45,634 research outputs found

    Infrastructure coverage of the ural federal district regions: assessment metodology and diagnostic results

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    The article examines the infrastructure as one of the essential elements in the economic system. The authors consider the development stages of this concept in the scientific community and provide the opinions of a number of researchers as to the role and place of the infrastructure in the economic system. The article provides a brief genesis of approaches to describing the infrastructure and conferring its functions on individual branches. The authors emphasize the higher importance of infrastructure coverage with the economy transition to machine production. Two key methodological approaches are identified to describe the substance and content of the infrastructure: industrial and functional. The authors offer their methodology of assessing the infrastructure coverage of regional-level territories. The methodology is based on identifying a combination of specific indicators the values of which can be used to evaluate the development level of individual infrastructure elements. The indicative analysis being the basis of the methodological apparatus helps make a judgment of any phenomenon by comparing the current observed values with the previously adopted threshold levels. Such comparison makes it possible to classify the observations by the «norm—pre-crisis—crisis» scale. An essential advantage of this method is the possibility of standardizing the indicators, or, in other words, bringing them to one comparable conditional value. Thus, you can get estimates for individual blocks of indicators and a complex assessment for the whole set in general. The authors have identified four main infrastructure elements: transport, communications, public utility services and healthcare. The methodology includes 21 indicators all together. The test estimates based on the authors’ methodology revealed the defects in the development of the Ural regions` infrastructure. The article provides a brief analysis of the obtained data with identifying individual indicators and areas.The research has been supported by the Russian Science Foundation (Project № 14-18-00574)

    Data as a Service (DaaS) for sharing and processing of large data collections in the cloud

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    Data as a Service (DaaS) is among the latest kind of services being investigated in the Cloud computing community. The main aim of DaaS is to overcome limitations of state-of-the-art approaches in data technologies, according to which data is stored and accessed from repositories whose location is known and is relevant for sharing and processing. Besides limitations for the data sharing, current approaches also do not achieve to fully separate/decouple software services from data and thus impose limitations in inter-operability. In this paper we propose a DaaS approach for intelligent sharing and processing of large data collections with the aim of abstracting the data location (by making it relevant to the needs of sharing and accessing) and to fully decouple the data and its processing. The aim of our approach is to build a Cloud computing platform, offering DaaS to support large communities of users that need to share, access, and process the data for collectively building knowledge from data. We exemplify the approach from large data collections from health and biology domains.Peer ReviewedPostprint (author's final draft

    Dynamics and Growth Prospects of the Protestant Denominations in Ukraine

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    The intensity and nature of changes in Protestant communities in Ukraine is analyzed on the basis of broad empirical material (statistics, sociological surveys). The confessional specificity of the spread of Protestant communities in the Ukrainian territories is revealed, as well as their dynamics, geographical conditionality, and more. Changes in institutional, socio-political, cultural, and educational spheres of life of Protestant churches in modern Ukraine are recorded. Social legalization, the legal recognition of these movements as the churches and religious organizations equal to other traditional churches, as well as dynamism of Protestantism in evangelical and missionary sphere and public life, have contributed to the formation of a new type of confessional institutionalization and contributed to the outreach of Protestant communities to the public space. Protestant communities find it necessary to initiate moral responsibility of citizens before society, to encourage people to unite in various non-governmental organizations (charitable, medical, legal, educational, creative, etc.); they are focused on charitable goals. However, it is important to understand that the Protestant milieu in Ukraine is not homogeneous. It differs in character and has its own internal problems, among which is a confrontation between conservative Baptists, socially active Evangelical Christians and Pentecostals, and new Protestant movements, especially neo-charismatic. There are also a number of problems related to the occupation of the Crimea and the war in the East of Ukraine. Such problems are caused by the infringement of the rights of Protestant denominations by the occupation authorities. In general, the Protestant communities try to give priority to civil society, equality and impartiality of the structure of Ukrainian society and are in solidarity with the principles of the Constitution of Ukraine. In situations of social upheaval, Protestant communities as part of inter-religious and inter-denominational associations demonstrate a willingness to take on the role of a mediator in fostering dialogue between the parties

    Strengthening Primary and Chronic Care: State Innovations to Transform and Link Small Practices

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    Presents case studies of state policies for reorganizing and improving primary and chronic care delivery among small practices, including leadership and convening, payment incentives, infrastructure support, feedback and monitoring, and certification

    InfoInternet for Education in the Global South: A Study of Applications Enabled by Free Information-only Internet Access in Technologically Disadvantaged Areas (authors' version)

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    This paper summarises our work on studying educational applications enabled by the introduction of a new information layer called InfoInternet. This is an initiative to facilitate affordable access to internet based information in communities with network scarcity or economic problems from the Global South. InfoInternet develops both networking solutions as well as business and social models, together with actors like mobile operators and government organisations. In this paper we identify and describe characteristics of educational applications, their specific users, and learning environment. We are interested in applications that make the adoption of Internet faster, cheaper, and wider in such communities. When developing new applications (or adopting existing ones) for such constrained environments, this work acts as initial guidelines prior to field studies.Comment: 16 pages, 1 figure, under review for a journal since March 201

    \ud Tanzania Health Insurance Regulatory Framework Review\ud

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    Make sure that current policy objectives – achieving universal coverage, social health protection, good governance and cost-containment – are reflected in the relevant legislative documents, and provide the requisite legal tools, reflecting the chosen policy options and the institutional consequences of those options. Consider reducing the fragmentation of the health financing legislation which reflects the current fragmentation in health financing and in governance and oversight of the health financing and insurance systems. Develop an explicit policy on competition in health financing to close the current gaps in legislation and to prevent the possibly negative side effects for Tanzania citizens of such competition in the event that the Government of Tanzania (GOT) opts for a competition-based model of health financing. The model ultimately chosen will have consequences not only for health financing practise, but also for the relevant legislation. Consider the establishment of an independent accreditation body for external assessment and gradual improvement of the quality of care of all health services providers, regardless of their sources of financing. Plug the identified gaps in single enactments which can be done without embarking on any big policy changes. The latter can be included in the development of a planned National Health Financing Strategy. During this development process, it will be possible to focus on specific areas of interest and make detailed recommendations. After national adoption of the strategy, new legislation will have to be drawn up.\ud \u

    Crossing Organizational Boundaries in Palliative Care: The Promise and Reality of Community Partnerships

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    This report presents the first of a series of findings from the Community-Oriented Palliative Care Initiative (COPCI), an innovative program testing new approaches to caring for individuals with progressive, life threatening illness. Developed and supported by the United Hospital Fund, the project was designed to initiate collaborations among health care and social service organizations, with the goal of reaching seriously ill individuals and their caregivers earlier in the course of illness and providing a broad range of coordinated services. Six such networks of diverse partners received a total of $2.1 million in grants over the two-year period from mid-2000 into 2002.The urgency to provide alternatives to current standard practice is underscored by the number of individuals affected: in New York City alone, in the year 2000, some 46,000 people died of diseases typically marked by a lengthy course from diagnosis to death. While many could have benefited from appropriate and timely palliative care services, most did not receive them.The Fund reasoned that networks including not only hospitals and hospices but also social services agencies and other community resources could collectively respond, earlier and more fully, to the complex combination of medical, social, psychological, and spiritual needs that typify the months and years leading to death. Local expertise and resources should determine the structure of each network, the partners involved, and the specific model for service delivery. Drawing on the experiences of the six pioneering projects, this report focuses on the challenges of creating such new networks

    Beyond the RCT: Integrating Rigor and Relevance to Evaluate the Outcomes of Domestic Violence Programs

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    Programs for domestic violence (DV) victims and their families have grown exponentially over the last four decades. The evidence demonstrating the extent of their effectiveness, however, often has been criticized as stemming from studies lacking scientific rigor. A core reason for this critique is the widespread belief that credible evidence can derive only from research grounded in randomized control trials (RCTs). Although the RCT method has its strengths, we argue that it is rarely an optimal—or even a possible—approach for evaluating multifaceted DV programs. This article reviews the reasons that RCT is a poor fit for such programs and argues that a more inclusive conceptualization of credible evidence is critical to expanding our knowledge base about how DV programs affect survivors’ safety and well-being

    Choice and the composition of general practice patient registers

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    Choice of general practice (GP) in the National Health Service (NHS), the UKs universal healthcare service, is a core element in the current trajectory of NHS policy. This paper uses an accessibility-based approach to investigate the pattern of patient choice that exists for GPs in the London Borough of Southwark. Using a spatial model of GP accessibility it is shown that particular population groups make non-accessibility based decisions when choosing a GP. These patterns are assessed by considering differences in the composition of GP patient registers between the current patient register, and a modelled patient register configured for optimal access to GPs. The patient population is classified in two ways for the purpose of this analysis: by geodemographic group, and by ethnicity. The paper considers choice in healthcare for intra-urban areas, focusing on the role of accessibility and equity
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