It found there were "systemic elements" to some of the practices, suggesting senior executives had sanctioned them, and they were therefore part of their "regular course of business".
"Those systemic elements are helping the sector improve and they're getting better.
In response to the new resources introduced into the system by the programme, a change in the actors' behaviour or their interactions with systemic elements could create a new way of doing things and thus result in the programme outcome.
Their purpose in developing this conceptual framework was not to assess the systemic elements of 'successful' health services exporters, but instead to highlight and organize common health policy implications raised by medical tourism for destination countries.
While the important role played by programme context and setting in the design of complex interventions has been reported elsewhere, 18 41–43 the findings of this study highlight key systemic elements of the patient's experience that have significant implications for care.
Lebanese sociologist Mona Fayyad said students of violence mechanisms should consider ties between the environment and violent behavior, including contextual hereditary and biological factors, systemic psychological elements from depression to character to personality to an individual's learning capacity, to political, social, and cultural elements.
This immune response may then either lead to elimination of the tumour, or may be overcome by the tumour either via the induction of tolerance, the acquisition of local and/or systemic immunosuppressive elements by the tumour or by an increased proliferative capacity resulting from additional genetic mutations.
The semimechanistic pregnancy compartment model developed by Quinney et al. incorporated the intestinal lumen, intestinal wall, liver, portal circulation, and systemic circulation as elements to represent the key organs involved in the absorption, metabolism, and distribution of the investigated drugs midazolam and nifedipine.
These criteria included: the presence of suspected or documented infection; three of the following four systemic inflammatory response elements temperature >38°C or <36°C, heart rate >90 beats/min, respiratory rate >20 breaths/min or PaCO2 <32 mm Hg and white blood cell count >12,000 cells/mm, <4,000 cells/mm3 or >10percentnt immature (band) forms; and evidence of at least one organ failure.
It is widely appreciated that autoimmunity and end-organ damage, which are essential elements of systemic lupus erythematosus (SLE), are regulated by Fcγ receptors (FcγRs).
