122 research outputs found
Magnesium oxide as a catalyst support: The influence of chlorine
The properties of MgO when used as a support material for Ru-Au catalysts have been investigated by thermal analysis, chemical analysis, surface area measurements and X-ray diffraction. During impregnation the support undergoes a bulk hydration but heating to 673 K restores the oxide. In a sample impregnated by water only, the dehydration occurs at 651 K and the surface area increases from 15 to> 300 m2 g-1, due to the formation of small pores. Great changes in the DTA peak temperature and in the surface area after dehydration are found in the catalysts and in MgO impregnated with HCl solutions. It is shown that these changes are accurately correlated to the amount of chlorine which remains in the solid (deriving from the metal precursor compounds or HCl). The formation of basic magnesium chlorides, shown by X-ray diffraction, seems to favour an easier release of water (i.e., lower DTA peak temperatures and lower apparent activation energies) and to reduce the formation of small pores.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/23933/1/0000179.pd
Human resources: the Cinderella of health sector reform in Latin America
Human resources are the most important assets of any health system, and health workforce problems have for decades limited the efficiency and quality of Latin America health systems. World Bank-led reforms aimed at increasing equity, efficiency, quality of care and user satisfaction did not attempt to resolve the human resources problems that had been identified in multiple health sector assessments. However, the two most important reform policies – decentralization and privatization – have had a negative impact on the conditions of employment and prompted opposition from organized professionals and unions. In several countries of the region, the workforce became the most important obstacle to successful reform. This article is based on fieldwork and a review of the literature. It discusses the reasons that led health workers to oppose reform; the institutional and legal constraints to implementing reform as originally designed; the mismatch between the types of personnel needed for reform and the availability of professionals; the deficiencies of the reform implementation process; and the regulatory weaknesses of the region. The discussion presents workforce strategies that the reforms could have included to achieve the intended goals, and the need to take into account the values and political realities of the countries. The authors suggest that autochthonous solutions are more likely to succeed than solutions imported from the outside
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