Sample records for changing institutional environment

  1. Hospital acquisitions, parenting styles and management accounting change: An institutional perspective.

    PubMed

    Dossi, Andrea; Lecci, Francesca; Longo, Francesco; Morelli, Marco

    2017-02-01

    Many healthcare scholars have applied institutional theories to the study of management accounting systems (MAS) change. However, little attention has been devoted to MAS change within groups. Kostova et al. highlight the limitations of traditional institutional frameworks in studying groups since they are characterised not only by the existence of external institutional environments but also by intra-organisational (meso-level) ones. Given this background, the research question is: how does the meso-level institutional environment affect MAS change in healthcare groups? We use a longitudinal multiple-case study design to understand the role of headquarters in shaping local MAS change. We would expect companies to adopt similar MAS. However, we argue that the relationship between external institutions and MAS change cannot be wholly understood without taking into consideration the role of headquarters. Our analysis shows how hospitals facing the same external institutional environment implement different MAS as a consequence of different parenting styles. From a scientific perspective, our article contributes to broaden traditional institutional theoretical frameworks.

  2. The Need for E-Learning Strategies: Higher Education Institutions and Their Responses to a Changing Environment

    ERIC Educational Resources Information Center

    Boezerooij, Petra; van der Wende, Marijk; Huisman, Jeroen

    2007-01-01

    Integrating e-Learning in their educational delivery and support processes is one way of strategy formation higher education institutions can deploy to respond to their changing environment. In this article, the focus of such a strategy formation is on three strategic choices: traditional, face-to-face, campus-based education (back-to-basics),…

  3. Maximizing Investment

    ERIC Educational Resources Information Center

    Stewart, David

    2010-01-01

    Classrooms are adapting to new teaching approaches, propelling the educational environment to new heights of learning. In this changing environment, education institutions need to make sure that each dollar spent is beneficial to students. With funding decisions scrutinized by teachers, parents and taxpayers, purchases must meet an institution's…

  4. Improving Academic Management: A Handbook of Planning and Institutional Research.

    ERIC Educational Resources Information Center

    Jedamus, Paul, Ed.; Peterson, Marvin W., Ed.

    A guide to the practice of institutional research and planning in American higher education in the 1980s is presented. Attention is directed to the impact of current changes in the external environment on higher education and implications of these changes for institutional research and planning. Topics include national issues crucial to the future…

  5. Managing Change in the Student Affairs Divisions of Higher Education Institutions

    ERIC Educational Resources Information Center

    Lumadi, T. E.; Mampuru, K. C.

    2010-01-01

    In any institution of higher education the student affairs division is an ever-changing environment that necessitates an appropriate management approach. In view of this situation it was deemed necessary to identify a change model that would successfully manage change in student affairs. A literature review was done and an analysis of some…

  6. Significant Changes in the Environment and in Teaching Methodology of an E-Learning Discipline to Avoid Dropouts in a Course at the Federal Institute

    ERIC Educational Resources Information Center

    Oliveira, Gustavo Prado; Aarreniemi-Jokipelto, Päivi; Boaventura, Ricardo Soares

    2015-01-01

    The research is conducted in a public institute of education and technology to boost graduation especially with the help of an e-learning environment adopted. The Directory of E-learning Education from Federal Institute of Triangulo Mineiro coordinates all administrative and pedagogical aspects of 4,000 students registered in 11 e-learning…

  7. Transition to an IP Environment. A Report of the Annual Aspen Institute Conference on Telecommunications Policy (15th, Aspen, Colorado, August 12-16, 2000) with Thoughts on the Implications of Technological Change for Telecommunications Policy.

    ERIC Educational Resources Information Center

    Entman, Robert M.; Katz, Michael L.

    The Aspen Institute's Communications and Society Program convened leaders and experts in the telecommunications and related fields to address telecommunications regulation in an IP (Internet Protocols) environment at the 15th annual Aspen Institute Telecommunications Policy Conference (Aspen, Colorado, August 12-16, 2000). The report from this…

  8. The Effect of Organizational Learning Patterns on Leading Strategic Change among Higher Education Institutions of Ethiopia

    ERIC Educational Resources Information Center

    Olla, Woyita W.

    2013-01-01

    Innovations and reforms are crucial for both public and Christian higher education institutions in order to survive and thrive in an increasingly complex and turbulent today's environment. Although there is a plethora of literature on strategic change, the effect of organizational learning on leading strategic change has been barely investigated…

  9. The Organizational Identity of Ukrainian Universities as Claimed through Their Mission Statements

    ERIC Educational Resources Information Center

    Hladchenko, Myroslava

    2016-01-01

    After the Revolution of Dignity (2014), Ukraine signed an Association Agreement with the European Union. In the context of European integration, new legislation on higher education has been adopted. Changes in the institutional environment expect responses from higher education institutions, in particular changes in the organizational identities…

  10. Organizational Adaptation to the Rapidly Changing External Environment: A Case Study of Strategic Marketing at Notre Dame College in Ohio

    ERIC Educational Resources Information Center

    Brown, Shawn M.

    2012-01-01

    This thesis examined the role of strategic marketing in organizational adaptation to a rapidly changing and competitive external environment among institutions of higher education. Colleges and universities adapt to external pressures as open systems operating within a broader external environment (Bess & Dee, 2008; Keller, 1983). How does…

  11. A Stakeholder View of Organizational Adaptation to Technological Change: The Case of U. S. State Universities, 2003-2012

    ERIC Educational Resources Information Center

    Gould, Robert W.

    2013-01-01

    This study addressed technological change in the core processes of teaching and learning in U. S. state universities in the decade from 2003-2012. Institutions of higher education in the U. S. have faced dramatically complex and rapidly changing operating environments. In response to these conditions, institutions of higher education have…

  12. A Meta-Analysis of Institutional Theories

    DTIC Science & Technology

    1989-06-01

    GPOUP SUBGROUP Institutional Theory , Isomorphism, Administrative Difterpntiation, Diffusion of Change, Rational, Unit Of Analysis 19 ABSTRACT (Continue on... institutional theory may lead to better decision making and evaluation criteria on the part of managers in the non-profit sector. C. SCOPE This paper... institutional theory : I) Organizations evolving in environments with elabora- ted institutional rules create structure that conform to those rules. 2

  13. The Interaction between Higher Education and Labour Market in Changing Economic Environment

    ERIC Educational Resources Information Center

    Gravite, Aija

    2015-01-01

    This paper explores challenges higher education institutions face while ensuring one of the quality assurance criteria--meeting the demands of labour market. The relationship between labour market and higher education institutions becomes even more complicated during the periods of rapid changes in labour market caused by economic collisions. In…

  14. Organizational Routines as Coupling Mechanisms: Policy, School Administration, and the Technical Core

    ERIC Educational Resources Information Center

    Spillane, James P.; Parise, Leigh Mesler; Sherer, Jennifer Zoltners

    2011-01-01

    The institutional environment of America's schools has changed substantially as government regulation has focused increasingly on the core technical work of schools--instruction. The authors explore the school administrative response to this changing environment, describing how government regulation becomes embodied in the formal structure of four…

  15. Assessing a Faculty Development Program in a Changing Environment

    ERIC Educational Resources Information Center

    Lockhart, Marilyn S.; Stoop, Chatanika

    2018-01-01

    The environment in which faculty development centers operate has changed significantly. As a result, centers are asked to play a more important role in contributing to institutional strategic initiatives, assess outcomes of programs, and enhance faculty scholarship success. In the past, assessments have focused on attendance and satisfaction…

  16. Integration of health and environment through health impact assessment: cases from three continents.

    PubMed

    Negev, Maya; Levine, Hagai; Davidovitch, Nadav; Bhatia, Rajiv; Mindell, Jennifer

    2012-04-01

    Despite the strong linkage between environment and health, institutions responsible for these fields operate in largely fragmented ways with limited interaction. As illustrated in the recent engagement between health and urban planning institutions, inter-institutional cooperation could support more effective and politically acceptable solutions for both local and global problems. Analysis of three case-studies, from three different continents, shows that HIA might serve to promote synergies among health and environmental disciplines in different local contexts, and could lead to institutional and procedural changes that promote health. Case examples provided supportive evidence for these effects, despite differences in approaches to HIA and governance levels. Obstacles to the use of HIA for inter-institutional integration also differed between countries. Lessons learned could support cooperation in other common interests of health and environment disciplines such as research, training and preparedness, and mitigation of public health emergencies related to the environment. Copyright © 2012 Elsevier Inc. All rights reserved.

  17. Exploring the utility of institutional theory in analysing international health agency stasis and change.

    PubMed

    Gómez, Eduardo J

    2013-10-01

    Of recent interest is the capacity of international health agencies to adapt to changes in the global health environment and country needs. Yet, little is known about the potential benefits of using social science institutional theory, such as path dependency and institutional change theory, to explain why some international agencies, such as the WHO and the Global Fund to Fight AIDS, Tuberculosis and Malaria, fail to adapt, whereas others, such as the World Bank and UNAIDS, have. This article suggests that these institutional theories can help to better understand these differences in international agency adaptive capacity, while highlighting new areas of policy research and analysis.

  18. Strategic Planning in Distance Education

    ERIC Educational Resources Information Center

    Kilfoil, Wendy R.

    2003-01-01

    The purpose of strategic planning is to align the institution with the external environment. In fact, it is a complex solution to a complex problem. Environmental change is inevitable and it will always impact one's institution sooner or later. It is better to be proactive, thoughtful, and in charge of change, than to be always in a reactive mode…

  19. The Dynamics of Multicultural NPD Teams in Virtual Environments

    ERIC Educational Resources Information Center

    Fain, Nusa; Kline, Miro

    2013-01-01

    Changes in the business environment, responses of companies to these changes and the available information and communication technologies (ICT) pose a number of challenges to present and future product developers, as well as to educational institutions. An appropriate response to these challenges is to create a solid basis for strategies to combat…

  20. Changes in Student Attitudes and Student Computer Use in a Computer-Enriched Environment.

    ERIC Educational Resources Information Center

    Mitra, Ananda; Steffensmeier, Timothy

    2000-01-01

    Examines the pedagogic usefulness of the computer by focusing on changes in student attitudes and use of computers in a computer-enriched environment using data from a longitudinal study at Wake Forest University. Results indicate that a networked institution where students have easy access can foster positive attitudes. (Author/LRW)

  1. Stability and Change of Mentoring Practices in a Capricious Policy Environment: Opening the "Black Box of Institutionalization"

    ERIC Educational Resources Information Center

    März, Virginie; Kelchtermans, Geert; Dumay, Xavier

    2016-01-01

    This article addresses how institutional logics are translated, maintained, or disrupted by actors and their (inter)actions within schools. The changing policy environment for mentoring beginning teachers in Flanders (Belgium) provides a fertile context for answering this question. Combining neoinstitutional and sensemaking lenses and analyzing…

  2. Higher Education Institutional Agents as Policy Implementers: The Case of Policies That Affect Undocumented and DACAmented Students

    ERIC Educational Resources Information Center

    Nienhusser, H. Kenny

    2018-01-01

    This study examines 45 community college institutional agents across four states in their role as implementer of policies that affected undocumented and DACAmented students. The findings delve into the role of changing implementation landscape, policy vagueness, implementation burden, and institutional support in this implementation environment.…

  3. Creating Institutional Space for Business Model Innovation

    ERIC Educational Resources Information Center

    Sheets, Robert; Crawford, Stephen

    2013-01-01

    From college campuses to the halls of Congress, there is broad agreement that higher education is experiencing a major wave of innovation. This article holds that the changes are significant, but that the resulting threats to existing institutions are manageable if key leaders understand them and if institutions adapt to the new environment. The…

  4. FAST-Future Academic Scholars in Teaching: A High-Engagement Development Program for Future STEM Faculty

    ERIC Educational Resources Information Center

    Vergara, Claudia E.; Urban-Lurain, Mark; Campa, Henry, III; Cheruvelil, Kendra S.; Ebert-May, Diane; Fata-Hartley, Cori; Johnston, Kevin

    2014-01-01

    Doctoral granting institutions prepare future faculty members for academic positions at institutions of higher education across the nation. Growing concerns about whether these institutions are adequately preparing students to meet the demands of a changing academic environment have prompted several reform efforts. We describe a professional…

  5. Quality of institution and the FEG (forest, energy intensity, and globalization) -environment relationships in sub-Saharan Africa.

    PubMed

    Amuakwa-Mensah, Franklin; Adom, Philip Kofi

    2017-07-01

    The current share of sub-Saharan Africa in global carbon dioxide emissions is negligible compared to major contributors like Asia, Americas, and Europe. This trend is, however, likely to change given that both economic growth and rate of urbanization in the region are projected to be robust in the future. The current study contributes to the literature by examining both the direct and the indirect impacts of quality of institution on the environment. Specifically, we investigate whether the institutional setting in the region provides some sort of a complementary role in the environment-FEG relationships. We use the panel two-step system generalized method of moments (GMM) technique to deal with the simultaneity problem. Data consists of 43 sub-Saharan African countries. The result shows that energy inefficiency compromises environmental standards. However, the quality of the institutional setting helps moderate this negative consequences; countries with good institutions show greater prospects than countries with poor institutions. On the other hand, globalization of the region and increased forest size generate positive environmental outcomes in the region. Their impacts are, however, independent of the quality of institution. Afforestation programs, promotion of other clean energy types, and investment in energy efficiency, basic city infrastructure, and regulatory and institutional structures, are desirable policies to pursue to safeguard the environment.

  6. Necessary organizational changes according to Burke-Litwin model in the head nurses system of management in healthcare and social welfare institutions - the Slovenia experience.

    PubMed

    Filej, Bojana; Skela-Savic, Brigita; Vicic, Visnja H; Hudorovic, Narcis

    2009-05-01

    To discover which changes should be implemented in the system of head nursing management in Slovenian healthcare institutions and social welfare institutions. The questionnaire was distributed to 155 head nurses of Slovenian hospitals, primary healthcare centres and social welfare institutions. The Burke-Litwin organizational change model has been used to look at which changes have to be implemented in the management system of head nurses. In hospitals head nurses have greater independent competence for planning professional training of nursing employees (p<.022) and are also more independent when it comes to selecting employees when it comes to new job openings (M=4.20, S.D.=.83, p<.004). According to the Burke-Litwin organizational change model, the elements to which changes should be introduced include "external environment" for primary healthcare centres and social welfare institutions, and "system (policies and procedures)" for primary healthcare centres. According to results of our study, changes are needed in leadership and management of nursing in primary healthcare centres. In social welfare institutions changes are only required in leadership. Organizational changes are not necessary for any element of the Burke-Litwin model for hospitals.

  7. Influencing Graduation Rates through Resource Allocation: A Correlation Analysis of Institutional Expenditures and Six-Year Graduation Rates at Private Colleges and Universities in New England

    ERIC Educational Resources Information Center

    Promades, Frederick C.

    2012-01-01

    The challenges facing higher education are great given the current economic environment, the shift of enrollment from private to public institutions, changing student demographics, globalization of institutions, and technology (Goldstein, 2006; Jansen & Bielak, 2008; Newman, Couturier, & Scurry, 2004a). Society's expectations that…

  8. The Climate-G testbed: towards a large scale data sharing environment for climate change

    NASA Astrophysics Data System (ADS)

    Aloisio, G.; Fiore, S.; Denvil, S.; Petitdidier, M.; Fox, P.; Schwichtenberg, H.; Blower, J.; Barbera, R.

    2009-04-01

    The Climate-G testbed provides an experimental large scale data environment for climate change addressing challenging data and metadata management issues. The main scope of Climate-G is to allow scientists to carry out geographical and cross-institutional climate data discovery, access, visualization and sharing. Climate-G is a multidisciplinary collaboration involving both climate and computer scientists and it currently involves several partners such as: Centro Euro-Mediterraneo per i Cambiamenti Climatici (CMCC), Institut Pierre-Simon Laplace (IPSL), Fraunhofer Institut für Algorithmen und Wissenschaftliches Rechnen (SCAI), National Center for Atmospheric Research (NCAR), University of Reading, University of Catania and University of Salento. To perform distributed metadata search and discovery, we adopted a CMCC metadata solution (which provides a high level of scalability, transparency, fault tolerance and autonomy) leveraging both on P2P and grid technologies (GRelC Data Access and Integration Service). Moreover, data are available through OPeNDAP/THREDDS services, Live Access Server as well as the OGC compliant Web Map Service and they can be downloaded, visualized, accessed into the proposed environment through the Climate-G Data Distribution Centre (DDC), the web gateway to the Climate-G digital library. The DDC is a data-grid portal allowing users to easily, securely and transparently perform search/discovery, metadata management, data access, data visualization, etc. Godiva2 (integrated into the DDC) displays 2D maps (and animations) and also exports maps for display on the Google Earth virtual globe. Presently, Climate-G publishes (through the DDC) about 2TB of data related to the ENSEMBLES project (also including distributed replicas of data) as well as to the IPCC AR4. The main results of the proposed work are: wide data access/sharing environment for climate change; P2P/grid metadata approach; production-level Climate-G DDC; high quality tools for data visualization; metadata search/discovery across several countries/institutions; open environment for climate change data sharing.

  9. Commitment to the Environment and Student Support for "Green" Campus Initiatives

    ERIC Educational Resources Information Center

    Coy, Anthony E.; Farrell, Allison K.; Gilson, Katharine P.; Davis, Jody L.; Le, Benjamin

    2013-01-01

    Past research has demonstrated that commitment to the environment strongly predicts global pro-environmental intentions. This research is the first to examine whether the commitment to the environment model predicts college students' endorsement of institutional-level changes that may be proposed by university or college administration.…

  10. Benign or malignant? The effects of institutions.

    PubMed

    Mortimore, J; Mortimore, P

    1985-01-01

    The institutions discussed in this paper are those which most children attend for some (and in a few cases, most) of their time. It is argued that, not only are there differences in institutions ostensibly performing the same function, but that, with rare exceptions, differences in organization, philosophy and ethos can exert an influence on inmates in both the long and the short term. The question of what attempts have been made to alter the influence of institutions is then addressed in terms of changing structure, organization and attitudes. The agents of change include government committees, a local education authority, researchers, pressure groups and/or staff of the institutions. Whilst the enduring nature of institutions is recognized, some suggestions for strategies of change are made. These draw on research evidence indicating the kinds of institutional environments most suitable for children's development, the need for a coherent unified policy on child care, and for effective parent involvement, all of which could make the influence of institutions more positive--benign rather than malignant.

  11. Health sciences libraries: strategies in an era of changing economics.

    PubMed Central

    Messerle, J

    1987-01-01

    Libraries in health care settings reflect their parent institutions, which, in turn, are affected by environmental changes. The economic climate of the 1980s, unleashing competitive forces and threatening the survival of some institutions, has had a major impact on both hospitals and academic health centers. The challenge to libraries of these institutions calls for reassessment of programs and realignment in their power structures. It is argued that libraries which position themselves to capitalize on the current economic environment will create a future with new opportunities. PMID:3828607

  12. The Environmental Factors Influencing Attrition.

    ERIC Educational Resources Information Center

    Villella, Edward F.

    1986-01-01

    Offers an economics/business-management perspective on student attrition, focusing on the external macro-environment (including such factors as government funding of education, changing enrollment patterns, and the increased number of postsecondary institutions) and the internal micro-environment (exhibiting characteristics of intangibility,…

  13. Leveraging Higher Education Consortia for Institutional Advancement

    ERIC Educational Resources Information Center

    Burley, Diana; Gnam, Cathy; Newman, Robin; Straker, Howard; Babies, Tanika

    2012-01-01

    Purpose: The purpose of this paper is to explore conceptually the role of higher education consortia in facilitating the operational advancement of member institutions, and in enabling their development as learning organizations in a changing and competitive higher education environment. Design/methodology/approach: This article synthesizes the…

  14. Organizational Collaboration in Liberal Arts Colleges: Examining Structure, Culture, and Agency

    ERIC Educational Resources Information Center

    Salguero, Claudia F.

    2009-01-01

    Compelling evidence suggests that collaborative practices may enable higher education institutions to respond more effectively to changes in the external environment and implement more readily innovations in teaching and learning. However, historical practices, cultural values, and structural characteristics of higher education institutions are…

  15. Faculty Perceptions of Change Readiness in Liberal Arts Colleges

    ERIC Educational Resources Information Center

    Rupert, Lyle M.

    2015-01-01

    Due to the increasingly competitive environment in which liberal arts colleges operate and the constantly changing needs of students, colleges must continuously adapt and change in order to survive. Due to the high probability of failure when implementing change, it would serve an institution well to increase its readiness to change. This study…

  16. Synching the Law to Resolve the Disconnection between Awareness and Action in Legally Mandated Diversity Hiring Practices in Higher Education Institutions

    ERIC Educational Resources Information Center

    Dejean, Jacqueline Sylvia

    2015-01-01

    Conflicting regulatory demands on higher education institutions (HEIs) contribute to an environment of increasing legal risk for HEIs. In addition, the increasing cost of non-compliance jeopardizes institutional viability as HEIs struggle to adjust to the pressure created by these legally-mandated changes. The legal risk to HEIs can be attributed…

  17. Ties That Bind: Default, Accreditation, and Articulation.

    ERIC Educational Resources Information Center

    Prager, Carolyn

    1995-01-01

    Examines changes in the accreditation environment and the resulting implications for the articulation of students from for-profit to not-for-profit institutions such as community colleges. Indicates that the costs of programmatic redundancy and duplication brought about by mission convergence at these institutions will emerge as a major policy…

  18. Transformational Leadership Characteristics Necessary for Today's Leaders in Higher Education

    ERIC Educational Resources Information Center

    Basham, Lloyd Moman

    2012-01-01

    This study is concerned with the traits and characteristics of presidents of institutions of higher education who are considered transformational leaders. The study adds current data to the published and perceived characterization of leaders in higher education and their approaches to changing the learning environment at their institutions. This…

  19. Assessing the Learning Environment for Medical Students: An Evaluation of a Novel Survey Instrument in Four Medical Schools.

    PubMed

    Pololi, Linda H; Evans, Arthur T; Nickell, Leslie; Reboli, Annette C; Coplit, Lisa D; Stuber, Margaret L; Vasiliou, Vasilia; Civian, Janet T; Brennan, Robert T

    2017-06-01

    A practical, reliable, and valid instrument is needed to measure the impact of the learning environment on medical students' well-being and educational experience and to meet medical school accreditation requirements. From 2012 to 2015, medical students were surveyed at the end of their first, second, and third year of studies at four medical schools. The survey assessed students' perceptions of the following nine dimensions of the school culture: vitality, self-efficacy, institutional support, relationships/inclusion, values alignment, ethical/moral distress, work-life integration, gender equity, and ethnic minority equity. The internal reliability of each of the nine dimensions was measured. Construct validity was evaluated by assessing relationships predicted by our conceptual model and prior research. Assessment was made of whether the measurements were sensitive to differences over time and across institutions. Six hundred and eighty-six students completed the survey (49 % women; 9 % underrepresented minorities), with a response rate of 89 % (range over the student cohorts 72-100 %). Internal consistency of each dimension was high (Cronbach's α 0.71-0.86). The instrument was able to detect significant differences in the learning environment across institutions and over time. Construct validity was supported by demonstrating several relationships predicted by our conceptual model. The C-Change Medical Student Survey is a practical, reliable, and valid instrument for assessing the learning environment of medical students. Because it is sensitive to changes over time and differences across institution, results could potentially be used to facilitate and monitor improvements in the learning environment of medical students.

  20. On Mediation in Virtual Learning Environments.

    ERIC Educational Resources Information Center

    Davies, Larry; Hassan, W. Shukry

    2001-01-01

    Discusses concepts of mediation and focuses on the importance of implementing comprehensive virtual learning environments. Topics include education and technology as they relate to cultural change, social institutions, the Internet and computer-mediated communication, software design and human-computer interaction, the use of MOOs, and language.…

  1. The Ever Challenging Environment of Producing Knowledgeable and Skillful Graduates: Changing the Culture of Higher Education of Institutions in Teaching and Learning Approaches

    ERIC Educational Resources Information Center

    Zakaria, Sabarudin

    2017-01-01

    The education system of modern society can be understood as an institution whose functions include its capacity to reproduce its host society, both economically and culturally. Higher institution of learning is no more seen as a place of mass production of graduates willingly believes that they are now ready to perform their duties. The newly…

  2. Adaptation a une environnement en mutation: accords et dissensions dans le secteur de l'enseignement postsecondaire quebecois (Adaptation to a Changing Environment: Agreement and Dissention in the Quebec Postsecondary Education Sector).

    ERIC Educational Resources Information Center

    Crespo, Manuel; Hache, Jean B.

    1990-01-01

    A study compared choices made by administrators in French- and English-language institutions under growing fiscal constraints. Areas of agreement are considerable, but university administrators are adhering less closely to government priorities than other institutions, and some differences in institutional choices appear to be related to the…

  3. Social Media Strategies for the United States Armed Forces: An Israeli Case Study

    DTIC Science & Technology

    2013-05-03

    experiences a significant military failure. Discussion: The US military is facing pressure to adapt to a rapidly evolving information environment...Marine Corps, but as I explored the issue, it rapidly became apparent that the institutional structures that both enable and constrain social media use... rapidly changing nature of the information environment itself is causing drastic societal changes, with widespread effects on both individual and

  4. Achieving and sustaining profound institutional change in healthcare: case study using neo-institutional theory.

    PubMed

    Macfarlane, Fraser; Barton-Sweeney, Cathy; Woodard, Fran; Greenhalgh, Trisha

    2013-03-01

    Change efforts in healthcare sometimes have an ambitious, whole-system remit and seek to achieve fundamental changes in norms and organisational culture rather than (or as well as) restructuring the service. Long-term evaluation of such initiatives is rarely undertaken. We report a secondary analysis of data from an evaluation of a profound institutional change effort in London, England, using a mixed-method longitudinal case study design. The service had received £15 million modernisation funding in 2004, covering multiple organisations and sectors and overseen by a bespoke management and governance infrastructure that was dismantled in 2008. In 2010-11, we gathered data (activity statistics, documents, interviews, questionnaires, site visits) and compared these with data from 2003 to 2008. Data analysis was informed by neo-institutional theory, which considers organisational change as resulting from the material-resource environment and three 'institutional pillars' (regulative, normative and cultural-cognitive), enacted and reproduced via the identities, values and activities of human actors. Explaining the long-term fortunes of the different components of the original programme and their continuing adaptation to a changing context required attention to all three of Scott's pillars and to the interplay between macro institutional structures and embedded human agency. The paper illustrates how neo-institutional theory (which is typically used by academics to theorise macro-level changes in institutional structures over time) can also be applied at a more meso level to inform an empirical analysis of how healthcare organisations achieve change and what helps or hinders efforts to sustain those changes. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Continuing Education's New Life in the Fast Lane.

    ERIC Educational Resources Information Center

    Newman, Frank

    2002-01-01

    The director of "The Futures Project: Policy for Higher Education in a Changing World" discusses the competitive environment of higher education, the emergence of new providers, and the effect of market forces on accountability and responsiveness. Addresses policies and institutional strategies for this new environment. (SK)

  6. A Change Will Do You Good

    ERIC Educational Resources Information Center

    Mc Taggart, Breda; Cavaliero, Tamsin

    2016-01-01

    Programmatic review processes within higher education institutions provide programme teams with the opportunity to reflect on their practices. An output of such self-examination is often changes, not only to the content of programmes, but also to delivery methodologies. These changes are influenced by the environment, cultural norms, attitudes and…

  7. Enrollment Management with Academic Portfolio Strategies: Preparing for Environment-Induced Changes in Student Preferences.

    ERIC Educational Resources Information Center

    Paulsen, Michael B.

    1990-01-01

    A marketing model of enrollment management focusing on relationships between changes in the macroenvironment, target market student preferences, college marketing mix, and enrollment is presented. Application of the model illustrates how institutions can offset, enhance, or neutralize potential enrollment effects of job market changes through…

  8. Epilogue: Change Leadership and Leadership Development

    ERIC Educational Resources Information Center

    Cloud, Robert C.

    2010-01-01

    Desna Wallin defines change leadership as a four-part process that "anticipates" change, "analyzes" the internal and external environments, "acts" on the basis of appropriate and timely data and the strengths of team members, and "affirms" institutional actions with the goal of continuous organizational improvement. In its finest form, change…

  9. The Paradox in International Cooperation: Institutionally Embedded Universities in a Global Environment

    ERIC Educational Resources Information Center

    Beerkens, Eric; Derwende, Marijk

    2007-01-01

    As a response to processes of globalisation and regional integration, internationalisation activities in universities have changed. Flows have become more massive, the range of activities has broadened, and internationalisation has shifted from a marginal activity to a central institutional issue with strategic importance (van der Wende 2001,…

  10. Higher Education Policy and Institutional Change: Intentions and Outcomes in Turbulent Environments.

    ERIC Educational Resources Information Center

    Trowler, Paul R., Ed.

    The chapters in this collection focus on three levels of analysis of higher education: national policymaking, institutional strategy, and the ground level of departments and individual academics. Examples from various countries are analyzed in light of recent theoretical understandings of the policy process. The chapters are: (1) Introduction:…

  11. Atmospheric CO2 Concentrations Derived from Flask Samples Collected at U.S.S.R.-Operated Sampling Sites (1991) (NDP-033)

    DOE Data Explorer

    Brounshtein, A. M. [Main Geophysical Observatory, Hydrometeorological Service of the U.S.S.R., St. Petersburg, U.S.S.R.; Faber, E. V. [Main Geophysical Observatory, Hydrometeorological Service of the U.S.S.R., St. Petersburg, U.S.S.R.; Shashkov, A. A. [Main Geophysical Observatory, Hydrometeorological Service of the U.S.S.R., St. Petersburg, U.S.S.R.

    1991-01-01

    This NDP represents the first CDIAC data package to result from our involvement with Soviet scientists as part of Working Group (WG) VIII of the U.S.-U.S.S.R. Joint Committee on Cooperation in the Field of Environmental Protection. The U.S.-U.S.S.R. Agreement on Protection of the Environment, established in 1972, covers a wide variety of areas, including environmental pollution, the urban environment, nature preserves, arctic and subarctic ecological systems, earthquake prediction, and institutional measures for environmental protection. WG VIII is concerned with the influence of environmental changes on climate. CDIAC's activities have been conducted under the auspices of WG VIII's "Data Exchange Management" project. (The four other WG VIII projects deal with climate change, atmospheric composition, clouds and radiation fluxes, and stratospheric ozone.) In addition to the Main Geophysical Observatory, other Soviet institutions that have been cooperating with CDIAC in the exchange of CO2 and climate-related data include the All-Union Research Institute of Hydrometeorological Information (Obninsk) and the State Hydrological Institute (St. Petersburg).

  12. The nature and impact of changes in home learning environment on development of language and academic skills in preschool children.

    PubMed

    Son, Seung-Hee; Morrison, Frederick J

    2010-09-01

    In this study, we examined changes in the early home learning environment as children approached school entry and whether these changes predicted the development of children's language and academic skills. Findings from a national sample of the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (N = 1,018) revealed an overall improvement in the home learning environment from 36 to 54 months of children's age, with 30.6% of parents of preschoolers displaying significant improvement in the home environment (i.e., changes greater than 1 SD) and with only 0.6% showing a decrease. More important, the degree of change uniquely contributed to the children's language but not to their academic skills. Home changes were more likely to be observed from mothers with more education and work hours and with fewer symptoms of depression.

  13. Bureaucracy, institutional theory and institutionaucracy: applications to the hospital industry.

    PubMed

    Bolon, D S

    1998-01-01

    The health care industry is experiencing rapid change and uncertainty. Hospitals, in particular, are redesigning structures and processes in order to maximize efficiencies and remain economically viable. This article uses two organizational theory perspectives (bureaucracy and institutional theory) to examine many of the trends and transitions which are occurring throughout the hospital industry. It suggests that many of the key tenets of bureaucracy (rationality, efficiency, productivity, control, etc.) have been incorporated into the institutional environment as normative expectations. This synthesis or blending of these two perspectives is labeled institutionaucracy, implying that, as productivity and efficiency considerations become institutionalized, hospitals conforming to such operational standards will gain legitimacy and additional resources from their environment.

  14. Institutional Pressures and Isomorphic Change: The Case of New York City's Department of Education

    ERIC Educational Resources Information Center

    Carolan, Brian V.

    2008-01-01

    Many urban school districts have recently implemented sweeping reforms that alter the ways in which educational services are administered. The environment in which these reforms are embedded is increasingly and more directly tied to core political institutions and business elites. Hence, as this dependence has grown, districts have become more…

  15. Utilising Benchmarking to Inform Decision-Making at the Institutional Level: A Research-Informed Process

    ERIC Educational Resources Information Center

    Booth, Sara

    2013-01-01

    Benchmarking has traditionally been viewed as a way to compare data only; however, its utilisation as a more investigative, research-informed process to add rigor to decision-making processes at the institutional level is gaining momentum in the higher education sector. Indeed, with recent changes in the Australian quality environment from the…

  16. Work in America: The Decade Ahead. Work in America Institute Series.

    ERIC Educational Resources Information Center

    Kerr, Clark, Ed.; Rosow, Jerome M., Ed.

    The results of three national symposia held in New York, Chicago, and San Francisco by the Work in America Institute involving more than 300 leaders from industry, qovernment, labor, communications, and education are summarized in this volume dealing with the work force of the future and the emerging work environment. Changes reported that affect…

  17. Isomorphic pressures, institutional strategies, and knowledge creation in the health care sector.

    PubMed

    Yang, Chen-Wei; Fang, Shih-Chieh; Huang, Wei-Min

    2007-01-01

    Health care organizations are facing surprisingly complex challenges, including new treatment and diagnostic technologies, ongoing pressures for health care institutional reform, the emergence of new organizational governance structures, and knowledge creation for the health care system. To maintain legitimacy in demanding environments, organizations tend to copy practices of similar organizations, which lead to isomorphism, and to use internal strategies to accommodate changes. A concern is that a poor fit between isomorphic pressures and internal strategies can interfere with developmental processes, such as knowledge creation. The purposes of this article are to, first, develop a set of propositions, based on institutional theory, as a theoretical framework that might explain the influence of isomorphic pressures on institutional processes through which knowledge is created within the health care sector and, second, propose that a good fit between isomorphic pressures factors and health care organizations' institutional strategic choices will enhance the health care organizations' ability to create knowledge. To develop a theoretical framework, we developed a set of propositions based on literature pertaining to the institutional theory perspective of isomorphic pressures and the response of health care organizations to isomorphic pressures. Institutional theory perspectives of isomorphic pressures and institutional strategies may provide a new understanding for health care organizations seeking effective knowledge creation strategies within institutional environment of health care sector. First, the ability to identify three forces for isomorphic change is critical for managers. Second, the importance of a contingency approach by health care managers can lead to strategies tailoring to cope with uncertainties facing their organizations.

  18. The CLER model: thinking through change. Configurations of social relationships. Linkages to carry communications. Environment(s) inside and around systems. Resources for enabling implementation for incorporating change.

    PubMed

    Bhola, H S

    1994-05-01

    The CLER model is presented to nursing professionals as a model for planning and implementing change in interpersonal, institutional and cultural settings. It is useful for generating other models by modeling reality as actually encountered by change agents and adopters. The CLER model is related philosophically to systems thinking (that there is interdependence among social entities), dialectical thinking (that there is mutual shaping among social processes) and constructivist thinking (that human beings take part in creating their own reality).

  19. Diversity by Design: Technology, Teamwork, and Teaching.

    ERIC Educational Resources Information Center

    Parsons, Michael H.

    Significant changes in the educational environment have inspired structural and functional redefinitions to increase institutional competitiveness. To flourish, colleges now must be able to respond quickly and effectively to change. They must be adaptive, flexible, responsive, and innovative, especially in their application of new technology. They…

  20. Some Reflections on Participative Management in Libraries

    ERIC Educational Resources Information Center

    Dickinson, Dennis W.

    1978-01-01

    Discussion deals with the library environment under Theory Y administration, the drawbacks of management by committee, whether librarianship is really a profession, the collegial organization of libraries at academic institutions, the management of change, and the changes of bureaucracy with a strong, central administration. (JAB)

  1. Emerging Trends in Science Education in a Dynamic Academic Environment

    ERIC Educational Resources Information Center

    Avwiri, H. E.

    2016-01-01

    Emerging Trends in Science Education in a Dynamic Academic Environment highlights the changes that have occurred in science education particularly in institutions of higher learning in southern Nigeria. Impelled by the fact that most Nigerian Universities and Colleges of Education still adhere to the practices and teaching methodologies of the…

  2. Creating the Strategic Learning Environment at City University London

    ERIC Educational Resources Information Center

    Quinsee, Susannah; Bullimore, Anise

    2011-01-01

    Purpose: This paper aims to describe the creation of a new approach to the implementation of educational technologies at a UK Higher Education Institution. Driven by changes in technology, an evaluation of the virtual learning environment (VLE) provided the opportunity to reassess the application of technology to the curriculum. However, such an…

  3. Scientists in a Changed Institutional Environment: Subjective Adaptation and Social Responsibility Norms in Russia

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gerber, T P; Ball, D Y

    How do scientists react when the institutional setting in which they conduct their work changes radically? How do long-standing norms regarding the social responsibility of scientists fare? What factors influence whether scientists embrace or reject the new institutions and norms? We examine these questions using data from a unique survey of 602 scientists in Russia, whose science system experienced a sustained crisis and sweeping changes in science institutions following the collapse of the Soviet Union. We develop measures of how respondents view financing based on grants and other institutional changes in the Russian science system, as well as measures ofmore » two norms regarding scientists social responsibility. We find that the majority of scientists have adapted, in the sense that they hold positive views of the new institutions, but a diversity of orientations remains. Social responsibility norms are common among Russian scientists, but far from universal. The main correlates of adaptation are age and current success at negotiating the new institutions, though prospective success, work context, and ethnicity have some of the hypothesized associations. As for social responsibility norms, the main source of variation is age: younger scientists are more likely to embrace individualistic rather than socially-oriented norms.« less

  4. Managing Postsocialist Transitions: Politicized Sense Making as a Facilitator of Organizational Change

    ERIC Educational Resources Information Center

    Tiplic, Dijana

    2011-01-01

    This study explores what organizational strategies are employed to initiate and facilitate organizational change in higher education institutions in the increasingly complex and competitive postsocialist environment of Bosnia-Herzegovina. By studying organizations trapped between their inert socialist-era legacies and desired organizational…

  5. The Balance between Teaching and Research in Dutch and English Universities in the Context of University Governance Reforms

    ERIC Educational Resources Information Center

    Leisyte, Liudvika; Enders, Jurgen; de Boer, Harry

    2009-01-01

    The expectations and demands with respect to teaching and research have been changing for universities due to changes in their institutional environments. Born out of changing national research policies and modern governance arrangements, efficiency, effectiveness and output-oriented cultures have become increasingly important. In this article we…

  6. Development of the Neurological Institute: a strategic, improvement, and systems approach.

    PubMed

    Tinsley, Nancy; McCartney, Leigh Ann; Hdeib, Alia; Selman, Warren R

    2011-06-01

    The Neurological Institute at University Hospitals Case Medical Center is designed to be responsive to the ever-changing healthcare environment, aligning clinical services and goals in response to internal and external pressures for change. These goals are many, including the further development of system integration across disciplines and geographic locations, creation of a regional strategy, and research as well as education strategies that are aligned with clinical services, patient outcomes that demonstrate improved health status management, and improved financial strength. There are many details to the development of a strategic business unit such as the Neurological Institute, but this article focuses on the high-level strategies of developing the Neurological Institute and takes a closer look at the growth of one of its 16 centers of excellence.

  7. The Impact of the Changing Climate for Accreditation on the Individual College or University: Five Trends and Their Implications

    ERIC Educational Resources Information Center

    Bardo, John W.

    2009-01-01

    In the current environment, presidents and chancellors can expect to have their institutions under nearly continuous scrutiny from regional accrediting bodies. The number of reports, the expected details of outcomes measures, and the level of ongoing interaction between the institution and the regional association will continue to increase. In…

  8. The Impact of Re-Accreditation Processes and Institutional Environment upon a Community College's Efforts to Meet Minimum Standards for Assessing General Education

    ERIC Educational Resources Information Center

    Mattingly, R. Scott

    2012-01-01

    As one result of the accountability movement in American postsecondary education, accrediting agencies have increased their emphasis on student learning outcomes assessment. Among other consequences, this change has impacted the manner in which institutions of higher education (IHEs) plan, implement, assess, and revise the general education…

  9. IT Governance as an Institutionalized Organizational Response in Higher Education: Case Studies of Three Public Universities in the United States

    ERIC Educational Resources Information Center

    Winston, Evelyn E.

    2010-01-01

    The changes in the environment of higher education related to globalization, immigration, rising social-economic inequality, the knowledge economy and cultural identity (Benjamin, 2003; Collis, 2003) are requiring institutions to make some basic strategic choices. One of these decisions is the extent to which institutions of higher education will…

  10. Case Study: Innovative Assessment and Curriculum Redesign

    ERIC Educational Resources Information Center

    Nieweg, Michael R.

    2004-01-01

    The Institute for Physiotherapy, part of the Hogeschool van Amsterdam in the Netherlands, engaged in a fundamental change in their curriculum. This change encompassed three fundamental elements: (1) a fully competency-based programme; (2) a learning environment designed to enable the development of these professional competencies; and (3) an…

  11. Adaptive or Transactional Leadership in Current Higher Education: A Brief Comparison

    ERIC Educational Resources Information Center

    Khan, Natalie

    2017-01-01

    Higher education institutions operate in a complex environment that includes influence from external factors, new technologies for teaching and learning, globalization, and changing student demographics to name a few. Maneuvering such complexity and change requires a leadership strategy that is flexible and supportive. This paper reviews two…

  12. Customer Service in the Self-Service Era

    ERIC Educational Resources Information Center

    Quinet, Bart

    2011-01-01

    It can be difficult for any customer service environment to keep up with the whirlwind pace of change in today's technology-centric world. The challenge can be particularly daunting in an institutional setting accustomed to deliberative, consensus-driven change. The Office of the Registrar at Indiana University Bloomington (IUB) has a…

  13. A Distributed Leadership Change Process Model for Higher Education

    ERIC Educational Resources Information Center

    Jones, Sandra; Harvey, Marina

    2017-01-01

    The higher education sector operates in an increasingly complex global environment that is placing it under considerable stress and resulting in widespread change to the operating context and leadership of higher education institutions. The outcome has been the increased likelihood of conflict between academics and senior leaders, presaging the…

  14. Changes in Academic Entrepreneurship among Japanese University Bioscientists, 1980-2012

    ERIC Educational Resources Information Center

    Kameo, Nahoko

    2014-01-01

    The dissertation examines how Japanese university scientists in the biosciences responded to legal and institutional changes in academic entrepreneurship. Beginning in the 1990s, the Japanese government initiated a series of policy initiatives that attempted to imitate the U.S. academic environment's approach to promoting entrepreneurship. Using…

  15. Assessment of Institutional Impact and Long-Term Strategies Development.

    ERIC Educational Resources Information Center

    American Association of Community Colleges, Washington, DC.

    If community colleges are to expand their roles in delivering workforce training, they must develop long-term strategies that respond effectively to changes in society and workforce needs. In rendering these change strategies, colleges should define their internal and external environments, as well as their service areas. Internally, instructional…

  16. Institutional Change in a Higher Education Environment: Factors in the Adoption and Sustainability of Information Technology Project Management Best Practices

    ERIC Educational Resources Information Center

    LeTourneau, John

    2012-01-01

    The public higher education economic and competitive environments make it crucial that organizations react to the circumstances and make better use of available resources (Duderstadt, 2000; Floyd, 2008; Shulman, 2007; State Higher Education Executive Officers (SHEEO), 2009). Viewing higher education through the perspective of new institutionalism…

  17. Adapting practice-based intervention research to electronic environments: opportunities and complexities at two institutions.

    PubMed

    Stille, Christopher J; Lockhart, Steven A; Maertens, Julie A; Madden, Christi A; Darden, Paul M

    2015-01-01

    Primary care practice-based research has become more complex with increased use of electronic health records (EHRs). Little has been reported about changes in study planning and execution that are required as practices change from paper-based to electronic-based environments. We describe the evolution of a pediatric practice-based intervention study as it was adapted for use in the electronic environment, to enable other practice-based researchers to plan efficient, effective studies. We adapted a paper-based pediatric office-level intervention to enhance parent-provider communication about subspecialty referrals for use in two practice-based research networks (PBRNs) with partially and fully electronic environments. We documented the process of adaptation and its effect on study feasibility and efficiency, resource use, and administrative and regulatory complexities, as the study was implemented in the two networks. Considerable time and money was required to adapt the paper-based study to the electronic environment, requiring extra meetings with institutional EHR-, regulatory-, and administrative teams, and increased practice training. Institutional unfamiliarity with using EHRs in practice-based research, and the consequent need to develop new policies, were major contributors to delays. Adapting intervention tools to the EHR and minimizing practice disruptions was challenging, but resulted in several efficiencies as compared with a paper-based project. In particular, recruitment and tracking of subjects and data collection were easier and more efficient. Practice-based intervention research in an electronic environment adds considerable cost and time at the outset of a study, especially for centers unfamiliar with such research. Efficiencies generated have the potential of easing the work of study enrollment, subject tracking, and data collection.

  18. [Environmental impact of a public hospital in the city of Lima, Peru].

    PubMed

    Bambarén-Alatrista, Celso; Alatrista-Gutiérrez de Bambarén, María del Socorro

    2014-01-01

    The operation of hospitals produces negative effects on the environment which contributes to air pollution and climate change. The institution in this study is a category III health care facility located in the city of Lima. It generates 4.89 kg/bed/day of solid waste, and consumes 1.36 m3/bed/day of water; 25.22 kWh/bed/day of electricity, and 2.76 liters/bed/day of fuel. The level of PM10 and measured parameters of disposal to the public network are within legal limits, while mobile source noise exceeds the maximum allowable limit. The institution releases into the atmosphere 2,291 tons of CO2 equivalents per year. In conclusion, the institution studied generates a negative impact on the environment.

  19. National Academy of Sciences (NAS) Study entitled The Effect of Climate Change on Indoor Air Quality and Public Health.

    EPA Science Inventory

    The Institute of Medicine of the NAS is conducting a study to evaluate the state of scientific understanding of the effects of climate change on indoor air quality and public health. General topics may include the likely impacts of climate change in the U.S. on the indoor environ...

  20. Climate change and California: potential implications for vegetation, carbon, and fire.

    Treesearch

    Jonathan Thompson

    2005-01-01

    Nineteen scientists from leading research institutes in the United States collaborated to estimate how California’s environment and economy would respond to global climate change. A scientist from the PNW Research Station led efforts to estimate effects on vegetation, carbon, and fire.To quantify the range of the possible effects of climate change over the...

  1. "We Don't Talk about Undocumented Status… We Talk about Helping Children": How School Leaders Shape School Climate for Undocumented Immigrants

    ERIC Educational Resources Information Center

    Crawford, Emily; Witherspoon Arnold, Noelle

    2017-01-01

    The racial/ethnic tensions, policies, and practices in society can be mirrored in spaces and institutions like schools. In schools, sociopolitical discourses can be reproduced and protected in institutional policies. One way K-12 leaders can initiate change and limit marginalization of students is by creating a school environment that accepts and…

  2. Learning for Today's Leader: The Changing State of Community College Training Programs

    ERIC Educational Resources Information Center

    Ullman, Ellen

    2010-01-01

    Today's environment requires community college leaders to put student success and equity at the top of their leadership agendas. Thus, higher education institutions have realized a need to change the philosophies and programs that underpin the training of community college leaders. Other schools of education are adapting to give college leaders…

  3. Leadership Practices of Clinical Trials Office Leaders in Academic Health Centers

    ERIC Educational Resources Information Center

    Naser, Diana D.

    2012-01-01

    In the ever-changing clinical research environment, academic health centers seek leaders who are visionary and innovative. Clinical trials offices across the country are led by individuals who are charged with promoting growth and change in order to maximize performance, develop unique research initiatives, and help institutions achieve a…

  4. Sustainability of Foundation-Funded Grant Programs beyond Initial Funding: A Multicase Study at Selective Liberal Arts Colleges

    ERIC Educational Resources Information Center

    Lechuga, Deborah Chang

    2010-01-01

    College and university leaders must remain responsive to their environments by promoting institutional innovation and change. External grant-funders, such as foundations, view themselves as initiators of change. Foundations can provide the necessary tools to jump start innovation within colleges and universities. However, despite the best…

  5. New roles & responsibilities of hospital biomedical engineering.

    PubMed

    Frisch, P H; Stone, B; Booth, P; Lui, W

    2014-01-01

    Over the last decade the changing healthcare environment has required hospitals and specifically Biomedical Engineering to critically evaluate, optimize and adapt their operations. The focus is now on new technologies, changes to the environment of care, support requirements and financial constraints. Memorial Sloan Kettering Cancer Center (MSKCC), an NIH-designated comprehensive cancer center, has been transitioning to an increasing outpatient care environment. This transition is driving an increase in-patient acuity coupled with the need for added urgency of support and response time. New technologies, regulatory requirements and financial constraints have impacted operating budgets and in some cases, resulted in a reduction in staffing. Specific initiatives, such as the Joint Commission's National Patient Safety Goals, requirements for an electronic medical record, meaningful use and ICD10 have caused institutions to reevaluate their operations and processes including requiring Biomedical Engineering to manage new technologies, integrations and changes in the electromagnetic environment, while optimizing operational workflow and resource utilization. This paper addresses the new and expanding responsibilities and approach of Biomedical Engineering organizations, specifically at MSKCC. It is suggested that our experience may be a template for other organizations facing similar problems. Increasing support is necessary for Medical Software - Medical Device Data Systems in the evolving wireless environment, including RTLS and RFID. It will be necessary to evaluate the potential impact on the growing electromagnetic environment, on connectivity resulting in the need for dynamic and interactive testing and the growing demand to establish new and needed operational synergies with Information Technology operations and other operational groups within the institution, such as nursing, facilities management, central supply, and the user departments.

  6. Climate Change Indicators in the United States, 2016 ...

    EPA Pesticide Factsheets

    EPA partners with over 40 data contributors from various government agencies, academic institutions, and other organizations to compile and communicate key indicators related to the causes and effects of climate change, the significance of these changes, and their possible consequences for people, the environment, and society. This is the fourth edition of the Climate Change Indicators in the United States report. To summarize and communicate key indicators related to the causes and effects of climate change.

  7. Transition of the Course Programs in the 40 Years History of Hitachi Institute of Technology

    NASA Astrophysics Data System (ADS)

    Miura, Osamu; Katsura, Koyo; Takahashi, Masahiko

    In 2010, the Hitachi Institute of Technology reached the 40th anniversary. In the beginning, the institute stood at the product-out-oriented view point and carried out extensive technical education from basis to advanced technology. After the 1990s, transition of the business environment with the globalization caused that the needs of the engineer education required by the business sections have been transformed. As the result, the changes of needs have been reflected for course program of the institute. Nowadays, in addition to the conventional course programs, the engineer education programs for the business competency and human skill have also been focused.

  8. Trash Conflicts: An Integrated Science and Social Studies Curriculum on the Ethics of Disposal.

    ERIC Educational Resources Information Center

    Balin, Amy; And Others

    Education is the first step toward making changes in habits and practices that are currently threatening the environment. Across the country, evidence is abundant that people are willing to change their habits once they understand the consequences of their choices. Greater numbers of communities are instituting recycling programs. This book is…

  9. New Directions in Studying Children. Speeches from the Conference of the Erikson Institute (Chicago, Illinois, April 29-30, 1983).

    ERIC Educational Resources Information Center

    Litowitz, Bonnie E.; And Others

    Collected are four conference speeches which in various ways attack the developmental perspective that views genetics as a source of stability and environment as a source of change. Dr. Bonnie E. Litowitz's discussion of "Context and Continuity: Changing Perspectives on Children" explores differences among development, learning, and…

  10. Migration and Rural Development: Selected Topics for Teaching and Research. FAO Economic and Social Development Paper 3.

    ERIC Educational Resources Information Center

    Du Guerny, J.

    In their role as change agents, rural development personnel often modify the environment in which they are operating when they introduce different technology, institutional modifications, etc. Because these actions can change the relationship between the rural population and its habitat and may encourage out-migration or in-migration, rural…

  11. Possible role of remote sensing for increasing public awareness of the Chesapeake Bay environment

    NASA Technical Reports Server (NTRS)

    Wilkerson, T. D.; Maher, P. A.; Billings, G.; Cressy, P. J.; Jarman, J. W.; Macleod, N. H.; Trombka, J. I.; Wisner, T.

    1978-01-01

    Application of remote sensing techniques to the study of the Chesapeake Bay and the availability of the resulting information are discussed in terms of public awareness of the Chesapeake Bay, its total environment, and the need to protect that environment and to preserve the Bay. Recommendations given include: (1) continue the study of remote sensing technology and its use in the Chesapeake Bay region; (2) emphasize the importance of LANDSAT imagery to the evolution of remote sensing technological developments and the awareness of the environment and its changes; (3) increase dissemination of information of the environmental applications of remote sensing technology to the public; (4) design surveys of the Chesapeake Bay environment and its manmade changes; and (5) establish a coordinating regional institution to develop a management plan for the Chesapeake Bay.

  12. Faculty development projects for international health professions educators: Vehicles for institutional change?

    PubMed

    Burdick, William P; Friedman, Stacey R; Diserens, Deborah

    2012-01-01

    Projects are an important tool in faculty development, and project emphasis may offer insights into perceived education priorities. Impact of projects has been focused on individuals, not institutions or health. Education innovation projects of Fellows in an international faculty development program were examined to better understand perceived needs in health professions education and institutional impact of projects. Four hundred and thirty-five projects were analyzed to identify focus areas. Fellows were asked to identify changes in their schools and communities resulting from their projects. New education methods and curriculum change were common project focus areas. Regional differences were evident with a higher percentage of education methods projects by Fellows residing in India (52%), compared with South Africa (25%) and Brazil (24%). Fifty-six percent of projects were incorporated into the curriculum and/or incorporated as institutional policy. One-third to two-thirds of respondents noted improved teaching quality, collaboration, education research interest, assessment, student performance, and curriculum alignment with community health needs. National differences in project focus may offer insight into local conditions and needs. High rates of diffusion of projects and impact on faculty, students, and curriculum suggest that faculty development projects may be a strategy for institutional change in resource limited environments.

  13. The Future of Community and Personal Identity in the Coming Electronic Culture. A Report of the Annual Aspen Institute Roundtable on Information Technology (3rd, Aspen, Colorado, August 18-21, 1994).

    ERIC Educational Resources Information Center

    Bollier, David

    The 1994 Aspen Institute Roundtable on Information Technology began as a look at the changing nature of the home. In building scenarios of the "new home," the participants expressed many significant insights into issues of personal identity, community-building, and setting boundaries in our lives and environments. This report captures…

  14. Institutional Change in Delivery of Dental Services: A Marketing Perspective

    PubMed Central

    Capon, Noel

    1982-01-01

    The recent appearance and growth of new delivery systems for dental services is examined from a marketing perspective. Analysis reveals that the growth of low priced, high throughput operations is consistent not only with marketing principles, but with the development of American retail institutions in general. Options for independent dentists in the face of this new competitive environment are discussed. (Am J Public Health 1982; 72:679-683.) PMID:7091457

  15. Academic Radiology in the New Healthcare Delivery Environment

    PubMed Central

    Qayyum, Aliya; Yu, John-Paul J.; Kansagra, Akash P.; von Fischer, Nathaniel; Costa, Daniel; Heller, Matthew; Kantartzis, Stamatis; Plowman, R. Scooter; Itri, Jason

    2014-01-01

    Ongoing concerns over the rising cost of health care are driving large-scale changes in the way that health care is practiced and reimbursed in the United States. To effectively implement and thrive within this new health care delivery environment, academic medical institutions will need to modify financial and business models and adapt institutional cultures. In this paper, we review the expected features of the new health care environment from the perspective of academic radiology departments. Our review will include background on Accountable Care Organizations, identify challenges associated with the new managed care model, and outline key strategies—including expanding the use of existing information technology infrastructure, promoting continued medical innovation, balancing academic research with clinical care, and exploring new roles for radiologists in efficient patient management—that will ensure continued success for academic radiology. PMID:24200477

  16. Changing the Culture of Academic Medicine: Critical Mass or Critical Actors?

    PubMed

    Helitzer, Deborah L; Newbill, Sharon L; Cardinali, Gina; Morahan, Page S; Chang, Shine; Magrane, Diane

    2017-05-01

    By 2006, women constituted 34% of academic medical faculty, reaching a critical mass. Theoretically, with critical mass, culture and policy supportive of gender equity should be evident. We explore whether having a critical mass of women transforms institutional culture and organizational change. Career development program participants were interviewed to elucidate their experiences in academic health centers (AHCs). Focus group discussions were held with institutional leaders to explore their perceptions about contemporary challenges related to gender and leadership. Content analysis of both data sources revealed points of convergence. Findings were interpreted using the theory of critical mass. Two nested domains emerged: the individual domain included the rewards and personal satisfaction of meaningful work, personal agency, tensions between cultural expectations of family and academic roles, and women's efforts to work for gender equity. The institutional domain depicted the sociocultural environment of AHCs that shaped women's experience, both personally and professionally, lack of institutional strategies to engage women in organizational initiatives, and the influence of one leader on women's ascent to leadership. The predominant evidence from this research demonstrates that the institutional barriers and sociocultural environment continue to be formidable obstacles confronting women, stalling the transformational effects expected from achieving a critical mass of women faculty. We conclude that the promise of critical mass as a turning point for women should be abandoned in favor of "critical actor" leaders, both women and men, who individually and collectively have the commitment and power to create gender-equitable cultures in AHCs.

  17. Antecedents, Correlates and Consequences of Faculty Burnout

    ERIC Educational Resources Information Center

    Sabagh, Zaynab; Hall, Nathan C.; Saroyan, Alenoush

    2018-01-01

    Background: Over the past few decades, higher education institutions worldwide have experienced substantial changes, including: massification, internationalisation and increasing demands for exceptional instructional quality and research quantity in environments that have also seen heightened competition for students, faculty and resources.…

  18. Participatory Practices in Adult Education.

    ERIC Educational Resources Information Center

    Campbell, Pat, Ed.; Burnaby, Barbara, Ed.

    Participatory education is a collective effort in which the participants are committed to building a just society through individual and socieoeconomic transformation and to ending domination through changing power relations. This book describes participatory practices in many environments, including educational and penal institutions,…

  19. Rapid transformation of two libraries using Kotter's Eight Steps of Change.

    PubMed

    Wheeler, Terrie R; Holmes, Kristi L

    2017-07-01

    Two new directors were each charged by their institutions to catalyze transformational change in their libraries and to develop dynamic and evolving information ecosystems ready for the information challenges of the future. The directors approached this transformational change using a strategic, forward-looking approach. This paper presents examples of actions that served as catalysts for change at the two libraries using Kotter's Eight Steps of Change as a framework. Small and large changes are critical for successfully transforming library services, resources, and personnel. Libraries are faced with incredible pressure to adapt to meet emerging and intensifying information needs on today's academic medical campuses. These pressures offer an opportunity for libraries to accelerate their evolution at the micro and macro levels. This commentary reports the expansion of new services and areas of support, enhancement of professional visibility of the libraries on their campuses, and overall, a more positive and productive environment at the respective institutions.

  20. The Chinese perspective on pastoral resource economics: a vision of the future in a context of socio-ecological vulnerability.

    PubMed

    Yu, L; Farrell, K N

    2016-11-01

    This paper reviews institutional changes in pastureland use in China over the last 30 years and discusses their impacts on pastoral communities, drawing evidence from case studies of two agro-pastoralist and two pastoralist communities. Those who rely directly on pastureland for their livelihood are vulnerable to the joint effects of pastureland degradation and climate change. The authors argue that a 'top-down' governance structure with no participation from local communities and a 'one size fits all' institutional solution are a poor fit for pastoralism management. The authors conclude that the current institutional environment in China may be leading to decreasing populations, reduced livestock rearing, impoverishment and increasing inequality within pastoral communities. Bearing in mind that pastoral systems have characteristics that are specific to their areas and tailored to their local context, the authors recommend paying greater attention to 'bottom-up', locally specified strategies which can be combined with long-term institutional arrangements that have historically provided pastoralists and agro-pastoralists with the resources to adapt to change.

  1. The Changing Environment and Changing Institution: Indian Project of the Northeast Kansas Library System

    ERIC Educational Resources Information Center

    Cunningham, William D.

    1971-01-01

    The chief features of the program's first year were the establishment of a liason between the library and identifiable service needs within the community, the second year was for developing the communication center approach; and development of special services and a cultural awareness program were projected for the third and fourth years. (2…

  2. If You Can Make It There, You Can Make It Anywhere: Providing Reference and Instructional Library Services in the Virtual Environment

    ERIC Educational Resources Information Center

    Leonard, Elizabeth; Morasch, Maureen J.

    2012-01-01

    Despite the old-fashioned view of the academic library as a static institution, libraries can and do change in response to the needs of users and stakeholders. Perhaps the most dramatic shift in services has been the transition from a purely physical to a combination physical/virtual or even virtual-only environment. This article examines how…

  3. Initiating Innovation in Post-Secondary Institutions--Customizing Teaching and Learning Environments for the Twenty-First Century: Collective Reflections from the 2014 Cohort of 3M National Student Fellows

    ERIC Educational Resources Information Center

    Carroll, Heather; Chandrashekhar, Shwetha; Huang, Danny; Kim, David; Liu, Peter

    2015-01-01

    In light of the enormous changes unfolding in the higher education landscape, we don't have to look too far to recognize evidence of the transformation and redefinition of the construct of both teaching and learning in the information age. With a growing focus on teaching and learning at all levels of post-secondary institutions, innovation is…

  4. Stories of change in drug treatment: a narrative analysis of 'whats' and 'hows' in institutional storytelling.

    PubMed

    Andersen, Ditte

    2015-06-01

    Addiction research has demonstrated how recovering individuals need narratives that make sense of past drug use and enable constructions of future, non-addict identities. However, there has not been much investigation into how these recovery narratives actually develop moment-to-moment in drug treatment. Building on the sociology of storytelling and ethnographic fieldwork conducted at two drug treatment institutions for young people in Denmark, this article argues that studying stories in the context of their telling brings forth novel insights. Through a narrative analysis of both 'the whats' (story content) and 'the hows' (storying process) the article presents four findings: (1) stories of change function locally as an institutional requirement; (2) professional drug treatment providers edit young people's storytelling through different techniques; (3) the narrative environment of the drug treatment institution shapes how particular stories make sense of the past, present and future; and (4) storytelling in drug treatment is an interactive achievement. A fine-grained analysis illuminates in particular how some stories on gender and drug use are silenced, while others are encouraged. The demonstration of how local narrative environments shape stories contributes to the general understanding of interactive storytelling in encounters between professionals and clients in treatment settings. © 2015 The Author. Sociology of Health & Illness published by John Wiley & Sons Ltd. on behalf of Foundation for Sociology of Health & Illness.

  5. Managing Investment in Teaching and Learning Technologies

    ERIC Educational Resources Information Center

    Coen, Michael; Nicol, David

    2007-01-01

    Information and communications technologies are radically changing the way that teaching and learning activities are organised and delivered within higher education (HE) institutions. A wide range of technologies is being deployed in quite complex and interactive ways, including virtual learning environments (VLEs), mobile communication…

  6. Individual and Institutional Components of the Medical School Educational Environment.

    PubMed

    Gruppen, Larry D; Stansfield, R Brent

    2016-11-01

    To examine, using a systems framework, the relative influence of individual-level and institution-level factors on student perceptions of the medical school educational environment. A series of hierarchical linear models were fit to a large, 18-school longitudinal dataset of student perceptions of the educational environment, various demographics, and student empathy, tolerance of ambiguity, coping, and patient-provider orientation. Separate models were evaluated for individual-level factors alone, institution-level factors alone, and the combination of individual- and institution-level factors. The individual-level model accounted for 56.7% of the variance in student perceptions of the educational environment. However, few specific variables at the individual level had noteworthy direct effects on these perceptions. Similarly, the institution-level model accounted for 10.3% of the variance in student perceptions, but the specific characteristics of the institution explained little of this impact. The combined individual- and institution-level model attributed 45.5% of the variance in student perceptions to individual-level factors and 10.8% to institution-level factors. Again, specific variables explained little of this impact. These findings indicate that the impact of individual-level factors on perceptions of the educational environment is about four times greater than institution-level factors. This contrast reflects the fact that the educational environment is defined through a learner, not institutional lens. Nonetheless, institutions vary in learner perceptions of their environments, and these differences may provide some support for institutional initiatives to improve the educational environment. More broadly, these results evidence the complexity of the educational environment, both in defining it and in understanding its dynamics.

  7. Small Groups, Big Change: Preliminary Findings from the Sparks for Change Institute

    NASA Astrophysics Data System (ADS)

    Kirsch, R.; Batchelor, R. L.; Habtes, S. Y.; King, B.; Crockett, J.

    2017-12-01

    The geoscience professoriate continues to under represent women and minorities, yet the value of diversity, both for science as well as recruiting and retaining diverse students, is well known. While there are growing numbers of early career tenure-track minority faculty, low retention rates pose a challenge for sustained diversity in the professoriate. Part of this challenge is the lack of institutional support and recognition in tenure and promotion pathways for faculty who undertake broadening participation efforts. Sparks for Change is a NSF Geoscience Opportunities for Leadership in Diversity (GOLD)-funded project that aims to change departmental culture to better value and reward inclusion and broadening participation efforts. By encouraging, recognizing, and rewarding diversity, equity, and inclusion (DEI) efforts at the department level, we aim to support and retain underrepresented minority (URM) faculty, who often disproportionately undertake these efforts, and to build more inclusive environments for faculty, staff and students alike. Sparks for Change utilizes a small group theory of change, arguing that the effort of a small group of committed individuals inside the organization is the best way to overcome the institutional inertia of academic departments that makes them resistant to change. For this effort, we propose that the ideal composition of these small groups is a junior faculty URM who is interested in DEI in the geosciences, a senior member of that same department who can lend weight to efforts and is positioned to help enact department policy, and an external broadening participation expert who can share best practices and provide accountability for the group. Eleven of these small groups, representing a range of institutions, will be brought together at the Sparks for Change Institute in Boulder, CO, in September. There they will receive leadership training on adaptive, transformative, and solidarity practices, share DEI experiences and best practices, build a community of "change agents", and develop department-specific action plans for their own institution. In this talk we will discuss our findings from the institute and highlight some of the action plans the small groups developed for changing their department.

  8. Climate Change and Sustainability Open Educational Resources: Lessons learned and challenges to tackle

    NASA Astrophysics Data System (ADS)

    Robinson, Zoe; Whitfield, Stephen; Gertisser, Ralf; Krause, Stefan; McKay, Deirdre; Pringle, Jamie; Szkornik, Katie; Waller, Richard

    2010-05-01

    The UK's Higher Education Academy Subject Centre for Geography, Earth and Environmental Sciences (GEES) is currently running a project entitled ‘C-Change in GEES: Open licensing of climate change and sustainability resources in the Geography, Earth and Environmental Sciences' as part of a national Open Educational Resource project. The C-Change project aims to explore the challenges involved in ‘repurposing' existing teaching materials on the topics of climate change and sustainability to make them open access. This project has produced an open access resource of diverse climate change and sustainability-related teaching materials across the subjects of Geography, Earth and Environmental Sciences. The process of repurposing existing face-to-face teaching resources requires consideration of a wide variety of issues including the Intellectual Property Rights (IPR) associated with images and other material included in the teaching resources, in addition to issues of quality, accessibility and usability of resources. Open access education is an issue that will have implications across the whole of the organizational structure of a university, from legal advisors with commitments to University research and enterprise activities, to the academics wishing to produce open access resources, through to all levels of senior management. The attitudes, concerns and openness to Open Educational Resources of stakeholders from all positions within a HE institution will have implications for the participation of that institution within the OER movement. The many barriers to the whole-scale adoption of Open Educational Resources within the UK Higher Education system and the willingness of UK Higher Education Institutions to engage in the OER movement include institutional perspectives on the IPR of teaching materials developed by members of staff within the institution and financial viability, in addition to more sceptical attitudes of potential contributors. Keele University is one of seven academic partners in the C-Change project and researchers at Keele have produced open access resources across a wide variety of sustainability-related themes from reconstructing past environments (for example sea-level change); regional impacts of predicted climate change (for example implications to permafrost environments); through to strategies for a sustainable future, including topics on greening business and engineering solutions. The resources range from PowerPoint presentations to image banks, reading lists, and suggestions for classroom and coursework activities. These resources are designed to be useful for other higher education practitioners developing teaching resources in this area. This presentation will present the range of open access resources developed at Keele University in addition to the lessons learnt in repurposing resources for open access, and a summary of different attitudes within Higher Education Institutions towards the OER movement.

  9. A survival strategy for an academic psychiatry department in a managed care environment.

    PubMed

    Harris, E S; Neufeld, J; Hales, R E; Hilty, D

    2001-12-01

    The changing economics of medical practice have had a profound effect on the educational, research, and service missions of academic departments of psychiatry across the country. The authors describe the development of a managed behavioral health care organization in their parent academic health system as a survival strategy for allowing their department to function in a managed care environment. They present a series of lessons learned in this effort to adapt to a highly volatile managed behavioral health care market: know how you fit into your market as well as your institution, form cooperative alliances within and outside of your institution, provide incentives to manage risk, focus on core competencies, innovate in your areas of strength, and collect data.

  10. University Facilities Respond to the Changing Landscape of Higher Education Including the Top Ten Critical Facilities Issues. APPA Thought Leaders Series

    ERIC Educational Resources Information Center

    Lunday, Elizabeth

    2006-01-01

    This report was issued from a 2006 meeting of individuals representing a variety of higher education institutions. The purpose of the meeting was to consider the future of higher education with particular attention to its built environment. The report provides a contextual overview of the changing landscape of higher education by identifying the…

  11. The Changing Face of Employment at Research Universities

    ERIC Educational Resources Information Center

    DePaola, Tom; Kezar, Adrianna

    2017-01-01

    This chapter describes the growth of contingent research faculty and postdoctoral appointments at research universities and research-intensive institutions. Literature that addresses the employment and professional environment of these workers is critically explored and a discussion of the implications for academic leaders and institutional…

  12. Organisational Culture and Technology-Enhanced Innovation in Higher Education

    ERIC Educational Resources Information Center

    Zhu, Chang

    2015-01-01

    Higher education institutions are evolving and technology often plays a central role in their transformations. Educational changes benefit from a supportive environment. The study examines the relationship between organisational culture and teachers' perceptions of and responses to technology-enhanced innovation among Chinese universities. A…

  13. Six Questions for Entrepreneurial Leadership and Innovation in Distance Education

    ERIC Educational Resources Information Center

    Reimers-Hild, Connie; King, James W.

    2009-01-01

    Institutions offering distance education courses and programs may benefit by encouraging administrators, faculty, staff and students to be more entrepreneurial. Organizational cultures designed to support this type of environment are characterized by entrepreneurial leadership, innovation and change. This article provides information on how…

  14. Assessing climate change and health vulnerability at the local level: Travis County, Texas.

    PubMed

    Prudent, Natasha; Houghton, Adele; Luber, George

    2016-10-01

    We created a measure to help comprehend population vulnerability to potential flooding and excessive heat events using health, built environment and social factors. Through principal component analysis (PCA), we created non-weighted sum index scores of literature-reviewed social and built environment characteristics. We created baseline poor health measures using 1999-2005 age-adjusted cardiovascular and combined diabetes and hypertension mortality rates to correspond with social-built environment indices. We mapped US Census block groups by linked age-adjusted mortality and a PCA-created social-built environment index. The goal was to measure flooding and excessive heat event vulnerability as proxies for population vulnerability to climate change for Travis County, Texas. This assessment identified communities where baseline poor health, social marginalisation and built environmental impediments intersected. Such assessments may assist targeted interventions and improve emergency preparedness in identified vulnerable communities, while fostering resilience through the focus of climate change adaptation policies at the local level. No claim to original US government works. Journal compilation © 2016 Overseas Development Institute.

  15. Disaster risk reduction and 'built-in' resilience: towards overarching principles for construction practice.

    PubMed

    Bosher, Lee; Dainty, Andrew

    2011-01-01

    The emerging emphasis on disaster risk reduction has broadened the range of experts whose knowledge must be garnered to resolve complex socio-technical challenges. This paper examines the role and position of the construction sector for addressing these concerns. Specifically, it examines the recursive nature of practices within the built environment, which can be seen as deeply ingraining fragmented approaches to the development process. These, in turn, render the industry a difficult arena within which to enact structural and cultural change. Based on a wide body of literature on resiliency a set of overarching principles are proffered to help inform efforts to overcome some of the barriers to creating a more resilient built environment. It is argued that these principles offer a point of departure for embedding resilience considerations at both project and institutional levels, although real change would demand challenging some of the conventions that currently underpin construction development. © 2011 The Author(s). Disasters © Overseas Development Institute, 2011.

  16. Constructing constructivism: The voyage of elementary science teachers

    NASA Astrophysics Data System (ADS)

    Freed, Andrea Beth

    This study examined how participation in a professional development institute, which provided a constructivist learning environment affected the interactions between teachers and students in elementary science classrooms. The investigation considered teacher gender and experience, and also compared the less experienced participants with their non-participating mentors. A multiple case study design was utilized. Six self-selected teachers participated. Data was gathered through videotaped observations of science lessons and audiotaped teacher interviews. The research was guided by the following questions: (1) How do teachers perceive changes in their own teaching as a result of participation in a two week professional development institute using constructivist strategies? (2) How do teachers' perceptions of the changes in their teaching as a result of the summer institute measure against what is seen during the observations? (3) Are the teaching strategies of the less experienced participating teachers distinguishable from the strategies used by the non-participating teachers who were judged similar in style prior to the institute, but did not attend the institute? (4) Do differences emerge based on length of teaching experience? This study revealed some interesting findings: (1) results based on gender indicated that the women in the study interacted approximately twice as often as the men; (2) a marked difference existed between the interactions of TASK participants compared with the interactions of the non-TASK participants; and (3) a professional development experience that provides a constructivist learning environment for participants may be effective in helping teachers to transfer the experience to their classrooms or in reinforcing and validating teachers' current practices.

  17. Changing the Culture of Academic Medicine: Critical Mass or Critical Actors?

    PubMed Central

    Newbill, Sharon L.; Cardinali, Gina; Morahan, Page S.; Chang, Shine; Magrane, Diane

    2017-01-01

    Abstract Purpose: By 2006, women constituted 34% of academic medical faculty, reaching a critical mass. Theoretically, with critical mass, culture and policy supportive of gender equity should be evident. We explore whether having a critical mass of women transforms institutional culture and organizational change. Methods: Career development program participants were interviewed to elucidate their experiences in academic health centers (AHCs). Focus group discussions were held with institutional leaders to explore their perceptions about contemporary challenges related to gender and leadership. Content analysis of both data sources revealed points of convergence. Findings were interpreted using the theory of critical mass. Results: Two nested domains emerged: the individual domain included the rewards and personal satisfaction of meaningful work, personal agency, tensions between cultural expectations of family and academic roles, and women's efforts to work for gender equity. The institutional domain depicted the sociocultural environment of AHCs that shaped women's experience, both personally and professionally, lack of institutional strategies to engage women in organizational initiatives, and the influence of one leader on women's ascent to leadership. Conclusions: The predominant evidence from this research demonstrates that the institutional barriers and sociocultural environment continue to be formidable obstacles confronting women, stalling the transformational effects expected from achieving a critical mass of women faculty. We conclude that the promise of critical mass as a turning point for women should be abandoned in favor of “critical actor” leaders, both women and men, who individually and collectively have the commitment and power to create gender-equitable cultures in AHCs. PMID:28092473

  18. Carcass of Dead Policies: The Irrelevance of NATO

    DTIC Science & Technology

    2003-01-01

    busyness ” that provide the lifeblood of institutions trying to justify their exis- tence. At the same time, the theological mantra changed . Since there was... change was taking place in the post-Cold War security environment. In 1949, a genu- ine, measurable security threat justified NATO for all its members. Now...has changed so fundamentally that it has outgrown NATO-type alliances. For the first time in about 1,800 years, there is no world-class threat to or

  19. Emerging tools and institutions to conserve oak woodlands: integrating public trust and private benefits, or can we ever get paid for doing the right thing?

    Treesearch

    Laurie A. Wayburn

    2002-01-01

    This conference on "Oaks in California's Changing Landscape" is a most timely and important conference at a critical time in California. Having been born and raised in California, I have never known a time when this landscape was not changing. And, usually not for the better if you care about our natural environment, as I do. But, today it is changing at...

  20. Validation of the Practice Environment Scale to the Brazilian culture.

    PubMed

    Gasparino, Renata C; Guirardello, Edinêis de B

    2017-07-01

    To validate the Brazilian version of the Practice Environment Scale. The Practice Environment Scale is a tool that evaluates the presence of characteristics that are favourable for professional nursing practice because a better work environment contributes to positive results for patients, professionals and institutions. Methodological study including 209 nurses. Validity was assessed via a confirmatory factor analysis using structural equation modelling, in which the correlations between the instrument and the following variables were tested: burnout, job satisfaction, safety climate, perception of quality of care and intention to leave the job. Subgroups were compared and the reliability was assessed using Cronbach's alpha and the composite reliability. Factor analysis resulted in exclusion of seven items. Significant correlations were obtained between the subscales and all variables in the study. The reliability was considered acceptable. The Brazilian version of the Practice Environment Scale is a valid and reliable tool used to assess the characteristics that promote professional nursing practice. Use of this tool in Brazilian culture should allow managers to implement changes that contribute to the achievement of better results, in addition to identifying and comparing the environments of health institutions. © 2017 John Wiley & Sons Ltd.

  1. Living the Plan: Strategic Planning Aligned with Practice and Assessment

    ERIC Educational Resources Information Center

    Sullivan, Timothy M.; Richardson, Emily C.

    2011-01-01

    The purpose of this article is to provide leaders of continuing education enterprises with an integrated model for sustaining strategic planning initiatives. Global economic conditions, shifting competitive forces, continuing calls for accountability, and dramatic changes in institutional funding streams contribute to an environment characterized…

  2. Area Studies and Special Collections: Shared Challenges, Shared Strength

    ERIC Educational Resources Information Center

    Carter, Lisa R.; Whittaker, Beth M.

    2015-01-01

    Special collections and area studies librarians face similar challenges in the changing academic library environment, including the need to articulate the value of these specialized collections and to mainstream processes and practices into larger discovery, teaching, learning, and research efforts. For some institutions, these similarities have…

  3. Usability Definitions in a Dynamically Changing Information Environment

    ERIC Educational Resources Information Center

    Chen, Yu-Hui; Rorissa, Abebe; Germain, Carol Anne

    2015-01-01

    The authors compared Web usability definitions, collected from library professionals at academic institutions of the Association of Research Libraries (ARL) through online surveys in 2007 and 2012, to determine whether library practitioners' perspectives had altered as information technologies evolved during this time. The authors applied three…

  4. Enhancing Student Success in Online Learning Experiences through the Use of Self-Regulation Strategies

    ERIC Educational Resources Information Center

    Sharp, Laurie A.; Sharp, Jason H.

    2016-01-01

    Online learning experiences have greatly changed the landscape of instruction. Many courses in postsecondary environments incorporate some type of technological enhancement, which holds benefits for both postsecondary institutions and learners. However, online learning experiences require different pedagogical characteristics than traditional…

  5. Direct Allocation Costing: Informed Management Decisions in a Changing Environment.

    ERIC Educational Resources Information Center

    Mancini, Cesidio G.; Goeres, Ernest R.

    1995-01-01

    It is argued that colleges and universities can use direct allocation costing to provide quantitative information needed for decision making. This method of analysis requires institutions to modify traditional ideas of costing, looking to the private sector for examples of accurate costing techniques. (MSE)

  6. Institutional policy changes aimed at addressing obesity among mental health clients.

    PubMed

    Knol, Linda L; Pritchett, Kelly; Dunkin, Jeri

    2010-05-01

    People with mental illness often experience unique barriers to healthy eating and physical activity. For these clients, interventions should focus on changes in the immediate environment to change behaviors. The purpose of this project was to implement and evaluate policy changes that would limit calorie intake and increase calorie expenditure of clients receiving mental health services. This intervention was implemented in a rural mental health system in the southeastern United States. Clients live in small group homes, where they are served breakfast, dinner, and a snack, and attend outpatient day treatment programs, where they are served lunch and can purchase snacks from vending machines. This intervention included institutional policy changes that altered menus and vending machine options and implemented group walking programs. Primary outcome measures were changes in clients' weight at 3 and 6 months after policy implementation. At the 3-month follow-up, the median weight loss for overweight/obese clients (n = 45) was 1.4 kg. The 33 overweight/obese clients who were still in the group homes at the 6-month follow-up either maintained or continued to lose weight. Institutional policy changes aimed at improving dietary intake and physical activity levels among clients receiving mental health services can promote weight loss in overweight clients.

  7. Assessing the Culture of Residency Using the C - Change Resident Survey: Validity Evidence in 34 U.S. Residency Programs.

    PubMed

    Pololi, Linda H; Evans, Arthur T; Civian, Janet T; Shea, Sandy; Brennan, Robert T

    2017-07-01

    A practical instrument is needed to reliably measure the clinical learning environment and professionalism for residents. To develop and present evidence of validity of an instrument to assess the culture of residency programs and the clinical learning environment. During 2014-2015, we surveyed residents using the C - Change Resident Survey to assess residents' perceptions of the culture in their programs. Residents in all years of training in 34 programs in internal medicine, pediatrics, and general surgery in 14 geographically diverse public and private academic health systems. The C - Change Resident Survey assessed residents' perceptions of 13 dimensions of the culture: Vitality, Self-Efficacy, Institutional Support, Relationships/Inclusion, Values Alignment, Ethical/Moral Distress, Respect, Mentoring, Work-Life Integration, Gender Equity, Racial/Ethnic Minority Equity, and self-assessed Competencies. We measured the internal reliability of each of the 13 dimensions and evaluated response process, content validity, and construct-related evidence validity by assessing relationships predicted by our conceptual model and prior research. We also assessed whether the measurements were sensitive to differences in specialty and across institutions. A total of 1708 residents completed the survey [internal medicine: n = 956, pediatrics: n = 411, general surgery: n = 311 (51% women; 16% underrepresented in medicine minority)], with a response rate of 70% (range across programs, 51-87%). Internal consistency of each dimension was high (Cronbach α: 0.73-0.90). The instrument was able to detect significant differences in the learning environment across programs and sites. Evidence of validity was supported by a good response process and the demonstration of several relationships predicted by our conceptual model. The C - Change Resident Survey assesses the clinical learning environment for residents, and we encourage further study of validity in different contexts. Results could be used to facilitate and monitor improvements in the clinical learning environment and resident well-being.

  8. Children Cared for by Relatives: Who Are They and How Are They Faring? New Federalism: National Survey of America's Families, Series B, No. B-28. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.

    ERIC Educational Resources Information Center

    Ehrle, Jennifer; Geen, Rob; Clark, Rebecca

    This brief documents the numbers of children living in different types of kinship environments, characteristics of those environments, and services these children receive. Data come from the 1997 National Survey of America's Families, a nationally representative survey of households with people under age 65 that measures economic, health, and…

  9. Aligning Teaching Quality Indicators with University Reward Mechanisms

    ERIC Educational Resources Information Center

    Kulski, Martijntje; Groombridge, Barbara

    2004-01-01

    Teaching quality emerged as a significant issue in higher education during the 90s. This led to the implementation of numerous quality control, assurance and enhancement schemes as institutions attempted to stay abreast of demands from various stakeholders in a rapidly changing educational environment. More recently, with the establishment of the…

  10. The Public Good vs. Commercial Interest: Research Scientists in Search of an Accommodation

    ERIC Educational Resources Information Center

    Wong, Rose H. C.; Westwood, Robert

    2010-01-01

    The environment for scientific research in public organisations is undergoing radical change, particularly with commercialisation pressures and blurring of the distinction between public and private research. The commercialisation pressures are reflected in government policy frameworks and institutional contexts for scientific work which are…

  11. Institutional Potential for Online Learning: A Hong Kong Case Study

    ERIC Educational Resources Information Center

    Donoghue, Sue L.

    2006-01-01

    Hong Kong's tertiary education environment has changed dramatically in recent years with universities now facing specific educational challenges in the areas of critical thinking, "life-long learning" and English language. The question exists as to what pedagogic developments will best allow the universities to address these challenges.…

  12. Early Childhood Education in Botswana: A Case of Fragmented "Fits"

    ERIC Educational Resources Information Center

    Maunganidze, Langtone; Tsamaase, Marea

    2014-01-01

    Scholarly and institutional research on early childhood education is not a new phenomenon, but what is perhaps limited is extant literature that particularly focuses on revisiting current practices and their "dialogue" with the ever-changing environment that prevails especially in an African setting. The practices of providers of early…

  13. The Polish Education System and Issues of Violence

    ERIC Educational Resources Information Center

    Wojciechowski, Mirek

    2005-01-01

    Uncontrolled outbursts of violence, of both an individual and group nature, are distinctive elements of social and economic changes occurring in Poland. They affect all social environments and institutions in this country, and unfortunately many people believe in violent solutions of problems (at least as represented in the media). Between…

  14. Library Leadership Engagement for Transformative Academic Library Spaces

    ERIC Educational Resources Information Center

    Quagliaroli, Sara Elizabeth

    2017-01-01

    The environment in which higher education institutions are situated has been impacted by a number of disruptive forces since the early 1990s, including acceleration in the capability of information technology (Beagle, 2006; Bennett, 2003; Foster, 2014), changing attitudes about learning pedagogy (Barr & Tagg, 1995), and calls for…

  15. Does Reputation Matter? Case Study of Undergraduate Choice at a Premier University

    ERIC Educational Resources Information Center

    Munisamy, Susila; Mohd Jaafar, Noor Ismawati; Nagaraj, Shyamala

    2014-01-01

    The changing facets of the Malaysian higher education created market-based competition among higher education institutions. With increasing competition in the higher education environment, a clearer understanding of why and how students choose universities is more important to help universities develop their marketing strategies. This paper…

  16. Leadership Development as a Dialogic Process: The Rationale and Concept of an International Leadership Institute

    ERIC Educational Resources Information Center

    Kedian, Jeremy; Giles, David; Morrison, Michele; Fletcher, Murray

    2016-01-01

    Rapidly changing educational contexts demand deft leadership responses. In this fluid environment, it is imperative that leadership learning models sound educational praxis. Such praxis necessitates the inclusion of participant voices within relational and dialogic processes that enable authentic, creative and collaborative thinking. This paper…

  17. Productivity, Social Networks and Net Communities in the Workplace

    ERIC Educational Resources Information Center

    Asunda, Paul

    2010-01-01

    The 21st century workplace is being shaped by ever-changing technological innovations, shifting demographic patterns, globalization and power shifts, in addition to different economic players such as policymakers, employers, education and training institutions that shape the quality of the future workforce. In today's work environment,…

  18. Exploring Students Acceptance of E-Learning Using Technology Acceptance Model in Jordanian Universities

    ERIC Educational Resources Information Center

    Al-Adwan, Amer; Al-Adwan, Ahmad; Smedley, Jo

    2013-01-01

    Today's rapid changing world highlights the influence and impact of technology in all aspects of learning life. Higher Education institutions in developed Western countries believe that these developments offer rich opportunities to embed technological innovations within the learning environment. This places developing countries, striving to be…

  19. Gifted Students' Perceptions of an Accelerated Summer Program and Social Support

    ERIC Educational Resources Information Center

    Lee, Seon-Young; Olszewski-Kubilius, Paula; Makel, Matthew C.; Putallaz, Martha

    2015-01-01

    Using survey responses from students who participated in the summer programs at two university-based gifted education institutions, this study examined changes in gifted students' perceptions of their learning environments, accelerated summer programs and regular schools, and social support in lives after participation in the summer programs. Our…

  20. Age of Creative Insecurity: Student-Centered Learning. Historical Paper 7

    ERIC Educational Resources Information Center

    Martell, Charles

    2015-01-01

    Trapped by inflexible mechanisms, many institutions are unable to adapt smoothly to the changing expectations and needs of their clients. Our educational system is particularly out-of-sync. Student-centered teaching--participative education--through unstructuring is one method for encouraging a flexible, creative, classroom environment. However,…

  1. Trends in Hong Kong University Management: Towards a Lifelong Learning Paradigm.

    ERIC Educational Resources Information Center

    Liu, Sandra

    A rapidly changing environment, marked by decreased government financial support and increased competition within the university sector, means that institutions of higher education in Hong Kong must become more entrepreneurial and customer-focused. This paper proposes a model for managing contemporary universities that examines the relationships…

  2. Global Warming's Library Challenge

    ERIC Educational Resources Information Center

    Meyer, Jennifer

    2008-01-01

    Like every institution that uses energy, consumes resources, and engages in construction or renovation, libraries have an impact on the environment and on the critical problem of climate change. Taking action to protect library collections is not only an idealistic professional goal but also a very practical one. Disaster preparation measures and…

  3. Educational Triage in Open Distance Learning: Walking a Moral Tightrope

    ERIC Educational Resources Information Center

    Prinsloo, Paul; Slade, Sharon

    2014-01-01

    Higher education, and more specifically, distance education, is in the midst of a rapidly changing environment. Higher education institutions increasingly rely on the harvesting and analyses of student data to inform key strategic decisions across a wide range of issues, including marketing, enrolment, curriculum development, the appointment of…

  4. Key Factors for Developing a Cross-Cultural Education Program

    ERIC Educational Resources Information Center

    Yang, Keeyung; Chung, Sock H.

    2015-01-01

    Purpose: As universities and colleges face an increasingly global environment, internationalization is viewed as a critical aspect of education, a fact that has significant academic and economic implications for higher educational institutions worldwide which need to be current with cultural education to adapt to change. Learning from other…

  5. Voices Carry

    ERIC Educational Resources Information Center

    Guth, Douglas J.

    2017-01-01

    A community college's success hinges in large part on the effectiveness of its teaching faculty, no more so than in times of major organizational change. However, any large-scale foundational shift requires institutional buy-in, with the onus on leadership to create an environment where everyone is working together toward the same endpoint.…

  6. The general picture of supportive health environments for persons with intellectual disabilities among 121 disability welfare institutions in Taiwan.

    PubMed

    Lin, J-D; Yen, C-F; Loh, C-H; Chwo, M-J; Lee, J-T; Wu, J-L; Chu, C M; Tang, C-C

    2006-01-01

    Little information is available on the provision of supportive health environments for persons with intellectual disabilities (ID) in institutions. The aim of this study was to present an overview of supportive environments for health in institutions in Taiwan. A cross-sectional survey was conducted to examine the perceptions of 121 Taiwanese Institutional Directors on their setting's implementation of supportive healthy physical, social, and economic environments. Analyses showed that first-aid kits (97.5%) and medicine cabinets (85.5%) were the most common health facilities in institutions. Seventy-three per cent of institutions had set up specific areas to be used for rehabilitation practice, while only 43.1% thought their rehabilitation equipment/devices adequate for their real needs. Eighty-eight per cent of institutions implemented health promotion plans for people with ID, while 76.6% had appropriated specific health promotion plans. Sixty-three institutions (52.1%) reported employment of skilled nurses to serve people with ID, and these institutions showed statistically significant differences in implementation of each health facility. The present paper is the first to analyze supportive environments for health in disability institutions in Taiwan. An important focus of future research will be the extension of the present findings to consider the appropriateness of each area of supportive environments for improving the quality of institutional care for people with ID.

  7. Adaptation of herders to droughts and privatization of rangeland-use rights in the arid Alxa Left Banner of Inner Mongolia.

    PubMed

    Zhang, Chengcheng; Li, Wenjun; Fan, Mingming

    2013-09-15

    Residents of arid areas have developed their own adaptive strategies and adaptive capability to cope with an unstable environment that experiences frequent droughts. These strategies and this capability are based on traditional practices that developed from a profound understanding of their environment, but both the strategies and the capability have been affected by institutional change. Specifically, rangeland-use rights in the Alxa Left Banner were privatized in 1996, and the implementation of this policy decreased the ability of local herders to use traditional solutions. In this paper, we describe the change in their adaptive capability after implementation of this policy. Traditionally, local knowledge of the heterogeneity of resources and of key resources based on a deep understanding of the local environment, combined with tight social relationships, let herders use three traditional grazing strategies (seasonal migration, long-distance migration, and raising a diversity of livestock species) to mitigate the impacts of drought. But privatization has nearly eliminated their ability to rely on these traditional strategies and has weakened the forms of social and other capital that supported these strategies and provided a high adaptive capability. We argue that this institutional change has adversely affected traditional practices and undermined the adaptive capability of herders. Consequently, managers of the Alxa Left Banner must find ways to restore the various forms of capital to restore the herders' adaptive capability, particularly given the growing need to account for future climate change. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. A model of influences on the clinical learning environment: the case for change at one U.S. medical school.

    PubMed

    Fleit, Howard B; Iuli, Richard J; Fischel, Janet E; Lu, Wei-Hsin; Chandran, Latha

    2017-03-23

    The learning environment within a school of medicine influences medical students' values and their professional development. Despite national requirements to monitor the learning environment, mistreatment of medical students persists. We designed a program called WE SMILE: We can Eradicate Student Mistreatment In the Learning Environment with a vision to enhance trainee and faculty awareness and ultimately eliminate medical student mistreatment. We provide a description of our program and early outcomes. The program has enhanced student awareness of what constitutes mistreatment and how to report it. Faculty members are also aware of the formal processes and procedures for review of such incidents. Our proposed model of influences on the learning environment and the clinical workforce informs the quality of trainee education and safety of patient care. Institutional leadership and culture play a prominent role in this model. Our integrated institutional response to learning environment concerns is offered as a strategy to improve policy awareness, reporting and management of student mistreatment concerns. Our WE SMILE program was developed to enhance education and awareness of what constitutes mistreatment and to provide multiple pathways for student reporting, with clear responsibilities for review, adjudication and enforcement. The program is demonstrating several signs of early success and is offered as a strategy for other schools to adopt or adapt. We have recognized a delicate balance between preserving student anonymity and informing them of specific actions taken. Providing students and other stakeholders with clear evidence of institutional response and accountability remains a key challenge. Multiple methods of reporting have been advantageous in eliciting information on learning environment infringements. These routes and types of reporting have enhanced our understanding of student perceptions and the specific contexts in which mistreatment occurs, allowing for targeted interventions. A common platform across the healthcare professions to report and review concerns has afforded us opportunities to deal with interprofessional issues in a respectful and trustworthy manner. We offer a model of learning environment influences with leadership and institutional culture at the helm, as a way to frame a comprehensive perspective on this challenging and complex concern.

  9. Think Locally, Act Globally! Linking Local and Global Communities through Democracy and Environment. Hands-On! Developing Active Learning Modules on the Human Dimensions of Global Change.

    ERIC Educational Resources Information Center

    Dowler, Lorraine

    Designed so that it can be adapted to a wide range of student abilities and institutional settings, this learning module on the human dimensions of global change seeks to: actively engage students in problem solving, challenge them to think critically, invite them to participate in the process of scientific inquiry, and involve them in cooperative…

  10. [Current concept of the role of the hygienic-epidemiologic service under special conditions and of the protection of human environment].

    PubMed

    Zdravkovic, A; Dordevic, S; Andelković, N

    1975-01-01

    The contemporary role and tasks of hygienic-epidemiological service are the outcome of the significant social, demographic, economic and health changes as a result of general social development. Natural phenomena such as elemental catastrophies, pollution of human environment, permanent threat of breaking out war at different places, all these set special tasks and determine the role of hygienic-epidemiological service. The contemporary role of the hygienic-epidemiological service is to provide scientific approach to the efficient solving of topical hygienic-epidemiological problems originated in newly-made ecological conditions, disturbed balance in nature, and also in changes of social structure of population. The tasks of the hygienic-epidemiological service are classified according to the role and purpose of each institution and according to the territory where the institution is situated, all these depending on situation (regular or special). In regular situation they have the tasks which are concerned with protection of the living environment and they include prevention of the mass deseases, contagious and other. In special situation they are concerned with catastrophies such as floods, earthquakes, breaking out of grow epidemics, occurence of quarantine diseases and other, and their aim is to prevent or at least to lessen the consequences caused by these catastrophies.

  11. OPREVENT2: Design of a multi-institutional intervention for obesity control and prevention for American Indian adults.

    PubMed

    Gittelsohn, Joel; Jock, Brittany; Redmond, Leslie; Fleischhacker, Sheila; Eckmann, Thomas; Bleich, Sara N; Loh, Hong; Ogburn, Elizabeth; Gadhoke, Preety; Swartz, Jacqueline; Pardilla, Marla; Caballero, Benjamin

    2017-01-23

    Obesity and other nutrition-related chronic disease rates are high in American Indian (AI) populations, and an urgent need exists to identify evidence-based strategies for prevention and treatment. Multi-level, multi-component (MLMC) interventions are needed, but there are significant knowledge gaps on how to deliver these types of interventions in low-income rural AI communities. OPREVENT2 is a MLMC intervention targeting AI adults living in six rural reservations in New Mexico and Wisconsin. Aiming to prevent and reduce obesity in adults by working at multiple levels of the food and physical activity (PA) environments, OPREVENT2 focuses on evidence-based strategies known to increase access to, demand for, and consumption of healthier foods and beverages, and increase worksite and home-based opportunities for PA. OPREVENT2 works to create systems-level change by partnering with tribal stakeholders, multiple levels of the food and PA environment (food stores, worksites, schools), and the social environment (children as change agents, families, social media). Extensive evaluation will be conducted at each level of the intervention to assess effectiveness via process and impact measures. Novel aspects of OPREVENT2 include: active engagement with stakeholders at many levels (policy, institutional, and at multiple levels of the food and PA system); use of community-based strategies to engage policymakers and other key stakeholders (community workshops, action committees); emphasis on both the built environment (intervening with retail food sources) and the social environment. This paper describes the design of the intervention and the evaluation plan of the OPREVENT2. Clinical Trial Registration: NCT02803853 (June 10, 2016).

  12. Strategic Planning in Higher Education: Varying Definitions, Key Characteristics, Benefits, Pitfalls, and Good Approaches.

    ERIC Educational Resources Information Center

    Tan, David L.

    Planning in higher education has evolved as a response to changes in the environment, such as expanding enrollments, student unrest, economic recession, and pressures for financial accountability. Strategic planning has emerged as one way institutions can handle and overcome the adversities of the future. Definitions of strategic planning are…

  13. Challenges to Christian Higher Education at a Time of Increasing Emphasis on Research

    ERIC Educational Resources Information Center

    Hemmings, Brian; Hill, Doug

    2014-01-01

    In Australia, both Christian and non-Christian higher education institutions (HEIs) have experienced a rapidly changing external environment that is becoming more performance-driven, particularly in relation to faculty research. Academics working in Australian Christian HEIs often feel pressure to keep pace with their counterparts in non-Christian…

  14. INDUCTION OF ASTHMA AND THE ENVIRONMENT: WHAT WE KNOW AND NEED TO KNOW

    EPA Science Inventory

    The incidence of asthma has increased dramatically over the last 25 years in the U.S. and other nations as a result of ill-defined changes in living conditions in modern society. On October 18-19, 2004 the U.S. Environmental Protection Agency and National Institute of Environmen...

  15. Determination of the Innovative Capacity of Ecuadorian Universities

    ERIC Educational Resources Information Center

    Loaiza-Aguirre, María I.; Andrade-Abarca, Paola S.; Salazar-Romero, Ángela del Cisne

    2017-01-01

    Today the Higher Education Institutions are immersed in a world of constant change, and it is necessary to adapt to this environment with skill and speed. This has forced universities to adopt practices that create or strengthen their capacity to innovate, based on the determination of factors that influence it positively. This study is centered…

  16. A Curricular Reform Viewed through Bolman and Deal's Organizational Frames

    ERIC Educational Resources Information Center

    Lyon, Lucinda; Nadershahi, Nader; Nattestad, Anders; Kachalia, Parag; Hammer, Dan

    2014-01-01

    Professions exist to serve the needs of society and, in the case of the dental profession, patients. Academic dental institutions strive to help meet these needs by educating and developing future practitioners, educators, researchers, and citizen leaders who serve the community and shape the changing environment in which they provide care. As…

  17. Financing Higher Education in a Global Economy.

    ERIC Educational Resources Information Center

    Anderson, Richard E.; Meyerson, Joel W.

    This book presents papers from a national symposium conducted by the Forum for College Financing, offering a perspective on how higher education institutions will finance their operations in the future and the challenges that lay ahead. A paper by Richard Anderson and Joe Meyerson, "A Changing National Environment," introduces the other papers in…

  18. Credentialing Structures, Pedagogies, Practices, and Curriculum Goals: Trajectories of Change in Community College Mission Statements

    ERIC Educational Resources Information Center

    Ayers, David F.

    2015-01-01

    Objective: To examine the discursive strategies deployed by community colleges to sustain legitimacy in an evolving and contradictory institutional environment. Method: Using corpus linguistics software, I compared 1,009 mission statements from 2012-2013 with a reference corpus of 427 mission statements from 2004. Results: Keywords analysis,…

  19. World Culture and Experienced Primary School Teachers' Understandings of Educational Changes in Taiwan

    ERIC Educational Resources Information Center

    Ke, I-Chung

    2008-01-01

    Studies by neo-institutionalists in sociology suggest that the institutions, organizations and governing rules in the environment are becoming more similar worldwide as the process of globalization continues. A so-called "world culture" based on science was hypothesized to explain the phenomena related to standardization and convergence.…

  20. How Does a Multi-Site Institution Plan Effectively?

    ERIC Educational Resources Information Center

    Jefferson, Curtis F.

    A multi-site college plans effectively by having in place planning and evaluation systems that enhance its capability to respond effectively to changes in the environment in order to continue to provide high quality educational programs and services for the people in its service area. The effectiveness of these systems is dependent on clearly…

  1. Global Hubs and Global Nodes: Challenging Traditional Views of Communities, Clusters and Competitiveness

    ERIC Educational Resources Information Center

    Seline, Richard

    2006-01-01

    Five trends are emerging that will not only change the role of human capital in the United States but will also challenge the legacy system of workforce development, skills and competency-focused institutions, and assuredly, community colleges. Workforce investment boards, for example, are currently geographically constrained in environments that…

  2. Appalachian Bridges to the Baccalaureate: Institutional Perceptions of Community College Transfer Success

    ERIC Educational Resources Information Center

    Phillips, Christopher M.

    2011-01-01

    Statement of the problem. Appalachian community colleges are dealing with a dynamic transfer policy environment and implementing practices that either foster or impede transfer student success. The problem in this dissertation is to discern how Appalachian community colleges are making sense of transfer policy changes and conducting practices to…

  3. Institutional Analytics: A Response to the Pressures of Academic Capitalism

    ERIC Educational Resources Information Center

    O'Keefe, Molly Eleanor

    2017-01-01

    The higher education sector today faces an environment unlike any it has seen before. Serving a wide variety of internal and external stakeholders and facing diverse and fast-changing economic, social, and political pressures, universities can benefit from corporate-like approaches such as the use of analytics to inform strategic decision-making…

  4. Defining System Boundaries of an Institution Nitrogen Footprint.

    PubMed

    de la Reguera, Elizabeth; Castner, Elizabeth A; Galloway, James N; Leach, Allison M; Leary, Neil; Tang, Jianwu

    2017-04-01

    A nitrogen (N) footprint quantifies the amount of reactive nitrogen released to the environment and can be measured at different scales. The N footprint of a university includes activities and consumption within its geographic boundaries as well as activities that support the institution. Determining system bounds of an N footprint depends on the institution's mission and provides a common baseline for comparison. A comparison of three scopes of the N footprint, which describe how emissions are directly related to an institution's activities, was conducted for seven institutions. Scopes follow the established definition for the carbon footprint. In this article, the authors propose a new system bounds definition (core campus versus adjunct). Two case studies were explored: how the N footprint of Dickinson College changed with air travel, and how the N footprint of the Marine Biological Laboratory changed with scientific research. Of the three scopes, scope 3 was consistently the largest proportion of the N footprint for all seven institutions. The core campus activities of Dickinson College made up 99 percent of its N footprint, with air travel making up the remaining 1 percent. The Marine Biological Laboratory's core campus activities made up 51 percent of its N footprint and the scientific research made up the remaining 49 percent. Institutions should define system bounds based on their mission and stay consistent with their boundaries following the baseline year. The core campus footprint could be used to compare institution footprints using consistent system bounds. How institutions define their boundaries will impact the recorded amount of nitrogen as well as how the institution will set reduction strategies.

  5. Defining System Boundaries of an Institution Nitrogen Footprint

    PubMed Central

    Castner, Elizabeth A.; Galloway, James N.; Leach, Allison M.; Leary, Neil; Tang, Jianwu

    2017-01-01

    Abstract A nitrogen (N) footprint quantifies the amount of reactive nitrogen released to the environment and can be measured at different scales. The N footprint of a university includes activities and consumption within its geographic boundaries as well as activities that support the institution. Determining system bounds of an N footprint depends on the institution's mission and provides a common baseline for comparison. A comparison of three scopes of the N footprint, which describe how emissions are directly related to an institution's activities, was conducted for seven institutions. Scopes follow the established definition for the carbon footprint. In this article, the authors propose a new system bounds definition (core campus versus adjunct). Two case studies were explored: how the N footprint of Dickinson College changed with air travel, and how the N footprint of the Marine Biological Laboratory changed with scientific research. Of the three scopes, scope 3 was consistently the largest proportion of the N footprint for all seven institutions. The core campus activities of Dickinson College made up 99 percent of its N footprint, with air travel making up the remaining 1 percent. The Marine Biological Laboratory's core campus activities made up 51 percent of its N footprint and the scientific research made up the remaining 49 percent. Institutions should define system bounds based on their mission and stay consistent with their boundaries following the baseline year. The core campus footprint could be used to compare institution footprints using consistent system bounds. How institutions define their boundaries will impact the recorded amount of nitrogen as well as how the institution will set reduction strategies. PMID:29350212

  6. Primary care in the United States: practice-based innovations and factors that influence adoption.

    PubMed

    Goldberg, Debora Goetz

    2012-01-01

    This study aims to explore the use of specific innovations in primary care practices. The research seeks to examine whether a relationship exists between environmental factors and organizational characteristics and the level of innovation in primary care practices in Virginia. The study utilized multiple secondary data sets and an organizational survey of primary care practices to define the external environment and the level of innovation. Institutional theory was used to explain the connection between innovations in primary care practices and institutional forces within the environment. Resource dependency theory was used to explain motivators for change based on a dependence on scarce financial, human, and information resources. Results show a positive association between organizational size, organizational relationships, and stakeholder expectations on the level of innovation. A negative association was found between competition and the level of innovation. No relationship was found between degree of Medicare and managed care penetration and innovation, nor between knowledge of, and difficulty complying with, payer organization requirements and innovation. Primary care physician practices exist in a market-driven environment characterized by high pressure from regulatory sources, decreasing reimbursement levels, increasing rate of change in technologies, and increasing patient and community expectations. This study contributes new information on the relationship between organizational characteristics, the external environment and specific innovations in primary care practices. Information on the contributing factors to innovation in primary care is important for improving delivery of health care services and the ability of these practices to survive.

  7. [Longitudinal perception of the educational environment in two medical schools with traditional curricula in Chile and Spain].

    PubMed

    Díaz-Véliz, Gabriela; Mora G, Sergio; Escanero, Jesús F

    2016-11-01

    To establish an educational environment that ensures the quality of the teaching-learning process is a challenge for any educational institution. The questionnaire DREEM (Dundee Ready Educational Environment Measure) is used to identify strengths and weaknesses of an educational environment and to compare different medical schools. To evaluate the changes in the perception of educational environment by students of the Schools of Medicine of the University of Zaragoza, UZar (Spain) and the University of Chile, UCh (Chile) at two points in their curricula. DREEM questionnaire was answered by 90 students from the UZar and 87 students of the UCh, when they were in the first year (2009) and in the fourth year of their career (2012). At both universities the overall mean scores of DREAM were significantly higher in students in their first year than those obtained in the fourth year (137.5/118.3 for UZar and 128.6/118.8 for UCh). Items with worse perception in the fourth year were observed in subscales Learning Perception and Atmosphere Perception. Items with good evaluation (≥ 3.0) were the subscales Perception of teachers, academic self-perception, perception of Environment and Social Self-perception. The perception of Chilean and Spanish students about their educational environments indicates that the stage of their medical training is more important than the geographical context or educational institution.

  8. Active living by design sustainability strategies.

    PubMed

    Kraft, M Katherine; Lee, Joanne J; Brennan, Laura K

    2012-11-01

    Despite substantial increases in improving the translation of health promotion research into practice, community initiatives still struggle with maintaining changes once grant funding has ended. Researchers, funders, and community practitioners are interested in practices that maintain and sustain their efforts. This qualitative study conducted a content analysis of evaluation findings from Active Living by Design (ALbD) to identify activities that community coalitions implemented to maintain their initiative and secure ongoing influence in communities. Investigators analyzed data from interviews, focus groups, and the Progress Reporting System to identify sustainability approaches clustering into five areas: partnership expansion, sustainable funding, permanent advisory committees, policy change, and institution/organization change. Partnership expansion occurred across sectors and disciplines and into broader geographic areas. Additional funding extended beyond grants to earned income streams and dedicated tax revenues. Permanent advisory committees were established to inform decision makers about a range of active living impacts. Policy changes in zoning and comprehensive plans ensured maintenance of health-promoting built environments. Sustainability through institution/organization changes led to allocation of dedicated staff and incorporation of active living values into agency missions. Active Living by Design partnerships defined and messaged their projects to align with policymakers' interests and broad partnership audiences. They found innovative supporters and adapted their original vision to include quality of life, nonmotorized transport, and other complementary efforts that expanded their reach and influence. These sustainability strategies altered awareness within communities, changed community decision-making processes, and created policy changes that have the potential to maintain environments that promote physical activity for years to come. Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  9. The Nitrogen Footprint Tool for Institutions: What it is and how it compares to the Campus Carbon Calculator

    NASA Astrophysics Data System (ADS)

    Castner, E.; Leach, A. M.; Galloway, J. N.; Andrews, J.

    2015-12-01

    Nitrogen footprints (NF) connect entities with the reactive nitrogen (Nr; all species of nitrogen except N2) lost to the environment as a result of their activities. While necessary to life, excess Nr can be detrimental to ecosystem and human health, causing impacts such as smog, eutrophication, biodiversity loss, and climate change. The NF tool was recently developed to help institutions measure and reduce their environmental impact. This tool accounts for the NF from energy usage, food production and consumption, fertilizer usage, research animals, and agricultural activities. The tool also provides scenario analysis to help institutions reduce their NF and establish a reduction target. Currently in a testing phase, seven institutions have used the tool to calculate their NF, and six additional institutions have calculations in progress. Many institutions interested in sustainability have already calculated their carbon footprint (CF), which reports the total greenhouse gas emissions resulting from institution activities. The University of New Hampshire Sustainability Institute (UNHSI) Campus Carbon Calculator, developed in 2001, is used by thousands of institutions in the United States. While important, the CF addresses just one aspect of an institution's environmental impact: global climate change. The NF broadens this perspective by connecting to additional environmental impacts that are both global and local. The data requirements for the CF and NF have a significant overlap, especially in the energy sector. Given the similarity of data requirements and the benefits of considering the two footprints together, the two tools are in the preliminary stages of being merged. We will first provide an overview of the NF tool for institutions. We will then compare available NF and CF results from multiple institutions to assess trends and correlations and to determine the impact of different scenarios on both footprints.

  10. Beyond Kotters Leading Change: A Broad Perspective on Organizational Change for Senior U.S. Military Leaders

    DTIC Science & Technology

    2015-07-16

    Defense Health Agency) and financial management (institution of the Defense Finance and Accounting System). o At the service level , this view sees...Chapter 5, “Ethical Dilemmas and Value Guidelines” (pp. 77-98). 58 Harrison , 18. 59 Harrison , 18. 60 Lippitt & Lippitt, 97. 61 Ian Hodder, “The...senior service college and enter the military bureaucracy at senior levels , they often enter environments where Kotter’s eight steps are difficult to

  11. Management of rural drinking water supplies and waste using the participatory hygiene and sanitation transformation (PHAST) initiative in Zimbabwe.

    PubMed

    Musabayane, N

    2000-01-01

    This paper focuses on the use of Participatory Hygiene and Sanitation Transformation (PHAST) and how the methodology can be taken to scale. It uses the Zimbabwe experience and highlights some of the benefits in the application of PHAST, conditions necessary for scaling up and possible constraints. The PHAST initiative started off as a pilot process seeking to promote improved hygiene behaviour and promotion of sanitation. Having successfully piloted PHAST, Zimbabwe has scaled up the use of the methodology at a country level. While impact studies have not yet been conducted, reviews of the effects of the process have indicated positive behaviour change in such areas as management of water, construction and use of latrines. The process has also led to a change of institutional approaches in planning for improved water and sanitation from supply driven projects to demand responsive approaches. Some lessons learnt have included the need for baseline surveys at the start of the use of PHAST, the difficulty in developing monitoring indicators and hence difficulty in measuring impacts. Conclusions being drawn using assessment studies are that the use of participatory approaches has led to improved hygiene behaviour with communities being able to link causes and effects. The use of participatory methods also necessitates a change in institutional approaches from supply driven approaches to demand responsiveness. Other lessons drawn were related to the creation of an enabling environment for the application of participatory processes. Such enabling environment includes capacity building, resource allocation, policy and institutional support.

  12. The impact of prospective pricing on the information system in the health care industry.

    PubMed

    Matta, K F

    1988-02-01

    The move from a retrospective payment system (value added) to a prospective payment system (diagnostic related) has not only influenced the health care business but also changed their information systems' requirements. The change in requirements can be attributed both to an increase in data processing tasks and also to an increase in the need for information to more effectively manage the organization. A survey was administered to capture the response of health care institutions, in the area of information systems, to the prospective payment system. The survey results indicate that the majority of health care institutions have responded by increasing their information resources, both in terms of hardware and software, and have moved to integrate the medical and financial data. In addition, the role of the information system has changed from a cost accounting system to one intended to provide a competitive edge in a highly competitive marketing environment.

  13. Responding to health care reform by addressing the institute of medicine report on the future of nursing.

    PubMed

    Ellerbe, Suellyn; Regen, Debra

    2012-01-01

    The current health care environment has heightened the importance of achieving positive patient outcomes and excellent customer satisfaction. To remain competitive, health care organizations must adapt quickly to changing regulatory requirements, quality improvement initiatives, and customer expectations. To ensure nursing practice at the Saint Clare's Health System in Northwest New Jersey is at the forefront of leading change, the nursing staff has embraced the Institute of Medicine report The Future of Nursing: Leading Change. The empowered nursing team has applied Benner's Novice to Expert model and McCauley's Careful Nursing Theory as the foundation for nursing practice. The ability to apply evidence-based nursing research and cultivate professional development at the bedside has resulted in retention of expert nurses at the bedside. Engaging the nursing team has resulted in increased patient satisfaction and improved clinical outcomes. Advanced practice nurses play an important role to mentor the nursing staff and promote an interdisciplinary, collaborative relationship between all health care disciplines and community support programs. Nurses are recognized for their accomplishments and encouraged to obtain specialty certification, advanced degrees, and earn state and national recognition through professional organizations. The professional nurses at the Saint Clare's Health System are prepared to work in whatever environment the new normal creates.

  14. Library as place: results of a delphi study

    PubMed Central

    Ludwig, Logan; Starr, Susan

    2005-01-01

    Objective: An expert consensus on the future of the library as place was developed to assist health sciences librarians in designing new library spaces. Method: An expert panel of health sciences librarians, building consultants, architects, and information technologists was asked to reflect on the likelihood, desirability, timing, and impact on building design of more than seventy possible changes in the use of library space. Results: An expert consensus predicted that the roles librarians play and the way libraries are used will substantially change. These changes come in response to changes in technology, scholarly communication, learning environments, and the health care economy. Conclusions: How health sciences library space is used will be far less consistent by 2015, as space becomes more tailored to institutional needs. However, the manner in which health sciences libraries develop and deliver services and collections will drastically change in the next decade. Libraries will continue to exist and will provide support for knowledge management and clinical trials, provide access to digital materials, and play a host of other roles that will enable libraries to emerge as institutional change agents. PMID:16059421

  15. Development of the virtual research environment for analysis, evaluation and prediction of global climate change impacts on the regional environment

    NASA Astrophysics Data System (ADS)

    Okladnikov, Igor; Gordov, Evgeny; Titov, Alexander; Fazliev, Alexander

    2017-04-01

    Description and the first results of the Russian Science Foundation project "Virtual computational information environment for analysis, evaluation and prediction of the impacts of global climate change on the environment and climate of a selected region" is presented. The project is aimed at development of an Internet-accessible computation and information environment providing unskilled in numerical modelling and software design specialists, decision-makers and stakeholders with reliable and easy-used tools for in-depth statistical analysis of climatic characteristics, and instruments for detailed analysis, assessment and prediction of impacts of global climate change on the environment and climate of the targeted region. In the framework of the project, approaches of "cloud" processing and analysis of large geospatial datasets will be developed on the technical platform of the Russian leading institution involved in research of climate change and its consequences. Anticipated results will create a pathway for development and deployment of thematic international virtual research laboratory focused on interdisciplinary environmental studies. VRE under development will comprise best features and functionality of earlier developed information and computing system CLIMATE (http://climate.scert.ru/), which is widely used in Northern Eurasia environment studies. The Project includes several major directions of research listed below. 1. Preparation of geo-referenced data sets, describing the dynamics of the current and possible future climate and environmental changes in detail. 2. Improvement of methods of analysis of climate change. 3. Enhancing the functionality of the VRE prototype in order to create a convenient and reliable tool for the study of regional social, economic and political consequences of climate change. 4. Using the output of the first three tasks, compilation of the VRE prototype, its validation, preparation of applicable detailed description of climate change in Western Siberia, and dissemination of the Project results. Results of the first stage of the Project implementation are presented. This work is supported by the Russian Science Foundation grant No16-19-10257.

  16. Fulfilling institutional responsibilities in health care: organizational ethics and the role of mission discernment.

    PubMed

    Gallagher, John A; Goodstein, Jerry

    2002-10-01

    In this paper we highlight the emergence of organizational ethics issues in health care as an important outcome of the changing structure of health care delivery. We emphasize three core themes related to business ethics and health care ethics: integrity, responsibility, and choice. These themes are brought together in a discussion of the process of Mission Discernment as it has been developed and implemented within an integrated health care system. Through this discussion we highlight how processes of institutional reflection, such as Mission Discernment, can help health care organizations, as well as corporations, make critical choices in turbulent environments that further the core mission and values and fulfill institutional responsibilities to a broad range of stakeholders.

  17. Making the Case for a Positive Approach to Improving Organizational Performance in Higher Education Institutions: The Community College Abundance Model

    ERIC Educational Resources Information Center

    Shults, Christopher

    2008-01-01

    Increasingly hostile and turbulent environments have rendered top-down, problem-focused management structures inadequate for competing in the ever-changing postsecondary knowledge industry. The community college abundance model (CCAM), a strengths-based approach to performance enhancement in community colleges, is presented as a viable…

  18. The Western North Carolina Technology Consortium: A Collaborative Approach to Bridging the Digital Divide

    ERIC Educational Resources Information Center

    Sink, David W.; Jackson, Karen Luke; Boham, Kenneth A.; Shockley, David

    2004-01-01

    Community college presidents face an uphill struggle in preparing their institutions for the rapidly changing technological learning environment. Visionary presidents in rural community colleges are presented with yet another challenge: that of finding themselves on the wrong side of the digital divide. This article describes how presidents of 12…

  19. Supporting New Scholars: A Learner-Centered Approach to New Faculty Orientation

    ERIC Educational Resources Information Center

    Cullen, Roxanne; Harris, Michael

    2008-01-01

    A new generation of faculty is entering the academic workforce and they are increasingly dissatisfied with current working environments. Institutions must begin to address the changing nature of this new generation. This article reports on a New Faculty Orientation program based on elements of the learner-centered pedagogy. The goal was to achieve…

  20. The Changing Faculty and Student Success: Review of Selected Policies and Practices and Connections to Student Learning

    ERIC Educational Resources Information Center

    Kezar, Adrianna; Maxey, Daniel

    2012-01-01

    It is important for administrators, faculty, and policy makers to understand and consider how policies commonly associated with non-tenure-track faculty roles and working environments impact student learning. Many policies impede the ability of faculty to provide effective instruction that is aligned with departmental and institutional goals for…

  1. Golden Girl: Mary Lai Reflects as She Marks Her 50th Anniversary.

    ERIC Educational Resources Information Center

    Iwanowski, Jay

    1996-01-01

    The career and administrative style of Mary M. Lai, who celebrates her 50th year as chief financial officer at Long Island University (New York), are discussed. Her perspectives on change in higher education and in the institution during that time, the administrator's role, current challenges for financial officers, and the college environment as…

  2. The Students Satisfaction Oriented: Academic Service Improvement Strategy, Department of Aquatic Resources Management, Bogor Agricultural University, Indonesia

    ERIC Educational Resources Information Center

    Widaryanti; Daryanto, Arief; Fauzi, Anas Miftah

    2016-01-01

    Higher education institutions must have a strategy change management in the increasingly competitive business environment. A continous performance improvement should be made accordingly. This study was conducted with the case of MSP-IPB, to analyze the priority of academic services improvement which were oriented in student satisfaction. This…

  3. Strategies for Institutional Transformation: A Multi-Case Study of the Chief Diversity Officer Position

    ERIC Educational Resources Information Center

    Leon, Raul Alejandro

    2010-01-01

    This study is concerned with the fact that many colleges and universities have adopted strategic diversity plans, but many still fall short of reaping the benefits that diversity brings to the college environment (Milem, Chang, & Antonio, 2005). Today, several colleges and universities have developed a chief diversity officer (CDO) position to…

  4. Fostering a Web 2.0 Ethos in a Traditional e-Learning Environment

    ERIC Educational Resources Information Center

    Martin, Marie; Noakes, Michaela

    2012-01-01

    As technology continues to flatten the world and as Web 2.0 changes the way knowledge is created and shared, tertiary education institutions are turning increasingly to e-learning to extend access to students globally as well as to improve the quality of their learning experience. Learning Management Systems (LMS) currently dominate the delivery…

  5. Analyzing the Implementation of an ERP System by Self-Assessment in Higher Education

    ERIC Educational Resources Information Center

    Máté, Domicián; Bács, Zoltán; Takács, Viktor László

    2017-01-01

    Over the last few decades, not only organizations but also Higher Education Institutions should be more responsive to the demands of the changed global business environment and improve their effectiveness. Our motivation to write this paper is to assess the implementation of an Enterprise Resource Planning (ERP) system in higher education and…

  6. Quality Risk Management. Modernising the Architecture of Quality Assurance

    ERIC Educational Resources Information Center

    Raban, Colin; Turner, Liz

    2006-01-01

    Although the world is changing, quality management remains an area of relative calm. Many institutions continue to use elaborated versions of a model that is developed by the Council of Academic Awards and conceived at a time when higher education was not so exposed to market forces, when the policy and regulatory environment was relatively…

  7. Investigating English Language Teacher Identity Trajectories at Mid-Career

    ERIC Educational Resources Information Center

    Martin, David Ray

    2017-01-01

    One of the biggest concerns educational institutions face is helping teachers fit into and adjust to the dynamics of the ever-changing teaching environment. What often remains a mystery is how the identity trajectories of mid-career teachers have contributed to their longevity in the field. Also important today is why teachers might choose to…

  8. Student Views on Short-Text Assignment Formats in Fully Online Courses

    ERIC Educational Resources Information Center

    Earl, Kerry

    2013-01-01

    Tertiary educators (and their institutions) are turning to technology to help meet increased demands in a changing environment. Assessment is one area where such moves are being made. This paper reminds us that assessment is more than a summative check on student knowledge and skills, it is an experience and part of the communication, and…

  9. The Emotionally-Handicapped Child: Altering Home, School, and Social Environments as the Key to Prevention and Cure.

    ERIC Educational Resources Information Center

    Jones, Vern

    The author examines the causes of behavioral disorders that stem from conditions existing in the home, school, and society, and offers specific recommendations for institutional changes which would reduce the number of behaviorally disordered children. Factors noted to be significantly related to emotional difficulties include divorce; the…

  10. Assigned Leaders in Unionized Environments: Coping with the Economic Recession and Its Aftermath in Academic Libraries

    ERIC Educational Resources Information Center

    Lim, Adriene

    2012-01-01

    Despite the fact that the rate of unionism has grown in institutions of higher education over the past several decades, and the recent economic recession occurred at the same time that academic libraries faced accelerating changes in scholarly communication and technology, increased demands for accountability, and heightened external competition,…

  11. Underpinning Excellence in Higher Education--An Investigation into the Leadership, Governance and Management Behaviours of High-Performing Academic Departments

    ERIC Educational Resources Information Center

    Kok, Seng Kiat; McDonald, Claire

    2017-01-01

    The changes in government funding alongside external pressures of increased international and national competition have meant that higher education institutions need to excel in a turbulent environment. The leadership, governance and management (LGM) of academic departments are key concerns. This study investigates the correlation between…

  12. Cooperative Education in a New Era: Understanding and Strengthening the Links between College and the Workplace.

    ERIC Educational Resources Information Center

    Ryder, Kenneth G.; Wilson, James W.

    A description of contemporary cooperative education shows how programs, policies, and practices have developed and changed to fit today's educational and work environment. Specific benefits for students, academic institutions, and employers are examined. Following a foreword by Ralph W. Tyler, four chapters in part one (the development of…

  13. Bridging the Implementation Gap: A Teacher-as-Learner Approach to Teaching and Learning Policy

    ERIC Educational Resources Information Center

    Harvey, Arlene; Kamvounias, Patty

    2008-01-01

    A major dilemma facing higher educational institutions around the world is how to achieve quality outcomes for students in an increasingly internationalised and competitive environment. To effect change in teaching and learning, we advocate a teacher-as-learner approach to the implementation of teaching and learning policy. Our approach has been…

  14. An EPA Pilot Study Evaluating Personal, Housing, and ...

    EPA Pesticide Factsheets

    EPA pilot studyAddresses how young children’s exposures to various indoor pollutants (both chemical and biological agents) change as a result of building renovation-based interventions, potentially affecting their asthma exacerbation and morbidityProvide additional information on chemical exposures and children’s interactions with their environments to enhance ongoing research in the Green Housing Study’s evaluation of green housing and impacts on childhood asthma Invited presentation to the NC Lead and Healthy Homes Task Force Meeting, Wednesday, February 24, 2016, UNC Institute for the Environment, Chapel Hill, NC

  15. Implementing meaningful, educative curricula, and assessments in complex school environments.

    PubMed

    Ennis, Catherine D

    This commentary uses the lens of curricular implementation to consider issues and opportunities afforded by the papers in this special edition. While it is interesting to envision innovative approaches to physical education, actually implementing changes in the complex institutional school environment is exceptionally challenging. These authors have done an excellent job presenting viable solutions and fore grounding challenges. Yet, without a concerted effort to invite teachers to engage with us in this process, our implementation initiatives may not enhance the meaningful and educative process that these scholars envision for physical education.

  16. Implementing meaningful, educative curricula, and assessments in complex school environments

    PubMed Central

    Ennis, Catherine D.

    2015-01-01

    This commentary uses the lens of curricular implementation to consider issues and opportunities afforded by the papers in this special edition. While it is interesting to envision innovative approaches to physical education, actually implementing changes in the complex institutional school environment is exceptionally challenging. These authors have done an excellent job presenting viable solutions and fore grounding challenges. Yet, without a concerted effort to invite teachers to engage with us in this process, our implementation initiatives may not enhance the meaningful and educative process that these scholars envision for physical education. PMID:25960685

  17. Care homes: The developing ideology of a homelike place to live.

    PubMed

    Fleming, Anne; Kydd, Angela; Stewart, Sally

    2017-05-01

    This paper reports on part of a doctoral study which explored stakeholder perceptions of the importance of a homelike environment in a care home and which factors contributed to this. The changes in institutional care for older people have evolved from being a 'warehouse' type of environment for those too poor, too mad, too sick and too unloved, to a place where older people in need of care can spend their days in safety, in a 'homely' environment. Such an environment is one of the quality indicators of care home provision. Yet defining what 'homeliness' means is fraught with difficulties. This article presents a narrative literature review on the concept of 'home' and the common measures taken to address homeliness in a care home setting. The results show that although the word 'homely' is used with the presumption of a shared understanding, the concept is elusive and highly subjective. Given that long-term care now provides homes for an increasingly wide range of age groups and individuals with increasingly diverse backgrounds and personal histories, is a shared viewpoint on homeliness possible? Indeed, is it ever possible to make an institution homely? Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.

  18. From institutional segmentation to market fragmentation: Institutional transformation and the shifting stratification order in urban China.

    PubMed

    Zhao, Wei; Zhou, Xueguang

    2017-03-01

    Focusing on the changing roles of organizations, this study develops an institutional framework to examine the shifting stratification order since the mid-1990s in urban China. We argue that, after the mid-1990s, the Chinese state led a dual process of institutional transformation. On the one hand, the state dismantled the socialist redistributive system and broke down institutional segmentation based on organizational ownership and bureaucratic rank. On the other hand, the state developed different markets with various paces and strategies, resulting in fragmented market environments. In this context, reformed organizations interacted with heterogeneous market conditions to exert different impacts on multiple dimensions of social inequality. We draw empirical evidence from two national survey data collected in 1994 and 2003 during a critical period. Our findings show that the foundation of the stratification order has shifted from institutional segmentation to market fragmentation in urban China. This study calls for substantive institutional analysis to better understand the intricate landscape of social inequality in transitional economies. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. The role of institutional design and organizational practice for health financing performance and universal coverage.

    PubMed

    Mathauer, Inke; Carrin, Guy

    2011-03-01

    Many low- and middle income countries heavily rely on out-of-pocket health care expenditure. The challenge for these countries is how to modify their health financing system in order to achieve universal coverage. This paper proposes an analytical framework for undertaking a systematic review of a health financing system and its performance on the basis of which to identify adequate changes to enhance the move towards universal coverage. The distinctive characteristic of this framework is the focus on institutional design and organizational practice of health financing, on which health financing performance is contingent. Institutional design is understood as formal rules, namely legal and regulatory provisions relating to health financing; organizational practice refers to the way organizational actors implement and comply with these rules. Health financing performance is operationalized into nine generic health financing performance indicators. Inadequate performance can be caused by six types of bottlenecks in institutional design and organizational practice. Accordingly, six types of improvement measures are proposed to address these bottlenecks. The institutional design and organizational practice of a health financing system can be actively developed, modified or strengthened. By understanding the incentive environment within a health financing system, the potential impacts of the proposed changes can be anticipated. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  20. A climate-compatible approach to development practice by international humanitarian NGOs.

    PubMed

    Clarke, Matthew; de Cruz, Ian

    2015-01-01

    If current climate-change predictions prove accurate, non-linear change, including potentially catastrophic change, is possible and the environments in which international humanitarian NGOs operate will change figuratively and literally. This paper proposes that a new approach to development is required that takes changing climate into account. This 'climate-compatible approach' to development is a bleak shift from some of the current orthodox positions and will be a major challenge to international humanitarian NGOs working with the most vulnerable. However, it is necessary to address the challenges and context such NGOs face, and the need to be resilient and adaptive to these changes. © 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

  1. Towards seamless workflows in agile data science

    NASA Astrophysics Data System (ADS)

    Klump, J. F.; Robertson, J.

    2017-12-01

    Agile workflows are a response to projects with requirements that may change over time. They prioritise rapid and flexible responses to change, preferring to adapt to changes in requirements rather than predict them before a project starts. This suits the needs of research very well because research is inherently agile in its methodology. The adoption of agile methods has made collaborative data analysis much easier in a research environment fragmented across institutional data stores, HPC, personal and lab computers and more recently cloud environments. Agile workflows use tools that share a common worldview: in an agile environment, there may be more that one valid version of data, code or environment in play at any given time. All of these versions need references and identifiers. For example, a team of developers following the git-flow conventions (github.com/nvie/gitflow) may have several active branches, one for each strand of development. These workflows allow rapid and parallel iteration while maintaining identifiers pointing to individual snapshots of data and code and allowing rapid switching between strands. In contrast, the current focus of versioning in research data management is geared towards managing data for reproducibility and long-term preservation of the record of science. While both are important goals in the persistent curation domain of the institutional research data infrastructure, current tools emphasise planning over adaptation and can introduce unwanted rigidity by insisting on a single valid version or point of truth. In the collaborative curation domain of a research project, things are more fluid. However, there is no equivalent to the "versioning iso-surface" of the git protocol for the management and versioning of research data. At CSIRO we are developing concepts and tools for the agile management of software code and research data for virtual research environments, based on our experiences of actual data analytics projects in the geosciences. We use code management that allows researchers to interact with the code through tools like Jupyter Notebooks while data are held in an object store. Our aim is an architecture allowing seamless integration of code development, data management, and data processing in virtual research environments.

  2. Institutional and economic influences on the adoption and extensiveness of managerial innovation in hospitals: The case of reengineering.

    PubMed

    Walston, S L; Kimberly, J R; Burns, L R

    2001-06-01

    In the recent past, a number of managerial innovations--including product line management, total quality management, and reengineering--have swept through the hospital industry. Given their pervasiveness and their cost, understanding the mix of factors that influences their adoption is of theoretical interest and practical relevance. The research reported here focuses on this general question by examining influences on the adoption and extensiveness of a particular managerial innovation, hospital reengineering. The results suggest that while economic and institutional factors have influenced the adoption and extensiveness of hospital reengineering, institutional forces play a more important role. The greater influence of institutional forces may be attributed to the high degree of uncertainty in health care, the causal ambiguity of the innovation, and the anticipatory actions of hospitals attempting to position themselves in a rapidly changing environment.

  3. The General Picture of Supportive Health Environments for Persons with Intellectual Disabilities among 121 Disability Welfare Institutions in Taiwan

    ERIC Educational Resources Information Center

    Lin, J.-D.; Yen, C.-F.; Loh, C.-H.; Chwo, M.-J.; Lee, J.-T.; Wu, J.-L.; Chu, C. M.; Tang, C.-C.

    2006-01-01

    Background: Little information is available on the provision of supportive health environments for persons with intellectual disabilities (ID) in institutions. The aim of this study was to present an overview of supportive environments for health in institutions in Taiwan. Methods: A cross-sectional survey was conducted to examine the perceptions…

  4. FirebrowseR: an R client to the Broad Institute's Firehose Pipeline.

    PubMed

    Deng, Mario; Brägelmann, Johannes; Kryukov, Ivan; Saraiva-Agostinho, Nuno; Perner, Sven

    2017-01-01

    With its Firebrowse service (http://firebrowse.org/) the Broad Institute is making large-scale multi-platform omics data analysis results publicly available through a Representational State Transfer (REST) Application Programmable Interface (API). Querying this database through an API client from an arbitrary programming environment is an essential task, allowing other developers and researchers to focus on their analysis and avoid data wrangling. Hence, as a first result, we developed a workflow to automatically generate, test and deploy such clients for rapid response to API changes. Its underlying infrastructure, a combination of free and publicly available web services, facilitates the development of API clients. It decouples changes in server software from the client software by reacting to changes in the RESTful service and removing direct dependencies on a specific implementation of an API. As a second result, FirebrowseR, an R client to the Broad Institute's RESTful Firehose Pipeline, is provided as a working example, which is built by the means of the presented workflow. The package's features are demonstrated by an example analysis of cancer gene expression data.Database URL: https://github.com/mariodeng/. © The Author(s) 2017. Published by Oxford University Press.

  5. Lawrence Berkeley Laboratory, Institutional Plan FY 1994--1999

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1993-09-01

    The Institutional Plan provides an overview of the Lawrence Berkeley Laboratory mission, strategic plan, scientific initiatives, research programs, environment and safety program plans, educational and technology transfer efforts, human resources, and facilities needs. For FY 1994-1999 the Institutional Plan reflects significant revisions based on the Laboratory`s strategic planning process. The Strategic Plan section identifies long-range conditions that will influence the Laboratory, as well as potential research trends and management implications. The Initiatives section identifies potential new research programs that represent major long-term opportunities for the Laboratory, and the resources required for their implementation. The Scientific and Technical Programs section summarizesmore » current programs and potential changes in research program activity. The Environment, Safety, and Health section describes the management systems and programs underway at the Laboratory to protect the environment, the public, and the employees. The Technology Transfer and Education programs section describes current and planned programs to enhance the nation`s scientific literacy and human infrastructure and to improve economic competitiveness. The Human Resources section identifies LBL staff diversity and development program. The section on Site and Facilities discusses resources required to sustain and improve the physical plant and its equipment. The new section on Information Resources reflects the importance of computing and communication resources to the Laboratory. The Resource Projections are estimates of required budgetary authority for the Laboratory`s ongoing research programs. The Institutional Plan is a management report for integration with the Department of Energy`s strategic planning activities, developed through an annual planning process.« less

  6. The Bril (De Bril)

    DTIC Science & Technology

    2005-11-01

    0006). Kingston, ON: Canadian Forces Leadership Institute. Post, W.M., Cremers , H.M., & Blanson Henkemans, 0. (2004). A reseacrh environment for...Organization and structure. Cooperation and culture. Leadership and management. Personnel and training. Systems and layout. The Bril can be used as a...345). Norwood, NJ: Ablex. Ruddock, J. & Peckan, L. (2002). Change, Vision and Leadership : Surviving RMA (Rep. No. CFLI Contract Research Report #CR02

  7. Adapting Business Models in a Changing Environment. Recession to Recovery

    ERIC Educational Resources Information Center

    Universities UK, 2010

    2010-01-01

    This report presents an analysis of the diversity of income streams in UK higher education institutions (HEIs) at a time when the sector is facing considerable uncertainty. The research was conducted over a six-week period from March to April 2010 and, as such, it predated the establishment of the new Coalition Government in the UK. In the period…

  8. Differentiation by Degrees: System Design and the Changing Undergraduate Environment in Canada

    ERIC Educational Resources Information Center

    Marshall, Dave

    2008-01-01

    There has been a significant growth in the number and types of degrees offered by a wider variety of Canadian post-secondary institutions. This expansion of degree access is the legitimate response to various forces, both social and post secondary. However, as a result, there has been some confusion regarding the meaning and value of the new…

  9. MBA Teaching Challenges in a Changing Political and Economic Environment: A Case Study of MBA Teachers and Students in Poland

    ERIC Educational Resources Information Center

    Kowalski, Ewa

    2008-01-01

    Master of Business Administration (MBA) education was introduced to Poland in the early 1990s with the purpose of preparing business practitioners for effective management and leadership in a market economy and increasingly globalizing marketplace. Due to individual, institutional, and national factors; adjusting teaching to address the complex…

  10. A Longitudinal Investigation of Emotional Health among First-Year College Students: Comparisons of Women and Men.

    ERIC Educational Resources Information Center

    Sax, Linda J.; Bryant, Alyssa N.; Gilmartin, Shannon K.

    This study investigated how college students change in the first year of college with respect to their emotional health and how aspects of the college environment affect students' emotional health. Data were drawn from the 200 Cooperative Institutional Research Program (CIRP) Freshman Survey completed by 269,413 students in fall 2000 and the 2001…

  11. [Organization development of the public health system].

    PubMed

    Pfaff, Holger; Klein, Jürgen

    2002-05-15

    Changes in the German health care system require changes in health care institutions. Organizational development (OD) techniques can help them to cope successfully with their changing environment. OD is defined as a collective process of learning aiming to induce intended organizational change. OD is based on social science methods and conducted by process-oriented consultants. In contrast to techniques of organizational design, OD is characterized by employee participation. One of the most important elements of OD is the so-called "survey-feedback-technique". Five examples illustrate how the survey-feedback-technique can be used to facilitate organisational learning. OD technique supports necessary change in health care organizations. It should be used more frequently.

  12. Multilevel learning in the adaptive management of waterfowl harvests: 20 years and counting

    USGS Publications Warehouse

    Johnson, Fred A.; Boomer, G. Scott; Williams, Byron K.; Nichols, James D.; Case, David J.

    2015-01-01

    In 1995, the U.S. Fish and Wildlife Service implemented an adaptive harvest management program (AHM) for the sport harvest of midcontinent mallards (Anas platyrhynchos). The program has been successful in reducing long-standing contentiousness in the regulatory process, while integrating science and policy in a coherent, rigorous, and transparent fashion. After 20 years, much has been learned about the relationship among waterfowl populations, their environment, and hunting regulations, with each increment of learning contributing to better management decisions. At the same time, however, much has been changing in the social, institutional, and environmental arenas that provide context for the AHM process. Declines in hunter numbers, competition from more pressing conservation issues, and global-change processes are increasingly challenging waterfowl managers to faithfully reflect the needs and desires of stakeholders, to account for an increasing number of institutional constraints, and to (probabilistically) predict the consequences of regulatory policy in a changing environment. We review the lessons learned from the AHM process so far, and describe emerging challenges and ways in which they may be addressed. We conclude that the practice of AHM has greatly increased an awareness of the roles of social values, trade-offs, and attitudes toward risk in regulatory decision-making. Nevertheless, going forward the waterfowl management community will need to focus not only on the relationships among habitat, harvest, and waterfowl populations, but on the ways in which society values waterfowl and how those values can change over time. 

  13. Science, Technology, Engineering, Math (STEM) in Higher Education from the Perspective of Female Students: An Institutional Ethnography

    NASA Astrophysics Data System (ADS)

    Parson, Laura J.

    A persistent disadvantage for females is systemically embedded in Science, Technology, Engineering, and Math (STEM) education in postsecondary institutions. As a result, undergraduate women majoring in STEM fields face a uniquely difficult path; yet, for the most part, recommendations made and supported in the literature have focused on recruitment of women to STEM fields or on ways to make women more successful and comfortable in their STEM major. These recommendations have so far proved to be insufficient to remedy a gender gap and serve to replicate the existing male hierarchy. In order to truly make the STEM classroom one in which women are welcome and comfortable and to challenge the existing social and scientific systems, it is necessary to explore and understand the social and political implications embedded within teaching and learning choices. This institutional ethnography addresses that gap. The purpose of this study was to uncover and describe the institutional practices of STEM education at a Midwest research university (MRU) from the standpoint of female undergraduate students. Using the framework of feminist standpoint theory, this study explored the everyday "work" of female undergraduate STEM students to provide a unique perspective on the STEM education teaching and learning environment. Data collection began with in-depth interviews with female undergraduate math and physics students. As the institutional processes shaping undergraduate participant experiences were identified, subsequent data collection included classroom observations, additional interviews with students and faculty, and analysis of the texts that mediate these processes (e.g., syllabi and student handbooks). Data analysis followed Carspecken's process of ethnographic data analysis that began with low-level coding, followed by high-level coding, and concluded by pulling codes together through the creation of themes. Analysis of data led to three key findings. First, undergraduate participants reported being challenged by difficult and intimidating aspects of the teaching and learning environment. Second, undergraduate participants reported challenges meeting some of the characteristics of successful math and physics students (e.g., taking risks, asking questions, putting school first) and preferred a collectivistic environment. Third, participants described challenges from conflicting STEM academic expectations and institutional policies, which made it harder for them to meet STEM expectations. Findings indicate that efforts to reduce the "chilly" climate have been unsuccessful, largely because discourses that motivate the chilly climate have not changed. Those discourses are evidence of a masculine STEM institution, which also creates a male ideal that female students are expected to meet, further exacerbating their discomfort in the STEM environment. The masculinized nature of a STEM institution is reinforced by neoliberal policies that emphasize the importance of meeting gendered ideal STEM student characteristics. The result is that while women persist, they face stress, anxiety, and discomfort. Recommendations to improve the chilly climate include: revising the STEM institution from one that is masculine to one that is inclusive of women; and, to create a STEM educational environment that supports, validates, and gives women an equal voice.

  14. L'environnement institutionnel: occupations pour un bon usage des institutions (Institutional Environment: Activities to Make the Best Use of Institutions).

    ERIC Educational Resources Information Center

    Richterich, Rene

    1982-01-01

    Fifteen exploratory tasks are proposed to help the reader "invent" his or her solidarity with the environment. They are intended to make the person more aware of the influences of the environment on one's native and/or second language learning in order to take charge of them and increase one's independence. (AMH)

  15. Breakthrough on technical and vocational education of Taiwan: Take Oriental Institute of Technology as an example

    NASA Astrophysics Data System (ADS)

    Chang, Horng-jinh; Wang, Whe-min

    2017-06-01

    Taiwan's economic strength has changed drastically in the past decade because of political and economic reasons; however, in order to cope with international environment, higher education must increase its breakthrough to meet the needs of enterprises. School curriculum also has to be timely changes and adjustments. This study will analyze school learning in several directions, use questionnaire to investigate students' learning stress, to find out where students' pressure lie. Also, outsourcing employers' satisfaction survey to find out what do enterprises wants to solve with the drop problem between school and enterprise. Taking Oriental Institute of Technology (OIT) as an example; over the past ten years, OIT has used overseas internships to help students overcome learning difficulties. Overseas practice courses include Penang Malaysia and Suzhou China had gained tremendous breakthrough.

  16. Evaluation and control of ergonomics actions in federal public service: the case of FIOCRUZ-RJ.

    PubMed

    Ricarta, Simone L Santa Isabel; Vidala, Mario Cesar Rodriguez; Bonfattia, Renato José

    2012-01-01

    This article presents information about the development of the dissertation. Deals with the production of ergonomic diagnosis in the environments and work processes of an important center of research and development in Public Health, FIOCRUZ. Critically evaluates the performance of a team promoting and facilitating the process of implementing ergonomic changes suggested. Through analysis of documents and statements by some managers and representatives of Human Resources was possible to identify the factors that facilitate and hinder the implementation process, linking them to the organization of the institution and conduct of the agents involved. Finally, it makes a reflection on practice, results and developments involved in the processes of change initiated by the ergonomic actions, proposing its replication along with other institutes of the Civilian Personnel of Federal Public Administration.

  17. Bridging the accountability gap.

    PubMed

    Johnson, J E

    1991-01-01

    Accountability for patient care is a responsibility shared by nursing and hospital administration. Inherent in professional nursing is the responsibility for the achievement of patient outcomes, while administrators assume more indirect responsibilities related to managerial functions, strategic planning and legal obligations. Historically, the poor communication and conflict between these groups have been a barrier to achieving true institutional accountability for patient care. Collaboration rather than conflict can be promoted in health care institutions by making organizational changes that promote communication and clarify ambiguities in job responsibilities. Such changes include redefining the nurse's job to reflect its scope and purpose; integrating nursing into the hospital environment via regular forums for information exchange and participation in hospital committees; considering that the delegation of patient care is implicit in nursing practice and patient-care management; and strengthening the nursing work force by improving compensation and benefits packages for nurses.

  18. The organizational transformative power of nurse residency programs.

    PubMed

    Kramer, Marlene; Maguire, Pat; Halfer, Diana; Budin, Wendy C; Hall, Debra S; Goodloe, Lauren; Klaristenfeld, Jessica; Teasley, Susan; Forsey, Lynn; Lemke, Johanna

    2012-01-01

    Residency programs for newly licensed registered nurses (NLRNs) have been strongly advocated by the Institute of Medicine, American Organization of Nurse Executives, and other professional organizations. Their cost-effectiveness as well as their impact on NLRN retention, job and practice satisfaction, improved performance, and reduction in environmental reality shock has been demonstrated. This qualitative study sought answers to the question: what people, components, processes and activities of Nurse Residency Programs (NRPs), and the work environment are instrumental in the transition and integration of NLRNs into the professional practice role and into professional communities? In the course of interviewing 907 nurses-NLRNs, experienced nurses, managers, and educators-practicing on clinical units with confirmed "very healthy work environments" in 20 Magnet hospitals, it became evident that not only did NRPs positively impact the professional socialization of NLRNs, they led to transformative changes in the organization and in the practice of other health care professionals. The organizational transformative changes described by the interviewees are presented for each of the 7 major challenges identified by NLRNs-delegation, prioritization, managing patient care delivery, autonomous decision-making, collaboration with other disciplines, constructive conflict resolution, and utilizing feedback to restore self-confidence. If it can be demonstrated that these transformative changes stimulated by NRPs also lead to improved patient outcomes, NRPs may be the most significant organization transformation instituted by nurse leaders in recent years.

  19. Influence of worklife on public health.

    PubMed

    Aronsson, G

    1999-12-01

    The paper discusses worklife changes with broad public health impacts. Central concepts for the analysis of the labor market are flexibility and differentiation. One conclusion is that there is ongoing polarization and differentiation--with an increased group of people in time-restricted (contingent) employment and self-employment and a reduced group of core workers. Greater demands for adaptability are being imposed on the majority of employees. Concepts related to flexibility and differentiation at an individual level are adaptability, identity formation, loss of control, trust and lack of trust, allostatic load, long-term strain, and psychological contracting. The labor market and organizational changes are discussed in relation to what can be called "institutional effectiveness". These changes refer to how institutions commissioned to act for the prevention of injuries and to contribute to worklife quality handle the new conditions. Finally, work-environment research is discussed in relation to a new and more complex pattern of exposures and interactions. One conclusion drawn is that it is becoming increasingly difficult to identify workplaces at risk.

  20. "Innovation" institutes in academic health centers: enhancing value through leadership, education, engagement, and scholarship.

    PubMed

    Pines, Jesse M; Farmer, Steven A; Akman, Jeffrey S

    2014-09-01

    In the next decade, the biggest change in medicine in the United States will be the organizational transformation of the delivery system. Organizations-including academic health centers-able to achieve better outcomes for less will be the financial winners as new payment models become more prevalent. For medical educators, the question is how to prepare the next generation of physicians for these changes. One solution is the development of new "innovation" or "value" institutes. Around the nation, many of these new institutes are focused on surmounting barriers to value-based care in academic health centers, educating faculty, house staff, and medical students in discussions of cost-conscious care. Innovation institutes can also lead discussions about how value-based care may impact education in environments where there may be less autonomy and more standardization. Quality metrics will play a larger role at academic health centers as metrics focus more on outcomes than processes. Optimizing outcomes will require that medical educators both learn and teach the principles of patient safety and quality improvement. Innovation institutes can also facilitate cross-institutional discussions to compare data on utilization and outcomes, and share best practices that maximize value. Another barrier to cost-conscious care is defensive medicine, which is highly engrained in U.S. medicine and culture. Innovation institutes may not be able to overcome all the barriers to making medical care more cost-conscious, but they can be critical in enabling academic health centers to optimize their teaching and research missions while remaining financially competitive.

  1. Resilience in polar ecosystems: From drivers to impacts and changes

    NASA Astrophysics Data System (ADS)

    Bölter, Manfred; Müller, Felix

    2016-03-01

    The theory of resilience is increasing in applied ecosystem research and has become a valuable concept for analyzing relationships between natural environments and various stressors, e.g., global warming or direct human impacts. This concept offers opportunities to apply management strategies to different system levels and can provide insights into future ecosystem change. Polar systems are known to be ecologically sensitive to global and local impacts. Records of changes in polar environments, used as alarm signals by governmental and non-governmental institutions, are well documented in various reports. However, it remains difficult to define specific disturbance thresholds, only few methods allow an evaluation of the actual natural state of polar systems, its degree of modification they can accommodate before trophic systems change with severe damages. Some of the main drivers of system changes have been analyzed with respect to possible effects on system changes over different time scales. This paper reviews studies of polar ecosystems and their ability to cope with changes by assessing their resilience in response to human disturbances. Furthermore, we suggest that a customized framework (drivers, pressures, states, impacts, and responses (DPSIR)) should be applied to obtain an improved understanding of the interactions between the state of, and changes in, natural systems.

  2. Investigating the Role of a Racially Biased Incident on Changes in Culture and Climate Indicators across Targeted and Non-Targeted Groups

    ERIC Educational Resources Information Center

    Yeung, Fanny P.; Johnston, Marc P.

    2014-01-01

    This study explored the influences of a racially biased incident targeting Asian students at a compositionally diverse public research institution on the U.S. West coast after an unplanned incident that occurred during data collection of the Diverse Learning Environments survey. This occurrence created a unique opportunity to explore how 2 cohorts…

  3. Exploring chiropractic students' experiences of the educational environment in healthcare professional training: a qualitative study.

    PubMed

    Palmgren, Per J; Laksov, Klara Bolander

    2015-08-05

    The educational environment has a significant impact on students' behavior, sense of well-being, and academic advancement. While various research methodologies have been used to explore the educational environment, there is a paucity of studies employing qualitative research methods. This study engages in an in-depth exploration of chiropractic students' experiences of the meaning of the educational environment. A qualitative approach was employed by interviewing 26 students in four focus group interviews at two different points in time. A conventional manifest and latent content analysis was chosen to investigate and interpret the experiences of the educational environment in an undergraduate chiropractic training institution in Sweden. The analysis resulted in five overarching themes: Personal growth; Being part of a community; A place of meaningfulness; Trust in a regulated system; and Scaffolding relationships. Early in the training, the meaning of the educational environment was experienced as part of a vocational community and the scaffolding of intra-institutional relationships. In later stages, the environment was experienced in terms of personal growth - balancing academic pressures and progress within the professional community - thus laying the foundations for autonomy and motivation. During the clinical training, the environment was experienced as where learning happens, thus creating a place of meaningfulness. Throughout the training, the formal and clinical environments were experienced as isolating, with little bridging between the two. A regulated system - conveying an operative organization with clear communication regarding what to expect - was experienced as important for an apt educational environment. We found that experiences of an educational environment are dynamic and change over time. When restructuring or evaluating curriculums, educational managers can consider the emerged themes as constituting facets relating to the educational environment, and thus possible learning conditions. Likewise, researchers can consider these aspects of the educational environment when: interpreting results from quantitative and qualitative inquiries, constructing and refining instruments, or conceptualizing and framing the educational environment phenomenon.

  4. Applying a Comprehensive Contextual Climate Change Vulnerability Framework to New Zealand's Tourism Industry.

    PubMed

    Hopkins, Debbie

    2015-03-01

    Conceptualisations of 'vulnerability' vary amongst scholarly communities, contributing to a wide variety of applications. Research investigating vulnerability to climate change has often excluded non-climatic changes which may contribute to degrees of vulnerability perceived or experienced. This paper introduces a comprehensive contextual vulnerability framework which incorporates physical, social, economic and political factors which could amplify or reduce vulnerability. The framework is applied to New Zealand's tourism industry to explore its value in interpreting a complex, human-natural environment system with multiple competing vulnerabilities. The comprehensive contextual framework can inform government policy and industry decision making, integrating understandings of climate change within the broader context of internal and external social, physical, economic, and institutional stressors.

  5. Health, Wealth, and the Role of Institutions

    ERIC Educational Resources Information Center

    Hurd, Michael; Kapteyn, Arie

    2003-01-01

    A positive relationship between socioeconomic status and health has been observed over many populations and many time periods. One of the factors mediating this relation is the institutional environment in which people function. We consider longitudinal data from two countries with very different institutional environments, the United States and…

  6. A New Paradigm of Engineering Education for the 21st Century:Perspectives of Rose-Hulman Institute of Technology

    NASA Astrophysics Data System (ADS)

    Western, Arthur; Stamper, Richard

    Strategic initiatives for engineering education in the next decade as planned by the Rose-Hulman Institute of Technology are presented. The Rose-Hulman Institute of Technology is a private college in the United States that specializes in undergraduate engineering, mathematics and science education. The initiatives are in response to broad changes in the practice of the engineering profession in its modern global context. The initiatives comprise five strategic thrust areas and five programmatic themes. The thrust areas are: Energy and Environment; Health and Safety; Transportation; Materials; and Information, Computation, and Communication. The programmatic themes are: Excellence in Education; International Awareness; Business Awareness;Service Learning; and Life-long Learning. The objective of these initiatives is to prepare students to meet the challenges of the 21st century and to serve as leaders in society.

  7. Design and Implementation of Geothermal Energy Systems at West Chester University

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lewis, James

    West Chester University has launched a comprehensive transformation of its campus heating and cooling systems from traditional fossil fuels to geothermal. This change will significantly decrease the institution's carbon footprint and serve as a national model for green campus efforts. The institution has designed a phased series of projects to build a district geo-exchange system with shared well fields, central pumping station and distribution piping to provide the geo-exchange water to campus buildings as their internal building HVAC systems are changed to be able to use the geo-exchange water. This project addresses the US Department of Energy Office of Energymore » Efficiency and Renewable Energy (EERE) goal to invest in clean energy technologies that strengthen the economy, protect the environment, and reduce dependence on foreign oil. In addition, this project advances EERE's efforts to establish geothermal energy as an economically competitive contributor to the US energy supply.« less

  8. [Qualitative analysis of organizational innovations in Spanish public hospitals].

    PubMed

    del Llano, J; Martínez-Cantarero, J F; Gol, J; Raigada, F

    2002-01-01

    To determine the opinion of chief executive officers (CEOs) and physicians in public hospitals concerning new managerial trends. We performed a qualitative study designed to determine the opinion of CEOs and physicians on the organizational innovations that affect more than one level of health management intervention. In-depth semi-structured interviews were conducted to identify behavior, experiences, opinions, knowledge and other personal and institutional aspects related to the study's aim. Focus groups (two study groups and one control group) were also used. Interaction between groups was used to obtain different types of information on the development of ideas, operational capacity, and the degree of consensus and disagreement on the subjects discussed. Comparison between the control and the study groups revealed that the new management trends added value in the following areas: economy of contracts, delegation, administrative decentralization, incentives, risk avoidance, process re-engineering, heath care continuity, competitiveness, leadership, information systems and client centeredness. Physicians are showing increased interest in organizational innovations while CEOs are ambivalent about their changing role and respective responsibilities. There is evidence of resistance to change. There is no single institutional model; institutional design depends on internal factors (cohesion and leadership) and external factors (environment, size and technology). The incipient development of innovations reveals the need for changes in the style and characteristics of management structure (composition, functions, responsibilities).

  9. The drivers of corporate environment inputs: Based on neo-institution theory evidence from Chinese listed biological and other companies.

    PubMed

    Guo, Rui; Tao, Lan; Yan, Liang; Chen, Lianfang; Wang, Haijun

    2014-09-01

    From corporate internal governance structure and external institutional environment, this study uses a legitimacy perspective of intuitional theory to analyze the main influence factors on corporate environmental protection inputs and propose some hypotheses. With the establishment of empirical models, it analyzes the data of 2004-2009 listed biological and other companies in China to test the hypotheses. The findings are concluded that in internal institutional environment, the nature of the controlling shareholder, the proportion of the first shareholder in the ownership structure, the combination of chairman and general manager in board efficiency and the intensity of environmental laws and regulations of the industry in external institutional environment have an significant impact on the behaviors of corporate environmental protection inputs.

  10. Developing Local Board of Health Guidelines to Promote Healthy Food Access — King County, Washington, 2010–2012

    PubMed Central

    Johnson, Donna B.; Krieger, James; MacDougall, Erin; Payne, Elizabeth; Chan, Nadine L.

    2015-01-01

    Policies that change environments are important tools for preventing chronic diseases, including obesity. Boards of health often have authority to adopt such policies, but few do so. This study assesses 1) how one local board of health developed a policy approach for healthy food access through vending machine guidelines (rather than regulations) and 2) the impact of the approach. Using a case study design guided by “three streams” policy theory and RE-AIM, we analyzed data from a focus group, interviews, and policy documents. The guidelines effectively supported institutional policy development in several settings. Recognition of the problem of chronic disease and the policy solution of vending machine guidelines created an opening for the board to influence nutrition environments. Institutions identified a need for support in adopting vending machine policies. Communities could benefit from the study board’s approach to using nonregulatory evidence-based guidelines as a policy tool. PMID:25927606

  11. NIAID, NIEHS, NHLBI, and MCAN Workshop Report: The indoor environment and childhood asthma-implications for home environmental intervention in asthma prevention and management.

    PubMed

    Gold, Diane R; Adamkiewicz, Gary; Arshad, Syed Hasan; Celedón, Juan C; Chapman, Martin D; Chew, Ginger L; Cook, Donald N; Custovic, Adnan; Gehring, Ulrike; Gern, James E; Johnson, Christine C; Kennedy, Suzanne; Koutrakis, Petros; Leaderer, Brian; Mitchell, Herman; Litonjua, Augusto A; Mueller, Geoffrey A; O'Connor, George T; Ownby, Dennis; Phipatanakul, Wanda; Persky, Victoria; Perzanowski, Matthew S; Ramsey, Clare D; Salo, Päivi M; Schwaninger, Julie M; Sordillo, Joanne E; Spira, Avrum; Suglia, Shakira F; Togias, Alkis; Zeldin, Darryl C; Matsui, Elizabeth C

    2017-10-01

    Environmental exposures have been recognized as critical in the initiation and exacerbation of asthma, one of the most common chronic childhood diseases. The National Institute of Allergy and Infectious Diseases; National Institute of Environmental Health Sciences; National Heart, Lung, and Blood Institute; and Merck Childhood Asthma Network sponsored a joint workshop to discuss the current state of science with respect to the indoor environment and its effects on the development and morbidity of childhood asthma. The workshop included US and international experts with backgrounds in allergy/allergens, immunology, asthma, environmental health, environmental exposures and pollutants, epidemiology, public health, and bioinformatics. Workshop participants provided new insights into the biologic properties of indoor exposures, indoor exposure assessment, and exposure reduction techniques. This informed a primary focus of the workshop: to critically review trials and research relevant to the prevention or control of asthma through environmental intervention. The participants identified important limitations and gaps in scientific methodologies and knowledge and proposed and prioritized areas for future research. The group reviewed socioeconomic and structural challenges to changing environmental exposure and offered recommendations for creative study design to overcome these challenges in trials to improve asthma management. The recommendations of this workshop can serve as guidance for future research in the study of the indoor environment and on environmental interventions as they pertain to the prevention and management of asthma and airway allergies. Published by Elsevier Inc.

  12. Technology, energy and the environment

    NASA Astrophysics Data System (ADS)

    Mitchell, Glenn Terry

    This dissertation consists of three distinct papers concerned with technology, energy and the environment. The first paper is an empirical analysis of production under uncertainty, using agricultural production data from the central United States. Unlike previous work, this analysis identifies the effect of actual realizations of weather as well as farmers' expectations about weather. The results indicate that both of these are significant factors explaining short run profits in agriculture. Expectations about weather, called climate, affect production choices, and actual weather affects realized output. These results provide better understanding of the effect of climate change in agriculture. The second paper examines how emissions taxes induce innovation that reduces pollution. A polluting firm chooses technical improvement to minimize cost over an infinite horizon, given an emission tax set by a planner. This leads to a solution path for technical change. Changes in the tax rate affect the path for innovation. Setting the tax at equal to the marginal damage (which is optimal in a static setting with no technical change) is not optimal in the presence of technical change. When abatement is also available as an alternative to technical change, changes in the tax can have mixed effects, due to substitution effects. The third paper extends the theoretical framework for exploring the diffusion of new technologies. Information about new technologies spreads through the economy by means of a network. The pattern of diffusion will depend on the structure of this network. Observed networks are the result of an evolutionary process. This paper identifies how these evolutionary outcomes compare with optimal solutions. The conditions guaranteeing convergence to an optimal outcome are quite stringent. It is useful to determine the set of initial population states that do converge to an optimal outcome. The distribution of costs and benefits among the agents within an information processing structure plays a critical role in defining this set. These distributional arrangements represent alternative institutional regimes. Institutional changes can improve outcomes, free the flow of information, and encourage the diffusion of profitable new technologies.

  13. Development and Validation of an Instrument for Assessing Mathematics Classroom Environment in Tertiary Institutions

    ERIC Educational Resources Information Center

    Yin, Hongbiao; Lu, Genshu

    2014-01-01

    This report describes the development and validation of an instrument, the University Mathematics Classroom Environment Questionnaire (UMCEQ), for assessing the mathematics classroom environment in tertiary institutions in China. Through the use of multiple methods, including exploratory and confirmatory factor analyses, on two independent samples…

  14. Quantifying Seasonal Skill In Coupled Sea Ice Models Using Freeboard Measurements From Spaceborne Laser Altimeters

    DTIC Science & Technology

    2016-06-01

    Richter-Menge (2009), (b) Source: Jack Cook, Woods Hole Oceanographic Institute. Four forcing mechanisms, as well as the Coriolis force, influence...changing Arctic environment which is critical to personnel safety, effective use of assets, and operational support (Arctic Roadmap 2014). 18 Canada...Navy to pursue continued Arctic presence, and maximize the effectiveness of the military operations assimilated with civilian science (Showstack 2013

  15. The economic rationale of public and private sector roles in the provision of animal health services.

    PubMed

    Ahuja, V

    2004-04-01

    In the changing market environment of livestock products, the delivery of animal health services is emerging as an important priority area for enhancing the competitiveness of poor livestock producers. At the same time, governments are continuing to face serious budgetary difficulties and are finding it difficult to expand the reach of these services or improve service quality. In this context of a changing environment and dwindling public resources, this paper revisits the economic framework that has thus far guided thinking about public and private sector roles in the provision of animal health services and examines the ongoing debate on livestock service delivery for the poor. The paper highlights the importance of strong institutions and appropriate legislation for regulating behaviour and enforcing contracts and re-emphasises the idea, which is supported by economic theory, that there is a need for task sharing between the public and private sectors. The paper further emphasizes the need for: a) integrating the debate on livestock service delivery with the larger debate on political economy and institutional development, and b) ensuring service access in poor marginal areas by working through membership organisations, self-help groups and civil society organisations, and by promoting the use of para-professionals and community-based animal health delivery systems.

  16. Foraminiferal Evidence for Paleocoastal Environmental Changes Influenced by Holocene Transgression and Varying Storminess in Choctawhatchee Bay, Florida USA.

    NASA Astrophysics Data System (ADS)

    Nanayakkara, N. U.; Ranasinghage, P. N.; Hawkes, A. D.; van Hengstum, P. J.; Donnelly, J. P.

    2016-12-01

    ABSTRACT Evolution of populated, dynamic coastal environments around the Gulf of Mexico is complicated due to the impact of multiple factors such as Holocene sea level changes, and hurricane impacts. The main purpose of the present study is to use foraminifera to create a separate account on coastal environmental changes in the area. For this purpose foraminifera were sampled at 20 cm intervals from an 8.55 m long age dated sediment core ( 8.0 ka) obtained from Choctawhatchee Bay, Florida, USA by Woods Hole Oceanographic Institution. This core was taken by vibracoring. Foraminifera were extracted, identified, counted separately and finally multiple variable analyses (cluster, PCA) were used to identify paleo-environments represented by different species assemblages. Three distinct foraminiferal communities represented by 18 species indicating three biofacies could be recognized. Organic rich protected deltaic marsh/lagoonal environment dominated by Bolivina spp and Buluminella spp existed from bottom of the core ( 8 cal kyr BP). As indicated by dominating Millioids spp., this environment was flooded and transformed to a marine open bay environment around 6 cal kyr BP at rising sea level during the Holocene transgression. Increasing sea level and intensified storminess during this period might have prevented barrier growth .This open bay environment converted to more brackish closed bay environment possibly due to the growth of the Santa Rosa Barrier around 3 kyrs BP and that environment exists till today. Abundance of Ammonia-Elphdium - Bolivina spp provide evidence for this transition. These results are comparable with physical and chemical proxy records of the same core as well as other published regional records.

  17. Is it resources, habit or both: interpreting twenty years of hospital strategic response to prospective payment.

    PubMed

    Balotsky, Edward R

    2005-01-01

    The 1983 Tax Equity and Fiscal Responsibility Act (TEFRA) transformed acute care from a benevolent to malevolent environment. A dual-paradigm of resource dependency and institutional theories that balances isomorphic with economic variables has emerged to better explain hospital strategic response to the resultant constraint on resources than a traditional single paradigm approach. Using the population of non-rural, non-federal acute-care hospitals, strategic response from 1982 to 2001 is studied; distinct cost and service changes occur. Cost strategy is linked primarily to Medicare utilization, a resource dependence response. Service strategy favors high technology regardless of prospective payment diffusion, an institutional theory perspective. Strategic implications are discussed.

  18. The conversion to electronic hospital notes at Mayo Clinic. Overcoming barriers and challenges.

    PubMed

    Andreen, Debra L; Dobie, Linda J; Jasperson, Jan C; Lucas, Thomas A; Wubbenhorst, Cathryn L

    2010-01-01

    This article describes the conversion to electronic hospital notes at a large, multi-specialty group practice: Mayo Clinic in Rochester, Minnesota. Because of the size of the institution and the barriers to the adoption of electronic notes, the process was a gradual one that took several years. Making a convincing case for change to institutional leaders and maintaining their support was crucial to success. Equally vital was the careful investigation of user requirements and the development of software features that allowed providers to complete their notes quickly in the fast-paced hospital environment. Care providers discovered the value of having immediate access to legible hospital notes throughout the campus and from remote locations.

  19. Isotope labeling to determine the dynamics of metabolic response in CHO cell perfusion bioreactors using MALDI-TOF-MS.

    PubMed

    Karst, Daniel J; Steinhoff, Robert F; Kopp, Marie R G; Soos, Miroslav; Zenobi, Renato; Morbidelli, Massimo

    2017-11-01

    The steady-state operation of Chinese hamster ovary (CHO) cells in perfusion bioreactors requires the equilibration of reactor dynamics and cell metabolism. Accordingly, in this work we investigate the transient cellular response to changes in its environment and their interactions with the bioreactor hydrodynamics. This is done in a benchtop perfusion bioreactor using MALDI-TOF MS through isotope labeling of complex intracellular nucleotides (ATP, UTP) and nucleotide sugars (UDP-Hex, UDP-HexNAc). By switching to a 13 C 6 glucose containing feed media during constant operation at 20 × 10 6 cells and a perfusion rate of 1 reactor volume per day, isotopic steady state was studied. A step change to the 13 C 6 glucose medium in spin tubes allowed the determination of characteristic times for the intracellular turnover of unlabeled metabolites pools, τST (≤0.56 days), which were confirmed in the bioreactor. On the other hand, it is shown that the reactor residence time τR (1 day) and characteristic time for glucose uptake τGlc (0.33 days), representative of the bioreactor dynamics, delayed the consumption of 13 C 6 glucose in the bioreactor and thus the intracellular 13 C enrichment. The proposed experimental approach allowed the decoupling of bioreactor hydrodynamics and intrinsic dynamics of cell metabolism in response to a change in the cell culture environment. © 2017 American Institute of Chemical Engineers Biotechnol. Prog., 33:1630-1639, 2017. © 2017 American Institute of Chemical Engineers.

  20. Learning in Online Continuing Professional Development: An Institutionalist View on the Personal Learning Environment

    ERIC Educational Resources Information Center

    Johnson, Mark William; Prescott, Denise; Lyon, Sarah

    2017-01-01

    The nature of institutions is an important question for the Personal Learning Environment (PLE). Whilst the PLE has tended to focus on what is considered to be "non-institutional" technology like social software, most online tools today have a corporate/institutional foundation. How should educators position themselves with learners who…

  1. Preeclampsia is a biomarker for vascular disease in both mother and child: the need for a medical alert system.

    PubMed

    Hakim, Julie; Senterman, Mary K; Hakim, Antoine M

    2013-01-01

    This paper reviews the literature pertaining to the impact of preeclampsia not only on the mother but particularly on the children. The review points to the higher blood pressure in children born to preeclamptic mothers compared to controls, their increased tendency to suffer strokes, the reduction in their cognitive ability, and their vulnerability to depression. Mechanisms that may induce these changes are emphasized, particularly the placental vascular insufficiency and the resulting hypoxic and proinflammatory environments in which the fetus develops. The hypothesis proposed is that these changes in the fetal-placental environment result in epigenetic programming of the child towards a higher propensity for vascular disease. The review's main recommendation is that, within ethical boundaries, the medical records of individuals born to preeclamptic mothers should clearly indicate this event and should be made available to the affected individuals so that preventive measures against vascular complications and lifestyle changes that may mitigate the latter can be instituted.

  2. Strategic Institutional Change to Support Advancement of Women Scientists in the Academy: Lessons from a Study of ADVANCE-IT Projects

    NASA Astrophysics Data System (ADS)

    Laursen, S. L.; Austin, A. E.; Soto, M.; Martinez, D.

    2011-12-01

    While women's representation among undergraduate and graduate degree-earners has grown steadily in most science fields, progress at the faculty level has been slow to realize, especially in upper academic ranks and in higher status institutions. This is only partly explained by the slow turnover of faculty positions. While some efforts to address this issue have aimed to support individual women and foster their career success, the National Science Foundation's ADVANCE program has taken a different approach, calling for institutions to take a systemic and organizational approach to enhance women's representation in the academy. Since 2001, some 50 institutions have received ADVANCE Institutional Transformation (IT) awards to develop such systemic approaches. Most ADVANCE-IT projects have attended to structures (e.g. committee and departmental leadership roles), processes (e.g. hiring), policy (e.g. family leave), attitudes and awareness (e.g. training for chairs), and workplace climate, as well as interventions that focus on faculty members as valuable human resources. Our research team is studying ADVANCE institutions' approaches to organizational change, by identifying and categorizing individual change interventions, examining how they combine to build an overall change portfolio, and considering how change interventions are selected or adapted to fit a specific institutional context. Because universities are complex organizations composed of multiple, loosely coupled, interconnected sub-systems, an overall change strategy cannot depend on a single type of intervention. Yet any particular intervention might be deployed on behalf of multiple goals and in a variety of forms that may depend on the context, or institutional system, in which it is introduced. We will discuss some common types of strategic intervention used in ADVANCE-IT projects, categorized by Bolman and Deal's (1991) four main perspectives or "lenses" for understanding organizational issues. The structural lens emphasizes policy and procedure as tools to improve equity in advancement or address critical junctures in faculty careers. Examples include instituting or advertising family-friendly work/life policies, or modifying processes for recruiting candidates and conducting searches. Using the human resource lens, faculty development is a common ADVANCE intervention, with the aim to improve faculty job skills and productivity or enhance the workplace environment for all. The political lens takes into account the sources and seats of power in the university, while the symbolic lens recognizes the importance of leaders' public declarations, celebrations and recognition events, and communication to diverse campus constituencies. The presentation will highlight examples of strategic interventions that may be particularly relevant to improving women's representation in the geosciences, and suggest how certain combinations of strategic interventions may apply in specific institutional contexts. Bolman, L. G., & Deal, T. E. (1991). Reframing organizations: Artistry, choice, and leadership. San Francisco, CA: Jossey-Bass.

  3. Personality change of officer cadets in the Canadian Forces.

    PubMed

    Bradley, J Peter; Nicol, Adelheid A M

    2003-12-01

    The present research assessed the extent to which 46 officer cadets' personalities changed as a result of spending four years in a military academic institution. Four personality variables were examined, Surgency, Achievement, Conscientiousness, and Internal Control. Given the nature of the military environment and training, we hypothesized that individuals' scores on these scales would increase with time. Analysis indicated scores on all four scales decreased. A confound occurred as in the first administration of the measure participants were completing the measure as part of a selection procedure whereas in the second one participants completed measures voluntarily.

  4. Changing the Game?: Emissions and Market Implications of New Natural Gas Supplies

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Huntington, Hillard G.

    This study evaluates the channels through which shale formations and new natural gas supplies can change energy, economic and environmental opportunities within North America. It concludes that continued shale gas development within North America is likely to have more sweeping impacts on future energy prices than on the economy or the environment. This evaluation was conducted by a working group of 50 experts and advisors from a range of diverse universities, research institutes, corporations and government agencies. Support for the study’s conclusions came from 14 different expert teams using their own energy-economy models.

  5. Information: fuel for change.

    PubMed

    Tinker, J

    1992-01-01

    Fundamental changes in the attitude and mentality of humanity are necessary to change the reckless course of human progress and achieve sustainable development. The UN Conference on Environment and Development has been unable to develop the requisite educational information for this purpose. The Northern environment ministers know that the pursuit of endless consumption is escalating energy use and unsustainable demands on the planet's resources. The ministers from the South know their forests and fisheries are declining, that much of their soil is becoming less fertile every year, and that their copper, timber, fish and bananas are being sold at a fraction of their real value. Environmentalists have been advocating more public awareness prior to and since the Stockholm Conference on the Human Environment in 1972. Saving the rainforest requires understanding the causes of deforestation: avaricious logging companies and poor peasants searching for land. The rich in the North need a new frugalism to replace the mindless consumerism, while the poor in the South need new alternatives to escape from the poverty that forces them to destroy their environment. These changes in attitude could come from nongovernmental organizations (NGOs) and the civil society. Governments cannot decree socially and politically sustainable development. Political pluralism indispensable within society means NGOs and community groups and responsive governments. Pluralisms of information means a wider range of newspapers and magazines and a wider spectrum of views in the media. Since 1989 there has been vigorous acceleration toward pluralism in the world powered by NGOs. The many voices of NGOs have generated the dramatic political changes of recent years. Alternative news agencies and research institutes must propagate information to elucidate sustainable development.

  6. Research productivity in select psychology journals, 1986-2008.

    PubMed

    Mahoney, Kevin T; Buboltz, Walter C; Calvert, Barbara; Hoffmann, Rebecca

    2010-01-01

    Examination of research productivity has a long history in psychology. Journals across psychology have periodically published research-productivity studies. An analysis of institutional research productivity was conducted for 17 journals published by the American Psychological Association for the years 1986-2008. This analysis implemented two methodologies: one a replication and extension of G. S. Howard, D. A. Cole, and S. E. Maxwell's (1987) method, the other a new method designed to give credit to psychology departments rather than only overall institutions. A system of proportional credit assured all articles with multiple institutions received credit. Results show that for the 23-year period, the University of Illinois at Urbana-Champaign was ranked 1st, followed by the University of California, Los Angeles, and the University of Michigan, Ann Arbor. Overall, results showed both consistency and change across all journals examined. The authors explore the implications of these findings in the context of the current academic environment.

  7. Ethical Legal and Social Issues of Biobanking: Past, Present, and Future.

    PubMed

    Bledsoe, Marianna J

    2017-04-01

    The past 15 years has seen considerable changes in the research environment. These changes include the development of new sophisticated genetic and genomic technologies, a proliferation of databases containing large amount of genotypic and phenotypic data, and wide-spread data sharing among many institutions, nationally and internationally. These changes have raised new questions regarding how best to protect the participants of biobanking research. In response to these questions, best practices for addressing the legal, ethical, and social issues of biobanking have been developed. In addition, new ethical guidelines related to biobanking have been established, as well as new regulations regarding privacy and human subject protections. Finally, changes in the science and the research environment have raised complex ethical issues related to biobanking, such as questions about the most appropriate consent models to use for biobanking research, commercial use and ownership issues, and whether and how to return individual research results to biobank participants. This article reviews some of the developments over the past 15 years related to the ELSI of biobanking with a look toward the future.

  8. Acessibility in collective housing for the elderly: a case study in Portugal.

    PubMed

    Paiva, Marie Monique Bruère; Villarouco, Vilma

    2012-01-01

    Physical spaces need to be adjusted to suit the changes of a physical, cognitive and emotional order occasioned by the natural aging of people. Ergonomics of the built environment contributes to improving the interaction of the user and physical environment, with a view to their comfort and safety. By thinking through the influence that environments have on the quality of life of the elderly, this article presents an assessment of accessibility in private units--bedrooms and bathrooms--of a Long-Stay Institution for the Elderly (ILPI in Portuguese) in Portugal. The analysis of the physical and spatial conditioning factors by means of the Ergonomics Methodology for the Built Environment (EMBE), proposed by VILLAROUCO (2008), gave evidence of the need for interventions to suitably adapt physical infrastructure, with the objective of promoting the physical well-being of the elderly, and thus, enhancing the autonomy and independence of a wider range of users.

  9. Understanding the interactions between Social Capital, climate change, and community resilience in Gulf of Mexico coastal counties

    NASA Astrophysics Data System (ADS)

    Young, C.; Blomberg, B.; Kolker, A.; Nguyen, U.; Page, C. M.; Sherchan, S. P.; Tobias, V. D.; Wu, H.

    2017-12-01

    Coastal communities in the Gulf of Mexico are facing new and complex challenges as their physical environment is altered by climate warming and sea level rise. To effectively prepare for environmental changes, coastal communities must build resilience in both physical structures and social structures. One measure of social structure resilience is how much social capital a community possesses. Social capital is defined as the connections among individuals which result in networks with shared norms, values and understandings that facilitate cooperation within or among groups. Social capital exists in three levels; bonding, bridging and linking. Bonding social capital is a measure of the strength of relationships amongst members of a network who are similar in some form. Bridging social capital is a measure of relationships amongst people who are dissimilar in some way, such as age, education, or race/ethnicity. Finally Linking social capital measures the extent to which individuals build relationships with institutions and individuals who have relative power over them (e.g local government, educational institutions). Using census and American Community Survey data, we calculated a Social Capital index value for bonding, bridging and linking for 60 Gulf of Mexico coastal counties for the years 2000, and 2010 to 2015. To investigate the impact of social capital on community resilience we coupled social capital index values with physical datasets of land-use/land cover, sea level change, climate, elevation and surface water quality for each coastal county in each year. Preliminary results indicate that in Gulf of Mexico coastal counties, increased bonding social capital results in decreased population change. In addition, we observed a multi-year time lag in the effect of increased bridging social capital on population stability, potentially suggesting key linkages between the physical and social environment in this complex coupled-natural human system. This transdisciplinary study integrated physical and social open science data and provides a better understanding on how increased social capital improves resilience to changes in the physical environment. Thus, by investing in social capital, local governments may have a low cost and non-structural way of increasing community resilience.

  10. Humanity and Environment Co-influence in the Shadow of Technological Convergence

    NASA Astrophysics Data System (ADS)

    Ezdina, Natalya

    2017-11-01

    Today one of the most important issues is the search for controlled ways of sustainable development of civilization, society, and a human. Previously, the development of society was determined by natural and evolutionary factors based on the principle of natural selection of living organisms and populations. However, as social institutions are developing, the technological factors of development, determined by the ideas about this phenomenon - the special arrangement of productive forces and the need to protect or change the environment, began to appear. The end of the 20th century was marked by the realization of a new, universal form of economic and technological synthesis - convergence, which, in the process of developing science and improving technology, became so comprehensive and widespread that today it can be called the force that transforms the environment. In this regard, it is convergent technologies that become the focus and the basis for research of the processes uniting the main spheres of human activity - science, society and technology, which will lead to a new form of interaction with the environment, conditioned not only by scientific and technological changes and social factors, but also new organizational forms of their interaction.

  11. Coastal seas as resource for Blue Growth - SmartSea project

    NASA Astrophysics Data System (ADS)

    Kotilainen, Aarno; Alvi, Kimmo; Boman, Anton; Hämäläinen, Jyrki; Kaskela, Anu; Rantataro, Jyrki; Vallius, Henry; Virtasalo, Joonas

    2017-04-01

    Blue growth is a long term strategy of the European Union (EU) to enhance the sustainable growth of the maritime sector. Our surrounding seas have been drivers for the European economy for a long time, but still they have great potential for further exploiting of natural resources and economic growth. Especially if the growth can be achieved in an environmentally sustainable way, benefits are obvious. It has been estimated that improvement of the state of the Baltic Sea would until 2030 create 900 000 jobs in the whole Baltic Sea area, mainly in Blue Tech, tourism, real estate and building businesses (Dahlgren et al. 2015). However, coastal seas already experience multiple stressors like off-shore construction, pollution, eutrophication, shipping, over-fishing, and climate change. In order to obtain sustainable Blue Growth, it is necessary to localize and assess the current maritime activities, estimate their growth potential, and investigate their present and future effects on each other and on the marine environment. The purpose of the SmartSea project is to support the growth of commercial marine activities in the Gulf of Bothnia region, in the northern Baltic Sea. The Gulf of Bothnia is an essential resource in terms of fish farming and wind power, for example, and it is also possible to make use of the geological resources of the gulf. Moreover, the rapid growth of the commercial marine activities and the consequences of the climate change may lead to conflicts between the different activities and harm the marine ecosystem of the Gulf of Bothnia. The SmartSea project aims to identify these risks and find solutions for the sustainable use of the sea. SmartSea project is funded by the Strategic Research Council of Academy of Finland, grant No: 292 985. The project will last for six years (2015-2020) and its funding totals nearly 8 million euros. The project involves close to 40 researchers from eight different institutions: the Finnish Meteorological Institute (coordinator), the Finnish Environment Institute, Natural Resources Institute Finland, Geological Survey of Finland (GTK), VTT Technical Research Centre of Finland, the Universities of Helsinki and Turku, and the Swedish Meteorological and Hydrological Institute (SMHI).

  12. Strategic Planning and Management. Report of the Annual Management Institute for College and University Executives (10th, Snowmass, Colorado, July 21-26, 1985).

    ERIC Educational Resources Information Center

    Groff, Warren H.; Cope, Robert G.

    Basic and advanced workshops on strategic planning and management for college personnel were held in 1985. Strategic planning and management includes: (1) assessing an institution's external environment to determine opportunities/threats; (2) auditing an institution's internal environment to determine strengths/weaknesses; (3) using these two sets…

  13. Impact of Hazardous Materials on Man and the Environment: A Summer Institute with Academic Year Follow-up.

    ERIC Educational Resources Information Center

    Kjeldsen, Chris K.

    This report focuses on three 11-day summer institutes on "The Impact of Toxic and Hazardous Materials on Humans and the Environment" conducted for 90 secondary school science teachers over the course of three summers at Sonoma State University, California. These summer institutes were all followed up with in-service days during the…

  14. Urbanization and environmental change during the economic transition on the Mongolian Plateau: Hohhot and Ulaanbaatar.

    PubMed

    Fan, Peilei; Chen, Jiquan; John, Ranjeet

    2016-01-01

    Driven by drastic socioeconomic changes in China and Mongolia, urbanization has become one of the most significant driving forces in the transformation of the Mongolian Plateau in the past 30 years. Using Hohhot and Ulaanbaatar as case studies, we developed a holistic approach to examine the socioeconomic and natural driving forces for urbanization and to investigate the impact on the urban environment. We used a multidisciplinary approach and relied on a variety of data sources to assess the changes of the landscape and environment of the two cities. We detected a rapid urbanization in Hohhot and Ulaanbaatar, both in terms of urban population growth and urban land expansion, from 1990 to 2010, with a much faster speed in 2000-2010. The local geo-physical conditions have constrained the spatial direction of expansion. Ulaanbaatar lagged behind Hohhot for about a decade when measured by indicators of urban population and urban land. Both cities have a degraded urban environment and a growing air pollution epidemic. While Hohhot had worse air pollution than Ulaanbaatar in the early 2000s, the gap between the two cities became smaller after 2010. The research presented here highlights the following as key determinants for urbanization and environmental change: (1) the co-evolution of urbanization, economic development, and environmental change; (2) the urbanization of transitional economies driven by the change of the economic structure, i.e., the development by both manufacturing and tertiary sectors and the change in the primary sector; and (3) the recent institutional changes and increased integration with the global economy. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. RAVEN Quality Assurance Activities

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Cogliati, Joshua Joseph

    2015-09-01

    This report discusses the quality assurance activities needed to raise the Quality Level of Risk Analysis in a Virtual Environment (RAVEN) from Quality Level 3 to Quality Level 2. This report also describes the general RAVEN quality assurance activities. For improving the quality, reviews of code changes have been instituted, more parts of testing have been automated, and improved packaging has been created. For upgrading the quality level, requirements have been created and the workflow has been improved.

  16. Enabling the Commercial Space Transportation Industry at the Mid-Atlantic Regional Spaceport

    DTIC Science & Technology

    2011-09-01

    International Space Station xiv ITAR International Traffic in Arms Regulation LADEE Lunar Atmosphere & Dust Environment Explorer LEO Low Earth...Orbit LOC Loss of Crew LVM&SI Launch Vehicle Manufacturing and Services Industry MARS Mid-Atlantic Regional Spaceport MIST Mid-Atlantic Institute of...of its own space services. It is only recently that NASA has changed policy to focus on space travel beyond Low Earth Orbit ( LEO ). With the

  17. Facilitating Geoscience Education in Higher-Education Institutes Worldwide With GeoBrain -- An Online Learning and Research Environment for Classroom Innovations

    NASA Astrophysics Data System (ADS)

    Deng, M.; di, L.

    2006-12-01

    Higher education in geosciences has imminent goals to prepare students with modern geoscience knowledge and skills to meet the increased demand on trained professionals for working on the big challenges faced by geoscience disciplines, such as the global environmental change, world energy supplies, sustainable development, etc. In order to reach the goal, the geoscience education in post-secondary institutes worldwide has to attract and retain enough students and to train students with knowledge and skills needed by the society. The classroom innovations that can encourage and support student investigations and research activities are key motivation mechanisms that help to reach the goal. This presentation describes the use of GeoBrain, an innovative geospatial knowledge system, as a powerful educating tool for motivating and facilitating innovative undergraduate and graduate teaching and research in geosciences. Developed in a NASA funded project, the GeoBrain system has adopted and implemented the latest Web services and knowledge management technologies for providing innovative methods in publishing, accessing, visualizing, and analyzing geospatial data and in building/sharing geoscience knowledge. It provides a data-rich online learning and research environment enabled by wealthy data and information available at NASA Earth Observing System (EOS) Data and Information System (EOSDIS). Students, faculty members, and researchers from institutes worldwide can easily access, analyze, and model with the huge amount of NASA EOS data just like they possess such vast resources locally at their desktops. The online environment provided by GeoBrain has brought significant positive changes to geosciences education in higher-education institutes because of its new concepts and technologies, motivation mechanisms, free exploration resources, and advanced geo- processing capabilities. With the system, the used-to-be very challenging or even impossible teaching tasks has become much easier or practical. For an instance, dynamic classroom demonstration and training for students to deal with data-intensive global climate and environment change issues in real-world applications through the system has become a very pleasant experience instead of the struggling efforts in the past. With GeoBrain, each student can be easily trained to handle multi-terabytes of EOS and other geospatial data in simulation and modeling for solving global-scale problems catering his own interests with a simple Internet connected computer. Preliminary classroom use of GeoBrain in multiple universities has demonstrated that the system is very useful for facilitating the transition of both undergraduate and graduate students from learners to investigators. It has also shown the system can improve teaching effectiveness, refine student's learning habit, and inspire students' interests in pursuing geoscience as their career. As an on-going project, GeoBrain has not reached its maturity. Surely it will improve its functionalities and make great advances in the above areas continuously.

  18. Women's Trouble: Women, Gender, and the Learning Environment.

    ERIC Educational Resources Information Center

    Collard, Susan; Stalker, Joyce

    1991-01-01

    Defines "gender" and considers the social context of women and educational institutions. Explores politics, work, violence, and the ways in which gender relationships are experienced in the institutional environment, curricula, classroom conduct, and teacher-learner relationships. (SK)

  19. Pipelining in a changing competitive environment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Jones, E.G.; Wishart, D.M.

    1996-12-31

    The changing competitive environment for the pipeline industry presents a broad spectrum of new challenges and opportunities: international cooperation; globalization of opportunities, organizations and competition; and integrated systems approach to system configuration, financing, contracting strategy, materials sourcing, and operations; cutting edge and emerging technologies; adherence to high standards of environmental protection; an emphasis on safety; innovative approaches to project financing; and advances in technology and programs to maintain the long term, cost effective integrity of operating pipeline systems. These challenges and opportunities are partially a result of the increasingly competitive nature of pipeline development and the public`s intolerance to incidentsmore » of pipeline failure. A creative systems approach to these challenges is often the key to the project moving ahead. This usually encompasses collaboration among users of the pipeline, pipeline owners and operators, international engineering and construction companies, equipment and materials suppliers, in-country engineers and constructors, international lending agencies and financial institutions.« less

  20. The DREEM, part 1: measurement of the educational environment in an osteopathy teaching program.

    PubMed

    Vaughan, Brett; Carter, Annie; Macfarlane, Chris; Morrison, Tracy

    2014-05-20

    Measurement of the educational environment has become more common in health professional education programs. Information gained from these investigations can be used to implement and measure changes to the curricula, educational delivery and the physical environment. A number of questionnaires exist to measure the educational environment, and the most commonly utilised of these is the Dundee Ready Educational Environment Measure (DREEM). The DREEM was administered to students in all year levels of the osteopathy program at Victoria University (VU), Melbourne, Australia. Students also completed a demographic survey. Inferential and correlational statistics were employed to investigate the educational environment based on the scores obtained from the DREEM. A response rate of 90% was achieved. The mean total DREEM score was 135.37 (+/- 19.33) with the scores ranging from 72 to 179. Some subscales and items demonstrated differences for gender, clinical phase, age and whether the student was in receipt of a government allowance. There are a number of areas in the program that are performing well, and some aspects that could be improved. Overall students rated the VU osteopathy program as more positive than negative. The information obtained in the present study has identified areas for improvement and will enable the program leaders to facilitate changes. It will also provide other educational institutions with data on which they can make comparisons with their own programs.

  1. Developing the leadership skills of new graduates to influence practice environments: a novice nurse leadership program.

    PubMed

    Dyess, Susan; Sherman, Rose

    2011-01-01

    The authors of the recently published Institute of Medicine on the Future of Nursing report emphasized the importance of preparing nurses to lead change to advance health care in the United States. Other scholars linked practice environments to safe quality care. In order for nurses to fully actualize this role in practice environments, they need to possess leadership skills sets that identify and respond to challenges faced. New nurses are no exception. This article presents a program with a 5-year track record that is designed to support transition and enhance the skill sets of leadership for new nurses in their first year of practice. Qualitative and quantitative evaluation measurements at baseline and postprogram provided data for evaluation of the first 4 cohorts in the program. Evaluative outcomes presented indicate that new nurses gained leadership and translational research skills that contributed to their ability to influence practice environments. Nonetheless, practice environments continue to need improvement and ongoing leadership from all levels of nursing must be upheld.

  2. Adapting to Climate Change in the Great Lakes Region: The Wisconsin Initiative on Climate Change Impacts

    NASA Astrophysics Data System (ADS)

    Vimont, D.; Liebl, D.

    2012-12-01

    The mission of the Wisconsin Initiative on Climate Change Impacts (WICCI; http://www.wicci.wisc.edu) is to assess the impacts of climate change on Wisconsin's natural, human, and built environments; and to assist in developing, recommending, and implementing climate adaptation strategies in Wisconsin. WICCI originated in 2007 as a partnership between the University of Wisconsin Nelson Institute and the Wisconsin Department of Natural Resources, and has since grown to include numerous other state, public, and private institutions. In 2011, WICCI released its First Assessment Report, which documents the efforts of over 200 individuals around the state in assessing vulnerability and estimating the risk that regional climate change poses to Wisconsin. The success of WICCI as an organization can be traced to its existence as a partnership between academic and state institutions, and as a boundary organization that catalyzes cross-disciplinary efforts between science and policy. WICCI's organizational structure and its past success at assessing climate impacts in Wisconsin will be briefly discussed. As WICCI moves into its second phase, it is increasing its emphasis on the second part of its mission: development, and implementation of adaptation strategies. Towards these goals WICCI has expanded its organizational structure to include a Communications and Outreach Committee that further ensures a necessary two-way communication of information between stakeholders / decision makers, and scientific efforts. WICCI is also increasing its focus on place-based efforts that include climate change information as one part of an integrated effort at sustainable development. The talk will include a discussion of current outreach and education efforts, as well as future directions for WICCI efforts.

  3. Case three. Developing a strategic plan through the use of task forces.

    PubMed

    DeMarco, F J

    1990-01-01

    Although Carolina Community found itself continuing to grow and expand at a time when most facilities in the area were suffering from census declines, it was obvious that continuation of such growth would require more sophisticated strategic planning. At the time of the study, Carolina Community was growing in all areas. Inpatient census as well as outpatient utilization were taxing the resources of the organization. The strategic location of the facility and the support of a committed medical staff provided the institution with a competitive advantage over the other area facilities in the past. In the span of three months, two major competing institutions made strategically significant organizational changes. Both institutions hired new administrators known for their aggressiveness and organizational abilities. It became obvious very quickly that the playing field would soon be changing. No longer would Carolina Community's administration be able to move aggressively to protect and expand its markets without fear of competition. Carolina Community is a hospital with a long-standing tradition of formal strategic planning forced by a rapid "heating up" of the environment to respond much more quickly than it has had to in the past and much more quickly than it is currently able. The case report describes a change in strategy formulation process which was designed to speed up response time and to modify the organization along Ansoff's eight characteristics to a more environmentally appropriate configuration.

  4. Prediction of Student Performance in Academic and Military Learning Environment: Use of Multiple Linear Regression Predictive Model and Hypothesis Testing

    ERIC Educational Resources Information Center

    Khan, Wasi Z.; Al Zubaidy, Sarim

    2017-01-01

    The variance in students' academic performance in a civilian institute and in a military technological institute could be linked to the environment of the competition available to the students. The magnitude of talent, domain of skills and volume of efforts students put are identical in both type of institutes. The significant factor is the…

  5. Lawrence Berkeley Laboratory Institutional Plan, FY 1993--1998

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1992-10-01

    The FY 1993--1998 Institutional Plan provides an overview of the Lawrence Berkeley Laboratory mission, strategic plan, scientific initiatives, research programs, environment and safety program plans, educational and technology transfer efforts, human resources, and facilities needs. The Strategic Plan section identifies long-range conditions that can influence the Laboratory, potential research trends, and several management implications. The Initiatives section identifies potential new research programs that represent major long-term opportunities for the Laboratory and the resources required for their implementation. The Scientific and Technical Programs section summarizes current programs and potential changes in research program activity. The Environment, Safety, and Health section describesmore » the management systems and programs underway at the Laboratory to protect the environment, the public, and the employees. The Technology Transfer and Education programs section describes current and planned programs to enhance the nation's scientific literacy and human infrastructure and to improve economic competitiveness. The Human Resources section identifies LBL staff composition and development programs. The section on Site and Facilities discusses resources required to sustain and improve the physical plant and its equipment. The Resource Projections are estimates of required budgetary authority for the Laboratory's ongoing research programs. The plan is an institutional management report for integration with the Department of Energy's strategic planning activities that is developed through an annual planning process. The plan identifies technical and administrative directions in the context of the National Energy Strategy and the Department of Energy's program planning initiatives. Preparation of the plan is coordinated by the Office for Planning and Development from information contributed by the Laboratory's scientific and support divisions.« less

  6. Assessing the professional development needs of experienced nurse executive leaders.

    PubMed

    Leach, Linda Searle; McFarland, Patricia

    2014-01-01

    The objective of this study was to identify the professional development topics that senior nurse leaders believe are important to their advancement and success. Senior/experienced nurse leaders at the executive level are able to influence the work environment of nurses and institutional and health policy. Their development needs are likely to reflect this and other contemporary healthcare issues and may be different from middle and frontline managers. A systematic way of assessing professional development needs for these nurse leaders is needed. A descriptive study using an online survey was distributed to a convenience sample of nurse leaders who were members of the Association of California Nurse Leaders (ACNL) or have participated in an ACNL program. Visionary leadership, leading complexity, and effective teams were the highest ranked leadership topics. Leading change, advancing health: The future of nursing, healthy work environments, and healthcare reform were also highly ranked topics. Executive-level nurse leaders are important to nurse retention, effective work environments, and leading change. Regular assessment and attention to the distinct professional development needs of executive-level nurse leaders are a valuable human capital investment.

  7. Preparing Academic Medical Centers for the Clinical Learning Environment Review: Alliance of Independent Academic Medical Centers National Initiative IV Outcomes and Evaluation

    PubMed Central

    Wehbe-Janek, Hania; Markova, Tsveti; Polis, Rachael L.; Peters, Marguerite; Liu, Yang

    2016-01-01

    Background: Driven by changes to improve quality in patient care and population health while reducing costs, evolvement of the health system calls for restructuring health professionals' education and aligning it with the healthcare delivery system. In response to these changes, the Accreditation Council for Graduate Medical Education's Clinical Learning Environment Review (CLER) encourages the integration of health system leadership, faculty, and residents in restructuring graduate medical education (GME). Innovative approaches to achieving this restructuring and the CLER objectives are essential. Methods: The Alliance of Independent Academic Medical Centers National Initiative (NI) IV provided a multiinstitutional learning collaborative focused on supporting GME redesign. From October 2013 through March 2015, participants conducted relevant projects, attended onsite meetings, and participated in teleconferences and webinars addressing the CLER areas. Participants shared best practices, resources, and experiences. We designed a pre/post descriptive study to examine outcomes. Results: Thirty-three institutions completed NI IV, and at its conclusion, the majority reported greater CLER readiness compared with baseline. Twenty-two (88.0%) institutions reported that NI IV had a great impact on advancing their efforts in the CLER area of their project focus, and 15 (62.5%) reported a great impact in other CLER focus areas. Opportunities to share progress with other teams and the national group meetings were reported to contribute to teams' success. Conclusion: The NI IV learning collaborative prepared institutions for CLER, suggesting successful integration of the clinical and educational enterprises. We propose that national learning collaboratives of GME-sponsoring health systems enable advancement of their education mission, leading ultimately to better healthcare outcomes. This learning model may be generalizable to newfound programs for academic medical centers. PMID:27303228

  8. Pacific Northwest Laboratory annual report for 1992 to the DOE Office of Energy Research

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Grove, L.K.

    1993-03-01

    The 1992 Annual Report from Pacific Northwest Laboratory (PNL) to the US Department of Energy (DOE) describes research in environment and health conducted during fiscal year 1992. This report consists of four volumes oriented to particular segments of the PNL program, describing research performed for the DOE Office of Health and Environmental Research in the Office of Energy Research. The parts of the 1992 Annual Report are: Biomedical Sciences; Environmental Sciences; Atmospheric Sciences; and Physical Sciences. This Report is Part II: Environmental Sciences. Included in this report are developments in Subsurface Science, Terrestrial Science, Laboratory-Directed Research and Development, Interactions withmore » Educational Institutions, Technology Transfer, Publications, and Presentations. The research is directed toward developing a fundamental understanding of subsurface and terrestrial systems as a basis for both managing these critical resources and addressing environmental problems such as environmental restoration and global change. The Technology Transfer section of this report describes a number of examples in which fundamental research is laying the groundwork for the technology needed to resolve important environmental problems. The Interactions with Educational Institutions section of the report illustrates the results of a long-term, proactive program to make PNL facilities available for university and preuniversity education and to involve educational institutions in research programs. The areas under investigation include the effect of geochemical and physical phenomena on the diversity and function of microorganisms in deep subsurface environments, ways to address subsurface heterogeneity, and ways to determine the key biochemical and physiological pathways (and DNA markers) that control nutrient, water, and energy dynamics in arid ecosystems and the response of these systems to disturbance and climatic change.« less

  9. Pacific Northwest Laboratory annual report for 1992 to the DOE Office of Energy Research. Part 2, Environmental sciences

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Grove, L.K.; Wildung, R.E.

    1993-03-01

    The 1992 Annual Report from Pacific Northwest Laboratory (PNL) to the US Department of Energy (DOE) describes research in environment and health conducted during fiscal year 1992. This report consists of four volumes oriented to particular segments of the PNL program, describing research performed for the DOE Office of Health and Environmental Research in the Office of Energy Research. The parts of the 1992 Annual Report are: Biomedical Sciences; Environmental Sciences; Atmospheric Sciences; and Physical Sciences. This Report is Part 2: Environmental Sciences. Included in this report are developments in Subsurface Science, Terrestrial Science, Laboratory-Directed Research and Development, Interactions withmore » Educational Institutions, Technology Transfer, Publications, and Presentations. The research is directed toward developing a fundamental understanding of subsurface and terrestrial systems as a basis for both managing these critical resources and addressing environmental problems such as environmental restoration and global change. The Technology Transfer section of this report describes a number of examples in which fundamental research is laying the groundwork for the technology needed to resolve important environmental problems. The Interactions with Educational Institutions section of the report illustrates the results of a long-term, proactive program to make PNL facilities available for university and preuniversity education and to involve educational institutions in research programs. The areas under investigation include the effect of geochemical and physical phenomena on the diversity and function of microorganisms in deep subsurface environments, ways to address subsurface heterogeneity, and ways to determine the key biochemical and physiological pathways (and DNA markers) that control nutrient, water, and energy dynamics in arid ecosystems and the response of these systems to disturbance and climatic change.« less

  10. Setting standards and monitoring quality in the NHS 1999-2013: a classic case of goal conflict.

    PubMed

    Littlejohns, Peter; Knight, Alec; Littlejohns, Anna; Poole, Tara-Lynn; Kieslich, Katharina

    2017-04-01

    2013 saw the National Health Service (NHS) in England severely criticized for providing poor quality despite successive governments in the previous 15 years, establishing a range of new institutions to improve NHS quality. This study seeks to understand the contributions of political and organizational influences in enabling the NHS to deliver high-quality care through exploring the experiences of two of the major new organizations established to set standards and monitor NHS quality. We used a mixed method approach: first a cross-sectional, in-depth qualitative interview study and then the application of principal agent modeling (Waterman and Meier broader framework). Ten themes were identified as influencing the functioning of the NHS regulatory institutions: socio-political environment; governance and accountability; external relationships; clarity of purpose; organizational reputation; leadership and management; organizational stability; resources; organizational methods; and organizational performance. The organizations could be easily mapped onto the framework, and their transience between the different states could be monitored. We concluded that differing policy objectives for NHS quality monitoring resulted in central involvement and organizational change. This had a disruptive effect on the ability of the NHS to monitor quality. Constant professional leadership, both clinical and managerial, and basing decisions on best evidence, both technical and organizational, helped one institution to deliver on its remit, even within a changing political/policy environment. Application of the Waterman-Meier framework enabled an understanding and description of the dynamic relationship between central government and organizations in the NHS and may predict when tensions will arise in the future. © 2016 The Authors. The International Journal of Health Planning and Management Published by John Wiley & Sons Ltd. © 2016 The Authors. The International Journal of Health Planning and Management Published by John Wiley & Sons Ltd.

  11. Setting standards and monitoring quality in the NHS 1999–2013: a classic case of goal conflict

    PubMed Central

    Knight, Alec; Littlejohns, Anna; Poole, Tara‐Lynn; Kieslich, Katharina

    2016-01-01

    Abstract 2013 saw the National Health Service (NHS) in England severely criticized for providing poor quality despite successive governments in the previous 15 years, establishing a range of new institutions to improve NHS quality. This study seeks to understand the contributions of political and organizational influences in enabling the NHS to deliver high‐quality care through exploring the experiences of two of the major new organizations established to set standards and monitor NHS quality. We used a mixed method approach: first a cross‐sectional, in‐depth qualitative interview study and then the application of principal agent modeling (Waterman and Meier broader framework). Ten themes were identified as influencing the functioning of the NHS regulatory institutions: socio‐political environment; governance and accountability; external relationships; clarity of purpose; organizational reputation; leadership and management; organizational stability; resources; organizational methods; and organizational performance. The organizations could be easily mapped onto the framework, and their transience between the different states could be monitored. We concluded that differing policy objectives for NHS quality monitoring resulted in central involvement and organizational change. This had a disruptive effect on the ability of the NHS to monitor quality. Constant professional leadership, both clinical and managerial, and basing decisions on best evidence, both technical and organizational, helped one institution to deliver on its remit, even within a changing political/policy environment. Application of the Waterman–Meier framework enabled an understanding and description of the dynamic relationship between central government and organizations in the NHS and may predict when tensions will arise in the future. © 2016 The Authors. The International Journal of Health Planning and Management Published by John Wiley & Sons Ltd. PMID:27435020

  12. Instructional Features for Training in Virtual Environments

    DTIC Science & Technology

    2006-07-01

    Technical Report 1184 Instructional Features for Training in Virtual Environments Michael J. Singer U. S. Army Research Institute Jason P. Kring...Report 1184 Instructional Features for Training in Virtual Environments Michael J. Singer U. S. Army Research Institute Jason P. Kring University of...provides in comparison to traditional, real world experience training programs (Hays & Singer , 1989; Swezey & Andrews, 2001). First, as with the

  13. Research Results of Two Personal Learning Environments Experiments in a Higher Education Institution

    ERIC Educational Resources Information Center

    Marín Juarros, Victoria; Salinas Ibáñez, Jesús; de Benito Crosetti, Bárbara

    2014-01-01

    This paper focuses on institutionally powered personal learning environments (iPLEs). The concept of the iPLE can be seen as a way universities can incorporate learner-centred approach into the architecture of their technology-enhanced learning environments. The aim of this paper is to pose that there are other ways to learn complementary to…

  14. Population growth and a sustainable environment. The Machakos story.

    PubMed

    Mortimore, M; Tiffen, M

    1994-10-01

    The view is taken that population density in the Machakos District (boundaries prior to 1992) of Kenya influenced both environmental conservation and productivity through adaptation of new technologies. Changes in resource management in Machakos District are identified as a shift to cash crop production, experimentation with staple food options, faster tillage, use of fertilizers for enhancing soil fertility, and livestock and tree cultivation. These agricultural changes occurred due to subdivision of landholdings among sons, private appropriation of scarce grazing land, and land scarcity. Intensive practices such as intensive livestock feeding systems and the permanent manuring of fields increased the efficiency of nutrient cycling through plants, animals, and soils. The Akamba custom gave land rights to those who tilled the soil first. Formal land registration occurred after 1968 and favored owners and investors. Small farm investment was made possible through work off-farm and remittances. The value of output per square kilometer at constant prices increased during 1930-87. Cultivated land area also increased during this period, but mostly on poorer quality land. Agricultural changes were enhanced by social and institutional factors such as small family units and greater partnerships between husband and wife. Families pooled resources through collectives. Women played leadership roles. Competing interest groups and organizations have evolved and enabled people to articulate their needs and obtain access to resources at all levels. These institutions increased in strength over time and with increased density. The cost of service provision decreased with greater population numbers. Development of roads and schools facilitated formal education. Population density, market growth, and a generally supportive economic environment are viewed as the factors responsible for changes in Machakos District. Technological change is viewed as an endogenous process of adaptation to new technologies. Changes in Machakos District are viewed as driven by a combination of exogenous and endogenous practices and local initiative.

  15. Developing and Implementing Health and Sustainability Guidelines for Institutional Food Service123

    PubMed Central

    Kimmons, Joel; Jones, Sonya; McPeak, Holly H.; Bowden, Brian

    2012-01-01

    Health and sustainability guidelines for institutional food service are directed at improving dietary intake and increasing the ecological benefits of the food system. The development and implementation of institutional food service guidelines, such as the Health and Human Services (HHS) and General Services Administration (GSA) Health and Sustainability Guidelines for Federal Concessions and Vending Operations (HHS/GSA Guidelines), have the potential to improve the health and sustainability of the food system. Institutional guidelines assist staff, managers, and vendors in aligning the food environment at food service venues with healthier and more sustainable choices and practices. Guideline specifics and their effective implementation depend on the size, culture, nature, and management structure of an institution and the individuals affected. They may be applied anywhere food is sold, served, or consumed. Changing institutional food service practice requires comprehensive analysis, engagement, and education of all relevant stakeholders including institutional management, members of the food supply chain, and customers. Current examples of food service guidelines presented here are the HHS and GSA Health and Sustainability Guidelines for Federal Concessions and Vending Operations, which translate evidence-based recommendations on health and sustainability into institutional food service practices and are currently being implemented at the federal level. Developing and implementing guidelines has the potential to improve long-term population health outcomes while simultaneously benefitting the food system. Nutritionists, public health practitioners, and researchers should consider working with institutions to develop, implement, and evaluate food service guidelines for health and sustainability. PMID:22585909

  16. Developing and implementing health and sustainability guidelines for institutional food service.

    PubMed

    Kimmons, Joel; Jones, Sonya; McPeak, Holly H; Bowden, Brian

    2012-05-01

    Health and sustainability guidelines for institutional food service are directed at improving dietary intake and increasing the ecological benefits of the food system. The development and implementation of institutional food service guidelines, such as the Health and Human Services (HHS) and General Services Administration (GSA) Health and Sustainability Guidelines for Federal Concessions and Vending Operations (HHS/GSA Guidelines), have the potential to improve the health and sustainability of the food system. Institutional guidelines assist staff, managers, and vendors in aligning the food environment at food service venues with healthier and more sustainable choices and practices. Guideline specifics and their effective implementation depend on the size, culture, nature, and management structure of an institution and the individuals affected. They may be applied anywhere food is sold, served, or consumed. Changing institutional food service practice requires comprehensive analysis, engagement, and education of all relevant stakeholders including institutional management, members of the food supply chain, and customers. Current examples of food service guidelines presented here are the HHS and GSA Health and Sustainability Guidelines for Federal Concessions and Vending Operations, which translate evidence-based recommendations on health and sustainability into institutional food service practices and are currently being implemented at the federal level. Developing and implementing guidelines has the potential to improve long-term population health outcomes while simultaneously benefitting the food system. Nutritionists, public health practitioners, and researchers should consider working with institutions to develop, implement, and evaluate food service guidelines for health and sustainability.

  17. Metastable coexistence of multiple genotypes in a constant environment with a single resource through fixed settings of a multiplication-survival trade-off.

    PubMed

    Maharjan, Ram; Ferenci, Thomas

    2016-04-01

    The biological complexity of trade-offs has been a major obstacle in understanding bacterial diversity and coexistence. Here we reduce the biological complexity by using isogenic Escherichia coli strains differing only in a multiplication-survival trade-off regulated by RpoS. The contribution of trade-off characteristics to fitness in different environments was determined. We then designed an environment with intermediate-stress levels that elicits an equivalent fitness. We found metastable coexistence of three strains in steady-state chemostats until mutations changed the relative fitness of competing strains. Our results help explain the rich intra- and inter-species diversity of bacteria through alternative settings of relatively few trade-offs. Copyright © 2015 Institut Pasteur. Published by Elsevier Masson SAS. All rights reserved.

  18. Views of professionalism: a veterinary institutional perspective.

    PubMed

    Roder, C; Whittlestone, K; May, S A

    2012-12-08

    In many western countries, there has been a marked change in the demographic profile of those entering the veterinary profession, with a shift from a predominantly male to a predominantly female intake. There have been parallel changes in society, with greater emphasis on human rights and work-life balance. It is, therefore, timely to consider what constitutes correct professional conduct for the profession, as there is the potential for problems to arise over the interpretation of 'professionalism' due to cultural and generational differences. A cross-section of staff and students within one veterinary institution were invited to take part in a survey exploring their prioritisation of 10 aspects of the professional role. A cluster analysis was performed, and four distinctly different profiles were established according to the views held by the cluster members. Cluster membership was found to significantly correlate to career stage, with altruism and social justice progressively giving way to professional autonomy and dominance. All four clusters in this educational environment prioritised technical and interpersonal competences above all other aspects of the professional role.

  19. Fertility Decline in Rural China: A Comparative Analysis

    PubMed Central

    Harrell, Stevan; Yuesheng, Wang; Hua, Han; Santos, Gonçalo D.; Yingying, Zhou

    2014-01-01

    Many models have been proposed to explain both the rapidity of China’s fertility decline after the 1960s and the differential timing of the decline in different places. In particular, scholars argue over whether deliberate policies of fertility control, institutional changes, or general modernization factors contribute most to changes in fertility behavior. Here the authors adopt an ethnographically grounded behavioral–institutional approach to analyze qualitative and quantitative data from three different rural settings: Xiaoshan County in Zhejiang (East China), Ci County in Hebei (North China), and Yingde County in Guangdong (South China). The authors show that no one set of factors explains the differential timing and rapidity of the fertility decline in the three areas; rather they must explain differential timing by a combination of differences in social–cultural environments (e.g., spread of education, reproductive ideologies, and gender relations) and politico-economic conditions (e.g., economic development, birth planning campaigns, and collective systems of labor organization) during the early phases of the fertility decline. PMID:21319442

  20. [The place of the parents in an infant care home].

    PubMed

    Bonnefoy, Christine; Dreina, Jeannine

    In the infant unit of Chambéry children's home, the organisation of parental visits is the fruit of an institutional project. Practices have changed over the years. The reflection and the responsiveness of the professionals and their desire to create a secure environment for the children and the parents, have enabled them to establish a setting which favours the preservation of the parent-child bond. Copyright © 2017. Published by Elsevier Masson SAS.

  1. Implementing a Nurse Manager Profile to Improve Unit Performance.

    PubMed

    Krugman, Mary E; Sanders, Carolyn L

    2016-06-01

    Nurse managers face significant pressures in the rapidly changing healthcare environment. Staying current with multiple sources of data, including reports that detail institutional and unit performance outcomes, is particularly challenging. A Nurse Manager Customized Profile was developed at a western academic hospital to provide a 1-page visual of pertinent data to help managers and director supervisors focus coaching to improve unit performance. Use of the Decisional Involvement Scale provided new insights into measuring manager performance.

  2. 40 CFR 26.1112 - Review by institution.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Review by institution. 26.1112 Section 26.1112 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROTECTION OF HUMAN SUBJECTS Basic Ethical Requirements for Third-Party Human Research for Pesticides Involving Intentional...

  3. 40 CFR 26.1112 - Review by institution.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Review by institution. 26.1112 Section 26.1112 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROTECTION OF HUMAN SUBJECTS Basic Ethical Requirements for Third-Party Human Research for Pesticides Involving Intentional...

  4. 40 CFR 26.1112 - Review by institution.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Review by institution. 26.1112 Section 26.1112 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROTECTION OF HUMAN SUBJECTS Basic Ethical Requirements for Third-Party Human Research for Pesticides Involving Intentional...

  5. 40 CFR 26.1112 - Review by institution.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Review by institution. 26.1112 Section 26.1112 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROTECTION OF HUMAN SUBJECTS Basic Ethical Requirements for Third-Party Human Research for Pesticides Involving Intentional...

  6. 40 CFR 26.1112 - Review by institution.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Review by institution. 26.1112 Section 26.1112 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL PROTECTION OF HUMAN SUBJECTS Basic Ethical Requirements for Third-Party Human Research for Pesticides Involving Intentional...

  7. Women with Multiple Sclerosis and Employment Issues: A Focus on Social and Institutional Environment.

    ERIC Educational Resources Information Center

    Dyck, Isabel; Jongbloed, Lyn

    2000-01-01

    Examines employment issues for women with multiple sclerosis. Focuses on experiences of women managing their disability and demonstrates the importance of the social and institutional dimensions of environment in shaping occupational performance. (Contains 27 references.) (JOW)

  8. Use of E-Books in an Academic and Research Environment: A Case Study from the Indian Institute of Science

    ERIC Educational Resources Information Center

    Anuradha, K. T.; Usha, H. S.

    2006-01-01

    Purpose: The purpose of this study is to investigate the use and usability of e-books from the perspectives of users in an academic and research environment. Design/methodology/approach: This study involved an e-mail questionnaire to survey researchers in the academic and research environment of the Indian Institute of Science regarding their use…

  9. Quality improvement utilizing in-situ simulation for a dual-hospital pediatric code response team.

    PubMed

    Yager, Phoebe; Collins, Corey; Blais, Carlene; O'Connor, Kathy; Donovan, Patricia; Martinez, Maureen; Cummings, Brian; Hartnick, Christopher; Noviski, Natan

    2016-09-01

    Given the rarity of in-hospital pediatric emergency events, identification of gaps and inefficiencies in the code response can be difficult. In-situ, simulation-based medical education programs can identify unrecognized systems-based challenges. We hypothesized that developing an in-situ, simulation-based pediatric emergency response program would identify latent inefficiencies in a complex, dual-hospital pediatric code response system and allow rapid intervention testing to improve performance before implementation at an institutional level. Pediatric leadership from two hospitals with a shared pediatric code response team employed the Institute for Healthcare Improvement's (IHI) Breakthrough Model for Collaborative Improvement to design a program consisting of Plan-Do-Study-Act cycles occurring in a simulated environment. The objectives of the program were to 1) identify inefficiencies in our pediatric code response; 2) correlate to current workflow; 3) employ an iterative process to test quality improvement interventions in a safe environment; and 4) measure performance before actual implementation at the institutional level. Twelve dual-hospital, in-situ, simulated, pediatric emergencies occurred over one year. The initial simulated event allowed identification of inefficiencies including delayed provider response, delayed initiation of cardiopulmonary resuscitation (CPR), and delayed vascular access. These gaps were linked to process issues including unreliable code pager activation, slow elevator response, and lack of responder familiarity with layout and contents of code cart. From first to last simulation with multiple simulated process improvements, code response time for secondary providers coming from the second hospital decreased from 29 to 7 min, time to CPR initiation decreased from 90 to 15 s, and vascular access obtainment decreased from 15 to 3 min. Some of these simulated process improvements were adopted into the institutional response while others continue to be trended over time for evidence that observed changes represent a true new state of control. Utilizing the IHI's Breakthrough Model, we developed a simulation-based program to 1) successfully identify gaps and inefficiencies in a complex, dual-hospital, pediatric code response system and 2) provide an environment in which to safely test quality improvement interventions before institutional dissemination. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. Learning Environment, Preparedness and Satisfaction in Osteopathy in Europe: The PreSS Study

    PubMed Central

    Luciani, Emanuele; van Dun, Patrick L. S.; Esteves, Jorge Eduardo; Lunghi, Christian; Petracca, Marco; Papa, Liria; Merdy, Olivier; Jäkel, Anne; Cerritelli, Francesco

    2015-01-01

    Objective 1) to assess the preparedness to practice and satisfaction in learning environment amongst new graduates from European osteopathic institutions; 2) to compare the results of preparedness to practice and satisfaction in learning environment between and within countries where osteopathy is regulated and where regulation is still to be achieved; 3) to identify possible correlations between learning environment and preparedness to practice. Method Osteopathic education providers of full-time education located in Europe were enrolled, and their final year students were contacted to complete a survey. Measures used were: Dundee Ready Educational Environment Measure (DREEM), the Association of American Medical Colleges (AAMC) and a demographic questionnaire. Scores were compared across institutions using one-way ANOVA and generalised linear model. Results Nine European osteopathic education institutions participated in the study (4 located in Italy, 2 in the UK, 1 in France, 1 in Belgium and 1 in the Netherlands) and 243 (77%) of their final-year students completed the survey. The DREEM total score mean was 121.4 (SEM: 1.66) whilst the AAMC was 17.58 (SEM:0.35). A generalised linear model found a significant association between not-regulated countries and total score as well as subscales DREEM scores (p<0.001). Learning environment and preparedness to practice were significantly positively correlated (r=0.76; p<0.01). Discussion A perceived higher level of preparedness and satisfaction was found amongst students from osteopathic institutions located in countries without regulation compared to those located in countries where osteopathy is regulated; however, all institutions obtained a ‘more positive than negative’ result. Moreover, in general, cohorts with fewer than 20 students scored significantly higher compared to larger student cohorts. Finally, an overall positive correlation between students’ preparedness and satisfaction were found across all institutions recruited. PMID:26103514

  11. Learning Environment, Preparedness and Satisfaction in Osteopathy in Europe: The PreSS Study.

    PubMed

    Luciani, Emanuele; van Dun, Patrick L S; Esteves, Jorge Eduardo; Lunghi, Christian; Petracca, Marco; Papa, Liria; Merdy, Olivier; Jäkel, Anne; Cerritelli, Francesco

    2015-01-01

    1) to assess the preparedness to practice and satisfaction in learning environment amongst new graduates from European osteopathic institutions; 2) to compare the results of preparedness to practice and satisfaction in learning environment between and within countries where osteopathy is regulated and where regulation is still to be achieved; 3) to identify possible correlations between learning environment and preparedness to practice. Osteopathic education providers of full-time education located in Europe were enrolled, and their final year students were contacted to complete a survey. Measures used were: Dundee Ready Educational Environment Measure (DREEM), the Association of American Medical Colleges (AAMC) and a demographic questionnaire. Scores were compared across institutions using one-way ANOVA and generalised linear model. Nine European osteopathic education institutions participated in the study (4 located in Italy, 2 in the UK, 1 in France, 1 in Belgium and 1 in the Netherlands) and 243 (77%) of their final-year students completed the survey. The DREEM total score mean was 121.4 (SEM: 1.66) whilst the AAMC was 17.58 (SEM:0.35). A generalised linear model found a significant association between not-regulated countries and total score as well as subscales DREEM scores (p<0.001). Learning environment and preparedness to practice were significantly positively correlated (r=0.76; p<0.01). A perceived higher level of preparedness and satisfaction was found amongst students from osteopathic institutions located in countries without regulation compared to those located in countries where osteopathy is regulated; however, all institutions obtained a 'more positive than negative' result. Moreover, in general, cohorts with fewer than 20 students scored significantly higher compared to larger student cohorts. Finally, an overall positive correlation between students' preparedness and satisfaction were found across all institutions recruited.

  12. The supportive process for ending intimate partner violence after pregnancy: the experience of Nicaraguan women.

    PubMed

    Salazar, Mariano; Högberg, Ulf; Valladares, Eliette; Ohman, Ann

    2012-11-01

    This grounded theory study found that Nicaraguan mothers exposed to intimate partner violence (IPV) during pregnancy eventually acted to protect their children and themselves. They experienced ending abuse as an empowerment process characterized by a cognitive change in women's attitudes toward partner abuse and the emergence of help-seeking strategies that lead to ending violence with or without ending the relationship. This process was facilitated by a supportive environment that challenged abusive behaviors as well as being asked about abuse during their last pregnancy. Although environmental changes can facilitate ending abuse, Nicaragua's public institutions must be strengthened to reach women in need.

  13. Reducing greenhouse gas emissions and improving air quality: Two global challenges.

    PubMed

    Erickson, Larry E

    2017-07-01

    There are many good reasons to promote sustainable development and reduce greenhouse gas emissions and other combustion emissions. The air quality in many urban environments is causing many premature deaths because of asthma, cardiovascular disease, chronic obstructive pulmonary disease, lung cancer, and dementia associated with combustion emissions. The global social cost of air pollution is at least $3 trillion/year; particulates, nitrogen oxides and ozone associated with combustion emissions are very costly pollutants. Better air quality in urban environments is one of the reasons for countries to work together to reduce greenhouse gas emissions through the Paris Agreement on Climate Change. There are many potential benefits associated with limiting climate change. In the recent past, the concentrations of greenhouse gases in the atmosphere have been increasing and the number of weather and climate disasters with costs over $1 billion has been increasing. The average global temperature set new record highs in 2014, 2015, and 2016. To reduce greenhouse gas emissions, the transition to electric vehicles and electricity generation using renewable energy must take place in accord with the goals of the Paris Agreement on Climate Change. This work reviews progress and identifies some of the health benefits associated with reducing combustion emissions. © 2017 American Institute of Chemical Engineers Environ Prog, 36: 982-988, 2017.

  14. Marketing implications of the shift in power of the hospital.

    PubMed

    Rayburn, J M; Rayburn, L G

    1995-01-01

    With the introduction of the Prospective Payment System, hospital accountants' role changed from reimbursement maximizers to an important role in decision making. Faced with increased competition, hospitals are installing financial controls. Hospital marketers are also engaging in external promotional and health awareness campaigns and expanding their services to stabilize income and reduce the effects of a changing environment. Thus, hospitals operate in a more competitive environment with increasing uncertainty. When faced with uncertainty, organizations often believe that they must convince society that their existence is legitimate. Increasing specialization and organizational complexity in health care professions have made the expert important. Experts, such as the role assumed by hospital accountants and physicians, maintain power because the organization depends on them for their special skills and information. Marketing should also develop an internal marketing program to reach these power influencers. Scarce resource coupled with uncertainty move hospital accountants as experts into the power equation in the changing control of the U.S. healthcare system. Previously, the physician was the major source of hospital power. Since accountants often serve as monitors of scarce resources, information about the resource allocation directly affects the distribution of power. Marketers should acknowledge that this places hospital accountants in a critical role of assisting their institutions in adapting to a new environment.

  15. Reducing greenhouse gas emissions and improving air quality: Two global challenges

    PubMed Central

    2017-01-01

    There are many good reasons to promote sustainable development and reduce greenhouse gas emissions and other combustion emissions. The air quality in many urban environments is causing many premature deaths because of asthma, cardiovascular disease, chronic obstructive pulmonary disease, lung cancer, and dementia associated with combustion emissions. The global social cost of air pollution is at least $3 trillion/year; particulates, nitrogen oxides and ozone associated with combustion emissions are very costly pollutants. Better air quality in urban environments is one of the reasons for countries to work together to reduce greenhouse gas emissions through the Paris Agreement on Climate Change. There are many potential benefits associated with limiting climate change. In the recent past, the concentrations of greenhouse gases in the atmosphere have been increasing and the number of weather and climate disasters with costs over $1 billion has been increasing. The average global temperature set new record highs in 2014, 2015, and 2016. To reduce greenhouse gas emissions, the transition to electric vehicles and electricity generation using renewable energy must take place in accord with the goals of the Paris Agreement on Climate Change. This work reviews progress and identifies some of the health benefits associated with reducing combustion emissions. © 2017 American Institute of Chemical Engineers Environ Prog, 36: 982–988, 2017 PMID:29238442

  16. Final Scientific/Technical Report: National Institute for Climatic Change Research Coastal Center

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Tornqvist, Torbjorn; Chambers, Jeffrey

    It is widely recognized that coastal environments are under particular threat due to changes associated with climate change. Accelerated sea-level rise, in some regions augmented by land subsidence, plus the possibility of a changing storm climate, renders low-lying coastal landscapes and their ecosystems vulnerable to future change. This is a pressing problem, because these ecosystems commonly rank as some of the most valuable on the planet. The objective of the NICCR Coastal Center was to support basic research that aims at reducing uncertainty about ecosystem changes during the next century, carried out along the U.S. coastlines. The NICCR Coastal Centermore » has funded 20 projects nationwide (carried out at 27 institutions) that addressed numerous aspects of the problems outlined above. The research has led to a variety of new insights, a significant number of which published in elite scientific journals. It is anticipated that the dissemination of this work in the scientific literature will continue for several more years, given that a number of projects have only recently reached their end date. In addition, NICCR funds have been used to support research at Tulane University. The lion’s share of these funds has been invested in the development of unique facilities for experimental research in coastal ecosystems. This aspect of the work could have a lasting impact in the future.« less

  17. Knowledge-driven institutional change: an empirical study on combating desertification in northern China from 1949 to 2004.

    PubMed

    Yang, Lihua; Wu, Jianguo

    2012-11-15

    Understanding institutional changes is crucial for environmental management. Here we investigated how institutional changes influenced the process and result of desertification control in northern China between 1949 and 2004. Our analysis was based on a case study of 21 field sites and a meta-analysis of additional 29 sites reported in the literature. Our results show that imposed knowledge-driven institutional change was often perceived as a more progressive, scientific, and rational type of institutional change by entrepreneurs, scholars, experts, and technicians, while voluntary, knowledge-driven institutional change based on indigenous knowledge and experiences of local populations was discouraged. Our findings also demonstrate that eight working rules of imposed knowledge-driven institutional change can be applied to control desertification effectively. These rules address the issues of perception of potential gains, entrepreneurs' appeals and support, coordination of multiple goals, collaboration among multiple organizations, interest distribution and conflict resolution, incremental institutional change, external intervention, and coordination among the myriad institutions involved. Imposed knowledge-driven institutional change tended to be more successful when these rules were thoroughly implemented. These findings provide an outline for implementing future institutional changes and policy making to combat desertification and other types of ecological and environmental management. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. Moving mountains together: strategic community leadership and systems change.

    PubMed

    Nissen, Laura Burney; Merrigan, Daniel M; Kraft, M Katherine

    2005-01-01

    Traditional leadership practice frameworks to guide systems change often fall short in today's practice environment. Reclaiming Futures is a national initiative to create an integrated, comprehensive, seamless system of care for teens with substance abuse problems involved in juvenile justice. It uses leadership and systems reform strategies to improve public health institutions. The premise is that interruption of the destructive cycle of drugs and delinquency can only be attained through the cultivation of shared strategic leadership. This article presents the limitations of traditional practice frameworks of leadership, describes the theory of this new approach to leadership development, and clarifies collaborative leadership and system change. The article includes an example of the framework in action, a discussion of lessons learned, and recommendations for community leadership development initiatives.

  19. Information Environment of Preschool Educational Institutions

    ERIC Educational Resources Information Center

    Shmakova, Anna Pavlovna

    2016-01-01

    The paper considers the elements of the information environment of preschool educational institutions by the example of the Ulyanovsk region. The article describes the interconnected system of factors that includes qualified personnel, logistics support, methodological basis, and management structures that affect the development of the information…

  20. [Anaesthetists learn--do institutions also learn? Importance of institutional learning and corporate culture in clinics].

    PubMed

    Schüpfer, G; Gfrörer, R; Schleppers, A

    2007-10-01

    In only a few contexts is the need for substantial learning more pronounced than in health care. For a health care provider, the ability to learn is essential in a changing environment. Although individual humans are programmed to learn naturally, organisations are not. Learning that is limited to individual professions and traditional approaches to continuing medical education is not sufficient to bring about substantial changes in the learning capacity of an institution. Also, organisational learning is an important issue for anaesthesia departments. Future success of an organisation often depends on new capabilities and competencies. Organisational learning is the capacity or processes within an organisation to maintain or improve performance based on experience. Learning is seen as a system-level phenomenon as it stays in the organisation regardless of the players involved. Experience from other industries shows that learning strategies tend to focus on single loop learning, with relatively little double loop learning and virtually no meta-learning or non-learning. The emphasis on team delivery of health care reinforces the need for team learning. Learning organisations make learning an intrinsic part of their organisations and are a place where people continually learn how to learn together. Organisational learning practice can help to improve existing skills and competencies and to change outdated assumptions, procedures and structures. So far, learning theory has been ignored in medicine, due to a wide variety of complex political, economic, social, organisational culture and medical factors that prevent innovation and resist change. The organisational culture is central to every stage of the learning process. Learning organisations move beyond simple employee training into organisational problem solving, innovation and learning. Therefore, teamwork and leadership are necessary. Successful organisations change the competencies of individuals, the systems, the organisation, the strategy and the culture.

  1. Pressure sound level measurements at an educational environment in Goiânia, Goiás, Brazil

    NASA Astrophysics Data System (ADS)

    Costa, J. J. L.; do Nascimento, E. O.; de Oliveira, L. N.; Caldas, L. V. E.

    2018-03-01

    In this work, 25 points located on the ground floor of the Federal Institute of Education, Science and Technology of Goias - IFG - Campus Goiânia, were analyzed in morning periods of two Saturdays. The pressure sound levels were measured at internal and external environments during routine activities seeking to perform an environmental monitoring at this institution. The initial hypothesis was that an amusement park (Mutirama Park) was responsible for originating noise pollution in the institute, but the results showed, within the campus environment, sound pressure levels in accordance with the Municipal legislation of Goiânia for all points.

  2. Institutions and Societal Impacts of Climate in the Lower Colorado and San Pedro Basins of the U.S.-Mexico Border Region

    NASA Astrophysics Data System (ADS)

    Varady, R. G.; Wilder, M.; Morehouse, B. J.; Garfin, G. M.

    2007-05-01

    The U.S. Southwest and Mexico border region feature two prominent river basins, the Colorado and Rio Grande, and ecologically important sub-basins such as the San Pedro. The area within which these transboundary basins lie is characterized by overall aridity and high climatic variability over seasonal to decadal and longer time scales. Throughout human occupation, numerous and diverse strategies for buffering climate impacts have emerged. The most notable response has been an increasingly complex system of institutions and structures designed to buffer water scarcity. The Colorado River Compact, and the laws governing allocation of waters from the Rio Grande River, together with the dams, hydropower generators, canals and other engineered features, represent two of the most complex systems. Drought nevertheless remains a looming specter across much of the binational border region. Institutional mechanisms for responding to drought range from awareness-raising and capacity-building efforts, to implementation of formal drought plans, to storing water to make up for deficits, and water conservation rules that become increasingly stringent as drought intensifies. A number of formal and informal binational institutions operate in the region. Some are venerable, like the century-old International Boundary and Water Commission (IBWC) and its Mexican counterpart the Comision Internacional de Limites y Agua (CILA). Others, like the Border Environment Cooperation Commission and the North American Development Bank, were created in the mid-1990s with the North American Free Trade Agreement. These institutions, both domestic and transnational, operate in a complex binational, bicultural environment with contrasting legal and administrative traditions. Under such constraints, they manage water resources and ecosystems and attempt to improve water and sanitation infrastructure in the context of deep and extended drought. But in spite of their efforts, society and natural habitat along the border remains highly vulnerable to changes driven by high population growth rates, migration and border enforcement, expansion into fire prone wildland-urban interface areas, invasions of exotic ecosystem-altering species, and climate changes. This is especially true for rural populations lacking alternatives to their usual water sources or to alternative means of earning a living when, for example crops fail. The paper will examine the impacts of transborder water- management institutions in the San Pedro and Lower Colorado basins, including the Delta region. In particular, the authors will assess the palpable trend toward (1) more transboundary institutional cooperation (e.g., CRICA, the Colorado River International Conservation Area effort), and (2) more community-based conservation and research efforts (e.g., the University of Arizona, NOAA-supported Climate Assessment for the Southwest project; in conjunction with new projects by the Arizona-based Sonoran Institute and Pronatura in Mexico to do restoration in particular zones, working closely with communities and local groups, such as the Asociacion Ecologica de Usuarios del Rio Hardy y Colorado (AHEURYC). Finally, the paper will seek to identify new climate-related responsibilities and actions that may be needed to respond to likely climatic change.

  3. Modelling the effects of climate and land-use change on the hydrochemistry and ecology of the River Wye (Wales).

    PubMed

    Bussi, Gianbattista; Whitehead, Paul G; Gutiérrez-Cánovas, Cayetano; Ledesma, José L J; Ormerod, Steve J; Couture, Raoul-Marie

    2018-06-15

    Interactions between climate change and land use change might have substantial effects on aquatic ecosystems, but are still poorly understood. Using the Welsh River Wye as a case study, we linked models of water quality (Integrated Catchment - INCA) and climate (GFDL - Geophysical Fluid Dynamics Laboratory and IPSL - Institut Pierre Simon Laplace) under greenhouse gas scenarios (RCP4.5 and RCP8.5) to drive a bespoke ecosystem model that simulated the responses of aquatic organisms. The potential effects of economic and social development were also investigated using scenarios from the EU MARS project (Managing Aquatic Ecosystems and Water Resources under Multiple Stress). Longitudinal position along the river mediated response to increasing anthropogenic pressures. Upland locations appeared particularly sensitive to nutrient enrichment or potential re-acidification compared to lowland environments which are already eutrophic. These results can guide attempts to mitigate future impacts and reiterate the need for sensitive land management in upland, temperate environments which are likely to become increasingly important to water supply and biodiversity conservation as the effects of climate change intensify. Copyright © 2018 Elsevier B.V. All rights reserved.

  4. The burgeoning field of transdisciplinary adaptation research in Quebec (1998-): a climate change-related public health narrative.

    PubMed

    Gosselin, Pierre; Bélanger, Diane; Lapaige, Véronique; Labbé, Yolaine

    2011-01-01

    This paper presents a public health narrative on Quebec's new climatic conditions and human health, and describes the transdisciplinary nature of the climate change adaptation research currently being adopted in Quebec, characterized by the three phases of problem identification, problem investigation, and problem transformation. A transdisciplinary approach is essential for dealing with complex ill-defined problems concerning human-environment interactions (for example, climate change), for allowing joint research, collective leadership, complex collaborations, and significant exchanges among scientists, decision makers, and knowledge users. Such an approach is widely supported in theory but has proved to be extremely difficult to implement in practice, and those who attempt it have met with heavy resistance, succeeding when they find the occasional opportunity within institutional or social contexts. In this paper we narrate the ongoing struggle involved in tackling the negative effects of climate change in multi-actor contexts at local and regional levels, a struggle that began in a quiet way in 1998. The paper will describe how public health adaptation research is supporting transdisciplinary action and implementation while also preparing for the future, and how this interaction to tackle a life-world problem (adaptation of the Quebec public health sector to climate change) in multi-actors contexts has progressively been established during the last 13 years. The first of the two sections introduces the social context of a Quebec undergoing climate changes. Current climatic conditions and expected changes will be described, and attendant health risks for the Quebec population. The second section addresses the scientific, institutional and normative dimensions of the problem. It corresponds to a "public health narrative" presented in three phases: (1) problem identification (1998-2002) beginning in northern Quebec; (2) problem investigation (2002-2006) in which the issues are successively explored, understood, and conceptualized for all of Quebec, and (3) problem transformation (2006-2009), which discusses major interactions among the stakeholders and the presentation of an Action Plan by a central actor, the Quebec government, in alliance with other stakeholders. In conclusion, we underline the importance, in the current context, of providing for a sustained transdisciplinary adaptation to climatic change. This paper should be helpful for (1) public health professionals confronted with establishing a transdisciplinary approach to a real-world problem other than climate change, (2) professionals in other sectors (such as public safety, built environment) confronted with climate change, who wish to implement transdisciplinary adaptive interventions and/or research, and (3) knowledge users (public and private actors; nongovernment organizations; citizens) from elsewhere in multi-contexts/environments/sectors who wish to promote complex collaborations (with us or not), collective leadership, and "transfrontier knowledge-to-action" for implementing climate change-related adaptation measures.

  5. The burgeoning field of transdisciplinary adaptation research in Quebec (1998–): a climate change-related public health narrative

    PubMed Central

    Gosselin, Pierre; Bélanger, Diane; Lapaige, Véronique; Labbé, Yolaine

    2011-01-01

    This paper presents a public health narrative on Quebec’s new climatic conditions and human health, and describes the transdisciplinary nature of the climate change adaptation research currently being adopted in Quebec, characterized by the three phases of problem identification, problem investigation, and problem transformation. A transdisciplinary approach is essential for dealing with complex ill-defined problems concerning human–environment interactions (for example, climate change), for allowing joint research, collective leadership, complex collaborations, and significant exchanges among scientists, decision makers, and knowledge users. Such an approach is widely supported in theory but has proved to be extremely difficult to implement in practice, and those who attempt it have met with heavy resistance, succeeding when they find the occasional opportunity within institutional or social contexts. In this paper we narrate the ongoing struggle involved in tackling the negative effects of climate change in multi-actor contexts at local and regional levels, a struggle that began in a quiet way in 1998. The paper will describe how public health adaptation research is supporting transdisciplinary action and implementation while also preparing for the future, and how this interaction to tackle a life-world problem (adaptation of the Quebec public health sector to climate change) in multi-actors contexts has progressively been established during the last 13 years. The first of the two sections introduces the social context of a Quebec undergoing climate changes. Current climatic conditions and expected changes will be described, and attendant health risks for the Quebec population. The second section addresses the scientific, institutional and normative dimensions of the problem. It corresponds to a “public health narrative” presented in three phases: (1) problem identification (1998–2002) beginning in northern Quebec; (2) problem investigation (2002–2006) in which the issues are successively explored, understood, and conceptualized for all of Quebec, and (3) problem transformation (2006–2009), which discusses major interactions among the stakeholders and the presentation of an Action Plan by a central actor, the Quebec government, in alliance with other stakeholders. In conclusion, we underline the importance, in the current context, of providing for a sustained transdisciplinary adaptation to climatic change. This paper should be helpful for (1) public health professionals confronted with establishing a transdisciplinary approach to a real-world problem other than climate change, (2) professionals in other sectors (such as public safety, built environment) confronted with climate change, who wish to implement transdisciplinary adaptive interventions and/or research, and (3) knowledge users (public and private actors; nongovernment organizations; citizens) from elsewhere in multi-contexts/environments/sectors who wish to promote complex collaborations (with us or not), collective leadership, and “transfrontier knowledge-to-action” for implementing climate change-related adaptation measures. PMID:21966228

  6. Mercury in tropical and subtropical coastal environments

    PubMed Central

    Costa, Monica F.; Landing, William M.; Kehrig, Helena A.; Barletta, Mário; Holmes, Christopher D.; Barrocas, Paulo R. G.; Evers, David C.; Buck, David G.; Vasconcellos, Ana Claudia; Hacon, Sandra S.; Moreira, Josino C.; Malm, Olaf

    2012-01-01

    Anthropogenic activities influence the biogeochemical cycles of mercury, both qualitatively and quantitatively, on a global scale from sources to sinks. Anthropogenic processes that alter the temporal and spatial patterns of sources and cycling processes are changing the impacts of mercury contamination on aquatic biota and humans. Human exposure to mercury is dominated by the consumption of fish and products from aquaculture operations. The risk to society and to ecosystems from mercury contamination is growing, and it is important to monitor these expanding risks. However, the extent and manner to which anthropogenic activities will alter mercury sources and biogeochemical cycling in tropical and sub-tropical coastal environments is poorly understood. Factors as (1) lack of reliable local/regional data; (2) rapidly changing environmental conditions; (3) governmental priorities and; (4) technical actions from supra-national institutions, are some of the obstacles to overcome in mercury cycling research and policy formulation. In the tropics and sub-tropics, research on mercury in the environment is moving from an exploratory “inventory” phase towards more process-oriented studies. Addressing biodiversity conservation and human health issues related to mercury contamination of river basins and tropical coastal environments are an integral part of paragraph 221 paragraph of the United Nations document “The Future We Want” issued in Rio de Janeiro in June 2012. PMID:22901765

  7. History of Virtual Water , International Trade and Economic Metabolism at the Time Colonialism and a First Attempt to Assess Their Impact on Hydrologic Changes

    NASA Astrophysics Data System (ADS)

    Greco, F.

    2008-12-01

    This research considers the historical impact of virtual water into the geophysical arena by considering it as a human-led phenomenon that impacts the hydrologic system and, consequently, the environment as a whole. This paper is in line with the idea of including the humans into the water-balance model, and it is deepening the idea that this has to be done not only at the light of each watershed, but globally, looking at the role of water-trade embedded in food and tradable goods. Starting from a definition of what virtual water is, this research explores the role of crops export in the early U.S. Colonial time. As early as 1630 a huge biomass from here was already exported to the UK (the fur trade). In 1700 the tobacco export started, along with cereals exports and timber. An entire ecosystem has been "exported" in terms of water-embedded-in-goods. This was the beginning of a massive depletion of bio-mass stocks and flows, a raise in nitrogen discharge into the environment and its impact on the hydrological systems ( CUAHSI Summer Institute findings). Immigration and its effects on the water balance is also considered in this work. The experiment of interdisciplinary work of CUAHSI Summer Institute 2008 has proven that there is space for a historical reconstruction of evidence of human-led changes to the hydrological systems. This has been possible through the analysis of material stocks and flows, water-balance analysis of these stocks and flows, including human-led changes like international trade and population growth. This proposal will argue that these changes can also be identified by the term of 'socio- economic metabolism', in which societies are trading their goods internationally but taking the primary resources, including water, locally. This work will put the basis for the history of virtual water and its implications on both socio-economic metabolism and local geophysical changes.

  8. Institutional change to support regime transformation: Lessons from Australia's water sector

    NASA Astrophysics Data System (ADS)

    Werbeloff, Lara; Brown, Rebekah; Cocklin, Chris

    2017-07-01

    Institutional change is fundamental to regime transformation, and a necessary part of moving toward integrated water management. However, insight into the role of institutional change processes in such transitions is currently limited. A more nuanced understanding of institutional frameworks is necessary, both to advance understanding of institutional change in the context of transitions toward improved water management and to inform strategies for guiding such processes. To this end, we examine two contemporary cases of transformative change in Australia's urban water sector, exploring the evolution of institutional change in each city. This paper offers insights into regime transformation, providing guidance on types of institutional structures and the ways structure-change initiatives can be sequenced to support a transition. The results reveal the importance of regulation in embedding regime change and suggest that engagement with structural frameworks should begin early in transition processes to ensure the timely introduction of supporting regulation. Our findings also highlight the inextricable link between culture-based and structure-based change initiatives, and the importance of using a diverse range of institutional change mechanisms in a mutually reinforcing way to provide a strong foundation for change. These findings provide a foundation for further scholarly examination of institutional change mechanisms, while also serving to inform the strategic activities of transition-oriented organizations and actors.

  9. The Carrier Arms Race in East and South Asia: Responses to a Changing Strategic Environment

    DTIC Science & Technology

    2014-09-01

    analysis of Japan’s strategic trajectory and the development of new classes of helicopter destroyers. Koda describes the U.S.-Japan security alliance... Koda , “A New Carrier Race? Strategy, Force Planning, and JS Hyuga.” Naval War College Review 64, no. 3 (2011): 32–51. 11 Korean Institute for...According to retired Vice Admiral Yoji Koda , “Hyuga realizes a long-standing dream and goal of the JMSDF, which has wanted to be a truly capable

  10. A cross-institutional examination of readiness for interprofessional learning.

    PubMed

    King, Sharla; Greidanus, Elaine; Major, Rochelle; Loverso, Tatiana; Knowles, Alan; Carbonaro, Mike; Bahry, Louise

    2012-03-01

    This paper examines the readiness for and attitudes toward interprofessional (IP) education in students across four diverse educational institutions with different educational mandates. The four educational institutions (research-intensive university, baccalaureate, polytechnical institute and community college) partnered to develop, deliver and evaluate IP modules in simulation learning environments. As one of the first steps in planning, the Readiness for Interprofessional Learning Scale was delivered to 1530 students from across the institutions. A confirmatory factor analysis was used to expand upon previous work to examine psychometric properties of the instrument. An analysis of variance revealed significant differences among the institutions; however, a closer examination of the means demonstrated little variability. In an environment where collaboration and development of learning experiences across educational institutions is an expectation of the provincial government, an understanding of differences among a cohort of students is critical. This study reveals nonmeaningful significant differences, indicating different institutional educational mandates are unlikely to be an obstacle in the development of cross-institutional IP curricula.

  11. Market power and the sale of Ontario residential natural gas: An institutional analysis and a laboratory experiment

    NASA Astrophysics Data System (ADS)

    Bloemhof, Barbara Lynn

    2005-11-01

    The Ontario residential natural gas market underwent a significant institutional change in 1986, after the federal government decontrolled natural gas prices. Currently, consumers may sign up for fixed-cost natural gas from a broker, or they may continue to be served by the regulated distribution company. This thesis examines the economic effects on consumers of the institutional change, and particularly whether or not market power was enhanced by the change. In the thesis, I first present the industrial organization of the residential natural gas sector, and explain the institutional evolution using an institutional economic approach. I then construct a model of the market environment, with sellers acting as middlemen in a well-defined Bertrand oligopoly setting with no production constraints and single-unit consumer demands. In this model, the only Nash equilibrium in the one-period game is the joint profit maximizing price, and its likelihood of obtaining depends on the nature of the cost of signing up new customers. I then take a version of this model into the laboratory with human subject sellers and simulated buyers and run six replications each of a balanced treatment design under a unique information mechanism that parallels individual customer canvassing used by sellers in the naturally-occurring market. Treatment variables are: number of sellers, number of simulated at-cost sellers present, and presence of input cost uncertainty for sellers. I find that adding any seller to the market has about the same impact on market price, irrespective of whether it is a human subject or a simulated at-cost seller. Although increasing the number of sellers does decrease the market price somewhat, it does not bring about the competitive outcome predicted by the benchmark microeconomic model. This research contributes to the literature on policy making and energy market design, as well as to experimental methodology aimed at policy evaluation.

  12. Experiencing the culture of academic medicine: gender matters, a national study.

    PubMed

    Pololi, Linda H; Civian, Janet T; Brennan, Robert T; Dottolo, Andrea L; Krupat, Edward

    2013-02-01

    Energized and productive faculty are critical to academic medicine, yet studies indicate a lack of advancement and senior roles for women. Using measures of key aspects of the culture of academic medicine, this study sought to identify similarity and dissimilarity between perceptions of the culture by male and female faculty. The C - Change Faculty Survey was used to collect data on perceptions of organizational culture. A stratified random sample of 4,578 full-time faculty at 26 nationally representative US medical colleges (response rate 52 %). 1,271 (53 %) of respondents were female. Factor analysis assisted in the creation of scales assessing dimensions of the culture, which served as the key outcomes. Regression analysis identified gender differences while controlling for other demographic characteristics. Compared with men, female faculty reported a lower sense of belonging and relationships within the workplace (T = -3.30, p < 0.01). Self-efficacy for career advancement was lower in women (T = -4.73, p < 0.001). Women perceived lower gender equity (T = -19.82, p < 0.001), and were less likely to believe their institutions were making changes to address diversity goals (T = -9.70, p < 0.001). Women were less likely than men to perceive their institution as family-friendly (T = -4.06, p < 0.001), and women reported less congruence between their own values and those of their institutions (T = -2.06, p < 0.05). Women and men did not differ significantly on levels of engagement, leadership aspirations, feelings of ethical/moral distress, perception of institutional commitment to faculty advancement, or perception of institutional change efforts to improve support for faculty. Faculty men and women are equally engaged in their work and share similar leadership aspirations. However, medical schools have failed to create and sustain an environment where women feel fully accepted and supported to succeed; how can we ensure that medical schools are fully using the talent pool of a third of its faculty?

  13. [Implementing strategies to improve the institutional governance of the Spanish National Health System].

    PubMed

    Repullo, José Ramón; Freire, José Manuel

    2016-11-01

    The 2008 economic crisis made the issue of good governance more present and visible, but the debate risks stalling in an academic and political discourse that barely exceeds the declarative. We acknowledge the existence of noteworthy documents from scientific medical societies and some institutional proposals that point towards promising changes. Viewing good governance as accountability, participation, transparency, intelligence and integrity, our objective is to identify the determinants of inaction and remove the barriers that prevent the adoption of rational and widely agreed-upon proposals. This led us: 1) to allocate the proposals to their appropriate governance level (macro, meso, micro and system environment) so as to more directly engage the agents of change; and 2) to highlight some decision nodes that can act as levers to catalyse selective transformations and to initiate the change processes. Taking into account the diversity of actors and scenarios, a top-down rational, integrated and reformist strategy for the whole Spanish National Health System does not seem likely or viable. Therefore, the purpose of this paper is to promote changes, setting a targeted and reasoned agenda to visualise key issues and to enable multilevel and multidimensional thinking and advocacy of health-sector and society stakeholders. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  14. A study on economic power dispatch grid connected PV power plant in educational institutes

    NASA Astrophysics Data System (ADS)

    Singh, Kuldip; Kumar, M. Narendra; Mishra, Satyasis

    2018-04-01

    India has main concerns on environment and escalation of fuel prices with respect to diminution of fossil fuel reserves and the major focus on renewable Energy sources for power generation to fulfill the present and future energy demand. Installation of PV power plants in the Educational Institutions has grown up drastically throughout India. More PV power plant are integrated with load and grid through net metering. Therefore, this paper is an analysis of the 75kWp PV plant at chosen buses, considering the need of minimum demand from the grid. The case study is carried out for different generation level throughout the day and year w.r.t load and climate changes, load sharing on grid. The economic dispatch model developed for PV plant integrated with Grid.

  15. Obesity and the aging adult: ideas for promoting patient safety and preventing caregiver injury.

    PubMed

    Gallagher, Susan

    2005-11-01

    Some experts contend that the increasing prevalence of obesity among patients and caregivers leads to more frequent and serious musculoskeletal injuries among caregivers. Others believe that failure to ensure safe, appropriate equipment and supporting policies leads to the increasing prevalence of caregiver injuries. Health facilities best serve residents, caregivers, and institutions when there is preplanning for extra care and resources; size-appropriate equipment; larger, heavier furniture; and adequate space to accomplish tasks. The challenge to stakeholders is to find ways to prevent injuries that pose direct and indirect cost liabilities to caregivers, institutions, policy makers, and others. Several strategies are available to reduce or prevent caregiver injury and to promote patient safety. Physical environment, equipment, lift team, and necessary policy changes are discussed as possible strategies.

  16. Factors Affecting the Institutional Development of CBTE Programs. Vol. 2, Process Environment.

    ERIC Educational Resources Information Center

    Bystydzienski, Jill M.; And Others

    This document examines three process environment factors (communications networks, morale of consortia members, and teacher's union attitudes) and their influence on the responses of educational institutions to a New York State Department of Education mandate on performance based teacher education (PBTE). In studying the communications networks,…

  17. Mentoring Influence on Socially Responsible Leadership Capacity Based on Institutional Carnegie Classification

    ERIC Educational Resources Information Center

    Gleason, Michael C.

    2012-01-01

    Higher education institutions are being called to provide leaders capable of operating in increasingly complex environments (Astin & Astin, 2000; Daloz Parks, 2005; Longo & Gibson, 2011; Rost & Barker, 2000). As immersion into these complex environments has been found to assist students in developing leadership capacities, mentoring is…

  18. Suicidal Ideation on Higher Education Students: Influence of Some Psychosocial Variables.

    PubMed

    Gonçalves, Amadeu Matos; da Cruz Sequeira, Carlos Alberto; Duarte, João Carvalho; de Freitas, Paula Pinto

    2016-04-01

    While attending to higher education, multiple changes occur in the lives of young students. These changes make higher education students particularly more exposed and vulnerable to mental health problems, and therefore more likely to present suicidal behaviors. The aim of this study was to assess suicidal ideation in higher education students, and its relationship with some psychosocial variables. Exploratory, quantitative and descriptive study, applied on a sample of 1074 students of a higher education institution in Portugal. Some significant associations with suicidal ideation were found with self-concept factors (self-acceptance, self-effectiveness and impulsivity); stress, anxiety and clinical depression; linkage anxiety and social support activities dimensions; intimacy and total social support. In our sample we found 84 students with potential suicidal risk, and through the result analysis, the biopsychosocial profile of the student at risk for suicidal ideation exhibits the following traits: female, age 18/19, low self-concept, insecure linkage patterns and little involvement in social activities and intimacy relationships. All facts considered, higher education institutions should provide programs that promote mental health and suicide prevention in academic environments. The results of this study also have implications for policy makers, clinical practice, suicide prevention and higher education institutions. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. Using multimedia virtual patients to enhance the clinical curriculum for medical students.

    PubMed

    McGee, J B; Neill, J; Goldman, L; Casey, E

    1998-01-01

    Changes in the environment in which clinical medical education takes place in the United States has profoundly affected the quality of the learning experience. A shift to out-patient based care, minimization of hospitalization time, and shrinking clinical revenues has changed the teaching hospital or "classroom" to a degree that we must develop innovative approaches to medical education. One solution is the Virtual Patient Project. Utilizing state-of-the-art computer-based multimedia technology, we are building a library of simulated patient encounters that will serve to fill some of the educational gaps that the current health care system has created. This project is part of a newly formed and unique organization, the Harvard Medical School-Beth Israel Deaconess Mount Auburn Institute for Education and Research (the Institute), which supports in-house educational design, production, and faculty time to create Virtual Patients. These problem-based clinical cases allow the medical student to evaluate a patient at initial presentation, order diagnostic tests, observe the outcome and obtain context-sensitive feedback through a computer program designed at the Institute. Multimedia technology and authoring programs have reached a level of sophistication to allow content experts (the teaching faculty) to design and create the majority of the program themselves and to allow students to adapt the program to their individual learning needs.

  20. [The woman in neurosurgery at the national institute of neurology and neurosurgery].

    PubMed

    Mejía-Pérez, Sonia Iliana; Cervera-Martínez, Claudia; Sánchez-Correa, Thalía Estefanía; Corona-Vázquezo, Teresa

    Women have always had a hard time in the history of medicine; Dr. Isabel Blackwell was the first woman in history to practice medicine. Dr. Diana Beck became the world´s first female neurosurgeon. The first Latin American female neurosurgeon was Dr. María Cristina García Sancho y Álvarez-Tostado. All of these women had to face a large number of social, cultural, and economic obstacles in their path; however, this situation has changed gradually. Dr. Ana Lilia Siordia Karam was the first neurosurgeon to graduate from INNN. Nineteen years later the second female neurosurgeon at this institute was Dr. María Petra Herrera Guerrero. During their time at this institute they endured a lot of difficulties, especially with most of their coworkers; however, some coworkers treated them with respect and no gender distinction. Nowadays, four of the 25 total neurosurgery residents at INNN are women, and even though some of them have had to endure acts of gender discrimination, the general situation has changed. With work and respect, women have managed to have a larger role in the surgical field. We hope that in the near future a gender discrimination-free environment will be achieved in medicine and its specialties.

  1. Social Media in the Dental School Environment, Part A: Benefits, Challenges, and Recommendations for Use.

    PubMed

    Spallek, Heiko; Turner, Sharon P; Donate-Bartfield, Evelyn; Chambers, David; McAndrew, Maureen; Zarkowski, Pamela; Karimbux, Nadeem

    2015-10-01

    Social media consist of powerful tools that impact not only communication but relationships among people, thus posing an inherent challenge to the traditional standards of who we are as dental educators and what we can expect of each other. This article examines how the world of social media has changed dental education. Its goal is to outline the complex issues that social media use presents for academic dental institutions and to examine these issues from personal, professional, and legal perspectives. After providing an update on social media, the article considers the advantages and risks associated with the use of social media at the interpersonal, professional, and institutional levels. Policies and legal issues of which academic dental institutions need to be aware from a compliance perspective are examined, along with considerations and resources needed to develop effective social media policies. The challenge facing dental educators is how to capitalize on the benefits that social media offer, while minimizing risks and complying with the various forms of legal constraint.

  2. Lawrence Berkeley Laboratory Institutional Plan, FY 1993--1998

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chew, Joseph T.; Stroh, Suzanne C.; Maio, Linda R.

    1992-10-01

    The FY 1993--1998 Institutional Plan provides an overview of the Lawrence Berkeley Laboratory mission, strategic plan, scientific initiatives, research programs, environment and safety program plans, educational and technology transfer efforts, human resources, and facilities needs. The Strategic Plan section identifies long-range conditions that can influence the Laboratory, potential research trends, and several management implications. The Initiatives section identifies potential new research programs that represent major long-term opportunities for the Laboratory and the resources required for their implementation. The Scientific and Technical Programs section summarizes current programs and potential changes in research program activity. The Environment, Safety, and Health section describesmore » the management systems and programs underway at the Laboratory to protect the environment, the public, and the employees. The Technology Transfer and Education programs section describes current and planned programs to enhance the nation`s scientific literacy and human infrastructure and to improve economic competitiveness. The Human Resources section identifies LBL staff composition and development programs. The section on Site and Facilities discusses resources required to sustain and improve the physical plant and its equipment. The Resource Projections are estimates of required budgetary authority for the Laboratory`s ongoing research programs. The plan is an institutional management report for integration with the Department of Energy`s strategic planning activities that is developed through an annual planning process. The plan identifies technical and administrative directions in the context of the National Energy Strategy and the Department of Energy`s program planning initiatives. Preparation of the plan is coordinated by the Office for Planning and Development from information contributed by the Laboratory`s scientific and support divisions.« less

  3. Why aren't there more women leaders in academic medicine? the views of clinical department chairs.

    PubMed

    Yedidia, M J; Bickel, J

    2001-05-01

    A scarcity of women in leadership positions in academic medicine has persisted despite their increasing numbers in medical training. To understand the barriers confronting women and potential remedies, clinical department chairs with extensive leadership experience were interviewed. In 1998-99, open-ended interviews averaging 80 minutes in length were conducted with 34 chairs and two division chiefs in five specialties. Individuals were selected to achieve a balance for gender, geographic locale, longevity in their positions, and sponsorship and research intensity of their institutions. The interviews were audiotaped and fully transcribed, and the themes reported emerged from inductive analysis of the responses using standard qualitative techniques. The chairs' responses centered on the constraints of traditional gender roles, manifestations of sexism in the medical environment, and lack of effective mentors. Their strategies for addressing these barriers ranged from individual or one-on-one interventions (e.g., counseling, confronting instances of bias, and arranging for appropriate mentors) to institutional changes (e.g., extending tenure probationary periods, instituting mechanisms for responding to unprofessional behavior, establishing mentoring networks across the university). The chairs universally acknowledged the existence of barriers to the advancement of women and proposed a spectrum of approaches to address them. Individual interventions, while adapting faculty to requirements, also tend to preserve existing institutional arrangements, including those that may have adverse effects on all faculty. Departmental or school-level changes address these shortcomings and have a greater likelihood of achieving enduring impact.

  4. Key Trends in Institutional Changes Under Sustainable Development

    NASA Astrophysics Data System (ADS)

    Karpova, Olga; Pevneva, Inna; Dymova, Irina; Kostina, Tatiana; Li, Sergey

    2017-11-01

    The article is devoted to the consideration of the essential problems of accounting institution formation under the sustainable development of the country and the region. The research is based on the key research the field of the intuition economics and considers the trends of institutional changes including incremental, evolutionary and revolutionary. Approaches to the analysis of institutions are presented as well. The first approach states that economic efficiency is guaranteed by newly emerging institutions. The second approach involves certain internal and external incentives for changing institutions. Whereas the third approach insists on considering institutional changes to be the relation of individual economic entities to institutional innovations in terms of the net benefit from their implementation. The conclusion draws the leading role of the state in the process of the emergence and further development of newly created institutions focusing on the fact that not every change leads to greater efficiency. Thus it is crucial to consider the previous background of institutions development at implementing changes in accounting and control.

  5. Family centered care within an infant-toddler unit.

    PubMed

    Neal, Annmarie; Frost, Michelle; Kuhn, Janna; Green, Angela; Gance-Cleveland, Bonnie; Kersten, Rebecca

    2007-01-01

    Family centered care (FCC) is an essential component of pediatric nursing. A unit-based FCC Committee was charged with evaluating care on an inpatient infant-toddler unit. The committee adapted the Institute of Family Centered Care survey tools and used them to evaluate parent and staff perceptions of FCC care provided on the unit. The survey tools covered the following areas: environment, nursing care, education, communication, and respect and equality. A convenience sample of 38 parents and 75 staff completed surveys. Families provided significantly more positive responses than the staff did, indicating overall satisfaction with the care received. However, they did identify concerns about educational issues and pain assessment. In contrast, the staff reported more negative perceptions regarding the delivery of FCC, and their primary concern was the unit environment. The FCC Committee used the findings from the survey to first educate the staff and then implement changes to improve the environment and the care delivered.

  6. Reducing Our Carbon Footprint: A Low-Energy House in Berkeley, Kabul, and Washington DC (LBNL Science at the Theater)

    ScienceCinema

    Diamond, Rick [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2018-05-14

    How well can we assess and improve building energy performance in California homes? How much energy-and carbon-do homes use in other parts of the world? Rick Diamond, deputy group leader of the Berkeley Lab Energy Performance of Buildings Group, discusses change, global solutions, and the stories of three houses in Berkeley, Kabul (Afghanistan), and Washington, D.C. Diamond, who is also a senior advisor at the California Institute for Energy and Environment, investigates user interactions with the built environment for improved building energy performance. The group has studied a wide range of issues related to energy use in housing, including duct system efficiency, user behavior, and infiltration and ventilation measurements.

  7. Paradise lost: A study of the decline of institutions and the restructuring of organizational fields in the United States power industry

    NASA Astrophysics Data System (ADS)

    Sine, Wesley David

    Institutional theorists have a long tradition of examining the persistence organizational forms and practices. Most institutional analysis, however, fails to discuss change in organizational forms and practices that at one time were highly taken for granted. This dissertation presents three papers that explore questions of institutional change in the context of the evolving power industry. The first paper, Dimensions of Institutional Resistance to Change, examines the qualities that make institutions more or less resistant to change. This paper surveys the literature on institutional change and suggests four institutional qualities for indexing institutional change: taken for grantedness, diffuseness, symbolic value, and integrativeness. I argue that these qualities can be used to measure the extent to which an institution is resistant to change, thus providing a means for studying and predicting the life spans of institutions. The second paper, From Hierarchies to Markets: The Deregulation of the Electric Generating Industry, uses the dimensions proposed in the first paper to understand the structural changes in the electric utility industry between 1935 and 1978. It theorizes that crisis catalyzes both organizational scrutiny, which erodes institutional symbolic value and taken-for-grantedness, and search processes for solutions, which redefine fringe alternatives within an institutional field as possible solutions. The net result is the delegitimation of incumbent institutions and the recognition of alternative solutions, creating a solution bazaar, where solutions compete to solve organizational inefficiencies made relevant by the crisis. The third paper, The Institutional Context of Founding Variation in the Emerging Independent Power Industry, presents and tests a theory of the effects of institutional structures on the genesis, development, and variation of organizational forms in a newborn industry created by radical regulatory change. Nascent industries formed by punctuated change are particularly susceptible to institutional influences. Normative, regulative, and cognitive structures form the context that shape entrepreneurial decisions about organizational foundings. Institutional structures can either increase or decrease barriers to entry into nascent industries, thus influencing the heterogeneity of organizational forms founded within the niche. These propositions are examined and tested in the context of the independent power industry.

  8. A Reinterpretation of Institutional Transformations in European Higher Education: Strategising Pluralistic Organisations in Multiplex Environments

    ERIC Educational Resources Information Center

    Frolich, Nicoline; Huisman, Jeroen; Slipersaeter, Stig; Stensaker, Bjorn; Botas, Paulo Charles Pimentel

    2013-01-01

    The paper draws on institutional theory with special attention to recent contributions that aim at developing its micro-foundations. We address the question of how individual higher education institutions deal with institutional pluralism. We develop an analytical framework inspired by institutional theory, the sensemaking perspective in…

  9. Preparing Women for Leadership Roles in STEM: The HERS Institutes

    NASA Astrophysics Data System (ADS)

    Straub, K. H.

    2016-12-01

    While women's representation in higher education has increased at the undergraduate and graduate levels, female voices remain in the minority in upper administrative positions, particularly in STEM fields. The HERS Institutes prepare women faculty and administrators for leadership roles through either residential (2 week, summer) or mixed on-site and online (academic year) programs. Topics addressed through the HERS curriculum include managing and leading change, the financial environment of higher education, diversity and inclusion, career mapping, fundraising, the legal landscape, institutional budgeting, negotiation, search essentials, conflict management, and much more. Female experts in each field lead interactive sessions and discussions, and are available for one-on-one conversations during breaks and meals. Through a grant from the Henry Luce Foundation, HERS has created opportunities for women in STEM fields to receive scholarships to the Institutes through the Claire Booth Luce (CBL) Program. In addition, the Institutes now support a larger cohort of STEM participants through targeted programming and networking events. Of the 64 participants in the 2016 Bryn Mawr Institute, 21 women were from STEM fields. These women participated in additional programs and expert-led discussions including "The Future of Research in Higher Education," "Supporting Careers of Women in STEM," and "Inclusive Excellence in STEM." An additional component of the CBL Program is the creation of a HERS STEM Community to enhance networking, mentoring, information sharing, and opportunities for gathering at professional conferences among HERS alumnae.

  10. Building Imaging Institutes of Patient Care Outcomes: Imaging as a Nidus for Innovation in Clinical Care, Research, and Education.

    PubMed

    Petrou, Myria; Cronin, Paul; Altaee, Duaa K; Kelly, Aine M; Foerster, Bradley R

    2018-05-01

    Traditionally, radiologists have been responsible for the protocol of imaging studies, imaging acquisition, supervision of imaging technologists, and interpretation and reporting of imaging findings. In this article, we outline how radiology needs to change and adapt to a role of providing value-based, integrated health-care delivery. We believe that the way to best serve our specialty and our patients is to undertake a fundamental paradigm shift in how we practice. We describe the need for imaging institutes centered on disease entities (eg, lung cancer, multiple sclerosis) to not only optimize clinical care and patient outcomes, but also spur the development of a new educational focus, which will increase opportunities for medical trainees and other health professionals. These institutes will also serve as unique environments for testing and implementing new technologies and for generating new ideas for research and health-care delivery. We propose that the imaging institutes focus on how imaging practices-including new innovations-improve patient care outcomes within a specific disease framework. These institutes will allow our specialty to lead patient care, provide the necessary infrastructure for state-of-the art-education of trainees, and stimulate innovative and clinically relevant research. Copyright © 2018 The Association of University Radiologists. All rights reserved.

  11. Nitrogen footprints: past, present and future

    NASA Astrophysics Data System (ADS)

    Galloway, James N.; Winiwarter, Wilfried; Leip, Adrian; Leach, Allison M.; Bleeker, Albert; Willem Erisman, Jan

    2014-11-01

    The human alteration of the nitrogen cycle has evolved from minimal in the mid-19th century to extensive in the present time. The consequences to human and environmental health are significant. While much attention has been given to the extent and impacts of the alteration, little attention has been given to those entities (i.e., consumers, institutions) that use the resources that result in extensive reactive nitrogen (Nr) creation. One strategy for assessment is the use of nitrogen footprint tools. A nitrogen footprint is generally defined as the total amount of Nr released to the environment as a result of an entity’s consumption patterns. This paper reviews a number of nitrogen footprint tools (N-Calculator, N-Institution, N-Label, N-Neutrality, N-Indicator) that are designed to provide that attention. It reviews N-footprint tools for consumers as a function of the country that they live in (N-Calculator, N-Indicator) and the products they buy (N-Label), for the institutions that people work in and are educated in (N-Institution), and for events and decision-making regarding offsets (N-Neutrality). N footprint tools provide a framework for people to make decisions about their resource use and show them how offsets can be coupled with behavior change to decrease consumer/institution contributions to N-related problems.

  12. Top 10 Campus Legal Issues for Boards

    ERIC Educational Resources Information Center

    White, Lawrence

    2015-01-01

    A principle responsibility of a board member is to understand the environment in which his or her institution operates. Today, that environment includes a host of legal risks that every institution of higher education must be prepared to assess and proactively address. Colleges and universities work to contain and manage those risks through such…

  13. Using Economic Experiments to Test Electricity Policy

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kiesling, Lynne

    2005-11-01

    The industry's history of central generation, coordination, and regulation breeds a natural suspicion of whether or not decentralized coordination and a more market-based, decentralized regulatory approach can work. To see how people will behave in a decentralized environment with decentralized institutions, one must test the environment and institutions experimentally, with real people.

  14. Critical Interactions Shaping Early Academic Career Development in Two Higher Education Institutions

    ERIC Educational Resources Information Center

    Hemmings, Brian; Hill, Doug; Sharp, John G.

    2013-01-01

    This study was aimed at identifying the critical interactions within work environments that support the development of early career academics as researchers in institutions with lower order research profiles, that is, environments that differ from research-intensive universities. Ten early career academics, five from Australia and five from the…

  15. Learning Environment in Light of Positional, Institutional, and Cultural Interpretations: An Empirically-Based Conceptual Analysis

    ERIC Educational Resources Information Center

    Kovac, Velibor Bobo; Lund, Ingrid; Omdal, Heidi

    2017-01-01

    This study explores the possibility that the concept of learning environment (LE) is understood and interpreted differently by various users, depending on their relative positions in the educational system, institutional affiliation, and cultural heritage. The study employs a qualitative approach and is based on 14 semistructured separate…

  16. Perceptions of University Mission Statement and Person-Environment Fit by Osteopathic Medical School Faculty and Staff

    ERIC Educational Resources Information Center

    Poppre, Beth Anne Edwards

    2017-01-01

    Understanding how university medical school faculty and staff perceive the institution's mission statement, in conjunction with their person-environment fit, can provide administration with useful insight into: employee's match to the institution's mission statement, employee level of organizational commitment, and reasons for retention. This…

  17. Faculty Satisfaction and Motivation: How Faculty Perceive Themselves in the Institutional Environment. ASHE Annual Meeting Paper.

    ERIC Educational Resources Information Center

    Spencer, Melinda G.; And Others

    The effect of the institutional culture on faculty commitment, motivation, and satisfaction when filtered through other factors in the organizational environment was investigated. Preliminary findings from research on "The Organizational Context for Teaching and Learning" at the National Center for Research to Improve Postsecondary…

  18. Distance Education, Disciplinary Environments and Deep Learning: A Quantitative Exploration of Faculty Instruction

    ERIC Educational Resources Information Center

    Bucci, David Andrew

    2014-01-01

    Many institutions have increasingly turned to distance education as a way to meet student and institutional needs while living within a constantly shrinking budget. While distance education has the potential to meet many resource-based challenges, its presence provides additional challenges to the faculty who direct the learning environment and…

  19. 40 CFR 194.41 - Active institutional controls.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 25 2011-07-01 2011-07-01 false Active institutional controls. 194.41... Assurance Requirements § 194.41 Active institutional controls. (a) Any compliance application shall include detailed descriptions of proposed active institutional controls, the controls' location, and the period of...

  20. 40 CFR 194.41 - Active institutional controls.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 25 2014-07-01 2014-07-01 false Active institutional controls. 194.41... Assurance Requirements § 194.41 Active institutional controls. (a) Any compliance application shall include detailed descriptions of proposed active institutional controls, the controls' location, and the period of...

  1. 40 CFR 194.41 - Active institutional controls.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Active institutional controls. 194.41... Assurance Requirements § 194.41 Active institutional controls. (a) Any compliance application shall include detailed descriptions of proposed active institutional controls, the controls' location, and the period of...

  2. 40 CFR 194.41 - Active institutional controls.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 26 2012-07-01 2011-07-01 true Active institutional controls. 194.41... Assurance Requirements § 194.41 Active institutional controls. (a) Any compliance application shall include detailed descriptions of proposed active institutional controls, the controls' location, and the period of...

  3. 40 CFR 194.41 - Active institutional controls.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 26 2013-07-01 2013-07-01 false Active institutional controls. 194.41... Assurance Requirements § 194.41 Active institutional controls. (a) Any compliance application shall include detailed descriptions of proposed active institutional controls, the controls' location, and the period of...

  4. Effects of self-recording on attendance and performance in a competitive swimming training environment

    PubMed Central

    McKenzie, Thomas L.; Rushall, Brent S.

    1974-01-01

    Swimmers' attendance at training and work rates were described by their coaches as being poor and irregular. Reinforcement contingencies were developed to remedy these unsatisfactory conditions. Two experiments were conducted. A multiple baseline design verified the effects of publicly marking attendance at practice as a sufficient solution for reducing absenteeism, tardiness, and leaving early. Follow-up analyses showed this contingency to have lasting effects. In the second experiment, a reversal design was used to assess the effects of employing program boards as a means of increasing work output during practice. Work rates in eight selected swimmers were elevated by an average of 27.1% when the boards were instituted. Follow-up evaluations showed that the use of the program boards had lasting effects. Publicly checking the completion of each training unit of work changed the nature of the swimming environment to produce a more productive use of time. The role of the coach was subsequently changed as less time was spent in directing and supervising behaviors. PMID:4436167

  5. Effects of self-recording on attendance and performance in a competitive swimming training environment.

    PubMed

    McKenzie, T L; Rushall, B S

    1974-01-01

    Swimmers' attendance at training and work rates were described by their coaches as being poor and irregular. Reinforcement contingencies were developed to remedy these unsatisfactory conditions. Two experiments were conducted. A multiple baseline design verified the effects of publicly marking attendance at practice as a sufficient solution for reducing absenteeism, tardiness, and leaving early. Follow-up analyses showed this contingency to have lasting effects. In the second experiment, a reversal design was used to assess the effects of employing program boards as a means of increasing work output during practice. Work rates in eight selected swimmers were elevated by an average of 27.1% when the boards were instituted. Follow-up evaluations showed that the use of the program boards had lasting effects. Publicly checking the completion of each training unit of work changed the nature of the swimming environment to produce a more productive use of time. The role of the coach was subsequently changed as less time was spent in directing and supervising behaviors.

  6. Building Undergraduate Physics Programs for the 21st Century

    NASA Astrophysics Data System (ADS)

    Hilborn, Robert

    2001-04-01

    Undergraduate physics programs in the United States are under stress because of changes in the scientific and educational environment in which they operate. The number of undergraduate physics majors is declining nationwide; there is some evidence that the "best" undergraduate students are choosing majors other than physics, and funding agencies seem to be emphasizing K-12 education. How can physics departments respond creatively and constructively to these changes? After describing some of the details of the current environment, I will discuss the activities of the National Task Force on Undergraduate Physics, supported by the American Institute of Physics, the America Physical Society, the American Association of Physics Teachers and the ExxonMobil Foundation. I will also present some analysis of Task Force site visits to departments that have thriving undergraduate physics programs, pointing out the key features that seem to be necessary for success. Among these features are department-wide recruitment and retention efforts that are the theme of this session.

  7. Water and health in Europe. A joint report from the European Environment Agency and the WHO Regional Office for Europe.

    PubMed

    2002-01-01

    Shortage of water may be most urgent health problem currently facing some European countries. Climate change is predicted to influence water availability, especially in coastal areas. The extend of provision of piped drinking-water supplies to households varies across Europe and between urban and rural populations. The utilization of water for irrigation and for industry exerts pressure on water resources. Changes in populaton distribution and density are key factors influencing the quality of water resources. Outbreaks of waterborne diseases continue to occur across Europe, and minor supply problems are encountered in all countries. Inadequate sewerage systems are a significant threat to public health. Numerous chemicals are found throughout the aquatic environment. Eutrophication is a major threat to European surface waters. Considerate evidence has accrued linking the quality of bathing water with minor illnesses. Additional efforts are required to sustain the European Region's water resources and to provide safe water. Partnerships and cooperation are needed between the environment and health sectors at al levels of government to disseminate technology, to improve management and to provide financial and institutional support to ensure access to safe water and sanitation for all.

  8. The course of Neuropsychological Performance and Functional Capacity in Older Patients with Schizophrenia: Influences of Previous history of long-term institutional Stay

    PubMed Central

    Harvey, Philip D.; Reichenberg, Abraham; Bowie, Christopher R.; Patterson, Thomas L.; Heaton, Robert K.

    2010-01-01

    Background Chronically institutionalized patients with schizophrenia have been reported to manifest cognitive and functional decline. Previous studies were limited by the fact that current environment could not be separated from life-time illness course. The present study examined older outpatients who varied in their lifetime history of long-term psychiatric inpatient stay. Methods Community dwelling patients with schizophrenia (n=111) and healthy comparison subjects (n=76) were followed up to 45 months and examined two or more times with a neuropsychological (NP) battery and performance-based measures of everyday living skills (UCSD Performance-based skills assessment; UPSA) and social competence. A mixed-effects model repeated-measures method was used to examine changes. Results There was a significant effect of institutional stay on the course of the UPSA. When the schizophrenia patients who completed all three assessments were divided on the basis of length of institutional stay and compared to healthy comparison subjects, patients with longer stays worsened on the UPSA and social competence while patients with shorter stays improved. For NP performance, both patient samples worsened slightly while the HC group manifested a practice effect. Reliable change index (RCI) analyses showed that worsening on the UPSA for longer stay patients was definitely nonrandom. Conclusions Life-time history of institutional stay was associated with worsening on measures of social and everyday living skills. NP performance in schizophrenia did not evidence the practice effect seen in the HC sample. These data suggest that schizophrenia patients with a history of long institutional stay may worsen even if they are no longer institutionalized. PMID:20202624

  9. PERPHECLIM ACCAF Project - Perennial fruit crops and forest phenology evolution facing climatic changes

    NASA Astrophysics Data System (ADS)

    Garcia de Cortazar-Atauri, Iñaki; Audergon, Jean Marc; Bertuzzi, Patrick; Anger, Christel; Bonhomme, Marc; Chuine, Isabelle; Davi, Hendrik; Delzon, Sylvain; Duchêne, Eric; Legave, Jean Michel; Raynal, Hélène; Pichot, Christian; Van Leeuwen, Cornelis; Perpheclim Team

    2015-04-01

    Phenology is a bio-indicator of climate evolutions. Measurements of phenological stages on perennial species provide actually significant illustrations and assessments of the impact of climate change. Phenology is also one of the main key characteristics of the capacity of adaptation of perennial species, generating questions about their consequences on plant growth and development or on fruit quality. Predicting phenology evolution and adaptative capacities of perennial species need to override three main methodological limitations: 1) existing observations and associated databases are scattered and sometimes incomplete, rendering difficult implementation of multi-site study of genotype-environment interaction analyses; 2) there are not common protocols to observe phenological stages; 3) access to generic phenological models platforms is still very limited. In this context, the PERPHECLIM project, which is funded by the Adapting Agriculture and Forestry to Climate Change Meta-Program (ACCAF) from INRA (French National Institute of Agronomic Research), has the objective to develop the necessary infrastructure at INRA level (observatories, information system, modeling tools) to enable partners to study the phenology of various perennial species (grapevine, fruit trees and forest trees). Currently the PERPHECLIM project involves 27 research units in France. The main activities currently developed are: define protocols and observation forms to observe phenology for various species of interest for the project; organizing observation training; develop generic modeling solutions to simulate phenology (Phenological Modelling Platform and modelling platform solutions); support in building research projects at national and international level; develop environment/genotype observation networks for fruit trees species; develop an information system managing data and documentation concerning phenology. Finally, PERPHECLIM project aims to build strong collaborations with public (Observatoire des Saisons) and private sector partners (technical institutes) in order to allow a more direct transfer of knowledge.

  10. Influencing policy change: the experience of health think tanks in low- and middle-income countries

    PubMed Central

    Bennett, Sara; Corluka, Adrijana; Doherty, Jane; Tangcharoensathien, Viroj; Patcharanarumol, Walaiporn; Jesani, Amar; Kyabaggu, Joseph; Namaganda, Grace; Hussain, A M Zakir; de-Graft Aikins, Ama

    2012-01-01

    In recent years there has been a growth in the number of independent health policy analysis institutes in low- and middle-income countries which has occurred in response to the limitation of government analytical capacity and pressures associated with democratization. This study aimed to: (i) investigate the contribution made by health policy analysis institutes in low- and middle-income countries to health policy agenda setting, formulation, implementation and monitoring and evaluation; and (ii) assess which factors, including organizational form and structure, support the role of health policy analysis institutes in low- and middle-income countries in terms of positively contributing to health policy. Six case studies of health policy analysis institutes in Bangladesh, Ghana, India, South Africa, Uganda and Vietnam were conducted including two NGOs, two university and two government-owned policy analysis institutes. Case studies drew on document review, analysis of financial information, semi-structured interviews with staff and other stakeholders, and iterative feedback of draft findings. Some of the institutes had made major contributions to policy development in their respective countries. All of the institutes were actively engaged in providing policy advice and most undertook policy-relevant research. Relatively few were engaged in conducting policy dialogues, or systematic reviews, or commissioning research. Much of the work undertaken by institutes was driven by requests from government or donors, and the primary outputs for most institutes were research reports, frequently combined with verbal briefings. Several factors were critical in supporting effective policy engagement. These included a supportive policy environment, some degree of independence in governance and financing, and strong links to policy makers that facilitate trust and influence. While the formal relationship of the institute to government was not found to be critical, units within government faced considerable difficulties. PMID:21558320

  11. Influencing policy change: the experience of health think tanks in low- and middle-income countries.

    PubMed

    Bennett, Sara; Corluka, Adrijana; Doherty, Jane; Tangcharoensathien, Viroj; Patcharanarumol, Walaiporn; Jesani, Amar; Kyabaggu, Joseph; Namaganda, Grace; Hussain, A M Zakir; de-Graft Aikins, Ama

    2012-05-01

    In recent years there has been a growth in the number of independent health policy analysis institutes in low- and middle-income countries which has occurred in response to the limitation of government analytical capacity and pressures associated with democratization. This study aimed to: (i) investigate the contribution made by health policy analysis institutes in low- and middle-income countries to health policy agenda setting, formulation, implementation and monitoring and evaluation; and (ii) assess which factors, including organizational form and structure, support the role of health policy analysis institutes in low- and middle-income countries in terms of positively contributing to health policy. Six case studies of health policy analysis institutes in Bangladesh, Ghana, India, South Africa, Uganda and Vietnam were conducted including two NGOs, two university and two government-owned policy analysis institutes. Case studies drew on document review, analysis of financial information, semi-structured interviews with staff and other stakeholders, and iterative feedback of draft findings. Some of the institutes had made major contributions to policy development in their respective countries. All of the institutes were actively engaged in providing policy advice and most undertook policy-relevant research. Relatively few were engaged in conducting policy dialogues, or systematic reviews, or commissioning research. Much of the work undertaken by institutes was driven by requests from government or donors, and the primary outputs for most institutes were research reports, frequently combined with verbal briefings. Several factors were critical in supporting effective policy engagement. These included a supportive policy environment, some degree of independence in governance and financing, and strong links to policy makers that facilitate trust and influence. While the formal relationship of the institute to government was not found to be critical, units within government faced considerable difficulties.

  12. Evaluating disparities in the U.S. technology transfer ecosystem to improve bench to business translation.

    PubMed

    Weis, James; Bashyam, Ashvin; Ekchian, Gregory J; Paisner, Kathryn; Vanderford, Nathan L

    2018-01-01

    Background: A large number of highly impactful technologies originated from academic research, and the transfer of inventions from academic institutions to private industry is a major driver of economic growth, and a catalyst for further discovery. However, there are significant inefficiencies in academic technology transfer. In this work, we conducted a data-driven assessment of translational activity across United States (U.S.) institutions to better understand how effective universities are in facilitating the transfer of new technologies into the marketplace. From this analysis, we provide recommendations to guide technology transfer policy making at both the university and national level. Methods: Using data from the Association of University Technology Managers U.S. Licensing Activity Survey, we defined a commercialization pipeline that reflects the typical path intellectual property takes; from initial research funding to startup formation and gross income. We use this pipeline to quantify the performance of academic institutions at each step of the process, as well as overall, and identify the top performing institutions via mean reciprocal rank. The corresponding distributions were visualized and disparities quantified using the Gini coefficient. Results: We found significant discrepancies in commercialization activity between institutions; a small number of institutions contribute to the vast majority of total commercialization activity. By examining select top performing institutions, we suggest improvements universities and technology transfer offices could implement to emulate the environment at these high-performing institutions. Conclusion: Significant disparities in technology transfer performance exist in which a select set of institutions produce a majority share of the total technology transfer activity. This disparity points to missed commercialization opportunities, and thus, further investigation into the distribution of technology transfer effectiveness across institutions and studies of policy changes that would improve the effectiveness of the commercialization pipeline is warranted.

  13. Evaluating disparities in the U.S. technology transfer ecosystem to improve bench to business translation

    PubMed Central

    Paisner, Kathryn; Vanderford, Nathan L.

    2018-01-01

    Background: A large number of highly impactful technologies originated from academic research, and the transfer of inventions from academic institutions to private industry is a major driver of economic growth, and a catalyst for further discovery. However, there are significant inefficiencies in academic technology transfer. In this work, we conducted a data-driven assessment of translational activity across United States (U.S.) institutions to better understand how effective universities are in facilitating the transfer of new technologies into the marketplace. From this analysis, we provide recommendations to guide technology transfer policy making at both the university and national level. Methods: Using data from the Association of University Technology Managers U.S. Licensing Activity Survey, we defined a commercialization pipeline that reflects the typical path intellectual property takes; from initial research funding to startup formation and gross income. We use this pipeline to quantify the performance of academic institutions at each step of the process, as well as overall, and identify the top performing institutions via mean reciprocal rank. The corresponding distributions were visualized and disparities quantified using the Gini coefficient. Results: We found significant discrepancies in commercialization activity between institutions; a small number of institutions contribute to the vast majority of total commercialization activity. By examining select top performing institutions, we suggest improvements universities and technology transfer offices could implement to emulate the environment at these high-performing institutions. Conclusion: Significant disparities in technology transfer performance exist in which a select set of institutions produce a majority share of the total technology transfer activity. This disparity points to missed commercialization opportunities, and thus, further investigation into the distribution of technology transfer effectiveness across institutions and studies of policy changes that would improve the effectiveness of the commercialization pipeline is warranted. PMID:29721313

  14. Revising the formal, retrieving the hidden: Undergraduate curricular reform in medicine and the scientific, institutional, & social transformation of the clinical training environment

    NASA Astrophysics Data System (ADS)

    Jagosh, Justin J.

    2009-12-01

    In 2004, members of the McGill University Faculty of Medicine began implementing a new curriculum for undergraduate medical education entitled, Physicianship: The Physician as Professional and Healer. The initiative underscores the idea that physician training entails cultivating not only scientific knowledge and technical skill, but a mindset guided by intrinsic principles of doctoring. Although the McGill case exemplifies a wide-spread paradigm shift in medical teaching, there is a dearth of analysis concerning the degree of congruency between the objectives of formal undergraduate curricular revision and the so-called 'hidden curriculum' of the hospital training environment. With Physicianship as a point of departure, this dissertation maps evolutionary patterns in clinical medicine and, using qualitative methods, analyzes the perspectives of twenty physician-educators on curricular reform and the transforming clinical training environment. Physicians interviewed were generally supportive of the new curricular initiative. Concerns were raised, however, that many recent changes within the teaching hospital environment interfere with students' cultivation of professional and healer attributes. These changes were organized into three main themes: scientific, institutional, and social. Physicians expressed concern that what is often considered beneficial for patients is often detrimental for medical training. For example, increased use of diagnostic technologies has improved patient care but reduces opportunities for trainees' clinical skill development. Concern was raised that the concept of selfless service has been undermined through recent shift-work regulations and a culture gap between older and younger generation physicians. Alternatively, some perceived new policies of the clinical environment to be more conducive to physicians' self-care and quality of life. Younger trainees were often described as more competent in managing medical information, more open to diversity, more candid about their needs, and more apt to challenge dogmatic or ethically substandard practices. The complexity of the transforming clinical environment is used to justify a rationale for developing the concept of Phronesis (practical wisdom) as a pedagogical framework. The concepts of 'acuity of perception' and 'mastery of emotion' are grounded in the data and analyzed for the development of Phronesis, to advance the field of medical education and support curricular initiatives such as the Physicianship program.

  15. The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement.

    PubMed

    Seamans, David P; Louka, Boshra F; Fortuin, F David; Patel, Bhavesh M; Sweeney, John P; Lanza, Louis A; DeValeria, Patrick A; Ezrre, Kim M; Ramakrishna, Harish

    2016-10-01

    The surgical and procedural specialties are continually evolving their methods to include more complex and technically difficult cases. These cases can be longer and incorporate multiple teams in a different model of operating room synergy. Patients are frequently older, with comorbidities adding to the complexity of these cases. Recording of this environment has become more feasible recently with advancement in video and audio capture systems often used in the simulation realm. We began using live capture to record a new procedure shortly after starting these cases in our institution. This has provided continued assessment and evaluation of live procedures. The goal of this was to improve human factors and situational challenges by review and debriefing. B-Line Medical's LiveCapture video system was used to record successive transcatheter aortic valve replacement (TAVR) procedures in our cardiac catheterization/laboratory. An illustrative case is used to discuss analysis and debriefing of the case using this system. An illustrative case is presented that resulted in long-term changes to our approach of these cases. The video capture documented rare events during one of our TAVR procedures. Analysis and debriefing led to definitive changes in our practice. While there are hurdles to the use of this technology in every institution, the role for the ongoing use of video capture, analysis, and debriefing may play an important role in the future of patient safety and human factors analysis in the operating environment.

  16. The utility of live video capture to enhance debriefing following transcatheter aortic valve replacement

    PubMed Central

    Seamans, David P.; Louka, Boshra F.; Fortuin, F. David; Patel, Bhavesh M.; Sweeney, John P.; Lanza, Louis A.; DeValeria, Patrick A.; Ezrre, Kim M.; Ramakrishna, Harish

    2016-01-01

    Background: The surgical and procedural specialties are continually evolving their methods to include more complex and technically difficult cases. These cases can be longer and incorporate multiple teams in a different model of operating room synergy. Patients are frequently older, with comorbidities adding to the complexity of these cases. Recording of this environment has become more feasible recently with advancement in video and audio capture systems often used in the simulation realm. Aims: We began using live capture to record a new procedure shortly after starting these cases in our institution. This has provided continued assessment and evaluation of live procedures. The goal of this was to improve human factors and situational challenges by review and debriefing. Setting and Design: B-Line Medical's LiveCapture video system was used to record successive transcatheter aortic valve replacement (TAVR) procedures in our cardiac catheterization/laboratory. An illustrative case is used to discuss analysis and debriefing of the case using this system. Results and Conclusions: An illustrative case is presented that resulted in long-term changes to our approach of these cases. The video capture documented rare events during one of our TAVR procedures. Analysis and debriefing led to definitive changes in our practice. While there are hurdles to the use of this technology in every institution, the role for the ongoing use of video capture, analysis, and debriefing may play an important role in the future of patient safety and human factors analysis in the operating environment. PMID:27762242

  17. 40 CFR 144.64 - Incapacity of owners or operators, guarantors, or financial institutions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., guarantors, or financial institutions. 144.64 Section 144.64 Protection of Environment ENVIRONMENTAL..., or financial institutions. (a) An owner or operator must notify the Regional Administrator by... institution. The owner or operator must establish other financial assurance or liability coverage within 60...

  18. Climate change and animal health in Africa.

    PubMed

    Van den Bossche, P; Coetzer, J A W

    2008-08-01

    Climate change is expected to have direct and indirect impacts on African livestock. Direct impacts include increased ambient temperature, floods and droughts. Indirect impacts are the result of reduced availability of water and forage and changes in the environment that promote the spread of contagious diseases through increased contact between animals, or increased survival or availability of the agent or its intermediate host. The distribution and prevalence of vector-borne diseases may be the most significant effect of climate change. The potential vulnerability of the livestock industry will depend on its ability to adapt to such changes. Enhancing this adaptive capacity presents a practical way of coping with climate change. Adaptive capacity could be increased by enabling the African livestock owner to cope better with animal health problems through appropriate policy measures and institutional support. Developing an effective and sustainable animal health service, associated surveillance and emergency preparedness systems and sustainable disease control and prevention programmes is perhaps the most important strategy for dealing with climate change in many African countries.

  19. Unhealthy Landscapes: Policy Recommendations on Land Use Change and Infectious Disease Emergence

    PubMed Central

    Patz, Jonathan A.; Daszak, Peter; Tabor, Gary M.; Aguirre, A. Alonso; Pearl, Mary; Epstein, Jon; Wolfe, Nathan D.; Kilpatrick, A. Marm; Foufopoulos, Johannes; Molyneux, David; Bradley, David J.

    2004-01-01

    Anthropogenic land use changes drive a range of infectious disease outbreaks and emergence events and modify the transmission of endemic infections. These drivers include agricultural encroachment, deforestation, road construction, dam building, irrigation, wetland modification, mining, the concentration or expansion of urban environments, coastal zone degradation, and other activities. These changes in turn cause a cascade of factors that exacerbate infectious disease emergence, such as forest fragmentation, disease introduction, pollution, poverty, and human migration. The Working Group on Land Use Change and Disease Emergence grew out of a special colloquium that convened international experts in infectious diseases, ecology, and environmental health to assess the current state of knowledge and to develop recommendations for addressing these environmental health challenges. The group established a systems model approach and priority lists of infectious diseases affected by ecologic degradation. Policy-relevant levels of the model include specific health risk factors, landscape or habitat change, and institutional (economic and behavioral) levels. The group recommended creating Centers of Excellence in Ecology and Health Research and Training, based at regional universities and/or research institutes with close links to the surrounding communities. The centers’ objectives would be 3-fold: a) to provide information to local communities about the links between environmental change and public health; b) to facilitate fully interdisciplinary research from a variety of natural, social, and health sciences and train professionals who can conduct interdisciplinary research; and c) to engage in science-based communication and assessment for policy making toward sustainable health and ecosystems. PMID:15238283

  20. The Nitrogen Footprint Tool for Institutions: Comparing Results for a Diverse Group of Institutions

    NASA Astrophysics Data System (ADS)

    Castner, E.; Leach, A. M.; Galloway, J. N.; Hastings, M. G.; Lantz-Trissel, J.; Leary, N.; Kimiecik, J.; de la Reguera, E.

    2015-12-01

    Anthropogenic production of reactive nitrogen (Nr) has drastically altered the nitrogen cycle over the past few decades by causing it to accumulate in the environment. A nitrogen footprint (NF) estimates the amount of Nr released to the environment as a result of an entity's activities. The Nitrogen Footprint Tool (NFT) for universities and institutions provides a standardized method for quantifying the NF for the activities and operations of these entities. The NFT translates data on energy use, food purchasing, sewage treatment, and fertilizer use to the amount of Nr lost to the environment using NOx and N2O emission factors, virtual nitrogen factors (VNFs) for food production, N reduction rates from wastewater treatment, and nitrogen uptake factors for fertilizer. As part of the Nitrogen Footprint Project supported by the EPA, seven institutions (colleges, universities, and research institutions) have completed NFT assessments: University of Virginia, University of New Hampshire, Brown University, Dickinson College, Colorado State University, Eastern Mennonite University, and the Marine Biological Laboratory. The results of these assessments reveal the magnitude of impacts on the global nitrogen cycle by different activities and sectors, and will allow these institutions to set NF reduction goals along with management decisions based on scenarios and projections in the NFT. The trends revealed in early analysis of the results include geographic differences based on regional energy sources and local sewage treatment, as well as operational differences that stem from institution type and management. As an example of the impact of management, the amount and type of food served directly impacts the food production NF, which is a large percentage of the total NF for all institutions (35-75%). Comparison of these first NF results will shed light on the primary activities of institutions that add Nr to the environment and examine the differences between them.

  1. Retooling Institutional Support Infrastructure for Clinical Research

    PubMed Central

    Snyder, Denise C.; Brouwer, Rebecca N.; Ennis, Cory L.; Spangler, Lindsey L.; Ainsworth, Terry L.; Budinger, Susan; Mullen, Catherine; Hawley, Jeffrey; Uhlenbrauck, Gina; Stacy, Mark

    2016-01-01

    Clinical research activities at academic medical centers are challenging to oversee. Without effective research administration, a continually evolving set of regulatory and institutional requirements can detract investigator and study team attention away from a focus on scientific gain, study conduct, and patient safety. However, even when the need for research administration is recognized, there can be struggles over what form it should take. Central research administration may be viewed negatively, with individual groups preferring to maintain autonomy over processes. Conversely, a proliferation of individualized approaches across an institution can create inefficiencies or invite risk. This article describes experiences establishing a unified research support office at the Duke University School of Medicine based on a framework of customer support. The Duke Office of Clinical Research was formed in 2012 with a vision that research administration at academic medical centers should help clinical investigators navigate the complex research environment and operationalize research ideas. The office provides an array of services that have received high satisfaction ratings. The authors describe the ongoing culture change necessary for success of the unified research support office. Lessons learned from implementation of the Duke Office of Clinical Research may serve as a model for other institutions undergoing a transition to unified research support. PMID:27125563

  2. Discussion of the enabling environments for decentralised water systems.

    PubMed

    Moglia, M; Alexander, K S; Sharma, A

    2011-01-01

    Decentralised water supply systems are becoming increasingly affordable and commonplace in Australia and have the potential to alleviate urban water shortages and reduce pollution into natural receiving marine and freshwater streams. Learning processes are necessary to support the efficient implementation of decentralised systems. These processes reveal the complex socio-technical and institutional factors to be considered when developing an enabling environment supporting decentralised water and wastewater servicing solutions. Critical to the technological transition towards established decentralised systems is the ability to create strategic and adaptive capacity to promote learning and dialogue. Learning processes require institutional mechanisms to ensure the lessons are incorporated into the formulation of policy and regulation, through constructive involvement of key government institutions. Engagement of stakeholders is essential to the enabling environment. Collaborative learning environments using systems analysis with communities (social learning) and adaptive management techniques are useful in refining and applying scientists' and managers' knowledge (knowledge management).

  3. Tri-Agency Coordination: Challenges and Successes in Creating a Community of Practice among Climate Change Education Principal Investigators funded by NASA, NOAA, and NSF

    NASA Astrophysics Data System (ADS)

    Schoedinger, S. E.; McDougall, C.; Karsten, J. L.; Campbell, D.; Pippin, M. R.; Chambers, L. H.

    2013-12-01

    The effort needed for comprehensive climate change education is far greater than any one institution, education sector, or even federal agency can handle. Recognizing a need to synergistically combine efforts, NSF, NASA, and NOAA have created a collaborative community of their climate change education principal investigators (PIs) through tri-agency coordination. The goals of this tri-agency collaboration are to leverage existing resources, minimize duplicate efforts, and facilitate communication among this emergent community of scientists and educators. NASA, NOAA, and NSF work together to strategically coordinate and support a portfolio of projects focused on climate literacy and education in formal and informal learning environments. The activities of the tri-agency collaboration, including annual meetings for PIs, a catalog of the agencies collective investments in climate change education and the ongoing development of a nascent common evaluation framework, have created a strong national network for effectively engaging diverse audiences with the principles of climate literacy (see Eos Vol. 92, No. 24, 14 June 2011). Last year, after 3 years of active collaboration, similar programs underway at other U.S. Global Change Research Program agencies: the EPA, National Institutes for Environmental Health Sciences, and USDA, were engaged in the collaboration. And, in an attempt to understand the interests of the private sector in this arena, conversations have begun with private philanthropic organizations. This year, as many of the funded projects are maturing, the PI meeting will have a focus on bringing this community together to create a science-theme based tangible outcome that can move the field of climate change education forward. Additional outcomes from this PI meeting will be presented as well as the challenges that were encountered in bringing together institutions with diverse missions, and approaches developed to ensure all parties feel they're benefiting from the collaboration.

  4. Institutional Churn: Institutional Change in United Kingdom Higher Education

    ERIC Educational Resources Information Center

    Tight, Malcolm

    2013-01-01

    This article considers how higher education institutions change over time, using the United Kingdom system as an exemplar, and focusing on the 15-year period between 1994/95 and 2009/10. While there are many aspects of institutional change worthy of study, the focus here is on how institutions appear to others. Thus, the article examines the…

  5. Institutional Level Identity Control Strategies in the Distance Education Environment: A Survey of Administrative Staff

    ERIC Educational Resources Information Center

    Amigud, Alexander

    2013-01-01

    Physical separation of students and instructors creates the gap of anonymity and limited control over the remote learning environment. The ability of academic institutions to authenticate students and validate authorship of academic work at various points during a course is necessary for preserving not only perceived credibility but also public…

  6. Does Racism Exist in the Online Classroom Learning Environment? Perceptions of Online Undergraduate Students

    ERIC Educational Resources Information Center

    Hopson, Anna C.

    2014-01-01

    In U.S. history, racism has existed in traditional brick-and-mortar academic institutions for hundreds of years. With the increase of online learning--a strategic and effective form of education for many academic institutions of higher education--the question being asked is, Does racism exist in the online classroom learning environment? This…

  7. Examining Hometown Environments and University Experiences: A Qualitative Study of Gay Latino College Students' Identity Challenges at Two Predominantly White Institutions

    ERIC Educational Resources Information Center

    Pena-Talamantes, Abraham E.

    2017-01-01

    Using grounded theory methodology to analyze in-depth interviews, participant-taken photographs, and written reflections, this dissertation examines the hometown environments and university experiences of twenty-five gay Latino-identifying college students enrolled at predominantly white institutions in two separate US locations. This study finds…

  8. The Use of an Information Brokering Tool in an Electronic Museum Environment.

    ERIC Educational Resources Information Center

    Zimmermann, Andreas; Lorenz, Andreas; Specht, Marcus

    When art and technology meet, a huge information flow has to be managed. The LISTEN project conducted by the Fraunhofer Institut in St. Augustin (Germany) augments every day environments with audio information. In order to distribute and administer this information in an efficient way, the Institute decided to employ an information brokering tool…

  9. Condition of Safe Environment Creation in Preschool Educational Institutions and Its Development Prospects

    ERIC Educational Resources Information Center

    Braslauskiene, Rasa; Vismantiene, Reda; Thorsteinsson, Gisli

    2010-01-01

    Educators should attempt to create a common and solid strategy in preschool educational institutions in order to sufficiently ensure a safe social environment of children. A research examining health and safety issues in Lithuanian preschools was carried out in Klaipeda. The aim of this paper was to analyse the conditions of safe environment…

  10. Institutional Approach to Establishment of a Structural Model of the Russian Academic Environment Development

    ERIC Educational Resources Information Center

    Dudin, Mikhail N.; Ivashchenko, Natalia P.; Frolova, ?vgenia ?.; Abashidze, Aslan H.

    2017-01-01

    The purpose of the present article is to generalize and unify the approaches to improvement of the institutional environment that ensures optimal functioning and sustainable development of the Russian academic sphere. The following conclusions and results have been obtained through presentation of the materials in the article: (1) Improvement of…

  11. Creating and Nurturing a Community of Practice for Language Teachers in Higher Education

    ERIC Educational Resources Information Center

    MacKinnon, Teresa

    2013-01-01

    This case study investigates the implementation of a virtual learning environment designed for language teachers for an institution-wide language programme in a UK higher education institution. This development has taken place over a 3 year period and included a pilot virtual learning environment for 300, followed by a full implementation to more…

  12. Experiences and Challenges of International Students in Technology-Rich Learning Environments

    ERIC Educational Resources Information Center

    Habib, Laurence; Johannesen, Monica; Øgrim, Leikny

    2014-01-01

    This article presents a study of international students and their use of technology in a Scandinavian institution of Higher Education. A special emphasis is placed on patterns of use of a virtual learning environment (VLE) that is available to all the study programmes at the institution. Actor-Network Theory (ANT) is used as a theoretical approach…

  13. 40 CFR 26.1503 - Disqualification of an IRB or an institution.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., and (2) The noncompliance adversely affects the rights or welfare of the human subjects of research... institution. 26.1503 Section 26.1503 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL... an institution. (a) Whenever the IRB or the institution has failed to take adequate steps to correct...

  14. 40 CFR 26.1503 - Disqualification of an IRB or an institution.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., and (2) The noncompliance adversely affects the rights or welfare of the human subjects of research... institution. 26.1503 Section 26.1503 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL... an institution. (a) Whenever the IRB or the institution has failed to take adequate steps to correct...

  15. 40 CFR 26.1503 - Disqualification of an IRB or an institution.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., and (2) The noncompliance adversely affects the rights or welfare of the human subjects of research... institution. 26.1503 Section 26.1503 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL... an institution. (a) Whenever the IRB or the institution has failed to take adequate steps to correct...

  16. 40 CFR 26.1503 - Disqualification of an IRB or an institution.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., and (2) The noncompliance adversely affects the rights or welfare of the human subjects of research... institution. 26.1503 Section 26.1503 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL... an institution. (a) Whenever the IRB or the institution has failed to take adequate steps to correct...

  17. 40 CFR 26.1503 - Disqualification of an IRB or an institution.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., and (2) The noncompliance adversely affects the rights or welfare of the human subjects of research... institution. 26.1503 Section 26.1503 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL... an institution. (a) Whenever the IRB or the institution has failed to take adequate steps to correct...

  18. 40 CFR 261.148 - Incapacity of owners or operators, guarantors, or financial institutions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., guarantors, or financial institutions. 261.148 Section 261.148 Protection of Environment ENVIRONMENTAL... owners or operators, guarantors, or financial institutions. (a) An owner or operator must notify the... financial assurance or liability coverage in the event of bankruptcy of the trustee or issuing institution...

  19. 76 FR 8372 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-14

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d... Institute of Child Health and Human Development Special Emphasis Panel; Risk Genes and Environment...

  20. "Institutional Autism" in Children Adopted Internationally: Myth or Reality?

    ERIC Educational Resources Information Center

    Gindis, Boris

    2008-01-01

    "Institutional autism" is understood as a "learned behavior" produced by an institutional environment such as an orphanage. Some autistic-like behaviors may be adaptive in an institution, but become mal-adaptive after the child's adoption into a family. A differential diagnosis between autism as a medical condition and learned…

  1. Exploring a Model of Situated Professional Development: Impact on Classroom Practice

    NASA Astrophysics Data System (ADS)

    Singer, Jonathan; Lotter, Christine; Feller, Robert; Gates, Harry

    2011-04-01

    A hallmark of current science education reform involves teaching through inquiry. However, the widespread use of inquiry-based instruction in many classrooms has not occurred (Roehrig and Luft in Int J Sci Educ 26:3-24, 2004; Schneider et al. in J Res Sci Teach 42:283-312, 2005). The purpose of this study was to investigate the impact of a professional development program on middle school science teachers' ability to enact inquiry-based pedagogical practices. Data were generated through evaluation of teacher practice using the Reformed Teaching Observation Protocol (RTOP) (Sawada et al. in School Sci Math 102:245-253, 2002) at three distinct junctures, before, during, and after the professional development treatment. Analysis of teacher-participant post-institute reflections was then utilized to determine the perceived role of the various institute components. Statistical significant changes in RTOP scores indicated that the teachers were able to successfully transfer the enactment of the inquiry-based practices into their classrooms. The subsequent discussion provides connection between these pedagogical changes with use of professional development strategies that provide a situated learning environment.

  2. Jump for the Sun II: can a Monthly Program Change Girls' and Women's Attitudes about Stem?

    NASA Astrophysics Data System (ADS)

    Crowe, Mary

    The Environmental Institute of the Jump for the Sun II program was designed to change middle school girls' and teachers' attitudes about doing science and who does science and to increase interest in science, technology, engineering, and mathematics. The institute consisted of an intensive, 2-week summer congress followed by monthly sessions during the academic year. Female-friendly learning environments were created for middle school students and in-service educators, focusing on topics such as life expectancies, solid waste production, transportation gridlock, beach erosion, and biodiversity. In both 1998 and 1999, one group of participants completed the program, which was quantitatively and qualitatively evaluated. The quantitative results showed that the program did not improve girls' attitudes in any of the major categories under study; however, the posttest results indicated that in-service educators' attitudes improved significantly in three of the four categories (science experiences, perceptions of science and scientists, and science attitudes). The qualitative results indicated that the program positively affected some of the girls and in-service educators.

  3. Values: the dynamic nexus between biology, ecology and culture.

    PubMed

    Fischer, Ronald; Boer, Diana

    2016-04-01

    Values are motivational goals that influence attitudes, behaviors and evaluations. Cross-cultural evidence suggests that values show a systematic structure. Personal and cultural variations in the value structure, value priorities and value links to attitudes, behavior and well-being reflect contextual constraints and affordances in the environment, suggesting that values function as broadly adaptive psychological structures. The internal structure of values (the descriptive value system) becomes more clearly differentiated in more economically developed contexts. Value priorities shift toward more autonomous, self-expressive and individualistic orientations with greater economic resources and less ecological stress. In addition to systematic changes in internal structure, value links to attitudes, behaviors and well-being are influenced by economic, ecological and institutional contexts. Values are more likely to be expressed in attitudes and behavior if individuals have greater access to economic resources, experience less institutional and ecological stress or when the values reinforce culturally normative behavior. Frontiers for further value research include a greater examination of the neural underpinnings of values in specific ecological contexts and across the lifespan; and an examination of how values are behaviorally instantiated in different environments. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Foreign direct investment, institutional development, and environmental externalities: evidence from China.

    PubMed

    Wang, Danny T; Chen, Wendy Y

    2014-03-15

    The question of how foreign direct investment (FDI) affects a host country's natural environment has generated much debate but little consensus. Building on an institution-based theory, this article examines how the institutional development of a host setting affects the degree of FDI-related environmental externalities in China (specifically, industrial sulfur dioxide emissions). With a panel data set of 287 Chinese cities, over the period 2002-2009, this study reveals that FDI in general induces negative environmental externalities. Investments from OECD countries increase sulfur dioxide emissions, whereas FDI from Hong Kong, Macau, and Taiwan shows no significant effect. Institutional development reduces the impacts of FDI across the board. By focusing on the moderating role of institutions, this study sheds new light on the long-debated relationships among FDI, institutions, and the environments of the host countries. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Understanding the NIH review process: a brief guide to writing grant proposals in neurotoxicology.

    PubMed

    Audesirk, G; Burbacher, T; Guilarte, T R; Laughlin, N K; Lopachin, R; Suszkiw, J; Tilson, H

    1999-02-01

    During the past two years, the National Institutes of Health have made significant changes in the review process for investigator-initiated research grant applications in neurotoxicology. First, study sections that formerly dealt with toxicology and alcohol, respectively, have been merged. Neurotoxicology grant applications are now reviewed by ALTX-3, a study section in which the majority of members have expertise in the neuronal, biochemical or behavioral effects of alcohol, but usually not other neurotoxicants. Second, the NIH has instituted new review criteria, in which significance, approach, innovation, investigator expertise, and research environment must all be explicitly addressed by the reviews. In this article, past and present members of the ALTX-3 study section describe the NIH review process, with emphasis on how neurotoxicology applications are handled, and provide guidelines for preparing competitive applications.

  6. Implementing Effective Substance Abuse Treatments in General Medical Settings: Mapping the Research Terrain

    PubMed Central

    Ducharme, Lori J.; Chandler, Redonna K.; Harris, Alex H. S.

    2015-01-01

    The National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institute on Drug Abuse (NIDA), and Veterans Health Administration (VHA) share an interest in promoting high quality, rigorous health services research to improve the availability and utilization of evidence-based treatment for substance use disorders (SUD). Recent and continuing changes in the healthcare policy and funding environments prioritize the integration of evidence-based substance abuse treatments into primary care and general medical settings. This area is a prime candidate for implementation research. Recent and ongoing implementation projects funded by these agencies are reviewed. Research in five areas is highlighted: screening and brief intervention for risky drinking; screening and brief intervention for tobacco use; uptake of FDA-approved addiction pharmacotherapies; safe opioid prescribing; and disease management. Gaps in the portfolios, and priorities for future research, are described. PMID:26233697

  7. Widening Paths to Success, Improving the Environment, and Moving Toward Lessons Learned from the Experiences of Powre and Cbl Awardees

    NASA Astrophysics Data System (ADS)

    Rosser, Sue V.; Daniels, Jane Z.

    To better understand the barriers and discouragements encountered by female faculty members in science and engineering, this article compares the experience of National Science Foundation - funded Professional Opportunities for Women in Research and Education (POWRE) awardees and Clare Boothe Luce (CBL) Professorship recipients. Because most POWRE awardees work at research institutions, and many CBL professors teach at small liberal arts colleges, this study helps in understanding the experiences of female faculty members across a broad spectrum of academic settings. Their experiences suggest positive changes in institutional policies or practices to increase the satisfaction, retention, and success of female faculty members infields in which they are the least well represented. The retention of female faculty members becomes critical for attracting undergraduate students as they consider the wisdom of choosing careers in academia.

  8. PREFACE: Ocean and climate changes in polar and sub-polar environments: proceedings from the 2010 IODP-Canada/ECORD summer school

    NASA Astrophysics Data System (ADS)

    St-Onge, Guillaume; Veiga-Pires, Cristina; Solignac, Sandrine

    2011-05-01

    IODP logoECORD logo The European Consortium for Ocean Drilling Program (ECORD), the Canadian Consortium for Ocean Drilling (CCOD), the Network of the Universités du Québec (UQ), the Université du Québec à Montréal (UQAM) and GEOTOP sponsored, in 2010, a summer school entitled 'Ocean and climate changes in polar and sub-polar environments'. This summer school took place from 27 June to 12 July in Rimouski, Québec city and Montréal (Quebec, Canada) and was attended by nineteen students and postdoctoral fellows from seven countries: Canada, France, Germany, UK, Serbia, Portugal and the USA. Lectures, hands-on laboratory exercises and laboratory visits were conducted at the Institut des Sciences de la Mer de Rimouski (ISMER), Institut National de la Recherche Scientifique - Centre Eau Terre Environnement (INRS-ETE) and UQAM, in addition to two field trips and a short geological and geophysical cruise on board the R/V Coriolis II in the St Lawrence Estuary and Saguenay Fjord. During the summer school, more than twenty researchers gave lectures on the use of several paleoceanographic and geophysical techniques to reconstruct ocean and climate changes in polar and sub-polar environments. Some of these lectures are presented as short review papers in this volume. They are intended to portray a brief, but state-of-the-art overview of an array of techniques applied to Arctic and sub-Arctic environments, as well as the geological background information needed by the summer school participants to put the scientific expedition and fieldwork into context. The volume begins with a view on the great challenges and key issues to be addressed in the Arctic Ocean (Stein) in the forthcoming years and is followed by a review (O'Regan) on Late Cenozoic paleoceanography of the Central Arctic. The two subsequent papers (St-Onge et al and de Vernal et al) deal with the oceanographic, paleoceanographic and geological context of the Saguenay Fjord, and St Lawrence Estuary and Gulf. The subsequent set of papers review the use of planktonic foraminifers (Eynaud), diatoms (Crosta) and dinocysts (de Vernal and Rochon) in polar or sub-polar environments. These articles are followed by a paper on transfer functions (Guiot) summarizing the different approaches used to reconstruct past environmental conditions from micropaleontological proxy data. Two papers on geochemical and isotopic proxies are then presented and related to either foraminifera isotopic records (Hillaire-Marcel) in high northern latitudes or changes in ocean circulation and weathering inputs derived from radiogenic isotopes (Frank). The volume concludes with a paper on the application of visible/near infrared derivative spectroscopy to Arctic sediments (Ortiz). All the papers published in this volume benefited from the reviews of at least two reviewers, whom we thank for their valuable time and comments. We also thank the crew of the Coriolis II, and the many scientists, participants and volunteers who contributed to the summer school and made it a great success. In addition to GEOTOP and UQAM, the following institutions contributed to the organization of the summer school: ISMER, INRS-ETE, the Geological Survey of Canada, and REFORMAR. Finally, we thank Hélène Gaonac'h (UQAM) for coordinating the summer school and Anne de Vernal (UQAM) for her leadership throughout the summer school. Editors Guillaume St-Onge Canada Research Chair in Marine Geology, Institut des sciences de la mer de Rimouski (ISMER) & GEOTOP Research Center, 310 allée des Ursulines, Rimouski, Québec, Canada, G5L 3A1 Cristina Veiga-Pires FCMA - CIMA, Universidade do Algarve, Campus de Gambelas, 8000-117 Faro, Portugal Sandrine Solignac GEOTOP, Université du Québec à Montréal, PO Box 8888, succursale 'centre ville' Montréal, QC, H3C 3P8 Canada Scientists who contributed to the summer school: Hans Asnong (UQAM/GEOTOP, Canada) Gilles Bellefleur (Geological Survey of Canada-Ottawa, Canada) Anne de Vernal (UQAM/GEOTOP, Canada) Mathieu Duchesne (Geological Survey of Canada-Québec, Canada) Frédérique Eynaud (EPOC/Universite Bordeaux I, France) Pierre Francus (INRS-ETE/GEOTOP, Canada) Martin Frank (IFM-GEOMAR, Germany) Yves Gélinas (Concordia/GEOTOP, Canada) Joël Guiot (CEREGE, France) Claude Hillaire-Marcel (UQAM/GEOTOP, Canada) Patrick Lajeunesse (University Laval, Canada) Jean-François Lemieux (Courant Institute of Mathematical Sciences, New York University, USA) Guillaume Massé (LOCEAN/Institut Pierre-Simon Laplace, France) Matt O'Regan (Cardiff University, UK) Joseph Ortiz (Kent State University, USA) Frank Rack (University Nebraska-Lincoln, USA/ANDRILL Science Management Office) Taoufik Radi (UQAM/GEOTOP, Canada) André Rochon (ISMER-UQAR/GEOTOP, Canada) Ruediger Stein (Alfred Wegener Institute, Germany) Guillaume St-Onge (ISMER-UQAR/GEOTOP, Canada) Bjorn Sundby (ISMER-UQAR, Canada) GEOTOP logoUQAM UQAR logoINRS logo Universite de Quebec logoGeological Survey of Canada logo

  9. Institute Study Report

    NASA Technical Reports Server (NTRS)

    Whitaker, Ann; Steadman, Jackie; Little, Sally; Underwood, Debra; Blackman, Mack; Simonds, Judy

    1997-01-01

    This report documents a study conducted by the MSFC working group on Institutes in 1995 on the structure, organization and business arrangements of Institutes at a time when the agency was considering establishing science institutes. Thirteen institutes, ten science centers associated with the state of Georgia, Stanford Research Institute (SRI), and IIT Research Institute (IITRI), and general data on failed institutes were utilized to form this report. The report covers the working group's findings on institute mission, structure, director, board of directors/advisors, the working environment, research arrangements, intellectual property rights, business management, institute funding, and metrics.

  10. The critical attributes of leadership.

    PubMed

    Campbell, C A

    1992-11-01

    The final decade of this century is a period of unprecedented change that by all indicators will continue unabated well into the next millennium. This article explored some elemental and immutable truths about leadership, management, communication, and negotiation essential to organizational success, particularly during periods of accelerated change. The case is made for a level of integrity, ethical conduct, and self-control to match the technical competence essential for managerial success in a technologically intensive work environment. These attributes and skills coupled with a widening scope of institutional vision are critical to sustained leadership and growth in an unstable world. Those without these abilities will be diminished in their capacity to communicate or negotiate. Hence, they will be thwarted or powerless to create task attraction, to effect change, or to promote excellence. These lessons are applicable to the dynamic changes occurring within the health care industrial complex, including health information management.

  11. Deep learning for segmentation of brain tumors: can we train with images from different institutions?

    NASA Astrophysics Data System (ADS)

    Paredes, David; Saha, Ashirbani; Mazurowski, Maciej A.

    2017-03-01

    Deep learning and convolutional neural networks (CNNs) in particular are increasingly popular tools for segmentation and classification of medical images. CNNs were shown to be successful for segmentation of brain tumors into multiple regions or labels. However, in the environment which fosters data-sharing and collection of multi-institutional datasets, a question arises: does training with data from another institution with potentially different imaging equipment, contrast protocol, and patient population impact the segmentation performance of the CNN? Our study presents preliminary data towards answering this question. Specifically, we used MRI data of glioblastoma (GBM) patients for two institutions present in The Cancer Imaging Archive. We performed a process of training and testing CNN multiple times such that half of the time the CNN was tested on data from the same institution that was used for training and half of the time it was tested on another institution, keeping the training and testing set size constant. We observed a decrease in performance as measured by Dice coefficient when the CNN was trained with data from a different institution as compared to training with data from the same institution. The changes in performance for the entire tumor and for four different labels within the tumor were: 0.72 to 0.65 (p=0.06), 0.61 to 0.58 (p=0.49), 0.54 to 0.51 (p=0.82), 0.31 to 0.24 (p<0.03), and 0.43 to 0.31(p<0.003) respectively. In summary, we found that while data across institutions can be used for development of CNNs, this might be associated with a decrease in performance.

  12. The emerging role of national academies in surgical training: an inspiring environment for increasing the quality of health care in breast cancer management.

    PubMed

    Yilmaz, Osman Cem; Cantürk, Nuh Zafer; Kebudi, Abut; Güler, Sertaç Ata; Erkek, Ahmet; Rezai, Mahdi; Güllüoğlu, Bahadir M

    2014-06-01

    Medical education, both graduate and postgraduate, is given at medical schools and affiliated teaching hospitals. The training at these institutions is necessary and valuable. In each field of the medical profession, the relevant science is being developed and changed constantly. Training of medical staff and auxilliary professionals must be adaptable to changes in the field. Also, the development of standards for the diagnosis and treatment of diseases is important. Independent institutions, called academies, serve an extremely useful task in the continuing further training that needs to be adjusted according to individual needs. Academies are independent and free from bureaucracies. Standardized records are uniform and comparable at these institutions. Both patients and medical staff receive training from these institutions. In this way, a high standard is provided in medicine, error rates are decreased and patient satisfaction is increased. Breast cancer, the most common tumor in women, is a serious cause of morbidity and mortality. The European Institute of Oncology (EIO) in Milan, Italy and the European Academy of Senology in Duesseldorf, Germany play important roles in establishing the standards of breast care. They provide substantial training for physicians to achieve high quality in breast cancer management. SENATURK (Senoloji Akademisi, Turkish Academy of Senology) was established in 2010 in Istanbul, Turkey. Both national and international scientists and physicians including eminent senologists are currently faculty members of this young organization. SENATURK collaborates with other institutions in Europe. Its missions include developing training programs for each level of the profession, as well as developing data recording systems and electronic learning tools for breast cancer prevention, diagnosis, treatment, rehabilitation and palliation. Briefly, SENATURK plays a significant role as the opinion leader on every aspect of health care related to conditions and diseases of the breast.

  13. Faculty development initiatives to advance research literacy and evidence-based practice at CAM academic institutions.

    PubMed

    Long, Cynthia R; Ackerman, Deborah L; Hammerschlag, Richard; Delagran, Louise; Peterson, David H; Berlin, Michelle; Evans, Roni L

    2014-07-01

    To present the varied approaches of 9 complementary and alternative medicine (CAM) institutions (all grantees of the National Center for Complementary and Alternative Medicine) used to develop faculty expertise in research literacy and evidence-based practice (EBP) in order to integrate these concepts into CAM curricula. A survey to elicit information on the faculty development initiatives was administered via e-mail to the 9 program directors. All 9 completed the survey, and 8 grantees provided narrative summaries of faculty training outcomes. The grantees found the following strategies for implementing their programs most useful: assess needs, develop and adopt research literacy and EBP competencies, target early adopters and change leaders, employ best practices in teaching and education, provide meaningful incentives, capitalize on resources provided by grant partners, provide external training opportunities, and garner support from institutional leadership. Instructional approaches varied considerably across grantees. The most common were workshops, online resources, in-person short courses, and in-depth seminar series developed by the grantees. Many also sent faculty to intensive multiday extramural training programs. Program evaluation included measuring participation rates and satisfaction and the integration of research literacy and EBP learning objectives throughout the academic curricula. Most grantees measured longitudinal changes in beliefs, attitudes, opinions, and competencies with repeated faculty surveys. A common need across all 9 CAM grantee institutions was foundational training for faculty in research literacy and EBP. Therefore, each grantee institution developed and implemented a faculty development program. In developing the framework for their programs, grantees used strategies that were viewed critical for success, including making them multifaceted and unique to their specific institutional needs. These strategies, in conjunction with the grantees' instructional approaches, can be of practical use in other CAM and non-CAM academic environments considering the introduction of research literacy and EBP competencies into their curricula.

  14. An agent-based model of centralized institutions, social network technology, and revolution.

    PubMed

    Makowsky, Michael D; Rubin, Jared

    2013-01-01

    This paper sheds light on the general mechanisms underlying large-scale social and institutional change. We employ an agent-based model to test the impact of authority centralization and social network technology on preference falsification and institutional change. We find that preference falsification is increasing with centralization and decreasing with social network range. This leads to greater cascades of preference revelation and thus more institutional change in highly centralized societies and this effect is exacerbated at greater social network ranges. An empirical analysis confirms the connections that we find between institutional centralization, social radius, preference falsification, and institutional change.

  15. Contextual influence on evaluation capacity building in a rapidly changing environment under new governmental policies.

    PubMed

    Chen, Karen Hui-Jung

    2017-12-01

    Evaluation capacity building (ECB) is a context-dependent process. Contextual factors affecting ECB implementation have been explored theoretically and practically, but their influence within a changing environment has seldom been discussed. This study examined essential context-sensitive parameters, particularly those involved in implementing new governmental policies regarding higher education. Taiwan was used as a case study for exploring the effect of contextual change on ECB attributes from the perspectives of training receivers and providers. Surveys and interviews were used for data collection and importance-performance analysis was applied for data analysis. Four prominent features were identified. First, the ECB attributes perceived as important by receivers were performed adequately, whereas those perceived as less important were performed less well. Second, under new policies, training provider designed training covering a wide range of ECB, whereas receivers focused on those can be directly applied in evaluation process. Third, in a small education system such as Taiwan's, the complexity of peer review is high and ethical issues become important. Fourth, because the evaluation structure has been changed from single- to dual-track, receivers expect more training for institution staff, whereas providers insist on hierarchical training. Aligning ECB supply and needs is paramount for adaptation to new policies. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Successful strategies for the reduction of operating room turnover times in a tertiary care academic medical center.

    PubMed

    Kodali, Bhavani S; Kim, Dennie; Bleday, Ronald; Flanagan, Hugh; Urman, Richard D

    2014-04-01

    Turnover time (TOT) is one of the classic measures of operating room (OR) efficiency. There have been numerous efforts to reduce TOTs, sometimes through the employment of a process improvement framework. However, most examples of process improvement in the TOT focus primarily on operational changes to workflows and statistical significance. These examples of process improvement do not detail the complex organizational challenges associated with implementing, expanding, and sustaining change. TOT data for general and gastrointestinal surgery were collected retrospectively over a 26-mo period at a large multispecialty academic institution. We calculated mean and median TOTs. TOTs were excluded if the sequence of cases was changed or cases were canceled. Data were retrieved from the perioperative nursing data entry system. Using performance improvement strategies, we determined how various events and organizational factors created an environment that was receptive to change. This ultimately led to a sustained decrease in the OR TOT both in the general and gastrointestinal surgery ORs that were the focus of the study (44.8 min versus 48.6 min; P < 0.0001) and other subspecialties (49.3 min versus 53.0 min; P < 0.0001), demonstrating that the effect traveled outside the study area. There are obstacles, such as organizational culture and institutional inertia, that OR leaders, managers, and change agents commonly face. Awareness of the numerous variables that may support or impede a particular change effort can inform effective change implementation strategies that are "organizationally compatible." Copyright © 2014 Elsevier Inc. All rights reserved.

  17. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement.

    PubMed

    Spence Laschinger, Heather K; Leiter, Michael P

    2006-05-01

    To test a theoretical model of professional nurse work environments linking conditions for professional nursing practice to burnout and, subsequently, patient safety outcomes. The 2004 Institute of Medicine report raised serious concerns about the impact of hospital restructuring on nursing work environments and patient safety outcomes. Few studies have used a theoretical framework to study the nature of the relationships between nursing work environments and patient safety outcomes. Hospital-based nurses in Canada (N = 8,597) completed measures of worklife (Practice Environment Scale of the Nursing Work Index), burnout (Maslach Burnout Inventory-Human Service Scale), and their report of frequency of adverse patient events. Structural equation modeling analysis supported an extension of Leiter and Laschinger's Nursing Worklife Model. Nursing leadership played a fundamental role in the quality of worklife regarding policy involvement, staffing levels, support for a nursing model of care (vs medical), and nurse/physician relationships. Staffing adequacy directly affected emotional exhaustion, and use of a nursing model of care had a direct effect on nurses' personal accomplishment. Both directly affected patient safety outcomes. The results suggest that patient safety outcomes are related to the quality of the nursing practice work environment and nursing leadership's role in changing the work environment to decrease nurse burnout.

  18. Operating safely in surgery and critical care with perioperative automation.

    PubMed

    Grover, Christopher; Barney, Kate

    2004-01-01

    A study by the Institute of Medicine (IOM) found that as many as 98,000 Americans die each year from preventable medical errors. These findings, combined with a growing spate of negative publicity, have brought patient safety to its rightful place at the healthcare forefront. Nowhere are patient safety issues more critical than in the anesthesia, surgery and critical care environments. These high-acuity settings--with their fast pace, complex and rapidly changing care regimens and mountains of diverse clinical data-arguably pose the greatest patient safety risk in the hospital.

  19. Mobile Technology Applications in Cancer Palliative Care.

    PubMed

    Freire de Castro Silva, Sandro Luís; Gonçalves, Antônio Augusto; Cheng, Cezar; Fernandes Martins, Carlos Henrique

    2018-01-01

    Mobile devices frequently used in other specialties can find great utility in palliative care. For healthcare professionals, the use of mobile technology not only can bring additional resources to the care, but it can actually radically change the cancer remote care practices. The Brazilian National Cancer Institute (INCA) has developed the largest cancer home care program in Latin America, which currently benefits more than 500 patients. The purpose of this paper is to show the development of an ICT environment of mobile applications developed to support the palliative cancer care program at INCA.

  20. School transitions, peer influence, and educational expectation formation: Girls and boys.

    PubMed

    Andrew, Megan; Flashman, Jennifer

    2017-01-01

    School transitions are a regular feature of the educational career. While they are of general interest as instances of academic change, they also represent instances of peer environment and influence change. Previous theoretical and empirical work suggests peer influence is important for students' academic and educational outcomes, especially for the complex decision-making processes leading up to those outcomes. In this manuscript, we study the impact of peers on educational expectation formation at the 8th-to-9th-grade school transition. In doing so, we test a theoretical model that links institutional settings, social influence, and individual decision-making. We find the 9th grade transition likely represents a negative shock for students' college attendance expectations. Independent of this transition, however, stable peer environments further depress expectations. A more equal mixture of new and old peers in the 9th grade likely increases students' educational expectations in contrast. These effects of peer perturbations and the re-organization of social ties they imply mainly apply to female students. But, both male and female students revise their educational expectations in light of changing peer intelligence comparisons, albeit in countervailing ways. Copyright © 2016. Published by Elsevier Inc.

  1. Universities as Communities of Fate: Institutional Rhetoric and Student Retention Policy

    ERIC Educational Resources Information Center

    Waggoner, David; Goldman, Paul

    2005-01-01

    Purpose: What is the rhetoric that higher education institutions use when they develop and publish policies to improve student retention? Using the organization literature on institutional environments, this study examines the nature and evolution of institutional rhetoric used by three public universities in a single state over a 20-year period.…

  2. Satisfaction with the Overseas Education in China: A Survey on 44 Institutions of Higher Learning in Jiangsu Province

    ERIC Educational Resources Information Center

    Li, Xin-Chao; Zhu, Su-Jing; Thige, Joseph M.; Shi, Yun-Yu

    2017-01-01

    In order to fully grasp the service level, management quality and effectiveness of the overseas education in China, a satisfaction survey was carried out on 44 institutions of higher learning in Jiangsu province from 5 dimensions of school learning, school life, school administration, surrounding environment, and urban civility and environment.…

  3. From River to River: Examining the Relationship between Racial Environments and Educational Outcomes for Asian American Students at Selective Institutions

    ERIC Educational Resources Information Center

    Chiang, Warren Yi-Jeng

    2011-01-01

    This study explored the relationship between pre-college and college racial environments and post-secondary outcomes for Asian American students at selective institutions. This research utilized a sample of API students (n = 940) from the National Longitudinal Survey of Freshman (1998-2003) which examined the pre-college and college experiences of…

  4. Resident Wellness Matters: Optimizing Resident Education and Wellness Through the Learning Environment.

    PubMed

    Jennings, M L; Slavin, Stuart J

    2015-09-01

    The problem of poor mental health in residency is well established. Burnout, depression, and suicidal ideation are prevalent among resident physicians, and these problems appear to persist into practice. Leaders in graduate medical education such as policy makers at the Accreditation Council for Graduate Medical Education (ACGME) and directors of individual programs and institutions should acknowledge these important issues and take steps to address them. The ACGME's Clinical Learning Environment Review (CLER) Program currently outlines an expectation that institutions both educate residents about burnout and measure burnout annually. The CLER Program could go further by expecting institutions to create quality initiatives to enhance resident wellness and increase resident engagement. The ACGME should also call for and support research in this area. Leaders or directors of individual programs and institutions should consider wellness initiatives that both (1) identify and address suboptimal aspects of the learning environment and (2) train residents in resilience skills. Efforts to improve the residency learning environment could be guided by the work of Maslach and Leiter, who describe six categories of work stress that can contribute to burnout: (1) workload, (2) control, (3) balance between effort and reward, (4) community, (5) fairness, and (6) values.

  5. Vulnerability to climate-induced changes in ecosystem services of boreal forests

    NASA Astrophysics Data System (ADS)

    Holmberg, Maria; Rankinen, Katri; Aalto, Tuula; Akujärvi, Anu; Nadir Arslan, Ali; Liski, Jari; Markkanen, Tiina; Mäkelä, Annikki; Peltoniemi, Mikko

    2016-04-01

    Boreal forests provide an array of ecosystem services. They regulate climate, and carbon, water and nutrient fluxes, and provide renewable raw material, food, and recreational possibilities. Rapid climate warming is projected for the boreal zone, and has already been observed in Finland, which sets these services at risk. MONIMET (LIFE12 ENV/FI/000409, 2.9.2013 - 1.9.2017) is a project funded by EU Life programme about Climate Change Indicators and Vulnerability of Boreal Zone Applying Innovative Observation and Modeling Techniques. The coordinating beneficiary of the project is the Finnish Meteorological Institute. Associated beneficiaries are the Natural Resources Institute Finland, the Finnish Environment Institute and the University of Helsinki. In the MONIMET project, we use state-of-the-art models and new monitoring methods to investigate the impacts of a warming climate on the provision of ecosystem services of boreal forests. This poster presents results on carbon storage in soil and assessment of drought indices, as a preparation for assessing the vulnerability of society to climate-induced changes in ecosystem services. The risk of decreasing provision of ecosystem services depends on the sensitivity of the ecosystem as well as its exposure to climate stress. The vulnerability of society, in turn, depends on the risk of decreasing provision of a certain service in combination with society's demand for that service. In the next phase, we will look for solutions to challenges relating to the quantification of the demand for ecosystem services and differences in spatial extent and resolution of the information on future supply and demand.

  6. Pathways of Understanding: the Interactions of Humanity and Global Environmental Change

    NASA Technical Reports Server (NTRS)

    Jacobson, Harold K.; Katzenberger, John; Lousma, Jack; Mooney, Harold A.; Moss, Richard H.; Kuhn, William; Luterbacher, Urs; Wiegandt, Ellen

    1992-01-01

    How humans, interacting within social systems, affect and are affected by global change is explored. Recognizing the impact human activities have on the environment and responding to the need to document the interactions among human activities, the Consortium for International Earth Science Information Network (CIESIN) commissioned a group of 12 scientists to develop a framework illustrating the key human systems that contribute to global change. This framework, called the Social Process Diagram, will help natural and social scientists, educators, resource managers and policy makers envision and analyze how human systems interact among themselves and with the natural system. The Social Process Diagram consists of the following blocks that constitute the Diagram's structural framework: (1) fund of knowledge and experience; (2) preferences and expectations; (3) factors of production and technology; (4) population and social structure; (5) economic systems; (6) political systems and institutions; and (7) global scale environmental processes. To demonstrate potential ways the Diagram can be used, this document includes 3 hypothetical scenarios of global change issues: global warming and sea level rise; the environmental impact of human population migration; and energy and the environment. These scenarios demonstrate the Diagram's usefulness for visualizing specific processes that might be studied to evaluate a particular global change issues. The scenario also shows that interesting and unanticipated questions may emerge as links are explored between categories on the Diagram.

  7. Minimizing cross-cultural maladaptation: How minority status facilitates change in international acculturation.

    PubMed

    Volpone, Sabrina D; Marquardt, Dennis J; Casper, Wendy J; Avery, Derek R

    2018-03-01

    Culturally savvy organizations recognize that selecting and developing people who can be effective in a global workforce is important in today's business environment. Nevertheless, many companies struggle to identify and develop talent who are happy and successful working and living outside their home country. We examine 1 factor that may foster success in a host country-minority status in 1's home country-as a predictor of change in acculturation over time. Specifically, we draw on the conservation of resources model to suggest that international students who have been a member of more minority groups in their home country have unique experiences working with dissimilar others that offer advantages when acculturating to new cultures and novel situations. Then, change in host country acculturation is explored as a mechanism to explain how minority status in the home country relates to intentions to leave the host country and psychological well-being 6 months after entry. Two moderators (cultural intelligence, perceived diversity climate of the host institution) of these relationships are also examined. Results revealed that the relationship between minority status in the home country and change in host country acculturation was positive and stronger for those with higher cultural intelligence. Further, the relationship between change in host country acculturation and psychological well-being was positive when perceived diversity climate of the host institution was high, but was not significant when perceived diversity climate was low. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  8. Developing adaptive capacity for responding to environmental change in the Arab Gulf States: Uncertainties to linking ecosystem conservation, sustainable development and society in authoritarian rentier economies

    NASA Astrophysics Data System (ADS)

    Spiess, Andy

    2008-12-01

    The recent assessment by the Intergovernmental Panel on Climate Change (IPCC) has emphasized that understanding the institutional context in which policies are made and implemented is critical to define sustainable development paths from a climate change perspective. Nevertheless, while the importance of social, political and cultural factors is getting more recognition in some parts of the world, little is known about the human dimensions or the contexts in which they operate in the affluent oil economies of the Arabian Peninsula. Policies that implicitly subsidize or support a wasteful and environmentally destructive use of resources are still pervasive, while noteworthy environmental improvements still face formidable political and institutional constraints to the adaptation of the necessary far reaching and multisectoral approach. The principal aim of this paper is to identify some of the major shortcomings within the special context of the Arab Gulf states' socio-cultural environment in support of appropriate development pathways. Conclusions highlight that past and current policy recommendations for mitigating environmental threats are likely to be ineffective. This is because they are based on the unverified assumption that Western-derived standards of conduct, specifically the normative concept of "good governance" and "democracy", will be adopted in non-Western politico-cultural contexts.

  9. Links between the built environment, climate and population health: interdisciplinary environmental change research in New York City.

    PubMed

    Rosenthal, Joyce Klein; Sclar, Elliott D; Kinney, Patrick L; Knowlton, Kim; Crauderueff, Robert; Brandt-Rauf, Paul W

    2007-10-01

    Global climate change is expected to pose increasing challenges for cities in the following decades, placing greater stress and impacts on multiple social and biophysical systems, including population health, coastal development, urban infrastructure, energy demand, and water supplies. Simultaneously, a strong global trend towards urbanisation of poverty exists, with increased challenges for urban populations and local governance to protect and sustain the wellbeing of growing cities. In the context of these 2 overarching trends, interdisciplinary research at the city scale is prioritised for understanding the social impacts of climate change and variability and for the evaluation of strategies in the built environment that might serve as adaptive responses to climate change. This article discusses 2 recent initiatives of The Earth Institute at Columbia University (EI) as examples of research that integrates the methods and objectives of several disciplines, including environmental health science and urban planning, to understand the potential public health impacts of global climate change and mitigative measures for the more localised effects of the urban heat island in the New York City metropolitan region. These efforts embody 2 distinct research approaches. The New York Climate & Health Project created a new integrated modeling system to assess the public health impacts of climate and land use change in the metropolitan region. The Cool City Project aims for more applied policy-oriented research that incorporates the local knowledge of community residents to understand the costs and benefits of interventions in the built environment that might serve to mitigate the harmful impacts of climate change and variability, and protect urban populations from health stressors associated with summertime heat. Both types of research are potentially useful for understanding the impacts of environmental change at the urban scale, the policies needed to address these challenges, and to train scholars capable of collaborative approaches across the social and biophysical sciences.

  10. The Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH): an observational instrument for assessing the physical environment of institutional settings for persons with dementia.

    PubMed

    Sloane, Philip D; Mitchell, C Madeline; Weisman, Gerald; Zimmerman, Sheryl; Foley, Kristie M Long; Lynn, Mary; Calkins, Margaret; Lawton, M Powell; Teresi, Jeanne; Grant, Leslie; Lindeman, David; Montgomery, Rhonda

    2002-03-01

    To develop an observational instrument that describes the ability of physical environments of institutional settings to address therapeutic goals for persons with dementia. A National Institute on Aging workgroup identified and subsequently revised items that evaluated exit control, maintenance, cleanliness, safety, orientation/cueing, privacy, unit autonomy, outdoor access, lighting, noise, visual/tactile stimulation, space/seating, and familiarity/homelikeness. The final instrument contains 84 discrete items and one global rating. A summary scale, the Special Care Unit Environmental Quality Scale (SCUEQS), consists of 18 items. Lighting items were validated using portable light meters. Concurrent criterion validation compared SCUEQS scores with the Professional Environmental Assessment Protocol (PEAP). Interrater kappa statistics for 74% of items were above.60. For another 10% of items, kappas could not be calculated due to empty cells, but interrater agreement was above 80%. The SCUEQS demonstrated an interrater reliability of.93, a test--retest reliability of.88, and an internal consistency of.81--.83. Light meter ratings correlated significantly with the Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH) lighting items (r =.29--.38, p =.01--.04), and the SCUEQS correlated significantly with global PEAP ratings (r =.52, p <.01). The TESS-NH efficiently assesses discrete elements of the physical environment and has strong reliability and validity. The SCUEQS provides a quantitative measure of environmental quality in institutional settings.

  11. An Agent-Based Model of Centralized Institutions, Social Network Technology, and Revolution

    PubMed Central

    Makowsky, Michael D.; Rubin, Jared

    2013-01-01

    This paper sheds light on the general mechanisms underlying large-scale social and institutional change. We employ an agent-based model to test the impact of authority centralization and social network technology on preference falsification and institutional change. We find that preference falsification is increasing with centralization and decreasing with social network range. This leads to greater cascades of preference revelation and thus more institutional change in highly centralized societies and this effect is exacerbated at greater social network ranges. An empirical analysis confirms the connections that we find between institutional centralization, social radius, preference falsification, and institutional change. PMID:24278280

  12. Institutional Guidance of Affective Bonding: Moral Values Development in Brazilian Military Education.

    PubMed

    Wortmeyer, Daniela Schmitz; Branco, Angela Uchoa

    2016-09-01

    In this article, our aim is to analyze institutional practices guided to promote the development of moral values within the context of military education of Brazilian Army combatant commissioned officers. From a cultural psychological approach, we discuss how social guidance within military culture operates at different levels of the affective-semiotic regulation of individuals, structuring complex experiences that give rise to hypergeneralized meaning fields regarding morality and military values. For this goal, we first introduce some theoretical topics related to values development, emphasizing their affective roots and role in the emergence, maintenance, amplification and attenuation of all relations between the person and the environment. Following a brief discussion on how social institutions try to promote changes in personal values, we provide an overview of values present in the military culture and socialization. Finally, the text focuses on the education of Brazilian Army combatant commissioned officers, describing how practices related to different levels of affective-semiotic experience combine in order to promote the internalization and externalization of specific moral values. We conclude suggesting issues for future investigation.

  13. The corporate organization of hospital work: balancing professional and administrative responsibilities.

    PubMed

    Stoeckle, J D; Reiser, S J

    1992-03-01

    The development of the hospital into a corporation has influenced the care of patients and the work of the professional staff. As a corporate enterprise, the modern hospital has a private agenda aimed at increasing growth and efficiency with an emphasis on technical services, professionals as employees, and patients as customers. These changes have resulted in a decrease in trustee and professional authority and an increase in administrative control. This shift in the control structure has continued in response to the need for accounting and regulation of services and in response to demands for increased growth and efficiency made by an increasingly competitive market environment. Strategies for the reorganization of hospital staff aimed at improving both inpatient and outpatient care are reviewed. The reorganization of the institution and staff, using either a staff group-practice corporation or an administrative staff model, is proposed. Clinicians have new responsibilities for developing collective arrangements for institutional governance, for allocating institutional resources, for providing public accountability regarding the use of these resources, and for defining the missions of care.

  14. Data Science Priorities for a University Hospital-Based Institute of Infectious Diseases: A Viewpoint.

    PubMed

    Valleron, Alain-Jacques

    2017-08-15

    Automation of laboratory tests, bioinformatic analysis of biological sequences, and professional data management are used routinely in a modern university hospital-based infectious diseases institute. This dates back to at least the 1980s. However, the scientific methods of this 21st century are changing with the increased power and speed of computers, with the "big data" revolution having already happened in genomics and environment, and eventually arriving in medical informatics. The research will be increasingly "data driven," and the powerful machine learning methods whose efficiency is demonstrated in daily life will also revolutionize medical research. A university-based institute of infectious diseases must therefore not only gather excellent computer scientists and statisticians (as in the past, and as in any medical discipline), but also fully integrate the biologists and clinicians with these computer scientists, statisticians, and mathematical modelers having a broad culture in machine learning, knowledge representation, and knowledge discovery. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

  15. Outcome analysis in lumbar spine: instabilities/degenerative disease.

    PubMed

    Fessler, R G

    1997-01-01

    In summary, expectations for outcome analysis have changed over the last several years. It is no longer the case that outcome analysis is expected to be done by academic institutions alone. Surgeons in private practice are rapidly approaching the time when outcome analysis of personal results will be necessary for competitive marketing purposes. In addition, the definition of outcome analysis has been considerably expanded from medical outcome to include functional outcome, return to work, quality of life, patient satisfaction, and cost-effectiveness. The above discussion has considered several aspects of data outcome analysis for degenerative disease of the lumbar spine. It is the intent of this review to help surgeons prepare themselves for changing expectations in their new medical environment.

  16. Corrosion resistance of lithium/iodine batteries fabricated in an extremely dry environment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Brown, W.R.; Holmes, C.F.; Stinebring, R.C.

    1981-10-01

    Early lithium/iodine pacemaker batteries employed considerable amounts of inert plastic materials to encase the active ingredients inside the stainless steel case. Several years ago the Wilson Greatbatch Ltd. (WGL) Model 755 cell was introduced and represented a significant change in lithium/iodine battery construction. In this design (1) the iodinepolyvinylpyridine (PVP) depolarizer material was placed in direct contact with the 304L stainless steel case and much of the inert material was eliminated. This change resulted in obtaining substantially more depolarizer in the battery thereby greatly increasing the electrical capacity for the same cell volume. A study was instituted to evaluate possiblemore » corrosion effects between the iodine in the depolarizer and the stainless steel case.« less

  17. 76 FR 13197 - National Institute of Environmental Health Sciences Strategic Planning

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-10

    ... understanding how the environment influences the development and progression of human disease. The NIEHS... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of... of Environmental Health Sciences (NIEHS), Department of Health and Human Services (HHS). ACTION...

  18. [The acclimatization to extreme environments and its physiological mechanisms].

    PubMed

    Wang, Hai; Liu, Wei; Yang, Dan-Feng; Zhao, Xiao-Ling; Long, Chao-Liang; Yin, Zhao-Yun; Liu, Jia-Ying

    2012-11-01

    Acclimatization is a process of biological adaptation when exposed to environmental factors such as hypoxia, cold and heat for prolonged periods of time, where non-genetical variations play a role in allowing subjects to tolerate hypoxic, cold or hot environments. This review focuses on the characteristics and mechanisms of acclimatization found through major research advances by our institute. First, the mechanisms underlying the acclimatization to extreme environments are complex. In our investigations, the physiological changes of multiple systems including the nervous, circulatory, respiratory, and hemopoietic system were demonstrated when the acclimatization to hypoxia was developed, and the underlying significance of hypoxia-inducible factor-1 (HIF-1) was investigated. Second, it is suggested that the development of acclimatization to extreme environments is complicated. Hypoxia and cold coexist at high altitude. Our investigations revealed the characteristics of negative cross-relationship in the acclimatization to hypoxia and cold. And third, it is interesting for us to understand that acclimatization to extreme environments is transferable among individuals, and the characteristics of heat acclimatization-inducing factor (HAlF) were presented. The above findings will provide a theoretical guidance for protective operations and help to establish a solid foundation for future research related to acclimatization.

  19. A Virtual Bioinformatics Knowledge Environment for Early Cancer Detection

    NASA Technical Reports Server (NTRS)

    Crichton, Daniel; Srivastava, Sudhir; Johnsey, Donald

    2003-01-01

    Discovery of disease biomarkers for cancer is a leading focus of early detection. The National Cancer Institute created a network of collaborating institutions focused on the discovery and validation of cancer biomarkers called the Early Detection Research Network (EDRN). Informatics plays a key role in enabling a virtual knowledge environment that provides scientists real time access to distributed data sets located at research institutions across the nation. The distributed and heterogeneous nature of the collaboration makes data sharing across institutions very difficult. EDRN has developed a comprehensive informatics effort focused on developing a national infrastructure enabling seamless access, sharing and discovery of science data resources across all EDRN sites. This paper will discuss the EDRN knowledge system architecture, its objectives and its accomplishments.

  20. Local knowledge, science, and institutional change: the case of desertification control in Northern China.

    PubMed

    Yang, Lihua

    2015-03-01

    This article studies the influence of local knowledge on the impact of science on institutional change in ecological and environmental management. Based on an empirical study on desertification control in 12 counties in north China, the study found the following major results: (1) although there was a cubic relationship between the extent and effect of local knowledge, local knowledge significantly influenced the impact of science on institutional change; (2) local knowledge took effect mainly through affecting formal laws and regulations, major actors, and methods of desertification control in institutional change but had no significant impact on the types of property rights; and (3) local knowledge enhanced the impact of science on the results of desertification control through affecting the impact of science on institutional change. These findings provide a reference for researchers, policy makers, and practitioners, both in China and in other regions of the world, to further explore the influence of local knowledge on the impact of science on institutional change and the roles of local knowledge or knowledge in institutional change and governance.

  1. Chemical Facility Security: Reauthorization, Policy Issues, and Options for Congress

    DTIC Science & Technology

    2010-11-15

    American Institute of Chemical Engineers , before the Senate Committee on Environment and Public Works, June 21, 2006, S.Hrg. 109-1044. See also...American Institute of Chemical Engineers , before the Senate Committee on Environment and Public Works, June 21, 2006, S.Hrg. 109-1044. 57 The DHS...CRS Report for Congress Prepared for Members and Committees of Congress Chemical Facility Security: Reauthorization, Policy Issues, and

  2. Building a Virtual Learning Environment to Foster Blended Learning Experiences in an Institute of Application in Brazil

    ERIC Educational Resources Information Center

    da Silva Marques Ribeiro, Andrea; Rodrigues Oliveira, Esequiel; Fortes Mello, Rodrigo

    2017-01-01

    Blended learning, the combination of face-to-face teaching with a virtual learning environment (VLE), is the theme of this study that aims at describing and analyzing the implementation of a VLE in the Institute of Application Fernando Rodrigues da Silveira, an academic unit of the State University of Rio de Janeiro. This study's main contribution…

  3. Differences in the Perception of Social Support Among Rural Area Seniors-A Cross-Sectional Survey of Polish Population.

    PubMed

    Chruściel, Paweł; Kulik, Teresa; Jakubowska, Klaudia; Nalepa, Dorota

    2018-06-19

    Introduction and objective : Social support constitutes an important determinant of an elderly person’s health and of functioning in his or her living environment. It depends on available support networks and the type of help received. Measurement of social support should encompass both its structure and the functions it fulfills, which enables detailed assessment of the phenomenon. The aim of the study was to compare the perception of social support among rural area seniors provided with institutional care with those living in a home setting. Material and method : Using the diagnostic survey method and the technique of the distribution of a direct questionnaire, 364 respondents from rural areas were examined: those living in an institutional environment ( n = 190) and those living in their home (natural) environment ( n = 174). The respondents were selected on the basis of a combined sampling method: proportionate, stratified, and systematic. Variables were measured with the following questionnaires: Courage Social Network Index (CSNI) and Social Support Scale (SSS). Results : The living environment has been proved to differentiate average values of support both in the structural and functional dimensions in a statistically significant way ( p < 0.001). An untypical phenomenon was higher average values pertaining to emotional bonds, frequency of direct contacts, and help received in the group of respondents living in an institutional environment. Conclusions : The living environment and demographic variables affect the perception of social support among elderly people. Full-time institutional care of a senior citizen leads to the deterioration of social support; therefore, keeping an elderly person in a home environment should be one of the primary goals of the senior policy.

  4. Global climate change: Social and economic research issues

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Rice, M.; Snow, J.; Jacobson, H.

    This workshop was designed to bring together a group of scholars, primarily from the social sciences, to explore research that might help in dealing with global climate change. To illustrate the state of present understanding, it seemed useful to focus this workshop on three broad questions that are involved in coping with climate change. These are: (1) How can the anticipated economic costs and benefits of climate change be identified; (2) How can the impacts of climate change be adjusted to or avoided; (3) What previously studied models are available for institutional management of the global environment? The resulting discussionsmore » may (1) identify worthwhile avenues for further social science research, (2) help develop feedback for natural scientists about research information from this domain needed by social scientists, and (3) provide policymakers with the sort of relevant research information from the social science community that is currently available. Individual papers are processed separately for the database.« less

  5. Fostering Child Development by Improving Care Quality: A Systematic Review of the Effectiveness of Structural Interventions and Caregiver Trainings in Institutional Care.

    PubMed

    Hermenau, Katharin; Goessmann, Katharina; Rygaard, Niels Peter; Landolt, Markus A; Hecker, Tobias

    2017-12-01

    Quality of child care has been shown to have a crucial impact on children's development and psychological adjustment, particularly for orphans with a history of maltreatment and trauma. However, adequate care for orphans is often impacted by unfavorable caregiver-child ratios and poorly trained, overburdened personnel, especially in institutional care in countries with limited resources and large numbers of orphans. This systematic review investigated the effects of structural interventions and caregiver trainings on child development in institutional environments. The 24 intervention studies included in this systematic review reported beneficial effects on the children's emotional, social, and cognitive development. Yet, few studies focused on effects of interventions on the child-caregiver relationship or the general institutional environment. Moreover, our review revealed that interventions aimed at improving institutional care settings have largely neglected violence and abuse prevention. Unfortunately, our findings are partially limited by constraints of study design and methodology. In sum, this systematic review sheds light on obstacles and possibilities for the improvement in institutional care. There must be greater efforts at preventing violence, abuse, and neglect of children living in institutional care. Therefore, we advocate for combining attachment theory-based models with maltreatment prevention approaches and then testing them using rigorous scientific standards. By using approaches grounded in the evidence, it could be possible to enable more children to grow up in supportive and nonviolent environments.

  6. Pilot Institute on Global Change on Trace Gases and the Biosphere, 1988

    NASA Technical Reports Server (NTRS)

    Eddy, J. A.; Moore, B.

    1998-01-01

    Table of Contents: Summary; Background; General Framework for a Series of Institutes on Global Change; The 1988 Pilot Institute on Global Changes: Trace Gases and the Biosphere; Budget; List of Acronyms; and Attachments.

  7. FACTORS INFLUENCING UTILIZATION OF RESEARCH FINDINGS IN INSTITUTIONAL CHANGE.

    ERIC Educational Resources Information Center

    LYONS, J. DANIEL

    CHANGES IN ARMY TRAINING PROGRAMS AND PROCEDURES ARE DESCRIBED TO ILLUSTRATE INSTITUTIONAL CHANGE RESULTING FROM IMPLEMENTATION OF APPLIED RESEARCH. SERVING SINCE 1951 AS A RESEARCH AND DEVELOPMENT AGENCY UNDER CONTRACT TO THE ARMY, THE HUMAN RESOURCES RESEARCH OFFICE OF GEORGE WASHINGTON UNIVERSITY HAS IDENTIFIED INSTITUTIONAL CHANGE THROUGH…

  8. A "Carbon Reduction Challenge" as tool for undergraduate engagement on climate change

    NASA Astrophysics Data System (ADS)

    Cobb, K. M.; Toktay, B.

    2017-12-01

    Institutions of higher education must meet the challenges of educating the generation that must make significant progress towards stabilizing atmospheric greenhouse gases. However, the interdisciplinary nature of the climate change problem, and the fact that solutions will necessarily involve manipulating natural systems, advancing energy technologies, and developing innovative policy instruments means that traditional disciplinary tracks are not well-suited for the task. Furthermore, institutions must not only equip students with fundamental knowledge about climate and energy, but they must empower a generation of students to become part of the climate change solution. Here we present the cumulative results of the `Carbon Reduction Challenge' - a team-based competition to reduce CO2 that is conducted in an interdisciplinary undergraduate class called "Energy, the Environment, and Society" at Georgia Institute of Technology. Working with 30 undergraduate students from all years and all majors, we demonstrate how student teams move through a highly-structured timeline of deliverables towards achieving their team's end-of-semester goals. We discuss the importance of student creativity, ingenuity, initiative, and perseverance in achieving project outcomes, which in 2017 topped 5 million pounds of CO2 reductions - the all-time record for the class. Student-driven reductions on a year-to-year basis track an exponential growth curve through time. Based on the success of a pilot Carbon Reduction Challenge conducted in the summer of 2017, we present evidence that student-led partnerships with large corporations represents the area of largest potential for student success. Such partnerships deliver significant value added to students (professional conduct, on-the-job training, networking), the corporate partner (cost savings, talent recruitment, and public relations), and to the higher education institution (corporate relations contacts). In summary, the Carbon Reduction Challenge represents a solutions-oriented, hands-on, project-based learning tool that has achieved significant pedagogical benefits while delivering real-world carbon reductions and cost savings to community stakeholders.

  9. Addressing Medical Errors in Hand Surgery

    PubMed Central

    Johnson, Shepard P.; Adkinson, Joshua M.; Chung, Kevin C.

    2014-01-01

    Influential think-tank such as the Institute of Medicine has raised awareness about the implications of medical errors. In response, organizations, medical societies, and institutions have initiated programs to decrease the incidence and effects of these errors. Surgeons deal with the direct implications of adverse events involving patients. In addition to managing the physical consequences, they are confronted with ethical and social issues when caring for a harmed patient. Although there is considerable effort to implement system-wide changes, there is little guidance for hand surgeons on how to address medical errors. Admitting an error is difficult, but a transparent environment where patients are notified of errors and offered consolation and compensation is essential to maintain trust. Further, equipping hand surgeons with a guide for addressing medical errors will promote compassionate patient interaction, help identify system failures, provide learning points for safety improvement, and demonstrate a commitment to ethically responsible medical care. PMID:25154576

  10. Family care work: a policy-relevant research agenda.

    PubMed

    Moen, Phyllis; DePasquale, Nicole

    2017-03-01

    This article addresses the need for policy-relevant research agendas on family care in transaction with formal care and public as well as organisational norms and policies in light of the crisis in caregiving for older adults. We propose a combined institutional and life-course theoretical approach, suggesting seven ways of organising scholarly enquiry to promote understanding of the changing nature of family care in the 21st century, inform policymakers' efforts at supporting family caregivers and improve caregivers' and care recipients' quality of life. These include: (1) moving beyond snapshots of individuals; (2) conducting comparative cross-cultural and crosscohort analyses; (3) documenting social heterogeneity, vulnerability and inequality; (4) capturing individuals' and families' adaptive strategies and cycles of control during the caregiving process; (5) investigating policy innovations and natural experiments; (6) assessing third parties as mediating institutions between regulatory environments and caregiving families; and (7) attending to the subjective meanings of care.

  11. Family care work: a policy-relevant research agenda

    PubMed Central

    Moen, Phyllis; DePasquale, Nicole

    2017-01-01

    This article addresses the need for policy-relevant research agendas on family care in transaction with formal care and public as well as organisational norms and policies in light of the crisis in caregiving for older adults. We propose a combined institutional and life-course theoretical approach, suggesting seven ways of organising scholarly enquiry to promote understanding of the changing nature of family care in the 21st century, inform policymakers’ efforts at supporting family caregivers and improve caregivers’ and care recipients’ quality of life. These include: (1) moving beyond snapshots of individuals; (2) conducting comparative cross-cultural and crosscohort analyses; (3) documenting social heterogeneity, vulnerability and inequality; (4) capturing individuals’ and families’ adaptive strategies and cycles of control during the caregiving process; (5) investigating policy innovations and natural experiments; (6) assessing third parties as mediating institutions between regulatory environments and caregiving families; and (7) attending to the subjective meanings of care. PMID:28825046

  12. Implementing Effective Substance Abuse Treatments in General Medical Settings: Mapping the Research Terrain.

    PubMed

    Ducharme, Lori J; Chandler, Redonna K; Harris, Alex H S

    2016-01-01

    The National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institute on Drug Abuse (NIDA), and Veterans Health Administration (VHA) share an interest in promoting high quality, rigorous health services research to improve the availability and utilization of evidence-based treatment for substance use disorders (SUD). Recent and continuing changes in the healthcare policy and funding environments prioritize the integration of evidence-based substance abuse treatments into primary care and general medical settings. This area is a prime candidate for implementation research. Recent and ongoing implementation projects funded by these agencies are reviewed. Research in five areas is highlighted: screening and brief intervention for risky drinking; screening and brief intervention for tobacco use; uptake of FDA-approved addiction pharmacotherapies; safe opioid prescribing; and disease management. Gaps in the portfolios, and priorities for future research, are described. Published by Elsevier Inc.

  13. Re-engineering the process of medical imaging physics and technology education and training.

    PubMed

    Sprawls, Perry

    2005-09-01

    The extensive availability of digital technology provides an opportunity for enhancing both the effectiveness and efficiency of virtually all functions in the process of medical imaging physics and technology education and training. This includes degree granting academic programs within institutions and a wide spectrum of continuing education lifelong learning activities. Full achievement of the advantages of technology-enhanced education (e-learning, etc.) requires an analysis of specific educational activities with respect to desired outcomes and learning objectives. This is followed by the development of strategies and resources that are based on established educational principles. The impact of contemporary technology comes from its ability to place learners into enriched learning environments. The full advantage of a re-engineered and implemented educational process involves changing attitudes and functions of learning facilitators (teachers) and resource allocation and sharing both within and among institutions.

  14. Neighborhood food retail environment and health outcomes among urban Ghanaian women

    NASA Astrophysics Data System (ADS)

    Taflin, Helena Janet

    Over the past several decades there has been a global dietary shift, occurring at different rates across time and space. These changes are reflective of the nutrition transition--a series of potentially adverse changes in diet, health and physical activity. These dietary shifts have been associated with significant health consequences, as seen by the global rise in nutrition-related non-communicable diseases (NR-NCDs) such as diabetes, hypertension, cancer, coronary heart disease as well as obesity. Clinical studies have confirmed that overweight and obese individuals are at increased risk for diabetes and hypertension, among other cardiovascular diseases. However, these linkages between the nutrition transition and health are not spatially random. They vary according to personal characteristics ("who you are") and the neighborhood environment in which you live ("where you are"). Leveraging existing demographic and health resources, in this project I aim to investigate the relationship between the food retail environment and health outcomes among a representative sample of urban Ghanaian women ages 18 and older, normally resident in the Accra Metropolitan Area (AMA), using a mixed methods spatial approach. Data for this study are drawn primarily from the 2008-09 Women's Health Study of Accra (WHSA II) which was funded by the U.S. National Institute of Child Health and Human Development (NICHD) (John R. Weeks, Project Director/Principal Investigator). It was conducted as a joint collaboration between the Institute of Statistical, Social and Economic Research (ISSER) at the University of Ghana, the Harvard School of Public Health and San Diego State University. Results from this study highlights the importance of addressing the high prevalence of hypertension among adult women in Accra and should be of concern to both stakeholders and the public. Older populations, overweight and obese individuals, those with partners living at home, limited number of food retailers in one's neighborhood and living in close proximity to a modern food retailer all increase the risk of hypertension among women sampled in WHSA-II.

  15. Organizational resilience: Sustained institutional effectiveness among smaller, private, non-profit US higher education institutions experiencing organizational decline.

    PubMed

    Moran, Kenneth A

    2016-06-04

    Recent changes in the United States (US) economy have radically disrupted revenue generation among many institutions within higher education within the US. Chief among these disruptions has been fallout associated with the financial crisis of 2008-2009, which triggered a change in the US higher education environment from a period of relative munificence to a prolonged period of scarcity. The hardest hit by this disruption have been smaller, less wealthy institutions which tend to lack the necessary reserves to financially weather the economic storm. Interestingly, a review of institutional effectiveness among these institutions revealed that while many are struggling, some institutions have found ways to not only successfully cope with the impact of declining revenue, but have been able to capitalize on the disruption and thrive. Organizational response is an important factor in successfully coping with conditions of organizational decline. The study examined the impacts of organizational response on institutional effectiveness among higher education institutions experiencing organizational decline. The study's research question asked why some US higher educational institutions are more resilient at coping with organizational decline than other institutions operating within the same segment of the higher education sector. More specifically, what role does organizational resilience have in helping smaller, private non-profit institutions cope and remain effective during organizational decline? A total of 141 US smaller, private non-profit higher educational institutions participated in the study; specifically, the study included responses from participant institutions' key administrators. 60-item survey evaluated administrator responses corresponding to organizational response and institutional effectiveness. Factor analysis was used to specify the underlying structures of rigidity response, resilience response, and institutional effectiveness. Multiple regression analysis was used to examine the direct and interaction effects between organizational decline, organizational rigidity response, organizational resilience response, and institutional effectiveness, controlling for age of institution and level of endowment. The study validated previous threat-rigidity response findings that organizational decline alone does not adversely impact institutional effectiveness. The direct effect of Goal-Directed Solution Seeking and Role Dependency organizational resilience factors had a positive, significant correlation with the Student Personal Development institutional effectiveness factor. The interactive effect of Goal-Directed Solution Seeking organizational resilience factor during organizational decline had a positive, significant correlation with the Professional Development and Quality of Faculty institutional effectiveness factor. The interactive effect of Avoidance during organizational decline had a positive, significant correlation with the Faculty and Administrator Employment Satisfaction institutional effectiveness factor. The interactive effect of Diminished Innovation, Morale, and Leader Credibility rigidity response factor and Avoidance organizational resilience factor during organizational decline had a positive, significant correlation with the Professional Development and Quality of Faculty institutional effectiveness factor. Lastly, the interactive effect of Increased Scapegoating of Leaders, Interest group Activities, and Conflict rigidity response factor and Avoidance organizational resilience factor during organizational decline had a positive, significant correlation with the Faculty and Administrator Employment Satisfaction institutional effectiveness factor. Factors of organizational resilience were found to have a positive effect among smaller, private non-profit higher educational institutions associated with this study toward sustaining institutional effectiveness during organizational decline. Specifically, the organizational resilience factors of Goal-Directed Solution Seeking (i.e., mission-driven solutions) and Avoidance (i.e., skepticism toward new ideas) play a significant, collaborative role among smaller, private non-profit higher educational institutions when it comes to sustaining institutional effectiveness during organizational decline.

  16. Comparing selection criteria of residency directors and physicians' employers.

    PubMed

    Villanueva, A M; Kaye, D; Abdelhak, S S; Morahan, P S

    1995-04-01

    In 1993, the Medical College of Pennsylvania (MCP), mindful of the rapidly changing environments of health care delivery, created three surveys to gather information from outside the school that would help the faculty plan how the curriculum and advising system could better prepare students and residents for the demands of twenty-first-century medicine. The first survey focused on the MCP seniors graduating that year and asked about their perceptions of their medical education and their specialty and residency choices. The second survey, directed to 40 medical residency program directors in family medicine, internal medicine, pediatrics, and surgery, sought to identify the characteristics of applicants that these directors valued when selecting entrants to their programs. The third survey, of 30 employers of physicians representing four practice environments (private practice, hospitals/other health systems, academic medical centers, and health maintenance organizations), sought information on hiring and recruitment practices and the skills, competencies, and attitudes these employers valued most when hiring recently graduated physicians. The responses showed several differences and/or misperceptions among the views held by the three groups surveyed and suggest that medical educators have not adapted as rapidly as have employers to changes in the health care environment. Academic health centers must broaden their missions and make changes in their own institutional cultures, both to maintain their own viability and to train physicians who have the balance between scientific and technical competency and essential personal characteristics (such as empathy) that the next century's practice will probably demand.

  17. Using the Community Readiness Model to Examine the Built and Social Environment: A Case Study of the High Point Neighborhood, Seattle, Washington, 2000–2010

    PubMed Central

    Sharify, Denise Tung; Blake, Bonita; Phillips, Tom; Whitten, Kathleen

    2014-01-01

    Background Residents of many cities lack affordable, quality housing. Economically disadvantaged neighborhoods often have high rates of poverty and crime, few institutions that enhance the quality of its residents’ lives, and unsafe environments for walking and other physical activity. Deteriorating housing contributes to asthma-related illness. We describe the redevelopment of High Point, a West Seattle neighborhood, to improve its built environment, increase neighborhood physical activity, and reduce indoor asthma triggers. Community Context High Point is one of Seattle’s most demographically diverse neighborhoods. Prior to redevelopment, it had a distressed infrastructure, rising crime rates, and indoor environments that increased asthma-related illness in children and adolescents. High Point residents and partners developed and implemented a comprehensive redevelopment plan to create a sustainable built environment to increase outdoor physical activity and improve indoor environments. Methods We conducted a retrospective analysis of the High Point redevelopment, organized by the different stages of change in the Community Readiness Model. We also examined the multisector partnerships among government and community groups that contributed to the success of the High Point project. Outcome Overall quality of life for residents improved as a result of neighborhood redevelopment. Physical activity increased, residents reported fewer days of poor physical or mental health, and social connectedness between neighbors grew. Asthma-friendly homes significantly decreased asthma-related illness among children and adolescents. Interpretation Providing affordable, quality housing to low-income families improved individual and neighborhood quality of life. Efforts to create social change and improve the health outcomes for entire populations are more effective when multiple organizations work together to improve neighborhood health. PMID:25376016

  18. Using the community readiness model to examine the built and social environment: a case study of the High Point neighborhood, Seattle, Washington, 2000-2010.

    PubMed

    Buckner-Brown, Joyce; Sharify, Denise Tung; Blake, Bonita; Phillips, Tom; Whitten, Kathleen

    2014-11-06

    Residents of many cities lack affordable, quality housing. Economically disadvantaged neighborhoods often have high rates of poverty and crime, few institutions that enhance the quality of its residents' lives, and unsafe environments for walking and other physical activity. Deteriorating housing contributes to asthma-related illness. We describe the redevelopment of High Point, a West Seattle neighborhood, to improve its built environment, increase neighborhood physical activity, and reduce indoor asthma triggers. High Point is one of Seattle's most demographically diverse neighborhoods. Prior to redevelopment, it had a distressed infrastructure, rising crime rates, and indoor environments that increased asthma-related illness in children and adolescents. High Point residents and partners developed and implemented a comprehensive redevelopment plan to create a sustainable built environment to increase outdoor physical activity and improve indoor environments. We conducted a retrospective analysis of the High Point redevelopment, organized by the different stages of change in the Community Readiness Model. We also examined the multisector partnerships among government and community groups that contributed to the success of the High Point project. Overall quality of life for residents improved as a result of neighborhood redevelopment. Physical activity increased, residents reported fewer days of poor physical or mental health, and social connectedness between neighbors grew. Asthma-friendly homes significantly decreased asthma-related illness among children and adolescents. Providing affordable, quality housing to low-income families improved individual and neighborhood quality of life. Efforts to create social change and improve the health outcomes for entire populations are more effective when multiple organizations work together to improve neighborhood health.

  19. What Governing Boards Need To Know and Do about Institutional Change. On Change IV. An Occasional Paper Series of the ACE Project on Leadership and Institutional Transformation and The Kellogg Forum on Higher Education Transformation.

    ERIC Educational Resources Information Center

    Hill, Barbara; Green, Madeleine; Eckel, Peter

    This essay, part of a series on change in higher education stemming from the American Council on Education (ACE) Project on Leadership and Institutional Transformation, aims to help higher education governing boards at both public and private institutions understand the complexities of the change process and find practical advice about policies…

  20. Anthropology and Geosciences: Training and Collaboration Advancing Interdisciplinary Research of Human-environment Interaction

    NASA Astrophysics Data System (ADS)

    Brondizio, E.; Moran, E.

    2005-05-01

    Over the past thirteen years the Anthropological Center for Training and Research on Global Environmental Change (ACT) at Indiana University has pioneered the use of anthropological and environmental research approaches to address issues of land use change, and population-environment interaction, particularly in the Amazon. Our research and training objectives focus on how particular local populations manage resources and how those activities may be studied by integrating time-tested ethnographic methods, survey instruments, ecological field studies, and the spatial and temporal perspectives of remote sensing and Geographical Information Systems. The globalization of the environment crisis bears the risk of the research and training at universities being purely global or large scale in nature. This would fail to take into account the highly variable local causes of human activities or to discover sustainable solutions to the use, conservation, and restoration of human ecosystems. Our approach combines institutional and international collaboration, formal and hands-on laboratory and field activities developed within an interdisciplinary environment, but based on the strength of disciplinary programs. Over the past years, we have particularly emphasized collaboration between American and Brazilian scholars and students and intense work with local farmers and communities both during data collection and field research, as well as in returning data and results using different formats. In this paper, we address our experience, the challenges and advantages of theoretical and methodological development for students approaching interdisciplinary problems, innovations in linking levels of analysis, and new opportunities for international and collaborative training and research on human-environment interaction.

  1. Evaluation of the educational environment of postgraduate surgical teaching.

    PubMed

    Khan, Junaid Sarfraz

    2008-01-01

    Medical Education is becoming increasingly community-oriented, student-centred, self-learning and self & peer-assessing process especially in the undergraduate years. This is happening because of increasing patient awareness of their rights in our new healthcare world of increased consultant responsibility; and implementation in the U.K. health institutions of the 'European Working Time Directive' and 'Modernization of Medical Careers'. The study was conducted to determine the change if any in the education environment of postgraduate surgical teaching in a leading teaching hospital in London when a teacher-centred, old-fashioned postgraduate teaching approach was replaced with a student-centred, self-assessment, portfolio-based approach. Postgraduate Hospital Educational Environment Measure (PHEEM). Twenty postgraduate trainees filled in the questionnaire before and after the change in their learning/teaching pattern. The response rate was 100%. No statistically significant difference in the overall score for the two teaching environments (p = 0.8024, 95% CI = -5.549273 to 4.349273) was found, because the loss of on-call rooms, trainee's mess and catering services statistically significantly deteriorated the social support subscale of the PHEEM scale (p < 0.0001, 95% CI = 6.66752 to 13.03248) to counteract any statistically significant improvement in the teaching role perception subscale of the instrument (p = 0.001, 95% CI= -12.443896 to -4.856104). There was no statistically significant difference in the role autonomy perception subscale in the two methods (p = 0.3663, 95% CI = -5.870437 to 2.270437). A student-centred approach to postgraduate teaching is better than a teacher-centred approach. However, further studies will be needed to evaluate both postgraduate teaching and training environment.

  2. Distributive justice in American healthcare: institutions, power, and the equitable care of patients.

    PubMed

    Putsch, Robert W; Pololi, Linda

    2004-09-01

    The authors argue that the American healthcare system has developed in a fashion that permits and may support ongoing, widespread inequities based on poverty, race, gender, and ethnicity. Institutional structures also contribute to this problem. Analysis is based on (1) discussions of a group of experts convened by the Office of Minority Health, US Department of Health and Human Services at a conference to address healthcare disparities; and (2) review of documentation and scientific literature focused on health, health-related news, language, healthcare financing, and the law. Institutional factors contributing to inequity include the cost and financing of American healthcare, healthcare insurance principles such as mutual aid versus actuarial fairness, and institutional power. Additional causes for inequity are bias in decision making by healthcare practitioners, clinical training environments linked to abuse of patients and coworkers, healthcare provider ethnicity, and politics. Recommendations include establishment of core attributes of trust, relationship and advocacy in health systems; universal healthcare; and insurance systems based on mutual aid. In addition, monitoring of equity in health services and the development of a set of ethical principles to guide systems change and rule setting would provide a foundation for distributive justice in healthcare. Additionally, training centers should model the behaviors they seek to foster and be accountable to the communities they serve.

  3. Practicing finding the spaces available within the educational situation—an essay review of John Dewey and education outdoors: making sense of the `educational situation' through more than a century of progressive reform

    NASA Astrophysics Data System (ADS)

    Ware, Molly Noelle

    2015-03-01

    In this piece, I begin by reviewing and summarizing the book John Dewey and Education Outdoors by John Quay and Jayson Seaman. After an overview of the authors' work, I use nuanced presumptions within the authors' work to explore how principles of ecology (complexity theory), principles of embodied movement practices such as yoga and five Rhythms Dance, and a poststructural both/and perspective might create opportunities for re-imagining and transforming the cultural institution of education. Questions explored in this review include: What sort of relationship might allow us to remain open and engaged within a dynamic environment where change is the norm? What sort of relationship to difference allows us to remain open to the creative potential found in what is oppositional? Through exploring these questions, I hope to clarify a vision of transformation and change as a creative practice that grows out of learning to both work with, accept, and honor ourselves and strengthen connection with others, communities, the planet and the environment.

  4. LGBT Family Lawyers and Same-Sex Marriage Recognition: How Legal Change Shapes Professional Identity and Practice.

    PubMed

    Baumle, Amanda K

    2018-01-10

    Lawyers who practice family law for LGBT clients are key players in the tenuous and evolving legal environment surrounding same-sex marriage recognition. Building on prior research on factors shaping the professional identities of lawyers generally, and activist lawyers specifically, I examine how practice within a rapidly changing, patchwork legal environment shapes professional identity for this group of lawyers. I draw on interviews with 21 LGBT family lawyers to analyze how the unique features of LGBT family law shape their professional identities and practice, as well as their predictions about the development of the practice in a post-Obergefell world. Findings reveal that the professional identities and practice of LGBT family lawyers are shaped by uncertainty, characteristics of activist lawyering, community membership, and community service. Individual motivations and institutional forces work to generate a professional identity that is resilient and dynamic, characterized by skepticism and distrust coupled with flexibility and creativity. These features are likely to play a role in the evolution of the LGBT family lawyer professional identity post-marriage equality.

  5. When a community hospital becomes an academic health centre.

    PubMed

    Topps, Maureen; Strasser, Roger

    2010-01-01

    With the burgeoning role of distributed medical education and the increasing use of community hospitals for training purposes, challenges arise for undergraduate and postgraduate programs expanding beyond traditional tertiary care models. It is of vital importance to encourage community hospitals and clinical faculty to embrace their roles in medical education for the 21st century. With no university hospitals in northern Ontario, the Northern Ontario School of Medicine and its educational partner hospitals identified questions of concern and collaborated to implement changes. Several themes emerged that are of relevance to any medical educational program expanding beyond its present location. Critical areas for attention include the institutional culture; human, physical and financial resources; and support for educational activities. It is important to establish and maintain the groundwork necessary for the development of thriving integrated community-engaged medical education. Done in tandem with advocacy for change in funding models, this will allow movement beyond the current educational environment. The ultimate goal is successful integration of university and accreditation ideals with practical hands-on medical care and education in new environments.

  6. Physician-Pharmacist collaboration in a pay for performance healthcare environment.

    PubMed

    Farley, T M; Izakovic, M

    2015-01-01

    Healthcare is becoming more complex and costly in both European (Slovak) and American models. Healthcare in the United States (U.S.) is undergoing a particularly dramatic change. Physician and hospital reimbursement are becoming less procedure focused and increasingly outcome focused. Efforts at Mercy Hospital have shown promise in terms of collaborative team based care improving performance on glucose control outcome metrics, linked to reimbursement. Our performance on the Centers for Medicare and Medicaid Services (CMS) post-operative glucose control metric for cardiac surgery patients increased from a 63.6% pass rate to a 95.1% pass rate after implementing interventions involving physician-pharmacist team based care.Having a multidisciplinary team that is able to adapt quickly to changing expectations in the healthcare environment has aided our institution. As healthcare becomes increasingly saturated with technology, data and quality metrics, collaborative efforts resulting in increased quality and physician efficiency are desirable. Multidisciplinary collaboration (including physician-pharmacist collaboration) appears to be a viable route to improved performance in an outcome based healthcare system (Fig. 2, Ref. 12).

  7. Timing of plant phenophases since 1752 in the boreal forest environment

    NASA Astrophysics Data System (ADS)

    Kubin, Eero; Tolvanen, Anne; Karhu, Jouni; Valkama, Jari

    2016-04-01

    Global warming and climate change will significantly affect on forest environment in northern latitudes. There is the strong evidence that increase of early spring and late autumn temperatures will have impacts on growth and growth cycles. In Finland the Finnish Forest Research Institute (Luke since 2015) established in 1996 National Phenological Network to study changes of phenophases all over the country representing southern, middle and northern boreal forest zones. Continuous detailed scientific monitoring includes eleven forest plant species and it forms an excellent basis to evaluate responses of forest vegetation in respect to climate change. Monitoring is done together with Universities and other Institutes. Prior to the establishment of the Finnish National Phenological Network observations has been made solely based on volunteers since 1752. This citizen-science data is very important to analyze phenophases together with the results of the National Network. The long-term data since 1752 shows e.g. an advancement in the onset of Prunus padus flowering by five days per 100 years and correspondingly three days in the rowan (Sorbus aucuparia). The latest results of the Finnish National Network (1996 - 2014) fits well to this long term trend. In the Finnish National Phenological Network we have monitored phenophases of forest spieces throughout the growth period, focusing on nine forest tree species and two dwarf shrubs. The results can be followed in real time at: http://www.metla.fi/metinfo/fenologia/index-en.htm. We have observed big differences in phenophases between southern and northern boreal zone. Onset of downy birch leafing happens one month later in the north compared with southern boreal zone. Coming into leaf has clearly occurred earlier during the research period since 1996 in the northern boreal zone compared with southern boreal zone. This indicates the response of climate change. The timing of leaf colouring and leaf fall was observed remained almost constant in the southern boreal zone. Effective temperature sum is important for the timing of the bud burst. The timing of phenological phenomena of forest vegetation, berry and seed crops reflects information about the response of the forest environment to the changes in the environmental factors. The global warming will be at its most powerful in the northern latitudes and this phenomenon is predicted to become increasingly more powerful in the future. Study of the regional differences will yield information about the changes in the northern limits of distribution of different plant species, and these changes can significantly affect the quantitative proportions of plant species. These changes, in turn, have an indirect impact on the entire ecosystem and the sources of livelihood relying on it. Phenological monitoring is nowadays more important than ever especially in boreal regions, where spring temperatures are elevated. Compilation and documentation of observations on plant phenophases play a key role in working out the rate of global climate change. To utilize citizen-science data together with the scientific monitoring will be discussed in the conference.

  8. 34 CFR 600.31 - Change in ownership resulting in a change in control for private nonprofit, private for-profit...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...— (i) No later than 10 business days after the change occurs; or (ii) For an institution owned by a publicly-traded corporation, no later than 10 business days after the institution knew, or should have... institution of higher education or postsecondary vocational institution, it need not have been in existence...

  9. 34 CFR 600.31 - Change in ownership resulting in a change in control for private nonprofit, private for-profit...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...— (i) No later than 10 business days after the change occurs; or (ii) For an institution owned by a publicly-traded corporation, no later than 10 business days after the institution knew, or should have... institution of higher education or postsecondary vocational institution, it need not have been in existence...

  10. Factors Influencing Successful Student Outcomes between Transfer and Native Populations in a Postsecondary Environment

    ERIC Educational Resources Information Center

    Tinney, Tina Molero

    2012-01-01

    Institutions of higher education have experienced increased scrutiny. Legislative and policy developments rapidly impact institutional accountability and student access. While various accountability measures are available to assess institutional quality and student success, information currently collected is not sufficient for a broader…

  11. Opportunities across Boundaries: Lessons from a Collaboratively Delivered Cross-Institution Master's Programme

    ERIC Educational Resources Information Center

    de Róiste, Mairéad; Breetzke, Gregory; Reitsma, Femke

    2015-01-01

    Advances in technology have created opportunities for collaborative multi-institution programme delivery which are increasingly attractive within a constrained financial environment. This paper details the development of a cross-institution collaboratively delivered masters and postgraduate diploma programme in Geographical Information Science in…

  12. Programs for the Alleviation of Institutional Dependency. Final Report.

    ERIC Educational Resources Information Center

    Callahan, Orel D.; And Others

    The Summer School Functional Education program of the Kalamazoo (Michigan) State Hospital was evaluated in terms of the program's effectiveness in enhancing the emotional health of participants and reducing their institutional dependency (adjustment patterns dependent on the structured and protected environment of the institution). Subjects were…

  13. The Community College Accountability Network: Understanding Institutional Accountability at Aspen Grove Community College

    ERIC Educational Resources Information Center

    Harbour, Clifford P.; Davies, Timothy Gray; Gonzales-Walker, Roxanne

    2010-01-01

    This article reports on a qualitative, interpretive case study examining how trustees, administrators, faculty members, and staff members at a rural community college understand their institution's accountability environment. Data analysis and interpretation established that participants conceptualized institutional accountability as dialogic,…

  14. 40 CFR 264.148 - Incapacity of owners or operators, guarantors, or financial institutions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., guarantors, or financial institutions. 264.148 Section 264.148 Protection of Environment ENVIRONMENTAL... TREATMENT, STORAGE, AND DISPOSAL FACILITIES Financial Requirements § 264.148 Incapacity of owners or operators, guarantors, or financial institutions. (a) An owner or operator must notify the Regional...

  15. 40 CFR 267.148 - Incapacity of owners or operators, guarantors, or financial institutions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., guarantors, or financial institutions. 267.148 Section 267.148 Protection of Environment ENVIRONMENTAL... FACILITIES OPERATING UNDER A STANDARDIZED PERMIT Financial Requirements § 267.148 Incapacity of owners or operators, guarantors, or financial institutions. (a) An owner or operator must notify the Regional...

  16. 40 CFR 265.148 - Incapacity of owners or operators, guarantors, or financial institutions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., guarantors, or financial institutions. 265.148 Section 265.148 Protection of Environment ENVIRONMENTAL... HAZARDOUS WASTE TREATMENT, STORAGE, AND DISPOSAL FACILITIES Financial Requirements § 265.148 Incapacity of owners or operators, guarantors, or financial institutions. (a) An owner or operator must notify the...

  17. Keeping patients safe: Institute of Medicine looks at transforming nurses' work environment.

    PubMed

    2004-01-01

    In November 1999, the Institute of Medicine (IOM) released To Err Is Human: Building a Safer Health System, which brought to the public's attention the serious--and sometimes deadly--dangers posed by medical errors occurring in healthcare organizations. Exactly 4 years later, an IOM committee released a new report that focuses on the need to reinforce patient safety defenses in the nurses' working environments.

  18. The structure of state health agencies: a strategic analysis.

    PubMed

    Ford, Eric W; Duncan, W Jack; Ginter, Peter M

    2003-03-01

    Leaders in public organizations are adopting many private sector management practices to control costs and increase efficiency. Nowhere is this more evident than among state health agencies. State health agencies were encouraged to change the way they operate by the 1988 Institute of Medicine (IOM) report on The Future of Public Health. This report portrayed public health as being in disarray. To address major deficiencies identified by the IOM study, some public health leaders have reevaluated their environments, reconfigured their organizations, and adopted a strategic mindset. The purpose of this research is to explore the various organizational configurations of state health agencies. Replicating methods used in studies of private sector organizations, five distinct strategic configurations or archetypes were identified. This comprehensive public health agency taxonomy will assist future researchers in analyzing public health organizations' environments, structures, and strategies.

  19. The Changing University?

    ERIC Educational Resources Information Center

    Schuller, Tom, Ed.

    This collection of papers investigates change and compares university education experiences worldwide, looking at it from the perspective of numbers of students, range of institutions, funding, institutional functions, boundaries, and directions, orientation of students and staff, and institutional change. After an introduction by Tom Schuler,…

  20. SU-B-BRF-01: Professional Council Symposium: The Evolving US Healthcare Delivery Model, How Will the Medical Physics Profession Be Impacted and How Should We Respond?

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Halvorsen, P; Shine, K; White, G

    The United States' healthcare delivery model is undergoing significant change. Insurance and reimbursement models are rapidly evolving, federal allocations are shifting from specialty services to preventive and generalpractice services, and Accountable Care Organizations are gaining in prominence. One area of focus is on the perceived over-utilization of expensive services such as advanced imaging and, in some cases, radiation therapy. Reimbursement incentives are increasingly aimed at quality metrics, leading to an increased interest in the core concepts of High Reliability Organizations. With the shift in federal resources away from specialty services and the increasing prominence of Accountable Care Organizations, we willmore » likely be challenged to re-assess our traditional model for delivering medical physics services. Medical physicists have a unique combination of education and training in physics principles, radiation physics applications in medicine, human anatomy, as well as safety analysis and quality control methods. An effective medical physicist recognizes that to advance the institution's mission, the medical physicist must join other professional leaders within the institution to provide clear direction and perspective for the entire team. To do that, we must first recognize the macro changes in our healthcare delivery system and candidly assess how the medical physics practice model can evolve in a prudent way to support the institution's objectives while maintaining the traditionally high level of quality and safety. This year's Professional Council Symposium will explore the many facets of the changing healthcare system and its potential impact on medical physics. Dr. Shine will provide an overview of the developing healthcare delivery and reimbursement models, with a focus on how the physician community has adapted to the changing objectives. Mr. White will describe recent changes in the reimbursement patterns for both imaging and radiation therapy services, the underlying imperatives that will influence additional changes in the near-term future, and the broader changes in the medical physics workforce that may arise due to many (often conflicting) directives and incentives both internal and external to the profession. Maintaining the integrity of the medical physics profession and the high quality of medical physics services will require a shared understanding of the changing practice environment and a firm commitment to protecting the key priorities of clinical medical physics as the healthcare system transitions to a new and very different model. To be effective as medical physicists, we must learn how to provide leadership in our respective institutions. Learning Objectives: Understand the macro changes occurring in the US healthcare delivery system. Understand the likely near-term, and possible longer-term, impact on the medical physics profession. Understand some strategies for providing leadership during this period of significant change.« less

  1. Governance Change and Institutional Adaptation: A Case Study from Harenna Forest, Ethiopia

    NASA Astrophysics Data System (ADS)

    Wakjira, Dereje T.; Fischer, Anke; Pinard, Michelle A.

    2013-04-01

    Many common pool resources have traditionally been managed through intricate local governance arrangements. Over time, such arrangements are confronted with manifold political, social, economic and ecological changes. However, the ways in which local governance arrangements react to such changes are poorly understood. Using the theoretical concept of institutional adaptation, we analyse the history of Harenna forest, Ethiopia, to examine processes of institutional change over the last 150 years. We find that the traditional institutions that governed Harenna's resources persisted, in essence, over time. However, these institutions were modified repeatedly to address changes caused by varying formal, supra-regional governance regimes, the development of markets for forest products, increasing population pressure and changes in formal property rights. A key mechanism for adaptation was combining elements from both informal and formal institutions, which allowed traditional rules to persist in the guise of more formal arrangements. Our findings also highlight several constraints of institutional adaptation. For example, by abolishing fora for collective decision-making, regime changes limited adaptive capacity. To conclude, we argue that such insights into traditional resource governance and its adaptability and dynamics over time are essential to develop sustainable approaches to participatory forest management for the future, both in Harenna and more generally.

  2. ASHRAE and residential ventilation

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sherman, Max H.

    In the last quarter of a century, the western world has become increasingly aware of environmental threats to health and safety. During this period, people psychologically retreated away from outdoors hazards such as pesticides, smog, lead, oil spills, and dioxin to the seeming security of their homes. However, the indoor environment may not be healthier than the outdoor environment, as has become more apparent over the past few years with issues such as mold, formaldehyde, and sick-building syndrome. While the built human environment has changed substantially over the past 10,000 years, human biology has not; poor indoor air quality createsmore » health risks and can be uncomfortable. The human race has found, over time, that it is essential to manage the indoor environments of their homes. ASHRAE has long been in the business of ventilation, but most of the focus of that effort has been in the area of commercial and institutional buildings. Residential ventilation was traditionally not a major concern because it was felt that, between operable windows and envelope leakage, people were getting enough outside air in their homes. In the quarter of a century since the first oil shock, houses have gotten much more energy efficient. At the same time, the kinds of materials and functions in houses changed in character in response to people's needs. People became more environmentally conscious and aware not only about the resources they were consuming but about the environment in which they lived. All of these factors contributed to an increasing level of public concern about residential indoor air quality and ventilation. Where once there was an easy feeling about the residential indoor environment, there is now a desire to define levels of acceptability and performance. Many institutions--both public and private--have interests in Indoor Air Quality (IAQ), but ASHRAE, as the professional society that has had ventilation as part of its mission for over 100 years, is the logical place to provide leadership. This leadership has been demonstrated most recently by the publication of the first nationally recognized standard on ventilation in homes, ASHRAE Standard 62.2-2003, which builds on work that has been part of ASHRAE for many years and will presumably continue. Homeowners and occupants, which includes virtually all of us, will benefit from the application of Standard 62.2 and use of the top ten list. This activity is exactly the kind of benefit to society that the founders of ASHRAE envisioned and is consistent with ASHRAE's mission and vision. ASHRAE members should be proud of their Society for taking leadership in residential ventilation.« less

  3. Occurrence detection and selection procedures in healthcare facilities: a comparison across Canada and Brazil.

    PubMed

    Morita, Plinio P; Burns, Catherine M

    2011-01-01

    Healthcare institutions face high levels of risk on a daily basis. Efforts have been made to address these risks and turn this complex environment into a safer environment for patients, staff, and visitors. However, healthcare institutions need more advanced risk management tools to achieve the safety levels currently seen in other industries. One of these potential tools is occurrence investigation systems. In order to be investigated, occurrences must be detected and selected for investigation, since not all institutions have enough resources to investigate all occurrences. A survey was conducted in healthcare institutions in Canada and Brazil to evaluate currently used risk management tools, the difficulties faced, and the possibilities for improvement. The findings include detectability difficulties, lack of resources, lack of support, and insufficient staff involvement.

  4. Enhancing faecal sludge management in peri-urban areas of Lusaka through faecal sludge valorisation: challenges and opportunities

    NASA Astrophysics Data System (ADS)

    Tembo, J. M.; Nyirenda, E.; Nyambe, I.

    2017-03-01

    Lusaka, the capital city of Zambia, has two million inhabitants with 70% residing in peri-urban areas. Ninety (90) % of this population employ pit latrines for excretion generating approximately 22,680 tons of faecal sludge per annum. This sludge is inadequately managed hence of the generated amount, over 60% remains within the residential environment thereby compromising both the environment and public health. To foster a solution to this problem, a study was commissioned to assess faecal sludge valorisation potential and how it would impact on Faecal Sludge Management. The study evaluated policy, institutional and regulatory frameworks, sanitation practices including latrine construction and usage aspects and also characterised the faecal sludge for selected parameters relevant to valorisation. Four peri-urban areas were adopted as study sites. Policy issues together with existing institutional and regulatory frameworks were assessed through literature review. Sanitation practices were evaluated through physical observations, focus group discussions, interviews and questionnaire administration. Faecal sludge characterisation was through sampling and analysis. It was observed that there are policy gaps in fostering faecal sludge valorisation. Sanitation practices and latrines construction also do not favour valorisation. The quality of the raw sludge has potential for valorisation though again, some parameters like solid waste content require drastic changes in sanitation practices in order not to compromise the reuse potential of the sludge. It was concluded that if faecal sludge management is to be enhanced through valorisation, there is need to have policies promoting pit latrine faecal sludge reuse and strengthened regulatory and institutional frameworks in this respect.

  5. Persistent Identification of Agents and Objects of Global Change

    NASA Astrophysics Data System (ADS)

    Tilmes, C.; Fox, P. A.; Waple, A.; Zednik, S.

    2012-12-01

    "Global Change" includes climate change, ecological change, land-use changes and host of other interacting complex systems including societal and institutional implications. This vast body of information includes scientific research, data, measurements, models, analyses, assessments, etc. It is produced by a collection of multi-disciplinary researchers and organizations from around the world and demand for this information is increasing from a multitude of different audiences and stakeholders. The identification and organization of the agents and objects of global change information and their inter-relationships and contributions to the whole story of change is critical for conveying the state of knowledge, its complexity as well as syntheses and key messages to researchers, decision makers, and the public. The U.S. Global Change Research Program (http://globalchange.gov) coordinates and integrates federal research on changes in the global environment and their implications for society. The USGCRP is developing a Global Change Information System (GCIS) that will organize and present our best understanding of global change, and all the contributing information that leads to that understanding, including the provenance needed to trust and use that information. The first implementation will provide provenance for the National Climate Assessment (NCA). (http://assessment.globalchange.gov) The NCA must integrate, evaluate, and interpret the findings of the USGCRP; analyze the effects of global change on the natural environment, agriculture, energy production and use, land and water resources, transportation, human health and welfare, human social systems, and biological diversity; and analyze current trends in global change, both human-induced and natural, and projects major trends for the subsequent 25 to 100 years. It also assesses information at the regional scale across the Nation. A synthesis report is required not less frequently than every four years and the next NCA report will be delivered in 2013. However a major new approach for the NCA is as a sustained effort including many more foundational components (such as scenarios and indicators) and thousands of contributors and participants. As a result of a public "request for information" the NCA has received over 500 distinct technical inputs to the process, many of which are reports distilling and synthesizing even more information, coming from thousands of groups around the federal government, non-governmental organizations, academic institutions, etc. The GCIS will assign identifiers, track citations and provide the links from the content of the National Climate Assessment back to related inputs. We will describe our approach to persistent identification of the agents and objects and their relationships to the NCA, how we plan to implement that approach throughout the global change research and sustained assessment activities of the 13 federal agencies of the USGCRP, and how this approach will improve understanding, reproducibility, and ultimately, credibility and usability of global change information.

  6. Institutional Design and the Internationalization of U.S. Postsecondary Education Institutions

    ERIC Educational Resources Information Center

    Bruce, Gonzalo Raul

    2009-01-01

    Postsecondary education institutions are increasingly affected by their external environment and more specifically, global forces. Among such forces is the acknowledged global labor market of education, fierce competition between educational systems, and the need for colleges and universities to expand their resource base.In response to such…

  7. Mt. Hood Community College Institutional Effectiveness (IE) Report Fall 2001.

    ERIC Educational Resources Information Center

    Walleri, R. Dan

    This report examines the indicators of institutional effectiveness for Mount Hood Community College (MHCC) (Oregon). The document reports on five institutional goals: (1) knowledge-based workforce education and services; (2) access for members of the community and development of an environment in which diversity thrives; (3) economic development,…

  8. Community Stories and Institutional Stewardship: Digital Curation's Dual Roles of Story Creation and Resource Preservation

    ERIC Educational Resources Information Center

    Kunda, Sue; Anderson-Wilk, Mark

    2011-01-01

    Our institutions of record are facing a new digital knowledge management challenge: stakeholder communities are now expecting customized Web interfaces to institutional knowledge repositories, online environments where community members can contribute content and see themselves represented, as well as access archived resources. Digital curation…

  9. Cardiovascular drug discovery in the academic setting: building infrastructure, harnessing strengths, and seeking synergies.

    PubMed

    Gardell, Stephen J; Roth, Gregory P; Kelly, Daniel P

    2010-10-01

    The flow of innovative, effective, and safe new drugs from pharmaceutical laboratories for the treatment and prevention of cardiovascular disease has slowed to a trickle. While the need for breakthrough cardiovascular disease drugs is still paramount, the incentive to develop these agents has been blunted by burgeoning clinical development costs coupled with a heightened risk of failure due to the unprecedented nature of the emerging drug targets and increasingly challenging regulatory environment. A fuller understanding of the drug targets and employing novel biomarker strategies in clinical trials should serve to mitigate the risk. In any event, these current challenges have evoked changing trends in the pharmaceutical industry, which have created an opportunity for non-profit biomedical research institutions to play a pivotal partnering role in early stage drug discovery. The obvious strengths of academic research institutions is the breadth of their scientific programs and the ability and motivation to "go deep" to identify and characterize new target pathways that unlock the specific mysteries of cardiovascular diseases--leading to a bounty of novel therapeutic targets and prescient biomarkers. However, success in the drug discovery arena within the academic environment is contingent upon assembling the requisite infrastructure, annexing the talent to interrogate and validate the drug targets, and building translational bridges with pharmaceutical organizations and patient-oriented researchers.

  10. Workshop on Mercury: Space Environment, Surface, and Interior

    NASA Technical Reports Server (NTRS)

    2001-01-01

    This volume contains abstracts that have been accepted for presentation at the Workshop on Mercury: Space Environment, Surface, and Interior, October 4-5, 2001. The Scientific Organizing Committee consisted of Mark Robinson (Northwestern University), Marty Slade (Jet Propulsion Laboratory), Jim Slavin (NASA Goddard Space Flight Center), Sean Solomon (Carnegie Institution), Ann Sprague (University of Arizona), Paul Spudis (Lunar and Planetary Institute), G. Jeffrey Taylor (University of Hawai'i), Faith Vilas (NASA Johnson Space Center), Meenakshi Wadhwa (The Field Museum), and Thomas Watters (National Air and Space Museum). Logistics, administrative, and publications support were provided by the Publications and Program Services Departments of the Lunar and Planetary Institute.

  11. Institutional change and campus greening at Tulane University

    Treesearch

    Aaron S. Allen

    2000-01-01

    A case study of Tulane University that examines the institutional change process is presented in this paper. Agents of change can use the examples and conclusions as a basis for making changes at any institution. The inability for Tulane to make the campus environmentally sustainable in terms of operations and education was due to the lack of an institutionalized...

  12. Changes in Migration Pattern of Transhumance due to Climate Change: An Empirical Analysis of Gaddi Community of Himachal Himalaya, India

    NASA Astrophysics Data System (ADS)

    Mishra, Himanshu; Wasini Pandey, Bindhy

    2017-04-01

    Transhumance is a complex and traditional livelihood system seeking to maintain equilibrium between pastures, livestock and local people in variable and inhospitable environments. In Western Himalayas in the Indian state of Himachal Pradesh, pastoral groups of Gaddis inhabit almost inaccessible areas, where scarce resources and extreme climatic conditions limit options for alternative land use and livelihood systems. In such a harsh and unforgiving environment, mobility in the form of transhumance has been the traditional ecological response to climatic extremes. However, recently, such additional factors as global as well as regional climate change have brought about changes in the tree line, snow line and pastoral grounds along the historical route of seasonal migration of the Gaddis. The growing unpredictability of the once static route of migration has raised the possibility of Gaddis shifting to alternative land use and land management techniques. In the present research, we explore how transhumant pastoralism has been sustained and stimulated in the context of socioeconomic and climate change in the mountainous region of Himachal Pradesh and the future challenges that it faces. Based on case study research conducted in Chamba district in Himachal Pradesh; we have analysed the status, opportunities, and constraints of transhumant pastoralism in the changing context and modeled the possible alternative land use decisions. Finally we conclude that unless there are affirmative and progressive policy and institutional framework to support transhumant system, the indigenous practice will soon disappear from this part of the world. Keywords: Climate change, Gaddis, Himachal Pradesh, Transhumance, Alternative Land Use

  13. Outcomes of a new residential scheme for adults with intellectual disabilities in Taiwan: a 2-year follow-up.

    PubMed

    Chou, Y-C; Pu, C; Kröger, T; Lee, W; Chang, S

    2011-09-01

    The Taiwanese government launched a new programme in November 2004 to support adults with intellectual disabilities living in smaller facilities. This paper aims to evaluate the service outcomes of this new residential scheme over 2 years including those residents who moved from an institution and those who moved from their family. A one-group repeated-measures analysis was conducted for five interviews after the adults with intellectual disabilities entered the new environment. Forty-nine adults were initially studied (T1) and 29 adults remained in the homes until the end of the study (T5). This study found significant improvements over the 2 years in the residents' quality of life and family contact. The results also highlight a decrease in maladaptive behaviour among the residents moving from institution and an increase in choice making and family contact among the residents moving from family. No significant changes in adaptive behaviour and community inclusion were found. Results revealed that further policy changes and financial support including service quality assurance are required in order to improve service outcomes for adults living in the new residential scheme. © 2011 The Authors. Journal of Intellectual Disability Research © 2011 Blackwell Publishing Ltd.

  14. Surgical resident learning styles have changed with work hours.

    PubMed

    Quillin, Ralph C; Cortez, Alexander R; Pritts, Timothy A; Hanseman, Dennis J; Edwards, Michael J; Davis, Bradley R

    2016-01-01

    The Accreditation Council for Graduate Medical Education instituted the 80-h workweek for residency programs in 2003. This presented a unique challenge for surgery residents who must acquire a medical and technical knowledge base during training. Therefore, learning should be delivered in an environment congruent with an individual's learning style. In this study, we evaluated the learning styles of general surgery residents to determine how learning styles changed after the implementation to the 80-h workweek. Kolb learning style inventory was taken by general surgery residents at the University of Cincinnati's Department of Surgery, and results from 1999-2012 were analyzed. Statistical analysis was performed using the chi-squared, logistic regression and Wilcoxon rank-sum test. Significance was defined as a P value of <0.05. A total of 411 responses were obtained from 115 residents. Surgical residents were primarily converging (59.0%) and assimilating (19.1%) learners before 2003. However, there was a shift in predominate learning styles after the institution of the 80-h workweek to converging (43.9%) and accommodating (40.4%, P < 0.001). Surgical residents were also more likely to be team-based learners after the start of the 80-h workweek (odds ratio = 2.13, P = 0.0016). After the institution of the 80-h workweek, most general surgery residents remained action-based learners. However, there was a shift within this majority toward a preference for team-based learning. This change paralleled the transition to a more team-based approach to patient care with the implementation of the 80-h workweek. These findings are important for surgical educators to consider in the development of surgical resident curriculum. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. University community partnerships that promote evidence-based macro practice.

    PubMed

    Mulroy, Elizabeth A

    2008-01-01

    This article articulates three dimensions of EBP grounded in theory for macro practice: intention toward social change, planning and decision-making, and civic participation. These dimensions are then applied to university community partnerships that are complex community interventions. The goals of these partnerships are to improve the social environment in low-income neighborhoods through community development and reform the university as a social institution from neighborhood bystander to responsible, engaged citizen. Finally, the article introduces the concept of a planning triangle, a framework linking evidence derived from community assessments and practice-relevant research to decisive and timely action in the field.

  16. Wireless technology in the ICU: boon or ban?

    PubMed

    Gladman, Aviv S; Lapinsky, Stephen E

    2007-01-01

    Wireless communication and data transmission are playing an increasing role in the critical care environment. Early anecdotal reports of electromagnetic interference (EMI) with intensive care unit (ICU) equipment resulted in many institutions banning these devices. An increasing literature database has more clearly defined the risks of EMI. Restrictions to the use of mobile devices are being lifted, and it has been suggested that the benefits of improved communication may outweigh the small risks. However, increased use of cellular phones and ever changing communication technologies require ongoing vigilance by healthcare device manufacturers, hospitals and device users, to prevent potentially hazardous events due to EMI.

  17. Investigation of electrical noise in selenium-immersed thermistor bolometers

    NASA Technical Reports Server (NTRS)

    Tarpley, J. L.; Sarmiento, P. D.

    1980-01-01

    The selenium immersed, thermistor bolometer, IR detector failed due to spurious and escalating electrical noise outburst as a function of time at elevated temperatures during routine ground based testing in a space simulated environment. Spectrographic analysis of failed bolometers revealed selenium pure zones in the insulating selenium arsenic (Se-As) glass film which surrounds the active sintered Mn, Ni, Co oxide flake. The selenium pure film was identified as a potentially serious failure mechanism. Significant changes were instituted in the manufacturing techniques along with more stringent process controls which eliminated the selenium pure film and successfully produced 22study bolometers.

  18. Working for a sustainable future: healthcare leaders provide input for new model.

    PubMed

    2003-06-01

    With each tick of the clock, healthcare leaders are coming face to face with a pressing quandary: How can they best guide their organizations to success and sustainability in a rocky and ever-changing healthcare environment? A new "model of sustainability," developed with input from nine CEOs of top medical institutions, may provide some guidance. The model includes six leadership imperatives that underscore critical approaches to supporting the hospital of the future: Build strong organization-wide leadership, become the employer of choice, generate financial strength, redesign structures and processes, develop productive physician relationships, and engage consumers.

  19. Public affairs events at Fall Meeting

    NASA Astrophysics Data System (ADS)

    Uhlenbrock, Kristan

    2012-02-01

    AGU's Public Affairs team presented two workshop luncheons and hosted 17 oral and poster sessions at the 2011 Fall Meeting. Topics ranged from defining the importance of the geosciences, to climate change science for communities and institutions. The workshop luncheon "How to Be a Congressional Science Fellow or Mass Media Fellow" was a well-attended event with more than 115 participants. The luncheon provided the opportunity for audience members to ask fellow scientists about their experiences working either in Congress or as a reporter for a news organization. For scientists looking to expand their expertise outside the academic environment, these AGU fellowships are fantastic opportunities.

  20. The environmental education in the Italian Renaissance: the geoethical model of Machiavelli

    NASA Astrophysics Data System (ADS)

    Liserre, Battista; De Pascale, Francesco

    2016-04-01

    The importance of the environmental and geoethical education is also present in the thought of one of the greatest intellectuals of the Italian Renaissance: the philosopher Niccolò Machiavelli (1469-1527). In the "Discorsi" of Machiavelli, the natural character of the place where a city is built is a determining factor in the overall measure of the need on the character of the citizens; but the barren place, if can keep away the people from idleness, and thereby constitute an essential tool of virtuous civic life, prevents the development of the power which can be fostered only by the fertility of the site. It may give rise own laziness which hinders the development of virtue; and then, according to Machiavelli, laws must be to impose the need to produce good behavior through education. Already in the Renaissance, Machiavelli recognized the importance of establishing a harmonious relationship between man and environment and suggested that the institutions should give a virtuous model of environmental education. The physiognomy of the geographical and natural environment conditions in an essential way the exercise of civil life and the development of virtues. If the Rome's model imposes the primacy of fertile places, it happens, however, that, in his general conception of virtue and of historical dialectic, Machiavelli tended toward ultimately to increased functionality of the desolate places, which make difficult the life, and through the exercise of the need, make men more virtuous, keeping them away from the destructive threat of idleness. This aspect emerges from a different perspective, but convergent in "Asino" of Machiavelli (Chapter V). The link between the natural places and civic life that takes place isn't something absolutely default. Men's work, orders underpinning their collective life, laws that place the compulsion of necessity by the behavior of citizens, change the data of nature. Although the structure of a territory unequally, according to Machiavelli, can be changed by the foundation of new cities, an aspect to which the ancients placed special care, distributing and multiplying the population through the colonies, as highlighted in a passage of great historical and geographical interest in "Istorie Fiorentine" (II, 1). In this passage, the relationship between city and territory, human building and natural habitat is configured as an action of civil institutions and the work of human groups on the rough and unhealthy hostility of the physical environment. This passage is a topical question, considering the importance of human action which helps to change the places for their livelihood. Already in the Renaissance, Machiavelli identified the importance of a geoethical virtuous model for the citizens and the institutions.

  1. Rugged optical mirrors for the operation of Fourier-Transform Spectrometers in rough environments

    NASA Astrophysics Data System (ADS)

    Feist, Dietrich G.

    2014-05-01

    The Total Carbon Column Observing Network (TCCON) and the Network for the Detection of Atmospheric Composition Change (NDACC) operate a growing number of Fourier-Transform Spectrometers (FTS) that measure the total column of several atmospheric trace gases. For these measurements, the sun is used as a light source. This is typically achieved by a solar tracker that uses a pair of optical mirrors to guide the sunlight into the instrument. There is a growing demand to operate these instruments in remote locations that fill the gaps in the global observation network. Besides the logistical challenges of running a remote site, the environment at these locations can be very harsh compared to the sheltered environment of the instruments' home institutions. While the FTS itself is usually well protected inside a building or container, the solar tracker and especially its mirrors are exposed to the environment. There they may suffer from - temperature fluctuations - high humidity - sea salt corrosion at coastal sites - dirt and dust - air pollution from anthropogenic sources - deposition from plants or animals The Max Planck Institute for Biogeochemistry (MPI-BGC) operates a TCCON station on Ascension Island, about 200 m from the sea. Under the rough conditions at this site, typical optical mirrors that are made for laboratory conditions are destroyed by sea salt spray within a few weeks. Besides, typical gold-coated mirrors cannot be cleaned as their soft surface is easily scratched or damaged. To overcome these problems, the MPI-BGC has developed optical mirrors that - offer good reflectivity in the near and mid infrared - are highly resistant to salt and chlorine - have a hard surface so that they can be cleaned often and easily - are not affected by organic solvents - last for months in very harsh environments - can be reused after polishing These mirrors could be applied to most TCCON and NDACC sites. This way, the network could be expanded to regions where operation would have been too challenging so far.

  2. A Faculty Woman of Color and Micro-Invalidations at a White Research Institution: A Case of Intersectionality and Institutional Betrayal

    ERIC Educational Resources Information Center

    Carroll, Doris

    2017-01-01

    Faculty Women of Color should be able to thrive and grow at our best research and teaching institutions. Assuring their academic and professional success requires that an institution's academic culture shift from a White, male-dominated, meritocratic environment to a global enrichment campus, one that values the richness and diversity of talent…

  3. 31 CFR 370.7 - How can my financial institution change my designated deposit account?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false How can my financial institution... Entries § 370.7 How can my financial institution change my designated deposit account? If your financial.... The financial institution's request will be deemed an agreement by the institution to indemnify us and...

  4. Mediator infrastructure for information integration and semantic data integration environment for biomedical research.

    PubMed

    Grethe, Jeffrey S; Ross, Edward; Little, David; Sanders, Brian; Gupta, Amarnath; Astakhov, Vadim

    2009-01-01

    This paper presents current progress in the development of semantic data integration environment which is a part of the Biomedical Informatics Research Network (BIRN; http://www.nbirn.net) project. BIRN is sponsored by the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH). A goal is the development of a cyberinfrastructure for biomedical research that supports advance data acquisition, data storage, data management, data integration, data mining, data visualization, and other computing and information processing services over the Internet. Each participating institution maintains storage of their experimental or computationally derived data. Mediator-based data integration system performs semantic integration over the databases to enable researchers to perform analyses based on larger and broader datasets than would be available from any single institution's data. This paper describes recent revision of the system architecture, implementation, and capabilities of the semantically based data integration environment for BIRN.

  5. Inclusion of ecologically based trait variation in plant functional types reduces the projected land carbon sink in an earth system model.

    PubMed

    Verheijen, Lieneke M; Aerts, Rien; Brovkin, Victor; Cavender-Bares, Jeannine; Cornelissen, Johannes H C; Kattge, Jens; van Bodegom, Peter M

    2015-08-01

    Earth system models demonstrate large uncertainty in projected changes in terrestrial carbon budgets. The lack of inclusion of adaptive responses of vegetation communities to the environment has been suggested to hamper the ability of modeled vegetation to adequately respond to environmental change. In this study, variation in functional responses of vegetation has been added to an earth system model (ESM) based on ecological principles. The restriction of viable mean trait values of vegetation communities by the environment, called 'habitat filtering', is an important ecological assembly rule and allows for determination of global scale trait-environment relationships. These relationships were applied to model trait variation for different plant functional types (PFTs). For three leaf traits (specific leaf area, maximum carboxylation rate at 25 °C, and maximum electron transport rate at 25 °C), relationships with multiple environmental drivers, such as precipitation, temperature, radiation, and CO2 , were determined for the PFTs within the Max Planck Institute ESM. With these relationships, spatiotemporal variation in these formerly fixed traits in PFTs was modeled in global change projections (IPCC RCP8.5 scenario). Inclusion of this environment-driven trait variation resulted in a strong reduction of the global carbon sink by at least 33% (2.1 Pg C yr(-1) ) from the 2nd quarter of the 21st century onward compared to the default model with fixed traits. In addition, the mid- and high latitudes became a stronger carbon sink and the tropics a stronger carbon source, caused by trait-induced differences in productivity and relative respirational costs. These results point toward a reduction of the global carbon sink when including a more realistic representation of functional vegetation responses, implying more carbon will stay airborne, which could fuel further climate change. © 2015 John Wiley & Sons Ltd.

  6. Social change, institutional anomie, and serious property crime in transitional Russia

    PubMed Central

    Kim, Sang-Weon; Pridemore, William Alex

    2006-01-01

    This study examined socioeconomic change, social institutions, and serious property crime in transitional Russia. Durkheim’s anomie theory and recent research on violence in Russia led us to expect an association between negative socioeconomic change and property crime. Based upon institutional anomie theory, we also tested the hypothesis that the association between change and crime is conditioned by the strength of non-economic social institutions. Using crime data from the Russian Ministry of the Interior and an index of socioeconomic change, we used OLS regression to estimate cross-sectional models using the Russian regions (n=78) as the unit of analysis. Results surprisingly showed no effect of socioeconomic change on two different measures of robbery, only very limited support for the hypothesis of direct effects of social institutions on crime, and obviously no support for the hypothesis that institutions moderate the effect of change on crime. We interpret these findings in the context of transitional Russia and conclude that rigorous research in other nations is important in determining the generalizability of criminological theories developed to explain crime in Western nations. PMID:17372622

  7. Regional climate change predictions from the Goddard Institute for Space Studies high resolution GCM

    NASA Technical Reports Server (NTRS)

    Crane, Robert G.; Hewitson, Bruce

    1990-01-01

    Model simulations of global climate change are seen as an essential component of any program aimed at understanding human impact on the global environment. A major weakness of current general circulation models (GCMs), however, is their inability to predict reliably the regional consequences of a global scale change, and it is these regional scale predictions that are necessary for studies of human/environmental response. This research is directed toward the development of a methodology for the validation of the synoptic scale climatology of GCMs. This is developed with regard to the Goddard Institute for Space Studies (GISS) GCM Model 2, with the specific objective of using the synoptic circulation form a doubles CO2 simulation to estimate regional climate change over North America, south of Hudson Bay. This progress report is specifically concerned with validating the synoptic climatology of the GISS GCM, and developing the transfer function to derive grid-point temperatures from the synoptic circulation. Principal Components Analysis is used to characterize the primary modes of the spatial and temporal variability in the observed and simulated climate, and the model validation is based on correlations between component loadings, and power spectral analysis of the component scores. The results show that the high resolution GISS model does an excellent job of simulating the synoptic circulation over the U.S., and that grid-point temperatures can be predicted with reasonable accuracy from the circulation patterns.

  8. Student nurse mentoring: an evaluative study of the mentor's perspective.

    PubMed

    Rylance, Rebecca; Barrett, Julie; Sixsmith, Pam; Ward, Donna

    2017-04-13

    An evaluative study aimed to capture the 'mentor voice' and provide an insight into the mentoring role from the perspective of the nurse mentor. Participants from each of the four fields of nursing practice were asked to comment on the satisfying and frustrating aspects of their mentoring role. The narrative data gleaned from the evaluation were qualitatively analysed and subsequently organised into key themes around the student-mentor relationship and the clinical environment. Given that the landscape of nurse education is set to change, in terms of new standards from the professional bodies and the political drivers, not to mention the changing profile of the student nurse, it is hoped that the findings may help to shape the relationship between the mentor, the student and the higher education institution.

  9. 34 CFR 600.21 - Updating application information.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... days after the institution learns of the change. (c) Secretary's response to reporting. The Secretary notifies an institution if any reported changes affects the institution's eligibility, and the effective...

  10. 34 CFR 600.21 - Updating application information.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... days after the institution learns of the change. (c) Secretary's response to reporting. The Secretary notifies an institution if any reported changes affects the institution's eligibility, and the effective...

  11. TRI University Challenge

    EPA Pesticide Factsheets

    Details about the TRI University Challenge, in which EPA is looking to academic institutions to help build a diverse portfolio of practical and replicable projects that benefit communities, the environment, academic institutions, and the TRI Program.

  12. Negotiated risk and resident autonomy: Frontline care staff perspectives on culture change in long term care in Nova Scotia, Canada.

    PubMed

    Roberts, Emily

    2016-08-12

    Regulating risk, freedom of action, and autonomy in decision making are problems shared by both caregivers and residents in long term care settings, and may become the subject of tension and constant negotiation. This study focuses on long term care staff and management perceptions of day to day life in a care community which has gone through a culture change transition, where small residentially scaled households replace large instutional models of care. In each household, the setting is considered to be home for the 8-12 residents, creating a major shift of roles for the caregivers; they are, in essence, coming into a home rather than institutional environment as a place of work. This potentially changes the dynamics of both patterns of work for caregivers and patterns of daily living for residents. Participant observations and care staff interviews. Several key themes emrged which include: teamwork; the culture of care; regulating risk; the physical environment and care staff empowerment. An unexpected outcome was the consensus among care staff that it is they who feel at home while working in the care households, leading to empowerment in their work roles and a deeper understanding of the importance of their role in the lives of the residents.

  13. Artists Make the Invisible VIsible

    NASA Astrophysics Data System (ADS)

    Burko, D.

    2013-12-01

    As artists cross academic boundaries with increasing frequency to investigate, observe, and translate our environment and its complex processes - scientific institutions and museums are bringing this new activity to the attention of the public. The Chemical Heritage Foundation (CHF) is one organization pioneering this effort with its yearlong art exhibition Sensing Change featuring eight nationally recognized artists. CHF is using the exhibition as a framework within which to question the artists' motivations for creating works dedicated to local and global environmental change. They also explore the tools each artists uses and the artists' efforts to engage the public. In addition to the exhibition, CHF is scheduling "related programming and scholarship that explore daily shifts in our environment and long-term climate change; the visualization of data and largely invisible natural processes; and the potential role of art in science communication.' To that end they have developed an interactive web site that features the following: 1) video interviews with each of the eight artists 2) oral histories from a broad selection of atmospheric scientists on our ever evolving understanding of air 3) histories of the scientific instruments in the CHF collection that measure environmental and atmospheric data My presentation will review these elements and serve as a template to hopefully inspire the adaptation of this model by other scientific and educational bodies.

  14. Why is it taking so long for healthcare professional education to become relevant and effective? What can be done?

    PubMed

    Guilbert, Jean-Jacques

    2014-01-01

    For about a half century the World Health Organization (WHO), supported by the literature in the field of health personnel education, has argued for the benefits of a learner-centered and community-oriented approach to professional education. Nevertheless, change has not happened in the vast majority of schools and countries. This paper describes the obstacles and constraints to change in health professional education: Obsolete administrative rules, the low profile of public health, the lack of real decision power of faculty, a dearth of faculty trained in the field of education, the arbitrary separation between so-called basic sciences and clinical practice, the disciplinary orientation of learning objectives, a lack of explicit definition of desirable professional competencies, and, above all, too little value placed on the evaluation of educational programs. The recent literature continues to argue for change but action does not follow. Only very few training institutions currently put newer approaches into practice. The university culture remains an environment that stifles change.

  15. Institutional Change and Leadership Associated with Blended Learning Innovation: Two Case Studies

    ERIC Educational Resources Information Center

    Garrison, D. Randy; Vaughan, Norman D.

    2013-01-01

    This article documents the institutional change and leadership associated with blended learning innovation in higher education. Two case studies are provided that demonstrate how transformational institutional change related to blended teaching and learning approaches is predicated upon committed collaborative leadership that engages all levels of…

  16. Institutional Researchers as Change Agents

    ERIC Educational Resources Information Center

    Swing, Randy L.

    2009-01-01

    The future challenge and opportunity for institutional researchers is to serve as change agents with involvement in initiating, implementing, and evaluating campus work. Institutional researchers are poised to excel at doing so because of the array of technical skills they routinely apply to existing institutional research roles. Their work…

  17. Evaluation of a learner-designed course for teaching health research skills in Ghana

    PubMed Central

    Bates, Imelda; Ansong, Daniel; Bedu-Addo, George; Agbenyega, Tsiri; Akoto, Alex Yaw Osei; Nsiah-Asare, Anthony; Karikari, Patrick

    2007-01-01

    Background In developing countries the ability to conduct locally-relevant health research and high quality education are key tools in the fight against poverty. The objective of our study was to evaluate the effectiveness of a novel UK accredited, learner-designed research skills course delivered in a teaching hospital in Ghana. Methods Study participants were 15 mixed speciality health professionals from Komfo Anokye Teaching Hospital, Kumasi, Ghana. Effectiveness measures included process, content and outcome indicators to evaluate changes in learners' confidence and competence in research, and assessment of the impact of the course on changing research-related thinking and behaviour. Results were verified using two independent methods. Results 14/15 learners gained research competence assessed against UK Quality Assurance Agency criteria. After the course there was a 36% increase in the groups' positive responses to statements concerning confidence in research-related attitudes, intentions and actions. The greatest improvement (45% increase) was in learners' actions, which focused on strengthening institutional research capacity. 79% of paired before/after responses indicated positive changes in individual learners' research-related attitudes (n = 53), 81% in intention (n = 52) and 85% in action (n = 52). The course had increased learners' confidence to start and manage research, and enhanced life-long skills such as reflective practice and self-confidence. Doing their own research within the work environment, reflecting on personal research experiences and utilising peer support and pooled knowledge were critical elements that promoted learning. Conclusion Learners in Ghana were able to design and undertake a novel course that developed individual and institutional research capacity and met international standards. Learning by doing and a supportive peer community at work were critical elements in promoting learning in this environment where tutors were scarce. Our study provides a model for delivering and evaluating innovative educational interventions in developing countries to assess whether they meet external quality criteria and achieve their objectives. PMID:17596260

  18. Proposal for Using a Studio Format to Enhance Institutional Advancement

    ERIC Educational Resources Information Center

    Chance, Shannon

    2008-01-01

    Universities today need to become quicker on their toes. They must continually scan the environment and seize emerging opportunities--and institutional advancement must lead this effort. An unfortunate number of institutional advancement operations are ill equipped for the task at hand. Many suffer from high staff turnover and overly hierarchical…

  19. Localizing College Retention Efforts: The Distance between Theoretical Orientation and Institution-Specific Needs

    ERIC Educational Resources Information Center

    Xu, Yonghong Jade

    2017-01-01

    The study used a theoretically guided questionnaire to examine student experience in college and to gain a better understanding about how college environment affects student persistence. Data were collected from a single four-year institution; the findings suggest that institutional control over academic quality is the most critical factor in…

  20. A Narrow Path through the Broad Middle: Mapping Institutional Considerations for ESEA Reauthorization

    ERIC Educational Resources Information Center

    DeBray, Elizabeth; Houck, Eric A.

    2011-01-01

    This article uses an institutional framework to analyze the political context of the next reauthorization of the Elementary and Secondary Education Act. The authors analyze three relevant factors in the institutional environment: the role of traditional party politics, including theories of divided versus unified party government; the entrance of…

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