European Census on Pediatric Surgery

2017 ◽  
Vol 28 (03) ◽  
pp. 227-237 ◽  
Author(s):  
Piotr Czauderna ◽  
Udo Rolle ◽  
Zacharias Zachariou ◽  
Gian Parigi

Background Detailed data on the distribution of pediatric surgical institutions in Europe are sparse. Therefore, the Section and Board of Pediatric Surgery of the Union of European Medical Specialists (UEMS) and the European Pediatric Surgeons' Association (EUPSA) jointly organized the first official census of the European centers of pediatric surgery (PS). Materials and Methods After obtaining a list of pediatric surgical centers in Europe, a specialized questionnaire was created and made available on the Internet. General, workload, staff, and ancillary data were collected for the centers. Results Total 215 out of 431 centers answered. PS center density is 1 in every 177,000 children or 1 in every 1,142,000 inhabitants. Approximately 77% of the centers (167 out of 215) are training centers in PS. Every center has an average inpatients procedures/year equal to 1,588, and 92.6 neonatal procedures/year. There are 3.9 surgeons/100,000 children, and 1,662 neonates for every surgeon. In average every EU surgeon performs 202 procedures/year, of which 11 procedures are on neonates. Trainees represent the 38% of the total workforce, and there are 2.3 trainees for every staff aged > 60 years. Conclusion The paper aims to offer a more grounded basis on which the future of PS in our Continent should be planned. Presented data will provide an invaluable help to all our colleagues, as well as national policy makers, to press for and to make better informed and well-grounded sound political choices in the field of PS.

2018 ◽  
pp. 167-196
Author(s):  
Jon W. Anderson

While freedom dividends from spreading the Internet specifically and information technologies more generally across the Arab Middle East have proven problematic, hopes for economic dividends endure throughout the spectrum from national policy-makers to developers and users in nearly all countries in the region. Enthusiasms for investment in Internet and IT generally have rested on broad supply-side orientations at macro levels that do not link with the actual sociology of IT development, deployment and use at more micro levels, where returns to working on and through the Internet have been elusive. This chapter focuses on Internet developers as the missing link and identifies factors from piracy to strategies for pursuing returns by selling the firm rather than the product and forms of rent-seeking that add problems of getting paid to practices in which IT workers elsewhere have been found to share value orientations of entrepreneurial IT firms, while value is extracted upward and marginal returns on primary production fall at the micro level and fail to register as productivity at the macro level.


1986 ◽  
Vol 15 (4) ◽  
pp. 465-472
Author(s):  
Robert L. Craig

Human resource development will become increasingly complex in years to come, not only in terms of techniques, but, more importantly, in how top management perceives the training function and how it is accommodated within the organization. This article highlights significant trends in these organizational dimensions of human resource development, including: the serious attention given to training by senior management and national policy makers; accounting and measurement imperatives placed on training; and structural changes in the sources of training such as the rise of decentralization and the reliance on external providers.


Info ◽  
2016 ◽  
Vol 18 (1) ◽  
pp. 67-84 ◽  
Author(s):  
Simon Forge

Purpose The aim of this paper is to consider whether it is possible to identify the future spectrum bands most suitable for the Internet of Things (IoT) from the operating factors of a novel set of radio services for a very wide range of applications, as an aid to policy makers now facing decisions in this area. Design/methodology/approach The approach uses characteristics of spectrum bands against the applications’ requirements to focus on specific major traits that can be matched. Findings The main choice factors for spectrum are the practical application needs and the network cost model, and these are fairly useful as matching parameters. It is forecast that multiple bands will be needed and that these should be of a licence-exempt form to seed the unfettered innovation of IoT technologies and pre-empt the formation of significant market power by concerned interests. Practical implications The way in which spectrum is allocated today will need to be reconsidered, in the light of evolving IoT requirements, which will have increasing economic and social impacts. Policy recommendations for IoT spectrum demands are outlined, and key policy options to ensure a dynamic and trustworthy development of the IoT are put forward. For instance, regulatory barriers globally will need to be removed. Originality/value Current interests in the technical requirements of the IoT have not yet given a suitable analysis of the potential spectrum uses, because too often, it is assumed that previous models of spectrum allocation will continue in the future, without consideration of the economic pressures and social context.


Author(s):  
G.W. Sheath

This paper is not a formal review of hill farming literature. Rather, it is my view on the critical challenges and changes that we need to deal with if mixed livestock farming on hill lands is to be successful over the next 20 years. It is my hope that industry leaders, policy makers and agribusiness managers will give consideration to these views. Some people say that it is not smart to look into the rear-vision mirror, but I do not agree. Having a better understanding of the consequences of past events can help guide future decisions and changes.


2019 ◽  
Vol 10 (6) ◽  
pp. 489-500
Author(s):  
Andrea Valente ◽  
◽  
David Atkinson ◽  

This study aimed to investigate the conditions in which Bitcoin has developed as a leading cryptocurrency and, according to Nakamoto (2008), could become an instrument for everyday payments around the world. In comparison to other digital payment solutions, Bitcoin is based on a peer-to-peer electronic cash system using “the blockchain”. This innovative technology allows for decentralised storage and movement of currency in a fully anonymous way, introducing advantageous methods for encrypted security and faster transactions (Hagiu & Beach, 2014). Scepticism regards Bitcoin’s foundation, energy consumption and price volatility, however, did not take long to arise (Holthaus, 2017). Ten years from its white paper release, Bitcoin is further supported by the same drivers which could sustain its growth as the future of digital payments (Russo, 2018). In order to investigate the key drivers and feasibility of acceptance, a London based survey was used to understand the desirability of Bitcoin as a day-to-day tool for digital payments. Additionally, this research analysed Bitcoin’s stakeholders and forecast drivers of sustainability for its application to become the future of the payment industry. A space which relies on policies that involve multiple layers of society, governments, regulators and tech-firms, all on a global scale. The findings confirmed how the increasing lack of trust of political and financial institutions, coupled with the increasing cases of data-breaches by tech-firms, encouraged over 70% of respondents to consider more decentralised and anonymous methods for their day-to-day actions; like payments. Policy makers need to cope with societies increasingly separating politically but gathering together digitally (LBS, 2017). For Bitcoin to truly establish itself as a global digital payment solution, key stakeholder acceptance must converge alongside the introduction of more robust regulation.


2020 ◽  
Vol 4 (3) ◽  
pp. 29-39
Author(s):  
Sulkhiya Gazieva ◽  

The future of labor market depends upon several factors, long-term innovation and the demographic developments. However, one of the main drivers of technological change in the future is digitalization and central to this development is the production and use of digital logic circuits and its derived technologies, including the computer,the smart phone and the Internet. Especially, smart automation will perhaps not cause e.g.regarding industries, occupations, skills, tasks and duties


2009 ◽  
Vol 7 (2) ◽  
pp. 107-128 ◽  
Author(s):  
Julie Park ◽  
Mitchell Chang

This article examines the development of legislation to create a federal designation for Asian American and Pacific Islander (AAPI) serving institutions. Specifically, the article draws from interviews with nineteen policy makers, congressional staffers, and community advocates in order to address their motivations for establishing this designation and the related challenges that they encountered. Besides the complexities of ushering legislation through Congress, one of the major challenges highlighted includes the lack of political infrastructure for advocating Asian American issues related to education. Recommendations for the future sustainability of federal support for AAPI serving institutions are also discussed.


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