ABSTRACT
Support for purchase and operation of microsystems hardware and software at Forbes Health System in Pittsburgh, Pennsylvania is provided by Management Engineering, part of the Management Systems Division. Five key areas of support are described in this paper: Purchase Control, Installation Management, Operational Support, Development Services and Training Management. Discussion of multiple training options, centralized hardware support and specialized levels of end user operational support are included. Some future directions in software and hardware utilization are also presented.
Subject(s)
Hospital Information Systems/standards , Microcomputers , Multi-Institutional Systems/organization & administration , Purchasing, Hospital/organization & administration , Computer User Training , Humans , Institutional Management Teams , Local Area Networks , Maintenance , Pennsylvania , SoftwareABSTRACT
PIP: The relationship between fertility and domestic adjustments that people have made to changing conditions of production and consumption in a rural community in western Guatemala is investigated. Both present and past systems of production and the domestic factors affecting the timing of family formation and the incidence of sexual activity with unions are described. The data were collected between 1973-76 in Aguacatan, a rural community in western Guatemala. Population and patterns of production and consumption have changed in the period since World War 2. Population size increased from 10,400 to 14,694 in the 1950-64 period. This growth occurred during a period when local economic life was strongly affected by improved transport, agricultural innovation, and population growth itself. Throughout this period the family has remained the basic economic unit. Marriage and childbearing are the major means available to families for adjusting personnel to the needs of production and the limitations on consumption. The finding of an analysis of the relationship between them is discussed in terms of stresses impinging on the domestic unit. The relationship between productive systems and childbearing is assessed by analyzing the variance of demographic variables between households in different productive sectors. The sample of households was selected from a group of 383 women aged 15 or older, surveyed in the latter half of 1974. Focus is on differences in reproduction between households of basketmakers, garlic producers, and rainfall farmers, and only women from these households are included. Women aged 45 and older at the time of the study were grouped into cohort 1; those aged 30-44 made up cohort 2. Reproductive adjustments to changed productive conditions did not begin early but became important only in the maternal 30s and 40s. Despite an absence of differences in early reproductive experiences between productive sectors for cohort 1 women, a clear separation appeared for the indices of total fertility. Comparisons of mean values for births before age 30 with those for completed fertility revealed that, on the average, women in all groups bore more children after age 30 than they did before. The differences in completed fertility were due to differentials in the lengthening of the birth interval after age 30. This change was small among spouses of garlic producers, somewhat more obvious among those of rainfall farmers, and most pronounced among women in basketmaking households. This may reflect a lowered frequency of intercourse among town dwelling spouses of specialists as families grow larger, older children become adolescents, and domestic privacy becomes more rare. Large families in Aguacatan may be a byproduct of an earilier age of family formation.^ieng
Subject(s)
Agriculture , Behavior , Coitus , Economics , Family Characteristics , Fertility , Occupations , Population Dynamics , Population Growth , Rural Population , Sexual Behavior , Socioeconomic Factors , Statistics as Topic , Americas , Birth Intervals , Central America , Demography , Developing Countries , Employment , Guatemala , Health Workforce , Infant Mortality , Latin America , Marriage , Maternal Age , North America , Parents , Population , Population Characteristics , Reproduction , Research , Social PlanningABSTRACT
The demographic correlates of modernization were studied in a municipio of the Guatemalan highlands using, as indicators of modernization, the introduction of chemical fertilizers and of a religous revitalization movement. Accion Catolica. Records, taken from interviews, of 340 women divided into declines (decennial groups) within ten-year birth cohorts extending from before 1925 to 1954, were checked for representativeness against the birth registries for the entire municipio for the years 1965-69.