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The Concept Model of Sustainable Buildings Refurbishment

100%

Mickaitytė A. , Zavadskas E. , Kaklauskas A. , Tupėnaitė L.

tom 12

nr 1

53-68

Sustainable development principles reaching many spheres of human activities, public buildings refurbishment is not an exemption in this case. Buildings refurbishment supports excellent opportunities to reduce energy consumption in buildings as well as encourages other sustainable refurbishment principles implementation - citizens' healthcare, environment protection, rational resources use, information about sustainable refurbishment dissemination and stakeholders groups' awareness. During the pilot refurbishment FP-6 project Brita in PuBs, authors of this article have developed conceptual sustainable public buildings refurbishment model. Model was created basing on sustainable development principles, their consideration in decision making process and model efficiency influencing factors. In order to demonstrate models' application possibilities following the healthcare principle, practical case study of Vilnius Gediminas Technical University main building pollution mapping is given at the end of this article.

Darnios plėtros principai skverbiasi į daugelį veiklos krypčių, neaplenkdami ir visuomeninių pastatų atnaujinimo proceso. Pastatų atnaujinimas - tai puiki galimybė ne tik sumažinti suvartojamos pastate energijos apimtis, bet ir užtikrinti kitus darnios renovacijos principus - rūpinimąsi gyventojų sveikata, aplinkos tausojimą, racionalų išteklių naudojimą, taip pat ir informacijos apie darnią pastatų renovaciją prieinamumą. Vykdant demonstracinį FP-6 projektąBrita in PuBs, straipsnio autoriai sukūrė koncepcinį darnios visuomeninių pastatų renovacijos modelį, kuriame atsižvelgiama į darnios plėtros principus, jų taikymą priimant sprendimus ir modelio efektyvumą veikiančius veiksnius. Siekiant pademonstruoti modelio realizavimo galimybes, paskutiniame straipsnio skyriuje rūpinimosi sveikata principas iliustruojamas renovuojamo VGTU centrinio pastato užterštumo žemėlapio sudarymu.

A Historical Evaluation of the Prospectsand Challenges of Nigeria’s Health Sector,1960–2016

88%

Paul I. A.

nr 2

201-224

Over the years, Africa has been designated with unpalatable epithets, such as disease zone and Whiteman graveyard among others because of its salubrious ecology to the survival of pathogens, which had led to pathological disequilibrium in many African states. This study examined Nigeria’s health Sector and evaluated its prospects and challenges, since independence. Healthcare delivery predates Nigeria’s independence. It is a Man’s reaction towards his variegated health challenges, which is considered as old as man’s existence. The study uses historical tools of analysis to investigate the prospects and challenges in its response to combating diverse diseases and epidemics. The aim of the study is to evaluate why in spite of the efforts of diverse actors it health sector, Nigerian healthcare delivery still remains weak and unable to meet the challenges of diseases and epidemics.

Exclusion from Healthcare Services and the Emergence of New Stakeholders and Vulnerable Groups in Times of Economic Crisis: A Civil Society's Perspective in Greece

88%

Zafiropoulou M.

tom 12

nr 2

141-160

The exclusion from access to basic health services, medical examinations, hospital and pharmaceutical care has affected a large number of Greek citizens during the economic crisis. The first aim of this paper is to focus on the analysis of those new vulnerable groups who face access problems to healthcare services. The second aim of the paper is to examine the new stakeholders and to explore the civil society's emerging initiatives. Unfortunately, so far, there have been only a few cross national surveys that analyze and identify new vulnerable groups, new stakeholders and problems of access to healthcare services in times of crisis. This problem is related to the lack of information and data available for these specific groups even during periods of economic florescence. In order to resolve the problem of data, this paper is based on two large scale European projects in Greece during the latest years of the crisis: the Eurofound research project on ‘Access to healthcare in times of crisis’ (2013-2014) and the ongoing Fragmex ‘Fragmentation and Exclusion: Understanding and Overcoming the multiple impacts of European crisis’ research project (2013-2015) using a multi-method approach combining macro and micro perspectives from respectively quantitative official national and international data and qualitative data based on interviews of NGOs and ecclesiastic organizations. The alternative model of civil society's empowerment has not only become one of the most visible symptoms of the crisis but presents, as well, a conceptual construct that attempts to place citizens' synergies in a central place, in a space that emphasizes inter-relationships too often ignored by policymakers.