Strategic Plan for Sustainable Energy Management and Environmental Stewardship for Los Angeles Unified School District

Energy Technology Data Exchange (ETDEWEB)

Walker, A.; Beattie, D.; Thomas, K.; Davis, K.; Sim, M.; Jhaveri, A.

2007-11-01

This Strategic Plan for Sustainable Energy Management and Environmental Stewardship states goals, measures progress toward goals and how actions are monitored to achieve continuous improvement for the Los Angeles Unified School District.

Environmental stewardship practices of veterinary professionals and educators related to use and disposal of pharmaceuticals and personal care products.

Science.gov (United States)

Lam, Jennifer; Chan, Samuel S; Conway, Flaxen D L; Stone, David

2018-03-01

OBJECTIVE To document the environmental stewardship practices (decisions and actions regarding use and disposal) of pet and human pharmaceuticals and personal care products (PPCPs) among pet-owning veterinary-care professionals (practicing veterinarians, veterinary students, and veterinary technicians and trainees) and environmental educators. DESIGN Internet-based cross-sectional survey. SAMPLE 191 pet owners (103 veterinary-care professionals and 88 environmental educators). PROCEDURES Study participants were recruited by means of a 2-part internet survey distributed to veterinary-care professional and environmental educator networks of individuals residing in Washington state, Oregon, and southern California. Survey questions addressed motivators for environmental stewardship practices (ie, decisions and actions regarding use and disposal of pet and human PPCPs). RESULTS Data were collected from 191 respondents; the response rate for individuals who self-selected to opt in was 78% (191/246). Of the 191 respondents, 42 (22%) stored pet pharmaceuticals indefinitely. The most common disposal method was the garbage (88/191 [46%]). Veterinary-care professionals counseled clients infrequently regarding environmental stewardship practices for PPCPs. Fifty-five percent (105/191) of all respondents preferred more environmentally friendly and clinically effective PPCPs. CONCLUSIONS AND CLINICAL RELEVANCE Results of the present survey emphasized the urgent need for improved educational resources to minimize environmental contamination from improper disposal of PPCPs. Environmental and economic motivations among pet owners in the veterinary-care and education professions indicate further opportunities for outreach and institutional support.

Data Stewardship: Environmental Data Curation and a Web-of-Repositories

Directory of Open Access Journals (Sweden)

Karen S. Baker

2009-10-01

Full Text Available Scientific researchers today frequently package measurements and associated metadata as digital datasets in anticipation of storage in data repositories. Through the lens of environmental data stewardship, we consider the data repository as an organizational element central to data curation. One aspect of non-commercial repositories, their distance-from-origin of the data, is explored in terms of near and remote categories. Three idealized repository types are distinguished – local, center, and archive - paralleling research, resource, and reference collection categories respectively. Repository type characteristics such as scope, structure, and goals are discussed. Repository similarities in terms of roles, activities and responsibilities are also examined. Data stewardship is related to care of research data and responsible scientific communication supported by an infrastructure that coordinates curation activities; data curation is defined as a set of repeated and repeatable activities focusing on tending data and creating data products within a particular arena. The concept of “sphere-of-context” is introduced as an aid to distinguishing repository types. Conceptualizing a “web-of-repositories” accommodates a variety of repository types and represents an ecologically inclusive approach to data curation.

Best Practices for Curriculum, Teaching, and Evaluation Components of Aquatic Stewardship Education.

Science.gov (United States)

Siemer, William F.

This paper reviews the literature to outline principles and best practices for aquatic stewardship education. Stewardship education develops an internalized stewardship ethic and the skills needed for decision making and environmentally responsible actions. Successful stewardship education programs are designed to influence beliefs, values,…

2008 stewardship report

International Nuclear Information System (INIS)

2009-03-01

The Canadian Association of Petroleum Producers prepares an annual stewardship report as part of the industry's commitment to stewardship through the open and transparent reporting of progress on environmental, health and safety, and social issues. These reports also serve to provide annual benchmarking targets for the industry to surpass. This report presented the eighth annual stewardship report for 2008 and discussed indicators relating to several areas. The first involved air quality as it relates to climate change and greenhouse gases and technological solutions such as toe-to-heel air injection; geothermal energy; and carbon capture and sequestration. The issues of releasing greenhouse gases through flaring and venting were also examined along with other issues such as returning the land to a sustainable landscape; using water to produce oil and gas; ensuring the workplace is safe; and maintaining positive relationships. It was concluded that while greenhouse gas intensity has dropped, overall emissions have increase. Surface water use has also slightly increased. figs

Aspen's Global 100: Beyond Grey Pinstripes 2009-2010--Preparing MBAs for Social and Environmental Stewardship

Science.gov (United States)

Aspen Institute, 2009

2009-01-01

Beyond Grey Pinstripes is a research survey and alternative ranking of business schools that spotlights innovative full-time MBA programs leading the way in integrating social and environmental stewardship into their curriculum and scholarly research. These schools are preparing today's students--tomorrow's leaders--for future market realities by…

Nuclear Materials Stewardship Within the DOE Environmental Management Program

International Nuclear Information System (INIS)

Bilyeu, J. D.; Kiess, T. E.; Gates, M. L.

2002-01-01

The Department of Energy (DOE) Environmental Management (EM) Program has made significant progress in planning disposition of its excess nuclear materials and has recently completed several noteworthy studies. Since establishment in 1997, the EM Nuclear Material Stewardship Program has developed disposition plans for excess nuclear materials to support facility deactivation. All nuclear materials have been removed from the Miamisburg Environmental Management Project (Mound), and disposition planning is nearing completion for the Fernald Environmental Management Project and the Rocky Flats Environmental Technology Site. Only a few issues remain for materials at the Hanford and Idaho sites. Recent trade studies include the Savannah River Site Canyons Nuclear Materials Identification Study, a Cesium/Strontium Management Alternatives Trade Study, a Liquid Technical Standards Trade Study, an Irradiated Beryllium Reflectors with Tritium study, a Special Performance Assessment Required Trade Study, a Neutron Source Trade Study, and development of discard criteria for uranium. A Small Sites Workshop was also held. Potential and planned future activities include updating the Plutonium-239 storage study, developing additional packaging standards, developing a Nuclear Material Disposition Handbook, determining how to recover or dispose of Pu-244 and U-233, and working with additional sites to define disposition plans for their nuclear materials

Integration of Cloud Technologies for Data Stewardship at the NOAA National Centers for Environmental Information (NCEI)

Science.gov (United States)

Casey, K. S.; Hausman, S. A.

2016-02-01

In the last year, the NOAA National Oceanographic Data Center (NODC) and its siblings, the National Climatic Data Center and National Geophysical Data Center, were merged into one organization, the NOAA National Centers for Environmental Information (NCEI). Combining its expertise under one management has helped NCEI accelerate its efforts to embrace and integrate private, public, and hybrid cloud environments into its range of data stewardship services. These services span a range of tiers, from basic, long-term preservation and access, through enhanced access and scientific quality control, to authoritative product development and international-level services. Throughout these tiers of stewardship, partnerships and pilot projects have been launched to identify technological and policy-oriented challenges, to establish solutions to these problems, and to highlight success stories for emulation during operational integration of the cloud into NCEI's data stewardship activities. Some of these pilot activities including data storage, access, and reprocessing in Amazon Web Services, the OneStop data discovery and access framework project, and a set of Cooperative Research and Development Agreements under the Big Data Project with Amazon, Google, IBM, Microsoft, and the Open Cloud Consortium. Progress in these efforts will be highlighted along with a future vision of how NCEI could leverage hybrid cloud deployments and federated systems across NOAA to enable effective data stewardship for its oceanographic, atmospheric, climatic, and geophysical Big Data.

Final programmatic environmental impact statement for stockpile stewardship and management

International Nuclear Information System (INIS)

1996-09-01

In response to the end of the Cold War and changes in the world's political regimes, the United States is not producing new-design nuclear weapons. Instead, the emphasis of the U.S. nuclear weapons program is on reducing the size of the Nation's nuclear stockpile by dismantling existing nuclear weapons. The Department of Energy (DOE) has been directed by the President and Congress to maintain the safety and reliability of the reduced nuclear weapons stockpile in the absence of underground nuclear testing. In order to fulfill that responsibility, DOE has developed a Stockpile Stewardship and Management Program to provide a single highly integrated technical program for maintaining the continued safety and reliability of the nuclear stockpile. The Stockpile Stewardship and Management PEIS describes and analyzes alternative ways to implement the proposed actions for the Stockpile Stewardship and Management Program

Report: Ongoing Management Improvements and Further Evaluation Vital to EPA Stewardship and Voluntary Programs

Science.gov (United States)

Report #2005-P-00007, February 17, 2005. We asked stakeholders to define stewardship, list motivators and obstacles to participating in stewardship programs, and outline key roles for EPA to play to foster participating in environmental stewardship.

Toward an Understanding of Citywide Urban Environmental Governance: An Examination of Stewardship Networks in Baltimore and Seattle.

Science.gov (United States)

Romolini, Michele; Morgan Grove, J; Ventriss, Curtis L; Koliba, Christopher J; Krymkowski, Daniel H

2016-08-01

Efforts to create more sustainable cities are evident in the proliferation of sustainability policies in cities worldwide. It has become widely proposed that the success of these urban sustainability initiatives will require city agencies to partner with, and even cede authority to, organizations from other sectors and levels of government. Yet the resulting collaborative networks are often poorly understood, and the study of large whole networks has been a challenge for researchers. We believe that a better understanding of citywide environmental governance networks can inform evaluations of their effectiveness, thus contributing to improved environmental management. Through two citywide surveys in Baltimore and Seattle, we collected data on the attributes of environmental stewardship organizations and their network relationships. We applied missing data treatment approaches and conducted social network and comparative analyses to examine (a) the organizational composition of the network, and (b) how information and knowledge are shared throughout the network. Findings revealed similarities in the number of actors and their distribution across sectors, but considerable variation in the types and locations of environmental stewardship activities, and in the number and distribution of network ties in the networks of each city. We discuss the results and potential implications of network research for urban sustainability governance.

Planning for quality stewardship: The sitewide environmental impact statement

International Nuclear Information System (INIS)

Webb, D.

1995-01-01

The U.S Department of Energy is responsible for managing many large tracts of Federal land throughout this country. These sites host the nation's nuclear weapons complex, national laboratories, environmental restoration facilities, and serve other uses. The Department faces unique problems in administering this land. Many have multiple activities taking place at the same time; for example, a site may simultaneously be used for energy research, technology development, waste disposal and wildlife habitat. The sites often use radioactive and other hazardous materials and many are contaminated as a result of past management practices. In 1992 the Department institutes a policy, as stated in its National Environmental Policy Act regulations [10 CFR 1021], to prepare sitewide environmental impact statements for its large, multipurpose sites. For the first time, through the sitewide environmental impact statement process, the Department has an effective tool to plan for quality stewardship of the lands and resources entrusted to its care. The sitewide environmental impact statement is a specialized type of programmatic environmental impact statement which allows the Department to look at the geographically connected actions taking place at a given site. The sitewide statement allows a comprehensive look at the operational baseline for the entire site to determine the total cumulative impact of ongoing operations at the site. The Department can identify areas where a change in management practices would mitigate undesirable impacts; areas not at issue could continue under existing practices. As a result, an environmentally-sound operating envelope can be established. This, in turn, can serve in the future as a threshold to decide if new proposals would result in significant impacts to the site as a whole, to simplify future National Environmental Policy Act reviews

Assessing the distribution of environmental stewardship organizations and their relationship to the demographics of Los Angeles County

Science.gov (United States)

Krystle M. Golly

2017-01-01

An equal distribution of environmental stewardship organizations across the urban landscape provides an environment that facilitates community empowerment. The systemic issues found in Los Angeles County play an important role in the social development of the area. Through the utilization of modern technology and geographical mapping software, spatial distribution of...

Multi-generational stewardship of plutonium

International Nuclear Information System (INIS)

Pillay, K.K.S.

1997-01-01

The post-cold war era has greatly enhanced the interest in the long-term stewardship of plutonium. The management of excess plutonium from proposed nuclear weapons dismantlement has been the subject of numerous intellectual discussions during the past several years. In this context, issues relevant to long-term management of all plutonium as a valuable energy resource are also being examined. While there are differing views about the future role of plutonium in the economy, there is a recognition of the environmental and health related problems and proliferation potentials of weapons-grade plutonium. The long-term management of plutonium as an energy resource will require a new strategy to maintain stewardship for many generations to come

76 FR 11243 - Solicitation of Input From Stakeholders To Inform the National Framework for Electronics Stewardship

Science.gov (United States)

2011-03-01

... Stakeholders To Inform the National Framework for Electronics Stewardship AGENCY: Environmental Protection... inform the national framework for electronics stewardship that is being developed by the Interagency Task Force on Electronics Stewardship. On November 15, 2010, President Obama signed a presidential...

Networked governance and the management of ecosystem services: The case of urban environmental stewardship in New York City

Science.gov (United States)

James J.T. Connolly; Erika S. Svendsen; Dana R. Fisher; Lindsay K. Campbell

2014-01-01

Urban environmental stewardship groups have become an essential component of the governance structure that regulates ecosystem services in cities. New York City is one example where these groups have grown rapidly in number, size, and visibility since the 1970s. In this article, we combine quantitative survey data with qualitative interview data to examine the...

Local Government Implementation of Long-Term Stewardship at Two DOE Facilities

Energy Technology Data Exchange (ETDEWEB)

John Pendergrass; Roman Czebiniak; Kelly Mott; Seth Kirshenberg; Audrey Eidelman; Zachary Lamb; Erica Pencak; Wendy Sandoz

2003-08-13

The Department of Energy (DOE) is responsible for cleaning up the radioactive and chemical contamination that resulted from the production of nuclear weapons. At more than one hundred sites throughout the country DOE will leave some contamination in place after the cleanup is complete. In order to protect human health and the environment from the remaining contamination DOE, U.S. Environmental Protection Agency (EPA), state environmental regulatory agencies, local governments, citizens and other entities will need to undertake long-term stewardship of such sites. Long-term stewardship includes a wide range of actions needed to protect human health in the environment for as long as the risk from the contamination remains above acceptable levels, such as barriers, caps, and other engineering controls and land use controls, signs, notices, records, and other institutional controls. In this report the Environmental Law Institute (ELI) and the Energy Communities Alliance (ECA) examine how local governments, state environmental agencies, and real property professionals implement long-term stewardship at two DOE facilities, Losa Alamos National Laboratory and Oak Ridge Reservation.

Long-Term Stewardship Program Science and Technology Requirements

Energy Technology Data Exchange (ETDEWEB)

Joan McDonald

2002-09-01

Many of the United States’ hazardous and radioactively contaminated waste sites will not be sufficiently remediated to allow unrestricted land use because funding and technology limitations preclude cleanup to pristine conditions. This means that after cleanup is completed, the Department of Energy will have long-term stewardship responsibilities to monitor and safeguard more than 100 sites that still contain residual contamination. Long-term stewardship encompasses all physical and institutional controls, institutions, information, and other mechanisms required to protect human health and the environment from the hazards remaining. The Department of Energy Long-Term Stewardship National Program is in the early stages of development, so considerable planning is still required to identify all the specific roles and responsibilities, policies, and activities needed over the next few years to support the program’s mission. The Idaho National Engineering and Environmental Laboratory was tasked with leading the development of Science and Technology within the Long-Term Stewardship National Program. As part of that role, a task was undertaken to identify the existing science and technology related requirements, identify gaps and conflicts that exist, and make recommendations to the Department of Energy for future requirements related to science and technology requirements for long-term stewardship. This work is summarized in this document.

Environmental Stewardship at the Savannah River Site: Generations of Success - 13212

Energy Technology Data Exchange (ETDEWEB)

Looney, Brian B.; Bergren, Christopher L.; Gaughan, Thomas F.; Aylward, Robert S.; Guevara, Karen C.; Whitaker, Wade C.; Hennessey, Brian T.; Mills, Gary L.; Blake, John I. [Savannah River Site, Aiken SC 29808, 773-42A (United States)

2013-07-01

Approximately sixty years ago, the Savannah River Site (SRS) was built to produce nuclear materials. SRS production operations impacted air, soil, groundwater, ecology, and the local environment. Throughout its history, SRS has addressed these contamination issues directly and has maintained a commitment to environmental stewardship. The Site boasts many environmental firsts. Notably, SRS was the first major Department of Energy (DOE) facility to perform a baseline ecological assessment. This pioneering effort, by Ruth Patrick and the Philadelphia Academy of Sciences, was performed during SRS planning and construction in the early 1950's. This unique early generation of work set the stage for subsequent efforts. Since that time, the scientists and engineers at SRS pro-actively identified environmental problems and developed and implemented effective and efficient environmental management and remediation solutions. This second generation, spanning the 1980's through the 2000's, is exemplified by numerous large and small cleanup actions to address metals and radionuclides, solvents and hydrocarbons, facility and area decommissioning, and ecological restoration. Recently, a third generation of environmental management was initiated as part of Enterprise SRS. This initiative to 'Develop and Deploy Next Generation Cleanup Technologies' formalizes and organizes the major technology matching, development, and implementation processes associated with historical SRS cleanup success as a resource to support future environmental management missions throughout DOE. The four elements of the current, third generation, effort relate to: 1) transition from active to passive cleanup, 2) in situ decommissioning of large nuclear facilities, 3) new long term monitoring paradigms, and 4) a major case study related to support for recovery and restoration of the Japanese Fukushima-Daiichi nuclear power plant and surrounding environment. (authors)

NOAA's Scientific Data Stewardship Program

Science.gov (United States)

Bates, J. J.

2004-12-01

The NOAA mission is to understand and predict changes in the Earth's environment and conserve and manage coastal and marine resources to meet the Nation's economic, social and environmental needs. NOAA has responsibility for long-term archiving of the United States environmental data and has recently integrated several data management functions into a concept called Scientific Data Stewardship. Scientific Data Stewardship a new paradigm in data management consisting of an integrated suite of functions to preserve and exploit the full scientific value of NOAA's, and the world's, environmental data These functions include careful monitoring of observing system performance for long-term applications, the generation of authoritative long-term climate records from multiple observing platforms, and the proper archival of and timely access to data and metadata. NOAA has developed a conceptual framework to implement the functions of scientific data stewardship. This framework has five objectives: 1) develop real-time monitoring of all satellite observing systems for climate applications, 2) process large volumes of satellite data extending up to decades in length to account for systematic errors and to eliminate artifacts in the raw data (referred to as fundamental climate data records, FCDRs), 3) generate retrieved geophysical parameters from the FCDRs (referred to as thematic climate data records TCDRs) including combining observations from all sources, 4) conduct monitoring and research by analyzing data sets to uncover climate trends and to provide evaluation and feedback for steps 2) and 3), and 5) provide archives of metadata, FCDRs, and TCDRs, and facilitate distribution of these data to the user community. The term `climate data record' and related terms, such as climate data set, have been used for some time, but the climate community has yet to settle on a concensus definition. A recent United States National Academy of Sciences report recommends using the

Environmental stewardship for gold mining in tropical regions

Directory of Open Access Journals (Sweden)

A Isahak

2013-10-01

Full Text Available Mining has gained strong popularity in recent years due to the increase in global demand for metals and other industrial raw material derived from the ground. However, information and good governance regarding activities related to mining is still very much lacking especially in underdeveloped and developing countries in the tropics. In Malaysia, the importance of environmental stewardship in mining is a new phenomenon. The new National Mineral Policy 2 calls for compliance with existing standards and guidelines, stresses on progressive and post mining rehabilitation as well as promotes the gathering and dissemination of information, best mining practices, public disclosure and corporate social responsibility. Our preliminary studies however have shown that its implementation may have been hampered by inadequate legal and administrative structures, lack of freedom of information, physical inaccessibility, lack of information and public participation. In this presentation, the above issues and measures to reduce the impact of mining, particularly that of gold on the environment with a special focus on Malaysia is discussed. These measures include alternative gold extraction methods, appropriate tailing dam construction and management, health risk assessment and risk management, compliance with the Cyanide Code and liberalization of access to information, facilitation of access to justice, the strengthening of legal and administrative structures as well as corporate accountability to the public as part of corporate social responsibility.

Integrating human and natural systems in community psychology: an ecological model of stewardship behavior.

Science.gov (United States)

Moskell, Christine; Allred, Shorna Broussard

2013-03-01

Community psychology (CP) research on the natural environment lacks a theoretical framework for analyzing the complex relationship between human systems and the natural world. We introduce other academic fields concerned with the interactions between humans and the natural environment, including environmental sociology and coupled human and natural systems. To demonstrate how the natural environment can be included within CP's ecological framework, we propose an ecological model of urban forest stewardship action. Although ecological models of behavior in CP have previously modeled health behaviors, we argue that these frameworks are also applicable to actions that positively influence the natural environment. We chose the environmental action of urban forest stewardship because cities across the United States are planting millions of trees and increased citizen participation in urban tree planting and stewardship will be needed to sustain the benefits provided by urban trees. We used the framework of an ecological model of behavior to illustrate multiple levels of factors that may promote or hinder involvement in urban forest stewardship actions. The implications of our model for the development of multi-level ecological interventions to foster stewardship actions are discussed, as well as directions for future research to further test and refine the model.

A broader view of stewardship to achieve conservation and sustainability goals in South Africa

Directory of Open Access Journals (Sweden)

Jaco Barendse

2016-05-01

Full Text Available Stewardship is a popular term for the principles and actions aimed at improving sustainability and resilience of social-ecological systems at various scales and in different contexts. Participation in stewardship is voluntary, and is based on values of altruism and long-term benefits. At a global scale, "earth stewardship" is viewed as a successor to earlier natural resource management systems. However, in South Africa, stewardship is narrowly applied to biodiversity conservation agreements on private land. Using a broader definition of stewardship, we identify all potentially related schemes that may contribute to sustainability and conservation outcomes. Stewardship schemes and actors are represented as a social network and placed in a simple typology based on objectives, mechanisms of action and operational scales. The predominant type was biodiversity stewardship programmes. The main actors were environmental non-governmental organisations participating in prominent bioregional landscape partnerships, together acting as important "bridging organisations" within local stewardship networks. This bridging enables a high degree of collaboration between non-governmental and governmental bodies, especially provincial conservation agencies via mutual projects and conservation objectives. An unintended consequence may be that management accountability is relinquished or neglected by government because of inadequate implementation capacity. Other stewardship types, such as market-based and landscape initiatives, complemented primarily biodiversity ones, as part of national spatial conservation priorities. Not all schemes related to biodiversity, especially those involving common pool resources, markets and supply chains. Despite an apparent narrow biodiversity focus, there is evidence of diversification of scope to include more civic and community-level stewardship activities, in line with the earth stewardship metaphor.

Urban ecological stewardship: understanding the structure, function and network of community-based urban land management

Science.gov (United States)

Erika s. Svendsen; Lindsay K. Campbell

2008-01-01

Urban environmental stewardship activities are on the rise in cities throughout the Northeast. Groups participating in stewardship activities range in age, size, and geography and represent an increasingly complex and dynamic arrangement of civil society, government and business sectors. To better understand the structure, function and network of these community-based...

United States Department of Energy Nuclear Materials Stewardship

International Nuclear Information System (INIS)

Newton, J. W.

2002-01-01

The Department of Energy launched the Nuclear Materials Stewardship Initiative in January 2000 to accelerate the work of achieving integration and cutting long-term costs associated with the management of the Department's nuclear materials, with the principal focus on excess materials. Management of nuclear materials is a fundamental and enduring responsibility that is essential to meeting the Department's national security, nonproliferation, energy, science, and environmental missions into the distant future. The effective management of nuclear materials is important for a set of reasons: (1) some materials are vital to our national defense; (2) the materials pose physical and security risks; (3) managing them is costly; and (4) costs are likely to extend well into the future. The Department currently manages nuclear materials under eight programs, with offices in 36 different locations. Through the Nuclear Materials Stewardship Initiative, progress was during calendar year 20 00 in achieving better coordination and integration of nuclear materials management responsibilities and in evaluating opportunities to further coordinate and integrate cross-program responsibilities for the treatment, storage, and disposition of excess nuclear materials. During CY 2001 the Departmental approach to nuclear materials stewardship changed consistent with the business processes followed by the new administration. This paper reports on the progress of the Nuclear Materials Stewardship Initiative in evaluating and implementing these opportunities, and the remaining challenges in integrating the long-term management of nuclear materials

Final programmatic environmental impact statement for stockpile stewardship and management. Comment response document. Volume 4

International Nuclear Information System (INIS)

1996-09-01

In response to the end of the Cold War and changes in the world's political regimes, the United States is not producing new-design nuclear weapons. Instead, the emphasis on the U.S. nuclear weapons program is on reducing the size of the Nation's nuclear stockpile by dismantling existing nuclear weapons. The Department of Energy (DOE) has been directed by the President and Congress to maintain the safety and reliability of the reduced nuclear weapons stockpile in the absence of underground nuclear testing. In order to fulfill that responsibility, DOE has developed a Stockpile Stewardship and Management Program to provide a single highly integrated program for maintaining the continued safety and reliability of the nuclear stockpile. The Stockpile Stewardship and Management PEIS describes and analyzes alternative ways to implement the proposed actions for the Stockpile Stewardship and Management Program

Applications of Nuclear Science for Stewardship Science

International Nuclear Information System (INIS)

Cizewski, Jolie A

2013-01-01

Stewardship science is research important to national security interests that include stockpile stewardship science, homeland security, nuclear forensics, and non-proliferation. To help address challenges in stewardship science and workforce development, the Stewardship Science Academic Alliances (SSAA) was inaugurated ten years ago by the National Nuclear Security Administration of the U. S. Department of Energy. The goal was to enhance connections between NNSA laboratories and the activities of university scientists and their students in research areas important to NNSA, including low-energy nuclear science. This paper presents an overview of recent research in low-energy nuclear science supported by the Stewardship Science Academic Alliances and the applications of this research to stewardship science.

Stockpile stewardship and management programmatic environmental impact statement data for the no action and phase-out alternatives at the Oak Ridge Reservation

International Nuclear Information System (INIS)

1996-07-01

Alternatives for the Oak Ridge Y-12 Plant are being considered under the Stockpile Stewardship and Management Program (SSM). The three alternatives under consideration include: continuing the secondary manufacturing operations in a down-sized footprint; no action; and phasing out the secondary manufacturing operations at Y-12. This report provides specific environmental data requested for the Y-12 Plant alternatives of no action and phase out

Urban Ecological Stewardship: Understanding the Structure, Function and Network of Community-based Urban Land Management

Directory of Open Access Journals (Sweden)

Lindsay K. Campbell

2008-01-01

Full Text Available Urban environmental stewardship activities are on the rise in cities throughout the Northeast. Groups participating in stewardship activities range in age, size, and geography and represent an increasingly complex and dynamic arrangement of civil society, government and business sectors. To better understand the structure, function and network of these community-based urban land managers, an assessment was conducted in 2004 by the research subcommittee of the Urban Ecology Collaborative. The goal of the assessment was to better understand the role of stewardship organizations engaged in urban ecology initiatives in selected major cities in the Northeastern U.S.: Boston, New Haven, New York City, Pittsburgh, Baltimore, and Washington, D.C. A total of 135 active organizations participated in this assessment. Findings include the discovery of a dynamic social network operating within cities, and a reserve of social capital and expertise that could be better utilized. Although often not the primary land owner, stewardship groups take an increasingly significant responsibility for a wide range of land use types including street and riparian corridors, vacant lots, public parks and gardens, green roofs, etc. Responsibilities include the delivery of public programs as well as daily maintenance and fundraising support. While most of the environmental stewardship organizations operate on staffs of zero or fewer than ten, with small cohorts of community volunteers, there is a significant difference in the total amount of program funding. Nearly all respondents agree that committed resources are scarce and insufficient with stewards relying upon and potentially competing for individual donations, local foundations, and municipal support. This makes it a challenge for the groups to grow beyond their current capacity and to develop long-term programs critical to resource management and education. It also fragments groups, making it difficult for planners and

Lessons from White Lake - Connecting Students to their Community through Environmental Stewardship

Science.gov (United States)

Tate, Susan

2014-05-01

White Lake and its surrounding community have been negatively affected by shoreline degradation and wildlife habitat loss caused primarily by historical logging practices, and reduced water quality from industrial pollution and storm water runoff. This led to the lake being identified as a Great Lakes Area of Concern by the United States Environmental Protection Agency three decades ago. Local community partners have worked diligently in recent years to reverse habitat loss, and repair damaged ecosystems. The "H2O White Lake" (Healthy Habitats On White Lake) project has involved over seven hundred middle school students in grades six through eight over the course of the last five years. Students begin by researching the environmental history of the watershed and then they monitor six tributaries of the lake for nutrient pollution and habitat degradation. Students use the field experience as a community inventory to identify stewardship needs, for which they then identify solutions that take into account land usage and community behaviors. Class projects have focused on stream bank restoration, storm water management, eradication of invasive species, shoreline clean-up, and community outreach and education. This year, the project culminated in the first ever White Lake Environmental Film Festival, for which students had the opportunity to create their own short documentary. This multiple year place based education project allows students to apply their classroom studies of surface water and groundwater dynamics to an authentic, real-world situation, conduct themselves as scientists, and feel valuable through connections with community partners.

Embedding Data Stewardship in Geoscience Australia

Science.gov (United States)

Bastrakova, I.; Fyfe, S.

2013-12-01

Ten years of technological innovation now enable vast amounts of data to be collected, managed, processed and shared. At the same time, organisations have witnessed government legislative and policy requirements for open access to public sector data, and a demand for flexibility in access to data by both machine-to-machine and human consumption. Geoscience Australia (GA) has adopted Data Stewardship as an organisation-wide initiative to improve the way we manage and share our data. The benefits to GA including: - Consolidated understanding of GA's data assets and their value to the Agency; - Recognition of the significant role of data custodianship and data management; - Well-defined governance, policies, standards, practices and accountabilities that promote the accessibility, quality and interoperability of GA's data; - Integration of disparate data sets into cohesive information products available online in real time and equally accessible to researchers, government, industry and the public. Although the theory behind data stewardship is well-defined and accepted and the benefits are generally well-understood, practical implementation requires an organisation to prepare for a long-term commitment of resources, both financial and human. Fundamentally this involves: 1. Raising awareness in the organisation of the need for data stewardship and the challenges this entails; 2. Establishing a data stewardship framework including a data governance office to set policy and drive organisational change; and 3. Embedding the functions and a culture of data stewardship into business as usual operations. GA holds a vast amount of data ranging from petabytes of Big Data to significant quantities of relatively small ';long tail' geoscientific observations and measurements. Over the past four years, GA has undertaken strategic activities that prepare us for Data Stewardship: - Organisation-wide audits of GA's data holdings and identification of custodians for each dataset

Intergenerational equity and long-term stewardship plans

International Nuclear Information System (INIS)

Hocking, E. K.

2002-01-01

For an untold number of contaminated sites throughout the world, stewardship will be inevitable. For many such sites, stewardship will be a reasonable approach because of the uncertainties associated with present and future site conditions and site contaminants, the limited performance of available technologies, the nonavailability of technologies, and the risk and cost associated with complete cleanup. Regardless of whether stewardship is a realistic approach to site situations or simply a convenient default, it could be required at most contaminated sites for multiple generations. Because the stewardship plan is required to protect the release of hazardous contaminants to the environment, some use restrictions will be put in place to provide that protection. These use restrictions will limit access to resources for as long as the protection is required. The intergenerational quality of long-term stewardship plans and their inherent limitations on resource use require that they be designed to achieve equity among the affected generations. Intergenerational equity, defined here as the fairness of access to resources across generations, could be achieved through a well-developed stewardship plan that provides future generations with the information they need to make wise decisions about resource use. Developing and implementing such a plan would take into account the failure mechanisms of the plan's components, feature short stewardship time blocks that would allow for periodic reassessments of the site and of the stewardship program's performance, and provide present and future generations with necessary site information

Place-Based Stewardship Education: Nurturing Aspirations to Protect the Rural Commons

Science.gov (United States)

Gallay, Erin; Marckini-Polk, Lisa; Schroeder, Brandon; Flanagan, Constance

2016-01-01

In this mixed-methods study, we examine the potential of place-based stewardship education (PBSE) for nurturing rural students' community attachment and aspirations to contribute to the preservation of the environmental "commons." Analyzing pre- and post-experience surveys (n = 240) and open-ended responses (n = 275) collected from…

Antibiotic stewardship in community-acquired pneumonia.

Science.gov (United States)

Viasus, Diego; Vecino-Moreno, Milly; De La Hoz, Juan M; Carratalà, Jordi

2017-04-01

Community-acquired pneumonia (CAP) continues to be associated with significant mortality and morbidity. As with other infectious diseases, in recent years there has been a marked increase in resistance to the antibiotics commonly used against the pathogens that cause CAP. Antimicrobial stewardship denotes coordinated interventions to improve and measure the appropriate use of antibiotics by encouraging the selection of optimal drug regimens. Areas covered: Several elements can be applied to antibiotic stewardship strategies for CAP in order to maintain or improve patient outcomes. In this regard, antibiotic de-escalation, duration of antibiotic treatment, adherence to CAP guidelines recommendations about empirical treatment, and switching from intravenous to oral antibiotic therapy may each be relevant in this context. Antimicrobial stewardship strategies, such as prospective audit with intervention and feedback, clinical pathways, and dedicated multidisciplinary teams, that have included some of these elements have demonstrated improvements in antimicrobial use for CAP without negatively affecting clinical outcomes. Expert commentary: Although there are a limited number of randomized clinical studies addressing antimicrobial stewardship strategies in CAP, there is evidence that antibiotic stewardship initiatives can be securely applied, providing benefits to both healthcare systems and patients.

Stockpile Stewardship at Los Alamos(U)

Energy Technology Data Exchange (ETDEWEB)

Webster, Robert B. [Los Alamos National Laboratory

2012-06-29

Stockpile stewardship is the retention of nuclear weapons in the stockpile beyond their original design life. These older weapons have potential changes inconsistent with the original design intent and military specifications. The Stockpile Stewardship Program requires us to develop high-fidelity, physics-based capabilities to predict, assess, certify and design nuclear weapons without conducting a nuclear test. Each year, the Lab Directors are required to provide an assessment of the safety, security, and reliability our stockpile to the President of the United States. This includes assessing whether a need to return to testing exists. This is a talk to provide an overview of Stockpile Stewardship's scientific requirements and how stewardship has changed in the absence of nuclear testing. The talk is adapted from an HQ talk to the War college, and historical unclassified talks on weapon's physics.

Water appropriation and ecosystem stewardship in the Baja desert

OpenAIRE

de las Heras Alejandro; Rodriguez Mario A.; Islas-Espinoza Marina

2014-01-01

The UNESCO San Francisco Rock Paintings polygon within El Vizcaino Biosphere Reserve in the Baja California Peninsula derives its moisture from the North American monsoon. There, ranchers have depended on the desert since the 18th century. More recently, the desert has depended on the environmental stewardship of the ranchers who have allayed mining exploitation and archaeological looting. Using a Rapid Assessment Procedure (RAP), climate data, and geographical informa...

"Nuestra Tierra Dinamica" Global Climate Change STEM Education Fostering Environmental Stewardship

Science.gov (United States)

La Grave, M.; de Valenzuela, M.; Russell, R.

2012-12-01

CLUB ECO LÓGICO is a democratic and participatory program that provides active citizenship in schools and community, placing climate change into context for the Latino Community. The program's objectives focus on: 1. The Environment. Reducing the school and community impact on the environment through environmental footprint through stewardship actions. 2. Empowerment. Engaging participants through project and service learning and make decisions about how to improve their schools, their homes and their community's environment. 3. Community and Research Partnerships. Fostering collaborations with local community, stakeholders, government, universities, research organizations, and businesses that have expertise in environmental research, management, education and climate change. 4. Awareness. Increasing environmental and climate science knowledge of participants through STEM activities and hands-on access to technology. 5. Research and evaluation. Assessing the relevance of program activities through the engagement of the Latino community in planning and the effectiveness and impact of STEM activities through formative and summative evaluation. To address these objectives, the program has several inter related components in an after school setting: SUN EARTH Connections: Elementary (grades K to 2) students learn the basic climate change concepts through inquiry and hands on STEM activities. Bilingual 8 facilitators adapt relevant NASA educational resources for use in inquiry based, hands on activities. Drama and the arts provide unique experiences as well as play a key role in learning, participation and facilitation. GREEN LABS: Elementary students (grades 3 to 5) participate in stations where each Lab is staffed by at least two professionals: a College level fully bilingual Latin American Professional and a stakeholder representing either a research organization or other relevant environmental organization. Our current Green Lab themes include: Air, Soils, Water

The Six Principles of Facilities Stewardship

Science.gov (United States)

Kaiser, Harvey H.; Klein, Eva

2010-01-01

Facilities stewardship means high-level and pervasive commitment to optimize capital investments, in order to achieve a high-functioning and attractive campus. It includes a major commitment to capital asset preservation and quality. Stewardship is about the long view of an institution's past and future. It ultimately forms the backdrop for…

Antimicrobial stewardship in small animal veterinary practice

DEFF Research Database (Denmark)

Guardabassi, Luca; Prescott, John F

2015-01-01

Despite the increasing recognition of the critical role for antimicrobial stewardship in preventing the spread of multidrug-resistant bacteria, examples of effective antimicrobial stewardship programs are rare in small animal veterinary practice. This article highlights the basic requirements...

Earth Stewardship: An initiative by the Ecological Society of America to foster engagement to sustain Planet Earth

Science.gov (United States)

Chapin, F. Stuart; Pickett, S.T.A.; Power, Mary E.; Collins, Scott L.; Baron, Jill S.; Inouye, David W.; Turner, Monica G.

2017-01-01

The Ecological Society of America (ESA) has responded to the growing commitment among ecologists to make their science relevant to society through a series of concerted efforts, including the Sustainable Biosphere Initiative (1991), scientific assessment of ecosystem management (1996), ESA’s vision for the future (2003), Rapid Response Teams that respond to environmental crises (2005), and the Earth Stewardship Initiative (2009). During the past 25 years, ESA launched five new journals, largely reflecting the expansion of scholarship linking ecology with broader societal issues. The goal of the Earth Stewardship Initiative is to raise awareness and to explore ways for ecologists and other scientists to contribute more effectively to the sustainability of our planet. This has occurred through four approaches: (1) articulation of the stewardship concept in ESA publications and Website, (2) selection of meeting themes and symposia, (3) engagement of ESA sections in implementing the initiative, and (4) outreach beyond ecology through collaborations and demonstration projects. Collaborations include societies and groups of Earth and social scientists, practitioners and policy makers, religious and business leaders, federal agencies, and artists and writers. The Earth Stewardship Initiative is a work in progress, so next steps likely include continued nurturing of these emerging collaborations, advancing the development of sustainability and stewardship theory, improving communication of stewardship science, and identifying opportunities for scientists and civil society to take actions that move the Earth toward a more sustainable trajectory.

Environmental Management System

Science.gov (United States)

Goals Recycling Green Purchasing Pollution Prevention Reusing Water Resources Environmental Management Stewardship » Environmental Protection » Environmental Management System Environmental Management System An Environmental Management System is a systematic method for assessing mission activities, determining the

Stewardship to tackle global phosphorus inefficiency: The case of Europe.

Science.gov (United States)

Withers, Paul J A; van Dijk, Kimo C; Neset, Tina-Simone S; Nesme, Thomas; Oenema, Oene; Rubæk, Gitte H; Schoumans, Oscar F; Smit, Bert; Pellerin, Sylvain

2015-03-01

The inefficient use of phosphorus (P) in the food chain is a threat to the global aquatic environment and the health and well-being of citizens, and it is depleting an essential finite natural resource critical for future food security and ecosystem function. We outline a strategic framework of 5R stewardship (Re-align P inputs, Reduce P losses, Recycle P in bioresources, Recover P in wastes, and Redefine P in food systems) to help identify and deliver a range of integrated, cost-effective, and feasible technological innovations to improve P use efficiency in society and reduce Europe's dependence on P imports. Their combined adoption facilitated by interactive policies, co-operation between upstream and downstream stakeholders (researchers, investors, producers, distributors, and consumers), and more harmonized approaches to P accounting would maximize the resource and environmental benefits and help deliver a more competitive, circular, and sustainable European economy. The case of Europe provides a blueprint for global P stewardship.

Rural Community-Based Tourism and its Impact on Ecological Consciousness, Environmental Stewardship and Social Structures

DEFF Research Database (Denmark)

Raftopoulos, Malayna

2018-01-01

Since rural community-based tourism (RCBT) emerged, it has been widely considered to be an effective means of promoting development and conserving natural resources. Through a political ecology approach, this article explores the potential of RCBT to foster long-term stewardship and transformations...

Interoperability Across the Stewardship Spectrum in the DataONE Repository Federation

Science.gov (United States)

Jones, M. B.; Vieglais, D.; Wilson, B. E.

2016-12-01

Thousands of earth and environmental science repositories serve many researchers and communities, each with their own community and legal mandates, sustainability models, and historical infrastructure. These repositories span the stewardship spectrum from highly curated collections that employ large numbers of staff members to review and improve data, to small, minimal budget repositories that accept data caveat emptor and where all responsibility for quality lies with the submitter. Each repository fills a niche, providing services that meet the stewardship tradeoffs of one or more communities. We have reviewed these stewardship tradeoffs for several DataONE member repositories ranging from minimally (KNB) to highly curated (Arctic Data Center), as well as general purpose (Dryad) to highly discipline or project specific (NEON). The rationale behind different levels of stewardship reflect resolution of these tradeoffs. Some repositories aim to encourage extensive uptake by keeping processes simple and minimizing the amount of information collected, but this limits the long-term utility of the data and the search, discovery, and integration systems that are possible. Other repositories require extensive metadata input, review, and assessment, allowing for excellent preservation, discovery, and integration but at the cost of significant time for submitters and expense for curatorial staff. DataONE recognizes these different levels of curation, and attempts to embrace them to create a federation that is useful across the stewardship spectrum. DataONE provides a tiered model for repositories with growing utility of DataONE services at higher tiers of curation. The lowest tier supports read-only access to data and requires little more than title and contact metadata. Repositories can gradually phase in support for higher levels of metadata and services as needed. These tiered capabilities are possible through flexible support for multiple metadata standards and services

2015 Stewardship Science Academic Programs Annual

Energy Technology Data Exchange (ETDEWEB)

Stone, Terri [NNSA Office of Research, Development, Test, and Evaluation, Washington, DC (United States); Mischo, Millicent [NNSA Office of Research, Development, Test, and Evaluation, Washington, DC (United States)

2015-02-01

The Stockpile Stewardship Academic Programs (SSAP) are essential to maintaining a pipeline of professionals to support the technical capabilities that reside at the National Nuclear Security Administration (NNSA) national laboratories, sites, and plants. Since 1992, the United States has observed the moratorium on nuclear testing while significantly decreasing the nuclear arsenal. To accomplish this without nuclear testing, NNSA and its laboratories developed a science-based Stockpile Stewardship Program to maintain and enhance the experimental and computational tools required to ensure the continued safety, security, and reliability of the stockpile. NNSA launched its academic program portfolio more than a decade ago to engage students skilled in specific technical areas of relevance to stockpile stewardship. The success of this program is reflected by the large number of SSAP students choosing to begin their careers at NNSA national laboratories.

Evaluation of pharmacy generalists performing antimicrobial stewardship services.

Science.gov (United States)

Carreno, Joseph J; Kenney, Rachel M; Bloome, Mary; McDonnell, Jane; Rodriguez, Jennifer; Weinmann, Allison; Kilgore, Paul E; Davis, Susan L

2015-08-01

Improvements in medication use achieved by pharmacy generalists using a care bundle approach to antimicrobial stewardship are reported. A six-month prospective, repeated-treatment, quasi-experimental study involving three month-long intervention periods and three month-long control periods was conducted in the setting of an existing antimicrobial stewardship program at a large hospital. The intervention involved prospective audit and feedback conducted by pharmacy generalists who were trained in an antimicrobial stewardship care bundle approach. During control months, a pharmacy generalist who was not trained in antimicrobial stewardship rounded with the multidisciplinary team and provided standard-of-care pharmacy services. The primary endpoint was compliance with a care bundle of four antimicrobial stewardship metrics: documentation of indication for therapy in the medical record, selection of empirical therapy according to institutional guidelines, documented performance of indicated culture testing, and deescalation of therapy when indicated. Two-hundred eighty-six patients were enrolled in the study: 124 in the intervention group and 162 in the control group. The cumulative rate of full compliance with all care bundle components during the six-month study was significantly greater during intervention months than during control months (68.5% versus 45.7%, p management. Copyright © 2015 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

Antimicrobial Stewardship in Daily Practice: Managing an Important Resource

Directory of Open Access Journals (Sweden)

Nicole Le Saux

2014-01-01

Full Text Available Antimicrobial stewardship is a recent concept that embodies the practical, judicious use of antimicrobials to decrease adverse outcomes from antimicrobials while optimizing the treatment of bacterial infections to reduce the emergence of resistant pathogens. The objectives of the present statement are to illustrate the principles of antimicrobial stewardship and to offer practical examples of how to make antimicrobial stewardship part of everyday hospital and outpatient practice. Vital components of antimicrobial stewardship include appropriate testing to diagnose whether infections are viral or bacterial, and using clinical follow-up rather than antibiotics in cases in which the child is not very ill and uncertainty exists. Other specific, important actions include questioning whether positive urine cultures are contaminated when there is no evidence of pyuria or inflammatory changes, and obtaining a chest radiograph to support a diagnosis of bacterial pneumonia. Optimizing the choice and dosage of antimicrobials also reduces the probability of clinical failures and subsequent courses of antimicrobials. A list of common clinical scenarios to promote stewardship is included.

From Cleanup to Stewardship. A companion report to Accelerating Cleanup: Paths to Closure and background information to support the scoping process required for the 1998 PEIS Settlement Study

Energy Technology Data Exchange (ETDEWEB)

None, None

1999-10-01

Long-term stewardship is expected to be needed at more than 100 DOE sites after DOE's Environmental Management program completes disposal, stabilization, and restoration operations to address waste and contamination resulting from nuclear research and nuclear weapons production conducted over the past 50 years. From Cleanup to stewardship provides background information on the Department of Energy (DOE) long-term stewardship obligations and activities. This document begins to examine the transition from cleanup to long-term stewardship, and it fulfills the Secretary's commitment to the President in the 1999 Performance Agreement to provide a companion report to the Department's Accelerating Cleanup: Paths to Closure report. It also provides background information to support the scoping process required for a study on long-term stewardship required by a 1998 Settlement Agreement.

A cost-effectiveness analysis of two different antimicrobial stewardship programs

OpenAIRE

Lucas Miyake Okumura; Bruno Salgado Riveros; Monica Maria Gomes-da-Silva; Izelandia Veroneze

2016-01-01

There is a lack of formal economic analysis to assess the efficiency of antimicrobial stewardship programs. Herein, we conducted a cost-effectiveness study to assess two different strategies of Antimicrobial Stewardship Programs. A 30-day Markov model was developed to analyze how cost-effective was a Bundled Antimicrobial Stewardship implemented in a university hospital in Brazil. Clinical data derived from a historical cohort that compared two different strategies of antimicrobial stewardshi...

"Just another hoop to jump through?" using environmental laws and processes to protect indigenous rights.

Science.gov (United States)

Middleton, Beth Rose

2013-11-01

Protection of culturally important indigenous landscapes has become an increasingly important component of environmental management processes, for both companies and individuals striving to comply with environmental regulations, and for indigenous groups seeking stronger laws to support site protection and cultural/human rights. Given that indigenous stewardship of culturally important sites, species, and practices continues to be threatened or prohibited on lands out of indigenous ownership, this paper examines whether or not indigenous people can meaningfully apply mainstream environmental management laws and processes to achieve protection of traditional sites and associated stewardship activities. While environmental laws can provide a "back door" to protect traditional sites and practices, they are not made for this purpose, and, as such, require specific amendments to become more useful for indigenous practitioners. Acknowledging thoughtful critiques of the cultural incommensurability of environmental law with indigenous environmental stewardship of sacred sites, I interrogate the ability of four specific environmental laws and processes-the Uniform Conservation Easement Act; the National Environmental Policy Act and the California Environmental Quality Act; the Pacific Stewardship Council land divestiture process; and Senate Bill 18 (CA-2004)-to protect culturally important landscapes and practices. I offer suggestions for improving these laws and processes to make them more applicable to indigenous stewardship of traditional landscapes.

A cost-effectiveness analysis of two different antimicrobial stewardship programs

OpenAIRE

Okumura, Lucas Miyake; Riveros, Bruno Salgado; Gomes-da-Silva, Monica Maria; Veroneze, Izelandia

2016-01-01

Abstract There is a lack of formal economic analysis to assess the efficiency of antimicrobial stewardship programs. Herein, we conducted a cost-effectiveness study to assess two different strategies of Antimicrobial Stewardship Programs. A 30-day Markov model was developed to analyze how cost-effective was a Bundled Antimicrobial Stewardship implemented in a university hospital in Brazil. Clinical data derived from a historical cohort that compared two different strategies of antimicrobial s...

A cost-effectiveness analysis of two different antimicrobial stewardship programs.

Science.gov (United States)

Okumura, Lucas Miyake; Riveros, Bruno Salgado; Gomes-da-Silva, Monica Maria; Veroneze, Izelandia

2016-01-01

There is a lack of formal economic analysis to assess the efficiency of antimicrobial stewardship programs. Herein, we conducted a cost-effectiveness study to assess two different strategies of Antimicrobial Stewardship Programs. A 30-day Markov model was developed to analyze how cost-effective was a Bundled Antimicrobial Stewardship implemented in a university hospital in Brazil. Clinical data derived from a historical cohort that compared two different strategies of antimicrobial stewardship programs and had 30-day mortality as main outcome. Selected costs included: workload, cost of defined daily doses, length of stay, laboratory and imaging resources used to diagnose infections. Data were analyzed by deterministic and probabilistic sensitivity analysis to assess model's robustness, tornado diagram and Cost-Effectiveness Acceptability Curve. Bundled Strategy was more expensive (Cost difference US$ 2119.70), however, it was more efficient (US$ 27,549.15 vs 29,011.46). Deterministic and probabilistic sensitivity analysis suggested that critical variables did not alter final Incremental Cost-Effectiveness Ratio. Bundled Strategy had higher probabilities of being cost-effective, which was endorsed by cost-effectiveness acceptability curve. As health systems claim for efficient technologies, this study conclude that Bundled Antimicrobial Stewardship Program was more cost-effective, which means that stewardship strategies with such characteristics would be of special interest in a societal and clinical perspective. Copyright © 2016 Elsevier Editora Ltda. All rights reserved.

A cost-effectiveness analysis of two different antimicrobial stewardship programs

Directory of Open Access Journals (Sweden)

Lucas Miyake Okumura

2016-05-01

Full Text Available There is a lack of formal economic analysis to assess the efficiency of antimicrobial stewardship programs. Herein, we conducted a cost-effectiveness study to assess two different strategies of Antimicrobial Stewardship Programs. A 30-day Markov model was developed to analyze how cost-effective was a Bundled Antimicrobial Stewardship implemented in a university hospital in Brazil. Clinical data derived from a historical cohort that compared two different strategies of antimicrobial stewardship programs and had 30-day mortality as main outcome. Selected costs included: workload, cost of defined daily doses, length of stay, laboratory and imaging resources used to diagnose infections. Data were analyzed by deterministic and probabilistic sensitivity analysis to assess model's robustness, tornado diagram and Cost-Effectiveness Acceptability Curve. Bundled Strategy was more expensive (Cost difference US$ 2119.70, however, it was more efficient (US$ 27,549.15 vs 29,011.46. Deterministic and probabilistic sensitivity analysis suggested that critical variables did not alter final Incremental Cost-Effectiveness Ratio. Bundled Strategy had higher probabilities of being cost-effective, which was endorsed by cost-effectiveness acceptability curve. As health systems claim for efficient technologies, this study conclude that Bundled Antimicrobial Stewardship Program was more cost-effective, which means that stewardship strategies with such characteristics would be of special interest in a societal and clinical perspective.

Responsible energy planning and environmental stewardship

International Nuclear Information System (INIS)

Harrison, K.L.

1991-01-01

This article discusses the idea that operating in the best interests of the environment is also in the best interests of shareholders. Topics discussed include utility environmental policy, cost-effective recycling of materials, environmental impact of new power sources, and energy efficiency. The author states that being environmentally responsible goes beyond good business, it is the right thing to do

Implementation of Rapid Molecular Infectious Disease Diagnostics: the Role of Diagnostic and Antimicrobial Stewardship.

Science.gov (United States)

Messacar, Kevin; Parker, Sarah K; Todd, James K; Dominguez, Samuel R

2017-03-01

New rapid molecular diagnostic technologies for infectious diseases enable expedited accurate microbiological diagnoses. However, diagnostic stewardship and antimicrobial stewardship are necessary to ensure that these technologies conserve, rather than consume, additional health care resources and optimally affect patient care. Diagnostic stewardship is needed to implement appropriate tests for the clinical setting and to direct testing toward appropriate patients. Antimicrobial stewardship is needed to ensure prompt appropriate clinical action to translate faster diagnostic test results in the laboratory into improved outcomes at the bedside. This minireview outlines the roles of diagnostic stewardship and antimicrobial stewardship in the implementation of rapid molecular infectious disease diagnostics. Copyright © 2017 American Society for Microbiology.

Recognizing Stewardship Practices as Indicators of Social Resilience: In Living Memorials and in a Community Garden

Science.gov (United States)

Heather McMillen; Lindsay Campbell; Erika Svendsen; Renae Reynolds

2016-01-01

Resilience theory has received increased attention from researchers across a range of disciplines who have developed frameworks and articulated categories of indicators; however, there has been less discussion of how to recognize, and therefore support, social resilience at the community level, especially in urban areas. The value of urban environmental stewardship for...

Gasoline toxicology: overview of regulatory and product stewardship programs.

Science.gov (United States)

Swick, Derek; Jaques, Andrew; Walker, J C; Estreicher, Herb

2014-11-01

Significant efforts have been made to characterize the toxicological properties of gasoline. There have been both mandatory and voluntary toxicology testing programs to generate hazard characterization data for gasoline, the refinery process streams used to blend gasoline, and individual chemical constituents found in gasoline. The Clean Air Act (CAA) (Clean Air Act, 2012: § 7401, et seq.) is the primary tool for the U.S. Environmental Protection Agency (EPA) to regulate gasoline and this supplement presents the results of the Section 211(b) Alternative Tier 2 studies required for CAA Fuel and Fuel Additive registration. Gasoline blending streams have also been evaluated by EPA under the voluntary High Production Volume (HPV) Challenge Program through which the petroleum industry provide data on over 80 refinery streams used in gasoline. Product stewardship efforts by companies and associations such as the American Petroleum Institute (API), Conservation of Clean Air and Water Europe (CONCAWE), and the Petroleum Product Stewardship Council (PPSC) have contributed a significant amount of hazard characterization data on gasoline and related substances. The hazard of gasoline and anticipated exposure to gasoline vapor has been well characterized for risk assessment purposes. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

Extended Producer Responsibility and Product Stewardship for Tobacco Product Waste.

Science.gov (United States)

Curtis, Clifton; Collins, Susan; Cunningham, Shea; Stigler, Paula; Novotny, Thomas E

2014-09-01

This paper reviews several environmental principles, including Extended Producer Responsibility (EPR), Product Stewardship (PS), the Polluter Pays Principle (PPP), and the Precautionary Principle, as they may apply to tobacco product waste (TPW). The review addresses specific criteria that apply in deciding whether a particular toxic product should adhere to these principles; presents three case studies of similar approaches to other toxic and/or environmentally harmful products; and describes 10 possible interventions or policy actions that may help prevent, reduce, and mitigate the effects of TPW. EPR promotes total lifecycle environmental improvements, placing economic, physical, and informational responsibilities onto the tobacco industry, while PS complements EPR, but with responsibility shared by all parties involved in the tobacco product lifecycle. Both principles focus on toxic source reduction, post-consumer take-back, and final disposal of consumer products. These principles when applied to TPW have the potential to substantially decrease the environmental and public health harms of cigarette butts and other TPW throughout the world. TPW is the most commonly littered item picked up during environmental, urban, and coastal cleanups globally.

Antimicrobial stewardship: Strategies for a global response

Directory of Open Access Journals (Sweden)

Jenny Grunwald

2014-01-01

Full Text Available The increasing antimicrobial resistance worldwide, combined with dwindling antimicrobial armamentarium, has resulted in a critical threat to the public health and safety of patients. To combat this hazard, antimicrobial stewardship programs (ASPs have emerged. Antimicrobial stewardship programs prevent or slow the emergence of antimicrobial resistance by coordinated interventions designed to optimize antimicrobial use to achieve the best clinical outcomes and limiting selective pressures that drive the emergence of resistance. This also reduces excessive costs attributable to suboptimal antimicrobial use. Even though an ideal effective ASP should incorporate more than one element simultaneously, it also requires a multidisciplinary team, which should include an infectious diseases physician, a clinical pharmacist with infectious diseases training, infection control professionals, hospital epidemiologist, a clinical microbiologist and an information specialist. However, for antimicrobial stewardship (AMS programs to be successful, they must address the specific needs of individual institutions, must be built on available resources, the limitations and advantages of each institution, and the available staffing and technological infrastructure.

From Environmental Awareness to Environmental Responsibility: Towards a Stewardship Curriculum

Science.gov (United States)

Omoogun, Ajayi C.; Egbonyi, Etuki E.; Onnoghen, Usang N.

2016-01-01

The period of environmentalism heightened environmental concern and subsequently the emergence of Environmental Education (EE) that is anchored on awareness. It is thought that an increase in environmental awareness will reverse the misuse of the environment and its resources. Four decades after the international call for Environmental Education,…

Antimicrobial stewardship: attempting to preserve a strategic resource

Directory of Open Access Journals (Sweden)

Trevor Van Schooneveld, Md

2011-07-01

Full Text Available Antimicrobials hold a unique place in our drug armamentarium. Unfortunately the increase in resistance among both gram-positive and gram-negative pathogens coupled with a lack of new antimicrobial agents is threatening our ability to treat infections. Antimicrobial use is the driving force behind this rise in resistance and much of this use is suboptimal. Antimicrobial stewardship programs (ASP have been advocated as a strategy to improve antimicrobial use. The goals of ASP are to improve patient outcomes while minimizing toxicity and selection for resistant strains by assisting in the selection of the correct agent, right dose, and best duration. Two major strategies for ASP exist: restriction/pre-authorization that controls use at the time of ordering and audit and feedback that reviews ordered antimicrobials and makes suggestions for improvement. Both strategies have some limitations, but have been effective at achieving stewardship goals. Other supplemental strategies such as education, clinical prediction rules, biomarkers, clinical decision support software, and institutional guidelines have been effective at improving antimicrobial use. The most effective antimicrobial stewardship programs have employed multiple strategies to impact antimicrobial use. Using these strategies stewardship programs have been able to decrease antimicrobial use, the spread of resistant pathogens, the incidence of C. difficile infection, pharmacy costs, and improved patient outcomes.

Government stewardship of the for-profit private health sector in Afghanistan.

Science.gov (United States)

Cross, Harry E; Sayedi, Omarzaman; Irani, Laili; Archer, Lauren C; Sears, Kathleen; Sharma, Suneeta

2017-04-01

Since 2003, Afghanistan's largely unregulated for-profit private health sector has grown at a rapid pace. In 2008, the Ministry of Public Health (MoPH) launched a long-term stewardship initiative to oversee and regulate private providers and align the sector with national health goals. We examine the progress the MoPH has made towards more effective stewardship, consider the challenges and assess the early impacts on for-profit performance. We reviewed publicly available documents, publications and the grey literature to analyse the development, adoption and implementation of strategies, policies and regulations. We carried out a series of key informant/participant interviews, organizational capacity assessments and analyses of hospital standards checklists. Using a literature review of health systems strengthening, we proposed an Afghan-specific definition of six key stewardship functions to assess progress towards MoPH stewardship objectives. The MoPH and its partners have achieved positive results in strengthening its private sector stewardship functions especially in generating actionable intelligence and establishing strategic policy directions, administrative structures and a legal and regulatory framework. Progress has also been made on improving accountability and transparency, building partnerships and applying minimum required standards to private hospitals. Procedural and operational issues still need resolution and the MoPH is establishing mechanisms for resolving them. The MoPH stewardship initiative is notable for its achievements to date under challenging circumstances. Its success is due to the focus on developing a solid policy framework and building institutions and systems aimed at ensuring higher quality private services, and a rational long-term and sustainable role for the private sector. Although the MoPH stewardship initiative is still at an early stage, the evidence suggests that enhanced stewardship functions in the MoPH are leading to a

Environmental management: Integrating ecological evaluation, remediation, restoration, natural resource damage assessment and long-term stewardship on contaminated lands

International Nuclear Information System (INIS)

Burger, Joanna

2008-01-01

Ecological evaluation is essential for remediation, restoration, and Natural Resource Damage Assessment (NRDA), and forms the basis for many management practices. These include determining status and trends of biological, physical, or chemical/radiological conditions, conducting environmental impact assessments, performing remedial actions should remediation fail, managing ecosystems and wildlife, and assessing the efficacy of remediation, restoration, and long-term stewardship. The objective of this paper is to explore the meanings of these assessments, examine the relationships among them, and suggest methods of integration that will move environmental management forward. While remediation, restoration, and NRDA, among others, are often conducted separately, it is important to integrate them for contaminated land where the risks to ecoreceptors (including humans) can be high, and the potential damage to functioning ecosystems great. Ecological evaluations can range from inventories of local plants and animals, determinations of reproductive success of particular species, levels of contaminants in organisms, kinds and levels of effects, and environmental impact assessments, to very formal ecological risk assessments for a chemical or other stressor. Such evaluations can range from the individual species to populations, communities, ecosystems or the landscape scale. Ecological evaluations serve as the basis for making decisions about the levels and kinds of remediation, the levels and kinds of restoration possible, and the degree and kinds of natural resource injuries that have occurred because of contamination. Many different disciplines are involved in ecological evaluation, including biologists, conservationists, foresters, restoration ecologists, ecological engineers, economists, hydrologist, and geologists. Since ecological evaluation forms the basis for so many different types of environmental management, it seems reasonable to integrate management options

Antimicrobial stewardship: Limits for implementation

NARCIS (Netherlands)

Sinha, Bhanu

2014-01-01

Antibiotic stewardship programme (ASP) is a multifaceted approach to improve patients' clinical outcomes, prevent the emergence of antimicrobial resistance, and reduce hospital costs by prudent and focused antimicrobial use. Development of local treatment guidelines according to local ecology, rapid

Stewardship Reporting in the DOD Agency-Wide Financial Statements for FY 1998

National Research Council Canada - National Science Library

1999-01-01

...; heritage assets, stewardship land, and stewardship investments were presented on the financial statements accurately and in accordance with generally accepted accounting standards for Federal agencies...

Characteristics of Pediatric Antimicrobial Stewardship Programs: Current Status of the Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS) Collaborative.

Science.gov (United States)

McPherson, Christopher; Lee, Brian R; Terrill, Cindy; Hersh, Adam L; Gerber, Jeffrey S; Kronman, Matthew P; Newland, Jason G

2018-01-25

In response to the growing epidemic of antibiotic-resistant bacterial infections, antimicrobial stewardship programs (ASP) have been rapidly implemented in the United States (US). This study examines the prevalence of the Centers for Disease Control and Prevention's (CDC) seven core elements of a successful ASP within a large subset of US Children's Hospitals. In 2016, a survey was conducted of 52 pediatric hospitals assessing the presence of the seven core elements: leadership commitment, accountability, drug expertise, action, tracking, reporting, and education. Forty-nine hospitals (94%) had established ASPs and 41 hospitals (79%) included all seven core elements. Physician accountability (87%) and a dedicated ASP pharmacist or drug expert (88%) were present in the vast majority of hospitals. However, substantial variability existed in the financial support allotted to these positions. This variability did not predict program actions, tracking, reporting, and education. When compared with previous surveys, these results document a dramatic increase in the prevalence and resources of pediatric stewardship programs, although continued expansion is warranted. Further research is required to understand the feasibility of various core stewardship activities and the impact on patient outcomes in the setting of finite resources.

Characteristics of Pediatric Antimicrobial Stewardship Programs: Current Status of the Sharing Antimicrobial Reports for Pediatric Stewardship (SHARPS Collaborative

Directory of Open Access Journals (Sweden)

Christopher McPherson

2018-01-01

Full Text Available In response to the growing epidemic of antibiotic-resistant bacterial infections, antimicrobial stewardship programs (ASP have been rapidly implemented in the United States (US. This study examines the prevalence of the Centers for Disease Control and Prevention’s (CDC seven core elements of a successful ASP within a large subset of US Children’s Hospitals. In 2016, a survey was conducted of 52 pediatric hospitals assessing the presence of the seven core elements: leadership commitment, accountability, drug expertise, action, tracking, reporting, and education. Forty-nine hospitals (94% had established ASPs and 41 hospitals (79% included all seven core elements. Physician accountability (87% and a dedicated ASP pharmacist or drug expert (88% were present in the vast majority of hospitals. However, substantial variability existed in the financial support allotted to these positions. This variability did not predict program actions, tracking, reporting, and education. When compared with previous surveys, these results document a dramatic increase in the prevalence and resources of pediatric stewardship programs, although continued expansion is warranted. Further research is required to understand the feasibility of various core stewardship activities and the impact on patient outcomes in the setting of finite resources.

Effective antibiotic stewardship in spinal cord injury: Challenges and a way forward.

Science.gov (United States)

Skelton, Felicia; Suda, Katie; Evans, Charlesnika; Trautner, Barbara

2018-01-11

Context Antibiotic stewardship, defined as a multidisciplinary program to reduce the misuse of antibiotics, and in turn, antibiotic resistance, is a high priority. Persons with spinal cord injury/disorder (SCI/D) are vulnerable to receiving multiple courses of antibiotics over their lifetime given frequent healthcare exposure, and have high rates of bacterial infection with multi-drug resistant organisms. Additional challenges to evaluating appropriate use of antibiotics in this population include bacterial colonization in the urine and the differences in the presenting signs and symptoms of infection. Therefore, Veterans Health Administration (VHA) facilities with SCI/D centers need effective antibiotic stewardship programs. Results We analyzed the results of a 2012 VHA-wide survey evaluating available antibiotic stewardship resources, and compared the resources present at facilities with SCI/D (n=23) versus non-SCI/D facilities (n=107). VHA facilities with SCI/D centers are more likely to have components of an antibiotic stewardship program that have led to reduced antibiotic use in previous studies. They are also more likely to have personnel with infectious diseases training. Conclusion VHA facilities with SCI/D centers have the resources needed for antibiotic stewardship. The next step will be to determine how to implement effective antibiotic stewardship tailored for this patient care setting.

A boundary-spanning organization for transdisciplinary science on land stewardship: The Stewardship Network

Directory of Open Access Journals (Sweden)

A. Paige. Fischer

2015-12-01

Full Text Available Although people and organizations in the Great Lakes region, USA take seriously their role as stewards of natural resources, many lack capacity to fulfill that role in a meaningful way. Stepping into that gap, The Stewardship Network (TSN envisions "a world of empowered, connected communities caring for land and water, now and forever," and fulfills that vision through its mission to "connect, equip, and mobilize people and organizations to care for land and water in their communities." TSN uses a scalable model of linked local and regional capacity building, science communication, civic engagement, and on-the-ground stewardship activities to achieve these goals. The model engages local and regional groups in an ongoing process of learning around conservation and restoration that improves social and ecological knowledge. I share the story of TSN to demonstrate how transdisciplinary science can take hold locally and expand regionally to bring people from diverse disciplines and functional roles together to solve common problems. I demonstrate how researchers and practitioners can collaborate to create enduring mechanisms of social and ecological change.

Draft Programmatic Environmental Impact Statement for Stockpile Stewardship and Management: Volume 3, Appendix I, Appendix J, Appendix K

International Nuclear Information System (INIS)

1996-02-01

In response to the end of the Cold War and changes in the world's political regimes, United States is no longer producing new nuclear weapons. Instead, the US nuclear weapons program is reducing the size of the nuclear stockpile by dismantling existing weapons. DOE has been directed to maintain the safety and reliability of the reduced nuclear weapons stockpile in the absence of underground testing. Therefore, DOE has developed a stewardship and management program to provide a single highly integrated technical program. The stockpile stewardship portion of the PEIS evaluates the potential impacts of three proposed facilities: the National Ignition Facility, the Contained Firing facility, and the Atlas Facility. This volume contains appendices for these 3 facilities; alternatives affecting LANL, LLNL, SNL, and NTS are addressed. Impacts on land resources, site infrastructure, air qualaity, water resources, geology and soils, biotic resources, cultural resources, etc., are evaluated. This PEIS presents unclassified information only

Application of the “4R” nutrient stewardship concept to horticultural crops: getting nutrients in the “right” place

Science.gov (United States)

The 4R nutrient stewardship concept was introduced in 2009 by International Plant Nutrition Institute to define the right source, rate, time, and place to apply fertilizers to produce not only the most economical outcome in any given crop but to also to provide desirable social and environmental ben...

STEWARDSHIP: A Conceptual Imperative For Managerial ...

African Journals Online (AJOL)

resources for the management of the health sector. (Stewardship of ... of health sector development and performance. Examples of ... attempt at health sector decentralization and improving ... organizations could create inherent limitations on.

Sharing Responsibility for Data Stewardship Between Scientists and Curators

Science.gov (United States)

Hedstrom, M. L.

2012-12-01

Data stewardship is becoming increasingly important to support accurate conclusions from new forms of data, integration of and computation across heterogeneous data types, interactions between models and data, replication of results, data governance and long-term archiving. In addition to increasing recognition of the importance of data management, data science, and data curation by US and international scientific agencies, the National Academies of Science Board on Research Data and Information is sponsoring a study on Data Curation Education and Workforce Issues. Effective data stewardship requires a distributed effort among scientists who produce data, IT staff and/or vendors who provide data storage and computational facilities and services, and curators who enhance data quality, manage data governance, provide access to third parties, and assume responsibility for long-term archiving of data. The expertise necessary for scientific data management includes a mix of knowledge of the scientific domain; an understanding of domain data requirements, standards, ontologies and analytical methods; facility with leading edge information technology; and knowledge of data governance, standards, and best practices for long-term preservation and access that rarely are found in a single individual. Rather than developing data science and data curation as new and distinct occupations, this paper examines the set of tasks required for data stewardship. The paper proposes an alternative model that embeds data stewardship in scientific workflows and coordinates hand-offs between instruments, repositories, analytical processing, publishers, distributors, and archives. This model forms the basis for defining knowledge and skill requirements for specific actors in the processes required for data stewardship and the corresponding educational and training needs.

Microbiological surveillance and antimicrobial stewardship minimise ...

African Journals Online (AJOL)

Microbiological surveillance and antimicrobial stewardship minimise the need for ultrabroad-spectrum combination therapy for treatment of nosocomial infections in a trauma intensive care unit: An audit of an evidence-based empiric antimicrobial policy.

Agrotóxicos: eficiência econômica e injustiça socioambiental Pesticides: economic efficiency and social and environmental injustice

Directory of Open Access Journals (Sweden)

Marcelo Motta Veiga

2007-03-01

Full Text Available Este estudo analisou a relação inversa entre eficiência econômica e justiça socioambiental na utilização de agrotóxicos. A utilização de agrotóxicos tenderia a maximizar a eficiência econômica através de ganhos de produtividade; no entanto, poderia agravar a injustiça socioambiental. Inferiu-se essa relação inversa, uma vez que a eficiência econômica pela utilização de agrotóxicos estaria associada a alguma injustiça socioambiental. Este estudo analisou, ainda, o impacto de instrumentos regulatórios no controle da utilização e do manejo de agrotóxicos. Uma legislação que reduza compulsoriamente a utilização de agrotóxicos poderia agravar diversos problemas socioeconômicos, especialmente em pequenas comunidades rurais. Concluiu-se que eventuais restrições na utilização de agrotóxicos em sistemas produtivos que dependam dessas matérias-primas para sustentar sua economia poderia ser bastante prejudicial. Quanto à necessidade de intervenção estatal para regular a utilização de agrotóxicos, este estudo concluiu que a questão não deveria ser sobre a necessidade ou não de legislação, mas sim como deve ser a forma dessa intervenção.This study analyzed the inverse relationship between economic efficiency and social and environmental justice in the use of pesticides. The use of pesticides tends to improve economic efficiency by increasing agricultural productivity, however, it can also increase social and environmental injustice. This inverse relationship was inferred since the economic efficiency gained with the use of pesticides is [usually] associated with some kind of social and environmental injustice. This study also analyzed the impact of regulatory measures to control the use and handling of pesticides. Strict pesticide regulations could jeopardize agricultural competitiveness, especially in some small rural communities; therefore, the cost-benefit results of pesticides regulations could be

A system simulation to enhance stockpile stewardship (ASSESS)

International Nuclear Information System (INIS)

Yoshimura, A.S.; Plantenga, T.D.; Napolitano, L.M.; Johnson, M.M.

1997-01-01

This paper describes the ASSESS project, whose goal is to construct a policy driven enterprise simulation of the DOE nuclear weapons complex (DOE/NWC). ASSESS encompasses the full range of stockpile stewardship activities by incorporating simulation component models that are developed and managed by local experts. ASSESS runs on a heterogeneous distributed computing environment and implements multi-layered user access capabilities. ASSESS allows the user to create hypothetical policies governing stockpile stewardship, simulate the resulting operation of the DOE/NWC, and analyze the relative impact of each policy

Sobre lo económico de la Historia Económica: Dos concepciones contrapuestas

Directory of Open Access Journals (Sweden)

Nicolás Mohaded

2013-05-01

Full Text Available Las tendencias a incrementar las contribuciones interdisciplinarias no son ajenas a la ciencia económica. Desde distintas vertientes teóricas gran cantidad de autores han intentado lograr explicaciones más comprehensivas sobre la realidad social a partir de la confluencia de disciplinas. El caso de la historia económica como conjunción de la economía y la historia puede dar cuenta de ello. Sin embargo, no existe una única manera de enfocar el análisis en esta dirección. En este sentido, este trabajo presenta dos corrientes teóricas distintas en relación a la historia económica. Por un lado el enfoque neo-institucionalista de North y Thomas y por otro el enfoque marxista de Dobb. Se plantean las distintas perspectivas teóricas que cada uno de estos dos aparatos analíticos proponen, particular-mente en lo referido a lo económico de la historia económica, y sus implicancias sobre el análisis de la realidad social.

2003 Stewardship progress report : committed to continuous improvement

Energy Technology Data Exchange (ETDEWEB)

NONE

2003-12-01

The stewardship initiative is a mandatory requirement for members of the Canadian Association of Petroleum Producers (CAPP). It involves performance management and benchmarking, voluntary audits and verification, as well as training and improved communication inside and outside the industry. This fourth annual progress report describes the environment, health, safety and socio-economic stewardship initiative. This report presents an aggregate of industry performance. Stewardship of Excellence awards were presented in 2003, celebrating outstanding performance by members who demonstrated their commitment to responsible development and continuous improvement within a business framework. The awards were presented in three categories, namely environment, health and safety, and socio-economic. Northrock Resources was presented with the award in the environment category for its voluntary waste gas reduction. The health and safety recognition went to Burlington Resources Canada Ltd. for superior office ergonomics, while the award in the socio-economic category was presented to Suncor Energy Inc. for Aboriginal business development. A brief overview of the achievements of each of these three companies was presented. tabs., figs.

Effect of a wildlife conservation camp experience in China on student knowledge of animals, care, propensity for environmental stewardship, and compassionate behavior toward animals

Science.gov (United States)

Bexell, Sarah M.

The goal of conservation education is positive behavior change toward animals and the environment. This study was conducted to determine whether participation in a wildlife conservation education camp was effective in positively changing 8-12 year old students': (a) knowledge of animals, (b) care about animals, (c) propensity for environmental and wildlife stewardship, and (d) compassionate behavior toward animals. During the summer of 2005, 2 five-day camps were conducted at 2 zoological institutions in Chengdu, China. The camp curriculum was influenced by theory and research on the following: conservation psychology, social learning theory, empathy and moral development theory, socio-biological theory, constructivist theory, and conservation science. Camp activities were sensitive to Chinese culture and included Chinese conservation issues. Activities were designed to help children form bonds with animals and care enough about them to positively change their behavior toward animals and the environment. This mixed methods study triangulated quantitative and qualitative data from six sources to answer the following: (1) Did camp increase student knowledge of animals? (2) Did camp increase student caring about animals? (3) Did camp increase student propensity for environmental and wildlife stewardship? (4) Did camp affect student compassionate behavior toward animals? A conservation stewards survey revealed significant increases on pre-post, self-report of knowledge, care, and propensity. Pre-post, rubric-scored responses to human-animal interaction vignettes indicated a significant increase in knowledge, and stable scores on care and propensity. Qualitative data from student journals, vignettes, and end-of-camp questionnaires demonstrated knowledge, caring, and propensity, and revealed the emergent theme empathy. To address question 4, instructors tallied campers' behavior toward animals using a student behavior ethogram. Occurrence of positive behaviors was

Mapping educational opportunities for healthcare workers on antimicrobial resistance and stewardship around the world.

Science.gov (United States)

Rogers Van Katwyk, Susan; Jones, Sara L; Hoffman, Steven J

2018-02-05

Antimicrobial resistance is an important global issue facing society. Healthcare workers need to be engaged in solving this problem, as advocates for rational antimicrobial use, stewards of sustainable effectiveness, and educators of their patients. To fulfill this role, healthcare workers need access to training and educational resources on antimicrobial resistance. To better understand the resources available to healthcare workers, we undertook a global environmental scan of educational programs and resources targeting healthcare workers on the topic of antimicrobial resistance and antimicrobial stewardship. Programs were identified through contact with key experts, web searching, and academic literature searching. We summarized programs in tabular form, including participating organizations, region, and intended audience. We developed a coding system to classify programs by program type and participating organization type, assigning multiple codes as necessary and creating summary charts for program types, organization types, and intended audience to illustrate the breadth of available resources. We identified 94 educational initiatives related to antimicrobial resistance and antimicrobial stewardship, which represent a diverse array of programs including courses, workshops, conferences, guidelines, public outreach materials, and online-resource websites. These resources were developed by a combination of government bodies, professional societies, universities, non-profit and community organizations, hospitals and healthcare centers, and insurance companies and industry. Most programs either targeted healthcare workers collectively or specifically targeted physicians. A smaller number of programs were aimed at other healthcare worker groups including pharmacists, nurses, midwives, and healthcare students. Our environmental scan shows that there are many organizations working to develop and share educational resources for healthcare workers on antimicrobial

Vertically Differentiating Environmental Standards: The Case of the Marine Stewardship Council

Directory of Open Access Journals (Sweden)

Simon R. Bush

2015-02-01

Full Text Available This paper explores the externally-led vertical differentiation of third-party certification standards using the case of the Marine Stewardship Council (MSC. We analyze this process in two dimensions. First, fisheries employ strategies to capture further market value from fishing practices that go beyond their initial conditions for certification and seek additional recognition for these activities through co-labelling with, amongst others, international NGOs. Second, fisheries not yet able to meet the requirements of MSC standards are being enrolled in NGO and private sector sponsored Fisheries Improvement Projects (FIPs, providing an alternative route to global markets. In both cases the credibility and authority of the MSC is challenged by new coalitions of market actors opening up new strategies for capturing market value and/or improving the conditions of international market access. Through the lens of global value chains, the results offer new insights on how such standards not only influence trade and markets, but are also starting to change their internal governance in response to threats to their credibility by actors and modes of coordination in global value chains.

FY 2015 - Stockpile Stewardship and Management Plan

Energy Technology Data Exchange (ETDEWEB)

None

2014-04-01

This Department of Energy’s (DOE) National Nuclear Security Administration (NNSA) Fiscal Year Stockpile Stewardship and Management Plan (SSMP) is a key planning document for the nuclear security enterprise.

FY 2016 - Stockpile Stewardship and Management Plan

Energy Technology Data Exchange (ETDEWEB)

None

2015-03-01

This Department of Energy’s (DOE) National Nuclear Security Administration (NNSA) Fiscal Year Stockpile Stewardship and Management Plan (SSMP) is a key planning document for the nuclear security enterprise.

Stewardship of climate

International Nuclear Information System (INIS)

Brown, P.G.

1997-01-01

A trustee is someone who cares for a resource on behalf of another. In the case of climate, one generation cares for the climate and the myriad things climate effects on behalf of subsequent generations. This article offers reasons for accepting trusteeship as a framework for thinking about climate change; discusses what trustee duties are: considers their implications for the construction of an economics of stewardship; shows how tradeoffs would be assessed within this framework, and points towards a reconceptualization of international relations based on these ideas. 1 ref

Without Testing: Stockpile Stewardship in the Second Nuclear Age

Energy Technology Data Exchange (ETDEWEB)

Martz, Joseph C. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2014-01-07

Stockpile stewardship is a topic dear to my heart. I’ve been fascinated by it, and I’ve lived it—mostly on the technical side but also on the policy side from 2009 to 2010 at Stanford University as a visiting scholar and the inaugural William J. Perry Fellow. At Stanford I worked with Perry, former secretary of defense, and Sig Hecker, former Los Alamos Lab director (1986–1997), looking at nuclear deterrence, nuclear policy, and stockpile stewardship and at where all this was headed.

Environmental Impact from Outdoor/Environmental Education Programs: Effects of Frequent Stream Classes on Aquatic Macroinvertebrates

Science.gov (United States)

Bossley, Jon P.

2016-01-01

Environmental stewardship is an underlying theme in outdoor education (OE) and environmental education (EE), but maintaining natural areas in a sustainable balance between conservation and preservation requires knowledge about how natural areas respond to anthropogenic disturbance. My five-part study investigated the effects of disturbance on…

Antimicrobial stewardship in long term care facilities: what is effective?

Science.gov (United States)

Nicolle, Lindsay E

2014-02-12

Intense antimicrobial use in long term care facilities promotes the emergence and persistence of antimicrobial resistant organisms and leads to adverse effects such as C. difficile colitis. Guidelines recommend development of antimicrobial stewardship programs for these facilities to promote optimal antimicrobial use. However, the effectiveness of these programs or the contribution of any specific program component is not known. For this review, publications describing evaluation of antimicrobial stewardship programs for long term care facilities were identified through a systematic literature search. Interventions included education, guidelines development, feedback to practitioners, and infectious disease consultation. The studies reviewed varied in types of facilities, interventions used, implementation, and evaluation. Comprehensive programs addressing all infections were reported to have improved antimicrobial use for at least some outcomes. Targeted programs for treatment of pneumonia were minimally effective, and only for indicators of uncertain relevance for stewardship. Programs focusing on specific aspects of treatment of urinary infection - limiting treatment of asymptomatic bacteriuria or prophylaxis of urinary infection - were reported to be effective. There were no reports of cost-effectiveness, and the sustainability of most of the programs is unclear. There is a need for further evaluation to characterize effective antimicrobial stewardship for long term care facilities.

Concursos de los conjuntos económicos

Directory of Open Access Journals (Sweden)

Siegbert Rippe

2015-09-01

Full Text Available La concentración empresaria es un fenómeno económicoque se desarrolla en este siglo y se proyecta convigor para el próximo. Múltiples factores permiten la formación de este fenómeno, en especial la producción en masa de servicios y de productos industriales, la especialización de las empresas, la racionalización dela producción y la internacionalización del mercado (...Contenido: Grupos y conjuntos económicos. Nociones. Responsabilidad de los integrantes de un conjunto económico. El concordato del conjunto económico. Jurisprudencia. Doctrina. La quiebra del conjunto económico. Jurisprudencia. Doctrina. La quiebra del conjunto económico. Jurisprudencia. Doctrina.Nuestra posición. Conclusiones

Policy options to reduce consumer waste to zero: comparing product stewardship and extended producer responsibility for refrigerator waste.

Science.gov (United States)

Nicol, Scott; Thompson, Shirley

2007-06-01

Today, over-consumption, pollution and resource depletion threaten sustainability. Waste management policies frequently fail to reduce consumption, prevent pollution, conserve resources and foster sustainable products. However, waste policies are changing to focus on lifecycle impacts of products from the cradle to the grave by extending the responsibilities of stakeholders to post-consumer management. Product stewardship and extended producer responsibility are two policies in use, with radically different results when compared for one consumer product, refrigerators. North America has enacted product stewardship policies that fail to require producers to take physical or financial responsibility for recycling or for environmentally sound disposal, so that releases of ozone depleting substances routinely occur, which contribute to the expanding the ozone hole. Conversely, Europe's Waste Electrical and Electronic Equipment (WEEE) Directive requires extended producer responsibility, whereby producers collect and manage their own post-consumer waste products. WEEE has resulted in high recycling rates of greater than 85%, reduced emissions of ozone-depleting substances and other toxins, greener production methods, such as replacing greenhouse gas refrigerants with environmentally friendly hydrocarbons and more reuse of refrigerators in the EU in comparison with North America.

Communicating the value and benefits of silviculture through partnerships and collaborative stewardship

Science.gov (United States)

1997-01-01

Opening comments to this session share observations on the current management climate within the USDA Forest Service. Partnerships and collaborative stewardship as agency philosophy are discussed. Silviculturists roles, as scientists and managers are compared, and the need for internal and external cooperation stressed as we strive to meet forest stewardship goals....

Strategies and challenges of antimicrobial stewardship in long-term care facilities.

Science.gov (United States)

Dyar, O J; Pagani, L; Pulcini, C

2015-01-01

As people are living longer the demand for long-term care facilities (LTCFs) continues to rise. For many reasons, antimicrobials are used intensively in LTCFs, with up to a half of this use considered inappropriate or unnecessary. Over-use of antimicrobials can have direct adverse consequences for LTCF residents and promotes the development and spread of resistant bacteria. It is therefore critical that LTCFs are able to engage in antimicrobial stewardship programmes, which have the potential to minimize the antibiotic selective pressure, while improving the quality of care received by LTCF residents. To date, no antimicrobial stewardship guidelines specific to LTCF settings have been published. Here we outline the scale of antimicrobial use in LTCFs and the underlying drivers for antibiotic over-use. We further describe the particular challenges of antimicrobial stewardship in LTCFs, and review the interventional studies that have aimed to improve antibiotic use in these settings. Practical recommendations are then drawn from this research to help guide the development and implementation of antimicrobial stewardship programmes. Copyright © 2014 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Current evidence on hospital antimicrobial stewardship objectives : A systematic review and meta-analysis

NARCIS (Netherlands)

Schuts, Emelie C.; Hulscher, Marlies E J L; Mouton, Johan W.; Verduin, Cees M.; Stuart, James W T Cohen; Overdiek, Hans W P M; van der Linden, Paul D.; Natsch, Stephanie; Hertogh, Cees M P M; Wolfs, Tom F W; Schouten, Jeroen A.; Kullberg, Bart Jan; Prins, Jan M.

2016-01-01

BACKGROUND: Antimicrobial stewardship is advocated to improve the quality of antimicrobial use. We did a systematic review and meta-analysis to assess whether antimicrobial stewardship objectives had any effects in hospitals and long-term care facilities on four predefined patients' outcomes:

Current evidence on hospital antimicrobial stewardship objectives: a systematic review and meta-analysis

NARCIS (Netherlands)

Schuts, E.C.; Hulscher, M.E.J.L.; Mouton, J.W.; Verduin, C.M.; Stuart, J.W.; Overdiek, H.W.; Linden, P.D. van der; Natsch, S.S.; Hertogh, C.M.; Wolfs, T.F.; Schouten, J.A.; Kullberg, B.J.; Prins, J.M.

2016-01-01

BACKGROUND: Antimicrobial stewardship is advocated to improve the quality of antimicrobial use. We did a systematic review and meta-analysis to assess whether antimicrobial stewardship objectives had any effects in hospitals and long-term care facilities on four predefined patients' outcomes:

Long-Term Stewardship Science and Technology Requirements

International Nuclear Information System (INIS)

McDonald, J.K.; Nickelson, R.A.

2002-01-01

To ensure technology developed for long-term stewardship will meet existing requirements, a review of requirements was performed. In addition to identifying existing science and technology related requirements, gaps and conflicts of requirements were identified

Guidelines to Avoid Biocontamination of Antarctic Subglacial Aquatic Environments: Forward Contamination Concerns, Environmental Management and Scientific Stewardship of Icy analogue environments

Science.gov (United States)

Race, M. S.; Hobbie, J.; et al.

2007-12-01

For more than a decade, scientists and space mission planners have recognized the importance of collaborative information exchange with the Antarctic research community to address their many shared exploration challenges, from drilling methods, remote sample collection, and data interpretation, to concerns about cross contamination that could adversely impact both the environment and interpretation of scientific data. Another shared concern exists in the regulatory realm; both the Antarctic and outer space environments are subject to separate international treaties that impose regulatory controls and oversight with serious implications for exploration planning. In recent years, both communities have faced the need to adjust their regulatory controls in light of fast-paced advances in scientific understanding of extreme environments, particularly related to potential microbial life. Both communities have sought and received advice from the National Research Council (NRC) through studies that suggested ways to update their respective oversight and regulatory systems while allowing for continued scientific exploration. A recently completed NRC study "Exploration of Antarctic Subglacial Aquatic Environments: Environmental and Scientific Stewardship" provided a suite of recommendations to address1) 'cleanliness' levels necessary for equipment and devices used in exploration of subglacial aquatic environments, as well as 2) the scientific basis for contamination standards, and 3) the steps for defining an overall exploration strategy conducive to sound environmental management and scientific stewardship. This talk will present the findings of the recent multinational NRC study, which is likely to translate into useful information for analogue studies that proceed to test techniques and capabilities for exploring an Europan ocean, other icy celestial locations, and related science targets on Earth. As the science and exploration of subglacial environments grows beyond its

Stewardship challenges abortion: A proposed means to mitigate abortion's social divisiveness.

Science.gov (United States)

Tardiff, Robert G

2015-08-01

Since 1973 the legislated constitutional right to abortion has produced a political dichotomy (anti-abortion versus pro-abortion) within the United States, even while witnessing a gradual decline in the rate of abortions. A third paradigm, moral stewardship, is advanced as an effective means to ameliorate this social divisiveness. Incorporating the concept of stewardship into deliberations of pregnancy termination would require recognition, through fact-based education programs, of the life circumstances that prompt the consideration to terminate a pregnancy. Based on collective responsibility, policies, and programs are needed to foster social justice for parents and for the offspring brought to term, without creating excessive burdens on women faced with an unwanted pregnancy. Moral stewardship is perceived as humanitarian to family and community and advantageous to society overall. It also offers a serious opportunity to reshape our society from divisiveness to inclusiveness, and to guide science policy judgment that enhances and strengthens social justice. Lay summary: Differing opinions over the ethics of human abortion have been legion since Roe v. Wade (1973). The disputes between pro- and anti-abortion factions have segregated society with few improvements in social justice. This study offers an alternative approach, one capable of social assimilation and justice for unwanted offspring and pregnant mothers bearing them. It promotes moral stewardship toward the unborn whose humanity and personhood are recognized genetically and supported philosophically by long-standing ethical principles. Stewardship incorporates all people at all levels of society based on collective responsibility, supported by government policies, yet not restricting a mother's choices for the future of her unborn offspring.

ICMR programme on Antibiotic Stewardship, Prevention of Infection & Control (ASPIC).

Science.gov (United States)

Chandy, Sujith J; Michael, Joy Sarojini; Veeraraghavan, Balaji; Abraham, O C; Bachhav, Sagar S; Kshirsagar, Nilima A

2014-02-01

Antimicrobial resistance and hospital infections have increased alarmingly in India. Antibiotic stewardship and hospital infection control are two broad strategies which have been employed globally to contain the problems of resistance and infections. For this to succeed, it is important to bring on board the various stakeholders in hospitals, especially the clinical pharmacologists. The discipline of clinical pharmacology needs to be involved in themes such as antimicrobial resistance and hospital infection which truly impact patient care. Clinical pharmacologists need to collaborate with faculty in other disciplines such as microbiology to achieve good outcomes for optimal patient care in the hospital setting. The ASPIC programme was initiated by the Indian Council of Medical Research (ICMR) in response to the above need and was designed to bring together faculty from clinical pharmacology, microbiology and other disciplines to collaborate on initiating and improving antibiotic stewardship and concurrently curbing hospital infections through feasible infection control practices. This programme involves the participation of 20 centres per year throughout the country which come together for a training workshop. Topics pertaining to the above areas are discussed in addition to planning a project which helps to improve antibiotic stewardship and infection control practices in the various centres. It is hoped that this programme would empower hospitals and institutions throughout the country to improve antibiotic stewardship and infection control and ultimately contain antimicrobial resistance.

Current evidence on hospital antimicrobial stewardship objectives: a systematic review and meta-analysis

NARCIS (Netherlands)

Schuts, Emelie C.; Hulscher, Marlies E. J. L.; Mouton, Johan W.; Verduin, Cees M.; Stuart, James W. T. Cohen; Overdiek, Hans W. P. M.; van der Linden, Paul D.; Natsch, Stephanie; Hertogh, Cees M. P. M.; Wolfs, Tom F. W.; Schouten, Jeroen A.; Kullberg, Bart Jan; Prins, Jan M.

2016-01-01

Antimicrobial stewardship is advocated to improve the quality of antimicrobial use. We did a systematic review and meta-analysis to assess whether antimicrobial stewardship objectives had any effects in hospitals and long-term care facilities on four predefined patients' outcomes: clinical outcomes,

Towards Materials Sustainability through Materials Stewardship

Directory of Open Access Journals (Sweden)

Christopher D. Taylor

2016-10-01

Full Text Available Materials sustainability requires a concerted change in philosophy across the entire materials lifecycle, orienting around the theme of materials stewardship. In this paper, we address the opportunities for improved materials conservation through dematerialization, durability, design for second life, and diversion of waste streams through industrial symbiosis.

Defining antimicrobial stewardship competencies for undergraduate health professional education in the United Kingdom: A study protocol.

Science.gov (United States)

Courtenay, Molly; Castro-Sánchez, Enrique; Deslandes, Rhian; Hodson, Karen; Lim, Rosemary; Morris, Gary; Reeves, Scott; Weiss, Marjorie

2018-04-16

Multi-drug resistant infections have been identified as one of the greatest threats to human health. Healthcare professionals are involved in an array of patient care activities for which an understanding of antimicrobial stewardship is important. Although antimicrobial prescribing and stewardship competencies have been developed for healthcare professionals who adopt the role of a prescriber, competencies do not exist for other medicine-related stewardship activities. Undergraduate education provides an ideal opportunity to prepare healthcare professionals for these roles and activities. This report presents a protocol for a study designed to provide national consensus on antimicrobial stewardship competencies appropriate for undergraduate healthcare professional education. A modified Delphi process will be used in which a panel of Experts, comprising members from across the United Kingdom, with expertise in prescribing and medicines management with regard to the education and practice of healthcare professionals, and antimicrobial prescribing and stewardship, will be invited to take part in two survey rounds. The competencies developed will be applicable to all undergraduate healthcare professional education programmes. They will help to standardise curricula content and enhance the impact of antimicrobial stewardship education.

Measuring the impact of antimicrobial stewardship programs

NARCIS (Netherlands)

Dik, Jan-Willem H.; Hendrix, Ron; Poelman, Randy; Niesters, Hubert G.; Postma, Maarten J.; Sinha, Bhanu; Friedrich, Alexander W.

Antimicrobial Stewardship Programs (ASPs) are being implemented worldwide to optimize antimicrobial therapy, and thereby improve patient safety and quality of care. Additionally, this should counteract resistance development. It is, however, vital that correct and timely diagnostics are performed in

Service-Learning in the Environmental Sciences for Teaching Sustainability Science

Science.gov (United States)

Truebe, S.; Strong, A. L.

2016-12-01

Understanding and developing effective strategies for the use of community-engaged learning (service-learning) approaches in the environmental geosciences is an important research need in curricular and pedagogical innovation for sustainability. In 2015, we designed and implemented a new community-engaged learning practicum course through the Earth Systems Program in the School of Earth, Energy and Environmental Sciences at Stanford University focused on regional open space management and land stewardship. Undergraduate and graduate students partnered with three different regional land trust and environmental stewardship organizations to conduct quarter-long research projects ranging from remote sensing studies of historical land use, to fire ecology, to ranchland management, to volunteer retention strategies. Throughout the course, students reflected on the decision-making processes and stewardship actions of the organizations. Two iterations of the course were run in Winter and Fall 2015. Using coded and analyzed pre- and post-course student surveys from the two course iterations, we evaluate undergraduate and graduate student learning outcomes and changes in perceptions and understanding of sustainability science. We find that engagement with community partners to conduct research projects on a wide variety of aspects of open space management, land management, and environmental stewardship (1) increased an understanding of trade-offs inherent in sustainability and resource management and (2) altered student perceptions of the role of scientific information and research in environmental management and decision-making. Furthermore, students initially conceived of open space as purely ecological/biophysical, but by the end of the course, (3) their understanding was of open space as a coupled human/ecological system. This shift is crucial for student development as sustainability scientists.

FY 2014 - Stockpile and Stewardship and Management Plan

Energy Technology Data Exchange (ETDEWEB)

None

2013-06-01

This Department of Energy’s (DOE) National Nuclear Security Administration (NNSA) Fiscal Year Stockpile Stewardship and Management Plan (SSMP) is a key planning document for the nuclear security enterprise.

Optimizing adherence to advice from antimicrobial stewardship audit and feedback rounds.

Science.gov (United States)

Rawlins, Matthew D M; Sanfilippo, Frank M; Ingram, Paul R; McLellan, Duncan G J; Crawford, Colin; D'Orsogna, Luca; Dyer, John

2018-02-01

We examined adherence to antimicrobial stewardship prospective audit and feedback rounds in a rehabilitation service compared with the remainder of the acute hospital, and explored the reasons for this. Between October 2014 and December 2015, we retrospectively assessed the rate of non-adherence to advice from antimicrobial stewardship prospective audit and feedback rounds between the rehabilitation service and the acute hospital, along with the source of the patient referral. Compared with the rehabilitation service, acute hospital medical staff were almost twice as likely to not adhere to advice provided on antimicrobial stewardship prospective audit and feedback rounds (13.8% vs. 7.6%, p risk 1.8 [95% confidence interval 1.3, 2.5]). In the rehabilitation service, referrals were more likely to come from medical staff (61.9% vs. 16.3%, p model potentially applicable to other settings.

Evaluación económica y toma de decisiones en salud ambiental Avaliação econômica e tomada de decisão em saúde ambiental Economic evaluation and decision-making in environmental health

Directory of Open Access Journals (Sweden)

Cristina Gutiérrez Zúñiga

1994-04-01

Full Text Available Ante el creciente deterioro ambiental y sus posibles consecuencias en la salud de la población resulta una prioridad indiscutible el diseño e instrumentación de políticas que controlen las actividades económicas bajo el criterio de protección a la salud humana y al ambiente mismo. Es preciso que dichas políticas consideren la factibilidad económica de las alternativas de protección existentes. Sin embargo, por la cantidad de intereses dentro del área ambiental, otros factores como el social y el político deben también ser considerados. La evaluación económica ha sido vista como un promisorio fundamento para la toma de decisiones en esta materia. Los autores analizan la capacidad de esta herramienta para organizar en forma sistemática y comparable los costos y los beneficios de alternativas para la solución de problemas ambientales. Se resumen las principales características de los estudios de costo-beneficio y costo-efectividad, las formas de evaluación económica del ambiente, y las particularidades de esta área para la aplicación de dichas técnicas de análisis. Se señalan los límites encontrados en estas herramientas para cuantificar los costos no monetarios de los riesgos ambientales y de los consecuentes daños a la salud, tales como el dolor, el sufrimiento ó la incapacidad de personas económicamente inactivas, constituyendo estos aspectos el reto metodológico de la evaluación económica en el área. Se reflexiona sobre la importancia de ampliar los insumos informativos para la toma de decisiones en materia de salud ambiental en aspectos como la distribución de los costos y los beneficios entre los distintos grupos sociales. Por último se señala tanto la creciente politización del tema ambiental, como la posibilidad técnica de manipulación de estas herramientas de análisis. Partiendo de estos elementos se señala la necesidad, por parte de los evaluadores, de ser conscientes sobre las implicaciones pol

Product Stewardship in Uranium: A Way for the Industry to Demonstrate its High Performance

International Nuclear Information System (INIS)

Harris, Frank

2014-01-01

Conclusions: • Product stewardship is an means for communicating the high performance on health, safety and environment of the nuclear fuel cycle including uranium mining. • It has been effective with other products and is appropriate for uranium. • Can be a vehicle for addressing public concerns across the industry. • Due to uranium’s unique characteristics it has the potential to be a best practice example of product stewardship. • Work is underway in the international arena to progress uranium product stewardship and it represent a unique opportunity to provide whole of industry benefits

Controlling endemic multidrug-resistant Acinetobacter baumannii in Intensive Care Units using antimicrobial stewardship and infection control.

Science.gov (United States)

Cheon, Shinhye; Kim, Mi-Ja; Yun, Seon-Jin; Moon, Jae Young; Kim, Yeon-Sook

2016-03-01

Nosocomial infections caused by multidrug-resistant (MDR) Acinetobacter baumannii have become public-health problem. However, few studies have evaluated the control of endemic MDR A. baumannii in Intensive Care Units (ICUs). Therefore, we investigated the effectiveness of antimicrobial stewardship and comprehensive intensified infection control measures for controlling endemic MDR A. baumannii in ICUs at a tertiary care center. Carbapenem use was strictly restricted through antimicrobial stewardship. Environmental cleaning and disinfection was performed at least 3 times per day in addition to basic infection control measures. Isolation using plastic curtains and contact precautions were applied to patients who were colonized or infected with MDR A. baumannii. The outcome was measured as the incidence density rate of hospital-onset MDR A. baumannii among patients in the ICUs. The incidence density rate of hospital-onset MDR A. baumannii decreased from 22.82 cases per 1,000 patient-days to 2.68 cases per 1,000 patient-days after the interventions were implemented (odds ratio, 0.12; 95% confidence interval, 0.03 to 0.4; p baumannii in our ICUs within 1 year.

Enabling sustainable pastoralism: policies and investments that optimise livestock production and rangeland stewardship.

Science.gov (United States)

Ouedraogo, R; Davies, J

2016-11-01

Pastoralism is a system of dynamically managing livestock and land for economic, social and environmental benefit. To a large extent, pastoralism is an adaptation to ecological and climatic variability and is not simply a livestock production system but provides significant environmental services to humanity. Evidence from a range of national contexts shows that sustainable pastoralist development requires an understanding of the dual environmental and economic roles of pastoralism and an adaptation of policies and investments to support both. The current paper examines three cornerstones that have proven to be crucial for sustainable pastoralist development and for maximising the links between livestock production and environmental stewardship: strengthening pastoral capabilities and institutions, securing land tenure and natural resource governance, and ensuring equitable markets for pastoral diversity. To effectively support the dual economic-environmental roles of pastoralism requires not only optimisation of the production of ecosystem services through extensive livestock production, but also a major overhaul of the way we approach pastoralist development, and major investment in the people who are central to the system. As long as pastoralists remain marginalised, with weak rights and little access to services, their future will remain uncertain.

A state-stewardship view on executive compensation

NARCIS (Netherlands)

Liang, Hao; Renneboog, Luc; Li Sun, Sunny; Choi, J.; Powers, M.; Zhang, X.

2016-01-01

We take a state-stewardship view on the corporate governance model and executive compensation policies in economies with strong political involvement. In such a highly politically-oriented institutional environment, the business elites are not just professional managers but are also de facto

Biogeochemical Cycling and Environmental Stability of Pu Relevant to Long-Term Stewardship of DOE Sites

Energy Technology Data Exchange (ETDEWEB)

Francis, Arokiasamy J.; Santschi, Peter H.; Honeyman, Bruce D.

2005-06-01

The overall objective of this proposed research is to understand the biogeochemical cycling of Pu in environments of interest to long-term DOE stewardship issues. Central to Pu cycling (transport initiation to immobilization) is the role of microorganisms. The hypothesis underlying this proposal is that microbial activity is the causative agent in initiating the mobilization of Pu in near-surface environments: through the transformation of Pu associated with solid phases, production of extracellular polymeric substances (EPS) carrier phases, and the creation of microenvironments. Also, microbial processes are central to the immobilization of Pu species, through the metabolism of organically complexed Pu species and Pu associated with extracellular carrier phases and the creation of environments favorable for Pu transport retardation.

Biogeochemical Cycling and Environmental Stability of Pu Relevant to Long-Term Stewardship of DOE Sites

Energy Technology Data Exchange (ETDEWEB)

Honeyman, Bruce D.

2006-06-01

The overall objective of this proposed research is to understand the biogeochemical cycling of Pu in environments of interest to long-term DOE stewardship issues. Central to Pu cycling (transport initiation to immobilization) is the role of microorganisms. The hypothesis underlying this proposal is that microbial activity is the causative agent in initiating the mobilization of Pu in near-surface environments: through the transformation of Pu associated with solid phases, production of extracellular polymeric substances (EPS) carrier phases, and the creation of microenvironments. Also, microbial processes are central to the immobilization of Pu species, through the metabolism of organically complexed Pu species and Pu associated with extracellular carrier phases and the creation of environments favorable for Pu transport retardation.

Antimicrobial Stewardship and Urinary Tract Infections

Directory of Open Access Journals (Sweden)

Lilian M. Abbo

2014-05-01

Full Text Available Urinary tract infections are the most common bacterial infections encountered in ambulatory and long-term care settings in the United States. Urine samples are the largest single category of specimens received by most microbiology laboratories and many such cultures are collected from patients who have no or questionable urinary symptoms. Unfortunately, antimicrobials are often prescribed inappropriately in such patients. Antimicrobial use, whether appropriate or inappropriate, is associated with the selection for antimicrobial-resistant organisms colonizing or infecting the urinary tract. Infections caused by antimicrobial-resistant organisms are associated with higher rates of treatment failures, prolonged hospitalizations, increased costs and mortality. Antimicrobial stewardship consists of avoidance of antimicrobials when appropriate and, when antimicrobials are indicated, use of strategies to optimize the selection, dosing, route of administration, duration and timing of antimicrobial therapy to maximize clinical cure while limiting the unintended consequences of antimicrobial use, including toxicity and selection of resistant microorganisms. This article reviews successful antimicrobial stewardship strategies in the diagnosis and treatment of urinary tract infections.

Airport Capital Improvement Planning: Stewardship for Airport Development

Science.gov (United States)

1997-09-01

"Airport Capital Improvement Planning: Stewardship for Airport Development", was : originally written in October, 1995. It documented an effort to implement the : concept of capital improvement planning with the airport development industry. : Airpor...

Nuclear materials stewardship: Our enduring mission

International Nuclear Information System (INIS)

Isaacs, T.H.

1998-01-01

The US Department of Energy (DOE) and its predecessors have handled a remarkably wide variety of nuclear materials over the past 50 yr. Two fundamental changes have occurred that shape the current landscape regarding nuclear materials. If one recognizes the implications and opportunities, one sees that the stewardship of nuclear materials will be a fundamental and important job of the DOE for the foreseeable future. The first change--the breakup of the Soviet Union and the resulting end to the nuclear arms race--altered US objectives. Previously, the focus was on materials production, weapon design, nuclear testing, and stockpile enhancements. Now the attention is on dismantlement of weapons, excess special nuclear material inventories, accompanying increased concern over the protection afforded to such materials; new arms control measures; and importantly, maintenance of the safety and reliability of the remaining arsenal without testing. The second change was the raised consciousness and sense of responsibility for dealing with the environmental legacies of past nuclear arms programs. Recognition of the need to clean up radioactive contamination, manage the wastes, conduct current operations responsibly, and restore the environment have led to the establishment of what is now the largest program in the DOE. Two additional features add to the challenge and drive the need for recognition of nuclear materials stewardship as a fundamental, enduring, and compelling mission of the DOE. The first is the extraordinary time frames. No matter what the future of nuclear weapons and no matter what the future of nuclear power, the DOE will be responsible for most of the country's nuclear materials and wastes for generations. Even if the Yucca Mountain program is successful and on schedule, it will last more than 100 yr. Second, the use, management, and disposition of nuclear materials and wastes affect a variety of nationally important and diverse objectives, from national

Role of the hospitalist in antimicrobial stewardship: a review of work completed and description of a multisite collaborative.

Science.gov (United States)

Rohde, Jeffrey M; Jacobsen, Diane; Rosenberg, David J

2013-06-01

Historically, antimicrobial stewardship programs have been led by infectious-disease physicians and pharmacists. With the growing presence of hospitalists in health and hospital systems, combined with their focus on quality improvement and patient safety, this emerging medical specialty has the potential to fill essential roles in antimicrobial stewardship programs. The goal of this article was to present the reasons hospitalists are ideally positioned to fill antimicrobial-stewardship roles, a narrative review of previously reported hospitalist-led antibiotic-stewardship projects, and a description of an ongoing multisite collaborative by the Institute for Healthcare Improvement (IHI) and the Centers for Disease Control and Prevention (CDC). A review of the published literature was performed, including an extensive review of the abstracts submitted to the Society of Hospital Medicine annual meetings. A number of examples of hospitalists developing and leading antimicrobial-stewardship programs are described. The details of a current multisite IHI/CDC hospitalist-focused initiative are discussed in detail. Hospitalists are actively involved with, and even lead, a variety of antimicrobial-stewardship programs in several different hospital systems. A large, multisite collaborative focused on hospitalist-led antimicrobial stewardship is currently in progress. Copyright © 2013 Elsevier HS Journals, Inc. All rights reserved.

Computadores y democracia económica

Directory of Open Access Journals (Sweden)

Allin Cottrell

2008-12-01

Full Text Available El colapso del socialismo anteriormente existente obedeció a causas integradas en su mecanismo económico, que no son inherentes a todos los socialismos posibles. El artículo muestra que la teoría económica marxista, junto con la informática, proporciona el fundamento para adelantar un programa económico socialista viable y que el desarrollo de la informática y de Internet hace posible la planificación económica. Además, argumenta que el movimiento socialista nunca desarrolló un programa constitucional correcto y que la tecnología moderna abre nuevas oportunidades para la democracia. Por último, revisa los argumentos austriacos contra la posibilidad del cálculo socialista a la luz de la nueva capacidad informática y de las limitaciones del Protocolo de Kyoto.

Applying a Data Stewardship Maturity Matrix to the NOAA Observing System Portfolio Integrated Assessment Process

Science.gov (United States)

Peng, G.; Austin, M.

2017-12-01

Identification and prioritization of targeted user community needs are not always considered until after data has been created and archived. Gaps in data curation and documentation in the data production and delivery phases limit data's broad utility specifically for decision makers. Expert understanding and knowledge of a particular dataset is often required as a part of the data and metadata curation process to establish the credibility of the data and support informed decision-making. To enhance curation practices, content from NOAA's Observing System Integrated Assessment (NOSIA) Value Tree, NOAA's Data Catalog/Digital Object Identifier (DOI) projects (collection-level metadata) have been integrated with Data/Stewardship Maturity Matrices (data and stewardship quality information) focused on assessment of user community needs. This results in user focused evidence based decision making tools created by NOAA's National Environmental Satellite, Data, and Information Service (NESDIS) through identification and assessment of data content gaps related to scientific knowledge and application to key areas of societal benefit. Through enabling user need feedback from the beginning of data creation through archive allows users to determine the quality and value of data that is fit for purpose. Data gap assessment and prioritization are presented in a user-friendly way using the data stewardship maturity matrices as measurement of data management quality. These decision maker tools encourages data producers and data providers/stewards to consider users' needs prior to data creation and dissemination resulting in user driven data requirements increasing return on investment. A use case focused on need for NOAA observations linked societal benefit will be used to demonstrate the value of these tools.

Antifungal stewardship considerations for adults and pediatrics.

Science.gov (United States)

Hamdy, Rana F; Zaoutis, Theoklis E; Seo, Susan K

2017-08-18

Antifungal stewardship refers to coordinated interventions to monitor and direct the appropriate use of antifungal agents in order to achieve the best clinical outcomes and minimize selective pressure and adverse events. Antifungal utilization has steadily risen over time in concert with the increase in number of immunocompromised adults and children at risk for invasive fungal infections (IFI). Challenges in diagnosing IFI often lead to delays in treatment and poorer outcomes. There are also emerging data linking prior antifungal exposure and suboptimal dosing to the emergence of antifungal resistance, particularly for Candida. Antimicrobial stewardship programs can take a multi-pronged bundle approach to ensure suitable prescribing of antifungals via post-prescription review and feedback and/or prior authorization. Institutional guidelines can also be developed to guide diagnostic testing in at-risk populations; appropriate choice, dose, and duration of antifungal agent; therapeutic drug monitoring; and opportunities for de-escalation and intravenous-to-oral conversion.

Perceptions and Practices of Community Pharmacists towards Antimicrobial Stewardship in the State of Selangor, Malaysia

Science.gov (United States)

Khan, Muhammad Umair; Hassali, Mohamed Azmi Ahmad; Ahmad, Akram; Elkalmi, Ramadan Mohamed; Zaidi, Syed Tabish Razi; Dhingra, Sameer

2016-01-01

Background Increasing antimicrobial resistance is one of the pressing concerns globally. Injudicious use of antibiotics is one of the modifiable factors responsible for antimicrobial resistance. Given the widespread use of antimicrobials in community settings, pharmacists have an important role in ensuring appropriate use of antibiotics. The objective of this study was to assess the perception and self-reported practices of community pharmacists towards antimicrobial stewardship. Methods A cross-sectional study was conducted among community pharmacists between March–April, 2015, using a self-administered, pre-tested questionnaire in the State of Selangor, Malaysia. A simple random sampling approach was used to select pharmacy sites. Descriptive and inferential statistical methods were used to analyse the data. Results A total of 188 pharmacists responded to the survey, giving a response rate of 83.5%. The majority of participants (n = 182, 96.8%) believed that antimicrobial stewardship program helps healthcare professionals to improve the quality of patient care. However, more than half of pharmacists were neutral in their opinion about the incorporation of antimicrobial stewardship programs in community pharmacies (n = 102, 54.2%). Though collaboration was often done by pharmacists with other health professionals over the use of antibiotics (n = 104, 55.3%), a significant proportion of participants (n = 102, 54.2%) rarely/occasionally participate in antimicrobial awareness campaigns. Pharmacists having postgraduate qualification were more likely to held positive perceptions of, and were engaged in, antimicrobial stewardship than their non-postgraduate counterpart (p 10 years) held positive perceptions towards antimicrobial stewardship (p<0.05). Conclusion The study highlighted some gaps in the perception and practices of community pharmacist towards antimicrobial stewardship. Development of customized interventions would be critical to bridging these gaps and

Perceptions and Practices of Community Pharmacists towards Antimicrobial Stewardship in the State of Selangor, Malaysia.

Directory of Open Access Journals (Sweden)

Muhammad Umair Khan

Full Text Available Increasing antimicrobial resistance is one of the pressing concerns globally. Injudicious use of antibiotics is one of the modifiable factors responsible for antimicrobial resistance. Given the widespread use of antimicrobials in community settings, pharmacists have an important role in ensuring appropriate use of antibiotics. The objective of this study was to assess the perception and self-reported practices of community pharmacists towards antimicrobial stewardship.A cross-sectional study was conducted among community pharmacists between March-April, 2015, using a self-administered, pre-tested questionnaire in the State of Selangor, Malaysia. A simple random sampling approach was used to select pharmacy sites. Descriptive and inferential statistical methods were used to analyse the data.A total of 188 pharmacists responded to the survey, giving a response rate of 83.5%. The majority of participants (n = 182, 96.8% believed that antimicrobial stewardship program helps healthcare professionals to improve the quality of patient care. However, more than half of pharmacists were neutral in their opinion about the incorporation of antimicrobial stewardship programs in community pharmacies (n = 102, 54.2%. Though collaboration was often done by pharmacists with other health professionals over the use of antibiotics (n = 104, 55.3%, a significant proportion of participants (n = 102, 54.2% rarely/occasionally participate in antimicrobial awareness campaigns. Pharmacists having postgraduate qualification were more likely to held positive perceptions of, and were engaged in, antimicrobial stewardship than their non-postgraduate counterpart (p 10 years held positive perceptions towards antimicrobial stewardship (p<0.05.The study highlighted some gaps in the perception and practices of community pharmacist towards antimicrobial stewardship. Development of customized interventions would be critical to bridging these gaps and improve their perception and

Integrated Weed Control for Land Stewardship at Legacy Management's Rocky Flats Site in Colorado - 13086

International Nuclear Information System (INIS)

Nelson, Jody K.

2013-01-01

Land stewardship is one of nine sustainability programs in the U.S. Department of Energy's Environmental Management System. Land stewardship includes maintaining and improving ecosystem health. At the Rocky Flats Site near Westminster, Colorado, land stewardship is an integral component of the Office of Legacy Management's post-closure monitoring and management at the site. Nearly 263 hectares (650 acres) were disturbed and re-vegetated during site cleanup and closure operations. Proactive management of revegetation areas is critical to the successful reestablishment of native grasslands, wetlands, and riparian communities. The undisturbed native plant communities that occur at the site also require active management to maintain the high-quality wetlands and other habitats that are home to numerous species of birds and other wildlife such as elk and deer, rare plant communities, and the federally listed threatened Preble's meadow jumping mouse. Over the past several decades, an increase of Noxious weeds has impacted much of Colorado's Front Range. As a result, weed control is a key component of the land stewardship program at Rocky Flats. Thirty-three species of state-listed Noxious weeds are known to occur in the Central and Peripheral Operable Units at Rocky Flats, along with another five species that are considered invasive at the site. Early detection and rapid response to control new invasive species is crucial to the program. An integrated weed control/vegetation management approach is key to maintaining healthy, sustainable plant communities that are able to resist Noxious weed invasions. Weed mapping, field surveys, and field-staff training sessions (to learn how to identify new potential problem species) are conducted to help detect and prevent new weed problems. The integrated approach at Rocky Flats includes administrative and cultural techniques (prevention), mechanical controls, biological controls, and chemical controls. Several species of biocontrol

Stewardship, Learning, and Memory in Disaster Resilience

Science.gov (United States)

Tidball, Keith G.; Krasny, Marianne E.; Svendsen, Erika; Campbell, Lindsay; Helphand, Kenneth

2010-01-01

In this contribution, we propose and explore the following hypothesis: civic ecology practices, including urban community forestry, community gardening, and other self-organized forms of stewardship of green spaces in cities, are manifestations of how memories of the role of greening in healing can be instrumentalized through social learning to…

Research Methods in Healthcare Epidemiology and Antimicrobial Stewardship-Mathematical Modeling.

Science.gov (United States)

Barnes, Sean L; Kasaie, Parastu; Anderson, Deverick J; Rubin, Michael

2016-11-01

Mathematical modeling is a valuable methodology used to study healthcare epidemiology and antimicrobial stewardship, particularly when more traditional study approaches are infeasible, unethical, costly, or time consuming. We focus on 2 of the most common types of mathematical modeling, namely compartmental modeling and agent-based modeling, which provide important advantages-such as shorter developmental timelines and opportunities for extensive experimentation-over observational and experimental approaches. We summarize these advantages and disadvantages via specific examples and highlight recent advances in the methodology. A checklist is provided to serve as a guideline in the development of mathematical models in healthcare epidemiology and antimicrobial stewardship. Infect Control Hosp Epidemiol 2016;1-7.

Stewardship, learning, and memory in disaster resilience

Science.gov (United States)

Keith G. Tidball; Marianne E. Krasny; Erika Svendsen; Lindsay Campbell; Kenneth. Helphand

2010-01-01

In this contribution, we propose and explore the following hypothesis: civic ecology practices, including urban community forestry, community gardening, and other self-organized forms of stewardship of green spaces in cities, are manifestations of how memories of the role of greening in healing can be instrumentalized through social learning to foster social-ecological...

Antimicrobial stewardship in wound care

DEFF Research Database (Denmark)

Lipsky, Benjamin A; Dryden, Matthew; Gottrup, Finn

2016-01-01

BACKGROUND: With the growing global problem of antibiotic resistance it is crucial that clinicians use antibiotics wisely, which largely means following the principles of antimicrobial stewardship (AMS). Treatment of various types of wounds is one of the more common reasons for prescribing...... of experts in infectious diseases/clinical microbiology (from the British Society for Antimicrobial Chemotherapy) and wound management (from the European Wound Management Association) who, after thoroughly reviewing the available literature and holding teleconferences, jointly produced this guidance document...

Enhancing Ecosystem Stewardship in Small-Scale Fisheries: Prospects for Latin America and the Caribbean

Directory of Open Access Journals (Sweden)

Rodrigo Pereira Medeiros

2014-12-01

Full Text Available Despite recognition of small-scale fisheries (SSF contribution to livelihood diversity and food security worldwide, a better understanding of their social and ecological dynamics is required. This paper is a synthesis of the main findings from the special issue “Enhancing ecosystem stewardship in small-scale fisheries” published in this journal. Contributors explored ecosystem stewardship in three dimensions: impacts, monitoring and stewardship. Results suggested that ecosystem stewardship encompasses collaborative action to foster: i new perspectives on SSF management; ii a broader perspective on managers and stakeholders – as stewards for implementing these new perspectives; and iii enabling environments through partnership, networking, communication and collective action. This special issue is an output from the Too Big to Ignore (TBTI Working Group 4 - “Enhancing the Stewardship”. TBTI is a global research network and knowledge mobilization partnership intended to better comprehend SSF contributions on issues such as food security and poverty alleviation, as well as the associated impacts of global changes, through the efforts of diverse partners around the world.

Evaluation of the Children's Environmental Health Network's environmental stewardship checklist responses.

Science.gov (United States)

Gilden, Robyn; McElroy, Katie; Friedmann, Erika; Witherspoon, Nsedu Obot; Paul, Hester

2015-03-01

Children are subject to multiple hazards on a daily basis, including in child care facilities. Research has shown that children in the child care setting may be exposed to lead, radon, pesticides, and multiple chemicals that are associated with known or suspected adverse health effects. The authors' study used an existing environmental health endorsement program to describe current practices of child care facilities as related to environmental health and safety. The facilities varied greatly in size and were located mainly in the U.S. with a few from Canada and Australia. A few checklist items had nearly a 100% positive response rate; however, some of the items had more than 10% of the facilities answer "false" or "don't know." Although many areas exist in which these sampled child care facilities are being environmentally responsible, further education is needed, particularly as related to the use of wall-to-wall carpeting, radon testing, aerosols, and air fresheners.

Identifying and Predicting Profiles of Medical Noncompliance: Pediatric Caregivers' Antibiotic Stewardship.

Science.gov (United States)

Smith, Rachel A; Kim, Youllee; M'Ikanatha, Nkuchia M

2018-05-14

Sometimes compliance with medical recommendations is problematic. We investigated pediatric caregivers' (N = 606) patterns of noncompliance with antibiotic stewardship based on the obstacle hypothesis. We tested predictors of noncompliance framed by the obstacle hypothesis, dissonance theory, and psychological reactance. The results revealed four profiles of caregivers' stewardship: one marked by compliance (Stewards) and three marked by types of noncompliance (Stockers, Persuaders, and Dissenters). The covariate analysis showed that, although psychological reactance predicted being noncompliant, it was types of obstacles and discrepant experiences that predicted caregivers' patterns of noncompliance with antibiotic stewardship. Campaign planning often focuses on identifying the belief most associated with the targeted outcome, such as compliance. Noncompliance research, however, points out that persuaders may be successful to the extent to which they anticipate obstacles to compliance and address them in their influence attempts. A shift from medical noncompliance to patient engagement also affords an opportunity to consider how some recommendations create obstacles for others and to find positive ways to embrace conflicting needs, tensions, and reasons for refusal in order to promote collective goals.

ENVIRONMENTAL STEWARDSHIP OF PHARMACEUTICALS - THE GREEN PHARMACY

Science.gov (United States)

The occurrence of pharmaceuticals and personal care products (PPCPS) as environmental pollutants is a multifaceted issue whose scope continues to become better delineated since the escalation of conceited attention beginning in the 1980s. PPCPs typically occur as trace environme...

Píldora de Crecimiento Económico: Modelos de crecimiento económico con tasas de ahorro constantes

OpenAIRE

López Díaz, Julio

2015-01-01

Claves para obtener, con carácter genérico, la ecuación fundamental de crecimiento en un modelo con tasa de ahorro constante. Departamento de Fundamentos del Análisis Económico e Historia e Instituciones Económicas

Spatially explicit data: stewardship and ethical challenges in science.

Science.gov (United States)

Hartter, Joel; Ryan, Sadie J; Mackenzie, Catrina A; Parker, John N; Strasser, Carly A

2013-09-01

Scholarly communication is at an unprecedented turning point created in part by the increasing saliency of data stewardship and data sharing. Formal data management plans represent a new emphasis in research, enabling access to data at higher volumes and more quickly, and the potential for replication and augmentation of existing research. Data sharing has recently transformed the practice, scope, content, and applicability of research in several disciplines, in particular in relation to spatially specific data. This lends exciting potentiality, but the most effective ways in which to implement such changes, particularly for disciplines involving human subjects and other sensitive information, demand consideration. Data management plans, stewardship, and sharing, impart distinctive technical, sociological, and ethical challenges that remain to be adequately identified and remedied. Here, we consider these and propose potential solutions for their amelioration.

Economic framework for integrating environmental stewardship into ...

African Journals Online (AJOL)

A number of agricultural production technologies (based on natural resource management principles) exist that offer opportunities for achieving the two seemingly divergent goals because they have the characteristics to produce joint multiple outputs, i.e, they produce food and provide environmental services. However ...

A global call from five countries to collaborate in antibiotic stewardship: united we succeed, divided we might fail.

Science.gov (United States)

Goff, Debra A; Kullar, Ravina; Goldstein, Ellie J C; Gilchrist, Mark; Nathwani, Dilip; Cheng, Allen C; Cairns, Kelly A; Escandón-Vargas, Kevin; Villegas, Maria Virginia; Brink, Adrian; van den Bergh, Dena; Mendelson, Marc

2017-02-01

In February, 2016, WHO released a report for the development of national action plans to address the threat of antibiotic resistance, the catastrophic consequences of inaction, and the need for antibiotic stewardship. Antibiotic stewardship combined with infection prevention comprises a collaborative, multidisciplinary approach to optimise use of antibiotics. Efforts to mitigate overuse will be unsustainable without learning and coordinating activities globally. In this Personal View, we provide examples of international collaborations to address optimal prescribing, focusing on five countries that have developed different approaches to antibiotic stewardship-the USA, South Africa, Colombia, Australia, and the UK. Although each country's approach differed, when nurtured, individual efforts can positively affect local and national antimicrobial stewardship programmes. Government advocacy, national guidelines, collaborative research, online training programmes, mentoring programmes, and social media in stewardship all played a role. Personal relationships and willingness to learn from each other's successes and failures continues to foster collaboration. We recommend that antibiotic stewardship models need to evolve from infection specialist-based teams to develop and use cadres of health-care professionals, including pharmacists, nurses, and community health workers, to meet the needs of the global population. We also recommend that all health-care providers who prescribe antibiotics take ownership and understand the societal burden of suboptimal antibiotic use, providing examples of how countries can learn, act globally, and share best antibiotic stewardship practices. Copyright © 2017 Elsevier Ltd. All rights reserved.

Investigating the ways in which health information technology can promote antimicrobial stewardship: a conceptual overview.

Science.gov (United States)

King, Abby; Cresswell, Kathrin M; Coleman, Jamie J; Pontefract, Sarah K; Slee, Ann; Williams, Robin; Sheikh, Aziz

2017-08-01

Antimicrobial resistance is now recognised as a threat to health worldwide. Antimicrobial stewardship aims to promote the responsible use of antibiotics and is high on international and national policy agendas. Health information technology has the potential to support antimicrobial stewardship in a number of ways, but this field is still poorly characterised and understood. Building on a recent systematic review and expert roundtable discussions, we take a lifecycle perspective of antibiotic use in hospitals and identify potential targets for health information technology-based interventions to support antimicrobial stewardship. We aim for this work to help chart a future research agenda in this critically important area.

Nosocomial Candidiasis: Antifungal Stewardship and the Importance of Rapid Diagnosis.

Science.gov (United States)

Pfaller, Michael A; Castanheira, Mariana

2016-01-01

Candidemia and other forms of candidiasis are associated with considerable excess mortality and costs. Despite the addition of several new antifungal agents with improved spectrum and potency, the frequency of Candida infection and associated mortality have not decreased in the past two decades. The lack of rapid and sensitive diagnostic tests has led to considerable overuse of antifungal agents resulting in increased costs, selection pressure for resistance, unnecessary drug toxicity, and adverse drug interactions. Both the lack of timely diagnostic tests and emergence of antifungal resistance pose considerable problems for antifungal stewardship. Whereas antifungal stewardship with a focus on nosocomial candidiasis should be able to improve the administration of antifungal therapy in terms of drug selection, proper dose and duration, source control and de-escalation therapy, an important parameter, timeliness of antifungal therapy, remains a victim of slow and insensitive diagnostic tests. Fortunately, new proteomic and molecular diagnostic tools are improving the time to species identification and detection. In this review we will describe the potential impact that rapid diagnostic testing and antifungal stewardship can have on the management of nosocomial candidiasis. © The Author 2015. Published by Oxford University Press on behalf of The International Society for Human and Animal Mycology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

36 CFR 230.6 - Landowner forest stewardship plan.

Science.gov (United States)

2010-07-01

... manage soil, water, aesthetic qualities, recreation, timber, and fish and wildlife resources in a manner... sells or otherwise conveys land covered by a landowner forest stewardship plan, such plan shall remain... plan. 230.6 Section 230.6 Parks, Forests, and Public Property FOREST SERVICE, DEPARTMENT OF AGRICULTURE...

Antimicrobial stewardship: a review of prospective audit and feedback systems and an objective evaluation of outcomes.

Science.gov (United States)

Chung, Gladys W; Wu, Jia En; Yeo, Chay Leng; Chan, Douglas; Hsu, Li Yang

2013-02-15

Antimicrobial stewardship is an emerging field currently defined by a series of strategies and interventions aimed toward improving appropriate prescription of antibiotics in humans in all healthcare settings. The ultimate goal is the preservation of current and future antibiotics against the threat of antimicrobial resistance, although improving patient safety and reducing healthcare costs are important concurrent aims. Prospective audit and feedback interventions are probably the most widely practiced of all antimicrobial stewardship strategies. Although labor-intensive, they are more easily accepted by physicians compared with formulary restriction and preauthorization strategies and have a higher potential for educational opportunities. Objective evaluation of antimicrobial stewardship is critical for determining the success of such programs. Nonetheless, there is controversy over which outcomes to measure and there is a pressing need for novel study designs that can objectively assess antimicrobial stewardship interventions despite the limitations inherent in the structure of most such programs.

Characteristics of Antimicrobial Stewardship Programs at Veterans Affairs Hospitals: Results of a Nationwide Survey.

Science.gov (United States)

Chou, Ann F; Graber, Christopher J; Jones, Makoto; Zhang, Yue; Goetz, Matthew Bidwell; Madaras-Kelly, Karl; Samore, Matthew; Kelly, Allison; Glassman, Peter A

2016-06-01

BACKGROUND Antimicrobial stewardship programs (ASPs) are variably implemented. OBJECTIVE To characterize variations of antimicrobial stewardship structure and practices across all inpatient Veterans Affairs facilities in 2012 and correlate key characteristics with antimicrobial usage. DESIGN A web-based survey regarding stewardship activities was administered to each facility's designated contact. Bivariate associations between facility characteristics and inpatient antimicrobial use during 2012 were determined. SETTING Total of 130 Veterans Affairs facilities with inpatient services. RESULTS Of 130 responding facilities, 29 (22%) had a formal policy establishing an ASP, and 12 (9%) had an approved ASP business plan. Antimicrobial stewardship teams were present in 49 facilities (38%); 34 teams included a clinical pharmacist with formal infectious diseases (ID) training. Stewardship activities varied across facilities, including development of yearly antibiograms (122 [94%]), formulary restrictions (120 [92%]), stop orders for antimicrobial duration (98 [75%]), and written clinical pathways for specific conditions (96 [74%]). Decreased antimicrobial usage was associated with having at least 1 full-time ID physician (P=.03), an ID fellowship program (P=.003), and a clinical pharmacist with formal ID training (P=.006) as well as frequency of systematic patient-level reviews of antimicrobial use (P=.01) and having a policy to address antimicrobial use in the context of Clostridium difficile infection (P=.01). Stop orders for antimicrobial duration were associated with increased use (P=.03). CONCLUSIONS ASP-related activities varied considerably. Decreased antibiotic use appeared related to ID presence and certain select practices. Further statistical assessments may help optimize antimicrobial practices. Infect Control Hosp Epidemiol 2016;37:647-654.

Organizational ethics in Catholic health care: honoring stewardship and the work environment.

Science.gov (United States)

Magill, G

2001-04-01

Organizational ethics refers to the integration of values into decision making, policies, and behavior throughout the multi-disciplinary environment of a health care organization. Based upon Catholic social ethics, stewardship is at the heart of organizational ethics in health care in this sense: stewardship provides the hermeneutic filter that enables basic ethical principles to be realized practically, within the context of the Catholic theology of work, to concerns in health care. This general argument can shed light on the specific topic of non-executive compensation programs as an illustration of organizational ethics in health care.

O conceito histórico de desenvolvimento econômico

OpenAIRE

Pereira, Luiz C. Bresser

2006-01-01

Uma Análise do Conceito de Desenvolvimento Econômico. o Crescimento Econômico, ou Desenvolvimento Econômico, é Visto como um Fenômeno Histórico como Resultado da Revolução Capitalista, E, Consequentemente, da Revolução Comercial, da Industrial E, no Meio Delas, da Revolução Nacional. Assim, é Necessário um Conceito Histórico de Crescimento Econômico, e não um Conceito Normativo. Visto sob este Aspecto, o Desenvolvimento Econômico é Intrinsecamente Relacionado ao Surgimento do Estado-Nação M...

Capital emprendedor y crecimiento económico

Directory of Open Access Journals (Sweden)

David B. Audretsch

2009-10-01

Full Text Available Este trabajo muestra cómo y por qué el modelo de crecimiento de Solow es útil para relacionar capital emprendedor y crecimiento económico. El filtro del conocimiento impide la transmisión de conocimiento para su comercialización y por consiguiente debilita el impacto de las inversiones en conocimiento sobre el crecimiento económico. La actividad emprendedora es un importante mecanismo para la transmisión del conocimiento, que permite traspasar el filtro del conocimiento. La actividad emprendedora es el eslabón perdido entre las inversiones en nuevo conocimiento y el crecimiento económico. La cada vez más importante política de fomento de la actividad emprendedora promueve el crecimiento económico a través del capital emprendedor o de la capacidad de una economía para crear nuevas empresas o facilitar el crecimiento de las mismas.

Undergraduates as Environmental Educators: The Pedal and Paddle Pollution Tour Experience

Science.gov (United States)

Cronje, Ruth Johnson; Neff, Paula Kleintjes; Mowry, Donald; Running, Garry L.

2016-01-01

Undergraduates can become effective agents of environmental outreach when challenged to produce evidence-based messages to inform the public about local environmental issues. We recount our experience partnering our undergraduate students with community organizations dedicated to water stewardship to create a "Pedal and Paddle Pollution…

Case studies in geographic information systems for environmental streamlining

Science.gov (United States)

2012-05-31

This 2012 summary report addresses the current use of geographic information systems (GIS) and related technologies by State Departments of Transportation (DOTs) for environmental streamlining and stewardship, particularly in relation to the National...

Little Book, Big Waves: The Epistle of James and Global Stewardship in Bioethics

Directory of Open Access Journals (Sweden)

Lora Jean Brake

2016-03-01

Full Text Available At first glance the twenty-first century arena of biotechnology and bioethics seems worlds away from the practical concerns of the first century outlook of the New Testament book of James. A closer look, however, reveals that the issues that James addresses have applications to challenges in bioethics. This article will give an overview of James and examine James’ teaching on wealth, poverty, and generosity and its import for the issue of global stewardship in bioethics.  Stewardship concerns both a Christian’s care and management of time, talents, and treasures.  Faithful use of the resources God has given demonstrates the fruitful faith that James writes of in his epistle. The idea of global stewardship, though “stewardship” is grounded in a distinctly Christian ethic, reflects an emerging discussion in bioethics regarding the need to address the inequities present between the money and time spent on biotechnology in some of the world in proportion to the money spent on meeting the basic healthcare needs of the poor of the entire world.  This New Testament epistle gives clear indications of how the Christian is to view wealth and how the Christian is to respond to poverty.  James, though a comparatively small book, sends a crucial message across the years that should greatly impact how Christians view stewardship in terms of global healthcare needs. 

Integrated Weed Control for Land Stewardship at Legacy Management's Rocky Flats Site in Colorado - 13086

Energy Technology Data Exchange (ETDEWEB)

Nelson, Jody K. [Stoller LMS Team, Contractor to the U.S. Department of Energy Office of Legacy Management, 11025 Dover Street, Suite 1000, Westminster, Colorado 80021 (United States)

2013-07-01

Land stewardship is one of nine sustainability programs in the U.S. Department of Energy's Environmental Management System. Land stewardship includes maintaining and improving ecosystem health. At the Rocky Flats Site near Westminster, Colorado, land stewardship is an integral component of the Office of Legacy Management's post-closure monitoring and management at the site. Nearly 263 hectares (650 acres) were disturbed and re-vegetated during site cleanup and closure operations. Proactive management of revegetation areas is critical to the successful reestablishment of native grasslands, wetlands, and riparian communities. The undisturbed native plant communities that occur at the site also require active management to maintain the high-quality wetlands and other habitats that are home to numerous species of birds and other wildlife such as elk and deer, rare plant communities, and the federally listed threatened Preble's meadow jumping mouse. Over the past several decades, an increase of Noxious weeds has impacted much of Colorado's Front Range. As a result, weed control is a key component of the land stewardship program at Rocky Flats. Thirty-three species of state-listed Noxious weeds are known to occur in the Central and Peripheral Operable Units at Rocky Flats, along with another five species that are considered invasive at the site. Early detection and rapid response to control new invasive species is crucial to the program. An integrated weed control/vegetation management approach is key to maintaining healthy, sustainable plant communities that are able to resist Noxious weed invasions. Weed mapping, field surveys, and field-staff training sessions (to learn how to identify new potential problem species) are conducted to help detect and prevent new weed problems. The integrated approach at Rocky Flats includes administrative and cultural techniques (prevention), mechanical controls, biological controls, and chemical controls. Several

Stewardship - De nieuwe facilitaire werkelijkheid, Facto Magazine, nr. 12

NARCIS (Netherlands)

Kok, H.B.

2011-01-01

Voor het succesvol besturen van organisaties bestaan in de managementliteratuur diverse modellen en theorieën. Het lijkt er op dat de stewardship-theorie, die uitgaat van wederzijds vertrouwen, beter past bij de ontwikkeling die FM op dit moment doormaakt dan de agencytheorie

Antimicrobial Stewardship Initiatives Throughout Europe: Proven Value for Money

NARCIS (Netherlands)

Oberje, E.J.M.; Tanke, M.A.C.; Jeurissen, P.P.T.

2017-01-01

Antimicrobial stewardship is recognized as a key component to stop the current European spread of antimicrobial resistance. It has also become evident that antimicrobial resistance is a problem that cannot be tackled by single institutions or physicians. Prevention of antimicrobial resistance needs

Principles and principals : do customer stewardship and agency control compete or complement when shaping frontline employee behavior?

NARCIS (Netherlands)

Schepers, J.J.L.; Falk, T.; Ruyter, de J.C.; Jong, de A.; Hammerschmidt, M.

2012-01-01

This article introduces customer stewardship control to the marketing field. This concept represents a frontline employee’s felt ownership of and moral responsibility for customers’ overall welfare. In two studies, the authors show that customer stewardship control is a more encompassing construct

Teoria da adequação econômica da conduta: significado econômico da conduta em face da tutela penal antitruste

OpenAIRE

Luiz da Silva, Ivan

2009-01-01

Essa tese tem por objetivo o desenvolvimento da teoria da adequação econômica da conduta no direito penal econômico. Vale-se de uma abordagem interdisciplinar abrangendo a Economia, o direito econômico e o direito penal. Para alcançar o desiderato a investigação analisou a intervenção do direito penal em face da atividade econômica e, em especial, os fundamentos da tutela penal antitruste, para fins de estabelecer os contornos teóricos necessários à aplicação das premissas fund...

Science-based stockpile stewardship at Los Alamos National Laboratory

International Nuclear Information System (INIS)

Immele, J.

1995-01-01

I would like to start by working from Vic Reis's total quality management diagram in which he began with the strategy and then worked through the customer requirements-what the Department of Defense (DoD) is hoping for from the science-based stockpile stewardship program. Maybe our customer's requirements will help guide some of the issues that we should be working on. ONe quick answer to open-quotes why have we adopted a science-based strategyclose quotes is that nuclear weapons are a 50-year responsibility, not just a 5-year responsibility, and stewardship without testing is a grand challenge. While we can do engineering maintenance and turn over and remake a few things on the short time scale, without nuclear testing, without new weapons development, and without much of the manufacturing base that we had in the past, we need to learn better just how these weapons are actually working

Revisiting eco-ethics and econ-ethics

Directory of Open Access Journals (Sweden)

Otto Kinne

2002-11-01

Full Text Available Modern humanity can survive only if traditional ethics are extended to include eco-ethics and econ-ethics. Success or failure in developing and implementing these new ethical constructs will affect the fate of our species Homo sapiens and that of millions of other forms of life. In the long run failure to accept and apply eco-ethics and econ-ethics would reduce the capacities of Planet Earth to support life.

The Roles of the Accountant and Auditor in Stewardship and ...

African Journals Online (AJOL)

While much attention has been given to accountability in public sector which has not even yielded the desired result, the same can not be said of organised private sector. ... Keywords: Stewardship, corporate governance, accountability,

A racionalidade econômica - abordagem histórica

Directory of Open Access Journals (Sweden)

Diva Benevides Pinho

1976-09-01

Full Text Available (primeiro parágrafo do texto Os estudos de comportamento econômico estão ligados, de modo geral, tanto à análise da racionalidade intencional, buscada pelos agentes econômicos, para atingir os fins a que se propõem, como à análise da racionalidade não-intencional dos diferentes sistemas econômicos, na medida em que estes procuram assegurar o aumento dos meios de produção, a elevação do padrão de vida da população, etc. Neste sentido, pode-se dizer que a análise do comportamento econômico está relacionada com a confrontação, quer de sistemas econômicos diferentes, quer das doutrinas e teorias que tentam explicar seus respectivos mecanismos de ação e suas possibilidades de atingir os objetivos visados.

Antibiotic stewardship and empirical antibiotic treatment: How can they get along?

Science.gov (United States)

Zuccaro, Valentina; Columpsi, Paola; Sacchi, Paolo; Lucà, Maria Grazia; Fagiuoli, Stefano; Bruno, Raffaele

2017-06-01

The aim of this review is to focus on the recent knowledge on antibiotic stewardship and empiric antibiotic treatment in cirrhotic patients. The application of antimicrobial stewardship (AMS) rules appears to be the most appropriate strategy to globally manage cirrhotic patients with infectious complications: indeed they represent a unique way to provide both early diagnosis and appropriate therapy in order to avoid not only antibiotic over-prescription but, more importantly, selection and spread of antimicrobial resistance. Moreover, cirrhotic patients must be considered "frail" and susceptible to healthcare associated infections: applying AMS policies would assure a cost reduction and thus contribute to the improvement of public health strategies. Copyright © 2017. Published by Elsevier Ltd.

The Capacity-Building Stewardship Model: assessment of an agricultural network as a mechanism for improving regional agroecosystem sustainability

Directory of Open Access Journals (Sweden)

Alison J. Duff

2017-03-01

Full Text Available Working lands have potential to meet agricultural production targets while serving as reservoirs of biological diversity and as sources of ecological services. Yet agricultural policy creates disincentives for this integration of conservation and production goals. While necessary, the development of a policy context that promotes agroecosystem sustainability will take time, and successful implementation will depend on a receptive agricultural audience. As the demands placed on working lands grow, there is a need for regional support networks that build agricultural producers' capacity for land stewardship. We used a social-ecological system framework to illustrate the Healthy Grown Potato Program as an agricultural network case study. Our Capacity-Building Stewardship Model reflects a 20-year experience working in collaboration with potato growers certified under an ecolabel in Wisconsin, USA. The model applies an evolving, modular farm stewardship standard to the entire farm - croplands and noncroplands. The model demonstrates an effective process for facilitating communication and shared learning among program participants, including agricultural producers, university extension specialists, nonprofit conservation partners, and industry representatives. The limitation of the model in practice has been securing funding to support expansion of the program and to ensure that the ecolabel standard is responsive to changes in the social-ecological system. Despite this constraint, the Capacity-Building Stewardship Model reveals an important mechanism for building regional commitment to conservation, with agricultural producers in a leadership role as architects, adopters, and advocates for stewardship behavior. Our experience provides important insight for the application of agri-environment schemes on private lands. The durability of a conservation ethic on working farms is likely to be enhanced when networks engage and support producers in an

Integrating Information Networks for Collective Planetary Stewardship

Science.gov (United States)

Tiwari, A.

2016-12-01

Responsible behaviour resulting from climate literacy in global environmental movement is limited to policy and planning institutions in the Global South, while remaining absent for ends-user. Thus, planetary stewardship exists only at earth system boundaries where pressures sink to the local scale while ethics remains afloat. Existing citizen participation is restricted within policy spheres, appearing synonymous to enforcements in social psychology. Much, accounted reason is that existing information mechanisms operate mostly through linear exchanges between institutions and users, therefore reinforcing only hierarchical relationships. This study discloses such relationships that contribute to broad networking gaps through information demand assessment of stakeholders in a dozen development projects based in South Asia. Two parameters widely used for this purpose are: a. Feedback: Ends-user feedback to improve consumption literacy of climate sensitive resources (through consumption displays, billing, advisory services ecolabelling, sensors) and, b. Institutional Policy: Rewarding punishing to enforce desired behaviour (subsidies, taxation). Research answered: 1. Who gets the information (Equity in Information Distribution)? As existing information publishing mechanisms are designed by and for analysts, 2. How information translates to climate action Transparency of Execution)? Findings suggested that climate goals manifested in economic policy, than environmental policy, have potential clear short-term benefits and costs, and coincide with people's economic goals Also grassroots roles for responsible behaviour are empowered with presence of end user information. Barier free climate communication process and decision making is ensured among multiplicity of stakeholders with often conflicting perspectives. Research finds significance where collaboration among information networks can better translate regional policies into local action for climate adaptation and

La coyuntura económica nacional

Directory of Open Access Journals (Sweden)

Arturo Huerta González

2003-01-01

Full Text Available El objetivo de este artículo es analizar los problemas de contracción económica que enfrenta nuestro país como resultado de la política económica predominante, que lo ha llevado a depender de la economía estadounidense. Cuando ésta enfrentó problemas de crecimiento también frenó el crecimiento de la economía nacional. El gobierno mexicano no instrumenta política fiscal anticíclica (expansión del gasto para contrarrestar la caída de exportaciones y recuperar la dinámica económica por considerar que ello originaría presiones sobre precios y el sector externo y pudiera llevar a un contexto de especulación y crisis. Es por esto que se opta por seguir priorizando políticas contraccionistas para evitar la inflación, como si éste fuese el principal problema del país. Asimismo, el gobierno insiste en las reformas estructurales (apertura eléctrica, petrolera, reforma fiscal y laboral para ampliar la esfera de influencia del sector privado nacional y extranjero y para consolidar el saneamiento fiscal y abaratar el costo de la fuerza de trabajo, impulsando así la dinámica económica. Sin embargo, tales reformas ya las hemos vivido —desde el gobierno de Salinas de Gortari a la fecha— y sus resultados han sido crecimientos espurios que han desembocado en crisis y en el actual estancamiento. Mientras prosiga la actual política económica seguirá deteriorándose la esfera productiva y aumentando el desempleo, sin que se logre un crecimiento sostenido y menos vulnerable de la economía

Treatment Modalities and Antimicrobial Stewardship Initiatives in the Management of Intra-Abdominal Infections

Directory of Open Access Journals (Sweden)

Charles Hoffmann

2016-02-01

Full Text Available Antimicrobial stewardship programs (ASPs focus on improving the utilization of broad spectrum antibiotics to decrease the incidence of multidrug-resistant Gram positive and Gram negative pathogens. Hospital admission for both medical and surgical intra-abdominal infections (IAIs commonly results in the empiric use of broad spectrum antibiotics such as fluoroquinolones, beta-lactam beta-lactamase inhibitors, and carbapenems that can select for resistant organisms. This review will discuss the management of uncomplicated and complicated IAIs as well as highlight stewardship initiatives focusing on the proper use of broad spectrum antibiotics.

Participatory eHealth development to support nurses in antimicrobial stewardship

NARCIS (Netherlands)

Wentzel, Jobke; van Velsen, Lex; van Limburg, Maarten; de Jong, Nienke; Karreman, Joyce; Hendrix, Ron; van Gemert-Pi, Julia Elisabeth Wilhelmina Cornelia

2014-01-01

Background: Antimicrobial resistance poses a threat to patient safety worldwide. To stop antimicrobial resistance, Antimicrobial Stewardship Programs (ASPs; programs for optimizing antimicrobial use), need to be implemented. Within these programs, nurses are important actors, as they put

Participatory eHealth development to support nurses in antimicrobial stewardship

NARCIS (Netherlands)

Wentzel, M.J.; van Velsen, Lex Stefan; van Limburg, A.H.M.; Beerlage-de Jong, Nienke; Karreman, Joyce; Hendrix, Ron; van Gemert-Pijnen, Julia E.W.C.

2014-01-01

Background Antimicrobial resistance poses a threat to patient safety worldwide. To stop antimicrobial resistance, Antimicrobial Stewardship Programs (ASPs; programs for optimizing antimicrobial use), need to be implemented. Within these programs, nurses are important actors, as they put

An integrated stewardship model : Antimicrobial, infection prevention and diagnostic (AID)

NARCIS (Netherlands)

Dik, Jan-Willem H.; Poelman, Randy; Friedrich, Alexander W.; Panday, Prashant Nannan; Lo-Ten-Foe, Jerome R.; van Assen, Sander; van Gemert-Pijnen, Julia E. W. C.; Niesters, Hubert G. M.; Hendrix, Ron; Sinha, Bhanu

2016-01-01

Considering the threat of antimicrobial resistance and the difficulties it entails in treating infections, it is necessary to cross borders and approach infection management in an integrated, multidisciplinary manner. We propose the antimicrobial, infection prevention and diagnostic stewardship

An integrated stewardship model: antimicrobial, infection prevention and diagnostic (AID)

NARCIS (Netherlands)

Dik, Jan-Willem H.; Poelman, Randy; Friedrich, Alexander W.; Panday, Prashant N.; Lo-Ten-Foe, Jerome R.; van Assen, Sander; van Gemert-Pijnen, Julia E.W.C.; Niesters, Hubert G.M.; Hendrix, Ron; Sinha, Bhanu

2015-01-01

Considering the threat of antimicrobial resistance and the difficulties it entails in treating infections, it is necessary to cross borders and approach infection management in an integrated, multidisciplinary manner. We propose the antimicrobial, infection prevention and diagnostic stewardship

La elite económica Argentina, 1810-1914

Directory of Open Access Journals (Sweden)

Roy Hora

2014-12-01

Full Text Available Este artículo analiza los principales rasgos del sector más poderoso de la elite económica argentina del período 1810-1914. El trabajo discute las principales interpretaciones sobre las características y naturaleza de este grupo, pone de relieve algunas de limitaciones de los enfoques más habituales sobre el tema, y sugiere de qué manera conceptualizarlo de forma productiva. Aunque el objeto de este trabajo es la elite económica, todo análisis de este actor supone a la vez una manera de concebir las características del sistema de poder y del entorno económico en el que se desenvuelve la acción de los hombres de fortuna. Por este motivo, este trabajo formula algunas consideraciones generales sobre las características del Estado (argentino y el capitalismo (pampeano, con el fin de precisar mejor qué tipo de elite económica dominó la producción rural y la economía argentina en el período de crecimiento exportador que se extendió desde la Independencia hasta la Primera Guerra Mundial. El trabajo toma distancia de los estudios que enfatizan la importancia de la dimensión política para explicar el proceso de constitución y reproducción de esta elite económica, enfatizando en cambio los determinantes económicos de este proceso. El ensayo no aporta nueva evidencia empírica, sino una reflexión a partir de la literatura existente.

Impact of Environmental Education on the Knowledge and Attitude of Students towards the Environment

Science.gov (United States)

Erhabor, Norris I.; Don, Juliet U.

2016-01-01

Environmentally aware and empowered youths are potentially the greatest agent of change for the long term protection and stewardship of the environment. Thus environmental education which promotes such change will enable these youths to have a greater voice on environmental issue if effectively implemented in Nigeria. Hence, this study was…

Leveraging best practices to promote health, safety, sustainability, and stewardship.

Science.gov (United States)

Weiss, Marjorie D

2013-08-01

Strategically leveraging health and safety initiatives with sustainability and stewardship helps organizations improve profitability and positively impact team member and customer attachment to the organization. Collective efficacy enhances the triple bottom line: healthy people, healthy planet, and healthy profits. The HS(3)™ Best Practice Exchanges group demonstrated that collective efficacy can leverage the social cohesion, communication channels, and activities within workplaces to promote a healthy, sustainable work culture. This in turn (1) protects the health and safety of workers, (2) preserves the natural environment, and (3) increases attachment to the organization. Community-based participatory research using the Attach21 survey assessed the progress of these companies in their efforts to integrate health, safety, sustainability, and stewardship. Monthly Best Practice Exchanges promoted collective efficacy by providing support, encouragement, and motivation to share and adopt new ideas. Copyright 2013, SLACK Incorporated.

Choosing Wisely Canada Students and Trainees Advocating for Resource Stewardship (STARS) campaign: a descriptive evaluation.

Science.gov (United States)

Cardone, Franco; Cheung, Daphne; Han, Angela; Born, Karen B; Alexander, Lisa; Levinson, Wendy; Wong, Brian M

2017-12-19

Resource stewardship is being increasingly recognized as an essential competency for physicians, but medical schools are just beginning to integrate this into education. We describe the evaluation of Choosing Wisely Canada's Students and Trainees Advocating for Resource Stewardship (STARS) campaign, a student-led campaign to advance resource stewardship education in medical schools across Canada. We evaluated the campaign 6 months after its launch, in November 2015. STARS students were administered a telephone survey eliciting a description of the initiatives that they had implemented or planned to implement at their schools to promote resource stewardship, and exploring their perceptions of facilitators of and barriers to successful implementation of their initiatives. We used a mixed-methods approach to analyze and summarize the data. Twenty-seven (82%) of the 33 eligible students representing all 17 medical schools responded. In 14 schools (82%), students led various local activities (e.g., interest groups, campaign weeks) to raise awareness about resource stewardship among medical students and faculty. Students contributed to curriculum change (both planned and implemented) at 10 schools (59%). Thematic analysis revealed key program characteristics that facilitated success (e.g., pan-Canadian student network, local faculty champion) as well as barriers to implementing change (e.g., complex processes to change curriculum, hierarchical nature of medical school). This student-led campaign, with support from local faculty and Choosing Wisely Canada staff, led to awareness-building activities and early curricula change at medical schools across Canada. Future plans will build on the initial momentum created by the STARS campaign to sustain and spread local initiatives. Copyright 2017, Joule Inc. or its licensors.

[The absence of stewardship in the Chilean health authority after the 2004 health reform].

Science.gov (United States)

Herrera, Tania; Sánchez, Sergio

2014-11-26

Stewardship is the most important political function of a health system. It is a government responsibility carried out by the health authority. Among other dimensions, it is also a meta-function that includes conduction and regulation. The Health Authority and Management Act, which came about from the health reform of 2004, separated the functions of service provision and stewardship with the aim of strengthening the role of the health authority. However, the current structure of the health system contains overlapping functions between the different entities that leads to lack of coordination and inconsistencies, and a greater weight on individual health actions at the expense of collective ones. Consequently, a properly funded national health strategy to improve the health of the population is missing. Additionally, the components of citizen participation and governance are weak. It is necessary, therefore, to revisit the Chilean health structure in order to develop one that truly enables the exercise of the health authority’s stewardship role.

The absence of stewardship in the Chilean health authority after the 2004 health reform

Directory of Open Access Journals (Sweden)

Tania Herrera

2014-11-01

Full Text Available Stewardship is the most important political function of a health system. It is a government responsibility carried out by the health authority. Among other dimensions, it is also a meta-function that includes conduction and regulation. The Health Authority and Management Act, which came about from the health reform of 2004, separated the functions of service provision and stewardship with the aim of strengthening the role of the health authority. However, the current structure of the health system contains overlapping functions between the different entities that leads to lack of coordination and inconsistencies, and a greater weight on individual health actions at the expense of collective ones. Consequently, a properly funded national health strategy to improve the health of the population is missing. Additionally, the components of citizen participation and governance are weak. It is necessary, therefore, to revisit the Chilean health structure in order to develop one that truly enables the exercise of the health authority’s stewardship role

US antibiotic stewardship and penicillin allergy.

Science.gov (United States)

Wada, Kara J; Calhoun, Karen H

2017-06-01

The purpose of this review is to improve otolaryngologists' antibiotic stewardship by detailing current approaches to penicillin allergy. Although up to 15% of hospitalized patients in the United States have a penicillin allergy recorded on their charts, fewer than 10% of these have a true penicillin allergy. Using a combination of a detailed allergy history, skin testing and graded-dose administration, many patients whose charts say 'penicillin-allergic' can safely be treated with penicillin and cross-reacting antibiotics. This permits use of narrower-spectrum antibiotics and saves money.

Ecosystem stewardship: sustainability strategies for a rapidly changing planet

Science.gov (United States)

F. Stuart Chapin; Stephen R. Carpenter; Gary P. Kofinas; Carl Folke; Nick Abel; William C. Clark; Per Olsson; D. Mark Stafford Smith; Brian Walker; Oran R. Young; Fikret Berkes; Reinette Biggs; J. Morgan Grove; Rosamond L. Naylor; Evelyn Pinkerton; Will Steffen; Frederick J. Swanson

2010-01-01

Ecosystem stewardship is an action-oriented framework intended to foster the social-ecological sustainability of a rapidly changing planet. Recent developments identify three strategies that make optimal use of current understanding in an environment of inevitable uncertainty and abrupt change: reducing the magnitude of, and exposure and sensitivity to, known stresses...

Implementation of an antimicrobial stewardship program on the medical-surgical service of a 100-bed community hospital

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Storey Donald F

2012-10-01

Full Text Available Abstract Background Antimicrobial stewardship has been promoted as a key strategy for coping with the problems of antimicrobial resistance and Clostridium difficile. Despite the current call for stewardship in community hospitals, including smaller community hospitals, practical examples of stewardship programs are scarce in the reported literature. The purpose of the current report is to describe the implementation of an antimicrobial stewardship program on the medical-surgical service of a 100-bed community hospital employing a core strategy of post-prescriptive audit with intervention and feedback. Methods For one hour twice weekly, an infectious diseases physician and a clinical pharmacist audited medical records of inpatients receiving systemic antimicrobial therapy and made non-binding, written recommendations that were subsequently scored for implementation. Defined daily doses (DDDs; World Health Organization Center for Drug Statistics Methodology and acquisition costs per admission and per patient-day were calculated monthly for all administered antimicrobial agents. Results The antimicrobial stewardship team (AST made one or more recommendations for 313 of 367 audits during a 16-month intervention period (September 2009 – December 2010. Physicians implemented recommendation(s from each of 234 (75% audits, including from 85 of 115 for which discontinuation of all antimicrobial therapy was recommended. In comparison to an 8-month baseline period (January 2009 – August 2009, there was a 22% decrease in defined daily doses per 100 admissions (P = .006 and a 16% reduction per 1000 patient-days (P = .013. There was a 32% reduction in antimicrobial acquisition cost per admission (P = .013 and a 25% acquisition cost reduction per patient-day (P = .022. Conclusions An effective antimicrobial stewardship program was implemented with limited resources on the medical-surgical service of a 100-bed community hospital.

Socialização econômica: conhecendo o mundo econômico das crianças Economic Socialization: knowing the children's economic world

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Iani Dias Lauer-Leite

2010-08-01

Full Text Available O aprendizado de conceitos econômicos e os comportamentos econômicos de crianças são objetos de estudo da Socialização Econômica, uma área que tem atraído a atenção de pesquisadores, tanto da Psicologia do Desenvolvimento quanto da Psicologia Econômica. Os estudos têm aumentado significativamente nos últimos anos em outros países, mas no Brasil poucas pesquisas têm sido desenvolvidas. Este artigo objetiva apresentar a socialização econômica como uma área de pesquisa promissora e em franco desenvolvimento, mediante a discussão de três questões fundamentais inerentes à área: 1 As fases de desenvolvimento do pensamento econômico, 2 Variáveis que interferem na socialização econômica e 3 Comportamentos econômicos de crianças. No decorrer do artigo são evidenciados os principais resultados que pretendem responder às questões citadas e são mencionadas as lacunas a preencher, como possibilidades de pesquisas a realizar. Finaliza-se com sugestões para uma agenda brasileira de pesquisas.The child's learning of economic concepts and economic' behaviors are subjects of economic socialization. The research in this area is increasing in the recent years but in Brazil there are a few studies only. This article aims to introduce economic socialization as a promising research area, through discussion of three questions: 1 stages of economic reasoning development, 2 variables that interfere in economic socialization and 3 children's economic behaviors. The article shows the most important results that try to answer those questions, points out some lacks to filled in and future investigations. Finally suggestions are presented for a Brazilian research agenda.

Development of effective hospital-based antibiotic stewardship program. The role of infectious disease specialist

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Georgios Chrysos

2017-01-01

Full Text Available Excessive antibiotic consumption and misuse is one of the main factors responsible for the emergence of antibiotic-resistant bacteria and has been associated with increased health care costs. Active intervention is necessary in changing antimicrobial prescribing practices. The Infection Control Committee and the administration of our hospital decided to implement an antibiotic stewardship program beginning in January 2016 in order to reduce inappropriate antibiotic use and to combat antibiotic resistance through improved prescribing practices. The antimicrobial stewardship team includes an ID specialist, physicians, infection control nurses, a microbiologist and a pharmacist who are responsible for the implementation of the program. Preauthorization by an ID specialist and prospective review is necessary for all pharmacy orders of antibiotics under restriction. Pre-intervention, we collected Pharmacy and hospital data regarding antibiotic consumption and numbers of patient-days for the years 2013-2015. We calculated antibiotic use in Defined Daily Doses (DDDs/100 patient-days. After one year, the antibiotic stewardship program was effective in reducing consumption of most antibiotics. The result of the implementation of the program in our hospital was a reduction about 17% of antibiotic DDDs/100 patient-days and about 21% of the antibiotic cost/100 patient-days. Education is an essential element of our program in order to influence prescribing behavior. Lectures and brochures are used to supplement strategies. Antibiotic stewardship programs have been shown from many studies to improve patient outcomes, reduce antibiotic resistance and save money.

78 FR 4135 - Programmatic Environmental Impact Statement for the Training Mission and Mission Support...

Science.gov (United States)

2013-01-18

... INFORMATION CONTACT: Mr. Gene Zirkle at (270) 798-9854, during normal working business hours Monday through.... This includes the formalization of environmental stewardship best management practices (BMPs...

Which Factors Contribute to Environmental Behaviour of Landowners in Southwestern Ontario, Canada?

Science.gov (United States)

Nebel, Silke; Brick, Jeff; Lantz, Van A.; Trenholm, Ryan

2017-09-01

Loss of natural heritage is a problem that is particularly prevalent in areas of high population density. We used a survey to understand the factors that drive environmental behavior of landowners in southwestern Ontario, Canada. The survey, which contained questions about environmental attitude, pro-environmental behavior and demographics, was mailed to 18,090 rural route addresses, and we received 3256 completed surveys (18% response rate). Two types of environmental behavior, namely voluntarily increasing the area of land set aside for conservation, and enrollment in a conservation stewardship program, were significantly correlated with a positive attitude towards conservation. Financial considerations also played a role. We showed that the biggest motivator to enroll in a wetland enhancement program was access to `more information on how the decline in wetland area affects them personally', while `public recognition' was the least motivating factor. We suggest that enrollment in voluntary land stewardship programs might be increased by providing information about the effects of ecosystem loss, and by providing financial incentives for participation. In a larger social context, outreach programs by government agencies could focus on improving pro-environmental attitudes, which in turn is likely to result in more pro-environmental behavior of landowners.

Which Factors Contribute to Environmental Behaviour of Landowners in Southwestern Ontario, Canada?

Science.gov (United States)

Nebel, Silke; Brick, Jeff; Lantz, Van A; Trenholm, Ryan

2017-09-01

Loss of natural heritage is a problem that is particularly prevalent in areas of high population density. We used a survey to understand the factors that drive environmental behavior of landowners in southwestern Ontario, Canada. The survey, which contained questions about environmental attitude, pro-environmental behavior and demographics, was mailed to 18,090 rural route addresses, and we received 3256 completed surveys (18% response rate). Two types of environmental behavior, namely voluntarily increasing the area of land set aside for conservation, and enrollment in a conservation stewardship program, were significantly correlated with a positive attitude towards conservation. Financial considerations also played a role. We showed that the biggest motivator to enroll in a wetland enhancement program was access to 'more information on how the decline in wetland area affects them personally', while 'public recognition' was the least motivating factor. We suggest that enrollment in voluntary land stewardship programs might be increased by providing information about the effects of ecosystem loss, and by providing financial incentives for participation. In a larger social context, outreach programs by government agencies could focus on improving pro-environmental attitudes, which in turn is likely to result in more pro-environmental behavior of landowners.

Antimicrobial stewardship initiatives throughout Europe: proven value for money

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Edwin J.M. Oberjé

2017-03-01

Full Text Available Antimicrobial stewardship is recognized as a key component to stop the current European spread of antimicrobial resistance. It has also become evident that antimicrobial resistance is a problem that cannot be tackled by single institutions or physicians. Prevention of antimicrobial resistance needs rigorous actions at ward level, institution level, national level and at supra-national levels. Countries can learn from each other and possibly transplant best practices across borders to prevent antimicrobial resistance. The aim of this study is to highlight some of the success stories of proven cost-effective interventions, and to describe the actions that have been taken, the outcomes that have been found, and the difficulties that have been met. In some cases we came across substantial scope for real-life cost savings. Although the best approach to effectively hinder the spread of antimicrobial resistance remains unclear and may vary significantly among settings, several EU-wide examples demonstrate that cost-effective antimicrobial stewardship is possible. Such examples can encourage others to implement (the most cost-effective elements in their system.

Herencia política y económica

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Wesley C. Marshall

2011-01-01

Full Text Available El artículo busca resaltar la relevancia de la vida política de Hilferding en el actual contexto de la crisis financiera global y la probablemente alta radicalización de las posiciones políticas de los países dominantes como resultado de aquella. Como se argumenta, había un alto grado de coherencia entre el pensamiento económico de Hilferding y su actuación política. Justamente por el hecho de que el proyecto socialista alemán durante la Republica Weimar no logró sus objetivos, el pensamiento político y económico de su líder intelectual es altamente relevante en el escenario global actual, donde la crisis económica y descomposición social y política que la acompañen reclaman a los principales políticos del mundo un entendimiento económico más amplio y profundo para que las tragedias de Europa central de los años treinta y cuarenta del siglo XX no se reproduzcan.

Aspectos económicos del aislamiento acústico

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Amarilla, Beatriz C.

1990-12-01

Full Text Available The general objective of this study was to analyze the soundproofing/cost ratio with different building alternatives for interior walls and floors. This technical-economic study was divided into three parts: — Dividing walls (environmental noises — Floors (impact noises — Special Solutions (double walls, floating floors, etcetera The results show that in developing countries the most costly solutions are not always the best for housing, as far as soundproofing is concerned. A good knowledge of the economic aspects related to this matter allows obtaining a good quality at a moderate cost, which is a priority in this type of country.

El objetivo general de este trabajo fue el de analizar el comportamiento de la relación costo-aislamiento acústico en soluciones constructivas alternativas para muros interiores y entrepisos. Este estudio técnico-económico comprende tres partes: * Muros divisorios (ruidos aéreos. * Entrepisos (ruidos de impacto. * Soluciones especiales (muros de doble hoja, pisos flotantes, etc. Se llega a la conclusión que, en los países en desarrollo, no siempre las mejores soluciones para la vivienda, desde el punto de vista acústico, son las de mayor costo. Conocer en profundidad los aspectos económicos de esta cuestión significa poder lograr una buena calidad con costos moderados, lo cual constituye una prioridad en este tipo de países.

La contribución del turismo al crecimiento económico de Oaxaca

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Nitzia Marisol Soriano Virafuentes

2015-07-01

Full Text Available El turismo es una de las actividades económicas que han cobrado cada vez mayor relevancia como posible motor de crecimiento económico. Sin embargo, la relación que existe entre el turismo y el crecimiento económico a nivel regional ha sido poco estudiada. En este trabajo se presenta la metodología propuesta por Ivanov y Webster para medir la contribución del turismo al crecimiento económico, la cual consiste en la desagregación del crecimiento económico generado por el turismo y el crecimiento económico generado por el resto de las actividades económicas. Este método es aplicado para el estado de Oaxaca durante el periodo 2004-2011. Los resultados muestran que el turismo no ha contribuido al crecimiento económico de Oaxaca.

The Stewardship Role of Analyst Forecasts, and Discretionary Versus Non-Discretionary Accruals

DEFF Research Database (Denmark)

Christensen, Peter Ove; Frimor, Hans; Sabac, Florin

We examine the interaction between discretionary and non-discretionary accruals in a stewardship setting. Contracting includes multiple rounds of renegotiation based on contractible accounting information and non-contractible but more timely non-accounting information. We show that accounting...... timely non-accounting information (analyst earnings forecasts) increases the ex ante value of the firm and reduces costly earnings management. There is an optimal level of reversible non-discretionary accrual noise introduced through revenue recognition policies. Tight rules-based accounting regulation...... regulation aimed at increasing earnings quality from a valuation perspective (earnings persistence) may have a significant impact on how firms rationally respond in terms of allowing accrual discretion in order to alleviate the impact on the stewardship role of earnings. Increasing the precision of more...

The Stewardship Role of Analyst Forecasts, and Discretionary Versus Non-Discretionary Accruals

DEFF Research Database (Denmark)

Christensen, Peter Ove; Frimor, Hans; Sabac, Florin

2013-01-01

We examine the interaction between discretionary and non-discretionary accruals in a stewardship setting. Contracting includes multiple rounds of renegotiation based on contractible accounting information and non-contractible but more timely non-accounting information. We show that accounting...... timely non-accounting information (analyst earnings forecasts) increases the ex ante value of the firm and reduces costly earnings management. There is an optimal level of reversible non-discretionary accrual noise introduced through revenue recognition policies. Tight rules-based accounting regulation...... regulation aimed at increasing earnings quality from a valuation perspective (earnings persistence) may have a significant impact on how firms rationally respond in terms of allowing accrual discretion in order to alleviate the impact on the stewardship role of earnings. Increasing the precision of more...

The effectiveness of experiential environmental education: O'Neill Sea Odyssey program case study

Science.gov (United States)

Hanneman, Lauren E.

Environmental education programs aim to develop participant awareness, sensitivity, and understanding of their affective relationship to the natural environment through conceptual knowledge and personal experiences. Previous findings have suggested that participation in environmental education programs leads to short-term positive increases in environmental knowledge, pro-environmental attitudes, and intentions to act in environmentally responsible behaviors; however, few studies have included long-term, follow-up assessment. This research provided an analysis of the effectiveness of the O'Neill Sea Odyssey (OSO) education program in fostering a long-term awareness of personal responsibility about ocean pollution among student participants. A survey administered to 261 students from the greater San Francisco Bay Area in California was used to explore 7th through 10 th grade students' conceptions about the connection between ocean pollution and stewardship behaviors. The study revealed that 75% of 86 former OSO participants retained a high level of awareness of the connection between non-point source pollution and personal behaviors two to five years after the program, regardless of differences in sex, language, grade level, and community setting. These results indicate that OSO participants retained a long-term conceptual awareness about environmental stewardship behaviors taught during the OSO program.

Antimicrobial Stewardship: A Call to Action for Surgeons

Science.gov (United States)

Duane, Therese M.; Catena, Fausto; Tessier, Jeffrey M.; Coccolini, Federico; Kao, Lillian S.; De Simone, Belinda; Labricciosa, Francesco M.; May, Addison K.; Ansaloni, Luca; Mazuski, John E.

2016-01-01

Abstract Despite current antimicrobial stewardship programs (ASPs) being advocated by infectious disease specialists and discussed by national and international policy makers, ASPs coverage remains limited to only certain hospitals as well as specific service lines within hospitals. The ASPs incorporate a variety of strategies to optimize antimicrobial agent use in the hospital, yet the exact set of interventions essential to ASP success remains unknown. Promotion of ASPs across clinical practice is crucial to their success to ensure standardization of antimicrobial agent use within an institution. To effectively accomplish this standardization, providers who actively engage in antimicrobial agent prescribing should participate in the establishment and support of these programs. Hence, surgeons need to play a major role in these collaborations. Surgeons must be aware that judicious antibiotic utilization is an integral part of any stewardship program and necessary to maximize clinical cure and minimize emergence of antimicrobial resistance. The battle against antibiotic resistance should be fought by all healthcare professionals. If surgeons around the world participate in this global fight and demonstrate awareness of the major problem of antimicrobial resistance, they will be pivotal leaders. If surgeons fail to actively engage and use antibiotics judiciously, they will find themselves deprived of the autonomy to treat their patients. PMID:27828764

A Report to Congress on Long-Term Stewardship. Volume II, Site Summaries

Energy Technology Data Exchange (ETDEWEB)

None, None

2001-01-01

During World War II and the Cold War, the Federal government developed and operated a vast network of industrial facilities for the research, production, and testing of nuclear weapons, as well as for other scientific and engineering research. These processes left a legacy of radioactive and chemical waste, environmental contamination, and hazardous facilities and materials at well over a 100 sites in 30 States and one U.S. Territory. Hundreds of thousand of acres of residually contaminated soils, contaminated groundwater, surface water and sediment contamination, and contaminated buildings are present at many sites across the country. These sites range in size from less than one acre, containing only a single facility, to large sites spanning over 100,000 acres with huge uranium enrichment plants and plutonium processing canyons. Since 1989, the U.S. Department of Energy’s (DOE) Environmental Management (EM) program has made significant progress in addressing this environmental legacy. Millions of cubic meters of waste have been removed, stabilized, or disposed of, resulting in significant risk and cost reduction. In addition, DOE began disposing of transuranic (i.e., plutonium-contaminated) waste in the nation’s first deep geologic repository – the Waste Isolation Pilot Plant in New Mexico. DOE is now carrying out its long-term stewardship obligations at dozens of sites, including smaller sites where DOE has completed cleanup work for the entire site and many larger sites where DOE has remediated portions of the site.

Liberalización económica y crecimiento económico. Modelo Logit Multinomial aplicado a la metodología de "Doing Business"

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Alberto Gómez Mejía

2011-01-01

de Doing Business explican cómo, cuando un país implementa estos criterios, incrementa las posibilidades de pasar a un nivel de ingreso per cápita superior, lo cual implica mayor crecimiento económico y potencial desarrollo económico.

The Changing Role of Data Stewardship in Creating Trustworthy, Interdisciplinary High Performance Data Platforms for the Future.

Science.gov (United States)

Richards, C. J.; Evans, B. J. K.; Wyborn, L. A.; Wang, J.; Trenham, C. E.; Druken, K. A.

2016-12-01

The Australian National Computational Infrastructure (NCI) has ingested over 10PB of national and international environmental, Earth systems science and geophysics reference data onto a single platform to advance high performance data (HPD) techniques that enable interdisciplinary Data-intensive Science. Improved Data Stewardship is critical to evolve both data and data services that support the increasing need for programmatic usability and that prioritises interoperability rather than just traditional data download or portal access. A data platform designed for programmatic access requires quality checked collections that better utilise interoperable data formats and standards. Achieving this involves strategies to meet both the technical and `social' challenges. Aggregating datasets used by different communities and organisations requires satisfying multiple use cases for the broader research community, whilst addressing existing BAU requirements. For NCI, this requires working with data stewards to manage the process of replicating data to the common platform, community representatives and developers to confirm their requirements, and with international peers to better enable globally integrated data communities. It is particularly important to engage with representatives from each community who can work collaboratively to a common goal, as well as capture their community needs, apply quality assurance, determine any barriers to change and to understand priorities. This is critical when managing the aggregation of data collections from multiple producers with different levels of stewardship maturity, technologies and standards, and where organisational barriers can impact the transformation to interoperable and performant data access. To facilitate the management, development and operation of the HPD platform, NCI coordinates technical and domain committees made up of user representatives, data stewards and informatics experts to provide a forum to discuss

Emergence of Global Adaptive Governance for Stewardship of Regional Marine Resources

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Henrik Österblom

2013-06-01

Full Text Available Overfishing has historically caused widespread stock collapses in the Southern Ocean. Until recently, illegal, unreported, and unregulated (IUU fishing threatened to result in the collapse of some of the few remaining valuable fish stocks in the region and vulnerable seabird populations. Currently, this unsustainable fishing has been reduced to less than 10% of former levels. We describe and analyze the emergence of the social-ecological governance system that made it possible to curb the fisheries crisis. For this purpose, we investigated the interplay between actors, social networks, organizations, and institutions in relation to environmental outcomes. We drew on a diversity of methods, including qualitative interviews, quantitative social network and survey data, and literature reviews. We found that the crisis triggered action of an informal group of actors over time, which led to a new organization (ISOFISH that connected two independent networks (nongovermental organizations and the fishing industry, and later (COLTO linked to an international body and convention (CCAMLR. The emergence of the global adaptive governance systems for stewardship of a regional marine resource took place over a 15-year period. We describe in detail the emergence process and illustrate the usefulness of analyzing four features of governance and understanding social-ecological processes, thereby describing structures and functions, and their link to tangible environmental outcomes.

76 FR 17180 - Meeting of the Regional Resource Stewardship Council

Science.gov (United States)

2011-03-28

... area components of the draft NRP and the benefits and challenges stemming from such programs. 5. Public... and will be called on during the public comment period. Handout materials should be limited to one printed page. Written comments are also invited and may be mailed to the Regional Resource Stewardship...

Achieving environmental excellence through a multidisciplinary grassroots movement.

Science.gov (United States)

Herechuk, Bryan; Gosse, Carolyn; Woods, John N

2010-01-01

St. Joseph's Healthcare Hamilton (SJHH) supports a grassroots green team, called Environmental Vision and Action (EVA). Since the creation of EVA, a healthy balance between corporate projects led by corporate leaders and grassroots initiatives led by informal leaders has resulted in many successful environmental initiatives. Over a relatively short period of time, environmental successes at SJHH have included waste diversion programs, energy efficiency and reduction initiatives, alternative commuting programs, green purchasing practices, clinical and pharmacy greening and increased staff engagement and awareness. Knowledge of social movements theory helped EVA leaders to understand the internal processes of a grassroots movement and helped to guide it. Social movements theory may also have broader applicability in health care by understanding the passionate engagement that people bring to a common cause and how to evolve sources of opposition into engines for positive change. After early successes, as the limitations of a grassroots movement began to surface, the EVA team revived the concept of evolving the grassroots green program into a corporate program for environmental stewardship. It is hard to quantify the importance of allowing our staff, physicians, volunteers and patients to engage in changes that they feel passionately about. However, at SJHH, the transformation of a group of people unsatisfied with the organization's environmental performance into an 'engine for change' has led to a rapid improvement in environmental stewardship at SJHH that is now regarded as a success.

Sustentabilidade: mantra ou escolha moral? uma abordagem ecológico-econômica

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Clóvis Cavalcanti

2012-01-01

Full Text Available Qual é o tamanho ótimo da escala econômica que a natureza pode admitir? A questão requer que se esteja falando de uma situação em que a economia seja vista como subsistema do ecossistema. É assim que a economia ecológica percebe a realidade e é nessa óptica que se configura o conceito de sustentabilidade ecológica. O impacto ambiental do crescimento sobre os recursos e sumidouros da natureza tem que ser contido dentro de limites. A noção usual de sustentabilidade, porém, dá a impressão de se ter convertido numa espécie de mantra da atualidade, sem maior compromisso. Mudanças no sistema econômico são inevitáveis como forma de adaptação às restrições que o processo econômico confronta. Cabe indagar o que é que se deseja sustentar e em que escala de tempo. À sociedade cumpre escolher a mudança a se fazer: uma escolha moral.What is the optimum scale of the economy compatible with nature? This question asks for consideration of the economy as a subsystem of the ecosystem. Ecological economics adopts that perspective permitting that the concept of environmental sustainability be established. This implies that the environmental impact of growth on the source and sink functions of nature be contained within limits. The usual notion of sustainability, however, gives the impression of having been transformed into a kind of today's mantra, without serious obligations. Changes in the economic system are unavoidable as a means of adaptation to the restrictions that the economic process encounters. This requires knowing what it is to be sustained and in within which time scale. The duty of choosing the changes to be made must be ascribed to society: a moral choice.

Measuring the Efficacy of an Energy and Environmental Awareness Campaign to Effectively Reduce Water Consumption

Science.gov (United States)

Miller, Laura Little

2010-01-01

Increased energy costs and a move toward environmental stewardship are driving many organizations, including universities, to engage in awareness efforts to reduce both energy consumption and their carbon footprint. The purpose of this paper is to determine whether organizational programs aimed at energy and environmental awareness have a…

Impact of an Antimicrobial Stewardship Program on Antibiotic Use at a Nonfreestanding Children's Hospital.

Science.gov (United States)

Turner, R Brigg; Valcarlos, Elena; Loeffler, Ann M; Gilbert, Michael; Chan, Dominic

2017-09-01

Pediatric stewardship programs have been successful at reducing unnecessary antibiotic use. Data from nonfreestanding children's hospitals are currently limited. This study is an analysis of antibiotic use after implementation of an antimicrobial stewardship program at a community nonfreestanding children's hospital. In April 2013, an antimicrobial stewardship program that consisted of physician-group engagement and pharmacist prospective auditing and feedback was initiated. We compared antibiotic use in the preintervention period (April 2012 to March 2013) with that in the postintervention period (April 2013 to March 2015) in all units except the neonatal intensive care unit and the emergency department. In addition, drug-acquisition costs, antibiotic-specific use, death, length of stay, and case-mix index were examined. Antibiotic use decreased by 16.8% (95% confidence interval, 18.0% to -9.2%; P antibiotic use without an overt negative impact on overall clinical outcomes. The results of this study suggest that nonfreestanding children's hospitals can achieve substantial reductions in antibiotic use despite limited resources. © The Author 2016. Published by Oxford University Press on behalf of the Pediatric Infectious Diseases Society. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Synthetic and Virtual Environmental Media (SAVEM)

International Nuclear Information System (INIS)

Booth, F. H. K.; Decker, K. M.; Bath, R. J.; Bottrell, D. W.; Wright, K. L.

2002-01-01

The Synthetic and Virtual Environmental Media (SAVEM) Program, developed at the DOE Environmental Measurements Laboratory, responds directly to issues of improved data quality, increased regulatory confidence, analytical laboratory waste minimization, pollution prevention, worker safety/radiation exposure risk reduction, and environmental stewardship. The SAVEM radiochemistry information analysis system uses digitally generated spectra to accurately model gamma-ray emission characteristics of radiological samples. A digital virtual sample can be specified that has the characteristics of any environmental media such as soil, sediment, or vegetation, and which exhibits the spectral characteristics of more than 2,000 gamma-emitting nuclides. The SAVEM system can duplicate the characteristics of 2,361 individual radionuclides with 47,902 gamma lines

Sistema financiero y productividad económica

OpenAIRE

Antonio Torrero Mañas

2012-01-01

La crisis financiera que estalla en el otoño del 2007 ha inducido a reflexionar sobre los efectos económicos de las finanzas. De manera muy especial se están analizando las consecuencias de la expansión de mercados, instituciones y volumen de transacciones financieras. Las finanzas se han extendido en todas las facetas de la vida económica, con las familias como protagonista esencial. La actuación de Gobiernos y Bancos Centrales ha tenido muy en cuenta la experiencia de la Gran Depresión, ...

Environmental considerations related to mining of nonfuel minerals

Science.gov (United States)

Seal, Robert R.; Piatak, Nadine M.; Kimball, Bryn E.; Hammarstrom, Jane M.; Schulz, Klaus J.; DeYoung,, John H.; Seal, Robert R.; Bradley, Dwight C.

2017-12-19

Throughout most of human history, environmental stewardship during mining has not been a priority partly because of the lack of applicable laws and regulations and partly because of ignorance about the effects that mining can have on the environment. In the United States, the National Environmental Policy Act of 1969, in conjunction with related laws, codified a more modern approach to mining, including the responsibility for environmental stewardship, and provided a framework for incorporating environmental protection into mine planning. Today, similar frameworks are in place in the other developed countries of the world, and international mining companies generally follow similar procedures wherever they work in the world. The regulatory guidance has fostered an international effort among all stakeholders to identify best practices for environmental stewardship.The modern approach to mining using best practices involves the following: (a) establishment of a pre-mining baseline from which to monitor environmental effects during mining and help establish geologically reasonable closure goals; (b) identification of environmental risks related to mining through standardized approaches; and (c) formulation of an environmental closure plan before the start of mining. A key aspect of identifying the environmental risks and mitigating those risks is understanding how the risks vary from one deposit type to another—a concept that forms the basis for geoenvironmental mineral-deposit models.Accompanying the quest for best practices is the goal of making mining sustainable into the future. Sustainable mine development is generally considered to be development that meets the needs of the present generation without compromising the ability of future generations to meet their own needs. The concept extends beyond the availability of nonrenewable mineral commodities and includes the environmental and social effects of mine development.Global population growth, meanwhile, has

Alfabetización económica y actitudes hacia la compra en universitarios posterior a un programa de educación económica

Directory of Open Access Journals (Sweden)

Marianela Denegri Coria

2016-01-01

después de participar en el programa de Educación Económica se les aplicó la Escala de Actitudes hacia la Compra y el Consumo y el Test de Alfabetización Económica para adultos (TAE-A. Los resultados indican una menor tendencia hacia la impulsividad en la compra y el consumo en los estudiantes después de participar en la intervención. Las implicancias de este estudio enfatizan la necesidad de crear tempranamente programas de formación económica para favorecer el cambio actitudinal y el consumo reflexivo.

Rapid issue tracking: A method for taking the pulse of the public discussion of environmental policy

Science.gov (United States)

David N. Bengston; David P. Fan; Patrick Reed; Ashley. Goldhor-Wilcock

2009-01-01

Environmental communication professionals and other decision makers need to understand public sentiment toward environmental issues to effectively carry out their stewardship responsibilities. However, it is often difficult to obtain timely and reliable information about public discussion and debate regarding these issues. This paper describes an approach designed to...

El ciclo político - económico en Colombia, 1925-1999

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Mauricio López González, , Christian Fresard Briones

2002-07-01

Full Text Available La teoría de los ciclos político-económicos ha mostrado su capacidad de explicar los ciclos económicos originados por las autoridades económicas de acuerdo con intereses políticos, electorales o ideológicos. Este artículo realiza una revisión de la evidencia empírica de esta teoría en Colombia entre 1925 y 1998. Los resultados obtenidos muestran que en el país se han presentado tanto ciclos de tipo oportunista como partidista, ampliando los resultados obtenidos en estudios anteriores. En consecuencia, se concluye que en Colombia las autoridades económicas han manejado las variables económicas con el fin de conseguir resultados políticos favorables en las elecciones.

Evaluation of Penicillin Allergy in the Hospitalized Patient: Opportunities for Antimicrobial Stewardship.

Science.gov (United States)

Chen, Justin R; Khan, David A

2017-06-01

Penicillin allergy is often misdiagnosed and is associated with adverse consequences, but testing is infrequently done in the hospital setting. This article reviews historical and contemporary innovations in inpatient penicillin allergy testing and its impact on antimicrobial stewardship. Adoption of the electronic medical record allows rapid identification of admitted patients carrying a penicillin allergy diagnosis. Collaboration with clinical pharmacists and the development of computerized clinical guidelines facilitates increased testing and appropriate use of penicillin and related β-lactams. Education of patients and their outpatient providers is the key to retaining the benefits of penicillin allergy de-labeling. Penicillin allergy testing is feasible in the hospital and offers tangible benefits towards antimicrobial stewardship. Allergists should take the lead in this endeavor and work towards overcoming personnel limitations by partnering with other health care providers and incorporating technology that improves the efficiency of allergy evaluation.

Antibiotic stewardship er etableret på Herlev Hospital

DEFF Research Database (Denmark)

Arpi, Magnus; Gjørup, Ida; Boel, Jonas Bredtoft

2014-01-01

A high incidence of Clostridium difficile and multiresistant organisms and increasing consumption of cephalosporins and quinolones have required an antibiotic stewardship programme, and antibiotic audits with feedback, revised guidelines and stringent prescription rules have been successful....... The hospital intervention was managed by an antibiotic team combined with contact persons in all departments, a pocket edition of the guideline was available, and monthly commented reports about antibiotic consumption in each department were presented on the intranet. Declining use of restricted antibiotics...

Los componentes económicos de governance (gobernancia

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Diana Vicher

2016-05-01

Full Text Available Una de las palabras que mayor influencia ha tenido y continúa en boga es governance, que hoy día se acompaña con cualquier calificativo como empresarial, económica, global, mundial, metropolitana, de las tecnologías de la información, e incluso como sinónimo de gobernabilidad. La diversidad de significados usos ha generado un laberinto. En este trabajo se ofrece una revisión a los planteamientos económicos neoinstitucionales y de la Organización para la Cooperación y el Desarrollo Económico (OCDE, desde los que se generó una de las tantas versiones del uso actual de gobernancia. De aquí que se ubica su origen, planteamientos centrales y vinculación con otras ideas de gobernancia que han utilizado para reformar al Estado y la administración pública.

77 FR 6820 - Proposed Information Collection; Comment Request: Creating Stewardship Through Biodiversity...

Science.gov (United States)

2012-02-09

... Information Collection; Comment Request: Creating Stewardship Through Biodiversity Discovery in National Parks... collection (IC) described below. This collection will survey participants of Biodiversity Discovery efforts... Biodiversity Discovery refers to a variety of efforts to discover living organisms through public involvement...

Hacia una teoría económica más humana: el aprendizaje económico del homo viator

OpenAIRE

Ullate, M. (Minerva)

2003-01-01

El objetivo principal de este artículo es mostrar que la consideración de un nuevo agente económico, caracterizado por la perfectibilidad del conocimiento y de la voluntad, permite reintegrar de un modo natural la Economía con la moral; de ahí que la Economía no se pueda entender ya como la ciencia de los "puros medios". Una de las consecuencias de este planeamiento es la mejor comprensión del cambio y del aprendizaje económico.

Experience With Rapid Microarray-Based Diagnostic Technology and Antimicrobial Stewardship for Patients With Gram-Positive Bacteremia.

Science.gov (United States)

Neuner, Elizabeth A; Pallotta, Andrea M; Lam, Simon W; Stowe, David; Gordon, Steven M; Procop, Gary W; Richter, Sandra S

2016-11-01

OBJECTIVE To describe the impact of rapid diagnostic microarray technology and antimicrobial stewardship for patients with Gram-positive blood cultures. DESIGN Retrospective pre-intervention/post-intervention study. SETTING A 1,200-bed academic medical center. PATIENTS Inpatients with blood cultures positive for Staphylococcus aureus, Enterococcus faecalis, E. faecium, Streptococcus pneumoniae, S. pyogenes, S. agalactiae, S. anginosus, Streptococcus spp., and Listeria monocytogenes during the 6 months before and after implementation of Verigene Gram-positive blood culture microarray (BC-GP) with an antimicrobial stewardship intervention. METHODS Before the intervention, no rapid diagnostic technology was used or antimicrobial stewardship intervention was undertaken, except for the use of peptide nucleic acid fluorescent in situ hybridization and MRSA agar to identify staphylococcal isolates. After the intervention, all Gram-positive blood cultures underwent BC-GP microarray and the antimicrobial stewardship intervention consisting of real-time notification and pharmacist review. RESULTS In total, 513 patients with bacteremia were included in this study: 280 patients with S. aureus, 150 patients with enterococci, 82 patients with stretococci, and 1 patient with L. monocytogenes. The number of antimicrobial switches was similar in the pre-BC-GP (52%; 155 of 300) and post-BC-GP (50%; 107 of 213) periods. The time to antimicrobial switch was significantly shorter in the post-BC-GP group than in the pre-BC-GP group: 48±41 hours versus 75±46 hours, respectively (P<.001). The most common antimicrobial switch was de-escalation and time to de-escalation, was significantly shorter in the post-BC-GP group than in the pre-BC-GP group: 53±41 hours versus 82±48 hours, respectively (P<.001). There was no difference in mortality or hospital length of stay as a result of the intervention. CONCLUSIONS The combination of a rapid microarray diagnostic test with an antimicrobial

Crecimiento económico e inequidades en salud

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José A Tapia Granados

Full Text Available En este artículo se discute la relación entre la inequidad en salud y el crecimiento económico. Se revisa el significado general de estos y otros conceptos relacionados (desarrollo económico, desigualdades en salud, se presentan algunos estudios que ilustran las diferentes hipótesis sobre la evolución histórica de la inequidad en salud y se analizan tres casos -EE. UU. en 1920-1940 y en años recientes, y Finlandia durante la expansión de los años 80 y la recesión de los 90- para mostrar la evolución de las inequidades en salud durante los periodos de expansión y recesión en economías de mercado sometidas al denominado ciclo económico. Las inequidades en salud entre grupos étnicos y entre clases sociales son frecuentes en sociedades modernas y algunas de estas inequidades parecen estar aumentando. Al parecer, los períodos de expansión económica no son favorables para la disminución de las inequidades en salud. Por el contrario, y en contra de lo que podría intuirse, los datos sugieren que es durante los períodos de recesión cuando tienden a reducir las inequidades en salud entre grupos privilegiados y desfavorecidos.

NCDC International Best Track Archive for Climate Stewardship (IBTrACS) Project, Version 3

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The International Best Track Archive for Climate Stewardship (IBTrACS) dataset was developed by the NOAA National Climatic Data Center, which took the initial step...

Planning for the Transition to Long-Term Stewardship at Three U.S. Department of Energy-Chicago Operations Office Facilities

International Nuclear Information System (INIS)

Moos, L. P.; Ditmars, J. D.; Heston, S. L.; Granzen, G. A.; Holzemer, M. J.; Bennett, D. B.

2003-01-01

This paper describes a pilot study that resulted in the generation of draft planning documents for the upcoming transition from remediation construction to long-term stewardship at three national laboratories managed by the U.S. Department of Energy (DOE)-Chicago Operations Office (CH). The remediation construction work at these facilities is being completed under the DOE's Office of Environmental Management (EM) Program. Once the remediation is complete, the responsibility for long-term stewardship (LTS) of the closed waste sites is expected to be transferred to the DOE organization responsible for managing each of the three facilities (i.e., the site landlord). To prepare for this transfer, an extensive planning effort is required. This pilot study utilized the DOE guidance in effect at the time to (1) develop a series of documents identifying applicable requirements that the LTS Programs will need to satisfy, issues that need to be resolved before the transfer can proceed, and criteria to be used to determine when active remediation is complete and a given site is ready for transfer to the LTS Program; (2) examine alternate structures for possible LTS Programs; and (3) develop draft LTS Implementation Plans. This advanced planning effort yielded a number of observations and lessons learned that are applicable to any facility approaching the end of its remediation construction phase

Scottish Antimicrobial Prescribing Group (SAPG): development and impact of the Scottish National Antimicrobial Stewardship Programme.

Science.gov (United States)

Nathwani, Dilip; Sneddon, Jacqueline; Malcolm, William; Wiuff, Camilla; Patton, Andrea; Hurding, Simon; Eastaway, Anne; Seaton, R Andrew; Watson, Emma; Gillies, Elizabeth; Davey, Peter; Bennie, Marion

2011-07-01

In 2008, the Scottish Management of Antimicrobial Resistance Action Plan (ScotMARAP) was published by the Scottish Government. One of the key actions was initiation of the Scottish Antimicrobial Prescribing Group (SAPG), hosted within the Scottish Medicines Consortium, to take forward national implementation of the key recommendations of this action plan. The primary objective of SAPG is to co-ordinate and deliver a national framework or programme of work for antimicrobial stewardship. This programme, led by SAPG, is delivered by NHS National Services Scotland (Health Protection Scotland and Information Services Division), NHS Quality Improvement Scotland, and NHS National Education Scotland as well as NHS board Antimicrobial Management Teams. Between 2008 and 2010, SAPG has achieved a number of early successes, which are the subject of this review: (i) through measures to optimise prescribing in hospital and primary care, combined with infection prevention measures, SAPG has contributed significantly to reducing Clostridium difficile infection rates in Scotland; (ii) there has been engagement of all key stakeholders at local and national levels to ensure an integrated approach to antimicrobial stewardship within the wider healthcare-associated infection agenda; (iii) development and implementation of data management systems to support quality improvement; (iv) development of training materials on antimicrobial stewardship for healthcare professionals; and (v) improving clinical management of infections (e.g. community-acquired pneumonia) through quality improvement methodology. The early successes achieved by SAPG demonstrate that this delivery model is effective and provides the leadership and focus required to implement antimicrobial stewardship to improve antimicrobial prescribing and infection management across NHS Scotland. Copyright © 2011 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.

Monitoring, documenting and reporting the quality of antibiotic use in the Netherlands: a pilot study to establish a national antimicrobial stewardship registry

NARCIS (Netherlands)

Berrevoets, M.A.H.; Oever, J. ten; Sprong, T.; Hest, R.M. van; Groothuis, I.; Heijl, I. van; Schouten, J.A.; Hulscher, M.E.J.L.; Kullberg, B.J.

2017-01-01

BACKGROUND: The Dutch Working Party on Antibiotic Policy is developing a national antimicrobial stewardship registry. This registry will report both the quality of antibiotic use in hospitals in the Netherlands and the stewardship activities employed. It is currently unclear which aspects of the

A crise econômica de 2014/2017

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Fernando de Holanda Barbosa Filho

Full Text Available Resumo Este artigo mostra que a crise de 2014/2017 é fruto de uma combinação de choques de oferta e demanda resultado de erros de política econômica. Esses choques produziram uma redução da capacidade de crescimento da economia brasileira e risco de insolvência das finanças públicas. A solução da crise fiscal, através da PEC do teto dos gastos, fará que o país retome o crescimento econômico a partir de 2017, utilizando a capacidade ociosa da economia. No entanto, a taxa de crescimento do produto potencial não recuperará o ritmo anterior devido aos efeitos duradouros das políticas da Nova Matriz Econômica (NME que reduziram o produto potencial nacional. Recomenda-se, portanto, a adoção de políticas que induzam uma recuperação da produtividade da economia brasileira.

económica. Algunos elementos de análisis para precisar los conceptos

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Luis Antonio Cruz Soto

2002-01-01

Full Text Available El presente artículo responde a una serie de inquietudes del autor con respecto al carácter conceptual del neoliberalismo y su relación con la globalización económica. Para ello se ofrecen algunos elementos de estudio para distinguir el significado de la democracia liberal y el liberalismo económico. Posteriormente, se exponen los principales principios del liberalismo económico clásico y una breve semblanza histórica de éste, así como una enunciación de los elementos que originaron el surgimiento del neoliberalismo económico. Finalmente, se define el carácter global del neoliberalismo en el contexto de la globalización económica

Diagnóstico y tendencias económicas del Corredor Tijuana-Rosarito-Ensenada

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Wilfrido Ruiz Ochoa

2015-01-01

Full Text Available En este artículo se proponen estrategias que pudieran implementarse para romper con un escenario económico inercial adverso que, hipotéticamente, pudiera restarle viabilidad económica a futuro al Corredor Costero Tijuana- Rosarito-Ensenada. Esto, a partir de un diagnóstico económico sustentado en índices multidimensionales, en el que se aporta información censal sobre el perfil sectorial y espacial del corredor, así como de sus tendencias de crecimiento para 2030. Sobre esta base se elaboran propuestas para afrontar la desaceleración económica reciente de la zona, mediante la identificación de sus vocaciones económicas y de algunos proyectos estratégicos.

Core elements of hospital antibiotic stewardship programs from the Centers for Disease Control and Prevention.

Science.gov (United States)

Pollack, Loria A; Srinivasan, Arjun

2014-10-15

The proven benefits of antibiotic stewardship programs (ASPs) for optimizing antibiotic use and minimizing adverse events, such as Clostridium difficile and antibiotic resistance, have prompted the Centers for Disease Control and Prevention (CDC) to recommend that all hospitals have an ASP. This article summarizes Core Elements of Hospital Antibiotic Stewardship Programs, a recently released CDC document focused on defining the infrastructure and practices of coordinated multidisciplinary programs to improve antibiotic use and patient care in US hospitals. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Monitoring, documenting and reporting the quality of antibiotic use in the Netherlands: a pilot study to establish a national antimicrobial stewardship registry

NARCIS (Netherlands)

Berrevoets, Marvin Ah; ten Oever, Jaap; Sprong, Tom; van Hest, Reinier M.; Groothuis, Ingeborg; van Heijl, Inger; Schouten, Jeroen A.; Hulscher, Marlies E.; Kullberg, Bart-Jan

2017-01-01

The Dutch Working Party on Antibiotic Policy is developing a national antimicrobial stewardship registry. This registry will report both the quality of antibiotic use in hospitals in the Netherlands and the stewardship activities employed. It is currently unclear which aspects of the quality of

El liberalismo económico y la crisis

OpenAIRE

De Vroey, Michel

2009-01-01

En los numerosos debates que evocan el liberalismo económico, éste se presenta como una realidad monolítica; el objetivo de este artículo consiste en poner de manifiesto que distintos grados de liberalismo deben distinguirse: el pleno liberalismo, el liberalismo mitigado y el antiliberalismo mitigado, con subdistinciones al interior de las dos primeras categorías. En la primera parte se recuerdan las características que marcan el liberalismo económico en general. En la segunda se menciona la ...

Crecimiento económico de China durante la crisis financiera mundial

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Pedro A. Villezca Becerra

2015-01-01

Full Text Available En el ámbito global, China se sigue haciendo cada vez más fuerte. La evidencia más contundente proviene de su sobresaliente desempeño económico durante los años 2008 y 2009 en el entorno de la crisis financiera mundial más grave desde la Gran Depresión de los años treinta. Aun cuando algunos de sus principales indicadores económicos muestran un crecimiento más lento durante estos años, la economía china experimentó una rápida recuperación, revirtiendo los efectos negativos de la crisis. En este contexto, el presente trabajo revisa los logros económicos y el manejo de su política económica para enfrentar la crisis e intenta explicar las razones de su éxito. El gobierno central implementó políticas fiscales y monetarias expansivas y aplicó un conjunto de incentivos económicos, a fin de impulsar la demanda interna y sostener el crecimiento económico frente a la reducción de la demanda externa. Como resultado, los aspectos fundamentales de la economía: el crecimiento económico, la producción industrial, el comercio internacional y la inversión extranjera directa, estuvieron mucho mejor que los del resto de las economías del mundo. La evidencia indica que las diferencias se deben a las características distintivas de su modelo de desarrollo, entre las que resalta el papel que juega la intervención del gobierno para implementar una economía dirigida, o guiada de mercado, en contraste con el libre mercado occidental.

La gerencia emprendedora innovadora como catalizador del emprendimiento económico

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Elsa Emilia Petit Torres

2007-01-01

Full Text Available En el artículo se analizó la gerencia emprendedora innovadora como catalizador del emprendimiento económico. La metodología empleada fue cualitativa basada en la aplicación del método interpretativo, propuesto por Joseph Kockelmans (1975. En el contenido se desarrollan los siguientes aspectos:1 La importancia económica de la innovación como variable endógena, 2 La cultura de la innovación como elemento para la aceleración del progreso endógeno, 3 La gestión de la Transferencia de Innovación para el Desarrollo Regional, 4 Naturaleza y alcance del Emprendimiento, 5 El Emprendimiento Económico, 6 Alcance social del Emprendimiento y su impacto en el Proceso de Desarrollo Endógeno Sustentable y 7 El Capital Social y Emprendimiento en el ámbito local y en el ámbito regional. Se interpretó que la gerencia emprendedora innovadora como conocimiento útil, se constituye en la disciplina que dinamiza recursos, capacidades y competencias para la generación de conocimiento y perspectiva estratégica y organizacional funda la tecnología o conocimiento aplicado para explotar nuevas oportunidades que económicamente generen valor. Se concluye que el emprendimiento económico constituye la nueva tecnología de la gerencia empresaria innovadora que acelera el surgimiento de nuevas iniciativas e impulsa el crecimiento y desarrollo económico de los países.

Los métodos de valoración económica del medio ambiente: conceptos preliminares / Economic valuation methods of the environment: preliminary concepts

OpenAIRE

Castiblanco Rozo, Carmenza

2003-01-01

En el capítulo se plantea la importancia de la valoración económica en el diseño de política ambiental; se presentan las herramientas conceptuales básicas, que provee la economía neoclásica, para estudiar los métodos de valoración económica de bienes y servicios ambientales y se plantean los alcances y limitaciones de cada una de las técnicas. / Abstract.The chapter discusses the importance of economic valuation in the design of environmental policy, presents the basic conceptual tools, which...

Antimicrobial stewardship in long term care facilities: what is effective?

OpenAIRE

Nicolle, Lindsay E

2014-01-01

Intense antimicrobial use in long term care facilities promotes the emergence and persistence of antimicrobial resistant organisms and leads to adverse effects such as C. difficile colitis. Guidelines recommend development of antimicrobial stewardship programs for these facilities to promote optimal antimicrobial use. However, the effectiveness of these programs or the contribution of any specific program component is not known. For this review, publications describing evaluation of antimicro...

Funciones Económicas en un Entorno Incierto

OpenAIRE

Lazzari, Luisa L; Chiodi, Jorge A; Moulia, Patricia I

2015-01-01

El mundo está atravesando una de las crisis económicas más profundas de los últimos tiempos. Los escenarios actuales y futuros están plagados de incertidumbre que, en general, no se considera en el análisis de las distintas funciones económicas de interés para el desarrollo del negocio, y la realidad se representa mediante modelos estáticos y casi perfectos del comportamiento de los mercados. La teoría de conjuntos borrosos permite construir modelos adecuados a partir de realidades inciertas ...

William Stanley Jevons: Precursor del pensamiento económico neoconservador

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Emmanuel Borgucci

2006-01-01

Full Text Available El siguiente ensayo tiene el objetivo de demostrar que el pensamiento económico neoconservador (neoliberal no nació con las ideas que en materia económica porponían los teóricos de la oferta, las expectativas racionales, los monetaristas o los seguidores de la nueva hacienda pública conservadora. La economía neoconservadora tuvo en W.S. Jevons a uno de sus precursores más importantes. Esta afirmación se sustenta en tres razones: Su método de estudio, sus aportaciones en el campo de su teoría del intercambio, los precios relativos y su teoría del trabajo. Se concluye, que el discurso económico propuesto por W.S. Jevons contribuyó de manera decisiva al desarrollo y consolidación de un tipo de pensamiento económico que privilegia el uso del análisis formal y que se adapta a la forma moderna de hacer negocios en el mundo capitalista.

Tratamiento económico y modelización del cuidado

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Montserrat Díaz-Fernández

2017-12-01

Full Text Available El cuidado es un concepto expansivo que incluye el conjunto de actividades tendentes a garantizar la supervivencia y el bienestar de la población. Este artículo se propone analizar y caracterizar el cuidado como bien económico cuya provisión se realiza a través del mercado, administración pública y hogar, con implicaciones y tratamientos diferentes en estos tres ámbitos. Para ello, una vez presentada la problemática planteada desde una perspectiva pluridisciplinar, nos centraremos en las características que la teoría económica otorga a los bienes económicos y discutiremos cómo cada una de ellas se manifiesta en el cuidado. También se analizarán sus curvas de oferta y demanda, los agentes implicados y el equilibrio del mercado. La descripción económica realizada nos conduce a considerar que el comportamiento de este mercado es claramente imperfecto y además nos indica la necesidad de efectuar una reorganización social del cuidado.

Las cooperativas: Una alternativa económica y social frente a la crisis

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Javier Divar Garteiz-Aurrecoa

2013-12-01

Full Text Available El Cooperativismo nació como alternativa económica y social, impulsado por la piedad religiosa y reglado bajo los principios democráticos. La solidaridad y la democracia económica hacen de las cooperativas  sociedades especialmente resistentes frente a las dificultades económicas.Recibido: 29.05.2013Aceptado: 26.06.2013

Minnesota anglers' fisheries-related value orientations and their stewardship of fish resources

Science.gov (United States)

Bruskotter, J.T.; Fulton, D.C.

2008-01-01

Research on natural resource-related values and value orientations has grown substantially over the past decade. However, existing studies have focused almost exclusively on value orientations related to wildlife and forests. This article reports data from two mail surveys of Minnesota anglers used to develop scales for measuring fisheries-related value orientations. We report results of regression analyses examining the relationship between anglers' value orientations and norms concerning fisheries stewardship and the use of technological aids to angling. Results indicate 10 items reliably measure three value orientations we termed utilitarianism, dominance, and protectionism. Regression analyses suggest anglers' stewardship norms are influenced by all three value orientation types, while support for the use of technological aids was related with protectionism and utilitarianism, but not dominance. Results suggest anglers' fisheries-related value orientations cannot be adequately captured using single domain scales. Implications for the study of natural resources-related value orientations are discussed. Copyright ?? Taylor & Francis Group, LLC.

Impacto económico de los hoteles: aplicación en la ciudad de Sevilla

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Miryam González Limón

2010-01-01

Full Text Available En la actualidad existe un creciente interés por cuantificar el impacto económico generado por algún sector productivo o actividad económica sobre la economía nacional, regional o local. Por ello, en este artículo se van a analizar los beneficios económicos vinculados a la existencia de los hoteles de la ciudad de Sevilla, como parte fundamental del sector turístico. El objetivo es cuantificar la relevancia económica del sector de hoteles en Sevilla. Por impacto económico se entiende el efecto que produce un sector económico sobre la producción, la renta y el empleo en una determinada área geográfica y durante un período de tiempo. Dentro del impacto económico podemos diferenciar, por una parte los elementos cuantitativos, y por otra, los cualitativos.

El fenómeno económico .Análisis y cuantificación

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Llorente Marrón ,M.M.

1998-01-01

Full Text Available El objeto de la ciencia económica consiste, en un sentido amplio, en el estudio de la adopción de decisiones por parte de los agentes económicos, y en el análisis de sus consecuencias. La Econometría se ocupa de la medición y verificación empírica de las relaciones económicas, esto es, del estudio de las estructuras que permiten analizar las características y propiedades de una variable económica, utilizando como causas explicativas otras variables económicas. "La Econometría, que es el resultado de la adopción de una posición sobre el papel que juega la Economía, consiste en la aplicación de la Estadística Matemática a los datos económicos con el objeto de proporcionar no sólo un apoyo empírico a los modelos construidos por la Economía Matemática, sino una forma de obtener resultados numéricos"1. “Teniendo en cuenta la relación entre Teoría Económica y su cuantificación, la econometría puede definirse en sentido restringido como la cuantificación de las regularidades de las relaciones de la Teoría Económica”2 En el manual de Intriligator editado en 1978, el capítulo I establece que la Econometría es la rama de la Economía relacionada con la estimación empírica de las relaciones económicas utilizando la Teoría Económica, incorporada en un modelo econométrico, hechos resumidos en datos pertinentes y la Estadística teórica, adecuada para la técnicas econométricas al objeto de medir y contrastar empíricamente ciertas relaciones entre variables económicas,

Evaluation of early implementations of antibiotic stewardship program initiatives in nine Dutch hospitals

NARCIS (Netherlands)

van Limburg, Maarten; Sinha, Bhanu; Lo-Ten-Foe, Jerome R; van Gemert-Pijnen, Julia Ewc

2014-01-01

BACKGROUND: Antibiotic resistance is a global threat to patient safety and care. In response, hospitals start antibiotic stewardship programs to optimise antibiotic use. Expert-based guidelines recommend strategies to implement such programs, but local implementations may differ per hospital.

Understanding micro-processes of institutionalization: stewardship contracting and national forest management

Science.gov (United States)

Cassandra Moseley; Susan Charnley

2014-01-01

This paper examines micro-processes of institutionalization, using the case of stewardship contracting within the US Forest Service. Our basic premise is that, until a new policy becomes an everyday practice among local actors, it will not become institutionalized at the macro-scale. We find that micro-processes of institutionalization are driven by a mixture of large-...

Environmental management strategies: The 21st century perspective

Energy Technology Data Exchange (ETDEWEB)

Crognale, G.

1999-07-01

This book provides a look at how to integrate EH and S issues throughout your organization. Specialists in the field have contributed their first-hand accounts and actual case studies to give a balanced overview of how environmental management issues affect everyone in an organization. Moving away from a regulations-driven viewpoint, a proactive view is taken that integrates environmental issues into the fabric of the organization at every level. Issues covered in the book include federal regulations from OSHA, EC, and EPA; meeting ISO 14001; assessing the value of EH and S as a management tool; progressive environmental stewardship and effective communications; risk management; EH and S software and other resources; and future trends in environmental management.

Compreensão econômica de estudantes entre 10 e 15 anos

Directory of Open Access Journals (Sweden)

Sonia Bessa

2014-08-01

Full Text Available Nos últimos 50 anos, ocorreram significativas mudanças sociais, culturais, políticas, econômicas e tecnológicas que afetam o comportamento de pré-adolescentes e jovens. Essa faixa etária necessita de investigações sobre sua compreensão do mundo econômico e o papel da família no processo de socialização econômica. Por isso, a presente pesquisa tem por objetivo principal caracterizar a compreensão econômica de 830 estudantes de 10 a 15 anos de diferentes níveis socioeconômicos, moradores da cidade de São Paulo. O instrumento utilizado foi o Teste de Alfabetização Econômica para crianças, TAE-N. Com abordagem qualitativa e quantitativa, utilizou-se o desenho descritivo-comparativo e correlacional. Apresenta-se a frequência das variáveis categóricas; valores de frequência absoluta, percentual; média e desvio-padrão; utilizou-se o coeficiente alfa de Cronbach; teste Qui-Quadrado. Para a comparação de medidas contínuas ou ordenáveis, valeu-se dos testes Mann-Whitney e Kruskal-Wallis. Os resultados demonstram uma socialização econômica insuficiente para lidar com as exigências do mundo econômico.

Evaluation of early implementations of antibiotic stewardship program initiatives in nine Dutch hospitals

NARCIS (Netherlands)

van Limburg, A.H.M.; Sinha, Bhanu; Lo-Ten-Foe, Jerome R.; van Gemert-Pijnen, Julia E.W.C.

2014-01-01

Background Antibiotic resistance is a global threat to patient safety and care. In response, hospitals start antibiotic stewardship programs to optimise antibiotic use. Expert-based guidelines recommend strategies to implement such programs, but local implementations may differ per hospital. Earlier

Idaho National Laboratory Environmental Monitoring Plan

Energy Technology Data Exchange (ETDEWEB)

Joanne L. Knight

2008-04-01

This plan describes environmental monitoring as required by U.S. Department of Energy (DOE) Order 450.1, “Environmental Protection Program,” and additional environmental monitoring currently performed by other organizations in and around the Idaho National Laboratory (INL). The objective of DOE Order 450.1 is to implement sound stewardship practices that protect the air, water, land, and other natural and cultural resources that may be impacted by DOE operations. This plan describes the organizations responsible for conducting environmental monitoring across the INL, the rationale for monitoring, the types of media being monitored, where the monitoring is conducted, and where monitoring results can be obtained. This plan presents a summary of the overall environmental monitoring performed in and around the INL without duplicating detailed information in the various monitoring procedures and program plans currently used to conduct monitoring.

Desarrollo económico local: leyendas y realidades

Directory of Open Access Journals (Sweden)

Luis Mauricio Cuervo

1999-01-01

Full Text Available La visión del desarrollo económico local propuesta en este artículo se contrapone a la práctica corriente de identificación de patrones y generalizaciones de pretendida validez universal. A través de la contraposición de experiencias nacionales intenta, más bien, identificar los grandes dilemas u opciones definitorias de las trayectorias particulares. Las tajantes distinciones hechas por la teoría son desdichas por la práctica del desarrollo económico local donde se entremezclan conceptos y estrategias falsamente concebidas como irreconciliables. En el estado actual de conocimiento de las experiencias, las recetas y fórmulas de validez universal son poco recomendables. El autoconocimiento de la historia, la cultura, la idiosincrasia y la institucionalidad local deberá orientar la manera peculiar de resolver los dilemas, esos sí universales, del desarrollo económico local: el de las competencias territoriales, el de la combinación de responsabilidades público-privadas, y el de los nuevos desequilibrios socioespaciales y las formas de afrontarlos

Improving Stewardship of Marine Resources: Linking Strategy to Opportunity

Directory of Open Access Journals (Sweden)

Franciska von Heland

2014-07-01

Full Text Available The need for improved stewardship of coastal and marine resources is evident worldwide. However, complex ecosystem dynamics, institutional inertia, and budgetary constraints impede such action. This study explores how networks of change-oriented individuals or “institutional entrepreneurs” can introduce new types of human-environment interaction. The focus is on investigating the interplay between the strategies of institutional entrepreneurs and broader system dynamics that shape the context in which they are working, and possible impacts of institutional entrepreneurship on marine governance. We explore these issues in the context of Wakatobi National Park in eastern Indonesia. We suggest that creating links between different social spheres, such as between marine resource management and spirituality or between marine resource management and education, may accelerate the development of a new ecosystem stewardship. We further suggest that the use of media has significant power to show alternative futures, but that media may also serve to objectify certain resource users and increase the complexity of marine resource management. In general, institutional entrepreneurs play an important role in capturing and managing opportunity to open up space for experimentation and novel ideas, for example by linking their ideas to broader political priorities. Yet, such strategies bear the risk of institutional capture. Finally, institutional entrepreneurs sometimes have vested interests in certain solutions that may forsake experimentation toward a sustainable future.

The GridEcon Platform: A Business Scenario Testbed for Commercial Cloud Services

Science.gov (United States)

Risch, Marcel; Altmann, Jörn; Guo, Li; Fleming, Alan; Courcoubetis, Costas

Within this paper, we present the GridEcon Platform, a testbed for designing and evaluating economics-aware services in a commercial Cloud computing setting. The Platform is based on the idea that the exact working of such services is difficult to predict in the context of a market and, therefore, an environment for evaluating its behavior in an emulated market is needed. To identify the components of the GridEcon Platform, a number of economics-aware services and their interactions have been envisioned. The two most important components of the platform are the Marketplace and the Workflow Engine. The Workflow Engine allows the simple composition of a market environment by describing the service interactions between economics-aware services. The Marketplace allows trading goods using different market mechanisms. The capabilities of these components of the GridEcon Platform in conjunction with the economics-aware services are described in this paper in detail. The validation of an implemented market mechanism and a capacity planning service using the GridEcon Platform also demonstrated the usefulness of the GridEcon Platform.

Desigualdad económica y bienestar: tres modelos de justicia social

OpenAIRE

Borja Barragué Calvo

2011-01-01

RESUMEN La crisis económica que comenzó en el verano de 2007 ha provocado que tanto la tasa de desempleo como el porcentaje de personas que se encuentran por debajo del umbral de la pobreza relativa en España ronden el 20%. Si bien en los últimos quince años España ha experimentado fases de crecimiento económico importante, la proporción de personas en riesgo de pobreza se ha mantenido constante. Es probable por tanto que unas tasas negativas o muy escasamente positivas de crecimiento económi...

Perspectivas sobre el desarrollo económico localizado

Directory of Open Access Journals (Sweden)

A. H. J. (Bert Helmsing

2002-09-01

Full Text Available La creciente movilidad de la producción y de los factores de producción puede haber generado una reversión de la polarización. Sin embargo, el desarrollo económico se localiza crecientemente en aglomeraciones económicas. La globalización es un fenómeno muy localizado. El propósito de este artículo es revisar tres perspectivas parcialmente sobrepuestas sobre el desarrollo económico local. Estas perspectivas corresponden en gran medida a tres factores que refuerzan la naturaleza localizada del desarrollo económico, es decir externalidades, aprendizaje colectivo y gobernabilidad. Las externalidades se refieren a fenómenos conocidos asociados con aglomeración. Más nuevo es el hecho de que constituyen una fuente de retornos crecientes. Se revisará esta nueva escuela de economía geográfica. Al mismo tiempo surgió una nueva geografía económica en base a agrupamientos y distritos industriales. Las externalidades se extienden y cambian de forma. La dinámica del desarrollo económico local puede ser vista desde la perspectiva de la economía evolucionaria. El aprendizaje en general y el aprendizaje colectivo en particular son conceptos centrales a nivel de las empresas y también a nivel de las instituciones territoriales. El aprendizaje aumenta y renueva las competencias locales para formular e implementar políticas económicas. La complejización de las relaciones entre empresas y entre empresas e instituciones territoriales es una fuente importante de sinergias y economías externas pero requiere nuevas formas de gobernabilidad, tanto a nivel industrial como territorialThe growing mobility of production and production factors could have contributed to a polarization reversal. However, it appears that economic development is increasingly localized in economic agglomerations. Globalization is a localized phenomenon. The purpose of this article is to review three partially overlapping perspectives on local economic development

Curva ambiental de Kuznets e desenvolvimento econômico sustentável

Directory of Open Access Journals (Sweden)

Ronaldo A. Arraes

2006-09-01

Full Text Available A motivação deste artigo se baseia na controvérsia existente na literatura recente sobre crescimento econômico, desenvolvimento sustentável e proteção ambiental, gerada a partir da evidência empírica mostrada inicialmente por Grossman e Krueger (1995, 1996, onde a relação entre PIB per capita e emissão de poluentes toma a forma de um U-invertido, denominada na literatura como Curva Ambiental de Kuznets (CAK. Este artigo se distingue por contribuir com a explicação de fatores ligados ao desenvolvimento econômico. Como essa relação tem sido recentemente contestada, muitas interpretações estruturais da CAK têm permanecido fortemente sob o amparo ad hoc. A questão sobre tal fato estilizado é se o crescimento econômico gera por si só uma proteção automática ao meio ambiente, vis a vis ao desenvolvimento sustentável. A partir de dados em painel para países, verifica-se que as variáveis que denotam desenvolvimento sustentável apresentam uma relação fraca com o PIB per capita, quanto a sua representação para uma CAK. Há evidências para curvas ambientais com formato cúbico, indicando que o fenômeno pode ser cíclico, rejeitando-se assim as CAK originais, além de todos os indicadores de desenvolvimento selecionados apontarem para divergências entre países, exceção apenas para o indicador relacionado à educação.The motivation of this article bases on the controversy in the recent literature about economic growth, sustainable development and environmental protection, started with the empirical evidences presented by Grossman and Krueger (1995, 1996, where the relationship between per capita GDP and emission of pollutants takes the shape of an inverted-U, denominated in the literature as Environmental Kuznets Curves (EKC. This article differs from others by contributing with further explanation stemming from economic development indicators. Despite being contested by many authors, several structural

Antimicrobial Stewardship: A Cross-Sectional Survey Assessing the Perceptions and Practices of Community Pharmacists in Ethiopia

Directory of Open Access Journals (Sweden)

Daniel Asfaw Erku

2016-01-01

Full Text Available Background. Community pharmacists are key healthcare professionals for antimicrobial stewardship programs owing to their role in dispensing of antimicrobials. The aim of the present study was to assess the perception and practices of community pharmacists towards antimicrobial stewardship (AMS in Ethiopia. Methods. A cross-sectional survey was conducted by selecting pharmacy sites through stratified simple random sampling technique. Descriptive and inferential statistics were used to analyze the data. Results. Majority of respondents strongly agreed or agreed that AMS program is vital for the improvement of patient care. Almost all of respondents agreed that pharmacists can play a prominent role in AMS and infection prevention (93.2%, median = 5; IQR = 2–5. However, only 26.5% of respondents strongly agreed or agreed that AMS should be practiced at community pharmacy level (median = 4, IQR = 1–3 and more than half of community pharmacists (59.9% often/always dispense antimicrobial without a prescription. Conclusion. The present study revealed positive perceptions and practices of community pharmacists towards antimicrobial stewardship. Yet, some weak areas like integration of AMS program in community pharmacies, the significance of interprofessional involvement, and dispensing of antimicrobials without a valid prescription still need improvement.

Portsmouth annual environmental report for 2003, Piketon, Ohio

Energy Technology Data Exchange (ETDEWEB)

none, none

2004-11-30

The Portsmouth & Gaseous Diffusion Plant (PORTS) is located on a 5.8-square-mile site in a rural area of Pike County, Ohio. U.S. Department of Energy (DOE) activities at PORTS include environmental restoration, waste 'management, and long-term'stewardship of nonleased facilities: Production facilities for the separation of uranium isotopes are leased to the United States Enrichment Corporation (USEC), but most activities associated with the uranium enrichment process ceased in 2001. USEC activities are not covered by this document, with the exception of some environmental compliance information provided in Chap. 2 and radiological and non-radiological environmental monitoring program information discussed in Chaps. 4 and 5.

Collaboration in Long-Term Stewardship at DOE's Hanford Site - 13019

International Nuclear Information System (INIS)

Moren, Rick; Brown, David; Feist, Ella; Grindstaff, Keith; Zeisloft, Jamie

2013-01-01

The U.S. Department of Energy's (DOE) Hanford Site comprises approximately 1,517 km 2 (586 mi 2 ) of land in southeastern Washington. The site was established in 1943 as part of the Manhattan Project to produce plutonium for the nation's nuclear weapons program. As the Cold War era came to an end, the mission of the site transitioned from weapons production to environmental cleanup. As the River Corridor area of the site cleanup is completed, the mission for that portion of the site will transition from active cleanup to continued protection of environment through the Long-Term Stewardship (LTS) Program. The key to successful transition from cleanup to LTS is the unique collaboration among three (3) different DOE Programs and three (3) different prime contractors with each contractor having different contracts. The LTS Program at the site is a successful model of collaboration resulting in efficient resolution of issues and accelerated progress that supports DOE's Richland Office 2015 Vision for the Hanford Site. The 2015 Vision for the Hanford Site involves shrinking the active cleanup footprint of the surface area of the site to approximately 20 mi 2 on the Central Plateau. Hanford's LTS Program is defined in DOE's planning document, Hanford Long-Term Stewardship Program Plan [1]. The Plan defines the relationship and respective responsibilities between the federal cleanup projects and the LTS Program along with their respective contractors. The LTS Program involves these different parties (cleanup program and contractors) who must work together to achieve the objective for transition of land parcels. Through the collaborative efforts with the prime contractors on site over the past two years,, 253.8 km 2 (98 mi 2 ) of property has been successfully transitioned from the cleanup program to the LTS Program upon completion of active surface cleanup. Upcoming efforts in the near term will include transitioning another large parcel that includes one of the six (6

Relational responsibility, and not only stewardship, a Roman Catholic view on voluntary euthanasia for dying and non-dying patients.

Science.gov (United States)

Schotsmans, Paul T

2003-01-01

The Roman Catholic theological approach to euthanasia is radically prohibitive. The main theological argument for this prohibition is the so-called "stewardship argument": Christians cannot escape accounting to God for stewardship of the bodies given them on earth. This contribution presents an alternative approach based on European existentialist and philosophical traditions. The suggestion is that exploring the fullness of our relational responsibility is more apt for a pluralist--and even secular--debate on the legitimacy of euthanasia.

El derecho de propiedad privada y libertad económica

Directory of Open Access Journals (Sweden)

Santiago M. Castro Videla

2014-03-01

Full Text Available Este artículo ofrece diversos elementos legales, filosóficos y económicos para una teoría general del derecho de propiedad y libertad económica, que permita explicar por qué es un derecho fundamental. En primer lugar, plantea una visión unificada del derecho de propiedad privada y libertad económica, el que debe distinguirse analíticamente de los distintos derechos de propiedad susceptibles de reglamentación y expropiación estatal. En segundo lugar, explica, desde la teoría tomista del derecho natural, en qué sentido este derecho es un derecho natural secundario. En tercer lugar, señala, desde la teoría austríaca del proceso de mercado, cómo la protección del derecho de propiedad privada y libertad económica da lugar a un proceso virtuoso que genera mayor desarrollo, reducción de la pobreza y paz social. Y finalmente, explica también cómo la violación de dicho derecho genera los efectos contrarios: subdesarrollo, pobreza y conflicto social.

Development and impact of a massive open online course (MOOC) for antimicrobial stewardship.

Science.gov (United States)

Sneddon, Jacqueline; Barlow, Gavin; Bradley, Sally; Brink, Adrian; Chandy, Sujith J; Nathwani, Dilip

2018-04-01

The University of Dundee and the BSAC developed a massive open online course (MOOC) to address the global need for education to support antimicrobial stewardship in low- and middle-income countries. An interactive course, Antimicrobial Stewardship: Managing Antibiotic Resistance, was developed and delivered via the FutureLearn© platform. The course ran over four 6 week periods during 2015 and 2016 supported by educators and was evaluated via data on uptake and feedback from learners on impact on clinical practice. In total, 32 944 people, 70% of them healthcare professionals, from 163 countries joined the course from Europe (49%), Asia (16%), Africa (13%), North America (9%), Australia (8%) and South America (5%). Between 33% and 37% of joiners in each run completed at least one step in any week of the course and 219 participants responded to a post-course survey. The course was rated good or excellent by 208 (95%) of the participants, and 83 (38%) intended to implement stewardship interventions in their own setting. A follow-up survey 6 months later suggested that 49% had implemented such interventions. The MOOC has addressed a global learning need by providing education free at the point of access, and learning from its development will help others embarking upon similar educational solutions. Initial quantitative and qualitative feedback suggests it has engaged participants and complements traditional educational methods. Measuring its real impact on clinical practice remains a challenge. The FutureLearn© platform offers flexibility for MOOCs to be sustainable through modification to remove educator facilitation but maintain active participant discussion.

Gestão econômica de investimentos em ativos fixos

OpenAIRE

Catelli,Armando; Parisi,Cláudio; Santos,Edilene Santana

2003-01-01

Num ambiente global de intensas mudanças competitivas, a mensuração dos ativos, especificamente dos ativos fixos, requer a superação da rigidez dos custos históricos e da depreciação linear, próprios da contabilidade tradicional, e a adoção de critérios que permitam avaliar adequadamente a realidade econômica desses ativos. Partindo da premissa de que o patrimônio líquido deve representar o valor da empresa, e de que sua variação expressa o resultado econômico, o Sistema de Gestão Econômica -...

Collaboration in long-term stewardship at DOE Hanford Site

Energy Technology Data Exchange (ETDEWEB)

Moren, R. J.; Zeisloft, J. H.; Feist, E. T.; Brown, D.; Grindstaff, K. D.

2013-01-10

The U.S. Department of Energy's (DOE) Hanford Site comprises approximately 1,517 km{sup 2} (586 mi{sup 2}) of land in southeastern Washington. The site was established in 1943 as part of the Manhattan Project to produce plutonium for the nation's nuclear weapons program. As the Cold War era came to an end, the mission of the site transitioned from weapons production to environmental cleanup. As the River Corridor area of the site cleanup is completed, the mission for that portion of the site will transition from active cleanup to continued protection of environment through the Long-Term Stewardship (LTS) Program. The key to successful transition from cleanup to LTS is the unique collaboration among three (3) different DOE Programs and three (3) different prime contractors with each contractor having different contracts. The LTS Program at the site is a successful model of collaboration resulting in efficient resolution of issues and accelerated progress that supports DOE's Richland Office 2015 Vision for the Hanford Site. The 2015 Vision for the Hanford Site involves shrinking the active cleanup footprint of the surface area of the site to approximately 20 mi{sup 2} on the Central Plateau. Hanford's LTS Program is defined in DOE's planning document, Hanford Long-Term Stewardship Program Plan, DOE/RL-2010-35 Rev 1. The Plan defines the relationship and respective responsibilities between the federal cleanup projects and the LTS Program along with their respective contractors. The LTS Program involves these different parties (cleanup program and contractors) who must work together to achieve the objective for transition of land parcels. Through the collaborative efforts with the prime contractors on site over the past two years, 253.8 km{sup 2} (98 mi{sup 2}) of property has been successfully transitioned from the cleanup program to the LTS Program upon completion of active surface cleanup. Upcoming efforts in the near term will include transitioning another large

Wilderness stewardship challenges in the uKhahlamba Drakensberg Park World Heritage Site

Science.gov (United States)

Sonja Krüger

2007-01-01

The location of the uKhahlamba Drakensberg Park wilderness areas along an international border and within a World Heritage Site and Transfrontier Conservation Area, provides unique opportunities and challenges for the stewardship of these areas. Although the wilderness areas were proclaimed more than 30 years ago, wilderness-specific planning, management and monitoring...

2002 SITE ENVIRONMENTAL REPORT.

Energy Technology Data Exchange (ETDEWEB)

BROOKHAVEN NATIONAL LABORATORY

2003-10-01

The 2002 Site Environmental Report (SER) is prepared in accordance with DOE Order 231.1, ''Environment, Safety and Health Reporting'', and summarizes the status of Brookhaven National Laboratory's (BNL) environmental programs and performance and restoration efforts, as well as any impacts, both past and present, that Laboratory operations have had on the environment. The document is intended to be technical in nature. A summary of the report is also prepared as a separate document to provide a general overview and includes a CD version of the full report. Operated by Brookhaven Science Associates (BSA) for the Department of Energy (DOE), BNL manages its world-class scientific research with particular sensitivity to environmental and community issues. BNL's motto, ''Exploring Life's Mysteries...Protecting its Future'', reflects BNL's management philosophy to fully integrate environmental stewardship into all facets of its missions, with a health balance between science and the environment.

El Derecho de Competencia Económica en la Constitución del Ecuador

Directory of Open Access Journals (Sweden)

Marcelo Marín Sevilla

2011-12-01

Full Text Available Este trabajo permite establecer las bases de la Constitución Económica y del Derecho de Competencia Constitucionalizado.  También analiza si las normas de Derecho de la Competencia Económica y su doctrina están acorde y son adecuadas frente a la Constitución del Ecuador. El Derecho de la Competencia Económica tiene normas para investigar y sancionar las Prácticas colusorias; los Abusos de posición de dominio; las normas  para el control de concentraciones económicas; las conductas de Abuso de dependencia económica, y las conductas  de competencia desleal.  Siempre la Autoridad de Competencia analizará estas conductas en función del bienestar del mercado y del consumidor.

Making SENS: exploring the antecedents and impact of store environmental stewardship climate

NARCIS (Netherlands)

Hensen, N.J.B.; Keeling, D.I.; de Ruyter, J.C.; Wetzels, M.G.M.; de Jong, A.

Retailers increasingly recognize that environmental responsibility is a strategic imperative. However, little research has investigated or identified the factors that facilitate the successful implementation of environmentally responsible strategies across a network of customer-facing sales units

Crecimiento económico, convergencia y concentración económica espacial en las entidades federativas de México 1970-2008

OpenAIRE

Normand Asuad Sanén; Luis Quintana Romero

2010-01-01

El propósito principal del presente trabajo es identificar la formación de clubes o núcleos de convergencia y divergencia que el crecimiento económico ha propiciado en las entidades federativas de México y el papel e importancia de los factores geo-espaciales en dichas formaciones. El estudio se realiza mediante un análisis comparativo entre el crecimiento económico y las hipótesis de convergencia, a partir de un modelo de regresión espacial de corte transversal. Los resultados obtenidos sugi...

crítica al paradigma económico moderno

Directory of Open Access Journals (Sweden)

Liliana Olarte Rodríguez

2005-01-01

Full Text Available Luego de publicarse, Walden Dos sería rechazado a causa de falsas concepciones que sugerían que la obra era la defensa y representación de los valores sociales y económicos capitalistas. Sin embargo, un análisis detallado muestra cómo la edificación de la sociedad propuesta por Skinner critica los pilares fundamentales del paradigma económico y social actual, como lo son el egoísmo como base para el bienestar social, el consumismo como motor económico y la “libertad” según el capitalismo. Si bien Walden Dos no deja de ser una utopía, deja entrever que es necesario implementar los principios de la ingeniería de conducta, aspecto poco considerado por disciplinas como la economía, la ciencia política, entre otras, si se quieren resolver las falencias del sistema actual.

Interacciones sociales y explotación económica

Directory of Open Access Journals (Sweden)

Andrés Montaña

2012-01-01

se desarrollan interacciones sociales. El modelo permite identificar la posición de un agente en el espacio social y hacer comparaciones interpersonales. A partir del modelo de interacción social general, planteo un modelo de explotación económica. Una autoridad desde este modelo de explotación puede establecer áreas de restricción para determinar la explotación económica de los agentes. El cálculo de las dotaciones y las combinaciones de éstas, pueden permitir a una autoridad determinar si existe o no explotación de unos agentes por otros, fijar categorías de explotación, e identificar áreas de atención prioritarias. El modelo se podría constituir en una herramienta más apropiada para la identificación de la condición laboral o económica de los niños y niñas.

Valoração Econômica Ambiental: um estudo analítico e teórico dos métodos e suas multi-aplicabilidades = Environmental economic valuation: an analytical and theoretical study of methods and their multi applicabilities

Directory of Open Access Journals (Sweden)

Pedro dos Santos Portugal Júnior

2012-11-01

Full Text Available O desenvolvimento sustentável, nos dias atuais, age diretamente nas decisões administrativas e econômicas dos agentes da sociedade. Baseado neste fato o presente estudo tem por objetivo geral analisar teoricamente alguns métodos de valoração econômica ambiental, suas características e aplicações. De maneira específica pretende-se demonstrar a possibilidade de aplicar tais métodos de uma forma múltipla para uma valoração ambiental mais profunda e completa, somando-se a isso a apresentação de dois novos métodos desenvolvidos pelos autores desse artigo que complementam outros já existentes. O contexto abordado permeia inicialmente os fatores de produção e suas características específicas, passando posteriormente a analisar os componentes do valor econômico total dos recursos naturais, em seguida são abordados alguns métodos de valoração econômica ambiental e ao final apresenta-se a possibilidade de aplicar diferentes métodos para a análise ambiental de um mesmo caso específico. Utiliza-se o método dedutivo e a técnica de pesquisa bibliográfica como forma de atingir os objetivos traçados. Trata-se de uma pesquisa de nível teórico e exploratória. O estudo permite concluir positivamente sobre a possibilidade de multi-aplicabilidade de métodos de valoração de danos ambientais como forma de tornar essa análise mais abrangente e completa. Os resultados apontaram ainda que os novos métodos apresentados permitem uma análise ambiental pormenorizada e com fundamentos matemáticos mais profundos. Soma-se a isso o fato de que o principal complicador da utilização do sistema de multiaplicabilidade é a determinação dos níveis de ponderação dos diferentes métodos adotados na análise ambiental, o que deverá ser feita considerando-se as especificidades dos danos ambientais analisados e as informações disponíveis, necessitando-se para isso de novos estudos sobre essa temática. Sustainable development

Development of an Evidence-Based Antimicrobial Stewardship Smartphone App in a Tertiary Academic Pediatric and Women’s Health Centre in Canada

OpenAIRE

Slayter, Kathryn; Turple, Jennifer; Comeau, Jeannette L; Top, Karina A; Langley, Joanne M; Mailman, Tim; Halperin, Scott A

2017-01-01

Abstract Background Smart phone use by medical professionals is ubiquitous. In a recent survey, > 90% of health care providers were interested in locally developed antimicrobial stewardship (AMS) and infectious diseases applications (“apps”). We describe the process by which our antimicrobial stewardship program (ASP) developed an app to provide guidance regarding empiric antimicrobial choice, and education about antimicrobials and pathogens, integrating local laboratory data. We also describ...

Cultivating Positive Youth Development, Critical Consciousness, and Authentic Care in Urban Environmental Education.

Science.gov (United States)

Delia, Jesse; Krasny, Marianne E

2017-01-01

This paper addresses the issue of how to provide affordances for youth development in the context of environmental stewardship in cities. Urban environmental education encompasses place-based and action-oriented stewardship practices, including community gardening and vegetable production, often with the dual goals of developing youth and community assets. Yet in-depth understanding of how these goals are achieved is lacking. Using narrative inquiry, we explored participant experiences in a multi-year agriculture internship program conducted by the food justice organization East New York Farms! (ENYF) in Brooklyn, NY. Emerging from our conversations with youth were five themes defining their intern experience: ENYF as somewhere to belong, to be pushed, to grapple with complexity, to practice leadership, and to become yourself. We propose a theory of change that emphasizes politicized notions of caring as a foundation for cultivating developmental assets, including competence, contribution, and critical consciousness, among youth who participate in ENYF programs multiple years. This paper extends the literature on socio-environmental affordances to encompass urban environmental education programs, which incorporate physical and social features that act as affordances. Further, this paper describes a feedback loop in which youth afforded opportunities to develop assets through contributing to their community in turn create affordances for additional youth and adults.

Cultivating Positive Youth Development, Critical Consciousness, and Authentic Care in Urban Environmental Education

Directory of Open Access Journals (Sweden)

Jesse Delia

2018-01-01

Full Text Available This paper addresses the issue of how to provide affordances for youth development in the context of environmental stewardship in cities. Urban environmental education encompasses place-based and action-oriented stewardship practices, including community gardening and vegetable production, often with the dual goals of developing youth and community assets. Yet in-depth understanding of how these goals are achieved is lacking. Using narrative inquiry, we explored participant experiences in a multi-year agriculture internship program conducted by the food justice organization East New York Farms! (ENYF in Brooklyn, NY. Emerging from our conversations with youth were five themes defining their intern experience: ENYF as somewhere to belong, to be pushed, to grapple with complexity, to practice leadership, and to become yourself. We propose a theory of change that emphasizes politicized notions of caring as a foundation for cultivating developmental assets, including competence, contribution, and critical consciousness, among youth who participate in ENYF programs multiple years. This paper extends the literature on socio-environmental affordances to encompass urban environmental education programs, which incorporate physical and social features that act as affordances. Further, this paper describes a feedback loop in which youth afforded opportunities to develop assets through contributing to their community in turn create affordances for additional youth and adults.

Faith community nursing demonstrates good stewardship of community benefit dollars through cost savings and cost avoidance.

Science.gov (United States)

Brown, Ameldia R; Coppola, Patricia; Giacona, Marian; Petriches, Anne; Stockwell, Mary Ann

2009-01-01

Health systems seeking responsible stewardship of community benefit dollars supporting Faith Community Nursing Networks require demonstration of positive measurable health outcomes. Faith Community Nurses (FCNs) answer the call for measurable outcomes by documenting cost savings and cost avoidances to families, communities, and health systems associated with their interventions. Using a spreadsheet tool based on Medicare reimbursements and diagnostic-related groupings, 3 networks of FCNs have together shown more than 600 000 (for calendar year 2008) healthcare dollars saved by avoidance of unnecessary acute care visits and extended care placements. The cost-benefit ratio of support dollars to cost savings and cost avoidance demonstrates that support of FCNs is good stewardship of community benefit dollars.

Idaho National Laboratory Site Environmental Monitoring Plan

Energy Technology Data Exchange (ETDEWEB)

Joanne L. Knight

2012-08-01

This plan describes environmental monitoring as required by U.S. Department of Energy (DOE) Order 450.1, “Environmental Protection Program,” and additional environmental monitoring currently performed by other organizations in and around the Idaho National Laboratory (INL). The objective of DOE Order 450.1 is to implement sound stewardship practices that protect the air, water, land, and other natural and cultural resources that may be impacted by DOE operations. This plan describes the organizations responsible for conducting environmental monitoring across the INL, the rationale for monitoring, the types of media being monitored, where the monitoring is conducted, and where monitoring results can be obtained. This plan presents a summary of the overall environmental monitoring performed in and around the INL without duplicating detailed information in the various monitoring procedures and program plans currently used to conduct monitoring.

Idaho National Laboratory Site Environmental Monitoring Plan

Energy Technology Data Exchange (ETDEWEB)

Joanne L. Knight

2010-10-01

This plan describes environmental monitoring as required by U.S. Department of Energy (DOE) Order 450.1, “Environmental Protection Program,” and additional environmental monitoring currently performed by other organizations in and around the Idaho National Laboratory (INL). The objective of DOE Order 450.1 is to implement sound stewardship practices that protect the air, water, land, and other natural and cultural resources that may be impacted by DOE operations. This plan describes the organizations responsible for conducting environmental monitoring across the INL, the rationale for monitoring, the types of media being monitored, where the monitoring is conducted, and where monitoring results can be obtained. This plan presents a summary of the overall environmental monitoring performed in and around the INL without duplicating detailed information in the various monitoring procedures and program plans currently used to conduct monitoring.

The cost-benefit of federal investment in preventing Clostridium difficile infections through the use of a multifaceted infection control and antimicrobial stewardship program.

Science.gov (United States)

Slayton, Rachel B; Scott, R Douglas; Baggs, James; Lessa, Fernanda C; McDonald, L Clifford; Jernigan, John A

2015-06-01

To determine the potential epidemiologic and economic value of the implementation of a multifaceted Clostridium difficile infection (CDI) control program at US acute care hospitals Markov model with a 5-year time horizon Patients whose data were used in our simulations were limited to hospitalized Medicare beneficiaries ≥65 years old. CDI is an important public health problem with substantial associated morbidity, mortality, and cost. Multifaceted national prevention efforts in the United Kingdom, including antimicrobial stewardship, patient isolation, hand hygiene, environmental cleaning and disinfection, and audit, resulted in a 59% reduction in CDI cases reported from 2008 to 2012. Our analysis was conducted from the federal perspective. The intervention we modeled included the following components: antimicrobial stewardship utilizing the Antimicrobial Use and Resistance module of the National Healthcare Safety Network (NHSN), use of contact precautions, and enhanced environmental cleaning. We parameterized our model using data from CDC surveillance systems, the AHRQ Healthcare Cost and Utilization Project, and literature reviews. To address uncertainty in our parameter estimates, we conducted sensitivity analyses for intervention effectiveness and cost, expenditures by other federal partners, and discount rate. Each simulation represented a cohort of 1,000 hospitalized patients over 1,000 trials. RESULTS In our base case scenario with 50% intervention effectiveness, we estimated that 509,000 CDI cases and 82,000 CDI-attributable deaths would be prevented over a 5-year time horizon. Nationally, the cost savings across all hospitalizations would be $2.5 billion (95% credible interval: $1.2 billion to $4.0 billion). The potential benefits of a multifaceted national CDI prevention program are sizeable from the federal perspective.

Can Environmental Laws Fulfill Their Promise? Stories from Canada

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Nigel Bankes

2014-09-01

Full Text Available Canadian environmental law has changed dramatically over the last 50 years, responding to some of the flaws and weaknesses identified by commentators seeking to explain the continuing trend in environmental degradation. The aim of this article is to tell the story of three pieces of Canadian environmental legislation, the Alberta Land Stewardship Act, the federal Species at Risk Act, and Alberta’s Environmental Protection and Enhancement Act, with a view to exploring whether the environmental ambition underlying these pieces of legislation is being realized. Our overall conclusion is that there is a significant gap between the ambition of these three pieces of environmental legislation and their actual implementation but this gap arises from design choices made by the legislature and the executive, rather than something inherent in the law itself.

Campaign Preparation for Complex Initiatives: A Person-Centered Approach to Audience Segmentation of Parents' Antibiotic Stewardship.

Science.gov (United States)

Smith, Rachel A; MacGeorge, Erina L; Hackman, Nicole M; M'ikanatha, Nkuchia M

2017-10-25

The evolution of antibiotic resistance is outpacing the speed at which new antibiotics will reach the marketplace. To slow the rate of resistance, people need to engage in antibiotic stewardship, which includes acts to prevent the spread of bacteria and judicious use of antibiotics to treat infections. This study identified the patterns and predictors of antibiotic stewardship behaviors of parents (N = 516) related to their children. The latent class analysis revealed three profiles of parental stewardship, labeled Stewards, Requesters, and Non-Stewards. The findings implied different campaign goals: to encourage Stewards to follow through on their intentions, to encourage Requesters to stop asking providers for antibiotics when their children have ear infections, and to influence Non-Stewards to accept medical advice when an antibiotic is not indicated and to dispose of leftover antibiotics. The covariate analysis provided theoretical insight into the strategies to pursue in campaigns targeting these three groups. For example, parents who perceived antibiotic-resistant infections as less serious health conditions, felt less worry when thinking about their child getting an antibiotic-resistant infection, and had stronger misattributions of antibiotics' efficacy to treat multiple symptoms were more likely to be Requesters and Non-Stewards, instead of Stewards.

Mapping Antimicrobial Stewardship in Undergraduate Medical, Dental, Pharmacy, Nursing and Veterinary Education in the United Kingdom.

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Enrique Castro-Sánchez

Full Text Available To investigate the teaching of antimicrobial stewardship (AS in undergraduate healthcare educational degree programmes in the United Kingdom (UK.Cross-sectional survey of undergraduate programmes in human and veterinary medicine, dentistry, pharmacy and nursing in the UK. The main outcome measures included prevalence of AS teaching; stewardship principles taught; estimated hours apportioned; mode of content delivery and teaching strategies; evaluation methodologies; and frequency of multidisciplinary learning.80% (112/140 of programmes responded adequately. The majority of programmes teach AS principles (88/109, 80.7%. 'Adopting necessary infection prevention and control precautions' was the most frequently taught principle (83/88, 94.3%, followed by 'timely collection of microbiological samples for microscopy, culture and sensitivity' (73/88, 82.9% and 'minimisation of unnecessary antimicrobial prescribing' (72/88, 81.8%. The 'use of intravenous administration only to patients who are severely ill, or unable to tolerate oral treatment' was reported in ~50% of courses. Only 32/88 (36.3% programmes included all recommended principles.Antimicrobial stewardship principles are included in most undergraduate healthcare and veterinary degree programmes in the UK. However, future professionals responsible for using antimicrobials receive disparate education. Education may be boosted by standardisation and strengthening of less frequently discussed principles.

Sociomaterial Movement Learning in Evangelical Student Activism: A Case Study in Environmental Education

Science.gov (United States)

Steiner, Sherrie

2016-01-01

What began as a professor's classroom illustration to encourage students to take climate change seriously sparked a student movement that transformed Eastern University into a leader in environmental stewardship and social responsibility. How did this happen at an evangelical university in a conservative coal state that, at the time, was producing…

Política econômica e Estado Economic policy and State

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Giovani Clark

2008-04-01

Full Text Available O artigo enfoca, pela óptica do direito econômico, as influências das políticas econômicas privadas (basicamente do capital transnacional e dos entes internacionais sobre as políticas econômicas públicas, especialmente as realizadas pelos Estados em desenvolvimento. Enfatiza a mutação do neoliberalismo de regulamentação para o de regulação como exigência dos poderes econômicos privados, identificando entre os seus resultados o enfraquecimento do Estado e a descrença na democracia. E, ainda, defende a existência de espaços para a execução de ações econômicas endógenas por parte dos Estados Nacionais, a fim de viabilizar a eficácia de suas Constituições econômicas e suprir as carências de seus povos.This paper deal with, by Economical Law view, the effects of private economic policy, essentially of foreign capital, and the international organizations above the public economic policy, mainly that politics performed by the development nations. Lay emphasis on the mutation of the regulatory New Liberalism to the regulation as demand of private economic powers, recongnized enter their results: The decline of the State and the unbelief of democracy. Defends existence of spaces for the execution of endogenous economic actions by part of National States, for the purpose of execute effectiveness of their economical constitution and supply the shortage of their people.

Economic policy and state Política econômica e estado

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Giovani Clark

2007-12-01

Full Text Available This paper deal with, by Economical Law view, the effects of private economic policy, essentially of foreign capital, and the international organizations above the public economic policy, mainly that politics performed by the development nations. Lay emphasis on the mutation of the regulatory New Liberalism to the regulation as demand of private economic powers, recongnized enter their results: The decline of the State and the unbelief of democracy. Defends existence of spaces for the execution of endogenous economic actions by part of National States, for the purpose of execute effectiveness of their economical constitution and supply the shortage of their people.O artigo enfoca, pela ótica do Direito Econômico, as influências das políticas econômicas privadas (basicamente do capital transnacional e dos entes internacionais sobre as políticas econômicas públicas, principalmente as realizadas pelos Estados em desenvolvimento. Enfatiza a mutação do Neoliberalismo de Regulamentação para o de Regulação como exigência dos poderes econômicos privados, identificando entre os seus resultados: o enfraquecimento do Estado e a descrença na Democracia. E ainda, defende a existência de espaços para a execução de ações econômicas endógenas por parte dos Estados nacionais, a fim de viabilizar a eficácia de suas Constituições Econômicas e suprir as carências de seus povos.

Optimizing Antibiotic Use in Nursing Homes Through Antibiotic Stewardship.

Science.gov (United States)

Sloane, Philip D; Huslage, Kirk; Kistler, Christine E; Zimmerman, Sheryl

2016-01-01

Antibiotic stewardship is becoming a requirement for nursing homes. Programs should be interdisciplinary and multifaceted; should have support from nursing home administrators; and should aim to promote antibiotics only when needed, not just in case. Recommended components include use of evidence-based guidelines; ongoing monitoring of antibiotic prescriptions, cultures, and study results; monitoring of health outcomes; use of nursing home-specific antibiograms; regular reporting and feedback to medical providers and nurses; and education of residents and families. ©2016 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

Enhancing stewardship in Latin America and Caribbean small-scale fisheries : challenges and opportunities

NARCIS (Netherlands)

Gasalla, M.A.; de Castro, F.

2016-01-01

This thematic series, entitled “Enhancing Stewardship in Latin America and Caribbean Small-Scale Fisheries”, emerged as part of a joint effort to bridge Latin-American scholars interested in networking on small-scale fisheries in the region. Built on results presented at two meetings (‘Too Big to

El derecho de propiedad privada y libertad económica. Algunos elementos legales, filosóficos y económicos para una teoría general

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Santiago M. Castro Videla

2014-03-01

Full Text Available Este artículo ofrece diversos elementos legales, filosóficos y económicos para una teoría general del derecho de propiedad y libertad económica, que permita explicar por qué es un derecho fundamental. En primer lugar, plantea una visión unificada del derecho de propiedad privada y libertad económica, el que debe distinguirse analíticamente de los distintos derechos de propiedad susceptibles de reglamentación y expropiación estatal. En segundo lugar, explica, desde la teoría tomista del derecho natural, en qué sentido este derecho es un derecho natural secundario. En tercer lugar, señala, desde la teoría austríaca del proceso de mercado, cómo la protección del derecho de propiedad privada y libertad económica da lugar a un proceso virtuoso que genera mayor desarrollo, reducción de la pobreza y paz social. Y finalmente, explica también cómo la violación de dicho derecho genera los efectos contrarios: subdesarrollo, pobreza y conflicto social.

Proposta de metodologia para análise dos grupos econômicos

OpenAIRE

Rabelo, Flávio Marcílio

1996-01-01

Este artigo discute importantes questões metodológicas relacionadas ao projeto "Grupos econômicos da indústria brasileira e a política econômica: estrutura, estratégias e desafios", pesquisa conjunta entre o Instituto de Economia da Universidade Estadual de Campinas e a Escola de Administração de Empresas de São Paulo da Fundação Getúlio Vargas (EAESP/FGV). Analisa as estratégias corporativas dos grupos econômicos baseando-se nos conceitos de sinergia, competências básicas e produtos básicos....

Psicología, psicología social y asuntos económicos

OpenAIRE

Julio Eduardo Cruz

1994-01-01

La comprensión, desde una perspectiva psicológica, de los fenómenos económicos es un propósito que han perseguido varios e importantes investigadores de diferentes disciplinas científicas. Al interior de la psicología, sin embargo, tales esfuerzos han sido por varios años muy aislados, y sólo recientemente han permitido la configuración de nuevas especialidades como la Psicología Económica (PE) y la Psicología Social de los Asuntos Económicos (PSE). El presente artículo mues...

Saint Joseph's University Institute for Environmental Stewardship

Energy Technology Data Exchange (ETDEWEB)

McCann, Micahel P. [Saint Joseph' s Univ., Philadelphia, PA (United States); Springer, Clint J. [Saint Joseph' s Univ., Philadelphia, PA (United States)

2014-06-03

terms of percent ground coverage and plant spread and reproduction). Interestingly, plant growth in all four of the test plots was reduced relative to the lower areas of the roof (the lower area was ca. 2 inches lower than the test plots, due to the space needed for sensors under the plots. The lower roof area uses an aggregate drain layer comparable to that in the third test plot), even when accounting for the north to south differences. The reasons for these differences are not clear and studies are underway to examine the impact of wind scour, drainage rates, temperature, and other factors. This information will be of value to planners of extensive vegetative roof systems in the Philadelphia (and broader) region, since plant growth and roof system overall performance is influenced by local climate, making broad generalizations of performance difficult. Task C: Education and community outreach efforts by the IES involving conferences at SJU, presentations by faculty and students off campus, and educational signage. The Institute for Environmental Stewardship hosted three storm water management workshops on the SJU campus in Philadelphia, in collaboration with the Lower Merion Conservancy, a not-for-profit organization located in Montgomery County, PA. These workshops were free and open to the public. The three workshops (held each year in March) drew more than 200 participants total. The presenters included local and state government agencies, not for profit organizations involved in storm water and open space preservation, designers, engineers, planners and others. Feedback was uniformly positive and we plan to continue the workshops for the foreseeable future. Educational signage has been installed at four locations on campus to explain campus infrastructure related to storm water (rain gardens, vegetative roof and green facades), as well as detailed signage installed on the Science Center roof for the vegetative roof system. More than 100 people (from in and

Otra ciencia económica

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Daniel Innerarity

2012-04-01

Full Text Available El autor hace una crítica a la pretensión de la ciencia económica de constituirse como un saber exacto e hiperespecializado al considerar que esta pretensión se ha traducido en una pérdida de la capacidad que es necesaria para comprender la complejidad social de las realidades económicas. Seducida por el objetivo de la exactitud, la economía parece haber olvidado su carácter de construcción social. Además, la economía ha olvidado que es una más entre las ciencias sociales y el largo periodo en el que se ha separado de ellas reivindicando su plena autonomía no ha sido satisfactorio ni para ella ni para el resto de las ciencias sociales. Según el autor la crítica al capitalismo contemporáneo, si quiere ser más radical que moralizante, debe dirigirse a combatir el supuesto realismo de la ciencia económica dominante.The author criticizes the pretension of economic sciences of being an exact science and its tendency to specialization. The consequences of those pretensions are a loss of its capacity to understand the social complexity of the economic realities. The economy, seduced by its aim of exactitude, seems to forget that it is a social construction. Moreover, economy seems to forget that it is just a social science, and for a long period of time economy evolved as a separated and autonomous science; that time was not good neither for economic science neither for social sciences in general. According to the author, if we want to build a more radical and not only moralizing critique to contemporary capitalism, we must criticize the hypothetical realism of the economic science. 

Multiscale science for science-based stockpile stewardship

Energy Technology Data Exchange (ETDEWEB)

Margolin, L.; Sharp, D.

2000-12-01

This is the final report of a three-year, Laboratory-Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). The goal of this project has been to develop and apply the methods of multi scale science to the problems of fluid and material mixing due to instability and turbulence, and of materials characterization. Our specific focus has been on the SBSS (science-based stockpile stewardship) issue of assessing the performance of a weapons with off-design, aged, or remanufactured components in the absence of full-scale testing. Our products are physics models, based on microphysical principles and parameters, and suitable for implementation in the large scale design and assessment codes used in the nuclear weapons program.

El papel del desarrollo finnaciero como fuente del crecimiento económico

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José Luis Hernández Mota

2015-08-01

Full Text Available Recientemente ha surgido el debate por el papel del sistema financiero en el crecimiento económico; sin embargo, en la mayor parte de la literatura se tiene como finalidad medir el impacto del primero sobre el segundo, a través de relaciones econométricas. Por ello, el presente trabajo contribuye a la literatura retomando el análisis del modelo canónico de crecimiento económico, donde se introduce la variable financiera como factor que puede provocar una influencia permanente sobre la tasa de crecimiento económico por medio de su grado de complementariedad con la acumulación de capital y la productividad, y no únicamente como un factor explicativo de ella. Así, se manifiesta la importancia de los efectos reales que provoca el desarrollo del sistema financiero en los factores del crecimiento económico aplicable tanto a las economías desarrolladas como para las emergentes.

Diagnóstico y tendencias económicas del Corredor Tijuana-Rosarito-Ensenada

OpenAIRE

Wilfrido Ruiz Ochoa; Carlos Israel Vázquez León; Rafael Ruiz Ortega

2015-01-01

En este artículo se proponen estrategias que pudieran implementarse para romper con un escenario económico inercial adverso que, hipotéticamente, pudiera restarle viabilidad económica a futuro al Corredor Costero Tijuana- Rosarito-Ensenada. Esto, a partir de un diagnóstico económico sustentado en índices multidimensionales, en el que se aporta información censal sobre el perfil sectorial y espacial del corredor, así como de sus tendencias de crecimiento para 2030. Sobre esta base se elabo...

Effect of antibiotic stewardship on the incidence of infection and colonisation with antibiotic-resistant bacteria and Clostridium difficile infection: a systematic review and meta-analysis.

Science.gov (United States)

Baur, David; Gladstone, Beryl Primrose; Burkert, Francesco; Carrara, Elena; Foschi, Federico; Döbele, Stefanie; Tacconelli, Evelina

2017-09-01

Antibiotic stewardship programmes have been shown to reduce antibiotic use and hospital costs. We aimed to evaluate evidence of the effect of antibiotic stewardship on the incidence of infections and colonisation with antibiotic-resistant bacteria. For this systematic review and meta-analysis, we searched PubMed, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and Web of Science for studies published from Jan 1, 1960, to May 31, 2016, that analysed the effect of antibiotic stewardship programmes on the incidence of infection and colonisation with antibiotic-resistant bacteria and Clostridium difficile infections in hospital inpatients. Two authors independently assessed the eligibility of trials and extracted data. Studies involving long-term care facilities were excluded. The main outcomes were incidence ratios (IRs) of target infections and colonisation per 1000 patient-days before and after implementation of antibiotic stewardship. Meta-analyses were done with random-effect models and heterogeneity was calculated with the I 2 method. We included 32 studies in the meta-analysis, comprising 9 056 241 patient-days and 159 estimates of IRs. Antibiotic stewardship programmes reduced the incidence of infections and colonisation with multidrug-resistant Gram-negative bacteria (51% reduction; IR 0·49, 95% CI 0·35-0·68; pdifficile infections (32%; 0·68, 0·53-0·88; p=0·0029). Antibiotic stewardship programmes were more effective when implemented with infection control measures (IR 0·69, 0·54-0·88; p=0·0030), especially hand-hygiene interventions (0·34, 0·21-0·54; pinfections and colonisation with antibiotic-resistant bacteria and C difficile infections in hospital inpatients. These results provide stakeholders and policy makers with evidence for implementation of antibiotic stewardship interventions to reduce the burden of infections from antibiotic-resistant bacteria. German Center for Infection Research

Building an environmentally accountable medical curriculum through international collaboration

DEFF Research Database (Denmark)

Walpole, Sarah Catherine; Vyas, Aditya; Maxwell, Janie

2017-01-01

to mitigation of and adaptation to negative health impacts of environmental change. Medical schools have an integral role in training doctors who understand the interdependence of ecosystems and human health. Yet integrating environmental perspectives into busy medical curricula is not a simple task. Content......Background: Global environmental change is associated with significant health threats. The medical profession can address this challenge through advocacy, health system adaptation and workforce preparedness. Stewardship of health systems with attention to their environmental impacts can contribute......: At the 2016 Association for Medical Education in Europe conference, medical educators, students and clinicians from six continents discussed these challenges in a participatory workshop. Here we reflect on emerging themes from the workshop and how to plan for curricular change. Firstly, we outline recent...

Crecimiento económico, convergencia y concentración económica espacial en las entidades federativas de México 1970-2008

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Normand Asuad Sanén

2010-01-01

Full Text Available El propósito principal del presente trabajo es identificar la formación de clubes o núcleos de convergencia y divergencia que el crecimiento económico ha propiciado en las entidades federativas de México y el papel e importancia de los factores geo-espaciales en dichas formaciones. El estudio se realiza mediante un análisis comparativo entre el crecimiento económico y las hipótesis de convergencia, a partir de un modelo de regresión espacial de corte transversal. Los resultados obtenidos sugieren la existencia de distintos procesos de convergencia en las entidades federativas del país, identificándose la presencia de núcleos de convergencia, los cuales tienden a diferentes estados estacionarios, manteniéndose las diferencias en el ingreso per cápita y en el desarrollo de los estados del país. Además se revela la importancia y estrecha relación entre la localización geo-espacial y la formación de núcleos de convergencia en el crecimiento económico de las entidades federativas del país.

O desenvolvimento econômico da Venezuela, 1950/2006

OpenAIRE

Romina Batista de Lucena de Souza

2008-01-01

O objetivo desta tese é avaliar a contribuição do petróleo no desenvolvimento econômico da Venezuela, entre 1950/2006. Investiga-se por que uma economia rica em petróleo ainda não conseguiu industrializar-se. Seguindo os diferentes períodos governamentais, examinam-se a contribuição das políticas macroeconômicas sobre o desenvolvimento e a questão da doença holandesa e do capitalismo rentístico. Segundo a teoria da base econômica, as regiões crescem em torno de uma base exportadora, exercendo...

La planificacion económica en Andalucía

OpenAIRE

Adolfo Rodero Franganillo

2006-01-01

RESUMEN Se analiza la política económica y social de la Junta de Andalucía durante el período autonómico, en cuanto a los planes de distinto carácter. En concreto, se estudian los planes económicos, los planes de desarrollo regional, los acuerdos de concertación social y los programas sectoriales y horizontales. En cada uno de ellos, se expone, en lo posible, la historia de los planes, su elaboración y tramitación, la estrategia seguida, los objetivos, las prioridades sectoriales, la financi...

Wilderness stewardship in America today and what we can do to improve it

Science.gov (United States)

Ken Cordell; Chris Barns; David Brownlie; Tom Carlson; Chad Dawson; William Koch; Garry Oye; Chris Ryan

2016-01-01

The authors of this article are recently retired wilderness professionals from universities or federal agencies. We were asked to share our observations about how wilderness stewardship is being managed in America today. We based our observations on our many years of combined professional wilderness career experience as managers, trainers, scientists, educators, and...

Diagnóstico y tendencias económicas del Corredor Tijuana-Rosarito-Ensenada

OpenAIRE

Ruiz Ochoa, Wilfrido; Vázquez León, Carlos Israel; Ruiz Ortega, Rafael

2015-01-01

En este artículo se proponen estrategias que pudieran implementarse para romper con un escenario económico inercial adverso que, hipotéticamente, pudiera restarle viabilidad económica a futuro al Corredor Costero Tijuana-Rosarito-Ensenada. Esto, a partir de un diagnóstico económico sustentado en índices multidimensionales, en el que se aporta información censal sobre el perfil sectorial y espacial del corredor, así como de sus tendencias de crecimiento para 2030. Sobre esta base se elaboran p...

Impact of an antimicrobial stewardship programme on antibiotic usage and resistance in a tertiary hospital in China.

Science.gov (United States)

Zhang, Z-G; Chen, F; Ou, Y

2017-10-01

Antimicrobial misuse has been commonly observed in China. This phenomenon can cause antibiotic resistance. This study was designed to evaluate the impact of an antimicrobial stewardship programme implemented in a tertiary hospital in China from 2011 to 2014. The antimicrobial stewardship programme began in 2011. Data on the consumption of antibiotics and antimicrobial resistance between 2011 and 2014 were collected. Comparison of the 2011 data with those of 2014 showed that antibiotic defined daily doses/per 100 patient-days decreased from 92.5±2.8 to 35.8±1.2 (Padministrative management, especially information management, was effective in reducing antibiotic consumption and lessening antibiotic resistance. © 2017 John Wiley & Sons Ltd.

Next Generation Cloud-based Science Data Systems and Their Implications on Data and Software Stewardship, Preservation, and Provenance

Science.gov (United States)

Hua, H.; Manipon, G.; Starch, M.

2017-12-01

NASA's upcoming missions are expected to be generating data volumes at least an order of magnitude larger than current missions. A significant increase in data processing, data rates, data volumes, and long-term data archive capabilities are needed. Consequently, new challenges are emerging that impact traditional data and software management approaches. At large-scales, next generation science data systems are exploring the move onto cloud computing paradigms to support these increased needs. New implications such as costs, data movement, collocation of data systems & archives, and moving processing closer to the data, may result in changes to the stewardship, preservation, and provenance of science data and software. With more science data systems being on-boarding onto cloud computing facilities, we can expect more Earth science data records to be both generated and kept in the cloud. But at large scales, the cost of processing and storing global data may impact architectural and system designs. Data systems will trade the cost of keeping data in the cloud with the data life-cycle approaches of moving "colder" data back to traditional on-premise facilities. How will this impact data citation and processing software stewardship? What are the impacts of cloud-based on-demand processing and its affect on reproducibility and provenance. Similarly, with more science processing software being moved onto cloud, virtual machines, and container based approaches, more opportunities arise for improved stewardship and preservation. But will the science community trust data reprocessed years or decades later? We will also explore emerging questions of the stewardship of the science data system software that is generating the science data records both during and after the life of mission.

Collaboration in long-term stewardship at DOE Hanford Site-13019

International Nuclear Information System (INIS)

Moren, R. J.; Zeisloft, J. H.; Feist, E. T.; Brown, D.; Grindstaff, K. D.

2013-01-01

The U.S. Department of Energy's (DOE) Hanford Site comprises approximately 1,517 km 2 (586 mi 2 ) of land in southeastern Washington. The site was established in 1943 as part of the Manhattan Project to produce plutonium for the nation's nuclear weapons program. As the Cold War era came to an end, the mission of the site transitioned from weapons production to environmental cleanup. As the River Corridor area of the site cleanup is completed, the mission for that portion of the site will transition from active cleanup to continued protection of environment through the Long-Term Stewardship (LTS) Program. The key to successful transition from cleanup to LTS is the unique collaboration among three (3) different DOE Programs and three (3) different prime contractors with each contractor having different contracts. The LTS Program at the site is a successful model of collaboration resulting in efficient resolution of issues and accelerated progress that supports DOE's Richland Office 2015 Vision for the Hanford Site. The 2015 Vision for the Hanford Site involves shrinking the active cleanup footprint of the surface area of the site to approximately 20 mi 2 on the Central Plateau. Hanford's LTS Program is defined in DOE's planning document, Hanford Long-Term Stewardship Program Plan, DOE/RL-2010-35 Rev 1. The Plan defines the relationship and respective responsibilities between the federal cleanup projects and the LTS Program along with their respective contractors. The LTS Program involves these different parties (cleanup program and contractors) who must work together to achieve the objective for transition of land parcels. Through the collaborative efforts with the prime contractors on site over the past two years, 253.8 km 2 (98 mi 2 ) of property has been successfully transitioned from the cleanup program to the LTS Program upon completion of active surface cleanup. Upcoming efforts in the near term will include transitioning another large parcel that includes one

La racionalidad económica y la secularización

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ANDRÉS BILBAO

1996-01-01

Full Text Available La racionalidad económica es uno de los principales rasgos de la modernidad. Esta racionalidad es, aparentemente, resultado de la ruptura con la vieja superstición religiosa. Sin embargo, sus raíces están en ese mundo religioso, que cree haber superado. en este sentido, el proceso de secularización, del que nace la moderna racionalidad, no es más que la interiorización de los valores religiosos del cristianismo. La creencia de que el individuo, siguiendo sus propios intereses, da lugar a un mundo ordenado, es el rasgo característico de la racionalidad económica. Esta creencia tiene sus raíces en la doctrina cristiana en más de un mundo providencia. El desarrollo de la racionalidad económica no constituye a la superstición religiosa, sino que ella misma, como una nueva forma de superstición, se desarrolla en paralelo con ella.

The Critical Role of Stewardship in Fund Raising: The Coaches vs. Cancer Campaign.

Science.gov (United States)

Worley, Debra A.; Little, Jennifer K.

2002-01-01

Examines the critical role of stewardship in the process of fund raising. Uses the Coaches vs. Cancer campaign to illustrate the limitations of the public relations ROPE (research, objectives, planning, and evaluation) model in explaining fund raising success, and supports K.S. Kelly's contention that addition of a fifth step to the model, the…

Managing the Grey Literature of a Discipline through Collaboration: AgEcon Search

Science.gov (United States)

Kelly, Julia; Letnes, Louise

2005-01-01

AgEcon Search, http://www.agecon.lib.umn.edu, is an important and ground-breaking example of an alternative method of delivering current research results to many potential users. AgEcon Search, through a distributed model, collects and disseminates the grey literature of the fields of agricultural and resource economics. The development of this…

Desempenho econômico e evidenciação ambiental: análise das empresas que receberam o Prêmio Rumo à Credibilidade 2010 = Economic performance and environmental disclosure: an analysis of companies that received the award "rumo à credibilidade 2010"

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Gislaine Pereira

2011-11-01

Full Text Available Nas últimas décadas cresce o interesse da sociedade em questionar o desempenho ecológico das organizações, oportunamente por defender e preservar o meio ambiente para a geração contemporânea e futura. Diante do exposto, as empresas preocupam-se em evidenciar suas informações referentes às ações sociais e ambientais. Nesse contexto, este estudo objetiva analisar o desempenho econômico e a evidenciação ambiental de organizações brasileiras. A amostra compõese de dez empresas que apresentaram os melhores relatórios de sustentabilidade no ano de 2009, segundo a pesquisa "Rumo à Credibilidade 2010", excetuando a instituição financeira Itaú e a empresa de saneamento Sabesp, em virtude da dificuldade de se encontrar os índices-padrão dos respectivos setores. A metodologia empregada classifica-se como empírica, básica, quanti-qualitativa, descritoexploratória e documental. A amostra foi selecionada pela qualidade na evidenciação de informações ambientais e pelas demonstrações contábeis publicadas pelas empresas. Para atingir os objetivos estabelecidos utilizou-se indicadores econômicos, o ROI (Return On Investment e o ROE (Return On Equity. Comparou-se os índices de rentabilidade de cada empresa dos anos de 2008, 2009 e 2010 com índices-padrão de empresas do mesmo ramo de atividade. Constatou-se que apesar da crise financeira vivenciada nesse período, as empresas que evidenciam informações ambientais possuem um desempenho econômico favorável, com indicadores econômicos suficientes para tal, ou seja, são empresas rentáveis, capazes de se manter competitivas no mercado. Com os resultados da pesquisa, verificou-se que é possível adotar práticas sustentáveis, sem agredir a rentabilidade da empresa. During the last decades the interest of society in questioning the environmental performance of organizations, as appropriate for defending and preserving the environment for the present and future generation

El papel del desarrollo financiero como fuente del crecimiento económico

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José Luis Hernández Mota

2015-11-01

Full Text Available Recientemente ha resurgido el debate por el papel del sistema financiero en el crecimiento económico; sin embargo, en la mayor parte de la literatura se tiene como finalidad medir el impacto del primero sobre el segundo, a través de relaciones econométricas. Por ello, el presente trabajo contribuye a la literatura retomando el análisis del modelo canónico de crecimiento económico, donde se introduce la variable financiera como factor que puede provocar una influencia permanente sobre la tasa de crecimiento económico por medio de su grado de complementariedad con la acumulación de capital y la productividad, y no únicamente como un factor explicativo de ella. Así, se manifiesta la importancia de los efectos reales que provoca el desarrollo del sistema financiero en los factores del crecimiento económico; ello, desde un marco macroeconómico aplicable tanto para las economías desarrolladas como para las emergentes.

Technology to support integrated Antimicrobial Stewardship Programs : a user centered and stakeholder driven development approach

NARCIS (Netherlands)

Beerlage-de Jong, Nienke; van Gemert-Pijnen, Julia E.W.C.; Wentzel, M.J.; Hendrix, Ron; Tjin-Kam-Jet-Siemons, Liseth

2017-01-01

The rise of antimicrobial resistance (AMR) is a severe global health problem. Tackling this problem requires the prudent prescribing of antimicrobials. This is promoted through Antimicrobial Stewardship Programs (ASPs). In this position paper we describe i) how a socio-technical multidisciplinary

The value of participatory development to support antimicrobial stewardship with a clinical decision support system

NARCIS (Netherlands)

Beerlage-de Jong, Nienke; Wentzel, Jobke; Hendrix, Ron; van Gemert-Pijnen, Lisette

2017-01-01

Background: Current clinical decision support systems (CDSSs) for antimicrobial stewardship programs (ASPs) are guideline- or expert-driven. They are focused on (clinical) content, not on supporting real-time workflow. Thus, CDSSs fail to optimally support prudent antimicrobial prescribing in daily

The value of participatory development to support antimicrobial stewardship with a clinical decision support system

NARCIS (Netherlands)

Beerlage-de Jong, Nienke; Wentzel, M.J.; Hendrix, Ron; van Gemert-Pijnen, Julia E.W.C.

Background Current clinical decision support systems (CDSSs) for antimicrobial stewardship programs (ASPs) are guideline- or expert-driven. They are focused on (clinical) content, not on supporting real-time workflow. Thus, CDSSs fail to optimally support prudent antimicrobial prescribing in daily

Inflación y crecimiento económico: determinantes del desempleo en Colombia

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Nelsón Manolo Chávez Muñoz

2010-07-01

Full Text Available Este documento pretende establecer si la tasa de desempleo en Colombiaes explicada por la inflación esperada y por la tasa de crecimiento económicopara los años comprendidos entre 2001 y 2009, suponiendo que los agentes económicos tienen expectativas adaptativas. Por otra parte, se intenta determinar si el crecimiento económico causa menores tasas de desempleo, comprobando así la Ley de Okun. Se utilizaron series de tiempo trimestralizadas del DANE, usando la metodología de la cointegración de Johansen (1995, estimando un vector de corrección de error y funciones de impulso-respuesta. Los resultados muestran que la tasa de desempleo para el periodo analizado disminuye si se incrementan las expectativas de inflación más que si se aumenta la tasa de crecimiento económico.

Traditional Knowledge Strengthens NOAA's Environmental Education

Science.gov (United States)

Stovall, W. K.; McBride, M. A.; Lewinski, S.; Bennett, S.

2010-12-01

Environmental education efforts are increasingly recognizing the value of traditional knowledge, or indigenous science, as a basis to teach the importance of stewardship. The National Oceanic and Atmospheric Administration (NOAA) Pacific Services Center incorporates Polynesian indigenous science into formal and informal education components of its environmental literacy program. By presenting indigenous science side by side with NOAA science, it becomes clear that the scientific results are the same, although the methods may differ. The platforms for these tools span a vast spectrum, utilizing media from 3-D visualizations to storytelling and lecture. Navigating the Pacific Islands is a Second Life project in which users navigate a virtual Polynesian voyaging canoe between two islands, one featuring native Hawaiian practices and the other where users learn about NOAA research and ships. In partnership with the University of Hawai‘i Waikiki Aquarium, the Nana I Ke Kai (Look to the Sea) series focuses on connecting culture and science during cross-discipline, publicly held discussions between cultural practitioners and research scientists. The Indigenous Science Video Series is a multi-use, animated collection of short films that showcase the efforts of NOAA fisheries management and ship navigation in combination with the accompanying Polynesian perspectives. Formal education resources and lesson plans for grades 3-5 focusing on marine science have also been developed and incorporate indigenous science practices as examples of conservation success. By merging traditional knowledge and stewardship practices with NOAA science in educational tools and resources, NOAA's Pacific Services Center is helping to build and increase environmental literacy through the development of educational tools and resources that are applicable to place-based understanding and approaches.

El periodismo económico de investigación

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Francisco Vidal

2015-01-01

Full Text Available Escribir sobre la experiencia mexicana del periodismo de investigación en el ámbito de las finanzas y la economía, plantea tres problemas: la propia definición de Periodismo de Investigación, tener un panorama de la difusión del periodismo económico en México, y los problemas y retos de la práctica de este tipo de trabajo periodístico. El autor los analiza, ejemplifica y esboza algunas propuestas viables que permitirán superar las carencias y potenciar un necesario periodismo de investigación en el ámbito económico y financiero

Relaciones económicas bilaterales entre Ecuador y Brasil

OpenAIRE

Herrera Díaz, Stefany Natalie

2015-01-01

Dentro de la dinámica mundial actual, resulta de especial interés para Ecuador el análisis de sus relaciones económicas bilaterales con Brasil, debido al papel protagónico que ha alcanzado este país tanto a nivel regional como mundial. A nivel regional, varios de los países vecinos han delineado, incluso, su política exterior en función de potenciar sus relaciones políticas y económicas con él, y a nivel internacional, su participación en la geopolítica mundial es cada vez mayor. En términos ...

Going wild: Environmental stewardship in the energy industry

International Nuclear Information System (INIS)

Alexander, C.B.

1997-01-01

When Consumers Power Co., Michigan's largest utility, bought the lake plain acreage in St. Clair County, the company valued the land for what was underneath--potential gas storage fields. But that was before the state informed them that they owned the largest remaining stand of old-growth plain forest in Michigan. Growth rings date one hickory tree to 1796, in George Washington's administration; one white oak may date to 1752, one year before the Liberty Bell was hung in the Pennsylvania State House in Philadelphia. Today, while Consumers still owns the site, land preservation management is in the hands of the Michigan Nature Association under a conservation, nondevelopment easement. The industry is making way for wildlife for pragmatic as well as idealistic reasons: Conservation, some say, persuades key audiences of a company's good corporate citizenship, which in turn saves the company time and money when it needs public and/or government support. Other proponents stress that land preservation allows wildlife to flourish and stems the current trend of species extinction. Still another group points to the large-sized carrot coming from environmental groups, which have rolled out the welcome mat to business

Idaho National Engineering and Environmental Laboratory institutional plan -- FY 2000--2004

Energy Technology Data Exchange (ETDEWEB)

Enge, R.S.

1999-12-01

In this first institutional plan prepared by Bechtel BWXT Idaho, LLC, for the Idaho National Engineering and Environmental Laboratory, the INEEL will focus its efforts on three strategic thrusts: (1) Environmental Management stewardship for DOE-EM, (2) Nuclear reactor technology for DOE-Nuclear Energy (NE), and (3) Energy R and D, demonstration, and deployment (initial focus on biofuels and chemicals from biomass). The first strategic thrust focuses on meeting DOE-EMs environmental cleanup and long-term stewardship needs in a manner that is safe, cost-effective, science-based, and approved by key stakeholders. The science base at the INEEL will be further used to address a grand challenge for the INEEL and the DOE complex--the development of a fundamental scientific understanding of the migration of subsurface contaminants. The second strategic thrust is directed at DOE-NEs needs for safe, economical, waste-minimized, and proliferation-resistant nuclear technologies. As NE lead laboratories, the INEEL and ANL will pursue specific priorities. The third strategic thrust focuses on DOE's needs for clean, efficient, and renewable energy technology. As an initial effort, the INEEL will enhance its capability in biofuels, bioprocessing, and biochemicals. The content of this institutional plan is designed to meet basic DOE requirements for content and structure and reflect the key INEEL strategic thrusts. Updates to this institutional plan will offer additional content and resource refinements.

A construção social do mercado de madeiras certificadas na Amazônia brasileira: a atuação das ONGs ambientalistas e das empresas pioneiras The social construction of the Brazilian certified wood market in the Amazon Region: the performance of the environmental NGOs and Pioneer Companies

Directory of Open Access Journals (Sweden)

Marcelo Sampaio Carneiro

2007-12-01

Full Text Available Este artigo analisa o processo de construção de um mercado de madeiras certificadas pelo selo do Forest Stewardship Council (FSC na Amazônia brasileira. A certificação florestal pode ser compreendida como uma estratégia, desenvolvida a partir dos anos 90, por um conjunto de ONGs ambientalistas para tentar modificar o padrão de funcionamento da indústria mundial de madeiras. Como mostram alguns trabalhos de Sociologia Econômica, o processo de construção de um mercado requer um conjunto diverso de investimentos, de forma a permitir o estabelecimento e o funcionamento das trocas mercantis. No caso em questão, procuramos mostrar como esse processo se desenrolou, através da constituição de mecanismos de apoio à emergência da produção de madeiras certificadas e da atuação de empresas pioneiras (na obtenção do selo do FSC no interior do campo econômico da indústria de madeiras tropicais.This text studies the process of construction of a market for Forest Stewardship Council (FSC certified timber in the Brazilian Amazon. Forestry certification can be understood as a strategy developed from the 1990s by some environmental non-governmental organizations in an attempt to modify the working patterns of the world timber industry face the relative failure of the previous boycott policy of tropical timber. The process of construction of a market, as shown by several works in economic Sociology, always demand investments that facilitate the mechanism of commodity exchange. We try to show that, in the case of certified timber products, market construction unfolds from the criticism of the traditional market for tropical wood products and from the promotion of mechanisms that supported the growth of certified timber production. We also highlight the trajectory of the first firms who obtained the stamp of forestry certification in order to try to understand the likelihood that this market becomes dominant and therefore redirects forest

A mesoeconomia do desenvolvimento econômico: o papel das instituições

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Huáscar Pessali

2011-01-01

Full Text Available O desenvolvimento econômico depende das instituições e as instituições, ao mesmo tempo, são uma medida do desenvolvimento econômico. Assim, correlação e causalidade se confundem num processo cumulativo e circular - uma espiral de mudanças que condiciona a ampliação das liberdades dos indivíduos. A contribuição pretendida por este ensaio é reunir e propor uma organização de várias idéias dispersas no tema "instituições e desenvolvimento econômico". Nossa releitura adiciona um breve exemplo da relação entre mercados, firmas e estado no âmbito do desenvolvimento. Isto permite defender o retorno a uma análise econômica que não se limite às falhas de mercado, mas que encare a responsabilidade de lidar com um emaranhado mais complexo de interações.

Antimicrobial stewardship in long-term care facilities in Belgium: a questionnaire-based survey of nursing homes to evaluate initiatives and future developments

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François Kidd

2016-03-01

Full Text Available Abstract Background The use of antimicrobials is intense and often inappropriate in long-term care facilities. Antimicrobial resistance has increased in acute and chronic care facilities, including those in Belgium. Evidence is lacking concerning antimicrobial stewardship programmes in chronic care settings. The medical coordinator practicing in Belgian nursing homes is a general practitioner designated to coordinate medical activity. He is likely to be the key position for effective implementation of such programmes. The aim of this study was to evaluate past, present, and future developments of antimicrobial stewardship programmes by surveying medical coordinators working in long-term care facilities in Belgium. Methods We conducted an online questionnaire-based survey of 327 Belgian medical coordinators. The questionnaire was composed of 33 questions divided into four sections: characteristics of the respondents, organisational frameworks for implementation of the antimicrobial stewardship programme, tools to promote appropriate antimicrobial use and priorities of action. Questions were multiple choice, rating scale, or free text. Results A total of 39 medical coordinators (12 % completed the questionnaire. Past or present antimicrobial stewardship initiatives were reported by 23 % of respondents. The possibility of future developments was rated 2.7/5. The proposed key role of medical coordinators was rated <3/5 by 36 % of respondents. General practitioners, nursing staff, and hospital specialists are accepted as important roles. The use of antimicrobial guidelines was reported by only 19 % of respondents. Education was considered the cornerstone for any future developments. Specific diagnostic recommendations were considered useful, but chest x-rays were judged difficult to undertake. The top priority identified was to reduce unnecessary treatment of asymptomatic urinary infections. Conclusions Our study shows that the implementation of

New Developments in NOAA's Comprehensive Large Array-Data Stewardship System

Science.gov (United States)

Ritchey, N. A.; Morris, J. S.; Carter, D. J.

2012-12-01

The Comprehensive Large Array-data Stewardship System (CLASS) is part of the NOAA strategic goal of Climate Adaptation and Mitigation that gives focus to the building and sustaining of key observational assets and data archives critical to maintaining the global climate record. Since 2002, CLASS has been NOAA's enterprise solution for ingesting, storing and providing access to a host of near real-time remote sensing streams such as the Polar and Geostationary Operational Environmental Satellites (POES and GOES) and the Defense Meteorological Satellite Program (DMSP). Since October, 2011 CLASS has also been the dedicated Archive Data Segment (ADS) of the Suomi National Polar-orbiting Partnership (S-NPP). As the ADS, CLASS receives raw and processed S-NPP records for archival and distribution to the broad user community. Moving beyond just remote sensing and model data, NOAA has endorsed a plan to migrate all archive holdings from NOAA's National Data Centers into CLASS while retiring various disparate legacy data storage systems residing at the National Climatic Data Center (NCDC), National Geophysical Data Center (NGDC) and the National Oceanographic Data Center (NODC). In parallel to this data migration, CLASS is evolving to a service-oriented architecture utilizing cloud technologies for dissemination in addition to clearly defined interfaces that allow better collaboration with partners. This evolution will require implementation of standard access protocols and metadata which will lead to cost effective data and information preservation.

A cost analysis of introducing an infectious disease specialist-guided antimicrobial stewardship in an area with relatively low prevalence of antimicrobial resistance.

Science.gov (United States)

Lanbeck, Peter; Ragnarson Tennvall, Gunnel; Resman, Fredrik

2016-07-27

Antimicrobial stewardship programs have been widely introduced in hospitals as a response to increasing antimicrobial resistance. Although such programs are commonly used, the long-term effects on antimicrobial resistance as well as societal economics are uncertain. We performed a cost analysis of an antimicrobial stewardship program introduced in Malmö, Sweden in 20 weeks 2013 compared with a corresponding control period in 2012. All direct costs and opportunity costs related to the stewardship intervention were calculated for both periods. Costs during the stewardship period were directly compared to costs in the control period and extrapolated to a yearly cost. Two main analyses were performed, one including only comparable direct costs (analysis one) and one including comparable direct and opportunity costs (analysis two). An extra analysis including all comparable direct costs including costs related to length of hospital stay (analysis three) was performed, but deemed as unrepresentative. According to analysis one, the cost per year was SEK 161 990 and in analysis two the cost per year was SEK 5 113. Since the two cohorts were skewed in terms of size and of infection severity as a consequence of the program, and since short-term patient outcomes have been demonstrated to be unchanged by the intervention, the costs pertaining to patient outcomes were not included in the analysis, and we suggest that analysis two provides the most correct cost calculation. In this analysis, the main cost drivers were the physician time and nursing time. A sensitivity analysis of analysis two suggested relatively modest variation under changing assumptions. The total yearly cost of introducing an infectious disease specialist-guided, audit-based antimicrobial stewardship in a department of internal medicine, including direct costs and opportunity costs, was calculated to be as low as SEK 5 113.

A probabilistic approach to assess antibiotic resistance development risks in environmental compartments and its application to an intensive aquaculture production scenario

NARCIS (Netherlands)

Rico, Andreu; Jacobs, Rianne; Brink, Van den Paul J.; Tello, Alfredo

2017-01-01

Estimating antibiotic pollution and antibiotic resistance development risks in environmental compartments is important to design management strategies that advance our stewardship of antibiotics. In this study we propose a modelling approach to estimate the risk of antibiotic resistance development

A probabilistic approach to assess antibiotic resistance development risks in environmental compartments and its application to an intensive aquaculture production scenario.

NARCIS (Netherlands)

Rico, Andreu; Jacobs, Rianne; Van den Brink, Paul J; Tello, Alfredo

2017-01-01

Estimating antibiotic pollution and antibiotic resistance development risks in environmental compartments is important to design management strategies that advance our stewardship of antibiotics. In this study we propose a modelling approach to estimate the risk of antibiotic resistance development

Collaboration in Long-Term Stewardship at DOE's Hanford Site - 13019

Energy Technology Data Exchange (ETDEWEB)

Moren, Rick; Brown, David [Mission Support Alliance, LLC, Richland, WA (United States); Feist, Ella [Washington Closure Hanford, LLC, Richland WA (United States); Grindstaff, Keith; Zeisloft, Jamie [US Department of Energy, Richland Operations, Richland WA (United States)

2013-07-01

The U.S. Department of Energy's (DOE) Hanford Site comprises approximately 1,517 km{sup 2} (586 mi{sup 2}) of land in southeastern Washington. The site was established in 1943 as part of the Manhattan Project to produce plutonium for the nation's nuclear weapons program. As the Cold War era came to an end, the mission of the site transitioned from weapons production to environmental cleanup. As the River Corridor area of the site cleanup is completed, the mission for that portion of the site will transition from active cleanup to continued protection of environment through the Long-Term Stewardship (LTS) Program. The key to successful transition from cleanup to LTS is the unique collaboration among three (3) different DOE Programs and three (3) different prime contractors with each contractor having different contracts. The LTS Program at the site is a successful model of collaboration resulting in efficient resolution of issues and accelerated progress that supports DOE's Richland Office 2015 Vision for the Hanford Site. The 2015 Vision for the Hanford Site involves shrinking the active cleanup footprint of the surface area of the site to approximately 20 mi{sup 2} on the Central Plateau. Hanford's LTS Program is defined in DOE's planning document, Hanford Long-Term Stewardship Program Plan [1]. The Plan defines the relationship and respective responsibilities between the federal cleanup projects and the LTS Program along with their respective contractors. The LTS Program involves these different parties (cleanup program and contractors) who must work together to achieve the objective for transition of land parcels. Through the collaborative efforts with the prime contractors on site over the past two years,, 253.8 km{sup 2} (98 mi{sup 2}) of property has been successfully transitioned from the cleanup program to the LTS Program upon completion of active surface cleanup. Upcoming efforts in the near term will include transitioning another

Soberanía, crecimiento económico y austeridad

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Lia Nakid Cordero

2013-05-01

Full Text Available Reseña al libro de Wray, Randall (2012. Modern Money Theory. A Primer on Macroeconomics for Sovereign Monetary Systems. Palgrave Macmillan, New York. Los programas de austeridad a los que están sometidos la mayoría de los gobiernos actualmente, en especial en los países europeos, da lugar a la formulación de propuestas teóricas heterodoxas que explican los impactos económicos negativos de dichas políticas, y muestran que son totalmente inadecuadas para los propósitos para los que se establecen, en especial, el crecimiento económico. Entre esas propuestas, se encuentra la de Randall Wray, sobre los sistemas monetarios soberanos.

Poder, emprego e política econômica

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RUBENS R. SAWAYA

2015-12-01

Full Text Available resumo A discussão sobre o crescimento econômico e o emprego no Brasil está bloqueada por uma teoria importada, baseada nas "taxas naturais" de emprego, ideia criada por Friedman que hoje invade a teoria econômica no mundo. Essa visão equivocada está impondo ao país uma brutal recessão com crescimento do desemprego e queda na produção agregada sem qualquer sucesso naquilo que se propõe: recuperar uma credibilidade metafísica por parte das empresas. Trata-se de uma questão de poder político de um determinado grupo social que hoje extravasa os partidos políticos.

Interacciones sociales y explotación económica

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Andrés Montaña

2012-05-01

Full Text Available Planteo aquí un nuevo modelo de interacción social general basado en lasdotaciones de información, heurística y recursos de los agentes de una organización social. A partirde estas dotaciones se puede hacer una representación en un espacio social determinado en el quese desarrollan interacciones sociales. El modelo permite identificar la posición de un agente en elespacio social y hacer comparaciones interpersonales.A partir del modelo de interacción social general, planteo un modelo de explotación económica.Una autoridad desde este modelo de explotación puede establecer áreas de restricción para determinarla explotación económica de los agentes.El cálculo de las dotaciones y las combinaciones de éstas, pueden permitir a una autoridaddeterminar si existe o no explotación de unos agentes por otros, fijar categorías de explotación, eidentificar áreas de atención prioritarias. El modelo se podría constituir en una herramienta másapropiada para la identificación de la condición laboral o económica de los niños y niñas.

Neighborhood change and the role of environmental stewardship: a case study of green infrastructure for stormwater in the City of Portland, Oregon, USA

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Vivek Shandas

2015-09-01

Full Text Available Throughout the history of cities, the ecological landscape has often been buried, removed, or taken for granted. A recent recognition that humans are part of the global ecosystem, and that human actions both cause and are affected by ecological change, brings with it an awareness of the value of nature in cities and of natural systems on which cities depend. The feedbacks between humans and their environment within an urban context can have profound implications for the growth of and change in cities, yet there is a limited understanding of the interactions between biophysical changes in cities and the implications of these changes on the quality of life for residents. The application of a coupled human and natural systems (CHANS framework provides a timely and fruitful opportunity to enrich the theory, methods, and understanding of these feedbacks and interconnections. Here, I integrated biophysical and social dimensions relevant to managing urban stormwater by examining a case study of Portland, Oregon, USA. I used empirical data from a pre-post survey (2-yr span of residents in eight urban neighborhoods to describe feedbacks and interactions between a localized biophysical change in the form of a large-scale decentralized stormwater program and the resulting changes in resident's perceptions in neighborhoods undergoing rapid change. My findings corroborate earlier findings suggesting that people with higher income and education levels are more likely to participate in stewardship actions. The results also suggest an overall and initial negative perception of neighborhoods facilities and services immediately following the construction of decentralized stormwater facilities, but conversely, high levels of anticipation for their construction. By describing these findings through a CHANS framework, I make explicit the importance of integrating scientific understanding, governance efforts, and human behaviors to address acute urban environmental

Desmatamento e a contribuição econômica da floresta na Amazônia

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Terciane Sabadini Carvalho

2016-06-01

Full Text Available Resumo Este artigo analisa, do ponto de vista econômico, a contribuição da floresta desmatada para a economia da Amazônia Legal entre 2006 e 2011, assim como os efeitos de uma política de controle do desmatamento entre 2012 e 2020. Para isso, utilizou-se um modelo de equilíbrio geral computável (EGC inter-regional, construído para capturar as especificidades e heterogeneidade de 103 microrregiões da Amazônia Legal. As simulações da contribuição econômica do desmatamento para essas regiões permitiriam avaliar o custo relativo de políticas de controle, estimando o valor implícito do desmatamento na dinâmica econômica. Os resultados apontam uma contribuição positiva, embora pequena, do desmatamento para o crescimento econômico da Amazônia de 2006 a 2011. Este resultado é reforçado pelos impactos econômicos de uma política hipotética de controle do desmatamento, que sugerem uma perda apenas marginal sobre o crescimento econômico dessas regiões.

Carbon stewardship: land management decisions and the potential for carbon sequestration in Colorado, USA

International Nuclear Information System (INIS)

Failey, Elisabeth L; Dilling, Lisa

2010-01-01

Land use and its role in reducing greenhouse gases is a key element of policy negotiations to address climate change. Calculations of the potential for enhanced terrestrial sequestration have largely focused on the technical characteristics of carbon stocks, such as vegetation type and management regime, and to some degree, on economic incentives. However, the actual potential for carbon sequestration critically depends on who owns the land and additional land management decision drivers. US land ownership patterns are complex, and consequently land use decision making is driven by a variety of economic, social and policy incentives. These patterns and incentives make up the 'carbon stewardship landscape'-that is, the decision making context for carbon sequestration. We examine the carbon stewardship landscape in the US state of Colorado across several public and private ownership categories. Achieving the full potential for land use management to help mitigate carbon emissions requires not only technical feasibility and financial incentives, but also effective implementing mechanisms within a suite of often conflicting and hard to quantify factors such as multiple-use mandates, historical precedents, and non-monetary decision drivers.

Clinical Outcomes of a Pharmacy-Led Blood Factor Stewardship Program.

Science.gov (United States)

Trueg, Anne O; Lowe, Christopher; Kiel, Patrick J

To report the results of a pharmacist-directed blood factor stewardship program targeting off-label utilization designed to limit use to established organizational guidelines in high-risk populations. Prospective evaluation of recombinant factor VIIa and prothrombin complex concentrate orders beginning June 2013 through May 2014 and a matched retrospective cohort from June 2012 to May 2013. Matched cohorts were evaluated for 28-day mortality, change in international normalized ratio (INR), adverse events, concurrent blood product use, and cost savings. Forty-two orders for blood factor were ordered between June 2013 and May 2014, 70 orders in the year before (N = 112). Twenty eight-day mortality was not different between the cohorts: 53.9% versus 50% (P = 0.77). Blood factor use with underlying liver failure and active bleeding was strongly associated with 28-day mortality: odds ratio (95% confidence interval), 2.9 (1.5-7.14) and 2.91 (0.01-2.91), respectively. Blood products dispensed increased over the year with plasma products the most significant (1 vs. 4 P = 0.004). All other clinical outcomes were nonsignificant. An annual cost savings of $375,539 was achieved, primarily through a significant reduction in recombinant factor VIIa and avoidance in high-risk patients. Use of off-label blood factors can be controlled through a pharmacist-led stewardship program. Twenty eight-day mortality was not different between the 2 cohorts; however, identification of risk factors for death associated with blood factor use allows for restriction in high-risk populations, creates a discussion of futile care, and yields cost savings.

Cost Analysis of Implementing Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry Plus Real-Time Antimicrobial Stewardship Intervention for Bloodstream Infections.

Science.gov (United States)

Patel, Twisha S; Kaakeh, Rola; Nagel, Jerod L; Newton, Duane W; Stevenson, James G

2017-01-01

Studies evaluating rapid diagnostic testing plus stewardship intervention have consistently demonstrated improved clinical outcomes for patients with bloodstream infections. However, the cost of implementing new rapid diagnostic testing can be significant, and such testing usually does not generate additional revenue. There are minimal data evaluating the impact of adding matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) for rapid organism identification and dedicating pharmacy stewardship personnel time on the total hospital costs. A cost analysis was performed utilizing patient data generated from the hospital cost accounting system and included additional costs of MALDI-TOF equipment, supplies and personnel, and dedicated pharmacist time for blood culture review and of making interventions to antimicrobial therapy. The cost analysis was performed from a hospital perspective for 3-month blocks before and after implementation of MALDI-TOF plus stewardship intervention. A total of 480 patients with bloodstream infections were included in the analysis: 247 in the preintervention group and 233 in the intervention group. Thirty-day mortality was significantly improved in the intervention group (12% versus 21%, P cost per bloodstream infection was lower in the intervention group ($42,580 versus $45,019). Intensive care unit cost per bloodstream infection accounted for the largest share of the total costs in each group and was also lower in the intervention group ($10,833 versus $13,727). Implementing MALDI-TOF plus stewardship review and intervention decreased mortality for patients with bloodstream infections. Despite the additional costs of implementing MALDI-TOF and of dedicating pharmacy stewardship personnel time to interventions, the total hospital costs decreased by $2,439 per bloodstream infection, for an approximate annual cost savings of $2.34 million. Copyright © 2016 American Society for Microbiology.

Antimicrobial Stewardship in Acute Care Centres: A Survey of 68 Hospitals in Quebec

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Vincent Nault

2008-01-01

Full Text Available BACKGROUND: Antimicrobial stewardship programs (ASPs and quantitative monitoring of antimicrobial use are required to ensure that antimicrobials are used appropriately in the acute care setting, and have the potential to reduce costs and limit the spread of antimicrobial-resistant organisms and Clostridium difficile. Currently, it is not known what proportion of Quebec hospitals have an ASP and/or monitor antimicrobial use.

Integrating societal perspectives and values for improved stewardship of a coastal ecosystem engineer

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Steven B. Scyphers

2014-09-01

Full Text Available Oyster reefs provide coastal societies with a vast array of ecosystem services, but are also destructively harvested as an economically and culturally important fishery resource, exemplifying a complex social-ecological system (SES. Historically, societal demand for oysters has led to destructive and unsustainable levels of harvest, which coupled with multiple other stressors has placed oyster reefs among the most globally imperiled coastal habitats. However, more recent studies have demonstrated that large-scale restoration is possible and that healthy oyster populations can be sustained with effective governance and stewardship. However, both of these require significant societal support or financial investment. In our study, we explored relationships among how coastal societies (1 perceive and value oyster ecosystem services, (2 recognize and define problems associated with oyster decline, and (3 perceive or support stewardship initiatives. We specifically focused on the SES of eastern oysters (Crassostrea virginica and coastal societies in the northern Gulf of Mexico, a region identified as offering among the last and best opportunities to sustainably balance conservation objectives with a wild fishery. We found that, in addition to harvest-related benefits, oysters were highly valued for providing habitat, mitigating shoreline erosion, and improving water quality or clarity. Our results also showed that although most respondents recognized that oyster populations have declined, many respondents characterized the problem differently than most scientific literature does. Among a variety of initiatives for enhancing sustainability, spawning sanctuaries and reef restoration were well supported in all states, but support for harvest reductions was less consistent. Our study suggests that public support for maintaining both harvest and ecosystem services exists at societal levels and that enhancing public awareness regarding the extent and causes

El pensamiento económico de Caldas

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Publio Restrepo Jaramillo

1960-06-01

Full Text Available Solamente hasta el año de 1821, cuando se reunió el Congreso de Cúcuta, se vino a tener en Colombia un principio cierto de legislación en materia de moneda para regular las relaciones económicas del hombre americano que acababa de salir a la vida libre.

Environmental Management Welcomes a New Face and Reinforces Its Focus on Science-Based Stewardship

Energy Technology Data Exchange (ETDEWEB)

Dale, Virginia H [ORNL

2010-06-01

ENVIRONMENTAL MANAGEMENT is pleased to announce that Rebecca Efroymson will join Virginia Dale as Co-Editors-in-Chief of the journal. Dr. Efroymson brings extensive expertise in risk assessment and environmental toxicology. Her work has focused on land management, natural resources, water quality, and rare species, with recent work on benefits and risks of energy alternatives. ENVIRONMENTAL MANAGEMENT has been publishing research on the management and conservation of natural resources and habitats since 1976. Articles discuss implications for an international audience and examine a scientific or management hypothesis. As a premier scientific journal in applied and cross-cutting areas, articles come from a variety of disciplines including biology, botany, climatology, earth sciences, ecology, ecological economics, environmental engineering, fisheries, forest sciences, geography, information science, law, management science, politics, public affairs, social sciences, and zoology, most often in combinations determined by the interdisciplinary topic of the study. The journal strives to improve cross-disciplinary communication by making ideas and results available to environmental practitioners from other backgrounds. The goal of ENVIRONMENTAL MANAGEMENT is to present a wide spectrum of viewpoints and approaches, and to this end the journal consists of four main sections. Forum contains addresses, editorials, comments, and opinions about environmental matters. Articles in the Profile section describe and evaluate particular case histories, events, policies, problems, or organizations and their work. Papers in the Research section present the methods and findings from empirical and model-based scientific studies. The section on Environmental Assessment is for articles that cover methods of appraisal, measurement, and comparison. Generally, the debates published in the journal's Forum help construct better environmental research or policies; Research and Assessment

ESPÍRITU EMPRESARIAL como estrategia de competitividad y desarrollo económico

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John Crissien Castillo

2006-07-01

Full Text Available En los últimos tiempos el tema del desarrollo económico basado en ventajas competitivas ha tomado suma importancia. Se han planteado modelos para lograr estos objetivos. Tradicionalmente se propone que el gobierno sea el generador de políticas de bienestar. En este artículo se presenta un modelo que aborda el desarrollo económico y por ende el bienestar desde otro punto de vista: el espíritu empresarial que propicia una cultura empresarial. De individuos con espíritu empresarial surgen los empresarios, los verdaderos iniciadores del progreso económico, los generadores de riqueza. Diversos estudios internacionales plantean que los empresarios se hacen gracias a dos perspectivas: la necesidad y la oportunidad. En nuestro país la gran mayoría ha surgido y siguen surgiendo por necesidad.

Estrategias corporativas de crecimiento de los grupos económicos en chile1,2

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Alex Medina Giacomozzi

2009-10-01

Full Text Available Los grupos económicos son una estructura corporativa muy importante en Chile y al igual que toda organización, éstos tienen una variedad de decisiones estratégicas que deben adoptar, entre las que resaltan las estrategias de crecimiento (composición de portafolio, por lo que en este artículo se profundizará en ellas, particularmente en sus estrategias de diversificación o concentración. Para el desarrollo de la investigación, se partió del total de grupos económicos registrados en la Superintendencia de Valores y Seguros de Chile y, mediante muestreo aleatorio simple, se obtuvo una muestra de 42 grupos, en donde uno de los principales hallazgos fue que la mayoría de los grupos económicos adoptan estrategias de concentración en un sector con un activo recambio de grupos económicos.

Algunas Estrategias Utilizadas por Familias Peruanas para Afrontar la Crisis Económica Actual

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Alegria Majluf

1994-12-01

Full Text Available Con el fin de explorar las estrategias utilizadas por madres de CSE media y baja para afrontar la crisis económica actual se entrevistaron a 20 madres de cada estrato económico y se les administraron trespequeñas encuestas y la Escala F-Copes "Escala de Evaluación Personal del Funcionamiento Familiar en Situaciones de Crisis". Los resultados evidenciaron que ambos grupos económicos se vieron seriamente afectados económicamente debiendo reducir sus gastos en actividades virales tales como alimentación, vestuario y recreación. Las madres de CSE media recurrieron más a una estrategia de reestructuración del problema para hacerlo más manejable y las madres de CSE baja a la movilización familiar para obtener ayuda y a la evaluación pasiva. No difieren ambos grupos en la búsqueda de apoyo espiritual y social.

La Alianza del Pacífico y Mercosur: evidencias de convergencia económica

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José Ustorgio Mora Mora

2016-10-01

Full Text Available Mediante el cálculo de un índice de convergencia económica y el análisis de correlaciones entre varias variables macroeconómicas, se estudia la posibilidad de convergencia económica entre los países miembros de la Alianza del Pacífico con los de Mercosur. Para ello se utiliza información estadística del periodo 1980-2014. A partir de lo anterior, los resultados no son concluyentes, no es posible determinar el rumbo a seguir por estos dos acuerdos para una expansión y una mayor integración económica, aunque los patrones observados sobre las decisiones de los países miembros para este objetivo sugieren que esta pudiera ser bastante factible en el mediano plazo y el índice de convergencia económica refleja esa tendencia. Sin embargo, el análisis de correlaciones no permite establecer una conclusión definitiva.

The effectiveness of agricultural stewardship for improving water quality at the catchment scale: Experiences from an NVZ and ECSFDI watershed

Science.gov (United States)

Kay, Paul; Grayson, Richard; Phillips, Martin; Stanley, Karen; Dodsworth, Alan; Hanson, Ann; Walker, Andrew; Foulger, Miles; McDonnell, Iain; Taylor, Simon

2012-02-01

SummaryAgriculture is estimated to be responsible for 70% of nitrate and 30-50% of phosphorus pollution, contributing to ecological and water treatment problems. Despite the fact that significant gaps remain in our understanding, it is known that agricultural stewardship can be highly effective in controlling water pollution at the plot and field scales. Knowledge at the catchment scale is, to a large extent, entirely lacking though and this is of paramount concern given that the catchment is the management unit used by regulatory authorities. The few studies that have examined the impact of agricultural stewardship at the catchment scale have found that Nitrate Vulnerable Zones (NVZs) in the UK have resulted in little improvement in water quality which concurs with the current catchment study. In addition to NVZs, there was little evidence to suggest that the England Catchment Sensitive Farming Delivery Initiative had impacted water quality and suggestions have been made for improvements, such as ensuring that stewardship measures are used in key pollution source areas and their implementation and impacts are monitored more closely. This will be essential if agricultural catchment management schemes are going to provide the benefits expected of them. Nevertheless, more intensive monitoring than that carried out by regulators showed a significant trend in decreasing winter nitrate peaks in some streams which is hypothesised to be due to recent reduced inorganic fertiliser application as a result of increasing prices. It was concluded that, collectively, these findings indicate that agricultural stewardship measures have the potential to improve water quality at the catchment scale but that voluntary schemes with insufficient financial reward or regulatory pressure are unlikely to be successful.

Resilience design: toward a synthesis of cognition, learning, and collaboration for adaptive problem solving in conservation and natural resource stewardship

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Charles G. Curtin

2014-06-01

Full Text Available Through the resilience design approach, I propose to extend the resilience paradigm by re-examining the components of adaptive decision-making and governance processes. The approach can be divided into three core components: (1 equity design, i.e., the integration of collaborative approaches to conservation and adaptive governance that generates effective self-organization and emergence in conservation and natural resource stewardship; (2 process design, i.e., the generation of more effective knowledge through strategic development of information inputs; and (3 outcome design, i.e., the pragmatic synthesis of the previous two approaches, generating a framework for developing durable and dynamic conservation and stewardship. The design of processes that incorporate perception and learning is critical to generating durable solutions, especially in developing linkages between wicked social and ecological challenges. Starting from first principles based on human cognition, learning, and collaboration, coupled with nearly two decades of practical experience designing and implementing ecosystem-level conservation and restoration programs, I present how design-based approaches to conservation and stewardship can be achieved. This context is critical in helping practitioners and resources managers undertake more effective policy and practice.

Evaluation of the short-term effects of antimicrobial stewardship in the intensive care unit at a tertiary hospital in China.

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Dapeng Hou

Full Text Available Antibiotic abuse can lead to antibiotic resistance, which is a severe problem in China. The purpose of this study is to evaluate the short-term effects of antimicrobial stewardship strategies, including formulary restriction, preauthorization, perioperative quinolone restriction, and control of total antibiotic consumption in the ICU at a tertiary hospital in China. After implementation of antimicrobial stewardship, the total antibiotic consumption in the ICU significantly decreased. The defined daily doses (DDDs per 100 patient-days decreased from 197.65 to 143.41; however, the consumption of cephalosporins increased from 53.65 to 63.17 DDDs. Significant improvements in resistance to amikacin, gentamicin, ciprofloxacin, ofloxacin, ceftriaxone, ceftazidime, and piperacillin in Enterobacteriaceae and resistance to ceftazidime, imipenem, and meropenem in non-fermenting Gram-negative rods were observed. In addition, the initial use of no antibiotics or of a single antibiotic significantly increased (P<0.001 and the use of two antibiotics in combination significantly decreased (P<0.001. Our results demonstrate that implementation of antimicrobial stewardship in a short period in the ICU dramatically reduced antibiotic consumption and significantly improved antibiotic resistance, which leads to more reasonable antibiotic selections by ICU physicians.

Estrategias sociales y económicas de los nuevos jubilados.

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Antonio Trinidad Requena

2006-01-01

Full Text Available Desde mediados de la década de los ochenta, las personas mayores han ido adquiriendo una especial relevancia y un mayor protagonismo en las sociedades modernas. El jubilado de hoy no es el jubilado del pasado, siendo necesario distinguir entre el jubilado tradicional y el nuevo jubilado, que será el jubilado del futuro. Este nuevo jubilado es el objetivo de este trabajo, centrado en conocer las estrategias sociales y económicas que utilizan para adaptarse a la nueva situación. Para conocer las estrategias sociales y económicas del nuevo jubilado nos centramos en el análisis de sus discursos.

1999 SITE ENVIRONMENTAL REPORT

Energy Technology Data Exchange (ETDEWEB)

ENGEL-COX,J.; ZIMMERMAN,E.; LEE,R.; WILLIAMS,J.; GREEN,T.; PAQUETTE,D.; HOODA,B.; SCARPITTA,S.; GENZER,P.; ET AL

2000-09-01

Throughout the scientific community, Brookhaven National Laboratory (BNL) is renowned for its leading-edge research in physics, medicine, chemistry, biology, materials, and the environment. BNL is committed to supporting its world-class scientific research with an internationally recognized environmental protection program. The 1999 Site Environmental Report (SER) summarizes the status of the Laboratory's environmental programs and performance, including the steady progress towards cleaning up the site and fully integrating environmental stewardship into all facets of the Laboratory's mission. BNL is located on 5,265 acres of pine barrens in Suffolk County in the center of Long Island, New York. The Laboratory is situated above a sole source aquifer at the headwaters of the Peconic River; therefore, protecting ground and surface water quality is a special concern. Approximately 3,600 acres of the site are undeveloped and serve as habitat for a wide variety of animals and plants, including one New York State endangered species, the tiger salamander, and two New York State threatened species, the banded sunfish and the stiff goldenrod. Monitoring, preserving, and restoring these ecological resources is a high priority for the Laboratory.

OPTIMIZING ANTIMICROBIAL PHARMACODYNAMICS: A GUIDE FOR YOUR STEWARDSHIP PROGRAM

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Joseph L. Kuti, PharmD

2016-09-01

Full Text Available Pharmacodynamic concepts should be applied to optimize antibiotic dosing regimens, particularly in the face of some multidrug resistant bacterial infections. Although the pharmacodynamics of most antibiotic classes used in the hospital setting are well described, guidance on how to select regimens and implement them into an antimicrobial stewardship program in one's institution are more limited. The role of the antibiotic MIC is paramount in understanding which regimens might benefit from implementation as a protocol or use in individual patients. This review article outlines the pharmacodynamics of aminoglycosides, beta-lactams, fluoroquinolones, tigecycline, vancomycin, and polymyxins with the goal of providing a basis for strategy to select an optimized antibiotic regimen in your hospital setting.

La contribución del turismo al crecimiento económico: análisis regional en México.

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Enrique Sánchez Flores

2016-07-01

Full Text Available El turismo es una actividad económica que se considera cada vez más importante para generar crecimiento económico y combatir la pobreza. Sin embargo, la relación que existe entre el turismo y el crecimiento económico a nivel regional ha sido poco estudiada. En este artículo se presenta la metodología propuesta por Ivanov y Webster para medir la contribución del turismo al crecimiento económico y se aplicada durante el periodo 2004-2012 para las cinco Entidades Federativas con mayor atracción de turistas en México: Quintana Roo, Jalisco, Guerrero, Veracruz y Chiapas. Los resultados indican que en Quintana Roo es el estado donde el turismo contribuye más al crecimiento económico, mientras que Jalisco en el estado donde las actividades turísticas están menos relacionadas al proceso de crecimiento económico.

Algunas características económicas del mantenimiento no correctivo del software a medida.

OpenAIRE

Torralba Martínez, José María; Rodenes Adam, Manuel

2001-01-01

Se presentan algunas características económicas del servicio de mantenimiento del software, relativas pricipalmente al área comercial: mercado, producto, precio y clientización, apuntando la importancia económica que tiene tanto para

Un análisis smithiano del crecimiento económico colombiano: avances metodológicos

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Carlos Ortiz

2017-01-01

Full Text Available La teoría económica postula que el crecimiento económico es potenciado por la acumulación factorial, la provisión de bienes públicos y el respeto a los derechos de propiedad. Sin desconocer este consenso, en este trabajo se rescata la hipótesis smithiana que plantea que la diversificación productiva y la expansión de la capacidad de compra de la población también son motores integrados y fundamentales del crecimiento económico. Los datos disponibles no permiten rechazar la hipótesis de que la acumulación conjunta de capital físico y humano, la diversificación de actividades productivas intensivas en tecnología y la expansión de la capacidad de compra de la población urbana son resortes claves del crecimiento económico colombiano. Con el mismo análisis se identifican tres importantes lastres del desarrollo económico nacional: el escaso desarrollo de la infraestructura de transporte, el alto nivel de violencia y la insuficiencia, ineficiencia y/o carestía de los servicios gubernamentales y financieros.

Desigualdad económica y bienestar: tres modelos de justicia social

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Borja Barragué Calvo

2011-06-01

Full Text Available RESUMEN La crisis económica que comenzó en el verano de 2007 ha provocado que tanto la tasa de desempleo como el porcentaje de personas que se encuentran por debajo del umbral de la pobreza relativa en España ronden el 20%. Si bien en los últimos quince años España ha experimentado fases de crecimiento económico importante, la proporción de personas en riesgo de pobreza se ha mantenido constante. Es probable por tanto que unas tasas negativas o muy escasamente positivas de crecimiento económico comporten un aumento significativo de la pobreza. El trabajo lleva a cabo un análisis de los modelos libertariano y socialdemócrata de justicia social, a partir de la crítica keynesiana a la teoría económica clásica. El artículo sostiene que el liberalismo económico no defiende propiamente un modelo de justicia distributiva, y todavía menos redistributiva, y que el modelo socialdemócrata es impracticable en el actual contexto de globalización, por lo que concluye con la propuesta del bienestar basado en las dotaciones universales de capital. ABSTRACT The economic crisis that began in 2007 has meant that both the unemployment rate and the percentage of people living below the poverty line in Spain rose to 20 percent. During the past fifteen years Spain has needed substantial rates of economic growth to maintain the proportion of poor people close to 20%; it is highly probable that the current situation significantly increases that proportion. The paper aims to contribute to the analysis of the libertarian and social democratic models of social justice, after the Keynesian critique of classical economics. The article argues that libertarianism does not promote any conception of distributive justice, and that social democratic model of social justice does not work in the context of globalization, so concludes with the proposal of two asset-based welfare policies

[Measurement of antimicrobial consumption using DDD per 100 bed-days versus DDD per 100 discharges after the implementation of an antimicrobial stewardship program].

Science.gov (United States)

Collado, Roberto; Losa, Juan Emilio; Álvaro, Elena Alba; Toro, Piedad; Moreno, Leonor; Pérez, Montserrat

2015-12-01

Monitoring antimicrobial consumption in hospitals is a necessary measure. The indicators commonly employed do not clearly reflect the antibiotic selection pressure. The objective of this study is to evaluate two different methods that analyze antimicrobial consumption based on DDD, per stay and per discharge, before and after the implementation an antimicrobial stewardship program. Comparative pre-post study of antimicrobial consumption with the implementation of an antimicrobial stewardship program using DDD per 100 bed-days and DDD per 100 discharges as indicators. Hospital bed days remained stable and discharges increased slightly along the period of study Antibiotic consumption in DDD per 100 bed-days decreased by 2.5% versus 3.8% when expressed as DDD per 100 discharges. Antifungal consumption decreased by more than 50%. When average hospital stay decreases, reductions in the consumption of antimicrobials with an antimicrobial stewardship program system occur at the expense of reducing the number of patients receiving treatment, while increases occur due to longer durations of treatment.

The environmental Kuznets curve and CO2 emissions in the USA : Is the relationship between GDP and CO2 emissions time varying? Evidence across economic sectors.

Science.gov (United States)

Congregado, Emilio; Feria-Gallardo, Julia; Golpe, Antonio A; Iglesias, Jesús

2016-09-01

In this paper, we analyze the existence of the environmental Kuznets curve as reported by Kuznets (Am Econ Rev 5:1-28, 1955) by using the methodology proposed by Kejriwal and Perron (J Econ 146:59-73, 2008, J Bus Econ Stat 28:503-522, 2010) and applying Jaunky's (Energy Policy 39(3):1228-1240, 2011) specification using quarterly data from 1973:1 to 2015:2. We also allow different behaviors across time and identify it by economic sectors. Our results show the existence of the environmental Kuznets curve (EKC) in the USA only when we allow for structural breaks. Interestingly, the industrial sector shows a different pattern than do other economic sectors; with the beginning of the economic crisis, it appears to have abandoned the objective of the environmental stabilization found until then.

Apertura comercial y desarrollo económico mundial en la globalización

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Carlos Encinas Ferrer

2012-01-01

Full Text Available La política económica neoliberal ha promovido a escala global la apertura comercial bajo la hipótesis de que la liberalización del comercio da lugar automáticamente a un quiebre positivo en la tendencia de crecimiento económico. Esta acción de política económica está sustentada fundamentalmente en la teoría de la ventaja comparativa desarrollada por David Ricardo en la segunda década del Siglo XIX. Sin embargo, la ausencia de un incremento generalizado del PIB que acompañe la apertura comercial implementada a partir de la década de los ochenta en una gran cantidad de países nos muestra señales de que algo ha sucedido en el modelo exportador adoptado contrario a las expectativas favorables prometidas. México y muchos otros países se encuentran en un callejón sin salida, con problemas que se han profundizado con la reciente crisis económica que hasta ahora, especialmente en EE.UU. y Europa, no muestra señales de una recuperación global.

Antropología Económica: una Reseña Introductoria

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Norberto G. Demonte

2007-12-01

Full Text Available El artículo expone las principales perspectivas teóricas de la antropología económica, entendida como el estudio de los procesos de producción, distribución, circulación y consumo enlas sociedades precapitalistas. Se presenta a la antropología económica comoun área de complementación de esfuerzos entre economistas, historiadores y antropólogos, resaltando su importancia en las facultades de ciencias económicas. Se comentan brevemente las cuestiones fundamentales de esta ciencia,tales como la discusión sobre el carácter abstracto de la economía, la polémica entre sustantivistas y formalistas, los aportes dediversos estudios etnográficos, la perspectiva de la escuela marxista y la controversia entre materialistas y culturalistas. Finalmente, el trabajo detalla las líneas de investigación en América Latina y en Argentina y brinda una abundante bibliografía para profundizar los aspectos de interés para el investigador.

Revising Payment for Ecosystem Services in the Light of Stewardship: The Need for a Legal Framework

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Alessandra Solazzo

2015-11-01

Full Text Available Since the Millennium Ecosystem Assessment (MEA highlighted the importance of ecosystem services for human well-being, the payments for such services have increasingly been drawing the attention of governments, the private sector and academia. Nonetheless, there is not yet a specific legal framework which is able to capture the complexity of managing natural resources and, at the same time, deal with the numerous drawbacks that have been identified by critics, who are opposed to using financialisation of the environment as a tool. This paper, after briefly summarizing some of the main features and criticisms of the Payment for Ecosystem Services (PES, will critically assess the understanding of property rights over natural resources as stewardship, rather than as entitlement, because this interpretation is more coherent with the inherent characteristics of natural resources and, consequently, of ecosystem services. The novel usage of a stewardship dimension to property rights underlines the necessity for a legal framework for PES, constituted by “property-liability rules”.

Impacto económico del deporte: Tema de interés creciente en la literatura científica

OpenAIRE

Salgado-Barandela, J.; Barajas, A.; Sánchez-Fernández, P.

2017-01-01

El estudio del impacto económico en el deporte como disciplina científica surge para la identificación del beneficio económico de grandes eventos deportivos. Su evolución se ha dirigido a enfoques más amplios, estudiando no sólo el aspecto económico sino también los efectos intangibles, en grandes y pequeños eventos, instalaciones, y franquicias. En el presente estudio se analiza la evolución del tratamiento del impacto económico del deporte en la ciencia mediante un estudio...

Sobre la toma de decisiones económicas bajo incertidumbre

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Aurora García Gallego

2012-04-01

Full Text Available En este artículo resumimos la evolución de la Teoría Económica sobre la toma de decisiones bajo incertidumbre. Tras una breve introducción a la teoría de la Utilidad Esperada, nos referimos a comportamientos paradójicos que obligaron a los economistas a adoptar teorías menos simplistas que permitieran explicar un mayor abanico de fenómenos. La mayor complejidad conlleva una descripción multidimensional de las actitudes humanas frente al riesgo económico. Sin embargo, las mediciones de la actitud frente al riesgo utilizadas por los economistas continúan siendo, en su mayoría, unidimensionales.

Patient and public understanding and knowledge of antimicrobial resistance and stewardship in a UK hospital: should public campaigns change focus?

Science.gov (United States)

Micallef, Christianne; Kildonaviciute, Kornelija; Castro-Sánchez, Enrique; Scibor-Stepien, Aleksandra; Santos, Reem; Aliyu, Sani H; Cooke, Fiona J; Pacey, Sarah; Holmes, Alison H; Enoch, David A

2017-01-01

The rising global tide of antimicrobial resistance is a well-described phenomenon. Employing effective and innovative antimicrobial stewardship strategies is an essential approach to combat this public health threat. Education of the public and patients is paramount to enable the success of such strategies. A panel of hospital multidisciplinary healthcare professionals was set up and a short quiz containing true/false statements around antimicrobial stewardship and resistance was designed and piloted. An educational leaflet with the correct replies and supporting information was also produced and disseminated. Participants were recruited on a single day (18 November 2015) from the hospital outpatient clinics and the hospital outpatient pharmacy waiting room. One hundred and forty-five completed quizzes were returned, providing a total of 1450 answers. Overall, 934 of 1450 (64%) statements were scored correctly whilst 481 (33%) were scored incorrectly; 35 (3%) statements were left unscored. We speculate that these results may demonstrate that respondents understood the statements, as only a small proportion of statements were left unanswered. The question dealing with the definition of antimicrobial resistance and the question dealing with the definition of antimicrobial stewardship obtained the most incorrect replies (85% and 72%, respectively). However, a specific factual recall question regarding only one microorganism (MRSA) received the most correct responses (99%). We describe a simple, innovative method of engagement with patients and the general public to help educate and disseminate important public health messages around antimicrobial resistance and stewardship. We also identified the need for public health campaigns to address the knowledge gaps found around this topic. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Keynes: o liberalismo econômico como mito Keynes: the economic liberalism as a myth

OpenAIRE

Pedro Cezar Dutra Fonseca

2010-01-01

O artigo tem por objetivo recuperar os principais argumentos de Keynes em suas críticas ao liberalismo econômico, este entendido como as teorias e práticas de política econômica adotadas pelo mainstream no campo da Ciência Econômica e simbolicamente respaldado na máxima do laissez-faire. Embora as obras de maior fôlego de Keynes situem-se no campo da economia teórica, há trabalhos seus que permitem detectar sua ideologia e, mais explicitamente, o teor de sua crítica ao liberalismo clássico. O...

Un análisis smithiano del crecimiento económico colombiano: avances metodológicos

OpenAIRE

Carlos Ortiz; Diana Jiménez

2017-01-01

La teoría económica postula que el crecimiento económico es potenciado por la acumulación factorial, la provisión de bienes públicos y el respeto a los derechos de propiedad. Sin desconocer este consenso, en este trabajo se rescata la hipótesis smithiana que plantea que la diversificación productiva y la expansión de la capacidad de compra de la población también son motores integrados y fundamentales del crecimiento económico. Los datos disponibles no permiten rechazar la hipótesis de que la...

Benefits of a Biological Monitoring Program for Assessing Remediation Performance and Long-Term Stewardship - 12272

Energy Technology Data Exchange (ETDEWEB)

Peterson, Mark [Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831 (United States)

2012-07-01

The Biological Monitoring and Abatement Program (BMAP) is a long-running program that was designed to evaluate biological conditions and trends in waters downstream of Department of Energy (DOE) facilities in Oak Ridge, Tennessee. BMAP monitoring has focused on aquatic pathways from sources to biota, which is consistent with the sites' clean water regulatory focus and the overall cleanup strategy which divided remediation areas into watershed administrative units. Specific programmatic goals include evaluating operational and legacy impacts to nearby streams and the effectiveness of implemented remediation strategies at the sites. The program is characterized by consistent, long-term sampling and analysis methods in a multidisciplinary and quantitative framework. Quantitative sampling has shown conclusively that at most Oak Ridge stream sites, fish and aquatic macro-invertebrate communities have improved considerably since the 1980s. Monitoring of mercury and PCBs in fish has shown that remedial and abatement actions have also improved stream conditions, although in some cases biological monitoring suggests further actions are needed. Follow-up investigations have been implemented by BMAP to identify sources or causes, consistent with an adaptive management approach. Biological monitoring results to date have not only been used to assess regulatory compliance, but have provided additional benefits in helping address other components of the DOE's mission, including facility operations, natural resource, and scientific goals. As a result the program has become a key measure of long-term trends in environmental conditions and of high value to the Oak Ridge environmental management community, regulators, and the public. Some of the BMAP lessons learned may be of value in the design, implementation, and application of other long-term monitoring and stewardship programs, and assist environmental managers in the assessment and prediction of the effectiveness of

Género, crisis económica y fragilidad financiera: desenredando la madeja

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Alicia Girón

2012-03-01

Full Text Available El presente artículo intenta, desde una perspectiva feminista, abordar la gran transformación que a partir del ciclo económico han tenido las mujeres desde la posguerra hasta la actualidad. En este periodo, las recurrentes crisis económicas responden a cambios estructurales del sistema capitalista donde la búsqueda de la rentabilidad ha permeado el mercado laboral con rostro femenino. Se intenta demostrar cómo el cambio estructural a nivel mundial ha influido en la relación existente entre la macroeconomía, la mesoeconomía y la microeconomía. Las relaciones entre el género y los procesos de la esfera de la producción se han visto envueltos en una crisis profunda que muestra la necesidad de incidir en la forma de cómo se ha producido a lo largo de varios decenios frente a la profundidad de la recesión económica internacional.

Colombia 2000-2013: Relaciones entre crecimiento económico y comercio internacional

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Giovanni Efraín Reyes Ortiz

2014-01-01

Full Text Available Este estudio realiza un análisis de las principales variables económicas de Colombia, basándose en el comportamiento de las mismas en la historia inmediata, especícamente el período bajo estudio es de 2000 a 2013. Las variables con mayor análisis son el crecimiento económico y el comercio exterior. No obstante, a n de tener una mejor perspectiva se incorporan la tasa anual de inación y el desempleo. En particular luego de la implementación de las políticas económicas basadas en el “Consenso de Washington” en Colombia, como en muchos países latinoamericanos, se han privilegiado las exportaciones como motores de crecimiento. El principal argumento de este documento es que –más que la cantidad de productos exportados– lo que mayormente ha inuido ha sido el precio o factura de los productos vendidos en el exterior.

The global wilderness seminar for government agencies: a meeting at the crossroads of wildlands stewardship

Science.gov (United States)

Nancy Roeper; Peter Landres; Don Fisher

2006-01-01

Two days before the 8th World Wilderness Congress began in Alaska, nearly 200 government wildlands managers from 17 countries met to share ideas about common challenges and to explore ways to improve wildland stewardship globally. The goal for this Global Wilderness Seminar for Government Agencies was to lay the foundation for an operating peer network of government...

Environmental knowledge, environmental politics. Case studies from Canada and Western Europe

Energy Technology Data Exchange (ETDEWEB)

Clapperton, Jonathan; Piper, Liza (eds.)

2016-07-01

The ways in which we come to know the environment are always inherently political - as are the ways in which environmental knowledge is put to use in the world. Focusing on ''scientific knowledge'' and ''Indigenous knowledge,'' on knowledge obtained through work as well as through leisure, the contributions in this volume explore how environmental knowledge is acquired, constructed, and deployed to make political claims on or for the environment. This volume also shows how environmental knowledge is embedded in grassroots, national, and international political efforts to find solutions to environmental problems. These essays showcase examples from Canada and Western Europe, offering insights into how different forms of environmental knowledge and environmental politics come to be seen as legitimate or illegitimate. This volume contains nine topics: 1. Indigenous Ecological Knowledge and the Politics of Postcolonial Writing (Jonathan Clapperton); 2. Bitumen Exploration and the Southern Re-Inscription of Northeastern Alberta: 1875-1967 (Hereward Longley); 3. Pollution, Local Activism, and the Politics of Development in the Canadian North (John Sandlos and Arn Keeling); 4. Seeds of Knowledge: From Back-to-the-Land to Urban Gardening (Nancy Janovicek); 5. Between Stewardship and Exploitation: Private Tourism, State Parks, and Environmentalism (Jessica M. DeWitt); 6. Reflections on Water: Knowing a River (Marianna Dudley); 7. ''We Are as Gods'': The Green Technical Fix (Henry Trim); 8. Environmental Knowledge and Politics in Portugal: From Resistance to Incorporation (Margarida Queiros); 9. Coal in the Age of the Oil Sands (Liza Piper).

Environmental knowledge, environmental politics. Case studies from Canada and Western Europe

International Nuclear Information System (INIS)

Clapperton, Jonathan; Piper, Liza

2016-01-01

The ways in which we come to know the environment are always inherently political - as are the ways in which environmental knowledge is put to use in the world. Focusing on ''scientific knowledge'' and ''Indigenous knowledge,'' on knowledge obtained through work as well as through leisure, the contributions in this volume explore how environmental knowledge is acquired, constructed, and deployed to make political claims on or for the environment. This volume also shows how environmental knowledge is embedded in grassroots, national, and international political efforts to find solutions to environmental problems. These essays showcase examples from Canada and Western Europe, offering insights into how different forms of environmental knowledge and environmental politics come to be seen as legitimate or illegitimate. This volume contains nine topics: 1. Indigenous Ecological Knowledge and the Politics of Postcolonial Writing (Jonathan Clapperton); 2. Bitumen Exploration and the Southern Re-Inscription of Northeastern Alberta: 1875-1967 (Hereward Longley); 3. Pollution, Local Activism, and the Politics of Development in the Canadian North (John Sandlos and Arn Keeling); 4. Seeds of Knowledge: From Back-to-the-Land to Urban Gardening (Nancy Janovicek); 5. Between Stewardship and Exploitation: Private Tourism, State Parks, and Environmentalism (Jessica M. DeWitt); 6. Reflections on Water: Knowing a River (Marianna Dudley); 7. ''We Are as Gods'': The Green Technical Fix (Henry Trim); 8. Environmental Knowledge and Politics in Portugal: From Resistance to Incorporation (Margarida Queiros); 9. Coal in the Age of the Oil Sands (Liza Piper).

Derechos de propiedad y bienestar: una aproximación económica

OpenAIRE

Aizpurua Agirre, José María

2004-01-01

Ponencia presentada en el III Symposium celebrado en Donostia-San Sebastián en diciembre de 2003, dedicado a la propiedad pública y privada en los territorios de Vasconia. En este trabajo se presentan las explicaciones que economistas e historiadores del crecimiento económico occidental han dado sobre los efectos que los derechos de propiedad mantenidos en una sociedad, tienen sobre los incentivos económicos de los individuos que la componen y sus consecuencias en la asunción de iniciativa...

Performance econômica e ambiental de agricultura agroflorestal e convencional no município de Nova Olinda-CE

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T. T. Silva

2015-12-01

Full Text Available Inúmeras experiências agrícolas alternativas surgiram no sertão nordestino. Com bons resultados, essas experiências agroflorestais expandiram-se para outras áreas, como, por exemplo, a Chapada do Araripe, no Ceará, Brasil. Este estudo teve como objetivo comparar os benefícios econômicos e ambientais de um sistema agroflorestal (SAF em relação à agricultura convencional, no município de Nova Olinda-CE. A pesquisa foi realizada em uma propriedade que desenvolve o SAF comparando com uma que emprega a agricultura convencional. Utilizou-se, no estudo, a análise descritiva. Nos aspectos econômicos, foram avaliados: Valor Bruto de Produção (VBP, Custos na produção (CP, Lucro Bruto (LB e Relação Benefício/Custo (B/C. Na performance ambiental,  utilizaram-se os parâmetros do Guia do Meio Ambiente para o Produtor Rural, elaborado pelo Banco do Nordeste. Para o teor de fertilidade do solo, foram colhidas amostras de solos de acordo com a metodologia da Embrapa Os resultados mostraram que o SAF possibilita melhor convivência com as adversidades climáticas do semiárido. O SAF estudado superou, em viabilidade econômica, a agricultura convencional. Onde é desenvolvido o SAF, possui boa performance ambiental, na agricultura convencional, essa performance é baixa. Economic and environmental performance of agroforestry and conventional agriculture in the city of Nova Olinda-CEAbstract: Numerous alternative agricultural experiments emerged in the northeastern backlands. With good results, these agroforestry experiences have expanded to other areas, for example, the Chapada do Araripe, in Ceara, Brazil. This study has as objective to compare the economic and environmental benefits of an agroforestry system (AFS in relation to the conventional agriculture in the city of Nova Olinda-CE. This study was carried out on a property which develops the AFS comparing to another property which uses the conventional agriculture. Descriptive

The resistance tsunami, antimicrobial stewardship, and the golden age of microbiology.

Science.gov (United States)

Prescott, John F

2014-07-16

Modern medicine is built on antibiotics. Antibiotics are something that we take for granted. We have however spent over 60 years educating bacteria to become resistant, and the global resistance tsunami has caught everyone unawares. Since bacteria have changed, we also have to change, and to change most of the practices of how we use antibiotics. Because the development of new antibiotics is so expensive, a stewardship approach may help to preserve those that we have now while we work to develop new antibiotics and to develop other approaches to controlling and treating infections. We need to adopt the ethic of Good Stewardship Practice (GSP) as an active and dynamic process of continuous improvement in antibiotic use, a process with many steps of different sizes involving everyone involved in antibiotic use. All antibiotic users have an important role to play in GSP. Although the resistance situation is pessimistic, and the future of antibiotics looks uncertain, we are fortunately entering what may be seen as the golden age of microbiology. This encompasses an astonishing array of technologies for rapid pathogen and resistance gene detection, for clone identification by genome sequencing, for identification of novel bacterial genes and for identification of the Achilles' heels of different pathogens. Future antibiotics may have to be far more targeted to the individual pathogen and the site of infection. A global tax on antibiotics might reduce their use while funding the cost of developing new antibiotics and new approaches to control of infectious diseases. Copyright © 2014 Elsevier B.V. All rights reserved.

Antimicrobial stewardship through telemedicine and its impact on multi-drug resistance.

Science.gov (United States)

Dos Santos, Rodrigo P; Dalmora, Camila H; Lukasewicz, Stephani A; Carvalho, Otávio; Deutschendorf, Caroline; Lima, Raquel; Leitzke, Tiago; Correa, Nilson C; Gambetta, Marcelo V

2018-01-01

Introduction Telemedicine technologies are increasingly being incorporated into infectious disease practice. We aimed to demonstrate the impact of antimicrobial stewardship through telemedicine on bacterial resistance rates. Methods We conducted a quasi-experimental study in a 220-bed hospital in southern Brazil. An antimicrobial stewardship program incorporating the use of telemedicine was implemented. Resistance and antimicrobial consumption rates were determined and analysed using a segmented regression model. Results After the intervention, the rate of appropriate antimicrobial prescription increased from 51.4% at baseline to 81.4%. Significant reductions in the consumption of fluoroquinolones (level change, β = -0.80; P change, β = -0.01; P = 0.98), first-generation cephalosporins (level change, β = -0.91; P change, β = +0.01; P = 0.96), vancomycin (level change, β = -0.47; P = 0.04; trend change, β = +0.17; P = 0.66) and polymyxins (level change, β = -0.15; P = 0.56; trend change, β = -1.75; P change, β = +0.84; P change, β = +0.14; P = 0.41) and cefuroxime (level change, β = +0.21; P = 0.17; trend change, β = +0.66; P = 0.02). A significant decrease in the rate of carbapenem-resistant Acinetobacter spp. isolation (level change, β = +0.66; P = 0.01; trend change, β = -1.26; P resistance.

La imagen y el cine en la enseñanza de la historia económica

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Joan Miguel Tejedor Estupiñán

2018-01-01

Full Text Available Este artículo presenta el modelo de enseñanza desarrollado en las asignaturas de Historia Económica de Colombia e Historia Económica Mundial, en el programa de Economía de la Universidad Católica de Colombia, 2014 y 2015, cuyo objetivo es abordar los problemas históricos de la economía, a través de las fuentes tradicionales, complementadas con la fotografía, el cine, y demás herramientas que brindan las nuevas tecnologías de la comunicación. En la primera parte se describe el contexto de la educación en Colombia en lo que se refiere a la catedra de Historia Económica, en la segunda parte, se describe el modelo de enseñanza de la historia económica a través del cine, en la tercera parte se presenta un listado de films para complementar el proceso de enseñanza de la historia económica, en la cuarta parte se enumeran algunos recursos didácticos y fuentes de investigación que ofrece la internet, y finalmente se presentan las conclusiones.

Economical and ambient sustainability: an ideal of the international society Sustentabilidade econômica e ambiental: um ideal da sociedade internacional

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Marlene Kempfer Bassoli

2005-12-01

Full Text Available The incorporation of the environmental issue by international offices and regional blocks in the last decades, has demonstrated a growing preoccupation with the road to sustainable socio-economic development. The contemporary development process, consolidated by the capitalist production model, has exercised great influence on society in general. This globalized economic model gave rise to a new network of relations which have affected the political structures of the States. Thus, among the many concerns involving these changes is the incorporation of environmental values to reach sustainable development, to promote economic development taking into account environment protection and social justice. In face of the transnacionality issue and the importance of the objective at hand, it is fundamental to raise people’s awareness of the legal harmonization issue.A incorporação do tema ambiental por organismos internacionais e blocos regionais, ao longo das últimas décadas do século XX, demonstra uma lenta preocupação com o caminho do desenvolvimento sócio-econômico sustentável. O processo de desenvolvimento, que se consolidou a partir do modo de produção capitalista, exerceu influência sobre a sociedade de um modo geral. Um modelo econômico de efeito globalizante, trouxe à tona uma nova rede de relações, com reflexos, inclusive, nas estruturas políticas dos Estados. Assim, entre as necessárias preocupações, diante das mudanças, está a incorporação de valores relacionados ao meio ambiente para alcançar o desenvolvimento sustentável, ou seja, desenvolvimento econômico com preservação do meio ambiente e justiça social. Diante da transnacionalidade da questão ambiental e para alcançar tal objetivo, é fundamental despertar para a consciência do caminho da harmonização legislativa.

Inmigrantes sirio-libaneses y sus prácticas económicas (ilegales en Colombia, 1880-1930

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Ana Milena Rhenals Doria

2018-01-01

Full Text Available Entre 1880 y 1930, Colombia recibió un número significativo de inmigrantes procedentes de Siria y Líbano, quienes, a través de distintas actividades empresariales, terminaron siendo parte de la élite económica de varias ciudades colombianas. En este artículo estudio ese proceso de consolidación económica, haciendo énfasis en las prácticas económicas ilegales en las que incurrieron algunos de los inmigrantes siriolibaneses que se establecieron en el circuito comercial existente entre la provincia del Sinú, Cartagena y el Atrato. Argumento que actividades como la falsificación de monedas, el contrabando y el acaparamiento de tierras intervinieron en el proceso de acumulación de capital y de consolidación económica que algunos de estos inmigrantes lograron.

Marco regulatorio para la competencia de agentes económicos en Colombia

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Germán Zarama S.

2010-12-01

Full Text Available El presente artículo procura llevar a cabo una aproximación preliminar al vínculo existente entre las ciencias jurídicas y las ciencias económicas. Partiendo de la compilación normativa, explora la incidencia que tiene elcomportamiento del mercado y sus agentes en la producción de normas, y asu vez, cómo la regulación desde el ámbito del derecho establece límites a laactuación de los agentes económicos.

Crecimiento económico y equidad en Boyacá durante 2000-2011

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Edilberto Rodríguez Araújo

2012-12-01

Full Text Available El crecimiento económico no trae consigo mejoras inmediatas en la distribución del ingreso. Las políticas redistributivas pueden contribuir a corregir la inequidad social. El autor analiza cuál ha sido la incidencia del crecimiento de la economía boyacense, durante el periodo 2000-2011, en aspectos tales como pobreza, equidad distributiva, desarrollo humano y desempeño delmercado laboral, determinando que no existe una asociación positiva concluyente entre el dinamismo económico y sus correlatos sociales.

Long-Term Stewardship At DOE's Hanford Site - 12575

International Nuclear Information System (INIS)

Moren, R.J.; Grindstaff, K.D.

2012-01-01

The U.S. Department of Energy's (DOE) Hanford Site is located in southeast Washington and consists of 1,518 square kilometers (586 square miles) of land. Established in 1943 as part of the Manhattan Project, Hanford workers produced plutonium for our nation's nuclear defense program until the mid 1980's. Since then, the site has been in cleanup mode that is being accomplished in phases. As we achieve remedial objectives and complete active cleanup, DOE will manage Hanford land under the Long-Term Stewardship (LTS) Program until completion of cleanup and the site becomes ready for transfer to the post cleanup landlord - currently planned for DOE's Office of Legacy Management (LM). We define Hanford's LTS Program in the ''Hanford Long-Term Stewardship Program Plan,'' (DOE/RL-201 0-35)(1), which describes the scope including the relationship between the cleanup projects and the LTS Program. DOE designed the LTS Program to manage and provide surveillance and maintenance (S and M) of institutional controls and associated monitoring of closed waste sites to ensure the protection of human health and the environment. DOE's Richland Operations Office (DOE-RL) and Hanford cleanup and operations contractors collaboratively developed this program over several years. The program's scope also includes 15 key activities that are identified in the DOE Program Plan (DOE/RL-2010-35). The LTS Program will transition 14 land segments through 2016. The combined land mass is approximately 570 square kilometers (220 square miles), with over 1,300 active and inactive waste sites and 3,363 wells. Land segments vary from buffer zone property with no known contamination to cocooned reactor buildings, demolished support facilities, and remediated cribs and trenches. DOE-RL will transition land management responsibilities from cleanup contractors to the Mission Support Contract (MSC), who will then administer the LTS Program for DOE-RL. This process requires an environment of cooperation

Crecimiento económico óptimo y calidad ambiental

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Jorge Hugo Barrientos

2000-07-01

Full Text Available El debate actual sobre los problemas de agotamiento de los recursos naturales y los niveles de contaminación generados por la actividad económica, ha transcendido al campo del crecimiento económico. Lo que se pretende en este trabajo es utilizar el modelo de Ramsey (1928 y evaluar cómo se comportan las variables relevantes de una sociedad, cuando se incluye en un mecanismo social de preferencia la contaminación como un stock de desechos de la producción de bienes y servicios. Además, se utiliza las leyes de la termodinámica aplicadas a la energía y a los materiales, para elaborar una definición de contaminación, de modo que pueda ser incluida en la ecuación de acumulación de capital de la economía

Los nuevos dominios de la ciencia económica

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Bejarano Jesús Antonio

1999-12-01

Full Text Available Hace algo más de diez años, siendo Decano de la Facultad de Ciencias Económicas de la Universidad Nacional, tuve el honor de ser el primer expositor en el primer congreso de estudiantes de economía del país. Once años después, recae de nuevo en mí ese honor, y por ello debo expresar mi gratitud a los estudiantes organizadores de este cuento. Entre aquel primer congreso y éste se transformó no sólo el panorama del quehacer profesional sino también el panorama global de la ciencia económica, y creo que en forma radical. En poco más de veinte años, desde comienzos de los años setenta, se abrieron nuevos rumbos que, sin duda, quienes hoy son estudiantes seguirán en el futuro.

Contabilidad de un ejercicio económico

OpenAIRE

Amaya Bernal, Gonzalo

2017-01-01

El trabajo consiste en un primer lugar en comentar los “Principios generales de contabilidad” para su comprensión a la hora de hacer la parte práctica, que corresponde a la elaboración y desarrollo del ciclo contable de una empresa, donde se expresa el ejercicio económico de 2016 de la empresa Estufas S.A. Grado en Relaciones Laborales y Recursos Humanos

Crecimiento Económico y Calidad Institucional

OpenAIRE

Fabro Esteban, Gema; Aixalá Pastó, José; Simón Fernández, Blanca

2008-01-01

El objetivo de este trabajo es, mediante cuatro aportaciones empíricas, con diferentes técnicas econométricas, contribuir al debate generado en torno a qué factores determinan la calidad institucional de una muestra amplia de países, con niveles de renta muy diversos, así como a la cuantificación del impacto que la misma ejerce sobre su crecimiento económico

Prioritizing environmental issues around the world: opinions from an international Central and Eastern European environmental health conference.

Science.gov (United States)

Craft, Elena S; Donnelly, Kirby C; Neamtiu, Iulia; McCarty, Kathleen M; Bruce, Erica; Surkova, Irina; Kim, David; Uhnakova, Iveta; Gyorffy, Erika; Tesarova, Eva; Anderson, Beth

2006-12-01

As the next generation of scientists enters the field of environmental health, it is imperative that they view their contributions in the context of global environmental stewardship. In this commentary, a group of international graduate students facilitated by three experienced environmental health scientists present their views on what they consider to be the global environmental health concerns of today. This group convened initially in October 2004 at an international health conference in Prague, Czech Republic. In this report we identify perceived environmental health concerns that exist around the world, with a focus on Central and Eastern Europe. Additionally, we address these perceived problems and offers some potential solutions. At the meeting, students were invited to participate in two panel discussions. One group of young international scientists identified several significant global environmental health concerns, including air pollution, occupational hazards, and risk factors that may exacerbate current environmental health issues. The second panel determined that communication, education, and regulation were the mechanisms for addressing current environmental challenges. In this commentary we expand on the views presented at the meeting and represent the concerns of young investigators from nine different countries. We provide ideas about and support the exchange of information between developed and developing countries on how to handle the environmental health challenges that face the world today.

Daniel Kahneman y la Psicología Económica

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ISMAEL QUINTANILLA

2002-01-01

Full Text Available La reciente concesión del Premio Nobel de Economía a un psicólogo, aunque no sea cosa nueva, puede ser un excelente motivo de reflexión científica y de consideración profesional. La psicología ha estado demasiado tiempo alejada de lo que podría denominarse la conducta social más consuetudinaria, la que componen nuestras decisiones económicas y nuestras conductas como consumidores. No ha sido este un campo que haya gozado de muchas simpatías por parte de nuestros colegas. Quizá como consecuencia de una visión excesivamente estrecha de las posibilidades explicativas y aplicativas de la Psicología Económica. Puede que también se deba a un cierto desconocimiento de esta especialidad -o campo de investigación y desarrollo- de la Psicología social. De hecho, apenas existente como materia de estudios en las Facultades de psicología españolas cuando es cosa bastante corriente en la mayor parte de las europeas (Webley y Walker, 1999. El artículo resume y sintetiza los resultados de las investigaciones de la concesión del Premio Nobel de Economía a Vernon Smith y David Kahneman, reflexiones en base al futuro de la psicología Económica.

Análisis económico del derecho de autor

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Ana María Pérez

2011-11-01

Full Text Available La evolución de las tecnologías de la información y de la comunicación ha puesto de manifiesto la necesidad de crear un marco legislativo supranacional capaz de reglamentar eficazmente la protección del derecho de autor en el entorno digital y asegurar su comercialización en el ámbito mundial mediante el otorgamiento de licencias multiterritoriales y multirrepertorio. El otorgamiento de estas licencias sería posible mediante la creación de una taquilla única fundada en la gestión colectiva. El presente artículo aborda de manera comparativa los dos tipos de gestión de derechos de autor: la individual y la colectiva, en aras de evaluar las ventajas y desventajas económicas de cada uno de ellos. El análisis jurídico-económico de la naturaleza económica de la gestión de derechos, de sus costos, de los riesgos jurídicos que de ella se derivan y del control del ejercicio de la gestión por las sociedades de gestión colectiva permitirá tanto al titular de derechos como al usuario (consumidor determinar a cuál de los dos sistemas de gestión de derechos acogerse.

Avaliação econômica de plantações de eucalipto submetidas a desbaste

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Soares Thelma Shirlen

2003-01-01

Full Text Available O objetivo deste estudo foi determinar, através de métodos de avaliação econômica, a idade econômica de corte de plantações de eucalipto submetidas a desbaste. Para tanto, foram utilizados dados de um experimento de desbastes estabelecido na região nordeste da Bahia. Foram consideradas as variações de intensidades de desbaste (0, 20, 40 e 60% de retirada em área basal para projeções realizadas em diferentes classes de local. O método de avaliação econômica utilizado foi o valor anual equivalente. Na análise de sensibilidade foram levadas em conta taxas de desconto de 6, 9 e 12%. Os resultados evidenciaram que a rotação econômica propicia maior lucratividade quando se realiza desbaste.

Behavioral approach to appropriate antimicrobial prescribing in hospitals: the Dutch Unique Method for Antimicrobial Stewardship (DUMAS) participatory intervention study.

NARCIS (Netherlands)

Sikkens, J.J.; Agtmael, M.A. van; Peters, E.J.G.; Lettinga, K.D.; Kuip, M. van der; Vandenbroucke-Grauls, C.M.J.E.; Wagner, C.; Kramer, M.H.H.

2017-01-01

Importance: Inappropriate antimicrobial prescribing leads to antimicrobial resistance and suboptimal clinical outcomes. Changing antimicrobial prescribing is a complex behavioral process that is not often taken into account in antimicrobial stewardship programs. Objective: To examine whether an

How to Get Data from NOAA Environmental Satellites: An Overview of Operations, Products, Access and Archive

Science.gov (United States)

Donoho, N.; Graumann, A.; McNamara, D. P.

2015-12-01

In this presentation we will highlight access and availability of NOAA satellite data for near real time (NRT) and retrospective product users. The presentation includes an overview of the current fleet of NOAA satellites and methods of data distribution and access to hundreds of imagery and products offered by the Environmental Satellite Processing Center (ESPC) and the Comprehensive Large Array-data Stewardship System (CLASS). In particular, emphasis on the various levels of services for current and past observations will be presented. The National Environmental Satellite, Data, and Information Service (NESDIS) is dedicated to providing timely access to global environmental data from satellites and other sources. In special cases, users are authorized direct access to NESDIS data distribution systems for environmental satellite data and products. Other means of access include publicly available distribution services such as the Global Telecommunication System (GTS), NOAA satellite direct broadcast services and various NOAA websites and ftp servers, including CLASS. CLASS is NOAA's information technology system designed to support long-term, secure preservation and standards-based access to environmental data collections and information. The National Centers for Environmental Information (NCEI) is responsible for the ingest, quality control, stewardship, archival and access to data and science information. This work will also show the latest technology improvements, enterprise approach and future plans for distribution of exponentially increasing data volumes from future NOAA missions. A primer on access to NOAA operational satellite products and services is available at http://www.ospo.noaa.gov/Organization/About/access.html. Access to post-operational satellite data and assorted products is available at http://www.class.noaa.gov

Estimating landholders' probability of participating in a stewardship program, and the implications for spatial conservation priorities.

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Vanessa M Adams

Full Text Available The need to integrate social and economic factors into conservation planning has become a focus of academic discussions and has important practical implications for the implementation of conservation areas, both private and public. We conducted a survey in the Daly Catchment, Northern Territory, to inform the design and implementation of a stewardship payment program. We used a choice model to estimate the likely level of participation in two legal arrangements--conservation covenants and management agreements--based on payment level and proportion of properties required to be managed. We then spatially predicted landholders' probability of participating at the resolution of individual properties and incorporated these predictions into conservation planning software to examine the potential for the stewardship program to meet conservation objectives. We found that the properties that were least costly, per unit area, to manage were also the least likely to participate. This highlights a tension between planning for a cost-effective program and planning for a program that targets properties with the highest probability of participation.

Integrating rapid diagnostics and antimicrobial stewardship improves outcomes in patients with antibiotic-resistant Gram-negative bacteremia.

Science.gov (United States)

Perez, Katherine K; Olsen, Randall J; Musick, William L; Cernoch, Patricia L; Davis, James R; Peterson, Leif E; Musser, James M

2014-09-01

An intervention for Gram-negative bloodstream infections that integrated mass spectrometry technology for rapid diagnosis with antimicrobial stewardship oversight significantly improved patient outcomes and reduced hospital costs. As antibiotic resistance rates continue to grow at an alarming speed, the current study was undertaken to assess the impact of this intervention in a challenging patient population with bloodstream infections caused by antibiotic-resistant Gram-negative bacteria. A total of 153 patients with antibiotic-resistant Gram-negative bacteremia hospitalized prior to the study intervention were compared to 112 patients treated post-implementation. Outcomes assessed included time to optimal antibiotic therapy, time to active treatment when inactive, hospital and intensive care unit length of stay, all-cause 30-day mortality, and total hospital expenditures. Integrating rapid diagnostics with antimicrobial stewardship improved time to optimal antibiotic therapy (80.9 h in the pre-intervention period versus 23.2 h in the intervention period, P Gram-negatives. The intervention decreased hospital and intensive care unit length of stay, total hospital costs, and reduced all-cause 30-day mortality. Copyright © 2014. Published by Elsevier Ltd.

La actividad económica informal y el negocio de franquicia en Venezuela

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Ana Prieto Sánchez

2008-01-01

Full Text Available En el presente artículo se plantea el negocio de franquicia como una alternativa viable para canalizar la problemática de la informalidad laboral en Venezuela. Con base a un análisis documental-bibliográfico, semuestra la aplicabilidad de dichomodelo en un proceso de reconversión de la actividad económica informal en el país. Para lograrlo, se ha considerado la articulación entre diferentes conceptos económicos: el modelo de franquicia de conversión y la problemática de la economía informal en Venezuela, flagelo económico social presente en la realidad venezolana. Se concluye que un modelo de reconversión de la actividad económica informal representaría una alternativa para transformar esta actividad en el país, planteándose la conformación de una PYME con fortalezas financiera y operacional, con altos niveles de racionalidad, cuya actividad principal es ejecutada por otros individuos de manera informal; de esta forma se estructura una estrategia de crecimiento en función de la absorción de los ejecutores informales quienes, a través del financiamiento público o privado, concretan la conformación de una microempresa y la firma de un contrato tipo franquicia con la PYME.

Capital social y desarrollo económico. Los casos de Silicon Valley y Villa El Salvador

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Pablo Galaso Reca

2005-01-01

Full Text Available Este artículo se refiere a las relaciones existentes entre el capital social y el desarrollo económico. Para ello, en primer lugar presenta un marco teórico que muestra la evolución del concepto de capital social, su clasificación, medición y algunas aplicaciones prácticas. Posteriormente, explica teóricamente los efectos del capital social en el desarrollo económico. Finalmente, analiza dos experiencias de desarrollo económico altamente vinculadas con el concepto de capital social: los casos de Silicon Valley y Villa El Salvador.

Gasto público en carreteras y crecimiento económico inclusivo. Caso: Perú - Canta, Salas, Laramate 1990-2010

OpenAIRE

Jurado Falconi, Eulalia

2013-01-01

Analiza la influencia del gasto público de capital, en el crecimiento económico y en la inclusión económica en el Perú entre 1990-2010 casos: Laramate, Canta, Villacurí. Se caracteriza la relación que existe entre el crecimiento económico local con la inversión pública en infraestructura de transporte de carreteras y el fortalecimiento de las instituciones para lograr inclusión económica de los sectores de baja productividad. Una de las hipótesis busco demostrar que un aumento de la inversión...

Compensaciones económicas ante conflictos de uso del suelo

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Polanco Jorge Andrés

2009-10-01

Full Text Available Existen conflictos de uso del suelo que pretenden ser atenuados con compensaciones económicas. En este trabajo se estiman los conflictos existentes en el Sistema de Páramos Alto-Andinos de Antioquia, comparando las restricciones al uso del suelo con la dinámica de la frontera agropecuaria. Las compensaciones se calculan en función de la renta de la tierra y se evalúa su financiación con recursos públicos y privados considerando las inversiones municipales y la solvencia del sector productivo. Los resultados muestran que los conflictos son mayores donde la frontera es activa. Las compensaciones logran ser asumidas por los municipios pequeños con tierras poco rentables, mientras que los grupos económicos pueden financiarlas dependiendo de la gobernanza.

La inclusión de la dimensión económica en la Evaluación de Impacto Ambiental

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GIL, H. A

2013-12-01

Full Text Available El objetivo de este trabajo es mostrar la importancia de incluir la dimensión económica en los Estudios deImpacto ambiental (EsIA. Dimensión económica que se incorpora a la evaluación “ex–ante” de inversiones a través del análisis beneficios costos (ABC y la valoración económica de las externalidades (VEE. El trabajo muestra con ilustraciones y la presentación de dos casos las consecuencias no deseables de ignorar el ABC: a Existencia de proyectos de eficiencia dudosa en términos de su resultado económico-social; y b Escasez de proyectos ambientalmente eficientes, pero con escaso retorno económico privado.

A special issue of the Journal of Forestry - Wilderness science and its role in wilderness stewardship

Science.gov (United States)

Susan F. Fox

2016-01-01

This special issue of the Journal of Forestry provides an overview of America’s National Wilderness Preservation System and highlights the important role that science serves in informing wilderness stewardship. The lead authors of the articles in this volume selected the Journal because it is highly respected and widely circulated among foresters and federal...

Stewardship as a Means to Create Organizational Reform: A View into Minnesota 4-H Youth Development

Science.gov (United States)

Skuza, Jennifer A.; Freeman, Dorothy M.; Bremseth, Tamara J.; Doering, Shirley A.; Quinlan, Robert B.; Morreim, Patricia A.; Deidrick, James C.

2010-01-01

Minnesota 4-H Youth Development (MN 4-H) used stewardship as a means to create organizational reform to address the public use of the 4-H name and emblem in terms of risk management, real estate and equipment, and finances. A task force implemented a participatory process with colleagues and stakeholders to build and implement the reform effort.…

Empresas de trabajo temporal y mercado de trabajo: el impacto de la crisis económica y laboral

OpenAIRE

Hidalga Gutiérrez, Roberto

2016-01-01

El presente trabajo tiene como objetivo analizar el papel de las ETTs en el mercado de trabajo español y estudiar la evolución de su penetración en el mismo, prestando especial atención al efecto de la crisis económica Departamento de Fundamentos del Análisis Económico e Historia e Instituciones Económicas Grado en Administración y Dirección de Empresas

Valoración Económica de los Beneficios Ambientales del Proceso de Depuración de Aguas Residuales.

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Molinos Senante, Maria

2009-01-01

Full Text Available RESUMEN La Directiva Marco del Agua (2000/60/UE ha supuesto un impulso en el ámbito de la investigación económica dentro del campo del diseño e implementación de políticas eficientes para la gestión de los recursos hídricos. La implementación de políticas eficientes que prevengan la degradación y el agotamiento de los recursos hídricos requiere determinar su valor en términos sociales y económicos e incorporarlo en el proceso de toma de decisiones. El proceso de depuración de aguas residuales tiene asociados diversos beneficios ambientales. Sin embargo, estos beneficios a menudo no son calculados porque no tienen precio de mercado y las contribuciones existentes en la literatura son muy limitadas. A pesar de ello, la valoración de estos beneficios es necesaria para justificar en términos económicos la adopción de determinadas medidas. En este trabajo, se propone una metodología basada en la estimación de los precios sombra de los contaminantes eliminados en la depuración de las aguas residuales. Este valor representa el beneficio ambiental (coste evitado asociado al eliminar el vertido de contaminantes al medio natural. Se trata de un enfoque pionero en la valoración económica del proceso de depuración de aguas residuales. La comparación de los beneficios calculados con los costes internos del proceso de depuración proporcionará un indicador útil para evaluar la viabilidad de los proyectos de depuración de aguas residuales.ABSTRACT Economic research into the design and implementation of policies for the efficient management of water resources has been emphasized by the European Water Framework Directive (Directive 2000/60/UE. The efficient implementation of policies to prevent the degradation and depletion of water resources requires determining their value in social and economic terms and incorporating this information into the decision-making process. A process of wastewater treatment has many associated

Hacia una reapreciación de la territorialidad del desarrollo económico

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A. H. J. Helmsing

2001-01-01

Full Text Available En las últimas dos décadas hemos visto una re-apreciación de la territorialidad del desarrollo económico. Este re-apreciación proviene de tres fuentes. La primera se refiere a externalidades asociados con aglomeración. Son causa de retornos crecientes en la nueva teoría de comercio internacional y son asociadas con los nuevos distritos industriales. La segunda fuente la constituye el aprendizaje colectivo y se refiere a aprendizaje por interacción entre firmas. Aprendizaje es un mecanismo de selección en la teoría evolucionaría de desarrollo económico. La tercer fuente es gobernabilidad localizado. La complejización de la organización económica que se refiere no solo a las relaciones entre firmas sino también entre firmas y las instituciones de regulación y apoyo, requiere nuevas formas de gobernabilidad.

Environmentally conscious patent histories

Science.gov (United States)

Crouch, Dennis D.; Crouch, Henry L.

2004-02-01

There is a need for investigators, legislators, and business leaders to understand the magnitude of innovation and discovery in the field of environmentally conscious technologies (ECTs). Knowledge of the "big picture" is important to providing a national and global account of actual environmental stewardship over the last twenty-five years. A recitation of the Environmental Protection Agency (EPA) supported Acts which have been enacted into law reveals one facet of the multifaceted dynamic of environmental consciousness. The popular discussion and debate, as well as partisan lobbying, which created the political forces leading to environmentally conscious legislation is another facet. A third facet is the corporate response to the threats and opportunities predicted by CEO"s and others through environmental scanning. This paper examines changes in environmentally conscious inventive effort by comparing data from United States Patents issued from 1976 through 2003. Patents are useful tool for measuring technological innovation because they are publicly available records of innovative activity. Although not all inventions result in patent applications, the monopoly rights granted on the invention give the inventor a strong incentive to obtain patents on any viable product or process. Among the results, we found a significant increase in patents relating to environmentally conscious products and processes during the period in question. Specifically, a dramatic increase in patent activity was seen for the decade of the 1990"s. Surprisingly, the patenting rate from 2000 to 2003 seems to have stabilized. Additionally public discussion of ECTs appears to have a positive impact on patent filings.

Designing Program Roadmaps to Catalyze Community Formation: A Case Study of the Long-Term Stewardship Science and Technology Roadmapword

International Nuclear Information System (INIS)

Dixon, Brent; Hanson, Duane; Matthern, Gretchen

2003-01-01

A number of broad perspective technology roadmaps have been developed in the last few years as tools for coordinating nation-wide research in targeted areas. These roadmaps share a common characteristic of coalescing the associated stakeholder groups into a special-interest community that is willing to work cooperatively in achieving the roadmap goals. These communities are key to roadmap implementation as they provide the collaborative energy necessary to obtain the political support and funding required for identified science and technology development efforts. This paper discusses the relationship between roadmaps and special-interest communities, using the recently drafted Department of Energy's Long-Term Stewardship Science and Technology Roadmap as a case study. Specific aspects this roadmap's design facilitated the development of a long-term stewardship community while specific realities during roadmap development impacted the realization of the design

Análisis de la vulnerabilidad y resiliencia económica de Baja California en el contexto de la crisis financiera internacional

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Salvador GONZÁLEZ ANDRADE

2017-01-01

Full Text Available Este trabajo analiza la vulnerabilidad económica y la resiliencia económica de Baja California, México, en el contexto de la crisis financiera internacional de 2007. Se propone una aproxima - ción metodológica para elaborar índices de vulnerabilidad y de resiliencia, y el desempeño económico de 2003 a 2014 se compara con el que tienen otras entidades. El desempeño econó - mico se mide desagregando el PIBE en sus componentes cíclico y no cíclico (tendencia. Se con - cluye que ante el shock externo, Baja California posee vulnerabilidad económica, pero también presenta una destacada resiliencia económica.

Research Methods in Healthcare Epidemiology and Antimicrobial Stewardship-Quasi-Experimental Designs.

Science.gov (United States)

Schweizer, Marin L; Braun, Barbara I; Milstone, Aaron M

2016-10-01

Quasi-experimental studies evaluate the association between an intervention and an outcome using experiments in which the intervention is not randomly assigned. Quasi-experimental studies are often used to evaluate rapid responses to outbreaks or other patient safety problems requiring prompt, nonrandomized interventions. Quasi-experimental studies can be categorized into 3 major types: interrupted time-series designs, designs with control groups, and designs without control groups. This methods paper highlights key considerations for quasi-experimental studies in healthcare epidemiology and antimicrobial stewardship, including study design and analytic approaches to avoid selection bias and other common pitfalls of quasi-experimental studies. Infect Control Hosp Epidemiol 2016;1-6.

ESIP's Emerging Provenance and Context Content Standard Use Cases: Developing Examples and Models for Data Stewardship

Science.gov (United States)

Ramdeen, S.; Hills, D. J.

2013-12-01

Earth science data collections range from individual researchers' private collections to large-scale data warehouses, from computer-generated data to field or lab based observations. These collections require stewardship. Fundamentally, stewardship ensures long term preservation and the provision of access to the user community. In particular, stewardship includes capturing appropriate metadata and documentation--and thus the context of the data's creation and any changes they underwent over time --to enable data reuse. But scientists and science data managers must translate these ideas into practice. How does one balance the needs of current and (projected) future stakeholders? In 2011, the Data Stewardship Committee (DSC) of the Federation of Earth Science Information Partners (ESIP) began developing the Provenance and Context Content Standard (PCCS). As an emerging standard, PCCS provides a framework for 'what' must be captured or preserved as opposed to describing only 'how' it should be done. Originally based on the experiences of NASA and NOAA researchers within ESIP, the standard currently provides data managers with content items aligned to eight key categories. While the categories and content items are based on data life cycles of remote sensing missions, they can be generalized to cover a broader set of activities, for example, preservation of physical objects. These categories will include the information needed to ensure the long-term understandability and usability of earth science data products. In addition to the PCCS, the DSC is developing a series of use cases based on the perspectives of the data archiver, data user, and the data consumer that will connect theory and practice. These cases will act as specifications for developing PCCS-based systems. They will also provide for examination of the categories and content items covered in the PCCS to determine if any additions are needed to cover the various use cases, and also provide rationale and

Comunidades virtuales y producción de inteligencia económica y competitiva

OpenAIRE

Carvalho, Andrea Vasconcelos

2007-01-01

CARVALHO, Andréa Vasconcelos . Comunidades virtuales y producción de inteligencia económica y competitiva. Inteligencia y Seguridad: revista de análisis y prospectiva, v. 3, p. 13-45, 2007 Se defiende que las comunidades virtuales ofrecen información útil para la generación de inteligencia económica y competitiva. Así, se identifican y describen las principales aplicaciones de las comunidades virtuales para la producción de estos tipos de inteligencia. Sin embargo, no se disponen...

Premio Nobel de ciencias Económicas 1998

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Sen Amartya

1998-12-01

Full Text Available

La Academia Real de Ciencias de Suecia ha decidido otorgar el premio Banco de Suecia 1998 en Ciencias Económicas, en Memoria de Alfred Nobel, al Profesor Amartya Sen, del Trinity College, Reino Unido, y ciudadano indio, por sus contribuciones a la economía del bienestar.

Valoración económica de bienes ambientales.

OpenAIRE

Orrego Suaza, Sergio Alonso; Cerda Urrutia, Arcadio; Vásquez Lavín, Felipe

2011-01-01

El trabajo describe los distintos métodos de valoración económica de bienes ambientales y su utilización en estudios de impacto sobre el entorno para obtener estimaciones monetarias de los efectos negativos sobre la calidad ambiental de recursos naturales específicos.

Empleo juvenil: su dimensión humana y societaria. Clave del desarrollo económico-social

OpenAIRE

García Echevarría, Santiago

2017-01-01

El fundamento de toda acción humana se encuentra en la definición de las prioridades que se fija la persona en base a su sistema de valores. Y de estas prioridades en la disposición de los recursos y la consecuente orientación de la acción económico-social se articula no sólo el Ordenamiento económico, sino la propia configuración de la Sociedad. Una de las características de toda acción económica es su largo plazo, lo mismo que el desarrollo de la persona. El desarrollo de toda persona, en p...

La relación entre crecimiento económico y desarrollo humano en el Perú

OpenAIRE

Vásquez, Fernando

2012-01-01

Explica cómo las políticas que alientan el crecimiento económico tienden a materializarse en mejoras en el desarrollo humano, el cual, a su vez, redundará en el crecimiento económico, generándose así la posibilidad de un círculo virtuoso.

Evaluación económica y toma de decisiones en salud ambiental

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Gutiérrez Zúñiga Cristina

1994-01-01

Full Text Available Ante el creciente deterioro ambiental y sus posibles consecuencias en la salud de la población resulta una prioridad indiscutible el diseño e instrumentación de políticas que controlen las actividades económicas bajo el criterio de protección a la salud humana y al ambiente mismo. Es preciso que dichas políticas consideren la factibilidad económica de las alternativas de protección existentes. Sin embargo, por la cantidad de intereses dentro del área ambiental, otros factores como el social y el político deben también ser considerados. La evaluación económica ha sido vista como un promisorio fundamento para la toma de decisiones en esta materia. Los autores analizan la capacidad de esta herramienta para organizar en forma sistemática y comparable los costos y los beneficios de alternativas para la solución de problemas ambientales. Se resumen las principales características de los estudios de costo-beneficio y costo-efectividad, las formas de evaluación económica del ambiente, y las particularidades de esta área para la aplicación de dichas técnicas de análisis. Se señalan los límites encontrados en estas herramientas para cuantificar los costos no monetarios de los riesgos ambientales y de los consecuentes daños a la salud, tales como el dolor, el sufrimiento ó la incapacidad de personas económicamente inactivas, constituyendo estos aspectos el reto metodológico de la evaluación económica en el área. Se reflexiona sobre la importancia de ampliar los insumos informativos para la toma de decisiones en materia de salud ambiental en aspectos como la distribución de los costos y los beneficios entre los distintos grupos sociales. Por último se señala tanto la creciente politización del tema ambiental, como la posibilidad técnica de manipulación de estas herramientas de análisis. Partiendo de estos elementos se señala la necesidad, por parte de los evaluadores, de ser conscientes sobre las implicaciones pol

O valor percebido para o consumidor nas dimensões socioambiental, econômica e tecnológica da cadeia produtiva do biodiesel

Directory of Open Access Journals (Sweden)

Ana Cristina de Faria

2013-01-01

Full Text Available A inclusão do biodiesel como fonte renovável na matriz energética do Brasil, tem demandado esforços e direcionado ações estratégicas na priorização das dimensões socioambientais, econômicas e tecnológicas junto à cadeia produtiva do biodiesel. O objetivo desta pesquisa é analisar o valor percebido pelos consumidores finais quanto às dimensões socioambientais, econômicas etecnológicas na produção de fontes de energias renováveis de combustíveis. A pesquisa caracteriza-se como qualitativa descritiva, desenvolvida junto a condutores de ônibus identificados como um dos stakeholders da referida cadeia de suprimentos. Constatou-se uma priorização das dimensões social e ambiental, consideradas como principais valores percebidos pelo consumidor, se comparadas com as dimensões econômicas e tecnológicas. Os aspectos identificados como importantes referem-se à redução do efeito estufa e das emissões de gases tóxicos, a produção de energia renovável e a geração deemprego. Nota-se com os resultados obtidos, a necessidade de umaorganização do conhecimento e produção de informações estratégicas,integrando o consumidor na cadeia produtiva e na construção dodesenvolvimento sustentável.Abstract The inclusion of biodiesel as a renewable source of energy matrix in Brazil, hasdemanded efforts and strategic actions aimed at prioritizing social and environmental dimensions, economic and technological with the biodiesel production chain. This research aims to examine the value perceived by end users about the environmental and social dimensions, economic and technological production of renewable energy fuels. The methodology is characterized as descriptive qualitative research,conducted at the bus drivers identified as a stakeholder of that supply chain. The research showed a prioritization of environmental and social values considered as the main perceived by the consumer, as compared with the economical and

El contexto económico y fiscal de la guerra

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Malcolm Douglas Deas

2000-05-01

Full Text Available En Colombia, como en otras partes de América española del siglo pasado, hubo cierta correlación entre las guerras civiles y las circunstancias económicas. No era una correlación completa -hay guerras sin depresión y depresión sin guerras-, pero las malas condiciones económicas en los mercados mundiales debilitaron los ingresos de los gobiernos, muy dependientes, en ese entonces, de las aduanas y por eso del curso del comercio exterior, y trajeron el desempleo y el malestar. De esta forma aumentó el número de gente disponible y dispuesta a entrar en aventuras bélicas. No era pura coincidencia que la región de Santander figurara tanto en las últimas guerras civiles, pues tuvo una accidentada historia exportadora.

Anàlisi econòmica financera del sector vinícola català

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Núria Arimany

2014-12-01

Full Text Available Objectiu: El present treball reflecteix l'anàlisi econòmica financera de les grans indústries elaboradores de vi a Catalunya en el període 2008-2012. S'ha considerat la indústria  vinícola per ser un sector estratègic dintre de l'agroalimentació catalana, considerada  primer clúster agroalimentari d'Europa segons dades de l'observatori de clústers de l'Stockholm School of Economics. L'estudi posiciona aquestes indústries dintre del sector agroalimentari català i espanyol i presenta els principals indicadors econòmics i financers per tal de diagnosticar la salut d'aquestes empreses en el període 2008-2012 mitjançant una anàlisi a curt i llarg termini, una anàlisi de resultats i una anàlisi dels canvis patrimonials i dels fluxos d'efectiu de les empreses vinícoles. Disseny/metodologia/enfocament: Les dades utilitzades provenen dels estats comptables de les indústries vinícoles en el període 2008-2012, en concret, es recull una mostra d'empreses catalanes que elaboren vi amb uns ingressos d'explotació mínims de 5.700.000 € i uns actius mínims de 2.850.000 €, que presenten comptes anuals normals seguint el que disposa el Pla General Comptable en aquest període, i que majoritàriament són grans empreses sobre les que es porta a terme l'anàlisi econòmic financer mitjançant l'estadística descriptiva oportuna arribant a uns resultats i conclusions. Resultats: L'estudi permet assenyalar que les empreses vinícoles en aquest període gaudeixen d'una bona salut econòmica i financera, amb un reduït nombre d'empreses que concentren gran part de les vendes. Tot i que les vendes han augmentat, s'experimenta una reducció dels resultats econòmics per l'augment de les despeses d'explotació en aquest període. Per tant, no gaudeixen d'una gestió eficient de les despeses. Limitacions: Seria convenient estendre la mostra a petites empreses vinícoles i arribar fins a dades actuals per confirmar els canvis de tendència en l

Gestão econômica de investimentos em ativos fixos

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Armando Catelli

2003-04-01

Full Text Available Num ambiente global de intensas mudanças competitivas, a mensuração dos ativos, especificamente dos ativos fixos, requer a superação da rigidez dos custos históricos e da depreciação linear, próprios da contabilidade tradicional, e a adoção de critérios que permitam avaliar adequadamente a realidade econômica desses ativos. Partindo da premissa de que o patrimônio líquido deve representar o valor da empresa, e de que sua variação expressa o resultado econômico, o Sistema de Gestão Econômica - Gecon conceitua e mensura os ativos fixos pelo valor presente dos seus benefícios futuros para a empresa. Como sistema de gestão voltado para decisões econômicas, o Gecon explicita um modelo de decisão para o evento investimento em ativos fixos. Nessa decisão são considerados os custos diretos dela decorrentes, bem como os benefícios econômicos resultantes do uso do ativo fixo pela empresa, mensurados pelo seu custo de oportunidade. Considerando a empresa como conjunto de áreas de responsabilidade conceituadas como centros de resultado, o Gecon identifica a contribuição de cada área envolvida na decisão para a obtenção do resultado econômico do investimento e, portanto, para o resultado da empresa. O fluxo de resultados do investimento é gerenciado durante toda a sua vida útil, desde o momento da tomada de decisão inicial até o momento final da decisão de desativação ou desinvestimento.In a global environment that is going through intense competitive changes, the measurement of assets, specifically fixed assets, makes it necessary to overcome the rigidity of historical costs and straightline depreciation, characteristic of traditional accounting, and to adopt criteria that allow for the adequate evaluation of the economic reality of these assets. Starting from the premise that net equity must represent company value and that its variation expresses economic income, the Economic Management System - Gecon

Law for Country: the Structure of Warlpiri Ecological Knowledge and Its Application to Natural Resource Management and Ecosystem Stewardship

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Miles C. C. Holmes

2013-09-01

Full Text Available Indigenous Ecological Knowledge (IEK is deeply encoded in social processes. Our research shows that from an Indigenous perspective, IEK is a way of living whose core aim is to sustain the healthy functioning of people and country through relationships of reciprocity. However, IEK is often portrayed more prosaically as a body of knowledge about the environment. We introduce a framework, called ngurra-kurlu, that enables appreciation of indigenous perspectives on IEK. The framework was identified from the collaborative work of the authors with Warlpiri aboriginal elders in the Tanami Desert region of central Australia. Ngurra-kurlu facilitates cross-cultural understanding by distilling, from a complex cultural system, the five distinct conceptual categories that comprise IEK: law, skin, ceremony, language, and country. The framework enables engagement with nuanced environmental knowledge because it synthesizes, for cross-cultural audiences, all the key areas of knowledge and practice in which IEK is located. In particular, the framework highlights how social systems mediate the transmission, deployment, and regulation of environmental knowledge in on-ground situations, including collaborative natural resource management. Although the framework was generated in relation to one indigenous group, the epistemological structure of Warlpiri IEK is relevant throughout Australia, and the framework can be applied internationally to the emerging interest in fostering ecosystem stewardship in which the cultural connections between people and place are an integral part of ecosystems management.

Traducción Económica, Comercial y Financiera II. Tarea 2: Elaboración de BDT del ámbito económico

OpenAIRE

Vargas Sierra, Chelo

2011-01-01

El uso de textos comparables y/o paralelos recogidos en la tarea 1 y la elaboración de fichas terminológicas, glosarios y bases de datos relacionados con la traducción económica, financiera y comercial constituyen las actividades fundamentales de este segundo bloque.

Ilustración y Sociedades Económicas en la provincia de Cádiz

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Juan José IGLESIAS RODRÍGUEZ

2009-12-01

Full Text Available RESUMEN: Este trabajo se ocupa del papel desempeñado por la ideología ilustrada en la provincia de Cádiz a fines del Antiguo Régimen. El principal marco de referencia son las Sociedades Económicas de Amigos del País, instituciones arquetípicas de la Ilustración española que nacieron con voluntad de servir como instrumento para el progreso económico y la felicidad pública. Las Sociedades Económicas intentaron desarrollar nuevas formas de comunicación social y ser vehículos de la política reformista estatal. Sin embargo, se vieron fuertemente condicionadas por la pervivencia de una mentalidad tradicional refractaria a las nuevas ideas ilustradas y, sobre todo, por los intereses de control estamental de las oligarquías locales, de las que dependió a menudo su creación y desarrollo. Ello condicionó la existencia de resultados pobres en la primera etapa ilustrada de las Sociedades Económicas, aunque su reinstalación en la primera época liberal significó una revitalización de su actividad. En algunos casos, las Sociedades Económicas fueron también el escenario de las luchas entre la oligarquía tradicional y las nuevas élites económicas liberales por el control del poder local.ABSTRACT: This paper examines the role of the ideology of Enlightenment in the province of Cádiz during the final years of the Ancient Régime, with particular reference to the Economic Societies of the Friends of the ?Country (Sociedades Económicas de Amigos del País. These institutions were archetypes oí the Spanish Enlightenment and were born with the purpose of serving as instruments for economic development and public welfare. The Economic Societies endeavoured to develop new forms of social communication and to be vehicles for the reformist policies of the state. However, they were conditioned, on the one hand, by the survival of a traditional, conservative mentality that strongly opposed these new ideas and, above all, by the vested

3 Colleges' Different Approaches Shape Learning in Econ 101

Science.gov (United States)

Berrett, Dan

2012-01-01

No matter the college, a class in the principles of microeconomics is likely to cover the discipline's greatest hits. The author attends three economics courses at three colleges, and finds three very different approaches. In this article, the author discusses three colleges' different approaches that shape learning in Econ 101.

Crisis global, económica, social y ambiental

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Araceli Damián

2015-01-01

Full Text Available El presente artículo tiene la finalidad de explorar la compleja crisis del sistema capita - lista actual retomando diversos ángulos de su manifestación: económica, social y am - biental. El trabajo está dirigido a examinar las crisis del capitalismo actual a partir de la crisis inmobiliaria y financiera de 2008, que fue considerada como la más grave en el ámbito mundial después de la de 1929. Para ello se examinan, en primer término, las explicaciones que desde la teoría marxista y keynesiana se han ofrecido en torno a las crisis económicas propias del capitalismo. En segundo lugar se analizan algunas de las consecuencias de las crisis padecidas en los últimos cincuenta años, sobre todo en relación con los cambios en las relaciones de poder entre capital y trabajo; ello ha producido un deterioro en las condiciones de vida de la mayoría de la población, que se manifiesta en una creciente pobreza, desigualdad, persistencia del hambre y deterioro ambiental en el mundo.

Conflicto armado, variables socio-económicas y formación ciudadana: un análisis de impacto

OpenAIRE

Marieta Quintero-Mejía; Sara Victoria Alvarado; Juan Carlos Miranda

2016-01-01

En este artículo buscamos exponer los efectos que tienen las condiciones socio- económicas y el conflicto armado sobre los aprendizajes ciudadanos. Para ello, adoptamos un enfoque cuantitativo que nos permitió analizar cómo las condiciones económicas, sociales y de conflicto armado determinan el desarrollo de Competencias Ciudadanas. Lo anterior nos llevó a establecer que las variables socio-económicas tienen un impacto mayor en el desarrollo de acciones, actitudes y emociones favorables, mie...

Research Methods in Healthcare Epidemiology and Antimicrobial Stewardship – Quasi-Experimental Designs

Science.gov (United States)

Schweizer, Marin L.; Braun, Barbara I.; Milstone, Aaron M.

2016-01-01

Quasi-experimental studies evaluate the association between an intervention and an outcome using experiments in which the intervention is not randomly assigned. Quasi-experimental studies are often used to evaluate rapid responses to outbreaks or other patient safety problems requiring prompt non-randomized interventions. Quasi-experimental studies can be categorized into three major types: interrupted time series designs, designs with control groups, and designs without control groups. This methods paper highlights key considerations for quasi-experimental studies in healthcare epidemiology and antimicrobial stewardship including study design and analytic approaches to avoid selection bias and other common pitfalls of quasi-experimental studies. PMID:27267457

¿Es suficiente el Impacto Económico de sustituir importaciones?

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Maisa Belén Jobani

2016-02-01

Full Text Available Se aborda el tema del proceso de industrialización pro sustitución de importaciones que se está llevando a cabo en Argentina. Dicho proceso es resultado de cambios que se produjeron en la economía luego de la crisis de diciembre de 2001. Aquí se presentan las repercusiones tanto a nivel global como regional; sus implicancias en el índice de producción de los diferentes sectores industriales y los vínculos comerciales frente a grandes bloques económicos. Asimismo, en este análisis subyace el interrogante acerca de si el impacto económico de sustituir importaciones es suficiente para generar un crecimiento sostenido en la economía del país.

El trabajo infantil y la recesión económica de 1999 en Colombia.

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Claudia Marcela Umaña Aponte

2010-05-01

Full Text Available El artículo examina la relación entre crecimiento económico, ingresos de las familias, empleo infantil y asistencia escolar en Colombia. También analiza el impacto de la recesión económica de 1999 en la educación y empleo infantil. Una importante contribución del artículo es el uso de datos microeconómicos y macroeconómicos en la estimación de los modelos empíricos, ya que nos permiten analizar los determinantes micro y macroeconómicos del empleo infantil. Los resultados muestran que el ingreso de las familias y el crecimiento económico son relevantes para el proceso de decisión de las familias sobre educación y empleo de los niños. Encontramos que en Colombia el empleo infantil es contra cíclico y la educación es pro cíclica respecto al crecimiento económico. En consecuencia, mayores niveles de ingreso social aumentan el bienestar de los niños ofreciéndoles mayor educación y menores responsabilidades económicas. Esto implica que la principal razón por la cual los niños trabajan en Colombia es la pobreza. El impacto de la crisis de finales de los años 90 sobre el empleo infantil y la educación fue un incremento fuerte de niños en la fuerza laboral y una leve reducción en la asistencia escolar.

Crecimiento económico, corrupción e instituciones en México

OpenAIRE

Lucía Ramírez López; Isaac Leobardo Sánchez Juárez

2013-01-01

En este artículo se analiza la relación que existe entre la corrupción y el crecimiento económico, tanto a nivel teórico como empírico. A nivel teórico se presenta un modelo desarrollado por de Vaal y Ebben (2011) que estudia los efectos de la corrupción sobre el crecimiento económico en un marco que incluye la corrupción como parte de la configuración institucional. En el modelo los efectos positivos de la corrupción sobre el crecimiento son mayores que los negativos si las instituciones no ...

Necesidad e importancia de las matemáticas en las Ciencias Económicas

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Juan A Viedma

1997-07-01

Full Text Available Se trata de responder la pregunta: ¿qué función ejercen las matemáticas en las ciencias económicas? Se hace, entonces, un recorrido por las etapas del conocimiento humano: la mítica, la intuitiva, la experimental y la racional y, luego, se describe el proceso de elaboración de un modelo económico abstracto en el que las matemáticas juegan un papel fundamental so pena de que el economista quiera construir una ciencia de juguete. Para apoyar la idea de que las matemáticas son importantes y necesarias en la economía, se presenta un resumen de una encuesta dirigida por Paul Samuelson a economistas notables, publicada en 1954. Los resultados apuntan, precisamente, a señalar que las matemáticas tienen una función fundamental en las Ciencias Económicas.

Crecimiento económico y productividad en Latinoamérica. El proyecto LA-KLEMS

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André Hofman

2017-01-01

Full Text Available Antecedentes: El objetivo de este artículo es analizar el crecimiento económico, la productividad y sus determinantes en cinco países de América Latina (Argentina, Brasil, Chile, Colombia y México durante el periodo 1990-2010. Este análisis se aplica tanto a la economía agregada como a nueve sectores de actividad económica.Metodología: Se utiliza una nueva base de datos, LA-KLEMS, que servirá como herramienta fundamental para la investigación empírica y teórica en el área de crecimiento económico y productividad para América Latina. Las variables se organizan en torno a la metodología de contabilidad del crecimiento, que proporciona un marco conceptual claro para el análisis coherente de la interacción entre las variables. Las cifras de LA-KLEMS ponen de relieve las discrepancias entre los países y dan una nueva perspectiva para entender cómo evolucionan las series con el tiempo.Resultados: Los resultados muestran que el lento crecimiento económico se debe básicamente a la contribución negativa de la productividad total de los factores (PTF en todos los países y en casi todos los sectores, a pesar de los esfuerzos de inversión realizados en los últimos 20 años. Los países latinoamericanos se enfrentan a un auténtico problema de productividad, como muestra el shift-share análisis.Conclusiones: Los problemas de la PTF son comunes a todos los sectores de actividad económica y no parecen estar impulsados por el cambio estructural, es decir, la reasignación de recursos de industrias de baja a alta productividad.

Implementation of a Mobile Clinical Decision Support Application to Augment Local Antimicrobial Stewardship.

Science.gov (United States)

Hoff, Brian M; Ford, Diana C; Ince, Dilek; Ernst, Erika J; Livorsi, Daniel J; Heintz, Brett H; Masse, Vincent; Brownlee, Michael J; Ford, Bradley A

2018-01-01

Medical applications for mobile devices allow clinicians to leverage microbiological data and standardized guidelines to treat patients with infectious diseases. We report the implementation of a mobile clinical decision support (CDS) application to augment local antimicrobial stewardship. We detail the implementation of our mobile CDS application over 20 months. Application utilization data were collected and evaluated using descriptive statistics to quantify the impact of our implementation. Project initiation focused on engaging key stakeholders, developing a business case, and selecting a mobile platform. The preimplementation phase included content development, creation of a pathway for content approval within the hospital committee structure, engaging clinical leaders, and formatting the first version of the guide. Implementation involved a media campaign, staff education, and integration within the electronic medical record and hospital mobile devices. The postimplementation phase required ongoing quality improvement, revision of outdated content, and repeated staff education. The evaluation phase included a guide utilization analysis, reporting to hospital leadership, and sustainability and innovation planning. The mobile application was downloaded 3056 times and accessed 9259 times during the study period. The companion web viewer was accessed 8214 times. Successful implementation of a customizable mobile CDS tool enabled our team to expand beyond microbiological data to clinical diagnosis, treatment, and antimicrobial stewardship, broadening our influence on antimicrobial prescribing and incorporating utilization data to inspire new quality and safety initiatives. Further studies are needed to assess the impact on antimicrobial utilization, infection control measures, and patient care outcomes.

Los límites de la eficiencia económica en una sociedad democrática

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Alejandro Agafonow

2007-07-01

Full Text Available Durante el siglo XX, el marxismo y el liberalismo no igualitario o clásico discutieron las propiedades del cálculo económico, es decir, la forma en que las instituciones económicas asignan valores a los diversos fines. Este debate produjo un consenso implícito entre socialistas de mercado y liberales no igualitarios, acerca de la democracia. En este consenso, la voluntad general de Rousseau fue sustituida por voluntades individuales convenientemente jerarquizadas y la soberanía popular reflejada en la soberanía del consumidor. El ensayo adopta una perspectiva rawlsiana para explorar los límites de la eficiencia económica en una sociedad democrática.

Training should be the first step toward an antifungal stewardship program.

Science.gov (United States)

Valerio, Maricela; Muñoz, Patricia; Rodríguez-González, Carmen; Sanjurjo, María; Guinea, Jesús; Bouza, Emilio

2015-04-01

The frequency of use of systemic antifungal agents has increased significantly in most tertiary centers. However, antifungal stewardship has received very little attention. The objective of this article was to assess the knowledge of prescribing physicians in our institution as a first step in the development of an antifungal stewardship program. Attending physicians from the departments that prescribe most antifungals were invited to complete a questionnaire based on current guidelines on diagnosis and therapy of invasive candidiasis and invasive aspergillosis (IA). The survey was completed by 60.8% (200/329) of the physicians who were invited to participate. The physicians belonged to the following departments: medical (60%), pediatric (19%), intensive care (15.5%), and surgical (5.5%). The mean (±SD) score of correct responses was 5.16±1.73. In the case of candidiasis, only 55% of the physicians clearly distinguished between colonization and infection, and 17.5% knew the local rate of fluconazole resistance. Thirty-three percent knew the accepted indications for antifungal prophylaxis, and 23% the indications for empirical therapy. However, most physicians knew which antifungals to choose when starting empirical therapy (73.5%). As for aspergillosis, most physicians (67%) could differentiate between colonization and infection, and 34.5% knew the diagnostic value of galactomannan. The radiological features of IA were well recognized by 64%, but only 31.5% were aware of the first line of treatment for IA, and 36% of the recommended duration of therapy. The usefulness of antifungal levels was known by 67%. This simple, easily completed questionnaire enabled us to identify which areas of our training strategy could be improved. Copyright © 2013 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

Pollution prevention: The new environmental ethic

International Nuclear Information System (INIS)

Breen, J.J.; Dellarco, M.J.

1991-01-01

EPA is embarking on a new major environmental policy initiative: pollution prevention. It obviates the short-comings of end-of-pipe regulations and fosters efforts for industry to modify production practices to prevent pollution. For its part, the Agency has adopted this initiative in research and development, regulatory program development, and technology transfer activities. Research and Development programs are being established to address chemical substitution, reductions in chemical usage, product life cycles, and recycling. Regulatory programs are incorporating pollution prevention in major strategies of product stewardship and hazardous waste management. Technology transfer activities are designed to inform and educate industry and the public through Agency sponsored programs with the Pollution Prevention Information Center and the American Pollution Prevention Institute

Impact of the PROVAUR stewardship programme on linezolid resistance in a tertiary university hospital: a before-and-after interventional study.

Science.gov (United States)

García-Martínez, Lucrecia; Gracia-Ahulfinger, Irene; Machuca, Isabel; Cantisán, Sara; De La Fuente, Soraya; Natera, Clara; Pérez-Nadales, Elena; Vidal, Elisa; Rivero, Antonio; Rodríguez-Lopez, Fernando; Del Prado, José Ramón; Torre-Cisneros, Julián

2016-09-01

There is little evidence of the impact of antimicrobial stewardship programmes on antimicrobial resistance. To study the efficacy and safety of a package of educational and interventional measures to optimize linezolid use and its impact on bacterial resistance. A quasi-experimental study was designed and carried out before and after implementation of a stewardship programme in hospitalized patients with Gram-positive infections treated with linezolid. The intervention reduced linezolid consumption by 76%. The risk of linezolid-resistant CoNS isolates (OR = 0.37; 95% CI = 0.27-0.49; P linezolid use can contribute to reducing the resistance rate of CoNS and E. faecalis to this antibiotic. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Dificultades de la gobernanza del desarrollo económico en el entorno regional de Medellín

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Jorge Polanco

2010-01-01

Full Text Available La perennidad del páramo del entorno regional de Medellín es un problema de gobernanza del desarrollo económico. El objetivo de este artículo es identificar las dificultades de esta gobernanza. Las primeras conciernen a la relación entre desarrollo económico y protección ambiental. Las segundas, tienen que ver con la institucionalización de reglas de juego entre actores gubernamentales. Se consideran elementos teóricos de la nueva geografía económica y del neoinstitucionalismo, partiendo de los resultados de un análisis espacial multiobjetivo. Se observa que la gobernanza es sensible al efecto de aglomeración económica, pues presenta mayores dificultades técnicas conforme se está más cerca de la ciudad. Finalmente, las dificultades políticas radican en reglas de juego excluyentes, como consecuencia de una lógica de proyecto burocrática.

Algunas Reflexiones sobre Política Económica, 2012

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Marilyn Waring

2012-03-01

Full Text Available Este artículo se centra en la importancia de la preservación del medio ambiente y critica el Informe de Stern, reconociendo los límites de la economía desde una perspectiva ética. No obstante, no es suficiente puesto que implica una mayor manipulación del mercado y el triunfo de los principios económicos sobre la defensa del medioambiente. Por el contrario, Elnor Ostrom, premio Nobel de economía ha demostrado que la cooperación es fundamental para la gestión de los recursos “comunales”. Igualmente, los melanesios de Vanuatu han desarrollado prácticas de supervivencia increíbles durante centurias. En el presente, se puede decir que padecen crisis, pero no la crisis económica actual como el resto del mundo desde el año 2008.

Participatory action research in antimicrobial stewardship: a novel approach to improving antimicrobial prescribing in hospitals and long-term care facilities

NARCIS (Netherlands)

van Buul, L.W.; Sikkens, J.J.; van Agtmael, M.A.; Kramer, M.H.H.; van der Steen, J.T.; Hertogh, C.M.P.M.

2014-01-01

It is challenging to change physicians' antimicrobial prescribing behaviour. Although antimicrobial prescribing is determined by contextual (e.g. a lack of guidelines), cultural (e.g. peer practice) and behavioural (e.g. perceived decision making autonomy) factors, most antimicrobial stewardship

El sistema económico de León Walras

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Angeles Cámara Sánchez

2000-01-01

Full Text Available En términos generales hay dos áreas principales en las que se reconoce que Walras alcanzó su objetivo de contribuir al desarrollo del análisis económico científico: la teoría de la demanda según la utilidad marginal y el análisis del equilibrio general. Pero Walras contribuyó en más aspectos: creó el primer modelo matemático acabado del equilibrio general económico; identificó y clasificó a los participantes económicos relevantes, los tipos de bienes y mercados de la economía, y trazó las líneas de su interdependencia mutua; obtuvo conceptos básicos y abstracciones fundamentales. Pero sus logros no se limitaron a definiciones y clasificaciones, derivó teorías de la conducta del consumidor; de los costes, ingresos y producción de la empresa; del intercambio; de los mercados normales; del ahorro y la inversión; de la distribución; y del dinero. Demostró así la posibilidad de plantear un sistema de ecuaciones que describiese a una economía monetaria de múltiples mercados, en la que existen el intercambio, la producción, el consumo y la inversión; de tal manera dio el primer gran paso hacia el moderno análisis del equilibrio general. Tanto los modelos walrasianos dinámicos como los modelos de transacciones de desequilibrio y de producción están basados en su obra.

La actividad económica informal y el negocio de franquicia en Venezuela

OpenAIRE

Prieto Sánchez, Ana; Zerpa López, Leiniz; Martínez Ramírez, Marle

2008-01-01

En el presente artículo se plantea el negocio de franquicia como una alternativa viable para canalizar la problemática de la informalidad laboral en Venezuela. Con base a un análisis documental-bibliográfico, se muestra la aplicabilidad de dicho modelo en un proceso de reconversión de la actividad económica informal en el país. Para lograrlo, se ha considerado la articulación entre diferentes conceptos económicos: el modelo de franquicia de conversión y la problemática de la economía informal...

La filosofía de la integración económica internacional

Directory of Open Access Journals (Sweden)

Hernán Villegas Galarza

1969-09-01

Full Text Available Son muchos los estudios consagrados a definir el concepto de "integración económica internacional". La definición debe plantear tres preguntas, a las cuales trataremos de hallar respuesta, o, a lo menos, encontrar algunos elementos de definición. Ellas son: 1 ¿Existen mecanismos de integración internacional? 2 ¿Cómo se resuelve el problema del comando económico en un conjunto de vías de integración? 3 ¿Qué representa la idea de integración para la actual economía del mundo?

"Las cooperativas: una alternativa económica y social frente a la crisis" (Cooperatives: an economic and social alternative to the crisis

Directory of Open Access Journals (Sweden)

Javier Divar Garteiz-Aurrecoa

2013-01-01

Full Text Available El Cooperativismo nació como alternativa económica y social,impulsado por la piedad religiosa y reglado bajo los principios democráticos. Lasolidaridad y la democracia económica hacen de las cooperativas sociedadesespecialmente resistentes frente a las dificultades económicas.

La relación entre crecimiento económico y pobreza en México

OpenAIRE

Campos Vázquez, Raymundo M.; Monroy-Gómez-Franco, Luis A.

2016-01-01

Resumen: En este trabajo analizamos la relación entre crecimiento económico y cambios en pobreza para las entidades federativas en México. Primero, no se encuentra una relación entre el crecimiento promedio anual y el cambio en pobreza alimentaria o de patrimonio a nivel estatal en el periodo 2000-2012: las ganancias del crecimiento económico no se han trasladado en reducciones en pobreza significativas. Segundo, al comparar cambios anuales por trimestre para el periodo 2005-2014 sí se observ...

NOAA's Big Data Partnership at the National Centers for Environmental Information

Science.gov (United States)

Kearns, E. J.

2015-12-01

In April of 2015, the U.S. Department of Commerce announced NOAA's Big Data Partnership (BDP) with Amazon Web Services, Google Cloud Platform, IBM, Microsoft Corp., and the Open Cloud Consortium through Cooperative Research and Development Agreements. Recent progress on the activities with these Partners at the National Centers for Environmental Information (NCEI) will be presented. These activities include the transfer of over 350 TB of NOAA's archived data from NCEI's tape-based archive system to BDP cloud providers; new opportunities for data mining and investigation; application of NOAA's data maturity and stewardship concepts to the BDP; and integration of both archived and near-realtime data streams into a synchronized, distributed data system. Both lessons learned and future opportunities for the environmental data community will be presented.

Valoração econômica da área de proteção ambiental estadual da Cachoeira das Andorinhas - MG Economic valuation of the state environmental protection area of Cachoeira das Andorinhas - MG

Directory of Open Access Journals (Sweden)

Vanessa Cotta Silveira

2013-04-01

Full Text Available A valoração econômica dos ativos ambientais é importante critério que subsidia a tomada de decisões na definição de políticas que gerenciam os recursos naturais. Nesse sentido, buscou-se valorar a Área de Proteção Ambiental Estadual da Cachoeira das Andorinhas (APAE/CA, importante Unidade de Conservação do Município de Ouro Preto, MG, com 18.700 ha de extensão. Apesar de possuir importante patrimônio natural, tal ativo ambiental possui áreas degradadas, além de ainda não ter o respaldo necessário dos órgãos gestores para o seu efetivo manejo. Como área de estudo, definiu-se a sub-bacia do Rio das Velhas, na qual a APAE/CA está inserida, abrangendo distritos localizados em Ouro Preto e Itabirito. Utilizando a Valoração Contingente, através da abordagem de Hanemann (1984 e do método do bootstrapping, obteve-se a disposição a pagar (DAP mensal mediana por habitante dos distritos envolvidos pela melhoria e preservação da APAE/CA de R$15,43. O valor econômico calculado para o ativo ambiental foi de R$10.398.030,12, representando os benefícios anuais fornecidos pela APAE/CA e que são percebidos pelos entrevistados. Conjuntamente com a valoração, utilizaram-se variáveis de percepção ambiental, a fim de verificar seu impacto sobre a DAP em estudo. Os resultados encontrados apontaram que a percepção e a valoração ambiental são positivamente correlacionadas.The economic valuation of environmental assets is an important criterion that subsidizes the decision-making in the policies definition that manage natural resources. Therefore, it was aimed to valuing the Área de Proteção Ambiental Estadual da Cachoeira das Andorinhas (APAE/CA - State Environmental Protection Area of Cachoeira das Andorinhas, an important Conservation Unit in Ouro Preto, Minas Gerais State, with 18,700 hectares of extension. Despite having an important natural heritage, such environmental asset has degraded areas in addition to the lack

A critical appraisal of WinEcon and its use in a first-year undergraduate Economics programme

Directory of Open Access Journals (Sweden)

D. J. Brooksbank

1998-12-01

Full Text Available WinEcon is a Windows-based introductory Economics CAL package designed for use in higher education. It is the product of the Economics Consortium of the TLTP (Teaching and Learning Technology Programme consisting of eight university Economics departments. Each of these has been responsible for producing some of the 25 chapters (tutorials of the finished product. Content is based on covering the common core of introductory Economics as revealed by a survey of higher-education Economics departments. WinEcon is provided, with an accompanying workbook, for a nominal registration fee in the UK. The package is important insofar as it is aimed at all first-year undergraduates studying Economics, which encompasses not only those taking straight Economics degrees but large numbers of students following introductory Economics as part of a Business Studies or Combined Studies course. With no competition to speak of, WinEcon is likely to become a significant feature of the learning experience of a large tranche of the undergraduate population, across a number of degree schemes. Indeed, for many of these students WinEcon will constitute their first major experience of CAL.

Bienestar Social, Económico y Ambiental para las Presentes y Futuras Generaciones Social, Economic and Environmental Welfare for Present and Future Generations

OpenAIRE

Lilia Fernández; Mirella Gutiérrez

2013-01-01

Este trabajo tiene como objetivo abordar la diferencia entre desarrollo sostenible y sustentable, aclarando cual describe el desarrollo humano social, económico y ambiental, respetando al ambiente. Es un trabajo de reflexión documentada que arroja en sus hallazgos el uso del término "sustainable" en la literatura Inglesa conforme al informe Brundtland. Su traducción al castellano como sostenible, la incorrecta traducción al castellano por sustentable y el concepto Latinoamericano de los térmi...

The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey

NARCIS (Netherlands)

Sartelli, M.; Labricciosa, F.M.; Barbadoro, P.; Pagani, L.; Ansaloni, L.; Brink, A.J.; Carlet, J.; Khanna, A.; Chichom-Mefire, A.; Coccolini, F.; Saverio, S. Di; May, A.K.; Viale, P.; Watkins, R.R.; Scudeller, L.; Abbo, L.M.; Abu-Zidan, F.M.; Adesunkanmi, A.K.; Al-Dahir, S.; Al-Hasan, M.N.; Alis, H.; Alves, C.; Araujo da Silva, A.R.; Augustin, G.; Bala, M.; Barie, P.S.; Beltran, M.A.; Bhangu, A.; Bouchra, B.; Brecher, S.M.; Cainzos, M.A.; Camacho-Ortiz, A.; Catani, M.; Chandy, S.J.; Jusoh, A.C.; Cherry-Bukowiec, J.R.; Chiara, O.; Colak, E.; Cornely, O.A.; Cui, Y.; Demetrashvili, Z.; Simone, B. De; Waele, J.J. De; Dhingra, S.; Marzo, F. Di; Dogjani, A.; Dorj, G.; Dortet, L.; Duane, T.M.; Elmangory, M.M.; Enani, M.A.; Ferrada, P.; Esteban Foianini, J.; Gachabayov, M.; Gandhi, C.; Ghnnam, W.M.; Giamarellou, H.; Gkiokas, G.; Gomi, H.; Goranovic, T.; Griffiths, E.A.; Guerra Gronerth, R.I.; Haidamus Monteiro, J.C.; Hardcastle, T.C.; Hecker, A.; Hodonou, A.M.; Ioannidis, O.; Isik, A.; Iskandar, K.A.; Kafil, H.S.; Kanj, S.S.; Kaplan, L.J.; Kapoor, G.; Karamarkovic, A.R.; Kenig, J.; Kerschaever, I.; Khamis, F.; Khokha, V.; Kiguba, R.; Kim, H.B.; Ko, W.C.; Koike, K.; Kozlovska, I.; Kumar, A.; Lagunes, L.; Latifi, R.; Lee, J.G.; Lee, Y.R.; Leppaniemi, A.; Li, Y.; Liang, S.Y.; Lowman, W.; Machain, G.M.; Maegele, M.; Major, P.; Malama, S.; Manzano-Nunez, R.; Marinis, A.; Casas, I.; Goor, H. van; Zuidema, W.P.; Catena, F.

2017-01-01

BACKGROUND: Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on

El pensamiento económico de los primeros economistas colombianos

Directory of Open Access Journals (Sweden)

Germán Raúl Chaparro

2015-07-01

Full Text Available Este trabajo ofrece una aproximación al pensamiento económico de los economistas colombianos de mediados del siglo XIX. Se toman como referencia algunos de los más influyentes: Florentino González, Salvador Camacho Roldán, Aníbal Galindo y Miguel Samper, y se analiza la forma en la que la doctrina del libre cambio se fue incorporando en el pensamiento de los estadistas colombianos, principalmente con respecto a la concepción del Estado. La metodología usada es el estudio de los textos y su retórica. Se concluye que las prescripciones políticas del liberalismo económico, que incluyen la promoción del libre cambio, la teoría de la ventaja comparativa en el comercio internacional, el rechazo de los monopolios y la sospecha sobre la acción del gobierno ejercieron una influencia parcial en la cimentación del proyecto liberal decimonónico.

Sustainable Stewardship of the Landrace Diversity

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Ioannis Tokatlidis

2016-12-01

Full Text Available Landraces are heterogeneous populations and their variability goes through continuous alterations because of physical, genetic, and epigenetic procedures exacerbated by the ongoing climatic changes. Appropriate stewardship of landrace diversity is pivotal to promote its longevity in a manner that is sustainable from the farming perspective. A seed multiplication procedure is presented based on the assumption that in order to improve effectiveness in resource use and increase seed productivity, landraces should comprise genotypes which minimize intra-species competition. These aforementioned genotypes should be of the “weak competitor” ideotype, which are selected so as to alleviate the interplant competition and reach as high as possible crop stand uniformity. Stand uniformity is essential to ensure the same growing conditions for each plant. Reduced intra-crop inequality and equal use of inputs by individual plants will optimize crop performance. Precisely, the “weak competitor” is most often of high yield potential due to a negative association between yielding and competitive ability. Therefore, the suggested procedure involves initial reproduction at nil-competition (widely spaced plants to preclude any plant-to-plant interference for inputs where “off-type” and low yielding plants are omitted, followed by subsequent multiplication at dense stands. This may represent an effective cultural practice to improve also the landrace health status concerning seed-borne diseases in the absence of certification systems.

Impact of formulary restriction with prior authorization by an antimicrobial stewardship program.

Science.gov (United States)

Reed, Erica E; Stevenson, Kurt B; West, Jessica E; Bauer, Karri A; Goff, Debra A

2013-02-15

In an era of increasing antimicrobial resistance and few antimicrobials in the developmental pipeline, many institutions have developed antimicrobial stewardship programs (ASPs) to help implement evidence-based (EB) strategies for ensuring appropriate utilization of these agents. EB strategies for accomplishing this include formulary restriction with prior authorization. Potential limitations to this particular strategy include delays in therapy, prescriber pushback, and unintended increases in use of un-restricted antimicrobials; however, our ASP found that implementing prior authorization for select antimicrobials along with making a significant effort to educate clinicians on criteria for use ensured more appropriate prescribing of these agents, hopefully helping to preserve their utility for years to come.

Control democrático sobre el manejo de la banca central. Un reto para la política del conocimiento económico

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Carlo Tognato

2004-07-01

Full Text Available La globalización económica ha acelerado la transformación de la racionalidad económica en racionalidad política. Durante esta transformación, la naturaleza de la pregunta del control democrático sobre las agencias económicas ha cambiado de forma radical. Lo que antes era puramente una cuestión institucional, hoy se ha convertido en una cuestión epistémica. Para reestablecer un control democrático efectivo sobre las agencias económicas, la democracia debe penetrar los fundamentos de la racionalidad económica misma, pilar sobre la cual la tecnocracia económica basa su operación. En otras palabras, es necesario practicar controles democráticos de carácter epistémico. Esta visión implica un giro Foucaultiano con respecto a la literatura tradicional sobre el diseño de las instituciones económicas. Además, llama al analista a mirar a la tecnocracia económica como una faceta organizacional de una formación discursiva, y a reconocer que un cambio en la operación de la tecnocracia económica requiere un cambio de otras facetas de su propia formación discursiva. Aquí daré cuenta de algunos de los cambios que implica la democratización de una de las tecnocracias económicas más impermeables al escrutinio democrático externo - la banca central independiente. En particular, mostraré que la democratización de la banca central independiente tiene implicaciones reflexivas importantes sobre la estructura argumentativa económica que la sostiene así como sobre la organización de la disciplina económica que articula dicha argumentación. En otras palabras, la democratización del objeto de análisis llama a una democratización del proceso de generación del conocimiento por medio del cual el objeto se constituye. PALABRAS CLAVES. Globalización banca central, control democrático.

La agrobiodiversidad en várzea y su función económica en la Amazonía Peruana

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Michelly Rios Arévalo

2016-01-01

Full Text Available El artículo tiene como objeto estudiar la práctica sostenible y la función económica de la agrobiodiversidad enlos ambientes más inestables de la várzea, las “playas” y “barreales”. El estudio fue realizado en siete comunidades del “Sector Muyuy” próximo a la ciudad de Iquitos en 2004. Este estudio también compara la agrobiodiversidad de una comunidad en 1999. La metodología usada es el mismo aplicado por el Proyecto “People, Land Management and Environmental Change” de la Universidad de las Naciones Unidas, que prioriza la experimentación, demostración y explicación de los sistemas agrícolas por los propios agricultores. Los resultados muestran que los sistemas agrícolas en playas y barreales varían según el tipo de sedimentación anual. En 2004 se promocionó el crédito agrícola para arroz. La agrobiodiversidad en playas y barreales fue constituida por 9 cultivos en1999 y 2 cultivos en 2004. La diversidad aumenta con los cultivos inundados por el rio, generando ambientes de protección y alimentación de diferentes peces y la tortuga cupiso. Los sistemas agrícolas empleados contienen estrategias de minimización del riesgo sobre el “pulso del rio”, utilizándose generalmente cultivos de corto periodo vegetativo en las áreas de mayor riesgo de inundación. Finalmente, la función económica de la agrobiodiversidad está direccionada al consumo y a la comercialización. La diversidad acuática genera un complemento económico para los agricultores.

Transformative leadership: an ethical stewardship model for healthcare.

Science.gov (United States)

Caldwell, Cam; Voelker, Carolyn; Dixon, Rolf D; LeJeune, Adena

2008-01-01

The need for effective leadership is a compelling priority for those who would choose to govern in public, private, and nonprofit organizations, and applies as much to the healthcare profession as it does to other sectors of the economy (Moody, Horton-Deutsch, & Pesut, 2007). Transformative Leadership, an approach to leadership and governance that incorporates the best characteristics of six other highly respected leadership models, is an integrative theory of ethical stewardship that can help healthcare professionals to more effectively achieve organizational efficiencies, build stakeholder commitment and trust, and create valuable synergies to transform and enrich today's healthcare systems (cf. Caldwell, LeJeune, & Dixon, 2007). The purpose of this article is to introduce the concept of Transformative Leadership and to explain how this model applies within a healthcare context. We define Transformative Leadership and identify its relationship to Transformational, Charismatic, Level 5, Principle-Centered, Servant, and Covenantal Leadership--providing examples of each of these elements of Transformative Leadership within a healthcare leadership context. We conclude by identifying contributions of this article to the healthcare leadership literature.

La relación entre crecimiento económico y pobreza en México

OpenAIRE

Raymundo M. Campos Vázquez; Luis A. Monroy-Gómez-Franco

2016-01-01

E n este trabajo analizamos la relación entre crecimiento económico y cambios en pobreza para las entidades federativas en México. Primero, no se encuentra una relación entre el crecimiento promedio anual y el cambio en pobreza alimentaria o de patrimonio a nivel estatal en el periodo 2000-2012: las ganancias del crecimiento económico no se han trasladado en reducciones en pobreza significativas. Segundo, al comparar cambios anuales por trimestre para el periodo 2005-2014 sí se observa q...

Instituciones jurídicas y crecimiento económico: la experiencia asiática

OpenAIRE

Germán Burgos

2006-01-01

Este ensayo muestra que el consenso sobre la importancia de las instituciones para el crecimiento económico se apoya en Weber y North, para quienes las instituciones jurídicas hacen posible predecir la acción del Estado y de los agentes económicos. Para Weber, el derecho basado en la racionalidad formal contribuyó al desarrollo del capitalismo creando un ambiente seguro para la inversión. Para North, la limitación de los abusos del Estado garantizó el establecimiento de derechos de propiedad ...

Pesticide Environmental Stewardship Program (PESP)

Science.gov (United States)

PESP is an EPA partnership program that works with the nation's pesticide-user community to promote IPM practices. Pesticide users can reduce the risks from pests and pesticides. Members include organizations and companies in the pesticide-user community.

Turismo religioso: fenómeno social y económico

Directory of Open Access Journals (Sweden)

Sandra Maribel Tobón Perilla

2013-12-01

Full Text Available El turismo religioso, como fenómeno social y económico, ha cobrado interés entre académicos y empresarios por las dinámicas que ha generado en las comunidades receptoras de visitantes. Para los primeros, el interés radica en el estudio de las motivaciones, intereses y necesidades espirituales o culturales que parecen haber despertado los centros religiosos; para los segundos, el impacto económico y las oportunidades de rentas adicionales que generan los visitantes, creando nuevas oportunidades de negocios y fuentes de ingresos y empleo para las comunidades aledañas. Este documento hace una revisión a la bibliografía sobre el tema de turismo religioso en el mundo, para lo cual se consultaron las bases de datos ScienceDirect, Jstor, Ebsco, ProQuest y Google Académico, a fin de rastrear las publicaciones más relevantes y estudios empíricos sobre el tema, haciendo un recorrido desde 1963 hasta 2013. Se concluye que el turismo religioso es un fenómeno que tiene su antecedente en el peregrinaje a centros religiosos, pero donde además de las motivaciones, netamente religiosas –ofrecer un sacrificio, obtener un beneficio divino o expiar pecados–, existe un interés cultural, en términos de conocer centros históricos o profundizar sobre las raíces de un credo religioso. Adicionalmente, se observa cómo el turismo religioso se ha convertido en un motor de desarrollo económico de las ciudades receptoras de viajeros a sitios religioso.

Impacto económico del sector cerámico en San José de Cúcuta (Colombia

Directory of Open Access Journals (Sweden)

Johanna Milena Mogrovejo Andrade

2015-02-01

Full Text Available Esta investigación tuvo como finalidad determinar el impacto económico de las empresas del sector cerámico en la ciudad de San José Cúcuta (Colombia en el periodo 2008-2011. Se utilizó como instrumento un cuestionario estructurado aplicado a los empresarios del sector. Igualmente, se efectuaron entrevistas a directivos de organizaciones gremiales. El impacto económico se analizó siguiendo la metodología propuesta por Soto y Bergoeing (1998, Arbeláez y Sandoval (2006 y Molina, Coronado y Rivera (2008. Se concluye que este sector, en el periodo estudiado, presentó gran impacto económico, en particular en lo relativo al nivel de empleo, el aporte en impuestos al municipio, el consumo intermedio y el valor agregado.

Strategic Program Planning Lessons Learned In Developing The Long-Term Stewardship Science and Technology Roadmap

Energy Technology Data Exchange (ETDEWEB)

Dixon, B.W.; Hanson, D.J.; Matthern, G.E.

2003-04-24

Technology roadmapping is a strategic planning method used by companies to identify and plan the development of technologies necessary for new products. The U.S. Department of Energy's Office of Environmental Management has used this same method to refine requirements and identify knowledge and tools needed for completion of defined missions. This paper describes the process of applying roadmapping to clarify mission requirements and identify enhancing technologies for the Long-Term Stewardship (LTS) of polluted sites after site cleanup has been completed. The nature of some contamination problems is such that full cleanup is not achievable with current technologies and some residual hazards remain. LTS maintains engineered contaminant barriers and land use restriction controls, and monitors residual contaminants until they no longer pose a risk to the public or the environment. Roadmapping was used to clarify the breadth of the LTS mission, to identify capability enhancements needed to improve mission effectiveness and efficiency, and to chart out the research and development efforts to provide those enhancements. This paper is a case study of the application of roadmapping for program planning and technical risk management. Differences between the planned and actual application of the roadmapping process are presented along with lessons learned. Both the process used and lessons learned should be of interest for anyone contemplating a similar technology based planning effort.

Energy Systems Integration Facility (ESIF) Facility Stewardship Plan: Revision 2.1

Energy Technology Data Exchange (ETDEWEB)

Torres, Juan [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Anderson, Art [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

2018-01-02

The U.S. Department of Energy (DOE), Office of Energy Efficiency and Renewable Energy (EERE), has established the Energy Systems Integration Facility (ESIF) on the campus of the National Renewable Energy Laboratory (NREL) and has designated it as a DOE user facility. This 182,500-ft2 research facility provides state-of-the-art laboratory and support infrastructure to optimize the design and performance of electrical, thermal, fuel, and information technologies and systems at scale. This Facility Stewardship Plan provides DOE and other decision makers with information about the existing and expected capabilities of the ESIF and the expected performance metrics to be applied to ESIF operations. This plan is a living document that will be updated and refined throughout the lifetime of the facility.

Framework for Springs Stewardship Program and proposed action development: Spring Mountains National Recreation Area, Humboldt-Toiyabe National Forest

Science.gov (United States)

Marc Coles-Ritchie; Stephen J. Solem; Abraham E. Springer; Burton Pendleton

2014-01-01

In the desert Southwest, springs are an important ecological feature and serve as a focal point for both biological and human interactions on the landscape. As a result, attention has been placed on the stewardship and protection of these important resources. Management has traditionally focused on the more accessible and heavily used eastern canyons within the Spring...

Medical table: A major tool for antimicrobial stewardship policy.

Science.gov (United States)

Roger, P-M; Demonchy, E; Risso, K; Courjon, J; Leroux, S; Leroux, E; Cua, É

2017-09-01

Infectious diseases are unpredictable, with heterogeneous clinical presentations, diverse pathogens, and various susceptibility rates to anti-infective agents. These features lead to a wide variety of clinical practices, which in turn strongly limits their evaluation. We have been using a medical table since 2005 to monitor the medical activity in our department. The observation of heterogeneous therapeutic practices led to drafting up our own antibiotic guidelines and to implementing a continuous evaluation of their observance and impact on morbidity and mortality associated with infectious diseases, including adverse effects of antibiotics, duration of hospital stay, use of intensive care, and deaths. The 10-year analysis of medical practices using the medical table is based on more than 10,000 hospitalizations. It shows simplified antibiotic therapies and a reduction in infection-related morbidity and mortality. The medical table is a major tool for antimicrobial stewardship, leading to constant benefits for patients. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

SITE ENVIRONMENTAL REPORT 2000 (SEPTEMBER 2001).

Energy Technology Data Exchange (ETDEWEB)

BROOKHAVEN NATIONAL LABORTORY; PROJECT MANAGER BARBARA COX

2001-09-27

Brookhaven National Laboratory (BNL) strives for excellence in both its science research and its facility operations. BNL manages its world-class scientific research with particular sensitivity to environmental and community issues through its internationally recognized Environmental Management System (EMS) and award-winning community relations program. The Site Environmental Report 2000 (SER) summarizes the status of the Laboratory's environmental programs and performance, including the steady progress towards cleaning up the Laboratory site and fully integrating environmental stewardship into all facets of BNL's mission. BNL's motto, ''Exploring Earth's Mysteries... Protecting its Future,'' describes how the Laboratory approaches its work, with balance between science and the environment. One of the newest initiatives at the Laboratory, the Upton Ecological and Research Reserve, will permanently preserve 530 acres (212 hectares) of the Long Island Central Pine Barrens, a unique ecosystem of forests and wetlands. The Reserve sets aside 10% of BNL property for conservation and ecological research through a partnership between the U.S. Department of Energy (DOE) and the U.S. Fish and Wildlife Service. The Reserve provides habitat for approximately 27 endangered, threatened, or species of special concern, including the state-endangered eastern tiger salamander, state-threatened banded sunfish, and swamp darter, along with a number of other species found onsite, such as the wild turkey and red-tailed hawk.

Desenvolvimiento económico y migración en Michoacán, 1980-2010

Directory of Open Access Journals (Sweden)

José Odón García García

2012-12-01

Full Text Available El desenvolvimiento económico en Michoacán, ha mostrado una clara especialización en amplias zona del Estado, en este trabajo se intenta relacionar los indicadores de estas áreas con el proceso migratorio en la entidad. Lo anterior permitirá ver que la migración se asocia con el lento crecimiento del multiplicador, y por consiguiente, de la dificultad de generar nueva riqueza y empleos pero, también lo está con un avance de este mismo. Por ello el objetivo del presente trabajo es encontrar la relación, a partir del análisis y asociación geográfica entre el patrón de migración estatal y regional de Michoacán con el desenvolvimiento económico, por lo que se mide el coeficiente de especialización y el multiplicador básico, de la metodología desarrollada por el Instituto Latinoamericano de Planeación Económica y Social (ILPES denominada TAREA (Técnicas de Análisis Regional.

El sector inmobiliario y las crisis económicas

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Antonio Daher

2013-09-01

Full Text Available La creciente urbanización de la economía y la doble concentración -económica y territorial- de los sectores inmobiliario y financiero en las metrópolis, fundamentan la relación entre los ciclos inmobiliarios y las crisis económicas detonadas por sus burbujas, la alta incidencia macroeconómica del sector inmobiliario y su rol articulador entre el sector financiero y la economía real. Antes de la última crisis (2008, las instituciones financieras y fondos de inversión inmobiliaria transnacionales encontraron en la financiarización y titulización una vía eficaz para su diversificación geográfica y distribución del riesgo hipotecario. Fue también la vía expedita del contagio de una crisis con ubicuidad financiera, aunque no social ni territorial. Las hipotecas subprime fueron para las minorías marginadas en los barrios con más hispanos, negros, inmigrantes y pobres: la vivienda social estadounidense, financiarizada, "inmobiliarizó" al sector financiero y desfinanciarizó la banca internacional, en una crisis global con dramáticas consecuencias sociales y políticas.

Conflicto armado, variables socio-económicas y formación ciudadana: un análisis de impacto

Directory of Open Access Journals (Sweden)

Marieta Quintero-Mejía

2016-02-01

Full Text Available En este artículo buscamos exponer los efectos que tienen las condiciones socio- económicas y el conflicto armado sobre los aprendizajes ciudadanos. Para ello, adoptamos un enfoque cuantitativo que nos permitió analizar cómo las condiciones económicas, sociales y de conflicto armado determinan el desarrollo de Competencias Ciudadanas. Lo anterior nos llevó a establecer que las variables socio-económicas tienen un impacto mayor en el desarrollo de acciones, actitudes y emociones favorables, mientras que las condiciones de conflicto armado están más asociadas a la construcción de ambientes democráticos

Progresos económicos, deudas estructurales y desigualdades sociales persistentes en la Argentina: 2003-2012

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Agustín Salvia

2014-01-01

Full Text Available El desempeño social de la Argentina en las últimas dos décadas ha estado asociadocon dos modelos político-económicos diferentes. Por una parte, el período que vaentre 1991 y 2001, dominado por la aplicación de reformas estructurales y políticas deapertura y liberalización económicas de inspiración neoliberal, junto con la aplicaciónde un programa antiinflacionario basado en un régimen de convertibilidad (tipo decambio fijo en paridad con el dólar. En este marco, se logró controlar la situación dehiperinflación, acceder al crédito externo, equilibrar el gasto público, promover lainversión de capital y activar un ciclo de crecimiento económico. Como consecuenciade este proceso, si bien descendió inicialmente la pobreza, creció el desempleo,aumentó la precariedad laboral y se ampliaron las brechas de desigualdad social.

Transformaciones económicas en el espacio rural de Yecla (Murcia

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Francisco José Morales Yago

2010-01-01

Full Text Available Vivimos graves momentos de crisis económica, de hecho nuestro sector industrial se está viendo en gran parte desbordado por la productividad de los denominados países emergentes, entre los que destaca el «gran dragón amarillo»: China, como algo más que una amenaza para los países occidentales. La actividad agraria a lo largo de estas últimas décadas ha perdido un progresivo peso porcentual en el volumen de actividad económica y en el nivel de empleo. La actividad agraria podría surgir como respuesta ante la evidente crisis del modelo industrial actual así como llevar a cabo una actividad sostenible generadora de la recuperación de un bien tan importante como es la productividad de la tierra. Todo ello queda reflejado en un espacio concreto, la ciudad de Yecla y su término municipal, un lugar en donde el sector industrial dedicado a la fabricación de muebles y tapizados ha sido durante décadas el motor de desarrollo económico relegando la actividad agraria que ha mantenido un nivel de desarrollo sostenido pero con un bajo peso económico en el conjunto de este espacio geográfico.We live in times of severe economic crisis, in fact our industry is being largel yoyer whelmed by the productivity of so-called emerging countries, among which the «big yellow dragon» China, as more than a threat to countries west. Agricultural activity which over the last decades a progressive weight lost percentage in the volume of economic activity and employment levels can emerge in response to the evident crisis of the current industry and to carry out an activity generating sustainable a recovery well is a important as the productivity of the soil. This is reflected in a specific space, the town of Yecla and the municipality, a place where the industry engage in manufacturing up holstered furniture and for decades has been the engine of economic development relegating farming has maintained a level of sustained but low economic weight in the

¿La alternancia política permitirá el desarrollo de alternativas económicas y sociales?

OpenAIRE

Revista Renglones

2000-01-01

Presentación del tema central de la revista: alternancia y desarrollo económico, en el que aborda algunas de las restricciones económicas y sociales que se imponen al desarrollo, analiza algunas respuestas y propuestas frente a ellas y trata de contribuir a la discusión sobre qué hacer ante los problemas de México.

La educación económica desde la enseñanza de la historia para la formación de la cultura económica

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Jorge A. Hernández Ibáñez

2018-02-01

Full Text Available El trabajo se centra en los fundamentos teóricos que sustentan las orientaciones metodológicas para el desarrollo de acciones didácticas a emprender desde la enseñanza de la historia de Cuba en la formación del profesional universitario desde la dimensión curricular con carácter interdisciplinario y de sistematización de las ciencias sociales, para que el alumnado desde su realidad asuma un rol protagónico ante posibilidades para identificar problemas económicos, discernir el origen de estos y establecer las coincidencias y diferencias en esa relación de lo general y lo particular, logrando además, alcanzar la capacidad de elección de vías alternativas y posibilidades de solución, rebatir tesis, ofrecerlas y defenderlas lo cual favorecerá la formación de una cultura económica en los estudiantes como parte esencial para el logro de una cultura general integral.

Equilibrio económico y su efecto sobre la litigiosidad en la contratación pública en Colombia

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Yuri Gorbaneff

2009-10-01

Full Text Available La contratación pública en Colombia es conflictiva, poco eficaz y eficiente, y con frecuencia causa daño patrimonial al Estado. El sistema legal colombiano no fue capaz de hacer eficiente y transparente la contratación pública.  Esto ocurre porque la contratación pública transcurre en un ambiente institucional que se caracteriza por los altos costos de transacción. La ley colombiana complica las cosas aún más con el principio del equilibrio económico de los contratos, que aumenta la incompletitud contractual y hace difícil utilizar los incentivos económicos para controlar el oportunismo de los agentes económicos. Los autores formulan la hipótesis de que el principio del equilibrio económico contribuye a aumentar la litigiosidad en la contratación pública. Se hace la prueba empírica de la hipótesis. En la primera sección se realiza el resumen de la literatura económica sobre los costos de transacción y el contrato incompleto, así como la literatura jurídica sobre el origen histórico del principio del equilibrio económico de los contratos. La segunda sección describe la metodología del estudio empírico. La tercera, presenta la evidencia empírica de los efectos que ejerce el principio del equilibrio sobre la contratación pública. Finalmente, se presentan las conclusiones.

Las Asignaturas Pendientes del Liberalismo Económico

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Gustavo Marqués

2005-01-01

Full Text Available En este trabajo compararé las tesis básicas del liberalismo económico clásico con los nuevos argumentos pro mercado de la escuela Austriaca de economía e identificaré algunos de los argumentos principales que los nuevos liberales ofrecen en favor de la libre competencia. Al proceder de esta manera no hago más que adoptar la postura crítica proveniente de John Stuart Mill en On liberty (y retomada luego por Karl Popper, según la cual es necesario discutir la mejor versión disponible de la postura criticada. En particular, examinaré críticamente el impacto que las modificaciones teóricas introducidas por estos últimos tienen en su defensa del orden de mercado, y sostendré que, aún tomando en cuenta aquella versión del liberalismo económico más conveniente para el doctrinario liberal (e incluso aceptando algunos de sus argumentos, subsisten serios problemas internos no resueltos por dicha doctrina. He aquí los principales: 1 defensa a-crítica del sistema de valores que requiere el funcionamiento del mercado, subvalorando la preferencia por el presente y la estabilidad, 2 carencia de políticas de corto plazo, 3 carencia de políticas asistenciales y 4 tendencia a adoptar un sesgo autoritario.

Bienestar, actividad económica y cuentas nacionales. Reflexiones en torno al concepto de trabajo productivo Bienestar, actividad económica y cuentas nacionales. Reflexiones en torno al concepto de trabajo productivo

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Sergio Cámara Izquierdo

2008-12-01

Full Text Available La medición de la actividad económica es fundamental para analizar el bienestar material de la sociedad y la dinámica económica. Sin embargo, no existe un criterio único para realizar esta medición, dadas las discrepancias en la definición del concepto de trabajo productivo entre y al interior de los distintos paradigmas económicos. Por un lado, la teoría ortodoxa concibe la producción como un proceso físico o material, como producción de bienes y servicios. Como consecuencia de la amplitud de esta definición, incurre en una serie de inconsistencias en sus planteamientos prácticos sobre la medición de la actividad económica, por lo que fracasa en su intento de servir como medida del bienestar. Además, al mezclar flujos productivos de muy distinta índole, frustra su utilidad para el análisis de la dinámica económica. Por otro lado, la teoría laboral del valor tiene un concepto de trabajo productivo coherente, a pesar de las controversias suscitadas en más de un siglo de debates, basado en una concepción de la producción históricamente específica; aunque esta limitación le impide fundamentar el análisis del bienestar, es útil para el análisis de la dinámica económica. La última parte del artículo discute las transformaciones necesarias para convertir las categorías contables ortodoxas en categorías acordes con la teoría laboral del valor. La comparación de ambas categorías para España entre 1954 y 2006 evidencia importantes diferencias en la medición del crecimiento económico y la distribución de la renta.The measurement of economic activity is central for the analysis of material welfare and economic dynamics. Nonetheless, there is not a single criterion for this measurement, given the discrepancies on the definition of the concept of productive labour among and within the various economic paradigms. On the one hand, orthodox theory conceives production as a physical or material process, as production

La ilustración en Asturias: la Sociedad Económica de Amigos del País

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María de los Ángeles FAYA DIAZ

2012-12-01

Full Text Available La Sociedad Económica de Asturias fue un instrumento del reformismo ilustrado que tuvo que actuar en una región con grave atraso económico. Nace en 1780 por iniciativa de Campomanes y responde al modelo de la Matritense, centrada en el desarrollo económico y la educación popular. Ideada en torno a las posibilidades que ofrecía el carbón, se termina orientando a impulsar el crecimiento agrario, acorde con los intereses de la élite ilustrada asturiana, integrada por miembros de la nobleza y del clero. Los esfuerzos para el fomento industrial en Asturias estuvieron centrados en la industria popular en torno al lino, así como a los sectores minero y metalúrgico, pronto fracasados. Dada la pobreza existente, la Sociedad desarrolló la nueva beneficencia laica, mientras que la enseñanza quedó limitada a una Escuela de Dibujo y cuatro escuelas de coser para mujeres. En definitiva, la Sociedad fue incapaz de vehicular el despegue económico de la región, que aún tardaría varias décadas.

De la riqueza biológica a la riqueza económica

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Gustavo Correa Assmus

2011-01-01

Full Text Available Frente al deterioro ambiental por efectos de la producción y el consumo, la economía debe ofrecer respuestas fundamentadas en procesos de investigación, educación, responsabilidad y regulación, que permitan articular el aprovechamiento de los recursos naturales renovables, administrados y no administrados, con el fin de establecer un crecimiento económico-ambiental sostenible y racionalizado que cualifique la calidad de vida. Para esta propuesta se tomó información secundaria de origen empírico, la cual permitió elaborar una teorización analítica, que expresa de manera clara sus reflexiones y conjeturas, ofreciendo un camino por seguir en el proceso de transición de la riqueza biológica a la económica.

La economía social: crisis y recuperación económica

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José María Algora Jiménez

2011-10-01

Full Text Available Este artículo analiza el concepto de economía social en la actualidad como alternativa de recuperación económica. En este sentido, la falta de respuesta desde las instituciones económicas y políticas tradicionales a la crisis hace que se planteen nuevas soluciones y posturas.Palabras clave: economía social, crisis, recuperación. ________________Abstract:This article analyze the concept of social economy in our days like an alternative of  economic recovery. So, there isn´t any answer from traditional economic and political institutions about the crisis, and, for that, the people think about news solutions and stances.Keywords: social economy, crisis, recovery.

Cuba em transformação: socialismo e as reformas econômicas do 6 Congresso do Partido Comunista

OpenAIRE

Julian Araujo Brito

2014-01-01

Esta dissertação reflete sobre os dilemas do socialismo contemporâneo a partir da experiência revolucionária cubana, focalizando especialmente a etapa conhecida como "atualização do socialismo". Em 2011 o VI Congresso do Partido Comunista de Cuba aprovou um conjunto de reformas econômicas cuja meta proclamada é a "atualização do modelo econômico e social" do país. Nestes termos, a proposta central do governo aponta para a diversificação dos atores econômicos e maiores níveis de descentralizaç...

Impact of the Antibiotic Stewardship Program on Prevention and Control of Surgical Site Infection during Peri-Operative Clean Surgery.

Science.gov (United States)

Liu, Juyuan; Li, Na; Hao, Jinjuan; Li, Yanming; Liu, Anlei; Wu, Yinghong; Cai, Meng

2018-04-01

Surgical site infections (SSIs) are the leading cause of hospital-acquired infections and are associated with substantial healthcare costs, with increased morbidity and mortality. To investigate the effects of the antibiotic stewardship program on prevention and control of SSI during clean surgery, we investigated this situation in our institution. We performed a quasi-experimental study to compare the effect before and after the antibiotic stewardship program intervention. During the pre-intervention stage (January 1, 2010 through December 31, 2011), comprehensive surveillance was performed to determine the SSI baseline data. In the second stage (January 1, 2012 through December 31, 2016), an infectious diseases physician and an infection control practitioner identified the surgical patients daily and followed up on the duration of antimicrobial prophylaxis. From January 1, 2010 to December 31, 2016, 41,426 patients underwent clean surgeries in a grade III, class A hospital. The rate of prophylactic antibiotic use in the 41,426 clean surgeries was reduced from 82.9% to 28.0% after the interventions. The rate of antibiotic agents administered within 120 minutes of the first incision increased from 20.8% to 85.1%. The rate at which prophylactic antimicrobial agents were discontinued in the first 24 hours after surgery increased from 22.1% to 60.4%. Appropriate antibiotic selection increased from 37.0% to 93.6%. Prophylactic antibiotic re-dosing increased from 3.8% to 64.8%. The SSI rate decreased from 0.7% to 0.5% (p < 0.05). The pathogen detection rate increased from 16.7% up to 41.8% after intervention. The intensity of antibiotic consumption reduced from 74.9 defined daily doses (DDDs) per 100 bed-days to 34.2 DDDs per 100 bed-days after the interventions. Long-term and continuous antibiotic stewardship programs have important effects on the prevention and control of SSI during clean surgery.

Custo econômico do tratamento das úlceras por pressão: uma abordagem teórica

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Ana Julia Silva

2013-08-01

Full Text Available O presente artigo consiste numa abordagem teórica sobre a problemática dos custos económicos das úlceras por pressão. Parte-se do conhecimento do problema, numa perspetiva conceptual, para, de seguida, apresentar resultados de estudos de prevalência, a partir dos quais foram delineados estudos de impacto económico. O objectivo deste artigo é o de reflectir sobre os custos económicos associados às úlceras por pressão, quer numa perspetiva global, considerando a repercussão financeira, quer numa vertente personalista, atendendo aos custos intangíveis. Relativamente ao impacto económico das úlceras por pressão, foi efectuada uma estimativa ao nível da Região Autónoma dos Açores do custo total do tratamento por ambiente de cuidados. Nos cuidados domiciliários o custo com o tratamento de todas as categorias é calculado em 7.086.415 euros; nos cuidados hospitalares, em 1.723.509 euros, e nos cuidados prestados em lares de idosos, em 1.002.562 euros. Nos Açores, a estimativa do custo total do tratamento das úlceras por pressão, considerando todas as suas categorias, ronda os 9.812.486 euros. Quanto ao impacto emocional associado, este tem elevados custos para pessoa e para os familiares, nomeadamente pelo sofrimento gerado. De facto, as úlceras por pressão acarretam elevados custos económicos associados ao tratamento, bem como custos intangíveis pelo sofrimento vivenciado por pessoas e cuidadores.

FY 2017 Stockpile Stewardship and Management Plan - Biennial Plan Summary

Energy Technology Data Exchange (ETDEWEB)

None, None

2016-03-01

This year’s summary report updates the Fiscal Year 2016 Stockpile Stewardship and Management Plan (FY 2016 SSMP), the 25-year strategic program of record that captures the plans developed across numerous NNSA programs and organizations to maintain and modernize the scientific tools, capabilities, and infrastructure necessary to ensure the success of NNSA’s nuclear weapons mission. The SSMP is a companion to the Prevent, Counter, and Respond: A Strategic Plan to Reduce Global Nuclear Threats (FY 2017-2021) report, the planning document for NNSA’s nuclear threat reduction mission. New versions of both reports are published each year in response to new requirements and challenges. Much was accomplished in FY 2015 as part of the program of record described in this year’s SSMP. The science-based Stockpile Stewardship Program allowed the Secretaries of Energy and Defense to certify for the twentieth time that the stockpile remains safe, secure, and effective without the need for underground nuclear explosive testing. The talented scientists, engineers, and technicians at the three national security laboratories, the four nuclear weapons production plants, and the national security site are primarily responsible for this continued success. Research, development, test, and evaluation programs have advanced NNSA’s understanding of weapons physics, component aging, and material properties through first-of-a-kind shock physics experiments, along with numerous other critical experiments conducted throughout the nuclear security enterprise. The multiple life extension programs (LEPs) that are under way made progress toward their first production unit dates. The W76-1 LEP is past the halfway point in total production, and the B61-12 completed three development flight tests. Critical to this success is the budget. The Administration’s budget request for NNSA’s Weapons Activities has increased for all but one of the past seven years, resulting in a total increase of

Environmental ethics: an overview, assessing the place of bioscientists in society, supplemented with selected Australian perspectives.

Science.gov (United States)

Buckeridge, John

2014-01-01

Ethics deals with moral behavior in a professional context; ideally, it leads to a set of governing principles through which the appropriateness of any activity may be determined or assessed. Environmental ethics specifically deals with how humans interact with the biosphere. It is clear, however, that, as a species, we are failing in our duty of environmental stewardship. The encroachment of human activity into the natural environment is inexorable, and almost always deleterious. Any response to mitigate loss of taxa or ecosystems will have economic implications, and these are often considerable. In finding effective solutions, a process soon becomes political. In light of this we must reflect upon the leadership role that biologists have, especially our impact on policy development that pertains to natural resource management. Although our track record is no worse than any other professional group, biologists by way of training usually have a greater understanding of natural processes and must be prepared to articulate these publically. We have an ethical mandate to question decisions, policies and legislation that impact negatively upon biological systems: a mandate guided through logic, grounded in empirical science, and hopefully coupled with a deep understanding of the true value of both the living world and the physical world which sustains it. This paper uses Australian examples to demonstrate the frequent clashes between economics and biology, in anticipation that we should strive to achieve the underlying principles of sustainability, environmental stewardship and resource management in both daily decision-making and in long-term planning. © 2012 Wiley Publishing Asia Pty Ltd, ISZS and IOZ/CAS.

Los métodos de valoración económica del medio ambiente: conceptos preliminares.

OpenAIRE

Castiblanco Rozo, Carmenza

2011-01-01

En el capítulo se plantea la importancia de la valoración económica en el diseño de política ambiental; se presentan las herramientas conceptuales básicas, que provee la economía neoclásica, para estudiar los métodos de valoración económica de bienes y servicios ambientales y se plantean los alcances y limitaciones de cada una de las técnicas.

Bienestar económico regional: un enfoque comparativo entre regiones españolas e italianas

OpenAIRE

Pilar Murias Fernández; Fidel Martínez Roget; Simone Novello

2010-01-01

Este trabajo propone una visión revisada del bienestar económico regional. Trabajos recientes en economía regional han mostrado su desacuerdo con la noción tradicional de bienestar económico que considera únicamente renta per cápita. A través de la comparación de regiones españolas e italianas y usando un enfoque basado en el Análisis Envolvente de Datos, este trabajo sugiere un indicador sintético de bienestar regional basado en las cuatro componentes de Osberg (1985): capacidad de consumo, ...

Caracterização sócio-económica

OpenAIRE

Rodrigues, Orlando

2007-01-01

Capítulo 6 do Plano de Ordenamento do Parque Natural de Montesinho – Relatório de Caracterização Neste Capítulo faz-se uma caracterização da população do Parque Natural de Montesinho (PNM),das comunidades rurais que o integram, e das actividades económicas.

Planning for Site Transition to Long-Term Stewardship: Identification of Requirements and Issues

International Nuclear Information System (INIS)

Banaee, J.

2002-01-01

A systematic methodology is presented and applied for the identification of requirements and issues pertaining to the planning for, and transition to, long term stewardship (LTS). The method has been applied to three of the twelve identified LTS functions. The results of the application of the methodology to contaminated and uncontaminated federal real property in those three functions are presented. The issues that could be seen as impediments to the implementation of LTS are also identified for the three areas under consideration. The identified requirements are significant and in some cases complex to implement. It is clear that early and careful planning is required in all circumstances

Planning for Site Transition to Long-Term Stewardship: Identification of Requirements and Issues

Energy Technology Data Exchange (ETDEWEB)

Banaee, J.

2002-05-16

A systematic methodology is presented and applied for the identification of requirements and issues pertaining to the planning for, and transition to, long term stewardship (LTS). The method has been applied to three of the twelve identified LTS functions. The results of the application of the methodology to contaminated and uncontaminated federal real property in those three functions are presented. The issues that could be seen as impediments to the implementation of LTS are also identified for the three areas under consideration. The identified requirements are significant and in some cases complex to implement. It is clear that early and careful planning is required in all circumstances.

Planning for Site Transition to Long-Term Stewardship: Identification of Requirements and Issues

Energy Technology Data Exchange (ETDEWEB)

Banaee, Jila

2002-08-01

A systematic methodology is presented and applied for the identification of requirements and issues pertaining to the planning for, and transition to, long term stewardship (LTS). The method has been applied to three of the twelve identified LTS functions. The results of the application of the methodology to contaminated and uncontaminated federal real property in those three functions are presented. The issues that could be seen as impediments to the implementation of LTS are also identified for the three areas under consideration. The identified requirements are significant and in some cases complex to implement. It is clear that early and careful planning is required in all circumstances.

Daniel Gallego Hernández (Ed.. Enfoques actuales en traducción económica e institucional. Actas del Congreso Internacional de Traducción Económica, Comercial, Financiera e Institucional. Suiça: Editorial Peter Lang, 2015. 254 p.

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Miguel Tolosa Igualada

2016-05-01

Full Text Available http://dx.doi.org/10.5007/2175-7968.2016v36n2p291 Daniel Gallego Hernández (Ed.. Enfoques actuales en traducción económica e institucional. Actas del Congreso Internacional de Traducción Económica, Comercial, Financiera e Institucional. Suiça: Editorial Peter Lang, 2015. 254 p.

Evaluaciones económicas en salud: Conceptos básicos y clasificación

OpenAIRE

ZÁRATE,VÍCTOR

2010-01-01

El alza creciente de los costos en salud ha creado la urgente necesidad de evaluar económicamente las intervenciones de salud con el objetivo de priorizar aquellas que ofrecen un mejor valor o beneficio en relación a sus costos en un contexto local. El propósito de este artículo es entregar algunos principios básicos de evaluaciones económicas que mejorarán el conocimiento médico acerca de la metodología utilizada en este tipo de análisis y además ayudará a demostrar como la práctica clínica ...

La historia económica argentina, 1984-2004. Un balance con luces y sombras

OpenAIRE

Gelman, Jorge Daniel

2017-01-01

Este artículo retoma y amplía la introducción realizada por el autor al libro La historia económica argentina en la encrucijada. Balances y perspectivas editado por la Asociación Argentina de Historia Económica en 2006. Por un lado se realiza una reflexión sobre la situación de la disciplina en el país y en el ámbito internacional, destacando su pérdida de centralidad en los estudios históricos y analizando sus causas. Luego se efectúa un balance de lo realizado en los últimos 20 años en Arge...

Inserción mexicana en Asia Pacífico: una mirada desde la diplomacia económica (2000-2012)

OpenAIRE

Ríos Ballesteros, Kamila Andrea

2015-01-01

El objetivo de este trabajo de investigación es analizar el cambio de la política económica y comercial mexicana en Asia Pacífico, mediante la implementación de la diplomacia económica de 2000 a 2012. Para ello, se identificaron dos factores claves. El primero, se deriva del traspaso de poder de un partido a otro; el segundo está dado por el ascenso de las economías de Asia Pacífico y su desempeño en la arquitectura económica y financiera global. Asimismo, se determinó cómo ha sido el proceso...

Análisis de las actividades económicas en un manglar de usos múltiples. Un estudio de caso en San Blas, Nayarit, México

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Enrique Sanjurjo Rivera

2011-01-01

Full Text Available Se presenta un análisis de los agentes económicos e instituciones implicadas en las actividades económicas realizadas en el caso del manglar de San Blas, en la costa de Nayarit (México. Bajo una visión limitada al manglar, se describen las actividades económicas singulares en este territorio y de sus interacciones entre sí. Se analizan las racionalidades que llevan a los agentes económicos a mantener los distintos usos económicos de los recursos naturales y ambientales en el manglar. Se describen con profundidad aquellas situaciones en las que los agentes económicos tienen incentivos para cuidar el manglar frente a las actuaciones en las que hacen un uso que degrada los recursos naturales.

Savannah River Site. Environmental report for 2001

Energy Technology Data Exchange (ETDEWEB)

Arnett, Margaret W. [Westinghouse Savannah River Co., Aiken, SC (United States). Savannah River Site. ed; Mamatey, Albert R. [Westinghouse Savannah River Co., Aiken, SC (United States). Savannah River Site. ed

2001-12-31

The goal of the Savannah River Site (SRS)—and that of the U.S. Department of Energy (DOE)—is positive environmental stewardship and full regulatory compliance, with zero violations. The site’s employees maintained progress toward achievement of this goal in 2001, as demonstrated by examples in this chapter. The site’s compliance efforts were near-perfect again in 2001. No notices of violation (NOVs) were issued in 2001 under the Resource Conservation and Recovery Act (RCRA), the Safe Drinking Water Act (SDWA), or the Clean Water Act (CWA). Two NOVs were issued to SRS during 2001—one, associated with permit requirement compliance, was issued under the Clean Air Act (CAA); the other, related to an oil release, was issued under the South Carolina Pollution Control Act. Under the CWA, the site’s National Pollutant Discharge Elimination System (NPDES) compliance rate was 99.6 percent. Also, 274 National Environmental Policy Act (NEPA) reviews of newly proposed actions were conducted and formally documented in 2001, and only one of the year’s 799 Site Item Reportability and Issues Management (SIRIM) program-reportable events was categorized as environmental; it was classified as an off-normal event.

Globalización: aspectos políticos, económicos y sociales

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Jambell García

2010-01-01

Full Text Available En el artículo se exploran las dimensiones políticas, económicas y sociales del proceso de globalización. La revisión documental, bibliográfica y hemerográfica, permite identificar los aspectos que involucra este fenómeno mundial. Como resultado se observa que mientras persista el actual esquema de reproducción capitalista a escala global, la globalización tenderá a favorecer más a un pequeño grupo de países altamente desarrollados, en detrimento de la mayoría de la población del planeta, haciendo difícil superar los retos del desarrollo humano. Se concluye la necesidad de un cambio de paradigma y de comportamiento por parte de la sociedad para alcanzar un desarrollo económico y social equitativo.

La cláusula general de competencia de los entes territoriales en materia económica

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Aníbal Zárate

2012-06-01

Full Text Available Si la autonomía territorial con que cuentan los entes locales para la “gestión de sus intereses” permite fundar, vía una cláusula general de competencia, las iniciativas económicas locales, esta fórmula aparece sujeta a los límites constitucionales y legales sobre las modalidades de intervención local, como lo sugiere el respeto de las normas nacionales en materia de competencia económica.

La cláusula general de competencia de los entes territoriales en materia económica

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Aníbal Rafael Zárate Pérez

2012-07-01

Full Text Available Si la autonomía territorial con que cuentan los entes locales para la “gestión de sus intereses” permite fundar, vía una cláusula general de competencia, las iniciativas económicas locales, esta fórmula aparece sujeta a los límites constitucionales y legales sobre las modalidades de intervención local, como lo sugiere el respeto de las normas nacionales en materia de competencia económica.

Crecimiento económico y demográfico regional en Colombia, 1985-2012

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Luis Armando Galvis

2015-12-01

Full Text Available En el crecimiento económico y demográfico de Colombia han primado las grandes urbes, y en términos demográficos hoy es un país urbano. Este artículo examina la dinámica del crecimiento económico, en especial, la dinámica poblacional desde mediados de los ochenta. El análisis de las matrices de transición de Markov indica que el comportamiento demográfico de los municipios muestra signos de persistencia. Las principales ciudades mantienen su jerarquía y siguen siendo las más densamente pobladas. Los municipios con bajo nivel de densidad se han mantenido relativamente estancados en términos demográficos.

Autoría y dominio del hecho en los delitos económicos

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Diego Mauricio Montoya Vacadíez

2013-12-01

Full Text Available La criminalidad de empresa es uno de los escenarios que más desafíos plantea en el mundo del Derecho penal contemporáneo. ¿Cómo imputaremos responsabilidad penal a cada uno de los individuos, del engranaje empresarial, que está presente en un delito económico? ¿Solo debe responder el ejecutor material? ¿Deben responder los superiores jerárquicos? ¿Deben responder a título de autores? ¿Deben responder a título de partícipes? ¿Qué conceptos dogmático-penales deben emplearse para atribuir responsabilidad penal en el entorno económico-empresarial? ¿Qué conceptos deben replantearse? ¿De qué conceptos debe prescindirse?