Purpose -This paper primarily aims to address the following research question: Are techniques and practices developed for uninterrupted, for-profit supply chains adaptable to the not-for-profit (NFP), interrupted context? In other words, can the managerial tools of business logistics be used in humanitarian relief logistics? Design/methodology/approach -A combination of grounded research and case-based research methods is used. Grounded research methods involve coding interview data to enable constant comparison of the data with emerging categories. Three managerial representatives of a single case organisation, the Mennonite Central Committee (MCC), are interviewed. Findings -MCC is a small NFP organisation operating in interrupted environments. As a matter of strategy, it pursues economic and social objectives. Strategic partnerships with ''like-minded'' organisations are critical to achieve these objectives. To assess its achievements, MCC needs a wide range of performance measures. Research limitations/implications -Since the paper is based on a single case, it is difficult to generalise the results beyond MCC, a small, faith-based NFP providing humanitarian assistance. There are future research opportunities to study more cases and search for additional themes. Practical implications -Partnerships and performance measurement are important elements of supply chain management (SCM) in humanitarian relief, characterised by NFP operations in interrupted environments. SCM tools and techniques created in the for-profit or business context, for partnership formation (e.g. ''how to commit'') and performance measurement (e.g. balanced scorecard), should be adapted for the humanitarian context. Originality/value -There is a growing literature on supply chain interruptions, but very little research on NFP sector supply chains, despite pressing needs for effective SCM within the NFP context. Also, there are relatively few studies on adapting business logistics practices for the humanitarian logistics context. The paper addresses these issues.
In this population-based study, the occurrence of rheumatoid arthritis (RA, incidence, prevalence, age of onset) was examined in the entire population of Manitoba, Canada, which was then divided into First Nations (FN, indigenous to Canada) and non-FN. FN had a higher prevalence and incidence of RA and were younger at disease onset than the non-FN. In addition FN patients had fewer rheumatology visits which probably adds to the burden this disease represents for them. Supplemental digital content is available in the text.
Limited research exists examining long-term mental and physical health outcomes in adult survivors of pediatric burns. The authors examine the postinjury lifetime prevalence of common mental and physical disorders in a large pediatric burn cohort and compare the results with matched controls. Seven hundred and forty five survivors of childhood burns identified in the Burn Registry (<18 years old and total BSA >1% between April 1, 1988 and March 31, 2010) were matched 1:5 to the general population based on age at time of injury (index date), sex, and geographic residence. Postinjury rate ratio (RR) was used to compare burn cases and control cohorts for common mental and physical illnesses through physician billings, and hospital claims. RR was adjusted for sex, rural residence, and income. Compared with matched controls, postburn cases had significantly higher RR of all mental disorders, which remained significant (P < .05) after adjustment (major depression RR = 1.5 [confidence limit {CL}: 1.2-1.8], anxiety disorder RR = 1.5 [CL: 1.3-1.8), substance abuse RR = 2.3 [CL: 1.7-3.2], suicide attempt RR = 4.3 [CL: 1.6-12.1], or any mental disorder RR = 1.5 [CL: 1.3-1.8]). The relative rate of some physical illnesses was also significantly increased in burn survivors: arthritis RR = 1.2 (CL: 1.1-1.4), fractures RR = 1.4 (CL: 1.2-1.6), total respiratory morbidity RR = 1.1 (CL: 1.02-1.3), and any physical illness RR = 1.2 (CL: 1.1-1.3). Adult survivors of childhood burn injury have significantly increased rates of postburn mental and physical illnesses. Screening and appropriate management of these illnesses is essential when caring for this population.
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