Home About us Contact
|
Home About us Contact | ||
|
|
||
Commission
Kinds of Commission Terms modified by Commission Selected AbstractsTHE CHARITY COMMISSION , POLITICISED AND POLITICISINGECONOMIC AFFAIRS, Issue 3 2010Stanley Brodie Charities have always had to show that they provide a ,public benefit', the meaning of which has been developed by case law. The Charity Commission, a body created by the last government, has provided guidance on the meaning of ,public benefit' which is at odds with the meaning developed in case law , and therefore in conflict with the statute under which the guidance was ostensibly provided. The Charity Commission has also allowed charities to engage in political campaigning, an activity which the House of Lords has held no charity can lawfully pursue without losing its charitable status. The Charity Commission and its guidance should be scrapped. Professionally qualified and independent Charity Commissioners should be appointed. [source] THE REPORT OF THE CONSERVATIVE PARTY TAX REFORM COMMISSIONECONOMIC AFFAIRS, Issue 2 2007Article first published online: 15 JUN 200 Four economists give their views on the economics and political economy of the Conservative Party Tax Reform Commission Report. [source] NILE BASIN COMMISSION: Co-operative FrameworkAFRICA RESEARCH BULLETIN: ECONOMIC, FINANCIAL AND TECHNICAL SERIES, Issue 5 2010Article first published online: 8 JUL 2010 No abstract is available for this article. [source] 2. THE HISTORICAL BACKGROUND LEADING TO THE ESTABLISHMENT OF THE ANTIQUITY COMMISSIONACTA ARCHAEOLOGICA, Issue 1 2007Article first published online: 16 MAY 200 First page of article [source] 3. THE ESTABLISHMENT OF THE ROYAL COMMISSION FOR THE PRESERVATION OF ANTIQUITIESACTA ARCHAEOLOGICA, Issue 1 2007Article first published online: 16 MAY 200 No abstract is available for this article. [source] THE MINUTE-BOOKS OF THE ANTIQUITIES COMMISSION 1807-1848ACTA ARCHAEOLOGICA, Issue 1 2007Tove Benedikte Jakobsen No abstract is available for this article. [source] THE EU COMITOLOGY SYSTEM: WHAT ROLE FOR THE COMMISSION?PUBLIC ADMINISTRATION, Issue 2 2010GIJS JAN BRANDSMA The literature on comitology has largely ignored the European Commission's actual behaviour in the daily workings of the numerous comitology committees that were designed to control it. On the basis of survey data of Danish and Dutch representatives on nearly all comitology committees, this paper investigates the Commission's role in the system. We find that the Commission acts both as a mediator and as a policy advocate, but to varying degrees. We take a first step towards understanding this behaviour by an inspection of four arguments found in the literature on comitology and the Commission: the constraining or enabling impact of the comitology procedures; the institutional position of the responsible Directorate-General; the nature of the cases dealt with by the committees and, finally, the intensity of the member states' preferences in relation to the committees' cases. In comitology, each of these arguments shapes the mediating or the advocating behaviour of the Commission. [source] BUILDING AN EFFECTIVE TRADE PRACTICES COMMISSION: THE ROLE OF PROFESSOR ROBERT BAXT, AOAUSTRALIAN ECONOMIC HISTORY REVIEW, Issue 2 2009Stephen Corones Baxt; competition policy; Trade Practices Commission Bob Baxt, the third chairman of the Trade Practices Commission, served for a single three-year term from 1988 to 1991. He followed Bob McComas, who had deliberately adopted a non-litigious approach to preserving the competitive process. Baxt was far more proactive and sought to push the frontiers of investigation and precedent, and perhaps, more significantly, to influence opinion about the need to expand the coverage of the Trade Practices Act. This article examines Baxt's role in teaching his interdisciplinary Trade Practices Workshops, the political context of his tenure, and his handling of the Queensland Wire case. [source] THE PERFORMANCE OF AN ELECTRICITY UTILITY: THE CASE OF THE STATE ELECTRICITY COMMISSION OF VICTORIA, 1925,93AUSTRALIAN ECONOMIC HISTORY REVIEW, Issue 1 2006Malcolm Abbott Australia; electricity utility; privatisation; public enterprise; Victoria One of the most important microeconomic policy reforms of the 1990s was the restructuring of the Australian electricity supply industry. This process was encouraged by the perception that the state-owned electricity authorities performed poorly in the 1970s and 1980s. This article observes the long-term performance of the State Electricity Commission of Victoria over the course of most of its life. In particular the growth in demand for electricity in Victoria, the productivity growth of the State Electricity Commission of Victoria, as well as electricity prices, profits and debt levels are presented over the longer term. [source] Correlations among Extinction Risks Assessed by Different Systems of Threatened Species CategorizationCONSERVATION BIOLOGY, Issue 6 2004JULIAN J. O'GRADY análisis de viabilidad poblacional; categorías de amenaza; especies en peligro; riesgo de extinción Abstract:,Many different systems are used to assess levels of threat faced by species. Prominent ones are those used by the World Conservation Union, NatureServe, and the Florida Game and Freshwater Fish Commission (now the Florida Fish and Wildlife Conservation Commission). These systems assign taxa a threat ranking by assessing their demographic and ecological characteristics. These threat rankings support the legislative protection of species and guide the placement of conservation programs in order of priority. It is not known, however, whether these assessment systems rank species in a similar order. To resolve this issue, we assessed 55 mainly vertebrate taxa with widely differing life histories under each of these systems and determined the rank correlations among them. Moderate, significant positive correlations were seen among the threat rankings provided by the three systems (correlations 0.58,0.69). Further, the threat rankings for taxa obtained using these systems were significantly correlated to their rankings based on predicted probability of extinction within 100 years as determined by population viability analysis (correlations 0.28,0.37). The different categorization systems, then, yield related but not identical threat rankings, and these rankings are associated with predicted extinction risk. Resumen:,Se utilizan muchos sistemas diferentes para evaluar los niveles de amenaza que enfrentan las especies. Son prominentes los utilizados por World Conservation Union, NatureServe Heritage y Florida Game and Freshwater Fish Commission (ahora Florida Fish and Wildlife Conservation Commission). Estos sistemas asignan una categoría de amenaza a los taxa mediante la evaluación de sus características demográficas y ecológicas. Estas categorías de amenaza sustentan a la protección legislativa de especies y guían la definición de prioridades en programas de conservación. Sin embargo, se desconoce si estos sistemas de evaluación categorizan a las especies en orden similar. Para resolver este tema, evaluamos 55 taxa, principalmente de vertebrados, con historias de vidas muy diferentes con cada uno de estos sistemas y determinamos las correlaciones entre las categorías. Hubo correlaciones positivas moderadas entre las categorías de amenaza proporcionadas por los tres sistemas (correlaciones 0.58-0.69). Más aun, las categorías de amenaza proporcionados por estos sistemas estuvieron correlacionadas significativamente con las categorías definidas con base en la probabilidad de extinción pronosticada en 100 años determinada por análisis de viabilidad poblacional (correlaciones 0.28-0.37). Por lo tanto, los diferentes sistemas de categorización están proporcionando categorías de amenazas relacionadas pero no idénticas, y estas categorías están relacionadas con el riesgo de extinción pronosticado. [source] Conservation Biology Framework for the Release of Wild-Born Orphaned Chimpanzees into the Conkouati Reserve, CongoCONSERVATION BIOLOGY, Issue 5 2001Caroline E. G. Tutin Release of captive individuals is complex and controversial, however, particularly when risks are potentially high, as in the case of orphaned apes. We describe the decision-making process that led to the successive release of 20 wild-born orphan chimpanzees ( Pan troglodytes troglodytes) into the Conkouati Reserve in the Republic of Congo. Recommendations of the Reintroduction Specialist Group of the World Conservation Union's Species Survival Commission were followed closely. The conservation status, ecology, and behavior of wild chimpanzees; the biological, social, economic and political context of the release site; and the health and genetic status of the candidates for release were all taken into account in the planning and execution of the project. Rigorous post-release monitoring of behavior and health allowed documentation of the outcome. The project was of benefit to the chimpanzees that were released but also brought broad benefits to the site through effective protection from poaching and deforestation, and direct and indirect benefits to local people. The genetic and behavioral diversity of chimpanzees require a variety of conservation strategies to reduce threats and maintain as many viable wild populations as possible. Resumen: El retorno de animales confiscados a sus hábitats nativos es deseable cuando ocasiona una contribución positiva para la conservación de la especie. Sin embargo, la liberación de individuos cautivos es compleja y controversial, particularmente cuando los riesgos son potencialmente altos, como es el caso de los monos huérfanos. Describimos el proceso de toma de decisiones que condujo a la liberación de exitosa de 20 chimpancés silvestres huérfanos ( Pan troglodytes troglodytes) dentro de la Reserva Conkouati de la República de Congo. Las recomendaciones del Grupo de especialistas en reintroducción de la UICN-SSC fueron seguidas de cerca. El estatus de conservación, ecología y conducta de los chimpancés silvestres; el contexto biológico, social, económico y político del sitio de liberación y la salud y estatus genético de los candidatos a ser liberados fueron también tomados en consideración en la planeación y ejecución del proyecto. El monitoreo riguroso post-liberación de la conducta y salud permitió la documentación de los resultados. El proyecto fue benéfico para los chimpancés liberados pero también trajo beneficios amplios al sitio mediante la protección efectiva de la caza fortuita y la deforestación y beneficios directos e indirectos para la población humana local. La diversidad genética y conductual de los chimpancés requiere de una variedad de estrategias de conservación para reducir las amenazas y mantener cuantas poblaciones silvestres viables sean posibles. [source] Evaluation of the skin sensitizing potency of chemicals by using the existing methods and considerations of relevance for elicitationCONTACT DERMATITIS, Issue 1 2005David A. Basketter The Technical Committee of Classification and Labelling dealing with harmonized classification of substances and classification criteria under Directive 67/548/EEC on behalf of the European Commission nominated an expert group on skin sensitization in order to investigate further the possibility for potency consideration of skin sensitizers for future development of the classification criteria. All substances and preparations should be classified on the basis of their intrinsic properties and should be labelled accordingly with the rules set up in the Directive 67/548/EEC. The classification should be the same under their full life cycle and in the case that there is no harmonized classification the substance or preparation should be self-classified by the manufacturer in accordance with the same criteria. The Directive does not apply to certain preparations in the finished state, such as medical products, cosmetics, food and feeding stuffs, which are subject to specific community legislation. The main questions that are answered in this report are whether it would be possible to give detailed guidance on how to grade allergen potency based on the existing methods, whether such grading could be translated into practical thresholds and whether these could be set for both induction and elicitation. Examples are given for substances falling into various potency groups for skin sensitization relating to results from the local lymph node assay, the guinea pig maximization test, the Buehler method and human experience. [source] DEMAND UNCERTAINTY AND RESALE PRICE MAINTENANCECONTEMPORARY ECONOMIC POLICY, Issue 4 2000D FLATH When retailers must commit to shipment quantities prior to resolution of demand uncertainty, manufacturer stipulation of a minimum retail price is likely to be profitable for the manufacturer and not damaging to the retailers. The reason is simple: if demand turns out to be low, the unfettered market-clearing price can lie below the price that maximizes total sales revenue. A minimum retail price that is binding in the low-demand state can thus increase total revenue even though it saddles retailers with unsold merchandise. The ubiquity of full reimbursement for returns in Japan, even though it is in theory merely a second-best way of achieving minimum retail price stipulations, reveals important aspects of manufacturer maintenance of retail prices having to do with enforcement problems, the allocation of risk-bearing, and economic incentives. These aspects of resale price maintenance (RPM) are relevant to the normative evaluation of the special exemptions for RPM that Japan's Fair Trade Commission has long maintained but is now phasing out. [source] The use of economic, social and environmental indicators as a measure of sustainable development in SpainCORPORATE SOCIAL RESPONSIBILITY AND ENVIRONMENTAL MANAGEMENT, Issue 2 2006Isabel Gallego Abstract In recent years the concept of corporate social responsibility has gained prominence among academics from a wide range of disciplines. According to the Green Paper issued by the Commission of the European Communities in July 2001, corporate social responsibility is defined as a concept whereby companies integrate social and environmental concerns in their business operations and in their interaction with their stakeholders on a voluntary basis. The problem is how firms have made known the information on corporate social responsibility. With this in mind, we undertook the present work in an attempt to verify empirically how certain Spanish firms present their economic, social and environmental information, how they use the indicators proposed by the Global Reporting Initiative (GRI) that are accepted in all countries and how this information can affect sustainable development. To perform this study we examined some Spanish firms that present economic, social and environmental information according to the GRI framework. Certain relevant conclusions indicate that in Spain in the last few years there has been an increase and an improvement in the information given by firms on economic, social and environmental concerns and that the information most presented by firms has to do with the social indicators related to labour, practices and decent work, strategy and management, non-discrimination, freedom of association, child labour and forced and compulsory labour as well as the environmental indicators related to energy, water, biodiversity and emissions, effluents and waste. This information reveals the great importance afforded in Spain to social and environmental information for sustainable development. Copyright © 2005 John Wiley & Sons, Ltd and ERP Environment. [source] Are psychiatrists affecting the legal process by answering legal questions?CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 2 2008Timothy Hardie Background,Psychiatrists are often asked to answer legal questions. The extent to which they answer strictly legal rather than medical matters is not known. Aim,To investigate how strongly psychiatrists in England and Wales express opinions on one legal question , that of diminished responsibility in respect of a murder charge, and how this is related to outcome in court. Method,Our data were extracted from psychiatric reports and case files supplied by the then Department of Constitutional Affairs (now the Ministry of Justice) on cases heard in the Crown Courts between 1 January 1997 and 31 December 2001 in which the defence of diminished responsibility had been raised. The cases had been selected by the Law Commission in their earlier review of partial defences to murder. We devised a reliable system of rating the presence/absence and strength of expression of a legal opinion in the medical reports. We tested the data for relationship between nature and strength of opinion and progression to trial and verdict. Results,Psychiatric reports were available on 143 of 156 cases in which diminished responsibility was considered. They yielded 338 opinions on at least one aspect of diminished responsibility. In 110 (93%) of the 118 cases in which there was a diminished verdict, this was made without trial and, therefore, without reference to a jury. In only eight (27%) out of the 30 cases that went to trial, was a diminished responsibility verdict made. Half of the reports (169) gave a clear opinion on diminished responsibility, a third (121) invited the court to draw a particular conclusion and only 11% (36) provided relevant evidence without answering the legal questions. When there was an opinion or an invitation to make a finding on the legal question, a trial was less likely. A trial was also less likely if reports agreed on what the verdict should be. Conclusions,Psychiatrists frequently answer the legal question of diminished responsibility. The judiciary and medical experts should join in research to examine the consequences of different styles or approaches in presentation of essentially similar evidence in court. Copyright © 2008 John Wiley & Sons, Ltd. [source] PUNISHING THE "MODEL MINORITY": ASIAN-AMERICAN CRIMINAL SENTENCING OUTCOMES IN FEDERAL DISTRICT COURTS,CRIMINOLOGY, Issue 4 2009BRIAN D. JOHNSON Research on racial and ethnic disparities in criminal punishment is expansive but remains focused almost exclusively on the treatment of black and Hispanic offenders. The current study extends contemporary research on the racial patterning of punishments by incorporating Asian-American offenders. Using data from the United States Sentencing Commission (USSC) for FY1997,FY2000, we examine sentencing disparities in federal district courts for several outcomes. The results of this study indicate that Asian Americans are punished more similarly to white offenders compared with black and Hispanic offenders. These findings raise questions for traditional racial conflict perspectives and lend support to more recent theoretical perspectives grounded in attribution processes of the courtroom workgroup. The article concludes with a discussion of future directions for research on understudied racial and ethnic minority groups. [source] THE MULTILEVEL CONTEXT OF CRIMINAL SENTENCING: INTEGRATING JUDGE- AND COUNTY-LEVEL INFLUENCES,CRIMINOLOGY, Issue 2 2006BRIAN D. JOHNSON This study extends recent inquiries of contextual effects in sentencing by jointly examining the influence of judge and courtroom social contexts. It combines two recent years of individual sentencing data from the Pennsylvania Commission on Sentencing (PCS) with data on judicial background characteristics and county court social contexts. Three-level hierarchical models are estimated to investigate the influence of judge and county contexts on individual variations in sentencing. Results indicate that nontrivial sentencing variations are associated with both individual judge characteristics and county court contexts. Judicial background factors also condition the influence of individual offender characteristics in important ways. These and other findings are discussed in relation to contemporary theoretical perspectives on courtroom decision making that highlight the importance of both judge and court contexts in sentencing. The study concludes with suggestions for future research on contextual disparities in criminal sentencing. [source] UNITED STATES V. BOOKER AS A NATURAL EXPERIMENT: USING EMPIRICAL RESEARCH TO INFORM THE FEDERAL SENTENCING POLICY DEBATE,CRIMINOLOGY AND PUBLIC POLICY, Issue 3 2007PAUL J. HOFER Research Summary: In United States v. Booker, the U.S. Supreme Court held that the federal sentencing guidelines must be considered advisory, rather than mandatory, if they are to remain constitutional under the Sixth Amendment. Since the decision, the U.S. Sentencing Commission has provided policy makers with accurate and current data on changes and continuity in federal sentencing practices. Unlike previous changes in legal doctrine, Booker immediately increased the rates of upward and downward departures from the guideline range. Government-sponsored downward departures remain the leading category of outside,the-range sentences. The rate of within-range sentences, although lower than in the period immediately preceding Booker, remains near rates observed earlier in the guidelines era. Despite the increase in departures, average sentence lengths for the overall caseload remain stable, because of offsetting increases in the seriousness of the crimes being sentenced and in the severity of penalties for those crimes. Analyses of the reasons that judges reported for downward departures suggest that treatment of criminal history and offender characteristics are the two leading areas of dissatisfaction with the guidelines. Policy Implications: Assessment of changes in sentencing practices following Booker by different observers depends partly on competing institutional perspectives and on different degrees of trust in the judgment of judges, prosecutors, the Sentencing Commission, and Congress. No agreement on whether Booker has bettered or worsened the system can be achieved until agreement exists on priorities among the purposes of sentencing and the goals of sentencing reform. Both this lack of agreement and an absence of needed data make consensus on Booker's effects on important sentencing goals, such as reduction of unwarranted disparity, unlikely in the near future. Similarly, lack of baseline data before Booker on the effectiveness of federal sentencing at crime control makes before-after comparisons impossible. Despite these limitations, research provides a sounder framework for policy making than do anecdotes or speculation and sets valuable empirical parameters for the federal sentencing policy debate. [source] The Creation of Emergency Health Care Standards for Catastrophic EventsACADEMIC EMERGENCY MEDICINE, Issue 11 2006Robert A. Wise MD The creation of health care standards by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) in a defined area with known events follows a predictable process. A problem area (e.g., hand hygiene) is identified from multiple sources. The JCAHO then calls together experts from around the country, and through debate and the comparison of positions of various people within the health care arena, a new standard informed by these views can be developed. Once developed, it is vetted and becomes established as a Joint Commission standard. But what happens when an event has never happened, cannot be reliably predicted, and, one hopes, will never come to pass? How can one create any meaningful standards? This is the situation when considering a number of scenarios related to disasters and mass casualty events. [source] Adverse Event Reporting: Lessons Learned from 4 Years of Florida Office DataDERMATOLOGIC SURGERY, Issue 9 2005Brett Coldiron MD, FACP Background Patient safety regulations and medical error reporting systems have been at the forefront of current health care legislature. In 2000, Florida mandated that all physicians report, to a central collecting agency, all adverse events occurring in an office setting. Purpose To analyze the scope and incidence of adverse events and deaths resulting from office surgical procedures in Florida from 2000 to 2004. Methods We reviewed all reported adverse incidents (the death of a patient, serious injury, and subsequent hospital transfer) occurring in an office setting from March 1, 2000, through March 1, 2004, from the Florida Agency for Health Care Administration. We determined physician board certification status, hospital privileges, and office accreditation via telephone follow-up and Internet searches. Results Of 286 reported office adverse events, 77 occurred in association with an office surgical procedure (19 deaths and 58 hospital transfers). There were seven complications and five deaths associated with the use of intravenous sedation or general anesthesia. There were no adverse events associated with the use of dilute local (tumescent) anesthesia. Liposuction and/or abdominoplasty under general anesthesia or intravenous sedation were the most common surgical procedures associated with a death or complication. Fifty-three percent of offices reporting an adverse incident were accredited by the Joint Commission on Accreditation of Healthcare Organizations, American Association for Accreditation of Ambulatory Surgical Facilities, or American Association for Ambulatory Health Care. Ninety-four percent of the involved physicians were board certified, and 97% had hospital privileges. Forty-two percent of the reported deaths were delayed by several hours to weeks after uneventful discharge or after hospital transfer. Conclusions Requiring physician board certification, physician hospital privileges, or office accreditation is not likely to reduce office adverse events. Restrictions on dilute local (tumescent) anesthesia for liposuction would not reduce adverse events and could increase adverse events if patients are shifted to riskier approaches. State and/or national legislation establishing adverse event reporting systems should be supported and should require the reporting of delayed deaths. [source] CONSENT, COMMODIFICATION AND BENEFIT-SHARING IN GENETIC RESEARCH1DEVELOPING WORLD BIOETHICS, Issue 2 2004DONNA DICKENSON ABSTRACT The global value of the biotechnology industry is now estimated at 17 billion dollars, with over 1300 firms involved as of the year 2000.2 It has been said that ,What we are witnessing is nothing less than a new kind of gold rush, and the territory is the body.' As in previous gold rushes, prospectors are flooding into unexplored and ,wide open' territories from all over the world, with possible ramifications for exploitation of Third World populations. These territories are also the Wild West of bioethics insofar as the law has very little hold on them: existing medical and patent law, such as the Moore and Chakrabarty cases, exert little control over powerful economic interests in both the United States and Europe. In the absence of a unified and consistent law on property in the body, the focus is increasingly on refining the consent approach to rights in human tissue and the human genome, with sensitive and promising developments from the Human Genetics Commission and the Department for International Development consultation on intellectual property. These developments incorporate the views of vulnerable genetic communities such as Native Americans or some Third World populations, and should be welcomed because they recognise the power imbalance between such groups and First World researchers or firms. However, they also highlight the continued tension about what is really wrong with commodifying human tissue or the human genome. Where's the injustice, and can it be solved by a more sophisticated consent procedure? [source] Beijing Plus Ten: An Ambivalent Record on Gender JusticeDEVELOPMENT AND CHANGE, Issue 6 2005Maxine Molyneux The 1995 Fourth World Conference on Women (the ,Beijing Conference') was a landmark in policy terms, setting a global policy framework to advance gender equality. Ten years after Beijing, in March 2005, the UN's Commission on the Status of Women presided over an intergovernmental meeting in New York to review the progress achieved on the commitments made in the Beijing Declaration and Platform for Action. This ,Plus 10' event was decidedly low key. Its aim was not agenda setting but agenda confirming; not policy formulation but policy affirmation. Whether it proves to be part of an ongoing worldwide movement in support of gender equality, or whether it marks the decline of that process, is a question that many in international women's movements are asking. This article, drawing on research undertaken for the UNRISD report, Gender Equality: Striving for Justice in an Unequal World, reflects on the ambivalent record of progress achieved by women over the last decades and considers how the policy environment has changed over the period since the high point of global women's movements. It examines how the changing international policy and political climate over this period has given rise to new issues and challenges for those active in global women's movements. [source] Limited Opportunities for Paramedic Student Endotracheal Intubation Training in the Operating RoomACADEMIC EMERGENCY MEDICINE, Issue 10 2006Bradford D. Johnston MD Abstract Background Paramedics, who often are the first to provide emergency care to critically ill patients, must be proficient in endotracheal intubation (ETI). Training in the controlled operating room (OR) setting is a common method for learning basic ETI technique. Objectives To determine the quantity and nature of OR ETI training currently provided to paramedic students. Methods The authors surveyed directors of paramedic training programs accredited by the Commission on Accreditation of Allied Health Education Programs. An anonymous 12-question, structured, closed-response survey instrument was used that requested information regarding the duration and nature of OR training provided to paramedic students. The results were analyzed by using descriptive statistics. Results From 192 programs, 161 completed surveys were received (response rate, 85%). OR training was used at 156 programs (97%) but generally was limited (median, 17,32 hours per student). Half of the programs provided fewer than 16 OR hours per student. Students attempted a limited number of OR ETI (median, 6,10 ETI). Most respondents (61%) reported competition from other health care students for OR ETI. Other identified hindering factors included the increasing OR use of laryngeal mask airways and physicians' medicolegal concerns. Respondents from 52 (33%) programs reported a recent reduction in OR access, and 56 (36%) programs expected future OR opportunities to decrease. Conclusions Despite its key role in airway management education, the quantity and nature of OR ETI training that is available to paramedic students is limited in comparison to that available to other ETI providers. [source] Profiles in Patient Safety: Antibiotic Timing in Pneumonia and Pay-for-performanceACADEMIC EMERGENCY MEDICINE, Issue 7 2006Jesse M. Pines MD The delivery of antibiotics within four hours of hospital arrival for patients who are admitted with pneumonia, as mandated by the Joint Commission for the Accreditation of Healthcare Organizations and the Centers for Medicare and Medicaid Services, has gained considerable attention recently because of the plan to implement pay-for-performance for adherence to this standard. Although early antibiotic administration has been associated with improved survival for patients with pneumonia in two large retrospective studies, the effect on actual patient care and outcomes for patients with pneumonia and other emergency department patients of providing financial incentives and disincentives to hospitals for performance on this measure currently is unknown. This article provides an in-depth case-based description of the evidence behind antibiotic timing in pneumonia, discusses potential program effects, and analyzes how the practical implementation of pay-for-performance for pneumonia conforms to American Medical Association guidelines on pay-for-performance. [source] The Audit Commission review of diabetes services in England and Wales, 1998,2001DIABETIC MEDICINE, Issue 2002B. Fitzsimons Abstract Aims of the Audit Commission The Audit Commission has a statutory duty to promote the best use of public money. It does this through value for money studies, such as that reported in Testing Times[1]. This work has been followed with a review of innovative practice in commissioning. These initiatives aim to support the implementation of the diabetes national service framework. The Audit Commission also appoints external auditors to NHS organizations who assess probity and value for money in the NHS; the latter by applying national studies locally and by carrying out local studies. Methods Research for Testing Times consisted of structured visits to nine acute trusts, a telephone survey of 26 health authorities and a postal survey of 1400 people with diabetes and 250 general practitioners. Local audits used a subset of the original research tools. Case studies were identified through a cascade approach to contacts established during Testing Times and through self-nomination. Results Rising numbers of people with diabetes are placing increasing pressure on hospital services. Some health authorities and primary care organizations have reviewed patterns of service provision in the light of the increasing demands. These reviews show wide variations in patterns of routine care. In addition, there is a widespread lack of data on the delivery of structured care to people with diabetes. People with diabetes report delays in gaining access to services, and insufficient time with staff. There are insufficient arrangements in place for providing information and learning opportunities to support self-management. Conclusion As the number of people with diabetes continues to rise, the potential for providing more care in a primary care setting needs to be explored. This will enable specialist services to focus more effectively on those with the most complex needs. [source] Base isolation for retrofitting historic buildings: Evaluation of seismic performance through experimental investigationEARTHQUAKE ENGINEERING AND STRUCTURAL DYNAMICS, Issue 8 2001Antonello De Luca Abstract An experimental test program on a full-scale model representing a sub-assemblage of the cloister facade of the Sao Vicente de Fora monastery, retrofitted through base isolation, has been recently carried out at the European Laboratory for Structural Assessment of the Joint Research Centre of the European Commission. In this paper an overview of the laboratory model and the experimental results is provided. In particular, firstly the test model is described, including the geometry and mechanical properties of the masonry specimen and the design of the isolation devices; then the testing method and the sub-structuring of the isolation system are described and the seismic inputs adopted for the pseudo-dynamic tests are defined. Finally, the experimental results are discussed and compared to the analogous results obtained on the ,as is', fixed-base sub-assemblage model. The implications of the test outcomes are emphasized and developments of this research line are presented. Copyright © 2001 John Wiley & Sons, Ltd. [source] The Economist as Engineer: Game Theory, Experimentation, and Computation as Tools for Design EconomicsECONOMETRICA, Issue 4 2002Alvin E. Roth Economists have lately been called upon not only to analyze markets, but to design them. Market design involves a responsibility for detail, a need to deal with all of a market's complications, not just its principle features. Designers therefore cannot work only with the simple conceptual models used for theoretical insights into the general working of markets. Instead, market design calls for an engineering approach. Drawing primarily on the design of the entry level labor market for American doctors (the National Resident Matching Program), and of the auctions of radio spectrum conducted by the Federal Communications Commission, this paper makes the case that experimental and computational economics are natural complements to game theory in the work of design. The paper also argues that some of the challenges facing both markets involve dealing with related kinds of complementarities, and that this suggests an agenda for future theoretical research. [source] THE ENTERPRISE ACT:ASPECTS OF THE NEW REGIME,ECONOMIC AFFAIRS, Issue 4 2002Derek Morris The forthcoming Enterprise Act makes the Competition Commission (CC) determinative in relation to merger and market inquiries. It also introduces new competition-based tests, the rationale for which is examined. Several procedural aspects of the new regime are explored, in particular the need for economic guidance to be published on the application of the new tests. A number of key economic considerations are then examined, including market definition, oligopoly pricing, entry and the scope for different perspectives as between economic analysis and business practice. [source] Comments on the Productivity Commission's Modelling of the Economy-Wide Effects of Future Automotive Assistance,ECONOMIC PAPERS: A JOURNAL OF APPLIED ECONOMICS AND POLICY, Issue 1 2009Peter B. Dixon C68; F13 The Productivity Commission claims on the basis of computable general equilibrium modelling that a seemingly small reduction in assistance to the Australian Automotive industry (a cut in tariffs from 10 per cent to 5 per cent and elimination of the ACIS scheme) would generate an annual welfare benefit of about $500 million. I explain that this implausible result rests on an implicit manna-from-heaven assumption. Using results published by the Commission, I rework their welfare calculations. With parameter values favoured by them, the corrected annual welfare gain is $66 million. With what I consider more realistic parameter values, the welfare effect is negative. [source] The use of technical knowledge in European water policy-makingENVIRONMENTAL POLICY AND GOVERNANCE, Issue 5 2010Perry J. M. van Overveld Abstract Environmental policy-making often involves a mix of technical knowledge, normative choice and uncertainty. Numerous actors, each with their own distinct objectives, are involved in these policy-making processes. One question these actors face, is how they can effectively communicate their technical knowledge and represent their interests in policy-making. The objective of this paper is to identify the factors that influence the use of technical knowledge and its impact on decision-making in the European Union. This is done for case of water policy-making for organic micropollutants, such as pesticides and pharmaceuticals. These pollutants enter the surface water in many ways and although concentrations are low, adverse effects cannot be ruled out. Via the EU Water Framework Directive, legislation has been developed to reduce the emissions of pollutants that pose a risk to ecology or public health. Using the advocacy coalition framework, the formal EU decision-making processes are analyzed for the identification of priority pollutants (Priority Substances) and the derivation of maximum allowable concentrations (Environmental Quality Standards). To enable a detailed analysis, the focus is on three specific micropollutants that pose health risks via drinking water supply. The findings show the extent to which actors can influence the decision-making process with technical knowledge. Early involvement in the drafting process that is led by the European Commission is important to influence decision-making outcomes. For this, organizational capacity in coalitions to mobilize and coordinate the required targeted contribution of technical knowledge is crucial. Copyright © 2010 John Wiley & Sons, Ltd and ERP Environment. [source] | ||||||||||||||||||||||||||||||||||||||||||||||||||||