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Journal articles on the topic 'Appropriateness of the change'

Author: Grafiati

Published: 4 June 2021

Last updated: 2 February 2022

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1

Karki, Shyam D., and J. M. C. Holden. "Appropriateness of the Use of Serum Lithium Assays." Drug Intelligence & Clinical Pharmacy 22, no. 2 (February 1988): 151–53. http://dx.doi.org/10.1177/106002808802200213.

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The performance of 222 lithium assays was studied in a psychiatric hospital to determine if their use was appropriate and therapeutically beneficial. Charts of all patients whose serum lithium levels were measured in a month were reviewed to determine whether the assays were indicated, whether they were performed correctly, and whether the dosage was adjusted appropriately. Of the assays reviewed, 16 percent were performed for inappropriate indications and 98 percent were drawn at correct times. Of 157 assays that should not have resulted in a dosage change, 8 changes were made; of 63 assays t

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Webber, Charles F. "Educational Change in Alberta, Canada." education policy analysis archives 3 (July 9, 1995): 12. http://dx.doi.org/10.14507/epaa.v3n12.1995.

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Alberta, Canada, is the site of large-scale educational change initiatives legislated by the provincial government. The mandates have sparked heated public debate over the appropriateness, wisdom, and utility of the reforms. This article summarizes the views of representatives of several educational interest groups and offers suggestions for making change more meaningful and successful.

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ENTWISTLE, TOM. "FOR APPROPRIATENESS OR CONSEQUENCES? EXPLAINING ORGANIZATIONAL CHANGE IN ENGLISH LOCAL GOVERNMENT." Public Administration 89, no. 2 (October 25, 2010): 661–80. http://dx.doi.org/10.1111/j.1467-9299.2010.01850.x.

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4

Cole, Michael S., Stanley G. Harris, and Jeremy B. Bernerth. "Exploring the implications of vision, appropriateness, and execution of organizational change." Leadership & Organization Development Journal 27, no. 5 (July 2006): 352–67. http://dx.doi.org/10.1108/01437730610677963.

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Yang, Jesse Xiaolong, Margaret J. Stevenson, Linda Valsdottir, Kalon Ho, John A. Spertus, Robert W. Yeh, and Jordan B. Strom. "Association between procedure appropriateness and patient-reported outcomes after percutaneous coronary intervention." Heart 106, no. 6 (December 19, 2019): 441–46. http://dx.doi.org/10.1136/heartjnl-2019-315835.

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ObjectiveThe Appropriate Use Criteria (AUC) has been used to identify individuals who are likely to benefit from percutaneous coronary intervention (PCI) for stable ischaemic heart disease. However, whether physicians reliably grade PCI appropriateness and whether AUC categories stratify symptomatic improvement in real-world practice are unclear.MethodsPatient-reported outcomes measures (PROMs) for angina (Seattle Angina Questionnaire (SAQ-7)), dyspnoea (Rose Dyspnea Scale (RDS)) and depression (Patient Health Questionnaire-2 (PHQ-2)) were collected on patients undergoing elective coronary ang

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Chepelev, Leonid L., Xuan Wang, Benjamin Gold, Clara-Lea Bonzel, Frank Rybicki Jr, Jennifer W. Uyeda, Adnan Sheikh, et al. "Improved Appropriateness of Advanced Diagnostic Imaging After Implementation of Clinical Decision Support Mechanism." Journal of Digital Imaging 34, no. 2 (February 25, 2021): 397–403. http://dx.doi.org/10.1007/s10278-021-00433-6.

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AbstractThe Protecting Access to Medicare Act (PAMA) mandates clinical decision support mechanism (CDSM) consultation for all advanced imaging. There are a growing number of studies examining the association of CDSM use with imaging appropriateness, but a paucity of multicenter data. This observational study evaluates the association between changes in advanced imaging appropriateness scores with increasing provider exposure to CDSM. Each provider’s first 200 consecutive anonymized requisitions for advanced imaging (CT, MRI, ultrasound, nuclear medicine) using a single CDSM (CareSelect, Change

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Lim, Morgan E., Simona C. Minotti, Chelsea D’Silva, Robert J. Reid, Matthew B. Schlenker, and Iqbal K. Ahmed. "Predicting changes in cataract surgery health outcomes using a cataract surgery appropriateness and prioritization instrument." PLOS ONE 16, no. 1 (January 28, 2021): e0246104. http://dx.doi.org/10.1371/journal.pone.0246104.

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Objective Determine whether items in a cataract surgery appropriateness and prioritization questionnaire can predict change in best corrected visual acuity (BCVA) and health related quality of life (HRQOL) following cataract surgery. Methods 313 patients with a cataract in Ontario, Canada were recruited to participate. BCVA was measured using the Snellen chart. HRQOL was measured using a generic instrument (EQ5D), a visual functioning instrument (Catquest-9SF), and an appropriateness and prioritization instrument (17 items). Outcomes were measured preoperatively and 3–6 months postoperatively.

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Ridenour, Marcella V. "Children's Snow Sleds: Age Appropriateness and Safety." Perceptual and Motor Skills 68, no. 3 (June 1989): 883–90. http://dx.doi.org/10.2466/pms.1989.68.3.883.

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The guidelines for age-labeling children's toys are summarized. Publications relating to the safe use of snow sleds by children are reviewed. The patent history of sled runners and steering is described. 140 children between the ages of 6 and 12 yr. old participated in the assessment of four different styles of snow sleds, using a downhill course which required a very small directional change. Sled style influenced the children's steering success. A traditional sled with a wooden platform and flexible metal runners provided the best steering for all age groups between 6 and 12 yr. old. Recomme

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Widanta, I. Made Rai Jaya, Ni Putu Somawati, and I. Wayan Dana Ardika. "Students’ L2 Refusal Appropriateness and Accuracy." Journal of Language Teaching and Research 10, no. 2 (March 1, 2019): 294. http://dx.doi.org/10.17507/jltr.1002.11.

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The study aimed at investigating refusal strategies performed by foreign learners of Indonesian language. Specifically, it was focused on researching strategies of refusal used by the participant, emerging frequency of each strategies, as well as appropriateness and accuracy of each strategy used. Sixty students majoring in Tourism were involved in the project. Discourse completion task (DCT) containing an invitation using three sociocultural aspects of low power (-P), low distance (-D), and low rank of imposition (-R) was used to elicit participants’ refusal strategies. Taxonomy of refusal pr

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Mitchell, Ronald B., and Charli Carpenter. "Norms for the Earth: Changing the Climate on “Climate Change”." Journal of Global Security Studies 4, no. 4 (April 2, 2019): 413–29. http://dx.doi.org/10.1093/jogss/ogz006.

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AbstractClimate change poses a grave security threat to national borders, habitats, and vulnerable people. Plagued by asymmetries in both states' vulnerability to climate impacts and their capacity to mitigate them, climate change presents states with a “wicked” problem that poses significant obstacles to interest-based solutions. Yet, most global climate change policy involves rationales and mechanisms grounded in an interest-based logic of consequences: information-sharing, reciprocity, and exchange. We argue that strategies that promote ethics-based discourse and policies offer considerable

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Bateman, Brooke L., Helen T. Murphy, April E. Reside, Karel Mokany, and Jeremy VanDerWal. "Appropriateness of full-, partial- and no-dispersal scenarios in climate change impact modelling." Diversity and Distributions 19, no. 10 (June 22, 2013): 1224–34. http://dx.doi.org/10.1111/ddi.12107.

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Luttrull, Michael D., Daniel J. Boulter, Claudia F. E. Kirsch, Joseph M. Aulino, Joshua S. Broder, Santanu Chakraborty, Asim F. Choudhri, et al. "ACR Appropriateness Criteria® Acute Mental Status Change, Delirium, and New Onset Psychosis." Journal of the American College of Radiology 16, no. 5 (May 2019): S26—S37. http://dx.doi.org/10.1016/j.jacr.2019.02.024.

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Fonseca, Ricardo, Kazuaki Negishi, Petr Otahal, and Thomas H. Marwick. "Temporal Changes in Appropriateness of Cardiac Imaging." Journal of the American College of Cardiology 65, no. 8 (March 2015): 763–73. http://dx.doi.org/10.1016/j.jacc.2014.11.057.

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Cavezzi, Attilio. "Medicine and Phlebolymphology: Time to Change?" Journal of Clinical Medicine 9, no. 12 (December 18, 2020): 4091. http://dx.doi.org/10.3390/jcm9124091.

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Biomedical science is undergoing a reappraisal of its scientific advancement process and of the related healthcare management. Progress in medicine should combine improvements of knowledge, efficacy, and safety of diagnostic/therapeutic procedures, with adequate cost-effectiveness profiles. This narrative review is aimed at assessing in medicine, more specifically in phlebology and lymphology: (a) scientific literature possible biases, (b) the level of evidence, comprehensiveness, and cost-effectiveness of the main therapeutic options, and (c) the possible contribution of integrative and trans

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Bertsch, Andy, M. Saeed, and James Ondracek. "Responses to Changes in the Downtown Area of a Booming Midwest City." JOURNAL OF INTERNATIONAL BUSINESS RESEARCH AND MARKETING 3, no. 1 (2017): 19–24. http://dx.doi.org/10.18775/jibrm.1849-8558.2015.31.3003.

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Borrowing the “Organizational Change Recipients’ Belief Scale” instrument developed by Armenakis, Bernserth, Pitts, and Walker, employees and owners of businesses in a quickly changing downtown environment were surveyed to assess similarities and differences in their readiness to change. In addition to added demographic variables, the constructs included from the Armenakis et al. Instrument were valence, principal support, efficacy, appropriateness, and discrepancy. Results were mixed. There were no significant differences across industries nor employees vs supervisors/owners. However, signifi

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Mulas, M.F. "How not to waste: appropriateness in medicine." Journal of AMD 22, no. 4 (November 2019): 254. http://dx.doi.org/10.36171/jamd19.22.4.12.

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The idea that the author promotes is that the term waste amounts to inappropriateness whatever the economic environment referred to. The hope is that it can act as a prod for those people who wish to make more rational and economically more convenient work choices by reducing the opportunities for conflict, the loss of time, the legal disputes, the bottlenecks, the incompetence. Two possible approaches to waste are presented. The first represents the point of view of the industry, it is only apparently distant. Thought, the lean organization requires an effort of reading and perhaps greater an

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Johnson, Scott M., Troy Hutchins, Miriam Peckham, Yoshimi Anzai, Elizabeth Ryals, H. Christian Davidson, and Lubdha Shah. "Effects of implementing evidence-based appropriateness guidelines for epidural steroid injection in chronic low back pain: the EAGER (Esi Appropriateness GuidElines pRotocol) study." BMJ Open Quality 8, no. 4 (December 2019): e000772. http://dx.doi.org/10.1136/bmjoq-2019-000772.

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ObjectiveChronic low back pain is very common and often treated with epidural steroid injections (ESIs). As ESI referrals had been rapidly increasing at our Veterans’ Administration hospital, we were concerned that they were supplanting more comprehensive care. The objective was to determine how referral patterns and multidisciplinary care might change with the implementation of evidence-based guidelines.MethodsIn this retrospective observational study, multidisciplinary evidence-based guidelines were implemented in 2014 (EAGER: Esi Appropriateness GuidElines pRotocol) as part of the ordering

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Schunk, Dale H. "Peer Models and Children’s Behavioral Change." Review of Educational Research 57, no. 2 (June 1987): 149–74. http://dx.doi.org/10.3102/00346543057002149.

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This article critically reviews the research literature on peer modeling among children as a function of model attributes. Peer modeling is hypothesized to depend in part on perceived similarity between model and observer. Similarity serves as an important source of information for gauging behavioral appropriateness, formulating outcome expectations, and assessing one’s self efficacy for learning or performing tasks. Research is reviewed on the effects of model age, model sex, model competence, number of models, and model background. Peer models can foster diverse types of behavioral change in

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Taguchi, Naoko, Shuai Li, and Feng Xiao. "Production of formulaic expressions in L2 Chinese: A developmental investigation in a study abroad context." Chinese as a Second Language Research 2, no. 1 (June 24, 2013): 23–58. http://dx.doi.org/10.1515/caslar-2013-0021.

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AbstractThis study investigated the development of L2 Chinese formulaic competence in a study abroad context. Participants were 31 American students studying Chinese in a university in China (intermediate-level). They completed a computerized speaking test consisting of 24 formulae-use situations twice during their semester-long study abroad in China. The learners produced a formulaic expression according to each situation, and their production was evaluated on appropriateness (rated on a four-point scale by native speakers) and planning time. In addition, a survey was administered to gather i

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Kaplow, M., S. Charest, N. Mayo, and S. Benaroya. "Managing Patient Length of Stay Better Using an Appropriateness Tool." Healthcare Management Forum 11, no. 2 (July 1998): 13–16. http://dx.doi.org/10.1016/s0840-4704(10)60640-0.

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A multidisciplinary group from two medical floors at the Royal Victoria Hospital chose the Managed Care Appropriateness Program (MCAP) to evaluate the appropriateness of the days of stay for their patients. Of 100 charts of consecutive patients examined by the nurse reviewer (comprising 1,095 patient days), 33 percent of the days were deemed inappropriate. The reasons for each of these inappropriate days were documented, and strategies were implemented to address the issues. The major outcome of the study was a change in the culture of the health professionals to a more positive approach to de

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Finnemore, Martha, and Kathryn Sikkink. "International Norm Dynamics and Political Change." International Organization 52, no. 4 (1998): 887–917. http://dx.doi.org/10.1162/002081898550789.

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Norms have never been absent from the study of international politics, but the sweeping “ideational turn” in the 1980s and 1990s brought them back as a central theoretical concern in the field. Much theorizing about norms has focused on how they create social structure, standards of appropriateness, and stability in international politics. Recent empirical research on norms, in contrast, has examined their role in creating political change, but change processes have been less well-theorized. We induce from this research a variety of theoretical arguments and testable hypotheses about the role

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Fitzpatrick, N. K., C. J. Thompson, H. Hemingway, T. R. E. Barnes, A. Higgitt, C. Molloy, and S. Hargreaves. "Acute mental health admissions in inner London: changes in patient characteristics and clinical admission thresholds between 1988 and 1998." Psychiatric Bulletin 27, no. 1 (January 2003): 7–11. http://dx.doi.org/10.1192/pb.27.1.7.

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Aims and MethodWe undertook a retrospective case-note review of three cohorts of mental health admissions to determine the extent to which patient and service characteristics changed between 1988 and 1998. Changes in clinical admission thresholds were investigated by a psychiatrists' review of handwritten medical admission assessments.ResultsPatients admitted in 1998 were demographically less stable and clinically more complex than those admitted 10 years earlier. Clinical admission thresholds remained consistent.Clinical ImplicationsOur findings suggest that the perceived increase in pressure

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Sargenti, Christine, Lawrence Zelman, Therese Beauclair, Elwyn Garrard, and Ralph Boehm. "Evaluation of Appropriateness and Interpretation of Serum Theophylline Assays." Drug Intelligence & Clinical Pharmacy 19, no. 5 (May 1985): 380–84. http://dx.doi.org/10.1177/106002808501900512.

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A drug utilization review of serum theophylline assays was undertaken to: (1) evaluate the prescriben' usage and interpretation of serum theophylline levels (STLs), and (2) calculate the cost of inappropriate assays. Criteria for appropriate use and interpretation were defined by an audit committee and approved by the chief medical resident. STLs were evaluated on medicine patients for a one-month period. Results of 102 levels ordered showed that 47 percent were inappropriate. The reasons cited most often for inappropriateness were: (1) previously-known STLs with no reason to expect a change i

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Strathern, Marilyn. "Climate activism: afterword." Journal of the British Academy 9s5 (2021): 117–21. http://dx.doi.org/10.5871/jba/009s5.117.

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A short �Afterword� commenting on the multidisciplinary nature of the articles, and their appropriateness to the multi-purposed orientations to be found in climate change activism. It touches on the importance of diverse frames of thought: one crisis is also many crises.

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Pan, Xu, Xuan, Gu, and Bai. "Appropriateness of Potential Evapotranspiration Models for Climate Change Impact Analysis in Yarlung Zangbo River Basin, China." Atmosphere 10, no. 8 (August 8, 2019): 453. http://dx.doi.org/10.3390/atmos10080453.

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Evapotranspiration (ET) is an important element in the water and energy cycle. Potential evapotranspiration (PET) is an important measurement of ET. Its accuracy has significant influence on agricultural water management, irrigation planning, and hydrological modelling. However, whether current PET models are applicable under climate change or not, is still a question. In this study, five frequently used PET models were chosen, including one combination model (the FAO Penman-Monteith model, FAO-PM), two temperature-based models (the Blaney-Criddle and the Hargreaves models) and two radiation-b

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Ronquillo, Charlene, Chris Roome, and Ken Stein. "VP113 Reframing “Disinvestment”: Appropriateness And Real-Time Data Capture." International Journal of Technology Assessment in Health Care 33, S1 (2017): 201–2. http://dx.doi.org/10.1017/s0266462317003713.

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INTRODUCTION:Disinvestment – stopping the use of health technologies with little or no clinical benefits – can reduce health system costs and change practice towards effective innovations. In England, efforts to support disinvestment have included the National Institute of Health and Care Excellence (NICE's) list of 900+ “Do Not Do (DND) technologies”. However, recent studies show ongoing, varying rates of DND technology, suggesting limited influence. In response, we propose a shift in perspective and reframing of the concept of ‘disinvestment’ to focus on ‘appropriateness’.METHODS:We have dev

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Patricia, Nesa Lydia, Zamralita Zamralita, and Rita Markus Idulfilastri. "APAKAH PEMBERDAYAAN PSIKOLOGIS DAN PERSEPSI DUKUNGAN ORGANISASI MENDUKUNG KESIAPAN UNTUK BERUBAH ?" Jurnal Muara Ilmu Sosial, Humaniora, dan Seni 4, no. 1 (April 30, 2020): 245. http://dx.doi.org/10.24912/jmishumsen.v4i1.7706.2020.

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Facing the demands of economic change in global competition which creates an increasingly fierce competition climate, an organization must make changes as an adjustment in order to exist and develop. Increasing readiness for change in all employees is one of the most effective interventions an organization can undertake so that the change process can achieve the expected goals. This aim of this study is to identify the role of psychological empowerment and perceived of organizational on the readiness for change. The readiness for change is an employee's belief that they are capable for impleme

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Colwell, Peter F., and Catherine Jackson. "Modelling rental change across key retail investment markets in Britain." Journal of Property Investment & Finance 22, no. 5 (October 1, 2004): 354–85. http://dx.doi.org/10.1108/14635780410556861.

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Models of the commercial property market have become increasingly sophisticated in recent years. However, the retail sector and, more specifically, analysis of retail markets at the local level, have been comparatively neglected. This paper makes inroads into this gap in property research. Retail rental change at the local level is explored, focusing on consumer expenditure as the key determinant of change. The appropriateness of proxy variables is investigated and the mechanisms of rental change are examined. This highlights issues and difficulties unique to local level analysis. Following th

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Ung, Chhun-Huor, and Sylvain Végiard. "Problèmes d'inférence statistique reliés à la transformation logarithmique en régression." Canadian Journal of Forest Research 18, no. 6 (June 1, 1988): 733–38. http://dx.doi.org/10.1139/x88-112.

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In regression calculations, a return to the original scale after logarithmic transformation constitutes a bias. This paper analyses three methods of bias correction for point estimation of the mean and four methods of bias correction for the interval estimation of the mean; some details about the interval prediction of a new observation are given. The appropriateness of using the methods reviewed in various circumstances is also discussed.

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SENDING, OLE JACOB. "Constitution, Choice and Change: Problems with the `Logic of Appropriateness' and its Use in Constructivist Theory." European Journal of International Relations 8, no. 4 (December 2002): 443–70. http://dx.doi.org/10.1177/1354066102008004001.

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Zhao, Jing, Jie Cao, Siquan Tian, Yong Chen, and Shouyu Zhang. "Evaluating Sampling Designs for Demersal Fish Communities." Sustainability 10, no. 8 (July 24, 2018): 2585. http://dx.doi.org/10.3390/su10082585.

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Fish communities play an important role in determining the dynamics of marine ecosystems, while the evaluation and formulation of protective measures for these fish communities depends on the quality and quantity of data collected from well-designed sampling programs. The ecological model was used first to predict the distribution of the demersal fish community as the “true” population for the sampling design. Four sampling designs, including simple random sampling, systematic sampling, and stratified sampling with two sampling effort allocations (proportional allocation and Neyman allocation)

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Sailor, David J., and Xiangshang Li. "A Semiempirical Downscaling Approach for Predicting Regional Temperature Impacts Associated with Climatic Change." Journal of Climate 12, no. 1 (January 1, 1999): 103–14. http://dx.doi.org/10.1175/1520-0442-12.1.103.

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Abstract A statistical downscaling approach is developed for generating regional temperature change predictions from GCM results. The approach utilizes GCM free atmosphere output and surface observations in a framework conceptually similar to the model output statistics approach common in the forecasting community. The appropriateness of this approach is demonstrated through a comparison of GCM and observed free atmosphere variables. Seasonal downscaling models are presented for eight sites within four community climate model (CCM) grid cells in the United States. The majority of these models

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Burke, Jessica Griffin, Patricia Mahoney, Andrea Gielen, Karen A. McDonnell, and Patricia O’Campo. "Defining Appropriate Stages of Change for Intimate Partner Violence Survivors." Violence and Victims 24, no. 1 (February 2009): 36–51. http://dx.doi.org/10.1891/0886-6708.24.1.36.

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Recent research suggests that the transtheoretical model of behavior change is a promising approach for interventions addressing women’s experiences of intimate partner violence. This study explores the distribution of abused women across the stages of change for (a) staying safe from intimate partner violence and (b) leaving an abusive relationship. It explores the relationship between stage assignment and other indicators of a woman’s stage (i.e., safety behaviors and desire for services). Quantitative surveys were conducted with 96 low-income, urban abused women recruited from six health ca

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Ben Lahouel, Béchir, and Nathalie Montargot. "Exploring change conversations through the rhetoric of French leaders." European Business Review 28, no. 4 (June 13, 2016): 486–502. http://dx.doi.org/10.1108/ebr-11-2015-0130.

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Purpose This paper aims to capitalize on a linguistic perspective to analyze the rhetoric of French leaders about organizational change. Design/methodology/approach To address the research questions, the authors opted for a lexical content analysis. They use Ford and Ford’s (1995) change conversational framework and the speech act theory to analyze French CEOs’ letters to stakeholders, over the period 2007-2012. Findings The authors find that leaders’ rhetoric consists of three types of change conversations, namely, initiative, for understanding and for performance, that were underpinned by a

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Krisch, Laura, Angelika Mahlknecht, Ulrike Bauer, Nadja Nestler, Georg Hempel, Jürgen Osterbrink, and Maria Flamm. "The challenge to define a relevant change in medication appropriateness index score in older adults – An approach." British Journal of Clinical Pharmacology 86, no. 2 (January 12, 2020): 398–99. http://dx.doi.org/10.1111/bcp.14167.

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Anemone, Susan, and Tasneem Lalani. "Patient Friendly Summary of the ACR Appropriateness Criteria: Acute Mental Status Change, Delirium, and New Onset Psychosis." Journal of the American College of Radiology 17, no. 9 (September 2020): e50. http://dx.doi.org/10.1016/j.jacr.2020.04.011.

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Heo, Jun-Haeng, Hyunjun Ahn, Ju-Young Shin, Thomas Rodding Kjeldsen, and Changsam Jeong. "Probability Distributions for a Quantile Mapping Technique for a Bias Correction of Precipitation Data: A Case Study to Precipitation Data Under Climate Change." Water 11, no. 7 (July 16, 2019): 1475. http://dx.doi.org/10.3390/w11071475.

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The quantile mapping method is a bias correction method that leads to a good performance in terms of precipitation. Selecting an appropriate probability distribution model is essential for the successful implementation of quantile mapping. Probability distribution models with two shape parameters have proved that they are fit for precipitation modeling because of their flexibility. Hence, the application of a two-shape parameter distribution will improve the performance of the quantile mapping method in the bias correction of precipitation data. In this study, the applicability and appropriate

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Villevalde, S., A. Safarova, M. Vorobyeva, and Z. Kobalava. "CHANGES OF APPROPRIATENESS OF LEFT VENTRICULAR MASS DURING ANTIHYPERTENSIVE TREATMENT." Journal of Hypertension 29 (June 2011): e358-e359. http://dx.doi.org/10.1097/00004872-201106001-01048.

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Chartrand, Larry. "The Appropriateness of the Lawyer as Advocate in Contemporary Aboriginal Justice Initiatives." Alberta Law Review 33, no. 4 (August 1, 1995): 874. http://dx.doi.org/10.29173/alr1123.

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This article discusses circle sentencing as a means of addressing the high proportion of aboriginal offenders in the prison system and allowing aboriginal communities greater participation in sentencing decisions. The difficulties of continuing the lawyer's role as advocate, a primary duty of lawyers in this process, is also explored. Ultimately, it is the clients decision whether to allow community participation in sentencing. The article queries whether by allowing community involvement in decision-making, the lawyer is disregarding a commitment to act in the client's interests. For circle s

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Madakasira, Suohakar, and T. Kenneth Taylor. "Misuse of the Dexamethasone Suppression Test as a Diagnostic Tool." International Journal of Psychiatry in Medicine 16, no. 1 (March 1987): 77–84. http://dx.doi.org/10.2190/cn9k-jdy2-2ygh-phaq.

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The diagnostic reliability and appropriateness of use of the Dexamethasone Suppression Test (DST) were assessed by a retrospective chart survey of ninety-nine psychiatric admissions to a community hospital. A change in psychiatric diagnosis between admission and discharge occurred in one-third of the patients. The diagnostic change appeared to be associated with the DST result more than the clinical findings. Such reliance on the test was not justified as the observed diagnostic confidence of the DST in supporting a diagnosis of major depression was only 38 percent. These findings suggest a mi

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Sathyapalan, Dipu T., Jini James, Sangita Sudhir, Vrinda Nampoothiri, Praveena N. Bhaskaran, Nandita Shashindran, Jisha Thomas, et al. "Antimicrobial Stewardship and Its Impact on the Changing Epidemiology of Polymyxin Use in a South Indian Healthcare Setting." Antibiotics 10, no. 5 (April 21, 2021): 470. http://dx.doi.org/10.3390/antibiotics10050470.

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Polymyxins being last resort drugs to treat infections triggered by multidrug-resistant pathogens necessitates the implementation of antimicrobial stewardship program (ASP) initiatives to support its rational prescription across healthcare settings. Our study aims to describe the change in the epidemiology of polymyxins and patient outcomes following the implementation of ASP at our institution. The antimicrobial stewardship program initiated in February 2016 at our 1300 bed tertiary care center involved post-prescriptive audits tracking polymyxin consumption and evaluating prescription approp

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Nampoothiri, Vrinda, Akkulath Sangita Sudhir, Mariam Varsha Joseph, Zubair Mohamed, Vidya Menon, Esmita Charani, and Sanjeev Singh. "Mapping the Implementation of a Clinical Pharmacist-Driven Antimicrobial Stewardship Programme at a Tertiary Care Centre in South India." Antibiotics 10, no. 2 (February 23, 2021): 220. http://dx.doi.org/10.3390/antibiotics10020220.

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In many parts of the world, including in India, pharmacist roles in antimicrobial stewardship (AMS) programmes remain unexplored. We describe the evolution and effect of the role of adding clinical pharmacists to a multidisciplinary AMS at a tertiary care teaching hospital in Kerala, India. Through effective leadership, multidisciplinary AMS (February 2016) and antitubercular therapy (ATT) stewardship programmes (June 2017) were established. Clinical pharmacists were introduced as core members of the programmes, responsible for the operational delivery of key stewardship interventions. Pharmac

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Nasution, Febriani Hastini, and Dedes Asriani Siregar. "VALIDITAS BAHAN AJAR FISIKA SISWA SMA/MA BERBASIS CONCEPTUAL CHANGE." JURNAL EDUCATION AND DEVELOPMENT 7, no. 3 (July 27, 2019): 75. http://dx.doi.org/10.37081/ed.v7i3.1169.

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This article was contained about analyzing the validity of students’ teaching module based on conceptual change. Students’ teaching module based on conceptual change was the module which is arranged based on the indicator of conceptual change, they are elicit and confirm current ideas, exposure to conflicting evidence, construct new explanation, apply and evaluate new explanation, and the last is review change in ideas and explanations. This module was validated by three validators. There were four components which was validated, they were about content validity which is consist of the compone

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Collins, Paul E., Jon R. Skafel, David I. Atkinson, and Sandra Jenkins. "Continuum: Measuring and Managing the Patient Care Process." Healthcare Management Forum 7, no. 3 (October 1994): 27–40. http://dx.doi.org/10.1016/s0840-4704(10)61065-4.

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The authors describe the CONTINUUM project which was initiated in a community hospital to manage the appropriateness, timeliness and acceptability of the patient care process on a concurrent or day-to-day basis. CONTINUUM is a quality and data-driven approach to continuous improvement of the patient care process. The St. Thomas-Elgin General Hospital researched “appropriateness of care” measurements and adapted their use for the CONTINUUM project. A concurrent care plan evaluation tool is applied to every care every day. This intensity of service (needs-based) strategy is called the ACTIVITY i

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Nordhauser, Jennifer, and Jason Rosenfeld. "Adapting a water, sanitation, and hygiene picture-based curriculum in the Dominican Republic." Global Health Promotion 27, no. 3 (November 17, 2019): 6–14. http://dx.doi.org/10.1177/1757975919848111.

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Water, sanitation, and hygiene issues present barriers to health in rural Dominican Republic. Limited access to adequate water, sanitation, and hygiene accompanies a prevalence of water, sanitation, and hygiene-related diseases. To address these issues, an education and behavior change program using community health clubs has been adapted for areas at greatest risk of water, sanitation, and hygiene disease transmission. To support this initiative, a protocol was created to evaluate 147 images from a community health clubs toolkit for Dominican agricultural communities, or bateyes, to determine

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Hutchison, Andrew J., Jeff D. Breckon, and Lynne H. Johnston. "Physical Activity Behavior Change Interventions Based on the Transtheoretical Model: A Systematic Review." Health Education & Behavior 36, no. 5 (July 7, 2008): 829–45. http://dx.doi.org/10.1177/1090198108318491.

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This review critically examines Transtheoretical Model (TTM)—based interventions for physical activity (PA) behavior change. It has been suggested that the TTM may not be the most appropriate theoretical model for applications to PA behavior change. However, previous reviews have paid little or no attention to how accurately each intervention represents the TTM. Findings comprise two sections: sample characteristics of each intervention reviewed and a summary outlining the use of the TTM to develop the interventions. Results reveal numerous inconsistencies regarding the development and impleme

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Kirton, John, and Brittaney Warren. "From Silos to Synergies: G20 Governance of the SDGs, Climate Change & Digitalization." International Organisations Research Journal 16, no. 2 (June 30, 2021): 20–54. http://dx.doi.org/10.17323/1996-7845-2021-02-03.

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How well and why have Group of 20 (G20) summits advanced Agenda 2030’s sustainable development goals (SDGs) in a synergistic way, with climate change and digitization at the core? An answer to this urgent, indeed existential, question comes from a systematic analysis of G20 summit governance of the SDGs, climate change and digitization to assess the ambition and appropriateness of advances within each pillar and the synergistic links among them. This analysis examines G20 governance of the SDGs, sustainable development, climate change and digitization across the major dimensions of performance

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Umer, Ummara Siddique, Aruba Nawaz Khattak, Aman Nawaz Khan, Shahjehan Alam, Hadia Abid, Mahwish Jabeen, Faria Maqsood, Abdullah Safi, and Anisa Sundal. "Audit of CT head request appropriateness for patients referred from emergency department." Journal of Rehman Medical Institute 6, no. 2 (July 10, 2020): 21–23. http://dx.doi.org/10.52442/jrmi.v6i2.178.

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Introduction: Considering the usefulness and relative ease of Computerized Tomography (CT) based diagnosis, the propensity to request it in the Emergency Room setting when at times it is not really indicated can become an issue. Objective: To audit use of CT imaging in the emergency department of Rehman Medical Institute by evaluating the clinical practice for CT referral and compliance with clinical guidelines by NICE (National Institute for Health and Care Excellence). Materials & Methods: This study was conducted at Radiology Department of Rehman Medical institute Peshawar i

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Chynoweth, Jennifer, Meaghan M. McCambridge, Helen M. Zorbas, Jacinta K. Elston, Robert J. S. Thomas, William J. H. Glasson, Joanna M. Coutts, Barbara A. Daveson, and Kathryn M. Whitfield. "Optimal Cancer Care for Aboriginal and Torres Strait Islander People: A Shared Approach to System Level Change." JCO Global Oncology, no. 6 (September 2020): 108–14. http://dx.doi.org/10.1200/jgo.19.00076.

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PURPOSE To improve cancer outcomes for Aboriginal and Torres Strait Islander people through the development and national endorsement of the first population-specific optimal care pathway (OCP) to guide the delivery of high-quality, culturally appropriate, and evidence-based cancer care. METHODS An iterative methodology was undertaken over a 2-year period, and more than 70 organizations and individuals from diverse cultural, geographic, and sectorial backgrounds provided input. Cancer Australia reviewed experiences of care and the evidence base and undertook national public consultation with th

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Sayl, Khamis Naba, Sadeq Oleiwi Sulaiman, Ammar Hatem Kamel, Nur Shazwani Muhammad, Jazuri Abdullah, and Nadhir Al-Ansari. "Minimizing the Impacts of Desertification in an Arid Region: A Case Study of the West Desert of Iraq." Advances in Civil Engineering 2021 (June 21, 2021): 1–12. http://dx.doi.org/10.1155/2021/5580286.

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Currently, desertification is a major problem in the western desert of Iraq. The harsh nature, remoteness, and size of the desert make it difficult and expensive to monitor and mitigate desertification. Therefore, this study proposed a comprehensive and cost-effective method, via the integration of geographic information systems (GISs) and remote sensing (RS) techniques to estimate the potential risk of desertification, to identify the most vulnerable areas and determine the most appropriate sites for rainwater conservation. Two indices, namely, the Normalized Differential Vegetation Index (ND

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