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This study examined performance as a moderator of organizational adaptation to environmental change. Change in the composition of boards of directors was examined as a dependent variable reflecting organizational attempts to deal with changing external contingencies. We tested specific hypotheses in an analysis of 290 California hospitals over a seven-year period. Results indicate that hospitals change the composition of their boards to adapt to changing environmental contingencies but that the hospitals' performance moderates the rate of their response, with poorer performers being more willing to initiate changes in board composition than strong performers. [ABSTRACT FROM AUTHOR]

The Sustainable Groundwater Management Act (SGMA) of 2014 seeks to maintain groundwater discharge to streams to support environmental goals. In Scott Valley, in Siskiyou County, the Scott River and its tributaries are an important salmonid spawning habitat, and about 10% of average annual Scott River stream flow comes from groundwater. The local groundwater advisory committee is developing groundwater management alternatives that would increase summer and early fall stream flows. We developed a model to provide a framework to evaluate those alternatives. We first created a water budget for the Scott Valley groundwater basin and integrated the detailed, spatiotemporally distributed water budget results into a computer model of the basin that simultaneously accounted for groundwater flow, stream flow and landscape water fluxes. Different conceptual representations (using the MODFLOW RIV package and MODFLOW SFR package) of the stream-aquifer boundary provided significantly different results in the seasonal dynamics of groundwater-surface water fluxes. As groundwater sustainability agencies draw up plans to meet SGMA requirements, they must choose and test simulation tools carefully. [ABSTRACT FROM AUTHOR]

Background: Despite a solid research base supporting evidence-based practices (EBPs) for addiction treatment such as contingency management and medication-assisted treatment, these services are rarely implemented and delivered in community-based addiction treatment programs in the USA. As a result, many clients do not benefit from the most current and efficacious treatments, resulting in reduced quality of care and compromised treatment outcomes. Previous research indicates that addiction program leaders play a key role in supporting EBP adoption and use. The present study expanded on this previous work to identify strategies that addiction treatment program leaders report using to implement new practices.Methods: We relied on a staged and iterative mixed-methods approach to achieve the following four goals: (a) collect data using focus groups and semistructured interviews and conduct analyses to identify implicit managerial strategies for implementation, (b) use surveys to quantitatively rank strategy effectiveness, (c) determine how strategies fit with existing theories of organizational management and change, and (d) use a consensus group to corroborate and expand on the results of the previous three stages. Each goal corresponded to a methodological phase, which included data collection and analytic approaches to identify and evaluate leadership interventions that facilitate EBP implementation in community-based addiction treatment programs.Results: Findings show that the top-ranked strategies involved the recruitment and selection of staff members receptive to change, offering support and requesting feedback during the implementation process, and offering in vivo and hands-on training. Most strategies corresponded to emergent implementation leadership approaches that also utilize principles of transformational and transactional leadership styles. Leadership behaviors represented orientations such as being proactive to respond to implementation needs, supportive to assist staff members during the uptake of new practices, knowledgeable to properly guide the implementation process, and perseverant to address ongoing barriers that are likely to stall implementation efforts.Conclusions: These findings emphasize how leadership approaches are leveraged to facilitate the implementation and delivery of EBPs in publicly funded addiction treatment programs. Findings have implications for the content and structure of leadership interventions needed in community-based addiction treatment programs and the development of leadership interventions in these and other service settings. [ABSTRACT FROM AUTHOR]

The 12.4 million Mexican migrants in the United States (US) face considerable barriers to access health care, with 45 % of them being uninsured. The Affordable Care Act (ACA) does not address lack of insurance for some immigrants, and the excluded groups are a large proportion of the Mexican-American community. To redress this, innovative forms of health insurance coverage have to be explored. This study analyses factors associated with willingness to pay for cross-border, bi-national health insurance (BHI) among Mexican immigrants in the US. Surveys were administered to 1,335 Mexican migrants in the Mexican Consulate of Los Angeles to assess their health status, healthcare utilization, and willingness to purchase BHI. Logistic regression was used to identify predictors of willingness to pay for BHI. Having a job, not having health insurance in the US, and relatives in Mexico attending public health services were significant predictors of willingness to pay for BHI. In addition, individuals identified quality as the most important factor when considering BHI. In spite of the interest for BHI among 54 % of the sampled population, our study concludes that this type of coverage is unlikely to solve access to care challenges due to ACA eligibility among different Mexican immigrant populations. [ABSTRACT FROM AUTHOR]

This article opens a new, interdisciplinary and multidisciplinary research direction in the study of talent: the study of talent and economy. The progress of human civilization is based on scientific, technological, educational, political, and commercial achievements of the mind of its most talented individuals. The gifted and talented are thus mainly responsible for innovations worldwide. The degree of societal interest in talented individuals will hence be eventually reflected in the level of innovations in society, that is, in its economic prosperity. Innovation is hence strongly related to giftedness, and giftedness is closely related to economy and public policy and therefore should be among the top priorities on any government's agenda. The case- study of Silicon Valley as a region of excellence based on giftedness is presented as an illustration of the impact of talented individuals on economy. Talent and economy is an unexplored research subject and a promising scientific trend. [ABSTRACT FROM AUTHOR]

Previous analyses have suggested that factors that stimulate the sympathetic nervous system and catecholamine release can trigger acute myocardial infarction. The wake-up time, Mondays, winter season, physical exertion, emotional upset, overeating, lack of sleep, cocaine, marijuana, anger, and sexual activity are some of the more common triggers. Certain natural disasters such as earthquakes and blizzards have also been associated with an increase in cardiac events. Certain unnatural triggers may play a role including the Holiday season. Holiday season cardiac events peak on Christmas and New Year. A number of hypotheses have been raised to explain the increase in cardiac events during the holidays, including overeating, excessive use of salt and alcohol, exposure to particulates, from fireplaces, a delay in seeking medical help, anxiety or depression related to the holidays, and poorer staffing of health care facilities at this time. War has been associated with an increase in cardiac events. Data regarding an increase in cardiac events during the 9/11 terrorist attack have been mixed. Understanding the cause of cardiovascular triggers will help in developing potential therapies.