Modelling coordination in hospital emergency departments through social network analysis

Coordination theory provides a theoretical framework for analysing complex processes of project groups working towards a common goal. In this study, we explore the relationship between coordination and social networks for the development of a network-based coordination model. This model is applied to measure the performance and quality of complex and dynamic project coordination such as in hospital emergency departments. The dataset used for the study was collected by the 2004 National Hospital Ambulatory Medical Care Survey--a national probability sample survey of visits to emergency and outpatient departments of non-Federal, short-stay and general hospitals in the United States. Using social network analysis, this study allows us to understand the possible causes of inefficient coordination performance and coordination quality resulting in access blocks.     

Optimal Loading Rates and Economic Analyses for Anaerobic Digestion of Poultry Waste

ABSTRACT

Four combinations of litter and carcasses from broiler chickens were examined utilizing a thermophilic, stirred-tank digester of demonstration size of approximately 10,000 gal. Under computed optimal loading rates, litter with paper bedding had the highest daily production of methane over an 8-day retention period. The greatest methane production per lb of volatile solids was achieved over 10 days with litter and paper bedding combined with carcasses. This research found that sufficient poultry litter is generated within 20 mi (32 km) of Moorefield, WV, to support a commercial-sized digester operation. However, anaerobic digestion of poultry waste cannot be financially supported by methane production alone. To be financially viable, anaerobic digestion requires a disposal fee for poultry waste and/or the sale of the digested solid effluent as an organic fertilizer to retail markets.     

Addressing identity-related barriers to collaboration for conservation through self-affirmation theory and moral foundations theory

The natural resource management literature documents many reasons for pursuing collaborative processes, offering useful insights on how to manage conflict and facilitate productive deliberation in complex multistakeholder collaborative efforts. Moral foundations theory and self-affirmation theory can further help collaborative efforts mitigate conflicts caused by identity threats and the identity-protective reasoning these threats provoke. Moral foundations theory suggests an approach to increase collaboration by minimizing triggering language and helping people appreciate opposing viewpoints. Self-affirmation theory suggests a practical intervention that could be used to increase collaboration by desensitizing people to identity threats and reducing defensiveness. Taken together, these theories can contribute substantially to the understanding and practice of collaboration and conflict management for conservation.     

Potential environmental benefits of ionophores in ruminant diets

A concern of the USEPA is the volatilization of NH3 from animal manure and CH4 produced from ruminal fermentation. Excess N in the environment has been associated with adverse effects on human health, and CH4 and N2O emissions are sources of greenhouse gases. The objectives of this paper are to summarize and quantify the benefits of ionophores, principally monensin, in decreasing NH3 and CH4 emissions to the environment and reducing resource utilization in cattle (Bos spp.) production. The data indicate that monensin in the diets of ruminants may decrease protein degradation in the rumen and may increase feed protein utilization by an average of 3.5 percentage units. These changes would have an effect in reducing N losses and decreasing fecal N and the amount of protein that must be fed to meet animal requirements. Additionally, CH4 is produced by enteric fermentation in ruminants, which is responsible for about 33 to 39% of CH4 emissions from agriculture. Ionophores can reduce CH4 production by 25% and decrease feed intake by 4% without affecting animal performance. The inclusion of monensin in beef and dairy cattle diets may benefit air quality by reducing CH4 and N emissions and water quality by reducing N in manure, which can potentially leave the farm through leaching into ground water and through runoff into surface water.     

Migration as an adaptive strategy to climate variability: a study of the Tonga‐speaking people of Southern Zambia

There is increasing consensus that the effects of extreme weather conditions in the form of drought, flooding and extreme temperature will have increasingly devastating impacts on those who depend on climate‐sensitive resources and ecosystems for their livelihoods. The most affected will be the poor in developing countries who have a low adaptive capacity to climate change due to high poverty levels. Despite these projections, there are, to date, insufficient empirical studies linking the relationship between climate change and migration, particularly in the context of southern Africa. Using field‐based data collected from two study locations in Zambia, this paper examines the complex relationship between extreme weather events and population movement. It is envisaged that the findings presented in this paper will contribute to current discussions on the complex relationship between extreme weather conditions and population movement specifically in the context of sub‐Saharan Africa and other developing countries.     

Sustainable solid waste management in sub-Saharan African cities: application of system thinking and system dynamic as methodological imperatives in Kinshasa,the Democratic Republic of Congo

This paper is based on a review of the methodological approaches associated with solid waste management (SWM) in the context of sub-Saharan African (SSA) cities. Using Kinshasa, the capital of the Democratic Republic of the Congo, as a case study, the paper proposes a new way of looking at solid waste in the bid to come up with alternative methods to improve the plight of SWM. A combination of qualitative research methods and system analysis have been employed to evaluate the causal relationships observed in contemporary SWM systems in Kinshasa. This paper argues that there is an absence of coherent and broad-based approaches to SWM in Kinshasa as is common in other SSA countries. Empirical evidence suggests that contemporary SWM strategies and approaches developed on a global scale which have increasingly been adopted by the Congolese national and local government authorities have proven inadequate to address the SWM realities on a local level. Using system thinking and system dynamics, this paper attempts to develop a feasible methodological framework focusing on the formulation of an appropriate approach to improve SWM in Kinshasa. It is argued that new ways of approaching the complexity that exists in SWM will facilitate the adoption of technologies and innovative ways of thinking and managing solid waste in a more sustainable, socially, and environmentally accepted manner.     

Phosphorus adsorption by sediment considering mineral composition and environmental factors

Environmental Science and Pollution Research - Sediment, composed of a complex assemblage of minerals, controls the fate and behaviour of P in aqueous environments and affects trophic status. In...     

Long-term recovery narratives following major disasters in Southeast Asia

Regional Environmental Change - Most studies of major disasters focus on the impacts of the event and the short-term responses. Some evaluate the underlying causes of vulnerability, but few...