La cultura de la calidad : Aplicación e impacto de un sistema de gestión basado en las normas ISO 9001:2008 en la Biblioteca Mayor de la Universidad Nacional de Córdoba

El propósito es compartir una experiencia de gestión de la Biblioteca Mayor de la Universidad Nacional de Córdoba, a través de la implementación de las normas ISO 9001: 2008, adoptando una nueva filosofía comprometida con los principios de la calidad y en la optimización del aprendizaje organizacional, orientado a dar respuestas a las necesidades de los usuarios por medio de servicios basados en innovaciones tecnológicas y bibliotecológicas. Este trabajo se basa en un estudio de caso describiendo los componentes del sistema, enriquecido con aportes de entrevistas personalizadas pertenecientes a distintos sectores involucrados con el proceso de certificación de la Biblioteca. Se analizan los obstáculos encontrados y los logros obtenidos basados en la mejora continua de los servicios. La obtención de una certificación no constituye un fin, sino es el comienzo de un proceso constructivo enmarcado en una cultura de la calidad, con una dinámica nueva de gestión que permite evaluar lo que se hace y como se hace.

La cultura de la calidad : Aplicación e impacto de un sistema de gestión basado en las normas ISO 9001:2008 en la Biblioteca Mayor de la Universidad Nacional de Córdoba

El propósito es compartir una experiencia de gestión de la Biblioteca Mayor de la Universidad Nacional de Córdoba, a través de la implementación de las normas ISO 9001: 2008, adoptando una nueva filosofía comprometida con los principios de la calidad y en la optimización del aprendizaje organizacional, orientado a dar respuestas a las necesidades de los usuarios por medio de servicios basados en innovaciones tecnológicas y bibliotecológicas. Este trabajo se basa en un estudio de caso describiendo los componentes del sistema, enriquecido con aportes de entrevistas personalizadas pertenecientes a distintos sectores involucrados con el proceso de certificación de la Biblioteca. Se analizan los obstáculos encontrados y los logros obtenidos basados en la mejora continua de los servicios. La obtención de una certificación no constituye un fin, sino es el comienzo de un proceso constructivo enmarcado en una cultura de la calidad, con una dinámica nueva de gestión que permite evaluar lo que se hace y como se hace.

La cultura de la calidad : Aplicación e impacto de un sistema de gestión basado en las normas ISO 9001:2008 en la Biblioteca Mayor de la Universidad Nacional de Córdoba

El propósito es compartir una experiencia de gestión de la Biblioteca Mayor de la Universidad Nacional de Córdoba, a través de la implementación de las normas ISO 9001: 2008, adoptando una nueva filosofía comprometida con los principios de la calidad y en la optimización del aprendizaje organizacional, orientado a dar respuestas a las necesidades de los usuarios por medio de servicios basados en innovaciones tecnológicas y bibliotecológicas. Este trabajo se basa en un estudio de caso describiendo los componentes del sistema, enriquecido con aportes de entrevistas personalizadas pertenecientes a distintos sectores involucrados con el proceso de certificación de la Biblioteca. Se analizan los obstáculos encontrados y los logros obtenidos basados en la mejora continua de los servicios. La obtención de una certificación no constituye un fin, sino es el comienzo de un proceso constructivo enmarcado en una cultura de la calidad, con una dinámica nueva de gestión que permite evaluar lo que se hace y como se hace.

Ecualización y optimización de la codificación para la simulación de sistemas OFDM

Los sistemas basados en la técnica OFDM (Multiplexación por División de Frecuencias Ortogonales) son una evolución de los tradicionales sistemas FDM (Multiplexación por División de Frecuencia), gracias a la cual se consigue un mejor aprovechamiento del ancho de banda. En la actualidad los sistemas OFDM y sus variantes ocupan un lugar muy importante en las comunicaciones, estando implementados en diversos estándares como pueden ser: DVB-T (estándar de la TDT), ADSL, LTE, WIMAX, DAB (radio digital), etc. Debido a ello, en este proyecto se implementa un sistema OFDM en el que poder realizar diversas simulaciones para entender mejor su funcionamiento. Para ello nos vamos a valer de la herramienta Matlab. Los objetivos fundamentales dentro de la simulación del sistema es poner a prueba el empleo de turbo códigos (comparándolo con los códigos convolucionales tradicionales) y de un ecualizador. Todo ello con la intención de mejorar la calidad de nuestro sistema (recibir menos bits erróneos) en condiciones cada vez más adversas: relaciones señal a ruido bajas y multitrayectos. Para ello se han implementado las funciones necesarias en Matlab, así como una interfaz gráfica para que sea más sencillo de utilizar el programa y más didáctico. En los capítulos segundo y tercero de este proyecto se efectúa un estudio de las bases de los sistemas OFDM. En el segundo nos centramos más en un estudio teórico puro para después pasar en el tercero a centrarnos únicamente en la teoría de los bloques implementados en el sistema OFDM que se desarrolla en este proyecto. En el capítulo cuarto se explican las distintas opciones que se pueden llevar a cabo mediante la interfaz implementada, a la vez que se elabora un manual para el correcto uso de la misma. El quinto capítulo se divide en dos partes, en la primera se muestran las representaciones que puede realizar el programa, y en la segunda únicamente se realizan simulaciones para comprobar que tal responde nuestra sistema a distintas configuraciones de canal, y las a distintas configuraciones que hagamos nosotros de nuestro sistema (utilicemos una codificación u otra, utilicemos el ecualizador o el prefijo cíclico, etc…). Para finalizar, en el último capítulo se exponen las conclusiones obtenidas en este proyecto, así como posibles líneas de trabajo que seguir en próximas versiones del mismo. ABSTRACT. Systems based on OFDM (Orthogonal Frequency Division Multiplexing) technique are an evolution of traditional FDM (Frequency Division Multiplexing). Due to the use of OFDM systems are achieved by more efficient use of bandwidth. Nowadays, OFDM systems and variants of OFDM systems occupy a very important place in the world of communications, being implemented in standards such as DVB-T, ADSL, LTE, WiMAX, DAB (digital radio) and another more. For all these reasons, this project implements a OFDM system for performing various simulations for better understanding of OFDM system operation. The system has been simulated using Matlab. With system simulation we search to get two key objectives: to test the use of turbo codes (compared to traditional convolutional codes) and an equalizer. We do so with the intention of improving the quality of our system (receive fewer rates of bit error) in increasingly adverse conditions: lower signal-to-noise and multipath. For these reasons necessaries Matlab´s functions have been developed, and a GUI (User Graphical Interface) has been integrated so the program can be used in a easier and more didactic way. This project is divided into five chapters. In the second and third chapter of this project are developed the basis of OFDM systems. Being developed in the second one a pure theoretical study, while focusing only on block theory implemented in the OFDM system in the third one. The fourth chapter describes the options that can be carried out by the interface implemented. Furthermore the chapter is developed for the correct use of the interface. The fifth chapter is divided into two parts, the first part shows to us the representations that the program can perform, and the second one just makes simulations to check that our system responds to differents channel configurations (use of convolutional codes or turbo codes, the use of equalizer or cyclic prefix…). Finally, the last chapter presents the conclusions of this project and possible lines of work to follow in future versions.

Extension of the characteristic equation to absorption chillers with adiabatic absorbers

Various researchers have developed models of conventional H2O–LiBr absorption machines with the aim of predicting their performance. In this paper, the methodology of characteristic equations developed by Hellmann et al. (1998) is applied. This model is able to represent the capacity of single effect absorption chillers and heat pumps by means of simple algebraic equations. An extended characteristic equation based on a characteristic temperature difference has been obtained, considering the facility features. As a result, it is concluded that for adiabatic absorbers a subcooling temperature must be specified. The effect of evaporator overflow has been characterized. Its influence on cooling capacity has been included in the extended characteristic equation. Taking into account the particular design and operation features, a good agreement between experimental performance data and those obtained through the extended characteristic equation has been achieved at off-design operation. This allows its use for simulation and control purposes.

Model of human rhythmic activities on structures

Crowd induced dynamic loading in large structures, such as gymnasiums or stadiums, is usually modelled as a series of harmonic loads which are defined in terms of their Fourier coefficients. Different values of these Fourier coefficients that were obtained from full scale measurements can be found in codes. Recently, an alternative has been proposed, based on random generation of load time histories that take into account phase lags among individuals inside the crowd. Generally the testing is performed on platforms or structures that can be considered rigid because their natural frequencies are higher than the excitation frequencies associated with crowd loading. In this paper we shall present the testing done on a structure designed to be a gymnasium, which has natural frequencies within that range. In this test the gym slab was instrumented with acceleration sensors and different people jumped on a force plate installed on the floor. Test results have been compared with predictions based on the two abovementioned load modelling alternatives and a new methodology for modelling jumping loads has been proposed in order to reduce the difference between experimental and numerical results at high frequency range.

Building memristor applications: from device model to circuit design

Since the memristor was first built in 2008 at HP Labs, no end of devices and models have been presented. Also, new applications appear frequently. However, the integration of the device at the circuit level is not straightforward, because available models are still immature and/or suppose high computational loads, making their simulation long and cumbersome. This study assists circuit/systems designers in the integration of memristors in their applications, while aiding model developers in the validation of their proposals. We introduce the use of a memristor application framework to support the work of both the model developer and the circuit designer. First, the framework includes a library with the best-known memristor models, being easily extensible with upcoming models. Systematic modifications have been applied to these models to provide better convergence and significant simulations speedups. Second, a quick device simulator allows the study of the response of the models under different scenarios, helping the designer with the stimuli and operation time selection. Third, fine tuning of the device including parameters variations and threshold determination is also supported. Finally, SPICE/Spectre subcircuit generation is provided to ease the integration of the devices in application circuits. The framework provides the designer with total control overconvergence, computational load, and the evolution of system variables, overcoming usual problems in the integration of memristive devices.

Educación Superior de la Ingeniería Industrial en el Perú: propuesta de un modelo educativo desde las competencias

El objetivo del presente trabajo de investigación es diseñar un Modelo de Educación que permita formar ingenieros industriales en Perú que sean capaces de enfrentar los retos modernos de fuerte y sostenido crecimiento económico y social. Las necesidades que se han generado a lo largo de los últimos años llevan a identificar que una gran carencia es el poco dominio del concepto, naturaleza y gestión de un proyecto y la marcada ausencia de habilidades humanas y funcionales al momento de ejercer la profesión; entendiendo proyecto como “Un esfuerzo temporal que se lleva a cabo para crear un producto, servicio o resultado único. La naturaleza temporal de los proyectos indica un principio y un final definidos. El final se alcanza cuando se logran los objetivos del proyecto o cuando se termina el proyecto porque sus objetivos no se cumplirán o no pueden ser cumplidos, o cuando ya no existe la necesidad que dio origen al proyecto…. los proyectos pueden tener impactos sociales, económicos y ambientales susceptibles de perdurar mucho más que los propios proyectos.”1. Entonces, formularnos la hipótesis que es posible tener un modelo educativo para la Ingeniería Industrial de Perú que permita y estimule alcanzar estas características tan reclamadas por la sociedad, confiando desde el inicio que su diseño y empleo tendrá fuerte repercusión tanto en el desarrollo personal de los estudiantes, como en el social y económico, por las habilidades y condiciones que serán capaces de desplegar los egresados en sus ámbitos de acción laboral. Para lograr el objetivo se ha hecho una definición de la identidad de la universidad latinoamericana y una verificación de si es posible o no tomar modelos y experiencias de otros lugares y trasladarlos con éxito a escenarios nuevos y distintos. Luego, se han determinado las tendencias más fuertes en la formación de ingenieros industriales en los contextos más exitosos actualmente. Para definir esas habilidades tan reclamadas por el sector público y privado de la sociedad, se busca y define una codificación de competencias genéricas que permite tener un ingeniero moderno bien perfilado para las exigencias globales. Los pasos finales son determinar el Modelo para la Educación Superior de la Ingeniería Industrial de Perú desde las Competencias (MESIC) a partir de novedosos enfoques para la educación como la contextualización, la gestión del conocimiento experto y experimentado, el enfoque socioformativo y la definición de Aspectos Clave del modelo antes de iniciar una planificación curricular de ingeniería. Al final se muestra una aplicación del modelo llegando a detalles de definición de competencias muy interesantes y a la necesidad de contar con un sistema de aseguramiento de calidad de la gestión curricular. Al término de la investigación concluimos que es posible definir un modelo apropiado para formar ingenieros industriales en Perú desde las competencias, capaces de enfrentar los modernos retos locales y globales. También determinamos que el proceso no puede ser impuesto, debe pasar por un transitorio periodo de adecuación de docentes y alumnos y requiere de compromiso, pues se suele enfocar este cambio como una forma de desestimar todo lo anterior, cuando debe entenderse que son procesos complementarios, ya que los importantes logros con clases magistrales y resolución de problemas son evidentes y se trata de estilos diferentes de encarar la educación. El resultado de la imposición puede ser devastador para algunos estudiantes y frustrante para algunos docentes, consecuencias que no se desean y deben evitarse. La aplicación se realiza en una universidad del norte de Perú, la Universidad de Piura, y puede observarse en el último capítulo de este trabajo. ABSTRACT The main objective of this research is to find an Educational Modell in order to train industrial engineers in Peru who are able to face modern challenges of strong and sustained economic and social growth. Over recent years the generated needs have led to understand that a major weakness in our professionals is the poor skills in project management and the marked absence of functional and human skills when exercising the profession. This diagnose has led to formulate the hypothesis that it is possible to have an educational model for Peru Industrial Engineering that allows and encourages to achieve these features which are claimed by society. A project which we trust will have a strong impact from the beginning on both, personal development of students as well as in the social and economic conditions, considering the skills graduates will be able to deploy in their work fields. To achieve the goal first it was defined the identity of the Latin American university and verified whether it is possible or not to take models and experiences elsewhere and move successfully to new and different scenarios. Then there were determined the strongest trends in the industrial engineers training in currently successful contexts. In order to define these demanded skills by the public and private sectors of society, there are defined a set of generic skills that allows to have a modern engineer well profiled for global context. Considering these elements, a Model for Higher Education in Industrial Engineering from Peru Competence (MESIC)is proposed considering novel approaches to education such as territoriality, skilled and experienced knowledge management, socio - formative approach and set the definition of Key aspects of the model before starting a engineering curricular planning. Finally detailed records of an application of the model is shown through modern learning methodologies, development and assessment of skills and the need to have a quality assurance system for entire curriculum management. Through this research it can be concluded that it is possible to determine an appropriate model to train industrial engineers in Peru from the skills, in order to meet the modern local and global challenges. Results show that the process cannot be imposed, instead it must go through a transitional period of adaptation from teachers and students and requires commitment, focusing that this change usually is a way to dismiss the above, and is important to address that there are obvious achievements on education lectures and problem solving, and it should be understood that they are complementary processes. The result of change imposition can be devastating for some students and frustrating for some teachers, unwanted consequences and they should be avoided. The proposed model is applied at a university in northern Peru, the University of Piura, and the results can be seen in the last chapter of this work.

Alterazione della proteostasi a livello del reticolo endoplasmatico: un potenziale target terapeutico nel carcinoma prostatico

Nel sesso maschile il carcinoma della prostata (CaP) è la neoplasia più frequente ed è tra le prime cause di morte per tumore. Ad oggi, sono disponibili diverse strategie terapeutiche per il trattamento del CaP, ma, come comprovato dall’ancora alta mortalità, spesso queste sono inefficaci, a causa soprattutto dello sviluppo di fenomeni di resistenza da parte delle cellule tumorali. La ricerca si sta quindi focalizzando sulla caratterizzazione di tali meccanismi di resistenza e, allo stesso tempo, sull’individuazione di combinazioni terapeutiche che siano più efficaci e capaci di superare queste resistenze. Le cellule tumorali sono fortemente dipendenti dai meccanismi connessi con l’omeostasi proteica (proteostasi), in quanto sono sottoposte a numerosi stress ambientali (ipossia, carenza di nutrienti, esposizione a chemioterapici, ecc.) e ad un’aumentata attività trascrizionale, entrambi fattori che causano un accumulo intracellulare di proteine anomale e/o mal ripiegate, le quali possono risultare dannose per la cellula e vanno quindi riparate o eliminate efficientemente. La cellula ha sviluppato diversi sistemi di controllo di qualità delle proteine, tra cui gli chaperon molecolari, il sistema di degradazione associato al reticolo endoplasmatico (ERAD), il sistema di risposta alle proteine non ripiegate (UPR) e i sistemi di degradazione come il proteasoma e l’autofagia. Uno dei possibili bersagli in cellule tumorali secretorie, come quelle del CaP, è rappresentato dal reticolo endoplasmatico (RE), organello intracellulare deputato alla sintesi, al ripiegamento e alle modificazioni post-traduzionali delle proteine di membrana e secrete. Alterazioni della protestasi a livello del RE inducono l’UPR, che svolge una duplice funzione nella cellula: primariamente funge da meccanismo omeostatico e di sopravvivenza, ma, quando l’omeostasi non è più ripristinabile e lo stimolo di attivazione dell’UPR cronicizza, può attivare vie di segnalazione che conducono alla morte cellulare programmata. La bivalenza, tipica dell’UPR, lo rende un bersaglio particolarmente interessante per promuovere la morte delle cellule tumorali: si può, infatti, sfruttare da una parte l’inibizione di componenti dell’UPR per abrogare i meccanismi adattativi e di sopravvivenza e dall’altra si può favorire il sovraccarico dell’UPR con conseguente induzione della via pro-apoptotica. Le catechine del tè verde sono composti polifenolici estratti dalle foglie di Camellia sinesis che possiedono comprovati effetti antitumorali: inibiscono la proliferazione, inducono la morte di cellule neoplastiche e riducono l’angiogenesi, l’invasione e la metastatizzazione di diversi tipi tumorali, tra cui il CaP. Diversi studi hanno osservato come il RE sia uno dei bersagli molecolari delle catechine del tè verde. In particolare, recenti studi del nostro gruppo di ricerca hanno messo in evidenza come il Polyphenon E (estratto standardizzato di catechine del tè verde) sia in grado, in modelli animali di CaP, di causare un’alterazione strutturale del RE e del Golgi, un deficit del processamento delle proteine secretorie e la conseguente induzione di uno stato di stress del RE, il quale causa a sua volta l’attivazione delle vie di segnalazione dell’UPR. Nel presente studio su due diverse linee cellulari di CaP (LNCaP e DU145) e in un nostro precedente studio su altre due linee cellulari (PNT1a e PC3) è stato confermato che il Polyphenon E è capace di indurre lo stress del RE e di determinare l’attivazione delle vie di segnalazione dell’UPR, le quali possono fungere da meccanismo di sopravvivenza, ma anche contribuire a favorire la morte cellulare indotta dalle catechine del tè verde (come nel caso delle PC3). Considerati questi effetti delle catechine del tè verde in qualità di induttori dell’UPR, abbiamo ipotizzato che la combinazione di questi polifenoli bioattivi e degli inibitori del proteasoma, anch’essi noti attivatori dell’UPR, potesse comportare un aggravamento dell’UPR stesso tale da innescare meccanismi molecolari di morte cellulare programmata. Abbiamo quindi studiato l’effetto di tale combinazione in cellule PC3 trattate con epigallocatechina-3-gallato (EGCG, la principale tra le catechine del tè verde) e due diversi inibitori del proteasoma, il bortezomib (BZM) e l’MG132. I risultati hanno dimostrato, diversamente da quanto ipotizzato, che l’EGCG quando associato agli inibitori del proteasoma non produce effetti sinergici, ma che anzi, quando viene addizionato al BZM, causa una risposta simil-antagonistica: si osserva infatti una riduzione della citotossicità e dell’effetto inibitorio sul proteasoma (accumulo di proteine poliubiquitinate) indotti dal BZM, inoltre anche l’induzione dell’UPR (aumento di GRP78, p-eIF2α, CHOP) risulta ridotta nelle cellule trattate con la combinazione di EGCG e BZM rispetto alle cellule trattate col solo BZM. Gli stessi effetti non si osservano invece nelle cellule PC3 trattate con l’EGCG in associazione con l’MG132, dove non si registra alcuna variazione dei parametri di vitalità cellulare e dei marcatori di inibizione del proteasoma e di UPR (rispetto a quelli osservati nel singolo trattamento con MG132). Essendo l’autofagia un meccanismo compensativo che si attiva in seguito all’inibizione del proteasoma o allo stress del RE, abbiamo valutato che ruolo potesse avere tale meccanismo nella risposta simil-antagonistica osservata in seguito al co-trattamento con EGCG e BZM. I nostri risultati hanno evidenziato, in cellule trattate con BZM, l’attivazione di un flusso autofagico che si intensifica quando viene addizionato l’EGCG. Tramite l’inibizione dell’autofagia mediante co-somministrazione di clorochina, è stato possibile stabilire che l’autofagia indotta dall’EGCG favorisce la sopravvivenza delle cellule sottoposte al trattamento combinato tramite la riduzione dell’UPR. Queste evidenze ci portano a concludere che per il trattamento del CaP è sconsigliabile associare le catechine del tè verde con il BZM e che in futuri studi di combinazione di questi polifenoli con composti antitumorali sarà importante valutare il ruolo dell’autofagia come possibile meccanismo di resistenza.

Sistemas de acreditação e certificação hospitalar em Portugal Continetal

Dissertação apresentada à Escola Superior Agrária do Instituto Politécnico de Castelo Branco para obtenção do grau de Mestre em Inovação e Qualidade na Produção Alimentar.

A low-complexity lattice-based low-PAR transmission scheme for DSL channels

This paper presents a new low-complexity multicarrier modulation (MCM) technique based on lattices which achieves a peak-to-average power ratio (PAR) as low as three. The scheme can be viewed as a drop in replacement for the discrete multitone (DMT) modulation of an asymmetric digital subscriber line modem. We show that the lattice-MCM retains many of the attractive features of sinusoidal-MCM, and does so with lower implementation complexity, O(N), compared with DMT, which requires O(N log N) operations. We also present techniques for narrowband interference rejection and power profiling. Simulation studies confirm that performance of the lattice-MCM is superior, even compared with recent techniques for PAR reduction in DMT.

Nitrogen removal from sludge digester liquids by nitrification/denitrification or partial nitritation/anammox: environmental and economical considerations

In wastewater treatment plants with anaerobic sludge digestion, 15-20% of the nitrogen load is recirculated to the main stream with the return liquors from dewatering. Separate treatment of this ammonium-rich digester supernatant significantly reduces the nitrogen load of the activated sludge system. Two biological applications are considered for nitrogen elimination: (i) classical autotrophic nitrification/heterotrophic denitrification and (ii) partial nitritation/autotrophic anaerobic ammonium oxidation (anammox). With both applications 85-90% nitrogen removal can be achieved, but there are considerable differences in terms of sustainability and costs. The final gaseous products for heterotrophic denitrification are generally not measured and are assumed to be nitrogen gas (N-2). However, significant nitrous oxide (N2O) production can occur at elevated nitrite concentrations in the reactor. Denitrification via nitrite instead of nitrate has been promoted in recent years in order to reduce the oxygen and the organic carbon requirements. Obviously this achievement turns out to be rather disadvantageous from an overall environmental point of view. On the other hand no unfavorable intermediates are emitted during anaerobic ammonium oxidation. A cost estimate for both applications demonstrates that partial nitritation/anammox is also more economical than classical nitrification/denitrification. Therefore autotrophic nitrogen elimination should be used in future to treat ammonium-rich sludge liquors.

Modelling, nitrogen dynamics in sugarcane systems: Recent advances and applications

Substantial amounts of nitrogen (N) fertiliser are necessary for commercial sugarcane production because of the large biomass produced by sugarcane crops. Since this fertiliser is a substantial input cost and has implications if N is lost to the environment, there are pressing needs to optimise the supply of N to the crops' requirements. The complexity of the N cycle and the strong influence of climate, through its moderation of N transformation processes in the soil and its impact on N uptake by crops, make simulation-based approaches to this N management problem attractive. In this paper we describe the processes to be captured in modelling soil and plant N dynamics in sugarcane systems, and review the capability for modelling these processes. We then illustrate insights gained into improved management of N through simulation-based studies for the issues of crop residue management, irrigation management and greenhouse gas emissions. We conclude by identifying processes not currently represented in the models used for simulating N cycling in sugarcane production systems, and illustrate ways in which these can be partially overcome in the short term. (c) 2005 Elsevier B.V. All rights reserved.

Advanced Asia's health systems in comparison

There is growing interest in comparing patterns of social and health service development in advanced Asian economies. Most publications concentrate broadly on a range of core social services such as education, housing, social security and health care. In terms of those solely focused on health, most discuss arrangements in specific countries and territories. Some take a comparative approach, but are focused on presentation and discussion of expenditure, resourcing and service utilization data. This article extends the comparative analysis of advanced Asian health systems, considering the cases of Japan, South Korea, Taiwan, Hong Kong and Singapore. The article provides basic background information, and delves into common concerns among the world's health systems today including primary care organization, rationing and cost containment, service quality, and system integration. Conclusions include that problems exist in 'classifying' the five diverse systems; that the systems face common pressures; and that there are considerable opportunities to enhance primary care, service quality and system integration. (c) 2006 Elsevier Ireland Ltd. All rights reserved.

Compositional analysis of teas from Australian supermarkets

Caffeine, total amino acids, water extract and moisture content are considered to be quality indicators for leaf teas and teabags. These analyses were examined in 20 leaf teas and 36 teabags sampled from Australian supermarkets. About 70% of the analysed samples showed a moisture content higher than Vie maximum accepted level, 6.5%, for tea storage and marketing by the tea industries and traders. Water appropriate extract of 15 samples out of 36 teabags was lower than that of the teas without teabags, which indicates that the quality of the paper used for teabags needs to be evaluated. Moreover, one of the black leaf tea samples was found to have a water extract below the lower limit of international standards. Four green and black teas of the same brand, claimed to contain less than 3% caffeine, were found to have 3-4%, the same as the other samples analysed in this study. The mean total contents of amino acids were 2.50% and 1.76% in black leaf teas and the teabags, respectively, whereas they were 3.44% and 2.28% in green leaf teas and the teabags, respectively. Furthermore, the weights of 28 teabags out of 36 samples were found to lie outside of the proposed +/- 2% variation accepted by the tea industries and traders, and 4 samples showed even larger variation, 10% being out of the proposed weights. This investigation also showed that the solubility of caffeine and water extract was affected by the permeability of teabags, whereas total amino acids were very variable. These results suggest that an efficient and practical quality control system for both imported and Australian-made teas in the Australian supermarkets should be developed, implemented and enforced. Chemical analysis should be a part of the system for establishing an objective assessment for the quality control. (c) 2004 Elsevier Ltd. All rights reserved.