Livres sur le sujet « Organic development strategies »

The monograph proposes a methodology of new marketing, structural and economic-management approaches for tourism organizations in the modern conjuncture of tourism for the elderly. Approaches that take into account the consumer behavior of older people and other age groups, retired, proposed in this paper, can be more effectively used to involve these categories in tourism. The aging of the population and demographic changes in the structure of consumers of tourist products require Russian travel companies to optimize their approaches and strategies, rebuild the tourism infrastructure to organize the supply of products in demand in the world tourism market that meet the needs of older people. The assessment of relevance of tourist products and their elements to requirements of elderly tourists is presented. It is intended for teachers, postgraduates and students of higher educational institutions, specialists in the organization of tourist activities, heads of travel agencies, researchers and all those who are interested in the development of tourism activities.

The diagnosis of intra-abdominal hypertension (IAH)/abdominal compartment syndrome (ACS ) relies on accurate IAP measurement. The current gold standard for measurement is intermittently every 4–6 hours via the bladder. IAP monitoring should be performed in all critically-ill or injured patients exhibiting ≥1 risk factors for the development of IAH, and continued until risk factors are resolved and intra-abdominal pressure (IAP) has remained normal for 24–48 hours. IAH and ACS cause organ dysfunction through direct compression of the heart, compression of both arterial and venous perfusion of the abdominal organs, and abdomino-thoracic pressure transmission. All organ systems are affected by IAH-induced injury. Standard surgical treatment of established ACS not responding to non-invasive management consists of decompressive laparotomy via midline or transverse incision. Promising alternative surgical strategies are being developed to avoid the complications of the open abdomen.

The term 'scleroderma' describes a group of conditions in which the development of thickened, fibrotic skin is a cardinal feature. This includes localized forms of scleroderma (e.g. morphoea) and also systemic forms of the disease that are more correctly termed systemic sclerosis. Systemic sclerosis (SSc) is a multiorgan, autoimmune disease that has a high clinical burden and mortality, due to affecting the skin as well as internal organs. As with other related diseases there is a female predominance and marked clinical diversity. The pathogenesis of SSc is not fully elucidated; it includes endothelial cell injury fibroblast activation and autoimmunity that lead to skin and internal organ manifestations. The majority of cases exhibit characteristic serum autoantibodies. Some of these antibodies are scleroderma-specific reactivities including anti-centromere (ACA), anti-topoisomerase-1 (ATA or Scl 70) or anti-RNA polymerase III antibodies. These anti-nuclear antibody (ANA) patterns are generally mutually exclusive and serve as useful clinical markers of disease subgroups. Additional subsetting of scleroderma cases, based on the extent of skin sclerosis, permits classification into limited and diffuse subsets. Because of the heterogeneity of the disease patients may suffer from different organ manifestations, such as lung fibrosis, hypertensive renal crisis, severe cardiac disease, gastrointestinal involvement, and pulmonary arterial hypertension. Although outcomes have improved recently, systemic sclerosis still has the highest case-specific mortality of any of the autoimmune rheumatic diseases and requires careful and systematic investigation, management and follow-up. Treatment includes symptomatic strategies with attention to each involved organ system; it is still an area where therapeutic progress and better understanding of pathogenesis is increasingly anticipated.

Infection by a pathogenic micro-organism triggers a coordinated activation of both innate and adaptive immune responses. The innate immune response quickly triggers an antimicrobial response that will initiate development of a pathogen-specific, long-lasting adaptive immune response. Accurate recognition of microbial-associated molecular patterns by pattern-recognition receptors (PRRs) is the cornerstone of this immediate response. Most studied PRRs are Toll-like receptors (TLRs) and their kinase signalling cascades that activate nuclear transcription factors, and induce gene expression and cytokine production. Deficiencies or genetic variability in these different signalling pathways may lead to recurrent pyogenic infections and severe invasive diseases. After initial contact between the host and pathogen, numerous factors mediate the inflammatory response, as pro-inflammatory cytokines and chemokines. Apart from host genetic variability, pathogen diversity also influences the phenotypic features of various infectious diseases. Genomic analysis may assist in the development of targeted therapies or new therapeutic strategies based on both patient and microorganism genotype.

This chapter discusses the development of treatment strategies after readers have learned energetic anatomy, physiology, psychology, pathophysiology, and diagnostic techniques and formulations. It provides details on balancing excesses or deficiencies of Yin, Yang, Qi, and Blood; on managing excesses of wind, heat, phlegm, and dampness; on dealing with stagnation of Qi and stasis of Blood; and on treating multiple organ energy imbalances. It provides advice on how to manage acute and chronic conditions and how to manage symptoms and treat underlying causes simultaneously. It discusses the specifics that are unique to treating women, children, adolescents, and the elderly because their energetic natures are different from one another.

Digitalisation is creating new challenges and opportunities for the world of work and labour policy. The contributions in this volume discuss key developments in this field and labour policy strategies for dealing with the digitalisation of work: the shifting of spatial and temporal boundaries in the organisation of work, new initiatives of interest representation to regulate work, organise employees and mobilise workers in transnational contexts, and, finally, the prospects of shaping the design of work in digital working worlds. The book emphasises that the challenges of regulating and shaping work in digital contexts and the opportunities to do so are intertwined with other trends. With contributions by Alexander Bendel, Anja Gerlmaier, Thomas Haipeter, Fabian Hoose, Jennifer Kaczynska, Angelika Kümmerling, Erich Latniak, Sophie Rosenbohm and Christine Üyük.

The lysosomal storage disorders (LSDs) are a group of inborn organelle disorders, clinically heterogeneous, and biochemically characterized by accumulation of nondegraded macromolecules primarily in the lysosomal and other cellular compartments. Given the common and essential cellular function of the lysosomal system in different organs and systems, patients afflicted with these disorders present a broad range of clinical problems, including neurological problems, visceromegaly, and skeletal deformities. Onset of symptoms may range from fetal period to adulthood. The neurological problems include developmental delay, seizures, acroparesthesia, motor weakness, muscle wasting, behavioral/psychiatric disturbances, cerebrovascular ischemic events, and extrapyramidal signs. Patients may present with symptoms later that include psychiatric manifestations, are slowly progressive, and may precede other neurologic or systemic features. Most of LSDs are autosomal recessive; however, a few are X-linked with symptpmatic female carriers (e.g., Fabry disease). In most of them, the diagnosis is established by biochemical and/or molecular assays. In terms of management, disease-modifying therapies include enzyme replacement, hematopoietic stem cell transplantation, and substrate reduction therapy. Patients and their families require genetic counseling regarding reproductive risks, disease prognosis, and therapeutic options. Investigations of disease molecular mechanisms provide insights into potential targets for the development of therapeutic strategies. Supportive care has been the key and essential for most LSDs, resulting in substantial improvement in quality of life of patients and families.

Specialization in medicine grew in popularity after World War II when federal grants stimulated research into organ-specific diseases and the development of new diagnostic and treatment technologies. Mayo Clinic’s time-honored model of care involved having every internal medicine specialist devote significant time to general diagnosis. Mayo’s cardiologists produced a strategic plan in 1964 in which they expressed concern that this philosophy compromised their role as heart specialists. In 1965 Mayo’s internal medicine training program came under fire from a national group that insisted that it conform to the standard academic medical center model. This resulted in the creation of a Department of Medicine, which reduced the autonomy and influence of subspecialty sections such as cardiology. In 1969 Mayo decided to seek philanthropic support to help launch a medical school and to support its research and training programs. Despite Mayo’s changing structure, its main focus remained patient care rather than research.

International human rights mechanisms’ efficiency is normally linked to the work of independent experts keen to push the boundaries of accountability, against recalcitrant states determined to defend their sovereignty. As a corollary, progress in this field is associated with the creation and maintenance of political free spaces. Another common presumption, rather than fact, is a belief in a differentiated “North” versus “South” approach to the promotion and protection of human rights, that finds solid ground within the prevalent human rights discourses repeated by governmental and non-governmental actors. Through the lenses of the UN Special Procedures, In Defense of Politicization of Human Rights: The UN Special Procedures challenges these and other presumptions informing doctrinal studies, policies, and strategies to advance international human rights. In seeking to debunk commonly held views about the role of politics in human rights at the international level, this book constitutes the first comprehensive study of the Special Procedures as a system covering their history, methods of work, institutional status, and relationship with other politically driven organs and processes affecting their development. The perspective chosen to analyze the human rights mechanisms most vulnerable to political decisions determining their creation, renewal, and operationalization casts a new light on the extent to which these remain the cornerstone of global accountability in protecting the inherent dignity and worth of individuals as well as groups.

Challenging problems both attract and repel us. They frustrate us, accelerate our pulses, cause ulcers, and perhaps even curtail our lifespans. On the other hand, the knotty problems of life offer us food for thought, sustaining our creativity, and adding emotional spice to the human experience. We encounter difficult tasks day in and day out. The solutions to these problems must be sought with resourcefulness and creativity, for until now we have had little insight into the nature of these tasks, and even less into methods for resolving them. This unique book explores the nature of challenging problems in all walks of life, and describes the creative techniques for addressing them. It is particularly relevant for problems that admit no obvious solution, whether they concern scientific knowledge, technology, the arts, or social situations. By understanding the dynamics of problem solving in general, the author argues, we can better organize the pursuit of specific projects. The initial phase involves crystallizing our objectives and developing a coherent plan. The next step is to evaluate the results and determine whether the work should be concluded, begun anew, or given up altogether. With this general strategy, even seemingly overwhelming problems can be approached systematically and efficiently. The author goes beyond the normal distinction between routine and innovative activities, defining the role of creativity in novel decision-making. In addition, he distills the existing literature on creativity, innovation, and project management to present a concise set of strategies and practices that can be applied in a myriad of settings ranging from university laboratories to corporate planning centers. For the sake of concreteness, a number of examples from research and development environments demonstrate the book's basic principles in action, showing how even the most difficult problems can yield to knowledgeable ingenuity. Written in a clear, readable style, Essence of Creativity will appeal to a broad spectrum of readers: engineers, business managers, computer scientists, executives, cognitive psychologists, and educators in many fields, as well as general readers seeking effective ways to handle difficult problems.