Yang, Chai; Zhang, Wei; Gu, Wei; Shen, Aizong
2016-11-01
Solve the problems of high cost, low utilization rate of resources, low medical care quality problem in medical consumables material logistics management for scientific of medical consumables management. Analysis of the problems existing in the domestic medical consumables material logistics management in hospital, based on lean management method, SPD(Supply, Processing, Distribution) for specific applications, combined HBOS(Hospital Business Operation System), HIS (Hospital Information System) system for medical consumables material management. Achieve the lean management in medical consumables material purchase, warehouse construction, push, clinical use and retrospect. Lean management in medical consumables material can effectively control the cost in logistics management, optimize the alocation of resources, liberate unnecessary time of medical staff, improve the quality of medical care. It is a scientific management method.
ERIC Educational Resources Information Center
Washington Office of the State Superintendent of Public Instruction, Olympia.
The future ability of secondary students to interact in a progressively technologically-oriented society is the purpose of this curriculum guide on consumer education. The guide teaches consumer decision-making, resource management, and advocacy/action. The introduction discusses the future of society and technology. Each of three sections…
ERIC Educational Resources Information Center
Kister, Joanna; And Others
This Resource Management Resource Guide is intended to help teachers implement Ohio's Work and Family Life Program. Course content focuses on the practical problems related to managing human and material resources, making consumer decisions, and feeding, clothing, and housing the family. These practical problems are posed through case studies and…
Resource waves: phenological diversity enhances foraging opportunities for mobile consumers
Armstrong, Jonathan B.; Takimoto, Gaku; Schindler, Daniel E.; Hayes, Matthew M.; Kauffman, Matthew J.
2016-01-01
Time can be a limiting constraint for consumers, particularly when resource phenology mediates foraging opportunity. Though a large body of research has explored how resource phenology influences trophic interactions, this work has focused on the topics of trophic mismatch or predator swamping, which typically occur over short periods, at small spatial extents or coarse resolutions. In contrast many consumers integrate across landscape heterogeneity in resource phenology, moving to track ephemeral food sources that propagate across space as resource waves. Here we provide a conceptual framework to advance the study of phenological diversity and resource waves. We define resource waves, review evidence of their importance in recent case studies, and demonstrate their broader ecological significance with a simulation model. We found that consumers ranging from fig wasps (Chalcidoidea) to grizzly bears (Ursus arctos) exploit resource waves, integrating across phenological diversity to make resource aggregates available for much longer than their component parts. In model simulations, phenological diversity was often more important to consumer energy gain than resource abundance per se. Current ecosystem-based management assumes that species abundance mediates the strength of trophic interactions. Our results challenge this assumption and highlight new opportunities for conservation and management. Resource waves are an emergent property of consumer–resource interactions and are broadly significant in ecology and conservation.
R.D. Ottmar; M.F. Burns; J.N. Hall; A.D. Hanson
1993-01-01
CONSUME is a user-friendly computer program designed for resource managers with some working knowledge of IBM-PC applications. The software predicts the amount of fuel consumption on logged units based on weather data, the amount and fuel moisture of fuels, and a number of other factors. Using these predictions, the resource manager can accurately determine when and...
Abrams, Peter A
2009-09-01
Consumer-resource models are used to deduce the functional form of density dependence in the consumer population. A general approach to determining the form of consumer density dependence is proposed; this involves determining the equilibrium (or average) population size for a series of different harvest rates. The relationship between a consumer's mortality and its equilibrium population size is explored for several one-consumer/one-resource models. The shape of density dependence in the resource and the shape of the numerical and functional responses all tend to be "inherited" by the consumer's density dependence. Consumer-resource models suggest that density dependence will very often have both concave and convex segments, something that is impossible under the commonly used theta-logistic model. A range of consumer-resource models predicts that consumer population size often declines at a decelerating rate with mortality at low mortality rates, is insensitive to or increases with mortality over a wide range of intermediate mortalities, and declines at a rapidly accelerating rate with increased mortality when mortality is high. This has important implications for management and conservation of natural populations.
A Listing of Theses and Dissertations Completed in Family and Consumer Sciences: 2002.
ERIC Educational Resources Information Center
Makela, Carole J.
2003-01-01
This list of 270 theses and 133 dissertations in family and consumer sciences is categorized as follows: art and design; child development; textiles; resource management; interdisciplinary; foods; nutrition; family relations; family and consumer sciences; human environment/housing; and institution, hotel, and restaurant management. (SK)
ERIC Educational Resources Information Center
Murray, Adam
2008-01-01
Designed to assist with the management of e-resources, electronic resource management (ERM) systems are time- and fund-consuming to purchase and maintain. Questions of system compatibility, data population, and workflow design/redesign can be difficult to answer; sometimes those answers are not what we'd prefer to hear. The two primary functions…
ERIC Educational Resources Information Center
Ownbey, Shiretta E.; Taupmann, Ann
1997-01-01
Five tables summarize by institution and subject matter 612 theses and dissertations in family and consumer sciences in 1996. The listing is organized by the following categories: art and design; child development; clothing/apparel; consumer resource management; family relations; foods; human environment/housing; hotel/restaurant management;…
ERIC Educational Resources Information Center
Jones, Sandra; Bannister, Rosella
This catalog lists teaching-learning resources available for preview at the Michigan Consumer Education Center. A subject index to multi-media identifies titles of films, video casettes, multi-media kits, and games under seven specific subjects. These are (1) Factors Affecting Consumer Behavior, (2) Money Management and Credit, (3) Buying and…
ERIC Educational Resources Information Center
Boogaert, John
This competency-based preservice home economics teacher education module on resources for the economically depressed area family is the third in a set of three modules on human development in economically depressed areas. (This set is part of a larger set of sixty-seven modules on the Management Approach to Teaching Consumer and Homemaking…
Smith, Marie; Cannon-Breland, Michelle L; Spiggle, Susan
2014-01-01
Health care reform initiatives are examining new care delivery models and payment reform alternatives such as medical homes, health homes, community-based care transitions teams, medical neighborhoods and accountable care organizations (ACOs). Of particular interest is the extent to which pharmacists are integrated in team-based health care reform initiatives and the related perspectives of consumers, physicians, and payers. To assess the current knowledge of consumers and physicians about pharmacist training/expertise and capacity to provide primary care medication management services in a shared resource network; determine factors that will facilitate/limit consumer interest in having pharmacists as a member of a community-based "health care team;" determine factors that will facilitate/limit physician utilization of pharmacists for medication management services; and determine factors that will facilitate/limit payer reimbursement models for medication management services using a shared resource pharmacist network model. This project used qualitative research methods to assess the perceptions of consumers, primary care physicians, and payers on pharmacist-provided medication management services using a shared resource network of pharmacists. Focus groups were conducted with primary care physicians and consumers, while semi-structured discussions were conducted with a public and private payer. Most consumers viewed pharmacists in traditional dispensing roles and were unaware of the direct patient care responsibilities of pharmacists as part of community-based health teams. Physicians noted several chronic disease states where clinically-trained pharmacists could collaborate as health care team members yet had uncertainties about integrating pharmacists into their practice workflow and payment sources for pharmacist services. Payers were interested in having credentialed pharmacists provide medication management services if the services improved quality of patient care and/or prevented adverse drug events, and the services were cost neutral (at a minimum). It was difficult for most consumers and physicians to envision pharmacists practicing in non-dispensing roles. The pharmacy profession must disseminate the existing body of evidence on pharmacists as care providers of medication management services and the related impact on clinical outcomes, patient safety, and cost savings to external audiences. Without such, new pharmacist practice models may have limited acceptance by consumers, primary care physicians, and payers. Copyright © 2014 Elsevier Inc. All rights reserved.
Holland, E Penelope; James, Alex; Ruscoe, Wendy A; Pech, Roger P; Byrom, Andrea E
2015-01-01
Accurate predictions of the timing and magnitude of consumer responses to episodic seeding events (masts) are important for understanding ecosystem dynamics and for managing outbreaks of invasive species generated by masts. While models relating consumer populations to resource fluctuations have been developed successfully for a range of natural and modified ecosystems, a critical gap that needs addressing is better prediction of resource pulses. A recent model used change in summer temperature from one year to the next (ΔT) for predicting masts for forest and grassland plants in New Zealand. We extend this climate-based method in the framework of a model for consumer-resource dynamics to predict invasive house mouse (Mus musculus) outbreaks in forest ecosystems. Compared with previous mast models based on absolute temperature, the ΔT method for predicting masts resulted in an improved model for mouse population dynamics. There was also a threshold effect of ΔT on the likelihood of an outbreak occurring. The improved climate-based method for predicting resource pulses and consumer responses provides a straightforward rule of thumb for determining, with one year's advance warning, whether management intervention might be required in invaded ecosystems. The approach could be applied to consumer-resource systems worldwide where climatic variables are used to model the size and duration of resource pulses, and may have particular relevance for ecosystems where global change scenarios predict increased variability in climatic events.
ERIC Educational Resources Information Center
Bannister, Rosella; Monsma, Charles
This guide for program planners and curriculum developers identifies and describes the basic concepts in consumer education. Consumer education is defined as the process of gaining the knowledge and skills needed in managing consumer resources and taking actions to influence the factors which affect consumer decisions. The primary focus of…
Consumers' Perspectives on Water Issues: Directions for Educational Campaigns.
ERIC Educational Resources Information Center
DeLorme, Denise E.; Hagen, Scott C.; Stout, I. Jack
2003-01-01
Explores the relationship between population growth, development, and water resources to glean insight for environmental education campaigns. Reports high awareness and moderate concern about rapid growth and development, dissatisfaction with water resource quantity and quality, and varied water management strategies among consumers. (Contains 37…
[A medical consumable material management information system].
Tang, Guoping; Hu, Liang
2014-05-01
Medical consumables material is essential supplies to carry out medical work, which has a wide range of varieties and a large amount of usage. How to manage it feasibly and efficiently that has been a topic of concern to everyone. This article discussed about how to design a medical consumable material management information system that has a set of standardized processes, bring together medical supplies administrator, suppliers and clinical departments. Advanced management mode, enterprise resource planning (ERP) applied to the whole system design process.
Concurrent negotiation and coordination for grid resource coallocation.
Sim, Kwang Mong; Shi, Benyun
2010-06-01
Bolstering resource coallocation is essential for realizing the Grid vision, because computationally intensive applications often require multiple computing resources from different administrative domains. Given that resource providers and consumers may have different requirements, successfully obtaining commitments through concurrent negotiations with multiple resource providers to simultaneously access several resources is a very challenging task for consumers. The impetus of this paper is that it is one of the earliest works that consider a concurrent negotiation mechanism for Grid resource coallocation. The concurrent negotiation mechanism is designed for 1) managing (de)commitment of contracts through one-to-many negotiations and 2) coordination of multiple concurrent one-to-many negotiations between a consumer and multiple resource providers. The novel contributions of this paper are devising 1) a utility-oriented coordination (UOC) strategy, 2) three classes of commitment management strategies (CMSs) for concurrent negotiation, and 3) the negotiation protocols of consumers and providers. Implementing these ideas in a testbed, three series of experiments were carried out in a variety of settings to compare the following: 1) the CMSs in this paper with the work of others in a single one-to-many negotiation environment for one resource where decommitment is allowed for both provider and consumer agents; 2) the performance of the three classes of CMSs in different resource market types; and 3) the UOC strategy with the work of others [e.g., the patient coordination strategy (PCS )] for coordinating multiple concurrent negotiations. Empirical results show the following: 1) the UOC strategy achieved higher utility, faster negotiation speed, and higher success rates than PCS for different resource market types; and 2) the CMS in this paper achieved higher final utility than the CMS in other works. Additionally, the properties of the three classes of CMSs in different kinds of resource markets are also verified.
Drug Safety: Managing Multiple Drugs
... you take the right pill at the right time. Resources To learn more about your drugs, visit: • www.ConsumerReportsHealth.org/BestBuyDrugs • www.medlineplus.gov This series is produced by Consumers Union and Consumer Reports ...
NASA Astrophysics Data System (ADS)
Al-Amin, S.
2015-12-01
Municipal water demands in growing population centers in the arid southwest US are typically met through increased groundwater withdrawals. Hydro-climatic uncertainties attributed to climate change and land use conversions may also alter demands and impact the replenishment of groundwater supply. Groundwater aquifers are not necessarily confined within municipal and management boundaries, and multiple diverse agencies may manage a shared resource in a decentralized approach, based on individual concerns and resources. The interactions among water managers, consumers, and the environment influence the performance of local management strategies and regional groundwater resources. This research couples an agent-based modeling (ABM) framework and a groundwater model to analyze the effects of different management approaches on shared groundwater resources. The ABM captures the dynamic interactions between household-level consumers and policy makers to simulate water demands under climate change and population growth uncertainties. The groundwater model is used to analyze the relative effects of management approaches on reducing demands and replenishing groundwater resources. The framework is applied for municipalities located in the Verde River Basin, Arizona that withdraw groundwater from the Verde Formation-Basin Fill-Carbonate aquifer system. Insights gained through this simulation study can be used to guide groundwater policy-making under changing hydro-climatic scenarios for a long-term planning horizon.
Financial coping strategies of mental health consumers: managing social benefits.
Caplan, Mary Ager
2014-05-01
Mental health consumers depend on social benefits in the forms of supplemental security income and social security disability insurance for their livelihood. Although these programs pay meager benefits, little research has been undertaken into how this population makes ends meet. Using a qualitative approach, this study asks what are the financial coping strategies of mental health consumers? Seven approaches were identified: subsidies, cost-effective shopping, budgeting, prioritizing, technology, debt management, and saving money. Results illustrate the resourcefulness of mental health consumers in managing meager social benefits and highlight the need to strengthen community mental health efforts with financial capabilities education.
Disconnects between the enabling legislation and management planning
Christopher Hawkins; David K. Loomis
2007-01-01
The natural resource management paradigm in place for the past century has favored an expert-client approach, whereby managers have used wise biological principles in conjunction with clientele preferences to enable local, regional, and national decision-making. This paradigm, though acceptable when the primary clients were direct resource consumers (e.g., fishermen,...
ERIC Educational Resources Information Center
Haldeman, Virginia, Ed.
These conference proceedings include 88 presentations, workshops, and poster sessions. Topics include child support guidelines, food quality and safety, family resource management expert systems, airline deregulation, home-based employment, consumer education, Europe in the 1990s, low-reading level consumers, children as consumers, promotional…
[Research of regional medical consumables reagent logistics system in the modern hospital].
Wu, Jingjiong; Zhang, Yanwen; Luo, Xiaochen; Zhang, Qing; Zhu, Jianxin
2013-09-01
To explore the modern hospital and regional medical consumable reagents logistics system management. The characteristics of regional logistics, through cooperation between medical institutions within the region, and organize a wide range of special logistics activities, to make reasonable of the regional medical consumable reagents logistics. To set the regional management system, dynamic management systems, supply chain information management system, after-sales service system and assessment system. By the research of existing medical market and medical resources, to establish the regional medical supplies reagents directory and the initial data. The emphasis is centralized dispatch of medical supplies reagents, to introduce qualified logistics company for dispatching, to improve the modern hospital management efficiency, to costs down. Regional medical center and regional community health service centers constitute a regional logistics network, the introduction of medical consumable reagents logistics services, fully embodies integrity level, relevance, purpose, environmental adaptability of characteristics by the medical consumable reagents regional logistics distribution. Modern logistics distribution systems can increase the area of medical consumables reagent management efficiency and reduce costs.
ERIC Educational Resources Information Center
Kennemer, Cathy G.; Ownbey, Shiretta F.
2000-01-01
Summarizes 433 family and consumer sciences theses and 221 dissertations by institution and subject and compares 1995-1999. Lists authors and titles by subject: art/design, child development, clothing/apparel, family/consumer resource management, family and consumer sciences, family relations, foods, human environment/housing, hotel/restaurant…
Consumer Education. Information Supplements for Physically Disabled Students. Teacher's Guide.
ERIC Educational Resources Information Center
Tipsord, Barbara; And Others
This manual contains supplementary information for use by instructors who teach consumer education and resources management to physically handicapped students in regular classes. It is subdivided according to typical consumer education topics and handicapping conditions. Addressed in the individual sections of the manual are the folowing topics:…
Dixon, Brian E; Kaneshiro, Kellie
2012-01-01
Human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS) remains a significant international public health challenge. The Statewide HIV/AIDS Information Network (SHINE) Project was created to improve HIV/AIDS health information use and access for health care professionals, patients, and affected communities in Indiana. Our objective was to assess the information-seeking behaviors of health care professionals and consumers who seek information on the testing, treatment, and management of HIV/AIDS and the usability of the SHINE Project's resources in meeting end user needs. The feedback was designed to help SHINE Project members improve and expand the SHINE Project's online resources. A convenience sample of health care professionals and consumers participated in a usability study. Participants were asked to complete typical HIV/AIDS information-seeking tasks using the SHINE Project website. Feedback was provided in the form of standardized questionnaire and usability "think-aloud" responses. Thirteen participants took part in the usability study. Clinicians generally reported the site to be "very good," while consumers generally found it to be "good." Health care professionals commented that they lack access to comprehensive resources for treating patients with HIV/AIDS. They requested new electronic resources that could be integrated in clinical practice and existing information technology infrastructures. Consumers found the SHINE website and its collected information resources overwhelming and difficult to navigate. They requested simpler, multimedia-content rich resources to deliver information on HIV/AIDS testing, treatment, and disease management. Accessibility, usability, and user education remain important challenges that public health and information specialists must address when developing and deploying interventions intended to empower consumers and support coordinated, patient-centric care.
ERIC Educational Resources Information Center
Lee, Mi-Young; Johnson, Kim K. P.
1996-01-01
Five tables summarize by institution and subject matter 753 theses and dissertations in family and consumer sciences in 1995. The listing is organized by the following categories: art and design; child development; clothing; consumer resource management; family relations; foods; home economics education; human environment/housing; hotel/restaurant…
How Resource Phenology Affects Consumer Population Dynamics.
Bewick, Sharon; Cantrell, R Stephen; Cosner, Chris; Fagan, William F
2016-02-01
Climate change drives uneven phenology shifts across taxa, and this can result in changes to the phenological match between interacting species. Shifts in the relative phenology of partner species are well documented, but few studies have addressed the effects of such changes on population dynamics. To explore this, we develop a phenologically explicit model describing consumer-resource interactions. Focusing on scenarios for univoltine insects, we show how changes in resource phenology can be reinterpreted as transformations in the year-to-year recursion relationships defining consumer population dynamics. This perspective provides a straightforward path for interpreting the long-term population consequences of phenology change. Specifically, by relating the outcome of phenological shifts to species traits governing recursion relationships (e.g., consumer fecundity or competitive scenario), we demonstrate how changes in relative phenology can force systems into different dynamical regimes, with major implications for resource management, conservation, and other areas of applied dynamics.
ERIC Educational Resources Information Center
Allegheny Intermediate Unit, Pittsburgh, PA.
This manual contains activities and resources for infusing consumer education into English, business, mathematics, social studies, science, and home economics courses in grades nine through 12. The activities are intended to help students become more knowledgeable and efficient in managing their personal and collective economic affairs. The…
DOE Office of Scientific and Technical Information (OSTI.GOV)
Zipperer, Adam; Aloise-Young, Patricia A.; Suryanarayanan, Siddharth
2013-11-01
Smart homes hold the potential for increasing energy efficiency, decreasing costs of energy use, decreasing the carbon footprint by including renewable resources, and transforming the role of the occupant. At the crux of the smart home is an efficient electric energy management system that is enabled by emerging technologies in the electric grid and consumer electronics. This article presents a discussion of the state-of-the-art in electricity management in smart homes, the various enabling technologies that will accelerate this concept, and topics around consumer behavior with respect to energy usage.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Zipperer, A.; Aloise-Young, P. A.; Suryanarayanan, S.
2013-08-01
Smart homes hold the potential for increasing energy efficiency, decreasing costs of energy use, decreasing the carbon footprint by including renewable resources, and trans-forming the role of the occupant. At the crux of the smart home is an efficient electric energy management system that is enabled by emerging technologies in the electricity grid and consumer electronics. This article presents a discussion of the state-of-the-art in electricity management in smart homes, the various enabling technologies that will accelerate this concept, and topics around consumer behavior with respect to energy usage.
What to Do Regarding Economics and Managing Resources.
ERIC Educational Resources Information Center
Ohio State Univ., Columbus. Instructional Materials Lab.
These materials for the curriculum area of economics and managing resources comprise one of six such packages that are part of the Ohio Vocational Consumer/Homemaking Curriculum Guide. The curriculum area or perennial problem taken up in this document is divided into three practical problems about what to do regarding: (1) decision making; (2)…
ERIC Educational Resources Information Center
Smith, Terra L.; Barron-Krog, Jennifer; Fullerton, Angela R.
2001-01-01
Tables categorize 635 family and consumer sciences theses and dissertations by institution and subject. The list of titles is categorized as follows: art and design, child development, clothing/apparel, communications, family and consumer sciences, family relations, resource management, foods, human environment/housing, hotel/restaurant…
Validation of Interdisciplinary Cooperative Education Manual.
ERIC Educational Resources Information Center
Stone, Sheila D.
A field test examined the validity of the "Interdisciplinary Cooperative Education Curriculum Manual." (Among those topics covered in the manual are the following: vocational student organizations, leadership, civic responsibility, health and safety, human relations, communications, resource management, consumer skills, consumer law,…
Elbogen, Eric B; Tiegreen, Joshua; Vaughan, Colleen; Bradford, Daniel W
2011-01-01
Although money management skills are essential for independent functioning in the community, when viewed from the framework of psychosocial rehabilitation, there have been few systematic models for teaching money management skills to consumers with psychiatric disabilities based on a recovery orientation. For those diagnosed with psychiatric disabilities, better money management has consistently been shown to be associated with superior quality of life, fewer hospitalizations, and greater self-efficacy. Consumers frequently indicate that learning how to budget and staying out of debt are among their top goals for recovery with mental illness. The current paper reviews the issues of money management and mental health among people with psychiatric disabilities and proposes a recovery-oriented approach to increasing money management skills to increase community functioning among consumers. Published literature, clinical cases, and financial literacy resources. Improving money management can lead to a number of benefits by helping consumers with psychiatric disabilities: 1) gain more knowledge about disability benefits, 2) improve basic financial skills, and 3) reduce vulnerability to financial exploitation. Future work on incorporating this model into psychiatric rehabilitation programs would address skills consumers can use in living, working, and social environments in a way that enhances consumer choice and promotes recovery.
A distributed algorithm for demand-side management: Selling back to the grid.
Latifi, Milad; Khalili, Azam; Rastegarnia, Amir; Zandi, Sajad; Bazzi, Wael M
2017-11-01
Demand side energy consumption scheduling is a well-known issue in the smart grid research area. However, there is lack of a comprehensive method to manage the demand side and consumer behavior in order to obtain an optimum solution. The method needs to address several aspects, including the scale-free requirement and distributed nature of the problem, consideration of renewable resources, allowing consumers to sell electricity back to the main grid, and adaptivity to a local change in the solution point. In addition, the model should allow compensation to consumers and ensurance of certain satisfaction levels. To tackle these issues, this paper proposes a novel autonomous demand side management technique which minimizes consumer utility costs and maximizes consumer comfort levels in a fully distributed manner. The technique uses a new logarithmic cost function and allows consumers to sell excess electricity (e.g. from renewable resources) back to the grid in order to reduce their electric utility bill. To develop the proposed scheme, we first formulate the problem as a constrained convex minimization problem. Then, it is converted to an unconstrained version using the segmentation-based penalty method. At each consumer location, we deploy an adaptive diffusion approach to obtain the solution in a distributed fashion. The use of adaptive diffusion makes it possible for consumers to find the optimum energy consumption schedule with a small number of information exchanges. Moreover, the proposed method is able to track drifts resulting from changes in the price parameters and consumer preferences. Simulations and numerical results show that our framework can reduce the total load demand peaks, lower the consumer utility bill, and improve the consumer comfort level.
NASA Astrophysics Data System (ADS)
Colman, A. J.
2017-12-01
Title Food-water and society Dr. Tony Colman and Professor Tony Allan Abstract The purpose of the paper is to highlight some key relationships between water resources and society. First, water is an very important resource for society in that it provides an essential input to society's food supply chains. Secondly, it is an essential input to farmer livelihoods. About half of the families of the world still work in agriculture - albeit a declining proportion. Thirdly, farmers manage about 92% of the water consumed by society - including the blue water (surface and groundwater) for irrigation and the green water (effective rainfall) consumed on rainfed farms. They also account for about 66% of society's impacts on biodiversity and about 25% of emissions. Finally it will be argued that those who analyse allocation and management of water must recognise that farming practices and the decisions made by those who operate food supply chains - including corporates and those making public policy - must recognise that it is farmers and food consumers who determine how water is stewarded. It will be suggested that we need to understand that well informed consumers could be the regulators.
Community health workers and medicaid managed care in New Mexico.
Johnson, Diane; Saavedra, Patricia; Sun, Eugene; Stageman, Ann; Grovet, Dodie; Alfero, Charles; Maynes, Carmen; Skipper, Betty; Powell, Wayne; Kaufman, Arthur
2012-06-01
We describe the impact of community health workers (CHWs) providing community-based support services to enrollees who are high consumers of health resources in a Medicaid managed care system. We conducted a retrospective study on a sample of 448 enrollees who were assigned to field-based CHWs in 11 of New Mexico's 33 counties. The CHWs provided patients education, advocacy and social support for a period up to 6 months. Data was collected on services provided, and community resources accessed. Utilization and payments in the emergency department, inpatient service, non-narcotic and narcotic prescriptions as well as outpatient primary care and specialty care were collected on each patient for a 6 month period before, for 6 months during and for 6 months after the intervention. For comparison, data was collected on another group of 448 enrollees who were also high consumers of health resources but who did not receive CHW intervention. For all measures, there was a significant reduction in both numbers of claims and payments after the community health worker intervention. Costs also declined in the non-CHW group on all measures, but to a more modest degree, with a greater reduction than in the CHW group in use of ambulatory services. The incorporation of field-based, community health workers as part of Medicaid managed care to provide supportive services to high resource-consuming enrollees can improve access to preventive and social services and may reduce resource utilization and cost.
Consumer’s Resource Handbook (5th Edition)
1990-01-01
Raymond Helmick Chief Director Mr. William Allen Matthews Director Weights and Measures Section Weights and Measures Division Acting Chief Weights and...2066 One Becton Drive Customer Services Representative Mr. William Fackler Franklin Lakes, NJ 07417 Block Drug Company, Inc. (201) 848-6800 257...7606 National Manager, Consumer Relations Consumer Affairs Minolta Corporation Morton Salt Mr. Bill Campbell, Vice President 100 Williams Drive 110
Nicol, Scott; Thompson, Shirley
2007-06-01
Today, over-consumption, pollution and resource depletion threaten sustainability. Waste management policies frequently fail to reduce consumption, prevent pollution, conserve resources and foster sustainable products. However, waste policies are changing to focus on lifecycle impacts of products from the cradle to the grave by extending the responsibilities of stakeholders to post-consumer management. Product stewardship and extended producer responsibility are two policies in use, with radically different results when compared for one consumer product, refrigerators. North America has enacted product stewardship policies that fail to require producers to take physical or financial responsibility for recycling or for environmentally sound disposal, so that releases of ozone depleting substances routinely occur, which contribute to the expanding the ozone hole. Conversely, Europe's Waste Electrical and Electronic Equipment (WEEE) Directive requires extended producer responsibility, whereby producers collect and manage their own post-consumer waste products. WEEE has resulted in high recycling rates of greater than 85%, reduced emissions of ozone-depleting substances and other toxins, greener production methods, such as replacing greenhouse gas refrigerants with environmentally friendly hydrocarbons and more reuse of refrigerators in the EU in comparison with North America.
NASA Astrophysics Data System (ADS)
Kanta, L.; Berglund, E. Z.
2015-12-01
Urban water supply systems may be managed through supply-side and demand-side strategies, which focus on water source expansion and demand reductions, respectively. Supply-side strategies bear infrastructure and energy costs, while demand-side strategies bear costs of implementation and inconvenience to consumers. To evaluate the performance of demand-side strategies, the participation and water use adaptations of consumers should be simulated. In this study, a Complex Adaptive Systems (CAS) framework is developed to simulate consumer agents that change their consumption to affect the withdrawal from the water supply system, which, in turn influences operational policies and long-term resource planning. Agent-based models are encoded to represent consumers and a policy maker agent and are coupled with water resources system simulation models. The CAS framework is coupled with an evolutionary computation-based multi-objective methodology to explore tradeoffs in cost, inconvenience to consumers, and environmental impacts for both supply-side and demand-side strategies. Decisions are identified to specify storage levels in a reservoir that trigger (1) increases in the volume of water pumped through inter-basin transfers from an external reservoir and (2) drought stages, which restrict the volume of water that is allowed for residential outdoor uses. The proposed methodology is demonstrated for Arlington, Texas, water supply system to identify non-dominated strategies for an historic drought decade. Results demonstrate that pumping costs associated with maximizing environmental reliability exceed pumping costs associated with minimizing restrictions on consumer water use.
Increased consumer density reduces the strength of neighborhood effects in a model system.
Merwin, Andrew C; Underwood, Nora; Inouye, Brian D
2017-11-01
An individual's susceptibility to attack can be influenced by conspecific and heterospecifics neighbors. Predicting how these neighborhood effects contribute to population-level processes such as competition and evolution requires an understanding of how the strength of neighborhood effects is modified by changes in the abundances of both consumers and neighboring resource species. We show for the first time that consumer density can interact with the density and frequency of neighboring organisms to determine the magnitude of neighborhood effects. We used the bean beetle, Callosobruchus maculatus, and two of its host beans, Vigna unguiculata and V. radiata, to perform a response-surface experiment with a range of resource densities and three consumer densities. At low beetle density, damage to beans was reduced with increasing conspecific density (i.e., resource dilution) and damage to the less preferred host, V. unguiculata, was reduced with increasing V. radiata frequency (i.e., frequency-dependent associational resistance). As beetle density increased, however, neighborhood effects were reduced; at the highest beetle densities neither focal nor neighboring resource density nor frequency influenced damage. These findings illustrate the importance of consumer density in mediating indirect effects among resources, and suggest that accounting for consumer density may improve our ability to predict population-level outcomes of neighborhood effects and our use of them in applications such as mixed-crop pest management. © 2017 by the Ecological Society of America.
Consumer Education Reference Manual.
ERIC Educational Resources Information Center
Tennessee Univ., Knoxville. State Agency for Title I.
This manual contains information for consumer education, which is defined as the process of imparting to an individual the skills, concepts, knowledges, and insights required to help each person evolve his or her own values, evaluate alternative choices in the marketplace, manage personal resources effectively, and obtain the best buys for his or…
Consumer Education, 5-8: Activities, Resources and Evaluation.
ERIC Educational Resources Information Center
Phillips, Perry D.; Murray, C. Kenneth
This publication suggests consumer education learning activities for grades five through eight. It is intended as a guideline for developing local curriculum and for designing instructional strategies. Students are taught to learn to manage, to buy wisely, to save and invest, to protect themselves from unscrupulous practice, and to understand the…
Marla R. Emery; Clare Ginger; Jim Chamberlain
2007-01-01
Latinos are present in increasing numbers in U.S. forests as consumers and producers. This change is transforming the physical and social spaces of natural resources management. For example, extended families from Mexico and Central America seek picnic areas where many people can spend a day preparing food and socializing, a need not met by the typical arrangement of...
MASM: a market architecture for sensor management in distributed sensor networks
NASA Astrophysics Data System (ADS)
Viswanath, Avasarala; Mullen, Tracy; Hall, David; Garga, Amulya
2005-03-01
Rapid developments in sensor technology and its applications have energized research efforts towards devising a firm theoretical foundation for sensor management. Ubiquitous sensing, wide bandwidth communications and distributed processing provide both opportunities and challenges for sensor and process control and optimization. Traditional optimization techniques do not have the ability to simultaneously consider the wildly non-commensurate measures involved in sensor management in a single optimization routine. Market-oriented programming provides a valuable and principled paradigm to designing systems to solve this dynamic and distributed resource allocation problem. We have modeled the sensor management scenario as a competitive market, wherein the sensor manager holds a combinatorial auction to sell the various items produced by the sensors and the communication channels. However, standard auction mechanisms have been found not to be directly applicable to the sensor management domain. For this purpose, we have developed a specialized market architecture MASM (Market architecture for Sensor Management). In MASM, the mission manager is responsible for deciding task allocations to the consumers and their corresponding budgets and the sensor manager is responsible for resource allocation to the various consumers. In addition to having a modified combinatorial winner determination algorithm, MASM has specialized sensor network modules that address commensurability issues between consumers and producers in the sensor network domain. A preliminary multi-sensor, multi-target simulation environment has been implemented to test the performance of the proposed system. MASM outperformed the information theoretic sensor manager in meeting the mission objectives in the simulation experiments.
Prediction errors in wildland fire situation analyses.
Geoffrey H. Donovan; Peter Noordijk
2005-01-01
Wildfires consume budgets and put the heat on fire managers to justify and control suppression costs. To determine the appropriate suppression strategy, land managers must conduct a wildland fire situation analysis (WFSA) when:A wildland fire is expected to or does escape initial attack,A wildland fire managed for resource benefits...
What People Living with Aphasia Think about the Availability of Aphasia Resources
ERIC Educational Resources Information Center
Hinckley, Jacqueline J.; Hasselkus, Amy; Ganzfried, Ellayne
2013-01-01
Purpose: Obtaining health information and resources can influence an individual's (a) access to services, (b) interactions with health care providers, and (c) ability to manage one's own health needs. The purpose of this study was to gather the perceptions of consumers living with aphasia about resource availability and information needs. Method:…
SLA Negotiation for VO Formation
NASA Astrophysics Data System (ADS)
Paurobally, Shamimabi
Resource management systems are changing from localized resources and services towards virtual organizations (VOs) sharing millions of heterogeneous resources across multiple organizations and domains. The virtual organizations and usage models include a variety of owners and consumers with different usage, access policies, cost models, varying loads, requirements and availability. The stakeholders have private utility functions that must be satisfied and possibly maximized.
ERIC Educational Resources Information Center
Smith, Terra L.; Hunter, Allison K.; Noah, Jamie Leigh
2002-01-01
Summarizes the 451 titles of theses and dissertations completed in family and consumer sciences in 34 colleges and universities in 2001, by institution and subject matter. Includes a list of titles categorized as follows: art/design, child development, clothing/apparel, general, family relations, resource management, foods, housing, hospitality…
Issues that Drive Waste Management Technology Development for Space Missions
NASA Technical Reports Server (NTRS)
Fisher, John W.; Levri, Julie A.; Hogan, John A.; Wignarajah, Kanapathipillai
2005-01-01
Waste management technologies for space life support systems are currently at low development levels. Manual compaction of waste in plastic bags and overboard disposal to earth return vehicles are the primary current waste management methods. Particularly on future missions, continuance of current waste management methods would tend to expose the crew to waste hazards, forfeit recoverable resources such as water, consume valuable crew time, contaminate planetary surfaces, and risk return to Earth of extraterrestrial life. Improvement of waste management capabilities is needed for adequate management of wastes. Improvements include recovery of water and other resources, conversion of waste to states harmless to humans, long-term containment of wastes, and disposal of waste. Current NASA requirements documents on waste management are generally not highly detailed. More detailed requirements are needed to guide the development of waste management technologies that will adequately manage waste. In addition to satisfying requirements, waste management technologies must also recover resources. Recovery of resources such as water and habitat volume can reduce mission cost. This paper explores the drivers for waste management technology development including requirements and resource recovery.
Consumer involvement in the health technology assessment program.
Royle, Jane; Oliver, Sandy
2004-01-01
This study aims to describe a cycle of development leading to sustainable methods for involving consumers in the management of a program commissioning health technology assessment. Staff time was dedicated to developing procedures for recruiting and briefing consumers to participate in prioritizing, commissioning, and reporting research. Resources and support were developed in light of early feedback from consumers and those working with them. These were piloted and amended before being used routinely. Over 4 years, procedures and resources have been developed to support six consumers attending seven to eight prioritization meetings a year; thirty to forty-five consumers each year commenting on research need for particular topics; thirty consumers a year commenting on research proposals, and twenty a year commenting on research reports. The procedures include clear job descriptions, induction and development days, clear briefing materials, payment for substantial tasks, and regularly seeking feedback to improve procedures. Explicit, inclusive, and reproducible methods for supporting consumer involvement that satisfy National Health Service policy recommendations for involving consumers in research require dedicated staff time to support a cycle of organizational development.
Increasing the Utility of the Human Resource Management (HRM) Survey.
1980-03-01
SWOS Dept HD school grad, 13 - UDT/Seal Training grad, 14 = PXO grad, 15 = PCO grad, 16 - TAO Qualed, 17 = Submarine Qualed, 18 = SWE Qualed, 19...Consume less alcohol than other members of my work group. 4 - Do not consume alcoholic beverages. "Exercise And Diet " 1 - Unaware of weight standards
Assessing the Link between Environmental Concerns and Consumers' Decisions to Use Clean-Air Vehicles
ERIC Educational Resources Information Center
Plax, Timothy G.; Kearney, Patricia; Ross, Ted J.; Jolly, J. Christopher
2008-01-01
A consulting contract with the California Air Resources Board led to a project examining how California drivers' and fleet managers' perceptions, attitudes, and consumer behavior regarding Clean Vehicle Technologies influenced their own energy choices when it came to purchasing vehicles. The consultants examined archival research, conducted focus…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-12
... services and manage networked resources for client devices such as desktop and laptop computers. These... include desktop or laptop computers, which are not primarily accessed via network connections. DOE seeks... Determination of Computer Servers as a Covered Consumer Product AGENCY: Office of Energy Efficiency and...
Toward a patient-centric medical information model: issues and challenges for US adoption.
Lorence, Daniel; Monatesti, Sabatini; Margenthaler, Robert; Hoadley, Ellen
2005-01-01
As the USA moves, incrementally, toward evidence-based medicine, there is growing awareness of the importance of innovation in information management. Mandates for change include improved use of resources, accelerated diffusion of knowledge and an advanced consumer role. Key among these requirements is the need for a fundamentally different patient information recording system. Within the challenges identified in the most recent national health information technology initiative, we propose a model for an electronic, patient-centric medical information infrastructure, highlighting a transportable, scalable and integrated resource. We identify resources available for technology transfer, promoting consumers as integral parts of the collaborative medical decision-making process.
Modeling resource basis for social and economic development strategies: Water resource case
NASA Astrophysics Data System (ADS)
Kosolapova, Natalia A.; Matveeva, Ludmila G.; Nikitaeva, Anastasia Y.; Molapisi, Lesego
2017-10-01
The article substantiates that the effectiveness of implementing socio-economic development strategies is to a large extent determined by the adequate provision of basic resources. The key role of water resources in economic strategic development is empirically illustrated. The article demonstrates the practicability of strategic management of water resources based on the principle of a combination of river basin management approaches and the consideration of regional development strategies. The Game Theory technique was used to develop economic and mathematical tools for supporting decision-making in meeting the needs of regional consumers under water balance deficit conditions. The choice of methods was determined from two positions: the methods should allow for the possibility of multi-variant solutions for the selection of optimal options for the distribution of limited water resources between different consumers; the methods should be orientated on the maximum possible harmonization of multidirectional and multi-scale interests of the subjects in the water management system of the different regions (including the state) in order to achieve a balance. The approbation of developing a toolkit for the example of the regions located in the Don and Kuban river basins resulted in the appropriate selection of priority regions for the allocation of water resources in terms of strategic management as well as the determination of measures of ensuring the sustainable use of the river basins under consideration. The proposed tools can be used for coordinating decisions on the water supply of regional economic systems with actual and projected indicators of socio-economic development of the respective regions for a strategic perspective.
Mitigating Distributed Denial of Service Attacks with Dynamic Resource Pricing
2001-10-01
should be nearly comparable to a system that does not use the payment mechanisms. There is prior work on how pricing can be used to influence consumer ... behavior , how to integrate pricing mechanisms with OS and network resource management mechanisms. In this paper, we instead focus on how pricing
Consumer Education Project: Community Approach Utilizing an Off-Campus Facility.
ERIC Educational Resources Information Center
Santa Barbara Elementary and High School District, CA. Career Education Dept.
The project reported here was conducted to develop a consumer education program for high school students (grades 10 through 12) which would: (1) provide students with hands-on experiences in the management of resources (money, time, and energy) as householders in a simulated off-campus laboratory (a community girls' club), and (2) enable students…
Market failure, policy failure and other distortions in chronic disease markets
Watts, Jennifer J; Segal, Leonie
2009-01-01
Background The increasing prevalence of chronic disease represents a significant burden on most health systems. This paper explores the market failures and policy failures that exist in the management of chronic diseases. Discussion There are many sources of market failure in health care that undermine the efficiency of chronic disease management. These include incomplete information as well as information asymmetry between providers and consumers, the effect of externalities on consumer behaviour, and the divergence between social and private time preference rates. This has seen government and policy interventions to address both market failures and distributional issues resulting from the inability of private markets to reach an efficient and equitable distribution of resources. However, these have introduced a series of policy failures such as distorted re-imbursement arrangements across modalities and delivery settings. Summary The paper concludes that market failure resulting from a preference of individuals for 'immediate gratification' in the form of health care and disease management, rather than preventative services, where the benefits are delayed, has a major impact on achieving an efficient allocation of resources in markets for the management of chronic diseases. This distortion is compounded by government health policy that tends to favour medical and pharmaceutical interventions further contributing to distortions in the allocation of resources and inefficiencies in the management of chronic disease. PMID:19534822
DE-FG02-04ER25606 Identity Federation and Policy Management Guide: Final Report
DOE Office of Scientific and Technical Information (OSTI.GOV)
Humphrey, Marty, A
The goal of this 3-year project was to facilitate a more productive dynamic matching between resource providers and resource consumers in Grid environments by explicitly specifying policies. There were broadly two problems being addressed by this project. First, there was a lack of an Open Grid Services Architecture (OGSA)-compliant mechanism for expressing, storing and retrieving user policies and Virtual Organization (VO) policies. Second, there was a lack of tools to resolve and enforce policies in the Open Services Grid Architecture. To address these problems, our overall approach in this project was to make all policies explicit (e.g., virtual organization policies,more » resource provider policies, resource consumer policies), thereby facilitating policy matching and policy negotiation. Policies defined on a per-user basis were created, held, and updated in MyPolMan, thereby providing a Grid user to centralize (where appropriate) and manage his/her policies. Organizationally, the corresponding service was VOPolMan, in which the policies of the Virtual Organization are expressed, managed, and dynamically consulted. Overall, we successfully defined, prototyped, and evaluated policy-based resource management and access control for OGSA-based Grids. This DOE project partially supported 17 peer-reviewed publications on a number of different topics: General security for Grids, credential management, Web services/OGSA/OGSI, policy-based grid authorization (for remote execution and for access to information), policy-directed Grid data movement/placement, policies for large-scale virtual organizations, and large-scale policy-aware grid architectures. In addition to supporting the PI, this project partially supported the training of 5 PhD students.« less
The personal health record: consumers banking on their health.
Ball, Marion J; Costin, Melinda Y; Lehmann, Christoph
2008-01-01
With personal health records (PHRs) acting much like ATM cards, increasingly wired consumers can "bank on health", accessing their own personal health information and a wide array of services. Consumer-owned, the PHR is dependent upon the existence of the legal electronic medical record (EMR) and interoperability. Working PHRs are in place in Veterans Health Administration, private health care institutions, and in the commercial sector. By allowing consumers to become involved in their own care, the PHR creates new roles and relationships. New tools change the clinician's workflow and thought flow, and pose new challenges for consumers. Key components of the PHR include the EMR and regional health information organizations (RHIOs); key strategies focus on human factors in successful project management. Online resources provided by the National Library of Medicine and Health On the Net help address consumer needs for information that is reliable and understandable. The growth of self-management tools adds to the challenge and the promise of PHRs for clinicians and consumers alike.
Overview of NASA Technology Development for In-Situ Resource Utilization (ISRU)
NASA Technical Reports Server (NTRS)
Linne, Diane L.; Sanders, Gerald B.; Starr, Stanley O.; Eisenman, David J.; Suzuki, Nantel H.; Anderson, Molly S.; O'Malley, Terrence F.; Araghi, Koorosh R.
2017-01-01
In-Situ Resource Utilization (ISRU) encompasses a broad range of systems that enable the production and use of extraterrestrial resources in support of future exploration missions. It has the potential to greatly reduce the dependency on resources transported from Earth (e.g., propellants, life support consumables), thereby significantly improving the ability to conduct future missions. Recognizing the critical importance of ISRU for the future, NASA is currently conducting technology development projects in two of its four mission directorates. The Advanced Exploration Systems Division in the Agency's Human Exploration and Operations Mission Directorate has initiated a new project for ISRU Technology focused on component, subsystem, and system maturation in the areas of water volatiles resource acquisition, and water volatiles and atmospheric processing into propellants and other consumable products. The Space Technology Mission Directorate is supporting development of ISRU component technologies in the areas of Mars atmosphere acquisition, including dust management, and oxygen production from Mars atmosphere for propellant and life support consumables. Together, these two coordinated projects are working towards a common goal of demonstrating ISRU technology and systems in preparation for future flight applications.
NASA Technical Reports Server (NTRS)
Bentley, R. G., Jr. (Principal Investigator)
1974-01-01
The author has identified the following significant results. Collection and update of resource inventory data has historically been a difficult, time consuming task. Accurate resource data is necessary as a basis for wise management decisions made by a resource management agency such as the Bureau of Land Management. Black and white and color infrared composites of ERTS satellite imagery at 1:1,000,000 and enlarged scales can be used as data gathering tools. No investment in expensive sophisticated equipment is necessary. A photointerpreter can map boundaries of soils, plant communities, levels of forage production, areas revegetated by man, and areas burned by wildlife directly from satellite imagery. The ERTS system of producing and distributing imagery must be improved greatly before satellite imagery can be useful to the resource manager.
NASA Astrophysics Data System (ADS)
Aneri, Parikh; Sumathy, S.
2017-11-01
Cloud computing provides services over the internet and provides application resources and data to the users based on their demand. Base of the Cloud Computing is consumer provider model. Cloud provider provides resources which consumer can access using cloud computing model in order to build their application based on their demand. Cloud data center is a bulk of resources on shared pool architecture for cloud user to access. Virtualization is the heart of the Cloud computing model, it provides virtual machine as per application specific configuration and those applications are free to choose their own configuration. On one hand, there is huge number of resources and on other hand it has to serve huge number of requests effectively. Therefore, resource allocation policy and scheduling policy play very important role in allocation and managing resources in this cloud computing model. This paper proposes the load balancing policy using Hungarian algorithm. Hungarian Algorithm provides dynamic load balancing policy with a monitor component. Monitor component helps to increase cloud resource utilization by managing the Hungarian algorithm by monitoring its state and altering its state based on artificial intelligent. CloudSim used in this proposal is an extensible toolkit and it simulates cloud computing environment.
The Best of Both Worlds: Exploring Cross-Collaborative Community Engagement
ERIC Educational Resources Information Center
Hunt, Kathleen P.; Krakow, Melinda M.
2015-01-01
Lauded as a rewarding pedagogical approach, community-engagement can be time-consuming, resource-intensive, and difficult for instructors to manage for effective student learning outcomes. Collaborative teaching can allow instructors working in the same classroom to draw from each others' expertise and share resources. In this essay, we propose a…
Peterson, Sunila; Buchanan, Angus; Falkmer, Torbjorn
2014-01-01
Mental health service providers across Australia, including Western Australia (WA), have begun to offer individualised funds, shared management, person-centred and self-directed (SPS) services. No research exists on the impact of SPS services on the lived experiences of these particular consumers. This study explored the impact of a SPS service offered for the first time in WA to consumers with mental illness. Data on sixteen consumers' lived experiences were analysed using an abbreviated grounded theory approach. These data had been developed by the consumers, Guides (staff) and an independent evaluator, and most of it had been collected in the past prior to the commencement of the study. Three over-arching categories, and related subcategories, emerged indicating that 1) access to individualised funds enabled practical and psychological benefits to consumers; 2) consistent contact in shared management and person-centred relationships enhanced the provision of timely and meaningful staff support to consumers; and 3) high quality shared management and person-centred relationships with staff and the opportunity to self-direct enabled consumers' change and growth. SPS services enhanced consumers' lived experiences and enabled staff to provide and consumers to experience timely access to recovery resources, consistent contact, responsive and high quality support, and self-direction of services. In this, consumers changed, grew and achieved desired recovery experiences. The overall impact of the SPS service seemed to be founded on the goodness of fit between person characteristics of staff and consumers, which enabled rich support that provided for corrective emotional experiences. This enabled consumers to build meaningful and hopeful lives where they started to live with, and beyond, their mental illness.
Partitioning ecosystems for sustainability.
Murray, Martyn G
2016-03-01
Decline in the abundance of renewable natural resources (RNRs) coupled with increasing demands of an expanding human population will greatly intensify competition for Earth's natural resources during this century, yet curiously, analytical approaches to the management of productive ecosystems (ecological theory of wildlife harvesting, tragedy of the commons, green economics, and bioeconomics) give only peripheral attention to the driving influence of competition on resource exploitation. Here, I apply resource competition theory (RCT) to the exploitation of RNRs and derive four general policies in support of their sustainable and equitable use: (1) regulate resource extraction technology to avoid damage to the resource base; (2) increase efficiency of resource use and reduce waste at every step in the resource supply chain and distribution network; (3) partition ecosystems with the harvesting niche as the basic organizing principle for sustainable management of natural resources by multiple users; and (4) increase negative feedback between consumer and resource to bring about long-term sustainable use. A simple policy framework demonstrates how RCT integrates with other elements of sustainability science to better manage productive ecosystems. Several problem areas of RNR management are discussed in the light of RCT, including tragedy of the commons, overharvesting, resource collapse, bycatch, single species quotas, and simplification of ecosystems.
Demands and resources: parents of school-age children with asthma.
Lee, E Juanita; Parker, Veronica; DuBose, Lisa; Gwinn, Jane; Logan, Barbara N
2006-12-01
Asthma is one of the most common chronic diseases in children and is frequently noted as the reason for school absences. The purpose of this pilot study was to determine the differences in demands and resources reported by African American (AA) and European American (EA) parents of school-age children with asthma. A convenience sample of 37 parents participated in the study. Data were collected from 19 AA and 18 EA parents. Family stress theory provided the framework for this study. All subjects completed a demographic questionnaire, the Care of My Child With Asthma Scale, and the Family Inventory of Resources for Management (FIRM). Descriptive statistics were used to analyze the data. The most time-consuming caregiving demand reported by EA parents was providing emotional support for the child. For AA parents, the most time-consuming caregiving demand was managing work or school outside the home and organizing asthma treatments at the same time. AA parents had limited resources in the area of extended family social support. The Mann-Whitney U test found no statistically significant differences between AA and EA parents in relation to demands and resources. Nursing implications are presented.
ERIC Educational Resources Information Center
Grayson, Katherine
2010-01-01
If there's anyone in the academic IT arena taking seriously the possibility that campus identity management (IdM) may one day meld with consumer apps, it's Nate Klingenstein, one of the founding members of the Shibboleth Project (the open source project providing architecture and policy structures for managing single sign-on access to resources).…
Management accounting for advanced technological environments.
Kaplan, R S
1989-08-25
Management accounting systems designed decades ago no longer provide timely, relevant information for companies in today's highly competitive environment. New operational control and performance measurement systems are recognizing the importance of direct measurement of quality, manufacturing lead times, flexibility, and customer responsiveness, as well as more accurate measures of the actual costs of consumed resources. Activity-based cost systems can assign the costs of indirect and support resources to the specific products and activities that benefit from these resources. Both operational control and activity-based systems represent new opportunities for improved managerial information in complex, technologically advanced environments.
Generating PubMed Chemical Queries for Consumer Health Literature
Loo, Jeffery; Chang, Hua Florence; Hochstein, Colette; Sun, Ying
2005-01-01
Two popular NLM resources that provide information for consumers about chemicals and their safety are the Household Products Database and Haz-Map. Search queries to PubMed via web links were generated from these databases. The query retrieves consumer health-oriented literature about adverse effects of chemicals. The retrieval was limited to a manageable set of 20 to 60 citations, achieved by successively applying increasing limits to the search until the desired number of references was reached. PMID:16779322
Characterising Wildlife Trade Market Supply-Demand Dynamics
Rowcliffe, M.; Cowlishaw, G.; Alexander, J. S.; Ntiamoa-Baidu, Y.; Brenya, A.; Milner-Gulland, E. J.
2016-01-01
The trade in wildlife products can represent an important source of income for poor people, but also threaten wildlife locally, regionally and internationally. Bushmeat provides livelihoods for hunters, traders and sellers, protein to rural and urban consumers, and has depleted the populations of many tropical forest species. Management interventions can be targeted towards the consumers or suppliers of wildlife products. There has been a general assumption in the bushmeat literature that the urban trade is driven by consumer demand with hunters simply fulfilling this demand. Using the urban bushmeat trade in the city of Kumasi, Ghana, as a case study, we use a range of datasets to explore the processes driving the urban bushmeat trade. We characterise the nature of supply and demand by explicitly considering three market attributes: resource condition, hunter behaviour, and consumer behaviour. Our results suggest that bushmeat resources around Kumasi are becoming increasingly depleted and are unable to meet demand, that hunters move in and out of the trade independently of price signals generated by the market, and that, for the Kumasi bushmeat system, consumption levels are driven not by consumer choice but by shortfalls in supply and consequent price responses. Together, these results indicate that supply-side processes dominate the urban bushmeat trade in Kumasi. This suggests that future management interventions should focus on changing hunter behaviour, although complementary interventions targeting consumer demand are also likely to be necessary in the long term. Our approach represents a structured and repeatable method to assessing market dynamics in information-poor systems. The findings serve as a caution against assuming that wildlife markets are demand driven, and highlight the value of characterising market dynamics to inform appropriate management. PMID:27632169
Characterising Wildlife Trade Market Supply-Demand Dynamics.
McNamara, J; Rowcliffe, M; Cowlishaw, G; Alexander, J S; Ntiamoa-Baidu, Y; Brenya, A; Milner-Gulland, E J
2016-01-01
The trade in wildlife products can represent an important source of income for poor people, but also threaten wildlife locally, regionally and internationally. Bushmeat provides livelihoods for hunters, traders and sellers, protein to rural and urban consumers, and has depleted the populations of many tropical forest species. Management interventions can be targeted towards the consumers or suppliers of wildlife products. There has been a general assumption in the bushmeat literature that the urban trade is driven by consumer demand with hunters simply fulfilling this demand. Using the urban bushmeat trade in the city of Kumasi, Ghana, as a case study, we use a range of datasets to explore the processes driving the urban bushmeat trade. We characterise the nature of supply and demand by explicitly considering three market attributes: resource condition, hunter behaviour, and consumer behaviour. Our results suggest that bushmeat resources around Kumasi are becoming increasingly depleted and are unable to meet demand, that hunters move in and out of the trade independently of price signals generated by the market, and that, for the Kumasi bushmeat system, consumption levels are driven not by consumer choice but by shortfalls in supply and consequent price responses. Together, these results indicate that supply-side processes dominate the urban bushmeat trade in Kumasi. This suggests that future management interventions should focus on changing hunter behaviour, although complementary interventions targeting consumer demand are also likely to be necessary in the long term. Our approach represents a structured and repeatable method to assessing market dynamics in information-poor systems. The findings serve as a caution against assuming that wildlife markets are demand driven, and highlight the value of characterising market dynamics to inform appropriate management.
Optimal exploitation of spatially distributed trophic resources and population stability
Basset, A.; Fedele, M.; DeAngelis, D.L.
2002-01-01
The relationships between optimal foraging of individuals and population stability are addressed by testing, with a spatially explicit model, the effect of patch departure behaviour on individual energetics and population stability. A factorial experimental design was used to analyse the relevance of the behavioural factor in relation to three factors that are known to affect individual energetics; i.e. resource growth rate (RGR), assimilation efficiency (AE), and body size of individuals. The factorial combination of these factors produced 432 cases, and 1000 replicate simulations were run for each case. Net energy intake rates of the modelled consumers increased with increasing RGR, consumer AE, and consumer body size, as expected. Moreover, through their patch departure behaviour, by selecting the resource level at which they departed from the patch, individuals managed to substantially increase their net energy intake rates. Population stability was also affected by the behavioural factors and by the other factors, but with highly non-linear responses. Whenever resources were limiting for the consumers because of low RGR, large individual body size or low AE, population density at the equilibrium was directly related to the patch departure behaviour; on the other hand, optimal patch departure behaviour, which maximised the net energy intake at the individual level, had a negative influence on population stability whenever resource availability was high for the consumers. The consumer growth rate (r) and numerical dynamics, as well as the spatial and temporal fluctuations of resource density, which were the proximate causes of population stability or instability, were affected by the behavioural factor as strongly or even more strongly than by the others factors considered here. Therefore, patch departure behaviour can act as a feedback control of individual energetics, allowing consumers to optimise a potential trade-off between short-term individual fitness and long-term population stability. ?? 2002 Elsevier Science B.V. All rights reserved.
Differential use of salmon by vertebrate consumers: implications for conservation
Wheat, Rachel E.; Allen, Jennifer M.; Wilmers, Christopher C.
2015-01-01
Salmon and other anadromous fish are consumed by vertebrates with distinct life history strategies to capitalize on this ephemeral pulse of resource availability. Depending on the timing of salmon arrival, this resource may be in surplus to the needs of vertebrate consumers if, for instance, their populations are limited by food availability during other times of year. However, the life history of some consumers enables more efficient exploitation of these ephemeral resources. Bears can deposit fat and then hibernate to avoid winter food scarcity, and highly mobile consumers such as eagles, gulls, and other birds can migrate to access asynchronous pulses of salmon availability. We used camera traps on pink, chum, and sockeye salmon spawning grounds with various run times and stream morphologies, and on individual salmon carcasses, to discern potentially different use patterns among consumers. Wildlife use of salmon was highly heterogeneous. Ravens were the only avian consumer that fed heavily on pink salmon in small streams. Eagles and gulls did not feed on early pink salmon runs in streams, and only moderately at early sockeye runs, but were the dominant consumers at late chum salmon runs, particularly on expansive river flats. Brown bears used all salmon resources far more than other terrestrial vertebrates. Notably, black bears were not observed on salmon spawning grounds despite being the most frequently observed vertebrate on roads and trails. From a conservation and management perspective, all salmon species and stream morphologies are used extensively by bears, but salmon spawning late in the year are disproportionately important to eagles and other highly mobile species that are seasonally limited by winter food availability. PMID:26339539
Intelligent support of e-management for consumer-focused virtual enterprises
NASA Astrophysics Data System (ADS)
Chandra, Charu; Smirnov, Alexander V.
2000-10-01
The interest in consumer-focused virtual enterprises (VE) decision-making problem is growing fast. The purpose of this type of enterprise is to transform incomplete information about customer orders and available resources into-co-ordinated plans for production and replenishment of goods and services in the temporal network formed by collaborating units. This implies that information in the consumer-focused VE can be shared via Internet, Intranet, and Extranet for business-to-consumer (B2C), business-to-business service (B2B-S), and business-to-business goods (B2B-G) transactions. One of the goals of Internet-Based Management (e-management) is to facilitate transfer and sharing of data and knowledge in the context of enterprise collaboration. This paper discusses a generic framework of e-management that integrates intelligent information support group-decision making, and agreement modeling for a VE network. It offers the platform for design and modeling of diverse implementation strategies related to the type of agreement, optimization policies, decision-making strategies, organization structures, and information sharing strategies and mechanisms, and business policies for the VE.
A leadership framework to support the use of e-learning resources.
McCutcheon, Karen
2014-06-01
Recognition needs to be given to emerging postgraduate nursing students' status of 'consumer', and the challenge for nurse education is to remain relevant and competitive in a consumer-led market. An e-learning model has been suggested as a competitive and contemporary way forward for student consumers, but successful introduction of this requires leadership and strong organisational management systems. This article applies the NHS leadership framework to nurse education in relation to implementation of e-learning and describes and interprets each element for application in higher education settings. By applying a leadership framework that acknowledges the skills and abilities of staff and encourages the formation of collaborative partnerships in the wider university community, educators can begin to develop skills and confidence in teaching using e-learning resources.
Changes You Can Make to Manage High Blood Pressure
... about Bayer Consumer Health. HBP Resources Risk Calculator Animation Library Track Your Blood Pressure: Print (PDF) | Online ... Pressure Tracker Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium and Salt 3 Heart Attack Symptoms ...
Simulation of Aircraft Deployment Support
2003-03-01
Dassault Aviation Military Customer Support Division 78, Quai Marcel Dassault Cedex 300 92552 St Cloud Cedex France Tel.: 33 147 1163 23 Fax.: 33 147...Deployment Support" (SADS) was developed by the Military Customer Support Division of Dassault Aviation to perform simulations for logistics deployment and...and support Chain Management for the management of the logistics resources (replenishment of consumables and repair of parts, inventory management
Patients' rights on the World Wide Web.
Taylor, M K
2001-01-01
Managed care reform, commonly referred to as "patients' rights" legislation, has become a hot topic. Many groups, including consumers, health care professionals, employers, managed care organizations, political parties, and government agencies, have strong opinions about measures that should be taken and what the outcomes of these measures might be. Those investigating this multidisciplinary topic will want to examine health care administration, ethics, health services research, and political science sources. Web resources covered in this article include: clearinghouses; government agencies; federal legislative and legal sites; and home pages of professional and trade associations, policy research institutes, and consumer advocacy organizations.
Effects of temperature on consumer-resource interactions.
Amarasekare, Priyanga
2015-05-01
Understanding how temperature variation influences the negative (e.g. self-limitation) and positive (e.g. saturating functional responses) feedback processes that characterize consumer-resource interactions is an important research priority. Previous work on this topic has yielded conflicting outcomes with some studies predicting that warming should increase consumer-resource oscillations and others predicting that warming should decrease consumer-resource oscillations. Here, I develop a consumer-resource model that both synthesizes previous findings in a common framework and yields novel insights about temperature effects on consumer-resource dynamics. I report three key findings. First, when the resource species' birth rate exhibits a unimodal temperature response, as demonstrated by a large number of empirical studies, the temperature range over which the consumer-resource interaction can persist is determined by the lower and upper temperature limits to the resource species' reproduction. This contrasts with the predictions of previous studies, which assume that the birth rate exhibits a monotonic temperature response, that consumer extinction is determined by temperature effects on consumer species' traits, rather than the resource species' traits. Secondly, the comparative analysis I have conducted shows that whether warming leads to an increase or decrease in consumer-resource oscillations depends on the manner in which temperature affects intraspecific competition. When the strength of self-limitation increases monotonically with temperature, warming causes a decrease in consumer-resource oscillations. However, if self-limitation is strongest at temperatures physiologically optimal for reproduction, a scenario previously unanalysed by theory but amply substantiated by empirical data, warming can cause an increase in consumer-resource oscillations. Thirdly, the model yields testable comparative predictions about consumer-resource dynamics under alternative hypotheses for how temperature affects competitive and resource acquisition traits. Importantly, it does so through empirically quantifiable metrics for predicting temperature effects on consumer viability and consumer-resource oscillations, which obviates the need for parameterizing complex dynamical models. Tests of these metrics with empirical data on a host-parasitoid interaction yield realistic estimates of temperature limits for consumer persistence and the propensity for consumer-resource oscillations, highlighting their utility in predicting temperature effects, particularly warming, on consumer-resource interactions in both natural and agricultural settings. © 2014 The Author. Journal of Animal Ecology © 2014 British Ecological Society.
Logistic Principles Application for Managing the Extraction and Transportation of Solid Minerals
NASA Astrophysics Data System (ADS)
Tyurin, Alexey
2017-11-01
Reducing the cost of resources in solid mineral extraction is an urgent task. For its solution the article proposes logistic approach use to management of mining company all resources, including extraction processes, transport, mineral handling and storage. The account of the uneven operation of mining, transport units and complexes for processing and loading coal into railroad cars allows you to identify the shortcomings in the work of the entire enterprise and reduce resources use at the planned production level. In the article the mining planning model taking into account the dynamics of the production, transport stations and export coal to consumers rail transport on example of Krasnoyarsk region Nazarovo JSC «Razrez Sereul'skiy». Rolling planning methods use and data aggregation allows you to split the planning horizon (month) on equal periods and to use of dynamic programming method for building mining optimal production programme for the month. Coal mining production program definition technique will help align the work of all enterprise units, to optimize resources of all areas, to establish a flexible relationship between manufacturer and consumer, to take into account the irregularity of rail transport.
Towards viable drinking water services.
Hukka, J J; Katko, T S
1997-01-01
This article offers a framework for developing viable drinking water services and institutional development in developing countries. The framework evolved from the authors' research and field experience in transition and developing economies. Viability is related to operative technology, appropriate organizations, and adequate cost recovery within the context of water resources, human and economic resources, sociocultural conditions, and other constraints. The ability of institutions to solve the problems of coordination and production depends upon player motivation, the complexity of the environment, and the ability of the players to control the environment. Third party enforcement of agreements are essential to reduce gains from opportunism, cheating, and shirking. Empirical research finds that per capita water production costs are 4 times higher in centralized systems and lowest in decentralized systems with coordination from a central party. Three-tiered systems of governments, regulators, and service providers are recommended. Management options must be consumer driven. The worst case scenario is consumer's reliance on vending and reselling with no alternative source of supply. Policies should have a strong focus on institutional reforms in the water sector, the development of a consumer driven water sector, facilitation of appropriate private-public partnerships, sound management of existing capital assets, a system for building viability into national strategies for the water sector, and financially self-sufficient and consumer responsible water supply organizations.
Mathematical Model and Artificial Intelligent Techniques Applied to a Milk Industry through DSM
NASA Astrophysics Data System (ADS)
Babu, P. Ravi; Divya, V. P. Sree
2011-08-01
The resources for electrical energy are depleting and hence the gap between the supply and the demand is continuously increasing. Under such circumstances, the option left is optimal utilization of available energy resources. The main objective of this chapter is to discuss about the Peak load management and overcome the problems associated with it in processing industries such as Milk industry with the help of DSM techniques. The chapter presents a generalized mathematical model for minimizing the total operating cost of the industry subject to the constraints. The work presented in this chapter also deals with the results of application of Neural Network, Fuzzy Logic and Demand Side Management (DSM) techniques applied to a medium scale milk industrial consumer in India to achieve the improvement in load factor, reduction in Maximum Demand (MD) and also the consumer gets saving in the energy bill.
The Consumer Health Information System Adoption Model.
Monkman, Helen; Kushniruk, Andre W
2015-01-01
Derived from overlapping concepts in consumer health, a consumer health information system refers to any of the broad range of applications, tools, and educational resources developed to empower consumers with knowledge, techniques, and strategies, to manage their own health. As consumer health information systems become increasingly popular, it is important to explore the factors that impact their adoption and success. Accumulating evidence indicates a relationship between usability and consumers' eHealth Literacy skills and the demands consumer HISs place on their skills. Here, we present a new model called the Consumer Health Information System Adoption Model, which depicts both consumer eHealth literacy skills and system demands on eHealth literacy as moderators with the potential to affect the strength of relationship between usefulness and usability (predictors of usage) and adoption, value, and successful use (actual usage outcomes). Strategies for aligning these two moderating factors are described.
Dental insurance: will it help or hinder adoption of caries management practices?
Anderson, Maxwell H
2007-05-01
Whether public or private dental insurance will provide benefits for caries management practices is a business decision. The foundation for this decision is multifactorial and continually changing as the values of the purchasers and health care consumers evolve. Understanding the dynamics involved in allocating finite health care resources will help those who advocate for caries management inform decision makers about the potential benefits of these strategies.
Lee, Charlotte T; Miller, Tom E X; Inouye, Brian D
2011-10-01
Current competition theory does not adequately address the fact that competitors may affect the survival, growth, and reproductive rates of their resources. Ecologically important interactions in which consumers affect resource vital rates range from parasitism and herbivory to mutualism. We present a general model of competition that explicitly includes consumer-dependent resource vital rates. We build on the classic MacArthur model of competition for multiple resources, allowing direct comparison with expectations from established concepts of resource-use overlap. Consumers share a stage-structured resource population but may use the different stages to different extents, as they do the different independent resources in the classic model. Here, however, the stages are dynamically linked via consumer-dependent vital rates. We show that consumers' effects on resource vital rates result in two important departures from classic results. First, consumers can coexist despite identical use of resource stages, provided each competitor shifts the resource stage distribution toward stages that benefit other species. Second, consumers specializing on different resource stages can compete strongly, possibly resulting in competitive exclusion despite a lack of resource stage-use overlap. Our model framework demonstrates the critical role that consumer-dependent resource vital rates can play in competitive dynamics in a wide range of biological systems.
Sands, D Z; Wald, J S
2014-08-15
Address current topics in consumer health informatics. Literature review. Current health care delivery systems need to be more effective in the management of chronic conditions as the population turns older and experiences escalating chronic illness that threatens to consume more health care resources than countries can afford. Most health care systems are positioned poorly to accommodate this. Meanwhile, the availability of ever more powerful and cheaper information and communication technology, both for professionals and consumers, has raised the capacity to gather and process information, communicate more effectively, and monitor the quality of care processes. Adapting health care systems to serve current and future needs requires new streams of data to enable better self-management, improve shared decision making, and provide more virtual care. Changes in reimbursement for health care services, increased adoption of relevant technologies, patient engagement, and calls for data transparency raise the importance of patient-generated health information, remote monitoring, non-visit based care, and other innovative care approaches that foster more frequent contact with patients and better management of chronic conditions.
Scheduling Operational Operational-Level Courses of Action
2003-10-01
Process modelling and analysis – process synchronisation techniques Information and knowledge management – Collaborative planning systems – Workflow...logistics – Some tasks may consume resources The military user may wish to impose synchronisation constraints among tasks A military end state can be...effects, – constrained with resource and synchronisation considerations, and – lead to the achievement of conditions set in the end state. The COA is
Workflow Management Systems for Molecular Dynamics on Leadership Computers
NASA Astrophysics Data System (ADS)
Wells, Jack; Panitkin, Sergey; Oleynik, Danila; Jha, Shantenu
Molecular Dynamics (MD) simulations play an important role in a range of disciplines from Material Science to Biophysical systems and account for a large fraction of cycles consumed on computing resources. Increasingly science problems require the successful execution of ''many'' MD simulations as opposed to a single MD simulation. There is a need to provide scalable and flexible approaches to the execution of the workload. We present preliminary results on the Titan computer at the Oak Ridge Leadership Computing Facility that demonstrate a general capability to manage workload execution agnostic of a specific MD simulation kernel or execution pattern, and in a manner that integrates disparate grid-based and supercomputing resources. Our results build upon our extensive experience of distributed workload management in the high-energy physics ATLAS project using PanDA (Production and Distributed Analysis System), coupled with recent conceptual advances in our understanding of workload management on heterogeneous resources. We will discuss how we will generalize these initial capabilities towards a more production level service on DOE leadership resources. This research is sponsored by US DOE/ASCR and used resources of the OLCF computing facility.
Remote sensing techniques in cultural resource management archaeology
NASA Astrophysics Data System (ADS)
Johnson, Jay K.; Haley, Bryan S.
2003-04-01
Cultural resource management archaeology in the United States concerns compliance with legislation set in place to protect archaeological resources from the impact of modern activities. Traditionally, surface collection, shovel testing, test excavation, and mechanical stripping are used in these projects. These methods are expensive, time consuming, and may poorly represent the features within archaeological sites. The use of remote sensing techniques in cultural resource management archaeology may provide an answer to these problems. Near-surface geophysical techniques, including magnetometry, resistivity, electromagnetics, and ground penetrating radar, have proven to be particularly successful at efficiently locating archaeological features. Research has also indicated airborne and satellite remote sensing may hold some promise in the future for large-scale archaeological survey, although this is difficult in many areas of the world where ground cover reflect archaeological features in an indirect manner. A cost simulation of a hypothetical data recovery project on a large complex site in Mississippi is presented to illustrate the potential advantages of remote sensing in a cultural resource management setting. The results indicate these techniques can save a substantial amount of time and money for these projects.
Pruinelli, Lisiane; Fu, Helen; Monsen, Karen A; Westra, Bonnie L
2014-01-01
Consumer involvement in healthcare is critical to support continuity of care for consumers to manage their health while transitioning from one care setting to another. Validation of evidence-based practice (EBP) guideline by consumers is essential to achieving consumer health goals over time that is consistent with their needs and preferences. The purpose of this study was to compare an Omaha System EBP guideline for community dwelling older adults with consumer-derived evidence of their ongoing needs, resources, and strategies after home care discharge. All identified problems were relevant for all patients except for Neglect and Substance use. Ten additional problems were identified from the interviews, five of which affected at least 10% of the participants. Consumer derived evidence both validated and expanded EBP guidelines; thus further emphasizing the importance of consumer involvement in the delivery of home healthcare.
A Lexical-Ontological Resource for Consumer Healthcare
NASA Astrophysics Data System (ADS)
Cardillo, Elena; Serafini, Luciano; Tamilin, Andrei
In Consumer Healthcare Informatics it is still difficult for laypeople to find, understand and act on health information, due to the persistent communication gap between specialized medical terminology and that used by healthcare consumers. Furthermore, existing clinically-oriented terminologies cannot provide sufficient support when integrated into consumer-oriented applications, so there is a need to create consumer-friendly terminologies reflecting the different ways healthcare consumers express and think about health topics. Following this direction, this work suggests a way to support the design of an ontology-based system that mitigates this gap, using knowledge engineering and semantic web technologies. The system is based on the development of a consumer-oriented medical terminology that will be integrated with other medical domain ontologies and terminologies into a medical ontology repository. This will support consumer-oriented healthcare systems, such as Personal Health Records, by providing many knowledge services to help users in accessing and managing their healthcare data.
A Lexical-Ontological Resource for Consumer Heathcare
NASA Astrophysics Data System (ADS)
Cardillo, Elena
In Consumer Healthcare Informatics it is still difficult for laypersons to understand and act on health information, due to the persistent communication gap between specialized medical terminology and that used by healthcare consumers. Furthermore, existing clinically-oriented terminologies cannot provide sufficient support when integrated into consumer-oriented applications, so there is a need to create consumer-friendly terminologies reflecting the different ways healthcare consumers express and think about health topics. Following this direction, this work suggests a way to support the design of an ontology-based system that mitigates this gap, using knowledge engineering and Semantic Web technologies. The system is based on the development of a consumer-oriented medical terminology which will be integrated with other existing domain ontologies/terminologies into a medical ontology repository. This will support consumer-oriented healthcare systems by providing many knowledge services to help users in accessing and managing their healthcare data.
Coexistence and community structure in a consumer resource model with implicit stoichiometry.
Orlando, Paul A; Brown, Joel S; Wise, David H
2012-09-01
We combine stoichiometry theory and optimal foraging theory into the MacArthur consumer-resource model. This generates predictions for diet choice, coexistence, and community structure of heterotroph communities. Tradeoffs in consumer resource-garnering traits influence community outcomes. With scarce resources, consumers forage opportunistically for complementary resources and may coexist via tradeoffs in resource encounter rates. In contrast to single currency models, stoichiometry permits multiple equilibria. These alternative stable states occur when tradeoffs in resource encounter rates are stronger than tradeoffs in elemental conversion efficiencies. With abundant resources consumers exhibit partially selective diets for essential resources and may coexist via tradeoffs in elemental conversion efficiencies. These results differ from single currency models, where adaptive diet selection is either opportunistic or selective. Interestingly, communities composed of efficient consumers share many of the same properties as communities based on substitutable resources. However, communities composed of relatively inefficient consumers behave similarly to plant communities as characterized by Tilman's consumer resource theory. The results of our model indicate that the effects of stoichiometry theory on community ecology are dependent upon both consumer foraging behavior and the nature of resource garnering tradeoffs. Copyright © 2012 Elsevier Inc. All rights reserved.
Management characteristics of grassfed beef operations in the northeast
USDA-ARS?s Scientific Manuscript database
Much information is being circulated on resource use, environmental impact, and overall sustainability of beef, but finding scientifically sound information is difficult. In an effort to address consumer concerns, a comprehensive analysis is being conducted across the beef industry. As a significant...
The eco-evolutionary responses of a generalist consumer to resource competition.
Abrams, Peter A
2012-10-01
This article explores the combined evolutionary and ecological responses of resource uptake abilities in a generalist consumer to exploitative competition for one resource using a simple 2-resource model. It compares the sizes of ecologically and evolutionarily caused changes in population densities in cases where the original consumer has a strong or a weak trade-off in its abilities to consume the two resources. The analysis also compares the responses of the original species to competition when the competitor's population size is or is not limited by the shared resource. Although divergence in resource use traits in the resident generalist consumer is expected under all scenarios when resources are substitutable, the changes in population densities of the resources and resident consumer frequently differ between scenarios. The population of the original consumer often decreases as a result of its own adaptive divergence, and this decrease is often much greater than the initial ecological decrease. If the evolving consumer has a strong trade-off, the overlapped resource increases in equilibrium population density in response to being consumed by a generalist competitor. Some of these predictions differ qualitatively in alternative scenarios involving sustained variation in population densities or nutritionally essential resources. © 2012 The Author(s). Evolution© 2012 The Society for the Study of Evolution.
Decision making in a human population living sustainably.
Hicks, John S; Burgman, Mark A; Marewski, Julian N; Fidler, Fiona; Gigerenzer, Gerd
2012-10-01
The Tiwi people of northern Australia have managed natural resources continuously for 6000-8000 years. Tiwi management objectives and outcomes may reflect how they gather information about the environment. We qualitatively analyzed Tiwi documents and management techniques to examine the relation between the social and physical environment of decision makers and their decision-making strategies. We hypothesized that principles of bounded rationality, namely, the use of efficient rules to navigate complex decision problems, explain how Tiwi managers use simple decision strategies (i.e., heuristics) to make robust decisions. Tiwi natural resource managers reduced complexity in decision making through a process that gathers incomplete and uncertain information to quickly guide decisions toward effective outcomes. They used management feedback to validate decisions through an information loop that resulted in long-term sustainability of environmental use. We examined the Tiwi decision-making processes relative to management of barramundi (Lates calcarifer) fisheries and contrasted their management with the state government's management of barramundi. Decisions that enhanced the status of individual people and their attainment of aspiration levels resulted in reliable resource availability for Tiwi consumers. Different decision processes adopted by the state for management of barramundi may not secure similarly sustainable outcomes. ©2012 Society for Conservation Biology.
ANALYZING WATER QUALITY WITH IMAGES ACQUIRED FROM AIRBORNE SENSORS
Monitoring different parameters of water quality can be a time consuming and expensive activity. However, the use of airborne light-sensitive (optical) instruments may enhance the abilities of resource managers to monitor water quality in rivers in a timely and cost-effective ma...
78 FR 30299 - Combined Notice of Filings #1
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-22
... Securities Under Section 204 of the Federal Power Act of Upper Peninsula Power Company. Filed Date: 5/15/13... Federal Power Act and Requests for Expedited Consideration and Confidential Treatment of Wapsipinicon Wind...-1017-000. Applicants: Consumers Energy Company, CMS Energy Resource Management Company. Description...
Atmospheric constituents influence plant-fungus interactions
USDA-ARS?s Scientific Manuscript database
The unique ability of plants to harness solar energy and convert it into carbohydrate fuel, is the basic sustenance of higher trophic levels. Yet despite the multitude of organisms preying upon their resources, plants manage to keep bacterial, fungal, and insect consumers in check through sophistica...
Khan, Sharib A; McFarlane, Delano J; Li, Jianhua; Ancker, Jessica S; Hutchinson, Carly; Cohall, Alwyn; Kukafka, Rita
2007-10-11
Consumer health informatics has emerged as a strategy to inform and empower patients for self management of their health. The emergence of and explosion in use of user-generated online media (e.g.,blogs) has created new opportunities to inform and educate people about healthy living. Under a prevention research project, we are developing a website that utilizes social content collaboration mediums in conjunction with open-source technologies to create a community-driven resource that provides users with tailored health information.
A Battalion/Division Fiscal Control System for Training Resource Management.
1981-12-01
of each command using it. With many Army fiscal procedures consuming large volumes of time and resources to support operations with questionable...Document (FAD)) spe- cifying the appropriation and budget programs for which the funds may be used . The FAD is the installation’s approved financial...operating budgets. Although a proper term would be operating targets, budget is used for ease of understanding. These funds are principally for general
Inoriza, José M; Pérez, Marc; Cols, Montse; Sánchez, Inma; Carreras, Marc; Coderch, Jordi
2013-11-01
To describe the characteristics of a diabetic population, morbidity profile, resource consumption, complications and degree of metabolic control. Cross-sectional study during 2010. Four Health Areas (91.301 people) where the integrated management organization Serveis de Salut integrated Baix Empordà completely provide healthcare assistance. 4.985 diabetic individuals, identified through clinical codes using the ICD-9-MC classification and the 3M? Clinical Risk Groups software. Morbidity profile, related complications and degree of metabolic control were obtained for the target diabetic population. We analyzed the consumption of healthcare resources, pharmaceutical and blood glucose reagent strips. All measurements obtained at individual level. 99.3% of the diabetic population were attended at least once at a primary care center (14.9% of visits). 39.5% of primary care visits and less than 10% of the other scanned resources were related to the management of diabetes. The pharmaceutical expenditure was 25.4% of the population consumption (average cost ?1.014,57). 36.5% of diabetics consumed reagents strips (average cost ?120,65). The more frequent CRG are 5424-Diabetes (27%); 6144-Diabetes and Hypertension (25,5%) and 6143-Diabetes and Other Moderate Chronic Disease (17,2%). The degree of disease control is better in patients not consumers of antidiabetic drugs or treated with oral antidiabetic agents not secretagogues. Comorbidity is decisive in the consumption of resources. Just a few part of this consumption is specifically related to the management of diabetes. Results obtained provide a whole population approach to the main existing studies in our national and regional context. Copyright © 2012 Elsevier España, S.L. All rights reserved.
Chen, Annie T; Carriere, Rachel M; Kaplan, Samantha Jan
2017-09-07
Body listening, described as the act of paying attention to the body's signals and cues, can be an important component of long-term health management. The aim of this study was to introduce and evaluate the Body Listening Project, an innovative effort to engage the public in the creation of a public resource-to leverage collective wisdom in the health domain. This project involved a website where people could contribute their experiences of and dialogue with others concerning body listening and self-management. This article presents an analysis of the tags contributed, with a focus on the value of these tags for knowledge organization and incorporation into consumer-friendly health information retrieval systems. First, we performed content analysis of the tags contributed, identifying a set of categories and refining the relational structure of the categories to develop a preliminary classification scheme, the Body Listening and Self-Management Taxonomy. Second, we compared the concepts in the Body Listening and Self-Management Taxonomy with concepts that were automatically identified from an extant health knowledge resource, the Unified Medical Language System (UMLS), to better characterize the information that participants contributed. Third, we employed visualization techniques to explore the concept space of the tags. A correlation matrix, based on the extent to which categories tended to be assigned to the same tags, was used to study the interrelatedness of the taxonomy categories. Then a network visualization was used to investigate structural relationships among the categories in the taxonomy. First, we proposed a taxonomy called the Body Listening and Self-Management Taxonomy, with four meta-level categories: (1) health management strategies, (2) concepts and states, (3) influencers, and (4) health-related information behavior. This taxonomy could inform future efforts to organize knowledge and content of this subject matter. Second, we compared the categories from this taxonomy with the UMLS concepts that were identified. Though the UMLS offers benefits such as speed and breadth of coverage, the Body Listening and Self-Management Taxonomy is more consumer-centric. Third, the correlation matrix and network visualization demonstrated that there are natural areas of ambiguity and semantic relatedness in the meanings of the concepts in the Body Listening and Self-Management Taxonomy. Use of these visualizations can be helpful in practice settings, to help library and information science practitioners understand and resolve potential challenges in classification; in research, to characterize the structure of the conceptual space of health management; and in the development of consumer-centric health information retrieval systems. A participatory platform can be employed to collect data concerning patient experiences of health management, which can in turn be used to develop new health knowledge resources or augment existing ones, as well as be incorporated into consumer-centric health information systems. ©Annie T Chen, Rachel M Carriere, Samantha Jan Kaplan. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 07.09.2017.
System Dynamics Modeling for Intellectual Disability Services: A Case Study
ERIC Educational Resources Information Center
Duryan, Meri; Nikolik, Dragan; van Merode, Godefridus; Curfs, Leopold
2012-01-01
Organizations providing services to persons with intellectual disabilities (ID) are complex because of many interacting stakeholders with often different and competing interests. The combination of increased consumer demand and diminished resources makes organizational planning a challenge for the managers of such organizations. Such challenges…
Developing Single Nucleotide Polymorphism markers for the identification of Coffee germplasm
USDA-ARS?s Scientific Manuscript database
Coffee is one of the most widely consumed beverages that represent a multibillion dollar global industry. Accurate identification of coffee cultivars is essential for efficient management, exchange and use of coffee genetic resources. So far a universal platform that can allow data comparison across...
Application of information theory methods to food web reconstruction
Moniz, L.J.; Cooch, E.G.; Ellner, S.P.; Nichols, J.D.; Nichols, J.M.
2007-01-01
In this paper we use information theory techniques on time series of abundances to determine the topology of a food web. At the outset, the food web participants (two consumers, two resources) are known; in addition we know that each consumer prefers one of the resources over the other. However, we do not know which consumer prefers which resource, and if this preference is absolute (i.e., whether or not the consumer will consume the non-preferred resource). Although the consumers and resources are identified at the beginning of the experiment, we also provide evidence that the consumers are not resources for each other, and the resources do not consume each other. We do show that there is significant mutual information between resources; the model is seasonally forced and some shared information between resources is expected. Similarly, because the model is seasonally forced, we expect shared information between consumers as they respond to the forcing of the resources. The model that we consider does include noise, and in an effort to demonstrate that these methods may be of some use in other than model data, we show the efficacy of our methods with decreasing time series size; in this particular case we obtain reasonably clear results with a time series length of 400 points. This approaches ecological time series lengths from real systems.
Managing time-substitutable electricity usage using dynamic controls
Ghosh, Soumyadip; Hosking, Jonathan R.; Natarajan, Ramesh; Subramaniam, Shivaram; Zhang, Xiaoxuan
2017-02-07
A predictive-control approach allows an electricity provider to monitor and proactively manage peak and off-peak residential intra-day electricity usage in an emerging smart energy grid using time-dependent dynamic pricing incentives. The daily load is modeled as time-shifted, but cost-differentiated and substitutable, copies of the continuously-consumed electricity resource, and a consumer-choice prediction model is constructed to forecast the corresponding intra-day shares of total daily load according to this model. This is embedded within an optimization framework for managing the daily electricity usage. A series of transformations are employed, including the reformulation-linearization technique (RLT) to obtain a Mixed-Integer Programming (MIP) model representation of the resulting nonlinear optimization problem. In addition, various regulatory and pricing constraints are incorporated in conjunction with the specified profit and capacity utilization objectives.
Managing time-substitutable electricity usage using dynamic controls
Ghosh, Soumyadip; Hosking, Jonathan R.; Natarajan, Ramesh; Subramaniam, Shivaram; Zhang, Xiaoxuan
2017-02-21
A predictive-control approach allows an electricity provider to monitor and proactively manage peak and off-peak residential intra-day electricity usage in an emerging smart energy grid using time-dependent dynamic pricing incentives. The daily load is modeled as time-shifted, but cost-differentiated and substitutable, copies of the continuously-consumed electricity resource, and a consumer-choice prediction model is constructed to forecast the corresponding intra-day shares of total daily load according to this model. This is embedded within an optimization framework for managing the daily electricity usage. A series of transformations are employed, including the reformulation-linearization technique (RLT) to obtain a Mixed-Integer Programming (MIP) model representation of the resulting nonlinear optimization problem. In addition, various regulatory and pricing constraints are incorporated in conjunction with the specified profit and capacity utilization objectives.
Code of Federal Regulations, 2014 CFR
2014-07-01
... EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION PROGRAM What Kinds of Activities Does the... education; (v) Child development and guidance; (vi) Housing and home management, including resource... and child abuse); (v) Strengthening parenting skills (especially among teenage parents); (vi...
Code of Federal Regulations, 2013 CFR
2013-07-01
... EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION PROGRAM What Kinds of Activities Does the... education; (v) Child development and guidance; (vi) Housing and home management, including resource... and child abuse); (v) Strengthening parenting skills (especially among teenage parents); (vi...
Code of Federal Regulations, 2011 CFR
2011-07-01
... EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION PROGRAM What Kinds of Activities Does the... education; (v) Child development and guidance; (vi) Housing and home management, including resource... and child abuse); (v) Strengthening parenting skills (especially among teenage parents); (vi...
Code of Federal Regulations, 2010 CFR
2010-07-01
... EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION PROGRAM What Kinds of Activities Does the... education; (v) Child development and guidance; (vi) Housing and home management, including resource... and child abuse); (v) Strengthening parenting skills (especially among teenage parents); (vi...
Code of Federal Regulations, 2012 CFR
2012-07-01
... EDUCATION STATE VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION PROGRAM What Kinds of Activities Does the... education; (v) Child development and guidance; (vi) Housing and home management, including resource... and child abuse); (v) Strengthening parenting skills (especially among teenage parents); (vi...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-02-08
... they allow for a more indepth understanding of consumers' attitudes, beliefs, motivations, and feelings... test and refine their ideas but will generally conduct further research before making important decisions, such as adopting new policies and allocating or redirecting significant resources to support...
Management of Multiple Nitrogen Sources during Wine Fermentation by Saccharomyces cerevisiae.
Crépin, Lucie; Truong, Nhat My; Bloem, Audrey; Sanchez, Isabelle; Dequin, Sylvie; Camarasa, Carole
2017-03-01
During fermentative growth in natural and industrial environments, Saccharomyces cerevisiae must redistribute the available nitrogen from multiple exogenous sources to amino acids in order to suitably fulfill anabolic requirements. To exhaustively explore the management of this complex resource, we developed an advanced strategy based on the reconciliation of data from a set of stable isotope tracer experiments with labeled nitrogen sources. Thus, quantifying the partitioning of the N compounds through the metabolism network during fermentation, we demonstrated that, contrary to the generally accepted view, only a limited fraction of most of the consumed amino acids is directly incorporated into proteins. Moreover, substantial catabolism of these molecules allows for efficient redistribution of nitrogen, supporting the operative de novo synthesis of proteinogenic amino acids. In contrast, catabolism of consumed amino acids plays a minor role in the formation of volatile compounds. Another important feature is that the α-keto acid precursors required for the de novo syntheses originate mainly from the catabolism of sugars, with a limited contribution from the anabolism of consumed amino acids. This work provides a comprehensive view of the intracellular fate of consumed nitrogen sources and the metabolic origin of proteinogenic amino acids, highlighting a strategy of distribution of metabolic fluxes implemented by yeast as a means of adapting to environments with changing and scarce nitrogen resources. IMPORTANCE A current challenge for the wine industry, in view of the extensive competition in the worldwide market, is to meet consumer expectations regarding the sensory profile of the product while ensuring an efficient fermentation process. Understanding the intracellular fate of the nitrogen sources available in grape juice is essential to the achievement of these objectives, since nitrogen utilization affects both the fermentative activity of yeasts and the formation of flavor compounds. However, little is known about how the metabolism operates when nitrogen is provided as a composite mixture, as in grape must. Here we quantitatively describe the distribution through the yeast metabolic network of the N moieties and C backbones of these nitrogen sources. Knowledge about the management of a complex resource, which is devoted to improvement of the use of the scarce N nutrient for growth, will be useful for better control of the fermentation process and the sensory quality of wines. Copyright © 2017 American Society for Microbiology.
Management of Multiple Nitrogen Sources during Wine Fermentation by Saccharomyces cerevisiae
Crépin, Lucie; Truong, Nhat My; Bloem, Audrey; Sanchez, Isabelle; Dequin, Sylvie
2017-01-01
ABSTRACT During fermentative growth in natural and industrial environments, Saccharomyces cerevisiae must redistribute the available nitrogen from multiple exogenous sources to amino acids in order to suitably fulfill anabolic requirements. To exhaustively explore the management of this complex resource, we developed an advanced strategy based on the reconciliation of data from a set of stable isotope tracer experiments with labeled nitrogen sources. Thus, quantifying the partitioning of the N compounds through the metabolism network during fermentation, we demonstrated that, contrary to the generally accepted view, only a limited fraction of most of the consumed amino acids is directly incorporated into proteins. Moreover, substantial catabolism of these molecules allows for efficient redistribution of nitrogen, supporting the operative de novo synthesis of proteinogenic amino acids. In contrast, catabolism of consumed amino acids plays a minor role in the formation of volatile compounds. Another important feature is that the α-keto acid precursors required for the de novo syntheses originate mainly from the catabolism of sugars, with a limited contribution from the anabolism of consumed amino acids. This work provides a comprehensive view of the intracellular fate of consumed nitrogen sources and the metabolic origin of proteinogenic amino acids, highlighting a strategy of distribution of metabolic fluxes implemented by yeast as a means of adapting to environments with changing and scarce nitrogen resources. IMPORTANCE A current challenge for the wine industry, in view of the extensive competition in the worldwide market, is to meet consumer expectations regarding the sensory profile of the product while ensuring an efficient fermentation process. Understanding the intracellular fate of the nitrogen sources available in grape juice is essential to the achievement of these objectives, since nitrogen utilization affects both the fermentative activity of yeasts and the formation of flavor compounds. However, little is known about how the metabolism operates when nitrogen is provided as a composite mixture, as in grape must. Here we quantitatively describe the distribution through the yeast metabolic network of the N moieties and C backbones of these nitrogen sources. Knowledge about the management of a complex resource, which is devoted to improvement of the use of the scarce N nutrient for growth, will be useful for better control of the fermentation process and the sensory quality of wines. PMID:28115380
Case histories of six consumers and their families in Cash and Counseling.
San Antonio, Patricia M; Simon-Rusinowitz, Lori; Loughlin, Dawn; Eckert, J Kevin; Mahoney, Kevin J
2007-02-01
To examine how the lives of consumers and their caregivers were affected by making choices and controlling their own resources with the cash option, this paper focuses on six case studies from the Cash and Counseling Demonstration Program. Twenty-one consumers, caregivers, and state consultants were interviewed about their experiences in the program. The data come from a larger study of over 200 interviews conducted from June 2000 to August 2004. Interview data were analyzed for themes about caregiving and program satisfaction. Cash and Counseling benefited consumers and caregivers by allowing consumers increased continuity and reliability of care, increased ability to set hours of care, more satisfaction with how caregiving is offered and more satisfaction with the quality of care. The cash option allowed consumers to create, schedule, and manage their own model of care. Some consumers faced challenges in the program with paperwork, accounting, worries about receiving care, and some ineffective state consultants who could have been more helpful.
Case Histories of Six Consumers and Their Families in Cash and Counseling
San Antonio, Patricia M; Simon-Rusinowitz, Lori; Loughlin, Dawn; Eckert, J Kevin; Mahoney, Kevin J
2007-01-01
Objective To examine how the lives of consumers and their caregivers were affected by making choices and controlling their own resources with the cash option, this paper focuses on six case studies from the Cash and Counseling Demonstration Program. Data Sources Twenty-one consumers, caregivers, and state consultants were interviewed about their experiences in the program. Study Design The data come from a larger study of over 200 interviews conducted from June 2000 to August 2004. Interview data were analyzed for themes about caregiving and program satisfaction. Principal Findings Cash and Counseling benefited consumers and caregivers by allowing consumers increased continuity and reliability of care, increased ability to set hours of care, more satisfaction with how caregiving is offered and more satisfaction with the quality of care. Conclusions The cash option allowed consumers to create, schedule, and manage their own model of care. Some consumers faced challenges in the program with paperwork, accounting, worries about receiving care, and some ineffective state consultants who could have been more helpful. PMID:17244296
Food waste and the food-energy-water nexus: A review of food waste management alternatives.
Kibler, Kelly M; Reinhart, Debra; Hawkins, Christopher; Motlagh, Amir Mohaghegh; Wright, James
2018-04-01
Throughout the world, much food produced is wasted. The resource impact of producing wasted food is substantial; however, little is known about the energy and water consumed in managing food waste after it has been disposed. Herein, we characterize food waste within the Food-Energy-Water (FEW) nexus and parse the differential FEW effects of producing uneaten food and managing food loss and waste. We find that various food waste management options, such as waste prevention, landfilling, composting, anaerobic digestion, and incineration, present variable pathways for FEW impacts and opportunities. Furthermore, comprehensive sustainable management of food waste will involve varied mechanisms and actors at multiple levels of governance and at the level of individual consumers. To address the complex food waste problem, we therefore propose a "food-waste-systems" approach to optimize resources within the FEW nexus. Such a framework may be applied to devise strategies that, for instance, minimize the amount of edible food that is wasted, foster efficient use of energy and water in the food production process, and simultaneously reduce pollution externalities and create opportunities from recycled energy and nutrients. Characterization of FEW nexus impacts of wasted food, including descriptions of dynamic feedback behaviors, presents a significant research gap and a priority for future work. Large-scale decision making requires more complete understanding of food waste and its management within the FEW nexus, particularly regarding post-disposal impacts related to water. Copyright © 2018 Elsevier Ltd. All rights reserved.
Designing interactivity on consumer health websites: PARAFORUM for spinal cord injury.
Rubinelli, Sara; Collm, Alexandra; Glässel, Andrea; Diesner, Fabian; Kinast, Johannes; Stucki, Gerold; Brach, Mirjam
2013-12-01
This paper addresses the issue of interactivity on health consumer websites powered by health organizations, by presenting the design of PARAFORUM, an interactive website in the field of spinal cord injury (SCI). The design of PARAFORUM is based on different streams of research in online health communication, web-based communities, open innovation communities and formative evaluation with stakeholders. PARAFORUM implements a model of diversified interactivity based on individuals with SCI and their families, health professionals, and researchers sharing their expertise in SCI. In addition to traditional health professional/researcher-to-consumer and peer-to-peer interactions, through PARAFORUM consumers, health professionals and researchers can co-design ideas for the enhancement of practice and research on SCI. There is the need to reflect on the conceptualization and operationalization of interactivity on consumer health websites. Interactions between different users can make these websites important platforms for promoting self-management of chronic conditions, organizational innovation, and participatory research. Interactivity on consumer health websites is a main resource for health communication. Health organizations are invited to build interactive websites, by considering, however, that the exploitation of interactivity require users' collaboration, processes and standards for managing content, creating and translating knowledge, and conducting internet-based studies. Copyright © 2013 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.
Resource consumption, sustainability, and cancer.
Kareva, Irina; Morin, Benjamin; Castillo-Chavez, Carlos
2015-02-01
Preserving a system's viability in the presence of diversity erosion is critical if the goal is to sustainably support biodiversity. Reduction in population heterogeneity, whether inter- or intraspecies, may increase population fragility, either decreasing its ability to adapt effectively to environmental changes or facilitating the survival and success of ordinarily rare phenotypes. The latter may result in over-representation of individuals who may participate in resource utilization patterns that can lead to over-exploitation, exhaustion, and, ultimately, collapse of both the resource and the population that depends on it. Here, we aim to identify regimes that can signal whether a consumer-resource system is capable of supporting viable degrees of heterogeneity. The framework used here is an expansion of a previously introduced consumer-resource type system of a population of individuals classified by their resource consumption. Application of the Reduction Theorem to the system enables us to evaluate the health of the system through tracking both the mean value of the parameter of resource (over)consumption, and the population variance, as both change over time. The article concludes with a discussion that highlights applicability of the proposed system to investigation of systems that are affected by particularly devastating overly adapted populations, namely cancerous cells. Potential intervention approaches for system management are discussed in the context of cancer therapies.
Ecodevelopment and the irrational use of resources
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1977-12-01
The difficulties of assessing the economic and social costs of environmental damage have resulted in a company being charged for the cost of prevention or a consumer for the cost of maintaining a standard, but may be better addressed by an ecodevelopment approach. Ecodevelopment, based on citizen understanding of a region's resources and environment, would require that development schemes be designed to protect and maximize specific eco-regions. The use of local materials and soft technologies is appropriate to both developed and developing countries. Using nature as a model, production would promote recycling by emphasizing pollution prevention and abatement at themore » source. Rational resource management, in which use is oriented toward enhancing the global benefits for future as well as present generations, should replace the commercial approach of basing costs on market value and control on final demand. International agencies have a role in equalizing the benefits of resource management and resolving the conflicts that arise from unequal resource distribution, consumption, and exchange.« less
Grid commerce, market-driven G-negotiation, and Grid resource management.
Sim, Kwang Mong
2006-12-01
Although the management of resources is essential for realizing a computational grid, providing an efficient resource allocation mechanism is a complex undertaking. Since Grid providers and consumers may be independent bodies, negotiation among them is necessary. The contribution of this paper is showing that market-driven agents (MDAs) are appropriate tools for Grid resource negotiation. MDAs are e-negotiation agents designed with the flexibility of: 1) making adjustable amounts of concession taking into account market rivalry, outside options, and time preferences and 2) relaxing bargaining terms in the face of intense pressure. A heterogeneous testbed consisting of several types of e-negotiation agents to simulate a Grid computing environment was developed. It compares the performance of MDAs against other e-negotiation agents (e.g., Kasbah) in a Grid-commerce environment. Empirical results show that MDAs generally achieve: 1) higher budget efficiencies in many market situations than other e-negotiation agents in the testbed and 2) higher success rates in acquiring Grid resources under high Grid loadings.
Overcoming information asymmetry in consumer-directed health plans.
Retchin, Sheldon M
2007-04-01
Consumer-centric healthcare has been extolled as the centerpiece of a new model for managing both quality and price. However, information asymmetry in consumer-directed health plans (CDHPs) is a challenge that must be addressed. For CDHPs to work as intended and to gain acceptance, consumers need information regarding the quality and price of healthcare purchases. The federal government, particularly the Agency for Healthcare Research and Quality, could function as an official resource for information on performance and comparisons among facilities and providers. Because of workforce constraints among primary care physicians, a new group of healthcare professionals called "medical decision advisors" could be trained. Academic health centers would have to play a critical role in devising an appropriate curriculum, as well as designing a certification and credentialing process. However, with appropriate curricula and training, medical decision advisors could furnish information for consumers and aid in the complicated decisions they will face under CDHPs.
Coexistence and limiting similarity of consumer species competing for a linear array of resources.
Abrams, Peter A; Rueffler, Claus
2009-03-01
Consumer-resource systems with linear arrays of substitutable resources form the conceptual basis of much of present-day competition theory. However, most analyses of the limiting similarity of competitors have only employed consumer-resource models as a justification for using the Lotka-Volterra competition equations to represent the interaction. Unfortunately, Lotka-Volterra models cannot reflect resource exclusion via apparent competition and are poor approximations of systems with nonlogistic resource growth. We use consumer-resource models to examine the impact of exclusion of biotic resources or depletion of abiotic resources on the ability of three consumer species to coexist along a one-dimensional resource axis. For a wide range of consumer-resource models, coexistence conditions can become more restrictive with increasing niche separation of the two outer species. This occurs when the outer species are highly efficient; in this case they cause extinction or severe depletion of intermediate resources when their own niches have an intermediate level of separation. In many cases coexistence of an intermediate consumer species is prohibited when niche separation of the two outer species is moderately large, but not when it is small. Coexistence may be most likely when the intermediate species is closer to one of the two outer species, contrary to previous theory. These results suggest that competition may lead to uneven spacing of utilization curves. The implications and range of applicability of the models are discussed.
Interactive use of online health resources: a comparison of consumer and professional questions
Demner-Fushman, Dina
2016-01-01
Objective To understand how consumer questions on online resources differ from questions asked by professionals, and how such consumer questions differ across resources. Materials and Methods Ten online question corpora, 5 consumer and 5 professional, with a combined total of over 40 000 questions, were analyzed using a variety of natural language processing techniques. These techniques analyze questions at the lexical, syntactic, and semantic levels, exposing differences in both form and content. Results Consumer questions tend to be longer than professional questions, more closely resemble open-domain language, and focus far more on medical problems. Consumers ask more sub-questions, provide far more background information, and ask different types of questions than professionals. Furthermore, there is substantial variance of these factors between the different consumer corpora. Discussion The form of consumer questions is highly dependent upon the individual online resource, especially in the amount of background information provided. Professionals, on the other hand, provide very little background information and often ask much shorter questions. The content of consumer questions is also highly dependent upon the resource. While professional questions commonly discuss treatments and tests, consumer questions focus disproportionately on symptoms and diseases. Further, consumers place far more emphasis on certain types of health problems (eg, sexual health). Conclusion Websites for consumers to submit health questions are a popular online resource filling important gaps in consumer health information. By analyzing how consumers write questions on these resources, we can better understand these gaps and create solutions for improving information access. This article is part of the Special Focus on Person-Generated Health and Wellness Data, which published in the May 2016 issue, Volume 23, Issue 3. PMID:27147494
USDA-ARS?s Scientific Manuscript database
The use of distributed parameter models to address water resource management problems has increased in recent years. Calibration is necessary to reduce the uncertainties associated with model input parameters. Manual calibration of a distributed parameter model is a very time consuming effort. There...
ERIC Educational Resources Information Center
Brent, Robert L.
This report discusses the magnitude of the problem of birth defects, outlines advances in the birth defects field in the past decade, and identifies those areas where research is needed for the prevention, treatment, and management of birth defects. The problem of birth defects has consumed a greater portion of our health care resources because of…
Global sustainable timber supply and demand
Peter J. Ince
2010-01-01
Industrial timber use has provided timber revenue that has helped make timber supply and demand more sustainable in the leading timber producing regions of the world. Sustainable development implies not consuming more resources today than we can replace tomorrow, but sustainable forest management implies more than merely a non-declining supply of timber. Forests as a...
ERIC Educational Resources Information Center
Thelen, Anja
2015-01-01
Enterprise Resource Planning (ERP) implementations are expensive, time-consuming, and often do not lead to the expected outcome of integrated IT systems. Many German universities are implementing ERP systems as Campus Management Systems (CMS) and a solution to any problem, need, or requirement the organization has. This exploratory case study…
Your Food Dollar. Money Management. [Revised].
ERIC Educational Resources Information Center
Baran, Nancy H., Ed.
This student/teacher resource booklet provides information on conserving food dollars while providing nutritious meals. The guide shows how to set up a food budget and explains how scanning the weekly food ads, planning meals around the specials, and compiling a list accordingly can also help consumers get more for their food dollars. Numerous…
ERIC Educational Resources Information Center
Baird, Aaron
2012-01-01
A long tradition of adoption of innovations research in the information systems context suggests that innovative information systems are typically adopted by the largest companies, with the most slack resources and the most management support within competitive markets. Additionally, five behavioral characteristics (relative advantage,…
Effective management of combined renewable energy resources in Tajikistan.
Karimov, Khasan S; Akhmedov, Khakim M; Abid, Muhammad; Petrov, Georgiy N
2013-09-01
Water is needed mostly in summer time for irrigation and in winter time for generation of electric power. This results in conflicts between downstream countries that utilize water mostly for irrigation and those upstream countries, which use water for generation of electric power. At present Uzbekistan is blocking railway connection that is going to Tajikistan to interfere to transportation of the equipment and materials for construction of Rogun hydropower plant. In order to avoid conflicts between Tajikistan and Uzbekistan a number of measures for the utilization of water resources of the trans-boundary Rivers Amu-Darya and Sir-Darya are discussed. In addition, utilization of water with the supplement of wind and solar energy projects for proper and efficient management of water resources in Central Asia; export-import exchanges of electric energy in summer and winter time between neighboring countries; development of small hydropower project, modern irrigation system in main water consuming countries and large water reservoir hydropower projects for control of water resources for hydropower and irrigation are also discussed. It is also concluded that an effective management of water resources can be achieved by signing Water treaty between upstream and downstream countries, first of all between Tajikistan and Uzbekistan. In this paper management of water as renewable energy resource in Tajikistan and Central Asian Republics are presented. Copyright © 2013. Published by Elsevier B.V.
Jochum, Malte; Barnes, Andrew D; Weigelt, Patrick; Ott, David; Rembold, Katja; Farajallah, Achmad; Brose, Ulrich
2017-09-01
High biodiversity and biomass of soil communities are crucial for litter decomposition in terrestrial ecosystems such as tropical forests. However, the leaf litter that these communities consume is of particularly poor quality as indicated by elemental stoichiometry. The impact of resource quantity, quality and other habitat parameters on species richness and biomass of consumer communities is often studied in isolation, although much can be learned from simultaneously studying both community characteristics. Using a dataset of 780 macro-invertebrate consumer species across 32 sites in tropical lowland rain forest and agricultural systems on Sumatra, Indonesia, we investigated the effects of basal resource stoichiometry (C:X ratios of N, P, K, Ca, Mg, Na, S in local leaf litter), litter mass (basal resource quantity and habitat space), plant species richness (surrogate for litter habitat heterogeneity), and soil pH (acidity) on consumer species richness and biomass across different consumer groups (i.e. 3 feeding guilds and 10 selected taxonomic groups). In order to distinguish the most important predictors of consumer species richness and biomass, we applied a standardised model averaging approach investigating the effects of basal resource stoichiometry, litter mass, plant species richness and soil pH on both consumer community characteristics. This standardised approach enabled us to identify differences and similarities in the magnitude and importance of such effects on consumer species richness and biomass. Across consumer groups, we found litter mass to be the most important predictor of both species richness and biomass. Resource stoichiometry had a more pronounced impact on consumer species richness than on their biomass. As expected, taxonomic groups differed in which resource and habitat parameters (basal resource stoichiometry, litter mass, plant species richness and pH) were most important for modulating their community characteristics. The importance of litter mass for both species richness and biomass indicates that these tropical consumers strongly depend on habitat space and resource availability. Our study supports previous theoretical work indicating that consumer species richness is jointly influenced by resource availability and the balanced supply of multiple chemical elements in their resources. © 2017 The Authors. Journal of Animal Ecology © 2017 British Ecological Society.
Foster, Stephen; Garduño, Héctor
2013-01-01
Globally, irrigated agriculture is the largest abstractor, and predominant consumer, of groundwater resources, with large groundwater-dependent agro-economies now having widely evolved especially in Asia. Such use is also causing resource depletion and degradation in more arid and drought-prone regions. In addition crop cultivation practices on irrigated land exert a major influence on groundwater recharge. The interrelationship is such that cross-sector action is required to agree more sustainable land and water management policies, and this paper presents an integrated vision of the challenges in this regard. It is recognised that 'institutional arrangements' are critical to the local implementation of management policies, although the focus here is limited to the conceptual understanding needed for formulation of an integrated policy and some practical interventions required to promote more sustainable groundwater irrigation.
Water footprint concept for a sustainable water resources management in Urmia Lake basin, Iran
NASA Astrophysics Data System (ADS)
Jabbari, Anahita; Jarihani, Ben; Rezaie, Hossein; Aligholiniya, Tohid; Rasouli, Negar
2015-04-01
The fast shrinkage of Urmia Lake in West Azerbaijan, Iran is one of the most important environmental change hotspots. The dramatic water level reduction (up to 6 meters) has influential environmental, socio-economic and health impacts on Urmia plain and its habitants. The decline is generally blamed on a combination of drought, increased water diversion for irrigated agriculture within the lake's watershed and land use mismanagement. The Urmia Lake sub basins are the agricultural cores of the region and the agricultural activities are the major water consuming sections of the basin. Land use changes and mismanagement in the land use decisions and policies is one of the most important factors in lake shrinkage in recent decades. Fresh water is the main source of water for agricultural usages in the basin. So defining a more low water consuming land use pattern will put less pressure on limited water resources. The above mentioned fact in this study has been assessed through water footprint concept. The water footprint concept (as a quantitative measure showing the appropriation of natural resources) is a comprehensive indicator that can have a crucial role in efficient land use management. In order to evaluate the water use patterns, the water footprint of wheat (as a traditional crop) and apple (recently most popular) have been compared and the results have been discussed in the aspect of the impacts on Lake Urmia demands and its dramatic drying process. Results showed that, higher blue water consumption in such a regions that have severe blue water scarcity, is a major issue and the water consuming pattern must be modified to meet the lake demands. Lower blue water consumption through regionalizing crops for each area is an efficient solution to meet lake demands and consume lower amounts of blue water. So the proper land use practices can be an appropriate method to rescue the lake in a long time period.
Chamberlain, Scott A; Holland, J Nathaniel
2008-05-01
Interspecific interactions are often mediated by the interplay between resource supply and consumer density. The supply of a resource and a consumer's density response to it may in turn yield context-dependent use of other resources. Such consumer-resource interactions occur not only for predator-prey and competitive interactions, but for mutualistic ones as well. For example, consumer-resource interactions between ants and extrafloral nectar (EFN) plants are often mutualistic, as EFN resources attract and reward ants which protect plants from herbivory. Yet, ants also commonly exploit floral resources, leading to antagonistic consumer-resource interactions by disrupting pollination and plant reproduction. EFN resources associated with mutualistic ant-plant interactions may also mediate antagonistic ant-flower interactions through the aggregative density response of ants on plants, which could either exacerbate ant-flower interactions or alternatively satiate and distract ants from floral resources. In this study, we examined how EFN resources mediate the density response of ants on senita cacti in the Sonoran Desert and their context-dependent use of floral resources. Removal of EFN resources reduced the aggregative density of ants on plants, both on hourly and daily time scales. Yet, the increased aggregative ant density on plants with EFN resources decreased rather than increased ant use of floral resources, including contacts with and time spent in flowers. Behavioral assays showed no confounding effect of floral deterrents on ant-flower interactions. Thus, ant use of floral resources depends on the supply of EFN resources, which mediates the potential for both mutualistic and antagonistic interactions by increasing the aggregative density of ants protecting plants, while concurrently distracting ants from floral resources. Nevertheless, only certain years and populations of study showed an increase in plant reproduction through herbivore protection or ant distraction from floral resources. Despite pronounced effects of EFN resources mediating the aggregative density of ants on plants and their context-dependent use of floral resources, consumer-resource interactions remained largely commensalistic.
A general consumer-resource population model
Lafferty, Kevin D.; DeLeo, Giulio; Briggs, Cheryl J.; Dobson, Andrew P.; Gross, Thilo; Kuris, Armand M.
2015-01-01
Food-web dynamics arise from predator-prey, parasite-host, and herbivore-plant interactions. Models for such interactions include up to three consumer activity states (questing, attacking, consuming) and up to four resource response states (susceptible, exposed, ingested, resistant). Articulating these states into a general model allows for dissecting, comparing, and deriving consumer-resource models. We specify this general model for 11 generic consumer strategies that group mathematically into predators, parasites, and micropredators and then derive conditions for consumer success, including a universal saturating functional response. We further show how to use this framework to create simple models with a common mathematical lineage and transparent assumptions. Underlying assumptions, missing elements, and composite parameters are revealed when classic consumer-resource models are derived from the general model.
Nowak, G; Cole, G; Kirby, S; Freimuth, V; Caywood, C
1998-01-01
Influencing consumer behavior is a difficult and often resource-intensive undertaking, with success usually requiring identifying, describing, and understanding target audiences; solid product and/or service positioning relative to competitors; and significant media and communication resources. Integrated marketing communication (IMC) is a new way of organizing and managing persuasive communication tools and functions which involves realigning communications to consider the flow of information from an organization from the viewpoint of end consumers. Although the application of IMC to social marketing remains relatively unexplored, the IMC literature and recent efforts by the US Centers for Disease Prevention and Control suggest that integrated communication approaches have much to offer social marketing and health communication efforts. IMC, IMC and social marketing, and implications of IMC for public and private sector social marketing programs are discussed.
Vasseur, David A; Fox, Jeremy W
2011-10-01
Consumers acquire essential nutrients by ingesting the tissues of resource species. When these tissues contain essential nutrients in a suboptimal ratio, consumers may benefit from ingesting a mixture of nutritionally complementary resource species. We investigate the joint ecological and evolutionary consequences of competition for complementary resources, using an adaptive dynamics model of two consumers and two resources that differ in their relative content of two essential nutrients. In the absence of competition, a nutritionally balanced diet rarely maximizes fitness because of the dynamic feedbacks between uptake rate and resource density, whereas in sympatry, nutritionally balanced diets maximize fitness because competing consumers with different nutritional requirements tend to equalize the relative abundances of the two resources. Adaptation from allopatric to sympatric fitness optima can generate character convergence, divergence, and parallel shifts, depending not on the degree of diet overlap but on the match between resource nutrient content and consumer nutrient requirements. Contrary to previous verbal arguments that suggest that character convergence leads to neutral stability, coadaptation of competing consumers always leads to stable coexistence. Furthermore, we show that incorporating costs of consuming or excreting excess nonlimiting nutrients selects for nutritionally balanced diets and so promotes character convergence. This article demonstrates that resource-use overlap has little bearing on coexistence when resources are nutritionally complementary, and it highlights the importance of using mathematical models to infer the stability of ecoevolutionary dynamics.
Strategic exploration of battery waste management: A game-theoretic approach.
Kaushal, Rajendra Kumar; Nema, Arvind K; Chaudhary, Jyoti
2015-07-01
Electronic waste or e-waste is the fastest growing stream of solid waste today. It contains both toxic substances as well as valuable resources. The present study uses a non-cooperative game-theoretic approach for efficient management of e-waste, particularly batteries that contribute a major portion of any e-waste stream and further analyses the economic consequences of recycling of these obsolete, discarded batteries. Results suggest that the recycler would prefer to collect the obsolete batteries directly from the consumer rather than from the manufacturer, only if, the incentive return to the consumer is less than 33.92% of the price of the battery, the recycling fee is less than 6.46% of the price of the battery, and the price of the recycled material is more than 31.08% of the price of the battery. The manufacturer's preferred choice of charging a green tax from the consumer can be fruitful for the battery recycling chain. © The Author(s) 2015.
Conventional development versus managed growth: the costs of sprawl.
Burchell, Robert W; Mukherji, Sahan
2003-09-01
We examined the effects of sprawl, or conventional development, versus managed (or "smart") growth on land and infrastructure consumption as well as on real estate development and public service costs in the United States. Mathematical impact models were used to produce US estimates of differences in resources consumed according to each growth scenario over the period 2000-2025. Sprawl produces a 21% increase in amount of undeveloped land converted to developed land (2.4 million acres) and approximately a 10% increase in local road lane-miles (188 300). Furthermore, sprawl causes about 10% more annual public service (fiscal) deficits ($4.2 billion US dollars) and 8% higher housing occupancy costs ($13 000 US dollars per dwelling unit). Managed growth can save significant amounts of human and natural resources with limited effects on traditional development procedures.
Conventional Development Versus Managed Growth: The Costs of Sprawl
Burchell, Robert W.; Mukherji, Sahan
2003-01-01
Objectives. We examined the effects of sprawl, or conventional development, versus managed (or “smart”) growth on land and infrastructure consumption as well as on real estate development and public service costs in the United States. Methods. Mathematical impact models were used to produce US estimates of differences in resources consumed according to each growth scenario over the period 2000–2025. Results. Sprawl produces a 21% increase in amount of undeveloped land converted to developed land (2.4 million acres) and approximately a 10% increase in local road lane-miles (188 300). Furthermore, sprawl causes about 10% more annual public service (fiscal) deficits ($4.2 billion) and 8% higher housing occupancy costs ($13 000 per dwelling unit). Conclusions. Managed growth can save significant amounts of human and natural resources with limited effects on traditional development procedures. PMID:12948976
ECOLOGICAL THEORY. A general consumer-resource population model.
Lafferty, Kevin D; DeLeo, Giulio; Briggs, Cheryl J; Dobson, Andrew P; Gross, Thilo; Kuris, Armand M
2015-08-21
Food-web dynamics arise from predator-prey, parasite-host, and herbivore-plant interactions. Models for such interactions include up to three consumer activity states (questing, attacking, consuming) and up to four resource response states (susceptible, exposed, ingested, resistant). Articulating these states into a general model allows for dissecting, comparing, and deriving consumer-resource models. We specify this general model for 11 generic consumer strategies that group mathematically into predators, parasites, and micropredators and then derive conditions for consumer success, including a universal saturating functional response. We further show how to use this framework to create simple models with a common mathematical lineage and transparent assumptions. Underlying assumptions, missing elements, and composite parameters are revealed when classic consumer-resource models are derived from the general model. Copyright © 2015, American Association for the Advancement of Science.
Resource Management Scheme Based on Ubiquitous Data Analysis
Lee, Heung Ki; Jung, Jaehee
2014-01-01
Resource management of the main memory and process handler is critical to enhancing the system performance of a web server. Owing to the transaction delay time that affects incoming requests from web clients, web server systems utilize several web processes to anticipate future requests. This procedure is able to decrease the web generation time because there are enough processes to handle the incoming requests from web browsers. However, inefficient process management results in low service quality for the web server system. Proper pregenerated process mechanisms are required for dealing with the clients' requests. Unfortunately, it is difficult to predict how many requests a web server system is going to receive. If a web server system builds too many web processes, it wastes a considerable amount of memory space, and thus performance is reduced. We propose an adaptive web process manager scheme based on the analysis of web log mining. In the proposed scheme, the number of web processes is controlled through prediction of incoming requests, and accordingly, the web process management scheme consumes the least possible web transaction resources. In experiments, real web trace data were used to prove the improved performance of the proposed scheme. PMID:25197692
ERIC Educational Resources Information Center
Islam, Muhammad Faysal
2013-01-01
Cloud computing offers the advantage of on-demand, reliable and cost efficient computing solutions without the capital investment and management resources to build and maintain in-house data centers and network infrastructures. Scalability of cloud solutions enable consumers to upgrade or downsize their services as needed. In a cloud environment,…
HARVEST: linking timber harvesting strategies to landscape patterns
Eric J. Gustafson; Thomas R. Crow
1999-01-01
Providing a balance among the various benefits and values derived from forest lands has always been a challenge for managers. Determining this balance will be an even greater challenge in the future as increasing human populations consume greater amounts of natural resources from a decreasing land base. Obviously, not all multiple uses are compatible. Past attempts to...
Office Review: Managing Successful Change in an Overwork Culture
ERIC Educational Resources Information Center
Child, Christine; Lander, Rachel
2008-01-01
The increase in student numbers and the decline in the average unit of resource since the 1990s together with the changes brought about by rising student expectations are familiar circumstances to anyone working in higher education. The authors perceive this as part of the move towards a consumer culture in the public sector. This paper gives an…
Combustion and Reacting Systems for Exploration
NASA Technical Reports Server (NTRS)
Urban, David L.
2004-01-01
Contents include the foloving: 1. Spacecraft Fire Prevention, Detection, and Suppression. 2. Advanced Life Support. Air/water revitalization, waste management. 3. In Situ Resource Utilization (ISRU). Fuel/consumables from regolith/atmosphere. 4. Extra vehicular Activity. Air revitalization, power systems (MEMS scale combustors). 5. In-situ Fabrication and Repair.Of these we have the lead responsibility in Fire Safety.
Cradle-to-gate life cycle impacts of redwood forest resource harvesting in northern California
Han-Sup Han; Elaine Oneil; Richard D. Bergman; Ivan L. Eastin; Leonard R. Johnson
2015-01-01
The first life cycle impact assessment for redwood (Sequoia sempervirens) forest management activities (i.e. a cradle-to-sawmill gate input) including the growing, harvesting, and hauling of redwood sawlogs to a sawmill was completed. In the stump-to-truck timber harvesting analysis, primary transport activities such as skidding and yarding consumed...
ERIC Educational Resources Information Center
Federal/Provincial Consumer Education and Plain Language Task Force (Canada).
Project Real World, a self-contained, activity-based Canadian consumer science program, provides students with systematic instruction in economic living skills. It gives students in grades 10-12 an orientation to the economic realities and opportunities in society. The program helps students understand the marketplace; manage resources; apply…
ERIC Educational Resources Information Center
Federal/Provincial Consumer Education and Plain Language Task Force (Canada).
Project Real World, a self-contained, activity-based Canadian consumer science program, provides students with systematic instruction in economic living skills. It gives students in grades 10-12 an orientation to the economic realities and opportunities in society. The program helps students understand the marketplace; manage resources; apply…
NASA Technical Reports Server (NTRS)
Haggerty, James J.
1987-01-01
Various current or forthcoming NASA projects and experiments with potential for technology spinoff are described. NASA technological advances with existing commercial applications are outlined in the following areas: transportation; consumer; home; and recreation; medicine; resources management; energy; public safety; and manufacturing technology and industrial productivity. Specific systems, devices, and equipment are described. A concluding essay describes the NASA technology utilization/transfer effort.
North, Richard T; Harvey, Vernon J; Cox, Levonne C; Ryan, Stuart N
2015-01-01
Background In New Zealand, trastuzumab is standard therapy for human epidermal growth factor receptor-2 (HER2)-positive early and metastatic breast cancer. Given the requirement for ongoing adjuvant or maintenance treatment and intravenous (IV) delivery, such a regimen consumes considerable health care resources. The development of a subcutaneous (SC) trastuzumab formulation with a short administration time offers the potential to reduce hospital expenditure. The aim of this study was to determine medical resource utilization associated with administration of trastuzumab SC injection via handheld syringe vs trastuzumab IV infusion in patients with HER2-positive breast cancer in New Zealand. Methods This noninterventional, descriptive study was conducted at the outpatient oncology centers at Auckland City and Tauranga Hospitals. Trained observers recorded times associated with health care professional (HCP) tasks and consumables use associated with preparation and administration of trastuzumab IV or SC in women with early or metastatic breast cancer. The cost for each formulation was calculated as the mean cost of HCP time (based on Pharmaceutical Management Agency hourly rates) plus the mean cost of consumables used. Results Use of trastuzumab SC vs IV reduced mean chair time by 36.95 minutes and total nurse time by 6.12 minutes; there was a 20.45-minute reduction in pharmacist time when the SC formulation was used. After adding consumable costs, the overall estimated saving with trastuzumab SC vs IV was $76.94 (New Zealand dollars) per patient per cycle. Conclusions Compared with trastuzumab IV infusion, administration of trastuzumab via SC injection reduced time spent in the clinic and decreased HCP resources and consumables needed to administer treatment. These reductions could contribute to a decrease in health care costs and an improvement in the efficiency of HER2-positive breast cancer treatment delivery. PMID:26251623
Equilibrium in a Production Economy
DOE Office of Scientific and Technical Information (OSTI.GOV)
Chiarolla, Maria B., E-mail: maria.chiarolla@uniroma1.it; Haussmann, Ulrich G., E-mail: uhaus@math.ubc.ca
2011-06-15
Consider a closed production-consumption economy with multiple agents and multiple resources. The resources are used to produce the consumption good. The agents derive utility from holding resources as well as consuming the good produced. They aim to maximize their utility while the manager of the production facility aims to maximize profits. With the aid of a representative agent (who has a multivariable utility function) it is shown that an Arrow-Debreu equilibrium exists. In so doing we establish technical results that will be used to solve the stochastic dynamic problem (a case with infinite dimensional commodity space so the General Equilibriummore » Theory does not apply) elsewhere.« less
Interactive use of online health resources: a comparison of consumer and professional questions.
Roberts, Kirk; Demner-Fushman, Dina
2016-07-01
To understand how consumer questions on online resources differ from questions asked by professionals, and how such consumer questions differ across resources. Ten online question corpora, 5 consumer and 5 professional, with a combined total of over 40 000 questions, were analyzed using a variety of natural language processing techniques. These techniques analyze questions at the lexical, syntactic, and semantic levels, exposing differences in both form and content. Consumer questions tend to be longer than professional questions, more closely resemble open-domain language, and focus far more on medical problems. Consumers ask more sub-questions, provide far more background information, and ask different types of questions than professionals. Furthermore, there is substantial variance of these factors between the different consumer corpora. The form of consumer questions is highly dependent upon the individual online resource, especially in the amount of background information provided. Professionals, on the other hand, provide very little background information and often ask much shorter questions. The content of consumer questions is also highly dependent upon the resource. While professional questions commonly discuss treatments and tests, consumer questions focus disproportionately on symptoms and diseases. Further, consumers place far more emphasis on certain types of health problems (eg, sexual health). Websites for consumers to submit health questions are a popular online resource filling important gaps in consumer health information. By analyzing how consumers write questions on these resources, we can better understand these gaps and create solutions for improving information access.This article is part of the Special Focus on Person-Generated Health and Wellness Data, which published in the May 2016 issue, Volume 23, Issue 3. Published by Oxford University Press on behalf of the American Medical Informatics Association 2016. This work is written by US Government employees and is in the public domain in the United States.
The U.S.Geological Survey Energy Resources Program
,
2010-01-01
Energy resources are an essential component of modern society. Adequate, reliable, and affordable energy supplies obtained using environmentally sustainable practices underpin economic prosperity, environmental quality and human health, and political stability. National and global demands for all forms of energy are forecast to increase significantly over the next several decades. Throughout its history, our Nation has faced important, often controversial, decisions regarding the competing uses of public lands, the supply of energy to sustain development and enable growth, and environmental stewardship. The U.S. Geological Survey (USGS) Energy Resources Program (ERP) provides information to address these challenges by supporting scientific investigations of energy resources, such as research on the geology, geochemistry, and geophysics of oil, gas, coal, heavy oil and natural bitumen, oil shale, uranium, and geothermal resources, emerging resources such as gas hydrates, and research on the effects associated with energy resource occurrence, production, and (or) utilization. The results from these investigations provide impartial, robust scientific information about energy resources and support the U.S. Department of the Interior's (DOI's) mission of protecting and responsibly managing the Nation's natural resources. Primary consumers of ERP information and products include the DOI land- and resource-management Bureaus; other Federal, State, and local agencies; the U.S. Congress and the Administration; nongovernmental organizations; the energy industry; academia; international organizations; and the general public.
What information strategy responding to social needs should be?
NASA Astrophysics Data System (ADS)
Fujii, Kunihiko
With the contemporary social phenomena that people think much of diversity of value, they are concerned with differentiation from others. Consumers' tendency to seek unique goods is common to all, giving impetus to makers' attitude that they try to produce varieties of goods but small amount for each. Consequently, life cycle of goods has become smaller than ever, and rapid and creative information gathering and utilization have become essential when makers produce goods responding to consumers' need. The author discusses how information strategy should be worked in the comprehensive business activities, and how information should be located as the powerful management resource.
Efficient Access to Massive Amounts of Tape-Resident Data
NASA Astrophysics Data System (ADS)
Yu, David; Lauret, Jérôme
2017-10-01
Randomly restoring files from tapes degrades the read performance primarily due to frequent tape mounts. The high latency and time-consuming tape mount and dismount is a major issue when accessing massive amounts of data from tape storage. BNL’s mass storage system currently holds more than 80 PB of data on tapes, managed by HPSS. To restore files from HPSS, we make use of a scheduler software, called ERADAT. This scheduler system was originally based on code from Oak Ridge National Lab, developed in the early 2000s. After some major modifications and enhancements, ERADAT now provides advanced HPSS resource management, priority queuing, resource sharing, web-browser visibility of real-time staging activities and advanced real-time statistics and graphs. ERADAT is also integrated with ACSLS and HPSS for near real-time mount statistics and resource control in HPSS. ERADAT is also the interface between HPSS and other applications such as the locally developed Data Carousel, providing fair resource-sharing policies and related capabilities. ERADAT has demonstrated great performance at BNL.
Consumer Resource Guide: A Selected Bibliography.
ERIC Educational Resources Information Center
Nyheim, Charlotte, Comp.; Smith-Hansgen, Sharon, Comp.
The selective bibliography contains over 1,000 citations of books, pamphlets, audiovisual materials, and teaching resources related to consumer education. It is designed not only for educators but also for individual consumers and members of consumer organizations. Contents are arranged by subject matter under ten general topics: consumer and the…
Demographics: people and markets.
Merrick, T W; Tordella, S J
1988-02-01
The basics of demography are now basic to us business as well. Demographics combine demographic data with socioeconomic and geographic factors to help business and other managers know the market for their goods and services. This pamphlet explains market, product, and site analyses, discusses data sources and resources, and includes case studies involving major corporations. Post-war population trends have had an enormous impact on consumer and labor markets, bringing home to business the importance of taking advantage of demographic shifts. Advances in computerized access to data describing changes and increased consciousness of their economic significance has spurred the application of demographic knowledge by managers and the growth of the demographics information industry. The pamphlet describes the resources and methods of demographics including the creation and use of demographic data products.
Contract management using cause-effect clues in service worksheets.
Chen, J H
1996-01-01
Sophisticated equipment often needs intensive technical resources to maintain its system availability. Service contracts can be an easy channel to outside technical resources. Usually, a service contract purchaser only sees its cost instead of its maintenance quality. A system's needs, however, depend on the trade-off between the cost paid and the quality received. If a clinical engineer can actively interpret and integrate the cause-effect consequences on the compiled service worksheets, those clues can serve as a criterion to justify the quality and the cost-effectiveness of a service contract. Through the analysis of the service labor consumed, the justification of the parts replaced, and the assessment of the "fit" to system availability, this paper provides a cost-effective tool for equipment management.
Harris, Claire; Ko, Henry; Waller, Cara; Sloss, Pamela; Williams, Pamela
2017-05-05
This is the fourth in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. Healthcare decision-makers have sought to improve the effectiveness and efficiency of services through removal or restriction of practices that are unsafe or of little benefit, often referred to as 'disinvestment'. A systematic, integrated, evidence-based program for disinvestment was being established within a large Australian health service network. Consumer engagement was acknowledged as integral to this process. This paper reports the process of developing a model to integrate consumer views and preferences into an organisation-wide approach to resource allocation. A literature search was conducted and interviews and workshops were undertaken with health service consumers and staff. Findings were drafted into a model for consumer engagement in resource allocation which was workshopped and refined. Although consumer engagement is increasingly becoming a requirement of publicly-funded health services and documented in standards and policies, participation in organisational decision-making is not widespread. Several consistent messages for consumer engagement in this context emerged from the literature and consumer responses. Opportunities, settings and activities for consumer engagement through communication, consultation and participation were identified within the resource allocation process. Sources of information regarding consumer values and perspectives in publications and locally-collected data, and methods to use them in health service decision-making, were identified. A model bringing these elements together was developed. The proposed model presents potential opportunities and activities for consumer engagement in the context of resource allocation.
Using activity-based costing to track resource use in group practices.
Zeller, T L; Siegel, G; Kaciuba, G; Lau, A H
1999-09-01
Research shows that understanding how resources are consumed can help group practices control costs. An American Academy of Orthopaedic Surgeons study used an activity-based costing (ABC) system to measure how resources are consumed in providing medical services. Teams of accounting professors observed 18 diverse orthopedic surgery practices. The researchers identified 17 resource-consuming business processes performed by nonphysician office staff. They measured resource consumption by assigning costs to each process according to how much time is spent on related work activities. When group practices understand how their resources are being consumed, they can reduce costs and optimize revenues by making adjustments in how administrative and clinical staff work.
Petros, Ryan; Solomon, Phyllis
2015-11-01
Illness self-management (ISM) programs for adults with serious mental illness offer strategies to increase self-directed recovery activities to maximize wellness and increase independence from the service delivery system. This article describes five of the most popular ISM programs: Pathways to Recovery, The Recovery Workbook, Building Recovery of Individual Dreams and Goals through Education and Support, Wellness and Recovery Action Planning, and Illness Management and Recovery. It provides guidance for administrators, practitioners, and consumers for the purposes of selecting the program or programs providing the best fit. The framework for describing the five programs encompasses four contextual domains that supplement empirical evidence for a more comprehensive evaluation: structure, value orientation toward recovery, methods of teaching, and educational content. Contextual domains distinguish programs from one another, including length and time commitment, requisite resources, inclusion of group support, utilization of medical language and pathology, degree of traditional didactic education, and prioritization of consumer-driven self-exploration. The authors also searched PsycINFO, Google Scholar, and Cochrane Reviews for empirical evidence and evaluated the five programs on the strength of the evidence and the effectiveness of the intervention. Evidence of program effectiveness was found to range from low to moderate. However, empirical evidence alone is insufficient for selecting among the five programs, and contextual domains may offer the most relevant guidance by matching program features with goals of consumers, practitioners, and administrators.
NASA Remote Sensing Observations for Water Resource and Infrastructure Management
NASA Astrophysics Data System (ADS)
Granger, S. L.; Armstrong, L.; Farr, T.; Geller, G.; Heath, E.; Hyon, J.; Lavoie, S.; McDonald, K.; Realmuto, V.; Stough, T.; Szana, K.
2008-12-01
Decision support tools employed by water resource and infrastructure managers often utilize data products obtained from local sources or national/regional databases of historic surveys and observations. Incorporation of data from these sources can be laborious and time consuming as new products must be identified, cleaned and archived for each new study site. Adding remote sensing observations to the list of sources holds promise for a timely, consistent, global product to aid decision support at regional and global scales by providing global observations of geophysical parameters including soil moisture, precipitation, atmospheric temperature, derived evapotranspiration, and snow extent needed for hydrologic models and decision support tools. However, issues such as spatial and temporal resolution arise when attempting to integrate remote sensing observations into existing decision support tools. We are working to overcome these and other challenges through partnerships with water resource managers, tool developers and other stakeholders. We are developing a new data processing framework, enabled by a core GIS server, to seamlessly pull together observations from disparate sources for synthesis into information products and visualizations useful to the water resources community. A case study approach is being taken to develop the system by working closely with water infrastructure and resource managers to integrate remote observations into infrastructure, hydrologic and water resource decision tools. We present the results of a case study utilizing observations from the PALS aircraft instrument as a proxy for NASA's upcoming Soil Moisture Active Passive (SMAP) mission and an existing commercial decision support tool.
Mercader-Moyano, Pilar; Ramírez-de-Arellano-Agudo, Antonio
2013-05-01
The unfortunate economic situation involving Spain and the European Union is, among other factors, the result of intensive construction activity over recent years. The excessive consumption of natural resources, together with the impact caused by the uncontrolled dumping of untreated C&D waste in illegal landfills have caused environmental pollution and a deterioration of the landscape. The objective of this research was to generate a selective classification and quantification model of C&D waste based on the material resources consumed in the construction of residential buildings, either new or renovated, namely the Conventional Constructive Model (CCM). A practical example carried out on ten residential buildings in Seville, Spain, enabled the identification and quantification of the C&D waste generated in their construction and the origin of the waste, in terms of the building material from which it originated and its impact for every m(2) constructed. This model enables other researchers to establish comparisons between the various improvements proposed for the minimization of the environmental impact produced by building a CCM, new corrective measures to be proposed in future policies that regulate the production and management of C&D waste generated in construction from the design stage to the completion of the construction process, and the establishment of sustainable management for C&D waste and for the selection of materials for the construction on projected or renovated buildings.
Trends in California's Water Footprint, 1992-2012
NASA Astrophysics Data System (ADS)
Cooley, H.; Fulton, J.
2015-12-01
Water and other natural resource uses are increasingly affected by globalized trade and consumption patterns. We examine how California's water footprint has changed over two decades (1992 to 2012). Four findings emerge: first, California's water footprint (WF) has grown faster than population, indicating an increased per-capita WF; second, while California's WF is primarily associated with food products, energy products are becoming more important; third, the state's internal water resources are increasingly used for products consumed outside of the state; and fourth, external water resources have provided for all of California's expanded WF and are predominately "green water," or non-managed water sources. In light of climate change and mounting pressures on water resources, California policymaking must examine these trends in order to mitigate water-related risk.
Challenges to Stakeholder Participation in Water Reuse for Irrigation in Jordan
NASA Astrophysics Data System (ADS)
Carr, Gemma; Potter, Rob; Nortcliff, Stephen
2010-05-01
Developing new water resources continues to be a challenge in water scarce regions and water reuse offers a sustainable means by which water availability can be maximised. In Jordan, treated domestic wastewater (reclaimed water) already provides a valuable contribution to the annual water budget. This resource is used for irrigation either directly around wastewater treatment plants, or indirectly after reclaimed water released from treatment plants has been transferred though natural waterways and blended with surface runoff. Direct reuse is employed for the irrigation of fodder crops such as barley or alfalfa, while indirect reuse is employed for the irrigation of high-value fruit and vegetable crops grown in the Jordan Valley, a major commercial agricultural area. In order to ensure water reuse is conducted successfully, it is essential that the benefits of reclaimed water (water availability, high nutrient content) are maximised while the potential risks (to human health, soil sustainability and agricultural yields) are minimised. Stakeholder participation in water reuse management decisions could raise the capacity of the water user (such as the farmer) to manage the risks without compromising the benefits of this resource. To investigate the extent to which stakeholders are participating in water reuse management, semi-structured interviews with farmers and institutional representatives were conducted in Jordan. A particular aim of the interviews was to explore the variation in participation between those stakeholders using reclaimed water directly and indirectly. The data collected during 56 interviews with Jordanian farmers showed that the farmers' perception and management of reclaimed water varied considerably between the indirect and direct users. The direct users had a greater level of satisfaction with the water (55 per cent of those asked described the water as "good water") and recognised that they were able to produce larger yields and raise their incomes through this resource. Direct users also felt that communication with the managers of the wastewater treatment plant was more effective and this enabled them to influence the final quality of the water they received (for example, through requesting a reduction in the chlorine concentration in the wastewater effluent due to the negative effect that chlorine has on crop quality). The indirect reuse farmers had a lower level of satisfaction with the reclaimed water (69 per cent of those asked described the water quality as bad). The interviews revealed that few farmers felt included in water resource management decisions and felt unable to discuss water quality concerns with government officials responsible for water distribution. The indirect reuse farmers seemed to be more concerned with water quality management at the individual farm level, through the installation of water filters to reduce the organic load of the water rather than through processes of lobbying or participatory involvement in decision-making to raise the quality of the water through top-down measures such as the enforcement of water quality legislation. The interviews with 29 organisational representatives drew attention to the sensitivity surrounding indirect water reuse which seems to inhibit open discussion of the topic. This is likely to be due to the nature of agriculture at the sites of indirect reuse. Institutional representatives appeared to be concerned with the risk of consumer rejection of produce grown with reclaimed water and the associated negative effects of rejection on agricultural income and employment. A strategy of reduced discussion seemed to be adopted in the attempt to minimise the potential for consumer rejection. The present research proposes that this strategy (adopted with the aim of protecting agriculture) could have the reverse effect though inhibiting the participation of farmers in water reuse planning and management (they are unable to take part in a process in which they are not recognised as being involved). Open discussion of reuse is necessary to accurately identify water quality requirements, drive appropriate legislation and subsequently lead to the enforcement of such legislation. This work shows that a major barrier to participation in water reuse management is the stakeholders' fear that consumer concerns over the use of "waste" resources in food production will reduce marketability. The extent of consumer concerns, in conjunction with stakeholders' perceptions of these concerns, is therefore an important area to be addressed in future research.
A Hardware-Supported Algorithm for Self-Managed and Choreographed Task Execution in Sensor Networks.
Bordel, Borja; Miguel, Carlos; Alcarria, Ramón; Robles, Tomás
2018-03-07
Nowadays, sensor networks are composed of a great number of tiny resource-constraint nodes, whose management is increasingly more complex. In fact, although collaborative or choreographic task execution schemes are which fit in the most perfect way with the nature of sensor networks, they are rarely implemented because of the high resource consumption of these algorithms (especially if networks include many resource-constrained devices). On the contrary, hierarchical networks are usually designed, in whose cusp it is included a heavy orchestrator with a remarkable processing power, being able to implement any necessary management solution. However, although this orchestration approach solves most practical management problems of sensor networks, a great amount of the operation time is wasted while nodes request the orchestrator to address a conflict and they obtain the required instructions to operate. Therefore, in this paper it is proposed a new mechanism for self-managed and choreographed task execution in sensor networks. The proposed solution considers only a lightweight gateway instead of traditional heavy orchestrators and a hardware-supported algorithm, which consume a negligible amount of resources in sensor nodes. The gateway avoids the congestion of the entire sensor network and the hardware-supported algorithm enables a choreographed task execution scheme, so no particular node is overloaded. The performance of the proposed solution is evaluated through numerical and electronic ModelSim-based simulations.
A Hardware-Supported Algorithm for Self-Managed and Choreographed Task Execution in Sensor Networks
2018-01-01
Nowadays, sensor networks are composed of a great number of tiny resource-constraint nodes, whose management is increasingly more complex. In fact, although collaborative or choreographic task execution schemes are which fit in the most perfect way with the nature of sensor networks, they are rarely implemented because of the high resource consumption of these algorithms (especially if networks include many resource-constrained devices). On the contrary, hierarchical networks are usually designed, in whose cusp it is included a heavy orchestrator with a remarkable processing power, being able to implement any necessary management solution. However, although this orchestration approach solves most practical management problems of sensor networks, a great amount of the operation time is wasted while nodes request the orchestrator to address a conflict and they obtain the required instructions to operate. Therefore, in this paper it is proposed a new mechanism for self-managed and choreographed task execution in sensor networks. The proposed solution considers only a lightweight gateway instead of traditional heavy orchestrators and a hardware-supported algorithm, which consume a negligible amount of resources in sensor nodes. The gateway avoids the congestion of the entire sensor network and the hardware-supported algorithm enables a choreographed task execution scheme, so no particular node is overloaded. The performance of the proposed solution is evaluated through numerical and electronic ModelSim-based simulations. PMID:29518986
Consumer-resource stoichiometry in detritus-based streams
Wyatt F. Cross; Jonathan P. Benstead; Amy D. Rosemond; J. Bruce Wallace
2003-01-01
Stoichiometric relationships between consumers and resources in detritus-based ecosystems have received little attention, despite the importance of detritus in most food webs. We analysed carbon (C), nitrogen (N), and phosphorus (P) content of invertebrate consumers, and basal food resources in two forested headwater streams (one reference and the other nutrient-...
Perspective from the Department of Defense Breast Cancer Research Program.
Rich, I M; Andejeski, Y; Alciati, M H; Crawford Bisceglio, I; Breslau, E S; McCall, L; Valadez, A
1998-12-01
The Department of Defense (DOD), Breast Cancer Research Program (BCRP) was established in 1993. Since its inception, Congress has appropriated more than 878 million dollars for the BCRP, a unique public-private partnership between the DOD, consumer advocacy, and scientific communities which has funded approximately 1,800 breast cancer research grants. Through this partnership, the BCRP designed a model program for consumer involvement in scientific peer review. This paper describes the BCRP's approach to the processes of recruitment, selection, and preparation of consumers for this expanded role. Further, factors critical to program implementation, such as effective program management, ongoing process improvement, strong program leadership, and allocation of resources, that led to the BCRP's success in developing the previously undefined role of breast cancer survivors as members of scientific peer review panels are discussed. The BCRP demonstrates the feasibility and unique contributions of consumers in scientific peer review and provides a critical foundation for future efforts to ensure consumer involvement in scientific research programs.
Laukka, Elina; Rantakokko, Piia; Suhonen, Marjo
2017-04-01
The aim of the review was to describe consumer-led health-related online sources and their impact on consumers. The review was carried out as an integrative literature review. Quantisation and qualitative content analysis were used as the analysis method. The most common method used by the included studies was qualitative content analysis. This review identified the consumer-led health-related online sources used between 2009 and 2016 as health-related online communities, health-related social networking sites and health-related rating websites. These sources had an impact on peer support; empowerment; health literacy; physical, mental and emotional wellbeing; illness management; and relationships between healthcare organisations and consumers. The knowledge of the existence of the health-related online sources provides healthcare organisations with an opportunity to listen to their consumers' 'voice'. The sources make healthcare consumers more competent actors in relation to healthcare, and the knowledge of them is a valuable resource for healthcare organisations. Additionally, these health-related online sources might create an opportunity to reduce the need for drifting among the healthcare services. Healthcare policymakers and organisations could benefit from having a strategy of increasing their health-related online sources.
What is the cost of diagnosis and management of drug resistant tuberculosis in South Africa?
Pooran, Anil; Pieterson, Elize; Davids, Malika; Theron, Grant; Dheda, Keertan
2013-01-01
Drug-resistant tuberculosis (DR-TB) is undermining TB control in South Africa. However, there are hardly any data about the cost of treating DR-TB in high burden settings despite such information being quintessential for the rational planning and allocation of resources by policy-makers, and to inform future cost-effectiveness analyses. We analysed the comparative 2011 United States dollar ($) cost of diagnosis and treatment of drug sensitive TB (DS-TB), MDR-TB and XDR-TB, based on National South African TB guidelines, from the perspective of the National TB Program using published clinical outcome data. Assuming adherence to national DR-TB management guidelines, the per patient cost of XDR-TB was $26,392, four times greater than MDR-TB ($6772), and 103 times greater than drug-sensitive TB ($257). Despite DR-TB comprising only 2.2% of the case burden, it consumed ~32% of the total estimated 2011 national TB budget of US $218 million. 45% and 25% of the DR-TB costs were attributed to anti-TB drugs and hospitalization, respectively. XDR-TB consumed 28% of the total DR-TB diagnosis and treatment costs. Laboratory testing and anti-TB drugs comprised the majority (71%) of MDR-TB costs while hospitalization and anti-TB drug costs comprised the majority (92%) of XDR-TB costs. A decentralized XDR-TB treatment programme could potentially reduce costs by $6930 (26%) per case and reduce the total amount spent on DR-TB by ~7%. Although DR-TB forms a very small proportion of the total case burden it consumes a disproportionate and substantial amount of South Africa's total annual TB budget. These data inform rational resource allocation and selection of management strategies for DR-TB in high burden settings.
ERIC Educational Resources Information Center
Federal/Provincial Consumer Education and Plain Language Task Force (Canada).
Project Real World, a self-contained, activity-based Canadian consumer science program, provides students with systematic instruction in economic living skills. It gives students in grades 10-12 an orientation to the economic realities and opportunities in society. The program helps students function effectively within the rapidly changing…
1987-03-26
Members 102 ECONOMIC PLANNING, TRADE, AND FINANCE Increase in Consumer, Export Goods Urged (Pham Thanh; NHAN DAN, 2 Jan 87) 103 Reasons for...Economic Management 121 Kien Giang Increases Handicrafts 121 Population, Relocation Labor 121 AGRICULTURE Potential Economic Resources Available in Sea...imperative that ac- tion be taken to increase tax or reduce expenditure. Instead, they believe he won’t follow either option and may, in- deed
Hattingh, H Laetitia; Kelly, Fiona; Fowler, Jane; Wheeler, Amanda J
Community pharmacists are in an ideal position to promote and provide mental health medication management services. However, formalised or structured pharmacy services to support consumers with mental health conditions are scarce. Australian mental health consumers indicated a need for targeted community pharmacy mental health services which presented an opportunity to develop an intervention that were integrated with remunerated professional services. The study aimed to pilot a mental health medication management intervention in Australian community pharmacies. Pharmacists worked in partnership with consumers, carers and mental health workers over three to six months to set and support achievement of individual goals related to medicines use, physical health and mental wellbeing. This paper provides a comparison of community pharmacies that successfully delivered the intervention with those that did not and identifies facilitators and challenges to service implementation. One hundred pharmacies opted to pilot the delivery of the intervention in three Australian states (Queensland, Western Australia and northern New South Wales). Of those, 55 successfully delivered the intervention (completers) whilst 45 were unsuccessful (non-completers). A mixed methods approach, including quantitative pharmacy surveys and qualitative semi-structured interviews, was used to gather data from participating pharmacies. Following intervention development, 142 pharmacists and 21 pharmacy support staff attended training workshops, received resource kits and ongoing support from consumer and pharmacist mentors throughout intervention implementation. Baseline quantitative data was collected from each pharmacy on staff profile, volume of medicines dispensed, the range of professional services delivered and relationships with health professionals. At the completion of the study participants were invited to complete an online exit survey and take part in a semi-structured interview that explored their experiences of intervention implementation and delivery. Twenty-nine staff members from completer pharmacies returned exit surveys and interviews were conducted with 30 staff from completer and non-completer pharmacies. Descriptive analyses of quantitative data and thematic analyses of qualitative data were used to compare completers and non-completers. Baseline similarities included numbers of general and mental health prescriptions dispensed and established professional services. However, there was greater prevalence of diabetes management, opioid substitution services, and relationships with mental health services in completer pharmacies. Key facilitators for completers included pharmacy owner/manager support, staff buy-in and involvement, intervention flexibility, recruitment immediately following training, integration of intervention with existing services, changes to workflow, and regular consumer contact. Key barriers for both groups included lack of pharmacy owner/manager support or staff buy-in, time constraints, privacy limitations and pilot project associated paperwork. Insights into factors that underpinned successful intervention implementation and delivery should inform effective strategies for similar future studies and allocation of pharmacy mental health service delivery resources. Copyright © 2017 Elsevier Inc. All rights reserved.
Intraspecific density dependence and a guild of consumers coexisting on one resource.
McPeek, Mark A
2012-12-01
The importance of negative intraspecific density dependence to promoting species coexistence in a community is well accepted. However, such mechanisms are typically omitted from more explicit models of community dynamics. Here I analyze a variation of the Rosenzweig-MacArthur consumer-resource model that includes negative intraspecific density dependence for consumers to explore its effect on the coexistence of multiple consumers feeding on a single resource. This analysis demonstrates that a guild of multiple consumers can easily coexist on a single resource if each limits its own abundance to some degree, and stronger intraspecific density dependence permits a wider variety of consumers to coexist. The mechanism permitting multiple consumers to coexist works in a fashion similar to apparent competition or to each consumer having its own specialized predator. These results argue for a more explicit emphasis on how negative intraspecific density dependence is generated and how these mechanisms combine with species interactions to shape overall community structure.
LeRouge, Cynthia M.; Tao, Donghua; Ohs, Jennifer; Lach, Helen W.; Jupka, Keri; Wray, Ricardo
2014-01-01
“Baby Boomers” (adults born between the years of 1946 and 1964) make up the largest segment of the population in many countries, including the United States (about 78 million Americans) [1]. As Baby Boomers reach retirement age and beyond, many will have increasing medical needs and thus demand more health care resources that will challenge the healthcare system. Baby Boomers will likely accelerate the movement toward patient self-management and prevention efforts. Consumer Health Information Technologies (CHIT) hold promise for empowering health consumers to take an active role in health maintenance and disease management, and thus, have the potential to address Baby Boomers' health needs. Such innovations require changes in health care practice and processes that take into account Baby Boomers' personal health needs, preferences, health culture, and abilities to use these technologies. Without foundational knowledge of barriers and opportunities, Baby Boomers may not realize the potential of these innovations for improving self-management of health and health outcomes. However, research to date has not adequately explored the degree to which Baby Boomers are ready to embrace consumer health information technology and how their unique subcultures affect adoption and diffusion. This position paper describes an ecological conceptual framework for understanding and studying CHIT aimed at satisfying the personal health needs of Baby Boomers. We explore existing literature to provide a detailed depiction of our proposed conceptual framework, which focuses characteristics influencing Baby Boomers and their Personal Health Information Management (PHIM) and potential information problems. Using our ecological framework as a backdrop, we provide insight and implications for future research based on literature and underlying theories represented in our model. PMID:29546084
LeRouge, Cynthia M; Tao, Donghua; Ohs, Jennifer; Lach, Helen W; Jupka, Keri; Wray, Ricardo
2014-01-01
"Baby Boomers" (adults born between the years of 1946 and 1964) make up the largest segment of the population in many countries, including the United States (about 78 million Americans) [1]. As Baby Boomers reach retirement age and beyond, many will have increasing medical needs and thus demand more health care resources that will challenge the healthcare system. Baby Boomers will likely accelerate the movement toward patient self-management and prevention efforts. Consumer Health Information Technologies (CHIT) hold promise for empowering health consumers to take an active role in health maintenance and disease management, and thus, have the potential to address Baby Boomers' health needs. Such innovations require changes in health care practice and processes that take into account Baby Boomers' personal health needs, preferences, health culture, and abilities to use these technologies. Without foundational knowledge of barriers and opportunities, Baby Boomers may not realize the potential of these innovations for improving self-management of health and health outcomes. However, research to date has not adequately explored the degree to which Baby Boomers are ready to embrace consumer health information technology and how their unique subcultures affect adoption and diffusion. This position paper describes an ecological conceptual framework for understanding and studying CHIT aimed at satisfying the personal health needs of Baby Boomers. We explore existing literature to provide a detailed depiction of our proposed conceptual framework, which focuses characteristics influencing Baby Boomers and their Personal Health Information Management (PHIM) and potential information problems. Using our ecological framework as a backdrop, we provide insight and implications for future research based on literature and underlying theories represented in our model.
Collins, Sandra K; Collins, Kevin S
2004-01-01
Resolving problems with time management requires an understanding of the concept of working smarter rather than harder. Therefore, managing time effectively is a vital responsibility of department managers. When developing a plan for more effectively managing time, it is important to carefully analyze where time is currently being used/lost. Keeping a daily log can be a time consuming effort. However, the log can provide information about ways that time may be saved and how to organize personal schedules to maximize time efficiency. The next step is to develop a strategy to decrease wasted time and create a more cohesive radiology department. The following list of time management strategies provides some suggestions for developing a plan. Get focused. Set goals and priorities. Get organized. Monitor individual motivation factors. Develop memory techniques. In healthcare, success means delivering the highest quality of care by getting organized, meeting deadlines, creating efficient schedules and appropriately budgeting resources. Effective time management focuses on knowing what needs to be done when. The managerial challenge is to shift the emphasis from doing everything all at once to orchestrating the departmental activities in order to maximize the time given in a normal workday.
NASA Astrophysics Data System (ADS)
Cominola, A.; Spang, E. S.; Giuliani, M.; Castelletti, A.; Loge, F. J.; Lund, J. R.
2016-12-01
Demand side management strategies are key to meet future water and energy demands in urban contexts, promote water and energy efficiency in the residential sector, provide customized services and communications to consumers, and reduce utilities' costs. Smart metering technologies allow gathering high temporal and spatial resolution water and energy consumption data and support the development of data-driven models of consumers' behavior. Modelling and predicting resource consumption behavior is essential to inform demand management. Yet, analyzing big, smart metered, databases requires proper data mining and modelling techniques, in order to extract useful information supporting decision makers to spot end uses towards which water and energy efficiency or conservation efforts should be prioritized. In this study, we consider the following research questions: (i) how is it possible to extract representative consumers' personalities out of big smart metered water and energy data? (ii) are residential water and energy consumption profiles interconnected? (iii) Can we design customized water and energy demand management strategies based on the knowledge of water- energy demand profiles and other user-specific psychographic information? To address the above research questions, we contribute a data-driven approach to identify and model routines in water and energy consumers' behavior. We propose a novel customer segmentation procedure based on data-mining techniques. Our procedure consists of three steps: (i) extraction of typical water-energy consumption profiles for each household, (ii) profiles clustering based on their similarity, and (iii) evaluation of the influence of candidate explanatory variables on the identified clusters. The approach is tested onto a dataset of smart metered water and energy consumption data from over 1000 households in South California. Our methodology allows identifying heterogeneous groups of consumers from the studied sample, as well as characterizing them with respect to consumption profiles features and socio- demographic information. Results show how such better understanding of the considered users' community allows spotting potentially interesting areas for water and energy demand management interventions.
Optimal surveillance strategy for invasive species management when surveys stop after detection.
Guillera-Arroita, Gurutzeta; Hauser, Cindy E; McCarthy, Michael A
2014-05-01
Invasive species are a cause for concern in natural and economic systems and require both monitoring and management. There is a trade-off between the amount of resources spent on surveying for the species and conducting early management of occupied sites, and the resources that are ultimately spent in delayed management at sites where the species was present but undetected. Previous work addressed this optimal resource allocation problem assuming that surveys continue despite detection until the initially planned survey effort is consumed. However, a more realistic scenario is often that surveys stop after detection (i.e., follow a "removal" sampling design) and then management begins. Such an approach will indicate a different optimal survey design and can be expected to be more efficient. We analyze this case and compare the expected efficiency of invasive species management programs under both survey methods. We also evaluate the impact of mis-specifying the type of sampling approach during the program design phase. We derive analytical expressions that optimize resource allocation between monitoring and management in surveillance programs when surveys stop after detection. We do this under a scenario of unconstrained resources and scenarios where survey budget is constrained. The efficiency of surveillance programs is greater if a "removal survey" design is used, with larger gains obtained when savings from early detection are high, occupancy is high, and survey costs are not much lower than early management costs at a site. Designing a surveillance program disregarding that surveys stop after detection can result in an efficiency loss. Our results help guide the design of future surveillance programs for invasive species. Addressing program design within a decision-theoretic framework can lead to a better use of available resources. We show how species prevalence, its detectability, and the benefits derived from early detection can be considered.
Rosenthal, Meredith; Milstein, Arnold
2004-08-01
Despite widespread publicity of consumer-directed health plans, little is known about their prevalence and the extent to which their designs adequately reflect and support consumerism. We examined three types of consumer-directed health plans: health reimbursement accounts (HRAs), premium-tiered, and point-of-care tiered benefit plans. We sought to measure the extent to which these plans had diffused, as well as to provide a critical look at the ways in which these plans support consumerism. Consumerism in this context refers to efforts to enable informed consumer choice and consumers' involvement in managing their health. We also wished to determine whether mainstream health plans-health maintenance organization (HMO), point of service (POS), and preferred provider organization (PPO) models-were being influenced by consumerism. Our study uses national survey data collected by Mercer Human Resource Consulting from 680 national and regional commercial health benefit plans on HMO, PPO, POS, and consumer-directed products. We defined consumer-directed products as health benefit plans that provided (1) consumer incentives to select more economical health care options, including self-care and no care, and (2) information and support to inform such selections. We asked health plans that offered consumer-directed products about 2003 enrollment, basic design features, and the availability of decision support. We also asked mainstream health plans about their activities that supported consumerism (e.g., proactive outreach to inform or influence enrollee behavior, such as self-management or preventive care, reminders sent to patients with identified medical conditions.) We analyzed survey responses for all four product lines in order to identify those plans that offer health reimbursement accounts (HRAs), premium-tiered, or point-of-care tiered models as well as efforts of mainstream health plans to engage informed consumer decision making. The majority of enrollees in consumer-directed health plans are in tiered models (primarily point-of-care tiered networks) rather than HRAs. Tiers are predominantly determined based on both cost and quality criteria. Enrollment in HRAs has grown substantially, in part because of the entry of mainstream managed care plans into the consumer-directed market. Health reimbursement accounts, tiered networks, and traditional managed care plans vary in their capacity to support consumers in managing their health risks and selection of provider and treatment options, with HRAs providing the most and mainstream plans the least. While enrollment in consumer-directed health plans continues to grow steadily, it remains a tiny fraction of all employer-sponsored coverage. Decision support in these plans, a critical link to help consumers make more informed choices, is also still limited. This lack may be of concern in light of the fact that only a minority of such plans report that they monitor claims to protect against underuse. Tiered benefit models appear to be more readily accepted by the market than HRAs. If they are to succeed in optimizing consumers' utility from health benefit spending, careful attention needs to be paid to how well these models inform consumers about the consequences of their selections.
Rosenthal, Meredith; Milstein, Arnold
2004-01-01
Context Despite widespread publicity of consumer-directed health plans, little is known about their prevalence and the extent to which their designs adequately reflect and support consumerism. Objective We examined three types of consumer-directed health plans: health reimbursement accounts (HRAs), premium-tiered, and point-of-care tiered benefit plans. We sought to measure the extent to which these plans had diffused, as well as to provide a critical look at the ways in which these plans support consumerism. Consumerism in this context refers to efforts to enable informed consumer choice and consumers' involvement in managing their health. We also wished to determine whether mainstream health plans—health maintenance organization (HMO), point of service (POS), and preferred provider organization (PPO) models—were being influenced by consumerism. Data Sources/Study Setting Our study uses national survey data collected by Mercer Human Resource Consulting from 680 national and regional commercial health benefit plans on HMO, PPO, POS, and consumer-directed products. Study Design We defined consumer-directed products as health benefit plans that provided (1) consumer incentives to select more economical health care options, including self-care and no care, and (2) information and support to inform such selections. We asked health plans that offered consumer-directed products about 2003 enrollment, basic design features, and the availability of decision support. We also asked mainstream health plans about their activities that supported consumerism (e.g., proactive outreach to inform or influence enrollee behavior, such as self-management or preventive care, reminders sent to patients with identified medical conditions.) Data Collection/Extraction Methods We analyzed survey responses for all four product lines in order to identify those plans that offer health reimbursement accounts (HRAs), premium-tiered, or point-of-care tiered models as well as efforts of mainstream health plans to engage informed consumer decision making. Principal Findings The majority of enrollees in consumer-directed health plans are in tiered models (primarily point-of-care tiered networks) rather than HRAs. Tiers are predominantly determined based on both cost and quality criteria. Enrollment in HRAs has grown substantially, in part because of the entry of mainstream managed care plans into the consumer-directed market. Health reimbursement accounts, tiered networks, and traditional managed care plans vary in their capacity to support consumers in managing their health risks and selection of provider and treatment options, with HRAs providing the most and mainstream plans the least. Conclusions While enrollment in consumer-directed health plans continues to grow steadily, it remains a tiny fraction of all employer-sponsored coverage. Decision support in these plans, a critical link to help consumers make more informed choices, is also still limited. This lack may be of concern in light of the fact that only a minority of such plans report that they monitor claims to protect against underuse. Tiered benefit models appear to be more readily accepted by the market than HRAs. If they are to succeed in optimizing consumers' utility from health benefit spending, careful attention needs to be paid to how well these models inform consumers about the consequences of their selections. PMID:15230911
NASA Astrophysics Data System (ADS)
Kanta, L.; Giacomoni, M.; Shafiee, M. E.; Berglund, E.
2014-12-01
The sustainability of water resources is threatened by urbanization, as increasing demands deplete water availability, and changes to the landscape alter runoff and the flow regime of receiving water bodies. Utility managers typically manage urban water resources through the use of centralized solutions, such as large reservoirs, which may be limited in their ability balance the needs of urbanization and ecological systems. Decentralized technologies, on the other hand, may improve the health of the water resources system and deliver urban water services. For example, low impact development technologies, such as rainwater harvesting, and water-efficient technologies, such as low-flow faucets and toilets, may be adopted by households to retain rainwater and reduce demands, offsetting the need for new centralized infrastructure. Decentralized technologies may create new complexities in infrastructure and water management, as decentralization depends on community behavior and participation beyond traditional water resources planning. Messages about water shortages and water quality from peers and the water utility managers can influence the adoption of new technologies. As a result, feedbacks between consumers and water resources emerge, creating a complex system. This research develops a framework to simulate the diffusion of water-efficient innovations and the sustainability of urban water resources, by coupling models of households in a community, hydrologic models of a water resources system, and a cellular automata model of land use change. Agent-based models are developed to simulate the land use and water demand decisions of individual households, and behavioral rules are encoded to simulate communication with other agents and adoption of decentralized technologies, using a model of the diffusion of innovation. The framework is applied for an illustrative case study to simulate water resources sustainability over a long-term planning horizon.
Economic models for management of resources in peer-to-peer and grid computing
NASA Astrophysics Data System (ADS)
Buyya, Rajkumar; Stockinger, Heinz; Giddy, Jonathan; Abramson, David
2001-07-01
The accelerated development in Peer-to-Peer (P2P) and Grid computing has positioned them as promising next generation computing platforms. They enable the creation of Virtual Enterprises (VE) for sharing resources distributed across the world. However, resource management, application development and usage models in these environments is a complex undertaking. This is due to the geographic distribution of resources that are owned by different organizations or peers. The resource owners of each of these resources have different usage or access policies and cost models, and varying loads and availability. In order to address complex resource management issues, we have proposed a computational economy framework for resource allocation and for regulating supply and demand in Grid computing environments. The framework provides mechanisms for optimizing resource provider and consumer objective functions through trading and brokering services. In a real world market, there exist various economic models for setting the price for goods based on supply-and-demand and their value to the user. They include commodity market, posted price, tenders and auctions. In this paper, we discuss the use of these models for interaction between Grid components in deciding resource value and the necessary infrastructure to realize them. In addition to normal services offered by Grid computing systems, we need an infrastructure to support interaction protocols, allocation mechanisms, currency, secure banking, and enforcement services. Furthermore, we demonstrate the usage of some of these economic models in resource brokering through Nimrod/G deadline and cost-based scheduling for two different optimization strategies on the World Wide Grid (WWG) testbed that contains peer-to-peer resources located on five continents: Asia, Australia, Europe, North America, and South America.
NASA Astrophysics Data System (ADS)
Budruk, Megha; Lee, Woojin
2016-09-01
Research on antecedents of place attachment suggests that the special bonds people form with nature are influenced by a number of variables. This study examines associations between the perceived importance of managing for personal benefits, motivations, and place attachment among outdoor recreationists at an urban natural setting. Motivation was conceptualized as two-dimensional (Hedonic and Utilitarian) borrowed from the retail and consumer marketing field and previously unused in a natural resource recreation context. Hedonic and utilitarian motivations represent the experiential and functional dimensions of motivation, respectively. Relationships between the noted variables were examined through structural equation modeling. Data from an onsite survey of 219 users indicated that it was important the resource be managed to provide greater freedom from urban living as well as improved mental well-being. Furthermore, respondents exhibited moderate levels of hedonic and utilitarian motivations as well as attachment to the resource. The structural equation analysis resulted in a good fitting model with several significant relationships emerging. Among these, the perceived importance of managing for personal benefits positively influenced hedonic and utilitarian motivations. In addition, hedonic motivations positively influenced place attachment development, whereas utilitarian motivations did not. Implications of these findings are discussed.
Budruk, Megha; Lee, Woojin
2016-09-01
Research on antecedents of place attachment suggests that the special bonds people form with nature are influenced by a number of variables. This study examines associations between the perceived importance of managing for personal benefits, motivations, and place attachment among outdoor recreationists at an urban natural setting. Motivation was conceptualized as two-dimensional (Hedonic and Utilitarian) borrowed from the retail and consumer marketing field and previously unused in a natural resource recreation context. Hedonic and utilitarian motivations represent the experiential and functional dimensions of motivation, respectively. Relationships between the noted variables were examined through structural equation modeling. Data from an onsite survey of 219 users indicated that it was important the resource be managed to provide greater freedom from urban living as well as improved mental well-being. Furthermore, respondents exhibited moderate levels of hedonic and utilitarian motivations as well as attachment to the resource. The structural equation analysis resulted in a good fitting model with several significant relationships emerging. Among these, the perceived importance of managing for personal benefits positively influenced hedonic and utilitarian motivations. In addition, hedonic motivations positively influenced place attachment development, whereas utilitarian motivations did not. Implications of these findings are discussed.
Water quality and resource management in the dairy industry.
Boguniewicz-Zablocka, Joanna; Klosok-Bazan, Iwona; Naddeo, Vincenzo
2017-11-03
Food industry is one of the most important and fastest growing sectors of economy in Poland. This sector is also characterized by high demand for the resources, particularly for water. Polish food industrial plants consumed 793 hm 3 of water in 2014. Dairy branch had a combined 35% share of the above consumption. As shown by the data obtained from the Polish Central Statistical Office, the majority of dairy plants use its own source of water, so this branch is also important water producer in Poland. Water used for dairy industry should meet the requirements of at least drinking water quality, so the factories need to treat the water. This paper analyses the correlations between selected technical process, equipment profiles and water quality, and consumption in two types of dairy factories (DF). The first one DF-1 processes approx. 50,000 L of milk, and the second, DF-2 processes approx. 330,000 L of milk per day. The water taken from the wells needs to be pre-treated because of iron and manganese concentration and due to specific requirements in various industrial processes. As a result of this work, we have managed to propose technological solutions in the context of water consumption rationalization. The proposed solutions aim at improving water and wastewater management by reducing the amount of consumed water by industry.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lampert, David J.; Cai, Hao; Wang, Zhichao
The production of all forms of energy consumes water. To meet increased energy demands, it is essential to quantify the amount of water consumed in the production of different forms of energy. By analyzing the water consumed in different technologies, it is possible to identify areas for improvement in water conservation and reduce water stress in energy-producing regions. The transportation sector is a major consumer of energy in the United States. Because of the relationships between water and energy, the sustainability of transportation is tied to management of water resources. Assessment of water consumption throughout the life cycle of amore » fuel is necessary to understand its water resource implications. To perform a comparative life cycle assessment of transportation fuels, it is necessary first to develop an inventory of the water consumed in each process in each production supply chain. The Greenhouse Gases, Regulated Emissions, and Energy Use in Transportation (GREET) model is an analytical tool that can used to estimate the full life-cycle environmental impacts of various transportation fuel pathways from wells to wheels. GREET is currently being expanded to include water consumption as a sustainability metric. The purpose of this report was to document data sources and methodologies to estimate water consumption factors (WCF) for the various transportation fuel pathways in GREET. WCFs reflect the quantity of freshwater directly consumed per unit production for various production processes in GREET. These factors do not include consumption of precipitation or low-quality water (e.g., seawater) and reflect only water that is consumed (i.e., not returned to the source from which it was withdrawn). The data in the report can be combined with GREET to compare the life cycle water consumption for different transportation fuels.« less
General relationships between consumer dispersal, resource dispersal and metacommunity diversity.
Haegeman, Bart; Loreau, Michel
2014-02-01
One of the central questions of metacommunity theory is how dispersal of organisms affects species diversity. Here, we show that the diversity-dispersal relationship should not be studied in isolation of other abiotic and biotic flows in the metacommunity. We study a mechanistic metacommunity model in which consumer species compete for an abiotic or biotic resource. We consider both consumer species specialised to a habitat patch, and generalist species capable of using the resource throughout the metacommunity. We present analytical results for different limiting values of consumer dispersal and resource dispersal, and complement these results with simulations for intermediate dispersal values. Our analysis reveals generic patterns for the combined effects of consumer and resource dispersal on the metacommunity diversity of consumer species, and shows that hump-shaped relationships between local diversity and dispersal are not universal. Diversity-dispersal relationships can also be monotonically increasing or multimodal. Our work is a new step towards a general theory of metacommunity diversity integrating dispersal at multiple trophic levels. © 2013 John Wiley & Sons Ltd/CNRS.
Tapp, Jessica L.; Weegman, Matthew M.; Webb, Elisabeth B.; Kaminski, Richard M.; Davis, J. Brian
2018-01-01
The Natural Resources Conservation Service (NRCS) commenced the Migratory Bird Habitat Initiative (MBHI) in summer 2010 after the April 2010 Deepwater Horizon oil spill in the Gulf of Mexico. The MBHI enrolled in the program 193,000 ha of private wet- and cropland inland from potential oil-impaired wetlands. We evaluated waterfowl and other waterbird use and potential seed/tuber food resources in NRCS Wetland Reserve Program easement wetlands managed via MBHI funding and associated reference wetlands in the Mississippi Alluvial Valley of Arkansas, Louisiana, Mississippi, and Missouri. In Louisiana and Mississippi, nearly three times more dabbling ducks and all ducks combined were observed on managed than reference wetlands. Shorebirds and waterbirds other than waterfowl were nearly twice as abundant on managed than referenced wetlands. In Arkansas and Missouri, managed wetlands had over twice more dabbling ducks and nearly twice as many duck species than reference wetlands. Wetlands managed via MBHI in Mississippi and Louisiana contained ≥1.3 times more seed and tuber biomass known to be consumed by waterfowl than reference wetlands. Seed and tuber resources did not differ between wetlands in Arkansas and Missouri. While other studies have documented greater waterbird densities on actively than nonmanaged wetlands, our results highlighted the potential for initiatives focused on managing conservation easements to increase waterbird use and energetic carrying capacity of restored wetlands for waterbirds.
Consumer's Resource Handbook. Teacher's Guide.
ERIC Educational Resources Information Center
Office of Consumer Affairs, Washington, DC.
This guide is designed for use with the "Consumer's Resource Handbook" published by the U.S. Office of Consumer Affairs. The handbook's overall purpose is to help build consumer literacy for the global marketplace of the 21st century. The handbook can familiarize students--both youth and adults--with sources of marketplace information/assistance…
The Community is Your Classroom in Consumer Education
ERIC Educational Resources Information Center
Fetterman, Elsie
1975-01-01
The article discusses a few of the consumer education resources (outside speakers, field trips, newspapers and other media, consumer organizations, credit bureaus, Federal and State agencies, and the Consumer Resource Directory) that are available to teachers in most communities and offers suggestions on how to effectively use them. (BP)
Risk segmentation: goal or problem?
Feldman, R; Dowd, B
2000-07-01
This paper traces the evolution of economists' views about risk segmentation in health insurance markets. Originally seen as a desirable goal, risk segmentation has come to be viewed as leading to abnormal profits, wasted resources, and inefficient limitations on coverage and services. We suggest that risk segmentation may be efficient if one takes an ex post view (i.e., after consumers' risks are known). From this perspective, managed care may be a much better method for achieving risk segmentation than limitations on coverage. The most serious objection to risk segmentation is the ex ante concern that it undermines long-term insurance contracts that would protect consumers against changes in lifetime risk.
Yvette K. Ortega; Leigh F. Greenwood; Ragan M. Callaway; Dean E. Pearson
2014-01-01
Exotic species can provide abundant food resources for native consumers, but predicting which native species will respond positively remains a challenge. We studied the foraging behavior of blackcapped (Poecile atricapillus) andmountain (P. gambeli) chickadees in westernMontana to compare the degree to which these congeric and syntopic consumers exploited larvae of...
Managing coastal area resources by stated choice experiments
NASA Astrophysics Data System (ADS)
Liu, Xin; Wirtz, Kai W.
2010-02-01
In many coastal regions, oil spills can be considered as one of the most important and certainly the most noticeable forms of marine pollution. Efficient contingency management responding to oil spills on waters, which aims at minimizing pollution effects on coastal resources, turns out to be critically important. Such a decision making highly depends on the importance attributed to different coastal economic and ecological resources. Economic uses can, in principal, be addressed by standard measures such as value added. However, there is a missing of market in the real world for natural goods. Coastal resources such as waters and beach cannot be directly measured in money terms, which increases the risk of being neglected in a decision making process. This paper evaluates these natural goods of coastal environment in a hypothetical market by employing stated choice experiments. Oil spill management practice in German North Sea is used as an example. Results from a pilot survey show that during a combat process, beach and eider ducks are of key concerns for households. An environmental friendly combat option has to be a minor cost for households. Moreover, households with less children, higher monthly income and a membership of environmental organization are more likely to state that they are willing to pay for combat option to prevent coastal resources from an oil pollution. Despite that choice experiments require knowledge of designing questionnaire and statistical skills to deal with discrete choices and conducting a survey is time consumed, the results have important implications for oil spill contingency management. Overall, such a stated preference method can offer useful information for decision makers to consider coastal resources into a decision making process and can further contribute to finding a cost-effective oil preventive measure, also has a wide application potential in the field of Integrated Coastal Zone Management (ICZM).
IgE-blocking therapy for difficult-to-treat asthma: a brief review.
Marshall, Gailen D; Sorkness, Christine A
2004-03-01
To review the characteristics of difficult-to-treat asthma and describe patients who may benefit from therapy with the recently approved humanized monoclonal antiimmunoglobulin E (IgE) antibody, omalizumab. Up to 20 percent of patients have difficult-to-treat asthma. These patients consume a disproportionate share of asthma care resources. Clinical and economic outcomes can be improved via improved self-management, increased adherence to prescribed therapy, and better compliance to national asthma treatment guidelines. These patients also may benefit from therapies that directly target mechanisms responsible for persistent airway inflammation and elicit favorable clinical responses. Effective asthma control remains difficult in a small cohort of patients with persistent, severe airway inflammation. Management strategies that improve asthma control and reduce exacerbations can improve clinical outcomes and minimize health care resource utilization.
ERIC Educational Resources Information Center
Virginia State Dept. of Agriculture and Consumer Services, Richmond, VA.
This document is an annotated bibliography of audio-visual aids in the field of consumer education, intended especially for use among low-income, elderly, and handicapped consumers. It was developed to aid consumer education program planners in finding audio-visual resources to enhance their presentations. Materials listed include 293 resources…
Implementation of a Shared Resource Financial Management System
Caldwell, T.; Gerlach, R.; Israel, M.; Bobin, S.
2010-01-01
CF-6 Norris Cotton Cancer Center (NCCC), an NCI-designated Comprehensive Cancer Center at Dartmouth Medical School, administers 12 Life Sciences Shared Resources. These resources are diverse and offer multiple products and services. Previous methods for tracking resource use, billing, and financial management were time consuming, error prone and lacked appropriate financial management tools. To address these problems, we developed and implemented a web-based application with a built-in authorization system that uses Perl, ModPerl, Apache2, and Oracle as the software infrastructure. The application uses a role-based system to differentiate administrative users with those requesting services and includes many features requested by users and administrators. To begin development, we chose a resource that had an uncomplicated service, a large number of users, and required the use of all of the applications features. The Molecular Biology Core Facility at NCCC fit these requirements and was used as a model for developing and testing the application. After model development, institution wide deployment followed a three-stage process. The first stage was to interview the resource manager and staff to understand day-to-day operations. At the second stage, we generated and tested customized forms defining resource services. During the third stage, we added new resource users and administrators to the system before final deployment. Twelve months after deployment, resource administrators reported that the new system performed well for internal and external billing and tracking resource utilization. Users preferred the application's web-based system for distribution of DNA sequencing and other data. The sample tracking features have enhanced day-to-day resource operations, and an on-line scheduling module for shared instruments has proven a much-needed utility. Principal investigators now are able to restrict user spending to specific accounts and have final approval of the invoices before the billing, which has significantly reduced the number of unpaid invoices.
Getting quantitative about consequences of cross-ecosystem resource subsidies on recipient consumers
Richardson, John S.; Wipfli, Mark S.
2016-01-01
Most studies of cross-ecosystem resource subsidies have demonstrated positive effects on recipient consumer populations, often with very large effect sizes. However, it is important to move beyond these initial addition–exclusion experiments to consider the quantitative consequences for populations across gradients in the rates and quality of resource inputs. In our introduction to this special issue, we describe at least four potential models that describe functional relationships between subsidy input rates and consumer responses, most of them asymptotic. Here we aim to advance our quantitative understanding of how subsidy inputs influence recipient consumers and their communities. In the papers following, fish were either the recipient consumers or the subsidy as carcasses of anadromous species. Advancing general, predictive models will enable us to further consider what other factors are potentially co-limiting (e.g., nutrients, other population interactions, physical habitat, etc.) and better integrate resource subsidies into consumer–resource, biophysical dynamics models.
Implementation of quality management for clinical bacteriology in low-resource settings.
Barbé, B; Yansouni, C P; Affolabi, D; Jacobs, J
2017-07-01
The declining trend of malaria and the recent prioritization of containment of antimicrobial resistance have created a momentum to implement clinical bacteriology in low-resource settings. Successful implementation relies on guidance by a quality management system (QMS). Over the past decade international initiatives were launched towards implementation of QMS in HIV/AIDS, tuberculosis and malaria. To describe the progress towards accreditation of medical laboratories and to identify the challenges and best practices for implementation of QMS in clinical bacteriology in low-resource settings. Published literature, online reports and websites related to the implementation of laboratory QMS, accreditation of medical laboratories and initiatives for containment of antimicrobial resistance. Apart from the limitations of infrastructure, equipment, consumables and staff, QMS are challenged with the complexity of clinical bacteriology and the healthcare context in low-resource settings (small-scale laboratories, attitudes and perception of staff, absence of laboratory information systems). Likewise, most international initiatives addressing laboratory health strengthening have focused on public health and outbreak management rather than on hospital based patient care. Best practices to implement quality-assured clinical bacteriology in low-resource settings include alignment with national regulations and public health reference laboratories, participating in external quality assurance programmes, support from the hospital's management, starting with attainable projects, conducting error review and daily bench-side supervision, looking for locally adapted solutions, stimulating ownership and extending existing training programmes to clinical bacteriology. The implementation of QMS in clinical bacteriology in hospital settings will ultimately boost a culture of quality to all sectors of healthcare in low-resource settings. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.
Carriere, Rachel M; Kaplan, Samantha Jan
2017-01-01
Background Body listening, described as the act of paying attention to the body’s signals and cues, can be an important component of long-term health management. Objective The aim of this study was to introduce and evaluate the Body Listening Project, an innovative effort to engage the public in the creation of a public resource—to leverage collective wisdom in the health domain. This project involved a website where people could contribute their experiences of and dialogue with others concerning body listening and self-management. This article presents an analysis of the tags contributed, with a focus on the value of these tags for knowledge organization and incorporation into consumer-friendly health information retrieval systems. Methods First, we performed content analysis of the tags contributed, identifying a set of categories and refining the relational structure of the categories to develop a preliminary classification scheme, the Body Listening and Self-Management Taxonomy. Second, we compared the concepts in the Body Listening and Self-Management Taxonomy with concepts that were automatically identified from an extant health knowledge resource, the Unified Medical Language System (UMLS), to better characterize the information that participants contributed. Third, we employed visualization techniques to explore the concept space of the tags. A correlation matrix, based on the extent to which categories tended to be assigned to the same tags, was used to study the interrelatedness of the taxonomy categories. Then a network visualization was used to investigate structural relationships among the categories in the taxonomy. Results First, we proposed a taxonomy called the Body Listening and Self-Management Taxonomy, with four meta-level categories: (1) health management strategies, (2) concepts and states, (3) influencers, and (4) health-related information behavior. This taxonomy could inform future efforts to organize knowledge and content of this subject matter. Second, we compared the categories from this taxonomy with the UMLS concepts that were identified. Though the UMLS offers benefits such as speed and breadth of coverage, the Body Listening and Self-Management Taxonomy is more consumer-centric. Third, the correlation matrix and network visualization demonstrated that there are natural areas of ambiguity and semantic relatedness in the meanings of the concepts in the Body Listening and Self-Management Taxonomy. Use of these visualizations can be helpful in practice settings, to help library and information science practitioners understand and resolve potential challenges in classification; in research, to characterize the structure of the conceptual space of health management; and in the development of consumer-centric health information retrieval systems. Conclusions A participatory platform can be employed to collect data concerning patient experiences of health management, which can in turn be used to develop new health knowledge resources or augment existing ones, as well as be incorporated into consumer-centric health information systems. PMID:28882809
Development of industrial minerals in Colorado
Arbogast, Belinda F.; Knepper, Daniel H.; Langer, William H.; Cappa, James A.; Keller, John W.; Widmann, Beth L.; Ellefsen, Karl J.; Klein, Terry L.; Lucius, Jeffrey E.; Dersch, John S.
2011-01-01
Technology and engineering have helped make mining safer and cleaner for both humans and the environment. Inevitably, mineral development entails costs as well as benefits. Developing a mine is an environmental, engineering, and planning challenge that must conform to many Federal, State, and local regulations. Community collaboration, creative design, and best management practices of sustainability and biodiversity can be positive indicators for the mining industry. A better understanding of aesthetics, culture, economics, geology, climate, vegetation and wildlife, topography, historical significance, and regional land planning is important in resolving land-use issues and managing mineral resources wisely. Ultimately, the consuming public makes choices about product use (including water, food, highways, housing, and thousands of other items) that influence operations of the mineral industry. Land planners, resource managers, earth scientists, designers, and public groups have a responsibility to consider sound scientific information, society's needs, and community appeals in making smart decisions concerning resource use and how complex landscapes should change. An effort to provide comprehensive geosciences data for land management agencies in central Colorado was undertaken in 2003 by scientists of the U.S. Geological Survey and the Colorado Geological Survey. This effort, the Central Colorado Assessment Project, addressed a variety of land-use issues: an understanding of the availability of industrial and metallic rocks and minerals, the geochemical and environmental effects of historic mining activity on surface water and groundwater, and the geologic controls on the availability and quality of groundwater. The USDA Forest Service and other land management agencies have the opportunity to contribute to the sustainable management of natural aggregate and other mineral resources through the identification and selective development of mineral resources and the reclamation of mines on lands that they administer. The information in this Circular will help them carry out that task.
Robotin, Monica C; Porwal, Mamta; Hopwood, Max; Nguyen, Debbie; Sze, Minglo; Treloar, Carla; George, Jacob
2017-02-01
In Australia, liver cancer incidence is rising, particularly among people born in hepatitis B-endemic countries. We sought to build an understanding of the information needs of people affected by liver cancer, to inform the design of in-language consumer information resources. We searched the World Wide Web for available in-language consumer information and conducted a literature search on consumers' information needs and their preferred means of accessing it. Qualitative data collection involved bilingual researchers conducting focus group discussions (26 participants) and in-depth interviews (22 participants) with people affected by liver cancer in English, Vietnamese, Cantonese and Mandarin. Sessions were audio-recorded, transcribed, translated and thematically analysed. The key themes and salient findings informed the development of in-language multimedia information resources. Many consumer resources did not cater for people with low literacy levels. The participants wanted more information on cancer diagnostic and treatment options, nutrition and Chinese Medicine and experienced communication challenges speaking to health professionals. While Vietnamese speakers relied entirely on information provided by their doctors, other participants actively searched for additional treatment information and commonly used the Internet to source it. We developed multilingual, multimedia consumer information resources addressing identified consumer information needs through an iterative process, in collaboration with our multilingual consumer panel. These resources are available in four languages, as separate modules accessible online and in DVD format. This process enabled the development of user-friendly patient resources, which complement health-care provider information and supports informed patient decision making. © 2016 The Authors. Health Expectations Published by John Wiley & Sons Ltd.
Roger D. Ottmar; David V. Sandberg; Cynthia L. Riccardi; Susan J. Prichard
2007-01-01
We present an overview of the Fuel Characteristic Classification System (FCCS), a tool that enables land managers, regulators, and scientists to create and catalog fuelbeds and to classify those fuelbeds for their capacity to support fire and consume fuels. The fuelbed characteristics and fire classification from this tool will provide inputs for current and future...
ERIC Educational Resources Information Center
Jones, Sandra
This supplement to the Consumer Education Resources Catalog (see note) lists teaching-learning resources available for preview at the Michigan Consumer Education Center. A subject index to multi-media identifies titles of films, video cassettes, multi-media kits, and games under seven specific subjects. These are (1) Factors Affecting Consumer…
John S. Kominoski; Catherine M. Pringle
2009-01-01
1. Understanding relationships between resource and consumer diversity is essential to predicting how changes in resource diversity might affect several trophic levels and overall ecosystem functioning...
NASA Astrophysics Data System (ADS)
Demyanova, O. V.; Andreeva, E. V.; Sibgatullina, D. R.; Kireeva-Karimova, A. M.; Gafurova, A. Y.; Zakirova, Ch S.
2018-05-01
ERP in a modern enterprise information system allowed optimizing internal business processes, reducing production costs and increasing the attractiveness of enterprises for investors. It is an important component of success in the competition and an important condition for attracting investments in the key sector of the state. A vivid example of these systems are enterprise information systems using the methodology of ERP (Enterprise Resource Planning - enterprise resource planning). ERP is an integrated set of methods, processes, technologies and tools. It is based on: supply chain management; advanced planning and scheduling; sales automation; tool responsible for configuring; final resource planning; intelligence business; OLAP technology; block e- Commerce; management of product data. The main purpose of ERP systems is the automation of interrelated processes of planning, accounting and management in key areas of the company. ERP systems are automated systems that effectively address complex problems, including optimal allocation of business resources, ensuring quick and efficient delivery of goods and services to the consumer. Knowledge embedded in ERP systems provided enterprise-wide automation to introduce the activities of all functional departments of the company as a single complex system. At the level of quality estimates, most managers understand that the implementations of ERP systems is a necessary and useful procedure. Assessment of the effectiveness of the information systems implementation is relevant.
Selecting and implementing the PBS scheduler on an SGI Onyx 2/Orgin 2000.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bittner, S.
1999-06-28
In the Mathematics and Computer Science Division at Argonne, the demand for resources on the Onyx 2 exceeds the resources available for consumption. To distribute these scarce resources effectively, we need a scheduling and resource management package with multiple capabilities. In particular, it must accept standard interactive user logins, allow batch jobs, backfill the system based on available resources, and permit system activities such as accounting to proceed without interruption. The package must include a mechanism to treat the graphic pipes as a schedulable resource. Also required is the ability to create advance reservations, offer dedicated system modes for largemore » resource runs and benchmarking, and track the resources consumed for each job run. Furthermore, our users want to be able to obtain repeatable timing results on job runs. And, of course, package costs must be carefully considered. We explored several options, including NQE and various third-party products, before settling on the PBS scheduler.« less
Sustainable-energy managment practices in an energy economy
NASA Astrophysics Data System (ADS)
Darkwa, K.
2001-10-01
The economic survival of any nation depends upon its ability to produce and manage sufficient supplies of low-cost safe energy. The world's consumption of fossil fuel resources currently increasing at 3% per annum is found to be unsustainable. Projections of this trend show that mankind will exhaust all known reserves in the second half of the coming century. Governments, industrialists, commercial organizations, public sector departments and the general public have now become aware of the urgent requirements for the efficient management of resources and energy-consuming activities. Most organizations in the materials, manufacturing and retail sectors and in the service industries have also created energy management departments, or have employed consultants, to monitor energy consumption and to reduce wastage. Conversely, any sustained attempt to reduce rates of energy consumption even by as little as 0.1% per annum ensures relatively an eternal future supply as well as reduction on environmental and ecological effect. Thus, there is no long- term solution to energy flow problem other than systematic and effective energy management and the continuous application of the techniques of energy management. Essential energy management strategies in support of a sustainable energy- economy are discussed.
Long-term cost-effectiveness of disease management in systolic heart failure.
Miller, George; Randolph, Stephen; Forkner, Emma; Smith, Brad; Galbreath, Autumn Dawn
2009-01-01
Although congestive heart failure (CHF) is a primary target for disease management programs, previous studies have generated mixed results regarding the effectiveness and cost savings of disease management when applied to CHF. We estimated the long-term impact of systolic heart failure disease management from the results of an 18-month clinical trial. We used data generated from the trial (starting population distributions, resource utilization, mortality rates, and transition probabilities) in a Markov model to project results of continuing the disease management program for the patients' lifetimes. Outputs included distribution of illness severity, mortality, resource consumption, and the cost of resources consumed. Both cost and effectiveness were discounted at a rate of 3% per year. Cost-effectiveness was computed as cost per quality-adjusted life year (QALY) gained. Model results were validated against trial data and indicated that, over their lifetimes, patients experienced a lifespan extension of 51 days. Combined discounted lifetime program and medical costs were $4850 higher in the disease management group than the control group, but the program had a favorable long-term discounted cost-effectiveness of $43,650/QALY. These results are robust to assumptions regarding mortality rates, the impact of aging on the cost of care, the discount rate, utility values, and the targeted population. Estimation of the clinical benefits and financial burden of disease management can be enhanced by model-based analyses to project costs and effectiveness. Our results suggest that disease management of heart failure patients can be cost-effective over the long term.
Walsh, Louisa; Hill, Sophie; Allan, Meredith; Balandin, Susan; Georgiou, Andrew; Higgins, Isabel; Kraal, Ben; McCarthy, Shaun; Hemsley, Bronwyn
2017-01-01
Low health literacy, low levels of positive belief and privacy and security concerns have been identified as a significant barrier to personal electronic health record uptake and use. An important tool for overcoming these barriers is the consumer-facing information which accompanies the system. My Health Record (MyHR) is the Australian national e-health record system, for which a large suite of online resources exists to facilitate consumer registration and use. This study uses a number of different measures of health resource quality to assess the MyHR online consumer-facing information and identify any gaps or areas for improvement. To analyse the quality and content of the online consumer-facing resources which support the uptake and use of MyHR. Australian information resources aimed at healthcare consumers about the MyHR were included in this study. A comprehensive search using Internet search engines was conducted to locate all online consumer-facing resources about MyHR from both government and non-government sources. Readability (measured by Flesch-Kincaid grade level), year of publication/review, publishing organisation type, presentation style, linked websites, target audience, and themes were identified as important measures of health information quality, and these were recorded and reported on for each resource. Eighty resources met the inclusion criteria. The mean Flesch-Kincaid grade level was 11.8. Most resources were created by Australian government sources ( n = 55), and the most common target audience was the general public ( n = 65). Registration ( n = 51), privacy/security ( n = 49), and benefits of use ( n = 46) were the most common resource themes. The authors identified a number of gaps and areas for improvement in the provision of consumer-facing information about MyHR. Readability is too high for the general Australian population, and there are few translated resources, which means that the information provided does not cater to people with low literacy levels, communication disability, and/or difficulties in understanding written English. The target audiences for resources do not reflect priority groups that were identified during the MyHR development processes. There are also gaps in information provision about how consumers can use MyHR as a tool to meaningfully engage with health professionals and services to support their own person-centred care.
Churski, Marcin; Bubnicki, Jakub W; Jędrzejewska, Bogumiła; Kuijper, Dries P J; Cromsigt, Joris P G M
2017-04-01
Plant biomass consumers (mammalian herbivory and fire) are increasingly seen as major drivers of ecosystem structure and function but the prevailing paradigm in temperate forest ecology is still that their dynamics are mainly bottom-up resource-controlled. Using conceptual advances from savanna ecology, particularly the demographic bottleneck model, we present a novel view on temperate forest dynamics that integrates consumer and resource control. We used a fully factorial experiment, with varying levels of ungulate herbivory and resource (light) availability, to investigate how these factors shape recruitment of five temperate tree species. We ran simulations to project how inter- and intraspecific differences in height increment under the different experimental scenarios influence long-term recruitment of tree species. Strong herbivore-driven demographic bottlenecks occurred in our temperate forest system, and bottlenecks were as strong under resource-rich as under resource-poor conditions. Increased browsing by herbivores in resource-rich patches strongly counteracted the increased escape strength of saplings in these patches. This finding is a crucial extension of the demographic bottleneck model which assumes that increased resource availability allows plants to more easily escape consumer-driven bottlenecks. Our study demonstrates that a more dynamic understanding of consumer-resource interactions is necessary, where consumers and plants both respond to resource availability. © 2016 The Authors. New Phytologist © 2016 New Phytologist Trust.
Uni-directional consumer-resource theory characterizing transitions of interaction outcomes
Wang, Y.; DeAngelis, D.L.; Holland, J.N.
2011-01-01
A resource is considered here to be a biotic population that helps to maintain the population growth of its consumers, whereas a consumer utilizes a resource and in turn decreases its growth rate. Bi-directional consumer-resource (C-R) interactions have been the object of recent theory. In these interactions, each species acts, in some respects, as both a consumer and a resource of the other, which is the basis of many mutualisms. In uni-directional C-R interactions between two species, one acts as a consumer and the other as a material and/or energy resource, while neither acts as both. The relationship between insect pollinator/seed parasites and the host plant is an example of the latter interaction type of C-R, as the insect provides no material resource to the plant (though it provides a pollination service). In this paper we consider a different variation of the uni-directional C-R interaction, in which the resource species has both positive and negative effects on the consumer species, while the consumer has only a negative effect on the resource. A predator-prey system in which the prey is able to kill or consume predator eggs or larvae is an example. Our aim is to demonstrate mechanisms by which interaction outcomes of this system vary with different conditions, and thus to extend the uni-directional C-R theory established by Holland and DeAngelis (2009). By the analysis of a specific two-species system, it is shown that there is no periodic solution of the system, and the parameter (factor) space can be divided into six regions, which correspond to predation/parasitism, amensalism, and competition. The interaction outcomes of the system transition smoothly when the parameters are changed continuously in the six regions and/or initial densities of the species vary in a smooth fashion. Varying a pair of parameters can also result in the transitions. The analysis leads to both conditions under which the species approach their maximal densities, and explanations for phenomena in experiments by Urabe and Sterner (1996). ?? 2011 .
Degeneracy-Driven Self-Structuring Dynamics in Selective Repertoires
Atamas, Sergei P.; Bell, Jonathan
2013-01-01
Numerous biological interactions, such as interactions between T cell receptors or antibodies with antigens, interactions between enzymes and substrates, or interactions between predators and prey are often not strictly specific. In such less specific, or “sloppy,” systems, referred to here as degenerate systems, a given unit of a diverse resource (antigens, enzymatic substrates, prey) is at risk of being recognized and consumed by multiple consumers (lymphocytes, enzymes, predators). In this study, we model generalized degenerate consumer-resource systems of Lotka–Volterra and Verhulst types. In the degenerate systems of Lotka–Volterra, there is a continuum of types of consumer and resource based on variation of a single trait (characteristic, or preference). The consumers experience competition for a continuum of resource types. This non-local interaction system is modeled with partial differential-integral equations and shows spontaneous self-structuring of the consumer population that depends on the degree of interaction degeneracy between resource and consumer, but does not mirror the distribution of resource. We also show that the classical Verhulst (i.e. logistic) single population model can be generalized to a degenerate model, which shows qualitative behavior similar to that in the degenerate Lotka–Volterra model. These results provide better insight into the dynamics of selective systems in biology, suggesting that adaptation of degenerate repertoires is not a simple “mirroring” of the environment by the “fittest” elements of population. PMID:19337776
Degeneracy-driven self-structuring dynamics in selective repertoires.
Atamas, Sergei P; Bell, Jonathan
2009-08-01
Numerous biological interactions, such as interactions between T cell receptors or antibodies with antigens, interactions between enzymes and substrates, or interactions between predators and prey are often not strictly specific. In such less specific, or "sloppy," systems, referred to here as degenerate systems, a given unit of a diverse resource (antigens, enzymatic substrates, prey) is at risk of being recognized and consumed by multiple consumers (lymphocytes, enzymes, predators). In this study, we model generalized degenerate consumer-resource systems of Lotka-Volterra and Verhulst types. In the degenerate systems of Lotka-Volterra, there is a continuum of types of consumer and resource based on variation of a single trait (characteristic, or preference). The consumers experience competition for a continuum of resource types. This non-local interaction system is modeled with partial differential-integral equations and shows spontaneous self-structuring of the consumer population that depends on the degree of interaction degeneracy between resource and consumer, but does not mirror the distribution of resource. We also show that the classical Verhulst (i.e. logistic) single population model can be generalized to a degenerate model, which shows qualitative behavior similar to that in the degenerate Lotka-Volterra model. These results provide better insight into the dynamics of selective systems in biology, suggesting that adaptation of degenerate repertoires is not a simple "mirroring" of the environment by the "fittest" elements of population.
Ben-Zeev, Dror; Kaiser, Susan M; Brenner, Christopher J; Begale, Mark; Duffecy, Jennifer; Mohr, David C
2013-12-01
Mobile Health (mHealth) approaches can support the rehabilitation of individuals with psychiatric conditions. In the current article, we describe the development of a smartphone illness self-management system for people with schizophrenia. The research was conducted with consumers and practitioners at a community-based rehabilitation agency. Stage 1: 904 individuals with schizophrenia or schizoaffective disorder completed a survey reporting on their current use of mobile devices and interest in mHealth services. Eight practitioners completed a survey examining their attitudes and expectations from an mHealth intervention, and identified needs and potential obstacles. Stage 2: A multidisciplinary team incorporated consumer and practitioner input and employed design principles for the development of e-resources for people with schizophrenia to produce an mHealth intervention. Stage 3: 12 consumers participated in laboratory usability sessions. They performed tasks involved in operating the new system, and provided "think aloud" commentary and post-session usability ratings. 570 (63%) of survey respondents reported owning a mobile device and many expressed interest in receiving mHealth services. Most practitioners believed that consumers could learn to use and would benefit from an mHealth intervention. In response, we developed a smartphone system that targets medication adherence, mood regulation, sleep, social functioning, and coping with symptoms. Usability testing revealed several design vulnerabilities, and the system was adapted to address consumer needs and preferences accordingly. Through a comprehensive development process, we produced an mHealth illness self-management intervention that is likely to be used successfully, and is ready for deployment and systemic evaluation in real-world conditions. PsycINFO Database Record (c) 2013 APA, all rights reserved.
Intermediate-consumer identity and resources alter a food web with omnivory.
Kneitel, Jamie M
2007-07-01
1. Omnivory is an important interaction that has been the centre of numerous theoretical and empirical studies in recent years. Most of these studies examine the conditions necessary for coexistence between an omnivore and an intermediate consumer. Trait variation in ecological interactions (competition and predator tolerance) among intermediate consumers has not been considered in previous empirical studies despite the evidence that variation in species-specific traits can have important community-level effects. 2. I conducted a multifactorial microcosm experiment using species from the Sarracenia purpurea phytotelmata community, organisms that inhabit the water collected within its modified leaves. The basal trophic level consisted of bacterial decomposers, the second trophic level (intermediate consumers) consisted of protozoa and rotifers, and the third trophic level (omnivore) were larvae of the pitcher plant mosquito Wyeomyia smithii. Trophic level number (1, 2 and 3), resources (low and high), omnivore density (low and high) and intermediate consumer (monoculture of five protozoa and rotifers) identity were manipulated. Abundance of the basal trophic level, intermediate consumers, and growth of the omnivore were measured, as well as time to extinction (intermediate consumers) and time to pupation (mosquito larvae). 3. The presence of different intermediate consumers affected both bacteria abundance and omnivore growth. At high resource levels, Poteriochromonas, Colpidium and Habrotrocha rosa reduced bacteria densities greater than omnivore reduction of bacteria. Mosquito larvae did not pupate at low resource levels except when Poteriochromonas and Colopoda were present as intermediate consumers. Communities with H. rosa were the only ones consistent with the prediction that omnivores should exclude intermediate consumers at high resources. 4. These results had mixed support for predictions from omnivory food web theory. Intermediate consumers responded and affected this community differently under different community structures and resource levels. Consequently, variation in species-specific traits can have important population- and community-level effects and needs to be considered in food webs with omnivory.
Allocation of health resources according to the type and size of Iranian governmental hospitals.
Hassani, Sa; Abolhallaje, M; Inanlo, S; Hosseini, H; Pourmohammadi, K; Bastani, P; Ramezanian, M; Marnani, A Barati
2013-01-01
Due to consuming about 50%-80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state's hospitals from the size and type of application points of view. The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Because 60-80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital.
Greening, new frontiers for research and employment in the agro-food sector.
Singh, Manpriet; Marchis, Alexandru; Capri, Ettore
2014-02-15
The "greening" of the European Union's (EU) Common Agricultural Policy (CAP) is meant to protect and enhance biodiversity as well as to make food production more sustainable by encouraging, for example, the responsible use of natural resources. The "greening" process seems to be driven by, first of all, the policy push through various policy and regulatory measures. Farmers have to invest time and resources in maintaining permanent grasslands, practice crop diversification and manage ecological focus areas for which they will receive compensation from the EU. "Greening" is also driven by the consumer or market pull generated by preferences for more sustainably produced food and sustainability initiatives along the agro-food chain. EU investments in research and development activities are required for the successful implementation of greening practices. Professionals from different disciplines are called upon to provide, in the next few years, solutions for all the new requirements in order to realize a sustainable and socially and economically healthy agricultural system. Besides this, farmers need support to implement and manage greening measures, but also to reap the benefits of their investments by networking and engaging with stakeholders higher in the agro-food chain, such as retailers and supermarkets. This is not only to assure sustainability at processing, packaging and storage, but also to increase visibility of farmers' practices to consumers through communication that may help influencing consumers' choices. These factors are currently not given the importance they need by the EU, but are crucial for a successful "greening". Copyright © 2013 Elsevier B.V. All rights reserved.
Developing an inter-organizational community-based health network: an Australian investigation.
Short, Alison; Phillips, Rebecca; Nugus, Peter; Dugdale, Paul; Greenfield, David
2015-12-01
Networks in health care typically involve services delivered by a defined set of organizations. However, networked associations between the healthcare system and consumers or consumer organizations tend to be open, fragmented and are fraught with difficulties. Understanding the role and activities of consumers and consumer groups in a formally initiated inter-organizational health network, and the impacts of the network, is a timely endeavour. This study addresses this aim in three ways. First, the Unbounded Network Inter-organizational Collaborative Impact Model, a purpose-designed framework developed from existing literature, is used to investigate the process and products of inter-organizational network development. Second, the impact of a network artefact is explored. Third, the lessons learned in inter-organizational network development are considered. Data collection methods were: 16 h of ethnographic observation; 10 h of document analysis; six interviews with key informants and a survey (n = 60). Findings suggested that in developing the network, members used common aims, inter-professional collaboration, the power and trust engendered by their participation, and their leadership and management structures in a positive manner. These elements and activities underpinned the inter-organizational network to collaboratively produce the Health Expo network artefact. This event brought together healthcare providers, community groups and consumers to share information. The Health Expo demonstrated and reinforced inter-organizational working and community outreach, providing consumers with community-based information and linkages. Support and resources need to be offered for developing community inter-organizational networks, thereby building consumer capacity for self-management in the community. © The Author (2014). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Is competition needed for ecological character displacement? Does displacement decrease competition?
Abrams, Peter A.; Cortez, Michael H.
2015-01-01
Interspecific competition for resources is generally considered to be the selective force driving ecological character displacement, and displacement is assumed to reduce competition. Skeptics of the prevalence of character displacement often cite lack of evidence of competition. The present article uses a simple model to examine whether competition is needed for character displacement and whether displacement reduces competition. It treats systems with competing resources, and considers cases when only one consumer evolves. It quantifies competition using several different measures. The analysis shows that selection for divergence of consumers occurs regardless of the level of between‐resource competition or whether the indirect interaction between the consumers is competition (−,−), mutualism (+,+), or contramensalism (+,−). Also, divergent evolution always decreases the equilibrium population size of the evolving consumer. Whether divergence of one consumer reduces or increases the impact of a subsequent perturbation of the other consumer depends on the parameters and the method chosen for measuring competition. Divergence in mutualistic interactions may reduce beneficial effects of subsequent increases in the other consumer's population. The evolutionary response is driven by an increase in the relative abundance of the resource the consumer catches more rapidly. Such an increase can occur under several types of interaction. PMID:26548922
The effect of participation in a weight loss programme on short-term health resource utilization.
van Walraven, Carl; Dent, Robert
2002-02-01
Obese people consume significantly greater amounts of health resources. This study set out to determine if health resource utilization by obese people decreases after losing weight in a comprehensive medically supervised weight management programme. Four hundred and fifty-six patients enrolled in a single-centred, multifaceted weight loss programme in a universal health care system were studied. Patient information was anonymously linked with administrative databases to measure health resource utilization for 1 year before and after the programme. Mean body mass index (BMI) decreased by more than 15%. The mean annual physician visits (pre = 9.6, post = 9.4) did not change significantly after the programme. However, patients saw a significantly fewer number of different physicians per year following the programme (pre = 4.5, post = 3.9; P < 0.001). Mean annual number of emergency visits (pre = 0.2; post = 0.2) and hospital admissions (pre = 0.05; post = 0.08) did not change. Neither baseline BMI, nor its change during the programme, influenced changes in health resource utilization. Our study suggests that weight loss in a supervised weight management programme does not necessarily decrease short-term health resource utilization. Further study is required to determine if patients who maintain their weight loss experience a decrease in health utilization.
Staffing for Cyberspace Operations: Summary of Analysis
2016-08-01
Planning & Requirements, Office of the Assistant Secretary of Defense for Manpower & Reserve Affairs, Office of the Under Secretary of Defense for...planning effort. Total force mix has long been an important area in defense manpower management, given that the wrong total force mix can put the...mission at risk or result in inefficiencies that consume scarce defense resources. In the cyber arena, the problem is complicated by a lack of legal
Agent Based Modeling and Simulation Framework for Supply Chain Risk Management
2012-03-01
Christopher and Peck 2004) macroeconomic , policy, competition, and resource (Ghoshal 1987) value chain, operational, event, and recurring (Shi 2004...clustering algorithms in agent logic to protect company privacy ( da Silva et al. 2006), aggregation of domain context in agent data analysis logic (Xiang...Operational Availability ( OA ) for FMC and PMC. 75 Mission Capable (MICAP) Hours is the measure of total time (in a month) consumable or reparable
Case study: apparel industry waste management: a focus on recycling in South Africa.
Larney, M; van Aardt, A M
2010-01-01
The need for effective apparel waste management is motivated by the increasing cost and decreasing availability of landfill space and the dwindling of natural resources. The aim of this study was to identify the current solid waste disposal and recycling practices of the apparel industry in South Africa and to determine their attitude and willingness towards recycling, their perception of the feasibility thereof, barriers to recycling and marketing strategies that would be appropriate for products made from recycled materials. A structured questionnaire was mailed to apparel manufacturers in South Africa. The results indicated that most apparel manufacturers use landfills to dispose of their waste, while approximately half recycle some of the waste. They are fairly positive towards recycling, with consideration of economical feasibility. Phi-coefficients show no practically significant relationship between company size and the use of recycled materials. The most important barriers to recycling are lack of equipment and technology, lack of material to recycle and lack of consumer awareness. Marketing strategies for recycled products are recommended. It is concluded that consumer awareness and knowledge regarding recycled apparel products should be developed in order to ensure a market and that apparel manufacturers should be encouraged to recycle more extensively, in order to ensure that resources will not be exhausted unnecessarily and the environment will be preserved optimally.
Essential Concepts in Modern Health Services
El Taguri, A
2008-01-01
Health services have the functions to define community health problems, to identify unmet needs and survey the resources to meet them, to establish SMART objectives, and to project administrative actions to accomplish the purpose of proposed action programs. For maximum efficacy, health systems should rely on newer approaches of management as management-by-objectives, risk-management, and performance management with full and equal participation from professionals and consumers. The public should be well informed about their needs and what is expected from them to improve their health. Inefficient use of budget allocated to health services should be prevented by tools like performance management and clinical governance. Data processed to information and intelligence is needed to deal with changing disease patterns and to encourage policies that could manage with the complex feedback system of health. e-health solutions should be instituted to increase effectiveness and improve efficiency and informing human resources and populations. Suitable legislations should be introduced including those that ensure coordination between different sectors. Competent workforce should be given the opportunity to receive lifetime appropriate adequate training. External continuous evaluation using appropriate indicators is vital. Actions should be done both inside and outside the health sector to monitor changes and overcome constraints. PMID:21499457
Tin recycling in the United States in 1998
Carlin, James F.
2001-01-01
This materials flow study includes a description of tin supply and demand factors for the United States to illustrate the extent of tin recycling and to identify recycling trends. Understanding the flow of materials from source to ultimate disposition can assist in improving the management of the use of natural resources in a manner that is compatible with sound environmental practices. The quantity of tin recycled in 1998 as a percentage of apparent tin supply was estimated to be about 22%, and recycling efficiency was estimated to be 75%. Of the total tin consumed in products for the U.S. market in 1998, an estimated 12% was consumed in products where the tin was not recyclable (dissipative uses).
Lead recycling in the United States in 1998
Smith, Gerald R.
2001-01-01
This materials flow study includes a description of lead supply and demand factors for the United States to illustrate the extent of lead recycling and to identify recycling trends. Understanding the system of materials flow from source to ultimate disposition can assist in improving the management of the use of natural resources in a manner that is compatible with sound environmental practices. The quantity of lead recycled in 1998, as a percentage of apparent lead supply, was estimated to be about 63%, and recycling efficiency, to be 95%. Of the total lead consumed in products for the U.S. market in 1998, an estimated 10% was consumed in products in which the lead was not readily recyclable.
Using peer-to-peer energy-trading platforms to incentivize prosumers to form federated power plants
NASA Astrophysics Data System (ADS)
Morstyn, Thomas; Farrell, Niall; Darby, Sarah J.; McCulloch, Malcolm D.
2018-02-01
Power networks are undergoing a fundamental transition, with traditionally passive consumers becoming `prosumers' — proactive consumers with distributed energy resources, actively managing their consumption, production and storage of energy. A key question that remains unresolved is: how can we incentivize coordination between vast numbers of distributed energy resources, each with different owners and characteristics? Virtual power plants and peer-to-peer (P2P) energy trading offer different sources of value to prosumers and the power network, and have been proposed as different potential structures for future prosumer electricity markets. In this Perspective, we argue they can be combined to capture the benefits of both. We thus propose the concept of the federated power plant, a virtual power plant formed through P2P transactions between self-organizing prosumers. This addresses social, institutional and economic issues faced by top-down strategies for coordinating virtual power plants, while unlocking additional value for P2P energy trading.
Clinical bacteriology in low-resource settings: today's solutions.
Ombelet, Sien; Ronat, Jean-Baptiste; Walsh, Timothy; Yansouni, Cedric P; Cox, Janneke; Vlieghe, Erika; Martiny, Delphine; Semret, Makeda; Vandenberg, Olivier; Jacobs, Jan
2018-03-05
Low-resource settings are disproportionately burdened by infectious diseases and antimicrobial resistance. Good quality clinical bacteriology through a well functioning reference laboratory network is necessary for effective resistance control, but low-resource settings face infrastructural, technical, and behavioural challenges in the implementation of clinical bacteriology. In this Personal View, we explore what constitutes successful implementation of clinical bacteriology in low-resource settings and describe a framework for implementation that is suitable for general referral hospitals in low-income and middle-income countries with a moderate infrastructure. Most microbiological techniques and equipment are not developed for the specific needs of such settings. Pending the arrival of a new generation diagnostics for these settings, we suggest focus on improving, adapting, and implementing conventional, culture-based techniques. Priorities in low-resource settings include harmonised, quality assured, and tropicalised equipment, consumables, and techniques, and rationalised bacterial identification and testing for antimicrobial resistance. Diagnostics should be integrated into clinical care and patient management; clinically relevant specimens must be appropriately selected and prioritised. Open-access training materials and information management tools should be developed. Also important is the need for onsite validation and field adoption of diagnostics in low-resource settings, with considerable shortening of the time between development and implementation of diagnostics. We argue that the implementation of clinical bacteriology in low-resource settings improves patient management, provides valuable surveillance for local antibiotic treatment guidelines and national policies, and supports containment of antimicrobial resistance and the prevention and control of hospital-acquired infections. Copyright © 2018 Elsevier Ltd. All rights reserved.
Shen, Ce; Smyer, Michael A; Mahoney, Kevin J; Loughlin, Dawn M; Simon-Rusinowitz, Lori; Mahoney, Ellen K
2008-02-01
Previous research from the Cash and Counseling Demonstration and Evaluation (CCDE) in Arkansas, New Jersey, and Florida suggests that giving consumers control over their personal care greatly increases their satisfaction and improves their outlook on life. Still, some argue that consumer-directed care may not be appropriate for consumers with intellectual disabilities or mental health diagnoses. This study examined how Cash and Counseling-a new option allowing consumers to manage an individualized budget equivalent to what agencies would have spent on their care-changes the way consumers with mental health diagnoses meet their personal care needs and how that affects their well-being. Using the Arkansas CCDE baseline and the 9-month follow-up data for individuals in the treatment and control groups, we compared and contrasted the experience of elderly consumers with and without mental health diagnoses utilizing logit regression. After examining several outcome measures, including satisfaction with care arrangements and the paid caregiver's reliability and schedule, unmet needs, and satisfaction with the relationship with paid caregivers, this study found evidence that, from the perspective of consumers, the Cash and Counseling program works well for participants with mental health diagnoses. Considering the growing need for long-term-care services and the limited resources available, a consumer-directed option makes sense, and it can be a valuable alternative for persons with mental health needs.
Developing a Resource Center in Consumer Education: An Annotated Bibliography.
ERIC Educational Resources Information Center
Garman, E. Thomas; And Others
The rationale behind this annotated bibliography of over 1300 items is that every consumer education teacher needs numerous classroom resources to provide for the individual needs of his students, and these resources should be balanced in representing all content areas. The resource materials included, mostly booklets and pamphlets for classroom…
Kourgialas, Nektarios N; Karatzas, George P; Dokou, Zoi; Kokorogiannis, Andreas
2018-02-15
In many Mediterranean islands with limited surface water resources, the growth of agricultural and touristic sectors, which are the main water consumers, highly depends on the sustainable water resources management. This work highlights the crucial role of groundwater footprint (GF) as a tool for the sustainable management of water resources, especially in water scarce islands. The groundwater footprint represents the water budget between inflows and outflows in an aquifer system and is used as an index of the effect of groundwater use in natural resources and environmental flows. The case study presented in this paper is the island of Crete, which consists of 11 main aquifer systems. The data used for estimating the groundwater footprint in each system were groundwater recharges, abstractions through 412 wells, environmental flows (discharges) from 76 springs and 19 streams present in the area of study. The proposed methodology takes into consideration not only the water quantity but also the water quality of the aquifer systems and can be used as an integrated decision making tool for the sustainable management of groundwater resources. This methodology can be applied in any groundwater system. The results serve as a tool for assessing the potential of sustainable use and the optimal distribution of water needs under the current and future climatic conditions, considering both quantitative and qualitative factors. Adaptation measures and water policies that will effectively promote sustainable development are also proposed for the management of the aquifer systems that exhibit a large groundwater footprint. Copyright © 2017 Elsevier B.V. All rights reserved.
Consumer's Resource Handbook and A Teacher's Guide to the Consumer's Resource Handbook.
ERIC Educational Resources Information Center
Office of Consumer Affairs, Washington, DC.
This document consists of a handbook for consumers and a teacher's guide to the handbook. The first part of the handbook gives advice on how to be a smart consumer and includes information on how to get the most for the money, handle a complaint, write a complaint letter, use the handbook, select child care, protect personal property, choose a…
Water footprint as a tool for integrated water resources management
NASA Astrophysics Data System (ADS)
Aldaya, Maite; Hoekstra, Arjen
2010-05-01
In a context where water resources are unevenly distributed and, in some regions precipitation and drought conditions are increasing, enhanced water management is a major challenge to final consumers, businesses, water resource users, water managers and policymakers in general. By linking a large range of sectors and issues, virtual water trade and water footprint analyses provide an appropriate framework to find potential solutions and contribute to a better management of water resources. The water footprint is an indicator of freshwater use that looks not only at direct water use of a consumer or producer, but also at the indirect water use. The water footprint of a product is the volume of freshwater used to produce the product, measured over the full supply chain. It is a multi-dimensional indicator, showing water consumption volumes by source and polluted volumes by type of pollution; all components of a total water footprint are specified geographically and temporally. The water footprint breaks down into three components: the blue (volume of freshwater evaporated from surface or groundwater systems), green (water volume evaporated from rainwater stored in the soil as soil moisture) and grey water footprint (the volume of polluted water associated with the production of goods and services). Closely linked to the concept of water footprint is that of virtual water trade, which represents the amount of water embedded in traded products. Many nations save domestic water resources by importing water-intensive products and exporting commodities that are less water intensive. National water saving through the import of a product can imply saving water at a global level if the flow is from sites with high to sites with low water productivity. Virtual water trade between nations and even continents could thus be used as an instrument to improve global water use efficiency and to achieve water security in water-poor regions of the world. The virtual water trade together with the water footprint concept could thus provide an appropriate framework to support more optimal water management practices by informing production and trade decisions and the development and adoption of water efficient technology. In order to move towards better water governance however a further integration of water-related concerns into water-related sectoral policies is paramount. This will require a concerted effort by all stakeholders, the willingness to adopt a total resource view where water is seen as a key, cross-sectoral input for development and growth, a mix of technical approaches, and the courage to undertake and fund water sector reforms. We are convinced that the water footprint analysis can provide a sufficiently robust fact base for meaningful stakeholder dialogue and action towards solutions.
Corredor, Iván; Metola, Eduardo; Bernardos, Ana M; Tarrío, Paula; Casar, José R
2014-04-29
In the last few years, many health monitoring systems have been designed to fullfil the needs of a large range of scenarios. Although many of those systems provide good ad hoc solutions, most of them lack of mechanisms that allow them to be easily reused. This paper is focused on describing an open platform, the micro Web of Things Open Platform (µWoTOP), which has been conceived to improve the connectivity and reusability of context data to deliver different kinds of health, wellness and ambient home care services. µWoTOP is based on a resource-oriented architecture which may be embedded in mobile and resource constrained devices enabling access to biometric, ambient or activity sensors and actuator resources through uniform interfaces defined according to a RESTful fashion. Additionally, µWoTOP manages two communication modes which allow delivering user context information according to different methods, depending on the requirements of the consumer application. It also generates alert messages based on standards related to health care and risk management, such as the Common Alerting Protocol, in order to make its outputs compatible with existing systems.
Corredor, Iván; Metola, Eduardo; Bernardos, Ana M.; Tarrío, Paula; Casar, José R.
2014-01-01
In the last few years, many health monitoring systems have been designed to fullfil the needs of a large range of scenarios. Although many of those systems provide good ad hoc solutions, most of them lack of mechanisms that allow them to be easily reused. This paper is focused on describing an open platform, the micro Web of Things Open Platform (µWoTOP), which has been conceived to improve the connectivity and reusability of context data to deliver different kinds of health, wellness and ambient home care services. µWoTOP is based on a resource-oriented architecture which may be embedded in mobile and resource constrained devices enabling access to biometric, ambient or activity sensors and actuator resources through uniform interfaces defined according to a RESTful fashion. Additionally, µWoTOP manages two communication modes which allow delivering user context information according to different methods, depending on the requirements of the consumer application. It also generates alert messages based on standards related to health care and risk management, such as the Common Alerting Protocol, in order to make its outputs compatible with existing systems. PMID:24785542
Monge, Paul
2006-01-01
Activity-based methods serve as a dynamic process that has allowed many other industries to reduce and control their costs, increase productivity, and streamline their processes while improving product quality and service. The method could serve the healthcare industry in an equally beneficial way. Activity-based methods encompass both activity based costing (ABC) and activity-based management (ABM). ABC is a cost management approach that links resource consumption to activities that an enterprise performs, and then assigns those activities and their associated costs to customers, products, or product lines. ABM uses the resource assignments derived in ABC so that operation managers can improve their departmental processes and workflows. There are three fundamental problems with traditional cost systems. First, traditional systems fail to reflect the underlying diversity of work taking place within an enterprise. Second, it uses allocations that are, for the most part, arbitrary Single step allocations fail to reflect the real work-the activities being performed and the associate resources actually consumed. Third, they only provide a cost number that, standing alone, does not provide any guidance on how to improve performance by lowering cost or enhancing throughput.
Challenges of communicating integrated water resource management in Zimbabwe
NASA Astrophysics Data System (ADS)
Marimbe, Simbiso; Manzungu, Emmanuel
With the promulgation of the 1998 Water Act the Government of Zimbabwe took a decisive step to reform the country’s water sector, to bring it in line with contemporary socio-political realities obtaining in the country, and in tune with the philosophy of integrated water resources management. Researchers have reported a lack of awareness of the reforms, particularly among the black communities, who were considered not just as one of the target of the reforms, but the beneficiaries. This paper analyses why this has been the case. The paper makes a case for differentiating communication from information dissemination. Information refers to a set of data packaged for delivery to a receiver while communication involves a dialogue. This paper critiques communication strategies used to communicate water reforms in Zimbabwe, applying recent developments in communication theories. The argument in the paper is that there was a failure to communicate although there was some success in dissemination information about the reforms. If the situation is to be reversed then methods that involve audience analysis may have to be used. Such methods tend to be expensive and time consuming--however, there is no substitute to this if integrated water resources management is to be institutionalised among the various stakeholders.
Hogan, Pamela; Moxham, Lorna; Dwyer, Trudy
2007-04-01
It is paramount that there is an adequate nursing workforce supply for now and in the future, to achieve equitable and quality health outcomes and consumer access to healthcare, regardless of geographic location. Nursing forms the largest body of employees in the health care system, spanning all segments of care. A shortage of nurses, particularly in the acute care settings in hospitals, jeopardizes the provision of quality health care to consumers. This article provides a literature review of Australian State and Federal Government reports into nurse retention. All reports discuss staff turnover rates; the average age of nurses; enrolment numbers in nursing courses; workloads; nursing workforce shortfalls and the effect on the work environment; leadership and management styles; organizational culture; change management; the mobility of nursing qualifications both locally and internationally and the critical need to value nurses. Then why has the situation of nurse retention not improved? Possible reasons for the continued nurse shortage and the promise of strategic HRM in addressing nurse retention are discussed.
Case study: development of and stakeholder responses to a nursing home consumer information system.
O'Meara, Janis; Kitchener, Martin; Collier, Eric; Lyons, Margaret; de Billwiller-Kiss, Ana; Simon, Lisa Payne; Harrington, Charlene
2005-01-01
California Nursing Home Search (www.calnhs.org), launched in October 2002, provides information about nursing home quality to a broad range of stakeholders. This case study discusses the process of developing a consumer-oriented nursing home Web site and presents an analysis of postlaunch responses from a number of sources (i.e., media, outreach, Web site use, correspondence, meetings, interviews) to determine the impact of the site and how it can be improved and used as an example. Consumers found the Web site valuable, but some needed clarification on navigation. Providers had complaints about the use of quality ratings and concerns about public availability of the data. Most discharge planners and care managers do not use Internet resources to find facilities. Feedback, modifications, updates, and outreach are needed on a continuous basis to ensure the site is a helpful tool for all stakeholders.
South Carolina Guide for Consumer Education I & II.
ERIC Educational Resources Information Center
South Carolina State Dept. of Education, Columbia. Office of Occupational Education.
This guide is designed to provide job-relevant tasks, performance objectives, performance guides, resources, teaching activities, and instructional resources for teaching consumer education I and II in South Carolina. It may be used with any teaching method selected by the instructor. Consumer Education I contains four units: demonstrate…
Beyond symptom monitoring: Consumer needs for bipolar disorder self-management using smartphones.
Nicholas, J; Boydell, K; Christensen, H
2017-07-01
To investigate the potential use of smartphone apps to support self-management in young adults with bipolar disorder. We recruited 89 young adults (18-30 years) with bipolar disorder to complete a cross-sectional online survey. The survey contained quantitative and qualitative questions regarding technology use, current use of disorder-management apps, types of apps desired for disorder management, and app features that users would consider important when selecting apps. Results were analysed using descriptive statistics and thematic analysis. Almost all participants used a smartphone daily and 40% currently used apps for disorder management. Of those not currently using apps, 79% indicated they would like to try them. On average, participants rated 61% of the self-management strategies listed as desirable for app support, with sleep-management, understanding early warning signs and triggers, and stay-well plans the most frequently endorsed. App features considered important during app selection were ease-of-use, scientific quality, flexibility/customisation, and data privacy. The results indicate that young adults with bipolar disorder are interested in a wide range of apps for self-management. Participants were interested in apps to support self-management strategies considered clinically important for disorder management. Many of these app needs are currently unmet. Results suggest diversifying and prioritising app capabilities to ensure evidence-based resources for a broader range of app functions are available to consumers. Copyright © 2017 Elsevier Masson SAS. All rights reserved.
Subsidy or subtraction: how do terrestrial inputs influence consumer production in lakes?
Jones, Stuart E.; Solomon, Christopher T.; Weidel, Brian C.
2012-01-01
Cross-ecosystem fluxes are ubiquitous in food webs and are generally thought of as subsidies to consumer populations. Yet external or allochthonous inputs may in fact have complex and habitat-specific effects on recipient ecosystems. In lakes, terrestrial inputs of organic carbon contribute to basal resource availability, but can also reduce resource availability via shading effects on phytoplankton and periphyton. Terrestrial inputs might therefore either subsidise or subtract from consumer production. We developed and parameterised a simple model to explore this idea. The model estimates basal resource supply and consumer production given lake-level characteristics including total phosphorus (TP) and dissolved organic carbon (DOC) concentration, and consumer-level characteristics including resource preferences and growth efficiencies. Terrestrial inputs diminished primary production and total basal resource supply at the whole-lake level, except in ultra-oligotrophic systems. However, this system-level generalisation masked complex habitat-specific effects. In the pelagic zone, dissolved and particulate terrestrial carbon inputs were available to zooplankton via several food web pathways. Consequently, zooplankton production usually increased with terrestrial inputs, even as total whole-lake resource availability decreased. In contrast, in the benthic zone the dominant, dissolved portion of the terrestrial carbon load had predominantly negative effects on resource availability via shading of periphyton. Consequently, terrestrial inputs always decreased zoobenthic production except under extreme and unrealistic parameterisations of the model. Appreciating the complex and habitat-specific effects of allochthonous inputs may be essential for resolving the effects of cross-habitat fluxes on consumers in lakes and other food webs.
A Vision for Co-optimized T&D System Interaction with Renewables and Demand Response
DOE Office of Scientific and Technical Information (OSTI.GOV)
Anderson, C. Lindsay; Zéphyr, Luckny; Liu, Jialin
The evolution of the power system to the reliable, effi- cient and sustainable system of the future will involve development of both demand- and supply-side technology and operations. The use of demand response to counterbalance the intermittency of re- newable generation brings the consumer into the spotlight. Though individual consumers are interconnected at the low-voltage distri- bution system, these resources are typically modeled as variables at the transmission network level. In this paper, a vision for co- optimized interaction of distribution systems, or microgrids, with the high-voltage transmission system is described. In this frame- work, microgrids encompass consumers, distributed renewablesmore » and storage. The energy management system of the microgrid can also sell (buy) excess (necessary) energy from the transmission system. Preliminary work explores price mechanisms to manage the microgrid and its interactions with the transmission system. Wholesale market operations are addressed through the devel- opment of scalable stochastic optimization methods that provide the ability to co-optimize interactions between the transmission and distribution systems. Modeling challenges of the co-optimization are addressed via solution methods for large-scale stochastic op- timization, including decomposition and stochastic dual dynamic programming.« less
Bar-Zeev, Yael; Bovill, Michelle; Bonevski, Billie; Gruppetta, Maree; Reath, Jennifer; Gould, Gillian S
2017-09-29
Australian Aboriginal pregnant women have a high smoking prevalence (45%). Health professionals lack adequate educational resources to manage smoking. Resources need to be tailored to ensure saliency, cultural-sensitivity and account for diversity of Indigenous populations. As part of an intervention to improve health professionals' smoking cessation care in Aboriginal pregnant women, a resource package was developed collaboratively with two Aboriginal Medical Services. The purpose of this study was to assess and validate this resource package. A multi-centred community-based participatory 4-step process (with three Aboriginal Medical Services from three Australian states), included: (1) Scientific review by an expert panel (2) 'Suitability of Materials' scoring by two Aboriginal Health Workers (3) Readability scores (4) Focus groups with health professionals. Content was analysed using six pre-determined themes (attraction, comprehension, self-efficacy, graphics and layout, cultural acceptability, and persuasion), with further inductive analysis for emerging themes. Suitability of Material scoring was adequate or superior. Average readability was grade 6.4 for patient resources (range 5.1-7.2), and 9.8 for health provider resources (range 8.5-10.6). Emergent themes included 'Getting the message right'; 'Engaging with family'; 'Needing visual aids'; and 'Requiring practicality under a tight timeframe'. Results were presented back to a Stakeholder and Consumer Aboriginal Advisory Panel and resources were adjusted accordingly. This process ensured materials used for the intervention were culturally responsive, evidence-based and useful. This novel formative evaluation protocol could be adapted for other Indigenous and culturally diverse interventions. The added value of this time-consuming and costly process is yet to be justified in research, and might impact the potential adaption by other projects.
Experimental Verification and Integration of a Next Generation Smart Power Management System
NASA Astrophysics Data System (ADS)
Clemmer, Tavis B.
With the increase in energy demand by the residential community in this country and the diminishing fossil fuel resources being used for electric energy production there is a need for a system to efficiently manage power within a residence. The Smart Green Power Node (SGPN) is a next generation energy management system that automates on-site energy production, storage, consumption, and grid usage to yield the most savings for both the utility and the consumer. Such a system automatically manages on-site distributed generation sources such as a PhotoVoltaic (PV) input and battery storage to curtail grid energy usage when the price is high. The SGPN high level control features an advanced modular algorithm that incorporates weather data for projected PV generation, battery health monitoring algorithms, user preferences for load prioritization within the home in case of an outage, Time of Use (ToU) grid power pricing, and status of on-site resources to intelligently schedule and manage power flow between the grid, loads, and the on-site resources. The SGPN has a scalable, modular architecture such that it can be customized for user specific applications. This drove the topology for the SGPN which connects on-site resources at a low voltage DC microbus; a two stage bi-directional inverter/rectifier then couples the AC load and residential grid connect to on-site generation. The SGPN has been designed, built, and is undergoing testing. Hardware test results obtained are consistent with the design goals set and indicate that the SGPN is a viable system with recommended changes and future work.
Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments
This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. Th...
NASA Astrophysics Data System (ADS)
Farahmand, A.; Reager, J. T., II; Behrangi, A.; Stavros, E. N.; Randerson, J. T.
2017-12-01
Fires are a key disturbance globally acting as a catalyst for terrestrial ecosystem change and contributing significantly to both carbon emissions and changes in surface albedo. The socioeconomic impacts of wildfire activities are also significant with wildfire activity results in billions of dollars of losses every year. Fire size, area burned and frequency are increasing, thus the likelihood of fire danger, defined by United States National Interagency Fire Center (NFIC) as the demand of fire management resources as a function of how flammable fuels (a function of ignitability, consumability and availability) are from normal, is an important step toward reducing costs associated with wildfires. Numerous studies have aimed to predict the likelihood of fire danger, but few studies use remote sensing data to map fire danger at scales commensurate with regional management decisions (e.g., deployment of resources nationally throughout fire season with seasonal and monthly prediction). Here, we use NASA Gravity Recovery And Climate Experiment (GRACE) assimilated surface soil moisture, NASA Atmospheric Infrared Sounder (AIRS) vapor pressure deficit, NASA Moderate Resolution Imaging Spectroradiometer (MODIS) enhanced vegetation index products and landcover products, along with US Forest Service historical fire activity data to generate probabilistic monthly fire potential maps in the United States. These maps can be useful in not only government operational allocation of fire management resources, but also improving understanding of the Earth System and how it is changing in order to refine predictions of fire extremes.
Winters, Lisa K.; Budy, Phaedra
2015-01-01
In highly managed reservoir systems, species interactions within novel fish assemblages can be difficult to predict. In high-elevation Scofield Reservoir in Utah the unintentional introduction of Utah Chub Gila atraria and subsequent population expansion prompted a shift from stocking exclusively Rainbow Trout Oncorhynchus mykiss to include tiger trout (female Brown Trout Salmo trutta × male Brook Trout Salvelinus fontinalis) and Bonneville Cutthroat Trout O. clarkii utah, which composed a novel suite of top predators and potential competitors. We examined the interspecific interactions among Scofield Reservoir piscivores using a multifaceted approach including gut analyses, stable isotopes, and gape limitation. Large Cutthroat Trout consumed 50–100% Utah Chub and tiger trout consumed 45–80%. In contrast, small and large Rainbow Trout consumed primarily invertebrate prey and exhibited significant overlap with small tiger trout, Cutthroat Trout, and Utah Chub. Large Cutthroat Trout and tiger trout occupy a top piscivore trophic niche and are more littoral, while Rainbow Trout occupy an omnivore niche space and are more pelagic. Both Cutthroat and tiger trout varied in niche space with respect to size-class, demonstrating an ontogenetic shift to piscivory at approximately 350 mm TL. Cutthroat Trout and tiger trout are capable of consuming prey up to 50% of their own size, which is larger than predicted based on their theoretical gape limit. Because it appears food resources (Utah Chub) are not limited, and performance metrics are high, competition is unlikely between Cutthroat Trout and tiger trout. In contrast, apparent survival of Rainbow Trout has recently declined significantly, potentially due to shared food resources with Utah Chub or negative behavioral interactions with other members of the community. Collectively, this research aids in understanding biotic interactions within a top-heavy and novel fish community and assists towards developing and implementing suitable management strategies to control nuisance species.
Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments.
Zaleski, Rosemary T; Egeghy, Peter P; Hakkinen, Pertti J
2016-07-22
This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children's toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment.
Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments
Zaleski, Rosemary T.; Egeghy, Peter P.; Hakkinen, Pertti J.
2016-01-01
This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children’s toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment. PMID:27455300
ERIC Educational Resources Information Center
Scholl, Jan F., Comp.
This document, which is intended for family and consumer science teachers, contains two lists of recent magazine articles, curriculum guides, bibliographies, videotapes, and other educational resources and references about and for use in secondary-level family and consumer science courses. Included on the first list are the following: 50 magazine…
Is competition needed for ecological character displacement? Does displacement decrease competition?
Abrams, Peter A; Cortez, Michael H
2015-12-01
Interspecific competition for resources is generally considered to be the selective force driving ecological character displacement, and displacement is assumed to reduce competition. Skeptics of the prevalence of character displacement often cite lack of evidence of competition. The present article uses a simple model to examine whether competition is needed for character displacement and whether displacement reduces competition. It treats systems with competing resources, and considers cases when only one consumer evolves. It quantifies competition using several different measures. The analysis shows that selection for divergence of consumers occurs regardless of the level of between-resource competition or whether the indirect interaction between the consumers is competition (-,-), mutualism (+,+), or contramensalism (+,-). Also, divergent evolution always decreases the equilibrium population size of the evolving consumer. Whether divergence of one consumer reduces or increases the impact of a subsequent perturbation of the other consumer depends on the parameters and the method chosen for measuring competition. Divergence in mutualistic interactions may reduce beneficial effects of subsequent increases in the other consumer's population. The evolutionary response is driven by an increase in the relative abundance of the resource the consumer catches more rapidly. Such an increase can occur under several types of interaction. © 2015 The Author(s). Evolution published by Wiley Periodicals, Inc. on behalf of The Society for the Study of Evolution.
Rader, Tamara; Ueffing, Erin; Garcia-Elorrio, Ezequiel; Idzerda, Leanne; Ciapponi, Agustin; Irazola, Vilma; Welch, Vivian; Lyddiatt, Anne; Shea, Beverley; Newman, Stanton; Osborne, Richard; Tugwell, Peter S
2011-08-01
The 2008 World Health Report emphasizes the need for patient-centered primary care service delivery models in which patients are equal partners in the planning and management of their health. It is argued that this involvement will lead to improved management of disease, improved health outcomes and patient satisfaction, better informed decision-making, increased compliance with healthcare decisions, and better resource utilization. This article investigates the domains captured by the Effective Consumer Scale (EC-17) in relation to vulnerable population groups that experience health inequity. Particular focus is paid to the domain of health literacy as an area fundamental to patients' involvement in managing their condition and negotiating the healthcare system. In examining the possible influence of Outcome Measures in Rheumatology Clinical Trials (OMERACT) on health equity, we used the recent translation and validation of the EC-17 scale into Spanish and tested Argentina as an example. Future plans to use the EC-17 with vulnerable groups include formal collaboration and needs assessment with the community to tailor an intervention to meet its needs in a culturally relevant manner. Some systematic reviews have questioned whether interventions to improve effective consumer skills are appropriate in vulnerable populations. We propose that these populations may have the most to gain from such interventions since they might be expected to have relatively lower skills and health literacy than other groups.
Use of resources and postoperative outcome.
Niskanen, M M; Takala, J A
2001-09-01
To characterise those surgical patients who consume one half of all hospital patient days, and to compare their outcome with that of low consumers. A retrospective cohort study. Tertiary referral centre, Finland. 13025 surgical patients who were admitted to a university hospital in Kuopio, Finland, during 1997. The length of stay below which half of all patient days fell was chosen as a cut-off value to divide patients into low and high consumers. Hospital and 12-month mortality and standardised mortality ratios (SMR: observed deaths/expected deaths based on the corresponding general population). The 2239 patients (17%) whose length of stay exceeded 9 days (high consumers) took up one half of all patient days. The pattern of resource use varied between operative specialities. At 12 months the SMRs showed excess mortality among high consumers (5.0, 95% confidence interval 4.4 to 5.7) compared with low consumers (2.1, 95% CI 1.9 to 2.3). Relating the length of stay to the proportion of resources consumed may provide a feasible tool for the recognition of different patterns of use of resources. SMRs may be more relevant measures of outcome than hospital mortality when assessing the efficacy of operative treatment.
ERIC Educational Resources Information Center
Movey, Jan
This competency-based preservice home economics teacher education module on environmental issues and the consumer is the third in a set of seven modules on consumer education related to management. (This set is part of a larger series of sixty-seven modules on the Management Approach to Teaching Consumer and Homemaking Education [MATCHE]--see CE…
Time-driven activity-based costing.
Kaplan, Robert S; Anderson, Steven R
2004-11-01
In the classroom, activity-based costing (ABC) looks like a great way to manage a company's limited resources. But executives who have tried to implement ABC in their organizations on any significant scale have often abandoned the attempt in the face of rising costs and employee irritation. They should try again, because a new approach sidesteps the difficulties associated with large-scale ABC implementation. In the revised model, managers estimate the resource demands imposed by each transaction, product, or customer, rather than relying on time-consuming and costly employee surveys. This method is simpler since it requires, for each group of resources, estimates of only two parameters: how much it costs per time unit to supply resources to the business's activities (the total overhead expenditure of a department divided by the total number of minutes of employee time available) and how much time it takes to carry out one unit of each kind of activity (as estimated or observed by the manager). This approach also overcomes a serious technical problem associated with employee surveys: the fact that, when asked to estimate time spent on activities, employees invariably report percentages that add up to 100. Under the new system, managers take into account time that is idle or unused. Armed with the data, managers then construct time equations, a new feature that enables the model to reflect the complexity of real-world operations by showing how specific order, customer, and activity characteristics cause processing times to vary. This Tool Kit uses concrete examples to demonstrate how managers can obtain meaningful cost and profitability information, quickly and inexpensively. Rather than endlessly updating and maintaining ABC data,they can now spend their time addressing the deficiencies the model reveals: inefficient processes, unprofitable products and customers, and excess capacity.
Horne, Frances; Burns, Pippa; Traynor, Victoria; Gillespie, Robyn; Mullan, Judy; Baker, Amanda; Harrison, Lindsey; Win, Khin Than
2018-05-10
The purpose of the study was to evaluate the usefulness of the "Managing Medicines for People with Dementia" (www.dementiameds.com) website for informal carers. The management of medications for individuals living with a dementia by informal carers is a neglected area of care. We know that informal carers find it difficult accessing reliable and comprehensive information about medications. We also know that the Internet is a contemporary and growing medium through which consumers access health information. This study was unique in that it brought these two elements together through an interdisciplinary study about the usefulness of a new website providing information on medication management. Data collection consisted of focus groups with informal carers of individuals living with a dementia. Data were analysed through content analysis. Four themes were generated from the data to explain the evaluation of the website by informal carers: (1) Suitability of the website; (2) Presentation of the website; (3) Unexpected benefits of the website content; (4) Future enhancements for website. Participants overwhelmingly agreed the content of the website filled a gap in information needs about medication management for individuals living with a dementia. This qualitative evaluation demonstrated the value of the website as a resource for informal carers of individuals living with a dementia. The resource could also be used by community nurses and other healthcare practitioners to help informal carers better manage the medication regimes of individuals living with a dementia. The resource has the potential to reduce complications associated with mismanagement of medications and contribute to new policies for implementing safe medication practices. © 2018 John Wiley & Sons Ltd.
Functional requirements for onboard management of space shuttle consumables, volume 1
NASA Technical Reports Server (NTRS)
Graf, P. J.; Herwig, H. A.; Neel, L. W.
1973-01-01
A study was conducted to determine the functional requirements for onboard management of space shuttle consumables. A generalized consumable management concept was developed for application to advanced spacecraft. The subsystems and related consumables selected for inclusion in the consumables management system are: (1) propulsion, (2) power generation, and (3) environmental and life support.
NASA Astrophysics Data System (ADS)
Zhang, A.; Feng, D.; Tian, Y.; Zheng, Y.
2017-12-01
Water resource is of fundamental importance to the society and ecosystem in arid endorheic river basins, and water-use conflicts between upstream and downstream are usually significant. Heihe river basin (HRB) is the second largest endorheic river basin in china, which is featured with dry climate, intensively irrigated farmlands in oases and significant surface water-groundwater interaction. The irrigation districts in the middle HRB consume a large portion of the river flow, and the low HRB, mainly Gobi Desert, has an extremely vulnerable ecological environment. The water resources management has significantly altered the hydrological processes in HRB, and is now facing multiple challenges, including decline of groundwater table in the middle HRB, insufficient environmental flow for the lower HRB. Furthermore, future climate change adds substantial uncertainty to the water system. Thus, it is imperative to have a sustainable water resources management in HRB in order to tackle the existing challenges and future uncertainty. Climate projection form a dynamical downscaled climate change scenario shows precipitation will increase at a rate of approximately 3 millimeter per ten years and temperature will increase at a rate of approximately 0.2 centigrade degree per ten years in the following 50 years in the HRB. Based on an integrated ecohydrological model, we evaluated how the climate change and agricultural development would collaboratively impact the water resources and ecological health in the middle and lower HRB, and investigated how the water management should cope with the complex impact.
Grazer responses to variable macroalgal resource conditions facilitate habitat structuring
Perissinotto, Renzo; Bird, Matthew S.; Pelletier, Noémie
2018-01-01
Consumer responses to altered resource conditions can vary depending on dietary preference, resource characteristics and secondary resource features such as shelter. These can have cascading effects, especially if the consumed resource impacts on overall ecological functioning. In this study, we assessed the dietary composition of grazer communities following seasonal changes in the characteristics of their staple food-source (macroalgae). This was conducted in the living stromatolite pools growing along the coast of South Africa. Stable isotope mixing models suggested that following macroalgal bleaching in summer, metazoan consumers shifted their diet from predominantly macroalgae to a generalist composition. This has important implications for the integrity of the stromatolite matrix and its layered deposition. Where previously in winter stromatolite microalgae comprised a minor component of metazoan consumer diets, in summer, following a change in the resource conditions of macroalgae, microalgae featured more prominently in grazer diets. This seasonal grazing pressure on stromatolite-related resources probably promotes the pattern of annual layering observed in the stromatolite accretion. It also demonstrates a mechanism whereby grazer dietary shifts following a change in their preferred food resource can affect the ecosystem structure of their environment, specifically the stromatolite layering process which responds to microalgal growth or grazing conditions. PMID:29410845
NASA Technical Reports Server (NTRS)
Williams, David E.
2003-01-01
The assembly complete Environmental Control and Life Support (ECLS) s ystem for the International Space Station (ISS) will consist of compo nents and subsystems in both the U.S. and International partner eleme nts which together will perform the functions of Temperature and Hum idity Control (THC), Atmosphere Control and Supply (ACS), Atmosphere Revitalization (AR), Water Recovery and Management (WRM), Fire Detect ion and Suppression (FDS), and Vacuum System (VS) for the station. D ue to limited resources available on ISS, detailed attention is given to minimizing and tracking all resources associated with all systems , beginning with estimates during the hardware development phase thr ough measured actuals when flight hardware is built and delivered. A summary of resources consumed by the current on-orbit U.S. ECLS syste m hardware is presented, including launch weight, average continuous and peak power loads, on-orbit volume and resupply logistics. ..
NASA Technical Reports Server (NTRS)
Williams, David E.
2004-01-01
The Core Complete Environmental Control and Life Support (ECLS) System for the International Space Station (ISS) will consist of components and subsystems in both the United States (U.S.) and International Partner elements which together will perform the functions of Temperature and Humidity Control (THC), Atmosphere Control and Supply (ACS), Atmosphere Revitalization (AR), Water Recovery and Management (WRM), Fire Detection and Suppression (FDS), and Vacuum System (VS) for the station. Due to limited resources available on ISS, detailed attention is given to minimizing and tracking all resources associated with all systems, beginning with estimates during the hardware development phase through measured actuals when flight hardware is built and delivered. A summary of resources consumed by the addition of future U.S. ECLS system hardware to get to Core Complete is presented, including launch weight, average continuous and peak power loads, on-orbit volume and resupply logistics.
Resource Materials for Consumer Education, A Revision.
ERIC Educational Resources Information Center
Foxwell, V. Susan
This guide to resources in consumer education for grade levels K-12 is a revision and updating of a previous guide, ED 070 719. Resources are described in the following categories: multimedia; films; filmstrips; slides, pictures, and transparencies; booklets and study materials; books; records and tapes; teaching units, guidelines, and…
David Stoker; Amber J. Falkner; Kelly M. Murray; Ashley K. Lang; Thomas R. Barnum; Jeffrey Hepinstall-Cymerman; Michael J. Conroy; Robert J. Cooper; Catherine M. Pringle
2017-01-01
Resource subsidies and biodiversity are essential for maintaining community structure and ecosystem functioning, but the relative importance of consumer diversity and resource characteristics to decomposition remains unclear. Forested headwater streams are detritus-based systems, dependent on leaf litter inputs from adjacent riparian ecosystems, and...
Teachers Environmental Resource Unit: Consumer Resources Idea Manual.
ERIC Educational Resources Information Center
Bemiss, Clair W.
The Consumer Resources Environteam has developed this idea handbook as part of the Broad Spectrum Environmental Education Program in Brevard County, Florida. Interest had been displayed by local civic groups, fraternal clubs, and private organizations in identifying environmental improvement projects that could be undertaken by individual groups.…
Allocation of Health Resources According To the Type and Size of Iranian Governmental Hospitals
Hassani, SA; Abolhallaje, M; Inanlo, S; Hosseini, H; Pourmohammadi, K; Bastani, P; Ramezanian, M; Marnani, A Barati
2013-01-01
Background: Due to consuming about 50%–80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. Method: This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state’s hospitals from the size and type of application points of view. Results: The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Conclusion: Because 60–80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital. PMID:23865036
Resource-driven encounters among consumers and implications for the spread of infectious disease
Flynn, Jason M.
2017-01-01
Animals share a variety of common resources, which can be a major driver of conspecific encounter rates. In this work, we implement a spatially explicit mathematical model for resource visitation behaviour in order to examine how changes in resource availability can influence the rate of encounters among consumers. Using simulations and asymptotic analysis, we demonstrate that, under a reasonable set of assumptions, the relationship between resource availability and consumer conspecific encounters is not monotonic. We characterize how the maximum encounter rate and associated critical resource density depend on system parameters like consumer density and the maximum distance from which consumers can detect and respond to resources. The assumptions underlying our theoretical model and analysis are motivated by observations of large aggregations of black-backed jackals at carcasses generated by seasonal outbreaks of anthrax among herbivores in Etosha National Park, Namibia. As non-obligate scavengers, black-backed jackals use carcasses as a supplemental food resource when they are available. While jackals do not appear to acquire disease from ingesting anthrax carcasses, changes in their movement patterns in response to changes in carcass abundance do alter jackals' conspecific encounter rate in ways that may affect the transmission dynamics of other diseases, such as rabies. Our theoretical results provide a method to quantify and analyse the hypothesis that the outbreak of a fatal disease among herbivores can potentially facilitate outbreaks of an entirely different disease among jackals. By analysing carcass visitation data, we find support for our model's prediction that the number of conspecific encounters at resource sites decreases with additional increases in resource availability. Whether or not this site-dependent effect translates to an overall decrease in encounters depends, unexpectedly, on the relationship between the maximum distance of detection and the resource density. PMID:29021163
Lead recycling in the United States in 1998
Smith, Gerald R.
2002-01-01
This materials flow study includes a description of lead supply and demand factors for the United States to illustrate the extent of lead recycling and to identify recycling trends. Understanding the system of materials flow from source to ultimate disposition can assist in improving the management of the use of natural resources in a manner that is compatible with sound environmental practices. The quantity of lead recycled in 1998, as a percentage of apparent lead supply, was estimated to be about 63 percent, and recycling efficiency, to be 95 percent. Of the total lead consumed in products for the U.S. market in 1998, an estimated 10 percent was consumed in products in which the lead was not readily recyclable.
Tune-Up Your Fan Systems for Improved Performance
DOE Office of Scientific and Technical Information (OSTI.GOV)
Fans are used extensively in commercial buildings and represent approximately 6% of total energy consumed by commercial buildings. The U.S. Department of Energy (DOE) estimates that fans in commercial buildings consume 158 billion kWh of electricity annually. Maintaining fan systems in proper condition provides energy savings and ensures a comfortable and healthy environment. While many fan systems have significant energy savings opportunities available through improvements in fan selection, system design, and operational practices, it is not always apparent when a fan system needs maintenance or what opportunities are available for improvements. This resource is designed for facility managers and maintenancemore » staff to provide easy-to-implement actionable guidance on fan efficiency measures for existing ducted air systems.« less
PPO and HMO performance factors: insurance company evaluation criteria.
Rodin, B E
1993-01-01
A venture into managed care should be done only following the proper amount of due diligence. The goal should be to select the most effective managed care organization with the flexibility to meet long-term needs and the mission to work on an ongoing basis to improve service and managed care performance. Unfortunately, all too often purchasers do not demand critical information from managed care service providers. As a result, poor quality organizations have prospered and delivered less than satisfactory results. In fact, it is not unusual that savings from discounts are more than offset by increased use of health care services because of poor utilization management. It is important to be aware that use of the appropriate selection methods and monitoring performance on an ongoing basis are best done by dedicated professionals. They are also resource intensive and require a sophisticated systems capability. Since resources and systems involve significant investment, the most appropriate course for purchasers is to play the role of educated consumers. Detailed documentation should be demanded from all potential service providers to ensure that due diligence and ongoing management are in fact performed. The health care management staff at ITT Hartford is often told by managed care vendors that few other purchasers perform thorough review. It is imperative that managed care be scrutinized at least as closely as any important business venture.
Wolfson, Daniel; Santa, John; Slass, Lorie
2014-07-01
Wise management of health care resources is a core tenet of medical professionalism. To support physicians in fulfilling this responsibility and to engage patients in discussions about unnecessary care, tests, and procedures, in April 2012 the American Board of Internal Medicine Foundation, Consumer Reports, and nine medical specialty societies launched the Choosing Wisely campaign. The authors describe the rationale for and history of the campaign, its structure and approach in terms of engaging both physicians and patients, lessons learned, and future steps.In developing the Choosing Wisely campaign, the specialty societies each developed lists of five tests and procedures that physicians and patients should question. Over 50 specialty societies have developed more than 250 evidence-based recommendations, some of which Consumer Reports has "translated" into consumer-friendly language and helped disseminate to tens of millions of consumers. A number of delivery systems, specialty societies, state medical societies, and regional health collaboratives are also advancing the campaign's recommendations. The campaign's success lies in its unique focus on professional values and patient-physician conversations to reduce unnecessary care. Measurement and evaluation of the campaign's impact on attitudinal and behavioral change is needed.
ERIC Educational Resources Information Center
Jones, Sandra; Neal, Kathy
This consumer education resources catalog provides an annotated guide to 16mm films, multi-media kits, video cassettes, simulations and games, and printed materials related to consumer education available from Michigan Department of Education's Regional Education Media Centers. The first major section lists available media by specific subject…
Classrooms & Community: Using Community Resources in the Consumer Education Curriculum.
ERIC Educational Resources Information Center
Smorodin, Calla; And Others
Intended to supplement the fifth grade textbook "Young Consumers" (part of the "Law in Action Series" by West Publishing Company, 1980), this guide contains 22 lessons each of which includes a classroom visit from a community resource person. The guide is a product of the Urban Consumer Education Project, a cooperative program between the St.…
Vernooij, Robin W M; Willson, Melina; Gagliardi, Anna R
2016-04-14
Self-management is an important component of care for patients or consumers (henceforth termed patients) with chronic conditions. Research shows that patients view guidelines as potential sources of self-management support. However, few guidelines provide such support. The primary purpose of this study was to characterize effective types of self-management interventions that could be packaged as resources in (i.e., appendices) or with guidelines (i.e., accompanying products). We conducted a meta-review of systematic reviews that evaluated self-management interventions. MEDLINE, EMBASE, and the Cochrane Library were searched from 2005 to 2014 for English language systematic reviews. Data were extracted on study characteristics, intervention (content, delivery, duration, personnel, single or multifaceted), and outcomes. Interventions were characterized by the type of component for different domains (inform, activate, collaborate). Summary statistics were used to report the characteristics, frequency, and impact of the types of self-management components. A Measurement Tool to Assess Systematic Reviews (AMSTAR) was used to assess the methodological quality of included reviews. Seventy-seven studies were included (14 low, 44 moderate, 18 high risk of bias). Reviews addressed numerous clinical topics, most frequently diabetes (23, 30 %). Fifty-four focused on single (38 educational, 16 self-directed) and 21 on multifaceted interventions. Support for collaboration with providers was the least frequently used form of self-management. Most conditions featured multiple types of self-management components. The most frequently occurring type of self-management component across all studies was lifestyle advice (72 %), followed by psychological strategies (69 %), and information about the condition (49 %). In most reviews, the intervention both informed and activated patients (57, 76 %). Among the reviews that achieved positive results, 83 % of interventions involved activation alone, 94 % in combination with information, and 95 % in combination with information and collaboration. No trends in the characteristics and impact of self-management by condition were observed. This study revealed numerous opportunities for enhancing guidelines with resources for both patients and providers to support self-management. This includes single resources that provide information and/or prompt activation. Further research is needed to more firmly establish the statistical association between the characteristics of self-management support and outcomes; and to and optimize the design of self-management resources that are included in or with guidelines, in particular, resources that prompt collaboration with providers.
Effect of Total Quality Management on the Quality and Productivity of Human Resources
NASA Astrophysics Data System (ADS)
Siregar, I.; Nasution, A. A.; Sari, R. M.
2017-03-01
Human resources is the main factor in improving company performance not only in industrial products but also services. Therefore, all of the organization performers involved must work together to achieve product quality services expected by consumers. Educational institutions are the service industries which are educators and instructor involved in it. Quality of product and services produced depends on the education organization performers. This study did a survey of instructors in public and private universities in North Sumatra to obtain the factors that affect quality of human resources and productivity of human resources. Human resources quality is viewed by the elements of TQM. TQM elements that are discussed in this study are leadership, communication, training and education, support structure, measurement and reward and recognition. The results of this study showed a correlation numbers across the exogenous variables on endogenous variables relationships tend to be strong and be positive. In addition, elements of TQM are discussed except the support structure which has a direct influence on the quality of human resources. Variable leadership, reward and recognition and quality of human resources have a significant effect on productivity.
Program budgeting and marginal analysis: a case study in chronic airflow limitation.
Crockett, A; Cranston, J; Moss, J; Scown, P; Mooney, G; Alpers, J
1999-01-01
Program budgeting and marginal analysis is a method of priority-setting in health care. This article describes how this method was applied to the management of a disease-specific group, chronic airflow limitation. A sub-program flow chart clarified the major cost drivers. After assessment of the technical efficiency of the sub-programs and careful and detailed analysis, incremental and decremental wish lists of activities were established. Program budgeting and marginal analysis provides a framework for rational resource allocation. The nurturing of a vigorous program management group, with members representing all participants in the process (including patients/consumers), is the key to a successful outcome.
Algrain, Marcelo C.; Johnson, Kris W.; Akasam, Sivaprasad; Hoff, Brian D.
2007-10-02
A method of managing power resources for an electrical system of a vehicle may include identifying enabled power sources from among a plurality of power sources in electrical communication with the electrical system and calculating a threshold power value for the enabled power sources. A total power load placed on the electrical system by one or more power consumers may be measured. If the total power load exceeds the threshold power value, then a determination may be made as to whether one or more additional power sources is available from among the plurality of power sources. At least one of the one or more additional power sources may be enabled, if available.
Utility competition, DSM, and piano bars: The fatal flaw
DOE Office of Scientific and Technical Information (OSTI.GOV)
Studness, C.M.
1993-08-01
This article is an economic analysis of demand side management (DSM). The author contends that utilities and regulators have lost sight of their primary mission of providing electric power as efficiently as possible; DSM conflicts with this mission. DSM measures have not be submitted to a market test, so utilities are not necessarily providing the customers with what they want. This situation is compared to the airline industry before deregulation, when airlines provided expensive services that customers did not want. Also, with present technology, DSM measures consume more in total resources than it what it costs to produce electricity, therebymore » depleting the nation's resources at a greater rate.« less
Functional Requirements for Onboard Management of Space Shuttle Consumables. Volume 2
NASA Technical Reports Server (NTRS)
Graf, P. J.; Herwig, H. A.; Neel, L. W.
1973-01-01
This report documents the results of the study "Functional Requirements for Onboard Management of Space Shuttle Consumables." The study was conducted for the Mission Planning and Analysis Division of the NASA Lyndon B. Johnson Space Center, Houston, Texas, between 3 July 1972 and 16 November 1973. The overall study program objective was two-fold. The first objective was to define a generalized consumable management concept which is applicable to advanced spacecraft. The second objective was to develop a specific consumables management concept for the Space Shuttle vehicle and to generate the functional requirements for the onboard portion of that concept. Consumables management is the process of controlling or influencing the usage of expendable materials involved in vehicle subsystem operation. The report consists of two volumes. Volume I presents a description of the study activities related to general approaches for developing consumable management, concepts for advanced spacecraft applications, and functional requirements for a Shuttle consumables management concept. Volume II presents a detailed description of the onboard consumables management concept proposed for use on the Space Shuttle.
Consumers' and case managers' perceptions of mental health and community support service needs.
Crane-Ross, D; Roth, D; Lauber, B G
2000-04-01
Consumers with serious and persistent mental illness (N = 385) and their case managers rated the amount of help needed and the amount of help received with mental health and community support services. Consumers also identified their primary source of help with each type of need. Results highlighted areas of agreement and disagreement between consumers' and case managers' perceptions. Consumers' reports revealed a strong reliance on sources of support outside the mental health system (e.g., family and friends) for many community support service needs, interpersonal needs, and crisis-related needs. In general, correlations between consumers' and case managers' ratings of help needed and help received were low. Consumers perceived the majority of their needs to be unmet; case managers perceived the majority of consumer needs to be overly met. Discussion focuses on the importance of increasing consensus between consumers and case managers regarding needs by including consumers in treatment planning and providing them with more information about available services. It is recommended that researchers and evaluators examine perceptions of help needed, help received, and sources of help when assessing service needs.
ERIC Educational Resources Information Center
Antonelli, Sharon
These three instruction manuals are designed as aids for faculty and staff teaching consumer education, nutrition, and parenting. They include resources for teaching limited English speaking students. A 17-page Vocational English as a Second Language (VESL) annotated bibliography precedes the instruction manuals. Each manual consists of 18 units.…
Restful Implementation of Catalogue Service for Geospatial Data Provenance
NASA Astrophysics Data System (ADS)
Jiang, L. C.; Yue, P.; Lu, X. C.
2013-10-01
Provenance, also known as lineage, is important in understanding the derivation history of data products. Geospatial data provenance helps data consumers to evaluate the quality and reliability of geospatial data. In a service-oriented environment, where data are often consumed or produced by distributed services, provenance could be managed by following the same service-oriented paradigm. The Open Geospatial Consortium (OGC) Catalogue Service for the Web (CSW) is used for the registration and query of geospatial data provenance by extending ebXML Registry Information Model (ebRIM). Recent advance of the REpresentational State Transfer (REST) paradigm has shown great promise for the easy integration of distributed resources. RESTful Web Service aims to provide a standard way for Web clients to communicate with servers based on REST principles. The existing approach for provenance catalogue service could be improved by adopting the RESTful design. This paper presents the design and implementation of a catalogue service for geospatial data provenance following RESTful architecture style. A middleware named REST Converter is added on the top of the legacy catalogue service to support a RESTful style interface. The REST Converter is composed of a resource request dispatcher and six resource handlers. A prototype service is developed to demonstrate the applicability of the approach.
Consumers' disease information-seeking behaviour on the Internet in Korea.
Yun, Eun Kyoung; Park, Hyeoun-Ae
2010-10-01
This study was conducted to explain the relationships of the factors affecting consumers' disease information-seeking behaviour on the Internet in Korea. Similar to other countries, Korea is facing an increasing use of Internet as a resource of health information. With the paradigm shifts towards consumer-centred health service, it is expected that more health care consumers will use the Internet actively in the future. A survey was conducted using a self-selected convenience sample. A conceptual model was derived by extending technology acceptance model and tested via structural equation modelling. The overall goodness of fit of the conceptual model was acceptable. Consumers' health consciousness, perceived health risk and Internet health information use efficacy were found to influence consumers' beliefs, attitude and intention of use disease information on the Internet. But Internet health information use efficacy did not significantly influence perceived usefulness. It was also identified that consumers' perceived credibility of the information in the websites was the main determinant in forming of attitude towards disease information on the Internet. Technology acceptance model has been extended and examined successfully in explaining consumers' disease information-seeking behaviour on the Internet. It was found that consumers' cognitive and affective characteristics, determined as initiators in health-related behaviour, also impacted consumers' disease information-seeking behaviour on the Internet. These findings may be used to help nurses to predict and identify the factors affecting individual's use of disease information on the Internet. Based on this knowledge, nurses will be able to develop nursing intervention programmes for the patients' health management. © 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd.
Using one-way communications in a market-based resource allocation system
Chassin, David P.; Pratt, Robert G.
2014-07-22
Disclosed herein are representative embodiments of methods, apparatus, and systems for distributing a resource (such as electricity) using a resource allocation system. In one exemplary embodiment, a plurality of requests for electricity are received from a plurality of end-use consumers. The requests indicate a requested quantity of electricity and a consumer-requested index value indicative of a maximum price a respective end-use consumer will pay for the requested quantity of electricity. A plurality of offers for supplying electricity are received from a plurality of resource suppliers. The offers indicate an offered quantity of electricity and a supplier-requested index value indicative of a minimum price for which a respective supplier will produce the offered quantity of electricity. A dispatched index value is computed at which electricity is to be supplied based at least in part on the consumer-requested index values and the supplier-requested index values.
Electric power grid control using a market-based resource allocation system
Chassin, David P
2014-01-28
Disclosed herein are representative embodiments of methods, apparatus, and systems for distributing a resource (such as electricity) using a resource allocation system. In one exemplary embodiment, a plurality of requests for electricity are received from a plurality of end-use consumers. The requests indicate a requested quantity of electricity and a consumer-requested index value indicative of a maximum price a respective end-use consumer will pay for the requested quantity of electricity. A plurality of offers for supplying electricity are received from a plurality of resource suppliers. The offers indicate an offered quantity of electricity and a supplier-requested index value indicative of a minimum price for which a respective supplier will produce the offered quantity of electricity. A dispatched index value is computed at which electricity is to be supplied based at least in part on the consumer-requested index values and the supplier-requested index values.
Using bi-directional communications in a market-based resource allocation system
Chassin, David P; Pratt, Robert G
2014-04-01
Disclosed herein are representative embodiments of methods, apparatus, and systems for distributing a resource (such as electricity) using a resource allocation system. In one exemplary embodiment, a plurality of requests for electricity are received from a plurality of end-use consumers. The requests indicate a requested quantity of electricity and a consumer-requested index value indicative of a maximum price a respective end-use consumer will pay for the requested quantity of electricity. A plurality of offers for supplying electricity are received from a plurality of resource suppliers. The offers indicate an offered quantity of electricity and a supplier-requested index value indicative of a minimum price for which a respective supplier will produce the offered quantity of electricity. A dispatched index value is computed at which electricity is to be supplied based at least in part on the consumer-requested index values and the supplier-requested index values.
Electric power grid control using a market-based resource allocation system
Chassin, David P.
2015-07-21
Disclosed herein are representative embodiments of methods, apparatus, and systems for distributing a resource (such as electricity) using a resource allocation system. In one exemplary embodiment, a plurality of requests for electricity are received from a plurality of end-use consumers. The requests indicate a requested quantity of electricity and a consumer-requested index value indicative of a maximum price a respective end-use consumer will pay for the requested quantity of electricity. A plurality of offers for supplying electricity are received from a plurality of resource suppliers. The offers indicate an offered quantity of electricity and a supplier-requested index value indicative of a minimum price for which a respective supplier will produce the offered quantity of electricity. A dispatched index value is computed at which electricity is to be supplied based at least in part on the consumer-requested index values and the supplier-requested index values.
Using bi-directional communications in a market-based resource allocation system
Chassin, David P.; Pratt, Robert G.
2015-09-08
Disclosed herein are representative embodiments of methods, apparatus, and systems for distributing a resource (such as electricity) using a resource allocation system. In one exemplary embodiment, a plurality of requests for electricity are received from a plurality of end-use consumers. The requests indicate a requested quantity of electricity and a consumer-requested index value indicative of a maximum price a respective end-use consumer will pay for the requested quantity of electricity. A plurality of offers for supplying electricity are received from a plurality of resource suppliers. The offers indicate an offered quantity of electricity and a supplier-requested index value indicative of a minimum price for which a respective supplier will produce the offered quantity of electricity. A dispatched index value is computed at which electricity is to be supplied based at least in part on the consumer-requested index values and the supplier-requested index values.
Using bi-directional communications in a market-based resource allocation system
Chassin, David P; Pratt, Robert G
2015-05-05
Disclosed herein are representative embodiments of methods, apparatus, and systems for distributing a resource (such as electricity) using a resource allocation system. In one exemplary embodiment, a plurality of requests for electricity are received from a plurality of end-use consumers. The requests indicate a requested quantity of electricity and a consumer-requested index value indicative of a maximum price a respective end-use consumer will pay for the requested quantity of electricity. A plurality of offers for supplying electricity are received from a plurality of resource suppliers. The offers indicate an offered quantity of electricity and a supplier-requested index value indicative of a minimum price for which a respective supplier will produce the offered quantity of electricity. A dispatched index value is computed at which electricity is to be supplied based at least in part on the consumer-requested index values and the supplier-requested index values.
NASA Technical Reports Server (NTRS)
Newman, C. M.
1976-01-01
The constraints and limitations for STS Consumables Management are studied. Variables imposing constraints on the consumables related subsystems are identified, and a method determining constraint violations with the simplified consumables model in the Mission Planning Processor is presented.
Lost water and nitrogen resources due to EU consumer food waste
NASA Astrophysics Data System (ADS)
Vanham, D.; Bouraoui, F.; Leip, A.; Grizzetti, B.; Bidoglio, G.
2015-08-01
The European Parliament recently called for urgent measures to halve food waste in the EU, where consumers are responsible for a major part of total waste along the food supply chain. Due to a lack of data on national food waste statistics, uncertainty in (consumer) waste quantities (and the resulting associated quantities of natural resources) is very high, but has never been previously assessed in studies for the EU. Here we quantify: (1) EU consumer food waste, and (2) associated natural resources required for its production, in term of water and nitrogen, as well as estimating the uncertainty of these values. Total EU consumer food waste averages 123 (min 55-max 190) kg/capita annually (kg/cap/yr), i.e. 16% (min 7-max 24%) of all food reaching consumers. Almost 80%, i.e. 97 (min 45-max 153) kg/cap/yr is avoidable food waste, which is edible food not consumed. We have calculated the water and nitrogen (N) resources associated with avoidable food waste. The associated blue water footprint (WF) (the consumption of surface and groundwater resources) averages 27 litre per capita per day (min 13-max 40 l/cap/d), which slightly exceeds the total blue consumptive EU municipal water use. The associated green WF (consumptive rainwater use) is 294 (min 127-max 449) l/cap/d, equivalent to the total green consumptive water use for crop production in Spain. The nitrogen (N) contained in avoidable food waste averages 0.68 (min 0.29-max 1.08) kg/cap/yr. The food production N footprint (any remaining N used in the food production process) averages 2.74 (min 1.02-max 4.65) kg/cap/yr, equivalent to the use of mineral fertiliser by the UK and Germany combined. Among all the food product groups wasted, meat accounts for the highest amounts of water and N resources, followed by wasted cereals. The results of this study provide essential insights and information on sustainable consumption and resource efficiency for both EU policies and EU consumers.
Coelho, Thereza Christina Bahia; Paim, Jairnilson Silva
2005-01-01
This case study is based on research performed by the Bahia State Health Secretariat (SESAB), aimed at analyzing management practices during the implementation of a State government administrative reform. The institutional agenda shows evidence of limited participation by civil society and technical and operational staff in problem selection and prioritization, resulting from a work process pressured by high-level executive government staff. Decisions regarding "output" (projects, services, and activities) were made under the responsibility of subordinate operational levels and did not appear as issues in the institutional routine. Concerns related to "input" (financial and human resources) consumed most of the high-level efforts, with internal and external negotiations and compromises to assure access to them. Meanwhile the possible "outcome", namely public health status, represents the "occult subject" of the institutional discourse. Information emerges in institutional disputes as a technical "power resource" in its medical, epidemiological, health, and administrative dimensions. The issue of government "representation" and allied interests is based on ideological dispositions and authoritarian practices, thus contradicting the need for management transparency and modernization.
Space Vehicle Powerdown Philosophies Derived from the Space Shuttle Program
NASA Technical Reports Server (NTRS)
Willsey, Mark; Bailey, Brad
2011-01-01
In spaceflight, electrical power is a vital but limited resource. Almost every spacecraft system, from avionics to life support systems, relies on electrical power. Since power can be limited by the generation system s performance, available consumables, solar array shading, or heat rejection capability, vehicle power management is a critical consideration in spacecraft design, mission planning, and real-time operations. The purpose of this paper is to capture the powerdown philosophies used during the Space Shuttle Program. This paper will discuss how electrical equipment is managed real-time to adjust the overall vehicle power level to ensure that systems and consumables will support changing mission objectives, as well as how electrical equipment is managed following system anomalies. We will focus on the power related impacts of anomalies in the generation systems, air and liquid cooling systems, and significant environmental events such as a fire, decrease in cabin pressure, or micrometeoroid debris strike. Additionally, considerations for executing powerdowns by crew action or by ground commands from Mission Control will be presented. General lessons learned from nearly 30 years of Space Shuttle powerdowns will be discussed, including an in depth case-study of STS-117. During this International Space Station (ISS) assembly mission, a failure of computers controlling the ISS guidance, navigation, and control system required that the Space Shuttle s maneuvering system be used to maintain attitude control. A powerdown was performed to save power generation consumables, thus extending the docked mission duration and allowing more time to resolve the issue.
Hammel, Joy
2003-06-01
Findings from needs assessments and abandonment studies point to issues with health care providers, particularly in their ability to listen to the needs of the consumer and important others regarding AT-EI. Professionals need to listen to what people are telling them or, in many cases, what they are not telling them. Actions and nonverbal messages can speak very loudly. Strategies to communicate and collaborate with consumers need to be developed. Regardless of ability to communicate or the severity of the impairments the person may be experiencing, it is important to withhold judgments that may underestimate a person's potential or desire to be in control of life decisions. AT-EI service have often seen people labeled with severe or profound intellectual disabilities challenge that diagnosis after accessing a communication or access system. Likewise, a person with a severe disability has the right to supportive resources and to the same level of respect, dignity, and quality of life as any other member of society. Using the technology and adapting the environment to provide opportunities for consumers to "voice" their wishes and control their lives can be an effective strategy to collaborate. When focusing on a rights-based philosophy, recognizing the difference between physical independence (e.g., physical and/or cognitive ability to do a task by oneself) and self-care management (e.g., access to and power to manage the supportive resources to live in the community regardless of level of physical ability) is important. We all rely on supports in our lives, whether it be tools or technology to help us do a job or another person, yet when we evaluate people with disabilities, the expectation is for people to function independently [23,24]. They even receive lower scores on functional assessments if they are using a piece of technology to do an activity. By shifting the focus to management of and access to resources versus level of physical dependence or burden, health care professionals can play a role in linking people to such resources as AT-EI and related services and strategies to support community living. Such a shift in focus also enables professionals to validate interdependence; that is, the give-take relationships that people have with each other to support each other [25]. The use of AT-EI by people with developmental disabilities often involves an interdependent relationship in which another person may help set up the environment or technology and, in turn, the consumer can then reciprocate and engage in an activity or a relationship [1]. Health care professionals also need to better understand and take into consideration the social context, its influence on consumers' use or nonuse of AT-EI, and the long-term influence on community living and participation decisions [1]. Nurses can involve important others in the process by listening to and considering their needs, and ensuring that they are informed about options, the benefits of using AT-EI for the consumer and themselves, and how to set up and troubleshoot the AT-EI. In cases where important others are not supportive, health care professionals may be in a position to link the consumer with other consumers and advocacy groups such as Centers for Independent Living or Self Advocates Becoming Empowered that may offer that support as well as membership in a collective community engaged in systems change. Health care professionals can serve as a system interface by linking people to information and resources to make informed decisions [26]. Resources on developmental disability and health, common issues that may occur, and life course planning help people identify functional issues and early signs of accelerated aging and proactively use the environment and technology to stay in living situations of choice. Few health care professionals are well prepared to provide services to people with developmental disabilities as they age; a great need exists for providers of such specialized services and for proactive later-life screenings that can identify issues early and make the most use of AT-EI strategies to address aging issues [26,28]. At any given point in time in the life of people with developmental disabilities, many different professionals and systems may be involved in decisions that could include AT-EI. Medical, educational, vocational, independent living, and case management systems may all be working with the person; however, there is often limited or no communication between them, particularly as the person ages or transitions between settings. Health care professionals, even when they are working with an individual on a limited basis, can and should take on active roles in linking consumers and important others with other systems and should ensure that information about their AT-EI needs is transferred accurately between systems. Most likely, nurses may be in a role to refer a person to specialized services, whether they may be medical, rehabilitative, AT-EI-specific, or disability advocacy groups that can help support the person as they face barriers or seek out AT. Nurses may also be in a role to pass on important information about the person's health and medical status that can help to better inform AT-EI decisions to ensure the AT meets the person's needs across contexts. As an interface, nurses may assume a role as a supporting advocate for accessing resources, not as a gatekeeper who makes decisions for people. This includes referring individuals with developmental disabilities to people and groups that know how to get AT-EI, how to fund it, and how to troubleshoot it, and linking them to other people with disabilities who are sharing strategies in person and on-line. It also includes focusing beyond basic self-care and considers AT-EI strategies that enable a person to participate in high meaning activities and roles in the home and the community. Participation in activities identified as highly meaningful and important to the person, such as participating in a religious community, networking with other people on-line, gardening, or being a member of a community group, to name a few, can positively contribute to health, wellness, and quality of life; the challenge is to create and adapt the environment (social, physical, and societal) to support participation choices and control.
Consumer's Resource Handbook and A Suggested Teacher's Guide to the Consumer's Resource Handbook.
ERIC Educational Resources Information Center
Department of Transportation, Washington, DC.
The booklet is an informational and educational tool designed to help a consumer do three things: (1) to communicate more effectively with those who provide the products and services he or she buys; (2) to locate sources of help; and (3) to resolve complaints in the most effective manner. The booklet contains two major parts. Part 1, "How To…
Bracken, Matthew E. S.
2017-01-01
The concept of ecological stoichiometry—the balancing of elemental ratios in ecological interactions—has transformed our thinking about processes in natural systems. Here, this perspective is applied to rocky shore ecosystems to explore the consequences of variation in internal nutrient ratios across two trophic levels. Specifically, I measured the internal concentrations of carbon (C) and nitrogen (N) in mussels (Mytilus spp.) and particulate organic matter (POM) to evaluate the effects of stoichiometric mismatch—the difference in the carbon-to-nitrogen ratio (C:N) between a consumer and its resources—on mussel growth at sites on the coasts of Oregon, USA, and the South Island of New Zealand. As POM quality (i.e., Chl a, a proxy for phytoplankton availability in the POM) increased, C:N of the POM declined, but C:N of mussels increased. This resulted in a greater mismatch in C:N between mussels and their food source at low Chl a. Mussel growth across sites was positively associated with Chl a, particulate organic carbon (POC), and particulate organic nitrogen (PON) but negatively associated with stoichiometric mismatch. Overall, as the elemental ratios of consumers became more different from those of their resources, growth declined, likely due to the energetic cost associated with processing lower quality food. Furthermore, the effect of food quantity on growth depended on stoichiometric mismatch. In New Zealand, where mismatch was high—i.e., consumer C:N differed substantially from resource C:N—consumer growth was strongly affected by resource quantity (Chl a or POC). However, in Oregon, where mismatch was low, the relationship between resource quantity and growth was considerably weaker. This interaction between resource quantity and mismatch was not apparent for PON, which is consistent with variation in PON underlying variation in POM C:N and highlights the role of N in limiting growth. Previous research has neglected the importance of ecological stoichiometry as a mediator of consumer-resource interactions in rocky intertidal communities. I show that resource quality and quantity interact to determine consumer growth, highlighting the utility of ecological stoichiometry in understanding spatial subsidies in benthic marine systems. PMID:28747903
Elementary Introduction to the Green Management of the Construction in Whole Process
NASA Astrophysics Data System (ADS)
Na), Wu Y. N.(Yun; Yu), Yan H. Y.(Hong; Jun), Huang Z. J.(Zhi
Construction industries consume more energy resources than necessary. it is essential to establish a management system with all pollution problems resolved to construct green buildings. By applying the theory of whole life cycle, this paper divides the whole process of construction into four sub-phases, which will also be subdivided into more concrete working procedures. Based on this, a systematic framework is promoted for the green management of the construction, especially and creatively, considering the green aims as important as the traditional three aims-"quality aim, schedule aim and cost aim". This framework, adhering to the integration idea-"customers first, whole optimal", regards the green control and workflow as an organic whole in order to build green, sustainable and healthy architecture, and then provide a perfect guide and reference to the green management.
An Evaluation of the Consumer Costs and Benefits of Energy Efficiency Resource Standards
NASA Astrophysics Data System (ADS)
Lessans, Mark D.
Of the modern-day policies designed to encourage energy efficiency, one with a significant potential for impact is that of Energy Efficiency Resource Standards (EERS). EERS policies place the responsibility for meeting an efficiency target on the electric and gas utilities, typically setting requirements for annual reductions in electricity generation or gas distribution to customers as a percentage of sales. To meet these requirements, utilities typically implement demand-side management (DSM) programs, which encourage energy efficiency at the customer level through incentives and educational initiatives. In Maryland, a statewide EERS has provided for programs which save a significant amount of energy, but is ultimately falling short in meeting the targets established by the policy. This study evaluates residential DSM programs offered by Pepco, a utility in Maryland, for cost-effectiveness. However, unlike most literature on the topic, analysis focuses on the costs-benefit from the perspective of the consumer, and not the utility. The results of this study are encouraging: the majority of programs analyzed show that the cost of electricity saved, or levelized cost of saved energy (LCSE), is less expensive than the current retail cost of electricity cost in Maryland. A key goal of this study is to establish a metric for evaluating the consumer cost-effectiveness of participation in energy efficiency programs made available by EERS. In doing so, the benefits of these programs can be effectively marketed to customers, with the hope that participation will increase. By increasing consumer awareness and buy-in, the original goals set out through EERS can be realized and the policies can continue to receive support.
Body size mediated coexistence of consumers competing for resources in space
Basset, A.; Angelis, D.L.
2007-01-01
Body size is a major phenotypic trait of individuals that commonly differentiates co-occurring species. We analyzed inter-specific competitive interactions between a large consumer and smaller competitors, whose energetics, selection and giving-up behaviour on identical resource patches scaled with individual body size. The aim was to investigate whether pure metabolic constraints on patch behaviour of vagile species can determine coexistence conditions consistent with existing theoretical and experimental evidence. We used an individual-based spatially explicit simulation model at a spatial scale defined by the home range of the large consumer, which was assumed to be parthenogenic and semelparous. Under exploitative conditions, competitive coexistence occurred in a range of body size ratios between 2 and 10. Asymmetrical competition and the mechanism underlying asymmetry, determined by the scaling of energetics and patch behaviour with consumer body size, were the proximate determinant of inter-specific coexistence. The small consumer exploited patches more efficiently, but searched for profitable patches less effectively than the larger competitor. Therefore, body-size related constraints induced niche partitioning, allowing competitive coexistence within a set of conditions where the large consumer maintained control over the small consumer and resource dynamics. The model summarises and extends the existing evidence of species coexistence on a limiting resource, and provides a mechanistic explanation for decoding the size-abundance distribution patterns commonly observed at guild and community levels. ?? Oikos.
If the face is familiar, the patient may be overusing healthcare.
2014-01-01
Patients who use the healthcare system excessively, and often for avoidable issues, create a burden for hospitals and consume a significant portion of healthcare expenditures. Many frequent users have complex medical and psychosocial needs, are uninsured, or have behavioral health issues. Case managers should identify patients who are potential frequent utilizers and make sure they are connected with a primary care provider. Take the time to find out barriers to care and call in a social worker to help line up community resources.
Job Management and Task Bundling
NASA Astrophysics Data System (ADS)
Berkowitz, Evan; Jansen, Gustav R.; McElvain, Kenneth; Walker-Loud, André
2018-03-01
High Performance Computing is often performed on scarce and shared computing resources. To ensure computers are used to their full capacity, administrators often incentivize large workloads that are not possible on smaller systems. Measurements in Lattice QCD frequently do not scale to machine-size workloads. By bundling tasks together we can create large jobs suitable for gigantic partitions. We discuss METAQ and mpi_jm, software developed to dynamically group computational tasks together, that can intelligently backfill to consume idle time without substantial changes to users' current workflows or executables.
Aquatic pollution increases use of terrestrial prey subsidies by stream fish
Kraus, Johanna M.; Pomeranz, Justin F.; Todd, Andrew S.; Walters, David M.; Schmidt, Travis S.; Wanty, Richard B.
2016-01-01
Synthesis and applications. Our results indicate that diets of aquatic consumers can become more terrestrial as aquatic stressors that limit in situ food production increase and that these subsidies may compensate for loss of aquatic resources. This work implies an important connection between preserving aquatic–terrestrial linkages and management of fish populations in stressed watersheds. Specifically, intact riparian zones and aquatic–terrestrial linkages are likely to be important for maintaining trout production in streams with moderate metal contamination.
Basic repository source term and data sheet report: Lavender Canyon
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1988-01-01
This report is one of a series describing studies undertaken in support of the US Department of Energy Civilian Radioactive Waste Management (CRWM) Program. This study contains the derivation of values for environmental source terms and resources consumed for a CRWM repository. Estimates include heavy construction equipment; support equipment; shaft-sinking equipment; transportation equipment; and consumption of fuel, water, electricity, and natural gas. Data are presented for construction and operation at an assumed site in Lavender Canyon, Utah. 3 refs; 6 tabs.
1984-12-01
promoting entrepreneurship , Metro Credit had bred extreme selfishness and the attitude that "people are as expendable as pencils." While their conclusions...granted a franchise over these deposits. Only regional and local banks have an established presence in the retail markets because outside banks from... franchises , and others sell directly to consumers as part of a broader package of related services. A critical step in this process lies with the
2012-01-01
information-sharing and through systematic efforts to develop the supplier. These efforts can be direct involvement activities, such as kaizen events,24 24...Womack and Jones (1996) define kaizen as “Continuous, incremental improvement of an activity to create more value with less muda. Also called point... kaizen and process kaizen .” They define muda as “any activity that consumes resources but creates no value,” i.e., waste. Figure 2.2 Krause and
Fidler, Armin H; Haslinger, Reinhard R; Hofmarcher, Maria M; Jesse, Maris; Palu, Toomas
2007-05-01
This paper presents a new approach for incorporating public hospitals by contrasting the experience from an "old" EU country (Austria) with a new EU member state (Estonia). In the EU (including the new member states) hospital overcapacity is a serious problem, from a technical, fiscal and political perspective. Few countries have succeeded in establishing an appropriate framework for resource management and for guaranteeing long-term financial viability of their hospital network. Many countries are in search of effective policies for improved hospital management and more cost-effective resource use in the health sector. Over the past decade, experiences in Austria and Estonia have emerged as innovative examples which may provide lessons for other EU countries and beyond. This paper describes the evolution of public hospitals from public budgetary units and public management to incorporated autonomous organizations under private corporate law, resulting in a contractual relationship between (public) owners and private hospital management. Outdated and inefficient public sector structures were replaced by more agile corporate management. The arrangement allows for investments, operating costs and budgeting according to strategic business goals as opposed to political "fiat". Shielding hospitals from local political influence is an important aspect of this concept. Horizontal integration through networking of public hospitals and introducing private management helps create a new corporate culture, allowing for more flexibility to achieve efficiencies through downsizing and economies of scale. Based on contracts the new balance between ownership and managerial functions create strong incentives for a more business-like, results-oriented and consumer-friendly management. This was achieved both in Austria and Estonia in a politically sensitive way, adopting a long-term vision and by protecting the interests of hospital owners and staff.
James G. March; Catherine M. Pringle
2003-01-01
Tropical stream food webs are thought to be based primarily on terrestrial resources (leaf litter) in small forested headwater streams and algal resources in larger, wider streams. In tropical island streams, the dominant consumers are often omnivorous freshwater shrimps that consume algae, leaf litter, insects, and other shrimps. We used stable isotope analysis...
Reynolds, Sara A; Brassil, Chad E
2013-12-21
Single-species population models often include density-dependence phenomenologically in order to approximate higher order mechanisms. Here we consider the common scenario in which density-dependence acts via depletion of a renewed resource. When the response of the resource is very quick relative to that of the consumer, the consumer dynamics can be captured by a single-species, density-dependent model. Time scale separation is used to show analytically how the shape of the density-dependent relationship depends on the type of resource and the form of the functional response. Resource types of abiotic, biotic, and biotic with migration are considered, in combination with linear and saturating functional responses. In some cases, we derive familiar forms of single-species models, adding to the justification for their use. In other scenarios novel forms of density-dependence are derived, for example an abiotic resource and a saturating functional response can result in a nonlinear density-dependent relationship in the associated single-species model of the consumer. In this case, the per capita relationship has both concave-up and concave-down sections. © 2013 Published by Elsevier Ltd. All rights reserved.
The evolutionary and behavioral modification of consumer responses to environmental change.
Abrams, Peter A
2014-02-21
How will evolution or other forms of adaptive change alter the response of a consumer species' population density to environmentally driven changes in population growth parameters? This question is addressed by analyzing some simple consumer-resource models to separate the ecological and evolutionary components of the population's response. Ecological responses are always decreased population size, but evolution of traits that have effects on both resource uptake rate and another fitness-related parameter may magnify, offset, or reverse this population decrease. Evolution can change ecologically driven decreases in population size to increases; this is likely when: (1) resources are initially below the density that maximizes resource growth, and (2) the evolutionary response decreases the consumer's resource uptake rate. Evolutionary magnification of the ecological decreases in population size can occur when the environmental change is higher trait-independent mortality. Such evolution-driven decreases are most likely when uptake-rate traits increase and the resource is initially below its maximum growth density. It is common for the difference between the new eco-evolutionary equilibrium and the new ecological equilibrium to be larger than that between the original and new ecological equilibrium densities. The relative magnitudes of ecological and evolutionary effects often depend sensitively on the magnitude of the environmental change and the nature of resource growth. © 2013 Elsevier Ltd. All rights reserved.
Maceachen, Ellen; Kosny, Agnieszka; Ferrier, Sue; Lippel, Katherine; Neilson, Cynthia; Franche, Renee-Louise; Pugliese, Diana
2013-01-01
Social service programmes that offer consumer choices are intended to guide service efficiency and customer satisfaction. However, little is known about how social service consumers actually make choices and how providers deliver such services. This article details the practical implementation of consumer choice in a Canadian workers' compensation vocational retraining programme. Discourse analysis was conducted of in-depth interviews and focus groups with 71 injured workers and service providers, who discussed their direct experience of a vocational retraining system. Data also included procedural, policy and administrative documents. Consumer choice included workers being offered choices about some service aspects, but not being able to exercise meaningful discretion. Programme cost objectives and restrictive rules and bureaucracy skewed the guidance provided to workers by service providers. If workers did not make the "right" choices, then the service providers were required to make choices for them. This upset workers and created tension for service providers. The ideal of consumer choice in a social service programme was difficult to enact, both for workers and service providers. Processes to increase quality of guidance to social service consumers and to create a systematic feedback look between system designers and consumers are recommended. Implications for Rehabilitation Consumer choice is an increasingly popular concept in social service systems. Vocational case managers can have their own administrative needs and tensions, which do not always align with the client's choices. Rehabilitation programmes need to have processes for considering what choices are important to clients and the resources to support them.
A Web GIS Enabled Comprehensive Hydrologic Information System for Indian Water Resources Systems
NASA Astrophysics Data System (ADS)
Goyal, A.; Tyagi, H.; Gosain, A. K.; Khosa, R.
2017-12-01
Hydrological systems across the globe are getting increasingly water stressed with each passing season due to climate variability & snowballing water demand. Hence, to safeguard food, livelihood & economic security, it becomes imperative to employ scientific studies for holistic management of indispensable resource like water. However, hydrological study of any scale & purpose is heavily reliant on various spatio-temporal datasets which are not only difficult to discover/access but are also tough to use & manage. Besides, owing to diversity of water sector agencies & dearth of standard operating procedures, seamless information exchange is challenging for collaborators. Extensive research is being done worldwide to address these issues but regrettably not much has been done in developing countries like India. Therefore, the current study endeavours to develop a Hydrological Information System framework in a Web-GIS environment for empowering Indian water resources systems. The study attempts to harmonize the standards for metadata, terminology, symbology, versioning & archiving for effective generation, processing, dissemination & mining of data required for hydrological studies. Furthermore, modelers with humble computing resources at their disposal, can consume this standardized data in high performance simulation modelling using cloud computing within the developed Web-GIS framework. They can also integrate the inputs-outputs of different numerical models available on the platform and integrate their results for comprehensive analysis of the chosen hydrological system. Thus, the developed portal is an all-in-one framework that can facilitate decision makers, industry professionals & researchers in efficient water management.
www.elearnSCI.org: a global educational initiative of ISCoS.
Chhabra, H S; Harvey, L A; Muldoon, S; Chaudhary, S; Arora, M; Brown, D J; Biering-Sorensen, F; Wyndaele, J J; Charlifue, S; Horsewell, J; Ducharme, S; Green, D; Simpson, D; Glinsky, J; Weerts, E; Upadhyay, N; Aito, S; Wing, P; Katoh, S; Kovindha, A; Krassioukov, A; Weeks, C; Srikumar, V; Reeves, R; Siriwardane, C; Hasnan, N; Kalke, Y B; Lanig, I
2013-03-01
To develop a web-based educational resource for health professionals responsible for the management of spinal cord injury (SCI). The resource:www.elearnSCI.org is comprised of seven learning modules, each subdivided into various submodules. Six of the seven modules address the educational needs of all disciplines involved in comprehensive SCI management. The seventh module addresses prevention of SCI. Each submodule includes an overview, activities, self-assessment questions and references. Three hundred and thirty-two experts from The International Spinal Cord Society (ISCoS) and various affiliated societies from 36 countries were involved in developing the resource through 28 subcommittees. The content of each submodule was reviewed and approved by the Education and Scientific Committees of ISCoS and finally by an Editorial Committee of 23 experts. The content of the learning modules is relevant to students and to new as well as experienced SCI healthcare professionals. The content is applicable globally, has received consumer input and is available at no cost. The material is presented on a website underpinned by a sophisticated content-management system, which allows easy maintenance and ready update of all the content. The resource conforms to key principles of e-learning, including appropriateness of curriculum, engagement of learners, innovative approaches, effective learning, ease of use, inclusion, assessment, coherence, consistency, transparency, cost effectiveness and feedback. www.elearnSCI.org provides a cost effective way of training healthcare professionals that goes beyond the textbook and traditional face-to-face teaching.
The U.S. Geological Survey Energy Resources Program
,
2006-01-01
The United States uses tremendous amounts of geologic energy resources. In 2004 alone, the United States consumed more than 7.4 billion barrels of oil, 21.9 trillion cubic feet of natural gas, and 1.1 billion short tons of coal. Forecasts indicate the Nation's need for energy resources will continue to grow, raising several questions: How much domestic and foreign petroleum resources are available to meet the growing energy demands of the Nation and world? Does the United States have coal deposits of sufficient quantity and quality to meet demand over the next century? What other geologic energy resources can be added to the U.S. energy mix? How do the occurrence and use of energy resources affect environmental quality and human health? Unbiased information from robust scientific studies is needed for sound energy policy and resource management decisions addressing these issues. The U.S. Geological Survey Energy Resources Program provides impartial, scientifically robust information to advance the understanding of geologically based energy resources including: petroleum (oil, natural gas, natural gas liquids), coal, gas hydrates, geothermal resources, oil shale, oil sands, uranium, and heavy oil and natural bitumen. This information can be used to contribute to plans for a secure energy future and to facilitate evaluation and responsible use of resources.
Evolution of specialization under non-equilibrium population dynamics.
Nurmi, Tuomas; Parvinen, Kalle
2013-03-21
We analyze the evolution of specialization in resource utilization in a mechanistically underpinned discrete-time model using the adaptive dynamics approach. We assume two nutritionally equivalent resources that in the absence of consumers grow sigmoidally towards a resource-specific carrying capacity. The consumers use resources according to the law of mass-action with rates involving trade-off. The resulting discrete-time model for the consumer population has over-compensatory dynamics. We illuminate the way non-equilibrium population dynamics affect the evolutionary dynamics of the resource consumption rates, and show that evolution to the trimorphic coexistence of a generalist and two specialists is possible due to asynchronous non-equilibrium population dynamics of the specialists. In addition, various forms of cyclic evolutionary dynamics are possible. Furthermore, evolutionary suicide may occur even without Allee effects and demographic stochasticity. Copyright © 2013 Elsevier Ltd. All rights reserved.
Implementation of mental health parity: lessons from california.
Rosenbach, Margo L; Lake, Timothy K; Williams, Susan R; Buck, Jeffrey A
2009-12-01
This article reports the experiences of health plans, providers, and consumers with California's mental health parity law and discusses implications for implementation of the 2008 federal parity law. This study used a multimodal data collection approach to assess the first five years of California's parity implementation (from 2000 to 2005). Telephone interviews were conducted with 68 state-level stakeholders, and in-person interviews were conducted with 77 community-based stakeholders. Six focus groups included 52 providers, and six included 32 consumers. A semistructured interview protocol was used. Interview notes and transcripts were coded to facilitate analysis. Health plans eliminated differential benefit limits and cost-sharing requirements for certain mental disorders to comply with the law, and they used managed care to control costs. In response to concerns about access to and quality of care, the state expanded oversight of health plans, issuing access-to-care regulations and conducting focused studies. California's parity law applied to a limited list of psychiatric diagnoses. Health plan executives said they spent considerable resources clarifying which diagnoses were covered at parity levels and concluded that the limited diagnosis list was unnecessary with managed care. Providers indicated that the diagnosis list had unintended consequences, including incentives to assign a more severe diagnosis that would be covered at parity levels, rather than a less severe diagnosis that would not be covered at such levels. The lack of consumer knowledge about parity was widely acknowledged, and consumers in the focus groups requested additional information about parity. Experiences in California suggest that implementation of the 2008 federal parity law should include monitoring health plan performance related to access and quality, in addition to monitoring coverage and costs; examining the breadth of diagnoses covered by health plans; and mounting a campaign to educate consumers about their insurance benefits.
Cyber physical systems based on cloud computing and internet of things for energy efficiency
NASA Astrophysics Data System (ADS)
Suciu, George; Butca, Cristina; Suciu, Victor; Cretu, Alexandru; Fratu, Octavian
2016-12-01
Cyber Physical Systems (CPS) and energy efficiency play a major role in the context of industry expansion. Management practices for improving efficiency in the field of energy consumption became a priority of many major industries who are inefficient in terms of exploitation costs. The effort of adopting energy management means in an organization is quite challenging due to the lack of resources and expertise. One major problem consists in the lack of knowledge for energy management and practices. This paper aims to present authors' concept in creating a Cyber Physical Energy System (CPES) that will change organizations' way of consuming energy, by making them aware of their use. The presented concept will consider the security of the whole system and the easy integration with the existing electric network infrastructure.
Shchegolev, A V; Petrakov, V A; Savchenko, I F
2014-07-01
Anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels in armed conflict (local war) is time-consuming and resource-requiring task. One of the mathematical modeling methods was used to evaluate capabilities of anesthesia and intensive care units at tactical level. Obtained result allows us to tell that there is a need to make several system changes of the existing system of anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels. In addition to increasing number of staff of anesthesiology-critical care during the given period of time another solution should be the creation of an early evacuation to a specialized medical care level by special means while conducting intensive monitoring and treatment.
[Application of supply chain integration management of medical consumables].
Zhang, Jian
2013-07-01
This paper introduces the background, the content, the information management system of material supply chain integration management and the consumables management process. The system helps to expand the selection of hospital supplies varieties, to reduce consumables management costs, to improve the efficiency of supplies, to ensure supplies safety, reliability and traceability.
Consumer Education Resource Materials Kit.
ERIC Educational Resources Information Center
Lee, Stewart M.
A variety of teaching resources, learning activities, and instructional materials for preparing secondary consumer education courses are presented in this teaching guide. Suggesting an interdisciplinary approach, the materials are appropriate for economics, home economics, business, and social studies courses. Most of the materials presented are…
Lundström, Maria; Warren, Jim; Jones, Sara; Chung, Frank
2003-01-01
Much of chronic disease management depends on active partnership of consumer and provider. Our system promotes diabetes management through profiling and adaptive support of both consumer and provider. We use a University Podiatry Clinic and diabetes consumer information portal as inter-related contexts that share profile information.
A Fatty Acid Based Bayesian Approach for Inferring Diet in Aquatic Consumers
Holtgrieve, Gordon W.; Ward, Eric J.; Ballantyne, Ashley P.; Burns, Carolyn W.; Kainz, Martin J.; Müller-Navarra, Doerthe C.; Persson, Jonas; Ravet, Joseph L.; Strandberg, Ursula; Taipale, Sami J.; Alhgren, Gunnel
2015-01-01
We modified the stable isotope mixing model MixSIR to infer primary producer contributions to consumer diets based on their fatty acid composition. To parameterize the algorithm, we generated a ‘consumer-resource library’ of FA signatures of Daphnia fed different algal diets, using 34 feeding trials representing diverse phytoplankton lineages. This library corresponds to the resource or producer file in classic Bayesian mixing models such as MixSIR or SIAR. Because this library is based on the FA profiles of zooplankton consuming known diets, and not the FA profiles of algae directly, trophic modification of consumer lipids is directly accounted for. To test the model, we simulated hypothetical Daphnia comprised of 80% diatoms, 10% green algae, and 10% cryptophytes and compared the FA signatures of these known pseudo-mixtures to outputs generated by the mixing model. The algorithm inferred these simulated consumers were comprised of 82% (63-92%) [median (2.5th to 97.5th percentile credible interval)] diatoms, 11% (4-22%) green algae, and 6% (0-25%) cryptophytes. We used the same model with published phytoplankton stable isotope (SI) data for δ13C and δ15N to examine how a SI based approach resolved a similar scenario. With SI, the algorithm inferred that the simulated consumer assimilated 52% (4-91%) diatoms, 23% (1-78%) green algae, and 18% (1-73%) cyanobacteria. The accuracy and precision of SI based estimates was extremely sensitive to both resource and consumer uncertainty, as well as the trophic fractionation assumption. These results indicate that when using only two tracers with substantial uncertainty for the putative resources, as is often the case in this class of analyses, the underdetermined constraint in consumer-resource SI analyses may be intractable. The FA based approach alleviated the underdetermined constraint because many more FA biomarkers were utilized (n < 20), different primary producers (e.g., diatoms, green algae, and cryptophytes) have very characteristic FA compositions, and the FA profiles of many aquatic primary consumers are strongly influenced by their diets. PMID:26114945
Exploring Global Exposure Factors Resources URLs
The dataset is a compilation of hyperlinks (URLs) for resources (databases, compendia, published articles, etc.) useful for exposure assessment specific to consumer product use.This dataset is associated with the following publication:Zaleski, R., P. Egeghy, and P. Hakkinen. Exploring Global Exposure Factors Resources for Use in Consumer Exposure Assessments. International Journal of Environmental Research and Public Health. Molecular Diversity Preservation International, Basel, SWITZERLAND, 13(7): 744, (2016).
Using Computational Approaches to Improve Risk-Stratified Patient Management: Rationale and Methods
Stone, Bryan L; Sakaguchi, Farrant; Sheng, Xiaoming; Murtaugh, Maureen A
2015-01-01
Background Chronic diseases affect 52% of Americans and consume 86% of health care costs. A small portion of patients consume most health care resources and costs. More intensive patient management strategies, such as case management, are usually more effective at improving health outcomes, but are also more expensive. To use limited resources efficiently, risk stratification is commonly used in managing patients with chronic diseases, such as asthma, chronic obstructive pulmonary disease, diabetes, and heart disease. Patients are stratified based on predicted risk with patients at higher risk given more intensive care. The current risk-stratified patient management approach has 3 limitations resulting in many patients not receiving the most appropriate care, unnecessarily increased costs, and suboptimal health outcomes. First, using predictive models for health outcomes and costs is currently the best method for forecasting individual patient’s risk. Yet, accuracy of predictive models remains poor causing many patients to be misstratified. If an existing model were used to identify candidate patients for case management, enrollment would miss more than half of those who would benefit most, but include others unlikely to benefit, wasting limited resources. Existing models have been developed under the assumption that patient characteristics primarily influence outcomes and costs, leaving physician characteristics out of the models. In reality, both characteristics have an impact. Second, existing models usually give neither an explanation why a particular patient is predicted to be at high risk nor suggestions on interventions tailored to the patient’s specific case. As a result, many high-risk patients miss some suitable interventions. Third, thresholds for risk strata are suboptimal and determined heuristically with no quality guarantee. Objective The purpose of this study is to improve risk-stratified patient management so that more patients will receive the most appropriate care. Methods This study will (1) combine patient, physician profile, and environmental variable features to improve prediction accuracy of individual patient health outcomes and costs; (2) develop the first algorithm to explain prediction results and suggest tailored interventions; (3) develop the first algorithm to compute optimal thresholds for risk strata; and (4) conduct simulations to estimate outcomes of risk-stratified patient management for various configurations. The proposed techniques will be demonstrated on a test case of asthma patients. Results We are currently in the process of extracting clinical and administrative data from an integrated health care system’s enterprise data warehouse. We plan to complete this study in approximately 5 years. Conclusions Methods developed in this study will help transform risk-stratified patient management for better clinical outcomes, higher patient satisfaction and quality of life, reduced health care use, and lower costs. PMID:26503357
Why climate change will invariably alter selection pressures on phenology.
Gienapp, Phillip; Reed, Thomas E; Visser, Marcel E
2014-10-22
The seasonal timing of lifecycle events is closely linked to individual fitness and hence, maladaptation in phenological traits may impact population dynamics. However, few studies have analysed whether and why climate change will alter selection pressures and hence possibly induce maladaptation in phenology. To fill this gap, we here use a theoretical modelling approach. In our models, the phenologies of consumer and resource are (potentially) environmentally sensitive and depend on two different but correlated environmental variables. Fitness of the consumer depends on the phenological match with the resource. Because we explicitly model the dependence of the phenologies on environmental variables, we can test how differential (heterogeneous) versus equal (homogeneous) rates of change in the environmental variables affect selection on consumer phenology. As expected, under heterogeneous change, phenotypic plasticity is insufficient and thus selection on consumer phenology arises. However, even homogeneous change leads to directional selection on consumer phenology. This is because the consumer reaction norm has historically evolved to be flatter than the resource reaction norm, owing to time lags and imperfect cue reliability. Climate change will therefore lead to increased selection on consumer phenology across a broad range of situations. © 2014 The Author(s) Published by the Royal Society. All rights reserved.
Consumer-Operated Service Programs: monetary and donated costs and cost-effectiveness.
Yates, Brian T; Mannix, Danyelle; Freed, Michael C; Campbell, Jean; Johnsen, Matthew; Jones, Kristine; Blyler, Crystal R
2011-01-01
Examine cost differences between Consumer Operated Service Programs (COSPs) as possibly determined by a) size of program, b) use of volunteers and other donated resources, c) cost-of-living differences between program locales, d) COSP model applied, and e) delivery system used to implement the COSP model. As part of a larger evaluation of COSP, data on operating costs, enrollments, and mobilization of donated resources were collected for eight programs representing three COSP models (drop-in centers, mutual support, and education/advocacy training). Because the 8 programs were operated in geographically diverse areas of the US, costs were examined with and without adjustment for differences in local cost of living. Because some COSPs use volunteers and other donated resources, costs were measured with and without these resources being monetized. Scale of operation also was considered as a mediating variable for differences in program costs. Cost per visit, cost per consumer per quarter, and total program cost were calculated separately for funds spent and for resources donated for each COSP. Differences between COSPs in cost per consumer and cost per visit seem better explained by economies of scale and delivery system used than by cost-of-living differences between program locations or COSP model. Given others' findings that different COSP models produce little variation in service effectiveness, minimize service costs by maximizing scale of operation while using a delivery system that allows staff and facilities resources to be increased or decreased quickly to match number of consumers seeking services.
Kuruvilla, Lisha; Weeks, Greg; Eastman, Peter; George, Johnson
2018-05-01
Pharmacists have a key role to play in optimisation of medication regimens and promotion of medication safety. The role of specialist pharmacists as part of the multidisciplinary palliative care team, especially in the primary care setting, is not widely recognised. To explore the perspectives of stakeholders about the gaps in the current model of community palliative care services in relation to medication management and to assess their opinions pertaining to the role of a specialist palliative care pharmacist in addressing some of those gaps. Qualitative study utilising three focus groups involving 20 stakeholders. Thematic analysis was carried out using a framework approach and interpreted in the context of the Chronic Care Model for improving primary care for patients with chronic illness. Setting was a large regional Australian palliative care service. Participants included palliative care consumers and clinicians specifically patients, caregivers, physicians, nurses and pharmacists. Five major themes emerged from the focus groups: access to resources, medicines and information; shared care; challenges of polypharmacy; informal caregiver needs and potential roles of a palliative care pharmacist. Gaps in access to medicines/resources, training for generalist practitioners, communication between treating teams and lack of support for patients and carers were cited as factors adversely impacting medication management in community-based palliative care. While community-based palliative care is an essential aspect of meeting the health care demands of an ageing society, the current model has several gaps and limitations. An appropriately qualified and skilled pharmacist within the palliative care team may help to address some of the gaps in relation to medication access and appropriateness.
[The realization way and lean management about medical consumable material in clinical use].
Shang, Changhao; Cheng, Junpei; Xu, Hailin; Wang, Xiaoguang
2015-01-01
The medical consumable material management is an important part of logistic support in the management of hospital, but the hospital has many weak links in the management of supplies. This paper aims to explore the common problems (especially in clinical use) existing in the management of medical consumables and years of management experience in Changhai hospital's practice, then discusses lean management from the perspective of lean management
Resource Efficient Metal and Material Recycling
NASA Astrophysics Data System (ADS)
Reuter, Markus A.; van Schaik, Antoinette
Metals enable sustainability through their use and their recyclability. However, various factors can affect the Resource Efficiency of Metal Processing and Recycling. Some typical factors that enable Resource Efficiency include and arranged under the drivers of sustainability: Environment (Maximize Resource Efficiency — Energy, Recyclates, Materials, Water, Sludges, Emissions, Land); Economic Feasibility (BAT & Recycling Systems Simulation / Digitalization, Product vis-à-vis Material Centric Recycling); and Social — Licence to Operate (Legislation, consumer, policy, theft, manual labour.). In order to realize this primary production has to be linked systemically with typical actors in the recycling chain such as Original Equipment Manufacturers (OEMs), Recyclers & Collection, Physical separation specialists as well as process metallurgical operations that produce high value metals, compounds and products that recycle back to products. This is best done with deep knowledge of multi-physics, technology, product & system design, process control, market, life cycle management, policy, to name a few. The combination of these will be discussed as Design for Sustainability (DfS) and Design for Recycling (DfR) applications.
Stanhope, Victoria; Matejkowski, Jason
2010-08-01
The widespread adoption of assertive community treatment has resulted in a shift from an individual model to a team model of case management. The shift has had implications for individual relationships between case managers and consumers, but still little is known about how these relationships develop in teams. This exploratory mixed methods study looked at how case managers and consumers negotiate individual relationships within a team model. Quantitative methods identified high and low service intensity relationships between consumers and case managers and qualitative methods explored and compared these relationships. Consumers in high service intensity relationships described a preference for certain case managers and the burden of working with multiple people. Case managers invested high service intensity relationships with special therapeutic value, articulated the challenges of coordinating care across the team, and utilized team limit setting techniques. In contrast, low service intensity relationships were more likely to reflect integration with the entire team. Findings suggest that teams need to consider how individual relationships enhance care for their consumers and how to nurture these relationships while maintaining the support necessary for case managers and consumers.
Monteiro, Angelo Barbosa; Faria, Lucas Del Bianco
2018-06-06
For decades, food web theory has proposed phenomenological models for the underlying structure of ecological networks. Generally, these models rely on latent niche variables that match the feeding behaviour of consumers with their resource traits. In this paper, we used a comprehensive database to evaluate different hypotheses on the best dependency structure of trait-matching patterns between consumers and resource traits. We found that consumer feeding behaviours had complex interactions with resource traits; however, few dimensions (i.e. latent variables) could reproduce the trait-matching patterns. We discuss our findings in the light of three food web models designed to reproduce the multidimensionality of food web data; additionally, we discuss how using species traits clarify food webs beyond species pairwise interactions and enable studies to infer ecological generality at larger scales, despite potential taxonomic differences, variations in ecological conditions and differences in species abundance between communities. © 2018 John Wiley & Sons Ltd/CNRS.
Dealing with ADHD: What You Need to Know
... Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products For Consumers Home For Consumers Consumer Updates Dealing with ADHD: ... Academy of Child & Adolescent Psychiatry, ADHD Resource Center Consumer Updates on Childrenâs Health Research Flash: FDA Scientists ...
Dimensionality of consumer search space drives trophic interaction strengths.
Pawar, Samraat; Dell, Anthony I; Savage, Van M
2012-06-28
Trophic interactions govern biomass fluxes in ecosystems, and stability in food webs. Knowledge of how trophic interaction strengths are affected by differences among habitats is crucial for understanding variation in ecological systems. Here we show how substantial variation in consumption-rate data, and hence trophic interaction strengths, arises because consumers tend to encounter resources more frequently in three dimensions (3D) (for example, arboreal and pelagic zones) than two dimensions (2D) (for example, terrestrial and benthic zones). By combining new theory with extensive data (376 species, with body masses ranging from 5.24 × 10(-14) kg to 800 kg), we find that consumption rates scale sublinearly with consumer body mass (exponent of approximately 0.85) for 2D interactions, but superlinearly (exponent of approximately 1.06) for 3D interactions. These results contradict the currently widespread assumption of a single exponent (of approximately 0.75) in consumer-resource and food-web research. Further analysis of 2,929 consumer-resource interactions shows that dimensionality of consumer search space is probably a major driver of species coexistence, and the stability and abundance of populations.
Domestic wastewater treatment as a net energy producer--can this be achieved?
McCarty, Perry L; Bae, Jaeho; Kim, Jeonghwan
2011-09-01
In seeking greater sustainability in water resources management, wastewater is now being considered more as a resource than as a waste-a resource for water, for plant nutrients, and for energy. Energy, the primary focus of this article, can be obtained from wastewater's organic as well as from its thermal content. Also, using wastewater's nitrogen and P nutrients for plant fertilization, rather than wasting them, helps offset the high energy cost of producing synthetic fertilizers. Microbial fuel cells offer potential for direct biological conversion of wastewater's organic materials into electricity, although significant improvements are needed for this process to be competitive with anaerobic biological conversion of wastewater organics into biogas, a renewable fuel used in electricity generation. Newer membrane processes coupled with complete anaerobic treatment of wastewater offer the potential for wastewater treatment to become a net generator of energy, rather than the large energy consumer that it is today.
A Cloud-Based Simulation Architecture for Pandemic Influenza Simulation
Eriksson, Henrik; Raciti, Massimiliano; Basile, Maurizio; Cunsolo, Alessandro; Fröberg, Anders; Leifler, Ola; Ekberg, Joakim; Timpka, Toomas
2011-01-01
High-fidelity simulations of pandemic outbreaks are resource consuming. Cluster-based solutions have been suggested for executing such complex computations. We present a cloud-based simulation architecture that utilizes computing resources both locally available and dynamically rented online. The approach uses the Condor framework for job distribution and management of the Amazon Elastic Computing Cloud (EC2) as well as local resources. The architecture has a web-based user interface that allows users to monitor and control simulation execution. In a benchmark test, the best cost-adjusted performance was recorded for the EC2 H-CPU Medium instance, while a field trial showed that the job configuration had significant influence on the execution time and that the network capacity of the master node could become a bottleneck. We conclude that it is possible to develop a scalable simulation environment that uses cloud-based solutions, while providing an easy-to-use graphical user interface. PMID:22195089
Konsam, Surjata; Thongam, Biseshwori; Handique, Arun Kumar
2016-01-29
The NE region of India falls in the global hotspot of biodiversity. Wild edible plants (WEPs) are widely consumed in the daily diet of the local people. WEPs are critical for the sustenance of ethnic communities and also as a source of income. However, WEPs received a little attention in research activities, economic development, biodiversity conservation and sustainable management. Many are largely ignored and remained unexplored. With a view of reducing the gap in traditional knowledge and tapping the hidden potential resources for proper utilization, exploitation, and sustainable management of WEPs are crucial. Surveys were conducted at 20 major markets in all districts of Manipur throughout different seasons from August 2012 to March 2014. A total of 154 avid plant collectors and sellers were interviewed using semi-structured questionnaire, formal, informal and extensive interactions to gather detailed information about these species. An integrated assessment of 68 wild leafy vegetables was also carried out to prioritize them for proper exploitation, conservation, and sustainable management. A total of 68 wild edible vegetables belonging to 42 families were documented which are being used by indigenous communities for nutritive and therapeutic purposes. Of these species, 54 are perennial (79 %) while others are annual (19 %). Herbaceous plants make up the highest proportion of edible plants. Leaves are dominant edible part followed by shoot and stem, and most are consumed through cooked food. Further, 57 species (84 %) are commonly available, and 11 (16 %) are rare. According to integrated assessment, 2 species have highest integrated value, 26 species have high value, 31 species have general value and 9 species are of low value. The majority of the species have a high or general value. Manipur has rich wild vegetable resources. However, many of them are seldom collected or cultivated given their importance in sustaining and diversifying diet. A comprehensive assessment indicated that majority of these plants have high value. Priority species require further research into their nutritional components to understand the potential as a source of future food and nutritional security. They should be promoted for integration into the agricultural system and income generation for local sustenance.
Time- and depth-wise trophic niche shifts in Antarctic benthos.
Calizza, Edoardo; Careddu, Giulio; Sporta Caputi, Simona; Rossi, Loreto; Costantini, Maria Letizia
2018-01-01
Climate change is expected to affect resource-consumer interactions underlying stability in polar food webs. Polar benthic organisms have adapted to the marked seasonality characterising their habitats by concentrating foraging and reproductive activity in summer months, when inputs from sympagic and pelagic producers increase. While this enables the persistence of biodiverse food webs, the mechanisms underlying changes in resource use and nutrient transfer are poorly understood. Thus, our understanding of how temporal and spatial variations in the supply of resources may affect food web structure and functioning is limited. By means of C and N isotopic analyses of two key Antarctic benthic consumers (Adamussium colbecki, Bivalvia, and Sterechinus neumayeri, Echinoidea) and Bayesian mixing models, we describe changes in trophic niche and nutrient transfer across trophic levels associated with the long- and short-term diet and body size of specimens sampled in midsummer in both shallow and deep waters. Samplings occurred soon after the sea-ice broke up at Tethys Bay, an area characterised by extreme seasonality in sea-ice coverage and productivity in the Ross Sea. In the long term, the trophic niche was broader and variation between specimens was greater, with intermediate-size specimens generally consuming a higher number of resources than small and large specimens. The coupling of energy channels in the food web was consequently more direct than in the short term. Sediment and benthic algae were more frequently consumed in the long term, before the sea-ice broke up, while consumers specialised on sympagic algae and plankton in the short term. Regardless of the time scale, sympagic algae were more frequently consumed in shallow waters, while plankton was more frequently consumed in deep waters. Our results suggest a strong temporal relationship between resource availability and the trophic niche of benthic consumers in Antarctica. Potential climate-driven changes in the timing and quality of nutrient inputs may have profound implications for the structure of polar food webs and the persistence of their constituent species, which have adapted their trophic niches to a highly predictable schedule of resource inputs.
Time- and depth-wise trophic niche shifts in Antarctic benthos
Calizza, Edoardo; Careddu, Giulio; Sporta Caputi, Simona; Costantini, Maria Letizia
2018-01-01
Climate change is expected to affect resource-consumer interactions underlying stability in polar food webs. Polar benthic organisms have adapted to the marked seasonality characterising their habitats by concentrating foraging and reproductive activity in summer months, when inputs from sympagic and pelagic producers increase. While this enables the persistence of biodiverse food webs, the mechanisms underlying changes in resource use and nutrient transfer are poorly understood. Thus, our understanding of how temporal and spatial variations in the supply of resources may affect food web structure and functioning is limited. By means of C and N isotopic analyses of two key Antarctic benthic consumers (Adamussium colbecki, Bivalvia, and Sterechinus neumayeri, Echinoidea) and Bayesian mixing models, we describe changes in trophic niche and nutrient transfer across trophic levels associated with the long- and short-term diet and body size of specimens sampled in midsummer in both shallow and deep waters. Samplings occurred soon after the sea-ice broke up at Tethys Bay, an area characterised by extreme seasonality in sea-ice coverage and productivity in the Ross Sea. In the long term, the trophic niche was broader and variation between specimens was greater, with intermediate-size specimens generally consuming a higher number of resources than small and large specimens. The coupling of energy channels in the food web was consequently more direct than in the short term. Sediment and benthic algae were more frequently consumed in the long term, before the sea-ice broke up, while consumers specialised on sympagic algae and plankton in the short term. Regardless of the time scale, sympagic algae were more frequently consumed in shallow waters, while plankton was more frequently consumed in deep waters. Our results suggest a strong temporal relationship between resource availability and the trophic niche of benthic consumers in Antarctica. Potential climate-driven changes in the timing and quality of nutrient inputs may have profound implications for the structure of polar food webs and the persistence of their constituent species, which have adapted their trophic niches to a highly predictable schedule of resource inputs. PMID:29570741
Crane-Ross, Dushka; Lutz, Wilma J; Roth, Dee
2006-04-01
This study examines the relationship between service empowerment and recovery. Service empowerment is defined as the extent to which consumers participate in service decisions and the level of reciprocity and respect within the relationship with their case managers. Assessments were made from two perspectives: consumers and their case managers. Structural equation models were developed to examine the direct and indirect effects of service empowerment on four recovery outcomes: Quality of Life, Level of Functioning, Consumer-Reported Symptomatology, and Case Manager-Reported Symptomatology. Consumers' perceptions of service empowerment were the most powerful predictor of recovery outcomes across the four models. Consumers' and case managers' perceptions were related but the magnitude of the relationship was small, indicating that considerable differences exist between their perceptions of service empowerment.
Exploring Global Exposure Factors Resources for Use in ...
This publication serves as a global comprehensive resource for readers seeking exposure factor data and information relevant to consumer exposure assessment. It describes the types of information that may be found in various official surveys and online and published resources. The relevant exposure factors cover a broad range, including general exposure factor data found in published compendia and databases and resources about specific exposure factors, such as human activity patterns and housing information. Also included are resources on exposure factors related to specific types of consumer products and the associated patterns of use, such as for a type of personal care product or a type of children’s toy. Further, a section on using exposure factors for designing representative exposure scenarios is included, along with a look into the future for databases and other exposure science developments relevant for consumer exposure assessment. Review article in the International Journal of Environmental Research and Public Health
Lundström, Maria; Warren, Jim; Jones, Sara; Chung, Frank
2003-01-01
Much of chronic disease management depends on active partnership of consumer and provider. Our system promotes diabetes management through profiling and adaptive support of both consumer and provider. We use a University Podiatry Clinic and diabetes consumer information portal as inter-related contexts that share profile information. PMID:14728425
Um, Irene S; Armour, Carol; Krass, Ines; Gill, Timothy; Chaar, Betty B
2014-08-01
Obesity is a public health challenge faced worldwide. Community pharmacists may be well placed to manage Australia's obesity problem owing to their training, accessibility and trustworthiness. However, determining consumers' needs is vital to the development of any new services or the evaluation of existing services. To explore Australian consumers' perspectives regarding weight management services in the community pharmacy setting, including their past experiences and willingness to pay for a specific pharmacy-based service. An online cross-sectional consumer survey was distributed through a marketing research company. The survey instrument comprised open-ended and closed questions exploring consumers' experiences of and preferences for weight management services in pharmacy. It also included an attitudinal measure, the Consumer Attitude to Pharmacy Weight Management Services (CAPWMS) scale. A total of 403 consumers from New South Wales, Australia, completed the survey. The majority of respondents had previously not sought a pharmacist's advice regarding weight management. Those who had previously consulted a pharmacist were more willing to pay for and support pharmacy-based services in the future. Most consumers considered pharmacists' motivations to provide advice related to gaining profit from selling a product and expressed concerns about the perceived conflicts of interest. Participants also perceived pharmacists as lacking expertise and time. Although Australian consumers were willing to seek pharmacists' advice about weight management, they perceived several barriers to the provision of weight management services in community pharmacy. If barriers are addressed, community pharmacies could be a viable and accessible setting to manage obesity. © 2012 John Wiley & Sons Ltd.
Approaches to Consumer Economic Education.
ERIC Educational Resources Information Center
Diem, Richard A.
1979-01-01
Explains how students in high school social studies should benefit from participation in an economic education program. Presents objectives relating to the consumer in society, consumer rights and responsibilities, and consumer law. A directory of materials and resources concludes the article. (Author/DB)
Step-by-step magic state encoding for efficient fault-tolerant quantum computation
Goto, Hayato
2014-01-01
Quantum error correction allows one to make quantum computers fault-tolerant against unavoidable errors due to decoherence and imperfect physical gate operations. However, the fault-tolerant quantum computation requires impractically large computational resources for useful applications. This is a current major obstacle to the realization of a quantum computer. In particular, magic state distillation, which is a standard approach to universality, consumes the most resources in fault-tolerant quantum computation. For the resource problem, here we propose step-by-step magic state encoding for concatenated quantum codes, where magic states are encoded step by step from the physical level to the logical one. To manage errors during the encoding, we carefully use error detection. Since the sizes of intermediate codes are small, it is expected that the resource overheads will become lower than previous approaches based on the distillation at the logical level. Our simulation results suggest that the resource requirements for a logical magic state will become comparable to those for a single logical controlled-NOT gate. Thus, the present method opens a new possibility for efficient fault-tolerant quantum computation. PMID:25511387
Step-by-step magic state encoding for efficient fault-tolerant quantum computation.
Goto, Hayato
2014-12-16
Quantum error correction allows one to make quantum computers fault-tolerant against unavoidable errors due to decoherence and imperfect physical gate operations. However, the fault-tolerant quantum computation requires impractically large computational resources for useful applications. This is a current major obstacle to the realization of a quantum computer. In particular, magic state distillation, which is a standard approach to universality, consumes the most resources in fault-tolerant quantum computation. For the resource problem, here we propose step-by-step magic state encoding for concatenated quantum codes, where magic states are encoded step by step from the physical level to the logical one. To manage errors during the encoding, we carefully use error detection. Since the sizes of intermediate codes are small, it is expected that the resource overheads will become lower than previous approaches based on the distillation at the logical level. Our simulation results suggest that the resource requirements for a logical magic state will become comparable to those for a single logical controlled-NOT gate. Thus, the present method opens a new possibility for efficient fault-tolerant quantum computation.
[Discussion on logistics management of medical consumables].
Deng, Sutong; Wang, Miao; Jiang, Xiali
2011-09-01
Management of medical consumables is an important part of modern hospital management. In modern medical behavior, drugs and medical devices act directly on the patient, and are important factors affecting the quality of medical practice. With the increasing use of medical materials, based on practical application, this article proposes the management model of medical consumables, and discusses the essence of medical materials logistics management.
Diversity has stronger top-down than bottom-up effects on decomposition.
Srivastava, Diane S; Cardinale, Bradley J; Downing, Amy L; Duffy, J Emmett; Jouseau, Claire; Sankaran, Mahesh; Wright, Justin P
2009-04-01
The flow of energy and nutrients between trophic levels is affected by both the trophic structure of food webs and the diversity of species within trophic levels. However, the combined effects of trophic structure and diversity on trophic transfer remain largely unknown. Here we ask whether changes in consumer diversity have the same effect as changes in resource diversity on rates of resource consumption. We address this question by focusing on consumer-resource dynamics for the ecologically important process of decomposition. This study compares the top-down effect of consumer (detritivore) diversity on the consumption of dead organic matter (decomposition) with the bottom-up effect of resource (detrital) diversity, based on a compilation of 90 observations reported in 28 studies. We did not detect effects of either detrital or consumer diversity on measures of detrital standing stock, and effects on consumer standing stock were equivocal. However, our meta-analysis indicates that reductions in detritivore diversity result in significant reductions in the rate of decomposition. Detrital diversity has both positive and negative effects on decomposition, with no overall trend. This difference between top-down and bottom-up effects of diversity is robust to different effect size metrics and could not be explained by differences in experimental systems or designs between detritivore and detrital manipulations. Our finding that resource diversity has no net effect on consumption in "brown" (detritus-consumer) food webs contrasts with previous findings from "green" (plant-herbivore) food webs and suggests that effects of plant diversity on consumption may fundamentally change after plant death.
Why Consumers Choose Managed Mutual Funds over Index Funds: Hypotheses from Consumer Behavior.
ERIC Educational Resources Information Center
Lichtenstein, Donald R.; Kaufmann, Patrick J.; Bhagat, Sanjai
1999-01-01
Using the literature of psychology, consumer behavior, and behavioral finance, a series of hypotheses is presented that account for consumer choices of managed over index mutual funds. Results indicate a need for consumer education to increase awareness of the benefits of index investing. (SK)
Functionally specialised birds respond flexibly to seasonal changes in fruit availability.
Bender, Irene M A; Kissling, W Daniel; Böhning-Gaese, Katrin; Hensen, Isabell; Kühn, Ingolf; Wiegand, Thorsten; Dehling, D Matthias; Schleuning, Matthias
2017-07-01
Interactions between resource and consumer species result in complex ecological networks. The overall structure of these networks is often stable in space and time, but little is known about the temporal stability of the functional roles of consumer species in these networks. We used a trait-based approach to investigate whether consumers (frugivorous birds) show similar degrees of functional specialisation on resources (plants) in ecological networks across seasons. We additionally tested whether closely related bird species have similar degrees of functional specialisation and whether birds that are functionally specialised on specific resource types within a season are flexible in switching to other resource types in other seasons. We analysed four seasonal replicates of two species-rich plant-frugivore networks from the tropical Andes. To quantify fruit preferences of frugivorous birds, we projected their interactions with plants into a multidimensional plant trait space. To measure functional specialisation of birds, we calculated a species' functional niche breadth (the extent of seasonal plant trait space utilised by a particular bird) and functional originality (the extent to which a bird species' fruit preference functionally differs from those of other species in a seasonal network). We additionally calculated functional flexibility, i.e. the ability of bird species to change their fruit preference across seasons in response to variation in plant resources. Functional specialisation of bird species varied more among species than across seasons, and phylogenetically similar bird species showed similar degrees of functional niche breadth (phylogenetic signal λ = 0·81) and functional originality (λ = 0·89). Additionally, we found that birds with high functional flexibility across seasons had narrow functional niche breadth and high functional originality per season, suggesting that birds that are seasonally specialised on particular resources are most flexible in switching to other fruit resources across seasons. The high flexibility of functionally specialised bird species to switch seasonally to other resources challenges the view that consumer species rely on functionally similar resources throughout the year. This flexibility of consumer species may be an important, but widely neglected mechanism that could potentially stabilise consumer-resource networks in response to human disturbance and environmental change. © 2017 The Authors. Journal of Animal Ecology © 2017 British Ecological Society.
Axiope tools for data management and data sharing.
Goddard, Nigel H; Cannon, Robert C; Howell, Fred W
2003-01-01
Many areas of biological research generate large volumes of very diverse data. Managing this data can be a difficult and time-consuming process, particularly in an academic environment where there are very limited resources for IT support staff such as database administrators. The most economical and efficient solutions are those that enable scientists with minimal IT expertise to control and operate their own desktop systems. Axiope provides one such solution, Catalyzer, which acts as flexible cataloging system for creating structured records describing digital resources. The user is able specify both the content and structure of the information included in the catalog. Information and resources can be shared by a variety of means, including automatically generated sets of web pages. Federation and integration of this information, where needed, is handled by Axiope's Mercat server. Where there is a need for standardization or compatibility of the structures usedby different researchers this canbe achieved later by applying user-defined mappings in Mercat. In this way, large-scale data sharing can be achieved without imposing unnecessary constraints or interfering with the way in which individual scientists choose to record and catalog their work. We summarize the key technical issues involved in scientific data management and data sharing, describe the main features and functionality of Axiope Catalyzer and Axiope Mercat, and discuss future directions and requirements for an information infrastructure to support large-scale data sharing and scientific collaboration.
Optimal Management of Geothermal Heat Extraction
NASA Astrophysics Data System (ADS)
Patel, I. H.; Bielicki, J. M.; Buscheck, T. A.
2015-12-01
Geothermal energy technologies use the constant heat flux from the subsurface in order to produce heat or electricity for societal use. As such, a geothermal energy system is not inherently variable, like systems based on wind and solar resources, and an operator can conceivably control the rate at which heat is extracted and used directly, or converted into a commodity that is used. Although geothermal heat is a renewable resource, this heat can be depleted over time if the rate of heat extraction exceeds the natural rate of renewal (Rybach, 2003). For heat extraction used for commodities that are sold on the market, sustainability entails balancing the rate at which the reservoir renews with the rate at which heat is extracted and converted into profit, on a net present value basis. We present a model that couples natural resource economic approaches for managing renewable resources with simulations of geothermal reservoir performance in order to develop an optimal heat mining strategy that balances economic gain with the performance and renewability of the reservoir. Similar optimal control approaches have been extensively studied for renewable natural resource management of fisheries and forests (Bonfil, 2005; Gordon, 1954; Weitzman, 2003). Those models determine an optimal path of extraction of fish or timber, by balancing the regeneration of stocks of fish or timber that are not harvested with the profit from the sale of the fish or timber that is harvested. Our model balances the regeneration of reservoir temperature with the net proceeds from extracting heat and converting it to electricity that is sold to consumers. We used the Non-isothermal Unconfined-confined Flow and Transport (NUFT) model (Hao, Sun, & Nitao, 2011) to simulate the performance of a sedimentary geothermal reservoir under a variety of geologic and operational situations. The results of NUFT are incorporated into the natural resource economics model to determine production strategies that maximize net present value given the performance of the geothermal resource.
Consumer participation in housing: reflecting on consumer preferences.
Browne, Graeme; Hemsley, Martin
2010-12-01
Historically, people living with mental illness have had limited chance to participate in mental health services other than as patients. Following on from a recent review focusing on consumer participation in mental health services, this paper looks at consumer participation in housing. Housing is a critical element in recovery from mental illness. Without suitable housing, people have little chance of maintaining other resources in their lives, such as supportive social relationships and meaningful activities. Consumer participation is not a common topic in the recent literature, despite the significant public policy push to promote it. The importance of appropriate housing to the recovery of people living with mental illness cannot be underestimated. Even well-meaning and well-resourced housing initiatives can fall short of meeting consumers' recovery goals when they do not incorporate the expressed needs of consumers. These expressed needs include keeping units small in size and employing drop-in support models.
A Guide to Instructional Resources for Consumers' Education.
ERIC Educational Resources Information Center
Johnston, William L.; Greenspan, Nancy B.
This annotated bibliography lists 295 selected instructional references, resources, and teaching aids for consumer education. It includes a variety of both print and nonprint materials, such as films, filmstrips, multimedia kits, games and learning packages for classroom and group instruction, textbooks for all age levels, and references for both…
Consumer Education Resource Guide, K-12. A Multi-Disciplinary Approach.
ERIC Educational Resources Information Center
Calhoun, Calfrey C.; And Others
The guide suggests methods and resources for planning learning experiences in teaching consumer education to students at the K-12 levels. The major topics and related areas are: (1) financial planning (estimating income, estimating expenses, establishing goals, making decisions, and making the financial plan); (2) buying (importance of planned…
Resources for Family and Consumer Science Teachers, 1995.
ERIC Educational Resources Information Center
Scholl, Jan
This annotated bibliography of resources for family and consumer science teachers lists 59 items developed for "Teacher Pages" (an electronic information service) by Penn State Cooperative Extension Service between December 1, 1993 and December 1, 1994. Each listing includes a short description, source, address, price if appropriate, and ordering…
A Suggested Teacher's Guide to the Consumer's Resource Handbook.
ERIC Educational Resources Information Center
Knauer, Virginia H.; Steeves, Robert F.
Designed to be used in conjunction with the "Consumer's Resource Handbook" (CRH), this teacher's guide features teaching units, sources of information, and follow-up learning activities. It is written primarily for secondary level students but can be adapted for elementary and postsecondary classes. Unit 1 addresses how to seek purchasing…
Food Additives: "Eat, Drink, and Be Healthy". Health and the Consumer.
ERIC Educational Resources Information Center
Florida State Dept. of Education, Tallahassee. Div. of Elementary and Secondary Education.
One in a series, this consumer education learning activity package teaches secondary students about food additives. The package includes instructions for the teacher, suggestions for activities, lists of resource materials, film guides, student activity worksheets, a student resource booklet of background readings, and answer keys. Content taught…
Overview of Hydrometeorologic Forecasting Procedures at BC Hydro
NASA Astrophysics Data System (ADS)
McCollor, D.
2004-12-01
Energy utility companies must balance production from limited sources with increasing demand from industrial, business, and residential consumers. The utility planning process requires a balanced, efficient, and effective distribution of energy from source to consumer. Therefore utility planners must consider the impact of weather on energy production and consumption. Hydro-electric companies should be particularly tuned to weather because their source of energy is water, and water supply depends on precipitation. BC Hydro operates as the largest hydro-electric company in western Canada, managing over 30 reservoirs within the province of British Columbia, and generating electricity for 1.6 million people. BC Hydro relies on weather forecasts of watershed precipitation and temperature to drive hydrologic reservoir inflow models and of urban temperatures to meet energy demand requirements. Operations and planning specialists in the company rely on current, value-added weather forecasts for extreme high-inflow events, daily reservoir operations planning, and long-term water resource management. Weather plays a dominant role for BC Hydro financial planners in terms of sensitive economic responses. For example, a two percent change in hydropower generation, due in large part to annual precipitation patterns, results in an annual net change of \\50 million in earnings. A five percent change in temperature produces a \\5 million change in yearly earnings. On a daily basis, significant precipitation events or temperature extremes involve potential profit/loss decisions in the tens of thousands of dollars worth of power generation. These factors are in addition to environmental and societal costs that must be considered equally as part of a triple bottom line reporting structure. BC Hydro water resource managers require improved meteorological information from recent advancements in numerical weather prediction. At BC Hydro, methods of providing meteorological forecast data are changing as new downscaling and ensemble techniques evolve to improve environmental information supplied to water managers.
Consumer Education: It's a Basic.
ERIC Educational Resources Information Center
NASSP Curriculum Report, 1980
1980-01-01
The report discusses and defines consumer education for high school students, describes various consumer education school programs, annotates available sources and resources, and notes several issues needing attention. Consumer education is defined as an effort to prepare students for participation in the marketplace by imparting the…
Halpin, Linda S; Barnett, Scott D; Beachy, Jim
2003-01-01
Accrediting organizations and payers are demanding valid and reliable data that demonstrate the value of services. Federal agencies, healthcare industry groups, and healthcare watchdog groups are increasing the demand for public access to outcomes data. A new and growing outcomes dynamic is the information requested by prospective patients in an increasingly consumer-oriented business. Patients demand outcomes, and resources are developing to meet these demands. Physicians are increasingly confronted with requests for information about their mortality and morbidity rates, malpractice suits, and disciplinary actions received. For example, in Virginia, prospective patients have access to data provided by the nonprofit group Virginia Health Information. After numerous resolutions by the Virginia Senate since 1999, the prospective Virginia medical consumer now has access to several annual publications: Virginia Hospitals: A Consumer's Guide, 1999 Annual Report and Strategic Plan Update, and the 1999 Industry Report: Virginia Hospitals and Nursing Facilities. Consumers have access to cardiac outcomes data stratified by hospital, gender, and cardiac service line (cardiac surgery, noninvasive cardiology, and invasive cardiology). This is particularly relevant to IHI because Virginia Health Information specifically targets cardiac care. IHI has a sizable investment in cardiovascular outcomes and has found outcomes measurement and research are key to providing quality care. IHI's goal is to move from an outcomes management model to a disease management model. The hope is to incorporate all aspects of the patient's continuum of care, from preoperative and diagnostic services through cardiac interventions to postoperative rehabilitation. Furthermore, every step along the way will be supported with functional status and quality of life assessments. Although these goals are ambitious and expensive, the return on investment is high.
Functional requirements for onboard management of space shuttle consumables, volume 2.
NASA Technical Reports Server (NTRS)
Graf, P. J.; Herwig, H. A.; Neel, L. W.
1973-01-01
A study was conducted to develop the functional requirements for onboard management of space shuttle consumables. A specific consumables management concept for the space shuttle vehicle was developed and the functional requirements for the onboard portion of the concept were generated. Consumables management is the process of controlling or influencing the usage of expendable materials involved in vehicle subsystem operation. The subsystems considered in the study are: (1) propulsion, (2) power generation, and (3) environmental and life support.
NASA Astrophysics Data System (ADS)
Schaaf, Kjeld; Overeem, Ruud
2004-06-01
Moore’s law is best exploited by using consumer market hardware. In particular, the gaming industry pushes the limit of processor performance thus reducing the cost per raw flop even faster than Moore’s law predicts. Next to the cost benefits of Common-Of-The-Shelf (COTS) processing resources, there is a rapidly growing experience pool in cluster based processing. The typical Beowulf cluster of PC’s supercomputers are well known. Multiple examples exists of specialised cluster computers based on more advanced server nodes or even gaming stations. All these cluster machines build upon the same knowledge about cluster software management, scheduling, middleware libraries and mathematical libraries. In this study, we have integrated COTS processing resources and cluster nodes into a very high performance processing platform suitable for streaming data applications, in particular to implement a correlator. The required processing power for the correlator in modern radio telescopes is in the range of the larger supercomputers, which motivates the usage of supercomputer technology. Raw processing power is provided by graphical processors and is combined with an Infiniband host bus adapter with integrated data stream handling logic. With this processing platform a scalable correlator can be built with continuously growing processing power at consumer market prices.
Case management and adherence to an online disease management system.
Robertson, Lucy; Smith, Michael; Tannenbaum, Dennis
2005-01-01
Non-adherence to treatment presents a significant obstacle to achieving favourable health outcomes. We have studied consumers' adherence to an online disease management system for depression, called Recovery Road. Recovery Road was implemented on a pilot basis for mental health care in Western Australia. Recovery Road was available for use by consumers and clinicians to augment usual treatment. One hundred and thirty consumers who had been diagnosed with major depression were enrolled. Consumers who used Recovery Road (n = 98) were provided with education, progress monitoring, e-consultation, e-diary and online evidenced-based therapy. Consumers received either standard, automated adherence reminders by email (n = 69), or case management, which included personalized email and telephone follow-up in response to non-adherence (n = 29). After the first eight sessions, the adherence was 84% in the case management group and 55% in the automatic reminders group. The results suggest that case management increases adherence to online disease management systems.
NASA Astrophysics Data System (ADS)
Dobriyal, Pariva; Qureshi, Ashi; Badola, Ruchi; Hussain, Syed Ainul
2012-08-01
SummaryThe maintenance of elevated soil moisture is an important ecosystem service of the natural ecosystems. Understanding the patterns of soil moisture distribution is useful to a wide range of agencies concerned with the weather and climate, soil conservation, agricultural production and landscape management. However, the great heterogeneity in the spatial and temporal distribution of soil moisture and the lack of standard methods to estimate this property limit its quantification and use in research. This literature based review aims to (i) compile the available knowledge on the methods used to estimate soil moisture at the landscape level, (ii) compare and evaluate the available methods on the basis of common parameters such as resource efficiency, accuracy of results and spatial coverage and (iii) identify the method that will be most useful for forested landscapes in developing countries. On the basis of the strengths and weaknesses of each of the methods reviewed we conclude that the direct method (gravimetric method) is accurate and inexpensive but is destructive, slow and time consuming and does not allow replications thereby having limited spatial coverage. The suitability of indirect methods depends on the cost, accuracy, response time, effort involved in installation, management and durability of the equipment. Our review concludes that measurements of soil moisture using the Time Domain Reflectometry (TDR) and Ground Penetrating Radar (GPR) methods are instantaneously obtained and accurate. GPR may be used over larger areas (up to 500 × 500 m a day) but is not cost-effective and difficult to use in forested landscapes in comparison to TDR. This review will be helpful to researchers, foresters, natural resource managers and agricultural scientists in selecting the appropriate method for estimation of soil moisture keeping in view the time and resources available to them and to generate information for efficient allocation of water resources and maintenance of soil moisture regime.
Johnson, A; Silburn, K
2000-01-01
This article briefly describes recent initiatives to improve consumer participation in health services that have led to the establishment of the National Resource Centre for Consumer Participation in Health. The results of a component of the needs assessment undertaken by the newly established Centre are presented. They provide a 'snapshot' of the types of feedback and participation processes mainly being utilised by Australian health services at the different levels of seeking information, information sharing and consultation, partnership, delegated power and consumer control. They also allow identification of the organisational commitment made by Australian health services to support a more coordinated approach to community and consumer feedback and participation at different levels of health services such as particular emphasis on determining the presence of community and consumer participation in key organisational statements, specific consumer policies and plans, identifiable leadership, inclusion into job descriptions, allocation of resources, and staff development and consumer training. Discussion centres around four key observations and some of the key perceived external barriers.
Dietary breadth of grizzly bears in the Greater Yellowstone Ecosystem
Gunther, Kerry A.; Shoemaker, Rebecca; Frey, Kevin L.; Haroldson, Mark A.; Cain, Steven L.; van Manen, Frank T.; Fortin, Jennifer K.
2014-01-01
Grizzly bears (Ursus arctos) in the Greater Yellowstone Ecosystem (GYE) are opportunistic omnivores that eat a great diversity of plant and animal species. Changes in climate may affect regional vegetation, hydrology, insects, and fire regimes, likely influencing the abundance, range, and elevational distribution of the plants and animals consumed by GYE grizzly bears. Determining the dietary breadth of grizzly bears is important to document future changes in food resources and how those changes may affect the nutritional ecology of grizzlies. However, no synthesis exists of all foods consumed by grizzly bears in the GYE. We conducted a review of available literature and compiled a list of species consumed by grizzly bears in the GYE. We documented >266 species within 200 genera from 4 kingdoms, including 175 plant, 37 invertebrate, 34 mammal, 7 fungi, 7 bird, 4 fish, 1 amphibian, and 1 algae species as well as 1 soil type consumed by grizzly bears. The average energy values of the ungulates (6.8 kcal/g), trout (Oncorhynchus spp., 6.1 kcal/g), and small mammals (4.5 kcal/g) eaten by grizzlies were higher than those of the plants (3.0 kcal/g) and invertebrates (2.7 kcal/g) they consumed. The most frequently detected diet items were graminoids, ants (Formicidae), whitebark pine seeds (Pinus albicaulis), clover (Trifolium spp.), and dandelion (Taraxacum spp.). The most consistently used foods on a temporal basis were graminoids, ants, whitebark pine seeds, clover, elk (Cervus elaphus), thistle (Cirsium spp.), and horsetail (Equisetum spp.). Historically, garbage was a significant diet item for grizzlies until refuse dumps were closed. Use of forbs increased after garbage was no longer readily available. The list of foods we compiled will help managers of grizzly bears and their habitat document future changes in grizzly bear food habits and how bears respond to changing food resources.
Goeman, Dianne; Michael, J; King, J; Luu, Huy; Emmanuel, Claire; Koch, S
2016-01-01
Objective The aim of the Vietnamese Dementia talking-book was to address low health literacy in older people of Vietnamese background living with dementia through the provision of an online resource to help individuals, their families and carers better understand and manage this condition and provide information about available dementia services. Design This qualitative study used codesign and participatory action research to develop and refine the talking-book in consultation with expert stakeholders, a consumer advocacy group and the Vietnamese community to assess its utility and ensure cultural and linguistic appropriateness and relevance. Participants 59 members of the Vietnamese community, 11 stakeholders from community health services and ethnic agencies, consumer advocacy groups and the research team participated in the codesign and refinement of the talking-book. 22 members of the Vietnamese community appraised the final product. Setting Vietnamese community planned activity groups in the Western, Northern and Southern suburbs of Melbourne, Australia. Results Our codesign study outlines the process required to develop a Vietnamese Dementia Talking-Book resource partnering with consumers and expert stakeholders to identify consumer need, selection of the content and appropriate language level, construction of the book, measuring acceptability of the talking-book, modification based on feedback and production and dissemination. Feedback on the final version of the talking-book revealed widespread consensus that the book enhanced the knowledge of members of the Vietnamese community in regard to understanding dementia and navigation and accessing of available services. Conclusions This free internationally available online Vietnamese Dementia Talking-Book facilitates improved dementia-related health literacy in the Vietnamese community. The book also serves as a tool to facilitate the provision of care to Vietnamese people living with memory loss by assisting health professional staff to develop relationships with Vietnamese clients, their families and carers in a culturally appropriate manner. PMID:27670516
Pascoe, Charlie; Benshemesh, Joe; Robley, Alan; Lawrence, Jenny; Ritchie, Euan G.; Nimmo, Dale G.; Lumsden, Lindy F.
2015-01-01
Dingoes/wild dogs (Canis dingo/familiaris) and red foxes (Vulpes vulpes) are widespread carnivores in southern Australia and are controlled to reduce predation on domestic livestock and native fauna. We used the occurrence of food items in 5875 dingo/wild dog scats and 11,569 fox scats to evaluate interspecific and geographic differences in the diets of these species within nine regions of Victoria, south-eastern Australia. The nine regions encompass a wide variety of ecosystems. Diet overlap between dingoes/wild dogs and foxes varied among regions, from low to near complete overlap. The diet of foxes was broader than dingoes/wild dogs in all but three regions, with the former usually containing more insects, reptiles and plant material. By contrast, dingoes/wild dogs more regularly consumed larger mammals, supporting the hypothesis that niche partitioning occurs on the basis of mammalian prey size. The key mammalian food items for dingoes/wild dogs across all regions were black wallaby (Wallabia bicolor), brushtail possum species (Trichosurus spp.), common wombat (Vombatus ursinus), sambar deer (Rusa unicolor), cattle (Bos taurus) and European rabbit (Oryctolagus cuniculus). The key mammalian food items for foxes across all regions were European rabbit, sheep (Ovis aries) and house mouse (Mus musculus). Foxes consumed 6.1 times the number of individuals of threatened Critical Weight Range native mammal species than did dingoes/wild dogs. The occurrence of intraguild predation was asymmetrical; dingoes/wild dogs consumed greater biomass of the smaller fox. The substantial geographic variation in diet indicates that dingoes/wild dogs and foxes alter their diet in accordance with changing food availability. We provide checklists of taxa recorded in the diets of dingoes/wild dogs and foxes as a resource for managers and researchers wishing to understand the potential impacts of policy and management decisions on dingoes/wild dogs, foxes and the food resources they interact with. PMID:25790230
Maier, Andrew; Vincent, Melissa J; Parker, Ann; Gadagbui, Bernard K; Jayjock, Michael
2015-12-01
Asthma is a complex syndrome with significant consequences for those affected. The number of individuals affected is growing, although the reasons for the increase are uncertain. Ensuring the effective management of potential exposures follows from substantial evidence that exposure to some chemicals can increase the likelihood of asthma responses. We have developed a safety assessment approach tailored to the screening of asthma risks from residential consumer product ingredients as a proactive risk management tool. Several key features of the proposed approach advance the assessment resources often used for asthma issues. First, a quantitative health benchmark for asthma or related endpoints (irritation and sensitization) is provided that extends qualitative hazard classification methods. Second, a parallel structure is employed to include dose-response methods for asthma endpoints and methods for scenario specific exposure estimation. The two parallel tracks are integrated in a risk characterization step. Third, a tiered assessment structure is provided to accommodate different amounts of data for both the dose-response assessment (i.e., use of existing benchmarks, hazard banding, or the threshold of toxicological concern) and exposure estimation (i.e., use of empirical data, model estimates, or exposure categories). Tools building from traditional methods and resources have been adapted to address specific issues pertinent to asthma toxicology (e.g., mode-of-action and dose-response features) and the nature of residential consumer product use scenarios (e.g., product use patterns and exposure durations). A case study for acetic acid as used in various sentinel products and residential cleaning scenarios was developed to test the safety assessment methodology. In particular, the results were used to refine and verify relationships among tiered approaches such that each lower data tier in the approach provides a similar or greater margin of safety for a given scenario. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.
ERIC Educational Resources Information Center
Smith, Sharman
This competency-based preservice home economics teacher education module on consumer rights and responsibilities is the third in a set of four core curriculum modules on consumer approach to homemaking education. (This set is part of a larger series of sixty-seven on the Management Approach to Teaching Consumer and Homemaking Education…
Cancer related fatigue: implementing guidelines for optimal management.
Pearson, Elizabeth J M; Morris, Meg E; McKinstry, Carol E
2017-07-18
Cancer-related fatigue (CRF) is a key concern for people living with cancer and can impair physical functioning and activities of daily living. Evidence-based guidelines for CRF are available, yet inconsistently implemented globally. This study aimed to identify barriers and enablers to applying a cancer fatigue guideline and to derive implementation strategies. A mixed-method study explored the feasibility of implementing the CRF guideline developed by the Canadian Association for Psychosocial Oncology (CAPO). Health professionals, managers and consumers from different practice settings participated in a modified Delphi study with two survey rounds. A reference group informed the design of the study including the surveys. The first round focused on guideline characteristics, compatibility with current practice and experience, and behaviour change. The second survey built upon and triangulated the first round. Forty-five health practitioners and managers, and 68 cancer survivors completed the surveys. More than 75% of participants endorsed the CAPO cancer related fatigue guidelines. Some respondents perceived a lack of resources for accessible and expert fatigue management services. Further barriers to guideline implementation included complexity, limited practical details for some elements, and lack of clinical tools such as assessment tools or patient education materials. Recommendations to enhance guideline applicability centred around four main themes: (1) balancing the level of detail in the CAPO guideline with ease of use, (2) defining roles of different professional disciplines in CRF management, (3) how best to integrate CRF management into policy and practice, (4) how best to ensure a consumer-focused approach to CRF management. Translating current knowledge on optimal management of CRF into clinical practice can be enhanced by the adoption of valid guidelines. This study indicates that it is feasible to adopt the CAPO guidelines. Clinical application may be further enhanced with guideline adaptation, professional education and integration with existing practices.
1986-08-01
provide consumable medical and surgical supplies to patient care areas. In an environment of limited resources, the supply system uti - lized by the Fort... uti - lizing the Uniform Chart of Accounts in the Comptroller Division to get a list of cost centers, then cross-referencing this list 28 with the...ACTIVE-AISLE track can be utilized in the new facility, or, if ample space is available, the shelving could be uti - lized without the track with the
Administrative Information Systems Plan for FY89
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1988-11-01
The Administrative Information Systems (AIS) Plan was developed to prioritize, track, and control the cost of AIS activities. This annually published plan, in conjunction with quarterly status reports, measures projected AIS activities and progress. The AIS Plan and quarterly reporting are administered jointly by the Director of Computing and an Organization 30 director. Priority development projects are clearly defined and closely managed efforts that consume significant resources. Directorate supplementals describe other AIS activity within each directorate, which may include: production support; technical support; development activity; and other AIS effort.
Pesticide use and biodiversity conservation in the Amazonian agricultural frontier.
Schiesari, Luis; Waichman, Andrea; Brock, Theo; Adams, Cristina; Grillitsch, Britta
2013-06-05
Agricultural frontiers are dynamic environments characterized by the conversion of native habitats to agriculture. Because they are currently concentrated in diverse tropical habitats, agricultural frontiers are areas where the largest number of species is exposed to hazardous land management practices, including pesticide use. Focusing on the Amazonian frontier, we show that producers have varying access to resources, knowledge, control and reward mechanisms to improve land management practices. With poor education and no technical support, pesticide use by smallholders sharply deviated from agronomical recommendations, tending to overutilization of hazardous compounds. By contrast, with higher levels of technical expertise and resources, and aiming at more restrictive markets, large-scale producers adhered more closely to technical recommendations and even voluntarily replaced more hazardous compounds. However, the ecological footprint increased significantly over time because of increased dosage or because formulations that are less toxic to humans may be more toxic to other biodiversity. Frontier regions appear to be unique in terms of the conflicts between production and conservation, and the necessary pesticide risk management and risk reduction can only be achieved through responsibility-sharing by diverse stakeholders, including governmental and intergovernmental organizations, NGOs, financial institutions, pesticide and agricultural industries, producers, academia and consumers.
Pesticide use and biodiversity conservation in the Amazonian agricultural frontier
Schiesari, Luis; Waichman, Andrea; Brock, Theo; Adams, Cristina; Grillitsch, Britta
2013-01-01
Agricultural frontiers are dynamic environments characterized by the conversion of native habitats to agriculture. Because they are currently concentrated in diverse tropical habitats, agricultural frontiers are areas where the largest number of species is exposed to hazardous land management practices, including pesticide use. Focusing on the Amazonian frontier, we show that producers have varying access to resources, knowledge, control and reward mechanisms to improve land management practices. With poor education and no technical support, pesticide use by smallholders sharply deviated from agronomical recommendations, tending to overutilization of hazardous compounds. By contrast, with higher levels of technical expertise and resources, and aiming at more restrictive markets, large-scale producers adhered more closely to technical recommendations and even voluntarily replaced more hazardous compounds. However, the ecological footprint increased significantly over time because of increased dosage or because formulations that are less toxic to humans may be more toxic to other biodiversity. Frontier regions appear to be unique in terms of the conflicts between production and conservation, and the necessary pesticide risk management and risk reduction can only be achieved through responsibility-sharing by diverse stakeholders, including governmental and intergovernmental organizations, NGOs, financial institutions, pesticide and agricultural industries, producers, academia and consumers. PMID:23610177
NASA Astrophysics Data System (ADS)
Vanwalleghem, Tom; Giráldez, Juan Vicente
2013-04-01
Many courses on natural resources require hands-on practical knowledge and experience that students traditionally could only acquire by expensive and time-consuming field excursions. New technologies and social media however provide an interesting alternative to train students and help them improve their practical knowledge. AgroGeovid is a virtual excursion, based on Google Earth, Youtube, Facebook and Twitter that is aimed at agricultural engineering students, but equally useful for any student interested in soil management and conservation, e.g. geography, geology and environmental resources. Agrogeovid provides the framework for teachers and students to upload geotagged photos, comments and discussions. After the initial startup phase, where the teacher uploaded material on e.g. soil erosion phenomena, soil conservation structures and different soil management strategies under different agronomic systems, students contributed with their own material gathered throughout the academic year. All students decided to contribute via Facebook, in stead of Twitter, which was not known to most of them. The final result was a visual and dynamic tool which students could use to train and perfect skills adopted in the classroom using case-studies and examples from their immediate environment.
de Andrade Junior, Milton Aurelio Uba; Zanghelini, Guillherme Marcelo; Soares, Sebastião Roberto
2017-05-01
Because the consumption of materials is generally higher than their recovery rate, improving municipal solid waste (MSW) management is fundamental for increasing the efficiency of natural resource use and consumption in urban areas. More broadly, the characteristics of a MSW management system influence the end-of-life (EOL) impacts of goods consumed by households. We aim to indicate the extent to which greenhouse gas emissions from a MSW management system can be reduced by increasing waste paper recycling. We also address the stakeholders' contribution for driving transition towards an improved scenario. Life cycle assessment (LCA) addresses the EOL impacts of the paper industry, driven by the characteristics of MSW management in Florianópolis, Brazil, by varying the level of stakeholders' commitment through different recycling scenarios. The results show that 41% of the climate change impacts from waste paper management could be reduced when increasing the waste paper recycling rates and reducing waste paper landfilling. To achieve such emissions reduction, the industry contribution to the MSW management system would have to increase from 17% in the business-as-usual scenario to 74% in the target scenario. We were able to measure the differences in stakeholders' contribution by modelling the MSW management system processes that are under the industry's responsibility separately from the processes that are under the government's responsibility, based on the Brazilian legal framework. The conclusions indicate that LCA can be used to support policy directions on reducing the impacts of MSW management by increasing resource recovery towards a circular economy.
Survey of Consumer Informatics for Palliation and Hospice Care
Corn, Milton; Gustafson, David H.; Harris, Linda M.; Kutner, Jean S.; McFarren, Ann E.; Shad, Aziza T.
2012-01-01
Context Palliation in patient care is under-utilized in part because many patients have insufficient knowledge about this management option. Information technology can improve awareness by providing access to numerous sources of trustworthy information. Evidence Acquisition To estimate what a patient interested in palliation might find online, online resources were searched in July 2010, using terms relevant to palliation. PubMed was searched for publications relevant to discussed topics. Evidence Synthesis Search engines returned vast numbers of hits, and identifying trustworthy sites was difficult. Products judged as trustworthy were classified as information, decision tool, or extended interaction tool. Sites with useful educational material were relatively plentiful; decision guides and interactive tools were much rarer. Available consumer informatics did not address well some terminal illnesses, and some subpopulations such as children, nor was there sufficient attention to literacy levels or principles of instructional design. Online or published information about usage numbers, effectiveness, and cost/benefit considerations was scant. Many sectors, including commercial, government, healthcare, research, and wellness/advocacy groups, have created consumer informatics for palliation. Conclusions Online information about palliation is available, although identifying trustworthy sources can be problematic. General information sites are relatively plentiful, but more tools for decision making, and interaction would increase value of web resources. More attention to literacy levels, instructional principles, and needs of special populations would improve products. Research to measure usage of such tools, ability to influence behavior, and cost/benefit issues is needed. PMID:21521592
Jayanti, R K
2001-01-01
Consumer information-processing theory provides a useful framework for policy makers concerned with regulating information provided by managed care organizations. The assumption that consumers are rational information processors and providing more information is better is questioned in this paper. Consumer research demonstrates that when faced with an uncertain decision, consumers adopt simplifying strategies leading to sub-optimal choices. A discussion on how consumers process risk information and the effects of various informational formats on decision outcomes is provided. Categorization theory is used to propose guidelines with regard to providing effective information to consumers choosing among competing managed care plans. Public policy implications borne out of consumer information-processing theory conclude the article.
Nurse-led clinics for atrial fibrillation: managing risk factors.
Jacob, Liril
2017-12-14
Atrial fibrillation (AF) is the most common and sustained cardiac arrhythmia rated by cardiologists as one of the most difficult conditions to manage. Traditionally, AF management has focused on the three pillars of rate control, rhythm control and anticoagulation. However, more recently, cardiovascular risk-factor management in AF has emerged as a fourth and essential pillar, delivering improved patient outcomes. In the UK, AF is a condition that is often managed poorly, with patients reporting a lack of understanding of their condition and treatment options. Many aspects of assessment and communication in AF management are time consuming. Failure to address those aspects may negatively affect the quality of care. Nurse-led clinics can contribute significantly in the areas of patient education and sustained follow-up care, improving outcomes and addressing current deficiencies in AF risk-factor management due to scarcity of medical resources. This article discusses the major cardiovascular risk factors associated with AF, drawing on evidence from the literature, and considers the effectiveness and implications for practice of introducing community-based nurse-led clinics for risk-factor management in patients with AF.
Medical technology management: from planning to application.
David, Y; Jahnke, E
2005-01-01
Appropriate deployment of technological innovation contributes to improvement in the quality of healthcare delivered, the containment of cost, and access to the healthcare system. Hospitals have been allocating a significant portion of their resources to procuring and managing capital assets; they are continuously faced with demands for new medical equipment and are asked to manage existing inventory for which they are not well prepared. To objectively manage their investment, hospitals are developing medical technology management programs that need pertinent information and planning methodology for integrating new equipment into existing operations as well as for optimizing costs of ownership of all equipment. Clinical engineers can identify technological solutions based on the matching of new medical equipment with hospital's objectives. They can review their institution's overall technological position, determine strengths and weaknesses, develop equipment-selection criteria, supervise installations, train users and monitor post procurement performance to assure meeting of goals. This program, together with cost accounting analysis, will objectively guide the capital assets decision-making process. Cost accounting analysis is a multivariate function that includes determining the amount, based upon a strategic plan and financial resources, of funding to be allocated annually for medical equipment acquisition and replacement. Often this function works closely with clinical engineering to establish equipment useful life and prioritization of acquisition, upgrade, and replacement of inventory within budget confines and without conducting time consuming, individual financial capital project evaluations.
Papadakos, Janet; Trang, Aileen; Wiljer, David; Cipolat Mis, Chiara; Cyr, Alaina; Friedman, Audrey Jusko; Mazzocut, Mauro; Snow, Michelle; Raivich, Valeria; Catton, Pamela
2014-04-01
The criteria for determining whether resources are included in consumer health library collections are summarized in institutional collection development policies (CDPs). Evidence suggests that CDPs do not adequately capture all of these criteria. The aim of this study was to describe the resource review experience of librarians and compare it to what is described in CDPs. A phenomenological approach was used to explore and describe the process. Four consumer health librarians independently evaluated cancer-related consumer health resources and described their review process during a semi-structured telephone interview. Afterward, these librarians completed online questionnaires about their approaches to collection development. CDPs from participating libraries, interview transcripts, and questionnaire data were analyzed. Researchers summarized the findings, and participating librarians reviewed results for validation. Librarians all utilized similar criteria, as documented in their CDPs; however, of thirteen criteria described in the study, only four were documented in CDPs. CDPs for consumer health libraries may be missing important criteria that are considered integral parts of the collection development process. A better understanding of the criteria and contextual factors involved in the collection development process can assist with establishing high-quality consumer health library collections.
Papadakos, Janet; Trang, Aileen; Wiljer, David; Mis, Chiara Cipolat; Cyr, Alaina; Friedman, Audrey Jusko; Mazzocut, Mauro; Snow, Michelle; Raivich, Valeria; Catton, Pamela
2014-01-01
Objectives: The criteria for determining whether resources are included in consumer health library collections are summarized in institutional collection development policies (CDPs). Evidence suggests that CDPs do not adequately capture all of these criteria. The aim of this study was to describe the resource review experience of librarians and compare it to what is described in CDPs. Methods: A phenomenological approach was used to explore and describe the process. Four consumer health librarians independently evaluated cancer-related consumer health resources and described their review process during a semi-structured telephone interview. Afterward, these librarians completed online questionnaires about their approaches to collection development. CDPs from participating libraries, interview transcripts, and questionnaire data were analyzed. Researchers summarized the findings, and participating librarians reviewed results for validation. Results: Librarians all utilized similar criteria, as documented in their CDPs; however, of thirteen criteria described in the study, only four were documented in CDPs. Conclusions: CDPs for consumer health libraries may be missing important criteria that are considered integral parts of the collection development process. Implications: A better understanding of the criteria and contextual factors involved in the collection development process can assist with establishing high-quality consumer health library collections. PMID:24860261
Consumer health information for pet owners
Murphy, Sarah Anne
2006-01-01
Objective: The author studied health information available for veterinary consumers both in print and online. Methods: WorldCat was searched using a list of fifty-three Library of Congress subject headings relevant to veterinary consumer health to identify print resources for review. Identified items were then collected and assessed for authority, comprehensiveness of coverage, validity, and other criteria outlined by Rees. An in-depth assessment of the information available for feline lower urinary tract disease (FLUTD) and canine congestive heart failure (CHF) was then conducted to examine the availability and quality of information available for specific diseases and disorders. A reading grade level was assigned for each passage using the Flesch-Kincaid formula in the Readability Statistics feature in Microsoft Word. Results/Discussion: A total of 187 books and 7 Websites were identified and evaluated. More than half of the passages relating to FLUTD and CHF were written above an 11th-grade reading level. A limited quantity of quality, in-depth resources that address specific diseases and disorders and are written at an appropriate reading level for consumers is available. Conclusion: The library's role is to facilitate access to the limited number of quality consumer health resources that are available to veterinary consumers. PMID:16636707
Modeling and Analysis of Commercial Building Electrical Loads for Demand Side Management
NASA Astrophysics Data System (ADS)
Berardino, Jonathan
In recent years there has been a push in the electric power industry for more customer involvement in the electricity markets. Traditionally the end user has played a passive role in the planning and operation of the power grid. However, many energy markets have begun opening up opportunities to consumers who wish to commit a certain amount of their electrical load under various demand side management programs. The potential benefits of more demand participation include reduced operating costs and new revenue opportunities for the consumer, as well as more reliable and secure operations for the utilities. The management of these load resources creates challenges and opportunities to the end user that were not present in previous market structures. This work examines the behavior of commercial-type building electrical loads and their capacity for supporting demand side management actions. This work is motivated by the need for accurate and dynamic tools to aid in the advancement of demand side operations. A dynamic load model is proposed for capturing the response of controllable building loads. Building-specific load forecasting techniques are developed, with particular focus paid to the integration of building management system (BMS) information. These approaches are tested using Drexel University building data. The application of building-specific load forecasts and dynamic load modeling to the optimal scheduling of multi-building systems in the energy market is proposed. Sources of potential load uncertainty are introduced in the proposed energy management problem formulation in order to investigate the impact on the resulting load schedule.
Consumer Education Resources: Credit, Credit Problems, Home Mortgages & Equity Loans.
ERIC Educational Resources Information Center
Eastern Michigan Univ., Ypsilanti. National Inst. for Consumer Education.
This document contains five lists of consumer resources pertaining to credit, credit problems, and home mortgages and equity loans. The first list, targeted at adults, provides information on general credit, applying for credit and contracts, seniors and women and credit, credit options and costs, credit protection, credit reports and bureaus, and…
Daphnia inhibits the emergence of spatial pattern in a simple consumer-resource system.
Betini, Gustavo S; Avgar, Tal; McCann, Kevin S; Fryxell, John M
2017-04-01
Spatial self-organization can occur in many ecosystems with important effects on food web dynamics and the maintenance of biodiversity. The consumer-resource interaction is known to generate spatial patterning, but only a few empirical studies have investigated the effect of the consumer on resource distribution. Here we report results from a large aquatic mesocosm experiment used to investigate the effect of the consumer Daphnia magna on the distribution of its resource, the green algae Chlorella vulgaris. We maintained large tanks with capacity for 26 ,000 L with either algae or both algae and Daphnia in different temperature conditions. We found that the presence of D. magna inhibited spatial structure in algal distribution that arose as a consequence of increasing temperature. We conjecture that this homogenization effect might be caused by a combination of high mobility combined with high rates of algal consumption by Daphnia. Our study emphasizes the importance of both local constraints on growth and behavioral responses in either promoting or suppressing spatial self-organization in natural populations. © 2017 by the Ecological Society of America.
Kareva, Irina; Morin, Benjamin; Karev, Georgy
2013-04-01
The conditions that can lead to the exploitative depletion of a shared resource, i.e., the tragedy of the commons, can be reformulated as a game of prisoner's dilemma: while preserving the common resource is in the best interest of the group, over-consumption is in the interest of each particular individual at any given point in time. One way to try and prevent the tragedy of the commons is through infliction of punishment for over-consumption and/or encouraging under-consumption, thus selecting against over-consumers. Here, the effectiveness of various punishment functions in an evolving consumer-resource system is evaluated within a framework of a parametrically heterogeneous system of ordinary differential equations (ODEs). Conditions leading to the possibility of sustainable coexistence with the common resource for a subset of cases are identified analytically using adaptive dynamics; the effects of punishment on heterogeneous populations with different initial composition are evaluated using the reduction theorem for replicator equations. Obtained results suggest that one cannot prevent the tragedy of the commons through rewarding of under-consumers alone--there must also be an implementation of some degree of punishment that increases in a nonlinear fashion with respect to over-consumption and which may vary depending on the initial distribution of clones in the population.
Estimated Water Flows in 2005: United States
DOE Office of Scientific and Technical Information (OSTI.GOV)
Smith, C A; Belles, R D; Simon, A J
2011-03-16
Flow charts depicting water use in the United States have been constructed from publicly available data and estimates of water use patterns. Approximately 410,500 million gallons per day of water are managed throughout the United States for use in farming, power production, residential, commercial, and industrial applications. Water is obtained from four major resource classes: fresh surface-water, saline (ocean) surface-water, fresh groundwater and saline (brackish) groundwater. Water that is not consumed or evaporated during its use is returned to surface bodies of water. The flow patterns are represented in a compact 'visual atlas' of 52 state-level (all 50 states inmore » addition to Puerto Rico and the Virgin Islands) and one national water flow chart representing a comprehensive systems view of national water resources, use, and disposition.« less
Willmitzer, H
2000-01-01
In face of widespread pollution of surface waters, strategies must be developed for the use of surface waters which protect the high quality standards of drinking water, starting with the catchment area via the reservoir to the consumer. As a rule, priority is given to the avoidance of contaminants directly at their point of origin. Water protection is always cheaper than expensive water-body restoration and water treatment. Complementary to the generally practised technical methods of raw water treatment with all their associated problems of energy input requirements, costs, and waste products, there is an increasing number of environmentally sound treatment technologies which use ecological principles as a basis to support the self-cleaning properties of flowing and dammed waters.
Use of Mobile Health Technology in the Prevention and Management of Diabetes Mellitus.
Hartz, Jacob; Yingling, Leah; Powell-Wiley, Tiffany M
2016-12-01
Cardiovascular disease is the leading cause of morbidity and mortality globally, with diabetes being an independent risk factor. Adequate diabetes management has proven to be resource-intensive, requiring frequent lab work, primary care and specialist visits, and time-consuming record-keeping by the patient and care team. New mobile health (mHealth) technologies have enhanced how diabetes is managed and care is delivered. While more recent work has investigated mHealth devices as complementary tools in behavioral interventions for diabetes prevention and management, little is still known about the effectiveness of mHealth technology as stand-alone intervention tools for reducing diabetes risk. In addition, more work is needed to identify the role of mHealth technology in treating vulnerable populations to ameliorate cardiovascular health disparities. With advances in mobile health technology development for diabetes prevention and management, these modalities will likely play an increasingly prominent role in reducing cardiometabolic risk for the US population.
Valuable human capital: the aging health care worker.
Collins, Sandra K; Collins, Kevin S
2006-01-01
With the workforce growing older and the supply of younger workers diminishing, it is critical for health care managers to understand the factors necessary to capitalize on their vintage employees. Retaining this segment of the workforce has a multitude of benefits including the preservation of valuable intellectual capital, which is necessary to ensure that health care organizations maintain their competitive advantage in the consumer-driven market. Retaining the aging employee is possible if health care managers learn the motivators and training differences associated with this category of the workforce. These employees should be considered a valuable resource of human capital because without their extensive expertise, intense loyalty and work ethic, and superior customer service skills, health care organizations could suffer severe economic repercussions in the near future.
Smoking cessation and the Internet: a qualitative method examining online consumer behavior.
Frisby, Genevieve; Bessell, Tracey L; Borland, Ron; Anderson, Jeremy N
2002-01-01
Smoking is a major preventable cause of disease and disability around the world. Smoking cessation support-including information, discussion groups, cognitive behavioral treatment, and self-help materials-can be delivered via the Internet. There is limited information about the reasons and methods consumers access smoking cessation information on the Internet. This study aims to determine the feasibility of a method to examine the online behavior of consumers seeking smoking cessation resources. In particular, we sought to identify the reasons and methods consumers use to access and assess the quality of these resources. Thirteen participants were recruited via the state-based Quit smoking cessation campaign, operated by the Victorian Cancer Council, in December 2001. Online behavior was evaluated using semi-structured interviews and Internet simulations where participants sought smoking cessation information and addressed set-case scenarios. Online interaction was tracked through pervasive logging with specialist software. Thirteen semi-structured interviews and 4 Internet simulations were conducted in January 2002. Participants sought online smoking cessation resources for reasons of convenience, timeliness, and anonymity-and because their current information needs were unmet. They employed simple search strategies and could not always find information in an efficient manner. Participants employed several different strategies to assess the quality of online health resources. Consumer online behavior can be studied using a combination of survey, observation, and online surveillance. However, further qualitative and observational research is required to harness the full potential of the Internet to deliver public health resources.
Global land-water nexus: Agricultural land and freshwater use embodied in worldwide supply chains.
Chen, B; Han, M Y; Peng, K; Zhou, S L; Shao, L; Wu, X F; Wei, W D; Liu, S Y; Li, Z; Li, J S; Chen, G Q
2018-02-01
As agricultural land and freshwater inextricably interrelate and interact with each other, the conventional water and land policy in "silos" should give way to nexus thinking when formulating the land and water management strategies. This study constructs a systems multi-regional input-output (MRIO) model to expound global land-water nexus by simultaneously tracking agricultural land and freshwater use flows along the global supply chains. Furthermore, land productivity and irrigation water requirements of 160 crops in different regions are investigated to reflect the land-water linkage. Results show that developed economies (e.g., USA and Japan) and major large developing economies (e.g., mainland China and India) are the overriding drivers of agricultural land and freshwater use globally. In general, significant net transfers of these two resources are identified from resource-rich and less-developed economies to resource-poor and more-developed economies. For some crops, blue water productivity is inversely related to land productivity, indicating that irrigation water consumption is sometimes at odds with land use. The results could stimulus international cooperation for sustainable land and freshwater management targeting on original suppliers and final consumers along the global supply chains. Moreover, crop-specific land-water linkage could provide insights for trade-off decisions on minimizing the environmental impacts on local land and water resources. Copyright © 2017 Elsevier B.V. All rights reserved.
ERIC Educational Resources Information Center
California State Univ., Fresno. Dept. of Home Economics.
This competency-based preservice home economics teacher education module on incorporating the consumer approach in homemaking classes is the fourth in a set of four core curriculum modules on consumer approach to homemaking education. (This set is part of a larger series of sixty-seven modules on the Management Approach to Teaching Consumer and…
Montaña, C G; Schalk, C M
2018-04-01
The isotopic (δ 13 C and δ 15 N) and stoichiometric (C:N:P) compositions of four fish species (Family Centrarchidae: Lepomis auritus, Lepomis cyanellus; Family Cyprinidae: Nocomis leptocephalus, Semotilus atromaculatus) were examined across four North Carolina Piedmont streams arrayed along an urbanization gradient. Both isotopic and stoichiometric composition of fishes appeared to track changes occurring in basal resource availability. Values of δ 13 C of basal resources and consumers were more enriched at the most urbanized streams. Similarly, basal resources and consumers were δ 15 N-enriched at more urbanized streams. Basal resource stoichiometry varied across streams, with periphyton being the most variable. Primary consumers stoichiometry also differed across streams. Intraspecific variation in fish stoichiometry correlated with the degree of urbanization, as the two cyprinids had higher N content and L. cyanellus had higher P content in more urbanized streams, probably due to enrichment of basal resources. Intrinsic factors, specifically species identity and body size also affected stoichiometric variation. Phosphorus (P) content increased significantly with body size in centrarchids, but not in cyprinids. These results suggest that although species identity and body size are important predictors of elemental stoichiometry, the complex nature of altered urban streams may yield imbalances in the elemental composition of consumers via their food resources. © 2018 The Fisheries Society of the British Isles.
Marshall, Sarah L; Crowe, Trevor P; Oades, Lindsay G; Deane, Frank F; Kavanagh, David J
2007-03-01
This Open Forum examines research on case management that draws on consumer perspectives. It clarifies the extent of consumer involvement and whether evaluations were informed by recovery perspectives. Searches of three databases revealed 13 studies that sought to investigate consumer perspectives. Only one study asked consumers about experiences of recovery. Most evaluations did not adequately assess consumers' views, and active consumer participation in research was rare. Supporting an individual's recovery requires commitment to a recovery paradigm that incorporates traditional symptom reduction and improved functioning, with broader recovery principles, and a shift in focus from illness to well-being. It also requires greater involvement of consumers in the implementation of case management and ownership of their own recovery process, not just in research that evaluates the practice.
Terrestrial carbon is a resource, but not a subsidy, for lake zooplankton
Kelly, Patrick T.; Solomon, Christopher T.; Weidel, Brian C.; Jones, Stuart E.
2014-01-01
Inputs of terrestrial organic carbon (t-OC) into lakes are often considered a resource subsidy for aquatic consumer production. Although there is evidence that terrestrial carbon can be incorporated into the tissues of aquatic consumers, its ability to enhance consumer production has been debated. Our research aims to evaluate the net effect of t-OC input on zooplankton. We used a survey of zooplankton production and resource use in ten lakes along a naturally occurring gradient of t-OC concentration to address these questions. Total and group-specific zooplankton production was negatively related to t-OC. Residual variation in zooplankton production that was not explained by t-OC was negatively related to terrestrial resource use (allochthony) by zooplankton. These results challenge the designation of terrestrial carbon as a resource subsidy; rather, the negative effect of reduced light penetration on the amount of suitable habitat and the low resource quality of t-OC appear to diminish zooplankton production. Our findings suggest that ongoing continental-scale increases in t-OC concentrations of lakes will likely have negative impacts on the productivity of aquatic food webs.
Tilleul, P; Aissou, M; Bocquet, F; Thiriat, N; le Grelle, O; Burke, M J; Hutton, J; Beaussier, M
2012-06-01
Continuous wound infiltration (CWI), i.v. patient-controlled analgesia (i.v.-PCA), and epidural analgesia (EDA) are analgesic techniques commonly used for pain relief after open abdominal surgery. The aim of this study was to evaluate the cost-effectiveness of these techniques. A decision analytic model was developed, including values retrieved from clinical trials and from an observational prospective cohort of 85 patients. Efficacy criteria were based on pain at rest (VAS ≤ 30/100 mm at 24 h). Resource use and costs were evaluated from medical record measurements and published data. Probabilistic sensitivity analysis (PSA) was performed. When taking into account all resources consumed, the CWI arm (€ 6460) is economically dominant when compared with i.v.-PCA (€ 7273) and EDA (€ 7500). The proportion of patients successfully controlled for their postoperative pain management are 77.4%, 53.9%, and 72.9% for CWI, i.v.-PCA, and EDA, respectively, demonstrating the CWI procedure to be both economically and clinically dominant. PSA reported that CWI remains cost saving in 70.4% of cases in comparison with EDA and in 59.2% of cases when compared with PCA. Device-related costs of using CWI for pain management after abdominal laparotomy are partly counterbalanced by a reduction in resource consumption. The cost-effectiveness analysis suggests that CWI is the dominant treatment strategy for managing postoperative pain (i.e. more effective and less costly) in comparison with i.v.-PCA. When compared with EDA, CWI is less costly with almost equivalent efficacy. This economic evaluation may be useful for clinicians to design algorithms for pain management after major abdominal surgery.
Surveying Consumer Satisfaction to Assess Managed-Care Quality: Current Practices
Gold, Marsha; Wooldridge, Judith
1995-01-01
Growing interest in using consumer satisfaction information to enhance quality of care and promote informed consumer choice has accompanied recent expansions in managed care. This article synthesizes information about consumer satisfaction surveys conducted by managed-care plans, government and other agencies, community groups, and purchasers of care. We discuss survey content, methods, and use of consumer survey information. Differences in the use of consumer surveys preclude one instrument or methodology from meeting all needs. The effectiveness of plan-based surveys could be enhanced by increased information on alternative survey instruments and methods and new methodological studies, such as ones developing risk-adjustment methods. PMID:10151887
Impact of Advertising: Implications for Consumer Education.
ERIC Educational Resources Information Center
Cook, Zena; And Others
This report reviews and analyzes the effects advertising has on consumer choice, national values, and life styles. It is intended to aid consumer educators and others in related fields. The report's focus is on two central issues: consumer sovereignty and patterns of personal, industrial, and national resource allocation. The first of four…
Federal Register 2010, 2011, 2012, 2013, 2014
2010-09-17
... its expert judgment about consumer behavior, perceptions, and similar information related to consumer... CONSUMER PRODUCT SAFETY COMMISSION [Docket No. CPSC-2010-0046] Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Consumer Focus Groups...
Mwandri, Michael B; Hardcastle, Timothy C
2018-06-01
Developing countries face the highest incidence of trauma, and on the other hand, they do not have resources for mitigating the scourge of these injuries. The World Health Organization through the Essential Trauma Care (ETC) project provides recommendations for improving management of the injured and building up of systems that are effective in low-middle-income countries (LMICs). This study uses ETC project recommendations and other trauma-care guidelines to evaluate the current status of the resources and organizational structures necessary for optimal trauma care in Botswana; an African country with relatively good health facilities network, subsidized public hospital care and a functioning Motor Vehicle Accident fund covering road traffic collision victims. A cross-sectional descriptive design employed convenience sampling for recruiting high-volume trauma hospitals and selecting candidates. A questionnaire, checklist, and physical verification of resources were utilized to evaluate resources, staff knowledge, and organization-of-care and hospital capabilities. Results are provided in plain descriptive language to demonstrate the findings. Necessary consumables, good infrastructure, adequate numbers of personnel and rehabilitation services were identified all meeting or exceeding ETC recommendations. Deficiencies were noted in staff knowledge of initial trauma care, district hospital capability to provide essential surgery, and the organization of trauma care. The good level of resources available in Botswana may be used to improve trauma care: To further this process, more empowering of high-volume trauma hospitals by adopting trauma-care recommendations and inclusive trauma-system approaches are desirable. The use of successful examples on enhanced surgical skills and capabilities, effective trauma-care resource management, and leadership should be encouraged.
Consumption of materials in the United States, 1900-1995
Matos, G.; Wagner, L.
1998-01-01
The flows of nonfood and nonfuel materials through the economy have significant impact on our lives and the world around us. Growing populations and economies demand more goods, services, and infrastructure. Since the beginning of the twentieth century, the types of materials consumed in the United States have significantly changed. In 1900, on a per-weight basis, almost half of the materials consumed were from renewable resources, such as wood, fibers, and agricultural products, the rest being derived from nonrenewable resources. By 1995, the consumption of renewable resources had declined dramatically, to only 8% of total consumption. During this century, the quantity of materials consumed has grown, from 161 million metric tons in 1900 to 2.8 billion metric tons by 1995, an equivalent of 10 metric tons per person per year. Of all the materials consumed during this century, more than half were consumed in the last 25 years. This paper examines the general historical shifts in materials consumption and presents an analysis of different measurements of materials use and the significance of their trends.
Climate Change Information Dashboards for Water Resource Managers
NASA Astrophysics Data System (ADS)
Buja, Lawrence
2016-04-01
It is in the context of its application that one needs to determine if climate information is of high quality and ultimately useful. Therefore, it is important that the intersection between data providers and data consumers is structured in form of an iterative and collaborative exchange where science and application viewpoints can be brought together. A traditional "loading dock"-style hand-off of data fails to optimally inform decisions. It is now broadly recognized that a collaborative, open exchange is better suited to generate credible and salient products and knowledge that can be more confidently used in decisions. But in order for this exchange to be successful in practice, it needs to be sufficiently efficient to actually facilitate an exploratory process that is inherently iterative to determine the most informative products. It also requires a transparent approach that is easily understood and communicated. We will present prototypes of Climate Information Dashboards that collect on a single page to integrate a suite of key climate information for resource managers. The content of dashboards is based on standardized products that can be assembled to meet specific needs. They were co-designed with the water resource managers and are tailored to selected management and decision topics. The visualizations are tuned to quickly provide the basic information, yet below individual diagnostics are more detailed analyses that can be consulted. These dashboards offer a flexible way to connect decision-makers to climate model output. Conversely, such dashboards can also be applied to inform model development by providing insight into a suite of key characteristics of model performance that have been identified as critical by a sector.
Consumer protection and managed care: the need for organized consumers.
Rodwin, M A
1996-01-01
Despite its many advantages, managed care creates new problems for consumers. Activists have proposed four types of remedies: (1) increased information and choice; (2) standards for services and marketing; (3) administrative oversight; and (4) procedural due process for complaints. Each approach offers some benefits, but they are insufficient to cope with consumer problems. What is lacking is effective, organized consumer advocacy.
Developing Informatics Tools and Strategies for Consumer-centered Health Communication
Keselman, Alla; Logan, Robert; Smith, Catherine Arnott; Leroy, Gondy; Zeng-Treitler, Qing
2008-01-01
As the emphasis on individuals' active partnership in health care grows, so does the public's need for effective, comprehensible consumer health resources. Consumer health informatics has the potential to provide frameworks and strategies for designing effective health communication tools that empower users and improve their health decisions. This article presents an overview of the consumer health informatics field, discusses promising approaches to supporting health communication, and identifies challenges plus direction for future research and development. The authors' recommendations emphasize the need for drawing upon communication and social science theories of information behavior, reaching out to consumers via a range of traditional and novel formats, gaining better understanding of the public's health information needs, and developing informatics solutions for tailoring resources to users' needs and competencies. This article was written as a scholarly outreach and leadership project by members of the American Medical Informatics Association's Consumer Health Informatics Working Group. PMID:18436895
NASA Astrophysics Data System (ADS)
Pfister, S.; Bayer, P.; Koehler, A.; Hellweg, S.
2009-04-01
Life Cycle Assessment (LCA) represents a methodological framework for analyzing the total environmental impact of any product or service of our daily life. After tracking all associated emissions and the consumption of resources, this impact is expressed with respect to a few common impact categories. These are supposed to reflect major societal and environmental priorities. However, despite their central role in environmental processes, to date hydrological as well as hydrogeological aspects are only rarely considered in LCA. Compared with standard impact categories within LCA, water is special. In contrast to other abiotic resources such as crude oil, it can be replenished. Total freshwater resources are immense, but not evenly distributed and often scarce in regions of high demand. Consequently, threads to natural water bodies have immense spatial dependency. Setting up functional relationships in order to derive a generally valid and practicable evaluation is tedious due to the complex, insufficiently understood, and uncertain natural processes involved. LCA that includes the environmental effects of water consumption means global indirect water resource management. It supports goal-directed consumer behaviour that aims to reduce pressure on natural water systems. By developing a hydrologically-based assessment of potential impacts from human interaction with natural water bodies, "greener" products can be prioritised. More sustainable and environmentally friendly water management is the result. The proposed contribution presents an operational assessment method of global surface water consumption for impacts on human health and ecosystem quality within a LCA framework. A major focus is the issue of how such global assessment helps to quantify potential impacts from water-intensive production in developing countries, where the means for proper water management are often limited. We depict a compensation scheme for impacts related to water consumption that allows agriculture-dependent regions to produce and export crops while customers can compensate the related environmental impacts and/or improving the integrated water resource management by paying a premium. This allows for efficient international food production, strengthening sustainability regarding social, environmental and economic issues related to water and trade.
ERIC Educational Resources Information Center
California State Univ., Fresno. Dept. of Home Economics.
This competency-based preservice home economics teacher education module on consumer approach to textiles and clothing is the first in a set of four modules on consumer education related to textiles and clothing. (This set is part of a larger series of sixty-seven modules on the Management Approach to Teaching Consumer and Homemaking Education…
de Andrés-Nogales, F; Vivancos Mora, J; Barriga Hernández, F J; Díaz Otero, F; Izquierdo Esteban, L; Ortega-Casarrubios, M Á; Castillo Moreno, L; Ximénez-Carrillo Rico, Á; Martín Torres, M P; Gómez-Escalonilla Escobar, C I; Torres González, C; de Salas-Cansado, M; Casado Gómez, M Á; Soto Álvarez, J; Gil-Núñez, A
2015-01-01
Stroke is the main cause of admission to Neurology departments and cardioembolic stroke (CS) is one of the most common subtypes of stroke. A multicentre prospective observational study was performed in 5 Neurology departments in public hospitals in the Region of Madrid (Spain). The objective was to estimate the use of healthcare resources and costs of acute CS management. Patients with acute CS at<48h from onset were recruited. Patients' socio-demographic, clinical, and healthcare resource use data were collected during hospitalisation and at discharge up to 30 days after admission, including data for rehabilitation treatment after discharge. During an 8-month recruitment period, 128 patients were recruited: mean age, 75.3±11.25; 46.9% women; mortality rate, 4.7%. All patients met the CS diagnostic criteria established by GEENCV-SEN, based on medical history or diagnostic tests. Fifty per cent of the patients had a history of atrial fibrillation and 18.8% presented other major cardioembolic sources. Non-valvular atrial fibrillation was the most frequent cause of CS (33.6%). Data for healthcare resource use, given a mean total hospital stay of 10.3±9.3 days, are as follows: rehabilitation therapy during hospital stay (46.9%, mean 4.5 days) and after discharge (56.3%, mean 26.8 days), complications (32%), specific interventions (19.5%), and laboratory and diagnostic tests (100%). Head CT (98.4%), duplex ultrasound of supra-aortic trunks (87.5%), and electrocardiogram (85.9%) were the most frequently performed diagnostic procedures. Average total cost per patient during acute-phase management and rehabilitation was €13,139. Hospital stay (45.0%) and rehabilitation at discharge (29.2%) accounted for the largest part of resources used. Acute CS management in the Region of Madrid resulted consumes large amounts of resources (€13,139), mainly due to hospital stays and rehabilitation. Copyright © 2014 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.
Consumer Education in an Age of Adaptation. Educator Resource Series.
ERIC Educational Resources Information Center
Campbell, Sally R.
Designed to serve as a reference and resource, this publication contains ideas and information to help teachers modify content and teaching methods to assist students in coping with the changing marketplace. Part 1 of the guide lists educational objectives for these major content areas: (1) The Consumer and the Economy, (2) Values and Goals, (3)…
Management support and perceived consumer satisfaction in skilled nursing facilities.
Metlen, Scott; Eveleth, Daniel; Bailey, Jeffrey J
2005-08-01
How managers 'manage' employees influences important firm outcomes. Heskett, Sasser, and Schlesinger contend that the level of internal support for service workers will influence consumer satisfaction. This study empirically explores how skilled nursing facility (SNF) managers affect consumer satisfaction by encouraging employee effectiveness and listening to employees to determine how to improve employee effectiveness. We extend previous research by proposing management as a form of internal support and demonstrating its relationship to service process integration, as a distinct form of internal support. The results of our individual-level investigation of 630 nursing assistants from 45 SNFs provide support for our two-part hypothesis. First, active management support and process integration, as elements of internal support, do lead to increased employee satisfaction and employee effectiveness. Second, the increased employee satisfaction and effectiveness was positively related to consumer satisfaction, as evaluated by the service workers. Thus, there is a positive influence of management's internal support of nursing assistants on perceived consumer satisfaction.
What can we learn from resource pulses?
Yang, Louie H; Bastow, Justin L; Spence, Kenneth O; Wright, Amber N
2008-03-01
An increasing number of studies in a wide range of natural systems have investigated how pulses of resource availability influence ecological processes at individual, population, and community levels. Taken together, these studies suggest that some common processes may underlie pulsed resource dynamics in a wide diversity of systems. Developing a common framework of terms and concepts for the study of resource pulses may facilitate greater synthesis among these apparently disparate systems. Here, we propose a general definition of the resource pulse concept, outline some common patterns in the causes and consequences of resource pulses, and suggest a few key questions for future investigations. We define resource pulses as episodes of increased resource availability in space and time that combine low frequency (rarity), large magnitude (intensity), and short duration (brevity), and emphasize the importance of considering resource pulses at spatial and temporal scales relevant to specific resource-onsumer interactions. Although resource pulses are uncommon events for consumers in specific systems, our review of the existing literature suggests that pulsed resource dynamics are actually widespread phenomena in nature. Resource pulses often result from climatic and environmental factors, processes of spatiotemporal accumulation and release, outbreak population dynamics, or a combination of these factors. These events can affect life history traits and behavior at the level of individual consumers, numerical responses at the population level, and indirect effects at the community level. Consumers show strategies for utilizing ephemeral resources opportunistically, reducing resource variability by averaging over larger spatial scales, and tolerating extended interpulse periods of reduced resource availability. Resource pulses can also create persistent effects in communities through several mechanisms. We suggest that the study of resource pulses provides opportunities to understand the dynamics of many specific systems, and may also contribute to broader ecological questions at individual, population, and community levels.
Keefe, Bronwyn
2018-01-01
Services for older adults and younger people with disabilities are increasingly merging, as reflected in the creation of Aging and Disability Resource Centers (ADRCs). Using ADRCs to coordinate services is challenging, primarily because these fields have different service delivery philosophies. Independent Living Centers, which serve people with disabilities, have a philosophy that emphasizes consumer control and peer mentoring. However, the aging service delivery philosophy is based in a case management or medical model in which the role of consumers directing their services is less pronounced. Using institutional logics theory and a qualitative research design, this study explored whether a unified service delivery philosophy for ADRCs was emerging. Based on focus groups and questionnaires with staff from ADRCs, findings revealed that competing service delivery models continue to operate in the aging and disability fields.
Mercury free microscopy: an opportunity for core facility directors.
Baird, T Regan; Kaufman, Daniel; Brown, Claire M
2014-07-01
Mercury Free Microscopy (MFM) is a new movement that encourages microscope owners to choose modern mercury free light sources to replace more traditional mercury based arc lamps. Microscope performance is enhanced with new solid state technologies because they offer a more stable light intensity output and have a more uniform light output across the visible spectrum. Solid state sources not only eliminate mercury but also eliminate the cost of consumable bulbs (lifetime ∼200 hours), use less energy, reduce the instrument down time when bulbs fail and reduce the staff time required to replace and align bulbs. With lifetimes on the order of tens of thousands of hours, solid state replacements can pay for themselves over their lifetime with the omission of consumable, staff (no need to replace and align bulbs) and energy costs. Solid state sources are also sustainable and comply with institutional and government body mandates to reduce energy consumption, carbon footprints and hazardous waste. MFM can be used as a mechanism to access institutional financial resources for sustainable technology through a variety of stakeholders to defray the cost to microscope owners for the initial purchase of solid state sources or the replacement cost of mercury based sources. Core facility managers can take a lead in this area as "green" ambassadors for their institution by championing a local MFM program that will save their institution money and energy and eliminate mercury from the waste stream. Managers can leverage MFM to increase the visibility of their facility, their impact within the institution, and as a vital educational resource for scientific and administrative consultation.
From rhetoric to reality: consumer engagement in 16 multi-stakeholder alliances.
Greene, Jessica; Farley, Diane C; Christianson, Jon B; Scanlon, Dennis P; Shi, Yunfeng
2016-08-01
A key component of the Aligning Forces for Quality (AF4Q) program was engaging consumers in their health and healthcare. We examined the extent to which the alliances embraced 4 areas of consumer engagement: self-management, consumer friendliness of reports of healthcare provider quality, involvement of consumers in alliance governance, and the integration of consumers into quality improvement teams. We used a largely qualitative approach. The evaluation team conducted 1100 in-depth interviews with alliance stakeholders. Two authors reviewed the consumer engagement data for each alliance to assess its level of embrace in the 4 consumer engagement areas. For consumer friendliness of public reporting websites, we also assessed alliance public reports for reading level, technical language, and evaluable displays. Population-level effects were also examined for self-management and public reporting. Consumer engagement was new to most alliances, and few had staff with consumer engagement expertise or existing consumer constituencies. For each area of consumer engagement, some alliances enthusiastically embraced the work, other alliances made a concerted but limited effort to develop programs, and a third group of alliances did the minimum work required. Integrating consumers into governance was the area most often embraced, followed by making public reports consumer friendly. Two alliances strongly embraced both self-management and integrating patients into quality improvement efforts. The AF4Q program did not have greater population level effects from self-management or public reporting than were those observed in a national comparison sample. The AF4Q program sparked a few alliances to develop robust consumer engagement programming, while most alliances tried consumer engagement efforts for the first time and developed an appreciation for integrating consumer perspectives into their work.
Arya, Dinesh K
2013-08-01
Many transformations in how mental health care is delivered have required the development of new ways of providing care, treatment and support to mental health consumers. In the recent past, to support consumers and their carers adequately and appropriately, there has been emphasis on case management and care coordination. There is a need to consider whether over-emphasis on case management should be limited to the minority of mental health consumers who are unable to make competent decisions, whereas majority of consumers should take complete charge of their own treatment. PRISM (Promoting Resilience, Independence and Self Management) is a conceptual framework that potentially offers an opportunity to empower consumers to take charge of their own treatment by using specific tools, including a PRISM Pack, Take Charge Sheet, Protocol for Appropriate Care and use of methods that ensure that the mental health consumer does become a key decision maker with regard to their own care and treatment. Copyright © 2013 Elsevier B.V. All rights reserved.
Lee, Kenneth; Hoti, Kreshnik; Hughes, Jeffery David; Emmerton, Lynne
2014-12-02
The abundance of health information available online provides consumers with greater access to information pertinent to the management of health conditions. This is particularly important given an increasing drive for consumer-focused health care models globally, especially in the management of chronic health conditions, and in recognition of challenges faced by lay consumers with finding, understanding, and acting on health information sourced online. There is a paucity of literature exploring the navigational needs of consumers with regards to accessing online health information. Further, existing interventions appear to be didactic in nature, and it is unclear whether such interventions appeal to consumers' needs. Our goal was to explore the navigational needs of consumers with chronic health conditions in finding online health information within the broader context of consumers' online health information-seeking behaviors. Potential barriers to online navigation were also identified. Semistructured interviews were conducted with adult consumers who reported using the Internet for health information and had at least one chronic health condition. Participants were recruited from nine metropolitan community pharmacies within Western Australia, as well as through various media channels. Interviews were audio-recorded, transcribed verbatim, and then imported into QSR NVivo 10. Two established approaches to thematic analysis were adopted. First, a data-driven approach was used to minimize potential bias in analysis and improve construct and criterion validity. A theory-driven approach was subsequently used to confirm themes identified by the former approach and to ensure identified themes were relevant to the objectives. Two levels of analysis were conducted for both data-driven and theory-driven approaches: manifest-level analysis, whereby face-value themes were identified, and latent-level analysis, whereby underlying concepts were identified. We conducted 17 interviews, with data saturation achieved by the 14th interview. While we identified a broad range of online health information-seeking behaviors, most related to information discussed during consumer-health professional consultations such as looking for information about medication side effects. The barriers we identified included intrinsic barriers, such as limited eHealth literacy, and extrinsic barriers, such as the inconsistency of information between different online sources. The navigational needs of our participants were extrinsic in nature and included health professionals directing consumers to appropriate online resources and better filtering of online health information. Our participants' online health information-seeking behaviors, reported barriers, and navigational needs were underpinned by the themes of trust, patient activation, and relevance. This study suggests that existing interventions aimed to assist consumers with navigating online health information may not be what consumers want or perceive they need. eHealth literacy and patient activation appear to be prevalent concepts in the context of consumers' online health information-seeking behaviors. Furthermore, the role for health professionals in guiding consumers to quality online health information is highlighted.
NASA Astrophysics Data System (ADS)
Li, J.; Wen, G.; Li, D.
2018-04-01
Trough mastering background information of Yunnan province grassland resources utilization and ecological conditions to improves grassland elaborating management capacity, it carried out grassland resource investigation work by Yunnan province agriculture department in 2017. The traditional grassland resource investigation method is ground based investigation, which is time-consuming and inefficient, especially not suitable for large scale and hard-to-reach areas. While remote sensing is low cost, wide range and efficient, which can reflect grassland resources present situation objectively. It has become indispensable grassland monitoring technology and data sources and it has got more and more recognition and application in grassland resources monitoring research. This paper researches application of multi-source remote sensing image in Yunnan province grassland resources investigation. First of all, it extracts grassland resources thematic information and conducts field investigation through BJ-2 high space resolution image segmentation. Secondly, it classifies grassland types and evaluates grassland degradation degree through high resolution characteristics of Landsat 8 image. Thirdly, it obtained grass yield model and quality classification through high resolution and wide scanning width characteristics of MODIS images and sample investigate data. Finally, it performs grassland field qualitative analysis through UAV remote sensing image. According to project area implementation, it proves that multi-source remote sensing data can be applied to the grassland resources investigation in Yunnan province and it is indispensable method.
Orchestrating Distributed Resource Ensembles for Petascale Science
DOE Office of Scientific and Technical Information (OSTI.GOV)
Baldin, Ilya; Mandal, Anirban; Ruth, Paul
2014-04-24
Distributed, data-intensive computational science applications of interest to DOE scientific com- munities move large amounts of data for experiment data management, distributed analysis steps, remote visualization, and accessing scientific instruments. These applications need to orchestrate ensembles of resources from multiple resource pools and interconnect them with high-capacity multi- layered networks across multiple domains. It is highly desirable that mechanisms are designed that provide this type of resource provisioning capability to a broad class of applications. It is also important to have coherent monitoring capabilities for such complex distributed environments. In this project, we addressed these problems by designing an abstractmore » API, enabled by novel semantic resource descriptions, for provisioning complex and heterogeneous resources from multiple providers using their native provisioning mechanisms and control planes: computational, storage, and multi-layered high-speed network domains. We used an extensible resource representation based on semantic web technologies to afford maximum flexibility to applications in specifying their needs. We evaluated the effectiveness of provisioning using representative data-intensive ap- plications. We also developed mechanisms for providing feedback about resource performance to the application, to enable closed-loop feedback control and dynamic adjustments to resource allo- cations (elasticity). This was enabled through development of a novel persistent query framework that consumes disparate sources of monitoring data, including perfSONAR, and provides scalable distribution of asynchronous notifications.« less
Evolution of specialization in resource utilization in structured metapopulations.
Nurmi, Tuomas; Geritz, Stefan; Parvinen, Kalle; Gyllenberg, Mats
2008-07-01
We study the evolution of resource utilization in a structured discrete-time metapopulation model with an infinite number of patches, prone to local catastrophes. The consumer faces a trade-off in the abilities to consume two resources available in different amounts in each patch. We analyse how the evolution of specialization in the utilization of the resources is affected by different ecological factors: migration, local growth, local catastrophes, forms of the trade-off and distribution of the resources in the patches. Our modelling approach offers a natural way to include more than two patch types into the models. This has not been usually possible in the previous spatially heterogeneous models focusing on the evolution of specialization.
3 CFR 8482 - Proclamation 8482 of March 5, 2010. National Consumer Protection Week, 2010
Code of Federal Regulations, 2011 CFR
2011-01-01
... responsible consumers with unreasonable costs. However, consumers must also learn to avoid predatory practices... Americans of all ages the resources they need to make wise buying decisions is the responsibility of Federal... to share information about consumer protection; and I encourage all Americans to learn more about...
Contextualizing Embodied Resources in Global Food Trade
NASA Astrophysics Data System (ADS)
MacDonald, G. K.; Brauman, K. A.; Sun, S.; West, P. C.; Carlson, K. M.; Cassidy, E. S.; Gerber, J. S.; Ray, D. K.
2014-12-01
Trade in agricultural commodities has created increasingly complex linkages between resource use and food supplies across national borders. Understanding the degree to which food production and consumption relies on trade is vital to understanding how to sustainably meet growing food demands across scales. We use detailed bilateral trade statistics and data on agricultural management to examine the land use and water consumption embodied in agricultural trade, which we relate to basic nutritional indicators to show how trade contributes to food availability worldwide. Agricultural trade carries enough calories to provide >1.7 billion people a basic diet each year. We identify key commodities and producer-consumer relationships that disproportionately contribute to embodied resource use and flows of food nutrition at the global scale. For example, just 15 disproportionately large soybean trades comprised ~10% the total harvested area embodied in export production. We conclude by framing these results in terms of the fraction of each country's food production and consumption that is linked to international trade. These findings help to characterize how countries allocate resources to domestic versus foreign food demand.
Consumer-Resource Dynamics: Quantity, Quality, and Allocation
Getz, Wayne M.; Owen-Smith, Norman
2011-01-01
Background The dominant paradigm for modeling the complexities of interacting populations and food webs is a system of coupled ordinary differential equations in which the state of each species, population, or functional trophic group is represented by an aggregated numbers-density or biomass-density variable. Here, using the metaphysiological approach to model consumer-resource interactions, we formulate a two-state paradigm that represents each population or group in a food web in terms of both its quantity and quality. Methodology and Principal Findings The formulation includes an allocation function controlling the relative proportion of extracted resources to increasing quantity versus elevating quality. Since lower quality individuals senesce more rapidly than higher quality individuals, an optimal allocation proportion exists and we derive an expression for how this proportion depends on population parameters that determine the senescence rate, the per-capita mortality rate, and the effects of these rates on the dynamics of the quality variable. We demonstrate that oscillations do not arise in our model from quantity-quality interactions alone, but require consumer-resource interactions across trophic levels that can be stabilized through judicious resource allocation strategies. Analysis and simulations provide compelling arguments for the necessity of populations to evolve quality-related dynamics in the form of maternal effects, storage or other appropriate structures. They also indicate that resource allocation switching between investments in abundance versus quality provide a powerful mechanism for promoting the stability of consumer-resource interactions in seasonally forcing environments. Conclusions/Significance Our simulations show that physiological inefficiencies associated with this switching can be favored by selection due to the diminished exposure of inefficient consumers to strong oscillations associated with the well-known paradox of enrichment. Also our results demonstrate how allocation switching can explain observed growth patterns in experimental microbial cultures and discuss how our formulation can address questions that cannot be answered using the quantity-only paradigms that currently predominate. PMID:21283752
Essential Medicines in a High Income Country: Essential to Whom?
2015-01-01
Objective To explore the perspectives of a diverse group of stakeholders engaged in medicines decision making around what constitutes an “essential” medicine, and how the Essential Medicines List (EML) concept functions in a high income country context. Methods In-depth qualitative semi-structured interviews were conducted with 32 Australian stakeholders, recognised as decision makers, leaders or advisors in the area of medicines reimbursement or supply chain management. Participants were recruited from government, pharmaceutical industry, pharmaceutical wholesale/distribution companies, medicines non-profit organisations, academic health disciplines, hospitals, and consumer groups. Perspectives on the definition and application of the EML concept in a high income country context were thematically analysed using grounded theory approach. Findings Stakeholders found it challenging to describe the EML concept in the Australian context because many perceived it was generally used in resource scarce settings. Stakeholders were unable to distinguish whether nationally reimbursed medicines were essential medicines in Australia. Despite frequent generic drug shortages and high prices paid by consumers, many struggled to describe how the EML concept applied to Australia. Instead, broad inclusion of consumer needs, such as rare and high cost medicines, and consumer involvement in the decision making process, has led to expansive lists of nationally subsidised medicines. Therefore, improved communication and coordination is needed around shared interests between stakeholders regarding how medicines are prioritised and guaranteed in the supply chain. Conclusions This study showed that decision-making in Australia around reimbursement of medicines has strayed from the fundamental utilitarian concept of essential medicines. Many stakeholders involved in medicine reimbursement decisions and management of the supply chain did not consider the EML concept in their approach. The wide range of views of what stakeholders considered were essential medicines, challenges whether the EML concept is out-dated or underutilised in high income countries. PMID:26650544
Essential Medicines in a High Income Country: Essential to Whom?
Duong, Mai; Moles, Rebekah J; Chaar, Betty; Chen, Timothy F
2015-01-01
To explore the perspectives of a diverse group of stakeholders engaged in medicines decision making around what constitutes an "essential" medicine, and how the Essential Medicines List (EML) concept functions in a high income country context. In-depth qualitative semi-structured interviews were conducted with 32 Australian stakeholders, recognised as decision makers, leaders or advisors in the area of medicines reimbursement or supply chain management. Participants were recruited from government, pharmaceutical industry, pharmaceutical wholesale/distribution companies, medicines non-profit organisations, academic health disciplines, hospitals, and consumer groups. Perspectives on the definition and application of the EML concept in a high income country context were thematically analysed using grounded theory approach. Stakeholders found it challenging to describe the EML concept in the Australian context because many perceived it was generally used in resource scarce settings. Stakeholders were unable to distinguish whether nationally reimbursed medicines were essential medicines in Australia. Despite frequent generic drug shortages and high prices paid by consumers, many struggled to describe how the EML concept applied to Australia. Instead, broad inclusion of consumer needs, such as rare and high cost medicines, and consumer involvement in the decision making process, has led to expansive lists of nationally subsidised medicines. Therefore, improved communication and coordination is needed around shared interests between stakeholders regarding how medicines are prioritised and guaranteed in the supply chain. This study showed that decision-making in Australia around reimbursement of medicines has strayed from the fundamental utilitarian concept of essential medicines. Many stakeholders involved in medicine reimbursement decisions and management of the supply chain did not consider the EML concept in their approach. The wide range of views of what stakeholders considered were essential medicines, challenges whether the EML concept is out-dated or underutilised in high income countries.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wu, May M.; Sawyer, Bernard M
This analysis covers the entire biorefinery operation. The study focuses on net water consumed for the production of a unit of biofuel: blue, green, and grey water footprint. Blue water is defined as the water consumed in the biorefinery that is withdrawn from surface and ground water. Blue water footprint includes enzyme cultivation, pretreatment, hydrolysis, bioreactor, cooling system, boiler, fuel upgrading, combustor track, and on-site WWT. Grey water is defined as wastewater generated from the biorefinery and was evaluated based on the wastewater treatment plant design. Green water, defined as rainwater consumed for the production, is not required in themore » RDB process. Approximately 7–15 gal of water are required to produce a gallon of RDB when corn stover or non-irrigated perennial grasses, switchgrass and Miscanthus x giganteus (Miscanthus), serve as the feedstock in the contiguous United States. Bioelectricity generation from the biorefinery resulted in a net water credit, which reduced the water footprint. The life cycle grey water footprint for nitrogen is primarily from nitrogen in the feedstock production stage because no wastewater is discharged into the environment in the RDB process. Perennial grasses-based RDB production shows a promising grey water footprint, while corn stover-based RDB production has a relatively low green water footprint. Results from the study can help improve our understanding of the water sustainability of advanced biofuel technology under development. Make-up water for cooling and boiling remains a major demand in the biorefinery. The work revealed a key issue or trade-off between achieving zero liquid discharge to maximize water resource use and potentially increasing cost of fuel production. Solid waste disposal was identified as a management issue, and its inverse relationship with wastewater management could affect economic sustainability.« less
Qian, Siyu; Yu, Ping; Hailey, David M; Wang, Ning
2016-04-01
To examine nursing time spent on administration of medications in a residential aged care (RAC) home, and to determine factors that influence the time to medicate a resident. Information on nursing time spent on medication administration is useful for planning and implementation of nursing resources. Nurses were observed over 12 morning medication rounds using a time-motion observational method and field notes, at two high-care units in an Australian RAC home. Nurses spent between 2.5 and 4.5 hours in a medication round. Administration of medication averaged 200 seconds per resident. Four factors had significant impact on medication time: number of types of medication, number of tablets taken by a resident, methods used by a nurse to prepare tablets and methods to provide tablets. Administration of medication consumed a substantial, though variable amount of time in the RAC home. Nursing managers need to consider the factors that influenced the nursing time required for the administration of medication in their estimation of nursing workload and required resources. To ensure safe medication administration for older people, managers should regularly assess the changes in the factors influencing nursing time on the administration of medication when estimating nursing workload and required resources. © 2015 John Wiley & Sons Ltd.
Knowledge as a Service at the Point of Care.
Shellum, Jane L; Freimuth, Robert R; Peters, Steve G; Nishimura, Rick A; Chaudhry, Rajeev; Demuth, Steve J; Knopp, Amy L; Miksch, Timothy A; Milliner, Dawn S
2016-01-01
An electronic health record (EHR) can assist the delivery of high-quality patient care, in part by providing the capability for a broad range of clinical decision support, including contextual references (e.g., Infobuttons), alerts and reminders, order sets, and dashboards. All of these decision support tools are based on clinical knowledge; unfortunately, the mechanisms for managing rules, order sets, Infobuttons, and dashboards are often unrelated, making it difficult to coordinate the application of clinical knowledge to various components of the clinical workflow. Additional complexity is encountered when updating enterprise-wide knowledge bases and delivering the content through multiple modalities to different consumers. We present the experience of Mayo Clinic as a case study to examine the requirements and implementation challenges related to knowledge management across a large, multi-site medical center. The lessons learned through the development of our knowledge management and delivery platform will help inform the future development of interoperable knowledge resources.
Knowledge as a Service at the Point of Care
Shellum, Jane L.; Freimuth, Robert R.; Peters, Steve G.; Nishimura, Rick A.; Chaudhry, Rajeev; Demuth, Steve J.; Knopp, Amy L.; Miksch, Timothy A.; Milliner, Dawn S.
2016-01-01
An electronic health record (EHR) can assist the delivery of high-quality patient care, in part by providing the capability for a broad range of clinical decision support, including contextual references (e.g., Infobuttons), alerts and reminders, order sets, and dashboards. All of these decision support tools are based on clinical knowledge; unfortunately, the mechanisms for managing rules, order sets, Infobuttons, and dashboards are often unrelated, making it difficult to coordinate the application of clinical knowledge to various components of the clinical workflow. Additional complexity is encountered when updating enterprise-wide knowledge bases and delivering the content through multiple modalities to different consumers. We present the experience of Mayo Clinic as a case study to examine the requirements and implementation challenges related to knowledge management across a large, multi-site medical center. The lessons learned through the development of our knowledge management and delivery platform will help inform the future development of interoperable knowledge resources. PMID:28269911
Smoking Cessation and the Internet: A Qualitative Method Examining Online Consumer Behavior
Frisby, Genevieve; Borland, Ron; Anderson, Jeremy N
2002-01-01
Background Smoking is a major preventable cause of disease and disability around the world. Smoking cessation support — including information, discussion groups, cognitive behavioral treatment, and self-help materials — can be delivered via the Internet. There is limited information about the reasons and methods consumers access smoking cessation information on the Internet. Objectives This study aims to determine the feasibility of a method to examine the online behavior of consumers seeking smoking cessation resources. In particular, we sought to identify the reasons and methods consumers use to access and assess the quality of these resources. Methods Thirteen participants were recruited via the state-based Quit® smoking cessation campaign, operated by the Victorian Cancer Council, in December 2001. Online behavior was evaluated using semi-structured interviews and Internet simulations where participants sought smoking cessation information and addressed set-case scenarios. Online interaction was tracked through pervasive logging with specialist software. Results Thirteen semi-structured interviews and 4 Internet simulations were conducted in January 2002. Participants sought online smoking cessation resources for reasons of convenience, timeliness, and anonymity — and because their current information needs were unmet. They employed simple search strategies and could not always find information in an efficient manner. Participants employed several different strategies to assess the quality of online health resources. Conclusions Consumer online behavior can be studied using a combination of survey, observation, and online surveillance. However, further qualitative and observational research is required to harness the full potential of the Internet to deliver public health resources. PMID:12554555
NASA Astrophysics Data System (ADS)
Andrade, P.; Fiorini, B.; Murphy, S.; Pigueiras, L.; Santos, M.
2015-12-01
Over the past two years, the operation of the CERN Data Centres went through significant changes with the introduction of new mechanisms for hardware procurement, new services for cloud provisioning and configuration management, among other improvements. These changes resulted in an increase of resources being operated in a more dynamic environment. Today, the CERN Data Centres provide over 11000 multi-core processor servers, 130 PB disk servers, 100 PB tape robots, and 150 high performance tape drives. To cope with these developments, an evolution of the data centre monitoring tools was also required. This modernisation was based on a number of guiding rules: sustain the increase of resources, adapt to the new dynamic nature of the data centres, make monitoring data easier to share, give more flexibility to Service Managers on how they publish and consume monitoring metrics and logs, establish a common repository of monitoring data, optimise the handling of monitoring notifications, and replace the previous toolset by new open source technologies with large adoption and community support. This contribution describes how these improvements were delivered, present the architecture and technologies of the new monitoring tools, and review the experience of its production deployment.
Karson, T. H.; Perkins, C.; Dixon, C.; Ehresman, J. P.; Mammone, G. L.; Sato, L.; Schaffer, J. L.; Greenes, R. A.
1997-01-01
A component-based health information resource, delivered on an intranet and the Internet, utilizing World Wide Web (WWW) technology, has been built to meet the needs of a large integrated delivery network (IDN). Called PartnerWeb, this resource is intended to provide a variety of health care and reference information to both practitioners and consumers/patients. The initial target audience has been providers. Content management for the numerous departments, divisions, and other organizational entities within the IDN is accomplished by a distributed authoring and editing environment. Structured entry using a set of form tools into databases facilitates consistency of information presentation, while empowering designated authors and editors in the various entities to be responsible for their own materials, but not requiring them to be technically skilled. Each form tool manages an encapsulated component. The output of each component can be a dynamically generated display on WWW platforms, or an appropriate interface to other presentation environments. The PartnerWeb project lays the foundation for both an internal and external communication infrastructure for the enterprise that can facilitate information dissemination. PMID:9357648
The Cancer Imaging Archive (TCIA): maintaining and operating a public information repository.
Clark, Kenneth; Vendt, Bruce; Smith, Kirk; Freymann, John; Kirby, Justin; Koppel, Paul; Moore, Stephen; Phillips, Stanley; Maffitt, David; Pringle, Michael; Tarbox, Lawrence; Prior, Fred
2013-12-01
The National Institutes of Health have placed significant emphasis on sharing of research data to support secondary research. Investigators have been encouraged to publish their clinical and imaging data as part of fulfilling their grant obligations. Realizing it was not sufficient to merely ask investigators to publish their collection of imaging and clinical data, the National Cancer Institute (NCI) created the open source National Biomedical Image Archive software package as a mechanism for centralized hosting of cancer related imaging. NCI has contracted with Washington University in Saint Louis to create The Cancer Imaging Archive (TCIA)-an open-source, open-access information resource to support research, development, and educational initiatives utilizing advanced medical imaging of cancer. In its first year of operation, TCIA accumulated 23 collections (3.3 million images). Operating and maintaining a high-availability image archive is a complex challenge involving varied archive-specific resources and driven by the needs of both image submitters and image consumers. Quality archives of any type (traditional library, PubMed, refereed journals) require management and customer service. This paper describes the management tasks and user support model for TCIA.
NASA Astrophysics Data System (ADS)
Aragon, B.; Huang, D.; Houborg, R.; Dasari, H. P.; Hoteit, I.; McCabe, M.
2017-12-01
In arid-land agricultural environments, knowledge of the water and energy budget is critical in order to sustainably manage the allocation and use of water resources. Using long-term weather reanalysis data from the Weather Research and Forecasting (WRF) model and a time-series record of Landsat 8 imagery, we apply the Priestly-Taylor Jet Propulsion Lab (PT-JPL) model to estimate the energy budget over the Al Jawf agricultural region in the north of Saudi Arabia. This zone generates a significant proportion of the agricultural production in Saudi Arabia and consumes an important fraction of the non-renewable water resources. This research contributes towards efforts seeking to quantify the precise amount of water that is used in agriculture - a difficult variable given that the overwhelming majority of supply comes from groundwater extraction. Results of this research can be used to improve crop management and to mitigate aquifer over-exploitation by monitoring the indiscriminate use of water and establishing bounds around the rates of groundwater withdrawal.
NASA Astrophysics Data System (ADS)
Heath Pastore, Tracy; Barnes, Mitchell; Hallman, Rory
2005-05-01
Robot technology is developing at a rapid rate for both commercial and Department of Defense (DOD) applications. As a result, the task of managing both technology and experience information is growing. In the not-to-distant past, tracking development efforts of robot platforms, subsystems and components was not too difficult, expensive, or time consuming. To do the same today is a significant undertaking. The Mobile Robot Knowledge Base (MRKB) provides the robotics community with a web-accessible, centralized resource for sharing information, experience, and technology to more efficiently and effectively meet the needs of the robot system user. The resource includes searchable information on robot components, subsystems, mission payloads, platforms, and DOD robotics programs. In addition, the MRKB website provides a forum for technology and information transfer within the DOD robotics community and an interface for the Robotic Systems Pool (RSP). The RSP manages a collection of small teleoperated and semi-autonomous robotic platforms, available for loan to DOD and other qualified entities. The objective is to put robots in the hands of users and use the test data and fielding experience to improve robot systems.
Matthias, Marianne S; Fukui, Sadaaki; Kukla, Marina; Eliacin, Johanne; Bonfils, Kelsey A; Firmin, Ruth L; Oles, Sylwia K; Adams, Erin L; Collins, Linda A; Salyers, Michelle P
2014-12-01
This study explored the association between shared decision making and consumers' illness management skills and consumer-provider relationships. Medication management appointments for 79 consumers were audio recorded. Independent coders rated overall shared decision making, minimum level of shared decision making, and consumer-provider agreement for 63 clients whose visit included a treatment decision. Mental health diagnoses, medication adherence, patient activation, illness management, working alliance, and length of consumer-provider relationships were also assessed. Correlation analyses were used to determine relationships among measures. Overall shared decision making was not associated with any variables. Minimum levels of shared decision making were associated with higher scores on the bond subscale of the Working Alliance Inventory, indicating a higher degree of liking and trust, and with better medication adherence. Agreement was associated with shorter consumer-provider relationships. Consumer-provider relationships and shared decision making might have a more nuanced association than originally thought.
Efficacy of CPTH-treated egg baits for removing ravens
Coates, Peter S.; Spencer, Jack O.; Delehanty, David J.
2007-01-01
Human-altered landscapes have provided resource subsidies for common ravens (Corvus corax) resulting in a substantial increase in raven abundance and distribution throughout the United States and Canada in the past 25 years. Ravens are effective predators of eggs and young of ground-nesting birds. During 2002–2005, we tested whether chicken egg baits treated with CPTH (3-chloro-p-toluidine hydrochloride) could be used to manage raven numbers in an area where raven depredation was impacting sharp-tailed grouse (Tympanuchus phasianellus columbianus) and greater sage-grouse (Centrocercus urophasianus) populations in Nevada. We performed multiple raven surveys at a treatment site and 3 control sites and used videography to identify predators and estimate egg bait consumption. We detected reductions in raven abundances over time at the treatment site during all years of this study and did not detect reductions in raven abundances at control sites. Videographic observations of egg consumption indicated that the standard 1:2 ratio (1 raven removed/2 eggs consumed) substantially overestimated raven take because nontarget species (rodents) consumed some egg baits. The technique described here likely will be effective at reducing raven densities where this is the intended management action.
Renewable Energy Power Generation Estimation Using Consensus Algorithm
NASA Astrophysics Data System (ADS)
Ahmad, Jehanzeb; Najm-ul-Islam, M.; Ahmed, Salman
2017-08-01
At the small consumer level, Photo Voltaic (PV) panel based grid tied systems are the most common form of Distributed Energy Resources (DER). Unlike wind which is suitable for only selected locations, PV panels can generate electricity almost anywhere. Pakistan is currently one of the most energy deficient countries in the world. In order to mitigate this shortage the Government has recently announced a policy of net-metering for residential consumers. After wide spread adoption of DERs, one of the issues that will be faced by load management centers would be accurate estimate of the amount of electricity being injected in the grid at any given time through these DERs. This becomes a critical issue once the penetration of DER increases beyond a certain limit. Grid stability and management of harmonics becomes an important consideration where electricity is being injected at the distribution level and through solid state controllers instead of rotating machinery. This paper presents a solution using graph theoretic methods for the estimation of total electricity being injected in the grid in a wide spread geographical area. An agent based consensus approach for distributed computation is being used to provide an estimate under varying generation conditions.
Whole-system nutrient enrichment increases secondary production in a detritus-based ecosystem
W.F. Cross; J.B. Wallace; A.D. Rosemond; S.L. Eggert
2006-01-01
Although the effects of nutrient enrichment on consumer-resource dynamics are relatively well studied in ecosystems based on living plants, little is known about the manner in which enrichment influences the dynamics and productivity of consumers and resources in detritus-based ecosystems. Because nutrients can stimulate loss of carbon at the base of detrital food webs...
Temperature-driven regime shifts in the dynamics of size-structured populations.
Ohlberger, Jan; Edeline, Eric; Vøllestad, Leif Asbjørn; Stenseth, Nils C; Claessen, David
2011-02-01
Global warming impacts virtually all biota and ecosystems. Many of these impacts are mediated through direct effects of temperature on individual vital rates. Yet how this translates from the individual to the population level is still poorly understood, hampering the assessment of global warming impacts on population structure and dynamics. Here, we study the effects of temperature on intraspecific competition and cannibalism and the population dynamical consequences in a size-structured fish population. We use a physiologically structured consumer-resource model in which we explicitly model the temperature dependencies of the consumer vital rates and the resource population growth rate. Our model predicts that increased temperature decreases resource density despite higher resource growth rates, reflecting stronger intraspecific competition among consumers. At a critical temperature, the consumer population dynamics destabilize and shift from a stable equilibrium to competition-driven generation cycles that are dominated by recruits. As a consequence, maximum age decreases and the proportion of younger and smaller-sized fish increases. These model predictions support the hypothesis of decreasing mean body sizes due to increased temperatures. We conclude that in size-structured fish populations, global warming may increase competition, favor smaller size classes, and induce regime shifts that destabilize population and community dynamics.
[The Chinese experts' consensus on the evaluation and management of asthma exacerbation].
2018-01-01
Asthma exacerbations can do a lot of harm to the patients and consume large amounts of medical resources. This consensus is based on the domestic and foreign guidelines and literatures to standardize the evaluation and management of asthma exacerbations in China. Asthma exacerbations are characterized by a progressive increase in symptoms of shortness of breath, cough, wheezing or chest tightness and progressive decrease in lung function, and usually require modification of treatment. Recognizing risk factors and triggering factors of asthma exacerbations is helpful for the prevention and long-term management. Evaluation of asthma exacerbations is based on symptoms, lung function, and arterial blood gas. Management is stratified according to the severity of disease. Different regimens to treat asthma exacerbations are discussed in this consensus. Glucocorticoids should be used properly. Overuse of antibiotics should be avoided. Management of life-threatening asthma is discussed separately. Special attention should be paid in some special respects, such as asthma during peri-operation period, gestation period, and childhood. Diagnosis and management of complications are also of great significance and are discussed in details.
Tipping Points in Resource Abundance Drive Irreversible Changes in Community Structure.
Haney, Seth D; Siepielski, Adam M
2018-05-01
Global climate change has made what were seemingly extraordinary environmental conditions, such as prolonged droughts, commonplace. One consequence of extreme environmental change is concomitant changes in resource abundance. How will such extreme resource changes impact biodiversity? We developed a trait-based consumer-resource model to examine how resource abundance affects the potential for adaptive evolution and coexistence among competitors. We found that moderate changes in resource abundance have little effect on trait evolution. However, when resource scarcities were sufficiently extreme, a critical transition-a tipping point-occurred, which caused consumer traits to diverge and restructured the community in a way that outlasted the scarcity. Therefore, even though traits can evolve in response to minor resource fluctuations, large environmental shifts may be necessary for producing long-lasting impacts on community structure. These results may also help to illuminate patterns of stasis frequently observed in nature, despite the considerable evidence demonstrating rapid evolutionary change.
Energy Management of Smart Distribution Systems
NASA Astrophysics Data System (ADS)
Ansari, Bananeh
Electric power distribution systems interface the end-users of electricity with the power grid. Traditional distribution systems are operated in a centralized fashion with the distribution system owner or operator being the only decision maker. The management and control architecture of distribution systems needs to gradually transform to accommodate the emerging smart grid technologies, distributed energy resources, and active electricity end-users or prosumers. The content of this document concerns with developing multi-task multi-objective energy management schemes for: 1) commercial/large residential prosumers, and 2) distribution system operator of a smart distribution system. The first part of this document describes a method of distributed energy management of multiple commercial/ large residential prosumers. These prosumers not only consume electricity, but also generate electricity using their roof-top solar photovoltaics systems. When photovoltaics generation is larger than local consumption, excess electricity will be fed into the distribution system, creating a voltage rise along the feeder. Distribution system operator cannot tolerate a significant voltage rise. ES can help the prosumers manage their electricity exchanges with the distribution system such that minimal voltage fluctuation occurs. The proposed distributed energy management scheme sizes and schedules each prosumer's ES to reduce the electricity bill and mitigate voltage rise along the feeder. The second part of this document focuses on emergency energy management and resilience assessment of a distribution system. The developed emergency energy management system uses available resources and redundancy to restore the distribution system's functionality fully or partially. The success of the restoration maneuver depends on how resilient the distribution system is. Engineering resilience terminology is used to evaluate the resilience of distribution system. The proposed emergency energy management scheme together with resilience assessment increases the distribution system operator's preparedness for emergency events.
Monga, Harpreet K; Sievert, MaryEllen C; Hall, Joan Houston; Longo, Daniel R
2001-01-01
Background Digital information technology can facilitate informed decision making by individuals regarding their personal health care. The digital divide separates those who do and those who do not have access to or otherwise make use of digital information. To close the digital divide, health care communications research must address a fundamental issue, the consumer vocabulary problem: consumers of health care, at least those who are laypersons, are not always familiar with the professional vocabulary and concepts used by providers of health care and by providers of health care information, and, conversely, health care and health care information providers are not always familiar with the vocabulary and concepts used by consumers. One way to address this problem is to develop a consumer entry vocabulary for health care communications. Objectives To evaluate the potential of controlled vocabulary resources for supporting the development of consumer entry vocabulary for diabetes. Methods We used folk medical terms from the Dictionary of American Regional English project to create exended versions of 3 controlled vocabulary resources: the Unified Medical Language System Metathesaurus, the Eurodicautom of the European Commission's Translation Service, and the European Commission Glossary of popular and technical medical terms. We extracted consumer terms from consumer-authored materials, and physician terms from physician-authored materials. We used our extended versions of the vocabulary resources to link diabetes-related terms used by health care consumers to synonymous, nearly-synonymous, or closely-related terms used by family physicians. We also examined whether retrieval of diabetes-related World Wide Web information sites maintained by nonprofit health care professional organizations, academic organizations, or governmental organizations can be improved by substituting a physician term for its related consumer term in the query. Results The Dictionary of American Regional English extension of the Metathesaurus provided coverage, either direct or indirect, of approximately 23% of the natural language consumer-term-physician-term pairs. The Dictionary of American Regional English extension of the Eurodicautom provided coverage for 16% of the term pairs. Both the Metathesaurus and the Eurodicautom indirectly related more terms than they directly related. A high percentage of covered term pairs, with more indirectly covered pairs than directly covered pairs, might be one way to make the most out of expensive controlled vocabulary resources. We compared retrieval of diabetes-related Web information sites using the physician terms to retrieval using related consumer terms We based the comparison on retrieval of sites maintained by non-profit healthcare professional organizations, academic organizations, or governmental organizations. The number of such sites in the first 20 results from a search was increased by substituting a physician term for its related consumer term in the query. This suggests that the Dictionary of American Regional English extensions of the Metathesaurus and Eurodicautom may be used to provide useful links from natural language consumer terms to natural language physician terms. Conclusions The Dictionary of American Regional English extensions of the Metathesaurus and Eurodicautom should be investigated further for support of consumer entry vocabulary for diabetes. PMID:11720966
Sackett, Dana K.; Cope, W. Gregory; Rice, James A.; Aday, D. Derek
2013-01-01
Consumption of fish has well-known human health benefits, though some fish may contain elevated levels of mercury (Hg) that are especially harmful to developing children. Fish length is most often the basis for establishing fishery harvest regulations that determine which fish will ultimately be consumed by humans. It is, therefore, essential to quantify the relationship between fish length and Hg accumulation in regard to harvest regulations for effective fishery and public health policy. We examined this relationship for three sportfish from six lakes across North Carolina, USA. Bluegill (Lepomis macrochirus) had the lowest Hg levels and only the very largest fish in the most contaminated site exceeded the US Environmental Protection Agency (USEPA) Hg screening level. Black crappie (Pomoxis nigromaculatus) had an intermediate level of Hg and larger individuals exceeded the USEPA screening level; however, they tended not to exceed this level before reaching the harvest length limit. Largemouth bass (Micropterus salmoides) exceeded the USEPA screening level at sizes below the fishery length limit in two lakes, leaving only higher risk fish for anglers to harvest and consume. Removing the effects of fish age and trophic position, we found strong positive correlations between Hg and fish length for largemouth bass and black crappie. We suggest public health officials and wildlife managers collaborate to structure fishery regulations and length-based fish consumption advisories that protect consumers from Hg exposure and communicate the relative risk of fish consumption. PMID:23388852
ERIC Educational Resources Information Center
Waldrop, Suzanne H.
Intended for use by teachers on the junior high and high school levels, this curriculum guide, which is one in a series of guides for consumer and homemaking education in Kentucky, outlines three courses in the area of management-consumer education. The junior high unit acquaints the student with the concepts of decision making and assessing…
ERIC Educational Resources Information Center
Allegheny Intermediate Unit, Pittsburgh, PA.
This manual identifies activities and resources for infusing consumer education into English, social studies, science, mathematics, and home economics courses in grades five through eight. The activities are intended to help students recognize their rights and responsibilities as consumers in our society and make intelligent decisions in light of…
Consumer's Resource Handbook. 1992 Edition.
ERIC Educational Resources Information Center
Office of Consumer Affairs, Washington, DC.
This handbook for consumers begins with information on its use, content, and other sources of help. The handbook is then divided into two sections. Part I, How to Be a Smart Consumer, lists tips on getting the most for your money, handling your own complaint, and writing a complaint letter. It provides information on the following consumer issues:…
Zubialde, John P; Mold, James; Eubank, Daniel
2009-09-01
The inability to cure disease or reverse dysfunction results in chronic illness. With it, patients, their families, and society face a unique set of needs and challenges. In the United States, its care consumes 75% of total health care resources. Two thirds of Medicare resources are spent on the 25% of beneficiaries having multiple chronic diseases. Surprisingly, health outcomes of greatest importance to this population remain poorly described and researched. A new taxonomy is presented that uses insights from Self Determination Theory and Adult Learning Theory to expand the scope of recognized health outcomes by including what the authors call "outcomes that matter." Targeting this broader set of outcomes may lead to more effective and meaningful care and open new areas for outcomes research in chronic illness management.
Low cost infrared and near infrared sensors for UAVs
NASA Astrophysics Data System (ADS)
Aden, S. T.; Bialas, J. P.; Champion, Z.; Levin, E.; McCarty, J. L.
2014-11-01
Thermal remote sensing has a wide range of applications, though the extent of its use is inhibited by cost. Robotic and computer components are now widely available to consumers on a scale that makes thermal data a readily accessible resource. In this project, thermal imagery collected via a lightweight remote sensing Unmanned Aerial Vehicle (UAV) was used to create a surface temperature map for the purpose of providing wildland firefighting crews with a cost-effective and time-saving resource. The UAV system proved to be flexible, allowing for customized sensor packages to be designed that could include visible or infrared cameras, GPS, temperature sensors, and rangefinders, in addition to many data management options. Altogether, such a UAV system could be used to rapidly collect thermal and aerial data, with a geographic accuracy of less than one meter.
Iles, David T; Rockwell, Robert F; Koons, David N
2018-07-01
The effects of climate on wild populations are often channelled through species interactions. Population responses to climate variation can therefore differ across habitats, owing to variation in the biotic community. Theory predicts that consumer demography should be less variable and less responsive to climate in habitats with greater resource diversity. We tested these predictions using a long-term study of breeding lesser snow geese along the western coast of Hudson Bay, Manitoba, Canada. Reproductive success was measured in 22 years from 114 locations, in either coastal or inland habitat types. We used Bayesian analysis to estimate the response of reproductive success to climate in each habitat type, along with residual variation not explained by climate. We then quantified gosling diet composition in each habitat type to test the prediction that reproductive success would be less variable and more responsive to climate in habitats with lower resource diversity. Reproductive success responded positively to seasonal warmness, but this response was much stronger in inland habitats than in coastal habitats. Site- and year-level random effects were also three to five times more variable in inland habitats. Simultaneously, land cover diversity and gosling diet diversity were lower in inland habitats. Our study illustrates that spatial variation in resource diversity (and thus, species interactions) can have important effects on consumer responses to climate. In this system, climate change is expected to disproportionately increase the reproductive success of snow geese in vast inland habitats, potentially counteracting management efforts to reduce the abundance of this keystone herbivore. © 2018 The Authors. Journal of Animal Ecology © 2018 British Ecological Society.
Nielsen, Mandy; Jull, Gwendolen; Hodges, Paul W
2014-01-01
To identify the information needs of people with low back pain (LBP) in Australia, and the preferred methods to present this information online, as a basis for development of a patient-centred website. Available online LBP resources are limited in quality and content and it is not clear if they are meeting the needs of sufferers. Focus groups and semi-structured telephone interviews, involving 28 people with LBP. Seven categories of information were identified: reasons for LBP, treatment and management options, self-help information, psychological and social dimensions, lay stories, quality assurance of information and roles of different healthcare professionals and locally available services. Identified preferences for online presentation included: multimodality, emphasis on visual media, readability and interactivity. Participants had been unable to obtain desired LBP information using existing resources. This study provides important guidance for development of a patient-centred website grounded in the expressed needs and preferences of people with LBP. Understanding the breadth of patients' questions and concerns is essential for provision of patient-centred information and interventions. Incorporating these with the current evidence base would provide an accessible and relevant LBP patient education referral point, which is currently lacking. Implications for Rehabilitation Use of the internet to obtain health information is increasing, although there is little evidence that existing low back pain websites are meeting the expressed needs of health consumers. Our research suggests that people with low back pain have difficulty finding relevant and trustworthy information about the condition on the internet. Taking patient information needs and presentation preferences into account when designing online information material will provide people with low back pain an accessible and relevant educational resource that is currently lacking.
Prey-producing predators: the ecology of human intensification.
Efferson, Charles
2008-01-01
Economic growth theory and theoretical ecology represent independent traditions of modeling aggregate consumer-resource systems. Both focus on different but equally important forces underlying the dynamics of human societies. Though the two traditions have unknowingly converged in some ways, they each have curious conventions from the perspective of the other. These conventions are reviewed, and two separate modeling frameworks that integrate the two traditions in a simple and straightforward fashion are developed and analyzed. The resulting models represent a consumer species (e.g. humans) that both produces and consumes its resources and then reproduces biologically according to the consumption of its resources. Depending on the balance between production, consumption, and reproduction, the models can exhibit stagnant behavior, like some predator-prey models, or growth, like many mutualism and economic growth models. When growth occurs, in the long term it takes one of two forms. Either resources per capita grow and the human population size converges to a constant, which may be zero, or resources per capita converge to a constant and the human population grows. The difference depends on initial conditions and the particular mix of biological conditions and human technology.
Emergy accounting for regional studies: case study of Canada and its provinces.
Hossaini, Navid; Hewage, Kasun
2013-03-30
Sustainable regional management (development) requires an understanding of interactions between the social, economic, and ecological systems within the boundaries of a region. In this paper, application of emergy (an environmental accounting method) for regional planning is discussed through a case study. Emergy (spelled with an "m") methodology is an environmental accounting technique that evaluates the energy system for the thermodynamics of an open system. Major renewable and non-renewable resource fluxes to a region, including energy, matter, human activities, and money can be converted to emergy by using corresponding transformity functions. As a case study, this paper discusses the emergy accounting of Canada and its provinces with various emergy-based indicators. Moreover, emergy maps were generated in a form of emergy geography. These maps are multi-dimensional illustrations that show resource consumption, emergy per person, and emergy density across Canada under two parameters: (1) the quantities of resources consumed and (2) the location of consumption. Emergy analysis also highlights concentrations of renewable and natural resources in Canada and distinguishes the provinces with the highest resource consumption. Analysis of emergy indicator for Canadian provinces shows that Alberta with the highest EYR (7.35) provides energy to the economy of Canada. However, ELR value of Alberta (8.5) indicates that the province's current economic approach is not sustainable as it relies mainly on non-renewable emergy inputs (mainly from fossil fuels). ELR of British Columbia and Manitoba indicates that these two provinces created a firm balance between emergy use of renewable and non-renewable resources. The characterizations of regions provided in this paper can be used for future land planning and management both in federal and provincial levels. Copyright © 2013 Elsevier Ltd. All rights reserved.
Consumers in mental health service leadership: A systematic review.
Scholz, Brett; Gordon, Sarah; Happell, Brenda
2017-02-01
Contemporary mental health policies call for greater involvement of mental health service consumers in all aspects and at all levels of service planning, delivery, and evaluation. The extent to which consumers are part of the decision-making function of mental health organizations varies. This systematic review synthesizes empirical and review studies published in peer-reviewed academic journals relating to consumers in leadership roles within mental health organizations. The Cochrane Library, Medline, and PsycINFO were searched for articles specifically analysing and discussing consumers' mental health service leadership. Each article was critically appraised against the inclusion criteria, with 36 articles included in the final review. The findings of the review highlight current understandings of organizational resources and structures in consumer-led organizations, determinants of leadership involvement, and how consumer leadership interacts with traditional mental health service provision. It appears that organizations might still be negotiating the balance between consumer leadership and traditional structures and systems. The majority of included studies represent research about consumer-run organizations, with consumer leadership in mainstream mental health organizations being less represented in the literature. Advocates of consumer leadership should focus more on emphasizing how such leadership itself can be a valuable resource for organizations and how this can be better articulated. This review highlights the current gaps in understandings of consumer leadership in mental health, including a need for more research exploring the benefits of consumer leadership for other consumers of services. © 2016 Australian College of Mental Health Nurses Inc.
Consumer-directed health care: implications for health care organizations and managers.
Guo, Kristina L
2010-01-01
This article uses a pyramid model to illustrate the key components of consumer-directed health care. Consumer-directed health care is considered the essential strategy needed to lower health care costs and is valuable for making significant strides in health care reform. Consumer-directed health care presents new challenges and opportunities for all health care stakeholders and their managers. The viability of the health system depends on the success of managers to respond rapidly and with precision to changes in the system; thus, new and modified roles of managers are necessary to successfully sustain consumerism efforts to control costs while maintaining access and quality.
ERIC Educational Resources Information Center
National Business Council for Consumer Affairs, Washington, DC.
The report gives a picture, drawn from consumer research, of how the consumer perceives and uses advertising and establishes that the service advertising performs is at least comparable in value to the service it performs for manufacturers. Two major headings are included: (1) Advertising and the Consumer clarifies the terms, "advertising" and…
Development of a Lunar Consumables Storage and Distribution Depot
NASA Technical Reports Server (NTRS)
Mueller, Robert P.; Notardonato, William
2004-01-01
NASA is in the preliminary planning stages for a future lunar base as a response to President George W. Bush's recent announcement of a new sustained exploration program beyond low earth orbit. Kennedy Space Center engineers are supporting this program by utilizing experience in Spaceport system design and operations to help develop a Lunar Consumables Depot. This depot will store propellants, life support fluids, and other consumables either transported from Earth or manufactured from In Situ resources. The depot will distribute these consumables in an energy efficient manner to end users including spacecraft, habitation modules, and rovers. This paper addresses some of the changes to lunar base architecture design as a result of advances in knowledge of lunar resources over the past 35 years, as well as technology advances in the area of In Situ Resource Utilization and consumable storage and distribution. A general system level description of the depot will be presented, including overall design philosophy and high level requirements. Finally, specific subsystem technologies that have been or will be developed by KSC will be addressed. Examples of these technologies are automated umbilicals, cryogenic refrigerators, novel storage vessels, advanced heat switches and heat exchangers, and self healing gaskets and wires.
Adaptive evolution of body size subject to indirect effect in trophic cascade system.
Wang, Xin; Fan, Meng; Hao, Lina
2017-09-01
Trophic cascades represent a classic example of indirect effect and are wide-spread in nature. Their ecological impact are well established, but the evolutionary consequences have received even less theoretical attention. We theoretically and numerically investigate the trait (i.e., body size of consumer) evolution in response to indirect effect in a trophic cascade system. By applying the quantitative trait evolutionary theory and the adaptive dynamic theory, we formulate and explore two different types of eco-evolutionary resource-consumer-predator trophic cascade model. First, an eco-evolutionary model incorporating the rapid evolution is formulated to investigate the effect of rapid evolution of the consumer's body size, and to explore the impact of density-mediate indirect effect on the population dynamics and trait dynamics. Next, by employing the adaptive dynamic theory, a long-term evolutionary model of consumer body size is formulated to evaluate the effect of long-term evolution on the population dynamics and the effect of trait-mediate indirect effect. Those models admit rich dynamics that has not been observed yet in empirical studies. It is found that, both in the trait-mediated and density-mediated system, the body size of consumer in predator-consumer-resource interaction (indirect effect) evolves smaller than that in consumer-resource and predator-consumer interaction (direct effect). Moreover, in the density-mediated system, we found that the evolution of consumer body size contributes to avoiding consumer extinction (i.e., evolutionary rescue). The trait-mediate and density-mediate effects may produce opposite evolutionary response. This study suggests that the trophic cascade indirect effect affects consumer evolution, highlights a more comprehensive mechanistic understanding of the intricate interplay between ecological and evolutionary force. The modeling approaches provide avenue for study on indirect effects from an evolutionary perspective. Copyright © 2017 Elsevier B.V. All rights reserved.
Matthias, Marianne S; Fukui, Sadaaki; Salyers, Michelle P
2017-01-01
Understanding consumer initiation of shared decision making (SDM) is critical to improving SDM in mental health consultations, particularly because providers do not always invite consumer participation in treatment decisions. This study examined the association between consumer initiation of nine elements of SDM as measured by the SDM scale, and measures of consumer illness self-management and the consumer-provider relationship. In 63 mental health visits, three SDM elements were associated with self-management or relationship factors: discussion of consumer goals, treatment alternatives, and pros and cons of a decision. Limitations, implications, and future directions are discussed.
NASA Astrophysics Data System (ADS)
Zacharias, Ierotheos
2013-04-01
The project "Water Saving for Development (WaS4D)" is financed by European Territorial Cooperational Programme, Greece-Italy 2007-2013, and aims at developing issues on water saving related to improvement of individual behaviors and implementing innovative actions and facilities in order to harmonize policies and start concrete actions for a sustainable water management, making also people and stakeholders awake to water as a vital resource, strategic for quality of life and territory competitiveness. Drinkable water saving culture & behavior, limited water resources, water supply optimization, water resources and demand management, water e-service & educational e-tools are the key words of WaS4D. In this frame the project objectives are: • Definition of water need for domestic and other than domestic purposes: regional and territorial hydro-balance; • promotion of locally available resources not currently being used - water recycling or reuse and rainwater harvesting; • scientific data implementation into Informative Territorial System and publication of geo-referred maps into the institutional web sites, to share information for water protection; • participated review of the regulatory framework for the promotion of water-efficient devices and practices by means of the definition of Action Plans, with defined targets up to brief (2015) and medium (2020) term; • building up water e-services, front-office for all the water issues in building agricultural, industrial and touristic sectors, to share information, procedures and instruments for the water management; • creation and publication of a user friendly software, a game, to promote sustainability for houses also addressed to young people; • creation of water info point into physical spaces called "Water House" to promote education, training, events and new advisory services to assist professionals involved in water uses and consumers; • implementation of participatory approach & networking for a permanent cooperation among Public Bodies and Institutions, with the creation of a transferable model of best practices. WaS4D will carry out initiatives and advisory services aimed to encourage a behavior change, influencing citizens' demand and support consumers who wish to take action to reduce drinking water use: for the civil use, from literature, it's possible to reduce drinkable water consumption up to 50% using simple and economic tools, with a large environmental positive impact. WaS4D mainly focuses on the needs to define a participatory approach to enhance water-saving culture at urban level, encouraging a shift from supply-driven policies to management policies and from a sectorial to an integrated approach. The innovative character of the project is referred to the integrated approach as well as to the creation of new web services & tools.
NASA Astrophysics Data System (ADS)
Shrestha, Roshan; Takara, Kaoru; Tachikawa, Yasuto; Jha, Raghu N.
2004-11-01
Water resources assessment, which is an essential task in making development plans managing water resources, is considerably difficult to do in a data-poor region. In this study, we attempted to conduct a quantitative water resources assessment in a poorly gauged mountainous catchment, i.e. the River Indrawati catchment (1233 km2) in Nepal. This catchment is facing problems such as dry-season water scarcity and water use conflicts. However, the region lacks the basic data that this study needs. The data needed are supplemented from field surveys and global data (e.g. GTOPO30 DEM data, LandsatTM data and MODIS NDVI data). The global data have significantly helped us to draw out the information needed for a number of water-use scenarios. These data helped us determine that the available water quantity is enough at present to address the dry-season problems. The situation is not much worse for the immediate future; however, the threat of drought is noticed in a future scenario in which resources are consumed extensively. The study uses a geographical information system and remotely sensed data analysis tools extensively. Utilization of modern tools and global data is found effective for investigating practical problems and for detecting important features of water resources, even though the catchment is poorly gauged.
Federal Register 2010, 2011, 2012, 2013, 2014
2010-06-07
... vocational rehabilitation (VR) agencies), VR State coordinators for the deaf, rehabilitation counselors for... primary focus of the educational opportunities must be on interpreting for consumers of VR services... consumers, consumer organizations, community resources, and service providers, especially VR agencies, VR...
2012-02-01
Software as a Service ( SaaS )— SaaS solutions involve conforming an organization’s...consumer of the utilized service . Service Models Software as a Service ( SaaS ) The capability provided to the consumer is to use the provider’s...operating system, platforms, and software installed. In contrast, Software as a Service ( SaaS ) abstracts the entire stack except for a few
Managing uncertainty about food risks - Consumer use of food labelling.
Tonkin, Emma; Coveney, John; Meyer, Samantha B; Wilson, Annabelle M; Webb, Trevor
2016-12-01
General consumer knowledge of and engagement with the production of food has declined resulting in increasing consumer uncertainty about, and sensitivity to, food risks. Emphasis is therefore placed on providing information for consumers to reduce information asymmetry regarding food risks, particularly through food labelling. This study examines the role of food labelling in influencing consumer perceptions of food risks. In-depth, 1-h interviews were conducted with 24 Australian consumers. Participants were recruited based on an a priori defined food safety risk scale, and to achieve a diversity of demographic characteristics. The methodological approach used, adaptive theory, was chosen to enable a constant interweaving of theoretical understandings and empirical data throughout the study. Participants discussed perceiving both traditional (food spoilage/microbial contamination) and modern (social issues, pesticide and 'chemical' contamination) risks as present in the food system. Food labelling was a symbol of the food system having managed traditional risks, and a tool for consumers to personally manage perceived modern risks. However, labelling also raised awareness of modern risks not previously considered. The consumer framing of risk presented demonstrates the need for more meaningful consumer engagement in policy decision making to ensure risk communication and management meet public expectations. This research innovatively identifies food labelling as both a symbol of, and a tool for, the management of perceived risks for consumers. Therefore it is imperative that food system actors ensure the authenticity and trustworthiness of all aspects of food labelling, not only those related to food safety. Copyright © 2016 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Galloway, A. W. E.; Eisenlord, M. E.; Brett, M. T.
2016-02-01
Stable isotope (SI) based mixing models are the most common approach used to infer resource pathways in consumers. However, SI based analyses are often underdetermined, and consumer SI fractionation is usually unknown. The use of fatty acid (FA) tracers in mixing models offers an alternative approach that can resolve the underdetermined constraint. A limitation to both methods is the considerable uncertainty about consumer `trophic modification' (TM) of dietary FA or SI, which occurs as consumers transform dietary resources into tissues. We tested the utility of SI and FA approaches for inferring the diets of the marine benthic isopod (Idotea wosnesenskii) fed various marine macroalgae in controlled feeding trials. Our analyses quantified how the accuracy and precision of Bayesian mixing models was influenced by choice of algorithm (SIAR vs MixSIR), fractionation (assumed or known), and whether the model was under or overdetermined (seven sources and two vs 26 tracers) for cases where isopods were fed an exclusive diet of one of the seven different macroalgae. Using the conventional approach (i.e., 2 SI with assumed TM) resulted in average model outputs, i.e., the contribution from the exclusive resource = 0.20 ± 0.23 (0.00-0.79), mean ± SD (95% credible interval), that only differed slightly from the prior assumption. Using the FA based approach with known TM greatly improved model performance, i.e., the contribution from the exclusive resource = 0.91 ± 0.10 (0.58-0.99). The choice of algorithm only made a difference when fractionation was known and the model was overdetermined (FA approach). In this case SIAR and MixSIR had outputs of 0.86 ± 0.11 (0.48-0.96) and 0.96 ± 0.05 (0.79-1.00), respectively. This analysis shows the choice of dietary tracers and the assumption of consumer trophic modification greatly influence the performance of mixing model dietary reconstructions, and ultimately our understanding of what resources actually support aquatic consumers.
NASA Technical Reports Server (NTRS)
Hepp, A. F.; Palaszewski, B. A.; Landis, G. A.; Jaworske, D. A.; Colozza, A. J.; Kulis, M. J.; Heller, R. S.
2015-01-01
As humanity begins to reach out into the solar system, it has become apparent that supporting a human or robotic presence in transit andor on station requires significant expendable resources including consumables (to support people), fuel, and convenient reliable power. Transporting all necessary expendables is inefficient, inconvenient, costly, and, in the final analysis, a complicating factor for mission planners and a significant source of potential failure modes. Over the past twenty-five years, beginning with the Space Exploration Initiative, researchers at the NASA Glenn Research Center (GRC), academic collaborators, and industrial partners have analyzed, researched, and developed successful solutions for the challenges posed by surviving and even thriving in the resource limited environment(s) presented by near-Earth space and non-terrestrial surface operations. In this retrospective paper, we highlight the efforts of the co-authors in resource simulation and utilization, materials processing and consumable(s) production, power systems and analysis, fuel storage and handling, propulsion systems, and mission operations. As we move forward in our quest to explore space using a resource-optimized approach, it is worthwhile to consider lessons learned relative to efficient utilization of the (comparatively) abundant natural resources and improving the sustainability (and environment) for life on Earth. We reconsider Lunar (and briefly Martian) resource utilization for potential colonization, and discuss next steps moving away from Earth.
NASA Technical Reports Server (NTRS)
Hepp, A. F.; Palaszewski, B. A.; Landis, G. A.; Jaworske, D. A.; Colozza, A. J.; Kulis, M. J.; Heller, Richard S.
2014-01-01
As humanity begins to reach out into the solar system, it has become apparent that supporting a human or robotic presence in transit and/or on station requires significant expendable resources including consumables (to support people), fuel, and convenient reliable power. Transporting all necessary expendables is inefficient, inconvenient, costly, and, in the final analysis, a complicating factor for mission planners and a significant source of potential failure modes. Over the past twenty-five years, beginning with the Space Exploration Initiative, researchers at the NASA Glenn Research Center (GRC), academic collaborators, and industrial partners have analyzed, researched, and developed successful solutions for the challenges posed by surviving and even thriving in the resource limited environment(s) presented by near-Earth space and non-terrestrial surface operations. In this retrospective paper, we highlight the efforts of the co-authors in resource simulation and utilization, materials processing and consumable(s) production, power systems and analysis, fuel storage and handling, propulsion systems, and mission operations. As we move forward in our quest to explore space using a resource-optimized approach, it is worthwhile to consider lessons learned relative to efficient utilization of the (comparatively) abundant natural resources and improving the sustainability (and environment) for life on Earth. We reconsider Lunar (and briefly Martian) resource utilization for potential colonization, and discuss next steps moving away from Earth.
McCarthy, Peter M.; Dutton, DeAnn M.; Sando, Steven K.; Sando, Roy
2016-04-05
The U.S. Geological Survey (USGS) provides streamflow characteristics and other related information needed by water-resource managers to protect people and property from floods, plan and manage water-resource activities, and protect water quality. Streamflow characteristics provided by the USGS, such as peak-flow and low-flow frequencies for streamflow-gaging stations, are frequently used by engineers, flood forecasters, land managers, biologists, and others to guide their everyday decisions. In addition to providing streamflow characteristics at streamflow-gaging stations, the USGS also develops regional regression equations and drainage area-adjustment methods for estimating streamflow characteristics at locations on ungaged streams. Regional regression equations can be complex and often require users to determine several basin characteristics, which are physical and climatic characteristics of the stream and its drainage basin. Obtaining these basin characteristics for streamflow-gaging stations and ungaged sites traditionally has been time consuming and subjective, and led to inconsistent results.StreamStats is a Web-based geographic information system application that was created by the USGS to provide users with access to an assortment of analytical tools that are useful for water-resource planning and management. StreamStats allows users to easily obtain streamflow and basin characteristics for USGS streamflow-gaging stations and user-selected locations on ungaged streams. The USGS, in cooperation with Montana Department of Transportation, Montana Department of Environmental Quality, and Montana Department of Natural Resources and Conservation, completed a study to develop a StreamStats application for Montana, compute streamflow characteristics at streamflow-gaging stations, and develop regional regression equations to estimate streamflow characteristics at ungaged sites. Chapter A of this Scientific Investigations Report describes the Montana StreamStats application and the datasets, streamflow-gaging stations, streamflow characteristics, and regression equations (as described fully in Chapters B through G of this report) that are used for development of the StreamStats application for Montana.
Stable isotopes confirm a coastal diet for critically endangered Mediterranean monk seals.
Karamanlidis, Alexandros A; Curtis, P Jeff; Hirons, Amy C; Psaradellis, Marianna; Dendrinos, Panagiotis; Hopkins, John B
2014-01-01
Understanding the ecology and behaviour of endangered species is essential for developing effective management and conservation strategies. We used stable isotope analysis to investigate the foraging behaviour of critically endangered Mediterranean monk seals (Monachus monachus) in Greece. We measured carbon and nitrogen isotope ratios (expressed as δ(13)C and δ(15)N values, respectively) derived from the hair of deceased adult and juvenile seals and the muscle of their known prey to quantify their diets. We tested the hypothesis that monk seals primarily foraged for prey that occupy coastal habitats in Greece. We compared isotope values from seal hair to their coastal and pelagic prey (after correcting all prey for isotopic discrimination) and used these isotopic data and a stable isotope mixing model to estimate the proportion of coastal and pelagic resources consumed by seals. As predicted, we found that seals had similar δ(13)C values as many coastal prey species and higher δ(13)C values than pelagic species; these results, in conjunction with mean dietary estimates (coastal=61 % vs. pelagic=39 %), suggest that seals have a diverse diet comprising prey from multiple trophic levels that primarily occupy the coast. Marine resource managers should consider using the results from this study to inform the future management of coastal habitats in Greece to protect Mediterranean monk seals.
Francis, Caitlin F; Feyer, Anne-Marie; Smith, Ben J
2007-11-01
The evaluation of the Sharing Health Care Initiative addressed the translation of different models of chronic disease self-management into health and community service contexts in Australia. Across seven projects, four intervention models were adopted: (1) the Stanford Chronic Disease Self Management course; (2) generic disease management planning, training and support; (3) tailored disease management planning, training and support, and; (4) telephone coaching. Targeted recruitment through support groups and patient lists was most successful for reaching high-needs clients. Projects with well developed organisational structures and health system networks demonstrated more effective implementation. Engagement of GPs in recruitment and client support was limited. Future self-management programs will require flexible delivery methods in the primary health care setting, involving practice nurses or the equivalent. After 12 months there was little evidence of potential sustainability, although structures such as consumer resource centres and client support clubs were established in some locations. Only one project was able to use Medicare chronic disease-related items to integrate self-management support into routine general practice. Participants in all projects showed improvements in self-management practices, but those receiving Model 3, flexible and tailored support, and Model 4, telephone coaching, reported the greatest benefits.
Managed care redux: health plans shift responsibilities to consumers.
Draper, Debra A; Claxton, Gary
2004-03-01
Confronted with conflicting pressures to stem double-digit premium increases and provide unfettered access to care, health plans are developing products that shift more financial and care management responsibilities to consumers, according to findings from the Center for Studying Health System Change's (HSC) 2002-03 site visits to 12 nationally representative communities. Plans are pursuing these strategies in collaboration with employers that want to gain control over rapidly rising premiums while continuing to respond to employee demands for less restrictive managed care practices. Mindful of the managed care backlash, health plans also are stepping up utilization management activities for high-cost services and focusing care management on high-cost patients. While the move toward greater consumer engagement is clear, the impact on costs and consumer willingness to assume these new responsibilities remain to be seen.
NASA Astrophysics Data System (ADS)
Osti, D.; Osti, A.
2013-12-01
People are very busy today and getting stakeholders the information they need is an important part of our jobs. The BDL application is the mobile extension of the California collaborative resource management portal www.baydeltalive.com. BDL has been visited by more than 250,000 unique visitors this past year from various areas of water use and management including state and federal agencies, agriculture, scientists, policy makers, water consumers, voters, operations management and more. The audience is a qualified user group of more than 15,000 individuals participating in California hydrological ecosystem science, water management and policy. This is an important effort aimed to improve how scientists and policy makers are working together to understand this complicated and divisive system and how they are becoming better managers of that system. The BayDetaLive mobile application gives California watershed management stakeholders and water user community unprecedented access to real time natural resource management information. The application provides user with the following: 1. Access to Real Time Environmental Conditions from the more than the 600 California Data Exchange Sensors including hydrodynamic, water quality and meteorological data. Save important stations as favorites for easy access later. 2. Daily Delta Operations Data including estimated hydrology, daily exports, status of infrastructure operations, reservoir storage, salvage data, major stations, drinking water quality reports, weather forecasts and more. 3. Photos/Videos/Documents: Browse and share from the more than 1000 current documents in the BDL library. Relevant images, videos, science journals, presentations and articles. 4. Science: Access the latest science articles, news, projects and journals. 5. Data Visualizations: View recently published real time data interpolations of Delta Conditions. From 30-day turbidity models to daily forecasts. This service is published as conditions produce scientifically relevant visuals including winter conditions, first flush archives and fish migration seasons. 5. Maps: Access the entire Delta Atlas from anywhere! The atlas includes Delta levees, soils, islands and waterways, diversions, infrastructure, urban areas, land use, salinity, tidal flows, managed lands, protected lands and more. 6. Projects: Discover the latest project summaries currently underway in the Delta. Project Categories include restoration, operations, infrastructure to name a few. Share your discovery for more depth access on the BayDeltaLive.com website. 7. News: Current Delta Science topics. App Keywords: California Delta, Water Management, Natural Resource Management, Real Time Data, Water Operations, Water Supply, Water Quality, Collaboration
Scaling issues in sustainable river basin management
NASA Astrophysics Data System (ADS)
Timmerman, Jos; Froebich, Jochen
2014-05-01
Sustainable river basin management implies considering the whole river basin when managing the water resources. Management measures target at dividing the water over different uses (nature, agriculture, industry, households) thereby avoiding calamities like having too much, too little or bad quality water. Water management measures are taken at the local level, usually considering the sub-national and sometimes national effects of such measures. A large part of the world's freshwater resources, however, is contained in river basins and groundwater systems that are shared by two or more countries. Sustainable river basin management consequently has to encompass local, regional, national and international scales. This requires coordination over and cooperation between these levels that is currently compressed into the term 'water governance' . Governance takes into account that a large number of stakeholders in different regimes (the principles, rules and procedures that steer management) contribute to policy and management of a resource. Governance includes the increasing importance of basically non-hierarchical modes of governing, where non-state actors (formal organizations like NGOs, private companies, consumer associations, etc.) participate in the formulation and implementation of public policy. Land use determines the run-off generation and use of irrigation water. Land use is increasingly determined by private sector initiatives at local scale. This is a complicating factor in the governance issue, as in comparison to former developments of large scale irrigation systems, planning institutions at state level have then less insight on actual water consumption. The water management regime of a basin consequently has to account for the different scales of water management and within these different scales with both state and non-state actors. The central elements of regimes include the policy setting (the policies and water management strategies), legal setting (national and international laws and agreements), the institutional setting (the formal networks), information management (the information collection and dissemination system), and financing systems (the public and private sources that cover the water management costs). These elements are usually designed for a specific level and are ideally aligned with the other levels. The presentation will go into detail on connecting the different elements of the water management regime between different levels as well as on the overarching governance issues that play a role and will present opportunities and limitations of the linking options.
Housing for persons with serious mental illness: consumer and service provider preferences.
Piat, Myra; Lesage, Alain; Boyer, Richard; Dorvil, Henri; Couture, Audrey; Grenier, Guy; Bloom, David
2008-09-01
This study evaluated the housing preferences of a representative sample of consumers with serious mental illness living in seven types of housing in Montreal, Quebec, and compared these with their case managers' housing preferences for them. An inventory of all housing for this population was developed in consultation with administrators of three psychiatric hospitals and the regional health board. The inventory included seven categories: housing in a hospital setting, hostels, group homes, foster homes, supervised apartments, social housing (low-income housing or cooperative), and private rooming homes. A stratified random sample of 48 consumers was selected in each category. In all, 315 consumers and their case managers completed the Consumer Housing Preference Survey. Most consumers preferred living in housing that offered them more autonomy than the housing in which they were currently living. Case managers preferred housing that offered some structure, such as supervised apartments. Forty-four percent of consumers preferred to live in their own apartment. More than a third of consumers preferred to live in their current housing. When evaluating housing preferences, it is important to elicit the viewpoints of mental health consumers as well as their case managers. Special attention should be given to the type of housing where consumers currently live. A variety of housing, not just autonomous housing, is needed to meet the specific housing preferences of individuals with serious mental illness.
Evans-White, Michelle A; Halvorson, Halvor M
2017-01-01
The framework of ecological stoichiometry was developed primarily within the context of "green" autotroph-based food webs. While stoichiometric principles also apply in "brown" detritus-based systems, these systems have been historically understudied and differ from green ones in several important aspects including carbon (C) quality and the nutrient [nitrogen (N) and phosphorus (P)] contents of food resources for consumers. In this paper, we review work over the last decade that has advanced the application of ecological stoichiometry from green to brown food webs, focusing on freshwater ecosystems. We first review three focal areas where green and brown food webs differ: (1) bottom-up controls by light and nutrient availability, (2) stoichiometric constraints on consumer growth and nutritional regulation, and (3) patterns in consumer-driven nutrient dynamics. Our review highlights the need for further study of how light and nutrient availability affect autotroph-heterotroph interactions on detritus and the subsequent effects on consumer feeding and growth. To complement this conceptual review, we formally quantified differences in stoichiometric principles between green and brown food webs using a meta-analysis across feeding studies of freshwater benthic invertebrates. From 257 datasets collated across 46 publications and several unpublished studies, we compared effect sizes (Pearson's r) of resource N:C and P:C on growth, consumption, excretion, and egestion between herbivorous and detritivorous consumers. The meta-analysis revealed that both herbivore and detritivore growth are limited by resource N:C and P:C contents, but effect sizes only among detritivores were significantly above zero. Consumption effect sizes were negative among herbivores but positive for detritivores in the case of both N:C and P:C, indicating distinct compensatory feeding responses across resource stoichiometry gradients. Herbivore P excretion rates responded significantly positively to resource P:C, whereas detritivore N and P excretion did not respond; detritivore N and P egestion responded positively to resource N:C and P:C, respectively. Our meta-analysis highlights resource N and P contents as broadly limiting in brown and green benthic food webs, but indicates contrasting mechanisms of limitation owing to differing consumer regulation. We suggest that green and brown food webs share fundamental stoichiometric principles, while identifying specific differences toward applying ecological stoichiometry across ecosystems.
Evans-White, Michelle A.; Halvorson, Halvor M.
2017-01-01
The framework of ecological stoichiometry was developed primarily within the context of “green” autotroph-based food webs. While stoichiometric principles also apply in “brown” detritus-based systems, these systems have been historically understudied and differ from green ones in several important aspects including carbon (C) quality and the nutrient [nitrogen (N) and phosphorus (P)] contents of food resources for consumers. In this paper, we review work over the last decade that has advanced the application of ecological stoichiometry from green to brown food webs, focusing on freshwater ecosystems. We first review three focal areas where green and brown food webs differ: (1) bottom–up controls by light and nutrient availability, (2) stoichiometric constraints on consumer growth and nutritional regulation, and (3) patterns in consumer-driven nutrient dynamics. Our review highlights the need for further study of how light and nutrient availability affect autotroph–heterotroph interactions on detritus and the subsequent effects on consumer feeding and growth. To complement this conceptual review, we formally quantified differences in stoichiometric principles between green and brown food webs using a meta-analysis across feeding studies of freshwater benthic invertebrates. From 257 datasets collated across 46 publications and several unpublished studies, we compared effect sizes (Pearson’s r) of resource N:C and P:C on growth, consumption, excretion, and egestion between herbivorous and detritivorous consumers. The meta-analysis revealed that both herbivore and detritivore growth are limited by resource N:C and P:C contents, but effect sizes only among detritivores were significantly above zero. Consumption effect sizes were negative among herbivores but positive for detritivores in the case of both N:C and P:C, indicating distinct compensatory feeding responses across resource stoichiometry gradients. Herbivore P excretion rates responded significantly positively to resource P:C, whereas detritivore N and P excretion did not respond; detritivore N and P egestion responded positively to resource N:C and P:C, respectively. Our meta-analysis highlights resource N and P contents as broadly limiting in brown and green benthic food webs, but indicates contrasting mechanisms of limitation owing to differing consumer regulation. We suggest that green and brown food webs share fundamental stoichiometric principles, while identifying specific differences toward applying ecological stoichiometry across ecosystems. PMID:28706509
Annual Consumer Education "Catch-Up" Conference. (3rd, Washington, D.C., March 2-3, 1978).
ERIC Educational Resources Information Center
Office of Consumer Affairs, Washington, DC.
As stated in the introductory summary to these proceedings, the goals of the third annual national conference for consumer education were (1) to provide an introduction to resources and materials for persons new to the field of consumer education, (2) to highlight successful programs, (3) to provide up-to-date information on consumer legislation…
Managing physical and mental health conditions: Consumer perspectives on integrated care.
Rollins, Angela L; Wright-Berryman, Jennifer; Henry, Nancy H; Quash, Alicia M; Benbow, Kyle; Bonfils, Kelsey A; Hedrick, Heidi; Miller, Alex P; Firmin, Ruthie; Salyers, Michelle P
2017-01-01
Despite the growing trend of integrating primary care and mental health services, little research has documented how consumers with severe mental illnesses manage comorbid conditions or view integrated services. We sought to better understand how consumers perceive and manage both mental and physical health conditions and their views of integrated services. We conducted semi-structured interviews with consumers receiving primary care services integrated in a community mental health setting. Consumers described a range of strategies to deal with physical health conditions and generally viewed mental and physical health conditions as impacting one another. Consumers viewed integration of primary care and mental health services favorably, specifically its convenience, friendliness and knowledge of providers, and collaboration between providers. Although integration was viewed positively, consumers with SMI may need a myriad of strategies and supports to both initiate and sustain lifestyle changes that address common physical health problems.
Radon Resources for Home Buyers and Sellers
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Using Web sites on quality health care for teaching consumers in public libraries.
Oermann, Marilyn H; Lesley, Marsha L; VanderWal, Jillon S
2005-01-01
More and more consumers are searching the Internet for health information. Health Web sites vary in quality, though, and not all consumers are aware of the need to evaluate the information they find on the Web. Nurses and other health providers involved in patient education can evaluate Web sites and suggest quality sites for patients to use. This article describes a project we implemented in 2 public libraries to educate consumers about quality health care and patient safety using Web sites that we had evaluated earlier. Participants (n = 103) completed resources on health care quality, questions patients should ask about their diagnoses and treatment options, changes in Medicare and Medicare options or ways to make their health benefits work for them, and tips to help prevent medical errors. Most consumers were highly satisfied with the Web sites and the information they learned on quality care from these resources. Many participants did not have Internet access at home or work and instead used the library to search the Web. Information about the Web sites used in this project and other sites on quality care can be made available in libraries and community settings and as part of patient education resources in hospitals. The Web provides easy access for consumers to information about patient safety initiatives and health care quality in general.
The Resource Usage Aware Backfilling
NASA Astrophysics Data System (ADS)
Guim, Francesc; Rodero, Ivan; Corbalan, Julita
Job scheduling policies for HPC centers have been extensively studied in the last few years, especially backfilling based policies. Almost all of these studies have been done using simulation tools. All the existent simulators use the runtime (either estimated or real) provided in the workload as a basis of their simulations. In our previous work we analyzed the impact on system performance of considering the resource sharing (memory bandwidth) of running jobs including a new resource model in the Alvio simulator. Based on this studies we proposed the LessConsume and LessConsume Threshold resource selection policies. Both are oriented to reduce the saturation of the shared resources thus increasing the performance of the system. The results showed how both resource allocation policies shown how the performance of the system can be improved by considering where the jobs are finally allocated.
The Mass Flux of Non-renewable Energy for Humanity
NASA Astrophysics Data System (ADS)
Solomon, Edwin
The global energy supply relies on non-renewable energy sources, coal, crude oil, and natural gas, along with nuclear power from uranium and these finite resources are located within the upper few kilometers of the Earth's crust. The total quantity of non-renewable energy resources consumed relative to the total quantity available is an essential question facing humanity. Analyses of energy consumption was conducted for the period 1800--2014 using data from the U. S. Energy Information Administration (EIA) and World Energy Production, 1800--1985 to determine the balance between non-renewable energy resources consumed and ultimately recoverable reserves. Annual energy consumption was plotted for each non-renewable resource followed by analyses to determine annual growth rates of consumption. Results indicated total energy consumption grew approximately exponentially 3.6% per year from 1800--1975 and was linear from 1975--2014. The ultimately recoverable reserves (URR) plus the total quantity consumed to date equals the total energy resource reserve prior to exploitation (7.15 x 1018 grams). Knowing the original resource quantity and the annual consumption and growth rates, we can forecast the duration of remaining resources using different scenarios. Alternatively, we can use population growth models and consumption trends to determine the per capita allocation trends and model that into the future. Alternative modeling of future resource allocation on a per capita bases suggests that resource lifetime may be significantly less than that predicted from consumption and production dynamics alone.
Value-based formulas for purchasing. Loyalty renaissance: the rebirth of loyalty in health care.
Jepson, S
1997-01-01
As more consumers join managed care organizations, the personal bond between patient and physician or medical group has been transformed into an economic relationship driven chiefly by the price of health care services. Managed care organizations now face the same pressures as the airline and retail industries: To gain and retain client loyalty through product differentiation and consistently high levels of service. How do managed health care plans create and maintain loyalty among their members? What is the value proposition that consumers will respond to in this era of managed care? Discussion will focus on the consumer as the critical variable in the economic model of a health care system and how the consumer will impact the continued evolution of managed care.
DOT National Transportation Integrated Search
1977-01-01
Auto production and operation consume energy, material, capital and labor resources. Numerous substitution possibilities exist within and between resource sectors, corresponding to the broad spectrum of potential design technologies. Alternative auto...
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hinrichsen, D.
1996-11-01
Coastal areas are staggering under an onslaught of human activity. We are presently in the process of destroying 70 percent of the world`s 600,000 square kilometers of coral reefs, an ecosystem containing some 200,000 different species and rivaling tropical rain forests in biodiversity. A combination of pollution, habitat destruction, and gross overfishing has led to the collapse of major fisheries and paved the way for malnutrition and disease in regions where people fish for subsistence. Globally, little is being done to manage the crisis of our coasts. Management strategies, if they exist at all, often deal with economic development alongmore » a wafer-thin strip of coastal land. Resource degradation is ignored, and watershed management is mostly rhetoric. Although some 55 countries have drawn up coastal management plans, only a handful have been properly implemented. Coasts must be managed in an integrated manner that takes into account the full range of human activities. Initiating this process is costly, time-consuming, and difficult. Yet we have more than three decades of accumulated experience to draw on.« less
Matthias, Marianne S.; Fukui, Sadaaki; Salyers, Michelle P.
2016-01-01
Understanding consumer initiation of shared decision making (SDM) is critical to improving SDM in mental health consultations, particularly because providers do not always invite consumer participation in treatment decisions. This study examined the association between consumer initiation of nine elements of SDM as measured by the SDM scale, and measures of consumer illness self-management and the consumer-provider relationship. In 63 mental health visits, three SDM elements were associated with self-management or relationship factors: discussion of consumer goals, treatment alternatives, and pros and cons of a decision. Limitations, implications, and future directions are discussed. PMID:26427999
The health information literacy research project.
Shipman, Jean P; Kurtz-Rossi, Sabrina; Funk, Carla J
2009-10-01
This research studied hospital administrators' and hospital-based health care providers' (collectively, the target group) perceived value of consumer health information resources and of librarians' roles in promoting health information literacy in their institutions. A web-based needs survey was developed and administered to hospital administrators and health care providers. Multiple health information literacy curricula were developed. One was pilot-tested by nine hospital libraries in the United States and Canada. Quantitative and qualitative methods were used to evaluate the curriculum and its impact on the target group. A majority of survey respondents believed that providing consumer health information resources was critically important to fulfilling their institutions' missions and that their hospitals could improve health information literacy by increasing awareness of its impact on patient care and by training staff to become more knowledgeable about health literacy barriers. The study showed that a librarian-taught health information literacy curriculum did raise awareness about the issue among the target group and increased both the use of National Library of Medicine consumer health resources and referrals to librarians for health information literacy support. It is hoped that many hospital administrators and health care providers will take the health information literacy curricula and recognize that librarians can educate about the topic and that providers will use related consumer health services and resources.
Consumer-resource interactions and the evolution of migration.
Drown, Devin M; Dybdahl, Mark F; Gomulkiewicz, Richard
2013-11-01
Theoretical studies have demonstrated that selection will favor increased migration when fitnesses vary both temporally and spatially, but it is far from clear how pervasive those theoretical conditions are in nature. Although consumer-resource interactions are omnipresent in nature and can generate spatial and temporal variation, it is unknown even in theory whether these dynamics favor the evolution of migration. We develop a mathematical model to address whether and how migration evolves when variability in fitness is determined at least in part by consumer-resource coevolutionary interactions. Our analyses show that such interactions can drive the evolution of migration in the resource, consumer, or both species and thus supplies a general explanation for the pervasiveness of migration. Over short time scales, we show the direction of change in migration rate is determined primarily by the state of local adaptation of the species involved: rates increase when a species is locally maladapted and decrease when locally adapted. Our results reveal that long-term evolutionary trends in migration rates can differ dramatically depending on the strength or weakness of interspecific interactions and suggest an explanation for the evolutionary divergence of migration rates among interacting species. © 2013 The Author(s). Evolution © 2013 The Society for the Study of Evolution.
The Health Information Literacy Research Project*
Kurtz-Rossi, Sabrina; Funk, Carla J.
2009-01-01
Objectives: This research studied hospital administrators' and hospital-based health care providers' (collectively, the target group) perceived value of consumer health information resources and of librarians' roles in promoting health information literacy in their institutions. Methods: A web-based needs survey was developed and administered to hospital administrators and health care providers. Multiple health information literacy curricula were developed. One was pilot-tested by nine hospital libraries in the United States and Canada. Quantitative and qualitative methods were used to evaluate the curriculum and its impact on the target group. Results: A majority of survey respondents believed that providing consumer health information resources was critically important to fulfilling their institutions' missions and that their hospitals could improve health information literacy by increasing awareness of its impact on patient care and by training staff to become more knowledgeable about health literacy barriers. The study showed that a librarian-taught health information literacy curriculum did raise awareness about the issue among the target group and increased both the use of National Library of Medicine consumer health resources and referrals to librarians for health information literacy support. Conclusions: It is hoped that many hospital administrators and health care providers will take the health information literacy curricula and recognize that librarians can educate about the topic and that providers will use related consumer health services and resources. PMID:19851494
Generalist consumers often have diets that vary considerably over time and space, which reflects changes in resource availability. Predicting diets of consumers can therefore be difficult. The western rock lobster, Panulirus cygnus, is an omnivorous generalist consumer that uses ...