THE CORRELATION BETWEEN CERTAIN PUBLIC EXPENDITURE AND THE HDI-M AND IFDM INDICATORS IN THE MUNICIPAL PUBLIC MANAGEMENT IN THE STATE OF ESPÍRITO SANTO

This project aims to carry out a more specific field of Public Administration research in the studies on the measures of effectiveness measurement of public policies. Its objective is to verify whether there is a correlation between the HDI-M (municipal human development index) and IFDM (Firjan municipal development index) indices and the various municipal public expenditure groups. For this study, we will use public expenditure data and cited indicators from all 78 municipalities of Espírito Santo (ES), seeking, through the Pearson correlation statistic, to highlight the level of correlation between the volume of expenses. specific public policies applied between 2002 and 2010 and the results obtained in the HDI-M and IFDM 2010.

InterTwin: Deep Learning Approaches for Computing Measures of Effectiveness for Traffic Intersections

Microscopic simulation-based approaches are extensively used for determining good signal timing plans on traffic intersections. Measures of Effectiveness (MOEs) such as wait time, throughput, fuel consumption, emission, and delays can be derived for variable signal timing parameters, traffic flow patterns, etc. However, these techniques are computationally intensive, especially when the number of signal timing scenarios to be simulated are large. In this paper, we propose InterTwin, a Deep Neural Network architecture based on Spatial Graph Convolution and Encoder-Decoder Recurrent networks that can predict the MOEs efficiently and accurately for a wide variety of signal timing and traffic patterns. Our methods can generate probability distributions of MOEs and are not limited to mean and standard deviation. Additionally, GPU implementations using InterTwin can derive MOEs, at least four to five orders of magnitude faster than microscopic simulations on a conventional 32 core CPU machine.

Contraception

This chapter begins with the principles of contraception (choice, access, measures of effectiveness) and a risk/benefit analysis and eligibility of different types. It explains emergency contraception. The chapter goes on to discuss different formulations, preparations, methods of use (or administration and insertion). This includes the combined oral contraceptive pill (COCOP), the transdermal patch, intra vaginal rings, progestogen-only pills, the subdermal implant, injectables, intra-uterine devices and systems, barrier methods for both male and female use, and spermicides. Finally it covers fertility awareness, and the sterilization of women and men.

599RCT of Harti Hauora Tamariki: a holistic family-centred programme for child health and equity

Background In Aotearoa NZ, preventable paediatric admissions and readmissions with diseases of poverty are common, particularly for Māori (Indigenous) children. In response, the Harti Hauora Tamariki (HHT) was developed. This is a multilevel programme of: culturally safe engagement; comprehensive high-quality screening; standardised evidence-based protocols for addressing need(s) and navigation. Methodological innovations are required for a RCT of HHT effectiveness within the context of whānau (family) wellbeing. Methods Approximately 980 children admitted to paediatrics at Waikato Hospital were randomised (with whānau) to HHT or usual care. Measures of effectiveness include: level of unmet need identified; impact of HHT on meeting needs; qualitative assessment of HHT support for health outcomes and whānau satisfaction with care. The primary quantitative endpoint is relative readmission risk. Results Qualitative case studies demonstrate the importance of engagement and the high-trust environment of HHT enabling whānau to reveal needs. Needs are common. Many needs identified (such as food insecurity, lack of resources) are not recognised through standard hospital care. HHT adaptations were required. Quantitative outcome analyses are underway. Conclusions The whole health system has responsibility and ability to improve whānau health promotion, prevention, and wellbeing support. HHT provides a model for action. RCT assessment of HHT needed to be whānau-centred and flexible to match programme evolution and provide evidence for effectiveness. Key messages A family-centred holistic screening programme, with culturally-safe engagement, improves inpatient care and enhances determinants of health. Indigenous leadership and commitment to Indigenous wellbeing and equity facilitates effective programme improvement, within an adaptable RCT framework.

Multiscale fractal dimension applied to tactical analysis in football: A novel approach to evaluate the shapes of team organization on the pitch

The aim of this study was to evaluate different shape descriptors applied to images of polygons that represent the organization of football teams on the pitch. The effectiveness of different shape descriptors (area/perimeter, fractal area, circularity, maximum fractal, rectangularity, multiscale fractal curve—MFC), and the concatenation of all shape descriptors (except MFC), denominated Alldescriptors (AllD)) was evaluated and applied to polygons corresponding to the shapes represented by the convex hull obtained from players’ 2D coordinates. A content-based image retrieval system (CBIR) was applied for 25 users (mean age of 31.9 ± 8.4 years) to evaluate the relevant images. Measures of effectiveness were used to evaluate the shape descriptors (P@n and R@n). The MFD (P@5, 0.46±0.37 and P@10, 0.40±0.31, p < 0.001; R@5, 0.14±0.13 and R@10, 0.24±0.19, p < 0.001) and AllD (P@5 = 0.43±0.36 and P@10 = 0.39±0.32, p < 0.001; R@5 = 0.13±0.11 and R@10 = 0.24±0.20, p < 0.001) descriptors presented higher values of effectiveness. As a practical demonstration, the best evaluated shape descriptor (MFC) was applied for tactical analysis of an official match. K-means clustering technique was applied, and different shapes of organization could be identified throughout the match. The MFC was the most effective shape descriptor in relation to all others, making it possible to apply this descriptor in the analysis of professional football matches.

Mobilizing the U.S. Military’s TRICARE Program for Value-Based Care: A Report From the Defense Health Board

ABSTRACT The U.S. Military Health System spends about $50 billion annually to provide care to 9.6 million active duty service members, retirees, and their families through its TRICARE health plans. TRICARE follows the predominant payment model in the USA—fee-for-service—although the Department of Defense (DoD) and Congress encourage and mandate a move toward alternative payment models—mainly, fee-for-value. For the next TRICARE contracts which will begin in 2023, the DoD asked its health-focused federal advisory committee, the Defense Health Board (DHB), to recommend how best to assess and prioritize leading value-based healthcare initiatives identified from private, public, and employer-based health plans. The November 2020 report, ‘Modernization of the TRICARE Benefit’, specifies a rubric to evaluate these value-based care initiatives not only in traditional measures of effectiveness but also in terms of the Defense Health Agency’s Quadruple Aim with its focus on readiness. The goal of TRICARE’s move toward value-based care is to leverage its size and focus on prevention of disease and injury to maintain the readiness of the U.S. Armed Forces in addition to delivering great outcomes and value to the DoD’s nearly 10 million beneficiaries. The DHB emphasizes that TRICARE’s size and focus on providing quality care at lower cost will incentivize providers to participate in the shift toward value-based care despite the potential challenges in transitioning to this system. This shift also aims to motivate other large government and private payors to accelerate the adoption of value-based care through TRICARE’s example.

An LGBTQIA+ Symposium to Improve Care for Sexual and Gender Minority Youth

Background and Objectives: Multilevel factors drive health disparities experienced by sexual and gender minority (SGM) populations. We developed a 3-hour symposium focusing on care for SGM youth to address this. The symposium was a free, extracurricular event open to the public, with an emphasis on health professional students and providers from all disciplines and involved interprofessional didactic and interactive components. Methods: Participants completed optional retrospective pre/postsurveys immediately and 10 months postsymposium. Surveys contained Likert-scale questions addressing five indicators of symposium effectiveness related to knowledge, confidence, and comfort in providing care for SGM populations. We used 1-tailed paired t tests to evaluate the effectiveness of the symposium, and analysis of variance tests to compare differences by professional role. Results: Of 208 individuals who attended the symposium, 67 completed the initial survey, and 23 completed the 10-months postsymposium survey. Participants reported significantly higher (P&lt;.001) scores across all five measures of effectiveness from pre- to immediately postsymposium, and remained at significantly higher (P&lt;.05) scores across all measures from presymposium to 10 months postsymposium, except for comfort recommending care for SGM pediatric patients or clients. Conclusion: Results suggest that the symposium improved participants’ perceived effectiveness in serving SGM pediatric patients, although selection bias is a concern. Dissemination of educational approaches that incorporate interprofessional didactic and active learning components may help improve workforce capacity to improve SGM health.

The south Caucasus and NATO’s defence education enhancement programme. The measurement of its effectiveness

The aim of this paper is to review NATO’s Defence Education Enhancement Programme (DEEP) and to bring to the fore the measures of effectiveness regarding its implementation and to determine its shortcomings in the South Caucasus region. At the same time, the paper highlights the efforts of the DEEP teams to influence the partner educators through dialogue and encouragement. The authors refer to the best examples considering the measures of effectiveness. Considering the outcomes achieved by the partner nations, they endeavoured to apply Kirkpatrick model for measuring DEEP’s effectiveness in the South Caucasus countries. The paper discusses how they can more effectively address the challenges in their professional military education (PME) through their tailored DEEPs. The paper analyzes the processes that led by the South Caucasus nations, their national interests and what steps still need to be taken to realize their ambitions to be intellectually interoperable with NATO forces.

Developing the guidelines for managing autonomous vehicle flows on congested highways: A case study of MD-100

Recognizing the need for responsible highway agencies to effectively manage emerging autonomous vehicles (AV) flows in contending with daily recurrent congestion, this study presents a systematic procedure for understanding the impacts of AV flows on traffic conditions under different AV behavioral mechanisms (i.e., car-following and lane-changing), and different penetration rates. Research results show that the presence of AV flows, depending on their adopted behavioral mechanisms, may have significant (either positive or negative) impacts on the overall traffic conditions. Hence, it is essential for responsible highway agencies to have proper operational guidelines to manage and coordinate AV flows. To demonstrate the proposed methodology, this study has carried out extensive simulation experiments using a congested segment of the MD-100 network (a multilane highway segment located in Maryland) under various AV penetration rates and observable behavioral patterns. The collected Measures of Effectiveness highlight that at each AV penetration level there exists a set of optimal behavioral patterns for the AV flows to coordinate with non-AV flows via the Vehicle to Infrastructure or Vehicle to Vehicle infrastructure so as to maximize the roadway capacity and minimize the resulting highway congestion.