Improvements in rail-highway grade crossing safety have resulted from engineering, law enforcement, and educating the public about the risks and the actions they should take. The primary form of the latter is a campaign called Operation Lifesaver which started in the 1970s. This paper uses a negative binomial regression to estimate whether variations in Operation Lifesaver activity across state...

Cancer is a public health problem due to its high incidence and mortality, its high social and economic cost, and the lack of intra and intersectorial strategies resulting in failure to access information and screening tests. For this reason, it is necessary to address this problem with a comprehensive and sustainable approach. After performing a diagnosis of the human and material resources at...

An increasing number of manufacturers are shifting some stages of the production process offshore. This study investigates the effects of offshoring on productivity in Japanese manufacturing industries for the period 1988-2004. Material offshoring, as measured by an import share of intermediate material inputs, has steadily increased during the period, with a pronounced increase in offshoring t...

P ain relief after surgical procedures continues to be a major medical challenge. Alleviation of pain has been given a high priority by the medical profession and the health authorities. Improvement in perioperative analgesia not only is desirable for humanitarian reasons, but is also essential for its potential to reduce postoperative morbidity (1–4) and mortality (2). Inadequacies in postoper...

National governments in almost all developing countries have begun to decentralize policies and decision making related to development, public services, and the environment. Existing research on the subject has enhanced our understanding of the effects of decentralization and thereby has been an effective instrument in the advocacy of decentralization. But most analyses, especially where enviro...

BACKGROUND Delay in the diagnosis of tuberculosis may worsen the disease, increase the risk of death and enhance tuberculosis transmission in the community. This study aims to determine the length of delay between the onset of symptoms and patients first visit to health care (patient delay), and the length of delay between health care visit and the diagnosis of tuberculosis (health service dela...

the purpose of this study was to investigate the role of extension services in enhancing effectiveness of out growers’ credit system in kisumu county, kenya. the study specifically sought to determine whether public and private extension services play a significant role in enhancing effectiveness of out-growers’ credit system among smallholder sugarcane farmers. a total of 110 small scale farme...