Continuity and change in subsistence harvests in five Bering Sea communities: Akutan, Emmonak, Savoonga, St. Paul, and Togiak

Science.gov (United States)

Fall, James A.; Braem, Nicole S.; Brown, Caroline L.; Hutchinson-Scarbrough, Lisa B.; Koster, David S.; Krieg, Theodore M.

2013-10-01

To document and quantify subsistence harvests of fish and wildlife resources, and provide topics for subsequent key respondent interviews to collect local and traditional knowledge (LTK) about the Bering Sea ecosystem, comprehensive household harvest surveys were conducted in four Bering Sea Alaska Native communities: Akutan, Emmonak, Savoonga, and Togiak. In a fifth community, St. Paul, annual programs to document two key subsistence resources, fur seals and sea lions, continued. Surveys documented relatively high and diverse subsistence harvests, consistent with earlier research that demonstrated the continuing economic, social, and cultural importance of subsistence uses of wild resources. The research also found differences in subsistence use patterns compared to previous years' studies, such as harvest levels, harvest composition, and diversity of resources used, although differences between study years were not uniform across communities. Survey respondents, as well as key respondents in subsequent interviews, identified a complex range of personal, economic, and environmental factors when comparing subsistence uses in the study year with other years, such as increasing costs of fuel and purchased food, commercial fisheries harvests and bycatch, more persistent storms and less predictable winds, and reduced sea ice. Such conditions affect resource abundance and locations as well as access to fish and wildlife populations, and may shape long-term trends. So far, as in the past, families and communities have adapted to changing economic, social, and environmental conditions, but the future is less clear if such changes intensify or accelerate. Local community residents should be essential partners in future efforts to understand these complex processes that affect the natural resources of the Bering Sea.

75 FR 37917 - Subsistence Management Regulations for Public Lands in Alaska-2010-11 and 2011-12 Subsistence...

Science.gov (United States)

2010-06-30

... voting members, and the Alaska Department of Fish and Game concerning a proposed regulatory action... required that moose meat remain on the bone until the meat was removed from the field in Unit 25. This... 24B to provide opportunity for subsistence users and to align with Alaska Board of Game action. The...

Total Environment of Change: Impacts of Climate Change and Social Transitions on Subsistence Fisheries in Northwest Alaska

Directory of Open Access Journals (Sweden)

Katie J. Moerlein

2012-03-01

Full Text Available Arctic ecosystems are undergoing rapid changes as a result of global climate change, with significant implications for the livelihoods of Arctic peoples. In this paper, based on ethnographic research conducted with the Iñupiaq communities of Noatak and Selawik in northwestern Alaska, we detail prominent environmental changes observed over the past twenty to thirty years and their impacts on subsistence-based lifestyles. However, we suggest that it is ultimately insufficient to try to understand how Arctic communities are experiencing and responding to climate change in isolation from other stressors. During interviews and participant observation documenting local observations of climatic and related environmental shifts and impacts to subsistence fishing practices, we find the inseparability of environmental, social, economic, cultural, and political realms for community residents. Many of our informants, who live in a mixed economy based on various forms of income and widespread subsistence harvesting of fish and game, perceive and experience climate change as embedded among numerous other factors affecting subsistence patterns and practices. Changing lifestyles, decreasing interest by younger generations in pursuing subsistence livelihoods, and economic challenges are greatly affecting contemporary subsistence patterns and practices in rural Alaska. Observations of climate change are perceived, experienced, and articulated to researchers through a broader lens of these linked lifestyle and cultural shifts. Therefore, we argue that to properly assess and understand the impacts of climate change on the subsistence practices in Arctic communities, we must also consider the total environment of change that is dramatically shaping the relationship between people, communities, and their surrounding environments.

The process of developing a management system for subsistence ...

African Journals Online (AJOL)

Subsistence fishers were first recognized as a formal fishing sector in South Africa when new fishing legislation, aimed at redressing past inequalities, was enacted in 1998. Little information was available about these fishers, their activities, and the resources upon which they rely. Recognizing the imperative to gain an ...

Indian women in subsistence and agricultural labour.

OpenAIRE

Mies M; Lalitha K; Kumari K

1983-01-01

Working paper comprising a case study on the economic role of low income rural women, especially as women workers employed in subsistence farming in Andra Pradesh, India. Covers labour force participation, sexual division of labour, sex discrimination in land tenure and occupational structure, the role of women's organizations, income generating activities, employment as agricultural workers and domestic workers, income and family budget. Discusses the effect of the milk credit scheme on pove...

75 FR 3488 - Notice of Public Meetings for the National Park Service Alaska Region's Subsistence Resource...

Science.gov (United States)

2010-01-21

... held on Saturday, February 20, 2010, from 7 p.m. to 8:30 p.m. and Sunday, February 21, 2010, from 9 a.m... Clarence Summers, Subsistence Manager, Tel. (907) 644-3603. The proposed meeting agenda for each meeting... Agenda. 6. Status of SRC Membership. 7. SRC Member Reports. 8. Park Subsistence Manager's Report. 9. Park...

Subsistence Specialist Handbook. Pamphlet No. P35101. Fourth Edition.

Science.gov (United States)

Coast Guard Inst., Oklahoma City, OK.

This self-paced course is designed to present a basic, general overview of the duties of a Coast Guard Third Class Subsistence Specialist. The course provides basic information necessary to perform food preparation and food service tasks using various types of food service equipment and utensils. The course contains 16 illustrated reading…

Scientific Research & Subsistence: Protocols to Ensure Co-Existence

Science.gov (United States)

Nachman, C.; Holman, A.; DeMaster, D.

2017-12-01

Commercial, industrial, and research interests in the Arctic are expanding rapidly. Potentials are numerous and exciting, giving rise to the need for guidelines to ensure interactions among waterway users do not conflict. Of particular concern is the potential for adverse impacts to U.S. Arctic coastal communities that rely on living marine resources for nutritional and cultural health, through subsistence hunts from small craft, ice edges, and shore. Recent events raised concerns over research surveys potentially interfering with subsistence hunts in the Bering, Chukchi, and Beaufort Seas. Incidents led to calls by Native Alaskan communities to restrict science activities with a mixed response from the scientific community (i.e., some sympathetic, some defensive). With a common goal of wanting to mitigate this potential interaction, Federal agencies made a commitment in the National Strategy for the Arctic Region to coordinate and consult with Alaska Natives and also to pursue responsible Arctic stewardship, with understanding through scientific research and traditional knowledge. The effort to create a "Standard of Care" for research surveys incorporates years of experience by subsistence hunters working to mitigate impacts of other anthropogenic activities in the region, as well as best practices by many in the research community. The protocols are designed to ensure potential conflicts between the scientific research community and subsistence hunters are avoided and to encourage mutual assistance and collaboration between researchers and hunters. The guidelines focus on enhancing communication between researchers and subsistence hunters before, during, and after research occurs. The best management practices outlined in the Standard of Care assist those overseeing and funding scientific research in making decisions about how best to accomplish the goals of the research while ensuring protection of the Alaska subsistence lifestyle. These protocols could also be

Replacement cost valuation of Northern Pintail (Anas acuta) subsistence harvest in Arctic and sub-Arctic North America

Science.gov (United States)

Goldstein, Joshua H.; Thogmartin, Wayne E.; Bagstad, Kenneth J.; Dubovsky, James A.; Mattsson, Brady J.; Semmens, Darius J.; López-Hoffman, Laura; Diffendorfer, James E.

2014-01-01

Migratory species provide economically beneficial ecosystem services to people throughout their range, yet often, information is lacking about the magnitude and spatial distribution of these benefits at regional scales. We conducted a case study for Northern Pintails (hereafter pintail) in which we quantified regional and sub-regional economic values of subsistence harvest to indigenous communities in Arctic and sub-Arctic North America. As a first step, we used the replacement cost method to quantify the cost of replacing pintail subsistence harvest with the most similar commercially available protein (chicken). For an estimated annual subsistence harvest of ˜15,000 pintail, our mean estimate of the total replacement cost was ˜$63,000 yr−1 ($2010 USD), with sub-regional values ranging from \\$263 yr−1 to \\$21,930 yr−1. Our results provide an order-of-magnitude, conservative estimate of one component of the regional ecosystem-service values of pintails, providing perspective on how spatially explicit values can inform migratory species conservation.

Health capabilities and diabetes self-management: the impact of economic, social, and cultural resources.

Science.gov (United States)

Weaver, Robert R; Lemonde, Manon; Payman, Naghmeh; Goodman, William M

2014-02-01

While the "social determinants of health" view compels us to explore how social structures shape health outcomes, it often ignores the role individual agency plays. In contrast, approaches that focus on individual choice and personal responsibility for health often overlook the influence of social structures. Amartya Sen's "capabilities" framework and its derivative the "health capabilities" (HC) approach attempts to accommodate both points of view, acknowledging that individuals function under social conditions over which they have little control, while also acting as agents in their own health and well-being. This paper explores how economic, social, and cultural resources shape the health capability of people with diabetes, focusing specifically on dietary practices. Health capability and agency are central to dietary practices, while also being shaped by immediate and broader social conditions that can generate habits and a lifestyle that constrain dietary behaviors. From January 2011 to December 2012, we interviewed 45 people with diabetes from a primary care clinic in Ontario (Canada) to examine how their economic, social, and cultural resources combine to influence dietary practices relative to their condition. We classified respondents into low, medium, and high resource groups based on economic circumstances, and compared how economic resources, social relationships, health-related knowledge and values combine to enhance or weaken health capability and dietary management. Economic, social, and cultural resources conspired to undermine dietary management among most in the low resource group, whereas social influences significantly influenced diet among many in the medium group. High resource respondents appeared most motivated to maintain a healthy diet, and also had the social and cultural resources to enable them to do so. Understanding the influence of all three types of resources is critical for constructing ways to enhance health capability, chronic

Agricultural and Social Resiliency of Small-Scale Agriculture to Economic and Climatic Shocks: A Comparison of Subsistence versus Market-Based Agricultural Approaches in Rural Guatemala

Science.gov (United States)

Malard, J. J.; Melgar-Quiñonez, H.; Pineda, P.; Gálvez, J.; Adamowski, J. F.

2014-12-01

Agricultural production is heavily dependent not only on climate but also on markets as well as on the social and community systems managing the agroecosystem. In addition, the ultimate goal of agricultural production, human food security, is also affected not only by net agricultural production but also by similar economic and social factors. These complex feedbacks assume a particular importance in the case of smallholder farms in the tropics, where alternative rural development policies have led to different and contrasting agricultural management systems. Current approaches at comparing such systems generally study their environmental, economic or social components in isolation, potentially missing important interconnections. This research uses a participatory systems dynamics modelling (SDM) framework to compare two small-scale agricultural approaches in rural Guatemala which differ in their social, economic and ecosystem management decisions. The first case study community, in Quiché, has adopted a subsistence-based system that aims to use low levels of outside inputs to produce food for their own consumption, while the second, in Sololá, has opted for market-based agriculture that uses high input levels to obtain marketable crops in order to assure income for the purchase of food and other necessities. Each of these systems has its respective vulnerabilities; while the Sololá community suffers from more environmental degradation issues (soils and pests), the Quiché community, given lower monetary incomes, is more vulnerable to events whose responses require a significant monetary expenditure. Through the SDM approach, we incorporate local stakeholder knowledge of the respective systems, including biophysical and socioeconomic variables, into a joint biophysical and socioeconomic model for each community. These models then allow for the comparison of the resilience of both types of socio-agroecosystems in the face of climatic, economic and biological

Seabirds as a subsistence and cultural resource in two remote Alaskan communities

Directory of Open Access Journals (Sweden)

Rebecca C. Young

2014-12-01

Full Text Available Small rural Alaskan communities face many challenges surrounding rapid social and ecological change. The role of local subsistence resources may change over time because of changes in social perception, economic need, and cultural patterns of use. We look at the Bering Sea's Pribilof Islands, comprising two very small communities, and investigate the relationship between the local residents and seabirds as a natural resource. Seabirds may strengthen ties to older ways of life and have potential for future economic opportunities, or modernization may direct interest away from seabirds as a cultural and economic resource. We conducted a survey and interviews of residents of the two Pribilof Island communities, St. Paul and St. George, to assess opinions toward seabirds and harvest levels. Seabirds were generally regarded as important both to individuals and the wider community. However, current levels of subsistence harvest are low, and few people continue to actively harvest or visit seabird colonies. Respondents expressed desire for greater knowledge about seabirds and also concerns about the current economy of the islands and a lack of future development prospects. Despite the challenging economic conditions, the villages retain a strong sense of community and place value on their environment and on seabirds. Surveys indicated an interest in developing eco-tourism based around local resources, including seabirds, as a way to improve the economy.

45 CFR 73.735-507 - Acceptance of travel and subsistence.

Science.gov (United States)

2010-10-01

... to the Head of the Principal Operating Component or Assistant Secretary for Management and Budget for..., and travel in cash or in kind in connection with official travel for attendance at meetings... not accept accommodations, subsistence, or travel in cash or in kind in connection with official...

Resilience of Athabascan subsistence systems to interior Alaska's changing climate

Energy Technology Data Exchange (ETDEWEB)

Kofinas, G.P. [Alaska Univ., Fairbanks, AK (United States). School of Natural Resources and Agricultural Sciences; Alaska Univ., Fairbanks, AK (United States). Inst. of Arctic Biology; Chapin, F.S. III; Schmidt, J.I.; Kielland, K. [Alaska Univ., Fairbanks, AK (United States). Inst. of Arctic Biology; BurnSilver, S. [Alaska Univ., Fairbanks, AK (United States). School of Natural Resources and Agricultural Sciences; Fresco, N.L.; Springsteen, A.; Rupp, T.S. [Alaska Univ., Fairbanks, AK (United States). Scenarios Network for Alaska Planning; Martin, S. [Alaska Univ., Fairbanks, AK (United States). Inst. of Social and Economic Research

2010-07-15

Indigenous peoples have occupied interior Alaska for 6000 to 9000 years. The arrival of different cultural groups, or Athabascan Peoples, preceded or coincided with the arrival of black spruce dominated fire-prone vegetation that developed in interior Alaska about 6000 years ago. The Athabascan subsistence hunting system of interior Alaska is a tightly integrated social-ecological system in which people depend on nature for a wide range of ecosystem services such as subsistence resources, protection from fire risk, and cultural ties to their traditional lands. This paper described the effects of recent trends and future climate change projections on the boreal ecosystem of the region and depicted the changes in ecosystem services to Athabascan subsistence. The study focused primarily on moose because of the high dependence on moose by village households. The vulnerability of Athabascan subsistence systems to climatic change has increased in some respects, but has also improved aspects of village resilience. Communities facing future climate and socioeconomic changes, have limited but potentially effective mitigation and adaptation opportunities, but the extent to which they can be realized depends on the responsiveness of institutions to meet local needs through effective management strategies. 1 tab., 6 figs.

Protection des vies humaines et des moyens de subsistance dans la ...

International Development Research Centre (IDRC) Digital Library (Canada)

6 juin 2014 ... ... mais l'on craint que ces phénomènes deviennent de plus en plus destructeurs au fur et à ... tirent leur subsistance de la lagune, de ses environs et de son delta. ... Chilika: An Integrated Management Planning Framework for ...

The Navajo Agricultural Projects Industry: Subsistence Farming to Corporate Agribusiness.

Science.gov (United States)

Barry, Tom

1979-01-01

Originally designed to create small farms for individual Navajos, the irrigation project has grown into a single 110,000-acre corporate agribusiness, the land's management has fallen out of the grasp of individual Navajos, and the idea of subsistence farming has been plowed under for the planting of major money-making crops. (NQ)

Sustainability and comanagement of subsistence hunting in an indigenous reserve in Guyana.

Science.gov (United States)

Shaffer, Christopher A; Milstein, Marissa S; Yukuma, Charakura; Marawanaru, Elisha; Suse, Phillip

2017-10-01

Although hunting is a key component of subsistence strategies of many Amazonians, it is also one of the greatest threats to wildlife. Because indigenous reserves comprise over 20% of Amazonia, effective conservation often requires that conservation professionals work closely with indigenous groups to manage resource use. We used hunter-generated harvesting data in spatially explicit biodemographic models to assess the sustainability of subsistence hunting of indigenous Waiwai in Guyana. We collected data through a hunter self-monitoring program, systematic follows of hunters, and semistructured interviews. We used these data to predict future densities of 2 indicator species, spider monkeys (Ateles paniscus) and bearded sakis (Chiropotes sagulatus), under different scenarios of human population expansion and changing hunting technology. We used encounter rates from transect surveys and hunter catch-per-unit effort (CPUE) to validate model predictions. Paca (Cuniculus paca) (198 /year), Currosaw (Crax alector) (168), and spider monkey (117) were the most frequently harvested species. Predicted densities of spider monkeys were statistically indistinguishable from empirically derived transect data (Kolmogorov-Smirnov D = 0.67, p = 0.759) and CPUE (D = 0.32, p = 1.000), demonstrating the robustness of model predictions. Ateles paniscus and C. sagulatus were predicted to be extirpated from <13% of the Waiwai reserve in 20 years, even under the most intensive hunting scenarios. Our results suggest Waiwai hunting is currently sustainable, primarily due to their low population density and use of bow and arrow. Continual monitoring is necessary, however, particularly if human population increases are accompanied by a switch to shotgun-only hunting. We suggest that hunter self-monitoring and biodemographic modeling can be used effectively in a comanagement approach in which indigenous parabiologists continuously provide hunting data that is then used to update model

The Impact of Subsistence Prime Vendor on the Subsistence Supplier Base

National Research Council Canada - National Science Library

Sanders, David

2000-01-01

.... This research will focus on one of these innovations, the Subsistence Prime Vendor (SPV) Program. The SPV program was implemented to reduce the inventories and to improve the quality of food products purchased to support military dining facilities...

36 CFR 242.27 - Subsistence taking of fish.

Science.gov (United States)

2010-07-01

... not possess, transport, give, receive, or barter subsistence-taken fish or their parts which have been... Kitoi Creek; (F) All fresh water systems of Afognak Island. (iv) You must have a subsistence fishing...

50 CFR 100.27 - Subsistence taking of fish.

Science.gov (United States)

2010-10-01

... not possess, transport, give, receive, or barter subsistence-taken fish or their parts which have been... Kitoi Creek; (F) All fresh water systems of Afognak Island. (iv) You must have a subsistence fishing...

The persistence of subsistence: qualitative social-ecological modeling of indigenous aquatic hunting and gathering in tropical Australia

Directory of Open Access Journals (Sweden)

Marcus Barber

2015-03-01

Full Text Available Subsistence remains critical to indigenous people in settler-colonial states such as Australia, providing key foundations for indigenous identities and for wider state recognition. However, the drivers of contemporary subsistence are rarely fully articulated and analyzed in terms of likely changing conditions. Our interdisciplinary team combined past research experience gained from multiple sites with published literature to create two generalized qualitative models of the socio-cultural and environmental influences on indigenous aquatic subsistence in northern Australia. One model focused on the longer term (inter-year to generational persistence of subsistence at the community scale, the other model on shorter term (day to season drivers of effort by active individuals. The specification of driver definitions and relationships demonstrates the complexities of even generalized and materialist models of contemporary subsistence practices. The qualitative models were analyzed for emergent properties and for responses to plausible changes in key variables: access, habitat degradation, social security availability, and community dysfunction. Positive human community condition is shown to be critical to the long-term persistence of subsistence, but complex interactions of negative and positive drivers shape subsistence effort expended at the individual scale and within shorter time frames. Such models enable motivations, complexities, and the potential management and policy levers of significance to be identified, defined, causally related, and debated. The models can be used to augment future models of human-natural systems, be tested against case-specific field conditions and/or indigenous perspectives, and aid preliminary assessments of the effects on subsistence of changes in social and environmental conditions, including policy settings.

Agency problems in hospitals participating in self-management project under global budget system in Taiwan.

Science.gov (United States)

Yan, Yu-Hua; Hsu, Shuofen; Yang, Chen-Wei; Fang, Shih-Chieh

2010-02-01

The main purposes of this study are to clarify the agency problems in the hospitals participating in self-management project within the context of Global Budgeting Payment System regulated by Taiwan government, and also to provide some suggestions for hospital administrator and health policy maker in reducing the waste of healthcare resources resulting from agency problems. For the purposes above, this study examines the relationships between two agency problems (ex ante moral hazard and ex post moral hazard) aroused among the hospitals and Bureau of National Health Insurance in Taiwan's health care sector. This study empirically tested the theoretical model at organization level. The findings suggest that the hospital's ex ante moral hazards before participating the self-management project do have some influence on its ex post moral hazards after participating the self-management project. This study concludes that the goal conflict between the agents and the principal certainly exist. The principal tries hard to control the expenditure escalation and keep the financial balance, but the agents have to subsist within limited healthcare resources. Therefore, the agency cost would definitely occur due to the conflicts between both parties. According to the results of the research, some suggestions and related management concepts were proposed at the end of the paper.

Economic management in neo-colonial states : a case study of Cameroon

NARCIS (Netherlands)

Jua, N.

1990-01-01

This study examines the economic management strategies adopted by the Government of Cameroon. Economic planning in Cameroon has been anchored to the principles of planned liberalism, self-reliant development, balanced development and social justice. These concepts are elaborated and it is shown that

"This does my head in". Ethnographic study of self-management by people with diabetes

Directory of Open Access Journals (Sweden)

Hinder Susan

2012-03-01

Full Text Available Abstract Background Self-management is rarely studied 'in the wild'. We sought to produce a richer understanding of how people live with diabetes and why self-management is challenging for some. Method Ethnographic study supplemented with background documents on social context. We studied a socio-economically and ethnically diverse UK population. We sampled 30 people with diabetes (15 type 1, 15 type 2 by snowballing from patient groups, community contacts and NHS clinics. Participants (aged 5-88, from a range of ethnic and socio-economic groups were shadowed at home and in the community for 2-4 periods of several hours (total 88 visits, 230 hours; interviewed (sometimes with a family member or carer about their self-management efforts and support needs; and taken out for a meal. Detailed field notes were made and annotated. Data analysis was informed by structuration theory, which assumes that individuals' actions and choices depend on their dispositions and capabilities, which in turn are shaped and constrained (though not entirely determined by wider social structures. Results Self-management comprised both practical and cognitive tasks (e.g. self-monitoring, menu planning, medication adjustment and socio-emotional ones (e.g. coping with illness, managing relatives' input, negotiating access to services or resources. Self-management was hard work, and was enabled or constrained by economic, material and socio-cultural conditions within the family, workplace and community. Some people managed their diabetes skilfully and flexibly, drawing on personal capabilities, family and social networks and the healthcare system. For others, capacity to self-manage (including overcoming economic and socio-cultural constraints was limited by co-morbidity, cognitive ability, psychological factors (e.g. under-confidence, denial and social capital. The consequences of self-management efforts strongly influenced people's capacity and motivation to continue them

Marketing to the Bottom of the Pyramid and subsistence markets – A research agenda

Directory of Open Access Journals (Sweden)

Avinash G. Mulky

2011-01-01

Full Text Available The concepts of Bottom of the Pyramid (BOP and subsistence markets have attracted substantial academic and managerial attention in recent years. The BOP thesis states that there are opportunities for multinational companies to achieve significant revenues and profitability by designing and implementing marketing programs aimed at people who occupy the lowest tier in the world’s economic pyramid. The number of people in this segment has been estimated to be between 2.7 billion and 4 billion. This paper reviews the academic literature on BOP and subsistence markets and identifies important issues related to marketing to these consumers. The review is based on journal articles that have appeared in peer-reviewed journals and on case studies published by reputed academic institutions. The literature review first identifies a number of business issues like size of BOP market, motivations for undertaking BOP initiatives, ethics and linkages. Then specific marketing issues related to the BOP segment such as consumer analysis, company analysis, collaborators, competition and context, segmentation and positioning and issues relating to marketing program design and implementation are analyzed. Based on this analysis, the paper develops a research agenda for future research on BOP and subsistence markets.

From subsistence to market economy: Responses of Tibetan pastoralists to new economic realities

Directory of Open Access Journals (Sweden)

Angela Manderscheid

2004-04-01

Full Text Available In many regions around the world the pastoral economy shifted from subsistence-oriented to a market-oriented production. Pastoral goods acquired monetary value and became a market commodity that entailed changes in the production system and in the attitude towards livestock. On the Tibetan plateau this shift did not follow a linear way. Until the 1950s, most consumption requirements could be satisfied with animal products. Economic exchange relations were essential to provide grain requirements, at least for those households who relied exclusively on animal husbandry. During the Mao era, animal husbandry was carried out in line with state targets and the produce was delivered according to central planning. In the late 1970s the transition towards a market-oriented production began. This paper discusses the recent reactions of pastoralists to the new realities in one specific area on the eastern Tibetan plateau. This shift from pastoral products to market commodities, the commercial network established as well as the market places for pastoral produce, are examined in this paper. These facts show that the pastoralists in question successfully market their produce. The research area, Dzoge county, is located on the eastern border area of the Tibetan plateau, where different ethnic groups live in proximity to each other. Grassland predominates the landscape, used by nomads as pastures for livestock breeding (yak, sheep and horses. Mobile animal husbandry and the marketing of the livestock products are decisive to guarantee the livelihood of the majority of the population.

4 CFR 5.5 - Travel, transportation, and subsistence.

Science.gov (United States)

2010-01-01

... 4 Accounts 1 2010-01-01 2010-01-01 false Travel, transportation, and subsistence. 5.5 Section 5.5 Accounts GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL SYSTEM COMPENSATION § 5.5 Travel, transportation, and subsistence. The provisions of chapter 57 of title 5, U.S. Code and the implementing regulations for the...

Economic Relationship among Self, Society and Nation

OpenAIRE

Sung Jang Chung

2013-01-01

A scientific, economic relationship among self, society and nation is still not clearly known in philosophy, sociology and economics because of lack of concrete historical human data that would enable to substantiate it. Humanity experienced many conflicting economic and political systems. Consequently, philosophers, sociologists and economists have been investigating to study the economic relationship among self, society and nation that may lead to a desirable economic system for individual ...

78 FR 66885 - Subsistence Management Program for Public Lands in Alaska; Rural Determination Process

Science.gov (United States)

2013-11-07

..., Federal Subsistence Board, c/o U.S. Fish and Wildlife Service, Attention: Gene Peltola, Office of... harvest seasons and limits. In administering the program, the Secretaries divided Alaska into 10... public on the rural determination process and regulations, and ways to improve them for the benefit of...

Ecological and Clinical Consequences of Antibiotic Subsistence by Environmental Microbes

DEFF Research Database (Denmark)

Dantas, Gautam; Sommer, Morten Otto Alexander

2011-01-01

This chapter contains sections titled: Introduction Environmental Origins of Resistance: The Producer Hypothesis Resistome of other Soil Bacteria: Response to the Producers? Early Reports of Antibiotic Catabolism by Soil Bacteria The Antibiotic Subsistome: Who and how much? Antibiotic Subsistence...... as a Scavenger Phenotype Ecological Consequences of the Antibiotic Subsistome Investigating Connections Between Subsistomes and Resistomes Metagenomic Functional Selections for Discovering Genes Enabling Antibiotic Subsistence and Resistance Antibiotic Subsistence by Pathogenic Bacteria Concluding Remarks...

Regional Absorption of Common Agricultural Policy's Rural Development Funds Targeted for Semi-Subsistence Farms in Romania in the 2007-2013 Programming Period

Directory of Open Access Journals (Sweden)

BORÓKA-JÚLIA BÍRÓ

2015-06-01

Full Text Available Land fragmentation and the need for consolidation are major problems of current Romanian agriculture. The transition from the status-quo of an agricultural structure dominated by subsistence and semi-subsistence farms in the view of restructuring, resulting in a more efficient sector - is a must. Present study proposes to evaluate the application of specific measures of the Romanian National Rural Development Programme (NRDP that sought to support semi-subsistence farms between 2007 and 2013. Three NRDP measures have been identified under which semi-subsistence farms were eligible: Measure 112 "Setting up of young farmers", Measure 121 "Modernization of agricultural holdings", and Measure 141 "Supporting semi-subsistence agricultural holdings". The above measures belong to the 1st Axis of the Common Agricultural Policy's second pillar, thus having a common general goal the improvement of the competitiveness of the agricultural sector, while aiming at restructuring and developing the physical potential and management of generation change - trying to keep the rural population in place. Available data on a seven-year time horizon was analyzed. The absorption level of measures 112, 121 and 141 - under which the Romanian semi-subsistence farms were eligible - on national and subnational scale was mapped.

Teaching Self-Management: The Design and Implementation of Self-Management Tutorials

Science.gov (United States)

Gerhardt, Megan

2007-01-01

Learning the skills of self-management is an essential task for students in the 21st century. A total of 223 undergraduate students participated in 4 self-management tutorials that presented the components of understanding and mastering self-management skills including (a) self-assessment, (b) goal setting, (c) time management, and (d)…

Interrupting the telos: locating subsistence in contemporary US forests

Science.gov (United States)

Marla R. Emery; Alan R. Pierce

2005-01-01

People continue to hunt, fish, trap, and gather for subsistence purposes in the contemporary United States. This fact has implications for forest policy, as suggested by an international convention on temperate and boreal forests, commonly known as the Montreal Process. Three canons of law provide a legal basis for subsistence activities by designated social groups in...

77 FR 4581 - Alaska Region's Subsistence Resource Commission (SRC) Program

Science.gov (United States)

2012-01-30

... DEPARTMENT OF THE INTERIOR National Park Service [NPS-AKR-LACL; 9924-PYS] Alaska Region's... public meeting for the National Park Service (NPS) Alaska Region's Subsistence Resource Commission (SRC... Meeting Debora R. Cooper, Associate Regional Director, Resources and Subsistence, Alaska Region. [FR Doc...

77 FR 4579 - Alaska Region's Subsistence Resource Commission (SRC) Program

Science.gov (United States)

2012-01-30

... DEPARTMENT OF THE INTERIOR National Park Service [NPS-AKR-DENA; 9924-PYS] Alaska Region's... public meeting for the National Park Service (NPS) Alaska Region's Subsistence Resource Commission (SRC..., Associate Regional Director, Resources and Subsistence, Alaska Region. [FR Doc. 2012-1877 Filed 1-27-12; 8...

36 CFR 13.485 - Subsistence use of timber and plant material.

Science.gov (United States)

2010-07-01

... cutting of standing timber by local rural residents for appropriate subsistence uses, such as firewood or... materials for subsistence uses, and the noncommerical gathering of dead or downed timber for firewood, shall...

MACHINE LEARNING FOR THE SELF-ORGANIZATION OF DISTRIBUTED SYSTEMS IN ECONOMIC APPLICATIONS

Directory of Open Access Journals (Sweden)

Jerzy Balicki

2017-03-01

Full Text Available In this paper, an application of machine learning to the problem of self-organization of distributed systems has been discussed with regard to economic applications, with particular emphasis on supervised neural network learning to predict stock investments and some ratings of companies. In addition, genetic programming can play an important role in the preparation and testing of several financial information systems. For this reason, machine learning applications have been discussed because some software applications can be automatically constructed by genetic programming. To obtain a competitive advantage, machine learning can be used for the management of self-organizing cloud computing systems performing calculations for business. Also the use of selected economic self-organizing distributed systems has been described, including some testing methods of predicting borrower reliability. Finally, some conclusions and directions for further research have been proposed.

Developing and Validating the Scale of Economic Self-Efficacy.

Science.gov (United States)

Hoge, Gretchen L; Stylianou, Amanda M; Hetling, Andrea; Postmus, Judy L

2017-05-01

Experiencing intimate partner violence (IPV) and financial hardship are often intertwined. The dynamics of an abusive relationship may include economic abuse tactics that compromise a survivor's ability to work, pursue education, have access to financial resources, and establish financial skills, knowledge, and security. An increasingly common goal among programs serving IPV survivors is increasing financial empowerment through financial literacy. However, providing financial education alone may not be enough to improve financial behaviors. Psychological factors also play a role when individuals make financial choices. Economic self-efficacy focuses on the individual's perceived ability to perform economic or financial tasks, and may be considered a primary influence on one's ability to improve financial decisions and behaviors. The current study tests the reliability and validity of a Scale of Economic Self-Efficacy with a sample of female survivors of IPV. This study uses a calibration and validation analysis model including full and split-sample exploratory and confirmatory factor analyses, assesses for internal consistency, and examines correlation coefficients between economic self-efficacy, economic self-sufficiency, financial strain, and difficulty living with income. Findings indicate that the 10-item, unidimensional Scale of Economic Self-Efficacy demonstrates strong reliability and validity among this sample of IPV survivors. An ability to understand economic self-efficacy could facilitate individualized service approaches and allow practitioners to better support IPV survivors on their journey toward financial empowerment. Given the increase in programs focused on assets, financial empowerment, and economic well-being, the Scale of Economic Self-Efficacy has potential as a very timely and relevant tool in the design, implementation, and evaluation of such programs, and specifically for programs created for IPV survivors.

The place and importance of indigenous chicken in a subsistence ...

African Journals Online (AJOL)

Most households in developing countries subsist mainly on products from homes and farms. Captive animals like cane rats, snails etc, remain the only source of meat during much of a life time. To improve the meat production and consumption of subsistence households, attention should be given to smaller breeds of ...

Economic hardship associated with managing chronic illness: a qualitative inquiry

Directory of Open Access Journals (Sweden)

Jan Stephen

2009-10-01

Full Text Available Abstract Background Chronic illness and disability can have damaging, even catastrophic, socioeconomic effects on individuals and their households. We examined the experiences of people affected by chronic heart failure, complicated diabetes and chronic obstructive pulmonary disease to inform patient centred policy development. This paper provides a first level, qualitative understanding of the economic impact of chronic illness. Methods Interviews were conducted with patients aged between 45 and 85 years who had one or more of the index conditions and family carers from the Australian Capital Territory and Western Sydney, Australia (n = 66. Content analysis guided the interpretation of data. Results The affordability of medical treatments and care required to manage illness were identified as the key aspects of economic hardship, which compromised patients' capacity to proactively engage in self-management and risk reduction behaviours. Factors exacerbating hardship included ineligibility for government support, co-morbidity, health service flexibility, and health literacy. Participants who were on multiple medications, from culturally and linguistically diverse or Indigenous backgrounds, and/or not in paid employment, experienced economic hardship more harshly and their management of chronic illness was jeopardised as a consequence. Economic hardship was felt among not only those ineligible for government financial supports but also those receiving subsidies that were insufficient to meet the costs of managing long-term illness over and above necessary daily living expenses. Conclusion This research provides insights into the economic stressors associated with managing chronic illness, demonstrating that economic hardship requires households to make difficult decisions between care and basic living expenses. These decisions may cause less than optimal health outcomes and increased costs to the health system. The findings support the necessity

Self-management through shame

DEFF Research Database (Denmark)

Staunæs, Dorthe; Bjerg, Helle

2011-01-01

of management of self-management in two ways. Firstly, by thinking management of self-management trough concepts from what has become known as the affective turn. Secondly, by illustrating the precise mechanisms of management of self-management in every day life and thereby pointing to how management of self...... to recognition, but is also linked to the production of shame or at least potential shame. This argument is developed theoretically from Brian Massumi's theory on affectivity and intensity combined with Silvan Tomkins's theory of shame as the most self-reflexive affect of all affects. In order to exemplify......  Critical studies on management of self-management and governmentality have primarily been occupied with the production of identities, subject positions and the reflexive elements of self-management. The aim of this article is to challenge and contribute to the field of critical studies...

Resilience of Athabascan subsistence systems to interior Alaska's changing climate

Science.gov (United States)

Gary P. Kofinas; F. Stuart Chapin; Shauna BurnSilver; Jennifer I. Schmidt; Nancy L. Fresco; Knut Kielland; Stephanie Martin; Anna Springsteen; T. Scott Rupp

2010-01-01

Subsistence harvesting and wild food production by Athabascan peoples is part of an integrated social-ecological system of interior Alaska. We describe effects of recent trends and future climate change projections on the boreal ecosystem of interior Alaska and relate changes in ecosystem services to Athabascan subsistence. We focus primarily on moose, a keystone...

Fisheries economics and fisheries management

DEFF Research Database (Denmark)

Andersen, Peder

2013-01-01

spent too much time on fundamentals in fisheries economics at the expense of the development of applicable models for fisheries managers? Of course, this question is relevant only IF fisheries economics and fisheries economists have a role to play in fisheries management.......Professor Rögnvaldur Hannesson's influence on the development and history of fisheries economics is unquestionable. Also, he has strongly pointed out the potential gains from a more active use of fisheries economics in fisheries management. In light of this, one may ask if fisheries economists have...

Lacandon Maya ecosystem management: sustainable design for subsistence and environmental restoration.

Science.gov (United States)

Diemont, Stewart A W; Martin, Jay F

2009-01-01

Indigenous groups have designed and managed their ecosystems for generations, resulting in biodiversity protection while producing for their family's needs. Here we describe the agroecosystem of the Lacandon Maya, an indigenous group who live in Chiapas, Mexico. The Lacandon practice a form of swidden agriculture that conserves the surrounding rain forest ecosystem while cycling the majority of their land through five successional stages. These stages include an herbaceous stage, two shrub stages, and two forest stages. A portion of their land is kept in primary forest. This study presents the Lacandon traditional ecological knowledge (TEK) for agroforestry and quantitatively describes the plant community and the associated soil ecology of each successional stage. Also documented is the knowledge of the Lacandon regarding the immediate use of plant species and plant species useful for soil fertility enhancement. Woody plant diversity increases during the successional stages of the Lacandon system, and by the beginning of the first forest stage, the diversity is similar to that of the primary forest. In all stages, Lacandon use 60% of the available plant species for food, medicine, and raw materials. Approximately 45% of the woody plant species present in each fallow stage were thought by the Lacandon to enhance soil fertility. Total soil nitrogen and soil organic matter increased with successional stage and with time from intentional burn. Nutrient and soil nematode dynamics in shrub stages related to the presence of introduced and managed plants, indicating engineered soil enhancement by the Lacandon. The effects on biodiversity and soil ecology coupled with productivity for agricultural subsistence indicate that Lacandon TEK may offer tools for environmental conservation that would provide for a family's basic needs while maintaining a biodiverse rain forest ecosystem. Tools such as these may offer options for regional restoration and conservation efforts such as

Faunal Assemblage Structure Suggests a Limited Impact of the Introduction of Domestic Stock on Later Stone Age Subsistence Economies in South Africa

NARCIS (Netherlands)

Dusseldorp, G.L.

2016-01-01

Livestock remains appear in the South African archaeological record around 2100 years ago. However, the economic importance of domestic animals in Later Stone Age subsistence is debated. This paper adopts an approach rooted in Optimal Foraging Theory to examine if the introduction of livestock is

Institutional preconditions of socio-ecological-economic regulation of environmental management activities

Directory of Open Access Journals (Sweden)

T. A. Plaksunova

2017-01-01

methods of market regulation problems. It is now generally accepted that environmental management activities of market actors only on the basis of the market mechanism of self-regulation is detrimental to the society and should be regulated.The need to regulate environmental management activities of institutional entities arises when it affects the interests of third-party entities or threatened by the ongoing entity manufacturing practices its own resilience, to achieve the main goal. The complexity and diversity of the forms of socio-ecological and ecological-economic issues at different levels of the economic system leads to the development of many directions and views on the expansion of the management process of these levels (global, national, regional, local and techniques from rigid-deklorative state before combination with the market. In this respect, the neoclassical economic theory actively generated new analytical ideas and concept that enables to respond adequately to emerging economic realities. So we can distinguish the following approaches to regulate environmental management activities: T. Malthus and D. Ricardo, revealing issues of social, ecological and economic implications of limited natural resources in the context of the law of diminishing effectiveness and the need to regulate environmental management activities. John. St. Mill and George proved to be ineffective in addressing environmental problems in the industrial economy of the type of the imperfection of the institutions of society, justifying the occurrence of crises protohistoric speculation nature's benefits. A. Pigou developed the theory of externalities, which revealed the need for state regulation of the environmental management activities of economic entities, harmonization of individual and social interests. Research I. Kula, F. Khan and P. Samuelson identified a pattern about the formation of the system of regulation environmental activities, not only within individual States but also

Economic Benefits of Self-Employment for Canadian Immigrants.

Science.gov (United States)

Nakhaie, Reza

2015-11-01

This paper evaluates the economic benefits of self-employment in Canada for 12 groups of ethno-racial immigrants. It tests whether or not their self-employment earnings are higher or lower than similar groups in wage and salary employment, whether ethnic minorities earn more or less from self-employment compared to White immigrants, and whether self-employment earnings of immigrant groups vary by their industrial sectors of employment. Using the Canadian Census 2006, I show that self-employed ethno-racial immigrants earn less than White immigrants. I also show that the economic benefits of self-employment depend on the ethno-racial groups and the industrial mix of their self-employment. © 2015 Canadian Sociological Association/La Société canadienne de sociologie.

78 FR 3447 - Information Collection: Southern Alaska Sharing Network and Subsistence Study; Submitted for OMB...

Science.gov (United States)

2013-01-16

... local sharing networks that structure contemporary subsistence-cash economies using research methods... Collection: Southern Alaska Sharing Network and Subsistence Study; Submitted for OMB Review; Comment Request... conducting a survey on subsistence and sharing networks in coastal Alaska. This notice provides the public a...

Informality and employment vulnerability: application in sellers with subsistence work

Science.gov (United States)

Garzón-Duque, María Osley; Cardona-Arango, María Doris; Rodríguez-Ospina, Fabio León; Segura-Cardona, Angela María

2017-01-01

ABSTRACT OBJECTIVE To describe the origin, evolution, and application of the concept of employment vulnerability in workers who subsist on street sales. METHODS We have carried out an analysis of the literature in database in Spanish, Portuguese, and English, without restriction by country. This is a review of the gray literature of government reports, articles, and documents from Latin America and the Caribbean. We have analyzed information on the informal economy, social-employment vulnerability, and subsistence workers. RESULTS AND CONCLUSIONS The concept of informal economy is dispersed and suggested as synonymous with employment vulnerability. As a polysemic term, it generates confusion and difficulty in identifying defined profiles of employment vulnerability in informal subsistence workers, who sell their products on the streets and sidewalks of cities. The lack of a clear concept and profile of employment vulnerability for this type of workers generates a restriction on defined actions to reduce employment vulnerability. The profiles could facilitate access to the acquisition of assets that support their structure of opportunities, facilitating and mediating in the passage from vulnerability to social mobility with opportunities. We propose as a concept of employment vulnerability for subsistence workers in the informal sector, the condition of those who must work by day to eat at night, who have little or no ownership of assets, and who have a minimum structure of opportunities to prevent, face, and resist the critical situations that occur daily, putting at risk their subsistence and that of the persons who are their responsibility, thus making the connection between social and employment vulnerability. PMID:29020122

Informality and employment vulnerability: application in sellers with subsistence work

Directory of Open Access Journals (Sweden)

María Osley Garzón-Duque

2017-10-01

Full Text Available ABSTRACT OBJECTIVE To describe the origin, evolution, and application of the concept of employment vulnerability in workers who subsist on street sales. METHODS We have carried out an analysis of the literature in database in Spanish, Portuguese, and English, without restriction by country. This is a review of the gray literature of government reports, articles, and documents from Latin America and the Caribbean. We have analyzed information on the informal economy, social-employment vulnerability, and subsistence workers. RESULTS AND CONCLUSIONS The concept of informal economy is dispersed and suggested as synonymous with employment vulnerability. As a polysemic term, it generates confusion and difficulty in identifying defined profiles of employment vulnerability in informal subsistence workers, who sell their products on the streets and sidewalks of cities. The lack of a clear concept and profile of employment vulnerability for this type of workers generates a restriction on defined actions to reduce employment vulnerability. The profiles could facilitate access to the acquisition of assets that support their structure of opportunities, facilitating and mediating in the passage from vulnerability to social mobility with opportunities. We propose as a concept of employment vulnerability for subsistence workers in the informal sector, the condition of those who must work by day to eat at night, who have little or no ownership of assets, and who have a minimum structure of opportunities to prevent, face, and resist the critical situations that occur daily, putting at risk their subsistence and that of the persons who are their responsibility, thus making the connection between social and employment vulnerability.

Informality and employment vulnerability: application in sellers with subsistence work.

Science.gov (United States)

Garzón-Duque, María Osley; Cardona-Arango, María Doris; Rodríguez-Ospina, Fabio León; Segura-Cardona, Angela María

2017-10-05

To describe the origin, evolution, and application of the concept of employment vulnerability in workers who subsist on street sales. We have carried out an analysis of the literature in database in Spanish, Portuguese, and English, without restriction by country. This is a review of the gray literature of government reports, articles, and documents from Latin America and the Caribbean. We have analyzed information on the informal economy, social-employment vulnerability, and subsistence workers. The concept of informal economy is dispersed and suggested as synonymous with employment vulnerability. As a polysemic term, it generates confusion and difficulty in identifying defined profiles of employment vulnerability in informal subsistence workers, who sell their products on the streets and sidewalks of cities. The lack of a clear concept and profile of employment vulnerability for this type of workers generates a restriction on defined actions to reduce employment vulnerability. The profiles could facilitate access to the acquisition of assets that support their structure of opportunities, facilitating and mediating in the passage from vulnerability to social mobility with opportunities. We propose as a concept of employment vulnerability for subsistence workers in the informal sector, the condition of those who must work by day to eat at night, who have little or no ownership of assets, and who have a minimum structure of opportunities to prevent, face, and resist the critical situations that occur daily, putting at risk their subsistence and that of the persons who are their responsibility, thus making the connection between social and employment vulnerability.

An economic evaluation of a multicomponent self-management intervention for adults with epilepsy (ZMILE study).

Science.gov (United States)

Wijnen, Ben F M; Leenen, Loes A M; de Kinderen, Reina J A; van Heugten, Caroline M; Majoie, Marian H J M; Evers, Silvia M A A

2017-08-01

The objective of this (trial-based) economic evaluation was, from a societal perspective, to compare the cost-effectiveness of a multicomponent self-management intervention (MCI) with care as usual (CAU) in adult patients with epilepsy over a 12-month period. In a randomized-controlled trial, participants were randomized into intervention or CAU group. Adherence, self-efficacy (Epilepsy Self-Efficacy Scale [ESES]), quality-adjusted life years (QALYs), healthcare costs, production losses, and patient and family costs were assessed at baseline and during the 12-month study period. Incremental cost-effectiveness ratios (ICERs) (i.e., cost per increased adherence, self-efficacy, or QALY), and cost-effectiveness acceptability curves were calculated. In total, 102 patients were included in the study, of whom 52 were in the intervention group. Adherence rates over 6 months were 63.7% for the CAU group and 75.9% for the intervention group. Adherence, ESES, and quality of life did not differ significantly between groups. An ICER of €54 per point increase in ESES score at 6 months and €1,105 per point increase at 12-month follow-up was found. The intervention resulted in an ICER of €88 per percentage of adherence increase at 6 months. ICERs of €8,272 and €15,144 per QALY gained were found at 6- and 12-month follow-up, respectively. Although no statistically significant difference was found after baseline adjustments, cost-effectiveness estimates for MCI appear promising. As rules of inference are arbitrary, it has been argued that decisions should be based only on the net benefits, irrespective of whether differences are statistically significant. Hence, the MCI may be a cost-effective addition to the current standard care for adults with epilepsy. Wiley Periodicals, Inc. © 2017 International League Against Epilepsy.

Management, Leadership, and User Control in Self-Advocacy: An English Case Study

Science.gov (United States)

Tilley, Elizabeth

2013-01-01

This paper presents findings from a qualitative research project on an English self-advocacy organization. In light of recent political and economic developments that have threatened the sustainability of a number of self-advocacy groups for people with intellectual disability, I seek to explore how one particular organization managed to survive…

Management, leadership, and user control in self-advocacy: an english case study.

Science.gov (United States)

Tilley, Elizabeth

2013-12-01

This paper presents findings from a qualitative research project on an English self-advocacy organization. In light of recent political and economic developments that have threatened the sustainability of a number of self-advocacy groups for people with intellectual disability, I seek to explore how one particular organization managed to survive and grow. In particular, the paper explores themes of management, leadership, and user control, linking these to external perceptions about self-advocacy organizations. The organization in my study developed an "interdependent" governance model based on key organizational roles for nondisabled advisors and self-advocates, which proved popular with external funders. Despite the organization's notable achievements, its success raises questions for the wider self-advocacy movement, notably how leadership capacity can be developed among self-advocates.

Bataan Coastal Resource Management Programs: Environmental, Socio-Economic, and Implementation Issues from Stakeholders’ Views

Directory of Open Access Journals (Sweden)

Alvin B. Cervania

2018-02-01

Full Text Available A study on the status of Bataan’s coastal zones, and the issues on the province’s coastal resource management (CRM programs under an integrated framework was commissioned by the Department of Science and Technology-Region III in the Philippines. Twenty-eight representative coastal villages and 11 water testing sites served as study areas. The research participants totalled to 1,300. Focused group discussions, survey and interviews, laboratory testing, documentary analysis, and literature review were used in the data gathering. It was concluded that the province’s coastal zones are in a disturbed state, which has negative implications to its already subsistent coastal population and important coastal economic activities. The province’s CRM projects have been arbitrary and intermittent. There are too few conservation initiatives due to scarcity of baseline data necessary for more methodical CRM programs. There is poor grassroots level involvement in CRM decision-making processes as well which clearly defeats the essence of integrated coastal management. A coordinated effort to strengthen stakeholder participation in critical CRM stages, and to conduct more comprehensive profilings and assessments of the province’s coastal environment involving the government, academics, and scientists are recommended to substantiate stakeholder involvement and increase the quality of data for CRM projects.

Subsistence and the evolution of religion.

Science.gov (United States)

Peoples, Hervey C; Marlowe, Frank W

2012-09-01

We present a cross-cultural analysis showing that the presence of an active or moral High God in societies varies generally along a continuum from lesser to greater technological complexity and subsistence productivity. Foragers are least likely to have High Gods. Horticulturalists and agriculturalists are more likely. Pastoralists are most likely, though they are less easily positioned along the productivity continuum. We suggest that belief in moral High Gods was fostered by emerging leaders in societies dependent on resources that were difficult to manage and defend without group cooperation. These leaders used the concept of a supernatural moral enforcer to manipulate others into cooperating, which resulted in greater productivity. Reproductive success would accrue most to such leaders, but the average reproductive success of all individuals in the society would also increase with greater productivity. Supernatural enforcement of moral codes maintained social cohesion and allowed for further population growth, giving one society an advantage in competition with others.

Economic inequality is linked to biased self-perception.

Science.gov (United States)

Loughnan, Steve; Kuppens, Peter; Allik, Jüri; Balazs, Katalin; de Lemus, Soledad; Dumont, Kitty; Gargurevich, Rafael; Hidegkuti, Istvan; Leidner, Bernhard; Matos, Lennia; Park, Joonha; Realo, Anu; Shi, Junqi; Sojo, Victor Eduardo; Tong, Yuk-Yue; Vaes, Jeroen; Verduyn, Philippe; Yeung, Victoria; Haslam, Nick

2011-10-01

People's self-perception biases often lead them to see themselves as better than the average person (a phenomenon known as self-enhancement). This bias varies across cultures, and variations are typically explained using cultural variables, such as individualism versus collectivism. We propose that socioeconomic differences among societies--specifically, relative levels of economic inequality--play an important but unrecognized role in how people evaluate themselves. Evidence for self-enhancement was found in 15 diverse nations, but the magnitude of the bias varied. Greater self-enhancement was found in societies with more income inequality, and income inequality predicted cross-cultural differences in self-enhancement better than did individualism/collectivism. These results indicate that macrosocial differences in the distribution of economic goods are linked to microsocial processes of perceiving the self.

38 CFR 21.260 - Subsistence allowance.

Science.gov (United States)

2010-07-01

... rehabilitation facility or sheltered workshop; independent instructor; institutional non-farm cooperative: Full...) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31... rehabilitation program under 38 U.S.C. Chapter 31 will receive a monthly subsistence allowance at the rates in...

Comprehensive Self-Management Strategies.

Science.gov (United States)

Bourbeau, J; Lavoie, K L; Sedeno, M

2015-08-01

In this article, we provide a review of the literature on self-management interventions and we are giving some thought to how, when, and by whom they should be offered to patients. The present literature based on randomized clinical trials has demonstrated benefits (reduced hospital admissions and improved health status) for chronic obstructive pulmonary disease (COPD) patients undergoing self-management interventions, although there are still problems with the heterogeneity among interventions, study populations, follow-up time, and outcome measures that make generalization difficult in real life. Key to the success, self-management intervention has to target behavior change. Proper self-management support is a basic prerequisite, for example, techniques and skills used by health care providers "case manager" to instrument patients with the knowledge, confidence, and skills required to effectively self-manage their disease. To improve health behaviors and engagement in self-management, self-management interventions need to target enhancing intrinsic motivation to change. This will best be done using client-centered communication (motivational communication) that encourages patients to express what intrinsically motivates them (e.g., consistent with their values or life goals) to adopt certain health behavior, with the goal of helping them overcome their ambivalence about change. Finally, if we want to be able to design and implement self-management interventions that are integrated, coherent, and have a strong likelihood of success, we need to take a more careful look and give more attention at the case manager, the patient (patient evaluation), and the quality assurance. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Is environmental management an economically sustainable business?

Science.gov (United States)

Gotschol, Antje; De Giovanni, Pietro; Esposito Vinzi, Vincenzo

2014-11-01

This paper investigates whether environmental management is an economically sustainable business. While firms invest in green production and green supply chain activities with the primary purpose of reducing their environmental impact, the reciprocal relationships with economic performance need to be clarified. Would firms and suppliers adjust their environmental strategies if the higher economic value that environmental management generates is reinvested in greening actions? We found out that environmental management positively influences economic performance as second order (long term) target, to be reached conditioned by higher environmental performance; in addition, firms can increase their performance if they reinvest the higher economic value gained through environmental management in green practices: While investing in environmental management programs is a short term strategy, economic rewards can be obtained only with some delays. Consequently, environmental management is an economically sustainable business only for patient firms. In the evaluation of these reciprocal relationships, we discovered that green supply chain initiatives are more effective and more economically sustainable than internal actions. Copyright © 2014 Elsevier Ltd. All rights reserved.

Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials.

Science.gov (United States)

Norris, S L; Engelgau, M M; Narayan, K M

2001-03-01

To systematically review the effectiveness of self-management training in type 2 diabetes. MEDLINE, Educational Resources Information Center (ERIC), and Nursing and Allied Health databases were searched for English-language articles published between 1980 and 1999. Studies were original articles reporting the results of randomized controlled trials of the effectiveness of self-management training in people with type 2 diabetes. Relevant data on study design, population demographics, interventions, outcomes, methodological quality, and external validity were tabulated. Interventions were categorized based on educational focus (information, lifestyle behaviors, mechanical skills, and coping skills), and outcomes were classified as knowledge, attitudes, and self-care skills; lifestyle behaviors, psychological outcomes, and quality of life; glycemic control; cardiovascular disease risk factors; and economic measures and health service utilization. A total of 72 studies described in 84 articles were identified for this review. Positive effects of self-management training on knowledge, frequency and accuracy of self-monitoring of blood glucose, self-reported dietary habits, and glycemic control were demonstrated in studies with short follow-up (studies demonstrated the effectiveness of self-management training on cardiovascular disease-related events or mortality; no economic analyses included indirect costs; few studies examined health-care utilization. Performance, selection, attrition, and detection bias were common in studies reviewed, and external generalizability was often limited. Evidence supports the effectiveness of self-management training in type 2 diabetes, particularly in the short term. Further research is needed to assess the effectiveness of self-management interventions on sustained glycemic control, cardiovascular disease risk factors, and ultimately, microvascular and cardiovascular disease and quality of life.

Conceptual model of management steadfast economic development production-economic systems

OpenAIRE

Prokhorova, V.

2010-01-01

The article is devoted developments of conceptual model of management proof economic development of the industrialeconomy systems. Features are certain, the algorithm of impulse is offered and intercommunication of contours of management proof economic development of the industrialeconomy systems is investigational

[Performance of self-help groups and their economic evaluation].

Science.gov (United States)

Engelhardt, H D; Trojan, A; Nickel, S

2009-01-01

Hoffmann von Fallersleben is quoted with the sentence "Self-help is worthwhile, because it does not demand anything from others". This sounds catchy; it is, however, wrong: Self-help groups ask for support, particularly for financial resources for the work of either individual, highly organized self-help associations or for general support of self-help groups via local contact and information centers ("contact points for self-help groups"). With this request for economic "investments" in self-help, the question arises whether this is profitable for the country, the local authority or the social health insurance. In principle, the initial answer to this is: yes, the work of self-help groups is worthwhile for a single person, but also for the larger community, as various kinds of services are provided by self-help groups and organizations. Despite many surveys of members or co-operation partners which show positive effects of self-help groups, the question remains whether services of self-help groups can be measured and economically evaluated. The socio- political question regarding funding is closely connected to the idea of an economic evaluation of self-help groups. The aim of this article is to summarize and discuss which empiric approaches and findings are available on this subject. The monetary value for the work done per member of self-help groups and year lies between approximately 700 and 900 EUR.

Business, Economics, Financial Sciences, and Management

CERN Document Server

2011 International Conference on Business, Economics, and Financial Sciences, Management (BEFM 2011)

2012-01-01

A series of papers on business, economics, and financial sciences, management selected from International Conference on Business, Economics, and Financial Sciences, Management are included in this volume.   Management in all business and organizational activities is the act of getting people together to accomplish desired goals and objectives using available resources efficiently and effectively. Management comprises planning, organizing, staffing, leading or directing, and controlling an organization (a group of one or more people or entities) or effort for the purpose of accomplishing a goal. Resourcing encompasses the deployment and manipulation of human resources, financial resources, technological resources and natural resources.   The proceedings of BEFM2011 focuses on the various aspects of advances in Business, Economics, and Financial Sciences, Management and provides a chance for academic and industry professionals to discuss recent progress in the area of Business, Economics, and Financial Scienc...

Impact of Arts on Economic Development: The Nigeria Experience ...

African Journals Online (AJOL)

No serious minded economic policy formulators and administrators atmodern times can afford to undermine education, art education, internal economic structure (micro economy), the arts and the need for diversification. Before the emergence of oil and gas exploration in Nigeria, subsistent farming, export of agricultural ...

Trabalho como subsistência nos hospitais públicos brasileiros Trabajo como subsistencia en hospitales publicos brasileños Work as subsistence in Brazilian public hospitlas

Directory of Open Access Journals (Sweden)

Helena Heidtmann Vaghetti

2009-12-01

organizational culture of public hospitals in Brazil. Data were extracted from from dissertations and theses in the period from 2002 to 2006. The theoretical methodological reference laid in the interpretive anthropology by Clifford Geertz. The results point that the subsistence relations conduct to alienation from work. The payment generates economic non satisfaction that pry the need to have other jobs. The work stability feeds the disengagement and actions that stimulates the transgression of standards and help the own governs in public hospitals in Brazil.

Meso level influences on long term condition self-management: stakeholder accounts of commonalities and differences across six European countries.

Science.gov (United States)

Rogers, Anne; Vassilev, Ivaylo; Pumar, Maria J Jesús; Todorova, Elka; Portillo, Mari Carmen; Foss, Christina; Koetsenruijter, Jan; Ratsika, Nikoleta; Serrano, Manuel; Knutsen, Ingrid A Ruud; Wensing, Michel; Roukova, Poli; Patelarou, Evridiki; Kennedy, Anne; Lionis, Christos

2015-07-08

European countries are increasingly adopting systems of self -care support (SMS) for long term conditions which focus on enhancing individual, competencies, skills, behaviour and lifestyle changes. To date the focus of policy for engendering greater self- management in the population has been focused in the main on the actions and motivations of individuals. Less attention has been paid to how the broader influences relevant to SMS policy and practice such as those related to food production, distribution and consumption and the structural aspects and economics relating to physical exercise and governance of health care delivery systems might be implicated in the populations ability to self- manage. This study aimed to identify key informants operating with knowledge of both policy and practice related to SMS in order to explore how these influences are seen to impact on the self-management support environment for diabetes type 2. Ninety semi-structured interviews were conducted with key stakeholder informants in Bulgaria, Spain, Greece, Norway, Netherlands and UK. Interviews were transcribed and analysed using thematic and textual analysis. Stakeholders in the six countries identified a range of influences which shaped diabetes self-management (SM). The infrastructure and culture for supporting self- management practice is viewed as driven by political decision-makers, the socio-economic and policy environment, and the ethos and delivery of chronic illness management in formal health care systems. Three key themes emerged during the analysis of data. These were 1) social environmental influences on diabetes self-management 2) reluctance or inability of policy makers to regulate processes and environments related to chronic illness management 3) the focus of healthcare system governance and gaps in provision of self-management support (SMS). Nuances in the salience and content of these themes between partner countries related to the presence and articulation of

Economic and social distance: Perceived income inequality negatively predicts an interdependent self-construal.

Science.gov (United States)

Sánchez-Rodríguez, Ángel; Willis, Guillermo B; Rodríguez-Bailón, Rosa

2017-07-03

Previous research has shown that economic inequality influences how people are related with others. In this article, we suggest that perceived economic inequality influences self-construal. Specifically, we propose that higher economic inequality leads to an independent self-construal, whereas lower economic inequality leads to an interdependent self-construal. Correlational data from Studies 1a and 1b revealed that people who perceive lower levels of economic inequality tend to show higher levels of interdependent self-construal, even after controlling for social class. In Study 2, using an experimental design, we found that perceived high economic inequality leads to a more independent and less interdependent self-construal compared to the low economic inequality condition. These results expand the literature bridging the gap between a macro-social factor, such as economic inequality, and a micro-social factor, such as self-construal. © 2017 International Union of Psychological Science.

Agriculture urbaine et subsistance des ménages dans une zone de post-conflit en Afrique centrale

Directory of Open Access Journals (Sweden)

Thys E.

2006-01-01

Full Text Available Urban agriculture and household subsistence in a post-confl ict zone in Central Africa. This study presents an analysis of the technical and socio-economic specifi cities of urban agriculture in a post confl ict region in Central Africa, based on a survey in Brazzaville (Congo in 2002. Hereby 710 households have been randomly selected from a previous survey data base containing 2 800 urban households. About one third of the Brazzaville households are involved in urban agriculture with 29.5% households reporting crop production activities and 8.8% animal production activities. Within animal production, aviculture activities are dominant. Gardening and vegetable production play also an important role. The confl ict situation of 1997 affected negatively urban agricultural production in particular the animal production. Although, urban agriculture is present among different social and professional categories, there is a clear dominance of subsistence and poor households, especially those already active in agriculture before. In contrast to crop production, mainly practised for subsistence reasons, the motivation for animal production is driven more by the income than by the own consumption possibilities. The results also indicate that assuring a sustainable and equitable urban development is possible by a good balance between those practising urban agriculture and those not. This requires the limitation of the negative effects (odour and other nuisances but also the removal of certain constraints limiting the productivity of urban farming, most importantly the provision of inputs, the theft of animals and soil degradation.

Opportunities and constraints in the subsistence production and marketing of indigenous vegetables in East and Central Africa

OpenAIRE

Schippers, Rudy; Fereday, Nicholas

1998-01-01

This report summarises the results of market and production surveys carried out in both the dry and wet seasons in Cameroon and Uganda during 1997/98 as part of the DFID fimded project "Opportunities and constraints in the subsistence production and marketing of indigenous vegetables in East and Central Africa (A0699)". The main objective of the study was to establish the socio-economic significance of indigenous vegetables compared to exotic ones. This project is a follow up to the strategy ...

[Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension].

Science.gov (United States)

Kim, Myoungsuk; Song, Misoon

2015-08-01

The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure. The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer. Self-efficacy (t=2.42, p=.021), self-esteem (t=2.57, p=.014) and self-management behaviors (t=2.21, p=.034) were significantly higher and systolic blood pressure (t=-2.14, p=.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p=.400) was not significantly different between the two groups. The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.

Risky Business? Rural Entrepreneurship in Subsistence Markets

NARCIS (Netherlands)

Cieslik, Katarzyna; D’Aoust, Olivia

2017-01-01

Present-day development theory and practice highlight the potential of micro-entrepreneurship for poverty reduction in rural Africa. At the same time, subsequent studies show that entrepreneurial propensity is not often exhibited by subsistence farmers. Basing our analysis on a cross-section

77 FR 65201 - Proposed Information Collection; Alaska Migratory Bird Subsistence Harvest Household Survey

Science.gov (United States)

2012-10-25

... eligible areas. Harvest survey data help to ensure that customary and traditional subsistence uses of... harvest report form. We have designed the survey methods to streamline procedures and reduce respondent...-FXMB1231099BPP0L2] Proposed Information Collection; Alaska Migratory Bird Subsistence Harvest Household Survey...

A rationale for reservoir management economics

International Nuclear Information System (INIS)

Hickman, T.S.

1995-01-01

Significant economic benefits can be derived from the application f reservoir management. The key elements in economical reservoir management are the efficient use of available resources and optimization of reservoir exploitation through a multidisciplined approach. This paper describes various aspects of and approaches to reservoir management and provides case histories that support the findings

Economics of wild salmon ecosystems: Bristol Bay, Alaska

Science.gov (United States)

John W. Duffield; Christopher J. Neher; David A. Patterson; Oliver S. Goldsmith

2007-01-01

This paper provides an estimate of the economic value of wild salmon ecosystems in the major watershed of Bristol Bay, Alaska. The analysis utilizes both regional economic and social benefit-cost accounting frameworks. Key sectors analyzed include subsistence, commercial fishing, sport fishing, hunting, and nonconsumptive wildlife viewing and tourism. The mixed cash-...

Dimensions of osteoarthritis self-management.

Science.gov (United States)

Prior, Kirsty N; Bond, Malcolm J

2004-06-01

Our aims were to determine whether a taxonomy of self-management strategies for osteoarthritis could be identified, and whether the resultant dimensions of such a taxonomy demonstrate predictable relationships with health status indices. Participants (n = 117) from community-based self-help groups and a general rheumatology outpatient clinic completed a self-management inventory consisting of 11 items, answered for both the past 7 days and a day on which symptoms were worse than usual. Duration of symptoms, level of pain, perceived functional ability and self-rated health were recorded as indicators of health status. Three essentially identical factors were obtained for both past 7 days and worse day items. Resultant scales were labeled passive, complementary and active, respectively. Correlations with health status measures provided modest evidence for the construct validity of these self-management scales. Compared with a simple aggregate score based on the total number of strategies used, the scales provided a clearer understanding of the relationship between self-management and health. The study provided a useful extension to existing research, addressing a number of shortcomings identified by previous researchers. The identified self-management dimensions offered a greater insight into the self-management choices of patients. Suggestions for further improvements to the measurement of self-management are outlined.

Self-monitoring and self-management of oral anticoagulation.

Science.gov (United States)

Heneghan, Carl J; Garcia-Alamino, Josep M; Spencer, Elizabeth A; Ward, Alison M; Perera, Rafael; Bankhead, Clare; Alonso-Coello, Pablo; Fitzmaurice, David; Mahtani, Kamal R; Onakpoya, Igho J

2016-07-05

The introduction of point-of-care devices for the management of patients on oral anticoagulation allows self-testing by the patient at home. Patients who self-test can either adjust their medication according to a pre-determined dose-INR (international normalized ratio) schedule (self-management), or they can call a clinic to be told the appropriate dose adjustment (self-monitoring). Increasing evidence suggests self-testing of oral anticoagulant therapy is equal to or better than standard monitoring. This is an updated version of the original review published in 2010. To evaluate the effects on thrombotic events, major haemorrhages, and all-cause mortality of self-monitoring or self-management of oral anticoagulant therapy compared to standard monitoring. For this review update, we re-ran the searches of the Cochrane Central Register of Controlled Trials (CENTRAL), 2015, Issue 6, the Cochrane Library, MEDLINE (Ovid, 1946 to June week 4 2015), Embase (Ovid, 1980 to 2015 week 27) on 1 July 2015. We checked bibliographies and contacted manufacturers and authors of relevant studies. We did not apply any language restrictions . Outcomes analysed were thromboembolic events, mortality, major haemorrhage, minor haemorrhage, tests in therapeutic range, frequency of testing, and feasibility of self-monitoring and self-management. Review authors independently extracted data and we used a fixed-effect model with the Mantzel-Haenzel method to calculate the pooled risk ratio (RR) and Peto's method to verify the results for uncommon outcomes. We examined heterogeneity amongst studies with the Chi(2) and I(2) statistics and used GRADE methodology to assess the quality of evidence. We identified 28 randomised trials including 8950 participants (newly incorporated in this update: 10 trials including 4227 participants). The overall quality of the evidence was generally low to moderate. Pooled estimates showed a reduction in thromboembolic events (RR 0.58, 95% CI 0.45 to 0

Managing economic risks through simulation

International Nuclear Information System (INIS)

Griffin, B.J.; Eresman, R.K.

1994-01-01

Industrial operations are commonly managed in terms of such factors as raw material requirements, throughput, equipment reliability, and operator productivity. Simulation can be used to transform standard management performance measures into probabilistic measures which define the associated risks. These results provide valuable insight for effective management of economic risks. Case studies are presented using the Monte Carlo simulation method to demonstrate different applications of simulation techniques, various result formats, and their use for optimizing economic returns. In the first case study, design criteria for a large gas distribution system originally developed from worst-case demand estimates were modelled to provide a risk basis for decisions on alternative upgrading options. In the second, a commercial gas storage facility operation was modelled to develop economic marketing strategies balancing supply and demand requirements from multiple clients. 3 refs

50 CFR 100.28 - Subsistence taking of shellfish.

Science.gov (United States)

2010-10-01

... eggs, unless otherwise specified. (4) You may not use explosives and chemicals, except that you may use...) Cook Inlet Area. (i) You may take shellfish for subsistence purposes only as allowed in this section (k...

Agricultural Incentives: Implications for Small-Scale and Subsistence Farming in the US Caribbean Islands

Science.gov (United States)

Alvarez-Berrios, N.; Parés-Ramos, I.; Gould, W. A.

2017-12-01

The effects of climate change threaten the world's most sensitive agroecosystems and our potential to reach agricultural productivity levels needed to feed a projected global population of 9.7 billion people by 2050. The US Caribbean agriculture is especially vulnerable to the effects of climate change, due to the region's frequent exposure to extreme weather events, its geographic and economic scale, shortage of labor force, and rapid urban expansion. Currently, agriculture contributes less than 1% of the island's GDP, and over 80% of the food consumed in the region is imported. Despite low production levels, there is widespread interest in reinvigorating the agricultural sector's contribution to the economy. Local and federal institutions play a major role strengthening the agricultural sector by providing access to incentives, loans, and education for best management practices. However, many of these efforts conform to agricultural systems of larger scale of production and temperate environments. In this study, we explore agricultural incentives programs and their implication for highly diverse, small-scale, and subsistence operations that characterize agricultural systems in Puerto Rico and the US Virgin Islands. We analyze records and maps from the USDA Farm Service Agency, to typify participating farms, and to track changes in land cover, farm size, crop diversity, practices, and production levels resulting from their enrollment in such programs. Preliminary results indicate that many incentives programs are not tailored to agricultural tropical systems and prescribe alternatives that exclude traditional farming methods employed in small-scale and subsistence farms (e.g. crop insurance that benefit monoculture over intercropped systems). Moreover, many of the incentives are contradictory in their recommendations (e.g., crop insurance benefit sun-grown coffee production, while best agricultural practices recommend agroforestry with shade-grown coffee

Intimate partner violence and women's economic and non-economic activities in Minya, Egypt.

Science.gov (United States)

Yount, Kathryn M; Zureick-Brown, Sarah; salem, Rania

2014-06-01

Intimate partner violence (IPV) against women is widespread, but its implications for their economic and non-economic activities are understudied. Leveraging new data from 564 ever-married women aged 22–65 in rural Minya, Egypt, we estimated logistic regressions and zero-inflated negative binomial regressions to test spillover, compensation, and patriarchal bargaining theories about the influences of women's exposure to IPV on their engagement in and time spent on market, subsistence, domestic, and care work. Supporting compensation theory, exposures to lifetime, recent, and chronic physical or sexual IPV were associated with higher adjusted odds of performing market work in the prior month, and exposures to recent and chronic IPV were associated with higher adjusted odds of performing subsistence work in this period. Supporting compensation and patriarchal bargaining theories, exposures to recent and chronic IPV were associated with more time spent on domestic work in the prior day. Supporting spillover and patriarchal bargaining theories, exposures to lifetime IPV of all forms were associated with lower adjusted odds of performing mostly nonspousal care work in the prior day, and this association was partially mediated by women's generalized anxiety. Women in rural Minya who are exposed to IPV may escalate their housework to fulfill local norms of feminine domesticity while substituting economic activities for nonspousal care work to enhance their economic independence from violent partners.

Transitions of social-ecological subsistence systems in the Arctic

Directory of Open Access Journals (Sweden)

Per Fauchald

2017-04-01

Full Text Available Transitions of social-ecological systems (SES expose governance systems to new challenges. This is particularly so in the Arctic where resource systems are increasingly subjected to global warming, industrial development and globalization which subsequently alter the local SES dynamics. Based on common-pool resource theory, we developed a dynamic conceptual model explaining how exogenous drivers might alter a traditional subsistence system from a provisioning to an appropriation actions situation. In a provisioning action situation the resource users do not control the resource level but adapt to the fluctuating availability of resources, and the collective challenge revolve around securing the subsistence in the community. An increased harvest pressure enabled by exogenous drivers could transform the SES to an appropriation action situation where the collective challenge has changed to avoid overuse of a common-pool resource. The model was used as a focal lens to investigate the premises for broad-scale transitions of subsistence-oriented SESs in Arctic Alaska, Canada and Greenland. We synthesized data from documents, official statistics and grey and scientific literature to explore the different components of our model. Our synthesis suggests that the traditional Arctic subsistence SESs mostly comply with a provisioning action situation. Despite population growth and available technology; urbanization, increased wage labor and importation of food have reduced the resource demand, and we find no evidence for a broad-scale transition to an appropriation action situation throughout the Western Arctic. However, appropriation ­challenges have emerged in some cases either as a consequence of commercialization of the resource or by severely reduced resource stocks due to various exogenous drivers. Future transitions of SESs could be triggered by the emergence of commercial local food markets and Arctic warming. In particular, Arctic warming is an

FORECAST MANAGEMENT FOR THE ECONOMIC SYSTEM

OpenAIRE

Dragoº MICU; Cosmin LEFTER

2011-01-01

Existing turbulences in the economic environment assume a more responsible involvement from the manager’s behalf in the management process thus determing them to use adequate forms of managemet. In this context, this paper highlights the necessity of implementing management forecasting systems in the economic environment.

PKU Self-Management Timeline

Science.gov (United States)

... about pku UW PKU Clinic News & Events PKU Self-Management Timeline This timeline is also available as an ... Acrobat file. Click here to download. The PKU Self- Management timeline is included to provide long-term view ...

Protocol for a randomised controlled trial of telemonitoring and self-management in the control of hypertension: Telemonitoring and self-management in hypertension. [ISRCTN17585681

Directory of Open Access Journals (Sweden)

Little Paul

2009-02-01

Full Text Available Abstract Background Controlling blood pressure with drugs is a key aspect of cardiovascular disease prevention, but until recently has been the sole preserve of health professionals. Self-management of hypertension is an under researched area in which potential benefits for both patients and professionals are great. Methods and design The telemonitoring and self-management in hypertension trial (TASMINH2 will be a primary care based randomised controlled trial with embedded economic and qualitative analyses in order to evaluate the costs and effects of increasing patient involvement in blood pressure management, specifically with respect to home monitoring and self titration of antihypertensive medication compared to usual care. Provision of remote monitoring results to participating practices will ensure that practice staff are able to engage with self management and provide assistance where required. 478 patients will be recruited from general practices in the West Midlands, which is sufficient to detect clinically significant differences in systolic blood pressure between self-management and usual care of 5 mmHg with 90% power. Patients will be excluded if they demonstrate an inability to self monitor, their blood pressure is below 140/90 or above 200/100, they are on three or more antihypertensive medications, have a terminal disease or their blood pressure is not managed by their general practitioner. The primary end point is change in mean systolic blood pressure (mmHg between baseline and each follow up point (6 months and 12 months. Secondary outcomes will include change in mean diastolic blood pressure, costs, adverse events, health behaviours, illness perceptions, beliefs about medication, medication compliance and anxiety. Modelling will evaluate the impact of costs and effects on a system wide basis. The qualitative analysis will draw upon the views of users, informal carers and professionals regarding the acceptability of self-management

Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views.

Directory of Open Access Journals (Sweden)

Emma Boger

Full Text Available Self-management has received growing attention as an effective approach for long-term condition management. Little is known about which outcomes of supported self-management are valued by patients, their families, health professionals and those who commission self-management services. This study systematically reviewed published empirical evidence in accordance with PRISMA guidelines to determine the outcomes of self-management valued by these key stakeholder groups, using three prominent exemplar conditions: colorectal cancer, diabetes and stroke.To systematically review the literature to identify which generic outcomes of self-management have been targeted and are considered important using three exemplar conditions (colorectal cancer, diabetes and stroke, which collectively have a range of features that are likely to be representative of generic self-management issues.Systematic searching of nine electronic databases was conducted in addition to hand searches of review articles. Abstracts were identified against inclusion criteria and appraised independently by two reviewers, using a critical appraisal tool. Synthesis of findings was conducted using mixed research synthesis.Over 20,536 abstracts were screened. 41 studies which met the review criteria were fully retrieved and appraised. The majority of evidence related to diabetes. Few studies directly focussed on stakeholders' views concerning desired self-management outcomes; the majority of evidence was derived from studies focusing upon the experience of self-management. The views of health care commissioners were absent from the literature. We identified that self-management outcomes embrace a range of indicators, from knowledge, skills, and bio-psychosocial markers of health through to positive social networks.Patients', families', health professionals' and commissioners' views regarding which outcomes of self-management are important have not been clearly elicited. The extent to which

The economic bases of demographic reproduction: from the domestic mode of production to wage-earning.

Science.gov (United States)

Meillassoux, C

1983-10-01

This paper explores the economic basis of demographic reproduction through an analysis of the shift from self-sustaining agricultural production to wage earning in the industrial sector. In subsistence societies, the upper limits of demographic reproduction are set more by agricultural capacities than by women's natural fecundity. An increase in the productivity of agriculture is a necessary precondition for demographic growth. Such societies are based on intergenerational circulation of surplus product, i.e., the community contains preproductive members who are fed and bred until they reach a productive age, producers whose surplus product exceeds their individual consumption, and postproducers who depend on the younger generation for their subsistence. The domestic mode of collective labor becomes weakened, however, when producer members become wage earners as a result of temporary or permanent rural exodus. Under such conditions, the investment of the older generation in the next may be lost to the benefit of the industrial sector employing the rural migrants. The shift has 2 major implications. 1st, population growth is no longer tied to domestic agricultural productivity or the storage capcity of the community; rather, it is related to access to cash, wage levels, employment duration, and food prices. These circumstances foster a higher probability of demographic growth. 2nd, disruption of the circulation of subsistence produces depopulation of the rural areas and severe deterioration of the living conditions in these areas.

Finding Meaning: HIV Self-Management and Wellbeing among People Taking Antiretroviral Therapy in Uganda.

Science.gov (United States)

Russell, Steve; Martin, Faith; Zalwango, Flavia; Namukwaya, Stella; Nalugya, Ruth; Muhumuza, Richard; Katongole, Joseph; Seeley, Janet

2016-01-01

The health of people living with HIV (PLWH) and the sustained success of antiretroviral therapy (ART) programmes depends on PLWH's motivation and ability to self-manage the condition over the long term, including adherence to drugs on a daily basis. PLWH's self-management of HIV and their wellbeing are likely to be interrelated. Successful self-management sustains wellbeing, and wellbeing is likely to motivate continued self-management. Detailed research is lacking on PLWH's self-management processes on ART in resource-limited settings. This paper presents findings from a study of PLWH's self-management and wellbeing in Wakiso District, Uganda. Thirty-eight PLWH (20 women, 18 men) were purposefully selected at ART facilities run by the government and by The AIDS Support Organisation in and around Entebbe. Two in-depth interviews were completed with each participant over three or four visits. Many were struggling economically, however the recovery of health and hope on ART had enhanced wellbeing and motivated self-management. The majority were managing their condition well across three broad domains of self-management. First, they had mobilised resources, notably through good relationships with health workers. Advice and counselling had helped them to reconceptualise their condition and situation more positively and see hope for the future, motivating their work to self-manage. Many had also developed a new network of support through contacts they had developed at the ART clinic. Second, they had acquired knowledge and skills to manage their health, a useful framework to manage their condition and to live their life. Third, participants were psychologically adjusting to their condition and their new 'self': they saw HIV as a normal disease, were coping with stigma and had regained self-esteem, and were finding meaning in life. Our study demonstrates the centrality of social relationships and other non-medical aspects of wellbeing for self-management which ART

Finding Meaning: HIV Self-Management and Wellbeing among People Taking Antiretroviral Therapy in Uganda.

Directory of Open Access Journals (Sweden)

Steve Russell

Full Text Available The health of people living with HIV (PLWH and the sustained success of antiretroviral therapy (ART programmes depends on PLWH's motivation and ability to self-manage the condition over the long term, including adherence to drugs on a daily basis. PLWH's self-management of HIV and their wellbeing are likely to be interrelated. Successful self-management sustains wellbeing, and wellbeing is likely to motivate continued self-management. Detailed research is lacking on PLWH's self-management processes on ART in resource-limited settings. This paper presents findings from a study of PLWH's self-management and wellbeing in Wakiso District, Uganda. Thirty-eight PLWH (20 women, 18 men were purposefully selected at ART facilities run by the government and by The AIDS Support Organisation in and around Entebbe. Two in-depth interviews were completed with each participant over three or four visits. Many were struggling economically, however the recovery of health and hope on ART had enhanced wellbeing and motivated self-management. The majority were managing their condition well across three broad domains of self-management. First, they had mobilised resources, notably through good relationships with health workers. Advice and counselling had helped them to reconceptualise their condition and situation more positively and see hope for the future, motivating their work to self-manage. Many had also developed a new network of support through contacts they had developed at the ART clinic. Second, they had acquired knowledge and skills to manage their health, a useful framework to manage their condition and to live their life. Third, participants were psychologically adjusting to their condition and their new 'self': they saw HIV as a normal disease, were coping with stigma and had regained self-esteem, and were finding meaning in life. Our study demonstrates the centrality of social relationships and other non-medical aspects of wellbeing for self-management

Valuing the environment: Economics for a sustainable future | IDRC ...

International Development Research Centre (IDRC) Digital Library (Canada)

2010-10-06

Oct 6, 2010 ... Environmental economics can identify the underlying causes of environmental ... A new IDRC book traces how the field has taken shape in developing ... of informal occupations that yield barely subsistence-level incomes.

MANAGEMENT STRATEGIES DURING ECONOMIC CRISIS

Directory of Open Access Journals (Sweden)

SINTEA(ANGHEL LUCICA

2014-05-01

Full Text Available During the financial and economic crisis, the management of an entity must establish a plan and apply strategies needed to mitigate the negative effects due to the action of disturbing factors. Management must have a vision of business evolution, of costumer and supplier perspective, of how to develop the technological equipment in order to increase profitability and product quality. The manager must give utmost importance to all economic information he receives, to analyze it, to group it into categories depending on the effects they can produce, to establish the extent to which it influences the activity. The strategies a manager applies are also based on his flair, culture, knowledge or the human and material resources at its disposal

Ação coletiva no âmbito da economia solidária e da autogestão Collective action in the realm of solidarity economics and self-management

Directory of Open Access Journals (Sweden)

Maria Eugênia Monteiro Castanheira

2008-06-01

Full Text Available Este ensaio traz reflexões sobre as motivações que conduzem a ação coletiva no âmbito da economia solidária e da autogestão, partindo do pressuposto de que, nestas esferas, a ação coletiva se diferencia daquela que se desenvolve nos domínios do capitalismo e daquela que se desenvolve no contexto social das relações tradicionais. Neste sentido, o objetivo deste ensaio é explorar as especificidades teóricas da ação coletiva orientada pelos princípios da economia solidária e da autogestão, tendo como enfoque analítico a teoria da dádiva. Para tanto, procurou-se, de forma articulada e seqüencial, problematizar a economia solidária, evidenciar os elementos constitutivos da autogestão e o aporte teórico da teoria da dádiva. Acredita-se que tais ponderações indicam um campo a ser explorado empiricamente, podendo contribuir para a elaboração de novos estudos e pesquisas sobre este tema.This essay reflects on the motivations that lead to collective action in the realm of solidarity economics and self-management, based on the presumption that, in these spheres, collective action is different from that which takes places in the domains of capitalism and that which develops in the social context of traditional relations. In this sense, the purpose of this essay is to explore the theoretical specificities of collective action guided by the principles of solidarity economics and self-management, with an analytical focus on the theory of donation. To do so, it sought to analyze solidarity economics in an articulated and sequential manner, to reveal the constituent elements of self management and the theoretical support for the theory of donation. These considerations indicate that there is much empirical research to do in this field, and such research can contribute to the elaboration of new studies and research about this issue.

Economic Techniques of Occupational Health and Safety Management

Science.gov (United States)

Sidorov, Aleksandr I.; Beregovaya, Irina B.; Khanzhina, Olga A.

2016-10-01

The article deals with the issues on economic techniques of occupational health and safety management. Authors’ definition of safety management is given. It is represented as a task-oriented process to identify, establish and maintain such a state of work environment in which there are no possible effects of hazardous and harmful factors, or their influence does not go beyond certain limits. It was noted that management techniques that are the part of the control mechanism, are divided into administrative, organizational and administrative, social and psychological and economic. The economic management techniques are proposed to be classified depending on the management subject, management object, in relation to an enterprise environment, depending on a control action. Technoeconomic study, feasibility study, planning, financial incentives, preferential crediting of enterprises, pricing, profit sharing and equity, preferential tax treatment for enterprises, economic regulations and standards setting have been distinguished as economic techniques.

Teaching Business Management from a perspective beyond self-interest

Directory of Open Access Journals (Sweden)

Roberto Fernández-Gago

2012-12-01

Full Text Available Profound reflection is currently being made in academic circles upon the principles which have long been the basis of economic theories in the teaching of business management. Amidst the issues discussed is the concept of human nature driven primarily by self-interest. Profit maximization and governance mechanisms in order to protect shareholders’ interests have become the essence of all good business practice. The present paper proposes a change in direction towards a wider and more realistic perspective with regards to the individual’s values within the sphere of the teaching of business management.

[Analysis of health self-management for diabetes self-efficacy].

Science.gov (United States)

Liu, Yalan; Ding, Xianbin; Jiang, Yi; Zhang, Chunhua; Mao, Deqiang; Shen, Zhuozhi; Qi, Li; Lü, Xiaoyan; Lu, Junjia; Wang, Tingting

2015-08-01

To evaluate the effect of health self-management on self-efficiency of diabetes patients.
 A total of 184 eligible and voluntary diabetes patients were recruited for 6 consecutive weeks of knowledge and skills intervention, and interviewed with questionnaire by diabetes self-efficacy scale (DSES) before and after the intervention. The changes in self-efficiency were compared with two paired sample McNemar test.
 After the intervention, the total scores of self-efficiency on diet, medication, blood sugar monitoring, foot care and complications management were all increased significantly compared with those before the intervention (Pself-management for self-efficiency in diabetes patients is effective, and the quality of patients' life can be improved.

A Homogeneous and Self-Dual Interior-Point Linear Programming Algorithm for Economic Model Predictive Control

DEFF Research Database (Denmark)

Sokoler, Leo Emil; Frison, Gianluca; Skajaa, Anders

2015-01-01

We develop an efficient homogeneous and self-dual interior-point method (IPM) for the linear programs arising in economic model predictive control of constrained linear systems with linear objective functions. The algorithm is based on a Riccati iteration procedure, which is adapted to the linear...... system of equations solved in homogeneous and self-dual IPMs. Fast convergence is further achieved using a warm-start strategy. We implement the algorithm in MATLAB and C. Its performance is tested using a conceptual power management case study. Closed loop simulations show that 1) the proposed algorithm...

Sustaining self-management in diabetes mellitus.

Science.gov (United States)

Mitchell-Brown, Fay

2014-01-01

Successful management of diabetes depends on the individual's ability to manage and control symptoms. Self-management of diabetes is believed to play a significant role in achieving positive outcomes for patients. Adherence to self-management behaviors supports high-quality care, which reduces and delays disease complications, resulting in improved quality of life. Because self-management is so important to diabetes management and involves a lifelong commitment for all patients, health care providers should actively promote ways to maintain and sustain behavior change that support adherence to self-management. A social ecological model of behavior change (McLeroy, Bibeau, Steckler, & Glanz, 1988) helps practitioners provide evidence-based care and optimizes patients' clinical outcomes. This model supports self-management behaviors through multiple interacting interventions that can help sustain behavior change. Diabetes is a complex chronic disease; successful management must use multiple-level interventions.

Dispositional factors, experiences of team members and effectiveness in self-managing work teams / Susanna Catherina Coetzee

OpenAIRE

Coetzee, Susanna Catherina

2003-01-01

Changes in South Africa's political and economic sphere demand the democratisation of the workplace, participation and empowerment of the work force. Flatter hierarchical structures, as a result of downsizing, enhance involvement but also demand that workers function in a more autonomous manner. The use of self-managing work teams has increased in response to these competitive challenges. Self-managing work teams are groups of employees who are fully responsible for a well-d...

Economic value evaluation in disease management programs.

Science.gov (United States)

Magnezi, Racheli; Reicher, Sima; Shani, Mordechai

2008-05-01

Chronic disease management has been a rapidly growing entity in the 21st century as a strategy for managing chronic illnesses in large populations. However, experience has shown that disease management programs have not been able to demonstrate their financial value. The objectives of disease management programs are to create quality benchmarks, such as principles and guidelines, and to establish a uniform set of metrics and a standardized methodology for evaluating them. In order to illuminate the essence of disease management and its components, as well as the complexity and the problematic nature of performing economic calculations of their profitability and value, we collected data from several reports that dealt with the economic intervention of disease management programs. The disease management economic evaluation is composed of a series of steps, including the following major categories: data/information technology, information generation, assessment/recommendations, actionable customer plans, and program assessment/reassessment. We demonstrate the elements necessary for economic analysis. Disease management is one of the most innovative tools in the managed care environment and is still in the process of being defined. Therefore, objectives should include the creation of quality measures, such as principles and guidelines, and the establishment of a uniform set of metrics and a standardized methodology for evaluating them.

FORMATION OF ECONOMIC MECHANISM OF INDUSTRIAL ENTERPRISE DEVELOPMENT

Directory of Open Access Journals (Sweden)

Shestakova E. V.

2015-06-01

Full Text Available Now in research of social and economic systems synergy approach according to which the entity represents the open self-organizing (spontaneous system gains ground. Such representation of the entity in the context of modern economic science requires development of new mechanisms and management tools. The purpose of researches in the sphere of synergy management is development of mechanisms of self-organization, and also information filling of its elements. Complexity of processes of self-organization dictates need of integration of separate types of the mechanisms differing on a method of creation, uniformity of elements, complexity, a strategic orientation, target orientation, management functions. Thus, the integrated mechanism of self-organization of the entity represents multi-level system of the interconnected mechanisms (organizational, economic, information, motivational differentiated on elements. In article content of the economic development mechanism of the entity reveals; its purposes, subjects, objects, the principles, methods, tools and resources are considered. On the basis of research of features of development of social and economic systems the ratio of stages of enterprise lifecycle with self-organization process stages is established. The principles of the economic development mechanism of the entity are proved: financial independence, self-sufficiency, economic feasibility, responsibility, resource capability, economic control, interest. Methods of the economic mechanism (planning and forecasting, marketing activity, economic diagnostics, financial credit policy, economic incentives are allocated and the tools corresponding to them are proved. Features of sale of the economic mechanism at stages of dynamic balance and bifurcation are established. The practical importance of results of research consists in development of development mechanisms of the industrial enterprises promoting achievement of long-term competitive

Companies’ management during economic crisis

OpenAIRE

Kumpikaitė, Vilmantė; Grybauskas, Andrius; Juodelis, Mantas; Strumyla, Dovydas

2011-01-01

Lots of companies faced recent economic crisis. It was generated by global markets deregulation and it triggered relevant situation to emerge other types of crisis. Many scientists all over the world analyses how crisis affected global economy and changed companies’ management actions. Scientists exclude these types of crisis: economic, informational, physical, human resource, reputational, psychopathic acts production and financial. This paper examines economic crisis generated negative effe...

Socio-Economic Analysis Of Cooperative Business Management In ...

African Journals Online (AJOL)

groups. Given the high relevance of cooperatives as instruments of economic self reliance and empowerment, policy initiatives that would strengthen these groups are recommended.. Keywords: Economic rationality, Socio-economic differential, Group formation. Journal of Agriculture and Food Sciences Vol. 5 (1) 2007: pp.

The (un)managed self: paradoxical forms of agency in self-management of bipolar disorder.

Science.gov (United States)

Weiner, Talia

2011-12-01

Self-management of mental illness is a therapeutic paradigm that draws on a distinctly biomedical conceptualization of the isolability of personhood from pathology. This discourse posits a stable and rational patient/consumer who can observe, anticipate, and preside over his disease through a set of learned practices. But in the case of bipolar disorder, where the rationality of the patient is called into question, the managing self is elusive, and the disease that is managed coincides with the self. While humanist critiques of the biomedical model as applied to mental illness have argued that its logic fatalistically denies patients intentionality and effectiveness (Luhrmann, Of Two Minds: The Growing Disorder in American Psychiatry, 2000), biomedical proponents claim that psychiatry's way of envisioning the body as under the control of the intentional mind actually returns agency to the patient/consumer. Rose (The Psychiatric Gaze, 1999) remarks that biomedical models have the potential to "[open] that which was considered natural to a form of choice" (p. 37), and that techniques of medical self-control help constitute the free embodied liberal subject who is obliged to calculate and choose. Through an examination of clinical literature as well as the practices and narratives of members of a bipolar support group, this paper explores ethnographically the possibilities for subjectivity and agency that are conditioned or foreclosed by the self-management paradigm, which seems to simultaneously confer and deny rational selfhood to bipolar patients. To express their expertise as rational self-managers, patients/consumers must, paradoxically, articulate constant suspicion toward their present thoughts and emotions, and distrust of an imagined future self. I argue that through their self-management practices, bipolar support group members model provisional and distributed forms of agency based on an elusive, discontinuous, and only partially knowable or controllable

Economics of stand management

Science.gov (United States)

David K. Lewis

1986-01-01

This paper sets out to demonstrate the importance of considering the wealth represented by the growing stock in economic analyses of stand management alternatives, and to demonstrate the role of thinning in the manipulation of the efficiency of growing stock in the management of shortleaf pine (Pinus echinata Mill.). These goals are achieved through a demonstration of...

Social networks, social capital and chronic illness self-management: a realist review.

Science.gov (United States)

Vassilev, Ivaylo; Rogers, Anne; Sanders, Caroline; Kennedy, Anne; Blickem, Christian; Protheroe, Joanne; Bower, Peter; Kirk, Sue; Chew-Graham, Carolyn; Morris, Rebecca

2011-03-01

Existing literature on the design of interventions and health policy about self-management have tended to focus on individual-centred definitions of self-care and there is growing recognition of the need to extend consideration beyond individual factors, which determine self-care, to examine wider influences such as the health service, the family and the wider social context. To explore the theoretical and empirical links between social networks, social capital and the self-care practices associated with chronic illness work and management in the context of people's everyday lives. A realist review method was used to search and appraise relevant quantitative and qualitative literature. The review findings indicate that social networks play an important part in the management of long-term conditions. We found that social networks tend to be defined narrowly and are primarily used as a way of acknowledging the significance of context. There is insufficient discussion in the literature of the specific types of networks that support or undermine self-care as well as an understanding of the processes involved. This necessitates shifting the emphasis of self-care towards community and network-centred approaches, which may also prove more appropriate for engaging people in socially and economically deprived contexts.

Managing epilepsy well: self-management needs assessment.

Science.gov (United States)

Fraser, Robert T; Johnson, Erica K; Miller, John W; Temkin, Nancy; Barber, Jason; Caylor, Lisa; Ciechanowski, Paul; Chaytor, Naomi

2011-02-01

Epilepsy self-management interventions have been investigated with respect to health care needs, medical adherence, depression, anxiety, employment, and sleep problems. Studies have been limited in terms of representative samples and inconsistent or restricted findings. The direct needs assessment of patients with epilepsy as a basis for program design has not been well used as an approach to improving program participation and outcomes. This study investigated the perceived medical and psychosocial problems of adults with epilepsy, as well as their preferences for self-management program design and delivery format. Results indicated a more psychosocially challenged subgroup of individuals with significant depressive and cognitive complaints. A self-management program that involves face-to-face individual or group meetings led by an epilepsy professional and trained peer leader for 60 minutes weekly was preferred. Six to eight sessions focused on diverse education sessions (e.g., managing disability and medical care, socializing on a budget, and leading a healthy lifestyle) and emotional coping strategies delivered on weeknights or Saturday afternoons were most highly endorsed. Emotional self-management and cognitive compensatory strategies require special emphasis given the challenges of a large subgroup. Copyright © 2010 Elsevier Inc. All rights reserved.

Tailoring Self-Management in Chronic Care

NARCIS (Netherlands)

Touwen, ID

2016-01-01

Self-management is nowadays seen as an important element in chronic care and therefore, self-management is increasingly embedded in chronic care guidelines; however, implementation in clinical practice is a slow and difficult process. Evidence, from research on self-management interventions, shows

Analyzing a self-managed CHP system for greenhouse cultivation as a profitable way to reduce CO2-emissions

International Nuclear Information System (INIS)

Compernolle, Tine; Witters, Nele; Van Passel, Steven; Thewys, Theo

2011-01-01

To counter global warming, a transition to a low-carbon economy is needed. The greenhouse sector can contribute by installing Combined Heat and Power (CHP) systems, known for their excellent energy efficiency. Due to the recent European liberalization of the energy market, glass horticulturists have the opportunity to sell excess electricity to the market and by tailored policy and support measures, regional governments can fill the lack of technical and economic knowledge, causing initial resistance. This research investigates the economic and environmental opportunities using two detailed cases applying a self managed cogeneration system. The Net Present Value is calculated to investigate the economic feasibility. The Primary Energy Saving, the CO 2 Emission Reduction indicator and an Emission Balance are applied to quantify the environmental impact. The results demonstrate that a self-managed CHP system is economic viable and that CO 2 emissions are reduced.

Workers' Self-management, Recovered Companies and the Sociology of Work.

Science.gov (United States)

Ozarow, Daniel; Croucher, Richard

2014-10-01

We analyse how far Argentina's worker-recovered companies (WRCs) have sustained themselves and their principles of equity and workers' self-management since becoming widespread following the country's 2001-2 economic crisis. Specialist Spanish-language sources, survey data and documents are analysed through four key sociological themes. We find that the number of WRCs has increased in Argentina, and that they represent a viable production model. Further, they have generally maintained their central principles and even flourished. This occurred despite the global economic crisis, legal and financial pressures to adopt capitalist practices and management structures, the risk of market absorption and state attempts to coopt, demobilise and depoliticise the movement. We argue that today they function as a much-needed international beacon of an alternative vision for labour and that integration of their experience has potential to revitalise the field.

Towards Self-Managed Executable Petri Nets

DEFF Research Database (Denmark)

Hansen, Klaus Marius; Zhang, Weishan; Ingstrup, Mads

2008-01-01

An issue in self-managed systems is that different abstractions and programming models are used on different architectural layers, leading to systems that are harder to build and understand. To alleviate this, we introduce a self-management approach which combines high-level Petri nets...... with the capability of distributed communication among nets. Organized in a three-layer goal management, change management, and component control architecture this allows for self-management in distributed systems. We validate the approach through the Flamenco/CPN middleware that allows for self-management of service......-oriented pervasive computing systems through the runtime interpretation of colored Petri nets. The current work focuses on the change management and component control layers....

Biology and Economics: Metaphors that Economists usually take from Biology

Directory of Open Access Journals (Sweden)

Danny García Callejas

2007-10-01

Full Text Available Adam Smith, Alfred Marshall, Stanley Jevons, Karl Marx, Francois Quesnay and Joseph Schumpeter all have at least one thing in common: they used biological metaphors when speaking about economics. Nonetheless, today, this relation subsists and biology and economics are viewed as complementary sciences that have a lot to gain from joint research in fields like: evolutionary economics, economic growth, cognitive economics and environmental and ecological economics, among others. This paper, divided in four sections, will show this conclusion and explain that biology and economics are more sisters than strangers

From subsistance farming to agro-business

International Nuclear Information System (INIS)

Delfino, M.

1994-01-01

A review of the parallel session on Hardware Architectures is presented. Legacy systems from the open-quotes subsistance farmingclose quotes era, where small groups from experiments built or assembled their own loosely-coupled parallel systems must still be maintained, but the major trend is towards a re-birth of the Computer Center, using open-quotes agrobusinessclose quotes technology, the large scale use of loosely-coupled parallel systems using a high performance network to communicate with storage subsystems

Methodology of Economic Assessment of Corporate Finance Management Effectiveness

OpenAIRE

Juscu Nicolae Cristian

2011-01-01

“The methodology of economic assessment of corporate finance management effectiveness” deals with the analysis of the basic issues of economic aspects of corporate finance management effectiveness; the paper presents the essential issues of the existing methods for establishing the economic effectiveness of corporate finance management and control; it also proposes the improvement of the approach regarding the assessment of finance management effectiveness of a company.

Assessing economic tradeoffs in forest management.

Science.gov (United States)

Ernie Niemi; Ed. Whitelaw

1999-01-01

Method is described for assessing the competing demands for forest resources in a forest management plan by addressing economics values, economic impacts, and perceptions of fairness around each demand. Economics trends and forces that shape the dynamic ecosystem-economy relation are developed. The method is demonstrated through an illustrative analysis of a forest-...

SELF MANAGEMENT PROGRAM MENINGKATKAN KOPING, NIAT DAN KEPATUHAN BEROBAT PASIEN PJK SETELAH PEMBERIAN SELF MANAGEMENT PROGRAM

Directory of Open Access Journals (Sweden)

Hanim mufarokhah mufarokhah

2016-04-01

Full Text Available Introduction: Management coronary artery disease required lifelong treatment. The successful management of CHD requires efective coping, intention and medication adherence of CHD’s patients. This study aimed to explain the changes of coping, intention, and medication adherence in patients with CHD after giving self management programme in RSUD Jombang based on Theory Planned Behavior.Method: This study used a quasy experimental pretest-posttest control group design and 28 respondens selected by consecutive sampling. Independent variable was self management programme while dependent variables were coping, intention, medication adherence. Data were collected by using questonnaires measuring coping level, intention and medication adherence. The statistical test used was Mann Whitney, Wilcoxone Signed Rank and t-Test. Result: The result showed that 1 self management programme improve the level of coping in patients with CHD (p < 0,001, 2 self management programme improve the level of intention in patients with CHD (p < 0,001, 3 self management programme improve the level of medication adherence in patients with CHD (p < 0,001. Discussion: To change a behavior requires improvement of coping and intentions. This is in according to the Theory of Planned Behavior that behavior change is influenced by the attitude toward the behavior, subjective norm, perceived behavioral control and intention. Keywords: self management program, coping, intention, medication adherence, coronary heart disease

Enhancing Self-Esteem through Self-Management Strategies.

Science.gov (United States)

Valett, Robert E.

Self-esteem, well managed, is a powerful force for effective learning. Research has shown that good self-esteem is associated with analytical thinking, persistence, creative ability, social independence, stability and high expectations, and that the antecedents of positive self-esteem are found in parental models who provide firm guidance in the…

Self-Management: Taking Charge of Your Health

Science.gov (United States)

... method of taking control is called “self-management.” What is self-management of chronic illness? Self-management of chronic illness means that you take responsibility for doing what it takes to manage your illness effectively. It’s ...

Agricultural activities of the malayali tribal for subsistence and economic needs in the mid elevation forest of pachamalai hills, eastern ghats, Tamil nadu

Directory of Open Access Journals (Sweden)

V. Anburaja

2012-06-01

Full Text Available This paper is aimed to study the Agricultural activities of the Malayali Tribal for Subsistence and Economic needs in the mid elevation forest of Pachamalai Hills, Eastern Ghats, Tamil nadu. About 8 percent of the Indian population belongs to a category listed as “Scheduled Tribes” enumerated in the Schedule to Article 342 of the Constitution of India. Tribal people has been seen to be strongly associated with the forests, hills and remote areas, practicing a unique life style, having a unique set of cultural and religious beliefs. For millennia, tribal communities have lived in forests and survived on hunting and gathering. However, with growing population and resource pressure, it is now witnessing that a rise in livelihoods based on settled farming. In the study area, cereals are the major crop cultivated for their edible grains. The tribal people living in the hills tops of the study area were cultivated 11 major agricultural crops. They are, Eleusine coracana, Panicum miliare, Oryza sativa (verity I (Mara Nellu, Oryza sativa (verity II, Manihot esculenta, Macrotyloma uniflorum, Vigna mungo, Sesamum orientale, Paspalum sp, Pennisetum americanum and Setaria italica. Among them, Paspalum sp gives the maximum yield with 655 kg acre-1.

Case studies on the socio-economic characteristics and lifestyles ...

African Journals Online (AJOL)

To develop a management strategy for informal fishers, a necessary first step is information ... Only ~20% of fishers were women and ~15% were children. ... encouraging further exploration of this style of management for subsistence fishers.

Project management for economical nuclear energy

International Nuclear Information System (INIS)

Majerle, P.P.

2005-01-01

The price of electricity is significantly influenced by the cost of the initial generation asset. The cost of the initial nuclear generation asset is significantly influenced by the design and construction duration. Negative variations in the cost and duration of actual design and construction have historically impacted the early relative economics of nuclear power generation. Successful management of plant design information will mitigate the risks of the design and construction of future nuclear plants. Information management tools that can model the integrated delivery of large complex projects enable the project owners to accurately evaluate project progress, as well as the economic impact of regulatory, political, or market activities not anticipated in the project execution plan. Significant differences exist in the electrical energy markets, project delivery models, and fuel availability between continents and countries. However, each market and project delivery model is challenged by the need to produce economical electrical energy. The information management system presented in this paper provides a means to capture in a single integrated computerized database the design information developed during plant design, procurement, and construction and to allow this information to be updated and retrieved in real time by all project participants. Utilization of the information management system described herein will enable diverse project teams to rapidly and reliably input, share, and retrieve power plant information, thereby supporting project management's goal to make good on its commitment to the economic promise of tomorrow's nuclear electrical power generation by achieving cost-effective construction. (authors)

Subsistence and recreational mussel (Perna perna) collecting in ...

African Journals Online (AJOL)

tional collectors are subject to a daily bag limit of 50 mussels and so select ... in subsistence collecting at Kosi Bay is required, but the limited access policy should ... in India (P. viridis and P. indica), Indonesia (P. viridis) and ...... by women in Palau, Micronesia. ... Inshore marine resources and associated opportunities for.

Workers’ Self-management, Recovered Companies and the Sociology of Work

Science.gov (United States)

Croucher, Richard

2014-01-01

We analyse how far Argentina’s worker-recovered companies (WRCs) have sustained themselves and their principles of equity and workers’ self-management since becoming widespread following the country’s 2001–2 economic crisis. Specialist Spanish-language sources, survey data and documents are analysed through four key sociological themes. We find that the number of WRCs has increased in Argentina, and that they represent a viable production model. Further, they have generally maintained their central principles and even flourished. This occurred despite the global economic crisis, legal and financial pressures to adopt capitalist practices and management structures, the risk of market absorption and state attempts to coopt, demobilise and depoliticise the movement. We argue that today they function as a much-needed international beacon of an alternative vision for labour and that integration of their experience has potential to revitalise the field. PMID:25419009

Economic Tools for Managing Nitrogen in Coastal Watersheds ...

Science.gov (United States)

Watershed managers are interested in using economics to communicate the value of estuarine resources to the wider community, determine the most cost-effective means to reduce nitrogen pollution, and evaluate the benefits of taking action to improve coastal ecosystems. We spoke to coastal watershed managers who had commissioned economic studies and found that they were largely satisfied with the information and their ability to communicate the importance of coastal ecosystems. However, while managers were able to use these studies as communication tools, methods used in some studies were inconsistent with what some economists consider best practices. In addition, many watershed managers are grappling with how to implement nitrogen management activities in a way that is both cost-effective and achieves environmental goals, while maintaining public support. These and other issues led to this project. Our intent is to provide information to watershed managers and others interested in watershed management – such as National Estuary Programs, local governments, or nongovernmental organizations – on economic tools for managing nitrogen in coastal watersheds, and to economists and other analysts who are interested in assisting them in meeting their needs. Watershed management requires balancing scientific, political, and social issues to solve environmental problems. This document summarizes questions that watershed managers have about using economic analysis, and g

Older Patients' Perspectives on Managing Complexity in CKD Self-Management.

Science.gov (United States)

Bowling, C Barrett; Vandenberg, Ann E; Phillips, Lawrence S; McClellan, William M; Johnson, Theodore M; Echt, Katharina V

2017-04-03

Patients with CKD are asked to perform self-management tasks including dietary changes, adhering to medications, avoiding nephrotoxic drugs, and self-monitoring hypertension and diabetes. Given the effect of aging on functional capacity, self-management may be especially challenging for older patients. However, little is known about the specific challenges older adults face maintaining CKD self-management regimens. We conducted an exploratory qualitative study designed to understand the relationship among factors facilitating or impeding CKD self-management in older adults. Six focus groups ( n =30) were held in August and September of 2014 with veterans≥70 years old with moderate-to-severe CKD receiving nephrology care at the Atlanta Veterans Affairs Medical Center. Grounded theory with a constant comparative method was used to collect, code, and analyze data. Participants had a mean age (range) of 75.1 (70.1-90.7) years, 60% were black, and 96.7% were men. The central organizing concept that emerged from these data were managing complexity. Participants typically did not have just one chronic condition, CKD, but a number of commonly co-occurring conditions. Recommendations for CKD self-management therefore occurred within a complex regimen of recommendations for managing other diseases. Participants identified overtly discordant treatment recommendations across chronic conditions ( e.g., arthritis and CKD). Prioritization emerged as one effective strategy for managing complexity ( e.g. , focusing on BP control). Some patients arrived at the conclusion that they could group concordant recommendations to simplify their regimens ( e.g. , protein restriction for both gout and CKD). Among older veterans with moderate-to-severe CKD, multimorbidity presents a major challenge for CKD self-management. Because virtually all older adults with CKD have multimorbidity, an integrated treatment approach that supports self-management across commonly occurring conditions may be

Modelling management process of key drivers for economic sustainability in the modern conditions of economic development

Directory of Open Access Journals (Sweden)

Pishchulina E.S.

2017-01-01

Full Text Available The text is about issues concerning the management of driver for manufacturing enterprise economic sustainability and manufacturing enterprise sustainability assessment as the key aspect of the management of enterprise economic sustainability. The given issues become topical as new requirements for the methods of manufacturing enterprise management in the modern conditions of market economy occur. An economic sustainability model that is considered in the article is an integration of enterprise economic growth, economic balance of external and internal environment and economic sustainability. The method of assessment of economic sustainability of a manufacturing enterprise proposed in the study allows to reveal some weaknesses in the enterprise performance, and untapped reserves, which can be further used to improve the economic sustainability and efficiency of the enterprise. The management of manufacturing enterprise economic sustainability is one of the most important factors of business functioning and development in modern market economy. The relevance of this trend is increasing in accordance with the objective requirements of the growing volumes of production and sale, the increasing complexity of economic relations, changing external environment of an enterprise.

Managing Epilepsy Well: Emerging e-Tools for epilepsy self-management.

Science.gov (United States)

Shegog, Ross; Bamps, Yvan A; Patel, Archna; Kakacek, Jody; Escoffery, Cam; Johnson, Erica K; Ilozumba, Ukwuoma O

2013-10-01

The Managing Epilepsy Well (MEW) Network was established in 2007 by the Centers for Disease Control and Prevention Epilepsy Program to expand epilepsy self-management research. The network has employed collaborative research strategies to develop, test, and disseminate evidence-based, community-based, and e-Health interventions (e-Tools) for epilepsy self-management for people with epilepsy, caregivers, and health-care providers. Since its inception, MEW Network collaborators have conducted formative studies (n=7) investigating the potential of e-Health to support epilepsy self-management and intervention studies evaluating e-Tools (n=5). The MEW e-Tools (the MEW website, WebEase, UPLIFT, MINDSET, and PEARLS online training) and affiliated e-Tools (Texting 4 Control) are designed to complement self-management practices in each phase of the epilepsy care continuum. These tools exemplify a concerted research agenda, shared methodological principles and models for epilepsy self-management, and a communal knowledge base for implementing e-Health to improve quality of life for people with epilepsy. © 2013.

New insights into the subsistence economy of the Eneolithic Dereivka culture of the Ukrainian North-Pontic region through lipid residues analysis of pottery vessels

OpenAIRE

Mileto, Simona; Kaiser, Elker; Rassamakin, Yuri; Evershed, Richard

2017-01-01

The Dereivka site of the North-Pontic forest-steppe has been widely investigated because of its potential as a centre for horse domestication (Levine, 1990; Telegin, 1986). Despite the significant archaeological evidence available, Dereivka is considered a contradictory and complex site (Rassamakin, 1999: 3) due to a range of challenges connected with reconciling the various lines of available archaeological evidence. Consequently, a generally acceptable subsistence economic model has still t...

PARTICULARITIES OF MANAGEMENT'S FUNCTIONS IN ECONOMIC CRISIS CONDITIONS

Directory of Open Access Journals (Sweden)

Amalia Venera Todoruţ

2009-05-01

Full Text Available In this paper I have proposed to address/approach new dimensions of management in the economic crisis at the strategic and tactical levels, and in particular at the operational level. I have presented aspects/issues of the economic crisis in our country, by characterize the impact of crisis on the main sectors of national economy. Globalization, high flexibility, continuous improvement, tolerance for uncertainty is the general attributes of the new organizations that require a new managerial process. The organizational environments uncertain, turbulent, specific to economic crisis involve new accents of management instruments in order to achieve managerial effectiveness and efficiency and to this sense we scale new management by objective and management by exception. We also put emphasis on total quality management method and the need for change management by reengineering

Theoretical component of national financial, economic and cooperative education in Western Ukraine (second half of XIX-XX centuries and its role in economic management of the region

Directory of Open Access Journals (Sweden)

Holubka M. M.

2016-06-01

Full Text Available In the article, the theoretical components of the development of national financial and economic as well as cooperative education in the Western territories of Ukraine in the second half of the XIX-the beginning of the XX century and its role in economic management in the region were covered. The methodology and the general essence of the financial and economic as well as cooperative education, and its significant influence on the community were analyzed. Importance and significance of financial and economic as well as cooperative education for realizing the opportunities for the self-understanding of a human as an economically active member of the nation was identified. The development of the financial and economic as well as cooperative education of the population that has proved a key role in these processes and various institutions of self-education partnerships was analyzed. The broad functionality of such associations and the transformation of the main goal of its activities from educational proper to educational, financial and economic was revealed. The basic achievements of associations and associates in terms of the support for the establishment of various organizations for the business purposes, cooperatives, educational institutions, professional courses, publishing, organization of specialized events, financial institutions and their importance to financial, economic and cooperative education were described.

Socio-economic indicators influencing the adoption of hybrid ...

African Journals Online (AJOL)

The study observed the poor use of hybrid sorghum cultivars by subsistence farmers. The project sought to establish which, if any, socio-economic factors influence the adoption of hybrid sorghum cultivars by this sector of the farming community. The focus was on Makhuduthamaga Municipality in Sekhukhune District of ...

Social Ecology and Diabetes Self-Management among Pacific Islanders in Arkansas.

Science.gov (United States)

McElfish, Pearl Anna; Moore, Ramey; Woodring, David; Purvis, Rachel S; Maskarinec, Gregory G; Bing, Williamina Ioanna; Hudson, Jonell; Kohler, Peter O; Goulden, Peter A

2016-01-01

Chronic diseases disproportionately affect ethnic and racial minorities. Pacific Islanders, including the Marshallese, experience some of the highest documented rates of type 2 diabetes. Northwest Arkansas is home to the largest population of Marshallese outside of the Republic of the Marshall Islands, and many migrants are employed by the local poultry industry. This migrant population continues to increase because of climate change, limited health care and educational infrastructure in the Marshall Islands, and the ongoing health effects of US nuclear testing. The US nuclear weapons testing program had extensive social, economic, and ecological consequences for the Marshallese and many of the health disparities they face are related to the nuclear fallout. Beginning in 2013, researchers using a community-based participatory (CBPR) approach began working with the local Marshallese community to address diabetes through the development and implementation of culturally appropriate diabetes self-management education in a family setting. Preliminary research captured numerous and significant environmental barriers that constrain self-management behaviors. At the request of our CBPR stakeholders, researchers have documented the ecological barriers faced by the Marshallese living in Arkansas through a series of qualitative research projects. Using the Social Ecological Model as a framework, this research provides an analysis of Marshallese health that expands the traditional diabetes self-management perspective. Participants identified barriers at the organizational, community, and policy levels that constrain their efforts to achieve diabetes self-management. We offer practice and policy recommendations to address barriers at the community, organizational, and policy level.

A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes.

Science.gov (United States)

Newton, Paul; Asimakopoulou, Koula; Scambler, Sasha

2015-01-01

The study examined the motives that people living with type 2 diabetes (T2D) had for self-managing their condition and ways they used to assess the success of their self-management efforts. Using semistructured interviews (N = 25), focus groups (3 × N = 12 participants), and open-ended questionnaires (N = 6), people living with and self-managing T2D were recruited from a community-based T2D participation group. Most participants were older (aged 60+) and lived in a socioeconomically deprived area in the United Kingdom. Data were analysed thematically using framework analysis. Patients' motives for self-management included (i) concern about the anticipative effects of T2D; (ii) wishing to "stay well"; (iii) maintaining independence; (iv) reducing the need for healthcare professionals; and (v) improving quality of life. Six self-management styles were found and pertained to self-managing: (i) through routinisation; (ii) as a burden; (iii) as maintenance; (iv) through delegation; (v) through comanagement; and (vi) through autonomy. Motivators for self-management shaped the criteria people used to judge the success of their self-management practices and influenced their self-management style. The findings show that styles of T2D self-management are mediated and moderated by sociocontextual issues. Healthcare professionals should take these into account when supporting people living with T2D.

A Qualitative Exploration of Motivation to Self-Manage and Styles of Self-Management amongst People Living with Type 2 Diabetes

Directory of Open Access Journals (Sweden)

Paul Newton

2015-01-01

Full Text Available The study examined the motives that people living with type 2 diabetes (T2D had for self-managing their condition and ways they used to assess the success of their self-management efforts. Using semistructured interviews (N=25, focus groups (3 ×  N=12 participants, and open-ended questionnaires (N=6, people living with and self-managing T2D were recruited from a community-based T2D participation group. Most participants were older (aged 60+ and lived in a socioeconomically deprived area in the United Kingdom. Data were analysed thematically using framework analysis. Patients’ motives for self-management included (i concern about the anticipative effects of T2D; (ii wishing to “stay well”; (iii maintaining independence; (iv reducing the need for healthcare professionals; and (v improving quality of life. Six self-management styles were found and pertained to self-managing: (i through routinisation; (ii as a burden; (iii as maintenance; (iv through delegation; (v through comanagement; and (vi through autonomy. Motivators for self-management shaped the criteria people used to judge the success of their self-management practices and influenced their self-management style. The findings show that styles of T2D self-management are mediated and moderated by sociocontextual issues. Healthcare professionals should take these into account when supporting people living with T2D.

Self-management education and support in chronic disease management.

Science.gov (United States)

McGowan, Patrick T

2012-06-01

With the changing health care environment, prevalence of chronic health conditions, and burgeoning challenges of health literacy, obesity, and homelessness, self-management support provides an opportunity for clinicians to enhance effectiveness and, at the same time, to engage patients to participate in managing their own personal care. This article reviews the differences between patient education and self-management and describes easy-to-use strategies that foster patient self-management and can be used by health care providers in the medical setting. It also highlights the importance of linking patients to nonmedical programs and services in the community. Copyright © 2012 Elsevier Inc. All rights reserved.

Self-management socialism compared to social market economy in transition: Are there convergent paths?

OpenAIRE

Mulaj, Isa

2009-01-01

Despite considerable and miscellaneous research in transition economics, some of its aspects have yet to evolve and come up with a more standard theory. After the initial systemic change in two versions of socialist systems - centralist in the former Soviet Union (FSU), and self-management in the former Socialist Federal Republic of Yugoslavia (SFRY), and rush towards a market-based system, setbacks in economic performance were marked by a sharp decline in living standards for the majority of...

Modern Olympic sport: economic mechanism of self-development

Directory of Open Access Journals (Sweden)

Bubka S.N.

2011-12-01

Full Text Available The paper presents characteristics of the Olympic movement as a real self-sufficient socio-economic phenomenon, with its inherent internal mechanism of self-development. There are identified the main problems of improving the mechanism of self-development, the modernization of the distribution of income from the sale of commercial programs between the participants of Olympic sports and enhance the fight against "piracy" marketing. The objectives of the NOC assistance program implemented by "Olympic Solidarity" fund are defined, the structure of expenditures on the IOC "Olympic Solidarity" program implementation are presented.

Contrasting patterns of prehistoric human diet and subsistence in northernmost Europe.

Science.gov (United States)

Pääkkönen, Mirva; Bläuer, Auli; Olsen, Bjørnar; Evershed, Richard P; Asplund, Henrik

2018-01-18

Current archaeological evidence indicates the transition from hunting-fishing-gathering to agriculture in Northern Europe was a gradual process. This transition was especially complex in the prehistoric North Fennoscandian landscape where the high latitude posed a challenge to both domestic animal breeding and cereal cultivation. The conditions varied, the coastal dwellers had access to rich marine resources and enjoyed a milder climate due to the Gulf Stream, while those living in the inland Boreal forest zone faced longer and colder winters and less diversity in animal and plant resources. Thus, the coastal area provided more favourable conditions for early agriculture compared to those found inland. Interestingly, a cultural differentiation between these areas is archaeologically visible from the late 2 nd millennium BC onwards. This is most clearly seen in regionally distinct pottery styles, offering unique opportunities to probe diet and subsistence through the organic residues preserved in ceramic vessels. Herein, we integrate the lipid biomarker, compound-specific stable carbon isotopes (δ 13 C), and zooarchaeological evidence to reveal culturally distinct human diets and subsistence patterns. In northern Norway, some of the coastal people adopted dairying as part of their subsistence strategy, while the inhabitants of the interior, in common with northern Finland, continued their hunter-gatherer-fisher lifestyles.

Frontline nurse managers' confidence and self-efficacy.

Science.gov (United States)

Van Dyk, Jennifer; Siedlecki, Sandra L; Fitzpatrick, Joyce J

2016-05-01

This study was focused on determining relationships between confidence levels and self-efficacy among nurse managers. Frontline nurse managers have a pivotal role in delivering high-quality patient care while managing the associated costs and resources. The competency and skill of nurse managers affect every aspect of patient care and staff well-being as nurse managers are largely responsible for creating work environments in which clinical nurses are able to provide high-quality, patient-centred, holistic care. A descriptive, correlational survey design was used; 85 nurse managers participated. Years in a formal leadership role and confidence scores were found to be significant predictors of self-efficacy scores. Experience as a nurse manager is an important component of confidence and self-efficacy. There is a need to develop educational programmes for nurse managers to enhance their self-confidence and self-efficacy, and to maintain experienced nurse managers in the role. © 2016 John Wiley & Sons Ltd.

Self-organization theories and environmental management: The case of South Moresby, Canada

Science.gov (United States)

Grzybowski, Alex G. S.; Slocombe, D. Scott

1988-07-01

This article presents a new approach to the analysis and management of large-scale societal problems with complex ecological, economic, and social dimensions. The approach is based on the theory of self-organizing systems—complex, open, far-from-equilibrium systems with nonlinear dynamics. A brief overview and comparison of different self-organization theories (synergetics, self-organization theory, hypercycles, and autopoiesis) is presented in order to isolate the key characteristics of such systems. The approach is used to develop an analysis of the landuse controversy in the South Moresby area of the Queen Charlotte Islands, British Columbia, Canada. Critical variables are identified for each subsystem and classified by spatial and temporal scale, and discussed in terms of information content and internal/external origin. Eradication of sea otters, introduction of black-tailed deer, impacts of large-scale clearcut logging, sustainability of the coastal forest industry, and changing relations between native peoples and governments are discussed in detail to illustrate the system dynamics of the South Moresby “sociobiophysical” system. Finally, implications of the self-organizing sociobiophysical system view for regional analysis and management are identified.

Financial and economic determinants of collective action: The case of wastewater management

International Nuclear Information System (INIS)

Brunner, Norbert; Starkl, Markus

2012-01-01

Where public environmental funds support development of wastewater infrastructure, funding institutions ensure the economic use of funds, while the beneficiaries minimize their own costs. In rural areas, there is often a choice between decentralized or centralized (multi-village) systems: if the centralized system is most economic, then only this system is eligible for public funding. However, its implementation requires a voluntary cooperation of the concerned communities, who need to organize themselves to develop and run the infrastructure. The paper analyzes the social determinants of collaboration in a generic case study, using the following variables: method of (economic) assessment, modeled by the social discount rate, funding policy, modeled by the funding rate, and users' self-organization, modeled by cost sharing. In a borderline situation, where the centralized system turns out to be most economic, but this assessment is contingent on the assessment method, collective action may fail: the advantages of collective action from funding are too small to outweigh organizational deficiencies. Considering in this situation sanitation as a human right, authors recommend using innovative forms of organization and, if these fail, reassessing either the amount of funding or the eligibility for funding of more acceptable alternatives. - Highlights: ► A generic case study models collective action and funding in wastewater management. ► Determinants of success: economic assessment, funding policy and self-organization. ► Success indicators: conflict rate, funds needed to make cost shares fair. ► Method for analyzing centralized vs. decentralized disputes. ► If collective action has less benefits, innovative cost sharing may ensure success.

Self-management of vascular risk factors

NARCIS (Netherlands)

Sol-de Rijk, B.G.M.

2009-01-01

Summary The aim of this thesis was to provide insight into the potential of a self-management approach in treatment of vascular risk factors and to develop a self-management intervention. Furthermore to examine if this intervention, based on self-efficacy promoting theory, is effective in reducing

PAH data in tissues of subsistence harvested marine mammal - Determination of PAH baseline values in tissues from subsistence-harvested marine mammals on the North Slope

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Over the past 15 years, high quality marine mammal tissue and fluid samples collected by subsistence hunters in the North Slope region of Alaska have been archived...

REVISITING THE CONTEMPORARY OTKHODNICHESTVO AS A TRADITIONAL SUBSISTENCE PATTERN IN THE RUSSIAN PROVINCE

Directory of Open Access Journals (Sweden)

Zhidkevich N. N.

2015-06-01

Full Text Available Domestic temporary labor migration is a phenomenon of pro-active forced circular departure from home, where the labor market had collapsed, to work in economically developed regions. Experts’ estimates of this phenomenon magnitude vary, but practically all of them admit its substantial impact on labor market on the one hand, and on social and economic processes in the province on the other hand. The scales and the complexity of this problem cause its importance both for the researches and the state. However, this phenomenon is studied fragmentarily, compared to more “visible” cross-border and commuter migration: the official statistics accounting agencies don’t record such a migration. Due to the same reason migrants’ activity is not regulated by the state. Observations on this specific type of migration allows finding out substantial concordance of domestic temporary labor migrants’ and historical peasants-otkhodniks’ characteristics. At the same time, the phenomenon of both new and historical otkhodnichestvo is similar to soviet «shabashnichestvo» on its characteristics. The article deals with the analysis of the contemporary otkhodnichestvo as a traditional subsistence pattern in the Russian province.

Challenges to socio-economic research in a changing society - with a special focus on Greenland

DEFF Research Database (Denmark)

Poppel, Birger; Rasmussen, Rasmus Ole; Winther, Gorm

2005-01-01

The process of changes in Arctic societies has been from a cultural order to an economic order, and from a closed society based on barter and subsistence to a society based on economic exchange through monetary means. Consequently, understanding the currents of change requires a definite focus...

Expectations and needs of patients with a chronic disease toward self-management and eHealth for self-management purposes.

Science.gov (United States)

Huygens, Martine W J; Vermeulen, Joan; Swinkels, Ilse C S; Friele, Roland D; van Schayck, Onno C P; de Witte, Luc P

2016-07-08

Self-management is considered as an essential component of chronic care by primary care professionals. eHealth is expected to play an important role in supporting patients in their self-management. For effective implementation of eHealth it is important to investigate patients' expectations and needs regarding self-management and eHealth. The objectives of this study are to investigate expectations and needs of people with a chronic condition regarding self-management and eHealth for self-management purposes, their willingness to use eHealth, and possible differences between patient groups regarding these topics. Five focus groups with people with diabetes (n = 14), COPD (n = 9), and a cardiovascular condition (n = 7) were conducted in this qualitative research. Separate focus groups were organized based on patients' chronic condition. The following themes were discussed: 1) the impact of the chronic disease on patients' daily life; 2) their opinions and needs regarding self-management; and 3) their expectations and needs regarding, and willingness to use, eHealth for self-management purposes. A conventional content analysis approach was used for coding. Patient groups seem to differ in expectations and needs regarding self-management and eHealth for self-management purposes. People with diabetes reported most needs and benefits regarding self-management and were most willing to use eHealth, followed by the COPD group. People with a cardiovascular condition mentioned having fewer needs for self-management support, because their disease had little impact on their life. In all patient groups it was reported that the patient, not the care professional, should choose whether or not to use eHealth. Moreover, participants reported that eHealth should not replace, but complement personal care. Many participants reported expecting feelings of anxiety by doing measurement themselves and uncertainty about follow-up of deviant data of measurements. In addition

Chronic condition self-management: expectations of responsibility.

Science.gov (United States)

Lawn, Sharon; McMillan, John; Pulvirenti, Mariastella

2011-08-01

While self-management may be beneficial for many patients it assumes and encourages a particular conception of responsibility and self-management that may not fit with all patients' experience of their chronic conditions and their management. It therefore warrants further examination. We examine the concept of self-management and responsibility from a range of standpoints, focusing on the Australian context. Attempts to meet people's needs run the risk of imposing specific conceptions of how people should live their lives. While self-management appears to be consistent with placing patients' needs, values and priorities at the heart of healthcare, ill-defined assumptions about responsibility may confound these goals. Reflection on social determinants of health, the context in which patients seek self-management support from health services, and how their needs and preferences are listened to by health professionals, is critical for the collaborative self-management partnership between them to be effectively realized. Providing services without reflecting on the meaning of self-management for the person with chronic conditions creates unintended assumptions about responsibility, engagement and care provision which may serve to alienate and further stigmatise some patients. Often, these are the very patients with complex needs who need such service support the most. Crown Copyright © 2010. Published by Elsevier Ireland Ltd. All rights reserved.

Another look at economic approaches to environmental management and policy with reference to developments in South Africa

Directory of Open Access Journals (Sweden)

Martin De Wit

2016-12-01

Full Text Available The wide acceptance of economic approaches to environmental management and policy, masks increasing heterogeneity in the field. This editorial addresses the question whether the economic approach is still warranted and under which conditions. A broad outline of the trends in both orthodox and heterodox economic approaches is also presented. The traditional split between environmental and ecological economics is not doing justice to recent developments in the field. Instead it is proposed to rather refer to Environmental, Resource and Ecological Economics (EREE, Ecological-Economic Systems (EES and Socio-Ecological Systems (SES approaches as well as Heterodox approaches to Environment and Sustainability (HEES. The contributions made to this special issue are placed within their respective subfields of influence. It is concluded that a deeper, self-critical exposition of moral philosophies and values as well as models of reality are needed. A strategy of engagement in an attitude of self-criticism, humility and in participation with others is proposed as a viable way forward. For such a process to be successful two conditions are required, namely valuing the human person and accepting the reality of a nondeterminate world full of meaning.

Effects of Self-Rated Health and Self-Rated Economic Situation on Depressed Mood Via Life Satisfaction Among Older Adults in Costa Rica

Science.gov (United States)

Reyes Fernández, Benjamín; Rosero-Bixby, Luis; Koivumaa-Honkanen, Heli

2016-01-01

Objective: The study examined the relationship of self-rated health and self-rated economic situation with depressed mood, and life satisfaction as mediator of this relationship among older adults in Costa Rica. Method: A longitudinal study was conducted with a subsample (N = 1,618) from the Costa Rican Longevity and Healthy Aging Study (CRELES). Self-rated health, self-rated economic situation, depressed mood, and life satisfaction were measured at baseline, and depressed mood was reassessed 18 months later. Putative mechanisms for changes in depressed mood were examined by means of conditional process analysis. Results: Self-rated health was negatively associated to depressed mood. This effect took place via life satisfaction. An interaction showed that better economic situation compensated the effect of a low self-rated health on life satisfaction. Discussion: This study suggests that subjective variables such as self-rated health, economic situation, and life satisfaction should be considered when addressing the onset of depressed mood. PMID:26092651

Economics and policies of nuclear plant life management

International Nuclear Information System (INIS)

Yamagata, H.

1998-01-01

NEA provides an opportunity for international exchange of information on the economics and policies of nuclear plant life management for governments and plant owners. The NEA Secretariat is finalising the 'state-of-the-art report' on the economics and policies of nuclear plant life management, including the model approach and national summaries. In order to meet power supply obligations in the early 2000, taking into account energy security, environmental impact, and the economics of nuclear power plants whose lives have been extended, initiatives at national level must be taken to monitor, co-ordinate, and support the various industry programmes of nuclear plant life management by integrated and consistent policies, public acceptance, R and D, and international co-operation. Nuclear power owners should establish an organisation and objectives to carry nuclear plant life management in the most economic and smoothest way taking into consideration internal and external influences. The organisation must identify the critical item and the ageing processes, and optimise equipment reliability and maintenance workload. (author)

Illness perception, treatment beliefs, self-esteem, and self-efficacy as correlates of self-management in multiple sclerosis.

Science.gov (United States)

Wilski, M; Tasiemski, T

2016-05-01

Self-management of a disease is considered one of the most important factors affecting the treatment outcome. The research on the correlates of self-management in multiple sclerosis (MS) is limited. The aim of this study was to determine if personal factors, such as illness perception, treatment beliefs, self-esteem and self-efficacy, are correlates of self-management in MS. This cross-sectional study included 210 patients with MS who completed Multiple Sclerosis Self-Management Scale - Revised, Brief Illness Perception Questionnaire, Treatment Beliefs Scale, Rosenberg Self-Esteem Scale, and Generalized Self-Efficacy Scale. The patients were recruited from a MS rehabilitation clinic. Demographic data and illness-related problems of the study participants were collected with a self-report survey. Correlation and regression analyses were performed to determine associations between variables. Four factors: age at the time of the study (β = 0.14, P = 0.032), timeline (β = 0.16, P = 0.018), treatment control (β = 0.17, P = 0.022), and general self-efficacy (β = 0.19, P = 0.014) turned out to be the significant correlates of self-management in MS. The model including these variables explained 25% of variance in self-management in MS. Personal factors, such as general self-efficacy, perception of treatment control and realistic MS timeline perspective, are more salient correlates of self-management in MS than the objective clinical variables, such as the severity, type, and duration of MS. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Technological economics: innovation, project management, and technology transfer

Energy Technology Data Exchange (ETDEWEB)

Bradbury, F R

1981-06-01

The relationship between economics and technology, as well as their interaction in production, productivity, project management, and in technology transfer processes are reviewed. Over the last two decades there has been an increasing interest by economists in the technologist's view of technical change and its mechanisms. The author looks at the zone between technology and economics, the technological economics, and discusses the theory of innovation recently sketched out by Nelson and Winter. The relevance to project management and technology transfer of contemporary writing by economists leads to the view that there are welcome signs of a convergence of the conceptual models now emerging and the practical problems of technology management and movement. Economists now seem more willing to come to terms with technology than technologists with economics. The economic significance of the multitudes of technically unglamorous activities in development work is seriously neglected as a result of over-emphasis on the spectacular technological break. If economic elegance were to be admitted to the criteria of success, one might get a significant improvement in the engineering of technological change. 29 references, 4 figure.

Mercury interferes with endogenous antioxidant levels in Yukon River subsistence-fed sled dogs

International Nuclear Information System (INIS)

Dunlap, Kriya L; Reynolds, Arleigh J; Duffy, Lawrence K; Gerlach, S Craig

2011-01-01

Before adopting modern corn-and-grain-based western processed diets, circumpolar people had a high fat and protein subsistence diet and exhibited a low incidence of obesity, diabetes and cardiovascular disease. Some health benefits are attributable to a subsistence diet that is rich in omega-3 fatty acids and antioxidants. Pollution, both global and local, is a threat to wild foods, as it introduces contaminants into the food system. Northern indigenous people and their sled dogs are exposed to a variety of contaminants, including mercury, that accumulate in the fish and game that they consume. The sled dogs in Alaskan villages are maintained on the same subsistence foods as their human counterparts, primarily salmon, and therefore they can be used as a food systems model for researching the impact of changes in dietary components. In this study, the antioxidant status and mercury levels were measured for village sled dogs along the Yukon River. A reference kennel, maintained on a nutritionally balanced commercial diet, was also measured for comparison. Total antioxidant status was inversely correlated with the external stressor mercury.

Mercury interferes with endogenous antioxidant levels in Yukon River subsistence-fed sled dogs

Science.gov (United States)

Dunlap, Kriya L.; Reynolds, Arleigh J.; Gerlach, S. Craig; Duffy, Lawrence K.

2011-10-01

Before adopting modern corn-and-grain-based western processed diets, circumpolar people had a high fat and protein subsistence diet and exhibited a low incidence of obesity, diabetes and cardiovascular disease. Some health benefits are attributable to a subsistence diet that is rich in omega-3 fatty acids and antioxidants. Pollution, both global and local, is a threat to wild foods, as it introduces contaminants into the food system. Northern indigenous people and their sled dogs are exposed to a variety of contaminants, including mercury, that accumulate in the fish and game that they consume. The sled dogs in Alaskan villages are maintained on the same subsistence foods as their human counterparts, primarily salmon, and therefore they can be used as a food systems model for researching the impact of changes in dietary components. In this study, the antioxidant status and mercury levels were measured for village sled dogs along the Yukon River. A reference kennel, maintained on a nutritionally balanced commercial diet, was also measured for comparison. Total antioxidant status was inversely correlated with the external stressor mercury.

Economics of Managed Aquifer Recharge

Directory of Open Access Journals (Sweden)

Robert G. Maliva

2014-05-01

Full Text Available Managed aquifer recharge (MAR technologies can provide a variety of water resources management benefits by increasing the volume of stored water and improving water quality through natural aquifer treatment processes. Implementation of MAR is often hampered by the absence of a clear economic case for the investment to construct and operate the systems. Economic feasibility can be evaluated using cost benefit analysis (CBA, with the challenge of monetizing benefits. The value of water stored or treated by MAR systems can be evaluated by direct and indirect measures of willingness to pay including market price, alternative cost, value marginal product, damage cost avoided, and contingent value methods. CBAs need to incorporate potential risks and uncertainties, such as failure to meet performance objectives. MAR projects involving high value uses, such as potable supply, tend to be economically feasible provided that local hydrogeologic conditions are favorable. They need to have low construction and operational costs for lesser value uses, such as some irrigation. Such systems should therefore be financed by project beneficiaries, but dichotomies may exist between beneficiaries and payers. Hence, MAR projects in developing countries may be economically viable, but external support is often required because of limited local financial resources.

50 CFR 36.15 - Subsistence uses of timber and plant material.

Science.gov (United States)

2010-10-01

... appropriate subsistence uses, such as firewood or house logs, may be permitted in Alaska National Wildlife... timber for firewood, shall be allowed without a permit. (c)(1) Notwithstanding any other provision of...

Diabetes self-management arrangements in Europe: a realist review to facilitate a project implemented in six countries.

Science.gov (United States)

Kousoulis, Antonis A; Patelarou, Evridiki; Shea, Sue; Foss, Christina; Ruud Knutsen, Ingrid A; Todorova, Elka; Roukova, Poli; Portillo, Mari Carmen; Pumar-Méndez, María J; Mujika, Agurtzane; Rogers, Anne; Vassilev, Ivaylo; Serrano-Gil, Manuel; Lionis, Christos

2014-10-02

fundamental principles in the design of relevant programmes. Socio-economic circumstances are relevant to the capacity to self-manage and suggest that any gains and progress will be hard to maintain during economic austerity. This realist review should be interpreted within the wider context of a whole systems approach regarding self-care support and chronic illness management.

ECONOMIC CIRCUMSTANCES AND PERSONAL FINANCE MANAGEMENT

OpenAIRE

Branko Matic; Hrvoje Serdarusic; Maja Vretenar Cobovic

2014-01-01

The authors examine the impact of changed economic circumstances to manage personal finances. Analyze financial involvement, level of education and the management of personal finances population in Croatia. The paper used the method of analysis, synthesis, induction, deduction, and a survey poll.

77 FR 14828 - Notice of Public Meeting for the National Park Service (NPS) Alaska Region's Subsistence Resource...

Science.gov (United States)

2012-03-13

... the meeting will start at 9 a.m. and conclude at 5 p.m. or until business is completed. For Further... Other Agency Comments. 8. Old Business. a. Subsistence Collections and Uses of Shed or Discarded Animal & Plants Environmental Assessment Update. b. SRC Recommendations. 9. New Business. 10. Federal Subsistence...

POLITICAL ECONOMIC ANALYSIS OF RICE SELF-SUFFICIENCY IN INDONESIA

Directory of Open Access Journals (Sweden)

Sri Nuryanti

2018-01-01

Full Text Available Rice self-sufficiency is an important programme in Indonesia. The programme has four major targets, i.e. increasing production, stabilizing prices and reserve stocks, and minimizing import. For that purpose, the government gave a mandate to a parastatal, namely National Logistic Agency (Bulog in implementing the rice policies. Some studies found that involvement of such a parastatal could lead to government failure in budget allocation. The study aimed to estimate social cost of rice self-sufficiency programme based on the implementation of rice instrument policies by Bulog. The study used the national annual data of 2002–2014 period. The method used was the political preference function model to estimate economic rent and dead-weight loss using rice price elasticity of demand and supply. The result showed that in terms of percentage of food security budget, the average of economic rent reached IDR 6.37 trillion per annum (18.54%, while the average of dead-weight loss amounted at IDR 0.90 trillion per annum (2.34%. It proved that rice self-sufficiency programme along with the involvement of Bulog was economically inefficient. The government should provide better agricultural infrastructure, review governmental procurement prices, and stop rice import policy to remedy market failure.

Management self assessment plan

Energy Technology Data Exchange (ETDEWEB)

Debban, B.L.

1998-01-30

Duke Engineering and Services Hanford Inc., Spent Nuclear Fuel Project is responsible for the operation of fuel storage facilities. The SNF project mission includes the safe removal, processing and transportation of Spent Nuclear Fuel from 100 K Area fuel storage basins to a new Storage facility in the Hanford 200 East Area. Its mission is the modification of the 100 K area fuel storage facilities and the construction of two new facilities: the 100 K Area Cold Vacuum Drying Facility, and the 200 East Area Canister Storage Building. The management self assessment plan described in this document is scheduled to begin in April of 1999 and be complete in May of 1999. The management self assessment plan describes line management preparations for declaring that line management is ready to commence operations.

Management self assessment plan

International Nuclear Information System (INIS)

Debban, B.L.

1998-01-01

Duke Engineering and Services Hanford Inc., Spent Nuclear Fuel Project is responsible for the operation of fuel storage facilities. The SNF project mission includes the safe removal, processing and transportation of Spent Nuclear Fuel from 100 K Area fuel storage basins to a new Storage facility in the Hanford 200 East Area. Its mission is the modification of the 100 K area fuel storage facilities and the construction of two new facilities: the 100 K Area Cold Vacuum Drying Facility, and the 200 East Area Canister Storage Building. The management self assessment plan described in this document is scheduled to begin in April of 1999 and be complete in May of 1999. The management self assessment plan describes line management preparations for declaring that line management is ready to commence operations

Measuring Students' Self-Perceived Competence in Home Economics Core Areas.

Science.gov (United States)

Smith, Frances M.

1990-01-01

Using the self-efficacy concept from Bandura's social learning theory, researchers developed an instrument to measure students' self-perceived competence in home economics core areas. Administration to all graduate students at a midwestern university during 1982-88 verified eight original competence areas and added a ninth. (SK)

Financial and economic determinants of collective action: The case of wastewater management

Energy Technology Data Exchange (ETDEWEB)

Brunner, Norbert, E-mail: norbert.brunner@cemds.org [Center for Environmental Management and Decision Support, Gregor Mendel Str. 33, A-1180 Vienna (Austria); Starkl, Markus, E-mail: markus.starkl@boku.ac.at [Competence Centre for Decision-Aid in Environmental Management, University of Natural Resources and Life Sciences/DIB, Gregor Mendel Strasse 33, 1180 Wien (Austria)

2012-01-15

Where public environmental funds support development of wastewater infrastructure, funding institutions ensure the economic use of funds, while the beneficiaries minimize their own costs. In rural areas, there is often a choice between decentralized or centralized (multi-village) systems: if the centralized system is most economic, then only this system is eligible for public funding. However, its implementation requires a voluntary cooperation of the concerned communities, who need to organize themselves to develop and run the infrastructure. The paper analyzes the social determinants of collaboration in a generic case study, using the following variables: method of (economic) assessment, modeled by the social discount rate, funding policy, modeled by the funding rate, and users' self-organization, modeled by cost sharing. In a borderline situation, where the centralized system turns out to be most economic, but this assessment is contingent on the assessment method, collective action may fail: the advantages of collective action from funding are too small to outweigh organizational deficiencies. Considering in this situation sanitation as a human right, authors recommend using innovative forms of organization and, if these fail, reassessing either the amount of funding or the eligibility for funding of more acceptable alternatives. - Highlights: Black-Right-Pointing-Pointer A generic case study models collective action and funding in wastewater management. Black-Right-Pointing-Pointer Determinants of success: economic assessment, funding policy and self-organization. Black-Right-Pointing-Pointer Success indicators: conflict rate, funds needed to make cost shares fair. Black-Right-Pointing-Pointer Method for analyzing centralized vs. decentralized disputes. Black-Right-Pointing-Pointer If collective action has less benefits, innovative cost sharing may ensure success.

Economic environmental management of drilling operations

International Nuclear Information System (INIS)

Longwell, H.J.; Akers, T.J.

1992-01-01

This paper presents significant environmental and regulatory initiatives developed by Exxon's New Orleans Drilling Organization. Specifically, the paper will cover drilling waste minimization techniques and disposal options, recycling of drilling waste streams, and environmentally managed drilling location design considerations. The implementation of some of these initiatives at Exxon's Chalkley field land locations have resulted in a fifty percent reduction in drilling location waste management costs. Some of these same initiatives have been successfully applied to Exxon's barge drilling locations. For operations at the environmentally sensitive Mobile Bay, Exxon contracted with a local company and assisted in the development of an economically and environmentally superior drilling waste disposal and treatment system. In summary, it is possible for drilling operators to pro-actively manage escalating environmental and regulatory challenges through the implementation of economic and practical initiatives

Self-management education for cystic fibrosis.

LENUS (Irish Health Repository)

Savage, Eileen

2011-01-01

Self-management education may help patients with cystic fibrosis and their families to choose, monitor and adjust treatment requirements for their illness, and also to manage the effects of illness on their lives. Although self-management education interventions have been developed for cystic fibrosis, no previous systematic review of the evidence of effectiveness of these interventions has been conducted.

Subsistence economy of el paraiso, an early peruvian site.

Science.gov (United States)

Quilter, J; E, B O; Pearsall, D M; Sandweiss, D H; Jones, J G; Wing, E S

1991-01-18

Studies of food remains from the Preceramic monumental site of E1 Paraíso, Peru (1800 to 1500 B.C.), have shed new light on a debate regarding the relative importance of seafood versus terrestrial resources and the role of cultigens in subsistence economies during the early development of Peruvian civilization. Fish was the primary animal food at the site whereas plant foods consisted of a mixture of cultivated resources (squashes, beans, peppers, and jicama) with an additional reliance on fruits (guava, lucuma, and pacae). Wild plants, especially the roots of sedges and cat-tail, also may have accounted for a substantial part of the diet. Cotton was a chief crop, used in making fishing tackle and the textiles that served as clothing and items of high value and status. As an example of the beginnings of civilization, El Paraíso is a case in which impressive architecture was built on a relatively simple subsistence economy and energy was expended in the production of resources useful in local and regional exchange systems.

Socio-economic position and adolescents’ health in Italy: the role of selfesteem and self-efficacy

Directory of Open Access Journals (Sweden)

Alessio Zambon

2007-09-01

Full Text Available

Background: To underline the importance of self-esteem and self-efficacy as aspects of health promotion, we investigated the hypothesis that self-esteem and self-efficacy mediate the effect of socio-economic position on adolescents’ health. This association has been confirmed by our data.

Methods: Data derive from the international Health Behaviours in School-aged Children (HBSC study, 2001- 02 edition: a representative sample of Italian children (age groups of 11, 13 and 15years, N=4386 was administered a questionnaire at school. We tested with a multivariate model the effect of economic wellbeing on health and behavioural outcomes, first excluding, and then including, self-esteem and self-efficacy among the determinants.

Results: Perceiving poorer health, not eating enough fruits and vegetables and doing too little physical activity are conditions affected by economic well-being (O.R. of best-off to worst-off are 0.65, 0.83 and 0.46, all statistically significant, while smoking habit is not affected. Including self-esteem and self-efficacy into the model significantly lowers, or annihilates, the effect of economic conditions on these outcomes.

Conclusions: Economic well-being affects adolescents’ health (perceived health and health behaviours in Italy, but it is reasonable to hypothesize that self-esteem and self-efficacy are among the mediators of this effect. Targeted interventions aimed at enhancing self-esteem and self-efficacy could therefore help in mitigating the effect of health inequalities.

Economic optimization of nuclear waste management

International Nuclear Information System (INIS)

DeWames, R.E.; Grantham, L.F.; Guon, J.; McKisson, R.L.

1984-01-01

The paper presented here addresses the impact of waste management system operating parameters on overall system economics. The conclusion reached by this study is that currently available technology and proposed operating conditions do not lead to optimum economics. The decision to utilize the current reference waste package and non-optimum operating conditions will cause added expenditures of 7 billion dollars over the next several decades. Further, this paper points out that optimum economics is not necessarily incompatible with improved system safety

Approaches to self-management in chronic illness.

Science.gov (United States)

Novak, Marta; Costantini, Lucia; Schneider, Sabrina; Beanlands, Heather

2013-01-01

Management of a chronic medical condition is a complex process and requires coordinated action between healthcare providers and patients. This process is further complicated by the fact that an increasing number of patients suffer from multiple chronic conditions. Self-management involves active participation of the patients in the everyday care of the symptoms of their illness(es) and medical treatments, as well as maintaining general health and prevention of progression of medical conditions. Managing the psychosocial consequences of illness is also an important component of self-management. Data have demonstrated that enhancing self-management improves quality of life, coping, symptom management, disability, and reduces healthcare expenditures and service utilization. To foster self-management, potential barriers to implementation as well as facilitators and supports for this approach must be acknowledged. In this article, we review various aspects of self-management in chronic illness, focusing on chronic kidney disease. Better understanding of these concepts will facilitate patient-provider collaboration, improve patient care with increased patient and staff satisfaction, and may ultimately result in better clinical outcomes and enhanced quality of life for both the patients and their families. © 2013 Wiley Periodicals, Inc.

Successful implementation of self-managing teams

NARCIS (Netherlands)

Weerheim, W. (Wilke); Van Rossum, L. (Lisa); Ten Have, W.D. (Wouter Dirk)

2018-01-01

textabstractPurpose: Following health-care organisations, many mental health-care organisations nowadays consider starting to work with self-managing teams as their organisation structure. Although the concept could be effective, the way of implementing self-managing teams in an organisation is

A systematic review of the effectiveness of stroke self-management programs for improving function and participation outcomes: self-management programs for stroke survivors

NARCIS (Netherlands)

Warner, G.; Packer, T.L.; Villeneuve, M.; Audulv, A.; Versnel, J.

2015-01-01

PURPOSE: A systematic review of stroke self-management programs was conducted to: (i) identify how many and what self-management support strategies were included in stroke self-management interventions and (ii) describe whether self-management programs effectively improved outcomes, focusing

Culture du bambou : diversification des moyens de subsistance des ...

International Development Research Centre (IDRC) Digital Library (Canada)

Culture du bambou : diversification des moyens de subsistance des petits producteurs de tabac du sud de la province de Nyanza, au Kenya - phase II. Au cours de la première phase du projet (projet no 103765), les chercheurs ont effectué une analyse de marché pour le bambou et les produits du bambou, comparé les ...

The Influence of Community Management Agreements on Household Economic Strategies : Cattle Grazing and Fishing Agreements on the Lower Amazon Floodplain

Directory of Open Access Journals (Sweden)

David G. McGrath

2007-10-01

Full Text Available While the organizational dynamics of collective management systems have received much attention, relatively little work has focused on how households adapt their economic strategies in response to collective management regulations that impose constraints on the range of options available to households. In this paper we investigate the evolving interaction between household management strategies and collective management regulations for one or both of two ecologically interdependent floodplain resources, lake fisheries and seasonally inundated grasslands. Smallholder management strategies involve varying combinations of three main activities each associated with one of three main floodplain habitats: annual cropping on river levees, cattle ranching on natural grasslands and fishing in lakes. These three activities play complementary roles in the household economy. Annual cropping is both subsistence and market oriented, with cash from crop sales often invested in purchase of cattle. Fishing, in addition to providing animal protein, generates income for household purchases while crops are growing. Cattle ranching is the main savings strategy for smalholders, providing funds for family emergencies and capital investments. Despite the fertility of soils and the higher productivity per hectare of fishing, cattle ranching has expanded steadily on the floodplain at the expense of farming and fishing. Over the last two decades, communities throughout the Amazon floodplain have developed and implemented collective agreements to regulate access to and use of local lake fisheries. Depending on the measures included, the impact of these agreements on household management strategies can range from negligible to highly significant, requiring major adjustments to compensate for reduced fishing income. Expansion of smallholder cattle ranching has taken advantage of unregulated access to community grasslands. Unregulated access to community grasslands has been a

Patient self-management and pharmacist-led patient self-management in Hong Kong: A focus group study from different healthcare professionals' perspectives

Directory of Open Access Journals (Sweden)

Wong Eliza LY

2011-05-01

Full Text Available Abstract Background Patient self-management is a key approach to manage non-communicable diseases. A pharmacist-led approach in patient self-management means collaborative care between pharmacists and patients. However, the development of both patient self-management and role of pharmacists is limited in Hong Kong. The objectives of this study are to understand the perspectives of physicians, pharmacists, traditional Chinese medicine (TCM practitioners, and dispensers on self-management of patients with chronic conditions, in addition to exploring the possibilities of developing pharmacist-led patient self-management in Hong Kong. Methods Participants were invited through the University as well as professional networks. Fifty-one participants comprised of physicians, pharmacists, TCM practitioners and dispensers participated in homogenous focus group discussions. Perspectives in patient self-management and pharmacist-led patient self-management were discussed. The discussions were audio recorded, transcribed and analysed accordingly. Results The majority of the participants were in support of patients with stable chronic diseases engaging in self-management. Medication compliance, monitoring of disease parameters and complications, lifestyle modification and identifying situations to seek help from health professionals were generally agreed to be covered in patient self-management. All pharmacists believed that they had extended roles in addition to drug management but the other three professionals believed that pharmacists were drug experts only and could only play an assisting role. Physicians, TCM practitioners, and dispensers were concerned that pharmacist-led patient self-management could be hindered, due to unfamiliarity with the pharmacy profession, the perception of insufficient training in disease management, and lack of trust of patients. Conclusions An effective chronic disease management model should involve patients in stable

77 FR 4578 - Alaska Region's Subsistence Resource Commission (SRC) Program

Science.gov (United States)

2012-01-30

... DEPARTMENT OF THE INTERIOR National Park Service [NPS-AKR-ANIA; 9924-PYS] Alaska Region's... public meeting for the National Park Service (NPS) Alaska Region's Subsistence Resource Commission (SRC..., Alaska Region. [FR Doc. 2012-1860 Filed 1-27-12; 8:45 am] BILLING CODE 4310-HE-P ...

Successful implementation of self-managing teams

NARCIS (Netherlands)

Weerheim, Wilke; Van Rossum, Lisa; Ten Have, Wouter Dirk

2018-01-01

Purpose: Following health-care organisations, many mental health-care organisations nowadays consider starting to work with self-managing teams as their organisation structure. Although the concept could be effective, the way of implementing self-managing teams in an organisation is crucial to

THE MANAGEMENT OF BUSINESS ACTIVITY OF ENTERPRISES: SCIENTIFIC AND ECONOMIC ANALYTICS

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Maksym Hodiashchev

2017-09-01

Full Text Available The main purpose of the paper is to comprehensively study and analyse theoretical aspects of management of business activity of enterprises, revealing their main disadvantages and differences. The research methods will allow developing a categorical apparatus for the management of business activity of enterprises. Methodology. The research is based on the analysis of scientific works of domestic and foreign scientists and economists concerning business activity as an economic category and its management, approaches and directions of such management. Results of the research are showed that management of business activity covers various areas of activity of enterprises. Such areas can be production, financial, innovative, social, environmental etc. In the process of analysing economic literature, it is determined that most scholars focus on two main aspects of managing business activity: socioeconomic management and management of the efficiency of economic activity. It is determined that each aspect of management of business activity is characterized by appropriate methods of conducting. Among methods of socio-economic management of the enterprise are followed: material and moral stimulation of personnel; social regulation; economic calculation; balance method; method of financing; price regulation; lending. Considered also psychological and organizational-administrative methods for the management of business activity. The second aspect of management of business activity aimed at managing the efficiency of economic activity is characterized by the achievement of the necessary discursive effect that is the direct satisfaction of the owners of enterprises. The article also substantiates the importance of studying tools of managerial influence on the business activity of enterprises, which in the process of research are divided into five main groups: economic, ecological, financial, psychological, and management audit. Practical implications. Modern

The economic origins of ultrasociality.

Science.gov (United States)

Gowdy, John; Krall, Lisi

2016-01-01

Ultrasociality refers to the social organization of a few species, including humans and some social insects, having a complex division of labor, city-states, and an almost exclusive dependence on agriculture for subsistence. We argue that the driving forces in the evolution of these ultrasocial societies were economic. With the agricultural transition, species could directly produce their own food and this was such a competitive advantage that those species now dominate the planet. Once underway, this transition was propelled by the selection of within-species groups that could best capture the advantages of (1) actively managing the inputs to food production, (2) a more complex division of labor, and (3) increasing returns to larger scale and larger group size. Together these factors reoriented productive life and radically altered the structure of these societies. Once agriculture began, populations expanded as these economic drivers opened up new opportunities for the exploitation of resources and the active management of inputs to food production. With intensified group-level competition, larger populations and intensive resource exploitation became competitive advantages, and the "social conquest of Earth" was underway. Ultrasocial species came to dominate the earth's ecosystems. Ultrasociality also brought a loss of autonomy for individuals within the group. We argue that exploring the common causes and consequences of ultrasociality in humans and the social insects that adopted agriculture can provide fruitful insights into the evolution of complex human society.

[Conceptual self-management analysis of hypertensive individuals].

Science.gov (United States)

Balduino, Anice de Fátima Ahmad; Mantovani, Maria de Fátima; Lacerda, Maria Ribeiro; Meier, Marineli Joaquim

2013-12-01

This research aimed to analyze the concept of self-management of hypertensive individuals. Theoretical and documentary study based on Walker and Avant's conceptual analysis by means of the Scientific Electronic Library Brazil and the Medical Literature Analysis and Retrieval System Online in the Coordination for Higher Education Personnel Development (CAPES, in Portuguese) and the National Library of Medicine websites. Fourteen (14) articles and one (1) thesis were selected and reviewed in Portuguese and English, in the period January 2007 to September 2012. missing doctor's appointments, non-compliance to blood pressure control treatment to recommendations to proper diet standards and stress. Attributer blood pressure control and disease management Consequences home monitoring of blood pressure with control improvement, accomplishment of disease management, compliance and sharing of the creation process of self-management goals and caring activities by the interdiscplinary team through individualized actions. It was concluded that the self-management concept is a dynamic, active process which requires knowledge, attitude, discipline, determination, commitment self-regulation, empowerment and self-efficiency in order to manage the disease and achieve healthy living.

Management system of organizational and economic changes in health services

Directory of Open Access Journals (Sweden)

Natalya Vasilyevna Krivenko

2013-03-01

Full Text Available In the article, the definitions of the concept organizational and economic changes in institution problems of changes in public health service, the purpose and issues of the management system of organizational and economic changes in the field are considered. The combined strategy of development and innovative changes in management is offered. The need of resource-saving technologies implementation is shown. Expediency of use of marketing tools in a management system of organizational and economic changes is considered the mechanism of improvement of planning and pricing in public health service is offered. The author’s model of management of organizational and economic changes in health services supporting achievement of medical, social, economic efficiency in Yekaterinburg's trauma care is presented. Strategy of traumatism prevention is determined on the basis of interdepartmental approach and territorial segmentation of health care market

Economic effectiveness of disease management programs: a meta-analysis.

Science.gov (United States)

Krause, David S

2005-04-01

The economic effectiveness of disease management programs, which are designed to improve the clinical and economic outcomes for chronically ill individuals, has been evaluated extensively. A literature search was performed with MEDLINE and other published sources for the period covering January 1995 to September 2003. The search was limited to empirical articles that measured the direct economic outcomes for asthma, diabetes, and heart disease management programs. Of the 360 articles and presentations evaluated, only 67 met the selection criteria for meta-analysis, which included 32,041 subjects. Although some studies contained multiple measurements of direct economic outcomes, only one average effect size per study was included in the meta-analysis. Based on the studies included in the research, a meta-analysis provided a statistically significant answer to the question of whether disease management programs are economically effective. The magnitude of the observed average effect size for equally weighted studies was 0.311 (95% CI = 0.272-0.350). Statistically significant differences of effect sizes by study design, disease type and intensity of disease management program interventions were not found after a moderating variable, disease severity, was taken into consideration. The results suggest that disease management programs are more effective economically with severely ill enrollees and that chronic disease program interventions are most effective when coordinated with the overall level of disease severity. The findings can be generalized, which may assist health care policy makers and practitioners in addressing the issue of providing economically effective care for the growing number of individuals with chronic illness.

An assessment of patient education and self-management in diabetes disease management--two case studies.

Science.gov (United States)

Fitzner, Karen; Greenwood, Deborah; Payne, Hildegarde; Thomson, John; Vukovljak, Lana; McCulloch, Amber; Specker, James E

2008-12-01

Diabetes affects 7.8% of Americans, nearly 24 million people, and costs $174 billion yearly. People with diabetes benefit from self-management; disease management (DM) programs are effective in managing populations with diabetes. Little has been published on the intersection of diabetes education and DM. Our hypothesis was that diabetes educators and their interventions integrate well with DM and effectively support providers' care delivery. A literature review was conducted for papers published within the past 3 years and identified using the search terms "diabetes educator" and "disease management." Those that primarily addressed community health workers or the primary care/community setting were excluded. Two case studies were conducted to augment the literature. Ten of 30 manuscripts identified in the literature review were applicable and indicate that techniques and interventions based on cognitive theories and behavioral change can be effective when coupled with diabetes DM. Better diabetes self-management through diabetes education encourages participation in DM programs and adherence to recommended care in programs offered by DM organizations or those that are provider based. Improved health outcomes and reduced cost can be achieved by blending diabetes education and DM. Diabetes educators are a critical part of the management team and, with their arsenal of goal setting and behavior change techniques, are an essential component for the success of diabetes DM programs. Additional research needs to be undertaken to identify effective ways to integrate diabetes educators and education into DM and to assess clinical, behavioral, and economic outcomes arising from such programs.

Economic management model of nuclear power plant research institute

International Nuclear Information System (INIS)

Schultz, O.

1993-01-01

Brief information about the development of economic management and processing of economic information in the Nuclear Power Plants Research Institute Trnava is given in the paper. The existing economic management model of the Institute impacts positively the fulfillment of economic indicators. When applying this model, activities of individual divisions are emphasized and presentation of the Institute as a global professional capacity is suppressed. With regards to this influence, it will be necessary to look for such system elements that will impact the integrity of the Institute in the future period positively

Daily self-management and work engagement

NARCIS (Netherlands)

Breevaart, K.; Bakker, A.B.; Demerouti, E.

2014-01-01

The present study adopts a bottom-up approach to work engagement by examining how self-management is related to employees' work engagement on a daily basis. Specifically, we hypothesized that on days that employees use more self-management strategies, they report higher resources at work and in

Relationship Between Self-Management Strategy and Self-Efficacy Among Staff of Ardabil Disaster and Emergency Medical Management Centers

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Mohammad Taghi Amini

2018-01-01

Conclusion: In general, considering that job stress, safety behavior and self-management predictive self-efficacy of emergency staff. Individuals with high self-efficacy wait for the desired outcomes of their performance. So by giving stress management training and applying their safety principles and strategies, targeting can create a sense of self-efficacy such that a person can withstand persistent efforts to overcome obstacles. Improving working conditions also plays an effective role in increasing productivity.

Self-Management Patient Education and Weight Loss

Science.gov (United States)

Stombaugh, Angela M.

2010-01-01

Self-management of a disease is defined as "having or being able to obtain, the skills and resources necessary to best accommodate to the chronic disease and its consequences" (Holman & Lorig, 1992, p. 309). Self-management has been used in the management of several chronic conditions and this model may be useful in the management of weight loss.…

Reduction of sickness absence by an occupational health care management program focusing on self-efficacy and self-management.

Science.gov (United States)

Linden, Michael; Muschalla, Beate; Hansmeier, Thomas; Sandner, Gabriele

2014-01-01

The aim of occupational health care management programs (OHMP) is to improve the health status of employees, increase work ability and reduce absence time. This includes better coping abilities, work-related self-efficacy and self-management which are important abilities that should be trained within OHMPs. To study the effectiveness of an OHMP including special interventions to enhance self-efficacy and self-management. Employees from the German Federal Pension Agency. Effects of an OHMP on sickness absence was studied by comparing an intervention group and two control groups. A core feature of the OHMP were group sessions with all members of working teams, focussing on self-efficacy and self management of the individual participant as well as the team as a group (focus groups). Participants in the OHMP were asked for their subjective evaluation of the focus groups. Rates of sickness absence were taken from the routine data of the employer. Participants of the OHMP indicated that they had learned better ways of coping and communication and that they had generated intentions to make changes in their working situation. The rate of sickness absence in the intervention group decreased from 9.26% in the year before the OHMP to 7.93% in the year after the program, while there was in the same time anincrease of 7.9% and 10.7% in the two control groups. The data suggest that OHMP with focus on self-efficacy and self management of individuals and teams are helpful in reducing work absenteeism.

The Effectiveness of Self-Management Programs on Self-Efficacy in Patients With Sickle Cell Disease

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Ahmadi

2014-07-01

Full Text Available Background Patients with sickle cell disease suffer from various complications during their lifetime. In order to cope with the disease, they must adapt themselves to a complex set of behaviors that promote self-management and prevent complications associated with the disease. Chronic disease self-management programs are a combination of strategies that increase self-efficacy and promote self-management behaviors. Objectives This study aimed to determine the effectiveness of self-management programs on self-efficacy in patients with sickle cell disease. Patients and Methods In this quasi-experimental study, 69 patients with sickle cell disease who were referred to the Thalassemia Clinic of Ahvaz Shafa Hospital were entered into the study through the census method. Then, the self-management program was implemented using the 5A method for 12 weeks. The Levels of pre and post intervention self-efficacy were assessed using the sickle cell self-efficacy scale (SCSES, while descriptive statistics, paired t-test and Wilcoxon test were used to analyze the data. Results Before the intervention, the majority of subjects (50.7% had moderate self-efficacy, whereas after the intervention, the majority of patients (81.2% showed high self-efficacy. The overall scores and scores of the post-intervention self-efficacy sub-groups were significantly increased (P < 0.001. Conclusions The results of this study showed that self-management interventions are effective in promoting self-efficacy in patients with sickle cell disease. Thus, the use of self-management programs is advisable to change behaviors and promote self-efficacy in such patients.

Internet-based self-management in asthma

NARCIS (Netherlands)

Meer, Victor van der

2010-01-01

This thesis describes the role of internet-based support in the delivery of an asthma self management program. First, the compliance and reliability of home lung function monitoring, one of the key features of asthma self-management, was studied and appeared to be high over a 4-week period. Second,

[Effects of gout web based self-management program on knowledge related to disease, medication adherence, and self-management].

Science.gov (United States)

Oh, Hyun Soo; Park, Won; Kwon, Seong Ryul; Lim, Mie Jin; Suh, Yeon Ok; Seo, Wha Sook; Park, Jong Suk

2013-08-01

This study was conducted to examine the changing patterns of knowledge related to disease, medication adherence, and self-management and to determine if outcomes were more favorable in the experimental group than in the comparison group through 6 months after providing a web-based self-management intervention. A non-equivalent control group quasi-experimental design was used and 65 patients with gout, 34 in experimental group and 31 in comparison group, were selected from the rheumatic clinics of two university hospitals. Data were collected four times, at baseline, at 1 month, 3 months, and 6 months after the intervention. According to the study results, the changing patterns of knowledge and self-management were more positive in the experimental group than in the control group, whereas difference in the changing pattern of medication adherence between two groups was not significant. The results indicate that the web-based self-management program has significant effect on improving knowledge and self-management for middle aged male patients with gout. However, in order to enhance medication adherence, the web-based intervention might not be sufficient and other strategies need to be added.

Collaborative care management effectively promotes self-management: patient evaluation of care management for depression in primary care.

Science.gov (United States)

DeJesus, Ramona S; Howell, Lisa; Williams, Mark; Hathaway, Julie; Vickers, Kristin S

2014-03-01

Chronic disease management in the primary care setting increasingly involves self-management support from a nurse care manager. Prior research had shown patient acceptance and willingness to work with care managers. This survey study evaluated patient-perceived satisfaction with care management and patient opinions on the effectiveness of care management in promoting self-management. Qualitative and quantitative survey responses were collected from 125 patients (79% female; average age 46; 94% Caucasian) enrolled in care management for depression. Qualitative responses were coded with methods of content analysis by 2 independent analysts. Patients were satisfied with depression care management. Patients felt that care management improved their treatment above and beyond other aspects of their depression treatment (mean score, 6.7 [SD, 2]; 10 = Very much), increased their understanding of depression self-management (mean score, 7.2 [SD, 2]; 10 = Very much), and increased the frequency of self-management goal setting (mean score, 6.9 [SD, 3]; 10 = Very much). Predominant qualitative themes emphasized that patients value emotional, motivational, and relational aspects of the care manager relationship. Patients viewed care managers as caring and supportive, helpful in creating accountability for patients and knowledgeable in the area of depression care. Care managers empower patients to take on an active role in depression self-management. Some logistical challenges associated with a telephonic intervention are described. Care manager training should include communication and motivation strategies, specifically self-management education, as these strategies are valued by patients. Barriers to care management, such as scheduling telephone calls, should be addressed in future care management implementation and study.

Self-Management Skills in Chronic Disease Management: What Role Does Health Literacy Have?

Science.gov (United States)

Mackey, Laura M; Doody, Catherine; Werner, Erik L; Fullen, Brona

2016-08-01

Self-management-based interventions can lead to improved health outcomes in people with chronic diseases, and multiple patient characteristics are associated with the development of self-management behaviors. Low health literacy (HL) has been implicated in poorer self-management behaviors and increased costs to health services. However, the mechanisms behind this relationship remain unclear. Therefore, the aim of the current review is to assess the association between HL and patient characteristics related to self-management behaviors (i.e., disease-related knowledge, beliefs, and self-efficacy). The review comprised 3 phases: 1) database searches, 2) eligibility screening, and 3) study quality assessment and strength of evidence. Inclusion criteria specified that a valid HL screening tool was used, that at least one self-management behavior was assessed, and that patients had a chronic condition. An initial search generated a total of 712 articles, of which 31 studies fulfilled the eligibility criteria. A consistent association was found between low HL and poorer disease-related knowledge in respiratory diseases, diabetes, and multiple disease categories. A significant association between low HL and poorer self-efficacy was reported in cardiovascular diseases, diabetes, human immunodeficiency virus, and multiple disease categories. HL was significantly associated with poorer beliefs in respiratory, musculoskeletal, and cardiovascular diseases. The findings from the current review suggest that low HL may affect behaviors necessary for the development of self-management skills. Given that self-management strategies are core components for effective treatment of a range of chronic diseases, low HL poses a considerable health concern. Further research is needed to understand the mediating influence of HL on disease-related knowledge, self-efficacy, and beliefs. From this, HL-sensitive, self-management interventions ought to be devised and implemented. © The Author

77 FR 4580 - Alaska Region's Subsistence Resource Commission (SRC) Program

Science.gov (United States)

2012-01-30

..., February 14, 2012. The meeting will start at 9 a.m. and conclude at 5 p.m. or until business is completed.... Old Business a. Subsistence Collections and Uses of Shed or Discarded Animal & Plants Environmental.... New Business 12. Public and other Agency Comments 13. SRC Work Session 14. Select Time and Location...

Knowledge Management in Economic Downturn: Indian Scenario

Directory of Open Access Journals (Sweden)

D. Mehta

2011-10-01

Full Text Available Knowledge management is becoming an indispensable aspect of most of the modern business organizations. It is considered as a corporate cost savings process to augment performance capabilities with broader availability and utilization of major corporate knowledge assets. Knowledge management is the basis of all planning, all development and all progress ofan organization. It is one of the significant ingredients, which makes the accessibility of acceptance with understanding of learning. With recession encompassing the globe, theorganizations are passionately engaged in cost cutting practices to maintain profitability and competitiveness. When enterprises realize that developing and sharing knowledge is pivotal tosustain a cutting edge, the management can decide to place knowledge management high on their agenda- especially during economic turmoil. The Indian organizations have exceedingly done well during the economic turmoil. The present paper is an attempt to study knowledge management during recession in Indian scenario. Major challenges faced by the organizations are highlighted along with strategies to overcome such challenges are presented by the authors.Keywords: knowledge, knowledge management, recession, innovation, Indian scenario.

Wellness and illness self-management skills in community corrections.

Science.gov (United States)

Kelly, Patricia J; Ramaswamy, Megha; Chen, Hsiang-Feng; Denny, Donald

2015-02-01

Community corrections provide a readjustment venue for re-entry between incarceration and home for inmates in the US corrections system. Our goal was to determine how self-management skills, an important predictor of re-entry success, varied by demographic and risk factors. In this cross-sectional study, we analyzed responses of 675 clients from 57 community corrections programs run by the regional division of the Federal Bureau of Prisons. A self-administered survey collected data on self-management skills, demographics, and risk factors; significant associations were applied in four regression models: the overall self-management score and three self-management subscales: coping skills, goals, and drug use. Over one-quarter (27.2%/146) of participants had a mental health history. White race, no mental health history and high school education were associated with better overall self-management scores; mental health history and drug use in the past year were associated with lower coping scores; female gender and high school education were associated with better self-management goals; female gender was associated with better self-management drug use scores. Self-management programs may need to be individualized for different groups of clients. Lower scores for those with less education suggest an area for targeted, nurse-led interventions.

Of sweatshops and subsistence: Habermas on human rights

OpenAIRE

Ingram, David

2009-01-01

In this paper I argue that the discourse theoretic account of human rights defended by Jürgen Habermas contains a fruitful tension that is obscured by its dominant tendency to identify rights with legal claims. This weakness in Habermas’s account becomes manifest when we examine how sweatshops diminish the secure enjoyment of subsistence, which Habermas himself (in recognition of the UDHR) recognizes as a human right. Discourse theories of human rights are unique in tying the legit...

Research Frontiers of Agricultural Economics and Management

Institute of Scientific and Technical Information of China (English)

Yang L.X.

2004-01-01

@@ Introduction The focus of research on Agricultural Economics and Management (AEM) has been switching from developed countries to developing countries. In important international journals on AEM such as "American Journal of Agricultural Economics" and "Agricultural Economics", the research objectives mainly focus on AEM problems in developing countries, e.g. the effects of globalization and liberalization on agricultural production in developing countries, and problems in agricultural resources and environmental protections in developing countries.

The socio-cultural importance of Mauritia flexuosa palm swamps (aguajales) and implications for multi-use management in two Maijuna communities of the Peruvian Amazon.

Science.gov (United States)

Gilmore, Michael P; Endress, Bryan A; Horn, Christa M

2013-04-22

Fruit from the palm Mauritia flexuosa (aguaje) is harvested throughout the Peruvian Amazon for subsistence and commercial purposes. Recent estimates suggest that residents of Iquitos, the largest city in the region, consume approximately 148.8 metric tons of aguaje fruit per month, the vast majority of which is harvested by felling and killing adult female trees. In this study, we sought to better understand and document the importance of M. flexuosa palm swamps (aguajales) in two Maijuna indigenous communities to inform the sustainable management of this habitat and species. Semi-structured interviews, focus groups, and household surveys were carried out to assess the significance of aguajales and their associated plant and animal resources as well as to determine how the relationship that the Maijuna have with aguajales has changed over time. Aguajales and their associated resources are culturally significant and useful to the Maijuna in a wide variety of ways. In addition to M. flexuosa, the Maijuna use over 60 different species of plants from aguajales. When M. flexuosa is in fruit, aguajales are important hunting areas with a total of 20 different animal species hunted. The Maijuna also have traditional beliefs about aguajales, believing that malevolent supernatural beings reside in them. Notably, the relationship that the Maijuna have with aguajales has changed considerably over the years as aguaje fruit went from a subsistence item collected opportunistically from the ground to a market good destructively harvested beginning in the early 1990s. The Maijuna are concerned not only about how this has affected the future commercial harvest of aguaje but also about its effects on game animals given the importance of hunting to Maijuna cultural identity, subsistence, and income generation. In order to meet the multiple socio-cultural and economic needs of the Maijuna, sustainable management efforts must be expanded to not only focus on the commercial harvest of

Economic valuation of subsistence harvest of wildlife in Madagascar.

Science.gov (United States)

Golden, Christopher D; Bonds, Matthew H; Brashares, Justin S; Rasolofoniaina, B J Rodolph; Kremen, Claire

2014-02-01

Wildlife consumption can be viewed as an ecosystem provisioning service (the production of a material good through ecological functioning) because of wildlife's ability to persist under sustainable levels of harvest. We used the case of wildlife harvest and consumption in northeastern Madagascar to identify the distribution of these services to local households and communities to further our understanding of local reliance on natural resources. We inferred these benefits from demand curves built with data on wildlife sales transactions. On average, the value of wildlife provisioning represented 57% of annual household cash income in local communities from the Makira Natural Park and Masoala National Park, and harvested areas produced an economic return of U.S.$0.42 ha(-1) · year(-1). Variability in value of harvested wildlife was high among communities and households with an approximate 2 orders of magnitude difference in the proportional value of wildlife to household income. The imputed price of harvested wildlife and its consumption were strongly associated (p< 0.001), and increases in price led to reduced harvest for consumption. Heightened monitoring and enforcement of hunting could increase the costs of harvesting and thus elevate the price and reduce consumption of wildlife. Increased enforcement would therefore be beneficial to biodiversity conservation but could limit local people's food supply. Specifically, our results provide an estimate of the cost of offsetting economic losses to local populations from the enforcement of conservation policies. By explicitly estimating the welfare effects of consumed wildlife, our results may inform targeted interventions by public health and development specialists as they allocate sparse funds to support regions, households, or individuals most vulnerable to changes in access to wildlife. © 2013 Society for Conservation Biology.

42 CFR 410.141 - Outpatient diabetes self-management training.

Science.gov (United States)

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false Outpatient diabetes self-management training. 410...-Management Training and Diabetes Outcome Measurements § 410.141 Outpatient diabetes self-management training... Part B covers outpatient diabetes self-management training for a beneficiary who has been diagnosed...

Managing Self-Access Language Learning: Principles and Practice

Science.gov (United States)

Gardner, David; Miller, Lindsay

2011-01-01

This paper is based on a research project looking at the management of self-access language learning (SALL) from the perspective of the managers of self-access centres. It looks at the factors which influence the practice of seven managers of self-access language learning in tertiary institutions in Hong Kong. The discussion centres around five…

Incidence and economic impact of rabies in the cattle population of Ethiopia

NARCIS (Netherlands)

Jibat, Tariku; Mourits, Monique C.M.; Hogeveen, Henk

2016-01-01

Rabies is a viral disease that can cause fatal encephalomyelitis both in animals and humans. Although incidences of the disease in cattle have been reported, insight in the economic impact of the disease in livestock remains limited. By affecting cattle in subsistence systems, rabies may have

Linking subsistence activities to global marketing systems: the role of institutions

NARCIS (Netherlands)

Kolk, A.

2014-01-01

This article aims to improve the understanding of how micro-level subsistence activities might be related to higher-level phenomena to increase the well-being of individuals and communities in contexts characterized by institutional gaps. Using coffee as illustrative case, it explores the link

Augmenter la production alimentaire de subsistance en vue d'une ...

International Development Research Centre (IDRC) Digital Library (Canada)

Augmenter la production alimentaire de subsistance en vue d'une meilleure nutrition au Cambodge (FCRSAI, phase II). L'insécurité alimentaire des familles, les pénuries de vivres saisonnières et les carences nutritionnelles chez les femmes et les enfants sont chose courante au Cambodge. Ce projet peaufinera les ...

System of economics' security management in economic activity of meat processing enterprises formation

OpenAIRE

Iryna Sosnovska

2015-01-01

This article is devoted to creation of economics' security management system production and economic activity of meat current processing enterprises. The article reflects research results of various scientists scientific works regarding interpretation of economic security system and shows the lack of this concept single interpretation. There are summarized observation of current activities of meat processing plants specifics as a conclusion there are a large number of different programs and c...

Determinants of activation for self-management in patients with COPD

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Korpershoek, Y. J G; Bos-Touwen, I. D.; de Man, Janneke; Lammers, J. W J; Schuurmans, M. J.; Trappenburg, J. C A

2016-01-01

BACKGROUND: COPD self-management is a complex behavior influenced by many factors. Despite scientific evidence that better disease outcomes can be achieved by enhancing self-management, many COPD patients do not respond to self-management interventions. To move toward more effective self-management

Motherhood and subsistence work: the Tamang of rural Nepal.

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Panter-brick, C

1989-06-01

A time-allocation study conducted over a 1-year period among rural women in Nepal indicated that these women are able to perform rigorous subsistence labor during pregnancy and motherhood through cultural practices that facilitate a combining of economic and childcare duties. The fieldwork was conducted in 1982-83 in the predominately Tamang village of Salme. A total of 7678 hours of minute-by-minute observation were collected on Tamang women and their male kin from 43 households. The sample included 19 nonpregnant, nonlactating women and 24 pregnant or lactating mothers. Among the Tamang, agriculture is the responsibility of women, and nonpregnant and pregnant/lactating women devoted similar numbers of hours a day (5-8 hours, depending on the season) to working fields. In addition, there were no significant differences in the amount of time nonpregnant and pregnant/lactating women devoted to animal husbandry, mountain work, and travel. The Tamang women did not ease their workloads in the final weeks of pregnancy--a finding that is consistent with a practice of not making allowances in economic activity level for age, sex, physical fitness, or maternal status due to severe labor shortage and the tight time schedule inherent to agricultural production. On the other hand, there was evidence of behavioral flexibility to cope with the demands of women's dual roles. Mothers of infants take their babies to the fields with them and breastfeed during their rest periods. The use of mobile cattle shelters minimizes the amount of time that is spent away from children. Older children care for younger siblings--a phenomenon facilitated by the long interbirth intervals among the Tamang--and contractual exchanges take place among families. The health risk of this arrangement seems greatest for older children who are left behind during periods of intense agricultural activity and are often deprived of adequate nutrition.

Self-management intervention to improve self-care and quality of life in heart failure patients.

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Tung, Heng-Hsin; Lin, Chun-Yu; Chen, Kuei-Ying; Chang, Chien-Jung; Lin, Yu-Ping; Chou, Cheng-Hui

2013-01-01

Self-management intervention is a good method to improve self-care ability, as such, to promote quality of life. However, the research focused on self-management intervention in heart failure patients in Taiwan is very limited. Therefore, the purposes of this study were to test the effectiveness of self-management intervention in patients with heart failure in Taiwan and examine the relationship between self-care ability and quality of life. A quasi-experimental design was used in this study with convenience sampling. Of the 82 subjects participating in this study, 40 of them chose to join the experimental (self-management intervention plus usual care) and 42 of them chose to join control (usual care) group. Three questionnaires were used to collect the data, which were the demographic questionnaire, the self-care questionnaire (Self-Care of HF Index V 6), and the quality of life questionnaire (Minnesota Living with Heart Failure Questionnaire). To examine the effectiveness of the intervention, self-care ability and quality of life were measured, using a pretest, 1- and 2-month follow-up assessment. Generalized estimation equations (GEE) were used to compare changes over time among groups for outcomes to ensure the effectiveness of the intervention. This study confirmed the effectiveness of the self-management intervention. The clinical provider should increase the awareness of the importance of self-management skills and self-care ability especially for heart failure patients. The designated disease-specific self-management patient book and individualize intervention should be dispensing and implementing. © 2012 Wiley Periodicals, Inc.

Assessing Diabetes Self-Management with the Diabetes Self-Management Questionnaire (DSMQ Can Help Analyse Behavioural Problems Related to Reduced Glycaemic Control.

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Andreas Schmitt

Full Text Available To appraise the Diabetes Self-Management Questionnaire (DSMQ's measurement of diabetes self-management as a statistical predictor of glycaemic control relative to the widely used SDSCA.248 patients with type 1 diabetes and 182 patients with type 2 diabetes were cross-sectionally assessed using the two self-report measures of diabetes self-management DSMQ and SDSCA; the scales were used as competing predictors of HbA1c. We developed a structural equation model of self-management as measured by the DSMQ and analysed the amount of variation explained in HbA1c; an analogue model was developed for the SDSCA.The structural equation models of self-management and glycaemic control showed very good fit to the data. The DSMQ's measurement of self-management showed associations with HbA1c of -0.53 for type 1 and -0.46 for type 2 diabetes (both P < 0.001, explaining 21% and 28% of variation in glycaemic control, respectively. The SDSCA's measurement showed associations with HbA1c of -0.14 (P = 0.030 for type 1 and -0.31 (P = 0.003 for type 2 diabetes, explaining 2% and 10% of glycaemic variation. Predictive power for glycaemic control was significantly higher for the DSMQ (P < 0.001.This study supports the DSMQ as the preferred tool when analysing self-reported behavioural problems related to reduced glycaemic control. The scale may be useful for clinical assessments of patients with suboptimal diabetes outcomes or research on factors affecting associations between self-management behaviours and glycaemic control.

Integrated economic management. Principal aspects and future

International Nuclear Information System (INIS)

2004-01-01

Now that five years have passed (1999-2003) since the Owner Companies decided to merge the Asco and Vandellos-II nuclear power plants, we believe that, for Integrated Management through a single AIE, it is timely and advisable to describe the key issues of the process implemented to optimize economic results, always in accordance with the Policies of Nuclear Safety, Quality and Environment, Prevention, Human Factors and Availability, and we emphasize the following as essential elements: The Corporate Model; strategic/Operating Plans; integrated Economic Management Model SIE; Rationalization of the organizational structure, Continuous Training; Analysis of Processes and Procedures. (Author)

Political-economic values and the relationship between socioeconomic status and self-esteem.

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Malka, Ariel; Miller, Dale T

2007-02-01

Values concerning the distribution of wealth are an important aspect of identity for many Americans, and such values may therefore influence how Americans experience their own socioeconomic status (SES). Based on this proposition, the present research examines political-economic values as a moderator of the relationship between SES and self-esteem. Results supported the hypothesis that there is a stronger relationship between SES and self-esteem among individuals who report relatively inegalitarian values than among individuals who report relatively egalitarian values. This result was replicated using both objective and subjective measures of SES. Implications of the present findings for the study of values and well-being, psychological conflict, and the influence of economic factors on self-esteem are discussed.

[Accepted Manuscript] Annual Crop Yield Variation, Child Survival and Nutrition among Subsistence Farmers in Burkina Faso.

OpenAIRE

Belesova, K.; Gasparrini, A.; Sié, A.; Sauerborn, R.; Wilkinson, P.

2017-01-01

Whether year to year variation in crop yields affects the nutrition, health, and survival of subsistence farming populations is relevant to the understanding of the potential impacts of climate change. However, the empirical evidence is limited. We examined the association of child survival with inter-annual variation in food crop yield and middle-upper arm circumference (MUAC) in a subsistence farming population of rural Burkina Faso. The study was of 44,616 children < 5 years of age incl...

Self-management and transitions in women with advanced breast cancer.

Science.gov (United States)

Schulman-Green, Dena; Bradley, Elizabeth H; Knobf, M Tish; Prigerson, Holly; DiGiovanna, Michael P; McCorkle, Ruth

2011-10-01

Self-management involves behaviors that individuals perform to handle health conditions. Self-management may be particularly challenging during transitions-shifts from one life phase or status to another, for example, from cure- to noncure-oriented care-because they can be disruptive and stressful. Little is known about individuals' experiences with self-management, especially during transitions. Our purpose was to describe experiences of self-management in the context of transitions among women with advanced breast cancer. We interviewed a purposive sample of 15 women with metastatic breast cancer about their self-management preferences, practices, and experiences, including how they managed transitions. Interviews were recorded and transcribed. The qualitative method of interpretive description was used to code and analyze the data. Participants' mean age was 52 years (range 37-91 years); most were White (80%), married (80%), and college educated (60%). Self-management practices related to womens' health and to communication with loved ones and providers. Participants expressed a range of preferences for participation in self-management. Self-management included developing skills, becoming empowered, and creating supportive networks. Barriers to self-management included symptom distress, difficulty obtaining information, and lack of knowledge about the cancer trajectory. Women identified transitions as shifts in physical, emotional, and social well-being, as when their cancer progressed and there was a need to change therapy. Transitions often prompted changes in how actively women self-managed and were experienced as positive, negative, and neutral. Self-management preferences can vary. Providers should explore and revisit patients' preferences and ability to self-manage over time, particularly during transitions. Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

Adapting SMME business functions during economic turmoil

Directory of Open Access Journals (Sweden)

Chantal Rootman

2010-12-01

Full Text Available Purpose: The purpose of this study is to investigate how SMMEs should adapt their business functions to improve business performance during times of economic turmoil. Problem investigated: SMMEs are important contributors to the economy as these firms provide employment opportunities and create economic wealth. However, many SMMEs fail due to reasons such as the influence of economic factors (low sales and growth prospects as well as the lack of finance, managerial skills and expertise. SMMEs could possibly increase their chances of success if they adjust aspects in their firms which the owners and managers of the SMMEs can control. Business functions are regarded as internal forces influencing a firm and SMME owners and managers can control these functions. These business functions include general and strategic management, purchasing management, production management, marketing management, financial management, human resources management, business communication management and information management. It is important to investigate how SMMEs can adapt their business functions, during difficult economic times, to improve their business performance. Methodology: A self-developed, self-administered and structured questionnaire was distributed to 300 SMMEs in the Eastern Cape and the Garden Route area. A total of 250 usable questionnaires were received, therefore a response rate of 83% was obtained. Findings and implications: The findings of this study revealed that all eight of the business functions require adjustments during difficult economic times to improve the business performance of SMMEs. Respondents regarded the financial management function as the area in SMMEs that needs the most focus and adjustments, during challenging economic times to improve business performance. Following financial management is the purchasing- and information management business functions. Originality and value of the research: This study specifically focussed on

FORMING MANAGEMENT IMPACTS IN AVIATION COMPANIES ECONOMIC DEVELOPMENT ADMINISTRATION SYSTEM

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Victoria Prokhorova

2016-06-01

Full Text Available Purpose: Oriented reflective approach to management involves restructuring of goal, ideal and pragmatic, creating a program of action, organizing, correcting, control the definition of the new strategy. This process is only possible with multidimensional analysis and reflection of all the administrative restructuring process and its elements in determining and planning activities, creating conditions of restructuring, predicting outcomes and consequences of making a choice of ways to solve problems means to achieve the goal of information called ' bonds with participants restructuring process and correction flow management process based on continuous reflection. Methods: Development of the system of economic development now requires the use of mechanisms for continuous monitoring of internal and external environment to identify factors that threaten businesses. Rest of this is possible through the use of diagnostic tests: static analysis, expert diagnosis, linear and dynamic programming. Results: Built as part of the study economic and mathematical models can determine the status and level of economic development potential of aerospace companies that were investigated, confirming the need for action to manage economic development. To develop the mechanism of competition in the aircraft building sector must: implementation in practice of management motivation mechanisms to ensure the appropriate level of interest in the functioning of airlines on the basis of private property; formation of economic market institutions in the field of aircraft construction, affecting the creation of a competitive environment. Discussion: Stipulates that in difficult economic crisis positive results can be achieved managers who are constantly looking for original approaches to inclusion in the development process by aligning internal external opportunities generated by market. It is concluded that aviation business management in times of economic instability or

A revised Self- and Family Management Framework.

Science.gov (United States)

Grey, Margaret; Schulman-Green, Dena; Knafl, Kathleen; Reynolds, Nancy R

2015-01-01

Research on self- and family management of chronic conditions has advanced over the past 6 years, but the use of simple frameworks has hampered the understanding of the complexities involved. We sought to update our previously published model with new empirical, synthetic, and theoretical work. We used synthesis of previous studies to update the framework. We propose a revised framework that clarifies facilitators and barriers, processes, proximal outcomes, and distal outcomes of self- and family management and their relationships. We offer the revised framework as a model that can be used in studies aimed at advancing self- and family management science. The use of the framework to guide studies would allow for the design of studies that can address more clearly how self-management interventions work and under what conditions. Copyright © 2015 Elsevier Inc. All rights reserved.

Factors associated with integrating self-management support into primary care.

Science.gov (United States)

Crespo, Richard; Shrewsberry, Molly

2007-06-01

The purpose of this article is to expand the understanding of self-management support by describing factors that contribute to implementing a comprehensive self-management program in primary care. Four rural health centers in medically underserved areas participated in a study to document the implementation of a self-management program. This program consisted of a social marketing plan and decision-making tools to guide patients in making self-management behavior changes. The stages of change constructs of the transtheoretical model were used to design the social marketing plan. Key informant interviews were conducted at 6-month and 9-month intervals to document the implementation process. A standardized set of questions was used in the interviews. The data from the interviews were analyzed using content analysis techniques. One of the principle findings is that self-management support requires putting a system in place, not just adding a new component to primary care. The health centers that fully implemented the self-management program made an organizational commitment to keep self-management on the agenda in management meetings, clinical staff set the example by adopting self-management behaviors, and patient self-management support was implemented in multiple patient care venues. Primary care centers with limited financial resources are able to integrate self-management support into their system of chronic illness care.

Viable Techniques, Leontief’s Closed Model, and Sraffa’s Subsistence Economies

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Alberto Benítez

2014-11-01

Full Text Available This paper studies the production techniques employed in economies that reproduce themselves. Special attention is paid to the distinction usually made between those that do not produce a surplus and those that do, which are referred to as first and second class economies, respectively. Based on this, we present a new definition of viable economies and show that every viable economy of the second class can be represented as a viable economy of the first class under two different forms, Leontief‘s closed model and Sraffa’s subsistence economies. This allows us to present some remarks concerning the economic interpretation of the two models. On the one hand, we argue that the participation of each good in the production of every good can be considered as a normal characteristic of the first model and, on the other hand, we provide a justification for the same condition to be considered a characteristic of the second model. Furthermore, we discuss three definitions of viable techniques advanced by other authors and show that they differ from ours because they admit economies that do not reproduce themselves completely.

Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study.

Science.gov (United States)

Barnes, M C; Gunnell, D; Davies, R; Hawton, K; Kapur, N; Potokar, J; Donovan, J L

2016-02-17

Self-harm and suicide increase in times of economic recession, but little is known about why people self-harm when in financial difficulty, and in what circumstances self-harm occurs. This study aimed to understand events and experiences leading to the episode of self-harm and to identify opportunities for prevention or mitigation of distress. Participants' homes or university rooms. 19 people who had attended hospital following self-harm in two UK cities and who specifically cited job loss, economic hardship or the impact of austerity measures as a causal or contributory factor. Semistructured, in-depth interviews. Interviews were audio recorded, transcribed and analysed cross-sectionally and as case studies. Study participants described experiences of severe economic hardship; being unable to find employment or losing jobs, debt, housing problems and benefit sanctions. In many cases problems accumulated and felt unresolvable. For others an event, such as a call from a debt collector or benefit change triggered the self-harm. Participants also reported other current or past difficulties, including abuse, neglect, bullying, domestic violence, mental health problems, relationship difficulties, bereavements and low self-esteem. These contributed to their sense of despair and worthlessness and increased their vulnerability to self-harm. Participants struggled to gain the practical help they felt they needed for their economic difficulties or therapeutic support that might have helped with their other co-existing or historically damaging experiences. Economic hardships resulting from the recession and austerity measures accumulated or acted as a 'final straw' to trigger self-harm, often in the context of co-existing or historically damaging life-experiences. Interventions to mitigate these effects should include providing practical advice about economic issues before difficulties become insurmountable and providing appropriate psychosocial support for vulnerable

How Do Hunter-Gatherer Children Learn Subsistence Skills? : A Meta-Ethnographic Review.

Science.gov (United States)

Lew-Levy, Sheina; Reckin, Rachel; Lavi, Noa; Cristóbal-Azkarate, Jurgi; Ellis-Davies, Kate

2017-12-01

Hunting and gathering is, evolutionarily, the defining subsistence strategy of our species. Studying how children learn foraging skills can, therefore, provide us with key data to test theories about the evolution of human life history, cognition, and social behavior. Modern foragers, with their vast cultural and environmental diversity, have mostly been studied individually. However, cross-cultural studies allow us to extrapolate forager-wide trends in how, when, and from whom hunter-gatherer children learn their subsistence skills. We perform a meta-ethnography, which allows us to systematically extract, summarize, and compare both quantitative and qualitative literature. We found 58 publications focusing on learning subsistence skills. Learning begins early in infancy, when parents take children on foraging expeditions and give them toy versions of tools. In early and middle childhood, children transition into the multi-age playgroup, where they learn skills through play, observation, and participation. By the end of middle childhood, most children are proficient food collectors. However, it is not until adolescence that adults (not necessarily parents) begin directly teaching children complex skills such as hunting and complex tool manufacture. Adolescents seek to learn innovations from adults, but they themselves do not innovate. These findings support predictive models that find social learning should occur before individual learning. Furthermore, these results show that teaching does indeed exist in hunter-gatherer societies. And, finally, though children are competent foragers by late childhood, learning to extract more complex resources, such as hunting large game, takes a lifetime.

Using Context Awareness for Self Management in Pervasive Service Middleware

DEFF Research Database (Denmark)

Zhang, Weishan; Hansen, Klaus Marius

2011-01-01

Context-awareness is an important feature in Ambient Intelligence environments including in pervasive middleware. In addition, there is a growing trend and demand on self-management capabilities for a pervasive middleware in order to provide high-level dependability for services. In this chapter......, we propose to make use of context-awareness features to facilitate self-management. To achieve self-management, dynamic contexts for example device and service statuses, are critical to take self-management actions. Therefore, we consider dynamic contexts in context modeling, specifically as a set...... of OWL/SWRL ontologies, called the Self-Management for Pervasive Services (SeMaPS) ontologies. Self-management rules can be developed based on the SeMaPS ontologies to achieve self-management goals. Our approach is demonstrated within the LinkSmart pervasive middleware. Finally, our experiments...

Semantic Web based Self-management for a Pervasive Service Middleware

DEFF Research Database (Denmark)

Zhang, Weishan; Hansen, Klaus Marius

2008-01-01

Self-management is one of the challenges for realizing ambient intelligence in pervasive computing. In this paper,we propose and present a semantic Web based self-management approach for a pervasive service middleware where dynamic context information is encoded in a set of self-management context...... ontologies. The proposed approach is justified from the characteristics of pervasive computing and the open world assumption and reasoning potentials of semantic Web and its rule language. To enable real-time self-management, application level and network level state reporting is employed in our approach....... State changes are triggering execution of self-management rules for adaption, monitoring, diagnosis, and so on. Evaluations of self-diagnosis in terms of extensibility, performance,and scalability show that the semantic Web based self-management approach is effective to achieve the self-diagnosis goals...

Self-Management Strategies to Support Students with ASD

Science.gov (United States)

Schulze, Margaret A.

2016-01-01

Self-management is a set of procedures that students can be taught to apply to their own behaviors to change them. In self-management, students are taught to observe, assess, and modify their own behavior. These procedures include such things as self-identifying and observing a target behavior and setting a goal to change it. Self-management…

Economic Exposure and Integrated Risk Management

OpenAIRE

Miller, Kent D.

1994-01-01

Most corporate risk management research focuses on particular risk exposures to the exclusion of other interrelated exposures. By contrast, this study models corporate risk exposures using a multivariate approach integrating the distinct exposures of interest to finance and strategy researchers. The paper addresses the implications of multivariate modeling for corporate risk management, some key methodological issues arising in empirical estimation of corporate economic exposrues, and direc...

[Effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus].

Science.gov (United States)

Kim, HeeSook; Kim, Sue

2013-02-01

The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM). A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel. Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, pidentity (U= -4.48, pmanagement program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.

Quality Assessment of Economic Evaluations of Suicide and Self-Harm Interventions

DEFF Research Database (Denmark)

Madsen, Lizell Bustamante; Eddleston, Michael; Hansen, Kristian Schultz

2018-01-01

Background: Death following self-harm constitutes a major global public health challenge and there is an urgent need for governments to implement cost-effective, national suicide prevention strategies. Aim: To conduct a systematic review and quality appraisal of the economic evaluations...... of interventions aimed at preventing suicidal behavior. Method: A systematic literature search was performed in several literature databases to identify relevant articles published from 2003 to 2016. Drummond's 10-item appraisal tool was used to assess the methodological quality of the included studies. Results....... The discussion of suicide and self-harm prevention should be as nuanced as possible, including health economics along with cultural, social, and political aspects....

Peer-Based Control in Self-Managing Teams: Linking Rational and Normative Influence with Individual and Group Performance

Science.gov (United States)

Stewart, Greg L.; Courtright, Stephen H.; Barrick, Murray R.

2012-01-01

The authors use a multilevel framework to introduce peer-based control as a motivational state that emerges in self-managing teams. The authors specifically describe how "peer-based rational control", which is defined as team members perceiving the distribution of economic rewards as dependent on input from teammates, extends and…

ENTREPRENEURSHIP AS STRATEGIC RESOURSE: ECONOMIC ESSENCE, MANAGEMENT PROCESSES

Directory of Open Access Journals (Sweden)

P. D. Polovinkin

2012-01-01

Full Text Available At current society development stage, efficient use of entrepreneurship provides for stable production and high living standards. Entrepreneurship is a specific type of economic activities, entrepreneur is a special subject of management. Entrepreneurship’s objective prerequisites and possibilities to get efficiently adapted to postindustrial economic conditions lay in its very essence. Personal and professional qualities of a successful entrepreneur make him effective both as capital owner and manager. The state must create favorable conditions for Russian entrepreneurship.

Spatially dynamic forest management to sustain biodiversity and economic returns.

Science.gov (United States)

Mönkkönen, Mikko; Juutinen, Artti; Mazziotta, Adriano; Miettinen, Kaisa; Podkopaev, Dmitry; Reunanen, Pasi; Salminen, Hannu; Tikkanen, Olli-Pekka

2014-02-15

Production of marketed commodities and protection of biodiversity in natural systems often conflict and thus the continuously expanding human needs for more goods and benefits from global ecosystems urgently calls for strategies to resolve this conflict. In this paper, we addressed what is the potential of a forest landscape to simultaneously produce habitats for species and economic returns, and how the conflict between habitat availability and timber production varies among taxa. Secondly, we aimed at revealing an optimal combination of management regimes that maximizes habitat availability for given levels of economic returns. We used multi-objective optimization tools to analyze data from a boreal forest landscape consisting of about 30,000 forest stands simulated 50 years into future. We included seven alternative management regimes, spanning from the recommended intensive forest management regime to complete set-aside of stands (protection), and ten different taxa representing a wide variety of habitat associations and social values. Our results demonstrate it is possible to achieve large improvements in habitat availability with little loss in economic returns. In general, providing dead-wood associated species with more habitats tended to be more expensive than providing requirements for other species. No management regime alone maximized habitat availability for the species, and systematic use of any single management regime resulted in considerable reductions in economic returns. Compared with an optimal combination of management regimes, a consistent application of the recommended management regime would result in 5% reduction in economic returns and up to 270% reduction in habitat availability. Thus, for all taxa a combination of management regimes was required to achieve the optimum. Refraining from silvicultural thinnings on a proportion of stands should be considered as a cost-effective management in commercial forests to reconcile the conflict

The Impact of Employment and Self-Rated Economic Condition on the Subjective Well-Being of Older Korean Immigrants.

Science.gov (United States)

Kim, Bum Jung; Lee, Yura; Sangalang, Cindy; Harris, Lesley M

2015-09-01

Extensive research has demonstrated a relationship between socioeconomic factors and health among older adults, yet fewer studies have explored this relationship with older immigrants. This study aims to examine the influence of employment and self-rated economic condition on the subjective well-being of older Korean immigrants in the United States. Data were drawn from a cross-sectional study of 205 older Korean immigrants, aged 65 to 90, in Los Angeles County. Hierarchical regression was employed to explore the independent and interactive effects of employment status and self-rated economic condition. The study found that employment and self-rated economic status were positively associated with subjective well-being. Also, the interaction between employment and self-rated economic status was significantly associated with higher levels of subjective well-being, such that the influence of self-rated economic condition was stronger for unemployed older Korean immigrants compared with those who were employed. This population-based study provides empirical evidence that employment and self-rated economic condition are directly associated with subjective well-being for older Korean immigrants. © The Author(s) 2015.

Increasing capacity to deliver diabetes self-management education

DEFF Research Database (Denmark)

Carey, M. E.; Mandalia, P. K.; Daly, H.

2014-01-01

Aim: To develop and test a format of delivery of diabetes self-management education by paired professional and lay educators. Methods: We conducted an equivalence trial with non-randomized participant allocation to a Diabetes Education and Self Management for Ongoing and Newly Diagnosed Type 2 di...... educator role can provide equivalent patient benefits. This could provide a method that increases capacity, maintains quality and is cost-effective, while increasing access to self-management education.......Aim: To develop and test a format of delivery of diabetes self-management education by paired professional and lay educators. Methods: We conducted an equivalence trial with non-randomized participant allocation to a Diabetes Education and Self Management for Ongoing and Newly Diagnosed Type 2...... diabetes (DESMOND) course, delivered in the standard format by two trained healthcare professional educators (to the control group) or by one trained lay educator and one professional educator (to the intervention group). A total of 260 people with Type 2 diabetes diagnosed within the previous 12 months...

The role of comorbidities in patients' hypertension self-management.

Science.gov (United States)

Fix, Gemmae M; Cohn, Ellen S; Solomon, Jeffrey L; Cortés, Dharma E; Mueller, Nora; Kressin, Nancy R; Borzecki, Ann; Katz, Lois A; Bokhour, Barbara G

2014-06-01

We sought to understand barriers to hypertension self-management in patients with hypertension and comorbidities. We conducted semi-structured, qualitative interviews with 48 patients with uncontrolled hypertension and at least one comorbidity to learn about beliefs and behaviors that might affect hypertension self-management. Using a grounded theory strategy, we analyzed interview transcripts detailing patients' hypertension self-management behaviors vis-à-vis a framework including Explanatory Models-a patient's understanding of the pathophysiology, cause, course, treatment, and severity of an illness, such as hypertension. We identified four factors that interfered with hypertension self-management. (1) Interdependence: Participants saw hypertension as interconnected to their comorbidities and subsequently had difficulty separating information about their illnesses. (2) Low priority: Compared to other conditions, participants assigned hypertension a lower priority. (3) Conflicts: Participants struggled with conflicts between hypertension self-management practices and those for comorbidities. (4) Managing multiple medications: Polypharmacy led to patients' confusion and concern about taking medications as prescribed. Participants did not experience hypertension as a discreet clinical condition; rather, they self-managed hypertension concurrently with other conditions, leading to a breakdown in hypertension self-management. We provide strategies to address each of the four barriers to better equip providers in addressing their clinically salient concerns.

Socio-economic differences in self-esteem of adolescents influenced by personality, mental health and social support.

Science.gov (United States)

Veselska, Zuzana; Madarasova Geckova, Andrea; Gajdosova, Beata; Orosova, Olga; van Dijk, Jitse P; Reijneveld, Sijmen A

2010-12-01

Previous studies indicate that self-esteem is lower among adolescents of low socio-economic status and is associated with a number of intrapersonal, interpersonal and socio-cultural factors. Evidence on the mechanisms by which these factors contribute to the connection between socio-economic status and developing self-esteem is incomplete, however. The purpose of this cross-sectional study is to assess whether personality, mental health and social support contribute to the relationship between socio-economic status and self-esteem. A sample of 3694 elementary-school students from Slovakia (mean age = 14.3 years, 49% boys) filled out the Rosenberg Self-esteem Scale, the Family Affluence Scale, the Ten-Item Personality Inventory, the 12-item General Health Questionnaire and the Perceived Social Support Scale. Hierarchical linear regression showed family affluence, personality dimensions of extroversion, emotional stability and openness to experience, as well as mental health subscales and social support from family and significant others to be associated with self-esteem. Results indicate that personality dimensions and mental health subscales contribute to the association between family affluence and self-esteem. The contribution of personality and mental problems in the relation between socio-economic status and self-esteem may have important implications for the design of promotional programs aimed at enhancing self-esteem.

About the new industrial production management concept as the company strategy in the fourth industrial revolution

Directory of Open Access Journals (Sweden)

Kovalchuk Julia

2017-01-01

Full Text Available The new industrial production management requires a review of the third industrial revolution results and accounting for mass adoption of information and communication technologies to create the organizational basis of the fourth industrial revolution. The future changes will affect all components of the organization and management components of industrial enterprises, forming the potential of new competitive advantages in a global economy. The research included the identification of key factors of formation, development and destruction (absorption related branches of knowledge the industrial production management as the theory and practical activities, given the critical approach to its nature and processes. Revealed common signs of the industrial production management need as a field of knowledge in the framework of previous and current industrial revolutions. It is shown that the industrial production management effectively solves the problem of subsistence economy, and substantiates that the modern digital economy also has the characteristics of subsistence economy. It is important the necessity of formulation of a new organizational thinking, the implementation of which is possible in the modern interpretation of the project office. The article represents the theoretical basis for developing practical recommendations for the formation of the new concept of industrial production management to take advantage of the impact of engineering component on the economic results and the creation of project offices for the development of traditional and created markets in the organization of a new production mode (based on the digital economy.

Rethinking 'risk' and self-management for chronic illness.

Science.gov (United States)

Morden, Andrew; Jinks, Clare; Ong, Bie Nio

2012-02-01

Self-management for chronic illness is a current high profile UK healthcare policy. Policy and clinical recommendations relating to chronic illnesses are framed within a language of lifestyle risk management. This article argues the enactment of risk within current UK self-management policy is intimately related to neo-liberal ideology and is geared towards population governance. The approach that dominates policy perspectives to 'risk' management is critiqued for positioning people as rational subjects who calculate risk probabilities and act upon them. Furthermore this perspective fails to understand the lay person's construction and enactment of risk, their agenda and contextual needs when living with chronic illness. Of everyday relevance to lay people is the management of risk and uncertainty relating to social roles and obligations, the emotions involved when encountering the risk and uncertainty in chronic illness, and the challenges posed by social structural factors and social environments that have to be managed. Thus, clinical enactments of self-management policy would benefit from taking a more holistic view to patient need and seek to avoid solely communicating lifestyle risk factors to be self-managed.

Self-monitoring and self-management: new interventions to improve blood pressure control.

Science.gov (United States)

McCartney, David E; McManus, Richard J

2016-11-01

This article reviews recent developments in self-monitoring and self-management of hypertension aimed at the improvement of blood pressure (BP) control. There is an increasing body of evidence examining the effects of self-monitoring on BP control. Several landmark studies in recent years have demonstrated clinically relevant benefit from self-monitoring based interventions. Self-management of BP with self-titration has shown particular promise, as has self-monitoring combined with intensive health-care led support. There is a lack of evidence on the benefits of self-monitoring for those with important comorbidity such as coronary heart disease, chronic kidney disease, diabetes and previous stroke, and future research should be directed towards this. There is a growing body of evidence supporting the use of self-monitoring along with additional intervention including telemonitoring and self-titration in improving BP control. Further research is needed to understand which patients are likely to benefit most and how this is best integrated with routine care.

Effective management models and methods of economic educations in regional industrial complexes

Directory of Open Access Journals (Sweden)

Andrey Gennadyevich Butrin

2014-06-01

Full Text Available In the article, the methodical bases of management by the integrated industrial enterprises is developed according to the indicators of sustainable economic development of the region. The scope of the research is the region as the difficult mesosystem consisting of logistic clusters. The subject matter of the research is the organizational and economic relations developing in the course of interaction of participants of the regional economy as mesosystems. The models and methods of management by the large economic systems in the economy of the industrially developed region are developed; the organizational and economic essence of a logistic cluster as the subject of the regional economy us revealed. The mechanism of management by the integrated enterprises with using the cluster approach, technologies of logistics, management of supply chains is offered. They allow to the management of an enterprises to make scientifically reasonable effective decisions developing programs of supply, economic production and realization of finished goods in the close connection with programs of regional economic development.

Management of the self : An interdisciplinary approach to self-management in psychiatry and psychosomatic medicine

NARCIS (Netherlands)

Van Geelen, S.; Franssen, G.

For this special issue, we asked nine specialists to explicate what they believe to be the fundamental dimensions of self-experience in mental healthcare, and to fully consider the consequences of those dimensions for adequate strategies of self-management in psychiatry and psychosomatic medicine.

26 CFR 1.120-1 - Statutory subsistence allowance received by police.

Science.gov (United States)

2010-04-01

... police. 1.120-1 Section 1.120-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY....120-1 Statutory subsistence allowance received by police. (a) Section 120 excludes from the gross income of an individual employed as a police official by a State, Territory, or possession of the United...

Personal discovery in diabetes self-management: Discovering cause and effect using self-monitoring data.

Science.gov (United States)

Mamykina, Lena; Heitkemper, Elizabeth M; Smaldone, Arlene M; Kukafka, Rita; Cole-Lewis, Heather J; Davidson, Patricia G; Mynatt, Elizabeth D; Cassells, Andrea; Tobin, Jonathan N; Hripcsak, George

2017-12-01

To outline new design directions for informatics solutions that facilitate personal discovery with self-monitoring data. We investigate this question in the context of chronic disease self-management with the focus on type 2 diabetes. We conducted an observational qualitative study of discovery with personal data among adults attending a diabetes self-management education (DSME) program that utilized a discovery-based curriculum. The study included observations of class sessions, and interviews and focus groups with the educator and attendees of the program (n = 14). The main discovery in diabetes self-management evolved around discovering patterns of association between characteristics of individuals' activities and changes in their blood glucose levels that the participants referred to as "cause and effect". This discovery empowered individuals to actively engage in self-management and provided a desired flexibility in selection of personalized self-management strategies. We show that discovery of cause and effect involves four essential phases: (1) feature selection, (2) hypothesis generation, (3) feature evaluation, and (4) goal specification. Further, we identify opportunities to support discovery at each stage with informatics and data visualization solutions by providing assistance with: (1) active manipulation of collected data (e.g., grouping, filtering and side-by-side inspection), (2) hypotheses formulation (e.g., using natural language statements or constructing visual queries), (3) inference evaluation (e.g., through aggregation and visual comparison, and statistical analysis of associations), and (4) translation of discoveries into actionable goals (e.g., tailored selection from computable knowledge sources of effective diabetes self-management behaviors). The study suggests that discovery of cause and effect in diabetes can be a powerful approach to helping individuals to improve their self-management strategies, and that self-monitoring data can

Expectations and needs of patients with a chronic disease toward self-management and eHealth for self-management purposes

NARCIS (Netherlands)

Huygens, M.W.J.; Vermeulen, J.; Swinkels, I.C.S.; Friele, R.D.; Schayck, O.C.P. van; Witte, L.P. de

2016-01-01

Background: Self-management is considered as an essential component of chronic care by primary care professionals. eHealth is expected to play an important role in supporting patients in their self-management. For effective implementation of eHealth it is important to investigate patients’

Economic resilience through "One-Water" management

Science.gov (United States)

Hanson, Randall T.; Schmid, Wolfgang

2013-01-01

Disruption of water availability leads to food scarcity and loss of economic opportunity. Development of effective water-resource policies and management strategies could provide resiliance to local economies in the face of water disruptions such as drought, flood, and climate change. To accomplish this, a detailed understanding of human water use and natural water resource availability is needed. A hydrologic model is a computer software system that simulates the movement and use of water in a geographic area. It takes into account all components of the water cycle--“One Water”--and helps estimate water budgets for groundwater, surface water, and landscape features. The U.S. Geological Survey MODFLOW One-Water Integrated Hydrologic Model (MODFLOWOWHM) software and scientific methods can provide water managers and political leaders with hydrologic information they need to help ensure water security and economic resilience.

Assessing self-efficacy in type 2 diabetes management: validation of the Italian version of the Diabetes Management Self-Efficacy Scale (IT-DMSES).

Science.gov (United States)

Messina, Rossella; Rucci, Paola; Sturt, Jackie; Mancini, Tatiana; Fantini, Maria Pia

2018-04-23

Being highly self-efficacious is a key factor in successful chronic disease self-management. In the context of measuring self-efficacy in type 2 diabetes management, the Diabetes Management Self-Efficacy Scale (DMSES) is the most widely used scale. The aim of this study was to adapt the English version of the scale to Italian and to evaluate the psychometric properties of the Italian version of DMSES in type 2 diabetes (IT-DMSES). We conducted a cross-sectional study of people with type 2 diabetes attending the Endocrine-Metabolic Disease Care Unit of the Internal Medicine Department of San Marino State Hospital between October 2016 and February 2017. Patients completed a socio-demographic and clinical data form, the IT-DMSES and 3 self-report questionnaires measuring diabetes distress (PAID-5), psychological well-being (WHO-5) and depression (PHQ-9). Psychometric testing included construct validity (principal component analysis), internal consistency (Cronbach's α coefficient) and convergent/discriminant validity (Spearman's correlation coefficient). Decision tree analysis was performed to classify patients into homogeneous subgroups of self-efficacy based on their demographic and clinical characteristics. Participants were 110 males and 55 females, mean age of 65.2 years (SD ± 9), 56.9% had been diagnosed for 1-15 years, 63% had HbA1c level > 53 mmol/mol. Two main factors underlain the construct of self-efficacy in diabetes management: 'Disease Management' and "Lifestyles Management". Disease Management had a good reliability (α = .849) and Lifestyle Management had an excellent reliability (α = .902) indicating that the instrument is internally consistent. A negative and weak correlation was found between Lifestyle management, PAID-5 (r = - 0.258, p = management was uncorrelated with PAID-5 (r = - 0.142, p = 0.083), PHQ-9 (r = - 0.145, p = 0.076) and weekly correlated with WHO-5 (r = 0.170, p = 0

Principles of accounting in the information space of foreign economic activity management

Directory of Open Access Journals (Sweden)

V.Yu. Gordopolov

2018-04-01

Full Text Available The article presents scientific results confirming the influence of the external environment on the need for revision of accounting principles in accordance with the characteristics of economic activity. A model of the relationship between the management system and the subsystem of accounting of the subject of foreign economic activity was developed. The study substantiates the approach to the formation of information in accounting, which indirectly depends on how the system of management of foreign economic activity at the enterprise is constructed. The influence of accounting information support on creation of the communication space of the system of management of foreign economic activity is determined. The directions of transformation of accounting principles of foreign economic operations in the context of the influence of the management system of foreign economic activity of the enterprise are presented. The article presents the proposed changes in the part of the transformation of accounting principles of foreign economic activity.

Operationalizing Surveillance of Chronic Disease Self-Management and Self-Management Support.

Science.gov (United States)

Brady, Teresa J; Sacks, Jeffrey J; Terrillion, Albert J; Colligan, Erin M

2018-04-05

Sixty percent of US adults have at least one chronic condition, and more than 40% have multiple conditions. Self-management (SM) by the individual, along with self-management support (SMS) by others, are nonpharmacological interventions with few side effects that are critical to optimal chronic disease control. Ruiz and colleagues laid the conceptual groundwork for surveillance of SM/SMS at 5 socio-ecological levels (individual, health system, community, policy, and media). We extend that work by proposing operationalized indicators at each socio-ecologic level and suggest that the indicators be embedded in existing surveillance systems at national, state, and local levels. Without a robust measurement system at the population level, we will not know how far we have to go or how far we have come in making SM and SMS a reality. The data can also be used to facilitate planning and service delivery strategies, monitor temporal changes, and stimulate SM/SMS-related research.

Neural correlates of self-deception and impression-management.

Science.gov (United States)

Farrow, Tom F D; Burgess, Jenny; Wilkinson, Iain D; Hunter, Michael D

2015-01-01

Self-deception and impression-management comprise two types of deceptive, but generally socially acceptable behaviours, which are common in everyday life as well as being present in a number of psychiatric disorders. We sought to establish and dissociate the 'normal' brain substrates of self-deception and impression-management. Twenty healthy participants underwent fMRI scanning at 3T whilst completing the 'Balanced Inventory of Desirable Responding' test under two conditions: 'fake good', giving the most desirable impression possible and 'fake bad' giving an undesirable impression. Impression-management scores were more malleable to manipulation via 'faking' than self-deception scores. Response times to self-deception questions and 'fake bad' instructions were significantly longer than to impression-management questions and 'fake good' instructions respectively. Self-deception and impression-management manipulation and 'faking bad' were associated with activation of medial prefrontal cortex (mPFC) and left ventrolateral prefrontal cortex (vlPFC). Impression-management manipulation was additionally associated with activation of left dorsolateral prefrontal cortex and left posterior middle temporal gyrus. 'Faking bad' was additionally associated with activation of right vlPFC, left temporo-parietal junction and right cerebellum. There were no supra-threshold activations associated with 'faking good'. Our neuroimaging data suggest that manipulating self-deception and impression-management and more specifically 'faking bad' engages a common network comprising mPFC and left vlPFC. Shorter response times and lack of dissociable neural activations suggests that 'faking good', particularly when it comes to impression-management, may be our most practiced 'default' mode. Copyright © 2014 Elsevier Ltd. All rights reserved.

Contemporary trends in improvement of organizational-economic mechanism of environmental management

Science.gov (United States)

Kiseleva, T. V.; Mikhailov, V. G.; Mikhailov, G. S.

2017-09-01

The article deals with the effective functioning of ecological and economic systems of various levels on the basis of an adequate organizational and economic management mechanism. The compliance matrix of the presented innovative elements in the structure of organizational and economic mechanism of environmental management is developed. The practical component of the conducted study can be recommended to municipal, regional and federal authorities, as well as industrial enterprises, to support effective, environmentally reasonable management decisions that are consistent with the global concept of sustainable development.

Factors relating to professional self-concept among nurse managers.

Science.gov (United States)

Kantek, Filiz; Şimşek, Belkıs

2017-12-01

To investigate the self-concept in nurse managers in Turkey and the effects of certain variables on professional self-concept. Professional self-concept plays a significant role in improving certain professional behaviours. Nursing managers have the potential to influence other members of the profession with their attitudes and behaviours. The study was designed as a cross-sectional descriptive study. This study was conducted with 159 nurse managers in nine different hospitals. The study data were collected with a Personal Information Form and Professional Self-concept Nursing Inventory, and the data analysis was accomplished with descriptive statistics, Cronbach's alpha coefficients and Chi-squared Automatic Interaction Detector analyses. The professional self-concept score of nurse managers was 3·33 (SD = 0·308). Professional competence subdimension had the highest scores, while professional satisfaction subdimension had the lowest. The types of hospital were found to be influential on professional self-concept. The types of hospital were reported to influence the professional self-concept of nurses. Nursing managers are visionaries who can potentially influence nursing practices and decisions. Nursing leaders must monitor and administer strategies to improve their professional self-concept. © 2017 John Wiley & Sons Ltd.

Can models of self-management support be adapted across cancer types? A comparison of unmet self-management needs for patients with breast or colorectal cancer.

Science.gov (United States)

Mansfield, Elise; Mackenzie, Lisa; Carey, Mariko; Peek, Kerry; Shepherd, Jan; Evans, Tiffany-Jane

2018-03-01

There is an increased focus on supporting patients with cancer to actively participate in their healthcare, an approach commonly termed 'self-management'. Comparing unmet self-management needs across cancer types may reveal opportunities to adapt effective self-management support strategies from one cancer type to another. Given that breast and colorectal cancers are prevalent, and have high survival rates, we compared these patients' recent need for help with self-management. Data on multiple aspects of self-management were collected from 717 patients with breast cancer and 336 patients with colorectal cancer attending one of 13 Australian medical oncology treatment centres. There was no significant difference between the proportion of patients with breast or colorectal cancer who reported a need for help with at least one aspect of self-management. Patients with breast cancer were significantly more likely to report needing help with exercising more, while patients with colorectal cancer were more likely to report needing help with reducing alcohol consumption. When controlling for treatment centre, patients who were younger, experiencing distress or had not received chemotherapy were more likely to report needing help with at least one aspect of self-management. A substantial minority of patients reported an unmet need for self-management support. This indicates that high-quality intervention research is needed to identify effective self-management support strategies, as well as implementation trials to identify approaches to translating these strategies into practice. Future research should continue to explore whether self-management support strategies could be adapted across cancer types.

Self-management in patients with psoriasis

Directory of Open Access Journals (Sweden)

Pathak SN

2014-07-01

Full Text Available Swetha Narahari Pathak,1 Pauline L Scott,1 Cameron West,1 Steven R Feldman,1–3 1Center for Dermatology Research, Departments of Dermatology, 2Center for Dermatology Research, Departments of Pathology, 3Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA Abstract: Psoriasis is a chronic inflammatory disorder effecting the skin and joints. Additionally, multiple comorbidities exist, including cardiovascular, metabolic, and psychiatric. The chronic nature of psoriasis is often frustrating for both patients and physicians alike. Many options for treatment exist, though successful disease management rests largely on patients through the application of topical corticosteroids, Vitamin D analogs, and calcineurin inhibitors, amongst others and the administration of systemic medications such as biologics and methotrexate. Phototherapy is another option that also requires active participation from the patient. Many barriers to effective self-management of psoriasis exist. Successful treatment requires the establishment of a strong doctor-patient relationship and patient empowerment in order to maximize adherence to a treatment regimen and improve outcomes. Improving patient adherence to treatment is necessary in effective self-management. Many tools exist to educate and empower patients, including online sources such as the National Psoriasis Foundation and online support group, Talk Psoriasis, amongst others. Effective self management is critical in decreasing the physical burden of psoriasis and mitigating its multiple physical, psychological, and social comorbidities, which include obesity, cardiovascular disease, alcohol dependence, depression, anxiety, and social anxiety. Keywords: psoriasis, adherence, self management, compliance

Economic challenges of radioactive waste management

International Nuclear Information System (INIS)

Soderberg, O.

1996-01-01

The management of long lived waste, and the decommissioning of nuclear power plants represent major economic challenges. Power production is an activity that produces benefits now, but considerable costs will appear up to one or two generations later. Who should pay for such inevitable costs? How do you guarantee a lifetime ahead that money will be available when needed? The issues of inter-generational equity and management of the uncertainties involved in estimating future costs decommissioning and waste management, the development of the concept of trust funds and the overseeing of long-term financial liabilities in this field are discussed. The paper contains an overview of how such challenges are met in different countries. Information for the general public about economics in connection with nuclear waste management needs to combine the conflicting demands of accuracy and simplification. Systems for financing future costs are discussed, together with proposed guarantees and suggestions for the efficient organisation of such funding. The present Swedish system is explained. This basically requires license holders to pay a yearly fee to cover the costs of the safe handling and final disposal of nuclear fuel used in the reactor, the safe decommissioning and dismantling of the reactor, and the R and D activities required to achieve this. With recent suggestions for improving the reliability of the 1981 Swedish nuclear waste management funding system as a basis, five information messages rom the Government and responsible authorities are discussed. (author)

Self Managing the Consequences of Major Limb Trauma

National Research Council Canada - National Science Library

MacKenzie, Ellen J

2008-01-01

.... The intervention will build on widely accepted self-management programs developed for persons with arthritis as well as components of a face-to-face self-management program for civilians with long-standing limb loss...

Management self-assessment in construction phase of nuclear power station

International Nuclear Information System (INIS)

Shao Bixiu

2004-01-01

Management self-assessment is one of the quality management methods to achieve the organization's continuous improvement. Through the investigation of the methods, the author hopes to give guideline to the management at all levels involved in the construction of nuclear power station in the implementation of management self-assessment, and also to make the management self-assessment more normalized, systematical and effective

75 FR 2448 - Subsistence Management Regulations for Public Lands in Alaska-2011-12 and 2012-13 Subsistence...

Science.gov (United States)

2010-01-15

... information. The Board may elect to defer taking action on any given proposal if the workload of staff... adversely affect an economic sector, productivity, jobs, the environment, or other units of the government... no potential takings of private property implications as defined by Executive Order 12630. Unfunded...

77 FR 5204 - Subsistence Management Regulations for Public Lands in Alaska-2013-14 and 2014-15 Subsistence...

Science.gov (United States)

2012-02-02

...-3888 or [email protected] . For questions specific to National Forest System lands, contact Steve... economic sector, productivity, jobs, the environment, or other units of the government. (b) Whether the... Indian Affairs; Jerry Berg, Alaska Regional Office, U.S. Fish and Wildlife Service; and Steve Kessler...

[Self-efficacy and self management of healthy habits in fibromyalgia].

Science.gov (United States)

Pérez-Velasco, María; Peñacoba-Puente, Cecilia

2015-01-01

Fibromyalgia is a disorder characterized by general chronic pain, together with other symptoms such as fatigue, sleep disorders, anxiety and depression. To analyze, in FM patients, the effects of a multi-component intervention program (nursing+cognitive-behavioural therapy, focused on improving resting habits, physical exercise, and family relationships, working simultaneously on empowerment and patient self-efficacy. A quasi-experimental design was used following-up 5 women diagnosed with fibromyalgia. An analysis was performed on their daily habits, self-efficacy for chronic pain, pain perception, functional limitation, and affect. The intervention was composed by 8 group sessions: Six of them aimed at health education and self-management of healthy habits (nursing), and two sessions dedicated to increasing self-efficacy (cognitive-behavioural therapy). Follow-up consisted of five individual sessions (nursing) so as to consolidate the newly acquired habits, maintain self-management and self-efficacy based on observing compliance. Statistically significant improvements were observed (pre-, pos-) in habit modification and in self-efficacy, as well as for positive and negative affect. Also, statistically significant differences were found pre-follow up for functional limitation. The role of nursing has to be considered within multi-component programs, in particular during follow-up, for changing habits and for self-efficacy, in response to some of the current limitations of interventions with these patients. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

Economic value of biological control in integrated pest management of managed plant systems.

Science.gov (United States)

Naranjo, Steven E; Ellsworth, Peter C; Frisvold, George B

2015-01-07

Biological control is an underlying pillar of integrated pest management, yet little focus has been placed on assigning economic value to this key ecosystem service. Setting biological control on a firm economic foundation would help to broaden its utility and adoption for sustainable crop protection. Here we discuss approaches and methods available for valuation of biological control of arthropod pests by arthropod natural enemies and summarize economic evaluations in classical, augmentative, and conservation biological control. Emphasis is placed on valuation of conservation biological control, which has received little attention. We identify some of the challenges of and opportunities for applying economics to biological control to advance integrated pest management. Interaction among diverse scientists and stakeholders will be required to measure the direct and indirect costs and benefits of biological control that will allow farmers and others to internalize the benefits that incentivize and accelerate adoption for private and public good.

Financial Management of Economic Entity from the Perspective of Alternative Approach

Directory of Open Access Journals (Sweden)

Victor Munteanu

2016-12-01

Full Text Available Throughout the study the financial management presented is divided into three directions, namely financial analysis, financial planning and financial strategy, focusing on increasing the quality of financial management conducted at the economic entity by identifying an easier possible use for a system of alternative decisions in order to increase the profitability. The study also aims to identify new meanings of financial accounting information system in performing the managerial act through alternative decisions, trying to highlight the need to create a management tool generator of variants possible to be adopted with an impact on their application in the economic entity as a whole. Based on qualitative research on the financial management act, it is revealed the importance of the financial management act manifested in the economic entity and also its quality improvement through simulations targeting the management through budget system.

The role of self-treatment guidelines in self-management education for adult asthmatics

NARCIS (Netherlands)

van der Palen, Jacobus Adrianus Maria; Klein, J.J.; Zielhuis, G.A.; van Herwaarden, C.L.A.

1998-01-01

Guidelines on asthma management have changed considerably in the last two decades. Patient education has gained in popularity and especially asthma self-management training is thought to be essential in the treatment of adult asthma. Since 1989 many researchers have added self-treatment guidelines

Fire in longleaf pine stand management: an economic analysis

Science.gov (United States)

Rodney L. Busby; Donald G. Hodges

1999-01-01

A simulation analysis of the economics of using prescribed fire as a forest management tool in the management of longleaf pine (Pinus palustris Mill.) plantations was conducted. A management regime using frequent prescribed fire was compared to management regimes involving fertilization and chemical release, chemical control, and mechanical control. Determining the...

Managing nuclear waste: Social and economic impacts

International Nuclear Information System (INIS)

Hemphill, R.C.; Bassett, G.W. Jr.

1993-01-01

Recent research has focused on perceptions of risk as a dominant source of economic impacts due to siting a high level radioactive waste facility. This article addresses the social and economic considerations involved with the issue of risk perception and other types of negative imagery. Emphasis is placed on ways of measuring the potential for economic effects resulting from perceptions prior to construction and operation of HLW facility. We describe the problems in arriving at defensible estimates of economic impacts. Our review has found that although legal and regulatory bases may soon allow inclusion of these impacts in EIS and for compensation purposes, credible scientific methods do not currently exist for predicting the existence or magnitude of changes in economic decision-making. Policy-makers should recognize the potential for perception-based economic impacts in determining the location and means of managing radioactive waste; but, they also need be cognizant of the current limitations of quantitative estimates of impacts in this area

Managing nuclear waste: Social and economic impacts

International Nuclear Information System (INIS)

Hemphill, R.C.; Bassett, G.W. Jr.

1993-01-01

Recent research has focused on perceptions of risk dominant source of economic impacts due to siting a high level radioactive waste facility. This article addresses the social and economic considerations involved with the issue of risk perception and other types of negative imagery. Emphasis is placed on ways of measuring the potential for economic effects resulting from perceptions prior to construction and operation of a HLW facility. We describe the problems in arriving at defensible estimates of economic impacts. Our review has found that although legal and regulatory bases may soon allow inclusion of these impacts in EIS and for compensation purposes, credible scientific methods do not currently exist for predicting the existence or magnitude of changes in economic decision-making. Policy-makers should recognize the potential for perception-based economic impacts in determining the location and means of managing radioactive waste; but, they also need be cognizant of the current limitations of quantitative estimates of impacts in this area

Relationship of self-management to personality types and indices.

Science.gov (United States)

Williams, R L; Verble, J S; Price, D E; Layne, B H

1995-06-01

This study addressed the relationship between self-management (as measured by the Lifestyle Approaches Inventory, Williams, Moore, Pettibone, & Thomas, 1992) and personality types and indexes (as measured by the Myers-Briggs Type Indicator, Myers & McCaulley, 1985) in a sample of 347 university students. Correlational analyses indicated that the self-management factor most consistently linked to the Myers-Briggs indices was Organization of Physical Space. The Myers-Briggs index most consistently correlated with the self-management factors was Judgment-Perception. Overall, male and female subjects showed similar patterns of relationships between the self-management and personality indices. When the self-management scores were compared for the various Myers-Briggs types, the analysis indicated that types having a J (planful and organized) or S (precise and practical) in the typology tended to score higher than those having a P (spontaneous and flexible) or N (imaginative and insightful).

Health coaching in diabetes: empowering patients to self-manage.

Science.gov (United States)

Wong-Rieger, Durhane; Rieger, Francis P

2013-02-01

To effectively manage diabetes mellitus, patients must adhere to treatment recommendations and healthy lifestyle behaviors, but research shows many patients do not do this. Education is effective when combined with self-management support but peer-support programs do not lead to lasting changes. Health coaching, or professional support, can be highly effective if it focuses on developing self-efficacy and skills such as goal-setting, problem-solving and managing cognitive and emotional barriers. This overview discusses the benefits of patient self-management for chronic conditions such as diabetes, core competencies for health coaching, theoretical bases and principles of health coaching interventions, delivery methods and the evidence that health coaching works for diabetes self-management. Copyright © 2013 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

Self-management support for peritoneal dialysis patients.

Science.gov (United States)

Sarian, Mari; Brault, Diane; Perreault, Nathalie

2012-01-01

The increasing prevalence of chronic illnesses and kidney disease, in particular, makes it necessary to adopt new approaches towards their management (Wagner, 1998). Evidence suggests that promoting self-management improves the health status of peritoneal dialysis (PD) patients, as they manage upwards of 90% of their own care. Patients who are unable to self-manage suffer from various complications. This project proposes an intervention aimed at improving self-management skills among PD patients. To promote self-management in peritoneal dialysis patients. This is achieved through the following objectives: (a) develop an algorithm that can improve patients' ability to solve the specific problem of fluid balance maintenance, (b) develop an educational session for patients on how to use the algorithm, and (c) develop an implementation strategy in collaboration with the PD nurse. Three measures evaluate the effectiveness of the intervention. First, a telephone call log shows that participating patients call the clinic less to inquire about fluid balance maintenance. Next, a pre- and post-intervention knowledge test measures definite knowledge increase. Finally, a Patient Satisfaction Questionnaire reveals overall satisfaction with the intervention. This project, which proved beneficial to our patient population, could be duplicated in other clinics. The algorithm "How do I choose a dialysis bag" and the slides of the educational sessions can be shared with PD nurses across the country for the benefit of PD patients.

Nuclear generation cost management and economic benefits

International Nuclear Information System (INIS)

Horton, E.P.; Sepa, T.R.

1989-01-01

The CANDU-Pressurized Heavy Water (CANDU-PHW) type of nuclear generating station has been developed jointly by Atomic Energy of Canada Limited and Ontario Hydro. This report discusses the cost management principles used for Ontario Hydro's CANDU-PHW program, current cost management initiatives, and the economic benefits of nuclear power to the provinces of Ontario and New Brunswick, in Canada

Towards Self-managed Pervasive Middleware using OWL/SWRL ontologies

DEFF Research Database (Denmark)

Zhang, Weishan; Hansen, Klaus Marius

2008-01-01

Self-management for pervasive middleware is important to realize the Ambient Intelligence vision. In this paper, we present an OWL/SWRL context ontologies based self-management approach for pervasive middleware where OWL ontology is used as means for context modeling. The context ontologies....../SWRL context ontologies based self-management approach with the self-diagnosis in Hydra middleware, using device state machine and other dynamic context information, for example web service calls. The evaluations in terms of extensibility, performance and scalability show that this approach is effective...

50 CFR 36.16 - Closure to subsistence uses of fish and wildlife.

Science.gov (United States)

2010-10-01

... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Closure to subsistence uses of fish and wildlife. 36.16 Section 36.16 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) THE NATIONAL WILDLIFE REFUGE SYSTEM ALASKA NATIONAL WILDLIFE REFUGES...

Advances in Financial Risk Management and Economic Policy Uncertainty: An Overview

NARCIS (Netherlands)

S.M. Hammoudeh (Shawkat); M.J. McAleer (Michael)

2014-01-01

markdownabstract__Abstract__ Financial risk management is difficult at the best of times, but especially so in the presence of economic uncertainty and financial crises. The purpose of this special issue on “Advances in Financial Risk Management and Economic Policy Uncertainty” is to highlight

Self arrangements in occupational safety and health management

International Nuclear Information System (INIS)

Ismail Bahari

2002-01-01

The book is written with the awareness of safe work culture where success does not lie to compliance with the law only. Instead it is more of an excellent management based on the principle of self organization. Self arrangements in the management of occupational safety and health do not rest on the shoulders of the employer or the safety management and safety communities, but are committed together with the leadership of the employer. Self arrangements will be more meaningful and successful if those involved have knowledge about the philosophy and principles of why and how this management is done, and so the method can be practiced and eventually cultivated as a working system. (author)

CKD Self-management: Phenotypes and Associations With Clinical Outcomes.

Science.gov (United States)

Schrauben, Sarah J; Hsu, Jesse Y; Rosas, Sylvia E; Jaar, Bernard G; Zhang, Xiaoming; Deo, Rajat; Saab, Georges; Chen, Jing; Lederer, Swati; Kanthety, Radhika; Hamm, L Lee; Ricardo, Ana C; Lash, James P; Feldman, Harold I; Anderson, Amanda H

2018-03-24

To slow chronic kidney disease (CKD) progression and its complications, patients need to engage in self-management behaviors. The objective of this study was to classify CKD self-management behaviors into phenotypes and assess the association of these phenotypes with clinical outcomes. Prospective cohort study. Adults with mild to moderate CKD enrolled in the Chronic Renal Insufficiency Cohort (CRIC) Study. 3,939 participants in the CRIC Study recruited between 2003 and 2008 served as the derivation cohort and 1,560 participants recruited between 2013 and 2015 served as the validation cohort. CKD self-management behavior phenotypes. CKD progression, atherosclerotic events, heart failure events, death from any cause. Latent class analysis stratified by diabetes was used to identify CKD self-management phenotypes based on measures of body mass index, diet, physical activity, blood pressure, smoking status, and hemoglobin A 1c concentration (if diabetic); Cox proportional hazards models. 3 identified phenotypes varied according to the extent of implementation of recommended CKD self-management behaviors: phenotype I characterized study participants with the most recommended behaviors; phenotype II, participants with a mixture of recommended and not recommended behaviors; and phenotype III, participants with minimal recommended behaviors. In multivariable-adjusted models for those with and without diabetes, phenotype III was strongly associated with CKD progression (HRs of 1.82 and 1.49), death (HRs of 1.95 and 4.14), and atherosclerotic events (HRs of 2.54 and 1.90; each P diabetes. No consensus definition of CKD self-management; limited to baseline behavior data. There are potentially 3 CKD self-management behavior phenotypes that distinguish risk for clinical outcomes. These phenotypes may inform the development of studies and guidelines regarding optimal self-management. Copyright © 2018 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights

Self-managing teams in manufacturing companies: implications for the engineering function

NARCIS (Netherlands)

Leede, de Jan; Stoker, Janka

Reports on an explanatory multiple case-study of companies with self-managing teams. Reasons for introducing self-managing teams; Cooperation between self-managing teams and engineering development; Conclusion.

A diabetes self-management program designed for urban American Indians.

Science.gov (United States)

Castro, Sarah; O'Toole, Mary; Brownson, Carol; Plessel, Kimberly; Schauben, Laura

2009-10-01

Although the American Indian population has a disproportionately high rate of type 2 diabetes, little has been written about culturally sensitive self-management programs in this population. Community and clinic partners worked together to identify barriers to diabetes self-management and to provide activities and services as part of a holistic approach to diabetes self-management, called the Full Circle Diabetes Program. The program activities and services addressed 4 components of holistic health: body, spirit, mind, and emotion. Seven types of activities or services were available to help participants improve diabetes self-management; these included exercise classes, educational classes, and talking circles. Ninety-eight percent of program enrollees participated in at least 1 activity, and two-thirds participated in 2 or more activities. Program participation resulted in a significant improvement in knowledge of resources for managing diabetes. The Full Circle Diabetes Program developed and implemented culturally relevant resources and supports for diabetes self-management in an American Indian population. Lessons learned included that a holistic approach to diabetes self-management, community participation, and stakeholder partnerships are needed for a successful program.

Management of multiple sclerosis: the role of coping self-efficacy and self-esteem.

Science.gov (United States)

Mikula, Pavol; Nagyova, Iveta; Vitkova, Marianna; Szilasiova, Jarmila

2018-02-07

Patients with multiple sclerosis (MS) engage in various coping behaviours in order to manage their disease. The aim of this study is to find out if the self-esteem of patients is associated with coping strategies - problem-focused (e.g. making a plan of action when confronted with a problem); emotion focused (e.g. get emotional support from community); and focused on stopping unpleasant emotions and thoughts (e.g. keeping oneself from feeling sad), and if it can enhance or hinder coping efforts in the disease management. We collected data from 155 consecutive MS patients who completed the Coping Self-Efficacy Scale (CSE) and the Rosenberg Self-esteem Scale (RSE). Explained variance for problem-focused coping, emotion-focused coping, and coping focused on stopping unpleasant emotions and thoughts was 33, 24, and 31%, respectively. Self-esteem seems to be associated with coping strategies indicating that feelings of self-worth are linked with the ability to handle difficult life situations and can be helpful in chronic disease management.

Impact of an occupation-based self-management programme on chronic disease management.

LENUS (Irish Health Repository)

O'Toole, Lynn

2013-02-01

There is a need for the development and evaluation of occupational therapy interventions enabling participation and contributing to self-management for individuals with multiple chronic conditions. This pilot study aimed to assess the feasibility and potential impact of an occupation-based self-management programme for community living individuals with multiple chronic conditions.

Curricular Innovations on Sustainability and Subsistence Marketplaces: Philosophical, Substantive, and Methodological Orientations

Science.gov (United States)

Viswanathan, Madhubalan

2012-01-01

Using synergies between research, teaching, and social initiatives, the author designed and offered a number of courses in the arena of sustainability: a first-year MBA course on sustainability for all contexts, a module required for all first semester business undergraduates on sustainable businesses for subsistence marketplaces as part of a…

Beliefs About Dysmenorrhea and Their Relationship to Self-Management.

Science.gov (United States)

Chen, Chen X; Kwekkeboom, Kristine L; Ward, Sandra E

2016-08-01

Dysmenorrhea is highly prevalent and is the leading cause of work and school absences among women of reproductive age. However, self-management of dysmenorrhea is not well understood in the US, and little evidence is available on factors that influence dysmenorrhea self-management. Guided by the Common Sense Model, we examined women's representations of dysmenorrhea (beliefs about causes, symptoms, consequences, timeline, controllability, coherence, and emotional responses), described their dysmenorrhea self-management behaviors, and investigated the relationship between representations and self-management behaviors. We conducted a cross-sectional, web-based survey of 762 adult women who had dysmenorrhea symptoms in the last six months. Participants had varied beliefs about the causes of their dysmenorrhea symptoms, which were perceived as a normal part of life. Dysmenorrhea symptoms were reported as moderately severe, with consequences that moderately affected daily life. Women believed they understood their symptoms moderately well and perceived them as moderately controllable but them to continue through menopause. Most women did not seek professional care but rather used a variety of pharmacologic and complementary health approaches. Care-seeking and use of self-management strategies were associated with common sense beliefs about dysmenorrhea cause, consequences, timeline, and controllability. The findings may inform development and testing of self-management interventions that address dysmenorrhea representations and facilitate evidence-based management. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

The Impact of Self-management Knowledge and Support on the Relationships Among Self-efficacy, Patient Activation, and Self-management in Rural Patients With Heart Failure.

Science.gov (United States)

Young, Lufei; Kupzyk, Kevin; Barnason, Susan

Self-management (SM) is an essential component of heart failure (HF) management. The mechanisms to improve SM behaviors are unclear. The objective of this study is to examine whether patient activation mediates the effect of self-efficacy on SM behaviors in rural HF patients. A secondary analysis was conducted using data collected from a randomized controlled trial aimed to improve SM behaviors. The main variables included were SM knowledge, self-efficacy, patient activation, and SM behaviors. Mediation analysis showed patient activation mediated the effect of self-efficacy on SM. Both self-efficacy and patient activation were significantly related to SM behaviors, respectively (r = 0.46, P self-efficacy was no longer directly related to SM behaviors when patient activation was entered into the final model (β = .17, P = .248). Self-management knowledge and support were significant moderators. In patients with high levels of SM knowledge, patient activation did not mediate the effect of self-efficacy on SM behaviors (β = .15, P = .47). When SM support was entered in the path model, patient activation was not a significant mediator between self-efficacy and SM behavior at high (β = .27, P = .27) or low (β = .27, P = .25) levels of SM support. Study findings suggest that targeted SM support for high-risk HF patients with low SM knowledge and support may be useful. In addition, strategies to increase patient activation may improve HF patients' SM confidence.

Extending Self-Management Strategies: The Use of a Classwide Approach

Science.gov (United States)

Hoff, Kathryn E.; Ervin, Ruth A.

2013-01-01

Notwithstanding the wealth of research that documents the effectiveness of self-management programs in the classroom, few investigations have explored classwide use of self-management procedures as a universal intervention. To extend existing research in this area, we examined the effectiveness of a classwide self-management intervention for…

Analysis of Self-Recording in Self-Management Interventions for Stereotypy

Science.gov (United States)

Fritz, Jennifer N.; Iwata, Brian A.; Rolider, Natalie U.; Camp, Erin M.; Neidert, Pamela L.

2012-01-01

Most treatments for stereotypy involve arrangements of antecedent or consequent events that are imposed entirely by a therapist. By contrast, results of some studies suggest that self-recording, a common component of self-management interventions, might be an effective and efficient way to reduce stereotypy. Because the procedure typically has…

Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol [v2; ref status: indexed, http://f1000r.es/5c7

Directory of Open Access Journals (Sweden)

Lufei Young

2015-05-01

Full Text Available Background Heart failure is one of the most prevalent chronic conditions in adults, leading to prolonged morbidity, repeated hospitalizations, and placing tremendous economic burden on the healthcare system. Heart failure patients discharged from rural hospitals, or primarily critical access hospitals, have higher 30-day readmission and mortality rates compared to patients discharged from urban hospitals. Self-management improves heart failure patients’ health outcomes and reduces re-hospitalizations, but adherence to self-management guidelines is low. We propose a home based post-acute care service managed by advanced practice nurses to enhance patient activation and lead to the improvement of self-management adherence in heart failure patients discharged from rural hospitals. Objective This article describes the study design and research methods used to implement and evaluate the intervention. Method Our intervention is a 12-week patient activation (Patient AcTivated Care at Home [PATCH] to improve self-management adherence. Patients were randomized into two parallel groups (12-week PATCH intervention + usual care vs. usual care only to evaluate the effectiveness of this intervention. Outcomes were measured at baseline, 3 and 6 months. Discussion This study aimed to examine the effectiveness of a rural theory based, advance practice nurse led, activation enhancing intervention on the self-management adherence in heart failure patients residing in rural areas. Our expectation is to facilitate adherence to self-management behaviors in heart failure patients following discharge from rural hospitals and decrease complications and hospital readmissions, leading to the reduction of economic burden.  Clinical Trial Registration Information: ClinicalTrials.gov; https://register.clinicaltrials.gov/ NCT01964053

Promoting self-management through adherence among heart failure patients discharged from rural hospitals: a study protocol [v1; ref status: indexed, http://f1000r.es/4y8

Directory of Open Access Journals (Sweden)

Lufei Young

2014-12-01

Full Text Available Background Heart failure is one of the most prevalent chronic conditions in adults, leading to prolonged morbidity, repeated hospitalizations, and placing tremendous economic burden on the healthcare system. Heart failure patients discharged from rural hospitals, or primarily critical access hospitals, have higher 30-day readmission and mortality rates compared to patients discharged from urban hospitals. Self-management improves heart failure patients’ health outcomes and reduces re-hospitalizations, but adherence to self-management guidelines is low. We propose a home based post-acute care service managed by advanced practice nurses to enhance patient activation and lead to the improvement of self-management adherence in heart failure patients discharged from rural hospitals. Objective This article describes the study design and research methods used to implement and evaluate the intervention. Method Our intervention is a 12-week patient activation (Patient AcTivated Care at Home [PATCH] to improve self-management adherence. Patients were randomized into two parallel groups (12-week PATCH intervention + usual care vs. usual care only to evaluate the effectiveness of this intervention. Outcomes were measured at baseline, 3 and 6 months. Discussion This study aimed to examine the effectiveness of a rural theory based, advance practice nurse led, activation enhancing intervention on the self-management adherence in heart failure patients residing in rural areas. Our expectation is to facilitate adherence to self-management behaviors in heart failure patients following discharge from rural hospitals and decrease complications and hospital readmissions, leading to the reduction of economic burden.  Clinical Trial Registration Information: ClinicalTrials.gov; https://register.clinicaltrials.gov/ NCT01964053

Self-management interventions for chronic disease: a systematic scoping review.

Science.gov (United States)

Richardson, Julie; Loyola-Sanchez, Adalberto; Sinclair, Susanne; Harris, Jocelyn; Letts, Lori; MacIntyre, Norma J; Wilkins, Seanne; Burgos-Martinez, Gabriela; Wishart, Laurie; McBay, Cathy; Martin Ginis, Kathleen

2014-11-01

To investigate the contributions of physiotherapy and occupational therapy to self-management interventions and the theoretical models used to support these interventions in chronic disease. We conducted two literature searches to identify studies that evaluated self-management interventions involving physiotherapists and occupational therapists in MEDLINE, the Cochrane Library, CINAHL, EMBASE, AMED (Allied and Complementary Medicine), SPORTdiscus, and REHABDATA databases. Four investigator pairs screened article title and abstract, then full text with inclusion criteria. Selected articles (n = 57) included adults who received a chronic disease self-management intervention, developed or delivered by a physiotherapist and/or an occupational therapist compared with a control group. Four pairs of investigators performed independent reviews of each article and data extraction included: (a) participant characteristics, (b) the self-management intervention, (c) the comparison intervention, (d) outcome measures, construct measured and results. A total of 47 articles reported the involvement of physiotherapy in self-management compared with 10 occupational therapy articles. The type of chronic condition produced different yields: arthritis n = 21 articles; chronic obstructive pulmonary disease and chronic pain n = 9 articles each. The theoretical frameworks most frequently cited were social cognitive theory and self-efficacy theory. Physical activity was the predominant focus of the self-management interventions. Physiotherapy programmes included disease-specific education, fatigue, posture, and pain management, while occupational therapists concentrated on joint protection, fatigue, and stress management. Physiotherapists and occupational therapists make moderate contributions to self-management interventions. Most of these interventions are disease-specific and are most frequently based on the principles of behaviour change theories. © The Author(s) 2014.

Influence of socio-economic status on access to different components of SCI management across Indian population.

Science.gov (United States)

Chhabra, H S; Bhalla, A M

2015-11-01

To assess the influence of financial constraints on access to different components of spinal cord injury (SCI) management in various socio-economic strata of the Indian population. Indian Spinal Injuries Centre (ISIC). One hundred fifty SCI individuals who came for follow-up at ISIC between March 2009 and March 2013 with at least 1 year of community exposure after discharge were included in the study. Socio-economic classification was carried out according to the Kuppuswamy scale, a standard scale for the Indian population. A self-designed questionnaire was administered. No sample was available from the lower group. There was a statistically significant difference (PSCI management. Aided upper lower group was dependent on welfare schemes for in-hospital treatment but could not access other components of management once discharged. Unaided upper lower group either faced severe difficulty or could not access management. Majority of lower middle group faced severe difficulty. Upper middle group was equally divided into facing severe, moderate or no difficulty. Most patients in the upper group faced no difficulty, whereas some faced moderate and a small number of severe difficulty. Financial constraints affected all components of SCI management in all except the upper group. The results of the survey suggest that a very large percentage of the Indian population would find it difficult to access comprehensive SCI management and advocate extension of essential medical coverage to unaided upper lower, lower middle and upper middle groups.

Seasonal and socio-economic variations in clinical and self-reported ...

African Journals Online (AJOL)

Seasonal and socio-economic variations in clinical and self-reported malaria in Accra, Ghana: Evidence from facility data and a community survey. ... Conclusions: Understanding these seasonal and geographic patterns have implications for both prevention and treatment of malaria-like morbidity in both children and adults ...

Integrating Self-Management and Exercise for People Living with Arthritis

Science.gov (United States)

Mendelson, A. D.; McCullough, C.; Chan, A.

2011-01-01

The Program for Arthritis Control through Education and Exercise, PACE-Ex[TM}, is an arthritis self-management program incorporating principles and practice of self-management, goal setting and warm water exercise. The purpose of this program review is to examine the impact of PACE-Ex on participants' self-efficacy for condition management,…

Exploring self-efficacy as a predictor of disease management.

Science.gov (United States)

Clark, N M; Dodge, J A

1999-02-01

Self-efficacy is posited in social cognitive theory as fundamental to behavior change. Few health behavior studies have examined self-efficacy prospectively, viewed it as part of a reciprocal behavioral process, or compared self-efficacy beliefs in the same population across different behaviors. This article first discusses self-efficacy in its theoretical context and reviews the available prospective studies. Second, it explores self-efficacy as a predictor of disease management behaviors in 570 older women with heart disease. Although the R2 statistics in each case were modest, the construct is shown to be a statistically significant (pmanagement behaviors: using medicine as prescribed, getting adequate exercise, managing stress, and following a recommended diet. Building self-efficacy is likely a reasonable starting point for interventions aiming to enhance heart disease management behaviors of mature female patients.

Does social diversity impede sound economic management? An empirical analysis, 1980-2012.

Science.gov (United States)

de Soysa, Indra; Vadlamannati, Krishna Chaitanya

2017-02-01

Several celebrated scholars argue that diverse preferences and coordination failure due to ethnic and cultural diversity hamper the social cohesion necessary for good economic management, leading to development failure. Using several measures of diversity, we find that higher levels of ethno-linguistic and cultural fractionalization are conditioned positively on higher economic growth by an index of economic freedom, which is often heralded as a good measure of sound economic management. High diversity in turn is associated with higher levels of economic freedom. We do not find any evidence to suggest that high diversity hampers change towards greater economic freedom and institutions supporting liberal policies. The effect of diversity, moreover, is conditioned positively by higher democracy. Our results raise serious doubt about the centrality of social diversity for explaining economic failure, nor is there evidence to suggest that autocratic measures are required under conditions of social diversity to implement growth-promoting policies. This is good news because history and culture seem to matter less than rational agency for ensuring sound economic management. Copyright © 2016 Elsevier Inc. All rights reserved.

Semiarid ethnoagroforestry management: Tajos in the Sierra Gorda, Guanajuato, Mexico.

Science.gov (United States)

Hoogesteger van Dijk, Vincent M; Casas, Alejandro; Moreno-Calles, Ana Isabel

2017-06-12

The semi-arid environments harbor nearly 40% of biodiversity, and half of indigenous cultures of Mexico. Thousands of communities settled in these areas depend on agriculture and using wild biodiversity for their subsistence. Water, soil, and biodiversity management strategies are therefore crucial for people's life. The tajos, from Sierra Gorda, are important, poorly studied, biocultural systems established in narrow, arid alluvial valleys. The systems are constructed with stone-walls for capturing sediments, gradually creating fertile soils in terraces suitable for agriculture in places where it would not be possible. We analyzed biocultural, ecological, economic and technological relevance of the artificial oasis-like tajos, hypothesizing their high capacity for maintaining agricultural and wild biodiversity while providing resources to people. We conducted our research in three sections of the Mezquital-Xichú River, in three communities of Guanajuato, Mexico. Agroforestry management practices were documented through semi-structured and in-depth qualitative interviews. Vegetation composition of local forests and that maintained in tajos was sampled and compared. Tajos harbor high agrobiodiversity, including native varieties of maize and beans, seven secondary crops, 47 native and 25 introduced perennial plant species. Perennial plants cover on average 26.8% of the total surface of plots. Tajos provide nearly 70% of the products required by households' subsistence and are part of their cultural identity. Tajos are heritage of TEK and land management forms of pre-Columbian Mexican and Mediterranean agricultural techniques, adapting and integrating modern agricultural practices. Tajos are valuable biocultural systems adapted to local semiarid conditions and sources of technology for similar areas of the World.

Economic, Political and Symbolic Management of “Traditional Knowledge”: The Construction of a Self-Identity in a Globalized World

Directory of Open Access Journals (Sweden)

Marc Lenaerts

2010-11-01

Full Text Available This paper is the introduction to the dossier with three articles resulting from the Symposium “Economic, Political and Symbolic Management of ‘Traditional Knowledge’: Indigenous Criteria and External Redefinitions” of the 53rd International Congress of Americanists (Mexico, 2009. We have modified the subtitle of the Symposium, adopting in exchange for this dossier the subtitle of the Congress’ motto: “The Construction of a Self-Identity in a Globalized World”. The first part of the text remembers Ana María Spadafora, co-organizer of the Symposium and editor of the dossier, who passed away in 2010. The second part presents the aim of the Symposium and the contribution of the three articles in the dossier, plus Ana María Spadafora’s article, which was published earlier in this journal. Even though they touch on quite different research fields—bio-trade in Mexico and Peru, commercialization of handicrafts in French Guiana, modifications of traditional knowledge among the Ashéninka of Peru, and dreams of Pilagá women of the Chaco as practical action—all four papers show that the emphasis on relational aspects, the polyvalence of thoughts and practices or the imbrication of speaking, thinking and doing are stronger constants than the persistence of this or that emblematic element of “ethnic tradition.”

An economic evaluation of solar radiation management

Energy Technology Data Exchange (ETDEWEB)

Aaheim, Asbjørn; Romstad, Bård; Wei, Taoyuan [CICERO — Center for International Climate and Environmental Research Oslo (Norway); Kristjánsson, Jón Egill; Muri, Helene [Department of Geosciences, University of Oslo (Norway); Niemeier, Ulrike; Schmidt, Hauke [Max Planck Institute for Meteorology, Hamburg (Germany)

2015-11-01

Economic evaluations of solar radiation management (SRM) usually assume that the temperature will be stabilized, with no economic impacts of climate change, but with possible side-effects. We know from experiments with climate models, however, that unlike emission control the spatial and temporal distributions of temperature, precipitation and wind conditions will change. Hence, SRM may have economic consequences under a stabilization of global mean temperature even if side-effects other than those related to the climatic responses are disregarded. This paper addresses the economic impacts of implementing two SRM technologies; stratospheric sulfur injection and marine cloud brightening. By the use of a computable general equilibrium model, we estimate the economic impacts of climatic responses based on the results from two earth system models, MPI-ESM and NorESM. We find that under a moderately increasing greenhouse-gas concentration path, RCP4.5, the economic benefits of implementing climate engineering are small, and may become negative. Global GDP increases in three of the four experiments and all experiments include regions where the benefits from climate engineering are negative.

An economic evaluation of solar radiation management

International Nuclear Information System (INIS)

Aaheim, Asbjørn; Romstad, Bård; Wei, Taoyuan; Kristjánsson, Jón Egill; Muri, Helene; Niemeier, Ulrike; Schmidt, Hauke

2015-01-01

Economic evaluations of solar radiation management (SRM) usually assume that the temperature will be stabilized, with no economic impacts of climate change, but with possible side-effects. We know from experiments with climate models, however, that unlike emission control the spatial and temporal distributions of temperature, precipitation and wind conditions will change. Hence, SRM may have economic consequences under a stabilization of global mean temperature even if side-effects other than those related to the climatic responses are disregarded. This paper addresses the economic impacts of implementing two SRM technologies; stratospheric sulfur injection and marine cloud brightening. By the use of a computable general equilibrium model, we estimate the economic impacts of climatic responses based on the results from two earth system models, MPI-ESM and NorESM. We find that under a moderately increasing greenhouse-gas concentration path, RCP4.5, the economic benefits of implementing climate engineering are small, and may become negative. Global GDP increases in three of the four experiments and all experiments include regions where the benefits from climate engineering are negative

Covert Conditioning: Case Studies in Self-Management.

Science.gov (United States)

Yager, Geoffrey G.

The self-management of thoughts and mental images was used in a series of empirical case studies to influence behavior changes. The target behaviors in the cases reported were smoking, overeating, fingernail biting, thinking self-depreciative thoughts, and responding assertively. Self-monitoring, covert positive reinforcement, covert…

Relationships among self-efficacy, communication, self-management skills and mental health of employees at a Japanese workplace.

Science.gov (United States)

Shimizu, Takashi; Takahashi, Hiroyuki; Mizoue, Tetsuya; Kubota, Shinya; Mishima, Norio; Nagata, Shoji

2003-09-01

We investigated relationships among self-efficacy, self-management skills, communication with superiors and mental health of employees at a Japanese workplace. The subjects were 426 employees in a medium-sized manufacturing company in Kyushu. In 1999, with agreement of the company, we mailed a self-administrated questionnaire which included questions on age, gender, job rank, communication with superiors, a General Self-Efficacy Scale(GSES), a Self-Management Skill scale(SMS) and the Japanese version of the 12-item General Health Questionnaire(GHQ-12). Eighty percent of the subjects returned the questionnaire. Excluding senior managers and insufficient answers, the final response rate was 55 percent. By multiple regression analysis, we found that job rank contributed significantly and positively, and that age, communication with superiors and self-management skills contributed significantly and negatively to the GHQ-12. Our results implied that age, job rank, communication with superiors and self-management skills would contribute to the mental health of Japanese employees.

75 FR 21243 - Marine Mammals; Subsistence Taking of Northern Fur Seals; St. George

Science.gov (United States)

2010-04-23

... Mammals; Subsistence Taking of Northern Fur Seals; St. George AGENCY: National Marine Fisheries Service... (APA). The Pribilof Island Community of St. George Island, Traditional Council (Council) petitioned... St. George Island to take male fur seal young of the year during the fall. NMFS solicits public...

Self-management program in treatment of asthma

Directory of Open Access Journals (Sweden)

Milenković Branislava

2007-01-01

Full Text Available Introduction. Recently published national and international guidelines stress the importance of self-management in asthma. They have recommended that self-management plans should be an essential part of the long-term management of asthmatic patients. These plans essentially focus on the early recognition of unstable or deteoriorating asthma, by monitoring peak flow or symptoms. Objective. The aim of our one-year study was to compare the efficacy of peak-flow based self-management of asthma with traditional treatment. Method. Sixty clinically stable adult patients with mild and moderate persistent asthma were randomly allocated to peakflow based self-management (Group A, n=30 or to conventional treatment (Group B, n=30, with no significant difference between groups in terms of age, sex distribution and initial lung function. The recorded measurements were: lung function, asthma exacerbations, unscheduled ambulatory care facilities (hospital-based emergency department, consultations with general practitioner or pulmonologist, courses of oral prednisolone, courses of antibiotics, days off work. Results. There was a significant difference between groups in number of asthma exacerbations (p<0.05, unscheduled visits to ambulatory care facilities (p<0.005, days off work (p<0.0001, courses of oral prednisolone (p<0.001 and antibiotics (p<0.05. At the final visit, there was a significant improvement in some measurements of asthma severity in group A (reduced unscheduled visits for ambulatory care, reduced treatment requirements for oral corticosteroids and antibiotics, reduced days off work, but a lack of statistical difference in lung function and the maintenance-inhaled corticosteroid dose. There was no significant change in group B. Conclusion. These results suggest that peak-flow based self management is more effective than traditonal treatment in mild and moderate persistent asthma. .

Embedding economic drivers in participative water management

OpenAIRE

Ast, Jacko; Bouma, Jan Jaap

2008-01-01

textabstractAbstract Country location influences the institutional surroundings of the infrastructures related to water systems. In the Netherlands, water management has its own particularities. Temporarily inflow of affluent water from the rivers or the sea resulted in a highly developed institutional setting based on flood risk prevention. From an economic perspective, managing water is about allocating and using water in an effective and efficient way. This article deals with the coordinat...

The emotional context of self-management in chronic illness: A qualitative study of the role of health professional support in the self-management of type 2 diabetes

Directory of Open Access Journals (Sweden)

Dunbar James

2008-10-01

Full Text Available Abstract Background Support for patient self-management is an accepted role for health professionals. Little evidence exists on the appropriate basis for the role of health professionals in achieving optimum self-management outcomes. This study explores the perceptions of people with type 2 diabetes about their self-management strategies and how relationships with health professionals may support this. Methods Four focus groups were conducted with people with type 2 diabetes: two with English-speaking and one each with Turkish and Arabic-speaking. Transcripts from the groups were analysed drawing on grounded hermeneutics and interpretive description. Results We describe three conceptually linked categories of text from the focus groups based on emotional context of self management, dominant approaches to self management and support from health professionals for self management. All groups described important emotional contexts to living with and self-managing diabetes and these linked closely with how they approached their diabetes management and what they looked for from health professionals. Culture seemed an important influence in shaping these linkages. Conclusion Our findings suggest people construct their own individual self-management and self-care program, springing from an important emotional base. This is shaped in part by culture and in turn determines the aims each person has in pursuing self-management strategies and the role they make available to health professionals to support them. While health professionals' support for self-care strategies will be more congruent with patients' expectations if they explore each person's social, emotional and cultural circumstances, pursuit of improved health outcomes may involve a careful balance between supporting as well as helping shift the emotional constructs surrounding a patient life with diabetes.

Self-management and skills acquisition in boys with haemophilia.

Science.gov (United States)

Khair, Kate; Meerabeau, Liz; Gibson, Faith

2015-10-01

There is an increasing prevalence of children/young people with long-term conditions (LTC) in the UK due to improvements in health-care management and delivery. These children are often involved, from an early age, in their own care and management; yet, there are little data to support how or when they develop the necessary skills and knowledge to become competent at this care. This study aimed to understand self-management of haemophilia, from a child's perspective, in the 21st century in the UK where intensive prophylactic therapy is given from early childhood. A qualitative study using grounded theory to evaluate life-experiences of children and young people with haemophilia. Thirty boys aged 4-16 with severe haemophilia treated at a single paediatric haemophilia care centre were interviewed at home or in a focus group. Multimethod qualitative research including age-appropriate research tools (draw and write, photo-elicitation and interviews) to facilitate data collection from children. Boys develop self-management skills over time. They learn from health-care professionals, their parents and other family members with haemophilia. Self-management skills (bleed recognition, self-infusion, self and medicines management, pain and risk management and conceptualizing preventative therapy) are developed through experiential learning and individualized education, and not through formalized expert patient programmes. The boys in this study have benefited from early prophylactic factor replacement therapy. They develop skills in haemophilia and self-management at a relatively young age and are experts in their own haemophilia care. © 2013 John Wiley & Sons Ltd.

The 1970 Bhola cyclone, nationalist politics, and the subsistence crisis contract in Bangladesh.

Science.gov (United States)

Hossain, Naomi

2018-01-01

The devastating Bhola cyclone in November 1970 is credited with having triggered the political events that led to the division of Pakistan and the creation of Bangladesh in 1971. A callous response to the disaster by the Pakistani regime resulted in a landslide electoral victory for Bengali nationalists, followed by a bitter and bloody civil war. Yet, despite its political momentousness, the Bhola cyclone has been the subject of little political analysis. This paper examines the events, arguing that its extraordinary political significance put disaster management on the nationalist agenda; the famine of 1974 confirmed its centrality, producing a social contract to protect the population against disasters and subsistence crises on which the country's acclaimed resilience to the effects of climate change rests. The Bhola cyclone also drew international attention to this neglected, little-known region, and in general can be seen as foundational for the subsequent developmental achievements of Bangladesh. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

Capacity, responsibility, and motivation: a critical qualitative evaluation of patient and practitioner views about barriers to self-management in people with multimorbidity.

Science.gov (United States)

Coventry, Peter A; Fisher, Louise; Kenning, Cassandra; Bee, Penny; Bower, Peter

2014-10-31

Primary care is increasingly focussed on the care of people with two or more long-term conditions (multimorbidity). The UK Department of Health strategy for long term conditions is to use self-management support for the majority of patients but there is evidence of limited engagement among primary care professionals and patients with multimorbidity. Furthermore, multimorbidity is more common in areas of socioeconomic deprivation but deprivation may act as a barrier to patient engagement in self-management practices. Effective self-management is considered critical to meet the needs of people living with long term conditions but achieving this is a significant challenge in patients with multimorbidity. This study aimed to explore patient and practitioner views on factors influencing engagement in self-management in the context of multimorbidity. A qualitative study using individual semi-structured interviews with 20 patients and 20 practitioners drawn from four general practices in Greater Manchester situated in areas of high and low social deprivation. Three main factors were identified as influencing patient engagement in self-management: capacity (access and availability of socio-economic resources and time; knowledge; and emotional and physical energy), responsibility (the degree to which patients and practitioners agreed about the division of labour about chronic disease management, including self-management) and motivation (willingness to take-up types of self-management practices). Socioeconomic deprivation negatively impacted on all three factors. Motivation was especially reduced in the presence of mental and physical multimorbidity. Full engagement in self-management practices in multimorbidity was only present where patients' articulated a sense of capacity, responsibility, and motivation. Patient 'know-how' or interpretive capacity to self-manage multimorbidity is potentially an important precursor to responsibility and motivation, and might be a

Optimization of self-consumption and techno-economic analysis of PV-battery systems in commercial applications

International Nuclear Information System (INIS)

Merei, Ghada; Moshövel, Janina; Magnor, Dirk; Sauer, Dirk Uwe

2016-01-01

Highlights: • Optimization of self-consumption and the degree of self-sufficiency in commercial applications. • Technical and economic analyses for a PV-battery system. • Sensitivity analysis considering different sizes and prices of PV and battery systems. • Investigation of batteries to increase self-consumption today is not economic in the considered applications. - Abstract: Increasing costs of electricity supply from the local grid, the decreasing photovoltaic (PV) technology costs and the decreasing PV feed-in-tariff according to the current German Renewable Energy Sources Act (EEG) will in the future raise the monetary incentives to increase the self-consumption of PV energy. This is of great interest in commercial buildings as there mostly is sufficient place to install high capacities of photovoltaic panels on their own roofs. Furthermore, the electricity purchase price from the local grid for commercial consumers nowadays is about 20 €ct/kW h, which is higher than the cost of generation of electricity from solar panels (about 8–12 €ct/kW h). Additionally, the load profiles in commercial applications have a high correlation with the generated solar energy. Hence, there is a great opportunity for economic savings. This paper presents optimization results with respect to self-consumption and degree of self-sufficiency for a supermarket in Aachen, Germany. The optimization is achieved using real measurement data of load profile and solar radiation. Besides, techno-economic analyses and sensitivity analyses have been carried out to demonstrate the influence of different PV system sizes, PV system costs and interest rates. Moreover, to raise self-consumption different battery sizes with different battery system costs have been investigated and analysed for 2015 and 2025 scenarios as well. The results show that the installation of a PV system can reduce the electricity costs through self-consumption of self-generated PV energy. Also, applying

[Impression management and self-presentation in occupational life].

Science.gov (United States)

Stresemann, E

2013-06-01

Impression management serves self-preservation as part of self-experience. It is adapted to a given situation as an expression of understanding of the role it plays in striving for success. Impression management and self-presentation mutually influence each other throughout life. Clichés in the traditional self-presentation of men and woman in their gender-specific domain in occupation belong to the past. In employment, contentment as much as discontent are of prime importance for success or failure in the workplace. As role models attract mainly juveniles, they should be held up to critical scrutiny.

Theory of social organisations as the methodological basis of economic management of an enterprise

Directory of Open Access Journals (Sweden)

Ligonenko Larysa O.

2013-03-01

Full Text Available The article provides the author’s interpretation of the “economic management of an enterprise” notion, which is offered to be considered as an integrating and co-ordinating type of management, the main goal of which is ensuring long-term viability of an enterprise. The article considers genesis of organisational theories with respect to necessity, principles, rules, recommendations and procedures of managerial activity. It justifies expediency of formation of the methodological base of economic management of an enterprise on the basis of use of the problem theory of social organisations of V. I. Franchuk. The article describes the author’s concept of the essential characteristics and the process of organisation of economic management of an enterprise. It justifies a necessity of replenishment of classical management functions with three new functions: problem management, development and economic security (risk tolerance. It characterises principles and organisation of functioning of the “social mechanism”, which should be envisaged in the system of economic management of an enterprise.

Organizational provision of management of bank financial and economic activities

Directory of Open Access Journals (Sweden)

O.V. Lysenok

2018-04-01

Full Text Available The article deals with the organizational support of the process of management of financial and economic activities of banking institutions. In particular, the activity of one of the main divisions of the Treasury Bank, which is created and acts as an independent unit, justifies the decision to make certain financial transactions on the relevant financial markets and manages cash flows through interaction with branches, departments and offices of the banking institution. The article also focuses on the problem of the lack of accurate and up-to-date information between the structural units that take part in the management of the finances of the banking institution. In connection with this, it is necessary to create an information and management field of the bank, which is a collection of organized information input and output flows on the financial and economic activities of the bank, forming a unified management information about the financial activities of the banking institution. The article also focuses on the concept of the creation of an informational and managerial tree, according to which, in the structure of management of financial and economic activity of a banking institution, it is necessary to allocate five levels, based on which the principle of obligatory passage of necessary information at all levels with a gradual systematization and generalization. The concept considered in the article gives an idea of the logic and methodology of creating the process of forming general managerial decisions regarding the financial and economic activity of the bank in the future.

Self-management in young adults with bipolar disorder: Strategies and challenges.

Science.gov (United States)

Nicholas, Jennifer; Boydell, Katherine; Christensen, Helen

2017-02-01

Early adoption of effective self-management strategies for bipolar disorder (BD) results in better clinical outcomes and increased quality of life. Therefore, facilitation of these strategies in young adults who are early in their illness course is vital. However, an understanding of self-management practices and needs of young adults with BD is lacking. This study explores young adult's perspectives of disorder self-management practices and challenges. Young adults with BD completed an online survey about disorder management strategies and challenges. Self-management was investigated through self-report and ratings of literature-derived strategies. Results were analysed using descriptive statistics and qualitative thematic analysis. Eighty-nine participants aged 18-30 (M=24.4; SD=3.9) completed the survey. Adherence to treatment, disorder psychoeducation, and sleep-management were the strategies rated most helpful. Six participant-reported self-management strategies were identified (1) Maintaining a healthy lifestyle; (2) Treatment attendance and adherence; (3) Participation in meaningful activities; (4) Engagement with social support; (5) Meditation and relaxation practices; and (6) Symptom monitoring. The most common self-management challenges experienced by young adults concerned the nature of the disorder, interpersonal relationships, and stigma. Participants likely represent a sub-set of young adults engaged with healthcare and therefore may not be representative of the population. Strategies reported vital by those successfully managing their disorder are not adequately utilised by young adults with BD. Both differences in strategy use and perceived self-management challenges represent important areas of clinical support and intervention. This increased understanding will help facilitate self-management skill development in this population. Copyright © 2016 Elsevier B.V. All rights reserved.

Risk management in HIV/AIDS: ethical and economic issues ...

African Journals Online (AJOL)

Risk management in HIV/AIDS: ethical and economic issues associated with restricting HAART access only to adherent patients. ... Using the software TreeAge Pro 2009, we developed a Markov model to project economic outcomes for a hypothetical cohort of HIV/AIDS patients on HAART. The model compared two ...

The system of management of innovative potential of economic systems

Directory of Open Access Journals (Sweden)

Kostyshak Mikhail

2018-01-01

Full Text Available The purpose of the research is to develop a mechanism for managing the innovative potential of a development organization, which is capable to ensure the transformation of real estate objects due to the changes in market needs. The main approaches to the development of innovative potential of economic systems are presented. Efficiency criteria of management of innovation potential of development organizations are formed. A model based on joint use of system and resource and potential approaches to the management of innovative potential of a development organization is formed. The analysis of modern tendencies of development of innovative potential of economic systems, based on rationalization of management of innovative potential of a development organization is conducted.

Wildlife Hunting in Eastern Mongolia: Economic and Demographic Factors Influencing Hunting Behavior of Herding Households

Directory of Open Access Journals (Sweden)

Kirk A. Olson

2017-10-01

Full Text Available Much of Mongolia’s rangelands are under state control and managed via traditional land use practices and are habitat for numerous wildlife species harvested for their meat and fur. Political and economic transformations that have been occurring since the early 1990’s continues to affect all aspects of Mongolian society. To cope during periods of economic hardship, many turned to harvesting wildlife resources for income and subsistence and this resulted in precipitous declines of some populations, marmots for example. Interviews with herding households in Mongolia’s eastern steppe region were conducted to better determine how wildlife resources (Mongolian gazelle, Siberian marmot, red foxes, corsac foxes, and gray wolf are utilized and valued by herding families. Hunting, carried out by 65% of interviewees, returned an average of $103±172 dollars per household. The number of individuals hunted of any particular species during the previous year ranged widely - 46% of households hunted an average of 8±9 Mongolian gazelles (the equivalent of a small cow, 31% hunted 5±5 corsac foxes, 29% hunted 42±47 marmots, 22% hunted 3±3 red foxes, and 17% hunted 3±2 gray wolves. Differences in mean annual income between hunting and non-hunting households were similar ($1,292±1,132 vs. $1,080±1,196 however the median difference was greater ($1,009 vs $749. However, non-hunting households owned significantly more livestock than hunting households (168±183 vs. 93±92 Livestock Units, and the proportion of hunting households living below the poverty line was higher. Households that were larger or had few numbers of livestock were more likely to engage in hunting than smaller households with more livestock. Household and livestock variables were also significant predictors of a households likelihood of hunting Mongolian gazelle, Siberian marmot, and corsac fox, but not for red fox or gray wolf. Wildlife management policies will likely receive greater

Real Estate Economics, Management and Investments: New Perspectives and Frontiers

Directory of Open Access Journals (Sweden)

Vincenzo Del Giudice

2018-03-01

Full Text Available New perspectives and frontiers were highlighted in a Special Issue on “Real Estate Economics, Finance and Investments”. The twenty-eight papers that were selected and published emanated from scholars from universities all over the world with the aim to represent more recent advances in building management, mass appraisal methods, real estate risk management, economic evaluation of real estate investment projects, real estate market, property, social housing, real estate economics, real estate finance, building transformation and economic effects on environment. These papers helped to determine a unique and valuable opportunity to experiment with multiple approaches to these ever more crucial topics. This note proposes a brief review of the twenty-eight papers, concluding with some reflections about policy, practice and research on real estate issues.

Knowledge, Attitude and Self-management Practices of Patients with ...

African Journals Online (AJOL)

Knowledge, Attitude and Self-management Practices of Patients with Type 2 ... and its complications, self-care practices to recognize and manage diabetes crisis, ... Pre-tested questionnaire was administered to 200 randomly selected type 2 ...

Gamifying Self-Management of Chronic Illnesses: A Mixed-Methods Study.

Science.gov (United States)

AlMarshedi, Alaa; Wills, Gary; Ranchhod, Ashok

2016-09-09

Self-management of chronic illnesses is an ongoing issue in health care research. Gamification is a concept that arose in the field of computer science and has been borrowed by many other disciplines. It is perceived by many that gamification can improve the self-management experience of people with chronic illnesses. This paper discusses the validation of a framework (called The Wheel of Sukr) that was introduced to achieve this goal. This research aims to (1) discuss a gamification framework targeting the self-management of chronic illnesses and (2) validate the framework by diabetic patients, medical professionals, and game experts. A mixed-method approach was used to validate the framework. Expert interviews (N=8) were conducted in order to validate the themes of the framework. Additionally, diabetic participants completed a questionnaire (N=42) in order to measure their attitudes toward the themes of the framework. The results provide a validation of the framework. This indicates that gamification might improve the self-management of chronic illnesses, such as diabetes. Namely, the eight themes in the Wheel of Sukr (fun, esteem, socializing, self-management, self-representation, motivation, growth, sustainability) were perceived positively by 71% (30/42) of the participants with P value gamification in the self-management of diabetes.

Gamifying Self-Management of Chronic Illnesses: A Mixed-Methods Study

Science.gov (United States)

Wills, Gary; Ranchhod, Ashok

2016-01-01

Background Self-management of chronic illnesses is an ongoing issue in health care research. Gamification is a concept that arose in the field of computer science and has been borrowed by many other disciplines. It is perceived by many that gamification can improve the self-management experience of people with chronic illnesses. This paper discusses the validation of a framework (called The Wheel of Sukr) that was introduced to achieve this goal. Objective This research aims to (1) discuss a gamification framework targeting the self-management of chronic illnesses and (2) validate the framework by diabetic patients, medical professionals, and game experts. Methods A mixed-method approach was used to validate the framework. Expert interviews (N=8) were conducted in order to validate the themes of the framework. Additionally, diabetic participants completed a questionnaire (N=42) in order to measure their attitudes toward the themes of the framework. Results The results provide a validation of the framework. This indicates that gamification might improve the self-management of chronic illnesses, such as diabetes. Namely, the eight themes in the Wheel of Sukr (fun, esteem, socializing, self-management, self-representation, motivation, growth, sustainability) were perceived positively by 71% (30/42) of the participants with P value gamification in the self-management of diabetes. PMID:27612632

Sociocultural Factors of Survival of Males and Females in Economically Active Age: a Regional Analysis

Directory of Open Access Journals (Sweden)

Evgeniya Khasanovna Tukhtarova

2018-03-01

Full Text Available The period, when a person starts and completes his or her professional carrier and labour participation, in general, coincides with the age when the self-preservation behaviour develops. It is a time when a person aims for a healthy and safe lifestyle. During this period, an individual assumes the main standards, values of the self-preservation behaviour inherent in an ethnic, social and cultural macro-environment. To research the sociocultural factors of survival, we applied econometric modelling to demographic processes using the discrete and probabilistic indicators of the mortality tables of male and female in economically active age. The econometric model included the elements of spatiotemporal characteristics of territories. These characteristics are interrelated with the indicators of survival probability and the indicator of average life expectancy in the regions of Russia. We choose the major sociocultural factors by the correlation ratio of indicators and their sensitivity. The econometric analysis has revealed a high degree of sensitivity of a territorial variation of demographic and sociocultural factors in the regions of Russia, including a gender aspect. The most significant socio-economic factors, which determine the self-preservation behaviour of males, are the following: 1 the size of Gross Regional Product per capita; 2 quality of health infrastructure; 3 fixed investments; 4 population with monetary income under the subsistence minimum (share coefficient of income differentials. The female have the same hierarchy of socio-economic factors, except for the sensitivity of variables to the regional differentiation of signs. The household poverty factor has little significance for the women and it is the main difference between male and female. The built model has shown the predictive importance in the assessment of the above-mentioned factors in short and medium-term prospects.

Definition of a COPD self-management intervention: International Expert Group consensus

NARCIS (Netherlands)

Effing, T.W.; Vercoulen, Jan H.; Bourbeau, Jean; Trappenburg, Jaap C.A.; Lenferink, Anke; Cafarella, Paul; Coultas, David; Meek, Paula; van der Valk, Paul; Bischoff, Erik W.M.A.; Bucknall, Christine E.; Dewan, Naresh A.; Early, Frances; Fan, Vincent; Frith, Peter; Janssen, Daisy J.A.; Mitchell, Katy; Morgan, Mike; Nici, Linda; Patel, Irem; Walters, Haydn; Rice, Kathryn L.; Singh, Sally J.; ZuWallack, Richard; Benzo, Roberto; Goldstein, Roger S.; Partridge, Martyn R.; van der Palen, Jacobus Adrianus Maria

2016-01-01

There is an urgent need for consensus on what defines a chronic obstructive pulmonary disease (COPD) self-management intervention. We aimed to obtain consensus regarding the conceptual definition of a COPD self-management intervention by engaging an international panel of COPD self-management

76 FR 45499 - Marine Mammals; Subsistence Taking of Northern Fur Seals; Harvest Estimates

Science.gov (United States)

2011-07-29

... Statement is available on the Internet at the following address: http://alaskafisheries.noaa.gov... influences the need to take fur seals during the subsequent summer northern fur seal subsistence harvest....O.) 12866. The proposed actions are not likely to result in (1) an annual effect on the economy of...

Analysis System for Self-Efficacy Training (ASSET). Assessing treatment fidelity of self-management interventions

DEFF Research Database (Denmark)

Zinken, Katarzyna M.; Cradock, Sue; Skinner, T. Chas

2008-01-01

Objective: The paper presents the development of a coding tool for self-efficacy orientated interventions in diabetes self-management programmes (Analysis System for Self-Efficacy Training, ASSET) and explores its construct validity and clinical utility. Methods: Based on four sources of self-eff...

Arylamine N-acetyltransferase 2 (NAT2 genetic diversity and traditional subsistence: a worldwide population survey.

Directory of Open Access Journals (Sweden)

Audrey Sabbagh

Full Text Available Arylamine N-acetyltransferase 2 (NAT2 is involved in human physiological responses to a variety of xenobiotic compounds, including common therapeutic drugs and exogenous chemicals present in the diet and the environment. Many questions remain about the evolutionary mechanisms that have led to the high prevalence of slow acetylators in the human species. Evidence from recent surveys of NAT2 gene variation suggests that NAT2 slow-causing variants might have become targets of positive selection as a consequence of the shift in modes of subsistence and lifestyle in human populations in the last 10,000 years. We aimed to test more extensively the hypothesis that slow acetylation prevalence in humans is related to the subsistence strategy adopted by the past populations. To this end, published frequency data on the most relevant genetic variants of NAT2 were collected from 128 population samples (14,679 individuals representing different subsistence modes and dietary habits, allowing a thorough analysis at both a worldwide and continent scale. A significantly higher prevalence of the slow acetylation phenotype was observed in populations practicing farming (45.4% and herding (48.2% as compared to populations mostly relying on hunting and gathering (22.4% (P = 0.0007. This was closely mirrored by the frequency of the slow 590A variant that was found to occur at a three-fold higher frequency in food producers (25% as compared to hunter-gatherers (8%. These findings are consistent with the hypothesis that the Neolithic transition to subsistence economies based on agricultural and pastoral resources modified the selective regime affecting the NAT2 acetylation pathway. Furthermore, the vast amount of data collected enabled us to provide a comprehensive and up-to-date description of NAT2 worldwide genetic diversity, thus building up a useful resource of frequency data for further studies interested in epidemiological or anthropological research

Evaluation of a Self-Management Program for Gastroesophageal Reflux Disease in China.

Science.gov (United States)

Xu, Wenhong; Sun, Changxian; Lin, Zheng; Lin, Lin; Wang, Meifeng; Zhang, Hongjie; Song, Yulei

2016-01-01

Gastroesophageal reflux disease is a chronic disease with a high incidence worldwide. The various symptoms have substantial impact on the quality of life of affected individuals. A long-term self-management program can increase the ability of patients to make behavioral changes, and health outcomes can improve as a consequence. This study's aim was to evaluate the effectiveness of a self-management program for gastroesophageal reflux disease. A total of 115 patients with gastroesophageal reflux disease were allocated to the experimental group and the control group. The former received self-management intervention along with conventional drug therapy, whereas the latter received standard outpatient care and conventional drug therapy. After the clinical trial, the control group also received the same self-management intervention. The levels of self-management behaviors, self-efficacy, gastroesophageal reflux disease symptoms, and psychological condition were compared. Those in the experimental group demonstrated significantly higher self-efficacy for managing their illness, showed positive changes in self-management behaviors, and had comparatively better remission of symptoms and improvement in psychological distress. The program helped patients with gastroesophageal reflux disease self-manage their illness as possible.

Parents' self-efficacy, outcome expectations, and self-reported task performance when managing atopic dermatitis in children: instrument reliability and validity.

Science.gov (United States)

Mitchell, Amy E; Fraser, Jennifer A

2011-02-01

Support and education for parents faced with managing a child with atopic dermatitis is crucial to the success of current treatments. Interventions aiming to improve parent management of this condition are promising. Unfortunately, evaluation is hampered by lack of precise research tools to measure change. To develop a suite of valid and reliable research instruments to appraise parents' self-efficacy for performing atopic dermatitis management tasks; outcome expectations of performing management tasks; and self-reported task performance in a community sample of parents of children with atopic dermatitis. The Parents' Eczema Management Scale (PEMS) and the Parents' Outcome Expectations of Eczema Management Scale (POEEMS) were developed from an existing self-efficacy scale, the Parental Self-Efficacy with Eczema Care Index (PASECI). Each scale was presented in a single self-administered questionnaire, to measure self-efficacy, outcome expectations, and self-reported task performance related to managing child atopic dermatitis. Each was tested with a community sample of parents of children with atopic dermatitis, and psychometric evaluation of the scales' reliability and validity was conducted. A community-based convenience sample of 120 parents of children with atopic dermatitis completed the self-administered questionnaire. Participants were recruited through schools across Australia. Satisfactory internal consistency and test-retest reliability was demonstrated for all three scales. Construct validity was satisfactory, with positive relationships between self-efficacy for managing atopic dermatitis and general perceived self-efficacy; self-efficacy for managing atopic dermatitis and self-reported task performance; and self-efficacy for managing atopic dermatitis and outcome expectations. Factor analyses revealed two-factor structures for PEMS and PASECI alike, with both scales containing factors related to performing routine management tasks, and managing the

Mediating effect of self-esteem on the career self- management and ...

African Journals Online (AJOL)

Kirstam

2014-09-01

Sep 1, 2014 ... and career management systems to develop and retain their talent .... internal causes, whether capacities or efforts, generates feelings of pride and positive ... information so as to enhance knowledge of the self and the external environment, ... agency and self-control are increasingly relevant given the ...

[Educative programs based on self-management: an integrative review].

Science.gov (United States)

Nascimento, Luciana da Silva; de Gutierrez, Maria Gaby Rivero; De Domenico, Edvane Birelo Lopes

2010-06-01

The objective was to identify definitions and/or explanations of the term self-management in educative programs that aim its development. The authors also aimed to describe the educative plans and results of the educative programs analyzed. As a methodology we used integrative review, with 15 published articles (2002 the 2007). The inclusion criteria was: the occurrence of the term self-management; the existence of an educative program for the development of self-management; to be related to the area of the health of the adult. Self-management means the improvement or acquisition of abilities to solve problems in biological, social and affective scopes. The review pointed to different educational methodologies. However, it also showed the predominance of traditional methods, with conceptual contents and of physiopathological nature. The learning was evaluated as favorable, with warns in relation to the application in different populations and contexts and to the increase of costs of the educative intervention. It was concluded that research has evidenced the importance of the education for self-management, but lacked in strength for not relating the biopsychosocial demands of the chronic patient and for not describing in detail the teaching and evaluation methodologies employed.

Management Science, Economics and Finance: A Connection

NARCIS (Netherlands)

C-L. Chang (Chia-Lin); M.J. McAleer (Michael); W.-K. Wong (Wing-Keung)

2016-01-01

textabstractThis paper provides a brief review of the connecting literature in management science, economics and finance, and discusses some research that is related to the three disciplines. Academics could develop theoretical models and subsequent econometric models to estimate the parameters in

Social desirability scales as indicators of self-enhancement and impression management.

Science.gov (United States)

Parmač Kovačić, Maja; Galić, Zvonimir; Jerneić, Željko

2014-01-01

This article presents 2 studies testing Paulhus's (2002) assumption that unconscious self-enhancement and conscious impression management represent separate processes of socially desirable responding (SDR) that can be observed within 2 content domains (egoistic and moralistic bias). In Study 1, we devised egoistic and moralistic SDR scales intended to measure self-enhancement in honest responding and impression management under demands for positive self-presentation. In Study 2, we correlated scores on these scales with external indicators of self-enhancement and impression management. In honest responding, both SDR scales most strongly correlated with self-enhancement indicators, whereas under demands for positive self-presentation they correlated more strongly with external measures of impression management.

[Economic rehabilitation management among patients with chronic low back pain].

Science.gov (United States)

Seitz, R; Schweikert, B; Jacobi, E; Tschirdewahn, B; Leidl, R

2001-12-01

Back pain causes high costs to society. In Germany, these amount to an estimated total of 5 billion euro of direct costs per year and 13 billion euro of indirect costs, the latter being caused by incapacity to work. The purpose of this study is to develop a concept for economic rehabilitation management. This concept is based on the managed care approach and aims at improving efficiency of care. The concept development consists of a theoretical and an empirical part. The method of the theoretical part is based on a systematic literature review on managed care (not included in this article), health systems research and the analysis of economic incentives. For the empirical investigation, long term effects and costs were calculated. For the evaluation of effects, we psychometrically tested and used the EuroQol (EQ-5D) as a measure of health-related quality of life (HRQL). The calculation of costs (both direct and indirect) is based on routine data of payers, a cost diary and the internal cost accounting systems of rehabilitation clinics. We statistically analysed the cost distribution and identified predictors of the management targets (e.g., costs of care) by means of regression analyses. The market-driven managed care approach is based on three tools: (1) a primary care system with case management and gatekeeping, (2) direct influence on providers by utilisation review and setting guidelines, and (3) indirect influence by setting supply-side economic incentives via the remuneration mode. The third managed care tool is most important when managing the rehabilitation of working age patients with chronic low back pain from an economic point of view. This concept consists of three components: (1) a case-based budget for direct costs; this is a prospective remuneration mode for an integrated primary care network including a rehabilitation facility, (2) retrospective bonus payments which are related to savings of indirect costs, and (3) retrospective bonus payments which

42 CFR 414.63 - Payment for outpatient diabetes self-management training.

Science.gov (United States)

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Payment for outpatient diabetes self-management... SERVICES Physicians and Other Practitioners § 414.63 Payment for outpatient diabetes self-management..., payment for outpatient diabetes self-management training is made under the physician fee schedule in...

Self-management-support in dementia care: A mixed methods study among nursing staff.

Science.gov (United States)

Verkaik, Renate; van Antwerpen-Hoogenraad, Paulien; de Veer, Anke; Francke, Anneke; Huis In Het Veld, Judith

2017-11-01

Background Self-management in patients and family caregivers confronted with dementia is not self-evident. Self-management skills may be limited because of the progressive cognitive decline of the patient and because family caregivers are often also very aged. Self-management support by nursing staff is therefore of paramount importance. Objectives To gain insight into how nursing staff perceive their self-management support tasks, and how they put them into practice. Research questions are: 'What are the opinions and experiences of Dutch nursing staff working in home care or residential elderly care regarding self-management support for people with dementia and their family caregivers?' and 'Do nursing staff feel sufficiently trained and skilled for self-management support?'. Methods A mixed methods approach was used, combining cross-sectional quantitative survey data from 206 Dutch nursing professionals with qualitative interviews among 12 nursing staff working in home care or residential elderly care in The Netherlands. Results Nursing staff working in home care experienced self-management support of people with dementia as a part of their job and as an attractive task. They consider 'helping people with dementia to maintain control over their lives by involving them in decisions in daily care' the essence of self-management support. Nursing staff saw family caregivers as their main partners in providing self-management support to the patient. They were less aware that family caregivers themselves might also need self-management support. Nursing staff often felt insufficiently trained to give adequate self-management support. RN's and CNA's did not differ in their opinions, experiences and training needs. Conclusions Nursing staff in home care do consider self-management support an important and attractive task in dementia care. Their skills for providing self-management support to patients with dementia and family caregivers need improvement. Recommendations

Diabetes: Christian Worldview, Medical Distrust & Self-Management

Science.gov (United States)

Newlin Lew, Kelley; Arbuah, Nancy; Banach, Paul; Melkus, Gail

2015-01-01

To inform development of a combined diabetes prevention and self-management intervention in partnership with church communities, this study sampled African American church leaders and members (N=44) to qualitatively study religious beliefs and practices, diabetes prevention and self-management behaviors, and related community actions. Prior to commencing the study, internal review board approval was obtained. Although not required, community consent was officially provided by the church pastors. Individual consent was subsequently obtained from eligible community members who expressed an interest in participating in the study. Following a participatory action research approach, the inquiry group method was used. Qualitative data were analyzed with content analysis. Findings revealed Christian worldview, medical mistrust, and self-management as prominent themes. Findings suggest diabetes providers address religious orientation in the provision of care with attention to rebuilding trust with the African American community to improve health outcomes. PMID:25735754

Economic evaluations in pain management: principles and methods.

Science.gov (United States)

Asche, Carl V; Seal, Brian; Jackson, Kenneth C; Oderda, Gary M

2006-01-01

This paper describes how investigators may design, conduct, and report economic evaluations of pharmacotherapy for pain and symptom management. Because economic evaluation of therapeutic interventions is becoming increasingly important, there is a need for guidance on how economic evaluations can be optimally conducted. The steps required to conduct an economic evaluation are described to provide this guidance. Economic evaluations require two or more therapeutic interventions to be compared in relation to costs and effects. There are five types of economic evaluations, based on analysis of: (1) cost-effectiveness, (2) cost-utility, (3) cost-minimization, (4) cost-consequence, and (5) cost-benefit analyses. The six required steps are: identify the perspective of the study; identify the alternatives that will be compared; identify the relevant costs and effects; determine how to collect the cost and effect data; determine how to perform calculation for cost and effects data; and determine the manner in which to depict the results and draw comparisons.

Self-Control, Self-Management and Entrepreneurship in Brazilian Creative Industries

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Pedro F. Bendassolli

2016-04-01

Full Text Available Abstract Creative entrepreneurship has gained ground in recent years with the advent of creative industries. The capabilitiesto set targets and individually self-regulate have been indicated as predictors of entrepreneurship. This study aims to identify validity characteristics of a self-regulation scale and to test if score differences are related to whether or not one is an entrepreneur, personalcharacteristics, or the activity sector. A total of 596 professionals from creative industries in Brazil participated in this study. The self-control and self-management scale (SCMS has been applied; it has been translated and adapted to Portuguese. Cross-validation analysis has been done. The results support the three-factor structure of the scale. Entrepreneurs tended to indicate higher means in the self-evaluation factor than non-entrepreneurs. Activity sector, gender and schooling demonstrated a significant difference in the self-monitoring factor.

Adherence to evidence-based guidelines among diabetes self-management apps.

Science.gov (United States)

Breland, Jessica Y; Yeh, Vivian M; Yu, Jessica

2013-09-01

Smartphone apps can provide real-time, interactive self-management aid to individuals with diabetes. It is currently unclear whether existing diabetes self-management apps follow evidence-based guidelines. The purpose of this study was to evaluate the extent to which existing diabetes self-management apps address the seven self-management behaviors recommended by the American Association of Diabetes Educators (the AADE7™). The term "diabetes" identified relevant self-management apps via the Apple App Store search engine in March 2012. Ratings were based on app descriptions and downloads. Chi-square analyses assessed differences in apps based on developer type. Apps promoted a median of two AADE7™ skills. Overall reliability between description and download ratings was good (kappa = .66). Reliability of individual skills was variable (kappa = .25 to .91). Most diabetes apps do not conform to evidence-based recommendations, and future app reviews would benefit from testing app performance. Future apps may also benefit from theory-based designs.

Using an electronic self-management tool to support patients with chronic kidney disease (CKD): a CKD clinic self-care model.

Science.gov (United States)

Ong, Stephanie W; Jassal, Sarbjit V; Porter, Eveline; Logan, Alexander G; Miller, Judith A

2013-01-01

New healthcare delivery models are needed to enhance the patient experience and improve quality of care for individuals with chronic conditions such as kidney disease. One potential avenue is to implement self-management strategies. There is growing evidence that self-management interventions help optimize various aspects of chronic disease management. With the increasing use of information technology (IT) in health care, chronic disease management programs are incorporating IT solutions to support patient self-management practices. IT solutions have the ability to promote key principles of self-management, namely education, empowerment, and collaboration. Positive clinical outcomes have been demonstrated for a number of chronic conditions when IT solutions were incorporated into self-management programs. There is a paucity of evidence for self-management in chronic kidney disease (CKD) patients. Furthermore, IT strategies have not been tested in this patient population to the same extent as other chronic conditions (e.g., diabetes, hypertension). Therefore, it is currently unknown if IT strategies will promote self-management behaviors and lead to improvements in overall patient care. We designed and developed an IT solution called My KidneyCare Centre to support self-management strategies for patients with CKD. In this review, we discuss the rationale and vision of incorporating an electronic self-management tool to support the care of patients with CKD. © 2013 Wiley Periodicals, Inc.

[Qualitative research of self-management behavior in patients with advanced schistosomiasis].

Science.gov (United States)

Wang, Jian-ping; Wang, Xing-ju; Bao, Hui-hong; Zhang, Hong; Xu, Zheng-rong

2013-10-01

To explore the self-management behavior of patients with advanced schistosomiasis, so as to provide the evidence for improving clinical nursing. A total of 18 patients with advanced schistosomiasis were interviewed in depth by using a semi structured interview method. The results were analyzed with Miles and Huberman content analysis method. Most of the patients with advanced schistosomiasis had self-management control behavior and were cooperated with medical assistance because of their seriously illness. Based on data analysis, the symptom management, follow-up management, a healthy lifestyle, medication awareness, and emotional management were obtained. The patients with advanced schistosomiasis have self management control behavior. Health care workers should promote the patients, their families and social people to participate in the self-management behavior of advanced schistosomiasis patients.

Synthèse de la recherche sur les moyens de subsistance pouvant ...

International Development Research Centre (IDRC) Digital Library (Canada)

Synthèse de la recherche sur les moyens de subsistance pouvant remplacer la culture du tabac. Dans l'espoir de faire obstacle aux politiques visant à réduire la demande de produits du tabac, les compagnies de tabac font valoir que ces politiques auront des répercussions négatives sur l'emploi et l'économie des pays ...

A Review of Nutrient Management Studies Involving Finger Millet in the Semi-Arid Tropics of Asia and Africa

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Malinda S. Thilakarathna

2015-06-01

Full Text Available Finger millet (Eleusine coracana (L. Gaertn is a staple food crop grown by subsistence farmers in the semi-arid tropics of South Asia and Africa. It remains highly valued by traditional farmers as it is nutritious, drought tolerant, short duration, and requires low inputs. Its continued propagation may help vulnerable farmers mitigate climate change. Unfortunately, the land area cultivated with this crop has decreased, displaced by maize and rice. Reversing this trend will involve achieving higher yields, including through improvements in crop nutrition. The objective of this paper is to comprehensively review the literature concerning yield responses of finger millet to inorganic fertilizers (macronutrients and micronutrients, farmyard manure (FYM, green manures, organic by-products, and biofertilizers. The review also describes the impact of these inputs on soils, as well as the impact of diverse cropping systems and finger millet varieties, on nutrient responses. The review critically evaluates the benefits and challenges associated with integrated nutrient management, appreciating that most finger millet farmers are economically poor and primarily use farmyard manure. We conclude by identifying research gaps related to nutrient management in finger millet, and provide recommendations to increase the yield and sustainability of this crop as a guide for subsistence farmers.

Self-Management Support Interventions for Stroke Survivors: A Systematic Meta-Review.

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Hannah L Parke

Full Text Available There is considerable policy interest in promoting self-management in patients with long-term conditions, but it remains uncertain whether these interventions are effective in stroke patients.Systematic meta-review of the evidence for self-management support interventions with stroke survivors to inform provision of healthcare services.We searched MEDLINE, EMBASE, CINAHL, PsychINFO, AMED, BNI, Database of Abstracts of Reviews for Effectiveness, and Cochrane Database of Systematic Reviews for systematic reviews of self-management support interventions for stroke survivors. Quality was assessed using the R-AMSTAR tool, and data extracted using a customised data extraction form. We undertook a narrative synthesis of the reviews' findings.From 12,400 titles we selected 13 systematic reviews (published 2003-2012 representing 101 individual trials. Although the term 'self-management' was rarely used, key elements of self-management support such as goal setting, action planning, and problem solving were core components of therapy rehabilitation interventions. We found high quality evidence that supported self-management in the context of therapy rehabilitation delivered soon after the stroke event resulted in short-term (< 1 year improvements in basic and extended activities of daily living, and a reduction in poor outcomes (dependence/death. There is some evidence that rehabilitation and problem solving interventions facilitated reintegration into the community.Self-management terminology is rarely used in the context of stroke. However, therapy rehabilitation currently successfully delivers elements of self-management support to stroke survivors and their caregivers with improved outcomes. Future research should focus on managing the emotional, medical and social tasks of long-term survivorship.

Leaving school in an economic downturn and self-esteem across early and middle adulthood

OpenAIRE

Johanna Catherine Maclean; Terrence D. Hill

2015-01-01

In this study we test whether leaving school in an economic downturn impacts self-esteem. Self-esteem is an important dimension of non-cognitive skill that economists have recently begun to examine. Previous work documents that leaving school in a downturn persistently depresses career outcomes, and career success is an important determinant of self-esteem. We model responses to the Rosenberg Self-esteem Scale as a function of the state unemployment rate at school-leaving. We address the pote...

Collective Global Leadership in Self-Managed Multicultural Teams

DEFF Research Database (Denmark)

Paunova, Minna; Lee, Yih-Teen

2016-01-01

Arguing that it is necessary to look into specific global leadership processes in specific contexts, this article focuses on collective global leadership in self-managed multicultural teams using an input-process-output model. Building on a study of nationally and culturally diverse self-managed...... teams, our work demonstrates that collective global leadership in these teams is critical for team performance (output). Our study also examines some of the affective or attitudinal antecedents of collective global leadership in self-managed multicultural teams (process) and their members’ goal...... orientations (input). Our findings suggest that a team learning orientation may greatly help multicultural teams overcome the liability of cultural diversity, create a positive intra-team environment, and enable collective global leadership. Our research also suggests that team performance orientation...

Cost of illness for chronic stable angina patients enrolled in a self-management education trial

Science.gov (United States)

McGillion, Michael; Croxford, Ruth; Watt-Watson, Judy; LeFort, Sandra; Stevens, Bonnie; Coyte, Peter

2008-01-01

BACKGROUND: Chronic stable angina (CSA) is a major debilitating health problem in Canada. A paucity of relevant cardiovascular data sets has precluded a detailed examination of the impact of interventions on CSA-related costs and its broader economic burden. OBJECTIVES: As part of a larger clinical trial, the authors sought to determine the short-term impact of a standardized self-management training program on CSA-related costs. A secondary objective was to estimate the total annualized cost of CSA per patient from a societal perspective. METHODS: Pre- and three-month post-test cost data were collected on 117 participants using the Ambulatory Home Care Record. Mean annualized direct, indirect and system-related CSA costs (2003 to 2005) were estimated; total per-patient CSA costs from a societal perspective were calculated as the sum of these costs. RESULTS: The mean (± SD) age of participants was 68±11 years; 80% were male. The program did not impact costs in the short-term. Direct annual out-of-pocket costs, including money paid for health care, travel to appointments, medication, equipment and home support totaled $3,267. Indirect costs, reflecting the value of all unpaid time spent by those engaged in angina-related care, were $12,963. System costs, including costs paid by public and private insurers, were $2,979. Total estimated annual CSA costs from a societal perspective were $19,209 per patient. CONCLUSIONS: These data suggest that CSA imposes a major economic burden, comparable with other prevalent conditions such as chronic noncancer pain. Advancements in self-management training research are needed to help reduce the economic burden of CSA in Canada. PMID:18841254

Employment and Self-Management: A Meta-Evaluation of Seven Literature Reviews

Science.gov (United States)

Rusch, Frank R.; Dattilo, John

2012-01-01

Efforts focused on teaching individuals with intellectual disabilities to manage their own affairs have evolved over the past 30 years. Self-management strategies, in particular, hold much promise when the goal is to promote self-determination. In this article, the authors describe trends in the evolution of self-management strategies by analyzing…

The complexity of shaping self-management in daily practice

NARCIS (Netherlands)

H.M. van de Bovenkamp (Hester); J. Dwarswaard (Jolanda)

2017-01-01

markdownabstract_Background and context:_ Many countries are giving patients a more active role in health care, on both the individual and collective level. This paper focuses on one aspect of the participation agenda on the individual level: self-management. The paper explores self-management in

Vocational Self-Concept Crystallization as a Mediator of the Relationship between Career Self-Management and Job Decision Effectiveness

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Weng, Qingxiong; McElroy, James C.

2010-01-01

This article examines the influence of career self-management and vocational self-concept crystallization on job decision effectiveness and how vocational self-concept crystallization mediates the relationship between career self-management and job decision effectiveness. Six hundred and eleven Chinese employees participated in the research. Using…

Self-esteem: models and implications for management

OpenAIRE

Becker, Manfred R.

1993-01-01

Approved for public release; distribution unlimited. This thesis presents a literature review of self-esteem, primarily as it relates to organizations and management. Based on this literature review, self-esteem is defined as the emotional valuation individuals have of themselves and the degree of certainty of this valuation. Several models of self-esteem are presented. The relationship of coping and avoidance to self-esteem is considered. Coping is presented as being one of the primary so...

Probabilistic energy management of a renewable microgrid with hydrogen storage using self-adaptive charge search algorithm

International Nuclear Information System (INIS)

Niknam, Taher; Golestaneh, Faranak; Shafiei, Mehdi

2013-01-01

Micro Grids (MGs) are clusters of the DER (Distributed Energy Resource) units and loads which can operate in both grid-connected and island modes. This paper addresses a probabilistic cost optimization scheme under uncertain environment for the MGs with several multiple Distributed Generation (DG) units. The purpose of the proposed approach is to make decisions regarding to optimizing the production of the DG units and power exchange with the upstream network for a Combined Heat and Power (CHP) system. A PEMFCPP (Proton Exchange Membrane Fuel cell power plant) is considered as a prime mover of the CHP system. An electrochemical model for representation and performance of the PEMFC is applied. In order to best use of the FCPP, hydrogen production and storage management are carried out. An economic model is organized to calculate the operation cost of the MG based on the electrochemical model of the PEMFC and hydrogen storage. The proposed optimization scheme comprises a self-adaptive Charged System Search (CSS) linked to the 2m + 1 point estimate method. The 2m + 1 point estimate method is employed to cover the uncertainty in the following data: the hourly market tariffs, electrical and thermal load demands, available output power of the PhotoVoltaic (PV) and Wind Turbines (WT) units, fuel prices, hydrogen selling price, operation temperature of the FC and pressure of the reactant gases of FC. The Self-adaptive CSS (SCSS) is organized based on the CSS algorithm and is upgraded by some modification approaches, mainly a self-adaptive reformation approach. In the proposed reformation method, two updating approaches are considered. Each particle based on the ability of those approaches to find optimal solutions in the past iterations, chooses one of them to improve its solution. The effectiveness of the proposed approach is verified on a multiple-DG MG in the grid-connected mode. -- Highlights: ► Consider the effect of Hydrogen produced by PEMFC on MGs. ► Combines

Using economic instruments to develop effective management of invasive species: insights from a bioeconomic model.

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McDermott, Shana M; Irwin, Rebecca E; Taylor, Brad W

2013-07-01

Economic growth is recognized as an important factor associated with species invasions. Consequently, there is increasing need to develop solutions that combine economics and ecology to inform invasive species management. We developed a model combining economic, ecological, and sociological factors to assess the degree to which economic policies can be used to control invasive plants. Because invasive plants often spread across numerous properties, we explored whether property owners should manage invaders cooperatively as a group by incorporating the negative effects of invader spread in management decisions (collective management) or independently, whereby the negative effects of invasive plant spread are ignored (independent management). Our modeling approach used a dynamic optimization framework, and we applied the model to invader spread using Linaria vulgaris. Model simulations allowed us to determine the optimal management strategy based on net benefits for a range of invader densities. We found that optimal management strategies varied as a function of initial plant densities. At low densities, net benefits were high for both collective and independent management to eradicate the invader, suggesting the importance of early detection and eradication. At moderate densities, collective management led to faster and more frequent invader eradication compared to independent management. When we used a financial penalty to ensure that independent properties were managed collectively, we found that the penalty would be most feasible when levied on a property's perimeter boundary to control spread among properties. At the highest densities, the optimal management strategy was "do nothing" because the economic costs of removal were too high relative to the benefits of removal. Spatial variation in L. vulgaris densities resulted in different optimal management strategies for neighboring properties, making a formal economic policy to encourage invasive species removal

Context-aware computing and self-managing systems

CERN Document Server

Dargie, Waltenegus

2009-01-01

Bringing together an extensively researched area with an emerging research issue, Context-Aware Computing and Self-Managing Systems presents the core contributions of context-aware computing in the development of self-managing systems, including devices, applications, middleware, and networks. The expert contributors reveal the usefulness of context-aware computing in developing autonomous systems that have practical application in the real world.The first chapter of the book identifies features that are common to both context-aware computing and autonomous computing. It offers a basic definit

Self-management of Hybrid Networks: Introduction, Pros and Cons

NARCIS (Netherlands)

Fioreze, Tiago; Pras, Aiko; Lehnert, Ralf

In the last decade ‘self-management’ has become a popular research theme within the networking community. While reading papers, one could get the impression that self-management is the obvious solution to solve many of the current network management problems. There are hardly any publications,

Factors influencing exacerbation-related self-management in patients with COPD: a qualitative study.

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Korpershoek, Yjg; Vervoort, Scjm; Nijssen, Lit; Trappenburg, Jca; Schuurmans, M J

2016-01-01

In patients with COPD, self-management skills are important to reduce the impact of exacerbations. However, both detection and adequate response to exacerbations appear to be difficult for some patients. Little is known about the underlying process of exacerbation-related self-management. Therefore, the objective of this study was to identify and explain the underlying process of exacerbation-related self-management behavior. A qualitative study using semi-structured in-depth interviews was performed according to the grounded theory approach, following a cyclic process in which data collection and data analysis alternated. Fifteen patients (male n=8; age range 59-88 years) with mild to very severe COPD were recruited from primary and secondary care settings in the Netherlands, in 2015. Several patterns in exacerbation-related self-management behavior were identified, and a conceptual model describing factors influencing exacerbation-related self-management was developed. Acceptance, knowledge, experiences with exacerbations, perceived severity of symptoms and social support were important factors influencing exacerbation-related self-management. Specific factors influencing recognition of exacerbations were heterogeneity of exacerbations and habituation to symptoms. Feelings of fear, perceived influence on exacerbation course, patient beliefs, ambivalence toward treatment, trust in health care providers and self-empowerment were identified as specific factors influencing self-management actions. This study provided insight into factors influencing exacerbation-related self-management behavior in COPD patients. The conceptual model can be used as a framework for health care professionals providing self-management support. In the development of future self-management interventions, factors influencing the process of exacerbation-related self-management should be taken into account.

Starting early: integration of self-management support into an acute stroke service.

Science.gov (United States)

Mäkelä, Petra; Gawned, Sara; Jones, Fiona

2014-01-01

Self-management support following stroke is rare, despite emerging evidence for impact on patient outcomes. The promotion of a common approach to self-management support across a stroke pathway requires collaboration between professionals. To date, the feasibility of self-management support in acute stroke settings has not been evaluated. The Bridges stroke self-management package (SMP) is based on self-efficacy principles. It is delivered by professionals and supported by a patient-held workbook. The aim of this project was to introduce the Bridges stroke SMP to the multidisciplinary staff of a London hyperacute and acute stroke unit. The 'Plan Do Study Act' (PDSA) cycle guided iterative stages of project development, with normalisation process theory helping to embed the intervention into existing ways of working. Questionnaires explored attitudes, beliefs and experiences of the staff who were integrating self-management support into ways of working in the acute stroke setting. Self-management support training was delivered to a total of 46 multidisciplinary stroke staff. Of the staff who attended the follow-up training, 66% had implemented Bridges self-management support with patients since initial training, and 100% felt their practice had changed. Questionnaire findings demonstrated that staff attitudes and beliefs had changed following training, particularly regarding ownership and type of rehabilitation goals set, and prioritisation of self-management support within acute stroke care. Staff initiated an audit of washing and dressing practices pre- and post-training. This was designed to evaluate the number of occasions when techniques were used by staff to facilitate patients' independence and self-management. They found that the number of occasions featuring optimum practice went from 54% at baseline to 63% at three months post-training. This project demonstrated the feasibility of integrating self-management support into an acute stroke setting. Further

Twelve evidence-based principles for implementing self-management support in primary care.

Science.gov (United States)

Battersby, Malcolm; Von Korff, Michael; Schaefer, Judith; Davis, Connie; Ludman, Evette; Greene, Sarah M; Parkerton, Melissa; Wagner, Edward H

2010-12-01

Recommendations to improve self-management support and health outcomes for people with chronic conditions in primary care settings are provided on the basis of expert opinion supported by evidence for practices and processes. Practices and processes that could improve self-management support in primary care were identified through a nominal group process. In a targeted search strategy, reviews and meta-analyses were then identifed using terms from a wide range of chronic conditions and behavioral risk factors in combination with Self-Care, Self-Management, and Primary Care. On the basis of these reviews, evidence-based principles for self-management support were developed. The evidence is organized within the framework of the Chronic Care Model. Evidence-based principles in 12 areas were associated with improved patient self-management and/or health outcomes: (1) brief targeted assessment, (2) evidence-based information to guide shared decision-making, (3) use of a nonjudgmental approach, (4) collaborative priority and goal setting, (5) collaborative problem solving, (6) self-management support by diverse providers, (7) self-management interventions delivered by diverse formats, (8) patient self-efficacy, (9) active followup, (10) guideline-based case management for selected patients, (11) linkages to evidence-based community programs, and (12) multifaceted interventions. A framework is provided for implementing these principles in three phases of the primary care visit: enhanced previsit assessment, a focused clinical encounter, and expanded postvisit options. There is a growing evidence base for how self-management support for chronic conditions can be integrated into routine health care.

Economic effects of bovine mastitis and mastitis management: A review.

NARCIS (Netherlands)

Halasa, T.; Huijps, K.; Osterás, O.; Hogeveen, H.

2007-01-01

Several studies have been published since 1990 on the economics of mastitis and mastitis management. However, hardly any of these studies has discussed the consistency of results with other studies. In the present paper, the economic factors associated with mastitis are explained, providing a

Self-presentational persona: simultaneous management of multiple impressions.

Science.gov (United States)

Leary, Mark R; Allen, Ashley Batts

2011-11-01

Most research on self-presentation has examined how people convey images of themselves on only 1 or 2 dimensions at a time. In everyday interactions, however, people often manage their impressions on several image-relevant dimensions simultaneously. By examining people's self-presentations to several targets across multiple dimensions, these 2 studies offer new insights into the nature of self-presentation and provide a novel paradigm for studying impression management. Results showed that most people rely on a relatively small number of basic self-presentational personas in which they convey particular profiles of impressions as a set and that these personas reflect both normative influences to project images that are appropriate to a particular target and distinctive influences by which people put an idiosyncratic spin on these normative images. Furthermore, although people's self-presentational profiles correlate moderately with their self-views, they tailor their public images to specific targets. The degree to which participants' self-presentations were normative and distinctive, as well as the extent to which they reflected their own self-views, were moderated by individual differences in agreeableness, self-esteem, authenticity, and Machiavellianism.

Commercial activities and subsistence utilization of mangrove forests around the Wouri estuary and the Douala-Edea reserve (Cameroon

Directory of Open Access Journals (Sweden)

Dahdouh-Guebas Farid

2009-11-01

constitute a principal source of income. Most of the villagers (85.83% often depend on mangroves for subsistence needs and for them there is no substitute for mangrove wood. Therefore, more efforts should be undertaken at the national level to implement conservation, management and sustainable use of these coastal forests.

Commercial activities and subsistence utilization of mangrove forests around the Wouri estuary and the Douala-Edea reserve (Cameroon).

Science.gov (United States)

Atheull, Adolphe Nfotabong; Din, Ndongo; Longonje, Simon N; Koedam, Nico; Dahdouh-Guebas, Farid

2009-11-17

.83%) often depend on mangroves for subsistence needs and for them there is no substitute for mangrove wood. Therefore, more efforts should be undertaken at the national level to implement conservation, management and sustainable use of these coastal forests.

British-Pakistani women's perspectives of diabetes self-management: the role of identity.

Science.gov (United States)

Majeed-Ariss, Rabiya; Jackson, Cath; Knapp, Peter; Cheater, Francine M

2015-09-01

To explore the effects of type 2 diabetes on British-Pakistani women's identity and its relationship with self-management. Type 2 diabetes is more prevalent and has worse outcomes among some ethnic minority groups. This may be due to poorer self-management and an inadequate match of health services to patient needs. The influence that type 2 diabetes has on British-Pakistani women's identity and subsequent self-management has received limited attention. An explorative qualitative study. Face-to-face semi-structured English and Urdu language interviews were conducted with a purposively selected heterogeneous sample of 15 British-Pakistani women with type 2 diabetes. Transcripts were analysed thematically. Four themes emerged: Perceived change in self emphasised how British-Pakistani women underwent a conscious adaptation of identity following diagnosis; Familiarity with ill health reflected women's adjustment to their changed identity over time; Diagnosis improves social support enabled women to accept changes within themselves and Supporting family is a barrier to self-management demonstrated how family roles were an aspect of women's identities that was resilient to change. The over-arching theme Role re-alignment enables successful self-management encapsulated how self-management was a continuous process where achievements needed to be sustained. Inter-generational differences were also noted: first generation women talked about challenges associated with ageing and co-morbidities; second generation women talked about familial and work roles competing with self-management. The complex nature of British-Pakistani women's self-identification requires consideration when planning and delivering healthcare. Culturally competent practice should recognise how generational status influences self-identity and diabetes self-management in ethnically diverse women. Health professionals should remain mindful of effective self-management occurring alongside, and being

Distance Adult Students’ Self-Management Strategies of Online Learning Discussion

Directory of Open Access Journals (Sweden)

Nur Shaminah binti Mustafa Kamalu

2013-12-01

Full Text Available With distance learning getting more attention, the need for self-management strategies of learning becomes more prevalent since online learning is independent of time and place. This study was conducted to explore adult distance online students’ self-management strategies of learning and the importance of computer skill and their level of self-management strategies with regard to age and gender. A quantitative method survey research design was used to carry out the research which used questionnaire as the instrument for data collecting process. Participants involved were a group of first semester distance online learning students who were full time primary school teachers. They had registered for Technology Instruction course. Findings revealed that the level of self-management strategies of learning among these adult learners was moderate. In terms of the difference in selfmanagement strategies of learning between gender and among different categories of age, the results revealed there were no significant differences. Relationship between each component of self-management and computer skill revealed that the highest correlation was between computer skill and evaluation.

Evidence of size-selective evolution in the fighting conch from prehistoric subsistence harvesting.

Science.gov (United States)

O'Dea, Aaron; Shaffer, Marian Lynne; Doughty, Douglas R; Wake, Thomas A; Rodriguez, Felix A

2014-05-07

Intensive size-selective harvesting can drive evolution of sexual maturity at smaller body size. Conversely, prehistoric, low-intensity subsistence harvesting is not considered an effective agent of size-selective evolution. Uniting archaeological, palaeontological and contemporary material, we show that size at sexual maturity in the edible conch Strombus pugilis declined significantly from pre-human (approx. 7 ka) to prehistoric times (approx. 1 ka) and again to the present day. Size at maturity also fell from early- to late-prehistoric periods, synchronous with an increase in harvesting intensity as other resources became depleted. A consequence of declining size at maturity is that early prehistoric harvesters would have received two-thirds more meat per conch than contemporary harvesters. After exploring the potential effects of selection biases, demographic shifts, environmental change and habitat alteration, these observations collectively implicate prehistoric subsistence harvesting as an agent of size-selective evolution with long-term detrimental consequences. We observe that contemporary populations that are protected from harvesting are slightly larger at maturity, suggesting that halting or even reversing thousands of years of size-selective evolution may be possible.

Self-management interventions: Proposal and validation of a new operational definition.

Science.gov (United States)

Jonkman, Nini H; Schuurmans, Marieke J; Jaarsma, Tiny; Shortridge-Baggett, Lillie M; Hoes, Arno W; Trappenburg, Jaap C A

2016-12-01

Systematic reviews on complex interventions like self-management interventions often do not explicitly state an operational definition of the intervention studied, which may impact the review's conclusions. This study aimed to propose an operational definition of self-management interventions and determine its discriminative performance compared with other operational definitions. Systematic review of definitions of self-management interventions and consensus meetings with self-management research experts and practitioners. Self-management interventions were defined as interventions that aim to equip patients with skills to actively participate and take responsibility in the management of their chronic condition in order to function optimally through at least knowledge acquisition and a combination of at least two of the following: stimulation of independent sign/symptom monitoring, medication management, enhancing problem-solving and decision-making skills for medical treatment management, and changing their physical activity, dietary, and/or smoking behavior. This definition substantially reduced the number of selected studies (255 of 750). In two preliminary expert meetings (n = 6), the proposed definition was identifiable for self-management research experts and practitioners (80% and 60% agreement, respectively). Future systematic reviews must carefully consider the operational definition of the intervention studied because the definition influences the selection of studies on which conclusions and recommendations for clinical practice are based. Copyright © 2016 Elsevier Inc. All rights reserved.

Conceptual Features of Value Management of Socio-Economic Systems

Science.gov (United States)

Serebryakova, Galina V.; Musayelyan, Igor K.

2016-01-01

The article highlights the need to establish and apply organizational and economic mechanisms that contribute to strengthening moral and ethical components in management. Emphasis is put on the issue of interactions within a company which lays a foundation for value management of socioeconomic systems. It is shown that present-day business…

An integrated operational definition and conceptual model of asthma self-management in teens.

Science.gov (United States)

Mammen, Jennifer; Rhee, Hyekyun; Norton, Sally A; Butz, Arlene M; Halterman, Jill S; Arcoleo, Kimberly

2018-01-19

A previous definition of adolescent asthma self-management was derived from interviews with clinicians/researchers and published literature; however, it did not incorporate perspectives of teens or parents. Therefore, we conducted in-depth interviews with teens and parents and synthesized present findings with the prior analysis to develop a more encompassing definition and model. Focal concepts were qualitatively extracted from 14-day self-management voice-diaries (n = 14) and 1-hour interviews (n = 42) with teens and parents (28 individuals) along with concepts found in the previous clinical/research oriented analysis. Conceptual structure and relationships were identified and key findings synthesized to develop a revised definition and model of adolescent asthma self-management. There were two primary self-management constructs: processes of self-management and tasks of self-management. Self-management was defined as the iterative process of assessing, deciding, and responding to specific situations in order to achieve personally important outcomes. Clinically relevant asthma self-management tasks included monitoring asthma, managing active issues through pharmacologic and non-pharmacologic strategies, preventing future issues, and communicating with others as needed. Self-management processes were reciprocally influenced by intrapersonal factors (both cognitive and physical), interpersonal factors (family, social and physical environments), and personally relevant asthma and non-asthma outcomes. This is the first definition of asthma self-management incorporating teen, parent, clinician, and researcher perspectives, which suggests that self-management processes and behaviors are influenced by individually variable personal and interpersonal factors, and are driven by personally important outcomes. Clinicians and researchers should investigate teens' symptom perceptions, medication beliefs, current approaches to symptom management, relevant outcomes, and

The influence of social capital and socio-economic conditions on self-rated health among residents of an economically and health-deprived South African township

Directory of Open Access Journals (Sweden)

Cramm Jane M

2011-11-01

Full Text Available Abstract Background Surprisingly few studies have investigated the interplay of multiple factors affecting self-rated health outcomes and the role of social capital on health in developing countries, a prerequisite to strengthening our understanding of the influence of social and economic conditions on health and the most effective aid. Our study aimed to identify social and economic conditions for health among residents of an economically and health-deprived community. Methods Data were gathered through a survey administered to respondents from 1,020 households in Grahamstown a suburb in the Eastern Cape, South Africa (response rate 97.9%. We investigated the influence of social and economic conditions (education, employment, income, social capital, housing quality and neighborhood quality on self-rated health. We used ordinal logistic regression analyses to identify the relationship of these conditions and self-rated health. Results Our study found that education and social capital positively correlated with health; unemployment, poor educational level and advanced age negatively correlated. We found no significant correlations between self-rated health and housing quality, neighbourhood quality, income, gender, or marital status. Conclusion We highlight the possible impacts of social capital, employment, and education on health, and suggest that health outcomes may be improved through interventions beyond the health system: creating job opportunities, strengthening social capital, bettering educational systems, and promoting educational access. Policymakers should consider the benefits of such programmes when addressing health outcomes in financially distressed districts.

The impact of economic inequalities on self-esteem and depression

DEFF Research Database (Denmark)

Hansen, Claus D.

2014-01-01

,058) living in Ringkøbing County, Denmark in 2004 was collected across three questionnaire rounds (age 15, 18 and 21) containing questions about self-esteem (Rosenberg scale), symptoms of depression and many other , health, peer relations, school etc. Information on social background of the participants (e......Background: During the last five years, negative consequences of austerity politics (e.g. its impact on soft outcomes such as self-esteem and mental health) have been dismissed as being irrelevant as arguments against ‘necessary’ social reforms and cut backs in many European countries including...... Denmark. But how important are economic factors, e.g. childhood experiences of parental unemployment, poverty and difficulties participating in leisure time activities as antecedents for self-esteem and depression? Methods: Information from a birth cohort study of all adolescents born in 1989 (n=3...

Alexithymia, Illness Perception and Self-management Competency in Psoriasis

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Marie H. Larsen

2017-06-01

Full Text Available Alexithymia, defined as difficulty in describing or recognizing emotions, has been shown to be connected with psoriasis, but its relationship with self-management of psoriasis has not been explored. The aim of this study was to assess the frequency of alexithymia and its relationship with self-management and illness perception in the context of psoriasis. A total of 163 patients participating in 3 weeks of climate heliotherapy (CHT at Gran Canaria were assessed for alexithymia using the Toronto Alexithymia Scale (TAS-20 at baseline. Self-reported measures for self-management (Health Education Impact Questionnaire; heiQ, and disease severity and illness perception (Brief Illness Perception Questionnaire; BIPQ were assessed twice. Of all patients, 14.1% were characterized as alexithymic and 22.1% scored in the intermediate range. Alexithymic patients scored significantly worse in all heiQ domains, and reported worse illness perception. However, there were no between-group differences in heiQ or BIPQ change from baseline to after CHT. In conclusion, this study shows that alexithymia indicates inferior self-management and reaffirms the associations with illness perception. Further research is required into these relationships.

[Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients].

Science.gov (United States)

Jang, Hyung Suk; Lee, Chang Suk; Yang, Young Hee

2015-04-01

This study was done to examine the relation of uncertainty, uncertainty appraisal, and self-management in patients undergoing hemodialysis, and to identify factors influencing self-management. A convenience sample of 92 patients receiving hemodialysis was selected. Data were collected using a structured questionnaire and medical records. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations and multiple regression analysis with the SPSS/WIN 20.0 program. The participants showed a moderate level of uncertainty with the highest score being for ambiguity among the four uncertainty subdomains. Scores for uncertainty danger or opportunity appraisals were under the mid points. The participants were found to perform a high level of self-management such as diet control, management of arteriovenous fistula, exercise, medication, physical management, measurements of body weight and blood pressure, and social activity. The self-management of participants undergoing hemodialysis showed a significant relationship with uncertainty and uncertainty appraisal. The significant factors influencing self-management were uncertainty, uncertainty opportunity appraisal, hemodialysis duration, and having a spouse. These variables explained 32.8% of the variance in self-management. The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of uncertainty opportunity appraisal among patients would improve the self-management of hemodialysis patients.

Targets and self-management for the control of blood pressure in stroke and at risk groups (TASMIN-SR): protocol for a randomised controlled trial.

Science.gov (United States)

O'Brien, Claire; Bray, Emma P; Bryan, Stirling; Greenfield, Sheila M; Haque, M Sayeed; Hobbs, F D Richard; Jones, Miren I; Jowett, Sue; Kaambwa, Billingsley; Little, Paul; Mant, Jonathan; Penaloza, Cristina; Schwartz, Claire; Shackleford, Helen; Varghese, Jinu; Williams, Bryan; McManus, Richard J

2013-03-23

Self-monitoring of hypertension with self-titration of antihypertensives (self-management) results in lower systolic blood pressure for at least one year. However, few people in high risk groups have been evaluated to date and previous work suggests a smaller effect size in these groups. This trial therefore aims to assess the added value of self-management in high risk groups over and above usual care. The targets and self-management for the control of blood pressure in stroke and at risk groups (TASMIN-SR) trial will be a pragmatic primary care based, unblinded, randomised controlled trial of self-management of blood pressure (BP) compared to usual care. Eligible patients will have a history of stroke, coronary heart disease, diabetes or chronic kidney disease and will be recruited from primary care. Participants will be individually randomised to either usual care or self-management. The primary outcome of the trial will be difference in office SBP between intervention and control groups at 12 months adjusted for baseline SBP and covariates. 540 patients will be sufficient to detect a difference in SBP between self-management and usual care of 5 mmHg with 90% power. Secondary outcomes will include self-efficacy, lifestyle behaviours, health-related quality of life and adverse events. An economic analysis will consider both within trial costs and a model extrapolating the results thereafter. A qualitative analysis will gain insights into patients' views, experiences and decision making processes. The results of the trial will be directly applicable to primary care in the UK. If successful, self-management of blood pressure in people with stroke and other high risk conditions would be applicable to many hundreds of thousands of individuals in the UK and beyond. ISRCTN87171227.

Economic optimisation of flood risk management projects

NARCIS (Netherlands)

Tsimopoulou, V.

2015-01-01

The Netherlands has developed a flood risk management policy based on an economic rationale. After the flood disaster of 1953, when a large area of the south-western part of the country was flooded and more than 1800 people lost their lives, the so-called Delta Committee was installed, whose main

Economic analysis of emerald ash borer (Coleoptera: Buprestidae) management options.

Science.gov (United States)

Vannatta, A R; Hauer, R H; Schuettpelz, N M

2012-02-01

Emerald ash borer, Agrilus planipennis (Fairmaire) (Coleoptera: Buprestidae), plays a significant role in the health and extent of management of native North American ash species in urban forests. An economic analysis of management options was performed to aid decision makers in preparing for likely future infestations. Separate ash tree population valuations were derived from the i-Tree Streets program and the Council of Tree and Landscape Appraisers (CTLA) methodology. A relative economic analysis was used to compare a control option (do-nothing approach, only removing ash trees as they die) to three distinct management options: 1) preemptive removal of all ash trees over a 5 yr period, 2) preemptive removal of all ash trees and replacement with comparable nonash trees, or 3) treating the entire population of ash trees with insecticides to minimize mortality. For each valuation and management option, an annual analysis was performed for both the remaining ash tree population and those lost to emerald ash borer. Retention of ash trees using insecticide treatments typically retained greater urban forest value, followed by doing nothing (control), which was better than preemptive removal and replacement. Preemptive removal without tree replacement, which was the least expensive management option, also provided the lowest net urban forest value over the 20-yr simulation. A "no emerald ash borer" scenario was modeled to further serve as a benchmark for each management option and provide a level of economic justification for regulatory programs aimed at slowing the movement of emerald ash borer.

National Economic Burden Associated with Management of Periodontitis in Malaysia.

Science.gov (United States)

Mohd Dom, Tuti Ningseh; Ayob, Rasidah; Abd Muttalib, Khairiyah; Aljunid, Syed Mohamed

2016-01-01

Objectives. The aim of this study is to estimate the economic burden associated with the management of periodontitis in Malaysia from the societal perspective. Methods. We estimated the economic burden of periodontitis by combining the disease prevalence with its treatment costs. We estimated treatment costs (with 2012 value of Malaysian Ringgit) using the cost-of-illness approach and included both direct and indirect costs. We used the National Oral Health Survey for Adults (2010) data to estimate the prevalence of periodontitis and 2010 national census data to estimate the adult population at risk for periodontitis. Results. The economic burden of managing all cases of periodontitis at the national level from the societal perspective was approximately MYR 32.5 billion, accounting for 3.83% of the 2012 Gross Domestic Product of the country. It would cost the nation MYR 18.3 billion to treat patients with moderate periodontitis and MYR 13.7 billion to treat patients with severe periodontitis. Conclusion. The economic burden of periodontitis in Malaysia is substantial and comparable with that of other chronic diseases in the country. This is attributable to its high prevalence and high cost of treatment. Judicious application of promotive, preventive, and curative approaches to periodontitis management is decidedly warranted.

National Economic Burden Associated with Management of Periodontitis in Malaysia

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Tuti Ningseh Mohd Dom

2016-01-01

Full Text Available Objectives. The aim of this study is to estimate the economic burden associated with the management of periodontitis in Malaysia from the societal perspective. Methods. We estimated the economic burden of periodontitis by combining the disease prevalence with its treatment costs. We estimated treatment costs (with 2012 value of Malaysian Ringgit using the cost-of-illness approach and included both direct and indirect costs. We used the National Oral Health Survey for Adults (2010 data to estimate the prevalence of periodontitis and 2010 national census data to estimate the adult population at risk for periodontitis. Results. The economic burden of managing all cases of periodontitis at the national level from the societal perspective was approximately MYR 32.5 billion, accounting for 3.83% of the 2012 Gross Domestic Product of the country. It would cost the nation MYR 18.3 billion to treat patients with moderate periodontitis and MYR 13.7 billion to treat patients with severe periodontitis. Conclusion. The economic burden of periodontitis in Malaysia is substantial and comparable with that of other chronic diseases in the country. This is attributable to its high prevalence and high cost of treatment. Judicious application of promotive, preventive, and curative approaches to periodontitis management is decidedly warranted.

The Regularity and Irregularity of Travel: an Analysis of the Consistency of Travel Times Associated with Subsistence, Maintenance and Discretionary Activities

OpenAIRE

Longden, Thomas

2016-01-01

Regular and irregular travel patterns coincide with different underlying purposes of travel and days of the week. Within this paper, it is shown that the balance between subsistence (i.e. work) and discretionary (i.e. leisure) activities is related to differences in travel patterns and explains consistency across years. Using eight years of time use diary entries this paper finds that travel time related to subsistence activities tends to be regular and stable. In contrast, travel time associ...

The assessment of risk management system’s economic efficiency in retail banking

OpenAIRE

Cvilikas, Aurelijus; Paužuolis, Vaidas

2014-01-01

The banking risk management is always a relevant topic in financial sector’s academic literature, but the detailed analysis of current studies showed that there is a lack of studies in risk management’s economic efficiency assessment in retail banking, where the risk management system’s administration cost may be a significant part of total credit institution’s cost. The scientific problem of this article is: how the economic efficiency of retail banking risk management system could be ...

[The Utilization of Health-Related Applications in Chronic Disease Self-Management].

Science.gov (United States)

Kao, Chi-Wen; Chuang, Hui-Wan; Chen, Ting-Yu

2017-08-01

The dramatic increase in smartphone usage has spurred the development of many health-related mobile applications (apps). On the other hand, population aging and the associated rise in the incidence of chronic disease is increasing the demand for long-term care. Effective chronic disease self-management has been shown to help patients improve their health condition. Numerous smartphone applications currently support patient self-management of chronic disease, facilitating health management and health promotion. The purpose of the present article was to introduce the definition, contents, and types of health-related apps; to discuss the effectiveness of self-management health-related apps in promoting chronic disease management; and to assess and evaluate these apps. We hope that the present article helps give to healthcare professionals and patients who are willing to manage their diseases a general understanding of health-related apps and their potential to facilitate the self-management of chronic diseases.

Design Considerations for Internet-Delivered Self-Management Programs for Adults With Hearing Impairment.

Science.gov (United States)

Preminger, Jill E; Rothpletz, Ann M

2016-10-01

Hearing impairment (HI) is a chronic condition; thus, even with treatment, residual participation restrictions and activity limitations typically remain. Individuals must learn to self-manage their HI. The purpose of this research note is to review components of successful Internet-based self-management programs and to evaluate group auditory rehabilitation (AR) programs with varying content, in order to make recommendations for the design of future Internet-based self-management programs. Effect sizes for changes in HI-specific quality of life following group AR activities from 4 published studies were calculated to determine if effect size varied systematically as a function of group activities. These findings are described using a self-management framework. Successful group AR activities include (a) psychosocial activities to promote role management, emotional management, and social support; (b) informational lectures and group discussion to promote education; (c) communication strategy exercises to promote self-efficacy and self-management skills; and (d) the inclusion of a frequent communication partner to promote social support and self-tailoring. It is recommended that future Internet-based self-management programs focus on the mechanisms of social support and education to promote learning and self-management skills. Future research will determine if these AR activities may be implemented effectively via the Internet.

The Role of Christian Educational Institutions in Improving Economic Self-Reliance

Science.gov (United States)

Nwosu, Constance C.

2012-01-01

This article argues that Christian educational institutions in Africa can play a major role in improving economic self-reliance within the continent, if those who establish Christian universities there take time to plan the programs and activities in those institutions. Specifically, it argues that with proper planning of quality education--the…

Self-management-support in dementia care: a mixed methods study among nursing staff.

NARCIS (Netherlands)

Verkaik, R.; Antwerpen-Hogenraad, P. van; Veer, A. de; Francke, A.; Huis in het Veld, J.

2017-01-01

Background: Self-management in patients and family caregivers confronted with dementia is not self-evident. Self-management skills may be limited because of the progressive cognitive decline of the patient and because family caregivers are often also very aged. Self-management

A social work study on relationship between thinking styles, self-esteem and socio-economic conditions among university students

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Sahar Mirghobad Khodarahmi

2013-07-01

Full Text Available This paper presents a social work study on relationship between thinking style and self-esteem as well as socio-economic conditions among university students. The study selects 512 students from Islamic Azad University of Najafabad in province of Esfahan, Iran and distributes a questionnaire, which measures creativity and self-esteem. We also collect students’ socio-economic conditions and analyze the information. The results of our survey disclose that thinking style and self-esteem have overlap with each other. In addition, students with better socio-economic conditions are more creative and use complex style of thinking. The study also provides some guidelines for practically implementing the results of our survey among other students.

Beyond Reactive Planning: Self Adaptive Software and Self Modeling Software in Predictive Deliberation Management

National Research Council Canada - National Science Library

Lenahan, Jack; Nash, Michael P; Charles, Phil

2008-01-01

.... We present the following hypothesis: predictive deliberation management using self-adapting and self-modeling software will be required to provide mission planning adjustments after the start of a mission...

Ecological-economic modeling for biodiversity management: potential, pitfalls, and prospects

NARCIS (Netherlands)

Wätzold, F.; Drechsler, M.; Armstrong, C.W.; Baumgärtner, S.; Grimm, V.; Huth, A.; Perrings, C.; Possingham, H.P.; Shogren, J.F.; Skonhoft, A.; Verboom-Vasiljev, J.; Wissel, C.

2006-01-01

Ecologists and economists both use models to help develop strategies for biodiversity management. The practical use of disciplinary models, however, can be limited because ecological models tend not to address the socioeconomic dimension of biodiversity management, whereas economic models tend to

Macro-Process of Past Plant Subsistence from the Upper Paleolithic to Middle Neolithic in China: A Quantitative Analysis of Multi-Archaeobotanical Data.

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Can Wang

Full Text Available Detailed studies of the long-term development of plant use strategies indicate that plant subsistence patterns have noticeably changed since the Upper Paleolithic, when humans underwent a transitional process from foraging to agriculture. This transition was best recorded in west Asia; however, information about how plant subsistence changed during this transition remains limited in China. This lack of information is mainly due to a limited availability of sufficiently large, quantified archaeobotanical datasets and a paucity of related synthetic analyses. Here, we present a compilation of extensive archaeobotanical data derived from interdisciplinary approaches, and use quantitative analysis methods to reconstruct past plant use from the Upper Paleolithic to Middle Neolithic in China. Our results show that intentional exploitation for certain targeted plants, particularly grass seeds, may be traced back to about 30,000 years ago during the Upper Paleolithic. Subsequently, the gathering of wild plants dominated the subsistence system; however, this practice gradually diminished in dominance until about 6~5 ka cal BP during the Middle Neolithic. At this point, farming based on the domestication of cereals became the major subsistence practice. Interestingly, differences in plant use strategies were detected between north and south China, with respect to (1 the proportion of certain plant taxa in assemblages, (2 the domestication rate of cereals, and (3 the type of plant subsistence practiced after the establishment of full farming. In conclusion, the transition from foraging to rice and millet agriculture in China was a slow and long-term process spanning 10s of 1000s of years, which may be analogous to the developmental paths of wheat and barley farming in west Asia.

Lay and health care professional understandings of self-management: A systematic review and narrative synthesis

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Euan Sadler

2014-08-01

Full Text Available Objectives: Self-management is widely promoted but evidence of effectiveness is limited. Policy encourages health care professionals to support people with long-term conditions to learn self-management skills, yet little is known about the extent to which both parties share a common understanding of self-management. Thus, we compared health care professional and lay understandings of self-management of long-term conditions. Methods: Systematic review and narrative synthesis of qualitative studies identified from relevant electronic databases, hand-searching of references lists, citation tracking and recommendations by experts. Results: In total, 55 studies were included and quality was assessed using a brief quality assessment tool. Three conceptual themes, each with two subthemes were generated: traditional and shifting models of the professional–patient relationship (self-management as a tool to promote compliance; different expectations of responsibility; quality of relationship between health care professional and lay person (self-management as a collaborative partnership; self-management as tailored support and putting self-management into everyday practice (the lived experience of self-management; self-management as a social practice. Conclusion: Self-management was conceptualised by health care professionals as incorporating both a biomedical model of compliance and individual responsibility. Lay people understood self-management in wider terms, reflecting biomedical, psychological and social domains and different expectations of responsibility. In different ways, both deviated from the dominant model of self-management underpinned by the concept of self-efficacy. Different understandings help to explain how self-management is practised and may help to account for limited evidence of effectiveness of self-management interventions.

Self-management support at the end of life: Patients', carers' and professionals' perspectives on managing medicines.

Science.gov (United States)

Campling, N; Richardson, A; Mulvey, M; Bennett, M; Johnston, B; Latter, S

2017-11-01

Pain is a frequently reported symptom by patients approaching the end of life and well-established that patients and carers hold fears relating to opioids, and experience side effects related to their use. The management of medicines is intrinsic to achieving effective pain relief. The concept of self-management support whilst well characterised in the context of chronic illness has not been elaborated with respect to end of life care. To identify patient, carer and professional views on the concept of self-management support at end of life, specifically in relation to analgesia and related medicines (for side-effect management) in order to describe, characterise and explain self-management support in this context. Qualitative design, data collection methods involved focus groups and interviews. Topics included the meaning of self-management support in this context, roles and behaviours adopted to manage pain-related medicines, and factors that influence these. A largely deductive approach was used, involving verification and validation of key frameworks from the literature, but with capacity for new findings to emerge. Participants were drawn from two different localities in England, one North, the other South. Interviews with patients and carers took place in their own homes and focus groups with healthcare professionals were held at local hospices. 38 individuals participated. 15 patients, in the last year of life, and 4 carers under the care of community-based specialist palliative care services and 19 specialist palliative care health professionals (predominantly community palliative care nurses). The concept of self-management support had salience for patients, carers and specialist nurses alongside some unique features, specific to the end of life context. Specifically self-management was identified as an ever-changing process enacted along a continuum of behaviours fluctuating from full to no engagement. Disease progression, frequent changes in symptoms and

Self-management in daily life with psoriasis

DEFF Research Database (Denmark)

Rasmussen, Gitte Susanne; Maindal, Helle Terkildsen; Lomborg, Kirsten

2012-01-01

The aim of this integrative review is to identify and discuss patient needs for education to support self-management in daily life with psoriasis. As psoriasis increasingly gains recognition as a serious chronic autoimmune skin disease with long-term impairment on the life course, and not mainly...... a cosmetic problem, nurses are highly challenged to develop efficient education to support patient self-management. The paper includes five stages: (1) problem identification, (2) literature search, (3) data evaluation, (4) data analysis and synthesis, and (5) presentation, based on theoretic scaffolding...... around the concept "need." Nineteen of 164 original papers within nursing, medicine and psychology, and reflecting patient perspective were included. To capture the patients' cultural understanding of the implications of the disease and care, we developed an interlevel model indicating that self...

The science of ecological economics: a content analysis of Ecological Economics, 1989-2004.

Science.gov (United States)

Luzadis, Valerie A; Castello, Leandro; Choi, Jaewon; Greenfield, Eric; Kim, Sung-kyun; Munsell, John; Nordman, Erik; Franco, Carol; Olowabi, Flavien

2010-01-01

The Ecological Economics journal is a primary source for inquiry on ecological economics and sustainability. To explore the scholarly pursuit of ecological economics, we conducted a content analysis of 200 randomly sampled research, survey, and methodological articles published in Ecological Economics during the 15-year period of 1989-2004. Results of the analysis were used to investigate facets of transdisciplinarity within the journal. A robust qualitative approach was used to gather and examine data to identify themes representing substantive content found within the span of sampled journal papers. The extent to which each theme was represented was counted as well as additional data, such as author discipline, year published, etc. Four main categories were revealed: (1) foundations (self-reflexive themes stemming from direct discussions about ecological economics); (2) human systems, represented by the themes of values, social indicators of well-being, intergenerational distribution, and equity; (3) biophysical systems, including themes, such as carrying capacity and scarcity, energy, and resource use, relating directly to the biophysical aspects of systems; and (4) policy and management encompassing themes of development, growth, trade, accounting, and valuation, as well as institutional structures and management. The results provide empirical evidence for discussing the future direction of ecological economic efforts.

Fusarium spp. and levels of fumonisins in maize produced by subsistence farmers in South Africa

NARCIS (Netherlands)

Ncube, E.; Flett, B.C.; Waalwijk, C.; Viljoen, A.

2011-01-01

Fusarium spp. produce fumonisins - mycotoxins that are of importance to maize production in South Africa. Fumonisins have been associated with human oesophageal cancer and cause various diseases in animals that are of concern to the animal feed industry. Maize samples, collected from subsistence

On the Relation Between Management and Economics from the Perspective of Institutional Statistics

Directory of Open Access Journals (Sweden)

Dan Yang

2007-10-01

Full Text Available Every country's economic development affects all levels of its society and thus the results of its social science research. To make social science research better serve their economic development, many countries have established social science research institutes, among which are management research institutes more related to economic research institutes. Through comparative research of the locations and founding dates of the institutes in different countries, this article analyses the development trends and the relationship between economics and management research, providing us with the relevant experience and background for planning purposes.

Attrition in Chronic Disease Self-Management Programs and Self-Efficacy at Enrollment

Science.gov (United States)

Verevkina, Nina; Shi, Yunfeng; Fuentes-Caceres, Veronica Alejandra; Scanlon, Dennis Patrick

2014-01-01

Among other goals, the Chronic Disease Self-Management Program (CDSMP) is designed to improve self-efficacy of the chronically ill. However, a substantial proportion of the enrollees often leave CDSMPs before completing the program curriculum. This study examines factors associated with program attrition in a CDSMP implemented in a community…

A critique of the design, implementation, and delivery of a culturally-tailored self-management education intervention: a qualitative evaluation.

Science.gov (United States)

Sidhu, Manbinder S; Gale, Nicola K; Gill, Paramjit; Marshall, Tom; Jolly, Kate

2015-02-07

Self-management education is at the forefront of addressing the increasing prevalence of chronic diseases. For those at greatest risk, such as minority-ethnic and/or socio-economically deprived groups, self-management education can be culturally-tailored to encourage behavioural change. Yet, the application of culturally appropriate material and expertise within health promotion services continues to be debated. We critique the design, implementation, and delivery of a culturally-tailored self-management intervention, with particular focus on the experiences of lay educators. A mixed methods qualitative evaluation was undertaken to understand self-management service provision to culturally diverse communities (i.e. how components such as lay workers, group-based design, and culturally-appropriate educational material are intended to encourage behavioural change). We interviewed lay educators delivering the Chronic Disease Educator programme along with attendees, whilst observing workshops. Data were thematically analysed using a content-based constant comparison approach through a number of interpretative analytical stages. Lay educators felt part of the local community, relating to attendees from different races and ethnicities. However, lay educators faced challenges when addressing health beliefs and changing lifestyle practices. Culturally-tailored components aided communication, with educator's cultural awareness leading to close relationships with attendees, while the group-based design facilitated discussions of the emotional impact of illness. Lay educators bring with them a number of nuanced skills and knowledge when delivering self-management education. The development and training required for this role is inhibited by financial constraints at policy-level. The interpretation of being from the 'community' links with the identity and status of the lay role, overlapping notions of race, ethnicity, and language.

Organizational-economic mechanism of management of food industry enterprises competitiveness

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O.A. Gorb

2016-09-01

Full Text Available The article is devoted to the discussion of the peculiarities of the formation of organizational-economic mechanism of food industry enterprise management. Brief characteristics of social-economic environment of functioning the enterprises of the industry have been given for determining its desirable parameters. The characteristics of challenges to the competitive positions of Ukrainian enterprises in the connection with the country's entry to the “free trade” zone with the European Union have also been given. The authors consider the solving of the touched upon problem in the combination of competitiveness management functions and preventive anti-crisis management in the single mechanism. The structure of such mechanism has been suggested, and the characteristics of its components have been given.

Economics of paternalism: the hidden costs of self-commanding strategies

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Christophe Salvat

2015-11-01

Full Text Available The paper proposes an economic assessment of paternalism by comparing different alternative responses to dynamically inconsistent behaviors consecutive to hyperbolic discounting. Two main types of action are possible, self-commanding strategies and paternalism The first category includes personal rules and pre-commitment The second can be subcategorized between coercive and non-coercive forms of paternalism, which are respectively associated (although it is debatable with legal paternalism and with ‘nudges’. Despite being self-inflicted, self-commanding strategies are actually not cost free and can result in a dramatic cutback of people’s freedom of choice. Likewise, legal paternalism can, on occasion, be less harmful than personal rules or pre-commitment; similarly, nudges can be more invasive and less effective than their proponents want us to believe. The aim of this paper is not to propose any standardized form of response to irrational behavior (whatever that may mean but to argue, on the contrary, that every case should be individually appraised. Individual situations can be remedied by self-commanding strategies or by paternalistic policies, either in isolation or in combination.

SELF-PERCEIVED HEALTH OF THE ELDERLY: ECONOMIC AND SOCIODEMOGRAPHIC INEQUALITIES

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Olga GAGAUZ,

2017-02-01

Full Text Available Given the rapid increase in the number and share of the elderly in the total population, good healthand healthy ageing are an important factor in the socio-economic development of ageing societies. Selfperceivedhealth is one of the most important health and well-being indicators. The article presents theresults of research on self-perceived elderly health based on data from "Household Budget Survey" for2006-2015 (NBS. The study reveals a slow increase in life expectancy and healthy life expectancy, as wellas time spent in good health. The life expectancy without chronic illness is lower than healthy lifeexpectancy. There is a positive rise in the self-assessment of the elderly for both sexes and at different agesafter 60 years. The regression analysis of factors influencing self-perceived health (age, sex, education level,welfare level, degree of disability and civil status, demonstrates that among the most important factors withwhich self-responding health is associated, as bad and very bad were highlighted the low level of educationand material welfare, as well as the presence of behavioural vices (smoking.

PROBLEMS OF FORMATION OF SOCIO-ECONOMIC INSTITUTE OF MANAGEMENT IN RUSSIA

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N. V. Lyasnikov

2010-01-01

Full Text Available The dynamic socio-economic development of Russia, the long-term competitiveness in the global economy involves the formation of a new socio-economic institute of management – an active subject of modern innovative economy.

Conservation versus traditional cattle farming - the economic implications

Directory of Open Access Journals (Sweden)

J.W. Hearne

2003-12-01

Full Text Available In many areas of South Africa traditional subsistence farming practices entail overstocking of cattle. The resulting damage to the veld can be arrested only by providing the farmers with economic incentives to reduce stocking densities. In this paper cattle offtake strategies are investigated with a view to maximising revenue at lower stocking densities. This is achieved by developing a mathematical model which predicts the revenue generated by a given strategy. It is shown that although the model is nonlinear, a transformation can be made to enable optimisation by linear programming.

Cognitive-behavioural approaches to self-management in rheumatic disease.

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Dures, Emma; Hewlett, Sarah

2012-09-01

Patients with rheumatic disease must adjust psychosocially and behaviourally in order to manage the impact of symptoms and treatment on their daily lives, and the emotional consequences of the disease. However, patients can improve their well-being by taking a proactive role in self-management, for example by using coping strategies. Support for patient self-management from clinical teams usually comprises information and advice on disease management; however, this largely didactic approach often focuses on the biomedical aspects of rheumatic disease, without addressing how these aspects interact with psychosocial factors to influence health behaviours and thus outcomes. A cognitive-behavioural approach based on the biopsychosocial model of rheumatic disease can facilitate the identification of effective self-management strategies through collaboration between patients and clinicians. Most patients do not require intense cognitive-behavioural therapy from a clinical psychologist; rather, basic cognitive-behavioural techniques and tools could be used by rheumatology clinical teams to expand and enhance the support already offered to patients.

77 FR 5389 - Fisheries of the Exclusive Economic Zone Off Alaska; Chinook Salmon Bycatch Management in the...

Science.gov (United States)

2012-02-03

...; Chinook Salmon Bycatch Management in the Bering Sea Pollock Fishery; Economic Data Collection AGENCY... Management Area (BSAI) in the Exclusive Economic Zone under the Fishery Management Plan for Groundfish of the... Management Program Economic Data Report (Chinook salmon EDR program). (a) Requirements. NMFS developed the...

Self-management of oral anticoagulant therapy for mechanical heart valve patients

DEFF Research Database (Denmark)

Christensen, Thomas D; Attermann, Jørn; Pilegaard, Hans K

2001-01-01

.4%–2.9%) for the control group. Conclusion: Self-management of OAT is a feasible and safe concept for selected patients with mechanical heart valve prostheses also on a long-term basis. It provides at least as good and most likely better quality of anticoagulant therapy than conventional management assessed by time within......Objective: Self-management of oral anticoagulant therapy (OAT) has shown good results on a short-term basis. We hypothesize that self-management of OAT provides a better quality of treatment than conventional management also on a long-term basis. The aim of this study was to assess the quality...... of conventionally managed heart valve patients (control group) was used as reference. Results: The median observation time was 1175 days (range: 174–1428 days). The self-managed patients were within therapeutic INR target range for a mean of 78.0% (range: 36.1%–93.9%) of the time compared with 61.0% (range 37...

From information to participation and self-organization: Visions for European river basin management.

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Euler, Johannes; Heldt, Sonja

2018-04-15

The European Union Water Framework Directive (EU WFD, 2000) calls for active inclusion of the public in the governance of waterbodies to enhance the effectiveness and legitimacy of water management schemes across the EU. As complex socio-ecological systems, river basins in western Europe could benefit from further support for inclusive management schemes. This paper makes use of case studies from Germany, England and Spain to explore the potential opportunities and challenges of different participatory management approaches. Grounded in theoretical considerations around participation within ecological management schemes, including Arnstein's Ladder of Participation and commons theories, this work provides an evaluation of each case study based on key indicators, such as inclusivity, representativeness, self-organization, decision-making power, spatial fit and temporal continuity. As investors and the public develop a heightened awareness for long-term sustainability of industrial projects, this analysis supports the suggestion that increased participatory river basin management is both desirable and economically feasible, and should thus be considered a viable option for future projects aiming to move beyond current requirements of the European Union Water Framework Directive. Copyright © 2017. Published by Elsevier B.V.

The economic and social viability of Tanzanian Wildlife Management Areas

DEFF Research Database (Denmark)

Homewood, Katherine; Bluwstein, Jevgeniy; Lund, Jens Friis

This policy brief contributes to assessing the economic and social viability of Tanzania’s Wildlife Management Areas (WMAs) through preliminary findings by the ‘Poverty and ecosystem Impacts of Tanzania’s Wildlife Management Areas’ (PIMA) project, focusing on benefits, costs, and their distribution...

Digital Support Interventions for the Self-Management of Low Back Pain

DEFF Research Database (Denmark)

Nicholl, Barbara I; Sandal, Louise Fleng; Stochkendahl, Mette Jensen

2017-01-01

BACKGROUND: Low back pain (LBP) is a common cause of disability and is ranked as the most burdensome health condition globally. Self-management, including components on increased knowledge, monitoring of symptoms, and physical activity, are consistently recommended in clinical guidelines as cost......-effective strategies for LBP management and there is increasing interest in the potential role of digital health. OBJECTIVE: The study aimed to synthesize and critically appraise published evidence concerning the use of interactive digital interventions to support self-management of LBP. The following specific...... questions were examined: (1) What are the key components of digital self-management interventions for LBP, including theoretical underpinnings? (2) What outcome measures have been used in randomized trials of digital self-management interventions in LBP and what effect, if any, did the intervention have...

Socio-economic aspects of waste management facilities

International Nuclear Information System (INIS)

Ruetter, H.

2008-01-01

Besides technical aspects and those of safety, it is the economic and social environment of a future underground geologic repository which plays a major role. Compared to other large scale technical plants, facilities for radioactive waste management must overcome incomparably greater obstacles. All the more care must be taken in clarifying the issues affecting the public and the economy in the region of a potential site. On behalf of the Swiss Federal Office for Energy (BFE), Ruetter + Partner conducted a basic study which, in a number of case studies, dealt with the socio-economic aspects of experiences with existing and planned facilities in Switzerland and abroad. The study focused on these main points, which are outlined briefly in the article: - Socio-economic issues in the site selection procedure. - Methodological approach. - Findings made in the case studies. - Factors influencing the acceptance of a repository. (orig.)

Does information overload prevent chronic patients from reading self-management educational materials?

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Liu, Chung-Feng; Kuo, Kuang-Ming

2016-05-01

Self-care management is becoming an important part of care for chronic patients. However, various kinds of self-management educational materials which government or healthcare institutions provide for patients may not achieve the expected outcome. One of the critical reasons affecting patients' use intention could be patients' perceived information overload regarding the self-management educational materials. This study proposed an extended model of the Theory of Planned Behavior (TPB), which incorporated perceived information overload, to explore if information overload will prevent chronic patients from reading educational materials for self-care management. The independent variables are attitude, subject norm, perceived behavior control and perceived information overload while the dependent variable is behavior intention to use the self-management educational materials. Perceived information overload is also referred to as an antecedent variable which may has impacts on attitude and perceived behavior control. The cross-sectional study interviewed newly diagnosed chronic patients with coronary artery disease, who are the potential users of the self-management educational materials, in a medical center in Taiwan. Data were analyzed using descriptive statistics of the basic information distribution of the respondents, and structural equation modeling to study the reliability and validity for testing hypotheses. A total of 110 respondents were enrolled in this study and successful interview data were collected from 106 respondents. The result indicates that the patients' perceived information overload of self-management educational materials was validated to have impacts on attitude and perceived behavioral control constructs of the TPB as well as contributing a direct impact on patients' intentions to use self-management educational materials. Besides, subjective norm and perceived behavioral control constructs were validated to have significant impacts on

Motivation and Self-Management Behavior of the Individuals With Chronic Low Back Pain.

Science.gov (United States)

Jung, Mi Jung; Jeong, Younhee

2016-01-01

Self-management behavior is an important component for successful pain management in individuals with chronic low back pain. Motivation has been considered as an effective way to change behavior. Because there are other physical, social, and psychological factors affecting individuals with pain, it is necessary to identify the main effect of motivation on self-management behavior without the influence of those factors. The purpose of this study was to investigate the effect of motivation on self-management in controlling pain, depression, and social support. We used a nonexperimental, cross-sectional, descriptive design with mediation analysis and included 120 participants' data in the final analysis. We also used hierarchical multiple regression to test the effect of motivation, and multiple regression analysis and Sobel test were used to examine the mediating effect. Motivation itself accounted for 23.4% of the variance in self-management, F(1, 118) = 35.003, p motivation was also a significant factor for self-management. In the mediation analysis, motivation completely mediated the relationship between education and self-management, z = 2.292, p = .021. Motivation is an important part of self-management, and self-management education is not effective without motivation. The results of our study suggest that nurses incorporate motivation in nursing intervention, rather than only giving information.

Evaluation of patient self-management outcomes in health care: a systematic review.

Science.gov (United States)

Du, S; Yuan, C

2010-06-01

The importance of self-management and its intervention for improving the ability and skill of self-management has been discussed in literatures. It is, however, unclear how to choose the fitted, objective and accurate evaluation system when assessing the outcome. The aim of this article was to establish a general evaluation system for skill and ability of self-management in chronic diseases through systematic review on different evaluation indicators and scales. A systematic search of six electronic databases was conducted. Two authors independently reviewed each qualified study for relevance and significance. Subsequently, main evaluation indicators and scales were identified and categorized into themes and sub-themes. Nineteen articles were identified in this review. Among them, six main evaluation indicators of self-management, including frequently used scales, were extracted and tabulated. Self-efficacy, health behaviour/attitude, health status, health service utilization, quality of life and psychological indicators were the main indicators in evaluating self-management outcome, and they could be used alone or in combination flexibly according to the different goals of programmes. Accurate evaluation of skill and ability of self-management is crucial not only in baseline data collection but also in proving the effectiveness of intervention. The outcomes of this study provide future researchers or caregivers with a better understanding and a series of good choices in self-management outcome evaluation.

XXVI Annual Conference of the European Academy of Management and Business Economics (AEDEM)

CERN Document Server

Gil-Lafuente, Jaime; Merigó-Lindahl, José; Soft Computing in Management and Business Economics

2012-01-01

This book is a collection of selected papers presented at the Annual Meeting of the European Academy of Management and Business Economics (AEDEM), held at the Faculty of Economics and Business of the University of Barcelona, 05 – 07 June, 2012. This edition of the conference has been presented with the slogan “Creating new opportunities in an uncertain environment”. There are different ways for assessing uncertainty in management but this book mainly focused on soft computing theories and their role in assessing uncertainty in a complex world. The present book gives a comprehensive overview of general management topics and discusses some of the most recent developments in all the areas of business and management including management, marketing, business statistics, innovation and technology, finance, sports and tourism. This book might be of great interest for anyone working in the area of management and business economics and might be especially useful for scientists and graduate students doing researc...

Biopolitical management, economic calculation and "trafficked women".

Science.gov (United States)

Berman, Jacqueline

2010-01-01

Narratives surrounding human trafficking, especially trafficking in women for sex work, employ gendered and racialized tropes that have among their effects, a shrouding of women's economic decision-making and state collusion in benefiting from their labour. This paper explores the operation of these narratives in order to understand the ways in which they mask the economics of trafficking by sensationalizing the sexual and criminal aspects of it, which in turn allows the state to pursue political projects under the guise of a benevolent concern for trafficked women and/or protection of its own citizens. This paper will explore one national example: Article 18 of Italian Law 40 (1998). I argue that its passage has led to an increase in cooperation with criminal prosecution of traffickers largely because it approaches trafficked women as capable of making decisions about how and what they themselves want to do. This paper will also consider a more global approach to trafficking embedded in the concept of "migration management", an International Organization for Migration (IOM) framework that is now shaping EU, US and other national immigration laws and policies that impact trafficking. It will also examine the inherent limitations of both the national and global approach as an occasion to unpack how Article 18 and Migration Management function as forms of biopolitical management that participate in the production of "trafficking victims" into a massified population to be managed, rather than engender a more engaged discussion of what constitutes trafficking and how to redress it.