1,789 research outputs found

    Explaining policy action: A deductive but realistic theory

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    Выявление резервов производства методами статистического моделирования по пассивным данным

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    Предложенные методы позволяют использовать цеховую контрольно-измерительную информацию для получения модели конкретного технологического процесса (операции)

    The cost of policy inaction : the case of not meeting the 2010 biodiversity target

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    The COPI methodology and valuation database. Change in land use, climate, pollution, water use; change in biodiversity; change in ecosystem functions; change in ecosystem services contributes to change in economic value. The Cost of Policy Inaction (COPI) is described in monitory terms. The outcome (of this project) is the valuation database. In this project worked together: Alterra, IEEP (Brussels), Ecologic (Germany), FEEM (Italy), GHK (UK), UNEP and Witteveen+Bo

    Landelijke interactieve beleidsvorming: lessen voor de praktijk

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    Dit artikel is een voorpublicatie van het boek “Burgers als Beleidsadviseurs” dat zomer 2006 verschijnt bij de uitgeverij van het Instituut voor Publiek en Politiek. Het boek behandelt acht projecten van interactieve beleidsvorming bij drie departementen (VROM, LNV en V&W) en trekt lessen uit deze analyse voor de beleidspraktijk. De schrijvers van dit boek introduceren in deze voorpublicatie alvast hun eerste bevindingen

    General practitioners' prescribing behaviour as a determinant of poor persistence with inhaled corticosteroids in children with respiratory symptoms:Mixed methods study

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    OBJECTIVES: To evaluate general practitioners’ (GPs’) prescribing behaviour as a determinant of persistence with and adherence to inhaled corticosteroids (ICS) in children. DESIGN: Prospective observational study of persistence with and adherence to ICS followed by a focus group study of the GPs prescribing this treatment. SETTING: 7 primary care practices in the area of Zwolle, the Netherlands. PARTICIPANTS: 134 children aged 2–12 years had been prescribed ICS in the year before the study started by their 19 GPs. MAIN OUTCOME MEASURES: Patterns and motives of GPs’ prescribing behaviour and the relationship with persistence with and adherence to ICS. RESULTS: GPs’ prescribing behaviour was characterised by prescribing short courses of ICS to children with various respiratory symptoms without follow-up for making a diagnosis of asthma. This was driven by the GPs’ pragmatic approach to deal with the large number of children with respiratory symptoms, and by beliefs about ICS which differed from currently available evidence. This prescribing behaviour was the main reason why 68 (51%) children did not persist with the use of ICS. In children with persistent use of ICS and a GP's advice to use ICS on a daily basis, the median (IQR) adherence was 70% (41–84%), and was similar for patients with persistent asthma and children lacking a diagnosis or symptoms of asthma. CONCLUSIONS: Inappropriate prescription of ICS to children by GPs is common and drives the lack of persistence with ICS therapy in primary care. This finding should be taken into account when interpreting data from large prescription database studies. Improving primary healthcare providers’ knowledge and competence in diagnosing and managing asthma in children is needed

    Burgers als beleidsadviseurs

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    Ervaringen met burgerparticipatie in het bestuur van gemeenten zijn al vaak beschreven, onderzocht en beoordeeld. Daarentegen is nog weinig bekend over de manier waarop beleidsmakers op ministeries, leden van de Tweede Kamer, ministers en staatssecretarissen d

    Potential novel drug carriers for inner ear treatment: hyperbranched polylysine and lipid nanocapsules

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    AIM: Treatment of sensorineural hearing loss could be advanced using novel drug carriers such as hyperbranched polylysine (HBPL) or lipid nanocapsules (LNCs). This study examined HBPL and LNCs for their cellular uptake and possible toxicity in vitro and in vivo as the first step in developing novel nanosized multifunctional carriers. METHOD: Having incubated HBPL and LNCs with fibroblasts, nanoparticle uptake and cell viability were determined by confocal laser scanning microscopy, fluorescence measurements and neutral red staining. In vivo, electrophysiology, confocal laser scanning microscopy and cytocochleograms were performed for nanoparticle detection and also toxicity studies after intracochlear application. RESULTS: Both nanoparticles were detectable in the fibroblasts\u27 cytoplasm without causing cytotoxic effects. After in vivo application they were visualized in cochlear cells, which did not lead to a change in hearing threshold or loss of hair cells. Biocompatibility and traceability were demonstrated for HBPL and LNCs. Thus, they comply with the basic requirements for drug carriers for potential application in the inner ear
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