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This work investigates a regional hospital, which has an affiliated low-acuity emergency department (ED) facility that currently struggles to meet its service level goal (85% of its patients should be in the room in 60 minutes or less). A capability analysis using data from existing processes at this facility revealed that with the current processes and current level of resources, the facility is not capable of meeting existing service level goal. A simulation was developed to examine multiple alternatives that could improve patient flow at the facility. A set of scenarios were created that modified one or more of the resources such as doctors, nurses, and rooms by changing their schedules or their quantities. The impact of the response variables related to the facility’s service level goal was recorded for each scenario. Based on the results of the simulation, recommendations to the facility for alternative ways to schedule and allocate its resources in order to meet its current service level goal were given.

“It is now becoming widely recognised that many of the central unresolved problems in economics turn on questions of knowledge” (Loasby, 1986, p. 41). Nearly twenty years after that was written, it may be appropriate to take a (necessarily selective) look at ideas about human knowledge and to suggest some implications for the practice of economists. The ideas with which we shall begin long predate the observation that I have just recalled; and the delay in recognising their implications indicates how the growth of knowledge is dependent on the formation of appropriate linkages – which of course are not recognised as appropriate until they have been formed. Adam Smith, Alfred Marshall and Friedrich Hayek were all confronted with the uncertain basis of knowledge before they began their study of economics; and what their responses have in common is not only a theoretical focus on the process by which people develop what we call “knowledge” but also a reliance on similar kinds of process, which result in the formation of connections within particular domains. Each author recognises the impossibility of demonstrating that any such process can deliver proven truth; instead each envisages sequences of trial and error within particular contexts, leading to the preservation of what seems to work – until it no longer does, when a new sequence of trial and error begins. In other words, they all offer evolutionary theories, Marshall and Hayek explicitly so, while Smith, directly and indirectly, had a major influence on the development of Darwin’s ideas.

This qualitative study researches the concept of entrepreneurship in an indigenous population by assessing the external and internal challenges entrepreneurs face, discusses the various types of support offered, and compiles recommendations for partners to understand the Diné entrepreneur. This research interviewed nine enrolled members of the Navajo Nation tribe who have either created businesses on the reservations, managed non-profits aimed at supporting entrepreneurs, or possessed a wealth of entrepreneurial experiences working both on or off the Navajo Nation Reservation. This text builds upon the themes of economic development, cultural-match, and indigenous sovereignty by analyzing the concept, action, and future of Diné entrepreneurship.

Students with special needs include children with impaired attention, disruptive behavior, learning disabilities, and developmental disorders, among many other conditions. When a child has been diagnosed with such a disorder, his or her parents may seek treatment that could assist the child to be more academically and socially successful. Numerous interventions exist for the treatment of childhood disorders; however, these treatment methods differ in the types and amounts of evidence supporting their usefulness and effectiveness (Lilienfeld, 2005).