Satisfaction of patients hospitalised in psychiatric hospitals: a randomised comparison of two psychiatric-specific and one generic satisfaction questionnaires.

BACKGROUND: While there is interest in measuring the satisfaction of patients discharged from psychiatric hospitals, it might be important to determine whether surveys of psychiatric patients should employ generic or psychiatry-specific instruments. The aim of this study was to compare two psychiatric-specific and one generic questionnaires assessing patients' satisfaction after a hospitalisation in a psychiatric hospital. METHODS: We randomised adult patients discharged from two Swiss psychiatric university hospitals between April and September 2004, to receive one of three instruments: the Saphora-Psy questionnaire, the Perceptions of Care survey questionnaire or the Picker Institute questionnaire for acute care hospitals. In addition to the comparison of response rates, completion time, mean number of missing items and mean ceiling effect, we targeted our comparison on patients and asked them to answer ten evaluation questions about the questionnaire they had just completed. RESULTS: 728 out of 1550 eligible patients (47%) participated in the study. Across questionnaires, response rates were similar (Saphora-Psy: 48.5%, Perceptions of Care: 49.9%, Picker: 43.4%; P = 0.08), average completion time was lowest for the Perceptions of Care questionnaire (minutes: Saphora-Psy: 17.7, Perceptions of Care: 13.7, Picker: 17.5; P = 0.005), the Saphora-Psy questionnaire had the largest mean proportion of missing responses (Saphora-Psy: 7.1%, Perceptions of Care: 2.8%, Picker: 4.0%; P < 0.001) and the Perceptions of Care questionnaire showed the highest ceiling effect (Saphora-Psy: 17.1%, Perceptions of Care: 41.9%, Picker: 36.3%; P < 0.001). There were no differences in the patients' evaluation of the questionnaires. CONCLUSION: Despite differences in the intended target population, content, lay-out and length of questionnaires, none appeared to be obviously better based on our comparison. All three presented advantages and drawbacks and could be used for the satisfaction evaluation of psychiatric inpatients. However, if comparison across medical services or hospitals is desired, using a generic questionnaire might be advantageous.

Relatório do 4º Fórum do SIA

Dando continuidade à implementação do Plano de Actividades programadas do Sistema de Informação Ambiental e para responder às recomendações do Fórum de Parceiros do S.I.A de 2008, foi realizado no dia 1 de Outubro nas instalações do ex-INAG , o 4º Fórum dos parceiros do SIA. Neste encontro de trabalho, dirigido pela Dra. Vera Figueiredo da Coordenação Nacional do SIA, com os pontos focais das instituições parceiras, produtoras de informação ambiental, foram apresentados e discutidos os seguintes pontos: 1.Actividades realizadas pelo SIA em 2008; 2.Programa de actividades de 2009; 3.Apresentação do novo Lay Out do Portal; 4.Conteúdos do Portal que devem ser públicos; 5.Necessidades de formação de cada parceiro; 6.Ponto da situação do sistema de seguimento da Qualidade Ambiental; 7.Introdução de dados no SSQA.

Competency Guide, 2006

On the Human Resource Management Roadmap (see page 7 of the State of Iowa Workforce Planning Guide, February 2006) there is a bar that crosses all four phases of human resource management. That section indicates that competencies are an integral part of the entire employment cycle. Competencies describe job requirements, which means they lay out the expectations for the job incumbent as well as the supervisor as they relate to planning for the job, recruiting and filling the job, developing the incumbent’s skills, assessing the incumbent’s performance, and finally, determining how those same competencies relate, if at all, to refilling the position when it becomes vacant in the future.

Optimal monetary and fiscal policy in a currency union

We lay out a tractable model for fiscal and monetary policy analysis in a currency union, and study its implications for the optimal design of such policies. Monetary policy is conducted by a common central bank, which sets the interest rate for the union as a whole. Fiscal policy is implemented at the countrylevel, through the choice of government spending. The model incorporates country-specific shocks and nominal rigidities. Under our assumptions, the optimal cooperative policy arrangement requires that inflation be stabilized at the union level by the common central bank, while fiscal policy is used by each country for stabilization purposes. By contrast, when the fiscal authorities act in a non-coordinated way, their joint actions lead to a suboptimal outcome, and make the common central bank face a trade-off between inflation and output gap stabilization at the union level.

Ex post bargaining, labor coordination and wage formation at the firm level

We lay out a model of wage bargaining with two leading features:bargaining is ex post to relevant investments and there isindividual bargaining in firms without a Union. We compareindividual ex post bargaining to coordinated ex post bargainingand we analyze the effects on wage formation. As opposed to exante bargaining models, the costs of destroying the employmentrelationship play a crucial role in determining wages. Highfiring costs in particular yield a rent for employees. Ourtheory points to a employer size-wage effect that is independentof the production function and market power. We derive a simpleleast squares specification from the theoretical model thatallow us to estimate components of the wage premium fromcoordination. We reject the hypothesis that labor coordinationdoes not alter the extensive form of the bargaining game. Laborcoordination substantially increases bargaining power butdecreases labor's ability to pose costly threats to the firm.

Monetary policy and exchange rate volatility in a small open economy

We lay out a small open economy version of the Calvo sticky price model, and show how the equilibrium dynamics can be reduced to simple representation in domestic inflation and the output gap. We use the resulting framework to analyze the macroeconomic implications of three alternative rule-based policy regimes for the small open economy: domestic inflation and CPI-based Taylor rules, and an exchange rate peg. We show that a key difference amongthese regimes lies in the relative amount of exchange rate volatility that they entail. We also discuss a special case for which domestic inflation targeting constitutes the optimal policy, and where a simple second order approximation to the utility of the representative consumer can be derived and used to evaluate the welfare losses associated with the suboptimal rules.

Rebuild Iowa Advisory Commission (RIAC) 45-Day Report

The Rebuild Iowa Advisory Commission (RIAC) 45-Day Report offers the initial recommendations and priorities for Iowa's recovery from the devastating storms, flooding and tornadoes of 2008. The RIAC is a 15-member bipartisan commission appointed by Governor Chet Culver to lay out a blueprint to recovery.

Rebuild Iowa Advisory Commission (RIAC) 120-Day Report

The Rebuild Iowa Advisory Commission (RIAC) 120-Day Report offers the recommendations and priorities for Iowa's long-term recovery from the devastating storms, flooding and tornadoes of 2008. The RIAC is a 15-member bipartisan commission appointed by Governor Chet Culver to lay out a blueprint to recovery

Three essays on internationalization and firm entrepreneurial behavior

PAPER 1: A THEORY ON THE EFFECTS OF INTERNATIONALIZATION ON FIRM ENTREPRENEURIAL BEHAVIOR AND GROWTH Abstract This article addresses the relationship. Past findings reveal that the direct effects of internationalization on performance are mixed and inconclusive. Our framework integrates firm entrepreneurial behavior as a mediating force of the troublesome Drawing on the tension between the entrepreneurship literature and the organizational inertia theory, we argue that internationalization is key to minimizing the stifling effects of inertia and in engendering entrepreneurial behavior towards growth. We suggest that firms that internationalize at a young age and enjoy an intense degree of internationalization tend to become more entrepreneurial than do late and weakly internationalized firms. As a consequence, early and intense internationalizers experience superior growth. Aware of the inherent endogeneity of our propositions, we also discuss how consistent estimates can be obtained when testing the model empirically. PAPER 2: DOES INTERNATIONALIZATION MATTER FOR GROWTH? THE CASE OF SWISS SOFTWARE FIRMS. Abstract This paper seeks to address the issue of whether early and intense internationalization leads to superior firm growth. We revisit the hypotheses of previous studies within the emerging research domain of international entrepreneurship. Empirical analyses on the performance implications of internationalization have so far been limited and inconsistent. Our paper intends to make two contributions to the international entrepreneurship literature. First, we bring additional empirical evidence as to the inconclusive firm performance endogeneity in our causal model, using a sample of 103 Swiss international small and medium-sized enterprises (SMEs). On one hand, we find that the degree of internationalization significantly increases perceived firm growth (i.e., relative firm performance in a market); however, age at internationalization was unrelated to perceived firm growth. On the other hand, we reproduced the causal path of a highly cited study that showed how age at internationalization was significantly and negatively associated with objective firm growth (i.e., sales). Interestingly, our results support the study similar setting (OLS regression with comparable control variables); however, the effect for age at internationalization reverses when we correct for endogeneity. PAPER 3: EFFECT OF INTERNATIONALIZATION ON FIRM ENTREPRENEURIAL ORIENTATION AND PERFORMANCE: THE CASE OF SWISS SOFTWARE FIRMS. Abstract How does internationalization influence a firm orientation (EO) and is this related to firm growth? This paper inquires into the performance theorizing, we test a process model in which EO plays a mediating role in accounting for the relationship between internationalization and growth. We position this paper on the tension zone between the entrepreneurship literature and the organizational inertia theory. We lay out the argument that internationalization is source of opportunities that drives a firm and thus mitigates inertial pressure. Using a sample of Swiss software small and medium-sized enterprises (SMEs), we found that degree of internationalization (but not age of internationalization) increases EO, which subsequently increased firm growth.

Amélioration de l'hyperglycémie hospitalière: création d'un nouveau modèle de gouvernance [Improvement of hospital hyperglycemia: creation of a new governance model?].

The report of significant decrease of the inpatient hospital mortality and morbidity with an efficient insulin therapy has demonstrated the need of a good glycaemic control for patients hospitalised in acute care. However, one is faced with numerous difficulties in the hospital management of patients with hyperglycaemia, errors often occur when prescribing insulin, and the management skills are insufficient. Our goal is to change the medical and nursing practices to evolve towards an efficient and safe management of the hospitalised patient. The model we lay out in this article is based upon observation of the therapeutic support of patients with a chronic condition, whilst using a systemic management approach.

Concrete Pavement Mixture Design and Analysis (MDA) Guide Specification for Highway Concrete Pavements, TPF-5(205), 2012

A guide specification and commentary have been prepared that lay out current state-of-the art thinking with respect to materials and mixture selection, proportioning, and acceptance. These documents take into account the different environments, practices, and materials in use across the US and allow optional inputs for local application.

Agency Strategic Planning Guidebook, August 2013

In creating a strategic plan, an organization analyzes current and historical trends and other factors to try and anticipate the future. The state of Iowa’s strategic planning process asks agencies to look three to five years into the future to lay out essential goals, strategies, and measures to ensure that it remains focused on achieving its vision and mission. Agency plans should address strategic challenges or opportunities related to their mission, programs and services. To the extent possible, agencies should align their plans with the enterprise plan, considering how they can contribute to achieving the Governor’s Goals. Agencies are required to review their plan on an annual basis, and, if appropriate, refine the plan.

Kysynnän hallinnan vaikutukset päivittäistavararyhmän kustannustehokkuuteen

Tutkielman konkreettisena tavoitteena oli rakentaa kauppaketjulle kysynnän hallinnan pohjalta malli, jonka avulla ketju voi parantaa asiakaslähtöisyyttään ja samalla tehostaa toimintaansa. Tutkielman teoriaosassa muodostetun viitekehyksen pitävyyttä kokeiltiin TOKMANNI-ketjun makeistuoteryhmään. Tutkielman teoriaosassa seurattiin päivittäistavarakauppaan suunnatun ECR-toiminnan teoreettista viitekehystä, josta saatiin tietoa kirjallisuudesta, konsulttiraporteista sekä artikkeleista. Empiirinen osa toteutettiin kvantitatiivisilla kohdeyrityksen tuottamilla dokumenteilla, joita täydennettiin kvalitatiivisilla haastattelututkimuksilla. Tutkielman pohjalta ketjun makeistuoteryhmään rakennettiin uudelleen määritelty ja yhtenäinen valikoima sekä esillepano. Valikoiman selkiyttämisellä ja yhtenäistämisellä parannettiin tuoteryhmän hallittavuutta sekä helpotettiin henkilökunnan työskentelyä tilaustoiminnassa, esillepanossa ja kampanjoinnissa. Lisäksi tuoteryhmän selkiytymisen ja kulutuskysynnän mukaisen valikoiman nähtiin parantavan myös tuoteryhmän kannattavuutta ja asiakaslähtöisyyttä siisteinä, selkeinä hyllyinä sekä kulutuskysynnän mukaisena valikoimana. Teoreettinen malli tuntui toimivan myös käytännössä.

La liberté d'expression et l'administration de la justice : le choc de deux paradigmes

"Thèse présentée à la Faculté des études supérieures En vue de l'obtention du grade de Docteur en droit (LL.D.)"

Le dépôt électronique au Canada : commentaires sur le Modèle de fournisseur de services de dépôt électronique

"Des spécialistes de la Cour suprême du Canada et de la Cour fédérale du Canada, Bill MURRAY et Gary PINDER, ont entrepris d’explorer les moyens par lesquels ces institutions pourraient prendre le virage vers l’électronique pour leurs échanges et leur gestion de l’information. Deux projets ont initialement été présentés au programme Gouvernement en direct. Ces projets ont progressivement convergés jusqu’au point de n’en former qu’un seul, celui décrit dans le « Document de travail : Modèle de fournisseur de services de dépôt électronique ». Un document, avertissent ses auteurs, qui ne vise pas l’endossement d’un modèle particulier, mais plutôt l’identification des voies par lesquelles un système cohérent de dépôt électronique pourrait être mis en place au Canada. D'emblée, quatre éléments du modèle proposé apparaissent particulièrement remarquables : il offre un cadre d’ensemble plutôt qu’un projet isolé ; il s’appuie sur l’utilisation de normes techniques, « Standard as Key Enabler » écrivent-ils ; il met à profit l’entreprise privée, un partenaire capable de trouver les marchés et de les développer ; il prévoit enfin, et ce n’est pas le moindre de ses mérites, la création d’un environnement compétitif pour le dépôt électronique. Selon nous, la voie qu’ils ont tracée peut être empruntée. Ce n’est pas dire qu’il faille accepter, tels quels, tous les éléments du projet sans examiner d’autres orientations ou poursuivre certaines réflexions. Mais, dans l’ensemble, la direction est juste et nous devrions nous y engager. Nous avons choisi de suggérer des orientations, et elles convergent presque toujours avec celles adoptées par les auteurs du document de travail. Nous ne mentionnons ici que la plus centrale d’entre elles. Le projet de mettre en place un système cohérent de dépôt électronique confirme s’il était nécessaire le besoin maintes fois ressenti d’un conseil canadien de l’information juridique. Un tel conseil pourrait mener des consultations et procéder à l’adoption des normes techniques qui manquent aujourd’hui cruellement au monde juridique canadien. Le présent projet et la réflexion qu’il nous impose nous offrent peut-être l’occasion de nous doter de cet outil qui non seulement pourrait clarifier le cadre du dépôt électronique, mais aussi d’élaborer les autres normes et lignes de conduite nécessaires à notre domaine. Il reste à inviter la magistrature à examiner attentivement le projet avancé par MURRAY et PINDER. Il esquisse une approche audacieuse et nouvelle pour que nos institutions judiciaires évoluent vers une utilisation encore plus efficiente des nouveaux moyens technologiques. L’influence et l’appui éclairé de la magistrature sont essentiels au démarrage d’un tel projet. D’autres aussi auront à examiner les mérites du modèle proposé, notamment les responsables administratifs des grandes institutions judiciaires canadiennes, nous sommes certains qu’ils sauront eux aussi reconnaître les possibilités que recèle ce projet."