It's time to find self-confident local leaders who will create No Excuses countercultures in places like Haiti, surrounding people — maybe just in a neighborhood or a school — with middle-class assumptions, an achievement ethos and tough, measurable demands.
The engineering view of a measurable, supply-independent, demand for parking that can be expressed by "minimum parking codes" has been generally rejected during the last two decades and is gradually being replaced by "maximum provision" codes, limited parking development, and demand pricing.
In all settings, key patient-level variables (e.g., the presence of anemia or neuropathy) should trigger a range of possible drug substitutions that will lead to measurable differences in demand at an individual clinic or regional level of care.
He liked Cadmus because representational art demanded measurable skill; it depended (here was the link to ballet) on established modes for exhibiting the human body.
So the obvious question is, if Obama's gonna up the ante to 30,000 troops, why not just give the general the 40,000 he asked for, albeit it with stringent progress demands, measurable benchmarks and realistic timetables for "mission accomplished" and a successful exit?
Back when it looked like a cap-and-trade system might be broadly adopted and create demand for measurable, verifiable reductions in carbon dioxide emissions (with carbon credits), Zagster developed a methodology for calculating the emissions avoided by bicycling instead of driving and had the system accredited for use in international trading.
In addition to the two megatrends already noted, there are economic pressures, technological advances, new government policies, increasing demand for measurable return on investment, demographic shifts in both student and leadership populations..
For lesser surgery, such as an inguinal hernia repair, there is little or no measurable increase in oxygen demand and postoperative cardiovascular complications would not be expected even in a patient with poor ventricular function.
All the publicity and anecdotal success stories bled over into a field that typically demands objective, measurable proof, and that's around the time all the flip-flopping began.
