Buyer-supplier relationships in purchasing and supply chain management practice are instrumental and often "messy".
Conclusion: The addition of sufentanil to our protocol for EA has not altered the practice of instrumental extraction in our department.
Why is it, to talk with Moss, that genetics is still "understood not as a practice of instrumental reductionism but rather in the constitutive reductionist vein" implying the "ability to account for the production of the phenotype on the basis of the genes" (Moss 2003, 50)?
Evidence may be used to support a position that is already taken (symbolic use), to inform discussions and debate about a topical issue (conceptual use), or used to actually create guidelines or change practice directly (instrumental use) [ 23, 24].
The identification of champions of change in both the division and participating practices, the celebration of positive achievements and the use 'real data' from practices to demonstrate improved health outcomes for patients from the practice were instrumental in motivating participating GPs to both implement and sustain changes in their diabetes care delivery.
Public health laboratories in the United States now routinely subtype all E. coli O157 H7 isolates by PFGE as part of a national molecular subtyping network (PulseNet) (2 ) after this practice proved instrumental in identifying outbreaks not detected by traditional epidemiologic methods (3 ).
The primary outcomes were referral rates in midwifery practices, and instrumental birth (forceps or vacuum birth or unplanned caesarean section).
In the current study, parents described using a variety of feeding practices, including instrumental feeding (e.g. offering dessert as a reward for eating the main course), pressure to eat, and less rigid prompting to eat [ 80].
The honing of visual pattern recognition and pattern matching skills resulting from instrumental practice and notation reading may explain our surprising results on the Raven's Progressive Matrices, since many of the items on this test can be solved using a visual pattern recognition/matching strategy.
The first printed book on musical instruments, Sebastian Virdung's Musica getutscht (1511; "Music Translated into German"), contains woodcuts of instruments and some indications of instrumental practice and technique.
