In response to an argument against penile transplantation

2019 ◽  
Vol 46 (1) ◽  
pp. 63-64 ◽  
Author(s):  
André Van der Merwe
Keyword(s):  
Waiting List ◽  
Real Possibility ◽  
Facial Transplantation ◽  
The Poor ◽  
The Cost ◽  
Ritual Circumcision

Moodley and Rennie’s paper arguing against penile transplantation stated out of context arguments and wrongly quoted statements. The cost of penile transplantation is much less than portrayed. The burden of cases is much less than is communicated. The men on our penis transplantation programme represent the poorest of the poor and are one of the most discriminated against groups of humans on earth. The false hope said to be created by Moodley is indeed not false hope at all as there is a real possibility that most patients on our waiting list may be transplanted. Moodley argues that government has, in the context of penile transplantation, no duty to cure those who lost a penis after ritual circumcision, but only an obligation to prevent this from happening. A ‘yuk’ reaction, similarly described in facial transplantation, may be present in colleagues arguing against penile transplantation.

scholarly journals PROBLEMATIKA PENERAPAN ASAS TERJANGKAU DALAM PENDAFTARAN TANAH

2019 ◽  
Vol 18 (2) ◽  
Author(s):  
Denik Puspita
Keyword(s):  
Land Registration ◽  
The Poor ◽  
The Cost

<table width="605" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="406"><p><em>This study aims to analyze and determine the problems of applying the principle of affordability in land registration in Indonesia. The results showed that the principle of issuing certificates to take care of land registration must be adjusted to simple and affordable principles, where these principles mandate the process of issuing land certificates to run quickly, while the cost of issuing land certificates is not too expensive for the poor.</em><em></em></p><p><strong><em>Keywords:</em></strong></p><p><em>Principle of Affordability; Land: Certificate</em></p></td></tr></tbody></table>

Discharge against Medical Advice in Some Paediatric Wards

1988 ◽  
Vol 18 (3) ◽  
pp. 125-127 ◽  
Author(s):  
H S Goyea
Keyword(s):  
Hospital Care ◽  
Preventive Health Care ◽  
Medical Advice ◽  
Preventive Health ◽  
Against Medical Advice ◽  
The Poor ◽  
Discharge Against Medical Advice ◽  
The Cost ◽  
The University ◽  
Family Opposition

Sixty-four cases of discharge against medical advice (DAMA) from 3 paediatric units in the University of Benin Teaching Hospital within a period of 18 months were analysed. The incidence was highest among the very young, even when they were still very ill. Financial problems accounted for 65.6% of the cases. Other reasons included difficulties related to the siblings (9.4%), the wish to try traditional methods (7.8%), family opposition (1.6%) and distance from the hospital (4.1%). It is recommended that greater attention be given to preventive health care, and placing the cost of hospital care within the reach of the poor. Improved communication is also recommended as a way of helping parents seek alternatives to DAMA.

Analysis of the Effect of Nanosilicates on the Strength and Porosity of Cement Stone

2020 ◽  
Vol 854 ◽  
pp. 175-181
Author(s):  
Daria A. Zimina ◽  
Chingis A. Zhapkhandaev ◽  
Artem A. Petrov
Keyword(s):  
Poor Quality ◽  
Cement Stone ◽  
Metallurgical Waste ◽  
Cement Slurry ◽  
The Poor ◽  
Complex Engineering ◽  
The Cost

The paper deals with well cementing, which is a complex engineering task requiring special tools and technologies. The authors give an example of complications that arise due to the poor quality of well cementing. The aim of the work is to study the mineral ultrafine additive-nanosilicates, which increase the strength of cement stone and reduce its porosity. Nanosilicate is formed during the cleaning of ore-thermal furnaces in metallurgical plants. One of such technologies is application of metallurgical waste, since it can improve the environment by cleaning the sludge fields from waste and reduce the cost of cement slurry by reducing the amount of cement in the composition. The study provides practical data showing that nanosilicates positively affect the strength of cement stone, reducing its porosity.

scholarly journals The Care of Children in County and Borough Asylums

1907 ◽  
Vol 53 (223) ◽  
pp. 541-547
Author(s):  
Charles H. Fennell
Keyword(s):  
Well Being ◽  
The Poor ◽  
English Child ◽  
Lunatic Asylums ◽  
The Cost

The normal English child has thriven apace of recent years, as the result of a healthy popular tendency to foster his mental and physical well-being as thoroughly as may be. But there exists among the poor a race of unfortunates–happily a small one–whose interests have rarely met with adequate recognition. It consists of the imbeciles who find their way into pauper lunatic asylums–the children legally certifiable as idiots. They cannot, I admit, pay a dividend in hard cash on the money sunk in their education, and their appeal for special attention mainly rests on their helplessness. My aim is to speak briefly of the measures already taken in their interest elsewhere, and to describe in a little more detail those adopted with success at Hellingly. Lastly, I propose to discuss the cost of our scheme, and to attempt to analyse the benefits derived therefrom.

Rich and Poor: the Great Divide in Ancient Rome and Victorian England

1990 ◽  
Vol 37 (1) ◽  
pp. 37-43 ◽  
Author(s):  
S. J. Bastomsky
Keyword(s):  
Roman Empire ◽  
Third World ◽  
First Century ◽  
Absolute Maximum ◽  
Ancient Rome ◽  
Victorian England ◽  
World Series ◽  
The Poor ◽  
History Of ◽  
The Cost

In his book, The Roman Empire (Fontana History of the Ancient World Series), Colin Wells mentions incomes and the cost of living in first-century Italy. He concludes that a wage of 4 sesterces a day was an ‘absolute maximum’ and goes on to comment that ‘it is hard to tell whether the discrepancy between the really rich and the labouring poor was greater in some third-world countries today, or in Victorian England… To prove his point Wells gives £300,000 per annum for the Marquess of Bute as an example of an enormous income in the nineteenth century, though he does not tell us what the poor would have earned then.

scholarly journals Solving the problem of air quality in Indian cities by retrofitting the EGR

2018 ◽  
Vol 173 (2) ◽  
pp. 61-66
Author(s):  
Zbigniew SROKA ◽  
Wojciech WALKOWIAK ◽  
Marek REKSA ◽  
Czesław KOLANEK ◽  
Chandu Valuvila THULASIDHARAN PILLAI
Keyword(s):  
Control Measures ◽  
Exhaust Gas ◽  
Indian Government ◽  
Time Consumption ◽  
The Poor ◽  
The World ◽  
The Cost ◽  
Gas Recirculation ◽  
Indian Cities ◽  
Fabrication Time

This paper touches problem of transportation pollution focusing on NOx reducing in the India. There were India country chosen for study as the second populated country and most polluted cities in the world. As from statistics, it is known that more than 65% of Indian cars are old and they are the main reason of air pollution. Most of the old cars do not have any control measures for eliminating deadli-est gases. Dumping the old cars is not possible, as the poor owns most of the old cars. For eliminating the pollution from old cars, the possible remedy is to control the emission of pollutants. Comparing to all gases in exhaust, nitrogen oxides are the dangerous one. It can may cause up to death. The best method to control the NOx gas is EGR (Exhaust Gas Recirculation) valves. This research mainly focuses on the possible ways of installing EGR in old engines and fabricate an EGR in one of the Indian cars. Maruti Suzuki 800 is best of for fabricating EGR, as it is a base model and most sold Indian car. As the result, there tremendous decreasing in NOx emission also the emission CO2 was reduced. The investigation about fabricating EGR in old vehicle results a positive output after calculated the cost of the fabrication, time consumption, work challenges and other facts. As Indian government adopt this concept, they can reduce the pollu-tion from all types of vehicles to a great extend in few years of time with low investment.

scholarly journals APAKAH PEMBENTUKAN HOLDING MENINGKATKAN KINERJA PERUSAHAAN ? ANALISIS PERBANDINGAN KINERJA ANAK PERUSAHAAN ABC BUMN HOLDING SEBELUM DAN SETELAH HOLDINGISASI DAN FAKTOR YANG MEMPENGARUHINYA

2019 ◽  
Vol 9 (2) ◽  
pp. 251
Author(s):  
Bambang Utoyo
Keyword(s):  
Financial Performance ◽  
Commodity Prices ◽  
Poor Performance ◽  
The Poor ◽  
Before And After ◽  
Sugar Mills ◽  
The Government ◽  
The Cost ◽  
Better Than ◽  
Non Parametric

Abstract: The government has established ABC BUMN Holding, with the hope that the performance of its subsidiaries' performance after holding has increased sharply. Unfortunately the financial performance of its subsidiaries is no better than before the holding. This study is intended to analyze the performance of ABC BUMN subsidiaries before and after holding and look for factors that affect their performance, with non-parametric statistical methods and discussions with experts. The results showed that the poor performance of subsidiaries was partly due to the focus of the holding Directors still on restructuring the debt of subsidiaries which were carried out before the establishment of holding, the low productivity of plantations as a result of late replenting, fertilization and maintenance that are not in accordance with the standard, the cost of revitalizing sugar mills has not been able to be prepared by the holding, the synergy between the parent company and its subsidiaries has not gone well, and there has been a tendency to decline in plantation commodity prices. Keywords: Holding, financial performance, low productivity of plantation,  statistic non parametric. Abstrak :Pemerintah telah membentuk ABC BUMN Holding, dengan harapan kinerja anak perusahaan setelah dilakukan holding meningkat secara tajam. Sayangnya kinerja keuangan anak perusahaannya tidak lebih baik dari sebelum holding. Penelitian ini dimaksudkan untuk menganalisis kinerja anak perusahaan ABC BUMN sebelum dan setelah holding dan mencari faktor yang memengaruhi kinerjanya, dengan metode statistic non parametric dan diskusi dengan pakar. Hasil penelitian menunjukkan bahwa belum baiknya kinerja anak perusahaan antara lain disebabkan fokus Direksi holding masih pada restrukturisasi hutang anak perusahaan yang terbawa dari sebelum pembentukan holding, rendahnya produktivitas perkebunan sebagai dampak terlambat replenting, pemupukan dan pemeliharaan yang tidak sesuai standar, besarnya biaya revitalisasi pabrik gula yang belum mampu disiapkan oleh holding, sinergi antara perusahaan induk dan anak perusahaan belum berjalan dengan baik, dan adanya kecenderungan turunnya harga komoditas perkebunan. Kata kunci: Holding, Kinerja keuangan, rendahnya produktivitas perkebunan, statistic non parametric.

scholarly journals Elective orthopaedic cancellations due to the COVID-19 pandemic: where are we now, and where are we heading?

2021 ◽  
Vol 2 (2) ◽  
pp. 103-110 ◽  
Author(s):  
Sam Oussedik ◽  
Sam MacIntyre ◽  
Joanne Gray ◽  
Peter McMeekin ◽  
Nick D. Clement ◽  
...  
Keyword(s):  
Knee Arthroplasty ◽  
Financial Burden ◽  
Waiting Lists ◽  
Waiting List ◽  
Joint Registry ◽  
Unmet Demand ◽  
Number Of Patients ◽  
Recovery Strategies ◽  
Hip And Knee Arthroplasty ◽  
The Cost

Aims The primary aim is to estimate the current and potential number of patients on NHS England orthopaedic elective waiting lists by November 2020. The secondary aims are to model recovery strategies; review the deficit of hip and knee arthroplasty from National Joint Registry (NJR) data; and assess the cost of returning to pre-COVID-19 waiting list numbers. Methods A model of referral, waiting list, and eventual surgery was created and calibrated using historical data from NHS England (April 2017 to March 2020) and was used to investigate the possible consequences of unmet demand resulting from fewer patients entering the treatment pathway and recovery strategies. NJR data were used to estimate the deficit of hip and knee arthroplasty by August 2020 and NHS tariff costs were used to calculate the financial burden. Results By November 2020, the elective waiting list in England is predicted to be between 885,286 and 1,028,733. If reduced hospital capacity is factored into the model, returning to full capacity by November, the waiting list could be as large as 1.4 million. With a 30% increase in productivity, it would take 20 months if there was no hidden burden of unreferred patients, and 48 months if there was a hidden burden, to return to pre-COVID-19 waiting list numbers. By August 2020, the estimated deficits of hip and knee arthroplasties from NJR data were 18,298 (44.8%) and 16,567 (38.6%), respectively, compared to the same time period in 2019. The cost to clear this black log would be £198,811,335. Conclusion There will be up to 1.4 million patients on elective orthopaedic waiting lists in England by November 2020, approximate three-times the pre-COVID-19 average. There are various strategies for recovery to return to pre-COVID-19 waiting list numbers reliant on increasing capacity, but these have substantial cost implications. Cite this article: Bone Jt Open 2021;2(2):103–110.

Out-of-Autoclave Repair of Composite Laminates by Using Shape Memory Polymer Foams

2019 ◽  
Author(s):  
D. Bellisario ◽  
F. Quadrini ◽  
L. Santo ◽  
L. Iorio ◽  
N. Gallo ◽  
...  
Keyword(s):  
Shape Memory ◽  
Composite Laminates ◽  
Shape Recovery ◽  
Shape Memory Polymer ◽  
Production Equipment ◽  
Polymer Foams ◽  
The Poor ◽  
Compression Strain ◽  
Out Of Autoclave ◽  
The Cost

Abstract Composite repairing is an issue because of the size of the parts, the cost of the production equipment and the poor consolidation between the parent part and the repairing patches. In this study an out-of-autoclave procedure is proposed where the agglomeration pressure is provided by shape memory foams. These foams can be shaped in the desired form by means of a thermos-mechanical cycle, and provide additional pressure if constrained during recovery. Shape recovery is achieved by using the same thermal cycle which is necessary for the cure of the patches. In this study, thermoplastic shape memory foams have been characterized to evaluate the agglomeration pressure they can provide as a function of the compression strain. In order to show the feasibility of their application, the cure of a composite laminate has been performed by using pre-shaped shape memory foams. Results show that a good consolidation is achieved despite of the absence of a vacuum bag.

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