Public health significance of bipolar disorder: implications for early intervention and prevention.

OBJECTIVES: Early intervention and preventive strategies have become major targets of research and service development in psychiatry over the last few years. Compared to schizophrenia, bipolar disorder (BD) has received limited attention in this regard. In this paper, we review the available literature in order to explore the public health significance of BD and the extent to which this may justify the development of early intervention strategies for this disorder. METHODS: The main computerized psychiatric literature databases were accessed. This included Medline and PsychInfo, using the following keywords: bipolar, early intervention, staging model, burden, caregiver, public health, and manic depression. RESULTS: BD is often recurrent and has an impact that goes well beyond symptomatic pathology. The burden it incurs is linked not only to its cardinal clinical features, but also to cognitive dysfunction, poor functional outcome, poor physical health, high rate of comorbidities, and suicide. At a societal level, BD induces enormous direct and indirect costs and has a major impact on caregivers. The available literature reveals a usually long delay between illness onset and the start of treatment, and the absence of specific guidelines for the treatment of the early phase of BD. CONCLUSIONS: Considering the major impact of BD on patients and society, there is an urgent need for the development of early intervention strategies aimed at earlier detection and more specific treatment of the early phase of the disorder.

Iowa Workforce Development Annual Report Fiscal Year 2012

Iowa ended its third year of a moderate economic recovery as fiscal year 2012 came to a close. Though many of the fundamentals in the state’s economy reflected strength during the year, employment had not returned to its pre-recession level, and job growth remained tepid. Furthermore, there was a distinct dichotomy in where hiring occurred. Most of the state’s job growth was concentrated in the goods-producing industries of construction and manufacturing, while the service-providing industries showed little momentum except for healthcare. Within the manufacturing sector, machinery products was one of the state’s fastest-growing subsectors in 2011, accounting for the creation of several thousand higher-paying jobs. The state’s nonfarm employment advanced by 12,200 in FY 2012 led primarily by growth in manufacturing and construction, which were up 9,900 and 3,800, respectively. Healthcare was the strongest of the service-providing industries with an annual gain of 2,600 jobs, while government continued to be the biggest drag on the statewide economy. Although all three levels of government employment dropped from one year ago, state government lost the most jobs at 1,900.

Venture capital financing : screening and contracting under assymetric information

Structure of the Thesis This thesis consists of 5 sections. Section 1 starts with the problem definition and the presentation of the objectives of this thesis. Section 2 introduces a presentation of the theoretical foundations of Venture financing and a review of the main theories developed on Venture investing. It includes a taxonomy of contracting clauses relevant in venture contracting, the conflicts they address, and presents some general observations on contractual clauses. Section 3 presents the research findings on the analysis of a European VC's deal flow and investment screening linked to the prevailing market conditions. Section 4 focuses an empirical study of a European VC's investment process, the criteria it uses to make its investments. It presents empirical findings on the investment criteria over time, business cycles, and investment types. It also links these criteria to the VC's subsequent performance. Finally, section 5 presents an empirical research on the comparison of the legal contracts signed between European and United States Venture Capitalists and the companies they finance. This research highlights some of the contracting practices in Europe and the United States.

Implantación de microcogeneración en el equipamiento municipal : "Centro de Historia de Zaragoza"

A raíz de la evolución del precio de la energía y de las medidas adoptadas a nivel mundial para el llamado “desarrollo sostenible”, la legislación europea ha liderado las correcciones a efectuar en los procesos protagonistas del consumo de recursos y de contaminación del medio ambiente. En la última década el proceso viene acelerándose para cumplir con los objetivos marcados, amparándose en unas ya consolidadas estadísticas sobre las repercusiones prácticas de cada una de las iniciativas proyectadas. Una de las tecnologías a emplear es la cogeneración, es decir, la producción simultánea de calor y electricidad. A diferencia de otras soluciones más ambiciosas, y por tanto con mayor incertidumbre en su aplicación práctica, la cogeneración es una respuesta ya madura y viable, directamente aplicable a industrias y con un claro apoyo institucional. El objetivo principal de este trabajo es demostrar mediante un estudio técnico – económico, la viabilidad de la solución planteada en este tipo de edificios, mediante la aportación de datos reales y contrastados. Así como establecer los parámetros e indicadores de medición que permitan elegir dicha tecnología como la solución óptima para el ahorro y eficiencia económica en su sector de aplicación. Entre las conclusiones más destacadas de este proyecto están los beneficios que aporta tanto al usuario del sistema como al conjunto de la sociedad, siendo este último aspecto fundamental en su financiación y subvención. Por otra parte, son instalaciones desconocidas en ciertos edificios por lo que este trabajo debe contribuir a su desarrollo y adopción por parte de las empresas de servicios energéticos.

Intermediate and premutation FMR1 alleles in women with occult primary ovarian insufficiency.

OBJECTIVE: To compare the prevalence of intermediate and premutation FMR1 alleles in women with occult primary ovarian insufficiency (oPOI) and in controls. DESIGN: Observational study. SETTING: Division of Infertility and Service of Genetic Medicine, Geneva University Hospitals. PATIENT(S): The study group consisted of 27 infertile women with oPOI referred by infertility specialists for FMR1 testing in 2005-6 because of unexplained poor response to controlled ovarian hyperstimulation or altered hormonal profiles. The control group consisted of 32 women undergoing genetic testing for conditions unrelated to mental retardation or ovarian function. The DNA samples were anonymized. INTERVENTION(S): In the study group, data were collected concerning reproductive/family history, hormonal markers, possible fertility treatment outcomes, and results of karyotype and FMR1 testing. In the control group, FMR1 gene testing was done. The only clinical data available in controls were sex and indication for genetic testing. MAIN OUTCOME MEASURE(S): Distribution of FMR1 alleles. RESULT(S): Six (22%) of 27 women with oPOI had FMR1 alleles of >40 repeats (intermediate to premutation range), compared with one (3%) of 32 controls. CONCLUSION(S): These results suggest that women with oPOI might be at risk of carrying alleles in the intermediate and premutation range.

Incubadores d'empreses: un instrument de suport a l'emprenedoria amb bona salut a Catalunya

The business incubators were newness in Catalonia during the last decade. They proliferated throughout all catalan geography, although during the last three years there have appeared some stabilization signals in the sector. Actually, it has only been created two new business incubators and the existing ones have not increased their supply, neither in physical available space nor in new services. It is observed that the profile of the existing incubators explains the strong presence of service companies. Thus, a clear attempt of specialization of the incubators is detected. At the same time, the virtual incubators and incubators linked to universities are arising new models that could be the paradigm of business incubators from now on

Compressed Natural Gas in Iowa State of Iowa Requirements and Procedures For Commercialization and Sale, June 2015

This document is specific to the state of Iowa and outlines the requirements and procedures necessary to use, distribute, and service compressed natural gas (CNG) and the equipment associated with it. Four state agencies’ requirements for CNG are covered in this document: The Iowa Utilities Board (IUB), Iowa Department of Agriculture and Land Stewardship (IDALS)/ Weights and Measures Bureau, Iowa Department of Revenue (IDR) and Iowa Department of Public Safety (IDPS) / Division of the State Fire Marshal.

Integrating life cycle costs and environmental impacts of composite rail car-bodies for a Korean train

Background, aim, and scope A coupled Life Cycle Costing and life cycle assessment has been performed for car-bodies of the Korean Tilting Train eXpress (TTX) project using European and Korean databases, with the objective of assessing environmental and cost performance to aid materials and process selection. More specifically, the potential of polymer composite car-body structures for the Korean Tilting Train eXpress (TTX) has been investigated. Materials and methods This assessment includes the cost of both carriage manufacturing and use phases, coupled with the life cycle environmental impacts of all stages from raw material production, through carriage manufacture and use, to end-of-life scenarios. Metallic carriages were compared with two composite options: hybrid steel-composite and full-composite carriages. The total planned production for this regional Korean train was 440 cars, with an annual production volume of 80 cars. Results and discussion The coupled analyses were used to generate plots of cost versus energy consumption and environmental impacts. The results show that the raw material and manufacturing phase costs are approximately half of the total life cycle costs, whilst their environmental impact is relatively insignificant (3-8%). The use phase of the car-body has the largest environmental impact for all scenarios, with near negligible contributions from the other phases. Since steel rail carriages weigh more (27-51%), the use phase cost is correspondingly higher, resulting in both the greatest environmental impact and the highest life cycle cost. Compared to the steel scenario, the hybrid composite variant has a lower life cycle cost (16%) and a lower environmental impact (26%). Though the full composite rail carriage may have the highest manufacturing cost, it results in the lowest total life cycle costs and lowest environmental impacts. Conclusions and recommendations This coupled cost and life cycle assessment showed that the full composite variant was the optimum solution. This case study showed that coupling of technical cost models with life cycle assessment offers an efficient route to accurately evaluate economic and environmental performance in a consistent way.

Determinants of science-based cooperation: evidence in a sample of small and micro firms

We study the determining factors of cience-based cooperation in the case of small and micro firms. In this research, we propose an analytical framework based on the resource-based view of the firm and we identify a set of organisational characteristics, which we classify as internal, external and structural factors. Each factor can be linked to at least one reason, from the firm¿s point of view, to cooperate with universities and public research centres. Each reason can, in turn, be used as an indicator of a firm¿s organisational needs or organisational capacities. In order to validate the theoretical model, we estimate a logistic regression that models the propensity to participate in science-based cooperation activities within a sample of 285 small and micro firms located in Barcelona. The results show the key role played by the absorptive capacity of new and small companies.

DFMA- Analysis and Aspects of Applying Internet Based Collaborative Design for Axial Eccentric Oil-Pump Design

The integrated system of design for manufacturing and assembly (DFMA) and internet based collaborative design are presented to support product design, manufacturing process, and assembly planning for axial eccentric oil-pump design. The presented system manages and schedules group oriented collaborative activities. The design guidelines of internet based collaborative design & DFMA are expressed. The components and the manufacturing stages of axial eccentric oil-pump are expressed in detail. The file formats of the presented system include the data types of collaborative design of the product, assembly design, assembly planning and assembly system design. Product design and assembly planning can be operated synchronously and intelligently and they are integrated under the condition of internet based collaborative design and DFMA. The technologies of collaborative modelling, collaborative manufacturing, and internet based collaborative assembly for the specific pump construction are developed. A seven-security level is presented to ensure the security of the internet based collaborative design system.

Tuotevarastojen nykytila-analyysi lyhytkäyttötuotteita valmistavassa yrityksessä

Varastointitehokkuus on keskeisimpiä asioita päivittäistavaroita valmistavissa yrityksissä, kun kustannuksia pyritään minimoimaan mahdollisen kilpailuedun saavuttamiseksi. Tämän diplomityön tarkoituksena on nykytilaa analysoimalla löytää syyt kohdeyrityksen suurelle lautasvarastolle ja pyrkiä esittämään kehitysmahdollisuuksia. Aihetta lähestytään aluksi alan kirjallisuutta käsittelemällä. Varastojen syntyyn vaikuttavat kaksi päätekijää: kysynnän ennustamisen onnistuminen ja tuotannon suunnittelu sesonkimaisessa kysyntäympäristössä. Työssä syvennytään näihin aiheisiin ja esitellään varastointitehokkuuden mittarit, varastoinnin kustannukset sekä kannattavuuden mittari ROI. Yrityksen lautasvaraston nykytila-analyysin jälkeen on työssä kehitelty kolme erilaista tuotannon toimintamallia, joista kaksi on laadittu vuoden 2006 toteutuneelle ja kolmas vuoden 2007 budjetoidulle kysynnälle. Toimintamallien perusteella olisi yrityksen lautasvarastoa mahdollista pienentää ja varastointikustannuksia karsia jopa 45 prosenttia.

Uuden liiketoiminta-alueen arvoverkostot ja potentiaalisten avainasiakkaiden identifiointi

Työn tavoitteena on koota malli uuden toimialan potentiaalisten avainasiakkaiden tunnistamiseksi. Työn tavoitteena on antaa kohdeyritykselle riittävä tietämys Euroopan kosmetiikkateollisuuden pakkausmarkkinoista markkinoille menemisen päätöksen tueksi. Tämä tapahtuu tutkimalla (1) kosmetiikkateollisuuden houkuttelevuutta, (2) arvoverkostoja sekä (3) tärkeimpiä asiakkaita. Työssä kuvataan Euroopan kosmetiikkateollisuuden pakkausmarkkinoita sekä toimialalla toimivia yrityksiä. Perustiedot 160-pakkausvalmistajasta ja 70-kosmetiikkavalmistajasta on taulukoitu matriiseihin, mistä niiden lajittelu ja valinta on mahdollista. Toimittajat ja asiakkaat on yhdistetty julkisissa mainittujen referenssien avulla toisiinsa. Kosmetiikkateollisuuden pakkausvalmistus on lievästi kasvava ja voimakkaasti kilpailtu toimiala. Perlos Oyj:n suurin haaste markkinoilla toimimiseen sen nykyisellä toimintatavalla olisi lääketeollisuustoimialalle tyypillisten kustannusten vähentäminen. Vahva vaihtoehto markkinoille tunkeutumisen strategiaksi on olemassa olevan pakkausvalmistajan tai sopimusvalmistajan hankkiminen. Pitkän aikavälin avainasiakkaiden toimittajaksi pääsee helpoitenhankkimalla kokemusta kosmetiikkatoimialasta pienempien valmistajien kautta.

The class basis of the cleavage between the New Left and the radical right: An analysis for Austria, Denmark, Norway and Switzerland

This chapter argues that the electoral competition between the New Left and the Radical Right is best understood as a cultural divide anchored in different class constituencies. Based on individual-level data from the European Social Survey, we analyze the links between voters' class position, their economic and cultural preferences and their party choice for four small and affluent European countries. We find a striking similarity in the class pattern across countries. Everywhere, the New Left attracts disproportionate support from socio-cultural professionals and presents a clear-cut middle-class profile, whereas the Radical Right is most successful among production and service workers and receives least support from professionals. In general, the Radical Right depends on the votes of lowereducated men and older citizens and has turned into a new type of working-class party. However, its success within the working-class is not due to economic, but to cultural issues. The voters of the Radical Right collide with those of the New Left over a cultural conflict of identity and community - and not over questions of redistribution. A full-grown cleavage has thus emerged in the four countries under study, separating a libertarian-universalistic pole from an authoritarian-communitarian pole and going along with a process of class realignment.

Investments and value creation Case pulp and paper industry

Tämä tutkimus analysoi 49 sellu- ja paperiteollisuusyrityksen investointistrategioiden ja yrityksen arvon välistä yhteyttä vuosien 1996 ja 2005 välillä. Teoriaosa luo katsauksen arvonmääritysmenetelmiin ja investointien vaikutuksesta yrityksen arvoon ja arvonluontiin. Empiirinen osa on sekä kuvaileva, että selittävä. Yrityksen arvon kehittyminen mitataan vuosittain lisäarvomallilla (EVA®). Toteutetussa analyysissa yritykset on ryhmiteltyjoko liiketoimintaorientaation tai maantieteellisen alueen mukaan. Yritysten investointistrategiat jaoteltiin kasvumallin mukaisesti T&K:hon käyttöomaisuusinvestointeihin ja yritysostoihin. Kasvumallin tulokset ovat raportoitu yritystasolla. Tulokset osoittavat, että harvat sellu- ja paperiteollisuusyritykset ovetpystyneet arvonluontiin. Arvonluonti riippuu merkittävästi talouden suhdanteista. Yritysten investointistrategiat ovat olleet hyvin identtisiä tarkastelujaksonaikana ja alan suurimpien yritysten investointistrategiat kuvaavat hyvin koko toimialan kehitystä. Pienempien yritysten investointistrategiat eroavat valtavirran toimista. Jatkoanalyysi osoitti, että investoinnit käyttöomaisuuteen parantavat kannattavuutta, mitattuna EBITDA-%:lla ja yritysostot heikentävät sitä. Mitattaessa arvonluontia EVA®:lla käyttöomaisuusinvestoinneilla on positiivinen vaikutus arvonluontiin, kun taas yritysostot tuhoavat arvoa. Havainnot tukevat aikaisempia empiirisiä tutkimustuloksia.