The drug logistics process: an innovation experience

Purpose - The purpose of this paper is to present the latest innovations in the drug distribution processes of hospital companies, which are currently dealing with high inventory and storage costs and fragmented organizational responsibilities. Design/methodology/approach - The literature review and the in-depth analysis of a case study support the understanding of the unit dose drug distribution system and the subsequent definition of the practical implications for hospital companies. Findings - Starting from the insights offered by the case study, the analysis shows that the unit dose system allows hospitals to improve the patient care quality and reduce costs. Research limitations/implications - The limitations of the research are those related to the theoretical and exploratory nature of the study, but from a practical point of view, the work provides important indications to the management of healthcare companies, which have to innovate their drug distribution systems. Originality/value - This paper analyzes a new and highly topical issue and provides several insights for the competitive development of a fundamental sector

Substance use in the club scene of Rome : a pilot study

Date of Acceptance: 28/08/2014 Copyright © 2014 Alessandro Emiliano Vento et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly citedOver the last few years, a wide number of unregulated substances have been marketed on the Web and in smart and head shops; they are usually advertised as legal alternatives to commonly known drugs and are defined as “smart drugs,” “legal highs,” and “novel psychoactive substances” (NPS). Aim of our work is to describe use habits and distribution of NPS in a population of young adults in Rome club scene. Methods. A self-administered questionnaire was proposed to subjects over 18 years of age at the entrance of 5 nightclubs in Rome. Socioeconomic characteristics and substance use were investigated. Results. Preliminary results give evidence that 78% of respondents have a lifetime history of NPS use. In addition, 56% of the sample has consumed illicit drugs in the past and 39% has used psychoactive substances in the 12 hours preceding the questionnaire administration. Conclusions. A significant proportion of subjects report use of novel psychoactive substances; traditional illicit drugs consumption, particularly cocaine, appears to be very high as well in the club scene. These data highlight a serious public health challenge, since pharmacological, toxicological, and psychopathological effects linked to interactions among all these substances may be unpredictable and sometimes fatal in vulnerable individualsPeer reviewedFinal Published versio

Becoming a (green) identity entrepreneur: learning to negotiate situated identities to nurture community environmental practice

This paper explores the relationship between ‘green’ identity and community environmental practice. It focuses on the ways in which professional community development facilitators and lead members of community groups attempt to actively shape how environmental projects are locally received. Drawing principally on identity, social sustainability and social practice theory scholarship, it reviews the often very personal and place-specific ways in which appeals to green identity are variously understood and applied, or are actively avoided, by community group leaders. Individuals who have become skilful in negotiating and influencing the presentation of environmental projects to the local community are understood here as (green) identity entrepreneurs. Arguably, it is the situated entrepreneurial skilfulness of lead individuals in negotiating the multiple and evolving (green) identities circulating through any one project, which plays a significant part in determining its subsequent impact and longevity. In understanding the contribution of (green) identity entrepreneurship, however, its relational association with everyday practices, routines and meanings of community and place is brought to the fore. The paper also considers how divergent external interpretations of what constitutes legitimate environmental practice at a local level further shape project identity. The discussion is informed by evidence drawn from a qualitative study of seventeen community groups and seven professional environmental support officers participating in a Welsh Government led programme aimed at facilitating 'community action on climate change'

My Bird-Shaped Heart

How a childhood pet inspired an advocate\u27s career

Cultivating an Inclusive Mindset in your Jewish Community: Turning Good Intentions into Tangible Outcomes

This curriculum provides training and resources to Jewish day schools, synagogues, summer camps, and other organizations seeking to better embrace all members of their community and foster full and meaningful integration and participation. Focused primarily on youth with developmental and learning disabilities, though with definite implications for other populations, this curriculum provides a first-step for a community seeking to become more inclusive. Beginning with developing a commitment to inclusion and a common mindset among the staff that will be charged with implementing the programming, the curriculum strives to ensure collaboration from every stakeholder and community member. The second section is focused on children, providing a developmentally appropriate scope and sequence in order to scaffold children’s understanding of difference and disability. By focusing on the overall culture and mindset of the community towards difference and disability, the curriculum stands in contrast to traditional approaches to disability awareness and sensitivity trainings, seeking to shift understandings of what it truly means to embrace and include people with a variety of developmental variations

Empirical agent-based modelling of everyday pro-environmental behaviours at work

We report on agent-based modelling work in the LOCAW project (Low Carbon at Work: Modelling Agents and Organisations to Achieve Transition to a Low Carbon Europe). The project explored the effectiveness of various backcasting scenarios conducted with case study organisations in bringing about pro-environmental change in the workforce in the domains of transport, energy use and waste. The model used qualitative representations of workspaces in formalising each scenario, and decision trees learned from questionnaire responses to represent decision-making. We describe the process by which the decision trees were constructed, noting that the use of decision trees in agent-based models requires particular considerations owing to the potential use of explanatory variables in model dynamics. The results of the modelling in various scenarios emphasise the importance of structural environmental changes in facilitating everyday pro-environmental behaviour, but also show there is a role for psychological variables such as norms, values and efficacy. As such, the topology of social interactions is a potentially important driver, raising the interesting prospect that both workplace geography and organisational hierarchy have a role to play in influencing workplace pro-environmental behaviours

Does unfairness sound wrong? A cross-domain investigation of expectations in music and social decision-making

This study was interested in investigating the existence of a shared psychological mechanism for the processing of expectations across domains. The literature on music and language shows that violations of expectations produce similar neural responses and violating the expectation in one domain may influence the processing of stimuli in the other domain. Like music and language, our social world is governed by a system of inherent rules or norms, such as fairness. The study therefore aimed to draw a parallel to the social domain and investigate whether a manipulation of melodic expectation can influence the processing of higher-level expectations of fairness. Specifically, we aimed to investigate whether the presence of an unexpected melody enhances or reduces participants’ sensitivity to the violations of fairness and the behavioural reactions associated with these. We embedded a manipulation of melodic expectation within a social decision-making paradigm, whereby musically expected and unexpected stimuli will be simultaneously presented with fair and unfair divisions in a third-party altruistic punishment game. Both behavioural and EEG responses were recorded. Results from the pre-planned analyses show that participants are less likely to punish when the melodic stimuli are more unexpected and that violations of fairness norms elicit MFN-life effects. However, since no significant interactions between melodic expectancy and fairness of the division were found, results fail to provide evidence of a shared mechanism for the processing of expectations. Exploratory analyses show two additional effects: i) unfair divisions elicit an early attentional component (P2), likely associated with stimulus saliency, and ii) mid-value divisions elicit a late MFN-like component, likely reflecting stimulus ambiguity. Future studies could build on these results to further investigate the effect of the cross-domain influence of music on the processing of social stimuli on these early and late components

Presence-Centered Flourishing: A Proposal of Alternative Strategies to Promote Sustainable Living

Flourishing has been identified as a central concept in the new approaches based on the idea of positive psychology emerging at the end of the 20th and beginning of the 21st centuries. A culture based on the idea of harmony may never have existed among the large public in the history of human thought. An educational system of this type could be based on what we propose here as a «presence-centered» pedagogy (in contrast to the contemporary «information-centered» and «skill-centered» pedagogies). The alternative education process that we propose is also particularly fitted to be conducted amongst nature and outdoor spaces rather than within a classroom, based on the extensive literature on the positive effects of contact with nature for human health and wellbeing. From a philosophical perspective, a presence-centered pedagogy would result in the promotion of a new sense of agency: an identity developed by exercising our co-dependence with the rest of the ecosystemic processes and life-support systems, as opposed to an identity conceived as being separated from the external environment. We argue here that such a revolutionary change of human’s self-definition could result in higher likelihood of changing our lifestyles in the direction of sustainability and collective wellbeing