Although there are potential tradeoffs among conservation for biodiversity, ecosystem services (ecological processes benefiting people), and economic costs, a systemic planning framework can help to identify synergies.
Additionally, Gustafson and Branch (2002) indicate that instructional design is a systemic, planned, synergic and structured process, which must be executed before providing a course or an educational activity.
We shall limit our remarks to the need to choose the best place for systemic planning and strategic vision in the existing context.
The qualitative hypothesis that subtends this thinking is that using an analytical, systemic planning and strategic synthesis model based on a systemic and participatory approach on various strategic and operational levels will procure the necessary vision for changing the basic education and training of nurses in (technical) secondary schools in the DRC.
So it is that in the 6th Directorate of the Ministry of Health of the DRC, which is in charge of paramedical secondary education, the need was perceived to develop systemic planning tools that would give a comprehensive, consistent vision of the sector's needs.
Last week, the secretaries of Treasury, Labor and Commerce wrote a letter to the Senate majority leader, Bill Frist, warning him that they would recommend that President Bush veto any legislation that contained "provisions that would significantly further exacerbate systemic pension plan underfunding".
Our study confirms this, as the systemic treatment plan was not changed in any of the patients.
Using a minimisation technique to randomise patients, the two groups were well balanced for T-stage, lymph node involvement, oestrogen receptor (ER) status, neoadjuvant systemic treatment plan and CT type (anthracycline/taxane), menopausal status, the use of statins (which also act on the mevalonate pathway) and treatment centre.
It is important to remember that we are talking about systemic and operational planning, not just strategic planning [ 4].
Among their conclusions is that public health planners need to recognize "that planning and evaluation are not yet sufficiently systemic and that planning should be continuous and adaptive, with constant feedback among planning, action, and evaluation".
These data support the use of established prognostic factors as a diagnostic tool to assess disease outcome and to plan systemic treatment strategies in young breast cancer patients.
