WorldWideScience

Sample records for care crisis looms

  1. Casualties of the Global War on Terror and their future impact on health care and society: a looming public health crisis.

    Science.gov (United States)

    Baker, Michael S

    2014-04-01

    This article is a primer to understand the medical advances and the future health care consequences of the current conflicts in the Middle East and Southwest Asia, known as the Global War on Terror. There have been significant advances in health care learned in caring for those injured by the conflict--often a polytrauma blast victim, but there are also very high incidence rates of the hidden injuries of war--traumatic brain injury, post-traumatic stress disorder, suicide, and depression. These lead to disruptive behaviors, homelessness, and family violence. Global War on Terror returnees are using medical services and applying for disability at higher rates than in previous conflicts. The costs for veterans' care may peak 30 to 40 years or longer following the conflict, and will inflict an enormous burden on services and resources. The effects of the war will linger for years and impact across generations because of the stress on families and children. We must mobilize government agencies, create public-private partnerships, and invest our resources now to mitigate the approaching tsunami of veterans' health care needs, the impact on our social services, and the devastating costs to society.

  2. America's looming creativity crisis.

    Science.gov (United States)

    Florida, Richard

    2004-10-01

    The strength of the American economy does not rest on its manufacturing prowess, its natural resources, or the size of its market. It turns on one factor--the country's openness to new ideas, which has allowed it to attract the brightest minds from around the world and harness their creative energies. But the United States is on the verge of losing that competitive edge. As the nation tightens its borders to students and scientists and subjects federal research funding to ideological and religious litmus tests, many other countries are stepping in to lure that creative capital away. Ireland, Canada, Australia, New Zealand, Denmark, and others are spending more on research and development and shoring up their universities in an effort to attract the world's best--including Americans. If even a few of these nations draw away just a small percentage of the creative workers from the U.S., the effect on its economy will be enormous. In this article, the author introduces a quantitative measure of the migration of creative capital called the Global Creative-Class Index. It shows that, far from leading the world, the United States doesn't even rank in the top ten in the percentage of its workforce engaged in creative occupations. What's more, the baby boomers will soon retire. And data showing large drops in foreign student applications to U.S. universities and in the number of visas issued to knowledge workers, along with concomitant increases in immigration in other countries, suggest that the erosion of talent from the United States will only intensify. To defend the U.S. economy, the business community must take the lead in ensuring that global talent can move efficiently across borders, that education and research are funded at radically higher levels, and that we tap into the creative potential of more and more workers. Because wherever creativity goes, economic growth is sure to follow.

  3. Water: A looming crisis?

    CSIR Research Space (South Africa)

    Cloete, D

    2010-04-01

    Full Text Available water footprint extends to its supply chain. Coca-Cola thought it was using 2.5 litres of water to produce a litre of coke, but when it looked at its supply chain it realised the actual ¦gure was 200 litres. †is prompted it to link up with the WWF... also need to start thinking about food production in neighbouring countries with higher rainfall. Hope- fully we will learn to use water far more e‡ciently, and to appreciate our ground water. Martin Ginster Environmental advisor, Sasol SOUTH...

  4. Home is not where the heart is: looming problems of the home care industry.

    Science.gov (United States)

    Ford, D E

    1994-01-01

    This analysis shows a definite trend of fiscal and social retrenchment policy by the government concerning in-home care service delivery (Tables 1 and 2). Ruggie (1990:164) notes that such shifts and changes in Medicare reimbursement patterns may be efforts of the government to realign itself to become the pivotal force in the provision or delivery of in-home care. Cost-containment pressures, although most needed in the health care industry, are the primary driving force behind retrenchment and the subsequent realignment of government. Such forces tend to impede the development of a comprehensive system for the provision of long-term care services. As noted, the movements and shifts in reimbursement patterns documented by this analysis can lead one to conclude that the same old features will continue to prevail instead of new and innovative delivery structures or public-private partnerships. In other words, the in-home care industry will become more like the nursing home industry--highly regulated and perpetually plagued by questions concerning quality of care. Although government is attempting to diminish its task as the prime provider of health services (i.e., through fiscal retrenchment) and the public's role as the dominant delivery system (i.e., social retrenchment), nevertheless the government has been unable to retrench politically in spite of its present direction of cost containment and fiscal restraint. Consequently, Ruggie (1990:147) notes that "the social welfare functions may continue to be performed" in spite of cost restraint policies. As a result, another "no care zone" is created and policy-makers will continue to develop "crisis policy" such as intense demands to hold unit costs low. The home care system has expanded many of the long-term care options and has emerged as a salient segment of our health and social service system (Applebaum and Phillips, 1990). Yet, policy-makers have not developed a comprehensive long-term care system, particularly

  5. Looming Danger

    Institute of Scientific and Technical Information of China (English)

    WangXuewen

    2003-01-01

    Is all well with the roaring Chinese economy now that severe acute respiratory syndrome has almost vanished? For beginners,SARS is still a looming danger, as Chinese leaders and medical professionals relentlessly try tobring across to a wider, more relaxed post-SARS public. Meanwhile, economistsand analysts struggle to make sense of various news, facts and figures from the frontlines of trade and industry. Early on, while acknowledging that SARS had some negative impact on the development of some industries and regions,President and Party General Secretary Hu Jintao acted as true leader. He saidthat the people and country would triumph over “these temporary difficulties”and would finally win the war against this nasty disease.

  6. Caring for adolescents and families in crisis.

    Science.gov (United States)

    Parsons, Cindy

    2003-03-01

    Nurses are likely to see adolescents and their families in a variety of practice settings. Recognizing the youth and family at risk is significant in helping them resolve a stressful situation by mobilizing resources and strengthening coping and problem-solving skills. This article has focused on several areas, including suicide and depression, sex-related issues, substance abuse, and poor academic performance. Helping the youth and family in crisis challenges the nurse to use astute assessment skills that support a patient-centered crisis intervention model. During a time when cost-effective mental health care is a necessity, this model offers nurses an opportunity to provide quality health care.

  7. Cardboard Loom Weaving.

    Science.gov (United States)

    Farris, Cynthia Cox

    2001-01-01

    Presents an activity in which students in grades three to six can create looms and learn about weaving. Discusses the process for weaving. Includes ideas for furthering the students' knowledge of weaving, a list of vocabulary and materials, and directions for creating the loom. (CMK)

  8. Reviewing the definition of crisis in dementia care

    Directory of Open Access Journals (Sweden)

    Vroomen Janet MacNeil

    2013-02-01

    Full Text Available Abstract Background Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice. Methods We systematically searched for articles containing definitions of crisis in the context of dementia care. We created an operational framework of crisis based on retrieved definitions. Recommendations to address crisis situations were reviewed and classified according to care settings. Results Abstracts and titles of 1,113 articles, screened from PubMed and EMBASE, were narrowed down to 27 articles. After review, crisis in dementia was defined as a process where a stressor causes an imbalance requiring an immediate decision to be made which leads to a desired outcome and therefore a resolution of the crisis. If the crisis is not resolved, the cycle continues. Recommendations for resolving crisis involving persons with dementia and their caregivers include awareness therapy after diagnosis and increased contact with general practitioners, case manager consultations, caregiver support and education. Furthermore, nursing home staff should be attuned to the environmental, physical and psychological needs of persons with dementia. Conclusions This is the first article to review the definition of crisis in the context of dementia care. A review of the literature indicated that the definition of a crisis is idiosyncratic. Therefore, it is difficult to prevent or plan for all crises. We used an operational framework to compile types of crisis stressors and recommendations from the crisis literature based on three different perspectives; the person with the dementia, the caregiver and the healthcare providers.

  9. The Carry Loom.

    Science.gov (United States)

    Mihalow, Paula

    1980-01-01

    Presents instructions for building a simple, inexpensive, one-piece loom that is easy for students and teachers to work with, transport, and store. A short list of books for weaving instruction is appended. (Author/SJL)

  10. California's Child Care Crisis: A Crime Prevention Tragedy.

    Science.gov (United States)

    Lee, Brian

    This report compiles recent research showing that quality child care and early education can greatly reduce crime and argues that California is in the middle of a child care crisis, with a shortage of quality, affordable care. Chapter 1 of the report presents research showing that at-risk children who participate in quality child care programs are…

  11. Drug shortages: a complex health care crisis.

    Science.gov (United States)

    Fox, Erin R; Sweet, Burgunda V; Jensen, Valerie

    2014-03-01

    National tracking of drug shortages began in 2001. However, a significant increase in the number of shortages began in late 2009, with numbers reaching what many have termed crisis level. The typical drug in short supply is a generic product administered by injection. Common classes of drugs affected by shortages include anesthesia medications, antibiotics, pain medications, nutrition and electrolyte products, and chemotherapy agents. The economic and clinical effects of drug shortages are significant. The financial effect of drug shortages is estimated to be hundreds of millions of dollars annually for health systems across the United States. Clinically, patients have been harmed by the lack of drugs or inferior alternatives, resulting in more than 15 documented deaths. Drug shortages occur for a variety of reasons. Generic injectable drugs are particularly susceptible to drug shortages because there are few manufacturers of these products and all manufacturers are running at full capacity. In addition, some manufacturers have had production problems, resulting in poor quality product. Although many suppliers are working to upgrade facilities and add additional manufacturing lines, these activities take time. A number of stakeholder organizations have been involved in meetings to further determine the causes and effects of drug shortages. A new law was enacted in July 2012 that granted the Food and Drug Administration additional tools to address the drug shortage crisis. The future of drug shortages is unknown, but there are hopeful indications that quality improvements and additional capacity may decrease the number of drug shortages in the years to come.

  12. Myasthenic crisis patients who require intensive care unit management.

    Science.gov (United States)

    Sakaguchi, Hideya; Yamashita, Satoshi; Hirano, Teruyuki; Nakajima, Makoto; Kimura, En; Maeda, Yasushi; Uchino, Makoto

    2012-09-01

    The purpose of this report was to investigate predictive factors that necessitate intensive care in myasthenic crisis (MC). We retrospectively reviewed MC patients at our institution and compared ICU and ward management groups. Higher MG-ADL scale scores, non-ocular initial symptoms, infection-triggered findings, and higher MGFA classification were observed more frequently in the ICU group. In patients with these prognostic factors, better outcomes may be obtained with early institution of intensive care.

  13. COORDINATION OF THE PSYCHOSOCIAL CARE NETWORK FOR MENTAL HEALTH CRISIS

    Directory of Open Access Journals (Sweden)

    Karoline Andrade

    2016-09-01

    Full Text Available This research aimed to investigate the coordination of the psychosocial care network (RAPS for mental health crisis care, in its workers’ view. It is a descriptive exploratory study with qualitative approach. The study was carried out from 62 portfolios made by the students of the Mental Health Crisis and Urgency Course, who answered the reflective question: "Considering your workplace as a point of RAPS / RUE, describe, reflect and write a text with the synthesis regarding the articulation with the other network points in the reality of your municipality". The data were analyzed according to Thematic Content Analysis method suggested by Bardin, which comprises three phases: Pre - analysis, Material Exploration and Treatment of the Information, inference and interpretation. As a result, three thematic categories were identified: Referral, the traditional way of referring to specialized care, which is associated to a more fragmented care process; Matrix support, the current proposal of collaborative care, a joint strategy that contributes to the complex care demanded by mental health services users; and new strategies for network care, exemplified by meetings or sessions that discuss new ways to enable the network care.

  14. CRISIS FOCUS Downturn Risks Loom Large

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Is the world heading for a better year after hitting rock bottom in 2009? Not necessarily. in, the outgoing Vice Governor of People’s Bank of China, said the world economy’s future looks bleak at a financial forum held in Beijing on April 11. Zhu is expected to resume his position as a special advisor at the International Monetary Fund (IMF) in May 2010. Edited excerpts follow:

  15. Health care in Costa Rica: boom and crisis.

    Science.gov (United States)

    Mesa-Lago, C

    1985-01-01

    In 1960-1980 Costa Rica experienced a health boom, achieving significant improvements which moved that country into the number two position in Latin America for indicators such as population coverage, infant mortality, life expectancy and health services. In addition, there was a gradual process of integration of health services. But in the same period, the cost of health care as a percentage of GNP increased almost 5-fold and in 1980 was the fourth highest in the region. The economic crisis of the 1980s aggravated the financial difficulties; to cope with them, the government introduced an austere program to reduce costs and plans to transform the current model of health care into a more efficient one capable of maintaining Costa Rica's high health standards in the future. The paper is divided into five sections: summary of the historical development of health care, and description of its current organization and of its gradual process of integration; estimation of population coverage and its trends, evaluation of inequalities in coverage, and identification of the non-covered group; analysis of health-care financing and its sources, as well of the recent financial desequilibrium, its causes and measures to restore the equilibrium; description of health care benefits and their differences among groups and regions, analysis of the country's advances in health-care facilities and standards, and measurement of the impact of the health care system in income distribution; and description of the rising cost of health care and the current crisis, analysis of the causes of both phenomena, and review of the measures that have been and should be implemented to solve these problems.

  16. Health care crisis needs new approaches, not more dollars. Interview by Debra Mamorsky.

    Science.gov (United States)

    Goodman, J C

    1993-01-01

    An economist and analyst of public policy explains why medical spending accounts, a multitiered health care system, and elimination of government mandates would help solve the nation's health care crisis.

  17. National Suicide Prevention Lifeline: Enhancing Mental Health Care for Suicidal Individuals and Other People in Crisis

    Science.gov (United States)

    Gould, Madelyn S.; Munfakh, Jimmie L. H.; Kleinman, Marjorie; Lake, Alison M.

    2012-01-01

    Linking at-risk callers to ongoing mental health care is a key goal of crisis hotline interventions that has not often been addressed in evaluations of hotlines' effectiveness. We conducted telephone interviews with 376 suicidal and 278 nonsuicidal crisis callers to the National Suicide Prevention Lifeline (Lifeline) to assess rates of mental…

  18. Crisis

    OpenAIRE

    Hertie School of Governance

    2010-01-01

    Crisis as an omnipresent part of our daily lives has become engrained in our mindsets. We should, however, not resort to apathy, but instead attempt to differentiate between those issues sold to us as crises. The new Schlossplatz³ issue shows how crises are managed in various examples and how they can serve as instances of learning.

  19. The Myth of a Child Care Crisis. The Heritage Foundation Backgrounder.

    Science.gov (United States)

    Riedl, Brian M.

    Although there has been a dramatic increase in child care funding since the passage of the 1996 Personal Responsibility and Work Opportunity Reconciliation Act, some activists and members of Congress have argued that there remains a child care crisis. This paper asserts that many of the arguments concerning welfare and child care are outdated or…

  20. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi

    OpenAIRE

    Aysha Almas; Ayaz Ghouse; Ahmed Raza Iftikhar; Munawwar Khursheed

    2014-01-01

    Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had un...

  1. Mobile Outreach Crisis Services (MOCS): an innovative model for taking psychiatric care into the community.

    Science.gov (United States)

    McCarley, T D; Yates, W R

    1998-11-01

    Mobile outreach psychiatric services have become a popular model of providing care to the mentally ill. A mobile program has been instituted in Tulsa, Oklahoma, to provide care to homeless mentally ill in Tulsa County and to assist with emergency crisis intervention. The SPMI (Severely and Persistently Mentally III) have been a challenge for both medical and psychiatric providers, and MOCS (Mobile Outreach Crisis Services) was developed to address these problems. This article describes MOCS, briefly reviews recent literature, and discusses ways this program can benefit primary care physicians.

  2. Design and Construction of a Mechanized Loom

    Directory of Open Access Journals (Sweden)

    A.S. Akinwonmi

    2011-03-01

    Full Text Available This study analyzes the design and construction of a Mechanized Loom to improve the existing Hand Loom used by the local weavers and to weave a 300 mm width Aso-Oke instead of the existing 100 mm width. There are difficulties in weaving of Aso-Oke using the Foot Loom and Hand Loom since this conventional method is time consuming and labour intensive. In the Mechanized Loom, the mode of operation of the Hand and Foot Loom was studied and then mechanized with the application of Cam mechanism and spring to throw the Shuttle from one shuttle arm through the harness to the other shuttle arm. In the design, the warp is separated to form the shed through which the shuttle passes from one shuttle arm to the other shuttle arm with the aid of the harness and its linkage. The construction was done using mild steel and hard wood for the cams. The advantages and importance of this Mechanized Loom include high efficiency, increased production, easier operation, cheap and available material, portability, durability, reliable accuracy and reasonable speed.

  3. Weft sensor for air-jet looms

    Science.gov (United States)

    Castellini, C.; Francini, F.; Longobardi, G.

    1989-08-01

    An optoelectronic weft stop motion for air-jet weaving looms is described. The device comprises very thin optical and optoelectronic components. It is disposed between the blades of the U-shaped channel of the loom reed in order to detect the presence of the weft yarn during its insertion into the warp shed in the weaving process. Details of the design and fabrication of the device are presented and electronic signal processing is discussed.

  4. Evaluating multidisciplinary health care teams: taking the crisis out of CRM.

    Science.gov (United States)

    Sutton, Gigi

    2009-08-01

    High-reliability organisations are those, such as within the aviation industry, which operate in complex, hazardous environments and yet despite this are able to balance safety and effectiveness. Crew resource management (CRM) training is used to improve the non-technical skills of aviation crews and other high-reliability teams. To date, CRM within the health sector has been restricted to use with "crisis teams" and "crisis events". The purpose of this discussion paper is to examine the application of CRM to acute, ward-based multidisciplinary health care teams and more broadly to argue for the repositioning of health-based CRM to address effective everyday function, of which "crisis events" form just one part. It is argued that CRM methodology could be applied to evaluate ward-based health care teams and design non-technical skills training to increase their efficacy, promote better patient outcomes, and facilitate a range of positive personal and organisational level outcomes.

  5. Romanian Health Care Reform in the Context of Economic Crisis

    Directory of Open Access Journals (Sweden)

    Victoria Gheonea

    2010-12-01

    Full Text Available The effects of financial crisis are strongly felt in Romania, which already face with asignificant slowdown in economic growth or even economic recession. The current and internationalsituation remains still difficult, and requires high budget constraints. Under these conditions, thehealth system in Romania has become one of the most inefficient in Europe, mainly characterized bylack of transparency in the allocation of funds and inefficiency in resource use. The lack of clear andcoherent criteria to evaluate the performance of health institutions results in a difficultimplementation of efficient managerial systems to reward the efficient manager.

  6. Ultrasound for critical care physicians: sickle cell crisis

    Directory of Open Access Journals (Sweden)

    Raschke RA

    2013-08-01

    Full Text Available No abstract available. Article truncated after first page. A 32 year old man was admitted a week earlier with sickle cell pain crisis. He had developed increasing dyspnea, oxygen desaturation and bilateral pulmonary infiltrates. He had a pulseless electric activity code blue and an ultrasound of the heart was obtained (Figure 1. Figure 1. Subxiphoid view ultrasound of the heart. What does the ultrasound show? 1. Aortic dissection; 2. Aortic stenosis; 3. Enlarged left ventricle; 4. Enlarged right ventricle; 5. Pericardial effusion

  7. Replication of a Crisis Shelter Model of Care in Staff Secure Detention Programs.

    Science.gov (United States)

    Teare, John F.; Castrianno, Lynn M.; Novicoff, Carolyn D.; Peterson, Roger; Authier, Karen; Daly, Daniel

    This paper presents preliminary evidence for the effectiveness of a model of care designed to provide safe and effective services in both short-term shelter and short-term staff secure detention programs. Boys Town short-term crisis shelter programs were designed to provide a safe and therapeutic environment for homeless and runaway youth in need…

  8. Myasthenic Crisis

    Science.gov (United States)

    Wendell, Linda C.; Levine, Joshua M.

    2011-01-01

    Myasthenic crisis is a complication of myasthenia gravis characterized by worsening of muscle weakness, resulting in respiratory failure that requires intubation and mechanical ventilation. Advances in critical care have improved the mortality rate associated with myasthenic crisis. This article reviews the epidemiology of myasthenic crisis and discusses patient evaluation. Therapeutic options including mechanical ventilation and pharmacological and surgical treatments are also discussed. PMID:23983833

  9. The crisis of capitalism and the marketisation of health care: the implications for public health professionals.

    Science.gov (United States)

    McKee, Martin; Stuckler, David

    2012-12-28

    The current economic crisis in Europe has challenged the basis of the economic model that currently prevails in much of the industrialised world. It has revealed a system that is managed not for the benefit of the people but rather for the corporations and the small elite who lead them, and which is clearly unsustainable in its present form. Yet, there is a hidden consequence of this system: an unfolding crisis in health care, driven by the greed of corporations whose profit-seeking model is also failing. Proponents of commodifying healthcare simultaneously argue that the cost of providing care for ageing populations is unaffordable while working to create demand for their health care products among those who are essentially healthy. Will healthcare be the next profit-fuelled investor bubble? In this paper, we call on health professionals to heed the warnings from the economic crisis and, rather than stand by while a crisis unfolds, act now to redirect increasingly market-oriented health systems to serve the common good.

  10. Psychiatric home care: a new tool for crisis intervention.

    Science.gov (United States)

    Spiro, A H

    1994-03-01

    The cost of psychiatric care has been rapidly increasing in recent years. Between 1984 and 1987, there was a 46 percent increase in psychiatric hospitals beds and a 60 percent increase in psychiatric units in general hospitals. This reflected a recognition by many health care systems that psychiatric patients were a good source of revenue. With this push toward more and more inpatient programs, crucial aspects of psychiatric care were left behind. Specifically, the limitations of inpatient therapy have not been recognized. Within the past five years, a new program has been developed and pioneered to use home care to prevent psychiatric hospitalizations and to also prevent the difficult transitions for psychiatric patients. Over a two-year period, this program was studied for its impact on the quality and cost of psychiatric care.

  11. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi

    Directory of Open Access Journals (Sweden)

    Aysha Almas

    2014-01-01

    Full Text Available Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387 had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218. Per oral calcium channel blocker; 35.4% (137 and intravenous nitrate; 22.7% (88 were the most commonly administered medication in the ER. The mean (SD drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29 mm Hg and on per oral treatment was 43 (27 mm Hg. The maximum mean (SD drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51 mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24. Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.

  12. Hypertensive Crisis, Burden, Management, and Outcome at a Tertiary Care Center in Karachi.

    Science.gov (United States)

    Almas, Aysha; Ghouse, Ayaz; Iftikhar, Ahmed Raza; Khursheed, Munawwar

    2014-01-01

    Objectives. Hypertension, if uncontrolled, can lead to hypertensive crisis. We aim to determine the prevalence of hypertensive crisis, its management, and outcome in patients presenting to a tertiary care center in Karachi. Methods. This was a cross-sectional study conducted at the Aga Khan University, Karachi, Pakistan. Adult inpatients (>18 yrs) presenting to the ER who were known hypertensive and had uncontrolled hypertension were included. Results. Out of 1336 patients, 28.6% (387) had uncontrolled hypertension. The prevalence of hypertensive crisis among uncontrolled hypertensive was 56.3% (218). Per oral calcium channel blocker; 35.4% (137) and intravenous nitrate; 22.7% (88) were the most commonly administered medication in the ER. The mean (SD) drop in SBP in patients with hypertensive crisis on intravenous treatment was 53.1 (29) mm Hg and on per oral treatment was 43 (27) mm Hg. The maximum mean (SD) drop in blood pressure was seen by intravenous sodium nitroprusside; 80 (51) mm Hg in SBP. Acute renal failure was the most common complication with a prevalence of 11.5% (24). Conclusion. The prevalence of hypertensive crisis is high. Per oral calcium channel blocker and intravenous nitrate are the most commonly administered medications in our setup.

  13. Health Care Austerity Measures in Times of Crisis: The Perspectives of Primary Health Care Physicians in Madrid, Spain.

    Science.gov (United States)

    Heras-Mosteiro, Julio; Sanz-Barbero, Belén; Otero-Garcia, Laura

    2016-01-01

    The current financial crisis has seen severe austerity measures imposed on the Spanish health care system, including reduced public spending, copayments, salary reductions, and reduced services for undocumented migrants. However, the impacts have not been well-documented. We present findings from a qualitative study that explores the perceptions of primary health care physicians in Madrid, Spain. This article discusses the effects of austerity measures implemented in the public health care system and their potential impacts on access and utilization of primary health care services. This is the first study, to our knowledge, exploring the health care experiences during the financial crisis of general practitioners in Madrid, Spain. The majority of participating physicians disapproved of austerity measures implemented in Spain. The findings of this study suggest that undocumented migrants should regain access to health care services; copayments should be minimized and removed for patients with low incomes; and health care professionals should receive additional help to avoid burnout. Failure to implement these measures could result in the quality of health care further deteriorating and could potentially have long-term negative consequences on population health.

  14. System on Programable Chip for Performance Estimation of Loom Machine

    CERN Document Server

    Singh, Gurpreet; S, Surekha K; Pujari, S

    2012-01-01

    System on programmable chip for the performance estimation of loom machine, which calculates the efficiency and meter count for weaved cloth automatically. Also it calculates the efficiency of loom machine. Previously the same was done using manual process which was not efficient. This article is intended for loom machines which are not modern.

  15. System on Programable Chip for Performance Estimation of Loom Machine

    Directory of Open Access Journals (Sweden)

    Gurpreet Singh

    2012-03-01

    Full Text Available System on programmable chip for the performance estimation of loom machine, which calculates the efficiency and meter count for weaved cloth automatically. Also it calculates the efficiency of loom machine. Previously the same was done using manual process which was not efficient. This article is intended for loom machines which are not modern.

  16. Reducing the impact of the health care access crisis through volunteerism: a means, not an end.

    Science.gov (United States)

    Geletko, Karen W; Beitsch, Leslie M; Lundberg, Mark; Brooks, Robert G

    2009-07-01

    In the absence of meaningful health reform, Florida implemented a volunteer health care program to strengthen the existing safety net. Since program implementation in 1992, over $1 billion of services have been provided to uninsured and underserved populations. Currently, over 20,000 volunteers participate statewide. Key incentives for provider participation have been an organized framework for volunteering and liability protection through state-sponsored sovereign immunity. Volunteerism, although not a solution to the health care crisis, serves as a valuable adjunct pending full-scale health care reform.

  17. [Crisis Intervention in a Health Care Hospital for Child and Adolescent Psychiatry].

    Science.gov (United States)

    Burchard, Falk; Diebenbusch, Teresa

    2017-01-01

    Crisis Intervention in a Health Care Hospital for Child and Adolescent Psychiatry In the past years the pressure in society and psychological problems in Germany have risen up. This can especially be verified by the great influx of utilization of child and adolescent psychiatric clinics through the admission of crisis. In this connection social disadvantaged female adolescents with a low socio-economic status, students of the secondary school, children in care and the ones whose parents have to manage their upbringing alone are preferentially affected. These developments require a fast adaptation of the supply system to the transformed demands, in particular in terms of outpatient treatment, as well as a closely and structured cooperation between the youth welfare and child and adolescent psychiatric clinics in their function as systems of help. In the script statistical data and adaptive approaches of a supply department of child and adolescent psychiatry are presented.

  18. The Looming Maladaptive Style in Social Anxiety

    Science.gov (United States)

    Brown, Michael A.; Stopa, Luisa

    2008-01-01

    This exploratory study examined the relationship between the looming maladaptive style (i.e., an enduring and traitlike cognitive pattern to appraise threat as rapidly rising in risk, progressively worsening, or actively speeding up and accelerating) and three different aspects of trait social anxiety (i.e., fear of negative evaluation, social…

  19. Analyze the Properties of Woven Fabric Manufactured by Hand Loom and Power Loom

    Directory of Open Access Journals (Sweden)

    L. Shafinaz

    2014-09-01

    Full Text Available The handloom weaving industry is one of the ancient cottage industries in Bangladesh. Next to agriculture, it is the second largest sources of rural employment and income. The present study is an effort to investigate the present scenario of handloom weaving industries in Bangladesh. Also the analysis the properties and present trends of local woven fabric manufactured by Hand loom and Power loom. The study is based on secondary data.

  20. A Need for Change: The Looming Energy Crisis

    Science.gov (United States)

    2006-02-08

    likely to become a major output source of energy because of the high capital cost 12 required for implementation. It is expected that experiments using...1 December 2005. 26. George S. Standford , “Integrated Fast Reactor: Source of Safe, Abundant, Non-Polluting Power,” December 2001; available from...Joanna Lewis and Ryan Wiser, “A Review of International Experience with Policies to Promote Wind Power Industry Development,” 10 March 2005; available

  1. Home health nursing care services in Greece during an economic crisis.

    Science.gov (United States)

    Adamakidou, T; Kalokerinou-Anagnostopoulou, A

    2017-03-01

    The purpose of this review was to describe public home healthcare nursing services in Greece. The effectiveness and the efficiency of home healthcare nursing are well documented in the international literature. In Greece, during the current financial crisis, the development of home healthcare nursing services is the focus and interest of policymakers and academics because of its contribution to the viability of the healthcare system. A review was conducted of the existing legislation, the printed and electronic bibliography related to the legal framework, the structures that provide home health care, the funding of the services, the human resources and the services provided. The review of the literature revealed the strengths and weaknesses of the existing system of home health care and its opportunities and threats, which are summarized in a SWOT analysis. There is no Greek nursing literature on this topic. The development of home health nursing care requires multidimensional concurrent and combined changes and adjustments that would support and strengthen healthcare professionals in their practices. Academic and nursing professionals should provide guidelines and regulations and develop special competencies for the best nursing practice in home health care. At present, in Greece, which is in an economic crisis and undergoing reforms in public administration, there is an undeniable effort being made to give primary health care the position it deserves within the health system. There is an urgent need at central and academic levels to develop home healthcare services to improve the quality and efficiency of the services provided. © 2016 International Council of Nurses.

  2. The painful effects of the financial crisis on Spanish health care.

    Science.gov (United States)

    Bosch, Xavier; Moreno, Pedro; López-Soto, Alfonso

    2014-01-01

    Spain has an advanced, integrated health care system that has achieved remarkable results, including substantially improved health outcomes, over a relatively short time. Measures introduced by central and regional governments to combat the financial crisis may be severely affecting the health sector, with proposed changes potentially threatening the principles of equity and social cohesion underlying the welfare state. This article examines recent developments in Spanish health care, focusing on the austerity measures introduced since 2010. In Spain, as in other countries, evaluation of health care changes is difficult due to the paucity of data and because the effects of measures often lag well behind their introduction, meaning the full effects of changes on access to care or health outcomes only become apparent years later. However, some effects are already clear. With exceptions, Spain has not used the crisis as an opportunity to increase efficiency and quality, rationalize and reorganize health services, increase productivity, and regain public trust. We argue that immediate health care cuts may not be the best long-term answer and suggest evidence-driven interventions that involve the portfolio of free services and the private sector, while ensuring that the most vulnerable are protected.

  3. Hypertensive crisis in children: an experience in a single tertiary care center in Korea.

    Science.gov (United States)

    Lee, Geum Hwa; Lee, I Re; Park, Se Jin; Kim, Ji Hong; Oh, Ji Young; Shin, Jae Il

    2015-01-01

    pressure monitoring and careful examinations should be mandatory in children with underlying disease, especially renal diseases and cancer. Furthermore, both nicardipine and labetalol may be effective antihypertensive drug in lowering high blood pressure in children with hypertensive crisis.

  4. The myasthenic patient in crisis: an update of the management in Neurointensive Care Unit

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    Daniel Agustin Godoy

    2013-09-01

    Full Text Available Myasthenia gravis (MG is an autoimmune disorder affecting neuromuscular transmission leading to generalized or localized muscle weakness due most frequently to the presence of autoantibodies against acetylcholine receptors in the postsynaptic motor end-plate. Myasthenic crisis (MC is a complication of MG characterized by worsening muscle weakness, resulting in respiratory failure that requires intubation and mechanical ventilation. It also includes postsurgical patients, in whom exacerbation of muscle weakness from MG causes a delay in extubation. MC is a very important, serious, and reversible neurological emergency that affects 20–30% of the myasthenic patients, usually within the first year of illness and maybe the debut form of the disease. Most patients have a predisposing factor that triggers the crisis, generally an infection of the respiratory tract. Immunoglobulins, plasma exchange, and steroids are the cornerstones of immunotherapy. Today with the modern neurocritical care, mortality rate of MC is less than 5%.

  5. Medical supplies shortages and burnout among greek health care workers during economic crisis: a pilot study.

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    Rachiotis, George; Kourousis, Christos; Kamilaraki, Maria; Symvoulakis, Emmanouil K; Dounias, George; Hadjichristodoulou, Christos

    2014-01-01

    Greece has been seriously affected by the economic crisis. In 2011 there were reports of 40% reduction to public hospital budgets. Occasional shortages of medical supplies have been reported in mass media. We attempted to pivotally investigate the frequency of medical supplies shortages in two Greek hospital units of the National Health System and to also assess their possible impact on burnout risk of health care workers. We conducted a cross-sectional study (n=303) of health care workers in two Greek hospitals who were present at the workplace during a casually selected working day (morning shift work). The Maslach Burnout Inventory (MBI) was used as the measure of burnout. An additional questionnaire was used about demographics, and working conditions (duration of employment, cumulative night shifts, type of hospital including medical supplies shortages and their impact on quality of healthcare. The prevalence of emotional exhaustion, depersonalization and low personal accomplishment was 44.5%, 43.2% and 51.5%, respectively. Medical supply shortages were significantly associated with emotional exhaustion and depersonalization. This finding provides preliminary evidence that austerity has affected health care in Greece. Moreover, the medical supply shortages in Greek hospitals may reflect the unfolding humanitarian crisis of the country.

  6. Cognitive aid use improves transition of care by graduating medical students during a simulated crisis

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    Brooke Bauer

    2016-07-01

    Full Text Available Background: Residents are expected to have transition of care (ToC skills upon entering graduate medical education. It is unclear whether experience and training during medical school is adequate. Objective: The aim of the project was to assess: 1 graduating medical students’ ability to perform ToC in a crisis situation, and 2 whether using a cognitive aid improves the ToC quality. Methods: The authors developed simulation scenarios for rapid response teams and a cognitive aid to assist in the ToC during crisis situations. Graduating medical students were enrolled and randomly divided into teams of three students, randomly assigned into one of two groups: teams using a cognitive aid for ToC (CA, or not using a cognitive aid (nCA. In the scenario, teams respond to a deteriorating patient and then transfer care to the next provider after stabilization. Three faculty reviewed the recording to assess completeness of the ToC and the overall quality. A completeness score was expressed as a fraction of the maximum score. Statistical analysis was performed using a t-test and Mann-Whitney U test. Results: A total of 112 senior medical students participated: CA n=19, nCA n=17. The completeness score of the ToC and overall quality improved when using the cognitive aid (completeness score: CA 0.80±0.06 vs. nCA 0.52±0.07, p<0.01; ToC quality: CA 3.16±0.65 vs. nCA 1.92±0.56, p<0.01. Participants’ rating of knowledge and comfort with the ToC process increased after the simulation. Conclusion: The completeness of information transfer during the ToC process by graduating medical students improved by using a cognitive aid in a simulated patient crisis.

  7. How can we deliver high-quality cancer care in a healthcare system in crisis?

    Science.gov (United States)

    Mayer, Deborah K

    2014-08-01

    This provocative question was addressed in a report from the Institute of Medicine ([IOM], 2013), Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. An interdisciplinary committee synthesized many of the changes that are occurring in our society and health care that will challenge our existing cancer care system. These changes are familiar to many of us: an aging population along with the resulting increase in the number of cancer survivors, an inadequate number of and increased demand for trained healthcare providers, and rising healthcare costs. The IOM report recommended a framework of six interconnected components for improving the quality of cancer care (see Figures 1 and 2). Each of these components is worthy of an editorial and more. I would like to focus, however, on one of them: an adequately staffed, trained, and coordinated workforce. And, for good reason, as I want to retire someday and know that others will be taking my place in caring for cancer survivors across the care continuum. So let's explore this one component in more detail.

  8. [The meanings constructed in the attention to a crisis in the territory: the psychosocial care center as a protagonist].

    Science.gov (United States)

    Willrich, Janaína Quinzen; Kantorski, Luciane Prado; Chiavagatti, Fabieli Gopinger; Cortes, Jandro Moraes; Antonacci, Milena Hohmann

    2013-06-01

    The attention to a crisis is a strategic point in the process of paradigm changes proposed by the Brazilian psychiatric reform, requiring changes in alternative services and in the professionals that must use new technologies of care. This study aimed to identify the actions of attention to a crisis in the territory and the meanings as they evolved, beginning from the discursive practices of the professionals. It was a qualitative study that used the theoretical perspective of social constructionism. From the database of the research, Evaluation of the Psychosocial Care Centers in Southern Brazil (CAPSUL), 27 interviews were analyzed from the professionals of Psychosocial Care Center for Alegrete, along with field diaries with 390 hours of observation. Results showed patient engagement/welcoming and accountability for care. We concluded that freedom, reciprocity, contractuality and responsibility for care were the new meanings needed for the alternative care services to overcome the asylum and sense of exclusion and dangerousness.

  9. The crisis as catalyst for reframing health care policies in the European Union.

    Science.gov (United States)

    Helderman, Jan-Kees

    2015-01-01

    Seen from the perspective of health, the global financial crisis (GFC) may be conceived of as an exogenous factor that has undermined the fiscal sustainability of European welfare states and consequently, their (expanding) health systems as well. Being one of the core programs of European welfare states, health care has always belonged to the sovereignty of European Member States. However, in past two decades, European welfare states have in fact become semi-sovereign states and the European Union (EU) no longer is an exogenous actor in European health policy making. Today, the EU not only puts limits to unsustainable growth levels in health care spending, it also acts as an health policy agenda setter. Since the outbreak of the GFC, it does so in an increasingly coercive and persuasive way, claiming authority over health system reforms alongside the responsibilities of its Member States.

  10. ESRD in the geriatric population: the crisis of managed care and the opportunity of disease management.

    Science.gov (United States)

    Steinman, Theodore I

    2002-01-01

    The geriatric population with end-stage renal disease (ESRD) is placed at risk with regards to the quality and extent of medical coverage because of the rapidly changing financial environment. Managed care organizations (MCOs) are generally for-profit companies that must focus on the bottom line. While the verbal commitment to quality care is voiced, the financial pressures on MCOs have led to a decrease in coverage of many services and outright denial for some necessary treatments. While denying services, the MCOs have also reduced payments to providers for services rendered. The coverage crisis is compounded by health maintenance organizations (HMOs) quitting Medicare because the reimbursement from the Health Care Financing Administration (HCFA) is less than their costs. Because of the above issues which can potentially impact on the quality of care delivered to the ESRD geriatric population, a new approach to disease management has created the opportunity to improve total patient care to a level not yet achieved in the United States. Disease management encompasses integrated care across all disciplines. Every component of care can be tracked by a dedicated information system. Improvement in outcomes has far exceeded the U.S. Renal Data System (USRDS) benchmark performance measurements with a disease management model approach. The key to success is the health service coordinator (HSC), a senior nurse with many years of ESRD experience. This individual coordinates care across all disciplines and expedites necessary referrals. With rapid attention to patient needs there has been a significant reduction in hospital admissions, hospital length of stay, and emergency room visits. Patient care will steadily improve as the disease management system matures as a consequence of understanding the patients total physical and psychosocial needs.

  11. Old news: why the 90-year crisis in medical elder care?

    Science.gov (United States)

    Diachun, Laura L; Charise, Andrea; Lingard, Lorelei

    2012-07-01

    North American and European demographic projections indicate that by 2030, persons aged 65 and older will outnumber those younger than 15 by a ratio of 2:1. Curiously, principles of geriatric care have not taken strong hold among nongeriatric specialties, even as we approach the time of greatest need. To explore historical precedents for the current crisis in elder care, this article revisits the prescriptions of G. Stanley Hall's Senescence: The Last Half of Life (1922), a text widely recognized as one of the founding texts in the medicalized study of aging. It presents in brief three of Hall's major concerns-paucity of knowledge of nongeriatric specialists, the need for individualized care of elderly adults, and the prevalence of attitudinal obstacles in medical professionals caring for older persons-to demonstrate how little the language and content of modern appraisals have evolved since 1922. This disconcerting sense of paralysis is presented as an opportunity to advance important questions aimed at stimulating a more-comprehensive research agenda for addressing the future of medical elder care.

  12. Qualitative Investigation of the Wellness Recovery Action Plan in a UK NHS Crisis Care Setting.

    Science.gov (United States)

    Ashman, Michael; Halliday, Vanessa; Cunnane, Joseph G

    2017-07-01

    Crisis theory suggests that in addition to presenting a threat to mental well-being, crises are also opportunities where successful interventions can lead to successful outcomes. UK mental health crisis teams aim to reduce hospital admission by treating people at home and by building resilience and supporting learning from crisis, yet data on repeat crisis episodes suggest this could be improved. This qualitative study sought to explore the Wellness Recovery Action Plan (WRAP) as a means of supporting resilience-building and maximising the opportunity potential of crisis. The following themes emerged: The meaning of crisis; Engaging with the WRAP process; WRAP and self-management; and Changes and transformations. This research suggests that WRAP has potential in supporting recovery from crisis, revealing insights into the nature of crisis which can inform the further development of crisis services.

  13. Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring

    Science.gov (United States)

    2012-01-01

    Background The high number of involuntary placements of people with mental disorders in Switzerland and other European countries constitutes a major public health issue. In view of the ethical and personal relevance of compulsory admission for the patients concerned and given the far-reaching effects in terms of health care costs, innovative interventions to improve the current situation are much needed. A number of promising approaches to prevent involuntary placements have been proposed that target continuity of care by increasing self-management skills of patients. However, the effectiveness of such interventions in terms of more robust criteria (e.g., admission rates) has not been sufficiently analysed in larger study samples. The current study aims to evaluate an intervention programme for patients at high risk of compulsory admission to psychiatric hospitals. Effectiveness will be assessed in terms of a reduced number of psychiatric hospitalisations and days of inpatient care in connection with involuntary psychiatric admissions as well as in terms of cost-containment in inpatient mental health care. The intervention furthermore intends to reduce the degree of patients’ perceived coercion and to increase patient satisfaction, their quality of life and empowerment. Methods/Design This paper describes the design of a randomised controlled intervention study conducted currently at four psychiatric hospitals in the Canton of Zurich. The intervention programme consists of individualised psycho-education focusing on behaviours prior to and during illness-related crisis, the distribution of a crisis card and, after inpatient admission, a 24-month preventive monitoring of individual risk factors for compulsory re-admission to hospital. All measures are provided by a mental health care worker who maintains permanent contact to the patient over the course of the study. In order to prove its effectiveness the intervention programme will be compared with standard care

  14. Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring

    Directory of Open Access Journals (Sweden)

    Lay Barbara

    2012-09-01

    Full Text Available Abstract Background The high number of involuntary placements of people with mental disorders in Switzerland and other European countries constitutes a major public health issue. In view of the ethical and personal relevance of compulsory admission for the patients concerned and given the far-reaching effects in terms of health care costs, innovative interventions to improve the current situation are much needed. A number of promising approaches to prevent involuntary placements have been proposed that target continuity of care by increasing self-management skills of patients. However, the effectiveness of such interventions in terms of more robust criteria (e.g., admission rates has not been sufficiently analysed in larger study samples. The current study aims to evaluate an intervention programme for patients at high risk of compulsory admission to psychiatric hospitals. Effectiveness will be assessed in terms of a reduced number of psychiatric hospitalisations and days of inpatient care in connection with involuntary psychiatric admissions as well as in terms of cost-containment in inpatient mental health care. The intervention furthermore intends to reduce the degree of patients’ perceived coercion and to increase patient satisfaction, their quality of life and empowerment. Methods/Design This paper describes the design of a randomised controlled intervention study conducted currently at four psychiatric hospitals in the Canton of Zurich. The intervention programme consists of individualised psycho-education focusing on behaviours prior to and during illness-related crisis, the distribution of a crisis card and, after inpatient admission, a 24-month preventive monitoring of individual risk factors for compulsory re-admission to hospital. All measures are provided by a mental health care worker who maintains permanent contact to the patient over the course of the study. In order to prove its effectiveness the intervention programme will be

  15. Effects of mental resource availability on looming task performance.

    Science.gov (United States)

    McGuire, Austen B; Gillath, Omri; Vitevitch, Michael S

    2016-01-01

    Past research has shown that the looming bias-the tendency to judge one's distance to an approaching object as shorter than in actuality-is stronger among people who are physically weak or vulnerable. The current study examined whether the looming bias would also be stronger among people who are mentally weak or vulnerable. We tested that hypothesis by subjecting 46 young adults to cognitive load and examining their perceptions of approaching objects distance. Participants completed two blocks of the looming task, once under high cognitive load (memorizing a seven-digit number) and once under low load (memorizing a two-digit number). Participants exhibited a stronger looming bias under high load than under low load. These findings support the hypothesis that the looming bias will be stronger when people are weak or vulnerable-either physically or mentally-and in need of a larger margin-of-safety.

  16. The Current Crisis in Emergency Care and the Impact on Disaster Preparedness

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    Trainer Marcia

    2008-05-01

    Full Text Available Abstract Background The Homeland Security Act (HSA of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. Discussion After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. Summary Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need.

  17. The U.S. Health Care Crisis Five Years After Passage of the Affordable Care Act: A Data Snapshot.

    Science.gov (United States)

    Hellander, Ida

    2015-01-01

    Despite passage of the Affordable Care Act in 2010, the U.S. health care crisis continues. While coverage has been expanded, the reform will leave 27 million people uninsured in 2024, according to the Congressional Budget Office. Much of the new coverage is of low actuarial value with high cost-sharing requirements, creating barriers to access. Choice of physician is restricted to narrow networks of providers. Recent measures of uninsurance, underinsurance, access to care, and health care costs are given. Changes in Medicare, particularly privatization and the rise of specialty drug tiers that limit access to medically necessary medications, are reviewed. Data on a new wave of consolidation among hospitals, medical groups, insurers, and drug companies are presented. The rise of ultra-high-price drugs, such as Solvadi, is raising pharmaceutical costs, particularly in Medicaid, the program for low-income Americans. International health comparisons continue to show the United States performing poorly in relation to other countries. Recent polling data are presented, showing support for more fundamental reform.

  18. [Families of the economic crisis in paediatric Primary Care clinics: descriptive observational study].

    Science.gov (United States)

    Martín Martín, R; Sánchez Bayle, M; Gancedo García, C; Teruel de Francisco, M C; Coullaut López, A

    2016-04-01

    To study the impact of the economic crisis on the families of the children who attend Primary Health Care and its relationship with their socioeconomic status. Observational descriptive study was conducted by analysing the results of 453 questionnaires, given to the parents of children between 1 and 7 years old who attended 4 paediatric clinics in Madrid. The raw data was analysed, and comparisons between groups and multivariate analysis were performed. In the multivariate analysis, the variables related to the non-acquisition of prescribed medication are: lower income level OR=0.118, p<.0001 and lower educational level OR=0.464, p<.001; the variables related to the reduction of food expenditure are: lower income level OR=0.100, p<.0001 and a higher number of family members OR=1.308, p=.045; the variables related to anti-pneumococcal vaccination without public funding are: higher income level OR=2.170, p=.0001, higher educational level OR=1.835, p=.013, and not being an immigrant OR=0.532, p=.037. The presence of health problems from the beginning of the economic crisis is related to unemployment OR=4.079, p=.032, lower educational level R=0.678, p=.042, and income level OR=0.342, p<.0001. In all cases, the models achieved a statistical significance of p<.0001. The economic crisis has greater impact on the group with the lowest income level in all analysed variables. The lower educational level and higher number of family members has an impact on the reduction in food expenditure. The fact of being an immigrant has an impact on not receiving the anti-pneumococcal and rotavirus vaccination. Unemployment leads to an increase in health problems in the family. To sum up, the economic crisis has increased inequalities according to socioeconomic status. Copyright © 2015 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  19. Impact of the east Asian economic crisis on health and health care: Malaysia's response.

    Science.gov (United States)

    Suleiman, A B; Lye, M S; Yon, R; Teoh, S C; Alias, M

    1998-01-01

    In the wake of the east Asian economic crisis, the health budget for the public sector in Malaysia was cut by 12%. The Ministry of Health responded swiftly with a series of broad-based and specific strategies. There was a careful examination of the operating expenditure and where possible measures were taken to minimise the effects of the budget constraints at the service interface. The MOH reprioritised the development of health projects. Important projects such as rural health projects and training facilities, and committed projects, were continued. In public health, population-based preventive and promotive activities were expected to experience some form of curtailment. There is a need to refocus priorities, maximise the utilisation of resources, and increase productivity at all levels and in all sectors, both public and private, in order to minimise the impact of the economic downturn on health.

  20. Cancer Care at Times of Crisis and War: The Syrian Example

    Directory of Open Access Journals (Sweden)

    Eman Sahloul

    2017-08-01

    Full Text Available Purpose: As Syria enters its fifth year of conflict, the number of civilians killed and injured continues to rise sharply. Along with this conflict comes the rapid decline of medical care, specifically cancer care. To determine physician and equipment availability, cancer screening and management, and possible solutions relative to various major cities, a survey was distributed to physicians inside Syria through the help of the humanitarian organization Syrian American Medical Society. Methods: Online surveys were distributed to both certified oncologists who work in cancer clinics and general physicians who work in rural and mobile clinics inside Syria. Variables assessed were physician specialty, location, population, cost, regional situation (besieged versus government controlled, and resource availability and access. Results were stratified by location and physician specialty. Results: Survey results revealed a large shortage of specialized physicians and inhibited accessibility to screening and management options in besieged areas compared with government-controlled regions. Physicians within both government-controlled and besieged cities reported limited or no targeted agents, radiation therapy, clinical trials, bone marrow transplantation, positron emission tomography scans, magnetic resonance imaging, and genetic testing. Conclusion: The Syrian civil war has resulted in suboptimal oncology care in the majority of the region. In consideration of specific deficiencies in cancer care, we recommend several solutions that may better the level of care in Syria: patient education on medical documentation and self-examination; online consultation; and cheap, effective screening methods. The implementation of these recommendations may change the course of cancer care in a country that has deteriorated into the worst humanitarian crisis of the century.

  1. Why should we care about nonhuman animals during times of crisis?

    Science.gov (United States)

    Appleby, Michael C; Stokes, Tonya

    2008-01-01

    Incentives to care for nonhuman animals derive in part from the extent to which people depend on animals for food, for livelihood, and for cultural and psychological reasons as well as from the duty to protect animals in their care. When attention is turned to solving and preventing animal welfare problems at times of crisis, it becomes clear that those problems are also associated with problems for human welfare and environmental impact. The incidence and spread of animal diseases is affected by how animals are treated, and this can have very important effects. Similarly, during disasters caused by either natural or human-made events, outcomes for animals are important both in themselves and for their effects on humans and the environment. The need to plan and prepare to care for animals in advance of disease pandemics and disasters - and then to provide coordinated, measured management in response when such crises occur - requires collaboration between all agencies involved as well as increasing attention and resources.

  2. Goal-directed action is automatically biased towards looming motion

    Science.gov (United States)

    Moher, Jeff; Sit, Jonathan; Song, Joo-Hyun

    2014-01-01

    It is known that looming motion can capture attention regardless of an observer’s intentions. Real-world behavior, however, frequently involves not just attentional selection, but selection for action. Thus, it is important to understand the impact of looming motion on goal-directed action to gain a broader perspective on how stimulus properties bias human behavior. We presented participants with a visually-guided reaching task in which they pointed to a target letter presented among non-target distractors. On some trials, one of the pre-masks at the location of the upcoming search objects grew rapidly in size, creating the appearance of a “looming” target or distractor. Even though looming motion did not predict the target location, the time required to reach to the target was shorter when the target loomed compared to when a distractor loomed. Furthermore, reach movement trajectories were pulled towards the location of a looming distractor when one was present, a pull that was greater still when the looming motion was on a collision path with the participant. We also contrast reaching data with data from a similarly designed visual search task requiring keypress responses. This comparison underscores the sensitivity of visually-guided reaching data, as some experimental manipulations, such as looming motion path, affected reach trajectories but not keypress measures. Together, the results demonstrate that looming motion biases visually-guided action regardless of an observer’s current behavioral goals, affecting not only the time required to reach to targets but also the path of the observer’s hand movement itself. PMID:25159287

  3. Enhancing crisis standards of care using innovative point-of-care testing.

    Science.gov (United States)

    Kost, Gerald J; Sakaguchi, Ann; Curtis, Corbin; Tran, Nam K; Katip, Pratheep; Louie, Richard F

    2011-01-01

    To identify strategies with tactics that enable point-of-care (POC) testing (medical testing at or near the site of care) to effectively improve outcomes in emergencies, disasters, and public health crises, especially where community infrastructure is compromised. Logic model-critical path-feedback identified needs for improving practices. Reverse stress analysis showed POC should be integrated, responders should be properly trained, and devices should be staged in small-world networks (SWNs). First responder POC resources were summarized, test clusters were strategized, assay environmental vulnerabilities were assessed, and tactics useful for SWNs, alternate care facilities, shelters, point-of-distribution centers, and community hospitals were designed. PARTICIPANTS AND ENVIRONMENT: Emergency-disaster needs assessment survey respondents and Center experience. Important tactics are as follows: a) develop training/education courses and '"just-in-time" on-line web resources to ensure the competency of POC coordinators and high-quality testing performance; b) protect equipment from environmental extremes by sealing reagents, by controlling temperature and humidity to which they are exposed, and by establishing near-patient testing in defined environments that operate within current Food and Drug Administration licensing claims (illustrated with human immunodeficiency virus-1/2 tests); c) position testing in defined sites within SWNs and other environments; d) harden POC devices and reagents to withstand wider ranges of environmental extremes in field applications; e) promote new POC technologies for pathogen detection and other assays, per needs assessment results; and f) select tests according to mission objectives and value propositions. Careful implementation of POC testing will facilitate evidence-based triage, diagnosis, treatment, and monitoring of victims and patients, while advancing standards of care in emergencies and disasters, as well as public health

  4. Perceptions of crisis care in populations who self-referred to a telephone-based mental health triage service.

    Science.gov (United States)

    Sands, Natisha; Elsom, Stephen; Keppich-Arnold, Sandra; Henderson, Kathryn; Thomas, Phillipa A

    2016-04-01

    Although psychiatric crises are very common in people with mental illness, little is known about consumer perceptions of mental health crisis care. Given the current emphasis on recovery-oriented approaches, shared decision-making, and partnering with consumers in planning and delivering care, this knowledge gap is significant. Since the late 1990s, access to Australian mental health services has been facilitated by 24/7 telephone-based mental health triage systems, which provide initial psychiatric assessment, referral, support, and advice. A significant proportion of consumers access telephone-based mental health triage services in a state of crisis, but to date, there has been no published studies that specifically report on consumer perceptions on the quality and effectiveness of the care provided by these services. This article reports on a study that investigated consumer perceptions of accessing telephone-based mental health triage services. Seventy-five mental health consumers participated in a telephone interview about their triage service use experience. An eight-item survey designed to measure the responsiveness of mental health services was used for data collection. The findings reported here focus on the qualitative data produced in the study. Consumer participants shared a range of perspectives on telephone-based mental health triage that provide invaluable insights into the needs, expectations, and service use experiences of consumers seeking assistance with a mental health problem. Consumer perceptions of crisis care have important implications for practice. Approaches and interventions identified as important to quality care can be used to inform educational and practice initiatives that promote person-centred, collaborative crisis care.

  5. Statutory caps: an involuntary contribution to the medical malpractice insurance crisis or a reasonable mechanism for obtaining affordable health care?

    Science.gov (United States)

    Chupkovich, P J

    1993-01-01

    extremely important in light of proposed health care legislation entitled the Health Care Liability Reform and Quality of Care Improvement Act of 1992 [the "Health Care Bill"]. This Comment critically examines the constitutionality of statutory caps on damages in medical malpractice actions. It focuses on the public policy behind the caps and the constitutional issues embodied in limiting an individual's recovery. It also analyzes the impact of the Health Care Bill on statutory caps. Part I outlines the medical malpractice insurance crisis, describes the statutory reforms and discusses the public policy behind tort reform. Part II examines the constitutionality of statutory caps and summarizes the arguments of the proponents and the opponents of these caps. Part III discusses the Health Care Bill and its impact on medical malpractice legislation with respect to statutory caps. This Comment concludes that a compromise must be reached that addresses both the growing health care insurance crisis and the protection of individual rights. The Health Care Liability Reform and Quality of Care Improvement Act of 1992 attempts to achieve this compromise.

  6. DATA ACQUISITION FROM LOOMS USING CONTROLLER AREA NETWORK

    Directory of Open Access Journals (Sweden)

    Bedri BAHTİYAR

    2007-03-01

    Full Text Available To make efficiency analysis and to increase efficiency of a weaving hall, it is necessary to obtain and then analyze technical and weaving data received from looms. In small and mid-size weaving halls, generally technical data of the looms are kept by responsible technical personnel. Data processing without a defined automation makes efficiency analysis of weaving hall more complex, or may decrease liability of the analysis. In this paper, a data acquisition system that uses controller area network (CAN for the efficiency analysis of looms where developed and implemented in a mid-size weaving hall is presented. In system, technical and weaving data taken from the ports of the looms are sent to central computer via CAN, and then are processed in central computer.

  7. Looming vulnerability to threat: a cognitive paradigm for anxiety.

    Science.gov (United States)

    Riskind, J H

    1997-08-01

    The concept that perceived threat or danger is a cognitive antecedent of anxiety is central in clinical psychology, personality psychology, and social psychology. The aim in the current article is to review this concept and present a new conception called the looming vulnerability model. Looming vulnerability is conceptualized as an important cognitive component of threat or danger that elicits anxiety, sensitizes the individual to signs of movement and threat, biases cognitive processing, and makes the anxiety more persistent and less likely to habituate. In addition, it is postulated as a principal theme that discriminates anxiety and focal fears from depression. The looming vulnerability model integrates a disparate collection of findings and integrates the conceptualization of anxiety and fear with ethological and developmental observations. The social-cognitive and evolutionary basis of the sense of looming vulnerability are discussed, as well as its roots in cognitive schemata (fear scripts), its state elicitation by several potential classes of antecedent conditions, and possible treatment implications.

  8. Implementation of inherence calculus in the PowerLoom environment

    Science.gov (United States)

    Wachulski, Marcin F.; Mulawka, Jan J.; Nieznański, Edward

    The article describes an attempt to implement abstract and concrete inherence calculi in the PowerLoom technology. Issues in the field of artificial intelligence, ontology and philosophy have been addressed. The inherence calculus is a type of a formal logic system. The PowerLoom technology consists of a knowledge representation language and an inference engine. Six inherence calculi have been implemented and an appropriate testing environment has been developed. The inherence calculus has been also extended by categorical properties and a theoretical discussion of ontological Boolean algebra has been conducted. Carried out experiments showed properties of the inherence calculi and also verified capabilities of PowerLoom to construct such logic systems. It occurred that expert system operational mode of PowerLoom outperforms its abilities to work as a mathematical theorem prover.

  9. Autonomous obstacle avoidance using visual fixation and looming

    Science.gov (United States)

    Joarder, Kunal; Raviv, Daniel

    1992-11-01

    This paper describes a vision-based method for avoiding obstacles using the concepts of visual looming and fixating motion. Visual looming refers to the expansion of images of objects in the retina. Usually, this is due to the decreasing distance between the observer and the object. An increasing looming value signifies an increasing threat of collision with the object. The visual task of avoiding collision can be further simplified by purposive control of visual fixation at the objects in front of the moving camera. Using these two basic concepts real time obstacle avoidance in a tight perception-action loop is implemented. Three-dimensional space in front of the camera is divided into zones with various degrees of looming-based threat of collision. For each obstacle seen by a fixating camera, looming and its time derivative are calculated directly from the 2-D image. Depending on the threat posed by an obstacle, a course change is dictated. This looming based approach is simple, independent of the size of the 3-D object and its range and involves simple quantitative measurements. Results pertinent to a camera on a robot arm navigating between obstacles are presented.

  10. Use of antidepressants in the treatment of major depressive disorder in primary care during a period of economic crisis

    Directory of Open Access Journals (Sweden)

    Sicras-Mainar A

    2015-12-01

    Full Text Available Antoni Sicras-Mainar,1 Ruth Navarro-Artieda2 1Research Unit, Badalona Serveis Assistencials SA, 2Medical Documentation Unit, Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain Objective: To describe antidepressant (AD use in the treatment of major depressive disorder during a period of economic crisis.Patients and methods: This was a retrospective, observational study using population-based databases. Two periods were considered: 1 2008–2009, precrisis, and 2 2012–2013, economic crisis. Certain inclusion/exclusion criteria were taken into account for the study (initiation of AD treatment. Patients were followed up for 12 months. The main measures were use (defined daily doses, epidemiologic measures, strategies used and treatment persistence, referrals, and use of resources. Statistical significance was set at P<0.05.Results: In the precrisis period, 3,662 patients were enrolled, and 5,722 were enrolled in the period of economic crisis. Average age was 58.8 years and 65.4% were women. Comparing the two periods, major depressive disorder prevalence was 5.4% vs 8.1%, P<0.001. During the period of economic crisis, AD use rose by 35.2% and drug expenditures decreased by 38.7%. Defined daily dose per patient per day was 10.0 mg vs 13.5 mg, respectively, P<0.001. At 12-month follow-up, the majority of patients (60.8% discontinued the treatment or continued on the same medication as before, and in 23.3% a change of AD was made.Conclusion: Primary health care professionals are highly involved in the management of the illness; in addition, during the period of economic crisis, patients with major depressive disorder showed higher rates of prevalence of the illness, with increased use of AD drugs. Keywords: consumption, antidepressants, economic crisis

  11. Dynamic Analysis of Composite Structural System for Looms Industry

    Directory of Open Access Journals (Sweden)

    Jigar K. Sevalia

    2014-02-01

    Full Text Available All the structures subjected to any kind of loads or displacement tends to behave dynamically. Thus the structures are always under continuous loading. The industrial buildings have to support the machineries in motion which are under high degree of vibrations. And so the design of base and the foundations of such structures under vibrations are very important and need to be stable. Problems of dynamics of bases and foundations are to be studied carefully, so as to understand the response characteristics of the power loom industry structure. This is very important from the economic point of view as well as to secure the stability and safety of the structure; dynamic analysis was carried out for Ground + One storey industry load bearing structure using STAAD.Pro software. In this paper, an attempt has been made to study the dynamic analysis of the structure under vibrations caused by reciprocating type machines. This paper makes attempt to study the effects of various structural parameters like Beam Size, Column Size and Storey Height and Wall Thickness variation on Frequency and Displacement of the industrial building which in future will serve as guidelines to the structural engineers and the industry people.

  12. Missionising Youth Identity Crisis : Towards a missional hermeneutic of care in youth ministry practice

    NARCIS (Netherlands)

    Counted, Victor

    2016-01-01

    The intention of this paper is to interpret the ontological conditions of youth identity crisis missionally. This is first done by conceptualising identity crisis as a psychological phenomenon using frameworks of authenticity and attachment to explain the impact of early attachment abuse,

  13. Missionising Youth Identity Crisis : Towards a missional hermeneutic of care in youth ministry practice

    NARCIS (Netherlands)

    Counted, Victor

    2016-01-01

    The intention of this paper is to interpret the ontological conditions of youth identity crisis missionally. This is first done by conceptualising identity crisis as a psychological phenomenon using frameworks of authenticity and attachment to explain the impact of early attachment abuse, abandonmen

  14. Financial crisis and austerity measures in Greece: their impact on health promotion policies and public health care.

    Science.gov (United States)

    Ifanti, Amalia A; Argyriou, Andreas A; Kalofonou, Foteini H; Kalofonos, Haralabos P

    2013-11-01

    This review study explores the available data relating to the impact of financial crisis and subsequently applied austerity measures on the health care, social services and health promotion policies in Greece. It is evident that Greece is affected more than any other European country by the financial crisis. Unemployment, job insecurity, income reduction, poverty and increase of mental disorders are among the most serious consequences of crisis in the socioeconomic life. The health system is particularly affected by the severe austerity measures. The drastic curtailing of government spending has significantly affected the structure and functioning of public hospitals that cope with understaffing, deficits, drug shortage and basic medical supplies. Moreover, health promotion policies are constrained, inhibiting thus the relevant initiatives toward disease prevention and health promotion education practices. Overall, the current economic situation in Greece and its impact on real life and health care is quite concerning. Policy makers should not disregard the implications that austerity and fiscal policies have on the health sector. Greater attention is needed in order to ensure that individuals would continue getting public health care and having access to preventive and social support services. To face the economic hardship, policy makers are expected to implement human-centered approaches, safeguarding the human dignity and the moral values. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  15. CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

    Directory of Open Access Journals (Sweden)

    N. I. Gaponova

    2012-01-01

    Full Text Available Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable.

  16. CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

    Directory of Open Access Journals (Sweden)

    N. I. Gaponova

    2015-12-01

    Full Text Available Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable.

  17. Crisis states of Helpline subscribers: issues of diagnosis and psychological care

    Directory of Open Access Journals (Sweden)

    G.S. Bannikov

    2014-08-01

    Full Text Available In recent years, the number of calls to the Helpline from people who are in crisis state, often with suicidal tendencies, has increased significantly. It is therefore particularly important that a helpline counselor had instant recognition skills of crisis state and the ability to quickly build a strategy for crisis counseling. The study described in the article was focused on crisis state structure of helpline subscribers using developed “Crisis state maps”. The subject of the study was the critical state of the individual subscribers seeking psychological help. We tested the assumption that the strategies and methods of psychological assistance are directly related to the features of crisis. We studied crisis state in 70 subscribers. Of these, 59 were females (12 to 66 years old and 11 males (11 to 40 years old. The average age of women was 34,5 years, of men – 23,4 years. The overall average age was 28,65 years. The study result was the portrait of typical helpline subscriber personality. We show the possible strategies of counseling

  18. Impact prediction by looming visual stimuli enhances tactile detection.

    Science.gov (United States)

    Cléry, Justine; Guipponi, Olivier; Odouard, Soline; Wardak, Claire; Ben Hamed, Suliann

    2015-03-11

    From an ecological point of view, approaching objects are potentially more harmful than receding objects. A predator, a dominant conspecific, or a mere branch coming up at high speed can all be dangerous if one does not detect them and produce the appropriate escape behavior fast enough. And indeed, looming stimuli trigger stereotyped defensive responses in both monkeys and human infants. However, while the heteromodal somatosensory consequences of visual looming stimuli can be fully predicted by their spatiotemporal dynamics, few studies if any have explored whether visual stimuli looming toward the face predictively enhance heteromodal tactile sensitivity around the expected time of impact and at its expected location on the body. In the present study, we report that, in addition to triggering a defensive motor repertoire, looming stimuli toward the face provide the nervous system with predictive cues that enhance tactile sensitivity on the face. Specifically, we describe an enhancement of tactile processes at the expected time and location of impact of the stimulus on the face. We additionally show that a looming stimulus that brushes past the face also enhances tactile sensitivity on the nearby cheek, suggesting that the space close to the face is incorporated into the subjects' body schema. We propose that this cross-modal predictive facilitation involves multisensory convergence areas subserving the representation of a peripersonal space and a safety boundary of self.

  19. Science should warn people of looming disaster

    Science.gov (United States)

    Kossobokov, Vladimir

    2014-05-01

    Contemporary Science is responsible for not coping with challenging changes of Exposures and their Vulnerability inflicted by growing population, its concentration, etc., which result in a steady increase of Losses from Natural Hazards. Scientists owe to Society for lack of special knowledge, education, and communication. In fact, it appears that a few seismic hazard assessment programs and/or methodologies were tested appropriately against real observations before being endorsed for estimation of earthquake related risks. The fatal evidence and aftermath of the past decades prove that many of the existing internationally accepted methodologies are grossly misleading and are evidently unacceptable for any kind of responsible risk evaluation and knowledgeable disaster prevention. In contrast, the confirmed reliability of pattern recognition aimed at earthquake prone areas and times of increased probability, along with realistic earthquake scaling and scenario modeling, allow us to conclude that Contemporary Science can do a better job in disclosing Natural Hazards, assessing Risks, and delivering this state-of-the-art knowledge of looming disaster in advance catastrophic events. In a lieu of seismic observations long enough for a reliable probabilistic assessment or a comprehensive physical theory of earthquake recurrence, pattern recognition applied to available geophysical and/or geological data sets remains a broad avenue to follow in seismic hazard forecast/prediction. Moreover, better understanding seismic process in terms of non-linear dynamics of a hierarchical system of blocks-and-faults and deterministic chaos, progress to new approaches in assessing time-dependent seismic hazard based on multiscale analysis of seismic activity and reproducible intermediate-term earthquake prediction technique. The algorithms, which make use of multidisciplinary data available and account for fractal nature of earthquake distributions in space and time, have confirmed their

  20. 危机管理在急诊护理管理中的应用%Application of crisis management in the acute care management

    Institute of Scientific and Technical Information of China (English)

    彭娟

    2013-01-01

    目的对危机管理在急诊护理管理中的应用进行探讨。方法通过对急诊护理中实施的危机因素和危机管理策略进行分析。结果在急诊护理管理中通过实施危机管理,有效的提高了护理人员的危机意识、工作积极性和反应能力,患者对护理人员的评价也得到了很大的提高。结论急诊科护理过程中存在很多危机因素,采用危机管理能够在很大程度上避免这些危机因素,有效提高急诊护理质量,降低事故发生率,应积极采用。%Objective To explore the application of crisis management in the acute care management. Methods Analyzed the crisis factors and crisis management strategies in acute care. Results Nurses significantly improved crisis sense, work enthusiasm, efficiency and responsiveness all had been improved;After the implementation of crisis management,the hospital's crisis was greatly reduced, the evaluation of patients achieved nurses greatly improved. Conclusion There are many crisis factors in emergency department nursing process,the use of crisis management can largely avoided these crisis factors, it can effectively improve the quality of emergency care, reduce the accident rate, should be actively used.

  1. Evenness Control of Rapier Loom Tension by Using Neural Network

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The neural network model (NNM) is used to control the evenness of rapier loom tension and to model the uncertain parameters of drafting process. This model can estimate recursively the tension and incorporate predictive control strategies. After controlling the effect testing, it can be seen that the behavior is excellent following different set point and variations, such as the diameter of the beam of weaver, air stream, density of warp and weft, type of textile, etc. An optimum steady state scheme has been fixed in keeping evenness of tension of loom. This method improves obviously the efficiency and quality of production.

  2. Warp Weighted Looms: Then and Now Anglo-Saxon and Viking Archaeological Evidence and Modern Practitioners

    OpenAIRE

    2014-01-01

    This thesis examines the warp weighted loom during the Anglo-Saxon and Viking eras in England through archaeological, linguistic, and art evidence, supported by similar information about the loom from Northern Continental Europe. Some evidence from other parts of the world where this specific type of loom was used is also included for clarity. In order to further understanding of the possible functioning and abilities of the loom, modern individuals with experience weaving with this early med...

  3. The Ariadne's thread in co-payment, primary health care usage and financial crisis: findings from Cyprus public health care sector.

    Science.gov (United States)

    Petrou, P

    2015-11-01

    Cyprus entered a prolonged financial recession in 2011 and by early 2013 it applied for an international bail-out agreement. This presupposed massive reforms in public governance. Health sector was considerably reformed and one of the measures was the introduction of co-payment for outpatient visits to public health care sector. The scope of this study is to assess the impact of financial crisis and co-payment to public outpatient visits in Nicosia urban and greater Nicosia region. An Interrupted time-series analysis. All outpatient visits to public health care family doctor/general practitioners in Nicosia urban and greater Nicosia region from January 2011 until May of 2014 were registered and analysed. Financial crisis did not alter outpatient visits. Introduction of co-payment led to a statistically significant decrease from the second month after its introduction (p = 0.048) (R(2) = 0.329, Q = 23.75, p = 0.137). This decrease was consistent until the end of the observational period and it did not level off. Financial crisis did not affect outpatient visits while co-payment can be considered as a potent cost containment measure during financial recession, by normalising utilisation of healthcare resources. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  4. CRISIS LEADERSHIP - AN ORGANIZATIONAL OPPORTUNITY

    Directory of Open Access Journals (Sweden)

    James E. Prewitt

    2011-09-01

    Full Text Available Reactive leadership and crisis management have been synonymous for years. This flows from the belief that crisis is unpredictable and unexpected, which is simply not true. Crisis has its genesis in the values, beliefs, culture, or behavior of an organization which become incongruent with the milieu in which the organization operates. A leader, who is able to read the signals of looming crisis and understands how to harness the exigency brought on by the situation, can diminish the potential dangers and take full advantage of the resulting opportunities. This paper presents a generic crisis lifecycle as a representation of overall crisis. Since a crisis can be broken down into three unique phases, crisis lifecycles can be understood and utilized for the benefit of the organization. In the first phase of the lifecycle, the organization finds itself mired in a static phase which equates to a comfort zone. In this first phase leaders struggle when they attempt to introduce change or learning due to the organizations preference to avoid conflict and maintain stasis. When a crisis engulfs an organization then the stasis that envelops the organization evaporates and gives rise to the second phase or the disaster phase. The disaster phase often threatens the very existence of the organization. When the organization successfully eliminates the immediate organizational threat, the organization is able to enter the adjustive phase of the crisis lifecycle. In this third phase, the leader has the undivided attention of the organization and the underlying urgency to solve the issues that led to the crisis in the first place. Regrettably, many leaders don’t take advantage of this golden opportunity and push the organization back toward the status-quo which ensures that the crisis will return in force. The study of crisis leadership has become more important since the dawn of the new millennium because leaders in all areas face differing degrees of crisis in

  5. Naine : masin või loom? / Maris Palgi

    Index Scriptorium Estoniae

    Palgi, Maris

    2007-01-01

    Eero Taltsi, Margus Kiisi, Maia Mölleri, Kaie Luige, Eva Orava ja Maris Palgi projektist "Maine-loom, naine-masin", mida tutvustati 2006. a. Moostes üritusel "Postsovkhoz 6", 2007. a. jaanuaris-veebruaris Tartu Kunstimajas ja Tartu Tampere Majas. Näitused avati E. Taltsi ja M. Kiisi loeng-performance'itega

  6. Haptic Distal Spatial Perception Mediated by Strings: Haptic "Looming"

    Science.gov (United States)

    Cabe, Patrick A.

    2011-01-01

    Five experiments tested a haptic analog of optical looming, demonstrating string-mediated haptic distal spatial perception. Horizontally collinear hooks supported a weighted string held taut by a blindfolded participant's finger midway between the hooks. At the finger, the angle between string segments increased as the finger approached…

  7. Penelope's Loom: A Metaphor of Women's Development at Midlife.

    Science.gov (United States)

    Clark, Susan H.; Schwiebert, Valerie L.

    2001-01-01

    Literature concerning women's development at midlife is reviewed. Attention is given to the tendency to focus on women's reproductive roles and to frame psychosocial development in relationship to reproductive status. Such deterministic approaches are entwined with heterosexist bias. The loom of Penelope is proposed as a metaphor of women's…

  8. Study of Water Jet Impulse in Water-Jet Looms

    Institute of Scientific and Technical Information of China (English)

    LI Ke-rang; MA Wei-wei; CHEN Ming

    2005-01-01

    The water jet impulse is brought forward to study the traction force of the water jet to the flying weft in water-jet looms. The distribution of the water jet impulse in the shed is tested by a sensor, and the influence of water jet parameters on the water jet impulse is analyzed.

  9. Naine : masin või loom? / Maris Palgi

    Index Scriptorium Estoniae

    Palgi, Maris

    2007-01-01

    Eero Taltsi, Margus Kiisi, Maia Mölleri, Kaie Luige, Eva Orava ja Maris Palgi projektist "Maine-loom, naine-masin", mida tutvustati 2006. a. Moostes üritusel "Postsovkhoz 6", 2007. a. jaanuaris-veebruaris Tartu Kunstimajas ja Tartu Tampere Majas. Näitused avati E. Taltsi ja M. Kiisi loeng-performance'itega

  10. The crisis as catalyst for reframing health care policies in the European Union

    NARCIS (Netherlands)

    Helderman, J.K.

    2014-01-01

    Seen from the perspective of health, the global financial crisis (GFC) may be conceived of as an exogenous factor that has undermined the fiscal sustainability of European welfare states and consequently, their (expanding) health systems as well. Being one of the core programs of European welfare st

  11. Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal.

    Science.gov (United States)

    Legido-Quigley, Helena; Karanikolos, Marina; Hernandez-Plaza, Sonia; de Freitas, Cláudia; Bernardo, Luís; Padilla, Beatriz; Sá Machado, Rita; Diaz-Ordaz, Karla; Stuckler, David; McKee, Martin

    2016-07-01

    Although Portugal has been deeply affected by the global financial crisis, the impact of the recession and subsequent austerity on health and to health care has attracted relatively little attention. We used several sources of data including the European Union Statistics for Income and Living Conditions (EU-SILC) which tracks unmet medical need during the recession and before and after the Troika's austerity package. Our results show that the odds of respondents reporting having an unmet medical need more than doubled between 2010 and 2012 (OR=2.41, 95% CI 2.01-2.89), with the greatest impact on those in employment, followed by the unemployed, retired, and other economically inactive groups. The reasons for not seeking care involved a combination of factors, with a 68% higher odds of citing financial barriers (OR=1.68, 95% CI 1.32-2.12), more than twice the odds of citing waiting times and inability to take time off work or family responsibilities (OR 2.18, 95% CI 1.20-3.98), and a large increase of reporting delaying care in the hope that the problem would resolve on its own (OR=13.98, 95% CI 6.51-30.02). Individual-level studies from Portugal also suggest that co-payments at primary and hospital level are having a negative effect on the most vulnerable living in disadvantaged areas, and that health care professionals have concerns about the impact of recession and subsequent austerity measures on the quality of care provided. The Portuguese government no longer needs external assistance, but these findings suggest that measures are now needed to mitigate the damage incurred by the crisis and austerity.

  12. The financial crisis and health care systems in Europe: universal care under threat? Trends in health sector reforms in Germany, the United Kingdom, and Spain

    Directory of Open Access Journals (Sweden)

    Lígia Giovanella

    2014-11-01

    Full Text Available The paper analyzes trends in contemporary health sector reforms in three European countries with Bismarckian and Beveridgean models of national health systems within the context of strong financial pressure resulting from the economic crisis (2008-date, and proceeds to discuss the implications for universal care. The authors examine recent health system reforms in Spain, Germany, and the United Kingdom. Health systems are described using a matrix to compare state intervention in financing, regulation, organization, and services delivery. The reforms’ impacts on universal care are examined in three dimensions: breadth of population coverage, depth of the services package, and height of coverage by public financing. Models of health protection, institutionality, stakeholder constellations, and differing positions in the European economy are factors that condition the repercussions of restrictive policies that have undermined universality to different degrees in the three dimensions specified above and have extended policies for regulated competition as well as commercialization in health care systems.

  13. Naturalistic stimulus structure determines the integration of audiovisual looming signals in binocular rivalry.

    Directory of Open Access Journals (Sweden)

    Verena Conrad

    Full Text Available Rapid integration of biologically relevant information is crucial for the survival of an organism. Most prominently, humans should be biased to attend and respond to looming stimuli that signal approaching danger (e.g. predator and hence require rapid action. This psychophysics study used binocular rivalry to investigate the perceptual advantage of looming (relative to receding visual signals (i.e. looming bias and how this bias can be influenced by concurrent auditory looming/receding stimuli and the statistical structure of the auditory and visual signals. Subjects were dichoptically presented with looming/receding visual stimuli that were paired with looming or receding sounds. The visual signals conformed to two different statistical structures: (1 a 'simple' random-dot kinematogram showing a starfield and (2 a "naturalistic" visual Shepard stimulus. Likewise, the looming/receding sound was (1 a simple amplitude- and frequency-modulated (AM-FM tone or (2 a complex Shepard tone. Our results show that the perceptual looming bias (i.e. the increase in dominance times for looming versus receding percepts is amplified by looming sounds, yet reduced and even converted into a receding bias by receding sounds. Moreover, the influence of looming/receding sounds on the visual looming bias depends on the statistical structure of both the visual and auditory signals. It is enhanced when audiovisual signals are Shepard stimuli. In conclusion, visual perception prioritizes processing of biologically significant looming stimuli especially when paired with looming auditory signals. Critically, these audiovisual interactions are amplified for statistically complex signals that are more naturalistic and known to engage neural processing at multiple levels of the cortical hierarchy.

  14. Assessment of health-care waste management in a humanitarian crisis: A case study of the Gaza Strip.

    Science.gov (United States)

    Caniato, Marco; Tudor, Terry Louis; Vaccari, Mentore

    2016-12-01

    Health-care waste management requires technical, financial and human resources, and it is a challenge for low- and middle income countries, while it is often neglected in protracted crisis or emergency situations. Indeed, when health, safety, security or wellbeing of a community is threatened, solid waste management usually receives limited attention. Using the Gaza Strip as the case study region, this manuscript reports on health-care waste management within the context of a humanitarian crisis. The study employed a range of methods including content analyses of policies and legislation, audits of waste arisings, field visits, stakeholder interviews and evaluation of treatment systems. The study estimated a production from clinics and hospitals of 683kg/day of hazardous waste in the Gaza Strip, while the total health-care waste production was 3357 kg/day. A number of challenges was identified including lack of clear definitions and regulations, limited accurate data on which to base decisions and strategies and poor coordination amongst key stakeholders. Hazardous and non-hazardous waste was partially segregated and treatment facilities hardly used, and 75% of the hazardous waste was left untreated. Recommendations for mitigating these challenges posed to patients, staff and the community in general are suggested. The outputs are particularly useful to support decision makers, and re-organize the system according to reliable data and sound assumptions. The methodology can be replicated in other humanitarian settings, also to other waste flows, and other sectors of environmental sanitation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Crisis, What Crisis?

    Science.gov (United States)

    Jones, Ken

    2010-01-01

    Responding to the recent work of Andrew Gamble, the article discusses the extent to which the British situation can be described in terms of crisis. It suggests that an essential element of crisis is that of political and social contestation, and explores the terms on which contestation is taking shape in and around British education.

  16. Crisis and Crisis Scenarios

    DEFF Research Database (Denmark)

    Larsen, Øjvind

    2016-01-01

    This special issue of Nordicum-Mediterraneum contains select proceedings from the third meeting of the Nordic Summer University research circle called “Crisis and Crisis Scenarios: Normativity, Possibilities and Dilemmas”, held April 9th — 12th, 2015 at the Lysebu Conference Centre in Oslo, Norway...

  17. Threat modulates neural responses to looming visual stimuli.

    Science.gov (United States)

    Vagnoni, Eleonora; Lourenco, Stella F; Longo, Matthew R

    2015-09-01

    Objects on a collision course with an observer produce a specific pattern of optical expansion on the retina known as looming, which in theory exactly specifies the time-to-collision (TTC) of approaching objects. It was recently demonstrated that the affective content of looming stimuli influences perceived TTC, with threatening objects judged as approaching sooner than non-threatening objects. Here, the neural mechanisms by which perceived threat modulates spatiotemporal perception were investigated. Participants judged the TTC of threatening (snakes, spiders) or non-threatening (butterflies, rabbits) stimuli, which expanded in size at a rate indicating one of five TTCs. Visual-evoked potentials (VEPs) and oscillatory neural responses measured with electroencephalography were analysed. The arrival time of threatening stimuli was underestimated compared with non-threatening stimuli, though an interaction suggested that this underestimation was not constant across TTCs. Further, both speed of approach and threat modulated both VEPs and oscillatory responses. Speed of approach modulated the N1 parietal and oscillations in the beta band. Threat modulated several VEP components (P1, N1 frontal, N1 occipital, early posterior negativity and late positive potential) and oscillations in the alpha and high gamma band. The results for the high gamma band suggest an interaction between these two factors. Previous evidence suggests that looming stimuli activate sensorimotor areas, even in the absence of an intended action. The current results show that threat disrupts the synchronization over the sensorimotor areas that are likely activated by the presentation of a looming stimulus. © 2015 Federation of European Neuroscience Societies and John Wiley & Sons Ltd.

  18. COMPUTER ASSISTED LOOM IN THE REVIVAL OF CONTEMPORARY MONUMENTAL TAPESTRY

    Directory of Open Access Journals (Sweden)

    PINTILIE Anca-Aurelia

    2015-05-01

    Full Text Available The art of tapestry has its basics back in time, probably in the decorations of tent, the house of the nomad. Tapestry in its beginnings is the first wall of the nomad’s home and the decorative wall and canopy in the ancient Greek houses as architect Gottfried Semper stated in the nineteen century. The architectural approach is not unusual even in the next centuries. Tapestry becomes popular as a form of monumental art during the Middle Ages when it is used as decorative architectural element, coating the walls of medieval castles. During the next centuries dominated by decadent styles of baroque, rococo, the tapestry will lose its monumental spirit and architectural quality but at the middle of the XXth century a new approach will sustain the revival of the tapestry as monumental art. Later, in the XXIst century, renowned multimedia artists will approach this medium and will use computer assisted looms in ambitious tapestry projects. This technique will allow them to realize complex and exquisite tapestries, sustaining in this way the revival of the tapestry in the contemporary art world. The paper presents the importance of the architectural side of tapestry and the great achievement that computer assisted loom represents for this form of art. The research activity is willing to inform Romanian textile designers about the possibilities to create tapestries on computer assisted looms. The research was made during the initial stage of a doctoral thesis consisting in a documentary study on monumental aspects of contemporary tapestry.

  19. Keeping Cool in a Crisis

    Science.gov (United States)

    Padgett, Raven

    2006-01-01

    Many schools are able to avoid disasters by creating a strong, deliberate crisis plan and knowing how to implement it effectively. Good crisis preparedness requires leadership from the top, a critical mass of trained staff members, careful planning, and excellent communication. This article discusses how to prepare for a crisis.

  20. Keeping Cool in a Crisis

    Science.gov (United States)

    Padgett, Raven

    2006-01-01

    Many schools are able to avoid disasters by creating a strong, deliberate crisis plan and knowing how to implement it effectively. Good crisis preparedness requires leadership from the top, a critical mass of trained staff members, careful planning, and excellent communication. This article discusses how to prepare for a crisis.

  1. Crisis and Crisis Scenarios

    DEFF Research Database (Denmark)

    Larsen, Øjvind

    2016-01-01

    This special issue of Nordicum-Mediterraneum contains select proceedings from the third meeting of the Nordic Summer University research circle called “Crisis and Crisis Scenarios: Normativity, Possibilities and Dilemmas”, held April 9th — 12th, 2015 at the Lysebu Conference Centre in Oslo, Norway....... The circle’s research program runs from 2014 to 2016 and is aimed at examining the concept of crisis as it is used today in academia and public discussion. In this collection of papers from the symposium we present some of the different ways in which the topic of the study group was addressed....

  2. Two identified looming detectors in the locust: ubiquitous lateral connections among their inputs contribute to selective responses to looming objects

    Science.gov (United States)

    Rind, F. Claire; Wernitznig, Stefan; Pölt, Peter; Zankel, Armin; Gütl, Daniel; Sztarker, Julieta; Leitinger, Gerd

    2016-01-01

    In locusts, two lobula giant movement detector neurons (LGMDs) act as looming object detectors. Their reproducible responses to looming and their ethological significance makes them models for single neuron computation. But there is no comprehensive picture of the neurons that connect directly to each LGMD. We used high-through-put serial block-face scanning-electron-microscopy to reconstruct the network of input-synapses onto the LGMDs over spatial scales ranging from single synapses and small circuits, up to dendritic branches and total excitatory input. Reconstructions reveal that many trans-medullary-afferents (TmAs) connect the eye with each LGMD, one TmA per facet per LGMD. But when a TmA synapses with an LGMD it also connects laterally with another TmA. These inter-TmA synapses are always reciprocal. Total excitatory input to the LGMD 1 and 2 comes from 131,000 and 186,000 synapses reaching densities of 3.1 and 2.6 synapses per μm2 respectively. We explored the computational consequences of reciprocal synapses between each TmA and 6 others from neighbouring columns. Since any lateral interactions between LGMD inputs have always been inhibitory we may assume these reciprocal lateral connections are most likely inhibitory. Such reciprocal inhibitory synapses increased the LGMD’s selectivity for looming over passing objects, particularly at the beginning of object approach. PMID:27774991

  3. Veterans Crisis Line

    Data.gov (United States)

    Department of Veterans Affairs — The caring responders at the Veterans Crisis Line are specially trained and experienced in helping Veterans of all ages and circumstances. Some of the responders are...

  4. Providing psychological care using crisis helpline to adolescents with suicidal intent

    Directory of Open Access Journals (Sweden)

    O.V. Vihristyuk

    2014-08-01

    Full Text Available We consider the possibility of a crisis psychological aid to children with suicidal intentions by means of telephone counseling. We shows the profile of a typical adolescent, requesting assistance from the hotline on suicidal thoughts, intentions: it is an introverted girl aged 14 to 18 years, in a depressed mood with a predominance of anxiety, fears, related to traumatic situation, experiencing feelings of hopelessness, loneliness, thinking of the situation as hopeless, going through a break in romantic relationships. The most characteristic motifs of suicide is the desire to “get away from the pain” and/or to revenge the others, make them regret about her. We specified the main tasks of a helpline specialist solved in the course of counseling: prevention of suicidal behavior, information on the possible forms of psychological aid, direct work with a customer requesting aid on his formed suicidal intent.

  5. Universal health care: the changing international discourse.

    Science.gov (United States)

    Bisht, Ramila

    2013-01-01

    Nearly 34 years ago, in 1978 in the face of a looming crisis in the health of the world's populations and rising health inequality, 134 countries came together to sign the historic Alma Ata Declaration where the idea of primary health care as the chosen path to "Health for All" was formulated. However even before the declaration and more so since, countries have diverse interpretations of Universalism, each setting it in the context of its own health care model. These have ranged from the minimalist to the more comprehensive welfare state. Today, as health statistics reveal, the crisis has deepened, not only in the developing world but also in the developed world. It is important to debate the nature of the crisis and understand current policy initiatives and their ideological legitimations. The paper attempts to trace, clarify and account for the shifts in international discourse on universal health care (UHC). It argues that the idea of UHC is still with us, but there have occurred substantial shifts in discourse and meaning, shaped by changing international and national contexts and social forces impinging on health systems. The current concept of universal health coverage has only a notional allusion to universality of Alma Ata and disregards its fundamental principles. It concludes that the shifts are detrimental and its value in promoting health for all is likely to be severely limited.

  6. Universal health care: The changing international discourse

    Directory of Open Access Journals (Sweden)

    Ramila Bisht

    2013-01-01

    Full Text Available Nearly 34 years ago, in 1978 in the face of a looming crisis in the health of the world′s populations and rising health inequality, 134 countries came together to sign the historic Alma Ata Declaration where the idea of primary health care as the chosen path to "Health for All" was formulated. However even before the declaration and more so since, countries have diverse interpretations of Universalism, each setting it in the context of its own health care model. These have ranged from the minimalist to the more comprehensive welfare state. Today, as health statistics reveal, the crisis has deepened, not only in the developing world but also in the developed world. It is important to debate the nature of the crisis and understand current policy initiatives and their ideological legitimations. The paper attempts to trace, clarify and account for the shifts in international discourse on universal health care (UHC. It argues that the idea of UHC is still with us, but there have occurred substantial shifts in discourse and meaning, shaped by changing international and national contexts and social forces impinging on health systems. The current concept of universal health coverage has only a notional allusion to universality of Alma Ata and disregards its fundamental principles. It concludes that the shifts are detrimental and its value in promoting health for all is likely to be severely limited.

  7. Application of a general health policy model in the American health care crisis.

    Science.gov (United States)

    Kaplan, R M

    1993-05-01

    There is near consensus that the US health care system requires reform. Only a quarter of the American public has faith in the current system. Health care was one of the major issues considered in the 1992 US presidential election and the search for innovative solutions has transcended administrations.

  8. Dynamics of Water Jet in Water Jet Looms

    Institute of Scientific and Technical Information of China (English)

    李克让; 陈明

    2001-01-01

    On the base of the study on dynamics of water jet in water jet looms, the parameters of water jet mechanism which affect the speed of water jet are analyzed and optimized. So the stability of the water jet can be improved to raise the speed of water jet as well as weft insertion rate and to enlarge the width of woven fabrics a lot. At the same time it also points out that to increase water jet speed and to prolong its affective jet time depend mainly on the accretion of spring rate (constant)of stiffness and the diminution of plunger's cross sectional area respectively.

  9. Prioritization of factors impacting on performance of power looms using AHP

    Science.gov (United States)

    Dulange, S. R.; Pundir, A. K.; Ganapathy, L.

    2014-08-01

    manufacturing environment. The finding suggests the notion that these critical success factors (CSFs) are to be studied carefully and improvement strategy should be developed. Moreover, the study emphasizes the need to link priority of factors to organizational performance and improvement. The study integrates the CSFs of performance and its quantification using AHP and its effect on performance of power loom textiles. The indirect impacts of underlying and fundamental factors are considered. Very few studies have been performed to investigate and understand this issue. Therefore, the research can make a useful contribution.

  10. Nursing Home Physician Specialists: A Response to the Workforce Crisis in Long-Term Care

    OpenAIRE

    Katz, Paul R.; Karuza, Jurgis; Intrator, Orna; Mor, Vincent

    2009-01-01

    Marginalization of physicians in the nursing home threatens the overall care of increasingly frail nursing home residents who have medically complex illnesses. The authors propose that creating a nursing home medicine specialty, which recognizes the nursing home as a unique practice site, would go a long way toward remedying existing problems with care in skilled nursing facilities and would best serve the needs of the 1.6 million nursing home residents in the United States. Reviewing what is...

  11. Beyond crisis resource management: new frontiers in human factors training for acute care medicine.

    Science.gov (United States)

    Petrosoniak, Andrew; Hicks, Christopher M

    2013-12-01

    Error is ubiquitous in medicine, particularly during critical events and resuscitation. A significant proportion of adverse events can be attributed to inadequate team-based skills such as communication, leadership, situation awareness and resource utilization. Aviation-based crisis resource management (CRM) training using high-fidelity simulation has been proposed as a strategy to improve team behaviours. This review will address key considerations in CRM training and outline recommendations for the future of human factors education in healthcare. A critical examination of the current literature yields several important considerations to guide the development and implementation of effective simulation-based CRM training. These include defining a priori domain-specific objectives, creating an immersive environment that encourages deliberate practice and transfer-appropriate processing, and the importance of effective team debriefing. Building on research from high-risk industry, we suggest that traditional CRM training may be augmented with new training techniques that promote the development of shared mental models for team and task processes, address the effect of acute stress on team performance, and integrate strategies to improve clinical reasoning and the detection of cognitive errors. The evolution of CRM training involves a 'Triple Threat' approach that integrates mental model theory for team and task processes, training for stressful situations and metacognition and error theory towards a more comprehensive training paradigm, with roots in high-risk industry and cognitive psychology. Further research is required to evaluate the impact of this approach on patient-oriented outcomes.

  12. 医院护理危机管理及其应对策略%Management and Coping Strategies for Hospital Care Crisis

    Institute of Scientific and Technical Information of China (English)

    鞠建新

    2012-01-01

    Through the analysis of current situation of hospital nursing crisis, this paper expounds the characteristics of hospital care crisis from the cause, development and time three perspectives, interprets the principle to address nursing crisis for hospital managers, and concludes counter-measures for hospital care crisis management. The author hopes that the thesis can provide reference for hospital management in the future.%本文通过对当前医院护理危机现状的分析,从成因、发展以及时间三个角度阐述了医院护理危机的特性.诠释了医院管理者应对护理危机的原则,最后提出了医院护理危机管理的对策.希望该论文的阐述能对今后医院管理起到借鉴作用.

  13. Crisis! what crisis?

    OpenAIRE

    Bednar, Peter; Welch, Christine

    2010-01-01

    There is a crisis discussed in the discipline of Information Systems. Those who perceive such a crisis to exist are by no means agreed, as to its nature and origins. Our inquiry shows that there are a three distinct ‘crises’ being debated. The first of these relates to the substance and boundaries of the discipline itself and if it is even a discipline at all. Another ‘crisis’ relates to higher education and a fall in demand for IS courses from new students. Commentators perceive this to thre...

  14. A look into the cockpit of the developing locust: looming detectors and predator avoidance.

    Science.gov (United States)

    Sztarker, Julieta; Rind, F Claire

    2014-11-01

    For many animals, the visual detection of looming stimuli is crucial at any stage of their lives. For example, human babies of only 6 days old display evasive responses to looming stimuli (Bower et al. [1971]: Percept Psychophys 9: 193-196). This means the neuronal pathways involved in looming detection should mature early in life. Locusts have been used extensively to examine the neural circuits and mechanisms involved in sensing looming stimuli and triggering visually evoked evasive actions, making them ideal subjects in which to investigate the development of looming sensitivity. Two lobula giant movement detectors (LGMD) neurons have been identified in the lobula region of the locust visual system: the LGMD1 neuron responds selectively to looming stimuli and provides information that contributes to evasive responses such as jumping and emergency glides. The LGMD2 responds to looming stimuli and shares many response properties with the LGMD1. Both neurons have only been described in the adult. In this study, we describe a practical method combining classical staining techniques and 3D neuronal reconstructions that can be used, even in small insects, to reveal detailed anatomy of individual neurons. We have used it to analyze the anatomy of the fan-shaped dendritic tree of the LGMD1 and the LGMD2 neurons in all stages of the post-embryonic development of Locusta migratoria. We also analyze changes seen during the ontogeny of escape behaviors triggered by looming stimuli, specially the hiding response.

  15. Reduced Looming Sensitivity in Primary School Children with Developmental Co-Ordination Disorder

    Science.gov (United States)

    Purcell, Catherine; Wann, John P.; Wilmut, Kate; Poulter, Damian

    2012-01-01

    Almost all locomotor animals are sensitive to optical expansion (visual looming) and for most animals this sensitivity is evident very early in their development. In humans there is evidence that responses to looming stimuli begin in the first 6 weeks of life, but here we demonstrate that as children become independent their perceptual acuity…

  16. Testing and Analysis of the Speed of Water Jet in Water Jet Looms

    Institute of Scientific and Technical Information of China (English)

    李克让; 麻伟巍; 陈明

    2003-01-01

    In the water jet looms, the distribution of the speed of water jet at the axis of the shed and its regularity are obtained by the Laser Doppler Tester. Based on the above, the water jet system is analyzed and the main effective approaches to increase the filling insertion rate and to widen the reed space of the loom are pointed out.

  17. The Looming Maladaptive Style Questionnaire: Measurement Invariance and Relations to Anxiety and Depression across 10 Countries

    DEFF Research Database (Denmark)

    Hong, Ryan; Riskind, John; Cheung, Mike

    2017-01-01

    The Looming Maladaptive Style Questionnaire (LMSQ) is a self-report measure designed to assess the looming cognitive style, a tendency to interpret threats as rapidly approaching and increasing in magnitude. To date, no systematic evaluation on the psychometric properties of the LMSQ across diver...

  18. The Looming Maladaptive Style Questionnaire: Measurement Invariance and Relations to Anxiety and Depression across 10 Countries

    DEFF Research Database (Denmark)

    Hong, Ryan; Riskind, John; Cheung, Mike

    2017-01-01

    The Looming Maladaptive Style Questionnaire (LMSQ) is a self-report measure designed to assess the looming cognitive style, a tendency to interpret threats as rapidly approaching and increasing in magnitude. To date, no systematic evaluation on the psychometric properties of the LMSQ across diverse...

  19. A Study of the Gas Flow through Air Jet Loom

    Institute of Scientific and Technical Information of China (English)

    Heuy-Dong Kim; Chae-Min Lim; Ho-Joon Lee; Doo-Hwan Chun

    2007-01-01

    Air jet loom, as one of the shuttleless looms, transports a yarn into warps using viscosity and kinetic energy of an air jet. Performance of this picking system depends on the ability of instantaneous inhalation/exhaust, configuration of nozzle, operation characteristics of a check valve, etc. In the recent past, many studies have been reported on the air jet discharged from a nozzle exit, but studies for understanding the flow field characteristics associated with shear layer and shock wave/boundary layer interaction in the nozzle were not conducted enough. In this paper, a computational study was performed to explain the flow field in the air jet nozzle with an acceleration tube and validated with previous experimental data available. The results obtained from the computational study show that, in the supersonic flow regime, the flow field depends significantly on the length of acceleration tube. As nozzle pressure ratio increases, drag force acting on the string also increases. For a longer acceleration tube, the total pressure loss is large, owing to the frictional loss.

  20. COPD patients' medical care and support in Greece during financial crisis

    Directory of Open Access Journals (Sweden)

    Mitonas G

    2016-11-01

    Full Text Available George Mitonas,1 Alexia Juvana,2 Zoe Daniil,3 Chryssa Hatzoglou,4 Konstantinos Gourgoulianis3 1Diavata Health Center, Gennimatas General Hospital, 2Papageorgiou General Hospital, Thessaloniki, 3Pulmonary Medicine Department, University Hospital of Larissa, 4Physiology Department, Medical School, University of Thessaly, Larissa, Greece Background: The need to follow a multidisciplinary strategy in chronic obstructive ­pulmonary disease (COPD management and rehabilitation in community settings in Greece raises significant questions, given the severe austerity measures being imposed at present. The aim of this study was to investigate the clinical profile of patients with COPD along with the care provided in rural community settings in Greece.Methods: Two primary health care centers and 200 newly diagnosed patients over a 12-month period were involved in the study. A self-assessment questionnaire, including questions about smoking habits, the presence of comorbidities and chronic respiratory symptoms, as well as the COPD Assessment Test were used. Spirometry was performed with a dry spirometer. Obstructive spirometry was defined as forced expiratory volume in 1 second/forced vital capacity ratio <0.7, according to Global Initiative for Chronic Obstructive Lung Disease guidelines.Results: Males comprised 70% of the sample, with cough and sputum being the prominent signs. Regarding COPD staging, 68.5% were classified in stages I/II. Arterial hypertension and coronary heart disease were the most common comorbidities. Current smokers accounted for 88.5%, while 88% were heavy drinkers. A general practitioner made the diagnosis in 68.5% of the cases, among which offspring and spouses provided home care in 38% and 8% of the cases, respectively, while an informal caregiver other than a relative was reported in 34% of the cases. No caregiver (self-care was reported in 20% of the cases. All patients of stage III and IV had a COPD Assessment Test score >10

  1. Nursing home physician specialists: a response to the workforce crisis in long-term care.

    Science.gov (United States)

    Katz, Paul R; Karuza, Jurgis; Intrator, Orna; Mor, Vincent

    2009-03-17

    Marginalization of physicians in the nursing home threatens the overall care of increasingly frail nursing home residents who have medically complex illnesses. The authors propose that creating a nursing home medicine specialty, which recognizes the nursing home as a unique practice site, would go a long way toward remedying existing problems with care in skilled nursing facilities and would best serve the needs of the 1.6 million nursing home residents in the United States. Reviewing what is known about physician practice in nursing homes and hospitals, and taking a lead from the hospitalist movement, the specialty would be characterized in 3 dimensions: the degree of physicians' commitment, physicians' practice competencies, and the structure of the medical staff organization in which they practice. Challenges to the adoption of a nursing home specialist model include mainstream medicine's failure to recognize the nursing home as a legitimate medical practice, the need for the nursing home industry and policymakers to appreciate the links between physician practice and quality, and assurance of financial viability. Implications for quality of care, health policy, and research needs are discussed in this article.

  2. A Different Class of Care: the Benefits Crisis and Low-Wage Workers.

    Science.gov (United States)

    Jones, Trina

    When compared to other developed nations, the United States fares poorly with regard to benefits for workers. While the situation is grim for most U.S. workers, it is worse for low-wage workers. Data show a significant benefits gap between low-wage and high-wage in terms of flexible work arrangements (FWAs), paid leave, pensions, and employer-sponsored health-care insurance, among other things. This gap exists notwithstanding the fact that FWAs and employment benefits produce positive returns for employees, employers, and society in general. Despite these returns, this Article contends that employers will be loath to extend FWAs and greater employment benefits to low-wage workers due to (1) concerns about costs, (2) a surplus of low-wage workers in the labor market, (3) negative perceptions of the skill of low-wage workers and the value of low-wage work, (4) other class-based stereotypes and biases, and (5) structural impediments in some low-wage jobs. Given the decline of unions and limited legislative action to date, the Article maintains that low-wage workers are in a "different class of care" with little hope for meaningful change on the horizon.

  3. Hypertensive Crisis

    Science.gov (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More Hypertensive Crisis: When You Should Call 9-1-1 for ... 18,2017 Know the two types of HBP crisis to watch for A hypertensive ( high blood pressure ) ...

  4. Crisis Thought

    OpenAIRE

    Morris, Edwin Kent

    2016-01-01

    Crisis thought is an idea that gives a name to and accounts for some of the problematics of the sign crisis in political, social, cultural, and economic discourse. Specifically, crisis thought is a discursive formation, a concept used loosely here to refer to an assemblage of signs such as anxiety or fear that evoke or invoke similar, but inaccurate connotations as crisis in political and everyday usage. The general question this study grapples with is why political, social, cultural, and eco...

  5. Study on the Back Rest System of Looms

    Institute of Scientific and Technical Information of China (English)

    陈革; 毛立民; 周亚勤; 袁立新

    2004-01-01

    Periodic variations of warp tension during a weaving cycle result in corresponding change of back rest position, and the oscillation of back rest affects the fluctuation of warp yarn in return. A mechanical model of back rest system of looms is presented on basis of auto control theory, and the factors affecting the dynamic performance of the back rest are analyzed. In the model, warp yarn is regarded as a viscoelastic medium, and the adjustable parameters and the adjusting range of the back rest system are increased, so the ioom's applicability for the fabric's variety is enlanced.Finally, the methods of designing and adjusting the back rest are discussed, and a trend of back rest system development is given.

  6. Looming crisis in graduate science education: Where are America's top science students?

    Science.gov (United States)

    Bozack, M. J.; Perez, J. D.

    1994-03-01

    Only 750 physics doctorates were awarded to American students during 1990-1991 from a population base of over 248 million people. Even institutions such as MIT are having difficulty attracting enough top American students to its graduate programs in the sciences. We discuss some of the reasons for the decline in domestic student participation in the sciences and offer several nuts-and-bolts methods to reverse this trend. Key ingredients include graduate student recruiting, motivational activities to promote the excitement of being a professional scientist, and a reeducation of employers to look more favorably toward hiring students from the basic sciences. The methods have resulted in dramatic changes in the composition of recent graduate classes; at Auburn University we now admit an incoming class composed of over 70% domestic students.

  7. Antibiotic resistance and cagA gene correlation: A looming crisis of Helicobacter pylori

    Institute of Scientific and Technical Information of China (English)

    Adnan Khan; Amber Farooqui; Hamid Manzoor; Syed Shakeel Akhtar; Muhammad Saeed Quraishy; Shahana Urooj Kazmi

    2012-01-01

    AIM:To determine antibiotic resistance of Helicobacter pylori (H.pylori) in Pakistan and its correlation with host and pathogen associated factors.METHODS:A total of 178 strains of H.pylori were isolated from gastric biopsies of dyspeptic patients.Susceptibility patterns against first and second-line antibiotics were determined and trends of resistance were analyzed in relation to the sampling period,gastric conditions and cagA gene carriage.The effect of cagA gene on the acquisition of resistance was investigated by mutant selection assay.RESULTS:The observations showed that monoresistant strains were prevalent with rates of 89% for metronidazole,36% for clarithromycin,37% for amoxicillin,18.5% for ofloxacin and 12% for tetracycline.Furthermore,clarithromycin resistance was on the rise from 2005 to 2008 (32% vs 38%,P =0.004) and it is significantly observed in non ulcerative dyspeptic patients compared to gastritis,gastric ulcer and duodenal ulcer cases (53% vs 20%,18% and 19%,P =0.000).On the contrary,metronidazole and ofloxacin resistance were more common in gastritis and gastric ulcer cases.Distribution analysis and frequencies of resistant mutants in vitro correlated with the absence of cagA gene with metronidazole and ofloxacin resistance.CONCLUSION:The study confirms the alarming levels of antibiotic resistance associated with the degree of gastric inflammation and cagA gene carriage in H.pylori strains.

  8. Game Plan: Colleges Share a Page from Their Playbooks That Addresses the Looming Leadership Crisis

    Science.gov (United States)

    Boerner, Heather

    2015-01-01

    The graying of community college leadership is an issue across the country. More than half of all community college presidents expect to retire in five years, according to data from the American Association of Community Colleges (AACC). Succession planning is yet another opportunity for colleges already navigating a variety of reforms to innovate.…

  9. Antibiotic resistance: what are the opportunities for primary care in alleviating the crisis?

    Directory of Open Access Journals (Sweden)

    Malene Plejdrup Hansen

    2015-02-01

    Full Text Available •Preventing patients from developing an acute respiratory infection will obviate any need for antibiotic use downstream. Hygiene measures (such as physical barriers and hand hygiene, and possibly vaccination and exercise, may be effective for preventing some acute respiratory infections. •Patients overestimate the effectiveness of antibiotics: therefore public campaigns might contribute to minimise misconceptions.•Complementary and alternative medicines (e.g. zinc, caffeine, vitamin C, probiotics and Echinacea are often proposed for preventing and treating acute respiratory infections, but evidence for efficacy is scarce.•General practitioners’ attitudes towards antibiotic prescribing are a major factor in the prescribing for acute respiratory infections. Professional interventions with educational components are effective, although they have modest effects, and are expensive. •General practitioners’ perceptions – that mistakenly assume as a default that patients want antibiotics for their acute respiratory infections – are often wrong. Shared decision making might be a solution, as it enables clinician and patient to participate jointly in making a health decision, having discussed the options together with the evidence for their harms as well as benefits.•General practitioners’ diagnostic uncertainty – often leading to an antibiotic prescription ‘just in case’ – might be addressed by exploiting strategies such as safety-netting, e.g. establishing with the patient a priori clearly defined actions to take if the course of the illness deviates from the expected.However, there is scant research undertaken in this area and evaluation of this strategy and its effects on patient care is needed.•The best strategies for the future are likely to focus on the best combination of the most effective interventions rather than any single one.

  10. Barriers and incentives to orphan care in a time of AIDS and economic crisis: a cross-sectional survey of caregivers in rural Zimbabwe

    Directory of Open Access Journals (Sweden)

    Goodman Karen J

    2006-02-01

    Full Text Available Abstract Background Africa is in an orphan-care crisis. In Zimbabwe, where one-fourth of adults are HIV-positive and one-fifth of children are orphans, AIDS and economic decline are straining society's ability to care for orphans within their extended families. Lack of stable care is putting thousands of children at heightened risk of malnourishment, emotional underdevelopment, illiteracy, poverty, sexual exploitation, and HIV infection, endangering the future health of the society they are expected to sustain. Methods To explore barriers and possible incentives to orphan care, a quantitative cross-sectional survey in rural eastern Zimbabwe asked 371 adults caring for children, including 212 caring for double orphans, about their well-being, needs, resources, and perceptions and experiences of orphan care. Results Survey responses indicate that: 1 foster caregivers are disproportionately female, older, poor, and without a spouse; 2 98% of non-foster caregivers are willing to foster orphans, many from outside their kinship network; 3 poverty is the primary barrier to fostering; 4 financial, physical, and emotional stress levels are high among current and potential fosterers; 5 financial need may be greatest in single-orphan AIDS-impoverished households; and 6 struggling families lack external support. Conclusion Incentives for sustainable orphan care should focus on financial assistance, starting with free schooling, and development of community mechanisms to identify and support children in need, to evaluate and strengthen families' capacity to provide orphan care, and to initiate and support placement outside the family when necessary.

  11. Secondary eyes mediate the response to looming objects in jumping spiders (Phidippus audax, Salticidae).

    Science.gov (United States)

    Spano, Lauren; Long, Skye M; Jakob, Elizabeth M

    2012-12-23

    Some species have sensory systems divided into subsystems with morphologically different sense organs that acquire different types of information within the same modality. Jumping spiders (family Salticidae) have eight eyes. Four eyes are directed anteriorly to view objects in front of the spider: a pair of principal eyes track targets with their movable retinae, while the immobile anterior lateral (AL) eyes have a larger field of view and lower resolution. To test whether the principal eyes, the AL eyes, or both together mediate the response to looming stimuli, we presented spiders with a video of a solid black circle that rapidly expanded (loomed) or contracted (receded). Control spiders and spiders with their principal eyes masked were significantly more likely to back away from the looming stimulus than were spiders with their AL eyes masked. Almost no individuals backed away from the receding stimulus. Our results show that the AL eyes alone mediate the loom response to objects anterior to the spider.

  12. Looming sensitive cortical regions without V1 input: evidence from a patient with bilateral cortical blindness

    OpenAIRE

    Alexis eHervais-Adelman; Lore Billie Legrand; Minye eZhan; Marco eTamietto; Beatrice eDe Gelder; Pegna, Alan J.

    2015-01-01

    Fast and automatic behavioral responses are required to avoid collision with an approaching stimulus. Accordingly, looming stimuli have been found to be highly salient and efficient attractors of attention due to the implication of potential collision and potential threat. Here, we address the question of whether looming motion is processed in the absence of any functional primary visual cortex and consequently without awareness. For this, we investigated a patient (TN) suffering from complet...

  13. 危机管理在急诊护理管理中的应用研究%Application of Crisis Management in Emergency Care Management

    Institute of Scientific and Technical Information of China (English)

    涂玲飞

    2015-01-01

    目的探讨分析危机管理在急诊护理管理中的应用。方法选取2013年1月-2014年6月急诊科就诊的180例患者,分为对照组90例,实施常规护理,观察组90例,在常规护理基础上予以危机管理;评价两组患者治疗效果、不良事件等,统计护理纠纷发生率,并对护理质量、患者满意度进行百分制评分。结果观察组治疗效果、护理质量、患者满意度评分均明显高于对照组(P<0.05),观察组不良事件、护理纠纷发生率均明显低于对照组(P<0.05);差异显著。结论在急诊护理工作中采用危机管理,能够有效防范危机,降低风险发生率,具有较高的临床应用价值。%Objective To discuss and analyze the application of crisis management in emergency care management.Methods Chose 180 emergency department patients from January 2013 to June 2014 and divided them into control group and treatment group with 90 cases in each group. The control group was treated with routine care while the treatment group was treated with crisis management on the basis of routine care. Evaluated the treatment effect and adverse events of two groups, counted their incidence of nursing disputes and graded nursing quality and patient satisfaction based on hundred-mark system.Results Treatment effect, nursing quality and patient satisfaction scores for treatment group were significantly higher than control group(P <0.05). Adverse events nursing disputes for treatment group were significantly lower than control group with statistical difference (P <0.05). Conclusion Crisis management in emergency care could effectively prevent the crisis, reduce the risk of incidence and have a high clinical value.

  14. Looming sensitive cortical regions without V1 input: evidence from a patient with bilateral cortical blindness

    Directory of Open Access Journals (Sweden)

    Alexis eHervais-Adelman

    2015-10-01

    Full Text Available Fast and automatic behavioral responses are required to avoid collision with an approaching stimulus. Accordingly, looming stimuli have been found to be highly salient and efficient attractors of attention due to the implication of potential collision and potential threat. Here, we address the question of whether looming motion is processed in the absence of any functional primary visual cortex and consequently without awareness. For this, we investigated a patient (TN suffering from complete, bilateral damage to his primary visual cortex. Using an fMRI paradigm, we measured TN’s brain activation during the presentation of looming, receding, rotating and static point lights, of which he was unaware. When contrasted with other conditions, looming was found to produce bilateral activation of the middle temporal areas, as well as the superior temporal sulcus and inferior parietal lobe. The latter are generally thought to be involved in multisensory processing of motion in extrapersonal space, as well as attentional capture and saliency. No activity was found close to the lesioned V1 area.This demonstrates that looming motion is processed in the absence of awareness through direct subcortical projections to areas involved in multisensory processing of motion and saliency that bypass V1.

  15. Looming sensitive cortical regions without V1 input: evidence from a patient with bilateral cortical blindness.

    Science.gov (United States)

    Hervais-Adelman, Alexis; Legrand, Lore B; Zhan, Minye; Tamietto, Marco; de Gelder, Beatrice; Pegna, Alan J

    2015-01-01

    Fast and automatic behavioral responses are required to avoid collision with an approaching stimulus. Accordingly, looming stimuli have been found to be highly salient and efficient attractors of attention due to the implication of potential collision and potential threat. Here, we address the question of whether looming motion is processed in the absence of any functional primary visual cortex and consequently without awareness. For this, we investigated a patient (TN) suffering from complete, bilateral damage to his primary visual cortex. Using an fMRI paradigm, we measured TN's brain activation during the presentation of looming, receding, rotating, and static point lights, of which he was unaware. When contrasted with other conditions, looming was found to produce bilateral activation of the middle temporal areas, as well as the superior temporal sulcus and inferior parietal lobe (IPL). The latter are generally thought to be involved in multisensory processing of motion in extrapersonal space, as well as attentional capture and saliency. No activity was found close to the lesioned V1 area. This demonstrates that looming motion is processed in the absence of awareness through direct subcortical projections to areas involved in multisensory processing of motion and saliency that bypass V1.

  16. Superbugs causing ventilator associated pneumonia in a tertiary care hospital and the return of pre-antibiotic era!

    Science.gov (United States)

    Qureshi, S; Agrawal, C; Madan, M; Pandey, A; Chauhan, H

    2015-01-01

    The rise in super bugs causing Ventilator-Associated Pneumonia (VAP) is a major cause of mortality and morbidity despite recent advances in management owing to the looming 'antibiotic apocalypse'. The aetiology and susceptibility pattern of the VAP isolates varies with patient population, type of intensive care unit (ICU) and is an urgent diagnostic challenge. The present study carried out for a period of one year in a tertiary care hospital, enrolled patients on mechanical ventilation (MV) for ≥48 hrs. Endotracheal aspirates (ETA) from suspected VAP patients were processed by semi quantitative method. Staphylococus aureus, members of Enterobacteriaceae were more common in early onset VAP (EOVAP), while Nonfermenting Gram negative bacilli (NFGNB) were significantly associated with late onset VAP (LOVAP). Most of the isolates were multi drug resistant (MDR) super bugs. With limited treatment options left for this crisis situation like the pre-antibiotic era; it is an alarm for rational antibiotic therapy usage and intensive education programs.

  17. A crisis in chronic pain care: an ethical analysis. Part three: Toward an integrative, multi-disciplinary pain medicine built around the needs of the patient.

    Science.gov (United States)

    Giordano, James; Schatman, Michael E

    2008-01-01

    A number of variables have contributed to the current crisis in chronic pain care and are affected by, and affect, the philosophies and politics that influence the socio-economic climate of the American healthcare system. Thus, we posit that managing the crisis in chronic pain care in the United States is contingent upon the development of a multi-focal healthcare paradigm that more thoroughly enables and fortifies research, its translation (in education and practice), and the implementation of, and support for, both the curative and healing approaches in medicine in general, and pain care specifically. These steps necessitate re-examination, if not revision of the health care system and its economics. The ethical imperative to consider and prudently employ cutting-edge diagnostic and therapeutic technologies in pain medicine is obligatory. However, "supply side prudence" is of little value if "demand side accessibility" is lacking. Revisions to health insurance plans advocated by the in-coming administration seek to create uniformity in basic health care services based upon re-assessment of the clinical effectiveness (versus merely cost) of treatments, including those that are "high tech." These plans attempt to allow every patient a more complete ability to deliberatively work with physicians to access those services and resources that maximize health functioning and goals. But even given these revisions, authentic pain care must take into account the interactive contexts of the painient individual. The biopsychosocial model of chronic pain management may have significant practical and ethical worth in this regard. A system of pain treatment operating from a biopsychosocial perspective necessitates integrative multi-disciplinarity. We propose a tiered, multi-disciplinary paradigm based upon the differing needs of each specific patient. But establishing such a system does not guarantee access, and distribution of these services and resources requires economic

  18. Changes in access to health care for immigrants in Catalonia during the economic crisis: Opinions of health professionals and immigrant users.

    Science.gov (United States)

    Porthé, Victoria; Vargas, Ingrid; Sanz-Barbero, Belén; Plaza-Espuña, Isabel; Bosch, Lola; Vázquez, Maria Luisa

    2016-11-01

    Policy measures introduced in Spain during the economic crisis included a reduction in public health expenditure and in healthcare entitlements (RDL16/2012), which affected the general population as a whole, but especially immigrants. This paper analyzes changes in immigrants' access to health care during the economic crisis from the perspective of health professionals (medical and administrative) and immigrants. A qualitative descriptive-interpretative study was conducted in Catalonia through individual interviews with a theoretical sample of health professionals (n=34) and immigrant users (n=20). Thematic analysis was conducted and data quality was ensured through triangulation. Informants described barriers to enter the health system related to reduced healthcare entitlements and a stricter enforcement of administrative requirements: while medical professionals highlighted restrictions to accessing the healthcare continuum, immigrants accentuated barriers to obtaining the individual health card. With regard to use of services, an increase in waiting times due to cutbacks in human resources dominated the informants' discourse. Health professionals pointed out organizational changes to increase efficiency that may improve access to primary care. Informants related lower health services utilization to a deterioration in immigrants' living and working conditions. According to health professionals, these conditions limited the use of services during working hours and led to delays in seeking care and treatment interruptions. Results show an aggravation of pre-existing barriers to health services utilization and, simultaneously, the appearance of new barriers to enter the system. These changes in the healthcare services contradict the equity principles of the national health system (NHS), thus policy decisions are needed to address this problem.

  19. Crisis Response

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    East Asian countries consider a financial alliance tostabilize the regional economy East Asian financial cooperation has come under the spotlight once again amid the spiraling global financial crisis originated in the

  20. Crisis communications.

    Science.gov (United States)

    Niewenhous, Daria; Sterling, Nancy

    2008-01-01

    Whether healthcare security is directly or indirectly involved in a crisis that will involve the media, it will pay to better familiarize yourself with the kind of planned responses discussed in this article to mitigate negative outcomes.

  1. On-loom, real-time, noncontact detection of fabric defects by ultrasonic imaging.

    Energy Technology Data Exchange (ETDEWEB)

    Chien, H. T.

    1998-09-08

    A noncontact, on-loom ultrasonic inspection technique was developed for real-time 100% defect inspection of fabrics. A prototype was built and tested successfully on loom. The system is compact, rugged, low cost, requires minimal maintenance, is not sensitive to fabric color and vibration, and can easily be adapted to current loom configurations. Moreover, it can detect defects in both the pick and warp directions. The system is capable of determining the size, location, and orientation of each defect. To further improve the system, air-coupled transducers with higher efficiency and sensitivity need to be developed. Advanced detection algorithms also need to be developed for better classification and categorization of defects in real-time.

  2. The effects of social evaluation and looming threat on self-attentional biases and social anxiety.

    Science.gov (United States)

    Haikal, Muhammad; Hong, Ryan Y

    2010-04-01

    This paper examines how two proposed cognitive vulnerabilities of social anxiety, the fear of negative evaluation, and looming cognitive style may combine with socially demanding situations in predicting social anxiety symptoms and performance deficits. Fifty-two individuals previously identified as possessing these two cognitive vulnerabilities were randomly assigned to conditions in a 2 (high versus low social evaluation)x2 (high versus low temporal looming) experimental design. Significant interaction effects were found for: (a) residual change in anxiety symptoms from baseline level, and (b) performance on a speech task. Specifically, cognitively at-risk individuals exhibited the most increase in anxiety and the most performance deficits in the condition where social evaluation and temporal looming were high. In addition, a mediational effect of illusion of transparency (a form of self-attentional bias) between situational demands and residual change in anxiety was found. Implications arising from these results are discussed.

  3. Financial Crisis

    Institute of Scientific and Technical Information of China (English)

    黄骅

    2012-01-01

      Financial crisis started from America and soon spread all over the world. How did this happen? What government has done to rescue the economy and what should we do to help? Is financial crisis inevitable? These questions have bothered me for a long time. However, if we use a macroeconomist eye to view the world, all the questions seemed clear and crystal.

  4. The effects of the financial crisis and austerity measures on the Spanish health care system: a qualitative analysis of health professionals' perceptions in the region of Valencia.

    Science.gov (United States)

    Cervero-Liceras, Francisco; McKee, Martin; Legido-Quigley, Helena

    2015-01-01

    The recent financial crisis has seen severe austerity measures imposed on the Spanish health care system. However, the impacts are not yet well documented. We describe the findings from a qualitative study that explored health care professionals' perception of the effects of austerity measures in the Spanish Autonomous Community of Valencia. A total of 21 semi-structured interviews were conducted with health professionals, recorded and fully transcribed. We coded all interviews using an inductive approach, drawing on techniques used in the constant comparative method. Health professionals reported increases in mental health conditions and malnutrition linked to a loss of income from employment and cuts to social support services. Health care professionals perceived that the quality of health care had become worse and health outcomes had deteriorated as a result of austerity measures. Interviewees also suggested that increased copayments meant that a growing number of patients could not afford necessary medication. While a few supported reforms and policies, such as the increase in copayments for pharmaceuticals, most opposed the privatization of health care facilities, and the newly introduced Royal Decree-law 16/2012, particularly the exclusion of non-residents from the health care system. The prevailing perception is that austerity measures are having negative effects on the quality of the health care system and population health. In light of this evidence there is an urgent need to evaluate the austerity measures recently introduced and to consider alternatives such as the derogation of the Royal Decree-law 16/2012. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  5. Preparing for a crisis: crisis team development.

    Science.gov (United States)

    Calarco, C

    1999-02-01

    Emergency preparedness in the school setting necessitates the formation and development of a Crisis Team that will be prepared to assume critical roles in the event of a crisis. This paper discusses the school Crisis Team, including member identification and responsibilities, and the relationship of the Crisis Team to the school crisis plan and policies.

  6. Demanda infantil por serviços de saúde mental: sinal de crise Juvenile claim on mental health care: sign of crisis

    Directory of Open Access Journals (Sweden)

    Maria Lúcia Boarini

    1998-06-01

    Full Text Available Este estudo é o resultado de uma reflexão sobre o significado histórico da alta demanda infantil aos serviços de saúde mental na rede pública de saúde. Através da literatura produzida sobre o tema infância, buscamos recuperar aspectos concernentes à sua constituição enquanto produção social. Pontuamos a existência de uma crise para a infância - enquanto categoria histórica - na pós-modernidade e destacamos algumas rupturas presentes no "pensar" sobre a infância. Ao nos referirmos a todas as crianças como "crianças em si"², negamos que a grande maioria delas são tratadas como "crianças tão somente"³ ou seja, apenas pelo dado da maturação biológica. Identificamos que tal crise, para as "crianças tão somente" - pertencentes às classes populares - não é exclusiva da era pós-moderna.This study is a result of the reflection on the historical meaning of the high juvenile claim on mental health care in public health care units. Through literature about childhood subject, we attempted to recover aspects concerning to its formation since social production. We point out the existence of a childhood crisis - while historical category - in post modern times and we emphasise the presence of some breaks in that childhood reflection. When referring to all children as "children as a whole"4, we deny that most of them are treated as "children by themselves", for instance, just by their biological maturation. We identified that such crisis in "children by themselves"5 - from working classes - does not belong exclusively to the post-modern times.

  7. Volunteer home-based HIV/AIDS care and food crisis in Addis Ababa, Ethiopia: sustainability in the face of chronic food insecurity

    Science.gov (United States)

    Maes, Kenneth C; Shifferaw, Selamawit; Hadley, Craig; Tesfaye, Fikru

    2011-01-01

    Low-income volunteers constitute a major part of AIDS care workforces in sub-Saharan Africa, yet little research has been conducted to determine how poverty and insecurity among volunteers impact their wellbeing and the sustainability of the AIDS treatment programmes they support. This paper presents longitudinal ethnographic and epidemiological research documenting how the 2008 food crisis in Addis Ababa affected AIDS care volunteers’ care relationships and motivations. Ethnographic results highlight the distress and demotivation that rising food costs created for caregivers by contributing to their own and their care recipients’ experiences of food insecurity and HIV-related stigmatization. Epidemiological results underscore a high prevalence of food insecurity (approximately 80%) even prior to the peak of food prices. Rising food prices over the 3 years prior to 2008, underemployment and household per capita incomes averaging less than US$1/day, likely contributed to the very high prevalence of food insecurity reported by caregivers in our sample. We also show that new volunteers recruited in early 2008 by one of the non-governmental organizations (NGOs) involved in this study were more likely to be dependants within their households, and that these participants reported lower rates of food insecurity and higher household income. While this shift in volunteer recruitment may help sustain volunteer care programmes in the face of widespread poverty and underemployment, food insecurity was still highly prevalent (58–71%) among this sub-group. Given the inability of the local NGOs that organize volunteers to address the challenge of food insecurity for programme sustainability, our results raise important policy questions regarding compensation for volunteers’ valuable labour and poverty reduction through public health sector job creation. PMID:20439347

  8. Volunteer home-based HIV/AIDS care and food crisis in Addis Ababa, Ethiopia: sustainability in the face of chronic food insecurity.

    Science.gov (United States)

    Maes, Kenneth C; Shifferaw, Selamawit; Hadley, Craig; Tesfaye, Fikru

    2011-01-01

    Low-income volunteers constitute a major part of AIDS care workforces in sub-Saharan Africa, yet little research has been conducted to determine how poverty and insecurity among volunteers impact their wellbeing and the sustainability of the AIDS treatment programmes they support. This paper presents longitudinal ethnographic and epidemiological research documenting how the 2008 food crisis in Addis Ababa affected AIDS care volunteers' care relationships and motivations. Ethnographic results highlight the distress and demotivation that rising food costs created for caregivers by contributing to their own and their care recipients' experiences of food insecurity and HIV-related stigmatization. Epidemiological results underscore a high prevalence of food insecurity (approximately 80%) even prior to the peak of food prices. Rising food prices over the 3 years prior to 2008, underemployment and household per capita incomes averaging less than US$1/day, likely contributed to the very high prevalence of food insecurity reported by caregivers in our sample. We also show that new volunteers recruited in early 2008 by one of the non-governmental organizations (NGOs) involved in this study were more likely to be dependants within their households, and that these participants reported lower rates of food insecurity and higher household income. While this shift in volunteer recruitment may help sustain volunteer care programmes in the face of widespread poverty and underemployment, food insecurity was still highly prevalent (58-71%) among this sub-group. Given the inability of the local NGOs that organize volunteers to address the challenge of food insecurity for programme sustainability, our results raise important policy questions regarding compensation for volunteers' valuable labour and poverty reduction through public health sector job creation.

  9. La crisis

    OpenAIRE

    Greenspan, Alan

    2010-01-01

    Este artículo revisa las causas de la crisis, explora la naturaleza de la intermediación financiera, presenta un conjunto de reformas para superar las deficiencias de la estructura reguladora y examina el papel de la política monetaria en la crisis actual. Concluye que es primordial aumentar los requerimientos regulatorios de capital y de liquidez de los bancos e incrementar en forma significativa las garantías obligatorias de los productos financieros que se negocian globalmente.

  10. La crisis

    Directory of Open Access Journals (Sweden)

    Alan Greenspan

    2010-06-01

    Full Text Available Este artículo revisa las causas de la crisis, explora la naturaleza de la intermediación financiera, presenta un conjunto de reformas para superar las deficiencias de la estructura reguladora y examina el papel de la política monetaria en la crisis actual. Concluye que es primordial aumentar los requerimientos regulatorios de capital y de liquidez de los bancos e incrementar en forma significativa las garantías obligatorias de los productos financieros que se negocian globalmente.

  11. A Crisis Mental Health Intervention Service: An Innovative Model for Working Intensively with Young People on the Edge of Care

    Science.gov (United States)

    Witkon, Yael

    2012-01-01

    This paper describes the setting up and the first year of running of an innovative outreach service for adolescents on the edge of care that aimed at redressing family breakdown and preventing placements in the care system. It was a collaborative endeavour between social services and a child and adolescent mental health provision to facilitate the…

  12. Crisis meeting

    CERN Multimedia

    Staff Association

    2014-01-01

      To all CERN staff: your rights are at risk ! We invite you to come to a crisis meeting on Wednesday 2nd April at 10:30 a.m., Auditorium, Main Building, Meyrin site. Your presence is crucial, we are ALL concerned !

  13. Crisis Management

    Science.gov (United States)

    Brock, Stephen E., Ed.

    2011-01-01

    This paper presents summaries of four articles relevant to school crisis response. The first article, "Peritraumatic Dissociation Predicts Posttraumatic Stress in Youth Following Accidents" summarized by Jim Matthews, suggests that peritraumatic dissociation is a powerful predictor of PTSD symptoms among youth who have been in a car…

  14. Crisis meeting

    CERN Multimedia

    Staff Association

    2015-01-01

    To all CERN staff: your rights are at risk! We invite you to come to a crisis meeting on Thursday 7th May 2015 at 9 a.m., Auditorium, Main Building, Meyrin site. Your presence is crucial, we are ALL concerned!

  15. Crisi internazionale e crisi nazionale

    Directory of Open Access Journals (Sweden)

    Sergio Ferrari

    2012-04-01

    Full Text Available The article considers the situation of Italy in the wake of the international financial and economic crisis. It is in particular stressed that Italy was already in a critical position before 2007-2008, mainly due to insufficient economic growth. The main reason for the country's low performance is identified in the insufficient expenditure on research and development, which caused innovation to slow down.   JEL Codes: O31, G01, O40Keywords: Italy, growth, crisis, innovation

  16. Receipt of preventive dental care among special-needs children enrolled in Medicaid: a crisis in need of attention.

    Science.gov (United States)

    Mitchell, Jean M; Gaskin, Darrell J

    2008-10-01

    Although not widely recognized, tooth decay is the most common childhood chronic disease among children ages five to seventeen. Despite higher rates of dental caries and greater needs, low-income minority children enrolled in Medicaid are more likely to go untreated relative to their higher income counterparts. No research has examined this issue for children with special needs. We analyzed Medicaid enrollment and claims data for special-needs children enrolled in the District of Columbia Medicaid program to evaluate receipt of recommended preventive dental care. Use of preventive dental care is abysmally low and has declined over time. Enrollment in managed care rather than fee for service improves the likelihood that special-needs children receive recommended preventive dental services, whereas residing farther from the Metro is an impediment to receipt of dental care.

  17. Crisi della struttura o crisi della semantica?

    Directory of Open Access Journals (Sweden)

    Fedele Paolo

    2015-12-01

    Full Text Available Political crisis, crisis of the science, economic crisis or crisis of the society as a whole? The concept of “Crisis” is nowadays essential to describe social phenomena. But is this a structural crisis of contemporary society or is it a crisis of the semantics or is it a conceptual heritage used to describe the current evolution of society? Starting from the recent developments of systems theory, the paper tries to investigate the developmental phase of modern society and to re-position the concept of crisis in a founded epistemologically framework.

  18. Defining the crisis and crisis management

    OpenAIRE

    Racaj, Muhamet

    2016-01-01

    The crisis can now be played with little or no warning, anywhere, anytime. But it is not necessarily badnews. I tisa reality. The ability to manage changing situation and to bring sober decision - which is just another way of perceiving the crisis management - is vital to achieving success in the critical milestones in life, politics, the world in general. In the new circumstances arise new opportunities for successful early crisis management. What is the crisis? What is crisis manag...

  19. Gran Crisis

    OpenAIRE

    Verdu Maciá, Vicente

    2014-01-01

    La extensión y la duración de esta Gran Crisis ha adquirido tanta envergadura que sería inocente creer que tras ella las cosas seguirán siendo más o menos como antes. No sabemos con exactitud cómo será el porvenir, pero sin duda diferirá sustantivamente de este presente. Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech.

  20. Information Crisis

    CERN Document Server

    Losavio, Michael

    2012-01-01

    Information Crisis discusses the scope and types of information available online and teaches readers how to critically assess it and analyze potentially dangerous information, especially when teachers, editors, or other information gatekeepers are not available to assess the information for them. Chapters and topics include:. The Internet as an information tool. Critical analysis. Legal issues, traps, and tricks. Protecting personal safety and identity. Types of online information.

  1. Practice of Producing Broad Width Fabric on Single Loom Beam Air Jet Loom%单织轴喷气织机生产宽幅织物的实践

    Institute of Scientific and Technical Information of China (English)

    王美红; 孙鉴丽

    2012-01-01

    Key technology measures of producing broad width fabric on single loom beam air jet loom were discussed. Problems existed in producing broad width fabric on two-beam air jet loom were analyzed, It is considered that supporting broad width warping machine and sizing machine should be selected in producing broad width fabric on single loom beam air jet loom. Processing parameter in each process should be selected rationally such as tension. Side yarn should be controlled well in weaving, temperature & humidity should be selected properly,finally loom efficiency can be reach above 92% , production demands can be reached.%探讨使用单织轴喷气织机生产宽幅织物的关键技术措施.通过分析双织轴喷气织机生产宽幅织物时存在的问题,认为:采用单织轴喷气织机生产宽幅织物时,应选用配套的宽幅整经机与宽幅浆纱机,各道工序合理配置张力等工艺参数;织造时加强边纱的控制,选择适宜的温湿度条件,最终使得织机效率达到92%,满足了生产要求.

  2. Speed-invariant encoding of looming object distance requires power law spike rate adaptation.

    Science.gov (United States)

    Clarke, Stephen E; Naud, Richard; Longtin, André; Maler, Leonard

    2013-08-13

    Neural representations of a moving object's distance and approach speed are essential for determining appropriate orienting responses, such as those observed in the localization behaviors of the weakly electric fish, Apteronotus leptorhynchus. We demonstrate that a power law form of spike rate adaptation transforms an electroreceptor afferent's response to "looming" object motion, effectively parsing information about distance and approach speed into distinct measures of the firing rate. Neurons with dynamics characterized by fixed time scales are shown to confound estimates of object distance and speed. Conversely, power law adaptation modifies an electroreceptor afferent's response according to the time scales present in the stimulus, generating a rate code for looming object distance that is invariant to speed and acceleration. Consequently, estimates of both object distance and approach speed can be uniquely determined from an electroreceptor afferent's firing rate, a multiplexed neural code operating over the extended time scales associated with behaviorally relevant stimuli.

  3. A mathematical model for storied buildings subjected to automatic loom stresses. [vibration of weaving mill

    Science.gov (United States)

    Stan, A.; Munteanu, M.

    1974-01-01

    Expressions are derived for the displacements of a many storied building subjected to the action of classical weaving looms located at different levels of the building. The building is regarded as a vertical fixed beam with a uniformly distributed mass as well as concentrated masses at each level. The calculation relations are obtained on the assumption of harmonic variation of the forces acting at each level as well as the assumption of narrow band stationary random excitatory forces.

  4. Crisis Communication Online

    DEFF Research Database (Denmark)

    Utz, Sonja; Schultz, Friederike; Glocka, Sandra

    2013-01-01

    in the newspaper condition than in the social media conditions because people consider traditional media as more credible. We also found higher levels of anger in the intentional crisis condition than in the victim crisis condition. Anger in turn was related to reputation, secondary crisis communication......Social media play in today's societies a fundamental role for the negotiation and dynamics of crises. However, classical crisis communication theories neglect the role of the medium and focus mainly on the interplay between crisis type and crisis communication strategy. Building on the recently...... the effects of crisis type. Crisis communication via social media resulted in a higher reputation and less secondary crisis reactions such as boycotting the company than crisis communication in the newspaper. However, secondary crisis communication, e.g. talking about the crisis communication, was higher...

  5. Influence of Weaving Loom Setting Parameters on Changes of Woven Fabric Structure and Mechanical Properties

    Directory of Open Access Journals (Sweden)

    Aušra ADOMAITIENĖ

    2011-11-01

    Full Text Available During the manufacturing of fabric of different raw material there was noticed, that after removing the fabric from weaving loom and after stabilization of fabric structure, the changes of parameters of fabric structure are not regular. During this investigation it was analysed, how weaving loom technological parameters (heald cross moment and initial tension of warp should be chosen and how to predict the changes of fabric structure parameters and its mechanical properties. The dependencies of changes of half-wool fabric structure parameters (weft setting, fabric thickness and projections of fabric cross-section and mechanical properties (breaking force, elongation at break, static friction force and static friction coefficient on weaving loom setting parameters (heald cross moment and initial warp tension were analysed. The orthogonal Box plan of two factors was used, the 3-D dependencies were drawn, and empirical equations of these dependencies were established.http://dx.doi.org/10.5755/j01.ms.17.4.780

  6. CPR in the nursing home: fool's errand or looming dilemma?

    LENUS (Irish Health Repository)

    Lyons, D

    2011-09-01

    The indications for CPR (cardiopulmonary resuscitation) have expanded greatly since the technique was introduced and theoretically it can be attempted on all prior to death. Policy initiatives (such as the British Medical Association\\/Royal College of Nursing guidelines) have attempted to provide a clinical rationale for the withholding of inappropriate CPR. Traditionally a care home was felt to be an inappropriate environment to attempt CPR but increased use of advance directives may bring the issue to the fore in this setting.

  7. The crisis in human resources for health care and the potential of a 'retired' workforce: case study of the independent midwifery sector in Tanzania.

    Science.gov (United States)

    Rolfe, Ben; Leshabari, Sebalda; Rutta, Fredrik; Murray, Susan F

    2008-03-01

    The human resource crisis in health care is an important obstacle to attainment of the health-related targets for the Millennium Development Goals. One suggested strategy to alleviate the strain upon government services is to encourage new forms of non-government provision. Detail on implementation and consequences is often lacking, however. This article examines one new element of non-government provision in Tanzania: small-scale independent midwifery practices. A multiple case study analysis over nine districts explored their characteristics, and the drivers and inhibitors acting upon their development since permitted by legislative change. Private midwifery practices were found concentrated in a 'new' workforce of 'later life entrepreneurs': retired, or approaching retirement, government-employed nursing officers. Provision was entirely facility-based due to regulatory requirements, with approximately 60 'maternity homes' located mainly in rural or peri-urban areas. Motivational drivers included fear of poverty, desire to maintain professional status, and an ethos of community service. However, inhibitors to success were multiple. Start-up loans were scarce, business training lacking and registration processes bureaucratic. Cost of set-up and maintenance were prohibitively high, registration required levels of construction and equipping similar to government sector dispensaries. Communities were reluctant to pay for services that they expected from government. Thus, despite offering a quality of basic maternity care comparable to that in government facilities, often in poorly-served areas, most private maternity homes were under-utilized and struggling for sustainability. Because of their location and emphasis on personalized care, small-scale independent practices run by retired midwives could potentially increase rates of skilled attendance at delivery at peripheral level. The model also extends the working life of members of a professional group at a time of

  8. From personal crisis care to convenience shopping: an interpretive description of the experiences of people with mental illness and addictions in community pharmacies.

    Science.gov (United States)

    Murphy, Andrea L; Martin-Misener, Ruth; Kutcher, Stan P; O'Reilly, Claire L; Chen, Timothy F; Gardner, David M

    2016-10-12

    The role of community pharmacists is changing globally with pharmacists engaging in more clinically-oriented roles, including in mental health care. Pharmacists' interventions have been shown to improve mental health related outcomes but various barriers can limit pharmacists in their care of patients. We aimed to explore the experiences of people with lived experience of mental illness and addictions in community pharmacies to generate findings to inform practice improvements. We used interpretive description methodology with analytic procedures of thematic analysis to explore the experiences of people with lived experience of mental illness and addictions with community pharmacy services. Participants were recruited through multiple mechanisms (e.g., paper and online advertisements), offered honorarium for their time, and given the option of a focus group or interview for participation in our study. Data were gathered during July to September of 2012. Interviews and focus groups were audio-recorded, transcribed verbatim, and analyzed by two researchers. We collected approximately nine hours of audio data from 18 individuals in two focus groups (n = 12) and six individual interviews. Fourteen participants were female and the average age was 41 years (range 24 to 57 years). Expectations, decision-making, and supports were identified as central themes underlying the community pharmacy experiences of people with lived experience of mental illness and addictions. Eight subthemes were identified including: relationships with pharmacy staff; patient's role in the pharmacist-patient relationship; crisis and triage; privacy and confidentiality; time; stigma and judgment; medication-related and other services; and transparency. People with lived experience of mental illness and addictions demonstrate a high regard and respect for pharmacist's knowledge and abilities but hold conservative expectations of pharmacy health services shaped by experience, observations, and

  9. [Crisis and future of humanity].

    Science.gov (United States)

    Bellver Capella, Vicente

    2012-09-01

    We live in troubling times. The economic crisis fills us with anxiety. Young, unemployed and throes to finish living worse fear that their parents are not able to take charge of the situation. What has happened to that Spain and Europe, less than four years ago seemed to land of opportunities for native and foreign, have become hostile territories? The economic crisis does not explain everything; It is only a symptom that the basis on which we were building the future were not as firm. It is true that the crisis has brought to bare the obscenity of speculative financial capitalism. It is also true that this crisis can be the great opportunity to build the world on a human and sustainable economic basis, i.e.,just the opposite of the current submission to the dictatorship of the financial markets. But the contemporary crisis has deep and extensive roots. I will refer to other crises, as important or more than the economic one, because to glimpse the future it is essential to carefully track the present and discover the "weak signals" the latent opportunities that await we become them realities.

  10. Hypercalcemic crisis: a clinical review.

    Science.gov (United States)

    Ahmad, Shazia; Kuraganti, Gayatri; Steenkamp, Devin

    2015-03-01

    Hypercalcemia is a common metabolic perturbation. However, hypercalcemic crisis is an unusual endocrine emergency, with little clinical scientific data to support therapeutic strategy. We review the relevant scientific English literature on the topic and review current management strategies after conducting a PubMed, MEDLINE, and Google Scholar search for articles published between 1930 and June 2014 using specific keywords: "hypercalcemic crisis," "hyperparathyroid crisis," "parathyroid storm," "severe primary hyperparathyroidism," "acute hyperparathyroidism," and "severe hypercalcemia" for articles pertaining to the diagnosis, epidemiology, clinical presentation, and treatment strategies. Despite extensive clinical experience, large and well-designed clinical studies to direct appropriate clinical care are lacking. Nonetheless, morbidity and mortality rates have substantially decreased since early series reported almost universal fatality. Improved outcomes can be attributed to modern diagnostic capabilities, leading to earlier diagnosis, along with the recognition that primary hyperparathyroidism is the most common etiology for hypercalcemic crisis. Hypercalcemic crisis is an unusual endocrine emergency that portends excellent outcomes if rapid diagnosis, medical treatment, and definitive surgical treatment are expedited. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Energy consumption of the griffes during weaving process of jacquard loom

    Directory of Open Access Journals (Sweden)

    Zhang Yan

    2014-01-01

    Full Text Available In this paper, energy consumption of the griffes during their serving life is reported. Griffes of the Jacquard loom with reciprocating motion and high speed are the main suffering components during the weaving process. Under the condition of high reciprocating velocity, the mechanical damage is an unavoidable issue that will lead to a fatal collapse on the mechanical parts and even operators. Therefore, finite element analysis is adopted and conducted in present research to intuitively demonstrate the energy consumption on the griffes. This will be benefit for the design and local reinforcement of the Jacquard.

  12. Adaptation of Induced Fuzzy Cognitive Maps to the Problems Faced by the Power Loom Workers

    Directory of Open Access Journals (Sweden)

    S. Narayanamoorthy

    2012-08-01

    Full Text Available The Indian textile industry has a significant presence in the economy as well as in the international textile economy. In this research Paper we study the socio economic problems faced by power loom workers in Avinashi in Tamilnadu, India, using Induced Fuzzy Cognitive Maps (IFCMs. We have interviewed 50 households in the study area using a linguistic questionnaire. As the problems faced by them at large, involved so much of feelings and uncertainties. We felt it to fit to use fuzzy theory in general and induced fuzzy cognitive maps in particular. For IFCMs is the best suited tool when the data is an unsupervised one.

  13. A Statistical Quality Control System in a Medium-Scale Weaving Mill: II. Control of Loom Stoppages

    Directory of Open Access Journals (Sweden)

    Özlem DÜLGEROĞLU KISAOĞLU

    2010-03-01

    Full Text Available Establishing a control system in a medium-scale weaving mill by using statistical process control techniques was worked on and considered that the control system also would be a model for weaving mills. To determine production parameters and control them according to a definite sampling plan, the loom stoppages were investigated with their reasons and the defects on the fabric were detected during running of looms in process inspection. Therefore three different kinds of cord and a poplin fabric were observed. Analysis of loom-stoppages gives information about problems which are present in yarns, weaving preparation, weaving processes, and particularly indicates yarn quality, weaving machine adjustments and weaving preparation processes. In conclusion of woven fabric quality evaluations it was determined that the rate of defects originated from yarn is rather higher than that of defects originated from weaving preparation/weaving process.

  14. Economic Crisis's Impact on Health Care System and the Implications:From an International Perspective%国际视阈下经济危机对卫生的影响及启示

    Institute of Scientific and Technical Information of China (English)

    陈丽; 姜鸿; 姚岚

    2014-01-01

    This paper analyzed economic crisis's impact on health care system and the consequent effect on citizen's health in different countries. Relevant measures and experiences in reacting to the economic crisis in different countries were de-scribed,which could be helpful for governments to improve the ability of resolving economic crisis effectively. Policy advices were proposed for making better strategies in the future.%本文分析了经济危机对各国卫生体系发展的影响,通过对经济危机影响各国卫生体系进而影响居民健康的分析,概括总结各国应对经济危机的相关经验和具体措施,有利于提高各国政府应对经济危机的能力,为今后制定更好的策略提供政策建议。

  15. Atendimento à crise psíquica no pronto-socorro: visão de profissionais de enfermagem La atención a la crisis psíquica en la unidad de urgencias: la visión del equipo de enfermería Psychic crisis care in the emergency room: nursing staff's view

    Directory of Open Access Journals (Sweden)

    Leandro da Rosa Borges

    2012-09-01

    Full Text Available O objetivo do estudo foi conhecer a visão da equipe de enfermagem sobre o atendimento à crise psíquica em uma unidade de emergência de um Pronto-Socorro. Trata-se de um estudo de abordagem qualitativa que utilizou, como técnica para coleta de dados, a aplicação de entrevistas semiestruturadas com dois enfermeiros e três técnicos de enfermagem que trabalhavam na unidade de emergência durante o turno da manhã e tarde. A análise dos dados foi orientada a partir da análise de conteúdo com formação das seguintes categorias temáticas, que permitiram a melhor visualização dos resultados: o conceito de crise para a equipe do pronto-socorro e as diferentes expressões do sofrimento e os recursos terapêuticos para o enfrentamento e a minimização dos encargos da crise. Evidenciou-se que a equipe de enfermagem costuma justificar as dificuldades de atendimento à crise psíquica pela falta de tempo, inadequação do espaço físico e despreparo da mesma.El presente estudio tuvo como objetivo conocer la visión del equipo de enfermería sobre la atención a la crisis psíquica en una unidad de urgencias. Se trata de un estudio de abordaje cualitativo que utilizó, como técnica de recolección de datos, entrevistas semiestructuradas. Participaron de la investigación dos enfermeras y tres técnicos de enfermería que trabajaban en la unidad de urgencias durante las mañanas y las tardes. El análisis de datos fue orientado a partir de las siguientes temáticas: el concepto de crisis para el equipo de una unidad de urgencias y las diferentes expresiones del sufrimiento y los recursos terapéuticos para el enfrentamiento y disminución de los encargos de la crisis. Suele justificar las dificultades de atención a la crisis por la falta de tiempo, inadecuación de espacio físico y la falta de preparación de la misma.This study was aimed at finding out the nursing staff's view about psychic crisis care in an emergency room unit. This is a

  16. Comprehensive health workforce planning: re-consideration of the primary health care approach as a tool for addressing the human resource for health crisis in low and middle income countries.

    Science.gov (United States)

    Munga, Michael A; Mwangu, Mughwira A

    2013-04-01

    Although the Human Resources for Health (HRH) crisis is apparently not new in the public health agenda of many countries, not many low and middle income countries are using Primary Health Care (PHC) as a tool for planning and addressing the crisis in a comprehensive manner. The aim of this paper is to appraise the inadequacies of the existing planning approaches in addressing the growing HRH crisis in resource limited settings. A descriptive literature review of selected case studies in middle and low income countries reinforced with the evidence from Tanzania was used. Consultations with experts in the field were also made. In this review, we propose a conceptual framework that describes planning may only be effective if it is structured to embrace the fundamental principles of PHC. We place the core principles of PHC at the centre of HRH planning as we acknowledge its major perspective that the effectiveness of any public health policy depends on the degree to which it envisages to address public health problems multi-dimensionally and comprehensively. The proponents of PHC approach in planning have identified inter-sectoral action and collaboration and comprehensive approach as the two basic principles that policies and plans should accentuate in order to make them effective in realizing their pre-determined goals. Two conclusions are made: Firstly, comprehensive health workforce planning is not widely known and thus not frequently used in HRH planning or analysis of health workforce issues; Secondly, comprehensiveness in HRH planning is important but not sufficient in ensuring that all the ingredients of HRH crisis are eliminated. In order to be effective and sustainable, the approach need to evoke three basic values namely effectiveness, efficiency and equity.

  17. [Suicide crisis, psychological suffering and advanced age].

    Science.gov (United States)

    Hazif-Thomas, Cyril; Bordage, Catherine; Cornec, Gwenole; Berrouiguet, Sofian; Walter, Michel

    2014-01-01

    Bound to the idea of a crisis and the brutal intrusion of psychological suffering, the suicide drama rarely lends itself to a direct analysis which can highlight the different stages of its process. Taking into account increasing quantities of scientific data from current research and the spirit of crisis interventions is fundamental for allowing hopes of effective prevention. Speaking the same language by using the same conceptual basis, that of the suicide crisis, is a prerequisite in pedagogical terms for the current care management of suicidal patients.

  18. Juridica; Crisis en herstel

    NARCIS (Netherlands)

    Kistenkas, F.H.

    2010-01-01

    Het geruchtmakende wetsontwerp voor een Crisis- en Herstelwet wordt ook in de juridische kring nogal bekritiseerd en zelfs afgedaan als haastige gelegenheidswetgeving en politieke symboolwetgeving. Door de Crisis en Herstelwet worden ook enkele bepalingen van de Natuurbeschermingswet (Nbw) gewijzigd

  19. Guidelines for Crisis Management.

    Science.gov (United States)

    Wimberley, Lloyd

    1985-01-01

    The article offers guidelines for crisis prediction, preplanning, support team development, and post-crisis management that can handle aggressive behavior and convey to the child the existence of a legitimate system for enhancing positive self control. (CL)

  20. Crisis Management: Research Summaries

    Science.gov (United States)

    Brock, Stephen E., Ed.; Dorman, Sally; Anderson, Luke; McNair, Daniel

    2013-01-01

    This article presents summaries of three studies relevant to school crisis response. The first report, "A Framework for International Crisis Intervention" (Sally Dorman), is a review of how existing crisis intervention models (including the NASP PREPaRE model) have been adapted for international use. The second article, "Responding…

  1. Crisis Management: Research Summaries

    Science.gov (United States)

    Brock, Stephen E., Ed.; Dorman, Sally; Anderson, Luke; McNair, Daniel

    2013-01-01

    This article presents summaries of three studies relevant to school crisis response. The first report, "A Framework for International Crisis Intervention" (Sally Dorman), is a review of how existing crisis intervention models (including the NASP PREPaRE model) have been adapted for international use. The second article, "Responding…

  2. 75 FR 39046 - Russell Brands, LLC, Fabrics Division, a Subsidiary of Fruit of the Loom, Including Employees...

    Science.gov (United States)

    2010-07-07

    ... Employment and Training Administration Russell Brands, LLC, Fabrics Division, a Subsidiary of Fruit of the... Eligibility to Apply for Worker Adjustment Assistance on December 10, 2009, applicable to workers of Russell... workers of Russell Brands, LLC, Fabric Division, a subsidiary of Fruit of the Loom, including employees...

  3. Crossmodal enhancement of visual orientation discrimination by looming sounds requires functional activation of primary visual areas: a case study.

    Science.gov (United States)

    Cecere, Roberto; Romei, Vincenzo; Bertini, Caterina; Làdavas, Elisabetta

    2014-04-01

    Approaching or looming sounds are salient, potentially threatening stimuli with particular impact on visual processing. The early crossmodal effects by looming sounds (Romei, Murray, Cappe, & Thut, 2009) and their selective impact on visual orientation discrimination (Leo, Romei, Freeman, Ladavas, & Driver, 2011) suggest that these multisensory interactions may take place already within low-level visual cortices. To investigate this hypothesis, we tested a patient (SDV) with bilateral occipital lesion and spared residual portions of V1/V2. Accordingly, SDV׳s visual perimetry revealed blindness of the central visual field with some residual peripheral vision. In two experiments we tested for the influence of looming vs. receding and stationary sounds on SDV׳s line orientation discrimination (orientation discrimination experiment) and visual detection abilities (detection experiment) in the preserved or blind portions of the visual field, corresponding to spared and lesioned areas of V1, respectively. In the visual orientation discrimination experiment we found that SDV visual orientation sensitivity significantly improved for visual targets paired with looming sounds but only for lines presented in the partially preserved visual field. In the visual detection experiment, where SDV was required to simply detect the same stimuli presented in the orientation discrimination experiment, a generalised sound-induced visual improvement both in the intact and in blind portion of the visual field was observed. These results provide direct evidence that early visual areas are critically involved in crossmodal modulation of visual orientation sensitivity by looming sounds. Thus, a lesion in V1 prevents the enhancement of visual orientation sensitivity. In contrast, the same lesion does not prevent the visual detection enhancement by a sound, probably due to alternative visual pathways (e.g. retino-colliculo-extrastriate) which are usually spared in these patients and able to

  4. A "looming bias" in spatial hearing? Effects of acoustic intensity and spectrum on categorical sound source localization.

    Science.gov (United States)

    McCarthy, Lisa; Olsen, Kirk N

    2017-01-01

    Continuous increases of acoustic intensity (up-ramps) can indicate a looming (approaching) sound source in the environment, whereas continuous decreases of intensity (down-ramps) can indicate a receding sound source. From psychoacoustic experiments, an "adaptive perceptual bias" for up-ramp looming tonal stimuli has been proposed (Neuhoff, 1998). This theory postulates that (1) up-ramps are perceptually salient because of their association with looming and potentially threatening stimuli in the environment; (2) tonal stimuli are perceptually salient because of an association with single and potentially threatening biological sound sources in the environment, relative to white noise, which is more likely to arise from dispersed signals and nonthreatening/nonbiological sources (wind/ocean). In the present study, we extrapolated the "adaptive perceptual bias" theory and investigated its assumptions by measuring sound source localization in response to acoustic stimuli presented in azimuth to imply looming, stationary, and receding motion in depth. Participants (N = 26) heard three directions of intensity change (up-ramps, down-ramps, and steady state, associated with looming, receding, and stationary motion, respectively) and three levels of acoustic spectrum (a 1-kHz pure tone, the tonal vowel /ә/, and white noise) in a within-subjects design. We first hypothesized that if up-ramps are "perceptually salient" and capable of eliciting adaptive responses, then they would be localized faster and more accurately than down-ramps. This hypothesis was supported. However, the results did not support the second hypothesis. Rather, the white-noise and vowel conditions were localized faster and more accurately than the pure-tone conditions. These results are discussed in the context of auditory and visual theories of motion perception, auditory attentional capture, and the spectral causes of spatial ambiguity.

  5. [Crisis and nurses].

    Science.gov (United States)

    Martínez Riera, José Ramón

    2012-02-01

    Nobody can escape that we are in crisis. Already are responsible every day media, risk agencies and abstract but crucial markets reminded us. In this crisis, deep, prolonged and distressing health systems have been in the spotlight of national Governments and corporations, as key elements of building and resolution of the crisis. Generation because it interprets its inefficiency is responsible for much of the crisis. Resolution because it is understood that actions that envelope the same are carried out they shall foster the output. So then we have two key elements: crisis and health systems, which combine very differently but which inevitably and unfortunately have been associated on a permanent basis. To understand this symbiosis and try to analyze it I operate the simple formula of semantically understanding what is crisis and what health crisis.

  6. L’Italia: una crisi nella crisi

    Directory of Open Access Journals (Sweden)

    Carlo D'ippoliti

    2011-10-01

    Full Text Available The article synthesises the large and extending literature on the financial and economic crisis from a Post-Keynesian point of view. The authors take on the position that the international and internal real imbalances are serious and worrying, but yet they are not the cause of the crisis or of its tremendous dimension. The flawed and insufficient regulation of finance is the prime cause of the crisis, as well as it is one of the main hindrances to expansionary macroeconomic policies that may less painfully drive developed countries out of the crisis. It then examines the most recent developments in the euro-area, claiming that we are not facing a sovereign debt crisis but rather a speculative attack on the euro. Finally, the article considers specifically the situation of Italy, currently at the hearth of such an attack, and suggests that the country was already facing critical developments before the 2007/2008 crisis. Thus, the policy measures so far suggested to exit the current stressful situation, in so far as they ignore this fact, seriously run the risk of proving insufficient or altogether noxious.  JEL Codes: B50; E12; G01Keywords: crisis, euro, sovereign, Italy, credit default swaps

  7. 58例高血压危象患者的用药护理%58 Cases Medication Care of Patients with Hypertensive Crisis

    Institute of Scientific and Technical Information of China (English)

    祝卫东; 张新菊; 姚金良

    2014-01-01

    高血压危象是以动脉血压为特征,可伴有心脏,血管,脑,肾脏等器官功能性或器质性改变的全身性疾病,用药护理方面非常的重要,熟悉高血压危象处理原则,加强院前急救和并发症的处理,可有效的治疗高血压危象患者,挽救患者的生命。%Hypertensive crisis is characterized by arterial blood pressure, may be accompanied by heart, blood vessels, brain, kidney and other organs functional or structural changes of systemic disease, medication nursing is very important, familiar with hypertensive crisis treatment principles, to strengthen pre hospital first aid and treatment of complications, may be ef ective in the treatment of hypertension in the crisis, to save the lives of patients.

  8. Understanding animal fears: a comparison of the cognitive vulnerability and harm-looming models.

    Science.gov (United States)

    Armfield, Jason M

    2007-12-01

    The Cognitive Vulnerability Model holds that both clinical and sub-clinical manifestations of animal fears are a result of how an animal is perceived, and can be used to explain both individual differences in fear acquisition and the uneven distribution of fears in the population. This study looked at the association between fear of a number of animals and perceptions of the animals as uncontrollable, unpredictable, dangerous and disgusting. Also assessed were the perceived loomingness, prior familiarity, and negative evaluation of the animals as well as possible conditioning experiences. 162 first-year University students rated their fear and perceptions of four high-fear and four low-fear animals. Perceptions of the animals as dangerous, disgusting and uncontrollable were significantly associated with fear of both high- and low-fear animals while perceptions of unpredictability were significantly associated with fear of high-fear animals. Conditioning experiences were unrelated to fear of any animals. In multiple regression analyses, loomingness did not account for a significant amount of the variance in fear beyond that accounted for by the cognitive vulnerability variables. However, the vulnerability variables accounted for between 20% and 51% of the variance in all animals fears beyond that accounted for by perceptions of the animals as looming. Perceptions of dangerousness, uncontrollability and unpredictability were highly predictive of the uneven distribution of animal fears. This study provides support for the Cognitive Vulnerability Model of the etiology of specific fears and phobias and brings into question the utility of the harm-looming model in explaining animal fear.

  9. Understanding animal fears: a comparison of the cognitive vulnerability and harm-looming models

    Directory of Open Access Journals (Sweden)

    Armfield Jason M

    2007-12-01

    Full Text Available Abstract Background The Cognitive Vulnerability Model holds that both clinical and sub-clinical manifestations of animal fears are a result of how an animal is perceived, and can be used to explain both individual differences in fear acquisition and the uneven distribution of fears in the population. This study looked at the association between fear of a number of animals and perceptions of the animals as uncontrollable, unpredictable, dangerous and disgusting. Also assessed were the perceived loomingness, prior familiarity, and negative evaluation of the animals as well as possible conditioning experiences. Methods 162 first-year University students rated their fear and perceptions of four high-fear and four low-fear animals. Results Perceptions of the animals as dangerous, disgusting and uncontrollable were significantly associated with fear of both high- and low-fear animals while perceptions of unpredictability were significantly associated with fear of high-fear animals. Conditioning experiences were unrelated to fear of any animals. In multiple regression analyses, loomingness did not account for a significant amount of the variance in fear beyond that accounted for by the cognitive vulnerability variables. However, the vulnerability variables accounted for between 20% and 51% of the variance in all animals fears beyond that accounted for by perceptions of the animals as looming. Perceptions of dangerousness, uncontrollability and unpredictability were highly predictive of the uneven distribution of animal fears. Conclusion This study provides support for the Cognitive Vulnerability Model of the etiology of specific fears and phobias and brings into question the utility of the harm-looming model in explaining animal fear.

  10. Looming Threats and Animacy: Reduced Responsiveness in Youth with Disrupted Behavior Disorders.

    Science.gov (United States)

    White, Stuart F; Thornton, Laura C; Leshin, Joseph; Clanton, Roberta; Sinclair, Stephen; Coker-Appiah, Dionne; Meffert, Harma; Hwang, Soonjo; Blair, James R

    2017-08-03

    Theoretical models have implicated amygdala dysfunction in the development of Disruptive Behavior Disorders (DBDs; Conduct Disorder/Oppositional Defiant Disorder). Amygdala dysfunction impacts valence evaluation/response selection and emotion attention in youth with DBDs, particularly in those with elevated callous-unemotional (CU) traits. However, amygdala responsiveness during social cognition and the responsiveness of the acute threat circuitry (amygdala/periaqueductal gray) in youth with DBDs have been less well-examined, particularly with reference to CU traits. 31 youth with DBDs and 27 typically developing youth (IQ, age and gender-matched) completed a threat paradigm during fMRI where animate and inanimate, threatening and neutral stimuli appeared to loom towards or recede from participants. Reduced responsiveness to threat variables, including visual threats and encroaching stimuli, was observed within acute threat circuitry and temporal, lateral frontal and parietal cortices in youth with DBDs. This reduced responsiveness, at least with respect to the looming variable, was modulated by CU traits. Reduced responsiveness to animacy information was also observed within temporal, lateral frontal and parietal cortices, but not within amygdala. Reduced responsiveness to animacy information as a function of CU traits was observed in PCC, though not within the amygdala. Reduced threat responsiveness may contribute to risk taking and impulsivity in youth with DBDs, particularly those with high levels of CU traits. Future work will need to examine the degree to which this reduced response to animacy is independent of amygdala dysfunction in youth with DBDs and what role PCC might play in the dysfunctional social cognition observed in youth with high levels of CU traits.

  11. The design of looming draft for multi-eye heddle weaving%多眼综丝织造的上机图设计

    Institute of Scientific and Technical Information of China (English)

    柳宝琴; 李毓陵; 陈旭炜; 杜卫平

    2015-01-01

    Based on the design of looming draft for ordinary single-eye heddle weaving , the design of looming draft with the application of multi-eye heddle weaving technology for complex multilayer fabric was investigated . The looming drafts for heddle weaving with different number of eyes were also compared .%在传统单眼综丝织造上机设计的基础上,阐述多眼综丝织造复杂多层织物组织的上机图设计方法,并对比分析不同综眼数综丝织造的上机图。

  12. Learning Crisis Unit through Post-Crisis: Characteristics and Mechanisms

    Science.gov (United States)

    Chebbi, Hela; Pündrich, Aline Pereira

    2015-01-01

    Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper…

  13. Learning Crisis Unit through Post-Crisis: Characteristics and Mechanisms

    Science.gov (United States)

    Chebbi, Hela; Pündrich, Aline Pereira

    2015-01-01

    Purpose: This paper aims to identify the characteristics that a crisis unit should have to achieve effective learning after crisis. Literature has identified many relations between learning organizations and crisis; yet, there is a dearth of research on specific studies about crisis units and their post-crisis learning features. Thus, this paper…

  14. A Self-Insured Health Program: From Crisis to Opportunity

    Science.gov (United States)

    Steffes, Gary D.

    2008-01-01

    Moberly Area Community College faced a crisis in healthcare coverage that eventually lead to enhanced benefits, greater control, plan stability, and increased flexibility through a self-insured program. Presented here is how Moberly Area Community College overcame the health care coverage crisis and how other institutions can benefit from the…

  15. L’Italia: una crisi nella crisi

    Directory of Open Access Journals (Sweden)

    Alessandro Roncaglia

    2011-01-01

    Full Text Available The article synthesises the large and extending literature on the financial and economic crisis from a Post-Keynesian point of view. The authors take on the position that the international and internal real imbalances are serious and worrying, but yet they are not the cause of the crisis or of its tremendous dimension. The flawed and insufficient regulation of finance is the prime cause of the crisis, as well as it is one of the main hindrances to expansionary macroeconomic policies that may less painfully drive developed countries out of the crisis. It then examines the most recent developments in the euro-area, claiming that we are not facing a sovereign debt crisis but rather a speculative attack on the euro. Finally, the article considers specifically the situation of Italy, currently at the hearth of such an attack, and suggests that the country was already facing critical developments before the 2007/2008 crisis. Thus, the policy measures so far suggested to exit the current stressful situation, in so far as they ignore this fact, seriously run the risk of proving insufficient or altogether noxious.

  16. Sickle Cell Crisis (For Teens)

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Sickle Cell Crisis (Pain Crisis) KidsHealth > For Teens > Sickle Cell ... Crisis drepanocíticas (Crisis de dolor) What Is a Sickle Cell Crisis? Sickle cell disease changes the shape of ...

  17. 莱赛尔织物织机工艺优化%Optimization of Loom Processing for Lyocell Fabric

    Institute of Scientific and Technical Information of China (English)

    陈克炎; 赵纪卫

    2016-01-01

    探讨莱赛尔织物的织机工艺优化方法。以某细特莱赛尔织物为例,分析了织机工艺参数的优化,包括上机张力、后梁高度、停经架位置、开口形式、引纬时间、主辅喷气压等;对包括边撑疵、断疵、横档、布幅缩率差异大等几种典型织疵提出来解决方法。采取一系列工艺优化和技术措施后,最终产品台时经停2.45根,台时纬停2.84根,织机效率达80.8%。认为:有针对性地优化织机工艺和采取措施,最终可以保证产品的顺利生产,织机效率显著提高。%The optimization method for loom processing of lyocell fabric was discussed.One fine lyocell fab-ric was taken as an example.The optimization of loom processing parameters were analyzed,which includes loom tension,height of back beam,shed form,weft-insertion time,main and assistant air-jet pressure and so on.The so-lutions for several kinds of weaving defects like temple defect,broken defect,cross bar,larger differences for fabric shrinkage rate and so on were put forward.After adopting a series of processing optimization and technology measures,the warp stop of product was 2.45 counts per machine hour,weft stop was 2.84 counts per machine hour and the loom efficiency was 80.8%.It is considered that production could be guaranteed successfully and the loom efficiency can be obviously improved aimed at the optimization of loom processing and adopting measures.

  18. The Propulsive Force of the Water-jet to the Flying Weft in Water-jet Looms

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    In order to study the propulsive force on the water-jet to the flying weft in water-jet looms, a dynamic model has been established. Based on the analysis and example testing, an experiential formula of the propulsive force of the water-jet to the flying weft is obtained for the first time. The formula will profit the further research of the water-jet weft insertion and the production of textile.

  19. [Intraoperative crisis and surgical Apgar score].

    Science.gov (United States)

    Oshiro, Masakatsu; Sugahara, Kazuhiro

    2014-03-01

    Intraoperative crisis is an inevitable event to anesthesiologists. The crisis requires effective and coordinated management once it happened but it is difficult to manage the crises properly under extreme stressful situation. Recently, it is reported that the use of surgical crisis checklists is associated with significant improvement in the management of operating-room crises in a high-fidelity simulation study. Careful preoperative evaluation, proper intraoperative management and using intraoperative crisis checklists will be needed for safer perioperative care in the future. Postoperative complication is a serious public health problem. It reduces the quality of life of patients and raises medical cost. Careful management of surgical patients is required according to their postoperative condition for preventing postoperative complications. A 10-point surgical Apgar score, calculated from intraoperative estimated blood loss, lowest mean arterial pressure, and lowest heart rate, is a simple and available scoring system for predicting postoperative complications. It undoubtedly predicts higher than average risk of postoperative complications and death within 30 days of surgery. Surgical Apgar score is a bridge between proper intraoperative and postoperative care. Anesthesiologists should make effort to reduce the postoperative complication and this score is a tool for it.

  20. Financial crisis, austerity, and health in Europe.

    Science.gov (United States)

    Karanikolos, Marina; Mladovsky, Philipa; Cylus, Jonathan; Thomson, Sarah; Basu, Sanjay; Stuckler, David; Mackenbach, Johan P; McKee, Martin

    2013-04-13

    The financial crisis in Europe has posed major threats and opportunities to health. We trace the origins of the economic crisis in Europe and the responses of governments, examine the effect on health systems, and review the effects of previous economic downturns on health to predict the likely consequences for the present. We then compare our predictions with available evidence for the effects of the crisis on health. Whereas immediate rises in suicides and falls in road traffic deaths were anticipated, other consequences, such as HIV outbreaks, were not, and are better understood as products of state retrenchment. Greece, Spain, and Portugal adopted strict fiscal austerity; their economies continue to recede and strain on their health-care systems is growing. Suicides and outbreaks of infectious diseases are becoming more common in these countries, and budget cuts have restricted access to health care. By contrast, Iceland rejected austerity through a popular vote, and the financial crisis seems to have had few or no discernible effects on health. Although there are many potentially confounding differences between countries, our analysis suggests that, although recessions pose risks to health, the interaction of fiscal austerity with economic shocks and weak social protection is what ultimately seems to escalate health and social crises in Europe. Policy decisions about how to respond to economic crises have pronounced and unintended effects on public health, yet public health voices have remained largely silent during the economic crisis. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. 危机管理在急诊护理中的应用探析%Crisis management in the application of emergency care

    Institute of Scientific and Technical Information of China (English)

    王殿林

    2014-01-01

    目的:对应用危机管理模式在对急诊患者实施护理管理中的临床效果进行研究。方法:将我院收治的50例急诊科患者随机分为对照组和观察组,平均每组25例。采用常规急诊护理管理模式对对照组实施护理管理;采用危机管理模式对观察组实施护理管理。结果:观察组患者对急诊治疗期间护理管理模式的满意度明显高于对照组;急诊治疗所需时间明显短于对照组;医疗纠纷发生率明显低于对照组。结论:应用危机管理模式对急诊患者实施护理管理的临床效果非常明显。%objective: To apply the crisis management model for emergency patients to study the clinical effect of nursing management. Methods: 50 cases of our hospital's emergency department patients were randomly divided into control group and observation group, an average of 25 cases in each group. The conventional emergency nursing management mode to control the implementation of nursing management; Observation group the crisis management pattern on the implementation of nursing management. Results: The observation group of patients to nursing management mode during the period of emergency treatment satisfaction is significantly higher than control group;Time needed for emergency treatment obviously shorter than the control group;The incidence of medical disputes significantly lower than the control group. Conclusion:The application of crisis management mode on nursing management in emergency patients clinical effect is very obvious.

  2. [Psychological containment put to the test by a crisis].

    Science.gov (United States)

    Grison-Curinier, Juliete; Limongi, Marc; Bocoum, Amadou

    2014-01-01

    In the first-time admission unit, psychological containment is based essentially on receivingthe patient in crisis. While the management of the crisis is inseparable from containment, the drawing up of the patient's history, centred on observation, transfer and the clinical aspect, is a key stage in the patient's care. In an institution, the nursing team will, through its creativity, invent the care, seeking a possible alliance.

  3. Crisis redt ruimtelijke ordening

    NARCIS (Netherlands)

    L. Janssen-Jansen

    2011-01-01

    Wie buiten om zich heen kijkt, ziet een enorm overschot aan vastgoed variërend van leegstaande kantoren en winkels en eindeloos te koop staande woningen tot stilliggende bouwprojecten. In de vakwereld en media krijgt de fi nanciële crisis de schuld. Maar is de crisis wel de schuldige? Of juist de re

  4. Opportunity From Crisis

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Africa can benefit from the global financial crisis by developing and chartering its own economic course by Zhong Weiyun THE global economic development is like a sports competition.A loss by one competitor creates the chance for another to win.The financial crisis has seen major economies in Europe and America struggling under the burden of sluggish markets,while developing

  5. ABOUT THE ECONOMIC CRISIS

    Directory of Open Access Journals (Sweden)

    Tartavulea Ramona Iulia

    2009-05-01

    Full Text Available The economic crisis that the global economy is facing nowadays has started with the financial crisis of the U.S financial system. We are talking about an unprecedented speculative boom at global level which has overcome the previous booms created by the d

  6. Crisis Management Research Summaries

    Science.gov (United States)

    Brock, Stephen E., Ed.

    2009-01-01

    In this column, Crisis Management in the Schools Interest Group members summarize recent crisis management publications. The first article summarized was a meta-analysis of the risk factors associated with Posttraumatic Stress Disorder (PTSD) among adults. The second study looked at the presence of life stressors among students who were expelled…

  7. Dalla crisi finanziaria alla crisi reale

    Directory of Open Access Journals (Sweden)

    CARLO D’ADDA

    2010-01-01

    Full Text Available The financial crisis of 2008 is put in relation with two bubbles, financial and housing. Easy credit is at the origin of both bubbles. Risky bonds were issued to mobilize mortgages originated in the housing market, and bad bonds entered a fantastic number of institutional and private portfolios all over the world without any perception of the their risk. Unfortunately, bank credit to speculators was abundant and fed the final growth of the bubbles. When fears started to spread, the fall was immediate and expectations impaired very rapidly. The main aggregate demand components were severely curtailed and production fell as well. This is the crisis of the real economy. Fortunately, as opposed to what happened in 1929, the interventions of central banks and governments have been of an unprecedented size. The bail out of insolvent banks in particular has been providential. The exit from the current crisis, however, will surely be slow.

  8. From Liquidity Crisis to Sovereign Debt Crisis

    Directory of Open Access Journals (Sweden)

    Simona VINEREAN

    2013-12-01

    Full Text Available This paper summarizes the results of empirical research on European Union s evolution in terms of macroeconomic stability in a period in which member countries crossed from a liquidity crisis to a sovereign debt crisis. So, the evolution of the EU member countries is analyzed as the sovereign debt crisis has worsened and has become increasingly dangerous for the stability of the European economy. The research that is the subject of this paper aims to segment the EU member countries according to the degree of macroeconomic stability. Also, this segmentation process is performed according to two indicators that are highly important for macroeconomic stability, namely the sovereign debt, expressed as public debt to GDP, and fiscal and budgetary discipline, expressed by the ratio of budget balance to GDP.

  9. Hypertensive crisis in children.

    Science.gov (United States)

    Chandar, Jayanthi; Zilleruelo, Gastón

    2012-05-01

    Hypertensive crisis is rare in children and is usually secondary to an underlying disease. There is strong evidence that the renin-angiotensin system plays an important role in the genesis of hypertensive crisis. An important principle in the management of children with hypertensive crisis is to determine if severe hypertension is chronic, acute, or acute-on-chronic. When it is associated with signs of end-organ damage such as encephalopathy, congestive cardiac failure or renal failure, there is an emergent need to lower blood pressures to 25-30% of the original value and then accomplish a gradual reduction in blood pressure. Precipitous drops in blood pressure can result in impairment of perfusion of vital organs. Medications commonly used to treat hypertensive crisis in children are nicardipine, labetalol and sodium nitroprusside. In this review, we discuss the pathophysiology, differential diagnosis and recent developments in management of hypertensive crisis in children.

  10. Crisis Communication and Management: Surviving a Public Relations Crisis

    Science.gov (United States)

    Eramo, Eric M.

    2009-01-01

    Crisis management, or crisis communication, is never a good thing for a business to experience. It is, however, a public relations' professional moment to shine and put their honed skills to good use. A good crisis management plan is not only action during the crisis but preparation and reflection. Hiring a PR firm that deals with crisis…

  11. Severe Hypoglycemia Accompanied with Thyroid Crisis

    Directory of Open Access Journals (Sweden)

    Yuki Nakatani

    2012-01-01

    Full Text Available We report a 32-year-old Japanese women with severe hypoglycemia accompanied with thyroid crisis. She complained of dyspnea, general fatigue, and leg edema. She was diagnosed with hyperthyroidism with congestive heart failure and liver dysfunction. Soon after admission, sudden cardiopulmonary arrest occurred. She was then transferred to the intensive care unit. Her serum glucose level was 7 mg/dl. Intravenous glucose, hydrocortisone, diuretics, and continuous hemodiafiltration (CHDF saved her. We considered that hypoglycemia occurred due to heart failure and liver dysfunction due to thyroid crisis.

  12. The Economic Crisis and Public Health

    Directory of Open Access Journals (Sweden)

    Victor Sidel

    2009-06-01

    Full Text Available The current global economic crisis seriously threatens the health of the public. Challenges include increases in malnutrition; homelessness and inadequate housing; unemployment; substance abuse, depression, and other mental health problems; mortality; child health problems; violence; environmental and occupational health problems; and social injustice and violation of human rights; as well as decreased availability, accessibility, and affordability of quality medical and dental care. Health professionals can respond by promoting surveillance and documentation of human needs, reassessing public health priorities, educating the public and policymakers about health problems worsened by the economic crisis, advocating for sound policies and programs to address these problems, and directly providing necessary programs and services.

  13. Application of 4R-model crisis management theory in skin care of patients in ICU%4R危机管理理论在ICU患者皮肤保护中的应用效果

    Institute of Scientific and Technical Information of China (English)

    张雪娇

    2016-01-01

    Objective To explore the application of 4R-model crisis management theory in skin care of patients in ICU.Methods A total of 800 patients in ICU of our hospital between January and December 201 3 were included as control group received routine skin care.A total of 850 patients in ICU of our hospital between January and December 201 4 were included in observation group and given skin care based on 4R-model crisis management theory. The incidence of pressure ulcers, skin damage, eczema, scald, frostbite and the improvement of pressure ulcers were record and compared in two groups.Results The incidence of skin problems in the observation group was significantly lower than that in the control group.The difference between two groups was statistically significant (P <0.05).The score of nursing quality in the observation group was higher than that in the control group.The difference between two groups was statistically significant (P <0.05).Conclusions The application of 4R-model crisis management theory can effectively prevent the occurrence of skin complications of patients in ICU,and provide a scientific,continuous and effective management for skin care of patients in ICU.%目的:探讨4R 危机管理理论在 ICU 患者皮肤保护中的应用效果。方法以2013年1—12月哈尔滨医科大学第一附属医院 ICU 收治的800例患者为对照组,以常规皮肤护理方法护理;以2014年1—12月我院 ICU 收治的850例患者为观察组,对患者采用4R 危机管理理论进行皮肤护理管理。护理期间记录并比较两组压疮、皮肤破损、湿疹、冻(烫)伤发生率和院外压疮好转情况。结果观察组皮肤问题发生率明显低于对照组,两组比较差异有统计学意义(P <0.05);观察组护理工作质量评分均优于对照组,两组比较差异有统计学意义(P <0.05)。结论4R 危机管理理论可有效预防 ICU 患者皮肤相关并发症的发生,为 ICU 患者皮肤管

  14. Husserl's Crisis as a crisis of psychology.

    Science.gov (United States)

    Feest, Uljana

    2012-06-01

    This paper places Husserl's mature work, The Crisis of the European Sciences, in the context of his engagement with--and critique of--experimental psychology at the time. I begin by showing (a) that Husserl accorded psychology a crucial role in his philosophy, i.e., that of providing a scientific analysis of subjectivity, and (b) that he viewed contemporary psychology--due to its naturalism--as having failed to pursue this goal in the appropriate manner. I then provide an analysis of Husserl's views about naturalism and scientific philosophy. Some central themes of the Crisis are traced back to Husserl's earlier work and to his relationship with his teacher, Franz Brentano, with whom he disagreed about the status of "inner perception" as the proper scientific method for a phenomenological analysis. The paper then shows that Husserl was well aware of at least one publication about the crisis of psychology (Bühler's 1927 book), and it teases out some aspects of the complicated relationship between Husserl and members of the Würzburg School of thought psychology: The latter had drawn on Husserl's writings, but Husserl felt that they had misunderstood his central thesis. I conclude by placing Husserl's work in the wider context of scientific, cultural, and political crisis-discourses at the time.

  15. Dalla crisi finanziaria alla crisi reale

    Directory of Open Access Journals (Sweden)

    Carlo D'Adda

    2010-03-01

    Full Text Available  The financial crisis of 2008 is put in relation with two bubbles, financial and housing. Easy credit is at the origin of both bubbles. Risky bonds were issued to mobilize mortgages originated in the housing market, and bad bonds entered a fantastic number of institutional and private portfolios all over the world without any perception of the their risk. Unfortunately, bank credit to speculators was abundant and fed the final growth of the bubbles. When fears started to spread, the fall was immediate and expectations impaired very rapidly. The main aggregate demand components were severely curtailed and production fell as well. This is the crisis of the real economy. Fortunately, as opposed to what happened in 1929, the interventions of central banks and governments have been of an unprecedented size. The bail out of insolvent banks in particular has been providential. The exit from the current crisis, however, will surely be slow. JEL Code: E44, G01, G10Keywords: Cultura economica, Crisi finanziaria, Regole  

  16. Financial Crisis in Russia: Cuases and Prospects

    Directory of Open Access Journals (Sweden)

    Seungweon Suh

    1998-06-01

    Full Text Available Although we cannot exclude the reason for financial crisis in Russia's foreign exchange is the depreciation of Rupees and a loss for foreign investment caused the currency crisis in Asia, but most people predicted that by the support of the Russian government and the deflation efforts it will soon go back to stable. And other people said that there is no possibility of causing the world economic chaos but also no possibility for this situation to evolve into a situation where old policy replaced by new one and where there is Country moratorium. At the time when the prediction was made, since the Korea-Russia relationship is still weak, this Russian Crisis caused small influence on Korean Economy. But some section like exporting electronic products and food which rely Russia quite a lot, should analyze the situation carefully in order to face the shrinkage of market demand of Russia.

  17. Growth in a Crisis

    Institute of Scientific and Technical Information of China (English)

    XIONG HOU

    2010-01-01

    @@ In the first half of 2010, the Greek sovereign debt crisis hit Europe severely,casting a shadow over the region's slow economic recovery. Although the crisis has been gradually curbed across Europe, thanks largely to major financial stability measures by the EU and its member states, it still poses grave challenges to the long-term economic growth of Europe. Faced with serious structural problems brought to light by the crisis, Europe must carry out substantial measures to regain vitality and ensure lasting growth.

  18. Trust vs. Crisis

    Directory of Open Access Journals (Sweden)

    Kirsten Mogensen

    2014-06-01

    Full Text Available The three social phenomena -- norms, trust, and crisis -- are in this paper combined into one model that illustrates their function and relationship. Crisis is seen as a reaction to serious violations of expectations that leave people disoriented, insecure about situational norms, and unable to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968, Alf Ross Directives and Norms (1967, and Arthur G. Neal National Trauma & Collective Memory (1998.

  19. Crisis intervention for nurses.

    Science.gov (United States)

    Chase, Emily

    2013-06-01

    Cancer diagnoses and treatments can be crisis-causing events that overwhelm the usual coping abilities of patients and their families. Oncology nurses constantly are observing and attending to patients' diverse needs, ranging from biomedical to emotional, social, and psychological. Nurses have the chance to be first responders in times of patient crises, as they are in the position to recognize the crisis, respond effectively, and transform the crisis into a pivotal learning experience. This article discusses a way to think about patient and family crises that empowers nurses to respond in a manner appropriate to the cultural context and respectful of the individual space of the patient.

  20. Egypt & Financial Crisis

    OpenAIRE

    2011-01-01

    Financial crisis that occurred in August 2008 was unforeseen, sudden, sharp, and had a great impact on the global financial market. Egypt is one of the countries was affected by this financial crisis as a market economy country, and WTO member. in this paper I will try to study the implication of such crisis on the Egyptian economy in the fields of tourism, Suez canal, oil field, and GDP, not only the economy factor were effected, but also the Egyptian market represented in its compon...

  1. Superbugs causing ventilator associated pneumonia in a tertiary care hospital and the return of pre-antibiotic era!

    Directory of Open Access Journals (Sweden)

    S Qureshi

    2015-01-01

    Full Text Available The rise in super bugs causing Ventilator-Associated Pneumonia (VAP is a major cause of mortality and morbidity despite recent advances in management owing to the looming ′antibiotic apocalypse′. The aetiology and susceptibility pattern of the VAP isolates varies with patient population, type of intensive care unit (ICU and is an urgent diagnostic challenge. The present study carried out for a period of one year in a tertiary care hospital, enrolled patients on mechanical ventilation (MV for ≥48 hrs. Endotracheal aspirates (ETA from suspected VAP patients were processed by semi quantitative method. Staphylococus aureus, members of Enterobacteriaceae were more common in early onset VAP (EOVAP, while Nonfermenting Gram negative bacilli (NFGNB were significantly associated with late onset VAP (LOVAP. Most of the isolates were multi drug resistant (MDR super bugs. With limited treatment options left for this crisis situation like the pre-antibiotic era; it is an alarm for rational antibiotic therapy usage and intensive education programs.

  2. An alternative perspective on how laboratory medicine can contribute to solve the health care crisis: a model to save costs by acquiring excellence in diagnostic systems.

    Science.gov (United States)

    Mussap, Michele

    2014-01-01

    The rapid escalation in health care costs has led to the idea to deliver better care at lower costs, reshaping the responsibilities of the health care system to achieve the goal of creating value for the patient. The pressure for fiscal containment and the progressive reduction in available health care resources originated very short term strategies consisting of abrupt reductions in expenditure, specifically in the provision of clinical pathology laboratory medicine services. However, the impact of laboratory test results on diagnostic and therapeutic interventions has increased enormously in the past decade, due to advances in personalized medicine and to the strictly correlated requirement to use new biomarkers with increasing sensitivity and specificity in clinical practice. In order to create savings by delivering better care there is the need to invest financial resources in purchasing high technology and new sophisticated tests and to promote the expertise of clinical pathologists and laboratory medicine professionals. This approach to creating value in patient health care is more productive and sustainable ethically, morally and economically as a long-term strategy. It can be successfully achieved by applying defined rules that make public-private cooperation clearer, skipping incompatible solutions such as transforming clinical laboratories to 'industrially productive premises', outsourcing laboratory medicine services and using central acquisition of diagnostic systems.

  3. Averting a Future Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The world has left the worst of the financial crisis behind, but memories of the meltdown have barely faded. But what made the world’s economy so vulnerable, and what kinds of lessons can we draw from it?

  4. Policing the Global Crisis

    Directory of Open Access Journals (Sweden)

    William I. Robinson

    2015-08-01

    Full Text Available As part of my research for a book manuscript on the crisis of global capitalism I recently finished writing (Robinson forthcoming, I decided to re-read the classic 1978 study conducted by the noted socialist and cultural theorist Stuart Hall and several of his colleagues, Policing the Crisis. The authors show in that book how the restructuring of capitalism as a response to the crisis of the 1970s - which was the last major crisis of world capitalism until the current one hit in 2008 -led in the United Kingdom and elsewhere to an "exceptional state," by which they meant a situation in which there was an ongoing breakdown of consensual mechanisms of social control and a growing authoritarianism.

  5. Migrants caught in crisis

    Directory of Open Access Journals (Sweden)

    Brian Kelly

    2012-06-01

    Full Text Available A number of new initiatives point to ways in which the internationalcommunity – particularly governments – could help reduce the vulnerabilities of migrant workers during conflict and crisis situations.

  6. Modelli formali della crisi

    Directory of Open Access Journals (Sweden)

    Giancarlo Gandolfo

    2010-03-01

    Full Text Available In this paper a distinction is made between the immediate technical-financial causes that unleashed the crisis in the United States, and its macroeconomic causes, which also explain its international transmission. Two formal paradigmatic models are considered. The first is Li’s formula on default correlation (“The Formula that Killed Wall Street”, whose misuse gave rise to the crisis. The second is the international financial multiplier set forth by Paul Krugman. After examining these two models, the paper concludes that, contrary to widespread opinion, the crisis was indeed foreseen by some economists, who, coming from the non-mainstream side of the profession, were largely ignored.   JEL Codes: G01, F3, E44Keywords: Cultura economica, Crisi finanziaria, Regole

  7. Crisis-Driven Cooperation

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Not hit as badly as the West, East Asian and Southeast Asian countries grapple with the financial crisis from a long-term perspective Although Thailand postponed at the last minute the annual summits of East Asian and Southeast Asian leaders scheduled on April 11-12, regional cooperation will continue to forge ahead with full vigor, even more so in the context of the global financial crisis, said Chinese international studies experts.

  8. Crisis management strategies.

    Science.gov (United States)

    Koster, Maria C; Politis-Norton, Helen

    2004-01-01

    This paper discusses the different facets of crisis as experienced within the pharmaceutical industry but which are also prevalent throughout other industries. It highlights the importance of early identification and management of crises and issues, which in return are strongly intertwined with a fundamental positive internal corporate climate. A corporate philosophy should always embrace crisis management with the attitude of 'when' and not 'if'; therefore, a company should act today and not tomorrow once a crisis is on its doorstep. Preparation is of utmost importance and there are several items that can be addressed even before a crisis has arisen. Further, this paper also provides guidance on how to deal with the media, what to do and what not to do, and how to appoint the appropriate spokesperson. In this era of fast exchange of information, crisis, which previously may have stayed behind corporate doors, may not do so any longer. Image is very important and should therefore not be risked. Crisis and issue management should therefore be integrated in every company's philosophy and standard operating procedures.

  9. CRISIS COMMUNICATION IN UNIVERSITIES

    Directory of Open Access Journals (Sweden)

    Canan MADRAN

    2015-07-01

    Full Text Available Abstract Institutions should implement effective crisis communication strategies to manage their reputations in crisis situations. Thus, the negative perceptions that may occur because of crisis can be reduced and eliminated by continuously informing stakeholders. Therefore, various researches are needed in the area of crisis communication management. The aim of the study is to determine the types of crises that often occur in universities and evaluate the crisis communication efforts in higher education institutions. Crises and crisis communication efforts were evaluated within the framework of media reflections in this study. Content analysis was applied in the classification of crises and responses provided for crises. As a result, the types of crises in Turkish universities were determined as campus safety, actions, protests, loss of confidential information, loss of financial opportunities, loss of key managers and personnel, staff problems, increase of accidents, slander and gossip, unnecessary explanations, rumors, damage to organization and employee reputation, terrorism, workplace violence, corruption, fire and epidemic. It is seen that universities don’t make any communicational effort regarding campus safety, staff problems, increase of accidents, corruption or fire.

  10. Quale crisi, quale sociologia?

    Directory of Open Access Journals (Sweden)

    Michel Wieviorka

    2011-02-01

    Full Text Available Nel 1929 gli studi sociologici che hanno preso in esame la crisi in atto nel momento stesso in cui questa si dispiegava sono stati molto limitati e, fino ad oggi, questa tendenza sembra confermarsi anche con riferimento alla crisi attuale. Per contro si registra una notevole diffusione di contributi di analisi del fenomeno da parte degli economisti che rivelano, in particolare, due tipi di ragionamenti: uno che limita l’analisi al breve periodo, l’altro che invece legge la crisi inquadrandola nei mutamenti dell’ultimo trentennio. La sociologia non è in crisi ma è necessario che rifletta nuovamente sugli strumenti teorici di cui dispone per analizzare la crisi contemporanea. Lo spazio dell’analisi sociologica è quello in cui si coniugano le letture dell’avvenimento attuale e le analisi di lungo periodo, lo spazio in cui può trovare adeguata considerazione la soggettività degli individui. È in questo senso che la sociologia può dare il proprio contributo, anche attraverso la collaborazione con le scienze «dure», nel tracciare degli itinerari di uscita dalla crisi.

  11. Management of myasthenic crisis in a child.

    Science.gov (United States)

    Rybojad, Beata; Lesiuk, Witold; Fijałkowska, Anna; Rybojad, Paweł; Sawicki, Marek; Lesiuk, Leszek

    2013-01-01

    Myasthenia gravis is an autoimmune disorder of peripheral nervous system, leading to fluctuating muscle weakness. It is caused by circulating antibodies that block acetylcholine nicotinic postsynaptic receptors at the postsynaptic neuromuscular junction. Myasthenic crisis is a life-threatening complication, which is defined as weakness from acquired myasthenia gravis. In this paper we described a 15-year-old boy who was admitted to the Paediatric Intensive Care Unit due to myasthenic crisis. He had suffered not only from myasthenia gravis but also hypothyroidism, cerebral palsy and epilepsy. The patient required mechanical ventilation and was successfully treated with both plasmapheresis and intravenous immunoglobulins. He recovered from the crisis and then thymectomy was performed. Perioperative period and anaesthesia passed uncomplicated. Discharged home from the hospital after 2.5 month-treatment, for the last 4 years, he has only come on scheduled outpatient medical appointments. This case reveals that myasthenic crisis, albeit rare, may occur in male adolescents. In such cases multidisciplinary care followed by surgery becomes a procedure of choice. Concomitant medical problems, if well controlled, do not affect the results of outcome of the underlying disease.

  12. Burst firing in a motion-sensitive neural pathway correlates with expansion properties of looming objects that evoke avoidance behaviours

    Directory of Open Access Journals (Sweden)

    Glyn Allan McMillan

    2015-12-01

    Full Text Available The locust visual system contains a well-defined motion-sensitive pathway that transfers visual input to motor centers involved in predator evasion and collision avoidance. One interneuron in this pathway, the descending contralateral movement detector (DCMD, is typically described as using rate coding; edge expansion of approaching objects causes an increased rate of neuronal firing that peaks after a certain retinal threshold angle is exceeded. However, evidence of intrinsic DCMD bursting properties combined with observable oscillations in mean firing rates and tight clustering of spikes in raw traces, suggest that bursting may be important for motion detection. Sensory neuron bursting provides important timing information about dynamic stimuli in many model systems, yet no studies have rigorously investigated if bursting occurs in the locust DCMD during object approach. We presented repetitions of 30 looming stimuli known to generate behavioural responses to each of 20 locusts in order to identify and quantify putative bursting activity in the DCMD. Overall, we found a bimodal distribution of inter-spike intervals (ISI with peaks of more frequent and shorter ISIs occurring from 1-8 ms and longer less frequent ISIs occurring from 40-50 ms. Subsequent analysis identified bursts and isolated single spikes from the responses. Bursting frequency increased in the latter phase of an approach and peaked at the time of collision, while isolated spiking was predominant during the beginning of stimulus approach. We also found that the majority of inter-burst intervals occurred at 40-50 ms (or 20-25 bursts/s. Bursting also occurred across varied stimulus parameters and suggests that burst timing may be a key component of looming detection. Our findings suggest that the DCMD uses two modes of coding to transmit information about looming stimuli and that these modes change dynamically with a changing stimulus at a behaviourally-relevant time.

  13. [Financial crisis and mental health].

    Science.gov (United States)

    Giotakos, O

    2010-01-01

    Most studies investigating the effects of the economic crisis on the quality of life indicate a correlation between unemployment or other economic indexes and the general levels of death rates, depression, and suicide tendencies. The most common effects of an economic crisis are unemployment, spending power cuts, general insecurity and public spending retrenchment, including health related budget cuts. Under conditions of economic crisis, the poor represent a high risk group since they are the first ones to be put at risk. At the same time, due to their pre-existing functionality reduction, individuals already experiencing psychiatric diseases also represent a high risk group, thus creating a vice circle where poverty nurtures psychiatric disorders and vice-versa. For every country in the midst of a recession, protecting high risk target groups is the first priority. In these cases, research showcases that social security networks' reinforcement represents the first strategic priority. Other factors, for instance personality features related to increased vulnerability to psychosocial threat -such as low tolerance to frustration or low self esteem- also play an important role. At the organizational level, one has to research practices and policies that employers use to respond to changing conditions. An economic recession is a chance to revamp essential services toward weaker populations that need to be protected. This translates into a buttressing of the social welfare system while promoting timely interventions. Amongst others, the registration of high risk population groups, the rehabilitation and social inclusion of unemployed individuals and individuals with psychiatric problems, the training of first responders and primary care physicians, the tracing and curing of depression and other usual disorders, as well as an improved access to the psychiatric-health provision system.

  14. RESTRUCTURING COMPANIES UNDER CRISIS

    Directory of Open Access Journals (Sweden)

    Hezi Aviram SHAYB

    2016-12-01

    Full Text Available Nobody is planning to fail, but many companies are failing because of lack of planning. Real business experience showed during the years that crisis can be prevented, avoided or limited. If detected in time, the risks associated with the crisis can be mitigated and the effects can be diminished, with the condition that the actions required are done fast, in a sharp and accurate manner. When it comes, a crisis brings an intense level of pressure and under these conditions there is no time or room for mistakes. Delays, losing focus and lack of planning will bring a company one step away from failure. The right way to deal with crisis, if required measures are not done in time, is to minimize the losses and reposition in the best way possible. Analysing the success stories of some of the biggest and strongest companies in the world, led to an important conclusion: the majority of these companies were in the situation to face huge crises which threatened their ability to survive in certain moments, on their way to success. With the right planning and by setting a proper organisational structure, the negative aspects of the crisis can be turned into benefits and opportunities for the company. The most critical challenge for management is to assess the level of exposure to risk of the company and identify the key points to focus on in order to overcome the crisis and create value. In order to set up a strong plan in dealing with crisis, a business organisation needs reliable, efficient and effective tools and this is what this article is all about.

  15. RESTRUCTURING COMPANIES UNDER CRISIS

    Directory of Open Access Journals (Sweden)

    Hezi Aviram SHAYB

    2016-12-01

    Full Text Available Nobody is planning to fail, but many companies are failing because of lack of planning. Real business experience showed during the years that crisis can be prevented, avoided or limited. If detected in time, the risks associated with the crisis can be mitigated and the effects can be diminished, with the condition that the actions required are done fast, in a sharp and accurate manner. When it comes, a crisis brings an intense level of pressure and under these conditions there is no time or room for mistakes. Delays, losing focus and lack of planning will bring a company one step away from failure. The right way to deal with crisis, if required measures are not done in time, is to minimize the losses and reposition in the best way possible. Analysing the success stories of some of the biggest and strongest companies in the world, led to an important conclusion: the majority of these companies were in the situation to face huge crises which threatened their ability to survive in certain moments, on their way to success. With the right planning and by setting a proper organisational structure, the negative aspects of the crisis can be turned into benefits and opportunities for the company. The most critical challenge for management is to assess the level of exposure to risk of the company and identify the key points to focus on in order to overcome the crisis and create value. In order to set up a strong plan in dealing with crisis, a business organisation needs reliable, efficient and effective tools and this is what this article is all about.

  16. [A proposal to combine Roy's conceptual framework with crisis theory].

    Science.gov (United States)

    Luis, M V

    1990-04-01

    It is reported the crisis theory framework's and is proposed its linkage with the Callista Roy conceptual Model. The aim is to provide the nurse with an instrumental and theoretical framework of the knowledge of the person in crisis intervention. In this proposition is still suggested, a guide to nursing care. It is derived of both theories and exemplified by the author trough practice application.

  17. The Euro crisis. Causes and Symptoms

    Directory of Open Access Journals (Sweden)

    Christoph S. Weber

    2015-06-01

    Full Text Available The Euro crisis is mainly a consequence of the international financial crisis of 2008. Thereby, the term Euro crisis is misleading as there is no currency crisis. First, the article shows some of the birth defects of the Euro. Second, it shows that the increase in public debt was caused by rescue measures for banks and anti-cyclical fiscal policy. Third, we argue that the Euro crisis is not just one crisis (a sovereign debt crisis but it is a combination of several macroeconomic crises including a growth crisis, a labour market crisis, a public debt crisis, and a current account crisis.

  18. Organizational crisis management - crisis communication when IT fails

    OpenAIRE

    Glad, Jutta

    2009-01-01

    HELSINKI SCHOOL OF ECONOMICS ABSTRACT International Business, Master’s Thesis Jutta Glad 08.05.2009 ORGANIZATIONAL CRISIS MANAGEMENT – CRISIS COMMUNICATION WHEN INFORMATION TECHNOLOGY FAILS Objectives of the thesis The objective of this study is to find out what different factors an organization should consider when responding to an organizational crisis that has been caused by an information technology failure. The study also tries to find out whether crisis communicat...

  19. 喷气织机纬向停台浅析陈声富%Analysis of Weft Stoppages of Air-j et Looms

    Institute of Scientific and Technical Information of China (English)

    陈声富

    2016-01-01

    The reasons of weft stoppage and the influencing factors of weaving efficiency for air-j et loom were analyzed according to the fault stoppage recording for air-j et loom in production practice.Some improvement measures were proposed.%从实际生产中喷气织机的故障停台记录入手,分析了纬向停台形成原因和影响喷气织机织造效率的主要因素,提出了相应的改进措施。

  20. Eight Noble Opinions and the Economic Crisis: Four Literary-philosophical Sketches à la Eduardo Galeano

    Directory of Open Access Journals (Sweden)

    Giorgio Baruchello

    2010-03-01

    Full Text Available Four literary-philosophical skecthes are presented here in order to celebrate the ten-year anniversary of the publication of the official English translation of one of Eduardo Galeano's most important books: Upside Down: A Primer for the Looking-glass World. Each of these four sketches deals with the current economic crisis, though from different perspectives of analysis, and attempts to make use of the vibrant and creative sylistic devices characterising Galeano's works, particularly Upside Down. In this book, Galeano explored insightfully the roots of the crisis to come. His critical conclusions were analogous to those of another eccentric observer of the most notable economic phenomena of the 1990s, John McMurtry, whose perception of the looming crisis was even more profound and technical. Therefore, also this Canadian thinker, indeed his theory of value, is evoked in the four sketches, for McMurtry's onto-axiology reveals the ongoing contradiction between the relentless search for profit of the mostly virtual global script type=text/javascript src=http://nome.st5.stefna.is/joomla/plugins/editors/jce/tiny_mce/themes/advanced/langs/en.js?version=156/scriptscript type=text/javascript src=http://nome.st5.stefna.is/joomla/plugins/editors/jce/tiny_mce/plugins/advcode/langs/en.js?version=156/scripteconomy and the requirements of natural and human life.

  1. Re-Envisioning Crisis

    DEFF Research Database (Denmark)

    Snaith, Holly; Rosamond, Ben

    2015-01-01

    of EU integration – namely the 1970s oil shocks and the more recent global financial crisis – in order to determine the extent to which these events have been contemporarily defined as providing opportunities to act, or simply challenges to the existing order. The paper provides an analysis of the way....... The comparative nature of the findings helps to contextualise current discourses around the global financial crisis, in order to evaluate the EU’s previous efforts at global repositioning, and the significance of crisis discourse to these efforts....... in which EU actors have mobilised the idea of ‘crisis’ in order to (a) exert control over endogenous and exogenous destabilising forces, (b) (re)define the EU as an object of both political engagement and academic study, and finally (c) make the case for further expansion and integration (particularly...

  2. Fighting the Financial Crisis

    DEFF Research Database (Denmark)

    Hull Kristensen, Peer

    2015-01-01

    This paper is concerned to show how the Danish political elite interpreted and responded to the consequences of the 2008 financial crisis for the Danish economy. In particular, the paper describes how this interpretive construction focused primarily on three features of the Danish context...... to the exclusion of other perspectives; the first was an emphasis on the problems of the financial sector, of interest rates and state finances; the second was that Danish productivity increases were falling behind other comparable countries and part of the solution required new strategies towards labour...... and unemployment benefits; thirdly, the adverse effects of the crisis were causing an increase in government expenditure and a decline in government revenues which was rapidly becoming unsustainable. As a consequence, the Danish elite fell into the broader interpretation of the crisis embedded in the dominant view...

  3. Re-Envisioning Crisis

    DEFF Research Database (Denmark)

    Snaith, Holly; Rosamond, Ben

    2015-01-01

    of EU integration – namely the 1970s oil shocks and the more recent global financial crisis – in order to determine the extent to which these events have been contemporarily defined as providing opportunities to act, or simply challenges to the existing order. The paper provides an analysis of the way...... in which EU actors have mobilised the idea of ‘crisis’ in order to (a) exert control over endogenous and exogenous destabilising forces, (b) (re)define the EU as an object of both political engagement and academic study, and finally (c) make the case for further expansion and integration (particularly....... The comparative nature of the findings helps to contextualise current discourses around the global financial crisis, in order to evaluate the EU’s previous efforts at global repositioning, and the significance of crisis discourse to these efforts....

  4. Framing the Newspaper Crisis

    DEFF Research Database (Denmark)

    Bruggemann, Michael; Humprecht, Edda; Kleis, Rasmus

    2016-01-01

    This article argues that discourses of a newspaper crisis should not be regarded simply as descriptions of the actual state of the press but also as a means by which strategic actors frame the situation. The emerging frames can have substantial consequences for media policy making. The study...... identifies four key frames used to portray the newspaper crisis and discusses their relevance for public debates in Finland, France, Germany, Italy, the United Kingdom and the United States. Similarities and differences are examined through 59 in-depth interviews with policymakers and industry executives...... as well as a qualitative analysis of policy documents and relevant media coverage. The study demonstrates that debates on the newspaper crisis are only partly influenced by (1) economic realities and (2) media policy traditions in the six countries but also reflect (3) the strategic motives of powerful...

  5. Aspects of Global Crisis

    Directory of Open Access Journals (Sweden)

    Anca Turtureanu

    2011-06-01

    Full Text Available The author aims to explore Germany, known as one of the most developed Europeaneconomy, based mainly on exports, which until 2010 was the number-one leading exporter. Also,Poland, who managed to surprise us by its economic growth of 1.2% during the most recent globaleconomic crisis, and Romania, which manages to surprise us every day in comparison with othercountries such as France or Italy. The global economic crisis is one of the most important events inrecent years has brought about tremendous losses and increases levels of unemployment well abovethe expectations of many analysts. He started as a tornado in the U.S. savings and was felt all over theworld. It is practically a state of disorder in the world economy, in which countries economy suddenlygoing to lower its labor, usually fall brought the financial crisis.

  6. Modelli formali della crisi

    Directory of Open Access Journals (Sweden)

    GIANCARLO GANDOLFO

    2010-01-01

    Full Text Available In this paper a distinction is made between the immediate technical-financial causes that unleashed the crisis in the United States, and its macroeconomic causes, which also explain its international transmission. Two formal paradigmatic models are considered. The first is Li’s formula on default correlation (“The Formula that Killed Wall Streetâ€, whose misuse gave rise to the crisis. The second is the international financial multiplier set forth by Paul Krugman. After examining these two models, the paper concludes that, contrary to widespread opinion, the crisis was indeed foreseen by some economists, who, coming from the non-mainstream side of the profession, were largely ignored.

  7. Una crisis financiera estructural

    Directory of Open Access Journals (Sweden)

    Pierre Salama

    2010-01-01

    Full Text Available El autor sostiene que la crisis económica que estalló a mediados del 2008 en los países industrializa-dos y que rápidamente contagió a todas las economías del mundo, no tiene un origen exclusivo en las desregulaciones del mercado financiero. Aunque estas sin duda han precipitado y amplificado la crisis, es fundamental considerar la globalización financiera y comercial que ha marcado los regíme-nes de crecimiento económico. Es esta globalización la que ha provocada la deslocalización de la producción –a favor de China– y una consecuente pérdida de empleos y atonía de los salarios. Des-de esta perspectiva terminar la crisis requerirá más que una restructuración de la arquitectura financiera, será necesario modificar la desregularización financiera y comercial.The author maintains that the economic crisis that broke out in mid-2008 in industrialized countries and quickly spread to economies throughout the world does not have its origins solely in deregula-tion of the financial market. Though this clearly precipitated and has broadened the crisis, it is essential to consider the financial and commercial globalization that has marked regimes of economic growth. This is the globalization that has provoked the dislocation of production – in favor of China – and the consequent loss of jobs and stagnation of salaries. From this perspective, an end to the crisis will require more than a restructuring of financial architecture; what will be needed is change in financial and commercial deregulation.

  8. Financial crisis: theory and practice

    OpenAIRE

    Ramírez Sarrió, Dídac; Ceballos Hornero, David; Rodriguez, Martha; Cortez, Klender; Cantarero Prieto, David; CASTILLO, Jorge; Fuenzalida, Darcy; Garcia, Heriberto; Mongrut, Samuel; Nash, Mauricio; Rosales, Luis Francisco; Torres, Gabriela; Treviño, Eduardo

    2009-01-01

    In the last 50 years, we have had approximately 40 events with characteristics related to financial crisis. The most severe crisis was in 1929, when the financial markets plummet and the US gross domestic product decline in more than 30 percent. Recently some years ago, a new crisis developed in the United States, but instantly caused consequences and effects in the rest of the world. This new economic and financial crisis has increased the interest and motivation for the academic communit...

  9. Crisis and Regional Integration

    DEFF Research Database (Denmark)

    Dosenrode, Søren

    ‘Crisis’ has been a word frequently heard of over the last couple of years, both in a global meaning (e.g. the environmental crisis, the financial crisis) and also in a more regional or national meaning, many times related to Africa (Horn of Africa, Ivory Coast, DR Congo, Zimbabwe, Ivory Coast...... at the processes of regional integration in relation to ‘crisis’ in Africa and Europe. First, this paper will look at the concept of ‘crisis’, before it moves on to discuss ‘regional integration’ and the correlation between the two, emphasizing the approaches of neo-functionalism and federal theory...

  10. Violencias, crisis y culturas

    OpenAIRE

    José María Tortosa

    2010-01-01

    En el contexto de las crisis globales y la crisis de hegemonía contemporánea, se discute el problema de las nuevas violencias haciendo un énfasis particular en el papel que la cultura en general y la información en particular juegan en las violencias. Para evitar caer en el culturalismo, se exponen algunas reflexiones sobre los factores que inciden en las violencias y que van más allá de la cultura.

  11. Psicoterapia de la crisis.

    Directory of Open Access Journals (Sweden)

    José Luis González de Rivera y Revuelta

    2001-01-01

    Full Text Available La crisis es un sindrome agudo de estrés, caracterizado por la ruptura brusca de la vivencia de continuidad psíquica y por la respuesta activa ante un proceso de cambio. El éxito en esta respuesta favorece el desarrollo e integración de la personalidad, mientras que su fracaso puede llevar a una total desestructuración. La intervención terapéutica requiere consideración del tipo y fase de la crisis, de la personalidad y experiencias criticas del sujeto, y de los condicionantes socioculturales del entorno. :

  12. Bargaining in the crisis

    DEFF Research Database (Denmark)

    Ibsen, Christian Lyhne; Andersen, Søren Kaj; Due, Jesper Jørgen;

    2011-01-01

    The economic crisis weighed heavily on the 2010 collective bargaining rounds in the Danish and Swedish manufacturing sectors – the pattern-setting sectors in both countries. This article analyses and compares the bargaining rounds from agenda-setting to signing, pointing to the significant...... differences in bargaining structures, processes and output. On the whole, the crisis seems to have had little effect on the Danish bargaining system due to a strong centralization on the employer side through the Confederation of Danish Industries, union moderation and the coordination of bargaining areas...

  13. Crisis of Transient Chaos

    Institute of Scientific and Technical Information of China (English)

    王文秀; 陆云清; 陈贺胜; 马明全; 竹有章; 何大韧

    2002-01-01

    A new kind of crisis, which is marked by a sudden change of a strange repeller, is observed in an electronicrelaxation oscillator. Firstly, by its simplified piecewise linear model, we show analytically that a strange repellerappears after a hole-induced crisis, and that the fractal dimension of the strange repeller and the average lifetimeof the iterations in the region occupied by the original attractor suddenly change at the critical parameter valuewhen the repeller disappears. Our numerical investigation convinces us that the corresponding phenomenon canbe found in the original electronic relaxation oscillator.

  14. Dark energy crisis

    Energy Technology Data Exchange (ETDEWEB)

    Gu, J.-A. [Leung Center for Cosmology and Particle Astrophysics (LeCosPA), National Taiwan University (NTU), Taipei 10617, Taiwan (China)

    2010-11-01

    In cosmology we are facing the dark energy crisis: How can we survive huge vacuum energy, meanwhile living with tiny dark energy? For the solution to this crisis, we raise several clues and hints, in particular, supersymmetry and the double hierarchy, M{sub p}-M{sub SM}-M{sub DE} (Planck-Standard Model-dark energy scales). These two clues naturally lead to a solution with a supersymmetry-breaking brane-world. The train of thought from the clues to the solution is elucidated.

  15. Interpretando la crisis

    OpenAIRE

    Franco Eugenio Nanni; Adriana Fátima Panico

    2009-01-01

    El propósito de este trabajo es analizar e interpretar la crisis económico- financiera actual y sus similitudes con las crisis que se sucedieron en el siglo XX, marcando sus causas y consecuencias. Para realizar este estudio consideramos las series del producto y de las tasas de crecimiento de Estados Unidos y del Reino Unido, ya que poseen datos históricos fidedignos. Utilizamos la metodología de modelos estructurales de espacio de estado para analizar las series de tiempo, detectar las caí...

  16. La crisis financiera internacional

    OpenAIRE

    Antonio Torrero Mañas

    2008-01-01

    La crisis financiera en la que estamos inmersos es una perturbación de importancia histórica. La alarma está siendo grande, las intervenciones públicas contundentes, y el coste de la crisis elevadísimo para el contribuyente. El lógico esperar que se intente reducir la excesiva propensión al riesgo de las finanzas actuales accionando tres palancas: 1) regulación y supervisión más estricta y extendida a todas las instituciones financieras; 2) disminución de su capacidad de endeudamiento, y 3) d...

  17. Managed care and economic dynamics.

    Science.gov (United States)

    Riggs, J E

    1996-09-01

    Over the past several decades, health care delivery in the United States evolved in an environment lacking marketplace constraints. The unforeseen result was the current health care crisis--uncontrolled costs, shrinking access, and redundant technological capabilities. Managed care is a strategy to impose fiscal constraints on health care delivery. A diagrammatic analysis of the economic dynamics between consumers and producers in an open marketplace is compared with that of patients, providers, and payers under the health care scheme that produced the health care crisis and under managed care. Patient demands, expectations, and needs for health care are not subject to fiscal constraint under managed care since the dislinkage between consumer and payer still exits. Managed care does not impose true open marketplace fiscal constraints on health care delivery. Furthermore, any solution to the US health care crisis that used true marketplace fiscal constraints would necessitate fundamental changes in societal values concerning individual rights to health care.

  18. Las crisis familiares

    Directory of Open Access Journals (Sweden)

    Idarmis González Benítez

    2000-06-01

    Full Text Available Con este trabajo nos propusimos actualizar el tema de las crisis familiares. Se pone de manifiesto que tanto los eventos propios del desarrollo, como los accidentales, dan lugar a la aparición de crisis en la familia. Queda esclarecido, que no necesariamente han de tener implicaciones negativas para la familia. Se hace énfasis en la valoración del evento por la familia y su significación. Se destaca el papel de los recursos familiares como protectores y moduladores de las crisis. Por último se señalan algunos pasos a seguir en la intervención familiarWith this paper we intend to update the topic of the family crises. It is shown that the own events of development as well as the accidental ones bring about the appearance of crises in the family. It is made clear that they not always have negative implications for the family. Emphasis is made on the assessment of the event for the family and its significance. The role played by the family resources as protective and modulators of the crisis is stressed. Finally, some of the steps to be taken in family intervention are mentioned

  19. Trust vs. Crisis

    DEFF Research Database (Denmark)

    Mogensen, Kirsten

    2014-01-01

    to judge whom to trust. One logical solution to a crisis is to rebuild a shared understanding of the norms involved in any given context. Banking is used as a case. Central concepts are borrowed from Niklas Luhmann Trust (1968), Alf Ross Directives and Norms (1967), and Arthur G. Neal National Trauma...... & Collective Memory (1998)....

  20. Unpacking the Global Crisis

    DEFF Research Database (Denmark)

    Juego, Bonn; Schmidt, Johannes Dragsbæk

    The paper hopes to contribute to a reading of the political economy of the current global crisis with a focus on four interrelated themes. First, we discuss the constitutive role and functional character of crises in the evolution of neo-liberalism in particular and in capitalist reproduction in ...

  1. Ancora sulla crisi

    Directory of Open Access Journals (Sweden)

    Alessandro Roncaglia

    2011-04-01

    Full Text Available The brief note introduces the article collected in the present issue of the journal. It places the various contributions in perspective, critically summarizing the major economic developments since the publication of the last issue.  JEL Codes: E11, G01, B50, H12Keywords: introduction, economic crisis, recovery, Padoa Schioppa

  2. Crisis Counseling: An Overview

    Science.gov (United States)

    Sandoval, Jonathan; Scott, Amy Nicole; Padilla, Irene

    2009-01-01

    Psychologists working in schools are often the first contacts for children experiencing a potentially traumatizing event or change in status. This article reviews basic concepts in crisis counseling and describes the components of psychological first aid. This form of counseling must be developmentally and culturally appropriate as well as…

  3. Crisis -- A Leadership Opportunity

    Science.gov (United States)

    2005-04-01

    On the contrary, an organization which has no clear purpose, or a “valueless” purpose such as simply raising capital – as in the Enron scandal ...citation without the permission of the authors" “Tribune Scandal : A Case Study in Crisis Management.” Utah Policy.com. 8 Dec 2004 <http

  4. Crisis, Kuhn, Fuller

    DEFF Research Database (Denmark)

    Jensen, Hans Siggaard

    2003-01-01

    Social Epistemology 17(2):197?201. 2003 Short description: In this paper Hans Siggaard Jensen looks at the concept of crisis as a central aspect of Kuhn?s theory of science, and relate it to Steve Fullers account of this theory as itself exemplary?not to say paradigmatic?for the understanding...

  5. Managing a Crisis

    Science.gov (United States)

    Pierce, Dennis

    2016-01-01

    Planning ahead, practicing your response for various scenarios, being open and honest, showing empathy and respect for other peoples' perspectives and assuring stakeholders that you have the situation covered are the foundations of communicating successfully during a crisis, experts say. This article provides strategies for Community College…

  6. Financial Crisis Redux?

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Observers refute the start of a new Asian financial crisis sparked by Viet Nam’s financial and economic troubles It looked like a sudden nightmare when stockholders with hundreds of millions of Vietnamese dong found their pockets half empty overnight. The once prosper- ous bull market in Viet Nam plummeted to

  7. Crisis and Environmental Philosophy

    Directory of Open Access Journals (Sweden)

    Peter Wolsing

    2014-06-01

    Full Text Available Environmental ethics began in the 1960s with a growing awareness of coming environmental problems such as pollution and the projected shortage of resources caused by an acceleration in human’s technically based exploitation of nature. In addition to becoming an issue in public debate and in politics since the 1970s, the environmental crisis, which can be laid at the door of industrialization, calls for a more basic consideration of man’s attitude to nature. In this paper I give a short presentation of the concept of crisis in a selection of the principal classical critical philosophies of history and suggest that they all connect crisis to the oppression of man’s inner nature. I go on to sketch the idea of environmental crisis as an oppression of outer nature (the natural environment suggesting that a new, more nuanced organic concept of nature is needed as a condition for ascribing value to life on earth as a whole, which is what most non-anthropocentric ethical theories to some extent do.

  8. The Walking Debt Crisis

    DEFF Research Database (Denmark)

    Basse, Tobias; Kruse, Robinson; Wegener, Christoph

    stability of Greece, Ireland, Italy, Portugal and Spain during the European debt crisis. First, we find compelling evidence for bubbles in the Dow Jones Equity Real Estate Investment Trust (REITs) index which serves as a weekly measure of economic activity in the North American real estate sector. Second...

  9. The US Financial Crisis

    DEFF Research Database (Denmark)

    Campbell, John L.

    2011-01-01

    for each other's shortcomings rather than reinforce each other's incentives. This paper uses evidence from the US financial crisis of 2008 to adjudicate this debate. It argues that different types of institutional complementarities are necessary in combination to ensure market stability and successful...

  10. Insights into the Ukrainian Crisis

    Directory of Open Access Journals (Sweden)

    Costel Daniel Arfire

    2014-05-01

    Full Text Available Political crises are increasingly frequent and devastating not only for the population of a state, but also for the international diplomacy. Such an example is the ongoing Ukrainian crisis. Starting from S. Fink‘s life cycle of a crisis and T.W. Coombs‘s crisis response strategies, I will analyse the evolution of the Ukrainian crisis and the crisis response strategies of three major international actors: Vladimir Putin, Barack Obama and Angela Merkel. The findings of my study will prove that the denial strategy prevails in Putin‘s statement, whereas Obama uses the diminish strategy and Merkel focuses on the bolstering strategy.

  11. Study on Weaving Selvage Mark Plate on Dobby Loom%多臂织机织制边字牌的研究

    Institute of Scientific and Technical Information of China (English)

    张萍; 王克清

    2012-01-01

    Method of weaving selvage mark plate on dobby loom was discussed. The weaving method was determined through design selvage mark plate material, specification, square design paper and sample weaving test. HGA932 series rapier loom was adopted to weave selvage mark plate. It is pointed out selvage mark plate can be clearer and exquisite , the visual effect can be perfect when adding two little loom beam to wind warp and the loom should have more than 24 heddles.%探讨使用多臂织机织制边字牌的方法.通过设计边字牌原料、规格、意匠图以及进行小样试织,确定了多臂织机织制边字牌的方法;并采用HGA732系列剑杆织机成功织制了边字牌.指出:使用多臂织机织制边字牌时要增加两个小织轴来卷取边经纱,且织机要有24片以上的综片,可使织制出来的边字牌更加清晰、细腻,其视觉效果更加完美.

  12. The correlation between stress and economic crisis: a systematic review.

    Science.gov (United States)

    Mucci, Nicola; Giorgi, Gabriele; Roncaioli, Mattia; Fiz Perez, Javier; Arcangeli, Giulio

    2016-01-01

    In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees' well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers' mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages).

  13. Optimization Experience of Rapier Loom Processing Parameter%剑杆织机上机工艺参数的优选体会

    Institute of Scientific and Technical Information of China (English)

    蔡普宁; 林娜

    2011-01-01

    分析总结SM系列剑杆织机上机工艺参数的设置要点.结合多年来的实践经验,对SM系列剑杆织机的开口时间、梭口高度、经位置线、进出剑时间、上机张力、剪切时间等工艺参数的设置原则进行了总结,认为:高密或厚重织物宜用早开口,细薄织物宜用迟开口;经纱上机张力大宜用早开口,经纱强力低宜用迟开口;梭口高度推荐28 mm~32 mm;织制厚重织物时,托纱板与综框的相对位置一般为10 cm~12 cm;棉毛平纹织物采用高后梁或中后梁,丝织或装饰织物、斜纹织物采用中后梁或低后梁.接纬剑进剑时间比送纬剑早5°左右.%Configuration key points of SM series rapier loom parameter were analyzed and summarized. According to years practical experiences, the setting principles of shed time, shed height, warp shed line, weft insertion and out time, loom tension and cut time were summarized. It is considered that earlier shed time is suitable for high density or heavy fabric,later shed timeis suitable for thin fabric. Earlier shed time is suitable for larger loom tension,later shed time is suitable for lower warp strength. Shed height recommended is 28 mm to 32 mm. when weaving heavy fabric ,relative position between take-off plate and heald generally is 10 cm to 12 cm. Higher loom beam or middle loom beam is suitable for cotton wool mixtures plain fabric, middle loom beam or lower loom beam is suitable for silk fabric or decorative fabric or twill fabric. Weft rapier head receive time is earlier about 5°than weft rapier head send time.

  14. A Brief Economic Analysis of the Looming Nursing Shortage In the United States.

    Science.gov (United States)

    Snavely, Timothy M

    2016-01-01

    The United States is projected to experience a nursing shortage in the coming years as market forces begin to shift away from equilibrium. A return to pre-recession work levels, aging baby boomers, and insufficient numbers of nursing graduates adversely affect the supply of nurses The aging population, a rise in chronic care management needs, and the Affordable Care Act will result in an increasing demand for them. Returning to a state of equilibrium is critical if our health care system is to ensure care that is accessible, safe, and cost effective.

  15. Ebola Crisis in the United States

    Directory of Open Access Journals (Sweden)

    Avinash Raghunath Patwardhan M.D.

    2014-12-01

    Full Text Available This article is about readiness of the U.S. health care system to deal with crises. Using the Ebola crisis as a reference, first it examines the response to the current challenge. However, that is the smaller objective of the article. Lately, we are also being challenged to deal with other kinds of epidemics like obesity, mental health diseases, and violence. These crises are not dramatic like the Ebola crisis. However, these are no less insidious than Ebola. If we are not ready for them, then these crises have the potential to undermine the long-term health and prosperity of our society. In this context, and therefore mainly, this article is about two major long-standing systemic problems in the U.S. health care system that the unfolding of the Ebola crisis has bared. One is about how the inherent problem in the design of American federalist system regarding state autonomy on health matters is creating a dysfunctional health care system. The other is about the inertia of the research industry in the health care system in clinging to an archaic outdated inefficient mind-set and methodology that fails to generate the right information required for an appropriate decision making in matters of health care delivery, including crises. These problems are not small, nor their solutions easy. However, no matter how uncomfortable and tedious, facing them is necessary and inevitable. The discussions and arguments in this article are to outline their nature broadly and to make a call to further a dialogue.

  16. Simultaneous Independent Multi-Weft Detector Applied to Water-Jet Looms%喷水织机用多纬同时分别检测装置

    Institute of Scientific and Technical Information of China (English)

    张振奇; 程玮燕

    2001-01-01

    喷水织机多纬同时引入时的织造,只有在纬丝全部同时检测时才能保证产品的质量,提高生产效率;但目前大部分织机上没有此检测装置。文章在对喷水织机原有纬丝检测装置的结构进行全面分析之后,结合其他无梭织机的纬丝检测装置的结构特点,设计了一种利用纺丝机上的感丝器进行检测的装置,经试用,安全可靠,造价低廉,不失为一种有意义的探索,可供其他无梭织机借鉴。%During multi-weft weaving by water-jet loom, only all wefts aresimultaneously detected, can the product quality and high productivity be ensured. However, such detecting devices are unavailable for most of current looms. Through thorough analyses on the structure of the existing weft detectors for water-jet loom and in combination with the structural features of weft detectors for other shuttleless looms, a detecting device is designed on the basis of the yarn detector of spinning machine. It proves to be safe, reliable and low in cost through trial application, offering reference for other shuttleless looms.

  17. Bilateral flight muscle activity predicts wing kinematics and 3-dimensional body orientation of locusts responding to looming objects.

    Science.gov (United States)

    McMillan, Glyn A; Loessin, Vicky; Gray, John R

    2013-09-01

    We placed locusts in a wind tunnel using a loose tether design that allowed for motion in all three rotational degrees of freedom during presentation of a computer-generated looming disc. High-speed video allowed us to extract wing kinematics, abdomen position and 3-dimensional body orientation. Concurrent electromyographic (EMG) recordings monitored bilateral activity from the first basalar depressor muscles (m97) of the forewings, which are implicated in flight steering. Behavioural responses to a looming disc included cessation of flight (wings folded over the body), glides and active steering during sustained flight in addition to a decrease and increase in wingbeat frequency prior to and during, respectively, an evasive turn. Active steering involved shifts in bilateral m97 timing, wing asymmetries and whole-body rotations in the yaw (ψ), pitch (χ) and roll (η) planes. Changes in abdomen position and hindwing asymmetries occurred after turns were initiated. Forewing asymmetry and changes in η were most highly correlated with m97 spike latency. Correlations also increased as the disc approached, peaking prior to collision. On the inside of a turn, m97 spikes occurred earlier relative to forewing stroke reversal and bilateral timing corresponded to forewing asymmetry as well as changes in whole-body rotation. Double spikes in each m97 occurred most frequently at or immediately prior to the time the locusts turned, suggesting a behavioural significance. These data provide information on mechanisms underlying 3-dimensional flight manoeuvres and will be used to drive a closed loop flight simulator to study responses of motion-sensitive visual neurons during production of realistic behaviours.

  18. Collection for Refugee and Migration Crisis

    CERN Multimedia

    Rolf Heuer, Director-General,

    2015-01-01

    Dear Colleagues, In response to the current refugee and migration crisis, we are starting a collection today and we are calling on your generosity. The funds will be forwarded to the International Federation of Red Cross and Red Crescent Societies to respond to the humanitarian needs of the refugees and migrants, providing immediate and longer-term relief, including emergency medical care and basic health services, psychological support, temporary shelter, distribution of food & water and other urgently needed items. We hope that your contributions to the above-mentioned appeal will not prevent you from sparing a thought for them and doing whatever you can to help them. Bank account details for donations: Bank account holder: Association du personnel CERN - 1211 GENEVE 23 Account number: 279-HU106832.1 IBAN: CH85 0027 9279 HU10 6832 1 BIC:  UBSWCHZH80A Please mention: Refugee and Migration Crisis

  19. [Eight characteristics of leaders in crisis management].

    Science.gov (United States)

    Yen, Miaofen; Fang, Szu-Ting

    2006-02-01

    Everything is changing in our daily life. The ancient Chinese philosopher, Sun Tzu, said "The art of war teaches us to rely not on the likelihood of the enemy's not coming, but on our own readiness to receive him". In the challenging environment of today, nursing administrators should prepare themselves by developing a range of skills to face the changing world. This article introduces Chinese and Western leadership theories and suggests eight key characteristics of successful leaders in health care. Equipped with these characteristics, nursing leaders should be able to collaborate with other professionals in their organization to manage any crisis. Success in crisis management also enhances an organization's general potential to succeed in this competitive world.

  20. Double deprivation: a phenomenological study into the experience of being a carer during a mental health crisis.

    Science.gov (United States)

    Albert, Rikke; Simpson, Alan

    2015-12-01

    To explore carers' experience of caring during a mental health crisis. Community mental health care including crisis care relies increasingly on carers. The relationship between carers and professionals is at times fraught due to issues of what constitutes a crisis, confidentiality and a perception of lack of empathy. The caring experience can lead carers to feel isolated and neglected. A qualitative study with a phenomenological approach. Eight carers participated and were interviewed individually using a semi-structured approach. Analysis used the Interpretive Phenomenological Analysis method including transcribing of interviews, initial noting, searching for connections and patterns across the transcripts and cases. The themes were checked with the participants for their views on the emerging themes. The data were collected from November 2011-May 2012. Carers experienced 'double deprivation' by not receiving support from professionals and protecting their social network from the trauma of the crisis. The caring in crisis invoked complex feelings of guilt and loyalty which made discussing aggression difficult. Caring was described as a terrifying experience not just because of the aggression but also because of the perception of abandonment by professionals. The experience was an overwhelmingly negative one with a wish for acknowledgement of the crisis and support from mental health services. For most of the participants the caring during crisis was traumatic which left the carer feeling isolated and unsupported. The study should be used to help educate professionals on the complexities of caring during a crisis. © 2015 John Wiley & Sons Ltd.

  1. Crisis concealing light

    Directory of Open Access Journals (Sweden)

    Romanou Katy

    2016-01-01

    Full Text Available In this article I discuss the blossoming of musical life in Greece that begun in 1974, simultaneously with the growth of the debt crisis. Communist musicians returned from exile and they were hailed as heroes while their music became indispensible to pre-electoral gatherings. Connected to the return to democracy, music and musicians became extremely important to politicians and loved by the people, and were offered a substantial portion of the money that poured in from the EU. Cold War cultural politics played their role in promoting avant-garde music as well. In comparison, today Greece has a great number of excellent musicians and the architectural infrastructure for the performance and study of music, but these are concealed by the daily hammering of crisis news.

  2. Crowds and Crisis

    DEFF Research Database (Denmark)

    Borch, Christian

    of crowds and their alleged revolutionary aspirations. Interestingly, the sociological interest in crowds took off in the late nineteenth century as a reflection on modern political (dis)order, with the French Revolution and in particular the Paris Commune serving as key points of reference. This early......The November Revolution in 1918 made manifest and further unleashed a political crisis in Germany, the consequences of which have been thoroughly examined. What has attracted less attention is how the Revolution also triggered a semantic crisis within sociology, namely with regard to conceptions...... semantics of crowds associated collective behaviour with irrationality, contagion and hypnotic suggestibility. Precisely this semantic repertoire was called into question after the November revolution: Weimar sociologists, with Theodor Geiger in a lead role, argued for an alternative conception of crowds...

  3. Spirituality, Crisis, and Illusions

    Directory of Open Access Journals (Sweden)

    LOSONCZ, Alpar

    2016-03-01

    Full Text Available This article deals with the structural interpretations of the ongoing crisis. The author considers the approaches of Joseph Alois Schumpeter and Tibor Scitovsky that thematize the long-run destiny of capitalism. The viewpoint is constituted as the relation between the structural socio-economic tendencies and existential constellations. What is addressed by the crisis is capitalism as a dependent system. The author emphasizes that capitalism cannot survive without the outside sphere, reciprocal interactions, economics of community, eco-system and complex eco-social moments. This can be applied to the frequently mentioned embeddedness which is related to Polanyi and other researchers who are influenced by Polanyi’s concepts. Embeddedness can be analyzed through the holon, from the inside perspective. Only comprehensive perspective enables to see the entire horizon, since capitalism cannot summarize the eco-system, not even with the most sophisticated techniques that recognize monetary expressions.

  4. Second Episode of the Global Crisis: 2011European Debt Crisis

    Directory of Open Access Journals (Sweden)

    Zafer SEZGİN

    2012-06-01

    Full Text Available Measures for 2008 Global Economic Crisis cause a new crisis at 2011. Irreducible budget deficit, decreasing economy, great debt stock cause concern about sustainability of debt for some European economies. For ceasing ecomomic crisis, ECB takes some monetary policy measures; EFSF and monetary expansion are in place. This article aims to explain existing and oncoming conditions of European economies. Methodology is setting representative and containing suitable period data set from primary resources.

  5. EUROPE IN CRISIS

    Science.gov (United States)

    2017-04-06

    apprehension of refugee smugglers and foreign fighters, impacts the ability to identify and train the right personnel and develop leadership within unstable...Obama sought enhanced work rights for refugees amid other massive increases in refugee assistance, but did not address the core security crisis issue...immigration, and influx of refugees and Islamist State fighters returning from Libya, Syria, and Iraq after being pushed back or out of ISIS strongholds

  6. Averting a Future Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ The world has left the worst of the financial crisis behind,but memories of the meltdown have barely faded.But what made the world's economy so vulnerable,and what kinds of lessons can we draw from it? Yi Gang,Deputy Governor of the People's Bank of China and Administrator of the State Administration of Foreign Exchange,discussed these issues in a speech at the Lujiazui Forum 2010 held in Shanghai on June 25-26.Edited excerpts follow:

  7. Crisis in management solutions

    OpenAIRE

    BATYUK B.

    2013-01-01

    The paper discusses psychological properties of managers in stressful situations, their ability to make appropriate management decisions and act objectively according to the situation. The author conventionally divided into categories due to present management solutions in new crisis. The basis of the separation of management categories are psychological and personality and expertise of managers. Particular attention is paid to the managers ability to use their psychological data, combined wi...

  8. Crisis de cianosis

    OpenAIRE

    Pardo, Analía

    2005-01-01

    Las crisis de cianosis son eventos hallados casi exclusivamente en la Tetralogía de Fallot. Se caracterizan por irritabilidad, cianosis aguda y taquipnea. En situaciones más graves puede llevar a la hipotonía, pérdida de conocimiento, convulsiones, accidente cerebrovascular y muerte. Es el evento más grave de la Tetralogía de Fallot. Se observa en 30% de estos pacientes, mayormente entre los 3 y 5 meses de edad. ...

  9. Leadership in Crisis Situations

    Directory of Open Access Journals (Sweden)

    Cameron R. Hume

    1997-12-01

    Full Text Available ¿Qué hay que hacer para prevenir el estallido o la continuación de un conflicto interno que tenga consecuencias internacionales? ¿Qué circunstancias podrían generar una acción unilateral por parte de los Estados Unidos, Francia o el Reino Unido para crear coalicionesque dieran una respuesta internacional a estas situaciones de crisis? Para acercarse a las respuestas de estas preguntas, Hume examina la actual y sobrecargada agenda del Consejo de Seguridad de las Naciones Unidas y las actitudes ante situaciones de crisis. El autor revisa tres de las fuentes de liderazgo nacional –voluntad, capacidad y visión– y las relaciona con la problemática internacional y las experiencias de las Naciones Unidas en Somalia y Rwanda y de UNPROFOR en Bosnia. A partir de su análisis, Hume argumenta que, a la hora de afrontar situaciones de crisis, la autoridad para usar la fuerza no debiera divorciarse de los intereses nacionales de los Estados participantes en una misión de las Naciones Unidas, aunque, en una fase posterior, otros actores debieran participar para identificar vías de diálogo, preservar las normas internacionales y hallar soluciones a los conflictos internos.

  10. Revisiting the financial crisis

    Institute of Scientific and Technical Information of China (English)

    黄明

    2009-01-01

    Recently,the media and commentators have saturated us with talk of the subprimeinduced financial debacle. Yet,some basic questions remain unanswered:why did almost all of the"market doorkeepers"fail to function in the crisis? Why did the financial intermediaries,such as investment banks selling complex derivatives,go under? Why did the crisis cause such far-reaching repercussions? What seed did U.S.Treasury Secretary Henry Paulson sow for the fiasco to rage globally? What does the future hold for financial regulation? In the face of the tempestuous"financial tsunami,"what lessons should China learn and how should the country develop a more secure capital market? Unlike other macroeconomists, Dr.Huang Ming proceeds from a micro perspective to sort out the financial mess along the logical chain within the capital market.In this interview,Dr.Huang presents a clear and unsettling look at the breakout,transmission and spreading path of the financial crisis

  11. Causes and consequences of the Spanish economic crisis: Why the recovery is taken so long?

    Directory of Open Access Journals (Sweden)

    Carballo-Cruz Francisco

    2011-01-01

    Full Text Available Spain is currently facing its worst crisis in the last fifty years. The crisis began as an extension of the international financial crisis, but the internal imbalances accumulated in the pre-crisis period aggravated the situation. At present their incomplete adjustment is making difficult the economic recovery. This paper describes the evolution of the economic crisis in Spain. The real estate sector and the banking sector are analyzed in detail, as they played a key role in the detonation and the deepening of the crisis. The results of the main reforms carried out so far are also carefully examined. It also discusses the main factors that have delayed the economic recovery up to now (unemployment and indebtedness, and present some alternatives to define an exit strategy.

  12. Global financial crisis

    Directory of Open Access Journals (Sweden)

    MSc. Jusuf Qarkaxhija

    2011-03-01

    Full Text Available The most recent developments in economy are a clear indicator of many changes, which are a result of this high rate pacing, which also demonstrates as such. Market economy processes occur as a result of intertwining of many potential technological and human factors, thereby creating a system of numerous diver-gences and turbulences. Economics, a social science, is characteri-sed with movements from a system to another system, and is har-monized with elements or components which have impacted the development and application of economic policies as a result. This example can be illustrated with the passing from a commanded system (centralized to a self-governing (decentrali-zed system, while the movement from a system to another is known as transi-tion. Such transition in its own nature bears a number of problems of almost any kind (political, economic, social, etc., and is charac-terised with differences from a country to another. Financial crisis is a phenomenon consisting of a perception of economic policies and creation of an economic and financial stabi-lity in regional and global structures. From this, one may assume that each system has its own changes in its nature, and as a result of these changes, we have the crisis of such a system. Even in the economic field, if we look closely, we have such a problem, where development trends both in human and technological fields have created a large gap between older times and today, thereby crea-ting dynamics with a high intensity of action. If we dwell on the problem, and enter into the financial world, we can see that the so-called industrialized countries have made giant leaps in deve-lopment, while countries in transition have stalled in many fields, as a result of a high rate of corruption and unemployment in these countries, and obviously these indicators are directly connected, thereby stroking the financial system in these countries. Corruption is an element, which directly and indirectly

  13. Monetary Policy and The Crisis

    OpenAIRE

    Landais, Bernard

    2009-01-01

    This paper presents the interrelations between the economic and financial crisis and monetary policy. Its emphasizes three dimensions of the problem. First, monetary policy is partialy responsible of the financial and economics events of these last years. Second, strong monetary actions are needed and implemented with some success for curing the consequences of the crisis. Third, after the crisis, monetary policy may be never like before...

  14. Successful Ways for Crisis Management

    Institute of Scientific and Technical Information of China (English)

    ByHuYuyue; LiLiang

    2004-01-01

    In the past spring and summer, the burst of SARS crisis had a negative influence on people's daily life and enterprises'business. Under the impact of SARS, leaders of enterprises had personally known more of a word——crisis, and at the same time they had thought of another concept——crisis management. But if we try to comorehend it from another point of view.

  15. [From violence to bonding: constructing new meanings for attention to the crisis].

    Science.gov (United States)

    Willrich, Janaína Quinzen; Kantorski, Luciane Prado; Antonacci, Milena Hohmann; Cortes, Jandro Moraes; Chiavagatti, Fabieli Gopinger

    2014-01-01

    This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Care's professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identification of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Difficulties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.

  16. Crisis Communication Plans: Poor Predictors of Excellent Crisis Public Relations.

    Science.gov (United States)

    Marra, Francis J.

    1998-01-01

    Argues that newly developed theory in crisis public relations suggests a shift is necessary in the way practitioners view crises. Notes that the new paradigm defines excellent crisis public relations very differently from the literature of the past 20 years. (RS)

  17. The Roman Empire - The Third Century Crisis and Crisis Management

    Science.gov (United States)

    2012-04-04

    reign of Constantine. As John Nicols describes in Mapping the Crisis of the Third Century, the Greek philosopher Protagoras may have regarded the...1. Protagoras and John Nicols, Mapping the Crisis of the Third Century, ed. Olivier Hekster, Gerda De Kleijn, and Danielle Slootjes

  18. SARS: Key factors in crisis management.

    Science.gov (United States)

    Tseng, Hsin-Chao; Chen, Thai-Form; Chou, Shieu-Ming

    2005-03-01

    This study was conducted at a single hospital selected in Taipei during the SARS (Severe Acute Respiratory Syndrome) outbreak from March to July, 2003 in Taiwan. During this period of time, 104 SARS patients were admitted to the hospital. There were no negative reports related to the selected hospital despite its being located right in the center of an area struck by the epidemic. The purpose of this study was to identify the key factors enabling the hospital to survive SARS unscathed. Data were collected from in-depth interviews with the nursing directors and nursing managers of the SARS units, along with a review of relevant hospital documents. The five key elements identified as survival factors during this SARS crisis are as follows: 1. good control of timing for crisis management, 2. careful decision-making, 3. thorough implementation, 4. effective communication, and 5. trust between management and employees. The results of this study reconfirmed the selected hospital as a model for good crisis management during the SARS epidemic.

  19. The correlation between stress and economic crisis: a systematic review

    Directory of Open Access Journals (Sweden)

    Mucci N

    2016-04-01

    Full Text Available Nicola Mucci,1 Gabriele Giorgi,2 Mattia Roncaioli,3 Javier Fiz Perez,2 Giulio Arcangeli11Department of Experimental and Clinical Medicine, University of Florence, Florence, 2Department of Psychology, European University of Rome, Rome, 3Department of Biomedical Sciences for Health, University of Milan, Milan, ItalyAbstract: In 2008 a deep economic crisis started in the US and rapidly spread around the world. The crisis severely affected the labor market and employees’ well-being. Hence, the aim of this work is to implement a systematic review of the principal studies that analyze the impact of the economic crisis on the health of workers. We conducted our search on the PubMed database, and a total of 19 articles were selected for review. All studies showed that the economic crisis was an important stressor that had a negative impact on workers’ mental health. Most of the studies documented that a rise in unemployment, increased workload, staff reduction, and wages reduction were linked to an increased rate of mood disorders, anxiety, depression, dysthymia, and suicide. Some studies showed that problems related to the crisis may have also affected the general health of workers by increasing the risk of such health problems as cardiovascular and respiratory diseases. Finally, some studies looked at the impact of the crisis on health care services. These studies demonstrated that the reduction in public expenditure on health care services, and the reduction of public hospital budgets due to the recession, led to organizational problems (eg, medical supply shortages.Keywords: economic crisis, recession, work-related stress, mental health, risks assessment, occupational medicine

  20. The Administration's Crisis Multiplied by the Crisis of the Administrated

    Directory of Open Access Journals (Sweden)

    Alina Livia NICU

    2014-11-01

    Full Text Available The starting point of this work is the idea that the concept of “crisis” should be approached with no fear. It is necessary to understand it as the signal which attracts attention upon the fact that some changes are appropriate and that some rationally thought actions ought to be taken in order to soften the social phenomena occurring within a crisis period. We may say that in the core of the crisis lies impregnated the basic substance of progress and that the moment when a crisis is declared is as well the moment of a new start. It is necessary to anticipate the crisis, in order to prepare the adequate means able to soften up the shocks created by its incipit and to bring forward the progress through its action itself. One of the most necessary and useful instruments able to smooth down the crisis' effects is the early education provided to the citizens concerning the frame of the behavior to be adopted in case of crisis. The officials and the public servants are the social actors who constitute the interface between the citizen who is going to suffer the crisis and this latter's exerted pressure. The personnel from the public administration has to assume the hardest role in reducing the most possible the crisis' effects. Some possibilities are analysed that could reduce the effects of the economical, social and political crises, among which the most important is the quality of juridical norms. The Romanian legislation concerning the public charge is studied, in respect to its capacity to motivate the public servant to perform at his up most level, during crisis periods but not only then. The idea is emphasized that panic and uncontrolled social movements in case of a crisis might lead to the multiplying of the negative effects. The personnel from the public administration comes to a direct confrontation with the pressure of the negative effect of the crisis, as it is received by the public administration - understood as a structure

  1. The Ethics of the Financial Crisis and Financial Reform

    NARCIS (Netherlands)

    I.P. van Staveren (Irene)

    2012-01-01

    textabstractThe paper analyses the financial crisis and financial reform from two alternative ethical perspectives as compared to the mainstream one in economics, utilitarianism. It contrasts deontology with the ethics of care and argues that the rule-based deontological approach is not able to

  2. Talking to Parents: Communication in Times of Crisis and Beyond.

    Science.gov (United States)

    Wendell, Charlene

    2002-01-01

    Camps should always have a crisis management plan, but the events of September 11, 2001, make it especially important. Honest communication with parents is paramount--directors should choose their words carefully and control the tone of their voices. Examples are given of crises involving weather, transportation, and a shooting. Questions to…

  3. The Ethics of the Financial Crisis and Financial Reform

    NARCIS (Netherlands)

    I.P. van Staveren (Irene)

    2012-01-01

    textabstractThe paper analyses the financial crisis and financial reform from two alternative ethical perspectives as compared to the mainstream one in economics, utilitarianism. It contrasts deontology with the ethics of care and argues that the rule-based deontological approach is not able to prev

  4. [Crisis in medical ethics].

    Science.gov (United States)

    Stellamor, K

    1996-01-01

    There is a disproportion between diagnostic and therapeutic medical achievements and the doctor/patient relationship. Are we allowed to do everything we are able to do in medicine? People are concerned and worried (genetic technology, invasive medicine, embryos in test tubes etc.). The crisis of ethics in medicine is evident. The analysis of the situation shows one of the causes in the shift of the paradigma-modern times to postmodern following scientific positivism-but also a loss of ethics in medicine due to an extreme secularism and to modern philosophical trends (Hans Jonas and the responsibility for the future and on the other hand modern utilitarism).

  5. Crisis ambiental y cristianismo

    OpenAIRE

    Felipe Cárdenas

    2008-01-01

    En el artículo se identifican y reconocen algunas opciones que se pueden desarrollar en el cristianismo en relación con la problemática ambiental. Se aborda el dilema bíblico suscitado por interpretaciones antiecológicas y ecológicas. Con base en una lectura de la Biblia, de testimonios cristianos, y en una rememoria de estructuras institucionales, como la parroquia, se analiza el valor que tiene el mensaje cristiano en lo referido a la mitigación de la crisis ambiental.This article identifie...

  6. La crisis de RTVE

    OpenAIRE

    1992-01-01

    Radiotelevisión Española (RTVE), la televisión pública española de ámbito estatal, es una empresa en permanente crisis que, paradójicamente, ha dado a luz en estas últimas décadas una rentable industria audiovisual. Este artículo refleja la situación de RTVE en 1992, y a pesar del tiempo transcurrido encierra numerosas lecciones de cómo una empresa pública informativa puede llegar a ser desmantelada al tiempo que se insiste en su papel de servicio público esencial.

  7. Bargaining in the crisis

    DEFF Research Database (Denmark)

    Ibsen, Christian Lyhne; Andersen, Søren Kaj; Due, Jesper Jørgen

    2011-01-01

    The economic crisis weighed heavily on the 2010 collective bargaining rounds in the Danish and Swedish manufacturing sectors – the pattern-setting sectors in both countries. This article analyses and compares the bargaining rounds from agenda-setting to signing, pointing to the significant...... by Denmark’s mediation institution. Conversely, the bargaining round in Sweden puts a question-mark over the viability of the whole Swedish bargaining system. Union coordination was shattered when the white-collar unions broke ranks and concluded agreements before the LO unions. But more importantly...

  8. Crisis management can leave residual effects.

    Science.gov (United States)

    Margolis, G L; DeMuro, P R

    1991-10-01

    A healthcare organization that once suffered from poor financial performance may fail to correct recovery methods that can cause lingering legal and accounting problems. A crisis management style is prone to creating problems with an organization's debt structure, Medicare and Medicaid payment, tax issues, labor relations, licensing and accreditation, compliance with fraud and abuse rules, and accounting for charity care. After stabilizing a worrisome financial situation, a healthcare organization should conduct an internal audit to ensure that its legal and accounting practices remain above board.

  9. Los medios ante la crisis

    OpenAIRE

    Restrepo, Javier Dario

    1995-01-01

    La ponencia analiza el papel que los medios de comunicación deben cumplir en la actual crisis política que atraviesa Colombia. La actual crisis permite poner en duda la capacidad de los medios para encontrar y difundir solola verdad.

  10. A Third Wave of Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ If we label the sub-prime mortgage crisis that broke out in the United States in March 2007 and the financial meltdown triggered by Lehman Brothers'bankruptcy in August 2008 as the first two phases of the global financial crisis,then we're,without a doubt,entering a third phase.

  11. Organizational Learning and Crisis Management

    Science.gov (United States)

    Wang, Jia

    2007-01-01

    The impact of crises on organizations has been stronger than ever. This article explores the role of organizational learning in crisis management, an area that has received little attention from HRD community. Recognizing the dynamics and interconnectedness of crisis management, organizational learning, and organizational change, the article…

  12. Varieties of capitalism in crisis?

    DEFF Research Database (Denmark)

    Bruff, Ian; Horn, Laura

    2012-01-01

    In this introduction to the special issue, we provide a brief overview of the two distinct but connected meanings of the phrase ‘varieties of capitalism in crisis’: (1) the crisis of empirical political economies under conditions of capitalist diversity; and (2) the crisis of the institutionalist...

  13. Credibility and Crisis Stress Testing

    Directory of Open Access Journals (Sweden)

    Li Lian Ong

    2014-02-01

    Full Text Available Credibility is the bedrock of any crisis stress test. The use of stress tests to manage systemic risk was introduced by the U.S. authorities in 2009 in the form of the Supervisory Capital Assessment Program. Since then, supervisory authorities in other jurisdictions have also conducted similar exercises. In some of those cases, the design and implementation of certain elements of the framework have been criticized for their lack of credibility. This paper proposes a set of guidelines for constructing an effective crisis stress test. It combines financial markets impact studies of previous exercises with relevant case study information gleaned from those experiences to identify the key elements and to formulate their appropriate design. Pertinent concepts, issues and nuances particular to crisis stress testing are also discussed. The findings may be useful for country authorities seeking to include stress tests in their crisis management arsenal, as well as for the design of crisis programs.

  14. 论织物规格与喷水织机效率的关系%Relation between Fabric Specifications and Efficiency of Water-Jet Loom

    Institute of Scientific and Technical Information of China (English)

    陈超; 顾建华; 李春萍

    2001-01-01

    A success in the development of products should involve therequired fabric styles and weavability. Therefore, it is very important to know the relation between fabric specifications and loom efficiency. This paper quantitatively or qualitatively examines some essential factors for fabric specifications such as covering factor, fabric weave, warp and weft combination, loom efficiency and their relation, serving as a reference for prediction of loom efficiency in product design.%成功的产品开发既要使织物风格符合要求,又要有良好的织造性能,因此织物规格与织机效率的关系十分重要。文章定量或定性地讨论了织物规格的几个要素即织物紧度、织物组织与经纬组合与织机效率的关系,可供产品设计时预测织机效率作参考。

  15. Standard inverter series of user prime s dedication for loom and fine spinning frame use. Okyakusama hyojun series shokkiyo inverter, seibokiyo inverter

    Energy Technology Data Exchange (ETDEWEB)

    Goji, T.; Iguchi, A. (Meidensha Corp., Tokyo (Japan))

    1990-09-17

    In order to response to the user's needs such as multifunction, high performance, high efficiency, high reliability, profitability, and operativity of inverters for general use, the Meiden has developed the inverters of user's dedication in the various field based on the inverters for general use. In the present report, among the various inverters, two inverters for loom and fine spinning frame uses were introduced. The specifications and special features of individual inverters were described. An addition of the inverter for loom use to the loom drive motor enabled the continuous variable speed control of weaving rate. The start-up method and the application example of the inverter were illustrated. By using THYFREC-VT86SR as an inverter for fine spinning frame use, the smooth change of speed without thread breakage was realized, which led the improvements of productivity and quality. The application of the inverter for fine spinning frame use to the existing fine spinning frames was also described. 4 figs., 2 tabs.

  16. 多系统经纱织物小样织机的研制%Development of Multisystem Warp Fabric Sample Loom

    Institute of Scientific and Technical Information of China (English)

    侯翠芳

    2011-01-01

    Structure,work principle and use effect of multisystem warp fabric sample loom were introduced.Moving guide needle device was set on multisystem warp fabric sample loom,guide needle bend down,guide needle traverse distance could be controlled,tension compensatory parts was set.Through weaving leno fabric and lapped fabric,it is proved that multisystem warp fabric could be woven on the one sample loom and the product could be changed simply.%介绍多系统经纱织物小样织机的结构、工作原理及使用效果.多系统经纱织物小样织机在钢筘上设置移动导针装置,导针向下弯折,导针横动距离可以控制,并设有张力补偿部件,通过试织纱罗织物和浮纹织物,证明多系统经纱织物小样织机可以在一台织机上实现多个系统经纱织物的试织,且变换品种简单方便.

  17. Crisis ambiental y cristianismo

    Directory of Open Access Journals (Sweden)

    Felipe Cárdenas

    2008-01-01

    Full Text Available En el artículo se identifican y reconocen algunas opciones que se pueden desarrollar en el cristianismo en relación con la problemática ambiental. Se aborda el dilema bíblico suscitado por interpretaciones antiecológicas y ecológicas. Con base en una lectura de la Biblia, de testimonios cristianos, y en una rememoria de estructuras institucionales, como la parroquia, se analiza el valor que tiene el mensaje cristiano en lo referido a la mitigación de la crisis ambiental.This article identifies and recognizes some options that can be developed in Christianity in relation to the environmental problem. It starts by analyzing the biblical dilemma provoked by both ecological and antiecological interpretations. Based on a reading of the Bible, testimonies from Christians and with a rememory of institutional structures, like the parish, the valué of the Christian message for mitigating the environmental crisis is analyzed.

  18. [Hypercalcemic crisis and hypocalcemic tetany].

    Science.gov (United States)

    Kasperk, C

    2017-08-23

    A serum calcium level >3.5 mmol/l together with clinical symptoms such as muscle weakness, fatigue, nausea, vomiting, pancreatitis or even coma are characteristic for a hypercalcemic crisis (HC). Primary hyperparathyroidism (1HPT) and malignancy-associated hypercalcemia are the most frequent causal diseases for a HC. The analysis of serum levels for calcium, phosphorous, intact parathyroid hormone, electrophoresis and renal function parameters indicate which further radiological, scintigraphic or serum diagnostic steps are adequate to identify the cause of the patient's acute situation (i. e. most frequently 1HPT or malignant disease with bone involvement, e. g. myeloma) and thus to initiate the required surgical or oncological intervention. However, the primary goals in the treatment of HC include correcting dehydration and improving kidney function, lowering calcium levels and decreasing osteoclastic bone resorption. The goals are accomplished by volume repletion, forced diuresis, antiresorptive agents and hemodialysis on an intensive care unit. Hypocalcemic tetany (HT) is the consequence of severely lowered calcium levels (tetany is frequently a lack of parathyroid hormone (PTH), (e. g. as a complication of thyroid surgery) or, rarely, resistance to PTH. HT due to severe and painful clinical symptoms requires rapid i. v. calcium replacement by central venous catheter on an intensive care unit. For the treatment of chronic hypocalcemia oral calcium and 25OH-vitamin D or even 1,25(OH)2-vitamin D3 and magnesium supplements may be necessary to achieve the desired low normal calcium levels. Thiazides are useful to reduce renal calcium loss and to stabilize the calcium levels. Some patients continue to exhibit clinical symptoms despite adequate calcium levels; in these cases s. c. parathyroid hormone 1-84 should be considered to stabilize calcium levels and to lower the dosage of calcium and vitamin D supplements.

  19. Crisis? What crisis? How European professionals handle crises and crisis communication

    NARCIS (Netherlands)

    P. Verhoeven; R. Tench; A. Zerfass; A. Moreno; D. Verčič

    2013-01-01

    A broad study in 43 European countries shows that 70% of communication professionals encounter at least one crisis a year, mostly institutional, related to the performance of the organization or a crisis in management or leadership. Organizational response and image restoration approaches are mainly

  20. Crisis? What crisis? How European professionals handle crises and crisis communication

    NARCIS (Netherlands)

    Verhoeven, P.; Tench, R.; Zerfass, A.; Moreno, A.; Verčič, D.

    2014-01-01

    A broad study in 43 European countries shows that 70% of communication professionals encounter at least one crisis a year, mostly institutional, related to the performance of the organization or a crisis in management or leadership. Organizational response and image restoration approaches are mainly

  1. Crisis? What crisis? How European professionals handle crises and crisis communication

    NARCIS (Netherlands)

    Verhoeven, P.; Tench, R.; Zerfass, A.; Moreno, A.; Verčič, D.

    2014-01-01

    A broad study in 43 European countries shows that 70% of communication professionals encounter at least one crisis a year, mostly institutional, related to the performance of the organization or a crisis in management or leadership. Organizational response and image restoration approaches are mainly

  2. Myxedema Coma: A New Look into an Old Crisis

    Directory of Open Access Journals (Sweden)

    Vivek Mathew

    2011-01-01

    Full Text Available Myxedema crisis is a severe life threatening form of decompensated hypothyroidism which is associated with a high mortality rate. Infections and discontinuation of thyroid supplements are the major precipitating factors while hypothermia may not play a major role in tropical countries. Low intracellular T3 leads to cardiogenic shock, respiratory depression, hypothermia and coma. Patients are identified on the basis of a low index of suspicion with a careful history and examination focused on features of hypothyroidism and precipitating factors. Arrythmias and coagulation disorders are increasingly being identified in myxedema crisis. Thyroid replacement should be initiated as early as possible with careful attention to hypotension, fluid replacement and steroid replacement in an intensive care facility. Studies have shown that replacement of thyroid hormone through ryles tube with a loading dose and maintenance therapy is as efficacious as intravenous therapy. In many countries T3 is not available and oral therapy with T4 can be used effectively without major significant difference in outcomes. Hypotension, bradycardia at presentation, need for mechanical ventilation, hypothermia unresponsive to treatment, sepsis, intake of sedative drugs, lower GCS and high APACHE II scores and Sequential Organ Failure Assessment (SOFA scores more than 6 are significant predictors of mortality in myxedema crisis. Early intervention in hypothyroid patients developing sepsis and other precipitating factors and ensuring continued intake of thyroid supplements may prevent mortality and morbidity associated with myxedema crisis.

  3. School Crisis Management: A Model of Dynamic Responsiveness to Crisis Life Cycle

    Science.gov (United States)

    Liou, Yi-Hwa

    2015-01-01

    Purpose: This study aims to analyze a school's crisis management and explore emerging aspects of its response to a school crisis. Traditional linear modes of analysis often fail to address complex crisis situations. The present study applied a dynamic crisis life cycle model that draws on chaos and complexity theory to a crisis management case,…

  4. School Crisis Management: A Model of Dynamic Responsiveness to Crisis Life Cycle

    Science.gov (United States)

    Liou, Yi-Hwa

    2015-01-01

    Purpose: This study aims to analyze a school's crisis management and explore emerging aspects of its response to a school crisis. Traditional linear modes of analysis often fail to address complex crisis situations. The present study applied a dynamic crisis life cycle model that draws on chaos and complexity theory to a crisis management case,…

  5. Initial steps in extending crisis communication theory towards social media crisis dialogue: revisiting situational crisis communication framework

    OpenAIRE

    2013-01-01

    Research Summary The main focus of this research is on the study of stakeholders' naturally occurring reactions to corporate crisis and crisis communication. The literature review aimed to combine situational crisis communication framework (SCCT) with the strategic public relations management theory to establish an idea of strategic two-way crisis communication. The case study evidence is drawn from the Toyota USA Facebook site in relation to the Toyota recall crisis in 2009-2011 and studi...

  6. Neoliberalism, trade imbalances, and economic policy in the Eurozone crisis

    Directory of Open Access Journals (Sweden)

    Engelbert Stockhammer

    2016-12-01

    Full Text Available This paper analyzes the causes of the Eurozone crisis. In doing so, it carefully surveys authors from different economic schools of thought. The paper discusses competing explanations for European current account imbalances. Remarkably, opposing views on the relative importance of cost developments and demand developments in explaining current account imbalances can be found in both heterodox and orthodox economics. Regarding the assessment of fiscal and monetary policy there is a clearer polarisation, with heterodox analysis regarding austerity as unhelpful and most of orthodox economics endorsing it. We advocate a post-Keynesian view, which holds that current account imbalances are not a fundamental cause of the sovereign debt crisis. Rather, the economic policy architecture of the Eurozone, which aims at restricting the role of fiscal and monetary policy, is the key to understanding the crisis in Europe.

  7. [Economic crisis and mental health. SESPAS report 2014].

    Science.gov (United States)

    Gili, Margalida; García Campayo, Javier; Roca, Miquel

    2014-06-01

    Studies published before the financial crisis of 2008 suggest that economic difficulties contribute to poorer mental health. The IMPACT study conducted in primary health care centers in Spain found a significant increase in common mental disorders. Between 2006 and 2010, mood disorders increased by 19%, anxiety disorders by 8% and alcohol abuse disorders by 5%. There were also gender differences, with increased alcohol dependence in women during the crisis period. The most important risk factor for this increase was unemployment. In parallel, antidepressant consumption has increased in recent years, although there has not been a significant inrease in the number of suicides. Finally, the study offers some proposals to reduce the impact of the crisis on mental health: increased community services, employment activation measures, and active policies to reduce alcohol consumption and prevent suicidal behavior, particularly among young people. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

  8. The Accounting Network: how financial institutions react to systemic crisis

    CERN Document Server

    Flori, Andrea; Puliga, Michelangelo; Chessa, Alessandro; Pammolli, Fabio

    2016-01-01

    The role of Network Theory in the study of the financial crisis has been widely spotted in the latest years. It has been shown how the network topology and the dynamics running on top of it can trigger the outbreak of large systemic crisis. Following this methodological perspective we introduce here the Accounting Network, i.e. the network we can extract through vector similarities techniques from companies' financial statements. We build the Accounting Network on a large database of worldwide banks in the period 2001-2013, covering the onset of the global financial crisis of mid-2007. After a careful data cleaning, we apply a quality check in the construction of the network, introducing a parameter (the Quality Ratio) capable of trading off the size of the sample (coverage) and the representativeness of the financial statements (accuracy). We compute several basic network statistics and check, with the Louvain community detection algorithm, for emerging communities of banks. Remarkably enough sensible region...

  9. [Public health in major socio-economic crisis].

    Science.gov (United States)

    Cosmacini, G

    2014-01-01

    The term "crisis" in different cultures (such as ancient Greece or China) can have a positive meaning, since it indicates a time of growth, change and opportunity. Over the centuries there have been times of severe economic and social crisis that led to the implementation of major reforms and improved population health. Nowadays, despite the new economic crisis which has also affected health care for its rising costs, health economics does not hesitate to affirm the importance of key objectives such as prevention and medical assistance. Prevention is not prediction. Prevention means "going upstream" and fixing a problem at the source; the goal is to reduce diseases' effects, causes and risk factors, thereby reducing the prevalence of costly medical conditions.

  10. Crisis or Confusion?

    Institute of Scientific and Technical Information of China (English)

    Yang Junsheng

    2008-01-01

    @@ While the whole world has been severely affected by the financial crisis that originated in the U.S., the governments of many western countries have injected enormous amounts of cash into their banking sectors in order to maintain financial stability. There is no denying that the U.S. economy has slipped into a recession. Meanwhile, according to the latest statistics, Britain's GDP growth fell 0.5% in the first three quarters this year--the longest consecutive plunge in 16 years, indicating that the U.K. economy is also on the verge of a recession. The pessimistic economic outlook has made cnterpriscs in these countries sacrifice employee benefits by way of pay cuts and downsizing--to stabilize their economics.

  11. Energy Crisis: A Review

    Directory of Open Access Journals (Sweden)

    Swati Pathak

    2014-03-01

    Full Text Available The impending energy crisis and climate change concerns coupled with the mounting oil prices and the depleting fossil fuel sources, have grabbed significant attention from around the globe toward the establishment of environment friendly, renewable, carbon-neutral alternative fuels to fulfil the growing energy demands. Bioenergy derived from the micro-organisms is of great interest in the present world‟s energy scenario due to its renewability. Fuel cells and batteries powered by various sources such as blood, urine, bacteria, viruses, mitochondria have been discussed herein. Energy from biomass and derived fuels like biodiesel, which is a promising candidate to replace fossil fuels as the primary transport energy source may also lead to an era of economic bloom and prosperity of the society. The batteries and fuels discussed in the composition could be the next-generation fuels and a breakthrough to a less polluted, better, greener society, the way we all dream our world to be!

  12. Euro crisis in perspective

    Directory of Open Access Journals (Sweden)

    Francesco Bogliacino

    2017-05-01

    Full Text Available In this article we analyze the process of monetary integration in Europe, identifying the structural determinants and the dysfunctional elements in the institutions of the European Union. Secondly, we explain two prevailing discourses that fail in interpreting the events: on the one hand, a purely ideological position that see integration as a process of convergence that should not be interfered with; on the other hand, a purely idealist perspective, according to which the ideal of integration will prevail over any contradiction engendered by the institutional system. The combination of these two perspectives helped justify post crisis interventions (fiscal consolidation and the institutional design that followed, which eventually aggravated the macroeconomic instability in the area.

  13. Research on Sichuan Cuisine Enterprises Crisis

    Directory of Open Access Journals (Sweden)

    Jianfei Nan

    2014-04-01

    Full Text Available It is impossible to avoid crisis for Sichuan cuisine enterprises. On the basis of emphasizing the importance of the research of Sichuan cuisine enterprises crisis, the paper mainly analyzed the issue of Sichuan cuisine enterprises crisis from three aspects including formation mechanism of Sichuan cuisine enterprises crisis, the impact mechanism of Sichuan cuisine enterprises crisis and its response measures(such as principles, methods and strategiesin order to provide an important reference so that Sichuan cuisine enterprises have a correct understanding of the crisis, effectively response to the crisis, and strengthen crisis management so as to achieve their scientific development themselves. To some extent, the paper is helpful to cope with the crisis and promote the safety operation of the enterprises which are facing the crisis.

  14. The Role of The Maneger to Exit From Global Crisis

    OpenAIRE

    Durmuş, Aydoğan

    2016-01-01

    World countries are met crisis often at these days which globalism increased. Financial crises also affect the survival of firms. The crisis period, crisis management, business skills directly affect the success of the business. Business management, crisis management skills should have. Crisis management of crisis situation, management should manage the crisis. Management skills are needed at most moments of crisis. Because, in a state of emergency means the crisis. Ideally, the organization ...

  15. Adrenal Crisis: Still a Deadly Event in the 21st Century.

    Science.gov (United States)

    Puar, Troy H K; Stikkelbroeck, Nike M M L; Smans, Lisanne C C J; Zelissen, Pierre M J; Hermus, Ad R M M

    2016-03-01

    Adrenal crisis is a life-threatening medical emergency, associated with a high mortality unless it is appropriately recognized and early treatment is rendered. Despite it being a treatable condition for almost 70 years, failure of adequate preventive measures or delayed treatment has often led to unnecessary deaths. Gastrointestinal illness is the most common precipitant for an adrenal crisis. Although most patients are educated about "sick day rules," patients, and physicians too, are often reluctant to increase their glucocorticoid doses or switch to parenteral injections, and thereby fail to avert the rapid deterioration of the patients' condition. Therefore, more can be done to prevent an adrenal crisis, as well as to ensure that adequate acute medical care is instituted after a crisis has occurred. There is generally a paucity of studies on adrenal crisis. Hence, we will review the current literature, while also focusing on the incidence, presentation, treatment, prevention strategies, and latest recommendations in terms of steroid dosing in stress situations.

  16. Mobile crisis management teams as part of an effective crisis management system for rural communities.

    Science.gov (United States)

    Trantham, Doug; Sherry, Anne

    2012-01-01

    Mobile crisis management teams provide crisis prevention and intervention services in community settings. The Appalachian Community Services crisis management program shows how such teams can be used to effectively serve rural communities.

  17. Regulating Finance After the Crisis

    DEFF Research Database (Denmark)

    Moschella, Manuela; Tsingou, Eleni

    2013-01-01

    It is now widely recognized that regulatory failures contributed to the onset of the global financial crisis. Redressing such failures has, thus, been a key policy priority in the post-crisis reform agenda at both the domestic and international levels. This special issue investigates the process...... of post-crisis financial regulatory reform in a number of crucial issue areas, including the rules and arrangements that govern financial supervision, offshore financial centers and shadow banking, the financial industry's involvement in global regulatory processes, and macroeconomic modeling. In so doing......, the main purpose of this special issue is to shed light on an often understudied aspect in regulation literature: the variation in the dynamics of regulatory change. Contributors examine the different dynamics of regulatory change observed post-crisis and explain variations by accounting...

  18. CRISIS FOCUS: Stuck With Liquidity

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    With the risk of large-scale and systematic financial market crashes all but diminished, 2011 marks the beginning of the post-crisis era for the global economy and financial markets. But an old friend of 2010-

  19. The psychology behind the crisis

    Directory of Open Access Journals (Sweden)

    Amalia PANDELICA

    2010-05-01

    Full Text Available This paper is an extensive analysis of bought international business press andacademic literature in the field about crisis management and related fields. The paperis grounded on the premise that the psychology of the crisis is an important componentof the present international context and psychological factors play an important part inthe alteration of consumer’s behavior. The question that generated our researchapproach in such conditions was at what extent peoples’ behavior is determined byindividual rational choices. The central message of this paper is that in the presenteconomic crisis conditions the factors that are playing an important role in shapingpeople’s behaviour are: risk perception and risk attitude. We consider that at presentmanagers should understand how their clients react in crisis conditions and how theirbehavior changes in order to handle successfully the present situation.

  20. CRISIS FOCUS Looking to China

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The global financial crisis, which has plagued the world economy for two years, is nowhere near an end. Though a double-dip recession is unlikely, a fast and sound economic recovery is still out of reach.

  1. Interviewing College Students in Crisis.

    Science.gov (United States)

    Hersh, Jeffrey B.

    1985-01-01

    Presents a five-step model of a crisis interview and the special considerations in working with the suicidal and assaultive student for use by college counseling professionals. Discusses the special cases of suicidal and homocidal/assaultive potential. (LLL)

  2. [Crisis of medicine and information].

    Science.gov (United States)

    Dri, P

    1998-01-01

    Western medicine is experiencing a period of crisis, which started in the middle of the twentieth century. Such crisis comes from three different directions: the lack of confidence in the capacity of physicians to solve medical problems; the difficulties in health system management, due to the need to find an equilibrium between costs and benefits; the physicians increasing specialization. Correct information and divulgation, together with evidence based medicine, represent possible ways to ameliorate this situation.

  3. Leadership in a (permanent) crisis.

    Science.gov (United States)

    Heifetz, Ronald; Grashow, Alexander; Linsky, Marty

    2009-01-01

    The current economic crisis is not just another rough spell. Today's mix of urgency, high stakes, and uncertainty will continue even after the recession ends. The immediate crisis--which we will get through with policy makers' expert technical adjustments--sets the stage for a sustained, or even permanent, crisis, a relentless series of challenges no one has encountered before. Instead of hunkering down and relying on their familiar expertise to deal with the sustained crisis, people in positions of authority--whether they are CEOs or managers heading up a company initiative--must practice what the authors call adaptive leadership. They must, of course, tackle the underlying causes of the crisis, but they must also simultaneously make the changes that will allow their organizations to thrive in turbulent environments. Adaptive leadership is an improvisational and experimental art, requiring some new practices. Like Julie Gilbert, who overcame internal resistance to reorient Best Buy toward female purchasers, adaptive leaders get things done to meet today's challenges and then modify those things to thrive in tomorrow's world. They also embrace disequilibrium, using turbulence as an opportunity to build crucial new capacities, as Paul Levy did to rescue Beth Israel Deaconess Medical Center from a profound financial crisis. Finally, adaptive leaders, such as Egon Zehnder, the founder of an executive search firm, draw out the leadership skills that reside deep in the organization, recognizing the interdependence of all employees and mobilizing everyone to generate solutions.

  4. Barriers to implementing infection prevention and control guidelines during crises: experiences of health care professionals.

    NARCIS (Netherlands)

    Timen, A.; Hulscher, M.E.J.L.; Rust, L.; Steenbergen, J.E. van; Akkermans, R.P.; Grol, R.P.T.M.; Meer, J.W.M. van der

    2010-01-01

    BACKGROUND: Communicable disease crises can endanger the health care system and often require special guidelines. Understanding reasons for nonadherence to crisis guidelines is needed to improve crisis management. We identified and measured barriers and conditions for optimal adherence as perceived

  5. General Aspects of the Economical Crisis

    Directory of Open Access Journals (Sweden)

    Gina Ioan

    2011-02-01

    Full Text Available According to the economic theories, crises does not follow a general model, each of them,presenting unique aspects, representing actually an accident, generated by specific factors, at a certainsocio-economic and political situation. Like a classification of the crisis we can specify: the crisis ofliquidity in the banking sector, external balance of payments crisis, currency crisis, external debtcrisis and the financial crisis. After we have analyze the causes of the major crisis in XIX-th and XXthcenturies, we broach the principal causes of the actual world crisis. The implications of the crisis inEst-Europe and in Romania are analyzed from the point of view of these economies vulnerability anda series of mistakes taken in the governance acts. The theory of State intervention in the adjustment ofeconomic mechanisms, due to J.M. Keynes, is bring like an argument for exceed the negative effectsof the crisis.

  6. Crisis Typologies Revisited: An Interdisciplinary Approach

    Directory of Open Access Journals (Sweden)

    Albena Björck

    2016-09-01

    Full Text Available For effective crisis management and communication, a decision maker has to understand the causes and nature of a crisis and how it influences stakeholder perceptions. Identifying an organization’s vulnerabilities is essential for crisis prevention but practitioners often lack the ability to define crisis scenarios, especially the worst-case ones. A crisis typology is a structured approach to analyze crisis situations and to introduce measures for crisis prevention and containment. This paper aims to review recent literature on crisis classifications and to discuss their application. Because a single typology cannot capture the complexity and the interdisciplinary nature of a crisis, four relevant typologies from different disciplines are compared. Their combined application in an interdisciplinary framework is suggested. The paper discusses the need for typologies that reflect the cultural and contextual dimensions. Conclusions concerning the limitations and directions for further research are drawn.

  7. Organ shortage crisis: problems and possible solutions.

    Science.gov (United States)

    Abouna, G M

    2008-01-01

    The demand for organ transplantation has rapidly increased all over the world during the past decade due to the increased incidence of vital organ failure, the rising success and greater improvement in posttransplant outcome. However, the unavailability of adequate organs for transplantation to meet the existing demand has resulted in major organ shortage crises. As a result there has been a major increase in the number of patients on transplant waiting lists as well as in the number of patients dying while on the waiting list. In the United States, for example, the number of patients on the waiting list in the year 2006 had risen to over 95,000, while the number of patient deaths was over 6,300. This organ shortage crisis has deprived thousands of patients of a new and better quality of life and has caused a substantial increase in the cost of alternative medical care such as dialysis. There are several procedures and pathways which have been shown to provide practical and effective solutions to this crisis. These include implementation of appropriate educational programs for the public and hospital staff regarding the need and benefits of organ donation, the appropriate utilization of marginal (extended criteria donors), acceptance of paired organ donation, the acceptance of the concept of "presumed consent," implementation of a system of "rewarded gifting" for the family of the diseased donor and also for the living donor, developing an altruistic system of donation from a living donor to an unknown recipient, and accepting the concept of a controlled system of financial payment for the donor. As is outlined in this presentation, we strongly believe that the implementation of these pathways for obtaining organs from the living and the dead donors, with appropriate consideration of the ethical, religious and social criteria of the society, the organ shortage crisis will be eliminated and many lives will be saved through the process of organ donation and

  8. Acute adrenal crisis

    Science.gov (United States)

    ... adrenal gland is damaged due to, for example, Addison disease or other adrenal gland disease, and surgery The ... Call your health care provider if you have Addison disease and are unable to take your glucocorticoid medicine ...

  9. CAPITALIST CRISIS: BRIEF REMARKS

    Directory of Open Access Journals (Sweden)

    José Claudinei Lombardi

    2010-01-01

    Full Text Available Based on the joint context of the theory of crises and the resultant theory of revolutions of Marx and Engels for the analysis of the genesis, development and death of Capitalism, a summary of the historical confronts from which relations of capital have been hegemonic in the XX and XXI centuries is presented. Within this same context, a synthesis of the debates on the structural crisis of Capitalism in the past years is made with an emphasis on its relevance and seriousness in history. It is emphasized that communism is not an idea to be implemented but a reality to be constructed by real men in struggles, conquests and defeats. The revolution of a way of production is not made by itself or by decree, but it is in fact the product of organized men. It is claimed that the maturing of a struggle may lead to the formation of a wide front to articulate anti-capitalist and revolutionary forces. It is observed the need for a tactic and strategic organization to overcome the logics of the Capital and the role each educationalist must play to expand and deepen the debate.

  10. Coral reefs in crisis.

    Science.gov (United States)

    Hinrichsen, D

    1997-01-01

    This article reports on the crisis facing reefs throughout the world and the struggle to save them. Coral reefs, one of the biological wonders of the world, are among the largest and oldest living communities of plants and animals on earth, having been evolved between 200 and 450 million years ago. Located mostly in the Pacific region, most established coral reefs are now dead and only the upper layer is covered by a thin changeable skin of living coral. Reefs, over the years, have been the main source of animal protein for over 1 billion people in Asia. Countries near the coastlines, which relied on the seas, have resorted to dynamite fishing, poisoning and other illegal and dangerous techniques. Overpopulation and pollution has caused the deteriorating conditions of the 600,000 sq. km of coral reefs worldwide. Despite these conditions, the government has ignored this problem as they struggle to develop their economies at the expense of common resources. In addition, this article narrates the efforts that are exerted by governments in promoting coral reef protection and management of these coastal resources, setting the Apo Island in the Philippines as an example of good management and sustainability.

  11. Container shipping in crisis

    Directory of Open Access Journals (Sweden)

    Jerzy Kujawa

    2012-12-01

    Full Text Available In the last two years, the global maritime trade, and in particular container throughput, has been growing, although more slowly than in the exceptional year 2010, after a rapid collapse in 2009. Container fleet has also been growing well, but financial results achieved by the majority of leading container carrier companies (TOP 20 are very bad. When in 2009 their losses amounted to several billions dollars, carriers explained that it was an exceptional year because of the economic crisis and unusual collapse of container throughput accompanied by increasing expenses (especially on fuel. However, looking at financial results for the four years period of 2008-2011, year 2010 appears to be exceptionally profitable and the sum of financial results for the entire period for fifteen carriers from the TOP 20 group is 5.5 billion dollars loss. Debt of carriers is already over 90 billion dollars. Many of them are actually on the verge of bankruptcy and the prospects are not the best.

  12. Normalidad, anormalidad y crisis

    Directory of Open Access Journals (Sweden)

    Jairo Báez

    2012-01-01

    Full Text Available Cuatro preguntas para reactivar el debate sobre normalidad, anormalidad y crisis. Primera, ¿es posible una postura definitiva sobre lo normal y lo anormal en el plano de lo humano?; segunda, ¿de qué manera se puede plantear una salida razonable a la interacción entre lo particular y singular del sujeto y la generalidad y lo común a una sociedad humana?; tercera, ¿es el conocimiento, en especial el que emerge de la ciencia instituida desde la academia, tan aséptico e imparcial como se promulga?; y cuarta, ¿de qué manera se esconde lo político y la política en las posturas clínicas y curativas de las ciencias humanas y sociales? Sucintamente, las respuestas enuncian que no hay asidero, aún hoy, para dirimir con algún grado de seriedad, un criterio sobre lo normal y lo anormal; una salida razonable entre el sujeto y una sociedad, siempreencara un conflicto; la ciencia y el conocimiento que deviene de ella, son tan subjetivos como cualquier otro; la política y lo político, definen finalmente, los criterios de la salud.

  13. Tres crisis alimentarias

    Directory of Open Access Journals (Sweden)

    David Barkin

    1983-09-01

    Full Text Available Los cambios observados en la sociedad mexicana en los últimos decenios han provocado crisis alimentarias en el país. Este ensayo aborda esta problemática nacional que de alguna forma afecta también el desarrollo de las fronteras de México. El agro nacional se ha transformado en un emporio capitalista, perdiendo con ello su capacidad para proveer los productos básicos de consumo masivo y marginando con ellos a las mayorías campesinas. El sistema económico no ha sido capaz de ofrecer empleo o ingresos suficientes a amplios sectores de la sociedad, por lo que se ven obligados a consumir menos de lo necesario para sostener una vida sana. Incluso quienes tienen los medios están bombardeados con propaganda y limitados por los canales de distribución orillándolos a elegir productos que sistemáticamente deterioran los niveles nutricionales de su consumo diario.

  14. The financial crisis in Italy: implications for the healthcare sector.

    Science.gov (United States)

    de Belvis, Antonio Giulio; Ferrè, Francesca; Specchia, Maria Lucia; Valerio, Luca; Fattore, Giovanni; Ricciardi, Walter

    2012-06-01

    The global economic and financial crisis is having and impact on the Italian healthcare system which is undergoing a devolution process from the central government to regions and where about one third of the regional governments (mainly in the central and southern part of the country) are facing large financial deficits. The paper briefly describes the current macro scenario and the main responses taken to face the crisis and highlights the downside risks of introducing "linear" cuts in the allocation of resources. While justified by the risk of a national debt default, present fiscal policies might increase inequalities in access to care, deteriorate overall health indicators and population wellbeing, and sharpen existing difference in the quality of care between regions. Preliminary evidence shows that the crisis is affecting the quality of nutrition and the incidence of psychiatric disorders. During this difficult financial situation Italy is also facing the risk of a major reduction in investments for preventive medicine, Evidence Based Medicine infrastructures, health information systems and physical capital renewal. This cost-cutting strategy may have negative long term consequences Also, important achievement in terms of limiting waiting lists, improving continuity of care and patients' centeredness, and promoting integration between social and health care may be negatively affected by unprecedented resources' cuts. It is essential that in such a period of public funding constraints health authorities monitor incidence of diseases and access to care of the most vulnerable groups and specifically target interventions to those who may be disproportionally hit by the crisis. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  15. Deficient crisis-probing practices and taken-for-granted assumptions in health organisations

    Science.gov (United States)

    Canyon, Deon V.; Adhikari, Ashmita; Cordery, Thomas; Giguère-Simmonds, Philippe; Huang, Jessica; Nguyen, Helen; Watson, Michael; Yang, Daniel

    2011-01-01

    The practice of crisis-probing in proactive organisations involves meticulous and sustained investigation into operational processes and management structures for potential weaknesses and flaws before they become difficult to resolve. In health organisations, crisis probing is a necessary part of preparing to manage emerging health threats. This study examined the degree of pre-emptive probing in health organisations and the type of crisis training provided to determine whether or not they are prepared in this area. This evidence-based study draws on cross-sectional responses provided by executives from chiropractic, physiotherapy, and podiatry practices; dental and medical clinics; pharmacies; aged care facilities; and hospitals. The data show a marked lack of mandatory probing and a generalised failure to reward crisis reporting. Crisis prevention training is poor in all organisations except hospitals and aged care facilities where it occurs at an adequate frequency. However this training focuses primarily on natural disasters, fails to address most other crisis types, is mostly reactive and not designed to probe for and uncover key taken-for-granted assumptions. Crisis-probing in health organisations is inadequate, and improvements in this area may well translate into measurable improvements in preparedness and response outcomes. PMID:24149030

  16. Ideologies in the Swedish health sector today: the crisis of the social democracy.

    Science.gov (United States)

    Diderichsen, F

    1982-01-01

    Sweden has a long tradition of social democracy and corporate cooperation. Social problems are treated as technological questions that always should be solved through rational and neutral means. Today Sweden faces a crisis of economy as well as a crisis of medicine. In the spirit of consensus, the state has proposed a new health reform emphasizing the responsibility of the public health service to prevent disease and provide equal access to care. It is claimed that improved health planning, based on epidemiological knowledge on inequalities, can solve the crisis in medicine within an improved system of primary care and prevention. However, in the context of the current economic crisis, the struggle against health hazards and cuts in public spending has intensified and the gap between the ideology of technological rationalism and reality has widened.

  17. 喷气织机引纬工艺参数的设定%Configuration of Weft Insertion Processing Parameters on Air Jet Loom

    Institute of Scientific and Technical Information of China (English)

    瞿建新; 马顺彬

    2012-01-01

    Configuration methods of weft insertion processing on air jet loom were discussed. Take GA708-280 Air Jet Loom as an example, configuration methods of weft insertion processing and general principle were analyzed, including open and close time of main nozzle and additional nozzle solenoid valve, air jet pressure of main nozzle and additional nozzle, release time of accumulator retaining pin. It is considered that jet wefting time parameter of air jet loom should be set according to fabric weave and variety. Air jet pressure should be set according to method of high pressure for example 4. 0xl05 Pa to low pressure gradually.%探讨喷气织机引纬工艺参数的设定方法.以GA708-280型喷气织机为例,分析了主喷嘴、辅助喷嘴电磁阀的开闭时间、主喷嘴和辅助喷嘴的喷气压力、储纬器挡纱针的释放时间等引纬参数的设定方法及一般原则.认为:喷气织机引纬喷射时间参数要根据不同的织物组织结构及品种来设定;喷气压力应采用先由高压(如4×105 Pa)开始,再逐渐降低的方法来设定.

  18. A crisis management quality improvement initiative in a children's psychiatric hospital: design, implementation, and outcome.

    Science.gov (United States)

    Paccione-Dyszlewski, Margaret R; Conelea, Christine A; Heisler, Walter C; Vilardi, Jodie C; Sachs, Henry T

    2012-07-01

    Behavioral crisis management, including the use of seclusion and restraint, is the most high risk process in the psychiatric care of children and adolescents. The authors describe hospital-wide programmatic changes implemented at a children's psychiatric hospital that aimed to improve the quality of crisis management services. Pre/post quantitative and qualitative data suggest reduced restraint and seclusion use, reduced patient and staff injury related to crisis management, and increased patient satisfaction during the post-program period. Factors deemed beneficial in program implementation are discussed.

  19. [Health indicators in the time of crisis in Italy].

    Science.gov (United States)

    Costa, Giuseppe; Marra, Michele; Salmaso, Stefania

    2012-01-01

    to estimate for the first time in Italy the consequences of the national current economic crisis on health and on social determinants of health, assessing its impact on a set of distal determinants (development and economic wellbeing, labour and environment) and of prossimal ones (material, psychosocial, professional, environmental and behavioural risk factors) on health care performance and on health outcomes normally related to economic trends, as self-perceived health, depression, number of suicides attempts, road traffic incidents and work injuries. The analysis is therefore aimed at identifying the most promising entry points in order to plan and implement either health care and other policies to tackle the negative effects of crisis on health. using the main international and national references on the measure of wellbeing and on the role of social determinants, this paper draws a conceptual framework of all the connections between recession and health. For each mechanism identified, it examines the value of the main available indicators before and during the crisis in order to measure its impact, adjusting if possible for the trend observed in the previous years. Indicators have been selected according to their availability in the main Italian national informative sources and, when not possible, circumscribing the analysis to the regional or local level. regarding the short term impact, results have shown an association between the recession and the raise of mental health related problems (measured in terms of number of suicides, depression and substance misuse), especially on the most disadvantaged groups because of their higher job and financial insecurity. A first ex-ante impact assessment on long term effects allows to attribute almost two hundred deaths a year due to the increase of unemployment rate. Regarding the budget cuts on public expenditure of the health care sector, significant reductions have been shown in specialist care and in drug

  20. 毛巾织机起毛控制凸轮设计%Design of the Loop- pile Controlling Cam of a Terry Towel Loom

    Institute of Scientific and Technical Information of China (English)

    周腊权; 陈明

    2000-01-01

    应用压力角作为凸轮设计时考虑的主要要素,并运用计算机作为辅助手段,设计出毛巾织机起毛控制凸轮的主要参数及绘出凸轮廓线。%The pressure angle was taken to be the primary factor when designing the cam in this paper. And with thehelp of computers, the main elements of the loop - pile controlling cam of terry towel loom and its profile will be obtained.

  1. The refugee dilemma and migrant crisis: ‘Charity begins at Home’ or ‘Being Home to the Homeless’? The paradoxical stance in pastoral caregiving and the infiltration and perichoresis of compassion

    OpenAIRE

    Daniel Louw

    2016-01-01

    The current refugee and migrant crisis is revealing on a deeper ‘spiritual level’ a crisis of meaning and habitus (attitudinal crisis). Because of prejudice, xenophobia reveals a crisis of compassion and diaconic outreach. How should local communities and communities of faith display hospitality (xenophilia) to the other (stranger, foreigner, outsider) in cases where one’s own life is threatened by those you are supposed to care for? Is it true that charity begins at home, or is charity, as d...

  2. Predictors of extubation failure in myasthenic crisis.

    Science.gov (United States)

    Seneviratne, Janaka; Mandrekar, Jay; Wijdicks, Eelco F M; Rabinstein, Alejandro A

    2008-07-01

    The ideal timing for extubation of patients with myasthenic crisis (MC) and the factors that influence extubation outcome are not well established. To assess the risk of extubation failure in MC and to identify predictors of extubation failure. We reviewed consecutive episodes of MC treated with endotracheal intubation from January 1, 1987, through December 31, 2006. Mayo Clinic. Patients Forty patients with 46 episodes of MC underwent endotracheal intubation and mechanical ventilation. The main outcome measures were extubation failure and reintubation. Extubation failure was defined as reintubation, tracheostomy, or death while intubated. Reintubation was also analyzed as a separate end point. Univariate logistic regression was used to identify predictors of extubation failure and reintubation. Of the 46 episodes of MC, extubation failure occurred in 20 (44%), including 9 of 35 episodes (26%) of reintubation. Male sex, history of previous crisis, atelectasis, and intubation for more than 10 days were associated with extubation failure. Lower pH and lower forced vital capacity on the time of extubation, atelectasis, and bilevel intermittent positive airway pressure use after extubation predicted the need for reintubation. Atelectasis showed the strongest association with both end points. Extubation failure and reintubation were associated with significant prolongation in intensive care unit and hospital length of stay. Extubation failure is relatively common in patients with MC. Atelectasis is the strongest predictor of this complication.

  3. Post Crisis European Agenda

    Directory of Open Access Journals (Sweden)

    Pop, Napoleon

    2010-09-01

    Full Text Available The economic crisis is still evolving, at least from the point of view of some features making the entire process of its reversing very difficult - uncertainties, confusions and lack of investors` trust. More then that, every rim of the Atlantic Ocean has its own opinion as to the timing of the exit stimulus measures. There are prevailing risks taken into consideration when we talk about the next stage of the economic growth e.g. its sustainability on a log run or inflaming the inflation. It is for sure, that according to the core economic policies practiced either in USA or Europe, in Europe what count most is the danger of the inflation, if the right time of stopping the flood of the governmental funds to the real economy is not well chosen. The economic situation in Europe, as all over the world, in spite of some signs that the economy is on the right track ( South East Asia, USA or Germany, there are a lot of doubts as to the assurance that recession is over and there is no way for an immediate return. Notabilities in economics see that governmental intervention should be continued, just because the economic growth consigned by statistics is not convincing. Convictions, if they exist, are blended with a lot of obsessions which in my opinion are making up a serious agenda of the debates in Europe: budgetary deficit in excess, danger of the inflation, new regulation of the financial sector, credibility of the euro zone. Romania has to be involved in all these debates as it is passing through all the mentioned difficulties which need solutions within the frame of European standards, as a member of the EU.

  4. Worldwide spreading of economic crisis

    CERN Document Server

    Garas, Antonios; Rozenblat, Celine; Tomassini, Marco; Havlin, Shlomo

    2010-01-01

    We model the spreading of a crisis by constructing a global economic network and applying the Susceptible-Infected-Recovered (SIR) epidemic model with a variable probability of infection. The probability of infection depends on the strength of economic relations between the pair of countries, and the strength of the target country. It is expected that a crisis which originates in a large country, such as the USA, has the potential to spread globally, like the recent crisis. Surprisingly we show that also countries with much lower GDP, such as Belgium, are able to initiate a global crisis. Using the {\\it k}-shell decomposition method to quantify the spreading power (of a node), we obtain a measure of ``centrality'' as a spreader of each country in the economic network. We thus rank the different countries according to the shell they belong to, and find the 12 most central countries. These countries are the most likely to spread a crisis globally. Of these 12 only six are large economies, while the other six ar...

  5. Analysis of crisis intervention processes.

    Science.gov (United States)

    Tschacher, Wolfgang; Jacobshagen, Nina

    2002-01-01

    The remediation processes in psychosocial crisis intervention were modeled focusing on cognitive orientation. Frequent observations and subsequent process modeling constitute a novel approach to process research and reveal process-outcome associations. A sample of 40 inpatients who were assigned to treatment in a crisis intervention unit was monitored in order to study the process of crisis intervention. The process data consisted of patients' self-ratings of the variables mood, tension, and cognitive orientation, which were assessed three times a day throughout hospitalization (M = 22.6 days). Linear time series models (vector autoregression) of the process data were computed to describe the prototypical dynamic patterns of the sample. Additionally, the outcome of crisis intervention was evaluated by pre-post questionnaires. Linear trends were found pointing to an improvement of mood, a reduction of tension, and an increase of outward cognitive orientation. Time series modeling showed that, on average, outward cognitive orientation preceded improved mood. The time series models partially predicted the treatment effect, notably the outcome domain "reduction of social anxiety," yet did not predict the domain of symptom reduction. In conclusion, crisis intervention should focus on having patients increasingly engage in outward cognitive orientation in order to stabilize mood, reduce anxiety, and activate their resources.

  6. How Should Generation Enterprises Deal with Crisis?

    Institute of Scientific and Technical Information of China (English)

    Zhang Changyuan

    2009-01-01

    @@ Impact of financial crisis gradually spreading With the spread of international financial crisis,the situation of domestic power generation industry is becoming serious.China Datang Corporation suffered an overall loss for the first time in March 2008.

  7. Using Crisis Simulations in Public Relations Education

    Science.gov (United States)

    Veil, Shari R.

    2010-01-01

    Objectives: Students will demonstrate research, decision making, team building, and public speaking skills, while applying issues management and crisis communication concepts in a realistic setting. Courses: Introduction to Public Relations, Public Relations Cases, Crisis Communication.

  8. LIQUIDITY RISK MANAGEMENT IN CRISIS CONDITIONS

    Directory of Open Access Journals (Sweden)

    Matis Eugenia

    2010-12-01

    Full Text Available In order to measure the liquidity risk we have developed an analysis model, based on stress-testing scenarios, that shows the ability of the bank to face different types of liquidity crisis. The scenarios were designed for each balance sheet position for assets and liabilities: Ordinary Course of Business, Name Crisis (Mild Name Crisis and Severe Name Crisis, Market Crisis (Mild Market Crisis and Severe Market Crisis that reflects banking sector crisis and persistent recession. This offers a dynamic image about the banks liquidity in report with different types of liquidity scenarios, but also about the time horizon of analyze. The research also wants to highlight the most significant features to consider in order to implement an effective liquidity risk management and to achieve a more integrated supervisory framework.

  9. Recent Issues in the Asian Currency Crisis

    Directory of Open Access Journals (Sweden)

    Jae Joon Lee

    1998-09-01

    Full Text Available Since the outbreak of the Asia exchange rate crisis last year, different analysts have attempted to analyze and explain the reason and the development of the crisis theoretically. But the present theory of the reason of the crisis is not account for the crisis, especially the evident feature that the Asia crisis appear to be infective, which seems to make the world economy to a stagnant degree. This thesis filed the present argumentations which helped to understand the Asia foreign exchange rate crisis and made a discussion at this level. This thesis first explained a certain contact between the secular trend of the capital movement and the appearance of the foreign exchange crisis, then extend to the theoretical explanation of the infective effect of the foreign exchange crisis. Meanwhile, as to the question the predictive possibility which is an important part related to foreign exchange theory, this thesis introduced former thesis which took Korea as the object of analysis.

  10. Countermeasures against Crisis by Generation Enterprises

    Institute of Scientific and Technical Information of China (English)

    Chen Zongfa; Zhang Sufang

    2009-01-01

    @@ Negative effects on generation industry by financial crisis The negative impact of financial crisis on generation industry is reflected in the following aspects. First,the decline of the growth of electricity generation had accelerated.

  11. Using Crisis Simulations in Public Relations Education

    Science.gov (United States)

    Veil, Shari R.

    2010-01-01

    Objectives: Students will demonstrate research, decision making, team building, and public speaking skills, while applying issues management and crisis communication concepts in a realistic setting. Courses: Introduction to Public Relations, Public Relations Cases, Crisis Communication.

  12. Thyrotoxic and pheochromocytoma multisystem crisis: a case report.

    Science.gov (United States)

    Suzuki, Kodai; Miyake, Takahito; Okada, Hideshi; Yamaji, Fuminori; Kitagawa, Yuichiro; Fukuta, Tetsuya; Yasuda, Ryu; Tanaka, Yoshihito; Okamoto, Haruka; Nachi, Sho; Doi, Tomoaki; Yoshida, Takahiro; Kumada, Keisuke; Yoshida, Shozo; Ushikoshi, Hiroaki; Toyoda, Izumi; Ogura, Shinji

    2017-06-23

    . After retroperitoneal laparoscopic adrenalectomy on hospital day 33, his condition stabilized. He was discharged on hospital day 58. Since he required more intensive cardiovascular management for thyrotoxic crisis, beta blockade was increased under intensive care unit monitoring even though initial alpha blockade is recommended in pheochromocytoma. When these crises occur simultaneously, cardiovascular management can be very challenging.

  13. Trabajo, crisis global y salud

    OpenAIRE

    2010-01-01

    Esta publicación presenta los principales resultados del 7º. Seminario Internacional Trabajo, Crisis Global y Salud coordinado por el Doctorado Interfacultades en Salud Publica, cuyo debate se centró en las condiciones del trabajo en un mundo globalizado, las consecuencias de la crisis global sobre las condiciones de trabajo y su impacto en la salud de las personas. Se contó con la presencia de líderes regionales en salud del trabajo y seguridad de países como Argentina, Uruguay, Perú, México...

  14. How far is the crisis?

    Institute of Scientific and Technical Information of China (English)

    谢晟

    2012-01-01

      Many readers may be interested on hous-ing price in China. Because it lets thousands of people become millionaires within several years. But the worth to the millionaires must be paid by someone. Which kind of payment should be paid and by who? Recently, Chinese government tries to control the housing price. Which methods are the most effective to control the housing price? If Chinese government could not handle it well, will it have serious fi-nancial crisis in China such like the sub-prime lending crisis in the US 2008. All these ques-tions will be discussed in the essay.

  15. Le origini culturali della crisi

    Directory of Open Access Journals (Sweden)

    ALESSANDRO RONCAGLIA

    2010-01-01

    Full Text Available After recalling the financial origin of the crisis and the persistent worldwide fragility of the financial sector, and after citing papers which before 2007 had pointed out the elements of systemic fragility of the US and world economy, the paper illustrates the cultural roots of the crisis, namely the economic views which favoured deregulation policies: the fallacy of the invisible hand of the market and a simplistic view of uncertainty, to which Keynesian uncertainty is opposed, with the consequent underevaluation of the risks of systemic instability.

  16. Enhancing the crisis management briefing.

    Science.gov (United States)

    Clark, Daniel W; Volkmann, Peter

    2005-01-01

    The Crisis Management Briefing (CMB) is a powerful and versatile crisis intervention tool, effective within a wide variety of populations, settings, and critical incidents. Initially proposed by Everly (2000), the CMB uniquely fills the factual information void following a critical incident. Additionally, a CMB provides essential information on effective coping strategies and available helping resources, tailored to the specific incident(s). The authors expand on the original CMB construct using their combined field experience, offering recommendations on team composition, strategic planning factors, using CISDs vs. CMBs, and specific enhancements for the four phases. They conclude with examples of specific interventions across a variety of events to illustrate their recommendations.

  17. Scorpion sting and hypertensive crisis

    Directory of Open Access Journals (Sweden)

    C. Ratti

    2013-05-01

    Full Text Available BACKGROUND Scorpion stings are very frequent in Centre-South America. The most frequently observed clinical symptoms are: local pain and redness, tachycardia, irritability, hypertensive crisis; but it differs with the scorpion species involved. CLINICAL CASE We describe a scorpion sting in a woman who came back from a holiday in Mexico. Consequently she had a hypertensive crisis treated with furosemide. DISCUSSION The scorpion sting can be very dangerous. There are many species which could be lethal; in these cases, identifying the exact species can be essential to save the patient’s life. The treatment consists of symptomatic measures, support of vital functions and i.v. antivenom.

  18. Crisis management in metallurgical enterprises

    Directory of Open Access Journals (Sweden)

    B. Gajdzik

    2014-07-01

    Full Text Available On the basis of report analysis which presents situation in metallurgical sector after 2008 the range of changes implemented in management of metallurgical enterprises was characterised. A definition approach to crisis management was suggested as the process when the enterprise is managed during the breakdown period in market condition of the economy in the way directed towards preventing the negative effects of crisis inside enterprises. The publication presents the key aspects of enterprise management in the period of collapse of the balance between the supply and demand on the metallurgical market.

  19. Campus Crisis Response at Viberg College

    Science.gov (United States)

    Eaker, Rachel; Viars, Jamie

    2014-01-01

    This fictional case study examines crisis response in higher education settings. Information about current crisis response procedures, plans, and trends was gathered from informational interviews, current crisis management literature, and multiple college and university websites. The information was synthesized into a fictional case study using…

  20. Crisis and Employment: The Case of Korea

    Science.gov (United States)

    Cho, Dongchul; Shin, Sukha

    2012-01-01

    This paper examines Korea's employment dynamics and analyzes how adverse impacts could be mitigated during the recent economic crisis in comparison with the 1997 to 1998 Asian crisis. A clear lesson is that policies to mitigate adverse impacts of financial crisis on the macroeconomic level should be given priority for preserving employment. In…

  1. Campus Crisis Response at Viberg College

    Science.gov (United States)

    Eaker, Rachel; Viars, Jamie

    2014-01-01

    This fictional case study examines crisis response in higher education settings. Information about current crisis response procedures, plans, and trends was gathered from informational interviews, current crisis management literature, and multiple college and university websites. The information was synthesized into a fictional case study using…

  2. Crisis and Employment: The Case of Korea

    Science.gov (United States)

    Cho, Dongchul; Shin, Sukha

    2012-01-01

    This paper examines Korea's employment dynamics and analyzes how adverse impacts could be mitigated during the recent economic crisis in comparison with the 1997 to 1998 Asian crisis. A clear lesson is that policies to mitigate adverse impacts of financial crisis on the macroeconomic level should be given priority for preserving employment. In…

  3. Lecciones de las crisis mexicanas para Corea

    NARCIS (Netherlands)

    Visser, H.; Wengel, J. ter; Chalapati Rao, K.S.

    2005-01-01

    The Corean crisis in 1997-1998 resembled the Mexican crisis of 1982 more than it did the Mexican crisis of 1995, because it was more associated with international bank debt. It would help if government did not provide implict guarantees on this kind of debt.

  4. Lecciones de las crisis mexicanas para Corea

    NARCIS (Netherlands)

    Visser, H.; Wengel, J. ter; Chalapati Rao, K.S.

    2005-01-01

    The Corean crisis in 1997-1998 resembled the Mexican crisis of 1982 more than it did the Mexican crisis of 1995, because it was more associated with international bank debt. It would help if government did not provide implict guarantees on this kind of debt.

  5. Crisis Management and Navy Organizational Culture.

    Science.gov (United States)

    1997-09-01

    crisis management. It also presents critical case studies to illustrate how organizational culture can serve as an impediment to constructive crisis...My research concludes that the key to effective crisis management is an organizational culture which institutionalizes the use of ethical and constructive practices.

  6. Explaining quality of life with crisis theory

    NARCIS (Netherlands)

    Sprangers, M.A.G.; van den Heuvel, W.J.A.; de Haes, H.C.J.M.

    2002-01-01

    Based on the premises of crisis theory. we expected cancer patients in-crisis to report a poorer quality of life (QL) and cancer patients post-crisis to report a similar level of overall QL in comparison to healthy individuals. To explain these hypothesized findings, we expected the coping resources

  7. Exploring Internal Crisis Communication in Multicultural Environments

    DEFF Research Database (Denmark)

    Ravazzani, Silvia

    2016-01-01

    Purpose: To explore managers’ perspectives on and practices of internal crisis communication in multicultural environments. Design/methodology/ approach: After a review of relevant literature on crisis, culture and internal communication to define the framework and relevance of this study, results...... into internal crisis communication in organisations with a multicultural environment....

  8. Acute adrenal crisis after orthopedic surgery for pathologic fracture

    Directory of Open Access Journals (Sweden)

    Hashimoto Nobuyuki

    2007-03-01

    Full Text Available Abstract Background Adrenal crisis after surgical procedure is a rare but potentially catastrophic life-threatening event. Its manifestations, such as hypotension, tachycardia, hypoxia, and fever mimic the other more common postoperative complications. Clinical outcome is dependent upon early recognition of the condition and proper management with exogenous steroid administration. Case presentation We report a 75-year-old man who presented with shock immediately after surgery for a femoral fracture from lung cancer metastasis. Anemia and severe hyponatremia were detected. Despite adequate fluid resuscitation, nonspecific symptoms including hypotension, tachycardia, hypoxia, fever and confusion occurred. Emergent CT revealed enlarged bilateral adrenal glands. Under the diagnosis of adrenal crisis due to metastatic infiltration of adrenal glands, the patient was treated with appropriate steroid replacement resulting in rapid improvement and recovery. Conclusion We describe a case of adrenal crisis caused by the lack of adrenal reserve based on metastatic involvement and surgical stress, the first published case of adrenal crisis after surgery for a pathologic fracture from lung cancer metastasis. Surgeons treating pathologic fractures should be aware of this complication and familiar with its appropriate therapy because of increasing opportunity to care patients with metastatic bone tumors due to recent advances in cancer treatment.

  9. 危机管理对精神科患者护理质量及风险事件的影响%Efficacy of Crisis Management on Quality of Nursing Care and Risk Events in Patients with Psy-chiatric Disorders

    Institute of Scientific and Technical Information of China (English)

    龚建荣; 全夏菲

    2016-01-01

    [Objective]To investigate the effect of crisis management of nursing quality and risk events on pa‐tients with psychiatric disorders .[Methods]From June 2014 to June 2015 ,the crisis management had been applied in the patients with psychiatric disorders in our hospital ,and the efficacy had been compared with those effects under‐went (June 2013 to May 2014) .The effects of crisis management on the quality of psychiatric nursing ,nursing dis‐putes ,risk events and the satisfaction degree of patients'family members were analyzed .[Results] After the imple‐mentation of crisis management ,the indicators of basic nursing ,nursing records ,ward environment /safety ,first aid drugs /equipment and total nursing quality score were significantly higher than those before implementation ( P <0 0.5) .Nursing risk events ,nurse‐patient disputes ,nursing complaint rate and nursing error rate were significantly lower than those before implementation ( P <0 0.5);Patients'satisfaction rate was higher than that before the imple‐mentation ( P <0 0.5) .[Conclusion]Crisis management can effectively improve the quality of nursing care ,reduce the incidence of nursing risk events and nursing error rate .It is helpful to improve the satisfaction rate of patients'families ,and reduce the occurrence of nursing disputes .%【目的】探讨危机管理对精神科患者护理质量及风险事件的影响。【方法】2014年6月至2015年6月对本院精神科患者应用危机管理,并与应用危机管理前(2013年6月至2014年5月)进行对比,分析危机管理对精神科护理质量、护理纠纷、风险事件及患者家属满意度的影响。【结果】危机管理实施后基础护理、专科护理、危险患者管理、护理记录、病房环境/安全、急救药品/器械及护理质量总评分显著高于实施前(P <00.5);护理风险事件、护患纠纷发生率、护理投诉率、护理差错率显著低于实施前( P <00

  10. Noorte looming : [luuletused

    Index Scriptorium Estoniae

    2007-01-01

    Sisu: Kuked ja kanad / Laura Trull ; "Ma igatsen õnne..." / Kattre Adramees ; Usk / Riinu Ansperi ; Talveüllatus / Aile Eldemeel ; Vastutus / Riinu Ansperi ; Pisike peni / Indrek Kuka ; Tere, talv! / Villi Brandt ; Minu kool / Kaisa Tamm ; Selle teeraja mälestuseks / Anni Vanin

  11. Laptop Price War Looms

    Institute of Scientific and Technical Information of China (English)

    MARKGODFREY

    2004-01-01

    Last spring, computer hypermarkets in the business district of southeast China's Xiamen stocked at least thirty different brands of laptops, most of which were designed and pro-duced locally in this high-techcity. By April of this year thenumber of brands had decreased significantly,replaced by an increased number of models from market leaders such as Lenovo, Delland IBM.

  12. Labor Shortage Looming Ahead?

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The large quantity of cheap labor resources has long been regarded as one of the important factors that make it possible for China’s economy to maintain rapid growth. However, Cai Fang, Director of the Institute of Population and Labor Economics, Chinese Academy of Social Sciences, warned at a lecture in early May that China’s surplus rural labor force is not as large as thought and that China will soon experience the transition from labor surplus to labor shortage. He predicted that the turning point would occur probably in 2009. In response, Hou Dongmin, Director of the Institute of Population, Resources and Environment of Renmin University of China, and Deng Yuwen, researcher at the China Society of Economic Reform, analyze the expected impacts of transition on China’s future growth mode (in sequence).

  13. Downturn Risks Loom Large

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Is the world heading for a better year after hitting rock bottom in 2009? Not necessarily.Zhu Min,the outgoing Vice Governor of People's Bank of China,said the world economy's future looks bleak at a financial forum held in Beijing on April11.Zhu is expected to resume his position as a special advisor at the International Monetary Fund(IMF)in May 2010.

  14. Pagulasfotograafide looming Kumus

    Index Scriptorium Estoniae

    2010-01-01

    Kumu Kunstimuuseumis 8. 10.-19. 11 2010 avatud näitus "Väliseesti foto" tutvustab pärast Teist maailmasõda Euroopas ja Ameerikas paguluses tegutsenud eesti fotograafide - Karl Hintzer, Eric Soovere, Priit Vesilind, Alar Kivilo jt. - loomingut ning kultuuriloolist materjali väliseesti fotoarhiividest

  15. A Novel Mental Health Crisis Service - Outcomes of Inpatient Data.

    Science.gov (United States)

    Morrow, R; McGlennon, D; McDonnell, C

    2016-01-01

    Northern Ireland has high mental health needs and a rising suicide rate. Our area has suffered a 32% reduction of inpatient beds consistent with the national drive towards community based treatment. Taking these factors into account, a new Mental Health Crisis Service was developed incorporating a high fidelity Crisis Response Home Treatment Team (CRHTT), Acute Day Care facility and two inpatient wards. The aim was to provide alternatives to inpatient admission. The new service would facilitate transition between inpatient and community care while decreasing bed occupancy and increasing treatment in the community. All services and processes were reviewed to assess deficiencies in current care. There was extensive consultation with internal and external stakeholders and process mapping using the COBRAs framework as a basis for the service improvement model. The project team set the service criteria and reviewed progress. In the original service model, the average inpatient occupancy rate was 106.6%, admission rate was 48 patients per month and total length of stay was 23.4 days. After introducing the inpatient consultant hospital model, the average occupancy rate decreased to 90%, admissions to 43 per month and total length of stay to 22 days. The results further decreased to 83% occupancy, 32 admissions per month and total length of stay 12 days after CRHTT initiation. The Crisis Service is still being evaluated but currently the model has provided safe alternatives to inpatient care. Involvement with patients, carers and all multidisciplinary teams is maximised to improve the quality and safety of care. Innovative ideas including structured weekly timetable and regular interface meetings have improved communication and allowed additional time for patient care.

  16. Definition of crisis state of enterprises

    Directory of Open Access Journals (Sweden)

    V.M. Danich

    2013-12-01

    Full Text Available The aim of the article. The aim of the article is to determine the critical situation at the enterprise for early diagnosis and prediction the crises; development of methodical approaches to the solution of problems in this sphere taking into account the prediction of financial crisis for enterprises of different branches of the business activity. The results of analysis. The approaches to the definition of crisis have been analyzed in the article. The considered approaches to the definition of the crisis make it possible to formulate the definition of crisis state of an enterprise. In order to identify the crisis state of enterprises it is suggested to use comparative analysis. The evaluation and the analysis of crisis state are performed in five blocks. First phase of analysis of the crisis defines the probability of the expression of the crisis at the enterprise. It includes criteria for evaluation of generalized probability bankruptcy and comprehensive economic analysis of the efficiency of industrial and financial activity. This analysis is supplied by coefficient, rating and factor methods of diagnosis of crisis. In the practice of prediction of crisis at the enterprise it is proposed to use the model of automata theory. At the second stage it is proposed to identify the main causes of the onset of crisis. The causal connections of a crisis are required sources of forming the necessary information to determine the probability of a crisis in the company. The information database to form a forecasting model of crisis was defined. The next stage in the analysis of the crisis is analysis of costs of the crisis. It has been propose for involves the assessment of the loss, determining the amount of liabilities, estimates of expected financial impact of a crisis. Analyze available resources that can be produced to prevent or overcome the crisis. The analysis of crisis is the use of suggested methodological approach that makes it possible to

  17. Owl Pellets and Crisis Management.

    Science.gov (United States)

    Anderson, Tom

    2002-01-01

    Describes a press conference that was used as a "teachable moment" when owl pellets being used for instructional purposes were found to be contaminated with Salmonella. The incident highlighted the need for safe handling of owl pellets, having a crisis management plan, and the importance of conveying accurate information to concerned parents.…

  18. A Third Wave of Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Compared to conditions during the early months of the global financial crisis,today’s world is experiencing new recession-related symptoms-price hikes of agricultural products and other major commodities,and currency appreciations in emerging economies,to name a few.Sun Lijian

  19. Addressing the world water crisis

    Science.gov (United States)

    The world is facing an impinging crisis on water as population growth continues, energy use increases, and affluence (standard of living) increases all requiring more water. Agriculture must find ways to use water more productively while improving the impact of agriculture on the environment. Agri...

  20. Hungry Kids: The Solvable Crisis

    Science.gov (United States)

    Felling, Christy

    2013-01-01

    The numbers speak for themselves in terms of the crisis of hunger among kids in the United States: More than 16 million children--one in five--live in households that struggle to put food on the table. Nearly half of all food stamp recipients are children. But, argues Felling, the battle against childhood hunger can be won; the United States has…

  1. Geographies of the financial crisis

    NARCIS (Netherlands)

    Aalbers, M.

    2009-01-01

    Real estate is, by definition, local as it is spatially fixed. Mortgage lending, however, has developed from a local to a national market and is increasingly a global market today. An understanding of the financial crisis is ultimately a spatialised understanding of the linkages between local and

  2. A Crisis of Missed Opportunities?

    DEFF Research Database (Denmark)

    Gabriel, Stuart; Iacoviello, Matteo M.; Lutz, Chandler

    This paper investigates the housing and broader economic effects of the 2000s crisis-period California Foreclosure Prevention Laws (CFPLs). The CFPLs encouraged lenders to modify mortgage loans by increasing the required time and pecuniary costs of foreclosure. Using the Synthetic Control Methodo...

  3. A Crisis in Civic Education

    Science.gov (United States)

    American Council of Trustees and Alumni, 2016

    2016-01-01

    There is a crisis in American civic education. Survey after survey shows that recent college graduates are alarmingly ignorant of America's history and heritage. They cannot identify the term lengths of members of Congress, the substance of the First Amendment, or the origin of the separation of powers. They do not know the Father of the…

  4. Financial crisis and monetary policy

    NARCIS (Netherlands)

    Karatas, B.

    2014-01-01

    Written in the midst of the Global Financial Crisis, the goal of this dissertation is to investigate causes of financial crises in general in order to provide empirical evidence of the driving forces of various crises types. Specifically, this thesis analyses the most common types of financial

  5. Trust and Financial Crisis Experiences

    NARCIS (Netherlands)

    van der Cruijsen, Carin; de Haan, Jakob; Jansen, David-Jan

    2016-01-01

    Using eight annual household surveys for the Netherlands between 2006 and 2013, we find that respondents' personal adverse financial crisis experiences do not only reduce their trust in banks, but also have an immediate negative effect on generalized trust. Respondents who were customers of a bank t

  6. Financial crisis and monetary policy

    NARCIS (Netherlands)

    Karatas, B.

    2014-01-01

    Written in the midst of the Global Financial Crisis, the goal of this dissertation is to investigate causes of financial crises in general in order to provide empirical evidence of the driving forces of various crises types. Specifically, this thesis analyses the most common types of financial crise

  7. Vygotsky's Crisis: Argument, context, relevance.

    Science.gov (United States)

    Hyman, Ludmila

    2012-06-01

    Vygotsky's The Historical Significance of the Crisis in Psychology (1926-1927) is an important text in the history and philosophy of psychology that has only become available to scholars in 1982 in Russian, and in 1997 in English. The goal of this paper is to introduce Vygotsky's conception of psychology to a wider audience. I argue that Vygotsky's argument about the "crisis" in psychology and its resolution can be fully understood only in the context of his social and political thinking. Vygotsky shared the enthusiasm, widespread among Russian leftist intelligentsia in the 1920s, that Soviet society had launched an unprecedented social experiment: The socialist revolution opened the way for establishing social conditions that would let the individual flourish. For Vygotsky, this meant that "a new man" of the future would become "the first and only species in biology that would create itself." He envisioned psychology as a science that would serve this humanist teleology. I propose that The Crisis is relevant today insofar as it helps us define a fundamental problem: How can we systematically account for the development of knowledge in psychology? I evaluate how Vygotsky addresses this problem as a historian of the crisis. Copyright © 2011 Elsevier Ltd. All rights reserved.

  8. Education for Today's Ecological Crisis

    Science.gov (United States)

    Singer, S. Fred

    1970-01-01

    Describes the university's role in providing education for the ecological crisis, and divides environmental sciences into two major areas: basic and applied. Proposes a curriculum leading to a B.S. degree in physics consisting of a two-year honor physics program followed by specialization in environmental and planetary sciences (EPS). (PR)

  9. Finnish care integrated?

    Directory of Open Access Journals (Sweden)

    Jouni Niskanen

    2002-06-01

    Full Text Available The public Finnish social and health care system has been challenged by the economic crisis, administrative reforms and increased demands. Better integration as a solution includes many examples, which have been taken to use. The most important are the rewritten national and municipals strategies and quality recommendations, where the different sectors and the levels of care are seen as one entity. Many reorganisations have taken place, both nationally and locally, and welfare clusters have been established. The best examples of integrated care are the forms of teamwork, care management, emphasis on non-institutional care and the information technology.

  10. Vouchers for Day Care of Children: Evaluating a Program Model.

    Science.gov (United States)

    Parker, Michael D.

    1989-01-01

    Examined effects of a pilot voucher program on the price, supply, and quality of day care. Findings offered no conclusive evidence concerning expected benefits. Discusses vouchers' potential for easing the day care crisis. (RJC)

  11. Crisis of Youth or Youth in Crisis? Education, Employment and Legitimation Crisis

    Science.gov (United States)

    Simmons, Robin; Smyth, John

    2016-01-01

    This paper uses the Habermasian concept of legitimation crisis to critique the relationship between post-compulsory education and training and the chronic levels of youth unemployment and under-employment which now characterise post-industrial Western economies, such as the UK. It draws on data from an ethnographic study of the lives of young…

  12. The Refugee Crisis as a European Democratic Crisis

    Directory of Open Access Journals (Sweden)

    Chryssoula Kapartziani

    2016-07-01

    Full Text Available The institutional European Union is facing two types of crisis. On the one hand, it needs to manage the current refugee’s influx efficiently and on the other hand it needs to deal with the democratic deficit that emerged by Europe’s incapacity to make the required decisions and gain the justification of its actions from its own people. This article aims firstly to highlight the legal framework (rule of law that governs the asylum and migration procedures as well as the democratic gap that these provisions created in the different member states, as a crystal clear example of how a national competence became supranational. Furthermore, it illustrates the refugee profile, as a human being with acquired human rights through the theories of H. Arendt and the U. Beck. Lastly, the cosmopolitan approach is suggested in order to overcome the refugee crisis but a well-established integration should be the long term goal of Europe.

  13. Crisis Management and Resolution:Lessons from the Financial Crisis

    Institute of Scientific and Technical Information of China (English)

    Stijn Claessens; Oana Nedelescu; Katharine Seal

    2011-01-01

    @@ The recent crisis was unusual in its speed and breadth and the type of countries affected.Systemic crises, situations of significant stress in the financial sector, followed by significant policy interventions, often affect several countries at the same time.In the past, though, crises have been largely limited to specific regions or types of economies, the Nordic countries in the early 1990s, Latin America in the mid-1990s, Asia in the late 1990s, and the emerging market economies of the early 2000s.The recent crisis has been unusual in its global nature, affecting countries with a speed and virulence not seen since the Great Depression, with major advance countries and countries recently integrating with the European Union (EU) most affected.

  14. [The crisis of medicine or the antimedicine crisis].

    Science.gov (United States)

    Foucault, M

    1976-01-01

    In this lecture, Professor Michel Foucault makes an in-depth study of the problems currently afflicting medical institutions and the medical practice. He deals with the thesis set forth by Ivan Illich in his book Medical Nemesis--The expropriation of Health, as well as the 1942 Beveridge Plan, but goes even further back in history to discover the origin of the medical crisis common throughout the world--back to the XVIII century roots of the social practice of medicine. He also describes the phases through which medical activity has passed from then until now and deals with what he calls the political economy of medicine. Finally, he reaches the conclusion that what matters is not so much the present crisis of medicine, which he considers to be a false concept, but the discipline's historical model dating from the XVIII century and serving to determine to what extent it can be modified.

  15. An official American Thoracic Society workshop report: assessment and palliative management of dyspnea crisis.

    Science.gov (United States)

    Mularski, Richard A; Reinke, Lynn F; Carrieri-Kohlman, Virginia; Fischer, Mark D; Campbell, Margaret L; Rocker, Graeme; Schneidman, Ann; Jacobs, Susan S; Arnold, Robert; Benditt, Joshua O; Booth, Sara; Byock, Ira; Chan, Garrett K; Curtis, J Randall; Donesky, Doranne; Hansen-Flaschen, John; Heffner, John; Klein, Russell; Limberg, Trina M; Manning, Harold L; Morrison, R Sean; Ries, Andrew L; Schmidt, Gregory A; Selecky, Paul A; Truog, Robert D; Wang, Angela C C; White, Douglas B

    2013-10-01

    In 2009, the American Thoracic Society (ATS) funded an assembly project, Palliative Management of Dyspnea Crisis, to focus on identification, management, and optimal resource utilization for effective palliation of acute episodes of dyspnea. We conducted a comprehensive search of the medical literature and evaluated available evidence from systematic evidence-based reviews (SEBRs) using a modified AMSTAR approach and then summarized the palliative management knowledge base for participants to use in discourse at a 2009 ATS workshop. We used an informal consensus process to develop a working definition of this novel entity and established an Ad Hoc Committee on Palliative Management of Dyspnea Crisis to further develop an official ATS document on the topic. The Ad Hoc Committee members defined dyspnea crisis as "sustained and severe resting breathing discomfort that occurs in patients with advanced, often life-limiting illness and overwhelms the patient and caregivers' ability to achieve symptom relief." Dyspnea crisis can occur suddenly and is characteristically without a reversible etiology. The workshop participants focused on dyspnea crisis management for patients in whom the goals of care are focused on palliation and for whom endotracheal intubation and mechanical ventilation are not consistent with articulated preferences. However, approaches to dyspnea crisis may also be appropriate for patients electing life-sustaining treatment. The Ad Hoc Committee developed a Workshop Report concerning assessment of dyspnea crisis; ethical and professional considerations; efficient utilization, communication, and care coordination; clinical management of dyspnea crisis; development of patient education and provider aid products; and enhancing implementation with audit and quality improvement.

  16. Protecting Pakistan's health during the global economic crisis.

    Science.gov (United States)

    Jooma, R; Khan, A; Khan, A A

    2012-03-01

    The world is facing an unprecedented global economic crisis, with many countries needing to reconsider their level of health care spending. This paper explores the many consequences of the global economic turndown on Pakistan's health, including reduced government and donor spending and increased poverty with the consequent diversion of funds away from health. Nevertheless, these challenges may provide opportunities not only to mitigate the adverse effects of the economic crisis but also to institute some much-needed reforms that may not receive political support during more affluent times. Our suggestions focus on setting priorities based on the national disease burden, prioritizing prevention interventions, demanding results, curbing corruption, experimenting with innovative funding mechanisms, advocating for increased funding by presenting health spending as an investment rather than an expense and by selected recourse to civil society interventions and philanthropy to bridge the gap between available and needed resources.

  17. Marxist logic tells origin of current crisis

    Institute of Scientific and Technical Information of China (English)

    赵磊

    2009-01-01

    Since the Great Depression in 1929,economists have continued soul-searching for the lessons to be drawn from the crisis.But mainstream reflections have been misguided,conf ined to stereotypical targets of blame such as "lax regulation," "policy mistakes" and "underestimation of risks." Regretfully,understanding of the root cause of the current sub-prime crisis is as superficial as before.The reasons for both crises seem to be polar opposites:the Great Depression of 1929 was triggered by insufficient effective demand,while the ongoing sub-prime mortgage crisis was triggered by "excess" effective demand.In fact,however,the classic crisis and the modern crisis in the capitalist world essentially originate from the same thing:crisis of overproduction.The shift from classic crisis into modern crisis only kicks the ball from supply side to demand side.Given the intrinsic contradictions of the market economy that give rise to the crisis,the analytical framework of "risk and regulation" proves difficult to help us understand its nature.For this reason,we must turn to a Marxist questioning of the crisis.

  18. 玻璃纤维剑杆织机引纬工艺调试与故障浅析%Weft Insertion Adjustment and Trouble Analysis for Glass Fiber Rapier Looms

    Institute of Scientific and Technical Information of China (English)

    李书龄; 秦向荣; 邓会平

    2011-01-01

    为了研究多品种玻纤平面织物专用剑杆织机引纬工艺及引纬故障排除,以山西经纬公司制造的GA1724型和浙江万利公司制造的WL450型剑杆织机为例,总结了剑杆织机实际维修中的维修技巧和维修方法。着重从引纬部分的储纬器、纬剪、送纬剑、接纬剑和剑杆等各引纬部件的运动原理及其相互间有机的运动配合,分析并总结出玻纤平面织物剑杆织机实用引纬工艺。通过此引纬工艺的实际应用,大大降低了引纬故障停台率,提高了产品质量,提高了织机的维修效率。%To investigate the weft insertion process and trouble shooting of rapier looms for weaving glass fiber fabrics,GA 1724 and WL450 rapier looms were used as examples to analyze and sum up the practical weft insertion technology and maintenance skills for glass fiber rapier looms. The actual use of this technology has resulted in significant reduction of troubles and loom stoppage,improvement of product quality and enhancement of loom maintenance efficiency.

  19. Survey and prospect of non-PVA sizing by the air-jet loom%喷气织机织造无PVA上浆概况与前景

    Institute of Scientific and Technical Information of China (English)

    徐浩贻

    2012-01-01

    The sizing is one of the key factors to keep the air-jet loom working with high efficiency. This paper expounds the historic necessity of PVA sizing option by the air jet loom from consideration of the requirement of the air-jet loom on sizing, the structure characteristics of PVA, and the excellent serosa properties. In order to achieve the environmental protection requirements of sizing, the effective way is to adopt the modified starch and acrylic acid size instead of PVA. This paper also stresses that the sizing of the air-jet loom will present a new and multiplex setup of the sizing of the air-jet loom in the future, such as developing the environmental protection sizing with high performance, recycling and reusing PVA, biodegradation of PVA, PVA modification, innovating and improving the weaving technologies, reforming the management mode, and so on.%浆纱是保证喷气织机高效工作的关键因素之一.论文从喷气织机对浆纱的要求、PVA的结构特点、浆膜性能,概述了喷气织机织造选用PVA上浆的历史必然性.从存在的诸多问题尤其是环境污染问题出发,为了达到环保上浆的要求,采用变性淀粉、丙烯酸浆料来取代PVA上浆已成为有效途径;指出了未来喷气织机上浆将呈现多元格局:诸如开发高性能的环保浆料、回收利用PVA、PVA的生物降解、PVA的改性、革新技术、改革管理模式等.

  20. Basics of theory of ecological crisis management

    Directory of Open Access Journals (Sweden)

    Stajić Ljubomir

    2013-01-01

    Full Text Available Today, it is clear that environmental accidents and processes represent, not only potential but also real causes of crises on which states must be aware of. The formation of the ecological crisis is growing exponentially, along with their consequences. The problem with the environmental crisisis lies not in the fact that they exist, but how we treat them. Exploring the causes of the crisis requires an interdisciplinary approach. At the micro level, this approach focuses on the role of individuals. At the middle level of research, focus is on organizational factors and processes that may play important role in causing the crisis. Macro level of approach lists possible causes that seem to make the crisis more or less inevitable and unavoidable features of the modern world. The crisis is also characterized by negative effects (perturbations, deregulation, conflict, confused action, intense stress, which leads to reckless actions and positive effects (mobilization, solidarity, cooperation, improved adaptation to the environment, experiential learning. Furthermore, ecological crisis represents an emergency situation whose beginning and duration are not predetermined. Anti-crisis measures have failed mainly because of the numerous factors influencing on one hand, on a complexity of the crisis and, on the other hand, because of its continuously changing factors throughout the duration of the crisis. Managing ecological crisis occurs, therefore, as a permanently professional inventive and complicated process which aims to prevent the escalation of the crisis, as well as the elimination of the expected and actual negative consequences of the crisis. Mismanagement of such crisis drains system resources, interferes with its function and organization, impacts on the financial opportunities while achieving positive goals. Extreme mismanagement can lead to the entropy of the system itself. The purpose of this paper is to elaborate basic facts of managing

  1. Preparation Technology before Pneumatic Weaving of Air-jet Loom%喷气织造的织前准备技术

    Institute of Scientific and Technical Information of China (English)

    秦贞俊

    2011-01-01

    The weaving efficiency of air-jet loom is closely related to the preparation technology before pneumatic weaving and the basic yarn quality. For improving weaving efficiency and textile quality, it is very necessary to selecte good basic yarn quality and use advenced processing technology equipment to improve the quality of semi-finished products in winding, warping and slashing.%喷气织机的织造效率与织前准备技术和原纱品质的关系十分密切。选择好的原纱质量,采用先进的工艺技术设备以提高络筒、整经和浆纱等工序的半制品质量,对提高喷气织机的织造效率及织物质量很有必要。

  2. 用多臂小样织机开发毛巾织物%Development of Terry Towel by Dobby Sample Weaving Loom

    Institute of Scientific and Technical Information of China (English)

    刘蓉; 杨建忠

    2012-01-01

    It transformed the dobby sample loom of Y2005 to meet the experiment need for developing new towel fabric, then by changing the organization, warp and weft density ratio, yarn count, textile raw material and pile loop height, it developed 2 kinds of terry towel, and tested and evaluated the fabric feeling by semantic evaluation method.%通过对Y2005型多臂小样织机的改造以满足开发新型毛巾面料的实验需要,变化组织、经纬密比、纱线支数、织物原料及毛圈高度等参数试织了两种毛巾织物,并用语意评定法测评了织物手感风格。

  3. Specificity of Cognitive Vulnerability in Fear and Sad Affect: Anxiety Sensitivity, Looming Cognitive Style and Hopelessness in Emotion Reactivity and Recovery

    DEFF Research Database (Denmark)

    del Palacio Gonzalez, Adriana; Clark, David A.

    2015-01-01

    Cognitive models of the pathogenesis of anxiety and depressive disorders identify looming cognitive style (LCS) and anxiety sensitivity (AS) as vulnerability factors specifically related to anxiety disorders, whereas hopelessness (HS) is considered more applicable to depression. Given...... their dimensional perspective most cognitive models of psychopathology may also be extended to explain normal emotional responses. To investigate the effect of cognitive vulnerability on the reactivity and regulation of negative emotion, 183 undergraduates were assigned to watch a sad or fearful movie clip. Then......, all participants retrieved positive memories in an expressive writing task. Hierarchical regression analyses revealed that LCS was uniquely associated with greater fear reactivity. AS and HS were significant predictors of greater fear and sadness after a down-regulation task, respectively...

  4. Vietnam and the regional crisis

    DEFF Research Database (Denmark)

    Masina, Pietro Paolo

    2002-01-01

    inflows, should be understood in the broader frame of regional contingencies, and not be simplistically explained as investors' discontent (i.e., in order to pressure Vietnamese authorities into implementing a more orthodox neo-liberal agenda). And in a post-crisis regional economic reorganisation......The paper explores the linkages between Vietnam and the regional economy before and after the East Asian financial crisis of 1997 and 1998, indicating that the country is more closely associated with the region than normally assumed. Thus, key indicators, such as falling foreign direct investment...... (including a restructuring of the so-called 'flying geese' pattern) Vietnam's chances of benefitting from closer integration in the world economy will depend on a clearcut industrial and trade policy, rather than on embarking a so-called 'neutral trade regime'. Preliminary evidence seems to indicate...

  5. Horn of Africa food crisis

    CERN Multimedia

    Staff Association

    2011-01-01

    YOU ARE WONDERFUL, THANK YOU! As we have indicated previously, the Horn of Africa is experiencing an extremely severe food crisis as a result of one of the toughest droughts since the early 1950s. A total of over 12 million people in Djibouti, Ethiopia, Somalia, Kenya and Uganda are severely affected by this devastating crisis and the UN has officially declared famine in these regions. In addition, children are the most vulnerable victims, with more than half a million children at risk of imminent death from severe malnutrition and an estimated 2.3 million children already malnourished. At the beginning of August we opened an account to receive your donations. We are pleased to announce that the funds received are 30’500 CHF, the total sum of which will be transferred to UNICEF. We would like to thank all those who have contributed to this important cause. Rolf Heuer Director-General Michel Goossens President of the Staff Association

  6. FINANCIAL RENT, DEBT AND CRISIS

    Directory of Open Access Journals (Sweden)

    Atilla Ahmet UĞUR

    2011-12-01

    Full Text Available Financial crises have some common features even if they come into being in different areas and countries with different income level. Especially due to the financial liberalization and entegration of world economies, they affect many countries with a domino effect. Internationalization of capital stregthens particularly financial markets in developed countries and leads to speculative opportunities and possibilities of very high profit rates. Ambition for higher profit, from time to time, gives rise to fictitious structures, eliminating rational market behaviors. Problems of higher indebtedness and current account deficit in large economies such as the US lead to speculative bubles supported by financial derivatives, making nonproductive short term portfolio investments profitable. Before crisis, it is observed that this type of financial structures become common and real estate prices rise. And following crisis it is observed that public finance discipline deteriorate.

  7. CRISIS FOCUS: Risks to Recovery

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    A sustained recovery of the global economy at a slow but steady pace should be expected in the first quarter of 2010, according to the quarterly report on global economic and financial outlook compiled by the International Finance Research Institute of the Bank of China. But three risks stand out, the report said, that threaten recovery efforts: the sovereign credit crisis, growing inflation pressures and increasing numbers of small and medium-sized U.S. banks filing for bankruptcy.

  8. Social Entrepreneurship and Capitalist Crisis

    OpenAIRE

    Luise Li Langergaard

    2014-01-01

    The paper discusses the relation between social entrepreneurship and capitalism. In the wake of the crisis erupting in 2008, the political attention to social entrepreneurship has intensified and social entrepreneurship and social innovation has been presented as possible solutions to a number of societal problems. By linking different theoretical trends of social entrepreneurship to Boltanski and Chiapello’s three spirits of capitalism the paper elucidates different variations of social entr...

  9. Systemic crisis and financial regulation

    OpenAIRE

    ULGEN, Faruk

    2010-01-01

    One of the privileged explanations of the current crisis is the sophistication and the weak transparency of financial markets which would have allowed speculative behavior to elude authorities’ supervision. This article develops a different view by putting the emphasis on the model of organization of financial systems. This is established on the predominance of micro-prudential supervision schemes following the hypothesis of free market efficiency. From 1980-90, prudential mechanisms have wor...

  10. La crisis Colombiana y Peru.

    OpenAIRE

    Isaias Rojas-Perez.

    2004-01-01

    This article analyzes Peruvian foreign and security policies regarding the Colombian conflict in the context of the discourses on securitization emerging in the region in the late twentieth century. Specifically, it compares the governments of Fujimori and Toledo to argue that, in spite of their differences in political genealogy (authoritarian and democratic, respectively), both governments have responded to the Colombian crisis in similar ways by following U.S. security discourses regarding...

  11. Hyperthyroidism-associated hypercalcemic crisis

    OpenAIRE

    Chen, Ke; Xie, Yanhong; Zhao, Liling; Mo, Zhaohui

    2017-01-01

    Abstract Rationale: Hyperthyroidism is one of the major clinical causes of hypercalcaemia, however, hyperthyroidism-related hypercalcemic crisis is rare, only 1 case have been reported. The potential mechanisms are still not too clear. It may be related that thyroid hormone stimulate bone turnover, elevate serum calcium, increase urinary and fecal calcium excretion. Patient concerns: A 58-year-old female patient was found to have Graves? disease, a marked elevated serum calcium level (adjuste...

  12. Impact of Global Financial Crisis on Nigerian Stock Market

    African Journals Online (AJOL)

    DrNneka

    Key words: Global financial crisis, Nigerian stock market, currency crisis, credit crisis, liquidity .... equities, which had opened on January 1st, 2008, at N10.18tn and later appreciated to. N12,39 tn ... The exchange rate has been volatile since the crisis ensued. ..... Global financial crisis: causes, emerging trends and strategy.

  13. 自制剑杆小样织机工艺调试的体会%Experience of Adjusting Processing in Homemade Hand Sample Rapier Loom

    Institute of Scientific and Technical Information of China (English)

    麦敏青

    2011-01-01

    The methods of adjusting processing in homemade hand sample rapier loom were discussed. The working principle and processing parameter adjusting thought of hand sample rapier loom were analyzed. Through test weaving autumn-winter denim and spring-summer chemical fiber wool-like fabric, it is considered that in test weaving autumnwinter denim, the weft bar must be controlled, the back-bearer height must be raised, the warp and weft tension must be increased, all delays must be decreased. In test weaving spring-summer chemical fiber wool-like fabric, the broken warp and broken weft must be decreased, the broken weft detection start time must be optimized. The bulk sample effect can be reached.%探讨自制剑杆小样织机的工艺调试方法.分析了剑杆小样织机的工作原理和工艺参数调节思路.通过上机试织秋冬牛仔织物和春夏化纤仿毛织物,认为:秋冬牛仔布上机时应重点控制布面纬档,抬高后梁高度,加大经纬纱张力,减少所有延时;春夏化纤仿毛织物上机时应注意克服断经、断纬,优选断纬检测开始时间,才可以确保达到大样效果.

  14. Hyperthyroidism-associated hypercalcemic crisis

    Science.gov (United States)

    Chen, Ke; Xie, Yanhong; Zhao, Liling; Mo, Zhaohui

    2017-01-01

    Abstract Rationale: Hyperthyroidism is one of the major clinical causes of hypercalcaemia, however, hyperthyroidism-related hypercalcemic crisis is rare, only 1 case have been reported. The potential mechanisms are still not too clear. It may be related that thyroid hormone stimulate bone turnover, elevate serum calcium, increase urinary and fecal calcium excretion. Patient concerns: A 58-year-old female patient was found to have Graves’ disease, a marked elevated serum calcium level (adjusted serum calcium: 3.74 mmol/L), and reduced parathyroid hormone level. Diagnoses: She was diagnosed as hyperthyroidism-associated hypercalcemic crisis. Interventions: Treatment with methimazole to correct the hyperthyroidism and treatment of the patient's hypercalcaemia was achieved by physiological saline, salmon calcitonin and furosemide. Outcomes: After treatment for hypercalcaemia and hyperthyroidism, her symptoms and serum calcium levels quickly returned to normal. Lessons: hyperthyroid-associated hypercalcaemia crisis is rare, however, the diagnosis should pay attention to screening for other diseases caused by hypercalcemia. Timely treatment of hypercalcaemia is a critical step for rapidly control of symptoms, and treatment of hyperthyroidism is beneficial to relief the symptoms and maintain the blood calcium level. PMID:28121960

  15. ECONOMIC CRISIS SUSTAINS BLACK MARKET

    Directory of Open Access Journals (Sweden)

    Dicoi Daniel -Ioan

    2012-12-01

    Full Text Available The purpose of this research is to bring out the fact that during the periods of economic crisis, the black market finds a warm place to develop and even to diversify the ways of expressing. Based on some data of the National Institute of Statistics and the Organization for Economic Co-operation and Development (OECD1 , I’m trying to prove the fact that during the last two years while the world economic crisis has occurred, the black market has been increasing and there have been new forms of expressing this phenomenon. Although there are some positive ways of this phenomenon, on the whole, the increasing of the black market percent of GDP represents a wound within a healthy economy, which if it cannot be stopped at least to be reduced. This work intends to make radiography of the present economic society, a period of economic crisis, during which the black market has found a warm place to express and extend, in most of the countries, including the developed ones, this phenomenon has reached alarming limits.

  16. THE CRISIS FROM THE EUROZONE

    Directory of Open Access Journals (Sweden)

    Nicu Trandafir

    2012-12-01

    Full Text Available The implosion of the European financial system? The global financial crisis – which still fumes – completed by a series of adjectives: economic, moral, social, political, has shaken the intelectual and political elite causing strong debates and the analysis of the causes, effects and, especially, the solutions of this true ”cyclone”. Some preached even the end of the world for the beginning of another world! It is unanimous the idea according to which the fool monetary system of the world must be deeply re-formed/restructured, not only tamed. For the European Union, the critical problems appeared on the ground of national debt crisis. The countries burdened by national debts – Greece, Spain, Portugal etc – can break down in a conflict - caused by the dilemma who will pay: tax payers, bankers, public sector’s employees, investors! There is the major risk of breaking out a monetary and commercial ”war” as soon as governments face the population rage as consequence of the decrease of incomes and increase of unemployment. Eurozone and European Union are in danger. Profound crisis, institutional block and the lack of efficient solutions will become chronic, and the lack of trust of people in politicians and in the European project will increase.

  17. Capsaicin and arterial hypertensive crisis.

    Science.gov (United States)

    Patanè, Salvatore; Marte, Filippo; La Rosa, Felice Carmelo; La Rocca, Roberto

    2010-10-08

    Chili peppers are rich in capsaicin. The potent vasodilator calcitonin gene-related peptide (CGRP) is stored in a population of C-fiber afferents that are sensitive to capsaicin. CGRP and peptides released from cardiac C fibers have a beneficial effect in myocardial ischemia and reperfusion. It has been reported that capsaicin pretreatment can deplete cardiac C-fiber peptide stores. Furthermore, it has also been reported that capsaicin-treated pigs have significantly increased mean arterial blood pressure compared with controls, and that the decrease in CGRP synthesis and release contributes to the elevated blood pressure. A case has also been reported of an arterial hypertensive crisis in a patient with a large ingestion of peppers and chili peppers the day before. We present a case of an arterial hypertensive crisis in a 19-year-old Italian man with an abundant ingestion of peppers and of chili peppers the preceding day. This case describes an unusual pattern of arterial hypertensive crisis due to capsaicin. Copyright © 2008 Elsevier Ireland Ltd. All rights reserved.

  18. Effects of global financial crisis on funding for health development in nineteen countries of the WHO African Region.

    Science.gov (United States)

    Kirigia, Joses M; Nganda, Benjamin M; Mwikisa, Chris N; Cardoso, Bernardino

    2011-04-13

    effects of the global financial crisis on a few variables, is important to alert the Ministry of Health on the looming danger of cuts in health funding from domestic and external sources. However, it is even more important for national governments to monitor the effects of the economic crisis and the policy responses on the social determinants of health, health inputs, health system outputs and health system outcomes, e.g. health.

  19. Effects of global financial crisis on funding for health development in nineteen countries of the WHO African Region

    Directory of Open Access Journals (Sweden)

    Mwikisa Chris N

    2011-04-01

    assessment, like the one reported in this article, of the effects of the global financial crisis on a few variables, is important to alert the Ministry of Health on the looming danger of cuts in health funding from domestic and external sources. However, it is even more important for national governments to monitor the effects of the economic crisis and the policy responses on the social determinants of health, health inputs, health system outputs and health system outcomes, e.g. health.

  20. Mobilization of the south against food crisis

    Directory of Open Access Journals (Sweden)

    Laurent Delcourt

    2009-06-01

    Full Text Available “Creemos que a esta crisis alimentaria hay que darle un nombre más exacto. Todavía no damos con ese nombre. Pero no es una crisis de alimentos,es una crisis de valores en las empresas transnacionales, en los gobiernos y en la cooperación internacional”, Sinforiano Cáceres, presidente de la Federación nacional de cooperativas, Nicaragua (Envío, 2008.

  1. Resolving the International Monetary Fund's Legitimacy Crisis

    DEFF Research Database (Denmark)

    Seabrooke, Leonard

    2006-01-01

    Since the Asian financial crisis of 1997-1998 the International Monetary Fund (the Fund) has been embroiled in an international crisis of legitimacy. Assertions of a crisis are premised on the notions that the Fund's voting system is unfair, and that the Fund enforces homogenous policies onto...... borrowing member states and that loan programs tend to fail. Seen this way, poor institutional and policy design has led to a loss of legitimacy. But institutionalised inequalities or policy failure is not in itself sufficient to constitute an international crisis of legitimacy. This article provides...

  2. Talking about a Crisis - Italian Bloggers' Perceptions of Alitalia's Crisis Responses

    DEFF Research Database (Denmark)

    Valentini, Chiara; Romenti, Stefania

    In this study we intend to examine the way in which bloggers and blog readers framed a company performance during a crisis, but looking at the most discussed crisis's themes, at the sources of their statements and at their evaluations. To facilitate that, we focused on a specific crisis case...

  3. Swedish ambulance managers' descriptions of crisis support for ambulance staff after potentially traumatic events.

    Science.gov (United States)

    Hugelius, Karin; Berg, Sara; Westerberg, Elin; Gifford, Mervyn; Adolfsson, Annofie

    2014-12-01

    Ambulance staff face complex and sometimes stressful or potentially traumatic situations, not only in disasters but also in their routine daily work. The aim of this study was to survey ambulance managers' descriptions of crisis support interventions for ambulance staff after potential traumatic events (PTEs). Semistructured interviews with a qualitative descriptive design were conducted with six ambulance managers in a health care region in central Sweden. The data was analyzed using content analysis. Five categories were found in the result: (1) description of a PTE; (2) description and performance of crisis support interventions; (3) impact of working in potentially traumatic situations; (4) the ambulance managers' role in crisis support interventions; and (5) the ambulance managers' suggestions for improvement. Ambulance managers described crisis support interventions after a PTE as a single, mandatory group meeting with a structure reminiscent of debriefing. The ambulance managers also expressed doubts about the present structures for crisis support and mentioned an alternative approach which is more in line with present evidence-based recommendations. The results indicated a need for increased understanding of the importance of the managers' attitudes for ambulance staff; a need for further implementation of evidence-based recommendations for crisis support interventions was also highlighted.

  4. [Midlife crisis: crisis in the middle of life].

    Science.gov (United States)

    Laemmel, K

    1991-12-17

    Since ancient times man tried to understand the roots of his obviously often irrational behaviour. According to the prevailing "Zeitgeist", hypotheses for it ranged from demonical possession, psychological schools of thought to the role of transmitter substances at the synaptic level. For ages it has been observed and described, that men goes in his development through typical and predictable phases with their typical crises. Poets knew and wrote about it since the dawn of culture but science got interested in it only in this century. Elliot coined the term "midlife crisis" in 1965, turning attention to an age-group which was before practically ignored by psychology. He pointed out that due to a collision between developmental factors and a static identity a crisis occurred in human beings, characterized by a feeling of despair, goallessness, fatigue and consciousness of significant basic anxiety. In response to such pressures a change of comportment takes place which puzzles the people closest to the stricken. Established patterns of behaviour seem to dissipate in favour of unusual, unexpected, adolescent or even crazy actions. Many examples from history, ranging from Dante to Gauguin seem to prove the point. Realizing the presence of the crisis and its origin and interpreting it as a call for change, reorientation and new definition of priorities present a great chance to adjust one's life at this important turn. It is of great importance to recognize, that changes must take place in one's inner values and that trying to escape into frenzied activities leads nowhere.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Supervision Experiences of Professional Counselors Providing Crisis Counseling

    Science.gov (United States)

    Dupre, Madeleine; Echterling, Lennis G.; Meixner, Cara; Anderson, Robin; Kielty, Michele

    2014-01-01

    In this phenomenological study, the authors explored supervision experiences of 13 licensed professional counselors in situations requiring crisis counseling. Five themes concerning crisis and supervision were identified from individual interviews. Findings support intensive, immediate crisis supervision and postlicensure clinical supervision.

  6. Why there is no crisis of the "spin crisis"

    CERN Document Server

    Bradamante, F

    2016-01-01

    In a recent eprint [1] it is argued that the experimental determinations of the spin-dependent structure function g1 have been done incorrectly and that a reanalysis of those data suggests that the original motivation to argue fora "spin crisis", namely the small contribution of quark spins to the nucleon spin, is invalid. In a subsequent note [2] the theoretical understanding, as it has evolved from almost 30 years of theoretical and experimental scrutiny, has been shortly summarised. In this short note, arguments are presented that the line of reasoning in Ref. [1] does not apply, at least not for the Compass data.

  7. From the Crisis of Corporatism to the Crisis of Governance

    DEFF Research Database (Denmark)

    Kjær, Poul F.

    the cause and as a reaction to the protracted series of crises characterizing (Western) Europe and the rest of the Western world from the 1970s to the recent financial crisis. On this background, this paper examines the close link between societal crises and the evolution of intermediary institutions...... of society. This gives them a strategic location in society insofar as they can be understood as central sites of societal integration. But this location also implies that they are sites where tendencies of de-differentiation between societal processes of e.g. an economic, political, religious and scientific...

  8. Corruption - a Relevant Factor in the International Economic Crisis

    Directory of Open Access Journals (Sweden)

    George DIMOFTE

    2012-11-01

    Full Text Available Corruption is divided into small low-level corruption and high-level corruption. Small level little corruption is defined as the area of corruption which does not prejudice the interests of the majority of individuals. This category can be covered by a health care professional, the corruption of a clerk, etc through their decisions is an individual or group of individuals at the expense of others, but this kind of injustice is limited in time and space. Corruption, means high-level corruption of a dignitary, clerk, etc. This kind of corruption and the main effect over the entire State characteristic and the individuals who compose it. The consequences of this kind of corruption can translate into direct and indirect costs that will be supported in the end by all taxpayers. The objectives of corruption are double: profit and power. The international economic crisis has its origin in the manifestations of high level corruption in the governments of different countries. All the state now have to fight against corruption in order to settle new rules to avoid the effects af the crisis and to prevent a deepening of this crisis with devastating effects upon tha population. Here we try to emphasize the importance that we all should give corruption and measures had to be taken by everyone.

  9. Would We have had this Crisis if Women had been Running the Financial Sector?

    NARCIS (Netherlands)

    I.P. van Staveren (Irene)

    2012-01-01

    markdownabstract__Abstract__ The two main ethical approaches, utilitarianism and deontology, have not been able to prevent some of the behaviors underlying the financial crisis. A third ethics, the ethics of care might have been more effective than the other two in preventing the last financial

  10. Would We have had this Crisis if Women had been Running the Financial Sector?

    NARCIS (Netherlands)

    I.P. van Staveren (Irene)

    2012-01-01

    markdownabstract__Abstract__ The two main ethical approaches, utilitarianism and deontology, have not been able to prevent some of the behaviors underlying the financial crisis. A third ethics, the ethics of care might have been more effective than the other two in preventing the last financial cri

  11. Would We have had this Crisis if Women had been Running the Financial Sector?

    NARCIS (Netherlands)

    I.P. van Staveren (Irene)

    2012-01-01

    markdownabstract__Abstract__ The two main ethical approaches, utilitarianism and deontology, have not been able to prevent some of the behaviors underlying the financial crisis. A third ethics, the ethics of care might have been more effective than the other two in preventing the last financial cri

  12. Crisis resource management: evaluating outcomes of a multidisciplinary team.

    Science.gov (United States)

    Jankouskas, Tara; Bush, Mary Chasko; Murray, Bosseau; Rudy, Sally; Henry, Jody; Dyer, Anne Marie; Liu, Wenlei; Sinz, Elizabeth

    2007-01-01

    Crisis resource management (CRM) is a team-training program that teaches nontechnical skills such as: collaboration, communication, task management, teamwork, and leadership. The purpose of this study was to evaluate improvement in the nontechnical skills of a multidisciplinary team of pediatric residents, anesthesiology residents and pediatric nurses following participation in the CRM educational program. Self-efficacy theory guided the teaching method used in the CRM program. The Collaboration and Satisfaction about Care Decisions instrument and the Anesthetists' Nontechnical Skills System served as outcome measures. Seven multidisciplinary groups were studied with a total of 40 subjects. A significant increase was found in posttest scores for perceived collaboration and satisfaction with care and in numerical ratings of observed team skills following the CRM program. The results suggest multidisciplinary team participation in the CRM program increased perceived team collaboration, satisfaction with care, and observed teamwork skills.

  13. Transnational Solidarity Networks and the Transformations of a Crisis : the Balkan Crisis of 1875-1878

    OpenAIRE

    Egner, Wolfgang

    2015-01-01

    If we look at the Greek budget crisis today, we can see how an economic crisis changed into a political one for the whole EU. This is just a brief example how crises and especially their public perception transform themselves in various ways. The Balkan Crisis of 1875-1878 is an exceptional example for the variability of crises. It shows how the change of people’s perception of a crisis can modify expressions of solidarity, which in turn transforms the phenomenon of crisis itself. published

  14. El Raval en crisis, la crisis del Raval

    Directory of Open Access Journals (Sweden)

    Sergi Martinez-Rigol

    2015-06-01

    Full Text Available Hablar sobre la crisis del Raval es hacer referencia al hecho que, desde como mínimo la segunda mitad del siglo XIX, éste ha sido un barrio asociado constantemente a la crisis. Esta asociación ha significado la construcción, a través de diversos medios de comunicación o de textos, de una imagen y un discurso que han sobreexpuesto unas partes de la realidad del barrio, mientras que otras han sido escondidas, subexpuestas o ignoradas. Además, esta sobreexposición ha coincidido normalmente con la creación de una necesidad de intervención, sobre todo urbanística. Pero el proyecto urbano, basado en la intervención arquitectónica, intervención sobre la piedra, no ha cambiado las dinámicas sociales. Este ha sido, también, el gran fracaso en el Raval.

  15. ¿Crisis internacional o crisis del capitalismo?.

    Directory of Open Access Journals (Sweden)

    Daniel Hawkins.

    2010-01-01

    Full Text Available The present global recession that sprung out of the US banking and Real Estate sectors in 2007 has its roots in the massive State and financial upheavals implemented in the face of the 1970s crisis of over accumulation. These transformations had as their objective the reneging of the Keynesian, tripartite model of regulation and its association with the ‘Welfare State’. As such, the post-1970 neo-liberal financial order can be best seen as a ‘class project’ to reassert the dominance of grand capital, especially financial capital, both in the political and economic fields. Examining the intricate links between the present crisis and the structural governance changes enacted over the past 30 years, principally in the United States, the fallacies of ultra-growth and the speculative model become obvious as do their class dimensions and impact. However, despite the seeming ideological death of neo-liberalism, on close inspection, the policies so far enacted by the Obama administration make no concerted move out of the past era of financial sector hegemony.

  16. A Communicatively Constituted Online Crisis

    DEFF Research Database (Denmark)

    Valentini, Chiara; Romenti, Stefania; Kruckeberg, Dean

    2017-01-01

    mediated, then online crises and their meanings are communicatively constructed. The chapter outlines how online conversations constitute discursive practices that make publics aware of critical situations of which they may or may not know and can even construct reputational crises. The chapter concludes...... by offering suggestions on how to study online critical conversations through the lens of a communicative constitution perspective that could inform how critical issues eventually transform and become crises and how crisis perceptions evolve and are discursively shaped by communicative practices occurring...

  17. La crisis del medio ambiente

    OpenAIRE

    Juan Carlos Quintero Vélez; Clemencia Camacho Delgado

    2013-01-01

    Este artículo, introducción al tema del medio ambiente, pretende proporcionar conceptos básicos para analizar y dimensionar el impacto que genera el hombre sobre los sistemas que soportan la vida. Para entender estos problemas, es indispensable partir de un análisis básico de la relación entre el hombre actual, su medio ambiente, sus necesidades y sus actividades. El autor revisa los antecedentes, las causas y las consecuencias de la crisis ambiental internacional, e intenta dar explicación a...

  18. [Hypertensive crisis: pathogenesis, clinic, treatment].

    Science.gov (United States)

    Vertkin, A L; Topolianskiĭ, A V; Abdullaeva, A U; Alekseev, M A; Shakhmanaev, Kh A

    2013-01-01

    Contemporary data on mechanisms of development, types, and clinical picture of hypertensive crisis (HC) are presented. Algorithms of rational therapy of uncomplicated and complicated HC are considered. Appropriateness of the use in HC of antihypertensive drugs with multifactorial action is stressed. These drugs include urapidil - an antihypertensive agent with complex mechanism of action. Blocking mainly the postsynaptic 1-adrenoreceptors urapidil attenuates vasoconstrictor effect of catecholamines and decreases total peripheral resistance. Stimulation of 5HT1-receptors of medullary vasculomotor center promotes lowering of elevated vascular tone and prevents development of reflex tachycardia.

  19. [Hypertensive crisis in kidney patients].

    Science.gov (United States)

    Scrivano, Jacopo; Giuliani, Anna; Pettorini, Laura; Punzo, Giorgio; Mene', Paolo; Pirozzi, Nicola

    2011-01-01

    The classification and management of hypertensive crisis have been recently reviewed in the context of both European and American guidelines. The key points for proper blood pressure control in severe arterial hypertension are: 1 - Distinction between urgent intervention and emergencies 2 - Choice of the best drug(s) 3 - Choice of the correct route of administration. In patients with renal disease, beside the common causes of hypertension/ hypertensive crises, kidney-specific causes should be taken into account such as renal parenchymal hypertension, renovascular hypertension, sclerodermic crises, and preeclampsia.

  20. CRISIS FOCUS The First Attempt

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    The U.S. dollar’s status as a reserve currency sowed the seeds for the present worldwide financial crisis.Zhou Xiaochuan,Governor of the People’s Bank of China,issued a challenge to America’s dominance of the global economy last month when he pro-posed that a super-sovereign international currency replace the dollar.Xu Xiaonian,Professor of Economics and Finance at the China Europe International Business School,discussed this proposal in a recent article in Caijing magazine.Edited excerpts follow:

  1. Welcome to the energy crisis

    Energy Technology Data Exchange (ETDEWEB)

    Becker, L.J.; Seligman, C.

    1981-01-01

    The author provides an overview of several articles on the impact of the energy crisis which examine key ideas, emerging theories, findings, and methodologies that are guiding current social research. The articles deal with energy policy and how energy conservation fits into national policy, the social psychological context for energy conservation research on behavior and attitudes, and how to facilitate the adoption of conservation measures that increase the efficiency of energy use. The papers review psychological theory on the adoption of innovations, and offer modifications and extensions that tailor it to fit the adoption of energy-conserving innovations. 7 references.

  2. Discursive Strategies for Crisis Management:A Case Study of the John-son & Johnson TYLENOL® Crisis

    Institute of Scientific and Technical Information of China (English)

    ZHANG Yi-ran

    2016-01-01

    Being able to respond effectively in the event a crisis is relevant to an organization’s survival. Whether or not an orga-nization is prepared for a potential crisis depends upon communications. Corporations with established crisis management com-munication strategies are able to communicate and respond promptly at the advent of a crisis. This paper focuses on how to han-dle management crisis effectively from discursive perspective via a case study of the Johnson and Johnson TYLENOL® crisis.

  3. The Accounting Network: How Financial Institutions React to Systemic Crisis.

    Science.gov (United States)

    Puliga, Michelangelo; Flori, Andrea; Pappalardo, Giuseppe; Chessa, Alessandro; Pammolli, Fabio

    2016-01-01

    The role of Network Theory in the study of the financial crisis has been widely spotted in the latest years. It has been shown how the network topology and the dynamics running on top of it can trigger the outbreak of large systemic crisis. Following this methodological perspective we introduce here the Accounting Network, i.e. the network we can extract through vector similarities techniques from companies' financial statements. We build the Accounting Network on a large database of worldwide banks in the period 2001-2013, covering the onset of the global financial crisis of mid-2007. After a careful data cleaning, we apply a quality check in the construction of the network, introducing a parameter (the Quality Ratio) capable of trading off the size of the sample (coverage) and the representativeness of the financial statements (accuracy). We compute several basic network statistics and check, with the Louvain community detection algorithm, for emerging communities of banks. Remarkably enough sensible regional aggregations show up with the Japanese and the US clusters dominating the community structure, although the presence of a geographically mixed community points to a gradual convergence of banks into similar supranational practices. Finally, a Principal Component Analysis procedure reveals the main economic components that influence communities' heterogeneity. Even using the most basic vector similarity hypotheses on the composition of the financial statements, the signature of the financial crisis clearly arises across the years around 2008. We finally discuss how the Accounting Networks can be improved to reflect the best practices in the financial statement analysis.

  4. The Accounting Network: How Financial Institutions React to Systemic Crisis

    Science.gov (United States)

    Puliga, Michelangelo; Flori, Andrea; Pappalardo, Giuseppe; Chessa, Alessandro; Pammolli, Fabio

    2016-01-01

    The role of Network Theory in the study of the financial crisis has been widely spotted in the latest years. It has been shown how the network topology and the dynamics running on top of it can trigger the outbreak of large systemic crisis. Following this methodological perspective we introduce here the Accounting Network, i.e. the network we can extract through vector similarities techniques from companies’ financial statements. We build the Accounting Network on a large database of worldwide banks in the period 2001–2013, covering the onset of the global financial crisis of mid-2007. After a careful data cleaning, we apply a quality check in the construction of the network, introducing a parameter (the Quality Ratio) capable of trading off the size of the sample (coverage) and the representativeness of the financial statements (accuracy). We compute several basic network statistics and check, with the Louvain community detection algorithm, for emerging communities of banks. Remarkably enough sensible regional aggregations show up with the Japanese and the US clusters dominating the community structure, although the presence of a geographically mixed community points to a gradual convergence of banks into similar supranational practices. Finally, a Principal Component Analysis procedure reveals the main economic components that influence communities’ heterogeneity. Even using the most basic vector similarity hypotheses on the composition of the financial statements, the signature of the financial crisis clearly arises across the years around 2008. We finally discuss how the Accounting Networks can be improved to reflect the best practices in the financial statement analysis. PMID:27736865

  5. PHARMACEUTICAL COMPANIES BETWEEN CRISIS AND COMPETITIVENESS - SECTORAL DIAGNOSIS

    Directory of Open Access Journals (Sweden)

    Mihaela\tBÎRSAN

    2015-06-01

    Full Text Available The evolution of the pharmaceutical industry was a positive constant with the indicators of industrial production even in years of crisis. Although the economic crisis in Romania decreased average growth rate of pharmaceutical companies, market value is expected to increase. The explanation comes from the fact that in order to boost productivity, pharmaceutical companies are turning to emerging countries with aging populations such as open new markets for future development. Add to this the recent health policies implemented by newly industrialized countries that are aimed at ensuring increased access to care. Analysts see the field phenomenon called "Farma-merger" a good chance for European pharmaceutical companies oriented to developing countries where drug sales should record a double-digit annual growth until 2017. In Erste Group reports stated that the impact of the crisis on the pharmaceutical industry should be limited markets for EU only their economic slowdown. This will be possible because the external indebtedness of pharmaceutical companies in the EU remains at a minimum, they are able to finance their investment plans without tapping financial markets, are not adversely affected by the current limited availability of credit resources. Therefore major pharmaceutical companies in the EU will remain a solid investment on the long term, the negative developments are limited due to high resistance to the crisis their business model segment "generic". The consequence of these developments is reflected in the recognition for the first time, the pharmaceutical sector as a strategic sector for the Romanian economy. In the context of public debate launching the National Strategy for Competitiveness 2014-2020, Generic Medicines Industry Association of Romania (APMGR local pharmaceutical industry reminds the Government proposals on correcting the current fiscal and operational regulatory framework, to allow unlocking investments in facilities

  6. European Union Financial Crisis: A Marxist Analysis

    NARCIS (Netherlands)

    Petrus Kanisius Farneubun, P.

    European financial crisis poses a serious challenge to the fundamental structure of the European Union, political and financial institutions, as well as the values that bind European together. Different factors have been suggested as the causes of the crisis notably the failure of national

  7. The Philadelphia School District's Ongoing Financial Crisis

    Science.gov (United States)

    Caskey, John; Kuperberg, Mark

    2014-01-01

    This article describes the budget crisis that the School District of Philadelphia has faced for the past few years. Three specific events triggered the 2012 crisis: an abrupt reduction in federal and state funding, the inability of the district to cut many of its costs, and political pressures on the district to spend available revenues in a given…

  8. Eastern's Employee Communication Crisis: A Case Study.

    Science.gov (United States)

    Saunders, Martha

    1988-01-01

    Explores communication behaviors and reactions of employees during crisis periods, using a qualitative case study of Eastern Airlines pilots. Finds that useful theories for crisis communication can be developed only after sufficient inquiry into the communication needs and behaviors of message receivers. (MS)

  9. The European Crisis Management: An Organizational Narrative

    Directory of Open Access Journals (Sweden)

    Patrícia Kaplánová

    2016-12-01

    Full Text Available The debate of scholars in the field of international relations in last years has put the European Union’s role into the consideration. The European Foreign and Security Policy has positioned itself through its development to the constructive and normative line of research of world politics. With this respect, this article examines a character of crisis management of the European Common Foreign Policy based on the institutional development. Besides the European Union does not possess a unified foreign and security policy, regardless one army and single institutional mechanism, the recent crisis management actions have shaped the policies into a comprehensive nature. The paper overviews briefly the history of Common Foreign and Security Policy as well as Common Security and Defence Policy and focuses on crisis management of civilian and military missions. The author claims that the development has a significant impact on a character of crisis management analyzed from the institutional and financial capacities of the European Security and Defence Policy. Consequently, the character of crisis management performs complex mechanisms of responsive, political/administrative, legal, economic and human help to crisis-affected territories in the world. Respectfully, the character of crisis management has thus more pre-crisis nature of a resilience.

  10. Electronic Gaming and the Obesity Crisis

    Science.gov (United States)

    Calvert, Sandra L.; Staiano, Amanda E.; Bond, Bradley J.

    2013-01-01

    Children and adolescents in the United States and in many countries are projected to have shorter life spans than their parents, partly because of the obesity crisis engulfing the developed world. Exposure to electronic media is often implicated in this crisis because media use, including electronic game play, may promote sedentary behavior and…

  11. Electronic Gaming and the Obesity Crisis

    Science.gov (United States)

    Calvert, Sandra L.; Staiano, Amanda E.; Bond, Bradley J.

    2013-01-01

    Children and adolescents in the United States and in many countries are projected to have shorter life spans than their parents, partly because of the obesity crisis engulfing the developed world. Exposure to electronic media is often implicated in this crisis because media use, including electronic game play, may promote sedentary behavior and…

  12. Crisis,Predicament after"High Fever"

    Institute of Scientific and Technical Information of China (English)

    Xu Hua

    2009-01-01

    @@ Undoubtedly,2009 is still shrouded in the woeful atmosphere of the 2008 crisis,unable to extricate itself from the predicament.This year has witnessed the world economy seeking the "bosom"journey in full swing.But after sweeping all the enthusiasm of the shipping industry,this split-year crisis has started to spread throughout the whole industrial chain.

  13. CRISIS DE LA CONTABILIDAD :CONTEXTOS Y DIMENSIONES

    OpenAIRE

    Machado Rivera, Marco Antonio

    2010-01-01

    En un contexto de crisis del mundo actual en sus diversas expresiones (mundo social,economico, de la educacion,las organizaciones,profesionales y disciplinas),la contabilidad tambien presenta un diagnostico de crisis en sus diversas dimensiones  ( externa e interna).

  14. Topological scaling and gap filling at crisis

    Energy Technology Data Exchange (ETDEWEB)

    Szabo, K. Gabor [Department of Mathematics, University of Kansas, Lawrence, Kansas 66045 (United States); Institute for Theoretical Physics, Eoetvoes University, P.O. Box 32, Budapest, H-1518, (Hungary); Lai, Ying-Cheng [Department of Mathematics and Department of Electrical Engineering, Arizona State University, Tempe, Arizona 85287 (United States); Tel, Tamas [Institute for Theoretical Physics, Eoetvoes University, P.O. Box 32, Budapest, H-1518, (Hungary); Grebogi, Celso [Institute for Plasma Research, Department of Mathematics, and Institute for Physical Science and Technology, University of Maryland, College Park, Maryland 20742 (United States)

    2000-05-01

    Scaling laws associated with an interior crisis of chaotic dynamical systems are studied. We argue that open gaps of the chaotic set become densely filled at the crisis due to the sudden appearance of unstable periodic orbits with extremely long periods. We formulate a scaling theory for the associated growth of the topological entropy. (c) 2000 The American Physical Society.

  15. Neo-Liberalism in Crisis? Educational Dimensions

    Science.gov (United States)

    Small, David

    2011-01-01

    Until the global financial crisis, neo-liberalism had appeared invincible. This article examines the global rise of neo-liberalism and its impact on education, particularly its treatment of the social democratic ideal of equality. Drawing on examples from education and other socio-political factors, it considers whether the financial crisis is…

  16. Crisis Management's New Role in Educational Settings

    Science.gov (United States)

    Gainey, Barbara S.

    2009-01-01

    From natural disasters to the financial debacle, it is clear to the educational community that crises know no boundaries. Far from a passing fad, crisis planning must be an integrated part of effective school district leadership. Two studies explore the status of crisis management in selected public school systems and offer recommendations for…

  17. Creating Your School's Crisis Management Team.

    Science.gov (United States)

    Blythe, Bruce T.

    2001-01-01

    Schools can reduce their vulnerability to violence and other hazards by analyzing foreseeable risks, assembling a broad-based crisis-management team (CMT), providing adequate staff training, and developing a crisis manual. Common response problems concerning decision-making authority, communication, and performance expectations for CMTs are…

  18. Network centric operations in crisis management

    NARCIS (Netherlands)

    Ven, J. van de; Rijk, R. van; Essens, P.; Frinking, E.

    2008-01-01

    This paper describes the approach to implement network centric operations (NCO) in the Dutch crisis management domain. NCO resolves a number of important shortcomings related to the supply and flow of information experienced in current verbal communication-based crisis management. First, we provide

  19. The Weimar Triangle and The Ukrainian Crisis

    Directory of Open Access Journals (Sweden)

    Jean-Christophe Romer

    2014-12-01

    Full Text Available The article analyzes the activity of Weimar Triangle (Germany, France, Poland during Ukrainian crisis (2013-2014 as an efficient, but still largely underestimated negotiation force of the European Union. The evolution of role of Weimar Triangle in post-bipolar era is indicated, as well as the role of this specific structure during Ukrainian crisis.

  20. Crisis Communications in a Digital World

    Science.gov (United States)

    Trump, Kenneth S.

    2015-01-01

    Kenneth Trump, a school safety expert who consults with districts on how to respond to school safety crises, explains how the new prevalence of threats of violence being delivered over digital and social media creates for administrators a "communication crisis" that unfolds alongside the real or perceived crisis of school safety being…

  1. Emergency room coverage: an evolving crisis.

    Science.gov (United States)

    Davison, Steven P

    2004-08-01

    Historically, a newly graduated plastic surgeon in the United States could build a practice from his or her emergency room coverage. The historical cliche was for the surgeon to be affable, able, and available, and from that basis one's practice would grow. Emergency room exposure was an avenue for starting a practice, developing recognition, and, after that, building a referral pattern. Recently, the cross-shifting influence of management care, rising malpractice insurance costs, and risk ratio are changing this cliche to a crisis. An evaluation of a 2 1/2-year exposure to emergency room coverage has revealed a completely different profile. A total of 300 patient visits resulting in 69 surgical operations were evaluated for insurance and remuneration history. The findings indicated a significant remuneration dilemma for emergency room coverage. Interestingly, a remuneration problem exists in a market different from what one would expect. In this study, a sample from a suburban hospital, rather than an inner-city university hospital, is the greater problem.

  2. Financial Crisis and the Central Bank System

    Directory of Open Access Journals (Sweden)

    RICHARD POSPISIL

    2015-05-01

    Full Text Available The financial crisis that began in 2008 gradually developed into a global economic crisis and continues to this day. There is a lot of causes standing behind the creation, depth and process of the crisis, which is the deepest since the thirties of last centrury. One of the reasons can be found in the risky behavior of commercial banks, especially in the excessive lending of credits and mortgages. Its share on the financial crisis have central banks and their failure as the financial supervisory authority. But there is a lot of another causes of failures in the commercial banking system. And some of the causes lies outside the banking system and monetary policy. Its share of the blame has also become from state and its expenditure on the social policy.This article analyzes the role of the commercial banking system and the central banks on the financial crisis including prevention options and measures.

  3. FINANCIAL CRISIS AND THE CENTRAL BANK SYSTEM

    Directory of Open Access Journals (Sweden)

    Richard POSPISIL

    2015-07-01

    Full Text Available The financial crisis that began in 2008 gradually developed into a global economic crisis and continues to this day. There is a lot of causes standing behind the creation, depth and process of the crisis, which is the deepest since the thirties of last centrury. One of the reasons can be found in the risky behavior of commercial banks, especially in the excessive lending of credits and mortgages. Its share on the financial crisis have central banks and their failure as the financial supervisory authority. But there is a lot of another causes of failures in the commercial banking system. And some of the causes lies outside the banking system and monetary policy. Its share of the blame has also become from state and its expenditure on the social policy.This article analyzes the role of the commercial banking system and the central banks on the financial crisis including prevention options and measures.

  4. Organisational socialisation in a crisis context.

    Science.gov (United States)

    Lalonde, Carole

    2010-04-01

    The objective of this paper is to highlight the dimensions characterising the socialisation process in a crisis context. Based on the definition of organisational socialisation advanced by Van Maanen and Schein (1979) and employed later by Jones (1986), a crisis is presented as a passage from a 'normal' situation to an 'exceptional' situation. A crisis represents a socialisation context in the sense that it is a novel state in which actors must develop a different way of mobilising their knowledge, utilising their skills, and practicing their trade or profession. The paper discusses certain findings that have emerged from the literature on organisational socialisation, as well as from the testimony of actors who participated in efforts to manage the Quebec ice-storm crisis of early 1998. It is hoped that this exploratory study's data will give rise to fruitful interaction between the field of organisational socialisation and that of crisis management.

  5. Horn of Africa food crisis

    CERN Multimedia

    Association du personnel

    2011-01-01

    Dear colleagues, As many of you are already aware, the Horn of Africa is experiencing an extremely severe food crisis as a result of one of the toughest droughts since the early 1950s. A total of over 12 million people in Djibouti, Ethiopia, Somalia, Kenya and Uganda are severely affected by this devastating crisis and the UN has officially declared famine in these regions. In addition, children are the most vulnerable victims, with more than a half million children at risk of imminent death from severe malnutrition and an estimated 2.3 million children already malnourished. An immediate, determined mobilization is required in order to avert an imminent humanitarian catastrophe and to prevent millions of people from being robbed of a future through the scourge of hunger and malnutrition. CERN has decided to join this international mobilization by specifically opening an account for those who want to make a donation to help the drought- and famine-affected populations in the region. Children being the first...

  6. La crisis latente del Darwinismo

    Directory of Open Access Journals (Sweden)

    Abdalla, Maurício

    2006-06-01

    Full Text Available In this article I will be analyzing the Darwinist paradigm in the biological science, discussing its capacity to give satisfactory understanding of the new data from biochemistry, microbiology and genetics. The general aim of this analysis is to contribute for the debate about the statute of the scientific theories. Its specific aim is to reflect upon a possible crisis of the Darwinist paradigm, which could corroborate the conception of scientific theories as something historically transitory, and not as definitive discoveries.

    El presente artículo analiza el paradigma darwinista en las ciencias biológicas a partir de la pregunta sobre su capacidad de explicar satisfactoriamente los nuevos datos obtenidos de la bioquímica, la microbiología y la genética. El objetivo general del análisis es contribuir con una discusión acerca del estado de las teorías científicas y el objetivo específico es reflexionar sobre una posible crisis del paradigma darwinista, lo que corroboraría la concepción de las teorías científicas como algo históricamente transitorio y no como descubrimientos definitivos.

  7. Somos parte de la crisis?

    Directory of Open Access Journals (Sweden)

    Ingeniería e Investigación Revista

    2011-06-01

    Full Text Available Muchos años estuvimos resistiéndonos a aceptar la difícil situación que en todos los órdenes vivía el país. Finalmente, y como consecuencia de intereses ajenos a los que realmente debían guiarnos, estalló o quizá sea mejor decir, se agudizo la crisis del sistema. El tema no es nuevo, y recabar sobre el mismo, no pasaría, en el mejor de los casos, de ser un simple mea-culpa que dudamos aporte luces a la solución del problema. Sin embargo, pretender cerrar los ojos frente a la crisis, también resulta imposible, y mas aun, cuando la consecuencia directa de ella se refleja en la perdida, cada vez mayor, de confianza de la ciudadanía en todos los estamentos de la nación, pero fundamentalmente porque institucionalmente somos parte de ella.

  8. APPLICATION ON THE COOPERATION BETWEEN WARP LOOSENING DEVICE AND THE BACK REST FOR AIR JET LOOMS%喷气织机松经机构与后梁配合的应用探讨

    Institute of Scientific and Technical Information of China (English)

    刘忧华

    2015-01-01

    The structure and function of air-jet looms warp loosening device was introduced , and analyzed the function of co-ordination between Warp loosening device and the back rest for Air Jet loom. It can be stable equilibrium in the process of weaving warp tension to reduce the tension fluctuation for wealing.%介绍了喷气织机松经装置的结构及作用,分析了后梁和松经装置的配合使用,可在织造过程中稳定均衡经纱张力,减少张力的波动,以利于织造的进行。

  9. 片梭织机配置电子大提花设备的生产实践%The Production Practice of Projectile Loom with Electronic Jacquaid

    Institute of Scientific and Technical Information of China (English)

    房美祥; 陈震健

    2001-01-01

    It briefly analysed the production practice and processing technique when weaving the high count and high density jacquard fabric by projectile loom with electric jacquard.It also introduced the mechanical innovation of projectile loom to be equipped with electric jacquand and concerned measures for increasing the weaving efficiency.At last,it pointed out the defects of electric jacquard device.%简要分析了片梭织机配置电子大提花设备织造细号高密大提花织物时的工艺要求和生产实践,具体分析了片梭织机配置电子大提花设备的机构改造和提高织造效率的相关措施。同时也指出了电子大提花设备的不足之处。

  10. 喷气织造中几种织疵的解决措施%Solutions of Several Weaving Defects in Air Jet Loom

    Institute of Scientific and Technical Information of China (English)

    刘丽娜; 刘晓梅; 张玉惕

    2013-01-01

    为顺利解决ZAX-230型喷气织机生产经二重组织织物时易出现松经、棉球、纬缩等织疵问题,织物设计时合理选择纱线线密度,整经使用宝塔形纱,控制好整经张力及车速;浆纱保持纱线通道光滑,采用双面上蜡,加大里经退绕张力和湿区张力;穿综时将表经穿在前四页综框、里经穿在后四页综框;穿筘时将里经夹在表经中间;织造时做好清洁工作,偏大掌握上机张力,改进设计布边组织.最终,以上织疵问题得到了解决,织物质量得到了提高,满足了生产要求.%To solve weave defects of loose warp, cotton ball, weft shrinkage in producing warp backed cloth in ZAX-230 air jet loom successfully,yarn linear density was selected rationally in fabric design,cone yarn was used in warping, warp tension and speed were controlled well. In sizing,yarn passage should be kept smoothly,double waxing was adopted, unwinding tension and tension in wet zone should be increased. In heddle draft,face warp was inserted in front four heald frames, inside warp was inserted in back four heald frames. In reed-in, inside warp was put in the middle of face warp. In weaving,cleaning should be done well,loom tension was controlled larger,selvage weave should be modified. Finally,the above fabric defects can be resolved,fabric quality is increased and production demand can be reached.

  11. The Processing Practice for Weaving Sateen Weave Towel on Common Jacquard Loom%在国产提花织机上织造缎档毛巾的工艺实践

    Institute of Scientific and Technical Information of China (English)

    张会青; 黄岗

    2001-01-01

    It dealed with the processing practice for weaving sateen towel fabric on common jacquard loom and the problems occurred during the manufacture processes.%就利用国产普通提花织机织造缎档毛巾织物进行了论述,对各工序应注意的问题进行了探讨。

  12. Discussion on the Improvement of Weaving Efficiency of Glass Fiber Rapier Looms%玻璃纤维剑杆织机织造效率提高探讨

    Institute of Scientific and Technical Information of China (English)

    李书龄; 季鹏; 邓会平; 王雪程

    2012-01-01

    With the gearing of China's glass fiber weaving technology to the international practice,the market calls for rapier looms allowing for high weft insertion rate,less labor demand and reliable product quality. The authors of this paper analyzed the current technologies and motion characteristics of glass fiber rapier looms at home and abroad. Based on the rules of rapier movement and the nature of glass fiber, and taking GA1724 rapier loom as an example,the authors employed the technique of eliminating the rapier path guide hook to enhance the weaving efficiency,explored the improvement of components such as rapier head,rapier tape and tape pulley as well as the weft insertion process,and stressed that rapier looms should meet the specific requirements of glass fiber so as to improve their weaving efficiency and technical level.%随着玻璃纤维织造业同国际接轨,市场呼唤入纬率高、用工少、质量稳定可靠的剑杆织机。笔者分析了目前国内外玻璃纤维剑杆织机技术状态与运动特性。根据剑杆运动规律和玻璃纤维性质,以GA1724型剑杆织机为例,实施了取消引纬剑道导钩以提高织造效率的技术;同时探讨了剑头、剑带、剑带轮等部件以及引纬工艺的改进;同时提出要注重剑杆织机满足玻璃纤维特性要求,最终综合提高剑杆织机织造效率及技术水平。

  13. Crisis Response Strategy and Crisis Types Suitability: A Preliminary Study on MH370

    Directory of Open Access Journals (Sweden)

    Mohamad Ashari Noratikah

    2017-01-01

    Full Text Available In time of crisis, the organisation’s tactic in responding to the crisis according to its type/s may significantly affect the organisation’s effort to survive its reputational damages. The study of crisis response strategy (CRS requires further exploration within the Malaysian context, moreso with the greater and apparent use of social media as a platform for the organisation in crisis to reach out to its stakeholders. This preliminary paper studies the MH370 crisis in light of Coombs [1] Situational Crisis Communication Theory (SCCT. It aims to discuss the suitability of the CRS applied by Malaysia Airlines System (MAS with the crisis type/s that was/were experienced by the organisation. Hence, the need for this paper to investigate the crisis type/s of MH370 and examines the CRS applied by MAS by content analysing media statements that were disseminated directly to the organisation’s stakeholders on Facebook during the first day of the crisis. Results ultimately show an interesting analysis to the crisis type of MH370, and the suitability of the CRS applied by MAS for that matter.

  14. Improving the Weaving Efifciency of Air-jet Looms by Using Lean Production Process%精益生产工艺提高喷气织机的织造效率

    Institute of Scientific and Technical Information of China (English)

    董旭烨; 李竹君

    2015-01-01

    Driven by the concept of lean production, a survey was conducted and by which we found out that in practical production, the weaving efficiency of fabric in same specifications varies according to different process configurations on air-jet loom. Based on analyzing the ratio of fabric variety and quantity, the paper made an approach to further improving the weaving efficiency of air-jet looms through increasing the number of heddle frame, changing the way of heddle drafting and reducing energy consumption of the loom.%在精益生产的理念驱动下,通过调查分析发现在实际生产中相同规格的织物品种,在不同工艺配置的喷气织机上织造的效率表现出了差异化。文章通过对织物品种与数量的配比分析,对增加综框数量、改变穿综方式、织机电能损耗等方面进行了研究,为进一步提高喷气织机的织造效率,提供了一定的参考依据。

  15. 试论GA747型剑杆织机的品种适应性与局限性%Diccussion of the Adaptability and Limitation on GA747 Rapier Loom

    Institute of Scientific and Technical Information of China (English)

    李文秀

    2001-01-01

    According to the applicated analyses on GA747 rapier loom that adopted by our country in large numbers, this paper considered that, GA747 rapier loom brought about the large weft package, the weaving with multicolor and more complicated weave, it was much suitable for the fabric with medium compactness. But because of too much weft broken and unstable take-off mechanism, the GA747 rapier loom had the bad adaptability on the fabric with high compactness and larger tension, it was only suited to a part of different grade of weaving innovation.%对当前国内采用较多的GA747型剑杆织机结合实践进行分析,认为其实现了纬纱大卷装、多色和较复杂组织的织造,对中紧度织物相当适应,但其断纬停台较多,开车经缩、稀密路、跳纱等疵点多,卷取机构不稳定,对高紧度、大张力品种适应性差,只适合织布技术改造中不同档次的一个组成部分。

  16. CRISIS AWARENESS OF THE MUNICIPAL DISTRICT RESIDENTS: IMPLICATION FOR CRISIS MANAGEMENT AT THE LOCAL GOVERNMENT LEVEL

    Directory of Open Access Journals (Sweden)

    Juraj Tej

    2014-12-01

    Full Text Available Purpose: This main aim of the study is to examine the crisis (emergency awareness of the population (forming an integral part of overall crisis preparedness and its role in crisis management. Frequency and impact of emergencies and disasters in recent years induce the need for effective crisis management. Although it is impossible to prevent disasters from happening, it is possible to have control over prevention and local actors' preparedness.Methodology/Approach: Primary data collection was carried out on the basis of a questionnaire survey which monitors the overall crisis awareness among the population of Kosice district, specifically awareness of concepts related to crisis management and actions within collective protection of the population. For the analysis have been chosen three areas related to crisis management processes in terms of collective protection at the discretion of local self-governments, namely evacuation, hygiene, and communication.Findings: The results showed relatively good but still not sufficient level of population awareness about concepts related to crisis management and public (civil protection activities. In response to the survey results are conceived proposals and recommendations.Research Limitation/implication: In Slovakia, the issue of crisis management is most elaborated in the business area, the area of public administration lags behind. Examination of crisis (emergency preparedness is not the current practice in our country.Originality/Value of paper: The originality and value of the study lies in the fact that it conceptually develops a theoretical framework for monitoring and assessment of residents' crisis awareness and evaluating effectiveness of crisis communication within self-government. The study represents one of the rare attempts to find out how residents of large cities (with increased population density currently perceive the necessity of knowledge in the field of crisis management.

  17. Nuclear safety in crisis regions

    Energy Technology Data Exchange (ETDEWEB)

    Ustohalova, Veronika; Englert, Matthias

    2017-04-12

    The use of nuclear energy demands extensive institutional and material infrastructure upon a foundation of stable intrastate conditions and interstate relations. Conflicts can result in catastrophic accidents, either deliberately or unintentionally. If there are nuclear facilities located in a crisis region, the risk of a nuclear disaster is markedly heightened. This can be explained not only in terms of the strategic relevance of the energy supply in military conflicts, but also the increased accident risks and hazards arising from collateral damage, as well as the erosion of the safety culture and institutional control in crisis regions with a nuclear infrastructure. Even just the escalation of a political dispute or the persistence of low intensity conflicts can make it generally more difficult and complex to maintain nuclear safety, if intrastate safety mechanisms come under strain or even fail as a result. So far no instance of military escalation, past or present, has led to an accident in a civil nuclear facility. Nevertheless, questions are clearly raised about the vulnerability of nuclear facilities in crisis regions and the risks associated with this vulnerability. Despite the potentially far-reaching consequences, too little attention is currently being paid to the linkage between intra- and interstate conflicts and the safety of nuclear facilities in crisis regions. The aim of the research presented here was to explore this theme and, after laying the groundwork in this manner, to raise awareness among policy-makers and the wider public. In this context the escalation of conflicts in the Ukraine is a particular focus. The first part of the report begins with a systematic look at the link between crisis regions and/or conflicts and nuclear safety. The various impact pathways relating to nuclear facility safety and the associated risks are described in relation to potential hazards induced by crises and wars. A nuclear facility can itself become a theatre

  18. THE EFFECTS OF 2008 GLOBAL ECONOMIC CRISIS ON BORROWING RATES OF MANUFACTURING COMPANIES: PRE-CRISIS AND CRISIS COMPARISON

    OpenAIRE

    Dömbekci, Berna

    2014-01-01

    The global economic crisis of 2008 has affected more or less every country. Governments have to take special precautions to ease the severe effects of the crisis in their financial and real sectors. The interest rate is an important indicator of economic stability and should be maintained at a level where the economic agents do not decide to postpone their growth plans. For this reason, this article will focus on the effects of the 2008 global economic crisis on the borrowing rates of Turkish...

  19. The true cost of the economic crisis on psychological well-being: a review.

    Science.gov (United States)

    Van Hal, Guido

    2015-01-01

    The recent economic crisis has led to many negative consequences, not the least having to do with the mental health and well-being of the populations involved. Although some researchers say it is still too early to speak about a relationship between the economic crisis and a rise in mental health problems resulting in suicides, there is solid evidence for the existence of such a relationship. However, several moderating or mediating mechanisms can also play a role. The main reactions of most policy makers to the economic crisis are (severe) austerity measures. These measures seem to have, however, a detrimental effect on the mental health of the population: Just when people have the highest need for mental help, cost-cutting measures in the health care sector lead to a (substantial) drop in the supply of services for the prevention, early detection, and cure of mental health problems. Policy makers should support moderating mechanisms such as financial and psychological coping and acculturation and the role of primary health care workers in the early detection of suicidal thoughts, suicide attempts, and suicide in times of economic recession. Several examples show that the countries best off regarding the mental health of their populations during the economic crisis are those countries with the strongest social safety net. Therefore, instead of cutting back on health care and social welfare measures, policy makers should in the future invest even more in social protection measures during economic crises.

  20. PR Crisis Melalui Media Sosial

    Directory of Open Access Journals (Sweden)

    Gladys Carlina

    2017-07-01

    Full Text Available The background of this research is communication, new media, PR and PR Crisis. Fourth of this background has a close relationship, starting from communication, human in everyday life would require communication to receive and convey information, human can not be released from human life. The advancement of the times and the development of technology, causing people to communicate easily and the development of this era caused a new challenge for the PR and PR Crisis of a company, they should be able to maintain a positive image of the company in the minds of people. In this study using descriptive qualitative methodology, it contains many writings and drawings compared to the numbers. The purpose of this research is to know the strategy used by Pizza Hut in dealing with the issue of expired food. Penelitin results, social media is very positive impact on Pizza Hut in the recovery of food issues expired. The strategy used by the Pizza Hut Crisis PR is to utilize social media. Visible from the issue of expired food that disappeared in public and Pizza Hut restaurant until now crowded visited. Latar belakang dari penelitian ini yaitu komunikasi, media baru, PR dan PR Krisis. Keempat dari latar belakang ini mempunyai hubungan yang erat, dimulai dari komunikasi, manusia di dalam kehidupan sehari-hari tentunya memerlukan komunikasi untuk menerima dan menyampaikan informasi, manusia tidak bisa dilepaskan dari kehidupan manusia. Majunya perkembangan zaman dan perkembangan teknologi, menyebabkan manusia melakukan komunikasi dengan mudah dan perkembangan zaman ini menyebabkan adanya tantangan baru bagi para PR dan PR Krisis sebuah perusahaan, mereka harus bisa mempertahankan citra positif perusahaan di benak masyarakat. Dalam penelitian ini menggunakan metodologi kualitatif deksriptif, memuat banyak tulisan dan gambar dibandingkan angka-angka. Tujuan dari penelitian ini untuk mengetahui strategi yang digunakan oleh Pizza Hut dalam menangani isu makanan