Quick attach mechanism Patent

Quick attach mechanism for moving or stationary wires, ropes, or cable

Alien Registration- Vano, Louis (Bangor, Penobscot County)

https://digitalmaine.com/alien_docs/10226/thumbnail.jp

Slovakia: Fertility between tradition and modernity

In the last 60 years, Slovakia has experienced comparatively high and most recently very low fertility, long periods of stable fertility alternating with periods of changes, periods of substantial as well as lesser state interventions. Fertility was above replacement in 1990 and declined to the lowest-low levels during the period of transformation. Postponement of life course transitions – leaving the parental home, marrying and becoming a parent – became widespread among younger cohorts after 1990. High unemployment of young adults, increasing economy-driven migration and problems to gain a stable job contribute to this phenomenon. Reproductive behavior is changing, yet Slovak society remains culturally conservative. The dominant form of partnership is marriage, although extra-marital childbearing is rising. Cohabitation is spreading mainly as a prelude to marriage but is not widely approved. Population measures have a long tradition, although 15 years after regime change their nature is very different than that of the state socialist era. Considerable attention was and is being paid to population problems, however, the government has not designed and implemented a comprehensive system of family and population policies.childbearing, family size, fertility, postponement, Roma population, Slovakia

Evaluation of effectiveness of public expenditures in psychiatric healthcare treatments in Georgia

Health care system in Georgia appears to be one of the important priority of the country during last decade and varies within 9-11%. With regard to health care costs, mental health sector, share its funds within 2%. Although mental health financing and resource distribution are characterized by a growing tendency in Georgia, effective allocation of funds directed for psychiatric treatment remains underestimated. Evidence based government policies imply to offer differentiated services for people with mental health problems and are based on cost-effectiveness analysis. Contemporary studies with the cost/benefit/effectiveness analysis, confirm the effectiveness of community services intervention. In particular, under the same expenditures, community services can make far more positive results by improving the quality of life of people with mental disorders rather than ordinary hospital services. Nowadays, costs for the inpatient services are three times higher compared to the ambulance treatments in Georgia. Taking into view the fact that the country spends 100 times less funds in financing of mental healthcare policies then developed countries and 12 times less than Eastern European countries, choosing appropriate policy which remains adequate ratio between treatment approaches on the bases of cost-effective studies arises in the political agenda. Investing funds in community services means taking out the same amount of funds from in patient, which is already scarce and significantly lower in comparison with the similar indicators in other countries. Thus, giving preferences to inpatient or outpatient services seems to be problematic without analyzing appropriate data and comparing benefit received from funding one treatment policy to the losses of another treatment policy as a result of finance reducing

Diagnostic reference levels and optimization in radiology: where do we go from here?

No abstract available

SEARCH FOR AN EXTREMUM USING THE STEEPEST DESCENT METHOD UNDER THE CONDITIONS OF EXPERIMENTAL ERRORS

One of the spread first level methods of optimum search is learned by the steepest descent method in conditions when there are mistakes in the experiment. The steepest descent method is investigated and is successfully applied in situations, when, there are no mistakes of experiment. However, in real situations the used means of measurement always have determined errors owing to what the appropriate meanings of the response receives with mistakes. The model of the steepest descent algorithm in created, when the length of the step does not depend on the meaning of the purpose functioning. Stepping process realization algorithm and program provision in MathCAD, computer mathematic, system is designed. The realization outcome mistakes for different meaning are presented, the step movement of the optimum dot direction is shown according to function meaning and argument meaning as well. The amount needed for the tactics necessary to approach the minimum is established, the quake amplitude in the surrounding of different level experiment mistakes at the optimum search efficiency in different step conditions.One of the spread first level methods of optimum search is learned by the steepest descent method in conditions when there are mistakes in the experiment. The steepest descent method is investigated and is successfully applied in situations, when, there are no mistakes of experiment. However, in real situations the used means of measurement always have determined errors owing to what the appropriate meanings of the response receives with mistakes. The model of the steepest descent algorithm in created, when the length of the step does not depend on the meaning of the purpose functioning. Stepping process realization algorithm and program provision in MathCAD, computer mathematic, system is designed. The realization outcome mistakes for different meaning are presented, the step movement of the optimum dot direction is shown according to function meaning and argument meaning as well. The amount needed for the tactics necessary to approach the minimum is established, the quake amplitude in the surrounding of different level experiment mistakes at the optimum search efficiency in different step conditions

Propuesta de mejora del proceso de mantenimiento en un taller mec?nico, aplicando la metodolog?a de Mantenimiento Productivo Total para incrementar la productividad en una empresa de transporte urbano

Esta investigaci?n corresponde a la propuesta de mejora para la gesti?n de mantenimiento procedente del taller de mantenimiento M?xima Calidad SAC, perteneciente a la empresa de transporte p?blico Red Lima M?vil SA, mediante la aplicaci?n del Mantenimiento Productivo Total; para demostrar el crecimiento de productividad, reducci?n de costos, incremento de actividades eficientes con la mejora integral del ?rea de mantenimiento. El informe inicia con el desarrollo del sector de la empresa, descripci?n y desarrollo de la realidad problem?tica, an?lisis de herramientas necesarias para plantear alternativas de soluciones de mejora. Mediante el diagn?stico de estudio se identifica tiempos improductivos, inadecuada log?stica preventiva y desbalance de carga laboral, se determin? puntos de mejora respecto al orden y limpieza con el objetivo de incrementar la productividad. Para la mejora del taller se realiza una programaci?n de tiempo asociado al personal y al recurso con el que se cuenta, aplicaci?n de pilares del Sistema de Mantenimiento Productivo Total. Asimismo, se espera una adecuada productividad distribuci?n de inventarios en el almac?n de repuestos, disminuci?n de recorridos innecesarios para mejorar el desempe?o de los operarios, generando un incremento en la de buses al ofrecer una mayor oferta al mercado

Unintended and accidental medical radiation exposures in radiology: guidelines on investigation and prevention

This paper sets out guidelines for managing radiation exposure incidents involving patients in diagnostic and interventional radiology. The work is based on collation of experiences from representatives of international and national organizations for radiologists, medical physicists, radiographers, regulators, and equipment manufacturers, derived from an International Atomic Energy Agency Technical Meeting. More serious overexposures can result in skin doses high enough to produce tissue reactions, in interventional procedures and computed tomography, most notably from perfusion studies. A major factor involved has been deficiencies in training of staff in operation of equipment and optimization techniques. The use of checklists and time outs before procedures commence, and dose alerts when critical levels are reached during procedures can provide safeguards to reduce risks of these effects occurring. However, unintended and accidental overexposures resulting in relatively small additional doses can take place in any diagnostic or interventional X-ray procedure and it is important to learn from errors that occur, as these may lead to increased risks of stochastic effects. Such events may involve the wrong examinations, procedural errors, or equipment faults. Guidance is given on prevention, investigation and dose calculation for radiology exposure incidents within healthcare facilities. Responsibilities should be clearly set out in formal policies, and procedures should be in place to ensure that root causes are identified and deficiencies addressed. When an overexposure of a patient or an unintended exposure of a foetus occurs, the foetal, organ, skin and/or effective dose may be estimated from exposure data. When doses are very low, generic values for the examination may be sufficient, but a full assessment of doses to all exposed organs and tissues may sometimes be required. The use of general terminology to describe risks from stochastic effects is recommended rather than calculation of numerical values, as these are misleading when applied to individuals