1,630 research outputs found
Continuity and tension in the definition, perception and enactment of first-line management role in healthcare
No full textOrbit design for future SpaceChip swarm missions in a planetary atmosphere
No full textThe effect of solar radiation pressure and atmospheric drag on the orbital dynamics of satellites-on-a-chip (SpaceChips) is exploited to design equatorial long-lived orbits about the oblate Earth. The orbit energy gain due to asymmetric solar radiation pressure, considering the Earth's shadow, is used to balance the energy loss due to atmospheric drag. Future missions for a swarm of SpaceChips are proposed, where a number of small devices are released from a conventional spacecraft to perform spatially distributed measurements of the conditions in the ionosphere and exosphere. It is shown that the orbit lifetime can be extended and indeed selected through solar radiation pressure and the end-of-life re-entry of the swarm can be ensured, by exploiting atmospheric drag
Public Policy in a Private Arena: The Case of Vocational Education and Training
No full textM.21586-1998 Colin Crouch. 30 cm. This paper is based on a seminar that he presented at the Center for Advanced Study in the Social Sciences of the Juan March Institute, Madrid, on 9 May 1995, entitled Diversity in Modern Capitalism: Examples from Vocational Education." -- T.p. Includes bibliographical references (p. 35-37
The effectiveness of interventions to treat severe acute malnutrition in young children: a systematic review
No full textSevere acute malnutrition (SAM) arises as a consequence of a sudden period of food shortage and is associated with loss of a person’s body fat and wasting of their skeletal muscle. Many of those affected are already undernourished and are often susceptible to disease. Infants and young children are the most vulnerable as they require extra nutrition for growth and development, have comparatively limited energy reserves and depend on others. Undernutrition can have drastic and wide-ranging consequences for the child’s development and survival in the short and long term. Despite efforts made to treat SAM through different interventions and programmes, it continues to cause unacceptably high levels of mortality and morbidity. Uncertainty remains as to the most effective methods to treat severe acute malnutrition in young children.ObjectivesTo evaluate the effectiveness of interventions to treat infants and children aged < 5 years who have SAM.Data sourcesEight databases (MEDLINE, EMBASE, MEDLINE In-Process & Other Non-Indexed Citations, CAB Abstracts Ovid, Bioline, Centre for Reviews and Dissemination, EconLit EBSCO and The Cochrane Library) were searched to 2010. Bibliographies of included articles and grey literature sources were also searched. The project expert advisory group was asked to identify additional published and unpublished references.Review methodsPrior to the systematic review, a Delphi process involving international experts prioritised the research questions. Searches were conducted and two reviewers independently screened titles and abstracts for eligibility. Inclusion criteria were applied to the full texts of retrieved papers by one reviewer and checked independently by a second. Included studies were mapped to the research questions. Data extraction and quality assessment were undertaken by one reviewer and checked by a second reviewer. Differences in opinion were resolved through discussion at each stage. Studies were synthesised through a narrative review with tabulation of the results.ResultsA total of 8954 records were screened, 224 full-text articles were retrieved, and 74 articles (describing 68 studies) met the inclusion criteria and were mapped. No evidence focused on treatment of children with SAM who were human immunodeficiency virus sero-positive, and no good-quality or adequately reported studies assessed treatments for SAM among infants < 6 months old. One randomised controlled trial investigated fluid resuscitation solutions for shock, with none adequately treating shock. Children with acute diarrhoea benefited from the use of hypo-osmolar oral rehydration solution (H-ORS) compared with the standard World Health Organization-oral rehydration solution (WHO-ORS). WHO-ORS was not significantly different from rehydration solution for malnutrition (ReSoMal), but the safety of ReSoMal was uncertain. A rice-based ORS was more beneficial than glucose-based ORSs, and provision of zinc plus a WHO-ORS had a favourable impact on diarrhoea and need for ORS. Comparisons of different diets in children with persistent diarrhoea produced conflicting findings. For treating infection, comparison of amoxicillin with ceftriaxone during inpatient therapy, and routine provision of antibiotics for 7 days versus no antibiotics during outpatient therapy of uncomplicated SAM, found that neither had a significant effect on recovery at the end of follow-up. No evidence mapped to the next three questions on factors that affect sustainability of programmes, long-term survival and readmission rates, the clinical effectiveness of management strategies for treating children with comorbidities such as tuberculosis and Helicobacter pylori infection and the factors that limit the full implementation of treatment programmes. Comparison of treatment for SAM in different settings showed that children receiving inpatient care appear to do as well as those in ambulatory or home settings on anthropometric measures and response time to treatment. Longer-term follow-up showed limited differences between the different settings. The majority of evidence on methods for correcting micronutrient deficiencies considered zinc supplements; however, trials were heterogeneous and a firm conclusion about zinc was not reached. There was limited evidence on either supplementary potassium or nicotinic acid (each produced some benefits), and nucleotides (not associated with benefits). Evidence was identified for four of the five remaining questions, but not assessed because of resource limitation.LimitationsThe systematic review focused on key questions prioritised through a Delphi study and, as a consequence, did not encompass all elements in the management of SAM. In focusing on evidence from controlled studies with the most rigorous designs that were published in the English language, the systematic review may have excluded other forms of evidence. The systematic review identified several limitations in the evidence base for assessing the effectiveness of interventions for treating young children with severe acute malnutrition, including a lack of studies assessing the different interventions; limited details of study methods used; short follow-up post intervention or discharge; and heterogeneity in participants, interventions, settings, and outcome measures affecting generalisability.ConclusionsFor many of the most highly ranked questions evidence was lacking or inconclusive. More research is needed on a range of topic areas concerning the treatment of infants and children with SAM. Further research is required on most aspects of the management of SAM in children < 5 years, including intravenous resuscitation regimens for shock, management of subgroups (e.g. infants < 6 months old, infants and children with SAM who are human immunodeficiency virus sero-positive) and on the use of antibiotics.FundingThe National Institute for Health Research Technology Assessment programme.<br/
Golden Age Jesuit: Juan Eusebio Nieremberg and the rhetoric of discernment in seventeenth-century Spain
No full textThis thesis examines the Jesuit and Ignatian influence on the works of Juan Eusebio Nieremberg (1595-1658), who was a prolific and widely published author and a member of the Society of Jesus in Spain. He wrote several works across different literary genres both in Spanish and Latin, but was best known for his popular works in Spanish: two miscellanies of natural philosophy, Curiosa filosofía (1630) and Oculta filosofía (1633); a catechism, the Práctica del catecismo romano (1640); his ascetical treatises, especially De la diferencia entre lo temporal y eterno (1640); and his ‘advice-books’ to princes and nobles, most notably Causa y remedio de los males públicos (1642). As a member of the Jesuit Order, Nieremberg wrote these works with the intention to ‘save souls’, this being the main apostolic goal of the Society. While they provide people with knowledge (‘noticia’) – whether doctrinal, natural, spiritual, or political – these works teach readers to view human existence according to its true end: God’s will of salvation. All things of the temporal world are portrayed as a means to that end. In order to accomplish this goal, Nieremberg incorporates elements from Loyola’s Ejercicios espirituales (1548), the spiritual foundation of the Jesuit Order, and develops a rhetorical strategy which encourages readers to discern the will of God in the world they inhabit. He also develops this rhetoric according to some of the principal literary and artistic conventions of the seventeenth century, and provides an important example of how a prominent Jesuit writer came to express the apostolic and spiritual principles of his Order, but in the language and imagery of Spain’s Siglo de Oro
White empty Earth: photography and the imagined world
No full textMy use of photography is rooted in the complexities of the photograph, its making, meaning and function. Human understanding and perception of the physical world (as Landscape and Nature) are sole concerns as I address the ambivalence that coincides with these ideas and the space in between. Can one achieve a work that illuminates both personally and collectively, privately and socially? By photographing constructed environments in the studio, can I challenge the photograph as "document" and the environment as fundamentally separate from human? With this work, I am hoping to accomplish several things through a hermeneutic based exploration: An engagement in a meditative, slow process, the revealing of a mindful, personal space,a deeper understanding of the environment and my place in it and the capability, functionality, conscious/unconscious uses of and meaning in photography and the photograph and, lastly, how the image affects human consciousness of and relationship to the physical world.M.F.A.Includes bibliographical references (p. 65)by Colin Jon Edgingto
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'A daughter come home?': the travel writings of Colleen J. McElroy
No full textThe productivity effects of decentralized reforms - an analysis of the Chinese industrial reforms
No full textThe empirical literature on the effects of ownership has not distinguished between the effects of ownership and the effects of control. It has also generally ignored the dynamic effects of various ownership and control rights. Using a rich set of panel data about changes in China's state-owned enterprises, the author examines the static and dynamic effects of decentralizing ownership and control rights. He finds that productivity and growth rates improved significantly when reform improved the incentives for managers and employees to learn and to work hard - for example by decentralizing the rights to control wages, make production decisions, and appoint new managers. Increasing profit-retention rates and adopting performance contracts - conventionally viewed as the most important reforms for China's state enterprises - did not improve productivity much. Overall, decentralization accounted for a least 42 percent of productivity growth in Chinese state enterprises in the 1980s. Much of that gain came from improvements in the growth rate of productivity rather than in improved levels of productivity.Labor Policies,Economic Theory&Research,Environmental Economics&Policies,Banks&Banking Reform,Public Health Promotion,Economic Theory&Research,Environmental Economics&Policies,Banks&Banking Reform,Health Monitoring&Evaluation,Municipal Financial Management
Oregon statewide status and trends report
No full textReport -- Appendix A. Black Rock Desert-Humboldt -- Appendix B. Columbia River -- Appendix C. Deschutes -- Appendix D. Goose Lake -- Appendix E. Grande Ronde -- Appendix F. John Day -- Appendix G. Klamath -- Appendix H. Malheur -- Appendix I. Mid Coast -- Appendix J. Middle-Columbia-Hood -- Appendix K. North Coast-Lower Columbia -- Appendix L. Oregon Closed Basins -- Appendix M. Owyhee -- Appendix N. Powder-Burnt -- Appendix O. Rogue -- Appendix P. Sandy -- Appendix Q. Snake River -- Appendix R. South Coast -- Appendix S. Umatilla-Walla Walla-Willow -- Appendix T. Umpqua -- Appendix U. Willamette.prepared by: Colin Donald and Ryan Michie.Title from PDF cover (viewed on November 4, 2022).This archived document is maintained by the State Library of Oregon as part of the Oregon Documents Depository Program. It is for informational purposes and may not be suitable for legal purposes.Includes bibliographical references.Mode of access: Internet from the Oregon Government Publications Collection.Text in English
Oregon statewide status and trends report
No full textChapter 1-3. Introduction and Methods -- Chapter 4-5. Results and Citations -- Appendix A. Black Rock Desert-Humboldt -- Appendix B. Columbia River -- Appendix C. Deschutes -- Appendix D. Goose Lake -- Appendix E. Grande Ronde -- Appendix F. John Day -- Appendix G. Klamath -- Appendix H. Malheur -- Appendix I. Mid Coast -- Appendix J. Middle-Columbia-Hood -- Appendix K. North Coast-Lower Columbia -- Appendix L. Oregon Closed Basins -- Appendix M. Owyhee -- Appendix N. Powder-Burnt -- Appendix O. Rogue -- Appendix P. Sandy -- Appendix Q. Snake River -- Appendix R. South Coast -- Appendix S. Umatilla-Walla Walla-Willow -- Appendix T. Umpqua -- Appendix U. Willamette.prepared by: Colin Donald, Yuan Grund, and Ryan Michie.Title from PDF cover (viewed on October 27, 2020).This archived document is maintained by the State Library of Oregon as part of the Oregon Documents Depository Program. It is for informational purposes and may not be suitable for legal purposes.Includes bibliographical references.Mode of access: Internet from the Oregon Government Publications Collection.Text in English
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