scholarly journals Serious Illness Conversations in Pediatrics: A Case Review

Children ◽  
2020 ◽  
Vol 7 (8) ◽  
pp. 102
Author(s):  
Camara van Breemen ◽  
Jennifer Johnston ◽  
Matthew Carwana ◽  
Peter Louie
Keyword(s):  
Case Review ◽  
Patient Centered ◽  
Serious Illness ◽  
Disease Trajectory ◽  
Trade Offs ◽  
Future Care ◽  
Key Topics ◽  
Joint Center ◽  
Understanding Of Illness

The Serious Illness Conversation Guide program developed by Ariadne Labs, a Joint Center for Health Systems Innovation, includes a list of patient-centered questions designed to assist clinicians to gain a more thorough understanding of their patient’s life in order to inform future care decisions. In July 2017, specialist pediatric palliative care clinicians at Canuck Place Children’s Hospice (CPCH) (Vancouver, BC, Canada), adapted the original guide to use with parents of children with serious illness. This tool is referred to as the Serious Illness Conversation Guide-Peds (SICG-Peds). Using the SICG-Peds, along with enhanced communication skills, can help illuminate the parents’ (child’s) understanding of illness and the values they hold. Expanding the application of the guide will promote goal-based, efficient, comprehensive and consistent communication between families and clinicians and help ensure that seriously ill children receive care that is tailored to their needs through the disease trajectory. This paper explores the guide through the lens of a case study. The steps—seeking permission, assessing understanding, sharing prognosis and exploring key topics (hopes, fears, strengths, critical abilities and trade-offs)—as well as formulating clinician recommendations, are described.

Consumption Characteristics of the Millennial Generation and Strategies Implemented to Satisfy Them

2020 ◽  
pp. 361-376
Author(s):  
José G. Vargas-Hernández
Keyword(s):  
Business Model ◽  
Millennial Generation ◽  
Business Models ◽  
General Strategy ◽  
Case Review ◽  
The Future ◽  
Key Topics ◽  
Successful Business ◽  
A Company

The following research is a literature and case review focused on the characteristics of the Millennial Generation and their importance as consumers, through a case study of the company Airbnb as an example of a disruptive business model that has been able to capitalize on this generation. The structure of the work is the following: Firstly, the authors contextualize the research by defining the key topics, such as collaborative economy, strategic advantages, the millennial generation. Then they discuss the history and strategies of the company Airbnb, as a disruptive and successful business model, explaining their general strategy and challenges they have faced, as well as their strategy specifically geared towards the Millennial niche. Finally, they conclude on the importance of disruptive business models and the challenges that companies like Airbnb are facing and will have to face in the future in order to continue in the market. The main contribution of this research is the analysis of Airbnb's strategies as they grow as a company and focus their efforts on the Millennial Generation in order to ensure their survival in an important and long-established market.

scholarly journals Hindcast and Near Real-Time Monitoring of Green Macroalgae Blooms in Shallow Coral Reef Lagoons Using Sentinel-2: A New-Caledonia Case Study

2021 ◽  
Vol 13 (2) ◽  
pp. 211
Author(s):  
Maële Brisset ◽  
Simon Van Wynsberge ◽  
Serge Andréfouët ◽  
Claude Payri ◽  
Benoît Soulard ◽  
...  
Keyword(s):  
Green Algae ◽  
Algal Blooms ◽  
New Caledonia ◽  
Spectral Indices ◽  
Green Macroalgae ◽  
Spectral Bands ◽  
Algae Blooms ◽  
Trade Offs ◽  
Sentinel 2

Despite the necessary trade-offs between spatial and temporal resolution, remote sensing is an effective approach to monitor macroalgae blooms, understand their origins and anticipate their developments. Monitoring of small tropical lagoons is challenging because they require high resolutions. Since 2017, the Sentinel-2 satellites has provided new perspectives, and the feasibility of monitoring green algae blooms was investigated in this study. In the Poé-Gouaro-Déva lagoon, New Caledonia, recent Ulva blooms are the cause of significant nuisances when beaching. Spectral indices using the blue and green spectral bands were confronted with field observations of algal abundances using images concurrent with fieldwork. Depending on seabed compositions and types of correction applied to reflectance data, the spectral indices explained between 1 and 64.9% of variance. The models providing the best statistical fit were used to revisit the algal dynamics using Sentinel-2 data from January 2017 to December 2019, through two image segmentation approaches: unsupervised and supervised. The latter accurately reproduced the two algal blooms that occurred in the area in 2018. This paper demonstrates that Sentinel-2 data can be an effective source to hindcast and monitor the dynamics of green algae in shallow lagoons.

scholarly journals Entropy trade-offs in artistic design: A case study of Tamil kolam

2021 ◽  
Vol 3 ◽  
Author(s):  
N.-Han Tran ◽  
Timothy Waring ◽  
Silke Atmaca ◽  
Bret A. Beheim
Keyword(s):  
Trade Offs

Abstract

scholarly journals Decision Support for the (Inter-)Basin Management of Water Resources Using Integrated Hydro-Economic Modeling

Hydrology ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 42
Author(s):  
Gerald Norbert Souza da Silva ◽  
Márcia Maria Guedes Alcoforado de Moraes
Keyword(s):  
Decision Support ◽  
Water Resources ◽  
Water Allocation ◽  
Hydrological Modeling ◽  
Well Being ◽  
Water Transfer ◽  
Economic Modeling ◽  
Trade Offs ◽  
Study Results

The development of adequate modeling at the basin level to establish public policies has an important role in managing water resources. Hydro-economic models can measure the economic effects of structural and non-structural measures, land and water management, ecosystem services and development needs. Motivated by the need of improving water allocation using economic criteria, in this study, a Spatial Decision Support System (SDSS) with a hydro-economic optimization model (HEAL system) was developed and used for the identification and analysis of an optimal economic allocation of water resources in a case study: the sub-middle basin of the São Francisco River in Brazil. The developed SDSS (HEAL system) made the economically optimum allocation available to analyze water allocation conflicts and trade-offs. With the aim of providing a tool for integrated economic-hydrological modeling, not only for researchers but also for decision-makers and stakeholders, the HEAL system can support decision-making on the design of regulatory and economic management instruments in practice. The case study results showed, for example, that the marginal benefit function obtained for inter-basin water transfer, can contribute for supporting the design of water pricing and water transfer decisions, during periods of water scarcity, for the well-being in both basins.

scholarly journals How Do Trade-Offs and Synergies between Ecosystem Services Change in the Long Period? The Case Study of Uxin, Inner Mongolia, China

2019 ◽  
Vol 11 (21) ◽  
pp. 6041 ◽  
Author(s):  
Zhang ◽  
Li ◽  
Buyantuev ◽  
Bao ◽  
Zhang
Keyword(s):  
Ecosystem Services ◽  
Inner Mongolia ◽  
Stepwise Regression ◽  
Driving Forces ◽  
Extended Period ◽  
Trade Offs ◽  
Development And Utilization ◽  
Long Term Trends

Ecosystem services management should often expect to deal with non-linearities due to trade-offs and synergies between ecosystem services (ES). Therefore, it is important to analyze long-term trends in ES development and utilization to understand their responses to climate change and intensification of human activities. In this paper, the region of Uxin in Inner Mongolia, China, was chosen as a case study area to describe the spatial distribution and trends of 5 ES indicators. Changes in relationships between ES and driving forces of dynamics of ES relationships were analyzed for the period 1979–2016 using a stepwise regression. We found that: the magnitude and directions in ES relationships changed during this extended period; those changes are influenced by climate factors, land use change, technological progress, and population growth.

Workers without Borders

2018 ◽  
Author(s):  
Ines Wagner
Keyword(s):  
Industrial Relations ◽  
Employment Relations ◽  
Regulatory Enforcement ◽  
Study Approach ◽  
Key Topics ◽  
National Models ◽  
Management Power ◽  
Exit Options ◽  
Two Sectors

This book addresses the complexities of transnational posted work through three key topics. First, it examines how the de-territorialization of national models and employment relations systems opens up exit options for management, enabling them to use the regulatory framework creatively and at a disadvantage for workers. Second, it discusses how re-territorialization, or resistance, is possible within these spaces. Third, the book analyzes the contours of the new structure for employment relations that emerges within the pan-European labor market and its implications for worker voice, regulatory enforcement, and management power. The research presented in this book is based on a qualitative and multilevel case study approach. It examines how posted workers and actors involved in the posting relationship actually utilize and experience the European posting framework by focusing on the experiences of transnational posted workers. This distinguishes the book from macro- and national-focused approaches in comparative political economy and industrial relations by zooming in on the workplace dynamics in a transnational setting. The window to how posted workers experience intra-EU mobility is Germany and the two sectors where posting is most prevalent: the construction and meat slaughtering industries.

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