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Effective Planning (effective + planning)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

EMS implementation: Effective planning and targeted action

ENVIRONMENTAL QUALITY MANAGEMENT, Issue 4 2003
Susan Pendleton
First page of article [source]

An optimal water allocation for an irrigation district in Pingtung County, Taiwan,

IRRIGATION AND DRAINAGE, Issue 3 2009
Yun Cheng
allocation optimale de l'eau; utilisation conjointe; programmation linéaire Abstract This paper presents a linear programming model to study the conjunctive use of surface water and groundwater for optimal water allocation in Taiwan. Increasing demand for water emphasizes the proper need for effective planning and development of irrigated resources. A groundwater simulation model was performed to construct the hydrogeological structure of the regional Pingtung Plain in the southwest part of Taiwan and the optimal withdrawal of three irrigation areas in Pingtung Plain was analysed. The optimal ratios for allocating water of three canals are analysed in this research. The optimal distribution rate of each canal depends on the season, irrigation methods and crops, which are two paddy rice and one upland crop. After simulation of various scenarios, optimal simulation results show that the minimal amount of required groundwater and the maximum amount of excess water amounts in the area can be satisfied by current agricultural practices. Copyright © 2008 John Wiley & Sons, Ltd. Cet article présente un modèle de programmation linéaire pour étudier l'utilisation conjointe de l'eau de surface et des eaux souterraines pour l'allocation optimale de l'eau à Taiwan. La demande croissante d'eau souligne le besoin de planification effective et de développement des ressources pour l'irrigation. Un modèle hydrogéologique a été construit pour représenter la structure de la plaine Pingtung dans le sud-ouest de Taiwan et pour analyser le prélèvement optimal sur trois périmètres irrigués de la plaine de Pingtung. Les ratios optimaux pour allouer l'eau aux trois canaux sont analysés dans cette recherche. Le taux optimal de distribution de chaque canal dépend de la saison, des méthodes d'irrigation et des cultures qui sont ici deux récoltes de riz et une culture de montagne. Après la simulation de différents scénarios, les résultats optimisés montrent que la quantité minimale d'eau souterraine exigée ajoutée à la quantité d'eau en excès disponible dans le secteur peut satisfaire les pratiques agricoles actuelles. Copyright © 2008 John Wiley & Sons, Ltd. [source]

Primary mental health workers in child and adolescent mental health services

JOURNAL OF ADVANCED NURSING, Issue 1 2004
Wendy Macdonald BSc PhD
Background., The interface between primary care and specialist services is increasingly seen as crucial in the effective management of child and adolescent mental health (CAMH) problems. In the United Kingdom, a new role of primary mental health worker (PMHW), has been established in order to achieve effective collaboration across the interface through the provision of clinical care in primary care settings and by improving the skills and confidence of primary care staff. However, little is known about the development of this innovative role in service contexts. Issues raised during the early stages of implementation may have important implications for the preparation and development of professionals who undertake the role. Aims., The aim of this paper is to report on a study that examined key issues in implementation of the PMHW role in six health authorities in England. Methods., Case study evaluation was conducted, using thematic analysis of 75 qualitative interviews with key stakeholders from different professions (e.g. PMHWs, general practitioners, health visitors, psychiatrists and service managers) and representing different sectors (primary care, specialist services and community child health services). Findings., The study identified three models of organization (outreach, primary care-based and teams). Each was associated with different advantages and disadvantages in its effects on referral rates to specialist services and the development of effective working relationships with primary care providers. Problems associated with accommodation and effective integration of PMHWs with specialist services, and tensions caused by the two different roles that PMHWs could undertake (direct clinical care vs. consultation-liaison) were common across all sites. Conclusions., The PMHW role is an important development that may go some way towards realizing the potential of primary care services in CAMH. The implementation of new roles and models of working in primary care is complex, but may be facilitated by effective planning with primary care providers, clear goals for staff, and a long-term perspective on service development. [source]

An Examination of Collaborative Planning Effectiveness and Supply Chain Performance

JOURNAL OF SUPPLY CHAIN MANAGEMENT, Issue 2 2005
Kenneth J. Petersen
Summary Many organizations are attempting to gain a competitive advantage by integrating their suppliers more thoroughly into key supply chain processes. This calls for greater strategic and operational cooperation between buyer and supplier firms, often involving some degree of collaborative planning. Advances in information technology are making it possible for firms to share planning information more quickly and easily. This study surveyed purchasing executives whose firms are involved in collaborative planning with suppliers to examine several factors that support effective planning and the impact that effective collaborative planning has on performance in the buying firm. The results show that effective collaborative planning is dependent on the level of trust and the quality of information shared between firms. [source]

Accuracy of prediction of walking for young stroke patients by use of the FIM

PHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 1 2001
Heather Thornton Senior Lecturer
Abstract Background and Purpose Clinical prediction of walking outcome after a stroke is essential for effective discharge planning. However, its accuracy has hardly been explored. This study took place in a regional unit admitting patients with complex neurological disabilities for specialist inpatient rehabilitation. The aim was to compare predicted outcome (goal score) with achieved outcome (discharge score) on the seven-point locomotion subscale of the Functional Independence Measure (FIM), to evaluate its precision and identify factors influencing accuracy. Method Admission, goal and discharge scores were analysed retrospectively for 141 subjects (90 M; 51 F) admitted consecutively to the Unit with median age 54 years (range 15,68 years) with median length of stay 13.6 weeks (range 3,35 weeks). Results Ninety subjects (64%) gained from two to six points; 50 subjects (35%) gained one point or showed no change. One patient deteriorated by two points. Excluding patients admitted with the highest score (FIM level 7), the overall level of agreement between predicted and discharge scores was moderate (weighted kappa 0.47). Prediction was accurate to ±1 point in 113 subjects (80%). Overprediction by ,2 points occurred in 16 subjects (11%) and underprediction by ,2 points in 12 subjects (9%). Analysis of the most-disabled cohort, admitted with FIM levels 1 or 2 scores, revealed a higher sensitivity for predicting ,independence' (FIM levels 5,7) (78%) than ,dependence' (FIM levels 1,4) (65%). Accuracy was not affected by age, gender or side of stroke. Inaccurate predictions were associated with lower admission FIM level scores (p=,0.26;p=0.002) and a greater length of stay (p=0.36;p<0.001). Subjects with quad-riplegia were more likely to have inaccurate outcome predictions made than those with hemiplegia (p=0.025) and those with neglect were more likely to have inaccurate outcome predictions made than those without neglect (p=0.017). Conclusion Further investigation into clinical prediction and the variables which confound accuracy is needed for effective planning. Copyright © 2001 Whurr Publishers Ltd. [source]

Does Team Training Work?

ACADEMIC EMERGENCY MEDICINE, Issue 11 2008
Principles for Health Care
Abstract Teamwork is integral to a working environment conducive to patient safety and care. Team training is one methodology designed to equip team members with the competencies necessary for optimizing teamwork. There is evidence of team training's effectiveness in highly complex and dynamic work environments, such as aviation and health care. However, most quantitative evaluations of training do not offer any insight into the actual reasons why, how, and when team training is effective. To address this gap in understanding, and to provide guidance for members of the health care community interested in implementing team training programs, this article presents both quantitative results and a specific qualitative review and content analysis of team training implemented in health care. Based on this review, we offer eight evidence-based principles for effective planning, implementation, and evaluation of team training programs specific to health care. [source]