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PubMed2004

Eco-environmental benefit assessment of China's South-North Water Transfer Scheme--the middle route project.

This paper assess the eco-environmental benefits that may come from the middle route project of China's South-North Water Transfer Scheme (SNWT) with principles and methods of eco-economics and planning reports of SNWT's middle route project. Some benefits were calculated in monetary units. To make sure that the results can be comparable with normal monetary indices, concrete assessment objects and the parameters are prudently selected according to the major characteristics of the project and its water import region. Primary assessment revealed that in different project construction stages, the benefit could be more than 13.07 billion RMB Yuan in 2010 and 19.79 billion RMB Yuan in 2030, respectively. The monetary value tends to increase with social-economic development. To realize these potential benefits, however, calls for more endeavors.

China↗
PubMed2005

Emission scenario of non-CO2 gases from energy activities and other sources in China.

This paper gives a quantitative analysis on the non-CO2 emissions related to energy demand, energy activities and land use change of six scenarios with different development pattern in 2030 and 2050 based on IPAC emission model. The various mitigation technologies and policies are assessed to understand the corresponding non-CO2 emission reduction effect. The research shows that the future non-CO2 emissions of China will grow along with increasing energy demand, in which thermal power and transportation will be the major emission and mitigation sectors. During the cause of future social and economic development, the control and mitigation of non-CO2 emissions is a problem as challenging and pressing as that of CO2 emissions. This study indicates that the energy efficiency improvement, renewable energy, advanced nuclear power generation, fuel cell, coal-fired combined cycle, clean coal and motor vehicle emission control technologies will contribute to non-CO2 emissions control and mitigation.

Air Pollutants↗
PubMed1995

Fertility decline in Punjab, India: parallels with historical Europe.

Two interesting features emerge from this study of fertility behaviour in Punjab. First, it brings out the common features of peasant life and demographic behaviour found in this developing-country setting and in historical Europe. As in much of Europe, marriage was regulated to adjust to the availability of land and other resources. It is interesting to note that the operation of this 'nuptiality valve' was quite consistent with a system of joint families and partible inheritance. Secondly, the findings suggest that we need to re-define what we understand to be the features of socio-economic development which are crucial for fertility decline. Fertility began to decline steadily in this part of Punjab as early as 1940, at a time when the society was overwhelmingly agrarian, illiterate, and infant mortality was high with no access to modern contraceptive technology, as in historical Europe. The onset of the decline was brought about by development interventions which stabilized fluctuations in crop yields and mortality, thus radically improving stability of people's expectations. This study also points out the inapplicability of Mamdani's theories of fertility behaviour to the people he studies.

Europe↗
PubMedDate not supplied

A comparative study of health delivery systems of India and China.

The medical systems which most of the developing countries have, are ad hoc adoptions inherited from their colonial masters and have met with little success in making health planning as part of their national planning. Very few countries have been able to overcome the resistance of the medical profession and the bureaucratic inertia which is a major obstacle in the transformation of this system to a broad based social service and integrating it with the process of socio-economic development planning. The adoption of this system by developing countries is a typical example of technological misfit. A cheap and labour intensive model for developing countries shall be a proper solution for the development of a health care delivery system for the masses. A solution to this problem is a mix or hybrid of the traditional and modern medicines which very recently have been exploited both in India and China. How far India and China have been successful and what is needed to be done is the subject matter of this paper.

China↗
PubMed2007

Assessment of the pharmaceutical market in Poland after accession to the European Union.

The Republic of Poland joined the European Union (EU) on 1 May 2004. The EU accession brought new opportunities to the Polish health care system and the pharmaceutical market. However, there are still barriers to overcome such as bureaucracy, lack of transparency in pricing and reimbursement, decision-making processes, the short period of data exclusivity, respect for intellectual property rights, favorisation of local companies and low health care investment. Additionally, drug costs outpace overall economic development, a trend which is universally valid for almost all EU countries and which forms one of the most serious factors in health care expenditure. A systematic cost-effective assessment, the so-called fourth hurdle (after quality, efficacy and safety), of prescription drugs seems a necessity in most EU countries. The Polish Ministry of Health has defined aims for the future health care system in the National Drug Policy 2004-2008, including health economical criteria and instruments. However, it is to be expected that for some time there will be more a reimbursement hurdle instead of a fourth hurdle in controlling drug expenditure. This review focuses on the Polish pharmaceutical market with special consideration of the history of the Polish health care system. It will highlight the present situation of the Polish health care system after EU accession and provide an outlook to its possible future.

Cost-Benefit Analysis↗
PubMed2003

Recommendations for cervical cancer screening programs in developing countries. The need for equity and technological development.

The cervical cancer screening programs (CCSP) have not been very efficient in the developing countries. This explains the need to foster changes on policies, standards, quality control mechanisms, evaluation and integration of new screening alternatives considered as low and high cost, as well as to regulate colposcopy practices and the foundation of HPV laboratories. Cervical cancer (CC) is a disease most frequently found in poverty-stricken communities and reflecting a problem of equity at both levels gender and regional, and this, is not only due to social and economic development inequalities, but to the infrastructure and human resources necessary for primary care. For this reason, the CCSP program must be restructured, a) to primarily address unprivileged rural and urban areas; b) to foster actions aimed at ensuring extensive coverage as well as a similar quality of that coverage in every region; c) to use screening strategies in keeping with the availability of health care services. In countries with a great regional heterogeneity, a variety of screening procedures must be regulated and standardized, including a combination of assisted visual inspection, cervical cytology and HPV detection; d) regional community intervention must be set up to assess the effectiveness of using HPV detection as an strategy in addition to cervical cytology (pap smear); e) the practice of colposcopy must be regulated to prevent the use of it in healthy women at a population level, thus preventing unnecessary diagnosis and treatment which not only are expensive but also causes unnecessary anxiety to women at risk; f) the operation of those clinical laboratories using HPV as a detection strategy must likewise be accredited and regulated and g) the CCSP program for assuring health care quality should meet the expectations of its beneficiaries, and increase the knowledge in cervical cancer related matters. Finally, though a variety of clinical tests on prophylactic and therapeutic vaccines against HPV are recently being developed worldwide; it will take at least from 5 to 10-years time to have them available in the market. For this reason, it will be necessary to intensify the CCSP programs. All these reasons lay emphasis on the need to reinforce actions for CCSP programs. This paper is available too at: http://www.insp.mx/salud/index.html.

Developing Countries↗
PubMed2001

Industrial-waste management in developing countries: the case of Lebanon.

This paper presents a critical assessment of the existing Lebanese industrial sector, namely the current status and classification of industrial establishments based on a comparative synthesis and analysis of recent nationwide surveys and studies pertaining to industrial-waste management. Characterisation of solid and liquid industrial wastes generated, including hazardous wastes, is presented together with current and projected waste loads, recycling opportunities, and export/import practices. Institutional capacity and needs pertaining to the enforcement of relevant environmental legislation, staffing and resources, monitoring schemes, and public participation are critically evaluated. Finally, realistic options for industrial-waste management in the context of country-specific institutional economic and technical limitations are outlined. The industrial sector in Lebanon consists of small-scale industries (84% employ less than 10 persons), primarily involved in light manufacturing (96%). These industries which are distributed among 41 ill-defined zones and deficient in appropriate physical infrastructure, generate solid, liquid, and hazardous waste estimated at 346,730 tons/year, 20,169,600 m3/year and between 3000 to 15,000 tons/year, respectively. Although the growth of this sector contributes significantly to the socio-economic development of the country (industry accounts for 17% of the gross domestic product), in the absence of a comprehensive environmental management plan, this expansion may not be sustained into the coming millennium. The anticipated expansion will inevitably amplify adverse environmental impacts associated with industrial activities due to rising waste volumes and improper waste handling and disposal practices. These impacts are further aggravated by a deficient institutional framework, a lack of adequate environmental laws, and lax enforcement of regulations governing industrial-waste management.

Environmental Pollution↗
PubMed2002

The use of a GIS-based malaria information system for malaria research and control in South Africa.

The paper aims to outline the innovative development and application of a Geographical Information System based Malaria Information System for malaria research and control in South Africa. This system is a product of collaboration between the Malaria Control Programmes and the Malaria Research Programme of the Medical Research Council of South Africa. The ability of such a system to process data timeously into a usable format is discussed, as well as its relevance to malaria research, appropriate malaria control measures, tourism, and social and economic development.

Communicable Disease Control↗
PubMed2006

Development and genetic mapping of sequence-tagged microsatellites (STMs) in bread wheat (Triticum aestivum L.).

The density of SSRs on the published genetic map of bread wheat (Triticum aestivum L.) has steadily increased over the last few years. This has improved the efficiency of marker-assisted breeding and certain types of genetic research by providing more choice in the quality of SSRs and a greater chance of finding polymorphic markers in any cross for a chromosomal region of interest. Increased SSR density on the published wheat genetic map will further enhance breeding and research efforts. Here, sequence-tagged microsatellite profiling (STMP) is demonstrated as a rapid technique for the economical development of anonymous genomic SSRs to increase marker density on the wheat genetic map. A total of 684 polymorphic sequence-tagged microsatellites (STMs) were developed, and 380 were genetically mapped in three mapping populations, with 296 being mapped in the International Triticeae Mapping Initiative W7984 x Opata85 recombinant inbred cross. Across the three populations, a total of 479 STM loci were mapped. Several technological advantages of STMs over conventional SSRs were also observed. These include reduced marker deployment costs for fluorescent-based SSR analysis, and increased genotyping throughput by more efficient electrophoretic separation of STMs and a high amenability to multiplex PCR.

Chromosome Mapping↗
PubMed2005

[Medicodemographic problems in Russian Federation].

The authors of the article analyze the current health status of Russian population and underline the necessity to set priorities in the development of the country's public health system. Within a short period of time the mortality in this country has risen 1.5 times, and the birth rate have declined twice. By January 1, 2005, the population of Russian Federation had decreased by 10,361,300 people, as a result of natural depopulation. Mostly affected by the crisis is able-bodied population, the mortality among who have increased 2.5 times. The gap in the mortality between ours and other economically developed countries is now sevenfold. This means that six out of seven cases of death at the productive age in this country are absolutely preventable. The mortality among pensioners has not changed at all, i.e. people at this age seem to be reliably protected against the crisis. The birth rate has decreased abruptly; its summary coefficient has fallen down to 1.17 while 2.15 are necessary for simple reproduction. The proportion of out-of-wedlock children, as well as that of disabled children, displays a multiple increase. Male population in Russia demonstrates a catastrophic super mortality, the gap between the length of life among men and women being 13.5 years. In a number of regions men do not reach the age of 54.

Adult↗
PubMed1998

Editorial.

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Culture↗