Patient management systems: the early years

Author(s):  
W. E. Hammond
2018 ◽  
Vol 35 (10) ◽  
pp. 2289-2303 ◽  
Author(s):  
Mónica Cabecinhas ◽  
Pedro Domingues ◽  
Paulo Sampaio ◽  
Merce Bernardo ◽  
Fiorenzo Franceschini ◽  
...  

Purpose The purpose of this paper is to dissect the diffusion of the number of organizations that implemented multiple management systems (MSs), considering the International Organization for Standardization (ISO) 9001, ISO 14001 and OHSAS 18001 standards (quality, environment and safety) in the South European countries: Italy, Portugal and Spain. In addition, based on the data collected, forecasting models were developed to assess at which extent the multiple certifications are expected to occur in each studied country. Design/methodology/approach Data concerning the evolution of the amount of multiple MSs in Italy, Portugal and Spain were collected for the period between 1999 and 2015. The behavior of the evolution of the number of MSs over the years was studied adopting both the Gompertz and the Logistic models. The results obtained with these two models were compared and analyzed to provide a forecast for the next years. Findings The diffusion throughout the years of the number of MSs presents an S-shaped behavior. The evolution of the amount of MSs in countries with a lower saturation level are properly fitted by the Gompertz model whereas the Logistic model fits more accurately when considering countries with a larger saturation level. Research limitations/implications The data related to the early years are not available in some of the countries. To overcome this shortcoming missing data were extrapolated from the data set provided by the annual ISO survey. Additionally, the integration level attained by each company was not assessed and, on this regard and in the scope of this paper, an integrated management system is understood as implemented when organizations have multiple MSs implemented. Practical implications The results provide a cross-sectional portrayal of the diffusion of MSs certifications in the South European countries and enable a forecast for the trend in the next years. Originality/value This study aims for the first time, to the best of the authors’ knowledge, to analyze the diffusion of multiple MSs throughout the years.


Author(s):  
Victor Foo Siang Fook ◽  
Maniyeri Jayachandran ◽  
Aung Aung Phyo Wai ◽  
Andrei Tolstikov ◽  
Jit Biswas ◽  
...  

2021 ◽  
Vol 8 (1-2) ◽  
pp. 185-203
Author(s):  
Anthony Lawrence Bednall

Chinese sartorial style, like many cultures, has been defined, formalized and articulated to its population by hierarchical definition and visual association. Menswear styles have transitioned from strict Imperial codes, to westernized adoption, designed to shape a new modernism, as various leadership regimes imposed and defined dress codes to implement political and cultural structures. Sustainable practices were developed through the design and construction methods of Imperial garments and as a response to low resources, famine and inefficient management systems during the early years of the People’s Republic of China. This period was characterized by rationing for fabrics, recycling and the re-invention of existing garments. Through a contemporary lens, this can be viewed as an integrated sustainable approach to the mass clothing of a significantly sized population. However, intervening regimes including the post-Imperial Nationalist leadership and the post-Mao Communist leadership cultivated a new visual identity for the Chinese population as westernization became the prefix for modernization. This article aims to map the historical development of menswear as cultural capital in China, to contextualize sustainable practices in the production of garments and define how these practices were systematically and repeatedly rejected in favour of new consumerism. It also aims to historically define the role of menswear in China as a representation of the nation’s outward-facing international image and ambitions as a serious and contemporary player, within the global political and cultural community.


Weed Science ◽  
2006 ◽  
Vol 54 (1) ◽  
pp. 47-58 ◽  
Author(s):  
Clarence J. Swanton ◽  
Barbara D. Booth ◽  
Kevin Chandler ◽  
David R. Clements ◽  
Anil Shrestha

Conservation tillage systems, such as no-tillage, are ecologically advantageous because they reduce soil erosion; however, they rely heavily on herbicide use. Our goal was to determine how weed communities of no-tillage systems are affected when the system is modified to reduce herbicide use through a combination of banded herbicides and interrow cultivation. To this end, we conducted a 9-yr study in a no-tillage corn–soybean–winter wheat rotation. All management systems had a preplant application of glyphosate, followed by either broadcast PRE herbicides (conventional no-tillage), interrow cultivation with banded PRE herbicides, or interrow cultivation alone. Aboveground weed densities were assessed each year and data were grouped into early (1991 to 1993) and late (1996 to 1998) time periods. Over time, weed communities became more distinct, showing a strong response to management and crop. In the early years, weed communities separated more in response to management than crop. In the late years, this was reversed. Weed communities in systems with interrow cultivation were more diverse than those in conventional no-tillage. The response to weed management system and crop was species specific. For example, the abundance of yellow foxtail was higher when interrow cultivation was employed, but abundance was equal in all crops. Dandelion was more abundant in conventional no-tillage of corn and soybean; however, it was equally abundant in all management systems in wheat. Seed bank species richness increased over time and was highest in systems with interrow cultivation. Herbicide use can be reduced in a modified no-tillage corn–soybean–wheat rotation by incorporating interrow cultivation, with or without banded herbicides, into the management plan. The weed community trajectory changes, and the weed community becomes more diverse. A more diverse weed community will not necessarily alter how we manage weeds.


2007 ◽  
Vol 13 (2) ◽  
pp. 104 ◽  
Author(s):  
Kay Jones ◽  
Leon Piterman

This paper reports on the outcomes of a pilot study to optimise general practitioner (GP) management of patients with osteoarthritis (OA) of the hip and knee by identifying gaps between their current practice and best practice. The Breakthrough Series collaborative methodology with several Plan-Do-Study-Act (PDSA) cycles was employed. Participants comprised two Victorian Divisions of General Practice (one rural, one metropolitan), 12 general practitioners/practices (GPs/practices), 10 patients per GP/practice. GPs/practices attended an orientation and three learning workshops and a videoconference. GPs/practices completed PDSA cycles between workshops and reported results at the workshops. GPs/practices reported use of guidelines, change in patient management and change in practice management/systems. All recruited patients completed the SF-12v2 Health survey and WOMAC Osteoarthritis Index questionnaire twice; nine patients participated in face-to-face interviews twice. Follow-up activities including focus groups and face-to-face interviews were held six months after the final workshop. All GPs/practices used the guidelines/key messages, introduced "new" management strategies to patients, and made positive changes to their practice management/systems. Patients reported positive changes and outcomes. There was little difference between rural and metropolitan results. By using a structured methodology and evidence-based guidelines/key messages, GPs can introduce new patient management strategies, and by identifying gaps in practice management/systems, positive change can be achieved.


Sign in / Sign up

Export Citation Format

Share Document