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PubMedDate not supplied

Resource utilization by children with developmental disabilities in Kenya: discrepancy analysis of parents' expectation-to-importance appraisals.

The purpose of this study was to describe parental perceptions of eight physical and human resources available to meet the needs of children with developmental disabilities in Kenya. Specifically, the study assessed the discrepancy between the importance parents attached to specified resources and the expected use of those resources by their children with developmental disabilities. Discrepancy analysis was conducted on parents' expectation-to-importance appraisals of eight resources identified in previous research including, health, education, friendships, husband/wife, religious organization, community membership/acceptance, employment/work, and home. Overall, parental appraisal of likely access-to-importance was significantly related across all eight physical and human resource areas. Discrepancy scores ranged from negative, through zero, to positive, categorized underutilized, congruent, and over-utilized, respectively. Chi-square analyses were non-significant for gender across all resources with only slight gender differences noted on three resources. Most parents reported a match between expected use and importance in five of the eight community resources, health (57.4%), friends (54.6%), religious affiliation (59.8%), acceptance in the community (60.3%), and having one's own home (62.6%). However, "husband/wife" fell outside the congruent range (50.4%), with slight gender differences noted. Finally, two resource areas where the majority of parents reported noncongruence were educational programs and employment/career service.

Child↗
PubMed1994

Clinical low vision resource usage prediction.

In an era of increased demands and constrained budgets, it is necessary to make the best use of all available resources. This is difficult when specialized vision care, such as low vision clinical assessment, is involved because of the heterogeneity of the patient populations seen by such clinics. PURPOSE. This research attempts to discover if these diverse patient populations can be identified and clustered into groups based upon similarity of clinical resources use. Specifically, the inquiry examines the potential for a low vision patient resource utilization classification scheme at the Low Vision Clinic (LVC) in the Centre for Sight Enhancement (CSE), University of Waterloo. METHODS. From a sample of 99 patients consulting the LVC in a 3-month period, retrospective data collection involved abstracting and coding medical records containing information detailing each patient's demographic, diagnostic, therapeutic, and resource utilization characteristics. Cluster analysis using Hartigan's block clustering algorithm was then applied to the data. A replication study was completed using a sample of 99 patients visiting the LVC 1 year later. RESULTS. Patients can be classified into five iso-resource groups, hereby termed low vision patient resource groups (LVPRGs). The clusters represent a resource consistent and clinically coherent scheme for classifying low vision patients based upon resource requirements. As a measure of repeatability, the groups reemerged in the replication study. CONCLUSIONS. If the groupings demonstrate robustness in a field test, clustering algorithms in general, and LVPRGs in specific, may offer useful tools to enhance resource utilization in the LVC setting.

Adult↗
PubMed2006

Health resources and health strategies among older Swedish-speaking Finns--a hermeneutic study.

Research has shown that the Swedish-speaking Finns have better health than the Finnish-speaking majority. The aim of this paper was to explore the health resources and health strategies among home-dwelling Swedish-speaking Finns aged 75 or older. The objective was to develop health-promotive nursing care for this group. Data was collected through recorded semistructured conversations with 22 older persons. The conversations were transcribed and interpreted through a hermeneutic approach. The material was read through several times and compiled into 22 narratives with relevant quotations. The narratives were subsequently summarised into one core narrative under each major category, to present the health resources and health strategies. Six categories were found: the Positive, the Social, the Active, the Adaptable, the Stubborn and the Passive. Within the Positive category, morale played an important role as a health resource and health strategy. Within the Social category, social activities were regarded as both health resources and health strategies, whereas their absence was a health obstacle. Within the Active category, a wide range of physical activities played an important role. Within the Adaptable category, contentment was a health resource. Within the Stubborn category, stubbornness itself was a health resource, whereas strong belief was a health strategy. Within the Passive category, although health obstacles permeated the life context, contentment and caution were seen as health resources. The vision of the future varied from the confidence found in the Positive category to the uncertainty prevalent in the Passive category. The main health resources and strategies used by the elderly Swedish-speaking Finns were related to social and other activities as well as to personality. Transforming health obstacles into resources could be an important health-promotive nursing strategy.

Adaptation, Psychological↗
PubMed2001

Resource cost analysis of cervical spine trauma radiography.

PURPOSE: To determine the resource costs of the technical component of cervical spine radiography in patients with trauma and the factors that drive resource costs, to provide a model for resource cost estimation, and to compare resource costs with other methods of cost estimation. MATERIALS AND METHODS: Direct measurement was made of technologist labor and supply costs of a cohort of 409 consecutive patients with trauma who underwent cervical spine radiography. Probability of cervical spine injury was determined by reviewing emergency department medical records. An animated simulation model was used to combine cost and injury probability estimates to determine resource costs. Sensitivity analysis explored factors that determined costs and estimated uncertainty in model estimations. Comparison was made with other cost estimates. RESULTS: The average technical resource cost for cervical spine radiography was $49.60. Both direct labor ($19.60 vs $13.33; P <.005) and film ($8.39 vs $6.76; P <.005) costs were greater in patients with high probability of injury than in those with low probability of injury. Overall costs in patients with high probability of injury exceeded those in patients with low probability of injury by 33%. Resource costs exceeded Medicare resource-based relative value unit reimbursements for all patients with trauma. CONCLUSION: Resource costs of the technical components of cervical spine radiography varied with patient probability of injury and were higher than Medicare reimbursements.

Adolescent↗
PubMed2000

A review of alternative approaches to healthcare resource allocation.

The resources available for healthcare are limited compared with demand, if not need, and all healthcare systems, regardless of their financing and organisation, employ mechanisms to ration or prioritise finite healthcare resources. This paper reviews alternative approaches that can be used to allocate healthcare resources. It discusses the problems encountered when allocating healthcare resources according to free market principles. It then proceeds to discuss the advantages and disadvantages of alternative resource allocation approaches that can be applied to public health systems. These include: (i) approaches based on the concept of meeting the needs of the population to maximising its capacity to benefit from interventions; (ii) economic approaches that identify the most efficient allocation of resources with the view of maximising health benefits or other measures of social welfare; (iii) approaches that seek to ration healthcare by age; and (iv) approaches that resolve resource allocation disputes through debate and bargaining. At present, there appears to be no consensus about the relative importance of the potentially conflicting principles that can be used to guide resource allocation decisions. It is concluded that whatever shape tomorrow's health service takes, the requirement to make equitable and efficient use of finite healthcare resources will remain.

Health Care Rationing↗
PubMedDate not supplied

Empowerment and synergy: expanding the community's healing resources.

This paper suggests an alternative to the commonly-held "scarcity paradigm" of thinking about valued human resources, which assumes individuals must compete because resources are scarce. The alternative--the "synergy paradigm"--is empitomized in "synergistic community," where valued human resources are renewable and expanding, and distributed equitably to members, so that what is good for one is good for all and the whole is greater than the sum of its parts. Three field studies present cross-cultural evidence for the functioning of empowerment within a synergistic paradigm. Empowerment is considered as access to and control of valued resources; the specific valued resource focused upon is community healing. The studies suggest that community healing resources can become renewable and expanding, as can the process of empowerment which accesses them. Community members share these resources, combining conflicting resources into unexpectedly effective treatment packages. Given present inequities in resource distribution, transformative education is offered as one means to support a shift in thinking toward synergy.

Africa↗
PubMed2005

[Evaluation of China' s regional sustainable utilization of water resources and its type classification].

Based on the idea of sustainable development, this paper analyzes the characteristics of sustainable utilization of water resources and builds the sustainable utilization evaluation system of water resources in the aspect of the status of water resources, the efficiency of water resources utilization, the stress of water resources sustainable utilization and the capacity of water resources sustainable utilization. According to this evaluation system, the sustainable utilization of water resources in China's 31 provincial regions is evaluated and is classified as 5 types correspondingly, namely high, relative high, medium, relative low and low types. The situation of water sustainable development presents the general decrease trend from the northeast coastal area to northwest inland. Compared with water resources endowment, the low water utilization efficiency is becoming another restrict to water sustainable utilization. There is obvious inverse correlation between water resources endowment and its utilization efficiency.

China↗
PubMed2005

Nutrient movement and mycelial reorganization in established systems of Phanerochaete velutina, following arrival of colonized wood resources.

The effect of arrival of wood resources, pre-colonized by Coriolus versicolor, Phlebia radiata, Stereum hirsutum, and Vuilleminia comedens, on mycelial systems of Phanerochaete velutina was studied in trays of nonsterile soil in the laboratory over 5 months. Morphological responses were quantified non-destructively using image analysis. In a parallel series of experiments, nutrient movement was also quantified non-destructively using (32)P monitoring with a scintillation probe and subsequently by destructively harvesting after 155 days. The presence of a fungus occupying a newly arriving resource had major effects on deployment of biomass and on the uptake and allocation of phosphorus in the established Pha. velutina system. The effects varied depending on the species occupying the new resource. Hyphal coverage was greater in the half of the system to which new resources were added. Following addition of new resources, there was massive redeployment of biomass away from regions with no new resource when the new resource was (1) uncolonized, (2) colonized by V. comedens, or (3) colonized by S. hirsutum (although to a lesser extent with the latter), but not with others. (32)P was taken up by Pha. velutina both in the vicinity of the inoculum and the new resource and was translocated to the new resource from both sites of uptake; however, the local supply contributed most. Bidirectional translocation also occurred. The results are discussed in relation to mycelial foraging strategies, nutrient translocation, and partitioning within mycelial cord systems.

Biomass↗
PubMed2006

Competition for pulsed resources: an experimental study of establishment and coexistence for an arid-land grass.

In arid environments, episodically-pulsed resources are important components of annual water and nutrient supply for plants. This study set out to test whether seedlings have an increased capacity for using pulsed resources, which might then improve establishment when in competition with older individuals. A second aim was to determine whether there is a trade-off in competitive strategies when resources are supplied continuously at low concentrations, or as pulses with pronounced inter-pulse periods. A glasshouse experiment used a target-neighbour design of size-asymmetric competition, with juveniles of Panicum antidotale (blue panicgrass) introduced into contrasting densities of adult plants. Stable isotopes of nitrogen were used for measuring plant resource uptake from pulses, and tolerance to inter-pulse conditions was assessed as the mean residence time (MRT) of nitrogen. A higher root/shoot ratio and finer root system enhanced the capacity of juveniles to use resources when pulsed, rather than when continuously supplied. Higher resource uptake during pulses improved the establishment of juvenile Panicum in mixed cultures with older individuals. However, a trade-off was observed in plant strategies, with juveniles showing a lower MRT for nitrogen, which suggested reduced tolerance to resource deficit during inter-pulse periods. Under field conditions, higher utilization of pulsed resources would lead to the improved seedling establishment of Panicum adjacent to "nurse" plants, whereas mature plants with well-developed roots, exploiting a greater soil volume, maintain more constant resource uptake and retention during inter-pulse periods.

Aging↗
PubMed2006

Factors associated with depressed mood in chronic pain patients: the role of intrapersonal coping resources.

UNLABELLED: The purpose of this study was to examine processes through which chronic pain can result in depressed mood and to determine whether intrapersonal coping resources, namely high self-esteem and optimism, affect these processes. We hypothesized that pain severity contributes to depressed mood largely because pain interferes with involvement in important pursuits. We then examined whether intrapersonal resources are directly associated with pain severity, interference, and depressed mood and whether resources moderate associations between pain and interference or between interference and depressed mood. Structured interviews containing psychometrically robust measures were conducted with 141 outpatients of a university hospital-affiliated chronic pain center. As predicted, interference mediated much of the association between pain severity and depressed mood, and high resources were associated with less severe pain, less interference, and lower depressed mood. The association between pain severity and interference was stronger for people with high than people with low intrapersonal resources. The pattern of results that emerged from this study illustrates that intrapersonal coping resources may affect chronic pain patients through a variety of differentiated mechanisms. Pain severity appears to have greater adverse impact on the activity of people who possess highly positive self-views and outlook, but these resources are also associated with better emotional status. PERSPECTIVE: Pain had greater adverse impact on the activity of people with highly positive self-views and outlook, but these coping resources were also associated with better emotional status. Chronic pain sufferers with few resources may require different interventions than those with more positive views of themselves and the world around them.

Adaptation, Psychological↗
PubMed2005

A life history model of somatic damage associated with resource acquisition: damage protection or prevention?

A resource acquisition-allocation model is developed to examine the trade-off between reproduction and somatic protection. Unlike previous studies, resource intake is not assumed to be constrained: instead, resource intake is free to vary, with increased intake being associated with an increased risk of somatic damage. This gives rise to an optimal resource intake as well as an optimal allocation strategy. This paper studies the relative importance of acquisition and allocation strategies in regulating acquisition-related mortality. Under the optimal allocation strategy mortality rate increases with age, in accordance with the disposable soma theory of aging. Contrary to the usual interpretation of the disposable soma theory, this increase in mortality can arise from an increase in the resource acquisition effort rather than a decrease in the resources allocated to protection. At early ages resource acquisition is found to be the primary path for regulating life history costs, whilst allocating resources to protection becomes more important later in life. Models for targeted and non-targeted damage repair are considered and the robustness of our results to the structure and parameterization of the model is discussed. The results from our models are discussed in light of published data. Resource acquisition is shown to be a potentially important mechanism for controlling somatic damage which deserves further study.

Aging↗
PubMed2006

Reorganization of mycelial networks of Phanerochaete velutina in response to new woody resources and collembola (Folsomia candida) grazing.

Mycelial development of Phanerochaete velutina extending from wood inocula in 57 x 57 cm trays of non-sterile soil was characterized after adding: (1) collembola; (2) new wood resources; (3) both new wood resources and collembola; and (4) no new resources and no collembola. After 99 d, all systems had produced distinct mycelial cords, much of the diffuse mycelium and thinner cords that were produced early on having regressed. Systems to which new resources (but no collembola) had been added developed thick cords interconnecting inocula with new resources, and much of the non-connected mycelium regressed. Nonetheless, these systems had significantly greater hyphal coverage and mass fractal dimension than the other treatments, resulting from outgrowth from the new resources. Unexpectedly, morphology of grazed systems with no added resources was very similar to that of ungrazed systems with no added resources, apparently because the collembola grazed on senescing hyphae that would ultimately have regressed. Where new resources and collembola were added, there was proliferation of fine mycelium along connective cords and elsewhere, but this was not as extensive as in the new resource/no collembola systems, the fine mycelium apparently being grazed in patches. Fungus gnat (family Sciaridae) larvae contaminated eight (out of 14) trays with no added collembola, but none of the systems to which collembola had been added. They burrowed around the wood and caused cords to be severed.

Animals↗
PubMed2004

Chronic diseases and depression: the modifying role of psychosocial resources.

Psychosocial coping resources have been found to protect against depressive symptoms in people with and without chronic diseases. It has not been established, however, whether these resources have the same effects across patients with different diseases. Therefore, the aim of the study was to estimate the direct and buffer effects of psychosocial resources on depression, and to examine whether these effects are different for various chronic diseases. Data were obtained from the Longitudinal Aging Study Amsterdam. In all, 2288 community-dwelling respondents (age 55-85) were included and followed for a maximum of 6 years. Depressive symptoms (using the Center for Epidemiologic Studies-Depression scale), the presence of seven frequently occurring chronic diseases, social support and personal coping resources, physical functioning and sociodemographic variables were assessed by structured interviews. Generalized estimating equation models were estimated for each disease, social support and personal coping resources. All resources, except social network size, showed a direct effect on depressive symptoms regardless of the presence of chronic diseases. Having a partner, high self-esteem, mastery, self-efficacy and feeling less lonely additionally buffered the negative effect of some, but not all, specific chronic diseases. Unexpectedly, in patients with cardiac disease, none of the psychosocial resources exerted a buffer effect on depressive symptoms. For instrumental and emotional support only direct (unfavorable) effects and no buffer effects could be observed. In conclusion, our study provides evidence that buffer effects of psychosocial resources are different across various chronic diseases. This suggests that interventions to enhance specific resources may ameliorate depressive symptoms in specific chronic patients groups.

Adaptation, Psychological↗
PubMed1995

Resources, personal strivings, and subjective well-being: a nomothetic and idiographic approach.

The covariation of resources such as money, family support, social skills, and intelligence with subjective well-being (SWB) was assessed in 195 college students. Informant ratings provided an index of resources. Self-reports, daily experience sampling, and informant reports were used to measure SWB. The authors concluded that resources taken together are moderately strong predictors of SWB. This conclusion, however, was qualified by the fact that life satisfaction was more closely related to resources than was affective well-being and that social and personal resources were in general more strongly related to SWB than were material resources. The findings also supported the hypothesis that resources correlate more strongly with SWB when they are relevant to an individual's idiographic personal strivings. A tendency was found for people to choose personal strivings for which they have relevant resources, and the degree of congruence of individuals' goals with resources was predictive of SWB.

Achievement↗
PubMed2005

The plant's capacity in regulating resource demand.

Regulation of resource allocation in plants is the key to integrate understanding of metabolism and resource flux across the whole plant. The challenge is to understand trade-offs as plants balance allocation between different and conflicting demands, e.g., for staying competitive with neighbours and ensuring defence against parasites. Related hypothesis evaluation can, however, produce equivocal results. Overcoming deficits in understanding underlying mechanisms is achieved through integrated experimentation and modelling the various spatio-temporal scaling levels, from genetic control and cell metabolism towards resource flux at the stand level. An integrated, interdisciplinary research concept on herbaceous and woody plants and its outcome to date are used, while drawing attention to currently available knowledge. This assessment is based on resource allocation as driven through plant-pathogen and plant-mycorrhizosphere interaction, as well as competition with neighbouring plants in stands, conceiving such biotic interactions as a "unity" in the control of allocation. Biotic interaction may diminish or foster effects of abiotic stress on allocation, as changes in allocation do not necessarily result from metabolic re-adjustment but may obey allometric rules during ontogeny. Focus is required on host-pathogen interaction under variable resource supply and disturbance, including effects of competition and mycorrhization. Cost/benefit relationships in balancing resource investments versus gains turned out to be fundamental in quantifying competitiveness when related to the space, which is subject to competitive resource exploitation. A space-related view of defence as a form of prevention of decline in competitiveness may promote conversion of resource turnover across the different kinds of biotic interaction, given their capacity in jointly controlling whole plant resource allocation.

Energy Metabolism↗
PubMed2000

Recruiters and Joiners: Using Optimal Skew Theory to Predict Group Size and the Division of Resources within Groups of Social Foragers.

I apply skew theory to the division of resources within multimember social foraging and antipredator groups. Resource division is modeled as a game between an individual controlling resources (recruiter) and a potential joiner to the group. If a recruiter benefits from the presence of a joiner, it will allocate sufficient resources to the joiner so that the joiner gains as much from group foraging as it would from foraging alone. Joiners should receive a greater proportion of resources controlled by the recruiter when benefits to grouping are low. If group success is a concave-down function of group size, this framework can be used to predict the stable group size. The stable group size is larger than the optimal group size, given equal division of resources, and smaller than the stable group size, given equal division of resources. Furthermore, both current group members and potential joiners agree on the stable group size, so long as the recruiter is able to control resource division. If the recruiter cannot control resource division, there may be conflict over group size and the opportunity for group members to contribute less to group success than they are able.

dominance↗
PubMed2005

Empirical models of pollen limitation, resource acquisition, and mast seeding by a bee-pollinated wildflower.

Synchronous mast seeding is increasingly recognized as common in plant populations. Recent theoretical models show that synchronous mast seeding could be a consequence of resource allocation and storage within individual plants, coupled by pollen limitation in low-flowering years. We used long-term population and weather data to parameterize models of flowering based on stored resources and pollen limitation in Astragalus scaphoides, a bee-pollinated plant that flowers in alternate years. We used these models to test whether internal resource dynamics could explain mast seeding in A. scaphoides and, if so, whether synchrony was caused by pollen limitation and/or fluctuations in precipitation. We compared predictions of models that included all combinations of three factors: constant versus precipitation-dependent resource gain, uniform versus heterogeneous resource gain (among individual plants), and resource-dependent versus resource- and pollen-limited fruit set. Pollen limitation and heterogeneous resource gain were necessary and sufficient to explain alternate-year flowering, but precipitation increased the quantitative match between model predictions and flowering dynamics. Together, our results support the importance of density-dependent pollen limitation as an ultimate and proximate cause of mast seeding in A. scaphoides. Precipitation does not act as a direct cue for synchrony in this species but might affect long-term resource gain and fruiting dynamics.

Animals↗
PubMed2005

Resource-dependent dispersal and the speed of biological invasions.

Many mobile organisms exhibit resource-dependent movement in which movement rates adjust to changes in local resource densities through changes in either the probability of moving or the distance moved. Such changes may have important consequences for invasions because reductions in resources behind an invasion front may cause higher dispersal while simultaneously reducing population growth behind the front and thus lowering the number of dispersers. Intuiting how the interplay between population growth and dispersal affects invasions is difficult without mathematical models, yet most models assume dispersal rates are constant. Here we present spatial-spread models that allow for consumer-resource interactions and resource-dependent dispersal. Our results show that when resources affect the probability of dispersal, then the invasion dynamics are no different than if resources did not affect dispersal. When resources instead affect the distance dispersed, however, the invasion dynamics are strongly affected by the strength of the consumer-resource interaction, and population cycles behind the wave front lead to fluctuating rates of spread. Our results suggest that for actively dispersing invaders, invasion dynamics can be determined by species interactions. More practically, our work suggests that reducing invader densities behind the front may be a useful method of slowing an invader's rate of spread.

Animals↗