Healthcare services managers: what information do they need and use?

Objectives: To gain insight into the information behaviour of healthcare services managers as they draw on information while engaged in decision making unrelated to individual patient care. Objectives – The purpose of this research project was to gain insight into the information behaviour of healthcare services managers as they use information while engaged in decision-making unrelated to individual patient care. Methods – This small-scale, exploratory, multiple case study used the critical incident technique in nineteen semi-structured interviews. Responses were analyzed using ‘Framework,’ a matrix-based content analysis system. Results – This paper presents findings related to the internal information that healthcare services managers need and use. Their decisions are influenced by a wide variety of factors. They must often make decisions without all of the information they would prefer to have. Internal information and practical experience set the context for new research-based information, so they are generally considered first. Conclusions – Healthcare services managers support decisions with both facts and value-based information. These results may inform both delivery of health library services delivery and strategic health information management planning. They may also support librarians who extend their skills beyond managing library collections and teaching published information retrieval skills, to managing internal and external information, teaching information literacy, and supporting information sharing

Age validation, growth, mortality, and demographic modeling of spotted gully shark (Triakis megalopterus) from the southeast coast of South Africa

This study documents validation of vertebral band-pair formation in spotted gully shark (Triakis megalopterus) with the use of fluorochrome injection and tagging of captive and wild sharks over a 21-year period. Growth and mortality rates of T. megalopterus were also estimated and a demographic analysis of the species was conducted. Of the 23 OTC (oxytetracycline) -marked vertebrae examined (12 from captive and 11 from wild sharks), seven vertebrae (three from captive and four from wild sharks) exhibited chelation of the OTC and fluoresced under ultraviolet light. It was concluded that a single opaque and translucent band pair was deposited annually up to at least 25 years of age, the maximum age recorded. Reader precision was assessed by using an index of average percent error calculated at 5%. No significant differences were found between male and female growth patterns (P>0.05), and von Bertalanffy growth model parameters for combined sexes were estimated to be L∞=1711.07 mm TL, k=0.11/yr and t0=–2.43 yr (n=86). Natural mortality was estimated at 0.17/yr. Age at maturity was estimated at 11 years for males and 15 years for females. Results of the demographic analysis showed that the population, in the absence of fishing mortality, was stable and not significantly different from zero and particularly sensitive to overfishing. At the current age at first capture and natural mortality rate, the fishing mortality rate required to result in negative population growth was low at F>0.004/ yr. Elasticity analysis revealed that juvenile survival was the principal factor in explaining variability in population growth rate

Stochastic population forecasts using functional data models for mortality, fertility and migration

Age-sex-specific population forecasts are derived through stochastic population renewal using forecasts of mortality, fertility and net migration. Functional data models with time series coefficients are used to model age-specific mortality and fertility rates. As detailed migration data are lacking, net migration by age and sex is estimated as the difference between historic annual population data and successive populations one year ahead derived from a projection using fertility and mortality data. This estimate, which includes error, is also modeled using a functional data model. The three models involve different strengths of the general Box-Cox transformation chosen to minimise out-of-sample forecast error. Uncertainty is estimated from the model, with an adjustment to ensure the one-step-forecast variances are equal to those obtained with historical data. The three models are then used in the Monte Carlo simulation of future fertility, mortality and net migration, which are combined using the cohort-component method to obtain age-specific forecasts of the population by sex. The distribution of forecasts provides probabilistic prediction intervals. The method is demonstrated by making 20-year forecasts using Australian data for the period 1921-2003.Fertility forecasting, functional data, mortality forecasting, net migration, nonparametric smoothing, population forecasting, principal components, simulation.

Mind-reading versus neuromarketing: how does a product make an impact on the consumer?

Purpose – This research study aims to illustrate the mapping of each consumer’s mental processes in a market-relevant context. This paper shows how such maps deliver operational insights that cannot be gained by physical methods such as brain imaging. Design/methodology/approach – A marketed conceptual attribute and a sensed material characteristic of a popular product were varied across presentations in a common use. The relative acceptability of each proposition was rated together with analytical descriptors. The mental interaction that determined each consumer’s preferences was calculated from the individual’s performance at discriminating each viewed sample from a personal norm. These personal cognitive characteristics were aggregated into maps of demand in the market for subpanels who bought these for the senses or for the attribute. Findings – Each of 18 hypothesized mental processes dominated acceptance in at least a few individuals among both sensory and conceptual purchasers. Consumers using their own descriptive vocabulary processed the factors in appeal of the product more centrally. The sensory and conceptual factors tested were most often processed separately, but a minority of consumers treated them as identical. The personal ideal points used in the integration of information showed that consumers wished for extremes of the marketed concept that are technologically challenging or even impossible. None of this evidence could be obtained from brain imaging, casting in question its usefulness in marketing. Research limitations/implications – Panel mapping of multiple discriminations from a personal norm fills three major gaps in consumer marketing research. First, preference scores are related to major influences on choices and their cognitive interactions in the mind. Second, the calculations are completed on the individual’s data and the cognitive parameters of each consumer’s behavior are aggregated – never the raw scores. Third, discrimination scaling puts marketed symbolic attributes and sensed material characteristics on the same footing, hence measuring their causal interactions for the first time. Practical implications – Neuromarketing is an unworkable proposition because brain imaging does not distinguish qualitative differences in behavior. Preference tests are operationally effective when designed and analyzed to relate behavioral scores to major influences from market concepts and sensory qualities in interaction. The particular interactions measured in the reported study relate to the major market for healthy eating. Originality/value – This is the first study to measure mental interactions among determinants of preference, as well as including both a marketed concept and a sensed characteristic. Such an approach could be of great value to consumer marketing, both defensively and creatively

Nonlinear microwave response of MgB2

We calculate the intrinsic nonlinear microwave response of the two gap superconductor MgB2 in the clean and dirty limits. Due to the small value of the pi band gap, the nonlinear response at low temperatures is larger than for a single gap Bardeen-Cooper-Schrieffer (BCS) s-wave superconductor with a transition temperature of 40 K. Comparing this result with the intrinsic nonlinear d-wave response of YBa2Cu3O7 (YBCO) we find a comparable response at temperatures around 20 K. Due to its two gap nature, impurity scattering in MgB2 can be used to reduce the nonlinear response if the scattering rate in the pi band is made larger than the one in the sigma band.Comment: 4 pages, 4 figure

Impact of marine power system architectures on IFEP vessel availability and survivability

In recent years integrated full electric propulsion (IFEP) has become a popular power system concept within the marine community, both for the naval and the commercial community. In this paper the authors discuss the need for a detailed investigation into the impact of different IFEP power system architectures on the availability of power and hence on the survivability of the vessel. The power system architectures considered here could relate to either a commercial or a naval vessel and include radial, ring and hybrid AC/DC arrangements. Comparative fault studies of the architectures were carried out in an attempt to make valuable observations on the survivability of a vessel. Simulation results demonstrate that the ring and hybrid AC/DC architectural contribute to a higher survivability than the radial architecture. However, there are still challenges that need to be addressed and therefore potential solutions such as fault current limiters will be considered

Fed policy in the financial crisis: arresting the adverse feedback loop

An adverse feedback loop takes hold when a weakening financial system and a slowing economy feed off each other. A crisis or shock curtails lending, hobbling the real economy; the more production and employment falter, the more lending contracts. ; Arresting the adverse feedback loop could prove to be the seminal challenge of early 21st century monetary policymaking. Since sounding the alarm in January 2008, the Fed has taken a series of actions--many unprecedented--to prevent additional damage to financial markets and restore lending activity. These policies have had some success in loosening the grip of the adverse feedback loop and may have finally positioned the economy for growth. Still, doubts linger. The risk remains that the actions may prove insufficient to put the economy on a clear path to rising employment and stable prices.Financial markets ; Federal Reserve System ; Monetary policy ; Financial crises - United States