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21.
Dennis T. Avery 《Society》2007,44(6):137-143
High-yield farming—more agricultural output per acre of farmland—has been a boon to mankind and to nature. If today’s agricultural
efficiency was the same as in the 1950s, the world would need three times the cropland to produce today’s food supply. That
would mean that 15-16 million mi2 of forest would have been destroyed—all the global forest area available today. Rising population and increased affluence
will require a tripling of agricultural efficiency in the next 50 years if we are to protect wildlife at the same time. More
investment in agricultural research and education will be required, but this is what produced the previous green revolution.
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Dennis T. AveryEmail: |
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Outsourcing Public Health Laboratory Services: A Blueprint for Determining Whether to Privatize and How 总被引:1,自引:0,他引:1
George Avery 《Public administration review》2000,60(4):330-337
In a continuing effort to reform and reinvent the way public organizations do business, the outsourcing of services has become a popular tool, particularly as resource constraints limit options available to governments. All too often, the decision is made, for reasons of ideology or resource constraints, to outsource services without giving careful consideration to the impact of privatization on the core missions of an agency, or whether privatization, in fact, offers real cost savings. Purchasing tools designed for traditional commodity purchases are often grossly unsuited for making decisions on specialized technical services.
This article suggests a process for the evaluation of an option to outsource laboratory services. It suggests that, prior to contracting or privatizing services, the concerned agency should evaluate:
the impact on the agency's core mission
the availability, stability, and reliability of private sector service providers
the relative costs of internal and external (public or private sector) service providers
the potential impact on regulatory enforcement
the ability to monitor the performance of external providers
potential conflicts of interest
Based on this model, the ongoing internal evaluation of services offers public agencies management tools to obtain the best value for the taxpayer dollar, not only in terms of the raw cost per test, but also in managing the quality of the services. 相似文献
This article suggests a process for the evaluation of an option to outsource laboratory services. It suggests that, prior to contracting or privatizing services, the concerned agency should evaluate:
the impact on the agency's core mission
the availability, stability, and reliability of private sector service providers
the relative costs of internal and external (public or private sector) service providers
the potential impact on regulatory enforcement
the ability to monitor the performance of external providers
potential conflicts of interest
Based on this model, the ongoing internal evaluation of services offers public agencies management tools to obtain the best value for the taxpayer dollar, not only in terms of the raw cost per test, but also in managing the quality of the services. 相似文献
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Contemporary and alternative justice paradigms lead to definitions of wrongdoing as "lawbreaking" and "harm to social relationships" respectively. The retributive model within the contemporary justice paradigm results in strategies to accomplish justice that focus almost exclusively on the wrongdoer. In contrast, the restorative model within the alternative justice paradigm yields justice practices that focus on the relationships among all individuals harmed by the wrongdoing. Calgary Community Conferencing is an example of a restorative approach to wrongdoing. The relational emphasis of this program is operationalized through its organizational location, intended outcomes, and program activities. The challenges faced by Calgary Community Conferencing provide other agencies with ideas about dilemmas they might encounter in attempting to develop restorative justice programs. 相似文献
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Bryant Avery 《亚洲研究》2013,45(4):29-35
AbstractWhen I began teaching in the fall of 1971 at a small liberal arts college, I was greeted by a team-taught, one-semester introductory history course, two-thirds of which outlined the past few centuries of European history. As the one and only “Asia expert” around, I was asked to come up with a book which would present “the Chinese case” in one week's time. I've been searching for a suitable introductory text ever since. 相似文献
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Clare H. Bryce M.D. Catherine Avery M.S. C.F.N.P. Chad Smelser M.D. Deborah Thompson M.D. M.S.P.H. Kurt B. Nolte M.D. 《Journal of forensic sciences》2012,57(6):1512-1518
Abstract: Histopathologic features of New Mexico 2009 H1N1 fatalities have not been representative of those reported nationwide. We retrospectively reviewed medical records of all New Mexico 2009 pandemic influenza A (pH1N1) fatalities (n = 50). In cases in which autopsy was performed (n = 12), histologic sections and culture results were examined. In contrast to previously published studies, the majority of our fatalities did not have diffuse alveolar damage (DAD) (2/12; 16.7%). Common findings included pulmonary interstitial inflammation and edema, tracheobronchitis, and pneumonia. Two cases had significant extra‐pulmonary manifestations: myocarditis and cerebral edema with herniation. The majority had a rapid disease course: range from 1 to 12 days (median, 2 days), and Native Americans were disproportionately represented among fatalities. These findings suggest that New Mexico H1N1 fatalities generally did not survive long enough to develop the classic picture of DAD. Pathologists should be aware that H1N1 may cause extra‐pulmonary pathology and perform postmortem cultures and histologic sampling accordingly. 相似文献
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