58,480 research outputs found
Estimating the need for antiretroviral treatment and an assessment of a simplified HIV/AIDS case definition in rural Malawi.
BACKGROUND: Surveillance in the era of antiretroviral therapy (ART) requires estimates of HIV prevalence as well as the proportion eligible for ART. We estimated HIV prevalence and assessed field staging of individuals to estimate the burden of HIV disease needing treatment in rural Malawi. METHODS: Adults aged 18-59 years in a demographic surveillance system were interviewed, examined, and HIV counselled and tested. Staging that used a simplified version of the WHO criteria ('field checklist') was compared with staging by a medical assistant using a 'clinic checklist' and to CD4 cell results. RESULTS: A total of 2129 of 2303 eligible adults (92.4%) were traced, and 2047 (96.1%) participated. Of the 1443 participants (70.5%) tested, 11.6% were HIV positive. ART eligibility classification by the field and clinic checklists were concordant in 122 of 133 HIV-positive individuals. Compared with the clinic checklist, the field checklist had a sensitivity of 50% and a specificity of 96%. Including those already known to be on ART, staging by the field and clinic checklists estimated ART eligibility at 16.3 and 17.7% of HIV-positive individuals, respectively. Using CD4 cell count under 250 cells/mul or WHO stage III/IV, the Malawi national programme criteria, 38% of HIV-positive individuals were eligible for ART, compared with 31% based on the 2006 WHO criteria of CD4 cell count under 200 cells/mul or WHO stage IV or CD4 cell count of 200-350 cells/mul and WHO stage III. CONCLUSION: The field checklist was not a suitable tool for individual staging. Criteria for ART eligibility based on clinical staging alone missed two-thirds of those eligible by clinical staging and CD4 cell count
Population-level effect of HIV on adult mortality and early evidence of reversal after introduction of antiretroviral therapy in Malawi.
BACKGROUND: Malawi, which has about 80,000 deaths from AIDS every year, made free antiretroviral therapy available to more than 80 000 patients between 2004 and 2006. We aimed to investigate mortality in a population before and after the introduction of free antiretroviral therapy, and therefore to assess the effects of such programmes on survival at the population level. METHODS: We used a demographic surveillance system to measure mortality in a population of 32,000 in northern Malawi, from August, 2002, when free antiretroviral therapy was not available in the study district, until February, 2006, 8 months after a clinic opened. Causes of death were established through verbal autopsies (retrospective interviews). Patients who registered for antiretroviral therapy at the clinic were identified and linked to the population under surveillance. Trends in mortality were analysed by age, sex, cause of death, and zone of residence. FINDINGS: Before antiretroviral therapy became available in June, 2005, mortality in adults (aged 15-59 years) was 9.8 deaths for 1000 person-years of observation (95% CI 8.9-10.9). The probability of dying between the ages of 15 and 60 years was 43% (39-49) for men and 43% (38-47) for women; 229 of 352 deaths (65.1%) were attributed to AIDS. 8 months after the clinic that provided antiretroviral therapy opened, 107 adults from the study population had accessed treatment, out of an estimated 334 in need of treatment. Overall mortality in adults had decreased by 10% from 10.2 to 8.7 deaths for 1000 person-years of observation (adjusted rate ratio 0.90, 95% CI 0.70-1.14). Mortality was reduced by 35% (adjusted rate ratio 0.65, 0.46-0.92) in adults near the main road, where mortality before antiretroviral therapy was highest (from 13.2 to 8.5 deaths per 1000 person-years of observation before and after antiretroviral therapy). Mortality in adults aged 60 years or older did not change. INTERPRETATION: Our findings of a reduction in mortality in adults aged between 15 and 59 years, with no change in those older than 60 years, suggests that deaths from AIDS were averted by the rapid scale-up of free antiretroviral therapy in rural Malawi, which led to a decline in adult mortality that was detectable at the population level
Drey Predigten gehalten am hundertjährigen Jubelfeste der Evangel. Gnadenkirche zur heiligen Dreifaltigkeit vor Landeshut, am 1ten und 2ten May 1809, vom Ministerio daselbst
Die Vorlage enthält insgesamt 3 WerkeAutopsie nach dem Exemplar der ULB HalleVorlage des Erscheinungsvermerks: Landeshut, ... gedruckt bei Neumann u. Jahn
STRATEGIC ASPECTS OF USING IT BUSINESS SOLUTIONS IN CASE OF MICROSOFT TECHNOLOGIES
Zaradi hitrih tržnih sprememb, ki se jim mora podjetje, če želi obstati na trgu, prilagajati, se povečuje uporaba IT v podjetjih, ki ima danes, zaradi velikega vpliva na poslovanje, strateški pomen. Pomembno je, da podjetje oblikuje ustrezno informacijsko strategijo in da je le-ta v skladu s poslovno strategijo podjetja. Zaradi konkurenčnih pritiskov na globalnem trgu se podjetja vse več odločajo za izboljšavo poslovanja, prenovo obstoječih IS in uvedbo celovitih informacijskih rešitev, rešitev ERP, ki podpirajo celotno poslovanje podjetja, omogočajo avtomatizacijo poslovnih procesov in izboljšajo učinkovitost zaposlenih. Tako kot uspešna uvedba in uporaba rešitve ERP zagotavlja boljše poslovanje podjetja, le-to prinaša tudi uvedba koncepta oziroma sistema, imenovanega Upravljanje odnosov s strankami, ki v poslovnem svetu predstavlja novo poslovno strategijo. Omogoča boljše zadovoljevanje potreb strank, povečuje njihovo dobičkonosnost in lojalnost. Ker se podjetja danes neprestano borijo z vedno večjimi poslovnimi potrebami, ki jih je potrebno opraviti v vedno krajših rokih, potrebujejo rešitev, ki omogoča hitrejše izvajanje procesov in odločanje. Ena izmed takšnih rešitev je Microsoft SharePoint, ki zaposlenim omogoča dobro komunikacijo, izmenjavanje idej in znanja, iskanje pravih poslovnih informacij ter posledično boljše poslovne odločitve.Due to rapid market changes, organizations have to adapt to and usage of right information tecnology is a key point here and a right way to final success. Today, the information technology has strategic meaning for doing business. It is very important for organization to implement information strategy, which is in compliance with business strategy. Due to constant competitive pressure on global market, more and more organizations decided to improve business processes, to renew existing information systems and to implement solutions for enterprise resource planning. Solutions ERP support the entire business processes, enabling the automation of processes and improving staff efficiency. The next solution, that improves business processes is CRM (Customer Relationship Management), which presents new business strategy and new way of thinking. CRM improves sales, marketing and service processes, that can help to increase customer\u27s satisfaction, their profitability and loyality. Organizations also have growing business needs, they need solution, which supports faster business processes and decision making and helps to improve team work. One such solution is Microsoft SharePoint, which improves the communication between employees, the exchange of ideas and knowledge, improves finding the right business information and that leads to better and faster decision making
BUSINESS POTENTIALS OF USING CRM SOLUTION ON THE CASE OF REAL ESTATE AGENCY CORAL SASA S.L.
Ne glede na vrsto, velikost in poslanstvo podjetja, naloga vsakega podjetja je zadovoljevanje potreb strank s svojimi storitvami oziroma izdelki. Vse več podjetij se zaveda dejstva, da cilj trženja ni zgolj prodati izdelek oziroma storitev, pač pa je dolgoročno usmerjen, in sicer v ustvarjanje zadovoljnih in zvestih strank, ki so ključ do uspešnosti podjetja.
Danes ima IT strateški pomen in postaja ključ do uspešnega poslovanja. Slej kot prej bodo morala vse organizacije v svoje strategije vključiti tudi strategijo IT. Znotraj udejanjanja le-te je nujno, da ima podjetje ustrezne informacijske rešitve, ki podpirajo poslovanje. Ena izmed takšnih je rešitev CRM, ki daje podporo učinkovitemu in uspešnemu upravljanju odnosov s strankami. Ker so odjemalci ključ do uspeha, rešitev CRM predstavlja za podjetje konkurenčno prednost. Izboljša produktivnost in uspešnost zaposlenih ter dobičkonosnost strank, kar predstavlja cilj vsakega podjetja. Uvedba ustrezne IT pa še zdaleč ni dovolj za dosego omenjenih poslovnih učinkov. Vrhunska zmogljivost rešitve CRM je možna le ob vpletenosti in medsebojne povezanosti človeških, tehnoloških in poslovnih sposobnosti. Podjetje, ki se odloči za uvedbo rešitve CRM, mora imeti v stranko usmerjene strategije in cilje, analizirati mora svoje poslovne procese, jih prenoviti, opustiti zastarele načine prodaje, posodobiti način razmišljanja, skratka CRM mora vpeljati v vsa področja, v filozofijo, način poslovanja in strateški načrt.
Poslovne potenciale rešitve CRM smo prikazali na primeru nepremičninske agencije Coral Casa s. l. Podjetje se je srečevalo z vrsto težav, povezanih z upravljanjem podatkov o strankah in nepremičninah ter z nudenjem pravočasnih in kakovostnih storitev svojim strankam. Omenjene težave je odpravila uvedba rešitve CRM. Zaposlenim omogoča pregled nad vso podatkovno bazo, hiter dostop do informacij, vodenje opravil, vodstvu omogoča nadzor nad opravljenim delom agentov, izdelavo poročil in statistike, napovedovanje prihodnje prodaje in zato uspešnejše sprejemanja poslovnih odločitev. Rešitev pa seveda predstavlja tudi vrsto koristi za stranke, in sicer: deležne so hitrejših in bolj kakovostnih storitev, informacij, odgovorov na povpraševanja, ponudb, prilagojenih njihovim željam in potrebam, skratka stranke so postale bolj zadovoljne.
Investicija v uvedbo omenjene rešitve se je izkazala za pravo. Podjetju je prinesla številne prednosti in lahko potrdimo, da so se poslovne aktivnosti v podjetju bistveno izboljšale, postale so učinkovitejše. Pričakujemo, da se bo vpliv uvedene rešitve na poslovanje podjetja kazal v zadovoljnejših strankah podjetja, njihovi večji lojalnosti, pridobivanju novih strank, zmanjšanju stroškov, povečanju prihodkov, skratka v boljših poslovnih rezultatih.No matter what type, size and mission of company is, the most important is to satisfy customer needs with services or products company produce. More and more companies are aware of the fact that goal of marketing is not just to sell product or service, but it is long-term oriented to create satisfied and loyal customers, which is the key to success.
Nowadays, IT has strategic importance. Sooner or later, all companies will have to include in their strategies also IT strategy. For its realization it is essential that the company has right IT solutions to support the business. One of them is CRM solution that provides support for efficient and effective customer relationship management. Since customers are key to success, CRM solution represents a competitive advantage for the company. Improves productivity and performance of employees and profitability of customers, which is the goal of every company. Implementation of right IT is not enough to achieve those business impacts. Maximized performance of IT is only possible with involvement of human, technologic and business skills and interaction between them. The company that decides to implement CRM solution must have the customer-oriented strategy and goals, has to analyze and renovate their business processes, to leave behind old ways of selling, to update the of thinking, so CRM has to be integrated into all areas of philosophy, way of doing business and strategic plan of the company.
Business potentials of CRM solution were demonstrated in the case of a real estate agency Coral Casa s. l. The company has faced a number of problems related to management of customer and property data and to providing fast and quality services to its customers. Those problem can be solved by CRM solution. Employees can monitor the entire database, they have a quick access to information, to manage tasks, on the other hand, management can monitor and control the work of employees, they can use reports and statistics, they can predict future sales and the solution improves their decision making. Of course, the solution has a lot of benefits for customers, such as: customers receive faster and more quality services, information and replies to their inquiries, they receive offers which are adapted to their wishes and needs, in short, and customers have become more satisfied.
Investment in implementation of CRM solution have been proven right. It has brought various benefits and we can confirm, that the business activity improved significantly and became more efficient. We expect that company will have more satisfied and loyal customers, will acquire new clients, reduce costs, increase revenue, therefore, the company will have better business results
Theoretical study of the Jahn-Teller effect in (X)over-tilde E-2 CH3O
The Jahn-Teller effect in (X) over tilde E-2 CH3O is theoretically investigated in considerable detail. Making use of ab initio calculations carried out at the MRC-level we present the global shape of the adiabatic potential surfaces. Both sheets of the Jahn-Teller split (X) over tilde E-2 electronic state are used to determine the linear, quadratic and bilinear coupling constants of the e and a(1) modes, as well as selected third-order constants. Dynamical calculations for the vibronic structure have been performed with these parameters. The dynamical Jahn-Teller problem is solved by taking into account all the three e modes or, alternatively, two e modes and two a(1) modes. The resulting vibronic spectra are compared with those of previous work. Furthermore, ab initio calculated transition moments for (A) over tilde (2)A(1)(X) over tilde E-2 are used to give an explanation for the forbidden Delta j = 3/2 transitions which were found by different experimental groups. (C) 2000 American Institute of Physics. [S0021-9606(00)30108-8]
Jahn-Tellerovi efekti u bakarnom fluor-silicij heksahidratu s 10% cinka: EPR mjerenja u X-pojasu
Stable crystals of copper fluosilicate hexahydrate (CZFH) have been successfully grown. X-band (9 GHz) EPR spectral studies carried out at room and liquid nitrogen temperatures have revealed some new features of Jahn-Teller effect in CZFH.Uspješno smo pripremili stabilne kristale bakarnog fluor-silicij heksahidrata (CZFH). Načinili smo mjerenja EPR spektara u X-pojasu (9 GHz) na sobnoj temperaturi i temperaturi tekućeg dušika koja pokazuju neke nove odlike JahnTellerovog efekta u CZFH
Jahn-Tellerovi efekti u bakarnom fluor-silicij heksahidratu s 10% cinka: EPR mjerenja u X-pojasu
Stable crystals of copper fluosilicate hexahydrate (CZFH) have been successfully grown. X-band (9 GHz) EPR spectral studies carried out at room and liquid nitrogen temperatures have revealed some new features of Jahn-Teller effect in CZFH.Uspješno smo pripremili stabilne kristale bakarnog fluor-silicij heksahidrata (CZFH). Načinili smo mjerenja EPR spektara u X-pojasu (9 GHz) na sobnoj temperaturi i temperaturi tekućeg dušika koja pokazuju neke nove odlike JahnTellerovog efekta u CZFH
HIV testing and antiretroviral therapy in government and mission hospitals in Malawi: 2002-2007.
HIV testing and antiretroviral therapy (ART) has scaled up tremendously in Malawi in the last 5 years. We analyzed trends of HIV testing uptake in the course of ART scale-up in 25 government and mission hospitals, which were selected because they do not receive support from non-governmental organizations. Data on numbers of clients HIV tested and on cumulative ART registrations were collected from annual country-wide situational analyses and from quarterly ART supervisory visits from 2002 to 2007. In the period before ART scale up, the quarterly number of clients HIV tested increased from 2609 in 2002 to 8197 in 2004, equivalent to an average quarterly increase of 559 tests. During ART scale up, the quarterly number of clients HIV tested increased from 17977 in early 2005 to 35344 in the second quarter of 2007, equivalent to an average quarterly increase of 2171 tests. During this time, the cumulative number of patients started on ART increased from 2441 to 29756. There has been a rapid acceleration of HIV testing uptake and ART in government and mission hospitals. ART may facilitate the decision of clients to have an HIV test and therefore contribute in this way to HIV prevention efforts
Il rè pastore
von W. A. Mozart. Von Pietro Metastasio. [Vorw. von Otto Jahn]KV 208Vorlageform des Erscheinungsvermerks: Eigenthum der Verleger. Leipzig, bei Breitkopf & Härtel. Eingetragen in das Vereinsarchiv ; Pr. 8 Thlr.LithographieText ital. u. dt
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