Academic literature on the topic 'World wide combined reporting'

Background: The need for high quality, comprehensive national data on the treatments applied to cancers is widely recognized within the Australian cancer control community. The analysis and reporting of cancer treatment data will greatly enhance our ability to better understand cancer care activity and outcomes - and in particular the treatments being applied across population groups. Aim: To collect and report national data on cancer treatments, as part of Cancer Australia's Stage, Treatment and Recurrence (STaR) project. The linking of this data with national data on stage at diagnosis, survival and recurrence, will help inform policy and practice and ultimately improve cancer outcomes. Methods: Cancer Australia developed a dataset of selected surgical procedures for the treatment of the top five incidence cancers (prostate, breast, colorectal, lung, and melanoma). A dataset of key selected radiotherapy, and systemic therapies for the treatment of all cancer types was also developed. Data for reporting system-wide treatment activity were extracted from existing national health administrative datasets, including: the Pharmaceutical Benefits Scheme (PBS), the Medicare Benefits Schedule (MBS) and the National Hospital Morbidity Database (NHMD). The scope of the analysis was selected surgical procedures, radiotherapy procedures, or pharmaceutical agents administered with the general intent to change the outcome of the cancer and/or provide symptom relief/ palliative care. Results: The data reported provide a high-level national system-wide overview of cancer treatments applied, including: • More than 1 million radiotherapy services were provided for all cancers combined in Australia (as indicated by MBS reimbursement claims data) for the years 2013 to 2015 inclusive; • The number of people receiving systemic anticancer therapies in Australia for all cancers combined (as indicated by PBS reimbursement claims data) increased from 198,756 in 2012 to 247,939 in 2016; and • The number of hospital separations recorded in the NHMD (i.e., episodes of admitted patient care) for patients with a principal diagnosis of cancer undergoing surgery for the treatment of the top five high incidence cancers in Australia increased from 53,516 in 2010 to 57,651 in 2015. Conclusion: National cancer treatment data were successfully collected and reported. Australia is one of very few countries in the world to collect and report national system-wide treatment data with a specific focus on cancer. These data will be linked to cancer incidence, stage at diagnosis, survival and recurrence data to help inform for population-level reporting of cancer outcomes.

Abstract STUDY QUESTION What was the utilization, effectiveness and safety of practices in ART globally in 2012 and what global trends could be observed? SUMMARY ANSWER The total number of ART cycles increased by almost 20% since 2011 and the main trends were an increase in frozen embryo transfers (FET), oocyte donation, preimplantation genetic testing and single embryo transfers (SET), whereas pregnancy and delivery rates (PR, DR) remained stable, and multiple deliveries decreased. WHAT IS KNOWN ALREADY ART is widely practiced throughout the world, but continues to be characterized by significant disparities in utilization, availability, practice, effectiveness and safety. The International Committee for Monitoring Assisted Reproductive Technologies (ICMART) annual world report provides a major tool for tracking trends in ART treatment for over 25 years and gives important data to ART professionals, public health authorities, patients and the general public. STUDY DESIGN, SIZE, DURATION A retrospective, cross-sectional survey on the utilization, effectiveness and safety of ART procedures performed globally during 2012 was carried out. PARTICIPANTS/MATERIALS, SETTING, METHODS Sixty-nine countries and 2600 ART clinics submitted data on ART cycles performed during the year 2012, and their pregnancy outcome, through national and regional ART registries. ART cycles and outcomes are described at country, regional and global levels. Aggregate country data were processed and analyzed based on methods developed by ICMART. MAIN RESULTS AND ROLE OF CHANCE A total of 1 149 817 ART cycles were reported for the treatment year 2012. After imputing data for missing values and non-reporting clinics in reporting countries, 1 948 898 cycles (an increase of 18.6% from 2011) resulted in >465 286 babies (+17.9%) in reporting countries. China did not report and is not included in this estimate. The best estimate of global utilization including China is ∼2.8 million cycles and 0.9 million babies. From 2011 to 2012, the number of reported aspirations and FET cycles increased by 6.9% and 16.0%, respectively. The proportion of women aged 40 years or older undergoing non-donor ART increased from 24.0% in 2011 to 25.2% in 2012. ICSI, as a percentage of non-donor aspiration cycles, increased from 66.5% in 2011 to 68.9% in 2012. The IVF/ICSI combined delivery rates per fresh aspiration and FET cycles were 19.8% and 22.1%, respectively. In fresh non-donor cycles, SET increased from 31.4% in 2011 to 33.7% in 2012, while the average number of transferred embryos decreased from 1.91 to 1.88, respectively—but with wide country variation. The rates of twin deliveries following fresh non-donor transfers decreased from 19.6% in 2011 to 18.0% in 2012, and the triplet rate decreased from 0.9% to 0.8%. In FET non-donor cycles, SET was 54.8%, with an average of 1.54 embryos transferred and twin and triplet rates of 11.1% and 0.4%, respectively. The cumulative DR per aspiration increased from 28.0% in 2011 to 28.9% in 2012. The overall perinatal mortality rate per 1000 births was 21.4 following fresh IVF/ICSI and 15.9 per 1000 following FET. LIMITATIONS, REASONS FOR CAUTION The data presented depend on the quality and completeness of data submitted by individual countries to ICMART directly or through regional registries. This report covers approximately two-thirds of` world ART activity, with a major missing country, China. Continued efforts to improve the quality and consistency of reporting ART data by registries are still needed, including the use of internationally agreed standard definitions (International Glossary of Infertility and Fertility Care). WIDER IMPLICATIONS OF THE FINDINGS The ICMART world reports provide the most comprehensive global statistical census and review of ART utilization, effectiveness, safety and quality. While ART treatment continues to increase globally, the wide disparities in access to treatment, procedures performed and embryo transfer practices warrant attention by clinicians and policy makers. With the increasing practice of SET and of freeze all and resulting increased proportion of FET cycles, it is clear that PR and DR per aspiration in fresh cycles do not give an overall accurate estimation of ART efficiency. It is time to use cumulative live birth rate per aspiration, combining the outcomes of FET cycles with the associated fresh cycle from which the embryos were obtained, and to obtain global consensus on this approach. STUDY FUNDING/COMPETING INTEREST(S) The authors declare no conflict of interest and no specific support from any organizations in relation to this manuscript. ICMART gratefully acknowledges financial support from the following organizations: American Society for Reproductive Medicine; European Society for Human Reproduction and Embryology; Fertility Society of Australia; Japan Society for Reproductive Medicine; Japan Society of Fertilization and Implantation; Red Latinoamericana de Reproduccion Asistida; Society for Assisted Reproductive Technology; Ferring Pharmaceuticals and Abbott (both providing ICMART unrestricted grants unrelated to world reports). TRIAL REGISTRATION NUMBER NA.

International institutions have the authority to monitor States' compliance with the Human Right to Water and Sanitation (HRWS) but the necessary tools for this task are not yet ready. The human development sector has a wider experience of using information about progress, which provides a perfect opportunity to develop this further. The World Health Organization (WHO)/United Nations Children's Fund (UNICEF) Joint Monitoring programme (JMP) and the UN Water Global Analysis and Assessment of Sanitation and Drinking-Water (GLAAS) data sets could be used for those with a mandate to monitor the right, contributing to this challenge. Consequently, the information they offer has been analysed through a human rights lens. A matrix has been constructed to specifically identify to what extent their data sets could be combined to monitor HRWS in a broad sense. The JMP-led post-2015 proposal makes a considerable contribution to outcome indicators for measuring right-holders’ enjoyment of the right, and GLAAS adds structural and process outcome indicators to measure duty-bearers’ conduct. However, there are still some critical gaps if both UN Water platforms are to be used to report progress on HRWS. Finally, the article suggests some ideas concerning the way these shortcomings could be addressed.

A prospective study was organized to assess whether feeding back infection rates to staff performing intermittent catheterization in spinal cord-injured patients would produce a fall in urinary tract infection rates. Over a 12 month period, infection rates for such procedures were reported to unit staff: reporting was combined with educational programs emphasizing aseptic catheterization techniques and the importance ofhandwashing. Overall infection rates for the 12 month period were 13.3 per 1000 days of intermittent catheterization - unchanged from the preceding six months (15.1 per 1000 days) by retrospective chart review. Likewise, there was no statistically significant downward trend during the prospective phase of the study. A wide variety of infecting organisms were found, of whichKlebsiellaspecies (39%),Escherichia coli(18%) andEnterobacterspecies (17%) were most common: most infections were asymptomatic. Patients with complete cord lesions at or above the sixth thoracic spinal cord segment (T6) had a much higher incidence of infection (73%) than those with incomplete lesions below T6 (33%).

AbstractObjective: Extra-cranial Stereotactic Radiation Therapy (ESRT) techniques and equipment utilised in the treatment of Stage 1 or 2 inoperable non-small-cell lung cancer (NSCLC); accounting for Respiratory Induced Tumour Motion (RITM).Methods: A narrative review of current world literature.Results: Four main strategies are employed to address RITM: (1) tumour movement minimisation/immobilisation; (2) integration of respiratory movements into planning; (3) respiratory-gating techniques; and (iv) tumour-tracking techniques.Discussion: Analysis of data gathered suggests that due to inherent difficulties with respiratory function, combined with co-morbidities and the level of dose escalation facilitated by ESRT: techniques that do not require patient ability to comply are more likely to be effective with a wider range of patients. Similarly, treatment planning must incorporate accurate four-dimensional (4D) data to ensure target coverage, although setup and verification should be controlled to smaller margins for error.Conclusion: The disparate nature of reporting methods restricts statistical comparison. However, this paper suggests that the ESRT technique using abdominal compression (AC), free-breathing respiratory-gating (FBRG), 4D computed tomography (4DCT) planning, combined with daily on board kV cone beam computed tomography (CBCT) imaging for setup and target verification, is a possible candidate for further treatment regime assessments in large multi-centre trials.

Background: In 2014 the World Health Organization (WHO) warned of an emerging world-wide crisis of antibiotic-resistant microorganisms. In response, government and professional organizations recommended that health care systems adopt antimicrobial stewardship programs (ASPs). In the United States, the Centers for Medicare Services (CMS) mandated antimicrobial stewardship in the hospital inpatient setting. Effective 1 January 2020, the Joint Commission required ambulatory centers that prescribe antibiotics, such as wound centers, to institute an ASP. Chronic wounds often remain open for months, during which time patients may receive multiple courses of antibiotics and numerous antimicrobial topical treatments. The wound clinician plays an integral role in reducing antimicrobial resistance in the outpatient setting: antibiotics prescribed for skin and soft tissue infections are among the most common in an outpatient setting. One of the most challenging aspects of antimicrobial stewardship in treating chronic wounds is the inaccuracy of bacterial and infection diagnosis. Methods: Joint Commission lists five elements of performance (EP): (1) identifying an antimicrobial stewardship leader; (2) establishing an annual antimicrobial stewardship goal; (3) implementing evidence-based practice guidelines related to the antimicrobial stewardship goal; (4) providing clinical staff with educational resources related to the antimicrobial stewardship goal; and (5) collecting, analyzing, and reporting data related to the antimicrobial stewardship goal. This article focuses on choosing and implementing an evidence-based ASP goal for 2020. Discussion: Clinical trials have demonstrated the ability of fluorescence imaging (MLiX) to detect clinically significant levels of bacteria in chronic wounds. Combined with clinical examination of signs and symptoms of infection, the MLiX procedure improves the clinician’s ability to diagnose infection and can guide antimicrobial use. In order to satisfy the elements of performance, the MLiX procedure was incorporated into the annual ASP goal for several wound care centers. Clinicians were educated on the fluorescence imaging device and guidelines were instituted. Collection of antimicrobial utilization data is underway.

Background:Early detection of breast cancer, combined with effective treatment, can reduce mortality. Millions of women are diagnosed with breast cancer and many die every year globally. Numerous early detection screening tests have been employed. A wide range of current breast cancer screening methods are reviewed based on a series of searchers focused on clinical testing and performance. </P><P> Discussion: The key factors evaluated centre around the trade-offs between accuracy (sensitivity and specificity), operator dependence of results, invasiveness, comfort, time required, and cost. All of these factors affect the quality of the screen, access/eligibility, and/or compliance to screening programs by eligible women. This survey article provides an overview of the working principles, benefits, limitations, performance, and cost of current breast cancer detection techniques. It is based on an extensive literature review focusing on published works reporting the main performance, cost, and comfort/compliance metrics considered.Conclusion:Due to limitations and drawbacks of existing breast cancer screening methods there is a need for better screening methods. Emerging, non-invasive methods offer promise to mitigate the issues particularly around comfort/pain and radiation dose, which would improve compliance and enable all ages to be screened regularly. However, these methods must still undergo significant validation testing to prove they can provide realistic screening alternatives to the current accepted standards.

25 Background: Cancer patients (pts) often visit the emergency department (ED) when symptoms and side effects occur. Growing evidence suggests that some treatment-related toxicities can be managed proactively in outpatient clinics, improving patient experience and optimizing acute care utilization. Understanding PPED visits is crucial to developing and evaluating such improvement efforts. Our objectives were to quantify the extent of PPED visits in Ontario among cancer pts and identify the best measure of PPED for province-wide quality improvement. Methods: By linking Activity Level Reporting to the Discharge Abstract Database and the National Ambulatory Care Reporting System, we identified cancer pts who had ED visits or hospitalizations up to 30 days after receiving chemotherapy and/or radiotherapy from April 1, 2014 to March 31, 2015 in Ontario. Episodes were stratified as ED Only or Indirect Admission (ED visit leading to hospitalization). We mapped the presenting Canadian Emergency Department Information System (CEDIS) complaints against the PPED metric proposed by Panattoni et al (JOP, 2018) that combined the CMS preventable visits typology with the STAR PRO tool (Basch et al, JCO, 2016) which found 49.8% were considered potentially preventable (PP). Results: We identified 43,593 ED visits (67% ED Only& 33% Indirect Admissions) among 64,407 pts. The most common presenting CEDIS complaints were pain (20%), fever (13%) and shortness of breath (SoB, 7%) among chemotherapy pts, and pain (19%), SoB (11%) and general weakness (9%) among radiotherapy pts. By applying the CEDIS-based PPED definition, which includes 17 presenting complaints, 50% of ED Only and 68% of Indirect Admission visits were considered PPED. Conclusions: We were able to adapt the PPED algorithm for the Canadian context, which can aid cross-jurisdiction comparisons. We found a substantial proportion of PPED visits. While common presenting complaints had face validity for being PP and a similar proportion of visits were PP compared to the US-based definition, further validation of this approach against healthcare records and in other jurisdictions would be helpful as these metrics become increasingly used for quality improvement.

Introduction: Rubella vaccines have been used to prevent rubella and congenital rubella syndrome (CRS) in several World Health Organization (WHO) regions. Mathematical modelling studies have simulated introduction of rubella-containing vaccines (RCVs), and their results have been used to inform rubella introduction strategies in several countries. This systematic review aimed to synthesize the evidence from mathematical models regarding the impact of introducing RCVs. Methods: We registered the review in the international prospective register of systematic reviews (PROSPERO) with registration number CRD42020192638. Systematic review methods for classical epidemiological studies and reporting guidelines were followed as far as possible. A comprehensive search strategy was used to identify published and unpublished studies with no language restrictions. We included deterministic and stochastic models that simulated RCV introduction into the public sector vaccination schedule, with a time horizon of at least five years. Models focused only on estimating epidemiological parameters were excluded. Outcomes of interest were time to rubella and CRS elimination, trends in incidence of rubella and CRS, number of vaccinated individuals per CRS case averted, and cost-effectiveness of vaccine introduction strategies. The methodological quality of included studies was assessed using a modified risk of bias tool, and a qualitative narrative was provided, given that data synthesis was not feasible. Results: Seven studies were included from a total of 1393 records retrieved. The methodological quality was scored high for six studies and very high for one study. Quantitative data synthesis was not possible, because only one study reported point estimates and uncertainty intervals for the outcomes. All seven included studies presented trends in rubella incidence, six studies reported trends in CRS incidence, two studies reported the number vaccinated individuals per CRS case averted, and two studies reported an economic evaluation measure. Time to CRS elimination and time to rubella elimination were not reported by any of the included studies. Reported trends in CRS incidence showed elimination within five years of RCV introduction with scenarios involving mass vaccination of older children in addition to routine infant vaccination. CRS incidence was higher with RCV introduction than without RCV when public vaccine coverage was lower than 50% or only private sector vaccination was implemented. Although vaccination of children at a given age achieved slower declines in CRS incidence compared to mass campaigns targeting a wide age range, this approach resulted in the lowest number of vaccinated individuals per CRS case averted. Conclusion and recommendations: We were unable to conduct data synthesis of included studies due to discrepancies in outcome reporting. However, qualitative assessment of results of individual studies suggests that vaccination of infants should be combined with vaccination of older children to achieve rapid elimination of CRS. Better outcomes are obtained when rubella vaccination is introduced into public vaccination schedules at coverage figures of 80%, as recommended by WHO, or higher. Guidelines for reporting of outcomes in mathematical modelling studies and the conduct of systematic reviews of mathematical modelling studies are required.

The Formulary Approach to the Taxation of Transnational Corporations: A Realistic Alternative? Synopsis The central hypotheses of this thesis are: that global formulary apportionment is the most appropriate method for the taxation of transnational corporations (TNCs) in lieu of the present system commonly referred to as the separate accounting/arm's length method; and that it is essential, in order to implement the proposed global formulary model, to create an international organisation which would fulfil, in the taxation field, a role equivalent to that of the World Trade Organisation (WTO) in international trade. The world economy is fast integrating and is increasingly dominated by the activities of transnational enterprises. These activities create a dual tax problem for various revenue authorities seeking to tax gains derived thereon: Firstly, when two or more countries entertain conflicting tax claims on the same base, there arises what is commonly referred to as a double taxation problem. Secondly, an allocation problem arises when different jurisdictions seek to determine the quantum of the gains to be allocated to each jurisdiction for taxation purposes. The traditional regime for solving both the double taxation and the allocation problem is enshrined in a series of bilateral treaties signed between various nations. These are, in general, based on the Organisation for Economic Co-operation and Development (OECD) Model Treaty.1 It is submitted, in this thesis, that while highly successful in an environment characterised by the coexistence of various national taxation systems, the traditional regime lacks the essential attributes suitable to the emerging 'borderless world'. The central theme of this thesis is the allocation problem. The OECD Model attempts to deal with this issue on a bilateral basis. Currently, the allocation problem is resolved through the application of Articles 7 and 9 of the OECD Model. In both instances the solution is based on the 'separate enterprise' standard, also known as the separate entity theory. This separate accounts/arm's length system was articulated in the 1930s when international trade consisted of flows of raw materials and other natural products as well as flows of finished manufactured goods. Such trade is highly visible and may be adequately valued both at the port of departure or at the port of entry in a country. It follows that within this particular system of international trade the application of the arm's length principle was relatively easy and proved to be extremely important in resolving both the double taxation and apportionment problems. Today, however, the conditions under which international trade is conducted are substantially different from those that prevailed until the 1960s. * Firstly, apart from the significant increase in the volume of traditionally traded goods, trade in services now forms the bulk of international exchanges. In addition, the advent of the information age has dramatically increased the importance of specialised information whose value is notoriously difficult to ascertain for taxation purposes. * Secondly, the globalisation phenomenon which gathered momentum over the last two decades has enabled existing TNCs to extend their global operations and has favoured the emergence of new transnational firms. Thus, intra-firm trade conducted outside market conditions accounts for a substantial part of international trade. * Thirdly, further economic integration has been achieved following the end of the Cold War and the acceleration of the globalisation phenomenon. In this new world economic order only TNCs have the necessary resources to take advantage of emerging opportunities. The very essence of a TNC is 'its ability to achieve higher revenues (or lower costs) from its different subsidiaries as a whole compared to the results that would be achieved under separate management on an arm's length basis.'2 Yet, the prevailing system for the taxation of TNCs overlooks this critical characteristic and is therefore incapable of fully capturing, for taxation purposes, the aggregate gains of TNCs. The potential revenue loss arising from the inability of the present system to account for and to allocate synergy gains is substantial. It follows that the perennial questions of international taxation can no longer be addressed within the constraints of the separate entity theory and a narrow definition of national sovereignty. Indeed, in order to mirror the developments occurring in the economic field, taxation needs to move from a national to an international level. Moreover, a profound reform of the system is imperative in order to avoid harmful tax competition between nations and enhance compliance from TNCs. Such a new international tax system needs to satisfy the test of simplicity, equity, efficiency, and administrative ease. To achieve these objectives international cooperation is essential. The hallmark of international cooperation has been the emergence, after World War II, of a range of international organisations designed to facilitate the achievement of certain goals deemed essential by various nations. The need for an organisation to deal specifically with taxation matters is now overwhelming. Consequently, this thesis recommends the creation of an international organisation to administer the proposed system. The main objective of this international organisation would be to initiate and coordinate the multilateral application of a formulary apportionment system which, it is suggested, would deal in a more realistic way with 'the difficult problems of determining the tax base and allocating it appropriately between jurisdictions'.3 The global formulary apportionment methodology is derived from the unitary entity theory. The unitary theory considers a TNC as a single business which, for convenience, is divided into 'purely formal, separately-incorporated subsidiaries'.4 Under the unitary theory the global income of TNCs needs to be computed, then such income is apportioned between the various component parts of the enterprise by way of a formula which reflects the economic contribution of each part to the derivation of profits. The question that arises is whether the world of international taxation is ready for such a paradigm shift. It is arguable that this shift has already occurred albeit cautiously and in very subtle ways. Thus, the latest of the OECD Guidelines on the transfer pricing question provides that 'MNE [Multinational Enterprise] groups retain the freedom to apply methods not described in this Report to establish prices provided those prices satisfy the arm's length principle in accordance with these Guidelines.'5 Arguably, the globalisation process has created 'the specific situation' allowed for by the OECD. This thesis, therefore, explores the relative obsolescence of the bilateral approach to the taxation of TNCs and then suggests that a multilateral system is better adapted to the emerging globalised economy. The fundamental building blocks of the model proposed in this thesis are the following: * First, the administration and coordination of the proposed system is to be achieved by the creation of a specialised tax organisation, called Intertax, to which member countries would devolve a limited part of their fiscal sovereignty. * Second, in order to enable the centralised calculation of TNC's profits, the proposed system requires the formulation of harmonised methods for the measurement of the global profits of TNCs. Therefore, the efforts of the International Accounting Standards Committee (IASC) to produce international accounting standards and harmonised consolidation rules must be recognised and, if needs be, refined and ultimately implemented. * Third, the major function of Intertax would be to determine the commercial profits of TNCs on a standardised basis and to apportion the latter to relevant countries by way of an appropriate formula/formulas. Once this is achieved, each country would be free, starting from its share of commercial profits, to determine the taxable income in accordance with the particular tax base that it adopts and, ultimately, the tax payable within its jurisdiction. In the proposed system, therefore, a particular country would be able to independently set whatever depreciation schedules or investment tax credits it chooses, and adopt whatever tax accounting rules it deems fit relative to its policy objectives. Moreover, this thesis argues that the global formulary apportionment model it proposes is not dramatically opposed to the arm's length principle. Indeed, it suggests that the constant assumption to the contrary, even with regard to the usual formulary apportionment methodology, is extravagant because both methodologies are based on a common endeavour, that is, to give a substantially correct reflex of a TNC's true profits. It has often been objected that global formulary apportionment is arbitrary and ignores market conditions. This thesis addresses such concerns by rejecting the application of a single all-purpose formula. Rather, it recognises that TNCs operating in different industries require different treatment and, therefore, suggests the adoption of different formulas to satisfy specific industry requirements. For example, the formula applicable to a financial institution would be different to that applicable to the pharmaceutical industry. Each formula needs to be based on the fundamental necessity to capture the functions, taking into consideration assets used, and risks assumed within that industry. In addition, if the need arises, each formula should be able to be fine-tuned to fit specific situations. Moreover, it is also pertinent to note that the OECD already accepts 'the selected application of a formula developed by both tax administrations in cooperation with a specific taxpayer or MNE group...such as it might be used in a mutual agreement procedure, advance transfer pricing agreement, or other bilateral or multilateral determination.'6 The system proposed in this thesis can thus be easily reconciled with the separate accounting/arm's length which the OECD so vehemently advocates. Both models have the same preoccupations so that what is herein proposed may simply be characterised as an institutionalised version of the system advocated by the OECD. Multilateral formulary apportionment addresses both the double taxation and the allocation problems in international taxation. It resolves the apportionment question 'without depending on an extraordinary degree of goodwill or compliance from taxpayers.'7 It is therefore submitted that, if applied on a multilateral basis with a minimum of central coordination, it also seriously addresses the double taxation problem. Indeed, it is a flexible method given that different formulas may be devised to suit the needs of TNCs operating in different sectors. Consequently, formulary apportionment understood in this sense, is a realistic alternative to the limitations of the present system.

This thesis explores the factors that influence the extent to which the World Wide Web (henceforth web) is utilised by corporations in an environmentally sensitive industry to communicate with their stakeholders in relation to environmental issues. The study initially establishes, in theory, the communication potential of the web and possible factors which can impact on the extent to which this potential is utilised for environmental communication. Subsequently, it examines the use of the web by specific companies in the Australian minerals industry for communicating environmental issues to their stakeholders over time. Explanations for current practices are established through an analysis of the impact of the factors established in theory on web based environmental communication in the Australian minerals industry.¶ A model was established to guide the research process for this study. Drawing upon media richness theory (Daft & Lengel, 1984, 1986; Sproull, 1991; Valacich et al., 1993), the Media Richness Framework was developed to provide criteria for assessing the communication potential of the web. It was also posited that the extent to which this potential is utilised in practice is dependent on management’s web based communication needs. These needs incorporate timeliness, accessibility, presentation and organisation, and interaction. Contextual factors, which include limitations of web based technologies, economic, internal organisational and external stakeholder issues, influence these needs.¶ Case study research (Hagg & Hedlund, 1979; Yin, 2003a, 2003b; Scapens, 2004) was used as the methodological approach for this thesis in order to obtain an in-depth understanding of current web based environmental communication practices. An evaluation of the websites of mining companies was used as the basis for selecting three companies as cases. These cases involved a triangulation of approaches towards data collection: monitoring corporate websites on a regular basis; interviewing appropriate personnel in these organisations; and evaluating documents related to the companies’ environmental communication practice. Data gathered from interviews, websites and documents were analysed for individual cases and then through cross-case comparisons. The intention was to confirm the research model and to potentially extend it through a consideration of other factors not identified in theory but evident in current practices.¶ The findings of this research indicate that even though the web has the potential to enhance environmental communication in an environmentally sensitive industry that is subject to extensive stakeholder pressures, there is variation in its use by companies in the Australian minerals industry. An evaluation of the practices of the three chosen companies highlighted that while the web is used extensively by these companies in comparison with other corporations in the industry, the case study companies were at different stages of web based environmental communication.¶ Management’s web based environmental communication needs and the influence of contextual factors on these needs explained the variation in web based environmental communication across all three companies. Moreover, two other factors emerged from the field; these are referred to as the double-edged sword and change in management philosophy. These findings from the field highlight that the need for communication through the web could have unintended consequences while a change in management could alter the current approach towards web based environmental communication.¶ This study into the use of the web in the Australian minerals industry highlights that the medium has an impact on environmental communication practice. Further research could assess the communication potential of the various media used for environmental communication in order to extend the explanatory power of the current study. This study also outlines arguments in support of extending theorisation in environmental communication. Existing theories for social and environmental accounting, such as stakeholder and legitimacy theory (Roberts, 1992; Lindblom, 1993; Deegan, 2002) need to be accompanied by other theoretical perspectives in order to capture a range of potential factors that could impact environmental communication practices. Such insights could provide a comprehensive understanding of environmental communication in different contexts.

This new textbook fills an important niche by offering a lively overview of the principles of ecology for a broad range of university-level science and biology courses. Written for those who need to understand key ecological concepts but may specialise in other fields, it is filled with many vivid examples of topical issues and current events. The Ecological World View briefly covers the history of ecology and describes the general approach of the scientific method, then takes a wide-ranging look at basic principles of population dynamics and applies them to everyday practical problems. Each chapter clearly presents key concepts and learning objectives, combined with thought-provoking, open-ended questions to facilitate discussion. Stimulating, appealing and written in non-technical language, this is an essential resource for understanding how the ecological world works.

AbstractThe aim of this chapter is to explore the factors that affect ship to shore safety reporting in the Chinese shipping industry. The study was motivated by of the paucity of research in this specific area. Previous research in shore-based industries suggests that there may be cause for concern in shipping as ashore there is evidence of significant underreporting across a wide range of industries. This study, though it is small in scale, was conducted to partially fill the existing gap. The data used was collected from two major chemical shipping companies in China. Both employers and employees’ perspectives were considered in the process of data analysis. Furthermore, the ‘social factors’ behind the scene of reporting—underreporting, or biased reporting—were explored.

AbstractThe investigation of the four relief agencies’ organizational models – undertaken by combining analysis of websites, strategic documents and policy guidelines with fieldwork and interviews with NGO staffers – has shown the different ways in which each organization works. Exploration of the different sectors of intervention has highlighted the different roles NGOs want to have not only in the lives of their beneficiaries but more generally in the governance system of their communities. As illustrated in Chap. 10.1007/978-3-030-71143-6_5, the spectrum of activities is quite wide. Save the Children focuses on education and child protection (mainly through psychosocial support) complementary advocacy to secure policy change to enable a better world for children; Oxfam prioritizes ‘giving voice’ to the voiceless, water and sanitation, psychosocial support, legal counselling, combined also with a vigorous advocacy and influencing program to create lasting solutions to injustice and poverty. CARE has a similar focus on voice and empowerment especially for women and girls. Its gender transformative approach informs its work on protection, responses to gender-based violence) distribution of relief items, and, to a lesser extent, water and sanitation. As with Save the Children and Oxfam, CARE sets store by advocacy for policy reforms to end poverty and gender inequality. For its part, MSF operations focused on medical assistance, ranging from primary health care, surgery, mental health and psychosocial support, and medical evacuation. For MSF, belief in the power of témoignage has driven denunciations of those who hinder humanitarian action or divert aid and also critique of the wider disfunctionalities of the humanitarian system itself.

For police reporters, there are crimes. For political writers, elections. Sports-writers have games. And science writers have journals. In fact, there are more journal articles published every year than there are games, elections, and murders in all U.S. cities combined. So science writers must be selective. To select wisely, you'll need to know, first of all, what the major news-providing journals are, and what sorts of science they publish. You'll need to understand the different kinds of journals and different kinds of papers within them. And you'll need to comprehend how to navigate the elaborate web of censorship rules that most journals impose on reporters—a pernicious convenience known as the embargo system. Once you know all that, you can concentrate on reporting and writing. For science writers, the only journals of interest are those that are peer-reviewed, meaning that experts in the field have read the papers, and possibly suggested corrections and revisions, before the journal agreed to publish them. Traditionally, many science writers have focused on reporting from the “Big Four” peer-reviewed journals: Science, Nature, the New England Journal of Medicine, and the Journal of the American Medical Association. Science and Nature are major sources of science news, and they should be. They are the premier interdisciplinary journals of the English-speaking world, and therefore ought to be publishing the most important research of the broadest interest to the scientific community. Naturally, such research is most likely to be of interest to the general public as well. In recent years, the Big Four have been joined by several others as regular sources of science news—particularly the Proceedings of the National Academy of Sciences, the biology journal Cell, and the neuroscience journal Neuron. And the Nature publishing group has flooded the media journal market with a whole roster of specialty journals on such topics as neuroscience, biotechnology, genetics, and materials science. Other important journals for medicine include Annals of Internal Medicine and several published by the American Heart Association, such as Circulation and Stroke. An intriguing newcomer in late 2003 from the Public Library of Science is PLoS Biology, an “open-access” journal available free online.

In corporate reporting, greater internet use, reports available on the world wide web (WWW) and movements towards a more balanced reporting approach have become the most noticeable trends since the inception of sustainability reporting in the late 1980’s and early 1990’s. While early sustainability reports merely have been available on print media, today most are accessible on the WWW as HTML (Hypertext Markup Language) files. Such a layout oriented data format, however, does not seem to be sufficient any longer, especially in terms of content-syndication, harmonization, efficiencies, future ICT requirements, stakeholders’ reporting expectations, and data exchange, be it inside and outside the companies. Hence, reference architecture for sustainability reports built on XBRL (eXtensible Businesses Reporting Language) is proposed. This development is based on a research initiative embedded in the German Environmental Informatics community. The proposed document structure within the reference architecture particularly meets the requirements of the Global Reporting Initiative’s (GRI) sustainability reporting guidelines (G3). While developing the document structure, an existing XBRL FRTA (Financial Reporting Taxonomies Architecture) - common for business financial reporting- was used. Such a unifying document structure is a key for advanced reporting systems, particularly for current ICT applications like (web) content management systems. Using the reference architecture offers an impressive array of benefits, e.g. it helps: to facilitate data exchange between reporters and report users, to improve a company’s information management, to support its reporting workflow, and to refine communication with its target groups in a meaningful way.

The context of demographic aging, combined with the wide dissemination of information and communication technologies (ICT), in the various domains of society defined a set of challenges, potentialities, and limits for seniors (65+). Although there is a positive evolution regarding adhesion and even domestication of ICT by this age segment, namely the internet and digital social networking sites, the literature review presents us with an immature, limited, and fragmented field of study, comprising an immense space of evolution. Aware of the strength, magnitude, and considerable ignorance of the action of seniors in the network society, this chapter intends to map, through a review of the multidisciplinary literature, how the relationship of seniors with ICTs is configured. In addition, usage behavior, as well as the drivers, and the consequences for the elderly of navigating digital social networks are also analyzed.

This chapter discusses the methodological issues pertaining to human development analysis. It critically reflects on the role of GDP as a measure of human progress and points to the shift in the discourse from unidimensional to multidimensional measures. In the light of significant efforts towards deriving alternate measures of well-being that include multiple dimensions, the issues relating to composite indices, such as indicator selection, weightage given, and numerous dimensions being combined in one index, are examined. A key perspective highlighted in the chapter is the challenge posed by ‘empty indicators’ as well as missing and unreliable data. Cautioning researchers on these issues, the chapter points to the need for better data reporting. Additionally, it argues in favour of the human development approach being extended to the process of data generation itself using participatory methods, particularly at a time when the SDG mandate extends over 230 indicators, many of which are also necessary to monitoring at the local level.

Approaches to education reform rarely follow a simple, linear path. Rather than pursuing one approach single-mindedly over an extended period of years, school reform—informed by research, changes in public policy, and differences in the dynamic needs of students from changing communities—tends to be characterized by continuous change and sometimes seems to recycle approaches that have been tried before. For those of us who have worked toward education reform throughout our careers, this process of change does not betray a lack of consistency or commitment but constitutes a necessary response to the continually changing conditions in which public schools must operate. The demographics of our schools are dynamic, particularly because of escalating numbers of immigrants from around the world. Our fiscal circumstances are in continual flux. Community expectations of what schools should provide are subject to change as well, often through a growing national awareness of the connection between the quality of America’s schools and the character of our democratic institutions. Two of the most significant reform strategies to emerge during the past decade may seem contradictory: on the one hand, those strategies that concentrate relentlessly on instructional improvement, and, on the other hand, those that seek to establish the school as a community centerpiece for addressing a broad range of personal, social, and family needs that relate to the health of the community as a whole. At first glance these two strategies—a narrow focus on teaching and learning contrasted with a wider focus through what are called extended-service or full-service schools— appear to be at cross-purposes. Poor student performance, particularly when combined with difficult economic times, gives rise to a set of tough questions that all educational leaders sooner or later must confront: Can schools be all things to all people? Are educators being asked to take on too much? Can schools be expected to solve all of society’s problems with very limited resources? Is it not better for schools to do a few things well, rather than taking on too much and risking superficial results?

The provision of information systems, technology, and communications is a fundamental requisite to support competitive strategies and improve service levels in enterprises. Increasingly, with e-commerce developments using the Internet and World Wide Web (WWW), combined with increased compliance and regulatory requirements, medium to large businesses and governments are relying on IT to support operations and administration. Small to medium businesses also make use of Web, e-mail, and office productivity packages to gain commercial advantage.

The gastro-intestinal tract (GIT) hosts the most numerous and diverse reservoir of microbes in humans. There is increasing interest in the relationship between the GIT microbiome and human health. Obesity, diabetes, allergy, and a number of inflammatory diseases have been linked with the human GIT microbiome. Infections of the GIT arise either as a result of a change in the relationship between the commensal microbes colonizing the GIT (endogenous infection) or entry in to the GIT of a micro-organism which causes disease (exogenous infection). Commensals most commonly invade host tissues as a result of compromised defensive barriers. Disease associated with exogenous infection can be toxin-mediated, or associated with local or systemic invasion of the host. Endogenous infections are usually polymicrobial. In the mouth the aetiology, presentation, and anatomical associations have led to the description of a number of syndromes. Peritonsillar infection with involvement of the internal jugular vein is Lemierre’s syndrome, which is particularly associated with infection with Fusobacterium necrophorum. ‘Trench mouth’ is a severe form of ulcerative gingivitis, so named because in the absence of oral hygiene it was a relatively common diagnosis among those in the trenches during the First World War. Ludwig’s angina is a severe infection of the floor of the mouth which spreads in to the submandibular and sub-lingual space, often following a tooth-related infection. Deep neck infections are more common in children than adults and can involve the parapharyngeal, retropharyngeal, peri-tonsillar, or sub-mandibular spaces. Children with deep neck infections are more likely than adults to present with cough and respiratory distress. Oesophagitis has a wide range of potential aetiologies. Fungi (particularly Candida species) are probably the most common microbial cause of oesophagitis. Fungal infection of the distal oesophagus is thought to play an important role in the pathogenesis of disseminated fungal infection. Risk factors for fungal infection include poor oral intake, exposure to antibiotics, immunocompromise (HIV, steroids, cancer treatments), gastric acid suppressants, and damage to mucosal integrity (naso-gastric tubes, acid reflux, varices). Bacteria (including Mycobacteria, Actinomycetes, Treponemes), parasites, and viruses (herpes simplex, cytomegalovirus) are rarer infectious causes of oesophagitis.

Atacora mountain is a particular ecosystem of West Africa where soil degradation occurs. The present study assessed the impacts of physical soil degradation on vegetation in the Beninese portion of this mountain chain. Phytosociological surveys were carried out along line transects from plain to summit within 22 plots of 30 m x 30 m. Based on indicators of physical soil degradation each plot was classified into one soil degradation class (Light, Moderate, High or Extreme). Impacts on plant diversity were assessed by comparing the floristic composition of soil degradation classes with the index of similarity of Jaccard. Variations between soil degradation classes of species richness, species chorological types, species life forms and species dispersal were also tested using a discriminant analysis combined with ANOVA. The Multi-Response Permutation Procedures analysis was used to pairwise compare the soil degradation classes based on the cover data of the species lists. All soil degradation classes were dissimilar, depending on the floristic composition. Discriminant analysis and ANOVA performed on biodiversity indicators had shown that species richness, and the number of regional species, phanerophytes and sarcochory decreased along the increasing degradation gradient in contrast to the number of species with wide distribution, therophytes and sclerochory. With regard to vegetation structure, the results had shown that only moderately and highly degraded soils presented the similar vegetation type. Physical soil degradation induced modification of floristic composition, phytodiversity loss and modification of vegetation structure. These results showed that the soil degradation gradient corresponds to a vegetation disturbance gradient.

Sinkholes are common features in parts of Florida, and the Florida Geological Survey maintains an online database of sinkhole incident reports (SIRs) that was started in 1965. The incident reports are accepted “as-is” without verification; sinkhole location, length, width, and depth are included in SIRs. A desktop assessment of sinkhole activity in northern Florida was developed on the basis of SIRs that were available in GIS (shape file) format from the Florida Geological Survey website and an understanding that sinkhole activity needed to be normalized to length for use in pipeline risk assessments. The rate of sinkhole development in northern Florida was quantified by extracting sinkhole locations within 10 miles of a 230-mile-long hypothetical alignment of a pipeline and lateral. Over 500 sinkholes were located within the approximately 4,700-square mile polygon. Sinkhole trends aligned to highways indicate more complete reporting; therefore, 33 road segments comprising a combined length of about 944 miles within the polygon were used for statistical analysis. The SIR database was accepted as an accurate portrayal of sinkholes during its 47-year existence. Sinkhole activity was portrayed as annual frequency for sinkhole width or length ranging from 1 to 500 feet and normalized to 1 square mile and 1 lineal mile. A sinkhole 2 feet or larger in width occurs on average 8 times per year somewhere within 10 miles of the hypothetical alignment; whereas, a similar sinkhole occurs on average 4 times per year along a length of 944 miles. A 2-foot or larger sinkhole occurs on average about every 600 years within any 1 square mile of the 4,700-square-mile area and about every 200 years along any 1 mile of alignment length. On a per-lineal-mile basis, the expected 1,000-year sinkhole would be at least 9 feet wide; whereas the 1,000-year sinkhole would be at least 22 feet wide. Performance of specific pipelines under loading conditions associated with sinkholes of various widths can be assessed and used in a pipeline risk assessment.

Adjustable inlet guide vanes (IGVs) and variable speed drivers are known as providing process compressors with an effective regulation all throughout the operating envelope of the machine. A large number of works exists in literature reporting the successful control of multistage centrifugal compressors by means of IGVs or speed separately, while a few studies document the combined use of both devices and their effect on compressor performance. The present paper details the off-design behavior of a multistage centrifugal compressor equipped with both types of control. It is shown that classical IGVs advantage in extending the operating envelope of a fixed speed multistage compressor tends to reduce when speed regulation is active too. In this sense, the average level of peripheral Mach numbers inside the compressor may be interpreted as a sort of threshold, since it deeply affects the stage mismatching at off-design conditions. This consideration is corroborated by a number of applications in a wide range of design peripheral Mach numbers. Based on those cases, the paper reviews the general effectiveness of the combined regulation, thus outlining some general rules of thumb for the choice of the optimal control device for a multistage centrifugal compressor.

Lubrication is critical for minimizing wear in mechanical systems that operate for extended time periods. Developing lubricants that can be used in engineering systems without replenishment — particularly those that are environmentally friendly — is very important for increasing the functional lifetime of mechanical components. In the present investigation, extended duration pin-on-disk experiments were carried out to determine the relative performance of a wide range of lubricant combinations in a commercial brake valve assembly. In the experiments, the lubricants were initially applied to the disk surface but were not replenished over a sliding distance of more than 6000 m. The experimental results revealed that the environmentally friendly lubricant boric acid was inefficient for reducing the wear in the surfaces tested. When combined with a commercial transmission fluid, however, the boric acid mixture proved highly effective in terms of both friction and wear performance. Based on the success of the combined lubricant experiments, the boric acid was then mixed with canola oil to form a completely natural lubricant combination. Based on further pin on disk experiments, this lubricant combination yielded the best wear performance of all the lubricants tested. The importance of these results, as related to the use of the natural lubricant combination in other engineering systems was subsequently ascertained and discussed.

Over the past twenty years or so, there have been major steps forward both in the understanding of tribological mechanisms and in the development of new coating and treatment techniques to better “engineer” surfaces to achieve reductions in wear and friction. Particularly in the coatings tribology field, improved techniques and theories which enable us to study and understand the mechanisms occurring at the “nano”, “micro” and “macro” scale have allowed considerable progress to be made in (for example) understanding contact mechanisms and the influence of “third bodies” [1–5]. Over the same period, we have seen the emergence of the discipline which we now call “Surface Engineering”, by which, ideally, a bulk material (the ‘substrate’) and a coating are combined in a way that provides a cost-effective performance enhancement of which neither would be capable without the presence of the other. It is probably fair to say that the emergence and recognition of Surface Engineering as a field in its own right has been driven largely by the availability of “plasma”-based coating and treatment processes, which can provide surface properties which were previously unachievable. In particular, plasma-assisted (PA) physical vapour deposition (PVD) techniques, allowing wear-resistant ceramic thin films such as titanium nitride (TiN) to be deposited on a wide range of industrial tooling, gave a step-change in industrial productivity and manufactured product quality, and caught the attention of engineers due to the remarkable cost savings and performance improvements obtained. Subsequently, so-called 2nd- and 3rd-generation ceramic coatings (with multilayered or nanocomposite structures) have recently been developed [6–9], to further extend tool performance — the objective typically being to increase coating hardness further, or extend hardness capabilities to higher temperatures.

World-wide, biomass is the most used nonfossil fuel and is expanding from its traditional thermal applications to more usage for liquid fuels and electricity. More than 9 gigawatts of biomass electrical generation capacity have been installed in the United States, primarily by forest products industries, since the Public Utilities Regulatory Policy Act (PURPA) was passed. Combined heat and power (CHP) technologies promise to improve power-to-heat efficiencies to strengthen the economic viability of these electrical generating methods. These technologies, which are now being tested and demonstrated, employ industrial and aeroderivative gas turbines; use a variety of feedstocks including agricultural wastes, residues, and dedicated energy crops; and range in size from 8 MW to 75 MW. Specific demonstrations with the U.S. Department of Energy Biomass Power Program and partners in Vermont and Hawaii are discussed.

Structured financing solutions encompass a range of investment approaches that provide liquidity to investors without the need for a traditional equity exit event, such as a strategic sale, sale to another financial investor, or public market listing. Structuring mechanisms across the debt-to-equity spectrum determine the exit terms of the deal, therefore providing considerable downside protection to investors. Structured financing solutions are an incipient but increasingly important set of tools for investors active in Latin America to address the financing gap for companies that lack access to bank financing and are not attractive targets for traditional PE and VC players. Many investors employing these strategies are in an experimental phase, reporting new lessons learned with each deal completed. Impact investors have been among the top drivers of these structuring innovations, as they have grappled with the additional limitations associated with the straight equity model for environmental or social enterprises. However, the use of structured financing is by no means restricted to the impact investing space. Fund managers have invested USD4b in private credit deals in Latin America since 2018, more than the previous ten years combined. PE and VC investors have also increasingly employed quasi-equity and debt instruments. ACON Investments, for example, has employed mezzanine structures in several deals from its latest funds. Brazil-focused venture capital firm SP Ventures has recently begun investing from its debut venture debt fund. Growing experimentation by fund managers demonstrates the opportunity for investors across ticket sizes, strategies, and the impact-to-commercial spectrum. The structures discussed and the case studies highlighted in this report contain some of the major lessons applicable to a wide group of private capital investors in Latin America targeting certain and timely exits with consistent returns.