the goal of this research is the derivation of method for evaluation of efficiency improvement potential for district heating systems with focus on variable speed centrifugal pump. the effectiveness of the usage of the proportional pressure control is compared with the constant pressure control. this is why, energy calculation analyses have been realized for variable speed centrifugal pumps, an...

BACKGROUND The cornerstone of the health system in Zimbabwe, the district health system has been under the responsibility of the district health executive since 1984. Preliminary information obtained from some provincial health managers in Midlands Province suggested a poor performance by most district health executives. We therefore investigated the reasons for this poor performance. METHODS...

Fleur Lowe, RGN, DipHE, BSc, Senior Nurse, Patient At-Risk Team, Salisbury District Hospital, UK (✉) Paul Fulbrook, MSc, BSc(Hons), PGDE, RGN, DPSN, Clinical Reader in Critical Care, Bournemouth University, and Directorate of Nursing, Salisbury District Hospital, UK Helen Aldridge, RGN, DipHE, Senior Staff Nurse, ICU, Radnor ICU/HDU, Salisbury District Hospital, UK Sharon Fox, RGN, DipHE, Senio...

in recent decades, urban planning has tended to humanist urbanism. in this regard foot travels and bicycle use are the two strategies that urban planners and transportation engineers are using them as adequate alternatives for making cities more people friendly. using bicycle is known as a strategy that has a great role in decreasing traffic among developing countries in recent decades. these c...

BACKGROUND District and sub-district pharmacist positions were created during health sector reform in South Africa. High prevalence of HIV/AIDS, tuberculosis and increasing chronic non-communicable diseases have drawn attention to their pivotal roles in improving accessibility and appropriate use of medicines at the primary level. This research describes new roles and related competencies of di...

Sec.A1431.001.AADEFINITIONS. In this chapter: (1)AA"Anticipation note" means a note issued under this chapter. (2)AA"Eligible countywide district" means a flood control district or a hospital district the boundaries of which are substantially coterminous with the boundaries of a county with a population of three million or more or a hospital district created in a county with a population of mor...

Faculty members from the Department of Obstetrics & Gynaecology, College of Health Sciences [8] – University of Nairobi [9] Dr. Alfred Osoti [10] and Dr. Rose Kosgei [11], had a meeting with Consultants from Partnerships for Innovative Medical Education in Kenya (PRIME-K) [12] decentralized sites. Institutions represented were: Karatina District Hospital, Pumwani Maternity Hospital, Isiolo Dist...

For several decades, land use in Malinau district was dictated by the central government through the allocation of land to agriculture, timber concessions and mining companies. Now, with a policy of decentralization in place, district governments have a greater say in the allocation of land use. As a part of the district government development programs to increase district revenue, several fore...

An N. Massaro, R. B. Govindan, Gilbert Vezina, Taeun Chang, Nickie N. Andescavage, Yunfei Wang, Tareq Al-Shargabi, Marina Metzler, Kari Harris, and Adre J. du Plessis Division of Neonatology, Children’s National Health System, Washington, District of Columbia; Division of Fetal and Transitional Medicine, Children’s National Health System, Washington, District of Columbia; Division of Diagnostic...

BACKGROUND During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility ...