209 research outputs found

    Ramy prawne referendum w irańskim kontekście konstytucyjnym

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    In democratic regimes, the participation of citizens in the enforcement of political power constitutes the keystone of the legitimacy of sovereignty. Allowing and valuing the popular will in the political management of a country is necessary for the continuation of the legitimacy of sovereignty. Hence, political systems are still exploring the methods of establishing direct democracy in parallel to representative democracy. Referendum is a form of establishing direct democracy that is based on public votes on political and legal affairs. The legal organization of different kinds of direct democracy is explained in the constitutions. Among the methods of direct democracy, only referendums on the amendment of the constitution, political referendums, and legislative referendums have been recognized in the Constitution of the Islamic Republic of Iran. Although a referendum on the establishment of the Islamic Republic political system and a referendum on the amendment of the Constitution have been held in the legal history of Iran, no legislative referendum has been conducted so far. Senior state officials may propose a referendum and referendums can be held on special and critically important occasions. Regarding the theocratic nature of the Iranian political system, the validity of referendums is contingent upon non-contradiction between the subject of the referendum and the principles of Islamic law. This article explores the legal dimensions of conducting referendums in the Iranian constitutional context with a descriptive-analytical approach.W reżimach demokratycznych udział obywateli w egzekwowaniu władzy politycznej stanowi podstawę suwerenności. Zezwolenie i docenienie woli ludu w politycznym zarządzaniu krajem jest konieczne dla utrzymania legitymacji suwerenności. Dlatego systemy polityczne wciąż badają metody ustanowienia demokracji bezpośredniej równolegle z demokracją przedstawicielską. Referendum jest formą ustanowienia demokracji bezpośredniej opartej na głosowaniu publicznym w sprawach politycznych i prawnych. Prawna organizacja różnych rodzajów demokracji bezpośredniej jest wyjaśniona w konstytucjach. Wśród metod demokracji bezpośredniej tylko referenda w sprawie zmiany konstytucji, referendum polityczne i referendum legislacyjne zostały uznane w Konstytucji Islamskiej Republiki Iranu. Chociaż w prawnej historii Iranu odbyło się referendum w sprawie ustanowienia systemu politycznego Republiki Islamskiej i referendum w sprawie zmiany Konstytucji, jak dotąd nie przeprowadzono referendum legislacyjnego. Wyżsi urzędnicy państwowi mogą zaproponować referendum, a referenda mogą odbywać się w wyjątkowych i niezwykle ważnych sytuacjach. Jeśli chodzi o teokratyczny charakter irańskiego systemu politycznego, ważność referendum zależy od braku sprzeczności między przedmiotem referendum a zasadami prawa islamskiego. W tym artykule zbadano prawne wymiary przeprowadzania referendów w irańskim kontekście konstytucyjnym, stosując podejście opisowo-analityczne

    Deriving modified rankin scores from medical records

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    <p><b>Background and Purpose:</b> Modified Rankin score (mRS) is traditionally graded using a face-to-face or telephone interview. Certain stroke assessment scales can be derived from a review of a patient’s case-record alone. We hypothesized that mRS could be successfully derived from the narrative within patient case-records.</p> <p><b>Methods:</b> Sequential patients attending our cerebrovascular outpatient clinic were included. Two independent, blinded clinicians, trained in mRS, assessed case-records to derive mRS. They scored “certainty” of their grading on a 5-point Likert scale. Agreement between derived and traditional face-to-face mRS was calculated using attribute agreement analysis.</p> <p><b>Results:</b> Fifty patients with a range of disabilities were included. Case-record appraisers were poor at deriving mRS (k=0.34 against standard). Derived mRS grades showed poor agreement between observers (k=0.33). There was no relationship between certainty of derived mRS and proportion of correct grades (P=0.727).</p> <p><b>Conclusion:</b> Accurate mRS cannot be derived from standard hospital records. Direct mRS interview is still required for clinical trials.</p&gt

    Purchasing Efficiency Measurement of Selected Electric Vehicles in the United States Utilizing Data Envelopment Analysis

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    Consumers today face an ever-increasing number of choices when deciding what purchases to make. Nowhere is this more apparent than the market for vehicles. Many factors affect a consumer’s ultimate decision of what vehicle to purchase or lease. Further, electric vehicles present the consumer with additional unique considerations. This study evaluates the decision making process used by consumers in purchasing an electric vehicle. The decision making units (DMUs) used in this research include manufacturer’s suggested retail price (MSRP), range in miles, miles per gallon equivalent (MPGe), cargo space in cubic feet, and charge time in hours. These variables are factors commonly of interest to consumers. Further, Data Envelopment Analysis (DEA) has been applied to determine the relative efficiencies of twelve consumer electric vehicles currently on the market; eight electric vehicles were found to be efficient choices and four were found to be inefficient. Included in this study are suggestions on how auto manufacturers can improve the efficiency of vehicles deemed inefficient

    Analysis of the Literature on Emergency Department Throughput

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    Introduction: The purpose of this paper was to review and analyze all the literature concerning ED patient throughput. The secondary goal was to determine if certain factors would significantly alter patients’ ED throughput.Methods: A MEDLINE search was performed from 1966 to 2007 using the terms “turnaround,” “emergency departments,” “emergency medicine,” “efficiency,” “throughput,” “overcrowding” and “crowding.” Studies were graded using a scale of one to four based on the ACEP paper quality criteria. Inclusion criteria were English language and at least a level four or better on the quality scale. An analysis of successful procedures and techniques was performed.Results: Literature search using the key terms found 29 articles on turnaround times, 129 on ED efficiency, 3 on throughput, 64 on overcrowding and 52 on crowding. Twenty-six articles were found to meet the inclusion criteria. There were three level I studies, thirteen level II studies, five level III studies and five level IV studies. The studies were categorized into five areas: determinants (7), laboratories processes (4), triage process (3), academic responsibilities (2), and techniques (10). Few papers used the same techniques or process to examine or reduce patient throughput precluding a meta-analysis.Conclusions: An analysis of the literature was difficult because of varying study methodologies and less than ideal quality. EDs with combinations of low inpatient census, in-room registration, point of care testing and an urgent care area demonstrated increased patient throughput. [WestJEM. 2009;10:104-109.

    Multiscale modelling of the textile composite materials

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    This paper presents an initial computational multiscale modelling of the fibre-reinforced composite materials. This study will constitute an initial building block of the computational framework, developed for the DURCOMP (providing confidence in durable composites) EPSRC project, the ultimate goal of which is the use of advance composites in the construction industry, while concentrating on its major limiting factor ”durability”. The use of multiscale modelling gives directly the macroscopic constitutive behaviour of the structures based on its microscopically heterogeneous representative volume element (RVE). The RVE is analysed using the University of Glasgow in-house parallel computational tool, MoFEM (Mesh Oriented Finite Element Method), which is a C++ based finite-element code. A single layered plain weave is used to model the textile geometry. The geometry of the RVE mainly consists of two parts, the fibre bundles and matrix, and is modelled with CUBIT, which is a software package for the creation of parameterised geometries and meshes. Elliptical cross sections and cubic splines are used respectively to model the cross sections and paths of the fibre bundles, which are the main components of the yarn geometry. In this analysis, transversely isotropic material is introduced for the fibre bundles, and elastic material is used for the matrix part. The directions of the fibre bundles are calculated using a potential flow analysis across the fibre bundles, which are then used to define the principal direction for the transversely isotropic material. The macroscopic strain field is applied using linear displacement boundary conditions. Furthermore, appropriate interface conditions are used between the fibre bundles and the matrix

    The Role of Innovation Management Model to Improve Service Quality for Telecommunications Industry in Indonesia

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    Telecommunications industry in Indonesia has rapidly increased. An intense competition of telecommunication operators has  often neglecting quality of services which must be provided but instead focussing on offering cheap telecommunications costs. Every year average revenue per unit (ARPU) tends to decline, which result innovations, increase service quality, and prevent the customers switch to another operator. This research was using Soft Systems Methodology (SSM) approach based on philosophy of Critical Systems Thinking (CST), and Strategic Assumption Surface Engineering and Testing (SAST). Data flow diagram (DFD) were used as tools for designing management model innovation for telecommunication companies in Indonesia. The result obtained an incentives to innovators which is an important factor for Analytical Hierarchy Process (AHP). The further innovation model for telecommunication in Indonesia is producing innovations which ultimately  improve customer service quality. Keywords: Quality Service, Innovation Management, Analytical Hierarchy Process, Soft Systems Methodolog
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