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Necessary Resources (necessary + resource)
Selected AbstractsUnderstanding Surge Capacity: Essential ElementsACADEMIC EMERGENCY MEDICINE, Issue 11 2006Donna F. Barbisch RN As economic forces have reduced immediately available resources, the need to surge to meet patient care needs that exceed expectations has become an increasing challenge to the health care community. The potential patient care needs projected by pandemic influenza and bioterrorism catapulted medical surge to a critical capability in the list of national priorities, making it front-page news. Proposals to improve surge capacity are abundant; however, surge capacity is poorly defined and there is little evidence-based comprehensive planning. There are no validated measures of effectiveness to assess the efficacy of interventions. Before implementing programs and processes to manage surge capacity, it is imperative to validate assumptions and define the underlying components of surge. The functional components of health care and what is needed to rapidly increase capacity must be identified by all involved. Appropriate resources must be put into place to support planning factors. Using well-grounded scientific principles, the health care community can develop comprehensive programs to prioritize activities and link the necessary resources. Building seamless surge capacity will minimize loss and optimize outcomes regardless of the degree to which patient care needs exceed capability. [source] Producing a Modern Agricultural Frontier: Firms and Cooperatives in Eastern Mato Grosso, BrazilECONOMIC GEOGRAPHY, Issue 3 2006Wendy Jepson Abstract: In economic geography, explanations of emerging agricultural frontier regions are dominated by two theoretical perspectives: land-rent theory and political economy. This article advances current research by applying concepts from new institutional economics to reconcile these models. Drawing from a case of frontier expansion in eastern Mato Grosso state, I focus the debate on an institutional perspective. Two organizations, a colonization firm and an agricultural cooperative, are examined. The combined activities of cooperatives and firms reduced the overall costs of production in regions that are defined by high transactions costs (for example, land-tenure insecurity, poor links to the market, and imperfect information) and risk. Each organization linked individual farmers to necessary resources for commercial farming (for instance, land, capital, technology, and markets) and provided an organizational context for farmers to respond to land-tenure conflict and land degradation. The consequence was an increase in the marginal productivity of land, which translated into an expanded commercial agricultural frontier. [source] Performance on Stroop-like assessments of inhibitory control by 4- and 5-year-old childrenINFANT AND CHILD DEVELOPMENT, Issue 3 2010Dave S. Pasalich Abstract The rapid development of an aspect of executive functioning (EF), inhibitory control (IC), between the ages of 3- and 5-years, leads to an increase in a child's capacity to suppress inappropriate responding and therefore activate the necessary resources to carry-out goal-directed activity (Psychological Bulletin, 1997, 121, 65,94). To measure EF in children, tasks administered clinically to adults are adapted. The Day,Night Stroop (DNS) is a pictorial modification of the Stroop Test (Journal of Experimental Psychology, 1935, 18, 642,662), developed for pre-literate children. Although suitable as a measure of IC in 3- to 4-year-old children, ceiling effects have been reported on the DNS in slightly older preschoolers. The present study attempted to overcome this limitation by examining the suitability of two modified versions of the DNS in 4- to 5-year-old preschoolers. To investigate the executive demands made by both Stroop-like tasks, their associations with another measure of IC (stop-signal task) and a measure of working memory were examined. Counter to expectations, no significant association was found in performance between the two Stroop-like tasks; however, the modified DNS developed in this study showed significant relationships with the other executive tasks. The results are discussed in relation to the different methodologies used by these Stroop measures. Implications of this study suggest that researchers should consider more test-specific factors when assessing EF in young children. Copyright © 2010 John Wiley & Sons, Ltd. [source] Computerized Physician Order Entry with Clinical Decision Support in the Long-Term Care Setting: Insights from the Baycrest Centre for Geriatric CareJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 10 2005Paula A. Rochon MD Although computerized physician order entry (CPOE) has been successfully implemented in many acute care hospitals, few descriptions of its use in the long-term care (LTC) setting are available. This report describes the experiences of one LTC facility in developing and implementing a CPOE system with clinical decision support (CDS). Even when a facility has the necessary resources and "institutional will," many challenges are associated with the implementation of this application. The system was designed to meet the needs of healthcare providers in the LTC setting, in particular by informing prescribing decisions, reducing the frequency of prescribing and monitoring errors, and reducing adverse drug event rates. Based on experience adopting this technology early, 10 insights are offered that it is hoped will assist others who are considering the implementation of CPOE systems with CDS in the LTC setting. [source] Antimalarial drug quality in AfricaJOURNAL OF CLINICAL PHARMACY & THERAPEUTICS, Issue 5 2007A. A. Amin PhD Abstract Background and objective: There are several reports of sub-standard and counterfeit antimalarial drugs circulating in the markets of developing countries; we aimed to review the literature for the African continent. Methods: A search was conducted in PubMed in English using the medical subject headings (MeSH) terms: ,Antimalarials/analysis'[MeSH] OR ,Antimalarials/standards'[MeSH] AND ,Africa'[MeSH]' to include articles published up to and including 26 February 2007. Data were augmented with reports on the quality of antimalarial drugs in Africa obtained from colleagues in the World Health Organization. We summarized the data under the following themes: content and dissolution; relative bioavailability of antimalarial products; antimalarial stability and shelf life; general tests on pharmaceutical dosage forms; and the presence of degradation or unidentifiable impurities in formulations. Results and discussion: The search yielded 21 relevant peer-reviewed articles and three reports on the quality of antimalarial drugs in Africa. The literature was varied in the quality and breadth of data presented, with most bioavailability studies poorly designed and executed. The review highlights the common finding in drug quality studies that (i) most antimalarial products pass the basic tests for pharmaceutical dosage forms, such as the uniformity of weight for tablets, (ii) most antimalarial drugs pass the content test and (iii) in vitro product dissolution is the main problem area where most drugs fail to meet required pharmacopoeial specifications, especially with regard to sulfadoxine,pyrimethamine products. In addition, there are worryingly high quality failure rates for artemisinin monotherapies such as dihydroartemisinin (DHA); for instance all five DHA sampled products in one study in Nairobi, Kenya, were reported to have failed the requisite tests. Conclusions: There is an urgent need to strengthen pharmaceutical management systems such as post-marketing surveillance and the broader health systems in Africa to ensure populations in the continent have access to antimalarial drugs that are safe, of the highest quality standards and that retain their integrity throughout the distribution chain through adequate enforcement of existing legislation and enactment of new ones if necessary, and provision of the necessary resources for drug quality assurance. [source] Cleaning up the Bush messPUBLIC POLICY RESEARCH, Issue 2 2008Robert Reich After three decades of government starvation of necessary resources, the next US president needs to champion progressive taxation, argues Robert Reich. [source] The value of a ,failed' R&D project: an emerging evaluation framework for building innovative capabilities1R & D MANAGEMENT, Issue 2 2009Maria Elmquist In literature and R&D organizations alike, project success consists in minimizing the deviations from set targets in terms of quality, cost and time. The main management task is to execute and monitor progress to reduce risks , assuming that project attributes are known, necessary resources can be estimated and a reasonable time table can be agreed upon. In such a context, evaluating project success is easy. However, in an innovative context, setting project targets initially is difficult and the contributions of the projects sometimes are of an unexpected nature. This paper investigates if projects can be evaluated in terms of how they contribute to the building of innovative capabilities of the firm instead of independently. Based on a case study at the Régie Autonome des Transports Parisians and the theoretical framework of innovation fields, a framework for evaluating projects from an additional perspective is proposed. Based on the following four criteria: financial resources, the development of a structured, refined and expanded strategic vision, developed competences (with related suppliers) and identification of knowledge gaps (occasionally with related partners for knowledge production), this framework shows how seemingly failed R&D projects can instead be considered as invaluable to the overall innovation process. [source] Jews and Judaism in DixieRELIGION COMPASS (ELECTRONIC), Issue 1 2007Mark K. Bauman This article advocates the integration of Southern Jewish history into the mainstream study of Southern and American history and religion. It argues that such integration provides greater breadth and depth to those fields as well as a fruitful model for comparison and contrast. This article also provides reference to some of the necessary resources to scholars in other fields and brings the readers' attention especially to a new publication for that purpose: Dixie Diaspora: An Anthology of Southern Jewish History. [source] Using the Weapons You Have: The Role of Resources and Competitor Orientation as Enablers and Inhibitors of Competitive Reaction to New Products,THE JOURNAL OF PRODUCT INNOVATION MANAGEMENT, Issue 2 2010Marion Debruyne It is a well-accepted notion that to respond to competitive attacks firms need the necessary resources to do so. However, the presence of resources may not be a sufficient condition to enhance competitive responsiveness. Following a managerial decision-making approach, the present paper investigates how the availability of resources affects decision makers' assessment of a competitor's new product and their subsequent reaction to it. This study posits that competitive reaction follows from a decision maker's assessment of a competitive action. This assessment contains a motivation dimension and an ability dimension. The effect of three types of resources,financial, marketing, and technological,are examined. A quasi-experiment with the Markstrat business game as an empirical setting provided 339 questionnaires containing information on 29 different new product introductions. The motivation and ability dimensions are confirmed as important antecedents explaining reaction behavior. The results show that resources possess a dual, and opposing, role in influencing competitive reaction to new products. On the one hand, resources enhance decision makers' belief that they are able to react effectively to competitive attacks, but the presence of resources also makes them less motivated to react. The paper introduces two explanations for this: the liability-of-wealth hypothesis and the strong-competitor hypothesis. The addition of competitor orientation as a moderator allows us to discern between the two competing rationales for the existence of a negative effect of resources on the expected likelihood of success of a competitive new product introduction, supporting the liability-of-wealth hypothesis. The paper demonstrates the key role of competitor orientation and formulates implications from that. [source] Are Terrorists Mentally Deranged?ANALYSES OF SOCIAL ISSUES & PUBLIC POLICY, Issue 1 2002Charles L. Ruby Recent terrorist attacks on the World Trade Center towers and the Pentagon have accentuated the threat of terrorism. However, it appears that the attackers are popularly thought of as mentally deranged individuals who are evil. This article suggests that such an understanding is a misperception of these people and may interfere with an adequate response to prevent future attacks. The article reviews the extant literature on psychological theories of terrorism and concludes that terrorists are not dysfunctional or pathological; rather, it suggests that terrorism is basically another form of politically motivated violence that is perpetrated by rational, lucid people who have valid motives. The only real difference between terrorism and conventional military action is one of strategy. Terrorists lack the necessary resources to wage war in furtherance of their political goals. [source] |