The US platelet supply is almost exclusively dependent on apheresis donors who are “aging out.” As a result, blood centers and hospitals have been experiencing spot shortages and…
Abstract
Purpose
The US platelet supply is almost exclusively dependent on apheresis donors who are “aging out.” As a result, blood centers and hospitals have been experiencing spot shortages and have resorted to transfusing low-dose platelets. This paper explores using whole blood–derived platelets (WB-PLTs) to supplement the apheresis platelet (APH-PLT) supply.
Design/methodology/approach
This paper reviews the history leading to the current state of the US platelet supply and includes the impact of recent events such as the COVID-19 pandemic and the implementation of the US Food and Drug Administration (FDA)-mandated bacterial mitigation strategies.
Findings
WB-PLTs represent a viable source of platelets that can be used to supplement the APH-PLT supply. Whole blood automation represents a new methodology to more easily prepare WB-PLTs. Advances in donor testing and screening as well as pre-storage leukoreduction have improved the safety of WB-PLTs to the same level as APH-PLTs. Blood services in the US and abroad transfuse WB-PLTs interchangeably in all patient populations.
Originality/value
This paper highlights how the US blood industry is essentially “sole-sourced” in terms of APH-PLTs. In this post-COVID-19 period, when most industries are building redundancies in their supply chains, blood centers should consider WB-PLTs as an additional source of platelets to bolster the US platelet supply.
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The importance and weighting given to certain factors by occupational therapists, during the assessment process for assistive technology (AT), may have an affect on the eventual…
Abstract
The importance and weighting given to certain factors by occupational therapists, during the assessment process for assistive technology (AT), may have an affect on the eventual outcome for the client. Factors examined included risks around the user, carer and their environments, training and knowledge of AT, policy issues on provision and actual practice, choice of AT and whether AT has an impact on care provision. Out of 50 anonymous questionnaires sent out to collect information, 36 were returned direct to the researcher by stamped addressed envelope. 19 respondents from health and 17 from social services provided a good balance and allowed an opportunity for cross comparison. Areas of practice around multidisciplinary team working and client follow‐up were found to be weak. Frequency of social alarm referrals where no lifeline existed was low. Thematic analysis from feedback also identified concerns over knowledge and awareness of assistive technology. Differences between health and social services were detected. The research identified that many of the factors were being considered by occupational therapists, however, some of these factors were not permeating through to actual practice and application, which highlighted inconsistency in OT practice and the effect of local practice conditions on AT prescription.
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Lucas Kanclerz and Lisa M. DeChano‐Cook
This research aims to examine the wildfire vulnerability of part‐time and full‐time residents in the wildland‐urban interface (WUI) of Teton County, Wyoming. Are part‐time…
Abstract
Purpose
This research aims to examine the wildfire vulnerability of part‐time and full‐time residents in the wildland‐urban interface (WUI) of Teton County, Wyoming. Are part‐time residents creating more of a vulnerability to the community because they do not live in the community all year, they have limited experience with wildfires, and they perceive Firewise activities as not being effective mitigation practices?
Design/methodology/approach
Data collection took place via a survey that inquired about respondents past wildfire experiences, if they do Firewise activities, and how effective they feel these wildfire home protection activities are. Responses were analyzed by Chi‐squared and t‐tests where appropriate.
Findings
The results of this study indicate that part‐time residents have the same past wildfire experiences and perceptions of Firewise activities, and do similar Firewise activities as full‐time residents. This suggests that these communities in Teton County may be more homogenous in their vulnerability than other wildfire communities.
Research limitations/implications
Because of the limited geographic scope, results cannot be generalized for the entire county, the state of Wyoming, or other wildfire‐prone residential areas. Therefore, researchers are encouraged to investigate other WUI areas.
Practical implications
This research suggests that local and federal agencies in and near these communities talk to the residents of wildland‐interface communities and help them become less vulnerable to the wildfire hazard.
Originality/value
This research adds to the limited know of wildfire‐urban interface vulnerability and perceptions. It is significant because this interface will expand as amenity migration into these natural areas continues to occur.
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J. Pete Blair, Timothy R. Levine, Torsten O. Reimer and John D. McCluskey
The purpose of this paper is to present a review of the deception detection literature that arrives at a different conclusion from the one presented by King and Dunn…
Abstract
Purpose
The purpose of this paper is to present a review of the deception detection literature that arrives at a different conclusion from the one presented by King and Dunn. Specifically, the authors’ review shows that people can detect deception at significantly above chance accuracy in policing environments. A new paradigm for deception detection is also discussed.
Design/methodology/approach
An extensive literature review was conducted.
Findings
People can detect deception at levels that exceed chance in a variety of police‐related environments when an ecological approach to detecting deception is adopted.
Practical implications
The authors’ review suggests that it is time for deception detection training and manuals to move away from the demeanor‐based systems that are currently dominant and toward coherence and correspondence‐based systems.
Originality/value
The paper presents a perspective that is different from the one advanced by King and Dunn. It also introduces the ecological detection of deception paradigm to the policing literature.
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Establishes a vision and a national (USA) strategy for civicnetworking. Encompasses citizen groups, voluntary organizations andlocal government, using an information…
Abstract
Establishes a vision and a national (USA) strategy for civic networking. Encompasses citizen groups, voluntary organizations and local government, using an information infrastructure for public benefit. Outlines four “Grand Challenges”, a set of policy goals and a detailed agenda for action.
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This article compares the state of the French and Californian wine industries from a business perspective, through a broad survey of recent academic and popular press articles…
Abstract
This article compares the state of the French and Californian wine industries from a business perspective, through a broad survey of recent academic and popular press articles. Although these two wine regions may seem disparate, commonalities (including potential business opportunities and threats) make the comparison relevant. Facets of supply and demand are analyzed, and respective production and distribution regulations are summarized. Several predictions for the future are presented, with suggestions on how to best leverage these trends. Demands will rise as the economic downturn abates and overall non‐cyclic market expansion continues. Segmentation will play an even more important role in how suppliers target their offerings, as will changes within distribution and wine retailing. Regional shares of the domestic and export markets will shift as globalization of the sector, including international mergers and partnerships, continues. In conclusion, suppliers from both regions can take advantage of current conditions and future trends to produce and market wines in a business‐savvy manner.
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Julia Beckett and Cheryl Simrell King
This article considers the recent emphasis on the importance and value of citizen participation, involvement, and engagement in local government and how active participation…
Abstract
This article considers the recent emphasis on the importance and value of citizen participation, involvement, and engagement in local government and how active participation extends to public budgeting. The inclusion of citizen participation in local government budget processes challenges the traditional budget discourse between managers and representatives. Active citizen participation provides valuable comments and insight as well as complexity and challenges to administrative processes. This article discusses the themes, opportunities, techniques and strategies developed in this symposium to expand citizen participation in public budgeting. Continued discussion and innovation in active citizen participation in budgeting is encouraged.