Energy paths and political commitments: Their roles in environmental inequality

NASA Astrophysics Data System (ADS)

Ong, Corinne

Decentralized renewable energy procurement has gained traction in recent years for its potential to alleviate rural energy poverty and environmental degradation in developing countries. Hence, this study investigates if deploying renewable energy can mitigate rural energy poverty in developing countries as often claimed. Because any energy regime cannot be initiated or sustained without the conviction of local political leaders, the study also evaluates the extent to which government investments in the development of renewable energy technologies and the energy sector, affect the environmental quality (i.e. greenhouse gas emissions) of developing countries. Energetic theory and environmental inequality constitute the key conceptual premises guiding this study. Ordinary least squares regression is utilized to analyze the relationship between key variables. The results reveal that as of 2010, use of renewable energy can indeed support rural electrification. Higher GNI per capita and use of conventional fuels are also positively related to rural electrification, all else equal. As for environmental degradation in 2005 and 2008, R&D; investments actually tend to increase GHG emissions; procuring energy from either renewable or non-renewable sources is however, found to be environmentally detrimental, net of all other variables. Finally, some evidence is found for the role of aid funds and multilateral debt in abating GHG emissions.

Green Power Partnership Basic Program Information

EPA Pesticide Factsheets

EPA's Green Power Partnership is a voluntary program designed to reduce the environmental impact of electricity generation by promoting renewable energy. Partners commit to procuring green power that meets EPA's requirements and receive recognition.

Predictors of sustained organizational commitment among nurses with temporary job contracts.

PubMed

Jalonen, Paivi; Virtanen, Marianna; Vahtera, Jussi; Elovainio, Marko; Kivimaki, Mika

2006-05-01

To examine sociodemographic, work-related factors and psychological health as predictors of sustained organizational commitment among temporary hospital employees. The participants were 412 nurses who had a temporary job contract and reported being committed to their organization at baseline. Organizational commitment was measured again 2 years later. The results of logistic regression analysis showed that age over 35 years, high job control, high participative safety, high perceived justice in decision making, and low psychological distress predicted sustained organizational commitment at follow-up. The change from temporary employment to a permanent job and high job control predicted sustained organizational commitment even after the effect of all the other predictors was taken into account. Organizations that employ temporary workers should pay attention to the job control and career prospects of temporary staff.

The Massachusetts HIV, hepatitis, addiction services integration (HHASI) experience: responding to the comprehensive needs of individuals with co-occurring risks and conditions.

PubMed

Hoffman, Heidi L; Castro-Donlan, Carolyn A; Johnson, Victoria M; Church, Daniel R

2004-01-01

Categorical funding mechanisms traditionally used to fund public health programs are a challenge to providers serving individuals with complex needs that often span multiple service areas. Integration--a formalized, collaborative process among service systems--responds to the challenge by decreasing fragmentation of care and improving coordination. In 2000, the Massachusetts Department of Public Health (MDPH) received a one-year planning grant from the federal Substance Abuse and Mental Health Services Administration (SAMHSA) to evaluate opportunities for integrating HIV/AIDS programs and substance abuse treatment programs. The project was later expanded to include viral hepatitis programming. Outcomes include the development of a strategic plan, joint procurement initiatives, and an ongoing commitment to sustain inter-bureau integration efforts, even in the face of substantial budget reductions. Integrated approaches can promote greater efficiency, improving communication and coordination among clients, providers, and government funding agencies.

76 FR 4113 - Federal Procurement Data System Product Service Code Manual Update

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-24

... reported in the Federal Procurement Data System (FPDS). GSA, which maintains the PSC Manual, is in the... codes as necessary, and adding environmental/sustainability attributes required for reporting to the...

Demand-pull and environmental innovations: Estimating the effects of innovative public procurement.

PubMed

Ghisetti, Claudia

2017-12-01

This paper contributes to the emerging literature on the adoption of environmental innovation, by investigating the so far unexplored role of governmental demand in stimulating 'greener' production choices. Specifically, the role of innovative public procurement in driving the adoption and diffusion of sustainable manufacturing technologies is analysed. Results, based on firm-level data in the 28 Member States of the European Union, Switzerland and the USA, are obtained through non-parametric matching techniques. Those outline the crucial role of innovative public procurement in the uptake of environmental innovations. This confirms the relevance of such policy instrument in allowing countries to achieve a decarbonised and sustainable growth path which is compatible with competitiveness goals.

Highly Committed Teachers: What Makes Them Tick? A Study of Sustained Commitment

ERIC Educational Resources Information Center

Fransson, Göran; Frelin, Anneli

2016-01-01

This article focuses on teacher commitment, and particularly on teachers displaying sustained high levels of commitment throughout their teaching careers (over 15 years). Graduates from one Teacher Education programme responded to an open-ended questionnaire conducted on 10 occasions concerning their work as teachers, from graduation in 1993 to…

48 CFR 3019.201 - General policy.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... (d) DHS is committed to a unified team approach involving senior management, small business specialists, acquisition personnel and program staff to support both critical homeland security missions and meet public policy objectives concerning small business participation in departmental procurements. The...

48 CFR 3019.201 - General policy.

Code of Federal Regulations, 2011 CFR

2011-10-01

.... (d) DHS is committed to a unified team approach involving senior management, small business specialists, acquisition personnel and program staff to support both critical homeland security missions and meet public policy objectives concerning small business participation in departmental procurements. The...

Applying human rights to improve access to reproductive health services.

PubMed

Shaw, Dorothy; Cook, Rebecca J

2012-10-01

Universal access to reproductive health is a target of Millennium Development Goal (MDG) 5B, and along with MDG 5A to reduce maternal mortality by three-quarters, progress is currently too slow for most countries to achieve these targets by 2015. Critical to success are increased and sustainable numbers of skilled healthcare workers and financing of essential medicines by governments, who have made political commitments in United Nations forums to renew their efforts to reduce maternal mortality. National essential medicine lists are not reflective of medicines available free or at cost in facilities or in the community. The WHO Essential Medicines List indicates medicines required for maternal and newborn health including the full range of contraceptives and emergency contraception, but there is no consistent monitoring of implementation of national lists through procurement and supply even for basic essential drugs. Health advocates are using human rights mechanisms to ensure governments honor their legal commitments to ensure access to services essential for reproductive health. Maternal mortality is recognized as a human rights violation by the United Nations and constitutional and human rights are being used, and could be used more effectively, to improve maternity services and to ensure access to drugs essential for reproductive health. Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

The Impact of Individual Decision Making on Campus Sustainability Initiatives

ERIC Educational Resources Information Center

Dade, Aurali Ella

2010-01-01

Institutions of Higher Education (IHEs) have increasingly committed to become more sustainable in recent years. Despite this commitment, academic publications in the sustainability field assert that progress has been slower at IHEs than expected and that most IHEs have found sustainability initiatives difficult to implement. Comprehensive…

45 CFR 95.610 - Submission of advance planning documents.

Code of Federal Regulations, 2012 CFR

2012-10-01

... and implementation; (v) A commitment to conduct/prepare the problem(s) needs assessment, feasibility... statement of the problem/need that the existing capabilities can not resolve, new or changed program..., planning activities/deliverables, State and contractor resource needs, planning project procurement...

45 CFR 95.610 - Submission of advance planning documents.

Code of Federal Regulations, 2013 CFR

2013-10-01

... and implementation; (v) A commitment to conduct/prepare the problem(s) needs assessment, feasibility... statement of the problem/need that the existing capabilities can not resolve, new or changed program..., planning activities/deliverables, State and contractor resource needs, planning project procurement...

45 CFR 95.610 - Submission of advance planning documents.

Code of Federal Regulations, 2014 CFR

2014-10-01

... and implementation; (v) A commitment to conduct/prepare the problem(s) needs assessment, feasibility... statement of the problem/need that the existing capabilities can not resolve, new or changed program..., planning activities/deliverables, State and contractor resource needs, planning project procurement...

Stages of change: A qualitative study on the implementation of a perinatal audit programme in South Africa.

PubMed

Belizán, María; Bergh, Anne-Marie; Cilliers, Carolé; Pattinson, Robert C; Voce, Anna

2011-09-30

Audit and feedback is an established strategy for improving maternal, neonatal and child health. The Perinatal Problem Identification Programme (PPIP), implemented in South African public hospitals in the late 1990s, measures perinatal mortality rates and identifies avoidable factors associated with each death. The aim of this study was to elucidate the processes involved in the implementation and sustainability of this programme. Clinicians' experiences of the implementation and maintenance of PPIP were explored qualitatively in two workshop sessions. An analytical framework comprising six stages of change, divided into three phases, was used: pre-implementation (create awareness, commit to implementation); implementation (prepare to implement, implement) and institutionalisation (integrate into routine practice, sustain new practices). Four essential factors emerged as important for the successful implementation and sustainability of an audit system throughout the different stages of change: 1) drivers (agents of change) and team work, 2) clinical outreach visits and supervisory activities, 3) institutional perinatal review and feedback meetings, and 4) communication and networking between health system levels, health care facilities and different role-players.During the pre-implementation phase high perinatal mortality rates highlighted the problem and indicated the need to implement an audit programme (stage 1). Commitment to implementing the programme was achieved by obtaining buy-in from management, administration and health care practitioners (stage 2).Preparations in the implementation phase included the procurement and installation of software and training in its use (stage 3). Implementation began with the collection of data, followed by feedback at perinatal review meetings (stage 4).The institutionalisation phase was reached when the results of the audit were integrated into routine practice (stage 5) and when data collection had been sustained for a longer period (stage 6). Insights into the factors necessary for the successful implementation and maintenance of an audit programme and the process of change involved may also be transferable to similar low- and middle-income public health settings where the reduction of the neonatal mortality rate is a key objective in reaching Millennium Development Goal 4. A tool for reflecting on the implementation and maintenance of an audit programme is also proposed.

Stages of change: A qualitative study on the implementation of a perinatal audit programme in South Africa

PubMed Central

2011-01-01

Background Audit and feedback is an established strategy for improving maternal, neonatal and child health. The Perinatal Problem Identification Programme (PPIP), implemented in South African public hospitals in the late 1990s, measures perinatal mortality rates and identifies avoidable factors associated with each death. The aim of this study was to elucidate the processes involved in the implementation and sustainability of this programme. Methods Clinicians' experiences of the implementation and maintenance of PPIP were explored qualitatively in two workshop sessions. An analytical framework comprising six stages of change, divided into three phases, was used: pre-implementation (create awareness, commit to implementation); implementation (prepare to implement, implement) and institutionalisation (integrate into routine practice, sustain new practices). Results Four essential factors emerged as important for the successful implementation and sustainability of an audit system throughout the different stages of change: 1) drivers (agents of change) and team work, 2) clinical outreach visits and supervisory activities, 3) institutional perinatal review and feedback meetings, and 4) communication and networking between health system levels, health care facilities and different role-players. During the pre-implementation phase high perinatal mortality rates highlighted the problem and indicated the need to implement an audit programme (stage 1). Commitment to implementing the programme was achieved by obtaining buy-in from management, administration and health care practitioners (stage 2). Preparations in the implementation phase included the procurement and installation of software and training in its use (stage 3). Implementation began with the collection of data, followed by feedback at perinatal review meetings (stage 4). The institutionalisation phase was reached when the results of the audit were integrated into routine practice (stage 5) and when data collection had been sustained for a longer period (stage 6). Conclusion Insights into the factors necessary for the successful implementation and maintenance of an audit programme and the process of change involved may also be transferable to similar low- and middle-income public health settings where the reduction of the neonatal mortality rate is a key objective in reaching Millennium Development Goal 4. A tool for reflecting on the implementation and maintenance of an audit programme is also proposed. PMID:21958353

Competitive Advantage, Uncertainty, and Weapons Procurement: Striking Balance for the Future

DTIC Science & Technology

2009-05-02

position of the Department of the Army, Department of Defense, or the U.S. Government. COMPETITIVE ADVANTAGE , UNCERTAINTY, AND WEAPONS PROCUREMENT: STRIKING...Competitive Advantage , Uncertainty, and Weapons Procurement: Striking Balance for the Future 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d...the right balance of investments all leading to a sustained competitive advantage . This paper presents an analysis of how effective this overhaul has

Review of Jet Fuel Life Cycle Assessment Methods and Sustainability Metrics

DOT National Transportation Integrated Search

2015-12-01

The primary aim of this study is to help aviation jet fuel purchasers (primarily commercial airlines and the U.S. military) to understand the sustainability implications of their jet fuel purchases and provide guidelines for procuring sustainable fue...

Sustainability in primary care and Mental Health Integration projects in Veterans Health Administration.

PubMed

Ford, James H; Krahn, Dean; Oliver, Karen Anderson; Kirchner, JoAnn

2012-01-01

To explore staff perceptions about sustainability, commitment to change, participation in change process, and information received about the change project within the Veterans Administration Primary Care and Mental Health Integration (PC-MHI) initiative and to examine differences from the Veterans Health Administration Mental Health Systems Redesign (MHSR) initiative. Surveys of change team members involved in the Veterans Affairs PC-MHI and MHSR initiatives. One-way analysis of variance examined the relationship between commitment, participation and information, and sustainability. Differences in PC-MHI sustainability were explored by location and job classification. Staff sustainability perceptions were compared with MHSR results. Sustainability differed by staff discipline. Difference between MHSR and PC-MHI existed by job function and perceptions about the change benefits. Participation in the change process and information received about the change process were positively correlated with sustainability. Staff commitment to change was positively associated with staff perceptions about the benefits of change and staff attitudes toward change. Sustainability is an important part of organizational change efforts. Change complexity seems to influence perception about sustainability and impacts staff perceptions about the benefits of change. These perceptions seem to be driven by the information received and opportunities to participate in the change process. Further research is needed to understand how information and participation influence sustainability and affect employee commitment to change.

Teacher Commitment in Sustainable Learning Communities: A New "Ancient" Story of Educational Leadership

ERIC Educational Resources Information Center

Cherkowski, Sabre

2012-01-01

The findings from this qualitative case study reveal how a principal' demonstration of compassion and deep care towards his teachers was influential in the participants' renewed desire for a greater commitment to and improvement of their craft. Understanding how school leaders can nourish and sustain passion and commitment is an essential area of…

Effect of oil palm sustainability certification on deforestation and fire in Indonesia.

PubMed

Carlson, Kimberly M; Heilmayr, Robert; Gibbs, Holly K; Noojipady, Praveen; Burns, David N; Morton, Douglas C; Walker, Nathalie F; Paoli, Gary D; Kremen, Claire

2018-01-02

Many major corporations and countries have made commitments to purchase or produce only "sustainable" palm oil, a commodity responsible for substantial tropical forest loss. Sustainability certification is the tool most used to fulfill these procurement policies, and around 20% of global palm oil production was certified by the Roundtable on Sustainable Palm Oil (RSPO) in 2017. However, the effect of certification on deforestation in oil palm plantations remains unclear. Here, we use a comprehensive dataset of RSPO-certified and noncertified oil palm plantations (∼188,000 km 2 ) in Indonesia, the leading producer of palm oil, as well as annual remotely sensed metrics of tree cover loss and fire occurrence, to evaluate the impact of certification on deforestation and fire from 2001 to 2015. While forest loss and fire continued after RSPO certification, certified palm oil was associated with reduced deforestation. Certification lowered deforestation by 33% from a counterfactual of 9.8 to 6.6% y -1 Nevertheless, most plantations contained little residual forest when they received certification. As a result, by 2015, certified areas held less than 1% of forests remaining within Indonesian oil palm plantations. Moreover, certification had no causal impact on forest loss in peatlands or active fire detection rates. Broader adoption of certification in forested regions, strict requirements to avoid all peat, and routine monitoring of clearly defined forest cover loss in certified and RSPO member-held plantations appear necessary if the RSPO is to yield conservation and climate benefits from reductions in tropical deforestation. Copyright © 2017 the Author(s). Published by PNAS.

40 CFR 35.4235 - Are there specific provisions my group's contract(s) must contain?

Code of Federal Regulations, 2011 CFR

2011-07-01

... PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Technical Assistance Procuring A Technical Advisor Or Other Contractor with Tag Funds § 35.4235 Are there specific... progress reports; (3) Expenditures; and (4) Commitments indicating their relationship to established costs...

Contracting and Procurement for Evidence-Based Interventions in Public-Sector Human Services: A Case Study.

PubMed

Willging, Cathleen E; Aarons, Gregory A; Trott, Elise M; Green, Amy E; Finn, Natalie; Ehrhart, Mark G; Hecht, Debra B

2016-09-01

Sustainment of evidence-based interventions (EBIs) in human services depends on the inner context of community-based organizations (CBOs) that provide services and the outer context of their broader environment. Increasingly, public officials are experimenting with contracting models from for-profit industries to procure human services. In this case study, we conducted qualitative interviews with key government and CBO stakeholders to examine implementation of the Best Value-Performance Information Procurement System to contract for EBIs in a child welfare system. Findings suggest that stakeholder relationships may be compromised when procurement disregards local knowledge, communication, collaboration, and other factors supporting EBIs and public health initiatives.

Sustainability in Primary Care and Mental Health Integration Projects in Veterans Health Administration

PubMed Central

Ford, James H.; Krahn, Dean; Oliver, Karen Anderson; Kirchner, JoAnn

2015-01-01

Objective To explore staff perceptions about sustainability, commitment to change, participation in change process, and information received about the change project within the Veterans Administration Primary Care and Mental Health Integration (PC-MHI) initiative and to examine differences from the Veterans Health Administration Mental Health Systems Redesign (MHSR) initiative. Data Sources Surveys of change team members involved in the Veterans Affairs PC-MHI and MHSR initiatives. Study Design One-way analysis of variance examined the relationship between commitment, participation and information, and sustainability. Differences in PC-MHI sustainability were explored by location and job classification. Staff sustainability perceptions were compared with MHSR results. Principal Findings Sustainability differed by staff discipline. Difference between MHSR and PC-MHI existed by job function and perceptions about the change benefits. Participation in the change process and information received about the change process were positively correlated with sustainability. Staff commitment to change was positively associated with staff perceptions about the benefits of change and staff attitudes toward change. Conclusions Sustainability is an important part of organizational change efforts. Change complexity seems to influence perception about sustainability and impacts staff perceptions about the benefits of change. These perceptions seem to be driven by the information received and opportunities to participate in the change process. Further research is needed to understand how information and participation influence sustainability and affect employee commitment to change. PMID:23011071

Bootstrapping a Sustainable North American PEM Fuel Cell Industry: Could a Federal Acquisition Program Make a Difference?

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

Greene, David L; Duleep, Dr. K. G.

2008-10-01

The North American Proton Exchange Membrane (PEM) fuel cell industry may be at a critical juncture. A large-scale market for automotive fuel cells appears to be several years away and in any case will require a long-term, coordinated commitment by government and industry to insure the co-evolution of hydrogen infrastructure and fuel cell vehicles (Greene et al., 2008). The market for non-automotive PEM fuel cells, on the other hand, may be much closer to commercial viability (Stone, 2006). Cost targets are less demanding and manufacturers appear to be close, perhaps within a factor of two, of meeting them. Hydrogen supplymore » is a significant obstacle to market acceptance but may not be as great a barrier as it is for hydrogen-powered vehicles due to the smaller quantities of hydrogen required. PEM fuel cells appear to be potentially competitive in two markets: (1) Backup power (BuP) supply, and (2) electrically-powered MHE (Mahadevan et al., 2007a, 2007b). There are several Original Equipment Manufacturers (OEMs) of PEM fuel cell systems for these applications but production levels have been quite low (on the order of 100-200 per year) and cumulative production experience is also limited (on the order of 1,000 units to date). As a consequence, costs remain above target levels and PEM fuel cell OEMs are not yet competitive in these markets. If cost targets can be reached and acceptable solutions to hydrogen supply found, a sustainable North American PEM fuel cell industry could be established. If not, the industry and its North American supply chain could disappear within a year or two. The Hydrogen Fuel Cell and Infrastructure Technologies (HFCIT) program of the U.S. Department of Energy (DOE) requested a rapid assessment of the potential for a government acquisition program to bootstrap the market for non-automotive PEM fuel cells by driving down costs via economies of scale and learning-by-doing. The six week study included in-depth interviews of three manufacturers, visits to two production facilities, review of the literature on potential markets in North America and potential federal government procurements, development of a cost model reflecting economies of scale and learning-by-doing, and estimation of the impact of federal PEM fuel cell procurements on fuel cell system costs and the evolution of private market demand. This report presents the findings of that study. Section 2 outlines the status of the industry and describes potential markets based on interviews of manufacturers and the existing literature. Section 3 describes the modeling methodology including key premises and assumptions, and presents estimates of market evolution under four scenarios: (1) Base Case with no federal government procurement program, (2) Scenario 1, an aggressive program beginning with less than 200 units procured in 2008 ramping up to more than 2,000 units in 2012, (3) Scenario 2 which is identical to Scenario 1 except that the private market is assumed to be twice as sensitive to price, and (4) Scenario 3, a delayed, smaller federal procurement program beginning in 2011 increasing to a maximum of just over 1,000 units per year in 2012. The analysis suggests that the aggressive program of Scenario 1 would likely stimulate a sustainable, competitive North American non-automotive PEM fuel cell industry. Given plausible assumptions about learning rates and scale economies, the procurements assumed in Scenario 1 appear to be sufficient to drive down costs to target levels. These findings are conditional on the evolution of acceptable hydrogen supply strategies, which were not explicitly analyzed in this study. Success is less certain under Scenarios 2 and 3, and there appears to be a strong probability that existing OEMs would not survive until 2011. In the Base Case, no program, a viable North American industry does not emerge before 2020.« less

Telecoupled governance of land use change: Sustainable palm oil conservation benefits limited by preferential certification

NASA Astrophysics Data System (ADS)

Heilmayr, R.; Carlson, K. M.; Gibbs, H.; Noojipady, P.; Burns, D.; Morton, D. C.; Walker, N.; Paoli, G.; Kremen, C.

2016-12-01

Dozens of trans-national corporations have made public commitments to purchase only zero-deforestation palm oil, a commodity responsible for substantial tropical forest loss. Eco-certification is a basic requirement of most such forest-related procurement policies, and >20% of palm oil was certified in 2015.While the impact of certification on deforestation in oil palm plantations has never been tested, such evaluation is critical to inform improvements of voluntary sustainability initiatives. Here, we use a new, comprehensive data set of Roundtable on Sustainable Palm Oil (RSPO) certified and non-certified oil palm plantation boundaries (191,561 km2) in Indonesia, the leading global producer of palm oil to generate robust spatio-temporal estimates of certification's impact on deforestation and fires from 2000-2014. We find that certification reduced forest cover loss embodied in RSPO certified palm oil through two mechanisms. Certification had a significant protective effect, which lowered plantation deforestation rates by 29%.However, due to preferential certification of plantations developed before 2000, little forest was available for protection; forest area conserved totaled 56±4.9 km2. Our models suggest that increased adoption of RSPO certification may reduce the ability of palm oil companies to selectively certify previously cleared regions, and consequently strengthen the role of certification in protecting the tropical forests at greatest risk from agricultural encroachment. We reflect upon the complex interactions between traditional government policies, and emerging market-based governance structures in this telecoupled system.

FGC Webinar: Simplifying Sustainable Purchasing Through Guidelines and Standards

EPA Pesticide Factsheets

This Webinar covered EPA’s effort to simplify green purchasing through recommendations of specifications, standards, and ecolabels. EPA’s work in this area is intended to help federal purchasers identify and procure environmentally sustainable products.

Contracting and Procurement for Evidence-Based Interventions in Public-Sector Human Services: A Case Study

PubMed Central

Willging, Cathleen E.; Aarons, Gregory A.; Trott, Elise M.; Green, Amy E.; Finn, Natalie; Ehrhart, Mark G.; Hecht, Debra B.

2016-01-01

Sustainment of evidence-based interventions (EBIs) in human services depends on the inner context of community-based organizations (CBOs) that provide services and the outer context of their broader environment. Increasingly, public officials are experimenting with contracting models from for-profit industries to procure human services. In this case study, we conducted qualitative interviews with key government and CBO stakeholders to examine implementation of the Best Value-Performance Information Procurement System to contract for EBIs in a child welfare system. Findings suggest that stakeholder relationships may be compromised when procurement disregards local knowledge, communication, collaboration, and other factors supporting EBIs and public health initiatives. PMID:26386977

Sustaining Financial Support through Workforce Development Grants and Contracts

ERIC Educational Resources Information Center

Brumbach, Mary A.

2005-01-01

Workforce development grants and contracts are important methods for sustaining financial support for community colleges. This chapter details decision factors, college issues, possible pitfalls, and methods for procuring and handling government contracts and grants for workforce training.

National Association of State Procurement Officials - Sustainable Purchasing Guidance Profile

EPA Pesticide Factsheets

To help you find the resource that is right for your organization, EPA conducted a scan of the landscape and developed summary profiles of some of the leading sources of sustainable purchasing guidance around the globe.

The Danish Organic Action Plan 2020: assessment method and baseline status of organic procurement in public kitchens.

PubMed

Sørensen, Nina N; Lassen, Anne D; Løje, Hanne; Tetens, Inge

2015-09-01

With political support from the Danish Organic Action Plan 2020, organic public procurement in Denmark is expected to increase. In order to evaluate changes in organic food procurement in Danish public kitchens, reliable methods are needed. The present study aimed to compare organic food procurement measurements by two methods and to collect and discuss baseline organic food procurement measurements from public kitchens participating in the Danish Organic Action Plan 2020. Comparison study measuring organic food procurement by applying two different methods, one based on the use of procurement invoices (the Organic Cuisine Label method) and the other on self-reported procurement (the Dogme method). Baseline organic food procurement status was based on organic food procurement measurements and background information from public kitchens. Public kitchens participating in the six organic food conversion projects funded by the Danish Organic Action Plan 2020 during 2012 and 2013. Twenty-six public kitchens (comparison study) and 345 public kitchens (baseline organic food procurement status). A high significant correlation coefficient was found between the two organic food procurement measurement methods (r=0·83, P<0·001) with measurements relevant for the baseline status. Mean baseline organic food procurement was found to be 24 % when including measurements from both methods. The results indicate that organic food procurement measurements by both methods were valid for the baseline status report of the Danish Organic Action Plan 2020. Baseline results in Danish public kitchens suggest there is room for more organic as well as sustainable public procurement in Denmark.

Lecturers' Perspectives on How Introductory Economic Courses Address Sustainability

ERIC Educational Resources Information Center

Green, Tom L.

2015-01-01

Purpose: The purpose of this article is to explore sustainability commitments' potential implications for the curriculum of introductory economics courses. Universities have signed the Talloires Declaration, committing themselves to promoting students' environmental literacy and ecological citizenship, thereby creating pressure to integrate…

Commitment to and preparedness for sustainable supply chain management in the oil and gas industry.

PubMed

Wan Ahmad, Wan Nurul K; Rezaei, Jafar; Tavasszy, Lóránt A; de Brito, Marisa P

2016-09-15

Our current dependency on the oil and gas (O&G) industry for economic development and social activities necessitates research into the sustainability of the industry's supply chains. At present, studies on sustainable supply chain management (SSCM) practices in the industry do not include firm-internal factors that affect the sustainability strategies employed by different functional areas of its supply chains. Our study aims to address this gap by identifying the relevant internal factors and exploring their relationship with SSCM strategies. Specifically, we discuss the commitment to and preparedness for sustainable practices of companies that operate in upstream and downstream O&G supply chain. We study the impact of these factors on their sustainability strategies of four key supply chain functions: supplier management, production management, product stewardship and logistics management. The analyses of data collected through a survey among 81 companies show that management preparedness may enhance sustainable supply chain strategies in the O&G industry more than commitment does. Among the preparedness measures, management of supply chain operational risks is found to be vital to the sustainability of all supply chain functions except for production management practices. The findings also highlight the central importance of supplier and logistics management to the achievement of sustainable O&G supply chains. Companies must also develop an organizational culture that encourages, for example, team collaboration and proactive behaviour to finding innovative sustainability solutions in order to translate commitment to sustainable practices into actions that can produce actual difference to their SSCM practices. Copyright © 2016 Elsevier Ltd. All rights reserved.

Critical analysis of procurement techniques in construction management sectors

NASA Astrophysics Data System (ADS)

Tiwari, Suman Tiwari Suresh; Chan, Shiau Wei; Faraz Mubarak, Muhammad

2018-04-01

Over the last three decades, numerous procurement techniques have been one of the highlights of the Construction Management (CM) for ventures, administration contracting, venture management as well as design and construct. Due to the development and utilization of those techniques, various researchers have explored the criteria for their choice and their execution in terms of time, cost and quality. Nevertheless, there is a lack of giving an account on the relationship between the procurement techniques and the progressed related issues, for example, supply chain, sustainability, innovation and technology development, lean construction, constructability, value management, Building Information Modelling (BIM) as well as e-procurement. Through chosen papers from the reputable CM-related academic journals, the specified scopes of these issues are methodically assessed with the objective to explore the status and trend in procurement related research. The result of this paper contributes theoretically as well as practically to the researchers and industrialist in order to be aware and appreciate the development of procurement techniques.

General Services Administration Streamlines the Procurement of Construction Services

DTIC Science & Technology

2010-05-01

successful. The system must be changed to increase performance, and have a sustainable performance measurement system that results in an increase...currently employ, and what is needed to employ a sustainable performance measurement system that has accompanying increase in performance and value

Joint Tactical Radio System Handheld, Manpack, and Small Form Fit Radios (JTRS HMS)

DTIC Science & Technology

2013-12-01

requisitions through the Standard Army Supply System ( SASS ). All radios procured under the Full Rate Production (FRP) phase that become unserviceable...will be turned-in to TYAD through the SASS . Radios will be returned to the original equipment manufacturer vendor for warranty repair, or replacement...procure sustainment spares to replace unserviceable radios and ancillary items requisitioned through SASS , operations, maintenance, training

Acquiring Technical Data With Renewable Real Options

DTIC Science & Technology

2016-04-30

Development, and Engineering Center, 2009). Faced with diminishing sources for M2 .50 caliber machine gun parts , an Army engineering center entered the...data needed for life cycle sustainment functions such as maintenance or competitive spare parts procurement, but this expectation is more complicated...than it seems (DoD, 2015). The needs and timing for competitive spare parts procurement are uncertain, and changes in system configuration or

Asset Management and Sustainability at the University of Richmond

ERIC Educational Resources Information Center

Burchard, Wendy

2009-01-01

In January 2008, Ed Ayers, president of the University of Richmond, signed the American College and University Presidents' Climate Commitment. This commits the university to creating a comprehensive action plan to move toward climate neutrality. Even before "sustainability" became one of the university's overall goals, Information Services (IS)…

AASHE Digest. A Review of Campus Sustainability 2005

ERIC Educational Resources Information Center

Dautremont-Smith, Julian, Comp.

2006-01-01

This paper includes almost 250 stories about higher education institutions that are leading the way to a sustainable future. It is organized into 8 chapters covering: Institutional Change; Education & Outreach; Social Responsibility; Green Building; Energy & Climate; Food & Agriculture; Transportation; Waste, Water, Procurement, and Landscaping.…

Effect of oil palm sustainability certification on deforestation and fire in Indonesia

PubMed Central

Gibbs, Holly K.; Noojipady, Praveen; Burns, David N.; Morton, Douglas C.; Walker, Nathalie F.; Paoli, Gary D.; Kremen, Claire

2018-01-01

Many major corporations and countries have made commitments to purchase or produce only “sustainable” palm oil, a commodity responsible for substantial tropical forest loss. Sustainability certification is the tool most used to fulfill these procurement policies, and around 20% of global palm oil production was certified by the Roundtable on Sustainable Palm Oil (RSPO) in 2017. However, the effect of certification on deforestation in oil palm plantations remains unclear. Here, we use a comprehensive dataset of RSPO-certified and noncertified oil palm plantations (∼188,000 km2) in Indonesia, the leading producer of palm oil, as well as annual remotely sensed metrics of tree cover loss and fire occurrence, to evaluate the impact of certification on deforestation and fire from 2001 to 2015. While forest loss and fire continued after RSPO certification, certified palm oil was associated with reduced deforestation. Certification lowered deforestation by 33% from a counterfactual of 9.8 to 6.6% y−1. Nevertheless, most plantations contained little residual forest when they received certification. As a result, by 2015, certified areas held less than 1% of forests remaining within Indonesian oil palm plantations. Moreover, certification had no causal impact on forest loss in peatlands or active fire detection rates. Broader adoption of certification in forested regions, strict requirements to avoid all peat, and routine monitoring of clearly defined forest cover loss in certified and RSPO member-held plantations appear necessary if the RSPO is to yield conservation and climate benefits from reductions in tropical deforestation. PMID:29229857

The Road Forward for New York City's Public Schools. Luncheon Series

ERIC Educational Resources Information Center

Moskowitz, Eva

2006-01-01

In the seven years that Eva Moskowitz has been in the public eye as City Council member and now head of a charter school, she has proven her unwavering commitment to public education. During her tenure as Chair of the Council's Education Committee, she held 125 oversight hearings on everything from procurement practices to work rules in the…

The University of St. Thomas' Service-Learning Program: Matching the University's Catholic Mission to Greater Community Needs

ERIC Educational Resources Information Center

Garcia-Contreras, Rogelio; Faletta, Jean-Philippe; Krustchinsky, Rick

2011-01-01

The University of St. Thomas (UST) is a private Catholic liberal arts university in Houston, Texas, whose mission includes a commitment to service. The pedagogy of service-learning aligns well with the school's mission and with the teachings and social doctrine of the Catholic Church. Designed to expand opportunities for the procurement of the…

U.S.-China Relations: An Overview of Policy Issues

DTIC Science & Technology

2013-08-01

consul at the Embassy of Ecuador in London.7 Carney indicated that the White House believed the Chinese central government in Beijing was involved in...the U.S. agenda is commercial cyber espionage that the U.S. government says appears to be directly attributable to official Chinese actors. Other...Trade Organization (WTO) Commitments ................... 38 China and the WTO Government Procurement Agreement

Variation in Pediatric Organ Donor Management Practices Among US Organ Procurement Organizations.

PubMed

Ream, Robert S; Armbrecht, Eric S

2018-03-01

Reports of actual pediatric organ donor management practice among US organ procurement organizations are sparse, and the use of standardized management guidelines is unknown. A recent consensus statement from the Society of Critical Care Medicine, the American College of Chest Physicians, and the Association of Organ Procurement Organizations offers guidelines for the management of the pediatric organ donor. To describe the use of guidelines and routine practices in the management of the pediatric organ donor with respect to hemodynamics, lung and ventilator management, fluid and electrolytes, hormonal replacement therapy, the use of blood products, thermoregulation, and prophylactic antibiotics. Cross-sectional observational study using a survey and follow-up telephone interview with respondents from all 58 US organ procurement organizations. All 58 US Organ Procurement Organizations participated. A majority employed written guidelines for the management of pediatric donor hemodynamics, thermoregulation, fluids, and electrolytes. Management of blood products, the lung, and mechanical ventilation were less commonly committed to written guidelines, but common practices were described. All used various forms of hormonal replacement therapy and the majority administered empiric antibiotic therapy. Wide variation was observed in the management of the lung, mechanical ventilation, and glycemic control. Most OPOs used forms of standardized donor management for the pediatric organ donor although variation in the content of that management exists. Barriers to an evidence-based approach to the pediatric donor need to be determined and addressed.

Institutional Commitment to Sustainability: An Evaluation of Natural Resource Extension Programs in Universities in Alabama and Oregon

ERIC Educational Resources Information Center

Broussard, Shorna R.; Bliss, John C.

2007-01-01

Purpose: The purpose of this research is to determine institutional commitment to sustainability by examining Natural Resource Extension program inputs, activities, and participation. Design/methodology/approach: A document analysis of Natural Resource Extension planning and reporting documents was conducted to provide contextual and historical…

The impact of HTA and procurement practices on the selection and prices of medical devices.

PubMed

Callea, Giuditta; Armeni, Patrizio; Marsilio, Marta; Jommi, Claudio; Tarricone, Rosanna

2017-02-01

Technological innovation in healthcare yields better health outcomes but also drives healthcare expenditure, and governments are struggling to maintain an appropriate balance between patient access to modern care and the economic sustainability of healthcare systems. Health Technology Assessment (HTA) and centralized procurement are increasingly used to govern the introduction and diffusion of new technologies in an effort to make access to innovation financially sustainable. However, little empirical evidence is available to determine how they affect the selection of new technologies and unit prices. This paper focuses on medical devices (MDs) and investigates the combined effect of various HTA governance models and procurement practices on the two steps of the MD purchasing process (i.e., selecting the product and setting the unit price). Our analyses are based on primary data collected through a national survey of Italian public hospitals. The Italian National Health Service is an ideal case study because it is highly decentralized and because regions have adopted different HTA governance models (i.e., regional, hospital-based, double-level or no HTA), often in combination with centralized regional procurement programs. Hence, the Italian case allows us to test the impact of different combinations of HTA models and procurement programs in the various regions. The results show that regional HTA increases the probability of purchasing the costliest devices, whereas hospital-based HTA functions more like a cost-containment unit. Centralized regional procurement does not significantly affect MD selection and is associated with a reduction in the MD unit price: on average, hospitals located in regions with centralized procurement pay 10.1% less for the same product. Hospitals located in regions with active regional HTA programs pay higher prices for the same device (+23.2% for inexpensive products), whereas hospitals that have developed internal HTA programs pay 8.3% on average more for the same product. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

How to Obtain Forty Percent Less Environmental Impact by Healthy, Protein-Optimized Snacks for Older Adults.

PubMed

Saxe, Henrik; Loftager Okkels, Signe; Jensen, Jørgen Dejgård

2017-12-06

It is well known that meals containing less meat are more sustainable, but little is known about snack-meals, which typically do not contain meat. This study investigates the diversity in environmental impacts associated with snack production based on 20 common recipes optimized for protein content, energy content and sensory aspects for older adults. The purpose is to improve sustainability of public procurement by serving more sustainable snack-meals. Public procurement serves Danish older adults over millions of snack-meals every year, and millions more are served in countries with a similar social service. The environmental impact of snack production was estimated by consequential life cycle assessment. The average impact of producing the 10 least environmentally harmful snacks was 40% less than the average impact of producing the 10 most harmful snacks. This is true whether the functional unit was mass, energy, or protein content, and whether the environmental impact was measured as global warming potential or the monetized value of 16 impact categories. We conclude that large-scale public procurement of snack-meals by private and municipal kitchens can be reduced by up to 40% if the kitchens evaluate the environmental impact of all their snacks and serve the better half more frequently.

How to Obtain Forty Percent Less Environmental Impact by Healthy, Protein-Optimized Snacks for Older Adults

PubMed Central

Loftager Okkels, Signe; Jensen, Jørgen Dejgård

2017-01-01

It is well known that meals containing less meat are more sustainable, but little is known about snack-meals, which typically do not contain meat. This study investigates the diversity in environmental impacts associated with snack production based on 20 common recipes optimized for protein content, energy content and sensory aspects for older adults. The purpose is to improve sustainability of public procurement by serving more sustainable snack-meals. Public procurement serves Danish older adults over millions of snack-meals every year, and millions more are served in countries with a similar social service. The environmental impact of snack production was estimated by consequential life cycle assessment. The average impact of producing the 10 least environmentally harmful snacks was 40% less than the average impact of producing the 10 most harmful snacks. This is true whether the functional unit was mass, energy, or protein content, and whether the environmental impact was measured as global warming potential or the monetized value of 16 impact categories. We conclude that large-scale public procurement of snack-meals by private and municipal kitchens can be reduced by up to 40% if the kitchens evaluate the environmental impact of all their snacks and serve the better half more frequently. PMID:29211041

Sustainability in the Modern Biorepository Environment from the Perspective of the Tissue Procurement Core at the University of Iowa

PubMed Central

2015-01-01

A brief overview of biorepository sustainability from the perspective of a federated biorepository system at the University of Iowa Carver College of Medicine is presented. The ongoing evolution of the federation and the efforts to improve efficacy and efficiency are described. The key sustainability factors identified are adaptability, focus, collaboration/networking, and service improvement. PMID:26697912

Sustainability in the Modern Biorepository Environment from the Perspective of the Tissue Procurement Core at the University of Iowa.

PubMed

Galbraith, Joseph W

2015-12-01

A brief overview of biorepository sustainability from the perspective of a federated biorepository system at the University of Iowa Carver College of Medicine is presented. The ongoing evolution of the federation and the efforts to improve efficacy and efficiency are described. The key sustainability factors identified are adaptability, focus, collaboration/networking, and service improvement.

Killing by organ procurement: brain-based death and legal fictions.

PubMed

Veatch, Robert M

2015-06-01

The dead donor rule (DDR) governs procuring life-prolonging organs. They should be taken only from deceased donors. Miller and Truog have proposed abandoning the rule when patients have decided to forgo life-sustaining treatment and have consented to procurement. Organs could then be procured from living patients, thus killing them by organ procurement. This proposal warrants careful examination. They convincingly argue that current brain or circulatory death pronouncement misidentifies the biologically dead. After arguing convincingly that physicians already cause death by withdrawing treatment, they claim no bright-line differences preclude organ removal from the living. The argument fails for those who accept the double effect doctrine or other grounds for distinguishing forgoing life support from active, intentional killing. If the goal is determining irreversible loss of somatic function, they correctly label current death pronouncement a "legal fiction." Recognizing a second, public policy meaning of the term death provides grounds for maintaining the DDR without jeopardizing procurement. © The Author 2015. Published by Oxford University Press, on behalf of the Journal of Medicine and Philosophy Inc. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Requirement for sustained MAPK signaling in both CD4 and CD8 lineage commitment: a threshold model.

PubMed

Wilkinson, B; Kaye, J

2001-08-01

Although there is general agreement that the RAS/MAPK signaling pathway is required for positive selection of CD4 T cells in the thymus, the role of this pathway in CD8 lineage commitment remains controversial. We show here that the differentiation of isolated cultured thymocytes to the CD8 as well as CD4 T cell lineage is sensitive to MEK inhibition and that both CD4 and CD8 thymocyte differentiation requires sustained MEK signaling. However, CD4 lineage commitment is promoted by a stronger stimulus for longer duration than required for CD8 lineage commitment. Interestingly, CD4 lineage commitment is not irreversibly set even after 10 h of signaling, well past early changes in gene expression. These findings are presented in the context of a model of lineage commitment in which a default pathway of CD8 lineage commitment is altered to CD4 commitment if the thymocyte achieves a threshold level of active MAPK within a certain time frame. Copyright 2001 Academic Press.

Advance Planning Briefing for Industry: Sustaining the Warfighter through Battlespace Integration

DTIC Science & Technology

1998-05-14

value, Indefinite Delivery/Indefinite Quantity procurement, and consist of a base year and 4 option years. BRIEFER: COL Alfred J. Estrella ...Indefinite Delivery/Indefinite Quantity procurement, and consist of a base year plus 4 option years. BRIEFER: COL Alfred J. Estrella , Commander, US...MR. ROBERT R. LEHNES DPEO, C3S MR. DENNIS TURNER DIR, CECOM SEC COL ALFRED J. ESTRELLA COMMANDER, ISEC MRS. MAUREEN MACFARLAND DEP DIR, CECOM

Public Expenditure in Education in Latin America. Recommendations to Serve the Purposes of the Paris Open Educational Resources Declaration

ERIC Educational Resources Information Center

Toledo, Amalia; Botero, Carolina; Guzmán, Luisa

2014-01-01

In this paper, the authors identify and analyze public policy and the investment and expenditure that the governments of Argentina, Chile, Colombia, Paraguay and Uruguay commit to make in the development and procurement of textbooks, books and digital content for primary and secondary education (K-12). The aim is to identify and propose a roadmap…

A moveable feast: Exploring barriers and enablers to food citizenship.

PubMed

O'Kane, Gabrielle

2016-10-01

Despite the ability of the globalised food system to deliver varied and plentiful food supplies to most in the developed world it also disconnects consumers from where, how and by whom food is grown, which discourages food citizenship. This paper uses an ecological framework to examine the individual, social, physical and macro-level environments that can positively or negatively influence peoples' engagement with food citizenship. This research used narrative inquiry methodology and purposive sampling to gather stories through focus group conversations. Fifty-two people voluntarily attended focus groups comprised of food procurers from one of five sources: community gardens, Community Supported Agriculture (CSA), farmers' markets, fresh food markets or supermarkets. A narrative was constructed for each of these groups of food procurers; their commonalities and particularities were illuminated through a final interpretive narrative. The findings showed that the community gardeners exhibited a range of personal characteristics that prioritised engagement with local food systems. The physical setting of the community garden enabled the gardeners to make connections to the earth and the people within their social networks. The CSA and farmers' market groups were cognisant of the implications of their food choices and usually proved to be food citizens, as they selected seasonal, local and ethically produced food from their farmer(s). The fresh food market shoppers were ambivalent towards organic and seasonal food and the market setting did not connect them directly to the provenance of their food. The supermarket shoppers' disconnection from those who grew their food and where it was grown disempowered them from making sustainable food choices. Adjustments to the macro-level food environment are needed to enable people to have a greater commitment to food citizenship. Copyright © 2016 Elsevier Ltd. All rights reserved.

Urgent Reform Required: Army Expeditionary Contracting. Report of the Commission on Army Acquisition and Program Management in Expeditionary Operations

DTIC Science & Technology

2007-10-01

Division Dave Mabee , Senior Procurement Analyst, Office of the Deputy Assistant Secretary of the Army, Policy and Procurement Jill Stiglich, Lieutenant...U.S. Army, Commanding General, U.S. Army Materiel Command Grazioplene, James , Vice President, KBR Grover, Jeffrey, Lieutenant Colonel, U.S. Army...Management and Chief Acquisition Officer, FEMA Loehrl, James , Director of the Acquisition Center and PARC, U.S. Army Sustainment Command Urgent Reform

The Ocean Surface Topography JASON-CS/SENTINEL-6 Mission

NASA Astrophysics Data System (ADS)

Cullen, R.; Francis, R.

2014-12-01

The Jason-CS/Sentinel-6 programme will consist of 2 spacecraft and will be the latest in a series of ocean surface topography missions that will span nearly three decades. They follow the altimeters on-board TOPEX/Poseidon through to Jason-3 (expected March 2015). Jason-CS will continue to fulfil objectives of the reference series whilst introducing a major enhancement in capability providing the operational and science oceanographic community with the state of the art in terms of platform, measurement instrumentation design thus securing optimal operational and science data return. The programme is a part of the EC Copernicus initiative, whose objective is to support Europe's goals regarding sustainable development and global governance of the environment by providing timely and quality data, information, services and knowledge. The programme brings together: ESA for development, procurement & early orbit activities; EUMETSAT for mission management, ground segment, flight ops, contributing funding of the 1st satellite and participation in funding for the 2nd satellite; NOAA for US payload instruments, launcher, ground stations & operations; NASA for developing the US payload, launcher procurement and funding US science; EU for funding the operations and participation in funding (with EUMETSAT) for the 2nd satellite; CNES for mission expertise and provision of POD. The consortium plan to procure 2 satellites with the 1st planned for launch readiness in the 1st half of 2020 with the 2nd satellite 5 years later. The first major commitment to funding was given by the ESA member states that approved the programme in June 2014 and in addition the European Union funding is also secure. The design will be based on a platform derived from CryoSat-2 but adjusted to the specific requirements of the higher orbit. The principle payload instrument is a high precision Ku/C band radar altimeter with retrieval of geophysical parameters (surface elevation, wind speed and SWH) from the altimeter data require supporting measurements: a DORIS receiver for POD; The Climate Quality Advanced Microwave Radiometer (AMR-C) provided by JPL for high stability path delay correction. Orbit tracking data are also provided by GPS & LRA. An additional US GPS receiver, GNSS-RO, will be dedicated to radio-occultation measurements.

40 CFR 6.204 - Categorical exclusions and extraordinary circumstances.

Code of Federal Regulations, 2010 CFR

2010-07-01

... procedures for sustainable or “green” procurement) and contracting actions necessary to support the normal... enclosed building, provided that reliable and scientifically-sound methods are used to appropriately...

Further Evidence on the Effect of Acquisition Policy and Process on Cost Growth of Major Defense Acquisition Programs

DTIC Science & Technology

2016-06-01

several changes that may prove to be consequential. B. Funding Climates The amount appropriated to DoD each year for procurement over the period FY...important to realize that the turns in the funds appropriated for procurement are a lagging indicator of a change in budget climate . Funding and...each of the events identified to signal major and sustained changes in the defense funding climate , which in fact they did. Analysis of surrounding

Predicting Future Commitment to Care for Frail Parents Among Employed Caregivers.

PubMed

Lechner, Viola M

1992-06-01

A study of 133 full time employees with parent care responsibilities investigated various factors that could reduce this group's future caregiving commitment to aging parents. Study factors included: caregiver attributes, level of caregiving involvement, job stress, tensions between the caregiver and the dependent parent, caregiver's level of physical and mental strain, and limited support from family and friends. The relationship between the caregiver and the parent was the best predictor of sustained commitment to caregiving. One aspect of the employees' work experience made a small, but important contribution to respondents' future care plans. Those employees who frequently adjusted their work schedule and routine to accommodate parent care demands were less likely to sustain their caregiving commitment. Reasons for these findings are explored and implications for social policy and clinical practice are discussed.

Commitment to Environmental Sustainability in the UK Student Population

ERIC Educational Resources Information Center

Cotton, Debby R. E.; Alcock, Ian

2013-01-01

Sustainability is an increasingly important issue in higher education, both in the UK and internationally. Although environmental sustainability is the most frequently identified of the three pillars of sustainability (social and economic sustainability being less widely understood), there has been little previous research which has quantitatively…

Antiretroviral drug expenditure, pricing and judicial demand: an analysis of federal procurement data in Brazil from 2004–2011

PubMed Central

2014-01-01

Background Previous studies have described expenditures for antiretroviral (ARV) medicines in Brazil through 2005. While prior studies examined overall expenditures, they have not have analyzed drug procurement data in order to describe the role of court litigation on access and pricing. Methods ARV drug procurement from private sector sources for the years 2004–2011 was obtained through the general procurement database of the Brazilian Federal Government (SIASG). Procurement was measured in Defined Daily Doses (DDD) per 1000 persons-under-treatment per day. Expenditures and price per DDD were calculated and expressed in U.S. Dollars. Justifications for ARV purchases were examined in order to determine the relationship between health litigation and incorporation into Brazil’s national treatment guidelines. Results Drug procurement of ARVs from private sources underwent marked expansion in 2005, peaked in 2009, and stabilized to 2008 levels by 2011. Expenditures followed procurement curves. Medications which were procured for the first time after 2007 cost more than medicines which were introduced before 2007. Judicial actions initially resulted in purchases of newer medications for a select number of patients in Brazil but ultimately expanded availability to a larger population through incorporation into the national treatment guidelines. Conclusions Drug procurement and expenditures for ARVs in Brazil varied between 2004–2011. The procurement of some drugs from the private sector ceased after public manufacturers started producing them locally. Judicial demand has resulted in the incorporation of newer drugs into the national treatment guidelines. In order for the AIDS treatment program to remain sustainable, efforts should be pursued to reduce prices through generic drugs, price negotiation and other public health flexibilities such as compulsory licensing. PMID:24735589

Antiretroviral drug expenditure, pricing and judicial demand: an analysis of federal procurement data in Brazil from 2004-2011.

PubMed

Luo, Jing; Oliveira, Maria A; Ramos, Mariana B C; Maia, Aurélio; Osorio-de-Castro, Claudia G S

2014-04-16

Previous studies have described expenditures for antiretroviral (ARV) medicines in Brazil through 2005. While prior studies examined overall expenditures, they have not have analyzed drug procurement data in order to describe the role of court litigation on access and pricing. ARV drug procurement from private sector sources for the years 2004-2011 was obtained through the general procurement database of the Brazilian Federal Government (SIASG). Procurement was measured in Defined Daily Doses (DDD) per 1000 persons-under-treatment per day. Expenditures and price per DDD were calculated and expressed in U.S. Dollars. Justifications for ARV purchases were examined in order to determine the relationship between health litigation and incorporation into Brazil's national treatment guidelines. Drug procurement of ARVs from private sources underwent marked expansion in 2005, peaked in 2009, and stabilized to 2008 levels by 2011. Expenditures followed procurement curves. Medications which were procured for the first time after 2007 cost more than medicines which were introduced before 2007. Judicial actions initially resulted in purchases of newer medications for a select number of patients in Brazil but ultimately expanded availability to a larger population through incorporation into the national treatment guidelines. Drug procurement and expenditures for ARVs in Brazil varied between 2004-2011. The procurement of some drugs from the private sector ceased after public manufacturers started producing them locally. Judicial demand has resulted in the incorporation of newer drugs into the national treatment guidelines. In order for the AIDS treatment program to remain sustainable, efforts should be pursued to reduce prices through generic drugs, price negotiation and other public health flexibilities such as compulsory licensing.

Pakistan's experience with kidney transplantation and trade: a call for international solidarity.

PubMed

Moazam, Farhat; Jafarey, Aamir

2014-01-01

Pakistan has taken a long and tortuous road towards curbing the trade in organs within its borders. Yet, despite the phenomenal gains, several challenges remain in this area. For example, robust and sustainable deceased donor programmes must be established to meet the needs of a country which has a high prevalence of kidney disease and failure. Further, it is necessary to offer an alternative source of organs for transplantation to desperate patients who resort to buying these from the "market". Cultural factors and religious beliefs about the sanctity and inviolability of the corpse, as well as the lack of public and professional education regarding the procurement of organs from the deceased, pose considerable barriers that must be surmounted. We believe it is equally important that transplant professionals and the governments of affluent countries consider measures to discourage, if not prevent, their citizens from travelling to impoverished countries such as Pakistan to buy organs. Without a commitment, ethical and legal, to international solidarity in this matter, the goals that are already difficult for developing countries to achieve, ie, establishing deceased donor programmes and bringing an end to organ trafficking, will be even harder to achieve.

MDOT research receives national recognition : research update.

DOT National Transportation Integrated Search

2016-10-01

To maintain a high-quality transportation : system for Michigans traveling : public, MDOT makes a sustained commitment : to excellence in transportation : research. That commitment includes both : developing solutions to meet Michigans : transp...

Values, Beliefs and Norms that Foster Chilean and German Pupils' Commitment to Protect Biodiversity

ERIC Educational Resources Information Center

Menzel, Susanne; Bogeholz, Susanne

2010-01-01

Fostering young people's commitment to protect biodiversity is an important goal of Education for Sustainable Development (ESD) in both, industrial countries and designated biodiversity hotspots. However, little empirical evidence exists to describe factors that influence such commitments. Based on the Value-Belief-Norm (VBN) theory, 15 to…

Factors influencing global antiretroviral procurement prices.

PubMed

Wirtz, Veronika J; Forsythe, Steven; Valencia-Mendoza, Atanacio; Bautista-Arredondo, Sergio

2009-11-18

Antiretroviral medicines (ARVs) are one of the most costly parts of HIV/AIDS treatment. Many countries are struggling to provide universal access to ARVs for all people living with HIV and AIDS. Although substantial price reductions of ARVs have occurred, especially between 2002 and 2008, achieving sustainable access for the next several decades remains a major challenge for most low- and middle-income countries. The objectives of the present study were twofold: first, to analyze global ARV prices between 2005 and 2008 and associated factors, particularly procurement methods and key donor policies on ARV procurement efficiency; second, to discuss the options of procurement processes and policies that should be considered when implementing or reforming access to ARV programs. An ARV-medicines price-analysis was carried out using the Global Price Reporting Mechanism from the World Health Organization. For a selection of 12 ARVs, global median prices and price variation were calculated. Linear regression models for each ARV were used to identify factors that were associated with lower procurement prices. Logistic regression models were used to identify the characteristics of those countries which procure below the highest and lowest direct manufactured costs. Three key factors appear to have an influence on a country's ARV prices: (a) whether the product is generic or not; (b) the socioeconomic status of the country; (c) whether the country is a member of the Clinton HIV/AIDS Initiative. Factors which did not influence procurement below the highest direct manufactured costs were HIV prevalence, procurement volume, whether the country belongs to the least developed countries or a focus country of the United States President's Emergency Plan For AIDS Relief. One of the principal mechanisms that can help to lower prices for ARV over the next several decades is increasing procurement efficiency. Benchmarking prices could be one useful tool to achieve this.

Sustainable water management practices and remote sensing.

EPA Science Inventory

The United States Environmental Protection Agency’s charge to protect human health and the environment requires a long-term commitment to creating sustainable solutions to environmental problems. The most direct way to ensure that management practices are achieving sustainability...

Program Manager: Journal of the Defense Systems Management College. Volume 19, Number 4, July-August 1990

DTIC Science & Technology

1990-08-01

officials making process, innovation, integ- would be focused on customer were committed, as well as the Con- rity, and accountability. satisrceion...staff in the Department of The bill contains the following - Research and Information at the Defensetion which has as its goal to make S ms Managmnt Cov...Cost/Quantity Dynamics There is a necessary relationship 7 between unit costs and quantities procured, and the budget changes made. This relationship

Technical Information, Returns to Scale, and the Existence of Competitive Equilibrium.

DTIC Science & Technology

1985-05-01

Economies, Part I. Existence of Bequest Equilibria Part II. Properties of Bequest Equilibria" by Debraj Ray and Douglas Bernheim. 420. "On the Existence...Dasgupta and Debraj Ray . 455. "Procurement, Cost Overruns and Severance: A Study in Commitment and Renegotiation," by Jean Tirole. 456. "Multiparty...Consistent Plans Under Production Uncertainty," by B. Douglas Bernheiu and Debraj Ray . 463 "Free Entry and Stability in a Cournot Model," by Gabrielle Demange

Procurement, Cost Overruns and Severance. A Study in Commitment and Renegotiation

DTIC Science & Technology

1984-12-01

projects involve a decentralization of responsibility to a research or a production department. The purpose of this paper is to analyze deci- sion... rationality constraints, which affect the set of possible allocations. Section T uses a two-period version of the general model to study this issue...determines the q function, which in turn affects e.. -^/ This point is made in a somewhat different context hy Williamson who notices that "a king

A renewable commitment

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

McArthur, D.; Salaff, S.

1997-06-01

New initiatives favoring green power and wind energy are under way in Alberta, Quebec and Ontario. The Canadian government made a major commitment to green power in April when Anne McLellan, the federal minister of natural resources (NRCan), announced in Ottawa that the Canadian government has selected the City of Calgary Electric System (CCES) to acquire and distribute green power to certain federal buildings in Alberta. This will be the first federal procurement of its kind in Canada and the first supply of green power. NRCan will acquire up to 10 GWh per year of electricity generated by renewable sourcesmore » for NRCan buildings, while up to 3.1 GWh per year will go to Environment Canada buildings in Alberta. The announcement was made jointly by McLellan and Sergio Marchi, federal environment minister. CCES is a municipally owned distribution utility which supplies power to about 295,000 customer accounts in Calgary, whose population exceeds 750,000. While no details of the actual types of green power supply were available in late April, sources indicated that windpower was among the supply options under consideration. The Alberta Power Pool began on January 1, 1996, as a competitive wholesale pool providing the lowest cost power from competing suppliers. The pool is the most progressive and deregulated system in Canada, and now with an apparent mechanism to deliver green power, the pool could be a model for green power procurement in Canada.« less

Protecting the Environment Through Public Procurement Law - The Case of Poland

NASA Astrophysics Data System (ADS)

Kozik, Renata; Karasińska-Jaśkowiec, Izabela

2016-10-01

The article presents the results of studies whose aim was to analyse public procurement procedures in the context of environmental protection, especially wastewater infrastructure, performed in the selected Polish municipalities. The selection criterions were the time of public procurement procedure - from 2009 until 2015 and that the contract was cofinanced by the European Union funds. The contracting authorities responsible for awarding specific contracts, were asked series of detailed questions about the environmental criteria and requirements contained in the tender documents for the construction contracts related to the wastewater infrastructure. The aim of the detailed study was to determine whether the actions taken by the contracting authorities in a tender procedure for the construction or operation of wastewater infrastructure include environmental issues. Authors examine also the applicable public procurement law regulation in Poland and Europe in the context of sustainable development and environmental protection. The study of public procurement law was to check whether the law regulation fully takes into account the environmental aspects of the planned investments. On this basis, conclusions have been made that laws are consistent and do not constitute an obstacle to awarding a contract positively affecting the environment.

Sustainability Action Planning and Initiatives at Twentynine Palms Marine Corps Air Ground Combat Center (MCAGCC)

DTIC Science & Technology

2011-05-01

Energy and water security/ independence; sustain leadership • Compliance and environmental stewardship (cannot impact training mission...reduction, with efforts underway and cogeneration opportunities 18.3% of energy consumed by facilities is produced or procured from renewable...payback timeframes of ɠ years on existing cogeneration plant and ɛ years on new cogeneration plant Renewable Energy • In FY2010, approximately 6.2% of

Sustainability Actions in Higher Education

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

This brochure details common sustainability actions taken by universities to reduce their energy consumption. Some of the most common actions include energy efficiency (existing building commissioning; lighting; heating, ventilation, and air conditioning upgrades; plug loads) and renewable energy (RE) (on-site or off-site solar deployment, RE procurement). We focus on the costs and benefits of energy efficiency measures and RE through the brochure while highlighting resources where readers can find more information.

Teaching Sustainability in Higher Education: Pedagogical Styles That Make a Difference

ERIC Educational Resources Information Center

Seatter, Carol Scarff; Ceulemans, Kim

2017-01-01

The challenge of teaching sustainable development in higher education can mean that students--as future citizens--are left without insight, commitment, or a sense of their position regarding meaningful beliefs and actions related to sustainability. A paradox arises when educators approach a sustainability curriculum that has the potential to…

Guiding Principles for Sustainable Federal Buildings

EPA Pesticide Factsheets

This page provides and overview of the memorandum of understanding (MOU) which was voluntarily committed the Agency to follow the Guiding Principles for Federal Leadership in High Performance and Sustainable Buildings.

Commitment to Cybersecurity and Information Technology Governance: A Case Study and Leadership Model

ERIC Educational Resources Information Center

Curtis, Scipiaruth Kendall

2012-01-01

The continual emergence of technologies has infiltrated government and industry business infrastructures, requiring reforming organizations and fragile network infrastructures. Emerging technologies necessitates countermeasures, commitment to cybersecurity and information technology governance for organization's survivability and sustainability.…

Mobil`s Energy Management Program

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

Schoeneborn, F.C.

1997-06-01

Mobil`s Facilities Management Network sponsored a cross-divisional team to reduce energy costs. This team developed an Energy Management Plan to reduce energy costs by $25 million annually throughout all Mobil divisions over the next five years (total of $125 million committed savings). The core of this plan is the belief that energy costs are controllable and should be managed with the expertise that Mobil manages other parts of the business. Areas of focus are economic procurement, efficient consumption, and expertise sharing.

The Ocean Surface Topography SENTINEL-6/JASON-CS Mission

NASA Astrophysics Data System (ADS)

Cullen, R.

2015-12-01

The Sentinel-6/Jason-CS mission will consist of 2 spacecraft and will be the latest in a series of ocean surface topography missions that will span nearly three decades. They follow the altimeters on- board TOPEX/Poseidon through to Jason-3 (expected March 2015). Jason-CS will continue to fulfil objectives of the reference series whilst introducing a major enhancement in capability providing the operational and science oceanographic community with the state of the art in terms of platform, measurement instrumentation design thus securing optimal operational and science data return. The programme is a part of the EC Copernicus initiative, whose objective is to support Europe's goals regarding sustainable development and global governance of the environment by providing timely and quality data, information, services and knowledge. The programme brings together: ESA for development, procurement & early orbit activities; EUMETSAT for mission management, ground segment, flight ops, contributing funding of the 1st satellite and participation in funding for the 2nd satellite; NASA for the US payload and launcher procurement in addition to funding US science opportunities; EC for funding the operations and participation in funding (with EUMETSAT) for the 2nd satellite; NOAA are expected to provide US ground stations & operations services; CNES for mission expertise and provision of the POD service. The consortium plan to procure 2 satellites with the 1st planned for launch readiness in the 1st half of 2020 with the 2nd satellite 5 years later. The first major commitment to funding was given by the ESA member states that approved the programme in June 2014 and in addition the European Commission funding is also fully secure. The design is based on a platform derived from CryoSat-2 adjusted to the specific requirements of the higher orbit. The principle payload instrument is a high precision Ku/C band radar altimeter with retrieval of geophysical parameters (surface elevation, wind speed and SWH) from the altimeter data require supporting measurements: a DORIS receiver for POD; The Climate Quality Advanced Microwave Radiometer (AMR-C) provided by JPL for high stability path delay correction. Orbit tracking data are also provided by GPS & LRA. An additional US GPS receiver, GNSS-RO, will be dedicated to radio-occultation.

Intel International Science and Engineering Fair

EPA Pesticide Factsheets

EPA shares information about environmental protection with ISEF participants and visitors and recognizes one student whose work demonstrates a commitment to environmental sustainability and stewardship with the EPA Patrick H. Hurd Sustainability Award.

Sustainability and First-Year Programs

ERIC Educational Resources Information Center

Messineo, Melinda

2012-01-01

To truly impact sustainability practices, campuses need to influence the overall campus culture, including that which is fostered through first-year programs. Institutions of higher education have made a commitment to make a difference for sustainability, not only by changing curriculum, but by changing the entire institutional culture. This…

2009 Collegiate Athletic Department Sustainability Survey Report

ERIC Educational Resources Information Center

McSherry, Mark

2009-01-01

This report shows that while sustainability efforts appear to be growing within collegiate athletics, commitment to sustainability is lower among athletic departments than compared to their institutions as a whole and to professional sports teams. The survey was distributed to the 119 athletic departments at National Collegiate Athletic…

Sustainability and Scotland's Colleges

ERIC Educational Resources Information Center

Her Majesty's Inspectorate of Education, 2009

2009-01-01

This report evaluates how effectively Scotland's colleges have embraced and taken forward sustainability in the context of the Scottish Government's commitment to improve Scotland's natural and built environment and the sustainable use and enjoyment of it. "Greener Scotland" is one of the five strategic objectives that form part of the…

The Comprehensiveness of Competing Higher Education Sustainability Assessments

ERIC Educational Resources Information Center

Bullock, Graham; Wilder, Nicholas

2016-01-01

Purpose: The purpose of this paper is to analyze the comprehensiveness of competing higher education sustainability assessments. Higher education institutions (HEIs) have been increasingly communicating their sustainability commitments to the public. To assist the public in evaluating these claims, a broad range of actors have assessed the…

Communities in Action: Lifelong Learning for Sustainable Development

ERIC Educational Resources Information Center

Noguchi, Fumiko; Guevara, Jose Roberto; Yorozu, Rika

2015-01-01

This handbook identifies principles and policy mechanisms to advance community-based learning for sustainable development based on the commitments endorsed by the participants of the "Kominkan-CLC International Conference on Education for Sustainable Development," which took place in Okayama City, Japan, in October 2014. To inform…

A Standard to Sustain

ERIC Educational Resources Information Center

Harrison, Mary M.

2003-01-01

Throughout Vermont, at every grade level, students are finding innovative ways to get involved with issues that challenge their communities and affect their future. The efforts reflect a 2000 state commitment to education for sustainability. Vermont educators often describe sustainability as a lens through which to analyze use of resources. By…

Sustainability 101

ERIC Educational Resources Information Center

Shi, David

2008-01-01

Sustainability is one of the leading issues of this time. Climate change is real, and widespread commitment and creativity are needed to combat its negative effects. Higher education is the seedbed of the sustainability movement. Much climate research and environmental science takes place on college and university campuses, which are, by their…

The dead donor rule: can it withstand critical scrutiny?

PubMed

Miller, Franklin G; Truog, Robert D; Brock, Dan W

2010-06-01

Transplantation of vital organs has been premised ethically and legally on "the dead donor rule" (DDR)-the requirement that donors are determined to be dead before these organs are procured. Nevertheless, scholars have argued cogently that donors of vital organs, including those diagnosed as "brain dead" and those declared dead according to cardiopulmonary criteria, are not in fact dead at the time that vital organs are being procured. In this article, we challenge the normative rationale for the DDR by rejecting the underlying premise that it is necessarily wrong for physicians to cause the death of patients and the claim that abandoning this rule would exploit vulnerable patients. We contend that it is ethical to procure vital organs from living patients sustained on life support prior to treatment withdrawal, provided that there is valid consent for both withdrawing treatment and organ donation. However, the conservatism of medical ethics and practical concerns make it doubtful that the DDR will be abandoned in the near future. This leaves the current practice of organ transplantation based on the "moral fiction" that donors are dead when vital organs are procured.

Consumer perceptions on sustainable practices implemented in foodservice organizations in Korea

PubMed Central

Ju, Seyoung

2016-01-01

BACKGROUND/OBJECTIVES Sustainable practices in foodservice organizations including commercial and noncommercial ones are critical to ensure the protection of the environment for the future. With the rapid growth of the foodservice industry, wiser usage of input sources such as food, utilities, and single use packaging should be reconsidered for future generations. Therefore, this study aims to investigate the customer's perceptions on sustainable practices and to identify the relationship among sustainable practices, social contribution and purchase intention. SUBJECTS/METHODS The study was conducted using content analyses by reviewing articles on sustainable food service practices published domestically and abroad. Thereafter, data were collected with a face-to-face survey using a questionnaire and analyzed with factor analyses and multiple regressions. RESULTS Sustainable practices classified with factor analysis consisted of 6 dimensions of green food material procurement, sustainable food preparation, green packaging, preservation of energy, waste management, and public relations on green activity, with a total of 25 green activities in foodservice operations. Consumers were not very familiar with the green activities implemented in the foodservice unit, with the lowest awareness of "green food material procurement (2.46 out of 5 points)", and the highest awareness of "green packaging (3.74)" and "waste management (3.28). The factors influencing the perception of social contribution by foodservice organizations among 6 sustainable practice dimensions were found to be public relations on green activity (β = 0.154), waste management (β = 0.204) and sustainable food preparation (β = 0.183). Green packaging (β = 0.107) and the social contribution of the foodservice organization (β = 0.761) had strong relationships with the image of the organization. The purchase intentions of customers was affected only by the foodservice image (β = 0.775). CONCLUSIONS The results of this study suggest that sustainable practices by foodservice organization present a good image to customers and increase the awareness of valuable contributions that benefit the customer as well as the community. PMID:26865923

Consumer perceptions on sustainable practices implemented in foodservice organizations in Korea.

PubMed

Ju, Seyoung; Chang, Hyeja

2016-02-01

Sustainable practices in foodservice organizations including commercial and noncommercial ones are critical to ensure the protection of the environment for the future. With the rapid growth of the foodservice industry, wiser usage of input sources such as food, utilities, and single use packaging should be reconsidered for future generations. Therefore, this study aims to investigate the customer's perceptions on sustainable practices and to identify the relationship among sustainable practices, social contribution and purchase intention. The study was conducted using content analyses by reviewing articles on sustainable food service practices published domestically and abroad. Thereafter, data were collected with a face-to-face survey using a questionnaire and analyzed with factor analyses and multiple regressions. Sustainable practices classified with factor analysis consisted of 6 dimensions of green food material procurement, sustainable food preparation, green packaging, preservation of energy, waste management, and public relations on green activity, with a total of 25 green activities in foodservice operations. Consumers were not very familiar with the green activities implemented in the foodservice unit, with the lowest awareness of "green food material procurement (2.46 out of 5 points)", and the highest awareness of "green packaging (3.74)" and "waste management (3.28). The factors influencing the perception of social contribution by foodservice organizations among 6 sustainable practice dimensions were found to be public relations on green activity (β = 0.154), waste management (β = 0.204) and sustainable food preparation (β = 0.183). Green packaging (β = 0.107) and the social contribution of the foodservice organization (β = 0.761) had strong relationships with the image of the organization. The purchase intentions of customers was affected only by the foodservice image (β = 0.775). The results of this study suggest that sustainable practices by foodservice organization present a good image to customers and increase the awareness of valuable contributions that benefit the customer as well as the community.

Factors influencing global antiretroviral procurement prices

PubMed Central

2009-01-01

Background Antiretroviral medicines (ARVs) are one of the most costly parts of HIV/AIDS treatment. Many countries are struggling to provide universal access to ARVs for all people living with HIV and AIDS. Although substantial price reductions of ARVs have occurred, especially between 2002 and 2008, achieving sustainable access for the next several decades remains a major challenge for most low- and middle-income countries. The objectives of the present study were twofold: first, to analyze global ARV prices between 2005 and 2008 and associated factors, particularly procurement methods and key donor policies on ARV procurement efficiency; second, to discuss the options of procurement processes and policies that should be considered when implementing or reforming access to ARV programs. Methods An ARV-medicines price-analysis was carried out using the Global Price Reporting Mechanism from the World Health Organization. For a selection of 12 ARVs, global median prices and price variation were calculated. Linear regression models for each ARV were used to identify factors that were associated with lower procurement prices. Logistic regression models were used to identify the characteristics of those countries which procure below the highest and lowest direct manufactured costs. Results Three key factors appear to have an influence on a country's ARV prices: (a) whether the product is generic or not; (b) the socioeconomic status of the country; (c) whether the country is a member of the Clinton HIV/AIDS Initiative. Factors which did not influence procurement below the highest direct manufactured costs were HIV prevalence, procurement volume, whether the country belongs to the least developed countries or a focus country of the United States President's Emergency Plan For AIDS Relief. Conclusion One of the principal mechanisms that can help to lower prices for ARV over the next several decades is increasing procurement efficiency. Benchmarking prices could be one useful tool to achieve this. PMID:19922690

Challenging Students' Perceptions of Sustainability Using an Earth Systems Science Approach

ERIC Educational Resources Information Center

Clark, Ian F.; Zeegers, Yvonne

2015-01-01

This study investigated whether an Earth Systems-based course focused on raising postgraduate students' awareness of sustainability, from a systems-thinking perspective, would produce graduates with commitment to drive the sustainability agenda forward with a broad perspective. It investigated students' pre and post-course perceptions of…

Our Vision for a Sustainable Wales

ERIC Educational Resources Information Center

Davidson, Jane

2010-01-01

The Welsh Assembly Government is committed to putting sustainable development at the heart of all it does. In May 2009, the Assembly launched its latest scheme, "One Wales: One Planet," which sets out a clear definition of sustainable development as enhancing the economic, social and environmental wellbeing of people and communities,…

Greening government procurement in developing countries: building capacity in China.

PubMed

Geng, Yong; Doberstein, Brent

2008-09-01

With increasing environmental issues and depleting resources, the effective application of green government procurement (GGP) is urgently needed and potentially can have greater impacts in the developing world rather than in the developed world. Such an approach can help promote the general goal of sustainable development and address environmental issues through purchasing and facilitating the use of environmentally friendly services and products. This paper addresses this issue by employing a case study on China. We first trace the development of the GGP concept, its spread to Asian countries, and a number of approaches used to expand GGP adoption. We then review current practices in China on GGP, and analyze and identify some of the current barriers and problems in promoting green procurement in the Chinese governmental sector. We finally seek to identify possible appropriate capacity-building solutions, in order to facilitate the application of GGP in China.

Water Requirements and Sustainable Sources in the Barnett Shale, March 29, 2011

EPA Pesticide Factsheets

This paper will focus on the water requirements and sustainable sources in the Barnett Shale. Devon Energy Corporation is committed to the principles of water conservation and reuse where feasible in its operations.

Motivating green public procurement in China: an individual level perspective.

PubMed

Zhu, Qinghua; Geng, Yong; Sarkis, Joseph

2013-09-15

Green public procurement (GPP) practices have been recognized as an effective policy tool for sustainable production and consumption. However, GPP practices adoption, especially in developing countries, is still an issue. Seeking to help understand these adoption issues, we develop a conceptual model which hypothesizes moderation effects of GPP knowledge on the relationships between GPP drivers and practices. Using primary data collected from 193 Chinese government officials, we find that regulations, rewards & incentive gains, and stakeholders exert pressure to motivate adoption of GPP practices. Knowledge of GPP regulations, responsibilities and experiences in developed countries is found to be limited. The study also found that voluntary regulations may actually be demotivating GPP practices. This study contributes to further theoretical and practical understanding of GPP practices. The findings can be helpful for policy makers, especially those in developing countries, to establish promotion and diffusion mechanisms for GPP practices as an important sustainable development tool. Copyright © 2013 Elsevier Ltd. All rights reserved.

Analytic network process model for sustainable lean and green manufacturing performance indicator

NASA Astrophysics Data System (ADS)

Aminuddin, Adam Shariff Adli; Nawawi, Mohd Kamal Mohd; Mohamed, Nik Mohd Zuki Nik

2014-09-01

Sustainable manufacturing is regarded as the most complex manufacturing paradigm to date as it holds the widest scope of requirements. In addition, its three major pillars of economic, environment and society though distinct, have some overlapping among each of its elements. Even though the concept of sustainability is not new, the development of the performance indicator still needs a lot of improvement due to its multifaceted nature, which requires integrated approach to solve the problem. This paper proposed the best combination of criteria en route a robust sustainable manufacturing performance indicator formation via Analytic Network Process (ANP). The integrated lean, green and sustainable ANP model can be used to comprehend the complex decision system of the sustainability assessment. The finding shows that green manufacturing is more sustainable than lean manufacturing. It also illustrates that procurement practice is the most important criteria in the sustainable manufacturing performance indicator.

Environmental Management and Sustainability in Higher Education: The Case of Spanish Universities

ERIC Educational Resources Information Center

Leon-Fernandez, Yolanda; Domínguez-Vilches, Eugenio

2015-01-01

Purpose: This paper aims to analyse trends in implementing the main initiatives in the field of environmental management and sustainability in Spanish universities, taking as a reference point the guidelines adopted by a number of universities in countries most committed to sustainable development. Design/methodology/approach: An analysis of…

Superintendents as Sensemakers in the Design of Sustainable Schools

ERIC Educational Resources Information Center

Klocko, Barbara A.

2009-01-01

The impact of the superintendent in the design decision-making process of sustainable school buildings was examined in this study to determine whether superintendents who have more knowledge and commitment to sustainability have a greater influence on green building practices within their school districts than those who do not. Utilizing a…

Sustainability Champions? Academic Identities and Sustainability Curricula in Higher Education

ERIC Educational Resources Information Center

Wood, Bronwyn E.; Cornforth, Sue; Beals, Fiona; Taylor, Mike; Tallon, Rachel

2016-01-01

Purpose: The purpose of this paper is to explore the experiences of academic staff who are committed to embedding sustainability within tertiary curricula and pedagogy. Design/Methodology/Approach: The focus of this paper is on a New Zealand university. A survey of staff was undertaken and in-depth interviews conducted with 11 sustainability…

Campus Leadership's Influence in Implementing a Community College's Sustainability Goals: A Case Study

ERIC Educational Resources Information Center

Larson, Barbara A.

2012-01-01

The case study documented one large, multicampus community college's progress in implementing sustainability goals outlined in the American College and University Presidents' Climate Commitment (ACUPCC). The case study examined the role of branch-campus presidents and the college president in institutionalizing sustainability. Responses…

Predicting Global Fund grant disbursements for procurement of artemisinin-based combination therapies

PubMed Central

Cohen, Justin M; Singh, Inder; O'Brien, Megan E

2008-01-01

Background An accurate forecast of global demand is essential to stabilize the market for artemisinin-based combination therapy (ACT) and to ensure access to high-quality, life-saving medications at the lowest sustainable prices by avoiding underproduction and excessive overproduction, each of which can have negative consequences for the availability of affordable drugs. A robust forecast requires an understanding of the resources available to support procurement of these relatively expensive antimalarials, in particular from the Global Fund, at present the single largest source of ACT funding. Methods Predictive regression models estimating the timing and rate of disbursements from the Global Fund to recipient countries for each malaria grant were derived using a repeated split-sample procedure intended to avoid over-fitting. Predictions were compared against actual disbursements in a group of validation grants, and forecasts of ACT procurement extrapolated from disbursement predictions were evaluated against actual procurement in two sub-Saharan countries. Results Quarterly forecasts were correlated highly with actual smoothed disbursement rates (r = 0.987, p < 0.0001). Additionally, predicted ACT procurement, extrapolated from forecasted disbursements, was correlated strongly with actual ACT procurement supported by two grants from the Global Fund's first (r = 0.945, p < 0.0001) and fourth (r = 0.938, p < 0.0001) funding rounds. Conclusion This analysis derived predictive regression models that successfully forecasted disbursement patterning for individual Global Fund malaria grants. These results indicate the utility of this approach for demand forecasting of ACT and, potentially, for other commodities procured using funding from the Global Fund. Further validation using data from other countries in different regions and environments will be necessary to confirm its generalizability. PMID:18831742

The Greening of a University: The St. John's Sustainability Initiative

ERIC Educational Resources Information Center

Pellow, James P.; Anand, Brij

2009-01-01

With "greening" projects dotting the landscape of higher education across the nation, it is encouraging to witness the commitment of many colleges and universities to helping secure the future environmental viability of the nation. The challenges that come with this commitment, however, are not insignificant. A comprehensive…

Family Care Map: Sustaining family-centered care in Polytrauma Rehabilitation Centers

PubMed Central

Ford, James H.; Wise, Meg; Krahn, Dean; Oliver, Karen Anderson; Hall, Carmen; Sayer, Nina

2015-01-01

The study assessed sustainability of the Family Care Map, a family-centered approach to providing care for Veterans with polytrauma-related injuries, in four Department of Veterans Affairs Polytrauma Rehabilitation Centers. We applied a mixed-methods approach. Staff surveys used standardized measures of sustainability, commitment to change, information, and participation during implementation. Qualitative inquiry assessed Family Care Map implementation and facilitators and barriers to sustainability. Staff sustainability perceptions had a significant positive correlation with affective commitment to change, participation, and information received about the change process. Family Care Map integration into standard practices and use of its concepts with patients and families related to staff perceptions about sustainability. The degree of use and integration of the Family Care Map in traumatic brain injury/polytrauma care varied among the Polytrauma Rehabilitation Centers. Some successful sustainability strategies included integration into daily workflow and organizational culture. Examples of sustainability barriers included staff awareness and use and outdated information. Some practices, such as measuring and documenting the use of the Family Care Map in treatment plans, may not routinely occur. The focus on family-centered care will require further evaluation of organization-, staff-, and innovation-level attributes that influence sustainability of changes designed to improve family-centered care. PMID:25671632

Sustainability, Indicators, and Institutions of Higher Education. Chapter 42

EPA Science Inventory

Indicators of commitment to sustainability commonly applied to institutions of higher education provide no estimate of the actual effects that these institutions have on the persistence or prevalence of the socioecological systems that encompass them. Emergy methodology provides ...

Commitment to sustainability: A content analysis of website for university organisations

NASA Astrophysics Data System (ADS)

Hasim, M. S.; Hashim, A. E.; Ariff, N. R. M.; Sapeciay, Z.; Abdullah, A. S.

2018-02-01

This research aim on investigating the commitments of organisations towards sustainability. For this research context, ‘commitment’ refers to the extent of information provided by universities in their website which demonstrated initiatives towards achieving the sustainability goal. The objective of this study was to identify sustainability initiatives highlighted within university websites using Australia as a case study. Thirty-nine (39) websites were reviewed and web content analysis was performed to publicly available data including any relevant accessible PDF documents attached to the universities website. Specific websites information was reviewed to detect sustainability themes in the broad university management and operations (i.e., in general policies, corporate mission statements, research activities, positions available and strategies). The commitment of Australian universities was significant and well established with a set of twenty (20) related themes were identified. The findings have some limitations because the established themes only emerged from the websites’ content without human validation which possibly weakens the correlations between website information and organisations actual practice. This possibility is recognised and for this reason, further assessment may be advantageous to provide verification of the findings. Therefore, further studies using other techniques are suggested such as interviews or observations for validation of data and reinforce the entire conclusions. An interesting aspect of this study is the validity of reviewing organisational websites for gauging actual practice and a number of researchers supporting this approached as indicated in methodology section of this paper.

German Academia Heading for Sustainability? Reflections on Policy and Practice in Teaching, Research and Institutional Innovations

ERIC Educational Resources Information Center

Adomssent, Maik; Michelsen, Gerd

2006-01-01

This article discusses how far (and by what practical means) the growing global trend for universities to commit to sustainable development has spread across German academia. Following this introduction, part 2 will outline the political framework of the sustainability discourse in German higher education. Part 3 will emphasise the integration of…

Sustainability at BPA 2012

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

None

BPA’s Sustainability Action Plan is grounded in our commitment to environmental stewardship and Executive Order 13514 that calls on the federal agencies to “lead by example” by setting a 2020 greenhouse gas emissions target, increasing energy efficiency; reducing fleet petroleum consumption; conserving water; reducing waste; supporting sustainable communities; and leveraging federal purchasing power to promoting environmentally responsible products and technologies.

The Sustainable Newsroom of the Future: Can Media Newsrooms Become Sustainable and Still Break the News?

ERIC Educational Resources Information Center

Duhe, Sonya Forte; Tanner, Andrea; Peterson, Rick

2006-01-01

This article is a case study examining the media's commitment to sustainability in one southern state. The researchers surveyed both broadcast and print newsroom managers in South Carolina and observed student run newsrooms within the School of Journalism and Mass Communications at the University of South Carolina. Interestingly, both print and…

The Dead Donor Rule: Can It Withstand Critical Scrutiny?

PubMed Central

Miller, Franklin G.; Truog, Robert D.; Brock, Dan W.

2010-01-01

Transplantation of vital organs has been premised ethically and legally on “the dead donor rule” (DDR)—the requirement that donors are determined to be dead before these organs are procured. Nevertheless, scholars have argued cogently that donors of vital organs, including those diagnosed as “brain dead” and those declared dead according to cardiopulmonary criteria, are not in fact dead at the time that vital organs are being procured. In this article, we challenge the normative rationale for the DDR by rejecting the underlying premise that it is necessarily wrong for physicians to cause the death of patients and the claim that abandoning this rule would exploit vulnerable patients. We contend that it is ethical to procure vital organs from living patients sustained on life support prior to treatment withdrawal, provided that there is valid consent for both withdrawing treatment and organ donation. However, the conservatism of medical ethics and practical concerns make it doubtful that the DDR will be abandoned in the near future. This leaves the current practice of organ transplantation based on the “moral fiction” that donors are dead when vital organs are procured. PMID:20439355

The SEED Initiative

ERIC Educational Resources Information Center

Teich, Carolyn R.

2011-01-01

Committed to fulfilling the promise of the green economy, the American Association of Community Colleges (AACC) launched the Sustainability Education and Economic Development (SEED) initiative (www.theseedcenter.org) in October 2010. The project advances sustainability and clean energy workforce development practices at community colleges by…

Early Childhood Teachers' Sustainment in the Classroom

ERIC Educational Resources Information Center

Kilgallon, Pam; Maloney, Carmel; Lock, Graeme

2008-01-01

This paper describes an investigation of Australian early childhood teachers' sustainment in their profession, focussing on those factors which enhance professional commitment, job satisfaction and occupational motivation. Utilizing qualitative methodology this study also identified key factors early childhood teachers consider crucial to…

Building Sustained Action: Supporting an Institutional Practice of SoTL at the University of Guelph

ERIC Educational Resources Information Center

Kenny, Natasha; Watson, Gavan P. L.; Desmarais, Serge

2016-01-01

This chapter examines how SoTL has been integrated and supported at the University of Guelph based on three catalysts: (1) leadership commitment, (2) reward and recognition, and (3) integrated networks for sustained development.

CREADS, a Teacher Training Course on ESD in Costa Rica

ERIC Educational Resources Information Center

Jimenez-Elizondo, Alicia

2010-01-01

After the Costa Rican government signed a commitment to implement the UN Decade of Education for Sustainable Development (DESD), the challenge was how to put the commitment into action. Fortunately, an opportunity presented itself with an initiative called Peace with Nature (Iniciativa Paz con la Naturaleza-IPN), under which a teacher training…

The Effects of Values, Work Centrality, and Organizational Commitment on Organizational Citizenship Behaviors: Evidence from Turkish SMEs

ERIC Educational Resources Information Center

Ucanok, Basak; Karabati, Serdar

2013-01-01

Organizational citizenship behaviors (OCBs) are voluntary contributions of employees not explicitly recognized by the formal reward system and are ultimately critical for sustaining organizational effectiveness (Organ, 1988). The current study aims to investigate the effects of values, work centrality, and organizational commitment on…

The global, centralized approach of the GAIN Premix Facility has made oil fortification in Indonesia more affordable.

PubMed

Jallier, Vincent; Guyondet, Christophe; Provent, Adeline; Laillou, Arnaud; Soekirman; Moench-Pfanner, Regina

2013-06-01

Access to high-grade micronutrients is a recurring challenge that often threatens the long-term sustainability of food fortification programs. To assess the efficiency of the Global Alliance for Improved Nutrition (GAIN) Premix Facility in procuring quality, affordable vitamin A for fortification of edible oil in Indonesia. A global approach to procurement of standard items was used by combining volumes across various demand streams in order to reduce the total cost of acquisition through economies of scale. The GAIN Premix Facility undertook a detailed analysis of vitamin A requirements across its existing customer base, which served as a basis for developing a reliable demand forecast. A consolidated, competitive tender was launched that resulted in the setting up of a long-term commercial agreement with the selected supplier to lock in the most competitive price for a given period of time. The direct benefit to oil manufacturers of fortifying with vitamin A is that the cost of fortification went down significantly compared with prices they would have been offered had they ordered vitamin A individually. In Indonesia, this consolidated procurement approach has allowed a 14.5% decrease in the unit price of vitamin A. The GAIN Premix Facility demonstrated its effectiveness in acting as a global procurement platform by aggregating demand across different customers and leveraging improved prices through increased volumes. Building on the success of this effort, the GAIN Premix Facility is replicating this global approach for procurement of other standard items being procured across fortification programs worldwide.

77 FR 15022 - Presidential Memorandum of February 21, 2012; Driving Innovation and Creating Jobs in Rural...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-14

...;and investigations, committee meetings, agency decisions and rulings, #0;delegations of authority... Affirmative Procurement Programs and Preferable Purchasing Programs, as applicable (as originally required by... emphasize biobased purchasing in the fiscal year 2012 and 2013 Sustainability/ Energy scorecard, which is...

Knock on wood: Is wood production sustainable in the Pacific Northwest?

Treesearch

Jonathan Thompson

2006-01-01

The Pacific Northwest is one of the world’s major timber-producing regions, and its capacity to produce wood on a sustained-yield basis is widely recognized. Nonetheless, there has been increasing public interest in assuring that forests are being sustainably managed, as well as a desire by landowners to demonstrate their commitment to responsible stewardship.

Site Sustainability Plan with FY2015 Performance Data

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

Nichols, Teresa A.; Lapsa, Melissa Voss; Hudey, Bryce D.

Oak Ridge National Laboratory (ORNL) is both the largest science and energy laboratory in the US Department of Energy (DOE) complex and one of the oldest national laboratories still operating at its original site. ORNL implemented an aggressive modernization program in 2000, providing modern, energy-efficient facilities that help to support the growth of important national scientific missions while faced with the unique and challenging opportunity to integrate sustainability into legacy assets. ORNL is committed to leveraging the outcomes of DOE-sponsored research programs to maximize the efficient use of energy and natural resources across a diverse campus. ORNL leadership in conjunctionmore » with the Sustainable Campus Initiative (SCI) maintains a commitment to the integration of technical innovations into new and existing facilities, systems, and processes with a comprehensive approach to achieving DOE directives and the new Executive Order 13693. Energy efficiency, greenhouse gas reductions, climate change resiliency, and other pursuits toward integrated sustainability factor in all we do. ORNL continues to pursue and deploy innovative solutions and initiatives to advance regional, national, and worldwide sustainability and continues to transform its culture and engage employees in supporting sustainability at work, at home, and in the community.« less

The Challenge of Advocacy: The Different Voices of Helen Keller and Burton Blatt.

ERIC Educational Resources Information Center

Smith, J. David

1997-01-01

Comparison of the different advocacy roles of Helen Keller and Burton Blatt finds that Helen Keller's role supports the belief in miracles resulting from unconditional and sustained commitments, whereas Burton Blatt's role illustrates the value of a commitment to human rights and human dignity regardless of any expectation of productivity or…

Shaping professional identity for sustainability. Evidence in Finnish public catering.

PubMed

Mikkola, Minna

2009-08-01

Catering for sustainability is often presented as a legitimate perspective for caterers to promote more equitable economic development locally and across distances through food procurement, integrated with environmental protection and concern for the welfare of customers and staff. Caterers are thus seen as agents responsible for sustainable food systems within their reach. This paper explores how public caterers use their position and productive intelligence in promoting a sustainable food system within the power field of their contextual networks. This article crystallises this 'agency for sustainability' as professional identity for sustainability, the shaping of which is analysed in Finnish public catering. The paper identifies eased and positive, troubled and critical as well as delimited and distancing approaches for sustainability, with respective views and efforts for sustainable food systems. The shaping of professional identity for sustainability could serve as co-operative platform for future contextual developments towards more sustainable food systems. Such progress could result in better alignment with political guidelines for sustainability and caterers' satisfaction due to their heightened professional position reaching beyond 'kitchen walls' to construct everyday sustainability.

Building Planner Commitment : Are California's SB 375 and Oregon's SB 1059 Models for Climate-Change Mitigation?

DOT National Transportation Integrated Search

2017-11-01

California's Sustainable Communities and Climate Protection Act (SB 375) and the Oregon Sustainable Transportation Initiative (SB 1059) have made them the first states in the nation to try and reduce greenhouse gas (GHG) emissions using the transport...

The dynamic of urban and protected areas at Balai Raja Wildlife Reserve, Riau, Indonesia: a social ecology approach

NASA Astrophysics Data System (ADS)

Suwondo; Darmadi; Yunus, M.

2018-01-01

The development process has resulted in deforestation. A comprehensive study is needed to obtain an objective solution by integrating the ecological dimension and human dimension. This study was conducted within Balai Raja Wildlife Reserve (BRWR), Bengkalis Regency, Riau Province, Indonesia. We used the social-ecological systems (SES) approach based on local characteristics, categorized into ecological status, social status and actors. Each factoris ranked using Multi-Dimensional Scaling (MDS).BRWR sustainability levels are in moderate condition. The ecological dimension is in a less sustainable state, with leverage: (1) forest conversion; (2) local ecological knowledge; (3) high conservation value. The social dimension is in a less sustainable state, with leverage: (1) community empowerment; (2) social conflict; (3) participation in landscape management. Dimensions actors are on a fairly sustainable status, with leverage: (1) institutional interaction; (2) stakeholder’s commitment; (3) law enforcement. We recommend strengthening community empowerment, local ecological knowledge, interaction, and stakeholder commitment

Developing sustainable food supply chains.

PubMed

Smith, B Gail

2008-02-27

This paper reviews the opportunities available for food businesses to encourage consumers to eat healthier and more nutritious diets, to invest in more sustainable manufacturing and distribution systems and to develop procurement systems based on more sustainable forms of agriculture. The important factors in developing more sustainable supply chains are identified as the type of supply chain involved and the individual business attitude to extending responsibility for product quality into social and environmental performance within their own supply chains. Interpersonal trust and working to standards are both important to build more sustainable local and many conserved food supply chains, but inadequate to transform mainstream agriculture and raw material supplies to the manufactured and commodity food markets. Cooperation among food manufacturers, retailers, NGOs, governmental and farmers' organizations is vital in order to raise standards for some supply chains and to enable farmers to adopt more sustainable agricultural practices.

Political commitment for vulnerable populations during donor transition.

PubMed

Rodríguez, Daniela C; Whiteside, Alan; Bennett, Sara

2017-02-01

The responsibilities for the programmatic, technical and financial support of health programmes are increasingly being passed from external donors to governments. Programmes for family planning, human immunodeficiency virus, immunization, malaria and tuberculosis have already faced such donor transition, which is a difficult and often political process. Wherever programmes and services aimed at vulnerable populations are primarily supported by donors, the post-transition future is uncertain. Overreliance on donor support is often a reflection of limited domestic political commitment. Limited commitment, which is frequently expressed as the persecution of vulnerable groups, poses a risk to individuals as well as to the effectiveness and sustainability of health programmes. We argue that, for reasons linked to human rights, the social contract and the cost-effectiveness of health promotion, prevention and treatment programmes, it is critical that governments sustain health services for vulnerable populations during and after donor transition. Although civil society organizations could help by engaging with government stakeholders, pushing to change social norms and supporting mechanisms that demand accountability, they may be constrained by economic, political and social factors. Vulnerable populations need to be actively involved in the planning and implementation of donor transition - to ensure that their voice and needs are taken into account and to establish a platform that improves visibility and accountability. As transitions spread across all aspects of global health, transparent conversations about the building and sustainment of political commitment for health services for vulnerable populations become a critical human rights issue.

38 CFR Appendix A to Part 200 - Categorical Exclusions

Code of Federal Regulations, 2010 CFR

2010-07-01

... sustainable or “green” procurement) to support operations and infrastructure, including routine utility... existing adjacent or nearby buildings; and A.4(a)(4) There is no evidence of environmental controversy. A.4... complex, office building in downtown area, row house or vacant lot in an urban area). A.4(e) Demolition...

Sustaining a Nonlinear Integrative Learning Context: Middle Level Teachers' Perspectives.

ERIC Educational Resources Information Center

Powell, Richard; And Others

1997-01-01

Explored how middle level integrativist teachers working in a conventional school district sustain their commitment to integrativist learning. Used ethnographic interviewing, which uncovered four themes in these teachers' perspectives: (1) the very different nature of relationships among teachers and with students; (2) struggles with instructional…

Ethical and practical considerations concerning perimortem sperm procurement in a severe neurologically damaged patient and the apparent discrepancy in validation of proxy consent in various postmortem procedures.

PubMed

Epker, J L; de Groot, Y J; Kompanje, E J O

2012-06-01

Although sperm procurement and preservation has been become commonplace in situations in which infertility can be easily foreseen, peri- or postmortem sperm procurement for reproductive use in unexpected coma or death is not generally accepted. There are no laws and regulations for this kind of intervention in all countries and they may also differ from country to country. Intensive care specialists can be confronted with a request for peri- or postmortem sperm procurement, while not being aware of the country-specific provisions. A young male patient who suffered 17 L blood loss and half an hour of cardiopulmonary resuscitation was admitted to a university hospital for an ill-understood unstoppable abdominal bleed. After rapid deterioration of the neurological situation, due to severe post-anoxic damage, the decision was made to withdraw life-sustaining treatment. At that moment the partner of the patient asked for perimortem sperm procurement, which was denied, on the basis of the ethical reasoning that consent of the man involved was lacking. Retrospectively the decision was right according to Dutch regulations; however, with more time for elaborate ethical reasoning, the decision outcome, without the awareness of an existing prohibition, also could have been different. Guidelines and laws for peri- or postmortem sperm procurement differ from country to country, so any intensive care specialist should have knowledge from the latest legislation for this specific subject in his/her country. An overview is provided. A decision based on ethical reasoning may appear satisfying, but can unfortunately be in full contrast with the existing laws.

Allocating scarce financial resources for HIV treatment: benchmarking prices of antiretroviral medicines in Latin America.

PubMed

Wirtz, Veronika J; Santa-Ana-Tellez, Yared; Trout, Clinton H; Kaplan, Warren A

2012-12-01

Public sector price analyses of antiretroviral (ARV) medicines can provide relevant information to detect ARV procurement procedures that do not obtain competitive market prices. Price benchmarks provide a useful tool for programme managers and policy makers to support such planning and policy measures. The aim of the study was to develop regional and global price benchmarks which can be used to analyse public-sector price variability of ARVs in low- and middle-income countries using the procurement prices of Latin America and the Caribbean (LAC) countries in 2008 as an example. We used the Global Price Reporting Mechanism (GPRM) data base, provided by the World Health Organization (WHO), for 13 LAC countries' ARV procurements to analyse the procurement prices of four first-line and three second-line ARV combinations in 2008. First, a cross-sectional analysis was conducted to compare ARV combination prices. Second, four different price 'benchmarks' were created and we estimated the additional number of patients who could have been treated in each country if the ARV combinations studied were purchased at the various reference ('benchmark') prices. Large price variations exist for first- and second-line ARV combinations between countries in the LAC region. Most countries in the LAC region could be treating between 1.17 and 3.8 times more patients if procurement prices were closer to the lowest regional generic price. For all second-line combinations, a price closer to the lowest regional innovator prices or to the global median transaction price for lower-middle-income countries would also result in treating up to nearly five times more patients. Some rational allocation of financial resources due, in part, to price benchmarking and careful planning by policy makers and programme managers can assist a country in negotiating lower ARV procurement prices and should form part of a sustainable procurement policy.

Civic Commitment in Young Activists: Emergent Processes in the Development of Personal and Collective Identity

ERIC Educational Resources Information Center

Martinez, M. Loreto; Penaloza, Pilar; Valenzuela, Cristina

2012-01-01

Through a qualitative approach this study documents life experiences that youth with a history of sustained social and political participation judge as significant in the development of their civic commitment. Data is drawn from in-depth interviews to 6 Chilean youth (3 ages 16-19; 3 ages 20-24 years) of diverse socioeconomic condition, with a…

Giving voice to wildlands visitors: Selecting indicators to protect and sustain experiences in the eastern arctic of Nunavut

Treesearch

Alan Watson; Brian Glaspell; Neal Christensen; Paul Lachapelle; Vicki Sahanatien; Frances Gertsch

2007-01-01

Many public land management agencies are committed to understanding and protecting recreation visitor experiences. Parks Canada is deeply committed to that objective for visitors to Canada's National Parks. This 2004 study, informed by a 2003 qualitative study of visitor experiences and influences on those experiences at Auyuittuq National Park in Nunavut, worked...

Satellite water quality monitoring in coastal and estuarine waters: a look at SeaWiFS, MODIS, MERIS, and HICO

EPA Science Inventory

The United States Environmental Protection Agency’s charge to protect human health and the environment requires a long-term commitment to creating sustainable solutions to environmental problems. The most direct way to ensure that management practices are achieving sustainability...

Sustainable Architecture that Teaches: Promoting Environmental Education through Service-Learning

ERIC Educational Resources Information Center

Eason, Grace; Berger, Rebecca; Green, Pamela Davis

2010-01-01

The University of Maine at Farmington (UMF) has undertaken a commitment to establish a culture of environmental sustainability. With two new Leadership in Energy and Environmental Design (LEED) certified buildings on site, a green building curriculum has been developed. This multidimensional curriculum involves university faculty, students, K-12…

Personal Sustainability: Listening to Extension Staff and Observing Organizational Culture

ERIC Educational Resources Information Center

Forstadt, Leslie; Fortune, Aileen

2016-01-01

Extension staff are increasingly challenged to do excellent work and balance their lives. University of Maine Cooperative Extension committed to a 2-year participatory action research project to support staff and to an organizational climate that encourages personal sustainability. With tools from ethnography and appreciative inquiry, staff…

Building 4-H Program Capacity and Sustainability through Collaborative Fee-Based Programs

ERIC Educational Resources Information Center

Pellien, Tamara

2016-01-01

Shrinking budgets and increased demands for services and programs are the norm for today's Extension professional. The tasks of procuring grants, developing fund raisers, and pursuing donors require a large investment of time and can lead to mission drift in the pursuit of funding. Implementing a collaborative fee-based program initiative can fund…

The Discourse of the Middle Ground: Citizen Shell Commits to Sustainable Development.

ERIC Educational Resources Information Center

Livesey, Sharon M.

2002-01-01

Uses Foucauldian theory to interpret the Royal Dutch/Shell Group's first annual "report to society" and an expository text by Shell's expert consultant. Analyzes the document and the emerging phenomenon of social reporting in the context of a larger sociopolitical struggle over sustainable development. Reveals how Shell both accommodated…

Identification as Incentive to Care: Pre-Service Teachers' Orientation towards Inclusion in Nature

ERIC Educational Resources Information Center

Gedžune, Inga

2015-01-01

This study proposes identification with nature as a pedagogical technique in teacher education for sustainability to facilitate commitment to care about nonhuman nature, such care being an important underpinning of an inclusive and hence sustainable human-nature relationship. 29 pre-service teachers participated in a series of learning activities…

AASHE Digest 2009. A Review of Campus Sustainability News

ERIC Educational Resources Information Center

Webster, Andrea, Comp.; Sweeney, Seann, Comp.

2010-01-01

This paper includes over 1,250 stories that catalog a broadening and deepening commitment to campus sustainability by colleges and universities in the U.S. and Canada. The 380-page report categorizes stories from nearly 600 higher education institutions into 24 chapters, spanning education and research, campus operations, and administration and…

Facilitating Comprehension, Connection and Commitment to Environmentally Responsible Design

ERIC Educational Resources Information Center

Boehm, Sarah

2015-01-01

Given the increased awareness of the negative effects the building industry has on the environment, designs produced without considering sustainability of the planet can no longer be accepted. Although the concepts of sustainability and environmental responsibility are not new to the field of interior design, a review of the literature reveals…

Indigenous Knowledge and Implications for the Sustainable Development Agenda

ERIC Educational Resources Information Center

Magni, Giorgia

2017-01-01

With the adoption of the 2030 Agenda for Sustainable Development, the international community committed to address a great number of challenges. Among those emphasised by the SDGs, some are highly relevant for indigenous groups. Education, poverty, access to justice and climate change are only a few of the issues affecting indigenous people's…

Business Leaders Committing to and Fostering Sustainability Initiatives

ERIC Educational Resources Information Center

Rimanoczy, Isabel Beatriz

2010-01-01

The purpose of this study was to explore the processes and steps that business leaders go through as they champion sustainability initiatives, seeking to understand the learning strategies, knowledge and supports they found, as well as the mindset that helped them. This research contributes to an emerging body of knowledge that addresses the need…

Sustaining Parenting Education in WI

ERIC Educational Resources Information Center

Riley, Dave; Eisenmann, Kathleen; Gruenewald, Mary

2004-01-01

How can educators ensure that a good parenting program continues to be offered in the community year after year? A project in Wisconsin illustrates one way to create this sustained commitment and funding. This project has worked well, has been fairly easy and inexpensive, and has even led to new opportunities for parenting education. The project…

Enlarging the Human Dimensions of Earth System Science

NASA Astrophysics Data System (ADS)

Seielstad, G. A.; Rattling Leaf, J.

2005-12-01

Sustainability, meaning meeting human needs and values while also preserving Earth's life-support systems, can only be achieved if a just and equitable distribution of access to natural resources exists. The same environment is shared by all peoples; all must have an interest in preserving it; therefore all must receive a fair share of the benefits that preservation allows. As with most sustainability objectives, the most effective strategy remains to "think globally but act locally." In the Northern Great Plains, the Upper Midwest Aerospace Consortium (UMAC) is committed to providing leadership toward sustainability. UMAC realized it needed to serve its region's largest minority, Native Americans, in order to nurture regionally the type of just society a sustainable system demands. The consortium therefore added a tribal university, Sinte Gleska, to its original seven partners. SGU shares with the other consortium universities the longer history Native Americans have with the region's environment and the closer connection they experience to Nature. Both cultures, indigenous and western, benefit. A path has been set that allows Sinte Gleska University to help organize a parallel consortium of tribal colleges committed to economic benefit and responsible planetary stewardship.

Tools and approaches to operationalize the commitment to equity, gender and human rights: towards leaving no one behind in the Sustainable Development Goals.

PubMed

Zamora, Gerardo; Koller, Theadora Swift; Thomas, Rebekah; Manandhar, Mary; Lustigova, Eva; Diop, Adama; Magar, Veronica

2018-01-01

The objective of this article is to present specific resources developed by the World Health Organization on equity, gender and human rights in order to support Member States in operationalizing their commitment to leave no one behind in the health Sustainable Development Goals (SDGs), and other health-related goals and targets. The resources cover: (i) health inequality monitoring; (ii) barrier analysis using mixed methods; (iii) human rights monitoring; (iv) leaving no one behind in national and subnational health sector planning; and (v) equity, gender and human rights in national health programme reviews. Examples of the application of the tools in a range of country contexts are provided for each resource.

Subcellular distribution and mitogenic effect of basic fibroblast growth factor in mesenchymal uncommitted stem cells.

PubMed

Benavente, Claudia A; Sierralta, Walter D; Conget, Paulette A; Minguell, José J

2003-06-01

Uncommitted mesenchymal stem cells (MSC), upon commitment and differentiation give rise to several mature mesenchymal lineages. Although the involvement of specific growth factors, including FGF2, in the development of committed MSC is known, the effect of FGF2 on uncommitted progenitors remains unclear. We have analyzed on a comparative basis, the subcellular distribution and mitogenic effect of FGF2 in committed and uncommitted MSC prepared from human bone marrow. Indirect immunofluorescence studies showed strong nuclear FGF2 staining in both progenitors; however, cytoplasmic staining was only detected in committed cells. Western blot analysis revealed the presence of 22.5 and 21-22 kDa forms of FGF2 in the nucleus of both progenitors; however, their relative content was higher in uncommitted than in committed cells. Exogenous FGF2 stimulated proliferation and sustained quiescence in committed and uncommitted cells, respectively. These results show that both type of progenitors, apart from morphological and proliferative differences, display specific patterns of response to FGF2.

Afghan National Security Forces Facilities: Concerns with Funding, Oversight, and Sustainability for Operation and Maintenance

DTIC Science & Technology

2012-10-01

facilities, such as water supply, waste water treatment , and power generation.  The Ministry of Defense’s procurement process is unable to provide the...the Joint Regional Afghanistan Security Forces Compound Water Treatment System...Ministry of Interior NTM-A North Atlantic Treaty Organization Training Mission-Afghanistan O&M operation and maintenance PCO Primary Contracting Officer

Lifelong Learning and the Pursuit of a Vision for Sustainable Development in Botswana

ERIC Educational Resources Information Center

Maruatona, Tonic

2011-01-01

This paper analyses Botswana's commitment to lifelong learning policy and discusses how it can help the state achieve its vision for sustainable development. First, it argues that while Botswana is renowned for its economic success, it still fails to address positively such traditional challenges as poverty, unemployment and income inequality,…

A Case for Sustainability Pedagogical Content Knowledge in Multicultural Teacher Education

ERIC Educational Resources Information Center

Perry, Robin K.

2013-01-01

If education is going to offer a remedy for rather than exasperate the problem of the ecological and cultural crisis currently being faced, teacher learning must be at the forefront of the discussion. Current efforts to educate for sustainability rely upon teachers who are knowledgeable, skilled, and committed agents for change. The same is true…

Biodiversity Conservation through Environmental Education for Sustainable Development--A Case Study from Puducherry, India

ERIC Educational Resources Information Center

Ramadoss, Alexandar; Poyya Moli, Gopalsamy

2011-01-01

Promoting students commitment to protect local biodiversity is an important goal of education for sustainable development in India and elsewhere. The main focus of the biodiversity education was to create knowledge, interest and necessary skills to solve various biodiversity problems with reference to the local context. In order to develop the…

Creative Arts-Based Pedagogies in Early Childhood Education for Sustainability (EfS): Challenges and Possibilities

ERIC Educational Resources Information Center

Ward, Kumara S.

2013-01-01

This article showcases a creative approach to early childhood education for sustainability (ECEfS). It reports on the author's doctoral research program, which examined the effectiveness of arts-based pedagogies for exploring and understanding the natural world in an early childhood education program. Motivated by their existing commitment to…

After Five Warm and Stormy Years, Higher Ed Leaders Keep Commitment to Confront Climate Change

ERIC Educational Resources Information Center

Dyer, Georges

2012-01-01

Leaders in higher education are standing up to the greatest challenge today by providing education for sustainability, preparing graduates to create a sustainable economy. They are providing the opportunity for more students to access higher education by reigning in costs through energy efficiency and smart building. And by demonstrating…

Sustainable Development: Assessing the Gap between Preaching and Practice at Aalborg University

ERIC Educational Resources Information Center

Christensen, Per; Thrane, Mikkel; Jorgensen, Tine Herreborg; Lehmann, Martin

2009-01-01

Purpose: This article aims to discuss the contradiction between signing an agreement to work for sustainable universities and the lack of practical commitment in one case, namely at Aalborg University (AAU). Focus is placed both on the University's core processes such as education, research and outreach; on the necessary inputs and outputs related…

State Strategies for Sustaining School-to-Work. School-to-Work Intermediary Project. Issue Brief.

ERIC Educational Resources Information Center

Miller, Marc S.; Fleegler, Robert

Venture capital provided under the School to Work Opportunities Act 1994 (STWOA) has promoted significant state and local innovation. STWOA's 7-year lifespan assumed that states made a commitment to building sustainable systems when they applied for funds. As STWOA approaches the end of its lifespan, many states are examining and assessing their…

Investing in Sustainable and Resilient Rural Social Space: Lessons for Teacher Education

ERIC Educational Resources Information Center

White, Simone; Lock, Graeme; Hastings, Wendy; Cooper, Maxine; Reid, Jo-Anne; Green, Bill

2011-01-01

Attracting and retaining effective education leaders and teaching staff for regional, rural and remote schools in Australia is a major sustainability and quality issue facing every State and Territory. It is also a major concern in pre-service teacher education, particularly for those universities which have a commitment to rural and regional…

Teacher Teams That Get Results: 61 Strategies for Sustaining and Renewing Professional Learning Communities

ERIC Educational Resources Information Center

Gregory, Gayle H.; Kuzmich, Lin

2007-01-01

Sustaining results-oriented team efforts is hard work, and achieving diversified solutions to complex issues over time requires commitment an creativity. To support the momentum of learning communities, this book provides an illustrated collection of ready-to-use tools and examples of plans in action for results-oriented faculty and staff.…

Challenges of Integrating Environmental Sustainability Issues into Business School Curriculum: A Case Study from the University of Jyvaskyla, Finland.

ERIC Educational Resources Information Center

Pesonen, Hanna-Leena

2003-01-01

Reviews the history and foundations of a master's program in corporate environmental management at a Finnish university. Provides insights for program development: (1) clear commitment from administrators; (2) content based on environmental science and technology; (3) interdisciplinary approach; (4) diverse approaches to sustainability; and (5)…

One love: explicit monogamy agreements among heterosexual young adult couples at increased risk of sexually transmitted infections.

PubMed

Warren, Jocelyn T; Harvey, S Marie; Agnew, Christopher R

2012-01-01

HIV prevention strategies among couples include condom use, mutual monogamy, and HIV testing. Research suggests that condom use is more likely with new or casual partners, and tends to decline as relationships become steady over time. Little is known, however, about explicit mutual monogamy agreements and HIV testing within heterosexual couples. This study used data from 434 young heterosexual couples at increased risk of HIV and sexually transmitted infections (STIs) to assess (a) couple concordance on perceptions of a monogamy agreement, sustained monogamy, and HIV testing; and (b) the associations of relationship and demographic factors with monogamy agreement, sustained monogamy, and HIV testing. Results indicated only slight to fair agreement within couples on measures of monogamy agreement and sustained monogamy. Overall, 227 couples (52%) concurred that they had an explicit agreement to be monogamous; of those, 162 (71%) had sustained the agreement. Couples with greater health protective communication and commitment were more likely to have a monogamy agreement. Couples of Latino and Hispanic ethnicity and those with children were less likely to have a monogamy agreement. Only commitment was related to sustained monogamy. Having children, greater health protective communication, and perceived vulnerability to HIV and STIs were associated with HIV testing within the couple.

Delayed Referral Results in Missed Opportunities for Organ Donation After Circulatory Death.

PubMed

Krmpotic, Kristina; Payne, Clare; Isenor, Cynthia; Dhanani, Sonny

2017-06-01

Rates of organ donation and transplantation have steadily increased in the United States and Canada over the past decade, largely attributable to a notable increase in donation after circulatory death. However, the number of patients awaiting solid organ transplantation continues to remain much higher than the number of organs transplanted each year. The objective of this study was to determine the potential to increase donation rates further by identifying gaps in the well-established donation after circulatory death process in Ontario. Retrospective cohort study. Provincial organ procurement organization. Patients who died in designated donation hospitals within the province of Ontario, Canada between April 1, 2013, and March 31, 2015. None. Of 1,407 patient deaths following planned withdrawal of life-sustaining therapy, 54.0% (n = 760) were medically suitable for donation after circulatory death. In 438 cases where next of kin was approached, consent rates reached 47.5%. A total of 119 patients became actual organ donors. Only 66.2% (n = 503) of suitable patients were appropriately referred, resulting in 251 missed potential donors whose next of kin could not be approached regarding organ donation because referral occurred after initiation of withdrawal of life-sustaining therapy or not at all. The number of medically suitable patients who die within 2 hours of planned withdrawal of life-sustaining therapy is nearly six times higher than the number of actual organ donors, with the greatest loss of potential due to delayed referral until at the time of or after planned withdrawal of life-sustaining therapy. Intensive care teams are not meeting their ethical responsibility to recognize impending death and appropriately refer potential organ donors to the local organ procurement organization. In cases where patients had previously registered their consent decision, they were denied a healthcare right.

Temperature Profiles of Different Cooling Methods in Porcine Pancreas Procurement

PubMed Central

Weegman, Brad P.; Suszynski, Thomas M.; Scott, William E.; Ferrer, Joana; Avgoustiniatos, Efstathios S.; Anazawa, Takayuki; O’Brien, Timothy D.; Rizzari, Michael D.; Karatzas, Theodore; Jie, Tun; Sutherland, David ER.; Hering, Bernhard J.; Papas, Klearchos K.

2014-01-01

Background Porcine islet xenotransplantation is a promising alternative to human islet allotransplantation. Porcine pancreas cooling needs to be optimized to reduce the warm ischemia time (WIT) following donation after cardiac death, which is associated with poorer islet isolation outcomes. Methods This study examines the effect of 4 different cooling Methods on core porcine pancreas temperature (n=24) and histopathology (n=16). All Methods involved surface cooling with crushed ice and chilled irrigation. Method A, which is the standard for porcine pancreas procurement, used only surface cooling. Method B involved an intravascular flush with cold solution through the pancreas arterial system. Method C involved an intraductal infusion with cold solution through the major pancreatic duct, and Method D combined all 3 cooling Methods. Results Surface cooling alone (Method A) gradually decreased core pancreas temperature to < 10 °C after 30 minutes. Using an intravascular flush (Method B) improved cooling during the entire duration of procurement, but incorporating an intraductal infusion (Method C) rapidly reduced core temperature 15–20 °C within the first 2 minutes of cooling. Combining all methods (Method D) was the most effective at rapidly reducing temperature and providing sustained cooling throughout the duration of procurement, although the recorded WIT was not different between Methods (p=0.36). Histological scores were different between the cooling Methods (p=0.02) and the worst with Method A. There were differences in histological scores between Methods A and C (p=0.02) and Methods A and D (p=0.02), but not between Methods C and D (p=0.95), which may highlight the importance of early cooling using an intraductal infusion. Conclusions In conclusion, surface cooling alone cannot rapidly cool large (porcine or human) pancreata. Additional cooling with an intravascular flush and intraductal infusion results in improved core porcine pancreas temperature profiles during procurement and histopathology scores. These data may also have implications on human pancreas procurement since use of an intraductal infusion is not common practice. PMID:25040217

Production of fortified food for a public supplementary nutrition program: performance and viability of a decentralised production model for the Integrated Child Development Services Program, India.

PubMed

Antier, Clémentine; Kumar, Salil; Bhagwat, Sadhana; Sankar, Rajan

2014-01-01

Integrated Child Development Services in India through its supplementary nutrition programme covers over 100 million children, pregnant and lactating women across the country. Providing a hot cooked meal each day to children aged between 3-6 years and a take-home ration to children aged between 6-36 months, pregnant and lactating women, the Integrated Child Development Services faces a monumental task to deliver this component of services of desired quality and regularity at scale. From intermediaries or contractors who acted as agents for procuring and distributing food to procurement directly from large food manufacturers to using women groups as food producers, different State Governments have adopted a variety of strategies to procure and distribute food, especially the take-home ration. India's Supreme Court, through its directive of 2004, encouraged the Government to engage women's groups for the production of the supplementary food. This study was conducted to determine the operational performance, economic sustainability and social impact of a decentralised production model for India's Supplementary Nutrition Program, in which women groups run smallscale industrialised units. Data were collected through observation, interviews and group discussions with key stakeholders. Operational performance was analysed through standard performance indicators that measured consistency in production, compliance with quality standards and distribution regularity. Assessment of the economic viability included cost structure analysis, five-year projections, and financial ratios. Social impact was assessed using a qualitative approach. The pilot unit has demonstrated its operational performance and cost-efficiency. More data is needed to evaluate the scalability and sustainability of this decentralised model.

[Marketing role of corneal graft tissue donation to an eye bank and donors' socioeconomic profile].

PubMed

Farias, Roberta Jansen de Mello; Sousa, Luciene Barbosa de

2008-01-01

Penetrating keratoplasty has been the leading and the most successful type of transplant in the world, however corneal deficiency is a commom problem usually presented to corneal surgeons. Impact evaluation of the number of corneal graft donations to the Sorocaba Eye Bank after the implementation of a corneal graft procurement system; to draw the socioeconomic profile of corneal graft donors of the Sorocaba Eye Bank (SEB). Retrospective study on donations to SEB from its creation and after the development of media marketing. Prospective analysis of the socioeconomic profile of corneal graft donors by a questionnaire sent as letters to the families of the donors in a certain month. SEB began its work in 1971 by spreading need of organ donation through lectures in churches, shopping malls, community meetings, radio programs, television programs, etc. In the 70s, the number of retrieved corneal grafts was 1 or 2/month. Between 1984 - 1989 a procurement coordination team was trained to act in mortuaries and by 2000 they also began to work in public hospitals. In 1984 only 260 corneal grafts were retrieved. This number has been increasing to 2,778 corneal graft donations in 2004. The questionnaire was answered by 76 of the 93 donor families, with a response rate of 81.7%. Donor age had a mean of 65.1 +/- 14.7 y/o, forty-two (55.3%) were men. Educational level of the donor families was an important factor for organ donation, once 36.8% had concluded high school and 34.2% completed university. The great majority, sixty-three (82.9%) of the corneal grafts were donated through the efforts of the procurement coordination team. The role of the media and institutional credibility are mandatory for public commitment to organ donation. The proficiency of the procurement coordination team requires intensive training, as the results show that 82.9% donations were made thanks to their efforts.

Investing for Sustainable Turnaround. Sustaining School Turnaround at Scale. Brief 2

ERIC Educational Resources Information Center

Education Resource Strategies, 2012

2012-01-01

The Federal government has brought the issue of low-performing schools to the forefront of public conversation by committing $3.5 billion over three years to turn around these schools. As of March 2011, over 1200 schools across the country had been awarded School Improvement Grants (SIG). Given the magnitude of this short-term investment and the…

Sustained Satellite Missions for Climate Data Records

NASA Technical Reports Server (NTRS)

Halpern, David

2012-01-01

Satellite CDRs possess the accuracy, longevity, and stability for sustained moni toring of critical variables to enhance understanding of the global integrated Earth system and predict future conditions. center dot Satellite CDRs are a critical element of a global climate observing system. center dot Satellite CDRs are a difficult challenge and require high - level managerial commitment, extensive intellectual capital, and adequate funding.

The Political Economy of the Munitions Supply Program

DTIC Science & Technology

2014-05-01

franchisees bid their true costs.47 Third, once supply is forthcoming, the franchisee has an incentive to minimize costs unless the franchiser is known... franchisee skimps on quality. In this regard, the franchiser has an incentive to preserve its “smart customer” capabilities, particularly if bids...term procurement program that sustains a domestic munitions industrial base that consists of a group of government- franchised mo- nopolies contracted

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

H2Otel Challenge Support Documents

EPA Pesticide Factsheets

Today’s travelers are increasingly looking for eco-friendly accommodations and a hotel’s commitment to sustainability. WaterSense developed series of tools to support water efficiency in the hospitality sector.

Evolution of quality at the Organ Center of the Organ Procurement and Transplantation Network/United Network for Organ Sharing.

PubMed

Brown, Roger S; Belton, A Matthew; Martin, Judith M; Simmons, Dee Dee; Taylor, Gloria J; Willard, Ellie

2009-09-01

One of the goals of the Organ Center of the Organ Procurement and Transplantation Network/United Network for Organ Sharing is to increase the efficiency of equitable organ allocation in the United States. Recognizing the ever-growing need for organ donors and transplants, leaders at the Organ Center increased its commitment to quality improvement initiatives through the development of a quality management team in 2001. The Organ Center began to focus on ways to capture data on processes and pinpoint areas for improvement. As the collection and analysis of data evolved, the Organ Center embraced formal quality standards, such as improvement cycles. Using these cycles, the Organ Center has seen significant improvement. One initiative involving lifesaving heart, lung, and liver placement showed success by doubling the Organ Center's organ placement rate. Another project involving the validation of donor information demonstrated that the accuracy of organ allocation can be improved by 5% on a consistent basis. As stewards for the gift of life and leaders in organ allocation, the Organ Center uses continuous quality improvement to achieve the goal of increasing the efficiency of equitable organ allocation.

Advance commitment: an alternative approach to the family veto problem in organ procurement.

PubMed

De Wispelaere, Jurgen; Stirton, Lindsay

2010-03-01

This article tackles the current deficit in the supply of cadaveric organs by addressing the family veto in organ donation. The authors believe that the family veto matters-ethically as well as practically-and that policies that completely disregard the views of the family in this decision are likely to be counterproductive. Instead, this paper proposes to engage directly with the most important reasons why families often object to the removal of the organs of a loved one who has signed up to the donor registry-notably a failure to understand fully and deliberate on the information and a reluctance to deal with this sort of decision at an emotionally distressing time. To accommodate these concerns it is proposed to separate radically the process of information, deliberation and agreement about the harvesting of a potential donor's organs from the event of death and bereavement through a scheme of advance commitment. This paper briefly sets out the proposal and discusses in some detail its design as well as what is believed to be the main advantages compared with the leading alternatives.

Advance market commitment for pneumococcal vaccines: putting theory into practice.

PubMed

Cernuschi, Tania; Furrer, Eliane; Schwalbe, Nina; Jones, Andrew; Berndt, Ernst R; McAdams, Susan

2011-12-01

Markets for life-saving vaccines do not often generate the most desired outcomes from a public health perspective in terms of product quantity, quality, affordability, programmatic suitability and/or sustainability for use in the lowest income countries. The perceived risks and uncertainties about sustainably funded demand from developing countries often leads to underinvestment in development and manufacturing of appropriate products. The pilot initiative Advance Market Commitment (AMC) for pneumococcal vaccines, launched in 2009, aims to remove some of these market risks by providing a legally binding forward commitment to purchase vaccines according to predetermined terms. To date, 14 countries have already introduced pneumococcal vaccines through the AMC with a further 39 countries expected to introduce before the end of 2013.This paper describes early lessons learnt on the selection of a target disease and the core design choices for the pilot AMC. It highlights the challenges faced with tailoring the AMC design to the specific supply situation of pneumococcal vaccines. It points to the difficulty - and the AMC's apparent early success - in establishing a long-term, credible commitment in a constantly changing unpredictable environment. It highlights one of the inherent challenges of the AMC: its dependence on continuous donor funding to ensure long-term purchases of products. The paper examines alternative design choices and aims to provide a starting point to inform discussions and encourage debate about the potential application of the AMC concept to other fields.

Safety climate and safety behaviors in the construction industry: The importance of co-workers commitment to safety.

PubMed

Schwatka, Natalie V; Rosecrance, John C

2016-06-16

There is growing empirical evidence that as safety climate improves work site safety practice improve. Safety climate is often measured by asking workers about their perceptions of management commitment to safety. However, it is less common to include perceptions of their co-workers commitment to safety. While the involvement of management in safety is essential, working with co-workers who value and prioritize safety may be just as important. To evaluate a concept of safety climate that focuses on top management, supervisors and co-workers commitment to safety, which is relatively new and untested in the United States construction industry. Survey data was collected from a cohort of 300 unionized construction workers in the United States. The significance of direct and indirect (mediation) effects among safety climate and safety behavior factors were evaluated via structural equation modeling. Results indicated that safety climate was associated with safety behaviors on the job. More specifically, perceptions of co-workers commitment to safety was a mediator between both management commitment to safety climate factors and safety behaviors. These results support workplace health and safety interventions that build and sustain safety climate and a commitment to safety amongst work teams.

National Action Plan for Energy Efficiency

EPA Pesticide Factsheets

Provides resources for policy-makers, consumers, utilities, and others produced through NAPEE - a private-public initiative to create a sustainable, aggressive national commitment to energy efficiency through a collaborative effort of stakeholders.

Making a case for controlled organ donation after cardiac death: the story of Italy's first experience.

PubMed

Vergano, Marco; Magavern, Emma; Baroncelli, Francesca; Frisenda, Valeria; Fonsato, Alessia; Artusio, Diego; Castioni, Carlo Alberto; De Piero, Maria Elena; Abelli, Massimo; Ticozzelli, Elena; Livigni, Sergio

2017-04-01

Donation after circulatory death (DCD) is a valuable option for the procurement of organs for transplantation. In Italy, organ procurement after controlled DCD is legally and ethically conceivable within the current legislative framework. However, although formal impediments do not exist, the health care team is faced with many obstacles that may hinder the implementation of such programs. We report the case of Italy's first controlled DCD, specifically discussing the role of the patient's family in the shared decision-making process. In our case, the death of the patient subsequent to the withdrawal of life-sustaining therapies was consistent with the patient's wishes, showing respect for his dignity and honoring his autonomy, as expressed to his family previously. By making donation possible, the medical team was able to fulfill the family's last request on behalf of the patient. This case should stimulate deliberation regarding the potential to shorten the 20-minute no-touch period currently in place in Italy. Such an action would not have injured this patient and would certainly have increased the quality of the procured organs. Copyright © 2016 Elsevier Inc. All rights reserved.

Hospital-based expert model for health technology procurement planning in hospitals.

PubMed

Miniati, R; Cecconi, G; Frosini, F; Dori, F; Regolini, J; Iadanza, E; Biffi Gentili, G

2014-01-01

Although in the last years technology innovation in healthcare brought big improvements in care level and patient quality of life, hospital complexity and management cost became higher. For this reason, necessity of planning for medical equipment procurement within hospitals is getting more and more important in order to sustainable provide appropriate technology for both routine activity and innovative procedures. In order to support hospital decision makers for technology procurement planning, an expert model was designed as reported in the following paper. It combines the most widely used approaches for technology evaluation by taking into consideration Health Technology Assessment (HTA) and Medical Equipment Replacement Model (MERM). The designing phases include a first definition of prioritization algorithms, then the weighting process through experts' interviews and a final step for the model validation that included both statistical testing and comparison with real decisions. In conclusion, the designed model was able to provide a semi-automated tool that through the use of multidisciplinary information is able to prioritize different requests of technology acquisition in hospitals. Validation outcomes improved the model accuracy and created different "user profiles" according to the specific needs of decision makers.

Petitioning for Involuntary Commitment for Chemical Dependency by Medical Services.

PubMed

Lamoureux, Ian C; Schutt, Paul E; Rasmussen, Keith G

2017-09-01

Patients who have chemical dependency (CD) are commonly encountered on medical and surgical wards, often for illnesses and injuries sustained as a direct result of their substance abuse. When these patients are repeatedly admitted to the hospital in certain states that provide a legal framework to commit chemically dependent persons to a treatment facility, clinicians often wonder whether they should initiate that process. Should consulting psychiatrists choose to initiate the commitment process, they put into motion a resource-intensive, time-consuming mechanism, with uncertain outcomes, both in the courtroom and at the bedside. Petitioning for involuntary commitment to chemical dependency treatment of a patient from medical and surgical services is poorly understood. In this study, we examined a series of patients for whom petitions for judicial commitment in the state of Minnesota were entered over a 12-month period, and evaluated the likelihood of commitment to treatment, the demographics of patients involved, and the outcomes for this series of patients. Three vignettes are presented to illustrate the severity of these patients' illnesses and potential outcomes of the process. We further describe potential limitations of the commitment system and alternatives to CD commitment that could be explored further. © 2017 American Academy of Psychiatry and the Law.

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

Vanvick, T.W.

The Logan Generating Plant (formerly Keystone Cogeneration Project) is a 230 MW (gross) pulverized coal cogeneration facility located on the Delaware River in Logan Township, New Jersey, off Route 130. Owned and operated by U.S. Generating Company, the plant was built by Bechtel Corporation, which provided engineering, procurement, construction, and startup services. Power from the plant is furnished to Atlantic Electric, and approximately 50,000 pounds of process steam per hour is provided to Monsanto`s adjacent facility. U.S. Generating Company is committed to operating plants with close attention to the environment and has developed a specific Environmental Mission Statement. This papermore » addresses some of the key environmental features at the Logan Generating Plant.« less

IGES, a key interface specification for CAD/CAM systems integration

NASA Technical Reports Server (NTRS)

Smith, B. M.; Wellington, J.

1984-01-01

The Initial Graphics Exchange Specification (IGES) program has focused the efforts of 52 companies on the development and documentation of a means of graphics data base exchange among present day CAD/CAM systems. The project's brief history has seen the evolution of the Specification into preliminary industrial usage marked by public demonstrations of vendor capability, mandatory requests in procurement actions, and a formalization into an American National Standard in September 1981. Recent events have demonstrated intersystem data exchange among seven vendor systems with a total of 30 vendors committing to offer IGES capability. A full range of documentation supports the IGES project and the recently approved IGES Version 2.0 of the Specification.

Preparing Our Youth for an Inclusive and Sustainable World: The OECD PISA Global Competence Framework

ERIC Educational Resources Information Center

OECD Publishing, 2018

2018-01-01

In 2015, 193 countries committed to achieving the UN's 17 Sustainable Development Goals (SDGs), a shared vision of humanity that provides the missing piece of the globalisation puzzle. The extent to which that vision becomes a reality will depend on today's classrooms; and it is educators who hold the key to ensuring that the SDGs become a real…

The Long-Term Impact of an Education for Sustainability Course on Israeli Science and Technology Teachers' Pro-Environment Awareness, Commitment and Behaviour

ERIC Educational Resources Information Center

Abramovich, Anat; Loria, Yahavit

2015-01-01

The impact of an Education for Sustainability (EfS) course for science and technology junior high school teachers on the intentional and actual environmental behaviour of participants was studied by researching the EfS implementation of 13 science and technology teachers within their family, community, and work environment. The research was…

White Paper: SSAT Commitment to Workforce Diversity and Healthcare Disparities.

PubMed

Walsh, R Matthew; Jeyarajah, D Rohan; Matthews, Jeffrey B; Telem, Dana; Hawn, Mary T; Michelassi, Fabrizio; Reid-Lomardo, K Marie

2016-05-01

The Society for Surgery of the Alimentary Track (SSAT) is committed to diversity and inclusiveness of its membership, promotion of research related to healthcare disparities, cultural competency of practicing gastrointestinal surgeons, and cultivation of leaders with unique perspectives. The SSAT convened a task force to assess the current state of diversity and inclusion and recommend sustainable initiatives to promote these goals. Working through the current committee structure of the Society, and by establishing a permanent Diversity and Inclusion liaison committee, the SSAT will maintain its commitment and strive towards diversity of thought and inclusiveness on every level to improve the well-being and betterment of its membership and the patients they serve.

Intel International Science and Engineering Fair 2018

EPA Pesticide Factsheets

Since 2009, EPA has exhibited and shared information about environmental protection with the ISEF participants and visitors. recognizes one student whose work demonstrates a commitment to environmental sustainability and stewardship with an award.

Greening Sports through Sustainable Materials Management

EPA Pesticide Factsheets

Across the country, teams, fans, event planners and college campuses are saving energy, cutting waste and cleaning up at sporting events to show their commitment to the environment -- a goal that has many SMM benefits.

EPA's Role with the Organization for Economic Cooperation and Development (OECD)

EPA Pesticide Factsheets

The Organization for Economic Cooperation and Development (OECD) brings together the governments of countries committed to democracy and the market economy from around the world to support sustainable economic growth.

Making the Case for a Model-Based Definition of Engineering Materials (Postprint)

DTIC Science & Technology

2017-09-12

MBE relies on digi- tal representations, or a model-based definition (MBD), to define a product throughout design , manufacturing and sus- tainment...discovery through development, scale-up, product design and qualification, manufacture and sustainment have changed little over the past decades. This...testing data provided a certifiable material definition, so as to minimize risk and simplify procurement of materials during the design , manufacture , and

Joint Improvised Explosive Device Defeat Organization, FY 2009

DTIC Science & Technology

2010-01-01

per incident, IEDs were 14 percent more effective in FY 2009 over FY 2008. Coupled with the significant corresponding increase in IED incidents...Development Testing and Evaluation (RDT&E), procurement, and sustainment of 69 systems. Detect Air Detect Air systems enable the warfighter to detect...Service-oriented centers of excellence (COE): the Army COE at Fort Irwin; the Navy COE at Indian Head, Maryland; the Air Force COE at Lackland Air

Army Equipment Modernization Plan

DTIC Science & Technology

2013-01-01

750 weapons. This weapon is approximately 60 percent lighter than the current weapon – the M2 Heavy Machine Gun . • $21.3M (WTCV) procures 12,000...key soldier Portfolio accomplishments (fY11/12): • Reduced Soldier load in Afghanistan by replac- ing 501 M240B Medium Machine Guns with Lightweight...lightening the Soldier load. » 5,000 additional .50 cal Machine guns supporting increased requirements for Theater and Sustainment, Protection and

Capacities for the Risk Assessment of GMOs: Challenges to Build Sustainable Systems.

PubMed

Fernández Ríos, Danilo; Rubinstein, Clara; Vicién, Carmen

2018-01-01

The need for functional risk assessment bodies in general, and in the biosafety field in particular, demands continued efforts and commitment from regulatory agencies, if results that are sustainable in time are to be achieved. The lack of formal processes that ensure continuity in the application of state of the art scientific criteria, the high rotation in some cases or the lack of experienced professionals, in others, is a challenge to be addressed. Capacity building initiatives with different approaches and degrees of success have been implemented in many countries over the years, supported by diverse governmental and non-governmental organizations. This document summarizes some capacity building experiences in developing countries and concludes that risk assessors taking ownership and regulatory authorities fully committed to developing and retaining highly qualified bodies are a sine qua non to achieve sustainable systems. To this end, it is essential to implement "in-house" continuing education mechanisms supported by external experts and organizations, and inter-institutional cooperation. It has to be noted that these recommendations could only be realized if policy makers understand and appreciate the value of professional, independent regulatory bodies.

Sustainable vaccine development: a vaccine manufacturer's perspective.

PubMed

Rappuoli, Rino; Hanon, Emmanuel

2018-05-08

Vaccination remains the most cost-effective public health intervention after clean water, and the benefits impressively outweigh the costs. The efforts needed to fulfill the steadily growing demands for next-generation and novel vaccines designed for emerging pathogens and new indications are only realizable in a sustainable business model. Vaccine development can be fast-tracked through strengthening international collaborations, and the continuous innovation of technologies to accelerate their design, development, and manufacturing. However, these processes should be supported by a balanced project portfolio, and by managing sustainable vaccine procurement strategies for different types of markets. Collectively this will allow a gradual shift to a more streamlined and profitable vaccine production, which can significantly contribute to the worldwide effort to shape global health. Copyright © 2018 GlaxoSmithKine Biologicals SA. Published by Elsevier Ltd.. All rights reserved.

Evaluation of the national Cleanyourhands campaign to reduce Staphylococcus aureus bacteraemia and Clostridium difficile infection in hospitals in England and Wales by improved hand hygiene: four year, prospective, ecological, interrupted time series study

PubMed Central

Fuller, Christopher; Savage, Joan; Cookson, Barry; Hayward, Andrew; Cooper, Ben; Duckworth, Georgia; Michie, Susan; Murray, Miranda; Jeanes, Annette; Roberts, J; Teare, Louise; Charlett, Andre

2012-01-01

Objective To evaluate the impact of the Cleanyourhands campaign on rates of hospital procurement of alcohol hand rub and soap, report trends in selected healthcare associated infections, and investigate the association between infections and procurement. Design Prospective, ecological, interrupted time series study from 1 July 2004 to 30 June 2008. Setting 187 acute trusts in England and Wales. Intervention Installation of bedside alcohol hand rub, materials promoting hand hygiene and institutional engagement, regular hand hygiene audits, rolled out nationally from 1 December 2004. Main outcome measures Quarterly (that is, every three months) rates for each trust of hospital procurement of alcohol hand rub and liquid soap; Staphylococcus aureus bacteraemia (meticillin resistant (MRSA) and meticillin sensitive (MSSA)) and Clostridium difficile infection for each trust. Associations between procurement and infection rates assessed by mixed effect Poisson regression model (which also accounted for effect of bed occupancy, hospital type, and timing of other national interventions targeting these infections). Results Combined procurement of soap and alcohol hand rub tripled from 21.8 to 59.8 mL per patient bed day; procurement rose in association with each phase of the campaign. Rates fell for MRSA bacteraemia (1.88 to 0.91 cases per 10 000 bed days) and C difficile infection (16.75 to 9.49 cases). MSSA bacteraemia rates did not fall. Increased procurement of soap was independently associated with reduced C difficile infection throughout the study (adjusted incidence rate ratio for 1 mL increase per patient bed day 0.993, 95% confidence interval 0.990 to 0.996; P<0.0001). Increased procurement of alcohol hand rub was independently associated with reduced MRSA bacteraemia, but only in the last four quarters of the study (0.990, 0.985 to 0.995; P<0.0001). Publication of the Health Act 2006 was strongly associated with reduced MRSA bacteraemia (0.86, 0.75 to 0.98; P=0.02) and C difficile infection (0.75, 0.67 to 0.84; P<0.0001). Trust visits by Department of Health improvement teams were also associated with reduced MRSA bacteraemia (0.91, 0.83 to 0.99; P=0.03) and C difficile infection (0.80, 0.71 to 0.90; P=0.01), for at least two quarters after each visit. Conclusions The Cleanyourhands campaign was associated with sustained increases in hospital procurement of alcohol rub and soap, which the results suggest has an important role in reducing rates of some healthcare associated infections. National interventions for infection control undertaken in the context of a high profile political drive can reduce selected healthcare associated infections. PMID:22556101

Evaluation of the national Cleanyourhands campaign to reduce Staphylococcus aureus bacteraemia and Clostridium difficile infection in hospitals in England and Wales by improved hand hygiene: four year, prospective, ecological, interrupted time series study.

PubMed

Stone, Sheldon Paul; Fuller, Christopher; Savage, Joan; Cookson, Barry; Hayward, Andrew; Cooper, Ben; Duckworth, Georgia; Michie, Susan; Murray, Miranda; Jeanes, Annette; Roberts, J; Teare, Louise; Charlett, Andre

2012-05-03

To evaluate the impact of the Cleanyourhands campaign on rates of hospital procurement of alcohol hand rub and soap, report trends in selected healthcare associated infections, and investigate the association between infections and procurement. Prospective, ecological, interrupted time series study from 1 July 2004 to 30 June 2008. 187 acute trusts in England and Wales. Installation of bedside alcohol hand rub, materials promoting hand hygiene and institutional engagement, regular hand hygiene audits, rolled out nationally from 1 December 2004. Quarterly (that is, every three months) rates for each trust of hospital procurement of alcohol hand rub and liquid soap; Staphylococcus aureus bacteraemia (meticillin resistant (MRSA) and meticillin sensitive (MSSA)) and Clostridium difficile infection for each trust. Associations between procurement and infection rates assessed by mixed effect Poisson regression model (which also accounted for effect of bed occupancy, hospital type, and timing of other national interventions targeting these infections). Combined procurement of soap and alcohol hand rub tripled from 21.8 to 59.8 mL per patient bed day; procurement rose in association with each phase of the campaign. Rates fell for MRSA bacteraemia (1.88 to 0.91 cases per 10,000 bed days) and C difficile infection (16.75 to 9.49 cases). MSSA bacteraemia rates did not fall. Increased procurement of soap was independently associated with reduced C difficile infection throughout the study (adjusted incidence rate ratio for 1 mL increase per patient bed day 0.993, 95% confidence interval 0.990 to 0.996; P < 0.0001). Increased procurement of alcohol hand rub was independently associated with reduced MRSA bacteraemia, but only in the last four quarters of the study (0.990, 0.985 to 0.995; P < 0.0001). Publication of the Health Act 2006 was strongly associated with reduced MRSA bacteraemia (0.86, 0.75 to 0.98; P = 0.02) and C difficile infection (0.75, 0.67 to 0.84; P < 0.0001). Trust visits by Department of Health improvement teams were also associated with reduced MRSA bacteraemia (0.91, 0.83 to 0.99; P=0.03) and C difficile infection (0.80, 0.71 to 0.90; P=0.01), for at least two quarters after each visit. The Cleanyourhands campaign was associated with sustained increases in hospital procurement of alcohol rub and soap, which the results suggest has an important role in reducing rates of some healthcare associated infections. National interventions for infection control undertaken in the context of a high profile political drive can reduce selected healthcare associated infections.

The multi-facets of sustainable nanotechnology - Lessons from a nanosafety symposium.

PubMed

George, Saji; Ho, Shirley S; Wong, Esther S P; Tan, Timothy Thatt Yang; Verma, Navin Kumar; Aitken, Robert J; Riediker, Michael; Cummings, Christopher; Yu, Liya; Wang, Zheng Ming; Zink, Daniele; Ng, Zhihan; Loo, Say Chye Joachim; Ng, Kee Woei

2015-05-01

An international symposium for nanosafety was held recently at the Nanyang Technological University in Singapore. Topics relating to understanding nanomaterial properties, tools, and infrastructure required for predicting hazardous outcomes, measuring nanomaterial exposure levels, systems approach for risk assessment and public's perception of nanotechnology were covered. The need for a multidisciplinary approach, across both natural and social sciences, for developing sustainable nanotechnology solutions was heavily emphasized. This commentary highlights the major issues discussed and the commitment of the nanosafety research community in Singapore to contribute collectively to realise the vision of sustainable nanotechnology.

Tracing the policy implementation of commitments made by national governments and other entities at the Third Global Forum on Human Resources for Health

PubMed Central

van de Pas, Remco; Veenstra, Anika; Gulati, Daniel; Van Damme, Wim; Cometto, Giorgio

2017-01-01

We conducted a follow-up analysis of the implementation of the Human Resources for Health (HRH) commitments made by country governments and other actors at the Third Global Forum on HRH in 2013. Since then member states of the WHO endorsed Universal Health Coverage as the main policy objective whereby health systems strengthening, including reinforcement of the health workforce, can contribute to several Sustainable Development Goals. Now is the right time to trace the implementation of these commitments and to assess their contribution to broader global health objectives. The baseline data for this policy tracing study consist of the categorisation and analysis of the HRH commitments conducted in 2014. This analysis was complemented in application of the health policy triangle as its main analytical framework. An online survey and a guideline for semistructured interviews were developed to collect data. Information on the implementation of the commitments is available in 49 countries (86%). The need for multi-actor approaches for HRH policy development is universally recognised. A suitable political window and socioeconomic situation emerge as crucial factors for sustainable HRH development. However, complex crises in different parts of the world have diverted attention from investment in HRH development. The analysis indicates that investment in the health workforce and corresponding policy development relies on political leadership, coherent government strategies, institutional capacity and intersectoral governance mechanisms. The institutional capacity to shoulder such complex tasks varies widely across countries. For several countries, the commitment process provided an opportunity to invest in, develop and reform the health workforce. Nevertheless, the quality of HRH monitoring mechanisms requires more attention. In conclusion, HRH challenges, their different pathways and the intersectorality of the required responses are a concern for all the countries analysed. There is hence a need for national governments and stakeholders across the globe to share responsibilities and invest in this vital issue in a co-ordinated manner. PMID:29104768

75 FR 50843 - 75th Anniversary of the Social Security Act

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... old age.'' Our Nation was entrenched in the Great Depression. Unemployment neared 20 percent, and... new health care law, the Affordable Care Act, helps sustain this commitment and improves the long-term...

Share Your Participation in SmartWay-Best Practices

EPA Pesticide Factsheets

SmartWay partners and affiliates can use the SmartWay logo in a variety of ways to promote their participation in the program and signal their commitment to sustainable freight transportation to customers and clients.

Creating and Sustaining a Collaborative Culture: Lee Richmond School Improved Instruction by Creating a Culture Where It Is Good to Question Instructional Practices and Commit to Finding Answers Together

ERIC Educational Resources Information Center

Akhavan, Nancy

2005-01-01

Creating and sustaining a collaborative culture takes work, effort and focus. If professional development delivered in the classrooms is to be successful, the focus and practice must become part of the school culture (Danielson, 2002). Providing in-classroom professional development has been the key to instructional reform at Lee Richmond…

State procurement law: facilitating the collaboration between health department and school of public health.

PubMed

Huber, George A; Barron, Gerald M; Duchak, Linda S; Raniowski, Martin; Alsahlani, Hazem S; Potter, Margaret A

2014-01-01

The mark of an "academic health department" includes shared activity by academic and practice partners sustained over time. Despite a long history of productive interactivity, the Pennsylvania Department of Health and the University of Pittsburgh's Graduate School of Public Health often faced administrative hurdles in contracting for projects of mutual interest. Seeking to overcome these hurdles, the Commonwealth of Pennsylvania and the University of Pittsburgh's Graduate School of Public Health negotiated a Master Agreement on the basis of statutes designating both as "public procurement units." This provided a template for project specifications, standard financial terms, and a contracting process. Since taking effect, the Master Agreement has supported projects in policy development, capacity building, workforce development, program evaluation, data analysis, and program planning. This experience suggests an approach potentially useful for other states and localities seeking to solidify academic health department partnerships either envisioned for the future or already in place.

Fair equality of opportunity critically reexamined: the family and the sustainability of health care systems.

PubMed

Engelhardt, H Tristram

2012-12-01

A complex interaction of ideological, financial, social, and moral factors makes the financial sustainability of health care systems a challenge across the world. One difficulty is that some of the moral commitments of some health care systems collide with reality. In particular, commitments to equality in access to health care and to fair equality of opportunity undergird an unachievable promise, namely, to provide all with the best of basic health care. In addition, commitments to fair equality of opportunity are in tension with the existence of families, because families are aimed at advantaging their own members in preference to others. Because the social-democratic state is committed to fair equality of opportunity, it offers a web of publicly funded entitlements that make it easier for persons to exit the family and to have children outside of marriage. In the United States, in 2008, 41% of children were born outside of wedlock, whereas, in 1940, the percentage was only 3.8%, and in 1960, 5%, with the further consequence that the social and financial capital generated through families, which aids in supporting health care in families, is diminished. In order to explore the challenge of creating a sustainable health care system that also supports the traditional family, the claims made for fair equality of opportunity in health care are critically reconsidered. This is done by engaging the expository device of John Rawls's original position, but with a thin theory of the good that is substantively different from that of Rawls, one that supports a health care system built around significant copayments, financial counseling, and compulsory savings, with a special focus on enhancing the financial and social capital of the family. This radical recasting of Rawls, which draws inspiration from Singapore, is undertaken as a heuristic to aid in articulating an approach to health care allocation that can lead past the difficulties of social-democratic policy.

Temperature profiles of different cooling methods in porcine pancreas procurement.

PubMed

Weegman, Bradley P; Suszynski, Thomas M; Scott, William E; Ferrer Fábrega, Joana; Avgoustiniatos, Efstathios S; Anazawa, Takayuki; O'Brien, Timothy D; Rizzari, Michael D; Karatzas, Theodore; Jie, Tun; Sutherland, David E R; Hering, Bernhard J; Papas, Klearchos K

2014-01-01

Porcine islet xenotransplantation is a promising alternative to human islet allotransplantation. Porcine pancreas cooling needs to be optimized to reduce the warm ischemia time (WIT) following donation after cardiac death, which is associated with poorer islet isolation outcomes. This study examines the effect of four different cooling Methods on core porcine pancreas temperature (n = 24) and histopathology (n = 16). All Methods involved surface cooling with crushed ice and chilled irrigation. Method A, which is the standard for porcine pancreas procurement, used only surface cooling. Method B involved an intravascular flush with cold solution through the pancreas arterial system. Method C involved an intraductal infusion with cold solution through the major pancreatic duct, and Method D combined all three cooling Methods. Surface cooling alone (Method A) gradually decreased core pancreas temperature to <10 °C after 30 min. Using an intravascular flush (Method B) improved cooling during the entire duration of procurement, but incorporating an intraductal infusion (Method C) rapidly reduced core temperature 15-20 °C within the first 2 min of cooling. Combining all methods (Method D) was the most effective at rapidly reducing temperature and providing sustained cooling throughout the duration of procurement, although the recorded WIT was not different between Methods (P = 0.36). Histological scores were different between the cooling Methods (P = 0.02) and the worst with Method A. There were differences in histological scores between Methods A and C (P = 0.02) and Methods A and D (P = 0.02), but not between Methods C and D (P = 0.95), which may highlight the importance of early cooling using an intraductal infusion. In conclusion, surface cooling alone cannot rapidly cool large (porcine or human) pancreata. Additional cooling with an intravascular flush and intraductal infusion results in improved core porcine pancreas temperature profiles during procurement and histopathology scores. These data may also have implications on human pancreas procurement as use of an intraductal infusion is not common practice. © 2014 John Wiley & Sons A/S Published by John Wiley & Sons Ltd.

Advance market commitment for pneumococcal vaccines: putting theory into practice

PubMed Central

Cernuschi, Tania; Schwalbe, Nina; Jones, Andrew; Berndt, Ernst R; McAdams, Susan

2011-01-01

Abstract Markets for life-saving vaccines do not often generate the most desired outcomes from a public health perspective in terms of product quantity, quality, affordability, programmatic suitability and/or sustainability for use in the lowest income countries. The perceived risks and uncertainties about sustainably funded demand from developing countries often leads to underinvestment in development and manufacturing of appropriate products. The pilot initiative Advance Market Commitment (AMC) for pneumococcal vaccines, launched in 2009, aims to remove some of these market risks by providing a legally binding forward commitment to purchase vaccines according to predetermined terms. To date, 14 countries have already introduced pneumococcal vaccines through the AMC with a further 39 countries expected to introduce before the end of 2013. This paper describes early lessons learnt on the selection of a target disease and the core design choices for the pilot AMC. It highlights the challenges faced with tailoring the AMC design to the specific supply situation of pneumococcal vaccines. It points to the difficulty – and the AMC’s apparent early success – in establishing a long-term, credible commitment in a constantly changing unpredictable environment. It highlights one of the inherent challenges of the AMC: its dependence on continuous donor funding to ensure long-term purchases of products. The paper examines alternative design choices and aims to provide a starting point to inform discussions and encourage debate about the potential application of the AMC concept to other fields. PMID:22271949

An organizational perspective on the long-term sustainability of a nursing best practice guidelines program: a case study.

PubMed

Fleiszer, Andrea R; Semenic, Sonia E; Ritchie, Judith A; Richer, Marie-Claire; Denis, Jean-Louis

2015-12-03

Many healthcare innovations are not sustained over the long term, wasting costly implementation efforts and often desperately-needed initial improvements. Although there have been advances in knowledge about innovation implementation, there has been considerably less attention focused on understanding what happens following the early stages of change. Research is needed to determine how to improve the 'staying power' of healthcare innovations. As almost no empirical knowledge exists about innovation sustainability in nursing, the purpose of our study was to understand how a nursing best practice guidelines (BPG) program was sustained over a long-term period in an acute healthcare centre. We conducted a qualitative descriptive case study to examine the program's sustainability at the nursing department level of the organization. The organization was a large, urban, multi-site acute care centre in Canada. The patient safety-oriented BPG program, initiated in 2004, consisted of an organization-wide implementation of three BPGs: falls prevention, pressure ulcer prevention, and pain management. Data were collected eight years following program initiation through 14 key informant interviews, document reviews, and observations. We developed a framework for the sustainability of healthcare innovations to guide data collection and content analysis. Program sustainability entailed a combination of three essential characteristics: benefits, institutionalization, and development. A constellation of 11 factors most influenced the long-term sustainability of the program. These factors were innovation-, context-, leadership-, and process-related. Three key interactions between factors influencing program sustainability and characteristics of program sustainability accounted for how the program had been sustained. These interactions were between: leadership commitment and benefits; complementarity of leadership actions and both institutionalization and development; and a reflection-and-course-correction strategy and development. Study findings indicate that the successful initial implementation of an organizational program does not automatically lead to longer-term program sustainability. The persistent, complementary, and aligned actions of committed leaders, in a variety of roles across a health centre department, seem necessary. Organizational leaders should consider a broad conceptualization of sustainability that extends beyond program institutionalization and/or program benefits. The development of an organizational program may be necessary for its long-term survival.

Managing environmental sustainability in a healthcare setting.

PubMed

Langstaff, Karen; Brzozowski, Victoria

2017-03-01

How does a hospital sustain its journey towards environmental sustainability? To date, most hospitals have embarked on some strategies for improving environmental performance, whether it's reducing energy or landfill waste. Environmental sustainability strategies, however, can often lose momentum or stagnate if not championed by someone whose full-time role is to assess, monitor, and bring new strategies to the table. In the face of ongoing budget deficits, it is increasingly difficult to get adequate support and buy-in for this type of role unless the leadership of the organization is committed to an environmental sustainability program. This article will examine the strategies and outcomes of an environmental sustainability plan for one hospital from 2008 to present, including best strategies, lessons learned, and what lies ahead of us in the new world of capping greenhouse gas emissions.

Johnson Space Center's Role in a Sustainable Future

NASA Technical Reports Server (NTRS)

Ewert, Michael K.

2004-01-01

NASA scientists and many others are contributing to the growing knowledge of our Earth and its ecosystems. Satellites measure sea level rise, and changes in vegetation and air pollutants that travel between countries and continents. The U.S. federal government seeks to be a leader in environmental sustainability efforts through various Executive Orders and policies that save energy, reduce waste, and encourage less reliance on oil as an energy source. NASA, as an agency that is by nature focused on the future, has much to contribute to these efforts. The NASA mission is 'To understand and protect our home planet, to explore the universe and search for life, to inspire the next generation of explorers as only NASA can.' Pollution prevention, affirmative procurement and sustainable design are all programs that are under way at NASA. But more can be done. By sharing ideas and learning from other organizations as well as from the talented workforce we are a part of, JSC can improve its sustainability performance and spread the benefits to our community.

Sustainable biochar to mitigate global climate change

PubMed Central

Woolf, Dominic; Amonette, James E.; Street-Perrott, F. Alayne; Lehmann, Johannes; Joseph, Stephen

2010-01-01

Production of biochar (the carbon (C)-rich solid formed by pyrolysis of biomass) and its storage in soils have been suggested as a means of abating climate change by sequestering carbon, while simultaneously providing energy and increasing crop yields. Substantial uncertainties exist, however, regarding the impact, capacity and sustainability of biochar at the global level. In this paper we estimate the maximum sustainable technical potential of biochar to mitigate climate change. Annual net emissions of carbon dioxide (CO2), methane and nitrous oxide could be reduced by a maximum of 1.8 Pg CO2-C equivalent (CO2-Ce) per year (12% of current anthropogenic CO2-Ce emissions; 1 Pg=1 Gt), and total net emissions over the course of a century by 130 Pg CO2-Ce, without endangering food security, habitat or soil conservation. Biochar has a larger climate-change mitigation potential than combustion of the same sustainably procured biomass for bioenergy, except when fertile soils are amended while coal is the fuel being offset. PMID:20975722

Joint Improved Explosive Device Defeat Organization. Annual Report FY 2009

DTIC Science & Technology

2009-01-01

incident, IEDs were 14 percent more effective in FY 2009 over FY 2008. Coupled with the significant corresponding increase in IED incidents, this...Testing and Evaluation (RDT&E), procurement, and sustainment of 69 systems. Detect Air Detect Air systems enable the warfighter to detect insurgent...oriented centers of excellence (COE): the Army COE at Fort Irwin; the Navy COE at Indian Head, Maryland; the Air Force COE at Lackland Air Force

Integrated Cost Analysis Teams: How ICATs Support Better Buying Power 2.0

DTIC Science & Technology

2014-06-01

and its procuring contracting officer ( PCO ) with a supportable and sustainable starting position for negotiation. The ICAT can deliver full pricing...proposals as well, arming the PCO with an all-encompassing report. Requesting DCMA assistance is straightforward. The cus- tomer receives a proposal in...any level of support needed to assist the PCO . Conversely, if the schedule is the determining factor, the ICAT can tailor the scope to meet the

Physics Education: A Significant Backbone of Sustainable Development in Developing Countries

NASA Astrophysics Data System (ADS)

Akintola, R. A.

2006-08-01

In the quest for technological self-reliance, many policies, programs and projects have been proposed and implemented in order to procure solutions to the problems of technological inadequacies of developing countries. It has been observed that all these failed. This research identifies the problems and proposes lasting solutions to emancipate physics education in developing nations and highlight possible future gains. The statistical analysis employed was based on questionnaires, interviews and data analysis.

An Investigation of Knowledge Transfer and Retention in a Government Procurement Office

DTIC Science & Technology

2009-03-01

knowledge management. Lubit tells how tacit knowledge is the true source of sustaining a competitive advantage and features rationale for the importance to...reviewed by the Institutional Review Board for suitability of human experimentation and have been approved in accordance with 32 CFR 219, DoD 3216.2, and...with Stochastic Turnover. Eurpoean Journal of Operational Reserch , 169-189. Camm, F. (2003). Adapting Best Commercial Practices to Defense. RAND

Navy Shipbuilding: Significant Investments in the Littoral Combat Ship Continue Amid Substantial Unknowns about Capabilities, Use, and Cost

DTIC Science & Technology

2013-07-01

composed of vice admirals from the requirements, acquisition, and fleet communities, and has the mission of ensuring “the successful procurement...development, manning, training, sustainment, and operational employment” of the LCS, mission packages, and shore 4The LCS block buy contracts include fixed...capabilities, limitations, and safety issues to help reduce design and programmatic risks. Operational testing is intended to assess a weapon system’s

Department of Defense Strategic Sustainability Performance Plan

DTIC Science & Technology

2010-08-26

Evaluating and Prioritizing the Use of Resources A. Evaluating Return on Investment B. Factors in Acquisition and Procurement Decisions C... capacity . Convoy of Fuel and Other Supplies,  Afghanistan • A final challenge is grid vulnerability. DoD’s reliance on a fragile commercial grid to...10 percent of the energy consumed by the Department came from renewable sources when thermal sources were included, such as cogeneration and

Featured Partner: Saddle Creek Logistics Services

EPA Pesticide Factsheets

This EPA fact sheet spotlights Saddle Creek Logistics as a SmartWay partner committed to sustainability in reducing greenhouse gas emissions and air pollution caused by freight transportation, partly by growing its compressed natural gas (CNG) vehicles for

Featured Partner: Georgia-Pacific Consumer Products Group

EPA Pesticide Factsheets

This EPA fact sheet spotlights Georgia-Pacific Consumer Products Group as a SmartWay partner committed to sustainability by improving its transportation efficiency and environmental performance in reducing fuel use and greenhouse gas emissions caused by in

Challenges in conducting research in pediatric long-term care facilities.

PubMed

Larson, Elaine L; Cohen, Bevin; Murray, Meghan; Saiman, Lisa

2014-10-01

Children residing in long-term care facilities (LTCFs) have complex medical problems and unique care needs, yet research in this setting is rare. As part of an intervention study to improve patient safety (Keep It Clean for Kids [KICK]), we describe the challenges encountered and recommend approaches to build a successful and sustained collaborative relationship between pediatric LTCFs and the research team. We implemented a program with 5 components: leadership commitment, active staff participation by the creation of KICK teams, workflow assessments, staff training in the World Health Organization's "5 Moments for Hand Hygiene," and electronic monitoring and feedback to staff regarding hand hygiene practices. Major challenges encountered were establishing trust, building research teams, enhancing staff participation, and engaging families and visitors. Approaches to deal with these challenges are discussed. Conducting research in pediatric LTCFs requires sustained commitment to dealing with challenges and establishing collaborative relationships with administrative and frontline staff. © The Author(s) 2014.

An analysis of 1986 drug procurement practices in hospitals within the United States.

PubMed

Smolarek, R T; Powell, M F; Solomon, D K; Boike, S C

1989-09-01

The purpose of this study was to statistically answer a set of predefined objectives concerning pharmaceutical procurement. The key indicators were assumed to be cost per patient day and turnover rate. Of the 5,911 surveys mailed, 709 surveys were returned for a 12% response rate. The following statements were based on attempts to answer the six predetermined objectives. Pharmaceutical purchasing is controlled by pharmacy departments to the extent that comparisons to pharmaceutical purchasing by materials management departments was not possible. Prime vendor purchasing is the procurement method of choice. Competitive bidding through a group process is so popular that a valid comparison to nongroup bidding could not be accomplished with the results of this survey. Certain variables of group purchasing such as group age, contract adherence, and volume commitment, do not appear to be correlated to purchasing outcomes in this study. When comparing government to private hospitals, the private sector seems to have an advantage in managing turnover rates. Cost per patient day results were less conclusive. As single and multiple hospital systems were compared for purchasing outcomes, the results were not totally conclusive. Although, multiple hospital systems had a significantly higher turnover rate. Finally, a comparison based on the use, or lack of use, of prime vendor arrangements demonstrated interesting results. The duration of contract did not significantly affect the purchasing outcomes. Other hospital variables such as size, type, ownership, and organization, demonstrated notable trends. The importance of examining hospitals based on case mix and mission seems to be most important. Also, the ability to relate purchasing outcomes with formulary management strategies needs further study before conclusive statements can be adopted.

A Supply and Demand Management Perspective on the Accelerated Global Introductions of Inactivated Poliovirus Vaccine in a Constrained Supply Market

PubMed Central

Ottosen, Ann; Rubin, Jennifer; Blanc, Diana Chang; Zipursky, Simona; Wootton, Emily

2017-01-01

Abstract A total of 105 countries have introduced IPV as of September 2016 of which 85 have procured the vaccine through UNICEF. The Global Eradication and Endgame Strategic Plan 2013-2018 called for the rapid introduction of at least one dose of IPV into routine immunization schedules in 126 all OPV-using countries by the end of 2015. At the time of initiating the procurement process, demand was estimated based on global modeling rather than individual country indications. In its capacity as procurement agency for the Global Polio Eradication Initiative and Gavi, the Vaccine Alliance, UNICEF set out to secure access to IPV supply for around 100 countries. Based on offers received, sufficient supply was awarded to two manufacturers to meet projected routine requirements. However, due to technical issues scaling up vaccine production and an unforecasted demand for IPV use in campaigns to interrupt wild polio virus and to control type 2 vaccine derived polio virus outbreaks, IPV supplies are severely constrained. Activities to stretch supplies and to suppress demand have been ongoing since 2014, including delaying IPV introduction in countries where risks of type 2 reintroduction are lower, implementing the multi-dose vial policy, and encouraging the use of fractional dose delivered intradermally. Despite these efforts, there is still insufficient IPV supply to meet demand. The impact of the supply situation on IPV introduction timelines in countries are the focus of this article, and based on lessons learned with the IPV introductions, it is recommended for future health programs with accelerated scale up of programs, to take a cautious approach on supply commitments, putting in place clear allocation criteria in case of shortages or delays and establishing a communication strategy vis a vis beneficiaries. PMID:28838159

Political commitment to tuberculosis control in Ghana.

PubMed

Amo-Adjei, Joshua

2014-01-01

As part of expanding and sustaining tuberculosis (TB) control, the Stop TB Partnership of the World Health Organization initiative has called for strong political commitment to TB control, particularly in developing countries. Framing political commitment within the theoretical imperatives of the political economy of health, this study explores the existing and the expected dimensions of political commitment to TB control in Ghana. Semi-structured in-depth interviews were conducted with 29 purposively selected staff members of the Ghana Health Service and some political officeholders. In addition, the study analysed laws, policies and regulations relevant to TB control. Four dimensions of political commitment emerged from the interviews: provision of adequate resources (financial, human and infrastructural); political authorities' participation in advocacy for TB; laws and policies' promulgation and social protection interventions. Particularly in respect to financial resources, donors such as the Global Fund to Fight AIDS, Tuberculosis and Malaria presently give more than 60% of the working budget of the programme. The documentary review showed that laws, policies and regulations existed that were relevant to TB control, albeit they were not clearly linked.

[Healthcare research in forensic commitment or poking around in the dark : Consensus paper on the necessity for more uniform and better data].

PubMed

Querengässer, J; Bezzel, A; Hoffmann, K; Mache, W; Schiffer, B

2017-11-01

Complex trends in occupancy determined by many influencing factors, clear state-specific differences in imprisonment practices as well as recently implemented statutory alterations to the appropriate paragraphs in criminal law, underline the necessity for qualitative high-grade concomitant research of German forensic commitment; however, neither the structural prerequisites nor an adequate data situation are currently present in order to do justification to this aim. Not even the total number of patients currently accommodated in forensic commitment can be elucidated from the publicized (partial) statistics. This consensus paper, which was formulated by three research institutes active at the state level, describes the limited possibilities for current forensic healthcare research and raises the demand for a nationwide uniform data situation on patients in forensic commitment. Furthermore, how the appropriate elicitation instrument should be organizationally and structurally achieved, is sketched from a scientific perspective. This article aims at initiating a discussion on a sustainable improvement in the prerequisites for healthcare research in German forensic commitment and targets a sensitization of decision makers in politics and administration for this topic.

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

University Leader Support for Sustained Reform in Science Teacher Education

NASA Astrophysics Data System (ADS)

Gobstein, Howard; Bennett, Al; Conoley, Jane; Gottfredson, Michael

2012-02-01

A successful science teacher preparation effort requires commitment and collaboration across the university. Over 125 universities in APLU, the Association of Public and Land-grant Universities, have committed to the Science and Mathematics Teacher Imperative (SMTI) to significantly increase the number, quality and diversity of the teachers they produce. This national initiative is designed to galvanize university leadership to work with their faculties in addressing this critical national need. Come to this informal discussion session for pointers and answers to your questions on how to work with university leadership and education faculty.

[Costly drugs: analysis and proposals for the Mercosur countries].

PubMed

Marín, Gustavo H; Polach, María Andrea

2011-08-01

Determine how the Mercosur countries access, regulate, and finance costly drugs and propose joint selection and financing strategies at the subregional level. Qualitative design, using content analyses of primary and secondary sources, document reviews, interviews, focus groups, and case studies. The variables selected included: selection criteria, access, financing, and regulations in the various countries. Costly drugs were divided into those that do not alter the natural course of the disease and those with demonstrated efficacy, using the defined daily dose to compare the costs of classical treatments and those involving costly drugs. The Mercosur countries generally lack formal strategies for dealing with the demand for costly drugs, and governments and insurers wind up financing them by court order. The case studies show that there are costly drugs whose efficacy has not been established but that nonetheless generate demand. The fragmentation of procurement, international commitments with regard to intellectual property, and low negotiating power exponentially increase the price of costly drugs, putting health system finances in jeopardy. Costly drugs must be regulated and rationally selected so that only those that substantively benefit people are accepted. To finance the drugs so selected, common country strategies are needed that include such options as flexible in trade agreements, the creation of national resource funds, or joint procurement by countries to enhance their negotiating power.

Using electronic data interchange to report product quality

NASA Astrophysics Data System (ADS)

Egan, Donald F.; Frank, Donald T.

1993-03-01

The Product Quality Deficiency Report (PQDR) is a Department of Defense form that identifies deficiencies in the manufacture, repair, or procurement of materiel. It may be used by DoD employees or contractors to identify defects at any point in the item's life. DoD generates nearly 75,000 such deficiency reports each year. In most cases, when a defect is identified, Standard Form (SF) 368 is completed and sent to the activity managing the contract under which the materiel was procured. That activity, usually in conjunction with the contractor, investigates the complaint, attempts to determine a cause and a corrective action, and must make some disposition of the defective materiel. The process is labor- and paper-intensive and time-consuming. Technology can reduce the costs of the process and at the same time improve timeliness by electronically exchanging discrepancy data between activities. Electronic data interchange (EDI) is one technology for electronically passing PQDR data. It is widely used in industry and increasingly within DoD. DMRD 941 defines DoD's commitment to use EDI and cites the PQDR and other discrepancy reports as early candidates for EDI. In this report, we describe how EDI can be linked to changes in PQDR processing practices to provide further improvements.

Determination of Section 404 Permit and Habitat Mitigation Requirements

DOT National Transportation Integrated Search

2012-09-01

The Arizona Department of Transportation (ADOT) is committed to developing habitat, mitigation, : monitoring, and maintenance plans that replace the loss of the functions and values of an area and : are self-sustaining, thereby providing long-term co...

The multi-facets of sustainable nanotechnology – Lessons from a nanosafety symposium

PubMed Central

George, Saji; Ho, Shirley S.; Wong, Esther S. P.; Tan, Timothy Thatt Yang; Verma, Navin Kumar; Aitken, Robert J.; Riediker, Michael; Cummings, Christopher; Yu, Liya; Wang, Zheng Ming; Zink, Daniele; Ng, Zhihan; Loo, Say Chye Joachim; Ng, Kee Woei

2015-01-01

Abstract An international symposium for nanosafety was held recently at the Nanyang Technological University in Singapore. Topics relating to understanding nanomaterial properties, tools, and infrastructure required for predicting hazardous outcomes, measuring nanomaterial exposure levels, systems approach for risk assessment and public’s perception of nanotechnology were covered. The need for a multidisciplinary approach, across both natural and social sciences, for developing sustainable nanotechnology solutions was heavily emphasized. This commentary highlights the major issues discussed and the commitment of the nanosafety research community in Singapore to contribute collectively to realise the vision of sustainable nanotechnology. PMID:25976321

Window of opportunity--positioning food and nutrition policy within a sustainability agenda.

PubMed

Yeatman, Heather

2008-04-01

Public health professionals have an opportunity to refocus national attention on food and nutrition policy, within a sustainability agenda. A broadly based national Food and Nutrition Policy was developed in 1992. However, its implementation has been selective and primarily based within the health sector. Other major policy areas, for example; industry, agriculture and trade, have dominated Australian nutrition and health policy. A broad, whole-of-government commitment to a comprehensive food and nutrition policy that engages with the community is required to achieve outcomes in terms of public health, a sustainable environment and viable food production for future generations.

Evaluating the Sustainability of School-Based Health Centers.

PubMed

Navarro, Stephanie; Zirkle, Dorothy L; Barr, Donald A

2017-01-01

The United States is facing a surge in the number of school-based health centers (SBHCs) owing to their success in delivering positive health outcomes and increasing access to care. To preserve this success, experts have developed frameworks for creating sustainable SBHCs; however, little research has affirmed or added to these models. This research seeks to analyze elements of sustainability in a case study of three SBHCs in San Diego, California, with the purpose of creating a research-based framework of SBHC sustainability to supplement expertly derived models. Using a mixed methods study design, data were collected from interviews with SBHC stakeholders, observations in SBHCs, and SBHC budgets. A grounded theory qualitative analysis and a quantitative budget analysis were completed to develop a theoretical framework for the sustainability of SBHCs. Forty-one interviews were conducted, 6 hours of observations were completed, and 3 years of SBHC budgets were analyzed to identify care coordination, community buy-in, community awareness, and SBHC partner cooperation as key themes of sustainability promoting patient retention for sustainable billing and reimbursement levels. These findings highlight the unique ways in which SBHCs gain community buy-in and awareness by becoming trusted sources of comprehensive and coordinated care within communities and among vulnerable populations. Findings also support ideas from expert models of SBHC sustainability calling for well-defined and executed community partnerships and quality coordinated care in the procurement of sustainable SBHC funding.

Social Support, Religious Endorsement, and Career Commitment: A Study on Saudi Nurses

PubMed Central

Azim, Mohammad T.

2018-01-01

The present study investigates the effect of perceived social support (PSS) and perceived religious endorsement (PRE) on career commitment (CC) of Saudi nurses. The investigation also extends to the moderating role of different demographic and organizational factors in the extent of PSS, and career commitment these nurses report. Data required for meeting these study objectives were collected from male and female Saudi nurses through a structured questionnaire. Multiple regressions using Partial Least Squares based Structural Equation Model, Smart-PLS version 3.0, and independent sample t-test using SPSS version 22.0, were used to analyze data. The study findings reveal that both perceived social support and perceived religious endorsement are important antecedents of career commitment of Saudi nurses. However, private-sector nurses are found to exhibit a significantly higher level of career commitment compared to their public-sector counterparts. Nurses with greater educational attainment perceive higher level of social support and express greater career commitment than their less educated peers. These findings suggest that nursing as a profession should be more openly discussed in both secular and religious contexts, to ensure an adequate level of respect and compassion on behalf of the public. In particular, endorsement from the individual nurses’ social networks is vital in maintaining their wellbeing and career commitment. Given the religious influence in all aspects of life in the Saudi society, the current practice of gender-based segregation in Saudi hospitals and clinics seems to be meaningful for sustaining the career commitment of the nurses. PMID:29320417

Social Support, Religious Endorsement, and Career Commitment: A Study on Saudi Nurses.

PubMed

Azim, Mohammad T; Islam, Mazharul M

2018-01-10

The present study investigates the effect of perceived social support (PSS) and perceived religious endorsement (PRE) on career commitment (CC) of Saudi nurses. The investigation also extends to the moderating role of different demographic and organizational factors in the extent of PSS, and career commitment these nurses report. Data required for meeting these study objectives were collected from male and female Saudi nurses through a structured questionnaire. Multiple regressions using Partial Least Squares based Structural Equation Model, Smart-PLS version 3.0, and independent sample t -test using SPSS version 22.0, were used to analyze data. The study findings reveal that both perceived social support and perceived religious endorsement are important antecedents of career commitment of Saudi nurses. However, private-sector nurses are found to exhibit a significantly higher level of career commitment compared to their public-sector counterparts. Nurses with greater educational attainment perceive higher level of social support and express greater career commitment than their less educated peers. These findings suggest that nursing as a profession should be more openly discussed in both secular and religious contexts, to ensure an adequate level of respect and compassion on behalf of the public. In particular, endorsement from the individual nurses' social networks is vital in maintaining their wellbeing and career commitment. Given the religious influence in all aspects of life in the Saudi society, the current practice of gender-based segregation in Saudi hospitals and clinics seems to be meaningful for sustaining the career commitment of the nurses.

Integrating the environment in local strategic planning : Guidelines (Case of Morocco)

NASA Astrophysics Data System (ADS)

Benbrahim, Hafsa

2018-05-01

Since 2010, an advanced regionalization project has been initiated by Morocco, which plans to consolidate the processes of decentralization and deconcentration by extending the powers of the regions and other local authorities. This project, institutionalized in the 2011 Constitution, defines the territorial organization of the Kingdom and reinforces decentralization according to a model of advanced regionalization. Through advanced regionalization, Morocco aims at integrated and sustainable development in economic, social, cultural and environmental terms, through the development of the potential and resources of each region. However, in order to honor this commitment of advanced regionalization, local authorities must be assisted in adopting a local strategic planning approach, allowing them to develop territorial plans for sustainable development in accordance with the national legal framework, specifically the Framework law 99-12, and international commitments in terms of environmental protection. This research deals with the issue of environmental governance in relation to the role and duties of local authorities. Thus, the main goal of our study is to present the guidelines to be followed by the local authorities to improve the quality of the environment integration process in the local strategic planning with the aim of putting it in a perspective of sustainable development.

[The economic-financial sustainability of the Family Health Strategy in large municipalities].

PubMed

Portela, Gustavo Zoio; Ribeiro, José Mendes

2011-03-01

The universalization of basic care and commitment budget of the Ministry of Health with the Family Health Strategy (ESF) through new systematic financing incentives have been highlighted in the Brazilian health policy scenario. One of the great problems observed is the expansion of the strategy for large urban centres. This paper studies the economic-financial sustainability of ESF in Brazilian municipalities of more than 100 thousand inhabitants according to some selected indicators, considering the geographical region to which they belong, their population size and participation in Project for the Expansion and Consolidation Family Health (Proesf). Municipalities belonging to the Southeast region, more developed of the country, have on average better economic-financial performance, but lower average values of coverage of ESF. Municipalities from the North and Northeast, with the lowest average for economic-financial sustainability indicators, were the ones that made more effort to developments in the period. Thus, we observed the dynamics between bigger fiscal capacity and budgetary commitment with the Health Sector for biggest municipalities and in more economically developed regions, and greater vulnerability and dependence of federative transferences for municipalities with less people, in less developed areas.

Accelerating health equity: the key role of universal health coverage in the Sustainable Development Goals.

PubMed

Tangcharoensathien, Viroj; Mills, Anne; Palu, Toomas

2015-04-29

The Sustainable Development Goals (SDGs), to be committed to by Heads of State at the upcoming 2015 United Nations General Assembly, have set much higher and more ambitious health-related goals and targets than did the Millennium Development Goals (MDGs). The main challenge among MDG off-track countries is the failure to provide and sustain financial access to quality services by communities, especially the poor. Universal health coverage (UHC), one of the SDG health targets indispensable to achieving an improved level and distribution of health, requires a significant increase in government investment in strengthening primary healthcare - the close-to-client service which can result in equitable access. Given the trend of increased fiscal capacity in most developing countries, aiming at long-term progress toward UHC is feasible, if there is political commitment and if focused, effective policies are in place. Trends in high income countries, including an aging population which increases demand for health workers, continue to trigger international migration of health personnel from low and middle income countries. The inspirational SDGs must be matched with redoubled government efforts to strengthen health delivery systems, produce and retain more and relevant health workers, and progressively realize UHC.

Strengthening the career development of clinical translational scientist trainees: a consensus statement of the Clinical Translational Science Award (CTSA) Research Education and Career Development Committees.

PubMed

Meyers, Frederick J; Begg, Melissa D; Fleming, Michael; Merchant, Carol

2012-04-01

The challenges for scholars committed to successful careers in clinical and translational science are increasingly well recognized. The Education and Career Development (EdCD) of the national Clinical and Translational Science Award consortium gathered thought leaders to propose sustainable solutions and an agenda for future studies that would strengthen the infrastructure across the spectrum of pre- and postdoctoral, MD and PhD, scholars. Six consensus statements were prepared that include: (1) the requirement for career development of a qualitatively different investigator; (2) the implications of interdisciplinary science for career advancement including institutional promotion and tenure actions that were developed for discipline-specific accomplishments; (3) the need for long-term commitment of institutions to scholars; (4) discipline-specific curricula are still required but curricula designed to promote team work and interdisciplinary training will promote innovation; (5) PhD trainees have many pathways to career satisfaction and success; and (6) a centralized infrastructure to enhance and reward mentoring is required. Several themes cut across all of the recommendations including team science, innovation, and sustained institutional commitment. Implied themes include an effective and diverse job force and the requirement for a well-crafted public policy that supports continued investments in science education. © 2012 Wiley Periodicals, Inc.

The Dilemmas of Energy: Essential energy services and potentially fatal risks

NASA Astrophysics Data System (ADS)

Perkins, J. H.

2018-01-01

During their evolution, humans have made three energy transitions, each marked by the adoption of new ways of procuring energy with attendant changes in lifestyle. Modern civilization arose in the Third Energy Transition, and its major sources of energy come from coal, oil, gas, uranium, and hydropower. Unfortunately, despite its incalculable benefits, the Third Transition can’t provide sustainable energy services for the indefinite future. Climate change is the most serious problem. Criteria and standards for each of the currently available, nine primary energy sources indicate the potential feasibility of replacing most or all uses of coal, oil, gas, and uranium with hydropower, solar, wind, biomass, and geothermal. This is the Fourth Energy Transition, promotion of which is strongly supported by considerations of sustainability.

Sustainable Cities Programme: a joint UN-HABITAT-UNEP facility on the urban environment with participation of the Dutch government.

PubMed

Gebre-Egziabher, Axumite

2004-06-01

The fundamental objective of the Sustainable Cities Programme is to promote environmentally sustainable local development to more fully realize the vital contributions that urban areas make to over-all social and economic development by: (1) enhancing efficiency in the use of local environmental resources, reducing environmental risks, and strengthening application of environmental conventions and agreements with growing regard to the Climate Change Protocol; (2) reducing poverty by promoting more equitable access to resources and environmental services; (3) mobilizing and strengthening local capacities to plan, co-ordinate, and manage sustainable local development in partnership; and (4) combining the complementary strengths of UN-HABITAT, UNEP, and other partners in support of Agenda 21, and the Habitat Agenda sustainable development commitments including improved local environmental governance.

Sustaining a quality improvement culture in local health departments applying for accreditation.

PubMed

Verma, Pooja; Moran, John W

2014-01-01

This article focuses on local health departments (LHDs) that are advanced in accreditation and quality improvement (QI) efforts and the barriers and facilitators associated with sustaining improvements and building an organizational culture of QI. To understand the barriers and facilitators associated with building and sustaining progress toward a QI culture in LHDs. Quantitative data from a self-reporting survey and qualitative data from telephone interviews. Twenty-two LHDs across the United States responded to the survey. Ten of the 22 LHD respondents participated in telephone interviews. QI lead staff at LHDs that are advanced in accreditation preparation and QI. Self-reported LHD survey ratings against indicators for a QI culture, and the identified barriers and facilitators around sustaining QI initiatives. Of the 6 domains of a QI culture measured in the survey, the percentages of respondents that scored themselves highly to at least 1 indicator in each domain are as follows: leadership commitment (100%); employee empowerment (100%); teamwork and collaboration (100%); continuous process improvement (86%); customer focus (72%); and QI infrastructure (64%). Qualitative data from 10 telephone interviews revealed that key barriers to sustaining progress around QI included staff turnover, budget cuts, and major crises or events that arise as priority. Key facilitators included leadership commitment, accreditation, and dedication of resources and staff time to QI. When engaging in QI, LHDs should consider investing efforts in gaining leadership support and dedicating staff time early in the QI journey to ensure that QI efforts and initiatives are sustained. Local health departments interested in developing a QI culture should also consider pursuing accreditation, as it provides a structured framework for continuous improvement. They should also actively develop QI knowledge and skills among all staff members to minimize the negative impact of staff turnover.

How should greenhouse gas emissions be taken into account in the decision making of municipal solid waste management procurements? A case study of the South Karelia region, Finland

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

Hupponen, M., E-mail: mari.hupponen@lut.fi; Grönman, K.; Horttanainen, M.

Highlights: • Environmental criteria for the MSW incineration location procurements are needed. • Focus should be placed on annual energy efficiency and on substitute fuels. • In SRF combustion it is crucial to know the share and the treatment of rejects. • The GWP of transportation is a small part of the total emissions. - Abstract: The ongoing trend in the public sector is to make more sustainable procurements by taking into account the impacts throughout the entire life cycle of the procurement. Despite the trend, the only deciding factor can still be the total costs. This article answers themore » question of how greenhouse gas (GHG) emissions should be taken into account in municipal solid waste (MSW) management when selecting an incineration plant for source separated mixed MSW. The aim is to guide the decision making of MSW management towards more environmentally friendly procurements. The study was carried out by calculating the global warming potentials (GWPs) and costs of mixed MSW management by using the waste composition from a case area in Finland. Scenarios of landfilling and combustion in three actual waste incineration plants were used to recognise the main processes that affect the results. GWP results show that the combustion of mixed MSW is a better alternative than landfilling the waste. The GHG results from combustion are greatly affected by emissions from the combustion and substituted energy production. The significance of collection and transportation is higher from the costs’ perspective than from the point of view of GHG emissions. The main costs, in addition to collection and transportation costs, result from the energy utilization or landfilling of mixed MSW. When tenders are invited for the incineration location of mixed MSW, the main focus should be: What are the annual electricity and heat recovery efficiencies and which are the substituted fuels in the area? In addition, in the case of a fluidized bed combustor it is crucial to know the combusted share of mixed MSW after preparing solid recovered fuel (SRF) and the treatment of rejects. The environmental criteria for the waste incineration plant procurements should be made in order to obtain clear instructions for the procurement units. The results can also be utilized more widely. The substituted fuels in the area and the effect of the plant location on the utilization of the produced energy can already be identified when planning an appropriate site for the waste incineration plant.« less

Trends in medicines procurement by the Brazilian federal government from 2006 to 2013

PubMed Central

Chama Borges Luz, Tatiana; Garcia Serpa Osorio-de-Castro, Claudia; Magarinos-Torres, Rachel; Wettermark, Bjorn

2017-01-01

The costs of medicines pose a growing burden on healthcare systems worldwide. A comprehensive understanding of current procurement processes provides strong support for the development of effective policies. This study examined Brazilian Federal Government pharmaceutical procurement data provided by the Integrated System for the Administration of General Services (SIASG) database, from 2006 to 2013. Medicine purchases were aggregated by volume and expenditure for each year. Data on expenditure were adjusted for inflation using the Extended National Consumer Price Index (IPCA) for December 31, 2013. Lorenz distribution curves were used to study the cumulative proportion of purchased therapeutic classes. Expenditure variance analysis was performed to determine the impact of each factor, price and/or volume, on total expenditure variation. Annual expenditure on medicines increased 2.72 times, while the purchased volume of drugs increased 1.99 times. A limited number of therapeutic classes dominated expenditure each year. Drugs for infectious diseases drove the increase in expenditures from 2006 to 2009 but were replaced by antineoplastic and immunomodulating agents beginning in 2010. Immunosuppressants (L04), accounted for one third of purchases since 2010, showing the most substantial growth in expenditures during the period (250-fold increase). The overwhelming price-related increase in expenditures caused by these medicines is bound to have a relevant impact on the sustainability of the pharmaceutical supply system. We observed increasing trends in expenditures, especially in specific therapeutic classes. We propose the development and implementation of better medicine procurement systems, and strategies to allow for monitoring of product price, effectiveness, and safety. This must be done with ongoing assessment of pharmaceutical innovations, therapeutic value and budget impact. PMID:28388648

Trends in medicines procurement by the Brazilian federal government from 2006 to 2013.

PubMed

Chama Borges Luz, Tatiana; Garcia Serpa Osorio-de-Castro, Claudia; Magarinos-Torres, Rachel; Wettermark, Bjorn

2017-01-01

The costs of medicines pose a growing burden on healthcare systems worldwide. A comprehensive understanding of current procurement processes provides strong support for the development of effective policies. This study examined Brazilian Federal Government pharmaceutical procurement data provided by the Integrated System for the Administration of General Services (SIASG) database, from 2006 to 2013. Medicine purchases were aggregated by volume and expenditure for each year. Data on expenditure were adjusted for inflation using the Extended National Consumer Price Index (IPCA) for December 31, 2013. Lorenz distribution curves were used to study the cumulative proportion of purchased therapeutic classes. Expenditure variance analysis was performed to determine the impact of each factor, price and/or volume, on total expenditure variation. Annual expenditure on medicines increased 2.72 times, while the purchased volume of drugs increased 1.99 times. A limited number of therapeutic classes dominated expenditure each year. Drugs for infectious diseases drove the increase in expenditures from 2006 to 2009 but were replaced by antineoplastic and immunomodulating agents beginning in 2010. Immunosuppressants (L04), accounted for one third of purchases since 2010, showing the most substantial growth in expenditures during the period (250-fold increase). The overwhelming price-related increase in expenditures caused by these medicines is bound to have a relevant impact on the sustainability of the pharmaceutical supply system. We observed increasing trends in expenditures, especially in specific therapeutic classes. We propose the development and implementation of better medicine procurement systems, and strategies to allow for monitoring of product price, effectiveness, and safety. This must be done with ongoing assessment of pharmaceutical innovations, therapeutic value and budget impact.

Rationale and design of a study using a standardized locally procured macronutrient supplement as adjunctive therapy to HIV treatment in Kenya.

PubMed

Sztam, Kevin A; Ndirangu, Murugi; Sheriff, Muhsin; Arpadi, Stephen M; Hawken, Mark; Rashid, Juma; Deckelbaum, Richard J; El Sadr, Wafaa M

2013-01-01

Poor nutritional status at initiation of antiretroviral therapy (ART) is predictive of mortality. Decreased dietary intake is a major determinant of weight loss in HIV. Despite a biological rationale to treat undernutrition in adults receiving ART, few studies have provided data on feasibility, safety, effectiveness, and sustainability of specific macronutrient supplements with HIV treatment in adults, especially supplements such as a food basket, a supplement approach seldom evaluated in spite of its wide use. We present the rationale and design for a study of a locally procured macronutrient supplement given to HIV-infected patients initiating ART with a body mass index (BMI) ≤20.0 kg/m(2). The objective was to determine feasibility of procurement, distribution, safety and to obtain preliminary effectiveness data for a locally procured supplement. The design was a comparative study for 200 adult participants at two Kenya government-supported clinics. The primary outcome was BMI at 24 weeks. Supplement duration was 24 weeks, total follow-up was 48 weeks, and the study included a comparison site. Novel aspects of this study include use of a standardized macronutrient supplement to protect the participant against household food sharing, and a complementary micronutrient supplement. Comprehensive data collected included dietary intake, HIV-related quality-of-life, food security, neuropsychiatric assessments, laboratory studies, and household geomapping. Assessments were made at baseline, at 24 weeks, and at 48 weeks post-ART initiation. Challenges included establishing a partnership with local millers, distribution from the HIV clinic, food safety, and tracking of participants. These findings will help inform nutrition support programming in Kenya and similar settings, and provide needed data regarding use of macronutrient supplements as an adjunctive intervention with ART.

24 CFR 1003.303 - Project rating.

Code of Federal Regulations, 2010 CFR

2010-04-01

... address the quality and cost effectiveness of the proposed project, the commitment to sustain the proposed... meets the threshold requirements shall be competitively rated within each Area ONAP's jurisdiction under... project costs. (e) Comprehensiveness and coordination. This factor will address the extent to which the...

Local Strategies: Creating and Nurturing Collaborative Communities of Practice

ERIC Educational Resources Information Center

Bauer, Denise; Beaulieu, Elizabeth; Wobbe, Kristin

2017-01-01

Creating meaningful professional development opportunities for general education faculty can be particularly challenging at professionally-focused institutions where teaching liberal arts courses is sometimes viewed merely as a service requirement. Committing to sustained professional development for general education faculty can lead to…

SUSTAINABLE MANAGEMENT APPROACHES AND REVITALIZATION TOOLS - ELECTRONIC (SMARTE) - 09-05-2007

EPA Science Inventory

Revitalization of sites potentially contaminated with environmentally toxic or hazardous materials (e.g., brownfields) is a global concern requiring a multi-disciplinary approach to mitigate the risks to human health and the environment. Many countries have committed extensive re...

Biofuels-Strengthening links between agriculture and military

USDA-ARS?s Scientific Manuscript database

U.S. agricultural producers and military planners share a strong commitment to the commercial-scale development of ready-to-use biofuels that can be sustainably produced using plant-based materials harvested from farms, forests, and other rural lands. Researchers in private business, government, and...

Influence of School Managers' Ethical Leadership Behaviors on Organizational Culture: Teachers' Perceptions

ERIC Educational Resources Information Center

Toytok, Esef Hakan; Kapusuzoglu, Saduman

2016-01-01

Problem Statement: Frequently researched, organizational effectiveness is influenced by leadership, organizational culture and climate, organizational commitment, and job satisfaction; additionally, for effective, sustainable management, ethical leadership, which also influences organizational culture, is emphasized. To our knowledge, no previous…

Y-12 Site Sustainability Plan

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

Spencer, Charles G

2012-12-01

The accomplishments to date and the long-range planning of the Y-12 Energy Management and Sustainability and Stewardship programs support the U.S. Department of Energy (DOE) and the National Nuclear Security Administration (NNSA) vision for a commitment to energy effi ciency and sustainability and to achievement of the Guiding Principles. Specifi cally, the Y-12 vision is to support the Environment, Safety and Health Policy and the DOE Strategic Sustainability Performance Plan, while promoting overall sustainability and reduction of greenhouse gas emissions. The mission of the Y-12 Energy Management program is to incorporate energy-effi cient technologies site-wide and to position Y-12 tomore » meet NNSA energy requirement needs through 2025 and beyond. The plan addresses greenhouse gases, buildings, fleet management, water use, pollution prevention, waste reduction, sustainable acquisition, electronic stewardship and data centers, site innovation and government-wide support.« less

Learning to ignore: acquisition of sustained attentional suppression.

PubMed

Dixon, Matthew L; Ruppel, Justin; Pratt, Jay; De Rosa, Eve

2009-04-01

We examined whether the selection mechanisms committed to the suppression of ignored stimuli can be modified by experience to produce a sustained, rather than transient, change in behavior. Subjects repeatedly ignored the shape of stimuli, while attending to their color. On subsequent attention to shape, there was a robust and sustained decrement in performance that was selective to when shape was ignored across multiple-color-target contexts, relative to a single-color-target context. Thus, amount of time ignored was not sufficient to induce a sustained performance decrement. Moreover, in this group, individual differences in initial color target selection were associated with the subsequent performance decrement when attending to previously ignored stimuli. Accompanying this sustained decrement in performance was a transfer in the locus of suppression from an exemplar (e.g., a circle) to a feature (i.e., shape) level of representation. These data suggest that learning can influence attentional selection by sustained attentional suppression of ignored stimuli.

DoD Life Cycle Management (LCM) and Product Support Manager (PSM) Rapid Deployment Training

DTIC Science & Technology

2010-10-01

fielding, sustainment, and disposal of a DOD system across its life cycle.” (JCIDS Operation Manual) • “The PM shall be the single point of...devote more funds to development and procurement in order to modernize weapon systems . But, in fact, growth in operating and support costs has limited the...Requirements Differently could Reduce Weapon Systems ’ Total Ownership Costs The DoD “Death Spiral” (Source: Dr. Jacques S. Gansler, USD(A&T

Health promotion, environmental health and Agenda 21.

PubMed

Scriven, A; Young, S

1998-04-01

In 1992, at the Rio Earth Summit, many governments, including our own, committed themselves to developing local strategies for sustainable development in the form of Local Agenda 21. Sustainable development is discussed, as is the philosophy and practice of health promotion and environmental health. Common approaches are identified and the links in relation to key areas of activities, strategies, values and principles are outlined. Finally, recommendations are made and conclusions drawn in relation to the overlap between environmental health action, Agenda 21 strategies and health promotion practice.

Industry and water security: overarching conclusions.

PubMed

Stigson, B

2001-01-01

Fresh water is key to sustainable development. World Business Council for Sustainable Development members are addressing fresh water use "within the corporate fenceline". However, to address water issues "outside the corporate fenceline" will require creative new public-private partnerships. Government's role is to provide sound framework conditions that will encourage businesses to invest time, staff and resources to address vital fresh water issues. Industry is committed to best practice within its internal operations and is ready to enter into partnerships to address broader fresh water issues.

How should greenhouse gas emissions be taken into account in the decision making of municipal solid waste management procurements? A case study of the South Karelia region, Finland.

PubMed

Hupponen, M; Grönman, K; Horttanainen, M

2015-08-01

The ongoing trend in the public sector is to make more sustainable procurements by taking into account the impacts throughout the entire life cycle of the procurement. Despite the trend, the only deciding factor can still be the total costs. This article answers the question of how greenhouse gas (GHG) emissions should be taken into account in municipal solid waste (MSW) management when selecting an incineration plant for source separated mixed MSW. The aim is to guide the decision making of MSW management towards more environmentally friendly procurements. The study was carried out by calculating the global warming potentials (GWPs) and costs of mixed MSW management by using the waste composition from a case area in Finland. Scenarios of landfilling and combustion in three actual waste incineration plants were used to recognise the main processes that affect the results. GWP results show that the combustion of mixed MSW is a better alternative than landfilling the waste. The GHG results from combustion are greatly affected by emissions from the combustion and substituted energy production. The significance of collection and transportation is higher from the costs' perspective than from the point of view of GHG emissions. The main costs, in addition to collection and transportation costs, result from the energy utilization or landfilling of mixed MSW. When tenders are invited for the incineration location of mixed MSW, the main focus should be: What are the annual electricity and heat recovery efficiencies and which are the substituted fuels in the area? In addition, in the case of a fluidized bed combustor it is crucial to know the combusted share of mixed MSW after preparing solid recovered fuel (SRF) and the treatment of rejects. The environmental criteria for the waste incineration plant procurements should be made in order to obtain clear instructions for the procurement units. The results can also be utilized more widely. The substituted fuels in the area and the effect of the plant location on the utilization of the produced energy can already be identified when planning an appropriate site for the waste incineration plant. Copyright © 2015 Elsevier Ltd. All rights reserved.

Exploration Into the Business Priorities Related to Corporate Engagement in Community Health Improvement Partnerships.

PubMed

Pronk, Nicolaas P; Baase, Catherine; May, Jeanette; Terry, Paul; Moseley, Karen

2017-11-01

To explore factors that matter to business in making decisions regarding engagement in community health improvement efforts. Using qualitative methods, domains of interest were identified through literature reviews and expert interviews. Relevance of the domains in terms of potential priorities for action was tested through employer and community stakeholder interviews. Factors that employers considered important to sustained community collaboration as a business priority included (1) credibility of the convener, (2) broad representation of the community, (3) strong mission and goals, (4) individual commitment to health, (5) organizational commitment to health, and (6) demonstrated commitment from leadership. Priorities have been identified for engaging business in community health efforts. Implications for research, practice, and policy include the need for measurement, transparency in reporting, and agreement on principles for public-private partnership in this area.

Response of streamflow to projected climate change scenarios in an eastern Himalayan catchment of India

NASA Astrophysics Data System (ADS)

Senzeba, K. T.; Rajkumari, S.; Bhadra, A.; Bandyopadhyay, A.

2016-04-01

Snowmelt run-off model (SRM) based on degree-day approach has been employed to evaluate the change in snow-cover depletion and corresponding streamflow under different projected climatic scenarios for an eastern Himalayan catchment in India. Nuranang catchment located at Tawang district of Arunachal Pradesh with an area of 52 km2 is selected for the present study with an elevation range of 3143-4946 m above mean sea level. Satellite images from October to June of the selected hydrological year 2006-2007 were procured from National Remote Sensing Centre, Hyderabad. Snow cover mapping is done using NDSI method. Based on long term meteorological data, temperature and precipitation data of selected hydrological year are normalized to represent present climatic condition. The projected temperature and precipitation data are downloaded from NCAR's GIS data portal for different emission scenarios (SRES), viz., A1B, A2, B1; and IPCC commitment (non-SRES) scenario for different future years (2020, 2030, 2040 and 2050). Projected temperature and precipitation data are obtained at desired location by spatially interpolating the gridded data and then by statistical downscaling using linear regression. Snow depletion curves for all projected scenarios are generated for the study area and compared with conventional depletion curve for present climatic condition. Changes in cumulative snowmelt depth for different future years are highest under A1B and lowest under IPCC commitment, whereas A2 and B1 values are in-between A1B and IPCC commitment. Percentage increase in streamflow for different future years follows almost the same trend as change in precipitation from present climate under all projected climatic scenarios. Hence, it was concluded that for small catchments having seasonal snow cover, the total streamflow under projected climatic scenarios in future years will be primarily governed by the change in precipitation and not by change in snowmelt depth. Advancing of depletion curves for different future years are highest under A1B and lowest under IPCC commitment. A2 and B1 values are in-between A1B and IPCC commitment.

Sustainability at BPA May 2011

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

None

BPA’s approach to sustainability is built on the agency’s foundation of environmental stewardship partnered with its commitment to operational excellence. Around the world today, sustainable business practices are driving innovation, opening opportunities for resource and cost efficiencies, as well as increasing employee engagement and productivity. Business jumped on the bandwagon early finding that sustainability can be an important component of their company’s competitive advantage. A 2010 survey by the United Nations Global Compact/Accenture of 766 CEOs from around the globe found that, despite the economic downturn, 93 percent of the CEOs surveyed see sustainability as critical to their company’s futuremore » success. Calling on the federal government to “lead by example,” President Barack Obama issued Executive Order 13514 in October 2009 to green the government by improving “environmental, energy and economic performance.”« less

Essential Medicines: An Indian Perspective

PubMed Central

Maiti, Rituparna; Bhatia, Vikas; Padhy, Biswa Mohan; Hota, Debasish

2015-01-01

The concept of defining essential medicines and establishing a list of them was aimed to improve the availability of affordable medicines for the world's poor. Access to essential medicines is a major determinant of health outcomes. Several countries have made substantial progress towards increasing access to essential medicines, but access to essential medicines in developing countries like India is not adequate. In this review we have tried to present the Indian scenario in respect to availability and accessibility of essential medicines over last one decade. To enhance the credibility of Indian healthcare system, procurement and delivery systems of essential medicines have to be strengthened through government commitment, careful selection, adequate public sector financing, efficient distribution systems, control on taxes and duties, and inculcating a culture of rational use of medicines in current and future prescribers. PMID:26435594

A Clean Break

ERIC Educational Resources Information Center

Kennedy, Mike

2010-01-01

Many education institutions have embraced the growing push for sustainable design and have built environmentally friendly facilities that use resources more efficiently. But the plaudits that administrators receive for LEED certification and other recognition of their efforts may be meaningless if the green commitment ends when a building is…

Detailed Life Cycle Assessment of Bounty Paper Towel Operations in the United States

EPA Science Inventory

Life Cycle Assessment (LCA) is a well-established and informative method of understanding the environmental impacts of consumer products across the entire value chain. However, companies committed to sustainability are interested in more methods that examine their products and ac...

Environmentally Conscious Campus Development

ERIC Educational Resources Information Center

Bacher, Lawrence C.

2008-01-01

Colleges and universities have widely responded to the expectation that they should work toward, operate under, and live by principles of sustainability. Eighty-nine of the 260-plus institutions of higher learning in New England (34 percent) have signed the "American College & University Presidents Climate Commitment" to guide their…

Contribution by Departments of Forensic Medicine to Tissue Donation for Transplant Purposes.

PubMed

Malm, Torsten; Sandgren Åkerman, Åsa; Greby, Jesper; Odö, Björn; Henriksson, Bengt-Åke

2016-12-01

A department of forensic medicine (DFM) can be a valuable source for tissue donation, but logistics can prove difficult to overcome as it pertains to obtaining tissues for donation. This article describes the potential of tissues that can be procured for transplantation. Sweden has 9.7 million inhabitants, with an annual mortality rate of 90 000 and 5500 medicolegal autopsies per year. Cooperation between tissue banking and 2 DFMs began in the mid-1980s. Recently, cooperation has expanded to include all six DFMs. All tissue establishments (TEs) were asked to complete a questionnaire concerning their cooperation with DFMs from 2011 through 2013. A total of 298 actual donors were identified; 1090 tissues were procured including cardiovascular tissue, cornea, sclera, ear bones, and skin for transplantation. Of the tissues distributed, 553 were for transplantation and 72 for other medical purposes. Twenty-three percent of the tissues were discarded. Reasons for tissue rejection included deficient tissue quality (65%), positive serology tests (9%), positive bacteriology tests after decontamination procedures (7%), technical errors (<1%), and other reasons (18%). Nineteen percent of all tissues distributed for transplantation came from donors in DFMs. The cooperation between DFMs and TEs was described as well functioning and excellent. Education and national courses in tissue procurement for employees in DFMs are contributing factors to such positive interactions. The support from the National Board of Forensic Medicine is an important factor for sustainable progress.

Accuracy analysis of TDRSS demand forecasts

NASA Technical Reports Server (NTRS)

Stern, Daniel C.; Levine, Allen J.; Pitt, Karl J.

1994-01-01

This paper reviews Space Network (SN) demand forecasting experience over the past 16 years and describes methods used in the forecasts. The paper focuses on the Single Access (SA) service, the most sought-after resource in the Space Network. Of the ten years of actual demand data available, only the last five years (1989 to 1993) were considered predictive due to the extensive impact of the Challenger accident of 1986. NASA's Space Network provides tracking and communications services to user spacecraft such as the Shuttle and the Hubble Space Telescope. Forecasting the customer requirements is essential to planning network resources and to establishing service commitments to future customers. The lead time to procure Tracking and Data Relay Satellites (TDRS's) requires demand forecasts ten years in the future a planning horizon beyond the funding commitments for missions to be supported. The long range forecasts are shown to have had a bias toward underestimation in the 1991 -1992 period. The trend of underestimation can be expected to be replaced by overestimation for a number of years starting with 1998. At that time demand from new missions slated for launch will be larger than the demand from ongoing missions, making the potential for delay the dominant factor. If the new missions appear as scheduled, the forecasts are likely to be moderately underestimated. The SN commitment to meet the negotiated customer's requirements calls for conservatism in the forecasting. Modification of the forecasting procedure to account for a delay bias is, therefore, not advised. Fine tuning the mission model to more accurately reflect the current actual demand is recommended as it may marginally improve the first year forecasting.

A Developmental Perspective on Adolescent Risk Taking in Contemporary America.

ERIC Educational Resources Information Center

Baumrind, Diana

1987-01-01

Adolescent risk-taking behavior needs to be understood in the context of contemporary youth culture and normal development. To facilitate passage through adolescence, parents should sustain a climate of control and commitment balanced by respect for the adolescent's increased capacity for self-regulation. (Author)

Discussing Science in Professional Learning Communities

ERIC Educational Resources Information Center

Harris, Emily; Rosenman, Amelia

2017-01-01

Teachers who participate in the Teacher Institute on Science and Sustainability (TISS) at the California Academy of Sciences commit to intensive professional development--that is, two two-week summer sessions, four evening workshops, and four Professional Learning Community (PLC) meetings throughout each school year--focused on creating more…

Learning Leadership Skills in High School

ERIC Educational Resources Information Center

Bowman, Richard F.

2014-01-01

Leadership is learnable--it begins with leading oneself. Leadership is inspirational--it inspires in others the sustainable values that guide their pursuit of success and significance in life. Inspiration, transparency, trust, reputation, purpose, and commitment have become the operating currency of leadership in a morally interdependent world.…

A pathway to a more sustainable water sector: sustainability-based asset management.

PubMed

Marlow, D R; Beale, D J; Burn, S

2010-01-01

The water sectors of many countries are faced with the need to address simultaneously two overarching challenges; the need to undertake effective asset management coupled with the broader need to evolve business processes so as to embrace sustainability principles. Research has thus been undertaken into the role sustainability principles play in asset management. As part of this research, a series of 25 in-depth interviews were undertaken with water sector professionals from around Australia. Drawing on the results of these interviews, this paper outlines the conceptual relationship between asset management and sustainability along with a synthesis of the relevant opinions voiced in the interviews. The interviews indicated that the participating water authorities have made a strong commitment to sustainability, but there is a need to facilitate change processes to embed sustainability principles into business as usual practices. Interviewees also noted that asset management and sustainability are interlinked from a number of perspectives, especially in the way decision making is undertaken with respect to assets and service provision. The interviews also provided insights into the research needed to develop a holistic sustainability-based asset management framework.

Strengthening the Career Development of Clinical Translational Scientist Trainees: A Consensus Statement of the Clinical Translational Science Award (CTSA) Research Education and Career Development Committees

PubMed Central

Meyers, Frederick J.; Begg, Melissa D.; Fleming, Michael; Merchant, Carol

2012-01-01

Abstract  The challenges for scholars committed to successful careers in clinical and translational science are increasingly well recognized. The Education and Career Development (EdCD) of the national Clinical and Translational Science Award consortium gathered thought leaders to propose sustainable solutions and an agenda for future studies that would strengthen the infrastructure across the spectrum of pre‐ and postdoctoral, MD and PhD, scholars. Six consensus statements were prepared that include: (1) the requirement for career development of a qualitatively different investigator; (2) the implications of interdisciplinary science for career advancement including institutional promotion and tenure actions that were developed for discipline‐specific accomplishments; (3) the need for long‐term commitment of institutions to scholars; (4) discipline‐specific curricula are still required but curricula designed to promote team work and interdisciplinary training will promote innovation; (5) PhD trainees have many pathways to career satisfaction and success; and (6) a centralized infrastructure to enhance and reward mentoring is required. Several themes cut across all of the recommendations including team science, innovation, and sustained institutional commitment. Implied themes include an effective and diverse job force and the requirement for a well‐crafted public policy that supports continued investments in science education. Clin Trans Sci 2012; Volume #: 1–6 PMID:22507118

Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand

PubMed Central

Chongtrakul, Pisonthi; Anuwong, Kunyada; Pumtong, Somying; Kongsomboon, Kedsenee; Butdeemee, Parichart; Khonglormyati, Jurairat; Chomyong, Santi; Tongyoung, Parnuchote; Losiriwat, Suraphol; Seesuk, Piyanooch; Suwanwaree, Pongthep; Tangcharoensathien, Viroj

2012-01-01

Abstract The Antibiotics Smart Use (ASU) programme was introduced in Thailand as a model to promote the rational use of medicines, starting with antibiotics. The programme’s first phase consisted of assessing interventions intended to change prescribing practices; the second phase examined the feasibility of programme scale-up. Currently the programme is in its third phase, which centres on sustainability. This paper describes the concept behind ASU, the programme’s functional modalities, the development of its conceptual framework and the implementation of its first and second phases. To change antibiotic prescription practices, multifaceted interventions at the individual and organizational levels were implemented; to maintain behaviour change and scale up the programme, interventions at the network and policy levels were used. The National Health Security Office has adopted ASU as a pay-for-performance criterion, a major achievement that has led to the programme’s expansion nationwide. Despite limited resources, programme scale-up and sustainability have been facilitated by the promotion of local ownership and mutual recognition, which have generated pride and commitment. ASU is clearly a workable entry point for efforts to rationalize the use of medicines in Thailand. Its long-term sustainability will require continued local commitment and political support, effective auditing and integration of ASU into routine systems with appropriate financial incentives. PMID:23284196

Antibiotics Smart Use: a workable model for promoting the rational use of medicines in Thailand.

PubMed

Sumpradit, Nithima; Chongtrakul, Pisonthi; Anuwong, Kunyada; Pumtong, Somying; Kongsomboon, Kedsenee; Butdeemee, Parichart; Khonglormyati, Jurairat; Chomyong, Santi; Tongyoung, Parnuchote; Losiriwat, Suraphol; Seesuk, Piyanooch; Suwanwaree, Pongthep; Tangcharoensathien, Viroj

2012-12-01

The Antibiotics Smart Use (ASU) programme was introduced in Thailand as a model to promote the rational use of medicines, starting with antibiotics. The programme's first phase consisted of assessing interventions intended to change prescribing practices; the second phase examined the feasibility of programme scale-up. Currently the programme is in its third phase, which centres on sustainability. This paper describes the concept behind ASU, the programme's functional modalities, the development of its conceptual framework and the implementation of its first and second phases. To change antibiotic prescription practices, multifaceted interventions at the individual and organizational levels were implemented; to maintain behaviour change and scale up the programme, interventions at the network and policy levels were used. The National Health Security Office has adopted ASU as a pay-for-performance criterion, a major achievement that has led to the programme's expansion nationwide. Despite limited resources, programme scale-up and sustainability have been facilitated by the promotion of local ownership and mutual recognition, which have generated pride and commitment. ASU is clearly a workable entry point for efforts to rationalize the use of medicines in Thailand. Its long-term sustainability will require continued local commitment and political support, effective auditing and integration of ASU into routine systems with appropriate financial incentives.

Incentivizing secondary raw material markets for sustainable waste management.

PubMed

Schreck, Maximilian; Wagner, Jeffrey

2017-09-01

Notwithstanding several policy initiatives in many countries over a number of years, there remains a general sense that too much municipal solid waste is generated and that too much of the waste that is generated is landfilled. There is an emerging consensus that a sustainable approach to waste management requires further development of secondary raw material markets. The purpose of this paper is to propose a theoretical economic model that focuses upon this stage of a sustainable waste management program and explores policy options that could motivate efficiency in secondary raw material markets. In particular, we show how firm profit and social welfare optimizing objectives can be reconciled in a two-product market of waste management processes: landfilling and material reclamation. Our results provide theoretical support for building out recent Circular Economy initiatives as well as for the relatively recent emergence of landfill mining as a means for procuring secondary raw materials. Copyright © 2017 Elsevier Ltd. All rights reserved.

Robust relativistic bit commitment

NASA Astrophysics Data System (ADS)

Chakraborty, Kaushik; Chailloux, André; Leverrier, Anthony

2016-12-01

Relativistic cryptography exploits the fact that no information can travel faster than the speed of light in order to obtain security guarantees that cannot be achieved from the laws of quantum mechanics alone. Recently, Lunghi et al. [Phys. Rev. Lett. 115, 030502 (2015), 10.1103/PhysRevLett.115.030502] presented a bit-commitment scheme where each party uses two agents that exchange classical information in a synchronized fashion, and that is both hiding and binding. A caveat is that the commitment time is intrinsically limited by the spatial configuration of the players, and increasing this time requires the agents to exchange messages during the whole duration of the protocol. While such a solution remains computationally attractive, its practicality is severely limited in realistic settings since all communication must remain perfectly synchronized at all times. In this work, we introduce a robust protocol for relativistic bit commitment that tolerates failures of the classical communication network. This is done by adding a third agent to both parties. Our scheme provides a quadratic improvement in terms of expected sustain time compared with the original protocol, while retaining the same level of security.

A template for integrated community sustainability planning.

PubMed

Ling, Christopher; Hanna, Kevin; Dale, Ann

2009-08-01

This article describes a template for implementing an integrated community sustainability plan. The template emphasizes community engagement and outlines the components of a basic framework for integrating ecological, social and economic dynamics into a community plan. The framework is a series of steps that support a sustainable community development process. While it reflects the Canadian experience, the tools and techniques have applied value for a range of environmental planning contexts around the world. The research is case study based and draws from a diverse range of communities representing many types of infrastructure, demographics and ecological and geographical contexts. A critical path for moving local governments to sustainable community development is the creation and implementation of integrated planning approaches. To be effective and to be implemented, a requisite shift to sustainability requires active community engagement processes, political will, and a commitment to political and administrative accountability, and measurement.

Teacher perspectives on implementing and sustaining a handwashing promotion intervention in Western Kenyan primary schools.

PubMed

Graves, Janessa M; Finsness, Erica D; Quick, Robert; Nyando Integrated Child Health And Education Project Niche Study Team; Harris, Julie R; Daniell, William E

School-based handwashing programs are challenging to establish and sustain, especially in low-resource settings. This qualitative study described teacher perspectives associated with implementing and sustaining a handwashing program in primary schools participating in the Nyando Integrated Child Health and Education (NICHE) project. Structured key informant interviews were conducted with teachers. Prevalent concepts and themes were grouped into themes and topic areas using an iterative, open coding approach. Forty-one teacher respondents reported favorable expectations and benefits of handwashing programs. The importance of available resources (e.g., reliable water) was cited as a primary concern. Other challenges included time and personal or institutional financial commitment necessary to ensure program sustainability. Handwashing programs in low-income, rural schools, where infrastructure is lacking and "student ambassadors" extend the intervention to the surrounding community, hold great promise to improve community health. Teachers must have adequate support and resources to implement and sustain the programs.

Addressing the social dimensions of citizen observatories: The Ground Truth 2.0 socio-technical approach for sustainable implementation of citizen observatories

NASA Astrophysics Data System (ADS)

Wehn, Uta; Joshi, Somya; Pfeiffer, Ellen; Anema, Kim; Gharesifard, Mohammad; Momani, Abeer

2017-04-01

Owing to ICT-enabled citizen observatories, citizens can take on new roles in environmental monitoring, decision making and co-operative planning, and environmental stewardship. And yet implementing advanced citizen observatories for data collection, knowledge exchange and interactions to support policy objectives is neither always easy nor successful, given the required commitment, trust, and data reliability concerns. Many efforts are facing problems with the uptake and sustained engagement by citizens, limited scalability, unclear long-term sustainability and limited actual impact on governance processes. Similarly, to sustain the engagement of decision makers in citizen observatories, mechanisms are required from the start of the initiative in order to have them invest in and, hence, commit to and own the entire process. In order to implement sustainable citizen observatories, these social dimensions therefore need to be soundly managed. We provide empirical evidence of how the social dimensions of citizen observatories are being addressed in the Ground Truth 2.0 project, drawing on a range of relevant social science approaches. This project combines the social dimensions of citizen observatories with enabling technologies - via a socio-technical approach - so that their customisation and deployment is tailored to the envisaged societal and economic impacts of the observatories. The projects consists of the demonstration and validation of six scaled up citizen observatories in real operational conditions both in the EU and in Africa, with a specific focus on flora and fauna as well as water availability and water quality for land and natural resources management. The demonstration cases (4 EU and 2 African) cover the full 'spectrum' of citizen-sensed data usage and citizen engagement, and therefore allow testing and validation of the socio-technical concept for citizen observatories under a range of conditions.

Elimination of mother-to-child transmission of HIV and syphilis: A dual approach in the African Region to improve quality of antenatal care and integrated disease control.

PubMed

Newman Owiredu, Morkor; Newman, Lori; Nzomo, Theresa; Conombo Kafando, Ghislaine; Sanni, Saliyou; Shaffer, Nathan; Bucagu, Maurice; Peeling, Rosanna; Mark, Jennifer; Diop Toure, Isseu

2015-06-01

The World Health Organization's (WHO) Strategic Framework for the Elimination of New HIV Infections among Children in Africa by 2015 identifies important synergies for the elimination of mother-to-child transmission of HIV and syphilis in terms of prevention interventions, implementation logistics and service delivery, monitoring and evaluation systems, and need for sustained political commitment. The WHO advocates the use of an integrated, rights-based dual approach with partnerships and collaboration to make the best use of available resources. Through a consultative approach, six countries in the African Region committed to dual elimination and developed and implemented action plans for this purpose. Where interest and commitment are high, this may also be possible and effective in other African countries. Copyright © 2015. Published by Elsevier Ireland Ltd.

Eco-Friendly Campuses as Teaching Tools

ERIC Educational Resources Information Center

Erwin, Stephen J.; Kearns, Thomas D.

2008-01-01

Sustainable design projects offer academic communities the opportunity to make the design and operations of their campuses part of the larger lessons of social and environmental responsibility that are integral parts of higher education. In no place is that demonstrated more clearly than in New England, with its long commitment to environmental…

Leadership Strategies in Implementation of High-School Standards-Based Grading Systems

ERIC Educational Resources Information Center

Pritzl, Jerome

2016-01-01

This multi-site case study examined leadership strategies used during successful implementation of standards-based grading systems in three Wisconsin high schools. It found that leaders' reported commitment, patience, and persistence showed evidence of sustainable, high-functioning systems. It drew two main conclusions: first, school leaders need…

Effective Education and Communication Strategies to Promote Environmental Engagement

ERIC Educational Resources Information Center

Zaval, Lisa; Cornwell, James F. M.

2017-01-01

Communicators of climate science seek ways to better educate and motivate individuals to personally commit to sustainable, energy-saving activities. However, critical psychological and social barriers to conservation make this task challenging. Behavioural scientists are well aware of the difficulties that individuals and groups have in responding…

Sustaining Army Civilians: Senior Leaders’ Responsibility

DTIC Science & Technology

2012-02-27

commitment to change; they are the lead agent for the change. Without sufficient and consistent leadership, change is likely to fail. Steve Jobs , former...assessment, he developed and marketed the iPod, iPhone and iPad. When broadband expanded, Apple sales soared. Steve Jobs infused Apple with a culture of

76 FR 3815 - Religious Freedom Day, 2011

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-20

..., and by argument to maintain, their opinion in matters of religion.'' The fundamental principle of... ability of Americans to worship and practice religion as they choose, including the right to believe in no religion at all. However, these liberties are not self- sustaining, and require a stalwart commitment by...

"I Understand the Struggle": Leveraging the Lived Experiences of African American Teachers in TESOL

ERIC Educational Resources Information Center

Siefert, Bobbi; Salas, Spencer; D'amico, Mark M.

2015-01-01

Although TESOL in-service teacher education committed to "culturally sustaining pedagogy" (Paris, 2012) has underscored the critical role of teachers' professional subjectivities for student achievement, relatively few studies have attempted to capture the perspectives of African American classroom teachers working with English language…

Pratfalls, Pitfalls, and Passion: The Melding of Leadership and Social Justice

ERIC Educational Resources Information Center

Noble, Donnette J.

2015-01-01

Frequent conflicts over money, land, power, and other resources make it difficult for some societies to find or sustain any sense of equilibrium. Additionally, racial, ethnic, religious, socioeconomic, educational, and political injustices, among others, require that leaders increase their understanding and commitment to social justice. Such…

Pedagogy at the Brink of the Post-Anthropocene

ERIC Educational Resources Information Center

Wallin, Jason J.

2017-01-01

The significance of educational research is today predicated on its ability to engage with the ecological, economic, and political challenges of the anthropocene, for where we might take seriously education's commitment to the future necessitates a sustained encounter with the implications and questions raised in the wake of "our"…

Embracing the Future: Embedding Digital Repositories in Higher Education Institutions. Research Brief

ERIC Educational Resources Information Center

Hoorens, Stijn; van Dijk, Lidia Villalba; van Stolk, Christian

2009-01-01

This briefing paper captures the key findings and recommendations of a study commissioned by the Joint Information Systems Committee on aspects of the strategic commitment of institutions to repository sustainability. This project, labelled EMBRACE (EMBedding Repositories And Consortial Enhancement), is aimed at enhancing the functionality,…

Annual Adult Education Research Conference Proceedings (40th, DeKalb, Illinois, May 21-23, 1999).

ERIC Educational Resources Information Center

Rose, Amy, Comp.

Among 59 papers are the following:"Women's Transitions from Welfare to Paid Work and Education" (Andruske); "Sustaining Commitment to Social Responsibility" (Armstrong); "Investigation of How Faculty Learn to Teach at a Distance with Technology" (Armstrong); "Examined Life" (Baird); "Dynamics of Adult…

Recharging Our Sense of Idealism: Concluding Thoughts

ERIC Educational Resources Information Center

D'Andrea, Michael; Dollarhide, Colette T.

2011-01-01

In this article, the authors aim to recharge one's sense of idealism. They argue that idealism is the Vitamin C that sustains one's commitment to implementing humanistic principles and social justice practices in the work of counselors and educators. The idealism that characterizes counselors and educators who are humanistic and social justice…

Advancing and Sustaining a Clinical Teacher Preparation Partnership: An Exploratory Qualitative Case Study

ERIC Educational Resources Information Center

Garrido, Melissa Downey

2012-01-01

The national call to "turn [teacher education] upside down" (National Council for Accreditation of Teacher Education, Report of the Blue Ribbon Panel on Clinical Preparation and Partnerships for Improved Student Learning [NCATE], 2010, p. ii) and states' subsequent commitments to pilot recommendations necessitates study of successful…

Can Education Save the World? A Response to David Gruenewald

ERIC Educational Resources Information Center

Stables, Andrew

2004-01-01

Any commitment to education for sustainability assumes that teaching and learning can reduce or prevent damage to the biosphere. However, such an assumption remains deeply problematic. David Gruenewald's is only one of several possible epistemological positions. This article discusses the variety of such positions, arguing for that which might…

S.O.S.: Sustain Our Schools.

ERIC Educational Resources Information Center

Graham, Patricia Albjerg

The goal of American education must be to provide more learning for more people. Accomplishing this objective will require formidable commitments of social will, educational expertise, and financial resources. Although there are many good schools in America, many others face many impediments in their efforts to educate children. Obstacles for…

A Guide to Developing a Sustainable Food Purchasing Policy

ERIC Educational Resources Information Center

Buck, Matthew

2007-01-01

Universities, colleges, hospitals and other institutions throughout the United States are starting to think seriously about the impact of purchasing on the environment, human health, labor, animal welfare and other concerns. It is increasingly clear that, as mission-driven organizations committed to the public good, these institutions can be…

Assessing for Learning: Building a Sustainable Commitment Across the Institution

ERIC Educational Resources Information Center

Maki, Peggy L.

2004-01-01

This book offers colleges and universities a framework and tools to design an effective and collaborative assessment process appropriate for their culture and institution. It encapsulates the approach that Peggy Maki has developed and refined through the hundreds of successful workshops she has presented nationally and internationally. Maki starts…

Sustained transfer of knowledge to practice in long-term care: facilitators and barriers of a mental health learning initiative.

PubMed

Stolee, Paul; McAiney, Carrie A; Hillier, Loretta M; Harris, Diane; Hamilton, Pam; Kessler, Linda; Madsen, Victoria; Le Clair, J Kenneth

2009-01-01

This article explores facilitators and barriers to the impact and sustainability of a learning initiative to increase capacity of long-term care (LTC) homes to manage the mental health needs of older persons, through development of in-house Psychogeriatric Resource Persons (PRPs). Twenty interviews were conducted with LTC staff. Management support, particularly designation of time for PRP activities, development of PRP teams, and supportive learning strategies were significant factors affecting sustained knowledge transfer. Continuing education that is provided and evaluated on an ongoing basis, secures management commitment, is integrated within a broader system strategy, and provides on-the-job support has the greatest potential to affect care.

[On eco-ethics and sustainable development of natural resources].

PubMed

Wang, Qingli; Deng, Hongbing

2002-07-01

In this paper, definition of natural resources was discussed at first, and chief characteristics of natural resources were concluded and summarized systematically. Then, in point of eco-ethics, relationship between natural resources and human was discussed. Human in the contemporary era should hold the responsibilities and commitments to remain abundant resources for survival and development of the offspring, and it is the same important to meet the requirement of human in the contemporary era and the offspring. Bringing eco-ethics into the practice of protection, exploitation, and sustainable development of natural resources has very important theoretic and practical significance undoubtedly. Therefore, approaches and main measures to sustainable development of natural resources were also discussed in this paper.

Closing the gap in a regional health service in NSW: a multi-strategic approach to addressing individual and institutional racism.

PubMed

2012-06-01

Building a culturally safe and respectful organisation that genuinely addresses individual and institutional racism is a substantial and complex undertaking. Achieving this outcome requires sustained commitment and a comprehensive strategy, including the active involvement of Aboriginal stakeholders. This paper describes the journey of a large regional health organisation in NSW. A multi-strategic approach is broadly described, with three strategies explored in depth. These are: staff education and training; leadership; and consultation, negotiation and partnerships. Challenges are discussed in the context of promising progress and an ongoing commitment to this important organisational goal.

Ecosystem objectives to support the UK vision for the marine environment.

PubMed

Rogers, S I; Tasker, M L; Earll, R; Gubbay, S

2007-02-01

European Maritime States already have commitments to protect species and habitats and maintain quality standards in coastal and offshore waters. These are a direct response to environmental legislation in Europe and commitments made to biodiversity conservation in OSPAR and at the World Summit on Sustainable Development. An integrated approach to management requires that these are consistent with the requirements for sustainable development, and include wider social considerations and active stakeholder participation. This review describes a hierarchical framework that incorporates the marine objectives and delivery statements of ecological, social and economic sectors. The framework leads from the UK's guiding principles for sustainable development, through visionary statements and strategic goals for high level delivery, to operational objectives and statements of action which deliver management. Parts of this hierarchy can already be populated for the UK, especially those at the higher levels. At the operational level, however, there is less clarity. The review shows that, despite some gaps, existing commitments for ecological components of the ecosystem are transparent and generally conform to this framework, due largely to high profile government funding of environmental protection and science and a single national vision for the marine environment. Specific objectives for six components of the ecosystem were developed; benthic habitats, seabirds and mammals, phytoplankton and zooplankton, fish, and physical/chemical quality of the water and atmosphere. The objectives included some that avoided limits and others that aimed to achieve targets, and for management to be effective it will be important to have a common understanding of how these can together be interpreted and made operational. In a review of 13 social and economic sectors, few provided a clear breakdown of objectives leading from a high level vision or a sustainable development principle. Six sectors did not have high level government targets for production or other measures of sectoral performance. Such commercial operations generally determine their own operational delivery targets based on market forces. Recent proposals in Europe to create an integrated framework for social, economic and environmental activities will need to carefully balance the development of a strong and competitive marine economy with existing international obligations to environmental protection.

Sustainable and responsible design from a Christian worldview.

PubMed

Eisenbarth, Steven R; Van Treuren, Kenneth W

2004-04-01

Many aspects of design require engineers to make choices based on non-quantifiable personal perspectives. These decisions touch issues in aesthetics, ethics, social impact, and responsibility and sustainability. Part of Baylor University's mission is to provide a learning community in which Christian life values and worldviews might be integrated into academic disciplines. In view of this institutional commitment, members of the Engineering faculty are investigating how Christian worldviews might interact with elements of engineering design in such a way as to produce uniquely Christian insights and inform the non-quantifiable aspects of the engineering process.

[Body image and participation in physical activities by obese subjects].

PubMed

Marcellini, Anne; Perera, Éric; Rodhain, Angélique; Férez, Sylvain

2016-06-08

From a sociological perspective, physical activity and diet are perceived as social and cultural practices, constructed and transmitted within human societies. The body is then thought of as a social construct, a sign and foundation of individual and collective identities. In this context, this article was designed to highlight some social processes underlying the obesity epidemic. Clarifying issues about a medical definition of obesity in an obesogenic society, and theoretical approaches to the meanings of the obesity epidemic are proposed. Individual stories of a gradual shift towards obesity are presented to illustrate the variety of trajectories that can lead to obesity in adulthood but also the variety of subjective experiences about the situation of obesity. In particular, the relationship to the body and experiences in terms of physical activity are investigated in order to understand how obesity is associated with non-commitment, low commitment or abandonment of physical activity. The issue of configurations in which commitment or re-commitments in regular exercise for sedentary populations can be possible are discussed. The discussion shows that although commitment to regular and sustainable physical activity requires a profound transformation of lifestyle for the persons concerned, the collective dimension of this change is rarely taken into account..

The limits of market-based reforms in the NHS: the case of alternative providers in primary care.

PubMed

Coleman, Anna; Checkland, Kath; McDermott, Imelda; Harrison, Stephen

2013-01-01

Historically, primary medical care in the UK has been delivered by general practitioners who are independent contractors, operating under a contract, which until 2004 was subject to little performance management. In keeping with the wider political impetus to introduce markets and competition into the NHS, reforms were introduced to allow new providers to bid for contracts to provide primary care services in England. These contracts known as 'Alternative Provider Medical Services', were encouraged by two centrally-driven rounds of procurement (2007/8 and 2008/9). This research investigated the commissioning and operation of such Alternative Providers of Primary Care (APPCs). Two qualitative case studies were undertaken in purposively sampled English Primary Care Trusts (PCTs) and their associated APPCs over 14 months (2009-10). We observed 65 hours of meetings, conducted 23 interviews with PCT and practice staff, and gathered relevant associated documentation. We found that the procurement and contracting process was costly and time-consuming. Extensive local consultation was undertaken, and there was considerable opposition in some areas. Many APPCs struggled to build up their patient list sizes, whilst over-performing on walk-in contracts. Contracting for APPCs was 'transactional', in marked contrast to the 'relational' contracting usually found in the NHS, with APPCs subject to tight performance management. These complicated and costly processes contrast to those experienced by traditionally owned GP partnerships. However, managers reported that the perception of competition had led existing practices to improve their services. The Coalition Government elected in 2010 is committed to 'Any Qualified Provider' of secondary care, and some commentators argue that this should also be applied to primary care. Our research suggests that, if this is to happen, a debate is needed about the operation of a market in primary care provision, including the trade-offs between transparent processes, fair procurement, performance assurance and cost.

A Supply and Demand Management Perspective on the Accelerated Global Introductions of Inactivated Poliovirus Vaccine in a Constrained Supply Market.

PubMed

Lewis, Ian; Ottosen, Ann; Rubin, Jennifer; Blanc, Diana Chang; Zipursky, Simona; Wootton, Emily

2017-07-01

A total of 105 countries have introduced IPV as of September 2016 of which 85 have procured the vaccine through UNICEF. The Global Eradication and Endgame Strategic Plan 2013-2018 called for the rapid introduction of at least one dose of IPV into routine immunization schedules in 126 all OPV-using countries by the end of 2015. At the time of initiating the procurement process, demand was estimated based on global modeling rather than individual country indications. In its capacity as procurement agency for the Global Polio Eradication Initiative and Gavi, the Vaccine Alliance, UNICEF set out to secure access to IPV supply for around 100 countries. Based on offers received, sufficient supply was awarded to two manufacturers to meet projected routine requirements. However, due to technical issues scaling up vaccine production and an unforecasted demand for IPV use in campaigns to interrupt wild polio virus and to control type 2 vaccine derived polio virus outbreaks, IPV supplies are severely constrained. Activities to stretch supplies and to suppress demand have been ongoing since 2014, including delaying IPV introduction in countries where risks of type 2 reintroduction are lower, implementing the multi-dose vial policy, and encouraging the use of fractional dose delivered intradermally. Despite these efforts, there is still insufficient IPV supply to meet demand. The impact of the supply situation on IPV introduction timelines in countries are the focus of this article, and based on lessons learned with the IPV introductions, it is recommended for future health programs with accelerated scale up of programs, to take a cautious approach on supply commitments, putting in place clear allocation criteria in case of shortages or delays and establishing a communication strategy vis a vis beneficiaries. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

The limits of market-based reforms in the NHS: the case of alternative providers in primary care

PubMed Central

2013-01-01

Background Historically, primary medical care in the UK has been delivered by general practitioners who are independent contractors, operating under a contract, which until 2004 was subject to little performance management. In keeping with the wider political impetus to introduce markets and competition into the NHS, reforms were introduced to allow new providers to bid for contracts to provide primary care services in England. These contracts known as ‘Alternative Provider Medical Services’, were encouraged by two centrally-driven rounds of procurement (2007/8 and 2008/9). This research investigated the commissioning and operation of such Alternative Providers of Primary Care (APPCs). Methods Two qualitative case studies were undertaken in purposively sampled English Primary Care Trusts (PCTs) and their associated APPCs over 14 months (2009-10). We observed 65 hours of meetings, conducted 23 interviews with PCT and practice staff, and gathered relevant associated documentation. Results and conclusions We found that the procurement and contracting process was costly and time-consuming. Extensive local consultation was undertaken, and there was considerable opposition in some areas. Many APPCs struggled to build up their patient list sizes, whilst over-performing on walk-in contracts. Contracting for APPCs was ‘transactional’, in marked contrast to the ‘relational’ contracting usually found in the NHS, with APPCs subject to tight performance management. These complicated and costly processes contrast to those experienced by traditionally owned GP partnerships. However, managers reported that the perception of competition had led existing practices to improve their services. The Coalition Government elected in 2010 is committed to ‘Any Qualified Provider’ of secondary care, and some commentators argue that this should also be applied to primary care. Our research suggests that, if this is to happen, a debate is needed about the operation of a market in primary care provision, including the trade-offs between transparent processes, fair procurement, performance assurance and cost. PMID:23735051

Drug supply strategies, constraints and prospects in Nigeria.

PubMed

Yusuff, K B; Tayo, F

2004-12-01

The study set out to identify the strategies for public drug supply in Nigeria, assess its functionality, and recommend appropriate means to ensure regular availability of safe, efficacious, good quality and affordable essential drugs at public health facilities. The investigation was carried out at the Directorate of Pharmaceutical services, Federal Ministry of Health (F.M.O.H) Abuja and Federal Medical Stores, Oshodi, Lagos. Semi-structured interview was conducted with key informants at the Department of Food & Drugs, Drug procurement unit and Central Medical store using structured questionnaires and direct informants answers. Our study shows that public drug supply in Nigeria is governed by a National Drug Policy (NDP) which was introduced in 1990 and it is yet to be reviewed after ten years. We also identified the Central Medical Store (CMS) system as the current public drug supply strategy in Nigeria. Public drug supply is mainly financed by governments and this is inadequate to ensure sustained availability of essential drugs. The major procurement methods in use are open tender and direct procurement. These methods as presently operated suffer from late order placement, delay in payment and poor supplier lead-time mainly attributable to lateness in payment for previous drug supplies. These have contributed to stock out of essential drugs at public health facilities. Major losses due to expiration and spoilage are recorded at both central and peripheral storage points despite adequacy of storage facilities and personnel. Road transportation was the major mode of drug distribution from central to peripheral storage points and shortage of vehicle was a key factor affecting drug distribution. There was an apparent lack of a functioning drug management information system to effectively coordinate public drug supply and there are no definite systems that monitor and evaluate staff performance. The CMS strategy currently used for public drug supply in Nigeria has not ensured regular availability of essential drugs at public health facilities. Our study suggests that this is more of an administrative failure. Public drug supply in Nigeria is therefore in need of urgent reforms and this could be achieved through the use of an autonomous drug supply agency to assure efficiency and sustainability.

Report of the Secretary of Defense Caspar W. Weinberger to the Congress on the FY 1988/FY 1989 Budget and FY 1988-92 Defense Programs, January 12, 1987.

DTIC Science & Technology

1987-01-01

enough to sustain one wartime station overseas as well as satisfy training and maintenance needs. Advanced TacticalAir Reconnaissance System ( ATARS ...The ATARS is an umbrella concept for a series of upgrades in tactical reconnaissance capabilities. Major elements of the program include the Tactical...Funding Funding Funding E-3A Modifkation Development: $ Millions 105.2 96.8 110.7 88.4 Procurement: Quantity - - - - $ Millions .9 33.5 27.7 40.7 ATARS

Case for real-time systems development - Quo vadis?

NASA Technical Reports Server (NTRS)

Erb, Dona M.

1991-01-01

The paper focuses on the distinctive issues of computer-aided software engineering (CASE) products for the development of real-time systems. CASE technologies and associated standardization efforts are evolving from sets of conflicting interests. The majority of case products are intended for use in the development of management information systems. CASE products to support the development of large, complex real-time systems must provide additional capabilities. Generic concerns include the quality of the implementation of the required method for the phase of the system's development and whether the vendor is stable and committed to evolving the products in parallel with nonproprietary standards. The CASE market is undergoing considerable consolidation. The paper describes the major forces, cooperating entities, and remaining uncertainties that need to be weighed in near-term CASE procurements to limit risk of loss of investment in project time, trianing, and money.

The Global Drug Facility: a unique, holistic and pioneering approach to drug procurement and management

PubMed Central

Ryan, Timothy

2007-01-01

Abstract In January 2006, the Stop TB Partnership launched the Global Plan to Stop TB 2006–2015, which describes the actions and resources needed to reduce tuberculosis (TB) incidence, prevalence and deaths. A fundamental aim of the Global Plan is to expand equitable access to affordable high-quality anti-tuberculous drugs and diagnostics. A principal tool developed by the Stop TB Partnership to achieve this is the Global Drug Facility (GDF). This paper demonstrates the GDF’s unique, holistic and pioneering approach to drug procurement and management by analysing its key achievements. One of these has been to provide 9 million patient-treatments to 78 countries in its first 6 years of operation. The GDF recognized that the incentives provided by free or affordable anti-tuberculosis drugs are not sufficient to induce governments to improve their programmes’ standards and coverage, nor does the provision of free or affordable drugs guarantee that there is broad access to, and use of, drug treatment in cases where procurement systems are weak, regulatory hurdles exist or there are unreliable distribution and storage systems. Thus, the paper also illustrates how the GDF has contributed towards making sustained improvements in the capacity of countries worldwide to properly manage their anti-TB drugs. This paper also assesses some of the limitations, shortcomings and risks associated with the model. The paper concludes by examining the GDF’s key plans and strategies for the future, and the challenges associated with implementation. PMID:17639218

What drives political commitment for nutrition? A review and framework synthesis to inform the United Nations Decade of Action on Nutrition.

PubMed

Baker, Phillip; Hawkes, Corinna; Wingrove, Kate; Demaio, Alessandro Rhyl; Parkhurst, Justin; Thow, Anne Marie; Walls, Helen

2018-01-01

Generating country-level political commitment will be critical to driving forward action throughout the United Nations Decade of Action on Nutrition (2016-2025). In this review of the empirical nutrition policy literature, we ask: what factors generate, sustain and constrain political commitment for nutrition, how and under what circumstances? Our aim is to inform strategic 'commitment-building' actions. We adopted a framework synthesis method and realist review protocol. An initial framework was derived from relevant theory and then populated with empirical evidence to test and modify it. Five steps were undertaken: initial theoretical framework development; search for relevant empirical literature; study selection and quality appraisal; data extraction, analysis and synthesis and framework modification. 75 studies were included. We identified 18 factors that drive commitment, organised into five categories: actors; institutions; political and societal contexts; knowledge, evidence and framing; and, capacities and resources. Irrespective of country-context, effective nutrition actor networks, strong leadership, civil society mobilisation, supportive political administrations, societal change and focusing events, cohesive and resonant framing, and robust data systems and available evidence were commitment drivers. Low-income and middle-income country studies also frequently reported international actors, empowered institutions, vertical coordination and capacities and resources. In upper-middle-income and high-income country studies, private sector interference frequently undermined commitment. Political commitment is not something that simply exists or emerges accidentally; it can be created and strengthened over time through strategic action. Successfully generating commitment will likely require a core set of actions with some context-dependent adaptations. Ultimately, it will necessitate strategic actions by cohesive, resourced and strongly led nutrition actor networks that are responsive to the multifactorial, multilevel and dynamic political systems in which they operate and attempt to influence. Accelerating the formation and effectiveness of such networks over the Nutrition Decade should be a core task for all actors involved.

What drives political commitment for nutrition? A review and framework synthesis to inform the United Nations Decade of Action on Nutrition

PubMed Central

Baker, Phillip; Hawkes, Corinna; Wingrove, Kate; Parkhurst, Justin; Thow, Anne Marie; Walls, Helen

2018-01-01

Introduction Generating country-level political commitment will be critical to driving forward action throughout the United Nations Decade of Action on Nutrition (2016–2025). In this review of the empirical nutrition policy literature, we ask: what factors generate, sustain and constrain political commitment for nutrition, how and under what circumstances? Our aim is to inform strategic ‘commitment-building’ actions. Method We adopted a framework synthesis method and realist review protocol. An initial framework was derived from relevant theory and then populated with empirical evidence to test and modify it. Five steps were undertaken: initial theoretical framework development; search for relevant empirical literature; study selection and quality appraisal; data extraction, analysis and synthesis and framework modification. Results 75 studies were included. We identified 18 factors that drive commitment, organised into five categories: actors; institutions; political and societal contexts; knowledge, evidence and framing; and, capacities and resources. Irrespective of country-context, effective nutrition actor networks, strong leadership, civil society mobilisation, supportive political administrations, societal change and focusing events, cohesive and resonant framing, and robust data systems and available evidence were commitment drivers. Low-income and middle-income country studies also frequently reported international actors, empowered institutions, vertical coordination and capacities and resources. In upper-middle-income and high-income country studies, private sector interference frequently undermined commitment. Conclusion Political commitment is not something that simply exists or emerges accidentally; it can be created and strengthened over time through strategic action. Successfully generating commitment will likely require a core set of actions with some context-dependent adaptations. Ultimately, it will necessitate strategic actions by cohesive, resourced and strongly led nutrition actor networks that are responsive to the multifactorial, multilevel and dynamic political systems in which they operate and attempt to influence. Accelerating the formation and effectiveness of such networks over the Nutrition Decade should be a core task for all actors involved. PMID:29527338

Changing behavior towards sustainable practices using Information Technology.

PubMed

Iveroth, Einar; Bengtsson, Fredrik

2014-06-15

This article addresses the question of how to change individuals' behavior towards more sustainable practices using Information Technology (IT). By following a multidisciplinary and socio-technical perspective, this inquiry is answered by applying a new framework-The Commonality Framework for IT-enabled Change-on a case study of sustainable behavioral change. The framework is grounded in practice theory and is used to analyze the implementation of an IT-system aimed at changing citizens' behavior towards more sustainable transport logistics and procurement in Uppsala, Sweden. The article applies case study research design and the empirical data consists of surveys, in-depth and semi-structured interviews, observations and archival documents. The results show how the change towards sustainable practices is an entanglement of both social and technical-structural elements across time. In this process, structures such as IT are the enablers, and the actors and their social activities are the tipping-point factors that ultimately determine the success of changing individuals' behavior towards a more sustainable direction. This article provides a more balanced view of how both actor and structure related properties interact during the on-going work with change towards greater sustainability practices than earlier research has offered. More specifically, the article offers both a lower-level theory and a method from which we can analyze change processes where technology is seen in its context, and where both technology and the human actor is brought forth to center stage. Copyright © 2014 Elsevier Ltd. All rights reserved.

Resource Allocation Strategies to Increase the Efficiency and Sustainability of Gavi's Health System Strengthening Grants.

PubMed

Mimche, Honoré; Squires, Ellen; Miangotar, Yodé; Mokdad, Ali; El Bcheraoui, Charbel

2018-05-01

Despite the increase in Health System Strengthening (HSS) grants, there is no consensus among global health actors about how to maximize the efficiency and sustainability of HSS programs and their resulting gains. To formally analyze and compare the efficiency and sustainability of Gavi's HSS grants, we investigated the factors, events and root causes that increased the time and effort needed to implement HSS grants, decreased expected outcomes and threatened the continuity of activities and the sustainability of the results gained through these grants in Cameron and Chad. We conducted 2 retrospective independent evaluations of Gavi's HSS support in Cameroon and Chad using a mixed methodology. We investigated the chain of events and situations that increased the effort and time required to implement the HSS programs, decreased the value of the funds spent and hindered the sustainability of the implemented activities and gains achieved. Root causes affecting the efficiency and sustainability of HSS grants were common to Cameroon and Chad. Weaknesses in health workforce and leadership/governance of the health system in both countries led to interrupting the HSS grants, reprogramming them, almost doubling their implementation period, shifting their focus during implementation toward procurements and service provision, leaving both countries without solid exit plans to maintain the results gained. To increase the efficiency and sustainability of Gavi's HSS grants, recipient countries need to consider health workforce and leadership/governance prior, or in parallel to strengthening other building blocks of their health systems.

Pushing Boundaries: Introduction to the Global Service-Learning Special Section

ERIC Educational Resources Information Center

Hartman, Eric; Kiely, Richard

2014-01-01

In this introduction to the "Michigan Journal of Community Service Learning's" Special Section: "Global Service-Learning" (GSL), Hartman and Kiely describe how they each came to the field of GSL, some of its emphases and values that drew them to and sustain their commitment with this work, discuss some highlights of what GSL…

Western Michigan University: Quasi-Revolving Fund. Green Revolving Funds in Action: Case Study Series

ERIC Educational Resources Information Center

Billingsley, Christina

2011-01-01

Western Michigan University has designed an innovative "Quasi-Revolving Fund" model that demonstrates the institution's full commitment to incorporating sustainability into campus operations. The Quasi-Revolving Fund recaptures money from cost-savings, similar to a typical green revolving fund, but it also sources capital from the…

Ensuring High-Quality Learning for All

ERIC Educational Resources Information Center

Núñez, Elsa M.

2018-01-01

The Association of American Colleges and Universities (AAC&U) has embarked on a sustained program to enhance the quality of student learning on campuses, while also supporting AAC&U members' efforts to bring liberal education to all sectors of society. This commitment to quality and equity in service to democracy forms the basis for…

Building Partnerships: The Role of Nonprofit Organizations in Supporting Education Diplomacy in Early Childhood

ERIC Educational Resources Information Center

Tilhou, Rebecca; Rose, Brittney; Eckhoff, Angela; Glasgow, Jane

2018-01-01

Nonprofit organizations providing early childhood services that support the healthy growth, development, and education of young children and their families have a unique relationship with communities. In order to have significant impact on quality of life, these programs must be sustainable and committed to meeting local needs. This article…

75 FR 885 - 40th Anniversary of the National Environmental Policy Act, 2010

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-07

... conservation, and we renew our commitment to preserve our environment for the next generation. NEPA was enacted... created the Council on Environmental Quality to lead our Government's conservation efforts and serve as... to the productive and sustainable use of our environment. That is why NEPA remains a vital tool for...

In Their Own Words: Assessing Global Citizenship in a Short-Term Study-Abroad Program in Bangladesh

ERIC Educational Resources Information Center

Gambino, Giacomo; Hashim, S. Mohsin

2016-01-01

The article examines whether short-term study-abroad (STSA) experiences can cultivate the cultural understandings and ethical commitments entailed by a cosmopolitan civic education. We examine students' critical reflections on their participation in a two-week study-abroad program titled "Climate Change and Sustainable Development in…

Balancing Act: Population, Consumption and the Global Environment.

ERIC Educational Resources Information Center

Orzech, Michelle; Baird, Jim

The Izaak Walton League is committed to investigation and dialogue that contribute to a sustainable world. An understanding of conservation continues to evolve and mature as new science comes to light and is transformed, through civil discourse, into common sense policy and action. The information presented in this action guide continues a…

Not Waiting for a Rainy Day: Professional Development to Promote Informed and Engaged Catchment Communities

ERIC Educational Resources Information Center

Whelan, James; La Rocca, Sam

2004-01-01

Managers and decision-makers are under increasing pressure to engage community members along with experts in considering and resolving environmental degradation. This is especially the case with respect to decisions concerning water quality and quantity in Australia. The commitment of citizens and government to sustainable catchment management and…

Self-Organized Volunteers in Rural Schools

ERIC Educational Resources Information Center

Lu, Kun

2008-01-01

This paper reports some findings from a longitudinal study of a group of volunteers at an independent school in China. Founded by a committed group of volunteers, Springfield School has been self-sustaining and has provided junior high school education for the past eight years. The author describes the demographic and education background of the…

Cultivating Institutional Transformation and Sustainable STEM Diversity in Higher Education through Integrative Faculty Development

ERIC Educational Resources Information Center

Whittaker, Joseph A.; Montgomery, Beronda L.

2014-01-01

An urgent need to broaden diversity and support the preparation of students and faculty members along proactive pathways to research and success can be facilitated by targeted faculty development and formalization of policies built on institutional commitment, engagement, and accountability. Involvement of the faculty in building institutional…

Growing Our Own: A Sustainable Approach to Teacher Education at Turtle Mountain Community College

ERIC Educational Resources Information Center

Lamb, Carmelita

2014-01-01

Through its teacher education program, Turtle Mountain Community College (TMCC) is meeting the Anishinaabe of North Dakota's educational needs, strengthening tribal sovereignty and self-determination, and positively affecting people's lives. Pivotal to the success of the teacher education program are strongly committed faculty, supportive staff,…

2016 Strategic Sustainability Performance Plan: Smithsonian Facilities

ERIC Educational Resources Information Center

Smithsonian Institution, 2016

2016-01-01

As a trust instrumentality of the United States, the Smithsonian is committed to the goals which Executive Order 13693 set for federal agencies, and is focused on making improvements in environmental, energy, and economic performance. As stated in the current Smithsonian Strategic Plan, one of the four grand challenges we have undertaken is…

THE FEDERAL INVESTMENT IN HIGHER EDUCATION, THE NEED FOR A SUSTAINED COMMITMENT.

ERIC Educational Resources Information Center

American Council on Education, Washington, DC.

BECAUSE OF THE INTERDEPENDENCE OF HIGHER EDUCATION AND THE FEDERAL GOVERNMENT, THE POSITION OF THE AMERICAN COUNCIL ON EDUCATION IS THAT THE GOVERNMENT SHOULD HAVE AN ACTIVE ROLE IN STRENGTHENING HIGHER EDUCATION. THE GOVERNMENT'S SHARE IN FACILITIES CONSTRUCTION PROJECTS SHOULD BE INCREASED, AND EMPHASIS ON EXPANSION OF ENROLLMENT CAPACITY SHOULD…

The Botswana Government's Environmental Policies and the Need To Institutionalize Life Long Environmental Education.

ERIC Educational Resources Information Center

JNS, Mutanyatta

This paper highlights the existing Botswana national policy on natural resources conservation and development, as well as the stated conservation strategy, institutions and implementation. In order to achieve Botswana's commitment to sustainable development as a goal which emphasizes both conservation and development, the paper strongly argues for…

Merger in Higher Education: Learning from Experiences

ERIC Educational Resources Information Center

Drowley, Melinda J.; Lewis, Duncan; Brooks, Simon

2013-01-01

Political pressure to reduce the number of higher education institutions in Wales has been sustained for over a decade by three successive ministers for education, two of whom, Jane Davidson and the current incumbent, Leighton Andrews, have left the Welsh sector in no doubt about the strength of their personal commitment to the policy of…

78 FR 61813 - National Energy Action Month, 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-04

... the challenges of the 21st century, we must work to ensure a clean, safe, and sustainable energy... environment. As a Nation, we are taking control of our energy future, and my Administration remains committed... into the environment than we have in nearly two decades. While we have made significant progress, more...

The City in the Country: Growing Alternative Food Networks in Metropolitan Areas

ERIC Educational Resources Information Center

Jarosz, Lucy

2008-01-01

Alternative food networks (AFNs) are commonly defined by attributes such as the spatial proximity between farmers and consumers, the existence of retail venues such as farmers markets, community supported agriculture (CSA) and a commitment to sustainable food production and consumption. Focusing upon processes rather than attributes, this paper…

Self-Regulation Strategies Improve Self-Discipline in Adolescents: Benefits of Mental Contrasting and Implementation Intentions

ERIC Educational Resources Information Center

Duckworth, Angela Lee; Grant, Heidi; Loew, Benjamin; Oettingen, Gabriele; Gollwitzer, Peter M.

2011-01-01

Adolescents struggle with setting and striving for goals that require sustained self-discipline. Research on adults indicates that goal commitment is enhanced by mental contrasting (MC), a strategy involving the cognitive elaboration of a desired future with relevant obstacles of present reality. Implementation intentions (II), which identify the…

Focusing Our Aim: Strengthening Faculty Commitment to Community Engagement

ERIC Educational Resources Information Center

Butin, Dan W.

2007-01-01

While many speak strongly about community engagement, few are able or willing to develop sustained and consequential programs and practices that further it. Many faculty are, in fact, dubious about an educational reform that appears too a-theoretical, too co-curricular, too much like yet another under-financed fad. In this article, the author…

Toward an Embodied Liberal Arts

ERIC Educational Resources Information Center

Miller-Lane, Jonathan

2012-01-01

The author believes there are three conceptual and somatic (from the Greek, meaning "of the body") changes that could be made in order to better educate the student body and, thereby, help sustain the intellectual and social relevance of the liberal arts as a program of study. First, the commitment to what Sir Ken Robinson has called "the…

Variable Cost to Procure

DTIC Science & Technology

1981-03-12

Procurement Work Directive ( PWV ) Procurement Army, CostL to Procure Cost Differential Secondary (PAS) Cost to Buy Economic Order Quantity Procurement...and Assignment of Buyer h. Solicitation Fffort . ) (1) Procurement Planning ( ) ( ) (?) PWV Review and Small Business Coordination ( (3) Determination

Control of intestinal parasitic infections in Seychelles: a comprehensive and sustainable approach.

PubMed Central

Albonico, M.; Shamlaye, N.; Shamlaye, C.; Savioli, L.

1996-01-01

Intestinal parasitic infections have been perceived as a public health problem in Seychelles for decades. A comprehensive strategy to reduce morbidity and, in the long term, transmission of intestinal parasites has been implemented successfully since 1993. Management of the programme is integrated into the well established primary health care system, with control activities being undertaken through existing health facilities. The strategy is based on periodic chemotherapy of schoolchildren, intense health education and improvement of sanitation and safe water supply. The initial objectives of the control programme were met after 2 years of activities, with an overall reduction in prevalence of intestinal parasitic infections of 44%. The intensity of infection with Trichuris trichiura, the commonest parasite, was halved (from 780 to 370 eggs per g of faeces). The programme's integrated approach, in concert with political commitment and limited operational costs, is a warranty for the future sustainability of control activities. The programme can be seen as a model for other developing countries, even where health and socioeconomic conditions are different and the control of parasitic infections will need a much longer-term commitment. PMID:9060217

Unfolding the values of work - therapists´ experience of addressing the return to work process in occupational rehabilitation based on Acceptance and Commitment Therapy.

PubMed

Klevanger, Nina E; Fimland, Marius S; Johnsen, Roar; Rise, Marit B

2018-04-27

Facilitating return to work can be challenging due to the complexity of work disability. Few studies have examined rehabilitation programs based on Acceptance and Commitment Therapy that intend to support return to work, and none have investigated therapists' experience with providing such programs. The aim of this study was therefore to explore therapists' experience of addressing the return to work process in an inpatient occupational rehabilitation program based on Acceptance and Commitment Therapy. This was a qualitative interview study supported by participant observation. Therapists were interviewed regarding their experiences with addressing return to work in an inpatient occupational rehabilitation program based on Acceptance and Commitment Therapy. In addition, the rehabilitation program was investigated through participant observation. The interviews were analysed according to Interpretative Phenomenological Analysis and informed by an analysis of field notes from the participant observation. Acceptance and Commitment Therapy was experienced as a meaningful approach to facilitate return to work, as it allowed therapists to address all relevant aspects of the individual participant's life that might influence work participation. The therapists' twofold goal was to support participants in building both a meaningful life and sustainable work participation. To do so, they attempted to instil long-term and interrelated processes concerning ownership, causes of sick leave, relation to expectations, the values of work, and the scope of agency. Unfolding values connected to work participation might reconcile the tension between work and family life by integrating work with other areas of life. Providing work participation with personal meaning also seems especially commensurable with a context where economy presents a poor incentive for return to work. Therapists should, however, be attentive to the need to secure the prominence of return to work by relating participants' chosen themes explicitly to their return to work process. Therapists should also be aware of the dilemma that may arise when they attempt to refrain from providing advice while simultaneously encouraging actions they consider appropriate to facilitate sustainable work participation. In addition, having an individual-oriented approach to occupational rehabilitation may obscure the extent to which return to work is a multi-stakeholder process.

Sustainability in the Qatar national dietary guidelines, among the first to incorporate sustainability principles.

PubMed

Seed, Barbara

2015-09-01

To present one of the first national dietary guidelines that incorporates food sustainability principles into its public health recommendations. The paper outlines recommendations and utilizes an ecological framework of policy analysis to examine context, drivers, consequences and future suggestions in establishing and maintaining sustainability principles within the Qatar Dietary Guidelines. Qatar. Population of Qatar. Qatar has produced one of the first national dietary guidelines to integrate principles of food sustainability. National interest in environmental sustainability and food security, population concern over food waste (reinforced by Islamic religious law), strong authority of the Supreme Council of Health (supported by an Emirate government), a small domestic food industry and a lack of food industry influence on the guidelines have contributed to the inclusion of sustainability principles within the document. Whether these principles will be embraced or rejected by the population in the long term will likely be determined by the Dietary Guidelines Task Force and the Supreme Council of Health's commitment to educating the population about the relevance and importance of these principles and establishing champions to advocate for them.

The Influence of Contextual Factors on the Sustainability of Professional Development Outcomes

NASA Astrophysics Data System (ADS)

Sandholtz, Judith Haymore; Ringstaff, Cathy

2016-03-01

This study investigated how contextual factors influenced the sustainability of outcomes from a 3-year, state-funded professional development program that provided science assistance for K-2 teachers in small, rural school districts. The research used a case-study approach with a purposive sample of five elementary schools that varied in instructional time in science several years after the funding period. The primary data sources were teacher surveys and interviews conducted 2 and 3 years after the end of the professional development program. The findings highlight variations across schools and the influence of principal support, resources, collegial support, personal commitment, and external factors. The research holds practical implications for enhancing long-term sustainability of professional development outcomes in science education.

QuEST: Qualifying Environmentally Sustainable Technologies. Vol. 3

NASA Technical Reports Server (NTRS)

Lewis, Pattie (Editor)

2008-01-01

This is an exciting new chapter for the NASA Technology Evaluation for Environmental Risk Mitigation Principal Center (TEERM). The Principal Center's past successes have created new opportunities for partnership and technology implementation. TEERM is continuing to support the current NASA Programs while reaching out and offering our assistance and experience to Constellation. NASA has also assumed Chairmanship responsibility of the Joint Group on Pollution Prevention (JG-PP) and Chairmanship of the JG-PP Working Group (WG). Both JG-PP and TEERM strive to improve mission readiness and reduce risk to personnel and assets by solving joint problems through cooperation. JG-PP and TEERM not only show our commitment to environmental stewardship, but also our commitment to fiscal responsibility.

A commitment to high-value care education from the internal medicine community.

PubMed

Smith, Cynthia D; Levinson, Wendy S

2015-05-05

The Alliance for Academic Internal Medicine, American Board of Internal Medicine (ABIM), ABIM Foundation, and American College of Physicians are collaborating to enhance the education of physicians in high-value care (HVC) and make its practice an essential competency in undergraduate and postgraduate education by 2017. This article serves as the organizations' formal commitment to providing a foundation of HVC education on which others may build. The 5 key targets for HVC education are experiential learning and curriculum, environment and culture, clinical support, regulatory requirements, and sustainability. The goal is to train future health care professionals for whom HVC is part of normal practice, thus providing patients with improved clinical outcomes at a lower cost.

The pricing and procurement of antiretroviral drugs: an observational study of data from the Global Fund.

PubMed Central

Vasan, Ashwin; Hoos, David; Mukherjee, Joia S.; Farmer, Paul E.; Rosenfield, Allan G.; Perriëns, Joseph H.

2006-01-01

The Purchase price report released in August 2004 by the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund) was the first publication of a significant amount of real transaction purchase data for antiretrovirals (ARVs). We did an observational study of the ARV transaction data in the Purchase price report to examine the procurement behaviour of principal recipients of Global Fund grants in developing countries. We found that, with a few exceptions for specific products (e.g. lamivudine) and regions (e.g. eastern Europe), prices in low-income countries were broadly consistent or lower than the lowest differential prices quoted by the research and development sector of the pharmaceutical industry. In lower middle-income countries, prices were more varied and in several instances (lopinavir/ritonavir, didanosine, and zidovudine/lamivudine) were very high compared with the per capita income of the country. In all low- and lower middle-income countries, ARV prices were still significantly high given limited local purchasing power and economic strength, thus reaffirming the need for donor support to achieve rapid scale-up of antiretroviral therapy. However, the price of ARVs will have to decrease to render scale-up financially sustainable for donors and eventually for governments themselves. An important first step in reducing prices will be to make available in the public domain as much ARV transaction data as possible to provide a factual basis for discussions on pricing. The price of ARVs has considerable implications for the sustainability of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) treatment in the developing world. PMID:16710550

The pricing and procurement of antiretroviral drugs: an observational study of data from the Global Fund.

PubMed

Vasan, Ashwin; Hoos, David; Mukherjee, Joia S; Farmer, Paul E; Rosenfield, Allan G; Perriëns, Joseph H

2006-05-01

The Purchase price report released in August 2004 by the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund) was the first publication of a significant amount of real transaction purchase data for antiretrovirals (ARVs). We did an observational study of the ARV transaction data in the Purchase price report to examine the procurement behaviour of principal recipients of Global Fund grants in developing countries. We found that, with a few exceptions for specific products (e.g. lamivudine) and regions (e.g. eastern Europe), prices in low-income countries were broadly consistent or lower than the lowest differential prices quoted by the research and development sector of the pharmaceutical industry. In lower middle-income countries, prices were more varied and in several instances (lopinavir/ritonavir, didanosine, and zidovudine/lamivudine) were very high compared with the per capita income of the country. In all low- and lower middle-income countries, ARV prices were still significantly high given limited local purchasing power and economic strength, thus reaffirming the need for donor support to achieve rapid scale-up of antiretroviral therapy. However, the price of ARVs will have to decrease to render scale-up financially sustainable for donors and eventually for governments themselves. An important first step in reducing prices will be to make available in the public domain as much ARV transaction data as possible to provide a factual basis for discussions on pricing. The price of ARVs has considerable implications for the sustainability of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) treatment in the developing world.

Predictors of motivation for abstinence at the end of outpatient substance abuse treatment

PubMed Central

Laudet, Alexandre B.; Stanick, Virginia

2010-01-01

Commitment to abstinence, a motivational construct, is a strong predictor of reductions in drug and alcohol use. Level of commitment to abstinence at treatment end predicts sustained abstinence, a requirement for recovery. This study sought to identify predictors of commitment to abstinence at treatment end to guide clinical practice and to inform the conceptualization of motivational constructs. Polysubstance users (N = 250) recruited at the start of outpatient treatment were re-interviewed at the end of services. Based on the extant literature, potential predictors were during treatment measures of substance use and related cognitions, psychological functioning, recovery supports, stress, quality of life satisfaction, and treatment experiences. In multivariate analyses, perceived harm of future drug use, abstinence self-efficacy, quality of life satisfaction, and number of network members in 12-step recovery contributed 26.6% of the variance explained in the dependent variable, a total of 49.6% when combined with the control variables (demographics and baseline level of the outcome). Gender subgroup analyses yielded largely similar results. Clinical implications of findings for maximizing commitment to abstinence when clients leave treatment are discussed as are future research directions. PMID:20185267

40 years of Landsat images: What we learned about science and politics

NASA Astrophysics Data System (ADS)

Dozier, Jeff

2014-03-01

The first Landsat (then called ERTS - Earth Resources Technology Satellite) launched in 1972. Landsat 8 launched in February 2013. The 40 + years of images have yielded a remarkable history of changes in Earth's land surface, and the program has accomplished significant technological achievements. However, the sustained long-term record owes more to luck than careful program planning, and especially benefitted from the remarkable 27-year life of Landsat 5. Recommendations for the future center mainly on making the program a real Program with a commitment to sustaining it, as well as some ideas to reduce cost and improve effectiveness.

78 FR 46239 - Designations of Chief Acquisition Officer and Senior Procurement Executive

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-30

... Designations of Chief Acquisition Officer and Senior Procurement Executive and Delegation of Procurement... No. FR-5701-D-01] Designations of Chief Acquisition Officer and Senior Procurement Executive AGENCY... Procurement Officer as the Senior Procurement Executive. DATES: Effective Date: July 24, 2013. FOR FURTHER...

48 CFR 752.225-71 - Local procurement.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Local procurement. 752.225... Local procurement. For use in any USAID contract involving performance overseas. Local Procurement (FEB 1997) (a) Local procurement involves the use of appropriated funds to finance the procurement of goods...

48 CFR 752.225-71 - Local procurement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Local procurement. 752.225... Local procurement. For use in any USAID contract involving performance overseas. Local Procurement (FEB 1997) (a) Local procurement involves the use of appropriated funds to finance the procurement of goods...

Mechanisms of behavioural maintenance: Long-term effects of theory-based interventions to promote safe water consumption.

PubMed

Inauen, Jennifer; Mosler, Hans-Joachim

2016-01-01

Theory-based interventions can enhance people's safe water consumption, but the sustainability of these interventions and the mechanisms of maintenance remain unclear. We investigated these questions based on an extended theory of planned behaviour. Seven hundred and ten (445 analysed) randomly selected households participated in two cluster-randomised controlled trials in Bangladesh. Study 1 promoted switching to neighbours' arsenic-safe wells, and Study 2 promoted switching to arsenic-safe deep wells. Both studies included two intervention phases. Structured interviews were conducted at baseline (T1), and at 1-month (T2), 2-month (T3) and 9-month (T4) follow-ups. In intervention phase 1 (between T1 and T2), commitment-based behaviour change techniques--reminders, implementation intentions and public commitment--were combined with information and compared to an information-only control group. In phase 2 (between T2 and T3), half of each phase 1 intervention group was randomly assigned to receive either commitment-based techniques once more or coping planning with reminders and information. Initial well-switching rates of up to 60% significantly declined by T4: 38.3% of T2 safe water users stopped consuming arsenic-safe water. The decline depended on the intervention. Perceived behavioural control, intentions, commitment strength and coping planning were associated with maintenance. In line with previous studies, the results indicate that commitment and reminders engender long-term behavioural change.

Sustainable institutionalized punishment requires elimination of second-order free-riders

NASA Astrophysics Data System (ADS)

Perc, Matjaž

2012-03-01

Although empirical and theoretical studies affirm that punishment can elevate collaborative efforts, its emergence and stability remain elusive. By peer-punishment the sanctioning is something an individual elects to do depending on the strategies in its neighborhood. The consequences of unsustainable efforts are therefore local. By pool-punishment, on the other hand, where resources for sanctioning are committed in advance and at large, the notion of sustainability has greater significance. In a population with free-riders, punishers must be strong in numbers to keep the ``punishment pool'' from emptying. Failure to do so renders the concept of institutionalized sanctioning futile. We show that pool-punishment in structured populations is sustainable, but only if second-order free-riders are sanctioned as well, and to a such degree that they cannot prevail. A discontinuous phase transition leads to an outbreak of sustainability when punishers subvert second-order free-riders in the competition against defectors.

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

Erhart, Steven C.; Spencer, Charles G.

The accomplishments to date and the long-range planning of the Y-12 Energy Management and Sustainability and Stewardship programs support the U.S. Department of Energy (DOE) and the National Nuclear Security Administration (NNSA) vision for a commitment to energy effi ciency and sustainability and to achievement of the Guiding Principles. Specifi cally, the Y-12 vision is to support the Environment, Safety and Health Policy and the DOE Strategic Sustainability Performance Plan (SSPP), while promoting overall sustainability and reduction of greenhouse gas (GHG) emissions. The mission of the Y-12 Energy Management program is to incorporate energy-efficient technologies site-wide and to position Y-12more » to meet NNSA energy requirement needs through 2025 and beyond. This plan addresses: Greenhouse Gas Reduction and Comprehensive Greenhouse Gas Inventory; Buildings, ESPC Initiative Schedule, and Regional and Local Planning; Fleet Management; Water Use Efficiency and Management; Pollution Prevention and Waste Reduction; Sustainable Acquisition; Electronic Stewardship and Data Centers; Renewable Energy; Climate Change; and Budget and Funding.« less

Direct Instruction vs. Arts Integration: A False Dichotomy

ERIC Educational Resources Information Center

Aprill, Arnold

2010-01-01

In this article, the author takes on what he considers to be the false dichotomy between direct instruction and arts integration. He contends that at a time when national issues of sustainability and conservation of energy and resources become ever more urgent, it is time that those committed to quality arts education stop squandering time, money,…

Alternative Fuels Data Center: Coca-Cola Bottling Co. Brings Hybrids to New

Science.gov Websites

as a great example of a viable clean transportation option for similar fleets. " Rebecca Otte commitment to a more sustainable community and serves as a great example of a viable clean transportation , individual bottling companies now operate these vehicles. For example, Coca-Cola Bottling Company United

Family forest stewardship: do owners need a financial incentive?

Treesearch

Michael A. Kilgore; Stephanie Snyder; Steven Taff; Joseph Schertz

2008-01-01

This study assessed family forest owner interest in formally committing to the types of land use and management practices that characterize good stewardship if compensated for doing so, using Minnesota's Sustainable Forest Incentives Act (SFIA) as a proxy measure of forest stewardship. The SFIA provides an annual payment in return for obtaining and using a forest...

Organisational Culture and Its Role in Developing a Sustainable Science Communication Platform

ERIC Educational Resources Information Center

France, Bev; Cridge, Belinda; Fogg-Rogers, Laura

2017-01-01

There is an ongoing tension for scientists when deciding to engage with the public about their research as many scientists view direct participation as peripheral to their role. Pressures of time, lack of support by management and a lack of communicative skills are identified by scientists as reasons for not committing to communicative…

Climate Action Planning at the University of New Hampshire

ERIC Educational Resources Information Center

Cleaves, Sara M.; Pasinella, Brett; Andrews, Jennifer; Wake, Cameron

2009-01-01

Purpose: The purpose of this paper is to discuss the recent history of climate action planning at the University of New Hampshire (UNH), a public university with a long history of sustainability action and commitment. Items discussed include a partnership with Clean Air-Cool Planet (CA-CP) to produce a greenhouse gas (GHG) inventory tool that…

Learning in Place: A Special Report to the Rural School and Community Trust.

ERIC Educational Resources Information Center

Rural School and Community Trust, Washington, DC.

The Rural School and Community Trust has made place central to its educational and community-building work. Because the understanding of a place is fundamental to building sustainable communities, Rural Trust schools and communities are committed to providing their children and young people with opportunities to explore, analyze, and contribute to…

Nutrition and Cancer Prevention Research Practicum | Division of Cancer Prevention

Cancer.gov

The Nutritional Science Research Group in the Division of Cancer Prevention at the National Cancer Institute, National Institutes of Health and the Department of Nutrition at the Clinical Center, National Institutes of Health are offering a one week educational opportunity in "Nutrition and Cancer Prevention Research" for individuals with a sustained commitment to nutrition

Making the Work of Anchor Institutions Stick: Building Coalitions and Collective Expertise

ERIC Educational Resources Information Center

Cantor, Nancy; Englot, Peter; Higgins, Marilyn

2013-01-01

As more colleges and universities commit to a public mission, it is critical that our work as anchor institutions have a sustainable and positive impact, and that we collaborate fully with the diverse voices and expertise beyond our campuses--the most valuable assets of our multicultural cities. Taking Syracuse, New York, as a microcosm, the…

The Gender Role Conflict Literature: Fruits of Sustained Commitment

ERIC Educational Resources Information Center

Heppner, P. Paul; Heppner, Mary J.

2008-01-01

Twenty-five years ago, when the men's movement was in its beginning stages, O'Neil recognized the importance of understanding more about the impact of men's gender role conflict. This ensuing quarter century of research has produced a much more nuanced and sophisticated understanding of gender role conflict than we had then. In his integrative…

Sustaining Productivity of Planted Forests in the Gulf Coast Region

Treesearch

James P. Bamett; Allan E. Tiarks; Mary Anne Sword

2000-01-01

The forests of the Gulf Coastal Region provide the basis for its economic well-being. Because of the semitropical climate, abundant rainfall and availing topography, the nation's richest plant communities thrive. These forests are predominately privately owned. Millions of private landowners are committed to managing their forests for a broad array of values which...

Colleges Chew on Local-Food Phenomenon

ERIC Educational Resources Information Center

Carlson, Scott

2008-01-01

Nationally, students have pushed hard for local-food programs, and the amount of local produce in the dining hall is sometimes used as a litmus test for a college's overall commitment to sustainability. Local food has been a hot topic in popular culture in recent years, thanks in part to books by Michael Pollan and Barbara Kingsolver, movies like…

The Center for Social Innovation at Boston College.

PubMed

Berzin, Stephanie Cosner; Dearing, Tiziana; Mathews, Olivia; Choi, Yeon Jin; Pitt-Catsouphes, Marcie

2018-01-01

Established in 2011, the Center for Social Innovation at Boston College has focused on fostering "effective, sustainable social innovations that enhance social justice." the Center is committed to building research evidence that is used for changing practice and works to disseminate findings through a three-channel approach: traditional research publications, convening of practitioners, and through use of media outlets.

Reeking Hypocrisy? New Labour and Widening Participation in Higher Education

ERIC Educational Resources Information Center

Brown, Roger

2007-01-01

Future historians may well find as much continuity as change in government policies towards higher education between the mid-1980s and the mid-2000s. One exception, however, is likely to be widening participation (WP), which only appeared on the policy agenda after 1997. Moreover, this commitment has been sustained. In this brief survey, the…

Reaching English Language Learners in Every Classroom: Energizers for Teaching and Learning

ERIC Educational Resources Information Center

Arechiga, Debbie

2012-01-01

Reach all of your English language learners with the effective and engaging approaches in this book. It's filled with practical tools, strategies, and real-world vignettes that will help you teach reading and writing to a diverse student population. The book features "Mental Energizers," aptitudes that will help sustain your commitment as you work…

Digital Revolution or Digital Divide: Will Rural Teachers Get a Piece of the Professional Development Pie?

ERIC Educational Resources Information Center

Broadley, Tania

2010-01-01

In order to sustain the rural education community, access to high quality professional development opportunities must become a priority. Teachers in rural areas face many challenges in order to access professional learning equitable to their city counterparts. In the current climate, the Federal government of Australia is committed to initiatives…

Are We "Reading the World"? A Review of Multicultural Literature on Globalization

ERIC Educational Resources Information Center

Gibson, Melissa L.

2010-01-01

Given its commitment to "reading" the social context, how is multicultural education accounting for the shifting context of our globalized world? A conceptual review of multicultural journals reveals limited engagement. However, a more sustained analysis could fuel re-articulations and contestations of the purpose of education in the 21st century.…

Fostering Sustained Energy Behavior Change and Increasing Energy Literacy in a Student Housing Energy Challenge

ERIC Educational Resources Information Center

Brewer, Robert Stephen

2013-01-01

We designed the Kukui Cup challenge to foster energy conservation and increase energy literacy. Based on a review of the literature, the challenge combined a variety of elements into an overall game experience, including: real-time energy feedback, goals, commitments, competition, and prizes. We designed a software system called Makahiki to…

Quest for Status: Accrediting Kweyol Language and Literacy Courses in the UK.

ERIC Educational Resources Information Center

Nwenmely, Hubisi

1995-01-01

Describes how the development of a criterion-referenced test for Kweyol led to the accreditation of Kweyol language and literacy courses taught in London. The process of accreditation has relevance for those involved in heritage teaching in countries such as the United States and for those committed to sustaining local literacies in microstates…

The State of the World's Children, 2002: Leadership.

ERIC Educational Resources Information Center

Bellamy, Carol

Based on the view that ensuring the rights and well-being of children is the key to sustained development in a country and to peace and security in the world, this report calls for leadership from governments and all sectors of society, illustrates varied ways that people have shown their commitment to children's welfare, and emphasizes the need…

The impact of food and agricultural policies on groundwater use in Syria

NASA Astrophysics Data System (ADS)

Aw-Hassan, Aden; Rida, Fadel; Telleria, Roberto; Bruggeman, Adriana

2014-05-01

During the last three decades, the expansion of irrigation using both surface water and groundwater resources has had an important positive impact on Syria’s agricultural production. It is an example of success in achieving food policy objectives, but it has also introduced the challenge of groundwater sustainability. This paper examines the trends in groundwater abstraction for irrigation and the effect of government policies, including input subsidies - such as the diesel fuel subsidy and the crop procurement price support. The fuel subsidy is an important driving force in groundwater depletion and over-abstraction. This analysis examines the interaction between policy signals and the use and allocation of water by farmers. The rapid decline in groundwater resources shows the limitations of this agricultural development strategy and questions its sustainability unless policies change and the rate of abstraction is changed so as not exceed the recharge rate.

Neural mechanisms of economic commitment in the human medial prefrontal cortex

PubMed Central

Tsetsos, Konstantinos; Wyart, Valentin; Shorkey, S Paul; Summerfield, Christopher

2014-01-01

Neurobiologists have studied decisions by offering successive, independent choices between goods or gambles. However, choices often have lasting consequences, as when investing in a house or choosing a partner. Here, humans decided whether to commit (by acceptance or rejection) to prospects that provided sustained financial return. BOLD signals in the rostral medial prefrontal cortex (rmPFC) encoded stimulus value only when acceptance or rejection was deferred into the future, suggesting a role in integrating value signals over time. By contrast, the dorsal anterior cingulate cortex (dACC) encoded stimulus value only when participants rejected (or deferred accepting) a prospect. dACC BOLD signals reflected two decision biases–to defer commitments to later, and to weight potential losses more heavily than gains–that (paradoxically) maximised reward in this task. These findings offer fresh insights into the pressures that shape economic decisions, and the computation of value in the medial prefrontal cortex. DOI: http://dx.doi.org/10.7554/eLife.03701.001 PMID:25333687

A quantitative analysis study on the implementation of partnering in the design and build construction project

NASA Astrophysics Data System (ADS)

Halil, F. M.; Nasir, N. M.; Shukur, A. S.; Hashim, H.

2018-02-01

Design and Build construction project involved the biggest scale of the cost of investment as compared to the traditional approach. In Design and Build, the client hires a design professional that will design according to the client’s need and specification. This research aim is to explore the concept of partnering implementation practiced in the design and build procurement approach. Therefore, the selection of design professionals such as Contractors and consultants in the project is crucial to ensure the successful project completion on time, cost, and quality. The methodology adopted using quantitative approach. Administration of the questionnaire was distributed to the public client by using postal survey. Outcomes of the results, the public clients agreed that project management capabilities and commitment to budget as a crucial element of partnering from the design professional in design and build construction project.

[Law No. 92-684 of 22 July 1992 reforming provisions of the Penal Code relating to the punishment of crimes and misdemeanors committed against persons].

PubMed

1992-07-23

This Law, reformulating entirely Book II of the French Penal Code, newly criminalizes the following acts: a) sexual harassment; b) subjecting a person to work conditions or lodging contrary to human dignity because that person is in a situation of vulnerability or dependence; c) incitement of minors to engage in dangerous or illegal behavior such as excessive drinking, use of narcotics, or begging; and d) using the pictures of minors for pornographic purposes. Sexual harassment is defined as the use of orders, threats, or force to gain sexual favors by a person whose responsibilities place him in a position of authority over another person. In addition, provisions relating to the punishment of procuring have been strengthened in the new Code. Acts noted in b) above were criminalized in order to combat more forcefully the use of clandestine workers.

Application of multi-criteria decision analysis in selecting of sustainable investments

NASA Astrophysics Data System (ADS)

Kozik, Renata

2017-07-01

Investors of construction projects, especially financed with public money, quite slowly adapt environmentally friendly solutions, e.g. passive buildings. Practice shows that the use of green public procurement among the public investors is negligible. Energy-saving technologies and equipment are expensive at the construction phase and investors less or not at all take into account the future operating costs. The aim of this article is to apply the method of multi-criteria analysis ELECTRE to select the best investment in terms of cost of implementation, operation, as well as the impact on the environment.

NASA procurement report, FY 1992

NASA Technical Reports Server (NTRS)

1992-01-01

This report presents summary data on all NASA procurement actions and detailed information on contracts, grants, agreements, and other procurements over $25,000 awarded by NASA during the first six months of Fiscal Year 1992. The dollar value on procurements over $25,000 amounted to 98 percent of the total dollar value of procurement actions completed during the first six months of Fiscal Year 1992. However, these larger procurements accounted for only 29 percent of the total actions. Procurement action, as used in this report, means contractual actions to obtain supplies, services, or construction which increase or decrease funds. A procurement action thus may be a new procurement, or modifications such as supplementary agreements, change orders, or terminations to a contract that change the total amount of funds obligated.

Transformation of fraud activities in procurement system in Indonesia

NASA Astrophysics Data System (ADS)

Setiani, N.; Huda, S. N.; Pulungan, R.; Winarko, E.

2017-03-01

E-procurement has been applied in Indonesia since 2008 through the adoption of Electronic Procurement System (SPSE). The purpose of the use of SPSE in the procurement process is to improve the efficiency of goods or services procurement. In the bidding process, intensive communication and data exchange between providers and organizers are urgently needed. Through SPSE, the frequency of face to face meetings between providers and the committee can be reduced. This is expected to minimize potential fraud behaviors in the goods or services procurement conducted through the tender process. There exists a transformation of activities in the procurement through SPSE from the tender process that was previously done manually. In this paper, we analyze this transformation between manual procurement process and SPSE-based procurement process. The result of the analysis is exploited for investigating the possibility of fraud behavior transformations in every phase of e-procurement activities.

Creating and sustaining peace within for the journey of nursing leadership.

PubMed

Brown, Cynthia J; Bishop, Mary; Bar, Bonnie B

2013-01-01

Peace within self or an inner calmness may be created and sustained by caring for self at a deep level, committing to an inner journey, and by dedication to maintaining a practice of self-care. Suggestions for creating and sustaining peace within self, using the model "Listen, Envision and Take Action" (LET or allow), are explored as a guide to support and maintain an inner journey. The authors describe how a peaceful presence may guide the journey of nursing leadership. Along the path of self-care focused on the inner journey, the nursing leader may experience enhanced health, self-knowledge, resilience, and a transformation of relationships personally and professionally. As nursing leaders' role model care for self in the workplace, the organization may experience an increase in nurse satisfaction.

Suburbanization and sustainability in metropolitan Moscow.

PubMed

Mason, Robert J; Nigmatullina, Liliya

2011-01-01

Although Soviet-era urban-growth controls produced relatively sustainable metropolitan development patterns, low-density suburban sprawl has accelerated markedly in modern Russia. Distinctive features of Moscow's development history are its greenbelt, which dates from 1935 and is becoming increasingly fragmented, proliferation of satellite cities at the urban fringe, conversion of seasonal dachas into full-time residences, the very exclusive Rublevo Uspenskoe Highway development, and today's crippling traffic congestion. The recent economic crisis has slowed development and actually increased the supply of “economy-class” single-family homes, for which there is much pent-up desire but insufficient credit availability to meet the demand. A renewed commitment to sustainability's triple bottom line—environmental quality, equity, and economic prosperity—will require greater government transparency and fairness, stronger planning controls, and an expanded public transportation system.

EU ambition to build the world's leading bioeconomy-Uncertain times demand innovative and sustainable solutions.

PubMed

Bell, John; Paula, Lino; Dodd, Thomas; Németh, Szilvia; Nanou, Christina; Mega, Voula; Campos, Paula

2018-01-25

This article outlines the current context and the development of the European Bioeconomy Strategy. It analyses the current situation, challenges and needs for EU action and concludes with the next steps that the European Commission will undertake to review and update the Bioeconomy Strategy. Bioeconomy offers great opportunities to realising a competitive, circular and sustainable economy with a sound industrial base that is less dependent on fossil carbon. A sustainable bioeconomy also contributes to climate change mitigation, with oceans, forests and soils being major carbon sinks and fostering negative CO 2 emissions. The EU has invested significantly in research and innovation in this field and the European Commission is committed to lead on European bioeconomy strategy. Copyright © 2017 Elsevier B.V. All rights reserved.

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

Pope, Jason E.

For more than 50 years, the United States (U.S.) Department of Energy’s (DOE’s) Pacific Northwest National Laboratory (PNNL) has advanced the frontiers of science and technology through courageous discovery and innovation. Our multidisciplinary team of more than 4,400 scientists, engineers, and support professionals is tackling global sustainability challenges in our science, energy, environmental, and security missions. For example, our research on how human and natural systems interact is critical to informing sustainable solutions to the nation’s energy and environmental challenges. PNNL is equally committed to sustainability right here at home, and we are making excellent progress toward the goals describedmore » in this plan. We are working on ongoing challenges, such as reducing the energy required to meet our research mission and promoting conservation among our employees.« less

The carbon footprint of cataract surgery.

PubMed

Morris, D S; Wright, T; Somner, J E A; Connor, A

2013-04-01

Climate change is predicted to be one of the largest global health threats of the 21st century. Health care itself is a large contributor to carbon emissions. Determining the carbon footprint of specific health care activities such as cataract surgery allows the assessment of associated emissions and identifies opportunities for reduction. To assess the carbon footprint of a cataract pathway in a British teaching hospital. This was a component analysis study for one patient having first eye cataract surgery in the University Hospital of Wales, Cardiff. Activity data was collected from three sectors, building and energy use, travel and procurement. Published emissions factors were applied to this data to provide figures in carbon dioxide equivalents (CO2eq). The carbon footprint for one cataract operation was 181.8 kg CO2eq. On the basis that 2230 patients were treated for cataracts during 2011 in Cardiff, this has an associated carbon footprint of 405.4 tonnes CO2eq. Building and energy use was estimated to account for 36.1% of overall emissions, travel 10.1% and procurement 53.8%, with medical equipment accounting for the most emissions at 32.6%. This is the first published carbon footprint of cataract surgery and acts as a benchmark for other studies as well as identifying areas for emissions reduction. Within the procurement sector, dialogue with industry is important to reduce the overall carbon footprint. Sustainability should be considered when cataract pathways are designed as there is potential for reduction in all sectors with the possible side effects of saving costs and improving patient care.

The carbon footprint of cataract surgery

PubMed Central

Morris, D S; Wright, T; Somner, J E A; Connor, A

2013-01-01

Background Climate change is predicted to be one of the largest global health threats of the 21st century. Health care itself is a large contributor to carbon emissions. Determining the carbon footprint of specific health care activities such as cataract surgery allows the assessment of associated emissions and identifies opportunities for reduction. Aim To assess the carbon footprint of a cataract pathway in a British teaching hospital. Methods This was a component analysis study for one patient having first eye cataract surgery in the University Hospital of Wales, Cardiff. Activity data was collected from three sectors, building and energy use, travel and procurement. Published emissions factors were applied to this data to provide figures in carbon dioxide equivalents (CO2eq). Results The carbon footprint for one cataract operation was 181.8 kg CO2eq. On the basis that 2230 patients were treated for cataracts during 2011 in Cardiff, this has an associated carbon footprint of 405.4 tonnes CO2eq. Building and energy use was estimated to account for 36.1% of overall emissions, travel 10.1% and procurement 53.8%, with medical equipment accounting for the most emissions at 32.6%. Conclusions This is the first published carbon footprint of cataract surgery and acts as a benchmark for other studies as well as identifying areas for emissions reduction. Within the procurement sector, dialogue with industry is important to reduce the overall carbon footprint. Sustainability should be considered when cataract pathways are designed as there is potential for reduction in all sectors with the possible side effects of saving costs and improving patient care. PMID:23429413

Optimizing antiretroviral product selection: a sample approach to improving patient outcomes, saving money, and scaling-up health services in developing countries.

PubMed

Amole, Carolyn D; Brisebois, Catherine; Essajee, Shaffiq; Koehler, Erin; Levin, Andrew D; Moore, Meredith C; Brown Ripin, David H; Sickler, Joanna J; Singh, Inder R

2011-08-01

Over the last decade, increased funding to support HIV treatment programs has enabled millions of new patients in developing countries to access the medications they need. Today, although demand for antiretrovirals continues to grow, the financial crisis has severely constrained funding leaving countries with difficult choices on program prioritization. Product optimization is one solution countries can pursue to continue to improve patient care while also uncovering savings that can be used for further scale up or other health system needs. Program managers can make procurement decisions that actually reduce program costs by considering additional factors beyond World Health Organization guidelines when making procurement decisions. These include in-country product availability, convenience, price, and logistics such as supply chain implications and laboratory testing requirements. Three immediate product selection opportunities in the HIV space include using boosted atazanavir in place of lopinovir for second-line therapy, lamivudine instead of emtricitabine in both first-line and second-line therapy, and tenofovir + lamivudine over abacavir + didanosine in second-line therapy. If these 3 opportunities were broadly implemented in sub-Saharan Africa and India today, approximately $300 million of savings would be realized over the next 5 years, enabling hundreds of thousands of additional patients to be treated. Although the discussion herein is specific to antriretrovirals, the principles of product selection are generalizable to diseases with multiple treatment options and fungible commodity procurement. Identifying and implementing approaches to overcome health system inefficiencies will help sustain and may expand quality care in resource-limited settings.

Developing Starlight connections with UNESCO sites through the Biosphere Smart

NASA Astrophysics Data System (ADS)

Marin, Cipriano

2015-08-01

The large number of UNESCO Sites around the world, in outstanding sites ranging from small islands to cities, makes it possible to build and share a comprehensive knowledge base on good practices and policies on the preservation of the night skies consistent with the protection of the associated scientific, natural and cultural values. In this context, the Starlight Initiative and other organizations such as IDA play a catalytic role in an essential international process to promote comprehensive, holistic approaches on dark sky preservation, astronomical observation, environmental protection, responsible lighting, sustainable energy, climate change and global sustainability.Many of these places have the potential to become models of excellence to foster the recovery of the dark skies and its defence against light pollution, included some case studies mentioned in the Portal to the Heritage of Astronomy.Fighting light pollution and recovering starry sky are already elements of a new emerging culture in biosphere reserves and world heritage sites committed to acting on climate change and sustainable development. Over thirty territories, including biosphere reserves and world heritage sites, have been developed successful initiatives to ensure night sky quality and promote sustainable lighting. Clear night skies also provide sustainable income opportunities as tourists and visitors are eagerly looking for sites with impressive night skies.Taking into account the high visibility and the ability of UNESCO sites to replicate network experiences, the Starlight Initiative has launched an action In cooperation with Biosphere Smart, aimed at promoting the Benchmark sites.Biosphere Smart is a global observatory created in partnership with UNESCO MaB Programme to share good practices, and experiences among UNESCO sites. The Benchmark sites window allows access to all the information of the most relevant astronomical heritage sites, dark sky protected areas and other places committed to the preservation of the values associated with the night sky. A new step ahead in our common task of protecting the starry skies at UNESCO sites.

Enhancing the open space of Jabodetabek area, Indonesia

NASA Astrophysics Data System (ADS)

Wartaman, A. S.; Situmorang, R.; Suharto, B. B.

2018-01-01

Jabodetabek area is planned to be developed as a sustainable development region. The Government of Indonesia (GoI) committed in Paris Conference that the target of GHG emissions would be reduced by 29% up to 2030 with her own efforts and by 41% with supported by international assistance. This research attempts to apply specific methods such as stratified planting method to improve the quality of green open space by increasing the absorbed carbon level. The study showed that with the planting vegetation of stratified model, the total capacity of the mainland to absorb CO2 gas is quite significant increase with approximately 20% compared to that of homogeneous vegetation. The stratified planting model is worthwhile to achieve the commitment of the GoI mentioned above.

Pathways to Sustainability: 8-year follow-up from the PROSPER Project

PubMed Central

Welsh, Janet A.; Chilenski, Sarah M.; Johnson, Lesley; Greenberg, Mark T.; Spoth, Richard L.

2016-01-01

The large-scale dissemination of evidence-based practices (EBPs) is often hindered by problems with sustaining initiatives past a period of initial grant funding. Communities often have difficulty generating resources needed to sustain and grow their initiatives, resulting in limited public health impact. The PROSPER project, initiated in 2001, provided community coalitions with intensive technical assistance around marketing, communications, and revenue generating strategies. Past reports from PROSPER have indicated that these coalitions were successful with sustaining their programming, and that sustainability could be predicted by early aspects of team functioning and leadership. The current study examines financial sustainability eight years following the discontinuation of grant funding, with an emphasis on sources of revenue and the relationships between revenue generation, team functioning, and EBP participation. This study used four waves of data related to resource generation collected between 2004-2010 by PROSPER teams in Iowa and Pennsylvania. Teams reported annually on the amount and sources of funding procured, as well as annual reports of team functioning and leadership and annual reports of EBP participation by youth and parents. Data revealed that teams' overall revenue generation increased over time. There was significant variation in success with revenue generation at both the community level and across the two states. Teams accessed a variety of sources. Cash revenue generation was positively and predictively associated with EBP participation, but relationships with team functioning and leadership ratings varied significantly by state. State level differences in in-kind support were also apparent. The results indicated that there are different pathways to sustainability, and that no one method works for all teams. The presence of state level infrastructures available to support prevention appeared to account for significant differences in sustainability success between Pennsylvania and Iowa. PMID:26892601

Pathways to Sustainability: 8-Year Follow-Up From the PROSPER Project.

PubMed

Welsh, Janet A; Chilenski, Sarah M; Johnson, Lesley; Greenberg, Mark T; Spoth, Richard L

2016-06-01

The large-scale dissemination of evidence-based practices (EBPs) is often hindered by problems with sustaining initiatives past a period of initial grant funding. Communities often have difficulty generating resources needed to sustain and grow their initiatives, resulting in limited public health impact. The PROSPER project, initiated in 2001, provided community coalitions with intensive technical assistance around marketing, communications, and revenue generating strategies. Past reports from PROSPER have indicated that these coalitions were successful with sustaining their programming, and that sustainability could be predicted by early aspects of team functioning and leadership. The current study examines financial sustainability 8 years following the discontinuation of grant funding, with an emphasis on sources of revenue and the relationships between revenue generation, team functioning, and EBP participation. This study used four waves of data related to resource generation collected between 2004 and 2010 by PROSPER teams in Iowa and Pennsylvania. Teams reported annually on the amount and sources of funding procured, as well as annual reports of team functioning and leadership and annual reports of EBP participation by youth and parents. Data revealed that teams' overall revenue generation increased over time. There was significant variation in success with revenue generation at both the community level and across the two states. Teams accessed a variety of sources. Cash revenue generation was positively and predictively associated with EBP participation, but relationships with team functioning and leadership ratings varied significantly by state. State level differences in in-kind support were also apparent. The results indicated that there are different pathways to sustainability, and that no one method works for all teams. The presence of state level infrastructures available to support prevention appeared to account for significant differences in sustainability success between Pennsylvania and Iowa.

40 CFR 35.6565 - Procurement methods.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Procurement methods. 35.6565 Section 35... Actions Procurement Requirements Under A Cooperative Agreement § 35.6565 Procurement methods. The... purchase procedures are those relatively simple and informal procurement methods for securing services...

Analysis of procurement processes and development of recommendations for intelligent transportation systems (ITS) procurements : final report.

DOT National Transportation Integrated Search

2007-09-01

Traditional state procurement processes are not well-suited to the procurement of Intelligent Transportation Systems (ITS). The objective of this study was to analyze Kentuckys existing procurement processes, identify strengths and weaknesses of e...

40 CFR 35.6565 - Procurement methods.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Procurement methods. 35.6565 Section 35... Actions Procurement Requirements Under A Cooperative Agreement § 35.6565 Procurement methods. The... purchase procedures are those relatively simple and informal procurement methods for securing services...

40 CFR 35.6565 - Procurement methods.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Procurement methods. 35.6565 Section 35... Actions Procurement Requirements Under A Cooperative Agreement § 35.6565 Procurement methods. The... purchase procedures are those relatively simple and informal procurement methods for securing services...

40 CFR 35.6565 - Procurement methods.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Procurement methods. 35.6565 Section 35... Actions Procurement Requirements Under A Cooperative Agreement § 35.6565 Procurement methods. The... purchase procedures are those relatively simple and informal procurement methods for securing services...

40 CFR 35.6565 - Procurement methods.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Procurement methods. 35.6565 Section 35... Actions Procurement Requirements Under A Cooperative Agreement § 35.6565 Procurement methods. The... purchase procedures are those relatively simple and informal procurement methods for securing services...

23 CFR 172.5 - Methods of procurement.

Code of Federal Regulations, 2012 CFR

2012-04-01

... ENGINEERING AND DESIGN RELATED SERVICE CONTRACTS § 172.5 Methods of procurement. (a) Procurement. The procurement of Federal-aid highway contracts for engineering and design related services shall be evaluated... negotiation. Contracting agencies shall use competitive negotiation for the procurement of engineering and...

22 CFR 201.23 - Procurement under private sector procedures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Procurement under private sector procedures... § 201.23 Procurement under private sector procedures. (a) General requirements. Procurements under private sector procedures will normally be carried out by importers using negotiated procurement...

Investigating factors influencing construction waste management efforts in developing countries: an experience from Thailand.

PubMed

Manowong, Ektewan

2012-01-01

Rapid economic growth and urbanization in developing countries lead to extensive construction activities that generate a large amount of waste. A challenge is how to manage construction waste in the most sustainable way. In the developing world, research on construction waste management is scarce and such academic knowledge needs to be responsive to actual practices in the industry in order to be implemented. As construction projects involve a number of participants and stakeholders, their participation and commitment can have a major influence on the goals of green and sustainable construction for urban development. This study provides a significant step in conducting a very first research of this kind in Thailand by aiming to investigate the level of construction stakeholders' commitment as well as the achievement of construction waste management in order to improve short-term practices and to establish a long-term strategic construction waste management plan. In this study, a structural equation model was employed to investigate the influence of factors that are related to environmental aspects, social aspects, and economic aspect of construction waste management. Concern about health and safety was found to be the most significant and dominant influence on the achievement of sustainable construction waste management. Other factors affecting the successful management of construction waste in Thai construction projects were also identified. It is perceived that this study has potential to contribute useful guidelines for practitioners both in Thailand and other developing countries with similar contexts.

Social Justice Leadership: Advocating Equity, Access and Opportunity for Black Students Attending Urban High-Poverty Elementary Schools

ERIC Educational Resources Information Center

Pounders, Cherise

2017-01-01

The purpose of this qualitative phenomenological study was to explore and describe the lived experiences and perspectives of 4 elementary school principals and 4 instructional leaders committed to social justice practices who have improved and sustained grade level performance in reading with Black students for the duration of 3 consecutive years.…

Requirements for sustainable schistosomiasis control.

PubMed

Traoré, M

1996-01-01

In Mali the increased transmission of schistosomiasis following the construction of numerous reservoirs and irrigation schemes, together with experience gained in tackling the disease, have led to a major effort to train personnel in control methods, to achieve decentralized delivery and management, and to foster self-reliance in this field. The author outlines the essential components of a sound national control programme requiring long-term commitment.

Teaching Justice after MacIntyre: Toward a Catholic Philosophy of Moral Education

ERIC Educational Resources Information Center

Bergman, Roger

2008-01-01

How is the commitment to social justice sustained over a lifetime? This would seem to be a matter of character, and that calls attention to the Aristotelian tradition in ethics. No one provides as much insight into the challenge of the contemporary appropriation of this tradition as Alasdair MacIntyre. Although a moral philosopher rather than a…

Aquaponics: What a Way to Grow! Fifth Graders Design Systems for Fish and Plants While Exploring Human Impacts on the Environment

ERIC Educational Resources Information Center

Gillan, Amy; Raja, Shella

2016-01-01

In light of increasing populations and dwindling natural resources, elementary teachers play a crucial role in ensuring children understand and commit to more sustainable lifestyles. Climate change, growing pressures on global fisheries, and the harmful effects of traditional agricultural methods exacerbate this call. Coupled with this emphasis is…

Addressing Complex Problems: Using Authentic Audiences and Challenges to Develop Adaptive Leadership and Socially Responsible Agency in Leadership Learners

ERIC Educational Resources Information Center

Andenoro, Anthony C.; Sowcik, Matthew J.; Balser, Teresa C.

2017-01-01

Complex and adaptive challenges threaten human well-being and sustainability. However, our leadership graduates often lack the capacity and or commitment to address these challenges in a meaningful way. This paper details a five-year study exploring the impact of an interdisciplinary undergraduate course on the development of global capacities,…

Expanding Capacity and Promoting Inclusion in Introductory Computer Science: A Focus on Near-Peer Mentor Preparation and Code Review

ERIC Educational Resources Information Center

Pon-Barry, Heather; Packard, Becky Wai-Ling; St. John, Audrey

2017-01-01

A dilemma within computer science departments is developing sustainable ways to expand capacity within introductory computer science courses while remaining committed to inclusive practices. Training near-peer mentors for peer code review is one solution. This paper describes the preparation of near-peer mentors for their role, with a focus on…

Program Excellence versus Program Growth: Must These Goals Conflict?

ERIC Educational Resources Information Center

Goodstein, Lynne

2013-01-01

New England University (NEU) provides a case study of the risk that change might undermine an existing university asset in the context of growth in honors; it is a story about the efforts of faculty, students, and staff committed to evoking and sustaining excellence in one honors program to respond to the vision of a new president who placed…

A Principle-Attribute Matrix for Environmentally Sustainable Management Education and Its Application: The Case for Change-Oriented Service-Learning Projects

ERIC Educational Resources Information Center

Rands, Gordon P.

2009-01-01

The environmental threats humanity faces have led businesses to increasingly commit to improve their environmental performance and to increasing attempts to address environmental issues in management education. This article presents a matrix of (a) principles that can underlie and (b) attributes that can be generated by environmentally focused…

Raw materials from the public lands in century 21

Treesearch

H. Fred Kaiser; James E. Granskog

1996-01-01

Forest management on public lands is undergoing fundamental change. To understand forest management on U.S. public lands in the future, an understanding of the concept of ecosystem management will be needed. Ecosystem management is not a goal unto itself, but a means to an endCand that end goal is sustainability of all resources. A number of commitments have been made...

Dynamics of Low-Fee Private Schools in Kenya: Governmental Legitimation, School-Community Dependence, and Resource Uncertainty

ERIC Educational Resources Information Center

Edwards, Brent, Jr.; Klees, Steven J.; Wildish, Janet L.

2017-01-01

Background/Context: The UN Sustainable Development Goals include a renewed commitment to inclusive and equitable education for all and will maintain pressure on governments in low-income countries to ensure this provision. A range of prominent researchers and institutional actors continue to explore and to promote low-fee private schools (LFPSs)…

Reflections on Pedagogy and Place: A Journey into Learning for Sustainability through Environmental Narrative and Deep Attentive Reflection

ERIC Educational Resources Information Center

Tooth, Ron; Renshaw, Peter

2009-01-01

Narrative is fundamental to our diverse capacities to remember, to provide an account of self, and to represent our actions, motivations and place in society. The narrative mode is concerned with central aspects of the human condition--commitments and personal agency; motivations and emotions; collective experiences and cultural histories and…

Affordable and Sustainable Energy in the Borough of Woking in the United Kingdom

ERIC Educational Resources Information Center

Thorp, John P.; Curran, Lara

2009-01-01

Woking Borough Council in the United Kingdom has long been committed to protecting the environment, a goal explicitly stated as one of the borough's top three priorities. Woking is also known for its pioneering approach in operating an extensive networked electricity and district heating system based on co- and trigeneration, as well as what is…

The Administration's American Competitiveness Initiative: Providing Federal Funding for Basic Research in the Physical Sciences. BHEF Issue Brief

ERIC Educational Resources Information Center

Business-Higher Education Forum (NJ1), 2006

2006-01-01

Investing in research, which drives industrial development and innovation, is essential to ensuring America's economic prosperity, national security, and leadership in a global economy. Although U.S. commitment to research and development (R&D) has traditionally been strong and sustained, federal funding of R&D as a share of U.S. gross domestic…

The Pad Project: A Global Initiative Uniting Women.

PubMed

Raines, Michele; Garner, Shelby L; Spies, Lori A; Riley, Cheryl; Prater, Lyn S

The Pad Project is a women's health program used to educate women on their monthly menstrual cycles. Through this ministry, women who do not have access to menstrual hygiene products are given sustainable hygienic kits to promote menstrual health. This unique health education program also integrates stories from the gospel to illustrate Christ's love and caring commitment toward women and women's health.

Expansion and maintenance of human embryonic stem cell–derived endothelial cells by TGFβ inhibition is Id1 dependent

PubMed Central

James, Daylon; Nam, Hyung-song; Seandel, Marco; Nolan, Daniel; Janovitz, Tyler; Tomishima, Mark; Studer, Lorenz; Lee, Gabsang; Lyden, David; Benezra, Robert; Zaninovic, Nikica; Rosenwaks, Zev; Rabbany, Sina Y; Rafii, Shahin

2010-01-01

Previous efforts to differentiate human embryonic stem cells (hESCs) into endothelial cells have not achieved sustained expansion and stability of vascular cells. To define vasculogenic developmental pathways and enhance differentiation, we used an endothelial cell–specific VE-cadherin promoter driving green fluorescent protein (GFP) (hVPr-GFP) to screen for factors that promote vascular commitment. In phase 1 of our method, inhibition of transforming growth factor (TGF)β at day 7 of differentiation increases hVPr-GFP+ cells by tenfold. In phase 2, TGFβ inhibition maintains the proliferation and vascular identity of purified endothelial cells, resulting in a net 36-fold expansion of endothelial cells in homogenous monolayers, which exhibited a transcriptional profile of Id1highVEGFR2highVE-cadherin+ ephrinB2+. Using an Id1-YFP hESC reporter line, we showed that TGFβ inhibition sustains Id1 expression in hESC-derived endothelial cells and that Id1 is required for increased proliferation and preservation of endothelial cell commitment. Our approach provides a serum-free method for differentiation and long-term maintenance of hESC-derived endothelial cells at a scale relevant to clinical application. PMID:20081865

Stimulation of Changes, Collective Commitment and The Patterns of Group Formation in Community Development in South Sulawesi

NASA Astrophysics Data System (ADS)

Saleh, Syafiuddin

2018-05-01

This study aims to examine the pattern of group formation, related to the stimulation of change through the empowerment of farmers and poor fishermen The pattern of group formation is the basis for sustainable development. The research method used is qualitative descriptive method and relevant research type such as case study and triangulasi. The results of the study showed that (1) stimulation of changes made through development programs or community empowerment in the areas studied both among farm households and poor fishermen households for some programs received positive response from farmers and fishermen. However, the collective commitment to the breeding is relatively weak, since the group formed in each program is not done through good planning and concepts. (2) there are two patterns of group formation that are natural and formed formations initiated by outsiders. Groups that are naturally formed are more institutionalized and have characteristics such as intense and relatively routine interaction, strong mutual trust, and have a common form or mechanism shared for common purposes. The group can form the basis for sustainable development in improving the welfare of the poor.

75 FR 13262 - Procurement List Additions and Deletions

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-19

...: Additions to and deletions from the Procurement List. SUMMARY: This action adds to the Procurement List a... severe disabilities, and deletes from the Procurement List services previously furnished by such agencies... Severely Disabled published notices of proposed additions to the Procurement List. After consideration of...

75 FR 49481 - Procurement List; Additions and Deletion

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-13

... added to the Procurement List: Services Service Type/Locations: Laundry Service, Atlanta VA Medical...: Additions to and deletion from the Procurement List. SUMMARY: This action adds services to the Procurement... disabilities and deletes a service from the Procurement List previously furnished by such agency. DATES...

Public perspectives on biospecimen procurement: what biorepositories should consider.

PubMed

L'Heureux, Jamie; Murray, Jeffrey C; Newbury, Elizabeth; Shinkunas, Laura; Simon, Christian M

2013-06-01

Human biospecimens are central to biobanking efforts, yet how members of the public think about biobank procurement strategies is not well understood. This study aimed to explore public perspectives toward the procurement of residual clinical material versus "direct" procurement strategies such as the drawing of blood. Members of the public residing in and beyond the biobank catchment area of the University of Iowa Hospitals and Clinics were randomly selected to participate in focus groups and a telephone survey. The majority of survey participants (75%, n=559) found both residual and direct procurement strategies equally workable. Small proportions preferred either residual (15%; n=117) or direct (5%; n=40) procurement. Focus group participants (n=48) could identify benefits to both procurement strategies, but raised concerns about possible donor inconvenience/discomfort and reduced biospecimen accrual in the case of direct procurement. Residual procurement raised concerns about lower-quality samples being procured without full donor awareness. Biobanks should consider that members of the public in their research programs may be willing to make specimen donations regardless of whether a residual or direct procurement strategy is employed. Limiting patient discomfort and inconvenience may make direct procurement strategies more acceptable to some members of the public. Ensuring donor awareness through effective informed consent may allay public concerns about the indirectness of donating clinical biospecimens.

77 FR 11071 - Procurement List; Additions and Deletions

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-24

...: Additions to and Deletions from the Procurement List. SUMMARY: This action adds services to the Procurement... disabilities, and deletes products and services from the Procurement List previously furnished by such agencies... People Who Are Blind or Severely Disabled published notices of proposed additions to the Procurement List...

14 CFR 1201.400 - NASA procurement program.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 5 2012-01-01 2012-01-01 false NASA procurement program. 1201.400 Section... AND GENERAL INFORMATION General Information § 1201.400 NASA procurement program. (a) The Office of... contact for NASA procurements. Although the procurements may be made by the field installations, selected...

14 CFR 1201.400 - NASA procurement program.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 5 2013-01-01 2013-01-01 false NASA procurement program. 1201.400 Section... AND GENERAL INFORMATION General Information § 1201.400 NASA procurement program. (a) The Office of... contact for NASA procurements. Although the procurements may be made by the field installations, selected...

14 CFR 1201.400 - NASA procurement program.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true NASA procurement program. 1201.400 Section... AND GENERAL INFORMATION General Information § 1201.400 NASA procurement program. (a) The Office of... contact for NASA procurements. Although the procurements may be made by the field installations, selected...

14 CFR 1201.400 - NASA procurement program.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false NASA procurement program. 1201.400 Section... AND GENERAL INFORMATION General Information § 1201.400 NASA procurement program. (a) The Office of... contact for NASA procurements. Although the procurements may be made by the field installations, selected...

Can GM sorghum impact Africa?

PubMed

Botha, Gerda M; Viljoen, Christopher D

2008-02-01

It is said that genetic modification (GM) of grain sorghum has the potential to alleviate hunger in Africa. To this end, millions of dollars have been committed to developing GM sorghum. Current developments in the genetic engineering of sorghum are similar to efforts to improve cassava and other traditional African crops, as well as rice in Asia. On closer analysis, GM sorghum is faced with the same limitations as 'Golden Rice' (GM rice) in the context of combating vitamin A deficiency (VAD) efficiently and sustainably. Thus, it is questionable whether the cost of developing GM sorghum can be justified when compared to the cost of investing in sustainable agricultural practice in Africa.

Procuring Stationary Fuel Cells For CHP: A Guide for Federal Facility Decision Makers

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

Stinton, David P; McGervey, Joseph; Curran, Scott

2011-11-01

Federal agency leaders are expressing growing interest in using innovative fuel cell combined heat and power (CHP) technology at their sites, motivated by both executive branch sustainability targets and a desire to lead by example in the transition to a clean energy economy. Fuel cell CHP can deliver reliable electricity and heat with 70% to 85% efficiency. Implementing this technology can be a high efficiency, clean energy solution for agencies striving to meet ambitious sustainability requirements with limited budgets. Fuel cell CHP systems can use natural gas or renewable fuels, such as biogas. Procuring Stationary Fuel Cells for CHP: Amore » Guide for Federal Facility Decision Makers presents an overview of the process for planning and implementing a fuel cell CHP project in a concise, step-by-step format. This guide is designed to help agency leaders turn their interest in fuel cell technology into successful installations. This guide concentrates on larger (100 kW and greater) fuel cell CHP systems and does not consider other fuel cell applications such as cars, forklifts, backup power supplies or small generators (<100 kW). Because fuel cell technologies are rapidly evolving and have high up front costs, their deployment poses unique challenges. The electrical and thermal output of the CHP system must be integrated with the building s energy systems. Innovative financing mechanisms allow agencies to make a make versus buy decision to maximize savings. This guide outlines methods that federal agencies may use to procure fuel cell CHP systems with little or no capital investment. Each agency and division, however, has its own set of procurement procedures. This guide was written as a starting point, and it defers to the reader s set of rules if differences exist. The fuel cell industry is maturing, and project developers are gaining experience in working with federal agencies. Technology improvements, cost reductions, and experienced project developers are making fuel cell projects easier to put into service. In this environment, federal decision makers can focus on being smart buyers of fuel cell energy instead of attempting to become experts in fuel cell technology. For agencies that want to pursue a fuel cell CHP this guide presents a four step process for a successful project. 1. Perform a preliminary screening of the energy needs energy costs and incentives. 2. Compare a detailed project plan. 3. Make a financing and contracting decision. 4. Execute the project plan including financing, installation, and operation. The simplest procurement method is designated funding for the outright purchase of the fuel cell CHP system, although this is usually not the most cost-effective option. This guide describes the following financing options: Power purchase agreement Energy savings performance contract Utility energy services contract Enhanced use lease Fuel cell CHP technology can help federal facility managers comply with agency objectives for reducing energy consumption and air pollution emissions. Fuel cells do not generate particulate pollutants, unburned hydrocarbons or the gases that produce acid rain. Fuel cells emit less carbon dioxide (CO2) than other, less efficient technologies and use of renewable fuels can make them carbon neutral. Fuel cell CHP technology can deliver reliable electricity and heat with high efficiency (70% to 85%) in a small physical footprint with little noise, making it a cost-effective option for federal facilities.« less

Understanding sustainable diets: a descriptive analysis of the determinants and processes that influence diets and their impact on health, food security, and environmental sustainability.

PubMed

Johnston, Jessica L; Fanzo, Jessica C; Cogill, Bruce

2014-07-01

The confluence of population, economic development, and environmental pressures resulting from increased globalization and industrialization reveal an increasingly resource-constrained world in which predictions point to the need to do more with less and in a "better" way. The concept of sustainable diets presents an opportunity to successfully advance commitments to sustainable development and the elimination of poverty, food and nutrition insecurity, and poor health outcomes. This study examines the determinants of sustainable diets, offers a descriptive analysis of these areas, and presents a causal model and framework from which to build. The major determinants of sustainable diets fall into 5 categories: 1) agriculture, 2) health, 3) sociocultural, 4) environmental, and 5) socioeconomic. When factors or processes are changed in 1 determinant category, such changes affect other determinant categories and, in turn, the level of "sustainability" of a diet. The complex web of determinants of sustainable diets makes it challenging for policymakers to understand the benefits and considerations for promoting, processing, and consuming such diets. To advance this work, better measurements and indicators must be developed to assess the impact of the various determinants on the sustainability of a diet and the tradeoffs associated with any recommendations aimed at increasing the sustainability of our food system. © 2014 American Society for Nutrition.

75 FR 4784 - Procurement List; Addition

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-29

... Procurement List. SUMMARY: This action adds to the Procurement List a service to be furnished by a nonprofit... Who Are Blind or Severely Disabled published a notice of proposed addition to the Procurement List... Committee has determined that the service listed below is suitable for procurement by the Federal Government...

14 CFR § 1201.400 - NASA procurement program.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false NASA procurement program. § 1201.400... ORGANIZATION AND GENERAL INFORMATION General Information § 1201.400 NASA procurement program. (a) The Office of... contact for NASA procurements. Although the procurements may be made by the field installations, selected...

22 CFR 1006.220 - Are any procurement contracts included as covered transactions?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Are any procurement contracts included as... DEBARMENT AND SUSPENSION (NONPROCUREMENT) Covered Transactions § 1006.220 Are any procurement contracts... procurement contracts awarded directly by a Federal agency; but (2) Do include some procurement contracts...

21 CFR 1404.220 - Are any procurement contracts included as covered transactions?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 9 2011-04-01 2011-04-01 false Are any procurement contracts included as covered... DEBARMENT AND SUSPENSION (NONPROCUREMENT) Covered Transactions § 1404.220 Are any procurement contracts... procurement contracts awarded directly by a Federal agency; but (2) Do include some procurement contracts...

21 CFR 1404.220 - Are any procurement contracts included as covered transactions?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Are any procurement contracts included as covered... DEBARMENT AND SUSPENSION (NONPROCUREMENT) Covered Transactions § 1404.220 Are any procurement contracts... procurement contracts awarded directly by a Federal agency; but (2) Do include some procurement contracts...

34 CFR 85.220 - Are any procurement contracts included as covered transactions?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 1 2010-07-01 2010-07-01 false Are any procurement contracts included as covered... DEBARMENT AND SUSPENSION (NONPROCUREMENT) Covered Transactions § 85.220 Are any procurement contracts... procurement contracts awarded directly by a Federal agency; but (2) Do include some procurement contracts...

Competitive bidding for health insurance contracts: lessons from the online HMO auctions.

PubMed

Gupta, Alok; Parente, Stephen T; Sanyal, Pallab

2012-12-01

Healthcare is an important social and economic component of modern society, and the effective use of information technology in this industry is critical to its success. As health insurance premiums continue to rise, competitive bidding may be useful in generating stronger price competition and lower premium costs for employers and possibly, government agencies. In this paper, we assess an endeavor by several Fortune 500 companies to reduce healthcare procurement costs for their employees by having HMOs compete in open electronic auctions. Although the auctions were successful in generating significant cost savings for the companies in the first year, i.e., 1999, they failed to replicate the success and were eventually discontinued after two more years. Over the past decade since the failed auction experiment, effective utilization of information technologies have led to significant advances in the design of complex electronic markets. Using this knowledge, and data from the auctions, we point out several shortcomings of the auction design that, we believe, led to the discontinuation of the market after three years. Based on our analysis, we propose several actionable recommendations that policy makers can use to design a sustainable electronic market for procuring health insurance.

Public Perspectives on Biospecimen Procurement: What Biorepositories Should Consider

PubMed Central

L'Heureux, Jamie; Murray, Jeffrey C.; Newbury, Elizabeth; Shinkunas, Laura

2013-01-01

Purpose Human biospecimens are central to biobanking efforts, yet how members of the public think about biobank procurement strategies is not well understood. This study aimed to explore public perspectives toward the procurement of residual clinical material versus “direct” procurement strategies such as the drawing of blood. Methods Members of the public residing in and beyond the biobank catchment area of the University of Iowa Hospitals and Clinics were randomly selected to participate in focus groups and a telephone survey. Results The majority of survey participants (75%, n=559) found both residual and direct procurement strategies equally workable. Small proportions preferred either residual (15%; n=117) or direct (5%; n=40) procurement. Focus group participants (n=48) could identify benefits to both procurement strategies, but raised concerns about possible donor inconvenience/discomfort and reduced biospecimen accrual in the case of direct procurement. Residual procurement raised concerns about lower-quality samples being procured without full donor awareness. Conclusion Biobanks should consider that members of the public in their research programs may be willing to make specimen donations regardless of whether a residual or direct procurement strategy is employed. Limiting patient discomfort and inconvenience may make direct procurement strategies more acceptable to some members of the public. Ensuring donor awareness through effective informed consent may allay public concerns about the indirectness of donating clinical biospecimens. PMID:24850089

13 CFR 121.407 - What are the size procedures for multiple item procurements?

Code of Federal Regulations, 2010 CFR

2010-01-01

... Requirements for Government Procurement § 121.407 What are the size procedures for multiple item procurements? If a procurement calls for two or more specific end items or types of services with different size... multiple item procurements? 121.407 Section 121.407 Business Credit and Assistance SMALL BUSINESS...

Sustaining self-management in diabetes mellitus.

PubMed

Mitchell-Brown, Fay

2014-01-01

Successful management of diabetes depends on the individual's ability to manage and control symptoms. Self-management of diabetes is believed to play a significant role in achieving positive outcomes for patients. Adherence to self-management behaviors supports high-quality care, which reduces and delays disease complications, resulting in improved quality of life. Because self-management is so important to diabetes management and involves a lifelong commitment for all patients, health care providers should actively promote ways to maintain and sustain behavior change that support adherence to self-management. A social ecological model of behavior change (McLeroy, Bibeau, Steckler, & Glanz, 1988) helps practitioners provide evidence-based care and optimizes patients' clinical outcomes. This model supports self-management behaviors through multiple interacting interventions that can help sustain behavior change. Diabetes is a complex chronic disease; successful management must use multiple-level interventions.

Civic Ecology: A Postmodern Approach to Ecological Sustainability

NASA Astrophysics Data System (ADS)

Lopes, V. L.

2013-12-01

Human agency is transforming the planetary processes at unprecedented rates risking damaging essential life-support systems. Climate change, massive species extinction, land degradation, resources depletion, overpopulation, poverty and social injustice are all the result of human choices and non-sustainable ways of life. The survival of our modern economic systems depends upon insatiable consumption - a simple way of life no longer satisfies most people. Detached, instrumental rationality has created an ideal of liberalism based on individual pursuit of self-interest, leading the way into unprecedented material progress but bringing with it human alienation, social injustice, and ecological degradation. The purpose of this presentation is to introduce a community-based systems response to a growing sense that the interlocked social-ecological crisis is as much a problem of human thought and behavior as it is about identifying carrying capacities and CO2 concentrations in the atmosphere. This approach, referred to here as civic ecology, presents a new and important paradigm shift in sustainability practice that attempts to bring together and integrate ecological ideas and postmodern thinking. As such, it is as much a holistic, dynamic, and synergistic approach to ecological sustainability, as it is a philosophy of life and ethical perspective born of ecological understanding and insight. Civic ecology starts with the proposition that the key factor determining the health of the ecosphere is the behavior of human beings, and therefore many of the most important issues related to sustainability lie in the areas of human thought and culture. Thus, the quest for sustainability must include as a central concern the transformation of psychological and behavioral patterns that have become an imminent danger to planetary health. At the core of this understanding is a fundamental paradigm shift from the basic commitments of modern Western culture to its model of mechanism and fragmentary modes of existence, to a more relational (ecological) view of the world in which balance and harmony are achieved by ever-changing complexity and differentiation. Central to this view is the recognition that human communities will become increasingly more just and sustainable if their citizens understand, are committed to, and share, a set of values and ecological principles. Shared purposes and principles, however, cannot be handed down from above but must be developed from the bottom-up through community engagement and ecological citizenship.

Roles of sex and ethnicity in procurement coordinator--family communication during the organ donation discussion.

PubMed

Baughn, Daniel; Auerbach, Stephen M; Siminoff, Laura A

2010-09-01

Interpersonal relations with health care providers influence families' decisions to consent to solid-organ donation. However, previous research has been based on retrospective interviews with donation-eligible families and has not directly examined the interpersonal interactions between families and organ procurement coordinators. To increase understanding of the interpersonal interaction between procurement coordinators and families during the organ donation discussion, with special attention to the influence of the sex and race of the procurement coordinator and the race of the potential donor's family. A descriptive study in which standardized patients portrayed family members interacting with actual procurement coordinators in simulated donation request scenarios. Thirty-three videotaped interactions between standardized patients and 17 procurement coordinators involving 2 different scenarios depicting deceased donation were evaluated. Video recordings were rated by independent coders. Coders completed the Impact Message Inventory-Form C, the Participatory Style of Physician Scale, and the Siminoff Communication and Content and Affect Program-Global Observer Ratings scale. African American procurement coordinators, particularly African American women, were rated as more controlling and work-oriented than white procurement coordinators. Male procurement coordinators were more affiliative with the white family than the African American family, whereas female procurement coordinators were slightly less affiliative with the white family. African American procurement coordinators expressed more positive affect when interacting with the African American family than the white family, whereas the opposite was true for white procurement coordinators. Research is needed to cross-validate these exploratory findings and further examine cultural mistrust between procurement coordinators and families of ethnic minorities, especially given the negative attitudes of many minorities toward donation.

Acquisition-Management Program

NASA Technical Reports Server (NTRS)

Avery, Don E.; Vann, A. Vernon; Jones, Richard H.; Rew, William E.

1987-01-01

NASA Acquisition Management Subsystem (AMS) program integrated NASA-wide standard automated-procurement-system program developed in 1985. Designed to provide each NASA installation with procurement data-base concept with on-line terminals for managing, tracking, reporting, and controlling contractual actions and associated procurement data. Subsystem provides control, status, and reporting for various procurement areas. Purpose of standardization is to decrease costs of procurement and operation of automatic data processing; increases procurement productivity; furnishes accurate, on-line management information and improves customer support. Written in the ADABAS NATURAL.

A qualitative analysis of immunization programs with sustained high coverage, 2000-2005.

PubMed

Kennedy, Allison; Groom, Holly; Evans, Victoria; Fasano, Nancy

2010-01-01

Despite record-high immunization coverage nationally, there is considerable variation across state and local immunization programs, which are responsible for the implementation of vaccine recommendations in their jurisdictions. The objectives of this study were to describe activities of state and local immunization programs that sustained high coverage levels across several years and to identify common themes and practical examples for sustaining childhood vaccination coverage rates that could be applied elsewhere. We conducted 95 semi-structured key informant interviews with internal staff members and external partners at the 10 immunization programs with the highest sustained childhood immunization coverage from 2000 to 2005, as measured by the National Immunization Survey. Interview transcripts were analyzed qualitatively using a general inductive approach. Common themes across the 10 programs included maintaining a strong program infrastructure, using available data to drive planning and decision making, a commitment to building and sustaining relationships, and a focus on education and communication. Given the challenges of an increasingly complex immunization system, the lessons learned from these programs may help inform others who are working to improve childhood immunization delivery and coverage in their own programs.

Auditory and Visual Sustained Attention in Children with Speech Sound Disorder

PubMed Central

Murphy, Cristina F. B.; Pagan-Neves, Luciana O.; Wertzner, Haydée F.; Schochat, Eliane

2014-01-01

Although research has demonstrated that children with specific language impairment (SLI) and reading disorder (RD) exhibit sustained attention deficits, no study has investigated sustained attention in children with speech sound disorder (SSD). Given the overlap of symptoms, such as phonological memory deficits, between these different language disorders (i.e., SLI, SSD and RD) and the relationships between working memory, attention and language processing, it is worthwhile to investigate whether deficits in sustained attention also occur in children with SSD. A total of 55 children (18 diagnosed with SSD (8.11±1.231) and 37 typically developing children (8.76±1.461)) were invited to participate in this study. Auditory and visual sustained-attention tasks were applied. Children with SSD performed worse on these tasks; they committed a greater number of auditory false alarms and exhibited a significant decline in performance over the course of the auditory detection task. The extent to which performance is related to auditory perceptual difficulties and probable working memory deficits is discussed. Further studies are needed to better understand the specific nature of these deficits and their clinical implications. PMID:24675815

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

Efroymson, Rebecca Ann; Dale, Virginia H; Kline, Keith L

Indicators of the environmental sustainability of biofuel production, distribution, and use should be selected, measured, and interpreted with respect to the context in which they are used. These indicators include measures of soil quality, water quality and quantity, greenhouse-gas emissions, biodiversity, air quality, and vegetation productivity. Contextual considerations include the purpose for the sustainability analysis, the particular biofuel production and distribution system (including supply chain, management aspects, and system viability), policy conditions, stakeholder values, location, temporal influences, spatial scale, baselines, and reference scenarios. Recommendations presented in this paper include formulating the problem for particular analyses, selecting appropriate context-specific indicators ofmore » environmental sustainability, and developing indicators that can reflect multiple environmental properties at low cost within a defined context. In addition, contextual considerations such as technical objectives, varying values and perspectives of stakeholder groups, and availability and reliability of data need to be understood and considered. Sustainability indicators for biofuels are most useful if adequate historical data are available, information can be collected at appropriate spatial and temporal scales, organizations are committed to use indicator information in the decision-making process, and indicators can effectively guide behavior toward more sustainable practices.« less

A cross-sectional survey of the models in Bihar and Tamil Nadu, India for pooled procurement of medicines.

PubMed

Chokshi, Maulik; Farooqui, Habib Hasan; Selvaraj, Sakthivel; Kumar, Preeti

2015-01-01

In India, access to medicine in the public sector is significantly affected by the efficiency of the drug procurement system and allied processes and policies. This study was conducted in two socioeconomically different states: Bihar and Tamil Nadu. Both have a pooled procurement system for drugs but follow different models. In Bihar, the volumes of medicines required are pooled at the state level and rate contracted (an open tender process invites bidders to quote for the lowest rate for the list of medicines), while actual invoicing and payment are done at district level. In Tamil Nadu, medicine quantities are also pooled at state level but payments are also processed at state level upon receipt of laboratory quality-assurance reports on the medicines. In this cross-sectional survey, a range of financial and non-financial data related to procurement and distribution of medicine, such as budget documents, annual reports, tender documents, details of orders issued, passbook details and policy and guidelines for procurement were analysed. In addition, a so-called ABC analysis of the procurement data was done to to identify high-value medicines. It was observed that Tamil Nadu had suppliers for 100% of the drugs on their procurement list at the end of the procurement processes in 2006, 2007 and 2008, whereas Bihar's procurement agency was only able to get suppliers for 56%, 59% and 38% of drugs during the same period. Further, it was observed that Bihar's system was fuelling irrational procurement; for example, fluconazole (antifungal) alone was consuming 23.4% of the state's drug budget and was being procured by around 34% of the districts during 2008-2009. Also, the ratios of procurement prices for Bihar compared with Tamil Nadu were in the range of 1.01 to 22.50. For 50% of the analysed drugs, the price ratio was more than 2, that is, Bihar's procurement system was procuring the same medicines at more than twice the prices paid by Tamil Nadu. Centralized, automated pooled procurement models like that of Tamil Nadu are key to achieving the best procurement prices and highest possible access to medicines.

41 CFR 101-26.505-3 - Requests to procure similar items from sources other than GSA supply sources.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 2 2010-07-01 2010-07-01 true Requests to procure... Contracts and Property Management Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 26-PROCUREMENT SOURCES AND PROGRAM 26.5-GSA Procurement Programs § 101-26...

Understanding Sustainable Diets: A Descriptive Analysis of the Determinants and Processes That Influence Diets and Their Impact on Health, Food Security, and Environmental Sustainability123

PubMed Central

Johnston, Jessica L.; Fanzo, Jessica C.; Cogill, Bruce

2014-01-01

The confluence of population, economic development, and environmental pressures resulting from increased globalization and industrialization reveal an increasingly resource-constrained world in which predictions point to the need to do more with less and in a “better” way. The concept of sustainable diets presents an opportunity to successfully advance commitments to sustainable development and the elimination of poverty, food and nutrition insecurity, and poor health outcomes. This study examines the determinants of sustainable diets, offers a descriptive analysis of these areas, and presents a causal model and framework from which to build. The major determinants of sustainable diets fall into 5 categories: 1) agriculture, 2) health, 3) sociocultural, 4) environmental, and 5) socioeconomic. When factors or processes are changed in 1 determinant category, such changes affect other determinant categories and, in turn, the level of “sustainability” of a diet. The complex web of determinants of sustainable diets makes it challenging for policymakers to understand the benefits and considerations for promoting, processing, and consuming such diets. To advance this work, better measurements and indicators must be developed to assess the impact of the various determinants on the sustainability of a diet and the tradeoffs associated with any recommendations aimed at increasing the sustainability of our food system. PMID:25022991

Improving global environmental management with standard corporate reporting.

PubMed

Kareiva, Peter M; McNally, Brynn W; McCormick, Steve; Miller, Tom; Ruckelshaus, Mary

2015-06-16

Multinational corporations play a prominent role in shaping the environmental trajectory of the planet. The integration of environmental costs and benefits into corporate decision-making has enormous, but as yet unfulfilled, potential to promote sustainable development. To help steer business decisions toward better environmental outcomes, corporate reporting frameworks need to develop scientifically informed standards that consistently consider land use and land conversion, clean air (including greenhouse gas emissions), availability and quality of freshwater, degradation of coastal and marine habitats, and sustainable use of renewable resources such as soil, timber, and fisheries. Standardization by itself will not be enough--also required are advances in ecosystem modeling and in our understanding of critical ecological thresholds. With improving ecosystem science, the opportunity for realizing a major breakthrough in reporting corporate environmental impacts and dependencies has never been greater. Now is the time for ecologists to take advantage of an explosion of sustainability commitments from business leaders and expanding pressure for sustainable practices from shareholders, financial institutions, and consumers.

Improving global environmental management with standard corporate reporting

PubMed Central

Kareiva, Peter M.; McNally, Brynn W.; McCormick, Steve; Miller, Tom; Ruckelshaus, Mary

2015-01-01

Multinational corporations play a prominent role in shaping the environmental trajectory of the planet. The integration of environmental costs and benefits into corporate decision-making has enormous, but as yet unfulfilled, potential to promote sustainable development. To help steer business decisions toward better environmental outcomes, corporate reporting frameworks need to develop scientifically informed standards that consistently consider land use and land conversion, clean air (including greenhouse gas emissions), availability and quality of freshwater, degradation of coastal and marine habitats, and sustainable use of renewable resources such as soil, timber, and fisheries. Standardization by itself will not be enough—also required are advances in ecosystem modeling and in our understanding of critical ecological thresholds. With improving ecosystem science, the opportunity for realizing a major breakthrough in reporting corporate environmental impacts and dependencies has never been greater. Now is the time for ecologists to take advantage of an explosion of sustainability commitments from business leaders and expanding pressure for sustainable practices from shareholders, financial institutions, and consumers. PMID:26082543

Addressing NCDs: A unifying agenda for sustainable development.

PubMed

Collins, Téa; Mikkelsen, Bente; Adams, Jennifer; Chestnov, Oleg; Evans, Tim; Feigl, Andrea; Nugent, Rachel; Pablos-Mendez, Ariel; Srivanichakorn, Supattra; Webb, Douglas

2017-10-28

Despite the mounting evidence that they impede social and economic development, increase inequalities, and perpetuate poverty, Noncommunicable diseases (NCDs) remain largely absent from the agendas of major development assistance initiatives. In addition, fundamental changes are developing in patterns of development assistance for health, and more of the burden for fighting NCDs is being placed on domestic budgets, thus increasing pressure on the most vulnerable countries. The paper argues, however, that a new day is coming. With the inclusion of NCDs and related targets in the 2030 Agenda for Sustainable Development, there is an unprecedented opportunity to explore linkages among the sustainable development goals, enhance policy coherence and advance the NCD agenda as part of sustainable development. International development partners (bilateral and multilateral) can help in this important effort to address NCDs and their shared risk factors by providing catalytic support to countries that are particularly vulnerable in terms of the disease burden but lack the resources (human, financial) and institutional arrangements to meet their commitments at national, regional, and global levels.

The Infrastructure Necessary to Support a Sustainable Material Protection, Control and Accounting (MPC&A) Program in Russia

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

Bachner, Katherine M.; Mladineo, Stephen V.

The NNSA Material Protection, Control, and Accounting (MPC&A) program has been engaged for fifteen years in upgrading the security of nuclear materials in Russia. Part of the effort has been to establish the conditions necessary to ensure the long-term sustainability of nuclear security. A sustainable program of nuclear security requires the creation of an indigenous infrastructure, starting with sustained high level government commitment. This includes organizational development, training, maintenance, regulations, inspections, and a strong nuclear security culture. The provision of modern physical protection, control, and accounting equipment to the Russian Federation alone is not sufficient. Comprehensive infrastructure projects support themore » Russian Federation's ability to maintain the risk reduction achieved through upgrades to the equipment. To illustrate the contributions to security, and challenges of implementation, this paper discusses the history and next steps for an indigenous Tamper Indication Device (TID) program, and a Radiation Portal Monitoring (RPM) program.« less

From Science, Engineering and Innovation to Sustainable Development: The Path Forward

NASA Astrophysics Data System (ADS)

Turekian, Vaughan

2017-01-01

In September 2015, world leaders committed to a new 2030 Agenda for Sustainable Development, with 17 Sustainable Development Goals (SDGs) aimed at ending poverty, hunger and inequality, taking action on the environment and climate change, and improving access to health and education. Science, technology and innovation (STI) underpin the achievement of all of the SDGs, whether it is expanding access to health services and quality education; improving food security; and access to clean water and sanitation; building transparent, accountable, and stable institutions; empowering women and minorities; or promoting the sustainable management and use of renewable energy and natural resources. The goals speak to a broad range of directions the world needs to go to promote economic, environmental, and social well-being. The goals are interdependent and achieving one will only be possible by achieving all. We have an obligation to take necessary steps that integrate all the different stakeholders and constant advances in innovation, science, and technology.

Decision-Making Processes during State Appropriation Cuts in Michigan Public Universities: How Administrators Respond to These Cuts a Case Study of State "A" University

ERIC Educational Resources Information Center

Almeshagbeh, Wasfi K.

2012-01-01

In principle and practice, Michigan's public universities are committed to the sustained improvement of educational and economic opportunities in the state. However, their place in the state's general fund budget makes them especially vulnerable to reductions, when resources are low. The remarkable impact that higher education has on every person…

Point of view: Hillary Rodham Clinton.

PubMed

Clinton, H R

1999-04-01

During the 1994 International Conference on Population and Development (ICPD) in Cairo, 180 nations agreed for the first time that women's reproductive health and empowerment are crucial to national sustainability and growth. In the US the government has increased funding to family planning (FP) and reproductive care services nationwide, while continuing to ensure that abortion remain safe, legal, and increasingly rare. Commitments to FP must be continued in light of the nearly 600,000 annual deaths worldwide from pregnancy-related causes. Commitments to education must continue because two-thirds of the 960 million illiterate adults are women. The goals to reach by the year 2015 are for pregnancies to be planned, children to be wanted, and women to achieve their rightful place in society. Educating women means educating families, and educating families means educating societies.

Equipment and skills shortage in Uzbekistan.

PubMed

Khodjibaev, Abdukhakim M; Anvarov, Khikmat; Borisova, Elena; Schmitt, Roger; Murotova, Nigora

2014-05-01

In this article, supplied with the help of the International Federation of Hospital Engineering (IFHE), five co-authors from the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ)--a German organisation that seeks to encourage and co-ordinate international cooperation in areas ranging from sustainable development to fund management, and its partner organisation, IFHE member, the Republican Research Center of Emergency Medicine (RRCEM) in Uzbekistan, discuss the use of medical technology in the central Asian country. They also explain how a GIZ project is helping to boost the number of skilled staff, improve quality assurance and management in procurement, logistics, and maintenance, and promote good training of medical and technical staff, across Uzbekistan.

The grit effect: predicting retention in the military, the workplace, school and marriage

PubMed Central

Eskreis-Winkler, Lauren; Shulman, Elizabeth P.; Beal, Scott A.; Duckworth, Angela L.

2013-01-01

Remaining committed to goals is necessary (albeit not sufficient) to attaining them, but very little is known about domain-general individual differences that contribute to sustained goal commitment. The current investigation examines the association between grit, defined as passion and perseverance for long-term goals, other individual difference variables, and retention in four different contexts: the military, workplace sales, high school, and marriage. Grit predicted retention over and beyond established context-specific predictors of retention (e.g., intelligence, physical aptitude, Big Five personality traits, job tenure) and demographic variables in each setting. Grittier soldiers were more likely to complete an Army Special Operations Forces (ARSOF) selection course, grittier sales employees were more likely to keep their jobs, grittier students were more likely to graduate from high school, and grittier men were more likely to stay married. The relative predictive validity of grit compared to other traditional predictors of retention is examined in each of the four studies. These findings suggest that in addition to domain-specific influences, there may be domain-general individual differences which influence commitment to diverse life goals over time. PMID:24550863

The grit effect: predicting retention in the military, the workplace, school and marriage.

PubMed

Eskreis-Winkler, Lauren; Shulman, Elizabeth P; Beal, Scott A; Duckworth, Angela L

2014-01-01

Remaining committed to goals is necessary (albeit not sufficient) to attaining them, but very little is known about domain-general individual differences that contribute to sustained goal commitment. The current investigation examines the association between grit, defined as passion and perseverance for long-term goals, other individual difference variables, and retention in four different contexts: the military, workplace sales, high school, and marriage. Grit predicted retention over and beyond established context-specific predictors of retention (e.g., intelligence, physical aptitude, Big Five personality traits, job tenure) and demographic variables in each setting. Grittier soldiers were more likely to complete an Army Special Operations Forces (ARSOF) selection course, grittier sales employees were more likely to keep their jobs, grittier students were more likely to graduate from high school, and grittier men were more likely to stay married. The relative predictive validity of grit compared to other traditional predictors of retention is examined in each of the four studies. These findings suggest that in addition to domain-specific influences, there may be domain-general individual differences which influence commitment to diverse life goals over time.

Developing scientists in Hispanic substance use and health disparities research through the creation of a national mentoring network.

PubMed

Bazzi, Angela R; Mogro-Wilson, Cristina; Negi, Nalini Junko; Gonzalez, Jennifer M Reingle; Cano, Miguel Ángel; Castro, Yessenia; Cepeda, Alice

2017-01-01

Hispanics are disproportionately affected by substance use and related health harms yet remain underrepresented across scientific disciplines focused on researching and addressing these issues. An interdisciplinary network of scientists committed to fostering the development of social and biomedical researchers focused on Hispanic substance use and health disparities developed innovative mentoring and career development activities. We conducted a formative evaluation study using anonymous membership and conference feedback data to describe specific mentoring and career development activities developed within the national network. Successful mentoring initiatives and career development activities were infused with cultural and community values supportive of professional integration and persistence. Mentoring initially occurred within an annual national conference and was then sustained throughout the year through formal training programs and informal mentoring networks. Although rigorous evaluation is needed to determine the success of these strategies in fostering long-term career development among scientists conducting Hispanic health and substance use research, this innovative model may hold promise for other groups committed to promoting career development and professional integration and persistence for minority (and non-minority) scientists committed to addressing health disparities.

Committing to Breastfeeding in Social Work.

PubMed

Hurst, Carol Grace; Reno, Rebecca; Lefmann, Tess

2018-04-27

This article addresses the importance of breastfeeding for the social work profession. Because breastfeeding is a critical component of maternal and child health, persistent racial and socioeconomic breastfeeding inequality is a social justice issue in need of social work commitment. Even while breastfeeding rates have been increasing in the United States there are some groups of mothers who initiate breastfeeding less frequently or have trouble with sustaining breastfeeding for recommended lengths. These mothers and their babies thus miss out on the ample benefits of this nurturing interaction. Using social work's unique disciplinary perspective and commitment to social justice, the authors place essential understanding of breastfeeding health benefits within the core values of the National Association of Social Work ethical code. The practice context for early breastfeeding intervention with mothers and families is discussed with acknowledgment of the maternal-child health focus at the root of the profession. Recognition of the potential of contemporary social work to advance breastfeeding equity through practice, scholarship, and action positions breastfeeding support activities as integral to meeting the grand challenges of the social work profession.

Donor and procurement related issues in vascularized composite allograft transplantation.

PubMed

McDiarmid, Sue V

2013-12-01

To understand the unique requirements of vascularized composite allograft (VCA) donation and procurement practices and the integral role of the established nationwide organ procurement organizations in organ procurement. The recent issuance of a Final Rule (July 2013) by the United States Secretary of Health that redefines VCAs as organs rather than tissues, opens up the potential to formalize policies and procedures, under the auspices of the Organ Procurement and Transplantation Network, that can improve VCA donation, procurement practices, develop allocation algorithms and provide transparent oversight. Improved VCA donation rates, procurement procedures and broader sharing nationwide of VCA donors will have important implications in advancing the emerging field of VCA transplantation.

The carbon footprint of a renal service in the United Kingdom.

PubMed

Connor, A; Lillywhite, R; Cooke, M W

2010-12-01

Anthropogenic climate change presents a major global health threat. However, the very provision of healthcare itself is associated with a significant environmental impact. Carbon footprinting techniques are increasingly used outside of the healthcare sector to assess greenhouse gas emissions and inform strategies to reduce them. This study represents the first assessment of the carbon footprint of an individual specialty service to include both direct and indirect emissions. This was a component analysis study. Activity data were collected for building energy use, travel and procurement. Established emissions factors were applied to reconcile this data to carbon dioxide equivalents (CO(2)eq) per year. The Dorset Renal Service has a carbon footprint of 3006 tonnes CO(2)eq per annum, of which 381 tonnes CO(2)eq (13% of overall emissions) result from building energy use, 462 tonnes CO(2)eq from travel (15%) and 2163 tonnes CO(2)eq (72%) from procurement. The contributions of the major subsectors within procurement are: pharmaceuticals, 1043 tonnes CO(2)eq (35% of overall emissions); medical equipment, 753 tonnes CO(2)eq (25%). The emissions associated with healthcare episodes were estimated at 161 kg CO(2)eq per bed day for an inpatient admission and 22 kg CO(2)eq for an outpatient appointment. These results suggest that carbon-reduction strategies focusing upon supply chain emissions are likely to yield the greatest benefits. Sustainable waste management and strategies to reduce emissions associated with building energy use and travel will also be important. A transformation in the way that clinical care is delivered is required, such that lower carbon clinical pathways, treatments and technologies are embraced. The estimations of greenhouse gas emissions associated with outpatient appointments and inpatient stays calculated here may facilitate modelling of the emissions of alternative pathways of care.

Tissue procurement system in Japan: the role of a tissue bank in medical center for translational research, Osaka University Hospital.

PubMed

Ohkawara, H; Fukushima, N; Kitagawa, T; Ito, T; Masutani, Y; Sawa, Y

2010-01-01

Although organ procurement has been regulated by The Organ Transplantation Law (brain-dead donors since 1997, donors after cardiac death since 1979), there has been no law or governmental procurement network (except for cornea) in Japan. Since the late 1980s, some university hospitals have developed original banks. Finally, in 2001 guidelines for tissue procurement were established by The Japanese Society of Tissue Transplantation and Japan Tissue Transplant Network (JTTN) to coordinate tissue harvesting. Five tissue banks were joined to the tissue transplant network (skin in one, heart valves in two, and bone in two). As the number of tissue banks is small, each bank cooperates on procurement, but cannot cover the entire country. With regard to skin transplantation, only one skin bank-The Japan Skin Bank Network (JSBN), which is located in Tokyo-has organized skin procurement. Therefore, it has been difficult to procure skin in areas distant from Tokyo, especially around Osaka. In order to improve such a situation, a tissue bank collaborating with the JSBN was established at The Medical Center for Translational Research (MTR), Osaka University Hospital in April 2008. The bank has played a role in skin procurement center in western Japan and supported procurement and preservation at the time of the skin procurement. Between April 2008 and September 2009, the bank participated in eight tissue procurements in the western area. In the future, the bank is planning to procure and preserve pancreatic islets and bones. Moreover, there is a plan to set up an induced pluripotent stem cells center and stem cell bank in MTR. This tissue bank may play a role to increase tissue procurement in Japan, especially in the western area. .

A Comparative Study of the Perceived Usefulness of Civilian Institution Contracting-Related Graduate Programs by Graduates and the Perceived Usefulness of the AFIT CAM (Air Force Institute of Technology Contracting and Manufacturing) Program by Graduates

DTIC Science & Technology

1985-09-01

courses for a concentration in procurement and materials management: Procurement and Materials Management Procurement Contract Law Systems Procurement...for contracting in the public sector (Procurement Contract Law ). The respondents did not agree as much with this question as they did with the...the results of this section proved quite different from the group as a whole. Contract Law , Contract Negotiations, Pricing, Procurement Management

A methodological approach and framework for sustainability assessment in NGO-implemented primary health care programs.

PubMed

Sarriot, Eric G; Winch, Peter J; Ryan, Leo J; Bowie, Janice; Kouletio, Michelle; Swedberg, Eric; LeBan, Karen; Edison, Jay; Welch, Rikki; Pacqué, Michel C

2004-01-01

An estimated 10.8 million children under 5 continue to die each year in developing countries from causes easily treatable or preventable. Non governmental organizations (NGOs) are frontline implementers of low-cost and effective child health interventions, but their progress toward sustainable child health gains is a challenge to evaluate. This paper presents the Child Survival Sustainability Assessment (CSSA) methodology--a framework and process--to map progress towards sustainable child health from the community level and upward. The CSSA was developed with NGOs through a participatory process of research and dialogue. Commitment to sustainability requires a systematic and systemic consideration of human, social and organizational processes beyond a purely biomedical perspective. The CSSA is organized around three interrelated dimensions of evaluation: (1) health and health services; (2) capacity and viability of local organizations; (3) capacity of the community in its social ecological context. The CSSA uses a participatory, action-planning process, engaging a 'local system' of stakeholders in the contextual definition of objectives and indicators. Improved conditions measured in the three dimensions correspond to progress toward a sustainable health situation for the population. This framework opens new opportunities for evaluation and research design and places sustainability at the center of primary health care programming.

Extinction of Chained Instrumental Behaviors: Effects of Procurement Extinction on Consumption Responding

PubMed Central

Thrailkill, Eric A.; Bouton, Mark E.

2015-01-01

Instrumental behavior often consists of sequences or chains of responses that minimally include procurement behaviors that enable subsequent consumption behaviors. In such chains, behavioral units are linked by access to one another and eventually to a primary reinforcer, such as food or a drug. The present experiments examined the effects of extinguishing procurement responding on consumption responding after training of a discriminated heterogeneous instrumental chain. Rats learned to make a procurement response (e.g., pressing a lever) in the presence of a distinctive discriminative stimulus; making that response led to the presentation of a second discriminative stimulus that set the occasion for a consumption response (e.g., pulling a chain), which then produced a food-pellet reinforcer. Experiment 1 showed that extinction of either the full procurement-consumption chain or procurement alone weakened the consumption response tested in isolation. Experiment 2 replicated the procurement extinction effect and further demonstrated that the opportunity to make the procurement response, as opposed to simple exposure to the procurement stimulus alone, was required. In Experiment 3, rats learned 2 distinct discriminated heterogeneous chains; extinction of 1 procurement response specifically weakened the consumption response that had been associated with it. The results suggest that learning to inhibit the procurement response may produce extinction of consumption responding through mediated extinction. The experiments suggest the importance of an associative analysis of instrumental behavior chains. PMID:25915751

Analysis of potential factors affecting microbiological cultures in tissue donors during procurement.

PubMed

Lannau, B; Van Geyt, C; Van Maele, G; Beele, H

2015-03-01

During the procurement of musculoskeletal grafts contamination may occur. As this might be detrimental for the acceptor, it is important to know which variables influence this occurrence and to alter procurement protocols accordingly. From 2004 to 2012 we gathered information on 6,428 allografts obtained from 291 donors. Using a multiple regression model we attempted to determine the factors that influence the contamination risk during procurement. We used the following variables: cause of death, type of hospital (i.e. university hospital vs. general hospital), previous blood vessel donation, previous organ donation, donor age, time between death and the start of the procurement, duration of the procurement, number of people attending the procurement and the number of procured grafts. The multiple regression model was only able to explain 5 % of the variability of the used outcome variable. None of the variables examined appear to have an important influence on the contamination risk.

Tissue procurement and transplantation: a Tuscany perspective.

PubMed

Filipponi, F; De Simone, P; Saviozzi, A; Bozzi, G

2008-01-01

Tissue procurement and transplantation are rarely taken into account as indicators of the efficiency of a regional donor procurement network. We present herein a retrospective review on Tuscany tissue procurement activities from 2004 until 2006. In 2003 the Tuscan Regional Government appointed a transplantation service authority to reorganize all regional donation and transplantation activities: the Organizzazione Toscana Trapianti (OTT). The regional tissue procurement network was based on either brain death (BD) and cardiac death (CD) donors under the responsibility of in-hospital transplantation coordinators (IHTCs). From 2004 to 2006, a total of 397 tissue donors were procured in Tuscany, and 4151 tissue transplantations were performed: 2909 skin grafts, 1209 bone grafts, and 33 heart valves. Over the same period, a total of 2116 cornea donors were procured; 4117 corneas were retrieved; 1779 were fit for transplantation, and 1418 were transplanted. Based on our experience, implementation of tissue procurement requires use of BD donors and paramount organizational efforts from IHTCs.

Procurement | NREL

Science.gov Websites

Procurement Procurement The National Renewable Energy Laboratory (NREL) offers numerous procurement source of biofuels. Register Your Small Business NREL welcomes small, disadvantaged, HUBzone, veteran -owned, and women-owned business vendors and subcontractors. Register today

Quantifying the benefits of the Florida Transit Research Inspection Procurement Services (TRIPS) program : [research summary].

DOT National Transportation Integrated Search

2013-04-01

Established in 1995 as the Florida Vehicle : Procurement Program (FVPP), Florida Transit : Research Inspection Procurement Services (TRIPS) : is a vehicle sourcing and procurement system for : Floridas public transit agencies that integrates : ins...

Applying e-procurement system in the healthcare: the EPOS paradigm

NASA Astrophysics Data System (ADS)

Ketikidis, Panayiotis H.; Kontogeorgis, Apostolos; Stalidis, George; Kaggelides, Kostis

2010-03-01

One of the goals of procurement is to establish a competitive price, while e-procurement utilises electronic commerce to identify potential sources of supply, to purchase goods and services, to exchange contractual information and to interact with suppliers. Extensive academic work has been extensively devoted to e-procurement in diverse industries. However, applying e-procurement in the healthcare sector remains unexplored. It lacks an efficient e-procurement mechanism that will enable hospitals and healthcare suppliers to electronically exchange contractual information, aided by the technologies of optimisation and business rules. The development and deployment of e-procurement requires a major effort in the coordination of complex interorganisational business process. This article presents an e-procurement optimised system (EPOS) for the healthcare marketplace, a complete methodological approach for deploying and operating such system, as piloted in public and private hospitals in three European countries (Greece, Spain and Belgium) and suppliers of healthcare items in the fourth country (Italy). The efficient e-procurement mechanism that EPOS suggests enables hospitals and pharmaceutical and medical equipment suppliers to electronically exchange contractual information.

A Planning Framework for the Deployment of Innovative Information and Communication Technologies in Procurement

NASA Astrophysics Data System (ADS)

Alard, Robert; Gustafsson, Martin; Nienhaus, Jörg

The management of buyer-supplier relations is a major topic for many enterprises today. Modern Information and Communication Technologies (ICT) offer interesting perspectives on opportunities and implementation approaches. Today, logistics and procurement departments of numerous enterprises are evaluating the possibilities and opportunities of new ICT solutions and especially of internet-based electronic procurement solutions for the optimisation and re-engineering of their buyer-supplier relationships. Due to the highly innovative character of the new ICT solutions and the scarcely available operational examples in the industry, only little guidance exists to support responsible managers during the evaluation, planning and designing of internet-based electronic procurement solutions. This paper describes a framework for the strategic evaluation and planning of the deployment of internet-based procurement solutions for direct materials. The presented approach supports enterprises in the analysis of procurement objects and procurement structuring, in the definition and management of buyer-supplier-relationships, in the requirements analysis of ICT solutions as well as the assessment of the potential to support procurement with innovative ICT and internet-based electronic procurement solutions.

End-of-life care in the general wards of a Singaporean hospital: an Asian perspective.

PubMed

Phua, Jason; Kee, Adrian Chin-Leong; Tan, Adeline; Mukhopadhyay, Amartya; See, Kay Choong; Aung, Ngu Wah; Seah, Angeline S T; Lim, Tow Keang

2011-12-01

Despite international differences in cultural perspectives on end-of-life issues, little is known of the care for the dying in the general wards of acute hospitals in Asia. We performed a retrospective medical chart review of all 683 adult patients who died without intensive care unit (ICU) admission in our Singaporean hospital in 2007. We first evaluated the prevalence of do-not-resuscitate (DNR) orders and orders for or against life-sustaining therapies; second, if such orders were discussed with the patients and/or family members; and third, the actual treatments provided before death. There were DNR orders for 66.2% of patients and neither commitment for DNR nor cardiopulmonary resuscitation (CPR) for 28.1%. Orders to limit life-sustaining therapies, including ICU admission, intubation, and vasopressors/inotropes were infrequent. Only 6.2% of the alert and conversant patients with DNR orders were involved in discussions on these orders. In contrast, such discussions with their family members occurred 82.9% of the time. Interventions in the last 24 hours of life included CPR (9.4%), intubation (6.4%), vasopressors/inotropes (14.8%), tube feeding (24.7%), and antibiotics (44.9%). Analgesia was provided in 29.1% of patients. There was a lack of commitment by doctors on orders for DNR/CPR and to limit life-sustaining therapies, infrequent discussions with patients on end-of-life decisions, and excessive burdensome interventions with inadequate palliative care for the dying. These findings may reflect certain Asian cultural biases. More work is required to improve our quality of end-of-life care.

Assessing the evolution of sustainability reporting in the mining sector.

PubMed

Perez, Fabiana; Sanchez, Luis E

2009-06-01

Since the 1990s several large companies have been publishing nonfinancial performance reports. Focusing initially on the physical environment, these reports evolved to consider social relations, as well as data on the firm's economic performance. A few mining companies pioneered this trend, and in the last years some of them incorporated the three dimensions of sustainable development, publishing so-called sustainability reports. This article reviews 31 reports published between 2001 and 2006 by four major mining companies. A set of 62 assessment items organized in six categories (namely context and commitment, management, environmental, social and economic performance, and accessibility and assurance) were selected to guide the review. The items were derived from international literature and recommended best practices, including the Global Reporting Initiative G3 framework. A content analysis was performed using the report as a sampling unit, and using phrases, graphics, or tables containing certain information as data collection units. A basic rating scale (0 or 1) was used for noting the presence or absence of information and a final percentage score was obtained for each report. Results show that there is a clear evolution in report's comprehensiveness and depth. Categories "accessibility and assurance" and "economic performance" featured the lowest scores and do not present a clear evolution trend in the period, whereas categories "context and commitment" and "social performance" presented the best results and regular improvement; the category "environmental performance," despite it not reaching the biggest scores, also featured constant evolution. Description of data measurement techniques, besides more comprehensive third-party verification are the items most in need of improvement.

Before Sustainable Development Goals (SDG): why Nigeria failed to achieve the Millennium Development Goals (MDGs)

PubMed Central

Oleribe, Obinna Ositadimma; Taylor-Robinson, Simon David

2016-01-01

World leaders adopted the UN Millennium Declaration in 2000, which committed the nations of the world to a new global partnership, aimed at reducing extreme poverty and other time-bound targets, with a stated deadline of 2015. Fifteen years later, although significant progress has been made worldwide, Nigeria is lagging behind for a variety of reasons, including bureaucracy, poor resource management in the healthcare system, sequential healthcare worker industrial action, Boko Haram insurgency in the north of Nigeria and kidnappings in the south of Nigeria. The country needs to tackle these problems to be able to significantly advance with the new sustainable development goals (SDGs) by the 2030 target date. PMID:27795754

‘Teach a Man to Fish’: The Doctrine of Sustainability and Its Effects on Three Strata of Malawian Society

PubMed Central

Swidler, Ann; Watkins, Susan Cotts

2009-01-01

This paper analyzes the social impacts of the commitment to “sustainability” in donor-funded AIDS programs. Using survey, interview, and ethnographic data from rural Malawi, we examine how efforts to mobilize and empower local communities affect three strata of Malawian society: the villagers these programs are meant to help, the insecure local elites whose efforts directly link programs to their intended beneficiaries, and, more briefly, national elites who implement AIDS policies and programs. We describe indirect effects of sustainability on the experiences, identities, and aspirations of Malawians—effects that are much broader and deeper than the direct impacts of funding. PMID:20161458

Before Sustainable Development Goals (SDG): why Nigeria failed to achieve the Millennium Development Goals (MDGs).

PubMed

Oleribe, Obinna Ositadimma; Taylor-Robinson, Simon David

2016-01-01

World leaders adopted the UN Millennium Declaration in 2000, which committed the nations of the world to a new global partnership, aimed at reducing extreme poverty and other time-bound targets, with a stated deadline of 2015. Fifteen years later, although significant progress has been made worldwide, Nigeria is lagging behind for a variety of reasons, including bureaucracy, poor resource management in the healthcare system, sequential healthcare worker industrial action, Boko Haram insurgency in the north of Nigeria and kidnappings in the south of Nigeria. The country needs to tackle these problems to be able to significantly advance with the new sustainable development goals (SDGs) by the 2030 target date.

Managing for biodiversity from the electric utilities' perspective

NASA Astrophysics Data System (ADS)

Heydlauff, Dale E.

1996-11-01

The quality and sustainability of the natural environment is a matter of inestimable value and is critical to public health and welfare. All species have a purpose, and they exist for the betterment of other species. It is, therefore, incumbent on all humans to do their part in the preservation of this vast, diverse ecosystem called Earth. All humans are the beneficiaries, the ultimate customers, of a sound environment—water that is safe to drink, air that can be breathed, and soil that will sustain crops. There must be a commitment to leaving a clean and healthy planet for generations to follow, an earth which is enhanced, not diminished, by humans' presence.

The barriers to environmental sustainability in post-disaster settings: a case study of transitional shelter implementation in Haiti.

PubMed

Abrahams, Daniel

2014-04-01

Disaster recovery operations that do not account for environmental sustainability (ES) risk exacerbating the impact of the disaster and hindering long-term recovery efforts. Yet aid agencies do not always consider ES. This research is a case study of the recovery that followed the 2010 earthquake in Haiti. Using timber and concrete procurement as proxies for broader post-disaster operations, research examined perceptions of ES as well as attempts at and barriers to incorporating it into programming. Identified barriers can be grouped into two categories: (1) prioritisations and perceptions within the disaster response sector that resulted in limited enthusiasm for incorporating ES into programming, and (2) structural and organisational barriers within the disaster response framework that impeded ES attempts and served as a further disincentive to incorporating ES into programming. As a result of those barriers, incorporation of ES was sporadic and inconsistent and often depended on the capacity and motivation of specific implementers. © 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

Current medical research funding and frameworks are insufficient to address the health risks of global environmental change.

PubMed

Ebi, Kristie L; Semenza, Jan C; Rocklöv, Joacim

2016-11-11

Three major international agreements signed in 2015 are key milestones for transitioning to more sustainable and resilient societies: the UN 2030 Agenda for Sustainable Development; the Sendai Framework for Disaster Risk Reduction; and the Paris Agreement under the United Nations Framework Convention on Climate Change. Together, these agreements underscore the critical importance of understanding and managing the health risks of global changes, to ensure continued population health improvements in the face of significant social and environmental change over this century. BODY: Funding priorities of major health institutions and organizations in the U.S. and Europe do not match research investments with needs to inform implementation of these international agreements. In the U.S., the National Institutes of Health commit 0.025 % of their annual research budget to climate change and health. The European Union Seventh Framework Programme committed 0.08 % of the total budget to climate change and health; the amount committed under Horizon 2020 was 0.04 % of the budget. Two issues apparently contributing to this mismatch are viewing climate change primarily as an environmental problem, and therefore the responsibility of other research streams; and narrowly framing research into managing the health risks of climate variability and change from the perspective of medicine and traditional public health. This reductionist, top-down perspective focuses on proximate, individual level risk factors. While highly successful in reducing disease burdens, this framing is insufficient to protect health and well-being over a century that will be characterized by profound social and environmental changes. International commitments in 2015 underscored the significant challenges societies will face this century from climate change and other global changes. However, the low priority placed on understanding and managing the associated health risks by national and international research institutions and organizations leaves populations poorly prepared to cope with changing health burdens. Risk-centered, systems approaches can facilitate understanding of the complex interactions and dependencies across environmental, social, and human systems. This understanding is needed to formulate effective interventions targeting socio-environmental factors that are as important for determining health burdens as are individual risk factors.

24 CFR 963.12 - Alternative procurement process.

Code of Federal Regulations, 2010 CFR

2010-04-01

... URBAN DEVELOPMENT PUBLIC HOUSING-CONTRACTING WITH RESIDENT-OWNED BUSINESSES Contracting With Resident-Owned Businesses § 963.12 Alternative procurement process. (a) Method of procurement. In contracting with resident-owned businesses, the PHA shall follow the applicable method of procurement as set forth...

The potential for chemical mixtures from the environment to enable the cancer hallmark of sustained proliferative signalling

PubMed Central

Engström, Wilhelm; Darbre, Philippa; Eriksson, Staffan; Gulliver, Linda; Hultman, Tove; Karamouzis, Michalis V.; Klaunig, James E.; Mehta, Rekha; Moorwood, Kim; Sanderson, Thomas; Sone, Hideko; Vadgama, Pankaj; Wagemaker, Gerard; Ward, Andrew; Singh, Neetu; Al-Mulla, Fahd; Al-Temaimi, Rabeah; Amedei, Amedeo; Colacci, Anna Maria; Vaccari, Monica; Mondello, Chiara; Scovassi, A. Ivana; Raju, Jayadev; Hamid, Roslida A.; Memeo, Lorenzo; Forte, Stefano; Roy, Rabindra; Woodrick, Jordan; Salem, Hosni K.; Ryan, Elizabeth; Brown, Dustin G.; Bisson, William H.

2015-01-01

The aim of this work is to review current knowledge relating the established cancer hallmark, sustained cell proliferation to the existence of chemicals present as low dose mixtures in the environment. Normal cell proliferation is under tight control, i.e. cells respond to a signal to proliferate, and although most cells continue to proliferate into adult life, the multiplication ceases once the stimulatory signal disappears or if the cells are exposed to growth inhibitory signals. Under such circumstances, normal cells remain quiescent until they are stimulated to resume further proliferation. In contrast, tumour cells are unable to halt proliferation, either when subjected to growth inhibitory signals or in the absence of growth stimulatory signals. Environmental chemicals with carcinogenic potential may cause sustained cell proliferation by interfering with some cell proliferation control mechanisms committing cells to an indefinite proliferative span. PMID:26106143

2006 Harben Lecture. World poverty and population health: the need for sustainable change.

PubMed

Aitsi-Selmi, Amina

2008-06-01

Despite important recent initiatives to improve the health of the most disadvantaged in the world (the Millennium Development Goals, debt cancellation campaigns), poverty and preventable diseases still plague many parts of the globe. Sub-Saharan Africa remains one of the most severely affected. It is the only region in the world where life expectancy has not seen much improvement. Some countries have employed strategies of investment in public services, such as education, with positive results (e.g. the 'tiger economies'). Others have tried to follow prescribed strategies from global institutions such as the International Monetary Fund and World Bank with varying degrees of success. Sustainable development will require continuous commitment from donors and recipients to long-term strategies. Oxfam believes investment in public services and education is key to sustainability, in combination with more effective debt cancellation. These concepts are explored in the 2006 Harben Lecture given by Barbara Stocking, Director of Oxfam.

Sustaining simulation training programmes--experience from maternity care.

PubMed

Ayres-de-Campos, D; Deering, S; Siassakos, D

2011-11-01

There is little scientific evidence to support the majority of simulation-based maternity training programmes, but some characteristics appear to be associated with sustainability. Among these are a clear institutional-level commitment to the course, strong leadership in course organisation, a curriculum relevant to clinical practice, a nonthreatening learning environment, the establishment of multiprofessional training and the use of simulators appropriate to the learning objectives. There is still some debate on whether simulation-based sessions should be carried out in dedicated training time outside normal working hours or in ad-hoc drills that are run during clinical sessions, whether they should be located in clinical areas, simulation centres, or both, and whether or not they should include standardised generic teamwork training sessions. In this review, we discuss the main characteristics that appear to make a simulation-based training programme a sustainable initiative. © 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.

Twelve tips for developing, implementing, and sustaining medical education fellowship programs: Building on new trends and solid foundations.

PubMed

Dewey, Charlene M; Turner, Teri L; Perkowski, Linda; Bailey, Jean; Gruppen, Larry D; Riddle, Janet; Singhal, Geeta; Mullan, Patricia; Poznanski, Ann; Pillow, Tyson; Robins, Lynne S; Rougas, Steven C; Horn, Leora; Ghulyan, Marine V; Simpson, Deborah

2016-01-01

Medical education fellowship programs (MEFPs) are a form of faculty development contributing to an organization's educational mission and participants' career development. Building an MEFP requires a systematic design, implementation, and evaluation approach which aligns institutional and individual faculty goals. Implementing an MEFP requires a team of committed individuals who provide expertise, guidance, and mentoring. Qualified MEFP directors should utilize instructional methods that promote individual and institutional short and long term growth. Directors must balance the use of traditional design, implementation, and evaluation methodologies with advancing trends that may support or threaten the acceptability and sustainability of the program. Drawing on the expertise of 28 MEFP directors, we provide twelve tips as a guide to those implementing, sustaining, and/or growing a successful MEFP whose value is demonstrated by its impacts on participants, learners, patients, teaching faculty, institutions, the greater medical education community, and the population's health.

Visioning the Centre for Place and Sustainability Studies through an embodied aesthetic wholeness

NASA Astrophysics Data System (ADS)

Sameshima, Pauline; Greenwood, David A.

2015-03-01

In the context of research universities, what kind of places and spaces can we create for ourselves that foster a holistic vision of learning and community, a vision that is responsive to the shifting social and ecological landscapes of the Anthropocene? How can these spaces simultaneously address the need to nurture both personal and cultural change? How do the frames we create enhance or limit our place-making? This paper offers one situated response to such questions as it theorizes and describes the arts integrated emergence of the Centre for Place and Sustainability Studies at Lakehead University. Drawing from critical cultural and ecological studies, we problematize creating spaces in both centers and margins, and offer an arts integrated vision of a space for diverse and evolving approaches to sustainability work: a meeting ground characterized by a commitment to parallax and embodied aesthetic wholeness.

THRIVES: Using the best evidence to prevent violence against children.

PubMed

Hillis, Susan; Mercy, James; Saul, Janet; Gleckel, Jessie; Abad, Neetu; Kress, Howard

2016-09-01

More than 1 billion children - half the children in the world - are victims of violence every year. As part of the Post-2015 sustainable development agenda, the UN has issued a global call-to-action: to eliminate violence against children. Essential to preventing violence against children is guidance to countries on using the best available evidence to address this problem. THRIVES provides this evidence. It represents a framework of complementary strategies that, taken together, have potential to achieve and sustain efforts to prevent violence against children. These strategies, which span health, social services, education, and justice sectors, include Training in parenting, Household economic strengthening, Reduced violence through legislative protection, Improved services, Values and norms that protect children, Education and life skills, and Surveillance and evaluation. For each THRIVES area, we review evidence for effectiveness and identify programmatic or policy examples. This framework will facilitate commitments to effective, sustainable, and scalable action.

Innovating for Transformation in First Nations Health Using Community-Based Participatory Research.

PubMed

Kyoon-Achan, Grace; Lavoie, Josée; Avery Kinew, Kathi; Phillips-Beck, Wanda; Ibrahim, Naser; Sinclair, Stephanie; Katz, Alan

2018-06-01

Community-based participatory research (CBPR) provides the opportunity to engage communities for sustainable change. We share a journey to transformation in our work with eight Manitoba First Nations seeking to improve the health of their communities and discuss lessons learned. The study used community-based participatory research approach for the conceptualization of the study, data collection, analysis, and knowledge translation. It was accomplished through a variety of methods, including qualitative interviews, administrative health data analyses, surveys, and case studies. Research relationships built on strong ethics and protocols to enhance mutual commitment to support community-driven transformation. Collaborative and respectful relationships are platforms for defining and strengthening community health care priorities. We further discuss how partnerships were forged to own and sustain innovations. This article contributes a blueprint for respectful CBPR. The outcome is a community-owned, widely recognized process that is sustainable while fulfilling researcher and funding obligations.

Endoscopic versus transcranial procurement of allograft tympano-ossicular systems: a prospective double-blind randomized controlled audit.

PubMed

Caremans, Jeroen; Hamans, Evert; Muylle, Ludo; Van de Heyning, Paul; Van Rompaey, Vincent

2016-06-01

Allograft tympano-ossicular systems (ATOS) have proven their use over many decades in tympanoplasty and reconstruction after resection of cholesteatoma. The transcranial bone plug technique has been used in the past 50 years to procure en bloc ATOS (tympanic membrane with malleus, incus and stapes attached). Recently, our group reported the feasibility of the endoscopic procurement technique. The aim of this study was to assess whether clinical outcome is equivalent in ATOS acquired by using the endoscopic procurement technique compared to ATOS acquired by using the transcranial technique. A double-blind randomized controlled audit was performed in a tertiary referral center in patients that underwent allograft tympanoplasty because of chronic otitis media with and without cholesteatoma. Allograft epithelialisation was evaluated at the short-term postoperative visit by microscopic examination. Failures were reported if reperforation was observed. Fifty patients underwent allograft tympanoplasty: 34 received endoscopically procured ATOS and 16 received transcranially procured ATOS. One failed case was observed, in the endoscopic procurement group. We did not observe a statistically significant difference between the two groups in failure rate. This study demonstrates equivalence of the clinical outcome of allograft tympanoplasty using either endoscopic or transcranial procured ATOS and therefore indicates that the endoscopic technique can be considered the new standard procurement technique. Especially because the endoscopic procurement technique has several advantages compared to the former transcranial procurement technique: it avoids risk of prion transmission and it is faster while lacking any noticeable incision.

7 CFR 1780.72 - Procurement methods.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 12 2012-01-01 2012-01-01 false Procurement methods. 1780.72 Section 1780.72..., Constructing and Inspections § 1780.72 Procurement methods. Procurement shall be made by one of the following methods: Small purchase procedures; competitive sealed bids (formal advertising); competitive negotiation...

7 CFR 1780.72 - Procurement methods.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 12 2013-01-01 2013-01-01 false Procurement methods. 1780.72 Section 1780.72..., Constructing and Inspections § 1780.72 Procurement methods. Procurement shall be made by one of the following methods: Small purchase procedures; competitive sealed bids (formal advertising); competitive negotiation...

7 CFR 1780.72 - Procurement methods.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 12 2014-01-01 2013-01-01 true Procurement methods. 1780.72 Section 1780.72..., Constructing and Inspections § 1780.72 Procurement methods. Procurement shall be made by one of the following methods: Small purchase procedures; competitive sealed bids (formal advertising); competitive negotiation...

7 CFR 1780.72 - Procurement methods.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 12 2010-01-01 2010-01-01 false Procurement methods. 1780.72 Section 1780.72..., Constructing and Inspections § 1780.72 Procurement methods. Procurement shall be made by one of the following methods: Small purchase procedures; competitive sealed bids (formal advertising); competitive negotiation...

7 CFR 1780.72 - Procurement methods.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 12 2011-01-01 2011-01-01 false Procurement methods. 1780.72 Section 1780.72..., Constructing and Inspections § 1780.72 Procurement methods. Procurement shall be made by one of the following methods: Small purchase procedures; competitive sealed bids (formal advertising); competitive negotiation...

22 CFR 226.46 - Procurement records.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Procurement records. 226.46 Section 226.46 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ADMINISTRATION OF ASSISTANCE AWARDS TO U.S. NON-GOVERNMENTAL ORGANIZATIONS Post-award Requirements Procurement Standards § 226.46 Procurement records...

76 FR 12016 - Local and Regional Food Aid Procurement Projects

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-04

... DEPARTMENT OF AGRICULTURE Foreign Agricultural Service Local and Regional Food Aid Procurement... field-based projects under the USDA Local and Regional Food Aid Procurement Pilot Project (USDA LRP..., 2011. FOR FURTHER INFORMATION CONTACT: Jamie Fisher, Chief, Local and Regional Procurement, Food...