Supply chain management can create value by synchronizing logistical activities among participants to reduce costs associated with duplication of effort and positioning the entire supply chain to better serve key customers (Bowersox, Closs, and Stank 1999;Stank, Keller, and Closs 2001). Cost effective and hard to replicate logistical capabilities involve a high degree of operational integration within the firm to link procurement, the inbound movement of raw materials, manufacturing, delivery of products and services to end-users, and processing returns from customers, in a cost effective manner. World-class firms expand the integrative concept by placing significant emphasis on collaborative planning and operations with selected customers and suppliers to extend the effective control of the enterprise (Stank, Keller, and Daugherty 2001).Integrated operational processes are facilitated by infrastructure development to support the wide variety of operational configurations needed to create supply chain solutions for specific customers (Bowersox, Closs, and Stank 1999). Such infrastructure support encompasses the information and measurement systems necessary to manage coordinated supply chain logistical operations. Integrated information systems provide fingertip access to coordinated data and the software needed to process it. Integrated measurement systems extend across the borders of internal functional areas and external supply chain partners to provide timely feedback that enables management to take corrective action and drive superior results.Coordinated operational processes and control structures may benefit from a strategic framework that facilitates cultivation of relationships necessary for maintaining a competence in logistics integration (Bowersox, Closs, and Stank 1999;Chow, Heaver, and Henriksson 1995). A relational strategy encourages identification of supply chain partners that share a common vision and are JOURNAL
The rise of e‐commerce over the past 20 years has created an increased need for responsive omnichannel distribution to meet the last mile challenge. Some companies are experimenting with the use of the sharing economy business model to augment distribution strategies. The use of so‐called “Crowdsourced Logistics” (CSL) is becoming more prevalent in practice, but the role in logistics strategy of this new phenomenon has not been thoroughly investigated and understood. Using a contingency theory lens, this research contributes a nascent understanding of how CSL performs in terms of logistics effectiveness by simulating same‐day delivery services from a distribution center to 1,000 customer locations throughout New York City under dynamic market conditions and by comparing the results to those of a traditional dedicated fleet of delivery drivers. The findings are analyzed to suggest how firms may find strategic benefit using CSL. An agenda for future research is provided to explore these strategic implications and to deepen knowledge about the CSL phenomenon.
Health literacy, a more complex concept than knowledge, is a required capacity to obtain, understand, integrate and act on health information [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also noticed that the higher levels of health literacy were in the area adolescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that influence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adolescents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encompassing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of information should be taken into account, as well as needs of information in some topics referred by adolescents in an efficient health education. Schizophrenia is a serious and chronic mental illness which has a profound effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to improve the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise programs are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and selfperception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diagnosis of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psychological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD -p = 0.001) and physical components of the psychological test...
The results of this study allow more effective monitoring by health professionals of levels of burden and quality of life encountered in pressure ulcer informal caregivers, as well as direct interventions to inhibit the factors inducing burden and enhance those that improve quality of life.
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