Missed care, care left undone: Organization ethics and the appropriate use of the nursing resource

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Philomena Anne Scott ◽  
Riitta Suhonen ◽  
Marcia Kirwan
2000 ◽  
Vol 5 (6) ◽  
pp. 1-7
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage ◽  
Leon H. Ensalada

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, is available and includes numerous changes that will affect both evaluators who and systems that use the AMA Guides. The Fifth Edition is nearly twice the size of its predecessor (613 pages vs 339 pages) and contains three additional chapters (the musculoskeletal system now is split into three chapters and the cardiovascular system into two). Table 1 shows how chapters in the Fifth Edition were reorganized from the Fourth Edition. In addition, each of the chapters is presented in a consistent format, as shown in Table 2. This article and subsequent issues of The Guides Newsletter will examine these changes, and the present discussion focuses on major revisions, particularly those in the first two chapters. (See Table 3 for a summary of the revisions to the musculoskeletal and pain chapters.) Chapter 1, Philosophy, Purpose, and Appropriate Use of the AMA Guides, emphasizes objective assessment necessitating a medical evaluation. Most impairment percentages in the Fifth Edition are unchanged from the Fourth because the majority of ratings currently are accepted, there is limited scientific data to support changes, and ratings should not be changed arbitrarily. Chapter 2, Practical Application of the AMA Guides, describes how to use the AMA Guides for consistent and reliable acquisition, analysis, communication, and utilization of medical information through a single set of standards.


2018 ◽  
Vol 9 (12) ◽  
pp. 1042-1046
Author(s):  
Tadeo Armando Barrón López ◽  

The following text will show the different tax forms for a newly created company to become competitive, analyze the subsidies they have in a federal tax (Income Tax), compare the tax incorporation regime (RIF) with The old regime of small taxpayers (REPECO), analyzes the advantages and disadvantages of the appropriate use of RIF for start-ups, and finally, the tax incorporation regime is compared with similar ones in Latin America, reflecting on tax contributions Which each government has to raise so that its governments are efficient and effective within a country.


1999 ◽  
Vol 16 (2) ◽  
pp. 55-87
Author(s):  
Salah El-Sheikh

This paper seeks to understand the context in which the debates con­cerning Islamic economics are taking place. The author contends that in the absence of a democratic and free environment the discourses on Islamic economics are suffering from free and open discussions about the true essence of Islam and its implications in the socioeconomic arena. After discussing some of the limits of the discourses on Islamic economics, suc.h as a lack of common terminology and appropriate use of Qur'anic terms, the author advances his understanding of the Qur'anic approach to iman. The author argues that 'aql and hikrrui are the cornerstones of Islam and the two faculties that the Qur'an repeat­edly invokes in order that humanity may understand Islamic laws and principles and fulfill its mandate of Allah's vicegerency. The paper con­cludes that the straight path is essentially a rational approach and invites the discourses on Islamic economics to rely more on 'aql and hikrrui in their contemplation.


2005 ◽  
Vol 149-150 ◽  
pp. 47-76
Author(s):  
Alvin Leong Ping ◽  
Geok Wee Bee

The situation in many composition classes in Singapore is characterized by scaffolding (Vygot-sky, 1962; Bruner, 1985), where students are given explicit guidance, particularly concerning the organizational structure of the essay. With scaffolding, there is a concern that the students will produce similarly-structured essays. How then does one differentiate a good essay from a less well-written one? Using Halliday's clause-complex framework (Halliday and Matthiessen, 2004), our analysis shows that while the better writers display a greater mastery of clause-complex structures, the weaker writers rely heavily on simplex constructions. In addition to scaffolding, we argue that the appropriate use of clause-complex structures should be incorporated as part of the writing lesson.


Author(s):  
Anagha Gosavi ◽  
Ram V. Ramekar

Prameha is disease of Mutravaha Srotasa having Kapha dominancy which can be correlated with diabetes mellitus. The term diabetes mellitus describes a metabolic disorder of multiple etiologies characterized by chronic hyperglycemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both. Madhumeha is considered as a subtype under the Vatika type of Prameha and it is characterized by passage of urine with sweet taste like honey along with sweetness of whole body. With appropriate use of Ayurvedic preventive measures such as Dincharya, Ritucharya, Aharvidhi and therapeutic measures Madhumeha (DM) can be prevented.


Author(s):  
Gordon Moore ◽  
John A. Quelch ◽  
Emily Boudreau

Choice Matters: How Healthcare Consumers Make Decisions (and Why Clinicians and Managers Should Care) is a timely and thoughtful exploration of the controversial role of consumers in the U.S. healthcare system. In most markets today, consumers have more options and autonomy than ever before. Empowered consumers easily shop around for products and services that better meet their needs, and they widely share their reviews on social media to inform and influence other consumers. Businesses have responded with better experiences and prices to compete for consumers’ business. Though healthcare has lagged behind other industries in this respect, there is a rising tide of interest in consumer choice and empowerment in healthcare markets. However, most healthcare provider organizations, individual doctors, and health insurers are unprepared to consider patients as consumers. The authors draw upon the fields of medicine, marketing, management, psychology, and public policy as they take a substantive, in-depth look at consumer choice and point out its appropriate use, as well as its limitations. This book addresses perplexing issues, such as how healthcare differs from other consumer-driven markets, how consumers make healthcare decisions, and how increased consumer choice in healthcare can not only aid and empower American consumers but also improve the overall healthcare system.


Author(s):  
Craig Muldrew

Muldrew traces the integration of Aristotelian into Christian thinking about happiness, by Thomas Aquinas and during the Renaissance but more particularly in the thinking of late seventeenth-century ‘Latitudinarian’ divines. He argues that they were seeking an alternative way to achieve peace and tranquillity to that offered by Hobbes, who had stressed the need for strong authority. Their alternative drew on a variety of classical ideas about self-cultivation and self-discipline, but built upon and further developed relatively hedonistic versions of these. The pursuit of moderate sensual gratification was legitimized as an appropriate use of human faculties implanted by God. Although this was an erudite tradition, it was presented to a less erudite audience in sermons: these writers often transposed ideas from a classical to an English-language setting. In that context, the word ‘happiness’ came to loom large, appearing frequently and functioning as a key motif in latitudinarian thought.


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