o The overall aim oithis project is to address the current unsustainable situation §f the manufacturing industry in Penang, and thdjnadequacies in the regulation of this industry, in order to point towards ways that a regulation of the industry can support a less unsustainable industrial development. Penang, a small state in Malaysia, has the past 20 years underwent a tremendous economic growth...

Background Disability is prevalent in individuals with multiple sclerosis (MS), leading to difficulty in care access, significant caregiver burden, immense challenges in self-care and great societal burden.  Without highly coordinated, competent and accessible care, individuals living with progressive MS experience psychological distress, poor quality of life, suffer from life-threatening compl...

this study was performed in order to provide a strategic development plan for ecotourism in shahdad district of kerman province. thus cultural, historical and natural attractions of the region and its surrounding areas were studied and identified initially. by completing clawson questionnaire in the form of travel cost method (tcm), valuation and analysis of ecotourism demand index of the consi...

We consider periodic review inventory control problems in directed networks, primary examples of which are distribution systems and assembly systems. External demand could occur at each node. When inventory is insufficient to meet requirements at a node, a portion of this demand is backordered and the remaining is lost. External demands, as well as lead times for inventory purchase, assembly, a...

BACKGROUND External cephalic version (ECV) is infrequently performed and 98% of breech presenting fetuses are delivered surgically. Neuraxial analgesia can increase the success rate of ECV significantly, potentially reducing cesarean delivery rates for breech presentation. The current study aims to determine whether the additional cost to the hospital of spinal anesthesia for ECV is offset by c...

BACKGROUND We previously demonstrated the advantages of three-dimensional conformal radiation therapy (3DCRT) in improved rates of biochemical (bNED) control in certain subsets of patients with clinically localized prostate cancer. However, in this era of cost consciousness and limited resources, the cost effectiveness of 3DCRT compared with conventional external beam irradiation (CRT) remains ...

OBJECTIVES To implement a new cost efficacy internal Service for blood component irradiation, we carried out specific procedures and quality assurance reports using the linear accelerators (LINACs) of the Regina Elena Institute (IRE) Radiotherapy Department instead of a dedicated device. METHODS The technical aspects, quality assurance and regulatory requirements of the internal procedure to ...

Abstract In its simplest form determination of the cost of transmission system congestion is rather straightforward. Assuming complete knowledge of the power system inputs, such as the loads at all system buses, and that the generators bid in their actual costs (i.e., they are not taking advantage of localized market power), then the hourly short-term cost of transmission congestion is the diff...

Instrumental Thin-Layer Chromatography (or Planar Chromatography) is a modern separation technique, established worldwide and distinguished by flexibility, reliability and cost efficiency. Together with HPLC and GC it belongs to the microanalytical methods, which play an important role in research and routine laboratories. In many cases instrumental Thin-Layer Chromatography offers a more suita...

OBJECTIVE To determine the care pathways and implications of offering mothers the choice of external cephalic version (ECV) at term for singleton babies who present with an uncomplicated breech pregnancy versus assisted breech delivery or elective caesarean. DESIGN A prospective observational audit to construct a decision analysis of uncomplicated full term breech presentations. SETTING The...