43 research outputs found

    Cholelithiasis in Pregnant Women

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    Intervention in der Schwangerschaft und Tokolyse

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    The Weak Decay of Hypernuclei

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    The exemplification of governance principles within state asset management laws and policies: the case of Indonesia

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    Efficient state asset management is crucial for governments as they facilitate the fulfillment of their public functions, which include the provision of essential services and other public administration support. In recent times economies internationally and particularly in South east Asia, have displayed increased recognition of the importance of efficiencies across state asset management law, policies and practice. This has been exemplified by a surge in notable instances of reform in state asset management. A prominent theme in this phenomenon is the consideration of governance principles within the re-conceptualization of state asset management law and related policy, with many countries recognizing variability in the quality of asset governance and opportunities for profit as being critical factors. This issue is very current in Indonesia where a major reform process in this area has been confirmed by the establishment of a new Directorate of State Asset Management. The incumbent Director-General of State Asset Management has confirmed a re-emphasis on adherence to governance principles within applicable state asset management law and policy reform. This paper reviews aspects of the challenge of reviewing and reforming Indonesian practice within state asset management law and policy specifically related to public housing, public buildings, parklands, and vacant land. A critical issue in beginning this review is how Indonesia currently conceptualizes the notion of asset governance and how this meaning is embodied in recent changes in law and policy and importantly in options for future change. This paper discusses the potential complexities uniquely Indonesian characteristics such as decentralisation and regional autonomy regime, political history, and bureaucratic cultur

    A longitudinal cohort study of HIV 'treatment as prevention' in gay, bisexual and other men who have sex with men:The Treatment with Antiretrovirals and their Impact on Positive And Negative men (TAIPAN) study protocol

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    © 2016 The Author(s).Background: Australia has increased coverage of antiretroviral treatment (ART) over the past decade, reaching 73% uptake in 2014. While ART reduces AIDS-related deaths, accumulating evidence suggests that it could also bolster prevention efforts by reducing the risk of HIV transmission ('treatment as prevention'). While promising, evidence of community-level impact of treatment as prevention on reducing HIV incidence among gay and bisexual men is limited. We describe a study protocol that aims to determine if scale up of testing and treatment for HIV leads to a reduction in community viraemia and, in turn, if this reduction is temporally associated with a reduction in HIV incidence among gay and bisexual men in Australia's two most populous states. Methods: Over the period 2009 to 2017, we will establish two cohorts making use of clinical and laboratory data electronically extracted retrospectively and prospectively from 73 health services and laboratories in the states of New South Wales and Victoria. The 'positive cohort' will consist of approximately 13,000 gay and bisexual men (>90% of all people living with HIV). The 'negative cohort' will consist of at least 40,000 HIV-negative gay and bisexual men (approximately half of the total population). Within the negative cohort we will use standard repeat-testing methods to calculate annual HIV incidence. Community prevalence of viraemia will be defined as the proportion of men with a viral load ≄200RNA copies/mm3, which will combine viral load data from the positive cohort and viraemia estimates among those with an undiagnosed HIV infection. Using regression analyses and adjusting for behavioural and demographic factors associated with infection, we will assess the temporal association between the community prevalence of viraemia and the incidence of HIV infection. Further analyses will make use of these cohorts to assess incidence and predictors of treatment initiation, repeat HIV testing, and viral suppression. Discussion: This study will provide important information on whether 'treatment as prevention' is associated with a reduction in HIV incidence at a community level among gay and bisexual men

    The Methodological Challenges Related to Assess the Outcomes of Knowledge Management Initiatives: The Case of Communities of Practice

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    Part 8: Knowledge Management and Information SharingInternational audienceIn any organizational project where the use of limited resources represents a challenge, it’s necessary to assess the outcomes generated. The methodological approach on how to assess outcomes reveals many questions, namely: What is the best way to do so? What dimensions to assess? From what criteria? How to estimate them? In the case of communities of practice (CoP), these questions become accurate. Indeed, in the case of Communities of Practice, the participants represent the cornerstone of the project because there are the ones who generate knowledge. So to assess outcomes generated by CoP within an organization, it’s necessary to identify an adapted methodological frame which will allow to take into account the critical aspects of the CoP and the user perspective. Our proposal aims to present a hybrid path (qualitative-quantitative) in order to minimize the limits and uplift advantages related to both approaches. The addition of these two approaches must generate a more stronger one and a better reliability of concept. For that purpose, the structure of the article concerns the following aspects: the context of knowledge management initiatives and particularly communities of practice; notions of assessment and outcomes; the current methodologies used to assess the outcomes of the CoP as well as their limits; the criteria to be respected for the choice as a strong methodology; the choice of a new approach (qualitative-quantitative) and its future application in the CoP
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