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Selected AbstractsSegregated targeting for multiple resource networks using decomposition algorithmAICHE JOURNAL, Issue 5 2010Santanu Bandyopadhyay Abstract A generalized decomposition technique is presented for determining optimal resource usage in segregated targeting problems with single quality index (e.g., concentration, temperature, etc.) through pinch analysis. The latter problems are concerned with determining minimal resource requirements of process networks characterized by the existence of multiple zones, each consisting of a set of demands and using a unique external resource. However, all the zones share a common set of internal sources. The decomposition algorithm allows the problem to be decomposed into a sequence of subproblems, each of which can in turn be solved using any established graphical or algebraic targeting methodology to determine the minimum requirement of respective resource. This article presents a rigorous mathematical proof of the decomposition algorithm, and then demonstrates its potential applications with case studies on carbon-constrained energy sector planning, interplant water integration, and emergy-based multisector fuel allocation. © 2009 American Institute of Chemical Engineers AIChE J, 2010 [source] Characteristics of Medical Surge Capacity Demand for Sudden-impact DisastersACADEMIC EMERGENCY MEDICINE, Issue 11 2006Samuel J. Stratton MD Objectives To describe the characteristics of the demand for medical care during sudden-impact disasters, focusing on local U.S. communities and the initial phases of sudden-impact disasters. Methods Established databases and published reports were used as data sources. Data were obtained to describe the baseline capacity of the U.S. medical system. Information for the initial phases of a sudden-impact disaster was sought to allow for characterization of the length of time before a U.S. community can expect arrival of outside assistance, the expected types of medical surge demands, the expected time for the peak in medical-care demand, and the expected health system access points. Results The earliest that outside assistance arrived for a community subject to a sudden-impact disaster was 24 hours, with a range from 24 to 96 hours. After sudden-impact disasters, 84% to 90% of health care demand was for conditions that were managed on an ambulatory basis. Emergency departments (EDs) were the access point for care, with peak demand time occurring within 24 hours. The U.S. emergency care system was functioning at relatively full capacity on the basis of data collected for the study that showed that annually, 90% of EDs were boarding admitted inpatients, and 75% were diverting ambulances. Conclusions As part of planning for sudden-impact disasters, communities should be expected to sustain medical services for 24 hours, and up to 96, before arrival of external resources. For effective medical surge-capacity response during sudden-impact disasters, there should be a priority for emergency medical care with a focus on ambulatory injuries and illnesses. [source] Evaluating the impact of integrated health and social care teams on older people living in the communityHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 2 2003Louise Brown CQSW BSc(Hons) MSc Abstract Although it is perceived wisdom that joint working must be beneficial, there is, even at this stage, little evidence to support that notion. The present study is an evaluation of two integrated co-located health and social care teams which were established in a rural county to meet the needs of older people and their carers. This study does identify that patients from the ,integrated teams' may self-refer more and are assessed more quickly. This might indicate that the ,one-stop shop' approach is having an impact on the process of service delivery. The findings also suggest that, in the integrated teams, the initial stages of the process of seeking help and being assessed for a service may have improved through better communication, understanding and exchange of information amongst different professional groups. However, the degree of ,integration' seen within these co-located health and social care teams does not appear to be sufficiently well developed to have had an impact upon the clinical outcomes for the patients/service users. It appears unlikely from the available evidence that measures such as co-location go far enough to produce changes in outcomes for older people. If the Department of Health wishes to see benefits in process progress to benefits to service users, then more major structural changes will be required. The process of changing organisational structures can be enhanced where there is evidence that such changes will produce better outcomes. At present, this evidence does not exist, although the present study does suggest that benefits might be forthcoming if greater integration can be achieved. Nevertheless, until the social services and National Health Service trusts develop more efficient and compatible information systems, it will be impossible to evaluate what impact any further steps towards integration might have on older people without significant external resources. [source] Why health expectations and hopes are different: the development of a conceptual modelHEALTH EXPECTATIONS, Issue 4 2009Karen K. Leung BA (Hons) Abstract Background, In the literature, ,hope' has often been thought of as an ideal expectation. However, we believe the classification of hope as a type of expectation is problematic. Although both hopes and expectations are future-oriented cognitions, expectations are distinct in that they are an individual's probability-driven assessment of the most likely outcomes, while hopes are an assessment of the most desirable , but not necessarily the most probable , outcomes. Aim, This paper presents a conceptual model of the factors that may serve as common antecedents of hopes and expectations, and a mechanism that may mediate their differentiation. Method, Ovid Healthstar and PsycINFO database searches from January 1967 to October 2008 were conducted. An integrative literature review, synthesis and conceptual model development were carried out. Outcome, Our model envisages the differentiation of hope from expectation as a dynamic, longitudinal process consisting of three phases: appraisal of possible outcomes, cognitive analysis for achieving hopes and goal pursuit. Key variables such as temporal proximity, controllability, external resources, goals, affect, agency and pathways may moderate the extent of divergence by influencing the perceived probability of achieving desired outcomes. Conclusion, Hopes and expectations are distinct, but linked, constructs. This preliminary conceptual model presents how hopes and expectations develop, become differentiated and how social-cognitive factors may moderate this relationship. A better understanding of hopes and expectations may assist health professionals in communicating illness-related expectations while maintaining the integrity of patient hopes. [source] Network Resources for Internationalization: The Case of Taiwan's Electronics Firms*JOURNAL OF MANAGEMENT STUDIES, Issue 5 2003Tain-Jy Chen ABSTRACT This paper illustrates foreign direct investment (FDI) as the management of important network relations, using Taiwan's electronics firms as an example. Through FDI, seemingly small and weak firms propel the process of internationalization by making maximum use of external resources to which they have access. FDI often starts at a location close to the home base where support from the domestic networks can be drawn, subsequently moving on to more distant locations after investors have accumulated new network resources. The location chosen is usually an area rich in network resources or in close proximity to such rich networks. FDI enables the investors to construct a regional, or even global, sub-network under their control to supply a set of wide-ranging, differentiated and low-cost products in a flexible fashion, and sometimes within close proximity to the markets. With this capacity for versatility, investors become valuable partners for multinational firms that offer global services. [source] An ongoing process of inner negotiation , a Grounded Theory study of self-management among people living with chronic illnessJOURNAL OF NURSING AND HEALTHCARE OF CHRONIC ILLNE SS: AN INTERNATIONAL INTERDISCIPLINARY JOURNAL, Issue 4 2009Åsa Audulv RN Aim., The aim of this study was to better understand the main concern of self-management processes among people with chronic illness. Background., One aspect of living with chronic illness is self-management that can reduce the illness impact on daily life and promote future health. Although factors that influence self-management have been identified in previous research, little attention has been brought to the process of making self-management decisions. In clinical settings, use of a theory could facilitate patient-empowering approaches. Method., The data collection for this Grounded Theory was mostly conducted in 2006. Data were collected by interviews with 26 adults with a variety of chronic illnesses, including rheumatoid arthritis, diabetes mellitus, inflammatory bowel syndrome, multiple sclerosis, ischaemic heart disease and chronic kidney failure. Results., Individuals are conflicted by competing preferences when taking decisions about self-management. Consequently, the decision-making process can be understood as an ongoing inner negotiation between different incompatible perspectives, e.g. social needs vs. medical needs. The process of negotiating self-management starts with the individual's considering beliefs about health and illness, which make the individual face illness threats and the need for self-management. Several aspects influence negotiating self-management namely, assessing effects of self-management; evaluating own capacity; perceiving normality or stigmatisation; and experiencing support and external resources. The process has been demonstrated in a model. Conclusions., The process of negotiating self-management is an ongoing inner debate rather than a one-time decision. This opens up new ways of understanding, and communicating with, patients. The described model also links behavioural theories and research findings in a comprehensive understanding. Relevance to clinical practice., This model could be applicable as a communication tool for health-care providers in identifying barriers to, and resources in, self-management behaviour among individuals with chronic illness. [source] Fallow cultivation system and farmers' resource management in Niger, West AfricaLAND DEGRADATION AND DEVELOPMENT, Issue 3 2002A. Wezel Abstract A survey was carried out in 136 farm-households from seven villages in 1995 and 1996 to analyse the traditional fallow cultivation system in Niger. Farmers were asked to give information about land use on their fields, focusing on cropping and fallow periods as well as on cultivation changes compared to the past. In addition, they were interviewed about their management strategies to maintain or improve soil fertility. Millet-based systems clearly dominate at all sites, either in pure form or intercropped with cowpea, groundnut, sorghum or roselle. At present, almost half of all farmers cultivate their fields on average up to 5 years until it is left fallow. About one-third use their fields permanently. Most farmers use short fallow periods of 1 to 5 years. Moreover, there was a decrease in the cropping area left fallow, and the fallow period also decreased steadily in the past years. In the mid-1970s the average fallow period was about 8 years, decreasing to 2.5 years in 1996. The actual fallow periods are too short to allow sufficient positive effects on soil fertility and farmers are aware of this problem. Consequently, farmers employ different fertilization techniques which aim at maintaining or restoring the soil nutrient pool of the fields while providing physical protection against wind and water erosion. Most farmers use animal manure to improve soil fertility and apply mulch from different sources, millet stalks and branches, for soil regeneration. Few farmers employ other strategies such as mineral fertilizer or planting pits. The farmers try to optimize the use of internal and external resources resulting in a mixture of different fertilization and soil protection methods. Internal resources play by far the most important role. Due to the generally limited resource availability farmers concentrate their management efforts on certain areas within each field or on selected fields only. This means a decreased crop production for the individual household and a higher risk of soil degradation because of soil mining or increased erosion risk on the field area where soil fertility management cannot be practised. Copyright © 2002 John Wiley & Sons, Ltd. [source] The representation of root processes in models addressing the responses of vegetation to global changeNEW PHYTOLOGIST, Issue 1 2000F. I. WOODWARD The representation of root activity in models is here confined to considerations of applications assessing the impacts of changes in climate or atmospheric [CO2]. Approaches to modelling roots can be classified into four major types: models in which roots are not considered, models in which there is an interplay between only selected above-ground and below-ground processes, models in which growth allocation to all parts of the plants depends on the availability and matching of the capture of external resources, and models with explicit treatments of root growth, architecture and resource capture. All models seem effective in describing the major root activities of water and nutrient uptake, because these processes are highly correlated, particularly at large scales and with slow or equilibrium dynamics. Allocation models can be effective in providing a deeper, perhaps contrary, understanding of the dynamic underpinning to observations made only above ground. The complex and explicit treatment of roots can be achieved only in small-scale highly studied systems because of the requirements for many initialized variables to run the models. [source] The Urge to Merge: A Multiple-Case StudyNONPROFIT MANAGEMENT & LEADERSHIP, Issue 2 2002Martha Golensky The authors undertook a comparative study of three recent mergers of nonprofit organizations in a Midwestern urban center, within the context of political-economy theory. The research explored the impact of the same environmental factor, managed care, on the initial decisions by organizational leaders and the effects of these early decisions on subsequent actions taken to implement the merger. The study tested the authors' model of the motivations for merging, which proposes that the relationship between the decision-making style of the leadership and the internal and external resources of the prospective partners determines whether the merger is driven primarily by mission, practicality, stability, or fear. Although the findings provide initial support for the hypotheses derived from the model, a demonstration of the differences in the approach to the merger by each organization indicated that other factors emerged as important driving forces during the various phases of the process. [source] Managing the hinterland beyond: Two ideal-type strategies of economic development for small island territoriesASIA PACIFIC VIEWPOINT, Issue 1 2006Godfrey BaldacchinoArticle first published online: 30 MAR 200 Abstract: Rarely does one come across critical analysis which looks at islands as the strategic and candid promoters of a role as political and economic usufructuaries over external resources. This paper is premised on the proposition that a small territory is especially obliged to use extra-territorial resources as its hinterland for economic success. Such resources extend over a whole range of goods and services and include access to investment, welfare, security, stable currency, international relations, specialised labour power, transfers, markets and higher education. The MIRAB syndrome is one way of articulating this condition. This paper proposes a second cluster of features that are, or can be, deployed by small territories in a manner somewhat different from MIRAB; this second cluster has a more proactive policy orientation and a disposition towards carving out procedural and jurisdictional powers. It is thus proposed to consider a small territory's engagement with the external hinterland as a position on a sliding scale, a strategic mix of options located between two distinct development trajectories, of which MIRAB is one and the PROFIT model the other. [source] Besonderheiten bei Alkali-Kieselsäure-Reaktionen in BetonfahrbahndeckenBETON- UND STAHLBETONBAU, Issue 8 2007Rolf Breitenbücher Prof. Dr.-Ing. In den letzten Jahren sind Rissbildungen in Betonfahrbahndecken mehrfach mit einer Alkali-Kieselsäure-Reaktion (AKR) in Verbindung gebracht worden. Die Risse sind nur in den seltensten Fällen einzig auf eine AKR zurückzuführen. Vielmehr ist davon auszugehen, dass sie durch Überlagerung mehrerer Spannungsquellen hervorgerufen wurden. Dennoch sind Alkali-Kieselsäure-Reaktionen bei Betonfahrbahndecken nicht zu vernachlässigen. Als Besonderheit kommt hier einer externen Alkalizufuhr eine wesentliche Bedeutung zu. Die in den Wintermonaten aufgestreuten alkalihaltigen Taumittel werden durch den nachfolgenden Verkehr mehr oder weniger intensiv in den Beton eingewalkt. Dabei kann das Eindringen der Alkalien durch Vorschädigungen (Risse) nachhaltig begünstigt werden. Unter diesen Randbedingungen sind bei Betonfahrbahndecken zur Vermeidung von schädigenden Alkali-Kieselsäure-Reaktionen weiterreichendere Maßnahmen als bei herkömmlichen Betonbauteilen notwendig. Solche wurden zwischenzeitlich vom BMVBS mit einem einschlägigen Rundschreiben erlassen. Die darin enthaltenen Vorgaben beziehen sich insbesondere auf die Bewertung von kritischen Gesteinskörnungen und auf den zulässigen Alkaligehalt der Zemente. Die Regelungen dieses Erlasses beruhen zunächst auf allgemeinen empirisch gewonnenen Erkenntnissen. Der tatsächliche Einfluss der Alkali-Kieselsäure-Reaktion auf die Rissbildung in Betonfahrbahndecken wird derzeit in Forschungsprojekten untersucht. Characteristics of Alkali Silica Reactions in Concrete Pavements In the last few years cracking in concrete pavements was often associated with an alkali silica reaction (ASR). Even if relevant reaction products were detected in appropriate samples, cracks result only in the rarest cases from an ASR solely. Rather it is assumed, that cracks were caused by a superposition of several stress impacts. Beside restraint stresses due to disabled thermal and hygric self-deformations, concrete pavements are also stressed by traffic. However, the influence of the alkali silica reaction in concrete pavements can not be neglected. Here especially the infiltration of alkalis from external resources is of a substantial importance. Alkaline deicing agents applied in the winter months are more or less intensively penetrating into the concrete by the following traffic, which leads to a continuous increase of the alkali potential in the concrete. The penetration of the alkalis is forwarded by already existent damages (cracks). Within these circumstances more extensive measures are necessary to avoid damaging alkali silica reactions for concrete pavements in comparison to conventional concrete constructions. In the meantime such measures were decreed by the BMVBS in a relevant circular. The contained requirements refer in particular to the evaluation of critical aggregates and to the permitted alkali content of the cements. The regulations of this decree are initially based on general empirically revealed findings. The actual influence of the alkali silica reaction referring to cracking in concrete pavements is examined in current research projects. [source] Children's involvement in their parents' divorce: implications for practiceCHILDREN & SOCIETY, Issue 2 2002Ian Butler The paper reports findings from a research study that explored children's experience of divorce. It shows that children experience parental divorce as a crisis in their lives but that they are able to mobilise internal and external resources to regain a new point of balance. In doing so, children demonstrate the degree to which they are active and competent participants in the process of family dissolution. The implications of the data are then considered in relation to engaging with children involved in divorce and in relation to some of the cultural presumptions that might militate against hearing what they have to say about their experiences. Copyright © 2002 John Wiley & Sons, Ltd. [source] | ||||||||||||||||