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Elusive Goal (elusive + goal)
Selected AbstractsProspective studies of suicidal behavior in major depressive and bipolar disorders: what is the evidence for predictive risk factors?ACTA PSYCHIATRICA SCANDINAVICA, Issue 3 2006M. A. Oquendo Objective:, Prospective studies over the past 30 years have identified an array of predictive indicators for suicidal acts in mood disorders. However, prediction of suicidal behavior remains an elusive goal. This paper reviewed evidence from prospective studies for clinical factors that elevate risk of suicidal acts in that group. Method:, English language prospective studies of suicidal behavior in major depressive and bipolar disorders were examined. Results:, The predictors with the best support were a past history of suicidal behavior and the presence of refractory or recurrent depressions. For other risk factors, there was either not enough data to consider them robust or findings were contradictory. Conclusion:, Future studies must not only be comprehensive in their inclusion of potentially contributing factors, but must also address their relative importance towards the goal of developing predictive models and enhance suicide prevention efforts. [source] The success of Caterpillar's global approach to change managementGLOBAL BUSINESS AND ORGANIZATIONAL EXCELLENCE, Issue 6 2010Catherine Wolpert Caterpillar's 15-year quest to build change management into a global organizational competency sets an impressive benchmark for others still pursuing this elusive goal. The author describes the LaMarsh & Associates Managed ChangeÔ model, which is the basis of Caterpillar's cobranded global approach to change management. She then examines six characteristics that underpin the enterprisewide approach and describes how the company successfully used the model to implement its new health care strategy, a multiyear effort toward promoting active consumerism among employees and retirees as a way to rein in rising health care costs. © 2010 Wiley Periodicals, Inc. [source] LANDSCAPE-SCALE ANALYSIS AND MANAGEMENT OF CUMULATIVE IMPACTS TO RIPARIAN ECOSYSTEMS: PAST, PRESENT, AND FUTURE,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 6 2001Eric D. Stein ABSTRACT: Analyses of cumulative impacts to riparian systems is an important yet elusive goal. Previous analyses have focused on comparing the number of hectares impacted to the number of hectares restored, without addressing the loss of riparian function or the effect of the spatial distribution of impacts. This paper presents an analysis of the spatial distribution of development-related impacts to riparian ecosystems, that were authorized under Section 404 of the Clean Water Act. Impacts on habitat structure, contiguity, and landscape context were evaluated using functional indices scaled to regional reference sites. Impact sites were mapped using GIS and analyzed for spatial associations. Positive spatial autocorrelation (i.e. clustering of impact sites) resulted from the piecemeal approach to impact assessment, which failed to prevent cumulative impacts. Numerous small projects in close proximity have resulted in adverse impacts to entire stream reaches or have fragmented the aquatic resources to a point where overall functional capacity is impaired. Additionally, the ecological functions of unaffected areas have been diminished due to their proximity to degraded areas. A proactive approach to managing cumulative impacts is currently being used in Orange County, California as part of a Corps of Engineers sponsored Special Area Management Plan (SAMP). The SAMP process is evaluating the ecological conditions and physical processes of the study watersheds and attempting to plan future development in a manner that will guard against cumulative impacts. [source] An elusive goal finally realizedJOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE, Issue 4 2009DACVECC Editor-in-Chief, Shane Bateman DVM No abstract is available for this article. [source] | ||||||||||