56 research outputs found
Green Cellular Networks: A Survey, Some Research Issues and Challenges
Energy efficiency in cellular networks is a growing concern for cellular
operators to not only maintain profitability, but also to reduce the overall
environment effects. This emerging trend of achieving energy efficiency in
cellular networks is motivating the standardization authorities and network
operators to continuously explore future technologies in order to bring
improvements in the entire network infrastructure. In this article, we present
a brief survey of methods to improve the power efficiency of cellular networks,
explore some research issues and challenges and suggest some techniques to
enable an energy efficient or "green" cellular network. Since base stations
consume a maximum portion of the total energy used in a cellular system, we
will first provide a comprehensive survey on techniques to obtain energy
savings in base stations. Next, we discuss how heterogeneous network deployment
based on micro, pico and femto-cells can be used to achieve this goal. Since
cognitive radio and cooperative relaying are undisputed future technologies in
this regard, we propose a research vision to make these technologies more
energy efficient. Lastly, we explore some broader perspectives in realizing a
"green" cellular network technologyComment: 16 pages, 5 figures, 2 table
PERAN PEMERINTAH DALAM PENGELOLAAN MANGROVE (Studi Terhadap Pengelolaan Mangrove di Lantebung)
Indonesia adalah negara yang kaya akan keanekaragaman flora dan fauna. Salah satunya adalah mangrove, sebuah sumber menyatakan bahwa Indonesia mempunya lebih dari 30 jenis mangrove yang tersebar di berbagai pulaunya. Mangrove tidak hanya dapat dimanfaatkan secara ekonomis, tetapi juga dalam sosial serta budaya. Atas dasar tersebut maka pengelolaannya juga membutuhkan peran semua pihak, baik pemerintah, sawsta, terlebih masyarakat. Salah satu ciri negara modern adalah negara dan rakyat yang sama kuatnya. Hal ini bisa dicapai dengan memfokuskan segala energi dan daya upaya untuk mencapai kedaulatan dan kesejahteraan rakyat. Peran pemerintah sangat dibutuhkan untuk membuat kebijakan dan mengimplementasikan kebijakan yang bermuara pada kedua hal tersebut, termasuk didalamnya pengelolaan mangrove
Effect of Different Concentrations of Plant Growth Hormones for in Vitro Regeneration of Rice Varieties BRRI Dhan 28 and BRRI Dhan 29
A method for in-vitro propagation of BRRI dhan 28 and BRRI dhan 29 was developed by using seed embryos as explants on MS media and half strength MS media containing different concentrations of plant growth regulators and hormones. In case of BRRI dhan 28, approximately 10
Development of an Efficient in Vitro Regeneration System for Endangered Wild Orange Citrus Chrysocarpa L.
A method for in-vitro propagation of wild type Indian orange (Citrus chrysocarpa L.) was developed by shoot organogenesis from seed. Mature seed embryos were used as explants and treated with different hormones and plant growth regulators on MS medium for callus, shoots and roots induction. For callus inductio
Assessing the incidence of catastrophic health expenditure and impoverishment from out-of-pocket payments and their determinants in Bangladesh: evidence from the nationwide Household Income and Expenditure Survey 2016
Background
Out-of-pocket (OOP) payments for healthcare have been increasing steadily in Bangladesh, which deteriorates the financial risk protection of many households.
Methods
We aimed to investigate the incidence of catastrophic health expenditure (CHE) and impoverishment from OOP payments and their determinants. We employed nationally representative Household Income and Expenditure Survey 2016 data with a sample of 46 076 households. A household that made OOP payments of >10% of its total or 40% of its non-food expenditure was considered to be facing CHE. We estimated the impoverishment using both national and international poverty lines. Multiple logistic models were employed to identify the determinants of CHE and impoverishment.
Results
The incidence of CHE was estimated as 24.6% and 10.9% using 10% of the total and 40% of non-food expenditure as thresholds, respectively, and these were concentrated among the poor. About 4.5% of the population (8.61 million) fell into poverty during 2016. Utilization of private facilities, the presence of older people, chronic illness and geographical location were the main determinants of both CHE and impoverishment.
Conclusion
The financial hardship due to OOP payments was high and it should be reduced by regulating the private health sector and covering the care of older people and chronic illness by prepayment-financing mechanisms
Effectiveness of health voucher scheme and micro-health insurance scheme to support the poor and extreme poor in selected urban areas of Bangladesh: An assessment using a mixed-method approach
Background
National healthcare financing strategy recommends tax-based equity funds and insurance schemes for the poor and extreme poor living in urban slums and pavements as the majority of these population utilise informal providers resulting in adverse health effects and financial hardship. We assessed the effect of a health voucher scheme (HVS) and micro-health insurance (MHI) scheme on healthcare utilisation and out-of-pocket (OOP) payments and the cost of implementing such schemes.
Methods
HVS and MHI schemes were implemented by Concern Worldwide through selected NGO health centres, referral hospitals, and private healthcare facilities in three City Corporations of Bangladesh from December 2016 to March 2020. A household survey with 1,294 enrolees, key-informant interviews, focus group discussions, consultative meetings, and document reviews were conducted for extracting data on healthcare utilisation, OOP payments, views of enrolees, and suggestions of implementers, and costs of services at the point of care.
Results
Healthcare utilisation including maternal, neonatal and child health (MNCH) services, particularly from medically trained providers, was higher and OOP payments were lower among the scheme enrolees compared to corresponding population groups in general. The beneficiaries were happy with their access to healthcare, especially for MNCH services, and their perceived quality of care was fair enough. They, however, suggested expanding the benefits package, supported by an additional workforce. The cost per beneficiary household for providing services per year was €32 in HVS and €15 in MHI scheme.
Conclusion
HVS and MHI schemes enabled higher healthcare utilisation at lower OOP payments among the enrolees, who were happy with their access to healthcare, particularly for MNCH services. However, they suggested a larger benefits package in future. The provider’s costs of the schemes were reasonable; however, there are potentials of cost containment by purchasing the health services for their beneficiaries in a competitive basis from the market. Scaling up such schemes addressing the drawback would contribute to achieving universal health coverage
Out-of-pocket expenditure for seeking health care for sick children younger than 5 years of age in Bangladesh: findings from cross-sectional surveys, 2009 and 2012
Background: Bangladesh has committed to universal health coverage, and
options to decrease household out-of-pocket expenditure (OPE) are being
explored. Understanding the determinants of OPE is an essential step.
This study aimed to estimate and identify determinants of OPE in
seeking health care for sick under-five children. Methods:
Cross-sectional data was collected by structured questionnaire in 2009
(n = 7362) and 2012 (n = 6896) from mothers of the under-five children.
OPE included consultation fees and costs of medicine, diagnostic tests,
hospital admission, transport, accommodation, and food. Expenditure is
expressed in US dollars and adjusted for inflation. Linear regression
was used for ascertaining the determinants of OPE. Results: Between
2009 and 2012, the median OPE for seeking care for a sick under-five
child increased by ~ 50%, from USD 0.82 (interquartile range
0.39\u20131.49) to USD 1.22 (0.63\u20132.36) per child/visit.
Increases were observed in every component OPE measured, except for
consultation fees which decreased by 12%. Medicine contributed the
major portion of overall OPE. Higher overall OPE for care seeking was
associated with a priority illness (20% increase), care from trained
providers (90% public/~ 2-fold private), residing in hilly/wet lands
areas (20%) , and for mothers with a secondary education (19%).
Conclusion: OPE is a major barrier to quality health care services and
access to appropriate medicine is increasing in rural Bangladesh. To
support the goal of universal health care coverage, geographic
imbalances as well as expanded health financing options need to be
explored
Association between Chronic Arsenic Exposure and Nutritional Status among the Women of Child Bearing Age: A Case-Control Study in Bangladesh
The role of nutritional factors in arsenic metabolism and toxicity is yet to be fully elucidated. A low protein diet results in decreased excretion of DMA and increased tissue retention of arsenic in experimental studies. Malnourished women carry a higher risk of adverse pregnancy outcomes. Chronic exposure to high arsenic (>50 μg/L) through drinking water also increases the risk of adverse pregnancy outcomes. The synergistic effects (if any) of malnutrition and chronic arsenic exposure may worsen the adverse pregnancy outcomes. This population based case control study reports the association between chronic arsenic exposure and nutritional status among the rural women in Bangladesh. 348 cases (BMI < 18.5) and 360 controls (BMI 18.5–24.99) were recruited from a baseline survey conducted among 2,341 women. An excess risk for malnutrition was observed among the participants chronically exposed to higher concentrations of arsenic in drinking water after adjusting for potential confounders such as participant’s age, religion, education, monthly household income and history of oral contraceptive pills. Women exposed to arsenic >50 μg/L were at 1.9 times (Odds Ratio = 1.9, 95% CI = 1.1–3.6) increased risk of malnutrition compared to unexposed. The findings of this study suggest that chronic arsenic exposure is likely to contribute to poor nutritional status among women of 20–45 years
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