Gordon; Greene, Clark; Leddy, Tricia

1995-01-01

The general consensus among States which have had their section 1115 demonstration projects approved is that there is no one best way to implement State health care reform. The Health Care Financing Administration (HCFA), however, wished to discern how States were accomplishing the task of implementing the demonstrations, and solicited responses from State representatives whose section 1115 demonstration waivers had been approved. The resulting article gives an overview of this implementation process from four State perspectives. Written by representatives from Oregon, Hawaii, Tennessee, and Rhode Island, the ideas presented here are indicative of the complex undertaking of State health care reform. PMID:10142573

Public health law reform.

PubMed

Gostin, L O

2001-09-01

Public health law reform is necessary because existing statutes are outdated, contain multiple layers of regulation, and are inconsistent. A model law would define the mission and functions of public health agen cies, provide a full range of flexible powers, specify clear criteria and procedures for activities, and provide protections for privacy and against discrimination. The law reform process provides an opportunity for public health agencies to draw attention to their resource needs and achievements and to form ties with constituency groups and enduring relations with the legislative branch of government. Ultimately, the law should become a catalyst, rather than an impediment, to reinvigorating the public health system.

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

Mann, M.K.

Technoeconomic analyses have been conducted on two processes to produce hydrogen from biomass: indirectly-heated gasification of biomass followed by steam reforming of the syngas, and biomass pyrolysis followed by steam reforming of the pyrolysis oil. The analysis of the gasification-based process was highly detailed, including a process flowsheet, material and energy balances calculated with a process simulation program, equipment cost estimation, and the determination of the necessary selling price of hydrogen. The pyrolysis-based process analysis was of a less detailed nature, as all necessary experimental data have not been obtained; this analysis is a follow-up to the preliminary economic analysismore » presented at the 1994 Hydrogen Program Review. A coproduct option in which pyrolysis oil is used to produce hydrogen and a commercial adhesive was also studied for economic viability. Based on feedstock availability estimates, three plant sizes were studied: 907 T/day, 272 T/day, and 27 T/day. The necessary selling price of hydrogen produced by steam reforming syngas from the Battelle Columbus Laboratories indirectly heated biomass gasifier falls within current market values for the large and medium size plants within a wide range of feedstock costs. Results show that the small scale plant does not produce hydrogen at economically competitive prices, indicating that if gasification is used as the upstream process to produce hydrogen, local refueling stations similar to current gasoline stations, would probably not be feasible.« less

The Education Reform Bill: Implications for Further and Higher Education. Information Bank Working Paper 2484.

ERIC Educational Resources Information Center

McLeod, John

The process of the passage of the Education Reform Bill in Great Britain is likely to be long and controversial. The bill is likely to have a major impact on the funding and administration of higher and further education. It is likely that polytechnics and other major institutions now under the control of local authorities will obtain corporate…

Education Reform as a "Weapon of Mass (Education) Destruction" versus Artful Resistance as a "Weapon of Mass Creation"

ERIC Educational Resources Information Center

McDermott McNulty, Morna

2014-01-01

For the purposes of this article, I am advocating for a set of creative educational practices that are artistic in process and product, which are established with the intent of resisting, refusing, and revolutionizing the ways in which we conceive of, or embody, education praxis in public schools. As predatory reformers attempt to colonize public…

Foregrounding the Role of Relationships in Reform: A Social Network Perspective on Leadership and Change

ERIC Educational Resources Information Center

Liou, Yi-Hwa; Daly, Alan J.; Brown, Chris; del Fresno, Miguel

2015-01-01

Purpose: The role of relationships in the process of leadership and change is central, yet the social aspect of the work of reform is often background in favor of more technical approaches to improvement. Therefore, the purpose of this paper is to argue that social network theory and analysis provides a useful theory and set of tools to unpack the…

Proceedings of the Center for National Software Studies Workshop on Trustworthy Software

DTIC Science & Technology

2004-05-10

just the de - velopment cost) to achieve a sustained level of software trustworthiness. • Reforming the procurement process. We could reform the...failure or breach of security. Some examples include software used in safety systems of nuclear power plants, transportation systems, medical devices...issue in many vital systems, including those found in transportation , telecommunications, utilities, health care, and financial services. Any lack of

Accredited Baccalaureate Nursing Programs Utilization of an Academic Plan Model and the Factors That Influence Curriculum Decision Making

ERIC Educational Resources Information Center

Holmquist, Traci McDonald

2012-01-01

Curriculum reform is a topic seen in research for decades, and nursing education has not been excluded in this call for reform (Benner, Sutphen, Leonard, & Day, 2009; Diekelmann, Ironside, & Gunn, 2005; Dracup, 2011). The issue in nursing education relates to the lack of guidance in how to proceed with this radical change process (Benner,…

Figuring out How to Be a Teacher in a High-Stakes Context: A Case Study of First-Year Teachers' Conceptual and Practical Development

ERIC Educational Resources Information Center

Brown, Christopher P.; Bay-Borelli, Debra E.; Scott, Jill

2015-01-01

High-stakes education reforms across the United States and the globe continue to alter the landscape of teaching and teacher education. One key but understudied aspect of this reform process is the experiences of first-year teachers, particularly those who participated in these high-stakes education systems as students and as a…

The Relationship of an Ecological Model of Career Development to Authentic Learning. Research Institute on Secondary Education Reform (RISER) for Youth with Disabilities Brief.

ERIC Educational Resources Information Center

Collet-Klingenberg, Lana L.; Hanley-Maxwell, Cheryl; Stuart, Shannon

This brief discusses how the Research Institute on Secondary Education Reform (RISER) for Youth with Disabilities model, Schools of Authentic Inclusive Learning (SAIL), and career development constructs and processes intersect. The brief provides an overview of SAIL, of authentic and inclusive learning, and of career development theory, while…

The Situations Bank, a Tool for Curriculum Design Focused on Daily Realities: The Case of the Reform in Niger

ERIC Educational Resources Information Center

Charland, Patrick; Cyr, Stéphane

2013-01-01

In the context of the curriculum reform in Niger, the authors describe the process of developing a situations bank which focusses on everyday life situations in Niger. The bank plays a central role in the formulation of new study programmes guided by the so-called "situated" approach. The authors also describe various issues that arose…

Analysis of healthcare financing, supply and utilisation trends in the new EU countries.

PubMed

Ruseski, Jane E

2006-01-01

The EU expanded in 2004 to include eight transition countries, i.e. Central and Eastern European (CEE) and newly independent states of the former Soviet Union, and two other CEE countries are scheduled to join the EU in 2007. Each of these countries has undertaken substantial healthcare reform efforts over the past 15 years. The paths of healthcare reform are diverse for a number of reasons including differences in initial economic, political and structural conditions. The objective of this article is to evaluate the process and preliminary outcomes of healthcare reform in the new EU and candidate countries by analysing trends in aggregate financing, supply and utilisation indicators using data drawn from the WHO Health for All database. The analysis is done in the context of an analytical framework built around common healthcare reform themes. The key reform measures examined include implementing social insurance systems, implementing payment systems that promote efficiency, and removal of excess capacity. The trend analysis highlights the importance of the economic, political and social context in driving the direction and pace of healthcare reform. For example, the transition to social insurance systems was smoother in countries with stronger economies and political commitment to reform. Policies aimed at improving the efficiency of the healthcare system, reducing utilisation and reducing excess capacity were met with some success in all of the countries. However, the reform effort continues as the countries are still addressing the initial challenges of insufficient funding, informal payments, excess capacity and inefficiencies in the provision of healthcare.

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

Fincke, J.R.; Swank, W.D.; Haggard, D.C.

This paper describes the experimental demonstration of a process for the direct plasma reduction of depleted uranium hexafluoride to uranium metal. The process exploits the large departures from equilibrium that can be achieved in the rapid supersonic expansion of a totally dissociated and partially ionized mixture of UF{sub 6}, Ar, He, and H{sub 2}. The process is based on the rapid condensation of subcooled uranium vapor and the relatively slow rate of back reaction between metallic uranium and HF to F{sub 2} to reform stable fluorides. The high translational velocities and rapid cooling result in an overpopulation of atomic hydrogenmore » which persists throughout the expansion process. Atomic hydrogen shifts the equilibrium composition by inhibiting the reformation of uranium-fluorine compounds. This process has the potential to reduce the cost of reducing UF{sub 6} to uranium metal with the added benefit of being a virtually waste free process. The dry HF produced is a commodity which has industrial value.« less

Hydrogen production from coal using a nuclear heat source

NASA Technical Reports Server (NTRS)

Quade, R. N.

1976-01-01

A strong candidate for hydrogen production in the intermediate time frame of 1985 to 1995 is a coal-based process using a high-temperature gas-cooled reactor (HTGR) as a heat source. Expected process efficiencies in the range of 60 to 70% are considerably higher than all other hydrogen production processes except steam reforming of a natural gas. The process involves the preparation of a coal liquid, hydrogasification of that liquid, and steam reforming of the resulting gaseous or light liquid product. A study showing process efficiency and cost of hydrogen vs nuclear reactor core outlet temperature has been completed, and shows diminishing returns at process temperatures above about 1500 F. A possible scenario combining the relatively abundant and low-cost Western coal deposits with the Gulf Coast hydrogen users is presented which provides high-energy density transportation utilizing coal liquids and uranium.

Reforming medical education: a review and synthesis of five critiques of medical practice.

PubMed

Sales, Christopher S; Schlaff, Anthony L

2010-06-01

For physicians to provide appropriate healthcare at a reasonable cost, health reform may not be enough. This essay discusses the scope of educational reform needed in the U.S. to train tomorrow's physicians to practice effectively in an increasingly complicated health care arena. We undertook a review and synthesis of five critiques of medical practice in the U.S.: of quality, evidence-based medicine, population medicine, health policy and heuristics. Our findings suggest that physicians are inadequately trained to function in the complex organizational and social systems that characterize modern practice. Successful health care reform in the U.S. will require physicians who are trained not only in bio-medicine, but also in the social sciences. Other developed countries, which have both greater government control of health care and a culture less oriented to individualism, may have less need for specific efforts to train physicians in the social sciences but could still benefit from considering an expanded curriculum. Effective educational reform must address the medical admissions process, academic and intellectual preparation, and professional and clinical training. Copyright 2010 Elsevier Ltd. All rights reserved.

Mental health system reform: a multi country comparison.

PubMed

Shera, Wes; Aviram, Uri; Healy, Bill; Ramon, Shula

2002-01-01

In recent years many countries have embarked on various types of health and mental health reform. These reforms have in large part been driven by governments' concerns for cost containment which has, in turn, been driven by an increasing process of global marketization and the need to control national deficits. A critical issue in these reforms is the increased emphasis on the use of "market mechanisms" in the delivery of health and mental health services. This paper uses a policy analysis framework to compare recent developments in the mental health sector in Canada, the United States, Britain and Australia. The common framework to be used for this will focus on: the defining characteristics of the society; legislative mandate; sectorial location (within or separate from health sector); funding streams; organising values of the system; locus of service delivery; service technologies; the role of social work; interprofessional dynamics; the role of consumers; and evaluation of outcomes at multiple levels. This analysis provides an opportunity to explore similarities and differences in mental system reform and in particular identify the challenges for social work in the field of mental health in the 21st century.

The new institutionalist approaches to health care reform: lessons from reform experiences in Central Europe.

PubMed

Sitek, Michał

2010-08-01

This article discusses the applicability of the new institutionalism to the politics of health care reform in postcommunist Central Europe. The transition to a market economy and democracy after the fall of communism has apparently strengthened the institutional approaches. The differences in performance of transition economies have been critical to the growing understanding of the importance of institutions that foster democracy, provide security of property rights, help enforce contracts, and stimulate entrepreneurship. From a theoretical perspective, however, applying the new institutionalist approaches has been problematic. The transitional health care reform exposes very well some inherent weaknesses of existing analytic frameworks for explaining the nature and mechanisms of institutional change. The postcommunist era in Central Europe has been marked by spectacular and unprecedented radical changes, in which the capitalist system was rebuilt in a short span of time and the institutions of democracy became consolidated. Broad changes to welfare state programs were instituted as well. However, the actual results of the reform processes represent a mix of change and continuity, which is a challenge for the theories of institutional change.

Harsh choices: Chinese women's paid work and unpaid care responsibilities under economic reform.

PubMed

Cook, Sarah; Dong, Xiao-yuan

2011-01-01

China's economic reforms over the past three decades have dramatically changed the mechanisms for allocating goods and labour in both market and non-market spheres. This article examines the social and economic trends that intensify the pressure on the care economy, and on women in particular in playing their dual roles as care givers and income earners in post-reform China. The analysis sheds light on three critical but neglected issues. How does the reform process reshape the institutional arrangements of care for children and elders? How does the changing care economy affect women's choices between paid work and unpaid care responsibilities? And what are the implications of women's work–family conflicts for the well-being of women and their families? The authors call for a gendered approach to both social and labour market policies, with investments in support of social reproduction services so as to ease the pressures on women.

[Human resources for health in Chile: the reform's pending challenge].

PubMed

Méndez, Claudio A

2009-09-01

Omission of human resources from health policy development has been identified as a barrier in the health sector reform's adoption phase. Since 2002, Chile's health care system has been undergoing a transformation based on the principles of health as a human right, equity, solidarity, efficiency, and social participation. While the reform has set forth the redefinition of the medical professions, continuing education, scheduled accreditation, and the introduction of career development incentives, it has not considered management options tailored to the new setting, a human resources strategy that has the consensus of key players and sector policy, or a process for understanding the needs of health care staff and professionals. However, there is still time to undo the shortcomings, in large part because the reform's implementation phase only recently has begun. Overcoming this challenge is in the hands of the experts charged with designing public health strategies and policies.

The impact of economic crisis on the Greek hospitals' productivity.

PubMed

Mitropoulos, Panagiotis; Mitropoulos, Ioannis; Karanikas, Haralampos; Polyzos, Nikolaos

2018-01-01

During the recent economic crisis, Greece implemented a comprehensive reform in the health care system. The 2010 health reform occurred under the constraints imposed by the memorandum of understanding that the Greek Government signed with its EU/International Monetary Fund creditors to control its deficit. The objective of the study is to examine the impact of the reform on the efficiency and productivity of public hospitals in Greece. We use the Malmquist productivity index to comparatively examine the potential changes before and after the reform years. We compare productivity, efficiency, and technological changes using panel data of 111 public acute hospitals operating in Greece throughout the recession period of 2009 to 2012. Bootstrapping methods are applied to allow for uncertainty owing to sampling error and for statistical inference for the Malmquist productivity index and its decompositions. The analysis indicates that the productivity has been increased following the policy changes. It appears that the expected benefits from the reform in general have been achieved, at least in the short-term. This result is examined in the light of management and operations activities, which are related with the reform process. Therefore, at a second stage, the Malmquist index is regressed on variables that may potentially be statistically associated with productivity growth. Copyright © 2017 John Wiley & Sons, Ltd.

Policy entrepreneurship and policy networks in healthcare systems - the case of Israel's pediatric dentistry reform.

PubMed

Cohen, Nissim; Horev, Tuvia

2017-01-01

Can the entry of a policy entrepreneur challenge the equilibrium of a policy network and promote changes that might clash with the goals of powerful civil-servants and/or interest groups and, if so, why and how? Our goal is to examine two sides of the same coin: how does an in-depth analysis of Israel's dental care reform enrich our understanding of policy networks and policy entrepreneurship? Second, how does the literature on policy networks and policy entrepreneurship help us understand this reform? Based on a theoretical framework that appears in the literature of policy entrepreneurship and policy networks, we analyze the motivations, goals and strategies of the main actors involved in the process of reforming pediatric dental care in Israel. We demonstrate how a policy entrepreneur navigated within a policy network and managed to promote a reform that, until his appearance, no one else in that network had succeeded in enacting. Our goals are advanced through a case study of a reform in pediatric dentistry implemented in Israel in 2010. It rests on textual analyses of the literature, reports, committee minutes, parliamentary proceedings, print and online media, and updates in relevant legislation and case law between 2009 and 2015. In addition, the case study draws on the insights of one of the authors (TH), who played a role in the reform process. Historical circumstances and the Israeli public's longstanding lack of interest in changing the existing model as well as interest groups that preferred the dominance of the private sector in the dental healthcare system kept that area out of the services supplied, universally, under the National Health Insurance Law. This situation changed significantly following the publication in 2007 of a policy analysis that contributed to shifts in the motivations and balance of power within the policy network, which in turn prepared the ground for a policy change. In this environment a determined policy entrepreneur, who identified a window of opportunity, took the lead and instituted an innovative and far-reaching reform. A policy entrepreneur can leverage external factors as well as the previous activities of a policy network that has already matured to create a policy change. Such entrepreneurial activity includes maneuvering around opponents and overcoming resistance from various stakeholders.

A Dark Knight for Public Education: Using Batman as an Apparatus of Diffraction with Neoliberal Education Reform

ERIC Educational Resources Information Center

Huddleston, Gabriel

2016-01-01

Diffraction is defined as the process by which a beam of light or other system of waves is spread out as a result of passing through a narrow aperture or across an edge. In this article, the author employs his favorite comic book character, Batman, and positions him as a tool of diffraction for education reforms. Huddleston argues that it is…

Sustained Progress: New Findings about the Effectiveness and Operation of Small Public High Schools of Choice in New York City

ERIC Educational Resources Information Center

Bloom, Howard S.; Unterman, Rebecca

2013-01-01

In 2002, New York City embarked on an ambitious and wide-ranging series of education reforms. At the heart of its high school reforms were three interrelated changes: the institution of a district wide high school choice process for all rising ninth-graders, the closure of 31 large, failing high schools with an average graduation rate of 40…

Some Trends and Reforms in the Educational Policy of Norway in the Light of the Concept of Life-Long Education.

ERIC Educational Resources Information Center

Udjus, Ingelise

An emphasis on planned and completed educational reforms in Norway which reflect the attitude that education is a lifelong process is presented in this document. A study is made of some of the trends in the development of the formal school system which have been influenced by the concept of life-long education. This study includes primary,…

Curriculum Change and Social Inclusion: Perspectives from the Baltic and Scandinavian Countries. Final Report of the Regional Seminar (Vilnius, Lithuania, December 5-8, 2001).

ERIC Educational Resources Information Center

Tawil, Sobhi, Ed.

The main objectives of a Vilnius, Lithuania, seminar were to share experiences in curriculum reform to promote life skills for social inclusion. This was to be achieved through an exchange on principles, approaches and methodologies that inform processes of curriculum reform in life skills education. Most of the participants were senior education…

Banking System Reform in China: The Challenges of Moving Toward a Market-Oriented Economy

DTIC Science & Technology

2007-01-01

The gradual nature of China’s reform process has ensured 1 International Monetary Fund, World Economic Outlook Database , April 2006, World Trade...Liabilities (RMB billion) (RMB billion) (RMB billion) (RMB billion) Forex reserves –373 Forex assets +373 Capital +373 (=US$ 45 billion) (=US...CCB Assets Liabilities Assets Liabilities (RMB billion) (RMB billion) (RMB billion) (RMB billion) Forex assets –373 Forex assets +373 Capital

Comprehensive School Reform Models: A Study Guide for Comparing CSR Models (and How Well They Meet Minnesota's Learning Standards).

ERIC Educational Resources Information Center

St. John, Edward P.; Loescher, Siri; Jacob, Stacy; Cekic, Osman; Kupersmith, Leigh; Musoba, Glenda Droogsma

A growing number of schools are exploring the prospect of applying for funding to implement a Comprehensive School Reform (CSR) model. But the process of selecting a CSR model can be complicated because it frequently involves self-study and a review of models to determine which models best meet the needs of the school. This study guide is intended…

Electrical start-up for diesel fuel processing in a fuel-cell-based auxiliary power unit

NASA Astrophysics Data System (ADS)

Samsun, Remzi Can; Krupp, Carsten; Tschauder, Andreas; Peters, Ralf; Stolten, Detlef

2016-01-01

As auxiliary power units in trucks and aircraft, fuel cell systems with a diesel and kerosene reforming capacity offer the dual benefit of reduced emissions and fuel consumption. In order to be commercially viable, these systems require a quick start-up time with low energy input. In pursuit of this end, this paper reports an electrical start-up strategy for diesel fuel processing. A transient computational fluid dynamics model is developed to optimize the start-up procedure of the fuel processor in the 28 kWth power class. The temperature trend observed in the experiments is reproducible to a high degree of accuracy using a dual-cell approach in ANSYS Fluent. Starting from a basic strategy, different options are considered for accelerating system start-up. The start-up time is reduced from 22 min in the basic case to 9.5 min, at an energy consumption of 0.4 kW h. Furthermore, an electrical wire is installed in the reformer to test the steam generation during start-up. The experimental results reveal that the generation of steam at 450 °C is possible within seconds after water addition to the reformer. As a result, the fuel processor can be started in autothermal reformer mode using the electrical concept developed in this work.

National review of maternity services 2008: women influencing change

PubMed Central

2011-01-01

Background In 2009 the Australian government announced a major program of reform with the move to primary maternity care. The reform agenda represents a dramatic change to maternity care provision in a society that has embraced technology across all aspects of life including childbirth. Methods A critical discourse analysis of selected submissions in the consultation process to the national review of maternity services 2008 was undertaken to identify the contributions of individual women, consumer groups and organisations representing the interests of women. Results Findings from this critical discourse analysis revealed extensive similarities between the discourses identified in the submissions with the direction of the 2009 proposed primary maternity care reform agenda. The rise of consumer influence in maternity care policy reflects a changing of the guard as doctors' traditional authority is questioned by strong consumer organisations and informed consumers. Conclusions Unified consumer influence advocating a move away from obstetric -led maternity care for all pregnant women appears to be synergistic with the ethos of corporate governance and a neoliberal approach to maternity service policy. The silent voice of one consumer group (women happy with their obstetric-led care) in the consultation process has inadvertently contributed to a consensus of opinion in support of the reforms in the absence of the counter viewpoint. PMID:21762522

Calls for reform of medical education by the Carnegie Foundation for the Advancement of Teaching: 1910 and 2010.

PubMed

Irby, David M; Cooke, Molly; O'Brien, Bridget C

2010-02-01

The Carnegie Foundation for the Advancement of Teaching, which in 1910 helped stimulate the transformation of North American medical education with the publication of the Flexner Report, has a venerated place in the history of American medical education. Within a decade following Flexner's report, a strong scientifically oriented and rigorous form of medical education became well established; its structures and processes have changed relatively little since. However, the forces of change are again challenging medical education, and new calls for reform are emerging. In 2010, the Carnegie Foundation will issue another report, Educating Physicians: A Call for Reform of Medical School and Residency, that calls for (1) standardizing learning outcomes and individualizing the learning process, (2) promoting multiple forms of integration, (3) incorporating habits of inquiry and improvement, and (4) focusing on the progressive formation of the physician's professional identity. The authors, who wrote the 2010 Carnegie report, trace the seeds of these themes in Flexner's work and describe their own conceptions of them, addressing the prior and current challenges to medical education as well as recommendations for achieving excellence. The authors hope that the new report will generate the same excitement about educational innovation and reform of undergraduate and graduate medical education as the Flexner Report did a century ago.

Reforming results of a novel radial reactor for a solid oxide fuel cell system with anode off-gas recirculation

NASA Astrophysics Data System (ADS)

Bosch, Timo; Carré, Maxime; Heinzel, Angelika; Steffen, Michael; Lapicque, François

2017-12-01

A novel reactor of a natural gas (NG) fueled, 1 kW net power solid oxide fuel cell (SOFC) system with anode off-gas recirculation (AOGR) is experimentally investigated. The reactor operates as pre-reformer, is of the type radial reactor with centrifugal z-flow, has the shape of a hollow cylinder with a volume of approximately 1 L and is equipped with two different precious metal wire-mesh catalyst packages as well as with an internal electric heater. Reforming investigations of the reactor are done stand-alone but as if the reactor would operate within the total SOFC system with AOGR. For the tests presented here it is assumed that the SOFC system runs on pure CH4 instead of NG. The manuscript focuses on the various phases of reactor operation during the startup process of the SOFC system. Startup process reforming experiments cover reactor operation points at which it runs on an oxygen to carbon ratio at the reactor inlet (ϕRI) of 1.2 with air supplied, up to a ϕRI of 2.4 without air supplied. As confirmed by a Monte Carlo simulation, most of the measured outlet gas concentrations are in or close to equilibrium.

Reform of abortion law in Uruguay: context, process and lessons learned.

PubMed

Wood, Susan; Abracinskas, Lilián; Correa, Sonia; Pecheny, Mario

2016-11-01

In October 2012, a new law was approved in Uruguay that allows abortion on demand during the first 12 weeks of pregnancy, 14 weeks in the case of rape, and without a time limit when the woman's health is at risk or in the case of foetal anomalies. This paper analyses this legal reform. It is based on 27 individual and group interviews with key informants, and on review of primary documents and the literature. The factors explaining the reform include: secular values in society, favourable public opinion, a persistent feminist movement, effective coalition building, particular party politics, and a vocal public health sector. The content of the new law reflects the tensions between a feminist perspective of women's rights and public health arguments that stop short of fully recognizing women's autonomy. The Uruguayan reform shows that, even in Latin America, abortion can be addressed politically without electoral cost to the parties that promote it. On the other hand, the prevailing public health rationale and conditionalities built into the law during the negotiation process resulted in a law that cannot be interpreted as a full recognition of women's rights, but rather as a modified protectionist approach that circumscribes women's autonomy. Copyright © 2016 Elsevier Inc. All rights reserved.

Hydrogen from catalytic reforming of biomass-derived hydrocarbons in liquid water

NASA Astrophysics Data System (ADS)

Cortright, R. D.; Davda, R. R.; Dumesic, J. A.

2002-08-01

Concerns about the depletion of fossil fuel reserves and the pollution caused by continuously increasing energy demands make hydrogen an attractive alternative energy source. Hydrogen is currently derived from nonrenewable natural gas and petroleum, but could in principle be generated from renewable resources such as biomass or water. However, efficient hydrogen production from water remains difficult and technologies for generating hydrogen from biomass, such as enzymatic decomposition of sugars, steam-reforming of bio-oils and gasification, suffer from low hydrogen production rates and/or complex processing requirements. Here we demonstrate that hydrogen can be produced from sugars and alcohols at temperatures near 500K in a single-reactor aqueous-phase reforming process using a platinum-based catalyst. We are able to convert glucose-which makes up the major energy reserves in plants and animals-to hydrogen and gaseous alkanes, with hydrogen constituting 50% of the products. We find that the selectivity for hydrogen production increases when we use molecules that are more reduced than sugars, with ethylene glycol and methanol being almost completely converted into hydrogen and carbon dioxide. These findings suggest that catalytic aqueous-phase reforming might prove useful for the generation of hydrogen-rich fuel gas from carbohydrates extracted from renewable biomass and biomass waste streams.

Hydrogen from catalytic reforming of biomass-derived hydrocarbons in liquid water.

PubMed

Cortright, R D; Davda, R R; Dumesic, J A

2002-08-29

Concerns about the depletion of fossil fuel reserves and the pollution caused by continuously increasing energy demands make hydrogen an attractive alternative energy source. Hydrogen is currently derived from nonrenewable natural gas and petroleum, but could in principle be generated from renewable resources such as biomass or water. However, efficient hydrogen production from water remains difficult and technologies for generating hydrogen from biomass, such as enzymatic decomposition of sugars, steam-reforming of bio-oils and gasification, suffer from low hydrogen production rates and/or complex processing requirements. Here we demonstrate that hydrogen can be produced from sugars and alcohols at temperatures near 500 K in a single-reactor aqueous-phase reforming process using a platinum-based catalyst. We are able to convert glucose -- which makes up the major energy reserves in plants and animals -- to hydrogen and gaseous alkanes, with hydrogen constituting 50% of the products. We find that the selectivity for hydrogen production increases when we use molecules that are more reduced than sugars, with ethylene glycol and methanol being almost completely converted into hydrogen and carbon dioxide. These findings suggest that catalytic aqueous-phase reforming might prove useful for the generation of hydrogen-rich fuel gas from carbohydrates extracted from renewable biomass and biomass waste streams.

"An army of reformed drunkards and clergymen": the medicalization of habitual drunkenness, 1857-1910.

PubMed

Chavigny, Katherine A

2014-07-01

Historians have recognized that men with drinking problems were not simply the passive subjects of medical reform and urban social control in Gilded Age and Progressive Era America but also actively shaped the partial medicalization of habitual drunkenness. The role played by evangelical religion in constituting their agency and in the historical process of medicalization has not been adequately explored, however. A post-Civil War evangelical reform culture supported institutions that treated inebriates along voluntary, religious lines and lionized former drunkards who publicly promoted a spiritual cure for habitual drunkenness. This article documents the historical development and characteristic practices of this reform culture, the voluntarist treatment institutions associated with it, and the hostile reaction that developed among medical reformers who sought to treat intemperance as a disease called inebriety. Those physicians' attempts to promote therapeutic coercion for inebriates as medical orthodoxy and to deprive voluntarist institutions of public recognition failed, as did their efforts to characterize reformed drunkards who endorsed voluntary cures as suffering from delusions arising from their disease. Instead, evangelical traditions continued to empower reformed drunkards to publicize their own views on their malady which laid the groundwork for continued public interest in alcoholics' personal narratives in the twentieth century. Meanwhile, institutions that accommodated inebriates' voluntarist preferences proliferated after 1890, marginalizing the medical inebriety movement and its coercive therapeutics. © The Author 2013. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

PULSE COMBUSTOR DESIGN QUALIFICATION TEST AND CLEAN COAL FEEDSTOCK TEST - VOLUME I AND VOLUME II

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

Unknown

For this Cooperative Agreement, the pulse heater module is the technology envelope for an indirectly heated steam reformer. The field of use of the steam reformer pursuant to this Cooperative Agreement with DOE is for the processing of sub-bituminous coals and lignite. The main focus is the mild gasification of such coals for the generation of both fuel gas and char--for the steel industry is the main focus. An alternate market application for the substitution of metallurgical coke is also presented. This project was devoted to qualification of a 253-tube pulse heater module. This module was designed, fabricated, installed, instrumentedmore » and tested in a fluidized bed test facility. Several test campaigns were conducted. This larger heater is a 3.5 times scale-up of the previous pulse heaters that had 72 tubes each. The smaller heater has been part of previous pilot field testing of the steam reformer at New Bern, North Carolina. The project also included collection and reduction of mild gasification process data from operation of the process development unit (PDU). The operation of the PDU was aimed at conditions required to produce char (and gas) for the Northshore Steel Operations. Northshore Steel supplied the coal for the process unit tests.« less

Reforming the 4th-Year Curriculum as a Springboard to Graduate Medical Training: One School's Experiences and Lessons Learned.

PubMed

Wackett, Andrew; Daroowalla, Feroza; Lu, Wei-Hsin; Chandran, Latha

2016-01-01

Concerns regarding the quality of training in the 4th year of medical school and preparation of graduates to enter residency education persist and are borne out in the literature. We reviewed the published literature regarding Year 4 concerns as well as institutional efforts to improve the 4th-year curriculum from several schools. Based on input from key stakeholders, we established 4 goals for our Year 4 curriculum reform: (a) standardize the curricular structure, (b) allow flexibility and individualization, (c) improve the preparation for residency, and (d) improve student satisfaction. After the reform, we evaluated the outcomes using results from the Association of American Medical Colleges Questionnaire, student focus groups, and program director surveys. This article describes the context, process, and outcomes of the reform of the Year 4 curriculum at Stony Brook University School of Medicine. We were able to achieve all four stated goals for the reform. The significant components of the change included a flexible adaptable curriculum based on individual needs and preferences, standardized learning objectives across the year, standardized competency-based evaluations regardless of discipline, reinforcement of clinical skills, and training for the transition to the workplace as an intern. The reform resulted in increased student satisfaction, increased elective time, and increased preparedness for residency training as perceived by the graduates. The Program Director survey showed significant changes in ability to perform a medical history and exam, management of common medical conditions and emergencies, clinical reasoning and problem-solving skills, working and communication with the healthcare team, and overall professionalism in meeting obligations inherent in the practice of medicine. Lessons learned from our 4th-year reform process are discussed. Listening to the needs of the stakeholders was an important step in ensuring buy-in, having an institutional champion with an organizational perspective on the overall institutional mission was helpful in building the guiding coalition for change, building highly interactive collaborative interdisciplinary teams to work together addressed departmental silos and tunnel vision early on, and planning a curriculum is exciting but planning the details of the implementation can be quite tedious.

Thermodynamic analysis on the CO2 conversion processes of methane dry reforming for hydrogen production and CO2 hydrogenation to dimethyl ether

NASA Astrophysics Data System (ADS)

He, Xinyi; Liu, Liping

2017-12-01

Based on the principle of Gibbs free energy minimization, the thermodynamic analysis on the CO2 conversion processes of dry reforming of methane for H2 and CO2 hydrogenation to dimethyl ether was carried out. The composition of the reaction system was determined on the basis of reaction mechanism. The effects of reaction temperature, pressure and raw material composition on the equilibrium conversion and the selectivity of products were analyzed. The results show that high temperature, low pressure, CO2/CH4 molar ratio of 1.0-1.5 and appropriate amount of oxygen are beneficial to the dry reforming of methane. For CO2 hydrogenation to dimethyl ether, low temperature, high pressure, the appropriate H2/CO2 and the proper CO addition in feed are favorable. The calculated results are compared with the relevant studies, indicating that industrial catalytic technology needs further improvement.

CFD analysis of a solid oxide fuel cell with internal reforming: Coupled interactions of transport, heterogeneous catalysis and electrochemical processes

NASA Astrophysics Data System (ADS)

Janardhanan, Vinod M.; Deutschmann, Olaf

Direct internal reforming in solid oxide fuel cell (SOFC) results in increased overall efficiency of the system. Present study focus on the chemical and electrochemical process in an internally reforming anode supported SOFC button cell running on humidified CH 4 (3% H 2 O). The computational approach employs a detailed multi-step model for heterogeneous chemistry in the anode, modified Butler-Volmer formalism for the electrochemistry and Dusty Gas Model (DGM) for the porous media transport. Two-dimensional elliptic model equations are solved for a button cell configuration. The electrochemical model assumes hydrogen as the only electrochemically active species. The predicted cell performances are compared with experimental reports. The results show that model predictions are in good agreement with experimental observation except the open circuit potentials. Furthermore, the steam content in the anode feed stream is found to have remarkable effect on the resulting overpotential losses and surface coverages of various species at the three-phase boundary.

Recovery of rare metal compounds from nickel-metal hydride battery waste and their application to CH4 dry reforming catalyst.

PubMed

Kanamori, Tomohiro; Matsuda, Motohide; Miyake, Michihiro

2009-09-30

The recovery of valuable components such as nickel from nickel-metal hydride (Ni-MH) battery waste by chemical processes and their applications to CH(4) dry reforming catalysts were investigated. Three types of compound, identified by XRD analysis as NiO, CeO(2) and LaCoO(3) phases, were successfully separated from the waste by a series of chemical processes at room temperature using aqueous solutions of HCl, NaOH and NH(3), and Ni component of approximately 70% in Ni-MH battery waste was recovered. The separated NiO, CeO(2) and LaCoO(3) showed catalytic activities for CH(4) dry reforming. In particular, the separated NiO easily reduced to Ni(0) at an initial stage, and exhibited excellent catalytic activity in terms of CH(4) conversion and stability. Furthermore, it was found that the resulting Ni from separated NiO exhibited an anomalous catalysis from the comparison with that from regent NiO.

Russian military in the year 2000. Master's thesis

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

McIlmail, J.F.; Jaworski, J.L.

Through the use of content analysis, this paper attempts to paint a picture of the Russian military in the year 2000 and its impact on the US national security strategy. The research begins by defining the origin of Russian national security policy and how that translates into military policy and doctrine. A framework for evaluating Russian military doctrines is provided with a chronology of the military reform process and the related doctrinal reforms that has its birth in the 1987 announcement of a defensive-defense. Following from the doctrinal variant framework the new strategic missions of the 1992 draft military doctrinemore » are presented with an analysis that shows they are a clear departure from the past and truly represent a defensive-defense type doctrine. Additionally, a comparison is made with the current military reform ongoing in Russia with the historical precedent of the Russian military reform of 1924-25. A rough outline of the separate branches of the Russian military both present and future is provided based on the ongoing trends in the reform process. This thumbnail sketch of the Russian military then assists in the analysis and conclusion that even after a possible 50% cutback in US military spending, in the year 2000 the Russian military will not pose a threat to US national security. The major caveat to this conclusion is in the realm of nuclear weapons and this issue is therefore discussed in some length....Former Soviet Union, Russia, Commonwealth of Independent States (CIS), Conventional Forces in Europe treaty (CFE), European Security, New National Security Strategy, Nuclear Weapons, Nuclear Strategy.« less

Capitalising upon political opportunities to reform drug policy: a case study into the development of the Australian "Tough on Drugs-Illicit Drug Diversion Initiative".

PubMed

Hughes, Caitlin Elizabeth

2009-09-01

The introduction of political "war on drug" strategies and Prime Ministerial advisory groups increase opportunities for drug policy reform. Yet the strengths and limitations of capitalising upon political opportunities remain unclear. This paper provides a unique insight into the development of an Australian reform, the "Tough on Drugs-Illicit Drug Diversion Initiative." This reform was one of the major policies to emerge out of the Federal Coalition "Tough on Drugs" strategy. In spite of the rhetoric the Illicit Drug Diversion Initiative (IDDI) has diverted minor drug users away from the traditional criminal justice system. This paper draws upon interviews with 16 expert policy makers involved in the advocacy and negotiations leading up to the adoption of the IDDI to examine what drove the reform and how and why a pragmatic reform emerged. The IDDI culminated from the presence of five main drivers: a crisis in relation to heroin and crime, antagonism towards the government, a weak but growing evidence-base on the merits of drug diversion, a shift in law enforcement attitudes and persuasive advocacy by a group of non-government experts. This paper contends that the Prime Minister's new "Tough on Drugs" strategy and expanded governance arrangements created new space for policy actors to intervene in the policy formulation process and to convert the governments proposed "zero tolerance" response into a more humane and potentially effective response. This paper concludes that contrary to popular opinion political venues and politicisation may offer valuable opportunities for drug policy reform. The challenge for researchers and policy advocates is to see how they can best utilise political venues to obtain pragmatic reform.

Strategies for improving the performance and stability of Ni-based catalysts for reforming reactions.

PubMed

Li, Shuirong; Gong, Jinlong

2014-11-07

Owing to the considerable publicity that has been given to petroleum related economic, environmental, and political problems, renewed attention has been focused on the development of highly efficient and stable catalytic materials for the production of chemical/fuel from renewable resources. Supported nickel nanoclusters are widely used for catalytic reforming reactions, which are key processes for generating synthetic gas and/or hydrogen. New challenges were brought out by the extension of feedstock from hydrocarbons to oxygenates derivable from biomass, which could minimize the environmental impact of carbonaceous fuels and allow a smooth transition from fossil fuels to a sustainable energy economy. This tutorial review describes the recent efforts made toward the development of nickel-based catalysts for the production of hydrogen from oxygenated hydrocarbons via steam reforming reactions. In general, three challenges facing the design of Ni catalysts should be addressed. Nickel nanoclusters are apt to sinter under catalytic reforming conditions of high temperatures and in the presence of steam. Severe carbon deposition could also be observed on the catalyst if the surface carbon species adsorbed on metal surface are not removed in time. Additionally, the production of hydrogen rich gas with a low concentration of CO is a challenge using nickel catalysts, which are not so active in the water gas shift reaction. Accordingly, three strategies were presented to address these challenges. First, the methodologies for the preparation of highly dispersed nickel catalysts with strong metal-support interaction were discussed. A second approach-the promotion in the mobility of the surface oxygen-is favored for the yield of desired products while promoting the removal of surface carbon deposition. Finally, the process intensification via the in situ absorption of CO2 could produce a hydrogen rich gas with low CO concentration. These approaches could also guide the design of other types of heterogeneous base-metal catalysts for high temperature processes including methanation, dry reforming, and hydrocarbon combustion.

The UNIQUe Label: Supporting a Culture of Innovation and Quality in Higher Education

NASA Astrophysics Data System (ADS)

Boonen, Annemie; Bijnens, Helena

European higher education institutions will need significant reforms, in order to guarantee their leading role in a globalized knowledge economy. These reforms can be enhanced by improving the way in which traditional universities integrate new technologies both in their educational activities and throughout their strategic and operational processes. The UNIQUe institutional accreditation scheme, analyzed and described in this chapter, intends to support this process of integrating the use of new technologies in higher education. With its specific open approach to quality in e-Learning, UNIQUe emphasizes innovation and creativity in a process that includes self-assessment and constructive dialog with peers and stakeholders involved. UNIQUe intends to use the institutional quality label as a catalyst for continuous improvement and change while setting up collaborative bench learning processes among universities for the adoption and integration of e-Learning.

[On the formulation of TCM foreign exchange policy after the reform and opening-up].

PubMed

Wang, Jingfang; Zhu, Jianping

2015-03-01

The foreign exchange activities of traditional Chinese medicine are conducted under the guidance of the policy of the CPC and Chinese government. After the carrying out of the reform and opening-up policy, foreign exchange policy of TCM has experienced the process of growing up from nothing, from less to more, and from coarse to fine, which is closely related to our country's foreign policy, the cause of Chinese medicine development, and urgent need of international communication. In the three decades after the reform and opening-up policy, the formulation of foreign exchange policy of TCM can be divided into three stages: viz., inclusion in the framework of national foreign policy (1978-1985), embodiment in the policy of developing TCM cause (1986-1996), and appearance in the special policy of foreign exchange of Chinese medicine (since 1997). From the development process of these policies, the development of each policy gradually complies with the process of the development of the times, with its contents basically in line with the requirements of the times. The implementation of some policies promotes the foreign exchanges and cooperation of Chinese medicine.

Alkali Metal CO2 Sorbents and the Resulting Metal Carbonates: Potential for Process Intensification of Sorption-Enhanced Steam Reforming.

PubMed

Memon, Muhammad Zaki; Zhao, Xiao; Sikarwar, Vineet Singh; Vuppaladadiyam, Arun K; Milne, Steven J; Brown, Andy P; Li, Jinhui; Zhao, Ming

2017-01-03

Sorption-enhanced steam reforming (SESR) is an energy and cost efficient approach to produce hydrogen with high purity. SESR makes it economically feasible to use a wide range of feedstocks for hydrogen production such as methane, ethanol, and biomass. Selection of catalysts and sorbents plays a vital role in SESR. This article reviews the recent research aimed at process intensification by the integration of catalysis and chemisorption functions into a single material. Alkali metal ceramic powders, including Li 2 ZrO 3 , Li 4 SiO 4 and Na 2 ZrO 3 display characteristics suitable for capturing CO 2 at low concentrations (<15% CO 2 ) and high temperatures (>500 °C), and thus are applicable to precombustion technologies such as SESR, as well as postcombustion capture of CO 2 from flue gases. This paper reviews the progress made in improving the operational performance of alkali metal ceramics under conditions that simulate power plant and SESR operation, by adopting new methods of sorbent synthesis and doping with additional elements. The paper also discusses the role of carbonates formed after in situ CO 2 chemisorption during a steam reforming process in respect of catalysts for tar cracking.

Contextualising change through a common strategy: Lecturers' perceptions and key role in supporting academic reform

NASA Astrophysics Data System (ADS)

Kindelan, Paz; Martin, Ana

2014-05-01

European universities are currently going through a process of change in order to meet the common goals set for higher education by the European Commission. They are revising their educational models to adjust them to the guidelines of the "Bologna Process" and are devising an institutional strategy for its implementation. In practical terms, this means aligning former national degrees and diplomas to standard European Bachelor and Masters degrees and PhD doctorates, by creating acknowledged professional qualification benchmarks that also include adjusted course lengths and contents. This process, in the end, mostly affects academic staff members who have a fundamental role to play in carrying out the pedagogical reforms on the teaching front. Besides presenting a commentary on the institutional approach of one particular technical university in Spain, the purpose of this paper is to propose, from the authors' point of view as lecturers, a strategy which has the potential to create a favourable atmosphere for carrying out such a reform. The article's main objective is to highlight a series of action points which may serve to reinforce and advance the main institutional strategy by relying on the powerful influence of its academic staff members.

Preparation and characterization of bi-metallic nanoparticle catalyst having better anti-coking properties using reverse micelle technique

NASA Astrophysics Data System (ADS)

Zacharia, Thomas

Energy needs are rising on an exponential basis. The mammoth energy sources like coal, natural gas and petroleum are the cause of pollution. The large outcry for an alternate energy source which is environmentally friendly and energy efficient is heard during the past few years. This is where “Clean-Fuel” like hydrogen gained its ground. Hydrogen is mainly produced by steam methane reforming (SMR). An alternate sustainable process which can reduce the cost as well as eliminate the waste products is Tri-reforming. In both these reforming processes nickel is used as catalyst. However as the process goes on the catalyst gets deactivated due to coking on the catalytic surface. This goal of this thesis work was to develop a bi-metallic catalyst which has better anti-coking properties compared to the conventional nickel catalyst. Tin was used to dope nickel. It was found that Ni3Sn complex around a core of Ni is coking resistant compared to pure nickel catalyst. Reverse micelle synthesis of catalyst preparation was used to control the size and shape of catalytic particles. These studies will benefit researches on hydrogen production and catalyst manufactures who work on different bi-metallic combinations.

The political economy of healthy system reform in Israel.

PubMed

Chernichovsky, D; Chinitz, D

1995-01-01

On June 15, 1994, the Israeli Parliament voted to enact the National Health Insurance bill (NHI). The bill marks the end of a process that lasted for virtually as long as Israel's almost 50 year history. Israel's attempts at health reform began long before the current spate of reforms in many Western countries. Faced with many of the same problems of access, equity and cost control common to many of its counterparts, Israel initiated a reform process based on the recommendations of a prominent State Commission of Inquiry into the Israeli Health System (the Netanyahu Commission) which reported to the Government in 1990. The Commission's proposals were based on a diagnosis indicating that the major problems of the system stem from the lack of clarity regarding the rights of citizens to health care, the lack of a clear allocation of responsibility and accountability among government, insurance or sick funds, and providers in the system, and undue centralization of system operations. This diagnosis led to three major planks for reform: (1) enactment of national health insurance legislation granting a basic package of care to each citizen and hence bringing most of the system's finance under public auspices; (2) divesting the Government from the organization, management and provision of care; hence integrating the management of preventive and psychiatric services provided by the government with the primary and other services provided by sick funds, and granting financial and operational independence to at least government hospitals; and (3) restructuring the Ministry of Health. As is often the case in public policy, more consensus surrounds the diagnosis than the solutions. As a result, nearly four years of implementation efforts have only recently resulted in a major breakthrough. In this paper we make an effort to outline the inherent weaknesses of the Israeli health care system that have led to the crisis in the mid 1980s, summarize the recommendations of the State Commission for structural change in the system, and review the politics of implementing the recommended reforms.

Internal reforming characteristics of cermet supported solid oxide fuel cell using yttria stabilized zirconia fed with partially reformed methane

NASA Astrophysics Data System (ADS)

Momma, Akihiko; Takano, Kiyonami; Tanaka, Yohei; Negishi, Akira; Kato, Ken; Nozaki, Ken; Kato, Tohru; Ichigi, Takenori; Matsuda, Kazuyuki; Ryu, Takashi

In order to investigate the internal reforming characteristics in a cermet supported solid oxide fuel cell (SOFC) using YSZ as the electrolyte, the concentration profiles of the gaseous species along the gas flow direction in the anode were measured. Partially reformed methane using a pre-reformer kept at a constant temperature is supplied to the center of the cell which is operated with a seal-less structure at the gas outlet. The anode gas is sucked in via silica capillaries to the initially evacuated gas tanks. The process is simultaneously carried out using five sampling ports. The sampled gas is analyzed by a gas chromatograph. Most of the measurements are made at the cell temperature (T cell) of 750 °C and at various temperatures of the pre-reformer (T ref) with various fuel utilizations (U f) of the cell. The composition of the fuel at the inlet of the anode was confirmed to be almost the same as that theoretically calculated assuming equilibrium at the temperature of the pre-reformer. The effect of internal reforming in the anode is clearly observed as a steady decrease in the methane concentration along the flow axis. The effect of the water-gas shift reaction is also observed as a decrease in the CO 2 concentration and an increase of CO concentration around the gas inlet region, as the water-gas shift reaction inversely proceeds when T cell is higher than T ref. The diffusion of nitrogen from the seal-less outermost edge is observed, and the diffusion is confirmed to be more significant as U f decreases. The observations are compared with the results obtained by the SOFC supported by lanthanum gallate electrolyte. With respect to the internal reforming performance, the cell investigated here is found to be more effective when compared to the previously reported electrolyte supported cell.

Senegal: The Economic Reforms and the Influence of the Informal Sector on the Economic Reform Process

DTIC Science & Technology

2002-06-01

policies were implemented: the Agricultural Policy (NAP), and the New Industrial Policy (NIP). The NAP reduced the number of rural development agencies as...planned to solve the economic crisis through various measures such as the Agricultural Policy (NAP) and the New Industrial Policy (NIP). Despite all...Mission For the Republic of Congo NAP: New Agricultural Policy NIP: New Industrial Policy OECD: Organization for Economic Cooperation and

U.S. Budgeting for the United Nations: Process, Policy, and Problems

DTIC Science & Technology

2009-06-01

Committees play the critical roles in determining U.S. funding for the UN. UN procurement and internal management reform, abortion , the Human Rights Council...internal management reform, abortion , the Human Rights Council, and the degree of U.S. influence in the UN have been significant factors affecting...corruption exist in the UN is the attempt to balance UN Secretariat representation based on nationality, sex , and type of appointment, taking into account

The Impact of Standards-Based Reforms on the Art of Teaching: A Narrative Case Study of the Perceptions of Highly Effective Teachers in Grades 7-12

ERIC Educational Resources Information Center

Thornton, Susan W.

2013-01-01

In the 12 years subsequent to the passing of No Child Left Behind (NCLB), the ensuing standards-based reforms (SBRs) have created multiple effects that have permeated every aspect of the educational process, and teachers have reported specific constraints being placed upon them as a result. Grounded in Eisner's (2002b) theory of aesthetic teaching…

Our Application of ISO 9000.

ERIC Educational Resources Information Center

Hammond, Jane

2000-01-01

Since a large, underfunded urban Colorado district initiated ISO 9000 reforms, administrators and staff have reviewed 14 central-office departments' processes to improve efficiency and enhance student outcomes. Jefferson County has saved $900,000 annually on purchasing processes, developed a quality curriculum-development process, and improved…

What have health care reforms achieved in Turkey? An appraisal of the "Health Transformation Programme".

PubMed

Ökem, Zeynep Güldem; Çakar, Mehmet

2015-09-01

Poor health status indicators, low quality care, inequity in the access to health services and inefficiency due to fragmented health financing and provision have long been problems in Turkey's health system. To address these problems a radical reform process known as the Health Transformation Programme (HTP) was initiated in 2003. The health sector reforms in Turkey are considered to have been among the most successful of middle-income countries undergoing reform. Numerous articles have been published that review these reforms in terms of, variously, financial sustainability, efficiency, equity and quality. Evidence suggests that Turkey has indeed made significant progress, yet these achievements are uneven among its regions, and their long-term financial sustainability is unresolved due to structural problems in employment. As yet, there is no comprehensive evidence-based analysis of how far the stated reform objectives have been achieved. This article reviews the empirical evidence regarding the outcomes of the HTP during 10 years of its implementation. Strengthening the strategic purchasing function of the Social Security Institution (SSI) should be a priority. Overall performance can be improved by linking resource allocation to provider performance. More emphasis on prevention rather than treatment, with an effective referral chain, can also bring better outcomes, greater efficiency gains and contribute to sustainability. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Benchmarks of fairness for health care reform: a policy tool for developing countries.

PubMed Central

Daniels, N.; Bryant, J.; Castano, R. A.; Dantes, O. G.; Khan, K. S.; Pannarunothai, S.

2000-01-01

Teams of collaborators from Colombia, Mexico, Pakistan, and Thailand have adapted a policy tool originally developed for evaluating health insurance reforms in the United States into "benchmarks of fairness" for assessing health system reform in developing countries. We describe briefly the history of the benchmark approach, the tool itself, and the uses to which it may be put. Fairness is a wide term that includes exposure to risk factors, access to all forms of care, and to financing. It also includes efficiency of management and resource allocation, accountability, and patient and provider autonomy. The benchmarks standardize the criteria for fairness. Reforms are then evaluated by scoring according to the degree to which they improve the situation, i.e. on a scale of -5 to 5, with zero representing the status quo. The object is to promote discussion about fairness across the disciplinary divisions that keep policy analysts and the public from understanding how trade-offs between different effects of reforms can affect the overall fairness of the reform. The benchmarks can be used at both national and provincial or district levels, and we describe plans for such uses in the collaborating sites. A striking feature of the adaptation process is that there was wide agreement on this ethical framework among the collaborating sites despite their large historical, political and cultural differences. PMID:10916911

The impact of Indonesia’s food law reform on the concept of food sovereignty in Indonesia

NASA Astrophysics Data System (ADS)

Soetoto, E. O. H.

2018-03-01

Food sovereignty, since first articulated in 1996, evaluations of the practice and potential of this emerging concept and its sub-elements got fast popularity, which first emerged from civil society publications. Indonesia experienced food law reform from Law number 7 of 1996 to Law number 18 of 2012. The purposes of the work were: (1) to understand the reform process from the old to the new Indonesia’s food law, (2) to investigate the impact of Indonesia’s food law reform on the concept of food sovereignty in Indonesia. The approach was doctrinal research. The paper used secondary data with primary, secondary, and tertiary legal materials. The scientific innovation of this paper is the use of legal systems to strengthen the food sovereignty in Indonesia, suggesting that the law is needed to ensure the food sovereignty in Indonesia. The results show that there is a paradigm shift in the Indonesia’s food law from food security and food self-sufficiency towards food sovereignty and in the content materials of new Indonesia’s food law which include the concept of food sovereignty. The present reasearch concluded that there is a reform in Indonesia’s food law and there is an impact - in term of legal substance, legal structure, and legal culture- of Indonesia’s food law reform on the concept of food sovereignty in Indonesia.

Same law-same rights? Analyzing why Sweden's disability legislation failed to create equal rights in mental health.

PubMed

Maycraft Kall, Wendy

2014-01-01

This article analyzed the apparent paradox of disability rights in Sweden. Despite strong welfare state traditions and stated Government ambitions to create generous statutory entitlements for all disabled people using a single, comprehensive Disability Act, psychiatric disabilities were principally excluded from the Disability Act's rights and provisions. The study focused on Sweden's Mental Health Reform and Disability Reform using governance perspectives that traced and analyzed the policy-processes of both reforms. Theoretically guided analytical frameworks were developed to help understand the divergent reform outcomes. The first focused on legislative arguments of regulatory specificity and legal enforcement mechanisms to consider whether the Disability Act was formulated in a manner that was easier to apply to certain disabilities. The second analyzed ideological arguments and the influence of Government political beliefs that signaled specific reform 'visions' to implementers and thereby influenced policy implementation. The main findings are that both perspectives matter as the dual influences of legislative and ideological differences tended to exclude mental health service users from the Act's generous disability rights. The overall conclusion was that while legislation was an important regulatory mechanism, the Government's underlying ideological reform vision was also an essential governance instrument that signaled Government intentions to implementing agencies and thus influenced the creation of enduring disability rights. Copyright © 2014 Elsevier Ltd. All rights reserved.

Metallic phases of cobalt-based catalysts in ethanol steam reforming: The effect of cerium oxide

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

Lin, Sean S.-Y.; Kim, Do Heui; Ha, Su Y.

2009-02-28

The catalytic activity of cobalt in the production of hydrogen via ethanol steam reforming has been investigated in its relation to the crystalline structure of metallic cobalt. At a reaction temperature of 350 8C, the specific hydrogen production rates show that hexagonal close-packed (hcp) cobalt possesses higher activity than face-centered cubic (fcc) cobalt. However, at typical reaction temperatures (400– 500 8C) for ethanol steam reforming, hcp cobalt is transformed to less active fcc cobalt, as confirmed by in situ X-ray diffractometry (XRD). The addition of CeO2 promoter (10 wt.%) stabilizes the hcp cobalt structure at reforming temperatures up to 600more » 8C. Moreover, during the pre-reduction process, CeO2 promoter prevents sintering during the transformation of Co3O4 to hcp cobalt. Both reforming experiments and in situ diffuse-reflectance infrared Fourier transform spectroscopy (DRIFTS) showed that the surface reactions were modified by CeO2 promoter on 10% Ce–Co (hcp) to give a lower CO selectivity and a higher H2 yield as compared with the unpromoted hcp Co.« less

Super-dry reforming of methane intensifies CO2 utilization via Le Chatelier's principle.

PubMed

Buelens, Lukas C; Galvita, Vladimir V; Poelman, Hilde; Detavernier, Christophe; Marin, Guy B

2016-10-28

Efficient CO 2 transformation from a waste product to a carbon source for chemicals and fuels will require reaction conditions that effect its reduction. We developed a "super-dry" CH 4 reforming reaction for enhanced CO production from CH 4 and CO 2 We used Ni/MgAl 2 O 4 as a CH 4 -reforming catalyst, Fe 2 O 3 /MgAl 2 O 4 as a solid oxygen carrier, and CaO/Al 2 O 3 as a CO 2 sorbent. The isothermal coupling of these three different processes resulted in higher CO production as compared with that of conventional dry reforming, by avoiding back reactions with water. The reduction of iron oxide was intensified through CH 4 conversion to syngas over Ni and CO 2 extraction and storage as CaCO 3 CO 2 is then used for iron reoxidation and CO production, exploiting equilibrium shifts effected with inert gas sweeping (Le Chatelier's principle). Super-dry reforming uses up to three CO 2 molecules per CH 4 and offers a high CO space-time yield of 7.5 millimole CO per second per kilogram of iron at 1023 kelvin. Copyright © 2016, American Association for the Advancement of Science.

Alternative technologies to steam-methane reforming

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

Tindall, B.M.; Crews, M.A.

1995-11-01

Steam-methane reforming (SMR) has been the conventional route for hydrogen and carbon monoxide production from natural gas feedstocks. However, several alternative technologies are currently finding favor for an increasing number of applications. The competing technologies include: steam-methane reforming combined with oxygen secondary reforming (SMR/O2R); autothermal reforming (ATR); thermal partial oxidation (POX). Each of these alternative technologies uses oxygen as a feedstock. Accordingly, if low-cost oxygen is available, they can be an attractive alternate to SMR with natural gas feedstocks. These technologies are composed technically and economically. The following conclusions can be drawn: (1) the SMR/O2R, ATR and POX technologies canmore » be attractive if low-cost oxygen is available; (2) for competing technologies, the H{sub 2}/CO product ratio is typically the most important process parameter; (3) for low methane slip, the SMR/O2R, ATR and POX technologies are favored; (4) for full CO{sub 2} recycle, POX is usually better than ATR; (5) relative to POX, the ATR is a nonlicensed technology that avoids third-party involvement; (6) economics of each technology are dependent on the conditions and requirements for each project and must be evaluated on a case-by-case basis.« less

Ethanol internal steam reforming in intermediate temperature solid oxide fuel cell

NASA Astrophysics Data System (ADS)

Diethelm, Stefan; Van herle, Jan

This study investigates the performance of a standard Ni-YSZ anode supported cell under ethanol steam reforming operating conditions. Therefore, the fuel cell was directly operated with a steam/ethanol mixture (3 to 1 molar). Other gas mixtures were also used for comparison to check the conversion of ethanol and of reformate gases (H 2, CO) in the fuel cell. The electrochemical properties of the fuel cell fed with four different fuel compositions were characterized between 710 and 860 °C by I- V and EIS measurements at OCV and under polarization. In order to elucidate the limiting processes, impedance spectra obtained with different gas compositions were compared using the derivative of the real part of the impedance with respect of the natural logarithm of the frequency. Results show that internal steam reforming of ethanol takes place significantly on Ni-YSZ anode only above 760 °C. Comparisons of results obtained with reformate gas showed that the electrochemical cell performance is dominated by the conversion of hydrogen. The conversion of CO also occurs either directly or indirectly through the water-gas shift reaction but has a significant impact on the electrochemical performance only above 760 °C.

Economic transition and health transition: comparing China and Russia.

PubMed

Liu, Y; Rao, K; Fei, J

1998-05-01

Drawing on experiences from China and Russia (the world's two largest transitional economies), this paper empirically examines the impact of economic reforms on health status. While China's overall health status continued to improve after the economic reform, Russia experienced a serious deterioration in its population health. The observed differences in health performance between China and Russia can be explained by the different impacts of economic reforms on three major socioeconomic determinants of health. Depending on whether or not the reform improves physical environment (as reflected in income level and nutritional status), social environment (including social stability and security system), and health care, we would observe either a positive or a negative net effect on health. Despite remarkable differences in overall health development, China and Russia share some common problems. Mental and social health problems such as suicides and alcohol poisoning have been on the rise in both countries. These problems were much more serious in Russia, where political and social instability was more pronounced, associated with Russia's relatively radical reform process. With their economies moving toward a free market system, health sectors in China and Russia are undergoing marketization, which has had serious detrimental effect on the public health services.

Leadership collaboration during health reform: an action learning approach with an interagency group of executives in Tasmania.

PubMed

Harpur, Siobhan

2012-05-01

To use an action learning approach to encourage a group of executive leaders, responsible for the implementation of a state health reform agenda, to consider the leadership required to drive improvement in healthcare services. Based on an assertion that knowledge is co-produced and that deliberative and structured conversation can be a mechanism to drive change, an action learning approach was used to facilitate an interagency group of executive leaders, responsible for the implementation of a state health reform agenda, who were encouraged to consider the leadership required to drive improvement in healthcare services. It was difficult to assert how the group contributed specifically to the implementation of the health reform agenda but individuals gained insights and there was informal resolution of institutional tensions and differences. The method may provide new knowledge to the reform process over time. Getting the participants together was challenging, which may reflect the reality of time-poor executives, or a low commitment to giving time to structured and deliberative informal dialogue. Further work is required to test this thesis and the action learning approach with other parts of healthcare workforce.

Prevention in Poland: health care system reform.

PubMed Central

Sheahan, M D

1995-01-01

Despite the political and economic reforms that have swept Eastern Europe in the past 5 years, there has been little change in Poland's health care system. The Ministry of Health and Social Welfare has targeted preventive care as a priority, yet the enactment of legislation to meet this goal has been slow. The process of reform has been hindered by political stagnation, economic crisis, and a lack of delineation of responsibility for implementing the reforms. Despite the delays in reform, recent developments indicate that a realistic, sustainable restructuring of the health care system is possible, with a focus on preventive services. Recent proposals for change have centered on applying national goals to limited geographic areas, with both local and international support. Regional pilot projects to restructure health care delivery at a community level, local health education and disease prevention initiatives, and a national training program for primary care and family physicians and nurses are being planned. Through regionalization, an increase in responsibility for both the physician and the patient, and redefinition of primary health care and the role of family physicians, isolated local movements and pilot projects have shown promise in achieving these goals, even under the current budgetary constraints. PMID:7610217

Prevention in Poland: health care system reform.

PubMed

Sheahan, M D

1995-01-01

Despite the political and economic reforms that have swept Eastern Europe in the past 5 years, there has been little change in Poland's health care system. The Ministry of Health and Social Welfare has targeted preventive care as a priority, yet the enactment of legislation to meet this goal has been slow. The process of reform has been hindered by political stagnation, economic crisis, and a lack of delineation of responsibility for implementing the reforms. Despite the delays in reform, recent developments indicate that a realistic, sustainable restructuring of the health care system is possible, with a focus on preventive services. Recent proposals for change have centered on applying national goals to limited geographic areas, with both local and international support. Regional pilot projects to restructure health care delivery at a community level, local health education and disease prevention initiatives, and a national training program for primary care and family physicians and nurses are being planned. Through regionalization, an increase in responsibility for both the physician and the patient, and redefinition of primary health care and the role of family physicians, isolated local movements and pilot projects have shown promise in achieving these goals, even under the current budgetary constraints.

Biopsychosocial law, health care reform, and the control of medical inflation in Colorado.

PubMed

Bruns, Daniel; Mueller, Kathryn; Warren, Pamela A

2012-05-01

A noteworthy attempt at health care reform was the 1992 Colorado workers' compensation reform bill, which led to the creation of what has been called "biopsychosocial laws." These laws mandated the use of treatment guidelines for patients with injury or chronic pain, which advocated a biopsychosocial model of rehabilitation, and aspired to use a "best practice" approach to controlling costs. The purpose of this study was to examine the financial impact of this health care reform process, and to test the hypothesis that this approach can be an effective strategy to contain costs while providing good care. This study utilized a dataset collected prospectively from 1992 to 2007 in 45 U.S. states for regulatory purposes. These data summarized the medical treatment and disability costs of 520,314 injured workers in Colorado, and an estimated 28.6 million injured workers nationally. As no other state passed a comparable bill, the Colorado worker compensation reform bill created a natural experiment, where a treatment group was created by legally enforceable medical treatment guidelines. In the 15 years following the implementation of the reform, the inflation of medical costs in Colorado workers' compensation was only one third that of the national average, saving an estimated $859 million on patients injured in 2007 alone. Although there were confounding variables, and causality could not be determined, these data are consistent with the hypothesis that Colorado's 1992 legislative efforts to reform workers compensation law using the biopsychosocial model worked as intended to provide good care while controlling costs. PsycINFO Database Record (c) 2012 APA, all rights reserved.

Hydrogen generation from natural gas for the fuel cell systems of tomorrow

NASA Astrophysics Data System (ADS)

Dicks, Andrew L.

In most cases hydrogen is the preferred fuel for use in the present generation of fuel cells being developed for commercial applications. Of all the potential sources of hydrogen, natural gas offers many advantages. It is widely available, clean, and can be converted to hydrogen relatively easily. When catalytic steam reforming is used to generate hydrogen from natural gas, it is essential that sulfur compounds in the natural gas are removed upstream of the reformer and various types of desulfurisation processes are available. In addition, the quality of fuel required for each type of fuel cell varies according to the anode material used, and the cell temperature. Low temperature cells will not tolerate high concentrations of carbon monoxide, whereas the molten fuel cell (MCFC) and solid oxide fuel cell (SOFC) anodes contain nickel on which it is possible to electrochemically oxidise carbon monoxide directly. The ability to internally reform fuel gas is a feature of the MCFC and SOFC. Internal reforming can give benefits in terms of increased electrical efficiency owing to the reduction in the required cell cooling and therefore parasitic system losses. Direct electrocatalysis of hydrocarbon oxidation has been the elusive goal of fuel cell developers over many years and recent laboratory results are encouraging. This paper reviews the principal methods of converting natural gas into hydrogen, namely catalytic steam reforming, autothermic reforming, pyrolysis and partial oxidation; it reviews currently available purification techniques and discusses some recent advances in internal reforming and the direct use of natural gas in fuel cells.

Effects of Deregulation and Vertical Unbundling on the Performance of China's Electricity Generation Sector†

PubMed Central

Gao, Hang; Van Biesebroeck, Johannes

2014-01-01

The restructuring of the Chinese electricity sector in 2002 reshaped the market structure by vertically unbundling the dominant integrated firm and started the process of wholesale price liberalization. We estimate factor demands to study whether these reforms boosted productivity in the generation segment of the industry. Controlling explicitly for price‐heterogeneity across firms and unobservable productivity shocks, we find that the reforms are associated with reductions in labor and material use of 7 and 5 per cent, respectively. These effects only appear two years after the reforms and are robust to many specification checks. The absolute magnitudes of the estimated restructuring effects vary in intuitive ways by location, firm size or age, and for different definitions of restructured firms. PMID:27076686

Addressing the Policy Churn in Public Education in the United States.

PubMed

Koopmans, Matthijs

2016-07-01

Educational organizations, public schools in particular, are seen as being notoriously inert and resistant to change. While school reform efforts are widespread, educational outcomes such as high school graduation rates and achievement in reading and math continue to show disparity between socio-economic groups. Why is educational change so hard to accomplish? This article approaches the question from two perspectives: the school reform literature that identifies the factors inhibiting change in school systems, and the literature on complex dynamical systems (CDS), which facilitates understanding of the dynamics underlying inertia and transformation. The need is articulated for empirical research that focuses on reform as an implementation process, to provide further insight in what we know about its impact on educational outcomes.

Direct Internal Reformation and Mass Transport in the Solid Oxide Fuel Cell Anode: A Pore-Scale Lattice Boltzmann Study with Detailed Reaction Kinetics

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

Grew, Kyle N.; Joshi, Abhijit S.; Chiu, W. K. S.

2010-11-30

The solid oxide fuel cell (SOFC) allows the conversion of chemical energy that is stored in a given fuel, including light hydrocarbons, to electrical power. Hydrocarbon fuels, such as methane, are logistically favourable and provide high energy densities. However, the use of these fuels often results in a decreased efficiency and life. An improved understanding of the reactive flow in the SOFC anode can help address these issues. In this study, the transport and heterogeneous internal reformation of a methane based fuel is addressed. The effect of the SOFC anode's complex structure on transport and reactions is shown to exhibitmore » a complicated interplay between the local molar concentrations and the anode structure. Strong coupling between the phenomenological microstructures and local reformation reaction rates are recognised in this study, suggesting the extension to actual microstructures may provide new insights into the reformation processes.« less

Implementing health care reform in the United States: intergovernmental politics and the dilemmas of institutional design.

PubMed

Béland, Daniel; Rocco, Philip; Waddan, Alex

2014-05-01

The Affordable Care Act (ACA) was enacted, and continues to operate, under conditions of political polarization. In this article, we argue that the law's intergovernmental structure has amplified political conflict over its implementation by distributing governing authority to political actors at both levels of the American federal system. We review the ways in which the law's demands for institutional coordination between federal and state governments (and especially the role it preserves for governors and state legislatures) have created difficulties for rolling out health-insurance exchanges and expanding the Medicaid program. By way of contrast, we show how the institutional design of the ACA's regulatory reforms of the insurance market, which diminish the reform's political salience, has allowed for considerably less friction during the implementation process. This article thus highlights the implications of multi-level institutional designs for the post-enactment politics of major reforms. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Institutions, interest groups, and ideology: an agenda for the sociology of health care reform.

PubMed

Quadagno, Jill

2010-06-01

A central sociological premise is that health care systems are organizations that are embedded within larger institutions, which have been shaped by historical precedents and operate within a specific cultural context. Although bound by policy legacies, embedded constituencies, and path dependent processes, health care systems are not rigid, static, and impervious to change. The success of health care reform in 2010 has shown that existing regimes do have the capacity to respond to new needs in ways that transcend their institutional and ideological limits. For the United States the question is how health care reform will reconfigure the existing network of public and private benefits and the power relationships between the numerous constituencies surrounding them. This article considers how institutions, interest groups, and ideology have affected the organization of the health care system in the United States as well as in other nations. It then discusses issues for future research in the aftermath of the 2009-10 health care reform debate.

Education Reform in Hong Kong: The ``Through-Road'' Model and its Societal Consequences

NASA Astrophysics Data System (ADS)

Poon, Anita Y. K.; Wong, Yiu-Chung

2008-01-01

Although Hong Kong's education system has long been criticized as lacking in creativity and over-emphasising rote learning, on the whole it has served Hong Kong well in the past years, breeding outstanding business, academic and political leaders who continue to maintain Hong Kong's competitive edge. The traditional elite schools have played a crucial role in the process. The education reform, which is still on-going, aims to overhaul the entire system by introducing the "through-road" model. To accomplish this, some mechanisms need to be changed. J.P. Farrell's concepts of equality and equity, C.W. Mills' concept of elitism, and P. Bourdieu and J. Coleman's concepts of cultural and social capital will be applied to analyse the consequences of the reform. The paper argues that the education reform may be well-intentioned in eliminating some elements of inequality and inequity in education, but that this comes at the expense of Hong Kong's cultural and social capital and leads to the development of new forms of inequality.

Method for converting hydrocarbon fuel into hydrogen gas and carbon dioxide

DOEpatents

Clawson, Lawrence G.; Mitchell, William L.; Bentley, Jeffrey M.; Thijssen, Johannes H. J.

2000-01-01

A method for converting hydrocarbon fuel into hydrogen gas and carbon dioxide within a reformer 10 is disclosed. According to the method, a stream including an oxygen-containing gas is directed adjacent to a first vessel 18 and the oxygen-containing gas is heated. A stream including unburned fuel is introduced into the oxygen-containing gas stream to form a mixture including oxygen-containing gas and fuel. The mixture of oxygen-containing gas and unburned fuel is directed tangentially into a partial oxidation reaction zone 24 within the first vessel 18. The mixture of oxygen-containing gas and fuel is further directed through the partial oxidation reaction zone 24 to produce a heated reformate stream including hydrogen gas and carbon monoxide. Steam may also be mixed with the oxygen-containing gas and fuel, and the reformate stream from the partial oxidation reaction zone 24 directed into a steam reforming zone 26. High- and low-temperature shift reaction zones 64,76 may be employed for further fuel processing.

Security Sector Reform in Liberia: Progress and Challenges Ahead of the United Nations Mission in Liberia (UNMIL) Drawdown

DTIC Science & Technology

2017-06-09

were processed. This program was designed to target a wide variety of combatants, with special emphasis placed on child soldiers. With these...Brzoska, SSR has its origin in the development of donor debate, where there has been ongoing discussion among different groups of theoreticians on how...human rights, humanitarian relief, and electoral reform. This document describes the framework on how post -war Liberia should implement the peace

Process Evaluation - Steam Reforming of Diesel Fuel Oil

DTIC Science & Technology

1980-02-15

Table 9. HIDROGEN CONVERSION RELATIVE TO TEMPERATURE, SPACE, VELOCITY, AND H20/C RATIO Oil Feed, Gas Product ,Run No. Temperature, *F H2,O/C Ratio igram...steam reforming diesel fuel, but with the production of naphthalene after 30 hours. Hydrogen production remained stable through the 86 hours of the test...79-C-0048. Hydrogen-rich gas was produced over a wide range of reaction conditions. This product gas contained small amounts of ethylene and !nzene

The art and science of political advocacy.

PubMed

Kosiorowski, Donna

2014-01-01

School nurses throughout the nation, individually and collectively, work to bring about change for the school nursing profession and to safeguard the health of children and the public. School nurses practice amidst education reform, health care reform, changes in society, and medical and technological advancements. School nurses must be active in decisions that affect their daily practice by involvement in the local, state, and federal political process. School nurses must craft the art and develop the science of political advocacy.

Enhanced methane steam reforming activity and electrochemical performance of Ni0.9Fe0.1-supported solid oxide fuel cells with infiltrated Ni-TiO2 particles

PubMed Central

Li, Kai; Jia, Lichao; Wang, Xin; Pu, Jian; Chi, Bo; Li, Jian

2016-01-01

Ni0.9Fe0.1 alloy-supported solid oxide fuel cells with NiTiO3 (NTO) infiltrated into the cell support from 0 to 4 wt.% are prepared and investigated for CH4 steam reforming activity and electrochemical performance. The infiltrated NiTiO3 is reduced to TiO2-supported Ni particles in H2 at 650 °C. The reforming activity of the Ni0.9Fe0.1-support is increased by the presence of the TiO2-supported Ni particles; 3 wt.% is the optimal value of the added NTO, corresponding to the highest reforming activity, resistance to carbon deposition and electrochemical performance of the cell. Fueled wet CH4 at 100 mL min−1, the cell with 3 wt.% of NTO demonstrates a peak power density of 1.20 W cm−2 and a high limiting current density of 2.83 A cm−2 at 650 °C. It performs steadily for 96 h at 0.4 A cm−2 without the presence of deposited carbon in the Ni0.9Fe0.1-support and functional anode. Five polarization processes are identified by deconvoluting and data-fitting the electrochemical impedance spectra of the cells under the testing conditions; and the addition of TiO2-supported Ni particles into the Ni0.9Fe0.1-support reduces the polarization resistance of the processes ascribed to CH4 steam reforming and gas diffusion in the Ni0.9Fe0.1-support and functional anode. PMID:27775092

Civil Society-Driven Drug Policy Reform for Health and Human Welfare-India.

PubMed

Vallath, Nandini; Tandon, Tripti; Pastrana, Tania; Lohman, Diederik; Husain, S Asra; Cleary, James; Ramanath, Ganpati; Rajagopal, M R

2017-03-01

The lack of adequate access to opioids in India as analgesics and for agonist therapies, forces millions to live with severe unalleviated pain, or languish with suffering associated with drug dependence. Although India is a major opium exporter, the excessively prohibitive 1985 narcotics law formulated to control harmful use of drugs, impeded the availability and access to opioids for medical and scientific purposes. Amendment of this law in 2014 established a new national regulatory framework for improved access to essential opioid analgesics. This article reflects on key elements and processes that led to this landmark achievement. Unlike quick timelines associated with effecting policy reforms for law enforcement, realizing the 2014 drug policy change primarily to mitigate human suffering, was a 22-year-long process. The most exacting challenges included recognizing the multilayered complexities of the prior policy framework and understanding their adverse impact on field practices to chart an appropriate and viable path for reform. The evolution of an informal civil society movement involving health care professionals, lawyers, media, policy analysts, government officials, and the public was pivotal in addressing these challenges and garnering momentum for reform. The success of the effort for improving access to opioid medications was underpinned by a three-pronged strategy of 1) persuading the executive arm of the government to take interim enabling measures; 2) leveraging judicial intervention through public interest litigation; and 3) crafting a viable policy document for legislative approval and implementation. We hope our findings are useful for realizing drug policy reforms, given the current transformed global policy mandates emphasizing humanitarian, healthcare, and quality-of-life considerations. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

The challenges and opportunities for integration of solar syngas production with liquid fuel synthesis

NASA Astrophysics Data System (ADS)

Hinkley, James T.; McNaughton, Robbie K.; Pye, John; Saw, Woei; Stechel, Ellen B.

2016-05-01

Reforming of methane is practiced on a vast scale globally for the production of syngas as a precursor for the production of many commodities, including hydrogen, ammonia and synthetic liquid fuels. Solar reforming can reduce the greenhouse gas intensity of syngas production by up to about 40% by using solar thermal energy to provide the endothermic heat of reaction, traditionally supplied by combustion of some of the feed. This has the potential to enable the production of solar derived synthetic fuels as drop in replacements for conventional fuels with significantly lower CO2 intensity than conventional gas to liquids (GTL) processes. However, the intermittent nature of the solar resource - both diurnal and seasonal - poses significant challenges for such a concept, which relies on synthesis processes that typically run continuously on very stable feed compositions. We find that the integration of solar syngas production to a GTL process is a non-trivial exercise, with the ability to turn down the capacity of the GTL synthesis section, and indeed to suspend operations for short periods without significant detriment to product quality or process operability, likely to be a key driver for the commercial implementation of solar liquid fuels. Projected costs for liquid fuel synthesis suggest that solar reforming and small scale gas to liquid synthesis can potentially compete with conventional oil derived transport fuels in the short to medium term.

Removing user fees in the health sector: a review of policy processes in six sub-Saharan African countries.

PubMed

Meessen, Bruno; Hercot, David; Noirhomme, Mathieu; Ridde, Valéry; Tibouti, Abdelmajid; Tashobya, Christine Kirunga; Gilson, Lucy

2011-11-01

In recent years, governments of several low-income countries have taken decisive action by removing fully or partially user fees in the health sector. In this study, we review recent reforms in six sub-Saharan African countries: Burkina Faso, Burundi, Ghana, Liberia, Senegal and Uganda. The review describes the processes and strategies through which user fee removal reforms have been implemented and tries to assess them by referring to a good practice hypotheses framework. The analysis shows that African leaders are willing to take strong action to remove financial barriers met by vulnerable groups, especially pregnant women and children. However, due to a lack of consultation and the often unexpected timing of the decision taken by the political authorities, there was insufficient preparation for user fee removal in several countries. This lack of preparation resulted in poor design of the reform and weaknesses in the processes of policy formulation and implementation. Our assessment is that there is now a window of opportunity in many African countries for policy action to address barriers to accessing health care. Mobilizing sufficient financial resources and obtaining long-term commitment are obviously crucial requirements, but design details, the formulation process and implementation plan also need careful thought. We contend that national policy-makers and international agencies could better collaborate in this respect.

Thermodynamic analyses of hydrogen production from sub-quality natural gas. Part I: Pyrolysis and autothermal pyrolysis

NASA Astrophysics Data System (ADS)

Huang, Cunping; T-Raissi, Ali

Sub-quality natural gas (SQNG) is defined as natural gas whose composition exceeds pipeline specifications of nitrogen, carbon dioxide (CO 2) and/or hydrogen sulfide (H 2S). Approximately one-third of the U.S. natural gas resource is sub-quality gas [1]. Due to the high cost of removing H 2S from hydrocarbons using current processing technologies, SQNG wells are often capped and the gas remains in the ground. We propose and analyze a two-step hydrogen production scheme using SQNG as feedstock. The first step of the process involves hydrocarbon processing (via steam-methane reformation, autothermal steam-methane reformation, pyrolysis and autothermal pyrolysis) in the presence of H 2S. Our analyses reveal that H 2S existing in SQNG is stable and can be considered as an inert gas. No sulfur dioxide (SO 2) and/or sulfur trioxide (SO 3) is formed from the introduction of oxygen to SQNG. In the second step, after the separation of hydrogen from the main stream, un-reacted H 2S is used to reform the remaining methane, generating more hydrogen and carbon disulfide (CS 2). Thermodynamic analyses on SQNG feedstock containing up to 10% (v/v) H 2S have shown that no H 2S separation is required in this process. The Part I of this paper includes only thermodynamic analyses for SQNG pyrolysis and autothermal pyrolysis.

Gas-Phase Hydrodesulfurization of JP-8 Light Fraction Using Steam Reformate

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

Huang, Xiwen; King, David L.

2006-10-11

Gas phase hydrodesulfurization of JP-8 light fraction was investigated over CoMo/Al2O3 and NiMo/Al2O3 catalysts. Use of a light fraction provides a fuel that is more easily desulfurized, and allows the process to operate in the vapor phase. This study investigated the utilization of reformate (syngas) from a steam reformer rather than pure H2 as gas feed to HDS unit. This is consistent with what might be available to the military during operation in the field. Dry syngas functions almost as well as pure H2 in the HDS reaction, and sulfur levels below 5ppmw are readily obtained from a feed initiallymore » containing 320ppmw sulfur. Addition of steam at 40 vol% to the gas feed has a significant negative impact on HDS performance with CoMo/Al2O3, but only a small effect with NiMo/Al2O3. The impacts of various process conditions on S removal efficiency were examined and will be described.« less

Comparative simulation of a fluidised bed reformer using industrial process simulators

NASA Astrophysics Data System (ADS)

Bashiri, Hamed; Sotudeh-Gharebagh, Rahmat; Sarvar-Amini, Amin; Haghtalab, Ali; Mostoufi, Navid

2016-08-01

A simulation model is developed by commercial simulators in order to predict the performance of a fluidised bed reformer. As many physical and chemical phenomena take place in the reformer, two sub-models (hydrodynamic and reaction sub-models) are needed. The hydrodynamic sub-model is based on the dynamic two-phase model and the reaction sub-model is derived from the literature. In the overall model, the bed is divided into several sections. In each section, the flow of the gas is considered as plug flow through the bubble phase and perfectly mixed through the emulsion phase. Experimental data from the literature were used to validate the model. Close agreement was found between the model of both ASPEN Plus (ASPEN PLUS 2004 ©) and HYSYS (ASPEN HYSYS 2004 ©) and the experimental data using various sectioning of the reactor ranged from one to four. The experimental conversion lies between one and four sections as expected. The model proposed in this work can be used as a framework in developing the complicated models for non-ideal reactors inside of the process simulators.

Curriculum Alignment with Vision and Change Improves Student Scientific Literacy

PubMed Central

Auerbach, Anna Jo; Schussler, Elisabeth E.

2017-01-01

The Vision and Change in Undergraduate Biology Education final report challenged institutions to reform their biology courses to focus on process skills and student active learning, among other recommendations. A large southeastern university implemented curricular changes to its majors’ introductory biology sequence in alignment with these recommendations. Discussion sections focused on developing student process skills were added to both lectures and a lab, and one semester of lab was removed. This curriculum was implemented using active-learning techniques paired with student collaboration. This study determined whether these changes resulted in a higher gain of student scientific literacy by conducting pre/posttesting of scientific literacy for two cohorts: students experiencing the unreformed curriculum and students experiencing the reformed curriculum. Retention of student scientific literacy for each cohort was also assessed 4 months later. At the end of the academic year, scientific literacy gains were significantly higher for students in the reformed curriculum (p = 0.005), with those students having double the scientific literacy gains of the cohort in the unreformed curriculum. Retention of scientific literacy did not differ between the cohorts. PMID:28495933

The future of graduate medical education in Germany - position paper of the Committee on Graduate Medical Education of the Society for Medical Education (GMA).

PubMed

David, Dagmar M; Euteneier, Alexander; Fischer, Martin R; Hahn, Eckhart G; Johannink, Jonas; Kulike, Katharina; Lauch, Robert; Lindhorst, Elmar; Noll-Hussong, Michael; Pinilla, Severin; Weih, Markus; Wennekes, Vanessa

2013-01-01

The German graduate medical education system is going through an important phase of changes. Besides the ongoing reform of the national guidelines for graduate medical education (Musterweiterbildungsordnung), other factors like societal and demographic changes, health and research policy reforms also play a central role for the future and competitiveness of graduate medical education. With this position paper, the committee on graduate medical education of the Society for Medical Education (GMA) would like to point out some central questions for this process and support the current discourse. As an interprofessional and interdisciplinary scientific society, the GMA has the resources to contribute in a meaningful way to an evidence-based and future-oriented graduate medical education strategy. In this position paper, we use four key questions with regards to educational goals, quality assurance, teaching competence and policy requirements to address the core issues for the future of graduate medical education in Germany. The GMA sees its task in contributing to the necessary reform processes as the only German speaking scientific society in the field of medical education.

Liquid hydrogen production via hydrogen sulfide methane reformation

NASA Astrophysics Data System (ADS)

Huang, Cunping; T-Raissi, Ali

Hydrogen sulfide (H 2S) methane (CH 4) reformation (H 2SMR) (2H 2S + CH 4 = CS 2 + 4H 2) is a potentially viable process for the removal of H 2S from sour natural gas resources or other methane containing gases. Unlike steam methane reformation that generates carbon dioxide as a by-product, H 2SMR produces carbon disulfide (CS 2), a liquid under ambient temperature and pressure-a commodity chemical that is also a feedstock for the synthesis of sulfuric acid. Pinch point analyses for H 2SMR were conducted to determine the reaction conditions necessary for no carbon lay down to occur. Calculations showed that to prevent solid carbon formation, low inlet CH 4 to H 2S ratios are needed. In this paper, we analyze H 2SMR with either a cryogenic process or a membrane separation operation for production of either liquid or gaseous hydrogen. Of the three H 2SMR hydrogen production flowsheets analyzed, direct liquid hydrogen generation has higher first and second law efficiencies of exceeding 80% and 50%, respectively.