scholarly journals Theory, practice, and politics - Policy decision-making process based on epidemiology and public health evidence proved to be feasible in multistage research on blood-borne infections in Poland.

2020 ◽  
Author(s):  
ANITA GĘBSKA-KUCZEROWSKA ◽  
Robert Gajda

Abstract Objective This study presented a research methodology used to prepare the proposal of assumptions regarding the strategy for preventing blood-borne diseases in Poland. Methods The project was carried out from 18th July to 30th November 2016. The tasks under that project were assigned to an outsourcing company to avoid the tendency in respondents’ answers. The research was divided into three stages. The first stage diagnosed the problem from the perspectives of service providers, practitioners, and epidemiologists – persons who encounter problems related to blood-derivative infections at work. The second stage involved analysis at the level of local and country health policy – the institution of supervision, authorities, and administration through the engagement of experts, and public healthcare specialists. In the third stage, decision makers were interviewed (key representatives– that is, the opinions of leaders were sought) and asked to summarize and define priorities regarding conclusions determined in the earlier phases of the project, i.e., during the first and second stages. Results The final output of the entire project is a list of key problems/challenges and solution proposals associated with medical and nonmedical services that are connected to the breakage of tissue continuity. Conclusions Results composed from the multi-stage survey regarded proposed assumptions for the strategy for the prevention of blood-borne infections in Poland. Statistical data allowed the assessment of the health effects, while the methodology applied also allowed diagnosis of the processes leading to these effects.Funding This study was supported by a Swiss Contribution and Ministry of Health grant (KIK35).

2020 ◽  
Author(s):  
ANITA GĘBSKA-KUCZEROWSKA ◽  
Robert Gajda

Abstract Background That it is necessary to involve several stakeholders in a decision-making process. This study presented a research methodology used to prepare the proposal of assumptions regarding the strategy for preventing blood-borne diseases in Poland. Methods The project was carried out from 18th July to 30th November 2016. The tasks under that project were assigned to an outsourcing company to avoid the tendency in respondents’ answers. The research was divided into three stages. The first stage diagnosed the problem from the perspectives of service providers, practitioners, and epidemiologists – persons who encounter problems related to blood-derivative infections at work. The second stage involved analysis at the level of local and country health policy – the institution of supervision, authorities, and administration through the engagement of experts, and public healthcare specialists. In the third stage, decision makers were interviewed (key representatives– that is, the opinions of leaders were sought) and asked to summarize and define priorities regarding conclusions determined in the earlier phases of the project, i.e., during the first and second stages. Results The final output of the entire project is a list of key problems/challenges and solution proposals associated with medical and nonmedical services that are connected to the breakage of tissue continuity. Conclusions Results composed from the multi-stage survey regarded proposed assumptions for the strategy for the prevention of blood-borne infections in Poland. Statistical data allowed the assessment of the health effects, while the methodology applied also allowed diagnosis of the processes leading to these effects.


2010 ◽  
Vol 30 (3) ◽  
pp. 687-702 ◽  
Author(s):  
Luciana Hazin Alencar ◽  
Adiel Teixeira de Almeida ◽  
Danielle Costa Morais

Often decisions taken in organizations are made by a group of people, and in order to build a collective decision, the preferences of individuals must be considered. The two most useful approaches to aggregating individual preferences are the aggregation of individual judgments and the aggregation of individual priorities. This paper focuses on the latter approach and proposes a multicriteria group decision model in situations where there is no information with regard to the relative importance of the decision-makers. This model includes three stages. In the first, the ELECTRE II method is applied so as to obtain the individual rankings. In the second stage, a global matrix of alternatives versus decision-makers is built up using the results from the previous stage. Finally, the third stage aggregates the individual preferences by applying the ELECTRE IV method and the final collective evaluation is undertaken. A numerical application is presented to illustrate the model.


2020 ◽  
Vol 50 (3) ◽  
pp. 215-220
Author(s):  
Florencia Duarte ◽  
Giovanna Joris ◽  
Alejandro Beccaria ◽  
Rodolfo Dondo

The dynamics of production and purification of ethanol from sorghum lignocellulosic materials by a three stages process was modeled and optimized in this work. The process involves a first stage for hydrolyzing sweet sorghum bagasse; a second stage for fermenting the generated sugars and a third stage for the separation of ethanol. Kinetic and distillation equations were embedded into macroscopic balances in order to derive a mathematical model used to solve the three-stage optimal control problem. The aim was to maximize the process productivity by optimally managing the controlled flows between units and by optimally fixing the switching times between the process stages. 


2015 ◽  
Vol 5 (3) ◽  
pp. 185-200
Author(s):  
Robert Z. Birdwell

Critics have argued that Elizabeth Gaskell's first novel, Mary Barton (1848), is split by a conflict between the modes of realism and romance. But the conflict does not render the novel incoherent, because Gaskell surpasses both modes through a utopian narrative that breaks with the conflict of form and gives coherence to the whole novel. Gaskell not only depicts what Thomas Carlyle called the ‘Condition of England’ in her work but also develops, through three stages, the utopia that will redeem this condition. The first stage is romantic nostalgia, a backward glance at Eden from the countryside surrounding Manchester. The second stage occurs in Manchester, as Gaskell mixes romance with a realistic mode, tracing a utopian drive toward death. The third stage is the utopian break with romantic and realistic accounts of the Condition of England and with the inadequate preceding conceptions of utopia. This third stage transforms narrative modes and figures a new mode of production.


Author(s):  
Iván Mauricio Argote ◽  
Robinson Andrés Jiménez

Resumen La investigación tiene como propósito la restructuración de la malla curricular del Programa de Ingeniería de Sistemas, de la Universidad Mariana, respecto al área de matemática y su aporte al desarrollo de competencias del respectivo currículo. El proceso de reconstrucción del plan de estudios se llevó a cabo en tres etapas. La primera etapa presenta la identificación de los contenidos curriculares de los cursos de educación matemática del currículo vigente que son pertinentes y esenciales a la formación del Ingeniero de Sistemas. La segunda etapa determina los contenidos que no están presentes en el actual plan de estudios y que deben ser incorporados en los cursos de educación matemática para desarrollar el pensamiento lógico - matemático del Ingeniero de Sistemas. La tercera etapa rediseña los cursos del programa de educación matemática para que sean pertinentes y esenciales, con el área específica del programa de Ingeniería de Sistemas. Palabras Claves: Currículo, Matemática, Ingeniería de Sistemas, Pertinencia, Modelación.   Abstract The research has the purpose of restructuring the curriculum of the Systems Engineering Program, University of Mariana, respect to the area of mathematics and its contribution to the development of the skills of the respective curriculum. The reconstruction process of the curriculum took place in three stages. The first stage presented the identification of the curricula of mathematics education courses current curriculum that are relevant and material to the formation of Systems Engineer. The second stage determines the contents that are not present in the current curriculum and should be incorporated into mathematics education courses to develop logical thinking - Mathematical Systems Engineer. The third stage redesign courses mathematics education program to be relevant and material, with the specific area of Systems Engineering program. Keywords: Curriculum, Mathematics, Systems Engineering, Relevance, Modeling.


2020 ◽  
Vol 2 (1) ◽  
pp. 33-42
Author(s):  
Gita Sispratiwi Faja ◽  
Nyoman Miyarta Yasa

The National Agency for the Control of Britain (BNPB) noted that 515 people died from the earthquake in Lombok, West Nusa Tenggara (NTB). Seeing this problem, the author wants to make an animation of earthquake disaster relief procedures that will be used by the BPBD as an additional medium for socializing and delivering information to increase public knowledge about procedures for saving earthquake disasters, especially children. In the process of making this animation using the pipeline method which includes three stages, namely the first stage of pre-production, the second stage of production The third stage of post-production. After doing all the stages are expected to be able to produce animation procedures for earthquake disaster rescue for children. So that this animated video can be used as a media for information dissemination or information delivery by the West Nusa Tenggara Province BPBD office which is more effective for introducing elementary school students. To determine the feasibility of the animation that was made, a beta test was conducted by submitting questionnaires to 30 respondents. The results obtained are animated procedures for rescuing earthquake disasters for children to be used as media for information dissemination or delivery of information by the West Nusa Tenggara Province BPBD office.


HERALD ◽  
2017 ◽  
Vol 7 (19) ◽  
Author(s):  
Abousa Hadoud

Urban planning in Libya in general effectively contributed to preparation of comprehensive and the public plans for all Libyan cities. especially after the issuance of Law No. (5) of 1969, concerning the planning of cities and villages, three key schemes have been developed in three stages starting from the first phase for years 1968 to 1988, and the second stage years from 1988 to 2000, and the third stage years 2000 to 2025. Goal of such schemes is to make a balance between the natural increase of population and urban mass, in order to achieve urban development and environment and preserve of the environment and urban environment from degradation and the spread of degraded areas in Libyan cities. But a number of problems disrupted the planning, and have had effects on the urban development in Libya.


Author(s):  
Bagus Fery Yanto ◽  
Indah Werdiningsih ◽  
Endah Purwanti

Abstrak— Anak-anak pada usia 2 bulan sampai 5 tahun (Balita) lebih rentan terkena penyakit. Lingkungan sangat mempengaruhi kesehatan Balita. Penelitian ini bertujuan untuk membuat sebuah aplikasi sistem pakar diagnosa penyakit pada Balita berbasis mobile. Penelitian ini terdiri dari tiga tahap. Tahap pertama adalah pengumpulan data dan informasi dari Manajemen Terpadu Balita Sakit (MTBS) dan wawancara dengan Bidan. Dari pengumpulan data dan informasi tersebut ditemukan fakta penyakit, keluhan, gejala dan saran penanganan. Tahap kedua adalah pembuatan rule dengan 18 penyakit. Tahap ketiga adalah implementasi aplikasi sistem pakar berbasis mobile dengan fitur diagnosa penyakit, riwayat diagnosa dan kumpulan penyakit. Aplikasi sistem pakar yang dibuat dapat mendiagnosa penyakit dan memberikan saran penanganan. Hasil evaluasi dari 50 data uji coba menghasilkan tingkat akurasi sebesar 82%, dimana 41 hasil diagnosa yang benar dan 9 diagnosa yang salah. Kata Kunci— Sistem Pakar, Forward Chaining, Diagnosa Penyakit, Manajemen Terpadu Balita Sakit, Knowladge BaseAbstract— Children at the age of 2 months to 5 years (toddlers) are more susceptible to disease contagious. Environmental condition significantly influences the children health. This  research aimed to create a mobile-based expert system application to diagnose disease in toddlers. This research consist of three stages. The first stage were data and information collection from Manajemen Terpadu Balita Sakit  (MTBS) and interview with medical staffs. From the first stage, we can discover the disease facts, signs, symptoms and treatment advices. The second stage was the construction of rules for 18 diseases. The third stage was the implementation of mobile-based expert system application with features of disease diagnosis, diagnosis history and collection of disease diagnosis. Expert system application made able to diagnose the disease and provide treatment advice. The results of evaluation using 50 testing data provides the level of accuracy of 82%, where 41 diagnosis result were true and 9 diagnosis were false. Keywords— Expert System, Forward Chaining, Disease Diagnosis, Manajemen Terpadu Balita Sakit, Knowledge Base


2018 ◽  
Author(s):  
Cameron Brick ◽  
William John Skylark ◽  
Alexandra Lee Jessica Freeman ◽  
Theresa Marteau

Individual decision-makers need communications that succinctly describe potential harms and benefits of different options, but policymakers or citizens evaluating a policy are rarely given a balanced and easily understood summary of the potential outcomes of their decision. We review current policy option communication across diverse domains such as taxes, health, climate change, and international trade, followed by reviews of guidance and evidence for communication effectiveness. Our conceptual synthesis identifies four characteristics of policy options that make their communication particularly difficult: heterogeneous impacts on different segments of the population, multiple outcomes, long timescales, and large uncertainties. For communicators that are trying to inform rather than persuade, these complexities reveal a core tension between issue coverage and comprehensibility. We find little empirical evidence for how to communicate policy options effectively. We identify promising current communications, analyze them based on the above synthesis, and suggest priorities for future research. Recognizing the particular challenges of balanced, effective policy option communications could lead to better guidelines and support for policy decision-making. https://www.nature.com/articles/s41599-018-0121-9


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Gandar Setiawan1

Wayang is a autentic culture from Indonesia. Wayang has many figure and character. It is main idea of this make the artwork. Inspiration of the artwork also from observation robot forms. Robot has the furious and futuristic form. Like the progression of technologi, form of robot also more experiencing form progression. Until now, form of robot still identic and can not losed from imajinative forms. This prossesing to make the artwork use created methode from Gustami, it is a three stages six steps creating craft artwork. First stage is eksploration consist of observation and finding refference steps. Second stage is desaigning consist of making the sketch and making the gambar teknik or modeling steps. Third stage is forming consist of create artwork and finished with value and evaluation steps. Result of visual form is a three dimension artwork with futuristic robot form. Visual form the artwork is a transformastion of futuristic wayang klithik with robot form. The puppet figures are Wrekudara and Gatotkaca Combination form is a method for impression and aesthete value of the artwork. Wayang merupakan budaya asli dari Indonesia. Wayang memiliki berbagai macam tokoh dan karakter. Wayang menjadi ide utama dalam penciptaan karya ini. Inspirasi karya juga muncul dari pengamatan bentuk-bentuk robot. Robot memiliki bentuk yang variatif dan futuristik. Sesuai dengan perkembangan teknologi, bentuk robot juga mengalami perkembangan yang lebih bermacam-macam. Sampai saat ini, bentuk robot masih identik dan tidak bisa lepas dari bentuk-bentuk imajinatif. Proses pembuatan karya seni ini menggunakan metode penciptaan dari Gustami, yaitu metode tiga tahap enam langkah dalam menciptakan karya seni kriya. Tahap pertama yaitu eksplorasi yang meliputi langkah pengamatan dan pencarian sumber pustaka. Tahap kedua merupakan tahap perancangan yang terdiri dari langkah pembuatan beberapa sketsa dan pembuatan gambar teknik ataupun model. Tahap yang ketiga yaitu tahap perwujudan yang terdiri langkah pengerjaan karya, dan diakhiri dengan penilaian juga evaluasi karya yang telah jadi. Bentuk visual yang dihasilkan yaitu karya seni tiga dimensi dengan bentuk futuristik menyerupai robot. Bentuk visual karya merupakan penggabungan antara bentuk wayang klithik dengan bentuk robot. Tokoh wayang yang dibuat yaitu Wrekudara dan Gatotkaca. Perpaduan bentuk dilakukan sebagai cara untuk memberikan kesan dan nilai estetik pada karya.


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