This is, at its core, an issue of stewardship.
The study was limited to a single institution with small number of patients eligible for de-escalation; however, these stewardship issues are likely to be generalizable to other institutions.
As brewer SABMiller's water expert, David Grant, explains: a partner on water stewardship issues must have a wide breadth of international experience, while exhibiting the most granular knowledge of local issues.
Known as Medea, for Measurements of Earth Data for Environmental Analysis, the group sought to discover if intelligence archives and assets could shed light on issues of environmental stewardship.
"The question was how do we bring this together and trust it?" He said the foundation's mission statement, which focuses mainly on issues of environmental stewardship, had become a touchstone.
Since many institutions are highly siloed, and having a diverse data stewardship, issues of data governance and the capability to have the right access to relevant data are still regarded as a primary concern.
The first rabbi ever to serve as President of the Montclair Clergy Association, he has served on the NJ Greenfaith board and now chairs its programming committee, a statewide coalition to work on issues of environmental stewardship, justice and spirituality.
As Shaun Ferris, an agriculture expert with Catholic Relief Services, recently told me, we're still dealing with "short-term political cycles that are focused on economic volatility, rather than long-term stewardship issues".
One of the major issues in antibiotic stewardship in nursing homes is the use of antibiotics to treat suspected UTIs [ 37- 40].
The importance of initiating treatment as soon as possible has been highlighted and shown to be associated with improved outcomes (2), yet this finding needs to be balanced against the direct risks and stewardship issues arising from overzealous or inappropriate antibiotic use.
