144 research outputs found
Multidimentional and Multi-Parameter Fortran-Based Curve Fitting Tools
The Levenberg-Marquardt algorithm has become a popular method in nonlinear curve fitting works. In this paper, following the steps of Levenberg-Marquardt algorithm, we extend the framework of the algorithm to two and three dimensional real and complex functions. This work briefly describes the mathematics behind the algorithm, and also elaborates how to implement it using FORTRAN 95 programming language. The advantage of this algorithm, when it is extended to surfaces and complex functions, is that it makes researchers to have a better trust during fitting. It also improves the generalization and predictive performance of 2D and 3D real and complex functions.
Keywords: Levenberg-Marquardt algorithm, Nonlinear curve fitting and Least square fitting technique
Sustainability appraisal: Jack of all trades, master of none?
Sustainable development is a commonly quoted goal for decision making and supports a large number of other discourses. Sustainability appraisal has a stated goal of supporting decision making for sustainable development. We suggest that the inherent flexibility of sustainability appraisal facilitates outcomes that often do not adhere to the three goals enshrined in most definitions of sustainable development: economic growth, environmental protection and enhancement, and the wellbeing of the human population. Current practice is for sustainable development to be disenfranchised through the interpretation of sustainability, whereby the best alternative is good enough even when unsustainable. Practitioners must carefully and transparently review the frameworks applied during sustainability appraisal to ensure that outcomes will meet the three goals, rather than focusing on a discourse that emphasises one or more goals at the expense of the other(s)
Adherence of healthcare providers to malaria case management guidelines of the formal private sector in north-western Ethiopia: an implication for malaria control and elimination
Abstract
Background
Malaria is an infectious disease which has been globally targeted for elimination in at least 35 of 90 endemic countries by 2030. Most successful malaria elimination country programmes have engaged the private health sector in an effort to identify, document, investigate, provide effective treatment, and follow-up cases. However, there has been limited rigorous research showing evidence of adherence among healthcare providers of the formal private health sector to national malaria diagnosis and treatment guidelines in Ethiopia, starting from malaria control to elimination phases. The aims of this study were to investigate and explain the level of adherence to malaria diagnosis and treatment guidelines among healthcare providers working in formal private health facilities in north-western Ethiopia.
Methods
An explanatory sequential mixed method design was conducted in the West Gojjam Zone of Ethiopia. Quantitative data were extracted from 1650 medical records of adult uncomplicated malaria outpatients served in 11 private-for-profit health facilities. In addition, using a qualitative approach, 33 in-depth interviews (IDIs) with healthcare providers were conducted. All interviews were audio-recorded, transcribed verbatim, and analysed using eight steps.
Results
Of 1650 suspected malaria cases in adult outpatients, 80.6% (1330/1650) were screen tested using microscopy and the remainder 19.4% (320/1650) were tested using multispecies rapid diagnosis tests (RDTs). Hence, the results revealed that private healthcare providers universally adhered to diagnosis guidelines. In addition, after following-up and excluding other causes of fever, 4.1% (56/1376) patients were clinically diagnosed with uncomplicated malaria. Despite this, the proportion of private healthcare provider adherence with confirmed malaria case treatment guidelines was 20.9% (69/330). In addition, 1320 (95.9%) of adult outpatients with negative laboratory results were not treated. Some of the identified determinant factors for sub-optimal adherence of healthcare providers to malaria guidelines were interruptions in supply and lack of availability of recommended anti-malarial drugs, lack of availability of quality assured laboratory supplies, and poor knowledge of the recommendations of the national standards.
Conclusions
Private healthcare providers adhered to universal parasitological diagnosis, providing comprehensive counseling, and linking patients with community health workers. In addition, almost all laboratory negative patients were not treated with anti-malarial drugs. However, only one-fifth of confirmed patients were treated in line with national guideline recommendations. Malaria control and elimination efforts across Ethiopia could be improved through establishing a collaborative function of a win-win public private mix partnership model. In addition, including the data of the private health sector in the health information system could show real malaria burden and use the information to improve the adherence to malaria diagnosis, treatment, and reporting standards within the targeted era of elimination. Therefore, building the capacity of private healthcare providers and ensuring the availability of all nationally recommended drugs and supplies in private health sector facilities is recommended to improve the quality of services
Environmental Impact Assessment
The premises of environmental impact assessment (EIA) lie in the Earth’s limited environmental carrying capacity (Mebratu 1998; Meadows et al. 2005; Rockström et al. 2009; Steffen et al. 2015), the concept of sustainable development (WCED 1987), and the rise of public environmental awareness and concern (Jay et al. 2007). EIA first emerged as a formal process in the 1960s–1970s (Pope et al. 2004; Jay et al. 2007). Common applications of EIA include life cycle assessment (LCA) of product systems (ISO 14040: 2006; ISO 14044: 2006) and legislation-driven assessment of planned projects (Jay et al. 2007; Morgan 2012). EIA can take many forms in terms of the selection of environmental impact categories, impact indicators, and the spatiotemporal scope of impacts. EIA can serve as a preventive tool through which researchers, authorities, or decision-makers can better understand potential environmental impacts or identify current environmental hotspots within operations to improve environmental sustainability. Future EIA developments include quantifying positive environmental impacts (Sala et al. 2013; Dyllick and Rost 2017; Grönman et al. 2019), assessing environmental impacts and sustainability from a holistic, as opposed to reductionist, perspective (Ketola 2010; Laurent et al. 2012; Bjørn and Hauschild 2013), developing understanding about microlevel impacts on macrolevel environmental sustainability (Dyllick and Muff 2016; Ryberg et al. 2018a; Ryberg et al. 2018b; Kühnen et al. 2019), and performing regionalized assessments of environmental impacts within LCA (Mutel et al. 2019).Post-print / Final draf
MUC1 Contributes to BPDE-Induced Human Bronchial Epithelial Cell Transformation through Facilitating EGFR Activation
Although it is well known that epidermal growth factor receptor (EGFR) is involved in lung cancer progression, whether EGFR contributes to lung epithelial cell transformation is less clear. Mucin 1 (MUC1 in human and Muc1 in animals), a glycoprotein component of airway mucus, is overexpressed in lung tumors; however, its role and underlying mechanisms in early stage lung carcinogenesis is still elusive. This study provides strong evidence demonstrating that EGFR and MUC1 are involved in bronchial epithelial cell transformation. Knockdown of MUC1 expression significantly reduced transformation of immortalized human bronchial epithelial cells induced by benzo[a]pyrene diol epoxide (BPDE), the active form of the cigarette smoke (CS) carcinogen benzo(a)pyrene (BaP)s. BPDE exposure robustly activated a pathway consisting of EGFR, Akt and ERK, and blocking this pathway significantly increased BPDE-induced cell death and inhibited cell transformation. Suppression of MUC1 expression resulted in EGFR destabilization and inhibition of the BPDE-induced activation of Akt and ERK and increase of cytotoxicity. These results strongly suggest an important role for EGFR in BPDE-induced transformation, and substantiate that MUC1 is involved in lung cancer development, at least partly through mediating carcinogen-induced activation of the EGFR-mediated cell survival pathway that facilitates cell transformation
Regulatory compliance as fulfilment of corporate social responsibility: an interpretative textual analysis on sustainability reports of two Chinese listed agribusinesses
Through a series of interpretative textual analysis on the sustainability related non-financial disclosures of two large agribusinesses in the People's Republic of China, this paper intends to reveal how these reports are used to respond to institutional and social pressures, and how the firms are engaged in the struggle to shape the social reality in a way that serves their own interests. The findings indicate that, firstly, the two sets of sustainability reports share a common understanding of 'responsibility', which refers to the very basic product quality control. And secondly, they appear to have different perceptions of "stakeholder", which is largely resulted from the different corporate nature. Both the similarities and the differences in the two sets of reports are tightly linked to the broader social and institutional settings in China
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