Introducing a New Approach in Stand Tending Planning and Thinning Block Designation by Using Mixed Integer Goal Programming

Long-term management plans have been developed for nearly all of the forests in Turkey. These plans are applied at a sub-district management unit level and may contain guidance for both intermediate yield and final yield harvests. To implement an intermediate yield plan, which involves the scheduling of forest thinnings (stand tending), consideration in Turkey is given to the advantages of working in the same terrain and the same general area each year. Therefore, compartments are often clumped together to create thinning blocks, taking into consideration the thinning priority of the stands, road conditions, site index, age, and proximity of the compartments. Further, when preparing annual budgets and planning to meet the market’s needs, forest enterprises require an even flow of intermediate wood volume each year. In this paper, we introduce a new approach in stand tending planning designed to schedule an equal amount of intermediate wood volume each year and to create thinning blocks by minimizing the distance to pre-defined ramps (landings). We developed both linear and nonlinear goal programming models to minimize both the deviations from a harvest volume (annual intermediate yield allowable cut) target and the deviations from a target value determined for the distances (total and average) of the centroid of each compartment to the hypothetical forest ramps. By using the extended version of Lingo 16, we solved the problem with different weights for the deviations in volume and distance that ranged from 0.0 to 1.0, in 10% intervals, which created 11 scenarios. We carefully analyzed the results of each scenario by taking into consideration the wood volume and distance of compartments to the ramps. The best scenario using the linear model produced a deviation in volume scheduled for the entire decade of 6 m3, while the deviation in total distance between harvest areas and ramps was 59.7 km. Scenario 5, with weights of 0.6 for volume and 0.4 for distance, produced these results, where compartments were closest to one another. The best scenario using the nonlinear model also produced a deviation in volume of 0 m3 and the total average deviation in distance between harvest areas and ramps was 8.7 km. Scenario 3, with weights of 0.8 for volume and 0.2 for distance, produced these results. The approach and models described through this study may be appropriate for further integration into forest management planning processes developed for the planning of Mediterranean forests.

Child health and the implementation of Community and District-management Empowerment for Scale-up (CODES) in Uganda: a randomised controlled trial

IntroductionUganda’s district-level administrative units buttress the public healthcare system. In many districts, however, local capacity is incommensurate with that required to plan and implement quality health interventions. This study investigates how a district management strategy informed by local data and community dialogue influences health services.MethodsA 3-year randomised controlled trial (RCT) comprised of 16 Ugandan districts tested a management approach, Community and District-management Empowerment for Scale-up (CODES). Eight districts were randomly selected for each of the intervention and comparison areas. The approach relies on a customised set of data-driven diagnostic tools to identify and resolve health system bottlenecks. Using a difference-in-differences approach, the authors performed an intention-to-treat analysis of protective, preventive and curative practices for malaria, pneumonia and diarrhoea among children aged 5 and younger.ResultsIntervention districts reported significant net increases in the treatment of malaria (+23%), pneumonia (+19%) and diarrhoea (+13%) and improved stool disposal (+10%). Coverage rates for immunisation and vitamin A consumption saw similar improvements. By engaging communities and district managers in a common quest to solve local bottlenecks, CODES fostered demand for health services. However, limited fiscal space-constrained district managers’ ability to implement solutions identified through CODES.ConclusionData-driven district management interventions can positively impact child health outcomes, with clinically significant improvements in the treatment of malaria, pneumonia and diarrhoea as well as stool disposal. The findings recommend the model’s suitability for health systems strengthening in Uganda and other decentralised contexts.Trial registration numberISRCTN15705788.

Research on obstacles of socialization of old residential district management under the theory of community conflict—Regression analysis based on SPSS software

The socialization of old residential district management is an inevitable trend of urban development, but the current situation is not optimistic. According to the theory of community conflict, this paper analyzes obstacles of management socialization from four perspectives of environmental factors, opposite relations, power factors and emotional factors, and constructs an analysis system for the socialization obstacles of old residential district management. Regression analysis of the survey data through the establishment of orderly multiple Logit models, using IBM SPSS Statistics 20.0 software to process the data. The regression analysis of the data shows that environmental factors, opposite relations, and emotional factors have a significant impact on the socialization of old residential district management. The results show that the transformation of old residential areas, diversified management of property service enterprises, increased publicity and establishment of supervision mechanisms, and the establishment and use of the role of owners' committees, which can effectively promote the socialization process of old residential district management, fill in shortcomings, and improve the quality of life of residents in old communities.

Framing the Hierarchy of Cultural Tourism Attractiveness of Chinese Historic Districts under the Premise of Landscape Conservation

While empowering the revitalization of Chinese historic districts, the rapid development of the tourism industry may also endanger local cultures and streetscapes. To achieve the goal of sustainable development and find an approach for the Chinese historic districts to develop tourism while taking into account landscape conservation, district management, and living convenience, this paper uses expert interviews (including in-depth and Modified Delphi interviews) and structural observation to explore redefining Chinese historic districts and cultural tourism attractiveness in order to provide a hierarchical framework. The research results reveal: 1. The respective redefinitions of a Chinese historic district and cultural tourism attractiveness; 2. A hierarchical framework for the cultural tourism attractiveness of Chinese historic districts, using two aspects—the physical environment and the cultural and natural environments—and five criteria including the morphology of the landscape and tourism infrastructure, along with 21 elements, including the natural and cultural landscapes. This research is expected to provide a theoretical reference for the planning and management of tourism and landscapes in Chinese historic districts.

“ … we were like tourists in the theatre, the interns assisted almost all procedures … ” Challenges facing the assistant medical officers training for the performance of caesarean section delivery in Tanzania

Background Training of mid-level providers is a task-sharing strategy that has gained popularity in the recent past for addressing the critical shortage of the health workforce. In Tanzania, training of mid-level providers has existed for over five decades; however, concerns exist regarding the quality of mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania. Methods An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMO training colleges in Tanzania. A semi-structured interview guide was used to interview 29 key informants from the district hospitals, district management, regional management, AMO training college, and one retired AMO. Also, four focus group discussions were conducted with 35 AMO trainees. Results Training of AMOs in Tanzania faces many challenges. The challenges include: use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), inadequate teaching infrastructure in the existence of many other trainees, including interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions The findings of this study underscore that the challenges facing AMO training for the performance of Caesarean section delivery have the potential to negatively impact the quality of Caesarean sections performed by this cadre. A holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors, and improving the competencies of the available tutors through continuing medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges in teaching infrastructure and providing financial support to this cadre that has continued to be the backbone of primary healthcare in Tanzania. Long-term solutions should consider deploying medical officers at the primary facilities and phasing out the performance of Caesarean section by AMOs.

Reform ripples: The role of recontextualization in scaling up

This paper explores how educational interventions impact the districts they are implemented in above and beyond their intended outcomes. We argue that such unplanned “ripple effects”, in which program elements are recontextualized into other settings, are an important aspect of bringing educational interventions to scale. We analyze these phenomena in one Israeli district in which a teacher leadership and professional learning community initiative has been implemented and rapidly scaled up over the past five years. Extensive longitudinal ethnographic data were collected, including participant-observation in schools, professional development workshops, district management meetings and initiative-related events; 75 interviews with teachers and school and district management; and multiple informal conversations. We identify “ripples” in four arenas, and discuss the importance of individuals as mechanisms for transferring ideas across contexts, the role of ripples in advancing the initiative’s ethos, and the ripples’ long-term sustainability. Our findings suggest more attention should be paid to the impact of educational reforms on meaningful change beyond their original aims and settings. Alongside possible affordances these ripple effects have in the scaling up process, careful consideration should be given to their latent disadvantages, such as obscuring the program’s primary agenda.

“…we were like tourists in the theatre, the interns assisted almost all procedures…” Challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania

Background: Training of mid-level providers is a task-sharing strategy that has gained popularity in the recent past for addressing the critical shortage of the health workforce. In Tanzania, training of mid-level providers has existed for over five decades; however, concerns exist regarding the quality of mid-level cadres amidst the growing number of medical universities. This study sought to explore the challenges facing the Assistant Medical Officers training for the performance of Caesarean section delivery in Tanzania. Methods: An exploratory qualitative case study was carried out in four regions to include one rural district in each of the selected regions and two AMO training colleges in Tanzania. A semi-structured interview guide was used to interview 29 key informants from the district hospitals, district management, regional management, AMO training college, and one retired AMO. Also, four focus group discussions were conducted with 35 AMO trainees.Results: Training of AMOs in Tanzania faces many challenges. The challenges include: use of outdated and static curriculum, inadequate tutors (lack of teaching skills and experience of teaching adults), inadequate teaching infrastructure in the existence of many other trainees, including interns, and limited or lack of scholarships and sponsorship for the AMO trainees. Conclusions: The findings of this study underscore that the challenges facing AMO training for the performance of Caesarean section delivery have the potential to negatively impact the quality of Caesarean sections performed by this cadre. A holistic approach is needed in addressing these challenges. The solutions should focus on reviewing the curriculum, deploying qualified tutors, and improving the competencies of the available tutors through continuing medical education programmes. Furthermore, the government in collaboration with other stakeholders should work together to address the challenges in teaching infrastructure and providing financial support to this cadre that has continued to be the backbone of primary healthcare in Tanzania. Long-term solutions should consider deploying medical officers at the primary facilities and phasing out the performance of Caesarean section by AMOs.

Hepatitis E

Hepatitis E (HEV) remains one of the foremost public health problems globally and it is estimated to have affected one-third of the human population. Usually, symptoms appear 2 to 9 weeks after exposure to the virus and include fever, fatigue, lack of appetite, abdominal pain, and jaundice. While the government has a duty to provide access to clean water, communities, and individuals can equally play an important role in practicing and maintaining good physical and environmental hygiene. In Namibia, the spread of HEV has been a public health concern since it's outbreak in 2017. Before then, the country had two outbreaks in 1983 and 1995-1996 which affected mainly areas lacking potable water and waste disposal facilities in Kavango region. This chapter ought to provide an overview and different prevention measures and supportive management approaches used to contain and prevent the spread of HEV. The above statistic calls for plans and actions from national, regional, district management teams to implement effective active surveillance interventions in place that are geared towards curbing the spread of HEV.

On Siberian Models of Education Management (19th – Early 20th Century)

The article is devoted to the research of I. N. Mamkina and A.V. Blinov “Regional models of education management in Imperial Russia: Siberian version”. The monograph presents the results of the authors' work on the problem of organizing the management of the education system in the Eastern suburbs of the Russian Empire in the context of the development of the General Imperial district management model. Stages and adaptations of forms and methods of management in special Siberian conditions are revealed. The evolution of the formation of the Kazan educational circle is shown, the experience of transferring educational institutions under the control of the provincial government, and the features of regional education management in Western and Eastern Siberia are considered.