Cultural competency: professional action and South Asian carers

Inequality and exclusion are characteristic of the experience of UK South Asian communities. In health care, community needs are often not addressed by health and social welfare services. An increase in cultural competency is now part of identified policy. The aim of this paper is to examine the extent to which there is evidence of cultural competency amongst professionals concerning South Asian parents caring for a person with cerebral palsy. Semi-structured interviews were conducted with respondents from 19 service organisations. Results are presented on perceptions of service delivery and on the dynamics of service development: evidence is found that inadequate service delivery continues despite professional knowledge that it exists. Conditions necessary for the achievement of cultural competence are discussed. We suggest that service development to meet the needs of South Asian carers must form part of an overall strategy geared to change at different levels within and outside service organisations

Process modelling and techno-economic analysis of natural gas combined cycle integrated with calcium looping

Calcium looping (CaL) is promising for large-scale CO2 capture in the power generation and industrial sectors due to the cheap sorbent used and the relatively low energy penalties achieved with this process. Because of the high operating temperatures the heat utilisation is a major advantage of the process, since a significant amount of power can be generated from it. However, this increases its complexity and capital costs. Therefore, not only the energy efficiency performance is important for these cycles, but also the capital costs must be taken into account, i.e. techno-economic analyses are required in order to determine which parameters and configurations are optimal to enhance technology viability in different integration scenarios. In this study the integration scenarios of CaL cycles and natural gas combined cycles (NGCC) are explored. The process models of the NGCC and CaL capture plant are developed to explore the most promising scenarios for NGCC-CaL integration with regards to efficiency penalties. Two scenarios are analysed in detail, and show that the system with heat recovery steam generator (HRSG) before and after the capture plant exhibited better performance of 49.1% efficiency compared with that of 45.7% when only one HRSG is located after the capture plant. However, the techno-economic analyses showed that the more energy efficient case, with two HRSGs, implies relatively higher cost of electricity (COE), 44.1€/MWh, when compared to that of the reference plant system (33.1€/MWh). The predicted cost of CO2 avoided for the case with two HRSGS is 29.3 €/ton CO2

Comparison of Composition and Degradation Characteristics of Early Bloom Alfalfa with Fenugreek (Trigonella Foenum-Graecum) Forages Harvested at Different Stages of Maturity

The objective of this study was to compare the composition and degradation characteristics of early bloom alfalfa and fenugreek harvested after 9, 15 and 17 wk of growth. Crude protein (CP) content of fenugreek cut at 9, 15 and 17 wk was lower (P\u3c0.05) than that of alfalfa. Neutral detergent fibre (NDF) and lignin content of fenugreek harvested after 15 and 17 wk were higher (P\u3c0.05) than that of alfalfa. Ash content was lower (P\u3c0.05) in fenugreek than for alfalfa. In vitro dry matter disappearance (IVDMD) of fenugreek cut at 15 and 17 wk was similar to that of alfalfa. Total in vitro gas production of fenugreek cut at the three stages of growth was not significantly different from those observed for alfalfa. Results indicate that chemical composition and IVDMD of fenugreek at all stages of maturity were comparable to that of early bloom alfalfa

Life Insurance Sector Development and Economic Growth of India in the Changing Policy Regime

The changing economic scenario of the Indian economy posed new challenges to almost all the sectors of the economy, and the insurance sector is no exception. The introduction of insurance sector reforms not only eliminated the monopoly of life insurance sector, but opened up the insurance windows to the private players which increased the competition in many folds, especially since 2000. The reforms brought an overall increase in insurance penetration as well as insurance density in the country. As a result, the insurance industry is today more efficient and exerts considerable positive impacts on the growth of the Indian economy. The insurance sector contributes to a rise in labour productivity through efficient investments, and also generates productive employment opportunities. In this context, this paper examines dynamics of the relationship between the development of life insurance sector and the real economic growth in the changing policy regime in India, and provides the evidence of the positive and significant relationship between them. Therefore, it is suggested to prioritize the focus on the further development of the sector may be through the implementation of prudent policies to increase rural penetration of life insurance in India. Also, the inclusive growth strategy in the country can be effectively mobilized to enhance the development of the life insurance sector

BHAGANDARA AND ITS MANAGEMENT IN AYURVEDA: A CONCEPTUAL STUDY

Bhagandara has been described by Acharya Sushruta as one among Ashtamaharoga (eight major diseases) which is difficult to cure. This disease has been described in Ayurvedic texts in great detail. The etiopathogenesis, symptoms, types, preventive measures and curative aspects have been mentioned in detail. Ayurveda recommends a multi-dimensional approach in the treatment of this callous disease. The para-surgical and surgical techniques mentioned by Acharya Sushruta have been found very effective in the management of Bhagandara and Ksharsutra treatment in this disease has emerged as an effective and safe remedy in its management which has been accepted globally. The introduction of modern surgical methods of Fistulotomy and Fistulectomy were initially considered a boon for the treatment of this disease but their long standing side effects such as incontinence and recurrence made these techniques unsuitable for the majority of the Fistula-in-ano patients and the majority of these patients are turning towards Ayurvedic Ksharsutra therapy for treating this notorious disease. The popularity and efficacy of Ksharsutra treatment can be assessed from this fact that modern Surgeons refer these patients to Ayurvedic Surgeons for their successful management

Sectoral assessment of greenhouse gas emissions in Pakistan

In this study, an attempt has been made to develop inventory of greenhouse gas (GHG) emissions for Pakistan at the national and sectoral level. The emission profile includes carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O). In 2012, GHG emissions from different sectors of economy are estimated at 367 Tg CO2eq. Out of this, CO2 emissions were 179 Tg; CH4 emissions were 107 Tg CO2eq; and N2O emissions were 81 Tg CO2eq. Energy and agriculture sectors contribute approximately 89% of national GHG emissions. Industrial processes, waste, and land use change and forestry (LUCF) sectors contribute the remaining 11% GHG emissions. A comparison with the 1994 GHG emission inventory of Pakistan shows that GHG emissions in Pakistan from 1994 to 2012 have increased at an annual growth rate of 4.1% and yet anticipated to increase further for meeting the national developmental goals; however, the per capita emissions in Pakistan will remain low when compared with the global average

Self-consistent axisymmetric Sridhar-Touma models

We construct phase-space distribution functions for the oblate, cuspy mass models of Sridhar & Touma, which may contain a central point mass (black hole) and have potentials of St\"ackel form in parabolic coordinates. The density in the ST models is proportional to a power $r^{-\gamma}$ of the radius, with $0<\gamma<1$. We derive distribution functions $f(E, L_z)$ for the scale-free ST models (no black hole) using a power series of the energy $E$ and the component $L_z$ of the angular momentum parallel to the symmetry axis. We use the contour integral method of Hunter & Qian to construct $f(E, L_z)$ for ST models with central black holes, and employ the scheme introduced by Dejonghe & de Zeeuw to derive more general distribution functions which depend on $E$, $L_z$ and the exact third integral $I_3$. We find that self-consistent two- and three-integral distribution functions exist for all values $0 < \gamma < 1$.Comment: 10 pages, 11 Figures, Accepted for publication in MNRA