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Selected AbstractsThe Science of Surge: Detection and Situational AwarenessACADEMIC EMERGENCY MEDICINE, Issue 11 2006John McManus MD As part of the broader "science of surge" consensus initiative sponsored by Academic Emergency Medicine, this report addresses the issues of detection and situational awareness as they relate to surge in the practice of emergency medicine. The purpose of this report, and the breakout group that contributed to its content, was to provide emergency physicians and other stakeholders in the emergency medicine community a sense of direction as they plan, prepare for, and respond to surge in their practice. [source] A community development approach to deal with public drug use in Box HillDRUG AND ALCOHOL REVIEW, Issue 1 2007NEIL ROGERS Abstract The use of alcohol and other drugs in public space is one that generates much heat in the public discourse and in the media. Too often the responses called for to reduce the problems of public amenity involve punitive policing and other responses that aim to engineer (mostly) young people out of these public spaces. Often local retailers are a key stakeholder group calling loudest for punitive action. In this Harm Reduction Digest Rogers and Anderson describe a community development approach taken to address these problems in Box Hill in the City of Whitehorse, near Melbourne. This approach which aimed to develop ,bridging social capital' between community retailers and other stakeholders in the area appears to have been effective in reducing harm associated with public drug use. Moreover these changes have become institutionalised and the approach has been expanded to address other public amenity problems in the area. It is a very nice example of how drug related harm can be reduced by grass roots networks of local councils, business people, law enforcement and health and welfare service providers to address these issues. [source] The Politics of a European Civil CodeEUROPEAN LAW JOURNAL, Issue 6 2004Martijn W. Hesselink That plan forms an important step towards a European Civil Code. In its Plan, the Commission tries to depoliticise the codification process by asking a group of academic experts to prepare what it calls a ,common frame of reference'. This paper argues that drafting a European Civil Code involves making many choices that are essentially political. It further argues that the technocratic approach which the Commission has adopted in the Action Plan effectively excludes most stakeholders from having their say during the stage when the real choices are made. Therefore, before the drafting of the CFR/ECC starts, the Commission should submit a list of policy questions regarding the main issues of European private law to the European Parliament and the other stakeholders. Such an alternative procedure would repoliticise the process. It would increase the democratic basis for a European Civil Code and thus its legitimacy. [source] We've never done it this way before: Prompting organizational change through storiesGLOBAL BUSINESS AND ORGANIZATIONAL EXCELLENCE, Issue 2 2008North McKinnon Organizations have discovered that storytelling is a powerful change management tool for addressing the emotional issues that have torpedoed many an initiative. Leaders from five businesses discuss how stories finally enabled employees and other stakeholders to get on board with major change efforts. The cases include organizations that used metaphors to create a common team vision, a road map for new business strategy, and the future vision for a massive high tech merger, as well as leaders who used personal stories to convey the essence of a difficult business issue for a skeptical audience. This article is reprinted from the book, Wake Me Up When the Data Is Over: How Organizations Use Stories to Drive Results, by Lori L. Silverman (Jossey-Bass, 2006) © 2006 John Wiley & Sons. [source] Aquatic risks of pesticides, ecological protection goals, and common aims in european union legislationINTEGRATED ENVIRONMENTAL ASSESSMENT AND MANAGEMENT, Issue 4 2006Theo CM Brock Abstract This discussion paper presents a framework for spatiotemporal differentiation in ecological protection goals to assess the risks of pesticides in surface waters. It also provides a proposal to harmonize the different scientific approaches for ecotoxicological effect assessment adopted in guidance documents that support different legislative directives in the European Union (Water Framework Directive and Uniform Principles). Decision schemes to derive maximum permissible concentrations in surface water are presented. These schemes are based on approaches recommended in regulatory guidance documents and are scientifically underpinned by critical review papers concerning the impact of pesticides on freshwater organisms and communities. Special attention is given to the approaches based on standard test species, species sensitivity distribution curves, and model ecosystem experiments. The decision schemes presented here may play a role in the "acceptability" debate and can be used as options in the process of communication between risk assessors and risk managers as well as between these risk experts and other stakeholders. [source] Managing heritage attractions: marketing challenges at sensitive historical sitesINTERNATIONAL JOURNAL OF TOURISM RESEARCH, Issue 6 2002Nathan K. Austin Abstract Historical sites now feature strongly as sites of visitation. However, such sites are often connected with historical events, which are sensitive to visitors and thus highly contentious when utilised in the development of tourism. The paper, from the perspective of the visitor, examines some of the critical issues that generally determine the nature of visitation at sensitive historical sites. The issues identified are the visitor's emotional state at the site, prior expectations of the site and what is to be learnt and perception of site presentation and interpretation. They also include the primary visitor objective to learn about the site, the ease with which access to the site can be obtained and the existence of social experiences between relevant visitor groups that may be extended to the site. The issues identified place significant challenges on how marketers communicate with potential visitors and other stakeholders of the site and require the marketing function to take cognisance of the different emotional states of visitors. Similarly, the nature of the packaging of the site, the channels of visitor access to be encouraged and how pricing is to be used as a marketing tool in a way that it is appropriate for the different groups of visitors to the site, all present unique marketing challenges. Copyright © 2002 John Wiley & Sons, Ltd. [source] The Role of Risk Management and Governance in Determining Audit DemandJOURNAL OF BUSINESS FINANCE & ACCOUNTING, Issue 9-10 2006W. Robert Knechel Abstract:, Most prior research into audit fees has been based on a theoretical model which treats audit fees as the by-product of a production function ignoring potential demand forces that may drive the level of the audit fee. Inspired by prior ,anomalous' results, we take a different perspective by focusing on demand factors that may affect the level of the audit fee. Using data collected from a sample of listed companies in Belgium, we consider both disclosures about risk and risk management and actual decisions about corporate governance to examine whether audit fees are higher when these demand forces exist. In general, we expect that external auditing will increase in situations where there are multiple stakeholders with individual risk profiles who can shift some of the cost of monitoring to other stakeholders. Consistent with our theory and expectations, our results indicate that audit fees are higher when a company has an audit committee, discloses a relatively high level of financial risk management, and has a larger proportion of independent Board Members. Audit fees are lower when a company discloses a relatively high level of compliance risk management. The latter result indicates that controls are only complementary as long as they are voluntary, as mandated controls act as substitutes for non-mandated controls. [source] The implications of improved communications for participatory forest management in TanzaniaAFRICAN JOURNAL OF ECOLOGY, Issue 2009Elizabeth J. Z. Robinson Abstract Following the 1998 National Forest Policy and Forest Act of 2002, participatory forest management (PFM) is being introduced in Tanzania. PFM has two key objectives: to reduce forest degradation thereby increasing ecosystem services, and to improve the livelihoods of local villagers. A unique data set collected in 2006 suggests that significant challenges remain with respect to communicating the new forest policies if the objectives of PFM are to be achieved. First, villagers as a group are much less well informed than other stakeholders, and their knowledge is often inaccurate. Second, women are less likely than men to have heard of the changes. Third, how PFM will contribute to poverty reduction (a key objective of PFM) is not always clear. Fourth, environmental degradation may not be reduced as much as anticipated , without alternatives sources, villagers often continue to cut trees for charcoal and firewood in the protected forests. Finally, several mismatches in perceptions are identified that could lead to difficulties in implementing PFM. [source] Pharmacist prescribing in the UK , a literature review of current practice and researchJOURNAL OF CLINICAL PHARMACY & THERAPEUTICS, Issue 6 2007A. P. Tonna MRPharmS MSc Abstract Objective:, To review the research literature to date on pharmacist prescribing in the United Kingdom (UK) and to explore the main areas of care and practice settings including any benefits and limitations. Findings:, There are two models of pharmacist prescribing in the UK: pharma\cist supplementary prescribing (SP) introduced in 2003, involving a voluntary partnership between the responsible independent prescriber (a physician or a dentist), the supplementary prescriber and the patient, to implement an agreed patient-specific clinical management plan; and pharmacist independent prescribing (IP) introduced in 2006, responsible for the assessment and consequent management, including prescribing of both undiagnosed and diagnosed conditions. There have been narrative reports of pharmacist SP in different health care settings including primary care, community pharmacies, secondary care and at the primary/secondary care interface; published research within these areas of care is conflicting as to which setting is more suitable for pharmacist prescribing. Initial research reports that almost 50% of pharmacist supplementary prescribers self-reported prescribing with both benefits of and barriers to implementing SP. Research involving other healthcare professionals has indicated that encroachment of traditional roles is likely to occur because of the advent of pharmacist prescribing. A small-scale study has concluded that patients are likely to accept pharmacist prescribing favourably, with another study showing pharmacist prescribing leading to improved adherence to guidelines. There is no published research yet available about practices involving pharmacist IP. Discussion:, Most of the literature focuses on pharmacists' perceptions of SP, with little information referring to other stakeholders, including patients. There is also limited published research focusing on clinical and economic outcomes of pharmacist SP. Conclusion:, This is a rapidly changing aspect of pharmacy practice in the UK, particularly with the more recent introduction of pharmacist IP. It is likely that this area of research will expand rapidly over the coming years. [source] Who are organic food consumers?JOURNAL OF CONSUMER BEHAVIOUR, Issue 2-3 2007A compilation, review of why people purchase organic food This paper integrates and synthesizes the findings of published research on organic food consumption. We identify several themes that reflect the various rationales used by consumers when deciding to purchase organic food. The literature clearly indicates that the word "organic" has many meanings, that consumers of organic foods are not homogeneous in demographics or in beliefs, and that further research could help better describe the various constituencies that are often lumped together as "organic food consumers". The organic and broader food industries must better understand the variety of motivations, perceptions, and attitudes consumers hold regarding organic foods and their consumption if their own long-term interests, as well as those of other stakeholders of food marketing, are to be best served. We conclude with implications and suggestions for further research. Copyright © 2007 John Wiley & Sons, Ltd. [source] Moving targets: The dynamics of goal setting and performanceJOURNAL OF CORPORATE ACCOUNTING & FINANCE, Issue 3 2009C. J. McNair-Connolly As organizations seek ways to improve performance, reduce costs, and maximize the value created for customers and other stakeholders, they need to make sure that the dynamics embedded in their management control system,the linkages between goal setting and performance,create a natural platform for internalization of the organization's goals by the workforce. © 2009 Wiley Periodicals, Inc. [source] Reluctant but resourceful middle managers: the case of nurses in the NHSJOURNAL OF NURSING MANAGEMENT, Issue 1 2006BSc (Hons), GRAEME CURRIE PhD This study counters the widely held view that middle managers have little to contribute to strategic change in health care organizations. In particular, it argues that middle managers with a nursing background that manage clinical activity should be involved in strategic change beyond mere implementation of decisions made by executive management. Constraints upon this are noted , the power of doctors and central government intervention , that means middle managers enact a semiautonomous strategic role. Antecedents for the semiautonomous role are investment in organization and management development, developing lateral organizational structures that allow middle managers to make a contribution to the development, as well as the implementation of strategy and allowing middle managers to interact with other stakeholders outside the confines of the organization. [source] An Empirical Analysis of the Relationship Between Capital Acquisition and Bankruptcy LawsJOURNAL OF SMALL BUSINESS MANAGEMENT, Issue 1 2009Howard Van Auken Ineffective capital acquisition decisions at start-up may lead to business failure and bankruptcy; a result which is both costly and disruptive to the owners and other stakeholders of the firm. To cope with the risk of failure, owners embark on a variety of risk-reducing activities whereas the U.S. government attempts to moderate the downside effects of such failures through the rules surrounding bankruptcy. Previous studies imply that as owners become more aware of the protections offered through the government regulation of bankruptcy, they should become less concerned with the effects of failure and be willing to raise higher levels of initial capital. Raising higher levels of initial capital, in turn, leads owners to take actions intended to reduce firm risk and to minimize the threat to their personal financial security. Data from a sample of small firms confirm our hypothesis by showing that as the level of initial capital acquisition increases, owners embark on activities intended to reduce firm risk. However, capital acquisition is not associated with the owner's familiarity with bankruptcy regulations. As a result, governmental objectives in establishing these regulations may not be achieved. Our findings have implications for firms' owners, consultants, and policymakers, in terms of the relationship between an entrepreneur's knowledge of bankruptcy laws and the financing of their enterprises. [source] Models, Assumptions, and Stakeholders: Planning for Water Supply Variability in the Colorado River Basin,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 2 2008Dustin Garrick Abstract:, Declining reservoir storage has raised the specter of the first water shortage on the Lower Colorado River since the completion of Glen Canyon and Hoover Dams. This focusing event spurred modeling efforts to frame alternatives for managing the reservoir system during prolonged droughts. This paper addresses the management challenges that arise when using modeling tools to manage water scarcity under variable hydroclimatology, shifting use patterns, and institutional complexity. Assumptions specified in modeling simulations are an integral feature of public processes. The policymaking and management implications of assumptions are examined by analyzing four interacting sources of physical and institutional uncertainty: inflow (runoff), depletion (water use), operating rules, and initial reservoir conditions. A review of planning documents and model reports generated during two recent processes to plan for surplus and shortage in the Colorado River demonstrates that modeling tools become useful to stakeholders by clarifying the impacts of modeling assumptions at several temporal and spatial scales. A high reservoir storage-to-runoff ratio elevates the importance of assumptions regarding initial reservoir conditions over the three-year outlook used to assess the likelihood of reaching surplus and shortage triggers. An ensemble of initial condition predictions can provide more robust initial conditions estimates. This paper concludes that water managers require model outputs that encompass a full range of future potential outcomes, including best and worst cases. Further research into methods of representing and communicating about hydrologic and institutional uncertainty in model outputs will help water managers and other stakeholders to assess tradeoffs when planning for water supply variability. [source] Environmental state of Lake Kariba and Zambezi River Valley: Lessons learned and not learnedLAKES & RESERVOIRS: RESEARCH AND MANAGEMENT, Issue 3 2010C. H. D. Magadza Abstract Lake Kariba, still the largest reservoir in the world by volume, is 60 years old. It has undergone changes in its thermal properties, associated with global warming, which reflect in turn on its limnology. These changes include a shallower eipilimnion, higher heat content and increased tropicality to near equatorial status. The role of Lake Kariba with regard to its energy characteristics is discussed in light of global warming findings. The lake's water residence time has increased from 3.7 years to ,5.7 years, attributable to a reduced inflow from the Zambezi River. The phytoplankton communities have changed towards a cyanophyceae-dominated community, leading to a decline in entomostracan zooplankton, and a near collapse of the planktivorous Limnothrissa miodon fishery. Prolonged use of pesticides to control Glossina has led to measurable ecosystem level impacts on both terrestrial and aquatic biota. The impacts of the forced relocation of the Tonga people were still evident during this study. Siltation from resettlement areas has led to the loss of habitat and biodiversity in the inflowing streams to the lake. Unplanned shoreline development in the early history of the lake poses health problems. It is projected that global warming will cause the lake temperature to rise by ,4 °C by the end of the century. Higher temperatures will be accompanied by windier conditions, thereby enhancing the risks from storms on the lake. The appropriateness of administrative structures intended to manage the Zambezi River Basin environment also is discussed herein. It is concluded that the management protocol is institutionally a non-inclusive process lacking the capacity to involve other stakeholders in managing the lake's resources, and even less so in the integrated management of the basin. [source] Management of the Nile tilapia (Oreochromis niloticus (L.)) fishery in the Kenyan portion of Lake Victoria, in light of changes in its life history and ecologyLAKES & RESERVOIRS: RESEARCH AND MANAGEMENT, Issue 2 2008M. Njiru Abstract This study reports on the population parameters, catch distribution and feeding ecology of Nile tilapia (Oreochromis niloticus) from bottom trawls and commercial catches obtained in the Kenyan portion of Lake Victoria during 1997,2006. The population parameters were analysed using the FAO-ICLARM stock assessment tool (FISAT). The fish biomass and the food ingested by the fish were estimated using the swept area and point methods, respectively. Immature fish comprised ,70% of the total fish population. The asymptotic length, maximum weight, maximum age, exploitation rate (E) and length at 50% maturity of Nile tilapia have decreased, whereas the growth curvature and fishing mortality have increased. The commercial catches increased from 13.93 t in 1997, to 23.70 t in 1999, decreasing thereafter to 18.73 t in 2005. The bottom trawl catches increased from 46.90 kg ha,1 in 1997, to 401.48 kg ha,1 in 2000, decreasing thereafter to 15.57 kg ha,1 in 2006. The major food items ingested by the fish were algae, insects and other fish. Population parameters, and the catch and diet of O. niloticus, have changed over the years in Lake Victoria. The population characteristics suggest a population under stress, attributable to intense catch exploitation. Even under intense exploitation (E = 0.68), however, the mature fish constituted ,30% of the population. The commercial catches are still high, indicating a very resilient fishery. Nevertheless, despite this resilience, the future of Oreochromis fishery is threatened by increased fishing capacity in the lake, and there is need to re-evaluate the effectiveness of current fishery management measures, with the goal of possibly adopting new measures. Enactment of new fishery policies also should provide for co-management to enhance the management process. Furthermore, there is a need to reduce fishing capacity and illegal fishing methods, and to seek alternative livelihoods for lake fishers and other stakeholders. [source] Defining characteristics of educational competenciesMEDICAL EDUCATION, Issue 3 2008Mark A Albanese Context, Doctor competencies have become an increasing focus of medical education at all levels. However, confusion exists regarding what constitutes a competency versus a goal, objective or outcome. Objectives, This article attempts to identify the characteristics that define a competency and proposes criteria that can be applied to distinguish between competencies, goals, objectives and outcomes. Methods, We provide a brief overview of the history of competencies and compare competencies identified by international medical education organisations (CanMEDS 2005, Institute for International Medical Education, Dundee Outcome Model, Accreditation Council for Graduate Medical Education/American Board of Medical Specialties). Based upon this review and comparisons, as well as on definitions of competencies from the literature and theoretical and conceptual analyses of the underpinnings of competencies, the authors develop criteria that can serve to distinguish competencies from goals, objectives and outcomes. Results, We propose 5 criteria which can be used to define a competency: it focuses on the performance of the end-product or goal-state of instruction; it reflects expectations that are external to the immediate instructional programme; it is expressible in terms of measurable behaviour; it uses a standard for judging competence that is not dependent upon the performance of other learners, and it informs learners, as well as other stakeholders, about what is expected of them. Conclusions, Competency-based medical education is likely to be here for the foreseeable future. Whether or not these 5 criteria, or some variation of them, become the ultimate defining criteria for what constitutes a competency, they represent an essential step towards clearing the confusion that reigns. [source] The stone forum: Implementing a consensus building methodology to address impacts associated with small mining and quarry operationsNATURAL RESOURCES FORUM, Issue 1 2000C. Peiter Abstract Small-scale mining, including quarry operations, continues to play an important social and economic role in hundreds of communities throughout Brazil. Often operating outside the formal economy, conflicts between the owners of small-scale mining operations, the mineworkers, various government agencies, and other stakeholders have contributed to the progressive degradation of the environment, poor health and safety standards, and low productivity. The Centre for Mineral Technology (CETEM) of Brazil is implementing a consensus building methodology in order to produce dimension stone by small-scale miners on a more sustainable basis in the Pádua region, located in the northwest of the State of Rio de Janeiro. The approach being used by CETEM is based on its own experience in working with gold prospectors in the Amazon, and lessons and experiences learned from Canadian officials and industry representatives. The lessons and insights gained from this project may prove to be useful to those involved in addressing similar problems elsewhere in Brazil, South America and around the world. [source] Continuous curriculum assessment and improvement: A case studyNEW DIRECTIONS FOR TEACHING & LEARNING, Issue 112 2007Art Hill This chapter describes the simple sustainable assessment protocols followed in food science at the University of Guelph to help ensure a continuously improving curriculum that satisfies the pedagogical prescriptions of the Institute of Food Technology, the learning objectives of the university, and learning outcomes of other stakeholders, including employers, students, and faculty. [source] Men in Nursing: Barriers to RecruitmentNURSING FORUM, Issue 3 2000Robert J. Meadus Men still constitute a small minority of the nursing population. Although the literature has identified barriers that deter men from entering the profession, nursing schools and other stakeholders have been conservative in their efforts to recruit men. With the changes taking place in the healthcare system, nursing education programs are attracting fewer students. Active recruitment of young men may be a means of addressing nursing shortages. If nursing is to survive in the 21st century, affirmative action is needed to close the gender gap. [source] Critical inquiry and knowledge translation: exploring compatibilities and tensionsNURSING PHILOSOPHY, Issue 3 2009Sheryl Reimer-Kirkham PhD RN Abstract Knowledge translation has been widely taken up as an innovative process to facilitate the uptake of research-derived knowledge into health care services. Drawing on a recent research project, we engage in a philosophic examination of how knowledge translation might serve as vehicle for the transfer of critically oriented knowledge regarding social justice, health inequities, and cultural safety into clinical practice. Through an explication of what might be considered disparate traditions (those of critical inquiry and knowledge translation), we identify compatibilities and discrepancies both within the critical tradition, and between critical inquiry and knowledge translation. The ontological and epistemological origins of the knowledge to be translated carry implications for the synthesis and translation phases of knowledge translation. In our case, the studies we synthesized were informed by various critical perspectives and hence we needed to reconcile differences that exist within the critical tradition. A review of the history of critical inquiry served to articulate the nature of these differences while identifying common purposes around which to strategically coalesce. Other challenges arise when knowledge translation and critical inquiry are brought together. Critique is one of the hallmark methods of critical inquiry and, yet, the engagement required for knowledge translation between researchers and health care administrators, practitioners, and other stakeholders makes an antagonistic stance of critique problematic. While knowledge translation offers expanded views of evidence and the complex processes of knowledge exchange, we have been alerted to the continual pull toward epistemologies and methods reminiscent of the positivist paradigm by their instrumental views of knowledge and assumptions of objectivity and political neutrality. These types of tensions have been productive for us as a research team in prompting a critical reconceptualization of knowledge translation. [source] Project management priorities and the link with performance management systemsPROJECT MANAGEMENT JOURNAL, Issue 4 2007David J. Bryde Abstract This paper reports the results of a project management practices study in the U.K. social housing sector. A five-factor model of project priorities is established, comprising traditional measures of project cost, time, and quality, in combination with a need to focus on stakeholders and to develop a customer and project team orientation. This model supports and integrates previously fragmented notions of project performance measurement. The relationship between these five project management criteria and the effectiveness and use of a performance management system (PMS) is then explored, with some limited evidence found that PMS effectiveness is an antecedent to practices that focus on the customer, the project team members, and other stakeholders [source] A shift to ambulatory medical education in IsraelTHE CLINICAL TEACHER, Issue 2 2010Khaled Karkabi Summary Background:, The Council for Higher Education in Israel published an extensive report in 2007, calling for a significant increase of undergraduate medical education in Israel in ambulatory care settings. The objective of this article is to propose an action plan aimed at shifting undergraduate medical education in Israel towards ambulatory education. Context:, The main barriers to increasing ambulatory education in Israel are lack of academic recognition for teaching and excellence, conflict between patient care, income and teaching, lack of an adequate educational infrastructure and faculty in ambulatory care, and insufficient support and involvement of the health organisations. However, there is great potential for developing ambulatory education in Israel based on existing resources: Israel has a well-established primary care network, has chronic disease management programmes, community-based preventive medicine and health promotion activities, and an emerging structure for home, palliative and terminal care in the community. Innovation:, The proposed action plan presents a framework for enhancing ambulatory education in undergraduate medical education in Israel, and allows site-specific adjustments according to the preferences, resources and capabilities of each of the four medical schools. Implications:, A national shift to ambulatory education in Israel can be implemented through the existing coordination mechanism of the four medical schools. A government funding policy that encourages the collaboration between four medical schools will be beneficial both in terms of resource utilisation and the engagement of other stakeholders. The recognition of community services and educational excellence can be advanced by establishing academies of teaching scholars. [source] Facilitating Emergency Care Research Networks: Integration into the Clinical Translational and Science Award (CTSA) InfrastructureACADEMIC EMERGENCY MEDICINE, Issue 10 2009Judd E. Hollander MD Abstract Emergency care research (ECR) does not fit neatly into the traditional National Institutes of Health (NIH) funding model, because emergency research involves undifferentiated disease presentations involving multiple disciplines and time-sensitive interventions. A task force of emergency care researchers and other stakeholders was convened to discuss the present and future state of clinical research networks. Integration of ECR with the Clinical Translational and Science Award (CTSA) program through a multidisciplinary emergency care research network (ECRN) would obviate the duplication of research efforts by disease-specific or institute-specific multicenter networks and reduce startup and maintenance costs. Strategies to enhance integration must include the training of emergency physician investigators in biostatistical and epidemiologic methods, as well as educating collaborative investigators in emergency care,related methodologies. Thus, an ECRN would be of great benefit to CTSA awardees and applicants and should be considered a priority. [source] Evaluating Emergency Care Research Networks: What Are the Right Metrics?ACADEMIC EMERGENCY MEDICINE, Issue 10 2009Jill M. Baren MD Abstract Research networks can enable the inclusion of large, diverse patient populations in different settings. However, the optimal measures of a research network's failure or success are not well defined or standardized. To define a framework for metrics used to measure the performance and effectiveness of emergency care research networks (ECRN), a conference for emergency care investigators, funding agencies, patient advocacy groups, and other stakeholders was held and yielded the following major recommendations: 1) ECRN metrics should be measurable, explicitly defined, and customizable for the multiple stakeholders involved and 2) continuing to develop and institute metrics to evaluate ECRNs will be critical for their accountability and sustainability. [source] From Shallow to Deep: Toward a Thorough Cultural Analysis of School Achievement PatternsANTHROPOLOGY & EDUCATION QUARTERLY, Issue 4 2008Mica Pollock What do anthropologists of education do? Many observers think that we provide quick glosses on what various "cultures",typically racialized, ethnic, and national-origin groups,"do" in schools. Hervé Varenne and I each name an alternative form of analysis that we think should be central to the subfield. Varenne argues that anthropologists of education should expand analysis of teaching and learning beyond (American) schools and classrooms and examine everyday life in various places as containing countless moments of teaching and learning that are worth understanding. Varenne reminds us that teaching and learning occur nonstop in everyday life, not just in classrooms. "Education" is about far more than what we typically call "achievement," which usually translates into grades, graduation, or test scores.1 This long-standing way of thinking anthropologically about "education" is essential to exploding simplistic notions of what, when, how, and from whom people "learn." In my essay, I contend that U.S. anthropologists of education also need to analyze thoroughly how U.S. school achievement patterns take shape in real time. I argue that it is our particular responsibility to counteract "shallow" analyses of "culture" in schools, which purport to explain "achievement gaps" by making quick claims about how parents and children from various racial, ethnic, national-origin, or class groups react to schools. Such shallow analyses dangerously oversimplify the social processes, interactions, and practices that create disparate outcomes for children. Shallow cultural analyses are common in both journalism and popular discourse,and in schools of education as well (see Ladson-Billings 2006 for a related critique). They are explanatory claims that name a group as having a "cultural" set of behaviors and then name that "cultural" behavior as the cause of the group's school achievement outcomes. (E.g., some argue that "group x"[e.g., "Asians"] employs a "group x behavior"[e.g., "push their children"] that causes "high" or "low" achievement.) Such claims allow people to explain achievement outcomes too simply as the production of parents and children without ever actually examining the real-life experiences of specific parents and children in specific opportunity contexts. Going deeper requires pressing for actual, accurate information about the everyday interactions among real-life parents, children, and other actors that add up to school achievement patterns (graduation rates, dropout rates, skill-test scores, suspension lists, and the like). When anthropologists of education say that we study culture, we mean that we are studying the organization of people's everyday interactions in concrete contexts. Shallow analyses of "culture" that purport to describe only how a "group's" parents train its children blame a reduced set of actors, behaviors, and processes for educational outcomes, and they include a reduced set of actors and actions in a reduced set of projects for educational improvement. Anthropologists of education should make clear that we examine children's experiences both in context and in appropriate detail; we study interactional processes that other observers might describe too quickly or with insufficient information.2 I think that if anthropologists of education explicitly, publicly, and colloquially name what counts as deep, thorough cultural analysis of American school achievement patterns, we will make ourselves far better prepared to respond to harmfully shallow claims made by journalists, colleagues, and educators alike. We will also support other stakeholders in children's lives (including teachers and teacher educators) to think more thoroughly about which actions, by whom, and in what situations produce children's achievement. This short essay suggests four key ways that anthropologists of education can, do, and should get "deep" in analyzing American achievement patterns. I invite colleagues to edit and extend this list in future editions of AEQ. [source] A collaborative approach to the environmental assessment process prior to oil exploration activities offshore the Falkland IslandsAQUATIC CONSERVATION: MARINE AND FRESHWATER ECOSYSTEMS, Issue 1 2002Liz Hopkins Abstract 1.Operating Companies awarded acreage in the Falkland Islands First Offshore Licensing Round began exploration for oil and gas in 1996. Appropriate environmental management is an important aspect of exploration activities in any new frontier area and the Falklands Islands were no exception. Operators with drilling commitments established the Falklands Operators Sharing Agreement (FOSA), which included an Environmental Workgroup (EWG) to take responsibility for the environmental issues associated with exploration activities. 2.The EWG was established early in the exploration programme and commissioned a number of specific environmental studies relating to the offshore environment of the Islands. The data made available by this research provided a valuable input to the assessment of potential environmental impacts from the planned exploration activities. By undertaking environmental impact assessments prior to exploration activities FOSA were able to identify and adopt operational and management controls to ensure potential environmental impacts were, where possible, minimized or avoided. 3.The EWG also provided the main point of contact with the regulators on environmental matters and through the Falkland Islands Exploration & Production Environmental Forum facilitated consultation with government departments such as Fisheries, and other stakeholders such as Falklands Conservation. 4.The co-operative approach taken by the operators with regard to the environmental management of the exploration activities offshore the Falkland Islands is considered to have been very successful. The most obvious benefits were through the shared resources resulting in financial savings, however, other benefits have included, avoiding duplication of effort, the promoting of ,working togetherness' and a reduced burden on consultees. Copyright © 2002 John Wiley & Sons, Ltd. [source] Future societal issues in industrial biotechnologyBIOTECHNOLOGY JOURNAL, Issue 9 2007Daan Schuurbiers Abstract Three international stakeholder meetings were organized by the Netherlands-based "Kluyver Center for Genomics of Industrial Fermentation" with the objective to identify the future societal issues in the field of industrial biotechnology and to develop a coordinated strategy for public dialogue. The meetings resulted in five unanimous recommendations: (i) that science, industry and the European Commission in conjunction with other stakeholders create a comprehensive roadmap towards a bio-based economy; (ii) that the European Commission initiate a series of round-table meetings to further articulate the views, interests and responsibilities of the relevant stakeholders and to define policy; (iii) that the development of new innovative communication activities is stimulated to increase public engagement and to discuss the ways that we do or do not want technologies to shape our common future; (iv) that further social studies are undertaken on public attitudes and behaviors to the bio-based economy and that novel methods are developed to assess public views of future technological developments; and (v) that the concept of sustainability is further operationalized and taken as a core value driving research and development and policy making. [source] Quality of Care for Acute Myocardial Infarction in 58 U.S. Emergency DepartmentsACADEMIC EMERGENCY MEDICINE, Issue 9 2010Chu-Lin Tsai MD ACADEMIC EMERGENCY MEDICINE 2010; 17:940,950 © 2010 by the Society for Academic Emergency Medicine Abstract Objectives:, The objectives of this study were to determine concordance of emergency department (ED) management of acute myocardial infarction (AMI) with guideline recommendations and to identify ED and patient characteristics predictive of higher guideline concordance. Methods:, The authors conducted a chart review study of ED AMI care as part of the National Emergency Department Safety Study (NEDSS). Using a primary hospital discharge diagnosis of AMI (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM], codes 410.XX), a random sample of ED visits for AMI in 58 urban EDs across 20 U.S. states between 2003 and 2006 were identified. Concordance with American College of Cardiology/American Heart Association (ACC/AHA) guideline recommendations was evaluated using five individual quality measures and a composite concordance score. Concordance scores were calculated as the percentage of eligible patients who received guidelines-recommended care. These percentage scores were rescaled from 0 to 100, with 100 indicating perfect concordance. Results:, The cohort consisted of 3,819 subjects; their median age was 65 years, and 62% were men. The mean (± standard deviation [SD]) ED composite concordance score was 61 ± 8), with a broad range of values (42 to 84). Except for aspirin use (mean concordance, 82), ED concordance scores were low (beta-blocker use, 56; timely electrocardiogram [ECG], 41; timely fibrinolytic therapy, 26; timely ED disposition for primary percutaneous coronary intervention [PCI] candidates, 43). In multivariable analyses, older age (beta-coefficient per 10-year increase, ,1.5; 95% confidence interval [CI] = ,2.4 to ,0.5) and southern EDs (beta-coefficient, ,5.2; 95% CI = ,9.6 to ,0.9) were associated with lower guideline concordance, whereas ST-segment elevation on initial ED ECG was associated with higher guideline concordance (beta-coefficient, 3.6; 95% CI = 1.5 to 5.7). Conclusions:, Overall ED concordance with guideline-recommended processes of care was low to moderate. Emergency physicians should continue to work with other stakeholders in AMI care, such as emergency medical services (EMS) and cardiologists, to develop strategies to improve care processes. [source] Pathways of stakeholder influence in the Canadian forestry industryBUSINESS STRATEGY AND THE ENVIRONMENT, Issue 6 2005Irene Henriques Abstract We draw on the stakeholder influence literature to propose and empirically test hypotheses regarding the direct and indirect pathways of perceived influence that stakeholders exercise within the domain of corporate sustainability. Our results allow us to examine the interaction between different types of stakeholder pressure and different types of stakeholder influence strategy. We show that stakeholders who do not control resources critical to the focal firm's operations are able to pressure a firm indirectly via other stakeholders on whose resources the firm is dependent. We contribute to the stakeholder perspective by showing how stakeholders who are affected by the focal firm's operations can enhance their salience via stakeholders who can affect the firm. Copyright © 2005 John Wiley & Sons, Ltd and ERP Environment. 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