Policy Board Research Articles

Documenting And Communicating Methods Used In Interdisciplinary Research And In Research Implementation

In this opinion editorial, New Water Policy and Practice International Advisory Board member Prof Gabriele Bammer (National Centre for Epidemiology and Population Health, Australian National University, Australia) draws inspiration from her work in developing Integration and Implementation Sciences, a new discipline providing concepts and methods for conducting research on complex, real‐world problems, and discusses the importance of documenting and communicating methods used in interdisciplinary research and in research implementation. Gabriele recognises that this is a key challenge of interdisciplinary research and proposes ways that contributors to New Water Policy and Practice Journal can help set the direction for interdisciplinary research.

Water on The African Continent and Its Use and Benefits for Development: A Vision for Angola

In this opinion editorial, New Water Policy and Practice International Advisory Board member Dr Carmen dos Santos (Director of the Department of Biology in the University of Agostinho Neto, Angola) discusses the challenges and the recent development of the institutional framework for water management in Angola in the context of the Southern African Development Community (SADC), with particular focus on the recognition of the strategic importance of water for the regional economic integration, and on the management of shared water resources.

A More Useful Agenda for Water Management

In this opinion editorial, New Water Policy and Practice International Advisory Board member Prof Mike Muller (Wits University Graduate School of Governance and former Director General of the Department of Water Affairs and Forestry, South Africa) begins with his thoughts on a more useful agenda for water management. Reflecting on examples of rights to water, privatisation and commoditisation of water in South Africa, the debate about dams and development in Africa, and river basins, regional institutions and state sovereignty, Mike presents the case that the current water management discourse has been distorted by strong interests with, on occasion, very significant negative impacts.

Engaging and Incentivizing the Private Sector: An Emerging Opportunity for the Water World

In this opinion editorial, New Water Policy and Practice International Advisory Board member Dr Zafar Adeel (Director of the United Nations University Institute for Water, Environment and Health, Canada) gives his thoughts on the role of the private sector in solving the world's water problems. Adeel opens by pointing out some of the failures of current approaches, identifies emerging opportunities that did not exist before now, describes the challenges of engaging and incentivising the private sector and finishes with the need to create positive incentives and effective regulations to support private sector contributions to resolution of the world's water problems.

Transboundary Wastewater Management Under Conditions of Inadequate Infrastructure and Political Complexity: the Need for Decentralized Approaches

In this opinion editorial, New Water Policy and Practice International Advisory Board member Dr Clive Lipchin (Director of the Center for Trans‐boundary Water Management, Arava Institute for Environmental Studies, Israel) discusses the need for decentralized approaches to transboundary wastewater management under conditions of inadequate infrastructure and political complexity. Clive focuses on the need for local approaches, stressing the relevance of community level management approaches and, using the Israel‐Palestine context in Gaza as a case example, calls for adaptation to socio‐political challenges to find long‐lasting solutions.

Integrated Water Resources Management from Rhetoric to Practice

In this opinion editorial, New Water Policy and Practice International Advisory Board member Prof Shahbaz Khan (Deputy Director UNESCO Regional Science Bureau for Asia and the Pacific, Jakarta, Indonesia) presents some ideas on how to move Integrated Water Resource Management (IWRM) from rhetoric to action. Reflecting on IWRM, and on some of the difficulties experienced in its implementation, Shahbaz discusses some international initiatives which can strengthen IWRM in practice, identifies obstacles to operationalising IWRM principles and proposes some opportunities to facilitate IWRM implementation at the river basin level.

Grounded achievements.

Melanie Morris, MEd, RD CHAIR OF THE BOARD Grounded achievements At the June national conference in Ottawa, we celebrated the achieve-ments of our members and the Association as a whole. When reflecting on our accomplishments as an organization, it is helpful to begin by reminding ourselves of our vision, mission, and values. What is Dietitians of Canada all about? It is in the context of these principles that we celebrate our accomplishments as we are halfway into achieving our Vision 2020. Our vision is to advance health through food and nutrition. Our mission, to be the voice of the profession, means that Dietitians of Canada seeks to support and advance ethical, evidence-based, best Dietetic practice and the profession’s unique body of knowledge of food and nutrition. It strives to prepare members for diverse and rewarding roles as leaders in promoting health and wellness as life-long learners and as mentors. Dietitians of Canada’s explicit values state that it will strive for excellence by modelling strategic leadership; being credible, innovative, and respectful; conducting our business with integrity; and being accountable. Are Dietitians of Canada members aware that these concepts are the foundation of Board activities that they are all captured in Dietitians of Canada Board policy and that they drive Board activities, and discussion and decision-making? Each of these stated values is rich with diverse professional expression. It is values such as these that guide professional practice and distinguish dietetic professionals from others, setting them apart as trusted partners in food and nutritional health care for all Canadians. I encourage members to revisit these concepts from time to time and to be proud of the ethical legacy that defines our profession. Stronger together.

OR14-5 * MEDICAL BOARD POLICIES IN THE UNITED STATES ON BUPRENORPHINE MAINTENANCE THERAPY FOR THE RECOVERING OPIOID DEPENDENT PHYSICIAN SEEKING A RETURN TO CLINICAL PRACTICE

Summary. Buprenorphine maintenance therapy for recovering opioid dependent physicians returning to practice is controversial, with concerns regarding neurocognition, despite treatment efficacy. This study's objective was to survey state medical board policies regarding physicians on buprenorphine maintenance therapy seeking a return to clinical practice. Methods. Fifty state medical boards were surveyed by phone and email to determine their policies regarding buprenorphine maintenance therapy for recovering physicians returning to practice. Results. Sixteen state boards would not allow a physician on buprenorphine maintenance therapy to practice. Eight state boards have policies allowing the treatment. Still fifteen other state boards consider the issue on a case by case basis, but have no specific policy. Ten state boards have not responded to multiple requests for information, and state law precludes one board from interpreting statutes without formal rulemaking process. Conclusions. Many state medical boards have a defined policy addressing buprenorphine maintenance therapy for physicians in recovery from opioid dependence. A number of boards allow physicians on buprenorphine maintenance therapy to practice, but a greater number preclude it. Many consider the issue on an individual basis. Further research on the safety and efficacy of buprenorphine maintenance therapy may broaden treatment policies for physicians with opioid dependence.

C-56 * Neuropsychological Test-Retest Performance following Traumatic Brain Injury in a Military Population

Objective: The purpose of this study was to determine the frequency of change in neuropsychological performance across time in deployed military personnel who experienced traumatic brain injury (TBI). The hypothesis was that frequency of changes would decrease as a function of time since injury. Method: Test-retest data was used to calculate reliable change index scores from 114 individuals over 10 neuropsychological tests. This data, part of a database of over 1, 000 evaluations of soldiers, was collected by a private practice in association with Camp Lejeune. These soldiers were deployed to Iraq/Afghanistan and were referred for comprehensive outpatient evaluation. The second testing session was on average 14 months, with a range of 2 to 34 months, following initial testing and was necessary for medical board policy compliance. Results: Mean percentage of the sample with significant increases for neuropsychological measures for < 6, 6–18, 19–29, and 30+ months since injury respectfully include; 13%, 16%, 7%, and 10%; significant decreases respectfully include 15%, 16%, 8%, and 10%. These mean changes include: CVLT-II, COWAT, Grooved Pegboard, TMT, Stroop, and WAIS-IV. Four tests were excluded due to suboptimal sample size. WAIS-IV working memory and similarities subtests supported the hypothesis with frequencies of changes decreasing as a function of time. Conclusion(s): The hypothesis was confirmed in subtests of the WAIS-IV, where changes decrease as a function of time since injury. Overall patterns seen in each group indicated highly variable neuropsychological performance following TBI up to 6 years following injury.

The Effects of Applying Revenue Management on Customer Satisfaction in Airline Industry: An Experimental Study in Indonesia

This research mainly discusses about the effects of applying revenue management, specifically in the contexts of inventory control (variation in ticket prices for the same flight and class) and denied boarding (permissibility of reservations exceeding carrying capacity as a hedging practice over the possibility of tickets cancellation) on the customers’ satisfaction toward airlines in Indonesia. Experimental method was applied on the research, involving students from University of Indonesia as participants. The results showed that inventory control policy partly affected customer satisfaction, while the denied boarding policy fully affected their satisfaction. These research findings can contributeto further studies on consumers’ behaviour in dynamic airlines industry, mainly in emerging markets such as Indonesia. Keywords: Airlines, Revenue Management, Customer Satisfaction

Bone health evaluation in a veteran population: a need for the Fracture Risk Assessment Tool (FRAX).

Approximately 2 million men in the United States have osteoporosis, but men are seldom evaluated or treated to prevent fracture. In the expanding veteran population, the fracture risk assessment tool, FRAX, could help reduce fracture risk. However, it is unknown how many veterans would meet the FRAX treatment threshold. To determine the proportion of untreated veterans who should be considered for osteoporosis treatment according to the Fracture Risk Assessment Tool (FRAX) among a randomly selected sample of older veterans receiving care at one Veterans Hospital and to determine the proportion of veterans in the sample who had received treatment. A retrospective review of 150 randomly selected charts from male veterans at least 70 years of age and female veterans at least 65 years of age receiving primary care at the William S. Middleton Memorial Veterans Hospital, Madison, WI, between January 1, 2007, and October 1, 2010. This study focused on men, but women were included per institutional review board policy. Charts from 147 men and 3 women were reviewed; 25 men had received osteoporosis treatment. Of 122 untreated men, 74 (61%) met FRAX treatment criteria, including 14 who had fractured. Although bone density testing is recommended by the National Osteoporosis Foundation for men at least 70 years old, only 21 (17%) untreated men had been tested. Most veterans who met FRAX criteria were not treated, including some who had had fractures. The VA should consider recommending FRAX to identify veterans at high risk for fracture.

Table of Contents

Abstract Chairman takes sudden interest in daily management affairs From the Board Doctor Read B&amp;A on the Web Anticipate board conflicts in board policy Board disengagement signals danger zone for CEO Board chair too involved? Be frank with board Provide guidance to set committee chairs up for success Persuasive arguments stress need for board self‐evaluation Build trust in management team, clinical performance to prevent micromanagement A lesson in board giving Resources Suggested Outline for Committee Reports Board Development Committee Chart of Work Tips From The Trenches Avoid this career‐killing board mistake Increase the involvement of a meddlesome board member Address this thorny board giving dilemma Board fundraising tip: Host an event Tips to find ‘doers’ for your board Board not making decisions? Try this tip Does your board evaluate its own performance?

Stereotactic microdebrider in deep lateral orbital decompression for patients with thyroid eye disease.

Stereotactic navigation systems have been used in neurosurgery and otolaryngology with great success. The current investigation illustrates the novel use of a microdebrider with built-in stereotactic guidance in a series of thyroid orbitopathy patients who underwent deep lateral orbital wall decompression surgery. A noncomparative, interventional, retrospective case series of patients who underwent deep lateral deep orbital wall decompression from 2006 to 2013 was conducted in accordance with Institutional Review Board policy and the Declaration of Helsinki. Patient demographics, indications for surgery, pre-, intra-, and postoperative findings along with complications were recorded. One hundred eight deep lateral orbital decompression surgeries were performed in 69 patients using the Straightshot M4 Microdebrider with built-in stereotactic guidance (Medtronics). Seventy-eight cases were in women and 30 cases were in men. The average age was 50.4 years (SD = 11.9 years). Indications for surgery included proptosis, exposure keratopathy, or compressive optic neuropathy. No patient experienced intraoperative complications. Specifically, cerebrospinal fluid leak, visual loss, infection, or unanticipated inflammation were not encountered. The average postoperative follow-up time was 5.35 months. Mean reduction in proptosis was 3.72 mm (SD = 2.1). Visual acuity improved in 32.4% (35/108) of cases. This surgical instrument combines a single handpiece locator, microdebrider, irrigator, retractor, and suction device into one. It enhances anatomical localization during orbital decompression and, with an integrated tissue guard, may decrease the risk of injury to orbital soft tissues. Stereotactic navigation enhances the surgeon's ability to determine the maximal limits of decompression in real time by confirming depth of bone removal and may potentially increase surgeons' confidence in orbital decompression surgery.

Multimodal pricing and optimal design of urban public transport: The interplay between traffic congestion and bus crowding

The interplay between congestion and crowding externalities in the design of urban bus systems is identified and analysed. A multimodal social welfare maximisation model with spatially disaggregated demand is developed, in which users choose between travelling by bus, car or walking in a transport corridor. Optimisation variables are bus fare, congestion toll, bus frequency, bus size, fare collection system, bus boarding policy and the number of seats inside buses. We find that optimal bus frequency results from a trade-off between the level of congestion inside buses, i.e., passengers’ crowding, and the level of congestion outside buses, i.e., the effect of frequency on slowing down both buses and cars in mixed-traffic roads. A numerical application shows that optimal frequency is quite sensitive to the assumptions on crowding costs, impact of buses on traffic congestion, and overall congestion level. If crowding matters to users, buses should have as many seats as possible, up to a minimum area that must be left free of seats. If for any other reason planners decide to have buses with fewer seats than optimal (e.g., to increase bus capacity), frequency should be increased to compensate for the discomfort imposed on public transport users. Finally, the consideration of crowding externalities (on both seating and standing) imposes a sizeable increase in the optimal bus fare, and consequently, a reduction of the optimal bus subsidy.

New Editor Announcement

Editors-Elect, Journal of Consumer Research July 1, 2014–June 30, 2017 On behalf of the Policy Board of the Journal of Consumer Research , I am delighted to announce the selection of the next editors of the journal. Professor Darren Dahl will serve as editor in chief, and Professors Eileen Fischer, Gita Venkataramani Johar, and Vicki Morwitz will …

Basic Principles Underlying Human Physiology

This is to declare that the article entitled “Basic Principles Underlying Human Physiology” [Health 6 (2014) 1816-1821] published in Health has been withdrawn due to the fact that the contents of this paper need further research and study. The article content (HTML and PDF) is removed and replaced with this announcement. The approval has been obtained from the author of this paper regarding the withdrawal of the article. In making this decision, the editorial office of Health is guided by the policies of the journal's editorial board and constrained by such legal requirements regarding libel, copyright infringement and plagiarism. In this context, Health strives to promote the circulation of scientific research, offering an ideal research publication platform to the world with specific regard to the ethical, moral and legal concerns involved. We would like to extend our sincere apologies for any inconvenience it may cause.

APA guidelines: their importance and a plan to keep them current: 2013 annual report of the Policy and Planning Board.

When guidelines are approved by APA, they become association policy, and it is imperative that they remain current. The revision of guidelines poses several challenges to the association. These challenges range from the availability and allocation of resources to support the complicated processes involved in developing and updating these policies to the lack of a clearly defined process that includes identification of tasks, assignments of responsibilities, and so forth. For this reason, the APA Board of Directors asked the Policy and Planning Board (P&P) to work with the boards of the four directorates (i.e., the Education Directorate, the Practice Directorate, the Public Interest Directorate, and the Science Directorate) to create a proposal that would (a) make recommendations with regard to how the review and revision of guidelines documents might best be accomplished in accordance with the APA Strategic Plan and existing policies and procedures and (b) make suggestions regarding the association resources that might be required. The Board of Directors approved the proposed review process in December 2013.

Special Section on Two Themes: Planet Earth and Big Data

The 2013 SIAM Conference on Computational Science and Engineering (CS&E) was held February 25--March 1, 2013, in Boston, Massachusetts. The SIAM Journal on Scientific Computing (SISC) created this special section in association with the CSE13 conference. Of course, the topic of CS&E is quite broad, so this special section focuses on two important themes: Planet Earth and Big Data. These topics are in the forefront of many contemporary discussions. Recently, “Mathematics, Statistics, and the Data Deluge” and “Mathematics of Sustainability” were the themes of the Math Awareness Months, in 2012 and 2013, respectively. These special months are sponsored by the Joint Policy Board for Mathematics (JPBM), which includes SIAM. Additionally, more than 100 technical organizations and institutes banded together with UNESCO to declare 2013 a special year of emphasis on the Mathematics of Planet Earth (MPE13). Of course, SISC traditionally publishes papers on these themes, and the papers in this special section are no different except that they represent a concetration in these topics. The eleven papers in this special section are a nearly even split between the two topics, with six on Planet Earth, four on Big Data, and one that intersects both themes. There are many natural intersections of the interests of SISC and Big Data. Randomized algorithms are an important approach for scaling down large-scale problems with redundant data. We include two papers on this topic. One paper provides a new way to do canonical correlation analysis for tall and skinny matrices by using a randomized algorithm to reduce the problem. The other paper considers the problem of quantile regression based on a weighted sampling method. Appealingly, both methods come with robust error bounds. MapReduce represents a new distributed computing paradigm that is data-centric, and we also have two papers on this topic. One considers a network science problem: approximate triangle counting in massive graphs. The other builds a reduced-order model from a tall and skinny matrix comprising many terabytes of data. Finally, we have a paper that has intersected both themes, using a novel approach for large-scale matrix completion with applications to exploration seismology. SISC is often an ideal venue for papers on computational aspects of geophysical phenomena, so Planet Earth is a natural theme. Six such papers appear in this special section. Three papers focus on the inverse problem of estimating unknown medium parameters. One paper tackles large-scale 3D seismic waveform inversion, introducing novel heuristics for balancing between computational cost and accuracy during the solution process. A second paper develops, analyzes, and assesses highly efficient stochastic and deterministic dimensionality reduction The third paper introduces a novel approach for imaging subsurface fluid flow by estimating the flow field and initial state directly from a time series of geophysical flow data, coupling the flow and imaging equations. We have two papers focusing on large-scale planetary flows. One develops and implements derivative-based methods of uncertainty quantification for global ocean state estimation, employing the MIT ocean general circulation model. The second paper develops a fully implicit nonhydrostatic solver for mesoscale atmospheric flows. The numerical solver employs a Jacobian-free Newton--Krylov--Schwarz algorithm, and it is implemented and run in parallel, demonstrating nearly linear scaling for thousands of processor cores. Our sixth Planet Earth paper develops a finite element solver for quasi-Newtonian flows. The paper features an analysis of the continuous saddle-point problem, and the numerical solver is demonstrated on realistic gravity flows, a viscoelastic steady wave, and glacier flow. The guest editorial board worked very hard to ensure a rigorous peer-review process while meeting deadlines. Special thanks are due to Mitch Chernoff (SIAM Publications Manager) and Brittni Holland (SIAM Editorial Associate) for their efforts on this special section.

Implementasi Kebijakan Badan Penyelenggara Jaminan Sosial (Bpjs) Kesehatan di Kabupaten Bantul Daerah Istimewa Yogyakarta

The purpose of this study to look at the policy implementation BPJS in Bantul and factors that influence and determine differences in the effect of policy towards participants PBI BPJS Health Insurance and Health Insurance PBI participants not. The method used is a combination of studies (mix method). The study was conducted in Bantul. Unit research conducted at the Office of Health BPJS Branch Yogyakarta, Bantul and Senopati Penembahan Hospital Patient Hospital Penembahan Senopati Bantul. Data collection techniques are observation, interviews, documentation, and questionnaire. Mechanical analysis of this study is to describe the implementation of Board policies BPJS using qualitative descriptive analysis. To explain the factors that affect product moment correlation analysis was used. Furthermore, in order to explain the effect of policy towards participants PBI BPJS Health Insurance and Health Insurance PBI participants not using Analysis of Variance (ANOVA) with the type of single classification analysis of variance (one way ANOVA). The results of this research, policy implementation in Bantul District Health BPJS implemented very well. After doing research results diperolehan communication dimension index values of 4.44 (very good), the dimensions of the resource of 4.59 (very good), the dimensions of the disposition of 4.44 (very good) and the dimensions of bureaucratic structures 4.57 (very good). Variables that affect the implementation of the Implementation of the Social Security Agency (BPJS) Health in Bantul is Context Policy (X2) which is equal to 0839 (very strong). Meanwhile Content Policy variable (X1) significant correlation to variable implementation (Y) is smaller than that of 0768 (very strong). Furthermore, there are differences in the effect of the Health Policy Implementation BPJS PBI participants Health Insurance and Health Insurance PBI participants not at all the dimensions of the dimension of participation with the value Fh = 100, the dimension of service to the value of Fh = 100 and a financial dimension to the value of Fh = 100.

Implementasi Kebijakan Badan Penyelenggara Jaminan Sosial (Bpjs) Kesehatan di Kabupaten Bantul Daerah Istimewa Yogyakarta

The purpose of this study to look at the policy implementation BPJS in Bantul and factors that influence and determine differences in the effect of policy towards participants PBI BPJS Health Insurance and Health Insurance PBI participants not. The method used is a combination of studies (mix method). The study was conducted in Bantul. Unit research conducted at the Office of Health BPJS Branch Yogyakarta, Bantul and Senopati Penembahan Hospital Patient Hospital Penembahan Senopati Bantul. Data collection techniques are observation, interviews, documentation, and questionnaire. Mechanical analysis of this study is to describe the implementation of Board policies BPJS using qualitative descriptive analysis. To explain the factors that affect product moment correlation analysis was used. Furthermore, in order to explain the effect of policy towards participants PBI BPJS Health Insurance and Health Insurance PBI participants not using Analysis of Variance (ANOVA) with the type of single classification analysis of variance (one way ANOVA). The results of this research, policy implementation in Bantul District Health BPJS implemented very well. After doing research results diperolehan communication dimension index values of 4.44 (very good), the dimensions of the resource of 4.59 (very good), the dimensions of the disposition of 4.44 (very good) and the dimensions of bureaucratic structures 4.57 (very good). Variables that affect the implementation of the Implementation of the Social Security Agency (BPJS) Health in Bantul is Context Policy (X2) which is equal to 0839 (very strong). Meanwhile Content Policy variable (X1) significant correlation to variable implementation (Y) is smaller than that of 0768 (very strong). Furthermore, there are differences in the effect of the Health Policy Implementation BPJS PBI participants Health Insurance and Health Insurance PBI participants not at all the dimensions of the dimension of participation with the value Fh = 100, the dimension of service to the value of Fh = 100 and a financial dimension to the value of Fh = 100.